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SERVICEID

159459
157001
157122
157123
157124
157127
157128
157135
157137
157139
159277
157112
157113
157114
157117
158101
159002
159041
159043
159051
159052
159053
159054
159056
159057
159058
159059
163622
163623
163624
163625
163626
163627
163631
164091
100550
159460
163340
163342
163344
163346
163349
163353
163356
163357
163358

EFFECTIVEDTTM
STANDARDCHARGE
1-Jan-13
400
1-Jan-13
360
1-Jan-13
240
1-Jan-13
140
1-Jan-13
30
1-Jan-13
2490
1-Jan-13
270
1-Jan-13
60
1-Jan-13
50
1-Jan-13
180
1-Jan-13
240
1-Jan-13
120
1-Jan-13
39
1-Jan-13
180
1-Jan-13
440
1-Jan-13
0
1-Jan-13
140
1-Jan-13
850
1-Jan-13
630
1-Jan-13
1210
1-Jan-13
300
1-Jan-13
3020
1-Jan-13
900
1-Jan-13
2420
1-Jan-13
4230
1-Jan-13
1450
1-Jan-13
3630
1-Jan-13
3000
1-Jan-13
1820
1-Jan-13
810
1-Jan-13
4070
1-Jan-13
970
1-Jan-13
3420
1-Jan-13
3420
1-Jan-13
2508
1-Jan-13
0
1-Jan-13
1510
1-Jan-13
700
1-Jan-13
2890
1-Jan-13
120
1-Jan-13
920
1-Jan-13
1190
1-Jan-13
1880
1-Jan-13
100
1-Jan-13
1080
1-Jan-13
860

THIRDPARTYOLDCHARGE
330
330
330
200
70
900
361
100
145
240
600
160
55
250
590
0
120
700
520
1000
250
2500
750
3500
1200
3000
1050
550
275
350
350
1325
650
1800
0
1250
310
1000
20
620
600
50
300
350

163361
163379
163380
163403
163404
163405
163406
163410
163416
163417
163501
163502
163503
163505
163506
163507
163508
163509
163511
163512
163513
163515
163516
163521
163551
163552
163553
163554
163560
163561
163577
163578
163579
163580
163581
163584
163585
163635
163637
163639
163644
163645
163646
163648
163649
163651
163652

1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13
1-Jan-13

3540
160
160
460
640
510
510
330
800
800
570
680
550
770
810
780
860
810
1770
880
1670
460
1500
7020
440
420
420
910
640
640
810
910
910
1230
970
38
570
2150
1720
1610
260
220
510
390
970
830
3700

1250
75
75
220
175
175
175
175
500
500
300
300
310
375
355
355
355
380
550
380
500
300
550
2500
150
150
150
360
220
220
280
300
310
455
280
23
310
650
565
550
100
75
150
150
365
750
1600

163656
163658
163659
163907
163914
163915
163917
164003
164005
164052
164054
164057
164058
164068
164388
164389
164391
164395
164396
164702
164703
165009
165010
165012
164106
164113
164114
164153
164154
164155
164161
164202
164207
164226
164375
164377
164378
164379
163602
163604
163606
163611
163612
163613
163614
163615
163616

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

65
2890
2070
660
330
1620
910
160
1340
120
300
50
90
970
1080
200
480
550
1870
880
880
1290
910
1080
120
590
700
720
720
790
970
40
260
120
550
480
1080
510
1980
1830
860
1450
310
1830
910
1030
1030

65
2500
1350
160
95
530
310
50
425
30
410
40
30
0
300
50
150
150
750
360
400
250
200
200
20
400
600
650
650
720
880
70
110
35
225
155
450
200
550
550
275
500
90
575
355
355
350

163617
1300
1303
2300
100350
100401
100402
100450
100501
100101
100102
100150
100201
100202
100250
100301
100302
100310
600800
50
162997
163001
163002
163003
163004
163011
999991
162007
233052
163012
163014
163015
163016
163017
163018
163020
100502
159461
159462
159558
159559
159560
159998
162006
162008
162010
162012

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-06
1-Jan-91
1-Jan-06
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

700
4950
970
4950
0
240
210
0
240
240
210
0
240
210
0
240
210
0
0
0
550
240
240
290
260
200
11
180
7140
220
220
330
260
240
360
260
210
670
2180
910
400
140
430
130
220
440
150

275
4500
880
4500
0
130
130
0
130
130
130
0
130
130
0
130
130
0
0
240
75
75
90
105
75
7
40
2780
110
80
120
100
100
120
95
130
550
1800
750
325
120
350
40
50
150
60

162013
162072
162201
162210
162211
162212
162222
162223
162224
162259
162260
162261
162262
162263
162265
162230
162266
162267
162270
162271
162426
162437
162438
162902
163021
163332
163333
163337
163054
163055
163056
163057
163058
163059
163074
163076
163077
163078
163081
163082
163087
163089
163114
163141
163202
163203
163206

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

310
130
240
2460
220
160
970
760
700
1120
910
1080
1080
1080
12410
260
5350
1340
2370
2210
860
130
1220
130
480
1080
1784
850
310
260
550
590
770
970
440
390
330
810
220
260
860
810
290
260
860
240
550

250
40
110
450
50
50
325
380
275
290
350
350
350
350
3805
125
1955
600
1000
1000
285
40
600
160
150
545
910
320
120
120
200
165
200
300
300
125
110
320
75
70
275
300
260
240
350
50
225

163306
163308
163309
163311
163315
163316
163025
163026
163027
163029
163050
163051
163060
163063
163069
163075
163022
163095
163098
163099
163100
163209
163220
163224
163225
163226
163227
163228
163233
163234
163241
163243
163244
163246
163248
163253
163301
163303
163304
163305
163317
163319
163323
163327
163328
163329
163330

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

300
260
330
1120
910
1080
770
860
860
640
1650
80
810
810
1010
1450
300
1830
1770
860
910
330
1080
1080
1770
700
700
1100
1290
510
660
1950
2150
390
330
610
910
260
260
260
330
330
860
810
80
1080
1290

95
95
80
275
360
370
310
310
310
250
350
110
300
250
720
95
1000
500
555
110
300
300
550
310
310
310
400
175
310
660
675
95
95
500
235
95
95
95
50
95
375
280
30
300
610

162005
162251
162256
162257
162258
162401
162415
163008
101820
103001
151001
152080
100601
100602
100610
100650
100701
100702
100750
100800
100801
100802
100850
101001
101002
101050
101101
101102
101150
101201
101202
101250
166050
166052
166055
166058
166100
167001
167002
167003
167004
165015
165020
165022
165025
165102
165103

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-06
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

140
860
580
1080
720
330
1080
180
0
360
7260
230
240
210
0
0
240
210
0
0
240
210
0
240
210
0
240
160
0
240
210
0
450
310
760
330
550
4820
2680
13110
12510
1410
170
1120
550
1410
2680

40
250
225
350
265
120
420
40
0
330
190
130
130
0
0
130
130
0
0
110
110
0
130
130
0
130
130
0
130
130
0
360
100
175
125
110
6000
6000
6000
6000
330
225
355
60
740
870

165105
165110
165112
165147
165148
165200
171001
171002
171003
171004
171005
171006
171007
171008
171009
171010
171011
171012
171013
171014
171015
171016
171017
171018
171019
171020
171021
171022
171023
171024
171025
171026
171027
171028
171029
171030
171031
171032
171033
171034
171035
171036
171037
167008
167013
167019
167021

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

4000
5680
1500
810
4010
280
9530
10800
10800
10160
12700
12070
15890
12700
10160
12700
10160
12700
9530
12700
9530
10160
12700
9530
12700
9530
12700
10790
10790
13970
12700
10790
9520
9520
1900
10790
10160
3810
11430
10160
10160
9530
310
3750
3750
1610
4820

1400
2000
200
230
2300
275
7500
8500
8500
8000
10000
9500
12500
10000
8000
10000
8000
10000
7500
10000
7500
8000
10000
7500
10000
7500
10000
8500
8500
11000
8500
8500
7500
7500
1500
8500
8000
3000
9000
8000
8000
7500
250
6000
6000
6000
6000

167023
167026
167031
173110
173112
173152
173154
173156
173157
173158
173200
173251
173252
171038
171039
171040
171041
171042
171043
171044
171045
171046
171047
171048
171049
171050
171051
171052
171053
171054
171055
171056
171057
171058
171059
171060
171061
171062
171063
171159
171160
171161
171162
171163
173001
173002
173003

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

3180
11760
2150
380
420
430
420
470
380
350
2990
350
690
11430
12060
10160
15880
10160
10790
10160
6350
9520
3810
10160
9520
9520
9520
9520
9520
9520
9520
10160
9520
9520
15620
9530
3310
580
756
18770
11260
4290
740
980
1040
1040
500

2500
7000
2000
280
300
430
370
415
500
1700
2140
250
500
9000
9500
8000
12500
8000
8500
8000
5000
7500
3000
8000
7500
7500
7500
7500
7500
7500
7500
8000
7500
7500
12500
7500
2860
500
650
16250
9750
3720
650
850
740
740
370

173004
173005
173054
173055
173057
173007
173008
173009
173011
173012
173014
173016
173060
173100
173101
173102
173103
173104
173105
173106
173107
173108
173551
173552
173553
173554
173556
173558
173559
173563
173564
173575
173253
173254
173255
173256
173257
173258
173259
173260
173261
173263
173264
173265
173301
173304
173350

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

500
1040
950
350
230
790
380
600
300
280
470
500
380
350
690
510
860
780
350
960
780
730
3240
2120
2120
3590
3950
3020
2120
2120
3160
740
780
870
780
870
960
690
530
380
380
310
970
1150
440
570
350

190
740
670
340
500
560
270
330
390
370
170
400
250
500
370
560
560
240
680
560
530
550
1080
1520
2570
1550
2170
1520
1500
2260
530
560
620
560
620
680
500
370

180
690
820
310
410
240

173351
173352
173401
173402
173404
173406
173407
173408
173409
173410
173718
173719
173795
173585
173651
173654
173661
173665
173669
173675
173677
173678
173685
173686
174501
174502
174503
174504
174600
174601
174602
174603
174605
174607
173912
173913
173914
174001
174002
174010
174011
174026
174027
174030
174035
174040
174041

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

690
610
1220
600
1210
550
870
430
940
470
6450
2120
920
350
2280
2120
1110
8130
2160
2500
1660
2120
2120
1020
6990
6990
5200
6990
8260
8260
5200
8260
7510
7430
420
420
490
4320
2540
6050
3820
3820
6050
6050
3820
4320
3820

500
430
870
430
870
500
620
300
680
340
4530
900
800
250
1630
1350
790
5820
1550
1780
850
1130
730
4500
4500
4500
3950
4950
4950
4950
4345
6500
6435
300
330
429
3090
3150
4330
4000
3500
4330
4330
5000
3090
320

174042
174043
174044
174046
174051
174062
174065
174068
174069
174071
174073
174075
174076
174077
174078
174079
174080
174081
174082
174083
174084
175090
175093
175201
175202
175203
175204
175205
175207
175209
175210
175212
175213
175214
175215
175216
175217
177002
177003
177004
177005
177010
177011
177012
177015
177017
177018

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

250
500
1010
2010
4330
6050
3820
1730
1020
3470
10940
5750
3820
3390
5500
5750
6050
3390
4320
3390
3820
640
460
630
1020
630
1520
1150
1040
920
1350
1350
920
1390
580
190
380
690
430
860
620
350
1220
550
2470
1360
790

