OPD

1. OPD Bill & Receipt

2. Outpatient Revenue & OPD Case Register
3. OPD Case Paper
4. Prescription

IPD
5. IPD Bill & Receipt
6. Inpatient Revenue & IPD Case Register
7. Discharge Card
8. Operation Register

Inventory
9. Fixed Asset Register

Payroll
10. Salary Master & Salary Slip

Finance
11. Expenses & Other Income Report
12. Medicine & Inventory Bill Payment Report
13. Hospital Earning & Balance Sheet
14. Daily Cheque & Cash Ledger
15. Datewise Cheque & Cash Ledger
16. Doctor Earning Report

Certificates
17. Birth Certificate
18. Under Treatment Certificate
19. Death Certificate (Form 4 & 4 A)
 SATYANAND HOSPITAL
MULTI-SPECIALITY

50/7, OPP. KONARK POORAM Phone No. 020-26838194 020-26838035

KONDHWA (KHURD), PUNE (MH) -48 Reg.No. LCBP-0607-01023

Outpatient Bill
Bill No 18113 OPD No OPD 21507 Date 25/10/2011
Patient Name budni munda
PhoneNo. 9158715995
Address vill.-bhiwari saswad pune,,,,
Incharge Dr. CMO .
Consulting Charges 50.00
Medicine Charges
inj taxim  28.00
4" POP  0.00
Service Charges
LAB CHARGES  0.00
BSL  75.00
NURSING CHARGES  0.00
CASUALTY  100.00
Total Charges  253.00
Amount Paid  58.00
Net Payable  195.00

Page 1 of 1
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023 OPD Receipt
Receipt No: 18092 OPD Id: OPD21507 Date: 25/10/2011
Received with thanks from budni munda
the sum of Rupees fifty-eight only

towards Bill Payment of OPD

By Mode Cash
By Card/Cheque No.
Drawn on
Branch

Rs:  58.00 For SATYANAND HOSPITAL

( Receipt subject to Realisation of cheque )

 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone
PhoneNo.
No. 020-26838194
48
020-26838035
Reg.No.
Reg.No. LCBP-0607-01023
LCBP-0607-01023 OPD
Outpatient Case Register
Revenue Master Report
As per I.T. Rule : Appendix -IV, Form No. 3C
01/01/2012 - 11/05/2012
01/01/2012 - 01/01/2012
ID Patient Name Reg./Case Account Type
Professional Bill No Receipt
Total Amount
No Amount Paid Balance
Sr. Patient Name Fees Remark, if any
Bill
No. Date 01/01/2012 Paper No. Services Received & Date
OPD 42431 Rs.
ANIL BABAN KAMTE Individual  20117  400.00  400.00  0.00
1
OPD 42432
ANIL BABAN KAMTE OPD 42431 Consultation  400.00 20154 Service Charges included
ANITA PANSARE Individual  20120 01/01/2012 200.00  200.00  0.00
OPD
2 42433 VIJAY RATHOD
ANITA PANSARE OPD 42432 Individual
Consultation  20118 20157
 200.00  350.00  350.00
Medicine Charges included  0.00
01/01/2012
OPD 42434 MUSTAFA 0 Individual  20119  350.00  350.00  0.00
3 VIJAY RATHOD OPD 42433 Consultation  350.00 20155 Service Charges included
OPD 42435 JAVED SHAIKH Individual  20121 01/01/2012 501.00  500.00  1.00
4 42436
OPD MUSTAFA 0 BORDOLAIE OPD 42434 Consultation  350.00 20156 Medicine and Service Charges included
SWARJ Individual  20123  824.00  800.00  24.00
01/01/2012
OPD 42437 RACHEL MENEMJE Individual  20125  525.00  525.00  0.00
5 JAVED SHAIKH OPD 42435 Consultation  500.00 20158 Medicine and Service Charges included
OPD 42438 DHANEWAR MANE Individual  20122 01/01/2012  50.00  50.00  0.00
6 42439 SWARJ BORDOLAIE OPD 42436 Consultation  800.00 20160 Medicine and Service Charges included
OPD BIPEN LONKAR Individual  20124  50.00  50.00  0.00
01/01/2012
OPD 42440 Individual
7 RACHEL MARIYAM
MENEMJE SAYEED OPD 42437 Consultation  20126 20165  1,472.00
 525.00 Medicine and 1,470.00  2.00
Service Charges included
01/01/2012
OPD 42441 SOURAV LONKAR Individual  20127  175.00  175.00  0.00
8 DHANEWAR MANE OPD 42438 Consultation  50.00 20159 Medicine and Service Charges included
OPD 42442 ABBAS GORGANI Individual  20128 01/01/2012 100.00  100.00  0.00
OPD
9 42444 RUKSHANA
BIPEN LONKARAHMED SHAIKH
OPD 42439 Individual
Consultation  50.00 20161
 20129 Medicine and Service
 200.00  200.00Charges included
 0.00
01/01/2012
OPD 42445 RAVINA K Individual  20130  270.00  270.00  0.00
10 MARIYAM SAYEED OPD 42440 Consultation  1,470.00 20162 Medicine and Service Charges included
OPD 42446 B G PUAL Individual  20131 01/01/2012 120.00  120.00  0.00
11
OPD 42447 SOURAVSHANAWAR
LONKAR OPD 42441 Consultation  175.00 20163 Medicine and Service Charges included
KHAN Individual  20132  350.00  350.00  0.00
01/01/2012
OPD 42448 AZIZ I PANSARE Individual  20133  170.00  170.00  0.00
12 ABBAS GORGANI OPD 42442 Consultation  100.00 20164 Medicine Charges included
OPD 42449 01/01/2012
VINAYAK ROKDE Individual  20134  40.00  40.00  0.00
13 ALTAMASH SHAIKH OPD 42443 Consultation  0.00 Medicine Charges included
OPD 42450 ARWA RATLAMWALA Individual  20135  120.00  120.00  0.00
OPD 42451
14 ADEN
RUKSHANA AHMED JOSEPH
SHAIKH OPD 42444 Individual
Consultation  20136 20166
 200.00  50.00  50.00  0.00
01/01/2012
OPD 42452 MUSTAFA SALAMBAI BHORA Individual  20139  3,980.00  3,980.00  0.00
15 RAVINA K OPD 42445 Consultation  270.00 20167 Medicine and Service Charges included
OPD 42453 LUBNA ZAHEER SHAIKH Individual  20137 01/01/2012 120.00  120.00  0.00
16
OPD 42454 PUAL JABIR OSMAN OPD 42446
B GNABIL Consultation
Individual  20138 20168
 120.00 Service Charges
 350.00 included
 350.00  0.00
01/01/2012
OPD 42455 SHRAVAN SINGH Individual  20140  120.00  120.00  0.00
17 SHANAWAR KHAN OPD 42447 Consultation  350.00 20170 Medicine and Service Charges included
OPD 42456 SQANTOSH RAMCHANDRA SALKAR Individual  20141 01/01/2012  20.00  20.00  0.00
18 AZIZ I PANSARE OPD 42448 Consultation  170.00 20171 Medicine and Service Charges included
OPD 42457 DHANTUL 0 Individual  20142  100.00  100.00  0.00
01/01/2012
OPD 42459 AZAR AHANG Individual  20143  170.00  170.00  0.00
19 VINAYAK ROKDE OPD 42449 Consultation  40.00 20172 Service Charges included
01/01/2012
OPD 42460 NEGHARESH ABDULHOSIEN MASOUD Individual  20144  170.00  170.00  0.00
20 ARWA RATLAMWALA OPD 42450 Consultation  120.00 20173 Service Charges included
01/01/2012
OPD 42462 NADIYA WANI Individual  20145  40.00  40.00  0.00
21 ADEN JOSEPH OPD 42451 Consultation  50.00 20174 Service Charges included
OPD 42463 IBRAHIM UMRETHWALA Individual  20146 01/01/2012 506.00  506.00  0.00
SUNILBHORA
OPD 42464 MUSTAFA SALAMBAI
22 MATHEW OPD 42452 Individual
Consultation  20147 20177
 3,980.00 Medicine and Service
 50.00  50.00Charges included
 0.00
01/01/2012
OPD 42465 MEHTAB KHAN Individual  20148  40.00  40.00  0.00
23 LUBNA ZAHEER SHAIKH OPD 42453 Consultation  120.00 20175 Service Charges included
OPD 42466 DHANANJAY D Individual  20149 01/01/2012  40.00  40.00  0.00
24 20176 Medicine and Service Charges included
OPD 42467 NABILMARIAM LOKHANDWALAOPD 42454
JABIR OSMAN Consultation
Individual  350.00
 20150  50.00  50.00  0.00
01/01/2012
OPD 42468
25
ABDURRAHMAN 0
SHRAVAN SINGH OPD 42455 Individual
Consultation
 20151
 120.00 20178  90.00
Service Charges  90.00
included  0.00
01/01/2012
OPD 42469 ANKITA SASANE Individual  20152  250.00  250.00  0.00
26 SQANTOSH RAMCHANDRA SALKAR OPD 42456 Consultation  20.00 20179 Service Charges included
OPD 42471 AHMAD AHMAD Individual  20153 01/01/2012  40.00  40.00  0.00
OPD 42472 RESHMA KAZI Individual  20154  50.00  50.00  0.00
 GANJU HAEMATOLOGY HOSPITAL
CLINICAL HAEMATOLOGY-ONCOLOGY .
6TH FLOOR ,MIDAS HEIGHTS ,CENTRAL BAZAR Phone No. 0712-2438887
ROAD ,RAMDASPETH ,NAGPUR.440010.
0712-2467547
Reg.No. 331
Outpatient Case Paper
Reg No. : 48 Address : ,,,Pune,Maharashtra

