Online Payment Receipt

RVG01 - 2023197488

Bank Code : 102190

Date : 06/09/2023 AED 939.75

Transaction No : MED/2023/197919-06092023152845

Received from MS. MEHWISH IFRAHIM MUHAMMAD IFRAHIM

Sum of AED NINE HUNDRED THIRTY-NINE AND SEVENTY-FIVE FILS ONLY

By Card xxxxxxxxxxxx5864 against P/40/1305/2023/1863

Towards Medical Insurance-PREMIUM, -Ref #Pol No :P/40/1305/2023/1863, Name : MS. MEHWISH

IFRAHIM MUHAMMAD IFRAHIM (Insured :MUHAMMAD YAHYA SAHI MEHTAB SALEEM
SAHI )

ORIENT INSURANCE PJSC

*This receipt is electronically generated and does not require any signature