STATE LIFE INSURANCE CORPORATION OF PAKISTAN
Health & Accidental Insurance Division
*29896922*
GOVERNMENT SHAHBAZ SHARIF DHQ
HOSPITAL, MULTAN
Chowk Fawara, Abdali Road, Multan , Multan TREATMENT SHEET
Head of Family Name: ﻣﺤﻤﺪ ﺍﻣﺖیﺍﺯ ﺍﻟﺤﻖ Visit#: 29896922
CNIC#: 3630203574137 Visit Date: 03-APR-2025
Program: SSP4 UHI District: Multan
Patient Information:
Patient CNIC# Contact# Relation Gender Marital Status
ﻣﺤﻤﺪ ﺍﻣﺖیﺍﺯ ﺍﻟﺤﻖ 3630203574137 Head MALE EVER MARRIED
Treatment/Procedure Information:
Treatment/Procedure Package Cost Waived By Treatment
Rate Hospital Amount
MUA Manipulation Under (General) Anesthesia 15,000 15,000 0 15,000
Total: 15,000 0 15,000
DESCRIPTION PLAN_LIMIT COVER TYPE MAX EPISODES STARTING BALANCE CLAIM END BALANCE
Priority Cover Punjab P4 400,000 FAMILY 385,000 15,000 370,000
Admission Information:
Admission# Hospital MR Adm Date Attendant Mobile# Relation
15686084 163010 03-APR-2025 09:04 imtiaz 03007332272 null
Patient History (Last Five Visits):
Visit# Hospital Admission Date Coverage Treatment Claim Amount
29347559 DHQ HOSPITAL, MULTAN 25-FEB-2025 MUA Manipulation Under 15,000
(General) Anesthesia
Other Family Members History (Last Five Visits):
Visit# Hospital Admission Date Coverage Treatment Claim Amount
Priority Cover Punjab P4
____________________________________________________________________________________________________________
Sheet Generated by User-ID: JUNAIDHFMLT On Date: 2025-04-03T04:31:02.769+00:00
