| No: B-346 | Date: 19/10/2025 | ||
| Patient Name: BABO AJAY THAKOR | |||
| Age: 4D | M/F: MALE | ||
| Address:- BHRAHMANWADA | |||
| D.O.A.: 14/10/2025 | D.O.D.: 19/10/2025 | ||
| Diagnosis: PNUMONIA WITH FEVER WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 6000.00 | ||
| IN WORDS : SIX THOUSAND RUPEES ONLY | |||
| Signature | |||