Payment Information for Samsul Alam

Name: Samsul Alam Registration No: 1604
SL Date Treatment Payment Amount Edit
1 2013-06-08

RCO UR4

 1000.00
2 2013-06-11

Pulp devitaliger UR4

 1000.00
3 2013-06-18

G.P Filling UR4

PF LR7

 2000.00
Total Amount 4,000.00