QuickCare Urgent Care Receipt Example
This is a sample QuickCare Urgent Care receipt showing Office Visit — Established Patient, Rapid Strep Test and 1 more item, with a total of $75.00. Use it as a reference for what a real QuickCare Urgent Care receipt looks like — then make your own with your items, prices, date and store details.
What's on this receipt
| Item | Qty | Price |
|---|---|---|
| Office Visit — Established Patient | 1 | $150.00 |
| Rapid Strep Test | 1 | $45.00 |
| Insurance Adjustment | 1 | -$120.00 |
| Total (incl. tax) | $75.00 | |
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SALES RECEIPT
QuickCare Urgent Care
330 Wellness Avenue
Columbus, OH 43215
(612) 555-0137
06/15/2026 13:42 · Receipt #475206
Store # 100Reg 1
| Item | Qty | Price | Total |
|---|---|---|---|
| Office Visit — Established Patient | 1 | $150.00 | $150.00 |
| Rapid Strep Test | 1 | $45.00 | $45.00 |
| Insurance Adjustment | 1 | -$120.00 | -$120.00 |
Subtotal$75.00
TOTAL$75.00
Payment MethodCredit •••• 4821
Thank you. Please keep this receipt for your records.
475206