Patient Name Admission Date Discharge Date Bill Closing Date MR No. Bill No. Patient Id Visit Type Select IP OP Sponsor Claim Number Card Number UTR Number UTR Date UTR Matched with Bank Select Yes No Pending Status Select status Pending Submitted Approved Rejected Received Closed Bill Amount Discount Amount Net Amount Patient Paid Sponsor Amount Amount Received TDS UTISL Fees Deduction Deduction Reason Edit Reason Created By Edited By