[Billtype]
[DuplicateBill]
Patient ID [Patient Id] Doctor Dr. [doctor]
Patient Name [PatientName] Department [department]
Address [Address]
[contactno]		 Patient Type [Ptype]
Bill # [Bill No] Bed # [bed]
Bill Date [Bill Date] Ward # [Ward]
[lblReferenceHos] [RefHosp] [lblReferenceDr]  [RefDr]
[lblvatregno] [vatregno] [lblcusvatregno] [cusvatregno]
[item List]
Patient
Non insured Amount [noninsamt]
Less Advance [Adavnce Amount]
Patient Payable [Payable Amount]
Settled Amount [Settled Amount]
Pending Amount [Pending Amount]
Rupees
[rupees]
Gross Amount [gross]
Discount [discount]
Net Amount [Net Amount]
[TaxAmountlbl] [TotalTax]
Total Amount [TotalAmount]
Insurance /Corporate
[Crupees]

Printed Date : [PrintDate]

Signature & Stamp

[UserName]

Cashier