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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

Booked via Choose and Book

Visit Type :

Inpatient

Activity Date :

02/03/2013

Charges :

Issue Date :

Location :

Issued via Department :

Physician :

Service Code :

Stock Number :

Location Qty :

Qty in Stock :

Issue Qty :

Pharmacy Stock Charges List

Stock Number

Description 1

Description 2

Issue Quantity

Patient Price (£)

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Bupivacaine Steripacks Polyamps 0.25%

2

3.06

Adept Solution

For Reduction Of Adhesions 4%

1

150.07

Total :

153.13