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  • Medical Reimbursement

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    Praveen Kumar
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    The document is a medical reimbursement bill from the Bangalore Metro Rail Corporation Limited. It collects information such as the employee's name and designation, patients' names and relationships to the employee, details of treatment including disease, period of treatment, amount of reimbursement, and remarks. Signatures are required from the employee, controlling officer, and finance department to process the reimbursement payment.

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    Original Title

    MEDICAL REIMBURSEMENT

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    The document is a medical reimbursement bill from the Bangalore Metro Rail Corporation Limited. It collects information such as the employee's name and designation, patients' names and relationships to the employee, details of treatment including disease, period of treatment, amount of reimbursement, and remarks. Signatures are required from the employee, controlling officer, and finance department to process the reimbursement payment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    23 views1 page

    Medical Reimbursement

    Uploaded by

    Praveen Kumar
    The document is a medical reimbursement bill from the Bangalore Metro Rail Corporation Limited. It collects information such as the employee's name and designation, patients' names and relationships to the employee, details of treatment including disease, period of treatment, amount of reimbursement, and remarks. Signatures are required from the employee, controlling officer, and finance department to process the reimbursement payment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    BANGALORE METRO RAIL CORPORATION LIMITED

    BANGALORE
    MEDICAL REIMBURSEMENT BILL

    Name of the Employee: Pay: Designation:

    Period of Amount
    Patients Name and Relationship with the Disease Remarks
    Treatment Rs. Ps.
    Employee

    Date of Medicines purchased Name of


    Injunction
    Consultation Date Particulars Lab text &
    X-ray etc.

    Total

    1. The relevant prescription and vouchers are enclosed No. ---------


    2. Certified that the patients for whom reimbursement has been claimed in this bill
    are wholly dependent on me/ and residing with me/ and are normally residing with
    me but were temporarily away to---------

    Signature of the Employee

    Date----------------
    Controlling Officer
    Checked and passed for payment of Rs.-------------------

    And please pay to Shri / Smt--------------------------- Received Rs.--------------

    Finance & Accounts Signature of the Employee

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