United India Insurance Company [UIIC] — affidavit

Address:

Kolkata, West Bengal

Dear sir,
This is to inform you that i have lodged a claim for medical insurance for reimbursement of rs. 1, 34, 000 (Rupees one lakh thirty four thousand only) for my father's (Phsid ul how[protected] treatment where one original bill for rs.74000 (Rupees seventy four thousand only) vide bill no. Pr/17/140636 dated 21.12.2017 had been misplaced by me. Nursing home has already been issued a duplicate bill and i have given an affidavit duly notified by the advocate for the authentication as advised by tpa... I was the ex-employee of tata metaliks limited and also look after the insurance part... It was my gross mistake.. Actually i was so depressed at that time and misplaced the original bill.
My humble request to you to consider the same as a first time case...
Regards
Ansuman roy