In fact American paper money is used. Coins are identical in shape, size, weight and value to ours but are printed with a bust of Balboa and the penny with a bust of Uraca, a legendary Indian folk hero. American and Panamanian money is completely interchangeable. Panama's water is the purest in the world and in the major cities it can be drunk from the tap. Sanitation standards in restaurants are also high.
Milk is pasturized.
Medical services are excellent and include some renowned specialists. Many doctors are internationally trained and most speak English. Depending on your citizenship, you must have a valid passport with either a visa or tourist card. Make sure you have cash before departing the hotel for the airport. Major credit cards are accepted throughout Panama City.