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Billing Process
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| Patient ID | Patient Name | Gender | Blood Group |
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| ID | Doctor PAN | Complete Name | Specialization |
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| Item code | Item Name | Category | Amount |
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| Date | Reference no. | Category |
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| Category | Reference count |
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| Date | Reference number |
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| Fee Particulars | Amount | Mandatory Discount | PhilHealth | Other Funding Sources | Balance |
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| Physician Accreditation No. | Physician Name | Amount | Mandatory Discount | PhilHealth | Other Funding Sources | Balance |
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| Service Date | Item Name | Unit of Measure | Price | Quantity | Amount |
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