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Ambulance Hospital Invoice

This invoice from Sugod Kapatid Medical Services is for ambulance services provided to a relative on January 1, 2023. It details a charge of ₱4,300 for basic life support and ₱700 for 10 kilometers of mileage, for a total due of ₱5,000 by January 30, 2023. The patient was declared dead on arrival.

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VICE-MAYOR ANN ONGJOCO
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595 views1 page

Ambulance Hospital Invoice

This invoice from Sugod Kapatid Medical Services is for ambulance services provided to a relative on January 1, 2023. It details a charge of ₱4,300 for basic life support and ₱700 for 10 kilometers of mileage, for a total due of ₱5,000 by January 30, 2023. The patient was declared dead on arrival.

Uploaded by

VICE-MAYOR ANN ONGJOCO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Sugod Kapatid Medical Services AMBULANCE

204 Tula-Tula
Raudas Street
1(123) 456-7890
[email protected]
INVOICE
Legazpi City www.SKMS.com

Bill To Invoice # Payment Terms Amount Due


(Relative’s Name) 00001 Cash
₱5,000.00
(Address line 1) Issue Date Due Date
(Address line 2) (01/01/2023) (01/30/2023)
(City, State, ZIP)

Description Qty / Miles Price / Rate Amount

Basic Life Support (BLS) 1 ₱ 4,300.00 ₱ 4,300.00

Mileage 10 km ₱ 70.00 / km ₱ 700.00

Payment Method(s): ___________________ Subtotal ₱ 5,000.00

Payment Link(s): _________________ Misc. -

Notes: Dead on Arrival Amount Due ₱ 5,000.00

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