Swasthya Sathi Swasthya Bhawan GN-29, Sec-V, Salt Lake, Bidhan Nagar, Kolkata-91, West Bengal FORM -A (Application for name addition under Swasthya Sathi ) DISTRICT : BLOCK/MUNICIPALITY:- PANCHAYAT VILLAGE/WARD:- RESIDENTIAL ADDRESS:- URN NUMBER Application NO : DATE NAME OF THE BENEFICIARY : FATHER'S NAME DO ANY MEMBER OF THE FAMILY RECEIVE GOVT. SPONSORED HEALTH INSURANCE ASSURANCE: YES DO ANY MEMBER OF THE FAMILY RECEIVE MEDICAL ALLOWANCE FROM GOVERNMENT NAMES TO BE ADDED AADHAAR NO. (If ... g nøq, Swasthya Sathi Swasthya Bhawan GN-29, Sec-V, Salt Lake, Bidhan Nagar, Kolkata-91, West Bengal FORM -B (Application for enrollment under Swasthya Sathi ) Application NO : DISTRICT : BLOCK/MUNICIPALITY:- PANCHAYAT VILLAGE/WARD:- RESIDENTIAL ADDRESS:- OFFICE NAME & ADDRESS: (IF APPLICANT OR MEMBER IS EMPLOYED) CAMP NAME SERIAL NO DATE ... Swasthya Sathi Swasthya Bhawan GN-29, Sec-V, Salt Lake, Bidhan Nagar, Kolkata-91, West Bengal FORM -C (Application for name correction under Swasthya Sathi ) Application NO : DISTRICT : BLOCK/MUNICIPALITY:- PANCHAYAT VILLAGE/WARD:- RESIDENTIAL ADDRESS:- URN NUMBER DATE NAME OF THE BENEFICIARY FATHER'S NAME DO ANY MEMBER OF THE FAMILY RECEIVE Gov-r. SPONSORED HEALTH INSURANCE ASSURANCE DO ANY MEMBER OF THE FAMILY RECEIVE MEDICAL ALLOWANCE FROM GOVERNMENT AADHAAR NO. (If Any) oooooooooaooooooo ... In this article, you will get to know the following details about the Swasthya Sathi forms in West Bengal. Form PDF Download Form A Form B Form C Form D Let’s see about each of these points in detail.

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