PMCARE SDN BHD 1

Employee Personal Ledger With Diagnosis

Staff Code : N00919

Employee ID : P661221075486-I Employee Name : NOOR RIZAN BINTI AHMAD

: Company Name :
Company Code 0888 PERTUBUHAN BERITA NASIONAL MALAYSIA (BERNAMA)

Service Date : - 31/10/2024 Printed Date : 09/11/2023

01/11/2023

Employee Plan Code : BERNAMA_1EF Printed By : NURBAIZURA

Claim Code Patient Code Patient Name Service Discharge Treatment Provider Provider Name MC Personal Claim Claim Claimed Approved BB DCA Total
Date Date Details Code Claim Status Status (RM) (RM) (RM) (RM) Payable
Date (RM)
GP & SP - (SHARING WITH FAMILY MEMBER)
Member ID : FAMILY

Previous Cost Incurred 0.00 0.00 0.00 0.00 0.00

2023110811284449 P661221075486-I NOOR RIZAN BINTI 01/11/2023 01/11/2023 GENERAL 208265 KLINIK MEDI IMAN 0 YES PENDING 08/11/2023 63.00 63.00 0.00 0.00 63.00
AHMAD PHYSICIAN
Diagnosis : GASTRITIS, UNSPECIFIED ;
0 63.00 63.00 0.00 0.00 63.00
GP & SP LIMIT : 4,000.00
TOTAL USAGE : 63.00
GP & SP BALANCE : 3,937.00

GRAND TOTAL OF TOTAL VISIT : 1

GRAND TOTAL OF TOTAL USAGE : 63.00

Category Previous Cost Incurred

GP & SP 0.00
GENERAL PHYSICIAN 0.00
IMMUNIZATION 0.00
MEDICAL CHECKUP 0.00
MATERNITY 0.00
PRENATAL 0.00
POSTNATAL 0.00
PAP SMEAR 0.00
SPECIALIST 0.00
RTK 0.00
PCR 0.00