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  • Summary of Bills Submitted With The Claim

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    Upendra Neravati
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    The document summarizes 24 bills submitted as part of a claim, listing the bill number, date, provider name, amount, and a total amount of Rs. 32381 for all bills. It notes that the total number of bills included is 24.

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    The document summarizes 24 bills submitted as part of a claim, listing the bill number, date, provider name, amount, and a total amount of Rs. 32381 for all bills. It notes that the total number of bills included is 24.

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    Attribution Non-Commercial (BY-NC)
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    13 views2 pages

    Summary of Bills Submitted With The Claim

    Uploaded by

    Upendra Neravati
    The document summarizes 24 bills submitted as part of a claim, listing the bill number, date, provider name, amount, and a total amount of Rs. 32381 for all bills. It notes that the total number of bills included is 24.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 2

    Summary of bills submitted with the claim S.

    No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Date of Bill Bill No 29/11/2012 52 29/11/2012 2893 29/11/2012 CG45170 30/11/2012 CG45213 01/12/2012 CG45424 02/12/201 CG45639
    2 02/12/201 2 02/12/201 2 03/12/201 2 04/12/201 2 04/12/201 2 04/12/201 2 30/11/201 2 30/11/201 2 30/11/201 2 01/12/201 2 01/12/201 2 01/12/201 2 02/12/201 2 02/12/201 2 02/12/201 2 03/12/201 2 03/12/201 2

    Name of the Hospital / Lab/Medical shop Sai balaji pharmacy Pranav scans & diagnostic center, kurnool Swaroop medicals Swaroop medicals Swaroop medicals Swaroop medicals Swaroop medicals Swaroop medicals Swaroop medicals Swaroop medicals Swaroop medicals Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital Viswa Bharathi Super Speciality Hospital

    Amount 2328 500 139 145 145 145 49 1297 2588 2580 8065 11700 50 50 50 50 100 430 50 140 50 1050 50

    CG45685 CG45812 CG45831 CG46015 CG46135 3499 81 66 02 09 27 116 11 76 83 37 102

    24

    04/12/201 2

    84

    Viswa Bharathi Super Speciality Hospital TOTAL

    630 32381

    Total number (count) of bills including hospital bill & receipts- 24 Note: Please number all the bills & receipts

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