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Healthwise Diagnostics Ltd

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Preview of submitted tests:

ID: HW-000   Full Name:    Age:    Gender:
Phone Number:    Email Address:
Tests:

Laboratory:    Type of specimen:
Customer Type:    Total price:
Type of payment:   
Advance:    Balance:   
Debt Status:
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Payment mode:   
Amount paid in cash:    Amount paid cashless:
Referral Name:    Commission: