| No: B-226 | Date: 07/08/2025 | ||
| Patient Name: FEJAN NADIM MEER | |||
| Age: 1.5Y | M/F: MALE | ||
| Address:- PATAN | |||
| D.O.A.: 04/08/2025 | D.O.D.: 07/08/2025 | ||
| Diagnosis: FEVER | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 1,500.00 | 4,500.00 |
| TOTAL | 4500.00 | ||
| IN WORDS : FOUR THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||