Tax Invoice No.

LS2209049
GST No: 61-244-794

Invoice To Auckland District Health Board

ATTN: LAB MANAGER Private Bag 92801
Penrose
LAUTOKA HOSPITAL
Auckland 1642
P O BOX 65
AR +64 9 630 9841 Fax: 631 0765
LAUTOKA
Patient Billing queries +64 9 638 0162
FIJI
Eligibility Queries: +64 9 367 0000 ext 26682

Customer No. LTK00L Date 21/10/2022

Order No. ritambhara@govnet.gov.fj and
ravendra.prasad@health.gov.fj

Description Qty Unit Price Amount

LabPlus laboratory charges for the month ending: SEP 2022 1 11,556.46 11,556.46

Net Amount 11,556.46

GST 0.00
Total Due NZD 11,556.46

This invoice is due for payment by 20th of the following month

PLEASE USE YOUR INVOICE NUMBER AS REFERENCE WHEN MAKING A PAYMENT

Email remittance advice to: Remittance@healthalliance.co.nz

For Cheque or Credit Card Payments please detach here and return with your Payment
Customer Code LTK00L
Invoice to:
LAUTOKA HOSPITAL Invoice No. LS2209049
P O BOX 65 Date 21/10/2022
LAUTOKA
FIJI Net Amount 11,556.46
GST 0.00
Total Due NZD: 11,556.46

Remit To:
ACCOUNTS RECEIVABLE Bill Payment: Auckland District Health Board
Auckland District Health Board Bank: Bank of New Zealand Card Payment Visa Mastercard AMEX
Private Bag 92801 Branch: Willis Street, Wellington
Penrose Amount: Card No.
Account: 02-0500-0416029-00
Auckland 1642
SWIFT: BKNZNZ22 Expiry Signature
/
 LabPLUS - Auckland ADHB

Lautoka Hospital

Invoice Summary Invoice no: LS2209049

Test Code Description Qty Unit Price Value

7132 ANA Screen 161 16.00 2,576.00

7135 ANA Titre 47 24.00 1,128.00
7128 Anti dsDNA (RIA) 47 23.96 1,126.12
7373 Cardiolpin IGG 2 26.41 52.82
7223 Complement C3 2 17.53 35.06
7224 Complement C4 2 17.53 35.06
5027 C-Peptide 1 15.00 15.00
728 Creatinine urine 2 0.00 0.00
7383 DFS70 IgG 5 110.00 550.00
7158 ENA antibodies 47 125.00 5,875.00
3016 H.Growth Hormone 1 15.79 15.79
7881 High Sens CRP 2 13.23 26.46
3661 Insulin IMx 1 27.19 27.19
3193 Metanephrines - urine 2 46.98 93.96
711 Volume 2 0.00 0.00

Subtotal : $11,556.46

GST : $0.00
Total Due : $11,556.46

Enquiries: Email: GeenaH@adhb.govt.nz

 Page 1

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

Lautoka Hospital
ADINAWA ADI VIVA 21/04/1998 24 F
16VH7X 02/09/2022 320049792 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16VH7X 02/09/2022 320049792 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16VH7X 02/09/2022 320049792 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16VH7X 02/09/2022 320049792 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

AKTAR,KHADIZA 15/11/1995 26 F
16W7NM 13/09/2022 990326170 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

ALI,ALIZA 01/07/2009 13 F
16W7Q1 13/09/2022 320224055 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

ALI,NURYEAN 21/03/1969 53 F
16W7QM 13/09/2022 330006973 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

ANAND,SHARON 23/06/1994 28 F
16W7UB 13/09/2022 320216478 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7UB 13/09/2022 320216478 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7UB 13/09/2022 320216478 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7UB 13/09/2022 320216478 Lautoka Hospital 7383 DFS70 IgG 110.00 1 110.00
16W7UB 13/09/2022 320216478 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

ANTANIO,PABLO 18/09/1968 53 M
16VH6W 02/09/2022 990630461 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

ANURADHA 20/08/1969 53 F
16WAUJ 13/09/2022 990290003 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
 Page 2

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

ANURADHA,KIRTI 15/02/1982 40 F
16W7TC 13/09/2022 520141761 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7TC 13/09/2022 520141761 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7TC 13/09/2022 520141761 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7TC 13/09/2022 520141761 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

