billing d'sara (version 1)
TRANSCRIPT
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 08hb. Ogos 2005KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 DR HAMIZAH MOHD HASSAN KL 7/9/2005 2145 18.00 15.00 33.00
2 DR HAMIZAH MOHD HASSAN KL 7/21/2005 2145 25.00 10.00 35.00
3 DR HAMIZAH MOHD HASSAN KL 7/30/2005 2145 20.00 10.00 30.00
4 DR HAMIZAH MOHD HASSAN KL 7/30/2005 2145 35.00 10.00 35.00
TOTAL 133.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 133.00
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2005
Invoice Num : USJLPPKN-07/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt 2005KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 RESHAN A/L KALARAJAN KL 6/9/2005 30.00 15.00 45.00
2 KALAARAJAN A/L PANISAMY KL 19/09/2005 25.00 15.00 40.00
3 LALITHA A/P RAMAYAH KL 20/09/2005 28.00 15.00 43.00
4 KALAARAJAN A/L PANISAMY KL 30/09/2005 25.00 15.00 40.00
TOTAL 168.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 168.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/LPPKN-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007Invoice Date : 04hb.JANUARI.2007
KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 KALARAJAN KL 12/6/2007 18.00 18.00
2 HO CHOK ENG KL 12/8/2007 20.00 20.00
3 SANJJIV KUMAR KL 12/11/2007 30.00 30.00
4 ROPIDAH MOHD SAAD KL 16/12/2007 25.00 25.00
5 MOHD AZMAN KL 18/12/2007 20.00 20.00
6 LALITHA KL 28/12/2007 25.00 25.00
TOTAL 138.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 138.00
Invoice Num : SD/LPPKN-12/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis 2005KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 LALITHA A/P RAMAYAH KL 7/11/2005 25.00 15.00 40.00
2 MOHD ASYRAFF ABDULLAH KL 8/11/2005 28.00 15.00 43.00
3 ROPIDAH MOHD SAAD KL 8/11/2005 30.00 15.00 45.00
4 LALITHA A/P RAMAYAH KL 14/11/2005 30.00 15.00 45.00
5 KALAARAJAN KL 24/11/2005 25.00 15.00 40.00
6 RESHAN KL 24/11/2005 25.00 15.00 40.00
7 LALITHA A/P RAMAYAH KL 27/11/2005 25.00 15.00 40.00
TOTAL 293.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 293.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/LPPKN-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. Jan 2005KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ROPIDAH MOHD SAAD KL 4/12/2005 25.00 15.00 40.00
2 SACHIDANAD SURAJ KUMAR KL 8/12/2005 25.00 15.00 40.00
3 LALITHA A/P RAMAYAH KL 8/12/2005 25.00 15.00 40.00
4 LALITHA A/P RAMAYAH KL 11/12/2005 25.00 15.00 40.00
TOTAL 160.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 160.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/LPPKN-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006Invoice Date : 03hb. FEB 2006
KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHD ALIFF ABDULLAH KL 3/1/2006 25.00 15.00 40.00
2 ROPIDAH MOHD SAAD KL 3/1/2006 25.00 15.00 40.00
3 LALITHA A/P RAMAYAH KL 4/1/2006 28.00 15.00 43.00
4 K.RESHAN KL 4/1/2006 25.00 15.00 40.00
5 KALAARAJAN PALANISAMY KL 4/1/2006 30.00 15.00 45.00
6 KALAARAJAN PALANISAMY KL 5/1/2006 25.00 15.00 40.00
7 KALAARAJAN PALANISAMY KL 12/1/2006 28.00 15.00 43.00
8 LALITHA A/P RAMAYAH KL 14/1/2006 28.00 15.00 43.00
9 AMIRAH HANIS ABDULLAH KL 15/1/2006 25.00 15.00 40.00
10 MOHD ASYRAFF ABDULLAH KL 15/1/2006 25.00 15.00 40.00
11 MOHAMMAD ADIB ABDULLAH KL 16/1/2006 25.00 15.00 40.00
12 SANJJIV KUMAR KL 17/1/2006 25.00 15.00 40.00
13 MOHD ADIB ABDULLAH KL 17/1/2006 28.00 15.00 43.00
14 KALAARAJAN PALANISAMY KL 18/1/2006 25.00 15.00 40.00
15 MOHAMMAD ADIB ABDULLAH KL 26/1/2006 25.00 15.00 40.00
Invoice Num : SD/LPPKN-01/06
16 MOHD ASYRAFF ABDULLAH KL 26/1/2006 25.00 15.00 40.00
17 KALAARAJAN PALANISAMY KL 29/1/2006 25.00 15.00 40.00
TOTAL 697.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 697.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March 2006KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 LALITHA A/P RAMAYAH KL 17/02/2006 35.00 15.00 50.00
2 K.RESHAN KL 23/02/2006 30.00 15.00 45.00
3 SANJJIV KUMAR KL 23/02/2006 30.00 15.00 45.00
4 AMIRAH HANIS KL 27/02/2006 30.00 15.00 45.00
TOTAL 185.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 185.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/LPPKN-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April 2006KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 MOHD ADIB ABDULLAH KL 1/3/2006 30.00 15.00 45.00
2 MOHD ADIB ABDULLAH KL 6/3/2006 15.00 20.00 15.00 50.00
3 LALITHA A/P RAMAYAH KL 6/3/2006 25.00 15.00 40.00
4 K.RESHAN KL 9/3/2006 30.00 15.00 45.00
TOTAL 180.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 180.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/LPPKN-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date :03hb.Disember.2007KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF VENTOLIN INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO NEBULIZER CHARGE CHARGE CHARGE ( RM )
1 LALITHA RAMAYAH 2/11/2007 25.00 15.00 40.00
2 ROPIDAH MOHD SAAD 12/11/2007 25.00 15.00 40.00
3 ROPIDAH MOHD SAAD 15/11/2007 20.00 15.00 35.00
4 LALITHA RAMAYAH 18/11/2007 30.00 15.00 45.00
5 MUHAMMAD ASHRAF 19/11/2007 20.00 15.00 35.00
6 MUHAMMAD AFZAL 19/11/2007 25.00 15.00 40.00
7 SANJJIR KUMAR 20/11/2007 35.00 15.00 50.00
8 LALITHA RAMAYAH 22/11/2007 30.00 30.00
TOTAL 315.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM315.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/LPPKN-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date :06hb.April.2008KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF VENTOLIN INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO NEBULIZER CHARGE CHARGE CHARGE ( RM )
1 MOHD AZMAN B. ABD. MAJID 3/10/2009 20.00 15.00 35.00
2 LALITHA A/P RAMAYAH 3/17/2009 38.00 38.00
3 LALITHA A/P RAMAYAH 3/18/2009 25.00 15.00 40.00
4 ROPIDAH BT MOHD SAAD 3/18/2009 30.00 30.00
TOTAL 143.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 143.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2008
Invoice Num : SD/LPPKN-03/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 15hb.December.2010KETUA PENGARAHLEMBAGA PENDUDUK DAN PEMBANGUNAN KELUARGA NEGARA
PETI SURAT 10416
50712 KUALA LUMPUR
(U.P UNIT PERSONAL, BAHAGIAN PENGURUSAN)
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF VENTOLIN INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO NEBULIZER CHARGE CHARGE CHARGE ( RM )
1 MOHD AZMAN B. ABD. MAJID 9/28/2010 30.00 15.00 45.00
2 MOHD AZMAN B. ABD. MAJID 10/22/2010 30.00 15.00 45.00
3 NOR SUWAIBAH MOHAMAD 10/27/2010 25.00 15.00 40.00
TOTAL 130.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 130.00
SUMMARY OF INVOICE FOR THE MONTH OF OCTOBER 2010
Invoice Num : SD/LPPKN-10/10
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005CELCOM (M) BHD ,
7TH FLOOR WISMA TELEKOM SEMARAK,
NO.82 , JALAN RAJA MUDA ABD. AZIZ,
50300 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 YASHA KUMAR 4/8/2005 28.00 10.00 38.00
2 ASROL NIZAM 24/08/2005 30.00 10.00 40.00
TOTAL 78.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 78.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/CELCOM-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005CELCOM (M) BHD ,
7TH FLOOR WISMA TELEKOM SEMARAK,
NO.82 , JALAN RAJA MUDA ABD. AZIZ,
50300 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NORZAHIRA BINTI KAMID 26/09/2005 28.00 10.00 38.00
TOTAL 38.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 38.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/CELCOM-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005CELCOM (M) BHD ,
7TH FLOOR WISMA TELEKOM SEMARAK,
NO.82 , JALAN RAJA MUDA ABD. AZIZ,
50300 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NORZAHIRA BINTI KAMID 26/09/2005 28.00 10.00 38.00
TOTAL 38.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 38.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/CELCOM-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005CELCOM (M) BHD ,
7TH FLOOR WISMA TELEKOM SEMARAK,
NO.82 , JALAN RAJA MUDA ABD. AZIZ,
50300 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 FAZLEE AHMAD 15/11/2005 30.00 15.00 45.00
2 ASROL NIZAM HAMZAH 21/11/2005 20.00 15.00 35.00
3 ROSDI AWANG 30/11/2005 25.00 15.00 40.00
4 NORZAHIRA KAMID 30/11/2005 30.00 15.00 45.00
TOTAL 165.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 165.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/CELCOM-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. JAN. 2006CELCOM (M) BHD ,
7TH FLOOR WISMA TELEKOM SEMARAK,
NO.82 , JALAN RAJA MUDA ABD. AZIZ,
50300 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 KANAGAMBIGAI 4/1/2006 20.00 15.00 35.00
2 YASHA KUMAR 6/1/2006 30.00 15.00 45.00
3 ASROL NIZAM B. HAMZAH 6/1/2006 25.00 15.00 40.00
4 YASHA KUMAR 12/1/2006 25.00 15.00 40.00
TOTAL 160.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 160.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/CELCOM-1/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March 2006CELCOM (M) BHD ,
7TH FLOOR WISMA TELEKOM SEMARAK,
NO.82 , JALAN RAJA MUDA ABD. AZIZ,
50300 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 YASHA KUMAR 6/2/2006 30.00 30.00
2 ASROL NIZAM B. HAMZAH 30.00 15.00 45.00
3 ASROL NIZAM B. HAMZAH 7/2/2006 20.00 15.00 55.00
4 NURILA IBRAHIM 15/02/2006 20.00 15.00 35.00
5 NORZAHIRA KAMID 16/02/2006 25.00 15.00 40.00
6 YASHA KUMAR 19/02/2006 25.00 25.00
7 YASHA KUMAR 27/02/2006 25.00 15.00 40.00
8 KANAGAMBIGAI 27/02/2006 15.00 15.00 30.00
TOTAL 300.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 300.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/CELCOM-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April 2006CELCOM (M) BHD ,
7TH FLOOR WISMA TELEKOM SEMARAK,
NO.82 , JALAN RAJA MUDA ABD. AZIZ,
50300 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 YASHA KUMAR 27/03/2006 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/CELCOM-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March 2006HEALTH CONNECT
UNITED HEALTH CONNECT SDN BHD,
UNIT NO. B-1-7 MEGAN PHILEO PROMENADE,
189 JALAN TUN RAZAK,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. INJ. MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHAMMAD AZIAN B. RAMLI 13/02/2006 20.00 15.00 35.00
2 MOHAMMAD AZIAN B. RAMLI 18/02/2006 20.00 15.00 35.00
3 MOHD SUKRI B. ABD. AZAZ 20/02/2006 23.00 15.00 38.00
4 JAN PETER GOMEZ 27/02/2006 25.00 15.00 40.00
TOTAL 148.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 148.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/HC-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April 2006HEALTH CONNECT
UNITED HEALTH CONNECT SDN BHD,
UNIT NO. B-1-7 MEGAN PHILEO PROMENADE,
189 JALAN TUN RAZAK,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. DRESSING MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 JAN PETER GOMEZ 1/3/2006 10.00 15.00 25.00
2 JAN PETER GOMEZ 9/3/2006 20.00 15.00 35.00
3 JAN PETER GOMEZ 13/03/2006 20.00 20.00
4 JAN PETER GOMEZ 14/03/2006 20.00 20.00
5 JAN PETER GOMEZ 15/03/2006 20.00 20.00
6 MOHD KHIR FITRY BIN ABD. RAZAK 16/03/2006 52.00 15.00 67.00
7 MOHAMMAD AZLAN B. RAMLI 20/03/2006 20.00 15.00 35.00
TOTAL 222.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 222.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/HC-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai 2006HEALTH CONNECT
UNITED HEALTH CONNECT SDN BHD,
UNIT NO. B-1-7 MEGAN PHILEO PROMENADE,
189 JALAN TUN RAZAK,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. DRESSING MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 JAN PETER GOMEZ 6/6/2006 15.00 15.00 30.00
2 RAJI PRISCILLA 6/6/2006 10.00 15.00 25.00
TOTAL 55.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 55.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/HC-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005AMERICAN HOME ASSURANCE,
WISMA AIG,
NO.99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF RAWATAN LUKA X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 FAZLUR AZMI 12/11/2005 25.00 15.00 40.00
2 FAZLUR AZMI 14/11/2005 30.00 15.00 45.00
TOTAL 85.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 85.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/AHA-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. JAN. 2006AMERICAN HOME ASSURANCE,
WISMA AIG,
NO.99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF RAWATAN LUKA X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 FAZLUR AZMI 5/12/2005 30.00 15.00 45.00
TOTAL 45.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 45.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/AHA-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai. 2006AMERICAN HOME ASSURANCE,
WISMA AIG,
NO.99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF RAWATAN LUKA X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ELSIE THOMAS 26/6/2006 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/AHA-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. AUTRASOUND MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 MUHAINI MUSTAFA TFC 2/8/2005 PS1982000 40.00 15.00 55.00
2 NOORIZAN MOHAMED TD 20/08/2005 PS 10095 25.00 10.00 35.00
3 CALVIN WEI YUNG LOCK SA 24/08/2005 P/S10642001 28.00 10.00 38.00
4 FAZILAWATI HQ 25/08/2005 1201992 20.00 10.00 30.00
5 FAZILAWATI HQ 28/08/2005 1201992 28.00 10.00 38.00
6 ANUAR SULAIMAN HQ 29/0/8/2005 10632001 28.00 10.00 38.00
7 YEW YOKE SAN HQ 29/08/2005 38.00 10.00 48.00
8 LEE LI CHING C 30/08/2005 ps10642001 30.00 10.00 40.00
TOTAL 322.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 322.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/AFFIN (HQ)-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. NEBULIZER MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 MUHAINI BT MUSTAFA TFC 5/9/2005 PS1982000 28.00 15.00 43.00
2 MUHAINI BT MUSTAFA TFC 6/9/2005 PS1982000 35.00 15.00 50.00
3 ANUAR SULAIMAN HQ 7/9/2005 10632001 25.00 15.00 40.00
4 KU AHMAD AKIF TFC 17/09/2005 PS1982000 30.00 15.00 45.00
5 TOH WOON KAI SA 17/09/2005 PS0801978 30.00 15.00 45.00
6 KU AHMAD AKIF TFC 27/09/2005 PS1982000 20.00 15.00 15.00 50.00
7 KU AHMAD AKIF TFC 28/09/2005 PS1982000 25.00 15.00 40.00
8 KU AHMAD AFNAN TFC 28/09/2005 PS1982000 25.00 15.00 40.00
9 KU AHMAD AKIF TFC 29/09/2005 PS1982000 20.00 15.00 35.00
TOTAL 388.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 388.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/AFFIN (HQ)-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. IMMUNISATION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 LOCK CHEE SENG C 10/10/2005 PS10642001 25.00 15.00 40.00
2 LEE CHEE ONN CBD 11/10/2005 PS09972001 36.00 15.00 51.00
3 KU HARMI KU AHMAD TFC 11/10/2005 PS198/2000 25.00 15.00 40.00
4 KU HARMI KU AHMAD TFC 11/10/2005 PS198/2000 35.00 15.00 50.00
5 FAZILAWATI MUSTAFA HQ 17/10/2005 1201992 30.00 15.00 45.00
TOTAL 226.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 226.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/AFFIN (HQ)-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. IMMUNISATION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 KU AHMAD AKIF TFC 13/11/2005 PS198/2000 30.00 15.00 45.00
2 STEPHANIE PUIYIAN LOCK SA 14/11/2005 P/S10642001 35.00 15.00 50.00
3 KU AHMAD AFNAN TFC 16/11/2005 PS198/2000 30.00 15.00 45.00
4 TOH MEE YEN SA 21/11/2005 PS0801978 25.00 15.00 40.00
5 FAZILAWATI HQ 21/11/2005 1201992 25.00 15.00 40.00
6 MUHAINI MUSTAFA TFC 21/11/2005 PS198/2000 25.00 15.00 40.00
6 MELANIE WONG CB 28/11/2005 321990 25.00 15.00 40.00
7 WONG CHEE FEN CB 28/11/2005 321990 30.00 15.00 45.00
8 MELISSA WONG CB 28/11/2005 321990 25.00 15.00 40.00
9 CALVIN WEI YUNG LOCK CC 30/11/2005 PS10642001 25.00 15.00 40.00
TOTAL 425.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 425.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/AFFIN (HQ)-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. Jan. 2006AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. IMMUNISATION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 LIM SEONG KANG HQ 4/12/2005 PS0011979 25.00 15.00 40.00
2 LIM CHERN WEI HQ 4/12/2005 PS0011979 25.00 15.00 40.00
3 LOCK CHEE SENG CB 8/12/2005 10642001 25.00 15.00 40.00
4 CALVIN WEI YUNG LOCK CB 8/12/2005 10642001 28.00 15.00 43.00
5 NOORIZAN MOHAMAD HQ 13/12/2005 PS10095 25.00 15.00 40.00
6 NOORIZAN MOHAMAD HQ 17/12/2005 PS10095 23.00 15.00 38.00
7 FAZILAWATI MUSTAFA HQ 29/12/2005 1201992 48.00 15.00 63.00
TOTAL 304.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 304.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/AFFIN (HQ)-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. Feb. 2006AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. IMMUNISATION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 FAZILAWATI MUSTAFA HQ 16/01/2006 1201992 20.00 15.00 35.00
2 MUHAINI BT MUSTAFA TFC 16/01/2006 PS198/2000 25.00 15.00 40.00
3 TOH KIM SAN HQ 22/01/2006 PS0801978 30.00 15.00 45.00
4 TOH KIM SAN HQ 26/01/2006 PS0801978 25.00 15.00 40.00
TOTAL 160.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 160.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/AFFIN (HQ)-01/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March. 2006AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. IMMUNISATION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 FAZILAWATI MUSTAFA HQ 7/2/2006 1201992 30.00 15.00 45.00
2 LEE CHEE ONN CBD 12/2/2006 PS09972001 25.00 15.00 40.00
TOTAL 85.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 85.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/AFFIN (HQ)-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. April. 2006AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. IMMUNISATION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 FAZILAWATI MUSTAFA HQ 7/2/2006 1201992 30.00 15.00 45.00
2 LEE CHEE ONN CBD 12/2/2006 PS09972001 25.00 15.00 40.00
TOTAL
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/AFFIN (HQ)-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April. 2006AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. IMMUNISATION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 KU HARMI KU AHMAD TFC 1/3/2006 PS198/2000 110.00 15.00 125.00
2 NOORIZAN MOHAMED ISMAIL HQ 9/3/2006 PS 10095 30.00 15.00 45.00
3 LOCK CHEE SENG C 16/03/2006 PS10642001 30.00 15.00 45.00
TOTAL 215.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 215.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/AFFIN (HQ)-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai. 2006AFFIN BANK BERHAD (HQ)
11TH FLOOR MENARA AFFIN,
NO.8 JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. IMMUNISATION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 KU HARMI KU AHMAD TFC 14/6/2006 PS198/2000 20.00 15.00 35.00
2 TOH KIM SAN SA 17/6/2006 PS0801978 40.00 40.00
TOTAL 75.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 75.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/AFFIN (HQ)-06/06
