Credit Note
 
Payment
 
MRN
Name
Patient Type
Corporate Code
Corporate Name

Credit Note Details
Patient CN        Open CN
Patient CN Details
 
Item Code
Description  
Ord Date Qty Ord CN Qty

    Item Code Description Ord Date Unit Price CN Quantity Amount Service Tax Payable Amount  
  AF3564 Sample Description 10.08.2006 $ 4 10 $40 $2 $42
AF3564 Sample Description 10.08.2006 $ 4 10 $40 $2 $42
AF3564 Sample Description 10.08.2006 $ 4 10 $40 $2 $42
AF3564 Sample Description 10.08.2006 $ 4 10 $40 $2 $42
AF3564 Sample Description 10.08.2006 $ 4 10 $40 $2 $42
AF3564 Sample Description 10.08.2006 $ 4 10 $40 $2 $42
AF3564 Sample Description 10.08.2006 $ 4 10 $40 $2 $42

 

Total DN Amount: $300
 
Bill Allocate To
ATTN To
Remarks

 
Print DN
  DN No.
Last Reprint No.
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