180
720
1440
360
3750
4330
4500
1240
730
3600
4000
4120
4500
1200
2000
4000
4330
3700
3090
4500
15000
500
400
500
800
300
1200
900
900
800
1170
1170
800
1200
500
160
330
500
300
620
440
250
870
430
1770
1300
400

177020
177021
177022
174608
174609
174610
174612
175002
175003
175004
175005
175007
175008
175009
175010
175011
175012
175013
175014
175016
175017
175023
175025
175027
175028
175029
175030
175031
175033
175043
175051
175072
175074
175076
175077
175080
175082
175084
188001
188002
188004
191005
201202
201250
201401
201402
201450

1-Jan-12
1-Sep-12
1-Sep-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jul-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

3020
2620
1050
7430
7430
6520
9760
1000
350
870
3450
500
620
620
1660
730
880
450
350
350
430
470
1140
430
680
1010
460
730
430
720
500
1150
230
1750
690
350
1390
680
360
230
600
40
210
0
240
210
0

1250
2500
1000
6435
6435
5649
8450
700
175
620
2480
550
440
440
1190
520
630
330
800
550
140
340
900
220
720
400
520
1550
520
370
550
200
1500
500
1200
590
200
150
500
20
130
0
130
130
0

201500
201501
201502
201540
201550
201600
201601
201602
201640
201650
201700
201900
202000
200500
200501
200502
200550
200600
200800
200801
200802
200850
201000
201001
201002
201050
201100
201101
201102
201150
201200
201201
204802
204850
204900
204901
204902
204950
205000
205001
205100
205101
205102
205150
205501
205502
205700

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

0
240
0
0
0
0
240
210
0
0
2420
0
0
0
240
210
0
0
0
240
210
0
0
240
150
0
0
240
210
0
0
240
210
0
0
240
210
0
0
240
0
240
210
0
240
210
0

0
130
0
0
0
0
130
130
0
0
2000
0
0
0
130
130
0
0
0
130
130
0
0
130
130
0
0
130
130
0
0
200
130
0
0
130
130
0
0
0
0
0
0
1
1
1

205701
205702
204401
204402
204450
204500
204501
204502
205750
205801
205802
206000
206001
206002
206100
206102
206150
206200
206201
206202
202200
202300
202600
202601
202602
202650
202900
203100
203101
203102
203150
203200
203201
203202
203250
203500
203501
203502
203550
203600
203601
203602
203640
203650
203700
203800
203801

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

240
210
240
150
0
0
240
150
0
240
190
0
210
0
240
210
0
0
240
210
0
240
0
240
210
0
0
0
240
150
0
0
240
210
0
0
240
210
0
0
240
150
0
0
120
0
240

1
1
130
130
0
0
130
130
1
1
1
1
1
0
1
1
0
0
130
130
0
1000
0
150
130
0
0
0
130
130
0
0
130
130
0
0
170
130
0
0
130
130
0
0
100
0
130

203802
203840
203850
203900
203901
203902
203950
204000
204001
204002
204050
204100
204101
204102
204140
204150
204200
204201
204250
204301
204400
204800
204801
206400
206401
206402
210101
210102
210103
210104
219103
219104
219106
219107
219108
219109
233060
233061
233062
233063
233064
233065
233066
233067
233068
233069
233070

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

150
0
0
0
240
150
0
0
240
210
0
0
240
150
0
0
0
240
0
240
0
0
240
0
240
0
0
0
910
0
910
0
0
0
0
840
12040
12040
12040
12040
12040
12040
12040
12040
12040
12040
12040

130
0
0
0
130
130
0
0
130
130
0
0
130
130
0
0
0
130
0
130
0
0
130
0
0
0

830
0
830
0
0
0
0
760
7470
7470
7470
7470
7470
7470
7470
7470
7470
7470
7470

233071
233072
233073
232058
233050
233051
233053
233054
233055
233056
233057
233058
233059
234009
236101
233201
233202
233203
233204
233205
233206
233309
233401
233402
233403
233405
234001
234002
237103
237104
237105
237106
237107
237108
237109
237110
237112
237113
237114
239005
290004
290005
290006
400101
400102
333101
401750

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
4-Jun-05
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

12040
12040
12040
0
1980
4070
7140
7140
12040
12040
12040
10940
12040
220
0
2610
5360
7030
7030
7030
7030
130
3740
3740
7450
7450
720
1030
910
2050
890
2200
840
1640
1760
4390
450
1420
1640
70
9970
12340
3810
240
210
0
0

7470
8500
8500
0
1490
2780
4430
4430
7470
7470
7470
7470
7470
190
610
1310
1570
1770
1790
1790
110
3090
3090
6150
6150
480
640
830
1860
810
2000
760
1490
1600
3990
410
1290
1490
66
5500
6500
2000
130
130
0

402002
402050
402102
402150
401201
401250
401301
401302
500101
500102
500150
600100
600101
600102
400150
400201
400202
400250
400301
400302
400350
400401
400402
400450
400502
400550
400601
400602
400650
400801
400802
400850
400901
400902
401202
401350
401401
401402
401450
401501
401502
401550
401601
401602
401650
401701
401702

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

210
0
210
0
240
0
240
150
240
210
0
0
240
240
0
240
210
0
240
240
0
240
210
0
210
0
240
150
0
240
210
0
240
120
210
0
240
150
0
130
130
0
240
150
0
240
210

130
0
130
0
130
0
130
130
130
130
0
0
130
130
0
130
130
0
130
130
0
130
130
0
130
0
130
130
0
130
130
0
110
100
130
0
130
130
0
110
110
0
130
130
0
130
130

601905
601950
602000
602001
602002
602005
602050
602100
602101
602102
602105
602150
602200
602201
602202
602205
602250
602300
602301
602302
602305
600105
600150
600200
600201
600202
600205
600250
600300
600301
600302
600305
600350
600400
600401
600402
600405
600450
600500
600501
600502
600505
600550
600600
600601
600602
600605

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

0
0
0
240
150
0
0
0
240
130
0
0
0
240
150
0
0
0
240
150
0
0
0
0
240
210
0
0
0
240
150
0
0
0
240
150
0
0
0
240
210
0
0
0
240
150
0

0
0
130
130
0
0
0
130
110
0
0
0
130
130
0
0
0
130
130
0
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0

600650
600700
600702
601000
601001
601002
601005
601050
601101
601102
601200
601202
601300
601301
601302
601305
601350
601400
601401
601402
601405
601450
601500
601501
601502
601505
601550
601700
601701
601702
601705
601750
601800
601801
601802
601805
601850
601900
601901
601902
164001
219101
205601
205602
164152
210800
210805

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

0
0
150
0
240
150
0
0
240
150
0
150
0
240
150
0
0
0
240
150
0
0
0
240
150
0
0
0
240
150
0
0
0
240
150
0
0
0
240
240
750
0
240
210
720
0
0

0
0
130
0
130
130
0
0
130
130
0
130
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
680

650
0
0

210802
602350
602400
602401
602402
602405
602450
602500
602501
602502
602505
602550
602600
602601
602602
602605
602650
602700
602701
602702
602705
602750
602800
602801
602802
602805
602850
602900
602901
602902
602905
602950
999986
999993
999994
168045
152144
603005
163117
165178
603105
603102
100900
100902
158100
163013
175021

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-06

210
0
0
240
150
0
0
0
240
150
0
0
0
150
150
0
0
0
0
150
0
0
0
240
150
0
0
0
240
150
0
0
16
10
16
360
6050
0
280
2510
360
360
240
360
5960
190
320

130
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
0
130
0
0
0
130
130
0
0
0
130
130
0
0
7
10
7

0
250
2280
130
130
300
300
80
450

402101
163009
163010
163019
163350
999992
166053
402001
237101
205901
162103
206101
164901
164051
162901
163023
163636
162011
163005
500301
500302
500303
157084
157085
400073
400074
157106
157107
157100
157105
157104
210801
165108
603000
603002
163131
152117
603101
603100
603200
603201
603202
603203
100901
206500
206801
206502

1-Jan-06
1-Jan-06
1-Jan-06
1-Jan-06
1-Jan-91

1-Jan-12
1-Jan-12
1-Jul-12

1-Jan-06
1-Jan-06
1-Jan-06
1-Jan-06
1-Jun-12
1-Jun-12
1-Jun-12
1-Jul-12
1-Jul-12
25-Jul-12
25-Jul-12
1-Jul-12
1-Jul-12
1-Jul-12
1-Aug-12
1-Jul-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12

240
180
180
280
580
10
66
240
0
240
1300
240
190
180
500
150
300
240
240
240
210
90
0
0
360
360
0
0
0
0
0
240
1930
0
0
550
290
240
0
0
360
0
240
210
0
240
240

130
40
40
95
215
7
100
130

1180
1
26
50
160
75
110
50
75
220
190
80
0
0
300
300
0
0
0
0
0
130
0
0
500
240
0
0
0
170
0
170
300
0
200
170

206550
206501
4
210850
205902
205950
162065
152143
189001
163331
164002
177006
400075
163062
164001
175006
163345
166010
311
163006
175079
157191
157193
157087
210105
239007
239008
239009
171166
239014
239015
239018
239019
157190
157192
157086
237102
237111
237115
237116
237117
237118
219105
239006
239010
171164
171165

1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-06

1-Jan-06

1-Jan-06
1-Jan-99
1-Jan-05
1-Jan-06
1-Aug-12
1-Aug-12
2-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Sep-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Aug-12
1-Aug-12
2-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Aug-12
1-Sep-12
1-Sep-12

0
240
3410
0
210
0
740
2420
360
810
880
330
400
480
630
2080
600
1540
3950
260
970
0
0
0
450
100
40
80
4290
50
50
50
50
0
0
0
1700
1640
680
810
770
680
450
90
55
4290
4290

0
170
3100
0
130
0

200
380
320
70
250
150
300
1520
250
1030
2450
75
2220
0
0
0
410
90
40
70
3900
48
48
50
50
0
0
0
1550
1490
620
740
700
620
410
80
51
3900
3900

171167
239011
239012
239013
239016
173305
162213
162001
177016
100
162004
999900
999999
175001
400501
1200
220101
163007
162214

1-Sep-12
1-Jan-12
1-Jan-12
1-Jan-12
1-Apr-12
1-Jan-06
1-Jan-06
1-Jan-05
1-Jan-06
6-Apr-97
1-Jan-10

1-Jan-05
1-Jan-06
1-Jan-06

4290
50
50
50
50
210
320
150
2020
970
140
0
0
390
240
970
0
180
440

3900
48
50
48
48
150
100
40
1000
600
40
0
0
175
130
600
40
195

THIRDPARTYSTANDARDCHARGE
360
330
0
0
0
2260
0
0
0
0
220
0
0
0
0
0
130
770
570
1100
270
2750
820
2200
3850
1320
3300
3000
1820
810
4070
970
3420
3420
2508
0
1370
700
2890
120
920
1190
1880
100
1080
860

