Tran Date Transaction Particulars CHQ No. Amount (In RS.) DR - CR Balance (In RS.) Value Date Branch Name

BLOSSOM MULTI SPECIALITY HOSPITALS AND
Joint Holder :
Statement Generated By :
87668
Customer Number
847153195
Scheme
CA - BUSINESS CLASSIC
Currency
INR
NO 1023 CHANNAKESHAVANAGARA
HOSA ROAD
BENGALURU
KARNATAKA
560100
Statement of Account No : 912020064327178 for the period (From : 01-02-2016 To : 03-03-2016)

Tran Date
Value Date
Transaction Particulars
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
01-02-2016
01-02-2016
NEFT/SIN02908Q0257000/INDIA INFOLINE
FINAN//ACC/Fo
Balance(in Rs.)
Branch Name
129489.57
17940.00
CR
147429.57
DATA CENTRECHEMBUR
ATM
01-02-2016
01-02-2016
EDC/00075-00319-/M037044015060035
74373.60
CR
221803.17 RECONCILATION
CENTRE
ATM
01-02-2016
01-02-2016
EDC/00536-00536-/M037044015060036
9885.50
CR
CENTRE
01-02-2016
01-02-2016
ECS/2156506291/0001149563665/TP India Infoline In
01-02-2016
01-02-2016
NACH-DR- CTRELIFINV
68020.00
DR
163668.67
117500.00
DR
46168.67
RTGS HUB
CENTRALISED CTS
MUM MH
PREMIUM,4TH
01-02-2016
01-02-2016
BY CASH DEPOSITBNA/S3RH30002/3011/010216/BANGALO
50000.00
CR
96168.67
BLOCK
KORAMANGALA,B
ANGALORE
ATM
02-02-2016
02-02-2016
EDC/00320-00320-/M037044015060035
18437.76
CR
CENTRE
ATM
02-02-2016
02-02-2016
EDC/00537-00537-/M037044015060036
11333.93
CR
CENTRE
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
02-02-2016
02-02-2016
Balance(in Rs.)
Branch Name
129489.57
ECS/2156562067/0001150155343/TP YES BANK LTD
47010.00
LOAN
DR
78930.36
VASHI, MUMBAI
[MH]
PREMIUM,4TH
02-02-2016
02-02-2016
BRN-BY CASH BY CASH
100000.00
CR
178930.36
BLOCK
KORAMANGALA,B
ANGALORE
02-02-2016
02-02-2016
24445.00
LOAN
DR
154485.36
RAJ NAGAR,
GHAZIABAD [UP]
CCGOI
02-02-2016
02-02-2016
By Clg 478617 KCU BANGALORE
478617
57500.00
CR
211985.36 HYDERABAD HYD

TG
CCGOI
03-02-2016
03-02-2016
BRN-CLG-CHQ PAID TO KODANDARAM P V
94532
25000.00
DR

TG
ATM
03-02-2016
03-02-2016
EDC/00538-00538-/M037044015060036
3413.17
CR
CENTRE
ATM
03-02-2016
03-02-2016
EDC/00321-00321-/M037044015060035
19538.42
CR
CENTRE
PREMIUM,4TH
03-02-2016
03-02-2016
Sign. Verf. Chrgs Mandate Regst/ Stop Pay/
114.50
DR
209822.45
BLOCK
KORAMANGALA,B
ANGALORE
04-02-2016
04-02-2016
ECS/2156658550/TXJF28428/IIL INDUSIND BANK B
125415.00
DR
84407.45
DATA CENTRECHEMBUR
ATM
04-02-2016
04-02-2016
EDC/00539-00539-/M037044015060036
4942.75
CR
CENTRE
PREMIUM,4TH
04-02-2016
04-02-2016
BRN-BY CASH BY CASH
350000.00
CR
439350.20
BLOCK
KORAMANGALA,B
ANGALORE
04-02-2016
04-02-2016
NACH-DR- HDFC BANK LIMITED
53645.00
DR
385705.20
CENTRALISED CTS
MUM MH
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
04-02-2016
04-02-2016
Balance(in Rs.)
Branch Name
129489.57
NEFT/SIN00043Q4385715/BAJAJ ALLIANZ GENERA
23319.00
CR
409024.20
BIDADI,
BANGALORE [KT]
05-02-2016
05-02-2016
ECS/CAPITAL FIRST LIMITED/133238010/133238010
56311.00
DR
352713.20
DATA CENTRECHEMBUR
05-02-2016
05-02-2016
ECS/CAPITAL FIRST LIMITED/127703657/127703657
54606.00
DR
298107.20
DATA CENTRECHEMBUR
05-02-2016
05-02-2016
ECS/2156737185/TXFE149745/EIIL ECS FULLERTON
05-02-2016
05-02-2016
ECS/3018476818/34047/Edelweiss Ret Fin
120936.00
DR
177171.20
RTGS HUB
77337.00
DR
99834.20
RTGS HUB
CCGOI
05-02-2016
05-02-2016
BRN-CLG-CHQ PAID TO KALPATHARU PHARMA
94539
1161.00
DR

