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Ayushman Bharat Surgery List 2026: Complete PMJAY Covered Procedures Guide

All 1,949 procedures covered under Ayushman Bharat (PMJAY) — organized by specialty, with package amounts, eligibility, document checklist, and how to get free surgery at Hope Hospital, Nagpur. Updated May 2026.

What is Ayushman Bharat (PMJAY)?

Ayushman Bharat — Pradhan Mantri Jan Arogya Yojana (PMJAY) is the world's largest government-funded health insurance scheme. Launched in 2018 by the Government of India, it provides cashless hospitalization up to Rs. 5 lakh per family per year for secondary and tertiary medical care at empaneled hospitals across India.

Under PMJAY, 12.34 crore eligible families (about 55 crore people) receive free treatment for 1,949 medical procedures across 27 specialties — including all major surgeries like heart bypass, kidney transplant, cancer chemotherapy, knee replacement, brain surgery, and more.

Key Facts About Ayushman Bharat 2026

  • Cover amount: Rs. 5 lakh per family per year (no per-individual sub-limit)
  • Cashless: Zero out-of-pocket cost at empaneled hospitals
  • Procedures covered: 1,949 (all major surgeries + chemotherapy + dialysis + maternity)
  • Hospitals empaneled: 30,000+ across India (1,800+ in Maharashtra)
  • Recent expansion: All citizens above age 70 now automatically eligible (since Oct 2024) regardless of income
  • Pre-existing diseases: Covered from day 1
  • 3 days pre + 15 days post-hospitalization expenses covered

Who is Eligible for Ayushman Bharat in 2026?

Three main eligibility categories:

1. Families identified by SECC 2011

The Socio-Economic Caste Census 2011 identified families in deprivation categories. Most rural BPL families and urban occupation-based workers (street vendors, construction labour, domestic help, etc.) are automatically eligible.

2. Senior Citizens 70 years and above (New from Oct 2024)

All Indian citizens aged 70+ are now automatically covered under PMJAY, regardless of income or social category — known as the "Ayushman Vandana Yojana" expansion. They get a separate Rs. 5 lakh top-up.

3. State-Specific Scheme Beneficiaries

Several states converged their existing schemes with PMJAY. Maharashtra residents also benefit from MJPJAY (Mahatma Jyotirao Phule Jan Arogya Yojana), which extends coverage to additional families (yellow & orange ration card holders) and provides Rs. 1.5 lakh additional cover for renal diseases.

How to Check Your Eligibility

public

Online

Visit pmjay.gov.in → "Am I Eligible" → enter mobile + Aadhaar to instantly verify

call

Helpline

Call 14555 or 1800-111-565 — toll-free, 24/7, multiple languages

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At Hospital

Visit Hope Hospital Nagpur — the insurance desk checks eligibility on the spot, free

store

CSC Center

Any Common Service Center (CSC) can verify and issue your Ayushman card

Documents Needed for Free Surgery

Bring these documents on the day of admission or OPD visit:

  1. Aadhaar card of the patient (mandatory for biometric verification)
  2. Ayushman Bharat card / e-card / PMJAY ID number (digital copy on phone is acceptable)
  3. Ration card or family ID (for family relationship verification)
  4. Doctor's prescription / referral recommending the surgery
  5. Previous medical records: reports, X-rays, scans, blood tests, discharge summaries
  6. Mobile number registered for PMJAY (for OTP verification)

Important — Pre-Authorization Required

For planned surgery, the hospital must submit a pre-authorization request to the State Health Authority (SHA) along with diagnosis, package code, estimated cost, and supporting reports. Approval typically takes 6-48 hours. For emergencies, treatment starts immediately and pre-auth is processed in parallel.

Cardiology & Cardiac Surgery — Covered Procedures

favoriteAll major cardiac procedures FREE under PMJAY

  • Coronary Artery Bypass Grafting (CABG)
  • Off-pump Coronary Bypass (OPCAB)
  • Coronary Angioplasty with Stent (PCI)
  • Primary Angioplasty for Heart Attack
  • Coronary Angiography (diagnostic)
  • Valve Replacement (Aortic, Mitral)
  • Pacemaker Implantation
  • ICD / CRT-D Implantation
  • Balloon Mitral Valvotomy (BMV)
  • Heart Failure Management
  • ASD / VSD Closure (Septal Defects)
  • Pediatric Cardiac Surgery
  • Cardiac Catheterization
  • Electrophysiology (EP) Study & Ablation

At Hope Hospital's Zion Cardiac Hospital, all these procedures are performed cashless under PMJAY by experienced interventional cardiologists and cardiac surgeons. Read our heart attack emergency guide for warning signs.

