Riverside Family Clinic
220 Riverside Drive
Toronto, ON M6S 4A8
billing@riversideclinic.ca · +1 416 555 0170 · riversideclinic.ca
Registration no.: CPSO 112233
Rechnung
- Rechnungs-Nr.
- RFC-2026-5531
- Datum
- 6. Okt. 2026
- Fällig am
- 20. Okt. 2026
- Patient
- Daniel Osei
- Patient ID
- P-20481
- Doctor
- Dr Amara Singh
Rechnung an
Daniel Osei
45 Jane Street
Toronto, ON M6S 3Y3
| Beschreibung | Code | Menge | Einzelpreis | Betrag |
|---|---|---|---|---|
| Consultation, extended | A007 | 1 | 120,00 $ | 120,00 $ |
| Ultrasound, abdominal | J135 | 1 | 180,00 $ | 180,00 $ |
| Blood panel, standard | L301 | 1 | 65,00 $ | 65,00 $ |
- Zwischensumme
- 365,00 $
- Gesamtbetrag
- 365,00 $
Zahlungsinformationen
Pay online at riversideclinic.ca/pay, by e-transfer to billing@riversideclinic.ca, or at reception.
Hinweise
Not covered by OHIP. Insurance claim submitted to Sun Life, claim no. SL-7782931; patient portion shown below.
Bedingungen
Payment is due within 14 days of the invoice date.
Thank you for your business.