Riverside Family Clinic
220 Riverside Drive
Toronto, ON M6S 4A8
billing@riversideclinic.ca · +1 416 555 0170 · riversideclinic.ca
Registration no.: CPSO 112233
Facture
- N° de facture
- RFC-2026-5531
- Date
- 6 oct. 2026
- Date d'échéance
- 20 oct. 2026
- Patient
- Daniel Osei
- Patient ID
- P-20481
- Doctor
- Dr Amara Singh
Facturé à
Daniel Osei
45 Jane Street
Toronto, ON M6S 3Y3
| Désignation | Code | Qté | P.U. | Montant |
|---|---|---|---|---|
| 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 $ |
- Sous-total
- 365,00 $
- Total
- 365,00 $
Modalités de paiement
Pay online at riversideclinic.ca/pay, by e-transfer to billing@riversideclinic.ca, or at reception.
Notes
Not covered by OHIP. Insurance claim submitted to Sun Life, claim no. SL-7782931; patient portion shown below.
Conditions générales
Payment is due within 14 days of the invoice date.
Thank you for your business.