Bordereau de facturation
Édité le {{ now|date:"d/m/Y" }} à {{ now|time:"H:i:s" }}
N°: {{ health_center.accounting_number }}
Établissement
{% block payee %} {{ service.name }} SAINT ETIENNE
Finess: 420788606 MT: 19 DMT: 320
66/68, RUE MARENGO
42000 SAINT-ETIENNE
Tél.: 04 77 92 05 70





{% endblock %}
Caisse destinataire
{{ health_center.name }}
{{ health_center.address }}
{% if health_center.address_complement %} {{ health_center.address_complement }}
{% endif %} {{ health_center.zip_code }} {{ health_center.city }}
{% if health_center.phone %} Tél.: {{ health_center.phone }}
{% endif %} N° de compte: {{ health_center.accounting_number }}
Banque de règlement
{% block bank %} Banque :
RIB : {% endblock %}
{% for batch in batches %}

Lot n° : {{ batch.number }}

{% for invoice in batch.invoices %} {% endfor %}
Facture Nom Nir D/T Début Fin Somme
{{ invoice.number }} {{ invoice.patient_first_name}} {{ invoice.patient_last_name|upper }} {% firstof invoice.policy_holder_social_security_id_full invoice.patient_social_security_id_full %} {% if invoice.kind %}{{ invoice.kind }}{% endif %} {{ invoice.start_date|date:"d/m/Y" }} {{ invoice.end_date|date:"d/m/Y" }} {{ invoice.decimal_amount|floatformat:2 }}

Lot n° : {{ batch.number }} [ {{ batch.number_of_invoices }} factures ] [ {{ batch.number_of_acts}} actes ] Total = {{ batch.total|floatformat:2 }} €

{% endfor %}

Synthèse caisse destinataire : [ {{ synthesis.number_of_invoices }} factures ] [ {{ synthesis.number_of_acts }} actes ] Total = {{ synthesis.total|floatformat:2 }} euros

  {% block signature %} Signature du directeur:






{% endblock %}