Billing D'sara (Version 1)

KLINIK FAMILI SRI DAMANSARA 30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA, 52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2005 KETUA PENGARAH

LEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA PETI SURAT 10416 50712 KUALA LUMPUR (U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN) NO. 1 2 3 4 NAME OF STAFF/ PATIENT DR HAMIZAH MOHD HASSAN DR HAMIZAH MOHD HASSAN DR HAMIZAH MOHD HASSAN DR HAMIZAH MOHD HASSAN (BR/HQ) KL KL KL KL DATE OF VISIT 7/9/2005 7/21/2005 7/30/2005 7/30/2005 STAFF EMP.NO 2145 2145 2145 2145 LAB. CHARGE X-RAY / ECG MEDICATION CHARGE 18.00 25.00 20.00 35.00 CONSULTATION CHARGE 15.00 10.00 10.00 10.00 TOTAL ( RM ) 33.00 35.00 30.00 35.00
Invoice Date : 08hb. Ogos 2005 Invoice Num : USJLPPKN-07/05
TOTAL
133.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA Amount Payable Ringgit Malaysia RM 133.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005 KETUA PENGARAH

LEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA PETI SURAT 10416 50712 KUALA LUMPUR (U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
Invoice Date : 02hb. Okt 2005 Invoice Num : SD/LPPKN-09/05
NO. 1 2 3 4
NAME OF STAFF/ PATIENT RESHAN A/L KALARAJAN KALAARAJAN A/L PANISAMY LALITHA A/P RAMAYAH KALAARAJAN A/L PANISAMY
(BR/HQ) KL KL KL KL
DATE OF VISIT 6/9/2005 19/09/2005 20/09/2005 30/09/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 30.00 25.00 28.00 25.00
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 45.00 40.00 43.00 40.00 168.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007 KETUA PENGARAH

Invoice Date : 04hb.JANUARI.2007 Invoice Num : SD/LPPKN-12/07
NO. 1 2 3 4 5 6
NAME OF STAFF/ PATIENT KALARAJAN HO CHOK ENG SANJJIV KUMAR ROPIDAH MOHD SAAD MOHD AZMAN LALITHA
(BR/HQ) KL KL KL KL KL KL
DATE OF VISIT 12/6/2007 12/8/2007 12/11/2007 16/12/2007 18/12/2007 28/12/2007
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 18.00 20.00 30.00 25.00 20.00 25.00
CONSULTATION CHARGE
TOTAL ( RM ) 18.00 20.00 30.00 25.00 20.00 25.00
TOTAL
138.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005 KETUA PENGARAH

Invoice Date : 01hb. Dis 2005 Invoice Num : SD/LPPKN-11/05
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT LALITHA A/P RAMAYAH MOHD ASYRAFF ABDULLAH ROPIDAH MOHD SAAD LALITHA A/P RAMAYAH KALAARAJAN RESHAN LALITHA A/P RAMAYAH
(BR/HQ) KL KL KL KL KL KL KL
DATE OF VISIT 7/11/2005 8/11/2005 8/11/2005 14/11/2005 24/11/2005 24/11/2005 27/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 25.00 28.00 30.00 30.00 25.00 25.00 25.00
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00
TOTAL ( RM ) 40.00 43.00 45.00 45.00 40.00 40.00 40.00
TOTAL
293.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005 KETUA PENGARAH

Invoice Date : 03hb. Jan 2005 Invoice Num : SD/LPPKN-12/05
NO. 1 2 3 4
NAME OF STAFF/ PATIENT ROPIDAH MOHD SAAD SACHIDANAD SURAJ KUMAR LALITHA A/P RAMAYAH LALITHA A/P RAMAYAH
(BR/HQ) KL KL KL KL
DATE OF VISIT 4/12/2005 8/12/2005 8/12/2005 11/12/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE 15.00 15.00 15.00 15.00
TOTAL ( RM ) 40.00 40.00 40.00 40.00
TOTAL
160.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006 KETUA PENGARAH

Invoice Date : 03hb. FEB 2006 Invoice Num : SD/LPPKN-01/06
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
NAME OF STAFF/ PATIENT MOHD ALIFF ABDULLAH ROPIDAH MOHD SAAD LALITHA A/P RAMAYAH K.RESHAN KALAARAJAN PALANISAMY KALAARAJAN PALANISAMY KALAARAJAN PALANISAMY LALITHA A/P RAMAYAH AMIRAH HANIS ABDULLAH MOHD ASYRAFF ABDULLAH MOHAMMAD ADIB ABDULLAH SANJJIV KUMAR MOHD ADIB ABDULLAH KALAARAJAN PALANISAMY MOHAMMAD ADIB ABDULLAH MOHD ASYRAFF ABDULLAH KALAARAJAN PALANISAMY
(BR/HQ) KL KL KL KL KL KL KL KL KL KL KL KL KL KL KL KL KL
DATE OF VISIT 3/1/2006 3/1/2006 4/1/2006 4/1/2006 4/1/2006 5/1/2006 12/1/2006 14/1/2006 15/1/2006 15/1/2006 16/1/2006 17/1/2006 17/1/2006 18/1/2006 26/1/2006 26/1/2006 29/1/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 25.00 25.00 28.00 25.00 30.00 25.00 28.00 28.00 25.00 25.00 25.00 25.00 28.00 25.00 25.00 25.00 25.00
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 40.00 40.00 43.00 40.00 45.00 40.00 43.00 43.00 40.00 40.00 40.00 40.00 43.00 40.00 40.00 40.00 40.00 697.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006 KETUA PENGARAH

Invoice Date : 01hb. March 2006 Invoice Num : SD/LPPKN-02/06
NO. 1 2 3 4
NAME OF STAFF/ PATIENT LALITHA A/P RAMAYAH K.RESHAN SANJJIV KUMAR AMIRAH HANIS
(BR/HQ) KL KL KL KL
DATE OF VISIT 17/02/2006 23/02/2006 23/02/2006 27/02/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 50.00 45.00 45.00 45.00
TOTAL
185.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006 KETUA PENGARAH

Invoice Date : 03hb. April 2006 Invoice Num : SD/LPPKN-03/06
NO. 1 2 3 4
NAME OF STAFF/ PATIENT MOHD ADIB ABDULLAH MOHD ADIB ABDULLAH LALITHA A/P RAMAYAH K.RESHAN
(BR/HQ) KL KL KL KL
DATE OF VISIT 1/3/2006 6/3/2006 6/3/2006 9/3/2006
STAFF EMP.NO
LAB. CHARGE
INJECTION CHARGE 15.00
TOTAL ( RM ) 45.00 50.00 40.00 45.00 180.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007 KETUA PENGARAH

Invoice Date :03hb.Disember.2007 Invoice Num : SD/LPPKN-11/07
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT LALITHA RAMAYAH ROPIDAH MOHD SAAD ROPIDAH MOHD SAAD LALITHA RAMAYAH MUHAMMAD ASHRAF MUHAMMAD AFZAL SANJJIR KUMAR LALITHA RAMAYAH
(BR/HQ)
DATE OF VISIT 2/11/2007 12/11/2007 15/11/2007 18/11/2007 19/11/2007 19/11/2007 20/11/2007 22/11/2007
STAFF EMP.NO
VENTOLIN NEBULIZER
INJECTION CHARGE
MEDICATION CHARGE 25.00 25.00 20.00 30.00 20.00 25.00 35.00 30.00
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 40.00 40.00 35.00 45.00 35.00 40.00 50.00 30.00 315.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA Amount Payable Ringgit Malaysia RM315.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2008 KETUA PENGARAH

Invoice Date :06hb.April.2008 Invoice Num : SD/LPPKN-03/07
NO. 1 2 3 4
NAME OF STAFF/ PATIENT MOHD AZMAN B. ABD. MAJID LALITHA A/P RAMAYAH LALITHA A/P RAMAYAH ROPIDAH BT MOHD SAAD
(BR/HQ)
DATE OF VISIT 3/10/2009 3/17/2009 3/18/2009 3/18/2009
STAFF EMP.NO
VENTOLIN NEBULIZER
INJECTION CHARGE
CONSULTATION CHARGE 15.00 15.00 TOTAL
TOTAL ( RM ) 35.00 38.00 40.00 30.00 143.00
SUMMARY OF INVOICE FOR THE MONTH OF OCTOBER 2010 KETUA PENGARAH

Invoice Date : 15hb.December.2010 Invoice Num : SD/LPPKN-10/10
NO. 1 2 3
NAME OF STAFF/ PATIENT MOHD AZMAN B. ABD. MAJID MOHD AZMAN B. ABD. MAJID NOR SUWAIBAH MOHAMAD
(BR/HQ)
DATE OF VISIT 9/28/2010 10/22/2010 10/27/2010
STAFF EMP.NO
VENTOLIN NEBULIZER
INJECTION CHARGE
MEDICATION CHARGE 30.00 30.00 25.00
CONSULTATION CHARGE 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 45.00 45.00 40.00 130.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005

CELCOM (M) BHD , 7TH FLOOR WISMA TELEKOM SEMARAK, NO.82 , JALAN RAJA MUDA ABD. AZIZ, 50300 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/CELCOM-08/05
NO. 1 2
NAME OF STAFF/ PATIENT YASHA KUMAR ASROL NIZAM
(BR/HQ)
DATE OF VISIT 4/8/2005 24/08/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 28.00 30.00
CONSULTATION CHARGE 10.00 10.00
TOTAL ( RM ) 38.00 40.00
TOTAL
78.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/CELCOM-09/05
NO. 1
NAME OF STAFF/ PATIENT NORZAHIRA BINTI KAMID
(BR/HQ)
DATE OF VISIT 26/09/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 28.00
CONSULTATION CHARGE 10.00
TOTAL ( RM ) 38.00
TOTAL
38.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/CELCOM-10/05
NO. 1
NAME OF STAFF/ PATIENT NORZAHIRA BINTI KAMID
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 38.00
TOTAL
38.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/CELCOM-11/05
NO. 1 2 3 4
NAME OF STAFF/ PATIENT FAZLEE AHMAD ASROL NIZAM HAMZAH ROSDI AWANG NORZAHIRA KAMID
(BR/HQ)
DATE OF VISIT 15/11/2005 21/11/2005 30/11/2005 30/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 35.00 40.00 45.00 165.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006

Invoice Date : 03hb. JAN. 2006 Invoice Num : SD/CELCOM-1/06
NO. 1 2 3 4
NAME OF STAFF/ PATIENT KANAGAMBIGAI YASHA KUMAR ASROL NIZAM B. HAMZAH YASHA KUMAR
(BR/HQ)
DATE OF VISIT 4/1/2006 6/1/2006 6/1/2006 12/1/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 45.00 40.00 40.00 160.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006

Invoice Date : 01hb. March 2006 Invoice Num : SD/CELCOM-02/06
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT YASHA KUMAR ASROL NIZAM B. HAMZAH ASROL NIZAM B. HAMZAH NURILA IBRAHIM NORZAHIRA KAMID YASHA KUMAR YASHA KUMAR KANAGAMBIGAI
(BR/HQ)
DATE OF VISIT 6/2/2006 7/2/2006 15/02/2006 16/02/2006 19/02/2006 27/02/2006 27/02/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00
TOTAL ( RM ) 30.00 45.00 55.00 35.00 40.00 25.00 40.00 30.00
TOTAL
300.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006

Invoice Date : 03hb. April 2006 Invoice Num : SD/CELCOM-03/06
NO. 1
NAME OF STAFF/ PATIENT YASHA KUMAR
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE 15.00 TOTAL
TOTAL ( RM ) 40.00 40.00

HEALTH CONNECT UNITED HEALTH CONNECT SDN BHD, UNIT NO. B-1-7 MEGAN PHILEO PROMENADE, 189 JALAN TUN RAZAK, 50400 KUALA LUMPUR.
Invoice Date : 01hb. March 2006 Invoice Num : SD/HC-02/06
NO. 1 2 3 4
NAME OF STAFF/ PATIENT MOHAMMAD AZIAN B. RAMLI MOHAMMAD AZIAN B. RAMLI MOHD SUKRI B. ABD. AZAZ JAN PETER GOMEZ
(BR/HQ)
DATE OF VISIT 13/02/2006 18/02/2006 20/02/2006 27/02/2006
STAFF EMP.NO
LAB. CHARGE
INJ. ECG
TOTAL ( RM ) 35.00 35.00 38.00 40.00
TOTAL
148.00

Invoice Date : 03hb. April 2006 Invoice Num : SD/HC-03/06
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT JAN PETER GOMEZ JAN PETER GOMEZ JAN PETER GOMEZ JAN PETER GOMEZ JAN PETER GOMEZ MOHD KHIR FITRY BIN ABD. RAZAK MOHAMMAD AZLAN B. RAMLI
(BR/HQ)
DATE OF VISIT 1/3/2006 9/3/2006 13/03/2006 14/03/2006 15/03/2006 16/03/2006 20/03/2006
STAFF EMP.NO
LAB. CHARGE
DRESSING CHARGE
TOTAL ( RM ) 25.00 35.00 20.00 20.00 20.00
20.00 20.00 20.00 52.00 20.00 TOTAL 15.00 15.00
67.00 35.00 222.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006

Invoice Date : 01hb. Julai 2006 Invoice Num : SD/HC-06/06
NO. 1 2
NAME OF STAFF/ PATIENT JAN PETER GOMEZ RAJI PRISCILLA
(BR/HQ)
DATE OF VISIT 6/6/2006 6/6/2006
STAFF EMP.NO
LAB. CHARGE
DRESSING CHARGE
TOTAL ( RM ) 30.00 25.00 55.00

AMERICAN HOME ASSURANCE, WISMA AIG, NO.99 JALAN AMPANG, 50450 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/AHA-11/05
NO. 1 2
NAME OF STAFF/ PATIENT FAZLUR AZMI FAZLUR AZMI
(BR/HQ)
DATE OF VISIT 12/11/2005 14/11/2005
STAFF EMP.NO
RAWATAN LUKA CHARGE
X-RAY / ECG
TOTAL RM
40.00 45.00 85.00
TOTAL
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005

Invoice Date : 03hb. JAN. 2006 Invoice Num : SD/AHA-12/05
NO. 1
NAME OF STAFF/ PATIENT FAZLUR AZMI
(BR/HQ)
STAFF EMP.NO
RAWATAN LUKA CHARGE
X-RAY / ECG
TOTAL RM
45.00 45.00
TOTAL

Invoice Date : 01hb. Julai. 2006 Invoice Num : SD/AHA-06/06
NO. 1
NAME OF STAFF/ PATIENT ELSIE THOMAS
(BR/HQ)
STAFF EMP.NO
RAWATAN LUKA CHARGE
X-RAY / ECG
TOTAL RM
40.00 40.00
TOTAL

AFFIN BANK BERHAD (HQ) 11TH FLOOR MENARA AFFIN, NO.8 JALAN RAJA CHULAN 50200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/AFFIN (HQ)-08/05
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT MUHAINI MUSTAFA NOORIZAN MOHAMED CALVIN WEI YUNG LOCK FAZILAWATI FAZILAWATI ANUAR SULAIMAN YEW YOKE SAN LEE LI CHING
(BR/HQ) TFC TD SA HQ HQ HQ HQ C
DATE OF VISIT 2/8/2005 20/08/2005 24/08/2005 25/08/2005 28/08/2005 29/0/8/2005 29/08/2005 30/08/2005
STAFF EMP.NO PS1982000 PS 10095 P/S10642001 1201992 1201992 10632001 ps10642001
LAB. CHARGE
AUTRASOUND CHARGE 40.00
CONSULTATION CHARGE 15.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00
TOTAL ( RM ) 55.00 35.00 38.00 30.00 38.00 38.00 48.00 40.00
TOTAL
322.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/AFFIN (HQ)-09/05
NO. 1 2 3 4 5 6 7 8 9
NAME OF STAFF/ PATIENT MUHAINI BT MUSTAFA MUHAINI BT MUSTAFA ANUAR SULAIMAN KU AHMAD AKIF TOH WOON KAI KU AHMAD AKIF KU AHMAD AKIF KU AHMAD AFNAN KU AHMAD AKIF
(BR/HQ) TFC TFC HQ TFC SA TFC TFC TFC TFC
DATE OF VISIT 5/9/2005 6/9/2005 7/9/2005 17/09/2005 17/09/2005 27/09/2005 28/09/2005 28/09/2005 29/09/2005
STAFF EMP.NO PS1982000 PS1982000 10632001 PS1982000 PS0801978 PS1982000 PS1982000 PS1982000 PS1982000
LAB. CHARGE
NEBULIZER CHARGE
MEDICATION CHARGE 28.00 35.00 25.00 30.00 30.00
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00
TOTAL ( RM ) 43.00 50.00 40.00 45.00 45.00 50.00 40.00 40.00 35.00
20.00
15.00 25.00 25.00
20.00
TOTAL
388.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/AFFIN (HQ)-10/05
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT LOCK CHEE SENG LEE CHEE ONN KU HARMI KU AHMAD KU HARMI KU AHMAD FAZILAWATI MUSTAFA
(BR/HQ) C CBD TFC TFC HQ
DATE OF VISIT 10/10/2005 11/10/2005 11/10/2005 11/10/2005 17/10/2005
STAFF EMP.NO PS10642001 PS09972001 PS198/2000 PS198/2000 1201992
LAB. CHARGE
IMMUNISATION CHARGE
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00
TOTAL ( RM ) 40.00 51.00 40.00 50.00 45.00
35.00 30.00
TOTAL
226.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/AFFIN (HQ)-11/05
NO. 1 2 3 4 5 6 6 7 8 9
NAME OF STAFF/ PATIENT KU AHMAD AKIF STEPHANIE PUIYIAN LOCK KU AHMAD AFNAN TOH MEE YEN FAZILAWATI MUHAINI MUSTAFA MELANIE WONG WONG CHEE FEN MELISSA WONG CALVIN WEI YUNG LOCK
(BR/HQ) TFC SA TFC SA HQ TFC CB CB CB CC
DATE OF VISIT 13/11/2005 14/11/2005 16/11/2005 21/11/2005 21/11/2005 21/11/2005 28/11/2005 28/11/2005 28/11/2005 30/11/2005
STAFF EMP.NO PS198/2000 P/S10642001 PS198/2000 PS0801978 1201992 PS198/2000 321990 321990 321990 PS10642001
LAB. CHARGE
IMMUNISATION CHARGE
MEDICATION CHARGE 30.00 35.00 30.00 25.00 25.00 25.00 25.00 30.00 25.00 25.00
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 45.00 50.00 45.00 40.00 40.00 40.00 40.00 45.00 40.00 40.00 425.00

