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Payment Invoice

The document is an invoice from Tbilisi Central Hospital billing a patient named Daniel Alexis for various medical services including a consultation, treatment, ECG, and nursing charges totaling $157.50.

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ibraheemdex92
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256 views1 page

Payment Invoice

The document is an invoice from Tbilisi Central Hospital billing a patient named Daniel Alexis for various medical services including a consultation, treatment, ECG, and nursing charges totaling $157.50.

Uploaded by

ibraheemdex92
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

INVOICE TBILISI CENTRAL

HOSPITAL

TOTAL Invoice to :
$157.50 Daniel Alexis
+7 929 282‑83‑97
Invoice Date : 14 July , 2024 amcommercialdaniel@[Link]
Invoice No:1411 Davitashen, Samvel Gevorgyan Street

DESCRIPTION PRICE QTY TOTAL

CONSULTATION $ 20.00 1 $ 20.00

MEDICAL TREATMENT $ 55.00 1 $ 55.00

ECG $ 25.00 1 $ 25.00

NURSING CHARGES $ 45.00 1 $ 45.00

IMPORTANT INFO: SUB-TOTAL $ 145.00


The amount due reflects TAX (10%) $ 12.50
patient’s responsibility as of
the statement date and
does not include any
TOTAL $ 157.50
services that are still
pending.

Thank
Shawn Garcia
You !
Manager

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