TAX INVOICE (Finalised) Page 1 of 2

BILL REF. NO. BILL DATE LOCATION

Q222195640G0020 02 NOV 2023 QXOPP (PST)

RINA BINTE RAMLI NRIC / FIN / MRN

VISIT DATE 02 NOV 2023 05:06 PM
S8000186Z

540 BEDOK NORTH STREET 3

#06-1206
SINGAPORE 460540

TOTAL AMOUNT(BEFORE GOVT SUBSIDY) $ 292.80

GOVT SUBSIDY $ -144.00
TOTAL AMOUNT (BEFORE GST) $ 148.80
8% GST $ 11.90
GST absorbed by Govt $ -11.90
TOTAL AMOUNT (AFTER GOVT SUBSIDY) $ 148.80
TOTAL AMOUNT PAYABLE $ 148.80
Net Payment made $ 0.00
Accepts: PayNow
FINAL AMOUNT PAYABLE $ 148.80

$ 148.80
FINAL AMOUNT PAYABLE

CHARGES
SERVICES DESCRIPTION BEFORE GOVT SUBSIDY ($) AFTER GOVT SUBSIDY ($)

SUBSIDISED DRUGS DRUGS / PRESCRIPTIONS / INJECTIONS

HydrOXYzine 25MG TAB (120 QTY) 24.00 6.00
FluVOXAMine MALEATE 50MG TAB (480 QTY) 168.00 42.00
OTHERS DRUGS / PRESCRIPTIONS / INJECTIONS
ALPrazolam 0.25MG TAB (84 QTY) 16.80 16.80
traZODone HCL 50MG TAB (120 QTY) 84.00 84.00
TOTAL AMOUNT (BEFORE GOVT SUBSIDY) 292.80
GOVT SUBSIDY -144.00
TOTAL AMOUNT (BEFORE GST) 148.80
8% GST 11.90
GST absorbed by Govt (for subsidised patient only) -11.90
TOTAL AMOUNT (AFTER GOVT SUBSIDY) 148.80

PAYMENT SUMMARY
TOTAL AMOUNT (AFTER GOVT SUBSIDY) 148.80
SCHEMES (SCHEME ID) / PAYOR REFERENCE NO. AMOUNT PAYABLE ($)

RINA BINTE RAMLI 148.80

Payment Summary to be continued on page 2

PRINTED ON: 16 APR 2024 12:45 AM

Sengkang General Hospital Pte. Ltd. | www.skh.com.sg For bill enquiries, please contact us at
110 Sengkang East Way Singapore 544886 | Tel: +65 6930 5000 https://for.sg/askshs
Company Registration No. 201220357K | GST Reg No. M90368910N ChatBuddy: www.skh.com.sg/AskSarah
 TAX INVOICE (Finalised) Page 2 of 2

BILL REF. NO. BILL DATE PATIENT NAME

Q222195640G0020 02 NOV 2023 RINA BINTE RAMLI
NRIC / FIN / MRN
S8000186Z

RINA BINTE RAMLI TOTAL AMOUNT PAYABLE 148.80

Net Payment made 0.00
Bill Number: Q222195640G-0020-01
Bill Location: QCL1
Payment Class: SUBSIDISED FINAL AMOUNT PAYABLE $ 148.80
ST: P S8000186Z
*** You are served by SYNDIE KEIKO TAN ***

PAYMENT OPTIONS & ADVISORY

Self-Service Kiosk E-Payment
• AXS Station • HealthHub Mobile App
• S.A.M Kiosk • www.healthhub.sg
• www.axs.com.sg
• www.mysam.sg
Counter Services • DBS Internet & Mobile Banking
• Service Location • Payment through SGQR Accepts:
• Business Office PayNow
• SingPost

Payment Policy
• Credit balance from your bill will be used to offset any other outstanding bills that you may have within the same payment account.
• If no bill number is indicated, the payment received will be used to offset the oldest outstanding bill.
• Please disregard this if payment has been made.

PRINTED ON: 16 APR 2024 12:45 AM

Sengkang General Hospital Pte. Ltd. | www.skh.com.sg For bill enquiries, please contact us at
110 Sengkang East Way Singapore 544886 | Tel: +65 6930 5000 https://for.sg/askshs
Company Registration No. 201220357K | GST Reg No. M90368910N ChatBuddy: www.skh.com.sg/AskSarah