IPF Patient Information

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Patient Details
Patient Name
Sex
Age
IPD No
OPD No
IPD Date
Discharge Date
IPD Department
Transfer Department
SrNo Receipt_No Receipt_Date Department Sub Test Test Charges Paid Amt
Total Amount Paid
IPF Receipt
IPF Start Date
Ration Card Type
IPF Receipt No
IPF Receipt Date
Department
Diagnosis
Test Name
Charges
Patient Paid
IPF Amount
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SrNo R_NO R_Date R_Department TestName Charges Patient_Paid IPF R/A
Total Charges
Patient Paid
IPF Amount

Godavari Foundation's
Dr.Ulhas Patil Medical College And Hospital
Jalgaon Kh.Jalgaon-Bhusawal Highway Tal.Dist.Jalgaon-425309
RECEIPT
Receipt No. IPF Date :
Patient Name :
Male. : Age. :
OPD No. : IPD No. :
IPD Date. : Discharge Date: 
Department :
Diagnosis :
PARTICULARS IPF AMOUNT




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