Medical receipts are an important tool and document for both hospital professionals and patients. Customized Medical Receipt Templates can save a lot of time of IT department, doctors, nurses, and even patients in a busy hospital. The institution can easily generate multiple receipts, whenever the workload is high, by printing the pre-designed templates.

Printable Medical Receipt Template


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Editable Medical Bill Receipt Template


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General Receipt Format


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Simple Receipt


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Printable Receipt Format Template


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Sample Receipt in Word


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Blank Receipt to Print


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Medical Record Template

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  • PDF

Size: 79 KB

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A template can be designed to apply for previous medical records. Generally, those who request for medical records have to bear the expenses of postage. For previous medical records, the medical template can have various possible payment options, information, details of the patient, and the record charges.

Printable Medical Supply Receipt Template

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  • PDF

Size: 87 KB

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Hospital or clinics require constant medical supplies. A descriptive medical supply receipt helps in tracking all the medical items easily in a busy medical department. The medical receipts should mention the date, equipment supplier name, supplier agency, ID of equipment, the person who received that equipment and description of all the things received in tabular form. This kind of receipt would prevent misplacement of objects.

Basic Medical Information Template

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  • PDF

Size: 132 KB

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A lot of hospital formalities require personal as well as medical insurance information. This kind of medical template can include three sections. The first section can have patient’s information like date of birth, ID card number, and gender. Next section can have a complete mailing address of the patient. The last section can include the medical insurance information of the patient, name of the insurance provider, any other policy taken by patient, insurance claim number if the patient is covered by Medicare.

Medical Services Receipt Template

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  • PDF

Size: 95 KB

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After medical equipment servicing, a receipt is required which details the servicing information. This medical services receipt includes the invoice or servicing number, information of the service recipient, payment information, and the service information. Service information can be further elaborated into few sections. A summary of the number of objects replaced, repaired or removed should be filled in service description section. This description helps for future maintenance of medical equipment.

Medical Invoice Template

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  • PDF

Size: 112 KB

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This medical invoice template can have basic patient details, membership details like employer name, and clinic details. Service provider details are equivalent to the hospital summary. It includes the patient admission date, discharge date, diagnosis, consulting doctor or specialist. There is a separate section for maternity patients. Next section is about the various services obtained by the patient at the hospital for the diagnostic tests, dental treatment, or optical.

Medical Claim Receipt Template

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  • PDF

Size: 173 KB

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People need to claim their medical expenses. A formal medical claim application form can be designed by hospitals for all their patients. It can be divided into three sections. One of the sections can have patient’s membership number, name, and date of birth. Another section can have the complete mailing address, email, and contact information as provided on the insurance card. In the end section, patient payment details are asked to get payment directly in their account.

Medical Test Receipt Template

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  • PDF

Size: 105 KB

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This receipt can be used by hospital administration for specific and costly scans of insured and uninsured patients both. It will have the member’s details like his membership number, date of birth, and address. The next section will include information about the test or scan to be carried out by a consultant on the patient. This section will answer questions like reason of being referred a test like MRI or CT scan, name and code of the consultant who referred it, the center, and date where the test can be carried out.

Doctors Receipt Template

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  • PDF

Size: 2 MB

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This receipt includes the consultant information and patient’s information having insurance and payment details. In the first section includes the name of the consultant, his specialty, billing address, and mode of payment by the patient is filled by the doctor. The next section will have information of patient’s insurance provider.

Medical Billing Invoice Receipt Template

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  • PDF

Size: 126 KB

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Insured patients have to produce a lot of details. Right from their insurance number to the company in which they work, they have to share all the information with the hospital. Such kind of form can include details of the patient, insurance number, his address, family members, previous service details, and payment benefits.

Medical Receipt Template Download

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  • PDF

Size: 65 KB

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Medical Office Visit Receipt Template

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File Format
  • PDF

Size: 77 KB

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Receipt Medical Recruitment

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File Format
  • PDF

Size: 81 KB

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Medical Receipt in Word

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File Format
  • DOCX

Size: 31 KB

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These different kinds of receipts if used in day to day hospitals and clinic’s operations would reduce extra time spent by patients.

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