| No: B-597 | Date: 06/04/2026 | ||
| Patient Name: DHRUVI KALPESH JOSHI | |||
| Age: 2Y | M/F: FEMALE | ||
| Address:- RANER | |||
| D.O.A.: 02/04/2026 | D.O.D.: 06/04/2026 | ||
| Diagnosis: DIARRHOEA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 12000.00 | ||
| IN WORDS : TWELVE THOUSAND RUPEES ONLY | |||
| Signature | |||