To
The Governor
Govt.
of West Bengal
Raj
Bhaban
Kolkata.700001
Sub :-
Prayer for grant of Disease.
Respectable
sir /madam,
1. Name of
patient :- RafikulBiswas S.o :- RamejuddinBiswas
2. Address
:-Vill :- Jotchhidam. P.o-SadikhansDearh,P.s-Jalangi, Dist – Murshidabad , West
Bengal
3. Age :- 45
Years
4. Name of the
disease :- Heart disease
5. Name of
hospital where the patient got admitted :- N.R.S Hospital(Kolkata)
7. Estimated
cost of treatment :- 57825
8. Monthly6
income of the patients family : R.s 1500/- fifteen hundred rupees onley
Sir ,
With due respect I beg to state that
I am an inhabitant of Jotchhidam gram under Jadikhan’sDearh Gram Panchayet in
west Bengal . I was suffering from heart disease, L BBB along with sick sinus
syndrome and recurrent syncopal attack. As per advice of Doctor S.k. Halder, a
major operation has been done and now my heart is running on by pacemaker.There
are five members in my family and among them I was the only earning member. And
as such the monthly income of my family is R.s 1500/- so it was not possible
for me to bear my operation cost by my small income and I had done it by
borrowed money .But now I have no arrangement to paid this loan. The papers of
operation lost has attached with it.
I therefore fervently request you to
consider my case sympathetically after practical investigation and make an
arrangement of necessary money so that I may meet the operation cost completely
by your honourableGovet grant and oblige.
With
Thanks.
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