| No: B-446 | Date: 22/12/2025 | ||
| Patient Name: NAYRA DINESH JOSHI | |||
| Age: 9Y | M/F: FEMALE | ||
| Address:- DEODAR | |||
| D.O.A.: 20/12/2025 | D.O.D.: 22/12/2025 | ||
| Diagnosis: SEPTICEMIA WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 3,001.00 | 9,003.00 |
| TOTAL | 9003.00 | ||
| IN WORDS : NINE THOUSAND AND THREE RUPEES ONLY | |||
| Signature | |||