Payment Information for Moslama

Name: Moslama Registration No: 2526
SL Date Treatment Payment Amount Edit
1 2014-11-25

R+C+O   LR7

 1000.00
2 2014-11-29

Ca[oh]2   LR7

 500.00
3 2014-12-03

Pulp devitaliger    LR7

 500.00
4 2014-12-06

R+C+T    Done   LR7

 1000.00
Total Amount 3,000.00