Patient Name : ATUL SAHURKAR

Age : 3 Months 28 Days Sex : Male Phone No : 9371670883 0712-6508658

Present Illness H/O :There is no family h/o any haematologic or nonhaematologic cancer . No family h/o Diabetes mellitus , Ischaemic Heart disease or any genetic
anaemia disorder like Thalassaemia or sickle cell disorder .No h/o consanguinity . No h/o bleeding disorder in the family . All meternal uncles are normal .

Past & Family H/O :There is no h/o cough , fever , pain during micturition ,body aches , Pain in limbs , Joint pains or bone Pains . No h/o small joint pains , hair loss ,
facial rash , ulcers in mouth. No h/o loss of weight , nausea and vomittings . No h/o abd pain , recurrent loose motions . No h/o Giddiness , weakness ,loss of
consciuousness . No h/o seizures ,headaches , Blurring of vision and diplopia .No h/o pallor with yellow conjunctiva or passing of high coloured urine . No h/o abnormal
masses in body . No h/o breathlessness or pain in chest No h/o Iscaemic heart disease , Diabetes ,Astma or Pulmonary tuberculosis .No h/o blood
Transfusions .Nonalcoholic , alcohol intake for last 10 years Nonsmoker , Nonsmoker for last 20 years .No gutka consumer , consumes Ghutka in day to day life .Strict
Vegetarian , nonvegetarian H/o being treated with the following medicines .

OPD No. Clinical Notes Treatment Fees Paid

MNEN
OPD 1 Symptoms :Breathlessness 10 Days;Cough and fever 10 Cap OMNACORTIL 10 TAB O O O 1.0 After Meal 15Days
days;Fever 5 days;Pallor 7 days;Weakness 1 Month
Inj TAXIM 250 INJ O O 1.0 Before Meal 2Days
Syr DEPIN 5MG O 1.0 After Meal
Ton S AMLOSAFE 2.5 TAB 0.0 After Meal 3Days
Inj VITCOFOL INJ-2ml O 1.0 After Meal 5Days
Examination : Pulse: 89 /min. BP: 120/80 mm Hg
Pallor: SEVERE(+++)
Temperature: 98 F Built: AVERAGE Oedema:
GENERALIZED
LNPathy: Lymph nodes are inlarged Icterus: Absent
SPO2: 98%
RR: 23/min/min
R_S: Bilaterally symmetrical chest ;Bilateral vesicular
Breathing ;No Crepts ;
P_A: Pendulous abdomen ;Distention of
abdomen ;Tenderness in the Rt. Iliac fossa;
CVS: Pulsation present;Pulsation juxta
apical;Pericardium slightly convex;
CNS: Hallucinations;Delirium;Delirium;
P_R: Inflammation;Raw dermatitis;Red dermatitis; LS:
Paget's disease ;Increased local temprature;Bowing of ;
LocalExamination: aaaaaaa;aaaa;aaaaa;
;afebrile ;Pallor +;No icterus ;No purpura ;No
lymphadenopathy;Purpura all over +;Lymph Nodes seen in
CX , Axill& Inguinal area ;Non tender;Pallor +;No icterus;No
purpura;No lymphadenopathy;No pedal o

Investigation :Haemogram..;* advised.

Diagnosis :Acute Poisonings
Advice :Apply gurgle 3-4 time in a day.
FollowUp :After 15 days
OPD 3 Symptoms :
Examination :
Investigation :
Diagnosis :
Advice :
FollowUp :
OPD 19 Symptoms :
Examination :
Investigation :
Diagnosis :
Advice :
FollowUp :
 GANJU HAEMATOLOGY HOSPITAL

6TH FLOOR ,MIDAS HEIGHTS ,CENTRAL BAZAR Dr.AVTAR K GANJU

ROAD ,RAMDASPETH ,NAGPUR.440010.
MD FELLOW HAEMATOLOGY
Phone No 0712-2438887 0712-2467547 Haematology-Oncology
Hospital Reg.No. 331 Reg.No. 54788

Name : MANJU SHARMA Sex : Female Age : 28 Yr.

Visit Date : 26/03/2012
Complaints of : Jaundice Recurrent 1 Year
Examination : Pulse: 90 /min. BP: 120/70 mm Hg Pallor: Moderate(++)
Temperature: 98 F Built: Moderate Oedema: Absent
LNPathy: Lymph node is non palpable Icterus: Present SPO2: 98%
RR: 20/min
R_S: Bilateral vesicular breathing;
P_A: soft , Liver + , Spleen 4 F BLCM ;
CVS: S1S2 + no murmurs , No gallop.;
CNS: No neurodeficit . Cranial N sensorimotor system Normal .;

Diagnosis : spherocytosis : Autoimmune / Spherocyosis

R X

Injection VITCOFOL INJ-2ml 5 idna

2.0 Inj
saubah

cap 2 B12 1 maah

1 Cap (Kanao ko baad)
rat

Tablet ZENTEL TAB 1 idna

1 Tab (Rept after 15 days)
rat

Inv Advised : .

Dr's Sign
 SATYANAND HOSPITAL
MULTI-SPECIALITY
Phone No. 020-26838194 020-26838035
50/7, OPP. KONARK POORAM KONDHWA (KHURD),
PUNE (MH) -48

Reg.No. LCBP-0607-01023
Inpatient Bill
Bill no  391 IPD no IPD2100 Bill Date Sunday, 12 February, 2012

Patient Name AZIZ SHAIKH

Address ASRAF NAGAR KONDHWA KHURD,,,, Contact No. 8793325920

Date of Admission 11/02/2012 Date of Discharge 10/07/2014 Diagnosis

I.P.D.Registration  50.00

Professional Visit Charges

Incharge Dr. Munaf Inamdar  900.00
Incharge Dr. Rachana Gandale  350.00

Nursing  300.00

Bed Charges
SEMI-PVT. MALE ( 350.00 * 2 Days )  700.00

Medicine Charges
INJ AUGMEXX 1.2GR ( 190.00 * 6 )  1,140.00
inj Effcorlin  48.00
inj lasix amp ( 4.00 * 4 )  16.00
NS 500ML ( 23.00 * 4 )  92.00
RL500ml  66.00
BUDECORT RES 0.5MG ( 25.00 * 5 )  125.00
DUOLIN RES ( 15.00 * 4 )  60.00
ENEMA PROCTOLISIS  35.00
INFUSION ( 50.00 * 4 )  200.00
IV SET  60.00
10ML SYRING ( 7.00 * 6 )  42.00
26 1/2 needle  2.00
2ML SYRING ( 4.00 * 7 )  28.00
5ML SYRING ( 5.00 * 6 )  30.00
inj emset ( 30.00 * 14 )  420.00
INJECTING ( 25.00 * 15 )  375.00
Service Charges
LAB CHARGES  995.00
BSL  75.00
SONOGRAPHY CHARGES  550.00
X-RAY (14'+17') ( 300.00 * 2 )  600.00
ENEMA  200.00
NEBULIZATION  225.00
GAS CHARGES  3,000.00
AMBULANCE SERVICE  500.00

