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m }{,,,Fe- BA}lrT
S/e ul?dsrstand ysLrr world Account Branch :
Address : By..Jrf]\{?if JAGARLUDHTANA
AND
M/S. DMC AND HOSPITAL MANAGING
SOCIEry City
fl8J#fl ?lBffilLAcoLLEcE
C/O DMC AND HOSPITAL : LUDHIANA 14IOOI
MANAGING SOCIE State : PUNJAB
DMC TAGORE NAGAR Phone no. : t800202616t
CIVI LINES ODLimir : 0.00
LUDHIANA I4IOOI Currency : INR
Email : ACCouNr@DMCH,EDU
PUNJAB INDIA CustID : t28173712
AccountNo : NEw DEEMED HI\IIV RBB
JOINT HOLDERS : A./C Open Date : 1y#;11jl3*t
Accormt Stahs : Regrlar
RTGSNEFT IFSC:
Branch Code i'il"o*'f;.10,",
:
o
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t2/04/2023
t2/04/2023
Statement of account
| 4- t002-602 t -00000526
flxjffill,:::::l*::::::i.'.':',-:#'Tl:T*'tr*'davsorrceiptorstarcnrentrheaddresson,n,."o,#*,
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Page No .: 3
12t04t2023 tz/04/2023
Statement of account
i O LTD-DMC AND HOSPITAL MANAGING SOCIETY-
HSBCN23 102663 166
G SOCIEry.IDFBH23 1 0244 I 47 2
G SOCIETY.IDFBH23 10244137 4
CIETY.AXISCNOz35OI gIOO
CIETY.AXISCNO2350l9I03
CIETY.AXISCN0235OI gIO2
G SOCIETY-AXISCN0235O82658
t2lMt23 NEFT CR-UTIBOOOOOOT-THE ORIENTAL INSURAN AXrSCNo2350l 8608 tzlMt23 1,260,s6 l.3s
CE CO LTD. MDAS-DMC HOSPITAL MANAGING SO
CIETY.AXISCNO23 5O I 8608
t2/04/23 NEFT CR-UTIBOOOOOOT-THE ORIENTAL INSL'RAN AXISCN02350l 8743 t2t04/23 1,287,58 1.35
CE CO LTD. MDAS-DMC HOSPITAI MANAGING SO
CIETY.AXISCNO?3 50 187 43
t2/04t23 FT3O4I24686647.FUTURE GENERALI INDIA INS 0000304t24686647 12lMt23 1,3 I 5,83 l.3s
UMNCE CO-00600350t 18702
Thanking you
n
Vo
ll Asstt.
Gurjeet Sinsh
/ (ut) 9872400866
General Manager
'
n
(PR|VArE,y,ry+lDEq
.: .' CIVIL LINES, N sTtrufl oN)
r
LUDHIANA
t
Dated:- tt.03.2022
STATEMENT OF EXPENDITURE
INCURRED ON THE TREATMENT
OUTDOOR TREATMENT
CC
9 0437222223/748t /
10
21/02/2s 173000 OUTDOOR TREATMENT M
042s12223/2028 07/03/23 5702 ./' OUTDOOR TREATMENT cc
TOTAL 188340
r otat aimount r Rs. l,gg,340/- (ONE tAC EtG ._.
,
# Please lndicate whether the bill/ receipt is for hospital expenditure/medicines. , 1? .@ | d
Dear Sir/Madam,
\ A
' 'EstII slrri ftHi'6 .07ll2l2o22d valur-gqn/rqrqq" ol rr.fli d, ia] MRS. RUpTNDERKAUR
cancerTreatment d sqqn d frq qEIH.qfi d
dc<r 13sa75l) t vreq ftfqrf,ilr/sqffi { *i "S,
TrfiT fttq.r #r I oiEo tf t terqora rt<{
+d *d qft sTvrf,:"rpr"
[ffi * ftrq qflq rj* yrsq vrcm otq t
t300000.0 or srg<r{ Rrqiao: T+qd f6ur q61 g,
letter/estiliate/99{i-fig1t,*iiil.alaalp gg$drxg-fnaecial-nuisrarce-ftom-pMNRrl
Please refer to vour
-roi tadcfriEi"rieatffif oT'Mm:RUFiliD-ER'KAm'G;iffi
139r5il, eEffir (300000.00/- (rhree Lakh
National RelierFund i" pu'il-rivler.ay trre ,rp.nr.i
3i'J1"t3il1ff1ffiff::'s invoiveo in the cancer ir.u,*"ot
z. qr{rf,rfr, {q tr{ S srq
di
d srE tft
d Cancer Treatment a1 fueqrfi +,Tr ofr..( dr-i u,-e sr$ilfum
sd or Edyr frqfR-f, crrr (T6-d tqr qr g.Er fi
o.rqfdq g'rdn qr,t o-r q-d r qrfi qfi ETri qrfi orTqr-{
il t
qs orqfffq of fit} S s,mrcr o-{rg'ilrfu
;
iTRr crd+q orqB + dRTq gq qd ro fifr,.ir
ffi a1 Tfr q-flTRr n-o et'nr rtft
The hospital shall assume'responsibility for
the cancer Treatment of the patient on receipt
communication and furnish details of the
act,al *plrot r. i*"r*a directly to tt i, oifice
of this
(already supplied) to enable this office in the format prescribed
to release payment. R;i;;;; of grant will be
during the admissibre period limited to expenditure incurred
upto the fir, amount of sariction.
