| No: B-274 | Date: 03/09/2025 | ||
| Patient Name: MAHIR IMAMKHAN BALOCH | |||
| Age: 3M | M/F: MALE | ||
| Address:- SESAN | |||
| D.O.A.: 30/08/2025 | D.O.D.: 03/09/2025 | ||
| Diagnosis: SEPTICEMIA WITH FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 12000.00 | ||
| IN WORDS : TWELVE THOUSAND RUPEES ONLY | |||
| Signature | |||