TRAVELLING EXPENSE STATEMENT

NAME : tripurari kumar H.Q.: patna MONTH: june 19

Worked Distance in Km. Fare Working Allowanace (Rs.) No. of Calls Made No. of Days Worked
Date Approved Tour Program
From To (One side) Rs. H.Q. EX. H.Q. OUT Dr. Chem.
1
2 No. of Days on Leave
3
4
5 Dr. Call Avg.
6
7
8 Chem. Call Avg.
9
10
11 Courier Charges
12
13
14 patna PATNA 140 Fax Charges
15 patna PATNA 140
16 patna SUNDAY
17 patna PATNA 140 Internet Charges
18 patna PATNA 140
19 patna KHAGAUL 30 90 140 150

20 patna MASAUDHI+PU 50 150 140 Mobile Charges

21 patna DANAPUR 30 90 140
200
22 patna DANAPUR 30 90 140
23 patna SUNDAY Stationaries
24 patna PATNA 140
25 patna PATNA 140 300
26 patna PATNA Miscellaneous
27 patna AIIMS 30 90 140
28 patna MASAUDHI+PU 50 150 140
29 patna DANAPUR 30 90 140 Grand Total (Rs.)
30 patna SUNDAY
31 patna 3220
TOTAL 750 700 1120 0 0 0
p

Checked by: 1. All Bills attached in sequence of dates Yes / No

2. Any Deviation from From approved tour programme? Yes / No
Re-checked by:

Approved by H.O.:
Approved by H.O.: