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4/17/2018 SUCCESS

CHANNELLING DONE

Channel Details

Reference Number : 0041780925


Appointment Number :4
Appointment Date : 28-04-2018
Time : 13:00
Total Fee : 3425.00 LKR
Breakdown of Fee : Doctor Fee: 2000.00
Doctor/Hospital
Hospital Fee: 600.00
VAT: 300.00
Booking Fee: ((Echannelling 275.00 ) Including VAT +
NBT)
("No-Show" option fee = 250.00)

Patient Details

: MRS PURNIMA GUNAWARDHANA-


Name 0041780925
0772838160
NIC Number : 843561144V
Payment Date : 17/04/2018

Doctor Details

Name : Dr. NALINDA RODRIGO


Specialization : OBSTETRICIAN AND GYNAECOLOGIST

Hospital Details

Hospital Name : Asiri Central Hospital – Norris Canal Road


Hospital Address
: 114, Norris Canal Rd, Colombo 10

Telephone Number : 0114665500


Hospital Reference Number : TCH0001566815

Your channeling is completed. You will receive confirmation SMS message and email.
You can show the SMS message or the email at the hospital counter.
The hospital requires the reference number to enable the service for you at the hospital.
Please be at the hospital 15 minutes before the given time.
The appointment time shown is only an approximate time. It may be subject to change depending on Doctor`s arrival time
and the time spend with patient ahead of you.
Unless you have opted for the "no show refund"�, no refund would be made by E-Channelling PLC under any
circumstances.
In the event the doctor or the hospital cancelled the appointment, the patient may reschedule the appointment with the
hospital or you can obtain refund on doctor and/or hospital fee based on the policy of the hospital.
E-Channelling PLC is not liable for any loss or damages incurred due to a doctor cancelling or rescheduling the appointment.
E-Channelling PLC VAT No 134008903-7000

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4/17/2018 SUCCESS

Wishing You Good Health!!

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