Report of  
 
 
Live-List
Benefit Periode : To
 
Doctor's Code(New) :  
 
List Type               :  
 
 
 
IP Status
Benefit Period   : To
 
Insurance No :
 
 
Branch Office wise IP Details
Contribution Period Ending :
 
Name of Branch Office   :
 
 
 
Branch Office wise Employer Details
Contribution Period Ending :
 
Name of Branch Office    :
 
 
 
Employer wise IP Details
Contribution Period Ending :
 
*Regional Code   :  
 
*Employeer Code :
 
*Sub Code         :
 
*Geneva Code    :
*All Fields Are Mandatory
 
 
 
 
 

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