Temp

IP No. Bill No.
Patient Name Folio Store Code Item Code Item Name

Quantity Issue Price Cost Price CHG / NON-CHG Issue / Returns
Procedure
101023I87300 02IP02117110 GOLI VENKATESWARA RAO VENKATESWARA RAO 01
02 SAFSU29 SAFE TOUCH GLOVES MED(MONARCH 10 60 17.2 NON-
CHARGABLE I
02 MEZIN01 MEZOLAM 5 ML 10 450 120.2 NON-CHARGABLE I

02 ENCTB06. ENCORATE CHRONO 500MG TAB 4 34.4 26.6 NON-
CHARGABLE I
02 LEVTB22 LEVIPIL 500MG 4 41.6 32.16 NON-CHARGABLE I

02 SYNTB02 SYNDOPA PLUS .TAB 4 8.6 6.92 NON-CHARGABLE I

02 AMLTB05 AMLOPRESS 10MG TAB 4 20.2 11.24 NON-CHARGABLE
I
02 PANTB02 PANTOCID 40MG TABS 4 29.2 22.56 NON-CHARGABLE
I
02 TEGTB01 TEGRITAL 200MG 4 4.68 3.88 NON-CHARGABLE I

02 POLSU27 POLY URIMETER 1 120 43.68 NON-CHARGABLE I

02 SYRSU50 SYRINGE 50ML DISPOVAN 1 27 13.88 NON-CHARGABLE
I
02 PMFSU150 P.M.LINE M/F -150CM 1 200 14.51 NON-CHARGABLE
I
02 ENCIN02 ENCORATE 100MG -5ML 4 120 92.8 NON-CHARGABLE
I
02 ATOTB01 ATORLIP 10MG TAB 4 34.2 11.24 NON-CHARGABLE I


I
02 SYRSU02 SYRINGE 2ML DISPOVAN 4 15.6 5.84 NON-CHARGABLE
I
CHARGABLE I
02 FACSU52 FACE MASK ELASTIC TIE ON 3 PLY 5 25 7 NON-
CHARGABLE I
02 SYNTB01 SYNDOPA 110 6 6.36 5.16 NON-CHARGABLE I
CHARGABLE I
02 ZEPTB02 ZEPTOL 200MG 4 4.68 3.8 NON-CHARGABLE I

I

CHARGABLE I
02 VENSU03 VENFLON 20G 1 85 28.58 NON-CHARGABLE I
02 WSTSU10 3 WAY STOPCOCK 10CM(PLASTIFLEX) 1 200 15.56 NON-
CHARGABLE I

CHARGABLE I
02 MALSU02 MALE CATH LARGE 30MM 1 29.1 16.12 NON-CHARGABLE
I

02 THMPOIN01 THROMBOPHOB OINT 20GRMS 1 53.65 41.2 NON-CHARGABLE
I
02 POLYSU01 POLYSUCTION SET (POLYMED) 1 125 55.13 NON-
CHARGABLE I
CHARGABLE I
02 ENCIN02 ENCORATE 100MG -5ML 4 120 82.92 NON-CHARGABLE
I
02 DISSU15 DISPOVAN NEEDILES 26.1/2 5 8.75 3 NON-
CHARGABLE I
02 HEXLO03 HEXIDINE MOUTH WASH 80ML 1 27.6 21.35 NON-
CHARGABLE I
02 DISSU18 DISPOVAN NEEDLE 18NO 1 1/2 5 10 5.7 NON-
CHARGABLE I


I

CHARGABLE I
I
02 FACSU52 FACE MASK ELASTIC TIE ON 3 PLY 3 15 4.2 NON-
CHARGABLE I
I
I
02 YGLYLQ07 GLYCERINE 40GMS PREM 2 42 16.64 NON-CHARGABLE
I
02 MALSU01 MALE CATH SMALL 20MM 2 58.2 32.24 NON-CHARGABLE
I


02 TOPTB04 TOPAMAC 50 MG TABS 4 39.6 32.68 NON-CHARGABLE
I

02 FEVIN01 FEVASTIN 2ML INJ 2 15.9 12.28 NON-CHARGABLE I

I
I
02 KENSU03 KEN.STOCKING-MED-LONG8443-KNEE 1 1000 348.32
NON-CHARGABLE I
I
I
02 ECGSU08 ECG ELECTRODES MLGST09 ADULT 5 27.5 13.5 NON-
CHARGABLE I
CHARGABLE I