Hospital Charges  422.00

Total Amount  11,606.00
Discount  56.00
Amount Paid  11,550.00
Net Payable  0.00

Page 1 of 1
 SATYANAND HOSPITAL
MULTI-SPECIALITY
Phone No. 020-26838194 020-26838035
50/7, OPP. KONARK POORAM KONDHWA (KHURD),
PUNE (MH) -48

Reg.No. LCBP-0607-01023
Inpatient Bill
Bill no  391 IPD no IPD2100 Bill Date Sunday, 12 February, 2012

Patient Name AZIZ SHAIKH

Address ASRAF NAGAR KONDHWA KHURD,,,, Contact No. 8793325920

Date of Admission 11/02/2012 Date of Discharge 10/07/2014 Diagnosis

I.P.D.Registration  50.00

Professional Visit Charges

Incharge Dr. Munaf Inamdar  900.00
Incharge Dr. Rachana Gandale  350.00

Nursing  300.00

Bed Charges
SEMI-PVT. MALE ( 350.00 * 2 Days )  700.00

Medicine Charges
INJ AUGMEXX 1.2GR ( 190.00 * 6 )  1,140.00
inj Effcorlin  48.00
inj lasix amp ( 4.00 * 4 )  16.00
NS 500ML ( 23.00 * 4 )  92.00
RL500ml  66.00
BUDECORT RES 0.5MG ( 25.00 * 5 )  125.00
DUOLIN RES ( 15.00 * 4 )  60.00
ENEMA PROCTOLISIS  35.00
INFUSION ( 50.00 * 4 )  200.00
IV SET  60.00
10ML SYRING ( 7.00 * 6 )  42.00
26 1/2 needle  2.00
2ML SYRING ( 4.00 * 7 )  28.00
5ML SYRING ( 5.00 * 6 )  30.00
inj emset ( 30.00 * 14 )  420.00
INJECTING ( 25.00 * 15 )  375.00
Service Charges
LAB CHARGES  995.00
BSL  75.00
SONOGRAPHY CHARGES  550.00
X-RAY (14'+17') ( 300.00 * 2 )  600.00
ENEMA  200.00
NEBULIZATION  225.00
GAS CHARGES  3,000.00
AMBULANCE SERVICE  500.00

Hospital Charges  422.00

Total Amount  11,606.00
Discount  56.00
Amount Paid  11,550.00
Net Payable  0.00

Page 1 of 1
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023 IPD Receipt
Receipt No: 3424 IPD Id: IPD2100 Date: 13/02/2012
Received with thanks from AZIZ SHAIKH
the sum of Rupees eleven thousand only
towards Bill Payment of IPD
By Mode Cash
Cheque No./Credit Card No.
Drawn on
Branch

Rs:  11,000.00
For SATYANAND HOSPITAL
( Receipt subject to Realisation of cheque )
 SATYANAND HOSPITAL
MULTI-SPECIALITY
Individual
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023 Inpatient Revenue Master Report
01/05/2011 - 11/05/2012
ID Patient Name Bill Date Bill No Account Type Total Amt Amt Paid Balance
IPD1152 AYESHA AKHTAR KAZMI 06/05/2011  760 Individual  2,130.00  2,130.00  0.00
IPD1153 THOTHING THOTHING 06/05/2011  756 Individual  2,024.00  2,024.00  0.00
IPD1154 DIPEEN BHARADWAJ 06/05/2011  763 Individual  22,636.00  15,615.00  7,021.00
IPD1155 SADDAM AMAN TAMBOLI 05/05/2011  757 Individual  5,677.00  5,667.00  10.00
IPD1156 MINAZ ROSHAN SHAIKH 06/05/2011  758 Individual  2,499.00  3,099.00 -600.00
IPD1159 JOHNSON LALZORE 04/05/2011  761 Individual  4,395.00  0.00  4,395.00
IPD1160 NAJEEB MOHAMMED 0 05/05/2011  762 Individual  1,287.00  0.00  1,287.00
IPD1161 SHAYAN NOROZONY 03/05/2011  759 Individual  10,052.00  0.00  10,052.00
IPD1170 RESHMA RIYAZ KARIGAR 06/05/2011  765 Individual  8,334.00  6,752.00  1,582.00
IPD1177 ASIF SHAIKH 08/05/2011  764 Individual  1,853.00  1,800.00  53.00
IPD1178 SAEEDA KHAN 09/05/2011  767 Individual  6,957.00  7,050.00 -93.00
IPD1179 YASMIN IFAN SHAIKH 09/05/2011  766 Individual  1,318.00  1,594.00 -276.00
IPD1182 SUMAN DEVI 09/05/2011  768 Individual  2,288.00  2,810.00 -522.00
IPD1183 LAXMIBAI BENDRE 10/05/2011  770 Individual  3,990.00  3,990.00  0.00
IPD1185 ayeshabi ASGAR 10/05/2011  790 Individual  93,735.00  93,735.00  0.00
IPD1186 MOHAMMED KHAN 10/05/2011  772  4,633.00  4,633.00  0.00
IPD1187 BABLU SAYYED 10/05/2011  769 Individual  4,677.00  4,677.00  0.00
IPD1188 NITIN AROKIADAS 11/05/2011  771  1,777.00  2,300.00 -523.00
IPD1189 MOHIDDIN ZOREKRI 11/05/2011  777  8,074.00  7,799.00  275.00
IPD1190 SALEH GADIWALA 11/05/2011  773  4,251.00  4,250.00  1.00
IPD1192 DILIP KISCO 11/05/2011  774  2,515.00  3,000.00 -485.00
IPD1193 NASEEM N PASHA 11/05/2011  782  28,617.00  25,795.00  2,822.00
IPD1194 JAFFAR SAYED 12/05/2011  787 Individual  76,290.00  20,000.00  56,290.00
IPD1195 VINOD HARKAR 12/05/2011  775 Individual  1,986.00  1,986.00  0.00
IPD1197 WILLIAM JEROME 13/05/2011  776 Individual  5,420.00  5,495.00 -75.00
IPD1199 INDRAVATI VISHVAKARMA 13/05/2011  779 Individual  6,315.00  6,315.00  0.00
IPD1200 RASHIDA SHAIKH 14/05/2011  780 Individual  3,367.00  3,367.00  0.00
IPD1201 AVNIT KOUR SALUJA 06/05/2011  778 Individual  5,739.00  0.00  5,739.00
IPD1202 GANESH SINGH 14/05/2011  781 Individual  6,803.00  6,800.00  3.00
IPD1205 MADHAVI BHOSLE 17/05/2011  798 Individual  4,150.00  5,000.00 -850.00
IPD1206 BABLU SAYYED 17/05/2011  783 Individual  3,508.00  3,500.00  8.00
IPD1207 clarrise 1 17/05/2011  784 Individual  3,319.00  2,000.00  1,319.00
IPD1208 USHA ZAROO 17/05/2011  788 Individual  3,399.00  1,640.00  1,759.00
IPD1209 MUSTANSIR KAPADIA 17/05/2011  789 Individual  4,546.00  4,546.00  0.00
IPD1210 MEENA SARVADE 18/05/2011  785 Individual  561.00  2,000.00 -1,439.00
IPD1211 PAPPURAM JAT 18/05/2011  796 Individual  24,150.00  24,134.00  16.00
IPD1213 BHARTI ARORA 18/05/2011  786 Individual  1,662.00  1,660.00  2.00
IPD1215 BASIR SHAIKH 19/05/2011  791  14,192.00  12,496.00  1,696.00
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023 IPD Case Register
Mandatory As Per Mumbai Nursing Home Registration Act,1949(Amended on 15 -11-93) - Section 17 By Law (I) (a)
01/01/2012 - 11/05/2012
Reg. No. Date & Time Date & Time Patient Name &Address Sex Diagnosis Nature of Bill No. Receipt No.& Remark /
Serial of of Age Professional & Date Date Any Comment
Admission Discharge Service Rendered

