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October 22, 2016


Annai Teresa Charitable Trust (Regn No: 332/12, Pan No: AADTA5861C) Ya Sai Building, Old No13, New No:15, 4th Cross Street East, st Floor, Shenoy Nagar, Chennai 600030 Date: 26.08.2016 WHOM Baby Yuvanesh yrs M)(ID.NO:105460). So Mr. Selvanathan. A Residing at No. 19s. Kannlyam Nagar, Cheyyar, vinuvannamalai, Tamilnadu, India. Was evaluated in Front er Lifeline Hospital and is diagnosed to have Moderate Sized Muscular VSD, LV Vol Overload. He is advised to undergo DEVICE CLOSURE The total expenditure for the above mention surgery in a General ward accommodation will be approximately as follows. IRs 62/000,00 (a) VSD Device Closure Charges (b) Cost of Device (approx) (e) Supplementary Charges (approx) Total Rs.125,500.00 SUPPLEMENTARY CHARGES DIFFERS FROM PATIENT TO PATIENT DEPENDING UPON THEIR CONDITION. THESE ALSO CONVERS ACKAGE EXPENSES LIKE BLOOD SCREENING & SEROLOGY CHARGES, MICROBIOLOGY TESTS, SPECIAL DRUGS, ADDITIONAL STAY IFREQUIRED, KIT BAG, DIETETC Payment should be made either by Cash/Demand Draft Cheque Bank Fund Transfer in Favour of Annai Teresa Charitable Trustr Payable a Chennai Bank Fund Transfer Details: state Bank of India, Aminjikarai Branch CodeCurrent Account No 32533562713. IFSC Code SBIN0003273. Annai Teresa Medical Aid Support Volunteer Team For ANNATERESACHARITABLE TRUST Founder


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