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005MEDIJARING AND BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 WAN ARIF ARFAN 1/8/2005 28.00 10.00 38.00
2 JOANNE LOW 11/8/2005 28.00 10.00 38.00
TOTAL 76.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 76.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/TM NET-08/05
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005MEDIJARING AND BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 WAN NADIAH FARHANA 6/9/2005 20.00 15.00 35.00
2 WAN ARIF ARFAN 6/9/2005 20.00 15.00 35.00
3 WAN NABILAH FARHANA 6/9/2005 20.00 15.00 35.00
4 WAN ARIF ARFAN 9/9/2005 35.00 15.00 50.00
5 WAN ARIF ARFAN 12/9/2005 28.00 15.00 43.00
6 ENGKU AHMAD ZAKI 23/09/2005 28.00 15.00 43.00
7 EZWANI HUSSEIN 25/09/2005 25.00 15.00 40.00
8 WAN YUSRAN BIN WAN KAMAL 30/09/2005 25.00 15.00 40.00
TOTAL 321.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 321.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/TM NET-09/05
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005MEDIJARING AND BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NURUL HAIRIYAH MOHD YATIM 24/10/2005 25.00 15.00 40.00
2 WAN NABILAH FARHANA 25/10/2005 25.00 15.00 40.00
TOTAL 80.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 80.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/TM NET-10/05
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005MEDIJARING AND BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 WAN NABILAH FARHANA 7/11/2005 25.00 15.00 40.00
2 YAUMI MUHAMMAD 15/11/2005 25.00 15.00 40.00
3 EZWANI BINTI HUSSEIN 19/11/2005 30.00 15.00 45.00
4 WAN NADIAH FARHANA 19/11/2005 20.00 15.00 35.00
5 WAN NURUL HAIRIYAH 21/11/2005 20.00 15.00 35.00
TOTAL 195.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 195.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/TM NET-11/05
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 03hb. Jan. 2006MEDIJARING AND BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 WAN NABILAH FARHANA 1/12/2005 25.00 15.00 40.00
2 EZWANI BINTI HUSSEIN 5/12/2005 30.00 15.00 45.00
3 WAN NABILAH FARHANA 5/12/2005 25.00 15.00 40.00
4 WAN ARIF ARFAN 5/12/2005 25.00 15.00 40.00
5 WAN ARIF ARFAN 8/12/2005 25.00 15.00 40.00
6 IVY CHIN LI MEI 11/12/2005 25.00 15.00 40.00
7 WAN NADIAH FARHANA 13/12/12005 25.00 15.00 40.00
8 MUHAMMAD FAIZ RAHMAN 13/12/2005 25.00 15.00 40.00
9 FAZLUR RAHMAN 13/12/2005 25.00 15.00 40.00
TOTAL 365.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 365.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/TM NET-12/05
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 03hb. Feb. 2006MEDIJARING SDN. BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 WAN NADIAH FARHANA 3/1/2006 25.00 15.00 40.00
2 WAN ARIF ARFAN 8/1/2006 25.00 15.00 40.00
3 WAN NADIAH FARHANA 23/1/2006 25.00 15.00 40.00
4 WAN NADIAH FARHANA 27/1/2006 25.00 15.00 35.00
5 NORAZLIANI MD. LAZAM 30/1/2006 25.00 15.00 40.00
6 SHADEYAH BINTI SHAHRIL 30/1/2006 20.00 15.00 35.00
TOTAL 230.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 230.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/TM NET-01/06
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 01hb. March 2006MEDIJARING SDN. BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 EZWANI BINTI HUSSEIN 6/2/2006 25.00 15.00 40.00
2 EZWANI BINTI HUSSEIN 9/2/2006 30.00 15.00 45.00
3 EZWANI BINTI HUSSEIN 15/02/2006 40.00 15.00 60.00
TOTAL 145.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 145.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/TM NET-02/06
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 03hb. April 2006MEDIJARING SDN. BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. NEBULIZER MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 EZWANI BINTI HUSSEIN 7/3/2006 25.00 15.00 40.00
2 WAN NABILAH FARHANA 13/03/2006 25.00 15.00 40.00
3 WAN NABILAH FARHANA 21/03/2006 20.00 25.00 15.00 60.00
TOTAL 140.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 140.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/TM NET-03/06
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007MEDIJARING SDN. BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF LAB. INJECTION NEBULIZER MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE ( RM )
1 HANIZ ZAHIRA 11/6/2007 25.00 15.00 40.00
2 ROSNANI 11/12/2007 10.00 20.00 15.00 35.00
3 WAN NABILAH FARHANA 15/11/2007 25.00 15.00 40.00
4 WAN NADIAH FARHANA 15/11/2007 25.00 15.00 40.00
5 WAN ARIF ARFAN 15/11/2007 25.00 15.00 40.00
6 WAN ARIF ARFAN 18/11/2007 25.00 25.00
7 EZWANI HUSSEIN 18/11/2007 30.00 30.00
TOTAL 250.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/TM NET-11/07
Amount Payable Ringgit Malaysia RM 250.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb.May.2009MEDIJARING SDN. BHD,
LEVEL 3, WISMA KOPERASI TENTERA,
1, JALAN 2*65C, OFF JALAN PAHANG BARAT,
53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF LAB. INJECTION NEBULIZER MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE ( RM )
1 SHURAYA BINTI SHUKOR 4/1/2009 25.00 15.00 40.00
2 ROSHASIMI BIN AHMAD 4/3/2009 25.00 15.00 40.00
3 NUR HANINA BUHRI 4/6/2009 15.00 15.00 30.00
4 SAIFUDDIN ISMAIL 4/7/2009 25.00 15.00 40.00
5 ROSHASIMI BIN AHMAD 4/15/2009 20.00 15.00 35.00
6 SAIFUDDIN ISMAIL 4/16/2009 15.00 15.00 30.00
7 KHAIRIL AZHAR BIN MOHD HARIRI 4/16/2009 25.00 15.00 40.00
8 ZURAIRAH BARIZAH BINTI CHE MUD 4/19/2009 15.00 20.00 25.00 NIGTH VISIT 60.00
9 ROSNANI BINTI ZAINAL ABIDIN 4/22/2009 25.00 15.00 40.00
10 SHURAYA BINTI SHUKOR 4/27/2009 15.00 15.00 30.00
11 DAYANG MAIMUNAH BT AWANG RADMAN 4/30/2009 25.00 15.00 40.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/TM NET-04/09
12 ABDUL HALIM BIN AFFANDI 4/30/2009 20.00 15.00 35.00
TOTAL 460.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 460.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 SIVANANDAM A/L ARAVAM 18/08/2005 28.00 10.00 30.00
2 SIVANANDAM A/L ARAVAM 19/08/2005 20.00 10.00 30.00
3 ZALINA OSMAN 19/08/2005 15.00 10.00 25.00
4 SIVANANDAM A/L ARAVAM 24/08/2005 3.60 3.60
5 CHE AZMAWI CHE SEMAN 29/08/2005 28.00 10.00 38.00
TOTAL 126.60
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 126.60
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/CORE COMP. 08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007Invoice Date : 04hb.Januari.2008
CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AL HAQ HASHIM 12/3/2007 20.00 15.00 35.00
2 NORMAH MOHAMED SHUKOR 12/5/2007 20.00 15.00 35.00
3 JOHN TIMEWELL 14/12/2007 35.00 15.00 50.00
TOTAL 120.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 120.00
Invoice Num : SD/CORE COMP. 12/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 CHE ANIQ DANIAL 10/11/2005 25.00 15.00 40.00
2 RIMA AZURA CHULAN 15/11/2005 20.00 15.00 35.00
3 CHE ANIQ DANIAL 25/11/2005 20.00 15.00 35.00
4 NORHAYATI MOHD ARSHAT 29/11/2005 25.00 15.00 40.00
5
TOTAL 150.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 150.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/CORE COMP. 11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. JAN. 2006CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 CHE ANIQ DANIAL 1/12/2005 28.00 15.00 43.00
2 CHE ANIQ DANIAL 2/12/2005 110.00 110.00
3 JULIANA AHMAD 6/12/2005 40.00 40.00
4 JULIANA AHMAD 14/12/2005 10.00 10.00
5 CHE AZMAWI 17/12/2005 25.00 15.00 40.00
6 RIMA AZURA CHULAN 19/12/2005 63.00 15.00 78.00
7 IZWAN 21/12/2005 30.00 30.00
8 RIMA AZURA CHULAN 29/12/2005 28.00 15.00 43.00
TOTAL 394.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 394.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/CORE COMP. 12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006Invoice Date : 03hb. FEB. 2006
CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 CHE ANIQ DANIAL 1/1/2006 110.00 20.00 15.00 145.00
2 RIMA AZURA CHULAN 13/01/2006 25.00 15.00 40.00
3 NORHAYATI MOHD ARSHAT 18/01/2006 50.00 15.00 65.00
4 CHE AZMAWI 18/01/2006 25.00 15.00 40.00
5 CHE ANIQ DANIAL 18/01/2006 20.00 15.00 35.00
6 NORHAYATI MOHD ARSHAT 23/01/2006 45.00 15.00 60.00
TOTAL 385.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 385.00
Invoice Num : SD/CORE COMP. 01/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March. 2006CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 ABDUL NASIR ADNAN 3/2/2006 10.00 10.00
2 CHE ANIQ DANIAL 7/2/2006 20.00 20.00
3 CHE ANIQ DANIAL 17/02/2006 45.00 45.00
4 CHE ANIQ DANIAL 28/02/2006 28.00 28.00
5 SIVANANDAM A/L ARATNAM 28/02/2006 25.00 15.00 40.00
TOTAL 143.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 143.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/CORE COMP. 02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April. 2006CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 CHE ANIQ DANIAL 1/3/2006 20.00 15.00 35.00
2 NOORULZAMAN ABDUL KADIR 6/3/2006 25.00 15.00 40.00
3 JULIANA BINTI AHMAD 9/3/2006 20.00 15.00 35.00
4 MOGAN A/L ARAVAN 9/3/2006 20.00 15.00 35.00
5 CHE ANIQ DANIAL 10/3/2006 110.00 110.00
6 RIMA AZURA CHULAN 13/03/2006 58.00 58.00
7 IZWAN BIN HAJI KAMARUL ZAMAN 21/03/2006 25.00 25.00
8 RIMA AZURA CHULAN 24/03/2006 25.00 15.00 40.00
9 CHE ANIQ DANIAL 29/03/2006 10.00 10.00
10 CHE AZMAWI 30/03/2006 20.00 15.00 35.00
11 IZWAN BIN HAJI KAMARUL ZAMAN 30/03/2006 25.00 15.00 40.00
12 ABDUL NASIR ADNAN 31/03/2006 130.00 130.00
TOTAL 593.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/CORE COMP. 03/06
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 593.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai. 2006CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 ABDUL NASIR ADNAN 19/6/2006 38.00 38.00
2 ALIYA BINTI KAMARUL ZAMAN 30/6/2006 10.00 15.00 25.00
TOTAL 63.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 63.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/CORE COMP. 06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.November.2007CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. DRESSING MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE ( RM )
1 JOHN TIMEWELL 11/2/2007 20.00 40.00 15.00 75.00
2 NORMAH 14/11/2007 20.00 15.00 35.00
3 KUNASELAN 14/11/2007 10.00 10.00
4 ZAIRUL AKHTAR 19/11/2007 10.00 15.00 25.00
TOTAL 145.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 145.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/CORE COMP.11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb.May.2009CORE COMPETENCIES (M) SDN BHD
32-2, JALAN ARA SD 7/3A
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. DRESSING MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE ( RM )
1 NIRMAL RAJA A/L KURUNAGARAN 4/1/2009 20.00 20.00
2 NATIMAH HAJI RAHMAN 4/7/2009 25.00 20.00 15.00 60.00
3 SHAMSHUL AFFENDY RAMLI 4/8/2009 25.00 25.00
4 NUR IRDINA BTE MOHD IKBAL 4/9/2009 18.00 18.00
5 KUNASELAN 4/10/2009 10.00 10.00
6 LALIDA A/P THANIKODI 4/15/2009 15.00 15.00
7 NIRMAL RAJA A/L KURUNAGARAN 4/17/2009 25.00 25.00
8 MOHD IKBAL B. MOHD 4/21/2009 10.00 10.00
9 NURINSYIRAH BATRISIAH 4/21/2009 20.00 20.00
10 LALIDA A/P THANIKODI 4/23/2009 15.00 15.00 30.00
11 LALIDA A/P THANIKODI 4/23/2009 20.00 15.00 35.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/CORE COMP.04/09
12 NOORULZAMAN B. ABD KADIR 4/23/2009 25.00 15.00 40.00
13 SHAMSHUL AFFENDY RAMLI 4/26/2009 20.00 15.00 35.00
14 KUNASELAN 4/27/2009 15.00 15.00
15 NUR IRDINA BTE MOHD IKBAL 4/28/2009 10.00 15.00 35.00
16 NOORULZAMAN B. ABD KADIR 4/29/2009 20.00 20.00
TOTAL 413.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 413.00
KLINIK FAMILI SRI DAMANSARA,
30G , JALAN ARA 7/3A, BANDAR SRI DAMANSARA
52200 KUALA LUMPUR. TEL : 03-6277179 FAX : 03-62778460
LAND & GENERAL BERHAD, Invoice Date : 09hb. Ogos 2005BLOCK D, SRI DAMANSARA BUSINESS PARK, Invoice Num : SD/L&G (ME)-07/2005BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF DATE OF STAFF MEDICAL-UPMEDICATIONCONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE ( RM )
1 NURUL HAFIZAH ISMAIL 7/29/2005 80.00 80.00
2 MAZLAN BIN MOHAMAD JOHAR 7/29/2005 80.00 80.00
3 KHAIRUL AZUDDIN B. JAAFAR 7/29/2005 80.00 80.00
4 MOHD SUKRI BIN AB. LATIFF 7/29/2005 80.00 80.00
TOTAL 320.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 320.00
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2005
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005LAND & GENERAL BERHAD,
NO.7 PERSIARAN DAGANG,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 SHAHRIZAL BIN MOHD SABRAH 1/8/2005 80.00 80.00
2 SHAH SUKIRE B. MOHD SABRAH 1/8/2005 80.00 80.00
3 ROSNITA JAMALUDDIN 7/8/2005 25.00 10.00 35.00
4 ROSNIZAH BINTI KAMARUDDIN 8/8/2005 25.00 25.00
5 AZNI ROHAIDAH A. RAMAN 11/8/2005 28.00 10.00 38.00
6 ANUAR MOHD ZAIN 12/8/2005 20.00 10.00 30.00
7 YOUP OMAR BIN HUSSIN 13/08/2005 20.00 28.00 10.00 58.00
8 ISMAIL BIN BOYAK 19/08/2005 80.00 80.00
9 ROSNIZAH BINTI KAMARUDDIN 21/08/2005 28.00 28.00
10 YOUP OMAR BIN HUSSIN 23/08/2005 25.00 10.00 35.00
11 BENYAMIN MUHD NAJIB 24/08/2005 26.00 26.00
12 NORVIVIANTI Z.ARIFIN 29/08/2005 25.00 10.00 35.00
13 RUSLIYATUL YANNI HAMAT 29/08/2005 28.00 10.00 38.00
14 NOR ASNANI ABDULLAH 29/08/2005 25.00 10.00 35.00
TOTAL 623.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 623.60
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/L&G - 08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005LAND & GENERAL BERHAD,
NO.7 PERSIARAN DAGANG,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 AZNI ROHAIDAH A. RAMAN 1/9/2005 45.00 15.00 60.00
2 MOHD SHUKRAN AB AZIZ 5/9/2005 30.00 30.00
3 IMRAN MUHD. NAJIB 11/9/2005 25.00 15.00 40.00
4 ROHANA AHMAT 16/09/2005 20.00 15.00 35.00
5 MOHAMMAD AZHA ABAS 19/09/2005 25.00 15.00 40.00
6 ROSNIZAH KAMARUDDIN 25/09/2005 28.00 15.00 43.00
7 BENYAMIN MUHD NAJIB 30/09/2005 25.00 15.00 40.00
TOTAL Err:522
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 288.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/L&G - 09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005LAND & GENERAL BERHAD,
NO.7 PERSIARAN DAGANG,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 AJIT BIN OMAR 5/10/2005 25.00 15.00 40.00
2 AZNI ROHAIDA A.RAMAN 7/10/2005 25.00 15.00 40.00
3 AZNI ROHAIDA A.RAMAN 12/10/2005 25.00 15.00 40.00
4 SUHAILA BT SAIMI 12/10/2005 25.00 15.00 40.00
5 JAYANTHI A/P SIVAKUMARAN 12/10/2005 25.00 15.00 40.00
6 AZNI ROHAIDA A.RAMAN 14/10/2005 30.00 15.00 45.00
7 FADHLAN RASHID 20/10/2005 25.00 15.00 40.00
8 SUHAILA BT SAIMI 25/10/2005 25.00 15.00 40.00
9 EFENDI BIN ABD SAMAT 27/10/2005 25.00 15.00 40.00
10 EFENDI BIN ABD SAMAT 28/10/2005 15.00 15.00
TOTAL 380.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 380.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/L&G - 10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005LAND & GENERAL BERHAD,
NO.7 PERSIARAN DAGANG,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 ROSNIZAH KAMARUDDIN 7/11/2005 25.00 15.00 40.00
2 ROSNIZAH KAMARUDDIN 13/11/2005 25.00 15.00 40.00
3 ROSNIZAH KAMARUDDIN 19/11/2005 25.00 15.00 40.00
4 BAHARUDIN BAHARI 20/11/2005 25.00 15.00 40.00
5 LILAWATI ZAINOL 24/11/2005 25.00 15.00 40.00
6 NURHANNE RECBURG 29/11/2005 25.00 15.00 40.00
7 NORHAFIZAH A. RAHMAN 29/11/2005 20.00 15.00 35.00
TOTAL 275.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 275.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/L&G - 11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb.Jan.2006LAND & GENERAL BERHAD,
BLOCK D, SRI DAMANSARA BUSINESS PARK,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 EFENDI BIN ABD SAMAT 3/12/2005 25.00 15.00 40.00
2 BENYAMIN MUHD NAJIB 11/12/2005 25.00 15.00 40.00
3 EFENDI BIN ABD SAMAT 13/12/2005 20.00 15.00 35.00
4 MAZLIEA BOSTAMAM 13/12/2005 25.00 15.00 40.00
5 MAZLAN MOHD JOHAR 15/12/2005 25.00 15.00 40.00
6 ROSNAH KAMARUDDIN 15/12/2005 20.00 15.00 35.00
7 MOHD FADZLI BIN YUSOF 15/12/2005 80.00 80.00
8 NORLIZAWATI M. ARSHAD 16/12/2005 80.00 80.00
9 AMEERUZAMAN 19/12/2005 25.00 15.00 40.00
10 HAMDAN AHMAD ZABIDI 21/12/2005 25.00 15.00 40.00
11 AZNI ROHAIDAH A. RAMAN 21/12/2005 40.00 15.00 55.00
12 EFENDI BIN ABD SAMAT 21/12/2005 38.00 15.00 43.00
13 ROSNIZAH KAMARUDDIN 24/12/2005 28.00 15.00 43.00
14 AMEERUZAMAN 29/12/2005 20.00 15.00 35.00
TOTAL 646.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/L&G - 12/05
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 646.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.FEB.2006LAND & GENERAL BERHAD,
BLOCK D, SRI DAMANSARA BUSINESS PARK,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 AZNI ROHAIDAH A. RAMAN 3/1/2006 25.00 15.00 40.00
2 MAZLIEA BOSTAMAM 3/1/2006 28.00 28.00
3 ROSNIZAH KAMARUDDIN 3/1/2006 30.00 30.00
4 NURHANNE 3/1/2006 25.00 25.00
5 EFENDI BIN ABD SAMAT 5/1/2006 25.00 15.00 40.00
6 ROSLIHAIZAH RUSLI 8/1/2006 80.00 80.00
7 SUNANI SANUSI 13/1/2006 80.00 80.00
8 LILAWATI ZAINOL 13/1/2006 28.00 15.00 43.00
9 ROSNIZAH KAMARUDDIN 15/1/2006 25.00 15.00 40.00
10 MOHD SUKRI AB. LATIFF 20/1/2006 25.00 25.00
11 EFENDI BIN ABD SAMAT 21/1/2006 25.00 15.00 40.00
12 IMRAN MUHD NAJIB 22/1/2006 25.00 15.00 40.00
13 SHAH SUKIRE B. MOHD SABRAH 23/1/2006 20.00 15.00 35.00
14 AZNI ROHAIDAH A. RAMAN 23/1/2006 20.00 15.00 35.00
15 ZAINAL B. SALLEH 23/1/2006 25.00 15.00 40.00
16 AZNI ROHAIDAH A. RAMAN 24/1/2006 25.00 15.00 40.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/L&G - 01/06
17 ROSNIZAH KAMARUDDIN 25/1/2006 25.00 15.00 40.00
18 IMRAN MUHD NAJIB 25/1/2006 25.00 15.00 40.00
TOTAL 741.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 741.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb.March.2006LAND & GENERAL BERHAD,
BLOCK D, SRI DAMANSARA BUSINESS PARK,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF NEBULIZER MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 ROSNIZAH KAMARUDDIN 1/2/2006 25.00 15.00 40.00
2 MOHD SUKRAN 2/2/2006 25.00 15.00 40.00
3 AZNI ROHAIDAH A. RAMAN 5/2/2006 20.00 15.00 35.00
4 EFENDI BIN ABD SAMAT 5/2/2006 25.00 15.00 40.00
5 MOHD ZAKARIA HJ. MOHD SAUDI 5/2/2006 25.00 15.00 40.00
6 BENJAMIN MUHD NAJIB 6/2/2006 20.00 15.00 35.00
7 ZAINAL B. SALLEH 7/2/2006 20.00 20.00
8 NOORHAYATI SAAD 8/2/2006 30.00 30.00
9 RASID SALLEH 10/2/2006 20.00 15.00 35.00
10 ZAINAL B. SALLEH 13/02/2006 40.00 40.00
11 BENYAMIN MUHD NAJIB 14/02/2006 35.00 35.00
12 FADHLAN RASHID 14/02/2006 35.00 35.00
13 EFENDI BIN ABD SAMAT 23/02/2006 25.00 25.00
14 ROSNIZAH KAMARUDDIN 23/02/2006 25.00 15.00 40.00
15 ZAINAL B. SALLEH 25/02/2006 28.00 28.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/L&G - 02/06
16 EFENDI BIN ABD SAMAT 26/02/2006 20.00 20.00
17 AZNI ROHAIDAH A. RAMAN 28/02/2006 25.00 15.00 40.00
TOTAL 578.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 578.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007Invoice Date : 04hb.Januari 2008.
