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  • Outpatient Approval No:: 121858 Mohamed Mahmoud Hassan El Soghaiar 13-NOV-23 14-NOV-23 Male/ Years Old

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    Mohamed Elsager
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    This document is an outpatient approval for Mohamed Mahmoud Hassan El Soghaiar dated November 13, 2023. It approves medications to treat arthritis, including ANADAR 30 Softgel Capsules, Sulfax Plus Massage Gel 60 Gm, and Medexaflam 15mg 20/Tab. The approval is valid for 2 days from the issue date and is subject to a 20% co-payment, with a maximum co-payment of 0. It was created and submitted by Khaled Hamdy.

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    1639062

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    This document is an outpatient approval for Mohamed Mahmoud Hassan El Soghaiar dated November 13, 2023. It approves medications to treat arthritis, including ANADAR 30 Softgel Capsules, Sulfax Plus Massage Gel 60 Gm, and Medexaflam 15mg 20/Tab. The approval is valid for 2 days from the issue date and is subject to a 20% co-payment, with a maximum co-payment of 0. It was created and submitted by Khaled Hamdy.

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    © All Rights Reserved
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    7 views1 page

    Outpatient Approval No:: 121858 Mohamed Mahmoud Hassan El Soghaiar 13-NOV-23 14-NOV-23 Male/ Years Old

    Uploaded by

    Mohamed Elsager
    This document is an outpatient approval for Mohamed Mahmoud Hassan El Soghaiar dated November 13, 2023. It approves medications to treat arthritis, including ANADAR 30 Softgel Capsules, Sulfax Plus Massage Gel 60 Gm, and Medexaflam 15mg 20/Tab. The approval is valid for 2 days from the issue date and is subject to a 20% co-payment, with a maximum co-payment of 0. It was created and submitted by Khaled Hamdy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Outpatient Approval No : 1639062

    Card No: 121858 Issue Date: 13-NOV-23


    Beneficairy Name: Mohamed Mahmoud Hassan El Policy Expiry Date: 14-NOV-23
    Soghaiar
    Male/ Years Old Provider Name:
    Co-Payment: 20 %

    Max Co-Payment: 0 Client Name: (AICT)‫االسكندرية لمحطات الحاويات الدولية‬


    Branch Name: AICT Service : Medication

    Memo:
    Notes:
    Medical Proc. / Concentratio Pack Special
    Medical Diagnoses Size Dose Qty Act Status
    Drug n Instructions
    ANADAR 30
    M13-Other Arthritis Softgel Capsules 30Capsule 1 1/Box Approved
    LOCAL
    Sulfax Plus
    M13-Other Arthritis Massage Gel 60 60GM 1 1/Box Approved
    Gm LOCAL
    Medexaflam
    M13-Other Arthritis 15mg 20/Tab 15Mg 20Tablet 1 1/Strip Approved
    LOCAL
    ‫تعليمات خاصة‬

    Beneficiary Signature

    Created By Submitted By Printed Date: 13/11/2023


    Khaled.Hamdy Khaled.Hamdy
    "Issue Date" ‫ايام فقط من‬ 2 ‫هذه الموافقة صالحة لمدة‬

    Alex Branch: 59 Victor Amanowel-Semoha ‫ سموحة‬- ‫ عمانويل‬- ‫ ش فيكتور‬59 : ‫فرع االسكندرية‬


    Tele: 03/4246950 03/4246950:‫تليفون‬
    Fax: 03/4246940 03/4246940 : ‫فاكس‬
    Email: alex@inayaegypt.com Web: www.inayaegypt.com

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