Kokilaben Hospital — PA Case - Discharge date 20 Oct 2016 Patient ID: KH[protected] Shyamprakash Agrawal

Address:	Mumbai City, Maharashtra
Website:	www.kokilabenhospital.com/contacts/index.html

I have sent following mail on 24 Jan 2017 for security deposit refund.

Dear Sir,

I was admitted to Kokilaben hospital for bilateral TKR and discharged on 20 Oct 2016. My details are as below:

Patient ID: KH[protected]
Name: Shyamprakash Kalyanprasad Agrawal
Case: TPA

I have to get refund of Rupees 34999.54. At the time of discharge we have given understating that this deposit amount would be refunded within 2 months without any activity from my side but even after 3 months it is not yet refunded, neither there is any communication from KH in this regard ([protected]@gmail.com).

Request to arrange refund of deposit amount by NEFT RTGS (scanned copy of cheque of my account is attached), below are my account details:

Name: Shyamprakash Kalyanprasad Agrawal
Bank: IDBI Bank, CBD Belapur Branch
A/C No.: [protected]
IFSC Code: IBKL0000183

In the worst case scenario, if hospital rules do not permit direct transfer to the Bank account, please send cheque / pay order at my office address:

Shyamprakash Agrawal
Plot No. 39-41, Sector 11,
CBD Belapur,
Navi Mumbai 400614