TG
ATM
05-02-2016
05-02-2016
EDC/00540-00540-/M037044015060036
97.60
CR
CENTRE
ATM
05-02-2016
05-02-2016
EDC/00077-00323-/M037044015060035
18869.48
CR
CENTRE
05-02-2016
05-02-2016
BRN-BY CASH L SUDHEER
170000.00
CR
287640.28
BASHEERBAGH
[AP]
05-02-2016
05-02-2016
NACH-DR- RETAILASSETDEPTOFRBL
44062.00
DR
243578.28
CENTRALISED CTS
MUM MH
PREMIUM,4TH
06-02-2016
06-02-2016
IMPS/P2A/603710268982/2811510518KKBK0000433/Own
170017.18
DR
73561.10
BLOCK
KORAMANGALA,B
ANGALORE
ATM
06-02-2016
06-02-2016
EDC/00324-00324-/M037044015060035
11947.85
CR
CENTRE
ATM
06-02-2016
06-02-2016
EDC/00541-00541-/M037044015060036
11862.60
CR
CENTRE
PREMIUM,4TH
06-02-2016
06-02-2016
BRN-BY CASH BY CASH
42050.00
CR
139421.55
BLOCK
KORAMANGALA,
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
Balance(in Rs.)
Branch Name
129489.57
BANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
139307.05
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
139192.55
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
139078.05
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
138963.55
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
138849.05
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
138734.55
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
138620.05
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
138505.55
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
138391.05
BLOCK
KORAMANGALA,
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
Balance(in Rs.)
Branch Name
129489.57
BANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
138276.55
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
138162.05
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
06-02-2016
06-02-2016
114.50
DR
138047.55
BLOCK
KORAMANGALA,B
ANGALORE
08-02-2016
08-02-2016
ECS/2157026412/0001153735084/TPAMAGMAEMI
41803.00
DR
96244.55
DATA CENTRECHEMBUR
08-02-2016
08-02-2016
ECS/2157026411/0001153735024/TPAMAGMAEMI
36877.00
DR
59367.55
DATA CENTRECHEMBUR
ATM
08-02-2016
08-02-2016
EDC/00066-00543-/M037044015060036
38036.66
CR
CENTRE
ATM
08-02-2016
08-02-2016
EDC/00325-00326-/M037044015060035
10207.30
CR
CENTRE
08-02-2016
09-02-2016
08-02-2016
09-02-2016
45597.00
FINAN//ACC/Fo
CR
153208.51
SECTOR-18,
NOIDA [UP]
NEFT/CMS394545269/MEDI ASSIST INDIA TPA PVT
5279.00
LTD/ME
CR
158487.51
DATA CENTRECHEMBUR
CCGOI
09-02-2016
09-02-2016
BRN-CLG-CHQ PAID TO RAVI RAMACHANDRA
94541
43984.00
DR

TG
ATM
09-02-2016
09-02-2016
EDC/00327-00328-/M037044015060035
10619.92
CR
CENTRE
09-02-2016
09-02-2016
BRN-BY CASH KIRAN
20000.00
CR
145123.43
BTM
LAYOUT,BANGAL
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
09-02-2016
09-02-2016
09-02-2016
09-02-2016
10-02-2016
10-02-2016
Balance(in Rs.)
Branch Name
129489.57
NEFT/CITIN16613490377/MEDI ASSIST IND TPA PVT

LTD
NEFT/CITIN16613491031/MEDI ASSIST IND TPA PVT
LTD
ECS/2157268776/0001155506233/TP JFS ECS DBT
12709.00
CR
157832.43
RTGS HUB
24400.00
CR
182232.43
RTGS HUB
97270.00
DR
84962.43
DATA CENTRECHEMBUR
ATM
10-02-2016
10-02-2016
EDC/00078-00330-/M037044015060035
12836.03
CR
CENTRE
10-02-2016
10-02-2016
ECS/2157309301/0001155519282/TP DHFL_Dewan Hsg Fn
73893.00
DR
23905.46
DATA CENTRECHEMBUR
PREMIUM,4TH
10-02-2016
10-02-2016
BY CASH DEPOSIT-
10000.00
BNA/S3RH78501/9832/100216/BANGALO
CR
33905.46
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
10-02-2016
10-02-2016
INB/IFT/DILIP R THOVINAKERE/
30000.00
DR
3905.46
BLOCK
KORAMANGALA,B
ANGALORE
CENTRALISED
10-02-2016
10-02-2016
NACH_DR_Verf_Chgs JAN-16
114.50
DR
3790.96
COLL & PYMNT

