Invoice #1053
Nov 9, 2026, 2:20 PM
Summary
Awaiting payment
| Item | Qty | Price | Amount |
|---|---|---|---|
| Single dental implant | 1 | $4,530.00 | $4,530.00 |
| Root canal | 1 | $1,065.00 | $1,065.00 |
Total$5,595.00
Outstanding$5,595.00
Patient
Name
Email
sofia.kim@example.com
Phone
(630) 555-0119
Payment
Status
Awaiting payment
Due
Nov 23, 2026