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H0SAR

HOSPITAL
INTERCONTINENTAL

INVOICE
(Fatura)
Patient Name (Hasta Ad1 Soyad1) JACQUELINE ZIZAEP MAKOSSO
Treatment Number (Tedavi Numaras1) 100002259826
Protocol Number (Protokol Numaras1) 100000579648
Treatment Start Date (Tedavi Ba_lama Tarihi) 09.08.2023
Discharge Date (Ç1k1_ Tarihi) 09.08.2023
Physician Name (Doktor Ad1 Soyad1) DR.ÖR.ÜYES0 MUSTAFA SOLAK

Received Services (Al1nan Hizmetler) Currency Amount (Tutar)


(Para Birimi)
|Interventional Services (Brachytherapy) USD 5500
|Anesthseia USD 600
Grand Total (USD)
(Genel Toplam) 6100

sSAvve TiC.
Sara ih. Sitefolå
Umrani- iaN 51
13
aks:0216 524
021/6 524 13/io 463 024 5293
Tel: Alemda.

BANKA F0NANSBANK USD ($) FINANSBANK EURO (E) z0RAAT BANKASI USD ($) z0RAAT BANKASI EURO (E)
IBAN TR40 0011 1000 0000 0026 8960 45 TR23 0011 1000 0000 0026 8960 60 TR 79000100 2248 4505 5707 5040 TR 5200o 0100 2248 4505 5707 5041
SWIFT KOD FNNBTRIS FNNBTRIS TCZBTR2A TCZBTR2A

www.hisarhospital.com| Saray Mah.Site Yolu Cad. No:7 34768 Ünraniye / 0stanbul T. +90216 524 13 00(Pbx) )444 5888J

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