ANNEXURE 1

CONFIDENTIAL

JIYO PARSI SCHEME- MEDICAL REIMBURSEMENT FOR FERTILITY TREATMENT-PAID (June 15- Oct 16) S.

No

Name of

Patient

Place to

which

patient

belongs

Annual

Family

Income

(In Rs.)

Name of treating

Doctor, Hospital and

Address of Hospital

Kind of

Treatment/

Cycles of

treatment

Total

Cost

(In Rs.)

Finan

cial

Assist

ance

to be

provi

ded

(As

per

Inco

me)

Total

Paid

(In

Rs.)

Cheque

No

Date wise

No. of

Cheque

Disbursed

Remarks

1 2 3 4 5 6 7 8 9 10 11 12

1

BND

Mumbai

6,59,119

Jaslok Hospital,

Mumbai

Diagnostic, IVF

, medicines

&Follow-up

75,849

100%

75849

4333101

Dt. 6.6.15

Vijaya

Bank N.

Delhi

1

Under

Treatment

2

AVL

Kolkatta

2,16,000

Nova Pulse IVF Clinic

Kolkata

Diagnostic, IVF,

medicine

&Follow-up

2,29,045

100%

229045

433106

Dt. 8.6.15

Vijaya

Bank N.

Delhi

3

Baby born

3

TKI

7,00,000

Isha Hospital,

Vadodara

Diagnostic, IVF

, medicines

&Follow up

1,06,212

100%

106212

433108 for

Rupees

1,28,071

Dt. 8.6.15

Vijaya

Bank N.

Delhi

4

Cryofreezing –

Embryo

Transfer

21,859

100%

21859

TKI

Mumbai

7,00,000

Isha Hospital

Vadodara

Diagnostics,

IVF, Blastocyst

Embryo

Transfer&

Cryopreservatio

n

1,14,253

100%

114253

433171 for

Rs.

1,85,461

Dt. 23.9.15

Vijaya

Bank N.

Delhi

25

Under

treatment

Thaw Embryo

Transfer and

Cryopreservatio

n, Sequential

Embryo

Transfer&

Cryopreservatio

n

71,208

100%

71208

TKI

7,00,000

Jaslok Hospital

,Mumbai

Diagnostics,

Medicine &

Follow up

119500

100%

119500

352492 Dt.

27.7.16

Vijaya

Bank N.

Delhi

75

4

PRM

Pune

5,62,822

Ruby Hall Clinic, Pune

Diagnostics,

IVF ,

Hospitalization,

medicines and

follow up

2,22,930

100%

222930

433121

Dt. 21.7.15

Vijaya

Bank N.

Delhi

5

Baby born

PRM

5,62,822

Ruby Hall Clinic

Pune

Diagnostics,

Hospitalisation,

medicines and

follow up

95,390

100%

95390

352458

Dt. 14.5.16

Vijaya

Bank N.

Delhi

68

PRM

5,62,822

Ruby Hall Clinic ,

Pune

Diagnostics,

IVF, medicines

and follow up

1,14,080

100%

114080

433196

Dt.

12.11.15

Vijaya

Bank N.

Delhi

29

5

KNK

Indore

4,65,430

CHL Hospitals,

Indore

Diagnostics,

IVF,

Medicines&

Follow up

1,69,684

100%

169684

433126 for

Rs.

2,22,948

Dt. 1.8.15

Vijaya

Bank N.

Delhi

6

Baby born

Diagnostics,

IVF,

Medicines&

Follow up

53,264

100%

53264

6

DKB

Mumbai

11,04,216

St Elizabeth’s Hospital,

Mumbai

Diagnostics, OS

Tightening

(Cerclage

Surgery),Hospit

alization,

medicines &

follow up

39,094

75%

29321

433127

Dt. 1.8.15

Vijaya

Bank N.

Delhi

7

Baby born

7

BAS

New Delhi

4,18,563

Jaslok Hospital

,Mumbai

Investigation,

Diagnostics &

Medicines

35,828

100%

35828

433128

Dt. 1.8.15

Vijaya

Bank N.

Delhi

8

Under

treatment

BAS

4,18,563

Jaslok Hospital and

Parsee General

Hospital ,Mumbai

Investigation,

Diagnostics &

Medicines

11,349

100%

11349

433256

Dt.

