MEDICAL TEST REGISTRATION SLIP

Merchant Reference No OMS3209709 GCC Slip No GCC/22/197/22/19786841

Name Ajesh mohanan nair Nationality Indian

Travel To Bahrain Date of Birth 14/May/1994

Passport No N9099803 Passport Expiry Date 18/May/2026

Amount $10 Payment Status PAID

NationalID

MEDICAL CENTER INFORMATION

DR. KUNHALU’S NURSING HOME

Ernakulam, Kochi 682011KERALA – INDIA
Phone: 0091 484 2368451
Email: kunhalusnh@gmail.com

NOTE: This Slip is valid only till

GENERATED DATE :22/Jul/2019
12/Aug/2019 .