| No: B-679 | Date: 25/06/2025 | ||
| Patient Name: JISHA HARSHIL SADHU | |||
| Age: 14M | M/F: FEMALE | ||
| Address:- PATAN | |||
| D.O.A.: 20/06/2026 | D.O.D.: 25/06/2026 | ||
| Diagnosis: MESENTERIC ADENITIS WITH VOMITING WITH DEHYDRATION WITH HYPONETREMIA WITH FEVER | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 6 | 2,200.00 | 13,200.00 |
| TOTAL | 13200.00 | ||
| IN WORDS : THIRTEEN THOUSAND, TWO HUNDRED RUPEES ONLY | |||
| Signature | |||