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Invoice
#135178

Reciever:

Hospital Memo

Anny.123@hotmail.com

1642 Cambridge Drive, Phoenix, 85029 Arizona

Arizona

Phoenix

  • Invoice Date : Saturday, Nov 08 2019
  • Due Date : Sunday, Nov 16 2019
id Item Name Qty Unit Cost total
1 Visting Charges 1 $100 $100
2 Medicines 10 $69 $800
3 X-ray Reports 4 $600 $1380
4 MRI 2 $245 $480
Total Cost: $1500