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Claim Preview

Claim Code : {{claimDetails.HeaderDetails[0].ClaimCode}} Member No : {{claimDetails.HeaderDetails[0].MemberNo}}
Hospital No : {{claimDetails.HeaderDetails[0].HospitalNo}} Scheme : {{claimDetails.HeaderDetails[0].Scheme}}
Patient's Name : {{claimDetails.HeaderDetails[0].PatientName}} Age/Sex : {{claimDetails.HeaderDetails[0].AgeSex}}
Address : {{claimDetails.HeaderDetails[0].Address}} Contact No : {{claimDetails.HeaderDetails[0].ContactNo}}

TEST AND SERVICES:
Invoice Date Item Code Department Particulars Quantity Rate SubTotal Discount Total
{{bill.InvoiceDate | date:'yyyy-MM-dd'}} {{bill.ItemCode}} {{bill.DepartmentName}} {{bill.Particulars}} {{bill.Quantity}} {{bill.Rate | number : "1.0-4"}} {{bill.SubTotalAmount | number : "1.0-4"}} {{bill.DiscountAmount | number : "1.0-4"}} {{bill.TotalAmount | number : "1.0-4"}}
TOTAL {{billSubTotalAmount | number : "1.0-4"}} {{billDiscountAmount | number : "1.0-4"}} {{billTotalAmount | number : "1.0-4"}}

PHARMACY:
Invoice Date Item Code Particulars Batch | Expiry Quantity Rate SubTotal Discount Total
{{phrm.InvoiceDate | date:'yyyy-MM-dd'}} {{phrm.ItemCode}} {{phrm.Particulars}} {{phrm.BatchExpiry}} {{phrm.Quantity}} {{phrm.Rate | number : "1.0-4"}} {{phrm.SubTotalAmount | number : "1.0-4"}} {{phrm.DiscountAmount | number : "1.0-4"}} {{phrm.TotalAmount | number : "1.0-4"}}
TOTAL {{pharmacySubTotalAmount | number : "1.0-4"}} {{pharmacyDiscountAmount | number : "1.0-4"}} {{pharmacyTotalAmount | number : "1.0-4"}}
Claimed Amount:    {{claimDetails.HeaderDetails[0].ClaimedAmount | number : "1.0-4"}}
In Words: {{claimDetails.HeaderDetails[0].ClaimedAmount | Currency | NumberInWords | CapitalFirstLetter}} only.
SubTotal {{(billSubTotalAmount + pharmacySubTotalAmount) | number : "1.0-4"}}
Discount {{(billDiscountAmount + pharmacyDiscountAmount) | number : "1.0-4"}}
Total Amount   {{(billTotalAmount + pharmacyTotalAmount) | number : "1.0-4"}}

Reference Documents:
S.N. Document Name
{{i + 1}} {{file.DocumentName}}
Printed By:   {{currentUser.UserName}}
Printed On:   {{dateToday}}