16th December 2016

To
The Medical Officer
FHPL.

Dear Sir

Sub: Mrs.V. Jothimani Query reply reg.

Ref: Uhid No: UIIC.14336366
PA.No. : 647170/1

Diagnosis: Open Grade II both bone fracture (Rt)leg

Procedure: Wound debridement, open reduction and internal

Fixation with intramedullary interlocking nailing
(Rt)tibia

Date of admission: 15.12.2016

Stay in hospital : 4 to 5 days
Surgery package : Rs.73000/-

History : H/o drainage slab fall over her right leg at home
 On 15.12.2016 and sustained injury to( Rt)leg
X-ray : Flim attached
Please sent approval at the earliest.

Thanking you

For Richmond Hospital

Authorized signatory
22.12.2016

ANNEXTURE

Name of the Patient : Mr. JEGAN KUMAR.M

Age /Sex : 24 / male

Id. No : 2016/2698

CCN. NO : 13684470

Date of Admission : 12.12.2016

Date of Discharge : 14.12.2016

ENCLOSED:

SL.N Particula Enclosed

O
01 Pre auth request Yes
02 Final bill 28,176
03 Discharge summary Yes
04 Radiology Report Yes
05 Lab break up Yes
06 Pharmacy Breakup Yes
07 Copy of the Approval Yes
Total 28,176

RADIOLOGY REPORT

Name of the Patient : Mrs. AMSABHAKIYAM . K

Age /Sex : 54 / Female

Id. No : 2016/2616

IP. NO : 2016/763

Date of Admission : 30.11.2016

x.RAY : (Lt) wrist AP/Lat.

x.ray findings : Distal end radius fracture {lt} wrist

Thanking you

For Richmond hospital

Dear Sir,

Customer Name: Richmond Hospitals P Ltd

Reg No: TN66J4825

Vehicle Model: MARUTI SUZUKI INDIA LTD - MARUTI OMNI AMB

Loan Agreement No: CF 9385885

This is to bring to your notice that the noc of the above mentioned customer was issued
by us as on 30-Nov-2016

However if you still have query please free to mail us on service.carfinance@kotak.com

or call us on 1800 209 5732 and we would be happy to assist you. Assuring you of our
best services at all times.

Regards

Umamaheswari N.R

Customer Service
 Staffs OT list November 2016

Name Salary No of days Amount Signature

No
M.Vinoth kannan 22000 4 2933
01
02 K.Vairajothi 19800 6 3960

03 M.Sangeetha 11400 3 1140

04 B.Shanthi 8000 1.5 400

05 S.Sheeba 9850 1 328

06 M.Radha 5900 1 196

07 T.Daisy rani 5500 1 183

08 N.Parameshwari 5500 2 367

09 V.Iswarya 5500 1 183

10 R.Ramya 7000 1 233

11 M.Veeramuthu 9000 10 3000

12 W.Justin 11750 1 391

2500
13 P.Sakthivel 19000 1 633

14 K.Rajalakshmi 12000 1 400

15 R.Shanthi 7000 1.5 350

16 G.Pandi durai 9500 2 633

17 R.Pasupathi 14000 1 466

18 D.Bharathi rajan 12000 4 1600

19 N.Subramani 12000 2.5 1000

100
20 G.Kumaresan 9075 3 908

21 S.Kulandhaisamy 8000 5 1333

22 R Lakshmi 8168 2 544

23 P.Vijaya 7865 2.5 655

24 K.Savithri 7260 1 242

25 M.Jayakumar 8712 1 290

26 N.Sasikala 6875 4 916

27 K.T.Subramani 7865 5 1310

28 M.Susila 14465 2.5 1205

29 M.Arun prakash 8500 3.5 991

30 M.Bragathambal 6875 3.5 802

31 M.Seenu 9000 5 1500

32 S.Suganya 10500 2 700

33 U.Bharathi 6350 1 211

34 R.Divya 6350 5.5 1164

35 C.Suganya 7000 2.5 583

36 P.Vineesh nair 12000 3 1200

TOTAL 35,550

OT DEPT
 Name Per day No of days Amount Signature
No Amoun
t

01 SUGANYA.S 30+100 {5/11} 130

1&HIV
02 ARUN PRAKASH 30+100 {9/11} 130
1&HIV
03 SEENU 30+150 {9/11} 180
1&HIV
04 BRAGADHAMBAL 150 HIV 150

05 SUSEELA 100 HIV 100

06 DIVIYA 100 HIV 100

07 NEELAVANI 100 HIV 100

TOTAL 890

27.12.2016

To

Medi Assist Insurance TPA Private Limited

Bangalore-560 078

Sub: Balance confirmation no due certificate as on 31.3.2016

Dear sir,

This is to confirm that there is no due from Medi Assist Insurance TPA
Private Limited, Bangalore, HO as on 31.3.2016. All the bills raised for the
period up to 31.3.2016 has been cleared by Medi Assist Insurance TPA
Private Limited
For Richmond hospital

Authorized signatory

Place: coimbatore

Date: 27.12.2016