Page No.

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AND
M/S. DMC AND HOSPITAL MANAGING
SOCIEry City
fl8J#fl ?lBffilLAcoLLEcE
C/O DMC AND HOSPITAL : LUDHIANA 14IOOI
MANAGING SOCIE State : PUNJAB
DMC TAGORE NAGAR Phone no. : t800202616t
CIVI LINES ODLimir : 0.00
LUDHIANA I4IOOI Currency : INR
Email : ACCouNr@DMCH,EDU
PUNJAB INDIA CustID : t28173712
AccountNo : NEw DEEMED HI\IIV RBB
JOINT HOLDERS : A./C Open Date : 1y#;11jl3*t
Accormt Stahs : Regrlar
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Branch Code i'il"o*'f;.10,",
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t2/04/2023
t2/04/2023
Statement of account

t2/M/23 i NEFT CR.CITIOOOOOO3-UIIC HEALTH PAYMENTS

crTrN23349723632
-DMC AND HOSPITAL MANAGINC 5,720,t57.35
SOCIETY-CITIN
23349723632

t2/04/23 NEFT CR-CITIOOOOOO3-UIIC HEALTH

PAYMENTS c1T1N23349723243 t2/04/23
-DMC ANTD HOSPITAL MANAGING
SOCIETY.CITIN
23349723243

12/Ut23 NEFT CR-CITIOOOOOO3-UXC HEALTH

PAYMENTS CITIN23349725203
I .DMC AND HOSPITAL MANAGING
SOCIETY.CITIN
23349725203

t2/04/23 NEFT CR-SBINOOO4266-SBI

GENERAL INSURANC
s8IN223102618267 t2/04/23
E CO LTDSBI GEN.DAYANANID
MEDICAL COLLEGE
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12/04t23 IMPS.3 10216977 467.BAJAJ
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| 4- t002-602 t -00000526

t2/04t23 FT. DR . 5OIOO27 I444g2O . DIVIC AND HOSPI

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12/04/23 NEFT CR-DEUTO796DEL-IFFCO-TOKIO
GENERAL 3 I 0200269cN00092 t2/04/23
INSUMNCE COMPANY LIMITED-DMC
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LTD PMT_000303 50023204 t53,888.35
12/04t23 FT3O4 IZ54841qS-THE ORIENTAL
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00003041254841 98 tzt04/23
LTD RKS-000303 50023 t7 9 280,942.35
l2/Ut23 RTGS CR-IDFBOOIOzO4-PRIME
MINISTERS NATI
rDFBR5202304 I 200 12t04/23
ONAL RELIEF FLIN.DMC AND 498,830.35
HOSPITAL MANAGIN
388708
G SOCIETY-rDFBR5202304 1200188708
t2/Mt23 NEFT CR-HSBCOTOOOO4.NATIONAL
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IIDFC BANK LIMITED
*Closing
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 Page No .: 3

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Address : ByfJJ^1"."|PTJAGARLUDHIANA
}vTlS. DMC AND HoSPITAL MANAGING
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fl8J#'fl ?II"3iS11T"KEGEAND
: LUDHI.ANA I4IOOI
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SOCIE Stat€ : PUNJAB
DMC TAGORE NAGAR Phone no. : 18002026t61
CIVILINES ODLimit : 0.00
Currency : INR
LUDHIANA I4IOOI Email : ACCOUNT@DMCH,EDU
PT]NJAB INDIA Cust ID : 128173712
AccouatNo : 501N273534441 NEWDEEMEDHT.IWRBB
JOINT HOLDERS :
A./C 0pen Datc : filoa20D
Account Status : Regrlar
RTGS/NEFT IFSC: HDFC000948 MrCR:141240fi6
Nomination , Not R;gi*G; BranchCode : 9448 Product Code: 145

