| No: B-106 | Date: 24/05/2025 | ||
| Patient Name: BABO KISHANJI THAKOR | |||
| Age: 1M | M/F: MALE | ||
| Address:- DELMAL | |||
| D.O.A.: 22/05/2025 | D.O.D.: 24/05/2025 | ||
| Diagnosis: SEPTICEMIA WITH VOMITING WITH DEHYDRATION | |||
| 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 | |||