Invoice Date : 03hb. Jan. 2006 Invoice Num : SD/AFFIN (HQ)-12/05
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT LIM SEONG KANG LIM CHERN WEI LOCK CHEE SENG CALVIN WEI YUNG LOCK NOORIZAN MOHAMAD NOORIZAN MOHAMAD FAZILAWATI MUSTAFA
(BR/HQ) HQ HQ CB CB HQ HQ HQ
DATE OF VISIT 4/12/2005 4/12/2005 8/12/2005 8/12/2005 13/12/2005 17/12/2005 29/12/2005
STAFF EMP.NO PS0011979 PS0011979 10642001 10642001 PS10095 PS10095 1201992
LAB. CHARGE
IMMUNISATION CHARGE
TOTAL ( RM ) 40.00 40.00 40.00 43.00 40.00 38.00 63.00 304.00

Invoice Date : 03hb. Feb. 2006 Invoice Num : SD/AFFIN (HQ)-01/06
NO. 1 2 3 4
NAME OF STAFF/ PATIENT FAZILAWATI MUSTAFA MUHAINI BT MUSTAFA TOH KIM SAN TOH KIM SAN
(BR/HQ) HQ TFC HQ HQ
DATE OF VISIT 16/01/2006 16/01/2006 22/01/2006 26/01/2006
STAFF EMP.NO 1201992 PS198/2000 PS0801978 PS0801978
LAB. CHARGE
IMMUNISATION CHARGE
TOTAL ( RM ) 35.00 40.00 45.00 40.00 160.00

Invoice Date : 01hb. March. 2006 Invoice Num : SD/AFFIN (HQ)-02/06
NO. 1 2
NAME OF STAFF/ PATIENT FAZILAWATI MUSTAFA LEE CHEE ONN
(BR/HQ) HQ CBD
DATE OF VISIT 7/2/2006 12/2/2006
STAFF EMP.NO 1201992 PS09972001
LAB. CHARGE
IMMUNISATION CHARGE
TOTAL ( RM ) 45.00 40.00
TOTAL
85.00

Invoice Date : 01hb. April. 2006 Invoice Num : SD/AFFIN (HQ)-03/06
NO. 1 2
NAME OF STAFF/ PATIENT FAZILAWATI MUSTAFA LEE CHEE ONN
(BR/HQ) HQ CBD
DATE OF VISIT 7/2/2006 12/2/2006
STAFF EMP.NO 1201992 PS09972001
LAB. CHARGE
IMMUNISATION CHARGE
TOTAL ( RM ) 45.00 40.00
TOTAL
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA Amount Payable Ringgit Malaysia RM

Invoice Date : 03hb. April. 2006 Invoice Num : SD/AFFIN (HQ)-03/06
NO. 1 2 3
NAME OF STAFF/ PATIENT KU HARMI KU AHMAD NOORIZAN MOHAMED ISMAIL LOCK CHEE SENG
(BR/HQ) TFC HQ C
DATE OF VISIT 1/3/2006 9/3/2006 16/03/2006
STAFF EMP.NO PS198/2000 PS 10095 PS10642001
LAB. CHARGE
IMMUNISATION CHARGE 110.00
TOTAL ( RM ) 125.00 45.00 45.00 215.00

Invoice Date : 01hb. Julai. 2006 Invoice Num : SD/AFFIN (HQ)-06/06
NO. 1 2
NAME OF STAFF/ PATIENT KU HARMI KU AHMAD TOH KIM SAN
(BR/HQ) TFC SA
DATE OF VISIT 14/6/2006 17/6/2006
STAFF EMP.NO PS198/2000 PS0801978
LAB. CHARGE
IMMUNISATION CHARGE
TOTAL ( RM ) 35.00 40.00
TOTAL
75.00
KLINIK FAMILI SRI DAMANSARA 52200 KUALA LUMPUR.

MEDIJARING AND BHD, LEVEL 3, WISMA KOPERASI TENTERA, 1, JALAN 2*65C, OFF JALAN PAHANG BARAT, 53000 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/TM NET-08/05
NO. 1 2
NAME OF STAFF/ PATIENT WAN ARIF ARFAN JOANNE LOW
DATE OF VISIT 1/8/2005 11/8/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 38.00 38.00
TOTAL
76.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/TM NET-09/05
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT WAN NADIAH FARHANA WAN ARIF ARFAN WAN NABILAH FARHANA WAN ARIF ARFAN WAN ARIF ARFAN ENGKU AHMAD ZAKI EZWANI HUSSEIN WAN YUSRAN BIN WAN KAMAL
DATE OF VISIT 6/9/2005 6/9/2005 6/9/2005 9/9/2005 12/9/2005 23/09/2005 25/09/2005 30/09/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 35.00 35.00 50.00 43.00 43.00 40.00 40.00
TOTAL
321.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/TM NET-10/05
NO. 1 2
NAME OF STAFF/ PATIENT NURUL HAIRIYAH MOHD YATIM WAN NABILAH FARHANA
DATE OF VISIT 24/10/2005 25/10/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00
TOTAL
80.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/TM NET-11/05
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT WAN NABILAH FARHANA YAUMI MUHAMMAD EZWANI BINTI HUSSEIN WAN NADIAH FARHANA WAN NURUL HAIRIYAH
DATE OF VISIT 7/11/2005 15/11/2005 19/11/2005 19/11/2005 21/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 40.00 40.00 45.00 35.00 35.00 195.00

Invoice Date : 03hb. Jan. 2006 Invoice Num : SD/TM NET-12/05
NO. 1 2 3 4 5 6 7 8 9
NAME OF STAFF/ PATIENT WAN NABILAH FARHANA EZWANI BINTI HUSSEIN WAN NABILAH FARHANA WAN ARIF ARFAN WAN ARIF ARFAN IVY CHIN LI MEI WAN NADIAH FARHANA MUHAMMAD FAIZ RAHMAN FAZLUR RAHMAN
DATE OF VISIT 1/12/2005 5/12/2005 5/12/2005 5/12/2005 8/12/2005 11/12/2005 13/12/12005 13/12/2005 13/12/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 25.00 30.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 40.00 45.00 40.00 40.00 40.00 40.00 40.00 40.00 40.00 365.00

MEDIJARING SDN. BHD, LEVEL 3, WISMA KOPERASI TENTERA, 1, JALAN 2*65C, OFF JALAN PAHANG BARAT, 53000 KUALA LUMPUR.
Invoice Date : 03hb. Feb. 2006 Invoice Num : SD/TM NET-01/06
NO. 1 2 3 4 5 6
NAME OF STAFF/ PATIENT WAN NADIAH FARHANA WAN ARIF ARFAN WAN NADIAH FARHANA WAN NADIAH FARHANA NORAZLIANI MD. LAZAM SHADEYAH BINTI SHAHRIL
DATE OF VISIT 3/1/2006 8/1/2006 23/1/2006 27/1/2006 30/1/2006 30/1/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00 40.00 35.00 40.00 35.00
TOTAL
230.00

Invoice Date : 01hb. March 2006 Invoice Num : SD/TM NET-02/06
NO. 1 2 3
NAME OF STAFF/ PATIENT EZWANI BINTI HUSSEIN EZWANI BINTI HUSSEIN EZWANI BINTI HUSSEIN
DATE OF VISIT 6/2/2006 9/2/2006 15/02/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE 15.00 15.00 15.00
TOTAL ( RM ) 40.00 45.00 60.00
TOTAL
145.00

Invoice Date : 03hb. April 2006 Invoice Num : SD/TM NET-03/06
NO. 1 2 3
NAME OF STAFF/ PATIENT EZWANI BINTI HUSSEIN WAN NABILAH FARHANA WAN NABILAH FARHANA
DATE OF VISIT 7/3/2006 13/03/2006 21/03/2006
STAFF EMP.NO
LAB. CHARGE
NEBULIZER CHARGE
TOTAL ( RM ) 40.00 40.00 60.00 140.00
20.00
25.00

Invoice Date : 04hb.Disember.2007 Invoice Num : SD/TM NET-11/07
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT HANIZ ZAHIRA ROSNANI WAN NABILAH FARHANA WAN NADIAH FARHANA WAN ARIF ARFAN WAN ARIF ARFAN EZWANI HUSSEIN
DATE OF VISIT 11/6/2007 11/12/2007 15/11/2007 15/11/2007 15/11/2007 18/11/2007 18/11/2007
LAB. CHARGE
INJECTION NEBULIZER CHARGE 10.00 CHARGE
TOTAL ( RM ) 40.00 35.00 40.00 40.00 40.00 25.00 30.00
TOTAL
250.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009

Invoice Date : 11hb.May.2009 Invoice Num : SD/TM NET-04/09
NO. 1 2 3 4 5 6 7 8 9 10 11 12
NAME OF STAFF/ PATIENT SHURAYA BINTI SHUKOR ROSHASIMI BIN AHMAD NUR HANINA BUHRI SAIFUDDIN ISMAIL ROSHASIMI BIN AHMAD SAIFUDDIN ISMAIL KHAIRIL AZHAR BIN MOHD HARIRI ZURAIRAH BARIZAH BINTI CHE MUD ROSNANI BINTI ZAINAL ABIDIN SHURAYA BINTI SHUKOR DAYANG MAIMUNAH BT AWANG RADMAN ABDUL HALIM BIN AFFANDI
DATE OF VISIT 4/1/2009 4/3/2009 4/6/2009 4/7/2009 4/15/2009 4/16/2009 4/16/2009 4/19/2009 4/22/2009 4/27/2009 4/30/2009 4/30/2009
LAB. CHARGE
INJECTION NEBULIZER CHARGE CHARGE
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 40.00 40.00 30.00 40.00 35.00 30.00 40.00 60.00 40.00 30.00 40.00 35.00 460.00
15.00
20.00 25.00 NIGTH VISIT 25.00 15.00 25.00 20.00

CORE COMPETENCIES (M) SDN BHD 32-2, JALAN ARA SD 7/3A BANDAR SRI DAMANSARA, 52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/CORE COMP. 08/05
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT SIVANANDAM A/L ARAVAM SIVANANDAM A/L ARAVAM ZALINA OSMAN SIVANANDAM A/L ARAVAM CHE AZMAWI CHE SEMAN
(BR/HQ)
DATE OF VISIT 18/08/2005 19/08/2005 19/08/2005 24/08/2005 29/08/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 30.00 30.00 25.00 3.60 38.00
TOTAL
126.60

Invoice Date : 04hb.Januari.2008 Invoice Num : SD/CORE COMP. 12/07
NO. 1 2 3
NAME OF STAFF/ PATIENT AL HAQ HASHIM NORMAH MOHAMED SHUKOR JOHN TIMEWELL
(BR/HQ)
DATE OF VISIT 12/3/2007 12/5/2007 14/12/2007
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 35.00 50.00 120.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/CORE COMP. 11/05
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT CHE ANIQ DANIAL RIMA AZURA CHULAN CHE ANIQ DANIAL NORHAYATI MOHD ARSHAT
(BR/HQ)
DATE OF VISIT 10/11/2005 15/11/2005 25/11/2005 29/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 35.00 35.00 40.00 150.00

Invoice Date : 03hb. JAN. 2006 Invoice Num : SD/CORE COMP. 12/05
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT CHE ANIQ DANIAL CHE ANIQ DANIAL JULIANA AHMAD JULIANA AHMAD CHE AZMAWI RIMA AZURA CHULAN IZWAN RIMA AZURA CHULAN
(BR/HQ)
DATE OF VISIT 1/12/2005 2/12/2005 6/12/2005 14/12/2005 17/12/2005 19/12/2005 21/12/2005 29/12/2005
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 43.00 110.00 40.00 10.00
15.00 15.00 15.00 TOTAL
40.00 78.00 30.00 43.00 394.00

Invoice Date : 03hb. FEB. 2006 Invoice Num : SD/CORE COMP. 01/06
NO. 1 2 3 4 5 6
NAME OF STAFF/ PATIENT CHE ANIQ DANIAL RIMA AZURA CHULAN NORHAYATI MOHD ARSHAT CHE AZMAWI CHE ANIQ DANIAL NORHAYATI MOHD ARSHAT
(BR/HQ)
DATE OF VISIT 1/1/2006 13/01/2006 18/01/2006 18/01/2006 18/01/2006 23/01/2006
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 145.00 40.00 65.00 40.00 35.00 60.00 385.00
50.00 25.00 20.00 45.00

Invoice Date : 01hb. March. 2006 Invoice Num : SD/CORE COMP. 02/06
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT ABDUL NASIR ADNAN CHE ANIQ DANIAL CHE ANIQ DANIAL CHE ANIQ DANIAL SIVANANDAM A/L ARATNAM
(BR/HQ)
DATE OF VISIT 3/2/2006 7/2/2006 17/02/2006 28/02/2006 28/02/2006
INJECTION CHARGE
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL ( RM ) 10.00 20.00 45.00 28.00
45.00 28.00 25.00 TOTAL 15.00
40.00 143.00

Invoice Date : 03hb. April. 2006 Invoice Num : SD/CORE COMP. 03/06
NO. 1 2 3 4 5 6 7 8 9 10 11 12
NAME OF STAFF/ PATIENT CHE ANIQ DANIAL NOORULZAMAN ABDUL KADIR JULIANA BINTI AHMAD MOGAN A/L ARAVAN CHE ANIQ DANIAL RIMA AZURA CHULAN IZWAN BIN HAJI KAMARUL ZAMAN RIMA AZURA CHULAN CHE ANIQ DANIAL CHE AZMAWI IZWAN BIN HAJI KAMARUL ZAMAN ABDUL NASIR ADNAN
(BR/HQ)
DATE OF VISIT 1/3/2006 6/3/2006 9/3/2006 9/3/2006 10/3/2006 13/03/2006 21/03/2006 24/03/2006 29/03/2006 30/03/2006 30/03/2006 31/03/2006
INJECTION CHARGE
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 40.00 35.00 35.00 110.00 58.00 25.00
110.00 58.00 25.00 25.00 10.00 20.00 25.00 130.00 TOTAL 15.00 15.00 15.00
40.00 10.00 35.00 40.00 130.00 593.00

Invoice Date : 01hb. Julai. 2006 Invoice Num : SD/CORE COMP. 06/06
NO. 1 2
NAME OF STAFF/ PATIENT ABDUL NASIR ADNAN ALIYA BINTI KAMARUL ZAMAN
(BR/HQ)
DATE OF VISIT 19/6/2006 30/6/2006
INJECTION CHARGE
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 38.00 25.00 63.00

Invoice Date : 04hb.November.2007 Invoice Num : SD/CORE COMP.11/07
NO. 1 2 3 4
NAME OF STAFF/ PATIENT JOHN TIMEWELL NORMAH KUNASELAN ZAIRUL AKHTAR
(BR/HQ)
DATE OF VISIT 11/2/2007 14/11/2007 14/11/2007 19/11/2007
INJECTION CHARGE
LAB. CHARGE
DRESSING CHARGE 20.00
TOTAL ( RM ) 75.00 35.00 10.00 25.00 145.00

Invoice Date : 11hb.May.2009 Invoice Num : SD/CORE COMP.04/09
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NAME OF STAFF/ PATIENT NIRMAL RAJA A/L KURUNAGARAN NATIMAH HAJI RAHMAN SHAMSHUL AFFENDY RAMLI NUR IRDINA BTE MOHD IKBAL KUNASELAN LALIDA A/P THANIKODI NIRMAL RAJA A/L KURUNAGARAN MOHD IKBAL B. MOHD NURINSYIRAH BATRISIAH LALIDA A/P THANIKODI LALIDA A/P THANIKODI NOORULZAMAN B. ABD KADIR SHAMSHUL AFFENDY RAMLI KUNASELAN NUR IRDINA BTE MOHD IKBAL NOORULZAMAN B. ABD KADIR
(BR/HQ)
DATE OF VISIT 4/1/2009 4/7/2009 4/8/2009 4/9/2009 4/10/2009 4/15/2009 4/17/2009 4/21/2009 4/21/2009 4/23/2009 4/23/2009 4/23/2009 4/26/2009 4/27/2009 4/28/2009 4/29/2009
LAB. CHARGE
DRESSING CHARGE
MEDICATION CHARGE 20.00 20.00 25.00 18.00 10.00 15.00 25.00 10.00 20.00 15.00 20.00 25.00 20.00 15.00 10.00 20.00
TOTAL ( RM ) 20.00 60.00 25.00 18.00 10.00 15.00 25.00 10.00 20.00
15.00 15.00 15.00 15.00 15.00 TOTAL
30.00 35.00 40.00 35.00 15.00 35.00 20.00 413.00
KLINIK FAMILI SRI DAMANSARA, 30G , JALAN ARA 7/3A, BANDAR SRI DAMANSARA 52200 KUALA LUMPUR.
TEL : 03-62771794
FAX : 03-62778460
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2005

LAND & GENERAL BERHAD, BLOCK D, SRI DAMANSARA BUSINESS PARK, BANDAR SRI DAMANSARA, 52200 KUALA LUMPUR.
Invoice Date : 09hb. Ogos 2005 Invoice Num : SD/L&G (ME)-07/2005
NO.
1 2 3 4
NAME OF STAFF
NURUL HAFIZAH ISMAIL MAZLAN BIN MOHAMAD JOHAR KHAIRUL AZUDDIN B. JAAFAR MOHD SUKRI BIN AB. LATIFF
DATE OF VISIT
7/29/2005 7/29/2005 7/29/2005 7/29/2005
STAFF MEDICAL-UPMEDICATION CONSULTATION EMP.NO CHARGE CHARGE CHARGE

