I-Scan Healthcare Inc.

2119 Dimasalang, Brgy 371 Zone 037,

Sta Cruz Manila, Metro Manila, 5403, PH

8-314-8888, 8-414-8888
customercare-iscandiagnostic@gmail.com

Bill To Salonga, Zian Clyde M. Date 4/20/2024

Blk 18a Lot Camella Brgy Bagtas
Tanza, Cavite 4108, PH Physician name
Sarah Samantha C.Obida
Anesthesiology

Description Quantity Unit price Amount

Cranial MRI with Contrast 1 ₱ 13,200.00 ₱ 13,200.00

Sedation 1 ₱ 15,000.00 ₱ 15,000.00

Total ₱ 28,200.00

Paid Amount ₱ 28,200.00

Balance Due ₱ 0.00

Cindy Mae Balot

By:_________________________________
Cashier / Authorized Representative

This document has been electronically validated

QUEZON CITY BRANCH MANILA CITY BRANCH VALENZUELA CITY BRANCH
86B Malakas St., Quezon City (Tel# 927-2659/928-6197) 2119 Dimasalang Road, Manila City (Tel# 241-8888) 584 McArthur Highway,Valenzuela (Tel# 961-2371)
MRI 1.5T / 128 Slice CT Scan / Nuclear Medicine / PET-CT Scan / MRI 1.5T/128 Slice CT Scan / Multi-slice CT Scan / General Ultrasound/
General Ultrasound / Digital Mammography/ General Ultrasound / Digital Mammography / 2D Echocardiography
2D Echocardiography / Digital X-Ray 2D Echocardiography / Digital X-Ray
Monday, April 22, 2024 Report Status: 4 - Finalized Date Finalized: 4/20/2024 Page 1 of 1 Version:1