| No: B-38 | Date: 17/04/2025 | ||
| Patient Name: TIRTH ARVIND JOSHI | |||
| Age: 5Y | M/F: MALE | ||
| Address:- SOYALA | |||
| D.O.A.: 13/04/2025 | D.O.D.: 17/04/2025 | ||
| Diagnosis: PNUMONIA | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 5 | 2,760.00 | 13,800.00 |
| TOTAL | 13800.00 | ||
| IN WORDS : THIRTEEN THOUSAND, EIGHT HUNDRED RUPEES ONLY | |||
| Signature | |||