| |
|
|
|
|
My Expenses
|
|
Grand Total |
|
| Antenatal
Outpatient |
$866.98 |
06-01-2005
(w6) |
$124.80
|
| 19-01-2005
(w8) |
$69.70
|
| 23-02-2005
(w13) |
$99.00
|
| 06-04-2005
(w19) |
$148.55
|
| 25-05-2005
(w26) |
$69.95
|
| 22-06-2005
(w30) |
$94.73
|
| 13-07-2005
(w33) |
$69.95
|
| 27-07-2005
(w35) |
$69.95
|
| 10-08-2005
(w37) |
$120.35
|
| Inpatient |
$530.30 |
Ward
(Class B1) - 1day@ $163.60 |
$163.60
|
| Ward
- Nursery |
$60.70
|
| Daily
Treatment Fee |
$51.10
|
| Specialised
Investigations |
$28.00
|
| Delivery
charges |
$902.00
|
| Delivery
Suite charges - delivered |
$98.00
|
| Drugs
/ Prescriptions / Injections |
$32.95
|
| Ward
Procedures |
$71.00
|
| Consumables |
$96.06
|
| Other
Procedures |
$132.00
|
| Misc
- Non treatment Related |
$12.50
|
| Total
|
$1647.91
|
| GST |
$82.39
|
| Total
amount payable |
$1730.30
|
| Medisave
deduction |
-
$1200.00
|
| Cash
payment |
$530.30
|
|
|
|