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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

Ward :

Ground Floor

Room :

101

Booked via Choose and Book

Visit Type :

Inpatient

Admission Date :

02/03/2015

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Already Charged up to :

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Charge Code :		Number of Nights :		Service Code :
Unit Amount (£) :		Total Amount (£) :		Discount (£) :		Net Total (£) :
Comments :

Room Charges List

Charge Date	Code	Description	Group Description	Number of Nights	Unit Amount	Total Amount	Discount	Net Total	Delete
02/03/2013	000010	Room Charge	Room Charge	1	£ 250.00	£ 250.00	£ 0.00	£ 250.00
05/03/2013	000010	Room Charge	Room Charge	3	£ 250.00	£ 250.00	£ 0.00	£ 750.00