| No: B-211 | Date: 31/07/2025 | ||
| Patient Name: PARAM M. DESAI | |||
| Age: 1.5Y | M/F: MALE | ||
| Address:- DEODAR | |||
| D.O.A.: 29/07/2025 | D.O.D.: 31/07/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 1,000.00 | 3,000.00 |
| TOTAL | 3000.00 | ||
| IN WORDS : THREE THOUSAND RUPEES ONLY | |||
| Signature | |||