12t04t2023 tz/04/2023
Statement of account
i O LTD-DMC AND HOSPITAL MANAGING SOCIETY-
HSBCN23 102663 166

t2/04/23 NEFT CR-IDFBOOIO2O4.PRIME MINISTERS NATI

IDFBH23l0244t472 l2/Mn3
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G SOCIETY-AXISCN0235O82658

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CIETY.AXISCNO?3 50 187 43

t2/04t23 FT3O4I24686647.FUTURE GENERALI INDIA INS 0000304t24686647 12lMt23 1,3 I 5,83 l.3s
UMNCE CO-00600350t 18702

t2t04/23 STAR HEALTH AN-2024 211218 OOO3544 0000304112262828 t2t04/23 1,317,745.35

tztMt23 STAR HEALTII AN-2024 2l l2l8 0006125 0000304n22629M 12t04t23 1,321,t80.35
t2tM/23 STAR HEALTH AN.2O23 2I I I I3 I7I758I 00003041 12263965 t2lul23 1,377,849.35
12/M/73 STAR HEALTH AN.ZOL3 211222 1720936 00003041 12264000 t2/04/23 1,443,566.35
HDFCBANKLMITET)
rClosing balance includes funds
earmrked for hold and mcleared funds
this statemmt.
Strte rccoutrl bnnch GSTN:03AAACIIZTOZHIZA
HDFC Buk GSTIN nmbtr details rc Milsble at httPs://w.hdfcbankcom,!rcreomUmaking-payments/online-tax-paymenugmds-and-wice-tax.
Registmd oflie Address: HDFC Bank Houe,senapaii Bapat M"rg,l_o"ii p"6f,[ao.uai +Cr0dti
 DAYANAND IVIEDICAL COLLEGE
TAGORE NAGAR, CIVIL LINES, & HOSPITAL
LUDHIANA, PIN - 141001, PUNJAB (INDIA)
(Manased'if
[ltl$$'.ff.',i',fl::3-1ffi?.',:1?::,5b#,#t;l]csoc,Ery)

Ref. No. DMCH / coRP CELL

re*zg)Wg Dated l, e3,lz-^3
The Under Secretary (Funds)
Prime Minister,s National nelief Fund
I Prime Minister,s Office
South Block
New-Dethi - 11001 1

subject - submission of ctaim bifl under pMNRF

Dear Sir,

As you are kindty aware that DMC &

Hospital including its units is enrolled
under PMNRF for cashtess treatment
oF rereired patients.

Please find encrosed our craim bifls

of Rs. 1,gg,340/- for patient _ smt.
Rupinder Kaur wo- shri f1n11oe. sin'grr, R/o- p"i"n." corony,
Malerkofla, Tehsir Marerkoila, Dist. n,lri"ir,ofla,' punja
b-14g023.
The patient was referred to our hospital
vide Letter No.g 2(25os7ll2o22-
PMF dated 05.01 .2023, under this ariang"rlnt

You are requested.to kindly process and

release the payment of this claim
bill at the earliest ptease

Thanking you
n
Vo
ll Asstt.
Gurjeet Sinsh
/ (ut) 9872400866
General Manager
'
n

Hospital Exchange 0161 4688800,4687700 FAX 0t6t 2302620

Hospital Enquiry 0161 4687664 Email corporatecell@dmch. edu
Corporate Cell 0161 4687s09 Website wrvw.dmchinternationalpatients.com
J*^L
 Dayanand Medical cortege & Hospital Managing society

