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UNS MONA SENAY MEDICAL & EYE CENTER AMGHLT oF CHD hh 0.03 FA 4.528 Debrezelt Road kirkos Sub City W-3 H.No. 529, 1H 011-8-68-57-78/79 4 0911-40 62 06 mf 26855 E-mail:Senayclinic@gmail.com = PRI -RIPTION Name: Age: Sex: We: Card No: Address: Tel Dl inpatient El Outpatient Diagnosis Fre a (Dispen: Namo,Dosage,Form,Ooxe,Frequency.Duration, _| (Dispensers Quantity, How fo Use & other information Cammpp Oe DO nh Full Name: tana e800 Qualification: Of lseEndocr na : PIC Wee Oy.C DS Signature: cout Fee nea Date: : 2123. 24 09% AIAIe / 24 Hours Service——— SS = x «g6coa24-9d5d-4t5¢-gaca-bid6ds8:87ec | 06.12.2023 12:44:06 SENAY HIGHER CLINIC FLSABET BERIANE ZELEKE ‘AAS/C KIRKOS W.03 IL.NO 529 AROUND LaNcHA po JTLe Paes fo -P ‘TIN 0000261292 7 Cash Sales Attachment alias eee | [Rete [esr sr -oroxosags | restonte tour [Ee TNO 012799 00002538 1D | Description [Unit | Quantity | Unit Price | Line Total 41079 Teboratory [pcs | 1.00) 72,895.00 2,895.00 Poynent Metiod sai Amount In Words: ‘Two Thousand it Hundred Ninety Five and VAT Zero Gents Only Grand Foal 2895.00gdodbic-faba-4age-b737-se1127efacbb | 06.12.2023 09:49:50 SENAY HIGHER CLINIC SLSABETOERIUNE Zetex AAS/CRIKOS W320 59 -of wo Vet TebLognuenses . fe TN oooedbaye Cash Sales Attachment Date 12/6/2023 09548 __|Reference | CSL-8T:-01-0108410 Bilito | TESHOME TULE a FSNO | 00127157 ID Description Unit_ Quantity | Unit Price | Line Total [Consultant | [C0:] Consultant PS 100 700100 700.00 Payment Method A Subtotal 720.00] Amount In Words ‘Seven Hundred and Zero Cents Only Var 9.00 [Grand Total 700.00 annutt - 4700.00“ oS lw AGE PONT LBS PAL? UNIT IANA seme ae UYMEDICALANOEYECENTER — Appoimtment rood ub Cty W-3 HNO S22 Orbea rao isaoe v0 Box 26655 ‘at grocini@amalcom ide Abas LABORATORY REQUEST FORM wame dbo Tesvome. “Tole. BM yp AGE_ sex ‘caRDNO_D6t 263 -_ HEMATOLOGY Peas ‘STOOL cnc w/Ditt. (Blood Film! Urinalysis Stool Exam. Cesk Cipla Group | Micro Atbumin |C Concent, OH. pron Ae Se | HCG Qual» | occa Blood Pkeoat Panel SEBOLOSY vom, tories Tapec CRBS” — .BUIN, Creatininer ED Wiel 1, o> |C Weil Felix: ‘HbAIC TUrie Acid DivecPanet — “ C) Amylase aso (SOOT, SOPT. ALP. 7} Dew. BO.BE Lipase Baa Total Protein 1 Lipid Profile o C Lip oietert [Cl ansistcy ab _OH-pyied AB (Serum Albumin IDL LDL» Ti Gram Stain COAGULATION (1) Sample: O We Fitm Bleeding Time Om Cicoagulation Profile [] Clotting Time |—————— 0) NR TPTD I tian nk {coagulation Time | 0) Ko (CARDIAC MARKERS Derk TiTreponin | CIPSA ere CCEA’ CK-MB Dupn |Ocat2s Ocaiss - OTHERS Co FNASite:_ (O Thyroid, Tests: «73, TA Free T3, Free T4> O other: _—_—_—_ es A electrolyte Panel (Na, K, Cl, Ca, POD _—_—— Requested On: Of] [21 %2,Collected On: Reported On:_ Requested By Helv Collected By Reported BY: _ “een hae Boos see Canon pp pie (845202020AGL LDAP LVF PAV VAIS PTAA SENAY MEDICAL & EYE CENTER RALLY COVE CHI Wh @.03 FL £529 Debrezeit Road kirkos Sub City W-3 H.No. 529 BH 011-8-68-57-78/79 4 0911-40 62 06 mt 26655 ‘Senayclinic@gmail RI Name: Age: