| No: B-267 | Date: 29/08/2025 | ||
| Patient Name: JILUBHA DASARATSINH CHUHAN | |||
| Age: 6Y | M/F: MALE | ||
| Address:- PATAN | |||
| D.O.A.: 26/08/2025 | D.O.D.: 29/08/2025 | ||
| 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 | |||