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MMC Medical Center Billing Department MMC Hospital & Healthcare Services 245 Health Avenue Chicago, IL 60611 United States Phone: (312) 555-7821

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Thank You For Choosing MMC Medical Center Committed To Quality Healthcare Services

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Customer

John Doe

Invoice #

MMC-784521

Phone

(555) 123-4567

Doctor: Dr

Sarah Collins

Patient ID

MMC-558231

Department

General Medicine

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Date: 4/8/2026 Time: 4:27:15 PM

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General Consultation Fee

$75.00

Blood Test (CBC)

$45.00

X-Ray Chest

$90.00

Medicines & Supplies

$38.50

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Subtotal$248.50

Tax (5%)$28.40

Receipts.cartier.totalCartier

$276.90

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Payment MethodCredit Card

Card Last 41234

Entry MethodSwipe

Authorization Code551829

StatusApproved

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1234567890

This is a system-generated receipt. For billing queries, contact our billing desk. Wishing you good health! MMC Medical Center

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