| No: B-672 | Date: 22/06/2026 | ||
| Patient Name: RUSHIRAJ VISHAL THAKOR | |||
| Age: 11M | M/F: MALE | ||
| Address:- AGHAR | |||
| D.O.A.: 16/06/2026 | D.O.D.: 22/06/2026 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 7 | 3,500.00 | 24,500.00 |
| TOTAL | 24500.00 | ||
| IN WORDS : TWENTY-FOUR THOUSAND, FIVE HUNDRED RUPEES ONLY | |||
| Signature | |||