MEDICAL REPORT

June 78, ZO7g

Patient : Kinda Karawi

Patient [-ile : MMC 2\23s4
I)OI} : ts/ot/tsso

Kinda l(arawi, 29 ycar orcr fcmarc

patient,
with abdominar pain coricr,y ,"J'jiarrhca camc to Medcare Medicar centre
imapired FBS, severc tircdness ;".;. ir..,. irua history of high ripid,
and^fatig,re *itlr"Lthr.gy, hence
icsrs' i]lrcc cronc anc'r was posirivc, the brood
r'cfcrrccr to Dr, Marar<.

-/" 'L trrLLjte'iL UiNTBEi

. HarenKarnalAiTahsr
+tchlht Fa,niB Mcdic!no
DHA-P-005677E

I)r:. Hanan Ka
Specialist Family NI6di"i;
Medcare tvtedicil Centre, Mirdiff

r ll|*Bs**s rFP".1elt cENrREs

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t(ir\SIIr
CARE
Patient No 212394
Name
lillilllilllilllilllillilffiilillfllflililillilllil,,*,"" *" MUs74003
MRS KINDA KARAWI
Age/Sex lnvoice Type Cash
29Y /Femate
Address
DO B: 18/01/1990 lnvoice Date 10/a6/2019
Visit Date 0/06/20
DUtsAI 1 1 9
Doctor HANAN AL TAHER

Customer VAT Reg No.;

HospitatiClinic VAT Reg No;
Payer VAT Heg No. 100070426000003

CPT Description
Price Unit Gross Discount Copay o/o NetAmtVAT % VAT Amr.
CONSULTATION Copay Amt
10 Specialist-Ncw Visit
550.00 550.00 148.50 0.00 40 t.5c 0.00 o.o0
LABORATORY 0.00
80061 Lipid profite With Truc Ldt
(Chot,Trig,Hdt,Ldt) 465.00 465.00 125.55
1
0.00 339.45 0.00 0.00
85027 Fbc - (t-ull t3toocl Count) 0.00
140.00 1 r40 00 37.80 0.00 102.20 0.00 0.00
82607 Vitamin 812 0.00
400.00 I 400 00 I 08.00 0.00 292.00 0.00 0.00
84702 Bhcg 0.00
305.00 l 305.00 82.35 0.00 222.65 0.00 0.00
84443 Tsh (Thyroid Stimutating 000
Hormonc)
305.00 l 305 00 82.35 0.00 222.65 0,00 0.00
82306 Vitamin D (25 0h Cholecalcifcrot) 0.00
/00 00 1 700.00 189.00 0.00 511.00 0.00 0.00
0.00

MEDCARE MEDICAL CENTRES

Mirdif UDtown. Mirdif Citv Cpnt." l"h^i,1r rao M.,,-.
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t.tN't' IN VOI Ctit t)li,t)\ I LS (CASI
I)
CAR$
Patient No 212394
Name
llllillllilllilllillillllffilililffiilltililffiilil nv. ce N. MU374003
MRS KINDA KARAWI
lnvoice Type Cash
Age/Sex 29Y /Femate DO B: 18/01/1990 lnvoice Date 10t06t2019
Address
Visit Date 10t06t2019
DUBAI
Doctor I]ANAN AL TAHER

Customer VAT Reg No.;

Hospitat/Ctinic VAT Reg No: 1 0007042600000s
Payer VAT Reg No. :

CPT Description
Price Unit Gross Discount Copay "k NetAmt VN % VAT Amt.
Copay Amt
LABORATORY
82947 Gtucosc Fasting (F Il.S ) 90.00 90.00 24.30 0.oo 65.70 0.00 0.00
0.00
Gross Amount (Exct. VAT) 2955.00
Discount 797.85
Ref und 0.00

Total Vat 0.00

Net Amount (tncl. VAT)
2157.15
Deduct Amount 0.00
Co_payment Amount 0" 00
Noninsured Amount 2157.15
Less Advance 0.00
patient payable
2157.15

Amount to be Claimed 0.00

Paticnt l,ayallle : Dirhaur 'l'rvo 'l'housaud ()nc Ilunclrecl Fil.ty Scvcn
and Fiftccn Fills Only
Clainlcd Anrount I NIL

Prcparcd By 1234 Countcr Namc : REGIS]-RATtON

Cashicr
lnvoicc Dalc 1010612019 09:57:3i
Page 2 of 2

MEDCARE MEDICAL CENTRES

Mirdif Uptown, Mirdif City Centre. lumejrlt tFR H,, in.,