Appointment Details
- Date: 15 June 2023
- Time: 11:00 am
- Duration: 30 min
- Treatment For: Depression
- Note: Lorum Ipsum
-
Patient
Andrea Lalema
-
Gender
Female -
Mobile
9188543632 -
Email
sample@gmail.com -
Address
Lorum Ipsum
Invoice
Invoice Number : In983248782
Company Name
9087484288
Address line 1, Address line 2
Zip code ,City - Country
Customer Name
9087484288
Address line 1,
Address line 2
Zip code ,City - Country
Debit Card
XXXXXXXXXXXX-2541
HDFC Bank
Recurring : 15 Months
PO Number : 54515454
Issue Date : 27 Jul 2022
Due Date : 27 Aug 2022
Due Amount : ₹ 1,54,22
| Description | Rate/Item | Quantity | Discount (%) | Amount |
|---|---|---|---|---|
| HSQ | $310 | 2 | 2% | $400 |
| Amlodac | $100 | 3 | 6% | $3,00 |
Notes:
Enter customer notes or any other details
Terms and Conditions:
Enter customer notes or any other details
Taxable $700.00
Additional Charges $70.00
Discount $700.00
Sub total $700.00
Harristemp
Notes :
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fluoxetine (Prozac)1-0-1
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paroxetine (Paxil)1-0-0