| No: B-112 | Date: 27/05/2025 | ||
| Patient Name: ADADHYA RAMJIBHAI CHAUDHARI | |||
| Age: 3.5YRS | M/F: FEMALE | ||
| Address:- BHVANAGAR | |||
| D.O.A.: 26/05/2025 | D.O.D.: 27/05/2025 | ||
| Diagnosis: THYPOID FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 2 | 3,000.00 | 6,000.00 |
| TOTAL | 6000.00 | ||
| IN WORDS : SIX THOUSAND RUPEES ONLY | |||
| Signature | |||