Nafcional University TAX INVOICE Page 1 of 2

Hospital
BILL REF. NO, 81 LL DATE LOCATION
1522261982J-00002 26 OCT 2021 HEART CLINIC ©LEVEL 3

MR. LIM UK WEE NFtlC/FIN/MRN

ViSITDATE > 25 OCT 2021 U5:ZOPM
SXXXX755B

BLK39B #02-01
JALAN PEMIMPIN
SURVIVAL SYSTEMS
INTERNATIONAL OFFSHORE
SINGAPORE-577184
TOTAL AMOUNTfBEFORE GOVT SUBSiDY) $ 90.00
s B GOVT SUBSIDY $ -18.00
TOTAL AMOUNT (BEFORE GST) $ 72,00
7% GST $ 5.02
GST absorbed by Govt s -5.02

TOTAL AMOUNT (AFTER GOVT SUBSIDY) $ 72.00

TOTAL AMOUNT PAYABLE $ 72.00
Net Payment made $ 0.00
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FINAL AMOUNT PAYABLE $ 72.00
Accepts: PayNow

$72.00
FINAL AMOUNT PAYABLE

CHARGES
SERVICES OESCFIIPTfON BEFORE GOVT SUBSIDY i$) AFTER GOVT SUBSIDY ($)

CONSULTATION AND Specialised

SERVICES 12-LeadECG 90.00 72.00

TOTAL AMOUNT (BEFORE GOVT SUBSIDY) 90.00

GOVT SUBSIDY -18.00

TOTAL AMOUNT (BEFORE GST) 72.00

7% G ST 5,02

GST absorbed by Govt (for subsidised patient only) -5.02

TOTAL AMOUNT (AFTER GOVT SUBSIDY) 72.00

PAYMENT SUMMARY
TOTAL AMOUNT (AFTER GOVT SUBSIDY) 72,00

SCHEMES (SCHEME ID) / PAYOR REFERENCE NO. AMOUNT PAYABLE |i)

MR.LIM LIKWEE 72.00

MR. LIM UK WEE TOTAL AMOUNT PAYABLE 72.00

Payment Summary to be continued on page 2

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PRINTED ON: 2G OCT 2021 U5:'12 AM

National University Hospital (S) Pte Ltd | www.nuh.com.sg For biil enquiries, please contact uy at
5 Lower Kent Ridge Road, Singapore 119074 | Tel: +65 6779 5555 Email: payment@>1fss,com.sg
Company Registration No. 1985D0843R | GST Reg No. M2-0069889-4 Tel: +65 6407 8138
 I. . National Universiby TAX INVOICE Page 2 of 2

^!§ Hospital
BILL REF. NO. BILL DATE PA11ENT NAME
1 522261982J-00002 26 OCT 2021 MR. LIM LIKWEE
NRIC / FIN/ MRN
SXXXX755B

Net Payment made 0.00

FINAL AMOUNT PAYABLE $ 72.00

PAYMENT OPTIONS & ADVISORY

Self-Service Kiosk
E-Payment sm^i i^l^B
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• AXS Station
• OneNUHSApp
• HealthHub Mobile App
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• S.A.M Kiosk
• Payment through PayNow
by scanning the SGQR
code on this bill with your
o Counter Services
banking app
• Centralised Payment • 7-Eleven
• DBS/POSB Digibank
Counters Stores
online/mobile or DB5
• SingPost
Paylah!
• AXS e-Stations/m-Stations
• SAM web/mobile.

Payment Policy
• Credit balance from your bili will be used to offset any other outstanding bills that you may have within the same payment account.
• If no bill number is indicated, the payment received will be used to offset the oldest outstanding bill.
• Payment made via AXS and E-Payments will be updated to your bill within 3 working days.

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PRINTED ON: 26 GCT 2021 05.^3 AM

National University Hospital (S) Pte Ltd | www.nuh.com.sg For bill enquiries, please contact us at
5 Lower Kent Ridge Rosd, Singapore 119074 j Tel: +65 6779 5555 Email: payment@l1fss.com.sg
Company Registration ND. 198500843R | GST Reg No, M2-0069889-4 Tel; +656407 8138