MRN No. Order Doctor
Name Order Received

Manual Orders
Test Name Remarks Urgent Diagnosis
ABCD Sample Remark Yes Normal
ABCD Sample Remark Yes Normal
ABCD Sample Remark Yes Normal
ABCD Sample Remark Yes Normal

Ancilary Services Charges Details
ItemCode  
Description  
UnitPrice UOM
Issued Dept
Ord Dept  
Quantity



Ordered Services
Select / Delect All    

    Code Description Unit Price Dept Qty
  34536 Sample Description 45 Sample Dept 345
  34536 Sample Description 45 Sample Dept 345
  34536 Sample Description 45 Sample Dept 345
  34536 Sample Description 45 Sample Dept 345
  34536 Sample Description 45 Sample Dept 345
  34536 Sample Description 45 Sample Dept 345
  34536 Sample Description 45 Sample Dept 345
  34536 Sample Description 45 Sample Dept 345