Angioplasty Package in Ayushman Bharat (PMJAY 2026)

Coronary angioplasty with stent (PCI) is fully covered under Ayushman Bharat at empaneled hospitals like Hope Hospital, Nagpur. The PMJAY angioplasty package amount ranges from Rs. 60,000 to Rs. 1,00,000, depending on the number and type of stents (bare-metal vs drug-eluting). Primary angioplasty for an acute heart attack carries the same cover. The package includes pre-procedure investigations, cath-lab charges, the stent itself, hospital stay, and 15 days of post-discharge medication — zero out-of-pocket cost for eligible cardholders. Read our heart attack guide if you suspect symptoms.

Orthopedics & Joint Replacement — Covered Procedures

accessibleJoint replacement & spine surgery FREE under PMJAY

  • Total Knee Replacement (TKR)
  • Total Hip Replacement (THR)
  • Partial Knee Replacement
  • Revision Joint Replacement
  • Hemi-arthroplasty (Hip)
  • Spine Surgery (Decompression, Fusion)
  • Microdiscectomy (Slipped Disc)
  • Laminectomy (Spinal Stenosis)
  • Vertebroplasty / Kyphoplasty
  • Open Reduction Internal Fixation (ORIF)
  • Closed Reduction with Plaster
  • Arthroscopic Surgery (Knee, Shoulder)
  • Arthroscopic Ligament Repair (ACL, PCL)
  • Fracture Fixation (long bone, pelvis)
  • Amputation (post-trauma, diabetic)
  • Treatment of Osteomyelitis

Hope Hospital's orthopedic team — led by Dr. B.K. Murali (MS Ortho, 19+ years, 5,000+ surgeries) — performs knee replacement and hip replacement cashless under PMJAY. Read our back pain & slipped disc guide.

Ayushman Bharat Orthopedic Package List 2026

Joint replacement and spine surgery are fully covered under PMJAY. Indicative orthopedic package amounts for Nagpur (Tier-2):

All listed orthopedic procedures are performed cashless at Hope Hospital under PMJAY by Dr. B.K. Murali and team.

Ayushman Bharat Knee Replacement Package 2026

Total Knee Replacement (TKR) is covered under Ayushman Bharat at a package amount of Rs. 80,000 to Rs. 1,20,000 per knee, depending on implant type (cobalt-chrome vs high-flex) and whether it is a unilateral or bilateral procedure. The package covers the implant, surgery, hospital stay (typically 5–7 days), physiotherapy, and follow-up at no out-of-pocket cost to eligible cardholders.

Cancer (Oncology) — Covered Procedures

biotechComprehensive cancer treatment FREE under PMJAY

  • Surgical Oncology — Tumor Excision
  • Modified Radical Mastectomy (Breast Cancer)
  • Hysterectomy for Cancer (Cervical, Endometrial)
  • Radical Prostatectomy (Prostate Cancer)
  • Colorectal Cancer Surgery
  • Lung Cancer Surgery
  • Head & Neck Cancer Surgery
  • Thyroidectomy (Thyroid Cancer)
  • Whipple Procedure (Pancreatic Cancer)
  • Liver Resection (Liver Cancer)
  • Gastrectomy (Stomach Cancer)
  • Bone Marrow Biopsy
  • Chemotherapy (all protocols, all cycles)
  • Radiation Therapy (External Beam, IMRT)
  • Brachytherapy
  • Targeted Therapy & Immunotherapy
  • Palliative Care & Pain Management
  • Cancer Diagnostic Tests (PET, MRI, Biopsy)

At Hope Hospital's Nagpur Cancer Institute, multidisciplinary cancer care is fully covered under PMJAY. Chemotherapy is reimbursed per protocol/cycle — eligible patients pay zero.

Neurosurgery & Spine — Covered Procedures

psychologyBrain & spine surgery FREE under PMJAY

  • Brain Tumor Surgery (Craniotomy)
  • Aneurysm Clipping
  • Mechanical Thrombectomy (Stroke)
  • Intravenous Thrombolysis (tPA)
  • Burr Hole Surgery
  • Hydrocephalus Surgery (VP Shunt)
  • Epilepsy Surgery
  • Spinal Cord Injury Management
  • Spinal Tumor Removal
  • Disc Surgery (Cervical, Lumbar)
  • Decompressive Craniectomy
  • Head Injury Surgery
  • DBS (Deep Brain Stimulation)
  • Craniosynostosis Repair
  • Neurorehabilitation

Hope Hospital's Hope Neurology unit performs emergency thrombolysis for stroke and brain tumor surgery cashless under PMJAY, with on-site Neuro ICU.

Nephrology & Urology — Covered Procedures

water_dropKidney transplant & dialysis FREE under PMJAY

  • Kidney Transplant (Donor + Recipient)
  • Hemodialysis (chronic, regular sessions)
  • Peritoneal Dialysis
  • CAPD (Continuous Ambulatory Peritoneal Dialysis)
  • AV Fistula Creation
  • ESWL Lithotripsy (Stone Crushing)
  • Ureteroscopy (URS) with Laser
  • RIRS (Retrograde Intrarenal Surgery)
  • PCNL (Percutaneous Nephrolithotomy)
  • TURP (Prostate Surgery)
  • Cystoscopy
  • Nephrectomy (Kidney Removal)
  • Pyeloplasty

Hope Hospital's nephrology team — partner of NephroPlus India's leading dialysis chain — offers cashless kidney transplant, dialysis, and stone removal under PMJAY.

RIRS Surgery in Ayushman Card — Coverage & Package

RIRS (Retrograde Intrarenal Surgery) — the modern laser-based kidney stone removal procedure — is covered under PMJAY. The Ayushman Bharat package amount for RIRS at Nagpur (Tier-2) is Rs. 30,000 to Rs. 65,000 depending on stone size, laterality, and any stenting required. The package includes pre-op investigations, the laser procedure, hospital stay (typically 1–2 days), and post-op medication. Related kidney-stone procedures — ESWL Lithotripsy (Rs. 10,000–20,000) and PCNL (Rs. 35,000–65,000) — are also fully covered. Hope Hospital performs RIRS under PMJAY with no out-of-pocket cost to cardholders.

Gastroenterology & GI Surgery — Covered Procedures

spaGallbladder, hernia, liver, GI surgery FREE under PMJAY

  • Laparoscopic Cholecystectomy (Gallbladder Removal)
  • Laparoscopic Appendectomy
  • Hernia Repair (Inguinal, Umbilical, Hiatal)
  • Endoscopy (Diagnostic & Therapeutic)
  • Colonoscopy (Diagnostic & Polyp Removal)
  • ERCP (Bile Duct Stone Removal)
  • Hemorrhoidectomy (Piles Surgery)
  • Fistula-in-Ano Surgery
  • Fissurectomy
  • Liver Surgery
  • Pancreatic Surgery
  • Anastomosis (Bowel)
  • Bariatric / Weight-Loss Surgery (select cases)
  • Inflammatory Bowel Disease Management

Obstetrics, Gynecology & Maternity — Covered Procedures

child_friendlyPregnancy, delivery & women's health FREE under PMJAY

  • Normal Delivery (Vaginal)
  • C-Section Delivery (LSCS)
  • Painless Delivery (Epidural)
  • High-Risk Pregnancy Management
  • Antenatal Care & Investigations
  • NICU Care (Newborn)
  • Hysterectomy (Abdominal & Laparoscopic)
  • Myomectomy (Fibroid Removal)
  • Ovarian Cyst Removal
  • Diagnostic Hysteroscopy & Laparoscopy
  • Endometriosis Surgery
  • PCOD/PCOS Management
  • Ectopic Pregnancy Surgery
  • Tubal Ligation

Hope Hospital's maternity unit provides cashless delivery, C-section, and gynecology surgery under PMJAY, with on-site NICU.