LAND & GENERAL BERHAD,
BLOCK D, SRI DAMANSARA BUSINESS PARK,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF NEBULIZER MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 AZMI ROSLAN 12/1/2007 25.00 15.00 40.00
2 LILAWATI ZAINAL 12/3/2007 15.00 15.00
3 MAZLIEA BOSTAMAM 12/3/2007 22.00 22.00
4 MAZLIEA BOSTAMAM 12/6/2007 20.00 20.00
5 MOHD SUKRI 12/6/2007 25.00 25.00
6 ROSNIZAH KAMARUDDIN 12/10/2007 26.00 26.00
7 MOHD SHUKRAN 13/12/2007 25.00 25.00
8 LILAWATI ZAINAL 15/12/2007 10.00 10.00
9 ROSNIZAH KAMARUDDIN 15/12/2007 18.00 18.00
10 AZMI ROSLAN 17/12/2007 30.00 30.00
11 ROSNIZAH KAMARUDDIN 22/12/2007 22.00 22.00
12 LILAWATI ZAINAL 25/12/2007 18.00 18.00
13 ROHANI JAAFAR 29/12/2007 20.00 20.00
TOTAL 291.00
Invoice Num : SD/L&G - 12/07
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 291.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007LAND & GENERAL BERHAD,
BLOCK D, SRI DAMANSARA BUSINESS PARK,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF UPT MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 ROSNITA JAMALUDIN 11/3/2007 30.00 15.00 45.00
2 MOHD SUKRI 11/7/2007 20.00 15.00 35.00
3 MOHD SUKRI 11/9/2007 30.00 15.00 45.00
4 MOHD SUKRAN 11/9/2007 35.00 35.00
5 ROHANI JAAFAR 18/11/2007 20.00 15.00 35.00
6 ROSNIZAH 23/11/2007 20.00 15.00 35.00
7 ROSNIZAH 26/11/2007 25.00 15.00 40.00
8 EFENDI 28/11/2007 25.00 15.00 40.00
9 AZMI 30/11/2007 25.00 15.00 40.00
TOTAL 350.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/L&G - 11/07
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 350.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 06hb.April 2009LAND & GENERAL BERHAD,
BLOCK D, SRI DAMANSARA BUSINESS PARK,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF UPT MEDICAL INJECTION MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHECK-UP CHARGE CHARGE CHARGE ( RM )
1 LILAWATI ZAINOL 3/6/2009 25.00 25.00
2 ROSNIZAH KAMARUDDIN 3/9/2009 20.00 15.00 35.00
3 EFENDI BIN ABD SAMAT 3/12/2009 20.00 20.00
4 IZAN NOR FARAHNI BT AHMAD 3/12/2009 15.00 15.00
5 MAZLIEA BUSTAMAM 3/15/2009 20.00 15.00 35.00
6 SUHIMI ABD RAZAK 3/19/2009 20.00 20.00
7 AZMI BIN ROSLAN 3/19/2009 20.00 15.00 35.00
8 MOHAMMAD AZHA BIN ABAS 3/24/2009 20.00 20.00
TOTAL 205.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2009
Invoice Num : SD/L&G - 03/09
Amount Payable Ringgit Malaysia RM 205.00
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 SITI ZALIFAH 8/8/2005 25.00 10.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/TPPT-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007 Invoice Date : 04hb.Januari.2008
TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 SITI ZALIFAH MD ISA 12/5/2007 25.00 15.00 40.00
2 SITI ZALIFAH MD ISA 12/12/2007 20.00 15.00 35.00
3 SITI ZALIFAH MD ISA 16/12/2007 20.00 15.00 35.00
4 ZULKARNAIN HUSIN 17/12/2007 20.00 20.00
TOTAL 130.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 130.00
Invoice Num : SD/TPPT-12/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 SITI ZALIFAH MD ISA 10/10/2005 10.00 30.00 15.00 55.00
2 SITI ZALIFAH MD ISA 17/10/2005 28.00 15.00 43.00
3 WARDINA ZULAIKHA 24/10/2005 30.00 15.00 45.00
4 WARDINA ZULAIKHA 26/10/2005 25.00 15.00 40.00
5 MOHD HAFIZ IRFAN 28/10/2005 20.00 15.00 35.00
6 WARDINA ZULAIKHA 28/10/2005 25.00 15.00 40.00
TOTAL 258.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 258.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/TPPT-10/05
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF ULTRA LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO SOUND CHARGE ECG CHARGE CHARGE RM
1 WARDINA ZULAIKHA 8/11/2005 30.00 15.00 45.00
2 SITI ZALIFAH MD ISA 25/11/2005 40.00 20.00 15.00 75.00
3 ZULKARNAIN HUSIN 29/11/2005 25.00 15.00 40.00
TOTAL 160.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 160.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVENBER3 2005
Invoice Num : SD/TPPT-11/05
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006Invoice Date : 03hb. FEB. 2006
TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF ULTRA LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO SOUND CHARGE ECG CHARGE CHARGE RM
1 ZULKARNAIN HUSIN 29/11/2005 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
Invoice Num : SD/TPPT-1/06
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 03hb. April. 2006TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF ULTRA LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO SOUND CHARGE CHARGE CHARGE CHARGE RM
1 SOFEA MAISARA 7/3/2006 45.00 15.00 60.00
TOTAL 60.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 60.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/TPPT-03/06
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 03hb. April. 2006TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF ULTRA LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO SOUND CHARGE CHARGE CHARGE CHARGE RM
1 SOFEA MAISARA 9/6/2006 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/TPPT-03/06
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF ULTRA LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO SOUND CHARGE CHARGE CHARGE CHARGE RM
1 MOHAMMAD HAFIZ IRFAN 27/11/2007 20.00 15.00 35.00
2 WARDINA ZULAIKHA 27/11/2007 25.00 15.00 40.00
TOTAL 75.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 75.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/TPPT-11/07
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 11hb.AUG.2007TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF ULTRA LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO SOUND CHARGE CHARGE CHARGE CHARGE RM
1 SYARA SUZIELA MOHD RADZI 7/2/2009 40.00 20.00 15.00 75.00
TOTAL 75.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 75.00
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2007
Invoice Num : SD/TPPT-07/09
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 08hb.JUNE 2010TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF ULTRA LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO SOUND CHARGE CHARGE CHARGE CHARGE RM
1 SYARA SUZIELA MOHD RADZI 5/22/2010 20.00 15.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF MAY 2010
Invoice Num : SD/TPPT-05/10
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 15.DEC 2010TPPT SDN BHD
TINGKAT 7 & 8, BAY SIME BANK,
JALAN SULTAN SULAIMAN,
50000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF ULTRA LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO SOUND CHARGE CHARGE CHARGE CHARGE RM
1 SYARA SUZIELA MOHD RADZI 10/5/2010 20.00 15.00 35.00
2 NOOR HASYA ADRIANA BT HAIRUDDI 10/5/2010 40.00 15.00 55.00
TOTAL 90.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF OCT 2010
Invoice Num : SD/TPPT-10/10
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005TNB ENGINEERING AND CONSULTANCY,
1701 LEVEL 17,
BLOCK B MENARA AMCORP 18
PERSIARAN BARAT, PO.BOX 152 JALAN SULTAN
46000 PETALING JAYA SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AHMAD ZULKIFLI BIN MOHD ZAIDI 16/08/2005 25.00 10.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/TNEC-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005TNB ENGINEERING AND CONSULTANCY,
1701 LEVEL 17,
BLOCK B MENARA AMCORP 18
PERSIARAN BARAT, PO.BOX 152 JALAN SULTAN
46000 PETALING JAYA SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AHMAD ZULHILMI BIN MOHD ZAIDI 23/09/2005 28.00 10.00 38.00
TOTAL 38.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 38.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/TNEC-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005TNB ENGINEERING AND CONSULTANCY,
1701 LEVEL 17,
BLOCK B MENARA AMCORP 18
PERSIARAN BARAT, PO.BOX 152 JALAN SULTAN
46000 PETALING JAYA SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AHMAD ZULKIFLI BIN MOHD ZAIDI 10/10/2005 30.00 15.00 45.00
2 AHMAD ZULHILMI BIN MOHD ZAIDI 24/10/2005 15.00 15.00 30.00
TOTAL 75.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 75.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/TNEC-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005TNB ENGINEERING AND CONSULTANCY,
1701 LEVEL 17,
BLOCK B MENARA AMCORP 18
PERSIARAN BARAT, PO.BOX 152 JALAN SULTAN
46000 PETALING JAYA SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MOHD ZAIDI BT MOHD ZAIN 16/11/2005 40.00 15.00 55.00
TOTAL 55.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 55.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/TNEC-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April. 2006TNB ENGINEERING AND CONSULTANCY,
1701 LEVEL 17,
BLOCK B MENARA AMCORP 18
PERSIARAN BARAT, PO.BOX 152 JALAN SULTAN
46000 PETALING JAYA SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AHMAD ZULKIFLI B. MOHD ZAIDI 19/6/2006 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/TNEC-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai. 2006TNB ENGINEERING AND CONSULTANCY,
1701 LEVEL 17,
BLOCK B MENARA AMCORP 18
PERSIARAN BARAT, PO.BOX 152 JALAN SULTAN
46000 PETALING JAYA SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AHMAD ZULKIFLI B. MOHD ZAIDI 19/6/2006 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/TNEC-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005ECO ENERGY SDN. BHD,
32, 2ND FLOOR SD7/3A,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MD. NOOR BIN HASSAN 7/8/2005 95.00 10.00 105.00
TOTAL 105.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 105.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/ECO ENERGY-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005ECO ENERGY SDN. BHD,
32, 2ND FLOOR SD7/3A,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MD NOOR HARUN 20/09/2005 55.00 10.00 65.00
TOTAL 65.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 65.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/ECO ENERGY-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005ECO ENERGY SDN. BHD,
32, 2ND FLOOR SD7/3A,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJECTION X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MD NOOR HARUN 2/10/2005 256.00 256.00
2 HASSAN BATHISH 3/10/2005 80.00 10.00 90.00
TOTAL 346.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 346.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/ECO ENERGY-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005ECO ENERGY SDN. BHD,
32, 2ND FLOOR SD7/3A,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF RAWATAN LUKA X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ZAH BT NOOR 16/11/2005 15.00 15.00 15.00 45.00
2 AZIZAH KASSIM 25/11/2005 18.00 18.00
TOTAL 63.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 63.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/ECO ENERGY-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb.JAN. 2005ECO ENERGY SDN. BHD,
32, 2ND FLOOR SD7/3A,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF RAWATAN LUKA X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AZIZAH KASSIM 19/12/2005 10.00 10.00
TOTAL 10.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 10.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/ECO ENERGY-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.FEB 2006ECO ENERGY SDN. BHD,
32, 2ND FLOOR SD7/3A,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF RAWATAN LUKA X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MD NOOR HARON 16/01/2006 87.00 87.00
2 MD NOOR HARON 28/01/2006 35.00 35.00
TOTAL 122.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 122.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/ECO ENERGY-01/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb.March 2006ECO ENERGY SDN. BHD,
32, 2ND FLOOR SD7/3A,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF RAWATAN LUKA X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MD NOOR HARON 10/2/2006 99.00 99.00
TOTAL 99.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 99.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/ECO ENERGY-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.April 2006ECO ENERGY SDN. BHD,
32, 2ND FLOOR SD7/3A,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF RAWATAN LUKA X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MD. NOOR HARON 26/03/2006 300.00 300.00
TOTAL 300.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 300.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/ECO ENERGY-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007ECO ENERGY SDN. BHD,
35-2nd FLOOR ,JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF RAWATAN LUKA X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 SUHANDI SYIFUL IRWAN 11/2/2007 32.00 32.00
2 MD NOOR 22/11/2007 30.00 30.00
3 SUHANDI SYIFUL IRWAN 28/11/2007 30.00 30.00
TOTAL 92.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM92.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/ECO ENERGY-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
ARAB MALAYSIAN ASSURANCE BERHAD, Invoice Date : 01hb. Dis. 20059TH FLOOR, BANGUNAN AMDB,
NO.1 , JALAN LUMUT,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NIK MASTURA HANIN HQ 16/11/2005 10010210 30.00 15.00 45.00
TOTAL 45.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 45.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/AM BANK (HQ)-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
ARAB MALAYSIAN ASSURANCE BERHAD, Invoice Date : 10hb. Julai. 20069TH FLOOR, BANGUNAN AMDB,
NO.1 , JALAN LUMUT,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHARINA BT MOHAMED 10/4/2006 30.00 15.00 45.00
2 MOHARINA BT MOHAMED 20/4/2006 15.00 15.00 30.00
3 MOHARINA BT MOHAMED 21/4/2006 30.00 15.00 45.00
4 NIK AMIN IMRAN 24/4/2006 15.00 15.00 30.00
5 MOHARINA BT MOHAMED 27/4/2006 15.00 15.00 30.00
TOTAL 180.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 180.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2006
Invoice Num : SD/AM BANK (HQ)-04/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
ARAB MALAYSIAN ASSURANCE BERHAD, Invoice Date : 14hb. Aug. 20069TH FLOOR, BANGUNAN AMDB,
NO.1 , JALAN LUMUT,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC NEBULIZER MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 M UHD HAIZAL ZARIF 15/6/2006 25.00 15.00 40.00
2 KHAFIZUL RASIDI ISHAK 17/7/2006 25.00 15.00 40.00
3 MUHD IZHAN FARIZ 17/7/2006 20.00 20.00 15.00 55.00
4 MAZLINA MOKHTAR 19/7/2006 25.00 15.00 40.00
5 MAZLINA MOKHTAR 20/7/2006 25.00 15.00 40.00
TOTAL 215.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 215.00
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2006
Invoice Num : SD/AM BANK (HQ)-07/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
ARAB MALAYSIAN ASSURANCE BERHAD, Invoice Date : 14hb. Aug. 20069TH FLOOR, BANGUNAN AMDB,
NO.1 , JALAN LUMUT,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC NEBULIZER MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 HANIZA HANIM BT SA'ID 4/20/2009 25.00 15.00 40.00
2 HANIZA HANIM BT SA'ID 4/29/2009 20.00 15.00 35.00
TOTAL 75.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 75.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/AM BANK (HQ)-07/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AM SECURITIES SDN BHD, Invoice Date : 10hb. Julai. 2006TING. 15, BANGUNAN AMBANK GROUP,
