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Medical Records System

Official Payment Receipt

RCP-00000002

Issued on: November 05, 2025

Patient & Invoice Information

Patient Name:

Invoice Number:

INV-000002

Patient ID:

Invoice Date:

January 01, 1970

Payment Information

Payment Date:

November 05, 2025

Payment Method:

Cash

Paid By:

Patient

Reference Number:

AA

Payment Status:

Pending

Notes:

A

Amount Paid

KES 500.00

Received By

Authorized Signature