| No: B-88 | Date: 17/05/2025 | ||
| Patient Name: PRINCE MUKESHBHAI SOLANKI | |||
| Age: 2.5Y | M/F: MALE | ||
| Address:- PATAN | |||
| D.O.A.: 14/05/2025 | D.O.D.: 17/05/2025 | ||
| Diagnosis: PNUMONIA WITH FEVER WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 4 | 3,625.00 | 14,500.00 |
| TOTAL | 14500.00 | ||
| IN WORDS : FOURTEEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||