02 ATOTB01 ATORLIP 10MG TAB 1 8.55 2.81 NON-CHARGABLE I


I
I
CHARGABLE I
02 BAN25 ROLLERS BANDAGE(15X3) 2 24 6.24 NON-CHARGABLE
I
02 DISSU15 DISPOVAN NEEDILES 26.1/2 3 5.25 1.8 NON-
CHARGABLE I
02 DISSU18 DISPOVAN NEEDLE 18NO 1 1/2 3 6 3.42 NON-
CHARGABLE I
I
02 ENCTB06 ENCORATE CHRONO 500MG-TAB 4 34.4 26.6 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 MAGSU20 MAGNESIUM SULPHATE 20GMS(PREM) 5 12.5 7.8 NON-
CHARGABLE I
I
I
CHARGABLE I
I
CHARGABLE I

I
I
CHARGABLE I
CHARGABLE I
I

02 MAGSU20 MAGNESIUM SULPHATE 20GMS(PREM) 4 10 6.24 NON-
CHARGABLE I
CHARGABLE I
I
I
I

02 THRSU01 3 WAY "CONNECTA" - PLAIN 2 110 0 NON-
CHARGABLE I
02 VENSU02 VENFLON 18NO 1 85 28.58 NON-CHARGABLE I

CHARGABLE I
CHARGABLE I

02 LMWIN02 LMWX 60MG 0.6ML INJ 1 555 208 NON-CHARGABLE
I
02 LOXGL01 LOX JELLY 30GMS 1 45 14.56 NON-CHARGABLE I


02 CATSU23 CATHETER MOUNT (POLYMED) 1 255 47.39 NON-
CHARGABLE I
CHARGABLE I
02 VERIN01 VERFEN 2ML INJ 1 45 17.16 NON-CHARGABLE I

02 ENDTU67 ENDOTRACHEAL TUBE CUFF 7.0 1 168.38 60.32 NON-
CHARGABLE I
02 VIAIN02 VIATRAN 3GM INJ. 1 720 426.4 NON-CHARGABLE I


02 VENSU70 VENTILATOR CIRCUIT (A) VINJOH 1 750 97.76 NON-
CHARGABLE I
02 TRACA01 PRESSURE MON.KIT (PX260)EDWARD 1 1200 509.6 NON-
CHARGABLE I
02 TRISU08 TRIPLE LUMEN CATH(T3716HS)EDW 1 1500 800.8 NON-
CHARGABLE I
02 SUCSU52 SUCTION PRO 72 14FR 1 1787.15 858 NON-
CHARGABLE I
I
I
02 DUOLQ01 DUOLIN RESPULES 6.3 MG 2.5ML 5 51.65 28.05 NON-
CHARGABLE I
02 NEMSU01 NEBULISER MOUTH PIECE KIT WITH T-PC(A)VINJOH 1 175
52 NON-CHARGABLE I
02 LOXGL01 LOX JELLY 30GMS 1 45 14.56 NON-CHARGABLE I

02 FOLCA04 FOLLEY CATHETER 16" (RUSCH) 1 95 36.25 NON-
CHARGABLE I
CHARGABLE I
02 SURSU08 SURGICAL GLOVES 7"-SURGICARE 3 105 29.64 NON-
CHARGABLE I
02 LEVIN04 LEVIPIL INJ 5ML 6 852 658.92 NON-CHARGABLE
I
02 RYLTU11 RYLES TUBE 16(POLYMED) 2 34 11.44 NON-CHARGABLE
I
02 NORIN05 NORALIN 4MG/2ML INJ 2 258 79.84 NON-CHARGABLE
I
I
02 RYLTU11 RYLES TUBE 16(POLYMED) 1 17 5.72 NON-CHARGABLE
I
02 LEVIN04 LEVIPIL INJ 5ML 6 852 658.92 NON-CHARGABLE
I

