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    Code Billing Heads Rate Quantity Amount in Rs

    Uploaded by

    Prasanna Nammalwar
    This hospital bill document contains information about a patient's admission and treatment at a hospital. It lists the patient's name, address, admission and discharge dates and times, treating doctor and department. It also includes the diagnosis. The document then shows a table with billing codes, billing heads (categories of charges), rates, quantities and amounts for items like room rent, nursing charges, ICU rent, surgeon charges, anesthesia, blood, medicines and other diagnostic and treatment costs. It concludes by showing the grand total for charges, amount already paid by the patient, and any remaining balance owed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Code Billing Heads Rate Quantity Amount in Rs

    Uploaded by

    Prasanna Nammalwar
    11K views2 pages
    This hospital bill document contains information about a patient's admission and treatment at a hospital. It lists the patient's name, address, admission and discharge dates and times, treating doctor and department. It also includes the diagnosis. The document then shows a table with billing codes, billing heads (categories of charges), rates, quantities and amounts for items like room rent, nursing charges, ICU rent, surgeon charges, anesthesia, blood, medicines and other diagnostic and treatment costs. It concludes by showing the grand total for charges, amount already paid by the patient, and any remaining balance owed.

    Original Description:

    hospital bill format of income tax purpose

    Original Title

    Hospital Bill Format

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    This hospital bill document contains information about a patient's admission and treatment at a hospital. It lists the patient's name, address, admission and discharge dates and times, treating doctor and department. It also includes the diagnosis. The document then shows a table with billing codes, billing heads (categories of charges), rates, quantities and amounts for items like room rent, nursing charges, ICU rent, surgeon charges, anesthesia, blood, medicines and other diagnostic and treatment costs. It concludes by showing the grand total for charges, amount already paid by the patient, and any remaining balance owed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    11K views2 pages

    Code Billing Heads Rate Quantity Amount in Rs

    Uploaded by

    Prasanna Nammalwar
    This hospital bill document contains information about a patient's admission and treatment at a hospital. It lists the patient's name, address, admission and discharge dates and times, treating doctor and department. It also includes the diagnosis. The document then shows a table with billing codes, billing heads (categories of charges), rates, quantities and amounts for items like room rent, nursing charges, ICU rent, surgeon charges, anesthesia, blood, medicines and other diagnostic and treatment costs. It concludes by showing the grand total for charges, amount already paid by the patient, and any remaining balance owed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    HOSPITAL BILL 

    (Hospital Letter Head) 

    Bill No:                      Bill Date:    

    Name of Patient________________________________________________________________, Age/Sex______,

    Address_____________________________________________________________________________________,

    Date / Time of Admission____________________________, Date / Time of Discharge_____________, 

    Name of Treating Doctor____________________________________, Department________________, 

    Accommodation Type______________________________________, Room No___________________, 

    Diagnosis:___________________________________________________________________________, 

    Code  Billing Heads  Rate  Quantity  Amount in Rs. 


    1  Room Rent       
    2  Nursing Charges       
    3  RMO Charges       
    4  IV Fluids Administration Charges       
    5  Blood Transfusion  Administration Charges       
    6  Injection Charges       
    7  Similar expenses as Above       
      Total Room Rent Services       
    1  ICU Rent       
    2  ICU Nursing Expenses       
    3  ICU RMO charges       
    4  IV Fluids Administration Charges       
    5  Blood Transfusion  Administration Charges       
    6  Injection Charges       
    7  Similar expenses as Above       
      Total ICU Services       
    1  Surgeon Charges       
    2  Anesthetist Charges       
    3  Medical Practitioner Charges       
    4  Consultants Charges       
    5  Specialist Charges       
      Total Professional Fee       
    1  Anesthesia       
    2  Blood       
    3  Oxygen       
    4  Operation Theater Charges       
    5  Surgical Appliances       
    Code  Billing Heads  Rate  Quantity  Amount 
    66  Medicines and Drugs       
    77  Diagnostic Materials       
    8  General Investigations       
    9  Specialized Investigations       
    10  Dialysis       
    11  Chemotherapy       
    12  Radiotherapy       
    13  Cost of Artificial Limbs       
    14  Cost of Implants       
      Total of Other Expenses       
      Grand Total       
      Patient Paid Amount       
      Balance       
           

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