FINANCE DEPARTMENT

KPJ JOHOR SPECIALIST HOSPITAL

39B, JALAN ABDUL SAMAD
TAMAN KOLAM AYER, 80100 JOHOR BAHRU
JOHOR

PATIENT NAME : PREMA NAMBIAR A/P KRISHNAN

NO. KP : 570422-02-6433
WARD OF ADMISSION : SURGICAL WARD (FEMALE)
DATE AND TIME OF ADMISSION : 24 NOVEMBER 2021 , 05:29 PM
GUARDIAN : DR. KAARTHIKESHEN SELVADORAI (PEGAWAI
PERUBATAN UD44 ENT HSAJB)
INTENDED OPERATION : LAPOROTOMY AND KIV PROCEED

This letter is to inform the above mentioned guardian that the above mentioned patient, Ms. Prema
Nambiar A/P Krishnan has been admitted to KPJ Johor Specialist Hospital at 5.29pm today,
24/11/2021 and has been planned for a LAPOROTOMY AND KIV PROCEED as EMERGENCY. The carer
of this patient is advised to clear the total cost of this operation of RM 38, 500 (amount pending RM
500) with FINANCE DEPARTMENT KPJ JOHOR SPECIALIST HOSPITAL by 10:00 AM, 25/11/2021 or the
hospital management would unfortunately NOT BE ABLE to proceed with the operation mentioned
above.

Total Cost of Surgery RM 42 500

Amount Paid RM 42 000
Amount Pending RM 500

Thank you.

Regards,
FINANCE DEPARTMENT
KPJ JOHOR SPECIALIST HOSPITAL
JOHOR BAHRU

24 NOVEMBER 2021
This is a computer generated notice, therefore no signatures are required.