| No: B-191 | Date: 25/07/2025 | ||
| Patient Name: BHAUMIK RAVAL | |||
| Age: 5Y | M/F: MALE | ||
| Address:- HARIJ | |||
| D.O.A.: 22/07/2025 | D.O.D.: 25/07/2025 | ||
| Diagnosis: SEPTICEMIA WITH FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 8000.00 | ||
| IN WORDS : EIGHT THOUSAND RUPEES ONLY | |||
| Signature | |||