| No: B-190 | Date: 30/07/2025 | ||
| Patient Name: BABO RAVINDRA VAGHELA | |||
| Age: 2D | M/F: MALE | ||
| Address:- VADA | |||
| D.O.A.: 21/07/2025 | D.O.D.: 30/07/2025 | ||
| Diagnosis: PNUEMONIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 9 | 1,500.00 | 13,500.00 |
| TOTAL | 13500.00 | ||
| IN WORDS : THIRTEEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||