| No: B-350 | Date: 20/10/2025 | ||
| Patient Name: JIYANSH D. GEHLOT | |||
| Age: 4Y | M/F: MALE | ||
| Address:- DEESA | |||
| D.O.A.: 17/10/2025 | D.O.D.: 20/10/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 4000.00 | ||
| IN WORDS : FOUR THOUSAND RUPEES ONLY | |||
| Signature | |||