NO. 55, JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 PUSPANATHAN A/L THELAN 22/4/2006 15.00 25.00 Nigth Visit 40.00
2 RHUKSAN 22/4/2006 23.00 25.00 Nigth Visit 48.00
TOTAL 88.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 88.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2006
Invoice Num : SD/AM BANK (HQ)-04/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AM SECURITIES SDN BHD, Invoice Date : 14hb. Aug. 2006TING. 15, BANGUNAN AMBANK GROUP,
NO. 55, JALAN RAJA CHULAN
50200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHARINA MOHAMED 12/6/2006 30.00 15.00 45.00
2 NIK AMIN IMRAN 15/6/2006 25.00 15.00 40.00
3 NIK AMIN IMRAN 25/6/2006 30.00 15.00 45.00
4 MOHARINA MOHAMED 10/7/2006 25.00 15.00 40.00
5 DHURKESH 16/7/2006 30.00 15.00 45.00
TOTAL 215.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 215.00
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2006
Invoice Num : SD/AM BANK (AM-S)-07/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 02hb. Sept. 2005HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AHMAD HAFEEZ SHAMSUDIN HQ 3/8/2005 28.00 10.00 38.00
2 AHMAD HAFEEZ SHAMSUDIN HQ 5/8/2005 15.00 10.00 25.00
3 AHMAD HAFEEZ SHAMSUDIN HQ 16/08/2005 20.00 10.00 30.00
4 AHMAD HAFEEZ SHAMSUDIN HQ 17/08/2005 18.00 10.00 28.00
TOTAL 121.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 121.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/AM BANK (HQ)-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 02hb. Okt. 2005HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AISYAH AQILAH HQ 6/9/2005 35.00 10.00 45.00
2 AHMAD HAFEEZ SHAMSUDIN HQ 7/9/2005 30.00 10.00 40.00
3 AHMAD HAFEEZ SHAMSUDIN HQ 20/09/2005 15.00 25.00 10.00 50.00
TOTAL 135.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 135.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/AM BANK (HQ)-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 02hb. Nov. 2005HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AHMAD HAFEEZ SHAMSUDIN HQ 17/10/2005 30.00 10.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/AM BANK (HQ)-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 01hb. Dis. 2005HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AHMAD HAFEEZ SHAMSUDIN HQ 9/11/2005 20.00 20.00 15.00 55.00
2 HASLINDATUL IKMAL PUDU 15/11/2005 25.00 15.00 40.00
3 AHMAD HAFEEZ SHAMSUDIN HQ 16/11/2005 40.00 15.00 55.00
4 HASLINDATUL IKMAL PUDU 17/11/2005 30.00 15.00 45.00
5 AHMAD HAFEEZ SHAMSUDIN HQ 28/11/2005 15.00 15.00 30.00
TOTAL 225.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 225.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/AM BANK (HQ)-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 03hb. Jan. 2005HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AHMAD HAFEEZ SHAMSUDIN HQ 7/12/2005 35.00 15.00 45.00
2 AHMAD HAFEEZ SHAMSUDIN HQ 18/12/2005 25.00 15.00 40.00
3 AHMAD HAFEEZ SHAMSUDIN HQ 29/12/2005 33.00 15.00 48.00
TOTAL 133.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 133.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/AM BANK (HQ)-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 03hb. FEB. 2006HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AHMAD HAFEEZ SHAMSUDIN HQ 9/1/2006 25.00 15.00 40.00
2 AHMAD HAFEEZ SHAMSUDIN HQ 12/1/2006 25.00 15.00 40.00
3 AHMAD HAFEEZ SHAMSUDIN HQ 22/1/2006 25.00 15.00 40.00
TOTAL 120.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 120.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/AM BANK (HQ)-01/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 01hb. March 2006HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 PANEERSELVAM HQ 5/2/2006 30.00 15.00 45.00
2 PANEERSELVAM HQ 6/2/2006 20.00 5.00 15.00 40.00
3 PANEERSELVAM HQ 7/2/2006 20.00 15.00 35.00
4 AHMAD HAFREEZ SHAMSUDIN HQ 8/2/2006 25.00 15.00 40.00
5 AHMAD HAFREEZ SHAMSUDIN HQ 12/2/2006 40.00 (Nigth Visit) 20.00 60.00
6 AHMAD HAFREEZ SHAMSUDIN HQ 21/2/2006 30.00 15.00 45.00
7 AHMAD HAFREEZ SHAMSUDIN HQ 26/2/2006 35.00 15.00 45.00
TOTAL 310.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 310.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/AM BANK (HQ)-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 03hb. APRIL 2006HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AHMAD HAFREEZ SHAMSUDIN HQ 10/3/2006 15.00 15.00 30.00
2 HASLINDATUL IKMAR KHISHAM PUDU 14/03/2006 30.00 15.00 45.00
3 AHMAD HAFREEZ SHAMSUDIN HQ 24/03/2006 30.00 15.00 45.00
4 AHMAD HAFREEZ SHAMSUDIN HQ 26/03/2006 30.00 15.00 45.00
5 HASLINDATUL IKMAR KHISHAM PUDU 29/03/2006 20.00 15.00 35.00
TOTAL 200.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 200.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/AM BANK (HQ)-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 01hb. Julai 2006HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHARINA MOHAMED HQ 12/6/2006 30.00 15.00 45.00
2 ROZANNA HARYANI PUDU 14/6/2006 25.00 15.00 40.00
3 NIK AMIN IMRAN HQ 15/6/2006 25.00 15.00 40.00
4 MUHD. HAIZAL ZARIF HQ 15/6/2006 25.00 15.00 40.00
5 HASLINDATUL IKMAR PUDU 21/6/2006 33.00 15.00 48.00
6 NIK AMIN IMRAN HQ 25/6/2006 30.00 15.00 45.00
7 HASLINDATUL IKMAR PUDU 29/6/2006 25.00 15.00 40.00
TOTAL 298.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/AM BANK (HQ)-06/06
Amount Payable Ringgit Malaysia RM 298.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 04hb.Disember.2007HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 HASLINDATUL IKMAR KHISHAM 5/11/2007 25.00 15.00 40.00
2 AHMAD HAFEEZ SHAMSUDIN 8/11/2007
3 ADAM IKMAL ANUAR 12/11/2007
4 AHMAD HAFEEZ SHAMSUDIN 17/11/2007 30.00 15.00 45.00
5 AHMAD HAFEEZ SHAMSUDIN 21/11/2007
6 HASLIDATUL IKMAR KHISHAM 26/11/2007 30.00 15.00 45.00
7 AHMAD HAFEEZ SHAMSUDIN 26/11/2007
8 KHAIRUL ANHAR MOHD TAAM 28/11/2007 25 15 40
TOTAL 40.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/AM BANK (HQ)-11/07
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 01hb. Julai 2006HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHARINA MOHAMED HQ 12/6/2006 30.00 15.00 45.00
2 ROZANNA HARYANI PUDU 14/6/2006 25.00 15.00 40.00
3 NIK AMIN IMRAN HQ 15/6/2006 25.00 15.00 40.00
4 MUHD. HAIZAL ZARIF HQ 15/6/2006 25.00 15.00 40.00
5 HASLINDATUL IKMAR PUDU 21/6/2006 33.00 15.00 48.00
6 NIK AMIN IMRAN HQ 25/6/2006 30.00 15.00 45.00
7 HASLINDATUL IKMAR PUDU 29/6/2006 25.00 15.00 40.00
TOTAL 298.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/AM BANK (HQ)-06/06
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 298.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
AMBANK BERHAD (HQ) Invoice Date : 11hb. April 2009HR. DEPARTMENT,
LEVEL 29 BANGUNAN AMFINANCE
NO. 8 JLN YAP KWAN SENG
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 SITI SUHAILA ABU KASSIM HQ 4/21/2009 25.00 15.00 40.00
2 SITI SUHAILA ABU KASSIM HQ 4/22/2009 15.00 15.00 30.00
3 SITI SUHAILA ABU KASSIM HQ 4/25/2009 25.00 15.00 40.00
TOTAL 110.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 110.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/AM BANK (HQ)-04/09
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
MENARA CHARTERED (M) Invoice Date : 02hb. Nov. 2005LEVEL 15, NO.30 JLN SULTAN ISMAIL,
50250 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ZARINA ZAINAL ABIDIN 14/10/2005 25.00 15.00 40.00
2 KHOR THING THING 20/10/2005 30.00 15.00 45.00
TOTAL 85.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 85.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/SC BANK (HQ)-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
STANDART CHARTERED BANK (M) BERHAD, Invoice Date : 04hb.Disember.2007APU 17 FLOOR,MENARA STANDART CHARTERED,
NO.30,JALAN SULTAN ISMAIL,
50280 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJEC X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AMRI MOHAMAD 11/1/2007 25.00 15.00 40.00
2 AMIERUL ISKANDAR 11/12/2007 20.00 15.00 35.00
3 AMRI MOHAMAD 21/11/2007 25.00 15.00 40.00
TOTAL 115.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 115.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/SC BANK (HQ)-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005STANDART CHARTERED BANK (M) BERHAD (TTDI)
2TH FLOOR, IBM PLAZA CENTRE,
JALAN MOHD FUAD,
60000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 NORHASHIMAH HUSSIN TTDI 3/8/2005 35.00 10.00 45.00
TOTAL 45.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 45.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/SC (TTDI)-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005STANDART CHARTERED BANK (M) BERHAD (TTDI)
2TH FLOOR, IBM PLAZA CENTRE,
JALAN MOHD FUAD,
60000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 KEJESWARY SATHIASEELAN TTDI 2/9/2005 1188923 38.00 10.00 48.00
2 KEJESWARY SATHIASEELAN TTDI 16/09/2005 1188923 25.00 10.00 35.00
TOTAL 83.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 83.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/SC (TTDI)-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005STANDART CHARTERED BANK (M) BERHAD (TTDI)
2TH FLOOR, IBM PLAZA CENTRE,
JALAN MOHD FUAD,
60000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 KEJESWARY SATHIASEELAN TTDI 28/11/2005 1188923 25.00 15.00 40.00
2 KEJESWARY SATHIASEELAN TTDI 29/11/2005 1188923 25.00 15.00 40.00
TOTAL 80.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 80.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/SC (TTDI)-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Jan. 2005STANDART CHARTERED BANK (M) BERHAD
APU 17 FLOOR, MENARA STANDART CHARTERED,
NO.30 JALAN SULTAN ISMAIL,
50280 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AMRI B. MOHAMMAD TTDI 16/12/2005 1129376 25.00 15.00 40.00
2 MUHAMMAD RZQIL ZOLKIFLI TTDI 16/12/2005 3789 25.00 15.00 40.00
3 MUHAMMAD RZQIL ZOLKIFLI TTDI 23/12/2005 45.00 15.00 60.00
TOTAL 140.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 140.00
SUMMARY OF INVOICE FOR THE MONTH OF DECEMBER 2005
Invoice Num : SD/SC (TTDI)-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. FEB. 2006STANDART CHARTERED BANK (M) BERHAD
APU 17 FLOOR, MENARA STANDART CHARTERED,
NO.30 JALAN SULTAN ISMAIL,
50280 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 KEJESWARY SATHIASEELAN TTDI 25/01/2006 1188923 15.00 15.00 30.00
TOTAL 30.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 30.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/SC (TTDI)-1/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03b. March. 2006STANDART CHARTERED BANK (M) BERHAD
APU 17 FLOOR, MENARA STANDART CHARTERED,
NO.30 JALAN SULTAN ISMAIL,
50280 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJECTION X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 YUSNAIDA BT MD.YUSOFF TTDI 12/2/2006 1129376 20.00 20.00 15.00 55.00
2 ZARINA ZAINAL ABIDIN HQ 21/2/2006 1189069 25.00 25.00
TOTAL 80.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 80.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/SC-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03b. April. 2006STANDART CHARTERED BANK (M) BERHAD
APU 17 FLOOR, MENARA STANDART CHARTERED,
NO.30 JALAN SULTAN ISMAIL,
50280 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJECTION X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AMRI B. MOHAMAD TTDI 16/12/2006 1129376 25.00 15.00 40.00
2 MUHAMMAD RIZQIL TTDI 16/12/2006 1206979 25.00 15.00 40.00
3 MUHAMMAD RIZQIL TTDI 23/12/2006 1206979 45.00 15.00 60.00
4 MUHAMMAD RIZQIL TTDI 2/2/2006 1206979 25.00 15.00 40.00
5 MUHAMMAD RIZQIL TTDI 15/3/2006 1206979 28.00 15.00 43.00
6 ZARINA ZAINAL ABIDIN 22/03/2006 1189069 35.00 15.00 50.00
7 KARTINI BINTI ISMAIL TTDI 26/3/2006 1161329 30.00 15.00 45.00
TOTAL 318.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 318.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/SC-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb. May . 2009STANDART CHARTERED BANK (M) BERHAD
APU 17 FLOOR, MENARA STANDART CHARTERED,
NO.30 JALAN SULTAN ISMAIL,
50280 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJECTION X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 NUR MAISARAH BIN HAMDAN MSCB 4/10/2009 1160654 25.00 15.00 40.00
2 MUHAMMAD FIRDAUS SJ 4/27/2009 1275194 35.00 35.00
TOTAL 75.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 75.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/SC-04/09
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 15 Dec . 2010STANDART CHARTERED BANK (M) BERHAD
APU 17 FLOOR, MENARA STANDART CHARTERED,
NO.30 JALAN SULTAN ISMAIL,
50280 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF INJECTION X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AMRI B. MOHAMAD MSCB 10/19/2010 1129376 15.00 15.00 30.00
2 ARIF ISKANDAR BIN AMRI MSCB 10/19/2010 1129376 20.00 15.00 35.00
3 YUSNAIDA BT MD YUSOFF MSCB 10/22/2010 1129376 30.00 15.00 45.00
4 AMRI B. MOHAMAD MSCB 10/22/2010 1129376 30.00 15.00 45.00
TOTAL 155.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 155.00
SUMMARY OF INVOICE FOR THE MONTH OF OCTOBER 2010
Invoice Num : SD/SC-10/10
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005NATION WIDE EXPRESS COURIER SERVICES BHD,
LOT 6 & 7 JALAN UTAS 15/7, SECTION 15,
40000 SHAH ALAM,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ISHAK BIN HARUN 8/8/2005 1108 25.00 10.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/N.WIDE-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb.Nov . 2005NATION WIDE EXPRESS COURIER SERVICES BHD,
LOT 6 & 7 JALAN UTAS 15/7, SECTION 15,
40000 SHAH ALAM,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. MEDICAL CHECK -UP MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE RM
1 HISHAM BIN MUSTAFA 24/09/2005 39998 80.00 80.00
2 ABD RASHID BIN ABD. SAMAD 24/09/2005 9039 80.00 80.00
3 SELVENDRAN A/L DAVID 2/10/2005 8904 80.00 80.00
TOTAL 240.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 240.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/N.WIDE-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.Jan . 2006NATION WIDE EXPRESS COURIER SERVICES BHD,
LOT 6 & 7 JALAN UTAS 15/7, SECTION 15,
40000 SHAH ALAM,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. MEDICAL CHECK -UP MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE RM
1 VIJAYARAJAH SELVARAJAH 14/12/2005 80.00 80.00
2 THEVENTIRAN VEERA MOHAN 26/12/2005 80.00 80.00
TOTAL 160.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 160.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/N.WIDE-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.FEB . 2006NATION WIDE EXPRESS COURIER SERVICES BHD,
LOT 6 & 7 JALAN UTAS 15/7, SECTION 15,
40000 SHAH ALAM,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. MEDICAL CHECK -UP MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE RM
1 GOPI GANRSH A/L DORASAMY 12/1/2006 80.00 80.00
2 SINIWASAN A/L PANMUAISOLVANI 13/1/2006 80.00 80.00
3 JEGATHISWARAN A/L RAJADURAI 19/1/2006 80.00 80.00
4 SANTHIA SEGAR A/L ARUMUGAM 20/1/2006 80.00 80.00
TOTAL 320.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 320.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/N.WIDE-01/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb.March. 2006NATION WIDE EXPRESS COURIER SERVICES BHD,
LOT 6 & 7 JALAN UTAS 15/7, SECTION 15,
