Amit Harishbhai yadav / Vaishali Amit Yadav

Policy No-21040634160400000001

Bunch Bill No Date Detail

Pre-Hospitalization Exp (A)

1 Medicines Bill
1 17.12.16 Sgree Brahmi Medical Store
2 28.12.16 Planet Health
3 03.01.17 Sgree Brahmi Medical Store
4 20.01.17 Sgree Brahmi Medical Store
5 28.12.16 K.R.Medical
2 Jeenvandeep Pathology
6 16.12.16 Ante Natal & TSHTest
3 IDC Clinic
7 19.12.16 Consultation Charges
4 19.12.16 Supratech Report Only
5 Nirmal Pathology Lab
8 19.12.16 Hapatites B Virus
9 19.12.16 Multy Test Report
6 Dr. Trupti patel
10 19.12.16 Sonography + Report
7 Medicines
11 31.01.16 Sgree Brahmi Medical Store
12 26.01.16 Sgree Brahmi Medical Store

SUB TOTAL (A)

Hospitalization Exp (B)

8 Sanjivani Maternity Nursing Home

13 26.01.17 Delivery Bill
9 14 26.01.17 Urva children hospital

SUB TOTAL (B)

 TOTAL(A+B)

kalpesh 079-40390506
Amit Yadav

Bill Amount Total Amount

432
24
272
235
50 1013

1250 1250

1500 1500
0 0

4500
3100 7600

1500 1500

72
144 216

13079

26100 26100
7300 7300

33400
46479