| # | Rec. No. | Pat. Name | Pat. No | Type | Units Type | No. Of Units | Units Price | Cost | Dr. % | Dr. Share | Visit Date |
|---|---|---|---|---|---|---|---|---|---|---|---|
| {$i} | {$data.printserial} | {if $data.for_husband == 1 } {$data.husdandname} {else if $data.for_husband == 2} طفل / {$data.wifename} {else} {$data.wifename} {/if} | {$data.statusno} | {$data.det_type} | {$data.unitType} | {$data.visitUnits} | {$data.unitPrice} | {$data.visitCost} | {$data.percent} % | {$data.drCost} | {$data.visitdate} |
| # | No. Of Units | Cost | Dr. Share |
|---|---|---|---|
| Total | {$visitUnits} | {$visitCost} | {$drShare} |