DESCRIPTION
TOOTH EXTRACTION SIMPLE (LOCAL)
EMERGENCY-FIRST VISIT.
FOLEYS CATHERIZATION PAEDS
V. NABULIZAR ADULT
V.NABULIZER PAEDS
NASOGASTRIC TUBE INSER. ADULT
NASOGASTRIC TUBE INS PAEDS
INTRA MUSCULAR INTRADERMAL INJECTION
SUCTIONING
REFLOCHECK
PYOGEMIC GRANULOMA
I/V MEDICATION WITHOUT BURRITTE
IV INJECTION
I.N INJECTION
ECG
MED SURG SUPPLIES : CC
SINGLE RADIOGRAPHY
TEMPORARY RESTORATION (PRIMARY)
TEMPORARY RESTORATION
SCALING ONE VISIT TREATMENT
SCALING MORE THAN ONE VIS.(PER VIS)
SCALING ONE VISIT TREATMENT (EXP/NGO)
SCALLING MORE THAN ONE VISIT
ROOT CANAL TREATMENT
ROOT CANAL TREATMENT (EXP/NGO)
DENTAL FILLING
DENTAL FILLING (EXP/NGO)
CYCLOSPORINE
ACTH
TOXOPLASMA IGM
CMV-IGM
HERPES IGM
TORCH
CALCITONIN
H.PYLORI ANTIGEN
SPECIAL PROCEDURE DR.HARAM ZIAYEE
TOOTH EXTRACTION SIMPLE (EX/NGO)
U.OPIATES
ENA PROFILE
BFPH
SMA6
CA-15-3
C-PEPTIDE
HOMOGENTISIC ACID
CALCULI URETER
FREE T3

3540
160
160
460
640
510
510
330
800
800
570
680
550
770
810
780
860
810
1770
880
1670
460
1500
7020
440
420
420
910
640
640
810
910
910
1230
970
38
570
2150
1720
1610
260
220
510
390
970
830
3700

ERYTHROPOIETIN (EPO)
ALBUMIN
PROTEIN
HEAMOGLOBIN
CSF D/R
PLEURAL FLUID DR (PLEURAL)
ASCITIC FLUID (ASCITIC)
KNEE JOINT FLUID (KNEEJFLUID)
SMALL + TGA
SMALL + TGG
T3
T4
TSH
CORTISOL
PROLACTIN
LH
FSH
PROGESTERONE
ALDOSTERONE
TESTOSTERONE
INSULIN FASTING
OESTRIOL
GASTRIN
HIVWB
IgA
IgM
IgG
IgE
C3
C4
SERUM FERRITIN
FOLATE
VIT B12
PARATHORMONE
OXALAT
GLUCOMETER BLOOD SUGAR/STRIPS
DILANTIN LEVEL/PHENTOIN
CA-125
ACE
URALDO
NTBG
NTB
BODY FLUID AMYLASE
URMAG
GROWTH HARMONE (GH)
GULTEN IGA
ANCA

65
2890
2070
660
330
1620
910
160
1340
120
300
50
90
970
1080
200
480
550
1870
880
880
1290
910
1080
120
590
700
720
720
790
970
40
260
120
550
480
1080
510
1980
1830
860
1450
310
1830
910
1030
1030

CSF CHOLORIDE
IGF-1
CA19-9
SERUM ELECTROLYTES
UR PROT.
AFPS
FOLIC ACID
GRAIN-STAIN (G.S)
WATER CULTURE (H2OC)
FAECES(OCCULT BLOOD)
AFB CULTURE & SENSITIVITY
STOOL REDUCING SUBSTANCE (STOORS)
FAECES(OCCULT BLOOD)
TYPHI DOT (STD)
ECHINOCOCCUS ANTIBODY
MANTOUX TEST
ANTI HB-E ANTIGEN
INFECTIOUS MONO (INFEM)
LATEX PARTICLE AGGLUTINAT LPA
FC
TPHA
EFFUSION
URINE
SPINAL FLUID
URINE BILE SALTS (URINBP)
ICT MALATIA
LKM-1
CULTURE & SENSITIVITY SPUTUM
SALMONELLA TYPHI IGG AND IGM
CS (CULTURE AND SENSITIVITY)
TD
FOR AFB SMEAR
FUNGUS SMEAR (FS)
URIN BILI PIGMENT
ANTISTREPTOLYSIN 'O'
VDRL NON REACTIVE
FLOURESCENT TREPENENAR ABS.
TYPHOID AND PARATYPHOID SEROLOGY
ANDROSTENEDIONE (ANDRO)
RENIN (REN)
CERULOPLASMIN (CERULPO)
D.H.E.A.
G.C.T.
C.E.A.
B.H.C.G.
ESTROGEN
RUBELLA ANTIBODIES

700
4500
880
4500
0
190
190
0
190
190
190
0
190
190
0
190
190
0
0
0
550
240
240
290
260
200
10
180
3058
220
220
330
260
240
360
260
190
610
1980
830
360
130
390
130
220
440
150

THYROID ANTIBODIES
BED CHG:PRIVATE-1
BED: CHARGES PRIVATE PR/WARD RATE
BED CHG:PRIVATE
SPECIAL PROCEDURE DR ABDUL KAFI
ATTENDING VISIT DR.MEHERAFZOON AMIRI
SPECIAL CONSULTANCY DR MEHERAFZOON AMIRI
SPECIAL PROCEDURE DR MEHERAFZOON AMIRI
DR.HARAM ZIAYEE ATTENDING VISIT
ATTENDING VISIT DR SALEH AHMED ZAI
SPECIAL CONSULTANCY DR. SALEH AHMED ZAI
SPECIAL PROCEDURE DR. SALEH AHMED ZAI
ATTENDING VISIT DR NOOR REHMAN
SPECIAL CONSULTANCY DR NOOR REHMAN
SPECIAL PROCEDURE DR NOOR REHMAN
ATTENDING VISIT DR ABDUL KAFI
SPECIAL CONSULTANCY DR ABDUL KAFI
ENDOSCOPY CHARGES DR ABDUL KAFI
ANESTHESIEST FEES DR ABDUL SABOOR
PAEDS SUR PACKAGE (PROFITT/LOSS)
CBC ESR PLATELETS
GLUCOSE FASTING
GLUCOSE RANDOM
CHOLESTRAL
TRIGLYSERIDES
BILIRUBIN
SYRINGES & NEEDLES (ICU-1)
PLATELETS
OR CHARGE (15-30 MINS)
is equal to -GT
ALKALINE PHOSPHATE
TOTAL PROTEIN AND A\G RATIO
SGOT
LDH
CPK
PHOSPHORUS
SPECIAL CONSULTANCY DR.HARAM ZIAYEE
COMPLEX TOOTH EXTRACTION
TOOTH EXTRACTION (COMPLEX)
DENTAL TREATMENT GINGUAL DISEASE (NGO)
DENTAL TREATMENT GINGUAL DISEASE (NGO)
DENTAL TREATMENT GINGUAL DISEASE
DENTAL TREATMENT GINGIVAL DISEASE
ESR
RETICULOCYTES
OSMOTIC FRAGILITY
RBC MORPHOLOGY

310
130
240
2460
220
160
970
760
700
1120
910
1080
1080
1080
12410
260
5350
1340
2370
2210
860
130
1220
130
480
1080
1784
850
310
260
550
590
770
970
440
390
330
810
220
260
860
810
290
260
860
240
550

GLU.6 P.D.
BI
TEST FOR RHEUMATOID ARTHRITES
BONE TREPHINES
BLEEDING TIME
WHOLE BLOOD CLOTTING TIME
HAEMOGLOBIN ELECTROPHORESIS
MIXING TEST
R.A FACTER WITH TITER
HEP.B SURFACE ANTIBODY (ESPSAB)
HEP.B CORE IGG (COREG)
HEP.B CORE IGG (COREM)
HEP. BE ANTIGEN
HEP.B ANTIBODY (HBEAB)
HEPATITIS PROFILE (HP)
FACTOR VIII (FACT8)
HEPATITIS B. PROFILE (HBP)
HEPATITS C
PROTIEN - C
PROTIEN - S
GLYKO HEMOHLOBIN
ABEO
H.E.P. E. VIRUS
"HBHCT,WBC,RBC,DLC"
AMYLASE
Lipid Profile (Lipid)
THROID PROFILE (THYP)
CARDIAC ENZ. PROFILE (CEP)
HDL
LDL
LIPASE
ACID PHOSPHATE
ALDOLASE
CLOLINESRTERASE
MICRO ALBUMIM
IRON
TIBC
URCIT
TP
BFLDH
AIAT
PROTEL
CHOLESTROL
URINE DETAIL
G.T.T
CYSTINE
OSMOS

300
260
330
1120
910
1080
770
860
860
640
1650
80
810
810
1010
1450
300
1830
1770
860
910
330
1080
1080
1770
700
700
1100
1290
510
660
1950
2150
390
330
610
910
260
260
260
330
330
860
810
80
1080
1290

URIC ACID
PHOSPHORUS
PROTEIN
17 KETO STEROIDS
VANIL MANDELIC ACID
ANTI DNA
ALCOHAL
AMPHETAMINE
COCAINE
FEP
BLOOD LEAD LEVEL (PB)
TOTAL LIPIDS
CPK-MBESRTERASE
COPPER
C M V I G G (CMVG)
PSA
URIC ACID
BETA-2 MICROGLOBULIN
25-OH VITAMIN D
TROP-I
HELICOBACTER
PREGNANCY TEST
ANALYSIS OF CALCULI
CALCULI GALL (CALCG)
17 OH PROGESTERONE
U.BARBITURATES (BARB)
U.BENZODIAZEPINES
CANNABIANOIDS
IMMUNOGLOBINS
LITHIUM
VALPORATE LEVEL
ICAIGG
ICAIGM
SPOT URINE CALCIUM
SPOT URINE PHOSPHARS
GTT 2 HR
CREATININE
UREA
POTASSIUM
SODIUM
BENCE JONES PROTEINS
CREATININE URINE (URCR)
FT4
RUBELLA IgG (RBGIGG)
URINE PH
CALCV
FREE THYOXINE INDEX (FTI)

140
860
580
1080
720
330
1080
180
0
185
6600
210
190
190
0
0
190
190
0
0
190
190
0
190
190
0
146
150
0
190
190
0
450
310
760
330
550
4820
2680
13110
12510
1410
170
1120
550
1410
2680

DIFFERENTIAL COUNT
FIBRINOGEN TITRE
F.D.P
HEP. A ANTIBODY IgM
HEPATITIS B SURFACE ANTIGEN
LE FACTOR
AIDS ANTIBODY
POTASSIUM
DRUGS
PROFESSIONAL FEES
COLONOSCOPY PROCEDURE
BACK SLAB LOWER LIMB FOR CHILD (SHORT)
ATTENDING VISIT DR ATIQULLAH HALIMI
SPECIAL CONSULTANCY DR ATIQULLAH HALIMI
ENDSCOPY CHARGES DR ATIQULLAH HALIMI
SPECIAL PROCEDURE DR ATIQULLAH HALIMI
DR.PALWASHA AHMADZAI ATTENDING VISIT
DR.PALWASHA SPECAIL CONSULTANCY
DR.PALWASHA SPECAIL PROCEDURE
SURGEON'S FEE DR.SAYED SABIR
ATTENDING VISIT DR.SAYED SABIR
SPECIAL CONSULTANCY DR.SAYED SABIR
SPECIAL PROCEDURE DR.SAYED SABIR
ATTENDING VISIT DR.SAYED RASUL
SPCIAL CONSULTANCY DR.SAYED RASUL
SPECIAL PROCEDURE DR.SAYED RASUL
ATTENDING VISIT DR.NADIRA AZIMI
SPECIAL CONSULTANCY DR.NADIRA AZIMI
SPECIAL PROCEDURE DR.NADIRA AZIMI
ATTENDING VISIT DR.BASHIR AHMAD
SPECIAL CONSULTANCY DR. BASHIR AHMAD
SPECIAL PROCEDURE DR. BASHIR AHMAD
FRESH FROZEN PLASMA (PER UNIT)
DIRECT COOMBS (BROAD SPECTRUM)
ANTIBODY TITRE (TITRE)
THERAPEUTIC PHLEBOTOMY (THERAP)
BLOOD GROUP : ANTIBODY SCREENING
HCV DETECTION BY PCR
MTB DNA DETECT BY PCR
QUANTILATIVE HCV RCR
QUANTILATIVE HBC BY CHIRON
NON GYN FINE NEEDLE ASP (FNA)
PAP SMEAR
ANTI-ANA ANTIBODY
SL-G
GROSS + MICRO (SMALL BIOPSIES)
GROSS + MICRO (LARGE SPECIMENS)

