[Outlet]-[Billtype][Cusname] [DuplicateBill]

Patient ID	: [Patient Id]	Bill No	: PH[Bill No]
Patient Name	: [PatientName]	Bill Date	: [Bill Date]
Age/Gender	: [Age]	Doctor	: [doctor]
Address	: [Address]	Department	: [department]
Customer	[Customer]
Drug Lic No : [Drug Lic No]				GST No : 32AADFL2870J1ZE

[item List]

[Remarks]	Gross Amount [gross] Discount [Discount] [Billother] [BillOtherAmt] GST [GSTAmt] Flood Cess [CESS] Tax Amount [TaxAmt] Non insured Amount [noninsamt] Less Advance [Adavnce Amount] Net Amount [Net Amount] Patient Payable [Payable Amount] Claimed Amount [ClaimedAmount]
In Words:[rupees]
Claimed Amount In Words:[Crupees]
Billed by Checked By Dispensed By User: [User], Counter: [Counter] Printed Date : [PrintDate]