[OPIP] ADVANCE RECEIPT [Cancelled]
[Duplicate]

Patient No	: [Patient Id]	Deposit Date	: [Advance Date]
Name	: [PatientName]	Payment Type	: [Ptype]
Address	: [Address]	Deposit No	: [Advance No]
		Age/Gender	: [Age]
Mobile No	: [contactno]
[CAPIPNO]	[IPNo]	[CAPDOCTOR]	[DOCTOR]
[CAPBEDNO]	[BEDNO]	[CAPDEPARTMENT]	[DEPARTMENT]

[item List]

Recieved With thanks from :[PatientName]

In Words : [rupees]
Remarks : [Remarks]

Total Amount :

[Total]

Prepared by	Counter
[user]	[counter]