| No: B-180 | Date: 20/07/2025 | ||
| Patient Name: AMIR JAVED RANGREJ | |||
| Age: 1.5Y | M/F: MALE | ||
| Address:- PATAN | |||
| D.O.A.: 17/07/2025 | D.O.D.: 20/07/2025 | ||
| Diagnosis: PNUEMONIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 4 | 3,800.00 | 15,200.00 |
| TOTAL | 15200.00 | ||
| IN WORDS : FIFTEEN THOUSAND, TWO HUNDRED RUPEES ONLY | |||
| Signature | |||