I
I
02 MERIN05 MEROCRIT 1 GM INJ 3 7350 2196 NON-CHARGABLE I

02 VERIN01 VERFEN 2ML INJ 6 270 102.96 NON-CHARGABLE
I

02 NORIN05 NORALIN 4MG/2ML INJ 4 516 159.68 NON-
CHARGABLE I

I
CHARGABLE I
CHARGABLE I
02 IVSSU13 I.V SET L.L SAFTI (VENTED) 3 126 20.07 NON-
CHARGABLE I
I
I
02 TEGPL02 TEGADERM 1626 (10CMX12CM) 1 62 34.91 NON-
CHARGABLE I
02 HMESU11 HME FILTER - ADULT (ALTERA-TURKEY) 1 350 81.12 NON-
CHARGABLE I
CHARGABLE I
I
I
CHARGABLE I
02 MEZIN01 MEZOLAM 5 ML 9 405 108.18 NON-CHARGABLE
I

02 KEYSY01 KEYLYTE SYRUP 200ML 1 35.6 28.46 NON-CHARGABLE
I
02 OMNTB20 OMNITOR 10MG TAB 4 32.2 4.2 NON-CHARGABLE I

02 ENCTB05 ENCORATE CHRONO 300MG TAB 1 5.1 3.94 NON-
CHARGABLE I
02 ENCTB06. ENCORATE CHRONO 500MG TAB 5 43 33.25 NON-
CHARGABLE I
02 NORIV28 NORMAL SALINE 500ML NIRLIFE 5 88.4 47.3 NON-
CHARGABLE I
02 SURSU09 SURGICAL GLOVES 7.5"-SURGICARE 5 175 49.4 NON-
CHARGABLE I
02 NEBSU30 NEBULIZER MASK (AD) POLYMED 1 175 34.03 NON-
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
02 BUDLQ02 BUDECORT RESPULES 1 5 135 52 NON-CHARGABLE
I
CHARGABLE I
CHARGABLE I

02 YCOTSU12 COTTON 400GMS NETT INTERLINE 1 150 60.32 NON-
CHARGABLE I


CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 SERGBM002 SERVO GAURD FILTERS 1 790 526.19 NON-
CHARGABLE I
I

02 NORIV15 NORMAL SALINE 500ML(VIAFLEX) 1 69 45.13 NON-
CHARGABLE I
CHARGABLE I
02 IVSSU08 I.V SET L.L SAFTI (NON-VENTED) 3 132 16.02 NON-
CHARGABLE I
I
I
02 SUCCT10 SUCTION CATHETER 14F(POLYMED) 5 125 23.65 NON-
CHARGABLE I
CHARGABLE I
02 STEIN03 STER WATER FOR INJ 10 ML( PDPL 5 20 6.25 NON-
CHARGABLE I
CHARGABLE I
02 FEESU09 FEEDING BAG 1200ML{POLYMED} 1 140 61.26 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I



CHARGABLE I
CHARGABLE I

CHARGABLE I
CHARGABLE I
02 NORIV16 NORMAL SALINE100ML(VIAFLEX) 3 204 131.1 NON-
CHARGABLE I
I
I
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
CHARGABLE I
02 MAGSU20 MAGNESIUM SULPHATE 20GMS(PREM) 3 7.5 4.68 NON-
CHARGABLE I
CHARGABLE I

02 MAGIN08 MAGNESIUM SULPHATE 2ML 3 30 12.48 NON-CHARGABLE
I
02 LINIV06 LINO PLUS 300 ML VIAL 1 390 93.6 NON-CHARGABLE
I

I
I
I
CHARGABLE I
I

02 PATTB03 PATROZ 40MG TAB 4 20.6 11.44 NON-CHARGABLE I

I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 SHETB02 SHELCAL 500MG TAB 4 14 9.84 NON-CHARGABLE I



CHARGABLE I
CHARGABLE I
CHARGABLE I



02 NORIV50 NORMAL SALINE 0.9% 100ML PENTA 4 55.12 35.36 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I

I
02 NURSU11 NURSES CAPS (MONARCH) 2 10 2.6 NON-CHARGABLE
I
CHARGABLE I
CHARGABLE I
CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I
I
I
I
02 ATOTB38 ATOCOR 40MG TAB 4 39.6 31.28 NON-CHARGABLE I


