St.

Lukes Medical Center Global City

Rizal Drive cor. 32nd St. and 5th Ave
Taguig City, Philippines

STATEMENT OF ACCOUNT
Pin no. 8700 Confinement no. : 112233
Patient name Flores, Jocelyn Xtentacion Room/Bed No. : 999
Age 59 Attending Physicial : Hayden Belo
Date & Time Admitted : 1 pm 11-01-16
Date & Time Discharged :

Department Particulars Total Amount

Emergency Room Laboratory 100,000

Pharmacy 10,000
Central Sterile Supply – 50,000
Supplies
Anaesthetics 10,000
Emergency Services 50,000
Miscellaneous 5,000
Surgery 5,000
Professional Fee 170,000

TOTAL 400,000
St. Lukes Medical Center Global City
Rizal Drive cor. 32nd St. and 5th Ave
Taguig City, Philippines

STATEMENT OF ACCOUNT
Pin no. Confinement no. :
Patient name Room/Bed No. :
Age Attending Physicial :
Date & Time Admitted :
Date & Time Discharged :

Department Particulars Total Amount

TOTAL