Address: Bhavnagar, Gujarat, 364290 | Website: WWW.MDINDIAONLINE.COM |
Policy. No. 120700/34/17/04/00000001
Ccn: mdi3435861 md. Id. No.: mdi5-[protected]
Patient name : madhuben n. Chauhan
Date of admission at hospital for colles fracture at jay orthopedic hospital - mahuva[protected]/07/2017 & discharged on 27/07/2017 i have lodged my claim with all the necessary original documents as well as x - ray plates on 29/07/2017 through proper channel i. E. My office l. I. C. Of india mahuva branch & l. I. C. Of india bhavnagar div. Office. Claim amount is rs. 15254.
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