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If.E ITIDDICAL CENTRE FlrT: UTD.

8130, FERN ROAD, KOLKAIA- 7OOO19
PH- RECP-(033)4004 8772, (OT) 704447194O,(OFq 7A4471%1

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 II'.F. MEDICAL CENTRE FYT: I.,TD.
8/30, FERN ROAD, KOLIGTA. TOOO19
PH- RECP-(033)4004 8772, (OT) 704447194O,(OFq 704g,71%1

patient Name .. 9/a,*fre XA . *-Y.q!1 {/: /- -6;dN{:: . -- **

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 GST lnvoice Phone No.(033) 40048772 :rl-i+
Bill Date 04tOZt2O22 1:03AM
K F MEDICAL GENTER PVT. LTD,

8/30 FERN ROAD, KOLKATA-7OOOIg

DL No. : WB/KOL/BIO/M 44 / WB/KOL/BIO/R244
GSTIN- I 9AADCK' 1 49C1 ZM
Bill To RITIKAMOULIK
Address Bill No 22-23|KFM/8445 rii,,
Phone Doctor IRINADEY
CSTIII Reg No
DL No.
PAN / Aadhar BED NO-208
ITEM NAME HSN BAICH EXP MRP RATE DISCAXABLESGSTCC-ST Amt)
0
2 NS 500ML (FLEXTDRTP) 138.
A 3004 222t126 02t25 79.31 79.31 10.00
3 INJ ROFTECH AQ 127.46 6.00 6.00 142.76.
A 3004 uNP30 t 01t24 22.00 22.00 10.00 53.04 6.00 6.00
3 METRIS 0.5% |OOML BOTTLE 59.40
A 3004 2220147 03/25 24,64 21.64 10.00
3 INJ NEOMIT 59.41 6.00 6.00 66.53
A km315019 l0/23 12.90 12.90 10.00
10 INJ RANTAC 2ML 31.09 6.00 6.00 34.83
A 3004 YR221278 04/23 5.44 5.44
30 10.00 8.75 6.00 6.00 9.79
INJ GENTICYN SOMG A 3004 anrahhO03 1 01124 9.43 9.43 10.00 45.46 6.00 6.00
3 INJ TAXIMAX I5OO A 3004 50.92
22460296 01t24 77.50 77.50 0.00
2 INJ TAXIM 5OO
1 1 86.83 6.00 6.00 2nq ?{
21460484 10t23 23.00 23.00 10.00
4 DISPOVAN SYRINGES 1O ML 41.40 41.40
A 300.1 l02lOjp1 t2t25 9.50 9.50 10.00 30.54 6.00 6.00
2 DISPOVAN SYRINGES 2 ML 34.20
A 3004 139024NJ105/26 4.s0 4.50 i 0.00
2 DISPOVAN SYRINGS 1ML 7.24 6.00 6.00 8.10
A 300,1 21701sc 03/27 9.00 9.00 10.00 14.46 6.00 6.00
1 JUSTIN SUPP lOOMG 16.20
A 3004 8NP27434:10t24 75.50 75.50 10.00 12.13 6.00 6,00 13.59
Taxable
s c.s.r
v.v.v. ':112 rotalMRP
C.G.S.T
\J,\f .r). I ..
'
42.02 Total Discount - -..
s1z.s4'u:E
Jtt,t)L

Net Amount 42.02

A.A.
^. ^.
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Credit
r
Adjust :
^-_ -,!r Note
-
:
91.75
V l. /C

0.00
826.00 NetAmount I o.a n^
826.00
Paid Amount
826.00
Due Amount
Amount ln Wor-ds Rupoes Eight Huneired 0.00
Twenty Six Only

K F MEDICAL CENTER PVT

Pharmacist / Authorized Signatory

&,

Page No.: 1
 GST Invoice Phone No. (033) 40048772
Bill Date 0410712022 12:22AM
K F MEDICAL CENTER PVT. LTD.

