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MIDAS HEALTH CARE LTD.

EXPENSE STATEMENT
NAME:
ANURAG BHARDWAJ, TBM MZN
DESIGNATION :
DATE

APPROVED T.P.

1
SUNDAY
2
3
4
5
6
7
SUNDAY
8
9
10
11
12
13
14
SUNDAY
15
16
17
18
19
20
21
SUNDAY
22
23
24
25
26
27
28
29
30
31
TOTAL NO. OF VOUCHERS:

AREA WORKED

H.Q.: LUCKNOW
ALLOWANCES DISTANCE

145
145
145
145
145
145
145

Muzafarnagar
Muzafarnagar
Muzafarnagar
BHUDANA ( MUZ )
Muzafarnagar
KHATAULI ( MUZ )

Muzafarnagar

145
145
145
145
145
145

Muzafarnagar
Muzafarnagar
Muzafarnagar
BHUDANA ( MUZ )
KHATAULI ( MUZ )

Muzafarnagar

145
145
145
145
145
145

Muzafarnagar
Muzafarnagar
Muzafarnagar
BHUDANA ( MUZ )
KHATAULI ( MUZ )

Muzafarnagar

145
145
145
145
145
145

Muzafarnagar
Muzafarnagar
Muzafarnagar
BHUDANA ( MUZ )
KHATAULI ( MUZ )

0
0
0
0
60
0
40
0
0
0
0
0
60
40
0
0
0
0
0
60
40
0
0
0
0
0
60
40

CLAIM NO.:
PERIOD:

FARE

E.MAIL /

MISCELLANEOUS

COURIER

EXPENSES

SIGN:

TOTAL

REMARKS

145
145
145
145
247
145
213
0
145
145
145
145
247
213
0
145
145
145
145
247
213
0
145
145
145
145
247
213

1.70
1.70

1.70
1.70

1.70
1.70

1.70
1.70

TOTAL

GT
CHECKED & VERIFIED

FEBRUARY

4305
300 Telephone Allowance
300 Internet Allowance
4905

SIGN :
DETAILS OF REIMBURSEMENT
BANK TRANSFER DETAILS:
DATED:
SIGN :

SUNDAY

02-02-15(Mon)

Muzafarnagar

11

03-02-15(Tue)

Muzafarnagar

10

04-02-15(Wed)

Muzafarnagar

11

05-02-15(Thu)

BHUDANA
( MUZ )

11

06-02-15(Fri)

Muzafarnagar

10

07-02-15(Sat)

KHATAULI
( MUZ )

10

08-02-15(Sun)

SUNDAY

09-02-15(Mon)

Muzafarnagar

10

10-02-15(Tue)

Muzafarnagar

11

11-02-15(Wed)

Muzafarnagar

10

12-02-15(Thu)

Muzafarnagar

11

13-02-15(Fri)

BHUDANA
( MUZ )

11

14-02-15(Sat)

KHATAULI
( MUZ )

11

15-02-15(Sun)

SUNDAY

16-02-15(Mon)

Muzafarnagar

11

17-02-15(Tue)

Muzafarnagar

10

18-02-15(Wed)

Muzafarnagar

11

19-02-15(Thu)

Muzafarnagar

11

20-02-15(Fri)

BHUDANA
( MUZ )

12

21-02-15(Sat)

KHATAULI
( MUZ )

11

22-02-15(Sun)

SUNDAY

23-02-15(Mon)

Muzafarnagar

10

24-02-15(Tue)

Muzafarnagar

11

25-02-15(Wed)

Muzafarnagar

11

26-02-15(Thu)

Muzafarnagar

11

27-02-15(Fri)

BHUDANA
( MUZ )

13

28-02-15(Sat)

KHATAULI
( MUZ )

11

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