A medical bill format for chemists and pharmacies with batch number, expiry date and patient details, a filled sample and a free medical store bill template.
What a pharmacy bill should show
A medical store bill lists each medicine with its batch number and expiry date, so it can be traced if there is a recall. Patients use these bills for insurance and reimbursement, so print the patient name and the prescribing doctor where asked.
GST on medicines depends on the product. Most chemists show a GST-inclusive price on the strip; if you are registered you still show the tax on the bill.
What to include
- Store name, address, licence numberrequiredDrug licence number if you have one.
- Patient and doctor name
- Medicine, batch, expiryrequired
- Quantity and MRP or raterequired
- Totalrequired
- Pharmacist signaturerequired
Medical bill format sample
MEDICAL BILL
Opp. Civil Hospital, Asarwa, Ahmedabad 380016
D.L. No. [your licence no.]
Date: 14 Oct 2026
Bill to: Mr. Dinesh Patel
Asarwa, Ahmedabad
Dr. A. Shah
| # | Description | Qty | Rate | Amount |
|---|---|---|---|---|
| 1 | Paracetamol 650 (15 tabs), Batch PX24, Exp 08/2028 | 2 Strip | 32.00 | 64.00 |
| 2 | Cough syrup 100 ml, Batch CS11, Exp 03/2027 | 1 Bottle | 118.00 | 118.00 |
| 3 | Vitamin D3 sachet, Batch VD09, Exp 01/2028 | 4 Nos | 29.00 | 116.00 |
| Amount | |
|---|---|
| Subtotal | ₹298.00 |
| Total | ₹298.00 |
Amount in words: Rupees Two Hundred Ninety Eight Only
For Sanjivani Medical Stores
Authorised Signatory
Download in Word, Excel or PDF
All files are free to use and edit. Yellow cells in Excel are inputs; totals are formulas.
Tips
Do
- Print batch and expiry for every item.
- Write the patient name for insurance claims.
- Keep a duplicate copy.
Avoid
- Do not sell schedule drugs without a prescription.
- Do not make bills for medicines not sold.
Frequently asked questions
Do I need the doctor name on a medical bill?
It is not always required, but insurers and employers often ask for it on reimbursement claims.
Can I use the cash memo for a pharmacy?
Yes, add batch and expiry in the description.
Checked and updated 14 Oct 2026. Independent template site; not tax or legal advice.