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Bill Number

Bill Date

Patient Name

Doctor Name

Particulars of Charges	Details	Rate	Quantity	Amount	Edit
Special Room	empty	123	1	123
Operation Charge	empty	617	1	617
Theatre Charge	empty	2424	1	2424
Assistant Charge	empty	623	2	1246
Implant Charge	empty	428	1	428

Payment Method

Payment Status

Gross Total

$2500.00

Tax (%)

$200.00 (14%)

Discount (%)

$100.00 (10%)

Total

$2200.00

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