LAB-MANAGERLABORATORIO CLINICO UIS

RESUMEN DETALLADO DE SERVICIOSNov/13/2014RDETSERVICIOS.RPT

Desde 31/Oct/2014Hasta01/Oct/2014 1Pag.CAPRUIS ALTO COSTO

Paciente Vlr UnitarioEquivalente SiglaServicio2159911 CARLOS JULIO BAUTISTA BAUTISTA100047

1902209 CH $10,2701903825 CREA $3,0951903833 FALK $3,8051903841 GLIC $3,0951903867 TGO $4,5301903866 TGP $4,530

Subtotal: $29,325Descuento: $0Copago: $0Total: $29,325

23542174 CARMEN SOFIA MARTINEZ DE VICCINI10140101906620 B2M $26,3111902209 CH $10,2701906812 ELEPRO $21,7231906826 IGA $33,3941906828 IGG $33,3941906831 IGM $33,394190039 INMORI $99,0641906824 INMUEL $99,0641906838 KAPLAM $169,2881907008 SANGR1 $2,3151907008 SANGR2 $2,3151907008 SANGR3 $2,315

Subtotal: $532,847Descuento: $0Copago: $0Total: $532,847

37804045 GLORIA ESPERANZA VASQUEZ DE PLATA10140181903825 CREA $3,095

Subtotal: $3,095Descuento: $0Copago: $0Total: $3,095

88144415 HECTOR MANUEL OSORIO MOLINA10140191906603 CEA $34,0041902209 CH $10,2701903825 CREA $3,095190038 CROMGA $260,3601903833 FALK $3,8051903841 GLIC $3,0951903867 TGO $4,5301903866 TGP $4,530

Subtotal: $323,689Descuento: $0Copago: $0Total: $323,689

19098718 JORGE ENRIQUE AVILA REYES10150211906602 ALFAFE $52,598

Subtotal: $52,598Descuento: $0

LAB-MANAGERLABORATORIO CLINICO UIS

RESUMEN DETALLADO DE SERVICIOSNov/13/2014RDETSERVICIOS.RPT

Desde 31/Oct/2014Hasta01/Oct/2014 2Pag.CAPRUIS ALTO COSTO

Paciente Vlr UnitarioEquivalente SiglaServicioCopago: $0Total: $52,598

37817727 MARIA VICTORIA OROZCO VARGAS10220081902209 CH $10,270

Subtotal: $10,270Descuento: $0Copago: $0Total: $10,270

37817912 NOHORA NOVOA 10270281906605 CA-125 $49,563

Subtotal: $49,563Descuento: $0Copago: $0Total: $49,563

37929355 MARTHA ASCENCION GONZALEZ RODRIGUEZ10290451902209 CH $10,270

Subtotal: $10,270Descuento: $0Copago: $0Total: $10,270

Total:Total de Servicios 8 $1,011,657