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INV-202607-001192

Amara Boateng

Issued 31 Jul 2026, due 30 Aug 2026

Part paidPatient record
Charges
Charges on invoice INV-202607-001192
ChargeQtyUnitDiscountTaxTotal
Follow-up consultationConsultation · Consultation with Dara Whitfield1$75.00——$75.00
Complete blood countLaboratory · Lab order LAB-2026-0044101$18.00——$18.00
Vitamin D, 25-hydroxyLaboratory · Lab order LAB-2026-0044101$45.00——$45.00
Subtotal
$138.00
Total
$138.00
Paid
-$25.00
Balance due
$113.00
Payments and refunds

Cash payment

Copay taken at the desk

31 Jul 2026, 13:43 · Remy Castellanos

$25.00
Insurance
Blue Harbor HealthSubmitted

BHH-4417-8823

Claimed $110.40

Submitted 31 Jul 2026, 13:43