You are on page 1of 1

Page: 1 of 1

American College of Physicians


190 N Independence Mall West, Philadelphia, PA, 19106-1572, USA
Phone: 800-227-1915 Fax: 215-351-2799 Email: help@acponline.org

ACKNOWLEDGEMENT/RECEIPT
Date: 08-Sep-2021
Ship-To: 04165300-0 Order Number: 8003930393
Order Date: 22-Aug-2021
Invoice Number :

Diiwashish Biswas, MD
Medicine
BMC Sagar
House Number 24
Geetanjali Green City Near Sanjay
Sagar 470002
INDIA

Unit
Product Fulfil Status Status Qty Unit Price Discount Coupon Adjustment Total

ACP/IMEMBER-ACP - Member 01-Aug-2021 Active Active 1 105.42 0.00 0.00 0.00 105.42
to 30-Jun-2022
MEMIDCARD-Member ID Card Active 1

Shipping: 0.00
Tax: 0.00

Total : 105.42
Paid To Date -105.42

Current Amount Due : 0.00

Credit Card Information:


************4804 Visa

You might also like