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  • Locum Doctors Claims Form

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    Aaron Cheah OJ
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    Dr. Nik Asyraf Bin Nik Azis submitted a locum doctor claims form for work done in November 2022. The form details one case from November 15, 2022 where Dr. Nik Asyraf earned RM132.80 for ad hoc work starting at 7:00pm. The claims form records his bank account information and rates for standby, ad hoc shifts, and mileage reimbursement. It was submitted on November 16th and requires verification and approval.

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    Dr. Nik Asyraf Bin Nik Azis submitted a locum doctor claims form for work done in November 2022. The form details one case from November 15, 2022 where Dr. Nik Asyraf earned RM132.80 for ad hoc work starting at 7:00pm. The claims form records his bank account information and rates for standby, ad hoc shifts, and mileage reimbursement. It was submitted on November 16th and requires verification and approval.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    8 views1 page

    Locum Doctors Claims Form

    Uploaded by

    Aaron Cheah OJ
    Dr. Nik Asyraf Bin Nik Azis submitted a locum doctor claims form for work done in November 2022. The form details one case from November 15, 2022 where Dr. Nik Asyraf earned RM132.80 for ad hoc work starting at 7:00pm. The claims form records his bank account information and rates for standby, ad hoc shifts, and mileage reimbursement. It was submitted on November 16th and requires verification and approval.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    of 1

    LOCUM DOCTORS CLAIMS FORM

    MONTH: NOVEMBER Ad Hoc


    YEAR: 2022 weekdays 8-5 100
    NAME:Dr Nik Asyraf Bin Nik Azis weekdays 5-12 125
    BANK & ACCOUNT N CIMB 7047850672 weekends 125
    DATE OF SUBMISSIO 16/11/22 additional pt 50

    Per Case
    Standby Rate Ad Hoc Mileage
    No Date Time Avixo PNO Invoice Number Activation Procedures Toll Parking Total
    (RM20 / hr) Activation (RM0.30 / km)
    (RM70 / visit)
    1 11/15/2022 7.00pm 11857 MLK2211-00032 125.00 7.80 132.80

    132.8

    Submitted by: Verified by: Approved by:

    DR AARON CHEAH RYAN SOH


    MEDICAL OFFICER DIRECTOR, CLINICAL SERVICES GENERAL MANAGER

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