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The Clinic Receipt is a fundamental document in Indonesian healthcare administration, required under both healthcare and tax regulations. It serves as official documentation of medical services provided and payments received by healthcare facilities. This document is essential when a patient receives medical services at a clinic and makes payment, whether through direct payment or insurance. The receipt must comply with Indonesian regulations, particularly Law No. 36 of 2009 on Health and relevant tax laws, containing specific details about the service provider, patient information, services rendered, and payment information. The Clinic Receipt is crucial for various purposes including tax reporting, insurance claims, medical record-keeping, and patient documentation, making it a vital document in Indonesian healthcare administration.

1. Clinic Information: Legal name of the clinic, address, tax identification number (NPWP), and clinic registration number

2. Receipt Number: Unique identifier for the receipt/transaction

3. Patient Information: Patient's name, medical record number, and basic contact information

4. Service Details: List of medical services provided with individual costs

5. Payment Information: Total amount, payment method, and transaction date

6. Tax Details: Applicable tax calculations and tax reporting information

7. Authentication: Signature of authorized staff member and clinic stamp