12.11.15

28

Vijaya

Bank N.

Delhi

8

TBL

Mumbai

9,40,000

Nadkarni’s 21st Century

Hospitals ,Surat

Diagnostics,

IVF, Medicines

& Follow-up

2,90,000

100%

290000

433130

Dt. 1.8.15

Vijaya

Bank N.

Delhi

9

Under

treatment

TBL

9,40,000

Nadkarni’s 21st Century

Hospitals ,Surat

Diagnostics,

IVF, Medicines

& Follow-up

2,65,000

100%

265000

restrict

ed as

per the

schem

e to

210000

433252

Dt.

16.11.15

Vijaya

Bank N.

Delhi

31

9

KPM

Mumbai

18,38,087

Jaslok Hospital,

Mumbai

Intrauterine,

medicines &

follow up

10,642

50%

5321

433131

Dt. 3.8.15

Vijaya

Bank N.

Delhi

10

Under

treatment

KPM

18,38,087

Dr. Gitika M. Masrani,

Mumbai

Diagnostics, 2

IUI cycles,

Diagnostic

Hysterolaprosco

py, medicines &

follow up

75,153

50%

37577

433267

Dt. 8.12.15

Vijaya

Bank N.

Delhi

39

KPM

18,38,087

Dr. Gitika M. Masrani,

Mumbai

Diagnostic,

Embryo

Freezing

medicines &

follow up

75550

50%

37775

433281

Dt. 15.1.16

Vijaya

Bank N.

Delhi

48

KPM

18,38,087

Dr. Gitika M. Masrani,

Mumbai

Diagnostic,

IVF,medicines

& follow up

76300

50%

38150

350252

Dt. 24.2.16

Vijaya

Bank N.

Delhi

56

10

RKD

Mumbai

7,96,549

Spandan Reproductive

Centre , Mumbai

Diagnostics,

IVF,

Polypectomy,

Hospitalization,

medicines and

follow up

80,109

100%

80109

433139

Dt. 17.8.15

Vijaya

Bank N.

Delhi

11

Under

treatment

RKD

7,96,549

Spandan Reproductive

Centre , Mumbai

Diagnostics,

IVF , medicines

and follow up –

Second cycle

74929

100%

74929

433286 for

Rs.

1,29,546

Dt. 15.1.16

Vijaya

Bank N.

Delhi

48

Diagnostic, IVF,

Endrometriv

Biopsy and

follow up- Third

Cycle

54617

100%

54617

11

MYT

Pune

7,91,283

Morpheus -Bliss

Fertility Centre Pune

Diagnostics,

IVF,

Hospitalisation,

Medicines &

follow up

1,95,647

100%

195647

433146

Dt. 19.8.15

Vijaya

Bank N.

Delhi

12

Baby born

MYT

7,91,283

Dr. Meenu Agarwal,

Pune

Diagnostics,

Medicines &

follow up

64,782

100%

64782

433172

Dt. 23.9.15

Vijaya

Bank N.

Delhi

27

MYT

7,91,283

Dr. Meenu Agarwal,

Pune

Diagnostics,

Medicines &

follow up

25885

100%

25885

350254

Dt. 24.2.16

Vijaya

Bank N.

Delhi

54

12

TVM

Surat

2,12,619

Blossom Fertility &

IVF Centre, Me &

Mummy Hospital &

IVF Centre, Surat

Diagnostics,

IVF,

Hospitalisation,

medicines

&Followup

1,60,934

100%

160934

433147

Dt. 19.8.15

Vijaya

Bank N.

Delhi

13

Baby born

TVM

2,12,619

Blossom Fertility &

IVF Centre, Me &

Mummy Hospital &

IVF Centre, Surat

Diagnostics,

IVF,

Hospitalisation ,

medicines &

Follow up

13,350.1

5

100%

13350

433276

Dt.

29.12.15

Vijaya

Bank N.

Delhi

42

13

MBS

Mumbai

15,58,140

Jaslok Hospital and

Jilla IVF Centre

Mumbai

Diagnostics,

One IUI, One

ICSI cycle,

Hospitalization,

medicines and

Follow-up

1,74,176

50%

87088

433150

Dt. 20.8.15

Vijaya

Bank N.

