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# Patient Details Date of Admission Date of Discharge Consultant Sponsor Net Bill Amount Actions Check-Out Track Dis.Summary Patient Name IP Number Mobile Consultant Name Consultant Dept Gross Bill Amount Net Cash Bill Net Corporate Bill Cash Concession Organization Concession Card Cash UPI CHEQUE Receipt Amount Organization Due To Be Refund Pharmacy Charges Remarks Procedure Name Created By Package / Open Bill Category Cost Center Bill Closed Lab Reports PACS Covering Letter Claim No Bill No Age Gender UMR No Length of Stay Document Due Receipt Is Credit Amount Is Cash Amount Debit Bill Credit Bill TPA Name Emp ID Emp Name Self / Dependent
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Receipt No. Received Dt Cash Amt Cheque Amt Card Amt UPI Amt Disc. Amt Due Amt Received Amt Remarks
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Receipt No. Received Dt Payment Type Cash Amt Cheque Amt Card Amt UPI Amt Disc. Amt Due Amt Received Amt Remarks
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