BALENARE,LUKE 01/01/2011 11 M
16W80W 13/09/2022 990309686 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

BANO,RAUZMIN REHANA 22/04/1983 39 F

16VH4E 02/09/2022 330055411 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

BANO,SHABNAM 22/02/1973 49 F
16W7W7 13/09/2022 330010047 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

BANUVE,MEREWALESI 20/12/1998 23 F
16W7ZP 13/09/2022 520029432 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

BATIYAKA,NEMANI 19/07/1984 38 M
16VH3U 02/09/2022 320205767 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

16W7OJ 13/09/2022 320205767 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7OJ 13/09/2022 320205767 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7OJ 13/09/2022 320205767 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7OJ 13/09/2022 320205767 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

BEGAM NAZIA 20/01/1983 39 F

16VHS0 11/08/2022 320057036 Lautoka Hospital BR8 728 Creatinine urine 0.00 1 0.00
16VHS0 11/08/2022 320057036 Lautoka Hospital 3193 Metanephrines - urine 46.98 1 46.98
16VHS0 11/08/2022 320057036 Lautoka Hospital 711 Volume 0.00 1 0.00
 Page 3

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

BEGUM,YASMIN 07/04/1971 51 F
16W7GZ 13/09/2022 320047279 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

BI NAZRA 07/06/1972 50 F
16WDYS 13/09/2022 120013929 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

BI,ASHIANA 14/06/1984 38 F
16W7OU 13/09/2022 320063863 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

BI,KULSUM 20/10/1956 65 F
16W7Y2 13/09/2022 320019559 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

BUKA JAMES 24/08/2021 12 M M

16VHQJ 02/09/2022 990605253 Lautoka Hospital D21 7881 High Sens CRP 13.23 1 13.23

BULAI EPINERI SEVU 23/10/1979 42 M

16WE1T 13/09/2022 600008369 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16WE1T 13/09/2022 600008369 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16WE1T 13/09/2022 600008369 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16WE1T 13/09/2022 600008369 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

CAKOBAU,JOSEFA 28/01/1975 47 M
16W6H2 13/09/2022 320098787 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

CAVA,SEREIMA 18/09/1981 40 F
16W6GK 13/09/2022 340010065 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

16W7I0 13/09/2022 340010065 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

CAVALEVU,JOSEPHINE 11/02/2014 8 F
16W80B 13/09/2022 990643243 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
 Page 4

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

CHAND,ACHAL 22/07/1999 23 F
16WASG 13/09/2022 320019738 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16WASG 13/09/2022 320019738 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16WASG 13/09/2022 320019738 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16WASG 13/09/2022 320019738 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

CHAND,EDWARD 26/12/1980 41 M
16W7MH 13/09/2022 330028555 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7MH 13/09/2022 330028555 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7MH 13/09/2022 330028555 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7MH 13/09/2022 330028555 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

CHAND,RAVINEET 28/07/1992 30 M
16VH4I 02/09/2022 340018900 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

CHAND,SACHNEEL 11/03/1979 43 M
16VH8L 02/09/2022 320167033 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DEVI CHRISTINA SONIYA 27/10/1977 44 F

16WE1H 13/09/2022 320005739 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DEVI,ANSHETA 12/07/2001 21 F
16W6CP 13/09/2022 320202529 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W6CP 13/09/2022 320202529 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W6CP 13/09/2022 320202529 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W6CP 13/09/2022 320202529 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

16W7PV 13/09/2022 320202529 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7PV 13/09/2022 320202529 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7PV 13/09/2022 320202529 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
 Page 5

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

16W7PV 13/09/2022 320202529 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

DEVI,GYATRI 28/07/1955 67 F
16W7SL 13/09/2022 320011494 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DEVI,KAMINI 17/07/1983 39 F
16W6EE 13/09/2022 330007086 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DEVI,KESHNI 10/06/1986 36 F
16W7P0 13/09/2022 320141107 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DEVI,MUNISHA 08/09/1994 28 F
16W7ZI 13/09/2022 320223156 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DEVI,PRAMILA 03/05/1979 43 F
16W6FY 13/09/2022 320148905 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DEVI,RAKSHA RISIKA 24/11/2002 19 F