8/30 FERN ROAD, KOLKITA-7OOO19

DL No. : WB/KOL/BIO1R244 / WB/KOL/BIO/R244 GST]N. 1 9AADCK5 1 49C1 ZM
':'ii,
Biil To B/O-RITAMOULIK BillNo 22-231\<F}.jl8439
Address Doctor R ISLAM
Pl.rone Reg No
CSTIN DL No.
PAN / Aadhar BED NO-N-5
NT) ITEMNAME HSN BAICH EXP MRP RATE DISCAXABLESGSrcGSTNET(AMI)

4 INJMIKACIN 1OOMG A 3 004908 B L822007 9n 1 125 30.60 30.60 10.00 104.92 2.50 2.50 1 10.16
2 DISPOVAN SYRINGES 10 ML A 3004 102lOjpl 12125 9.50 9.50 10.00 15.26 6.00 6.00 17.1 0

2 DISPOVAN SYRINGES 2 ML A 3004 139024NJ1 05/26 4.50 4.50 10.00 7.24 6.00 6.00 8.10
2 DISPOVAN SYRINGES 5 ML A 3004 026052NE105/25 7.50 7.50 10.00 12.06 6.00 6.00 13.50
4 MOLLYSHEET A G220304D102124 141 .00 141.00 10.00 507.60 507.60
i BABY DIAPERS SMALL 93 A 3004 nb22000).2 01125 130.00 130.00 0.00 16.08
1 6.00 6.00 130.00
I APTAMIL I A 22022579 02125 740.00 740.00 0.00 621.12 9.00 9.00 740.00
4 ACCUC}IEK ACTIVE 2X5O'S A ROCH826037732 01123 11.25 17.25 10.00 55.44 6.00 6.00 62.10

Taxable 1605.14 Total MRP 1866.80

S,G.S.T 80.99 TotalDiscount 99.68
C.G.S.T 80.99 Credit Note Adjust 0.00
NetAmount 1767.00 NetAmount 1767.00
Paid Amount 1767.00
Due Amount 0.00

Amount ln Words Rupees One Thousand Seven Hundred Sixty Seven Only
E. & O.E
 GST lnvoice Phone No. (033) 40048772
L :'oN a6ed Bill Date o4to7t2o22 12:44PM
K F MEDICAL CENTER PVT. LTD.
,;ii...

8/30 FERN ROAD, KOLKATA.TOOOIg

S*rlt{o. : WB/KOL/BIO1R244/WB/KOL/BIO/R244 GSTIN- 1 9AADCK5 1 49C I ZM
Bill To RITIKAMOULIK BillNo 22-231KF};y8367
Address Doctor IRINA DEY
Phone Reg No
CSTIN DLNo.
PAN / Aadhar BED NO-208
QNI') i i EM NAME HS].l BArCH EXP MRP RATE DISCAXABLESGSTCGST NET(Arnt) ..

1 1(IT I(ATH 18G 133634 07126 149.50 149.50 10.00 120.13 6.00 6.00 134.55
2 NS (EASY PORT) 22111778 A 3004 03124 79.30 19.30###### -56.64 6.00 6.00 -63.44
EXAMINATIONGLOVES(MEDIIA4015 20200525 0-1126 13.50 13.50 10.00 10.85 6.00 6.00 12.15
1 GLASS VAN BLADE 10 A 030419 03124 500.00 500.00 10.00 4.02 6.00 6.00 4.50
o
li,
I PzuMIGYN 0.5mg GEL(3.0G) 3004 4s090 03t24 302.43 302.43 10.00 243.03 6.00 6.00 272.19
50-::.
DISPOVAN 1OML SYRINGES A 133106NJD07/26 10.00 10.00 10.00 8.04 6.00 6.00 9.00

Taxable 473.27 Total MRP 818.03

S.G.S.T 28.39 Total Discount 287.98
C G.S.T 28.39 Credit Note Adjust 0.00
Net Amount 530.00 Net Anrount 530.00
Paid Amount 530.00
Due Amount 0.00
*.!r"

Amdunt ln Words Rupees Five Hundred Thirty Only

CENTER PVT
fu oleu6rS pazllot.llnv / lslceLUleLld

i-- PRESCRIPTION REGISTER I CASH / CREDIT MEMO

(A unit of GSA Surgical & Medicines Pvt. Ltd.)

