MediCore Pharmacy - Branch 2

Hospital Outpatient Dispensary

Terminal Active

RPh. Sarah Chen

Cashier #3

May 17, 2026

01:22 PM

Patient Type:

Prescription-based

Outpatient (OPD)

Visit-linked

Anya Kowalski

MRN-20241587 42 yrs, Male

Allergy: Penicillin | Blood Type: A+

Insurance: National Health (80% coverage) — Policy #NH-2024-88421

4 items

Drug Qty Unit Price Total

Amoxicillin 500mg

Capsule

$0.30

$6.30

Omeprazole 20mg

Capsule

$0.70

$9.80

Ibuprofen 400mg

Tablet

$0.35

$3.50

Cetirizine 10mg

Tablet

$0.40

$2.80

Items (4) $22.40

Discount

Insurance (80%) -$17.92

Patient copay (20%) $4.48

Tax (7%) $0.31

Total Due $4.79

OPD Prescription

3 items loaded from Visit #V-2026-0342. Insurance claim will be submitted automatically.