J M Diagnostic

JAVERIYA SAAD SAYYED

JM-20260824101218 · 2026-08-24 · 10:07

Bill Sent
PCPNDT · Form F — 2 separate prints
Pre-procedure (Pages 2 & 3)
Declaration + Disclaimer — patient signs this on arrival, before the USG is done.
Print Declaration + Disclaimer
Post-procedure (Page 1 only)
Ready
USG report captured — statutory Form F Page 1 is ready for the register file.
Print Form F Page 1
Tests
1USG Twin Fetal EchoUSG₹4,500
Clinical
LMP
2026-03-18
Known case of
Seen
Advice
Staff
Vaishnavi
Account
Cash
Next Appointment
Reason
Next ANC
Next Consultation
Category Charges
Routine
₹0
Special
₹0
USG
₹4,500
X-Ray
₹0
ECG
₹0
Doppler
₹0
Cardiac
₹0
Consultation
₹0
HSG
₹0