Fiscal Year: Invoice No:
Hospital No * :
Scheme:
Patient Name: {{PatientDetail.PatientName}} Patient Type: {{PatientDetail.VisitType}} Hospital No: {{PatientDetail.HospitalNo}}
S.N. Drug/Medicine Name Batch No Sold Qty Prev Ret Qty Return Qty Balance Qty SalePrice SubTotal Dis% Dis.Amount VAT% VAT Amount Total BillNo
{{i+1}} Return Qty Should be less than Available Qty
Sub-Total
Dis. Amount
VAT Amount
Total Amount
Return Amount
Cash To Be Return
Credit To Be Return
Remarks *
In Words : {{ returnAmount | NumberInWords }} Only.
{{textMessage}}
Patient Name: {{invoiceHeader.PatientName}} Patient Type: {{invoiceHeader.PatientType}} Date: {{invoiceHeader.InvoiceDate}}
{{GeneralFieldLabel.NSHINo}} Number: {{invoiceHeader.NSHINo}} Claim Code: {{invoiceHeader.ClaimCode}} Insurance Balance: {{invoiceHeader.InsuranceBalance}}
Invoice No: {{invoiceHeader.FiscalYear}}-PH{{invoiceHeader.InvoiceId}}
Bill Amount: {{invoiceHeader.InvoiceTotalMoney}}
Drug/Medicine Name Batch No RackNo. Sold Qty Prev Ret Qty Return Qty Balance Qty SalePrice SubTotal Dis% Dis.Amount VAT% VAT Amount Total
Return Qty Should be less than Available Qty Valid quantity required
Sub-Total
Dis. Amount
VAT Amount
Adjustment
Total Amount
Return Amount
Cash To Be Return
Credit To Be Return
Remarks *
Remark is required
In Words : {{ returnAmount | NumberInWords }} Only.
{{textMessage}}

Note: There was additional {{invoiceHeader.CashDiscount}} cash discount given on this invoice during settlement.



Discount cannot exceed Total Return Amount and Cash Discount.
Net Return Amount :
(In Words: {{NetReturnedAmount | NumberInWords}} only /-)