Invoices

Visit Date : 25-03-2020
# Invoice No. Ins. Company Claim Note Claimed Amt.(฿)
01 NSB7881 Aviva
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text
562.10 attach_file Attach Docs.
02 BC65243 TATA AIA
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text
747.29
PID_154367-V1468_Aviva.pdf PID_154367-V1468_214_Av...
03 IN32456 Aviva 9000.00
PID_154367-V1468_Aviva.pdf PID_154367-V1468_214_Av...
Income Type Catalog
Price (฿)		 Discount /
Addition (฿)		 Billable
Amount (฿)		 Insurance
Coverage (฿)
1.1 Hospital Medical Expenses 3000.00 -35.00 3025.30 2000.00
1.2 Health Professional Fees 2000.00 -40.00 1960.00 1500.00
1.1.1 Drugs and Parenteral Nutrition 5000.00 -300.00 4774.50 3000.00
1.1.3 Blood Transfusion Services and Blood Com... 1500.00 N/A 1580.00 500.00
1.1.5 Drugs and Parenteral Nutrition 2500.00 -250.00 2250.00 2000.00
Total 14,000.00 -625.00 13,589.80 9,000.00
04 BC32456 TATA AIA Add Note 766.71 attach_file Attach Docs.
05 BC32456 TATA AIA
Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text
544.83
PID_154367-V1468_Aviva.pdf PID_154367-V1468_214_Av...

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