Payment Information for Rita

Name: Rita Registration No: 1674

SL Date Treatment Payment Amount Edit
1 2013-07-10

RCO UL56

5000.00
2 2013-07-11

Pulp devitaliger UL56 Cotton UL6

5000.00
3 2013-07-13

RCT done UL6 Pulp devitaliger UL5

0.00
4 2013-07-19

RCT done UL5

0.00
5 2013-07-20

Cap Cut UL56

0.00
6 2013-07-26

Cap Supply UL56

0.00
Total Amount 10,000.00