| No: B-156 | Date: 06/07/2025 | ||
| Patient Name: YAMIKA YOGESH SONI | |||
| Age: 2.5Y | M/F: MALE | ||
| Address:- BHABHAR | |||
| D.O.A.: 04/07/2025 | D.O.D.: 06/07/2025 | ||
| Diagnosis: AGE SOME DEHYDRATION WITH SEPTICEMIA WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 4,600.00 | 13,800.00 |
| TOTAL | 13800.00 | ||
| IN WORDS : THIRTEEN THOUSAND, EIGHT HUNDRED RUPEES ONLY | |||
| Signature | |||