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my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital

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Page 1: my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital
Page 2: my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital
Page 3: my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital
Page 4: my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital
Page 5: my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital
Page 6: my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital
Page 7: my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital
Page 8: my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital
Page 9: my Own will. The expenses have been explained to me Shifted from Room No.. and I agree to make payments before discharge. agree that I am keeping no valuable with me in the Hospital