Sex We Card No: Address Tel Dinpatient [1 Outpatient Diagnosis: Price Drug (olepenesee: Name,Dosage,Form,Dose,Frequency,Duration, Quantity, How to Use & other information aps STE Full Name: venta Getenth ies, Qualification: Of tlendocrinelos™ steams * Signature: 24 9% NIAT / 24 Hours ServiceNo UT Te a Sales ‘ Us tes ih Bake ‘ 4 te Meee: CoV SIL OL er t W beret ites fe ‘ Vi fedeae Tule ‘ pose Te 2. » 1h AR eo. 70 a8. wor ayy au. yet \ ee ud ish Sind tiem 1 Pou sau01-01-0000169847 | 06.12.2023 15:19:11 ELSABET BERHANE ZELEKE SENAY HIGER CLINIC ‘A.A S/C KIRKOS W.03 H.NO 529 NEXT TO LANCHA, TEL:0911496206/og:1218390 TiNoa002bi292 Cash Sales Attachment (Bile [Festome Tue __| [eYez TN ~ Jo00002538: ~|[Reterence | 0st-sTror-o1sgost [addres ___| ~ J[stio co0is8a [s/cNumber | Teshome Tule Ref Note RECN-068982 a ‘Order No. Babsdfe6-agb6-465a-8de6- aie fibre ¥ op go) | STATION: RD [DuPEsom ID Description Batch | Fxp.Date| Unit | Qty | Price] Subtotal Disoo- —[Allopurinol - 100 mg _~ Tablet Strip 106.00 31800 DUP _|(LOREAP(ALLOPRINOL) 100MG) | Payment Method - St 338.00 Amount In Words: ‘Three Hundred Eighteen and Zero Cent ly a XN (Grand Total 318.00 remiirtmimn 90 Oh BENoo19802HOC + 2/U/4S —YIK\ MOD 7 28/12/2023 Fe AEMB/FLTM co PREF PODLYLH AE PUNIOS ATA AOR oF NECH AS NIGHT ATC Net PUM AE Noe MA UNIS MPH LEAF EY CHC NEN POPAR NEP NIALEPAFG MLEPAI PTCH AS NIGHT MITCH HAT HAL hs Par +aeAN NRECAAFO> POON TAHARI ALIIMPA # DAUIP POL YEE AE PUAIEE Ardgrde HEP YN AC 3913.00/NN% A Hm OF Ane AN AC/ DELO: AIALOM ATH AHNATE a nik RAR C7 eeu UNOee = ‘Conipany Name: National Tobacco Enterprise(EthiopiajS.C Robi Tobacco Farm Document No: NTE-OP-028 NIE-OF-209 i Title Medical Expense Refund Request Revision No: 00, Page 1 of 1 ae Name Card No: Purpose of payment p—{_2alacabe and CpraminotDus -D/ er (VOL ! es t+ eaecenl ie nse | Total amount paid “3-& | Benz eye Ato ech pope hunde dipdeen | Bice | Receipt No: Physic} Signature Employee's Signature “The largest room in the world is room for improvementAGL POAT LBS Phe UIE 7ohA. ‘SENAY MEDICAL AND Eve CENTER Rod Kiros Sub city W-3 H.NO 529, Debreze Teor 06(ir122 '18-685778/79 0311406200 > O.Bex 2665S Ema senayclin name__Abe Tes oma. ‘dels Ababa [ale AGE___ sx M\ carpno_D6! 263 -— HEMATOLOGY Zene wi Dit. O Blood Fin) Ese OHca }7Crinalysis O Micro Albumin Ci Stool Exam. T Concent. 1H. pylori Ag Qual» | T occutt Blood ibaIc O Liver Panel SGOT. SGPT, ALP BORG Total Protein serum Albumin Dipase D Lipid Profite 2a Crete HDL 1b SEROLOGY Cl widal 0 O Wei Petix aso Ol vort Ou 1 Toxopismosis cer Rieu Face CD npaag Cana Clancy ay OF pyr ab BACTERIOLOGY [] Gram Stain, COAGULATION 1) Bleeding Time 5 Coagulation Prose O Citing Time GNKPT-PED 1) congultion Tne ‘Sample: CO WetFitm Cam OF indian ink O Kon Dork Ock-Mp O Troponin O wpa Tu psa’ Oca-1s Care ca 19-9 Ocea, OTHERS THESE ee ree To Blectrolyre Panel (Na, K, Cl, Ca, PO» c OFNA Site, 0 Otter: ——— Requested On: Of| (2{22collected On: Requested By] Collected By: 260 Ma aus sees Reported On: Reported By: ‘Cana pp ple esz0a020