| No: B-527 | Date: 23/02/2026 | ||
| Patient Name: AISHA SADIK BHORAIYA | |||
| Age: 15M | M/F: FEMALE | ||
| Address:- VADANI | |||
| D.O.A.: 17/02/2026 | D.O.D.: 23/02/2026 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 6 | 3,000.00 | 18,000.00 |
| TOTAL | 18000.00 | ||
| IN WORDS : EIGHTEEN THOUSAND RUPEES ONLY | |||
| Signature | |||