[HospitalName][HospitalAddress] |
|||
| ROOM/BED ALLOTMENT SLIP | (R/ACC-16/0) | ||
| [PatientDetails] | ||
| [Details1] | ||
| [Details2] | ||
| Dates:[Dates] | Receptionist | |
| N.B : The checkout time is 3.00:00 PM.Those who stay | ||
| beyond that time on the day of discharge will | ||
| have to pay one day's extra rent. | Signature | |