| No: B-360 | Date: 01/11/2025 | ||
| Patient Name: BABO RAMESHBHAI BHARVAD | |||
| Age: 1D | M/F: MALE | ||
| Address:- JASKA | |||
| D.O.A.: 28/10/2025 | D.O.D.: 01/11/2025 | ||
| Diagnosis: DIABETES TRETMENT | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 7500.00 | ||
| IN WORDS : SEVEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||