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This document is a payment receipt from Lagos University Teaching Hospital generated on 04/08/2025 for Emmanuel Blossom. The total amount paid for hospital fees was NGN 10,215.00, which includes charges and VAT. The payment was made via card, and there is no balance due.

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emmanueludohblossom
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2 views1 page

View Invoice Receipt

This document is a payment receipt from Lagos University Teaching Hospital generated on 04/08/2025 for Emmanuel Blossom. The total amount paid for hospital fees was NGN 10,215.00, which includes charges and VAT. The payment was made via card, and there is no balance due.

Uploaded by

emmanueludohblossom
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LAGOS UNIVERSITY TEACHING HOSPITAL

Payment Receipt
Ge ne rate d On 04/08/2025

Re mita Re trie val Re fe re nce (RRR)

1612-9692-3069

L A T I P S OH GN IH C A E T Y T I S R E V INU S O G A L
ta
PA Y E R I N F O R M A T I O N

no
NAME EMMANUEL BLOSSOM BLOSSOM

it
EMAIL EMMANUELUDOHBLOSSOM@ GMAIL.COM c a
PHONE NUMBER 08077632482
i f
i

t
r

e
PA Y M E N T D E TA I L S
e

n
v

PAYMENT SERVICE AMO U NT CHARG ES VAT O N CHARG ES TOTAL


a
n

D ATE PAYMENT REF D ESCRIP TIO N ( NG N) ( NG N) ( NG N) ( NG N)


t
o

04/08/2025 161296923069 HOSPITAL FEES 10,000.00 200.00


m

15.00 10,215.00
p u

TOTAL PAID 10,000.00 200.00 15.00 10,215.00


r.
y

TOTAL AMO U NT 10,215.00


w
l n

BALANCE D U E 0.00
o
w
d

BI L L ER REQ UI RED I N FO RM AT I O N
lia
V

PA Y M E N T C H A N N E L I N F O R M A T I O N

PAYMENT C HANNEL MASKED C ARD PAN AUTHORIZATION REF C ARD SC HEME

Card Payment XXXXXXXXXXXXXXX9398 16978235180 - VERVE


1612969230691

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