HIGLY CONFIDENTIAL

Subject:- DETAIL OF MEDICAL BILLS SUBMITTED BY MR. IRTIZA HUSSAIN FROM

PERIOD 02-03-2017 TO 26-12-2017

Sr. No Date Amount

1 02-03-2017 Rs.1142/-
2 02-03-2017 Rs.534/-
3 16-03-2017 Rs.1214/-
4 16-03-2017 Rs.247/-
5 28-03-2017 Rs.1022/-
6 28-03-2017 Rs.429/-
7 08-04-2017 Rs.1721/-
8 08-04-2017 Rs.349/-
9 19-04-2017 Rs.1222/-
10 19-04-2017 Rs.297/-
11 09-05-2017 Rs.830/-
12 09-05-2017 Rs.301/-
13 19-05-2017 Rs.872/-
14 19-05-2017 Rs.470/-
15 31-05-2017 Rs.875/-
16 31-05-2017 Rs.369/-
17 12-06-2017 Rs.875/-
18 12-06-2017 Rs.154/-
19 06-07-2017 Rs.875/-
20 06-07-2017 Rs.200/-
21 22-07-2017 Rs.878/-
22 22-07-2017 Rs.322/-
23 10-08-2017 Rs.930/-
24 24-08-2017 Rs.875/-
25 09-09-2017 Rs.930/-
26 09-09-2017 Rs.92/-
27 12-09-2017 Rs.922/-
28 27-09-2017 Rs.221/-
29 27-09-2017 Rs.875/-
30 03-10-2017 Rs.264/-
31 06-10-2017 Rs.900/-
32 14-10-2017 Rs.105/-
33 14-10-2017 Rs.900/-
34 26-10-2017 Rs.900/-
Sr. No Date Amount
35 26-10-2017 Rs.140/-
36 06-11-2017 Rs.900/-
37 06-11-2017 Rs.71/-
38 15-11-2017 Rs.967/-
39 25-11-2017 Rs.900/-
40 04-12-2017 Rs.933/-
41 04-12-2017 Rs.955/-
42 16-12-2017 Rs.900/-
43 26-12-2017 Rs.967/-
Total Amount Rs. 29843/-