4000
5680
1500
810
4010
280
9080
10290
10290
9680
12100
11500
15130
12100
9680
12100
9680
12100
9080
12100
9080
9680
12100
9080
12100
9080
12100
10280
10280
13310
12100
10280
9070
9070
1810
10280
9680
3630
10890
9680
9680
9080
300
3750
3750
1610
4820

ESTROGEN RECEPTORS
CHROMOSOME ANALYSIS
SLIDES FOR SECOND OPINION
SEMEN ANALYSIS
PROGESTERON RECEPTORS
SKIN BIOPSY PREP. CHARGES
MRI PROCE: MRA ABDOMEN
MRI PROCE: PELVIS FOR CERVIX
MRI PROCE: PELVIS FOR PROSTATE
MRI PROCE: PELVIS FOR BOTH HIP JOINTS
MRI PROCE: WHOLE SPINE (ADULT)
MRI PROCE: WHOLE SPINE (PEADS)
WHOLE SPINE WITH COMPOSER & ONE REGION
MRI PROCE: SHOULDERS BOTH
MRI PROCE: ANKLE JOINT
MRI PROCE: ANKLE JOINT BOTH
MRI PROCE: FOOT
MR CONTRAST
MRI PROCE: HUMERUS
MRI PROCE: HUMERUS BOTH
MRI PROCE: FOREARM
MRI PROCE: HAND
MRI PROCE: KNEES BOTH
MRI PROCE: FEMUR
MRI PROCE: FEMURS BOTH
MRI PROCE: TIBIA
MRI PROCE: TIBIA BOTH
MRI PROCE: MRA PEREPHRAL
MRI PROCE: MRI & MRA THORAX
MRI PROCE: HANDS BOTH
MRI PROCE: ABDOMEN
MRI PROCE: ANKLE/FOOT SINGLE
MRI PROCE: BRAIN
MRI PROC: CERVICAL SPINE
MRI PROCE: MR CONTRAST
MRI PROC: ELBOW JOINT (SINGLE)
MRI PROCEDURE: HEAD WITH MR ANGIOGRAPHY
MR PROCE: HEAD MR ONLY
MRI PROCE: HEAD AND NECK
MRI PROCE: HIP JOINT (SINGLE)
MRI PROCE: KNEE (SINGLE)
MRI PROC: LUMBAR SPINE
MRI PROC: MR FILM (ADDITIONAL)
HEPATITIS B VIRUS BY PCR
HLA B27 ALLELE BY PCR
CTA
HCA DR1 & DR2 BY PCR

3180
11760
2150
360
400
410
400
450
360
330
2850
330
660
10890
11490
9680
15120
9680
10280
9680
6050
9070
3630
9680
9070
9070
9070
9070
9070
9070
9070
9680
9070
9070
14880
9080
3150
550
720
17880
10720
4090
710
930
990
990
480

HCV JEMOTYPING
HCVGENO
HIV BY PCR
LOWER EXTREMITY: ANKLE PAEDS
LOWER EXTREMITY: FEMUR PAEDS
UPPER EXTREMITY FOREARM PAEDS
UPPER EXTREMTY: HUMERUS ADULT
UPPER EXTREMITY SHOULDERS PAEDS
UPPER EXTREMITY: ELBOW PAEDS
UPPER EXTREMITY SCAPULA PAEDS
SURVEYS: METASTATIC
UPPER EXTREMITY: FINGER/THUMB ADULT
UPPER EXTREMITY: HAND ADULT
MRI PROC: ABDOMEN WITH MRA
MRI.PROC: ABDOMEN MRA AND MRCP
MRI PROCE: MR CHOLANGIOGRAPHY
MRI:MR HEAD AND MRA HEAD AND NECK
MRI PROCE: MR UROGRAPHY
MRI PROCE: NECK
MRI PROCE: WRIST JOINT (SINGLE)
MRI PROCE: MR ANGIOGRAPHY
MRI PROCE: THORACIC SPINE
MRI PROCE: MRV BRAIN
MRI PROCE: MRI & MRV BRAIN
MRI PROCE: BRAIN FOR ORBITS
MRI PROCE: BRAIN FOR I.A.C
MRI PROCE: BRIAN FOR SEIZURES
MRI PROCE: BRIAN FOR EPILEPSY
MRI PROCE: BRAIN FOR SELLA
MRI PROCE: BRAIN FOR TRAUMA
MRI PROCE: BRAIN FOR(M.S & ENCEPHALITIS
MRI PROCE: BRAIN & PERFUSION
MRI PROCE: THORAX FOR BRACHIAL PLEXES
MRI PROCE: CARDIAC MORPHOLOGY
MRI PROCE: MRA HEAD & NECK
MRI PROCE: SHOULDER SINGLE
MRI PROCE:ANESTHESIA FIRST HOUR
MRI PROCE:ANESTHESIA ADDITIONAL HOUR
MRI PROCE:ANESTHETIST FEE
MRI PROCE: MRA HEAD & NECK (EXP)
MRI PROCE: SHOULDER SINGLE (EXP)
MRI PROCE:ANESTHESIA FIRST HOUR-EXP
MRI PROCE:ANESTHESIA ADDITIONAL HOUR-EXP
MRI PROCE:ANESTHESTIST FEE(EXP)
HEAD: Skull ADULT
HEAD ORBITS ADULT
HEAD: FACIAL BOUNS PAEDS

480
990
900
330
220
750
360
570
290
270
450
480
360
330
660
490
820
740
330
910
740
700
3090
2020
2020
3420
3760
2880
2020
2020
3010
700
740
830
740
830
910
660
500
360
360
300
920
1090
420
540
330

HEAD: SKULL PAEDS


HEAD: FACIAL BONES ADULT
ABDOMEN LATERAL PELVIMETRY ONLY
LOWER EXTREMITY: FOOT PAEDS
ABDOMEN: PELVIMETRY AP AND LT
HEAD: SINUSES ADULT
HEAD: SINUSES PAEDS
LOWER EXTREMITY: HIPS PAEDS
HEAD: TEMPORO MANDIBULAR JOINTS
HEAD: MASTOIDS
LOWER EXTREMITY KNEE PAEDS
HEAD ORBITS PAEDS
ABDOMEN 3 VIEWS
LOWER EXTREMITY: TOES
LOWER EXTREMITY: FOOT ADULT
LOWER EXTREMITY: OSCALCIS
LOWER EXTREMITY: ANKLE ADULT
TIBIA
UPPER EXTREMITY: HAND PAEDS
LOWER EXTREMITY: KNEE ADULT
LOWER EXTREMITY: FEMUR ADULT
LOWER EXTREMITY: HIPS ADULT
SPEC PROC:SMALL BOWEL LOWER GIT ADULT
SPECIAL PROC: BOWEL LOWER GIT PAEDS
SPC PRO: ABDMN BARIUM ANEMA PAEDS
SPECCIAL PROCEDURE BARIUM ENEMA ADULT
SPEC PROC: HYSTEROSALPINGRM
SPEC PROC IVP/IVU ADULT
SPEC PROC: IVP IVU PAEDS
MICTURATING CYSTOURETHROGRAM PAEDS
MICTURATING CYSTOURETHROGRAM ADULT
NON-IONIC CONTRAST 20ML
UPPER EXTREMITY: WRIST
UPPER EXTREMITY: FOREARM ADULT
UPPER EXTREMITY: ELBOW ADULT
UPPER EXTREMITY: HUMERUS ADULT
UPPER EXTREMITY: SHOULDERS ADULT
UPPER EXTREMITY: SCAPULA ADULT
UPPER EXTREMITY: CLAVICLE ADULT
UPPER EXTREMITY: A.C JOINTS (BOTH)
CHEST PORTABLE PAEDS
UPPER EXTREMITY: CLAVICALE PAEDS
THORACIC INLET
INTERNAL AUDITORY CANAL
CHEST: ROUTINE ADULT
CHEST: PORTABLE ADULT
RIBS: PAEDS

660
580
1160
570
1150
520
830
410
900
450
6140
2020
880
330
2170
2020
1060
7740
2060
2380
1580
2020
2020
970
6660
6660
4950
6660
7870
7870
4950
7870
7150
7080
400
400
470
4110
2420
5760
3640
3640
5760
5760
3640
4110
3640

RIBS: ADULT
RIBS: STERNUM ADULT
CERVICAL SPINE ADULT
SPINE: CERVICAL SPINE ADULT
SPINE: THORACIC SPINE ADULT
SPINE: LUMBO SCRAL SPINE (4-5 VIEWS)
SPINE: SACRUM/COCCYX ADULT
SPINE: SACRUM COCCYX PAEDS
SPINE SACRO-ILLIAC JOINTS ADULT
SPINE: SCRO-ILLIAC JOINTS PAEDS
GASTROGRAFIN STUDY ADULT
GASTROGRAFIN STUDY PAEDS
ADDITIONAL WIRE
STD PROC: BONE AGE STUDY ADULT
SPECIAL PROCEDURES: CYSTOGRAM ADULT
SPEC PROC: CYSTOGRAM PAEDS
SPEC PROC:SIALOGRAM UNILATERAL
SPEC PROC:MYELOGRAM
SPEC PROC: SINOGRAM FISTULOGRAM ADULT
SPEC PROC: URETHROGRAM
SPEC PROC: SINOGRAM FISTULOGRAM PAEDS
SPEC PROC: BIOPSY
SPEC PROC:CYSTOGRAM PAEDS
SPEC PROC: DACRYOCYSTOGRAM PAEDS
CT SCAN THORACO- LUMBER SPINE (PEADS)
CT SCAN CHEST & ABDOEMN (PEADS)
CT SCAN ABDOMEN & PELVIS (PEADS)
CT SCAN NECK & CHEST (PEADS)
CT SCAN THORACO-LUMBER SPINE (ADULT)
CT SCAN CHEST & ABDOMEN (ADULT)
CT SCAN ABDOMEN & PELVIS (ADULT)
CT SCAN NECK & CHEST (ADULT)
CT MYELOGRAPHY (ADULT)
CT SCAN THORACO-LUMBER SPINE (EXP)
X-RAY NECK (PEADS)
X-RAY NECK (ADULT)
X-RAY NECK (EXP)
C.T. SCAN HEAD
C.T. SCAN HEAD WITH CONTRAST
C. T. SCAN ABDOMEN
C. T. SCAN ABDOMEN WITH CONTRAST
C. T. SCAN PALVIS WITHOUT CONTRAST
C.T. SCAN PELVIS
C.T. SCAN CHEST
C.T. SCAIN CHEST WITH CONTRAST
C. T. SCAN EXTREMETIES
NON IONIC CONTRAST 10 MLS

240
480
960
1910
4120
5760
3640
1650
970
3300
10420
5480
3640
3230
5240
5480
5760
3230
4110
3230
3640
610
440
600
970
600
1450
1090
990
880
1290
1290
880
1320
550
180
360
660
410
820
590
330
1160
520
2350
1300
750

NON IONIC CONTRAST 20 MLS


NON IONIC CONTRAST 40 MLS
NON IONIC CONTRAST 80 MLS
NON IONIC CONTRAST 20 ML
CT SCAN : GUIDED DRAIN PLACEMENT PROC
C.T.SCAN ABDMN & PLVS
C. T. SCAN SPINE WITH MYELODYE
GUIDED BIOPSY
CERVICAL SPINE
PITUITARY FOSSA
PARA NASAL SINISES EXP & NGO
SPINE
C.T. SCAN CHEST
PARANASAL SINUSES LIMITED STUDY
PARANASAL SINUSES
TEMPORAL BONE / IAC
ORBITS
C.T. HEAD PLAIN WITH RAI
C.T. NECK
CISTERNOGRAPHY
CT HEP ARTERIOGRAPHY
CATHETER PLACEMENT FOR DRAINAGE
US TESTICAL (PEADS)
US PORTABLE FOR ABDOMEN (PEADS)
US PORTABLE IN OPERATING ROOM(PEADS)
US PORTABLE ONE REGION(PEADS)
US TRANSVAGINAL PELVIS
US TESTICAL (ADULT)
NECK (ADULT)
US CATHETER PLACEMENT FOR DRAINAGE
US TESTICAL (EXP)
US NECK (EXP & NGO)
US PORTABLE FOR ABDOMEN (NGO & EXP)
US PORTABLE IN OPERATING ROOM (EXP)
US PORTABLE FOR ONE REGION (EXP)
STD PROCE: CD WRITING
ADDITIONAL FILM
ABDOMEN
PEL
PELVIS
AC JOINTS BOOTH
STERNO-CLAVICULAR JOINTS
LUMBO SACRAL SPINE
L SPINE
BARIUM STUDY UPPER GIT
BARIUM STUDY ESOPHAGUS (ADULT)
BARIUM STUDY ESOPHAGUS (PAEDS)

2880
2500
1000
7080
7080
6210
9300
950
330
830
3290
480
590
590
1580
690
840
430
330
330
410
450
1090
410
650
960
440
690
410
690
480
1090
220
1670
660
330
1320
650
330
210
550
20
190
0
190
190
0

PEROPERATIVE CHOLANGIOGRAM
C RAM
C ARM ADD
CT SCAN CHEST & ABDOMENT (EXP)
CT SCAN ABDOMEN & PELVIS (EXP)
CT SCAN NECK & CHEST (EXP)
CT MYELOGRAPHY (EXP)
ABDOMEN
LOOP LOCATIN
PELVIS
ECHOCARDIOGRAPHY (ADULT)
THYROID (PEADS)
BREAST
EXTREMITY
PROSTATE (INTRA RECTAL)
ULTRASOUND ONE ORGAN
PORTABLE
BLADDER ULTRASOUND
BREASTS (BOTH)
TESTICLES
PHONOCARDIOGRAPHY
HEAD
DOPPLER B/W
PELVIS (FOLICAL GROWTH)
GONADAL VENS GRAM
BIOPSY
NECK (PEADS)
LIVER & GALL BLADDER OR BOTH
COLOUR DOPPLER EXTREMITY
PELVIS (TRANSVAGINAL)
US ABDOMIN WITH PELVIS (PAEDS)
US ABDOMIN WITH PELVIS (ADULT)
ABDASP ADD
COLOR DOPPLER
DIAGNOSTIC ASPIRATION
OBS./PELVIS DOPPLER
PENILE DOPPLER
PELVIS FOR FEMEAL ( OBS )
PHYSIOTHERAPY CHARGES
PHYSIOTHERAPY ADDITIONAL 15 MIN PER UNIT
PHYSIOTHERPAY BASIC UNIT EXP & NGO VISIT
DUPLICATE CARD
SPECIAL CONSULTANCY DR TARIQ RAHIMI
SPECIAL PROCEDURE DR TARIQ RAHIMI
ATTENDING VISITS DR MIRWAIS WAHAB
SPECIAL CONDULTANCY DR MIRWAIS WAHAB
SPECIAL PROCEDURE DR MIRWAIS WAHAB

0
190
0
0
0
0
190
190
0
0
2200
0
0
0
190
190
0
0
0
190
190
0
0
140
140
0
0
220
190
0
0
220
190
0
0
190
190
0
0
190
0
190
190
0
220
190
0

SURGEON FEES (DR.MATHIEU)


ATTENDING VISIT (DR.MATHIEU)
SPECIAL CONSULTANCY DR.MATHIEU
SURGEON'S FEE (OPEN HEART SURGERY)
SPECIAL PROCDURE DR.CATHERIN CLOUP
SURGEON FEE (DR. HASHMATULLAH NAWABI)
ATTENDING VISIT DR. HASHMANT NAWABI
SPECIAL CONSULTANCY DR. HASHMAT NAWABI
SURGEON'S FEE (OPEN HEART) DR. HASHMAT N
SPECIAL PROCEADURE DR. HASHMAT NAWABI
SURGEON FEE (DR. JOSE UROZ TRISTAN
SURGEON FEE (DR. GRERARD BABARASI)
SURGEON FEE (DR. ROUX)
SURGEON FEE DR. JALIL WARDAK
ATTENDING VISIT DR JALIL WARDAK
SPECIAL CONSULTANCY DR. JALIL WARDAK
SPECIAL PROCEDURE DR JALIL WARDAK
SURGEON'S FEE (DR.CATHERIN)
SURGEON FEE (DR. MIRZA NIJRABI)
ATTENDING VISIT DR MIRZA M. NIJRABI
SPECIAL CONSULTANCY DR MIRZA M. NIJRABI
SPECIAL PROCEDURE DR M.M.NIJRABI
SURGEON'S FEE (DR.CATHERIN)
ATTENDING VISIT DR.CATHERIN
SPECIAL CONSULTANCY DR.CATHERIN
SPRCIAL PROCEDURE DR.CATHERIN
SURGEON FEE (DR. AKBAR)
ATTENDING VISIT DR AKBAR
SPECIAL CONSULTANCY DR AKBAR
SPECIAL PROCEDURE DR AKBAR
SURGEON FEE (DR. TARIQ)
ATTENDING VISIT DR TARIQ RAHIMI
SPECIAL CONSULTANCY DR ABDUL HADI SEDIQI
SPECIAL PROCEDURE DR.ABDUL HADI SEDIQI
SURGEON FEE DR.DE GERMAY BENOIT
ATTENDING VISIT DR. GERMAY BENOIT
SPECIAL CONSULTANCY DR.DE GERMAY BENOIT
SPECIAL PROCEDURE DR.DE GERMAY BENOIT
SURGEON FEE DR. ABDUL JAMIL HAIDARI
ATTENDING VISIT DR. ABDUL JAMIL HAIDARI
DR. OLIVIER PERES SUR FEE
ATTENDING VISIT DR. OLIVIER PERES
SPECIAL CONSULTANCY DR. OLIVIER PERES
SPECIAL PROCEDURE DR.OLIVIER PERES
DR.AJMAL GHAFARZAI ATTENDING VISIT
DR.AJMAL GHAFARZAI SPECIAL CONSULTANCY
DR.RAHMATULLAH ZAZAI SURGEON FEE

220
190
190
140
0
0
140
140
0
220
170
0
190
0
220
190
0
0
190
190
0
1100
0
190
190
0
0
0
140
140
0
0
190
190
0
0
220
190
0
0
140
140
0
0
110
0
140

DR.RAHMATULLAH ZAZAI ATTENDING VISIT


DR.RAHMATULLAH ZAZAI SPECIAL CONSULTANCY
ATTENDING VISIT DR.AHMAD ASHRAF
SPECIAL CONSULTANCY DR.AHMAD ASHRAF
SPECIAL PROCEDURE DR.AHMAD ASHRAF
SURGEON FEE DR. HAMAYOON GHAIRATMAL
ATTENDING VISIT DR.HAMAYOON GHAIRATMAL
SPECIAL CONSULTANCY DR.HAMAYOON GHAIRATM
DR.RAHMATULLAH ZAZI SPECIAL PROCEDURE
DR.FAYAZ IQBAL ATTENDING VISIT
DR.FAYAZ IQBAL SPECIAL CONSULTANCY
DR.CAMELLI THAVENIN LOMOINE SURGEON FEE
DR. CAMILLE THAVENIN LOMOINE ATTENDING
DR. ONIMUS MICHEL SPECIAL PROC
DR. JALIL AHMAD SESTANI SURGEN FEE
DR.JALIL AHMAD SESTANI SPCL CONSULTANCY
DR.JALIL AHMAD SESTANI SPECIAL PROCEDURE
SURGEON'S FEE (DR.JULIEN SZWEBEL)
DR. JULIEN SZWEBELL ATTENDING VISIT
DR. JEUILN SWBENELL SPCL CONSULTANMCY
ATTENDING VISIT (DR.DIANA CHANTAL)
ANESTHESIA FEE (DR. BERTHOND VICTOR
DR. NAJEEBULLAH BINA SRUGEON FEE
DR. NAJEEBULLAH BINA ATTENDING VISIT
DR. NAJEEBULLAH BINA SPECIAL CONSULTANCY
DR. NAJEEBULLAH BINA SPECIAL PROCDURE
ATTENDING VISIT (DR.DIANA CHANTAL)
SUGEON FEE (DR. THIEORY BSSET)
ATTENDING VISIT DR. THERRY BASIT
SPECIAL CONSULTANCY DR. THERRY BASIT
SPECIAL PROCEADURE DR. THERRY BASIT
SURGEON'S FEE (DR.BERNARD PAVY)
DR.BERNARD PAVY ATTENDING VISIT
SPECIAL CONSULTANCY DR.BERNARD PAVY
SPECIAL PROCEADURE DR.BERNARD PAVY
SURGEON'S FEE (DR.EZATULLAH FAIZ)
ATTENDING FEE DR.EZATULLAH FAIZ
SPECIAL CONSULTANCY DR.EZATULLAH FAIZ
SPECIAL PROCEDURE DR.EZATULLAH FAIZ
SURGEON FEE (DR. CHAUVAUD SYLVAIN)
ATTENDING VISIT DR. CHAUVAUD SYLVAIN
SPECIAL CONSULTANCY DR CHAUVAUD SYLVAIN
SURGEON'S FEE (OPEN HEART) DR. CHAUVAUD
SPECIAL PROCEDURE DR.CHAUVAUD SYLVAIN
SURGEON'S FEES DR KEYVAN MAZDA
SURGEON FEE DR.OLIVIER BARON
ATTENDING VISIT DR. OLIVIER BARON

140
0
0
0
140
140
0
0
190
190
0
0
140
140
0
0
0
140
0
190
0
0
190
0
280
0
0
0
830
0
830
0
0
0
0
760
10950
10950
10950
10950
10950
10950
10950
10950
10950
10950
10950

