Bupa Medical Visa Services
ABN: 50 003 098 655
33 Exhibition St, Melbourne, VIC, 3000
P: 1300 794 919
E: enquiries@bupamvs.com.au
TAX INVOICE 4631257
Date: 3 Sep 2024 11:56
Customer Details Service Centre
Brian Baxter Sydney
HAPID: 38597479 Sydney Bupa Centre
11 Goodlet Street, Level 1,
Surrey Hills, 35 Clarence Street
NSW 2010 Sydney
UNIT PRICE: TOTAL:
DESCRIPTION: QTY:
(EX TAX) (INC TAX)
A003 (for Brian Baxter 38597479)
1 $329.27 $362.20
Medical Examination (501), Chest XRay (502)
A005 (for Brian Baxter 38597479)
1 $51.18 $56.30
HIV Blood Test (707) with Medical Exam
A011 (for Brian Baxter 38597479)
1 $1.96 $2.16
Credit Card Surcharge (0.495%)
A037 (for Brian Baxter 38597479)
1 $17.09 $18.80
Serum Creatinine and eGFR (705)
A003 (for Typhaine Martin 38597480)
1 $329.27 $362.20
Medical Examination (501), Chest XRay (502)
A005 (for Typhaine Martin 38597480)
1 $51.18 $56.30
HIV Blood Test (707) with Medical Exam
A011 (for Typhaine Martin 38597480)
1 $1.96 $2.16
Credit Card Surcharge (0.495%)
A037 (for Typhaine Martin 38597480)
1 $17.09 $18.80
Serum Creatinine and eGFR (705)
A002 (for Jack Baxter 38597481)
1 $237.64 $261.40
Medical Examination (501)
A011 (for Jack Baxter 38597481)
1 $1.17 $1.29
Credit Card Surcharge (0.495%)
A002 (for Liam Baxter 38597482)
1 $237.64 $261.40
Medical Examination (501)
A011 (for Liam Baxter 38597482)
1 $1.17 $1.29
Credit Card Surcharge (0.495%)
TOTAL ITEMS: 12 GRAND TOTAL: $1,404.30
TOTAL GST: $127.68
TOTAL PAID: $1,404.30
BALANCE DUE: $0.00
PAYMENTS:
Date Status Payment Amount Order Amount Surcharge
3/09/2024 11:53:22 AM Paid $1404.30 $439.46 $6.90
