Payment Information for Forida

Name: Forida Registration No: 1507-1
SL Date Treatment Payment Amount Edit
1 2013-04-15

RCT O UL7 C.M.C.P

 500.00
2 2013-04-18

Pulp devitaliger UL7

 500.00
3 2013-04-26

G.P Filling UL7

 1000.00
Total Amount 2,000.00