Wbhs Annexure 1 Form Download Link May 2026
Name of the patient and their unique WBHS Beneficiary ID.
Date of consultation and the name of the hospital.
Annexure 1 is mandatory for any government employee, pensioner, or family pensioner seeking reimbursement for medical expenses incurred during OPD visits. It must be signed by the of a recognized, empanelled, or enlisted hospital. Without this signed and stamped certification, the claim application (typically Form C1) will not be processed. Key Components of the Form wbhs annexure 1 form download
The form requires specific information to validate a medical claim:
The specialist must specify the disease as listed under Clause 7(1) or 7(2) of the scheme (e.g., Malignant diseases, Tuberculosis, Heart diseases, or Renal failure). Name of the patient and their unique WBHS Beneficiary ID
The is a critical document for beneficiaries of the West Bengal Health Scheme (WBHS) , specifically used for claiming reimbursement of Outpatient Department (OPD) treatment costs . It serves as a formal certification from a treating specialist at an empanelled hospital, confirming that the patient is suffering from a notified disease eligible for coverage. Purpose of Annexure 1
Signature of the treating consultant, their registration number, and the official seal of the hospital. How to Download WBHS Annexure 1 It must be signed by the of a
You can access the form through several official and verified channels: West bengal health scheme portal
Name of the patient and their unique WBHS Beneficiary ID.
Date of consultation and the name of the hospital.
Annexure 1 is mandatory for any government employee, pensioner, or family pensioner seeking reimbursement for medical expenses incurred during OPD visits. It must be signed by the of a recognized, empanelled, or enlisted hospital. Without this signed and stamped certification, the claim application (typically Form C1) will not be processed. Key Components of the Form
The form requires specific information to validate a medical claim:
The specialist must specify the disease as listed under Clause 7(1) or 7(2) of the scheme (e.g., Malignant diseases, Tuberculosis, Heart diseases, or Renal failure).
The is a critical document for beneficiaries of the West Bengal Health Scheme (WBHS) , specifically used for claiming reimbursement of Outpatient Department (OPD) treatment costs . It serves as a formal certification from a treating specialist at an empanelled hospital, confirming that the patient is suffering from a notified disease eligible for coverage. Purpose of Annexure 1
Signature of the treating consultant, their registration number, and the official seal of the hospital. How to Download WBHS Annexure 1
You can access the form through several official and verified channels: West bengal health scheme portal