INVOICE

AUGUST

POLIKLINIK PEKAN MERU

NO 6A LORONG MAHANG,

TAMAN MERU UTAMA

41050 KLANG. SELANGOR
DATE
Invoice No

NO
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22

DATE
04.08.14
04.08.14
04.08.14
06.08.14
07.08.14
09.08.14
12.08.14
12.08.14
13.08.14
14.08.14
14.08.14
18.08.14
18.08.14
18.08.14
18.08.14
20.08.14
22.08.14
22.08.14
25.08.14
27.08.14
27.08.14
29.08.14

LAB
H 20028
H 20044
H 20045
H 20057
H 20076
H 20089
H 20113
H 20114
H 20119
H 20135
H 20136
H 20147
H 20148
H 20149
H 20150
H 20168
H 20186
H 20187
H 20199
H 20241
H 20242
H 20261

PATIENT NAME
Surendra Ram
Zahirul Islam
Mohd Anif Khan
Maran a/l Mat Chap
Jay Mangal Mahato
Mohd Ali Azam
Zulaika Mohd Joha
Asadul
Bhola Sah
Zakaria bin Laporenja
Jexyinta Anthonisamy
Laltu Sana
Asadul
Abul Monjur
Helil Rani
Endang Sukianti
Muhammad Khair bin Ahmad
Wffa bin Zulkafly
Firoz Sarder Mojid
Roshdi bin Rusli
Sarawanan
Nur Rini Cahyaningsih

04.09.14
2585

TEST REQUESTED
HIV / VDRL
HBAIc
JS I / HBAIc
D F S- 16

L F T- 36
D F S- 16
DST-21 / UPT
JS I
FBP
DST-21
HBAIc
TS-50
HBAIc
D F S- 16
HP-28 / F B P
TS-50
Urine Feme
JS I / HBAIc
D F S- 16
JS I
D F S- 16
Ant - 5

Bank Account :
RHB 21229100019077
.
JSS MEDICAL LAB (M) SDN BHD
TOTAL

AMOUNT
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM

22.00

RM

777.20

20.00

70.00
45.00

15.00
45.00
23.00
50.00
15.00
15.00
20.00
40.00
20.00
45.00
50.00
40.00
5.20
70.00
45.00
50.00
45.00
27.00