Redoble Medical Clinic Buug, Zamboanga Sibugay
January 29, 2008 STATEMENT OF ACCOUNT NAME: Maguinsay
Allan
AGE: 23
SEX: Male
STATUS: Single
Address: Marao Bayog Zamboanga Del sur Date of Admission: Jan/ 28 / 08 Date of Discharge: Jan. /29 /08 Admitting Diagnosis: Renal colic Medicine D5 LR Venoset I.V Canula Venoclysis #1 Catheter Cotrimoxazole Tab. Dicycloverine Tab Syringe Paracetamol Tab
Unit #1 #1 #1 #1 #1 #1 #2 #6
PF Lodging
800.00 400.00
Amount 160.00 70.00 150.00 100.00
Total 160.00 70.00 150.00 100.00
250 18.00 08.00 15.00 24.00
250.00 18.00 08.00 30.00 24.00
Grand Total: 1,900.00 Dr. Rosendo C. Redoble Attending Physician