| No: B-406 | Date: 04/01/2025 | ||
| Patient Name: PRIYAL DINESH PATEL | |||
| Age: 11M | M/F: FEMALE | ||
| Address:- VASAIPURA | |||
| D.O.A.: 01/12/2025 | D.O.D.: 04/12/2025 | ||
| Diagnosis: DIARRHOEA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 7500.00 | ||
| IN WORDS : SEVEN THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||