HUB
CCGOI
10-02-2016
10-02-2016
By Clg 478618 KCU BANGALORE
478618
57500.00
CR

TG
ATM
11-02-2016
11-02-2016
EDC/00544-00545-/M037044015060036
24143.50
CR
CENTRE
ATM
11-02-2016
11-02-2016
EDC/00331-00331-/M037044015060035
59724.75
CR
CENTRE
11-02-2016
11-02-2016
11-02-2016
11-02-2016
FINAN//ACC/Fo
NEFT/0604061121600078/UNITECH MEDICAL SYSTEMS
PRO
22423.00
CR
167582.21 HYDERABAD [AP]
500000.00
CR
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
11-02-2016
11-02-2016
Balance(in Rs.)
Branch Name
129489.57
NEFT/162B43306GEU2817/MEDI ASSIST INDIA TPA PVT
4401.00
LT
CR
671983.21
CHILAKALURIPET
GUN AP
CCGOI
12-02-2016
12-02-2016
BRN-CLG-CHQ PAID TO UMESH ELECTRO MARKETIX
72074
50000.00
DR

TG
ATM
12-02-2016
12-02-2016
EDC/00332-00332-/M037044015060035
4352.79
CR
CENTRE
PREMIUM,4TH
12-02-2016
12-02-2016
114.50
DR
626221.50
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
12-02-2016
12-02-2016
BRN-NEFT-AXISF16043084695-BLOSSOM HEALTH -
094550
72373.00
DR
553848.50
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
12-02-2016
12-02-2016
IMPS/P2A/604315005918/2811510518KKBK0000433/sala
200017.18
DR
353831.32
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
12-02-2016
12-02-2016
IMPS/P2A/604315006033/32156945493SBIN0011285/sal
165017.18
DR
188814.14
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
12-02-2016
12-02-2016
BRN-NEFT-AXISF16043002813-V L HEALTH SYST-
094551
62533.00
DR
126281.14
BLOCK
KORAMANGALA,B
ANGALORE
15-02-2016
15-02-2016
15-02-2016
15-02-2016
NEFT/CITIN16614762356/VIDAL HEALTH TPA PVT LTD
55233.00
TOI
BRN-TO CASH AMBARISH
CR
181514.14
CENTRAL
PROCESSING UNIT
94548
16750.00
DR
164764.14
ELECTRONIC CITY,
BANGALORE [KT]
15-02-2016
15-02-2016
BRN-TO CASH AMBARISH
94549
5750.00
DR
159014.14
ELECTRONIC CITY,
BANGALORE [KT]
15-02-2016
15-02-2016
EDC/00080-00335-/M037044015060035
62015.18
CR
221029.32
ATM
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
Balance(in Rs.)
Branch Name
129489.57
RECONCILATION
CENTRE
15-02-2016
15-02-2016
BRN-TO CASH M H BABAJAN
94569
26600.00
DR
194429.32
SHANTHINAGAR,
BANGALORE [KT]
ATM
15-02-2016
15-02-2016
EDC/00067-00549-/M037044015060036
54695.59
CR
CENTRE
PREMIUM,4TH
15-02-2016
15-02-2016
BRN-TO CASH BINNY M VARGHESE
94566
45450.00
DR
203674.91
BLOCK
KORAMANGALA,B
ANGALORE
CCGOI
16-02-2016
16-02-2016
BRN-CLG-CHQ PAID TO MANJULA N
94562
6889.00
DR

TG
CCGOI
16-02-2016
16-02-2016
BRN-CLG-CHQ PAID TO JAYHIDA MEDICARE
94537
2922.00
DR

TG
CCGOI
16-02-2016
16-02-2016
BRN-CLG-CHQ PAID TO UTIVAC
94544
1981.00
DR

TG
CCGOI
16-02-2016
16-02-2016
BRN-CLG-CHQ PAID TO UMESH ELECTRO MARKETIX
73310
60000.00
DR

TG
16-02-2016
16-02-2016
BRN-CLG-CHQ PAID TO SATISH P KHEMCHANDANI

HUF
CCGOI
73304
60000.00
DR

TG
ATM
16-02-2016
16-02-2016
EDC/00550-00550-/M037044015060036
902.18
CR
CENTRE
CCGOI
16-02-2016
16-02-2016
BRN-CLG-CHQ PAID TO S.A.TIMBERS - PL
94554
19900.00
DR

