| No: B-243 | Date: 14/08/2025 | ||
| Patient Name: PRUTHVI VAJABHAI AHIR | |||
| Age: 1.3Y | M/F: FEMALE | ||
| Address:- BARADA | |||
| D.O.A.: 11/08/2025 | D.O.D.: 14/08/2025 | ||
| Diagnosis: PNUMONIA WITH FEVER WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 4000.00 | ||
| IN WORDS : FOUR THOUSAND RUPEES ONLY | |||
| Signature | |||