Delhi

14

Under

treatment

MBS

15,58,140

Jilla IVF Centre

Mumbai

Diagnostics,

IVF,

Hospitalization,

medicines and

Follow-up

228865

Allowed

out of

255905

50%

114433

433283

Dt. 15.1.16

Vijaya

Bank N.

Delhi

45

MBS

15,58,140

Art Clinic and Research

Centre, Mumbai

Diagnostics,

IUI, medicines

and Followup

36135

50%

18068

352459

Dt. 14.5.16

Vijaya

Bank N.

Delhi

69

MBS

15,58,140

Art Clinic and Research

Centre, Mumbai

Diagnostics,

IUI, medicines

and Followup

20784

50%

10392

352490

Dt. 27.7.16

Vijaya

Bank N.

Delhi

73

MBS

15,58,140

Kamla Polyclinic

Mumbai

Diagnostics,

ICSI,

Hospitalization

medicines and

Follow-up

257500

50%

128750

354066 Dt.

06.10.16

Vijaya

Bank N.

Delhi

96

14

SZI

Mumbai

7,75,972

Kamala Polyclinic &

Mumbai

Diagnostics,

IVF,

Hospitalization,

medicines

&Follow up

2,24,000

100%

224000

433149 for

Rs.

2,60,000

Dt. 20.8.15

Vijaya

Bank N.

Delhi

15

Under

treatment

Embryo

Cryofreezing

36,000

100%

36000

SZI

7,75,972

Kamala Polyclinic &

Mumbai

Diagnostics,

Hysteroscopy,

Embryo

Transfer,

Hospitalization,

medicines

&Follow up

1,06,462

100%

106462

433264

Dt. 8.12.15

Vijaya

Bank N.

Delhi

38

SZI

7,75,972

Kamala Polyclinic &

Mumbai

Diagnostics,

IVF,

Hospitalization ,

medicines &

Follow up

205000

100%

205000

only Rs.

133538

reimburs

ed to

make a

total of

433292 for

Rs.

1,33,538

Dt. 25.1.16

Vijaya

Bank N.

Delhi

52

Rs.

500000

15

DMM

Mumbai

14,33,692

Corion Fertility Clinic,

& Womens Hospital –

Mumbai

Diagnostics,

One IVF/ICSI

Cycle,

medicine &

follow up

1,33,603

75%

100202

433151

Dt. 24.8.15

Vijaya

Bank N.

Delhi

16

Under

treatment

DMM

14,33,692

Corion Fertility Clinic,

& Womens Hospital –

Mumbai

Diagnostics,

One IVF Cycle

(Frozen

Embryo

Transfer),

medicine &

follow up

61,391

75%

46043

433166

Dt. 23.9.15

Vijaya

Bank N.

Delhi

24

DMM

14,33,692

Corion Fertility Clinic,

& Womens Hospital –

Mumbai

Diagnostics,

IVF(Frozen

Embryo

Transfer and

Blastocyst

Culture),medic

ine & follow

up

90,902

75%

68177

433253

Dt. 5.12.15

Vijaya

Bank N.

Delhi

35

16

KSD

Pune

1,15,264

Morpheus Bliss

Fertility & Ruby Hall

Clinic - Pune

Diagnostic,

Oocyte

Retrieval&

Embryology

1,03,601

100%

103601

433157 for

Rs.

1,74,447

Dt. 8.9.15

Vijaya

Bank N.

Delhi

17

Diagnostics,

Hysteroscopy

&Hospitalizatio

n

70,846

100%

70846

KSD

2,89,484

Nova IVI Fertility,

Pune

Diagnostic,

Treatment,

Hospitalization,

Medicine &

Follow up

136701

100%

136701

354067 Dt.

06.10.16

Vijaya

Bank N.

Delhi

97

Under

treatment

KSD

2,89,484

Nova IVI Fertility,

Pune

Diagnostic,

Treatment,

Medicine &

Follow up

112285

100%

112285

354068 Dt.

06.10.16

Vijaya

Bank N.

