RECEIPT

NO:# 1075835
VAT Number: 300437958200003
Receipt Date : 1/8/2022 6:31:02 PM

Patient Name :
MUHAMMAD MUAAZ AHMAD
Registration No: 0020159296 Encounter NO: 2283495
Age/Gender : 5 Years/Female Lab No : 0
Payment Mode: Cash Speciality : OPHTHALMOLOGIST TOTAL DUE
Nationality : PAKISTANI Doctor : 25673-FARID KHALID CHISHTI
Company : 4190-MEDGULF-FALAK ELECTRONIC SAR 31.91
Company ID : 13765797

Code Description Unit(s) Unit Cost Discount VAT% VAT Amount

102004 CONSULTANT FEE 1 138.74 0.00 15 4.07 31.91

Cash Amount: 31.91

Less Discount : 0.00
Total Excl. VAT : 31.91
VAT Amount : 4.07
Net Amount After VAT : 31.91
(Saudi Riyals Thirty One and 91.00/100 Halala)

Almana General Hospitals Phone : 0138797000 Fax : 000 VAT #: https://almanahospital.com.sa/

300437958200003