| No: B-601 | Date: 09/04/2026 | ||
| Patient Name: VEER JIGARBHAI DESAI | |||
| Age: 3Y | M/F: MALE | ||
| Address:- ANWADA | |||
| D.O.A.: 06/04/2026 | D.O.D.: 09/04/0206 | ||
| Diagnosis: THYPOID FEVER WITH VOMITING | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL | 8000.00 | ||
| IN WORDS : EIGHT THOUSAND RUPEES ONLY | |||
| Signature | |||