HOUSE_OVERSIGHT_012027.jpg
931 KB
Extraction Summary
1
People
2
Organizations
1
Locations
1
Events
1
Relationships
3
Quotes
Document Information
Type:
Medical receipt / invoice
File Size:
931 KB
Summary
A medical receipt from BNH Hospital in Bangkok, Thailand, dated December 2, 2014, issued to Mr. Jean-Luc Brunel. The total charge was 4,480.00 Thai Baht for medication, medical service charges, and a physician evaluation, paid via credit card. The document places Brunel in Bangkok in late 2014.
People (1)
| Name | Role | Context |
|---|---|---|
| Jean-Luc Brunel | Patient |
Listed as the patient receiving medical services (MR. JEAN-LUC BRUNEL).
|
Organizations (2)
| Name | Type | Context |
|---|---|---|
| BNH Hospital |
Hospital in Bangkok issuing the receipt.
|
|
| House Oversight Committee |
Implied by Bates stamp 'HOUSE_OVERSIGHT'.
|
Timeline (1 events)
2014-12-02
Outpatient medical visit by Jean-Luc Brunel involving physician evaluation and medication.
BNH Hospital, Bangkok, Thailand
Locations (1)
| Location | Context |
|---|---|
|
Location of medical services provided.
|
Relationships (1)
Receipt lists Brunel as patient.
Full Extracted Text
Complete text extracted from the document (1,208 characters)
BNH HOSPITAL
โรงพยาบาลบีเอ็นเอช
SINCE 1898 (Nursing Home Convent)
โรงพยาบาลบีเอ็นเอช
SINCE 1898 (Nursing Home Convent)
แผนกผู้ป่วยนอก / OPD
ใบเสร็จรับเงิน/Receipt
ใบเสร็จรับเงิน/Receipt
ชื่อ / Name: MR. JEAN-LUC BRUNEL
เลขประจำตัวผู้ป่วย / HN: 09-40-010876
เลขที่ใบเสร็จ / Document No: 09-RO14256417
วันที่ / Date: 02/12/2014
เวลา / Time: 1:58PM
เลขประจำตัวผู้ป่วย / HN: 09-40-010876
เลขที่ใบเสร็จ / Document No: 09-RO14256417
วันที่ / Date: 02/12/2014
เวลา / Time: 1:58PM
รายการ / Description | จำนวนเงิน / Amount | ส่วนลด / Discount | คงเหลือ / Net Amount
Drugs and Parenteral Nutrition 1.1.1
Medication 1.1.1 | 3,480.00 | 0.00 | 3,480.00
Medication 1.1.1 | 3,480.00 | 0.00 | 3,480.00
Packaged Medical Charge 1.1.14
Other Medical Service Charges 1.1.14(2) | 200.00 | 0.00 | 200.00
Other Medical Service Charges 1.1.14(2) | 200.00 | 0.00 | 200.00
Physician Evaluation 1.2.1
Physician Evaluation 1.2.1 | 800.00 | 0.00 | 800.00
Physician Evaluation 1.2.1 | 800.00 | 0.00 | 800.00
[STAMP: RECEIVED / 02 DEC 2014 / BY: ....................]
รวมเงิน / Total Amount | 4,480.00 | 0.00 | 4,480.00
**Four thousand four hundred eighty Baht Only **
Credit Card 4,480.00 (Visa/Master)
[Small print disclaimer text in Thai and English regarding returns and receipts]
Patients may return the medicine only if they have experienced adverse reaction to that medication.
Please keep this receipt for reference.
Patients may return the medicine only if they have experienced adverse reaction to that medication.
Please keep this receipt for reference.
[Signature Line]
ผู้รับเงิน/Cashier
ผู้รับเงิน/Cashier
BNH HOSPITAL 9/1 Convent Rd., Silom, Bangkok 10500, Tel. 0-2686-2700 Fax 0-2632-0577-9
www.BNHhospital.com
www.BNHhospital.com
HOUSE_OVERSIGHT_012027
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