| # | Patient Name | Patient No. | Type | Visit Dr | Contract Price | Patient hold | Patient hold Value | Rest |
|---|---|---|---|---|---|---|---|---|
| {$i} | {if $data.for_husband == 1 } {$data.husdandname} {else if $data.for_husband == 2} طفل / {$data.wifename} {else} {$data.wifename} {/if} | {$data.statusno} | {$data.type} | {$data.visitDoctor} | {$data.contract_price} | {$data.patient_hold} | {$data.patient_hold_price} | {$data.restPrice} |
| Contract Price | Patient hold Value | Rest | |
|---|---|---|---|
| Total | {$contract_price} | {$patient_hold} | {$restPrice} |