Clinical Laboratory

CHEMISTRY

Patient Name: MAMOSO, ERICKA Date And Time: 05/20/23 1:30PM

Patient No. 43618
Sex: F

850
Prescription Quantity Unit Price Amount

 Check-up 1,000 1,000

 Laboratory 2,500 2,500
 CO. Amoxiclav 500mg 3 800 800

 Azithromycin 500 mg 3 550 550

 Biogesic 500mg
2 380 380
(Paracetamol)

 Nami-C
1 250 250

SUBTOTAL 5,480

TOTAL 5,480

Karl Ivan D. Mansilla, MD, MPM

Medical Officer
D.