CHARGABLE I
CHARGABLE I
CHARGABLE I
02 SURSU06 SURGICAL GLOVSE 6"SURGICARE 1 30 9.88 NON-
CHARGABLE I
02 DERIN01 DERIPHYLLIN 2ML 1 3.53 2.86 NON-CHARGABLE I

02 AVIIN01 AVIL 2ML INJ 1 3.29 2.72 NON-CHARGABLE I

02 LASIN01 LASIX INJ 2ML INJ 2 6 4.86 NON-CHARGABLE I

02 CORIN01 CORT-S 100 MG INJ 2 99 33.28 NON-CHARGABLE I

I

CHARGABLE I
02 QSTSU03 Q-SYTE DOUBLE EXTN 1 245 175 NON-CHARGABLE
I
02 CIFDR01 CIFRAN EYE 10ML DROPS 1 20.6 16.27 NON-CHARGABLE
I
02 IOTDR01 IOTIM 0.5% DROPS 1 40 31.64 NON-CHARGABLE I

02 SAFSU17 SAFE CARE EXA GLOVES (TRISAFE) 10 60 16.6 NON-
CHARGABLE I
CHARGABLE I
02 SOFDR01 SOFRAMYCIN 5ML EYE DROPS 1 7.64 6.33 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I

I

I
02 GUESU23 GUEDAL AIRWAY 2 (POLYMED) 1 70 21.84 NON-
CHARGABLE I
I

I
CHARGABLE I

I

I
I
I
CHARGABLE I
CHARGABLE I

CHARGABLE I

CHARGABLE I

CHARGABLE I
CHARGABLE I

CHARGABLE I
02 MICSU15 MICRO DRIP SET SAFTI 2 92 13.38 NON-CHARGABLE
I
CHARGABLE I
CHARGABLE I
I
02 PML200 P.M LINES 200CM M/F PLASTIFLEX 2 400 29.02 NON-
CHARGABLE I
02 PARTB10 PARACIP 650 MG TAB 4 6 1.4 NON-CHARGABLE
I
I
CHARGABLE I
02 MICSU15 MICRO DRIP SET SAFTI 2 92 13.38 NON-CHARGABLE
I
I
CHARGABLE I
02 NEOPW01 NEOSPORIN POWDER 10GMS 2 83 63.5 NON-CHARGABLE
I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
I

I
CHARGABLE I
I
I
02 ATOTB51 ATORBEST 20MG TAB 1 13.5 1.98 NON-CHARGABLE I

CHARGABLE I
I




CHARGABLE I
02 SPOPW01 SPORLAC POWDER 4 12.76 10.08 NON-CHARGABLE I

CHARGABLE I

02 NORIV15 NORMAL SALINE 500ML(VIAFLEX) 1 69 45.13 NON-
CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I

CHARGABLE I
02 ENCTB04 ENCORATE CHRONO 200MG TABLETS 3 10.8 8.34 NON-
CHARGABLE I
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I



CHARGABLE I
CHARGABLE I
I
CHARGABLE I
02 CATSU30 MALE CATHETER 30MM SAFTI 1 35 7.5 NON-
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I

I
02 FLOSU02 FLOW REGULATOR (POLYMED) 1 155 40.04 NON-
CHARGABLE I
CHARGABLE I


CHARGABLE I
CHARGABLE I
I


I
02 THRSU01 3 WAY "CONNECTA" - PLAIN 3 165 31.74 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I

CHARGABLE I
02 MERIN15 MEROZA 1GM INJ 3 7891.05 1965.6 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 BAN26 ROLLERS BANDAGE(10X3) 3 23.4 6.24 NON-CHARGABLE
I
I
I
CHARGABLE I
I
I
02 SEPLQ01 SEPTTOL 100ML 1 17 11.44 NON-CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
I
I
02 ATOTB38 ATOCOR 40MG TAB 4 39.6 31.28 NON-CHARGABLE I


CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I
02 MERIN15 MEROZA 1GM INJ 3 7891.05 1965.6 NON-
CHARGABLE I
I
02 NEOIN07 NEO DROL 40MG 2 31.08 26 NON-CHARGABLE I

