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4 | Referral Doctor Report (Frozen + Unfrozen) | |||||||||||||||||||||
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6 | Period :01/01/2020 - 31/01/2020 | Report Date : | ||||||||||||||||||||
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8 | Account No : | Billing Name: | ||||||||||||||||||||
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10 | Visit Date | Exam Date | Visit No | Patient No | Patient Name | Accession Num | Procedure Code | Procedure Name | Referral Doctor | Charge To | Referral Source | Referral Source Invoice Code | Gross Amount | Discount | Net Amount | |||||||
11 | 17/01/2020 | 17/01/2020 | TA-2001001156 | WONG C | CT-THORLD-P | CT THORAX LOW DOSE (PLAIN) | DR. CHARLES BROWNIE | On Account | CENTRAL HEALTH MEDICAL PRACTICE | CH | 1700 | -510 | 1190 | |||||||||
12 | 04/01/2020 | 04/01/2020 | TA-2001000173 | CHAN TF | XR-CHEST | XR CHEST | DR. CHAB WATER (THE ORANGE CLINIC) | On Account | DR. CHAB WATER (THE ORANGE CLINIC) | CWCW | 230 | -69 | 161 | |||||||||
13 | 08/01/2020 | 08/01/2020 | TA-2001000472 | CHOW KK | XR-CHEST | XR CHEST | DR. CHAB WATER (THE ORANGE CLINIC) | On Account | DR. CHAB WATER (THE ORANGE CLINIC) | CWCW | 230 | -69 | 161 | |||||||||
14 | 13/01/2020 | 13/01/2020 | TA-2001000841 | CHIU CKS | XR-CHEST | XR CHEST | DR. CHAB WATER (THE ORANGE CLINIC) | On Account | DR. CHAB WATER (THE ORANGE CLINIC) | CWCW | 230 | -69 | 161 | |||||||||
15 | 13/01/2020 | 13/01/2020 | TA-2001000853 | LAM TS | XR-CHEST | XR CHEST | DR. CHAB WATER (THE ORANGE CLINIC) | On Account | DR. CHAB WATER (THE ORANGE CLINIC) | CWCW | 230 | -69 | 161 | |||||||||
16 | 16/01/2020 | 16/01/2020 | TA-2001001062 | LAI WPA | XR-CHEST | XR CHEST | DR. CHAB WATER (THE ORANGE CLINIC) | On Account | DR. CHAB WATER (THE ORANGE CLINIC) | CWCW | 230 | -69 | 161 | |||||||||
17 | 03/01/2020 | 03/01/2020 | TA-2001000103 | LEE MKA | US-THYROID | US THYROID | DR. CHENG BEAUTY DOCTOR | In Centre | DR. CHENG BEAUTY DOCTOR | CGY | 1150 | 0 | 1150 | |||||||||
18 | 29/01/2020 | 29/01/2020 | TA-2001001712 | LIU WO | XR-CHEST | XR CHEST | DR. CHENG BEAUTY DOCTOR | In Centre | DR. CHENG BEAUTY DOCTOR | CGY | 230 | 0 | 230 | |||||||||
19 | 04/01/2020 | 04/01/2020 | TA-2001000146 | PANG KKK | CT-COROANGIO+CASCR-C | CT CORO ANGIOGRAM & CALCIUM SCORE (CONTRAST) | DR. CHENG HAPPY (PATRON MEDICAL CTR) | On Account | DR. CHENG HAPPY (PATRON MEDICAL CTR) | CM | 5600 | -1680 | 3920 | |||||||||
20 | 06/01/2020 | 06/01/2020 | TA-2001000252 | CHIU RT | CT-COROANGIO+CASCR-C | CT CORO ANGIOGRAM & CALCIUM SCORE (CONTRAST) | DR. CHENG HAPPY (PATRON MEDICAL CTR) | On Account | DR. CHENG HAPPY (PATRON MEDICAL CTR) | CM | 5600 | -1680 | 3920 | |||||||||
21 | 10/01/2020 | 10/01/2020 | TA-2001000587 | CHIU RT | CT-UPABD-C | CT UPPER ABDOMEN (CONTRAST) | DR. CHENG HAPPY (PATRON MEDICAL CTR) | On Account | DR. CHENG HAPPY (PATRON MEDICAL CTR) | CM | 4500 | -1350 | 3150 | |||||||||
22 | 11/01/2020 | 11/01/2020 | TA-2001000660 | DAR RG | CT-COROANGIO+CASCR-C | CT CORO ANGIOGRAM & CALCIUM SCORE (CONTRAST) | DR. CHENG HAPPY (PATRON MEDICAL CTR) | On Account | DR. CHENG HAPPY (PATRON MEDICAL CTR) | CM | 5600 | -1680 | 3920 | |||||||||
