Riverside Family Clinic
220 Riverside Drive
Toronto, ON M6S 4A8
billing@riversideclinic.ca · +1 416 555 0170 · riversideclinic.ca
Registration no.: CPSO 112233
Invoice
- No. Invoice
- RFC-2026-5531
- Tanggal
- 6 Okt 2026
- Jatuh tempo
- 20 Okt 2026
- Patient
- Daniel Osei
- Patient ID
- P-20481
- Doctor
- Dr Amara Singh
Kepada
Daniel Osei
45 Jane Street
Toronto, ON M6S 3Y3
| Deskripsi | Code | Qty | Harga | Jumlah |
|---|---|---|---|---|
| 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
Rincian pembayaran
Pay online at riversideclinic.ca/pay, by e-transfer to billing@riversideclinic.ca, or at reception.
Catatan
Not covered by OHIP. Insurance claim submitted to Sun Life, claim no. SL-7782931; patient portion shown below.
Syarat & ketentuan
Payment is due within 14 days of the invoice date.
Thank you for your business.