Outstation Travel E

Name PABITRA SAHU

Purpose OUT LOCATION VISIT
Department Field Ops
(A) (B) (C )

Date From City TO City

11/1/2023 TITILAGARH BHUBANESWAR
11/2/2023 BHUBANESWAR ROURKELA
11/3/2023 ROURKELA SUNDERGARH
11/6/2023 ROURKELA BERHAMPUR
11/7/2023 BERHAMPUR ROURKELA
11/9/2023 ROURKELA SAMALPUR
11/13/2023 SAMBALPUR ROURKELA
11/14/2023 ROURKELA BHUBANESWAR
11/16/2023 BHUBANESWAR BERHAMPUR
11/17/2023 BHUBANESWAR JOYEPORE
11/17/2023 JOYEPORE SEMLIGUDA
11/18/2023 SEMLIGUDA RAYAGADA
11/19/2023 RAYAGADA SAMALPUR
11/21/2023 SAMBALPUR SONEPUR
11/21/2023 SONEPUR BALANGIR
11/22/2023 BALANGIR ROURKELA
11/23/2023 ROURKELA BALANGIR
11/23/2023 BALANGIR SONEPUR
11/25/2023 BALANGIR ROURKELA
11/25/2023 ROURKELA BONEI
11/26/2023 BONEI RAJGANGPUR

Checked by
(Name & Signature)

Approved
Employee
By
Approved by
(Name & Signature)

Note:
1. Bill shoud reach the HO by 5th of every month
2. Claims received after 5th of every month will not be considered
Note:
1. Bill shoud reach the HO by 5th of every month
2. Claims received after 5th of every month will not be considered
 Outstation Travel Expense Statement Version 1

Base City
Designation
Manager
(D) (E ) (F)
Reason for Travel (RA
Ticket Numbers for which Travel had to be undertaken/ Visit/NTCR/Churn
RA Store Detail Retrieval/Replacement) Total KM
warehouse visit 350
2261897/2254318--TN72 NTCR 450
2257486--TGC3 sro visit 120
2259872/73 NTCR 615
2274622/2275214/2271558 sro visit 615
2269773/2268421/2276099/2276392 Cable replacement 270
2275713 sro visit 150
warehouse visit 450
2280049 sro visit 220
2286368/2286379 replacement 800
2286895/2286898 replacement 50
2278953/2279773 replacement 120
2081022/2284649/2294649/2294705 replacement/Sro visit 350
2292667 sro visit 100
60
2081000 NTCR 330
330
22999952 Cable replacement 60.00
2301791 replacement 330.00
2305388 sro visit 70.00
2304183/234877/2304222 sro visit 100.00

Total
Notes

Advance Taken : Rs.0.00

Total Notes
Expenses : Rs.15,637.00
Due from/to the company : Rs.15,637.00

ot be considered
ot be considered
nt Version 1.0

SAMBALPUR
SRO
VINOD SINGH
(G) (H) (I) (J) (K) (L)
Others
(Miscellaneo
Travel Mode Travel Cost Lodging Food us) TOTAL
Train 980.00 120 80 1180.00
Train 765.00 100 80 945.00
BUS 220.00 90 140 450.00
Train 1290.00 120 100 1510.00
Train 1290.00 320 80 1690.00
BUS 450.00 180 70 700.00
Train 592.00 110 80 782.00
Train 765.00 120 110 995.00
BUS 360.00 540 50 950.00
Train 550.00 160 90 800.00
BUS 90.00 160 50 300.00
BUS 220.00 80 100 400.00
Train 630.00 90 50 770.00
BUS 180.00 120 90 390.00
BUS 100.00 220 90 410.00
Train 555.00 140 120 815.00
Train 510.00 120 110 740.00
BUS 100.00 110 50 260.00
Train 550.00 70 80 700.00
BUS 120.00 150 60 330.00
BUS 180.00 250 90 520.00
0.00
10497.00 0.00 3370.00 1770.00 0.00
TOTAL 15637.00

