| No: B-359 | Date: 01/11/2025 | ||
| Patient Name: BABY DINESHBHAI RAJPUT | |||
| Age: 2M | M/F: FEMALE | ||
| Address:- AMBAJI | |||
| D.O.A.: 27/10/2025 | D.O.D.: 01/11/2025 | ||
| Diagnosis: VIRAL FEVER VOMITING DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 7000.00 | ||
| IN WORDS : SEVEN THOUSAND RUPEES ONLY | |||
| Signature | |||