| No: B-676 | Date: 24/06/2026 | ||
| Patient Name: ABAN SAHILKHAN DEVDI | |||
| Age: 15M | M/F: MALE | ||
| Address:- CHITRASANI | |||
| D.O.A.: 19/06/2026 | D.O.D.: 24/06/2026 | ||
| Diagnosis: HYPRONATRIMIA WITH SEPTICEMIA | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 6 | 4,000.00 | 24,000.00 |
| TOTAL | 24000.00 | ||
| IN WORDS : TWENTY-FOUR THOUSAND RUPEES ONLY | |||
| Signature | |||