General & Laparoscopic Surgery — Covered Procedures

healingAll major general surgeries FREE under PMJAY

  • Appendectomy
  • Hernia Repair (all types)
  • Thyroid Surgery
  • Breast Surgery (Lumpectomy, Mastectomy)
  • Pilonidal Sinus Surgery
  • Lipoma / Cyst Excision
  • Wound Debridement & Skin Grafting
  • Trauma Surgery
  • Abscess Drainage
  • Burns Management & Skin Grafting
  • Varicose Vein Surgery
  • Lymph Node Biopsy

Pediatric, ENT, Ophthalmology & Other Specialties

child_careChildren, ENT, eye & other specialties FREE under PMJAY

  • Pediatric Surgery (Cleft Lip, Cleft Palate, Hernia, Hydrocele)
  • Pediatric Cardiac Surgery (ASD, VSD, PDA)
  • Neonatal Care (NICU)
  • ENT — Tonsillectomy, Adenoidectomy
  • ENT — Mastoidectomy, Septoplasty (DNS Correction)
  • ENT — Sinus Surgery (FESS)
  • Cataract Surgery (Phacoemulsification + IOL)
  • Glaucoma Surgery
  • Retinal Detachment Surgery
  • Vitrectomy
  • Plastic Surgery — Cleft Lip/Palate
  • Burns Reconstruction
  • Dermatology Procedures
  • Psychiatric & De-addiction Care
  • Mental Health Inpatient Care

Sample Ayushman Bharat Package Amounts (2026)

Package amounts vary based on procedure complexity, hospital tier (Tier 1/2/3 cities), and additional implants/devices. Below are common procedures with indicative cover under PMJAY (Maharashtra/Nagpur):

ProcedureSpecialtyPackage Amount (Rs.)
Total Knee Replacement (Unilateral)Orthopedics80,000 – 1,20,000
Total Hip Replacement (Unilateral)Orthopedics90,000 – 1,40,000
Spine Surgery (Microdiscectomy)Orthopedics / Neuro60,000 – 1,10,000
CABG (3-Vessel Bypass)Cardiac Surgery1,10,000 – 2,00,000
Coronary Angioplasty + StentCardiology60,000 – 1,00,000
Coronary Angiography (Diagnostic)Cardiology10,000 – 15,000
Pacemaker ImplantationCardiology1,50,000 – 2,50,000
Brain Tumor SurgeryNeurosurgery80,000 – 1,80,000
Mechanical Thrombectomy (Stroke)Neurosurgery4,50,000 – 5,00,000
Kidney TransplantNephrology / Urology2,90,000 – 4,40,000
Hemodialysis (per session)Nephrology1,200 – 2,000
ESWL LithotripsyUrology10,000 – 20,000
RIRS / PCNL (Kidney Stones)Urology30,000 – 65,000
Laparoscopic CholecystectomyGeneral Surgery20,000 – 35,000
Hernia Repair (Mesh)General Surgery15,000 – 30,000
Modified Radical MastectomyOncology40,000 – 70,000
Chemotherapy (per cycle)Oncology5,000 – 50,000
Hysterectomy (Open / Laparoscopic)Gynecology25,000 – 50,000
Normal DeliveryObstetrics5,000 – 9,000
C-Section DeliveryObstetrics9,000 – 15,000
NICU Care (per day)Pediatrics2,000 – 5,000
Cataract Surgery (Phaco + IOL)Ophthalmology6,500 – 25,000
Tonsillectomy / AdenoidectomyENT9,000 – 18,000

Note: Package amounts are indicative and revised periodically by the National Health Authority (NHA). Tier-2 city packages (Nagpur) are typically 90% of Tier-1 (metro) rates. Hospitals cannot charge above the package amount from PMJAY beneficiaries.

How to Download the Official Ayushman Bharat Package List (PDF, 2026)

The complete, official Ayushman Bharat package list — the Health Benefit Package (HBP) with every procedure code and rate — is published by the National Health Authority (NHA) as a downloadable master file. To get the current 2026 list:

  1. Go to the NHA Health Benefit Package portal at nha.gov.in → "Health Benefit Packages (HBP)", or pmjay.gov.in → "Resources / Health Benefit Packages".
  2. Download the latest HBP master PDF / Excel — it lists all 1,949 procedures with their package codes and amounts, organized by specialty.
  3. For Maharashtra-specific rates, also check the state MJPJAY portal (see below).

