[Hospital Name]

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