Chelsea D'agosta - ClientID #159431



ID #Order DateSent DateStatusShip StatusValue
90087803 Sep 16, 2024Cancelled Reinstate$1,140.00

Comments on the Client
Insert New Comment ASANA Blank space
SENT HISTORY
Menopur (Turkey) 75 IU (986)
Oct 25, 2022 x 30
First Name Phone
Last Name Mobile
Signature Waived (Not yet active)
Type of ID
ID #

(numbers only)
Doctor Clinic
Date of Birth Origin
Gender Joined On.. October 19, 2022
Address Affiliate
Apt#/Unit # Credit Card Info
City CC Number
State CVV
Country Exp Date /
Zip ACH Info
Email ABA/Routing #
Password Account #
Date To Call Bank Name
Do Not Call Name on Account
Black Listed
Do Not Email (anything) Send Reminder Email
Medical Information
Doctor Dr. Phone #
Dr. Email Dr. Fax #
Conditions














Allergies
Meds/Supplements
WooCommerce Information
(IP)Woo ID     (IP)Woo Username
Referral ID
(ReeKooz)Woo ID (ReeKooz)Woo Username
UBAcare ID (RXFor.ME) Woo ID    

NOTE: This will NOT adjust any information on existing orders.