80.00 80.00 80.00 80.00
TOTAL ( RM )
80.00 80.00 80.00 80.00
TOTAL
320.00

LAND & GENERAL BERHAD, NO.7 PERSIARAN DAGANG, 52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/L&G - 08/05
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14
NAME OF STAFF/ PATIENT SHAHRIZAL BIN MOHD SABRAH SHAH SUKIRE B. MOHD SABRAH ROSNITA JAMALUDDIN ROSNIZAH BINTI KAMARUDDIN AZNI ROHAIDAH A. RAMAN ANUAR MOHD ZAIN YOUP OMAR BIN HUSSIN ISMAIL BIN BOYAK ROSNIZAH BINTI KAMARUDDIN YOUP OMAR BIN HUSSIN BENYAMIN MUHD NAJIB NORVIVIANTI Z.ARIFIN RUSLIYATUL YANNI HAMAT NOR ASNANI ABDULLAH
(BR/HQ)
DATE OF VISIT 1/8/2005 1/8/2005 7/8/2005 8/8/2005 11/8/2005 12/8/2005 13/08/2005 19/08/2005 21/08/2005 23/08/2005 24/08/2005 29/08/2005 29/08/2005 29/08/2005
STAFF EMP.NO
MEDICAL CHECK-UP 80.00 80.00
INJECTION CHARGE
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL ( RM ) 80.00 80.00
25.00 25.00 28.00 20.00 20.00 80.00 28.00 25.00 26.00 25.00 28.00 25.00 28.00
10.00 10.00 10.00 10.00
35.00 25.00 38.00 30.00 58.00 80.00 28.00
10.00 10.00 10.00 10.00 TOTAL
35.00 26.00 35.00 38.00 35.00 623.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/L&G - 09/05
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT AZNI ROHAIDAH A. RAMAN MOHD SHUKRAN AB AZIZ IMRAN MUHD. NAJIB ROHANA AHMAT MOHAMMAD AZHA ABAS ROSNIZAH KAMARUDDIN BENYAMIN MUHD NAJIB
(BR/HQ)
DATE OF VISIT 1/9/2005 5/9/2005 11/9/2005 16/09/2005 19/09/2005 25/09/2005 30/09/2005
STAFF EMP.NO
MEDICAL CHECK-UP
INJECTION CHARGE
TOTAL ( RM ) 60.00 30.00 40.00 35.00 40.00 43.00 40.00 288.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/L&G - 10/05
NO. 1 2 3 4 5 6 7 8 9 10
NAME OF STAFF/ PATIENT AJIT BIN OMAR AZNI ROHAIDA A.RAMAN AZNI ROHAIDA A.RAMAN SUHAILA BT SAIMI JAYANTHI A/P SIVAKUMARAN AZNI ROHAIDA A.RAMAN FADHLAN RASHID SUHAILA BT SAIMI EFENDI BIN ABD SAMAT EFENDI BIN ABD SAMAT
(BR/HQ)
DATE OF VISIT 5/10/2005 7/10/2005 12/10/2005 12/10/2005 12/10/2005 14/10/2005 20/10/2005 25/10/2005 27/10/2005 28/10/2005
STAFF EMP.NO
MEDICAL CHECK-UP
INJECTION CHARGE
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00
TOTAL ( RM ) 40.00 40.00 40.00 40.00 40.00 45.00 40.00 40.00 40.00 15.00
TOTAL
380.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/L&G - 11/05
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT ROSNIZAH KAMARUDDIN ROSNIZAH KAMARUDDIN ROSNIZAH KAMARUDDIN BAHARUDIN BAHARI LILAWATI ZAINOL NURHANNE RECBURG NORHAFIZAH A. RAHMAN
(BR/HQ)
DATE OF VISIT 7/11/2005 13/11/2005 19/11/2005 20/11/2005 24/11/2005 29/11/2005 29/11/2005
STAFF EMP.NO
MEDICAL CHECK-UP
INJECTION CHARGE
TOTAL ( RM ) 40.00 40.00 40.00 40.00 40.00 40.00 35.00 275.00

Invoice Date : 01hb.Jan.2006 Invoice Num : SD/L&G - 12/05
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14
NAME OF STAFF/ PATIENT EFENDI BIN ABD SAMAT BENYAMIN MUHD NAJIB EFENDI BIN ABD SAMAT MAZLIEA BOSTAMAM MAZLAN MOHD JOHAR ROSNAH KAMARUDDIN MOHD FADZLI BIN YUSOF NORLIZAWATI M. ARSHAD AMEERUZAMAN HAMDAN AHMAD ZABIDI AZNI ROHAIDAH A. RAMAN EFENDI BIN ABD SAMAT ROSNIZAH KAMARUDDIN AMEERUZAMAN
(BR/HQ)
DATE OF VISIT 3/12/2005 11/12/2005 13/12/2005 13/12/2005 15/12/2005 15/12/2005 15/12/2005 16/12/2005 19/12/2005 21/12/2005 21/12/2005 21/12/2005 24/12/2005 29/12/2005
STAFF EMP.NO
MEDICAL CHECK-UP
INJECTION CHARGE
TOTAL ( RM ) 40.00 40.00 35.00 40.00 40.00 35.00 80.00 80.00
80.00 80.00 25.00 25.00 40.00 38.00 28.00 20.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
40.00 40.00 55.00 43.00 43.00 35.00 646.00

NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 NAME OF STAFF/ PATIENT AZNI ROHAIDAH A. RAMAN MAZLIEA BOSTAMAM ROSNIZAH KAMARUDDIN NURHANNE EFENDI BIN ABD SAMAT ROSLIHAIZAH RUSLI SUNANI SANUSI LILAWATI ZAINOL ROSNIZAH KAMARUDDIN MOHD SUKRI AB. LATIFF EFENDI BIN ABD SAMAT IMRAN MUHD NAJIB SHAH SUKIRE B. MOHD SABRAH AZNI ROHAIDAH A. RAMAN ZAINAL B. SALLEH AZNI ROHAIDAH A. RAMAN ROSNIZAH KAMARUDDIN IMRAN MUHD NAJIB (BR/HQ) DATE OF VISIT 3/1/2006 3/1/2006 3/1/2006 3/1/2006 5/1/2006 8/1/2006 13/1/2006 13/1/2006 15/1/2006 20/1/2006 21/1/2006 22/1/2006 23/1/2006 23/1/2006 23/1/2006 24/1/2006 25/1/2006 25/1/2006 80.00 80.00 28.00 25.00 25.00 25.00 25.00 20.00 20.00 25.00 25.00 25.00 25.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL 15.00 15.00 STAFF EMP.NO MEDICAL CHECK-UP INJECTION CHARGE MEDICATION CHARGE 25.00 28.00 30.00 25.00 25.00 15.00
Invoice Date : 03hb.FEB.2006 Invoice Num : SD/L&G - 01/06
TOTAL ( RM ) 40.00 28.00 30.00 25.00 40.00 80.00 80.00 43.00 40.00 25.00 40.00 40.00 35.00 35.00 40.00 40.00 40.00 40.00 741.00

NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 NAME OF STAFF/ PATIENT ROSNIZAH KAMARUDDIN MOHD SUKRAN AZNI ROHAIDAH A. RAMAN EFENDI BIN ABD SAMAT MOHD ZAKARIA HJ. MOHD SAUDI BENJAMIN MUHD NAJIB ZAINAL B. SALLEH NOORHAYATI SAAD RASID SALLEH ZAINAL B. SALLEH BENYAMIN MUHD NAJIB FADHLAN RASHID EFENDI BIN ABD SAMAT ROSNIZAH KAMARUDDIN ZAINAL B. SALLEH EFENDI BIN ABD SAMAT AZNI ROHAIDAH A. RAMAN (BR/HQ) DATE OF VISIT 1/2/2006 2/2/2006 5/2/2006 5/2/2006 5/2/2006 6/2/2006 7/2/2006 8/2/2006 10/2/2006 13/02/2006 14/02/2006 14/02/2006 23/02/2006 23/02/2006 25/02/2006 26/02/2006 28/02/2006 20.00 20.00 30.00 20.00 40.00 35.00 35.00 25.00 25.00 28.00 20.00 25.00 15.00 TOTAL 15.00 15.00 NEBULIZER CHARGE MEDICAL CHECK-UP INJECTION CHARGE MEDICATION CHARGE 25.00 25.00 20.00 25.00 25.00
Invoice Date : 01hb.March.2006 Invoice Num : SD/L&G - 02/06
TOTAL ( RM ) 40.00 40.00 35.00 40.00 40.00 35.00 20.00 30.00 35.00 40.00 35.00 35.00 25.00 40.00 28.00 20.00 40.00 578.00

NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 NAME OF STAFF/ PATIENT AZMI ROSLAN LILAWATI ZAINAL MAZLIEA BOSTAMAM MAZLIEA BOSTAMAM MOHD SUKRI ROSNIZAH KAMARUDDIN MOHD SHUKRAN LILAWATI ZAINAL ROSNIZAH KAMARUDDIN AZMI ROSLAN ROSNIZAH KAMARUDDIN LILAWATI ZAINAL ROHANI JAAFAR (BR/HQ) DATE OF VISIT 12/1/2007 12/3/2007 12/3/2007 12/6/2007 12/6/2007 12/10/2007 13/12/2007 15/12/2007 15/12/2007 17/12/2007 22/12/2007 25/12/2007 29/12/2007 NEBULIZER CHARGE MEDICAL CHECK-UP INJECTION CHARGE MEDICATION CHARGE 25.00 15.00 22.00 20.00 25.00 26.00 25.00 10.00 18.00 30.00 22.00 18.00 20.00 TOTAL
Invoice Date : 04hb.Januari 2008. Invoice Num : SD/L&G - 12/07
TOTAL ( RM ) 40.00 15.00 22.00 20.00 25.00 26.00 25.00 10.00 18.00 30.00 22.00 18.00 20.00 291.00

NO. 1 2 3 4 5 6 7 8 9 NAME OF STAFF/ PATIENT ROSNITA JAMALUDIN MOHD SUKRI MOHD SUKRI MOHD SUKRAN ROHANI JAAFAR ROSNIZAH ROSNIZAH EFENDI AZMI (BR/HQ) DATE OF VISIT 11/3/2007 11/7/2007 11/9/2007 11/9/2007 18/11/2007 23/11/2007 26/11/2007 28/11/2007 30/11/2007 UPT CHARGE MEDICAL CHECK-UP INJECTION CHARGE
Invoice Date : 04hb.Disember.2007 Invoice Num : SD/L&G - 11/07
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 45.00 35.00 45.00 35.00 35.00 35.00 40.00 40.00 40.00 350.00

NO. 1 2 3 4 5 6 7 8 NAME OF STAFF/ PATIENT LILAWATI ZAINOL ROSNIZAH KAMARUDDIN EFENDI BIN ABD SAMAT IZAN NOR FARAHNI BT AHMAD MAZLIEA BUSTAMAM SUHIMI ABD RAZAK AZMI BIN ROSLAN MOHAMMAD AZHA BIN ABAS (BR/HQ) DATE OF VISIT 3/6/2009 3/9/2009 3/12/2009 3/12/2009 3/15/2009 3/19/2009 3/19/2009 3/24/2009 UPT CHARGE MEDICAL CHECK-UP INJECTION CHARGE MEDICATION CHARGE 25.00 20.00 20.00 15.00 20.00 20.00 20.00 20.00 TOTAL 15.00 15.00 15.00
Invoice Date : 06hb.April 2009 Invoice Num : SD/L&G - 03/09
CONSULTATION CHARGE
TOTAL ( RM ) 25.00 35.00 20.00 15.00 35.00 20.00 35.00 20.00 205.00

TPPT SDN BHD TINGKAT 7 & 8, BAY SIME BANK, JALAN SULTAN SULAIMAN, 50000 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/TPPT-08/05
NO. 1
NAME OF STAFF/ PATIENT SITI ZALIFAH
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
35.00
TOTAL
35.00

Invoice Date : 04hb.Januari.2008 Invoice Num : SD/TPPT-12/07
NO. 1 2 3 4
NAME OF STAFF/ PATIENT SITI ZALIFAH MD ISA SITI ZALIFAH MD ISA SITI ZALIFAH MD ISA ZULKARNAIN HUSIN
DATE OF VISIT 12/5/2007 12/12/2007 16/12/2007 17/12/2007
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00 35.00 35.00 20.00 130.00
TOTAL

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/TPPT-10/05
NO. 1 2 3 4 5 6
NAME OF STAFF/ PATIENT SITI ZALIFAH MD ISA SITI ZALIFAH MD ISA WARDINA ZULAIKHA WARDINA ZULAIKHA MOHD HAFIZ IRFAN WARDINA ZULAIKHA
DATE OF VISIT 10/10/2005 17/10/2005 24/10/2005 26/10/2005 28/10/2005 28/10/2005
STAFF EMP.NO
LAB. CHARGE 10.00
X-RAY / ECG
TOTAL RM
55.00 43.00 45.00 40.00 35.00 40.00
TOTAL
258.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVENBER3 2005

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/TPPT-11/05
NO. 1 2 3
NAME OF STAFF/ PATIENT WARDINA ZULAIKHA SITI ZALIFAH MD ISA ZULKARNAIN HUSIN
DATE OF VISIT 8/11/2005 25/11/2005 29/11/2005
STAFF EMP.NO
ULTRA SOUND 40.00
LAB. CHARGE
X-RAY / ECG
TOTAL RM
45.00 75.00 40.00 160.00
TOTAL

Invoice Date : 03hb. FEB. 2006 Invoice Num : SD/TPPT-1/06
NO. 1
NAME OF STAFF/ PATIENT ZULKARNAIN HUSIN
STAFF EMP.NO
ULTRA SOUND
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00 40.00
TOTAL

Invoice Date : 03hb. April. 2006 Invoice Num : SD/TPPT-03/06
NO. 1
NAME OF STAFF/ PATIENT SOFEA MAISARA
STAFF EMP.NO
ULTRA SOUND
LAB. CHARGE
MEDICATION CHARGE
TOTAL RM
60.00 60.00
TOTAL

Invoice Date : 03hb. April. 2006 Invoice Num : SD/TPPT-03/06
NO. 1
NAME OF STAFF/ PATIENT SOFEA MAISARA
STAFF EMP.NO
ULTRA SOUND
LAB. CHARGE
MEDICATION CHARGE
TOTAL RM
40.00 40.00
TOTAL

Invoice Date : 04hb.Disember.2007 Invoice Num : SD/TPPT-11/07
NO. 1 2
NAME OF STAFF/ PATIENT MOHAMMAD HAFIZ IRFAN WARDINA ZULAIKHA
DATE OF VISIT 27/11/2007 27/11/2007
STAFF EMP.NO
ULTRA SOUND
LAB. CHARGE
INJECTION CHARGE
TOTAL RM
35.00 40.00 75.00
TOTAL

Invoice Date : 11hb.AUG.2007 Invoice Num : SD/TPPT-07/09
NO. 1
NAME OF STAFF/ PATIENT SYARA SUZIELA MOHD RADZI
STAFF EMP.NO
ULTRA SOUND 40.00
LAB. CHARGE
INJECTION CHARGE
TOTAL RM
75.00 75.00
TOTAL
SUMMARY OF INVOICE FOR THE MONTH OF MAY 2010

Invoice Date : 08hb.JUNE 2010 Invoice Num : SD/TPPT-05/10
NO. 1
STAFF EMP.NO
ULTRA SOUND
LAB. CHARGE
INJECTION CHARGE
TOTAL RM
35.00 35.00
TOTAL
SUMMARY OF INVOICE FOR THE MONTH OF OCT 2010

Invoice Date : 15.DEC 2010 Invoice Num : SD/TPPT-10/10
NO. 1 2
STAFF EMP.NO
ULTRA SOUND
LAB. CHARGE
INJECTION CHARGE
TOTAL RM
35.00 55.00 90.00
NOOR HASYA ADRIANA BT HAIRUDDIN 10/5/2010
TOTAL

TNB ENGINEERING AND CONSULTANCY, 1701 LEVEL 17, BLOCK B MENARA AMCORP 18 PERSIARAN BARAT, PO.BOX 152 JALAN SULTAN 46000 PETALING JAYA SELANGOR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/TNEC-08/05
NO. 1
NAME OF STAFF/ PATIENT AHMAD ZULKIFLI BIN MOHD ZAIDI
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
35.00
TOTAL
35.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/TNEC-09/05
NO. 1
NAME OF STAFF/ PATIENT AHMAD ZULHILMI BIN MOHD ZAIDI
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
38.00
TOTAL
38.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/TNEC-10/05
NO. 1 2
NAME OF STAFF/ PATIENT AHMAD ZULKIFLI BIN MOHD ZAIDI AHMAD ZULHILMI BIN MOHD ZAIDI
(BR/HQ)
DATE OF VISIT 10/10/2005 24/10/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
45.00 30.00
TOTAL
75.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/TNEC-11/05
NO. 1
NAME OF STAFF/ PATIENT MOHD ZAIDI BT MOHD ZAIN
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
55.00
TOTAL
55.00

Invoice Date : 03hb. April. 2006 Invoice Num : SD/TNEC-03/06
NO. 1
NAME OF STAFF/ PATIENT AHMAD ZULKIFLI B. MOHD ZAIDI
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00
TOTAL
40.00

Invoice Date : 01hb. Julai. 2006 Invoice Num : SD/TNEC-06/06
NO. 1
NAME OF STAFF/ PATIENT AHMAD ZULKIFLI B. MOHD ZAIDI
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00
TOTAL
40.00

ECO ENERGY SDN. BHD, 32, 2ND FLOOR SD7/3A, 52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/ECO ENERGY-08/05
NO. 1
NAME OF STAFF/ PATIENT MD. NOOR BIN HASSAN
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
105.00
TOTAL
105.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/ECO ENERGY-09/05
NO. 1
NAME OF STAFF/ PATIENT MD NOOR HARUN
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
65.00
TOTAL
65.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/ECO ENERGY-10/05
NO. 1 2
NAME OF STAFF/ PATIENT MD NOOR HARUN HASSAN BATHISH
(BR/HQ)
DATE OF VISIT 2/10/2005 3/10/2005
STAFF EMP.NO
X-RAY / ECG
TOTAL RM
256.00 90.00
TOTAL
346.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/ECO ENERGY-11/05
NO. 1 2
NAME OF STAFF/ PATIENT ZAH BT NOOR AZIZAH KASSIM
(BR/HQ)
DATE OF VISIT 16/11/2005 25/11/2005
STAFF EMP.NO
RAWATAN LUKA CHARGE 15.00
X-RAY / ECG
TOTAL RM
45.00 18.00
TOTAL
63.00

Invoice Date : 01hb.JAN. 2005 Invoice Num : SD/ECO ENERGY-12/05
NO. 1
NAME OF STAFF/ PATIENT AZIZAH KASSIM
(BR/HQ)
STAFF EMP.NO
RAWATAN LUKA CHARGE
X-RAY / ECG
MEDICATION CHARGE
TOTAL RM
10.00 10.00
TOTAL

Invoice Date : 03hb.FEB 2006 Invoice Num : SD/ECO ENERGY-01/06
NO. 1 2
NAME OF STAFF/ PATIENT MD NOOR HARON MD NOOR HARON
(BR/HQ)
DATE OF VISIT 16/01/2006 28/01/2006
STAFF EMP.NO
RAWATAN LUKA CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL RM
87.00 35.00
TOTAL
122.00

Invoice Date : 01hb.March 2006 Invoice Num : SD/ECO ENERGY-02/06
NO. 1
NAME OF STAFF/ PATIENT MD NOOR HARON
(BR/HQ)
STAFF EMP.NO
RAWATAN LUKA CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL RM
99.00
TOTAL
99.00

Invoice Date : 03hb.April 2006 Invoice Num : SD/ECO ENERGY-03/06
NO. 1
NAME OF STAFF/ PATIENT MD. NOOR HARON
(BR/HQ)
STAFF EMP.NO
RAWATAN LUKA CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL RM
300.00
TOTAL
300.00

