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Health Information Management Services (HIMS)
Medical Report Section


Payment Receipt / Tax Invoice

Tel: (65) 6222 33 22
Fax: (65) 6224 92 21
Singapore General Hospital
Outram Road Singapore 169608
www.sgh.com.sg
Reg No: 198703907Z
GST Reg No: M02-0088822-7
Payee's Name:
Date:
Address:
Payment Ref:
Requestor:
Currency:
Patient:
Payment Mode:
NRIC/FIN/HRN:
S/N Request Number Description Unit Price SGD Total Price SGD
Delivery Charge
Sub-Total
%GST
Total Amount Payable
Amount Received
Balance Amount