Delhi

98

17

DMU

Mumbai

2,36,873

Jaslok Hospital

Mumbai

IVF, Medicines

& follow - up

72,194

100%

72194

433158

Dt. 9.9.15

Vijaya

Bank N.

Delhi

18

Two babies

(Had

Twins)

DMU

2,36,873

Jaslok Hospital

Mumbai

Diagnostics

Medicines &

follow – up

1,01,400

100%

101400

433277

Dt.

29.12.15

Vijaya

Bank N.

Delhi

43

DMU

2,36,873

Jaslok Hospital

Mumbai

Diagnostics,

IVF Medicines

& follow – up

166912

100%

166912

433291

Dt. 25.1.16

Vijaya

Bank N.

Delhi

50

MFK

3,50,000

Infertility Institute &

Research Centre

Secunderabad

Investigation for

ART,

Endometrial

Biopsy, TB

profile & NK

Cell

34,808

100%

34808

433160

Dt. 10.9.15

Vijaya

Bank N.

Delhi

19

18

MFK

Secunderabad

3,50,000

Infertility Institute &

Research Centre

Secunderabad

Investigation for

ART,

Endometrial

Biopsy, TB

profile & NK

Cell

6499

100%

6499

350260

Dt. 3.3.16

Vijaya

Bank N.

Delhi

57

Under

treatment

MFK

3,50,000

Infertility Institute &

Research Centre

Secunderabad

Investigation for

ART,

Endometrial

Biopsy, TB

profile & NK

Cell

8941

100%

8941

350278

Dt. 31.3.16

Vijaya

Bank N.

Delhi

59

MFK

3,50,000

Infertility Institute &

Research Centre

Secunderabad

Investigation,

Medicine &

Follow up

7496

100%

7496

352493 Dt.

27.7.16

Vijaya

Bank N.

Delhi

76

19

ZRC

Navsari

3,84,000

Nadkarni Hospital

Valsad

Diagnostics,

ICSI ,

Medicines &

Follow up

83,729

100%

83729

433159

Dt. 10.9.15

Vijaya

Bank N.

Delhi

20

Under

treatment

ZRC

3,84,000

Nadkarni Hospital

Valsad

Diagnostics,

ICSI ,

Medicines &

Follow up

30624

100%

30624

350277

Dt. 31.3.16

Vijaya

Bank N.

Delhi

60

FK

6,46,000

Kamala Polyclinic

Mumbai

IVF,

Hospitalization,

Medicines &

follow - up

2,29,140

100%

229140

433162

Dt. 12.9.15

Vijaya

Bank N.

Delhi

21

Under

treatment

20

FK

Mumbai

6,46,000

Kamala Polyclinic

Mumbai

IVF,

Hospitalisation,

Medicines &

follow - up

2,63,500

100%

263500

433174

Dt. 23.9.15

Vijaya

Bank N.

Delhi

26

21

NFS

Mumbai

9,06,096

Bhatia Hospital,

Mumbai

Investigation-

Hystero–

Salpingograph

y, Diagnostics,

Hospitalization

for

Hysteroscopy,

medicines &

follow up

81,983

100%

81983

433163

Dt. 23.9.15

Vijaya

Bank N.

Delhi

22

Expecting

(TWINS)

NFS

9,06,096

Bhatia Hospital,

Mumbai

Investigation,

ICSI,

Hospitalization

, medicines &

follow up

1,68,551

100%

168551

433263 for

Rs.

2,23,070

Dt. 7.12.15

Vijaya

Bank N.

Delhi

37

Embryo

Freezing,

medicines &

follow up

54,519

100%

54519

NFS

9,06,096

Bhatia Hospital,

Mumbai

Investigation,

Embryo

Thawing ,

medicines &

follow up

75501

100%

75501

433284

Dt. 15.1.16

Vijaya

Bank N.

Delhi

46

NFS

9,06,096

Kamala Polyclinic

Mumbai

Investigation,

ICSI,

Hospitalization

medicines &

follow up

232645

100%

232645

However

113199

Refunded

paid

352469

Dt. 4.6.16

Vijaya

Bank N.

Delhi

71

119446

22

ZSD

Mumbai

6,64,696

Jaslok Hospital,

Mumbai

Diagnostics,

IVF, medicines

& Follow-up

1,74,860

100%

174860

433164

Dt. 23.9.15

Vijaya

Bank N.