(PR|VArE,y,ry+lDEq
.: .' CIVIL LINES, N sTtrufl oN)
r
LUDHIANA

t
Dated:- tt.03.2022
STATEMENT OF EXPENDITURE
INCURRED ON THE TREATMENT

PMO Reference No. No.82

l2SO87l l2O22_pMF, Dated : 08.01.2023

Name of patient :- Mrs. Rupinder Kaur

Male I Female :- Female
Disease :- Cancer Treatment
Hospital Reference No r MRD No.
1304751
Date of admission / Continuing
treatment :- Zg.Of .ZOZg
::::T:::l:T:
Name of :,, ",h;;,;;
I doctor
;;;;;"";;il ffiii nu e ) :. sti, r co nti n ued
and desisnation :- Dr
Sr. No. Bill No. Bill Date Amount (Rs.) Description ( # )
1 042s72223/7792" 23/07/23 /
2736 OUTDOOR TREATMENT 2c
2 0425L2223/18s6. 06102/23 850 / OUTDOOR TREATMENT C^2
3 0425L2223/7876 08/02/23 3306 / OUTDOOR TREATMENT (-c
4 042s72223/7866 0;t/02/23 320 ./ OUTDOOR TREATMENT oO
i1o /
5 0425L2223h904 L3/02/23 .3 oU,TDOOR TREATMENT
CC,
6 0425L2223/L9tSt L4/02/23 L99./ ./ . -OUTDOOR TREATMENT 6.c
7 042s72223/7948/ 20/02/23 3to/ / ]. ,OUTDOOR
TREATMENT Cr-
8 042s72223h9s8, 27/02/2s L6,07,
/ ]
'1,:t.

OUTDOOR TREATMENT
CC
9 0437222223/748t /
10
21/02/2s 173000 OUTDOOR TREATMENT M
042s12223/2028 07/03/23 5702 ./' OUTDOOR TREATMENT cc
TOTAL 188340
r otat aimount r Rs. l,gg,340/- (ONE tAC EtG ._.
,
# Please lndicate whether the bill/ receipt is for hospital expenditure/medicines. , 1? .@ | d

[:,'H;5li#ffi1,tli(b)+(c)givenbeow B' i;D7 ::ff.';i:&340/ 0oT

l:ifffili;::T"*lHlthersources .l],.?rr,,*r. cc ffi"o I'
signature of patient or hls/her guardian
coby
*,,*-*:*n-ii
Lounter-stgnature ott
J* L1,q-b4| +a.+a- pa-Ae.,* (.+r.Je '>".--,*n.ncore
Medical Superintendent or authorized Stgna{ory p ut4 ot4/
(with date
"na,""rVfiyA (4 *Y
ofrueErsncH 9w
Corporate Cell
DMC & Hospital, Ludhiana

Sep.2022 MOD. DMCH/F I NEtBit.2l t102st2016.4.,1

 -Reei$leredPost
s8rrq d* iF,rqftrq
PRIME MINISTER,S OFFICE r$F.
g{If,l'fia
! -
3rIFqtrffi
NO.82(2s087)t2022_PW
To ,/,/
T{fu#rnotr
.A4EDICAL
SUPERINTENDENT
New Delhi-tt0 0Il
DAYANAND MEDICAL COLLEGE AND HOSPITAL
DMC & HOPSITAL MANAGING SOCIETY,
TAGORE NAGAR, CIVIL LINES, LUDHIANA -
14I OOI, PUNJAB

