Inpatient Final Bill Breakdown 10/11/2024

Asiri Surgical Hospital PLC

BHTNo: ASH0213010
BHT No. : ASH0213010 Admission Date : 10/10/2024 9:10:00AM

Patent Name : MR P.L.D. CHARITH DEWMEVAN Discharge Date :

Item Code Item Descripton Quantty Unit Price Bill Amount

WD08 WARD 08
ROOM ROOM / BED CHARGES
ITM0001553 ROOM CHARGES Days : 0.50 AND Hours : 11.00 1,054.16 24,245.68
24,245.68

WD08 WARD 08
CSSD CSSD CHARGES
SER0000612 CSSD CHARGES Days : 2.00 AND Hours : 0.00 1,500.00 3,000.00
3,000.00

GNC GENERAL NURSING CARE

ITM0001555 GENERAL NURSING CARE Days : 0.00 AND Hours : 1.00 12,250.00 510.42
ITM0001555 GENERAL NURSING CARE Days : 0.50 AND Hours : 10.00 12,250.00 11,229.17
11,739.59

LAUN LAUNDRY / LINEN

ITM0001556 LAUNDRY AND LINEN CHARGES Days : 2.00 AND Hours : 0.00 1,000.00 2,000.00
2,000.00

RMO RESIDENT MEDICAL OFFICER CHARGES

ITM0001554 RESIDENT MEDICAL OFFICER CHARGES Days : 0.00 AND Hours : 1.00 11,750.00 489.58
ITM0001554 RESIDENT MEDICAL OFFICER CHARGES Days : 0.50 AND Hours : 10.00 11,750.00 10,770.83
11,260.41

CAR CARDIOLOGY
ECG ECG
ECG ECG 1.00 1,170.00 1,170.00
1,170.00

CT CT UNIT
CT CT SCAN
CT21 CT- KUB 1.00 17,710.00 17,710.00
17,710.00

LAB LABORATORY
LAB LABORATORY
A2 U.FR 1.00 650.00 650.00
A5 C.B.C (FULL BLOOD COUNT ) 1.00 400.00 400.00
SP8 U & E WITH CREATININE 1.00 6,040.00 6,040.00
7,090.00

OPD ETU OPD

ADM ADMISSION & INPATIENT REGISTRATION CHARGES
ITM0001552 ADMISSION & INPATIENT REGISTRATION CHARGES 1.00 22,000.00 22,000.00
22,000.00

ETC ETU CHARGES

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 Item Code Item Descripton Quantty Unit Price Bill Amount

WP0000047 ETU/A & E CHARGES PER HOUR 4.00 1,100.00 4,400.00

4,400.00

PHAR PHARMACY
DRG PHARMACY DRUGS
010001380 URIMAX 0.4MG CAPSULES 1.00 39.72 39.72
010001380 URIMAX 0.4MG CAPSULES 30.00 39.72 1,191.60
010014373 VOLTAREN 100MG SUPPOSITORY 3.00 1,335.39 4,006.17
5,237.49

SUR WARD CONSUMABLES

010005958 ALCOHOL PADS 1.00 48.45 48.45
010005958 ALCOHOL PADS 4.00 48.45 193.80
010006813 IV CANNULA 18G GREEN (BD) 1.00 1,405.95 1,405.95
010007211 SYRINGE 5CC (TEREMO) 1.00 350.00 350.00
010007410 TEGADERM 1623 (6CM*7CM) 1.00 1,314.28 1,314.28
010009395 EXAMINATION GLOVES P/F SMALL 2.00 130.00 260.00
010010751 EXAMINATION GLOVES-PO/FR MEDIUM 8.00 140.00 1,120.00
4,692.48

WD08 WARD 08
INVS INVESTIGATIONS
WP0000111 RANDOM BLOOD SUGER 1.00 660.00 660.00
660.00

WP WARD PROCEDURES
WP0000023 CANNULATION/ INTRA VENOUS (IV) PROCEDURE 1.00 3,210.00 3,210.00
3,210.00

Total Amount 118,415.65

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