COPY({{settlementInfo.PrintCount}}) OF ORIGINAL
Settlement Slip
Receipt No: SR{{ settlementInfo.SettlementReceiptNo }}
Date: {{settlementInfo.CreatedOn | DanpheDateTime:'format':'YYYY-MM-DD'}} {{localDate}}
Age/Sex : {{settlementInfo.Patient.DateOfBirth | DanpheDateTime:'age' }}/{{settlementInfo.Patient.Gender}}
Hospital No: {{settlementInfo.Patient.PatientCode}}
Contact No: {{settlementInfo.Patient.PhoneNumber}}
Address: {{settlementInfo.Patient.Address}}, {{settlementInfo.Patient.CountrySubDivisionName}}
Method of payment: {{settlementInfo.PaymentMode }}
S.No | Invoice Date | Invoice No. | Amount |
---|---|---|---|
{{i+1}} | {{txn.CreateOn | DanpheDateTime:'format':'YYYY-MM-DD'}} | {{txn.InvoiceCode}}{{txn.InvoicePrintId}} | {{txn.TotalAmount | number : "1.2-2"}} |
Total Amount | {{totalCrAmount | number : "1.2-2"}} | ||
Less: Deposit Amount | {{settlementInfo.DepositDeducted | number : "1.2-2"}} | ||
Balance Amount 0" style="font-weight:bold;"> Payable 0" style="font-weight:bold;"> Refundable | {{settlementInfo.PayableAmount || settlementInfo.RefundableAmount | number : "1.2-2"}} | ||
Discount Amount | {{settlementInfo.DiscountAmount | number : "1.2-2"}} | ||
Paid Amount | {{ settlementInfo.PaidAmount | number : "1.2-2"}} | ||
Returned Amount | {{ settlementInfo.ReturnedAmount | number : "1.2-2"}} |
Processed By
{{settlementInfo.BillingUser}}
Time: {{settlementInfo.CreatedOn | DanpheDateTime:'format':'HH:mm'}}
Acknowledged By
Signature
Remark: {{settlementInfo.Remarks}}