Payment Information for Adial

Name: Adial Registration No: 2699
SL Date Treatment Payment Amount Edit
1 2015-03-13

R+C+O    LL6

 1000.00
2 2015-03-17

pulp  devigelar     LL6

 1000.00
3 2015-03-21

R+C+T    done      LL6

 500.00
Total Amount 2,500.00