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VAT REG. NO. : 300098261700003

17-Jan-2023 INVOICE NO - IPCR0000011883 2:51 PM
531763 233 07-Dec-2022 07:41
07-Dec-2022
MOHAMMED, SAEED SAAD
.,
BUPA -264 - BUPA - BAE Systems Saudi Development And Training Company BAES SDT
CUSTOMER VAT REG. NO. : 9876543210
GRADE : A
UR68 - NAIF MAHMOUD ALAMRY

ANAESTHESIA

1 FMANA-0006 CARDIAC MONITORING/30 MINS 07-Dec-2022 1 49.05 49.05

2 FMANA-0006 CARDIAC MONITORING/30 MINS 07-Dec-2022 1 49.05 49.05
3 FMANA-0006 CARDIAC MONITORING/30 MINS 07-Dec-2022 1 49.05 49.05
4 FMANA-0010 SPINAL ANESTHESIA 07-Dec-2022 1 347.03 347.03
5 FMANA-0014 OXYGEN (O2) PER HOUR 07-Dec-2022 1 42.92 42.92
6 FMANA-0034 PREMEDICATION VISIT 07-Dec-2022 1 135.38 135.38
Subtotal : 672.48

CENTRAL STORAGE SUPPLIES

DEVICE REZUM DELIVERY

7 0000040069 07-Dec-2022 1 28,980.00 28,980.00
BOSTON#D2201-003
APRON PLASTIC WHITE LARGE
8 MS-A-000009 07-Dec-2022 2 1.80 3.60
DISPOSABLE
BAG URINE DRAINAGE STERILE 2000ML
9 MS-B-000153 07-Dec-2022 1 19.32 19.32
DISP.
CATHETER NELATON MALE 12CH #14-12-
10 MS-C-000027 07-Dec-2022 1 12.08 12.08
100
COVER STERILE F/CAMERA 13x250CM
11 MS-C-000050 KARL STORZ/ZEISS 07-Dec-2022 1 209.32 209.32
#538X/31401/306071
12 MS-G-000010 GLOVES SURGEON SIZE 6.5 STERILE 07-Dec-2022 1 22.88 22.88
13 MS-G-000011 GLOVES SURGEON SIZE 7 STERILE 07-Dec-2022 3 22.56 67.68
14 MS-G-000013 GLOVES SURGEON SIZE 8 STERILE 07-Dec-2022 10 22.88 228.80
15 MS-G-000091 GOWN SURGEON X-LARGE STERILE 07-Dec-2022 6 128.80 772.80
SWAB GAUZE 10X10CMX2" 8PLY PLAIN
16 MS-S-000147 07-Dec-2022 10 2.44 24.40
STERILE #3342-B
SYRINGE 10ML LUER LOCK W/O NEEDLE
17 MS-S-000149 STERILE TERUMO/BD 07-Dec-2022 2 4.04 8.08
#SS*10L/9604/300912
TUBING SET IRRIGATION WITH 2
18 MS-T-000319 PUNCTURE NEEDLES 1X1 MEDICAL 07-Dec-2022 1 1,725.00 1,725.00
TECHNICAL PROMOTION #031328-10
19 MS-U-000003 UNDERPAD BLUE 60X80CM DISP. 07-Dec-2022 12 10.16 121.92
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ELECTRODE ECG PREGELLED PEDIATRIC

20 MS-E-000003 07-Dec-2022 3 3.88 11.64
STERILE DISPOSABLE #P40SG/12876
GLOVES EXAMINATION VINYLE LARGE
21 MS-G-000007 07-Dec-2022 20 1.48 29.60
NON-STERILE
INFUSION SET INTRAFIX DISPOSABLE
22 MS-I-000005 07-Dec-2022 1 14.48 14.48
B/BRAUN #JM-S2407/402962/LL60006
SYRINGE 5ML W/O NEEDLE STERILE
23 MS-S-000004 07-Dec-2022 6 3.08 18.48
TERUMO/BD #SS*05L/302187
SWAB GAUZE 10x10CM 12PLY PLAIN NON
24 MS-S-000146 07-Dec-2022 10 1.28 12.80
STERILE
SYRINGE 3ML W/O NEEDLE STERILE
25 MS-S-000151 07-Dec-2022 6 2.88 17.28
TERUMO/BD #SS*03L/9586
26 MS-N-000124 NEEDLE SPINAL G25x3.5" STERILE 07-Dec-2022 1 88.56 88.56
27 MS-C-000089 CANNULA IV VENFLON 22G W/PORT 07-Dec-2022 1 22.88 22.88
28 MS-U-000003 UNDERPAD BLUE 60X80CM DISP. 07-Dec-2022 2 12.08 24.16
Subtotal : 32,435.76

MEDICAL SUPERVISION

29 FM39099999 MEDICAL SUPERVISION - 233 07-Dec-2022 1 430.00 430.00

Subtotal : 430.00

NURSING ADMINISTRN

INTRAMUSCULAR OR SUBCUTICULAR
30 FMNUR-0001 07-Dec-2022 2 14.72 29.44
INJECTION
31 FMNUR-0002 I.V. INJECTION 07-Dec-2022 2 15.94 31.88
32 FMNUR-0020 I.V. CANULA 07-Dec-2022 1 20.85 20.85
33 FMNUR-0051 BLOOD EXTRACTION 07-Dec-2022 1 42.92 42.92
34 FMNUR-0042 ECG DONE BY NURSE ON THE WARD 07-Dec-2022 1 127.53 127.53
Subtotal : 252.62

PHARMACY

35 P09RINGE2IC RINGER SOLUTION 500ML 07-Dec-2022 4 5.50 22.00

MARCAINE HEAVY 0.5% / 4ML AMPULES
36 P14MARC11JC 07-Dec-2022 1 50.00 50.00
X 1 (FDA)
37 P11FORTA2J FORTA-Z 1GM X 1VIAL 07-Dec-2022 4 38.95 155.80
38 PP11QUINO1T QUINOX 500 MG TAB X 10 07-Dec-2022 5 6.90 34.50
39 PP12RAPID1T RAPIDUS 50MG TABLET X 20 07-Dec-2022 10 1.46 14.60
Subtotal : 276.90

ROOM AND BOARD

40 USE OF FACILITIES - 233 07-Dec-2022 1 1,723.70 1,723.70

Subtotal : 1,723.70

TAKE HOME MEDICINES

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PROSNORM 5MG-TABLET (FINASTERIDE) X

41 P08PROSN1T 07-Dec-2022 14 2.26 31.64
30
42 PP02OMNIC1T OMNIC  OCAS   0.4 MG  TAB  X 30 07-Dec-2022 14 2.39 33.46
Subtotal : 65.10

UROLOGY CLINIC

REZUME(ENDOSCOPIC WATER VAPOR

43 FMURO40258 07-Dec-2022 1 25,000.00 25,000.00
THERAPY OF PROSTATE)
Subtotal : 25,000.00
--------------------
TOTAL CHARGES (SAR) 60,856.56

PAYMENTS

DATE RECEIPT AMOUNT

--------------------
TOTAL PAYMENT 0.00
--------------------
BALANCE 60,223.69

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