| No: B-371 | Date: 13/11/2025 | ||
| Patient Name: VIYANSH S. PATEL | |||
| Age: 5Y | M/F: MALE | ||
| Address:- AHMEDABAD | |||
| D.O.A.: 07/11/2025 | D.O.D.: 13/11/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 10500.00 | ||
| IN WORDS : TEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||