Anaesthesia

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VAT REG. NO. : 300098261700003


17-Jan-2023 INVOICE NO - IPCR0000011973 2:52 PM
717218 224 08-Dec-2022 08:03
09-Dec-2022
.atyaf, ABDULLAH HASSAN .abdullah
.,
BUPA-435 - Bupa - Jazan Integrated Gasification and Power Company - 45691500
CUSTOMER VAT REG. NO. : 9876543210
GRADE : CLASS VIP
UR68 - NAIF MAHMOUD ALAMRY

ANAESTHESIA

1 FMANA-0006 CARDIAC MONITORING/30 MINS 08-Dec-2022 1 49.05 49.05


2 FMANA-0006 CARDIAC MONITORING/30 MINS 08-Dec-2022 1 49.05 49.05
3 FMANA-0006 CARDIAC MONITORING/30 MINS 08-Dec-2022 1 49.05 49.05
4 FMANA-0006 CARDIAC MONITORING/30 MINS 08-Dec-2022 1 49.05 49.05
5 FMANA-0010 SPINAL ANESTHESIA 08-Dec-2022 1 347.03 347.03
6 FMANA-0014 OXYGEN (O2) PER HOUR 08-Dec-2022 1 42.92 42.92
7 FMANA-0034 PREMEDICATION VISIT 08-Dec-2022 1 135.38 135.38
Subtotal : 721.53

CENTRAL STORAGE SUPPLIES

DEVICE REZUM DELIVERY BOSTON#D2201-


8 0000040069 08-Dec-2022 1 28,980.00 28,980.00
003
APRON PLASTIC WHITE LARGE
9 MS-A-000009 08-Dec-2022 3 1.80 5.40
DISPOSABLE
BAG URINE DRAINAGE STERILE 2000ML
10 MS-B-000153 08-Dec-2022 1 19.32 19.32
DISP.
COVER STERILE F/CAMERA 13x250CM
11 MS-C-000050 08-Dec-2022 1 209.32 209.32
KARL STORZ/ZEISS #538X/31401/306071
CATHETER FOLEY SILICON ELAST. 3WAY
12 MS-C-000122 08-Dec-2022 1 257.60 257.60
/18CH / 30M
DRAPE SURGICAL COVER 150x120~190CM
13 MS-D-000103 08-Dec-2022 3 128.80 386.40
STERILE #JM-OP6076
14 MS-G-000010 GLOVES SURGEON SIZE 6.5 STERILE 08-Dec-2022 3 22.88 68.64
15 MS-G-000013 GLOVES SURGEON SIZE 8 STERILE 08-Dec-2022 6 22.88 137.28
16 MS-G-000091 GOWN SURGEON X-LARGE STERILE 08-Dec-2022 3 128.80 386.40
SOLUTION PREP ALPHADINE POVIDINE
17 MS-S-000077 08-Dec-2022 1 386.40 386.40
10% #021-DIN-0004 (BTL/1LTR)
SYRINGE 10ML LUER LOCK W/O NEEDLE
18 MS-S-000149 STERILE TERUMO/BD 08-Dec-2022 2 4.04 8.08
#SS*10L/9604/300912
TUBING SET IRRIGATION WITH 2
19 MS-T-000319 PUNCTURE NEEDLES 1X1 MEDICAL 08-Dec-2022 1 1,725.00 1,725.00
TECHNICAL PROMOTION #031328-10
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20 MS-U-000003 UNDERPAD BLUE 60X80CM DISP. 08-Dec-2022 8 10.16 81.28


