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    Dr. Suhanesh Chandra submitted a locum doctor claims form for work done in December 2022. The form details dates and times worked, procedures performed, and claims for standby rates, ad hoc activation fees, mileage reimbursement, tolls and parking. The total claimed for one visit where complex dressing was done was RM220.60. The form was submitted for verification and approval.

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    Dr. Suhanesh Chandra submitted a locum doctor claims form for work done in December 2022. The form details dates and times worked, procedures performed, and claims for standby rates, ad hoc activation fees, mileage reimbursement, tolls and parking. The total claimed for one visit where complex dressing was done was RM220.60. The form was submitted for verification and approval.

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    © All Rights Reserved
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    9 views1 page

    Untitled

    Uploaded by

    Aaron Cheah OJ
    Dr. Suhanesh Chandra submitted a locum doctor claims form for work done in December 2022. The form details dates and times worked, procedures performed, and claims for standby rates, ad hoc activation fees, mileage reimbursement, tolls and parking. The total claimed for one visit where complex dressing was done was RM220.60. The form was submitted for verification and approval.

    Copyright:

    © All Rights Reserved
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    LOCUM DOCTORS CLAIMS FORM

    MONTH: December Ad Hoc Activation


    YEAR: 2022 Weekdays 8-5 100.00
    NAME: DR SUHANESH CHANDRA Weekdays 5-12 125.00
    BANK & ACCOUNT NUMBER: MAYBANK. 157241046918 Weekends 125.00
    DATE OF SUBMISSION: 5/12/22 Additional Patient 50.00

    Standby Rate Per Case Ad Hoc Mileage


    No Date Time Avixo PNO Invoice Number (RM20 / hr) Activation Activation (RM0.30 / km) Procedures Toll Parking Total
    (RM70 / visit)
    1 12/2/2022 1700h YES YES RM21.00 Complex dressing RM4.60 RM220.60

    Submitted by: Verified by: Approved by:

    DR SUHANESH CHANDRA DR AARON CHEAH RYAN SOH


    MEDICAL OFFICER DIRECTOR, CLINICAL SERVICES GENERAL MANAGER

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