Accident Detail Receipt
Date And Time 01-Jan-1970 / 1:00 pm
Place of Accident PIMPALNER SHAHAR HADIT ZANZALE TE GHODADE DARMYAN OANKHEDI VASTI SAMORIL ROAD VAR SARVAJANIK JAGI
CR NO/ TAR No/ SDE NO CR NO 112/2017 IPC ,279,337 MV ACT 184,134/177, 119/177
Name of the Injured/ Deceased INJURED NAME -SATISH PANDURANG PATIL
Name of The Hospital to which he/she was removed PHC SAKRI YETHUN VIGHNAHARTA HOSPITAL DEOPUR DHULE YETHIL KHAJGI HOSPITL MADHE NELE
Number of vehicle and type of the vehicle DOSHI VHAN -MH 14 K 834
Name of address of driver of the vehicle with perticuler ordriving license of the said driver and the address of the issuing Authority of the said driver license. The number of badge in case of public service vehicle and the address of the issuing Authority of the said badge. --
Name of the owner of the vehicle as it stand on the date of the accident --
Name and address of the insurance company with whom the vehicle was insured and the divisional office of the said insurance Company. --
Number of Insurance Policy/Insurance Certificate and the Date of the validity of the insurance Policy /Insurance Certificate --
Action Taken if any, and the result thereof. PIMPALNER PS CR NO 112/2017 IPC 279,337, M V ACT 184,134/177 ,199/177

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