IPD1956 01/01/2012 01/01/2012 RACHEL MENEMJE Female 277 3078

02:54:03 13:39:00 22 Yr. 01/01/2012 01/01/2012
SASANE NAGAR
HARAPSAR PUNE,,,,
IPD1957 01/01/2012 04/01/2012 MUSTAFA SALAMBAI Male 282 3083
BHORA
14:33:16 13:39:00 28 Yr. 04/01/2012 01/01/2012
BADSHAH NAGAR A F NO 6 3084
KONDHWA PUNE,,,,
01/01/2012
3086
02/01/2012
3098
04/01/2012
IPD1958 02/01/2012 SIVANAND GAIKWARD Male 281 3085
01:45:29 45 Yr. 01/01/2012 02/01/2012
KAMILA SALUNKIVIHAR RD 3092
KONDHWA PUNE,,,,
02/01/2012
IPD1959 03/01/2012 ANUSAYA BABAR Female
MASUDAGE
08:59:35 75 Yr.
431,NEAR MAHADASI
SHINDE SCHOOL
WANAWARI GAON,,,,
IPD1960 02/01/2012 05/01/2012 RADHIKA YASHWANT Female 285 3093
DEORE
14:02:04 13:39:00 20 Yr. 05/01/2012 03/01/2012
303 CARNATION NEAR SAI 3094
SERVICE KONDHWA
PUNE,,,, 03/01/2012
3096
04/01/2012
3102
05/01/2012
IPD1961 04/01/2012 SHEKHAR JAGTAP Male 287 3107
23:59:57 23 Yr. 05/01/2012 05/01/2012
MITHANAGAR KONDHWA 3095
KHURD PUNE -48,,,,
04/01/2012
IPD1962 04/01/2012 05/01/2012 IMRAN SALIM SHAIKH Female 284 3103
08:46:39 13:39:00 32 Yr. 05/01/2012 05/01/2012
AGAS MANZIL, KONDHWA, 3097
PUNE411048,,,,
04/01/2012

IPD1963 04/01/2012 SURESH KUMAR GADAPA Male 286 3106

11:48:47 28 Yr. 05/01/2012 05/01/2012
ONWARD TECHNOLOGIES
NEAR JYOTI RESTAUTANT,
KONDHWA, PUNE 411048,,,,

IPD1964 04/01/2012 06/01/2012 SHAHNAZ SAEED AHMED Male 289 3105

SAYYED
12:44:59 13:39:00 44 Yr. 06/01/2012 05/01/2012
GALAXY A-11/207 KASUR 3113
BAGH KONDHWA,,,,
06/01/2012
 GANJU HAEMATOLOGY
OPERATIVE FINDINGS & PROCEDURE : TREATMENT GIVEN HOSPITAL
DURING HOSPITALISATION:
Inj SOLU MEDROL 1 INJ 3 Days
CLINICAL HAEMATOLOGY-ONCOLOGY .
inj IMMUNOPAN 40 MG 5 Days
6TH FLOOR ,MIDAS HEIGHTS ,CENTRAL BAZAR TAB ZIMMURINE 50 MG 7 Days Phone No. 0712-2438887
ROAD ,RAMDASPETH ,NAGPUR.440010.
TAB OMNACORTIL 20 TAB TID 7 DAYS 0712-2467547
Reg.No. 331
TAB PEPCIA 20MG TAB 1 TAB BID 7 DAYS
TAB ZOCON 100 TAB 1 TAB BID 5 DAYS
Discharge Report
IV DNS
IPD No : 1203568 DOA : 17/03/2012 DOD : 29/03/2012
Inj M.E.25
Patient Name : JASUMATI BHATT Reason : Condition Improved
Age : 70 Yr. Sex : Female Weight on Admission :  65.0 Kg Weight on Discharge :  65.0 Kg
Address : Flat no 8 Vishwesh Appt ,,Dubey layout,JAITALA ROAD,Nagpur,Maharashtra BSA :  1.67
Treatment Advised
Incharge Dr. AVTAR K CAPGANJU Reg. No. 54788
ZIFI CV 200 TAB 10 idna Phone No. 07122438887 9422110765

Diagnosis : IDIOPATHIC 1.0 Tab

THROMBOCYTOPENIC PURPURA 1.0 Tab (Kanao ko baad)
saubah rat
Complaint : PURPURICTAB
SPOTS FEW DAYS
FOURT'S 2 Days
B 1 maah
1.0 Tab (naaSto ko baad)
HISTORY / CLINICAL FINDINGS rat
Present Illness H/O :
TAB bleeding
There is no h/o cough , fever, OMNACORTIL 20site
from any TAB 5 idna
,loss of appetite ,nausea ,vomittings ,abd pain ,recurrent loose motions ,jt
pains ,rash,ulcers in mouth1.0 Tab 1.0 Tab 1.0 Tab (naaSto ko baad)
saubah Xaama rat
No h/o pallor with yellow conjunctiva or passing of high coloured urine.
Tablet OMNACORTIL 20 MG 5 idna
1.0 Tab
No h/o Ischaemic heart disease 1.0 Tab (naaSto ko baad)
, Diabetes ,Asthma or Pulmonary tuberculosis.
No h/o blood Transfusions in past,
Non alcoholic Nonsmoker ,
saubah rat
Vegetarian +. Tablet OMNACORTIL 20 TAB 5 idna
Past,Family & Other H/O :
1.0 Tab (naaSto ko baad)
There is no family h/o any haematologic or nonhaematologic cancer .
saubah
No family h/o Diabetes mellitus , Ischaemic Heart disease , Pulmonary tuberculosis.
TAB OMNACORTIL 10 TAB 31 idna
No h/o genetic anaemia disorder
1.0 Tablike Thalassaemia or sickle cell disease. (naaSto ko baad)
No h/o consanguinity .
saubah
No h/o bleeding disorder in the family . All meternal uncles are normal .
No h/o death due to any disease .
TAB PEPCIA 20MG TAB 15 idna
General Examination Systemic
1.0 Tab 1.0 TabExamination
(Kanao sao phlao)
Pulse 90 /min B.P. 120/70 mmHg R/S Bilateral vesicular breathing; CVS S1S2 + no murmurs , No gallop.;
saubah rat
Temp 98 F SPO2 99 %
RESP 18 /min Built MODERATE
LS frequently;take regular doses CNS
Other Advice : Exercise & Relaxation;Check your blood sugar level No neurodeficit . Cranial N
of medicine
Pallor MILD(+) Icterus Absent sensorimotor system Normal .;
FOLLOW UP : AFTER 5 day
Oedema Absent LN Pathy Lymph node is non palpable P/A soft , no hepatospleenomegaly.; P/R

Dr's Sign

INVESTIGATIONS ON DISCHARGE CBC REGULARLY

COURSE OF ILLNESS OR RECOVERY This Lady has done well partially . Her reports are better and is being discharged today .
There are no complications and is being discharged .Her Platelet counts are 019 at discharge.
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023
Operation Theatre Register
01/01/2012 - 11/05/2012
Ser. Date Reg Patient Name Anaesthes Provisional Surgery Title Operating Anaesthe Assisting Assisting Remark /
No. No. ia & Diagnosis Final Diagnosis Surgeon tist Doctor/s Nurse/s Any
Surgery Comment
Duration

1 12/01/2012 IPD19 CYRAS R GA SUCHARING Shabbir A Anpin MARILYN

93 MASTER

2 18/01/2012 IPD20 AKSHAY TONSILITES PRASHNA SARKAR

11 NARAYNE MISHRA ADNAN

3 23/01/2012 IPD20 AKBAR GA REPAIR OF FINGAR Gulshan Zulfikar

33 KARIM
SHAIKH

4 25/01/2012 IPD20 SHAUKATALI GA PLEURAL TAPPING M MODY Dr Tushar

17 ABDULLAH Dnyaneshwer
SHAIKH Kate

5 28/01/2012 IPD20 SALEHA GA DNC INCOMPLETE Sudha panikar ABHAY

54 CHAUDHARI ABORTION SANCHETTI

6 30/01/2012 IPD19 SUNITA DILEVARY Sudha panikar

74 VIJAY AUTI

7 01/02/2012 IPD20 VIJAY GA K-WIRE Gulshan Zulfikar Shabbir A Anpin

56 PARDESI

8 03/02/2012 IPD20 AMOL k ware Gulshan Zulfikar

64 HAUSE RAO
GODHKE

9 04/02/2012 IPD20 ANSHUL SA LAPAROTOMY Rachana ABHAY Dr Tushar SR.MIRPAGA

67 RADHE Gandale SANCHETTI Dnyaneshwer
SHYAM Kate
PORWAL
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone no. 020-26838194
48
020-26838035
Reg.no. LCBP-0607-01023 Fixed Assets Register
Item name Quantity Description Comment
Computer  1
Bill Added : 10 Computer purchased from NEW PATIL PHARMACEUTICALS Bill No is 1
Bill Changed : Computer 10 updated in Bill No. 1
Bill Changed : Computer 5 updated in Bill No. 1
1 Computer deleted from Inventory : Sold
Bill Deleted : 5 Computer Quantity deleted Old Bill No 1