Chemists &
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a Kindly chmk ti€ detiils ol medicines likB ouantity, MRB Batch l{0., Expiry Dah and rs,lund balaf,e b€fors leavlnq
lu--
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All disputes are subi€ct to Kolkata Jurisdiction only.
1 5 day8 lrom lio dah 0l billing.
I
 GST lnvoice Phone No.(033) 40048772
;, :'op a6e6 Bill Date 0510712022 11:28AM
K F MEDICAL CENTER PVT. LTD.

,.-. 8/30 FERN ROAD, KOLKATA-7OOOIg

&No. : WB/KOL/BIO1R244.|WB/KOL/BIO1R244 G STIN- 1 9AA DCK:- I 4gC1 ZM

BillTo zuTOKAMOULIK Bill No 22-23lKFM|8469

Address Doctor R ISLAM
Phone Reg No
GSTIN DLNo.
PAN / Aadhar : BED NO-N-5 :{:"

_ ^.-." DrscaxaeLESGSTCGST NET(Amt)

I I(IT KATH 24G 9018 13113N 06126 160.50 160.50 10.00 128.97 6.00 6.00 144.45
6 PAN D CAP 15'S 300,1 21443141 09123 190.00 190.00 10.00 61.08 6.00 6.00 68.40
6 COMBIFLAM TAB 20's 1022135 01124 41.87 41.87 10.00 10.08 6.00 6.00 I i.30

I DUPHALAC 15OML SYP 3004 381123D7 01124 172.59 1'72.59 10.00 147.93 2.50 2.50 155.33

1 VITAZYME SYP 2OO ML 3004 2A75 04123 91 .00 97.00 10.00 77.94 6.00 6.00 87.30

Yaxaote 597.90 Total MRP 709.65

S.G.S,T 20.39 TotalDiscount 70.97
C.G.S.T 20.39 Credit Note Adjust 0.00
NetAmount 639.00 NetAmount 639.00
Paid Amount 639.00
Due Amount 0.00 ,

&Irount ln Words Rupees Six Hundred Thirty Nine Onty

&oleuOrg pazrror..llnv / lsrcerlJeLld . CENTER PVT

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Y.. *REFBIGERAIOBS,SURGICAT, FOOD ITEM & I'l0T BETAKEN BACK * ALL

\3 K.n MED,TcALSpH[H.H,fiyr. LrD.
PH.- (033) 4004 8772, Mob.-704447 1944,E-mail : kfmcpl2O1 [email protected]

ilr tril fl iltilfr I ffi ilfl liltfl lffi [ffiiltfffiffi

P*ient l{rma Baby of RIflxA llOULlK Bill t{umber TBIXTH/mO?A?ltO
Age/Ser O{day* / Hale EilI Data O7-iuF2A22 11:37 AM

Ref. Do€tqr Dr. R ISLAtl ReFort Dat€ A7-3ul-2022 02:35 PM

&ed ltlo 208

HAEI,IATOLOGY Page 1 of 1

Test Pararnetar Result

Bloop GiRoup {ego}4gD_9ts_$Elsgjs}
BLOOD GROUP (ABO) SYSTEM

RH (D) fiPING Positive

NEPEAT AFTER COilFINHATIOI{ 6 UOIIIT}I OF AGE

Comments:
1. All ABO Groups are checked by reverse grouping except below 6 months.

