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  • Walk-In Charge Slip - 2024-04-18T101743.602

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    Walk-in Charge Slip - 2024-04-18T101743.602

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    1 views1 page

    Walk-In Charge Slip - 2024-04-18T101743.602

    Uploaded by

    thcimrd24

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    The Health Centrum, Inc.

    Brgy. Banica, Roxas City, 5800, Capiz


    Others Charge Slip
    Name:
    BESORIO, JINKY ARTATES
    Hospital Number: 00013535 Date: 04/18/2024 10:16

    QTY Charge Unit Price Total Price

    1.00 0.00 0.00


    OTHER HOSPITAL CHARGES
    1.00 Doctor's fee-Medical 100.00 100.00
    Abstract
    1.00 Medical Abstract 300.00 300.00
    8.00 Certified True Copy 8.00 64.00
    Medical Records (per
    page)
    TOTAL: 464.00
    Entered by: VILLARUZ, VINCENT

    Page: 1 / 1

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