Receipt

TRANSACTION ID

TRANSACTION DATE

PATIENT NAME

CARDHOLDER

AMOUNT

VIEW RECEIPT

3323234242

02/20/2021

Tony Sparks

Jame Harden

$39.99

3323234242

02/20/2021

Tony Sparks

Jame Harden

$39.99

3323234242

02/20/2021

Tony Sparks

Jame Harden

$39.99

3323234242

02/20/2021

Tony Sparks

Jame Harden

$39.99

3323234242

02/20/2021

Tony Sparks

Jame Harden

$39.99

3323234242

02/20/2021

Tony Sparks

Jame Harden

$39.99

Receipt

TRANSACTION ID

TRANSACTION DATE

3323234242

02/20/2021

Patient

Tony Sparks

Cardholder

Jame Harden

Price

$39.99

3323234242

02/20/2021

Patient

Tony Sparks

Cardholder

Jame Harden

Price

$39.99

3323234242

02/20/2021

Patient

Tony Sparks

Cardholder

Jame Harden

Price

$39.99

3323234242

02/20/2021

Patient

Tony Sparks

Cardholder

Jame Harden

Price

$39.99

3323234242

02/20/2021

Patient

Tony Sparks

Cardholder

Jame Harden

Price

$39.99

3323234242

02/20/2021

Patient

Tony Sparks

Cardholder

Jame Harden

Price

$39.99