September 10, 2009
The Manager,
Claims Department,
New India assurance Ltd,
New Delhi – 110068.
Sub : Hospitalisation Expenses
Policy ID: 115A234
Dear Sir:
I was under treatment in Apollo hospital, Bangalore from 5th to 8th of August due to multiple bone fractures in my left leg. Since I had a problem in getting X-Ray and other related medical documents from the hospital, I was unable to submit the claim in time, which is 15 days from the date of discharge. So may I kindly request you to consider my case favourably and reimburse me the hospitalisation expenses. The related bills and documents are attached.
Thanking you,
Sincerely,
-Sd-
M. Ajay,
5, Gandhi nagar,
Bangalore – 560065,
Ph: 95835 22222
Enclosures:
1) Hospitalisation documents and Medical bills.
2) X-Ray Report.
