| No: B-388 | Date: 24/11/2025 | ||
| Patient Name: PAVAN MAHESHBHAI THAKOR | |||
| Age: 2Y | M/F: MALE | ||
| Address:- JANGRAL | |||
| D.O.A.: 20/11/2025 | D.O.D.: 24/11/2025 | ||
| Diagnosis: SEPTICEMIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 6000.00 | ||
| IN WORDS : SIX THOUSAND RUPEES ONLY | |||
| Signature | |||