This document is a fee receipt for a student of Khyber Medical University Institute of Health Sciences in Kurram. It specifies that the student owes 47,480 Pakistani rupees for the 2nd semester of the BS Nursing (Generic) program for Spring 2022. The fee includes 45,980 rupees for semester fees and 1,500 rupees for an OSPE exam fee, with no fine for late payment. The total amount due is written as Forty seven thousand four hundred eighty.