2. All Rh Negative are checked by Du test.

3. Limitations of test procedure : Age of the patients (elderly, newbom) lmmunosuppression, Genetic chimerism,
Hypogamrnaglobulinemia, cold agglutination, Passively acquired antibodies, Plasma expanders groups Other
than ABO & Rh system etc.

4. All negative blood group should be reconfirmed by Gel card technique.

---End of Report---

DN. G. SA}IA
Honorary Consultant Pathologist
H.8.8.5, it,D. (PATH) -

,^-,^,ffioFTHEREPoRTlSNoTPERMlTTED.THEREPoRTREl-ATEsToTHESAMPLETESTEDlNTHELAB.
lttote: tnffiffielation due to technical/typing enorthe laboratory should be informed immediately for the rectificationireview/ re-sampling & re-testing etc)
scal{ loR DoltrilroAo

Prepared BY Verified BY
 K.R MEDICAL CENTKE PVT" LTD" KOLKATA.7OOOl9,
p H - (033) 4OO4 877 2, H,toU, -ZO+ 447 1944,E-mail : kfmcpl2o1 [email protected]

ilrilflHillH$ TE/t$ii/110707 l rQ
Bill Number
Patisrt lt tll€ Eaty of RrTffiA tttcuul O7-1IFZA22 11:37 AM
Sill Date
AgB/Scx o4dryi I ilale Report Date A7iu|-2}22 02:37 PM
Eef. Socter Dr. R IALA$ 208
Bed l{o

Page 1 of 1
CLXHICAL BIOCHTUI$?RY
Tcst Fatam€ter Result Unftc Reference Rangg

EILIAUBT* TOTAL
Total Bilirubin 6.96 mg/dl Adult :0,3 - 1,2
Infant: 1,2 - 12,0
Methd:Diazo
Conjugated Bilirubin 0.62 mS/dL < 0.3
Method:Diazo

Unconjugated Bitirubin 6,34 mg/dl

Method:Calculated
Are ln Accordance wth rhe Literature Along with rhe Kit
tt.B: All Reference Are Age And sex Matched. Reference Limits Mentioned Herein
Which May Change With The Change ln Chemistry OrThe Kit'
1. The Above Result Relates Item Tested And only To The Time Of Testing'
only To The

Z. The Above Cannot Be Reproduced In Part Or Whole Without The

Written Permission Of The Chief Pathologist'

Pl€tge Cqrrelatc Cllnimlh

--'End of RePort"'

SR. G.sAHA
onorary Consultant Pathologist
ii.B.B.S, ttl.D' (PATtl)

oFTHEREPoRTISNoTPERMITTED,THEREPoRTRELATESToTHESAMPLETESTEDINTHELAB'
for the rectification/rgview re'sampling & re-testing etc)
rterion due to technical/tvpinq enor the laboratory should be informed immediately

Prepared BY Verified BY
 K.F. IIIEDICAt CENTKE PYT. LTD.
FERN ROAD, KOLKATA.TOOOI9' 8/30,
7 pH._ (033) 4OO4 g77r, ryron,-zo+ 4471944,E-mait : kfmcpl2o1S@gmail,com

fi n[ fl |lil[ffi illlffilfi[ffi tffilllfllffi H

Bill ilsmber T6/rrii/r2070il ILO
FrttEnt llrmc Eaby of RftIKA l'lOUUl( BilI Dete 07-1uF2022 11:37 AM
Aete/sar O4deys / Hale
Report Datc A74ul'2022 08:26 PM
RGt Doctor Dr. * ISL*l.l
Bed t{o 108
{'
Page 1 of 1
CLIXICAL BIOC}IE}TISTNY
Thyrotd $timulatlng t{ormone (TSH}
Result UfilB f,efelence ltangg
?e$ Perumqter
19.170 pIU/ml 0.4 - 15
Thyroid Stimulating Hormone (TSH)
^ttethod:ECLIA