40000 SHAH ALAM,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. MEDICAL CHECK -UP MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE RM
1 HAZWAN B. HAMID 9/2/2006 80.00 80.00
TOTAL 80.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 80.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/N.WIDE-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.April. 2006NATION WIDE EXPRESS COURIER SERVICES BHD,
LOT 6 & 7 JALAN UTAS 15/7, SECTION 15,
40000 SHAH ALAM,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. MEDICAL CHECK -UP MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE RM
1 MOHD REDZUAN BIN KHALID 6/3/2006 80.00 80.00
2 MOHD YUSREE BIN MOHD YUSOFF 6/3/2006 80.00 80.00
TOTAL 160.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 160.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/N.WIDE-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb.Julai 2006NATION WIDE EXPRESS COURIER SERVICES BHD,
LOT 6 & 7 JALAN UTAS 15/7, SECTION 15,
40000 SHAH ALAM,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. MEDICAL CHECK -UP MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE RM
1 SHAHROL AZLAN B. KORJI 8/6/2006 80.00 80.00
TOTAL 80.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 80.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/N.WIDE-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb.March 2006
UNIVERSITI MALAYA
BAHAGIAN PENGURUSAN PEMBAYARAN & PERBELANJAAN
UNIVERSITI MALAYA
50603 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF OTHER LAB. IMMUNIZATION MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE RM
1 AIMAN HAKIMI B. AHMAD HALID 23/01/2006 22.00 15.00 37.00
2 NOR HASLIZA YOB 23/01/2006 20.00 15.00 35.00
3 NORHAYATI BT RAMLI 24/01/2006 25.00 15.00 40.00
4 TENGKU ADELINE ADURA 1/2/2006 34.00 34.00
5 ROSMINI OSMAN 4/2/2006 15.00 15.00
6 SHAHROM SAID 6/2/2006 30.00 15.00 45.00
7 MUHAMMAD SAFWAN 9/2/2006 22.00 15.00 37.00
8 NORZILA 10/2/2006 25.00 15.00 40.00
9 MUNIF SYAKIR HARUN 10/2/2006 25.00 15.00 40.00
10 SABARIAH BASIR 10/2/2006 25.00 15.00 40.00
11 ROSMINI OSMAN 13/02/2006 45.00 15.00 60.00
12 LOLIANA RANI 15/02/2006 25.00 15.00 40.00
13 NURYN NADIA 15/02/2006 25.00 15.00 40.00
14 WAN NOR 17/05/2006 25.00 15.00 40.00
15 NOOR ROSLY 17/02/2006 20.00 15.00 35.00
16 ERWIN HELMI 20/02/2006 25.00 15.00 40.00
17 NURYN NATLI 20/02/2006 28.00 15.00 43.00
18 ROSMINI OSMAN 20/02/2006 15.00 15.00 30.00
19 UMAR SYAKIR HARUN 21/02/2006 25.00 15.00 40.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/UM-02/06
20 SABARIAH BASIR 21/02/2006 20.00 15.00 35.00
21 TENGKU NORAINI TENGKU RAHIM 22/02/2006 25.00 15.00 40.00
22 ROSMINI OSMAN 23/02/2006 25.00 15.00 40.00
23 TENGKU ADELINE ADURA 23/02/2006 25.00 15.00 40.00
24 HAIRNANI 23/02/2006 20.00 15.00 35.00
25 SAMSUDIN PAZDI 23/02/2006 30.00 15.00 45.00
26 NURUL FITRIYAH 23/02/2006 110.00 15.00 125.00
27 NOOR AZLY HAKIM 24/02/2006 25.00 15.00 40.00
28 ROHIZI 26/02/2006 28.00 15.00 43.00
29 ELISYA IRDINA 26/02/2006 25.00 15.00 40.00
30 HUSNA MANSOR 26/02/2006 30.00 15.00 45.00
31 ELISYA IRDINA 27/02/2006 25.00 15.00 40.00
32 TENGKU NORAINI 28/02/2006 15.00 25.00 15.00 40.00
TOTAL 1339.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
Amount Payable Ringgit Malaysia RM 1294.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007Invoice Date : 04hb.Januari.2008
UNIVERSITI MALAYA
BAHAGIAN PENGURUSAN PEMBAYARAN & PERBELANJAAN
UNIVERSITI MALAYA
50603 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF OTHER LAB. IMMUNIZATION MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE RM
1 ROSMINI 12/4/2007 15.00 15.00 30.00
2 ASMAWI RIPIN 12/4/2007 25.00 15.00 40.00
3 ELISYA 14/12/2007 25.00 15.00 40.00
4 RUSNI AWANG 17/12/2007 20.00 20.00
5 NURYN NATLI 22/12/2007 30.00 30.00
6 ERWIN HELMI 22/12/2007 30.00 30.00
7 NURYN NATLI 22/12/2007 25.00 25.00
8 LOLIANA RANI 23/12/2007 20.00 20.00
9 SHAQRUL RAFFIQ 25/12/2007 25.00 25.00
10 NURYN NADIA 27/12/2007 25.00 25.00
11 ASMAWI RIPIN 28/12/2007 25.00 25.00
12 ADAM 31/12/2007 22.00 22.00
13 NOOR ROSLY 31/12/2007 10.00 10.00
TOTAL 342.00
Invoice Num : SD/UM12/07
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
Amount Payable Ringgit Malaysia RM342.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb.May 2009
UNIVERSITI MALAYA
BAHAGIAN PENGURUSAN PEMBAYARAN & PERBELANJAAN
UNIVERSITI MALAYA
50603 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF OTHER LAB. IMMUNIZATION MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE RM
1 DIN 23/01/2006 22.00 15.00 37.00
2 NOR HASLIZA YOB 23/01/2006 20.00 15.00 35.00
3 NORHAYATI BT RAMLI 24/01/2006 25.00 15.00 40.00
4 TENGKU ADELINE ADURA 1/2/2006 34.00 34.00
5 ROSMINI OSMAN 4/2/2006 15.00 15.00
6 SHAHROM SAID 6/2/2006 30.00 15.00 45.00
7 MUHAMMAD SAFWAN 9/2/2006 22.00 15.00 37.00
8 NORZILA 10/2/2006 25.00 15.00 40.00
9 MUNIF SYAKIR HARUN 10/2/2006 25.00 15.00 40.00
10 SABARIAH BASIR 10/2/2006 25.00 15.00 40.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/UM-04/09
11 ROSMINI OSMAN 13/02/2006 45.00 15.00 60.00
12 LOLIANA RANI 15/02/2006 25.00 15.00 40.00
13 NURYN NADIA 15/02/2006 25.00 15.00 40.00
14 WAN NOR 17/05/2006 25.00 15.00 40.00
15 NOOR ROSLY 17/02/2006 20.00 15.00 35.00
16 ERWIN HELMI 20/02/2006 25.00 15.00 40.00
17 NURYN NATLI 20/02/2006 28.00 15.00 43.00
18 ROSMINI OSMAN 20/02/2006 15.00 15.00 30.00
19 UMAR SYAKIR HARUN 21/02/2006 25.00 15.00 40.00
20 SABARIAH BASIR 21/02/2006 20.00 15.00 35.00
21 TENGKU NORAINI TENGKU RAHIM 22/02/2006 25.00 15.00 40.00
22 ROSMINI OSMAN 23/02/2006 25.00 15.00 40.00
23 TENGKU ADELINE ADURA 23/02/2006 25.00 15.00 40.00
24 HAIRNANI 23/02/2006 20.00 15.00 35.00
25 SAMSUDIN PAZDI 23/02/2006 30.00 15.00 45.00
26 NURUL FITRIYAH 23/02/2006 110.00 15.00 125.00
27 NOOR AZLY HAKIM 24/02/2006 25.00 15.00 40.00
28 ROHIZI 26/02/2006 28.00 15.00 43.00
29 ELISYA IRDINA 26/02/2006 25.00 15.00 40.00
30 HUSNA MANSOR 26/02/2006 30.00 15.00 45.00
31 ELISYA IRDINA 27/02/2006 25.00 15.00 40.00
32 TENGKU NORAINI 28/02/2006 15.00 25.00 15.00 40.00
TOTAL 1339.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 1294.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 15hb.Dec 2010UNIVERSITI MALAYA
BAHAGIAN PENGURUSAN PEMBAYARAN & PERBELANJAAN
UNIVERSITI MALAYA
50603 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF OTHER LAB. IMMUNIZATION MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE RM
1 NOOR ZURANI MD HARIS ROBSON 9/29/2010 25.00 15.00 40.00
2 ADAM 10/1/2010 20.00 15.00 35.00
3 IBRAHIM MOHD @AHMAD 10/1/2010 25.00 15.00 40.00
4 MOHAMED FAUZI AGOS 10/4/2010 20.00 15.00 35.00
5 ADAM 10/15/2010 30.00 15.00 45.00
6 ADNEY RAISA 10/5/2010 20.00 15.00 35.00
7 SASUNA 10/26/2010 20.00 15.00 35.00
8 NORSIAH 10/26/2010 20.00 15.00 35.00
TOTAL 300.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 300.00
SUMMARY OF INVOICE FOR THE MONTH OF OCTOBER 2010
Invoice Num : SD/UM-10/10
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005UTUSAN MEDIA SALES SDN.BHD,
NO. 11-3, THE RIGTH ANGLE,
JALAN 14/22 PETALING JAYA,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 NORUL ASHIKIN 18/08/2005 823 20.00 10.00 30.00
TOTAL 30.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 30.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/USM-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005UTUSAN MEDIA SALES SDN.BHD,
NO. 11-3, THE RIGTH ANGLE,
JALAN 14/22 PETALING JAYA,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 SURIATI MOHD YUSOF 6/9/2005 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/USM-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb.Dis 2005UTUSAN MEDIA SALES SDN.BHD,
NO. 11-3, THE RIGTH ANGLE,
JALAN 14/22 PETALING JAYA,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 SURIATI MOHD YUSOF 17/11/2005 25.00 20.00 45.00
TOTAL 45.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 45.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/USM-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.Jan 2006UTUSAN MEDIA SALES SDN.BHD,
NO. 11-3, THE RIGTH ANGLE,
JALAN 14/22 PETALING JAYA,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 SURIATI MOHD YUSOF 9/12/2005 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/USM-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005AIA UNITED HEALTHCARE SDN BHD
LEVEL 26, MENARA AIA.
99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ZAILAN BT HASSAN 2/9/2005 3039370101 15.00 10.00 25.00
2 KAMARULZAMAN AHMAD 2/9/2005 3039373801 15.00 10.00 25.00
3 ZUREANA SALLEH 5/9/2005 3026458801 15.00 10.00 25.00
4 MOHD YAZLI YAHYA 5/9/2005 3047901901 15.00 10.00 25.00
5 NORMAN B. SAPINGAI 6/9/2005 3013883301 15.00 10.00 25.00
6 MOHD YAZLI BIN YAHYA 6/9/2005 3047901901 15.00 10.00 25.00
7 AEDIEROY SHARIZAL 7/9/2005 3042186101 15.00 10.00 25.00
8 ZULFRIADI BIN AHMAD 9/9/2005 3031502401 15.00 10.00 25.00
9 AHMAD ZAMAN HURI 9/9/2005 3020869201 15.00 10.00 25.00
10 MOHD YAZLI BIN YAHYA 12/9/2005 3047901901 15.00 10.00 25.00
11 MISKAM BIN SAMAT 16/09/2005 3039375601 15.00 10.00 25.00
12 ZULFRIADI BIN AHMAD 19/07/2005 3031502401 15.00 10.00 25.00
13 BRYAN CHAN CHI HOE 21/09/2005 3011844803 15.00 10.00 25.00
14 RAMLAH BT MOHD ISA 22/09/2005 3039368401 15.00 10.00 25.00
15 NORMAWATI BT MOHAMED TAIB 22/09/2005 3039372901 15.00 10.00 25.00
16 TENGKU NOO RIHEZAN 23/09/2005 3039369301 15.00 10.00 25.00
17 ZULFRIADI BIN AHMAD 28/09/2005 3031502401 15.00 10.00 25.00
18 RAZALI BIN IBRAHIM 30/09/2005 3039364801 15.00 10.00 25.00
TOTAL 450.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/AIA-09/05
Amount Payable Ringgit Malaysia RM 450.00 KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005AIA UNITED HEALTHCARE SDN BHD
LEVEL 26, MENARA AIA.
99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 RAMLAH BT MOHD ISA 5/10/2005 3039368401 15.00 10.00 25.00
2 BEATRICE CHAN CHI YAN 12/10/2005 3011844802 15.00 10.00 25.00
3 SUJAIRI B. OSMAN 12/10/2005 1023376201 15.00 10.00 25.00
4 RAMLAH BT MOHD ISA 26/10/2005 3039368401 15.00 10.00 25.00
5 NORMAWATI BT MOHAMED TAIB 26/10/2005 3039372901 15.00 10.00 25.00
6 ABDUL AZIZ BIN OSMAN 28/10/2005 3039366601 15.00 10.00 25.00
7 BEATRICE CHAN CHI YAN 31/10/2005 3011844802 15.00 10.00 25.00
TOTAL 175.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 175.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/AIA-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005AIA UNITED HEALTHCARE SDN BHD
LEVEL 26, MENARA AIA.
99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MOHD YAZLI BI YAHYA 7/11/2005 3047901901 15.00 10.00 25.00
2 RUZIAH BT NASIR 9/11/2005 3039367501 15.00 10.00 25.00
3 RAMLAH BT MOHD ISA 9/11/2005 3039368401 15.00 10.00 25.00
4 MISKAM BIN SAMAT 11/11/2005 3039375601 15.00 10.00 25.00
5 SHAIDAH BINTI AHMAD 11/11/2005 3041242001 15.00 10.00 25.00
6 SHAHRUL AZHA BIN MUHAMMAD 11/11/2005 1029086901 15.00 10.00 25.00
7 ZUREANA SALLEH 11/11/2005 3026458801 15.00 10.00 25.00
8 ANIS ZAMILA SALLEH 14/11/2005 3020870001 15.00 10.00 25.00
9 KAMARULZAMAN BIN AHMAD 14/11/2005 3039373801 15.00 10.00 25.00
10 RAMLAH BT MOHD ISA 15/11/2005 3039368401 15.00 10.00 25.00
11 ABDUL AZIZ BIN OSMAN 16/11/2005 3039366601 15.00 10.00 25.00
12 RAMLAH BT MOHD ISA 16/11/2005 3039368401 15.00 10.00 25.00
13 MOHD YAZLI BI YAHYA 16/11/2005 3047901901 15.00 10.00 25.00
14 KHABI SHABRI YAHYA 16/11/2005 3005605701 15.00 10.00 25.00
15 ZAIHASRA BT MOHD JAMAL 18/11/2005 3039371001 15.00 10.00 25.00
16 ZAILAN BT HASSAN 18/11/2005 3039370101 15.00 10.00 25.00
17 AMRAN BIN MOHAMAD 22/11/2005 3049732301 15.00 10.00 25.00
18 BEATRICE CHAN CHI YAN 26/11/2005 3011844802 15.00 10.00 25.00
19 RAMLAH BT MOHD ISA 29/11/2005 3039368401 15.00 10.00 25.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/AIA-11/05
TOTAL 475.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 475.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. JAN 2006AIA UNITED HEALTHCARE SDN BHD
LEVEL 26, MENARA AIA.
99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ZUREANA SALLEH 2/12/2005 3026458801 15.00 10.00 25.00
2 NORASHIKIN BINTI SAADON 4/12/2005 3049345901 15.00 10.00 25.00
3 MASJURI BIN SUPRI 5/12/2005 3039363901 15.00 10.00 25.00
4 SHAHFINAZ BT MOHD RADZI 6/12/2005 3038047801 15.00 10.00 25.00
5 MISKAM BIN SAMAT 7/12/2005 3039375601 15.00 10.00 25.00
6 LOH WAI LENG 8/12/2005 3011844801 15.00 10.00 25.00
7 ZAIHASRA BT MOHD JAMAL 8/12/2005 3039371001 15.00 10.00 25.00
8 AEDIEROY SHARIZAL ABDULLAH 12/12/2005 3047186101 15.00 10.00 25.00
9 ASNITA ASPARI 14/12/2005 3042322101 15.00 10.00 25.00
10 RFARAMILA OSMAN 15/12/2005 3006622701 15.00 10.00 25.00
11 RAMLAH BT MOHD ISA 15/12/2005 3039368401 15.00 10.00 25.00
12 MUHAMMAD SHAHRIR MD NOR 15/12/2005 3048363001 15.00 10.00 25.00
13 MISKAM BIN SAMAT 20/12/2005 3039375601 15.00 10.00 25.00
14 RAZALI BIN IBRAHIM 25/12/2005 3039364801 15.00 10.00 25.00
15 NORMAWATI BT MOHAMED TAIB 27/12/2005 3039372901 15.00 10.00 25.00
16 RAMLAH BT MOHD ISA 29/12/2005 3039368401 15.00 10.00 25.00
TOTAL 400.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/AIA-12/05
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 400.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 003hb. FEB 2006AIA UNITED HEALTHCARE SDN BHD
LEVEL 26, MENARA AIA.
99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ZAILAN BT HASSAN 12/1/2006 3039370101 25.00 15.00 35.00
2 RAZALI BIN IBRAHIM 12/1/2006 3039364801 25.00 15.00 35.00
3 ABDUL AZIZ BIN OSMAN 13/1/2006 3039366601 25.00 15.00 35.00
4 MUHAMMAD SHAHRIR MD NOR 13/1/2006 3048363001 25.00 15.00 35.00
5 MUHAMMAD SHAHRIR MD NOR 14/1/2006 3048363001 25.00 15.00 35.00
6 BEATRICE CHAN CHI YAN 16/1/2006 3011844802 25.00 15.00 35.00
7 IKHWAN BIN ABDUL MALIK 18/1/2006 3014822901 25.00 15.00 35.00
8 BRYAN CHAN CHI HOE 22/1/2006 3011844803 25.00 15.00 35.00
9 JULIANA ABD RAHMAN 31/1/2006 3050386301 25.00 15.00 35.00
TOTAL 315.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 315.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/AIA-01/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007Invoice Date : 04hb.Januari.2008
AIA UNITED HEALTHCARE SDN BHD
LEVEL 26, MENARA AIA.
99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ASNITA ASPARI 12/11/2007 20.00 15.00 35.00
2 NABIL ALWANI 12/12/2007 20.00 15.00 35.00
TOTAL 70.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 70.00
Invoice Num : SD/AIA-12/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.Disember.2007AIA UNITED HEALTHCARE SDN BHD
LEVEL 26, MENARA AIA.
99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AEDIEROY SHARIZAL 11/1/2007 20.00 15.00 35.00
2 ZUREANA 11/2/2007 20.00 15.00 35.00
3 ASNITA ASPARI 11/5/2007 20.00 15.00 35.00
4 ANIS ZAMILA 11/5/2007 20.00 15.00 35.00
5 NABIL ALWANI 11/9/2007 20.00 15.00 35.00
6 NORMAN 11/12/2007 20.00 15.00 35.00
7 MIKHAIL ALWANI 21/11/2007 20.00 15.00 35.00
8 EILIYAH 21/11/2007 20.00 15.00 35.00
9 HAMDAN 11/23/2007 20.00 15.00 35.00
TOTAL 315.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 315.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/AIA-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb.April.2009AIA UNITED HEALTHCARE SDN BHD
LEVEL 26, MENARA AIA.
99 JALAN AMPANG,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 PHOON KIN MUN 4/3/2009 20.00 15.00 35.00
2 ZUREANA SALLEH 4/9/2009 20.00 15.00 35.00
3 ZUREANA SALLEH 4/15/2009 20.00 15.00 35.00
4 WAH AHMAD FAHRUDDEEN BIN WAN 4/28/2009 20.00 15.00 35.00
5 BONAVENTURE PHILIP SUNGKA 4/29/2009 20.00 15.00 35.00
6 FARAH HARYATI BINTI MUHAMAD 4/30/2009 20.00 15.00 35.00
TOTAL 210.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 210.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/AIA-04/09
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005C.M.D SERVISE (M) SDN. BHD,
32-2, JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ERUWAN BIN ABU KASIM 5/8/2005 20.00 10.00 30.00
2 SITI AIDA MUSTAFA 20/08/2005 7.50 7.50
3 SIVA KUMAR 22/08/2005 20.00 10.00 30.00
4 WILLIE LIAM 29/08/2005 20.00 10.00 30.00
5 SYED MOHD MAHATHIR SHAH 30/08/2005 25.00 10.00 35.00
6 AHMAD RASYDAN 30/08/2005 20.00 10.00 30.00
TOTAL 162.50
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 162.50
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/CMD-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005C.M.D SERVISE (M) SDN. BHD,
32-2, JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 RICHARD SELVAM 6/9/2005 25.00 15.00 40.00
2 SYED MOHD MAHATHIR 7/9/2005 15.00 15.00 30.00
3 BALA MURALI 12/9/2005 20.00 20.00
4 AHMAD RASYDAN 28/09/2005 20.00 15.00 35.00
TOTAL 125.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 125.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/CMD-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005C.M.D SERVISE (M) SDN. BHD,
32-2, JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 AHMAD RASYDAN 14/10/2005 20.00 15.00 35.00
2 ERUWAN ABU KASIM 16/10/2005 28.00 15.00 43.00
3 ERUWAN ABU KASIM 18/10/2005 25.00 25.00
4 SYED MOHD MAHATHIR 19/10/2005 20.00 15.00 35.00
5 ERUWAN ABU KASIM 24/10/2005 20.00 15.00 35.00
TOTAL 173.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 173.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/CMD-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005C.M.D SERVISE (M) SDN. BHD,
32-2, JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE ECG CHARGE CHARGE RM
1 SYED MOHD MAHATHIR 9/11/2005 28.00 28.00
2 SYED MOHD MAHATHIR 14/11/2005 20.00 15.00 35.00
3 WILLIE LIAM 28/11/2005 20.00 20.00 15.00 55.00
TOTAL 118.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 118.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/CMD-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. JAN. 2006C.M.D SERVISE (M) SDN. BHD,
32-2, JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE ECG CHARGE CHARGE RM
1 AHMAD UMMIR ABDUL JAIS 6/12/2005 38.00 38.00
2 RICHARD SELVAM 12/12/2005 20.00 15.00 35.00
3 SIVAKUMAR 28/12/2005 25.00 15.00 40.00
TOTAL 113.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 113.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/CMD-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. FEB. 2006C.M.D SERVISE (M) SDN. BHD,
32-2, JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE ECG CHARGE CHARGE RM
1 ERUWAN BIN ABU KASIM 17/1/2006 30.00 30.00
TOTAL 30.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 30.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/CMD-01/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April. 2006C.M.D SERVISE (M) SDN. BHD,
32-2, JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE ECG CHARGE CHARGE RM
1 RICHARD SELVAM 22/03/2006 20.00 15.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/CMD-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai. 2006C.M.D SERVISE (M) SDN. BHD,
32-2, JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE ECG CHARGE CHARGE RM
1 ROBERT GENDU 27/06/2006 20.00 20.00
TOTAL 20.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 20.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/CMD-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 06hb. April. 2009C.M.D SERVISE (M) SDN. BHD,
32-2, JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE ECG CHARGE CHARGE RM
1 MOHD HELMY BIN TAIB 3/19/2009 20.00 15.00 35.00
2 AHMAD FAISAL ABD WAHIAB 3/25/2009 20.00 15.00 35.00
TOTAL 70.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 20.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2009
Invoice Num : SD/CMD-03/09
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ANIQAH ZULFA 30/08/2005 30.00 10.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/BR (HQ)-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 HALINA ABDUL HAMID 18/09/2005 28.00 10.00 38.00
2 ANIQAH HUSNA ABD. LATIF 24/09/2005 35.00 10.00 45.00
TOTAL 83.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 83.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/BR (HQ)-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 HALINA ABDUL HAMID 28/10/2005 25.00 10.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/BR (HQ)-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis 2005BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 NURANIS FALINA 10/11/2005 25.00 15.00 40.00
2 ABDUL LATIF B. BUNYAMIN 13/11/2005 65.00 15.00 80.00
3 MUHD NILHAKEEM 17/11/2005 30.00 15.00 45.00
4 ABDUL LATIF B. BUNYAMIN 25/11/2005 20.00 15.00 35.00
TOTAL 200.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 200.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/BR (HQ)-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. JAN 2005BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MUHD NILHAKEEM ZULKARNAIN 15/12/2005 15.00 35.00 15.00 65.00
TOTAL 65.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 65.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/BR (HQ)-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March 2006BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MUHD NILHAKEEM ZULKARNAIN HQ 22/02/2006 25.00 15.00 40.00
2 HASLINDA BINTI IBRAHIM HQ 22/02/2006 30.00 15.00 45.00
3 MUHD NILHAKEEM ZULKARNAIN HQ 22/02/2006 30.00 15.00 45.00
4 HALINA ABD HAMID HQ 27/02/2006 30.00 15.00 45.00
5 ANIQAH ZULFA HQ 27/02/2006 30.00 15.00 45.00
TOTAL 220.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 220.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/BR (HQ)-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April 2006BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ZULKARNAIN TAMAN HQ 20/03/2006 30.00 15.00 45.00
2 HALINA ABD HAMID HQ 25/03/2006 25.00 15.00 40.00
3 ANIQAH HUSNA ABD. LATIF HQ 25/03/2006 30.00 15.00 45.00
TOTAL 130.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 130.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/BR (HQ)-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.JANUARI.2008BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 ABDUL LATIF HQ 12/3/2007 68.00 68.00
2 MUHAMMAD NILHAKEEM HQ 13/12/2007 40.00 40.00
3 HASLINDA IBRAHIM HQ 28/12/2007 20.00 20.00
TOTAL 128.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 128.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007
Invoice Num : SD/BR (HQ)-12/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb.04.2009BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 IMAN JASMINE 11/5/2007 30.00 15.00 45.00
2 ANIQAH ZULFA 13/11/2007 30.00 15.00 45.00
3 ZULKARNAIN 20/11/2007 30.00 15.00 45.00
TOTAL 135.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 135.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/BR (HQ)-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb.May.2009BANK RAKYAT (HQ)
BANGUNAN BANK RAKYAT,
JALAN TANGSI, PETI SURAT 11024,
50732 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 HASLINDA IBRAHIM 4/2/2009 25.00 15.00 40.00
2 HASLINDA IBRAHIM 4/7/2009 20.00 15.00 35.00
3 IMAN JASMINE 4/17/2009 25.00 15.00 40.00
4 ABDUL LATIF BUNYAMIN 4/20/2009 30.00 15.00 45.00
5 HASLINDA IBRAHIM 4/24/2009 30.00 15.00 45.00
6 ZULKARNAIN TAMAN 4/24/2009 30.00 15.00 45.00
7 NURANIS FATIHA ZULKARNAIN 4/30/2009 33.00 15.00 48.00
TOTAL 298.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/BR (HQ)-04/09
Amount Payable Ringgit Malaysia RM 298.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April 2006MEDICLINIC @ ASIA ASSISTANCE NETWORK (M) SDN BHD.
LEVEL 20-2, C P TOWER,
11 JALAN 16/11, PUSAT DAGANG SEKSYEN 16,
46350 PETALING JAYA, SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF NEBULIZER X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 MOHD HAFIZ BIN HASHIM 23/03/2006 M4072 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/MEDICLINIC-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.Januari.2007MEDICLINIC @ ASIA ASSISTANCE NETWORK (M) SDN BHD.
LEVEL 20-2, C P TOWER,
11 JALAN 16/11, PUSAT DAGANG SEKSYEN 16,
46350 PETALING JAYA, SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION NEBULIZER UTRASOUND MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE RM
1 BAIZURA ZAINAL 12/4/2007 20.00 15.00 35.00
2 AZMIR IZHAM 12/9/2007 23.00 23.00
3 SURYATI SUDIRO 29/12/2007 23.00 23.00
TOTAL 81.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 81.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007
Invoice Num : SD/MEDICLINIC-12/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb.April.2009MEDICLINIC @ ASIA ASSISTANCE NETWORK (M) SDN BHD.
LEVEL 20-2, C P TOWER,
11 JALAN 16/11, PUSAT DAGANG SEKSYEN 16,
46350 PETALING JAYA, SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION NEBULIZER UTRASOUND MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE CHARGE CHARGE CHARGE RM
1 SHAZA AZLIN MOHD SHAFIAI 4/8/2009 25.00 15.00 40.00
2 EISHA IRIS IZADDEEN 4/25/2009 23.00 15.00 35.00
3 IZADEEN BIN DAUD 4/28/2009 15.00 15.00 30.00
4 SHAFIDZAM IBRAHIM 4/30/2009 25.00 15.00 40.00
TOTAL 145.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 145.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/MEDICLINIC-04/09
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005LEMBAGA MINYAK SAWIT MALAYSIA (MPOB)
NO.6, PERSIARAN INSTITUSI,
BANDAR BARU BANGI, 43000 KAJANG,
SELANGOR DARUL EHSAN
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE RM
1 HARISAH BT HAMID 15/08/2005 K 01559 35.00 10.00 45.00
TOTAL 45.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 45.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/MPOB-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005LEMBAGA MINYAK SAWIT MALAYSIA (MPOB)
NO.6, PERSIARAN INSTITUSI,
BANDAR BARU BANGI, 43000 KAJANG,
SELANGOR DARUL EHSAN
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE CHARGE RM
1 JARIAH MD JIDIN 11/11/2005 K01701 30.00 15.00 45.00
2 NURAMNANI BT.SHAHRIN 11/11/2005 K01701 30.00 15.00 45.00
3 HARISAH BT HAMID 15/10/2005 K01559 30.00 15.00 45.00
TOTAL 135.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 135.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/MPOB-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. JAN. 2005LEMBAGA MINYAK SAWIT MALAYSIA (MPOB)
NO.6, PERSIARAN INSTITUSI,
BANDAR BARU BANGI, 43000 KAJANG,
SELANGOR DARUL EHSAN
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE CHARGE RM
1 SHAHRIN CHE MAT 15/12/2005 K01701 15.00 30.00 15.00 60.00
TOTAL 60.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 60.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/MPOB-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. March. 2006LEMBAGA MINYAK SAWIT MALAYSIA (MPOB)
NO.6, PERSIARAN INSTITUSI,
BANDAR BARU BANGI, 43000 KAJANG,
SELANGOR DARUL EHSAN
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE CHARGE RM
1 NURAMIRAH SHAHRIN 9/2/2006 K01701 25.00 15.00 40.00
2 SHAHRIN CHE MAT 9/2/2006 K01701 30.00 15.00 45.00
3 MUHAMMAD FARHAN 13/02/2006 K01517 20.00 15.00 35.00
4 MUHAMMAD ASYRAF 13/02/2006 K01517 25.00 15.00 40.00
5 SITI NUR RAIMAH 13/02/2006 K01517 20.00 15.00 35.00
6 KAMARUDDIN IDRIS 13/02/2006 K01517 25.00 15.00 40.00
7 SITI NUR RIFHAN 13/02/2006 K01517 25.00 15.00 40.00
TOTAL 275.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 275.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/MPOB-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. March. 2006LEMBAGA MINYAK SAWIT MALAYSIA (MPOB)
NO.6, PERSIARAN INSTITUSI,
BANDAR BARU BANGI, 43000 KAJANG,
SELANGOR DARUL EHSAN
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE CHARGE RM
1 NURAMIRAH SHAHRIN 9/2/2006 K01701 25.00 15.00 40.00
2 SHAHRIN CHE MAT 9/2/2006 K01701 30.00 15.00 45.00
3 MUHAMMAD FARHAN 13/02/2006 K01517 20.00 15.00 35.00
4 MUHAMMAD ASYRAF 13/02/2006 K01517 25.00 15.00 40.00
5 SITI NUR RAIMAH 13/02/2006 K01517 20.00 15.00 35.00
6 KAMARUDDIN IDRIS 13/02/2006 K01517 25.00 15.00 40.00
7 SITI NUR RIFHAN 13/02/2006 K01517 25.00 15.00 40.00
TOTAL 275.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 275.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/MPOB-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April 2006LEMBAGA MINYAK SAWIT MALAYSIA (MPOB)
NO.6, PERSIARAN INSTITUSI,
BANDAR BARU BANGI, 43000 KAJANG,
SELANGOR DARUL EHSAN
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. DRESSING INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE CHARGE RM
1 NURAMNANI BT SHAHRIN 9/3/2006 k01701 30.00 15.00 45.00
2 SHAHRIN CHE MAT 9/3/2006 K01701 15.00 30.00 15.00 60.00
3 HARISAH BT. HAMID 22/03/2006 K01559 40.00 15.00 55.00
4 AKMAL SYAFFIQ B. AFFENDY 30/03/2006 K02086 30.00 15.00 45.00
5 SUHARIYATI SULAIMAN 30/03/2006 K02086 35.00 15.00 50.00
TOTAL 255.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 255.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/MPOB-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. June 2006LEMBAGA MINYAK SAWIT MALAYSIA (MPOB)
NO.6, PERSIARAN INSTITUSI,
BANDAR BARU BANGI, 43000 KAJANG,
SELANGOR DARUL EHSAN
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. DRESSING INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE CHARGE RM
1 NURAMIRAH BT SHAHRIN 6/6/2006 K01701 25.00 15.00 40.00
2 JARIAH MD JIDIN 6/6/2006 K01701 40.00 15.00 55.00
3 SHAHRIN CHE MAT 6/6/2006 K01701 25.00 15.00 40.00
4 NORAMIRAH BT SHAHRIN 17/6/2006 K01701 30.00 15.00 45.00
5 NURAMNANI BT SHAHRIN 22/6/2006 K01701 45.00 15.00 60.00
TOTAL 240.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 240.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/MPOB-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. JAN. 2005GREAT EASTERN LIFE ASSURANCE,
MENARA GREAT EASTERN,
303, JALAN AMPANG ,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF MEDICAL HPERTENSION INJECTION MEDICATION CONSULTATION TOTAL
VISIT CHECK -UP & CLOSTEROL CHARGE CHARGE CHARGE RM
1 KANG AH KAU 5/12/2005 80.00 80.00
2 TEOH POH CHOO 5/12/2005 80.00 40.00 120.00
TOTAL 200.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 200.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/MPOB-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March 2006GREAT EASTERN LIFE ASSURANCE,
MENARA GREAT EASTERN,
303, JALAN AMPANG ,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF MEDICAL HPERTENSION INJECTION MEDICATION CONSULTATION TOTAL
VISIT CHECK -UP & CLOSTEROL CHARGE CHARGE CHARGE RM
1 FARISHA 22/02/2006 80.00 80.00
TOTAL 80.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 80.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/MPOB-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai 2006GREAT EASTERN LIFE ASSURANCE,
MENARA GREAT EASTERN,
303, JALAN AMPANG ,
50450 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF MEDICAL URINE INJECTION MEDICATION CONSULTATION TOTAL
VISIT CHECK -UP FEME CHARGE CHARGE CHARGE RM
1 SALIZA BINTI MOHD SHARIFF 13/6/2006 80.00 20.00 100.00
2 JAMALUDIN BIN MOHD NOR 13/06/2006 80.00 20.00 100.00
3 KWANG YIN YI 16/06/2006 80.00 80.00
TOTAL 280.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 280.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/MPOB-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MUAZIMRAN B. HAMDAN 4/8/2005 25.00 15.00 40.00
Amount Payable Ringgit Malaysia RM 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 73.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/BERNAS-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AFFENDY ABU HASSAN 24/09/2005 20.00 20.00
TOTAL 20.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 20.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/REGAL WATER-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. JUNE. 2005REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 IBRAHIM B. MOHD SIDIK 4/5/2005 20.00 10.00 30.00
2 AFFENDY ABU HASSAN 10/5/2005 30.00 30.00
3 NURUL FUAD 13/5/2005 20.00 10.00 30.00
4 NIK MD HAFIZAN 16/05/2005 24.00 24.00
TOTAL 114.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 114.00
SUMMARY OF INVOICE FOR THE MONTH OF MEI 2005
Invoice Num : SD/REGAL WATER-05/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Ogos. 2005REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AFFENDY ABU HASSAN 2/7/2005 28.00 28.00
TOTAL 28.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 28.00
SUMMARY OF INVOICE FOR THE MONTH OF JULAI 2005
Invoice Num : SD/REGAL WATER-07/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NIK MD. HAFIZAN BIN NIKMAN 30/10/2005 20.00 10.00 30.00
TOTAL 30.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 30.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/REGAL WATER-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 KAIRUL IZWAN EFFENDI JUNOH 12/11/2005 20.00 15.00 35.00
2 MD.RAMLI 14/11/2005 28.00 15.00 43.00
3 NIK MD HAFIZAN 22/11/2005 25.00 25.00
