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    Abdullah Mahmood

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    parimala8777
    Abdullah Mahmood Saleem Al Chalabi received inpatient medical treatment over 3 days at a hospital. The final bill totaled over $16,500 and included charges for intensive care, medical rooms, food, tests, supplies, medications, procedures and doctor fees. Prior deposits and payments totaling over $13,000 were credited to the account, leaving a balance due of $3,500. The two page bill provided a detailed itemization of all costs incurred during his hospital stay.

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    Attribution Non-Commercial (BY-NC)
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    Abdullah Mahmood

    Uploaded by

    parimala8777
    256 views6 pages
    Abdullah Mahmood Saleem Al Chalabi received inpatient medical treatment over 3 days at a hospital. The final bill totaled over $16,500 and included charges for intensive care, medical rooms, food, tests, supplies, medications, procedures and doctor fees. Prior deposits and payments totaling over $13,000 were credited to the account, leaving a balance due of $3,500. The two page bill provided a detailed itemization of all costs incurred during his hospital stay.

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    ABDULLAH MAHMOOD

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    Abdullah Mahmood Saleem Al Chalabi received inpatient medical treatment over 3 days at a hospital. The final bill totaled over $16,500 and included charges for intensive care, medical rooms, food, tests, supplies, medications, procedures and doctor fees. Prior deposits and payments totaling over $13,000 were credited to the account, leaving a balance due of $3,500. The two page bill provided a detailed itemization of all costs incurred during his hospital stay.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as ODS, PDF, TXT or read online from Scribd
    Download as ods, pdf, or txt
    256 views6 pages

    Abdullah Mahmood

    Uploaded by

    parimala8777
    Abdullah Mahmood Saleem Al Chalabi received inpatient medical treatment over 3 days at a hospital. The final bill totaled over $16,500 and included charges for intensive care, medical rooms, food, tests, supplies, medications, procedures and doctor fees. Prior deposits and payments totaling over $13,000 were credited to the account, leaving a balance due of $3,500. The two page bill provided a detailed itemization of all costs incurred during his hospital stay.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as ODS, PDF, TXT or read online from Scribd
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    The document appears to be an inpatient bill detailing the medical charges incurred by a patient during their hospital stay.

    The patient was admitted to the Intensive Care Unit for 2 days and the Ruby and Sapphire wards for a total of 1.5 days under Dr. Mohan Lal.

    The medical procedures the patient underwent included diagnostic/monitoring, imaging, laboratory investigations, medical/surgical supplies, medication, monitoring charges, nursing procedures, operating theater and surgical procedures.

    INPATIENT BILL

    ABDULLAH MAHMOOD SALEEM AL CHALABI, Page : 1


    NO 762 BKT OUG CONDOMINIUM Bill No : I090294321 R2
    JLN 3A/155 OF JLN KLANG LAMA Bill Date/Time : 20/03/2009 17:18
    58000 JALAN KLANG LAMA WILAYAH PERSEKUTUAN

    Employee/Co Guarantor : Prepared By : BANTHONY


    Account : SELF-PAY
    GL No/PMC Ref : Credit Term : Cash

    Bill Type : FINAL (R) Adm Time/Date : 17:14 17/03/2009


    Patient Name : ABDULLAH MAHMOOD SALEEM AL CHA Dis Time /Date : 15:44 20/03/2009
    I/C : G1429870 Ward/Rm/Bed/Type : WWD6/D617/DS/EXS
    MRN No : 0800238100 Charge Type : IPD
    Admission No : A090300978
    Admitting Dr : DR MOHAN LAL
    ________________________________________________________________________________________

