Once a patient is declared fit for discharge by the consultant process of discharge starts. Discharge summary having details of treatment received and advice s of further treatment is handed over to the patient. Relevant documents are sent to billing computer for final billing. Other medical documents are sent to medical record room. Final bill is raised after cross checking with concerned departments. The bill amount has to be paid in full, where after a“ No objection Certificate” is issued. After receiving the “ No objection Certificate”, the ward sister issues gate pass on the basis of which patient and it’s attendants are allowed to go out of the hospital.