| No: B-144 | Date: 28/06/2025 | ||
| Patient Name: AARAV SURENDRASINH RAJPUT | |||
| Age: 4.5Y | M/F: MALE | ||
| Address:- CHANDRAVATI | |||
| D.O.A.: 25/06/2025 | D.O.D.: 28/06/2025 | ||
| Diagnosis: SEPTICEMIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 4 | 2,400.00 | 9,600.00 |
| TOTAL | 9600.00 | ||
| IN WORDS : NINE THOUSAND, SIX HUNDRED RUPEES ONLY | |||
| Signature | |||