    DESCRIPTION AMOUNT GOV'T TAX PAYABLE


    (RM) (RM) (RM)
    HOSPITAL CHARGES
    INTENSIVE CARE UNIT 2DAYS$430.00 860.00 43.00 903.00
    RUBY .5DAY$388.00 194.00 9.70 203.70
    SAPPHIRE 1DAY$288.00 288.00 14.40 302.40
    FOOD & BEVERAGE 5.13 0.26 5.39
    ADMIN FEE 4.20 0.00 4.20
    ADMINISTRATIVE CHARGE 35.00 0.00 35.00
    DIAGNOSTIC / MONITORING 291.08 0.00 291.08
    GASEOUS SUPPLY 12.60 0.00 12.60
    IMAGING 431.55 0.00 431.55
    LABORATORY INVESTIGATION 1,017.87 0.00 1,017.87
    MEDICAL & SURGICAL SUPPLIES 2,462.26 0.00 2,462.26
    MEDICATION 3,486.12 0.00 3,486.12
    MONITORING CHARGES 742.08 0.00 742.08
    NURSING PROCEDURE 298.26 0.00 298.26
    OPERATING THEATER 1,386.00 0.00 1,386.00
    SURGICAL PROCEDURE 415.80 0.00 415.80
    Discount (1,257.30) 0.00 (1,257.30)

    DOCTOR CHARGES
    CONSULTATION & ASSESSMENT
    DR DAS, SYLVIAN - ANAESTHESIOLOGY 500.00 0.00 500.00
    Discount (100.00)
    DR KUDVA, M V - GENERAL MEDICINE 630.00 0.00 630.00
    Discount (63.00)
    DR MOHAN LAL - GENERAL SURGERY 450.00 0.00 450.00

    Print Date/Time/User : 09/04/2009 14.24 BPARI


    Remarks :
    NOTE: Payment by cheques only acceptable for corporate accounts.Cheques should be
    Crossed "Account Payee only" and made payable to "PANTAI MEDICAL CENTRE SDN BHD" E.&O.E

    INPATIENT BILL
    ABDULLAH MAHMOOD SALEEM AL CHALABI, Page : 2
    NO 762 BKT OUG CONDOMINIUM Bill No : I090294321 R2
    JLN 3A/155 OF JLN KLANG LAMA Bill Date/Time : 20/03/2009 17:18
    58000 JALAN KLANG LAMA WILAYAH PERSEKUTUAN

    Employee/Co Guarantor : Prepared By : BANTHONY


    Account : SELF-PAY
    GL No/PMC Ref : Credit Term : Cash

    Bill Type : FINAL (R) Adm Time/Date : 17:14 17/03/2009


    Patient Name : ABDULLAH MAHMOOD SALEEM AL CHA Dis Time /Date : 15:44 20/03/2009
    I/C : G1429870 Ward/Rm/Bed/Type : WWD6/D617/DS/EXS
    MRN No : 0800238100 Charge Type : IPD
    Admission No : A090300978
    Admitting Dr : DR MOHAN LAL
    ________________________________________________________________________________________

    DESCRIPTION AMOUNT GOV'T TAX PAYABLE


    (RM) (RM) (RM)

    DR NADARAJAH, A. - GENERAL MEDICI 810.00 0.00 810.00


    Discount (81.00)
    DR YEE KOK MENG - CARDIOLOGY 630.00 0.00 630.00
    Discount (126.00)
    MEDICAL OFFICER FEES
    DR SHAMALARUPAN A/L KASILINGAM 30.00 0.00 30.00
    PROCEDURE
    DR DAS, SYLVIAN - ANAESTHESIOLOGY 985.00 0.00 985.00
    DR MOHAN LAL - GENERAL SURGERY 2,245.00 0.00 2,245.00
    Discount (150.00)
    _______________________________________________________
    TOTAL CHARGES 16,432.65 67.36 16,500.01
    ROUNDING ADJUSTMENT (0.01)
    PAYER BILL SIZE 18,001.30
    LESS DEPOSIT R000828443 17/03/2009 17:26 (2,000.00)
    R000828480 17/03/2009 21:09 (3,000.00)
    LESS PAYMENT R000829914 20/03/2009 17:16 (8,000.00)
    AMOUNT DUE 3,500.00
    Print Date/Time/User : 09/04/2009 14.24 BPARI
    Remarks :
    NOTE: Payment by cheques only acceptable for corporate accounts.Cheques should be
    Crossed "Account Payee only" and made payable to "PANTAI MEDICAL CENTRE SDN BHD" E.&O.E
    __________
    HD" E.&O.E

    __________

    __________
    HD" E.&O.E

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