INVOICE
Janhavi Dental Care
Phone: +917795990378
Date: 15/07/2025
Invoice #: INV223
Patient Information
Name: John Doe
Age: 35 years
Gender: Male
Patient ID: SH-250101
Doctor: Dr. Anne Bosey
Treatment Details
| # | Treatments & Products | Unit Cost (INR) | Qty | Total Cost (INR) | |
|---|---|---|---|---|---|
| 1 | Consultation Date: 20 Mar, 2025 |
400.00 | 1 | 400.00 | |
| 2 | GIC Filling Date: 20 Mar, 2025 Teeth: 48 |
1200.00 | 1 | 1200.00 | |
| 3 | Composite Filling Date: 20 Mar, 2025 Teeth: 17|27|37 |
1500.00 | 3 | 4500.00 |
Payment Details
| Date | Receipt Number | Mode | Amount |
|---|---|---|---|
| 20 Mar, 2025 | RCPT162 | Card | 6100.00 |
This Invoice is computer generated
Grand Total: 6100.00 INR
Amount Received: 6100.00 INR
Balance Amount: 0.00 INR
Authorized Signatory