Delhi

23

Under

treatment

23

PCT

Navsari

35,000

Ramaben Hospital,

Navsari

Diagnostics,

IVF-ICSI,

medicines and

follow up

90,600

100%

90600

433251

Dt.

16.11.15

Vijaya

Bank N.

Delhi

30

Under

treatment

24

NMA

Mumbai

17,14,332

Jaslok Hospital,

Mumbai

Diagnostics,

IUI, medicines

& follow-up

65,909

50%

32955

433254 for

Rs. 91,847

Dt.

16.11.15

Vijaya

Bank N.

Delhi

32

Expecting

Diagnostics,

IVF,

Hospitalization,

Cryopreservatio

n, medicines &

follow-up

1,17,784 50% 58892

NMA

17,14,332

Jaslok Hospital,

Mumbai

Diagnostics,

IVF medicines

& follow up

69911

50%

34955

352491

Dt. 27.7.16

Vijaya

Bank N.

Delhi

74

NMA

17,14,332

Jaslok Hospital,

Mumbai

Diagnostic, IVF

&Follow-up

90,716

50%

45358

433102

Dt. 8.6.15

Vijaya

Bank N.

2

Delhi

25

TPA

Surat

3,52,656

Ramaben Hospital,

Navsari

Diagnostics,

IVF- ICSI-FET,

medicines and

follow up

1,41,500

100%

141500

433199

Dt.

23.11.15

Vijaya

Bank N.

Delhi

33

Under

treatment

26

VBB

Gujarat

3,85,000

Ramaben Hospital,

Navsari

Diagnostics,

IVF- ICSI,

medicines and

follow up

1,27,900

100%

127900

433200

Dt.

23.11.15

Vijaya

Bank N.

Delhi

34

Under

treatment

27

ZNP

Jamshedpur

4,03,012

Sunflower Women’s

Hospital Ahmedabad

1st IVF Cycle

1,24,500

100%

124500

433197 for

Rs.

3,61,595

Dt. 7.12.15

Vijaya

Bank N.

Delhi

36

Baby born

Diagnostics,

medicines &

follow up

95,095

100%

95095

2nd IVF Cycle

1,42,000

100%

142000

28

MKA

Pune

10,49,827

Cradle IVF- Gupte

Hospital, Pune

Diagnostics,

IUI, IVF

Procedure -

Ovum Pick up,

Embryo

Transfer,

Embryo

Freezing,

medicines and

follow-up

1,59,282

75%

119462

433195

Dt.

18.12.15

Vijaya

Bank N.

Delhi

40

Baby born

29

MAF

Mumbai

1,75,822

Jaslok Hospital

Mumbai

Medicines and

follow up

47,569

100%

47569

433198

Dt.

22.12.15

Vijaya

Bank N.

Delhi

41

Under

treatment

30

BSK

Mumbai

2,40,000

Jaslok Hospital,

Mumbai

Diagnostic, IVF

& Followup

1,55,550

100%

155550

433280

Dt. 5.1.16

Vijaya

Bank N.

Delhi

44

Under

treatment

31

MN

Mumbai

6,88,911

Kamala Polyclinic

and Parsee General

Hospital Mumbai

IVF,

Hospitalization

and follow-up

203649

100%

203649

433282 for

Rs.

3,03,802

Dt. 15.1.16

Vijaya

Bank N.

Delhi

49

Two Baby

born (Had

Twins)

IFV and follow-

up

100153 100% 100153

32

SCA

Mumbai

5,93,337

Jaslok Hospital

Mumbai

IVF, medicines

& Follow up

155260

100%

155260

433293

Dt. 25.1.16

Vijaya

Bank N.

Delhi

51

Under

treatment

33

MSM

Mumbai

14,07,774

Jaslok Hospital

Mumbai

Diagnostics,

IUI, medicines

12,565

75%

9424

350251 for

Rs.

1,57,947

Dt. 19.2.16

Vijaya

Bank N.

