| No: B-152 | Date: 04/07/2025 | ||
| Patient Name: IKRA ASHIK BHATTI | |||
| Age: 4Y | M/F: FEMALE | ||
| Address:- PADLA | |||
| D.O.A.: 01/07/2025 | D.O.D.: 04/07/2025 | ||
| Diagnosis: SEPTICEMIA WITH FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 4 | 4,700.00 | 18,800.00 |
| TOTAL | 18800.00 | ||
| IN WORDS : EIGHTEEN THOUSAND, EIGHT HUNDRED RUPEES ONLY | |||
| Signature | |||