Date ESSENTIALITY CERTIFICATE I certify that Mr/Mrs/MissP.B.

RAMA RAO Employed in the office \VIJAYAWADA Has been under my treatment forCAD-INSTABLE-ANGINA Disease from30/08/2011.to 03/09/2011 at the Hospital/My Consulting room HEART CARE CENTRE. VIJAYAWADA and under mentiined Prescribedbt mein this connection were essential for recovery( Prevention of Serious deterious ) in the condition of Patient . The medicines are not stocked in the HEART CARE CENTRE VIJAYAWADA Hospital for supply to the patient and to do not include proprietary preparation for which cheaper substances of Equal therapeutic value are available or preparation with are primarily food toilets and disinfectants. GOVERNMENT REGIONAL PRESS

NAME OF MEDICINES \ PRICES (Rs) DATE 31/8/11 31/8/11

Bill No.

.98 21994

4,0000 1.625