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1016/2017 JcHANNELLING Channel Details Reference Number Appointment Number Appointment Date Time Total Fee Breakdown of Fee Patient Details Name NIC Number Payment Date Doctor Details Name Specialization Hospital Details Hospital Name Hospital Address ‘Telephone Number Hospital Reference Number success, CHANNELLING DONE 1039403963 5 1: 11-10-2017 : Doctor Fee: 1500.00 ital Fee Doctor/Hospital Hospital Fee: 725.00 bacon Booking Fee: ((Echannelling 79.00 ) Including VAT + NBT) (°No-Show” option fee = 250.00) : MR LAHIRU SAMARAWEERA- 0765645656 : PROF JAYAMINI SENEVIRATNE : DERMATOLOGIST annipitiya Nursing Home + 334/4 Hokandara Ré, Moraketiya : 0114328880 + pnhoo00302313 + Your channeling is completed. You wil receive confrmat { Youlcan show the sits message or th SHS message and email ai at th Pease be atthe hospital 15 minutes before the given te. The appointmant te shown ls only an approximate time It may be subject to change depending on Doctor's artval time tna the ume spend with patient ahead of you + Unless you have opted forthe nthe event tne doctor or the hospital cancelled te appoint hospital or you can abtan refund on doctor ExChanneling Puc isnot lable for any lose ov mages incurred dus toa doctor canceling or rescheG show rei, no refond would be made by €-Channeling PLC under any the patient may reschedule the appointment with tne nor hosp ta fee S8se4 onthe poy ofthe Most Ing the appointment + E-channeling PLE VAT No 134006903-7000 ps: echanneling com/apiechannelitesponsePaymentGatoway?paymentMode=COMBANK_PROMO_DEBSpar ALK22e1 K2BEKIKKABGD... 112 101872017 success, Home Print Wishing You Good Health!! psi echanneling comlapilecnanneliresponsePaymentGatewaypaymentMadk 22 OMBANK_PROMO_DEBEpar

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