EXPENSE
STATEMENT
 Outstation Trave

Name PABITRA SAHU

Purpose OUT LOCATION VISIT
Department Field Ops
(A) (B) (C )

Date From City TO City

12/1/2023 Balangir Jharsuguda
12/2/2023 Jharsuguda Berhampur
12/3/2023 Berhampur Sambalpur
12/5/2023 Sambalpur Sundergarh
12/5/2023 Jharsuguda Bhubaneswar
12/6/2023 Bhubaneswar Junagarh
12/7/2023 Junagrh Sambalpur
12/9/2023 Sambalpur Rayagada
12/9/2023 Rayagada Barpali
12/10/2023 Barpali Binika
12/10/2023 Binika Jharsuguda
12/13/2023 Jharsuguda Rayagada
12/14/2023 Rayagada Rourkela
12/15/2023 Rourkela Joyepore
12/16/2023 Joyepore Malkangiri
12/16/2023 Malkangiri Rourkela
12/19/2023 Sambalpur Bhubaneswar
12/20/2023 Bhubaneswar Rourkela
12/21/2023 Rourkela Malkangiri
12/22/2023 Malkangiri Rourkela
12/23/2023 Rourkela Berhampur
12/24/2023 Berhampur Sambalpur
12/27/2023 Sambalpur balangir

Checked by
(Name & Signature)

Approved
Employee
By
Approved by
(Name & Signature)

Note:
1. Bill shoud reach the HO by 5th of every month
2. Claims received after 5th of every month will not be considered
 Outstation Travel Expense Statement Version

(D) (E )
Reason for Travel (RA
Ticket Numbers for which Travel had to be undertaken/ Visit/NTCR/Churn
RA Store Detail Retrieval/Replacement)
2303545 sro visit
2303442/2304010 sro visit
2303260 sro visit
2301233/2317017 sro visit
warehouse visit
2303284/2303951 sro visit
2304954 sro visit
2304501 sro visit
sro visit
2304060/1621541/2303133 sro visit
sro visit
2322333 replacement
2326905 replacement/Sro visit
2328682 sro visit

2301607 sro visit

warehouse visit
warehouse visit
2325157 ntcr
2325155 ntcr
2326141 sro visit
2338678 cable replacement

Total
Notes

Advance Taken :
Total Notes
Expenses :
Due from/to the company :

ot be considered
tatement Version 1.0

Base City SAMBALPUR

Designation SRO
Manager VINOD SINGH
(F) (G) (H) (I) (J) (K)
Others
(Miscellaneo
Total KM Travel Mode Travel Cost Lodging Food us)
180 Train 440.00 120 80
500 Train 920.00 160 80
513 Train 1155.00 140 110
50 bus 80.00 130 140
380 train 955.00 220 100
655 Train 1125.00 180 80
255 bus 400.00 110 80
350 Train 690.00 120 70
270 Train 240.00 120 50
80 bus 160.00 160 90
130 bus 270.00 185 50
390 Train 755.00 80 100
490 Train 485.00 190 50
690 Train 1155.00 120 120
150 bus 250.00 110 110
850 Train + bus 1405.00 140 90
350 Train 467.00 120 50
450.00 train 467.00 190 60
850.00 train+bus 1405.00 70 80
850.00 Train + bus 1405.00 150 90
500.00 train 1025.00 250 90
500.00 train 555.00 185
150.00 bus 270.00 120
16079.00 0.00 3370.00 1770.00
TOTAL

Rs.0.00 EXPENSE
Rs.21,219.00
Rs.21,219.00
STATEMENT
 (L)

TOTAL
640.00
1160.00
1405.00
350.00
1275.00
1385.00
590.00
880.00
410.00
410.00
505.00
935.00
725.00
1395.00
470.00
1635.00
637.00
717.00
1555.00
1645.00
1365.00
740.00
390.00
0.00
21219.00

EXPENSE
TATEMENT
 Outstation Trave

Name PABITRA SAHU

Purpose OUT LOCATION VISIT
Department Field Ops
(A) (B) (C )

