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Credit Letter # 000000000108242/0000118/03

Issued On :August 30, 2024. 10:26 PM


Valid Upto : September 29, 2024
To, Reg.# 1879584 Claim# 41
The Administrator, Hospital Reference No:
THE AGA KHAN UNIVERSITY HOSPITAL
CORPORATE OFFICE,PBSD,THE AGA KHAN UNIVERSITY
HOSPITAL
KARACHI
Karachi

Dear Sir(s),

Please find below the details of patient who is insured with us and is admitted in your hospital. Please make sure the identity of this patient by checking
CNIC. In Case of admission of a child, please verify the date of birth which is printed on our Health Card.

Company Name : OLP FINANCIAL SERVICES PAKISTAN LTD


Name of Insured : ADNAN ISHAQ(0000118)
Name of Patient : ABRISH ADNAN
Relation : Daughter Age : 9 Year(s) Employeer Code: 903 NIC #

BENEFIT COVERED BY THE POLICY BENEFIT NOT COVERED BY THE POLICY


* Out Patient Treatment
FOR CURRENT HOSPITALIZATION * Charges for meals (unless included in the room charges),
Previously Approved Amount: 0/- phone, laundry and similar services.
Approved Enhancement: 340,000/- * Mental Illness due to any cause/drug addiction.
Total Approved Amount: 340,000/- * Eye glasses, contact lenses, hearing aids & dentures.
* Dental examination, extraction & filling.
* Cosmetic surgery.
* General checkups, rest cures and workups unless instructed
ROOM & BOARD
otherwise in writing.
Maximum Room Limit is 55,960/- * Congenital ailments unless instructed otherwise in writing.
* Infertility treatment and contraceptive measures.
( if patient stays above his/her entitled room & board then all the
* In case of Cataract surgeries, any lens other than regular foldable
differences should be taken from patient.)
IOL under local anesthesia is not covered.

AILMENT FOR WHICH THIS LETTER HAS BEEN EXTENDED:


Fever| unspecified

PROCEDURE FOR WHICH THIS LETTER HAS BEEN EXTENDED:


Conservative Management
Note: APPROVED AS PER AGREED RATES FOR FOREIGEN BODY REMOVAL
Kindly contact Jubilee Health Insurance, in case the bill exceeds the above mentioned "Current Hospitalization"
approved limits
NOTES FOR THE PREFERRED PROVIDER NETWORK OF JHI
1) This letter is valid only for HOSPITALIZATION & DAY CARE SURGERY, if recommended by the attending Physician. Unnecessary
hospitalization, Outpatient and other treatment(s) are not approved by JHI and are not allowed through this letter.
2) The Preferred Provider (Hospital) may entertain the photocopy of this letter duly attested by the employer. However, the Hospital have the right
to call for the original in case of any doubt. Hospital should obtain JHI's Identification Card/Photo/National Identity Card for Identification of the
patient.
3) The Preferred Provider (Hospital) is requested to forward their bills with all supporting documents including Photo/I.D. Card identification along
with this credit letter, for prompt settlement.
4) Preferred Provider (Hospital) is requested to provide the BENEFIT COVERED only to the insured mentioned above during the validity of this
letter (See top right).
5) Preferred Provider (Hospital) is requested to inform JHI on 24/7 UAN # (021) 111-111-544, Fax # (021) 35611349 and
Email:[email protected].

Please note that this is a system generated letter and requires no signature.

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