16VH7P 02/09/2022 330004282 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16VH7P 02/09/2022 330004282 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16VH7P 02/09/2022 330004282 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16VH7P 02/09/2022 330004282 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

DEVI,ROSHNI 07/02/1967 55 F
16WAOV 13/09/2022 320036810 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DEVI,SANJESHNI 26/09/1997 24 F
16W7TN 13/09/2022 120047942 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DEVI,SARITA 17/03/1986 36 F
 Page 6

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

16VH81 02/09/2022 320179096 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DIAMA,BULOU 08/10/1992 29 F
16W6GM 13/09/2022 520298415 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DOMOLAILAI LIVIA DEVU 12/05/1991 31 F

16WE0U 13/09/2022 340038479 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DREDREGASA VIKA ELLAINE TOGA 27/03/1984 38 F

16WE1C 13/09/2022 320188819 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16WE1C 13/09/2022 320188819 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16WE1C 13/09/2022 320188819 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16WE1C 13/09/2022 320188819 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

DRUGUNALEVU,EPI 27/03/2001 21 F
16VH8Z 02/09/2022 320071332 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

DRUMA,MILIANA 20/01/1981 41 F
16W7ME 13/09/2022 990169453 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

EMA,TURU 14 F
16UJE1 18/08/2022 990481095 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16UJE1 18/08/2022 990481095 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16UJE1 18/08/2022 990481095 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16UJE1 18/08/2022 990481095 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

ETUWENI,ABIGAIL FILOMENA 03/11/2004 17 F

16VH4O 02/09/2022 120076537 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

GOKLAMMA 14/02/1955 67 F
 Page 7

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

16WE1R 13/09/2022 330020620 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

GOUNDER TANISH VIKASH 29/04/2006 16 M

16VHQB 02/09/2022 320227623 Lautoka Hospital 3016 H.Growth Hormone 15.79 1 15.79

GUL,NISHA 25/11/1951 70 F
16WAT1 13/09/2022 320034809 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

HASSAN STANLEY SHAKEEL 17/12/1981 40 M

16VH6R 02/09/2022 990077186 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

HASSAN,FATIN ZAHIR 30/08/1989 33 M

16VH7S 02/09/2022 320071285 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

JACOB,FISHER 16 M
16UJCZ 18/08/2022 520234992 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16UJCZ 18/08/2022 520234992 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16UJCZ 18/08/2022 520234992 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16UJCZ 18/08/2022 520234992 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

JITANSIKA,KUMAR 17 F
16UJED 18/08/2022 120118270 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16UJED 18/08/2022 120118270 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16UJED 18/08/2022 120118270 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16UJED 18/08/2022 120118270 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

KAKAIVALU,ASENA 25/10/1999 22 F
16WAPH 13/09/2022 520061376 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KAVOA,LISI 07/02/1994 28 F
 Page 8

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

16W7ZL 13/09/2022 320095040 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KESAIA,SENIREWA 54 F
16UJBA 18/08/2022 120054143 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16UJBA 18/08/2022 120054143 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16UJBA 18/08/2022 120054143 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16UJBA 18/08/2022 120054143 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

KISUN SANJESH 07/07/1983 39 M

16WE1F 13/09/2022 990644208 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KOLINIVALU,JOPE 25/09/2010 11 M
16W7Q8 13/09/2022 990640477 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KOROIDREKELEVU,MONIKA 23/01/2003 19 F
16W7HH 13/09/2022 340032800 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KOROIVUKI,MERE 05/03/1971 51 F
16VH5C 02/09/2022 340017240 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KOROLASE,VINIANA 28/05/1984 38 F
16W7NB 13/09/2022 520007978 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KRISHNA,NIKITA ASHWINI 06/12/1991 30 F

16VH56 02/09/2022 330019717 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KUMAR JITENDRA 08/12/1968 53 M

16VHSF 09/08/2022 320106126 Lautoka Hospital BR8 728 Creatinine urine 0.00 1 0.00
16VHSF 09/08/2022 320106126 Lautoka Hospital 3193 Metanephrines - urine 46.98 1 46.98
16VHSF 09/08/2022 320106126 Lautoka Hospital 711 Volume 0.00 1 0.00
 Page 9

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

KUMAR KAMLESH 10/05/1980 42 M

16WE1J 13/09/2022 320074128 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KUMAR,ANAV ANISHIV 16/09/2011 10 M

