Invoice #1017
Oct 5, 2026, 10:50 AM
Summary
Paid
| Item | Qty | Price | Amount |
|---|---|---|---|
| Crown | 1 | $1,345.00 | $1,345.00 |
Total$1,345.00
Paid$1,345.00
Patient
Name
Email
olivia.nguyen@example.org
Phone
(630) 555-0133
Payment
Status
Paid
Due
Oct 19, 2026
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Oct 5, 2026, 10:50 AM
| Item | Qty | Price | Amount |
|---|---|---|---|
| Crown | 1 | $1,345.00 | $1,345.00 |