Interim Bill
CI
CityCare Multispeciality Hospital
14, Ring Road, New Delhi 110024
Ph: +91-11-4567-8900
Clinical Reg. DL-CE-2019-04412
Healthcare exempt — no GST
Interim Bill — Not for Final Settlement
No: INT/25-26/03210
Dt: As on 21-09-2026 18:00 · Day 2
Patient
Geeta Sharma · 48Y / F
UHID: UHID-2024-090112 · IPD: IPD/25-26/03210
Bed: Ward 3B · Bed 12
Consultant: Dr. V. Kapoor
Admitted: 20-09-2026 09:30
Payer
Self — advance 30,000
Advances paid: ₹30,000.00
| Head | Code | Running amount |
|---|---|---|
| Room / nursing | 101001 | ₹12,000.00 |
| Doctor / consultation | 201001 | ₹8,000.00 |
| Investigations | 301001 | ₹6,500.00 |
| Drugs (inclusive) | 401001 | ₹14,700.00 |
| Consumables (inclusive) | 402001 | ₹7,000.00 |
Day-wise room tariff
| Date | Tariff per day |
|---|---|
| 20-09-2026 | ₹6,000.00 |
| 21-09-2026 | ₹6,000.00 |
- Running gross
- ₹48,200.00
- Advances paid
- ₹30,000.00
- Grand Total
- ₹18,200.00
In words: Rupees Eighteen Thousand Two Hundred Only
Interim balance — reconciles line-for-line with final bill codes.
Interim running-account statement — subject to final adjustment at discharge. Not a final payment; final settlement only on the discharge bill.