Want help reading the package list?

The official PDF runs to hundreds of pages of procedure codes. Hope Hospital's PMJAY desk will look up the exact package and amount for your specific surgery, confirm your eligibility, and print the relevant page for you — free of cost. Call 0712-2980073 or visit us at Teka Naka, Kamptee Road, Nagpur.

MJPJAY — Maharashtra's Package List (2026)

MJPJAY (Mahatma Jyotirao Phule Jan Arogya Yojana) is Maharashtra's own health-assurance scheme, now converged with Ayushman Bharat (PMJAY) and administered by the State Health Assurance Society. For Maharashtra residents, the two schemes work together — most government beneficiaries are covered under the combined AB-PMJAY + MJPJAY card.

Hope Hospital, Nagpur is empaneled under both PMJAY and MJPJAY, so eligible Maharashtra patients receive cashless treatment under whichever scheme applies to them.

How to Claim Free Surgery — Step by Step

1

Verify your eligibility

Check at pmjay.gov.in, call 14555, or walk into Hope Hospital with your Aadhaar — we'll verify on the spot, free.

2

Get a doctor's consultation

Visit the OPD. The doctor diagnoses your condition and recommends the appropriate procedure under PMJAY package.

3

Pre-authorization request

The hospital submits a pre-auth request to the State Health Authority with diagnosis, package code, supporting investigations. Approval typically takes 6–48 hours for planned surgery. Emergencies start treatment immediately.

4

Cashless admission

On approval, you're admitted cashless. No payment required at admission, during stay, or at discharge.

5

Surgery & treatment

Surgery is performed by the same specialist team that treats paying patients. Same OT, same medicines, same standard of care.

6

Discharge & follow-up

Discharge summary, prescription, and follow-up plan provided. Hospital bills PMJAY directly. You walk out without paying.

Free Surgery at Hope Hospital, Nagpur — Why Choose Us

Hope Hospital, Teka Naka, Kamptee Road, Nagpur, is empaneled under Ayushman Bharat (PM-JAY), MJPJAY, CGHS, ECHS and 20+ government health schemes. We've treated thousands of beneficiaries with zero out-of-pocket cost.

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24/7 Emergency

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Have an Ayushman Bharat card? Get free treatment.

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Frequently Asked Questions

Q: What is the angioplasty package amount under Ayushman Bharat 2026?

Coronary angioplasty with stent (PCI) is covered under PMJAY at Rs. 60,000 to Rs. 1,00,000 per procedure (rate varies with stent count and type). Primary angioplasty for acute heart attack carries the same package. The amount includes hospital stay, the stent, cath-lab charges, and 15 days of post-discharge medication.

Q: Is RIRS (laser kidney stone surgery) covered under Ayushman card?

Yes. RIRS (Retrograde Intrarenal Surgery) is fully covered under PMJAY at empaneled hospitals. The package amount in Nagpur is Rs. 30,000 to Rs. 65,000, including the laser procedure, hospital stay, and post-op care. PCNL and ESWL lithotripsy are also covered.

Q: What is the knee replacement package amount under Ayushman Bharat?

Total Knee Replacement (TKR) is covered at Rs. 80,000 to Rs. 1,20,000 per knee under PMJAY (Nagpur, Tier-2 rates). The package includes the implant, surgery, 5–7 days of hospital stay, and physiotherapy. Bilateral knee replacement is also covered.

Q: Is there a separate Ayushman Bharat orthopedic package list?

The Ayushman Bharat Health Benefit Package (HBP) groups all orthopedic procedures — knee replacement, hip replacement, spine surgery, arthroscopy, fracture fixation — under a single specialty code. There is no separate orthopedic-only PDF; the procedures appear in the master HBP list published by the NHA. Indicative Nagpur rates are listed above under the Orthopedic Package List section.

Q: How many surgeries are covered under Ayushman Bharat PMJAY?

PMJAY covers 1,949 medical procedures across 27 specialties — cardiology, oncology, orthopedics, neurosurgery, nephrology, gastroenterology, OB-GYN, ENT, ophthalmology, plastic surgery, and pediatrics. Cover is up to Rs. 5 lakh per family per year, fully cashless.

