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STATE LIFE INSURANCE CORPORATION OF PAKISTAN

Health & Accidental Insurance Division


*9914661*
AMEER MEDICAL COMPLEX KHUSHAB
Joharabad, Khushab , Khushab TREATMENT SHEET

Head of Family Name: ‫ﻇﻔﺮ ﺍﻗﺒﺎﻝ‬ Visit#: 9914661


CNIC#: 3820180953357 Visit Date: 04-JUL-2022
Sehat Card#: District: Khushab
Contact#: Program: SSP3 UHI

Patient Information:
Patient CNIC# Contact# Relation Gender Marital Status
‫ﺛﻢیﻥہ پﺭﻭیﻥ‬ 3820155381212 Wife FEMALE MARRIED

Treatment/Procedure Information:
Coverage Treatment/Procedure Package Cost Waived By Treatment
Rate Hospital Amount
SECONDARY Cesarean delivery 24,000 24,000 0 24,000
Total: 24,000 0 24,000

Admission Information:
Admission# Hospital MR Adm Date Attendant Mobile# Relation
3690319 AC00295 04-JUL-2022 15:07 zafar iqbal 03415605985 Husband

Patient History (Last Five Visits):


Visit# Hospital Admission Date Coverage Treatment Claim Amount

Other Family Members History (Last Five Visits):


Visit# Hospital Admission Date Coverage Treatment Claim Amount

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Sheet Generated by User-ID: AMEERKBHF On Date: 2022-07-05T09:41:56.830+00:00

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