Invoice
Metrica Hospital
If account is not paid within 7 days the credits details supplied as confirmation.
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2821 Kensington Road,
Avondale Estates, GA 30002 USA.
Patient Name : Donald Gardner
Address : B28 University Street US
Phone No : +123 456 7890
Doctor Name : Dr.Helen White
Department : Orthopedic
Invoice No : #1240
Admit Date : 11/07/2020
Discharge Date : 17/07/2020
| No | Description | Qty | Amount |
|---|---|---|---|
| 1 |
Pharmacy |
7 | $300.00 |
| 2 |
CT Scan |
1 | $200.00 |
| 3 |
Laboratory |
3 | $250.00 |
| 4 |
Medical/Surgical Supplies and Devices |
- | $500.00 |
| Sub Total | $12,50.00 | ||
| Tax Rate | $0.00% | ||
| Total | $12,50.00 | ||
Terms And Condition :
- All accounts are to be paid within 7 days from receipt of invoice.
- To be paid by cheque or credit card or direct payment online.
- If account is not paid within 7 days the credits details supplied as confirmation of work undertaken will be charged the agreed quoted fee noted above.
Account Manager
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