| No: B-410 | Date: 06/12/2025 | ||
| Patient Name: HASAN BISMILA SAIYAD | |||
| Age: 1.5Y | M/F: MALE | ||
| Address:- PATAN | |||
| D.O.A.: 03/12/2025 | D.O.D.: 06/12/2025 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 10000.00 | ||
| IN WORDS : TEN THOUSAND RUPEES ONLY | |||
| Signature | |||