Patient Billing Transaction Log

Patient Billing Transaction Log


Prepared by: [Your Name]

Company: [Your Company Name]

Date: January 5, 2060


Date

Patient ID

Service Rendered

Amount

Status

Jan 5, 2060

101

Consultation

$150

Paid

Feb 12, 2060

102

X-Ray

$200

Pending

Mar 20, 2060

103

Blood Test

$75

Paid


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