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Excel template

Patient Billing & Receipt Register (Excel)

For clinics, nursing homes and day-care centres that bill more than a consultation: dressings, procedures, room charges, tests and packages. Keep a price list once, add each service on a bill line, and the register totals every bill, tracks advances and part payments, prints a receipt with the amount in words and shows what is still due.

Free · no sign-up · opens in Microsoft Excel, Google Sheets, LibreOffice and WPS Office. Files contain no macros.

Preview

Real view of the file with its sample data (yellow cells are where you type).

Bills
Bill no.DatePatient namePatient IDPhoneDoctor / departmentGrossDiscountNet billReceivedBalanceStatus
B-00101-11-2026Ramesh KumarP-000198140 11111Dr. A. Sharma₹ 860₹ 0₹ 860₹ 860₹ 0Paid
B-00201-11-2026Asha RaniP-000498140 44444Day-care₹ 1,850₹ 0₹ 1,850₹ 1,000₹ 850Part paid
B-00302-11-2026Gurmeet KaurP-000798140 77777Ward (Dr. R. Kaur)₹ 11,710₹ 300₹ 11,410₹ 9,000₹ 2,410Part paid

What's inside

How to use it

  1. On the Settings sheet type your clinic name, address, phone and the month.
  2. On the Services sheet replace the samples with your own services and rates.
  3. When you open a new bill, add the bill number, date, patient name and patient ID on the Bills sheet.
  4. Add one row per service on the Bill lines sheet with the same bill number. The rate fills in from the Services sheet; change the quantity or add a discount if needed.
  5. Each time money is received (advance, part payment or final), add a row on the Payments sheet with the bill number, amount and mode.
  6. To give the patient a receipt, type the bill number on the Receipt sheet and print it (File › Print, or Save as PDF).
  7. Check the Summary sheet at the day or month end for collection by mode and the total still due.

Tips

Questions and answers

Can one bill have many services?

Yes. Add as many rows on the Bill lines sheet as you need with the same bill number. The Bills sheet and the receipt add them up.

How do I record an advance taken at admission?

Add a row on the Payments sheet with the bill number, the date and the amount, with "Advance" in the note. The bill shows it as received and the balance reduces.

How many services can one receipt print?

The Receipt sheet lists up to 15 service lines and 6 payments for a bill, which fits one A4 page.

Is this an insurance claim form?

No. It is your own billing record. Insurance companies and TPAs have their own claim forms; this register only helps you keep track of what was billed and received.

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