16VH4X 02/09/2022 990501287 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KUMAR,NASHLY 06/05/2001 21 F
16W7RW 13/09/2022 320148940 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KUMAR,NILESH 13/05/1976 46 M
16VHQV 02/09/2022 320062303 Lautoka Hospital 5027 C-Peptide 15.00 1 15.00
16VHQV 02/09/2022 320062303 Lautoka Hospital 3661 Insulin IMx 27.19 1 27.19

16W7P4 13/09/2022 320062303 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KUMAR,PAYAI PRIYANKA 28/10/1992 29 F

16VH5N 02/09/2022 340002206 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KUMAR,PRIYA 26/01/1991 31 F
16W7ZH 13/09/2022 320046951 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KUMAR,PRIYA DARSHANI 26/01/1991 31 F

16VH59 02/09/2022 320046951 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

16VHRN 02/09/2022 320046951 Lautoka Hospital 7373 Cardiolpin IGG 26.41 1 26.41
16VHRN 02/09/2022 320046951 Lautoka Hospital 7223 Complement C3 17.53 1 17.53
16VHRN 02/09/2022 320046951 Lautoka Hospital 7224 Complement C4 17.53 1 17.53

KUMAR,PURNIMA 28/04/1978 44 F
16W6EV 13/09/2022 320005940 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
 Page 10

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

KUMAR,TANISHA 04/07/2005 17 F
16W7R2 13/09/2022 330041441 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

KUMARI,SUNITA 29/04/1975 47 F
16W6FV 13/09/2022 320216544 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W6FV 13/09/2022 320216544 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W6FV 13/09/2022 320216544 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W6FV 13/09/2022 320216544 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

KUMARI,SURUJ 20/09/1955 66 F
16W7T0 13/09/2022 990214610 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

16WATS 15/09/2022 320060164 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LADOGE,VASEVA 24/04/2004 18 F
16VH8K 02/09/2022 990569113 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16VH8K 02/09/2022 990569113 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16VH8K 02/09/2022 990569113 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16VH8K 02/09/2022 990569113 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

LAL MUMTA KRISHNI 05/12/1990 31 F

16WDZ0 13/09/2022 340015869 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LAL,ASHIKA 11/10/1976 45 F
16VH8O 02/09/2022 320237817 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LAL,NANDANI 03/04/1991 31 F
16W6GG 13/09/2022 330049432 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LATA BHARTI SHIVGANI 13/03/1996 26 F

16WDUK 13/09/2022 320093901 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
 Page 11

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

LATA,ASHWINI 27/06/1978 44 F
16VH6X 02/09/2022 320174923 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LATA,KUSHMANI 23/02/1967 55 F
16WAR7 13/09/2022 320110823 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LATA,PREM 22/07/1970 52 F
16W7XS 13/09/2022 320251163 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LATA,RANJINI 14/11/1973 48 F
16W80S 13/09/2022 330027754 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W80S 13/09/2022 330027754 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W80S 13/09/2022 330027754 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W80S 13/09/2022 330027754 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

LATA,SASHI 26/07/1970 52 F
16VH5J 02/09/2022 320227269 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LATA,SHASHI 03/12/1967 54 F
16W7YJ 13/09/2022 320074591 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LATA,SUSHEEL 11/01/1966 56 F
16VH7O 02/09/2022 320105843 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16VH7O 02/09/2022 320105843 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16VH7O 02/09/2022 320105843 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16VH7O 02/09/2022 320105843 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

LELEVAKAWALU,JOSEFATA 06/06/1969 53 M
16W7JC 13/09/2022 320143149 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
 Page 12

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

LESIKILAU,PONIA 08/02/1995 27 F
16W7SP 13/09/2022 320207442 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7SP 13/09/2022 320207442 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7SP 13/09/2022 320207442 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7SP 13/09/2022 320207442 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

LEWAVULUMA,MAKELESI 18/03/1971 51 F
16VH4A 02/09/2022 320068717 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LORD,EMA 30/04/1985 37 F
16W7MV 13/09/2022 600002747 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

LUVUNIWAI,DIANA 11/03/2009 13 F
16UJA1 18/07/2022 520336814 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16UJA1 18/07/2022 520336814 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16UJA1 18/07/2022 520336814 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16UJA1 18/07/2022 520336814 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

