Dear Sir/Madam, Details: Greeting from Health India!!! fer to our deficiency letter, wherein below ined documents / information were asked Policy Number : 111700/48/2023/42 Claim Number : HI-OIC-001671664-0 Group Name / lnctrad Nariel Yes Bank Limited Patient Name: Ankit Gupta Hospital Name : SS Hospital Hospital City : Gurgaon To process this claim we required some Additional Document as follows: 1. Required Original Sticker And Tax Invoice Of Stapler Against Charges 25680/- Regards, Anish Shadage Health India Please provide the above information / documents within 07 days from the receipt of this mail to enable us to process your claim at the earliest.Bienen Original for — OM OK VIHAR SHRUE SATPHARMA MIs SS HOSPITAL, ASH MAIN 1hASATROAD, NEAR ENKEY FACTORY O6:IARYANA 1 ‘OPP-DRONA SCHOOL WALI GALL.GURUGRAMGAIR oa Phone : 9560740741,9896547777_1t-Mail: medicinetemple@gmaileom GST: ‘DENo, 208 6600-588 OWAL 21D GaUNS84 WAT Tnvoice No. : 22-23/01187Date + 23-06-2022 fest excise GSTINVOICE | Sivan: Due Dae: 2306-2022 \] Oty. [Pack [ Product Butch Exp) HSN MRP [Rate [Dis [SCs] ¥ 1 'WENOROD STEPLER IST GUN jose] 726] 91s9099] 568000) 9500.00] 0.00) 600] 600] 9500% | | Lass [ora] sen] pise]sest]__cast]_rorat ast] sus rota 200] — a0] — woo — aco] —_ 00 00] | SOSTPAYBLE 2 sO Ww] — 0.0 [STO] — SILO] TRN.OO] CesT PAYELE 00] woo] — 0.00 — v.00] 00 0007] ADDLESS 3704 Doo] —a0o] G00 | 0.00 | 000 007] _CRDR NOTE aL spo] BW] Wo | — 7000 S700] 10.00 — GRAND TOTAL a = 7 Reher RE Fee Cand atc eccest Fils ox pil ee date wil tract iret