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Payment Info
Particulars of Charges Details Rate Quantity Amount Edit
Special Room Empty 536 2 $500 Edit Del
Assistant Charge Empty 478 2 $400 Edit Del
Special Room Empty 756 3 $300 Edit Del
Operation Charge Empty 354 5 $200 Edit Del
Implant Charge Empty 987 5 $100 Edit Del

$1500.00

$300.00 (20%)

$150.00 (10%)

$1650.00