Dear Sir/Madam,
\ A
' 'EstII slrri ftHi'6 .07ll2l2o22d valur-gqn/rqrqq" ol rr.fli d, ia] MRS. RUpTNDERKAUR
cancerTreatment d sqqn d frq qEIH.qfi d
dc<r 13sa75l) t vreq ftfqrf,ilr/sqffi { *i "S,
TrfiT fttq.r #r I oiEo tf t terqora rt<{
+d *d qft sTvrf,:"rpr"
[ffi * ftrq qflq rj* yrsq vrcm otq t
t300000.0 or srg<r{ Rrqiao: T+qd f6ur q61 g,
letter/estiliate/99{i-fig1t,*iiil.alaalp gg$drxg-fnaecial-nuisrarce-ftom-pMNRrl
Please refer to vour
-roi tadcfriEi"rieatffif oT'Mm:RUFiliD-ER'KAm'G;iffi
139r5il, eEffir (300000.00/- (rhree Lakh
National RelierFund i" pu'il-rivler.ay trre ,rp.nr.i
3i'J1"t3il1ff1ffiff::'s invoiveo in the cancer ir.u,*"ot
z. qr{rf,rfr, {q tr{ S srq
di
d srE tft
d Cancer Treatment a1 fueqrfi +,Tr ofr..( dr-i u,-e sr$ilfum
sd or Edyr frqfR-f, crrr (T6-d tqr qr g.Er fi
o.rqfdq g'rdn qr,t o-r q-d r qrfi qfi ETri qrfi orTqr-{
il t
qs orqfffq of fit} S s,mrcr o-{rg'ilrfu
;
iTRr crd+q orqB + dRTq gq qd ro fifr,.ir
ffi a1 Tfr q-flTRr n-o et'nr rtft
The hospital shall assume'responsibility for
the cancer Treatment of the patient on receipt
communication and furnish details of the
act,al *plrot r. i*"r*a directly to tt i, oifice
of this
(already supplied) to enable this office in the format prescribed
to release payment. R;i;;;; of grant will be
during the admissibre period limited to expenditure incurred
upto the fir, amount of sariction.
3' E-s r+qft q{ + sIIEIR rN frt{ft fi non ot.tfr. gfrfl ,/qare 01 gfur c-ff{ ord rrnr srw.r.r
Tfr-q q gfrR-dd q-trn I ftxft non 6T $iE *i w i** vs omaq *)
iltr ffi "yT
qftutc th1 cft fie'f tg q"F{ t r "r* ernqr trry I srsrnrT
The hospital shall ascertaii the veracity
of the patient while extending any credit facility/treatment
U the notic-e ortr'i, oir,."
against
i;.Ji.t.it
:ll.'ffi1i1,::x!l llfi:"r::;lli::o;*i*i,ffii::3.,gi,i',o co?v or
4' qqri qc) olqfEq tt rmrzqr+fit oi ergtv srq 6Ii ft1 drtq 26rLz/zozz snfofo
tr
*,-ffivcmfuoq,d...$'q,ed.'8'..qsI',,g,..{.sffi.-il*.-'u#s-i5*".sfrirg.ffi*- s.rqiTr Efl y66
t
ilrfiq q),qg'ffi tr n;-q, srtqdrd ,+jffi*ii# ffi.: ;c t qsu,q{;a ,t*,*,*
gs otrn
The date of receipt of patient's- / applicant's request r
in PMo is z6/li/2ozz. rinanciar assistance is subject
the conditions mentioned oveileaf and tt , i.rms to
and conditions atrgady,opmmunicated, The validity
letter is for a period of two years from the date of this sanction
of issue. uo*r*r.i, the hbspital should commence treatment
one year from the date ofissue ofthis sanction within
letter.

r{c
I
qf Yours faithfully

to:
copy for Information
LL " (Pradeep Kumar Srivastava)

rrMRs. RUPTNDERKAUR
Under Secretary @unds)
*4.t.\ n $-,
wo sHRr RUpTNDER srNGH, AT DEFENCE col,oNy tL\t \ "/
y*ilyg;l*
PITNJAB- 48023, TTI-lflL.gRKorLA,
1
Drsr _MALERKoTLA" \
MO_g 81 546217 6
v

with reference to the letter dated nil

2] SARDAR SIMRANJIT SINGH MANN, MP

 DAYANAND MEDIGAL COLLEGE
TAGORE NAGAR, CIVIL
LINES,
& HOSPITAL
LUDHIANA, PIITT JATOOl, PUNJAB
(INDIA)
(Manasedo',oAltll?So"ffi1i",fi::l*i0..:?j*1?'.:,,:tt#ffi:,NcSoc,Ery)

Ref. No. DMCH / coRp CELL tga.zs)es"?

