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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

Account Summary
Invoiced Charges :	£ 200.00	Uninvoiced Charges :	£ 1887.00	Credit :	£ 0.00	Balance :	£ 1887.00

Invoice No. 25150315 - 0005 (Barnet + Chase Farm)

Amount Due :

£200.00

Invoice Amount :

£200.00

Date :

15/03/2016 11:00

Type :

Package

Status :

Unpaid

Dan Sayer

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Invoice Charges

Charge Date	Charge Group	Charge Code	Visit Type	Activity Date	Discharge Date	Resource	Physician	Package	Quantity	Net Total
31/08/2015	PF	20 - Professional Fee	Outpatient			Outpatient Room 1	Mark Miller		1	£250.00
31/08/2015	PF	10 - Anesthetist	Outpatient	31/08/2015 20:00		Outpatient Room 1	Mark Miller		1	£20.00
31/08/2015	Outpatient Charges	ECGR - ECG Record	Outpatient	31/08/2015 20:00			Mark Miller		1	£1,297.00
08/06/2015	CHEM	999010 - High Cost Drugs	Inpatient	06/08/2015 16:13			Mark Miller		2	£104.00
08/06/2015	CT	30 - 3 Parts	Inpatient	06/08/2015 16:13			Mark Miller		1	£300.00