DR.LALPATHLABSPVT.LTD.

InvoicePrintDate : 02/03/2015

Page1EskayHouse54,HanumanRoad,Newdelhi110001Phone:911139885050,Fax:911123341638

CINNo:U74899DL1995PTC065388

WIPROCONSUMERCARE&LIGHTING InvoiceNo. .........: C000662672/1415/Feb/1

Date Name LabNo. GrossAmount Discount NetAmount09/02/2015 MR.ANKITSRIVASTAVA 110817617 632.00 0.00 632.00TotalPayable(Rs.): 632.00

DR.LALPATHLABSPVT.LTD.EskayHouse54,HanumanRoad,Newdelhi110001

Phone:911139885050,Fax:911123341638CINNo:U74899DL1995PTC065388

WIPROCONSUMERCARE&LIGHTING InvoiceNo. .........: C000662672/1415/Feb/1

InvoicePrintDate : 02/03/2015InvoicePeriod ....: 01/02/201528/02/2015

F16,OKHLAINDUSTRIALESTATE1DELHI,

DearSir/Madam,

Weareenclosingthebillpertainingtothetestsundergonebyemployees/patientsofyourorganizationfortheperiodfrom01/02/2015to28/02/2015.

Ifanydiscrepancy/Adjustment/DeductiononaccountofTDSoranyotherdeductionmadeatthetimeofpayment,Pleaseattachasummarystatementofdeductionwiththepayment.

Kindlyremitthetotalamount(632.00)attheearliestbyA/CBankDraftsorChequeinfavourofDr.LalPathLabsPvt.Ltd.,NewDelhi.

Thankingyou

YoursTruly

ForDr.LalPathLabsPvt.Ltd.

(AuthorisedSignatory.)

PANNOAAACD3377J

Note:1.Pleasedontmakepaymentsincashagainstbill,weshallnotberesponsibleforanypaymentmadeincash.2.Thisisacomputergeneratedbillanddoesnotrequiresignature/stamp.

DR.LALPATHLABSPVT.LTD.

InvoicePrintDate : 02/03/2015

Page1EskayHouse54,HanumanRoad,Newdelhi110001Phone:911139885050,Fax:911123341638

CINNo:U74899DL1995PTC065388

WIPROCONSUMERCARE&LIGHTING InvoiceNo. .........: C000662672/1415/Feb/1

Name: MR.ANKITSRIVASTAVADate Itemnumber TestName LabNo. GrossAmt. Discount NetAmount

09/02/2015 W170 WIPROCONSUMERCAREPKG. 110817617 632.00 0.00 632.0009/02/2015 V605 DOCTORCONSULTATION 110817617 0.00 0.00 0.0009/02/2015 X090 XRAYCHEST(PA) 110817617 0.00 0.00 0.0009/02/2015 U001 URINEEXAMINATION,ROUTINEURINE,R/E110817617 0.00 0.00 0.0009/02/2015 T001 STOOLEXAMINATION,ROUTINESTOOL,R/E110817617 0.00 0.00 0.0009/02/2015 H009 ESR(WESTERGREN)ERYTHROCYTESEDIMENTATIONRATE110817617 0.00 0.00 0.0009/02/2015 H023 DLC(DIFFERENTIALLEUCOCYTECOUNT),AUTOMATED110817617 0.00 0.00 0.0009/02/2015 H003 TLC(TOTALLEUCOCYTECOUNT) 110817617 0.00 0.00 0.0009/02/2015 H001 HEMOGLOBINHb 110817617 0.00 0.00 0.0009/02/2015 B025 CHOLESTEROL,TOTAL 110817617 0.00 0.00 0.0009/02/2015 B003 GLUCOSE,RANDOM(R) 110817617 0.00 0.00 0.00TotalforPatient: MR.ANKITSRIVASTAVA 632.00 0.00 632.00

TotalPayable(Rs.) 632.00