Order Entry
 
Patient Details
 
MRN
 
Name
 
GL Information
GL Limit Room Board/ Day
GL Coverage Date From To

Debtor Code
 
Doctor Code
 
Ward / Room / Bed
 
Remarks

Order Entry
Item Code
Description   Allocate Charges

  Code Description Type Ord Doc Iss Dpt Unit Price Amount Ord Date Ord By Private Charges Corporate Charges  
AF3564 Sample Description Type A A356 FV343 $40 $2 10.08.06 James Dohan $402 $302
AF3564 Sample Description Type A A356 FV343 $40 $2 10.08.06 James Dohan $402 $302
AF3564 Sample Description Type A A356 FV343 $40 $2 10.08.06 James Dohan $402 $302
AF3564 Sample Description Type A A356 FV343 $40 $2 10.08.06 James Dohan $402 $302
AF3564 Sample Description Type A A356 FV343 $40 $2 10.08.06 James Dohan $402 $302
AF3564 Sample Description Type A A356 FV343 $40 $2 10.08.06 James Dohan $402 $302

Sub Total:
Total Charges: $300