Daily Auto Charge
 
Patient Details
MRN
Name


Auto Charge Details
  Charge Type   Patient Type  
Item Code 
Dept Code
Doc Code
Quantity

 


Existing Auto Charge Details
Code Description Qty Ord Doc Reicv Dept
DH - 43632 Sample Description 200 Mr. Jones Departmnt XYZ
DH - 43632 Sample Description 200 Mr. Jones Departmnt XYZ
DH - 43632 Sample Description 200 Mr. Jones Departmnt XYZ
DH - 43632 Sample Description 200 Mr. Jones Departmnt XYZ
DH - 43632 Sample Description 200 Mr. Jones Departmnt XYZ