GCC - Print Window 14/10/18, 2)53 PM

Medical Test Registration

Confirmation Slip

MEDICAL TEST REGISTRATION SLIP

Merchant Reference No OMS999371 GCC Slip No GCC/14/1810/14/17854512
Name Shyam Kishore Singh Nationality Indian
Travel To Saudi Arabia Date of Birth 05/Jan/1965
Passport No Z4859755 Passport Expiry Date 22/May/2028
Amount $10 Payment Status PAID

MEDICAL CENTER INFORMATION

HEFCO, MEDICARE & RESEARCH CENTRE
1/1-A, G.F. & F.F. Bharat Nagar New Friends Colony New Delhi 110065 INDIA
Phone: + 91 11 26934228
Email: director@hefco.org

GENERATED DATE : 14/Oct/2018 NOTE: This Report is valid only till 04/Nov/2018 .

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