Payment Information for Suleta

Name: Suleta Registration No: 1418
SL Date Treatment Payment Amount Edit
1 2013-02-16

RCO LR6 4c.

 2000.00
2 2013-02-18

Pulp devitaliger LR6

 3000.00
3 2013-02-23

Pulp devitaligr LR6

 0.00
4 2013-02-27

G.P Filling LR6

 0.00
5 2013-03-06

Cap Cut LR6

 1000.00
6 2013-03-12

Cap Supply LR6

 500.00
Total Amount 6,500.00