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Invoice No:
Contact Details:
Registration No:
Discharge Date:
Patient Name:
Gaurdian Name:
Insurance Avl:
Consultant:
Patient Issue:
Admit Date:
Age:
Room Category:
Address:
Mobile:
Tax: %
CGST: % - ₹
SGST: % - ₹
Taxable Amount:₹
Total Amount:₹
Remark:
In case of emergency consult immediately if you get pain,painful movements, redness,pus or bleeding .Follow up after 5 days . Meet ,
* This is computer generated invoice signature not required created at at
Ph:
Patient:
Doctor:
Cash Memo: 21L/2343
Date:
Addr:
Pharmacist Sign
Gr Total :
OR
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