Medico - Bootstrap Admin Dashboard

Add Payment

Payment Info

Bill Number

Bill Date

Patient Name

Doctor Name

Particulars of Charges	Details	Rate	Quantity	Amount	Edit
Special Room	Empty	536	2	$500	Edit Del
Assistant Charge	Empty	478	2	$400	Edit Del
Special Room	Empty	756	3	$300	Edit Del
Operation Charge	Empty	354	5	$200	Edit Del
Implant Charge	Empty	987	5	$100	Edit Del

Payment Method

Payment Status

Gross Total

$1500.00

Tax (%)

$300.00 (20%)

Discount (%)

$150.00 (10%)

Total

$1650.00