STIM. VAPORISER  2

AIR MATTRESS  1

TRACTION KIT  2

Bill Added : 1 TRACTION KIT purchased from SIDDI SURGICALS Bill No is CC/682
Bill Changed : TRACTION KIT 1 updated in Bill No. CC/682
ECG CABLE  2
Bill Added : 1 ECG CABLE purchased from SAI MEDICAL SERVICES Bill No is 413
ECG BATTRY BPL  2
Bill Added : 1 ECG BATTRY BPL purchased from SAI MEDICAL SERVICES Bill No is 409
ARTERY FOFCEPS 6"  5

Bill Added : 4 ARTERY FOFCEPS 6" purchased from SIDDI SURGICALS Bill No is CC/673
STICH CUTTING SCISSOR  2

Bill Added : 1 STICH CUTTING SCISSOR purchased from SIDDI SURGICALS Bill No is CC/673
NEEDLE HOLDER 6"  5
Bill Added : 4 NEEDLE HOLDER 6" purchased from SIDDI SURGICALS Bill No is CC/673
TOOTH FORCEF 6"  5
Bill Added : 4 TOOTH FORCEF 6" purchased from SIDDI SURGICALS Bill No is CC/673
ECG CABLE  1

ECG BETTRY  1

FETAL DOPLER  2
Bill Added : 1 FETAL DOPLER purchased from SIDDI SURGICALS Bill No is CC/955
EXERCISE BAND YELLOW  2
Bill Added : 1 EXERCISE BAND YELLOW purchased from SIDDI SURGICALS Bill No is CC/977
EXERCISE BAND PINK  2
Bill Added : 1 EXERCISE BAND PINK purchased from SIDDI SURGICALS Bill No is CC/977
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023 Salary Master
01/01/2010 - 11/05/2012

Income Deduction
Month/ Amount Paid
Trans. Learn. Commut. Total Provident Prof. Other Total
Year Basic HRA Allow. Allow. Allow. Salary Fund Tax Deduction Deduction
ANITA KAUL
OCT  15,000.00  0.00  0.00  0.00  0.00  15,000.00  1,000.00  200.00  0.00  1,200.00  13,800.00
2011
 15,000.00  0.00  0.00  0.00  0.00  15,000.00  1,000.00  200.00  0.00  1,200.00  13,800.00

Total  15,000.00  0.00  0.00  0.00  0.00  15,000.00  1,000.00  200.00  0.00  1,200.00  13,800.00
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023 Salary Slip
Month: OCT
Emp Id:  7 Working Days:  31.00
Emp Name: ANITA KAUL Employee Bank Name:

Mode: A/c No:

Bank Name: Salary Disbursement Date: 25/10/2011  
14:16:03
Date:

Basic  15,000.00 Provident Fund  1,000.00

HRA  0.00 Deduction  0.00

Transportation Allowance  0.00 Professional Tax  200.00

Learning Allowance  0.00

Commutation allowance  0.00

Total Calculated Salary  15,000.00 Total Deduction  1,200.00

Net Payable Salary  13,800.00

 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023
Expenses Report
01/01/2012 - 11/05/2012
Bill
Date /Voucher Amount Mode Bank/ Branch Card/ChqNo.
Nature ofDated
Work PaidBy

CANTEEN EXP
K.L RAINA (CHIKEN) 06/01/2012 / 979  100.00 Cash DAISY

Total Amount  100.00

DIESEL & PETROL EXP
PETRO (JEJURIKAR) 05/01/2012 / 977  100.00 Cash KAUSAR

PETRO (JEJURIKAR) 05/01/2012 / 972  200.00 Cash KAUSAR

PETROL (AMBULANCE) 10/01/2012 / 994  1,000.00 Cash DAISY

Total Amount  1,300.00

GENERAL EXP
TEA FOR K.L RAINA 04/01/2012 / 970  30.00 Cash KAUSAR

TEA FOR N. RAINA 09/01/2012 / 992  20.00 Cash KAUSAR

SURAJ MINI MARKET TEA FOR N. 01/02/2012 1073 / 1073  54.00 Cash KAUSAR
RAINA
Total Amount  104.00
GENERAL STOR
FIVE QUIKE 04/01/2012 / 969  5.00 Cash KAUSAR

Total Amount  5.00

IPD/ OPD Refund
DR MAHABAL SHAH (KAUSAR 05/01/2012 / 974  500.00 Cash DAISY
SHAIKH)
DR BATRA (ENT OPD) 06/01/2012 / 983  400.00 Cash KAUSAR

MRS. KAUSAR SHAIKH (TPA) 05/01/2012 / 978  5,800.00 Cash DAISY

ANAND JAGTAP (TPA) 07/01/2012 / 976  700.00 Cash KAUSAR

KHAMRUNNISHA SHAIKH 06/01/2012 / 984  2,500.00 Cash DAISY

MR. P. FRANCIS TPA 06/01/2012 / 982  390.00 Cash KAUSAR

IMAM SHAIKH IPD REFUND 06/01/2012 / 980  405.00 Cash KAUSAR

Total Amount  10,695.00

Legal Expenses
JEJURIKAR (CGHS CAMP) 05/01/2012 / 973  3,500.00 Cash JEJURIKA
R
Total Amount  3,500.00
Miscellaneous Expenses
RAMESH (LIME CHILLY) 07/01/2012 / 968  10.00 Cash KAUSAR

RAMESH LIME CHILLY 09/01/2012 / 985  20.00 Cash DAISY

Total Amount  30.00

Pooja Expenses
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023
Non Patient Income Report
01/01/2012 - 11/05/2012
Receipt.
No Date Amount Mode Bank/ Branch Card/ChqNo.
NatureDated
of Work PaidBy
Canteen Income
CANTEEN RENT PRITEE  183 04/02/2012  8,500.00 Cheque DEVELOPMENT CREDIT 018123 4/2/12 PRITEE
GUPTA KONDHWA KH GUPTA
Total Amount  8,500.00
Dentist
DR, SARFARAZ  175 07/01/2012  200.00 Cash DR.
SARFARAZ
SK
DR SARFARAZ A A SHAIKH  174 07/01/2012  7,700.00 Cheque INDUSIND BANK 225044 7/1/12 DR
SARFARAZ
SK
DENTIST RENT  184 08/02/2012  7,700.00 Cheque INDUSIND BANK PUNE 225046 1/2/12 DR
BRANCH SARFARAZA
METRO AGENCY (FOR DONATION)  186 14/02/2012  7,000.00 Cheque PUNE PEOPLE'S CO-OP 202308 14/2/12
BANK LTD ,PUNE
Total Amount  22,600.00
Other Income
DR SARFARAZ  185 08/02/2012  200.00 Cash DR
SARFARAZ
PREETI GUPTA CANTEEN  176 07/01/2012  8,500.00 Cheque DEVELOPMENT CREDIT 018119 5/1/12 PREETI
BANK KONDHWA PUNE GUPTA
Total Amount  8,700.00
Referral Income
MEDS INN  178 12/01/2012  3,850.00 Cash MEDS INN

UNISCAN  177 09/01/2012  7,560.00 Cheque SARASWAT BANK PUNE 099191 9/1/12 UNISCAN
DESHPANDE
REFERAL INCOME  180 23/01/2012  1,000.00 Cheque SHREE SHARADA 667559 23/1/12 GRAMAVISIO
SAHAKARI BANK LTD PUNE N
DIAGNOSTIC
CENTRE
Total Amount  12,410.00
sale of scrap
SALE OF SCRAP  181 31/01/2012  200.00 Cash SCRAPWALA

Total Amount  200.00

TPA Income
M D INDIA PATIENT MS  171 02/01/2012  13,235.00 Cheque HDFC 333958 2/1/12 MD INDIA
ZAHARA
UNITED HEALTH CARE PATIENT  172 02/01/2012  5,530.00 Cheque DEUTSCHE BANK MUMBAI 501152 2/1/12 UHC
MR MOHAMMEDANSAR AHMED

