Insurance Bill Summary
Printed
by: {{printedBy}}
Printed
on: {{printedOn}}{{printedOn
|
nepaliDate:'format':'YYYY-MM-DD'}}
Claim
Code : {{selectedClaimCode}}
{{GeneralFieldLabel.NSHINo}}
No. : {{selPatient.Ins_NshiNumber}}
Patient's
Name :
{{selPatient.ShortName}}
Address :
{{selPatient.Address}}
Hospital
No :
{{selPatient.PatientCode}}
Contact No :
{{selPatient.PhoneNumber}}
Age/Sex :
{{selPatient.Age}}/{{selPatient.Gender}}
Payment
Mode :
CREDIT
Admission
Date :
{{admissionDate|
DanpheDateTime:'format':'YYYY-MM-DD'}}
{{admissionDate |
nepaliDate:'format':'YYYY-MM-DD'}}
Discharge
Date :
{{dischargeDate |
DanpheDateTime:'format':'YYYY-MM-DD'}}
{{dischargeDate |
nepaliDate:'format':'YYYY-MM-DD'}}
Test and
services :
Pharmacy :
Grand Total:
{{grandTotal}}
In Words:
{{grandTotal| NumberInWords}} only.
|
Pharmacist | Claim Officer |