Вы находитесь на странице: 1из 5

Klinik Asmara An-nur

A13 Lorong Tun Ismail 6,


Kuantan
Tel : 09-5156109
Fax : 09-5162697
 
INVOICE

To Universiti Date :  11-02-2011


: Malaysia Pahang Invoice
Karung Berkunci  JAN 2011
No :
12
25000 Kuantan
Pahang Darul  
Makmur
Tel : 09-   
5492000
Fax : 09-
5492222

No Patient Name Staff Date Remark Charge


ID (RM)
1   MUHAMMAD HAZIQ 0682 02-01-   URTI RM23.00
2011
2   ROZLINA BINTI MOHAMED 0025 02-01-   ALLERGIC RM35.00
2011
3   AU FOONG PING 0357 02-01-   URTI RM35.00
2011
4   MOHD ZAHIR BIN SALIM 0698 02-01-   URTI RM23.00
2011
5   MUHAMMAD MUQRIDZ 0023 02-01-   URTI RM35.00
2011
6   Muhammad Amir Bin 0025 03-01-   PORT RM30.00
Marjohan 2011 CIRCUMSICION
7   SITI HADIJAH BINTI 0798 03-01-   URTI+MOUTH RM35.00
ITHNAIN 2011 ULCER
8   CHE WAN RASYIDAH BT 01008 04-01-   URTI RM35.00
CHE WAN MUHAMED 2011
KHADRI
9   CHE WAN PUTERI NUR 01008 04-01-   URTI RM35.00
INSYIRAH 2011
10   AIMAR HAIQAL BIN YUSOF 0084 04-01-   URTI RM35.00
2011
11   SHAHARUL ANUAR BIN 0419 04-01-   AGE RM35.00
ISMAIL 2011
12   MOHD NOOR ALFAHMI BIN 0248 04-01-   URTI RM35.00
MD MUSA 2011
13   SURIYA KUMAR A/L 0395 05-01-   GERD RM35.00
SINNADURAI 2011
14   NORZELAN BIN SALEH 0398 05-01-   TONSILITIS RM35.00
2011
15   ILYANA BINTI AB AZIZ 1572 06-01-   URTI RM35.00
2011
16   SAFINAZ BINTI ABDUL 0391 06-01-   URTI RM35.00
SABIAN 2011
17   ABDULLAH BIN IBRAHIM 0218 06-01-   HPT RM35.00
2011
18   SITI SARAH BINTI MAT 0505 07-01-   URTI RM20.00
ALI 2011
19   MUHAMMAD AZRUL BIN 01091 08-01-   SPORT INJURY RM35.00
MD YASIN 2011
20   ABDULLAH BIN IBRAHIM 0218 08-01-   URTI RM35.00
2011
21   ROKIAH BINTI OTHMAN 0400 08-01-   URTI RM35.00
2011
22   ASHRAF MU,MIN 0573 09-01-   EPITAXIS RM35.00
2011
23   RAUDHATUN INSYIRAH 0573 09-01-   ABSCESS RM35.00
BINTI RASHIDI 2011
24   RAMDAN BIN RAZALI 0101 09-01-   BULGING TM RM35.00
2011
25   HASAN NASRULLAH 0101 09-01-   ABSCESS RM35.00
2011
26   NUUR SHAHIDAH 0101 09-01-   ALLERGY RM35.00
2011
27   HAZREEN NURSHAFINA 0786 10-01-   URTI RM35.00
AMALIN 2011
28   NOOR ASHIKIN BINTI 0779 10-01-   URTI RM35.00
RAMLY 2011
29   NOOR ASHIKIN BINTI 0779 11-01-   URTI RM35.00
RAMLY 2011
30   SHAHRIZAI BIN HAJI 0258 11-01-   GERD RM14.00
SARIF 2011
31   DAMIA NUR HUMAIRA 0779 11-01-   URTI RM35.00
2011
32   NUR HAJAR RAUDHAH 0258 12-01-   URTI RM35.00
2011
33   SHAHRIZAI BIN HAJI 0258 12-01-   URTI RM35.00
SARIF 2011
34   MUHAMMAD HAFIZ 01211 13-01-   URTI RM35.00
HIDAYAT 2011
35   CHIAM KEE SWAN 0264 13-01-   URTI RM24.00
2011
36   HASAN NASRULLAH 0089 14-01-   URTI+ASTHMA RM35.00
2011
37   MUHAMMAD DLEMI BIN 01027 14-01-   PILES RM35.00
HASHIM 2011
38   JAFREE BIN IBRAHIM 0913 14-01-   AGE RM35.00
2011
39   LILY CARTINA BT AFFENDI 0436 14-01-   SINUSITIS RM11.00
2011
40   MUHAMMAD AMIR RIZQ 01244 15-01-   URTI RM17.00
2011
41   JAMIAAH NOOR BTE 0020 15-01-   URTI RM35.00