T T K TPA PATIENT MR. RAM  173 03/01/2012  13,459.00 Cheque CITI BANK 323917 3/1/12 TTK
KUMAR RAWAN
FAMILY HEALTH PLAN PETER  179 20/01/2012  21,144.00 Cheque AXIS BANK LTD 514231 20/1/12 FHPL
FRANCIS HYDERABAD
STAR HEALTH / ALLIED  182 01/02/2012  4,191.00 Cheque STANDARD CHARTERED 644037 25/1/12 STAR
INSURANCE CO , LTD , BANK MUMBAI HEALTH
PATIENT ANAND JAGTAP TPA
Total Amount  57,559.00
Total Amount  109,969.00
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023
Medicine Entry Report
01/01/2012 - 11/05/2012
Bill No. Bill Date Delivery Date Quantity Rate Medicine
Amount Name Paid
AMAR AGENCY
inj pan 40 519598 21/01/201 21/01/2012   400  21.75  8,700.00 Unpaid
EXTRA VAT AMT 2  17:55:0  17:55:06  1  435.00  435.00 Unpaid
Bill Amt.  9,135.00 Unpaid
Total Qty.  401 Total Amt.  9,135.00
BHAWANI ENTERPRISES & CO
INJ STK 13344 11/02/201 11/02/2012   2  1,200.00  2,400.00 Unpaid
EXTRA VAT AMT 2  16:17:2  16:17:27  1  120.00  120.00 Unpaid
Bill Amt.  2,520.00 Unpaid
Total Qty.  3 Total Amt.  2,520.00
FAMA INTERNATIONAL
INJ AUGMEXX 1.2GR 252 04/02/201 04/02/2012   50  55.00  2,750.00 Unpaid
EXTRA VAT AMT 2  16:15:5  16:15:56  1  137.50  137.50 Unpaid
Bill Amt.  2,887.50 Unpaid
Total Qty.  51 Total Amt.  2,887.50
GAYATRI ENTERPRISES
COMPUTER PRINTER PAPER 68 JAN/12 20/01/201 20/01/2012   4  130.00  520.00 Unpaid
BROWN COVER PAPER 2  18:53:5  18:53:53  10  12.00  120.00 Unpaid
NOTE BOOKS 100 PAGE  15  15.00  225.00 Unpaid
Bill Amt.  865.00 Unpaid
Total Qty.  29 Total Amt.  865.00
K K SURGICALS
26 1/2 needle 1014 19/01/201 19/01/2012   300  0.68  204.00 Unpaid
14NO-FOLEYS 2  17:46:5  17:46:58  10  38.00  380.00 Unpaid
10ML SYRING  150  3.00  450.00 Unpaid
EXTRA VAT AMT  1  51.70  51.70 Unpaid
Bill Amt.  1,085.70 Unpaid
5ML SYRING 1032 23/01/201 23/01/2012   400  1.65  660.00 Unpaid
2ML SYRING 2  21:17:4  21:17:46  400  2.10  840.00 Unpaid
ETHILON 2-0  12  82.52  990.24 Unpaid
ETHILON 3-0  12  84.30  1,011.60 Unpaid
MUCUS EXTRACTOR  4  12.70  50.80 Unpaid
ECG leads  200  4.00  800.00 Unpaid
EXTRA VAT AMT  1  281.44  281.44 Unpaid
Bill Amt.  4,634.08 Unpaid
STIKING 7.5CM 1045 30/01/201 30/01/2012   3  110.00  330.00 Unpaid
FLOW METER OXYGEN 2  11:45:0  11:45:03  3  924.00  2,772.00 Unpaid
EXTENTION TUBE  10  31.00  310.00 Unpaid
IV SET  50  15.00  750.00 Unpaid
Intracath no 22  80  17.60  1,408.00 Unpaid
10ML SYRING  100  3.00  300.00 Unpaid
MASK  100  3.20  320.00 Unpaid
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023
Inventory Entry Report
01/01/2012 - 11/05/2012
Bill No. Bill Date Delivery Date Quantity Rate Item
Amount
Name Paid
SIDDI SURGICALS
FETAL DOPLER CC/955 13/01/201 13/01/2012   1  2,222.23  2,222.23 Unpaid
2  20:32:3  20:32:39
EXTRA VAT 13/01/201 13/01/2012   1  277.78  277.78 Unpaid
2  20:32:3  20:32:39
Total Amt.  2,500.01
EXERCISE BAND YELLOW CC/977 19/01/201 19/01/2012   1  120.00  120.00 Unpaid
2  15:40:4  15:40:49
EXERCISE BAND PINK 19/01/201 19/01/2012   1  139.00  139.00 Unpaid
2  15:40:4  15:40:49
EXERCISE BELT BLACK 19/01/201 19/01/2012   1  158.00  158.00 Unpaid
2  15:40:4  15:40:49
EXTRA VAT 19/01/201 19/01/2012   1  52.13  52.13 Unpaid
2  15:40:4  15:40:49
Total Amt.  469.13
Total Qty.  6 Total Amt.  2,969.14
Total Qty.  6 Total Amt.  2,969.14
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone020-26838194
No.
48
020-26838035
Reg.No. LCBP-0607-01023 Hospital Earning Report
02/01/2012 - 02/01/2012
Patient Hospital Reg. MLC Nursing Emer. Monitor Room BMW+RB In. Dr. Visit Dr. Oper. Service Med. Total Disc Service Net Amount
No. Charge Charge Charge Charge Charge Charge Charge Charge Charge Charge Charge Charge Charge Amount Tax Payable Paid

Inpatient
IPD1954  115.00   50.00   .00   300.00   .00   .00   700.00   0.0  900.0   .0   .00   350.00   1456.00   3871.00   257.0  .0   0.00
 3614.00 
IPD1955  318.00   50.00   .00   400.00   .00   500.00   1300.00   0.0  1300.0   .0   .00   2800.00   979.00   7647.00   29.0  .0   0.00
 7618.00 

Total  433  100  0  700  0  500  2000  0  2200  0  0  3150  2435  11518  286  0  0
 11232

Other Income
M D INDIA  .00   .00   .00   .00   .00   .00   .00   0.0  .0   .0   .00   .00   .00   13235.00   0.0  .0   13235.00 
 0.00
PATIENT MS
ZAHARA
UNITED  .00   .00   .00   .00   .00   .00   .00   0.0  .0   .0   .00   .00   .00   5530.00   0.0  .0   0.00
 5530.00 
HEALTH
CARE
PATIENT
MR
MOHAMMEDA
NSAR AHMED

Total  0  0  0  0  0  0  0  0  0  0  0  0  0  18765  0  0  0
 18765

Outpatient
OPD42477  .00   .00   .00   .00   .00   .00   .00   0.0  25.0   .0   .00   75.00   .00   100.00   0.0  .0   0.00
 100.00 

OPD42478  .00   .00   .00   .00   .00   .00   .00   0.0  150.0   .0   .00   .00   100.00   250.00   0.0  .0   0.00
 250.00 

OPD42479  .00   .00   .00   .00   .00   .00   .00   0.0  200.0   .0   .00   220.00   535.00   955.00   0.0  .0  -350.00
 1305.00 

OPD42480  .00   .00   .00   .00   .00   .00   .00   0.0  200.0   .0   .00   275.00   60.00   535.00   0.0  .0   0.00
 535.00 

OPD42481  .00   .00   .00   .00   .00   .00   .00   0.0  50.0   .0   .00   200.00   40.00   290.00   0.0  .0   0.00
 290.00 

OPD42482  .00   .00   .00   .00   .00   .00   .00   0.0  50.0   .0   .00   .00   40.00   90.00   0.0  .0   0.00
 90.00 

OPD42483  .00   .00   .00   .00   .00   .00   .00   0.0  1050.0   .0   .00   520.00   321.00   1891.00   0.0  .0   0.00
 1891.00 

OPD42485  .00   .00   .00   .00   .00   .00   .00   0.0  100.0   .0   .00   20.00   .00   120.00   0.0  .0   0.00
 120.00 

