INVOICE

Bill To In Reference To
Besedovskyi Vadym
(MRN: 2300043)
106-90 Alexsnder St
Vancouver BC
Ph: (236) 591 8697

Invoice # 00019452 Invoice Date 07 Mar 2023

Exam Date 07 Mar 2023 Birthdate 15 Aug 1996
Exam Location Laurel PHN

Reading Physician: Dr. Sood, Shahil

Service Item Total

Immigration Chest - Ukrainian REF 60.00
Invoice Total: $60

Payment Date Payment Method Paid By Amount

07 Mar 2023 Cash (VISA) Patient $60.00

Total Payments: $60.00

Balance Due: $0.00

Please remit payment to the following office:

WEST COAST MEDICAL IMAGING INC.
888 W. 8TH AVENUE
Attn: ACCOUNTS PAYABLE