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  • November Expense Amar

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    utsav jaiswal
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    This document is a conveyance and daily allowance reimbursement form for the month of November. It details the travel dates, locations visited, and expenses incurred for transportation (bike, bus, train, scooty), couriers, petrol, hotels, and other costs. The total claim amount for the month is 6,158 rupees, which includes 3,900 rupees for daily allowance, 410 rupees for courier expenses, 100 rupees for petrol, and 1,748 rupees for other costs like hotels. Any expenses over policy limits would require separate approval.

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    This document is a conveyance and daily allowance reimbursement form for the month of November. It details the travel dates, locations visited, and expenses incurred for transportation (bike, bus, train, scooty), couriers, petrol, hotels, and other costs. The total claim amount for the month is 6,158 rupees, which includes 3,900 rupees for daily allowance, 410 rupees for courier expenses, 100 rupees for petrol, and 1,748 rupees for other costs like hotels. Any expenses over policy limits would require separate approval.

    Copyright:

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

    November Expense Amar

    Uploaded by

    utsav jaiswal
    This document is a conveyance and daily allowance reimbursement form for the month of November. It details the travel dates, locations visited, and expenses incurred for transportation (bike, bus, train, scooty), couriers, petrol, hotels, and other costs. The total claim amount for the month is 6,158 rupees, which includes 3,900 rupees for daily allowance, 410 rupees for courier expenses, 100 rupees for petrol, and 1,748 rupees for other costs like hotels. Any expenses over policy limits would require separate approval.

    Copyright:

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

    Conveyence/Daily Allowance & Parking Reimbursement Form

    Claim Period Claim Month Department (Department (Mark X in concern box)


    PERIOD 1 NOVEMBER TO 31 NOVEMBER NOVEMBER
    VALU5 HEALTHCARE
    Month OCTOBER
    Location RAIPUR AMAR KULMITRA
    Designation
    Vehicle Regn.No. : CG28M3115 0
    Vehicle Type (Car/Motor Cycle) - BIKE
    Date of travel Town Travel Mode Daily Allowance Courier Petrol Hotel Other total

    1-Nov ALEXIS HOSP, GMC BIKE 150 100 0 0 0 250


    2-Nov LATA MANGESKAR HOSPITAL FOR DEMO BIKE 150 0 0 0 0 150
    3-Nov LATA MANGESKAR, GMC, NEW HEALTH CITY, ARNEJA INSTITUTE BIKE 150 0 0 0 0 150
    4-Nov GMC, COLLECTORATE, CRITICARE HOSP, ARNEJA INSTTIUTE, CENTRAL INDIA MEDICOS, AUREUS INSTITUTE BIKE 150 0 0 0 0 150
    5-Nov GMC, CHANDAK NURSING HOME,CENTER POINT HOSPITAL, AMERICAN ONCOLOGY BIKE 150 0 0 0 0 150
    6-Nov SUNDAY NA 0 0 0 0 0 0
    7-Nov GMC, NEW HEALTH CITY, CIMS HOSPITAL, MATERNITY HOSPITAL, VILAS TABE HOSPITAL BIKE 150 70 0 0 40 260
    8-Nov HCG NCHRI, CHOUDHARY HOSPITAL, SENGUPTA HOSPITAL, CARE HOSPITAL BIKE 150 0 0 0 0 150
    9-Nov KRIMS HOSPITAL, INDIRA IVF CENTER, INDIRA GANDHI MEDICAL, KOTHARI HOSPITAL, NEW ERA HOSPTAL BIKE 150 0 0 0 0 150
    10-Nov HCG NCHRI, CHOUDHARY HOSPITAL, SENGUPTA HOSPITAL, CARE HOSPITAL BIKE 150 0 0 0 0 150
    11-Nov ON LEAVE NA 0 0 0 0 0 0
    12-Nov ON LEAVE NA 0 0 0 0 0 0
    13-Nov SUNDAY NA 0 0 0 0 0 0
    14-Nov OUTSTATION NA 200 0 0 0 20 220
    15-Nov OUTSTATION BUS 200 0 0 0 219 419
    16-Nov OUTSTATION SCOOTY 200 100 100 0 0 400
    17-Nov OUTSTATION TRAIN 200 0 0 0 356 556
    18-Nov OUTSTATION SCOOTY 200 0 0 0 160 360
    19-Nov OUTSTATION NA 200 140 0 0 508 848
    20-Nov SUNDAY NA 0 0 0 0 0 0
    21-Nov INDIRA GANDHI MEDICAL COLLAGE, GMC, SMD BIKE 150 0 0 0 0 150
    22-Nov NOVA IVF CENTER, SMD PHARMACY BIKE 150 0 0 0 0 150
    23-Nov ARNEJA HEART, NITI CLINIC, SMD PHARMACY, SHANTINIKETAN NURSING HOME, SHRAWAN HOSPITAL BIKE 150 0 0 0 335 485
    24-Nov NEW ERA, RAHATE SURGICAL, RADIANCE HOSPITAL, CRITICARE, KRIMS, ORANGE CITY, PLATINA HOSPITAL BIKE 150 0 0 0 0 150
    25-Nov WOCKHARDT HOSPITAL BIKE 150 0 0 0 110 260
    26-Nov JAGTAP HOSPITAL, BABA TRAVELS BIKE 150 0 0 0 0 150
    27-Nov SUNDAY NA 0 0 0 0 0 0
    28-Nov GMC, SMD PHARMACY, KINGSWAY HOSP, SPARSH CLINIC, SHEMBEKAR HOSP, SARAWATI KIDNEY CARE, SURETECH BIKE 150 0 0 0 0 150
    29-Nov SHREE BHAWANI, HCG NCHRI, INDIRA IVF, SARASWATI KIDNECARE,ARNEJA INSTITUTE, SHANTINIKETAN NURSING BIKE 150 0 0 0 0 150
    30-Nov SURETECH, VIDARBHA INTENSIVITST, VRG MEDITRINA, VIVEKA HOSPITAL BIKE 150 0 0 0 0 150

    GRAND TOTAL 3900 410 100 0 1748 6158

    1. Any expense over policy limits to be separately approved.


    2. Ex Head Quarter Travel Above 100 KM needs to be seprately approved by supervisor on expense sheet.
    3. Please mention all dates in the expense sheet whether it is Sunday or Holiday and if you are on outstation on a particular day please mention
    the same on the local expense sheet that outstation name

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