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Dr.Ulhas Patil Medical College & Hospital,Jalgaon
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Godavari Foundation's
Date -
20/10/2020
Receipt No. From -
To -
. (Total Receipt -
)
Sr.No.
Name of the Department
Total Receipt Nos.
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Total
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I.P.F. Amount 2 % of Net Collection
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Concession Receipt Details Report
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Paid Amount
Total Amount
Cancelled Receipt Details Report
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Receipt Date.
OPD No.
Name of the Patient
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Godavari Foundation's
Concession Receipt Details Report
Receipt No.
Receipt Date No.
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Godavari Foundation's
Dr. Ulhas Patil Medical College And Hospital
RECEIPT
Receipt No.
Date :
Patient Name :
OPD No. :
IPD No. :
Department :
PARTICULARS
AMOUNT
Total
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TOTAL
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