TAX INVOICE (Finalised) Page 1 of 2

BILL REF. NO. BILL DATE LOCATION

7723053518E0005 19 APR 2023 KCLB (OBS)
 
TAN JING WEN NRIC / FIN / MRN
VISIT DATE     19 APR 2023 10:07 AM
S9928514A

8B UPPER BOON KENG ROAD

#09-524
SINGAPORE 382008

    TOTAL AMOUNT(BEFORE GOVT SUBSIDY) $ 259.00

GOVT SUBSIDY $ -181.30
  TOTAL AMOUNT (BEFORE GST) $ 77.70
  8% GST $ 6.21
  GST absorbed by Govt $ -6.21
  TOTAL AMOUNT (AFTER GOVT SUBSIDY) $ 77.70
TOTAL AMOUNT PAYABLE $ 77.70
Net Payment made $ 0.00
Accepts: PayNow
  FINAL AMOUNT PAYABLE $ 77.70

$ 77.70
FINAL AMOUNT PAYABLE

CHARGES
SERVICES DESCRIPTION BEFORE GOVT SUBSIDY ($) AFTER GOVT SUBSIDY ($)

CONSULTATION AND   PROFESSIONAL FEES - DOCTOR

SERVICES   CONSULT - REPEAT VISIT (1 UN) 103.00 30.90
  LABORATORY INVESTIGATIONS
  ROUTINE CHECK (1 UN) 10.00 3.00
  X-RAY INVESTIGATIONS
  U/S, OBS, SIMPLE(MULTIPLE REQ) (1 UN) 146.00 43.80
    TOTAL AMOUNT (BEFORE GOVT SUBSIDY) 259.00  
    GOVT SUBSIDY -181.30  
    TOTAL AMOUNT (BEFORE GST) 77.70
    8% GST 6.21
    GST absorbed by Govt (for subsidised patient only) -6.21

  TOTAL AMOUNT (AFTER GOVT SUBSIDY) 77.70

PAYMENT SUMMARY
TOTAL AMOUNT (AFTER GOVT SUBSIDY) 77.70
SCHEMES (SCHEME ID) / PAYOR REFERENCE NO. AMOUNT PAYABLE ($)

TAN JING WEN 77.70

Payment Summary to be continued on page 2

  PRINTED ON: 26 APR 2023 08:51 AM

KK Women’s and Children’s Hospital Pte Ltd | www.kkh.com.sg For bill enquiries, please contact us at
100 Bukit Timah Road Singapore 229899 | Tel: +65 6225 5554 https://for.sg/askshs
Company Registration No. 198904227G | GST Reg No. M90368910N ChatBuddy: www.kkh.com.sg/billing-services
 TAX INVOICE (Finalised) Page 2 of 2

BILL REF. NO. BILL DATE PATIENT NAME

7723053518E0005 19 APR 2023 TAN JING WEN
NRIC / FIN / MRN
S9928514A

TAN JING WEN  TOTAL AMOUNT PAYABLE 77.70

Net Payment made 0.00
Bill Number: 7723053518E-0005-01
Bill Location: KCLB
Payment Class: SUBSIDISED FINAL AMOUNT PAYABLE $ 77.70
ST: P S9928514A
*** You are served by SITI NORAFFIZAH BINTE
JUMARI ***

PAYMENT OPTIONS & ADVISORY

Self-Service Kiosk E-Payment
• AXS Station • HealthHub Mobile App
• S.A.M Kiosk • www.healthhub.sg
• DBS Internet and Mobile Banking
• Flywire
Counter Services https://payment.flywire.com/pay
• Service Location /payment
• Business Office • Payment through SGQR Accepts:
• SingPost PayNow
• 7-Eleven Stores

 
Payment Policy
• Credit balance from your bill will be used to offset any other outstanding bills that you may have within the same payment account.
• If no bill number is indicated, the payment received will be used to offset the oldest outstanding bill.

  PRINTED ON: 26 APR 2023 08:51 AM

KK Women’s and Children’s Hospital Pte Ltd | www.kkh.com.sg For bill enquiries, please contact us at
100 Bukit Timah Road Singapore 229899 | Tel: +65 6225 5554 https://for.sg/askshs
Company Registration No. 198904227G | GST Reg No. M90368910N ChatBuddy: www.kkh.com.sg/billing-services