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    This document appears to be a bill summary from Ship International Hospital in Dhaka, Bangladesh for patient Shinya Kiriki. The summary includes personal information about the patient, admission and discharge details, an itemized list of charges totaling 15,182 Taka (approximately $180 USD), and payment details showing an advance payment of 30 Taka and an outstanding balance of 15,152 Taka. The hospital is located at Dhaka-Ashulia Highway, Nishatnagar, Turag, Uttara, Dhaka- 1711.

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    This document appears to be a bill summary from Ship International Hospital in Dhaka, Bangladesh for patient Shinya Kiriki. The summary includes personal information about the patient, admission and discharge details, an itemized list of charges totaling 15,182 Taka (approximately $180 USD), and payment details showing an advance payment of 30 Taka and an outstanding balance of 15,152 Taka. The hospital is located at Dhaka-Ashulia Highway, Nishatnagar, Turag, Uttara, Dhaka- 1711.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    27 views1 page

    Adfasd

    Uploaded by

    Shah Jalal Bhuiyan
    This document appears to be a bill summary from Ship International Hospital in Dhaka, Bangladesh for patient Shinya Kiriki. The summary includes personal information about the patient, admission and discharge details, an itemized list of charges totaling 15,182 Taka (approximately $180 USD), and payment details showing an advance payment of 30 Taka and an outstanding balance of 15,152 Taka. The hospital is located at Dhaka-Ashulia Highway, Nishatnagar, Turag, Uttara, Dhaka- 1711.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Ship International Hospital

    Dhaka-Ashulia Highway, Nishatnagar, Turag, Uttara, Dhaka- 1711.


    Dhaka-1711.

    Original Report IPD Bill Summary Patient Copy

    *H12209066255* HN : H12209066255 AN : A2209007539 *A2209007539*


    Patient : SHINYA KIRIKI
    Age : 26Y 5M 5D DOB : 24/04/1996 Gender : Male Marital Status :
    Father : Mother :
    Spouse : E-mail :
    Contact No. : 01810008860 National ID :
    Contact Person : MIUP Contact No.:
    Address : FLAT-5C, H-18, R-126, GULSHAN -1, DHAKA (MIUP) Corporate : AWP Services (Thailand) Co., Ltd. (
    C065 )
    Referred By : DR. TASLIMA ZAMAN Country :
    Consultant : DR. TASLIMA ZAMAN
    Admitted on : 29/09/22 11:29:44 AM Discharge Req. Date: 29/09/22 05:01:3 Patient Type : Corporate Patient
    Dis. Req. on : 29/09/22 05:01:37 PM Ward Name : DUMMY WARD
    Department : GASTROENTEROLOGY & HEPATOBed Name : DUMMY24
    Dis. Status :0 MPO Name :
    Adm. Remarks :
    Remarks :

    Particulars Amount
    PATHOLOGY 3,700.00

    MEDICINE 586.00

    BED CHARGE 5,000.00

    FOOD & BEVERAGE 30.00

    IPD CONSULTATION 2,000.00

    IPD SERVICES 3,220.00

    MEDICAL CONSUMABLES 366.00

    SERVICE 280.00

    Net Bill: Taka Fifteen Thousand One Hundred Eighty Two Only Total Bill (USD) : 180.74 Tk : 15,182.00
    Discount (USD) : 0.00 Tk : 0.00
    Pay No Pay Date Pay Mode Type Collector Amount
    122090000274556 09/29/22 11:29:44 AM Cash Advance MONI 0.00 Net Bill (USD): 180.74 Tk : 15,182.00
    122100000279190 10/14/22 12:16:01 PM Cash Advance RAMJAN 30.00 Total Collection (USD) : 0.36 Tk : 30.00
    Total Due (USD) : 180.38 Tk : 15,152.00

    E-mail: info@shiphospitalbd.com Web:shiphospitalbd.com Vendor : www.mysoftltd.com


    JALAL 10-NOV-22 12:24:09 Page 1 of 2 IPD_1010_96 Software by Mysoft Limited

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