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Hadassah Medical Center, Kiryat Hadassah DATE:

Jerusalem 91120, Israel INVOICE #


Phone +972 (2) 677 7297 FOR: Consultation at
Hadassah hospital
IMER 10-10-163

Bill To:
Kolchenko Ivan

DESCRIPTION AMOUNT
Medical First Assesment Prof. Melmed $ 440.00
Radiology review $ 460.00
Medical Consultation Dr. Weintraub $ 440.00
Laboratory and radiology tests $ 167.00
Biopsy under CT $ 3,957.00
Echo $ 660.00

IMER Airport Express $ 200.00


Sim card $ 25.00

FUTURE
MRI (3) $ 4,380.00
CT (3) $ 2,190.00
PET Scan $ 2,390.00
Port Insertion $ 6,900.00
Hospitalization incl. Chemo Therapy Package (120 days) $ 250,088.00

TOTAL (USD): $ 272,297.00

Total Paid (USD) $ 38,380.00


Balance (USD) $ -233,917.00

If you have any questions concerning this invoice, contact Ilan Tamir +972 (52) 515 6464

THANK YOU FOR YOUR TRUST!

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