Patient Name: |
|
Patient ID: |
|
Patient Room: |
|
Admission No: |
|
Hospital Charges | Amount | Balance |
---|
The monetary figures that appear herein are only PARTIAL and UNOFFICIAL and must not be interpreted
as the FINAL BILLING AMOUNT by the hospital.
The system only provides this information to give the
patient an estimate of current hospital bill to have a hassle-free payment at the Cashier.
Only the Billing Section can release the OFFICIAL BILLING STATEMENT document upon request by the patient or the payor.
Read the full disclaimer here