Pes MEDICAL REPORT
FRANCAIS
DE HANOI
Hanoi, ....
To whom it may concern, WEG
Patient's name: MORIN CECILE
DOB: 21/01/1972 GEN:F
MAE
Above-named patient presented at L'H6pital Frangais de Hanoi on: ..............csssssssese0
* Imaging: ........k{
(Utrasound Xray/
CT Sean MRD
F.HFH 066
oaoro18CONG TY TNHH BENH VIEN VIET PHAP HA NOI
861, Pné Phuong Mal, Phung Phung Ma ng Ba, TP Ha NGL Vit Nam
a sb nub BV (Taxcodey 070011 2066
ign hoa (8428) 39771100
wera Fac (6428) 39764443 PREINVOICE
Téa khdch hing (Glen) MORIN CECILE (17274784) “rset “oc Saun
Ma s6 thué (Tax code: 17.11.2022, Preinvoice
ea nee cor ea ote Trace Haribo Paar Tem
7200844169259
‘Salesperson HOANG MANH NGUYEN]
Dia chi (Address):
mye Noi dung sé Thub [Tién thué | Thanh tén
wong sudt (| TET
(Ne) (item code/ Description) (Quantity) | (Unit price) | quar | (war) | camecuno)
i oe rato (%)) _| nen var)
+, [osotoobe2 -(.0514) FULL BLOOD COUNT « DIFFERENTIAL 203,009 fo 0] soac00
'2 |o4cz00009 -(Lo522) ELECTROLYTES (NA, K, GL) SERUM 7 82,000] of
22,00)
‘3 Jowcz00008 (0800) CREATININE 7 rr a rr)
“4 |owczo0nto-(osta) CALCIUM, TOTAL cf woo00o) a [400,09
'8_Jowczo0o"7- 2089) GALCIUM (FREE OR IONISED ) 1 | aooxe0q) of a «| 11009]
[ovcaoo0r7 qosiy GLUCOSE 7 “8,600 po a] a8 009
[040200061 -(L0820) TROPONIN | (QUALITATIVE) | + P1064 069) oo | 1(901,000)
‘8, [oaz0005 - (1.0304) CRP (C-REACTIVE PROTEIN) 1 ‘546,000) of 0 ar 548,000)
‘ |ovcsoo00s (a2e0) D.omeER TEST (QUANTITATE) | 7 | aoseoca| fo 0] 030,00
10. [o80205880 (APa80) Di im abiocwecardogram ql "p80 09 pe 3] 880.000
11. | 7e700106 - Chup CHT so Bo - mach nao Anéng bm thube can ‘se0000] SS 000)
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"2. |ez0100023- (60013) Png to dM abe! Moniorng (bd oe and 2 | 16.000.) Cary @[ _sas00,00
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|+29400002 - OTHER FEES (PATHOLOGY, IMAGING, MEDICATION...) 1 |
“14, [470100010 - Kham clp cui Emergency consultation 7 2,700,000)
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‘Céna dich vu khéna chiu thu. (Total non VAT:
‘69.219,000
(Cong tién hana héa chiu thu GTGT (Total with VAT): 138.300
[Téna tin thué GTGT (Total VAT amount: 6.586
‘Giam aia (Total aise: o|
a * ___[réna.uén thanh to8n_(Grend totain VND): 99 357300
Sb tin bang cht ‘Su mu chin tiga ba im nm mut by nghin ba trim dng enn
(Grand total in words
Knéeh hing Nowe tp hée don
{Koh Do, én) (i. gh ho, ter)
(Patents sepa & ulna) (Comers sgnaure 2 fnane)
“rang (page) 111PASSEPO.
2092029
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