Payment Information for Toufik Rohoman

Name: Toufik Rohoman Registration No: 4887
SL Date Treatment Payment Amount Edit
1 2017-09-21

RCO UL1
 

 1000.00
2 2017-09-26

RCT done UL1

 1000.00
3 2017-10-05

CAP cut UL1 given

 1000.00
4 2017-10-08

CAP suppliment UL1
 

 2000.00
Total Amount 5,000.00