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To,

The Chief Medical Officer of


Health (CMOH)
Barasat Health District
Barasat, North 24-Parganas
Dear Sir
Being the Husband of Sikha Roy
I am Seeking information
regarding the following questions
under section 6 of the
Right to information Act,as
follows :-
1. Whether the name of Smt.
Sikha Roy, W/o - Sri PradipKr
Roy of - 21, Gandhi School
Road,Nabapally,P.O.
Nabapally,P.S.- Barasat, Kolkata-
700126, District - North
24-Parganas (who is a Staff
Nurse of your department) has
been inserted /registered/
recorded in the said Mediclaim
form or not?
2. Whether the applicant has
obtained Mediclaim Certificate
from your concern or not?
3. If yes, who signed on the
Mediclaim form ?
4. If yes, please supply copy of
the Mediclaim form after getting
proper fees?
N.B -The postal order of rupees
10 only is annexed herewith
Date
Yours faithfully
(Sri Pradip Kr. Roy)
Address
21, Gandhi School Road
Nabapally, P.O.- Nabapally,
P.S.- Barasat, Kol-700126

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