Dr Abul Hassan Syed (A H Syed Pty Ltd)

Gungahlin Medical Practice
Suite 3A-5,Level1, Market Pl, 30 Hibberson Street, Gungahlin 2912
Phone: 0262557007
Fax: 0262550001

For Professional Services Rendered By:

Dr Abul Hassan Syed
FRACGP, AMC, MBBS
Provider No: 249574NL

New Patient!

Patient Info:

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Payment Details:

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Hello {input.customer_name} {input.customer_name_1},

Thank you for Payment. Here is your payment receipt:

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Booking Date: {input.date}

Appointment Time: {input.select}

Your Services: {payment_item.payment_item}

How to Send? {payment_item.payment_item_1}

Your Payment ID: {submission.id}

Your Transaction ID: {submission.transaction_id}

Total Amount Paid: {submission.payment_total}

Thank You

Name: Gungahlin Medical Practice Online Services

Address: Australia

ABN: 61 147 660 679

Tel: +61 403 270 277

Website: {wp:site_url}