Cash Receipt Entry

OPD Year
OPD No
IPD No

Last Receipt No
Patient Name
Sex
Department
Address


Receipt Date
   Receipt No.

Select Receipt Mode (Short/Detail)?
  

Select Department
  
Select Department


Select Main Test


Select Sub Test
   Test Amount
Enter Amount                      

Total Test Amount
If Concession                      
Concession By

Final Paid Amount

Paid By

Bank Name        If,Add Bank Name
Cheque No.
Cheque Amount   





Online/Card Detail
Amount   






SrNo Patient Name Department Main Test Sub Test Enter Amount Delete
SrNo Patient Name Department Main Test Sub Test Enter Amount


Godavari Foundation's
Dr. Ulhas Patil Medical College And Hospital
RECEIPT
Receipt No. Date :
Patient Name :
OPD No. : IPD No. :
Department :
PARTICULARS AMOUNT
Pay Mode :
Cheque No/Online Deatails :
Bank Name :
Concession Approved By :
Hospital Copy
Godavari Foundation's
Dr. Ulhas Patil Medical College And Hospital
RECEIPT
Receipt No. Date :
Patient Name :
OPD No. : IPD No. :
Department :
PARTICULARS AMOUNT
Pay Mode :
Cheque No/Online Deatails :
Bank Name :
Concession Approved By :
Patient Copy

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