* atpha subunit is similar to those of

|fiTj:"fjffitafing Hor*one is a glycoprotein with two covalenily bound subunits.The of rsH
gonadotrophin (hcc) and Luteinizing Hornone (LH)'The beta submit
fo*icre stimurating hormone (FSH), human chorionic is synthesized and
specific biochemical and immunological
properties of this hormone'TSH
is unique, which results in thl FT3 (Free T3) and
secreted by the anterior pituitary in response to a
negative feedback mechanism involving concentrations of
thyrotropoin - releasing hormone (T$Fl)' directlv stimulates
TSFI
FT4 (Free T4).Additionally, the hypothalamic tripeptide, actions'The first action is to
cell surface and exerts two main
production.TSH interact' with specific cell receptors on the thyroid secrete T3 and 14 'In
stimurates the thyroid gland to synth€size and
stimurate cerr reproduction and hypertrophy.secondry,TSH hypothyroidism TSH levels are
while in secondary and tertiary
primary hypothyroidism, TSH levels are signifiCanfly elevated,
low' complexes(macro-TSH) which may cause unexpected
high
The presence of auto-antibodies may induce high molecular weight
values of TSH.
specific antibodies, streptavidin or ruthenium can
in interference due to extremely high titers of antibodies to analyte
;-are cEses,
c<cur.These effects are minimized by suitable test design'
For diagfiostic purposesr the results should aiways be assessed
in conjunctisn with the patient's medical history'clinical
exarnination and other findings.
serum anti-TPo, anti-TG and anti-TSHR for further evaluation
In patients with very high rsi levels, it is advisable to estimate
and clinical corelation'
related reference ranges of rsH recomemded by Americal rhyroid
Below mentioned are the guidelines for pregnent woman
Association:
Pregnancy uIU/mL
First Tnmester 0.600 - 3.400
Second Trimester 0.370 - 3.600
Third Trimester 0.380 - 4.040
Test has been Performed on AlinitY to
For test performed on specimens received or coilected
from non-HPDPL locations, it is presurned that the specimen belongs
such verification has been carried out at the point
request and
the patient named or identified as labeled on the containerltest
only for the analytical part of test carried out' All other
generation of the said specimen by the sender, HpDpL wilt be responsible
responsibility will be of referring Laboratory'
Herein Are ln Accordance wrth rhe Literature Along with rhe
Kit
t{,8 : All Reference Are Age And sex MatChed. Reference Limits Mentioned
May Change With The Change ln Chemistry OrThe
Kit'
Whicfr
only To The ltem Tested And only To The Time Of Testing'
1. The Above ResUlt Relates
part or whole without The written pennission of rhe chief Pathologist'
2. The Above cannot Be Reproduced In
Pleacc Gorrelate Utnically
*-End of Rapgrt'"

RELATEs ro rHt s1y.T,L::lr*^'

rHE REPORT ls Nor PERMlrrEo,rHE REPORT
PARTIAL
ion due to technicarftypins enor the
raboratory shorro u. inro,,]3Jffi:ltr"tf,J,?h#o',il'J*, *r*prins & r+testing etc)
(Note:
DR. G' SAH*
Prepared BY Verified BY *"'" t.s.tHI'1H ?$^?ilh
or ogist
 N. F, MEDICAL CEHTRE PVT. LTD
B/30. FERN ROAD, KOLKATA . 7OOO1 9
PHr (033) 4004 8772. Mob:104471944, Mait: kfm.pt20l5ragmail.com

BILL / MONEY RECEIPT

late Time | 07 10712022 1 1 :37 AM Name : Baby of R|TIKA MOULIK

lD : TBIKFM/ZZA7
,/. 07 I1 O
Age : O4days Gender: Male
).iD : P22C707i06
Ph : 9007392738
?eferrec By : Dr. R ISLAi\,i
Bed No. :208 gcil{ FCii. iEFCtiT

