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ROUGH BILL SURGERY-CABG + ANGIOGFtAM

PATIENTS DATA F/B: NO NHL


DATE 24/06/2017

BHT NO : 1714431

NAME : REV (M) P. CHANDAVIMALA THERO

ADDRESS : SHANTHINIKETANA MAFIA PIRIWENA,


KAPUKOTUWA,
WALAWELA
, MATALE

TYPE OF SURGERY : CORONARY ARTERY BYPASS GRAFT


SURGERY + ANGIOGRAM

NAME OF SURGEON : DR. A.G JAYAKRISHNAN MS FRCS (C.TH)

DATE OF ADMISSION 19/06/2017

DATE OF SURGERY 21/06/2017

DATE OF DISCHARGED

COST OF ANGIOGFtAM 39235.00

COST OF SURGERY 485,000.00

OUT OF PACKAGE CHARGES


DRUGS/INJECTIONS/SUR:SUPPLIES 425,269.40
CARDIAC INSTRUMENT CHARGES 2,500.00
LAB INVESTIGATION 10,952.60
PHYSIOTHERAPHY 625.00
BLOOD BANK 15,906.25

TOTAL 979,488.25
VAT CHARGES 14,265.00
TOTAL BILL WITH VAT 993,753.25

DEPOSIT AMOUNT 551,350.00

BALANCE DUE 442,403.25

ACCOUNTANT BILLING

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