Medical Receipt Template
Download
Medical Receipt
Receipt Date: January 15, 2050
Patient Name: Baby Bartell
Patient Email: baby@you.mail
Service Description | Quantity | Unit Price | Total |
|---|---|---|---|
General Consultation | 1 | $150.00 | $150.00 |
Prescription Medication | 2 | $25.00 | $50.00 |
Lab Tests (Blood Work) | 1 | $120.00 | $120.00 |
X-ray Imaging | 1 | $200.00 | $200.00 |
Total Amount Due: $520.00
Payment Method: Credit Card
Transaction Reference: XYZ12345
Thank you for choosing [YOUR COMPANY NAME] for your healthcare needs. Should you have any questions, feel free to reach out.
If you need further assistance with medical receipts, please contact us at [YOUR COMPANY EMAIL] or call us at [YOUR COMPANY NUMBER].
Templates
Templates
