Invoice #1002
Sep 13, 2026, 5:35 PM
Summary
Paid
| Item | Qty | Price | Amount |
|---|---|---|---|
| Routine cleaning and exam | 1 | $200.00 | $200.00 |
Total$200.00
Paid$200.00
Patient
Name
Email
owen.novak@example.com
Phone
(630) 555-0140
Payment
Status
Paid
Due
Sep 27, 2026
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Sep 13, 2026, 5:35 PM
| Item | Qty | Price | Amount |
|---|---|---|---|
| Routine cleaning and exam | 1 | $200.00 | $200.00 |