Scribd
Upload
3 views

Declaration

Carcinova Cancer Hospital requests a change in their Empanelment Coordinator data, providing new contact details for Swastik Suman Dash, who is designated as Quality Executive. The declaration is verified by Dr. Prangyan Paramita Mishra and approved by Dr. Kshitish Chandra Mishra. The document is dated June 2, 2024.

Uploaded by

qc.carcinova
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
3 views

Declaration

Carcinova Cancer Hospital requests a change in their Empanelment Coordinator data, providing new contact details for Swastik Suman Dash, who is designated as Quality Executive. The declaration is verified by Dr. Prangyan Paramita Mishra and approved by Dr. Kshitish Chandra Mishra. The document is dated June 2, 2024.

Uploaded by

qc.carcinova
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

DECLARATION

Ref No: ECE/23-24/0716 Dt: 02:06:24


Reg ID: ECE-2023-4145

Greetings from Carcinova Cancer Hospital

This is to declare hereby that we would like to request to change


the given Empanelment Coordinator Data to new one given Below.

Name – Swastik Suman Dash

Desg – Quality Executive

Mobile No – 9348410841

Email – [email protected]

VERIFIED BY APPROVED BY

Dr Prangyan Paramita MIshra(MS) Dr Kshitish Chandra Mishra (MD)

…………………………………………………… …………………………………………………..

You might also like