| No: B-146 | Date: 30/06/2025 | ||
| Patient Name: BABY KISMATSINH RATHOD | |||
| Age: 7D | M/F: FEMALE | ||
| Address:- MUDETHA | |||
| D.O.A.: 28/06/2025 | D.O.D.: 30/06/2025 | ||
| Diagnosis: SEPTICEMIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 3,600.00 | 10,800.00 |
| TOTAL | 10800.00 | ||
| IN WORDS : TEN THOUSAND, EIGHT HUNDRED RUPEES ONLY | |||
| Signature | |||