9 Inpatient Wards 46 10 Essential Drugs Management 20 11 Tracer Drugs 42 12 Maternity 21 13 ANC 12 14 HIV/TB 10 15 Surgery 40 Total 337 Name Team leader Evaluation: Name Director GH: Final Date: Score: Annex 10: Monthly Health Facility Invoice HEALTH CENTER Monthly Provisory Invoice for MPA Services LGA: Month: Health Center: Year: Unit Fee Service Quantity [In Produced contract] Naira 1 New outpatient consultation New outpatient consultation for an indigent patient 2 3 Minor Surgery 4 Referred patient arrived at the Cottage Hospital
9 Inpatient Wards 46 10 Essential Drugs Management 20 11 Tracer Drugs 42 12 Maternity 21 13 ANC 12 14 HIV/TB 10 15 Surgery 40 Total 337 Name Team leader Evaluation: Name Director GH: Date: Final Score: Annex 10: Monthly Health Facility Invoice HEALTH CENTER Monthly Provisory Invoice for MPA Services LGA: Month: Health Center: Year: Service Quantity Produced Unit Fee [In contract] Naira 1 New outpatient consultation 2 New outpatient consultation for an indigent patient 3 Minor Surgery 4 Referred patient arrived at the Cottage Hospital
120413_PBF_UserManual_NG.docx