Format of bill of exchange

Is this correct format of Bill of Exchange? Please suggest....

BILL OF EXCHANGE

Supplier Name & Address                                                                                          Supplier City

                                                                                                                                    BOE Date

{ Transaction Amount }

At { 180 } Days from the date of this Sole Bill of Exchange, Please pay to the order of { Union Bank of India }, { Branch Address } { [ Account number: ] – [ Account Name ], with [ Branch ] }, the sum of { Transaction Amount in Word } Only for Value Received against Invoice No: { _______  } Dtd. {______  }. Part Payment can be accepted within the tenor of this bill of exchange.

To:                                                                                          For and Behalf of:

1. { Customer Name }                                                  { Supplier Name }

{ Customer Address }

Banker: Bank of Baroda,                                            { Designation }

                          {Bank Address }

Account No: { Bank Account Number }

1. Union Bank of India

{ Address of Supplier Bank }