") Dated i,lle.=rl^^^S
The Under Secretary (Funds)
Prime Minister,s National Relief Fund
Prime Minister's Office
South Block
New-Delhi - 1 10011

subject - submission of craim biil under pMNRF

Dear Sir,

As you are kindly aware that DMC & Hospital

including its units is enrotted
under PMNRF for cashress treatment of referred patients.

find enclosed.our claim bills of Rs. 2,1 l,gggt-for

P-lease
patient - Smt.
Manjot Kaur D/o- Shri Karnail S_ingh, nlo--
Udhanwat, Tehsit Batata,
Udhanwal, punjab-1a3505I
Gurdaspur,

The patient was referred to our. hospital

vide Letter No.g2(2oo6g) 12022-
PMF dated 04.11.2022, under tfris ariang"rlnt.

]9u are requested.to kindly process and release the payment of this claim
bill at the earliest please

Thanking You

Gurjeet Singh
Asstt. General Manager
(M) 9872400866
n

Hospital Exchange 0161 4688800,4687700 FAX

Hospital Enquiry
01il 23A2620
0t6t 4687664 Email corp oratecel I @dmch. edu
Corporate Cell 0161 4687s09 Website www. dmchinternationalpatients.com
 Dayanand Medical college & HospitalManaging
society

L
Dated:- 1L.03.2022
STATEMENT OF EXPENDITURE INCURRED
ON THE TREATMENT
PMO Reference No. No.82
120069lI ilOZZ-pM F, Dated : 04.fi*2022
Name of Patient :- Mrs. Manjot Kaur
Male/ Female :- Female
Disease :- Cancer Treatment
Hospital Reference No :- MRD No. 1360460
Date of admission / Continuing treatment
:- 23.01.2023
Date of discharge ( or, whether the
treatment wi, continue ) :- sti, continued
Name of attending doctor and designation
:- Dr. Oncologist

Sr. No. Bill No. Bill Date Amount (Rs.) Description ( # )

t 103L22223/7868 23ltt/22 32726 INDOOR TREATMENT hrT
2 LO32O2223/3708 10/72/22 33455 INDOOR TREATMENT @>
3 0432022223/37824 02/07/23 23000 r, OUTDOOR TREATMENT
lrl
baT
4 703202223/4080 o4/oU23 33777 , ,, INDOOR TREATMENT +a7
5 703202223/42s8 78/01/23 32757 INDOOR TREATMENT en>
6 703202223/4547 06/02/23 33130 INDOOR TREATMENT m>
7 703202223/47s3 27/02/23 29649 INDOOR TREATMENT

TOTAT 2t7888
otat amount 2,L7,8881- F*o rocs
# Please lndicate whether the bifl / receipt is for hospitar expenditure/medicines.

(f This shoutd be equal (a) + (b) + (c) given

patient
betow :- Rs,Z,t7,8B8l- ( I

n- J':1'te I
A-o ?
( a , Amount paid by
r Rs.0/_
( b )Amount received from
other sources r Rs.O/-
( c ) Amount due to hospital :- Rs.2,Ll,gggl-

_ Signature of patlent or hls/herguardian

'ob't ufr^:Y ,?i y u:lt-ii-i.io(qt * ta bi e-*f *xnder+ jar {Q cotol h*hos4
counter'srgnarurlot rhe Medrgr superrntendent or authorfzed signatory

(w*hdate*r"W{$Sffi", r
4d6r!Iriir"rn.gr, IW
DilC e Hospihi, Ludhiana

5ep.2022 MOD. DMCH/F/A/E tBit.2t I 1O2SI2O1

6.4.1
;"41 '''ffi
etnq d* 6rqia?r Registelfc!pbst
PRIME MINISTER'S OFFICE (sW
flI$II{tn -
L qlfdlr6kv{

N O. 8 2 (2 00 69)t 2022-PMF =r{ fud-tro ou

Nory-RElbietrI0 0ll
To
TSUPERINTENDENT
ANAND MEDICAL COLLEGE AND HOSPITAL
DMC & HopsrrAt, MANAGTNG socrpiv,
J4fcORE NAGA& CrvL
LUDHIANA. 14I OOI, PUNJAB
LTNES, :