SPECIAL CONSULTANCY DR.OLIVIER BARON


SURGEON'S FEE(OPEN HEART)DR.OLIVIER
SPECIAL PROCEDURE DR.OLIVIER BARON
SURGEON FEE DR.REVELLOW YANN
ATTENDING VISIT DR.REVELLOW YANN
SPECIAL CONSULTANCY DR.REVELLOW YANN
SPECAIL PROCEDURE DR.REVELLOW YANN
SURGEON FEE DR.GUYOTAT JACQUE
ATTENDING VISIT DR.GUYOTAT JACQUE
SPECIAL CONSULTANCY DR.GUYOTAT JACQUE
SPECIAL PROCEDURE DR.GUYOTAT JACQE
SURGEON FEE DR.JEAN QUAEGEBURE
ATTENDING VISIT DR.JEAN QUAEGEBUER
SPECIAL CONSULTANCY DR.JEAN QUAEGEBUER
SURGEON'S FEE(OPEN HEART)DR.JEAN QUAEGEB
SPECIAL PROCEDURE DR.JEAN QUAEGEBUER
SURGEON FEE DR.GILAUME MOREL
ATTENDING FEE DR.GILAUME MOREL
SPECIAL PROCEDURE DR.GILAUME MOREL
ATTENDING VISIT DR. HAMAYOON ATIQ GHAIRA
SURGEON FEES DR. AHMAD ASHRAF
SURGEON FEE (DR. ABDUL HADI SEDIQI)
ATTENDING VISIT DR. ABDUL HADI SEDIQI
DR. ONIMUS MICHEL SURG FEE
DR. ONIMUS MICHEL ATTENDING VISIT
DR.ANIMU MICHEL SPECIAL PROC
MEDICAL SURGICAL SUPPLIES (PW-1)
MEDICAL SURGICAL SUPPLIES IPD 2
BIPAP
WARMER
BIPAP
WARMER
CARDIAC MONITOR
INCUBATOR
SUCTTION APPARATUS
LUMBER PUNCTURE
OR CHARGE (136--150 MINS)
OR CHARGE (151--165 MINS)
OR CHARGE (166--180 MINS)
OR CHARGE (181--195 MINS)
OR CHARGE (196--210 MINS)
OR CHARGE (211--225 MINS)
OR CHARGE (226--240 MINS)
OR CHARGE (241--255 MINS)
OR CHARGES (256--270 MINS)
OR CHARGES (271--285 MINS )
OR CHARGES ( 286--300 MINS )

10950
10950
10950
0
1800
3700
6490
6490
10950
10950
10950
9950
10950
190
0
2370
4870
6390
6390
6390
6390
120
3400
3400
6770
6770
660
940
830
1860
810
2000
760
1490
1600
3990
410
1290
1490
66
9060
11220
3460
190
190
0
0

OR CHARGES ( 301--315 MINS )


OR CHARGES ( 316-330)
OR CHARGES ( 331 & ABOVE)
OR CHG 106-120 C-SECT M.OR
OPERATING ROOM (SDC)
OR CHARGE (0--30 MINS)
OR CHARGE (31--45 MINS)
OR CHARGE (46--60 MINS)
OR CHARGE (61--75 MINS)
OR CHARGE (76--90 MINS)
OR CHARGE (91--105 MINS)
OR CHARGE (106--120 MINS)
OR CHARGE (121--135 MINS)
OXYGEN SUPPLIES CHARGES ( RR-OR )
MEDICAL SURGICAL SUPPLIES ( ER )
ANESTHESIA COST OR (0--30 MINS)
ANESTHESIA COST OR (31--60 MINS)
ANESTHESIA COST OR (61--ABOVE)
ANESTHESIA COST OR (91--120 MINS)
ANESTHESIA COST OR (121--150 MINS)
ANESTHESIA COST OR (151--180 MINS)
OXYGEN SUPPLIES CHARGES ( OR )
OR CHARGE (0--15 MINS)
OR CHARGE (16--30 MINS)
OR CHARGE (31--45 MINS)
OR CHARGE (61--75 MINS)
RECOVERY ROOM OR (FIRST HOUR)
RECOVERY ROOM CHARGE (ADDITIONAL HOUR)
BIPAP
INITIATION OF VENTILATOR
UMBILIC VEIN CATHERIZATION
UMBILICAL ARTERY CATHERRIZATION
LUMBER PUNCTURE
ARTERIAL LINE INSERTION
CHEST TUBE INSERTION
EXCHANGE TRANSFUSION
PJOTOTHERERAPY
INTUBATION
CVP LINE INSERTION
DRESSING SET
HEART LUNG MACHINE CARDIO SURGERY
INSTRUMENT CHARGE CARDIO SURGERY
PERFUSIONIST CHARGE CARDIO SURGERY
ATTENDING VISIT DR BAHA
SPECIAL CONSULTANCY DR BAHA
MEDICAL SURGICAL SUPPLIES (OR)
DR.TORYALAI JALALZAI SPECIAL PROCEDURE

190
0
190
0
190
0
140
140
190
190
0
0
220
220
0
220
190
0
220
220
0
220
190
0
190
0
140
140
0
190
190
0
120
110
190
0
140
140
0
120
120
0
140
140
0
220
190

DR. NAJIBULLAH AZIZI SPECIAL CONSULTANCY


DR. NAJIBULLAH AZIZI SPECIAL PROCEDURE
DR.ADBUL JAMIL SPECIAL CONSULTANCY
DR.ABDUL JAMIL SPECIAL PROCEDURE
DR.GUL GHOOTAI ATTENDING VISIT
SPECIAL PROCEDURE DR.GUL GHOOTAI
DR. PHILIP BONNET ATTENDING VISIT
DR.PHILIP BONNET SPECIAL CONSULTANCY
ATTENDING VISIT DR.NOORIA ALKOZAI
SPECIAL CONSULTANCY DR NOORIA ALKOZAI
SPECIAL PROCEDURE DR NOORIA ALKOZAI
ANESTHETIST FEES DR. AMENA SEHAR
ATTENDING VISIT DR AMENA SHAHEER
SPECIAL CONSULT DR AMENA SHAHEER
SPECIAL PROCEDURE DR. BAHA
ATTENDING VISIT ALEXANDAR LEES
SPECIAL CONSULTANCY DR. ALEXANDAR LEES
SPECIAL PROCEDURE DR ALEXNDAR LEES
ATTENDING VISIT RAHIMA
SPECIAL CONSULT DR RAHIMA
SPECIAL PROCEDURE DR RAHIMA
ATTENDING VISIT DR SULTAN MEHMOOD
SPECIAL CONSULTAQNCY DR SULTAN MEHMOOD
SPECIAL PROCEDURE DR SULTAN MEHMOOD
SPECIAL CONSULTANCY DR WAHID SABIT
SPECIAL PROCEDURE DR WAHID SABIT
ATTENDING VISIT DR. PHLIP
SPECIAL CONSULTANCY DR. PHLIP
SPECIAL PROCEADURE DR. PHLIP
ATTENDING VISIT DR.JEAN PIERRE GOUT
SPECIAL CONSULTANCY DR.JEAN PIERRE
SPECIAL PROCEDURE DR.JEAN PIERRE
ATTENDING VISIT (DR.GULGHOOTAI)
SPECIAL CONSULTANCY DR.GULGHOOTAI
DR.GUL GHOOTAI SPECIAL CONSULTANCY
DR.PHILIP BONNET SPECIAL PROCEDURE
DR. FRANCOISE POUYANNE ATTEDNING VISIT
DR.FRANCOISE POUYANNE SPECIALCONSULTANCY
DR. FRANCOISE POUYANNE SPECIAL PROCEDURE
DR.MICHELE RAZEMON
DR.MICHELE RAZEMON SPECAIL CONSULTANCY
DR. MICHELE RAZEMON SPECAIL PROCEDURE
DR.MICHELE RAZEMON ATTENDING VISIT
DR.MICHELE RAZEMON SPECIAL CONSULTANCY
DR.MICHELE RAZEMON SPECAIL PROCEDURE
DR.TORYALAI JALALZAI ATTEDNING VISIT
DR.TORYALAI JALALZAI SPECIAL CONSULTANCY

0
0
0
140
140
0
0
0
140
120
0
0
0
140
140
0
0
0
140
140
0
0
0
0
190
190
0
0
0
140
140
0
0
0
140
140
0
0
0
190
190
0
0
0
220
140
0

ANES:FEES CARDIAC SURG DR.NASIM KAMAWAL


SPECIAL PROCEDURE DR.NASIM KAMAWAL
ANAESTHETIST DR.RAPIDEL DOMINIQUE
ATTENDING FEE DR.RAPIDEL DOMINIQUE
SPECIAL CONSULTANCY DR.RAPIDEL DOMINIQUE
ANES:FEES CARDIAC SURG DR.RAPIDEL DOMINI
SPECIAL PROCEDURE DR.RAPIDEL DOMINIQUE
ANAESTHETIST DR.GROUSSON SEBASTIEN
ATTENDING FEE DR.GROUSSON SEBASTIEN
SPECIAL CONSULTANCY DR.GROUSSON SEBASTIE
ANES:FEES CARDIAC SURG DR.GROUSSON SEBAS
SPECIAL PROCEDURE DR.GROUSSON SEBASTIEN
ANAESTHETIST DR.AMREIN CATHERINE
ATTENDING FEE DR.AMREIN CATHERINE
SPECIAL CONSULTANCY DR.AMREIN CATHERINE
ANES:FEES CARDIAC SURG DR.AMREIN CATHERI
SPECIAL PROCEDURE DR.AMREIN CATHERINE
ANAESTHETIST DR.DECOCK OLIVIER
ATTENDING FEE: DR.DECOCK OLIVIER
SPECIAL CONSULTANCY DR.DECOCK OLIVIER
ANES:FEES CARDIAC SURG DR.DECOCK OLIVIER
ANES: FEES CARDIAC SURG DR AMENA SHAHEER
SPECIAL PROCEDURE DR AMENA SHAHEER
ANESTHETIST FEES DR GHULAM RASOOL
ATTENDING VISIT DR GHULAM RASOOL
SPECIAL CONSULTANCY DR GHULAM RASOOL
ANES: FEES CARD SURG DR GHULAM RASOOL
SPECIAL PROCEDURE DR GHULAM RASOOL
ANESTHETIST FEES DR VINCENT
ATTENDING VISIT DR VINCENT
SPECIAL CONSULT DR VINCENT
ANES:FEES CARDIAC SURG DR VINCENT
SPECIAL PROCEDURE DR VINCENT
ANASTHESIA FEES DR HER BENOIT
ATTENDING VISIT DR HER BENOIT
SPECIAL CONSULT DR HER
ANAS:FEES CARDIAC SURG DR HER BENOIT
SPECIAL PROCEDURE DR HER BENOIT
ANASTHESIEST FEES DR.FRANCOISE
ATTENDING VISIT FRANCOISE LABAT
SPECIAL CONSULT DR FRANCOISE
ANAS:FEES CARDIAC SURG DR.FRANCOISE
SPECIAL PROCEDURE DR FRANCOISE
DR.DIANA CHANTAL ATTENDING VISIT
DIANA CHANTAL ATTENDING VISIT
SPECIAL CONSULT DR DIANA
ANAS:FEES CARDIAC SURG DR.DIANA CHANTAL

0
0
140
0
140
140
0
0
140
140
0
140
0
140
140
0
0
0
140
140
0
0
0
140
140
0
0
0
140
140
0
0
0
140
140
0
0
0
190
220
750
0
220
190
720
0
0

SPECIAL PROCEDURE DR DIANA CHANTAL


DR.MARIE LOUISE FELTEN ANAESTHESIA FEES
SPECIAL CONSULT DR MARIE LOUISE
ANESTHESIA FEE DR.MAYER MARI NEOLLE
ATTENDING VISIT MAYER NEOLLE
SPECIAL CONSULT DR MAYER MARI
ANAS:FEES CARDIAC SURG DR.MAYER MARI
SPECIAL PROCEDURE DR MAYER MARI'
ATTENDING VISIT TOURNADE GWENEAL
SPECIAL CONSULT DR TOURNADE
ANAESTHESIEST DR. LOBSTEIN PATRICK
SPECIAL CONSULT DR LOBSTEIN PATRICK
ANAESTHESIST DR. DESGARBIN JEAN MICHELE
ATTENDING VISIT DR.DESGARBIN JEAN MICHEL
SPECAIL CONSULT DR DESGARBIN JEAN MICHEL
ANES: FEES CARDIAC SURG DR. DESGARBIN
SPECIAL PROCEDURE DR DESGARBIN JEAN
ANAESTHETIST DR. ERIKA KIPPING
ATTENDING DR. ERIKA KIPPING
SPECIAL CONSULT DR ERIKA KIPPING
ANES: FEES CARDIAC SURG DR. ERIAK KIPPIN
SPECIAL PROCEDURE DR. ERIKA KIPPING
ANAESTHESIST DR. MICHEL VEDCOQ
ATTENDING FEE DR. MICHEL VEDCOQ
SPECIAL CONSULTANCY DR.MICHEL VEDCOQ
ANES: FEES CARDIAC SURG DR.MICHEL VEDCOQ
SPECIAL PROCEDURE DR. MICHEL VEDCOQ
ANAESTHESIST DR.CECILE FLANDIAN
ATTENDING FEE DR. CECILE FLANDIAN
SPECAIL CONSULTANCY DR.CECILE FLANDIAN
ANES: FEES CARDIAC SURG DR.CECILE FLANDI
SPECAIL PROCEDURE DR.CECILE FLANDIAN
ANAESTHESIST DR.FRANCOISE RUSE
ATTENDING FEE DR.FRANCOISE RUSE
SPECIAL CONSULTANCY DR.FRANCOISE RUSE
ANES:FEES CARDIAC SURG DR.FRANCOISE RUSE
SPECIAL PROCEDURE DR.FRANCOIS RUSE
ANAESTHETIST DR.NASIM KAMAWAL
ATTENDING FEE DR.NASIM KAMAWAL
SPECIAL CONSULTANCY DR.NASIM KAMAWAL
EXPAT SCS(CULTURE & SENSITIVITY)
MEDICAL SURGICAL SUPPLIES WARD-1
DR. SEBGHATULLAH WAFA
DR. SEBGHATULLAH WAFA
SCS(STOOL CULTURE & SENSITIVITY)
ANESTHETIST FEES. DR ANNE MARIE
ANES: CARDIC SURGERY DR, ANNE MARIE

190
0
0
140
140
0
0
0
140
140
0
0
0
140
140
0
0
0
0
140
0
0
0
140
140
0
0
0
140
140
0
0
15
10
15
360
5500
0
280
2510
330
330
330
330
5420
190
300

SPECIAL CONSILT DR. ANNE MARIE


SPECIAL PROCEDURE DR.DECOCK OLIVIER
ANESTHETIST FEES DR. RAPIDEL JOHN
ATTENDING VISIT DR.RAPIDEL JOHN
SPECIAL CONSULT DR.RAPIDEL JOHN
ANES: FEES CARDIAC SURG DR.RAPIDEL JOHN
SPECIAL PROCEDURE DR.RAPIDEL JOHN
ANAESTHETIST FEES DR.GOOLVEN FERREC
ATTENDING VISIT DR.GOOLVEN FERREC
SPECIAL CONSULT DR.GOOLVEN FERREC
ANES: FEES CARDIAC SURG DR.GOOLVEN FERRE
SPECIAL PROCEDURE DR.GOOLVEN FERREC
ANESTHETIST FEES DR.SABERA KAMAL NASSIR
SPECIAL CONSULT DR.SABERA KAMAL NASSIR
SPECIAL CONSULT DR.SABERA KAMAL NASSIR
ANES: FEES CARDIAC SURG DR.SABERA KAMAL
SPECIAL PROCEDURE DR.SABERA KAMAL NASSIR
ANESTHETIST FEES DR.JEAM MOREN
SPECIAL CONSULT DR. JEAM MOREN
SPECIAL CONSULT DR.JEAM MOREN
ANES: FEES CARDIAC SURG DR.JEAM MOREN
SPECIAL PROCEDURE DR.JEAM MOREN
ANESTHETIST FEES DR.MARIE LOUIS FELTEN
ATTENDING VISIT DR.MARIE LOUIS FELTEN
SPECIAL CONSULT DR.MARIE LOUIS
ANES: FEES CARDIAC SURG DR.MARIE LOUIS
SPECIAL PROCEDURE DR.MARIE LOUIS FELTEN
ANESTHETIST FEES DR. OLIVER
ATTENDING VISIT DR.OLIVER
SPECIAL CONSULT DR.OLIVER
ANES: FEES CARDIAC SURG DR.OLIVER
SPECIAL PROCEDURE DR.OLIVER
SYRINGES & NEEDLES ( P1 )
SYRINGES & NEEDLES ( IPD 2 )
SYRINGES & NEEDLES ( NICU )
ABO
HOLTER MONITORING PROCEDURE EXP
ANES FEE: CARDIAC SURGERY DR. CHARLOTTE SAGRO
URINE CALCIUM
BONE TISSUE
SPECIAL PROCEDURES DR. ABDULLAH SARWARI
SPECIAL CONSULTANCY DR. ABDULLAH SARWARI
ATTENDING VISIT DR AJMAL MUSHKANNY
SPECIAL PROCEDURES DR AJMAL MUSHKANNY
ENDOSCOPY PROCEDURES
SGPT
ASPIRATION/DRAINAGE ADDITIONAL

170
180
180
280
580
10
110
170
0
220
1300
170
190
180
500
150
300
240
240
220
190
80
0
0
330
330
0
0
0
0
0
190
1930
0
0
550
260
220
0
0
330
0
220
190
0
220
220

DR. ABDUL JAMIL RASULY ATTENDING VISIT


CHOLORIDE
BICARBONATE
CALCIUM
BLOOD GASES
SYRINGES & NEEDLES ( WARD-1 )
ABO BLOOD GROUP & RH FACT (ABO)
DR. NAJIBULLAH AZIZI ATTENDING VISIT
MEDICAL SURGICAL SUPPLIES (ICU)
DR. TAIBULLAH BANDWAL
BONE MARROW
DR. JALIL AHMAD SESTANI ATTENDING VISIT
URINALYSIS (PHY&CHEM) URN MICROSCPY
FAECES
HAEMOGLOBIN, RBC, TLC & DLC
BILIRUBIN DIRECT
T.B.G.
HAEMOPARASITES
B.U.N
ATTENDING VISIT DR RAZMI NASRULLAH RAHMAN
SPECIAL CONSULT DR RAZMI NASRULLAH RAHMAN
SPECIAL PROCEDURE DR RAZMI NASRULLAH RAHMAN
BACK SLAB UPPER LIMB CHILD
BACK SLAB UPPER LIMB CHILD (LONG)
OXYGEN SUPPLIES CHARGES IPD1
OXYGEN SUPPLIES IPD 2
DRESSING MAJOR
DRESSING MINOR
INTRA ARTICULAR INJECTION
MINOR SUTURING
SUTURING MAJOR
ATTENDING VISIST DR ANNE MARIE
GROSS & MICRO MEDIUM BIOPSY
ANESTHETIST FEE DR. CHARLOTTE SAGRO
SPECIAL CONUSLT: DR. CHARLOTTE SAGRO
URINE OSMOLALITY
ECG
ATTENDING FEE DR ABDULLAH SARWARI
ANAESTHETIST DR. ABDULLAH SARWARI
ANAESTHETIST DR. AHMAD RESHAD AKBARI
SPECIAL CONSULTANCY DR. AHMAD RESHAD AKHBARI
SPECIAL PROCEDURE DR. AHMAD RESHAD AKBARI
ATTENDING FEE DR. AHMAD RESHAD AKBARI
SPECIAL CONSULTANCY DR AJMAL MUSHKANNY
SURGEON FEE DR. NAJIBULLAH SARHANG
ATTENDING VISIT DR.NAJIBULLAH SARHANG
SPECIAL CONSULTANCY DR.NAJIBULLAH SARHANG

0
220
3100
0
190
0
740
2200
330
810
880
300
330
480
630
1890
600
1540
3590
260
880
0
0
0
410
90
40
70
48
48
50
50
0
0
0
1550
1490
620
740
700
620
410
80
51

SPECIAL PROCEDURES DR.NAJIBULLAH SARHANG


ATTENDING VISIT DR. NAJIBULLAH SARHANG
EXECUTIVE PACKAGE FOR US EMBASSY
SPECIAL PROCEDURE DR ANNE MARIE
DR TIABULLAH BANDWAL
DR. TAIBULLAH BANDWAL
G6PD QUANTITATIVE
HOLTER MONITORING PROCEDURE
PHYSIOTHERAPY CHARGES
LEVER PROFILE
BLOOD CULTURE (BLCs)
A C HAN
OXYGEN CHARGES
MAGNESIUM
ANTIBIOTIC SENSITIVITY
ECHOCARDIOGRAPHY PEAD
CRPROTEIN
BLOOD SCREENING
BED CHG: ICU-1
CREATININE
MAMMOGRAPHY LTD
SUCTION CLEARANCE OF THE EAR FOR WAX (LOCAL)
REMOVAL OF FOREIGN BODY (LOCAL)
BACL SLAB UPPER LIMB ADULT (LONG)
PHOTOTHERAPY LIGHT
VENTILATOR SERVO 900 ACCESS
TYCO VENTILATOR EXPIRATORY FILTER
TYCO VENTILATOR INSPIRATORY
MRI PROC: TSCR THORACIC SPINE (SCREENING)
LAERDAL MASK SMALL
LAERDAL MASK LARGE
MAGELL FORCEP SMALL
MAGELL FORCEP LARGE
ARTERIAL WASH OUT OR PROOF PUNCTURE (LOCAL)
MANAGEMENT OF EPITASIS (LOCAL)
BACK SLAB LIMB ADULT
VENTILATOR CHARGES
CUT DOWN PROCDURE
PLEURAL TAP
BONE MARROW ASPIRATION
PERITONEAL DIALYSIS
PERITONEAL DIALYSIS
PHOTOTHERAPY LIGHT
VENTILATOR SERVO 300 ACCESSS
MOUTH CARE PACK
MRI PROC: BRSCR BRAIN SCREENING
MRI PROC: CSCR CERVICAL SPINE SCREENING

3900
48
50
48
48
190
320
150
1840
720
140
0
0
370
170
720
0
180
440

LSCR- LUMBER SPINE (SCREENING)


