Key,Value
Outstanding Balance,$0.00
Provider#,5841832X
F:,(02) 9629 7591
Total Amount,$74.60
ABN,50891997829
P:,1300330331
SIRA#,18602
Practitioner,Mr Andre Carle Physiotherapist
Date,22 Oct 2020
Appointment Date:,22 Oct 2020
Code,10960
Type,Service
Total Price,$74.60
Tax,$0.00
Quantity,1
Payment Details,"22 Oct 2020, 6:05PM EFTPOS $74.60 | Total $74.60"
Unit Price,$74.60
Client:,Preeti Singh
Tax,
Item,EPC Initial Consultation