| No: B-604 | Date: 14/04/2026 | ||
| Patient Name: KULDEEP KIRAN SOLANKI | |||
| Age: 1.4Y | M/F: MALE | ||
| Address:- UCHARPI | |||
| D.O.A.: 10/04/2026 | D.O.D.: 14/04/2026 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 5 | 3,200.00 | 16,000.00 |
| TOTAL | 16000.00 | ||
| IN WORDS : SIXTEEN THOUSAND RUPEES ONLY | |||
| Signature | |||