02 OXYSU23 OXYGEN RECOVERY KITS 40% VINJO 1 285 87.93 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
CHARGABLE I


02 ZEPTB03 ZEPTOL CR 200MG .TAB 4 5.6 4.52 NON-CHARGABLE
I

I
02 MERIN15 MEROZA 1GM INJ 3 7890 1965.6 NON-CHARGABLE
I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
02 SURSU31 SURGICAL GLOVES 7.0(MEDI GRIP) 2 80 15.8 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 NEBSU22 NEBULIZER MASK (A) POLY MED 1 175 34.03 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
CHARGABLE I
I


CHARGABLE I


02 MUCSU10 MUCUS EXTRACTOR (POLYMED) 1 30 10.4 NON-
CHARGABLE I

02 MERIN15 MEROZA 1GM INJ 1 2630 655.2 NON-CHARGABLE I

CHARGABLE I
CHARGABLE I
02 WASSU11 WASA MOUSE 1 350 227.24 NON-CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I
I

I
CHARGABLE I
02 PATIN01 PATROZ 40 MG INJ 1 53.5 15.89 NON-CHARGABLE I



CHARGABLE I
CHARGABLE I

02 HMESU10 HME FILTER (B L LIFE SCI 1 280 81.12 NON-
CHARGABLE I
CHARGABLE I
02 SURSU31 SURGICAL GLOVES 7.0(MEDI GRIP) 2 80 15.8 NON-
CHARGABLE I
I
02 RYLTU12 RYLES TUBE 14 (POLYMED) 1 25 5.72 NON-CHARGABLE
I
CHARGABLE I

CHARGABLE I
CHARGABLE I


I
I
CHARGABLE I
CHARGABLE I

I
I
CHARGABLE I
I
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
I
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I

CHARGABLE I


I
02 ATOTB02 ATORLIP 20 MG TABS 4 63 19.56 NON-CHARGABLE
I
02 FRAIN04 FRAGMIN 7500 INJ 0.3ML 1 592.63 288.02 NON-
CHARGABLE I
I
I
CHARGABLE I
CHARGABLE I

CHARGABLE I
CHARGABLE I

CHARGABLE I
02 FRAIN04 FRAGMIN 7500 INJ 0.3ML 1 592.63 288.02 NON-
CHARGABLE I
I
I
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
02 CATSU30 MALE CATHETER 30MM SAFTI 2 70 15 NON-
CHARGABLE I
02 MAGSU20 MAGNESIUM SULPHATE 20GMS(PREM) 2 5 3.12 NON-
CHARGABLE I
I
I
02 NASSU25 NASAL CANNULA ADULT (LIFE LINE 1 50 12.74 NON-
CHARGABLE I
CHARGABLE I
02 SPOPW01 SPORLAC POWDER 5 15.95 12.6 NON-CHARGABLE I

CHARGABLE I
02 FRAIN09 FRAXIPARINE 0.3 ML INJ 1 310 235.61 NON-
CHARGABLE I
I
I

CHARGABLE I
I
CHARGABLE I
02 WASSU11 WASA MOUSE 1 350 227.24 NON-CHARGABLE I

CHARGABLE I

I
I

CHARGABLE I
CHARGABLE I
I
02 ATOTB02 ATORLIP 20 MG TABS 1 15.75 4.89 NON-CHARGABLE
I
I

I
CHARGABLE I
CHARGABLE I
02 CATSU30 MALE CATHETER 30MM SAFTI 2 70 15 NON-
CHARGABLE I
CHARGABLE I
02 TBAOI01 T-BACT OINTMENT 5GMS 1 71 54.33 NON-CHARGABLE
I
I
I
CHARGABLE I
CHARGABLE I
02 PANIN15 PANZONAT 40 MG VIAL 1 70 14.04 NON-CHARGABLE
I
02 ATOTB02 ATORLIP 20 MG TABS 1 15.75 4.89 NON-CHARGABLE
I
I

CHARGABLE I
I

I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 NEOPW01 NEOSPORIN POWDER 10GMS 1 41.5 31.75 NON-CHARGABLE
I
CHARGABLE I
I
CHARGABLE I
02 DISSU15 DISPOVAN NEEDILES 26.1/2 2 3.5 1.2 NON-
CHARGABLE I
I


