TAX INVOICE (Finalised) Page 1 of 2
BILL REF. NO. BILL DATE LOCATION
6923837765I 06 MAY 2023 W16R03 B06
TONG GEE HORNG HRN NRIC / FIN / MRN ADMISSION DATE DISCHARGE DATE
692023837765I S1385056I 19 APR 2023 07:19 AM 23 APR 2023 02:20 PM
704 TAMPINES STREET 71
#12-44 SINGAPORE 520704
TOTAL AMOUNT(BEFORE GOVT SUBSIDY) $ 14,287.85
GOVT SUBSIDY $ -1,825.45
TOTAL AMOUNT (BEFORE GST) $ 12,462.40
8% GST $ 996.99
TOTAL AMOUNT (AFTER GOVT SUBSIDY) $ 13,459.39
Payable by INTEGRATED SHIELD PLAN $ -9,863.45
Payable by MEDISAVE $ -3,595.94
TOTAL AMOUNT PAYABLE $ 0.00
Net Payment made $ 0.00
FINAL AMOUNT PAYABLE $ 0.00
$ 0.00
FINAL AMOUNT PAYABLE
CHARGES
SERVICES DESCRIPTION BEFORE GOVT SUBSIDY ($) AFTER GOVT SUBSIDY ($)
WARD CHARGES WARD (CLASS B1) (4.0 day(s)) 1,312.16 1,020.56
WARD - DISCH (CLASS B1) 164.02 127.57
DAILY TREATMENT DAILY TREATMENT FEE (CLASS B1) (4.0 day(s)) 676.64 545.80
FEE
INVESTIGATIONS LABORATORY INVESTIGATIONS 850.50 730.50
SPECIALISED INVESTIGATIONS 574.50 491.50
CONSUMABLES CONSUMABLES - OT 2,567.08 2,567.08
CONSUMABLES 156.48 156.48
MEDICATIONS DRUGS / PRESCRIPTIONS / INJECTIONS 210.61 210.61
TREATMENT WARD PROCEDURES 284.40 244.00
SERVICES
DOCTORS' FEES PROFESSIONAL FEES - DOCTOR 111.21 95.00
SURGICAL SJ803T-5CM 7,380.25 6,273.30
OPERATION
TOTAL AMOUNT (BEFORE GOVT SUBSIDY) 14,287.85
GOVT SUBSIDY -1,825.45
TOTAL AMOUNT (BEFORE GST) 12,462.40
8% GST 996.99
TOTAL AMOUNT (AFTER GOVT SUBSIDY) 13,459.39
PRINTED ON: 09 MAY 2023 09:50 PM
Changi General Hospital Pte Ltd | [Link] For bill enquiries, please contact us at
2 Simei Street 3 Singapore 529889 | Tel: +65 6788 8833 Tel: +65 6407 8108
Company Registration No. 198904226R | GST Reg No. M90368910N [Link]
TAX INVOICE (Finalised) Page 2 of 2
BILL REF. NO. BILL DATE PATIENT NAME
6923837765I 06 MAY 2023 TONG GEE HORNG
HRN NRIC / FIN / MRN
692023837765I S1385056I
PAYMENT SUMMARY
TOTAL AMOUNT (AFTER GOVT SUBSIDY) 13,459.39
SCHEMES (SCHEME ID) / PAYOR REFERENCE NO. AMOUNT PAYABLE ($)
INTEGRATED SHIELD PLAN
INTEGRATED NTUC INCOME INCOMESHIELD S1385056I 7,111.94
MEDISHIELD LIFE S1385056I 2,751.51
MEDISAVE
TONG GEE HORNG S1385056I 3,595.94
TONG GEE HORNG S1385056I 0.00
TONG GEE HORNG TOTAL AMOUNT PAYABLE 0.00
Net Payment made 0.00
ref:PMI/PMI9NTU/B-AC ENHANCED BASIC
ST: P SN: S1385056I
FINAL AMOUNT PAYABLE $ 0.00
PAYMENT OPTIONS & ADVISORY
Payment Policy
• Credit balance from your bill will be used to offset any other outstanding bills that you may have within the same payment account.
• If no bill number is indicated, the payment received will be used to offset the oldest outstanding bill.
• Please ignore the tax invoice if you have made payment.
View your MediSave & MediShield Life claim details online with your SingPass at [Link].
• Employers and Insurers should reimburse to your cash outlay first, followed by MediSave, then MediShield Life/Integrated Shield Plan.
For Integrated Shield Plan, please reimburse directly to the private insurer. To submit reimbursement, go to [Link] > Employers >
Services MediSave / MediShield Life Reimbursement.
PRINTED ON: 09 MAY 2023 09:50 PM
Changi General Hospital Pte Ltd | [Link] For bill enquiries, please contact us at
2 Simei Street 3 Singapore 529889 | Tel: +65 6788 8833 Tel: +65 6407 8108
Company Registration No. 198904226R | GST Reg No. M90368910N [Link]