Date From City TO City

1/2/2024 SAMBALPUR RAJGANGPUR
1/2/2024 RAJGANGPUR SAMBALPUR
1/4/2024 SAMBALPUR BARPALI
1/6/2024 SAMBALPUR ROURKELA
1/6/2024 ROURKELA SAMBALPUR
1/8/2024 SAMBALPUR BALANGIR
1/9/2024 BALANGIR JHARSUGUDA
1/9/2024 JHARSUGUDA RAYAGADA
1/10/2024 RAYAGADA SAMBALPUR
1/12/2024 SAMBALPUR RAJGANGPUR
1/13/2024 RAJGANGPUR BALANGIR
1/14/2024 BALANGIR BHUBANESWAR
1/15/2024 BHUBANESWAR BERHAMPUR
1/15/2024 BERHAMPUR RAJGANGPUR
1/17/2024 RAJGANGPUR SAMBALPUR
1/18/2024 SAMBALPUR ROURKELA
1/18/2024 ROURKELA BERHAMPUR
1/19/2024 BERHAMPUR SAMBALPUR
1/23/2024 JHARSUGUDA BHUBANESWAR
1/24/2024 BHUBANESWAR BERHAMPUR
1/24/2024 BERHAMPUR ROURKELA
1/25/2024 ROURKELA SAMBALPUR
1/28/2024 SAMBALPUR KHARIAR ROAD
1/29/2024 KHARIAR ROAD BARGARH

Checked by
(Name & Signature)

Approved
Employee
By
Approved by
(Name & Signature)

Note:
1. Bill shoud reach the HO by 5th of every month
2. Claims received after 5th of every month will not be considered
 Outstation Travel Expense Statement Version

(D) (E )
Reason for Travel (RA
Ticket Numbers for which Travel had to be undertaken/ Visit/NTCR/Churn
RA Store Detail Retrieval/Replacement)
2353496 CABLE REPLACEMENT
2343841
2358719 TERMINAL REPLACEMENT
2353552/2361076 TERMINAL REPLACEMENT
2364504
2361502 APPLICALTION UPGRADE
NTS
NTS POTENTIAL
2364723
POTENTIAL NTS
2366218 CABLE REPLACEMENT
WAREHOUSE VISIT
2373126 SIM REPLACE
2366188 TERMINAL REPLACEMENT
2373059 SIM REPLACE
2369056 APPLICALTION UPGRADE
2371341 TERMINAL REPLACEMENT
2378306 TERMINAL REPLACEMENT
WAREHOUSE VISIT
2377730/2390018 TERMINAL REPLACEMENT
2391688/691/692/694 NTCR

2392374 APPLICALTION UPGRADE

2391105 CHURN RETRIEVAL
Total
Notes

Advance Taken :
Total Notes
Expenses :
Due from/to the company :

ot be considered
tatement Version 1.0

Base City SAMBALPUR

Designation SRO
Manager VINOD SINGH
(F) (G) (H) (I) (J) (K)
Others
(Miscellaneo
Total KM Travel Mode Travel Cost Lodging Food us)
145 BUS 250.00 90 80
145 BUS 240.00 210 50
72 BUS 80.00 80 40
200 BUS 320.00 110 90
200 BUS 320.00 100 100
162 BUS 280.00 80 50
185 TRAIN 440.00 240 50
382 TRAIN 755.00 80 60
325 TRAIN 690.00 90 50
145 BUS 250.00 130 90
305 TRAIN 562.00 500 70 50
415 TRAIN 782.00 70 90
165 BUS 280.00 180 50
600 TRAIN 1060.00 420 100
145 BUS 250.00 90 80
200 BUS 350.00 90 90
620 TRAIN 1025.00 120 70
350.00 TRAIN 1155.00 70 80
350.00 TRAIN 920.00 70 80
155.00 BUS 280.00 180 90
620.00 TRAIN 1025.00 230 90
200.00 BUS 350.00 168 50
355.00 TRAIN 562.00 170 40
175.00 BUS 240.00 320
12466.00 500.00 3458.00 1620.00
TOTAL

