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Bill Time*
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Patient Name*
Patient Issue*
Guardian Name*
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Room*
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Mayo Clinic

Invoice No: 270264


Hospital details:

JCI Accredited | 24x7 Emergency Services | Advanced Cardiac Care
+1 (507) 284-2511

Registration No.:
79397302

Discharge Date:
10-06-2026

Mayo Clinic

200 First St SW, Rochester, MN 55905, USA

Patient Information

Patient Name:
Robert Miller

Guardian Name:
Mrs. Sarah Miller (Wife)

Insurance:
yes

Consultant:
Dr. James Wilson
Senior Consultant - Cardiology

Patient Issue:
Chest Pain and Shortness of Breath

Admit Date:
09-06-2026

Age:
45

Room Category:
Private Suite

Address:
101 Maple Ave, Chicago, IL 60605, USA

Mobile:
+1 (312) 555-0123

DetailsPriceAmount
Consultation - Senior Consultant Internal Medicine

5 days treatment

$1500$1500
Private Room Charges (AC)

5 days @ ₹2000/day

$2000$10000
IV Fluid Therapy & Medications

Saline, ORS, Antibiotics

$3200$3200
Laboratory Tests

Blood, Stool, Urine Analysis

$1800$1800
Nursing Care

5 days nursing support

$500$500
Pay By
Credit Card
Amount: $ 18105.00

Tax: 6.5% (Exclusive)

CGST: 3.3% - $ 552.50

SGST: 3.3% - $ 552.50

Taxable Amount: $ 17000.00

Total Amount: $ 18105.00

Remark:

In case of emergency consult immediately if you get pain, painful movements, redness, pus or bleeding. Follow up after 5 days. Meet Dr. James Wilson, JCI Accredited | 24x7 Emergency Services | Advanced Cardiac Care

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These receipts are for documentation and personal tracking. For insurance claims, always use original bills provided by the hospital or pharmacy.

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