ADVANCE REFUND RECEIPT [Cancelled]
[Duplicate]
Patient No : [Patient Id]
Patient Name : [PatientName] Refund No : [Refund No]
Address : [Address] Deposit No : [Advance No]
Mobile No : [contactno] Refund Date : [Refund Date]
[CAPIPNO] [IPNo] Payment Type : [Payment Type]
[CAPBEDNO] [BEDNO] [CAPDEPARTMENT] [DEPARTMENT]
[CAPDOCTOR] [DOCTOR]
[item List]
Remarks : [REFREMARKS]
In Words : [rupees] Total Amount [Total]
User Counter

[user]

[counter]