Approval of Medical Bills

lrfl{ii
(63e4)
6/6-finr r(6) i':fr(z)
6rd, rrir.i.rlr raro : 29-or-2oLs
H
i
tr**c
lr€3x gs-fr facx z.r ( 1 ),rr3 Ftrd-d qB Fir-m] J frrfr iet {i
uerfui' 4rf6 fa,|r6 affire"fiz*crgfr s.ie-fi trd+ s t[s !&-g 6m ffaEt-fi b' fu'fi',d res' }rrqtd
rffiq
futtB€tAt+eErfuxsa'tr
Fl{, t Efgr
iIETH
to', lca.: !:2,L6,983/ed-sd.d Uir€, (+ff i si{ fu'
(,?l,o * f sd'n
s.*xr"rFsrt
4'rS
EAfi
ffig.anr
*orod
agfars.
frrrsEAF
tre
+d'
fw*e'xnt
24-O4-r4
01-05-14
J
*
#uxrrgs,
*fusrar
_dtF)
Fdgi:-
1.
fu feF ilBr{ el €iffi,gfss-s" rrri FrFf3r
rynre1
z.
3.
4.
s.
afure-cs 2.
Egq-J
hq'fuFa'l arcro tfr.fu.)
riqdS{d-r$l
il&Hffi u€+/n-d-d-fi mlriirrdu'F d$Haitdts'fuprrri.el
ftT EqBz ila S rrrsdter a fu fu frdErfi d aax g eg xd Er6 fti?; qEs dt3r H€Er
fuE rre Drf6 d,ffi Srstq 6'-- d gea ke s'fuffite it qq-e'FrHr aq feCt io i
Frl-f,{ ilil& ra grrdtq dr<.edr F d fsdt frH i'#
fw tree' *c' )ie'zz :s -Frs rfc _ffi a€ #arc-oz-Frs #ry-o-zoo aruo fr'Fu feru'rr
dfexrarla atqxtjfso z tarars-oq-diursosira ara Hco tirqrrHea 3r irr, rra,
rh*q #ra irsrre* H xs zorq- rs Fa.s 3fua i'*mr
fu
I
r
,4
ss$dfrur
s'fui*ao frifir+r kgrd(i:fr ) rhrrs I
fir3|,,ir.B'.*r a-oru,- -o / t I z" tf
tu6)rf{d?': gw llJ /-YO
gs-d' i-6 ffi{r{r $ ges.3 C-ar a.u='s 6d efar{r frier A :ro€vra-o, frew, €Saqt
firs'fuTJrr{' arerc (i.fx:), h O g"-t e +Jd 6-: t-zrffiattzotq/ut/tgss fi+i
L6-12-L4 + u€"S fuo ryro frr1-{6 frE Etrs ffi
a's # Tf,a ++ +i uar fur d
11
1.
S rrss'o
1,.
areffiga-sffi;n€r
frq. vga'.
4.
5.
ffi:
\
\f/\,---
Fmt
filrA ilTg-d(t* &{r) rrir., gggc s':fr:fu:(frfir) frgrq E; Er,} ffillrr' flier a fd'qe-.,
SJgq rd _'+€' q-dffi Tcrfurrfl
qf}t-$ Hd-fr td'€'m rars E;zto, ard *:0, fap z$s irer', fary trml
''1ere,
i
t€l
,,za/y'/
gw€zaa'rred*ra,Fs
r
eBsit 3rfufuad fufif,,{' f€s-dr (i fD, tfr's
l3/I9-Ls ttI-2 (3\ (d:E-2\
flrd, *n.!.*r.rsro, 2e-o 1- 1 s
gaH
Etr
::
(277)
i6 H' Td'-s.d O tfr 's **=o H{6 ar}ir gr* t fsux 2 .3 ( 1 ) }rr3 Frffi sB E}i_
3 r'-fi i$dr derfun 4{fr6 Fr{efr .rd+ d {s yd:d sgt @ u6i furftrr resr arfis f*tt
g'diriee.fusss.ir
ffig'
Erx, )16rgr
it6rH
fl
fuarx u'e rax', fuer: F.x.
!:
L3
F
,O38/-
(iigoi6,ug.c
)rrdf hdd)
r.xg.g Lre'lddlrd,
,ir.B.,ilr a-uror
E rae,
o'll
*orod
aqfcrs'
fu,rf"{
lre
SEEt'}fr
t6-o7-L4 !
L9-07-L4
g?Fd-d.fr
trd.+d.)frr.d
ia:-*r.S.rrrd.&sooos gso
*ee" 6r- gia *e ar-e
FSrr', frqaa-+z fr, €atoqr
.6
t:
J
r2-o7-L4
L4-O7-14,
E-{ qrgr t:200oo812479
rfr .tfr
fuqe'rx'
uFu=r|.6,
fr*ac-gz,ffir
2153 tsluTrrrr
Fegi:-
r.
F
feF T&''
d
aoa-eir
, 9i€-s-s' ,'fg
-
ilFe-sr
il
rrss'o rscs Err./ d.fr.9 lrrnrE dqd
i
2. fqFS{s# ffi rc*.dz q'pga 6p&rd €.T&HFtr frs'fdplr'i.et
3. Forqraio Jar6dqs't fdfrFria1rfr d rarr g eg xd mr€ara-qdsq1-sr frredrl
4. fuE liE lr{qts, d.m 9udTq 6t -e- d gav f<e fi,o'frfuu' ryeraz f .d€ s'feffia e1 vra
rc' 6.a ftril -d 3 frrrd{ {dA €' $udqq *aer$e'- fu el ffit ffiM i.€afr
5. fuo trro' trr rie 2zgs-F'Fs Efu=ffi ),tJ €6a",rd g tsre-o-s-eo are-u Fau rklFd #s
r
?silro-zoo are-o fcruu fr|Mre rrr'-6 fi-*{s tErh*€-d g taree*-or-fiMra
ffi*o atqrrHgo z rrg'q ffira tsrrrcs Es 2014- ls (n.16 ugi6) 4{fi6 dtgr iledr ,
ll
vsstdfiiur
BrEed-.d ft'fid?r{r ks.d(fi:fxr tfr,s
tte
qI flr6,tr{ss: gcs /
fird,- 3o J t l
gs.o' t-o mrlrt' O
fr-dr
d.d-€'s
s.g ifpr e'e'i .Fstr'i
HotBqrfld , frffs, ffiotsr
A-tf
arre
r
1.
Z. fugr qgrdr 'rf€Fd-, €alOqt
3. filr6 ffi'Fd (fds 3 tc') qrra, eG-sir a':fx:fu:ti.fn, t-fiq tr arri ffitrrr ete, i
4.
5.
fu sa-a
gtrgq d?'g€' q-frd qErfurr{r frel
rucle iEe"-z Frtr (erg Enil nlgl tarro ifdds fus sforigo dd ur) a"-a ffif,,{.
f,ter t fu frF E&{ d Ftq-s 6 gfrJ aertsafi
s'*r
ql frarx uw rax., firer: E.F. Hrrar,EEtz:, t2g7r/2, m.+s.m 6&eF, fi.oraa-cs Jt, €Sdrgl
ffi
i
d€:- Hqofust>rrrol
F5