| No: B-619 | Date: 27/04/2026 | ||
| Patient Name: KRIYANSH GAURAV PATANI | |||
| Age: 2D | M/F: MALE | ||
| Address:- PATAN | |||
| D.O.A.: 24/04/2026 | D.O.D.: 27/04/2026 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 4 | 3,500.00 | 14,000.00 |
| TOTAL | 14000.00 | ||
| IN WORDS : FOURTEEN THOUSAND RUPEES ONLY | |||
| Signature | |||