Payment No.: 1000047634
Consultation No.: C000047987
Date: 2023/12/15
Patient No.: 123456
Patient Name: John Doe
Diagnosis: 肝經
| Payment Item(s) | Amount | Discount | Subtotal |
|---|---|---|---|
| Consultation | $ 250.0 | $ 250.0 | $ 0.0 |
| Acupuncture | $ 250.0 | $ 0.0 | $ 250.0 |
| Chinese Medicine | $ 760.0 | $ 380.0 | $ 380.0 |
| Subtotal: | $ 630.0 | ||
| Total: | $ 630.0 | ||
Registered CMP: Tsang Cheung Wai
Registered CMP Code: 005104
Payment Method: Cash
Remark:
Handler Signature: ____________________
Handler: 助理
Date: 2024/01/06