3' E-s r+qft q{ + sIIEIR rN frt{ft fi non ot.tfr. gfrfl ,/qare 01 gfur c-ff{ ord rrnr srw.r.r
Tfr-q q gfrR-dd q-trn I ftxft non 6T $iE *i w i** vs omaq *)
iltr ffi "yT
qftutc th1 cft fie'f tg q"F{ t r "r* ernqr trry I srsrnrT
The hospital shall ascertaii the veracity
of the patient while extending any credit facility/treatment
U the notic-e ortr'i, oir,."
against
i;.Ji.t.it
:ll.'ffi1i1,::x!l llfi:"r::;lli::o;*i*i,ffii::3.,gi,i',o co?v or
4' qqri qc) olqfEq tt rmrzqr+fit oi ergtv srq 6Ii ft1 drtq 26rLz/zozz snfofo
tr
*,-ffivcmfuoq,d...$'q,ed.'8'..qsI',,g,..{.sffi.-il*.-'u#s-i5*".sfrirg.ffi*- s.rqiTr Efl y66
t
ilrfiq q),qg'ffi tr n;-q, srtqdrd ,+jffi*ii# ffi.: ;c t qsu,q{;a ,t*,*,*
gs otrn
The date of receipt of patient's- / applicant's request r
in PMo is z6/li/2ozz. rinanciar assistance is subject
the conditions mentioned oveileaf and tt , i.rms to
and conditions atrgady,opmmunicated, The validity
letter is for a period of two years from the date of this sanction
of issue. uo*r*r.i, the hbspital should commence treatment
one year from the date ofissue ofthis sanction within
letter.
r{c
I
qf Yours faithfully
to:
copy for Information
LL " (Pradeep Kumar Srivastava)
rrMRs. RUPTNDERKAUR
Under Secretary @unds)
*4.t.\ n $-,
wo sHRr RUpTNDER srNGH, AT DEFENCE col,oNy tL\t \ "/
y*ilyg;l*
PITNJAB- 48023, TTI-lflL.gRKorLA,
1
Drsr _MALERKoTLA" \
MO_g 81 546217 6
v
Dear Sir,
]9u are requested.to kindly process and release the payment of this claim
bill at the earliest please
Thanking You
Gurjeet Singh
Asstt. General Manager
(M) 9872400866
n
L
Dated:- 1L.03.2022
STATEMENT OF EXPENDITURE INCURRED
ON THE TREATMENT
PMO Reference No. No.82
120069lI ilOZZ-pM F, Dated : 04.fi*2022
Name of Patient :- Mrs. Manjot Kaur
Male/ Female :- Female
Disease :- Cancer Treatment
Hospital Reference No :- MRD No. 1360460
Date of admission / Continuing treatment
:- 23.01.2023
Date of discharge ( or, whether the
treatment wi, continue ) :- sti, continued
Name of attending doctor and designation
:- Dr. Oncologist
TOTAT 2t7888
otat amount 2,L7,8881- F*o rocs
# Please lndicate whether the bifl / receipt is for hospitar expenditure/medicines.
n- J':1'te I
A-o ?
( a , Amount paid by
r Rs.0/_
( b )Amount received from
other sources r Rs.O/-
( c ) Amount due to hospital :- Rs.2,Ll,gggl-
(w*hdate*r"W{$Sffi", r
4d6r!Iriir"rn.gr, IW
DilC e Hospihi, Ludhiana
Sir/Madam,
.Dear
qqqr sTqi ffio 04/1012022 d v-aler-gqpq/qTry or rtqd d, Eil sMT MANJoT reuR d
cancerTreatment d scsri d fcN gqr-T {* vtq}q"yrrd fi S qtr_ ore*u, +-*i-d t
sw1 136sa60) t qrn{ fuFowr/sqq* fr 6ti sTd w # o*, lerwcrrm m,+t
-t300000.0 6l
srgqFT fratro: Tfiqd ftrfi r[rf,r
d.r
un + ftq c*nq 4a ffi<
vrrc ots t
Please refer to your letter/estimate/certificate
aa,tea oqlrctz022 regarding financial
for the cancer Treatment of sMT uaNroi assistance from pMNRF
rcAUR (Hosp N".ilio+eoi. e grant or(:ooooo.o0/-
only) from Prime Minister's National Relief Fund puitiuti|;.;;y;;. (Three Lakh
to expenses involved in the cancer Treatment
is sanctioned in-principle.
2' {q c' d ffq *i d qrs trfi d cancerTreatment
3i-skTrm'
-ffi+1 mq",q ilfi oftr Eti srd srs.h-fi
qd or frqfftd sq, G-6d fi +lqr qr BoT t) t- sq
EfhT
6lqhq Srrdln qrff or irs r qrfr sft qri sr-ff srrsn--rR, .E+- srqfu ; f;i *";*, ovrv artu q-r
e " ""' -'', r'
a ekn
xr\r'r gq
3\ qd
qq ao frpfr rirfi ,,
ffi Sfr {fr ffilTRI fO 5frn I ..
The hospital shall assume responsibility for the
cancer Troatment of the patient on receipt of this
communication and fumish details of the actual explnditure
(already supplied) to enable this office to
ir";;;
directly to this i" it format prescribed
"mJ" to expenditure
release payment. Release of grant will be limited "
during the admissible period upto the full amount incurred
of sanction.
3'^ ffiqEId sIrETR w non ffi
rfi qt
dBe gfrw //sdnq 01 gfr*rr str{ ori Trrrrr crskncr
qftq a1^w$:sqf,r gF{kffi ot'n r frrs non
il$ vrfr \f€qe o1 sfr riilt tg vaq t
m ritt w q* *i # *.t*
o} er+rro o-rm qN r srsknm
r
,l Yours faithfully
Copy for I:
(Pradeep- vastava)
rl sMT Under (Funds)
D/O SHRI SINGH VILLAGE+PO UDHANWAL
TEHSIL BATALC AL GURDASPUR PUNJAB