Invoice #1049
Nov 8, 2026, 10:20 AM
Summary
Awaiting payment
| Item | Qty | Price | Amount |
|---|---|---|---|
| Single dental implant | 1 | $4,825.00 | $4,825.00 |
| Crown | 1 | $1,645.00 | $1,645.00 |
Total$6,470.00
Outstanding$6,470.00
Patient
Name
Email
mei.romero@example.org
Phone
(630) 555-0139
Payment
Status
Awaiting payment
Due
Nov 22, 2026