Preventive Health Checkup Receipt

Settings

Currency

Format

Font

Text Color

Show Receipt Background

Select Variant

NormalCrumpled

Header

Header Alignment

Size

Logo Alignment

Upload Logo

Business Details

Divider at Bottom

Custom Message

Message Alignment

Invoice

Divider at Bottom

Two Column Information

Column 1

Column 2

Column 1

Column 2

Divider at Bottom

Items Purchased

Qty

Description

Amount

Divider at Bottom

Total Lines

Title

Value

Increase Total Number Size

Divider at Bottom

Payment Method

Title

Value

Divider at Bottom

Date & Time

Alignment

Date Format

Date

Divider at Bottom

Barcode

Size

Length

Divider at Bottom

Custom Message

Message Alignment

Message

Divider at Bottom

Without Watermark

Accept Terms and Conditions of Create Receipt

Note: A watermark is shown in the preview only. The downloaded PDF will not have a watermark.

Live Preview

HealthyLife Preventive Care Center Your Wellness, Our Priority 221 Wellness Avenue Suite 304 San Diego, CA 92103 (858) 442-9988 www.healthylifeclinic.com contact@healthylifeclinic.com Clinic ID: HPC-789445

Preventive Health Care Receipt Thank you for choosing HealthyLife Preventive Care Center.

Customer Name:

Rohan Mehta

Doctor Name:

Dr. Natalie Carter, MD

Address Line 1:

45 Garden Residency

Department:

Preventive Medicine

Address Line 2:

Block B

Visit Reason:

Annual Preventive Wellness Visit

City, State ZIP:

Ahmedabad, Gujarat 380015

Symptoms Reported:

None

Country:

India

Visit Notes:

Routine health evaluation, blood tests, vaccination administered.

Email:

rohan.m@example.com

Phone:

+91 98765 44321

Patient ID:

PAT-55621

Subtotal$0.00

Discount$-10.00

Tax$0.00

Amount Paid$308.50

Amount Paid

$0.00

Payment MethodCredit Card

Card Number**** **** **** 5542

Card TypeVisa

Entry TypeChip

Authorization CodeAUTH-PHC-88329

Transaction IDTXN-PHC-992314

Payment StatusPAID

Payment Date & Time11/14/2025 10:42:58 AM PST

Reference Number88422949114412844B

Date: 11/14/2025 Time: 10:42:58 AM PST

Receipt Number: PHC-2025-88429 QR Code Text: https://www.healthylifeclinic.com/receipt/PHC-2025-88429 For questions call (858) 442-9988 or email contact@healthylifeclinic.com Thank you for prioritizing your health!

CreateReceipt.com has simplified my billing process tremendously. The customizable templates make my receipts look professional, and I love how quick and easy it is to use!

Sarah Thompson

Small Business Owner

This platform is a lifesaver! I can create invoices on the go, and my clients appreciate the professional look. Highly recommended for freelancers!

Michael Chen

Freelance Consultant

I use CreateReceipt.com for everything from receipts to invoices. The various templates and instant downloads have been perfect for my business needs!

Emily Rodriguez

Restaurant Manager

Preventive Health Checkup Receipt

Total Lines

Live Preview

Explore other templates

What Our Customers Say

Product

Learn More