Riverside Family Clinic
220 Riverside Drive
Toronto, ON M6S 4A8
billing@riversideclinic.ca · +1 416 555 0170 · riversideclinic.ca
Registration no.: CPSO 112233
فاتورة
- رقم الفاتورة
- RFC-2026-5531
- التاريخ
- 6 أكتوبر 2026
- تاريخ الاستحقاق
- 20 أكتوبر 2026
- Patient
- Daniel Osei
- Patient ID
- P-20481
- Doctor
- Dr Amara Singh
فاتورة إلى
Daniel Osei
45 Jane Street
Toronto, ON M6S 3Y3
| الوصف | Code | الكمية | سعر الوحدة | المبلغ |
|---|---|---|---|---|
| Consultation, extended | A007 | 1 | 120.00 CA$ | 120.00 CA$ |
| Ultrasound, abdominal | J135 | 1 | 180.00 CA$ | 180.00 CA$ |
| Blood panel, standard | L301 | 1 | 65.00 CA$ | 65.00 CA$ |
- المجموع الفرعي
- 365.00 CA$
- الإجمالي
- 365.00 CA$
بيانات الدفع
Pay online at riversideclinic.ca/pay, by e-transfer to billing@riversideclinic.ca, or at reception.
ملاحظات
Not covered by OHIP. Insurance claim submitted to Sun Life, claim no. SL-7782931; patient portion shown below.
الشروط والأحكام
Payment is due within 14 days of the invoice date.
Thank you for your business.
