| No: B-32 | Date: 15/04/2025 | ||
| Patient Name: VIVAN KALPESHBHAI PATANI | |||
| Age: 2YRS | M/F: MALE | ||
| Address:- PATAN | |||
| D.O.A.: 12/04/2025 | D.O.D.: 15/04/2025 | ||
| Diagnosis: DIARRHOEA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 4 | 1,750.00 | 7,000.00 |
| TOTAL | 7000.00 | ||
| IN WORDS : SEVEN THOUSAND RUPEES ONLY | |||
| Signature | |||