DCS-Robinsons Galleria

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Patient Information

Name: {name}	CS: {invoiceId}
Origin Clinic: {branchCS}:{online}	CS-UID: {id}

Contact Details

Address:	Phone Number:	E-mail:	Membership ID:
{address}	{phoneNumber}	{email}	{pmId}

Products/Services
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Products

Prescription Facials

Nano Series

Nano Series with Diamond Peel

Acne Rx

Power of Laser

IPL Hair Removal

Warts

Others

Excessive Sweating

Whitening Treatment

Whole Body Treatment

Contour Treatment

New Treatments

Hair Treatments

Korean Series

DS Special

Add On

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Basic

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Products

Acne Wash (100ml)
285.00PHP Quantity



Active Clear Cream (10g)
325.00PHP Quantity



Betasol Solution (30ml)
395.00PHP Quantity



Body Sunblock Full Coverage SPF 60 Lotion (100ml)
425.00PHP Quantity



Bromisol Solution (120ml)
325.00PHP Quantity



Centella Gel (10g)
325.00PHP Quantity



Clobederm Cream (10g)
395.00PHP Quantity



Dermopague Wash (120ml)
285.00PHP Quantity



E derm Cream (10g)
295.00PHP Quantity



F derm Cream(10g)
325.00PHP Quantity



F derm Lotion(60ml)
450.00PHP Quantity



Fade Away Solution (100ml)
325.00PHP Quantity



Fluoderm Lotion (250ml)
450.00PHP Quantity



Fungiderm Cream (10g)
295.00PHP Quantity



Gentle Rejuv Toner (100ml)
280.00PHP Quantity



Gluta Kojic Max Lotion (100ml)
425.00PHP Quantity



Hair Tonic Solution (30ml)
395.00PHP Quantity



Hydra Sunblock Gel (25g)
300.00PHP Quantity



Intensive Whitening Wash (120ml)
285.00PHP Quantity



Ketoderm Cream (10g)
380.00PHP Quantity



Lumina Clear Toner (100ml)
280.00PHP Quantity



Medicated Scalp Shampoo (120ml)
325.00PHP Quantity



Neoderm Cream (10g)
380.00PHP Quantity



Post Acne Solution Mist(60ml)
375.00PHP Quantity



Post Ect Cream (10g)
295.00PHP Quantity



Premium Light-C Cream (30g)
450.00PHP Quantity



Pure Hydrating Wash (120ml)
285.00PHP Quantity



Recovery Night Cream (30g)
450.00PHP Quantity



Retimycin Solution (60ml)
295.00PHP Quantity



Ultimate White Cream (30g)
450.00PHP Quantity



Vita Morning Cream (30g)
300.00PHP Quantity



Wrinkle Repair Plus Cream (250g)
850.00PHP Quantity



Prescription Facials

Pure FacialEnter description
788.00PHP Session
Item subtotal:0.00PHP



Hydra Facial
2,000.00PHP Session



Acne Clear Therapy (Mild)
1,500.00PHP Session



Acne Clear Therapy (Severe)
2,000.00PHP Session



Diamond PeelEnter description
1,499.00PHP Sessions
Item subtotal:0.00PHP



IontophoresisEnter description
1,499.00PHP Session
Item subtotal:0.00PHP



Enzyme Peel
2,499.00PHP Session



C-Light Infusion
1,199.00PHP Session



Lumina TherapyEnter description
1,499.00PHP Session
Item subtotal:0.00PHP



Stem Cell-InfusedEnter description
1,999.00PHP Session
Item subtotal:0.00PHP



ChemobrasionEnter description
5,000.00PHP Session
Item subtotal:0.00PHP



F2 for Damage SkinEnter description
1,499.00PHP Session
Item subtotal:0.00PHP



Illumina Light (Face)Enter description
4,399.00PHP Session
Item subtotal:0.00PHP



Illumina Light (Underarm)Enter description
3,299.00PHP Session
Item subtotal:0.00PHP