TOTAL 103.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 103.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/REGAL WATER-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. JAN. 2006REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NIK MD HAFIZAN 7/12/2005 20.00 15.00 35.00
2 NIK MD HAFIZAN 21/12/2005 38.00 38.00
3 NIK MD HAFIZAN 22/11/2005 38.00 15.00 53.00
TOTAL 126.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 126.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/REGAL WATER-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. FEB. 2006REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 IBRAHIM BIN MOHD SIDIK 4/1/2006 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/REGAL WATER-1/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March. 2006REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NIK MOHD HAFIZAN 6/2/2006 20.00 15.00 35.00
2 IBRAHIM BIN MOHD SIDIK 9/2/2006 25.00 15.00 40.00
3 MD. RAMAN ABDUL JALIL 9/2/2006 20.00 20.00
4 AFFENDY ABU HASIM 24/02/2006 20.00 20.00
TOTAL 115.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 115.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/REGAL WATER-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. APRIL. 2006REGAL SCOPE
NO.8 JALAN ARA SD 7/3B
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 AFFENDY ABU HASIM 5/3/2006 20.00 5.00 15.00 40.00
2 NIK MD. HAFIZAN BIN NIK MAN 15/03/2006 20.00 15.00 35.00
3 SITI NORBAIZURA BINTI RUSLAN 21/03/2006 35.00 15.00 50.00
TOTAL 125.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 125.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/REGAL WATER-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007REGAL SCOPE
NO.8 JALAN ARA SD 7/3B,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 MOHD AMIR HAMZAH 12/11/2007 15.00 10.00 25.00
2 AFFENDY ABU HASSIM 13/11/2007 35.00 15.00 50.00
3 AFFENDY ABU HASSIM 15/11/2007 30.00 30.00
TOTAL 105.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 105.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/REGAL WATER-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb.APRIL.2008REGAL SCOPE
NO.8 JALAN ARA SD 7/3B,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 AFFENDY ABU HASSIM 4/3/2009 40.00 40.00
2 ZAID ANUA RAMLI 4/21/2009 25.00 25.00
TOTAL 65.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 65.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/REGAL WATER-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 15.DEC.2010REGAL SCOPE
NO.8 JALAN ARA SD 7/3B,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 ZAID ANUA RAMLI 9/27/2010 30.00 30.00
2 NORHAYATI MOHD NOH 10/5/2010 5.00 5.00
3 NORHAYATI MOHD NOH 10/25/2010 8.00 8.00
TOTAL 43.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 43.00
SUMMARY OF INVOICE FOR THE MONTH OF OCTOBER 2010
Invoice Num : SD/REGAL WATER-10/10
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005PADIBERAS NASIONAL BERHAD,
LEVEL 19, CP TOWER,
NO. 11, SECTION 16/11,
JALAN DAMANSARA, 46350 P.J,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MUAZ IMRAN B. HAMDAN 12/11/2005 30.00 15.00 45.00
TOTAL 45.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 45.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/BERNAS-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.Jan. 2006PADIBERAS NASIONAL BERHAD,
LEVEL 19, CP TOWER,
NO. 11, SECTION 16/11,
JALAN DAMANSARA, 46350 P.J,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 HAMDAN HASSAN 7/12/2005 30.00 15.00 45.00
2 NOOR KAUTSAR HAMDAN 7/12/2005 30.00 15.00 45.00
3 NOOR KAUTSAR HAMDAN 8/12/2005 25.00 15.00 40.00
TOTAL 130.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 130.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/BERNAS-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.April. 2006PADIBERAS NASIONAL BERHAD,
LEVEL 19, CP TOWER,
NO. 11, SECTION 16/11,
JALAN DAMANSARA, 46350 P.J,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 SUFAINI BT BIDIN 8/3/2006 30.00 15.00 45.00
2 NORMAL HASSAN 20/03/2006 35.00 15.00 50.00
3 OMAR QAYYUM 30/03/2006 40.00 15.00 55.00
4 HAMDAN BIN HASSAN 30/03/2006 30.00 15.00 45.00
TOTAL 195.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 195.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/BERNAS-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date :04hb.Disember.2007PADIBERAS NASIONAL BERHAD,
LEVEL 19, CP TOWER,
NO. 11, SECTION 16/11,
JALAN DAMANSARA, 46350 P.J,
SELANGOR DARUL EHSAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NOOR KAUTSAR HAMDAN 11/4/2007 30.00 15.00 45.00
2 OMAR QAYYUM HAMDAN 11/4/2007 30.00 15.00 45.00
TOTAL Err:522
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 90.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/BERNAS-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005BANK ISLAM BERHAD
DARUL TAKAFUL
JALAN SULTAN ISMAIL
50794 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AHMAD SHAHAILI B. SHAARI 3/8/2005 28.00 10.00 38.00
2 ROSHASIMI BIN AHMAD 5/8/2005 65.00 10.00 75.00
3 ABDUL RASHID ADNAN 9/8/2005 30.00 10.00 40.00
4 NUR SYAHIRAH MOHD IBRAHIM 9/8/2005 35.00 10.00 45.00
5 MASWITA MOHD ISA 12/8/2005 20.00 10.00 30.00
6 ABDUL HAKIM 22/08/2005 30.00 10.00 40.00
7 ABDUL HARIZ 22/08/2005 35.00 10.00 45.00
8 ABDUL HARIZ 29/08/2005 30.00 10.00 40.00
9 ROSHASIMI BIN AHMAD 29/08/2005 28.00 10.00 38.00
TOTAL 391.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 391.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/B.I-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005BANK ISLAM BERHAD
DARUL TAKAFUL
JALAN SULTAN ISMAIL
50794 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHD SYAFIQ BIN MOHD KAMALIAH 2/9/2005 35.00 10.00 45.00
2 ROSNANI BINTI ZAINAL ABIDIN 9/9/2005 35.00 10.00 45.00
3 MOHD HARIZ BIN MOHD GHAZALI 9/9/2005 30.00 10.00 40.00
4 ABDUL HANIF AHMAD SHAHAILI 9/9/2005 30.00 10.00 40.00
5 HANIZ ZAHIRA BT MOHD GHAZALI 10/9/2005 35.00 10.00 45.00
6 MOHD IBRAHIM AHMAD 19/09/2005 25.00 10.00 35.00
7 ABDUL HANIF AHMAD SHAHAILI 26/09/2005 30.00 10.00 40.00
8 NURUL BALQIS DANIA 26/09/2005 28.00 10.00 38.00
9 NURUL BALQIS DANIA 29/09/2005 18.00 10.00 28.00
TOTAL 356.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 356.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/B.I-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005BANK ISLAM BERHAD
DARUL TAKAFUL
JALAN SULTAN ISMAIL
50794 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ABD RASHID ADNAN 5/10/2005 38.00 10.00 48.00
2 AZLINA MD. SALEH 14/10/2005 28.00 10.00 38.00
3 MUHD HARIZ MOHD GHAZALI 16/10/2005 38.00 10.00 48.00
4 ROSHASIMI AHMAD 15/10/2005 28.00 10.00 38.00
5 ROSHASIMI AHMAD 21/10/2005 80.00 10.00 90.00
6 AHMAD SHAHAILI SHAARI 26/10/2005 18.00 10.00 28.00
7 ABDUL HAKIM BIN AH. SHAHAILI 28/10/2005 35.00 10.00 45.00
8 ROSHASIMI AHMAD 28/10/2005 35.00 10.00 45.00
TOTAL 380.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 380.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/B.I-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005BANK ISLAM BERHAD
DARUL TAKAFUL
JALAN SULTAN ISMAIL
50794 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ABD RASHID ADNAN 14/11/2005 32.00 15.00 48.00
2 ABDUL HARIZ B. AHMAD SHAHAILII 16/11/2005 23.00 15.00 38.00
3 AZLINA MD SALEH 18/11/2005 25.00 10.00 35.00
4 ABDUL HARIZ B. AHMAD SHAHAILII 23/11/2005 30.00 10.00 40.00
5 ROSHASIMI AHMAD 26/11/2005 50.00 50.00
6 NUR SYAHIRAH MOHD IBRAHIM 29/11/2005 30.00 15.00 45.00
7 ROSHASIMI AHMAD 29/11/2005 93.00 93.00
TOTAL 349.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 349.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/B.I-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. Jan. 2006BANK ISLAM BERHAD
DARUL TAKAFUL
JALAN SULTAN ISMAIL
50794 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ABDUL HANIF B. AHMAD SHAHAILI 2/12/2005 33.00 15.00 48.00
2 MASWITA MOHD ISA 3/12/2005 33.00 15.00 48.00
3 AZLINA MD SALEH 14/12/2005 30.00 15.00 45.00
4 NUR ASYIELA SAFIYA 19/12/2005 30.00 15.00 45.00
5 QISTINA HANNANI MOHD GHAZALI 29/12/2005 15.00 15.00 30.00
TOTAL 216.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 216.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/B.I-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. Feb. 2006BANK ISLAM BERHAD
DARUL TAKAFUL
JALAN SULTAN ISMAIL
50794 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AHMAD SHAHAILI SHAARI 2/1/2006 25.00 15.00 40.00
2 ABDUL HANIF AHMAD SHAHAILI 17/1/2006 30.00 15.00 45.00
3 NURUL BALQIS DANIA 17/1/2006 25.00 15.00 40.00
4 NOOR AZITA ABDUL RAHMAN 17/1/2006 25.00 15.00 40.00
5 AZLINA MD SALEH 20/01/2006 25.00 15.00 40.00
6 ROSHASIMI BIN AHMAD 27/01/2006 30.00 15.00 45.00
7 AZLINA MD SALEH 30/01/2006 25.00 15.00 40.00
TOTAL 290.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 290.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/B.I-01/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March. 2006BANK ISLAM BERHAD
DARUL TAKAFUL
JALAN SULTAN ISMAIL
50794 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NUR ASYIELA SAFIYA 5/2/2006 30.00 15.00 45.00
2 ROSHASIMI BIN AHMAD 10/2/2006 50.00 65.00 15.00 130.00
3 AZLINA MD SALEH 16/02/2006 25.00 15.00 40.00
4 NOOR AZIZAH MOHD KASSIM 16/02/2006 45.00 15.00 60.00
5 ADRIANA SYAHIDAH 21/02/2006 30.00 15.00 45.00
6 MOHD IBRAHIM B. AHMAD 28/02/2006 25.00 15.00 40.00
TOTAL 360.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 360.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/B.I-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April. 2006BANK ISLAM BERHAD
DARUL TAKAFUL
JALAN SULTAN ISMAIL
50794 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHD SYAFIE MOHD KAMALIAH 1/3/2006 30.00 15.00 45.00
2 MOHD SYAFIE MOHD KAMALIAH 7/3/2006 25.00 15.00 40.00
3 ABDUL HANIF B. AHMAD SHAHAILI 11/3/2006 25.00 15.00 40.00
4 NURUL BALQIS DANIA 16/03/2006 30.00 15.00 45.00
5 ABDUL HANIF B. AHMAD SHAHAILI 16/03/2006 23.00 15.00 38.00
6 ADRIANA SYAHIDAH 17/03/2006 30.00 15.00 45.00
7 MOHD IBRAHIM B. AHMAD 20/03/2006 25.00 15.00 40.00
8 NUR ASYIELA SAFIYA MOHD NORAZAM 25/03/2006 25.00 15.00 40.00
9 AMEER RAFIQ MOHD NORAZAM 29/03/2006 30.00 15.00 45.00
10 AZLINA MD. SALEH 29/03/2006 30.00 15.00 45.00
TOTAL 423.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/B.I-03/06
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 423.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai. 2006BANK ISLAM BERHAD
DARUL TAKAFUL
JALAN SULTAN ISMAIL
50794 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 AZLINA MD. SALEH 12/6/2006 25.00 15.00 40.00
2 MASWITA BT MOHD ISA 17/6/2006 150.00 15.00 165.00
3 EAZATUL AKMAR AHMAD DAMANHURI 19/6/2006 30.00 15.00 45.00
4 NOOR AZIZAH MOHD KASSIM 20/6/2006 30.00 15.00 45.00
5 ABDUL RASHID ADNAN 23/6/2006 25.00 15.00 40.00
6 MOHD IBRAHIM B. AHMAD 26/6/2006 25.00 15.00 40.00
7 AMEER RAFIQ MOHD NORAZAM 29/06/2006 20.00 15.00 35.00
TOTAL 410.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/B.I-06/06
Amount Payable Ringgit Malaysia RM 410.00
KLINIK FAMILI SRI DAMANSARA
52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007CHEMSLE SDN BHD,
NO. 6-1,JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 KHAIRIE ISMADI 16/11/2007 25.00 15.00 40.00
TOTAL Err:522
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/CHEM-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 11hb. May .2009CHEMSLE SDN BHD,
NO. 6-1,JALAN ARA SD 7/3A,
BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHD FARHAAN B. MOKHTAR AHMAD 4/1/2009 25.00 15.00 40.00
2 MOHD FARHAAN B. MOKHTAR AHMAD 4/3/2009 50.00 50.00
3 KHAIRIE ISMADI 4/21/2009 25.00 15.00 40.00
TOTAL 130.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 130.00
SUMMARY OF INVOICE FOR THE MONTH OF APRIL 2009
Invoice Num : SD/CHEM-04/09
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005BUMIPUTRA COMMERCE FACTORING BERHAD,
10TH FLOOR, NO.338,
JALAN TUNKU ABD. RAHMAN
50100 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ANIS HUMAIRAH ABDUL HAFIZ 9/8/2005 30.00 10.00 40.00
TOTAL Err:522
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/B.C.F.B-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005BUMIPUTRA COMMERCE FACTORING BERHAD,
10TH FLOOR, NO.338,
JALAN TUNKU ABD. RAHMAN
50100 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ANIS DANIA ABDUL HAFIZ 9/8/2005 30.00 10.00 40.00
TOTAL Err:522
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/B.C.F.B-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005BUMIPUTRA COMMERCE FACTORING BERHAD,
10TH FLOOR, NO.338,
JALAN TUNKU ABD. RAHMAN
50100 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ANIS HUMAIRAH 8/10/2005 30.00 10.00 40.00
2 ANIS HUMAIRAH 10/10/2005 35.00 10.00 45.00
3 ARIF HAKIMI 10/10/2005 28.00 10.00 38.00
4 ANIS DANIA 30/10/2005 35.00 10.00 45.00
TOTAL Err:522
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 168.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/B.C.F.B-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005BUMIPUTRA COMMERCE FACTORING BERHAD,
10TH FLOOR, NO.338,
JALAN TUNKU ABD. RAHMAN
50100 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ANIS HUMAIRAH 21/11/2005 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/B.C.F.B-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March 2006BUMIPUTRA COMMERCE FACTORING BERHAD,
10TH FLOOR, NO.338,
JALAN TUNKU ABD. RAHMAN
50100 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ANIS DANIA ABDUL HAFIZ 6/2/2006 25.00 15.00 45.00
2 ANIS DANIA ABDUL HAFIZ 17/02/2006 25.00 15.00 45.00
TOTAL 90.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 90.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/B.C.F.B-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. APRIL 2006BUMIPUTRA COMMERCE FACTORING BERHAD,
10TH FLOOR, NO.338,
JALAN TUNKU ABD. RAHMAN
50100 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ANIS DANIA ABDUL HAFIZ 1/3/2006 25.00 15.00 40.00
2 ABDUL HAFIZ BIN ISMAIL 9/3/2006 30.00 15.00 45.00
3 MARHANI MANSOR 23/03/2006 45.00 15.00 60.00
TOTAL 145.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 145.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/B.C.F.B-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb. Januari.2008DAMAN INTAN ENTERPRISE,SHELL SERVISE STATION,LOT P.T. 25198, PERSIARAN PERDANA,BANDAR SRI DAMANSARA,53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 QAMAR 12/1/2007 20.00 15.00 35.00
2 QAMAR 12/4/2007 20.00 15.00 35.00
3 MUHAMAD KIES HUSSEIN 12/10/2007 15.00 15.00 30.00
TOTAL 100.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 100.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007
Invoice Num : SD/SHELL-12/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007DAMAN INTAN ENTERPRISE,SHELL SERVISE STATION,LOT P.T. 25198, PERSIARAN PERDANA,BANDAR SRI DAMANSARA,53000 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF NEBULIZER INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 MUHAMADKIES 11/3/2007 4.00 15.00 19.00
2 MUHAMADKIES 11/3/2007 20.00 15.00 35.00
3 NORLIYANA 11/5/2007 15.00 15.00
4 NORLIYANA 11/5/2007 20.00 15.00 35.00
5 FARIDAH BEGUM 11/5/2007 35.00 15.00 50.00
6 KHAIRUL MIZAM 11/5/2007 10.00 15.00 25.00
7 FARIDAH BEGUM 11/7/2007 30.00 15.00 45.00
8 KAMARUDIN YAHYA 11/10/2007 20.00 15.00 35.00
9 MUHAMADKIES 11/12/2007 8.00 15.00 23.00
10 NADEEM 13/11/2007 25.00 15.00 40.00
11 MUHAMADKIES 13/11/2007 20.00 20.00
12 KAMARUDIN YAHYA 14/11/2007 35.00 15.00 50.00
13 MUHAMADKIES 15/11/2007 15.00 15.00 30.00
14 KAMARUDIN YAHYA 19/11/2007 30.00 30.00
15 MUHAMADKIES 21/11/2007 20.00 20.00 15.00 55.00
16 FARIDAH BEGUM 22/11/2007 10.00 15.00 25.00
17 MUHAMMAD SYAZWAN 22/11/2007 20.00 20.00
18 QAIMAR ZAMAN 26/11/2007 20.00 15.00 35.00
19 NORLIYANA 28/11/2007 15.00 15.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/SHELL-11/07
20 MUHAMADKIES 28/11/2007 20.00 20.00
TOTAL 622.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM622.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 JAMILAH BT JAMARI 1/8/2005 58.00 58.00
2 RAZAREENA BT. HANIFFA 1/8/2005 28.00 10.00 38.00
3 SHAMSUL MUTAZA 3/8/2005 28.00 10.00 38.00
4 ROHAIDA MAT IDRIS 10/8/2005 25.00 10.00 35.00
5 FARIDZAH MOHD TAHIR 10/8/2005 45.00 45.00
6 ROSNITA HJ. AHMAD 15/08/2005 50.00 10.00 60.00
7 SHARIFAH SAZIZAH 30/08/2005 28.00 10.00 38.00
8 ROSNITA HJ. AHMAD 31/08/2005 40.00 40.00
TOTAL 352.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 352.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/L&G-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 SHARIFAH SAZIZAH 4/9/2005 28.00 10.00 38.00
2 JAMILAH JAMARI 5/9/2005 50.00 50.00
3 RAZAREENAH HANIFFA 12/9/2005 28.00 10.00 38.00
4 LEE HUI YEE 15/09/2005 28.00 10.00 38.00
5 RAZAREENAH HANIFFA 22/09/2005 25.00 10.00 35.00
6 NOORAZILAWATI 28/09/2005 30.00 10.00 40.00
7 JAMILAH JAMARI 29/09/2005 60.00 60.00
8 JAMILAH JAMARI 30/09/2005 38.00 10.00 48.00
TOTAL 347.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/L&E-09/05
Amount Payable Ringgit Malaysia RM 347.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ROSNITA BT AHMAD 1/10/2005 53.00 53.00
2 JAMILAH JAMARI 5/10/2005 45.00 15.00 60.00
3 ROSNITA BT AHMAD 8/10/2005 50.00 50.00
4 JAMILAH JAMARI 10/10/2005 45.00 15.00 60.00
5 NOORAZILAWATI 13/10/2005 35.00 35.00
6 JAMILAH JAMARI 17/10/2005 50.00 50.00
7 SHARIFAH SAZIZAH 25/10/2005 20.00 15.00 35.00
8 RAZAREENA BT. HANIFFA 25/10/2005 25.00 15.00 40.00
9 ROSNITA BT AHMAD 28/10/2005 50.00 50.00
10 JAMILAH JAMARI 30/10/2005 50.00 50.00
TOTAL 483.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/L&E-10/05
