| No: B-578 | Date: 25/03/2026 | ||
| Patient Name: ANSH ASHISH PATEL | |||
| Age: 7Y | M/F: MALE | ||
| Address:- KAMLIWADA | |||
| D.O.A.: 22/03/2026 | D.O.D.: 25/03/2026 | ||
| Diagnosis: THYPOID FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 4 | 2,200.00 | 8,800.00 |
| TOTAL | 8800.00 | ||
| IN WORDS : EIGHT THOUSAND, EIGHT HUNDRED RUPEES ONLY | |||
| Signature | |||