Sr. No | Disgnosis | IP Count | Hospital Amount | Hospital Billed | Hospital Concession | Hospital Settlement | Pharma Amount | Pharma Billed | Pharma concession | Pharma Settlement |
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Sr. No | Patient No | IP No | Patient Name | Ward Name | Admit Date | Discharge Date | Doctor Name | Disgnosis | Amount | Concession | Settlement | Pharma Amount | Pharma concession | Pharma Settlement |
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SNo. | Checked In | Patient No. | Patient Name | Appt. Time | Had Admitted | Visit Type | Last Visit |
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CLINIC WISE ODM COMPLIANCE SUMMARY | |||||||
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Department Name | Appointments | Checked In | % Checked In | Medicine Prescribed | % Medicine Prescribed | Billed | % Billed |
Medicine Code | Medicine Name | Frequency | Frequency Code | Dosages code | Dosages | Quantity | Remarks | storecd. | selprice | pkgsize |
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Medicine Code | Medicine Name | Frequency | freq code | Dosages | dosage code | Quantity | Urgent | Remarks | Store | Store cd | selprice | othpkgmed | Delete |
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Test Description/Test Date/Lab No. | Observed Values | Reference Values |
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Test Description/Test Date/Lab No. | Observed Values | Reference Values |
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ID | Doctor Id | Doctor Name | Clinic Name | Selected Date: | Time Slot | Rate Code | Online Available/ Not Available | Slot Code | OPD Available/ Not Available |
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Patient No. : | |||||||
Appointment Details | |||||||
Appointment Status : __________ | Appointment ID : | ||||||
Appointment Date : ________________________ | Appointment Day : ________________________ | ||||||
Appointment Time : ________________________ | Consultant Name : ________________________ | ||||||
Appointment Description : ss |
Payment Details | ||||||
Amount (Rs.) : __________ | Payment ID : __________ | Payment Date : __________ | ||||
Personal Details | ||||||
Patient Name : __________ | ||||||
Date of Birth : __________ | Age/Sex : __________ | |||||
Mobile : __________ | Email-ID : __________ |
S.No | Cln Code | DoCode | OPD Description | Doctor Name | Checked In | Medicine Prescribed | Investigation Prescribed |
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TOTAL |
Medicine Name | Frequency | Frequency Code | Dosages code | Dosages | Days | Remarks | Meal | ROA |
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Medicine Name | S.No | Frequency | Frequency Code | Dosages | Days | Remarks | Meal | Delete |
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Select Frequncy: | |
Select Dosages: | |
Select Meal: | |
Enter Days: | |
Enter Remarks: | |
Medicine Code | Medicine Name | Frequency | Frequency Code | Dosages | Days | Remarks | Storecd | Meal | ROA |
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Medicine Code | Medicine Name | Frequency | Frequency Code | Dosages code | Dosages | Days | Remarks | Storecd | Meal | ROA | Delete |
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investigation Code | Investigation Name | Unit | Remarks | Delete |
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