Jack Doe (1234567890)
Male - 64 year - B +ve
+66 2 123 4567 jackdoe@email.com
Apt. ID - 372439
Visit ID - 405588
Patient Billing Code
GEN
Payment Priority
1 C.C 2 Ins
One Two Three
Invoice 1
Invoice 2
Invoice 3
PROMO CODE

Promo Code

Discount Percentage

0%

Discount Value (฿)

00.00

Payable Amount (฿)

2600.00

Total Payment Received (฿)

2600.00

Remaining Amount (฿)

00.00

Payment Details

Date

Deposit By

Amount

Payment Mode

28-02-2020

Sheila Franklin

2600

Cash

Refund Details

Date

Refund By

Amount

Payment Mode

-

-

-

-
Go to Billing Bill Paid
Receipt Generated
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