General Details: Rent Order (# 1098) Status: Active
Mercy Hospital South
(#3212)
City:
St.
Louis
State:
MO
Type:
HOSP
Term:
COD
Partner Timezone:
Central Standard Time (GMT-6:00)
Delivery Address: 1500 E,
Washington Ave, AR-Arkansas, 72401
Rent
Order
Date:
04/02/2020 1:18:20 PM Entered By:
Robert Brown
04/02/2020 1:18:20 PM Entered By:
Robert Brown
Updated
On:
04/02/2020 1:18:20 PM Updated By:
Robert Brown
04/02/2020 1:18:20 PM Updated By:
Robert Brown
Patient Name:
Patient 1 Patient ID:
2314
Patient 1 Patient ID:
2314
Ordered By: John Doe
Branch: St. Louis
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Barcode | Model Common Name | Product No. | Product Name | Billing Start | Billing End | Department | Final Monthly Price | Demo/Loaner | Action | |||||||||||||
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117348 | Freedom 1000 | 439 | V60 Bipap |
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$600.00 |
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2213456 | Freedom Advanced Wave Mattress XMS 48x90x10 | 231 | V60 Bipap |
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$500.00 |
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3342156 | Freedom Advanced Wave Blower w BB | 321 | V60 Bipap |
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$1000.00 |
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