Template Merge Fields
| Template Field Name | Description |
| DATE | |
| PATIENT_ID | |
| PATIENT_FIRST_NAME | |
| PATIENT_INITIAL | |
| PATIENT_LAST_NAME | |
| PATIENT_TITLE | |
| ADDRESS_LINE_1 | |
| ADDRESS_LINE_2 | |
| ADDRESS_LINE_3 | |
| ADDRESS_LINE_4 | |
| ADDRESS_LINE_5 | |
| ADDRESS_LINE_6 | |
| TOTALTREATMENTFEE | |
| DEPOSIT | |
| PREPROC_DISCOUNT | |
| PREPROC_AMOUNT | |
| INSTALMENTS | |
| INTERVAL | |
| INS_AMOUNT | |
| INS_DATE | |
| INS_COMMENT | |
| INSTALMENT_AMOUNT | |
| FINAL_AMOUNT | |
| TOTALFEE | |
| PAYMENT_METHOD | |
| DEPOSIT_DATE | |
| FIRST_DATE | |
| LAST_DATE | |
| COMMENTS | |
| SIGNATURE |