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Charges: Tan Hai Peng - Chen Haiping

This document is a tax invoice from Singapore General Hospital billing Tan Hai Peng for medical services received from October 11-11, 2023. It details charges for a day surgery, laboratory investigations, consumables, medications, and surgery totaling $1,847 before GST. Most of the costs were covered by the patient's Integrated Shield Plan, leaving a final amount payable of $92.35. Payment options and billing contact information are provided at the bottom.

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mahjong1974
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56 views

Charges: Tan Hai Peng - Chen Haiping

This document is a tax invoice from Singapore General Hospital billing Tan Hai Peng for medical services received from October 11-11, 2023. It details charges for a day surgery, laboratory investigations, consumables, medications, and surgery totaling $1,847 before GST. Most of the costs were covered by the patient's Integrated Shield Plan, leaving a final amount payable of $92.35. Payment options and billing contact information are provided at the bottom.

Uploaded by

mahjong1974
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

TAX INVOICE (Finalised) Page 1 of 2

BILL REF. NO. BILL DATE LOCATION


6723197663D 18 NOV 2023 GENT DSCF

TAN HAI PENG -CHEN HAIPING HRN NRIC / FIN / MRN ADMISSION DATE DISCHARGE DATE
672023197663D S7407318B 11 OCT 2023 10:40 AM 11 OCT 2023 11:07 AM

58 STRATHMORE AVENUE
#04-109
SINGAPORE 142058

TOTAL AMOUNT (BEFORE GST) $ 1,710.19


8% GST $ 136.81
TOTAL AMOUNT $ 1,847.00
Payable by INTEGRATED SHIELD PLAN $ -1,754.65
TOTAL AMOUNT PAYABLE $ 92.35
Net Payment made $ 0.00
FINAL AMOUNT PAYABLE $ 92.35
Accepts: PayNow

$ 92.35
FINAL AMOUNT PAYABLE

CHARGES
SERVICES DESCRIPTION AMOUNT ($)

WARD CHARGES DAY SURGERY - FACILITY (1.0 day(s)) 67.80

INVESTIGATIONS LABORATORY INVESTIGATIONS 435.00

CONSUMABLES CONSUMABLES - OT 11.50


CONSUMABLES 12.50
MEDICATIONS DRUGS / PRESCRIPTIONS / INJECTIONS 30.89

SURGERY SERVICES SURGICAL OPERATION 1,152.50


TOTAL AMOUNT (BEFORE GST) 1,710.19
8% GST 136.81
TOTAL AMOUNT 1,847.00

PAYMENT SUMMARY
TOTAL AMOUNT 1,847.00
SCHEMES (SCHEME ID) / PAYOR REFERENCE NO. AMOUNT PAYABLE ($)

INTEGRATED SHIELD PLAN


INTEGRATED AIA HEALTHSHIELD GOLD MAX S7407318B 1,754.65
TAN HAI PENG -CHEN HAIPING S7407318B 92.35
Payment Summary to be continued on page 2

PRINTED ON: 26 NOV 2023 06:31 PM

Singapore General Hospital Pte Ltd | www.sgh.com.sg For bill enquiries, please contact us at
Outram Road, Singapore 169608 | Tel: +65 6222 3322 https://for.sg/askshs
Company Registration No. 198703907Z | GST Reg No. M90368910N ChatBuddy: www.sgh.com.sg/AskBILLie
TAX INVOICE (Finalised) Page 2 of 2

BILL REF. NO. BILL DATE PATIENT NAME


6723197663D 18 NOV 2023 TAN HAI PENG -CHEN HAIPING
HRN NRIC / FIN / MRN
672023197663D S7407318B

TAN HAI PENG -CHEN HAIPING TOTAL AMOUNT PAYABLE 92.35


Net Payment made 0.00
FOR BILLING MATTERS, PLEASE CONTACT
FAUZIAH A.LATIFF AT 63266584

FINAL AMOUNT PAYABLE $ 92.35

PAYMENT OPTIONS & ADVISORY


Self-Service Kiosk E-Payment
• AXS • SingHealth HealthBuddy App
• S.A.M Kiosk • HealthHub App
• AXS m-station App
• DBS Paylah! App
Counter Services • DBS/POSB Internet Banking
• 7-Eleven Stores • https://www.sgh.com.sg/payonli
• SingPost ne
• SAM Online
https://www.mysam.sg
• Payment through SGQR Accepts
: PayNow

Payment Policy
• Any excess payment received will be offset against other outstanding bills that you may have.
• Payment received will be offset against your oldest outstanding bill if you do not state the invoice/bill number when making payment.
• Please ignore this tax invoice if payment has been made. Thank you.
View your MediSave & MediShield Life claim details online with your SingPass at cpf.gov.sg.
• Employers and Insurers should reimburse to your cash outlay first, followed by MediSave, then MediShield Life/Integrated Shield Plan.
For Integrated Shield Plan, please reimburse directly to the private insurer. To submit reimbursement, go to cpf.gov.sg > Employers >
Services MediSave / MediShield Life Reimbursement.

PRINTED ON: 26 NOV 2023 06:31 PM

Singapore General Hospital Pte Ltd | www.sgh.com.sg For bill enquiries, please contact us at
Outram Road, Singapore 169608 | Tel: +65 6222 3322 https://for.sg/askshs
Company Registration No. 198703907Z | GST Reg No. M90368910N ChatBuddy: www.sgh.com.sg/AskBILLie

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