NAME: G.

Sanjay Gandhi DATE OF ADMISSION: 08/03/2012

SEX: MALE DATE OF DISCHARGE: 12/03/2012 In-Patient ID: A-2427 ADDRESS: S/o G.Sanjeeva Rayudu, Upparapalli (V), Bathalapalli (M), Anantapur (DIST).

AGE: 33Yrs

Medicines Bill: S.No. Cash Bill No. 1 2 3 4 5 6 7 8 9 10 3504 3505 3506 3517 3529 3538 3547 3553 3563 3571 Date 8-3-12 8-3-12 8-3-12 8-3-12 8-3-12 9-3-12 10-3-12 11-3-12 12-3-12 12-3-12 Amount in Rs. 1713 3332 1859 537 949 1589 1426 961 682 827

TOTAL RS. 13,875/Laboratory Investigations Bill: S.No. Cash Bill No. 1 2 3 4 8260 8233 8251 363 Date 8-3-12 8-3-12 8-3-12 8-3-12 Amount in Rs. 240 1150 200 700

TOTAL RS.

2,290/-

Doctors Signature

Hospitalization Bill: S.No. Bill No. 1 197 Date 12-3-12 Amount in Rs. 22,500

ABSTRACT OF HOSPITALIZATION BILL

S.No. Description 1 Hospital In-Patient Bill 2 Medicines Bill 3 Lab Investigations Bill FINAL AMOUNT Amount in Rs.

22,500 13,875 2,290

Rs. 38,665 /(Rs. Thirty Eight Thousand Six Hundred and Sixty Five Only)

Note: *Original Bills are enclosed for your ready reference.

Doctors Signature

Wed, Aug 10, 2011 at 3:29 PM

Provider
<provider@emeditek.com> To: suchismita.das@emeditek.com
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Dear Concern, We are pleased to inform you that your hospital has been registered in our Network w.e.f.10/08/2011 the profile of your hospital can be seen on our website (www.emeditek.com). Please find attached Pre-authorization request form. Please FAX Cashless request form and other documents at EMSL Fax Nos. 01244555071-72-73 For any query regarding cashless authorizations: TEL: 0124-4555030, 4555031 and 4555032. For any query please feel free to contact us (NSP Department). Wishing you all the best and looking forward to a long lasting and mutually beneficial relationship.
Warm Regards, Amit Singh Networking & Corporate Relations (NSP) E-Meditek (TPA) Services Limited Plot no 577 Udhyog Vihar Phase 5 , Gurgaon, Haryana, India Tell - 0124-4466644| www.emeditek.com

Avanthi k
<avanthik@mediassistindia.com> To: ysrhospitals@gmail.com Cc: vaninathreddy@gmail.com
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Thu, May 24, 2012 at 1:09 PM

Dear Sir/Madam , Greetings from MediAssist! We are happy to announce you that your Hospital is now empanelled with Mediassist India Tpa Pvt Ltd and your Hospital ID [HID]109449 Dr YSR Memorial Hospital you can now provide cashless facility to Mediassist card holders ... We request you to acknowledge the receipt of the communication Thanks & Regards, Avanthi K, Provider Management Team, Medi Assist India TPA Pvt Ltd, Ph No: 040-30916824/25, Pre-auth Fax No`s: 1800-102-5254 ,1800-425-9559,08049313636 [5 lines] , 02266466861 Working Hours :9:30 to 6:00 Weekends : 9:30 to 1:30

Laparoscopy Surgery PackagesIndian Rupees Laparoscopy- Alphabetical Gynaecology: (1-3 days Stay) Tubectomy DiagnosticLap for Infertility Ovarian Cysts--PCOD Drilling Ovarian Cyst Ectopic Pregnancy Myomectomy Hysterectomy with Bipolar instrument Hysterectomy with Ligasure instrument General Surgery: (1-3 days Stay) Biopsy--AbdomenLaparoscopy Diagnostic Laparoscopy Adhesiolysis Appendix GallStone(LapCholecystectomy) Varicocele Liver Cyst (Simple) Mesenteric Cyst Peritonitis(Bowel Perforation) Hernia: Groin--Incisional 6,000 6,000 12,000 12,000 12,000 12,000 12,000 12,000 15,000 18,000 8,000 8,000 15,000 15,000 15,000 15,000 15,000 15,000 18,000 21,000 10,000 10,000 18,000 18,000 18,000 18,000 18,000 18,000 21,000 24,000
Sharing Ward Non-AC

AC INR 10,000 10,000 10,000 18,000 18,000 18,000 18,000 23,000

INR 6,000 6,000 6,000 12,000 12,000 12,000 12,000 17,000

INR 8,000 8,000 8,000 15,000 15,000 15,000 15,000 20,000

Open Surgery PackagesIndian Rupees Category Minor - Open (1 day Stay) Ultra minor: Small Suturing 5,00 5,00 1,000 2,500 2,500 4,500

Major Suturing - Local Anaesthesia SebaceousCyst, Small Lump/Lipoma LymphNodeBiopsy,-LocalAnaes Vasectomy LymphNodeBiopsy,-Gen,Anaes Tubectomy Category 1 (C1) - Open (1-3 days Stay) Hydrocele, Varicocele Piles, FissureAno, FistulaAno, BenignBreastLump, Appendix via McBurney Incision GallBladderStones, Hernia-Groin EctopicPregnancy, OvarianCyst,Hysterectomy,Caeser Category 2 (C2) - Open (4-7 days Stay) Hernia-Ventral/Incisional Thyroid, Breast, PancreasCyst, Laparotomy--Appendix, Empyema Gall Bladder Peritonitis, Intestinal Obstruction, 12,000 12,000 12,000 12,000 12,000 6,000 6,000 6,000 6,000 8,000 8,000 8,000

8,000 8,000 8,000 8,000 11,000 11,000 11,000

10,000 10,000 10,000 10,000 14,000 14,000 14,000

15,000 15,000 15,000 15,000 15,000

18,000 18,000 18,000 18,000 18,000