Membership Application Form

Fee Structure: Guardian Joining Fee: ₹60 | Each Family Member: ₹30 (Max 5 members)
Personal Details
Family Members (Max 5)
Fee Summary
Guardian Joining Fee: ₹60
Family Members Fee (0 × ₹30): 0

Total Fee: 60
Payment Details
Payment Details
UPI ID:
maurya10895@oksbi
Scan QR Code:
QR Code
Bank Details:
Bank: State Bank of India
A/C: 1234567890
IFSC: SBIN0001234
Name: SSU Samiti
Member Benefits
  • Discounted OPD charges
  • Discounted diagnostics
  • IPD & surgery discounts
  • Medicine discounts
  • Family coverage (up to 5)
  • Valid for 1 year