| No: B-338 | Date: 11/10/2025 | ||
| Patient Name: MO. IMRAN BHORANIYA | |||
| Age: 15M | M/F: MALE | ||
| Address:- BHILVAN | |||
| D.O.A.: 09/10/2025 | D.O.D.: 11/10/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 3600.00 | ||
| IN WORDS : THREE THOUSAND, SIX HUNDRED RUPEES ONLY | |||
| Signature | |||