INVOICE

SENTOSA MEDICAL CTR PAYER ACCOUNT : 35240

36 JLN CHEMUR KOMPLEKS DAMAI A/C CLASS : DOC
INVOICE DATE : 30/04/20
KUALA LUMPUR INV.NO. : 1060841
50400 C07 KL3 TERMS : 30 days
_____________________________________________________________________________________________________________________
Referred Laboratory Patient Name NRIC Bill. Test Description RM
Date Number Item
_____________________________________________________________________________________________________________________
DR LABORATORY DEPT
20/03/20 20 1340909 HO NYANG CHONG 500505086243 3276 Single IHC Marker 135.00
1673. Histo.level8 (small spe.) 100.00
3276 Single IHC Marker 135.00
1673. Histo.level8 (small spe.) 100.00
31/03/20 20 1514916 CHONG KUANG HUEI 820423085979 1291 General Cytology 75.04
20 1514917 THEE MEI KWAN 891118145144 1291 General Cytology 75.04
20 1514918 THEE MEI KWAN 891118145144 1511 Histo.level2 (medium spe) 150.00
1673 Histo.level8 (small spe.) 100.00
20 1575668 ONG KAI PING 850225016152 4011 PHOSAB PROFILE 203.34
06/04/20 20 1576371 SIVASAKTHY ARUMUGAM E6011845L 1067 B-J PROTEIN EPP 178.30
07/04/20 20 1576624 LETCHUMY A/P SATHASIVAM 500201085102 1511 Histo.level2 (medium spe) 150.00
21/04/20 20 1586492 LETCHUMY A/P SATHASIVAM 500201085102 1676 Histo.level9 (large spe.) 260.00
20 1586494 LETCHUMY A/P SATHASIVAM 500201085102 1291 General Cytology 75.04
23/04/20 20 1583190 THAMARAI A/P M KUMARESAN 841130146240 1193 Mitochondrial Ab 80.09
1142 Anti Smooth Muscle Ab 80.09
26/04/20 20 1583936 DARWIN RAJ A/L RAVINCHANDIR 140318102985 1673 Histo.level8 (small spe.) 100.00
DR LIEW YUH MING
06/04/20 20 1576369 PATRICIA BARRETTO EC6421444 1786 G2000 68.20
07/04/20 20 1576640 PATRICIA BARRETTO EC6421444 3378 Surepath PAP Test 62.54
09/04/20 20 1585805 KUAN SEOW ENG 540520105488 3378 Surepath PAP Test 62.54
20 1585806 TIEW LAY SIM 770927105168 3378 Surepath PAP Test 62.54
20 1585807 SAKIRAH BANU A/P ABDUL LATH 670613715408 3378 Surepath PAP Test 62.54
13/04/20 20 1582982 SULISTIANAH B1526354 3378 Surepath PAP Test 62.54
20 1582983 YEONG MEI LAN 680728106168 3378 Surepath PAP Test 62.54
21/04/20 20 1586493 ONG WER THENG (SHANNA) 950323145714 3378 Surepath PAP Test 62.54
20 1588065 ONG WER THENG (SHANNA) 950323145714 1229 Urine M/C/S 32.50
25/04/20 20 1577428 CHAN MEI YEE 810102145556 2088 HBA1C TAG ON BILLING 15.00
1786 G2000 60.00
3016 PROLACTIN (TAGON) 10.00
20 1577536 CHAN MEI YEE 810102145556 3378 Surepath PAP Test 62.54
20 1601215 LIM LEE ENG 570119045404 1222 Bacterial Pathogens 45.23
27/04/20 20 1579544 ROSEMARY IRENE TAN 791126065322 3378 Surepath PAP Test 62.54
DR YOGARAJ RAMANATHAN
26/03/20 20 1575794 GOKILLAVHANI A/P SATHIASEEL 850621105886 4103 Herpes Simplex Virus PCR 249.90
30/03/20 20 1514651 AYATULNISHA A/P ABDUL MAJIE 870716145512 1102 Antenatal Screen 49.00
1040 HBA1C 25.04
02/04/20 20 1529223 THASBIK NISHA N4947940 1087 THALASSAEMIA STUDIES 125.00

Our reference: 328427-130 C07 KL3 SUB TOTAL (RM) : 3,239.67

Page: 1 Continued ...

 INVOICE

SENTOSA MEDICAL CTR PAYER ACCOUNT : 35240

36 JLN CHEMUR KOMPLEKS DAMAI A/C CLASS : DOC
INVOICE DATE : 30/04/20
KUALA LUMPUR INV.NO. : 1060841
50400 C07 KL3 TERMS : 30 days
_____________________________________________________________________________________________________________________
Referred Laboratory Patient Name NRIC Bill. Test Description RM
Date Number Item
_____________________________________________________________________________________________________________________
04/04/20 20 1515468 LETCHUMY A/P SATHASIVAM 500201085102 1894 TAG ON - CA125 12.54
1894 TAG ON - CEA 12.54
1561 General Screen-9 Test 97.40
2088 HBA1C TAG ON BILLING 19.38
2119 TAG ON - CRP 12.54
1894 TAG ON - CA19.9 12.54
08/04/20 20 1576979 CHAN SIAU WEI 890730145314 2119 TAG ON - CRP 12.54
1894 TAG ON - CEA 12.54
1894 TAG ON - CA125 12.54
1561 General Screen-9 Test 97.40
1894 TAG ON - CA19.9 12.54
13/04/20 20 1491882 CHEW LAI CHOO 770624145824 1082 Full Blood Picture 23.50
15/04/20 20 1581883 SOUNDARAVALLI KEERRTHIGA PA S8544456 1295 PAP SMEAR 19.38
16/04/20 20 1584415 MONIKA CHANDRA JAYANTHI PEI N6782287 1102 Antenatal Screen 49.00
22/04/20 20 1587624 SHALINI A/P JAYARAMAN 900712145106 1082 Full Blood Picture 23.50
1102 Antenatal Screen 49.00
1378 Thyroid Studies 52.26
20 1587981 SHUBA A/P KALASALVAN 830118145604 1040 HBA1C 25.04
1102 Antenatal Screen 49.00
1378 Thyroid Studies 52.26
24/04/20 20 1583445 FATIN NABILA BINTI BURHAN 940325025506 1102 Antenatal Screen 49.00
28/04/20 20 1579929 URMI AKTER BR0728566 1295 PAP SMEAR 14.00

TOTAL : 3,960.11

_______________________________________
TOTAL PAYABLE : 3,960.11
=======================================

Our reference: 328427-140 C07 KL3

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