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OPERASI PERKHIDMATAN SOKONGAN


FAKULTI PERUBATAN VETERINAR
(HOSPITAL VETERINAR UNIVERSITI)

Kod Dokumen : OPR/FPV/BR013/SOE
SUMMARY OF EXPENSES

UNIVERSITY VETERINARY HOSPITAL(UVH), FPV, UPM Universiti Putra Malaysia 43400 Serdang Selangor
Tel : 603-8946 3954 / 3955 Fax : 603-8947 1973 Website : http://www.upm.edu.my/
 

Ref No. :

   
Date : 24-Jul-2014
 
I . CASE INFORMATION        
  Registration No. : Registration Date : 05-06-2013
  Next Appoinment Date : (DD-MM-YYYY) Visit Status :
  Owner's Name :
  I/C No. : Categori :
  Tel No. : Staff / Matriks No. :
  Address (Office) :
  Address (Home) :
  Patient No. : Animal ID :
  Species : B/Weight : A value is required.kg
  Service Fee : 0.00 (MYR)      
     
 
II . CHARGES      
             
  A . Consultation     Price (MYR)  
             
  Type :     0.00  
  Others :     0.00  
        TOTAL :   0.00
             
  B . Transport (If Faculty vehicle is used)      
             
  0 KM (two way distance) MYR 0.00 /km TOTAL :   0.00
  Note :        
             
    A value is required.  
 
  C. DRUGS
Name
Quantity
Unit Price (MYR)
Total (MYR)
TOTAL                   0.00  
 
  D. CONSUMABLES
Name
Quantity
Unit Price (MYR)
Total (MYR)
TOTAL                   0.00  
 
  E. SURGERY
Name
Quantity
Unit Price (MYR)
Total (MYR)
TOTAL                   0.00  
 
  F. DIAGNOSTIC / OTHERS
Name
Quantity
Unit Price (MYR)
Total (MYR)
TOTAL                     0.00  
 
  G. NETT PRICE
Name
Quantity
Unit Price (MYR)
Total (MYR)
TOTAL                    0.00   
 
  H. NEW MEDICATION / PROCEDURE / OTHERS
Name
Quantity
Unit Price (MYR)
Total (MYR)
TOTAL                    0.00   
 
  I. LABORATORY FEES
Name
Quantity
Unit Price (MYR)
Total (MYR)
TOTAL                    0.00   
 
  J. PET FOOD / PRESCRIPTION DIETS
Name
Quantity
Unit Price (MYR)
Total (MYR)
TOTAL                    0.00   
 

GRAND TOTAL (MYR)  477.00   

NO. SEMAKAN : 01
NO.ISU : 02
TARIKH KUATKUASA : 22/08/2011