| No: B-285 | Date: 09/09/2025 | ||
| Patient Name: ARYA BACHUBHAI CHAUDAHRI | |||
| Age: 2Y | M/F: FEMALE | ||
| Address:- KASRA | |||
| D.O.A.: 05/09/2025 | D.O.D.: 09/09/2025 | ||
| Diagnosis: VIRAL FEVER AND ABDOMINAL PAIN | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 8000.00 | ||
| IN WORDS : EIGHT THOUSAND RUPEES ONLY | |||
| Signature | |||