Q: What surgeries are free under Ayushman Bharat at Hope Hospital Nagpur?

Free under PMJAY at Hope Hospital: knee/hip replacement, spine surgery, CABG, angioplasty, cancer surgery & chemotherapy, brain tumour surgery, kidney transplant, dialysis, laparoscopic gallbladder, hernia, hysterectomy, normal/C-section delivery, and 200+ procedures.

Q: What is the Ayushman Bharat package amount for major surgeries?

Sample PMJAY packages: Knee replacement Rs. 80,000–1,20,000 · Hip Rs. 90,000–1,40,000 · CABG Rs. 1,10,000–2,00,000 · Angioplasty + stent Rs. 60,000–1,00,000 · Kidney transplant Rs. 2,90,000–4,40,000 · Hysterectomy Rs. 25,000–50,000. Family cover: Rs. 5 lakh/year.

Q: Who is eligible for Ayushman Bharat in 2026?

Families identified under SECC 2011 (mostly BPL rural + occupation-based urban workers). From Oct 2024, all citizens aged 70+ are automatically covered regardless of income. Maharashtra residents also get MJPJAY. Verify at pmjay.gov.in or call 14555.

Q: What documents are needed for free surgery under Ayushman Bharat?

(1) Aadhaar card, (2) Ayushman Bharat card / e-card / PMJAY ID, (3) Ration card, (4) Doctor's prescription, (5) Previous medical records. At Hope Hospital, our insurance team verifies on the spot, free.

Q: Can I get free heart bypass surgery (CABG) under Ayushman Bharat in Nagpur?

Yes. CABG is fully covered under PMJAY (Rs. 1,10,000–2,00,000 package). Hope Hospital's Zion Cardiac Hospital performs cashless CABG, angioplasty, and emergency cardiac care for eligible patients.

Q: Is kidney transplant covered under Ayushman Bharat?

Yes. Kidney transplant is covered with a package of Rs. 2,90,000–4,40,000 covering donor surgery, recipient surgery, ICU, post-transplant medications. Hope Hospital (with NephroPlus partnership) is empaneled for cashless transplant.

Q: How long does Ayushman Bharat verification take at Hope Hospital?

On-the-spot, typically 15–30 minutes for eligibility verification. State Health Authority pre-authorization for surgery takes 6–48 hours. For emergencies, treatment starts immediately.

Q: Can I use Ayushman Bharat for chronic conditions like dialysis & chemotherapy?

Yes. Chronic procedures like hemodialysis (per session) and chemotherapy (per cycle) are covered under PMJAY. As long as the family's Rs. 5 lakh annual cover is available, sessions continue uninterrupted.

Q: Can I get treatment at Hope Hospital if I have an Ayushman card from another state?

Yes. Ayushman Bharat is a national portable scheme — you can avail cashless treatment at any empaneled hospital across India, including Hope Hospital Nagpur, regardless of which state issued your card.

Q: Are pre-existing diseases covered under Ayushman Bharat?

Yes. All pre-existing diseases are covered from day 1 of enrollment — there is no waiting period.

Q: What's the difference between PMJAY and MJPJAY?

PMJAY is the central scheme (Rs. 5 lakh family cover, nationwide). MJPJAY is Maharashtra state's scheme (additional cover for state residents). Most Maharashtra empaneled hospitals — including Hope Hospital — accept both. The two schemes are converged, so eligible patients get combined coverage.

Q: Is there a PDF of the Ayushman Bharat package list for 2026?

Yes. The official package list — the National Health Authority's Health Benefit Package (HBP) — is published as a downloadable PDF/master file at nha.gov.in and pmjay.gov.in (Health Benefit Packages). It lists all 1,949 procedures with package codes and amounts. Hope Hospital's PMJAY desk can also look up and print the exact package for your procedure, free of cost — call 0712-2980073.

Q: Where can I find the MJPJAY package list for Maharashtra?

MJPJAY (Mahatma Jyotirao Phule Jan Arogya Yojana) is Maharashtra's scheme, converged with PMJAY. Its package list and rates are published on the Maharashtra State Health Assurance Society portal. Hope Hospital, Nagpur is empaneled under both PMJAY and MJPJAY — call 0712-2980073 and our desk will confirm the package for your procedure.

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