Riverside Family Clinic
220 Riverside Drive
Toronto, ON M6S 4A8
billing@riversideclinic.ca · +1 416 555 0170 · riversideclinic.ca
Registration no.: CPSO 112233
Fatura
- Fatura nº
- RFC-2026-5531
- Data
- 6 de out. de 2026
- Vencimento
- 20 de out. de 2026
- Patient
- Daniel Osei
- Patient ID
- P-20481
- Doctor
- Dr Amara Singh
Faturar para
Daniel Osei
45 Jane Street
Toronto, ON M6S 3Y3
| Descrição | Code | Qtd. | Preço unit. | Valor |
|---|---|---|---|---|
| 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
Dados para pagamento
Pay online at riversideclinic.ca/pay, by e-transfer to billing@riversideclinic.ca, or at reception.
Observações
Not covered by OHIP. Insurance claim submitted to Sun Life, claim no. SL-7782931; patient portion shown below.
Termos e condições
Payment is due within 14 days of the invoice date.
Thank you for your business.