Riverside Family Clinic
220 Riverside Drive
Toronto, ON M6S 4A8
billing@riversideclinic.ca · +1 416 555 0170 · riversideclinic.ca
Registration no.: CPSO 112233
Factura
- Factura n.º
- RFC-2026-5531
- Fecha
- 6 oct 2026
- Fecha de vencimiento
- 20 oct 2026
- Patient
- Daniel Osei
- Patient ID
- P-20481
- Doctor
- Dr Amara Singh
Facturar a
Daniel Osei
45 Jane Street
Toronto, ON M6S 3Y3
| Descripción | Code | Cant. | Precio unit. | Importe |
|---|---|---|---|---|
| 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 $ |
- Subtotal
- 365,00 $
- Total
- 365,00 $
Datos de pago
Pay online at riversideclinic.ca/pay, by e-transfer to billing@riversideclinic.ca, or at reception.
Notas
Not covered by OHIP. Insurance claim submitted to Sun Life, claim no. SL-7782931; patient portion shown below.
Términos y condiciones
Payment is due within 14 days of the invoice date.
Thank you for your business.