Submitted by mindq on Tue, 09/17/2019 - 14:25 Learn on How to Claim First Name Last Name Date on which service was rendered Email Address Contact Number details of service provider and patient Practice location of the professional rendering the service - None -GaboroneFrancistownMolepololeSeroweSelebi PhikweMaunKanyeMahalapyeMogoditshaneMochudiLobatsePalapyeRamotswaMoshupaTlokwengBobonongThamagaLetlhakaneTonotaMmadinareJwanengTutumeGabaneShoshongGhanziLetlhakengOrapaMmopaneKasaneShakaweGumareTsabongGwetaNataTati SidingHukuntsiKangMasunga Number of the professional rendering the service Code number of Items/ recognised tariffs Copies of original documents should be certified by the supplier of the service e.g. prescriptions One file only.50 MB limit.Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg,