[Hospital Name]

[HospitalAddress]
[Billtype]
[PatientName]
[Age]
[Address]
[contactno]
Patient No : [Patient Id] Doctor : [doctor]
Bill No : [Bill No] Department : [department]
Bill Date : [Bill Date] Patient Type : [Ptype]
[item List]
Patient
Net Amount
[Net Amount]
Gross Amount [gross]
Discount [discount]
Net Amount [NetAmnt]
Paid Amount [payamt]
Refund Amount [refund]
Insurance /Corporate
Cashier
Outlet : [outlet],[counter]   User : [UserName]