Amount Payable Ringgit Malaysia RM 483.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 SHARIFAH SAZIZAH 1/11/2005 40.00 40.00
2 SHARIFAH SAZIZAH 2/11/2005 28.00 15.00 43.00
3 NORISAH CHE MAHMOOD 10/11/2005 35.00 35.00
4 SHARIFAH SAZIZAH 10/11/2005 25.00 15.00 40.00
5 LEE HUI YEE 18/11/2005 45.00 45.00
6 SHAMSUL MUTAZA 29/11/2005 48.00 48.00
7 SHARIFAH SAZIZAH 30/11/2005 30.00 15.00 45.00
TOTAL 296.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 296.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/L&E-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. JAN 2005LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ROSNITA HJ. AHMAD 4/12/2005 25.00 15.00 40.00
2 JAMILAH JAMARI 9/12/2005 60.00 60.00
3 NIK AHMAD 13/12/2005 28.00 15.00 43.00
4 ROSNITA HJ. AHMAD 15/12/2005 45.00 45.00
5 FARDZAH MOHD TAHIR 15/12/2005 55.00 55.00
6 RAZAREENA BT HANIFFA 16/12/2005 38.00 38.00
7 ROSNITA HJ. AHMAD 19/12/2005 50.00 50.00
8 NORISAH CHE MAHMOOD 22/12/2005 38.00 38.00
9 RAZAREENA BT HANIFFA 28/12/2005 25.00 15.00 40.00
10 JAMILAH JAMARI 30/12/2005 55.00 55.00
11 FARDZAH MOHD TAHIR 30/12/2005 40.00 15.00 55.00
TOTAL 519.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 519.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/L&E-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. FEB 2006LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 ROSNITA HJ. AHMAD 4/1/2006 65.00 65.00
2 SHAMSUL MUTAZA 13/1/2006 35.00 35.00
3 NIK AHMAD NIDZAM 19/1/2006 25.00 15.00 40.00
4 NORISAH CHE MAHMOOD 20/01/2006 30.00 30.00
5 ROHAIDA MAT IDRIS 20/01/2006 25.00 15.00 40.00
6 RAZAREENA BT HANIFFA 24/01/2006 25.00 15.00 40.00
7 MD NOR HISHAM MUSA 24/01/2006 40.00 15.00 55.00
8 AB.WAHAB HASSAN 27/01/2006 30.00 30.00
9 ROSNITA HJ. AHMAD 27/01/2006 50.00 50.00
10 JAMILAH BT JAMARI 31/01/2006 60.00 60.00
TOTAL 445.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/L&E-01/06
Amount Payable Ringgit Malaysia RM 445.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March 2006LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 ROSNITA HJ. AHMAD 6/2/2006 50.00 50.00
2 AB.WAHAB HASSAN 15/02/2006 25.00 15.00 40.00
3 JAMILAH BT JAMARI 16/02/2006 25.00 15.00 40.00
4 ROSNITA HJ. AHMAD 18/02/2006 50.00 50.00
5 LEE HUI YEE 20/02/2006 30.00 15.00 45.00
6 JAMILAH BT JAMARI 21/02/2006 48.00 48.00
7 NOR ' AINI KHUZAIFAH 27/02/2006 20.00 15.00 35.00
8 JAMILAH BT JAMARI 28/02/2006 55.00 55.00
9 SHARIFAH SAZIZAH SAEDIN 28/02/2006 30.00 30.00
TOTAL 393.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 393.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/L&E-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.Januari.2008LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 PARIMALA 12/1/2007 15.00 15.00
2 ROSNITA HJ. AHMAD 12/9/2007 42.00 42.00
3 NORISAH MAHMOOD 12/11/2007 30.00 30.00
4 ANITA AZHARI 13/12/2007 45.00 45.00
5 RODZIAH MOHD SAFRI 13/12/2007 38.00 38.00
6 FARIDZAH MOHD TAHIR 22/12/2007 40.00 40.00
7 ROSNITA HJ. AHMAD 22/12/2007 42.00 42.00
8 ROSNITA HJ. AHMAD 27/12/2007 35.00 35.00
9 POONGKUZALI 27/12/2007 80.00 80.00
10 FARIDZAH MOHD TAHIR 28/12/2007 40.00 40.00
TOTAL 407.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 407.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007
Invoice Num : SD/L&E-12/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb.Disember.2007LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 NORISAH MAHMOOD 11/5/2007 20.00 20.00
2 ANITA AZHARI 11/6/2007 25.00 25.00
3 POONGKUZALI 11/12/2007 15.00 10.00 15.00 40.00
4 NIK AHMAD NIDZAM 11/12/2007 25.00 15.00 40.00
5 ANITA AZHARI 11/12/2007 40.00 40.00
6 POONGKUZALI 13/11/2007 35.00 15.00 50.00
7 SHARIFAH SAZIZAH 14/11/2007 18.00 18.00
8 JAMILAH JAMANI 16/11/2007 65.00 65.00
9 POONGKUZALI 22/11/2007 40.00 40.00
10 SHARIFAH SAZIZAH 23/11/2007 25.00 15.00 40.00
11 POONGKUZALI 23/11/2007 25.00 15.00 40.00
12 RODZIAH 26/11/2007 25.00 15.00 40.00
13 JAMILAH JAMANI 30/11/2007 58.00 58.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/L&E-11/07
TOTAL 516.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 516.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 06hb.April.2008LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 JAMILAH BINTI JAMARI 3/1/2009 65.00 65.00
2 NIK AHMAD NIDZAM 3/10/2009 35.00 35.00
3 ROSNITA BINTI AHMAD 3/13/2009 30.00 30.00
4 ONG KWEE MOOI 3/13/2009 20.00 20.00
5 SAYAIDATINA AB. MAJID 3/13/2009 25.00 15.00 40.00
6 SHAMSUL MUTAZA 3/17/2009 65.00 65.00
7 CHANG AI SHA 3/18/2009 20.00 20.00
8 ROSNITA BINTI AHMAD 3/24/2009 125.00 125.00
TOTAL 400.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARA
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2008
Invoice Num : SD/L&E-03/09
Amount Payable Ringgit Malaysia RM 400.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 15hb.DEC.2010LANG EDUCATION SDN BHD
ACCOUNT DEPARTMENT,
SEK SRI BESTARI
52200 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF INJECTION LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 ROSNITA BINTI AHMAD 10/1/2010 15.00 15.00
2 RAZAREENA HANIFFA 10/5/2010 25.00 15.00 40.00
3 TUNKU NOR ASIHIKIN 10/7/2010 20.00 15.00 40.00
4 LEE HUI YEE 1/8/10/2010 25.00 15.00 40.00
5 TG RAZIF TG HASSAN 10/19/2010 20.00 15.00 35.00
6 WAN NAZIRAH WAB AB RAHMAN 10/21/2010 25.00 15.00 40.00
7 TG RAZIF TG HASSAN 10/25/2010 20.00 15.00 35.00
8 ROSNITA BINTI AHMAD 10/26/2010 105.00 105.00
9 RAZAREENA HANIFFA 10/27/2010 30.00 15.00 45.00
10 RAZAREENA HANIFFA 10/28/2010 15.00 15.00
TOTAL 410.00
SUMMARY OF INVOICE FOR THE MONTH OF OCTOBER 2010
Invoice Num : SD/L&E-10/10
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 410.00
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005BANK MUAMALAT MALAYSIA BERHAD (JM)
JALAN MELAKA BRANCH,
1ST FLOOR, PODIUM BLOCK,
MENARA BUMIPUTRA JALAN MELAKA,
50100 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHAMMAD SHAHFFIQ JM 12/8/2005 25.00 10.00 35.00
2 MOHAMMAD SHAHFLE JM 12/8/2005 28.00 10.00 38.00
3 FADZILAH ITHNIN JM 12/8/2005 28.00 10.00 38.00
4 MOHAMED KAMARUZAMAN JM 23/08/2005 35.00 10.00 45.00
TOTAL 156.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 156.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/BM(JM)-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005BANK MUAMALAT MALAYSIA BERHAD (JM)
JALAN MELAKA BRANCH,
1ST FLOOR, PODIUM BLOCK,
MENARA BUMIPUTRA JALAN MELAKA,
50100 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHAMED KAMARUZAMAN JM 5/9/2005 30.00 10.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/BM(JM)-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2006
Invoice Date : 14hb. Aug. 2006BANK MUAMALAT MALAYSIA BERHAD
TING. 1, BANGUNAN MENTERI BESAR KELANTAN
JALAN KUALA KRAI,
15150 KOTA BHARU, KELANTAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NORIAH BINTI SULAIMAN KB 5/7/2006 174 33.00 15.00 48.00
TOTAL 48.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 48.00
Invoice Num : SD/BM(KB)-07/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date :04hb.Disember.2007BANK MUAMALAT MALAYSIA BERHAD
TING. 1, BANGUNAN MENTERI BESAR KELANTAN
JALAN KUALA KRAI,
15150 KOTA BHARU, KELANTAN.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NORIAH BINTI SULAIMAN KB 5/7/2006 174 33.00 15.00 48.00
TOTAL 48.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 48.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2007
Invoice Num : SD/BM(KB)-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005BANK MUAMALAT MALAYSIA BERHAD (PKNS)
TINGKAT BAWAH , KOMPLEKS PKNS,
40000 SHAH ALAM , SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHD HASMUNI BIN MOHD MUNIR 1/8/2005 30.00 10.00 40.00
2 NIK NUR NASREEN 29/08/2005 18.00 10.00 28.00
3 NIK MOHD HASHIM 29/08/2005 20.00 10.00 30.00
4
TOTAL 98.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 98.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/BM(PKNS)-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005BANK MUAMALAT MALAYSIA BERHAD (PKNS)
TINGKAT BAWAH , KOMPLEKS PKNS,
40000 SHAH ALAM , SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHD HASMUNI BIN MOHD MUNIR 5/9/2005 34.00 10.00 44.00
TOTAL 44.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/BM(PKNS)-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005BANK MUAMALAT MALAYSIA BERHAD (PKNS)
TINGKAT BAWAH , KOMPLEKS PKNS,
40000 SHAH ALAM , SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHD HASMUNI B. MOHD MUNIR 17/11/2005 23.00 15.00 38.00
TOTAL 38.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 38.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/BM(PKNS)-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. Jan. 2005BANK MUAMALAT MALAYSIA BERHAD (PKNS)
TINGKAT BAWAH , KOMPLEKS PKNS,
40000 SHAH ALAM , SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF UTRASOUND LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 NIK MOHD HASHIM 12/12/2005 80.00 250.00 80.00 25.00 15.00 450.00
2 NORIAH SULAIMAN 12/12/2005 30.00 15.00 45.00
TOTAL 495.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 495.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/BM(PKNS)-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.Disember.2007BANK MUAMALAT MALAYSIA BERHAD (PKNS)
TINGKAT BAWAH , KOMPLEKS PKNS,
40000 SHAH ALAM , SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF UTRASOUND LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 NORIAH SULAIMAN 13/11/2007 30.00 15.00 45.00
TOTAL 45.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 45.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVENBER 2007
Invoice Num : SD/BM(PKNS)-11/07
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 12hb.August.2009BANK MUAMALAT MALAYSIA BERHAD (PKNS)
TINGKAT BAWAH , KOMPLEKS PKNS,
40000 SHAH ALAM , SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF UTRASOUND LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT CHARGE CHARGE ECG CHARGE CHARGE ( RM )
1 MUHAMMAD HAZWAN FITRI 7/3/2009 10.00 15.00 25.00
TOTAL 25.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 25.00
SUMMARY OF INVOICE FOR THE MONTH OF JULY 2009
Invoice Num : SD/BM(PKNS)-07/09
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005TH TECHNOLOGIES SDN BHD
LEVEL 21, BANGUNAN TH SELBORN,
153 JALAN TUN RAZAK,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 NURFARAH FARZANA 26/09/2005 30.00 30.00
TOTAL 30.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 30.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/TH-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005TH TECHNOLOGIES SDN BHD
LEVEL 21, BANGUNAN TH SELBORN,
153 JALAN TUN RAZAK,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MUZAMILAH HJ. MOHD SAID 4/11/2005 25.00 15.00 40.00
2 MUZAMILAH HJ. MOHD SAID 23/11/2005 20.00 15.00 35.00
TOTAL 75.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 75.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/TH-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April. 2006TH TECHNOLOGIES SDN BHD
LEVEL 21, BANGUNAN TH SELBORN,
153 JALAN TUN RAZAK,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MUZAMILAH HJ. MOHD SAID 31/03/2006 20.00 15.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/TH-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai 2006TH TECHNOLOGIES SDN BHD
LEVEL 21, BANGUNAN TH SELBORN,
153 JALAN TUN RAZAK,
50400 KUALA LUMPUR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 OOI POH KIM 29/6/2006 20.00 15.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/TH-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005OPTIMA MUTIMEDIA (M) SDN BHD
1-3 FLOOR, 58 JALAN SS 22/21,
DAMANSARA JAYA,
47400 SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOK CHONG ANN 28/11/2005 20.00 15.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/OPT-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005RASMA CORP. SDN BHD
611BLOCK A GLOMAC BUSINESS CTR
NO. 10, JALAN SS6/1 KELANA JAYA
47301 SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 WAN MUHAMMAD WAN YAHYA 1/9/2005 28.00 10.00 38.00
TOTAL 38.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 38.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/RASMA-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005RASMA CORP. SDN BHD
611BLOCK A GLOMAC BUSINESS CTR
NO. 10, JALAN SS6/1 KELANA JAYA
47301 SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 WAN MUHAMMAD WAN YAHYA 3/10/2005 48.00 10.00 58.00
TOTAL 58.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 58.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/RASMA-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005RASMA CORP. SDN BHD
611BLOCK A GLOMAC BUSINESS CTR
NO. 10, JALAN SS6/1 KELANA JAYA
47301 SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 WAN MUHAMMAD WAN YAHYA 15/11/2005 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/RASMA-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. April. 2006RASMA CORP. SDN BHD
611BLOCK A GLOMAC BUSINESS CTR
NO. 10, JALAN SS6/1 KELANA JAYA
47301 SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 WAN MUHAMMAD WAN YAHYA 5/3/2006 20.00 15.00 35.00
TOTAL 35.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 35.00
SUMMARY OF INVOICE FOR THE MONTH OF MARCH 2006
Invoice Num : SD/RASMA-03/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Juai. 2006RASMA CORP. SDN BHD
611BLOCK A GLOMAC BUSINESS CTR
NO. 10, JALAN SS6/1 KELANA JAYA
47301 SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. INJECTION MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE CHARGE CHARGE CHARGE ( RM )
1 WAN MUHAMMAD WAN YAHYA 12/6/2006 12.00 15.00 27.00
2 WAN MUHAMMAD WAN YAHYA 21/6/2006 40.00 20.00 (Nigth Visit) 60.00
TOTAL 87.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 87.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/RASMA-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Sept. 2005EXPRESS RAIL LINK SDN. BHD,
KOMPLEKS REL UDARA,
BANDAR BARU SALAK TINGGI,
43900 SEPANG SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 PUTERA WAN JAFFRI 12/8/2005 15.00 20.00 35.00
2 PUTERA WAN JAFFRI 13/08/2005 20.00 20.00
TOTAL 55.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 55.00
SUMMARY OF INVOICE FOR THE MONTH OF OGOS 2005
Invoice Num : SD/RAIL LINK-08/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Okt. 2005EXPRESS RAIL LINK SDN. BHD,
KOMPLEKS REL UDARA,
BANDAR BARU SALAK TINGGI,
43900 SEPANG SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 DANISH HAZIQ RAZALI 19/09/2005 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF SEPTEMBER 2005
Invoice Num : SD/RAIL LINK-09/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 02hb. Nov. 2005EXPRESS RAIL LINK SDN. BHD,
KOMPLEKS REL UDARA,
BANDAR BARU SALAK TINGGI,
43900 SEPANG SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 DANISH HAZIQ RAZALI 7/10/2005 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF OKTOBER 2005
Invoice Num : SD/RAIL LINK-10/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Dis. 2005EXPRESS RAIL LINK SDN. BHD,
KOMPLEKS REL UDARA,
BANDAR BARU SALAK TINGGI,
43900 SEPANG SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 DANISH HAZIQ RAZALI 20/11/2005 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF NOVEMBER 2005
Invoice Num : SD/RAIL LINK-11/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. Jan. 2006EXPRESS RAIL LINK SDN. BHD,
KOMPLEKS REL UDARA,
BANDAR BARU SALAK TINGGI,
43900 SEPANG SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHD NAZERI YUSOFF 13/12/2005 25.00 15.00 40.00
2 RAZALI HARUN 19/12/2005 28.00 15.00 43.00
3 FATIN NABILA 30/12/2005 25.00 15.00 40.00
TOTAL 123.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 123.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2005
Invoice Num : SD/RAIL LINK-12/05
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 03hb. Feb. 2006EXPRESS RAIL LINK SDN. BHD,
KOMPLEKS REL UDARA,
BANDAR BARU SALAK TINGGI,
43900 SEPANG SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 DANISH HAZIQ 27/01/2006 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF JANUARY 2006
Invoice Num : SD/RAIL LINK-01/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. March. 2006EXPRESS RAIL LINK SDN. BHD,
KOMPLEKS REL UDARA,
BANDAR BARU SALAK TINGGI,
43900 SEPANG SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 DANISH HAZIQ RAZALI 25/02/2006 30.00 15.00 45.00
TOTAL 45.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 45.00
SUMMARY OF INVOICE FOR THE MONTH OF FEBUARY 2006
Invoice Num : SD/RAIL LINK-02/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 01hb. Julai. 2006EXPRESS RAIL LINK SDN. BHD,
KOMPLEKS REL UDARA,
BANDAR BARU SALAK TINGGI,
43900 SEPANG SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 MOHD NAZERI YUSOFF 10/6/2006 25.00 15.00 40.00
TOTAL 40.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 40.00
SUMMARY OF INVOICE FOR THE MONTH OF JUNE 2006
Invoice Num : SD/RAIL LINK-06/06
KLINIK FAMILI SRI DAMANSARA
30G, JALAN ARA , SD 7/3A BANDAR SRI DAMANSARA,
52200 KUALA LUMPUR.
Invoice Date : 04hb.Januari 2007EXPRESS RAIL LINK SDN. BHD,
KOMPLEKS REL UDARA,
BANDAR BARU SALAK TINGGI,
43900 SEPANG SELANGOR.
NO. NAME OF STAFF/ PATIENT (BR/HQ) DATE OF STAFF LAB. X-RAY / MEDICATION CONSULTATION TOTAL
VISIT EMP.NO CHARGE ECG CHARGE CHARGE ( RM )
1 DARWISY YADIY RAZALI 18/12/2007 25.00 25.00
TOTAL 25.00
Please Make Cheque Payable To : KLINIK FAMILI SRI DAMANSARAAmount Payable Ringgit Malaysia RM 25.00
SUMMARY OF INVOICE FOR THE MONTH OF DISEMBER 2007
Invoice Num : SD/RAIL LINK-12/07