New Order

Hi, Admin

Demo Account

Primary Partner

Gamma Dental Clinic

Partner Agent

Dr. John Smith

Scan Number

98736592

Patient Name

Israel Israeli

Patient Gender

Male

Item 1

Item 2

+ Add Item

Fixed

Removable

Type of restoration

Select an option

Type of implant crown

Select an option

Type of restoration

Select an option

Type of restoration

Select an option

Notes

Order summary

Item 1

Fixed Prosthetic 12, 11

$100.00

Item 2

Fixed Prosthetic 24, 31, 33

$150.00

Current Balance

$1,000.00

Total

$350.00