16VHQP 02/09/2022 520336814 Lautoka Hospital 7223 Complement C3 17.53 1 17.53

16VHQP 02/09/2022 520336814 Lautoka Hospital 7224 Complement C4 17.53 1 17.53

MAHARAJ,RAVNEAL 05/11/1990 31 M
16WARU 13/09/2022 330020371 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

MARAMA,VITILA 26/04/1993 29 F
16W7K3 13/09/2022 990083395 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7K3 13/09/2022 990083395 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7K3 13/09/2022 990083395 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7K3 13/09/2022 990083395 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00
 Page 13

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

MATI,BAL 01/01/1960 62 F
16W7X4 13/09/2022 330013891 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

MODRAU,KITIONE 27/06/2007 15 M
16VH50 02/09/2022 520248880 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

NADAN,MANSHIKA 01/06/1993 29 F
16W7U3 13/09/2022 320168785 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7U3 13/09/2022 320168785 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7U3 13/09/2022 320168785 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7U3 13/09/2022 320168785 Lautoka Hospital 7383 DFS70 IgG 110.00 1 110.00
16W7U3 13/09/2022 320168785 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

NAICKER,PRANIKA 16/10/2010 11 F
16VH5F 02/09/2022 320246310 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16VH5F 02/09/2022 320246310 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16VH5F 02/09/2022 320246310 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16VH5F 02/09/2022 320246310 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

NAIDU ASWITA NANDNI 20/08/2003 19 F

16WDUU 13/09/2022 340030125 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

NAND,EKLESH AVISHEK 08/04/1998 24 M

16VH48 02/09/2022 320177386 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

NASAU,AKOSITA 08/08/1988 34 F
16W6GW 13/09/2022 590041650 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

NASAU,TURUKAWA 30/05/2007 15 M
16VH7M 02/09/2022 320210093 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
 Page 14

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

NAWAIDAVI,ALUMITA 28/12/1970 51 F
16W7LQ 13/09/2022 340022799 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7LQ 13/09/2022 340022799 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7LQ 13/09/2022 340022799 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7LQ 13/09/2022 340022799 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

NISHA SHEHANA SHAFIN 26/08/1993 29 F

16WDV2 13/09/2022 320220376 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

NISHA,AYRIN 21/06/1968 54 F
16W7XG 13/09/2022 990503887 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

NISHA,SHAFIYA 17/02/2007 15 F
16W7LJ 13/09/2022 320251006 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

16WE0Z 13/09/2022 320251006 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

NURIZAH,NISHA 02/02/1993 29 F
16WAO8 13/09/2022 320036800 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16WAO8 13/09/2022 320036800 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16WAO8 13/09/2022 320036800 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16WAO8 13/09/2022 320036800 Lautoka Hospital 7383 DFS70 IgG 110.00 1 110.00
16WAO8 13/09/2022 320036800 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

PANDEY,KOYAL 25/01/2008 14 F
16W7S5 13/09/2022 990524725 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

PILLAY,THARUN LATCHMI 13/10/1976 45 F

16W6C7 13/09/2022 520094842 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W6C7 13/09/2022 520094842 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
 Page 15

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

16W6C7 13/09/2022 520094842 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W6C7 13/09/2022 520094842 Lautoka Hospital 7383 DFS70 IgG 110.00 1 110.00
16W6C7 13/09/2022 520094842 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

PRAKASH,RASHIKA 12/06/1990 32 F
16WANU 13/09/2022 330022132 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

PRASAD TRISHANT 17/07/2016 6 F

16WE21 13/09/2022 990446699 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

PRASAD,RITNESH 17/05/1990 32 M
16W7RD 13/09/2022 320013125 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

PRASAD,SANDHYA WATI 13/05/1976 46 F

16W6GS 13/09/2022 130011980 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

PRITISHMA 21/05/2007 15 F
16WE1P 13/09/2022 990220992 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

RABAKA,VIKA 14/07/2004 18 F
16WASU 13/09/2022 330036239 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

RAI,RAJAN 07/04/1994 28 M
16W7O7 13/09/2022 320088018 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7O7 13/09/2022 320088018 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7O7 13/09/2022 320088018 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7O7 13/09/2022 320088018 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

16W7QU 13/09/2022 320088018 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7QU 13/09/2022 320088018 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7QU 13/09/2022 320088018 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
 Page 16

