Gopalan

Patient Name: Gopalan
Age/Sex: 35 Years, Male
Address: Athinilam Colony (H)
Meenangadi P.O. Wayanad, Kerala

Department: Radiation Oncology
Surgery/Procedure: Radiation Treatment
Date of Admission/Discharge: 22/06/15-23/06/15          

We are obliged to AMMA for rendering Rs 82,000/- for the treatment.
With Regards,
Gopalan and Family