ECO ENERGY SDN. BHD, 35-2nd FLOOR ,JALAN ARA SD 7/3A, BANDAR SRI DAMANSARA, 52200 KUALA LUMPUR.
NO. 1 2 3 NAME OF STAFF/ PATIENT SUHANDI SYIFUL IRWAN MD NOOR SUHANDI SYIFUL IRWAN (BR/HQ) DATE OF VISIT 11/2/2007 22/11/2007 28/11/2007 STAFF EMP.NO RAWATAN LUKA CHARGE X-RAY / ECG
Invoice Date : 04hb.Disember.2007 Invoice Num : SD/ECO ENERGY-11/07
CONSULTATION CHARGE
TOTAL RM
32.00 30.00 30.00
TOTAL
92.00
ARAB MALAYSIAN ASSURANCE BERHAD, 9TH FLOOR, BANGUNAN AMDB, NO.1 , JALAN LUMUT, 50400 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/AM BANK (HQ)-11/05
NO. 1
NAME OF STAFF/ PATIENT NIK MASTURA HANIN
(BR/HQ) HQ
STAFF EMP.NO 10010210
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 45.00
Invoice Date : 10hb. Julai. 2006 Invoice Num : SD/AM BANK (HQ)-04/06
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT MOHARINA BT MOHAMED MOHARINA BT MOHAMED MOHARINA BT MOHAMED NIK AMIN IMRAN MOHARINA BT MOHAMED
(BR/HQ)
DATE OF VISIT 10/4/2006 20/4/2006 21/4/2006 24/4/2006 27/4/2006
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 30.00 45.00 30.00 30.00 180.00
Invoice Date : 14hb. Aug. 2006 Invoice Num : SD/AM BANK (HQ)-07/06
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT M UHD HAIZAL ZARIF KHAFIZUL RASIDI ISHAK MUHD IZHAN FARIZ MAZLINA MOKHTAR MAZLINA MOKHTAR
(BR/HQ)
DATE OF VISIT 15/6/2006 17/7/2006 17/7/2006 19/7/2006 20/7/2006
STAFF EMP.NO
INJEC CHARGE
NEBULIZER CHARGE
TOTAL ( RM ) 40.00 40.00 55.00 40.00 40.00 215.00
20.00
20.00 25.00 25.00
Invoice Date : 14hb. Aug. 2006 Invoice Num : SD/AM BANK (HQ)-07/06
NO. 1 2
NAME OF STAFF/ PATIENT HANIZA HANIM BT SA'ID HANIZA HANIM BT SA'ID
(BR/HQ)
DATE OF VISIT 4/20/2009 4/29/2009
STAFF EMP.NO
INJEC CHARGE
NEBULIZER CHARGE
TOTAL ( RM ) 40.00 35.00 75.00
AM SECURITIES SDN BHD, TING. 15, BANGUNAN AMBANK GROUP, NO. 55, JALAN RAJA CHULAN 50200 KUALA LUMPUR.
Invoice Date : 10hb. Julai. 2006 Invoice Num : SD/AM BANK (HQ)-04/06
NO. 1 2
NAME OF STAFF/ PATIENT PUSPANATHAN A/L THELAN RHUKSAN
(BR/HQ)
DATE OF VISIT 22/4/2006 22/4/2006
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
CONSULTATION CHARGE 25.00 Nigth Visit 25.00 Nigth Visit TOTAL
TOTAL ( RM ) 40.00 48.00 88.00
AM SECURITIES SDN BHD, TING. 15, BANGUNAN AMBANK GROUP, NO. 55, JALAN RAJA CHULAN 50200 KUALA LUMPUR.
Invoice Date : 14hb. Aug. 2006 Invoice Num : SD/AM BANK (AM-S)-07/06
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT MOHARINA MOHAMED NIK AMIN IMRAN NIK AMIN IMRAN MOHARINA MOHAMED DHURKESH
(BR/HQ)
DATE OF VISIT 12/6/2006 15/6/2006 25/6/2006 10/7/2006 16/7/2006
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 40.00 45.00 40.00 45.00 215.00
AMBANK BERHAD (HQ) HR. DEPARTMENT, LEVEL 29 BANGUNAN AMFINANCE

NO. 8 JLN YAP KWAN SENG 50450 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/AM BANK (HQ)-08/05
NO. 1 2 3 4
NAME OF STAFF/ PATIENT AHMAD HAFEEZ SHAMSUDIN AHMAD HAFEEZ SHAMSUDIN AHMAD HAFEEZ SHAMSUDIN AHMAD HAFEEZ SHAMSUDIN
(BR/HQ) HQ HQ HQ HQ
DATE OF VISIT 3/8/2005 5/8/2005 16/08/2005 17/08/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 38.00 25.00 30.00 28.00
TOTAL
121.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/AM BANK (HQ)-09/05
NO. 1 2 3
NAME OF STAFF/ PATIENT AISYAH AQILAH AHMAD HAFEEZ SHAMSUDIN AHMAD HAFEEZ SHAMSUDIN
(BR/HQ) HQ HQ HQ
DATE OF VISIT 6/9/2005 7/9/2005 20/09/2005
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 40.00 50.00
15.00
25.00
TOTAL
135.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/AM BANK (HQ)-10/05
NO. 1
NAME OF STAFF/ PATIENT AHMAD HAFEEZ SHAMSUDIN
(BR/HQ) HQ
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00
TOTAL
40.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/AM BANK (HQ)-11/05
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT AHMAD HAFEEZ SHAMSUDIN HASLINDATUL IKMAL AHMAD HAFEEZ SHAMSUDIN HASLINDATUL IKMAL AHMAD HAFEEZ SHAMSUDIN
(BR/HQ) HQ PUDU HQ PUDU HQ
DATE OF VISIT 9/11/2005 15/11/2005 16/11/2005 17/11/2005 28/11/2005
STAFF EMP.NO
INJEC CHARGE 20.00
X-RAY / ECG
TOTAL ( RM ) 55.00 40.00 55.00 45.00 30.00 225.00

Invoice Date : 03hb. Jan. 2005 Invoice Num : SD/AM BANK (HQ)-12/05
NO. 1 2 3
NAME OF STAFF/ PATIENT AHMAD HAFEEZ SHAMSUDIN AHMAD HAFEEZ SHAMSUDIN AHMAD HAFEEZ SHAMSUDIN
(BR/HQ) HQ HQ HQ
DATE OF VISIT 7/12/2005 18/12/2005 29/12/2005
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 40.00 48.00
TOTAL
133.00

Invoice Date : 03hb. FEB. 2006 Invoice Num : SD/AM BANK (HQ)-01/06
NO. 1 2 3
NAME OF STAFF/ PATIENT AHMAD HAFEEZ SHAMSUDIN AHMAD HAFEEZ SHAMSUDIN AHMAD HAFEEZ SHAMSUDIN
(BR/HQ) HQ HQ HQ
DATE OF VISIT 9/1/2006 12/1/2006 22/1/2006
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00 40.00 120.00

Invoice Date : 01hb. March 2006 Invoice Num : SD/AM BANK (HQ)-02/06
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT PANEERSELVAM PANEERSELVAM PANEERSELVAM AHMAD HAFREEZ SHAMSUDIN AHMAD HAFREEZ SHAMSUDIN AHMAD HAFREEZ SHAMSUDIN AHMAD HAFREEZ SHAMSUDIN
(BR/HQ) HQ HQ HQ HQ HQ HQ HQ
DATE OF VISIT 5/2/2006 6/2/2006 7/2/2006 8/2/2006 12/2/2006 21/2/2006 26/2/2006
STAFF EMP.NO
INJEC CHARGE 20.00
X-RAY / ECG
TOTAL ( RM ) 45.00 40.00 35.00 40.00 60.00 45.00 45.00 310.00
40.00 (Nigth Visit) 30.00 35.00

Invoice Date : 03hb. APRIL 2006 Invoice Num : SD/AM BANK (HQ)-03/06
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT AHMAD HAFREEZ SHAMSUDIN HASLINDATUL IKMAR KHISHAM AHMAD HAFREEZ SHAMSUDIN AHMAD HAFREEZ SHAMSUDIN HASLINDATUL IKMAR KHISHAM
(BR/HQ) HQ PUDU HQ HQ PUDU
DATE OF VISIT 10/3/2006 14/03/2006 24/03/2006 26/03/2006 29/03/2006
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 30.00 45.00 45.00 45.00 35.00 200.00

Invoice Date : 01hb. Julai 2006 Invoice Num : SD/AM BANK (HQ)-06/06
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT MOHARINA MOHAMED ROZANNA HARYANI NIK AMIN IMRAN MUHD. HAIZAL ZARIF HASLINDATUL IKMAR NIK AMIN IMRAN HASLINDATUL IKMAR
(BR/HQ) HQ PUDU HQ HQ PUDU HQ PUDU
DATE OF VISIT 12/6/2006 14/6/2006 15/6/2006 15/6/2006 21/6/2006 25/6/2006 29/6/2006
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 40.00 40.00 40.00 48.00 45.00 40.00 298.00

Invoice Date : 04hb.Disember.2007 Invoice Num : SD/AM BANK (HQ)-11/07
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT HASLINDATUL IKMAR KHISHAM AHMAD HAFEEZ SHAMSUDIN ADAM IKMAL ANUAR AHMAD HAFEEZ SHAMSUDIN AHMAD HAFEEZ SHAMSUDIN HASLIDATUL IKMAR KHISHAM AHMAD HAFEEZ SHAMSUDIN
(BR/HQ)
DATE OF VISIT 5/11/2007 8/11/2007 12/11/2007 17/11/2007 21/11/2007 26/11/2007 26/11/2007 28/11/2007
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00
30.00 30.00 25 TOTAL
15.00 15.00 15
45.00 45.00 40 40.00
8 KHAIRUL ANHAR MOHD TAAM
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA Amount Payable Ringgit Malaysia RM

Invoice Date : 01hb. Julai 2006 Invoice Num : SD/AM BANK (HQ)-06/06
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT MOHARINA MOHAMED ROZANNA HARYANI NIK AMIN IMRAN MUHD. HAIZAL ZARIF HASLINDATUL IKMAR NIK AMIN IMRAN HASLINDATUL IKMAR
(BR/HQ) HQ PUDU HQ HQ PUDU HQ PUDU
DATE OF VISIT 12/6/2006 14/6/2006 15/6/2006 15/6/2006 21/6/2006 25/6/2006 29/6/2006
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 40.00 40.00 40.00 48.00 45.00 40.00 298.00

Invoice Date : 11hb. April 2009 Invoice Num : SD/AM BANK (HQ)-04/09
NO. 1 2 3
NAME OF STAFF/ PATIENT SITI SUHAILA ABU KASSIM SITI SUHAILA ABU KASSIM SITI SUHAILA ABU KASSIM
(BR/HQ) HQ HQ HQ
DATE OF VISIT 4/21/2009 4/22/2009 4/25/2009
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 30.00 40.00 110.00
MENARA CHARTERED (M) LEVEL 15, NO.30 JLN SULTAN ISMAIL, 50250 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/SC BANK (HQ)-10/05
NO. 1 2
NAME OF STAFF/ PATIENT ZARINA ZAINAL ABIDIN KHOR THING THING
(BR/HQ)
DATE OF VISIT 14/10/2005 20/10/2005
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 45.00
TOTAL
85.00
STANDART CHARTERED BANK (M) BERHAD, APU 17 FLOOR,MENARA STANDART CHARTERED, NO.30,JALAN SULTAN ISMAIL, 50280 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007 Invoice Num : SD/SC BANK (HQ)-11/07
NO. 1 2 3
NAME OF STAFF/ PATIENT AMRI MOHAMAD AMIERUL ISKANDAR AMRI MOHAMAD
(BR/HQ)
DATE OF VISIT 11/1/2007 11/12/2007 21/11/2007
STAFF EMP.NO
INJEC CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 35.00 40.00 115.00

STANDART CHARTERED BANK (M) BERHAD (TTDI) 2TH FLOOR, IBM PLAZA CENTRE, JALAN MOHD FUAD, 60000 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/SC (TTDI)-08/05
NO. 1
NAME OF STAFF/ PATIENT NORHASHIMAH HUSSIN
(BR/HQ) TTDI
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
45.00
TOTAL
45.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/SC (TTDI)-09/05
NO. 1 2
NAME OF STAFF/ PATIENT KEJESWARY SATHIASEELAN KEJESWARY SATHIASEELAN
(BR/HQ) TTDI TTDI
DATE OF VISIT 2/9/2005 16/09/2005
STAFF EMP.NO 1188923 1188923
LAB. CHARGE
X-RAY / ECG
TOTAL RM
48.00 35.00
TOTAL
83.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/SC (TTDI)-11/05
NO. 1 2
NAME OF STAFF/ PATIENT KEJESWARY SATHIASEELAN KEJESWARY SATHIASEELAN
(BR/HQ) TTDI TTDI
DATE OF VISIT 28/11/2005 29/11/2005
STAFF EMP.NO 1188923 1188923
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00 40.00 80.00
TOTAL
SUMMARY OF INVOICE FOR THE MONTH OF DECEMBER 2005

STANDART CHARTERED BANK (M) BERHAD APU 17 FLOOR, MENARA STANDART CHARTERED, NO.30 JALAN SULTAN ISMAIL, 50280 KUALA LUMPUR.
Invoice Date : 01hb. Jan. 2005 Invoice Num : SD/SC (TTDI)-12/05
NO. 1 2 3
NAME OF STAFF/ PATIENT AMRI B. MOHAMMAD MUHAMMAD RZQIL ZOLKIFLI MUHAMMAD RZQIL ZOLKIFLI
(BR/HQ) TTDI TTDI TTDI
DATE OF VISIT 16/12/2005 16/12/2005 23/12/2005
STAFF EMP.NO 1129376 3789
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00 40.00 60.00 140.00
TOTAL

Invoice Date : 03hb. FEB. 2006 Invoice Num : SD/SC (TTDI)-1/06
NO. 1
NAME OF STAFF/ PATIENT KEJESWARY SATHIASEELAN
(BR/HQ) TTDI
STAFF EMP.NO 1188923
LAB. CHARGE
X-RAY / ECG
TOTAL RM
30.00 30.00
TOTAL

Invoice Date : 03b. March. 2006 Invoice Num : SD/SC-02/06
NO. 1 2
NAME OF STAFF/ PATIENT YUSNAIDA BT MD.YUSOFF ZARINA ZAINAL ABIDIN
(BR/HQ) TTDI HQ
DATE OF VISIT 12/2/2006 21/2/2006
STAFF EMP.NO 1129376 1189069
X-RAY / ECG
TOTAL RM
55.00 25.00 80.00
TOTAL

Invoice Date : 03b. April. 2006 Invoice Num : SD/SC-03/06
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT AMRI B. MOHAMAD MUHAMMAD RIZQIL MUHAMMAD RIZQIL MUHAMMAD RIZQIL MUHAMMAD RIZQIL ZARINA ZAINAL ABIDIN KARTINI BINTI ISMAIL
(BR/HQ) TTDI TTDI TTDI TTDI TTDI TTDI
DATE OF VISIT 16/12/2006 16/12/2006 23/12/2006 2/2/2006 15/3/2006 22/03/2006 26/3/2006
STAFF EMP.NO 1129376 1206979 1206979 1206979 1206979 1189069 1161329
INJECTION CHARGE
X-RAY / ECG
TOTAL RM
40.00 40.00 60.00 40.00 43.00 50.00 45.00 318.00
TOTAL

Invoice Date : 11hb. May . 2009 Invoice Num : SD/SC-04/09
NO. 1 2
NAME OF STAFF/ PATIENT NUR MAISARAH BIN HAMDAN MUHAMMAD FIRDAUS
(BR/HQ) MSCB SJ
DATE OF VISIT 4/10/2009 4/27/2009
STAFF EMP.NO 1160654 1275194
INJECTION CHARGE
X-RAY / ECG
TOTAL RM
40.00 35.00 75.00
TOTAL
SUMMARY OF INVOICE FOR THE MONTH OF OCTOBER 2010

Invoice Date : 15 Dec . 2010 Invoice Num : SD/SC-10/10
NO. 1 2 3 4
NAME OF STAFF/ PATIENT AMRI B. MOHAMAD ARIF ISKANDAR BIN AMRI YUSNAIDA BT MD YUSOFF AMRI B. MOHAMAD
(BR/HQ) MSCB MSCB MSCB MSCB
DATE OF VISIT 10/19/2010 10/19/2010 10/22/2010 10/22/2010
STAFF EMP.NO 1129376 1129376 1129376 1129376
INJECTION CHARGE
X-RAY / ECG
TOTAL RM
30.00 35.00 45.00 45.00 155.00
TOTAL

NATION WIDE EXPRESS COURIER SERVICES BHD, LOT 6 & 7 JALAN UTAS 15/7, SECTION 15, 40000 SHAH ALAM, SELANGOR DARUL EHSAN.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/N.WIDE-08/05
NO. 1
NAME OF STAFF/ PATIENT ISHAK BIN HARUN
STAFF EMP.NO 1108
LAB. CHARGE
X-RAY / ECG
TOTAL RM
35.00
TOTAL
35.00

Invoice Date : 02hb.Nov . 2005 Invoice Num : SD/N.WIDE-10/05
NO. 1 2 3
NAME OF STAFF/ PATIENT HISHAM BIN MUSTAFA ABD RASHID BIN ABD. SAMAD SELVENDRAN A/L DAVID
DATE OF VISIT 24/09/2005 24/09/2005 2/10/2005
STAFF EMP.NO 39998 9039 8904
LAB. CHARGE
MEDICAL CHECK -UP CHARGE 80.00 80.00 80.00
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL RM
80.00 80.00 80.00
TOTAL
240.00

Invoice Date : 03hb.Jan . 2006 Invoice Num : SD/N.WIDE-12/05
NO. 1 2
NAME OF STAFF/ PATIENT VIJAYARAJAH SELVARAJAH THEVENTIRAN VEERA MOHAN
DATE OF VISIT 14/12/2005 26/12/2005
STAFF EMP.NO
LAB. CHARGE
MEDICAL CHECK -UP CHARGE 80.00 80.00
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL RM
80.00 80.00
TOTAL
160.00

Invoice Date : 03hb.FEB . 2006 Invoice Num : SD/N.WIDE-01/06
NO. 1 2 3 4
NAME OF STAFF/ PATIENT GOPI GANRSH A/L DORASAMY SINIWASAN A/L PANMUAISOLVANI JEGATHISWARAN A/L RAJADURAI SANTHIA SEGAR A/L ARUMUGAM
DATE OF VISIT 12/1/2006 13/1/2006 19/1/2006 20/1/2006
STAFF EMP.NO
LAB. CHARGE
MEDICAL CHECK -UP CHARGE 80.00 80.00 80.00 80.00
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL RM
80.00 80.00 80.00 80.00
TOTAL
320.00

Invoice Date : 01hb.March. 2006 Invoice Num : SD/N.WIDE-02/06
NO. 1
NAME OF STAFF/ PATIENT HAZWAN B. HAMID
STAFF EMP.NO
LAB. CHARGE
MEDICAL CHECK -UP CHARGE 80.00
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL RM
80.00
TOTAL
80.00

Invoice Date : 03hb.April. 2006 Invoice Num : SD/N.WIDE-03/06
NO. 1 2
NAME OF STAFF/ PATIENT MOHD REDZUAN BIN KHALID MOHD YUSREE BIN MOHD YUSOFF
DATE OF VISIT 6/3/2006 6/3/2006
STAFF EMP.NO
LAB. CHARGE
MEDICAL CHECK -UP CHARGE 80.00 80.00
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL RM
80.00 80.00
TOTAL
160.00

Invoice Date : 01hb.Julai 2006 Invoice Num : SD/N.WIDE-06/06
NO. 1
NAME OF STAFF/ PATIENT SHAHROL AZLAN B. KORJI
STAFF EMP.NO
LAB. CHARGE
MEDICAL CHECK -UP CHARGE 80.00
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL RM
80.00
TOTAL
80.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006 Invoice Date : 01hb.March 2006
UNIVERSITI MALAYA BAHAGIAN PENGURUSAN PEMBAYARAN & PERBELANJAAN UNIVERSITI MALAYA 50603 KUALA LUMPUR.
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 NAME OF STAFF/ PATIENT AIMAN HAKIMI B. AHMAD HALID NOR HASLIZA YOB NORHAYATI BT RAMLI TENGKU ADELINE ADURA ROSMINI OSMAN SHAHROM SAID MUHAMMAD SAFWAN NORZILA MUNIF SYAKIR HARUN SABARIAH BASIR ROSMINI OSMAN LOLIANA RANI NURYN NADIA WAN NOR NOOR ROSLY ERWIN HELMI NURYN NATLI ROSMINI OSMAN UMAR SYAKIR HARUN SABARIAH BASIR (BR/HQ) DATE OF VISIT 23/01/2006 23/01/2006 24/01/2006 1/2/2006 4/2/2006 6/2/2006 9/2/2006 10/2/2006 10/2/2006 10/2/2006 13/02/2006 15/02/2006 15/02/2006 17/05/2006 17/02/2006 20/02/2006 20/02/2006 20/02/2006 21/02/2006 21/02/2006 45.00 25.00 25.00 25.00 20.00 25.00 28.00 15.00 25.00 20.00 30.00 22.00 25.00 25.00 25.00 OTHER CHARGE LAB. CHARGE IMMUNIZATION CHARGE MEDICATION CHARGE 22.00 20.00 25.00 34.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 CONSULTATION CHARGE 15.00 15.00 15.00
Invoice Num : SD/UM-02/06
TOTAL RM
37.00 35.00 40.00 34.00 15.00 45.00 37.00 40.00 40.00 40.00 60.00 40.00 40.00 40.00 35.00 40.00 43.00 30.00 40.00 35.00
21 22 23 24 25 26 27 28 29 30 31 32
TENGKU NORAINI TENGKU RAHIM ROSMINI OSMAN TENGKU ADELINE ADURA HAIRNANI SAMSUDIN PAZDI NURUL FITRIYAH NOOR AZLY HAKIM ROHIZI ELISYA IRDINA HUSNA MANSOR ELISYA IRDINA TENGKU NORAINI
22/02/2006 23/02/2006 23/02/2006 23/02/2006 23/02/2006 23/02/2006 24/02/2006 26/02/2006 26/02/2006 26/02/2006 27/02/2006 28/02/2006 15.00 110.00
25.00 25.00 25.00 20.00 30.00 25.00 28.00 25.00 30.00 25.00 25.00
15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00
40.00 40.00 40.00 35.00 45.00 125.00 40.00 43.00 40.00 45.00 40.00 40.00 1339.00
TOTAL

NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF VISIT 1 2 3 4 5 6 7 8 9 10 11 12 13 ROSMINI ASMAWI RIPIN ELISYA RUSNI AWANG NURYN NATLI ERWIN HELMI NURYN NATLI LOLIANA RANI SHAQRUL RAFFIQ NURYN NADIA ASMAWI RIPIN ADAM NOOR ROSLY 12/4/2007 12/4/2007 14/12/2007 17/12/2007 22/12/2007 22/12/2007 22/12/2007 23/12/2007 25/12/2007 27/12/2007 28/12/2007 31/12/2007 31/12/2007 OTHER CHARGE LAB. CHARGE IMMUNIZATION CHARGE
Invoice Date : 04hb.Januari.2008 Invoice Num : SD/UM12/07
MEDICATION CHARGE 15.00 25.00 25.00 20.00 30.00 30.00 25.00 20.00 25.00 25.00 25.00 22.00 10.00
TOTAL RM
30.00 40.00 40.00 20.00 30.00 30.00 25.00 20.00 25.00 25.00 25.00 22.00 10.00
TOTAL
342.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006 Invoice Date : 11hb.May 2009
Invoice Num : SD/UM-04/09
NO.
NAME OF STAFF/ PATIENT
(BR/HQ)
DATE OF VISIT
OTHER CHARGE
LAB. CHARGE
IMMUNIZATION CHARGE
TOTAL RM
37.00 35.00 40.00 34.00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
DIN NOR HASLIZA YOB NORHAYATI BT RAMLI TENGKU ADELINE ADURA ROSMINI OSMAN SHAHROM SAID MUHAMMAD SAFWAN NORZILA MUNIF SYAKIR HARUN SABARIAH BASIR ROSMINI OSMAN LOLIANA RANI NURYN NADIA WAN NOR NOOR ROSLY
23/01/2006 23/01/2006 24/01/2006 1/2/2006 4/2/2006 6/2/2006 9/2/2006 10/2/2006 10/2/2006 10/2/2006 13/02/2006 15/02/2006 15/02/2006 17/05/2006 17/02/2006 45.00
15.00 30.00 22.00 25.00 25.00 25.00 15.00 15.00 15.00 15.00 15.00 15.00 25.00 25.00 25.00 20.00 15.00 15.00 15.00 15.00
15.00 45.00 37.00 40.00 40.00 40.00 60.00 40.00 40.00 40.00 35.00
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32
ERWIN HELMI NURYN NATLI ROSMINI OSMAN UMAR SYAKIR HARUN SABARIAH BASIR TENGKU NORAINI TENGKU RAHIM ROSMINI OSMAN TENGKU ADELINE ADURA HAIRNANI SAMSUDIN PAZDI NURUL FITRIYAH NOOR AZLY HAKIM ROHIZI ELISYA IRDINA HUSNA MANSOR ELISYA IRDINA TENGKU NORAINI
20/02/2006 20/02/2006 20/02/2006 21/02/2006 21/02/2006 22/02/2006 23/02/2006 23/02/2006 23/02/2006 23/02/2006 23/02/2006 24/02/2006 26/02/2006 26/02/2006 26/02/2006 27/02/2006 28/02/2006 15.00 110.00
25.00 28.00 15.00 25.00 20.00 25.00 25.00 25.00 20.00 30.00
15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00
40.00 43.00 30.00 40.00 35.00 40.00 40.00 40.00 35.00 45.00 125.00 40.00 43.00 40.00 45.00 40.00 40.00 1339.00
25.00 28.00 25.00 30.00 25.00 25.00
15.00 15.00 15.00 15.00 15.00 15.00
TOTAL

Invoice Date : 15hb.Dec 2010 Invoice Num : SD/UM-10/10
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT NOOR ZURANI MD HARIS ROBSON ADAM IBRAHIM MOHD @AHMAD MOHAMED FAUZI AGOS ADAM ADNEY RAISA SASUNA NORSIAH
(BR/HQ)
DATE OF VISIT 9/29/2010 10/1/2010 10/1/2010 10/4/2010 10/15/2010 10/5/2010 10/26/2010 10/26/2010
OTHER CHARGE
LAB. CHARGE
IMMUNIZATION CHARGE
TOTAL RM
40.00 35.00 40.00 35.00 45.00 35.00 35.00 35.00 300.00
TOTAL

UTUSAN MEDIA SALES SDN.BHD, NO. 11-3, THE RIGTH ANGLE, JALAN 14/22 PETALING JAYA, SELANGOR DARUL EHSAN.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/USM-08/05
NO. 1
NAME OF STAFF/ PATIENT NORUL ASHIKIN
(BR/HQ)
STAFF EMP.NO 823
LAB. CHARGE
X-RAY / ECG
TOTAL RM
30.00
TOTAL
30.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/USM-09/05
NO. 1
NAME OF STAFF/ PATIENT SURIATI MOHD YUSOF
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00
TOTAL
40.00

Invoice Date : 01hb.Dis 2005 Invoice Num : SD/USM-11/05
NO. 1
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
45.00
TOTAL
45.00

Invoice Date : 03hb.Jan 2006 Invoice Num : SD/USM-12/05
NO. 1
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00 40.00
TOTAL

AIA UNITED HEALTHCARE SDN BHD LEVEL 26, MENARA AIA. 99 JALAN AMPANG, 50450 KUALA LUMPUR.
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 NAME OF STAFF/ PATIENT ZAILAN BT HASSAN KAMARULZAMAN AHMAD ZUREANA SALLEH MOHD YAZLI YAHYA NORMAN B. SAPINGAI MOHD YAZLI BIN YAHYA AEDIEROY SHARIZAL ZULFRIADI BIN AHMAD AHMAD ZAMAN HURI MOHD YAZLI BIN YAHYA MISKAM BIN SAMAT ZULFRIADI BIN AHMAD BRYAN CHAN CHI HOE RAMLAH BT MOHD ISA NORMAWATI BT MOHAMED TAIB TENGKU NOO RIHEZAN ZULFRIADI BIN AHMAD RAZALI BIN IBRAHIM (BR/HQ) DATE OF VISIT 2/9/2005 2/9/2005 5/9/2005 5/9/2005 6/9/2005 6/9/2005 7/9/2005 9/9/2005 9/9/2005 12/9/2005 16/09/2005 19/07/2005 21/09/2005 22/09/2005 22/09/2005 23/09/2005 28/09/2005 30/09/2005 STAFF EMP.NO 3039370101 3039373801 3026458801 3047901901 3013883301 3047901901 3042186101 3031502401 3020869201 3047901901 3039375601 3031502401 3011844803 3039368401 3039372901 3039369301 3031502401 3039364801 LAB. CHARGE X-RAY / ECG
Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/AIA-09/05
MEDICATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00
CONSULTATION CHARGE 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00
TOTAL RM
25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 450.00
TOTAL

NO. 1 2 3 4 5 6 7 NAME OF STAFF/ PATIENT RAMLAH BT MOHD ISA BEATRICE CHAN CHI YAN SUJAIRI B. OSMAN RAMLAH BT MOHD ISA NORMAWATI BT MOHAMED TAIB ABDUL AZIZ BIN OSMAN BEATRICE CHAN CHI YAN (BR/HQ) DATE OF VISIT 5/10/2005 12/10/2005 12/10/2005 26/10/2005 26/10/2005 28/10/2005 31/10/2005 STAFF EMP.NO 3039368401 3011844802 1023376201 3039368401 3039372901 3039366601 3011844802 LAB. CHARGE X-RAY / ECG
Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/AIA-10/05
TOTAL RM
25.00 25.00 25.00 25.00 25.00 25.00 25.00
TOTAL
175.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/AIA-11/05
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
NAME OF STAFF/ PATIENT MOHD YAZLI BI YAHYA RUZIAH BT NASIR RAMLAH BT MOHD ISA MISKAM BIN SAMAT SHAIDAH BINTI AHMAD SHAHRUL AZHA BIN MUHAMMAD ZUREANA SALLEH ANIS ZAMILA SALLEH KAMARULZAMAN BIN AHMAD RAMLAH BT MOHD ISA ABDUL AZIZ BIN OSMAN RAMLAH BT MOHD ISA MOHD YAZLI BI YAHYA KHABI SHABRI YAHYA ZAIHASRA BT MOHD JAMAL ZAILAN BT HASSAN AMRAN BIN MOHAMAD BEATRICE CHAN CHI YAN RAMLAH BT MOHD ISA
(BR/HQ)
DATE OF VISIT 7/11/2005 9/11/2005 9/11/2005 11/11/2005 11/11/2005 11/11/2005 11/11/2005 14/11/2005 14/11/2005 15/11/2005 16/11/2005 16/11/2005 16/11/2005 16/11/2005 18/11/2005 18/11/2005 22/11/2005 26/11/2005 29/11/2005
STAFF EMP.NO 3047901901 3039367501 3039368401 3039375601 3041242001 1029086901 3026458801 3020870001 3039373801 3039368401 3039366601 3039368401 3047901901 3005605701 3039371001 3039370101 3049732301 3011844802 3039368401
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00
CONSULTATION CHARGE 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00
TOTAL RM
25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 475.00
TOTAL

Invoice Date : 01hb. JAN 2006 Invoice Num : SD/AIA-12/05
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
NAME OF STAFF/ PATIENT ZUREANA SALLEH NORASHIKIN BINTI SAADON MASJURI BIN SUPRI SHAHFINAZ BT MOHD RADZI MISKAM BIN SAMAT LOH WAI LENG ZAIHASRA BT MOHD JAMAL AEDIEROY SHARIZAL ABDULLAH ASNITA ASPARI RFARAMILA OSMAN RAMLAH BT MOHD ISA MUHAMMAD SHAHRIR MD NOR MISKAM BIN SAMAT RAZALI BIN IBRAHIM NORMAWATI BT MOHAMED TAIB RAMLAH BT MOHD ISA
(BR/HQ)
DATE OF VISIT 2/12/2005 4/12/2005 5/12/2005 6/12/2005 7/12/2005 8/12/2005 8/12/2005 12/12/2005 14/12/2005 15/12/2005 15/12/2005 15/12/2005 20/12/2005 25/12/2005 27/12/2005 29/12/2005
STAFF EMP.NO 3026458801 3049345901 3039363901 3038047801 3039375601 3011844801 3039371001 3047186101 3042322101 3006622701 3039368401 3048363001 3039375601 3039364801 3039372901 3039368401
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00
CONSULTATION CHARGE 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00
TOTAL RM
25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 400.00
TOTAL

Invoice Date : 003hb. FEB 2006 Invoice Num : SD/AIA-01/06
NO. 1 2 3 4 5 6 7 8 9
NAME OF STAFF/ PATIENT ZAILAN BT HASSAN RAZALI BIN IBRAHIM ABDUL AZIZ BIN OSMAN MUHAMMAD SHAHRIR MD NOR MUHAMMAD SHAHRIR MD NOR BEATRICE CHAN CHI YAN IKHWAN BIN ABDUL MALIK BRYAN CHAN CHI HOE JULIANA ABD RAHMAN
(BR/HQ)
DATE OF VISIT 12/1/2006 12/1/2006 13/1/2006 13/1/2006 14/1/2006 16/1/2006 18/1/2006 22/1/2006 31/1/2006
STAFF EMP.NO 3039370101 3039364801 3039366601 3048363001 3048363001 3011844802 3014822901 3011844803 3050386301
LAB. CHARGE
X-RAY / ECG
TOTAL RM
35.00 35.00 35.00 35.00 35.00 35.00 35.00 35.00 35.00
TOTAL
315.00

Invoice Date : 04hb.Januari.2008 Invoice Num : SD/AIA-12/07
NO. 1 2
NAME OF STAFF/ PATIENT ASNITA ASPARI NABIL ALWANI
(BR/HQ)
DATE OF VISIT 12/11/2007 12/12/2007
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
35.00 35.00 70.00
TOTAL

Invoice Date : 03hb.Disember.2007 Invoice Num : SD/AIA-11/07
NO. 1 2 3 4 5 6 7 8 9
NAME OF STAFF/ PATIENT AEDIEROY SHARIZAL ZUREANA ASNITA ASPARI ANIS ZAMILA NABIL ALWANI NORMAN MIKHAIL ALWANI EILIYAH HAMDAN
(BR/HQ)
DATE OF VISIT 11/1/2007 11/2/2007 11/5/2007 11/5/2007 11/9/2007 11/12/2007 21/11/2007 21/11/2007 11/23/2007
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
35.00 35.00 35.00 35.00 35.00 35.00 35.00 35.00 35.00 315.00
TOTAL

Invoice Date : 11hb.April.2009 Invoice Num : SD/AIA-04/09
NO. 1 2 3 4 5 6
NAME OF STAFF/ PATIENT PHOON KIN MUN ZUREANA SALLEH ZUREANA SALLEH WAH AHMAD FAHRUDDEEN BIN WAN BONAVENTURE PHILIP SUNGKA FARAH HARYATI BINTI MUHAMAD
(BR/HQ)
DATE OF VISIT 4/3/2009 4/9/2009 4/15/2009 4/28/2009 4/29/2009 4/30/2009
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
35.00 35.00 35.00 35.00 35.00 35.00 210.00
TOTAL

C.M.D SERVISE (M) SDN. BHD, 32-2, JALAN ARA SD 7/3A, BANDAR SRI DAMANSARA 52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/CMD-08/05
NO. 1 2 3 4 5 6
NAME OF STAFF/ PATIENT ERUWAN BIN ABU KASIM SITI AIDA MUSTAFA SIVA KUMAR WILLIE LIAM SYED MOHD MAHATHIR SHAH AHMAD RASYDAN
(BR/HQ)
DATE OF VISIT 5/8/2005 20/08/2005 22/08/2005 29/08/2005 30/08/2005 30/08/2005
STAFF
LAB.
X-RAY / ECG
EMP.NO CHARGE
TOTAL RM
30.00 7.50 30.00 30.00 35.00 30.00
TOTAL
162.50

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/CMD-09/05
NO. 1 2 3 4
NAME OF STAFF/ PATIENT RICHARD SELVAM SYED MOHD MAHATHIR BALA MURALI AHMAD RASYDAN
(BR/HQ)
DATE OF VISIT 6/9/2005 7/9/2005 12/9/2005 28/09/2005
STAFF
LAB.
X-RAY / ECG
EMP.NO CHARGE
TOTAL RM
40.00 30.00 20.00 35.00
TOTAL
125.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/CMD-10/05
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT AHMAD RASYDAN ERUWAN ABU KASIM ERUWAN ABU KASIM SYED MOHD MAHATHIR ERUWAN ABU KASIM
(BR/HQ)
DATE OF VISIT 14/10/2005 16/10/2005 18/10/2005 19/10/2005 24/10/2005
STAFF
LAB.
X-RAY / ECG
EMP.NO CHARGE
TOTAL RM
35.00 43.00 25.00 35.00 35.00
TOTAL
173.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/CMD-11/05
NO. 1 2 3
NAME OF STAFF/ PATIENT SYED MOHD MAHATHIR SYED MOHD MAHATHIR WILLIE LIAM
(BR/HQ)
DATE OF VISIT 9/11/2005 14/11/2005 28/11/2005
STAFF
LAB.
NEBULIZER CHARGE
X-RAY / ECG
EMP.NO CHARGE
TOTAL RM
28.00 35.00 55.00 118.00
20.00
20.00

Invoice Date : 03hb. JAN. 2006 Invoice Num : SD/CMD-12/05
NO. 1 2 3
NAME OF STAFF/ PATIENT AHMAD UMMIR ABDUL JAIS RICHARD SELVAM SIVAKUMAR
(BR/HQ)
DATE OF VISIT 6/12/2005 12/12/2005 28/12/2005
STAFF
LAB.
NEBULIZER CHARGE
X-RAY / ECG
EMP.NO CHARGE
TOTAL RM
38.00 35.00 40.00 113.00

Invoice Date : 03hb. FEB. 2006 Invoice Num : SD/CMD-01/06
NO. 1
NAME OF STAFF/ PATIENT ERUWAN BIN ABU KASIM
(BR/HQ)
STAFF
LAB.
NEBULIZER CHARGE
X-RAY / ECG
CONSULTATION CHARGE
EMP.NO CHARGE
TOTAL RM
30.00
TOTAL
30.00

Invoice Date : 03hb. April. 2006 Invoice Num : SD/CMD-03/06
NO. 1
NAME OF STAFF/ PATIENT RICHARD SELVAM
(BR/HQ)
STAFF
LAB.
NEBULIZER CHARGE
X-RAY / ECG
EMP.NO CHARGE
TOTAL RM
35.00 35.00

Invoice Date : 01hb. Julai. 2006 Invoice Num : SD/CMD-06/06
NO. 1
NAME OF STAFF/ PATIENT ROBERT GENDU
(BR/HQ)
STAFF
LAB.
NEBULIZER CHARGE
X-RAY / ECG
CONSULTATION CHARGE
EMP.NO CHARGE
TOTAL RM
20.00
TOTAL
20.00

Invoice Date : 06hb. April. 2009 Invoice Num : SD/CMD-03/09
NO. 1 2
NAME OF STAFF/ PATIENT MOHD HELMY BIN TAIB AHMAD FAISAL ABD WAHIAB
(BR/HQ)
DATE OF VISIT 3/19/2009 3/25/2009
STAFF
LAB.
NEBULIZER CHARGE
X-RAY / ECG
EMP.NO CHARGE
TOTAL RM
35.00 35.00 70.00

BANK RAKYAT (HQ) BANGUNAN BANK RAKYAT, JALAN TANGSI, PETI SURAT 11024, 50732 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/BR (HQ)-08/05
NO. 1
NAME OF STAFF/ PATIENT ANIQAH ZULFA
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00
TOTAL
40.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/BR (HQ)-09/05
NO. 1 2
NAME OF STAFF/ PATIENT HALINA ABDUL HAMID ANIQAH HUSNA ABD. LATIF
(BR/HQ)
DATE OF VISIT 18/09/2005 24/09/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
38.00 45.00
TOTAL
83.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/BR (HQ)-10/05
NO. 1
NAME OF STAFF/ PATIENT HALINA ABDUL HAMID
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
35.00
TOTAL
35.00

Invoice Date : 01hb. Dis 2005 Invoice Num : SD/BR (HQ)-11/05
NO. 1 2 3 4
NAME OF STAFF/ PATIENT NURANIS FALINA ABDUL LATIF B. BUNYAMIN MUHD NILHAKEEM ABDUL LATIF B. BUNYAMIN
(BR/HQ)
DATE OF VISIT 10/11/2005 13/11/2005 17/11/2005 25/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL RM
40.00 80.00 45.00 35.00 200.00
TOTAL

Invoice Date : 01hb. JAN 2005 Invoice Num : SD/BR (HQ)-12/05
NO. 1
NAME OF STAFF/ PATIENT MUHD NILHAKEEM ZULKARNAIN
(BR/HQ)
STAFF EMP.NO
NEBULIZER CHARGE 15.00
X-RAY / ECG
TOTAL RM
65.00 65.00
TOTAL

Invoice Date : 01hb. March 2006 Invoice Num : SD/BR (HQ)-02/06
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT MUHD NILHAKEEM ZULKARNAIN HASLINDA BINTI IBRAHIM MUHD NILHAKEEM ZULKARNAIN HALINA ABD HAMID ANIQAH ZULFA
(BR/HQ) HQ HQ HQ HQ HQ
DATE OF VISIT 22/02/2006 22/02/2006 22/02/2006 27/02/2006 27/02/2006
STAFF EMP.NO
NEBULIZER CHARGE
X-RAY / ECG
TOTAL RM
40.00 45.00 45.00 45.00 45.00 220.00
TOTAL

Invoice Date : 03hb. April 2006 Invoice Num : SD/BR (HQ)-03/06
NO. 1 2 3
NAME OF STAFF/ PATIENT ZULKARNAIN TAMAN HALINA ABD HAMID ANIQAH HUSNA ABD. LATIF
(BR/HQ) HQ HQ HQ
DATE OF VISIT 20/03/2006 25/03/2006 25/03/2006
STAFF EMP.NO
NEBULIZER CHARGE
X-RAY / ECG
TOTAL RM
45.00 40.00 45.00 130.00
TOTAL

Invoice Date : 04hb.JANUARI.2008 Invoice Num : SD/BR (HQ)-12/07
NO. 1 2 3
NAME OF STAFF/ PATIENT ABDUL LATIF MUHAMMAD NILHAKEEM HASLINDA IBRAHIM
(BR/HQ) HQ HQ HQ
DATE OF VISIT 12/3/2007 13/12/2007 28/12/2007
STAFF EMP.NO
NEBULIZER CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL RM
68.00 40.00 20.00
TOTAL
128.00

Invoice Date : 11hb.04.2009 Invoice Num : SD/BR (HQ)-11/07
NO. 1 2 3
NAME OF STAFF/ PATIENT IMAN JASMINE ANIQAH ZULFA ZULKARNAIN
(BR/HQ)
DATE OF VISIT 11/5/2007 13/11/2007 20/11/2007
STAFF EMP.NO
NEBULIZER CHARGE
X-RAY / ECG
TOTAL RM
45.00 45.00 45.00 135.00
TOTAL

Invoice Date : 11hb.May.2009 Invoice Num : SD/BR (HQ)-04/09
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT HASLINDA IBRAHIM HASLINDA IBRAHIM IMAN JASMINE ABDUL LATIF BUNYAMIN HASLINDA IBRAHIM ZULKARNAIN TAMAN NURANIS FATIHA ZULKARNAIN
(BR/HQ)
DATE OF VISIT 4/2/2009 4/7/2009 4/17/2009 4/20/2009 4/24/2009 4/24/2009 4/30/2009
STAFF EMP.NO
NEBULIZER CHARGE
X-RAY / ECG
TOTAL RM
40.00 35.00 40.00 45.00 45.00 45.00 48.00 298.00
TOTAL

MEDICLINIC @ ASIA ASSISTANCE NETWORK (M) SDN BHD. LEVEL 20-2, C P TOWER, 11 JALAN 16/11, PUSAT DAGANG SEKSYEN 16, 46350 PETALING JAYA, SELANGOR.
Invoice Date : 03hb. April 2006 Invoice Num : SD/MEDICLINIC-03/06
NO. 1
NAME OF STAFF/ PATIENT MOHD HAFIZ BIN HASHIM
(BR/HQ)
STAFF EMP.NO M4072
NEBULIZER CHARGE
X-RAY / ECG
TOTAL RM
40.00 40.00
TOTAL

Invoice Date : 04hb.Januari.2007 Invoice Num : SD/MEDICLINIC-12/07
NO. 1 2 3
NAME OF STAFF/ PATIENT BAIZURA ZAINAL AZMIR IZHAM SURYATI SUDIRO
(BR/HQ)
DATE OF VISIT 12/4/2007 12/9/2007 29/12/2007
INJECTION NEBULIZER UTRASOUND CHARGE CHARGE CHARGE
TOTAL RM
35.00 23.00 23.00
TOTAL
81.00

Invoice Date : 11hb.April.2009 Invoice Num : SD/MEDICLINIC-04/09
NO. 1 2 3 4
NAME OF STAFF/ PATIENT SHAZA AZLIN MOHD SHAFIAI EISHA IRIS IZADDEEN IZADEEN BIN DAUD SHAFIDZAM IBRAHIM
(BR/HQ)
DATE OF VISIT 4/8/2009 4/25/2009 4/28/2009 4/30/2009
INJECTION NEBULIZER UTRASOUND CHARGE CHARGE CHARGE
TOTAL RM
40.00 35.00 30.00 40.00 145.00
TOTAL

LEMBAGA MINYAK SAWIT MALAYSIA (MPOB) NO.6, PERSIARAN INSTITUSI, BANDAR BARU BANGI, 43000 KAJANG, SELANGOR DARUL EHSAN
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/MPOB-08/05
NO. 1
NAME OF STAFF/ PATIENT HARISAH BT HAMID
(BR/HQ)
STAFF EMP.NO K 01559
LAB. CHARGE
X-RAY / ECG
TOTAL RM
45.00
TOTAL
45.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/MPOB-11/05
NO. 1 2 3
NAME OF STAFF/ PATIENT JARIAH MD JIDIN NURAMNANI BT.SHAHRIN HARISAH BT HAMID
(BR/HQ)
DATE OF VISIT 11/11/2005 11/11/2005 15/10/2005
STAFF EMP.NO K01701 K01701 K01559
LAB. CHARGE
X-RAY / ECG
INJECTION CHARGE
TOTAL RM
45.00 45.00 45.00
TOTAL
135.00

Invoice Date : 03hb. JAN. 2005 Invoice Num : SD/MPOB-12/05
NO. 1
NAME OF STAFF/ PATIENT SHAHRIN CHE MAT
(BR/HQ)
STAFF EMP.NO K01701
LAB. CHARGE
X-RAY / ECG
TOTAL RM
60.00 60.00
TOTAL

Invoice Date : 03hb. March. 2006 Invoice Num : SD/MPOB-02/06
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT NURAMIRAH SHAHRIN SHAHRIN CHE MAT MUHAMMAD FARHAN MUHAMMAD ASYRAF SITI NUR RAIMAH KAMARUDDIN IDRIS SITI NUR RIFHAN
(BR/HQ)
DATE OF VISIT 9/2/2006 9/2/2006 13/02/2006 13/02/2006 13/02/2006 13/02/2006 13/02/2006
STAFF EMP.NO K01701 K01701 K01517 K01517 K01517 K01517 K01517
LAB. CHARGE
X-RAY / ECG
INJECTION CHARGE
TOTAL RM
40.00 45.00 35.00 40.00 35.00 40.00 40.00
TOTAL
275.00

Invoice Date : 03hb. March. 2006 Invoice Num : SD/MPOB-02/06
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT NURAMIRAH SHAHRIN SHAHRIN CHE MAT MUHAMMAD FARHAN MUHAMMAD ASYRAF SITI NUR RAIMAH KAMARUDDIN IDRIS SITI NUR RIFHAN
(BR/HQ)
DATE OF VISIT 9/2/2006 9/2/2006 13/02/2006 13/02/2006 13/02/2006 13/02/2006 13/02/2006
STAFF EMP.NO K01701 K01701 K01517 K01517 K01517 K01517 K01517
LAB. CHARGE
X-RAY / ECG
INJECTION CHARGE
TOTAL RM
40.00 45.00 35.00 40.00 35.00 40.00 40.00
TOTAL
275.00

Invoice Date : 03hb. April 2006 Invoice Num : SD/MPOB-03/06
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT NURAMNANI BT SHAHRIN SHAHRIN CHE MAT HARISAH BT. HAMID AKMAL SYAFFIQ B. AFFENDY SUHARIYATI SULAIMAN
(BR/HQ)
DATE OF VISIT 9/3/2006 9/3/2006 22/03/2006 30/03/2006 30/03/2006
STAFF EMP.NO k01701 K01701 K01559 K02086 K02086
LAB. CHARGE
DRESSING INJECTION CHARGE 15.00 CHARGE
TOTAL RM
45.00 60.00 55.00 45.00 50.00 255.00
TOTAL

Invoice Date : 01hb. June 2006 Invoice Num : SD/MPOB-06/06
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT NURAMIRAH BT SHAHRIN JARIAH MD JIDIN SHAHRIN CHE MAT NORAMIRAH BT SHAHRIN NURAMNANI BT SHAHRIN
(BR/HQ)
DATE OF VISIT 6/6/2006 6/6/2006 6/6/2006 17/6/2006 22/6/2006
STAFF EMP.NO K01701 K01701 K01701 K01701 K01701
LAB. CHARGE
DRESSING INJECTION CHARGE CHARGE
TOTAL RM
40.00 55.00 40.00 45.00 60.00 240.00
TOTAL

GREAT EASTERN LIFE ASSURANCE, MENARA GREAT EASTERN, 303, JALAN AMPANG , 50450 KUALA LUMPUR.
Invoice Date : 01hb. JAN. 2005 Invoice Num : SD/MPOB-12/05
NO. 1 2
NAME OF STAFF/ PATIENT KANG AH KAU TEOH POH CHOO
(BR/HQ)
DATE OF VISIT 5/12/2005 5/12/2005
MEDICAL CHECK -UP 80.00 80.00
HPERTENSION INJECTION & CLOSTEROL CHARGE 40.00
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL RM
80.00 120.00
TOTAL
200.00

Invoice Date : 01hb. March 2006 Invoice Num : SD/MPOB-02/06
NO. 1
NAME OF STAFF/ PATIENT FARISHA
(BR/HQ)
MEDICAL CHECK -UP 80.00
HPERTENSION INJECTION & CLOSTEROL CHARGE
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL RM
80.00
TOTAL
80.00

Invoice Date : 01hb. Julai 2006 Invoice Num : SD/MPOB-06/06
NO. 1 2 3
NAME OF STAFF/ PATIENT SALIZA BINTI MOHD SHARIFF JAMALUDIN BIN MOHD NOR KWANG YIN YI
(BR/HQ)
DATE OF VISIT 13/6/2006 13/06/2006 16/06/2006
MEDICAL CHECK -UP 80.00 80.00 80.00
URINE FEME 20.00 20.00
INJECTION CHARGE
MEDICATION CHARGE
CONSULTATION CHARGE
TOTAL RM
100.00 100.00 80.00
TOTAL
280.00

REGAL SCOPE NO.8 JALAN ARA SD 7/3B BANDAR SRI DAMANSARA, 52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/BERNAS-11/05
NO. 1
NAME OF STAFF/ PATIENT MUAZIMRAN B. HAMDAN
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00
ount Payable Ringgit Malaysia RM 40.00
TOTAL
40.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/REGAL WATER-09/05
NO. 1
NAME OF STAFF/ PATIENT AFFENDY ABU HASSAN
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL ( RM ) 20.00
TOTAL
20.00
SUMMARY OF INVOICE FOR THE MONTH OF MEI 2005

Invoice Date : 02hb. JUNE. 2005 Invoice Num : SD/REGAL WATER-05/05
NO. 1 2 3 4
NAME OF STAFF/ PATIENT IBRAHIM B. MOHD SIDIK AFFENDY ABU HASSAN NURUL FUAD NIK MD HAFIZAN
(BR/HQ)
DATE OF VISIT 4/5/2005 10/5/2005 13/5/2005 16/05/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 30.00 30.00 30.00 24.00
TOTAL
114.00
SUMMARY OF INVOICE FOR THE MONTH OF JULAI 2005

Invoice Date : 02hb. Ogos. 2005 Invoice Num : SD/REGAL WATER-07/05
NO. 1
NAME OF STAFF/ PATIENT AFFENDY ABU HASSAN
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL ( RM ) 28.00
TOTAL
28.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/REGAL WATER-10/05
NO. 1
NAME OF STAFF/ PATIENT NIK MD. HAFIZAN BIN NIKMAN
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 30.00
TOTAL
30.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/REGAL WATER-11/05
NO. 1 2 3
NAME OF STAFF/ PATIENT KAIRUL IZWAN EFFENDI JUNOH MD.RAMLI NIK MD HAFIZAN
(BR/HQ)
DATE OF VISIT 12/11/2005 14/11/2005 22/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 43.00 25.00
TOTAL
103.00

Invoice Date : 03hb. JAN. 2006 Invoice Num : SD/REGAL WATER-12/05
NO. 1 2 3
NAME OF STAFF/ PATIENT NIK MD HAFIZAN NIK MD HAFIZAN NIK MD HAFIZAN
(BR/HQ)
DATE OF VISIT 7/12/2005 21/12/2005 22/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 38.00 53.00 126.00

Invoice Date : 03hb. FEB. 2006 Invoice Num : SD/REGAL WATER-1/06
NO. 1
NAME OF STAFF/ PATIENT IBRAHIM BIN MOHD SIDIK
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00

Invoice Date : 01hb. March. 2006 Invoice Num : SD/REGAL WATER-02/06
NO. 1 2 3 4
NAME OF STAFF/ PATIENT NIK MOHD HAFIZAN IBRAHIM BIN MOHD SIDIK MD. RAMAN ABDUL JALIL AFFENDY ABU HASIM
(BR/HQ)
DATE OF VISIT 6/2/2006 9/2/2006 9/2/2006 24/02/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 40.00 20.00 20.00
TOTAL
115.00

Invoice Date : 03hb. APRIL. 2006 Invoice Num : SD/REGAL WATER-03/06
NO. 1 2 3
NAME OF STAFF/ PATIENT AFFENDY ABU HASIM NIK MD. HAFIZAN BIN NIK MAN SITI NORBAIZURA BINTI RUSLAN
(BR/HQ)
DATE OF VISIT 5/3/2006 15/03/2006 21/03/2006
STAFF EMP.NO
LAB. CHARGE
TOTAL ( RM ) 40.00 35.00 50.00 125.00

REGAL SCOPE NO.8 JALAN ARA SD 7/3B, BANDAR SRI DAMANSARA, 52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007 Invoice Num : SD/REGAL WATER-11/07
NO. 1 2 3
NAME OF STAFF/ PATIENT MOHD AMIR HAMZAH AFFENDY ABU HASSIM AFFENDY ABU HASSIM
(BR/HQ)
DATE OF VISIT 12/11/2007 13/11/2007 15/11/2007
STAFF EMP.NO
LAB. CHARGE
INJECTION CHARGE
TOTAL ( RM ) 25.00 50.00 30.00 105.00