Delhi

53

Baby born

One IVF Cycle,

Diagnostics,

medicines &

follow up

71,423

75%

53567

Diagnostics,

Hospitalization,

medicines &

follow up

1,26,608

75%

94956

34

SRM

Mumbai

19,47,994

Jaslok Hospital,

Mumbai

Diagnostics,

Medicines &

follow up

2,21,285

50%

110642

350255

Dt. 24.2.16

Vijaya

Bank N.

Delhi

55

Baby born

35

MVH

Surat

3,65,290

Blossom Fertility &

IVF Centre, Surat

Diagnostics,

IVF, medicines

& follow up

(Three IVF)

165000

100%

165000

350268 for

Rs.

4,85,000

Dt. 22.3.16

Vijaya

Bank N.

Delhi

58

Expecting

165000

100%

165000

155000

100%

155000

36

CKD

Bangalore

18,49,471

Aspire Fertility Centre Bangalore

Diagnostics,

Treatment,

Medicines &

Follow up and

Hospitalization

74373

50%

37187

350291

Dt. 14.4.16

Vijaya

Bank N.

Delhi

61

Expecting

(TWINS)

CKD

18,49,471

Aspire Fertility Centre Bangalore

Diagnostics,

Treatment,

Medicines &

Follow up and

Hospitalization

190169

out of

217869

50%

95084

350298

Dt. 16.4.16

Vijaya

Bank N.

Delhi

67

CKD

18,49,471

Aspire Fertility Centre

Bangalore

Diagnostics,

Treatment,

Medicines &

Follow up

49148

50%

24574

352525 Dt.

26.8.16

Vijaya

Bank N.

Delhi

86

37

VBA

Mumbai

10,73,438

Jaslok Hospital,

Mumbai

Medicines &

Follow up

20000

75%

15000

350292

Dt. 16.4.16

Vijaya

Bank N.

Delhi

62

Baby born

38

RPM

Gujrat

100,000/-

Ramaben Hospital,

Navsari

Diagnostics,

Treatment,

Medicines &

Follow up

99700

100%

99700

350293

Dt. 16.4.16

Vijaya

Bank N.

Delhi

63

Baby born

39

FMA

Mumbai

8,47,815/-

Soonawala Clinic

Mumbai

Diagnostics,

Treatment

Medicines &

Follow up

95332

out of

104642

100%

95332

350294

Dt. 16.4.16

Vijaya

Bank N.

Delhi

64

Under

treatment

FMA

8,47,815/-

Kamala Polyclinic

Mumbai

Diagnostics,

Hospitalization,

ICSI, Medicines

& Follow up

240000

100%

240000

352489

Dt. 27.7.16

Vijaya

Bank N.

Delhi

72

PAT

5,92,975/-

Dr. Nitin M. Naverkar,

Mumbai

Diagnostics,

Medicines &

Follow up

20794

100%

20794

350295

Dt. 16.4.16

Vijaya

Bank N.

Delhi

65

40

PAT

Mumbai

5,92,975/-

Dr. Nitin M. Naverkar,

Mumbai

Diagnostics,

Medicines &

Follow up

10669

100%

10669

352496 Dt.

29.7.16

Vijaya

Bank N.

Delhi

79

Under

treatment

PAT

5,92,975/-

Kamala

PolyclinicMumbai-

Investigation,

Treatment,

Hospitalization

Medicines &

Follow up

246790

100%

240000

352521 Dt.

12.8.16

Vijaya

Bank N.

Delhi

84

41

FKD

Mumbai

8,07,896/-

Jaslok Hospital

Mumbai

Diagnostics,

Hospitalization,

Medicines &

Follow up

169793

100%

169793

350296

Dt. 16.4.16

Vijaya

Bank N.

Delhi

66

Under

treatment

42

DBM

Mumbai

7,54,803

Lilavati Hospital and

research Centre

Mumbai

Consultation

and

Investigation

18920

100%

18920

352494

Dt. 27.7.16

Vijaya

Bank N.

Delhi

77

Under

treatment

43

SZP

Pune

5,22,480

Ruby Hall Clinic, Pune

and Jaslok Hospital

Mumbai

Diagnostics,

Biopsy,

Medicines &

follow up

138035

100%

138035

352460

Dt. 14.5.16

Vijaya

Bank N.

