ucs 71910101640075

I
Certificate required as per Mlnistry of l"lealtfi, New delhi
Merrrorandurn h{o. Fl 17152, L & G {M} Dated the 29th May 53

f,",.*elte
granted to sbdJ&x1"f, $^, K*runaq Ail T),E;f., t
oi'Shri
the b s P.
CERTIFICATE - A
in are not admrtted to Hospital for treatment )

; i"9
1 Dr. here by ceriiiy that I cnarged and

Receivec Rs
;^. ^^-rSLi,Lii.l..
lUi t-Ur i, Ul i at my consulting roonr,

b) That I ,:harge i ils fcr administe rinE

irr.,-e -'Y9l nCr ls

[]]E:Iir!!-c l-eI-r-[]s9!g.n-o!
-.---:.:e!€ous ( date tc be given )
ai my consultrng room / at the residence of the patrent
i, i
T-'" " - :' --' -- - -- *inistei-eciwerefor/were
tii-i.,ii-,i,:-.J,,:5,- tiilltnLEtEU YYETE tvt / YygtE notfor

ini m ititiirE ci Oronn;;lactic

i-r purpose
has been under treatrnent at Hospital/ my consulting room
medicines presci'ibed by rne in this connection were essential fer the recover,,, /
-- detarioration in tne condition of the patient. The rnedicine are nc;t stocked
serioirs
rn iia
Nan':e

foods, toiiets or disinfectants.

el Price
Na.. P

G E.!E D€,0 v .
zP+r-@rqol- 3?J0 Iy-c
I
-te *f,a, t-_ 380 6e

t-
Q^y 9219> +t* @\J'aJ 4*,q
d t
*
 't ia. 24a231

,l i)

GRAND TOTAL 3AO OO