Invoice Date : 11hb.APRIL.2008 Invoice Num : SD/REGAL WATER-11/07
NO. 1 2
NAME OF STAFF/ PATIENT AFFENDY ABU HASSIM ZAID ANUA RAMLI
(BR/HQ)
DATE OF VISIT 4/3/2009 4/21/2009
STAFF EMP.NO
LAB. CHARGE
INJECTION CHARGE
CONSULTATION CHARGE
TOTAL ( RM ) 40.00 25.00
TOTAL
65.00

Invoice Date : 15.DEC.2010 Invoice Num : SD/REGAL WATER-10/10
NO. 1 2 3
NAME OF STAFF/ PATIENT ZAID ANUA RAMLI NORHAYATI MOHD NOH NORHAYATI MOHD NOH
(BR/HQ)
DATE OF VISIT 9/27/2010 10/5/2010 10/25/2010
STAFF EMP.NO
LAB. CHARGE
INJECTION CHARGE
CONSULTATION CHARGE
TOTAL ( RM ) 30.00 5.00 8.00
TOTAL
43.00

PADIBERAS NASIONAL BERHAD, LEVEL 19, CP TOWER, NO. 11, SECTION 16/11, JALAN DAMANSARA, 46350 P.J, SELANGOR DARUL EHSAN.
Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/BERNAS-11/05
NO. 1
NAME OF STAFF/ PATIENT MUAZ IMRAN B. HAMDAN
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00
TOTAL
45.00

Invoice Date : 03hb.Jan. 2006 Invoice Num : SD/BERNAS-12/05
NO. 1 2 3
NAME OF STAFF/ PATIENT HAMDAN HASSAN NOOR KAUTSAR HAMDAN NOOR KAUTSAR HAMDAN
(BR/HQ)
DATE OF VISIT 7/12/2005 7/12/2005 8/12/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 45.00 40.00
130.00

Invoice Date : 03hb.April. 2006 Invoice Num : SD/BERNAS-03/06
NO. 1 2 3 4
NAME OF STAFF/ PATIENT SUFAINI BT BIDIN NORMAL HASSAN OMAR QAYYUM HAMDAN BIN HASSAN
(BR/HQ)
DATE OF VISIT 8/3/2006 20/03/2006 30/03/2006 30/03/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 50.00 55.00 45.00
195.00

Invoice Date :04hb.Disember.2007 Invoice Num : SD/BERNAS-11/07
NO. 1 2
NAME OF STAFF/ PATIENT NOOR KAUTSAR HAMDAN OMAR QAYYUM HAMDAN
(BR/HQ)
DATE OF VISIT 11/4/2007 11/4/2007
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 45.00 90.00

BANK ISLAM BERHAD DARUL TAKAFUL JALAN SULTAN ISMAIL 50794 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/B.I-08/05
NO. 1 2 3 4 5 6 7 8 9
NAME OF STAFF/ PATIENT AHMAD SHAHAILI B. SHAARI ROSHASIMI BIN AHMAD ABDUL RASHID ADNAN NUR SYAHIRAH MOHD IBRAHIM MASWITA MOHD ISA ABDUL HAKIM ABDUL HARIZ ABDUL HARIZ ROSHASIMI BIN AHMAD
(BR/HQ)
DATE OF VISIT 3/8/2005 5/8/2005 9/8/2005 9/8/2005 12/8/2005 22/08/2005 22/08/2005 29/08/2005 29/08/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 38.00 75.00 40.00 45.00 30.00 40.00 45.00 40.00 38.00
TOTAL
391.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/B.I-09/05
NO. 1 2 3 4 5 6 7 8 9
NAME OF STAFF/ PATIENT MOHD SYAFIQ BIN MOHD KAMALIAH ROSNANI BINTI ZAINAL ABIDIN MOHD HARIZ BIN MOHD GHAZALI ABDUL HANIF AHMAD SHAHAILI HANIZ ZAHIRA BT MOHD GHAZALI MOHD IBRAHIM AHMAD ABDUL HANIF AHMAD SHAHAILI NURUL BALQIS DANIA NURUL BALQIS DANIA
(BR/HQ)
DATE OF VISIT 2/9/2005 9/9/2005 9/9/2005 9/9/2005 10/9/2005 19/09/2005 26/09/2005 26/09/2005 29/09/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 45.00 40.00 40.00 45.00 35.00 40.00 38.00 28.00
TOTAL
356.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/B.I-10/05
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT ABD RASHID ADNAN AZLINA MD. SALEH MUHD HARIZ MOHD GHAZALI ROSHASIMI AHMAD ROSHASIMI AHMAD AHMAD SHAHAILI SHAARI ABDUL HAKIM BIN AH. SHAHAILI ROSHASIMI AHMAD
(BR/HQ)
DATE OF VISIT 5/10/2005 14/10/2005 16/10/2005 15/10/2005 21/10/2005 26/10/2005 28/10/2005 28/10/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 48.00 38.00 48.00 38.00 90.00 28.00 45.00 45.00
80.00 18.00 35.00 35.00
TOTAL
380.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/B.I-11/05
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT ABD RASHID ADNAN ABDUL HARIZ B. AHMAD SHAHAILII AZLINA MD SALEH ABDUL HARIZ B. AHMAD SHAHAILII ROSHASIMI AHMAD NUR SYAHIRAH MOHD IBRAHIM ROSHASIMI AHMAD
(BR/HQ)
DATE OF VISIT 14/11/2005 16/11/2005 18/11/2005 23/11/2005 26/11/2005 29/11/2005 29/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 48.00 38.00 35.00 40.00 50.00 45.00 93.00
50.00 30.00 93.00 TOTAL
349.00

Invoice Date : 03hb. Jan. 2006 Invoice Num : SD/B.I-12/05
NO. 1 2 3 4 5
NAME OF STAFF/ PATIENT ABDUL HANIF B. AHMAD SHAHAILI MASWITA MOHD ISA AZLINA MD SALEH NUR ASYIELA SAFIYA QISTINA HANNANI MOHD GHAZALI
(BR/HQ)
DATE OF VISIT 2/12/2005 3/12/2005 14/12/2005 19/12/2005 29/12/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 48.00 48.00 45.00 45.00 30.00 216.00

Invoice Date : 03hb. Feb. 2006 Invoice Num : SD/B.I-01/06
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT AHMAD SHAHAILI SHAARI ABDUL HANIF AHMAD SHAHAILI NURUL BALQIS DANIA NOOR AZITA ABDUL RAHMAN AZLINA MD SALEH ROSHASIMI BIN AHMAD AZLINA MD SALEH
(BR/HQ)
DATE OF VISIT 2/1/2006 17/1/2006 17/1/2006 17/1/2006 20/01/2006 27/01/2006 30/01/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 45.00 40.00 40.00 40.00 45.00 40.00 290.00

Invoice Date : 01hb. March. 2006 Invoice Num : SD/B.I-02/06
NO. 1 2 3 4 5 6
NAME OF STAFF/ PATIENT NUR ASYIELA SAFIYA ROSHASIMI BIN AHMAD AZLINA MD SALEH NOOR AZIZAH MOHD KASSIM ADRIANA SYAHIDAH MOHD IBRAHIM B. AHMAD
(BR/HQ)
DATE OF VISIT 5/2/2006 10/2/2006 16/02/2006 16/02/2006 21/02/2006 28/02/2006
STAFF EMP.NO
LAB. CHARGE 50.00
X-RAY / ECG
TOTAL ( RM ) 45.00 130.00 40.00 60.00 45.00 40.00 360.00

Invoice Date : 03hb. April. 2006 Invoice Num : SD/B.I-03/06
NO. 1 2 3 4 5 6 7 8 9 10
NAME OF STAFF/ PATIENT MOHD SYAFIE MOHD KAMALIAH MOHD SYAFIE MOHD KAMALIAH ABDUL HANIF B. AHMAD SHAHAILI NURUL BALQIS DANIA ABDUL HANIF B. AHMAD SHAHAILI ADRIANA SYAHIDAH MOHD IBRAHIM B. AHMAD NUR ASYIELA SAFIYA MOHD NORAZAM AMEER RAFIQ MOHD NORAZAM AZLINA MD. SALEH
(BR/HQ)
DATE OF VISIT 1/3/2006 7/3/2006 11/3/2006 16/03/2006 16/03/2006 17/03/2006 20/03/2006 25/03/2006 29/03/2006 29/03/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 45.00 40.00 40.00 45.00 38.00 45.00 40.00 40.00 45.00 45.00 423.00

Invoice Date : 01hb. Julai. 2006 Invoice Num : SD/B.I-06/06
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT AZLINA MD. SALEH MASWITA BT MOHD ISA EAZATUL AKMAR AHMAD DAMANHURI NOOR AZIZAH MOHD KASSIM ABDUL RASHID ADNAN MOHD IBRAHIM B. AHMAD AMEER RAFIQ MOHD NORAZAM
(BR/HQ)
DATE OF VISIT 12/6/2006 17/6/2006 19/6/2006 20/6/2006 23/6/2006 26/6/2006 29/06/2006
STAFF EMP.NO
LAB. CHARGE 150.00
X-RAY / ECG
TOTAL ( RM ) 40.00 165.00 45.00 45.00 40.00 40.00 35.00 410.00

CHEMSLE SDN BHD, NO. 6-1,JALAN ARA SD 7/3A, BANDAR SRI DAMANSARA, 52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007 Invoice Num : SD/CHEM-11/07
NO. 1
NAME OF STAFF/ PATIENT KHAIRIE ISMADI
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00

CHEMSLE SDN BHD, NO. 6-1,JALAN ARA SD 7/3A, BANDAR SRI DAMANSARA, 52200 KUALA LUMPUR.
Invoice Date : 11hb. May .2009 Invoice Num : SD/CHEM-04/09
NO. 1 2 3
NAME OF STAFF/ PATIENT MOHD FARHAAN B. MOKHTAR AHMAD MOHD FARHAAN B. MOKHTAR AHMAD KHAIRIE ISMADI
DATE OF VISIT 4/1/2009 4/3/2009 4/21/2009
STAFF EMP.NO
LAB. CHARGE 50.00
X-RAY / ECG
TOTAL ( RM ) 40.00 50.00 40.00 130.00

BUMIPUTRA COMMERCE FACTORING BERHAD, 10TH FLOOR, NO.338, JALAN TUNKU ABD. RAHMAN 50100 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/B.C.F.B-08/05
NO. 1
NAME OF STAFF/ PATIENT ANIS HUMAIRAH ABDUL HAFIZ
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/B.C.F.B-09/05
NO. 1
NAME OF STAFF/ PATIENT ANIS DANIA ABDUL HAFIZ
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/B.C.F.B-10/05
NO. 1 2 3 4
NAME OF STAFF/ PATIENT ANIS HUMAIRAH ANIS HUMAIRAH ARIF HAKIMI ANIS DANIA
(BR/HQ)
DATE OF VISIT 8/10/2005 10/10/2005 10/10/2005 30/10/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 45.00 38.00 45.00 168.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/B.C.F.B-11/05
NO. 1
NAME OF STAFF/ PATIENT ANIS HUMAIRAH
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00

Invoice Date : 01hb. March 2006 Invoice Num : SD/B.C.F.B-02/06
NO. 1 2
NAME OF STAFF/ PATIENT ANIS DANIA ABDUL HAFIZ ANIS DANIA ABDUL HAFIZ
(BR/HQ)
DATE OF VISIT 6/2/2006 17/02/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 45.00 90.00

Invoice Date : 03hb. APRIL 2006 Invoice Num : SD/B.C.F.B-03/06
NO. 1 2 3
NAME OF STAFF/ PATIENT ANIS DANIA ABDUL HAFIZ ABDUL HAFIZ BIN ISMAIL MARHANI MANSOR
(BR/HQ)
DATE OF VISIT 1/3/2006 9/3/2006 23/03/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 45.00 60.00 145.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007 DAMAN INTAN ENTERPRISE, SHELL SERVISE STATION, LOT P.T. 25198, PERSIARAN PERDANA, BANDAR SRI DAMANSARA, 53000 KUALA LUMPUR. Invoice Date : 04hb. Januari.2008 Invoice Num : SD/SHELL-12/07
NO. 1 2 3 QAMAR QAMAR
NAME OF STAFF/ PATIENT
(BR/HQ)
DATE OF VISIT 12/1/2007 12/4/2007 12/10/2007
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 35.00 30.00 100.00
MUHAMAD KIES HUSSEIN
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007 DAMAN INTAN ENTERPRISE, SHELL SERVISE STATION, LOT P.T. 25198, PERSIARAN PERDANA, BANDAR SRI DAMANSARA, 53000 KUALA LUMPUR. Invoice Date : 04hb.Disember.2007 Invoice Num : SD/SHELL-11/07
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
NAME OF STAFF/ PATIENT MUHAMADKIES MUHAMADKIES NORLIYANA NORLIYANA FARIDAH BEGUM KHAIRUL MIZAM FARIDAH BEGUM KAMARUDIN YAHYA MUHAMADKIES NADEEM MUHAMADKIES KAMARUDIN YAHYA MUHAMADKIES KAMARUDIN YAHYA MUHAMADKIES FARIDAH BEGUM MUHAMMAD SYAZWAN QAIMAR ZAMAN NORLIYANA MUHAMADKIES
(BR/HQ)
DATE OF VISIT 11/3/2007 11/3/2007 11/5/2007 11/5/2007 11/5/2007 11/5/2007 11/7/2007 11/10/2007 11/12/2007 13/11/2007 13/11/2007 14/11/2007 15/11/2007 19/11/2007 21/11/2007 22/11/2007 22/11/2007 26/11/2007 28/11/2007 28/11/2007
STAFF EMP.NO
NEBULIZER INJECTION MEDICATION CHARGE CHARGE CHARGE 4.00 20.00 15.00 20.00 35.00 10.00 30.00 20.00 8.00 25.00 20.00 35.00 15.00 30.00 20.00 20.00 10.00 20.00 20.00 15.00 20.00
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00
TOTAL ( RM ) 19.00 35.00 15.00 35.00 50.00 25.00 45.00 35.00 23.00 40.00 20.00 50.00 30.00 30.00 55.00 25.00 20.00 35.00 15.00 20.00
TOTAL
622.00

LANG EDUCATION SDN BHD ACCOUNT DEPARTMENT, SEK SRI BESTARI 52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/L&G-08/05
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT JAMILAH BT JAMARI RAZAREENA BT. HANIFFA SHAMSUL MUTAZA ROHAIDA MAT IDRIS FARIDZAH MOHD TAHIR ROSNITA HJ. AHMAD SHARIFAH SAZIZAH ROSNITA HJ. AHMAD
(BR/HQ)
DATE OF VISIT 1/8/2005 1/8/2005 3/8/2005 10/8/2005 10/8/2005 15/08/2005 30/08/2005 31/08/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 58.00 38.00 38.00 35.00 45.00 60.00 38.00 40.00
TOTAL
352.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/L&E-09/05
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT SHARIFAH SAZIZAH JAMILAH JAMARI RAZAREENAH HANIFFA LEE HUI YEE RAZAREENAH HANIFFA NOORAZILAWATI JAMILAH JAMARI JAMILAH JAMARI
(BR/HQ)
DATE OF VISIT 4/9/2005 5/9/2005 12/9/2005 15/09/2005 22/09/2005 28/09/2005 29/09/2005 30/09/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 38.00 50.00 38.00 38.00 35.00 40.00 60.00 48.00
TOTAL
347.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/L&E-10/05
NO. 1 2 3 4 5 6 7 8 9 10
NAME OF STAFF/ PATIENT ROSNITA BT AHMAD JAMILAH JAMARI ROSNITA BT AHMAD JAMILAH JAMARI NOORAZILAWATI JAMILAH JAMARI SHARIFAH SAZIZAH RAZAREENA BT. HANIFFA ROSNITA BT AHMAD JAMILAH JAMARI
(BR/HQ)
DATE OF VISIT 1/10/2005 5/10/2005 8/10/2005 10/10/2005 13/10/2005 17/10/2005 25/10/2005 25/10/2005 28/10/2005 30/10/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 53.00 60.00 50.00 60.00 35.00 50.00
15.00 15.00
35.00 40.00 50.00 50.00
TOTAL
483.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/L&E-11/05
NO. 1 2 3 4 5 6 7
NAME OF STAFF/ PATIENT SHARIFAH SAZIZAH SHARIFAH SAZIZAH NORISAH CHE MAHMOOD SHARIFAH SAZIZAH LEE HUI YEE SHAMSUL MUTAZA SHARIFAH SAZIZAH
(BR/HQ)
DATE OF VISIT 1/11/2005 2/11/2005 10/11/2005 10/11/2005 18/11/2005 29/11/2005 30/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 43.00 35.00 40.00 45.00 48.00
15.00 TOTAL
45.00 296.00

Invoice Date : 03hb. JAN 2005 Invoice Num : SD/L&E-12/05
NO. 1 2 3 4 5 6 7 8 9 10 11
NAME OF STAFF/ PATIENT ROSNITA HJ. AHMAD JAMILAH JAMARI NIK AHMAD ROSNITA HJ. AHMAD FARDZAH MOHD TAHIR RAZAREENA BT HANIFFA ROSNITA HJ. AHMAD NORISAH CHE MAHMOOD RAZAREENA BT HANIFFA JAMILAH JAMARI FARDZAH MOHD TAHIR
(BR/HQ)
DATE OF VISIT 4/12/2005 9/12/2005 13/12/2005 15/12/2005 15/12/2005 16/12/2005 19/12/2005 22/12/2005 28/12/2005 30/12/2005 30/12/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
MEDICATION CHARGE 25.00 60.00 28.00 45.00 55.00 38.00 50.00 38.00 25.00 55.00 40.00
TOTAL ( RM ) 40.00 60.00 43.00 45.00 55.00 38.00 50.00 38.00
15.00 15.00 TOTAL
40.00 55.00 55.00 519.00

Invoice Date : 03hb. FEB 2006 Invoice Num : SD/L&E-01/06
NO. 1 2 3 4 5 6 7 8 9 10
NAME OF STAFF/ PATIENT ROSNITA HJ. AHMAD SHAMSUL MUTAZA NIK AHMAD NIDZAM NORISAH CHE MAHMOOD ROHAIDA MAT IDRIS RAZAREENA BT HANIFFA MD NOR HISHAM MUSA AB.WAHAB HASSAN ROSNITA HJ. AHMAD JAMILAH BT JAMARI
(BR/HQ)
DATE OF VISIT 4/1/2006 13/1/2006 19/1/2006 20/01/2006 20/01/2006 24/01/2006 24/01/2006 27/01/2006 27/01/2006 31/01/2006
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL ( RM ) 65.00 35.00
15.00 15.00 15.00 15.00
40.00 30.00 40.00 40.00 55.00 30.00 50.00 60.00
TOTAL
445.00

