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    CertificateFor-WB PEN 01 000140612

    Uploaded by

    SagnikDas
    The document provides details about enrolling a pensioner named Saswata Das under the West Bengal Health Scheme. It lists his personal details, hospital accommodation entitlement, and details of beneficiaries including Das and his family members who are also enrolled. The certificate is signed digitally by an engineer to certify the pensioner's enrollment under the scheme.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CertificateFor-WB PEN 01 000140612

    Uploaded by

    SagnikDas
    17 views1 page
    The document provides details about enrolling a pensioner named Saswata Das under the West Bengal Health Scheme. It lists his personal details, hospital accommodation entitlement, and details of beneficiaries including Das and his family members who are also enrolled. The certificate is signed digitally by an engineer to certify the pensioner's enrollment under the scheme.

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    The document provides details about enrolling a pensioner named Saswata Das under the West Bengal Health Scheme. It lists his personal details, hospital accommodation entitlement, and details of beneficiaries including Das and his family members who are also enrolled. The certificate is signed digitally by an engineer to certify the pensioner's enrollment under the scheme.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views1 page

    CertificateFor-WB PEN 01 000140612

    Uploaded by

    SagnikDas
    The document provides details about enrolling a pensioner named Saswata Das under the West Bengal Health Scheme. It lists his personal details, hospital accommodation entitlement, and details of beneficiaries including Das and his family members who are also enrolled. The certificate is signed digitally by an engineer to certify the pensioner's enrollment under the scheme.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    PLANNING CIRCLE, SOCIAL SECTOR,P.W.DTE.

    Public Works Department


    5TH FLOOR,BLOCK-A,N.S.BUILDING,1,K.S. ROY ROAD,KOLKATA-
    700001.
    (4PDHO026)
    Certificate for Enrolment under West Bengal Health Scheme
    Memo No. 4PDHO026/10/2021 Date: 13/09/2021

    Information of Pensioner
    1. Name SASWATA DAS 2. PPO ID NPD0053096

    3. Enrolment ID No. WB/PEN/01/000140612 4. PPO No. 111962444

    5. Last Designation of Pensioner HEAD DRAUGHTSMAN 6. Date of Superannuation 29/02/2020

    7. Address of Pensioner 17/C, Gorakhabasi Road, Nagerbazar, Dum Dum, Kolkata-700028.

    Hospital Accommodation Entitlement :


    1. Pay Bed in Government Hospital run by Govt. of West Bengal DOUBLE OCCUPANCY LARGE CABIN
    2. Tata Medical Centre, Rajarhat GENERAL
    3. Other Private Empanelled HCOs GENERAL

    Information of All Beneficiaries (Including Pensioner)


    Beneficiary ID : 111962444/1/3 Enrollment w.e f. : 01/03/2020
    Relation with Pensioner : SELF Mobile No : 9874192445
    1 SASWATA DAS Date of Birth : 12/02/1960 E-mail Address :
    Blood Group : A+ saswatadas38@gmail.com
    Aadhaar No : 347752743943
    Beneficiary ID : 111962444/2/3 Enrollment w.e f. : 01/03/2020
    Relation with Pensioner : WIFE Mobile No :
    2 SMT MIRA DAS Date of Birth : 12/08/1969 E-mail Address :
    Blood Group : A+ Aadhaar No : 586910818913
    Beneficiary ID : 111962444/3/3 Enrollment w.e f. : 01/03/2020
    Relation with Pensioner : SON(UPTO Mobile No :
    3 SAGNIK DAS 25 YEARS) E-mail Address :
    Date of Birth : 18/08/2001 Aadhaar No : 677494186908
    Blood Group : O+

    Certified that above mentioned Pensioner has been enrolled under the ³West Bengal Health Scheme´along
    with above mentioned family members to get medical treatment under the scheme.

    Digitally signed by SOUMENDRA


    SOUMEND NATH BANDYOPADHYAY
    DN:CN=SOUMENDRA NATH
    BANDYOPADHYAY,
    RA NATH SERIALNUMBER=146612f3eff85
    16b27f2325c93cca134ba8a9fe85
    6354106fcff0870e59062f1,
    BANDYOP ST=WEST BENGAL,
    OID.2.5.4.17=700001,

    ADHYAY OID.2.5.4.20=3154cab1933a381
    d7327490f99fa8536931ddc169dc

    Name (Block Letter): SOUMENDRA NATH e055778c3d67c484c5b43,


    OU=PUBLIC WORKS
    DEPARTMENT, O=PLANNING
    BANDYOPADHYAY CIRCLE SOCIAL SECTOR, C=IN
    Reason:Certified True Copy
    Date:13/09/2021 13:54:02

    Designation: Superintending Engineer

    Digitally Signed. Does not require any Ink Signature.

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