List of Outpatients Requesting Payment




Appendix 2.2: Receipt



Appendix 2.3: List of outpatients requesting payment



Appendix 2.4. Application form for medical examination upon request



Appendix 2.5. Receipt for medical examination upon request



Appendix 2.6: Cash book


Unit: Hanoi Dermatology HospitalModel number: S11-H

(Issued under Circular No.

QHNS Code: 1059048

107/2017/TT-BTC

October 10, 2017 of the Ministry of Finance)


CASH BOOK

2021

Account: 1111 - Vietnamese currency

Date

record

Date of document

Document number


Interpretation

Amount

Note

Collect

Spend

Existing

A

B

C

D

1

2

3

E




Beginning balance of January



367571225


04/01/2021

04/01/2021

PT0001

Collect money from hospital pharmacy daily

01/01/2021

25215746


392786971


04/01/2021

04/01/2021

PT0002

Collect money from hospital pharmacy daily

02/01/2021

79451272


472238243


04/01/2021

04/01/2021

PT0003

Collect money from hospital pharmacy daily

03/01/2021

65956893


538195136


04/01/2021

04/01/2021

PT0004

Collect medical examination fee on January 4, 2021

69000


538264136


04/01/2021

04/01/2021

PT0005

Collect examination fee according to CKI's request daily

04/01/2021

10000000


548264136


Maybe you are interested!


04/01/2021

04/01/2021

PT0006

Collect examination fee according to CKII request on day

04/01/2021

9000000


557264136


04/01/2021

04/01/2021

PT0007

Collect examination fee according to doctor's request

04/01/2021

12400000


569664136


04/01/2021

04/01/2021

PT0008

Collect examination fee upon request Associate Professor date

04/01/2021

3750000


573414136


04/01/2021

04/01/2021

PT0009

Collect examination fee upon appointment request over the phone

January 4, 2021

200000


573614136


04/01/2021

04/01/2021

PT0010

Collect medical service fees on January 4, 2021

83983000


657597136


04/01/2021

04/01/2021

PT0011

Collect money from hospital pharmacy daily

04/01/2021

177363543


834960679


04/01/2021

04/01/2021

PC001

Support for leprosy patients in Quoc Oai on the occasion of

New Year 2021


6300000

828660679


04/01/2021

04/01/2021

PC002

Support living expenses for inpatients

Staying at the facility for 3 months 01/2021


31500000

797160679


05/01/2021

05/01/2021

PT0012

Collect medical examination fee on January 5, 2021

207000


797367679


05/01/2021

05/01/2021

PT0013

Collect examination fee according to CKI's request daily

05/01/2021

8000000


805367679


05/01/2021

05/01/2021

PT0014

Collect examination fee according to CKII request on day

05/01/2021

12150000


817517679


05/01/2021

05/01/2021

PT0015

Collect examination fee according to doctor's request

05/01/2021

7800000


825317679


05/01/2021

05/01/2021

PT0016

Collect examination fee upon request Associate Professor date

05/01/2021

4750000


830067679


05/01/2021

05/01/2021

PT0017

Collect medical service fees on January 5, 2021

80038000


910105679


05/01/2021

05/01/2021

PT0018

Collect money from hospital pharmacy daily

05/01/2021

162056947


1072162626


06/01/2021

06/01/2021

PT0019

Collect medical examination fee on January 6, 2021

34500


12197126



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