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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 oaoro18 CONG 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) |qvangn of bran and corral artes w.oconvast "2. |ez0100023- (60013) Png to dM abe! Moniorng (bd oe and 2 | 16.000.) Cary @[ _sas00,00 dal eaes) |+29400002 - OTHER FEES (PATHOLOGY, IMAGING, MEDICATION...) 1 | “14, [470100010 - Kham clp cui Emergency consultation 7 2,700,000) [s, [pniooet PorassumGHLonip 1x ——~—~—SCSC~S*~S*~*~*SCSiaSSYSS [re Jpntosst-texomrenc any SSSCS~S~S~SSSY [77 |PH14577-RINGERFUNDIN soomL 1 aiai0) 18, [PiB0SI7 NACLO%, GLUCOSE s% soo. rs ‘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) 111 PASSEPO. 2092029 P

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