Inpatient Billing   {{GeneralFieldLabel.NSHINo}}    {{admissionInfo.Ins_NshiNumber}}    Claim Code   : {{admissionInfo.ClaimCode}}

Ip Number: {{admissionInfo.IpNumber}}
Ward/Bed: {{admissionInfo.BedsInformation.WardName}} / {{admissionInfo.BedsInformation.BedNumber}}
Total Days: {{totalDays}}
Procedure:
Insurance Balance: {{admissionInfo.Ins_InsuranceBalance | ParseAmount}}
Admitting Doc:   {{admissionInfo.AdmittingDoctorName}}
Adm. Date:  
Disch. Date :  
{{GeneralFieldLabel.NSHINo}} {{admissionInfo.Ins_NshiNumber}}

Pharamacy Detail

Pharmacy Total

Billing Detail

Total Discount
Tax @(0%)
Net Total
In USD
{{1 | currency}} = {{exchangeRate|currency:CoreService.currencyUnit}}
To Be Paid

In Words (To Pay): {{model.ToBePaid | NumberInWords}} Only.

To Be Refund

In Words (To Return): {{model.ToBeRefund | NumberInWords}} Only.

Payment
Tender:
Change/Return : {{CoreService.currencyUnit}}{{model.Change}}
Remarks :