{S108 HPO TOI OF DASIME KASHMIR DEPIISEES EGE MEDICAL ONCOLOGY ASIEE CHL SETAS TATION EMIE HSC SERS ooo 310 Valid for one year tated Je 6 pa TO WHOM IT MAY CONCERN This is to certify that the patient namely Wani Zaid Age: 6yrs/Male child (ree no: 1019/20) S/o Zahoor Ahmad Wani R/o Brad, Sopore is a diagnosed case of Neuroblastoma. The patient is planned for Autologous Stem Cell Transplant and Approximate cost of treatment including supportive care is Rs. 8, 00,000/- (Rupees Eight Lac Only) ‘The discase is life consuming and needs lifelong follow up. As verified by ABPMJAY Cell, SKIMS on I: 9/08/2022; the patient is enrolled under ABPMJAY/Sehat scheme vide Golden Card No. PSUCBP3LY and has availed benefit of Rs. 54, 406/- uncer it. Furthermore the treatment availed on Out Patient Basis is not covered under ABPMJAY/Sehat scheme. VA we 7 i R Shenoi Vv Dr. Lel mie hes 4 DM: 1920. Dr. Javid Rasob! 7 - oF Fafa Asses fessor & Head wt. Of Mecical Oncology Countersigned by SKIMS Soura spl Prof. (Dr) Parvaiz A Koul Director SKIMS & Ex-Officio Seiirecton SAMS & Fx-Officio Secretary lo Gavernme Jammu & Kashmir (india) 259] eZ © scanned with OKEN Scannervine | ROUTINE | Ward: epartment: _ 4 [mM Patient’sName:_ Dy c/a: Newobladtoua - ot eee Date: _______ mo Vy ime: _ te Kceived “TE OPEC /OTE « te Consultant / Senior Resident: y Department of __ Ae lef red in Aug 202] = (Reeived 4 of Tvd) je ok abe apes Tek 3 ( Recowved LO of (cE) _ L ’ 7 ow 8/[o/22 Oped eee . a rap CRercivel AS ok ey 7 2s for byw AE AS Ct m any Signature of Sr. Resident R TS fins Name: _ i ode: Remarks: Codi e at: Call noti ms SigPot ibnsutant © scanned with OKEN Scanner$v) eel M.R.D.No. strat Ge — i pe) a Nec JO: , : un? bc opie - — Ree “ppl Q “fila L Rte Ob —— ee - Rew.nt@ TE _ nodch ta LE/eo/rtee DE _ Pe 4 antgien on (CP | History of Present Illness 49 ICE - St Se Racin A + sila) ' © scanned with OKEN Scanner& CONSULTATION RECORD Case seen by! mals bs db y ages es ida a, Seite 1 klet “rnanests ec Te Digyoas-A a) MAREN es . ang eo are mt | “ie Vs nr a2 et Advice: 1 ARE OPERATED o> + ld cP FROGRESSIOM an ) Chas ©, Ge) Sie he 4 Me ner Vita > WI “Bput ee ea bAee yD ah Wy SP — IEF nk ; ke BP- holy an ae. PP Vy om An ae 5 oe ignature: ame: esignation: — de No. a © scanned with OKEN Scanner