Payment for Медикаменти(згідно Сан. регламенту )

Amount payable *

Amount payable *

Last name, first name of your child *

Last name, first name of your child *

Grade *

Grade *

Income code *

Income code *

Month

​

Month *

Year

​

Year *

Select acquirer (The cards of all banks are accepted)

Commission - 0₴

Commission - 0₴

In total:0₴ Taking into account the Commission

E-mail (for sending the receipt) *

E-mail (for sending the receipt) *

Pay