ate: 12/29)2022 225-42 ae be Super Speci Hospital Saket (wes loc), Press Enclave RoadSakat, New Dal ‘Subyc:tddeonalformaton requred towards hosptlzaton of WARESH KUMAR KATARLA under Pre futhorzaton numbe:2022122800064 rropeser/ nsuree"s ame ano Karan Potcy Number oonosseas Patent Name nasesn xunar xaTaRia [ranch Provsional oagnoss) amet [Fever 7 bs pate ot admsson 1229/2022 12-0000 am lost of oscharae re authonzation Requested er, au Jetatonsip woh insured rather (cam Number p022122900068 rember 19 number liovovarooseo02055 ‘Wa ae in receipt af a aquest for pre-authorzatin forthe above mentionadhosptalzaton. On scrutiny ofthe requse, wth reference tothe {ems and condaons ofthe surance plan af that th flontng documents informanon ls necessary for further processing ofthe pe Suthorzaten request: Prtowed sino Requirements 4) status Wer 1 fend cont Exc iano sang wth Fan of management forthe present acmison} 9 | Net 2 Prospect past meta an sca sty the ments cn We request you to submit the above information bythe treating doctor on hospitals or doctors ltsrhea within 24 hours or before discharge ofthe patient whichever eaters that we may expedtousy easier the request for eashegs bana, ‘You ealy response wl help us extend this fact to eu Tasted For any futher assstance please fel re to wte to us on heathdamsuppertetatzagcom or cll us on our Tol ree number 18002567760 1071801229966 (For Semor Gans). Our eprsentaove il be 9340 Nap yoo. This is a computer generated latter and doesnot require signature.