TG
PREMIUM,4TH
16-02-2016
16-02-2016
BY CASH DEPOSIT-BNA/S3RH30101/5109/160216/SURAT
99500.00
CR
152385.09
BLOCK
KORAMANGALA,
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
Balance(in Rs.)
Branch Name
129489.57
BANGALORE
PREMIUM,4TH
16-02-2016
16-02-2016
BY CASH DEPOSIT-BNA/S3RH30101/5111/160216/SURAT
500.00
CR
152885.09
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
16-02-2016
16-02-2016
BRN-BY CASH .
70655.00
CR
223540.09
BLOCK
KORAMANGALA,B
ANGALORE
CCGOI
17-02-2016
17-02-2016
BRN-CLG-CHQ PAID TO NITYANANDA SAHU
94505
78000.00
DR

TG
CCGOI
17-02-2016
17-02-2016
BRN-CLG-CHQ PAID TO VARADARAJU S A
94571
15000.00
DR

TG
CCGOI
17-02-2016
17-02-2016
BRN-CLG-CHQ PAID TO MATHA ASSOCIATES
94535
19454.00
DR

TG
CCGOI
17-02-2016
17-02-2016
BRN-CLG-CHQ PAID TO MUHAMMED ANSAR P
94567
20000.00
DR

TG
CCGOI
17-02-2016
17-02-2016
BRN-CLG-CHQ PAID TO Mr B A SYED MANZOOR
94553
22500.00
DR

TG
CCGOI
17-02-2016
17-02-2016
BRN-CLG-CHQ PAID TO JAMAL AHMED
94570
20000.00
DR

TG
ATM
17-02-2016
17-02-2016
EDC/00551-00551-/M037044015060036
3384.13
CR
CENTRE
ATM
17-02-2016
17-02-2016
EDC/00336-00337-/M037044015060035
8695.88
CR
CENTRE
17-02-2016
17-02-2016
BRN-TO CASH SHEKAR P
94574
6653.00
DR
54013.10
ELECTRONIC CITY,
BANGALORE [KT]
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
17-02-2016
17-02-2016
BRN-TO CASH HARISH D
Balance(in Rs.)
Branch Name
129489.57
94556
9231.00
DR
44782.10
KORAMANGALA,
BANGALORE [KT]
17-02-2016
17-02-2016
BRN-TO CASH GURULINGAYYA D N
94582
2000.00
DR
42782.10
ELECTRONIC CITY,
BANGALORE [KT]
17-02-2016
17-02-2016
BRN-TO CASH GURULINGAYYA D N
94563
10000.00
DR
32782.10
ELECTRONIC CITY,
BANGALORE [KT]
17-02-2016
17-02-2016
18-02-2016
17-02-2016
17-02-2016
18-02-2016
30844.00
TOI
63626.00
TOI
CHOPDA
63626.10
KOTHRUD, PUNE
[MH]
BRN-CLG-CHQ PAID TO MAHENDRA KUMAR
CR
CR

CCGOI
94576
20000.00
DR

TG
18-02-2016
18-02-2016
BRN-BY CASH BY CASH
86260.00
CR
193512.10
HSR LAYOUT,
BANGALORE [KT]
CCGOI
18-02-2016
18-02-2016
BRN-CLG-CHQ PAID TO geetha m n
94557
18329.00
DR

TG
CCGOI
18-02-2016
18-02-2016
BRN-CLG-CHQ PAID TO GANESH M
94565
16580.00
DR

TG
CCGOI
18-02-2016
18-02-2016
BRN-CLG-CHQ PAID TO SYED ANWAR
94552
123750.00
DR

TG
18-02-2016
18-02-2016
BRN-TO CASH SUMI UNNIKRISHNAN
94573
13640.00
DR
21213.10
ELECTRONIC CITY,
BANGALORE [KT]
18-02-2016
18-02-2016
BRN-CLG-CHQ PAID TO SHREE SHAKTHI

