| No: B-381 | Date: 17/11/2025 | ||
| Patient Name: RAVI SURESH THAKOR | |||
| Age: 7Y | M/F: MALE | ||
| Address:- VADU | |||
| D.O.A.: 14/11/2025 | D.O.D.: 17/11/2025 | ||
| Diagnosis: PNUMONIA WITH FEVER WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 6000.00 | ||
| IN WORDS : SIX THOUSAND RUPEES ONLY | |||
| Signature | |||