Free Medical Receipt Template
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].
