Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance...
Transcript of Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance...
![Page 1: Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance Company Limited ... 7.Birth Certificate for maternity cases where ... Completely](https://reader031.fdocuments.net/reader031/viewer/2022030419/5aa6033f7f8b9a517d8dfe08/html5/thumbnails/1.jpg)
SHAHEEN INSURANCE COMPANY LIMITED Joint Venture Of Shaheen Foundation-PAF and First Capital Securities Corporation Ltd
H.No.46,Khayaban-e-Suharwardy, Islamabad P.O Box No: 44000
UAN: (051) 111-765-111 Fax.No: (051) 2829515
Sample of filling Shaheen Insurance Company Limited
IPD FORM
Note: All character names used are fictitious and have no relation to any individual living or dead. Furthermore, company, hospital, chemist reference used is only for explanation purposes and does not in any way provide replacement or is a substitute to the original documentation provided by the above
Designed by: Dr.Shaan Khan(CMO) SICL-Islamabad
![Page 2: Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance Company Limited ... 7.Birth Certificate for maternity cases where ... Completely](https://reader031.fdocuments.net/reader031/viewer/2022030419/5aa6033f7f8b9a517d8dfe08/html5/thumbnails/2.jpg)
IPD FORM (FRONT)
![Page 3: Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance Company Limited ... 7.Birth Certificate for maternity cases where ... Completely](https://reader031.fdocuments.net/reader031/viewer/2022030419/5aa6033f7f8b9a517d8dfe08/html5/thumbnails/3.jpg)
IPD FORM (BACK)
![Page 4: Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance Company Limited ... 7.Birth Certificate for maternity cases where ... Completely](https://reader031.fdocuments.net/reader031/viewer/2022030419/5aa6033f7f8b9a517d8dfe08/html5/thumbnails/4.jpg)
HOSPITAL CHARGES/BILL/RECEIPT
![Page 5: Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance Company Limited ... 7.Birth Certificate for maternity cases where ... Completely](https://reader031.fdocuments.net/reader031/viewer/2022030419/5aa6033f7f8b9a517d8dfe08/html5/thumbnails/5.jpg)
DISCHARGE SUMMARY/CERTIFICATE (PAGE1)
![Page 6: Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance Company Limited ... 7.Birth Certificate for maternity cases where ... Completely](https://reader031.fdocuments.net/reader031/viewer/2022030419/5aa6033f7f8b9a517d8dfe08/html5/thumbnails/6.jpg)
DISCHARGE SUMMARY/CERTIFICATE (PAGE 2)
![Page 7: Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance Company Limited ... 7.Birth Certificate for maternity cases where ... Completely](https://reader031.fdocuments.net/reader031/viewer/2022030419/5aa6033f7f8b9a517d8dfe08/html5/thumbnails/7.jpg)
LABORATORY REPORT
![Page 8: Sample of filling Shaheen Insurance Company Limited …Sample).pdf · I authorize Shaheen Insurance Company Limited ... 7.Birth Certificate for maternity cases where ... Completely](https://reader031.fdocuments.net/reader031/viewer/2022030419/5aa6033f7f8b9a517d8dfe08/html5/thumbnails/8.jpg)
CHEMIST/MEDICINE CHARGES RECEIPT