Payment Information for Forida

Name: Forida Registration No: 12356

SL Date Treatment Payment Amount Edit
1 2025-09-27

GP Removed = U R  1 2

5000.00
2 2025-09-30

GP= U L  1  2  Ca (OH)2= U R 1

4000.00
3 2025-10-02

RCO= U R  1 2  U R 1 16.5(100)       U R 2 =18.5 (70)   Ca(OH)2= U L 1 2 

0.00
4 2025-10-11

RCT done = U L 1

5000.00
5 2025-10-14

Surgical EXT= U R 1  U L 1

2000.00
6 2025-11-01

IMP Taken = U R  1  2 U L  1 2

2000.00
7 2025-11-06

Bridge Supplied

4000.00
Total Amount 22,000.00