Free Chiropractic Clinic Receipt Template
Chiropractic Clinic Receipt
This receipt confirms payment for the services provided.
Receipt Number: [CHR-20501]
Payment Date: [12/01/2050]
Invoice Number: [CHR-20501]
Received From: [Client Name]
Address: [Client Address]
Phone: [Client Number]
Services Provided
|
Description |
Quantity |
Unit Price |
Amount |
|---|---|---|---|
|
Initial Consultation and Exam |
1 session |
$120.00 |
$120.00 |
Total Paid: [$435.00]
Payment Method: Credit Card
We appreciate your trust in [Your Company Name] for your healthcare needs!