SOUHARDHA C
CCGOI
94559
19588.00
DR

TG
ATM
18-02-2016
18-02-2016
EDC/00338-00338-/M037044015060035
6063.87
CR
CENTRE
ATM
18-02-2016
18-02-2016
EDC/00552-00552-/M037044015060036
32058.39
CR
CENTRE
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
18-02-2016
18-02-2016
BRN-TO CASH D SREEKANTA PRASAD
Balance(in Rs.)
Branch Name
129489.57
94581
6500.00
DR
33247.36
ELECTRONIC CITY,
BANGALORE [KT]
19-02-2016
19-02-2016
BRN-TO CASH MANJUNATH K R
94575
12000.00
DR
21247.36
HSR LAYOUT,
BANGALORE [KT]
ATM
19-02-2016
19-02-2016
EDC/00339-00339-/M037044015060035
2406.97
CR
CENTRE
CCGOI
19-02-2016
19-02-2016
BRN-CLG-CHQ PAID TO E-CITY OFFICE SOLUTIONS
94536
13912.00
DR

TG
CCGOI
19-02-2016
19-02-2016
BRN-CLG-CHQ PAID TO JAI KRISHNA
94538
8800.00
DR

TG
ATM
19-02-2016
19-02-2016
EDC/00068-00553-/M037044015060036
9409.58
CR
CENTRE
ATM
20-02-2016
20-02-2016
EDC/00081-00340-/M037044015060035
322.21
CR
CENTRE
ATM
20-02-2016
20-02-2016
EDC/00554-00554-/M037044015060036
765.11
CR
CENTRE
PREMIUM,4TH
20-02-2016
20-02-2016
BRN-TO CASH ANJU MATHEW ABRAHAM
94572
10385.00
DR
1054.23
BLOCK
KORAMANGALA,B
ANGALORE
20-02-2016
20-02-2016
20-02-2016
20-02-2016
NEFT/4440U16051757377/MEDI ASSIST INDIA

TP/1201446
NEFT/KKBKH16051652906/BLOSSOM MULTI SPECIALITY
HOS
43190.00
CR
44244.23
INDIRANAGAR,
BANGALORE [KT]
66859.00
CR
111103.23
DATA CENTRECHEMBUR
PREMIUM,4TH
20-02-2016
20-02-2016
INB/IFT/DILIP R THOVINAKERE/Consulatation
10000.00
DR
101103.23
BLOCK
KORAMANGALA,B
ANGALORE
20-02-2016
20-02-2016
INB/IFT/HARISH KUMAR N/Consulatation
77500.00
DR
23603.23
PREMIUM,4TH
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
Balance(in Rs.)
Branch Name
129489.57
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
22-02-2016
22-02-2016
MOB/TPFT/ARUN KUMAR/912010062390166
83900.00
CR
107503.23
BLOCK
KORAMANGALA,B
ANGALORE
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016

LOAN
LOAN
LOAN
LOAN
LOAN
7566.00
DR
99937.23
2410.00
DR
97527.23
RTGS HUB
DATA CENTRECHEMBUR
14815.00
DR
82712.23
DATA CENTRECHEMBUR
27940.00
DR
54772.23
DATA CENTRECHEMBUR
5930.00
DR
48842.23
DATA CENTRECHEMBUR
PREMIUM,4TH
22-02-2016
22-02-2016
BRN-BY CASH .
79190.00
CR
128032.23
BLOCK
KORAMANGALA,B
ANGALORE
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016

LOAN
LOAN
LOAN
LOAN
16300.00
DR
111732.23
DATA CENTRECHEMBUR
2965.00
DR
108767.23
DATA CENTRECHEMBUR
11115.00
DR
97652.23
DATA CENTRECHEMBUR
15135.00
DR
82517.23
DATA CENTRECHEMBUR
ATM
22-02-2016
22-02-2016
EDC/00341-00343-/M037044015060035
11029.60
CR
CENTRE
ATM
22-02-2016
22-02-2016
EDC/00555-00555-/M037044015060036
2108.07
CR
CENTRE
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
22-02-2016
Balance(in Rs.)
Branch Name
129489.57
25410.00
LOAN
DR
70244.90
CENTRALISED CTS
MUM MH
24080.00
LOAN
DR
46164.90
CENTRALISED CTS
MUM MH
3705.00
LOAN
DR
42459.90
CENTRALISED CTS
MUM MH
NEFT/SIN02763Q0040788/SOBHA BANGALORE
566.00
GENE//ACC/1
CR
43025.90
VELLORE [TN]
CCGOI
23-02-2016
23-02-2016
BRN-CLG-CHQ PAID TO INDIANO MEDICAL
94545
40000.00
DR

