Payment Information for Shirin

Name: Shirin Registration No: 1350
SL Date Treatment Payment Amount Edit
1 2012-12-29

RCT Open Cotton

 1900.00
2 2013-01-02

Ca(OH)2 UL4

 100.00
3 2013-01-09

G.P. Filling UL4

 0.00
4 2014-05-24

Cap Cut UL4

 500.00
5 2014-05-27

Cap Supply UL4

 1500.00
Total Amount 4,000.00