OPD Approval

SHIFA International Hospitals Limited

COMPANY Pak Qatar

Employer / Policyholder's Wiseman Innovations

Folio No/Cert No/Policy No/NIC No/ 3740503070065

Employee Name M. Azim

Patient's Name / age and relationship

Abdul Hannan

MR Number EA4003

Date 06-09-2022

Procedure to be Undertaken CT86 Sinuses Axial Coronal W/O

Estimated Cost Rs. 16000/-

FOR INSURANCE COMPANIES ONLY

DATE RECEIVED DATE APPROVED APPROVED BY

REMARKS

Please accord approval “Guarantee of Payment” as early as possible by return fax / email.

You can contact us if we can be of further assistance to you. Your immediate response will be highly appreciated.

We assure you of our best professional services and cooperation at all time.

Thanking you for your cooperation.

Yours Sincerely.

OPD Team
Shifa International Hospitals Ltd Sector H-8/4, Islamabad, PakistanTel:+92-51-8463603 |Fax:+92-51-4863093|M:
+92-3468551200