Laboratory Bill for Patient in Word Format

Laboratory Bill for Patient in Word Format. Easy format of bill is given below,You can download this bill  in word format.

Sample Laboratory Bill for Patient in Word Format

Laboratory Bill

 

Lab InformationRegistration Location:____________Destination Location:___________Registration Date:__________

PATIENT BILL

S.No. Test Name Reporting Date                     Time Rate
1 BLOOD C/E (complete, CBC)Hb,WBC Count (TLC), DLC, Total RBC, Platelet count,  MCV, MCH, MCHC, Type Apr 02,2015-04-05 20:00 500.00
2 ESR Apr 01, 2015-04-05 8:41 600.00
3 Vitamin Apr 01, 2015-04-05 8:41 5000.00

TOTAL BILL:

Total:                                                  6100.00

Less/ Discount                                    100.00

Paid:                                                     6000.00

To be paid:                                          6000.00

Registered By: _____________

Collection Center:

Center Name: _______________

Phone no.____________

Fax no._____________

Contact Person: _____________

Address:__________________

Download LinkLaboratory Bill for Patient in Word Format

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