Sir/Madam,
.Dear

qqqr sTqi ffio 04/1012022 d v-aler-gqpq/qTry or rtqd d, Eil sMT MANJoT reuR d
cancerTreatment d scsri d fcN gqr-T {* vtq}q"yrrd fi S qtr_ ore*u, +-*i-d t
sw1 136sa60) t qrn{ fuFowr/sqq* fr 6ti sTd w # o*, lerwcrrm m,+t
-t300000.0 6l
srgqFT fratro: Tfiqd ftrfi r[rf,r
d.r
un + ftq c*nq 4a ffi<
vrrc ots t
Please refer to your letter/estimate/certificate
aa,tea oqlrctz022 regarding financial
for the cancer Treatment of sMT uaNroi assistance from pMNRF
rcAUR (Hosp N".ilio+eoi. e grant or(:ooooo.o0/-
only) from Prime Minister's National Relief Fund puitiuti|;.;;y;;. (Three Lakh
to expenses involved in the cancer Treatment
is sanctioned in-principle.
2' {q c' d ffq *i d qrs trfi d cancerTreatment
3i-skTrm'
-ffi+1 mq",q ilfi oftr Eti srd srs.h-fi
qd or frqfftd sq, G-6d fi +lqr qr BoT t) t- sq
EfhT
6lqhq Srrdln qrff or irs r qrfr sft qri sr-ff srrsn--rR, .E+- srqfu ; f;i *";*, ovrv artu q-r
e " ""' -'', r'
a ekn
xr\r'r gq
3\ qd
qq ao frpfr rirfi ,,
ffi Sfr {fr ffilTRI fO 5frn I ..
The hospital shall assume responsibility for the
cancer Troatment of the patient on receipt of this
communication and fumish details of the actual explnditure
(already supplied) to enable this office to
ir";;;
directly to this i" it format prescribed
"mJ" to expenditure
release payment. Release of grant will be limited "
during the admissible period upto the full amount incurred
of sanction.
3'^ ffiqEId sIrETR w non ffi
rfi qt
dBe gfrw //sdnq 01 gfr*rr str{ ori Trrrrr crskncr
qftq a1^w$:sqf,r gF{kffi ot'n r frrs non
il$ vrfr \f€qe o1 sfr riilt tg vaq t
m ritt w q* *i # *.t*
o} er+rro o-rm qN r srsknm
r

The hospital shall ascertaii the veracity of the patient

while extending any credit facility/treatment against
this sanction letter' In case of any doubt, the ru*" *.yi, ;;;"gffi;
notice of this office immediately. copy of
the estimdte issued by the hospital i, for reference.
4' mrrq ri* "n"for"a
orqfdq tt fiftzsncro or erStu crw +i qr1 ilrtrq tg/rlr2oz2 t r etrforfi w6r{rdr q.s yts .
d ftd sdilfu-d Yrd otrr red fi Tnrs rr\ rqdr .ay {rd d -T." etfi
drftqfr d q{ a-o 91fo,g, erwara rs-ffi'*'a &rdr qlfi *i +1
@w
d qrff r}i 01 or& v* ut *
The date of receipt of patient's / applicant's pMo
t ffi sv_an V6 o.trr I
request in i, tilifi&2. ilr"".rj is subject to
the conditions mentioned oveileaf and tt t i""r
and ctndition, urtr uay.pormunicated. The validity
^.istance
of this sanction
letter is for a period of two years from the date of issue.
one year from the date ofissue
Howeve/, th" fr;;;ttrl,iffi';il;ce treatment within
ofthis sanction letter.

,l Yours faithfully

Copy for I:
(Pradeep- vastava)
rl sMT Under (Funds)
D/O SHRI SINGH VILLAGE+PO UDHANWAL
TEHSIL BATALC AL GURDASPUR PUNJAB

with to the letter dated nil

2l PS TO MOS COM INDUSTRY

I33, UDYOGBHAWAN,
NEW DELHI-I IO1O7
with reference to letter dated 12/10/2022