| No: B-12 | Date: 08/04/2025 | ||
| Patient Name: VIDHI RANHUGI RATHOD | |||
| Age: 2YRS | M/F: FEMALE | ||
| Address:- MOTA JAMPUR | |||
| D.O.A.: 06/04/2025 | D.O.D.: 08/04/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 4 | 2,625.00 | 10,500.00 |
| TOTAL | 10500.00 | ||
| IN WORDS : TEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||