| No: B-310 | Date: 25/09/2025 | ||
| Patient Name: BABO BHARAT RAJPUT | |||
| Age: 3M | M/F: MALE | ||
| Address:- VASNA | |||
| D.O.A.: 19/09/2025 | D.O.D.: 25/09/2025 | ||
| Diagnosis: PNUEMONIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 7 | 2,500.00 | 17,500.00 |
| TOTAL | 17500.00 | ||
| IN WORDS : SEVENTEEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||