| No: B-369 | Date: 09/11/2025 | ||
| Patient Name: HIMANSHI NARANBHAI DESAI | |||
| Age: 11Y | M/F: FEMALE | ||
| Address:- PADAR | |||
| D.O.A.: 05/11/2025 | D.O.D.: 09/11/2025 | ||
| Diagnosis: DIABETES TRETMENT | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 6000.00 | ||
| IN WORDS : SIX THOUSAND RUPEES ONLY | |||
| Signature | |||