RAHMAD 2011
42   AIZUDDIN-NOR BIN MD 0905 15-01-   URTI RM35.00
TIA 2011
43   NOOR SYAHIDAH BTE 0592 15-01-   GERD RM35.00
SABRAN 2011
44   NUR A'RIESYA SOFFEA 0394 16-01-   URTI RM18.00
2011
45   NOR DANISHA AMILY 01333 16-01-   ASTHMA RM35.00
2011
46   NORULHUDA BINTI MAT 0024 16-01-   AGE RM35.00
ESA 2011
47   MOHD AKRAM BIN ABDUL 0394 16-01-   URTI RM30.00
RAZAK 2011
48   SHASIELA BINTI ZULKIFLI 1673 17-01-   URTI RM35.00
2011
49   GAN LEONG MING 0357 18-01-   URTI RM35.00
2011
50   SAMSHOL BIN HUSSIN 0893 18-01-   HPT RM35.00
2011
51   MUHAMMAD FARIHIN 0893 18-01-   URTI RM35.00
RAIYAN BIN SAMSHOL 2011
52   NURIN QASHRINA 0477 18-01-   URTI RM25.00
2011
53   SABRIZAM BIN SALIM 01198 18-01-   TONSILITIS RM35.00
2011
54   AHMAD DANIAL HAKIM B. 0798 19-01-   ASTHMA RM35.00
AHMAD AZLAN 2011
55   MOHD ADZHA BIN MAT 01114 19-01-   HEADACHE RM35.00
SAM 2011
56   MOHAMAD ZIKRI ZAFFRYN 0958 20-01-   URTI RM35.00
DARWISY BIN MOHD ZAIDI 2011
57   WAN MASERI BINTI WAN 0089 20-01-   URTI RM35.00
MOHD 2011
58   NURUL IZZATI 01027 20-01-   AGE RM35.00
2011
59   MUHAMMAD DLEMI BIN 01027 20-01-   PILES RM35.00
HASHIM 2011
60   NORMALA BINTI 0436 21-01-   URTI RM20.00
SAMSUDIN 2011
61   MUHAMMAD MUQRIDZ BIN 0437 22-01-   URTI RM35.00
HIZIR 2011
62   ADRIANA BATRISYIA 0023 22-01-   URTI RM35.00
2011
63   MIMI NURALYA DAMIA 1541 22-01-   EAR WAX RM35.00
2011
64   MIMI NURFAIQAH DAYANA 1541 22-01-   URTI RM31.00
2011
65   AU FOONG PING 0357 24-01-   URTI RM35.00
2011
66   SITI HADIJAH BINTI 0798 24-01-   URTI RM20.00
ITHNAIN 2011
67   AFIQAH ZULAIKHA BINTI 0798 24-01-   URTI RM35.00
AHMAD AZLAN 2011
68   AHMAD AZLAN BIN ABD 0798 24-01-   AC ABD RM35.00
MUBIN 2011
69   AHMAD DANIAL HAKIM B. 0798 24-01-   URTI RM35.00
AHMAD AZLAN 2011
70   HASNAH BINTI HUSSIIN 0057 24-01-   SINUS RM35.00
2011 HEADACHE
71   MUHAMMAD DLEMI BIN 01027 25-01-   URTI RM15.00
HASHIM 2011
72   NORAZIELAWATI BINTI 01027 25-01-   MIGRAINE RM35.00
ROMLI 2011 SINUSITIS
73   ROHANI BINTI IBRAHIM 0218 25-01-   URTI RM35.00
2011
74   ABD RAZAK BIN JA'AFAR 01244 26-01-   URTI RM29.00
2011
75   MUHAMMAD AMIR RIZQ 01244 26-01-   URTI RM30.00
2011
76   NABILAH BINTI ALIAS 01277 26-01-   URTI RM35.00
2011
77   SHAHRIZAI BIN HAJI 0258 28-01-   URTI RM35.00
SARIF 2011
78   UMAR 0088 29-01-   URTI RM35.00
2011
79   SITI KHOLIJAH BINTI 0751 31-01-   URTI RM35.00
ABDUL MUDALIP 2011
80   NURUL NADIA BINTI ABD 0995 31-01-   URTI+MYALGIA RM35.00
RAZAK 2011
81   CHE AFANDI BIN CHE 0903 31-01-   URTI RM35.00
ABDULLAH 2011
82   SITI NUR AYEESHA BINTI 0751 31-01-   URTI RM35.00
MOHD NAZRI 2011
83   MOHD NAZRI JAAFAR 0751 31-01-   URTI RM35.00
2011
84   AISYAH ALHUMAIRA BINTI 0273 31-01-   URTI RM35.00
FADHLUR RAHMAN 2011
Total Amount  RM2,725.00

Issued
..............................................
By :
  (Signature & Rubber Stamp)

Вам также может понравиться