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Qscan

Qscan provided medical imaging services to Mr. Anderson Ordonez Diaz on April 1st, 2021. The services included preparation of an IMRT dosimetry plan using CT images, which cost $3,417.35. Mr. Diaz paid the full amount by credit card. The invoice showed no outstanding balance.

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Anderson
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165 views1 page

Qscan

Qscan provided medical imaging services to Mr. Anderson Ordonez Diaz on April 1st, 2021. The services included preparation of an IMRT dosimetry plan using CT images, which cost $3,417.35. Mr. Diaz paid the full amount by credit card. The invoice showed no outstanding balance.

Uploaded by

Anderson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Qscan

RADIOLOGY CLINICS
TAX INVOICE

ABN: 35 123 068 002


Qscan
PO Box 222, RBH Post Office Q 4029
Ph 1300 177 222 Date: 01/04/2021
www.qscan.com

Invoice: 731129645
MR ANDERSON ORDONEZ DIAZ
9 Glen Eagles Drive Qscan: Qscan Robina
ROBINA 4226 LSPN:007961

Services for: MR ANDERSON ORDONEZ DIAZ DOB: 15/01/1991


Medicare: -0 Workcover:
DVA: Health Fund:

Refered by: Dr Syed Taqvi Provider No: 2545003W Referal Date: 24/03/2021

Serviced by: Dr Peter Jackson ; Provider No: 443313QF


The services described below are performed in connection with machinery provided by Qscan registered under ABN 35 123 068 002

Date Service Item No. Gap Amount

01/04/2021 Preparation of an IMRT DOSIMETRY PLAN, including CT image 15565 $0.00 $3.417.35
Notes: Excl. GST $3.417.35
GST $0.00
TOTAL $3.417.35
Payment Summary:
Date Type Paid by Amount Amount in this Outstanding
Invoice Amount
01/04/2021 Credit Card $3.417.35 $3.417.35 $0.00

Total payments received for this invoice: $2.015.75

Payment Options Qscan Services Pty Ltd

Mail: Qscan
PO Box 222
Biller Code: 265959 RBH Post Office, Q4029

Ref: 731139645
Call: Patients Accounts OUTSTANDING AMOUNT
07 0357 0971
$0.00

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