[Billtype]
[PatientName]               [Age]               [Address]               [contactno]         Patient No : [Patient Id] Doctor : [doctor]         Bill No : [Bill No]             Bill Date : [Bill Date] Patient Type : [Ptype]
	[item List]
	Patient Non insured Amount [noninsamt] Patient Payable [Payable Amount] Rupees : [rupees]		Net Amount [Net Amount] Gross Amount :     [gross] Discount :     [discount]  Insurance /Corporate
	Printed Date :	[PrintDate]	Signature & Stamp [UserName]  [Cashier]
	Outlet  Name:	[Counter]