TG
PREMIUM,4TH
23-02-2016
23-02-2016
BY CASH DEPOSIT-
96000.00
BNA/T3RH101902/5656/230216/CHITRAD
CR
99025.90
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
23-02-2016
23-02-2016
BRN-BY CASH .
136030.00
CR
235055.90
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
23-02-2016
23-02-2016
BY CASH DEPOSIT-
4000.00
BNA/T3RH101902/5658/230216/CHITRAD
CR
239055.90
BLOCK
KORAMANGALA,B
ANGALORE
23-02-2016
23-02-2016
BRN-CLG-CHQ PAID TO MOHD FAROOQ NOOR

MOHD
CCGOI
94588
123750.00
DR

TG
23-02-2016
23-02-2016
NACH-DR- TP ACH ZENLEFIN
109968.06
DR
5337.84
CENTRALISED CTS
MUM MH
ATM
23-02-2016
23-02-2016
EDC/00069-00557-/M037044015060036
25194.55
CR
CENTRE
23-02-2016
24-02-2016
23-02-2016
24-02-2016
NEFT/162N41933G0A0V64/UNITED INDIA INSURANCE

COMPA
BRN-BY CASH BY CASH
5357.00
CR
35889.39
DATA CENTRECHEMBUR
59800.00
CR
95689.39
HSR LAYOUT,
BANGALORE [KT]
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
Balance(in Rs.)
Branch Name
129489.57
ATM
24-02-2016
24-02-2016
EDC/00558-00558-/M037044015060036
9758.55
CR
CENTRE
CCGOI
24-02-2016
24-02-2016
BRN-CLG-CHQ PAID TO LENY M MATHEW
94587
6720.00
DR

TG
CCGOI
24-02-2016
24-02-2016
BRN-CLG-CHQ PAID TO LENY M MATHEW
94561
1615.00
DR

TG
CCGOI
24-02-2016
24-02-2016
BRN-CLG-CHQ PAID TO ABHILASHA
94584
23800.00
DR

TG
ATM
24-02-2016
24-02-2016
EDC/00082-00345-/M037044015060035
30756.78
CR
CENTRE
24-02-2016
24-02-2016
NEFT/4440U16055098547/STAR HEALTH AND ALLI/2016
6840.00
14
CR
110909.72
RTGS HUB
CCGOI
25-02-2016
25-02-2016
BRN-CLG-CHQ PAID TO HARI GOBINDH SETH
73320
60000.00
DR

TG
PREMIUM,4TH
25-02-2016
25-02-2016
INB/IFT/MYNA K/
27000.00
DR
23909.72
BLOCK
KORAMANGALA,B
ANGALORE
ATM
25-02-2016
25-02-2016
EDC/00559-00559-/M037044015060036
9833.97
CR
CENTRE
ATM
25-02-2016
25-02-2016
EDC/00346-00346-/M037044015060035
12235.95
CR
CENTRE
CENTRALISED
25-02-2016
25-02-2016
VIDAL HEALTH TP/
9520.00
CR
55499.64
COLL & PYMNT

HUB
PREMIUM,4TH
25-02-2016
25-02-2016
MOB/TPFT/CHANDAN DASH/912010061988630
20000.00
CR
75499.64
BLOCK
KORAMANGALA,
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
Balance(in Rs.)
Branch Name
129489.57
BANGALORE
PREMIUM,4TH
25-02-2016
25-02-2016
INB/IFT/DILIP R THOVINAKERE/
30000.00
DR
45499.64
BLOCK
KORAMANGALA,B
ANGALORE
CCGOI
26-02-2016
26-02-2016
BRN-CLG-CHQ PAID TO Mr SAGAR BELGAUNKAR
94583
24800.00
DR

TG
CCGOI
26-02-2016
26-02-2016
BRN-CLG-CHQ PAID TO NEW TANZEEL ENTERPRISES
94540
12844.00
DR

TG
ATM
26-02-2016
26-02-2016
EDC/00347-00348-/M037044015060035
4785.43
CR
CENTRE
PREMIUM,4TH
26-02-2016
26-02-2016
BY CASH DEPOSIT-
19000.00
BNA/S3RH78501/2542/260216/BANGALO
CR
31641.07
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
26-02-2016
26-02-2016
BY CASH DEPOSIT-
1000.00
BNA/S3RH78501/2544/260216/BANGALO
CR
32641.07
BLOCK
KORAMANGALA,B
ANGALORE
PREMIUM,4TH
29-02-2016
29-02-2016
BY CASH DEPOSIT-
41000.00
BNA/S3RH67701/5003/290216/BANGALO
CR
73641.07
BLOCK
KORAMANGALA,B
ANGALORE
ATM
29-02-2016
29-02-2016
EDC/00349-00351-/M037044015060035
37668.06
CR
CENTRE
PREMIUM,4TH
29-02-2016
29-02-2016
BRN-BY CASH .
100000.00
CR
211309.13
BLOCK
KORAMANGALA,B
ANGALORE
CCGOI
29-02-2016
29-02-2016
BRN-CLG-CHQ PAID TO CHAND KHAN P
94585
37249.00
DR
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
Balance(in Rs.)
Branch Name
129489.57
TG
CCGOI
29-02-2016
29-02-2016
BRN-CLG-CHQ PAID TO KUBERA G
94586
26490.00
DR

