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#### Final Bill

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Packages
# | Package Name | Module Type | Quantity | Expires In | Amount |
--- | --- | --- | --- | --- | --- | ---
|  | (View) |  |  |  | - |  |
No packages has been added |
General Services
# | Department | Charge Group | Charge | OP/IP Cost | Qty | Amount |
|  |  | Dr. |  | s |  |
No general services found |  |
Pharmacy Services
# | Category | Product | Rate | Qty | Amount |
|  |  |  |  | (discount from pharmacy) |
No pharmacy services found |
Laboratory Services
# | Lab name | Lab Code | Charge | Qty | Amount |
No laboratory services has been added |  |
Gross Amount |
##### Discount % ₹ ##### No Discount ##### Discount In Amount ##### Discount In Percentage () |  |
Insurance Covered |
Net Amount |
Total Amount Paid |
Total Amount Due |
Total Refund Due |
*Go to receipts to pay the due amount *Go to receipts to issue refund

#### Final Bill Report

#### FINAL BILL

Bill No | : | Admission No Appointment No | :
Bill Date | : | Admission Date Appointment Date | :
Patient Name | : | Father/Husband Name | :
Doctor Name | : | Department | :
Admitted Ward | : | Discharge Date | :
Address | : Kothrepally, Vikarabad, Telangana | UMR No | :

Hospitalization Charges From To
Packages
# | Package Name | Qty | Amount
--- | --- | --- | ---
General services
# | Department | Charge Group | Charge | Rate | Qty | Amount
|  |  | Dr. |  |  |
Pharmacy Services
# | Category | Product | Rate | Qty | Amount
|  |  |  |  | (discount from pharmacy)
Laboratory Services
# | Lab name | Lab Code | Charge | Qty | Amount
Gross Amount |
##### No Concession ##### Concession Amount ##### Concession Amount () |
Net Amount |
Total Amount Paid |
Total Amount Due |
Total Refund Due |
##### Total Received Amount in Words | ##### :
##### Total Due Amount in Words | ##### :
##### Total Refund Amount Pending in Words | ##### :
##### Gross Amount in Words: | ##### :
##### Net Amount in Words: | ##### :
Receipts
Receipt No. | Date & Time | Payment | Payment Mode | Amount
--- | --- | --- | --- | ---
|  | Refunded Refund Pending Advance Paid |  |
Total |
(Authorized Signatory)

#### View Package