4's THE WHITE CRESCENT HOSPITAL - 2 P.O. Box 1320-30300, Kapsabet _ Tel: +254 741 777 444 Email:thewhitecrescenthospital@gmail.cor INVOICE - INPATIENT CUSTOMER: NHIF PATIENT NAME: MAUREEN JELAGAT SCHEME: DEPENDANT: ADDRE: : per EON Invoice No: wcHo0033004 cusRer: — M5821447 31/30/2022 heros Invoice Date: 130; Description QTY PRICE —ISc% vara ToTAL cost PHARMACY: -FOLEY CATHETER SILICON COATED 2 WAY 1 15000 aoa 150.00 FRIG 10°S 13/10/2002 PHARMACY: -MEDICOT-11/1072022 10 10 0.00.00 100.00 PHARMACY: METRONIDAZOLE 100MLINJ1°S-11/1972022 —«2—=S«t0000«S ot 200.00 | PHARYACY: METRONIDAZOLE 10OML IN} 1°S-12/:0/2002 100.00 I : Mernoninurns rae Bet : 2 me PHARMACY: Metondssle tabs 400mg 100°s 13/10/2022 15 400 0000.0 «om PHARMACY: -Nasal prongs neonatal 11/10/2022 1 18000000 co 180.00 PHARMACY: -NEEDLES G21 (GREEN) 100°S-11/10/2022 3 060 3000 THE WHITE CRESCENT Al ‘> PAROACY: NORMAL SABIE SOOM 1°S-1/10/2022% 5 om MOREITAL ceo 730.00 mune ormocn eum nae r'ssvioam —s_— fam ONES MO? ,,, we P.O. Boxt32_. 44330 PHARMACY: -PAMPERS NEW BABY 26 13/10/2022 1 20.00 PHARMACY; -PRIMAPORE 20CM¥10H 20'S 1/10/2022 1 2000000 200.00 PHARMACY:*SAWA SOAP 1/10/2022 1 oor 00000 «000 PHARMACY: SLIPPERS (adits 11/10/2022 1 000 0.000 120.00 PHARMACY: ‘SPINAL NEEDLES G25 WITH LONG STYLETS 3 0000.00 360.00 50° 1/10/2022 PHARMACY: STERILE SURGICAL GLOVES 7.5MG 50°S 6 800 000 = 000 480.00 Aiea : )THE WHITE CRESCENT HOSPITA P.O. Box 1320-30300, Kapsabet “Tel: +254 741 777 444 Email:thewhitecrescenthospi @gmail.com INVOICE - INPATIENT CUSTOMER: NHIF PATIENT NAME: MAUREEN JELAGAT SCHEME: DEPENDANT: ADDRESS: PHONE: , Invoice No: WCH00033004 CUSREF: M5821447 pocTor: Invoice Date: 11/10/2022 DESCRIPTION qr PRICE DISC% —-VAT% TOTAL COST PHARMACY: “SUCTION CATHETER FR 10 100°S 1 60.00 0.00 0.00 60.00 1110/2022 PHARMACY: -SYRINGE 10CC WITH NEEDLE 100°S 2 20.00 0.00 0.00 40.00 11/10/2022 PHARMACY: -SYRINGE 10CC WITH NEEDLE 100°S 1 15.00 15.00 12/10/2022 PHARMACY: -SYRINGE 10CC WITH NEEDLE 190°S 2 20.90 40.00 PHARMACY: THEATRE CAPS 100°S -11/10/2022 6 20.00 0.00 0.00 120.00 PHARMACY: -TISSUE ROUS -11/20/2027 1 40.00 0.90 0.00 «om | PHARMACY: -TOOTHBRUSH -11/10/2022 1 50.00 PHARMACY: -urine bags with outlet 200m! 1,5 -11/10/2022 1 50.00 PHARMACY: -VASELINE 25ML -11/10/2022 di 50.00 PHARMACY: -VICRYL SUTURE 2 RC 12°S -11/10/2022 2 300.00 PHARMACY: -VITAMIN K (PHYTOMENADION) 1°S 1 120.00 0.00 0.00 120.00 11/10/2022. “THEATRE: -CEASERIAN SECTION -13/10/2022 1 4875.00 0.00 0.00 4,675.00 LUNIBROL 250MG 24S: COMPLETE BLOOD COUNT - NS 1 500.00 0.00 0.00 00.00 =11/10/2022 WARD ADMISION 1 500.00 0.00 0.00 500.00 WARD ADMISION: -LATEX EXAM (medium) GLOVES -- 100 1 17.24 0.00 16.00 20.00 12/10/2022 X = oe ATHE WHITE CRESCENT HOSPITAL P.O. Box 1320-30300, Kapsabet ~ Tel: +254 741 777 444 Email:thewhitecrescenthospital@gmail.com INVOICE - INPATIENT CUSTOMER: NHIF PATIENT NAME: MAUREEN JELAGAT SCHEME: DEPENDANT: ADDRESS: z ens Invoice No: WCH00033004 CusReF: _M5821447 = Invoice Date: 41/10/2022 DESCRIPTION ery PRICE —DISC% ATI TOTAL cost THE WHITE CRESCENT HOSPITAL qn Oct 202” 7,0, Box 137 i. Served By SCOLLA ‘SUB TOTAL: 16,997.28 Prepared By: RODGERS NAPTOTALS as) LESS NHIF 0.00 Checked By Patient's Signature’ tans 7 Sotsh . ‘inicore by: Corebase Solions Lt - 0725027002, wow.corebibecoke PRINT COPY: 4° 13:20:07, Page No: 4