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  • Invoice Parvaneh Roboubi

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    Muzni Rahman
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    The document is a medical invoice from Trawangan Medical Service in Gili Trawangan, Lombok Utara, Indonesia. It is for Parvaneh Roboubi, a 20-year old woman from Columbia, for a physical examination and consultation on October 19, 2023 totaling 1,290,000 Indonesian Rupiah. The invoice includes charges for the examination, two medications, and is signed by the medical services officer.

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    INVOICE PARVANEH ROBOUBI

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    The document is a medical invoice from Trawangan Medical Service in Gili Trawangan, Lombok Utara, Indonesia. It is for Parvaneh Roboubi, a 20-year old woman from Columbia, for a physical examination and consultation on October 19, 2023 totaling 1,290,000 Indonesian Rupiah. The invoice includes charges for the examination, two medications, and is signed by the medical services officer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    23 views1 page

    Invoice Parvaneh Roboubi

    Uploaded by

    Muzni Rahman
    The document is a medical invoice from Trawangan Medical Service in Gili Trawangan, Lombok Utara, Indonesia. It is for Parvaneh Roboubi, a 20-year old woman from Columbia, for a physical examination and consultation on October 19, 2023 totaling 1,290,000 Indonesian Rupiah. The invoice includes charges for the examination, two medications, and is signed by the medical services officer.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    TRAWANGAN MEDICAL SERVICE

    GENERAL PRACTICIONER
    GILI TRAWANGAN LOMBOK UTARA
    Telp/WA : 0878 5894 1440 / 0878 6400 2433 / 08170 991 991

    INVOICE
    Invoice Number : 11/TMS/231019
    Full Name : Parvaneh Roboubi
    Date of birth : 04. 05. 2000
    Nationality : Columbia
    Address In Lombok : Gili Trawangan
    Date of admission : 19/10/2023
    Date of discharge : 19/10/2023
    IN SETTLEMENT OF FOLLOWING
    NO DESCRIPTION QTY AMOUNT (IDR)
    CONSULTATION AND VISIT
    Physical Examination and consultation 1 600.000,-
    PROCEDURE AND THERAPY

    DRUGS
    carmeson 10 220.000-
    Helixim 10 470.000-

    CONSUMABLES AND MEDICAL SUPPLIES

    OTHER SERVICE AND CHARGE

    TOTAL AMOUNT 1.290.000

    Gili Trawangan, 2023-10-19


    THIS INVOICE IS A LEGITIVE PROOF OF PAYMENT

    Dwi Putra Asmianto


    Medical Service Officer

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