10/29/2018 yoggramonline.in/Regn_Module/BankVoucher.aspx?

MRNo=112447&GrpNo=27904&Name=PRAVALIKA YADAV&Rs=20600&Bank…

BANK COPY (ORIGINAL)

Axis Bank
Haridwar

Account Name: Yog-Naturopathy-Panchkarma Treatment & Research Centre,Yog Gram Print

Bank Acc.No: 913010007452653 Date .................................

Bank IFSC Code (Yoggram) UTIB0000358 M.R. No 112447

Bank Swift Code AXISINBB358 Group No 27904
Amount Rs. 20600 Name PRAVALIKA YADAV
Amount Rs. In Word Rupees Twenty Thousand Six Hundred Only

You have to ill the following information in Patient-Portal (Fee-Detail)


Bank Transaction Number:.....................................................

Bank Branch Code (IFSC) : ........................................................ Signature of Banks Authority/Of icial(with seal)
(IFSC code must be checked as 11 digits)

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YOGGRAM COPY (Duplicate)
Axis Bank
Haridwar

Account Name: Yog-Naturopathy-Panchkarma Treatment & Research Centre,Yog Gram

Bank Acc.No: 913010007452653 Date .................................

Bank IFSC Code UTIB0000358 M.R. No 112447

Bank Swift Code AXISINBB358 Group No 27904
Amount Rs. 20600 Name PRAVALIKA YADAV
Amount Rs. In Word Rupees Twenty Thousand Six Hundred Only

You have to ill the following information in Patient-Portal (Fee-Detail)


Bank Transaction Number:.....................................................

Bank Branch Code (IFSC) : ........................................................ Signature of Banks Authority/Of icial(with seal)
(IFSC code must be checked as 11 digits)


------------------------------------------------------------------------------Tear from Here-----------------------------------------------------------------

PATIENT COPY (Triplicate)

Axis Bank
Haridwar

Account Name: Yog-Naturopathy-Panchkarma Treatment & Research Centre,Yog Gram

Bank Acc.No: 913010007452653 Date .................................

Bank IFSC Code UTIB0000358 M.R. No 112447

Bank Swift Code AXISINBB358 Group No 27904
Amount Rs. 20600 Name PRAVALIKA YADAV

Amount Rs. In Word Rupees Twenty Thousand Six Hundred Only

Note: Panchkarma and Holistic (alternative) therapy charges are extra as per given in the website.

You have to ill the following information in Patient-Portal (Fee-Detail) within two days, after that you will
ind booking con imation through Email and SMS


Bank Transaction Number:.....................................................

Bank Branch Code (IFSC) : ........................................................ Signature of Banks Authority/Of icial(with seal)
(IFSC code must be checked as 11 digits)

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