| No: B-598 | Date: 08/04/2026 | ||
| Patient Name: VED ARVIND CHAUDHARI | |||
| Age: 2.3Y | M/F: MALE | ||
| Address:- BHABHAR | |||
| D.O.A.: 04/04/2026 | D.O.D.: 08/04/2026 | ||
| Diagnosis: SEPTICEMIA WITH FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 5 | 2,500.00 | 12,500.00 |
| TOTAL | 12500.00 | ||
| IN WORDS : TWELVE THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||