Delhi

70

Under

treatment

44

CS

Mumbai

5,8,883/-

Ramaben Hospital,

Navsari

Investigation,

Diagnostics,

Treatment

Medicine &

Follow up

103300

100%

103300

352495

Dt. 27.7.16

Vijaya

Bank N.

Delhi

78

Expecting

CS

5,8,883/-

Ramaben Hospital,

Navsar

Treatment,

Medicine &

Follow up

127100

100%

127100

352520 Dt.

12.8.16

Vijaya

Bank N.

Delhi

83

45

ABI

Mumbai

5,22,094

Jaslok Hospital,

Mumbai

Medicine, IVF

& Followup

141238

100%

141238

352509 Dt.

6.8.16

Vijaya

Bank N.

Delhi

80

Under

treatment

46

DKB

Navsari

02,12,400

Ramaben Hospital

Navsari

Investigation,

Treatment

medicines &

follow up

80445

100%

80445

352510

Dt. 6.8.16

Vijaya

Bank N.

Delhi

81

Expecting

47

ANB

Mahim,

Mumbai –

4000 16

13,72,453

Jaslok Hospital

Mumbai

Investigation,

ICSI,

Hospitalization

medicines &

follow up

194819

75%

146114

352511

Dt. 6.8.16

Vijaya

Bank N.

Delhi

82

Baby born

48

DBD

Mumbai

5,00,000

Dr. Daru Shah

Mumbai

Diagnostic,

Treatment,

Medicine &

Follow up

65781

100%

65781

352522 Dt.

12.8.16

Vijaya

Bank N.

Delhi

85

Under

treatment

49

SBI

Mumbai

7,65,600

Jaslok Hospital,

Mumbai

Investigation,

Treatment,

Medicine &

Follow up

65918

100%

65918

352527 Dt.

26.8.16

Vijaya

Bank N.

Delhi

87

Under

treatment

50

FBM

Mumbai

7,22,540

Aviva Fertility Clinic

for Women

Mumbai

Investigation,

Treatment,

Hospitalization

Medicine &

Follow up

132984

100%

132984

352528 Dt.

26.8.16

Vijaya

Bank N.

Delhi

88

Under

Treatment

51

AAA

Vadodara

13,52,468

Adarsh Hospital,

Baroda

Diagnostic,

Mecication&

follow up

32350

75%

24265

352526 Dt.

26.8.16

Vijaya

Bank N.

Delhi

89

Under

Treatment

52

KPB

Mumbai

19,00,000

R.K. Bhatena- Bombay

Diagnostics, &

Follow up

8700

50%

4350

352524 Dt.

26.8.16

Vijaya

Bank N.

Delhi

90

Expecting

53

BSDP

Mumbai

1267795

Jaslok Hospital,

Mumbai

Investigation,

Treatment,

Medicine &

Follow up

166460

75%

124845

352535 Dt.

10.9.16

Vijaya

Bank N.

Delhi

91

Under

Treatment BSDP

1267795

Jaslok Hospital,

Mumbai

Investigation,

Treatment,

Medicine &

Follow up

170609

75%

127957

352536 Dt.

10.9.16

Vijaya

Bank N.

Delhi

92

54

DKA

Nashik

1,80,000

Dr. Paprikar Hospital,

Nashik Road

Diagnostics,

Hospitalization,

medicines and

Follow-up

65332

100%

65332

354063 Dt.

06.10.16

Vijaya

Bank N.

Delhi

93

Under

Treatment

55

MSB

Gujarat

5,47,093

Blossom IVF Centre,

Surat

Diagnostics,

Treatment,

medicines and

Follow-up

150000

100%

150000

354064 Dt.

06.10.16

Vijaya

Bank N.

Delhi

94

Expecting

56

RYK

Navsari

300,000

Anand Hospital,

Navsari

Diagnostics,

Treatment,

Hospitalization,

medicines and

Follow-up

53649

100%

53649

354065 Dt.

06.10.16

Vijaya

Bank N.

Delhi

95

Under

Treatment

TOTAL Expenditure on Medical Reimbursement

From 6 June 2015 to 6 Oct. 2016

Rs.1,09,82,890

(One Crore Nine Lakh Eighty Two Thousand Eight Hundred and

Ninety)

n