ECHS - PATIENT REGISTRATION (OP) & BILLING MODULE
Date of Visit
HOSPITAL NUMBER /OP NO./MRD NO.
Intimation Status
Required Documents.
Waiting
Card, Ref. Letter, CGHS Bill Signed by Patient, Inv. Request,
REFERRAL INFO.
REFERRAL NO.:
SERVICE NO.:
REFERRED FOR
CONSULTATION
INVESTIGATIONS
CONSULTATION AND INVESTIGATION
ADMISSION
DAY CARE
CHEMO
DIALYSIS
REFERRED BY
ALAPPUZHA
MUVATTUPUZHA
IRITTY
KALPETTA
KANHANGAD
KOCHI
KOTTAYAM
KOZHIKODE
KUNNAMKULAM
PAINAVU
PALAKKAD
PERINTHALMANNA
THRISSUR
CHANGANASSERY
KILIMANUR
CHANGANASSERY
Quilon (Kollam)
Trivandrum [0409]
Kottarakara [0414]
REFERRAL VALIDITY
PATIENT INFO.
PATIENT NAME:
MOBILE NO.
AGE
GENDER
MALE
FEMALE
CONSULTATION & INVESTIGATIONS / PROCEDURES UNDERWENT
Choose DEPARTMENTS
Women & Child Health
Robotic Surgery
Renal Sciences
Pulmonology
Orthopedics
Neurosciences
Medical Oncology
Gastro Sciences
ENT
Dermatology
Dental Sciences
Cardiac Sciences
OTHERS
Women & Child Health
Robotic Surgery
Renal Sciences
Pulmonology
Orthopedics
Neurosciences
Medical Oncology
Gastro Sciences
ENT
Dermatology
Dental Sciences
Cardiac Sciences
OTHERS
Women & Child Health
Robotic Surgery
Renal Sciences
Pulmonology
Orthopedics
Neurosciences
Medical Oncology
Gastro Sciences
ENT
Dermatology
Dental Sciences
Cardiac Sciences
OTHERS
Women & Child Health
Robotic Surgery
Renal Sciences
Pulmonology
Orthopedics
Neurosciences
Medical Oncology
Gastro Sciences
ENT
Dermatology
Dental Sciences
Cardiac Sciences
OTHERS
Women & Child Health
Robotic Surgery
Renal Sciences
Pulmonology
Orthopedics
Neurosciences
Medical Oncology
Gastro Sciences
ENT
Dermatology
Dental Sciences
Cardiac Sciences
OTHERS
H.Bill No.(Consultation)
Cghs Code
Pick List for Procedure
Qty.
H.Bill No.
Sl.No.
CGHS CODE
PROCEDURE NAME
QTY.
H.BILL No.
Non Package Items(NPI)
PROCEDURE NAME
AMOUNT
H.Bill No.
CR.NOTE
CGHS BILL
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