ELECTRODE ECG PREGELLED PEDIATRIC
21 MS-E-000003 08-Dec-2022 3 3.88 11.64
STERILE DISPOSABLE #P40SG/12876
INFUSION SET INTRAFIX DISPOSABLE
22 MS-I-000005 08-Dec-2022 1 15.32 15.32
B/BRAUN #JM-S2407/402962/LL60006
MASK OXYGEN ADULT NON-REBREATHING
23 MS-M-000002 08-Dec-2022 1 53.12 53.12
#MP01920
24 MS-N-000124 NEEDLE SPINAL G25x3.5" STERILE 08-Dec-2022 1 88.56 88.56
SYRINGE 5ML W/O NEEDLE STERILE
25 MS-S-000004 08-Dec-2022 2 3.08 6.16
TERUMO/BD #SS*05L/302187
SWAB GAUZE 10x10CM 12PLY PLAIN NON
26 MS-S-000146 08-Dec-2022 20 1.28 25.60
STERILE
SYRINGE 10ML LUER LOCK W/O NEEDLE
27 MS-S-000149 STERILE TERUMO/BD 08-Dec-2022 1 4.04 4.04
#SS*10L/9604/300912
28 MS-C-000005 CAP SURGEON F/DOCTORS HOOD 09-Dec-2022 1 3.08 3.08
29 MS-C-000089 CANNULA IV VENFLON 22G W/PORT 09-Dec-2022 1 22.88 22.88
30 MS-G-000091 GOWN SURGEON X-LARGE STERILE 09-Dec-2022 1 128.80 128.80
NEEDLE HYPO 22Gx1.5" STERILE
31 MS-N-000004 09-Dec-2022 2 2.12 4.24
TERUMO/BD #NN*2238R/301000
SYRINGE 5ML W/O NEEDLE STERILE
32 MS-S-000004 09-Dec-2022 4 3.08 12.32
TERUMO/BD #SS*05L/302187
SYRINGE TUBERCULIN 1ML 25~29G
33 MS-S-000007 09-Dec-2022 4 4.64 18.56
TERUMO #SS+01T2516/9623/601036
34 MS-S-000144 SWAB ALCOHOL STERILE 09-Dec-2022 2 0.32 0.64
SYRINGE 10ML LUER LOCK W/O NEEDLE
35 MS-S-000149 STERILE TERUMO/BD 09-Dec-2022 4 4.04 16.16
#SS*10L/9604/300912
SYRINGE 20ML W/O NEEDLE STERILE
36 MS-S-000150 09-Dec-2022 4 8.04 32.16
TERUMO/BD #SS*20L/300629
SYRINGE 3ML W/O NEEDLE STERILE
37 MS-S-000151 09-Dec-2022 4 2.88 11.52
TERUMO/BD #SS*03L/9586
SET ADMN DOSIFIX PEDIA 150ML SPAIN
38 MS-S-000153 09-Dec-2022 1 64.40 64.40
#403701/4 /DFP-87-F
39 MS-T-000232 TISSUE FACIAL W/OUT LOGO 2 PLY 09-Dec-2022 1 20.16 20.16
URINAL MALE PLASTIC DISPOSABLE
40 MS-U-000004 09-Dec-2022 1 72.44 72.44
#13554-0030/JM-U3015
Subtotal : 33,262.92

MEDICAL SUPERVISION

41 FM39099999 MEDICAL SUPERVISION - 224 08-Dec-2022 1 430.00 430.00


42 FM39099999 MEDICAL SUPERVISION - 224 09-Dec-2022 1 430.00 430.00
Subtotal : 860.00

NURSING ADMINISTRN

INTRAMUSCULAR OR SUBCUTICULAR
43 FMNUR-0001 09-Dec-2022 1 14.72 14.72
INJECTION
44 FMNUR-0002 I.V. INJECTION 09-Dec-2022 2 15.94 31.88
45 FMNUR-0003 I.V.FLUID INSERTION 09-Dec-2022 1 74.80 74.80
46 FMNUR-0020 I.V. CANULA 09-Dec-2022 1 20.85 20.85

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47 FMNUR-0042 ECG DONE BY NURSE ON THE WARD 09-Dec-2022 1 127.53 127.53


Subtotal : 269.78

PHARMACY

48 P11FORTA2J FORTA-Z 1GM X 1VIAL 08-Dec-2022 2 38.95 77.90


49 P09RINGE5IC RINGER LACTATE 500ML X1 08-Dec-2022 1 5.65 5.65
MARCAINE HEAVY 0.5% / 4ML AMPULES
50 P14MARC11JC 08-Dec-2022 1 50.00 50.00
X 1 (FDA)
Subtotal : 133.55

ROOM AND BOARD

51 USE OF FACILITIES - 224 08-Dec-2022 1 1,723.70 1,723.70


52 USE OF FACILITIES - 224 09-Dec-2022 1 1,723.70 1,723.70
Subtotal : 3,447.40

TAKE HOME MEDICINES

PROSNORM 5MG-TABLET (FINASTERIDE) X


53 P08PROSN1T 09-Dec-2022 14 2.26 31.64
30
54 PP02OMNIC1T OMNIC  OCAS   0.4 MG  TAB  X 30 09-Dec-2022 14 2.39 33.46
55 PP11QUINO1T QUINOX 500 MG TAB X 10 09-Dec-2022 10 6.90 69.00
Subtotal : 134.10

UROLOGY CLINIC

REZUME(ENDOSCOPIC WATER VAPOR


56 FMURO40258 08-Dec-2022 1 25,000.00 25,000.00
THERAPY OF PROSTATE)
Subtotal : 25,000.00
--------------------
TOTAL CHARGES (SAR) 63,829.28

PAYMENTS

DATE RECEIPT AMOUNT


--------------------
TOTAL PAYMENT 0.00
--------------------
BALANCE 62,756.15

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