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Medical Store Bill Format

rtywrywryrwty

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Arun Singh
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434 views2 pages

Medical Store Bill Format

rtywrywryrwty

Uploaded by

Arun Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Medical Store Bill Format

Medical Store Name: City Pharmacy


Address: 123 Main Street, Anytown, USA
Phone: (123) 456-7890
Date: May 16, 2024
Time: 3:45 PM
Receipt No.: 987654

Patient Name: John Doe


Patient ID: JD4561237890

Cashier: Jane Smith

Item Description Quantity Unit Total


No. Price Price

1 Amoxicillin 500mg 30 $0.50 $15.00


capsules

2 Cetirizine 10mg 20 tablets $0.30 $6.00

3 Ibuprofen 200mg 50 tablets $0.10 $5.00

4 Multivitamin Men 60 tablets $0.25 $15.00


50+

Subtotal: $41.00
Sales Tax (8%): $3.28
Total: $44.28

Copyright @ SampleTemplates.com
Payment Method: Credit Card
Card Type: Visa
Card Last Four Digits: 1234

Thank you for your visit!

Copyright @ SampleTemplates.com

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