Page No: 1 of
Sr. No Test
Department Test Slot
--
4 - Test Dt. R*p ili Arornt
PATHOLOGY 07ta7t2a22
? tsILJRi.JBIN TOTAL a7 tc7 !2A22 t 250.0f
PATHOLOGY 07107t2022
I ELOOD GROUP RH TYPF a;tc7i2a?2 t 250 Oir
PAIHOLOGY 07t07t2022 a7 ia7 t2a22 { i OC.CC
Received Rs. Only
Gross Bill t 600"0$
Net Bill r s00.00
Paid { &.0fl
Total Due ? 600"01r

tr 2,^: r:

fu'lahrnuoa

All ngg<tlrvE srvw !,rvey

---End of Report---

DR. G. SATIA
Honorary Consultant Patholog ist
I{.3.8.S, }r.D. {PATH}

EilS{#Ets
ffisffi
'.$;]i.m.?j.IffiillJIj:li,ffi::HIH",,]il*T:il,[iTffi'J3J'ffi:iT'h1JffJ''JJ}Jxffi*,".sampting&re.testingetc)

Prepared BY Verified BY
 K.F, T{EDICAI CENTR.E PVT. LTD.
8/30, FERN ROAD, KOLKATA. 7OOO19
PH- RECp- (033)400 4 8772,(OT) 7044 47 1940,(OFF)',704 447 1941

Dtscharge Certiftcate

ADVICE

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Attaehe d
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Hosp!t*l.0hekil ria{ For
&pFsintff snt"S0fi ?*6?0ST)
: ," Consultant Obstetrician & Gynaecologist AMH.tr H*rPital'Muk* ndaPur
- WEMC '78394 RSV l-lospital
.'i :.1:J 11 tr $obite- 822200??70{catrlsrwhatsapp Tpm-$pm Bhagirxthi Hloti* Yf*man & fihild fare centre
onlY ) $eniru An*lysir CentreiFern Raad|6arirhat{F*r
**1 E-mail : irinadey?9$gmail'corfl Appointnrent-8240563S51 )

Date: 16Jul-2022
96 : Mrs.Ritika Moulik (30y, Female) - 8249417409

Comptaints'. FUC OF LSCS DONE ON 417122

Obstetric History : P 1 L1 /LCB-1 0D/LSCS

H t STO RY:Past History:-NAD

Family History:-DIABETES,HTN
OCCOPATION -SELF.NOT WORKING
NG
OCCUPNTION .HUSBAND-PUBLIC SECTER MARKETTI

rt
Dosage Timing - Freq.' Duration
Medicine
1-0-0 Before Breakfast - DailY - 30 DaYs
1) ELTROXIN 37.5
Composition : LEVOTHYROXINE 37'5 MG
Nofe *. :1i:TO CONTlltlU,E-
,rY.Y_ -:.-:''; .

4\ TAE!TorDlral 1-0-1 Alterruuu-

AfterFood-Daily-30 Days
TRIPH1LA tryMA aYAl
a Il'llMAl
-o-1
?_Tj\B After Lunch - Daily - 30 Davs
,6cALls rAB 0
-1_0
rr^^ ! v.rNItr
^r
1n i,,tr: + \/ITAMlN D2 400 lU

pr THROMBOPHOBE GEL 3o Davs

Composition : HEPARIN 200 lU

oT,TRYPTOMER 25MG TABLET 0- 0 - 1 After Dinner- Daily - 30 Days

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Camposition : MUPIROCIN 2%WlW

e;-/t-lcror,rrc cnar.rur-es 1- 1- 1 After Food - Daily - '1 Months

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ffi;oru,_solu,ou o-o-1 AfterFood-Dailv-1 Week
Composition : LACTULOSE 10 GM /15 ML
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- Dailv - 5 Davs

Advice:
WARM SALINE GARGLES

NextVisit 30 daYs

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