OPD42486  .00   .00   .00   .00   .00   .00   .00   0.0  100.0   .0   .00   .00   .00   100.00   0.0  .0   0.00
 100.00 

OPD42487  .00   .00   .00   .00   .00   .00   .00   0.0  .0   .0   .00   .00   100.00   100.00   0.0  .0   0.00
 100.00 

OPD42488  .00   .00   .00   .00   .00   .00   .00   0.0  100.0   .0   .00   20.00   50.00   170.00   0.0  .0   0.00
 170.00 
GO TO NEXT PAGE
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023
Balance Sheet
01/01/2012 - 11/05/2012
Assets
Fixed Assets  4,519,764.23
Current Assets  100,408.52
Liabilities  0.00

Income
IPD Income  1,062,643.00
OPD Income  672,623.95
Other Income
Canteen Income  8,500.00
Dentist  22,600.00
Other Income  8,700.00
Referral Income  12,410.00
sale of scrap  200.00
TPA Income  57,559.00
Total Income  1,845,235.95
Expenses
CANTEEN EXP  100.00
DIESEL & PETROL EXP  1,300.00
GENERAL EXP  104.00
GENERAL STOR  5.00
IPD/ OPD Refund  10,695.00
Legal Expenses  3,500.00
Miscellaneous Expenses  30.00
Pooja Expenses  90.00
POST&CORIAR  95.00
REPAIR OF ELECTRIC &  1,335.00
FURNITURE
STAFF ADVANCE  3,000.00
Staff Welfare/Refreshment  280.00
TRAVELLING CHARGES  20.00
WASHING & IRUNIG  2,250.00
Total Expenses  22,804.00
Profit Before Tax  1,822,431.95
Profit After Tax  1,275,702.37
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023
Cheque Ledger
Sr. No. Particular Credit Debit
Opening Balance: 0.00
1 Expenses  0.00  0.00
2 IPD Advance Payment  0.00  0.00
3 IPD Bill Payment  0.00  0.00
4 OPD Advance Payment  0.00  0.00
5 OPD Bill Payment  0.00  0.00
6 Other Income  0.00  0.00
Total  0.00  0.00
Closing Balance:  0.00
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023
Cash Ledger Date : 10/07/201
4
Sr. No. Particular Credit Debit
Opening Balance: 0.00
1 Expenses  0.00  0.00
2 IPD Advance Payment  0.00  0.00
3 IPD Bill Payment  0.00  0.00
4 OPD Advance Payment  0.00  0.00
5 OPD Bill Payment  0.00  0.00
6 Other Income  0.00  0.00
Total  0.00  0.00
Closing Balance:  0.00
 SATYANAND HOSPITAL
MULTI-SPECIALITY

50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023 Cheque Ledger_Range
01/01/2012 - 11/05/2012
Date IPD Income OPD Income Other Income Expenses Net Income
01/01/2012  0.00  470.00  0.00  0.00  470.00
02/01/2012  0.00  0.00  18,765.00  0.00  18,765.00
03/01/2012  0.00  527.00  13,459.00  0.00  13,986.00
04/01/2012  0.00  0.00  0.00  0.00  0.00
05/01/2012  0.00  370.00  0.00  0.00  370.00
06/01/2012  2,409.00  150.00  0.00  0.00  2,559.00
07/01/2012  0.00  3,804.00  16,200.00  0.00  20,004.00
08/01/2012  0.00  3,058.00  0.00  0.00  3,058.00
09/01/2012  3,810.00  2,070.00  7,560.00  0.00  13,440.00
10/01/2012  8,331.00  0.00  0.00  0.00  8,331.00
11/01/2012  0.00  4,005.00  0.00  0.00  4,005.00
12/01/2012  13,623.00  6,310.00  0.00  0.00  19,933.00
13/01/2012  2,000.00  1,168.00  0.00  0.00  3,168.00
14/01/2012  0.00  1,361.00  0.00  0.00  1,361.00
15/01/2012  0.00  130.00  0.00  0.00  130.00
16/01/2012  0.00  890.00  0.00  0.00  890.00
17/01/2012  0.00  120.00  0.00  0.00  120.00
18/01/2012  0.00  2,365.00  0.00  0.00  2,365.00
19/01/2012  10,000.00  3,286.00  0.00  0.00  13,286.00
20/01/2012  0.00  1,437.00  21,144.00  0.00  22,581.00
21/01/2012  5,000.00  2,869.00  0.00  0.00  7,869.00
22/01/2012  0.00  310.00  0.00  0.00  310.00
23/01/2012  7,743.00  1,079.00  1,000.00  0.00  9,822.00
24/01/2012  0.00  620.00  0.00  0.00  620.00
25/01/2012  48,023.00  2,585.00  0.00  0.00  50,608.00
26/01/2012  5,000.00  1,344.00  0.00  0.00  6,344.00
27/01/2012  0.00  1,655.00  0.00  0.00  1,655.00
28/01/2012  18,000.00  375.00  0.00  0.00  18,375.00
29/01/2012  0.00  305.00  0.00  0.00  305.00
30/01/2012  26,000.00  1,400.00  0.00  0.00  27,400.00
31/01/2012  24,648.00  80.00  0.00  0.00  24,728.00
01/02/2012  0.00  665.00  4,191.00  0.00  4,856.00
02/02/2012  0.00  0.00  0.00  0.00  0.00
03/02/2012  0.00  750.00  0.00  0.00  750.00
04/02/2012  9,112.00  670.00  8,500.00  0.00  18,282.00
05/02/2012  0.00  760.00  0.00  0.00  760.00
06/02/2012  2,000.00  5,751.00  0.00  0.00  7,751.00
07/02/2012  25,345.00  1,409.00  0.00  0.00  26,754.00
 SATYANAND HOSPITAL
MULTI-SPECIALITY

50/7, OPP. KONARK POORAM KONDHWA (KHURD), PUNE (MH) - Phone No. 020-26838194
48
020-26838035
Reg.No. LCBP-0607-01023 Cash Ledger_Range
01/01/2012 - 11/05/2012
Date IPD Income OPD Income Other Income Expenses Net Income
01/01/2012  29,749.00  15,447.00  0.00  230.00  44,966.00
02/01/2012  19,776.00  14,953.00  0.00  425.00  34,304.00
03/01/2012  1,852.00  6,818.00  0.00  0.00  8,670.00
04/01/2012  47,259.00  8,878.00  0.00  125.00  56,012.00
05/01/2012  15,041.00  18,249.01  0.00  10,980.00  22,310.01
06/01/2012  6,815.00  14,702.00  0.00  6,045.00  15,472.00
07/01/2012  17,888.00  9,530.00  200.00  710.00  26,908.00
08/01/2012  11,196.00  6,534.00  0.00  40.00  17,690.00
09/01/2012  14,419.00  18,278.00  0.00

 4,848.00  10,344.00  0.00  0.00  15,192.00

06/02/2012  24,304.00  14,063.00  0.00  0.00  38,367.00
07/02/2012  6,936.00  0.00  0.00  20,807.00
 SATYANAND HOSPITAL
MULTI-SPECIALITY
50/7, OPP. KONARK POORAM KONDHWA (KHURD), Phone No. 020-26838194
PUNE (MH) -48
020-26838035
Reg.No. LCBP-0607-01023 Doctor Earning Report
01/01/2012 - 01/01/2012
Patient ID Patient Name Treatment Date Charges Cal. Amount Amount After TDS
Dr.Category:Permanent Charges Type:Consulting
Dr Name:ARUN RAO
OPD 42445 RAVINA K 01/01/2012 08:35:00  150.00  135.00
OPD 42447 SHANAWAR KHAN 01/01/2012 11:49:00  150.00  135.00
OPD 42448 AZIZ I PANSARE 01/01/2012 12:22:00  100.00  90.00
OPD 42450 ARWA RATLAMWALA 01/01/2012 12:51:00  100.00  90.00
OPD 42452 MUSTAFA SALAMBAI BHORA 01/01/2012 14:13:00  700.00  630.00
OPD 42453 LUBNA ZAHEER SHAIKH 01/01/2012 14:25:00  100.00  90.00
OPD 42454 NABIL JABIR OSMAN 01/01/2012 14:49:00  100.00  90.00
OPD 42455 SHRAVAN SINGH 01/01/2012 15:14:00  100.00  90.00
OPD 42456 SQANTOSH RAMCHANDRA SALKAR 01/01/2012 15:23:00  0.00  0.00
OPD 42457 DHANTUL 0 01/01/2012 15:29:00  100.00  90.00
OPD 42458 UMER ASLAM MEMAN 01/01/2012 15:33:00  0.00  0.00
OPD 42459 AZAR AHANG 01/01/2012 15:55:00  100.00  90.00
OPD 42460 NEGHARESH ABDULHOSIEN MASOUD 01/01/2012 16:01:00  100.00  90.00
OPD 42461 EQUBAL KHAN 01/01/2012 16:04:00  0.00  0.00
OPD 42463 IBRAHIM UMRETHWALA 01/01/2012 16:33:00  150.00  135.00
Total  1,950.00  1,755.00  1,579.50

