Payment Private
Pembayaran Pribadi untuk Konsultan
Nama Lengkap
*
Email Address
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Date
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Doctors
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Select Doctor
No Preferred Doctor
Dr SK Tan
Dr Ben Yim
Dr Liz Lum YX
Dr Ian Tan
Dr Michelle Wong
Dr Vivian Yong
Dr Lina Yow
Nomor Referensi Pasien
*
Nama Konsultan
*
Pilih Konsultan
No Preferred Consultant
Angel Ling
Caline Chong
Cassandra Ho
Celeste Ng
Chrisline Chia
Eva Chai
Jennifer Wong
Jessica Wong
Karine Teoh
Kym Tee
Livess Low
Livia Seck
Mary Tan
No Preferred Consultant
Rachel Yip
Sammi Heong
Suk Cheng
Tina Teng
Vennus Wong
Yen Nee
Invoice Creator
*
Select Invoice Creator
Angel Ling
Caline Chong
Cassandra Ho
Celeste Ng
Chester Wan
Chrisline Chia
Eva Chai
Jeff Foong
Jennifer Wong
Jessica Wong
Karine Teoh
Kym Tee
Livess Low
Livia Seck
Mary Tan
Michelle Lim
Mun Ling
Nina Yeo
Rachel Yip
Sammi Heong
Sandy Liu
Sherlyn Pang
Suk Cheng
Tina Teng
Vennus Wong
Yen Nee
Billing
Alamat Billing
*
Nomor Unit / Lantai
*
Negara
*
Kota
*
Kode Pos
*
Sama dengan alamat pengiriman
Pengiriman
Alamat Pengiriman
*
Nomor Unit / Lantai
*
Negara
*
Kota
*
Kode Pos
*
Membeli Barang
Produk
10+10 Laser All Day
10+10 Laser Off Peak
5+5 Laser All Day
5+5 Laser Off Peak
IDS Ultherapy with 1 session Laser (First Timer)
IDS Ultherapy with 1 session Laser (Repeat)
Injectable - Plinest
Injectable - Plinest FAST
Injectable - Profhilo (per Syringe of 2ml)
Injectable - Profhilo (per Syringe of 3ml)
Injectable - Rejuran Healer
Injectable - Rejuran I
Option 1 - IDS U-Lift
Option 2 - IDS Baby Lift
Option 3 - Fillers (per Syringe)
REPEAT Laser All Day 10+10
REPEAT Laser All Day 5+5
REPEAT Laser Off Peak 10+10
REPEAT Laser Off Peak 5+5
Qty
Harga Retail
S$
Diskon
%
$
Total
S$
+ Tambah Baris
Subtotal
0
Pengiriman
[ Edit ]
S$
0
S$
GST (8%)
0
Grand Total
0
Kirim
Terima kasih
Kami telah menerima pertanyaan. Mohon meminta pelanggan untuk membayar.
Gagal