Statement Of Account Maguinsay

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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

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