Payment Information for Eva

Name: Eva Registration No: 2458
SL Date Treatment Payment Amount Edit
1 2014-10-17

R+C+O     LL7

 1000.00
2 2014-10-21

Pulp devitaliger     LL7

 2000.00
3 2014-10-27

R+C+T    Done     LL7

 2000.00
4 2014-11-11

P/F    UR78

LR7

 1500.00
Total Amount 6,500.00