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> Bill Enquiry
Inpatient & Outpatient Bill Enquiry
All fields marked with
are required
Name of Enquirer :
NRIC of Enquirer :
Relationship to Patient :
Address :
Email :
Telephone/Handphone :
Fax:
Name of Patient :
Patient's NRIC/BC
Type of Bill :
Hospitalisation Bill
i. Case No.
ii. Case No.
iii. Case No.
Outpatient Bill
i. Tax Invoice No.
ii. Tax Invoice No.
iii. Tax Invoice No.
Question/Comment :