Dr Name:Dr Tushar Dnyaneshwer Kate

OPD 42464 SUNIL MATHEW 01/01/2012 17:08:00  50.00  0.00
Total  50.00  0.00  0.00

Dr Name:Rajesh D. Salunkhe
OPD 42431 ANIL BABAN KAMTE 01/01/2012 00:11:00  200.00  0.00
OPD 42432 ANITA PANSARE 01/01/2012 00:53:00  100.00  0.00
OPD 42433 VIJAY RATHOD 01/01/2012 00:56:00  50.00  0.00
OPD 42434 MUSTAFA 0 01/01/2012 01:00:00  50.00  0.00
OPD 42435 JAVED SHAIKH 01/01/2012 01:26:00  150.00  0.00
OPD 42436 SWARJ BORDOLAIE 01/01/2012 01:49:00  200.00  0.00
OPD 42437 RACHEL MENEMJE 01/01/2012 01:58:00  200.00  0.00
OPD 42438 DHANEWAR MANE 01/01/2012 02:14:00  0.00  0.00
OPD 42439 BIPEN LONKAR 01/01/2012 02:49:00  0.00  0.00
OPD 42440 MARIYAM SAYEED 01/01/2012 04:04:00  200.00  0.00
OPD 42441 SOURAV LONKAR 01/01/2012 06:17:00  50.00  0.00
OPD 42442 ABBAS GORGANI 01/01/2012 07:22:00  50.00  0.00
OPD 42443 ALTAMASH SHAIKH 01/01/2012 07:39:00  0.00  0.00
OPD 42444 RUKSHANA AHMED SHAIKH 01/01/2012 08:30:00  200.00  0.00
OPD 42446 B G PUAL 01/01/2012 10:11:00  0.00  0.00
OPD 42474 APSA ANSARI 01/01/2012 23:13:00  50.00  0.00
 GANJU HAEMATOLOGY HOSPITAL
CLINICAL HAEMATOLOGY-ONCOLOGY .
6TH FLOOR ,MIDAS HEIGHTS ,CENTRAL BAZAR Phone No. 0712-2438887
ROAD ,RAMDASPETH ,NAGPUR.440010.
0712-2467547

Reg.No. 331

Birth Certificate
No.  1 Date 11/7/2014
This is to certify that Mrs.PUSHPA JAIN

has given Birth to baby Female

in this hospital on Date 11/07/2014 at time 1 PM.

Birth weight of baby is 4 kg.

Dr Incharge
 GANJU HAEMATOLOGY HOSPITAL
CLINICAL HAEMATOLOGY-ONCOLOGY .
6TH FLOOR ,MIDAS HEIGHTS ,CENTRAL BAZAR Phone No. 0712-2438887
ROAD ,RAMDASPETH ,NAGPUR.440010.
0712-2467547

Reg.No. 331
No.  1 Date 11/7/2014

To Whomsoever it may concern

Under Treatement Certificate

This is to certify that Mr/Mrs.MANJU SHARMA Age 28 Yrs

was being treated by me in this hospital from 26/03/2012 to

30/03/2012

Patient is suffering from spherocytosis : Autoimmune /

Spherocyosis

and patient is still under my treatment.

Dr Incharge
 GANJU HAEMATOLOGY HOSPITAL
CLINICAL HAEMATOLOGY-ONCOLOGY .
6TH FLOOR ,MIDAS HEIGHTS ,CENTRAL BAZAR Phone No. 0712-2438887
ROAD ,RAMDASPETH ,NAGPUR.440010.
0712-2467547
Reg.No. 331
No.  1 Date 11/7/2014

To Whomsoever it may concern

Medical Certificate
This is to certify that Mr/Mrs.JASUMATI BHATT Age 70 Yrs

was being treated by me in this hospital

for an I.P.D. basis from 17/03/2012 to 29/03/2012

For the reason of (Diagnosis) IDIOPATHIC THROMBOCYTOPENIC

PURPURA

He/She is fit to rejoin his/her normal duties from 1/4/2012.

He/She is advised to Exercise & Relaxation;Check your blood

sugar level frequently;take regular doses of medicine

Dr Incharge
 FORM NO. 4
(See Rule 7)
MEDICAL CERTIFICATE OF CAUSE OF DEATH
(Hospital in-patients. Not to be used for still births)
To be sent to Registrar along with Form No. 2 (Death Report)
Name of the Hospital GANJU HAEMATOLOGY HOSPITAL
I hereby certify that the person whose particular are given below died in the hospital
in Ward No. On 11/07/2014 at 12:56PM

NAME OF DECEASED JAGESHWAR KHAPEKAR

Age at Death For use

Sex
of
If 1 year or If less than 1 year age If less than one If less than one Statistical
more, age in in months month, age in day, age in Hours Office
years Days
1. Male 54Years

2.Female

Interval 2 Hours
CAUSE OF DEATH between on set
& death approx.

I (a) Heart Attack

Immediate cause
State the disease, injury or complication which caused
death, not the mode of dying such as Due to (or as a consequence of)

Antecedent cause (b) Was sick

Morbid conditions, if any, giving rise to the above
Cause, stating underlying condition last
Due to (or as a consequences of)

II (c) Body color was blue

Other significant conditions contributing to the death but
not related to the disease or
conditions causing II

Manner of Death How did the injury occure?

1.Natural 2. Accident 3. Suicide 4.Homicide
5. Pending Investigation

If deceased was a female, was pregnancy the death associated with? 1. Yes 2. No 
If yes, was there a delivery? 1. Yes 2. No 

Name and signature of the Medical Attendant certifying the cause of death
Date of Certificate ……………………………………………

(To be detached and handed over to the related of the deceased)

Certified that Shri/Smt/Km JAGESHWAR KHAPEKAR S/W/D of Shri Dinanath Khapekar
R/O was admitted to this hospital on 05/10/2011 and expired on 11/07/2014 at 12:56PM

Doctor ……………….......................
Medical Supdt.
Name of Hospital
GANJU HAEMATOLOGY HOSPITAL
 FORM NO. 4A
(See Rule 7)
MEDICAL CERTIFICATE OF CAUSE OF DEATH
(For non-institutional deaths. Not to be used for still births)
To be sent to Registrar along with Form No. 2 (Death Report)
I hereby certify that the deceased Shri/Smt/Km JAGESHWAR KHAPEKAR
son of/wife of/daughter of Dinanath Khapekar resident of Buti Bori,Nagpur

was under my treatment from 05/10/2011 to 11/07/2014

and he/she died on 11/07/2014 at 12:56PM
JAGESHWAR KHAPEKAR For use of
NAME OF DECEASED
Statistical
Office
Sex Age at Death
Age in If less than 1 year age If less than one If less than one
completed in months month age in day, age in Hours
years Days
1. 54Years
Male
2.
Female
Interval between
CAUSE OF DEATH on set & death
approx.

I (a) 2 Hours
Immediate cause Heart Attack
State the disease, injury or
complication which caused death, not Due to (or as a consequence
of)

Antecedent cause (b)

Morbid conditions, if any, giving rise to Was sick
the above Cause, stating underlying
Due to (or as a consequences of)
condition last
II (c)
Other significant conditions Body color was blue
contributing to the death but not related
to the disease or conditions causing II
If deceased was a female, was pregnancy the death associated with? 1. Yes 2. No 
If yes, was there a delivery? 1. Yes 2. No 

Name and signature of the Medical Attendant certifying the cause of death
Date of Certificate ……………………………………………

(To be detached and handed over to the related of the deceased)

Certified that Shri/Smt/Km JAGESHWAR KHAPEKAR S/W/D of Shri Dinanath Khapekar R/O
Was under treatment from 05/10/2011 to 11/07/2014 And he/she

expired on 11/07/2014 at 12:56PM

Doctor ………………
Signature and address of Medical Practitioner/
Medical attendant with Registration No.