| No: B-206 | Date: 30/07/2025 | ||
| Patient Name: UVRAJ TIKAJI THAKOR | |||
| Age: 8M | M/F: MALE | ||
| Address:- DELWADA | |||
| D.O.A.: 28/07/2025 | D.O.D.: 30/07/2025 | ||
| Diagnosis: VIRAL FEVER AND ABDOMINAL PAIN | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 3,100.00 | 9,300.00 |
| TOTAL | 9300.00 | ||
| IN WORDS : NINE THOUSAND, THREE HUNDRED RUPEES ONLY | |||
| Signature | |||