| No: B-184 | Date: 22/07/2025 | ||
| Patient Name: JIYA VKRAM RAVAL | |||
| Age: 8M | M/F: FEMALE | ||
| Address:- THARA | |||
| D.O.A.: 18/07/2025 | D.O.D.: 22/07/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 5 | 3,600.00 | 18,000.00 |
| TOTAL | 18000.00 | ||
| IN WORDS : EIGHTEEN THOUSAND RUPEES ONLY | |||
| Signature | |||