Invoice Date : 01hb. March 2006 Invoice Num : SD/L&E-02/06
NO. 1 2 3 4 5 6 7 8 9
NAME OF STAFF/ PATIENT ROSNITA HJ. AHMAD AB.WAHAB HASSAN JAMILAH BT JAMARI ROSNITA HJ. AHMAD LEE HUI YEE JAMILAH BT JAMARI NOR ' AINI KHUZAIFAH JAMILAH BT JAMARI SHARIFAH SAZIZAH SAEDIN
(BR/HQ)
DATE OF VISIT 6/2/2006 15/02/2006 16/02/2006 18/02/2006 20/02/2006 21/02/2006 27/02/2006 28/02/2006 28/02/2006
INJECTION CHARGE
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 50.00 40.00 40.00 50.00 45.00 48.00 35.00 55.00 30.00
20.00 55.00 30.00 TOTAL
393.00

Invoice Date : 04hb.Januari.2008 Invoice Num : SD/L&E-12/07
NO. 1 2 3 4 5 6 7 8 9 10
NAME OF STAFF/ PATIENT PARIMALA ROSNITA HJ. AHMAD NORISAH MAHMOOD ANITA AZHARI RODZIAH MOHD SAFRI FARIDZAH MOHD TAHIR ROSNITA HJ. AHMAD ROSNITA HJ. AHMAD POONGKUZALI FARIDZAH MOHD TAHIR
(BR/HQ)
DATE OF VISIT 12/1/2007 12/9/2007 12/11/2007 13/12/2007 13/12/2007 22/12/2007 22/12/2007 27/12/2007 27/12/2007 28/12/2007
INJECTION CHARGE
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL ( RM ) 15.00 42.00 30.00 45.00 38.00 40.00 42.00 35.00 80.00 40.00
TOTAL
407.00

Invoice Date : 03hb.Disember.2007 Invoice Num : SD/L&E-11/07
NO. 1 2 3 4 5 6 7 8 9 10 11 12 13
NAME OF STAFF/ PATIENT NORISAH MAHMOOD ANITA AZHARI POONGKUZALI NIK AHMAD NIDZAM ANITA AZHARI POONGKUZALI SHARIFAH SAZIZAH JAMILAH JAMANI POONGKUZALI SHARIFAH SAZIZAH POONGKUZALI RODZIAH JAMILAH JAMANI
(BR/HQ)
DATE OF VISIT 11/5/2007 11/6/2007 11/12/2007 11/12/2007 11/12/2007 13/11/2007 14/11/2007 16/11/2007 22/11/2007 23/11/2007 23/11/2007 26/11/2007 30/11/2007
INJECTION CHARGE
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL ( RM ) 20.00 25.00
15.00
10.00 25.00 40.00 35.00 18.00 65.00 40.00 25.00 25.00 25.00 58.00 TOTAL
15.00 15.00 15.00
40.00 40.00 40.00 50.00 18.00 65.00 40.00
15.00 15.00 15.00
40.00 40.00 40.00 58.00 516.00

Invoice Date : 06hb.April.2008 Invoice Num : SD/L&E-03/09
NO. 1 2 3 4 5 6 7 8
NAME OF STAFF/ PATIENT JAMILAH BINTI JAMARI NIK AHMAD NIDZAM ROSNITA BINTI AHMAD ONG KWEE MOOI SAYAIDATINA AB. MAJID SHAMSUL MUTAZA CHANG AI SHA ROSNITA BINTI AHMAD
(BR/HQ)
DATE OF VISIT 3/1/2009 3/10/2009 3/13/2009 3/13/2009 3/13/2009 3/17/2009 3/18/2009 3/24/2009
INJECTION CHARGE
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL ( RM ) 65.00 35.00 30.00 20.00
15.00
40.00 65.00 20.00 125.00
TOTAL
400.00

Invoice Date : 15hb.DEC.2010 Invoice Num : SD/L&E-10/10
NO. 1 2 3 4 5 6 7 8 9 10
NAME OF STAFF/ PATIENT ROSNITA BINTI AHMAD RAZAREENA HANIFFA TUNKU NOR ASIHIKIN LEE HUI YEE TG RAZIF TG HASSAN WAN NAZIRAH WAB AB RAHMAN TG RAZIF TG HASSAN ROSNITA BINTI AHMAD RAZAREENA HANIFFA RAZAREENA HANIFFA
(BR/HQ)
DATE OF VISIT 10/1/2010 10/5/2010 10/7/2010 1/8/10/2010 10/19/2010 10/21/2010 10/25/2010 10/26/2010 10/27/2010 10/28/2010
INJECTION CHARGE
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00 15.00 TOTAL
TOTAL ( RM ) 15.00 40.00 40.00 40.00 35.00 40.00 35.00 105.00 45.00 15.00 410.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005 Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/BM(JM)-08/05
BANK MUAMALAT MALAYSIA BERHAD (JM) JALAN MELAKA BRANCH, 1ST FLOOR, PODIUM BLOCK, MENARA BUMIPUTRA JALAN MELAKA, 50100 KUALA LUMPUR.
NO. 1 2 3 4 NAME OF STAFF/ PATIENT MOHAMMAD SHAHFFIQ MOHAMMAD SHAHFLE FADZILAH ITHNIN MOHAMED KAMARUZAMAN (BR/HQ) JM JM JM JM DATE OF VISIT 12/8/2005 12/8/2005 12/8/2005 23/08/2005 STAFF EMP.NO LAB. CHARGE X-RAY / ECG
TOTAL ( RM ) 35.00 38.00 38.00 45.00
TOTAL
156.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005 Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/BM(JM)-09/05
BANK MUAMALAT MALAYSIA BERHAD (JM) JALAN MELAKA BRANCH, 1ST FLOOR, PODIUM BLOCK, MENARA BUMIPUTRA JALAN MELAKA, 50100 KUALA LUMPUR.
NO. 1 NAME OF STAFF/ PATIENT MOHAMED KAMARUZAMAN (BR/HQ) JM DATE OF VISIT 5/9/2005 STAFF EMP.NO LAB. CHARGE X-RAY / ECG
TOTAL ( RM ) 40.00
TOTAL
40.00
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2006 Invoice Date : 14hb. Aug. 2006 Invoice Num : SD/BM(KB)-07/06
BANK MUAMALAT MALAYSIA BERHAD TING. 1, BANGUNAN MENTERI BESAR KELANTAN JALAN KUALA KRAI, 15150 KOTA BHARU, KELANTAN.
NO. 1
NAME OF STAFF/ PATIENT NORIAH BINTI SULAIMAN
(BR/HQ) KB
STAFF EMP.NO 174
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 48.00 48.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007 Invoice Date :04hb.Disember.2007 Invoice Num : SD/BM(KB)-11/07
BANK MUAMALAT MALAYSIA BERHAD TING. 1, BANGUNAN MENTERI BESAR KELANTAN JALAN KUALA KRAI, 15150 KOTA BHARU, KELANTAN.
NO. 1
NAME OF STAFF/ PATIENT NORIAH BINTI SULAIMAN
(BR/HQ) KB
STAFF EMP.NO 174
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 48.00 48.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005 Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/BM(PKNS)-08/05
BANK MUAMALAT MALAYSIA BERHAD (PKNS) TINGKAT BAWAH , KOMPLEKS PKNS, 40000 SHAH ALAM , SELANGOR.
NO. 1 2 3 4
NAME OF STAFF/ PATIENT MOHD HASMUNI BIN MOHD MUNIR NIK NUR NASREEN NIK MOHD HASHIM
(BR/HQ)
DATE OF VISIT 1/8/2005 29/08/2005 29/08/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 28.00 30.00
TOTAL
98.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005 Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/BM(PKNS)-09/05
NO. 1
NAME OF STAFF/ PATIENT MOHD HASMUNI BIN MOHD MUNIR
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 44.00
TOTAL
44.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005 Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/BM(PKNS)-11/05
NO. 1
NAME OF STAFF/ PATIENT MOHD HASMUNI B. MOHD MUNIR
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 38.00
TOTAL
38.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005 Invoice Date : 03hb. Jan. 2005 Invoice Num : SD/BM(PKNS)-12/05
NO. 1 2
NAME OF STAFF/ PATIENT NIK MOHD HASHIM NORIAH SULAIMAN
(BR/HQ)
DATE OF VISIT 12/12/2005 12/12/2005
UTRASOUND CHARGE 80.00
LAB. CHARGE 250.00
X-RAY / ECG 80.00
TOTAL ( RM ) 450.00 45.00 495.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVENBER 2007 Invoice Date : 04hb.Disember.2007 Invoice Num : SD/BM(PKNS)-11/07
NO. 1
NAME OF STAFF/ PATIENT NORIAH SULAIMAN
(BR/HQ)
UTRASOUND CHARGE
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 45.00
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2009 Invoice Date : 12hb.August.2009 Invoice Num : SD/BM(PKNS)-07/09
NO. 1
NAME OF STAFF/ PATIENT MUHAMMAD HAZWAN FITRI
(BR/HQ)
UTRASOUND CHARGE
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 25.00 25.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005 Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/TH-09/05
TH TECHNOLOGIES SDN BHD LEVEL 21, BANGUNAN TH SELBORN, 153 JALAN TUN RAZAK, 50400 KUALA LUMPUR.
NO. 1
NAME OF STAFF/ PATIENT NURFARAH FARZANA
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL ( RM ) 30.00
TOTAL
30.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005 Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/TH-11/05
NO. 1 2
NAME OF STAFF/ PATIENT MUZAMILAH HJ. MOHD SAID MUZAMILAH HJ. MOHD SAID
(BR/HQ)
DATE OF VISIT 4/11/2005 23/11/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 35.00
TOTAL
75.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006 Invoice Date : 03hb. April. 2006 Invoice Num : SD/TH-03/06
NO. 1
NAME OF STAFF/ PATIENT MUZAMILAH HJ. MOHD SAID
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 35.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006 Invoice Date : 01hb. Julai 2006 Invoice Num : SD/TH-06/06
NO. 1
NAME OF STAFF/ PATIENT OOI POH KIM
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 35.00

OPTIMA MUTIMEDIA (M) SDN BHD 1-3 FLOOR, 58 JALAN SS 22/21, DAMANSARA JAYA, 47400 SELANGOR.
Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/OPT-11/05
NO. 1
NAME OF STAFF/ PATIENT MOK CHONG ANN
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00
TOTAL
35.00

RASMA CORP. SDN BHD 611BLOCK A GLOMAC BUSINESS CTR NO. 10, JALAN SS6/1 KELANA JAYA 47301 SELANGOR.
Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/RASMA-09/05
NO. 1
NAME OF STAFF/ PATIENT WAN MUHAMMAD WAN YAHYA
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 38.00
TOTAL
38.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/RASMA-10/05
NO. 1
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 58.00
TOTAL
58.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/RASMA-11/05
NO. 1
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00
TOTAL
40.00

Invoice Date : 03hb. April. 2006 Invoice Num : SD/RASMA-03/06
NO. 1
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
INJECTION CHARGE
TOTAL ( RM ) 35.00 35.00

Invoice Date : 01hb. Juai. 2006 Invoice Num : SD/RASMA-06/06
NO. 1 2
NAME OF STAFF/ PATIENT WAN MUHAMMAD WAN YAHYA WAN MUHAMMAD WAN YAHYA
(BR/HQ)
DATE OF VISIT 12/6/2006 21/6/2006
STAFF EMP.NO
LAB. CHARGE
INJECTION CHARGE
TOTAL ( RM ) 27.00 60.00 87.00
40.00 20.00 (Nigth Visit) TOTAL

EXPRESS RAIL LINK SDN. BHD, KOMPLEKS REL UDARA, BANDAR BARU SALAK TINGGI, 43900 SEPANG SELANGOR.
Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/RAIL LINK-08/05
NO. 1 2
NAME OF STAFF/ PATIENT PUTERA WAN JAFFRI PUTERA WAN JAFFRI
(BR/HQ)
DATE OF VISIT 12/8/2005 13/08/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 35.00 20.00
TOTAL
55.00

Invoice Date : 02hb. Okt. 2005 Invoice Num : SD/RAIL LINK-09/05
NO. 1
NAME OF STAFF/ PATIENT DANISH HAZIQ RAZALI
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00
TOTAL
40.00

Invoice Date : 02hb. Nov. 2005 Invoice Num : SD/RAIL LINK-10/05
NO. 1
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00
TOTAL
40.00

Invoice Date : 01hb. Dis. 2005 Invoice Num : SD/RAIL LINK-11/05
NO. 1
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00
TOTAL
40.00

Invoice Date : 03hb. Jan. 2006 Invoice Num : SD/RAIL LINK-12/05
NO. 1 2 3
NAME OF STAFF/ PATIENT MOHD NAZERI YUSOFF RAZALI HARUN FATIN NABILA
(BR/HQ)
DATE OF VISIT 13/12/2005 19/12/2005 30/12/2005
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 43.00 40.00 123.00

Invoice Date : 03hb. Feb. 2006 Invoice Num : SD/RAIL LINK-01/06
NO. 1
NAME OF STAFF/ PATIENT DANISH HAZIQ
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00

Invoice Date : 01hb. March. 2006 Invoice Num : SD/RAIL LINK-02/06
NO. 1
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 45.00 45.00

Invoice Date : 01hb. Julai. 2006 Invoice Num : SD/RAIL LINK-06/06
NO. 1
NAME OF STAFF/ PATIENT MOHD NAZERI YUSOFF
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
TOTAL ( RM ) 40.00 40.00

Invoice Date : 04hb.Januari 2007 Invoice Num : SD/RAIL LINK-12/07
NO. 1
NAME OF STAFF/ PATIENT DARWISY YADIY RAZALI
(BR/HQ)
STAFF EMP.NO
LAB. CHARGE
X-RAY / ECG
CONSULTATION CHARGE
TOTAL ( RM ) 25.00
TOTAL
25.00

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KLINIK FAMILI SRI DAMANSARA 30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA, 52200 KUALA LUMPUR.

SUMMARY OF INVOICE FOR THE MONTH OF JULY 2005 KETUA PENGARAH

Invoice Date : 08hb. Ogos 2005 Invoice Num : USJLPPKN-07/05

SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005 KETUA PENGARAH

Invoice Date : 02hb. Okt 2005 Invoice Num : SD/LPPKN-09/05

DATE OF VISIT 6/9/2005 19/09/2005 20/09/2005 30/09/2005

MEDICATION CHARGE 30.00 25.00 28.00 25.00

CONSULTATION CHARGE 15.00 15.00 15.00 15.00 TOTAL

TOTAL ( RM ) 45.00 40.00 43.00 40.00 168.00

SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007 KETUA PENGARAH

Invoice Date : 04hb.JANUARI.2007 Invoice Num : SD/LPPKN-12/07

DATE OF VISIT 12/6/2007 12/8/2007 12/11/2007 16/12/2007 18/12/2007 28/12/2007

MEDICATION CHARGE 18.00 20.00 30.00 25.00 20.00 25.00

TOTAL ( RM ) 18.00 20.00 30.00 25.00 20.00 25.00

SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005 KETUA PENGARAH

Invoice Date : 01hb. Dis 2005 Invoice Num : SD/LPPKN-11/05

DATE OF VISIT 7/11/2005 8/11/2005 8/11/2005 14/11/2005 24/11/2005 24/11/2005 27/11/2005

MEDICATION CHARGE 25.00 28.00 30.00 30.00 25.00 25.00 25.00

CONSULTATION CHARGE 15.00 15.00 15.00 15.00 15.00 15.00 15.00

TOTAL ( RM ) 40.00 43.00 45.00 45.00 40.00 40.00 40.00

SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005 KETUA PENGARAH

Invoice Date : 03hb. Jan 2005 Invoice Num : SD/LPPKN-12/05

DATE OF VISIT 4/12/2005 8/12/2005 8/12/2005 11/12/2005

MEDICATION CHARGE 25.00 25.00 25.00 25.00

CONSULTATION CHARGE 15.00 15.00 15.00 15.00

TOTAL ( RM ) 40.00 40.00 40.00 40.00

SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006 KETUA PENGARAH

Invoice Date : 03hb. FEB 2006 Invoice Num : SD/LPPKN-01/06

SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006 KETUA PENGARAH

Invoice Date : 01hb. March 2006 Invoice Num : SD/LPPKN-02/06

DATE OF VISIT 17/02/2006 23/02/2006 23/02/2006 27/02/2006

MEDICATION CHARGE 35.00 30.00 30.00 30.00

CONSULTATION CHARGE 15.00 15.00 15.00 15.00

TOTAL ( RM ) 50.00 45.00 45.00 45.00

SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006 KETUA PENGARAH

Invoice Date : 03hb. April 2006 Invoice Num : SD/LPPKN-03/06

DATE OF VISIT 1/3/2006 6/3/2006 6/3/2006 9/3/2006

INJECTION CHARGE 15.00

MEDICATION CHARGE 30.00 20.00 25.00 30.00

CONSULTATION CHARGE 15.00 15.00 15.00 15.00 TOTAL

TOTAL ( RM ) 45.00 50.00 40.00 45.00 180.00

SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007 KETUA PENGARAH

Invoice Date :03hb.Disember.2007 Invoice Num : SD/LPPKN-11/07

SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2008 KETUA PENGARAH

Invoice Date :06hb.April.2008 Invoice Num : SD/LPPKN-03/07

DATE OF VISIT 3/10/2009 3/17/2009 3/18/2009 3/18/2009

MEDICATION CHARGE 20.00 38.00 25.00 30.00

CONSULTATION CHARGE 15.00 15.00 TOTAL

TOTAL ( RM ) 35.00 38.00 40.00 30.00 143.00

SUMMARY OF INVOICE FOR THE MONTH OF OCTOBER 2010 KETUA PENGARAH

Invoice Date : 15hb.December.2010 Invoice Num : SD/LPPKN-10/10

DATE OF VISIT 9/28/2010 10/22/2010 10/27/2010

MEDICATION CHARGE 30.00 30.00 25.00

CONSULTATION CHARGE 15.00 15.00 15.00 TOTAL

TOTAL ( RM ) 45.00 45.00 40.00 130.00

SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005

Invoice Date : 02hb. Sept. 2005 Invoice Num : SD/CELCOM-08/05

NAME OF STAFF/ PATIENT YASHA KUMAR ASROL NIZAM