| No: B-86 | Date: 16/05/2025 | ||
| Patient Name: BABO VIPULBHAI THAKOR | |||
| Age: 2M | M/F: MALE | ||
| Address:- PATAN | |||
| D.O.A.: 12/05/2025 | D.O.D.: 16/05/2025 | ||
| Diagnosis: JONDICE WITH VOMITING WITH DEHYDRATON | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 2,300.00 | 6,900.00 |
| TOTAL | 6900.00 | ||
| IN WORDS : SIX THOUSAND, NINE HUNDRED RUPEES ONLY | |||
| Signature | |||