PRP Vampire Treatment
10,000.00PHP Session



Harmony Wand
7,500.00PHP Session



Soprano Laser
7,500.00PHP Session



DS Light
5,000.00PHP Session



Premier Facial
3,000.00PHP Session



Nano Series

Nano Gold Ultima
1,500.00PHP Session



Nano White Max
1,500.00PHP Session



Anti-Acne Azelaic
1,500.00PHP Session



Nano Series with Diamond Peel

Nano Fusion 1ANano White Max + Diamon Peel
1,999.00PHP Session



Nano Fusion 1BNano Gold Ultima + Diamond Peel
1,999.00PHP Session



Nano Fusion 1CAnti-Acne Azelaic + Diamond Peel
1,999.00PHP Session



Nano Fusion 2ANano White Max + Lumina Therapy
2,499.00PHP Session



Nano Fusion 2BNano Gold Ultima + Lumina Therapy
2,499.00PHP Session



Nano Fusion 3ANano White Max + Thermalift
3,999.00PHP Session



Nano Fusion 3BNano Gold Ultima + Thermalift
3,999.00PHP Session



Nano Fusion 3CAnti-Acne Azelaic + Thermalift
3,999.00PHP Session



Acne Rx

IL Injection
349.00PHP QTY



Acne Vulgaris
1,499.00PHP Session



Erythro-Infused
1,499.00PHP Session



Glycolic Micropeel
1,999.00PHP Session



Back Treatment
1,500.00PHP Session



Power of Laser

Fractional Laser (Acne Scars)
14,999.00PHP Session



ND YAG - TATTOO REMOVAL
1,499.00PHP Session



ND YAG - Facial Harmony
7,500.00PHP Session



ND YAG Underarm - Soprano
7,500.00PHP Session



ND YAG - Inguinal
7,500.00PHP Session



Diode Laser
1,500.00PHP Session



IPL Hair Removal

Upper Lips
1,500.00PHP Session



Underarm
1,800.00PHP Session



Bikini
2,000.00PHP Session



Full Legs
8,500.00PHP Session



Arms
3,800.00PHP Session



Chin Area
2,500.00PHP Session



Brazilian
3,000.00PHP Session



Warts

ECT
1,500.00PHP Session



Fractional
14,999.00PHP Session



Others

MiliaStarts at 100.00 per piece
100.00PHP QTY



Keloid Injection
1,500.00PHP Session



Excessive Sweating

Underarm
1,499.00PHP Session



Hands
1,499.00PHP Session



Feet
1,499.00PHP Session



Whitening Treatment

Neck
1,499.00PHP Session



Underarm
1,499.00PHP Session



Bikini
1,499.00PHP Session



Whole Body Treatment

Nano Fusion
30,000.00PHP Session



C-Light Infusion
30,000.00PHP Session



Chemobrasion Treatment
12,500.00PHP Session



Contour Treatment

Thermalift
2,999.00PHP Session



Thermasculpt
5,500.00PHP Session



Lipo Laser
5,500.00PHP Session



Ab Blast Pro
4,999.00PHP Session



Meso Therapy
5,500.00PHP Session



HIFU
10,000.00PHP Session



New Treatments

PRP (Vampire Treatment)
10,000.00PHP Session



HIFU (FACE)
10,000.00PHP Session



HIFU (ARMS)
15,000.00PHP Session



HIFU Tummy
20,000.00PHP Session



AB Blast Pro
4,999.00PHP Session



Hair Treatments

IL Injection for Alopecia
1,500.00PHP Session



Laser Biolight
1,500.00PHP Session



Falling Hair/Baldness
1,500.00PHP Session



Korean Series

Korean White Glow
3,000.00PHP Session



Korean Acne Clear
3,000.00PHP Session



Korean Youth Glow
3,000.00PHP Session



DS Special

Ds Slimming Program
30,000.00PHP Session



Ds Hair Free Program
15,000.00PHP Session



Barbie Arms
20,000.00PHP Session



Glam Lip
4,500.00PHP Session



Barbie Waist
30,000.00PHP Session



Add On

Add On
750.00PHP Session



New (Class)

Harmony Wand
7,500.00PHP Session



Barbie Waist
5,000.00PHP Session



Diode with Whitening
25,000.00PHP Session



DS Light with Hair Removal
7,500.00PHP Session



DS Light with Hair Removal
7,500.00PHP Session



DS Light
1,800.00PHP Session



PRP Hair Regrow
20,000.00PHP Session



Cavitation
2,500.00PHP Session



Cavitation w/ RF
5,000.00PHP Session



Light Therapy
500.00PHP Session



Face and Neck
2,500.00PHP Session



Basic

Pure FacialSession
788.00PHP



Total

0.00PHP

Mode of Payment

	MOP	AMT	RCPT
MOP1
MOP2

Sessions Completed

	Date	Clinic	Therapist	RMRKS
1st Session
2nd Session
3rd Session
4th Session
5th Session
6th Session
7th Session
8th Session
9th Session
10th Session

Patient Information

Name: {name}	CS: {invoiceId}
Origin Clinic: {branchCS}:{online}	CS-UID: {id}

Contact Details

Address	Phone Number	E-mail	Membership ID:
{address}	{phoneNumber}	{email}	{pmId}

AMOUNT

{ProductsServices}

{sessionsCompleted}

Treatment Done By*
Prepared By*
Patients Signature*

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