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ESTIMATE

S.No. Date 27)0r/23.


792
Name of of the Patient ....,. Age/Sex
7/nl2l Date of Disciharge2o9)21
Date of Admisson..7/l
Description Amount
S.No.
Admission
2. Bed Charges x days
3. ICCUCharges xdays
4. Service Charges x days
5. Ward Medicines

6. Consultant Visit xdays


7. Specialist Visit x days
8. Oxygen
x days
X
9 ECG
10. RBS
11. Surgeon's Fee
12. Anaesthethist Fee

13. Assistant

14. 0.T. Charges


15. 0.T. Medicnes
Ventilator'sCharges x days
16.
Nebuelizer Charges
17
18. Diet
ToTA
19. Others

TOTAL

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