| No: B-276 | Date: 06/09/2025 | ||
| Patient Name: MAYUR ARVINDJI THAKOR | |||
| Age: 1M | M/F: MALE | ||
| Address:- SANOSARA | |||
| D.O.A.: 31/08/2025 | D.O.D.: 06/09/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 7 | 2,000.00 | 14,000.00 |
| TOTAL | 14000.00 | ||
| IN WORDS : FOURTEEN THOUSAND RUPEES ONLY | |||
| Signature | |||