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ST JAMES’S SURGERY
Northampton Buildings, Bath, BA1 2SR
Telephone: 01225 422911 Fax: 01225 428398
Also at
8 Junction Road, Bath, BA2 3QN
Telephone: 01225 422012 Fax: 01225 480045
TRAVEL CLINIC INVOICE
Patients Name……………………….…………..
Date…………………………
Vaccines administered
Yellow Fever (inc. international certificate)
£55
Replacement for loss of Yellow Fever Certificate
£20
Rabies (per injection)
£55
Meningitis
£60
Japanese Encephalitis (per course of 2 injections,
under 18’s may require 3, POA)
Tick-Borne Encephalitis (per course of 3
injections)
£180
£160
Tick-Borne Encephalitis (booster)
£60
Hepatitis B (per injection)
£40
RECEIPT:
Travel vaccinations
Date…………………………
Patients Name…………………… Signature………………………….
Amount Paid…………………….. Method of payment: Cash/Card
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