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5/22/2015 Print

Company Name
SIFRNETMACDEMO
302,Jalan4/2,Seksyen4,TamanBukitSerdang43300SeriKembangan,Selangor
Company Address Tel:0389453069Fax:0389416069

OfficialReceipt
No:0000269443
Date:22/05/2015

ReceivedfromPATIENT1,NRIC680315106806,
beingpaymentof

Remark:

PaymentMode:Cash

Cashier

http://localhost:8080/germs/jsp/PrintTemplate.jsp?visitid=269443&templateid=31 1/1

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