Payment Information for Suriha

Name: Suriha Registration No: 4003
SL Date Treatment Payment Amount Edit
1 2015-12-19

R+C+O     UL4

 500.00
2 2015-12-26

Pulp Devitaliger    UL4

 1500.00
3 2015-12-21

R+C+T     Done   UL4

 500.00
4 2016-01-18

Cap   Cut    UL4

 500.00
5 2016-01-26

Cap  Supply     UL4

 1500.00
Total Amount 4,500.00