[Hospital Name][HospitalAddress] |
RECIEPT VOUCHER
| Patient No. | : | [PatientNo] | Bill Date | : | [BillDate] |
| Name | : | [PatientName] | |||
| Age/Sex | : | [Age/Sex] | |||
| Address | : | [Address] |
| Sl# | Bill No. | Payment Mode | Credit/Chq No | Exp Date | Amount |
|---|
[RecieptDetails]
| Recieved with thanks from :[Name] | Total : | [Amount] |
|
[Amountwrds]
|
||
| Prepared By | : | [Username] | Counter Name | : | [Counter] | Cashier |