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Letter no.

Claiming medical re-imbursement on


the policy
Manmohan R. Tivari
9, Modern Colony,
Sipai Mangal Pandey Road
Kanpur-27
The Manager
HDFC Insurance Ltd,
Main Branch,
M.G.Road,
Kanpur-9
st
1 para
Identity
…..policy holder…
…name ….policy number
Mention the purpose of the letter
- Refer to my letter of 29th June,2020
- Informed you about bypass surgery
nd
2 para
- Surgery was performed by Dr. Suresh Sinha
at Krishna Hospital, Kanpur
- recovering fast
- Submit my claim for reimbursement of
expenses on hospitalisation, surgery,
treatment and medicines
- Have attached a set of bills amounting Rs.
10,00,000/-
rd
3 Para
- Ready to provide any other documents that are
required
• My mobile no…..
• My email address……..
• Could you please inform me the further
procedure.
Yours Sincerely,

( M.R.Tivari)

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