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COVID-19

Movement Pass
 उप जला धकारी,लखनऊ,लखनऊ 

Registration No: 157006421 Registration Date: 06/04/2020

Name of the Applicant (**Patient Name In Case of Self): Aradhya Rai

DOB/Age of the Applicant: 11 yrs Gender: Female

Mobile Number: 9453382821

District of the applicant: लखनऊ

Tehsil of the applicant: लखनऊ

Complete Address of Applicant: Khargapur Gomtinagar Lucknow

Pass for: Self

Pass Area: Within District

Vehicle Type and Its Vehicle No.: Two wheeler

 Service Type: वा य सेवा (पशु के वा य सेवा स हत)

Service Description/Reason/Purpose: Treatment in urology dept kgmc Lucknow

Place of Visit: Lucknow

From Date and Time: 07/04/2020

To Date and Time: 07/04/2020

Approved By: सूय का त पाठ

Approval Authority Designation: उप जला धकारी,लखनऊ,लखनऊ

Approval Date: 07/04/2020

NOTE: Only one additional person can be accompanied with the patient

आव यक नदश: ईपास म द गई सूचनाय गलत या फज पाये जाने पर द डत कया जायगा ।

Date: 07/04/2020 Solution Provider: NIC-UPSC, Lucknow

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