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  • Outstanding Bill Assist Card

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    Putu Trisnayadi Darmawan
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    This bill of payment from 24 Hours Medical Assistance details medical costs for 4 patients - Martin Terrazas, Claudio Lopez, Jiansheng Wang, and again Jiansheng Wang - totaling Rp27,850,000 with no discount and the full amount outstanding. It provides the patient names, dates of visits, invoice numbers, costs, and totals.

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    OUTSTANDING BILL ASSIST CARD

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    This bill of payment from 24 Hours Medical Assistance details medical costs for 4 patients - Martin Terrazas, Claudio Lopez, Jiansheng Wang, and again Jiansheng Wang - totaling Rp27,850,000 with no discount and the full amount outstanding. It provides the patient names, dates of visits, invoice numbers, costs, and totals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    5 views1 page

    Outstanding Bill Assist Card

    Uploaded by

    Putu Trisnayadi Darmawan
    This bill of payment from 24 Hours Medical Assistance details medical costs for 4 patients - Martin Terrazas, Claudio Lopez, Jiansheng Wang, and again Jiansheng Wang - totaling Rp27,850,000 with no discount and the full amount outstanding. It provides the patient names, dates of visits, invoice numbers, costs, and totals.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    24 Hours Medical Assistance

    Excellent Case and Hospitality


    Camplung Tanduk Street, No. 108, Seminyak, Badung, Bali 80361 - Phone (+62) 361 9343911

    Denpasar, Feb-13-2024

    BILL OF PAYMENT

    Payment to : BHAKTI VEDANTA BALI - ULUWATU


    Subject : Payment
    Medical Assistance : ASSIST CARD

    Direct Billing / GOP Cases


    Date of
    No Patient Name Invoice No Invoice (IDR) Unit Total (IDR)
    Visit
    1 MARTIN TERRAZAS 04/02/2024 INV/38081/45327 Rp 6.253.000 1 Rp 6.253.000
    2 CLAUDIO LOPEZ 08/02/2024 INV/54562/45331 Rp 6.915.000 1 Rp 6.915.000
    3 JIANSHENG WANG 05/02/2024 INV/62665/45327 Rp 8.469.000 1 Rp 8.469.000
    4 JIANSHENG WANG 09/02/2024 INV/71976/45332 Rp 6.213.000 1 Rp 6.213.000

    Sub-total (IDR) Rp 27.850.000


    Discount (%) 0%
    Total (IDR) Rp 27.850.000
    Paid (IDR) Rp -
    Outstanding Bill (IDR) Rp 27.850.000

    Billing by,

    Vivi
    Billing Dept.

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