OFFICE OF THE COMPLEX HEAD MASTER, ZPHS NIZAMPUR

DISTRICT: SANGAREDDY
From: To
The Complex Head Master, The District Educational Officer
ZPHS Nizampur, Sangareddy,
Disrtict Sangareddy . Sangareddy District,

Lr.No……………………………… Dated:………………………………..
Sir,
Sub:- Medical Attendance - Inpatient Medical Reimbursement of
Sri/Smt.Mangali Mallamma
, Mother of Sri/Smt.Mangali Srinivas, SGT, MPPS KOLKUR ,
Mandal:Sadashivpet, Dist:Sangareddy - Submission for sanction -
regarding.
Ref:- 1) G.O.Ms.No.74, Dated:15-03-2005.
2) G.O.Ms.No.68 H,M&FW(K1) Dept, Dated:28-03-2011.
3) G.O.Ms.No.40, Dated:07-05-2002.
4) Individuals Application Dated:………………..
ababababab
With reference to the subject cited above I submit here With the Inpatient
Medical Reimbursement proposals of Sri/Smt.Mangali Mallamma
, Mother of Sri/Smt.Mangali Srinivas, SGT, MPPS KOLKUR , Mandal:Sadashivpet,
Dist:Sangareddy . He/She was under gone treatment for ESOPHAGUS WITH
DYSPHAGIA-S/P ENDOSCOPIC SEMS PLACEMENT ON at PACE HOSPITALS, Plot No.23
HUDA Techno Enclave, Patrika Nagar, Madhapur, Hyderabad, Telangana-500081

I submit herewith the original bills, necessary documents for reimbursement

of medical expenses of above treatment. Kindly scrutinize the bills and take necessary
action for sanction.
Thanking you. Early action solicited.
Yours faithfully

Complex Head Master

ZPHS Nizampur
Encl:-
1.Checklist
2.Appendix-II
3.Non Drawn certificate
4.Dependant certificate
5.Hospital Recognition G.O.
5.Emergency certificate
6.Essentiality certificate
7.Discharge summary
8.Original Medical Bills