23 | 13/01/2020 | 13/01/2020 | TA-2001000783 | KAP M | MR-CERVSPN-P | MR CERVICAL SPINE (PLAIN) | DR. CHENG HAPPY (PATRON MEDICAL CTR) | On Account | DR. CHENG HAPPY (PATRON MEDICAL CTR) | CM | 5150 | -1545 | 3605 | |||||||||
24 | 13/01/2020 | 13/01/2020 | TA-2001000791 | CDL | MR-HIP-BIL-P | MR HIP BILATERAL (PLAIN) | DR. CHENG HAPPY (PATRON MEDICAL CTR) | On Account | DR. CHENG HAPPY (PATRON MEDICAL CTR) | CM | 8800 | -2640 | 6160 | |||||||||
25 | 08/01/2020 | 08/01/2020 | TA-2001000454 | CHAN LK | ECHOCARDIOGRAM | ECHOCARDIOGRAM | DR. CHEON WC | On Account | HONG KONG UROGYNAECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY CENTRE LIMITED | HKUARPSC | 2800 | -840 | 1960 | |||||||||
26 | 15/01/2020 | 15/01/2020 | TA-2001000956 | CHOW KY | ECHOCARDIOGRAM | ECHOCARDIOGRAM | DR. CHEON WC | On Account | HONG KONG UROGYNAECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY CENTRE LIMITED | HKUARPSC | 2800 | -840 | 1960 | |||||||||
27 | 08/01/2020 | 08/01/2020 | TA-2001000482 | RAP UB | CT-PEL-C | CT PELVIS (CONTRAST) | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | On Account | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | CKMG | 4500 | 0 | 4500 | |||||||||
28 | 10/01/2020 | 10/01/2020 | TA-2001000577 | FUCK YU | US-CAROTID+INTHICK | US CAROTID ARTERIES DUPLEX & INTIMAL THICKNESS | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | On Account | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | CKMG | 4300 | -1290 | 3010 | |||||||||
29 | 10/01/2020 | 10/01/2020 | TA-2001000618 | DEE AMO | XR-CHEST-2VIEWS | XR CHEST (2 VIEWS) | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | On Account | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | CKMG | 460 | -138 | 322 | |||||||||
30 | 15/01/2020 | 15/01/2020 | TA-2001000952 | PORTER CHANEL | US-NK | US NECK | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | On Account | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | CKMG | 1300 | -390 | 910 | |||||||||
31 | 15/01/2020 | 15/01/2020 | TA-2001000968 | LEE WYJ | US-BREAST-BI | US BREAST (BILATERAL) | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | On Account | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | CKMG | 1200 | -360 | 840 | |||||||||
32 | 16/01/2020 | TA-2001001038 | MCDONALD | MG-2D+US-BREAST-BI | 2D MMG & US BREAST - BILATERAL | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | On Account | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | CKMG | 2250 | -675 | 1575 | ||||||||||
33 | 16/01/2020 | 16/01/2020 | TA-2001001038 | MCDONALD | US-BREAST-BI | US BREAST (BILATERAL) | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | On Account | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | CKMG | 0 | 0 | 0 | |||||||||
34 | 16/01/2020 | 16/01/2020 | TA-2001001038 | MCDONALD | MG-2D-BI | 2D MMG - BILATERAL | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | On Account | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | CKMG | 0 | 0 | 0 | |||||||||
35 | 22/01/2020 | TA-2001001532 | ADAMS | MG-2D+US-BREAST-BI | 2D MMG & US BREAST - BILATERAL | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | On Account | DR. CHEEEEE (THE LONDON BRIDGE IS CLINIC) | CKMG | 2250 | -675 | 1575 | ||||||||||