Receipt Update

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Receipt No




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Sex
Department
OPD No


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   Test Amount
Enter Amount                      

Total Test Amount
If Concession                      
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Old Final Paid Amount

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Cheque No.
Cheque Amount   





Online/Card Detail
Amount   






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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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