 |
[Hospital Name][HospitalAddress] |
|
|
RECEIPT VOUCHER |
| Patient ID | [PatientNo] | Reciept Date | [BillDate] |
| Name | [PatientName] | ||
| Age/Gender | [Age/Sex] | ||
| Address | [Address] | ||
| National ID | [NationalID] | ||
| Received with thanks from :[Name] | Total : | [Amount] |
| [Amountwrds] | ||
|
Prepared By : [Username] |
Counter Name : [Counter] |
Cashier |
|
Print Date : [InvioceDatetime] |
Remarks : [Remarks] |