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    INVOICE

    Uploaded by

    claimsmobizz

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    INVOICE

    Uploaded by

    claimsmobizz
    17 views1 page

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    17 views1 page

    INVOICE

    Uploaded by

    claimsmobizz

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    INVOICE

    Patient Mr K H VIDYA LAHIRU B.H.T No BHT01_2024_1708


    Patient ID P00173526 Gender Male Invoice No
    NIC No 903243970V Contact No 0729850260 Invoiced Date
    Address SAUBHAGYA, THALAGAHA JUNCTION, Admitted Date 15/08/2024 09:49 AM
    AKAMEEMANA Discharged Date 16/08/2024 12:08 PM
    Consultant Dr. SANDUN DELUMGAHAWATHTHA (CARDIOLOGIST) VAT Reg. No
    Room No 214 Bed No 0 Reference No
    Debtor MOBIZZ INSURANCE Category

    Description Charge Discount VAT Amount Amount

    WARD
    REGISTRATION / ADMISSION FEE 5,000.00 0.00 0.00 5,000.00
    TOTAL ROOM CHARGERS 7,500.00 0.00 0.00 7,500.00
    MEDICAL OFFICER CHARGERS 10,000.00 0.00 0.00 10,000.00
    NURSING CHARGERS 11,250.00 0.00 0.00 11,250.00
    LINEN AND LAUNDRY CHARGES 3,750.00 0.00 0.00 3,750.00
    ECG/EEG/EECG 3,850.00 0.00 0.00 3,850.00
    CSSD CHARGES 2,500.00 0.00 0.00 2,500.00
    PROCEDURE CHARGERS 880.00 0.00 0.00 880.00
    MAINTENANCE CHARGES 1,875.00 0.00 0.00 1,875.00
    LABORATORY INVESTIGATIONS 17,428.50 0.00 0.00 17,428.50
    MEDICAL TESTS 4,700.00 0.00 0.00 4,700.00
    PHARMACY DRUGS AND SURGICALS 6,428.16 0.00 0.00 6,428.16
    75,161.66 0.00 0.00 75,161.66
    CONSULTANT CHARGES
    Dr. NUWAN SAMARAJEEWA (OPD) 1,500.00 0.00 0.00 1,500.00
    Dr. MRS NELUM ABEYNAYAKA (RADIOLOGISTS) 1,500.00 0.00 0.00 1,500.00
    Mr. GUNARATHNE (CARDIOGRAPHY) 1,400.00 0.00 0.00 1,400.00
    Dr. SANDUN DELUMGAHAWATHTHA (CARDIOLOGIST) - (MET) 20,000.00 0.00 0.00 20,000.00
    Dr. MRS NELUM ABEYNAYAKA - (MET) 4,000.00 0.00 0.00 4,000.00
    28,400.00 0.00 0.00 28,400.00
    Gross Total 103,561.66 0.00 0.00 103,561.66

    Discount 0.00

    Net Total 103,561.66


    .............................. .............................. ..............................
    Prepared By Checked By Cashier Deposit 0.00
    Billing In-Charge Billing Department
    Advance 0.00

    ..............................
    .............................. Balance To 103,561.66
    Checked By
    Received Guardian/Patient signature Be Paid
    Accounts Depatment

    Page 1 of 1

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