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

16W7QU 13/09/2022 320088018 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

RAINIMA,WATI 31/01/1990 32 F
16W7RL 13/09/2022 320060623 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

RAJ ANURESHMA ASHWINI 14/07/1991 31 F

16WE0L 13/09/2022 330066682 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

RALULU,MERE 22/04/1964 58 F
16W7I9 13/09/2022 320079128 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

RANGAN,JOHN SHAHIL 31/03/2004 18 M

16VH6Y 02/09/2022 320161062 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

RAO,RANJANA 27/12/1991 30 F
16W7SD 13/09/2022 320070280 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

RATUTABUA,KAYLENE 27/03/1998 24 F
16W7L9 13/09/2022 520293213 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

RAUCA,MERE 16/01/1999 23 F
16W7QF 13/09/2022 990177930 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7QF 13/09/2022 990177930 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7QF 13/09/2022 990177930 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7QF 13/09/2022 990177930 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

RAVUIWASA,ASENA 28/08/1970 52 F
16W805 13/09/2022 140009373 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

ROSOKIDI,KOLORA 08/05/2010 12 F
 Page 17

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

16W7MP 13/09/2022 990478787 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7MP 13/09/2022 990478787 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7MP 13/09/2022 990478787 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7MP 13/09/2022 990478787 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

RUSIVAKULA JOTAME TABUA 11/03/1993 29 M

16WE1S 13/09/2022 990238914 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

SADHANA,LATA 40 F
16UJB5 18/08/2022 120032757 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16UJB5 18/08/2022 120032757 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16UJB5 18/08/2022 120032757 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16UJB5 18/08/2022 120032757 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

SAHIM AYSHA 29/06/2003 19 F

16WDUN 13/09/2022 990416206 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16WDUN 13/09/2022 990416206 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16WDUN 13/09/2022 990416206 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16WDUN 13/09/2022 990416206 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

SAMOCE,ADI 22/11/1996 25 F
16WAQ5 13/09/2022 320189050 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16WAQ5 13/09/2022 320189050 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16WAQ5 13/09/2022 320189050 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16WAQ5 13/09/2022 320189050 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

SEHKAR SUDHIR 09/12/1981 40 M

16WE0O 13/09/2022 990482805 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

SEN SEEMA SANJANI 17/08/1984 38 F

 Page 18

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

16VHR3 02/09/2022 330010800 Lautoka Hospital D21 7881 High Sens CRP 13.23 1 13.23

SETURA,MARIA 22/05/2001 21 F
16WAU6 13/09/2022 130005384 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

SHAMIM MOHAMMED 28/12/1953 68 M

16VHQ3 02/09/2022 990022669 Lautoka Hospital 7373 Cardiolpin IGG 26.41 1 26.41

SHAMINA,BIBI 27/05/1973 49 F
16VH85 02/09/2022 330038526 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16VH85 02/09/2022 330038526 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16VH85 02/09/2022 330038526 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16VH85 02/09/2022 330038526 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

SHARMA,ANIL 11/09/1953 68 M
16VH4M 02/09/2022 320018024 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16VH4M 02/09/2022 320018024 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16VH4M 02/09/2022 320018024 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16VH4M 02/09/2022 320018024 Lautoka Hospital 7383 DFS70 IgG 110.00 1 110.00
16VH4M 02/09/2022 320018024 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

SHARMA,HIMANSHU 22/10/1997 24 M
16WE0R 13/09/2022 320179140 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

SHARMA,RIHA SHANIYA 18/09/2006 15 F

16VH71 02/09/2022 990276575 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

SHARMA,VANDHANA 11/07/1978 44 F
16W7R8 13/09/2022 320028615 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7R8 13/09/2022 320028615 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
 Page 19

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

16W7R8 13/09/2022 320028615 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7R8 13/09/2022 320028615 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

SINGH NEHA 01/04/1999 23 F

16WDZ3 13/09/2022 990252580 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16WDZ3 13/09/2022 990252580 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16WDZ3 13/09/2022 990252580 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16WDZ3 13/09/2022 990252580 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

SINGH,NERANJANA 29/03/1989 33 F
16W6G8 13/09/2022 330015702 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W6G8 13/09/2022 330015702 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W6G8 13/09/2022 330015702 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W6G8 13/09/2022 330015702 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

