[Hospital Name]

[HospitalAddress]
Return Voucher
[Billtype]
[DuplicateBill]
Patient Name : [PatientName] Age/Gender : [Age]
Patient No : [Patient Id] Doctor : [doctor]
Address : [Address] Department : [department]
Bill No :[Bill No] Bill Date : [Bill Date]
Refund No :[Refund No] Refund Date :[Refund Date]
Customer :[Cusname]
Bed No :[BED] Nursing Station :[NURSTATION]
Drug Lic No : [Drug Lic No]
[Item List]
[Remarks]
Gross Amount [gross]
Discount [Discount]
Net Amount [Net Amount]
GST [Vat]
CGST [CGST]
SGST [SGST]
CESS [CESS]
Patient Refundable [Payable Amount]
In Words : [rupees]
Counter Billed by

[Outlet]


[Counter]


Printed Date : [PrintDate]

[UserName]