Scribd
Upload
39 views1 page

Outpatient Approval No:: 486114 Neveen Mohamed Ahmed El Sayed Abdel Moneam 27-NOV-23 14-NOV-24 Female/ Years Old

This document is an outpatient approval for Neveen Mohamed Ahmed El Sayed Abdel Moneam from the AICT branch in Alexandria, Egypt. It approves medications for antenatal screening including Calcitron, Antodine, VITONEX, LACTO-APEX, and Elevit Pronatal. The approval is valid for 7 days from the issue date of November 27, 2023 and has a 20% co-payment up to a maximum of 0. The beneficiary's signature is required.

Uploaded by

Ahmed Mohamed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
39 views1 page

Outpatient Approval No:: 486114 Neveen Mohamed Ahmed El Sayed Abdel Moneam 27-NOV-23 14-NOV-24 Female/ Years Old

This document is an outpatient approval for Neveen Mohamed Ahmed El Sayed Abdel Moneam from the AICT branch in Alexandria, Egypt. It approves medications for antenatal screening including Calcitron, Antodine, VITONEX, LACTO-APEX, and Elevit Pronatal. The approval is valid for 7 days from the issue date of November 27, 2023 and has a 20% co-payment up to a maximum of 0. The beneficiary's signature is required.

Uploaded by

Ahmed Mohamed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Outpatient Approval No : 1665959

Card No: 486114 Issue Date: 27-NOV-23


Beneficairy Name: Neveen Mohamed Ahmed El Policy Expiry Date: 14-NOV-24
Sayed Abdel Moneam
Female/ Years Old Provider Name:
Co-Payment: 20 %

Max Co-Payment: 0 Client Name: (AICT)‫االسكندرية لمحطات الحاويات الدولية‬


Branch Name: AICT Service : Medication

Memo:
Notes:
Medical Proc. / Concentratio Pack Special
Medical Diagnoses Size Dose Qty Act Status
Drug n Instructions
A+C+D+Ca+
Z36-Antenatal Calcitron 30/Cap
Cu+Mn+Zn+K 30Capsule 1 3/Strip Approved
Screening LOCAL
+Mg+Iron
Antodine 40mg
Z36-Antenatal
30/Tab.(New) 40Mg 30Tablet 1 3/Strip Approved
Screening
LOCAL
Z36-Antenatal VITONEX 30
30Capsule 1 1/Box Approved
Screening CAPS LOCAL
LACTO-APEX 5 -
Z36-Antenatal
30 CAPS. 30Capsule 1 3/Strip Approved
Screening
LOCAL
Elevit Pronatal
Z36-Antenatal
30/Scor.F.C.Tab 30Tablet 1 3/Strip Approved
Screening
IMPORTED
‫تعليمات خاصة‬

Beneficiary Signature

Created By Submitted By Printed Date: 27/11/2023


Walid.Mostafa Walid.Mostafa
"Issue Date" ‫ايام فقط من‬ 7 ‫هذه الموافقة صالحة لمدة‬

Alex Branch: 59 Victor Amanowel-Semoha ‫ سموحة‬- ‫ عمانويل‬- ‫ ش فيكتور‬59 : ‫فرع االسكندرية‬


Tele: 03/4246950 03/4246950:‫تليفون‬
Fax: 03/4246940 03/4246940 : ‫فاكس‬
Email: [email protected] Web: www.inayaegypt.com

You might also like