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Chris Allan

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Patient Name :

Mr. Chris J Allan

Centurion House, 3rd Floor,	Phone : 989-876-7760
37 Jewry Street,	Work Phone : 989-876-4456
London	Email : Chris.Allan@email.com
EC3N 2ER

Patient ID :

008988 (007860)

NHS Number :

0078777

Date of Birth :

02/03/1974

Gender :

Male

Insurer :

CAB Havering

Policy Number :

008975555

Assessment Number :

50785437

Booked via Choose and Book

Visit Type :

Inpatient

Activity Date :

02/03/2015

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Theatre Time :

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Aneasthetist :

Treatment Code :

Procudure Charge List

Code		Description	Charge Date	Theatre Date Time	Category	%	Amount	Delete
W0810		Acromionectomy	03/03/2015	04/03/2015 09:00 AM	MAJOR 0	100	£911.00
X4810		Excision of Cast Without General Anaesthetic	04/03/2015	05/03/2015 09:50 AM	MINOR 0	50	£215.00