| No: B-240 | Date: 12/08/2025 | ||
| Patient Name: ANAND H. PRAJAPATI | |||
| Age: 3Y | M/F: MALE | ||
| Address:- KANSHA | |||
| D.O.A.: 10/08/2025 | D.O.D.: 12/08/2025 | ||
| Diagnosis: VIRAL DIAHERIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 7500.00 | ||
| IN WORDS : SEVEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||