CHARGABLE I
CHARGABLE I
CHARGABLE I

02 OXYSU33 OXYGEN MASK ADULT (POLYMED) 1 64 22.1 NON-
CHARGABLE I
02 ECGSU08 ECG ELECTRODES MLGST09 ADULT 10 55 27 NON-
CHARGABLE I
I
I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 PROIN03 PROFOL INJ 1% 10 ML 1 121 48.62 NON-CHARGABLE
I
CHARGABLE I
02 TEGAPL01 TEGADERM 1623 2 51.6 31.1 NON-CHARGABLE I

02 ATRIN10 ATRON 1ML INJ (ATROPINE) 15 150 31.2 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 STAIN04 STANCAL 10ML INJ.(CALCIUM GLU) 4 80 19.12 NON-
CHARGABLE I
02 NALIN05 NALINE 1ML INJ(ADRENALINE) 15 165 66.3 NON-
CHARGABLE I
02 CARIN08 CARB 25ML INJ( NA.BICARBONATE) 5 150 41.6 NON-
CHARGABLE I

02 SERGBM002 SERVO GAURD FILTERS 1 790 526.19 NON-
CHARGABLE I
CHARGABLE I
02 ENDTU24 ENDO TRACHEAL TUBE CUFFED WITHOUT SOFT SEAL 7MM 1 168.38
59.54 NON-CHARGABLE I
02 SUXIN10 SUXOMIN 500MG 10ML 1 61.9 17.31 NON-CHARGABLE
I
02 NEOIN24 NEOROF 1% 50ML INJ 1 405 149.1 NON-CHARGABLE
I
CHARGABLE I
02 SUXIN10 SUXOMIN 500MG 10ML 1 61.9 17.31 NON-CHARGABLE
I
CHARGABLE I
CHARGABLE I
02 ENDTU25 ENDO TRACHEAL TUBE CUFFED WITHOUT SOFT SEAL 7.5MM 1
168.34 59.54 NON-CHARGABLE I
02 VENSU70 VENTILATOR CIRCUIT (A) VINJOH 1 750 97.76 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 DOUS05 DOUBLE LUMEN CATH KENDALL 1 4000 1664 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I

I
CHARGABLE I
02 PML200 P.M LINES 200CM M/F PLASTIFLEX 1 200 16 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
I
CHARGABLE I
CHARGABLE I

I
CHARGABLE I

02 ATOTB02 ATORLIP 20 MG TABS 4 63 19.56 NON-CHARGABLE
I

CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 SOFDR01 SOFRAMYCIN 5ML EYE DROPS 1 7.64 6.33 NON-
CHARGABLE I
02 ENDINTST40 E.T INTUBATION STYLET NO.4.0 1 300 226.05 NON-
CHARGABLE I
02 TRISU08 TRIPLE LUMEN CATH(T3716HS)EDW 1 1500 800.8 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 DEXIV32 DEXTROSE 25% IV 100ML NIRLIFE 1 34.1 11.23 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
02 NEOIO06 NEOSPORIN SKIN OINTMENT 20 GM 1 58 45.88 NON-
CHARGABLE I
CHARGABLE I
02 HIGSU01 HIGH CONCENTRATION MASK (A) VI 1 320 109.2 NON-
CHARGABLE I
I
I
I
CHARGABLE I
02 NEMSU01 NEBULISER MOUTH PIECE KIT WITH T-PC(A)VINJOH 1 175
52 NON-CHARGABLE I
I
02 HEPIN25 HEPARIN 25000 5ML 1 187 109.2 NON-CHARGABLE I


02 PANTB14 PANTOSEC 40 MG TAB 4 27.8 3.48 NON-CHARGABLE
I
CHARGABLE I
02 XYLIN03 XYLISTIN INJ 1 650 517.92 NON-CHARGABLE
I
CHARGABLE I
CHARGABLE I
I
I
I
02 SYRSUSBD01 SYRINGE(40U) B.D INSU.1ML 5 32.5 22 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 CONPW01 CONVALES SACHET 4 168 131.96 NON-CHARGABLE
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
I
I

I

CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I

02 PERTB01 PERINORM TAB 4 6 4.68 NON-CHARGABLE I
CHARGABLE I
02 XYLIN05 XYLISTIN 1 MIU INJ 1 650 518.28 NON-
CHARGABLE I
CHARGABLE I


CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I
02 DISSU18 DISPOVAN NEEDLE 18NO 1 1/2 5 8.75 3 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 THESU01 THERMOVENT ( ADULT ) 1200 1 288.25 197.6 NON-
CHARGABLE I
I
I
02 CONPW01 CONVALES SACHET 2 84 65.98 NON-CHARGABLE I

I
CHARGABLE I
02 MEGCP18 MEGAFIT CAPS 4 32 24.28 NON-CHARGABLE I

CHARGABLE I
02 HEPIN04 HEPARIN 5000U (HEP 5ML) 1 70 41.6 NON-CHARGABLE
I


02 PERTB01 PERINORM TAB 4 6 4.68 NON-CHARGABLE I

02 OMNTB10 OMNACORTIL 10MG TAB 4 2.88 2.4 NON-CHARGABLE
I
I

CHARGABLE I
CHARGABLE I

CHARGABLE I
02 NEBPW01 NEBASULF 10 G POWDER 1 30 24.17 NON-CHARGABLE
I
CHARGABLE I

02 FEVIN01 FEVASTIN 2ML INJ 2 15.9 12.56 NON-CHARGABLE I

I
02 BUDLQ02 BUDECORT RESPULES 1 5 148.5 57.5 NON-CHARGABLE
I
02 THOSU01 TROCAR CATH 32F ROMSON`S 2 842 573.08 NON-
CHARGABLE I
02 DEVTB01 DEVIRY 10MG 4 20 15.8 NON-CHARGABLE I

02 SUCIN14 SUCCICORT 100MG VIAL 2 118 24.92 NON-CHARGABLE
I
I

CHARGABLE I

I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I


CHARGABLE I
CHARGABLE I
I
I


02 OMNTB20 OMNITOR 10MG TAB 6 48.3 6.3 NON-CHARGABLE I

02 PMLSU19 P.M.LINES RED 200M/F LIFE LINE 2 190 32.24 NON-
CHARGABLE I
CHARGABLE I
I

I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
CHARGABLE I
I
I
I

CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 PERIN01 PERINORM 2ML INJ 3 22.5 17.76 NON-CHARGABLE I

02 GUESU23 GUEDAL AIRWAY 2 (POLYMED) 1 70 21.84 NON-
CHARGABLE I
02 PERIN01 PERINORM 2ML INJ 4 30 23.68 NON-CHARGABLE I

02 PERIN01 PERINORM 2ML INJ 3 22.5 17.76 NON-CHARGABLE I

02 CEFIN47 CEFI 1GM INJ 2 380 124.8 NON-CHARGABLE I

02 ANXTB12 ANXINIL 0.5MG TAB 1 1.81 0.16 NON-CHARGABLE I

02 OXYSU23 OXYGEN RECOVERY KITS 40% VINJO 1 285 87.93 NON-
CHARGABLE I
02 TEGAPL01 TEGADERM 1623 3 87 44.19 NON-CHARGABLE I


I
02 CRESY04 CREMAFFIN-PLUS-110ML 1 65 46.41 NON-CHARGABLE
I
CHARGABLE I
CHARGABLE I
I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I

CHARGABLE I
I
I

CHARGABLE I
CHARGABLE I
I
02 CIPTB30 CIPCAL-500 TAB 4 12.8 1.32 NON-CHARGABLE I

CHARGABLE I
CHARGABLE I
I
CHARGABLE I
CHARGABLE I

CHARGABLE I
CHARGABLE I

CHARGABLE I
02 KIOIN01 KION 10ML INJ (POTASSIUM) 2 40 11.44 NON-
CHARGABLE I
02 MAGTB03 MAGNICAL TAB 4 12.4 9.8 NON-CHARGABLE I