TG
ATM
29-02-2016
29-02-2016
EDC/00560-00562-/M037044015060036
18434.15
CR
CENTRE
PREMIUM,4TH
29-02-2016
29-02-2016
MOB/TPFT/ARUN KUMAR/912010062390166
500000.00
CR
666004.28
BLOCK
KORAMANGALA,B
ANGALORE
29-02-2016
29-02-2016
INB/NEFT/AXIC160607782781/unitech medica/Payment
300000.00
DR
366004.28
SHASTRI MAIDAN,
RAJKOT [GJ]
PREMIUM,4TH
29-02-2016
29-02-2016
IMPS/P2A/606019635429/060400201000613CORP0000604
200017.18
DR
165987.10
BLOCK
KORAMANGALA,B
ANGALORE
ATM
01-03-2016
01-03-2016
EDC/00352-00352-/M037044015060035
4543.42
CR
CENTRE
ATM
01-03-2016
01-03-2016
EDC/00563-00563-/M037044015060036
2116.07
CR
CENTRE
PREMIUM,4TH
01-03-2016
01-03-2016
INB/IFT/TRIVENI M P/
15000.00
DR
157646.59
BLOCK
KORAMANGALA,B
ANGALORE
01-03-2016
01-03-2016
NACH-DR- CTRELIFINV
117500.00
DR
40146.59
CENTRALISED CTS
MUM MH
PREMIUM,4TH
01-03-2016
01-03-2016
BY CASH DEPOSITBNA/S3RH78501/3125/010316/BANGALO
48500.00
CR
88646.59
BLOCK
KORAMANGALA,B
ANGALORE
01-03-2016
01-03-2016
NEFT/000045816671/IFFCO TOKIO GENERAL

INSURANCE CO
42843.00
CR
131489.59
BHIWANI [HR]
Tran Date
Value Date
Chq No.
Amount(in Rs.)
DR|CR
OPENING BALANCE :
02-03-2016
02-03-2016
Balance(in Rs.)
Branch Name
129489.57
BRN-TO CASH SELF
94594
40000.00
DR
91489.59
HSR LAYOUT,
BANGALORE [KT]
02-03-2016
02-03-2016
SOBHA LTD( FORMERLY KNOWN AS SOBHA
31356.00
DEVELOPERS LTD)
CR
122845.59
HSR LAYOUT,
BANGALORE [KT]
ATM
02-03-2016
02-03-2016
EDC/00353-00353-/M037044015060035
8410.30
CR
CENTRE
CCGOI
02-03-2016
02-03-2016
BRN-CLG-CHQ PAID TO SHABIA M G
94555
7500.00
DR

TG
02-03-2016
02-03-2016
02-03-2016
02-03-2016
24445.00
LOAN
DR
99310.89
CENTRALISED CTS
MUM MH
47010.00
LOAN
TRANSACTION TOTAL DR|CR:
DR
52300.89
SOLAPUR [MH]
4094093.28|4016904.60
CLOSING BALANCE :
52300.89
Unless the constituent notifies the bank immediately of any discrepancy found by him/her in this statement of Account, it will be taken that he/she has found the account correct.
The closing balance as shown/displayed includes not only the credit balance and / or overdraft limit, but also funds which are under clearing. It excludes the amount marked as lien,
if any. Hence the closing balance displayed may not be the effective available balance. For any further clarifications, please contact the Branch.
We would like to reiterate that, as a policy, Axis Bank does not ask you to part with/disclose/revalidate of your iConnect passord,login id and debit card number through emails
OR phone call Further,we would like to reiterate that Axis Bank shall not be liable for any losses arising from you sharing/disclosing of your login id, password and debit card
number to anyone. Please co-operate by forwarding all such suspicious/spam emails, if received by you, to customer.service@axisbank.com
REGISTERED OFFICE - AXIS BANK LTD,TRISHUL,Opp. Samartheswar Temple, Near Law Garden, Ellisbridge, Ahmedabad.380006.This is a system generated output and requires
no signature.
LEGENDS :
ICONN
- Transaction trough Internet Banking
BRN
- Branch
AUTOSWEEP
- Transfer to linked fixed deposit
INB
- Internet banking
REV SWEEP
- Interest on Linked fixed Deposit
LDG
- Lodge
SWEEP TRF
- Transfer from Linked Fixed Deposit / Account
RLZ
- Realise
VMT
- Visa Money Transfer through ATM
DLK
- Delink
CWDR
- Cash Withdrawal through ATM
DHR
- Dishonour
PUR
- POS purchase
REC
- Recovery
CLG
- Cheque Clearing Transaction
TFR
- Transfer
RATE.DIFF
- Difference in rates on usage of card internationally
HCY
- Home Currency Advance
VMT-ICON
- Visa Money Transfer through Internet Banking
INT
- Interest Run
EDC
- Credit through EDC machine transaction
BKNG
- Booking
SETU
- Seamless electronic fund transfer through AXIS Bank
CNCL
- Cancellation
Int.pd
- Interest paid to customer
ISSUE
- Issuance
Int.Coll
- Interest collected from the customer
AMEND
- Amendment
- Surcharge on Usage of Debit Card at Petrol Pumps/

