Department of Empowerment of Persons with Disabilities,

Ministry of Social Justice and Empowerment, Government of India

Acknowledgement / Resident Copy
Enrolment No : 10100000022052636414 Date : 25/06/2024

Name, Address and other details Name, Address and other details
Noor Ul Islam ( Male ) नूर उल इलाम ( Male )

Village Bujurg Bajedpur Post Teghra Thana Azamnagar

Date of Birth : 12/12/1993 Mobile : 7836987618

Email : LEGALPAPER357@GMAIL.COM

Address Proof Document : Aadhaar card

ID Proof Document : Aadhaar Card

Hospital Name Hospital Address

Primary Health Center, Azamnagar, Katihar Azamnagar(Katihar), Bihar, Katihar

This is computer generated receipt and does not require any signature.