Riverside Family Clinic
220 Riverside Drive
Toronto, ON M6S 4A8
billing@riversideclinic.ca · +1 416 555 0170 · riversideclinic.ca
Registration no.: CPSO 112233
发票
- 发票编号
- RFC-2026-5531
- 日期
- 2026年10月6日
- 付款截止日期
- 2026年10月20日
- Patient
- Daniel Osei
- Patient ID
- P-20481
- Doctor
- Dr Amara Singh
购买方
Daniel Osei
45 Jane Street
Toronto, ON M6S 3Y3
| 项目名称 | Code | 数量 | 单价 | 金额 |
|---|---|---|---|---|
| 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 |
- 小计
- $365.00
- 合计
- $365.00
付款信息
Pay online at riversideclinic.ca/pay, by e-transfer to billing@riversideclinic.ca, or at reception.
备注
Not covered by OHIP. Insurance claim submitted to Sun Life, claim no. SL-7782931; patient portion shown below.
条款与条件
Payment is due within 14 days of the invoice date.
Thank you for your business.
