Invoice #1035
Nov 1, 2026, 1:50 PM
Summary
Paid
| Item | Qty | Price | Amount |
|---|---|---|---|
| Emergency toothache visit | 1 | $185.00 | $185.00 |
Total$185.00
Paid$185.00
Patient
Name
Email
kevin.santos@example.org
Phone
(630) 555-0142
Payment
Status
Paid
Due
Nov 15, 2026
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Nov 1, 2026, 1:50 PM
| Item | Qty | Price | Amount |
|---|---|---|---|
| Emergency toothache visit | 1 | $185.00 | $185.00 |