Railway Ticket Purchase or Hotel Tips
OW RTN
- Outward Return
TIP/ SCG
Ln
- Loan
PUR
- Purchase
CLG
- Clearing
+++++ END OF STATEMENT +++++

Tran Date Transaction Particulars CHQ No. Amount (In RS.) DR - CR Balance (In RS.) Value Date Branch Name

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BLOSSOM MULTI SPECIALITY HOSPITALS AND

Statement of Account No : 912020064327178 for the period (From : 01-02-2016 To : 03-03-2016)

ECS/2156506291/0001149563665/TP India Infoline In

ECS/2156562067/0001150155343/TP YES BANK LTD

BRN-BY CASH BY CASH

ECS/2156562068/0001150155369/TP YES BANK LTD

By Clg 478617 KCU BANGALORE

211985.36 HYDERABAD HYD

BRN-CLG-CHQ PAID TO KODANDARAM P V

186985.36 HYDERABAD HYD

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

ECS/2156658550/TXJF28428/IIL INDUSIND BANK B

BRN-BY CASH BY CASH

NACH-DR- HDFC BANK LIMITED

NEFT/SIN00043Q4385715/BAJAJ ALLIANZ GENERA

ECS/CAPITAL FIRST LIMITED/133238010/133238010

ECS/CAPITAL FIRST LIMITED/127703657/127703657

ECS/2156737185/TXFE149745/EIIL ECS FULLERTON

ECS/3018476818/34047/Edelweiss Ret Fin

BRN-CLG-CHQ PAID TO KALPATHARU PHARMA

98673.20 HYDERABAD HYD

BRN-BY CASH L SUDHEER

BRN-BY CASH BY CASH

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

NEFT/CMS394545269/MEDI ASSIST INDIA TPA PVT

BRN-CLG-CHQ PAID TO RAVI RAMACHANDRA

114503.51 HYDERABAD HYD

BRN-BY CASH KIRAN

NEFT/CITIN16613490377/MEDI ASSIST IND TPA PVT

ECS/2157309301/0001155519282/TP DHFL_Dewan Hsg Fn

COLL & PYMNT

By Clg 478618 KCU BANGALORE

61290.96 HYDERABAD HYD

167582.21 HYDERABAD [AP]

667582.21 HYDERABAD [AP]

NEFT/162B43306GEU2817/MEDI ASSIST INDIA TPA PVT

BRN-CLG-CHQ PAID TO UMESH ELECTRO MARKETIX

621983.21 HYDERABAD HYD

Sign. Verf. Chrgs Mandate Regst/ Stop Pay/

BRN-NEFT-AXISF16043002813-V L HEALTH SYST-

NEFT/CITIN16614762356/VIDAL HEALTH TPA PVT LTD

BRN-TO CASH AMBARISH

BRN-TO CASH M H BABAJAN

BRN-TO CASH BINNY M VARGHESE

BRN-CLG-CHQ PAID TO MANJULA N

196785.91 HYDERABAD HYD

BRN-CLG-CHQ PAID TO JAYHIDA MEDICARE

193863.91 HYDERABAD HYD

BRN-CLG-CHQ PAID TO UTIVAC

191882.91 HYDERABAD HYD

BRN-CLG-CHQ PAID TO UMESH ELECTRO MARKETIX

131882.91 HYDERABAD HYD