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  • Outpatient Approval No:: 486114 Neveen Mohamed Ahmed El Sayed Abdel Moneam 27-NOV-23 14-NOV-24 Female/ Years Old

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    Ahmed Mohamed
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    This document is an outpatient approval for Neveen Mohamed Ahmed El Sayed Abdel Moneam from the AICT branch in Alexandria, Egypt. It approves medications for antenatal screening including Calcitron, Antodine, VITONEX, LACTO-APEX, and Elevit Pronatal. The approval is valid for 7 days from the issue date of November 27, 2023 and has a 20% co-payment up to a maximum of 0. The beneficiary's signature is required.

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    This document is an outpatient approval for Neveen Mohamed Ahmed El Sayed Abdel Moneam from the AICT branch in Alexandria, Egypt. It approves medications for antenatal screening including Calcitron, Antodine, VITONEX, LACTO-APEX, and Elevit Pronatal. The approval is valid for 7 days from the issue date of November 27, 2023 and has a 20% co-payment up to a maximum of 0. The beneficiary's signature is required.

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    © All Rights Reserved
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    16 views1 page

    Outpatient Approval No:: 486114 Neveen Mohamed Ahmed El Sayed Abdel Moneam 27-NOV-23 14-NOV-24 Female/ Years Old

    Uploaded by

    Ahmed Mohamed
    This document is an outpatient approval for Neveen Mohamed Ahmed El Sayed Abdel Moneam from the AICT branch in Alexandria, Egypt. It approves medications for antenatal screening including Calcitron, Antodine, VITONEX, LACTO-APEX, and Elevit Pronatal. The approval is valid for 7 days from the issue date of November 27, 2023 and has a 20% co-payment up to a maximum of 0. The beneficiary's signature is required.

    Copyright:

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

    Outpatient Approval No : 1665959

    Card No: 486114 Issue Date: 27-NOV-23


    Beneficairy Name: Neveen Mohamed Ahmed El Policy Expiry Date: 14-NOV-24
    Sayed Abdel Moneam
    Female/ 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
    A+C+D+Ca+
    Z36-Antenatal Calcitron 30/Cap
    Cu+Mn+Zn+K 30Capsule 1 3/Strip Approved
    Screening LOCAL
    +Mg+Iron
    Antodine 40mg
    Z36-Antenatal
    30/Tab.(New) 40Mg 30Tablet 1 3/Strip Approved
    Screening
    LOCAL
    Z36-Antenatal VITONEX 30
    30Capsule 1 1/Box Approved
    Screening CAPS LOCAL
    LACTO-APEX 5 -
    Z36-Antenatal
    30 CAPS. 30Capsule 1 3/Strip Approved
    Screening
    LOCAL
    Elevit Pronatal
    Z36-Antenatal
    30/Scor.F.C.Tab 30Tablet 1 3/Strip Approved
    Screening
    IMPORTED
    ‫تعليمات خاصة‬

    Beneficiary Signature

    Created By Submitted By Printed Date: 27/11/2023


    Walid.Mostafa Walid.Mostafa
    "Issue Date" ‫ايام فقط من‬ 7 ‫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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