CityCare Multispeciality Hospital
14, Ring Road, New Delhi 110024
Ph: +91-11-4567-8900
Clinical Reg. DL-CE-2019-04412 · PAN AACCC1234F
GSTIN — healthcare exempt
Final IPD Bill — Summary
No: IPB/25-26/03210
Dt: 24-09-2026 11:00
Page 1/2
Patient
Geeta Sharma · 48Y / F
UHID: UHID-2024-090112 · IPD: IPD/25-26/03210
B-44, Kalkaji, New Delhi
Bed: Ward 3B · Bed 12
Admit: 20-09-2026 09:30 → Discharge: 24-09-2026 10:00
Payer + Clinical
Self
Consultants: Dr. V. Kapoor (Gen Surgery); Dr. S. Mehta (Medicine)
Dx: Cholelithiasis — laparoscopic cholecystectomy [DC11.1]
Final (interim INT/25-26/03210 adjusted)
| Head | Code | Amount |
|---|---|---|
| Ward / nursing | 101001 | ₹24,000.00 |
| Professional fees | 201001 | ₹15,000.00 |
| OT / anaesthesia | 202001 | ₹22,000.00 |
| Investigations | 301001 | ₹9,500.00 |
| Drugs — inclusive, exempt | 401001 | ₹17,450.00 |
| Consumables — inclusive, exempt | 402001 | ₹8,500.00 |
- Gross
- ₹96,450.00
- Less: discount
- ₹2,000.00
- GST 5% — Room rent >₹5k/day @5% (no ITC)
- ₹1,200.00
- Net payable
- ₹95,650.00
- Less: advances / TPA auth
- ₹60,000.00
- Grand Total
- ₹35,650.00
In words: Rupees Thirty Five Thousand Six Hundred Fifty Only
Detail break-up total ₹96,450.00 ties to summary gross ₹96,450.00. Drugs/consumables/implants inclusive — composite exempt, no CGST/SGST split.
Detail break-up — Page 2
| Date | Code | Particulars | Rate | Qty | Amount |
|---|---|---|---|---|---|
| 20-09-2026 | 101001 | Ward 3B Bed 12 — day 1 | 6,000.00 | 1 | ₹6,000.00 |
| 21-09-2026 | 101001 | Ward 3B Bed 12 — day 2 | 6,000.00 | 1 | ₹6,000.00 |
| 22-09-2026 | 101001 | Ward 3B Bed 12 — day 3 | 6,000.00 | 1 | ₹6,000.00 |
| 23-09-2026 | 101001 | Ward 3B Bed 12 — day 4 | 6,000.00 | 1 | ₹6,000.00 |
| 20-09-2026 | 201001 | Admission + surgical consult | 8,000.00 | 1 | ₹8,000.00 |
| 22-09-2026 | 201001 | Operative + follow-up visits | 7,000.00 | 1 | ₹7,000.00 |
| 22-09-2026 | 202001 | Lap cholecystectomy + anaesthesia | 22,000.00 | 1 | ₹22,000.00 |
| 20-09-2026 | 301001 | CBC, LFT, USG abdomen | 6,500.00 | 1 | ₹6,500.00 |
| 22-09-2026 | 301001 | Histopathology | 3,000.00 | 1 | ₹3,000.00 |
| 22-09-2026 | 401001 | IP pharmacy indent 711 (inclusive) | 10,000.00 | 1 | ₹10,000.00 |
| 23-09-2026 | 401001 | IP pharmacy indent 718 (inclusive) | 7,450.00 | 1 | ₹7,450.00 |
| 22-09-2026 | 402001 | OT consumables set (inclusive) | 5,000.00 | 1 | ₹5,000.00 |
| 23-09-2026 | 402001 | Ward consumables (inclusive) | 3,500.00 | 1 | ₹3,500.00 |
Patient/attendant signature on summary mandatory. E&OE. Any excess collection after TPA/insurer settlement is refunded at discharge.