SINGH,SANJESH 08/03/1977 45 M
16VH8R 02/09/2022 320003669 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16VH8R 02/09/2022 320003669 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16VH8R 02/09/2022 320003669 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16VH8R 02/09/2022 320003669 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

SINGH,VISHALNI 20/05/2007 15 F
16W7PO 13/09/2022 330060750 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

SULI KINISIMERE NOTO VULIKIOSI 29/12/1996 25 F

16WDYX 13/09/2022 320039623 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

SUNNY,AMRIT 03/12/1964 57 M
16W6CH 13/09/2022 320086634 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
 Page 20

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

TUBUNAWASA,SENIRUSI BULOU 18/01/1983 39 F

16VH7J 02/09/2022 320199411 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

TUINAMO,MERERAI VATEGE 28/10/1961 60 F

16W6FC 13/09/2022 990638591 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W6FC 13/09/2022 990638591 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W6FC 13/09/2022 990638591 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W6FC 13/09/2022 990638591 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

USAVERE,TEMALESI 29/07/1999 23 F
16W6DP 13/09/2022 990072727 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

VADEI,ATECA 26/07/1979 43 F
16W6EO 13/09/2022 320141695 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

VAKAWIRIWIRI,NIUMAI 31/10/1992 29 F
16W7NU 13/09/2022 990124769 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

VALENTINE,SHAHNIZA FLORA 25/04/1996 26 F

16VH4T 02/09/2022 330044158 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16VH4T 02/09/2022 330044158 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16VH4T 02/09/2022 330044158 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16VH4T 02/09/2022 330044158 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

VELLIAMMA 09/05/1962 60 F
16W7VR 13/09/2022 340041450 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

VENKATESH,HERMIONE 29/08/2008 14 F
16W7WQ 13/09/2022 320220589 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
 Page 21

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

VETAU ANA DAKUVULA 14/02/2008 14 F

16WE0X 13/09/2022 520259762 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16WE0X 13/09/2022 520259762 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16WE0X 13/09/2022 520259762 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16WE0X 13/09/2022 520259762 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

16WE1Z 13/09/2022 520259762 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16WE1Z 13/09/2022 520259762 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16WE1Z 13/09/2022 520259762 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16WE1Z 13/09/2022 520259762 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

VEVE,JOKAVETI 02/05/2011 11 F
16VH8E 02/09/2022 340045650 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

VITILAU,KERESI 29/03/1959 63 F
16W6E4 13/09/2022 520159565 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

VUETIBAU,ADI 21/04/1997 25 F
16W7Z4 13/09/2022 320044232 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7Z4 13/09/2022 320044232 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7Z4 13/09/2022 320044232 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7Z4 13/09/2022 320044232 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

VULA,JIAJIANA 08/10/1996 25 F
16W7YB 13/09/2022 990220483 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

VULI,INOKE 06/11/1975 46 M
16W7M1 13/09/2022 990264463 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

VUNISEI,ANANAIASA 03/11/2011 10 M
16VH6Z 02/09/2022 990431253 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
 Page 22

Lautoka Hospital Customer Code: LTKHOS Invoice: LS2209049 Month: SEP 2022

Patient Name Patient ID D.O.B Age Sex

Specimen No Date Customer Reference P/O Care Of NZMC NH code Test Code Test Description Quantity Unit Price Value

VUTORO,SAVENACA 18/04/1990 32 M
16W800 13/09/2022 520285125 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W800 13/09/2022 520285125 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W800 13/09/2022 520285125 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W800 13/09/2022 520285125 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

WARI,JOYTISH 11/08/1989 33 F
16VH76 02/09/2022 520168819 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00

WEREWAI,KELERA 03/10/1966 55 F
16W7PG 13/09/2022 320176381 Lautoka Hospital D15 7132 ANA Screen 16.00 1 16.00
16W7PG 13/09/2022 320176381 Lautoka Hospital D16 7135 ANA Titre 24.00 1 24.00
16W7PG 13/09/2022 320176381 Lautoka Hospital 7128 Anti dsDNA (RIA) 23.96 1 23.96
16W7PG 13/09/2022 320176381 Lautoka Hospital 7158 ENA antibodies 125.00 1 125.00

Subtotal $11,556.46