| No: B-224 | Date: 07/08/2025 | ||
| Patient Name: SUHASH PATBATJI THAKOR | |||
| Age: 3Y | M/F: MALE | ||
| Address:- RAMPURA | |||
| D.O.A.: 04/08/2025 | D.O.D.: 07/08/2025 | ||
| Diagnosis: THYPOID FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 3,000.00 | 9,000.00 |
| TOTAL | 9000.00 | ||
| IN WORDS : NINE THOUSAND RUPEES ONLY | |||
| Signature | |||