J M Diagnostic
VAISHNAVI ASHITOSH KADAM
JM-20260902191719 · 2026-09-02 · 19:11
Bill Sent
WA
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 + DisclaimerPost-procedure (Page 1 only)
ReadyUSG report captured — statutory Form F Page 1 is ready for the register file.
Print Form F Page 1Tests
| 1 | USG Early Pregnancy | USG | ₹1,200 |
| 2 | CBC | Routine | ₹300 |
| 3 | TVS 300 USG | USG | ₹300 |
Clinical
- LMP
- 2026-06-29
- Known case of
- —
- Seen
- —
- Advice
- —
- Staff
- Akanksha
- Account
- Cash
- Next Appointment
- —
- Reason
- —
- Next ANC
- —
- Next Consultation
- —
Category Charges
Routine
₹300
Special
₹0
USG
₹1,500
X-Ray
₹0
ECG
₹0
Doppler
₹0
Cardiac
₹0
Consultation
₹0
HSG
₹0