Patient bill
Normah Ainun binti Abdul Malik
MV-725408 · 63 · FOpen
- Visit
- Day case · 5 Oct 07:15 · ENC-72042
- Payer
- Allianz Life
- Doctor
- Dr. Ho Whye Onn
| Code | Description | Qty | Unit price | Discount | Amount | Panel | Patient | |
|---|---|---|---|---|---|---|---|---|
| PKG-E01 | Phaco + Standard IOL · Topical (LA) · OD | 1 | 5,900.00 | — | 5,900.00 | 4,766.80 | 1,133.20 Co-payment | |
| LAB-0198 | HbA1c | 1 | 65.00 | −6.50 | 58.50 | — | 58.50 | |
| PHM-0106 | Moxifloxacin 0.5% 5ml Eye drops | 1 | Medicine pending at pharmacy, inside the package | |||||
| PHM-0107 | Prednisolone Acetate 1% 5ml Eye drops | 1 | Medicine pending at pharmacy, inside the package | |||||
| PHM-0190 | Paracetamol 500mg | 24 | Medicine pending at pharmacy, inside the package | |||||
Totals
- Subtotal
- RM
- 5,965.00
- Discount
- RM
- −6.50
- SST
- RM
- 0.00
- Total
- RM
- 5,958.50
- Less insurer Allianz Life · GL-5010 · initial RM 5,900.00 · final RM 5,900.00
- RM
- −4,766.80
- Patient share Co-payment RM 1,191.70
- RM
- 1,191.70
- To pay now
- RM
- 1,191.70
Not ready to bill · Called · Laboratory 1 · Theatre 1