Estimated Or Provisional Patient Bill
The bill amount shown is the INTERIM bill amount and not the FINAL Amount. Certain Services or Taxes are not included in the Interim Bill.
Please check with Jaslok Billing Department for Final Bill Amount
IP Number.          Patient Category   
MR Number.       Bill Bed Category   
Bed No       Department   
Patient Name       Admitting Doctor   
Age / Sex       Admitting Date / Time   
Address       Discharge Date / Time   
Moible No       Number Of Days Stay   
Company Name       Allowable Limit   
Letter No       Member Id