KIMS KINGSWAY HOSPITAL

M/S. SPANV MEDISEARCH LIFESCIENCES PVT. LTD.

44, Kingsway, Near Kasturchand Park, Nagpur, Maharashtra

India, 440001

GSTIN: 27AAZCS7904H1ZM

GST No: 27AAZCS7904H1ZM

IP Package Detailed Bill

Bill Of Supply

Pkg+Exc
Bill No : CPA2526002076
Admission No : IPNP2526010917
Patient Name : JAYA MUKESH BARMASE
Age / Sex : 50Y(s)/Female
Organization : --
Employee No : --
Ref. Form No. & Dt. : 251100250724       31-Oct-25
Medical Card No. : --
INS GST No : --
Ins Address : --
Consultant : Dr.Rohan Bansal
Bill Date : 10/31/2025 4:50:20PM
Admitted Dt : 28-Oct-25 1:50 PM
UMR No : --
Admitted Bed : --
TPA Name : --
Employee Name : JAYA MUKESH BARMASE
Referred For : --
Relationship : Self
TPA Address : --
Department : ORTHOPAEDICS
Package Details
Pkg.Cd Pkg.FromDT Pkg.ToDt Service Name HSN/SAC Cd Pkg Amount Conc Amount
NES5210 29-Oct-25 31-Oct-25 97,000.00 0.00 97,000.00
DISCECTOMY - LUMBAR
NES5214 29-Oct-25 31-Oct-25 48,500.00 0.00 48,500.00
LAMINECTOMY - LUMBAR50% Discount
Package Excludes
ServiceCD Service Name HSN/SAC Code Exc.Qty Rate Exc.Amount
Consultation Charges 2,710.00
CARDIOLOGY 1,300.00
DM0084 Dr.SHAILENDRA GANJEWAR 1 1,300.00 1,300.00
DIET 410.00
DI10001 Dr.DIET CONSULTATION 1 410.00 410.00
INTERNAL MEDICINE \ GENERAL MEDICINE 1,000.00
DM0370 Dr.SHREYAS DHAWALE 1 1,000.00 1,000.00
FOOD AND BEVERAGES 1,000.00
FOOD AND BEVERAGES 1,000.00
FN0026 FOOD CHARGES 2 500.00 1,000.00
Laboratory Charges 2,990.00
CARDIOLOGY 2,990.00
CAR0017 2D - ECHO CARDIOGRAPH 1 2,990.00 2,990.00
Service Charges 3,500.00
BEDSIDE SERVICES 980.00
ME0020 GRBS 7 140.00 980.00
HOSPITAL SERVICES 1,500.00
NS0077 ATTENDER PASS CHARGE 1 250.00 250.00
NS0120 MEDICAL RECORDS- > 1 DAY 1 750.00 750.00
NS5051 ADMISSION CHARGES 1 500.00 500.00