01-02-2017 10:12 AM

Cheque Details

Date 01-01-2017
Provider Id 530659 Provider Name Shifa Jeddah Polyclinic & Diagnostic Center -
C V No 1692269 Cheque No Jeddah
2100015470
Currency SR Branch
99
Loss Date 01-10-2016 Credit Amt 2,248.08 Debit Amt 0
Plan Name Policy Name Batch Ref Amount

WP16MDB359523 889.12 CR

WP16MDB359536 1,358.96 CR

Loss Date 02-10-2016 Credit Amt 163,950.56 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB359557 87,818.07 CR

WP16MDB359558 76,132.49 CR

Loss Date 09-10-2016 Credit Amt 288.31 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB360178 288.31 CR

Loss Date 11-10-2016 Credit Amt 3,929.23 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB360173 3,929.23 CR

Loss Date 12-10-2016 Credit Amt 4,645.86 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB360177 3,884.81 CR

WP16MDB361851 761.05 CR

Loss Date 13-10-2016 Credit Amt 5,154.09 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB359639 5,154.09 CR

Loss Date 14-10-2016 Credit Amt 479.33 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB360044 479.33 CR

Loss Date 31-10-2016 Credit Amt 6,501.99 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB359494 6,501.99 CR

Loss Date 10-11-2016 Credit Amt 156.73 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB374857 156.73 CR

Loss Date 12-11-2016 Credit Amt 253.5 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

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Plan Name Policy Name Batch Ref Amount

WP16MDB374893 253.5 CR

Loss Date 18-11-2016 Credit Amt 604.56 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB374658 604.56 CR

Loss Date 19-11-2016 Credit Amt 93,598.35 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB371462 93,598.35 CR

Loss Date 20-11-2016 Credit Amt 76,584.39 Debit Amt 0

Plan Name Policy Name Batch Ref Amount

WP16MDB371464 75,713.64 CR

WP16MDB374659 870.75 CR

Cheque Amt 358,394.98

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