| No: B-23 | Date: 12/04/2025 | ||
| Patient Name: SHNEHA KALPESHBHAI SUTHAR | |||
| Age: 5YRS | M/F: FEMALE | ||
| Address:- BHIM GAMDA | |||
| D.O.A.: 08/04/2025 | D.O.D.: 12/04/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 5 | 2,200.00 | 11,000.00 |
| TOTAL | 11000.00 | ||
| IN WORDS : ELEVEN THOUSAND RUPEES ONLY | |||
| Signature | |||