COPY({{settlementInfo.PrintCount}}) OF ORIGINAL

Settlement Slip

Receipt No: SR{{ settlementInfo.SettlementReceiptNo }}

Date: {{settlementInfo.CreatedOn | DanpheDateTime:'format':'YYYY-MM-DD'}} {{localDate}}

Patient's Name :
{{settlementInfo.Patient.ShortName}}

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 Payable 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"}}
Payment Details: {{settlementInfo.PaymentDetails}}

Processed By

{{settlementInfo.BillingUser}}

Time: {{settlementInfo.CreatedOn | DanpheDateTime:'format':'HH:mm'}}

Acknowledged By

Signature

Remark: {{settlementInfo.Remarks}}