CityCare Multispeciality Hospital
14, Ring Road, Lajpat Nagar, New Delhi
Delhi — 110024
Ph: +91-11-4567-8900 · billing@citycare.in
Allopathy · MBBS · Reg MMC-2012-04567
Clinical Reg DL-CE-2019-04412
Empanelment CGHS/DL/2020/0221
NABH rate basis
CGHS Allopathy Package Bill
No: PKG/25-26/000088
Dt: 23-09-2026
Allopathy · Dr. A. Khan · MBBS · Reg MMC-2012-04567
Patient
Ramesh Gupta · 54 Y · M
UHID: UHID-2024-118822
Card: CGHS-DL-0991234
Payer: CGHS · Ref CGHS-CLM-2026-091144
Ph: +91-98110-22334
Case refs (audit)
IPD/25-26/000214
Discharge: DIS/25-26/000198
Rate basis: NABH
| Sl | Package code | Description / Category | Qty | Rate | Amount |
|---|---|---|---|---|---|
| 1 | N2-ALP-01 | Physician consultation (admission + reviews)Consultation | 3 VISIT | 750.00 | ₹2,250.00 |
| 2 | U2-ALP-11 | Chest physiotherapy per sessionProcedure | 3 SESSION | 500.00 | ₹1,500.00 |
| 3 | U2-ALP-12 | Nebulisation per sessionProcedure | 4 SESSION | 300.00 | ₹1,200.00 |
| 4 | U2-ALP-21 | Oxygen therapy (nasal prongs) per dayProcedure | 3 DAY | 900.00 | ₹2,700.00 |
| 5 | S2-ALP-MD | In-patient medicines (IV antibiotics + orals)Medicine | 1 COURSE | 6,500.00 | ₹6,500.00 |
| 6 | S2-ALP-MT | Consumables (IV cannula, O2 set, gloves)Material | 1 LOT | 2,200.00 | ₹2,200.00 |
| 7 | S2-ALP-RM | Room — general ward 4 daysRoom | 4 DAY | 5,500.00 | ₹22,000.00 |
| 8 | S2-ALP-NS | Nursing careNursing | 4 DAY | 1,200.00 | ₹4,800.00 |
| 9 | S2-ALP-DT | Diabetic dietDiet | 4 DAY | 800.00 | ₹3,200.00 |
Package includes
Covered in the package rate: consultations and reviews, listed procedures and sessions, in-patient medicines and consumables, room and nursing, hospital diet. Investigations done during the stay are included per CGHS package rules.
Not included (payable separately)
Private-duty attendant, TV/telephone, extra non-veg meals, items of personal comfort — billed at published rates; pharmacy take-home supplies billed per the pharmacy invoice.
- Package total
- ₹46,350.00
- Discount
- ₹0.00
- Net payable
- ₹46,350.00
- Advance received
- ₹10,000.00
- Grand Total
- ₹36,350.00
In words: Rupees Thirty Six Thousand Three Hundred Fifty Only
NABH package rates applied (CGHS empanelment OM 09-11-2017).
Package rates inclusive; no refusal of admission to CGHS beneficiaries at empanelled units. Any deviation from the package is charged only with the prior written consent of the patient/attendant, recorded in the case sheet.