{{patientInfo.ShortName}}({{patientInfo.PatientCode}})

Department Prescriber ItemName Qty Price Discount % {{billingService.taxName}} Tax Amt Total Amt
Select Department from the list.
Requesting Dr is mandatory.
Duplicate Item not allowed
Item Name is required
Duplicate Entry (This invoice)
Duplicate Entry ( < {{BillRequestDoubleEntryWarningTimeHrs}} hours)
Enter valid number.
Enter valid number.
Enter valid number.
SubTotal:
Discount % Total
Discount Amt:
Total Amount:
Remarks: