| No: B-282 | Date: 09/09/2025 | ||
| Patient Name: BABO BHARTJI THAKOR | |||
| Age: 2M | M/F: MALE | ||
| Address:- DELOL | |||
| D.O.A.: 04/09/2025 | D.O.D.: 09/09/2025 | ||
| Diagnosis: SEPTICEMIA WITH FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 10000.00 | ||
| IN WORDS : TEN THOUSAND RUPEES ONLY | |||
| Signature | |||