AMBO BAG SMALL
AMBO BAG LARGE
AMBO BAG MEDIUM
LAERDAL MASK MEDIUM
CHEST: ROUTINE PEADS
ONE STAGE PROTHROMBIN TIME
HAEMOGLOBIN
B ENEMA
BED CHG:WARD-1
WBC COUNT
PHARMACY CHARGES (TAKE HOME)
PHARMACY CHARGES
ULTRASOUND ABDOMINAL
ATTENDING VISIT DR WAHID SABIT
BED CHG:GENERAL WARD2
MEDICAL SURGICAL SUPPLIES
SODIUM
APTT

OLDCHARGEAMOUNT
330
330
330
200
70
900
361
100
145
240
600
160
55
250
590
0
120
700
520
1000
250
2500
750
0
3500
1200
3000
1050
550
275
350
350
1325
650
1800
0
1250
310
1000
20
620
0
600
50
300
350

BILLLINEID
SPROC
ES
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
MED/SURG
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
SPCONST
SPROC
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB

1250
75
75
220
175
175
175
175
500
500
300
300
310
375
355
355
355
380
550
380
500
300
550
2500
150
150
150
360
220
220
280
300
310
455
280
23
310
650
565
550
100
75
150
150
365
750
1600

LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB

65
2500
1350
160
95
530
310
50
425
30
410
40
30
0
300
50
150
150
750
360
400
250
200
200
20
400
600
650
650
720
880
70
110
35
225
155
450
200
550
550
275
500
90
575
355
355
350

LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB

275
4500
880
4500
0
240
130
0
130
130
130
0
130
130
0
130
130
0
0
0
240
75
75
90
105
75
7
40
2780
110
80
120
100
100
120
95
130
550
1800
750
325
120
350
40
50
150
60

LAB
PR
PR
PR
SPPROC
PROF
SPCONST
SPPROC
PROF
PROF
SPCONST
SPPROC
PROF
SPCONST
SPPROC
PROF
SPCONST
SURG
ANES
P/LPKG
LAB
LAB
LAB
LAB
LAB
LAB
MED/SURG
LAB
OP
LAB
LAB
LAB
LAB
LAB
LAB
LAB
SPCONST
SPROC
SPROC
PROF
PROF
PROF
SPROC
LAB
LAB
LAB
LAB

250
40
110
450
50
50
325
380
275
290
350
350
350
350
3805
125
1955
600
1000
1000
285
40
600
160
150
545
910
320
120
120
200
165
200
300
300
125
110
320
75
70
275
300
260
240
350
50
225

LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB

95
95
80
275
360
370
310
310
310
250
350
110
300
250
0
720
95
0
1000
500
555
110
300
300
550
310
310
310
400
175
310
660
675
95
95
500
235
95
95
95
50
95
375
280
30
300
610

LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB

40
250
225
350
265
120
420
40
0
0
4950
190
130
130
0
0
130
130
0
0
110
110
0
130
130
0
130
130
0
130
130
0
360
100
175
125
110
6000
6000
6000
6000
330
225
355
60
740
870

LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
PHA
PROF
SPPROC
SPROC
PROF
SPCONST
SURG
SPPROC
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SPPROC
PROF
SPCONST
SPPROC
PROF
SPCONST
SPPROC
PROF
SPCONST
SPPROC
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB
LAB

1400
2000
200
230
2300
275
7500
8500
8500
8000
10000
9500
12500
10000
8000
10000
8000
10000
7500
10000
7500
8000
10000
7500
10000
7500
10000
8500
8500
11000
8500
8500
7500
7500
1500
8500
8000
3000
9000
8000
8000
7500
250
6000
6000
6000
6000

LAB
LAB
LAB
LAB
LAB
LAB
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
LAB
LAB
LAB
LAB

2500
7000
2000
280
300
430
370
415
500
1700
2140
250
500
9000
9500
8000
12500
8000
8500
8000
5000
7500
3000
8000
7500
7500
7500
7500
7500
7500
7500
8000
7500
7500
12500
7500
2860
500
650
16250
9750
3720
650
850
740
740
370

LAB
LAB
LAB
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD

190
740
670
340
500
560
270
330
390
370
0
170
400
250
500
370
560
560
240
680
560
530
550
1080
1520
2570
1550
2170
1520
1500
2260
530
560
620
560
620
680
500
370
0
0
180
690
820
310
410
240

RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD

500
430
870
430
870
500
620
300
680
340
4530
900
800
250
1630
1350
790
5820
1550
1780
0
850
1130
730
4500
4500
4500
3950
4950
4950
4950
4345
6500
6435
300
330
429
3090
3150
4330
4000
3500
4330
4330
5000
3090
320

RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD

180
720
1440
360
3750
4330
4500
1240
730
3600
4000
4120
4500
1200
2000
4000
4330
3700
3090
4500
15000
500
400
500
800
300
1200
900
900
800
1170
1170
800
1200
500
160
330
500
300
620
440
250
870
430
1770
1300
400

RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD

1250
2500
1000
6435
6435
5649
8450
700
175
620
2480
550
440
440
1190
520
630
330
800
550
140
340
900
220
0
720
400
520
1550
520
370
550
200
1500
500
0
1200
590
200
150
500
20
130
0
130
130
0

RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
RAD
PHYSIO
PHYSIO
PHYSIO
SPPROC
SPCONST
SPPROC
PROF
SPCONST
SPPROC

0
130
0
0
0
0
130
130
0
0
2000
0
0
0
130
130
0
0
0
130
130
0
0
130
130
0
0
130
130
0
0
130
130
0
0
130
130
0
0
0
0
0
0
0
1
1
1

SURG
PROF
SPCONST
SURG
SPPROC
SURG
PROF
SPCONST
SURG
SPPROC
SURG
SURG
SURG
SURG
PROF
SPCONST
SPPROC
SURG
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SURG
PROF
PROF
SPPROC
PROF
SPCONST
SURG

1
1
130
130
0
0
130
130
1
1
1
1
1
0
1
1
0
0
130
130
0
0
0
150
130
0
0
0
130
130
0
0
130
130
0
0
170
130
0
0
130
130
0
0
100
0
130

PROF
SPCONST
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SPPROC
PROF
SPCONST
SURG
PROF
PROF
SURG
SPCONST
SPPROC
SURG
PROF
SPCONST
SURG
PROF
SURG
PROF
SPCONST
SPPROC
SURG
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SURG
SPPROC
SURG
SURG
PROF

130
0
0
0
130
130
0
0
130
130
0
0
130
130
0
0
0
130
0
130
0
0
130
0
0
0
0
0
830
0
830
0
0
0
0
760
7470
7470
7470
7470
7470
7470
7470
7470
7470
7470
7470

SPCONST
SURG
SPPROC
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SPPROC
SURG
PROF
SPCONST
SURG
SPPROC
SURG
PROF
SPPROC
PROF
SURG
SURG
PROF
SURG
PROF
SPCONST
MED/SURG
MED/SURG
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
OP
OP
OP
OP
OP
OP
OP
OP
OP
OP
OP

7470
8500
8500
0
1230
2780
4430
4430
7470
7470
7470
7470
7470
200
0
610
1310
1570
1770
1790
1790
110
3090
3090
6150
6150
480
640
0
1860
810
2000
760
1490
1600
3990
410
1290
1490
66
5500
6500
2000
130
130
0
0

OP
OP
OP
OP
OP
OP
OP
OP
OP
OP
OP
OP
OP
MED/SURG
MED/SURG
MED/SURG
MED/SURG
MED/SURG
MED/SURG
MED/SURG
MED/SURG
MED/SURG
OP
OP
OP
OP
OP
OP
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
MED/SURG
MED/SURG
MED/SURG
OP
PROF
SPCONST
MED/SURG
SPPROC

130
0
130
0
130
0
130
130
130
130
0
0
170
130
0
130
130
0
130
130
0
130
130
0
130
0
130
130
0
130
130
0
110
100
130
0
130
130
0
110
110
0
130
130
0
130
130

SPPROC
SPPROC
SPCONST
SPPROC
PROF
SPPROC
PROF
SPPROC
PROF
SPCONST
SPPROC
PROF
PROF
SPCONST
SPPROC
PROF
SPCONST
SPPROC
PROF
SPCONST
SPPROC
PROF
SPCONST
SPPROC
SPCONST
SPPROC
PROF
SPCONST
SPPROC
PROF
SPCONST
SPPROC
PROF
SPCONST
SPPROC
SPPROC
PROF
SPPROC
SPPROC
PROF
SPPROC
SPPROC
PROF
SPPROC
SPPROC
PROF
SPPROC

0
0
0
130
130
0
0
0
130
110
0
0
0
130
130
0
0
0
130
130
0
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0

PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPPROC
SPPROC
SPPROC
PROF
PROF
SPCONST
PROF

0
0
130
0
130
130
0
0
130
130
0
130
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
130
130
680
0

650
0
0

SPPROC
PROF
PROF
PROF
PROF
SPCONST
PROF
SPPROC
PROF
SPCONST
PROF
SPCONST
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
LAB
MED/SURG
PROF
PROF
LAB
PROF
PROF

130
0
0
130
130
0
0
0
130
130
0
0
0
130
130
0
0
0
0
130
0
0
0
130
130
0
0
0
130
130
0
0
7
10
7

280
0
4930
80
450

SPCONST
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
ANES
SPPROC
PROF
SPCONST
SPCONST
PROF
SPPROC
PROF
SPCONST
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
PROF
PROF
SPCONST
PROF
SPPROC
MED/SURG
MED/SURG
MED/SURG
LAB
SPPROC
PROF
LAB
LAB
SPPROC
SPCONST
PROF
SPPROC
SPPROC
LAB
RAD

130
40
40
95
215
7
100
130
0
130
0
1
26
50
160
75
110
50
75
330
190

0
300
0
0
0
0
130
0
0
0
0
0
0

0
170

PROF
LAB
LAB
LAB
LAB
MED/SURG
LAB
PROF
MED/SURG
PROF
LAB
PROF
LAB
LAB
LAB
LAB
LAB
LAB
LAB
PROF
SPCONST
SPPROC
SPROC
SPROC
MED/SURG
MED/SURG
SPROC
SPROC
SPROC
SPROC
SPPROC
PROF
LAB
PROF
PROF
LAB
PMS
PROF
PROF
PROF
SPCONST
SPPROC
PROF
SPCONST
SURG
PROF
SPCONST

0
3100
0
130
0

200
380
320
70
250
150
300
1520
250
1030
2450
75
2220
0
0
0
410
90
40
70

0
0
0
1550
1490
620
740
700
410
80
0

SPROC
PROF
EOTH
SPPROC
PROF
SPPROC
LAB
SPPROC
PHYSIO
LAB
LAB
RAD
MED/SURG
LAB
LAB
RAD
LAB
LAB
ICU1
LAB
RAD
SP
SP
SPROC
SPROC
MED/SURG
MED/SURG
MED/SURG
RAD
MED/SURG
MED/SURG
MED/SURG
MED/SURG
SP
SP
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
SPROC
MED/SURG
MED/SURG
RAD
RAD

48

150
100
40
1000
600
40
0
0
175
130
600
0
40
195

RAD
MED/SURG
MED/SURG
MED/SURG
MED/SURG
RAD
LAB
LAB
RAD
WARD
LAB
PHA
PHA
RAD
PROF
WARD
MED/SURG
LAB
LAB

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