I
02 GLYLQ07 GLYCERINE 40GMS PREM 4 96 33.28 NON-CHARGABLE
I
I
I
I


CHARGABLE I
CHARGABLE I
I

I

I
I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 NASSU25 NASAL CANNULA ADULT (LIFE LINE 1 50 12.74 NON-
CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 NEOPW01 NEOSPORIN POWDER 10GMS 1 41.5 31.75 NON-CHARGABLE
I
I
02 DEXSY01 DEXORANGE PLUS 200ML SYRUP 1 68.72 52.65 NON-
CHARGABLE I
CHARGABLE I
02 MAGPW02 MAG. SULPH 20GMS(EPSOM SALT) 4 10 5 NON-
CHARGABLE I
02 MAGPW02 MAG. SULPH 20GMS(EPSOM SALT) 6 15 7.5 NON-
CHARGABLE I



I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
02 NEBSU15 NEBULIZER MASK (A) LIFE LINE 1 135 35.36 NON-
CHARGABLE I
CHARGABLE I
02 KIOIN01 KION 10ML INJ (POTASSIUM) 1 20 5.72 NON-
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I


CHARGABLE I
I
CHARGABLE I
I
I

I
I

I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I

CHARGABLE I
02 CONPW01 CONVALES SACHET 3 12.6 9.9 NON-CHARGABLE I



CHARGABLE I
CHARGABLE I
I
I
CHARGABLE I

CHARGABLE I
CHARGABLE I



02 IVATB01 IVABRAD 5 MG TAB 3 34.95 27.57 NON-CHARGABLE I

CHARGABLE I
CHARGABLE I


CHARGABLE I
CHARGABLE I
CHARGABLE I
I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I
I
I
02 ALBIN09 ALBUREL 20% 100ML 1 5000 2912 NON-CHARGABLE I

CHARGABLE I
CHARGABLE I
I
02 ENCTB02 ENCORATE 300MG TABLETS 1 3.9 3.02 NON-CHARGABLE
I

02 MEGCP03 MEGA - 3 CAPSULES 4 19.16 14.8 NON-CHARGABLE I
CHARGABLE I

CHARGABLE I
CHARGABLE I
CHARGABLE I


I

I
CHARGABLE I
CHARGABLE I
CHARGABLE I
CHARGABLE I

I
02 ALBIN09 ALBUREL 20% 100ML 1 5000 2912 NON-CHARGABLE I


CHARGABLE I

CHARGABLE I
I

I
I
CHARGABLE I
CHARGABLE I
CHARGABLE I

02 MEGCP03 MEGA - 3 CAPSULES 4 19.16 14.8 NON-CHARGABLE I

CHARGABLE I
CHARGABLE I
02 RYLSU15 RYLES TUBE 16(LIFE LINE ) 1 16 5.72 NON-
CHARGABLE I
02 FOLCA16 FOLEYS CATHETER 16G (SILI)2WAY 1 500 286 NON-
CHARGABLE I

CHARGABLE I
101023I87300 02RSI0106427 GOLI VENKATESWARA RAO VENKATESWARA RAO 01
02 VIAIN02 VIATRAN 3GM INJ. 1 720 426.4 NON-CHARGABLE R

02 LINIV06 LINO PLUS 300 ML VIAL 1 390 93.6 NON-CHARGABLE
R
R
CHARGABLE R
CHARGABLE R
02 ATOTB38 ATOCOR 40MG TAB 4 39.6 31.28 NON-CHARGABLE R

02 CEFIN47 CEFI 1GM INJ 4 760 249.6 NON-CHARGABLE R

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IP No. Bill No.

Patient Name Folio Store Code Item Code Item Name

101023I87300 02IP02117153 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02117153 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02117153 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02117153 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02117153 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02117275 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02117275 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02117996 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02117996 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02117996 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02118321 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02118784 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02118784 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02118784 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02119110 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02119127 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02119234 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02119271 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02119487 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02119487 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02119487 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120338 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120339 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120556 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120561 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120725 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120726 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120726 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120764 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120768 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120775 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120796 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120889 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02120944 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02121150 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02121150 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02121337 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02121386 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02122102 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02122102 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02122102 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02122103 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02122406 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02122822 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02122822 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02122822 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02123195 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02123436 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02123436 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02123436 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02123919 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02123919 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02123971 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02124102 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02124102 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02124611 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02124713 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02125084 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02125084 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02125084 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02125423 GOLI VENKATESWARA RAO VENKATESWARA RAO 01

101023I87300 02IP02125423 GOLI VENKATESWARA RAO VENKATESWARA RAO 01