| No: B-196 | Date: 25/07/2025 | ||
| Patient Name: BABY BHAVESH JOSHI | |||
| Age: KASRA | M/F: FEMALE | ||
| Address:- KASRA | |||
| D.O.A.: 23/07/2025 | D.O.D.: 25/07/2025 | ||
| Diagnosis: VIRAL FEVER AND ABDOMINAL PAIN | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 2,500.00 | 7,500.00 |
| TOTAL | 7500.00 | ||
| IN WORDS : SEVEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||