| No: B-449 | Date: 31/12/2025 | ||
| Patient Name: BABY VIPUL SUTHAR | |||
| Age: 1D | M/F: FEMALE | ||
| Address:- DEODAR | |||
| D.O.A.: 22/12/2025 | D.O.D.: 31/12/2025 | ||
| Diagnosis: SEPTICEMIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 8 | 2,000.00 | 16,000.00 |
| TOTAL | 16000.00 | ||
| IN WORDS : SIXTEEN THOUSAND RUPEES ONLY | |||
| Signature | |||