Payment Information for Toma

Name: Toma Registration No: 2390
SL Date Treatment Payment Amount Edit
1 2014-08-30

R+C+0    LR6

 500.00
2 2014-08-31

Pulp   devitaliger    LR6

 2500.00
3 2014-09-01

Pulp  devitaliger    LR6

 0.00
4 2014-09-04

R+C+T   Done    LR6

 0.00
Total Amount 3,000.00