Invoice No
CBR-INV-26-000104
Patient
Farah Hossain
Date
2026-07-31
Status
Draft
Charge Lines
| Service | Qty | Unit Price | Tax | Amount |
|---|---|---|---|---|
| Consultation — General Medicine | 1 | $40.00 | $0.00 | $40.00 |
| CBC Test | 1 | $22.00 | $1.50 | $23.50 |
| Amoxicillin 500mg × 15 | 15 | $0.80 | $0.60 | $12.60 |
| Bed Charge — General × 1 day | 1 | $130.00 | $5.40 | $135.40 |
| Gross | $210.00 |
| Discount | −$15.00 |
| Tax | $7.50 |
| Net | $202.50 |
| Patient Share | $202.50 |
| Insurer Share | $0.00 |