[Hospital Name]

[HospitalAddress]

OP CASH BILL
[PatientName]  [Age] Patient No : [Patient Id]
[Address1] Bill No : [Bill No]
[Address2] Bill Date : [Bill Date]
[contactno] Doctor : [Doctor]
Patient Type : [Ptype] Department : [Department]
Consulting Room : [Consultingroom]

Token Number:[toke1]

Token Number:[toke2]

Amount In Rupees
[item List]

Patient

Patient Payable



[Total]


[rupees]


Cash



[Total]



Net Amount
[Total]

Gross Amount

[Total]
Discount

[Disc]

Insurance / Corporate
Claimed Amount

[claimAmount]

Date of Next Renewal : [RenewDate] Cashier
Counter :[counter] User :[user]