| No: B-215 | Date: 02/08/2025 | ||
| Patient Name: MESWA NARESH SUTHAR | |||
| Age: 2.5Y | M/F: FEMALE | ||
| Address:- RUVEL | |||
| D.O.A.: 31/07/2025 | D.O.D.: 02/08/2025 | ||
| Diagnosis: SEPTICEMIA WITH FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 2,500.00 | 7,500.00 |
| TOTAL | 7500.00 | ||
| IN WORDS : SEVEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||