Invoice #1011
Sep 27, 2026, 4:50 PM
Summary
Paid
| Item | Qty | Price | Amount |
|---|---|---|---|
| Routine cleaning and exam | 1 | $195.00 | $195.00 |
Total$195.00
Paid$195.00
Patient
Name
Email
mei.romero@example.org
Phone
(630) 555-0139
Payment
Status
Paid
Due
Oct 11, 2026
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Sep 27, 2026, 4:50 PM
| Item | Qty | Price | Amount |
|---|---|---|---|
| Routine cleaning and exam | 1 | $195.00 | $195.00 |