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Mohd Ridzuan bin Ismail
49y · MRN MV-703021 · Self-pay · ENC-70249 · Inpatient · 15/01/2024 · Final runChecklist done
Bill lines
7 items| Date | Service | Dept | Code | Qty | Gross | Adj | Discount | Tax | Net | Payer |
|---|---|---|---|---|---|---|---|---|---|---|
| 15/01/2024 | Phaco + Toric IOL (peribulbar block) · OS | Package | PKG-E02 | 1 | RM 7,060.00 | RM 0.00 | RM 0.00 | RM 0.00 | RM 7,060.00 | Self-pay |
| 15/01/2024 | Surgeon fee · Dr. Chan Jan Bond · in PKG-E02 | Professional fees | OTS-24006 | 1 | RM 1,340.00 | RM 0.00 | RM 0.00 | RM 0.00 | RM 1,340.00 | Self-pay |
| 15/01/2024 | HbA1c | Laboratory | LAB-0198 | 1 | RM 65.00 | RM 0.00 | RM 0.00 | RM 0.00 | RM 65.00 | Self-pay |
| 31/12/2023 | Corneal Topography (Bausch + Lomb Orbscan IIz, OS) | Procedure | EYE-TOP-0022 | 1 | RM 120.00 | RM 0.00 | RM 0.00 | RM 0.00 | RM 120.00 | Self-pay |
| 31/12/2023 | Specular Microscopy (Tomey EM-4000, OS) | Procedure | EYE-SPM-0022 | 1 | RM 80.00 | RM 0.00 | RM 0.00 | RM 0.00 | RM 80.00 | Self-pay |
| 31/12/2023 | Fundus Photography (Optos California, OS) | Procedure | EYE-FPH-0022 | 1 | RM 60.00 | RM 0.00 | RM 0.00 | RM 0.00 | RM 60.00 | Self-pay |
| 31/12/2023 | B-scan Ultrasound (Quantel Aviso S 10 MHz, OS) | Procedure | EYE-BSC-0022 | 1 | RM 120.00 | RM 0.00 | RM 0.00 | RM 0.00 | RM 120.00 | Self-pay |