PB-102**********

: LL? )

in)

**-**-**** **-**-2026 30-04-202

Name: LAKHWINDER MASIH

Date of Birth: 97-95-1976 Blood Group: ps ye Organ Donor:

Son/Daughter/Wife of: Fazar MASIH

Address:

H NO-10 ST NO-1 BACHITTER NAGAR KULLIAWAL JAMALPUR

LDH O.NO.803**-**-*-**** . 141010

Holdér’s Signature

N

Date of First issue 30-04-2010