[RefundType]

[PatientName] Patient ID [Patient Id] [Age] Refund # [Refund No] [Address] Refund Date [Refund Date] [docname] Bill # [Bill No]

[item List]

Gross Amount [groamt] Discount [discamt] Net Amount [netamt] Tax Amount [TotalTaxAmount] CGST [Cgst] SGST [Sgst] Co-payment/Deduct Amount [copayamt] Non-Insured Amount [noninsamt] Return To Patient [Total] [rupees] Claimed Amount [claimamt]
Counter :[counter]	Cashier	User :[user]