8.6 Cost Accounting Year Total distance travelled Maintenance Cost (`) 1 2 1,60,200 1,56,700 46,050 45,175 The following are the details of expenses for the year under review: Diesel : ` 10 per litre. Each litre gives 4 km per litre of diesel on an average.. Calculation of total ton-km: Total Ton-Km. = Total Capacity Ã Distance covered by each vehicle Ã Average Capacity Utilisation ratio. = []()()()()() 290% 70% 5 9 6 12 7 15 2 20 9,000 +Ã + Ã + Ã + Ã Ã Ã = (+ + +) Ã Ã45 72 105 40 9,000 80% = 262 Ã 9,000 Ã 80%.
Refusing a patient assignment should be done for one reason only-patient safety. It takes insight and education to know when it is appropriate to refuse a patient assignment and it takes courage to speak up when patient safety is compromised.
You should notify your doctor of your refusal. Back to top. If you refuse to sign, one of two actions will take place: 1  Mayo Clinic may decide not to provide the items or services.  A second person will witness your refusal to sign the agreement, and you will receive the items or services.