Application for medical bill

 

To,

xxxxxxx

xxxxxxxxxxxx

                                                                                                        Date:- xx/xx/xxxx

 

Through xxxxxxxxxxxxxxxxxxxxxxx

 

 

 

Respected Sir,

I have submitted medical bill of my and my xxxxx as detail under below:-

 

Date

Bill No

Medical Shop

Amount




   

 

 

Thanking You,

 

 

                                                                              Yours Faithfully

 

 

                                                                             

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