Hospital

OP No

Name

Mobile No

Name

Gender

Mobile No

Email ID

IP No

Bill No

Bill Date

Bill Amount

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Payment

Transaction Receipt
	Merchant ID		Encryption Key
	Order ID		Transaction Amount		Currency Name
	Transaction Type		Transaction Remarks		Recurring Period
	Recurring Day		No.Of Recurring		Response Url
	Additional Field 1		Additional Field 2		Additional Field 3
	Additional Field 4		Additional Field 5		Additional Field 6
	Additional Field 7		Additional Field 8