Can the patent supplementary information form be different?

It can be different.

The trust form for patent payment includes a copy of the bank remittance slip, the remittance date, the application number (or patent number) used for payment, the names and detailed amounts of various fees, the name of the remitter, the detailed address of the payer and the postal code. If supplementary information is needed to pay patent fees through the post office, information such as remittance date, application number (or patent number) for payment, name and detailed amount of each fee, bill number, merchant customer number, remitter's name (name) and detailed address zip code should be provided in fax or e-mail.