| No: B-253 | Date: 30/08/2025 | ||
| Patient Name: BABO ARVIND BHARVAD | |||
| Age: 1D | M/F: MALE | ||
| Address:- USMAN | |||
| D.O.A.: 17/08/2025 | D.O.D.: 30/08/2025 | ||
| Diagnosis: SEPTICEMIA WITH FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 13000.00 | ||
| IN WORDS : THIRTEEN THOUSAND RUPEES ONLY | |||
| Signature | |||