| No: B-325 | Date: 06/10/2025 | ||
| Patient Name: BABO KISAN VAGHELA | |||
| Age: 5M | M/F: MALE | ||
| Address:- VADA | |||
| D.O.A.: 03/10/2025 | D.O.D.: 06/10/2025 | ||
| Diagnosis: SEPTICEMIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 6600.00 | ||
| IN WORDS : SIX THOUSAND, SIX HUNDRED RUPEES ONLY | |||
| Signature | |||