Statement Of Account Quintero
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Redoble Medical Clinic Buug, Zamboanga Sibugay
January 29, 2008 STATEMENT OF ACCOUNT NAME: Quintero
Jesly
AGE: 7
SEX: Female
STATUS: Single
Address: Danlugan Buug Zamboanga Sibugay Date of Admission: Jan/ 28 / 08 Date of Discharge: Jan. /29 /08 Admitting Diagnosis: Acute Gastritis Medicine D5 IMB Venoset I.V Canula Venoclysis #1 Metoclopramide amp. Cotrimoxazole Sup.. Syringe
PF Lodging
Unit #1 #1 #1
Amount 140.00 70.00 120.00 150.00
#1 #1 #1
Total 140.00 70.00 120.00 150.00
140.00 40.00 15.00
140.00 40.00 15.00
800.00 400.00
Grand Total: 1,875.00 Dr. Rosendo C. Redoble Attending Physician
January 29, 2008 STATEMENT OF ACCOUNT NAME: Quintero
Jesly
AGE: 7
SEX: Female
STATUS: Single
Address: Danlugan Buug Zamboanga Sibugay Date of Admission: Jan/ 28 / 08 Date of Discharge: Jan. /29 /08 Admitting Diagnosis: Acute Gastritis Medicine D5 IMB Venoset I.V Canula Venoclysis #1 Metoclopramide amp. Cotrimoxazole Sup.. Syringe
PF Lodging
Unit #1 #1 #1
Amount 140.00 70.00 120.00 150.00
#1 #1 #1
Total 140.00 70.00 120.00 150.00
140.00 40.00 15.00
140.00 40.00 15.00
800.00 400.00
Grand Total: 1,875.00 Dr. Rosendo C. Redoble Attending Physician
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