OP Consolidated Bills

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VD

Visit Date 10 Dec 2014

Billing Without Consultation

Patient ID
Name
Patient Type		Age/Gender
Insurance
Policy
Scheme		Policy/Card No

Patient Payable 0.00
Gross 0.00	Discount 0.00
Net 0.00	Tax + Cess 0.00
	Total 0.00

Consolidated Bills
All Bills Outpatient Lab, Radiology and Others Pharmacy Surgery

Bills View
CoPay Based on Net Amount CoPay Based on Gross Amount Discount After Copay

Bill # 0000Type : OP Insured

Sl#	Procedure	Doctor	Units	Rate	Disc %	Discount	Net Amount	Refund	Deduct %	Deduct	Co-Pay %	Co-Payment

Payment Types

Bill #	Type	Customer	Doctor

Split Bill
Staff Credit
:

Bills Summary

Gross Amount	0.00
Discount	0.00		0.00
Refund	0.00
Net Amount	0.00
Tax Amount	0.00
Cess Amount	0.00
Corporate Credit	0.00
Deduct Amount	0.00
Co-payment	0.00		( 0.00 )
Non-insured	0.00
Less Advance	0.00		:
Patient Payable	0.00
Ins. Claim No.
Ins. Approval Code
Copay & Deduct as credit
Customer
Credit Amount = 0.00	Co-pay + 0.00	Deduct + 0.00	Tax 0.00
Receipt of Patient Payable
Cash	0.00
Cheque/DD	0.00
Credit Card	0.00

Bills Summary

Gross Amount	0.00
Discount	0.00	0.00
Refund	0.00
Net Amount	0.00
Tax Amount	0.00
Cess Amount	0.00
Corporate Credit	0.00
Deduct Amount	0.00
Co-payment	0.00
Non-insured	0.00
Less Advance	0.00	:
Patient Payable	0.00
Ins. Claim No.
Ins. Approval Code
Receipt of Patient Payable
Cash	0.00
Cheque/DD	0.00
Credit Card	0.00

Split Bills View
CoPay Based on Net Amount CoPay Based on Gross Amount Discount After Copay

Bill # 00000Type: Cash

Sl#	Procedure	Gross Amount	Discount	Refund	Net Amount

0.00

0.00

0.00

0.00

Remarks

Patient Payable :

	Cash		Cheque/DD/Bank Transfer		Credit/Debit Card

Cash Settled		Payment Types		Card No.
Total Settled		Cheque/DD No./Ref No.		Name
Return Amount		Date		Expiry Date
		Account No.		Ref. No
		Bank		Swiping Machine

Patient Payable :

	Cash		Cheque/DD/Bank Transfer		Credit/Debit Card

Cash Settled		Payment Types		Card No.
Total Settled		Cheque/DD No.		Name
Return Amount		Date		Expiry Date
		Account No.		Ref No
		Bank		Swiping Machine

Total Credit Amount : Pending Amount :

Customer :

Invoice	:	Invoice Date	:
Cash	:	Payment Types	:
Cheque/DD/Bank Transfer	:	Cheque/DD Date	:
Credit/Debit Card	:	Cheque/DD No./Ref No.	:
		Account No	:
		Bank	:
		Card Name	:
		Depositing Bank	:
		Swiping Machine	:

Due Details		Collection Details
Op Previous Due		Cash	:	Payment Types	:
Ip Previous Due		Cheque/DD/Bank Transfer	:	Cheque/DD Date	:
Current Bill Amount		Credit/Debit Card	:	Cheque/DD No./Ref No.	:
Total		Return Amount	:	Account No	:
				Bank	:
				Card Name	:
				Depositing Bank	:
				Swiping Machine	:

Bill# From Date To Date Patient ID Name

Net Amt Customer Bill Serial