Bill Data Input
Patient Information
Invoice No:
Name:
REG No:
Doctor:
Age:
NIC:
Contact No:
Room No:
From Date:
To Date:
Room / Refreshment Charges
Charge Name
Amount (LKR)
Room Charges
Refreshment Charges
Bystander Refreshment
Medicine Charges
Charge Name
Amount (LKR)
Pharmacy Medicine
Other Medicine
Kasaya Preparation
Treatment & Doctor Charges
Charge Name
Amount (LKR)
Treatment Charges
Doctor Charges
Financial Information
Deposit Amount:
Payment Made:
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