[Outlet]

Balance Voucher ([Billtype]) [DuplicateBill]

Patient ID	: [Patient Id]	Contact No	: [contactno]
Patient Name	: [PatientName]	Department	: [department]
Bill No	: [Bill No]	Bill Date	: [Bill Date]
Age	: [Age]	Patient Type	: [Ptype]
Address	: [Address]	Doctor	:Dr. [doctor]
Customer	: [Cusname]
Bed	: [bed]	Nursing Station	: [NURSTATION]

GSTIN : [gstin]

Drug License No : [Drug Lic No]

Amount in : [currency]

[Item List]

Gross Amount [gross] Tax Amount [GstAmt] CESS [CESS] Discount [Discount] Net Amount [Net Amount] Patient Payable [Payable Amount] In Words :[rupees] INSURANCE /CORPORATE Claimed Amount [ClaimedAmount] [Crupees]

[Remarks]

Counter		Billed by
[Counter]	Printed Date : [PrintDate]	[User]