Eshraga Esress :co. Esra Abdelgadir

ESTIMATION OF TREATMENT
Date: 30/09/2023
29/04/2022
Code: Eva +7.0
Fortis
This Healthcare
is to Limited
bring to your kindisnotice
a leading integrated healthcare
that ESHRAGA IDRIS NORIdelivery
FADUL service provider in India. The healthcare
(PassportofNo.
verticals the–company
P02091535,Citizen of Sudanhospitals,
primarily comprise EXTENSION REQUIRED)
diagnostics PATIENT’S
and day COMPANION
care specialty / Currently, the
facilities.
ESRA ABDELGADIR OSMAN SIDAHMED would like to come to India for Health Treatment under
company operates its healthcare delivery services in India, Dubai, Mauritius and Sri Lanka with 45 healthcare
Dr. Mohan Keshavmurthy (Consultant – Orthopaedics) at Fortis Hospital, Bangalore –. Patient needs to stay here
facilities (including projects under development), approximately 10,000 potential beds and 329 diagnostic
for a minimum period of 2-3 Weeks and may have to extend his Visa’s based on the post treatment recovery status.
centres.
The patient is requested to come as soon as possible. Please facilitate the visa procedures and documents required
for travel.
Fortis Hospital Bannerghatta Road, Bangalore is a 400-bed capacity unit, re-accredited by JCI, NABH and the
Medical Travel Quality Alliance (MTQUA) for its quality of care and services to all its patients. Backed by over
150 consultants and 1000 other paramedical staff, the facility offers super-specialty tertiary care services such as
Cardiology, Cardiac Surgery, Orthopaedics, Neurology, Neuro-Surgery, Urology, Oncology, Liver and Kidney
Transplants and many more.
We have discussed the medical reports of the patient with Dr. Mohan Keshavmurthy- Director of Urology,
Uro-Oncology, Andrology and Renal Transplant Surgeon at Fortis Hospitals Bannerghatta Road. Please find
attached a brief profile of the consultant.
ESHRAGA IDRIS NORI FADUL

Name
PATIENT’S COMPANION
ADBDELRAHMA / ESRA
MOHAMMED ABDELGADIR OSMAN SIDAHMED
ABDALLAHA
The reports were reviewed by our consultant and opined as, “This
patients needs to evaluation. Will need single stage repair
consisting
MIS ofopen
TLIF or Augmentation
TLIF . WillCystoplasty
be decided + Bilateral
after Ureteric
evaluation
Diagnosis/Treatment required .(MIS-Minimally invasive )
Reimplantation +Cantwell-Ransley procedure +Urethroplasty
+Abdominoplasty. Definite plan of treatment shall be decided only
after evaluation
3-4 days in ward 1-2 day in ICU for any extended stay cost would be
+ Length of Stay (no.of days) additional
2- 3 weeks stay in India
Cost for Evaluation – 500-1000 USD in OPD approximately
Cost for Surgery – 14000 USD in multi bed approximately
Cost of Evaluation and treatment Only after evaluation tentative cost shall be discussed further for any
surgery or procedure to be performed
For any additional stay in ICU 500-800 USD / Ward 250- 450 in
multi bed per day approximately
If any additional treatment plan required or recommend cost would be
additional
Please note: If Patient requires extra stay or cross referrals or any

Comorbidities or high value investigations or high value medicines,
cost is additional.
Room charges for specified number of days.
Investigations
The above quote of package Medicines (standard) for the number of days as per the above
includes (for surgery / procedure package-If any extra medicines are required which are not
for IPD patients) routinely used then it would be charged as per the actual.
Bedside procedures etc
Food and Beverages for the patient and 1 companion (We serve
Vegetarian food only)
Complimentary airport pick up/drop in a Cab
Complimentary meals for one companion during hospital stay
During the stay in the ICU, stay of attendants would be arranged
in ICU Lounge
Facilities for International Patients
Sofa cum bed is provided for the companion during hospital stay
Payment can be done by cash/credit card/Wire Transfer
Travel desk is available inside the hospital premises
For post discharge stay, we will assist you to book a guest
house/hotel as per your preference, budget
All expenses for stay beyond the package period

Professional charges of other consultants
Any other additional procedure
Use of special drugs/ consumables
Exclusions
Blood products
Hotel Charges
CT/MRI or complex lab investigations
Cost of valves/conduits/grafts will be charged extra as per applicable
rates over and above package cost
PAYMENT POLICY: 100% of the package cost has to be deposited before the surgery or else the
treatment will not commence.
*Note: Please Carry Yellow fever Vaccination card, its mandatory for Patient & patient attenders.
NOTE: This costing is an indicative estimate (valid for 45 days) and based on the study of the reports of the patient. It does
not include cost of high value drugs (if needed) - the actual billing will depend on the in-person examination of the patient
by the doctor. The costing and stay estimates may vary due to unforeseen complications and/or medical reasons and/or the
need to administer high-value drugs. Anything beyond the package stay will be charged extra and as per the actual.
FOREX ADVISORY: Please note as per Government of India foreign exchange rules (FEMA) all patients / passengers
travelling to India and carrying currency more than US $ 5000 or travellers cheques more than US $ 10000 are required to
declare the same as per the Customs Declaration Form (CDF) and carry with them the CDF form as proof of currency brought
into the country. The Patient & attender should bring 10 numbers of Passport size photographs while coming. Patient and
each attendant can deposit an amount of $5000 towards the medical treatment against hospital admission. Indian currency
of INR25000 per member/client only can be accepted. If a client wish to deposit more than INR25000, the client is required
to submit a certificate/proof of exchange from the concerned exchange service. Simultaneously the value of same portion
shall be reduced from the USD limit. If the medical expenditure is more than the limits, the member/client shall pay the
expenses through online transfer – Swift Transaction/Debit Card/Credit Card.
BANK PARTICULARS FOR ECS PAYMENTS - FORTIS HOSPITALS LTD

CURRENT ACCOUT NO 054-031356-001
NAME OF ACCOUNT HOLDER FORTIS HOSPITALS LTD –B G ROAD
BANK NAME Hongkong and Shanghai Banking Corporation
BANK ADDRESS JMD Regent Square, Gurgaon-Mehrauli Road, DLF
CITY Gurgaon
POSTAL CODE 122 001
IFSC / RTGS CODE HSBC0110005
MICR CODE 110039005
PAN NO AABCF3718N
SWIFT CODE No HSBCINBB
DO NOT FORGET: All patients are advised to carry, all original and latest medical reports including scans / x-rays /
Investigation reports (in paper or electronic format) along with the clinical opinion and estimates provided by Fortis to ensure
that complete medical information is available to the service provider on their arrival in India.
Thanks & Regards,
Amar
International Sales
Fortis Hospitals Ltd.154/9, Bannerghatta Road,
Opp. IIM B., Bangalore - 560076, India.
Website : https://www.fortishealthcare.com/india/fortis-hospital-in-bannerghatta-road-karnataka

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ESTIMATION OF TREATMENT

ESHRAGA IDRIS NORI FADUL

Cost for Evaluation – 500-1000 USD in OPD approximately

Cost for Surgery – 14000 USD in multi bed approximately

Please note: If Patient requires extra stay or cross referrals or any

All expenses for stay beyond the package period

BANK PARTICULARS FOR ECS PAYMENTS - FORTIS HOSPITALS LTD

Thanks & Regards,

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