| No: B-397 | Date: 27/11/2025 | ||
| Patient Name: SHIVANSH HARDIK VYAS | |||
| Age: 3.5Y | M/F: MALE | ||
| Address:- VARAHI | |||
| D.O.A.: 24/11/2025 | D.O.D.: 27/11/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 10000.00 | ||
| IN WORDS : TEN THOUSAND RUPEES ONLY | |||
| Signature | |||