GOVERNMENT OF TELANGANA

DEPARTMENT OF AGRICULTURE

From To
Smt. D.Usha, M.Sc(Ag) The Commissioner and
District Agriculture Officer, Director of Agriculture
Hanumakonda Hyderabad
Telangana
Sir,
Lr.No. A/M.R./415/2021, Dt:- -02-2022.

Sub:-MedicalReimbursement–ri.Md.SalavuddinAgricultureExtensionOfficerNallabelli
Cluster Under Control of ADA®Wardhannapet. Medical expenses incurred for
His mother treatment–Submitted medical billsforreimbursement-Scrutiny-
admissible certificate received fromDME – Administrative sanction- Reg.
Ref:- 1.ADA, ®,Wardhannapet Lr.No.A/MR/2021.Dt:-09-09-2021.
2. DME L/Dis/No.45509(1)MA-B/2021 dt, 21.01.2022.
***
The following original medical bills and certificates as detailed below in
duplicate in respect of Sri.Md.Salavuddin,Agriculture Extension Officer Nallabelli
ClusterUnder Control of O/oADA®Wardhannapet Mandal, submitted to the DME
Telangana, Hyderabad for scrutiny and to issue admissible certificate for
reimbursement of medical expenses incurred for his mother treatment for “ Right
LL Cellulities Acute GE recovred T2 DM HTN,f.p.f. 22.08.2021 to 26.08.21.92931/-
(Rupees Ninety twothousandnine hundred thirty one only) at Samraksha Super
Speciality Hospital, Warangal.

1.Appendix-II
2.Non-Drawl Certificate
3.DEPENDENTCERTIFICATE
4.SELF DECLARATION
5.Under Taking SPELLDECLARATION Certiicate.
6. ESSENTIALITY CERTIFICATE
7.EmergencyCertificate
8. Genuinity Certificate
9.Discharge Summary
10.EHS Non-Claim Certificate
11.Original Medical Bills for Rs.92931/-
12. Hospital Recognised G.O.
Further the DME Telangana had Scrutinized the bills and issued net
admissible certificate for Rs. 92931/- ( Rupees Ninety Two Thousand Nine
Hundred Thirty One Only) Hence the above bills are submitted herewith for
administrative sanction.

Yours faithfully,
Encl:-One Set Original & one set Photocopy
along with admissible certificate. District Agriculture
Officer,
Warangal &
Hanumakonda
 NOTE SUBMITTED TO THE DISTRICT AGRICULTURE OFFICER,
WARANGAL&HANUMAKONDA.

No.A/M.R./415 /2022 Dt: -02-2021

Submitted Madam

Sub:- Medical Reimbursement–Sri.Md.SalavuddinAgricultureExtensionOfficerNallabelli Cluster

Under ControlofADA®Wardhannapet.Medical expenses incurred for his mother
treatment–Submittedmedicalbillsforreimbursement-Scrutiny-
admissible certificate received fromDME – Administrative sanction- Reg.
Ref:- 1.ADA, ®,Wardhannapet Lr.No.A /MR/2021.Dt:-09-09-2021.
2.DME L/Dis/No.45509(1)MA-B/2021 dt, 21.01.2022.
***
The following original medical bills and certificates as detailed below in duplicate in
respect of Sri.Md.Salavuddin,Agriculture Extension Officer Nallabelli ClusterUnder Control of
O/oADA®Wardhannapet Mandal, submitted to the DME Telangana, Hyderabad for scrutiny
and to issue admissible certificate for reimbursement of medical expenses incurred for his
mother treatment for “ Right LL Cellulities Acute GE recovred T2 DM HTN,f.p.f.
22.08.2021 to 26.08.21 at Samraksha Super Speciality Hospital, Warangal. Rs. 92931/-
(Rupees Ninety twothousandnine hundred thirty one only) at Samraksha Super
Speciality Hospital, Warangal.

Further the DME Telangana had Scrutinized the bills and issued net
admissible certificate for Rs. 92931/- ( Rupees Ninety Two Thousand Nine Hundred
Thirty One Only) Hence the above bills are submitted herewith for administrative sanction.

Submitted for order,

Sec.Asst. Supdt. A.D.O A.D.A.

D.A.O.