| No: B-208 | Date: 30/07/2025 | ||
| Patient Name: AHMAD IMRAN MANSIYA | |||
| Age: 2Y | M/F: MALE | ||
| Address:- BHILVAN | |||
| D.O.A.: 28/07/2025 | D.O.D.: 30/07/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 2000.00 | ||
| IN WORDS : TWO THOUSAND RUPEES ONLY | |||
| Signature | |||