Address: | 5 B/2 JAGANNATH GHOSH ROAD. KOLKATA-700042, Kolkata, West Bengal, 700042 |
With reference to the above, i wish to intimate that, i am going to undergo phaco surgery (Right eye) on 12.09.2019 as details below:
1) name : bikash pal
2) policy no : 0105002019484100000204809. Valid upto 31/01/2020. Sa-rs100000 (Arogya raksha policy o[censored]iico)
3) date of admission :12/09/2019
4) disease : cataract
5) name of hospital/phone no: b b eye foundation. (Phone no:[protected]/6608,[protected], cell - [protected]/[protected]. Email id: [protected]@gmail.com)
6) my mobile no: [protected]
7) my address: 5 b/2 jagannath ghosh road. Po: kasba. Kolkata-700042
Please take note of the intimation and acknowledge the same.
I shall submit the claim for the residual amount after settlement of the another policy with necessary documents after discharge in due course.
Kindly send me the necessary claim form.
Regards
Bikash pal Was this information helpful? |
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