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Draft saved
Today
Payment
Follow-up
Done
Juan Dela Cruz
PT-F4C3E7
Jun 1, 2026, 10:00 AM
Dr. Reyes
Chair 1
Chargeable today
Composite Restoration
· #16 · O
₱2,500
Composite Restoration
· #24 · D
₱2,500
Tooth Extraction
· #48
₱3,000
Oral Prophylaxis
₱1,200
Comprehensive Oral Exam
₱500
Total due
₱9,700
Payment method
Cash
GCash
Maya
Card
Soon
Bank transfer
Amount tendered
₱9,700.00
Full (₱9,700)
50%
No payment
Paying in full — ₱9,700.
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Paying in full
₱9,700
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