Preventive Health Checkup Receipt
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Customer Name:
Rohan Mehta
Doctor Name:
Dr. Natalie Carter, MD
Address Line 1:
45 Garden Residency
Department:
Preventive Medicine
Address Line 2:
Block B
Visit Reason:
Annual Preventive Wellness Visit
City, State ZIP:
Ahmedabad, Gujarat 380015
Symptoms Reported:
None
Country:
India
Visit Notes:
Routine health evaluation, blood tests, vaccination administered.
Email:
Phone:
+91 98765 44321
Patient ID:
PAT-55621
1
General Wellness Examination
$120.00
1
Blood Test — CBC & Lipid Profile
$80.00
1
Vaccination — Flu Shot
$45.00
1
Diet & Nutrition Consultation
$65.00
Total
$302.72
30/06/2026, 09:28:48 PM
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