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
Updated On:
04/02/2020 1:18:20 PM
Updated By:
Robert Brown
Patient Name:
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
117348 Freedom 1000 439 V60 Bipap
$600.00
Transfer History
Pricing Source: Partner Override Pricing
2213456 Freedom Advanced Wave Mattress XMS 48x90x10 231 V60 Bipap
$500.00
Pricing Source: List Pricing
3342156 Freedom Advanced Wave Blower w BB 321 V60 Bipap
$1000.00
Pricing Source: List Pricing
To Do List
Module ID # Description Date
Call Log 61426 Mercy Hospital South
Not active, waiting call log approval
07/10/2020
Purchase Order 45216 Mercy Hospital South
Not active, waiting call log approval
07/10/2020