Rs.0.00 EXPENSE
Rs.18,044.00
Rs.18,044.00
STATEMENT
 (L)

TOTAL
420.00
500.00
200.00
520.00
520.00
410.00
730.00
895.00
830.00
470.00
1182.00
942.00
510.00
1580.00
420.00
530.00
1215.00
1305.00
1070.00
550.00
1345.00
568.00
772.00
560.00
0.00
18044.00

EXPENSE
TATEMENT
 Outstation Travel E

Name PABITRA SAHU

Purpose OUT LOCATION VISIT
Department Field Ops
(A) (B) (C )

Date From City TO City

1/31/2024 ROURKELA MALKANGIRI
2/1/2024 MALKANGIRI BALANGIR
2/3/2024 BALANGIR ROURKELA
2/4/2024 ROURKELA BHUBANESWAR
2/5/2024 BHUBANESWAR RAYAGADA
2/6/2024 RAYAGADA ROURKELA
2/7/2024 ROURKELA SAMBALPUR
2/8/2024 SAMBALPUR BERHAMPUR
2/10/2024 BERHAMPUR BHUBANESWAR
2/12/2024 BHUBANESWAR SAMBALPUR
2/14/2024 SAMBALPUR BALANGIR
2/14/2024 BALANGIR SEMLIGUDA
2/15/2024 SEMLIGUDA SAMBALPUR
2/18/2024 SAMBALPUR ROURKELA
2/19/2024 ROURKELA BERHAMPUR
2/20/2024 BERHAMPUR SAMBALPUR
2/21/2024 BALANGIR SONEPUR
2/22/2024 SONEPUR SAMBALPUR
2/23/2024 SAMBALPUR BALANGIR
2/24/2024 BALANGIR BHAWANIPATNA
2/25/2024 BHAWANIPATNASAMBALPUR
2/29/2024 SAMBALPUR BINIKA

Checked by
(Name & Signature)

Approved
Employee
By
Approved by
(Name & Signature)

Note:
1. Bill shoud reach the HO by 5th of every month
2. Claims received after 5th of every month will not be considered
Note:
1. Bill shoud reach the HO by 5th of every month
2. Claims received after 5th of every month will not be considered
 Outstation Travel Expense Statement Version 1

Base City
Designation
Manager
(D) (E ) (F)
Reason for Travel (RA
Ticket Numbers for which Travel had to be undertaken/ Visit/NTCR/Churn
RA Store Detail Retrieval/Replacement) Total KM
850
2357051 application upgrade 850
2409976 cable replacement 345
2402469 cable replacement 450
warehouse visit 520
2412034/2411254 cable replacement 500
2390855 churn retrieval 200
2391140/41 churn retrieval 460
warehouse visit 180
warehouse visit 320
health check up 150
400
2421108 application upgrade 550
2427703 terminal replacement 200
2427186 cable replacement 620
health check up 520
health check up 55
2425344 application upgrade 80.00
health check up 150.00
health check up 80.00
health check up 240.00
health check up 100.00
Total
Notes

Advance Taken : Rs.0.00

Total Notes
Expenses : Rs.17,080.00
Due from/to the company : Rs.17,080.00

ot be considered
ot be considered
nt Version 1.0

SAMBALPUR
SRO
VINOD SINGH
(G) (H) (I) (J) (K) (L)
Others
(Miscellaneo
Travel Mode Travel Cost Lodging Food us) TOTAL
TRAIN+BUS 1405.00 80 80 1565.00
TRAIN+BUS 1406.00 100 50 1556.00
TRAIN 623.00 80 40 743.00
TRAIN 815.00 90 90 995.00
TRAIN 924.00 240 100 1264.00
TRAIN 815.00 80 50 945.00
BUS 350.00 120 50 520.00
TRAIN 750.00 70 60 880.00
BUS 250.00 180 50 480.00
TRAIN 255.00 130 90 475.00
BUS 220.00 0 60 50 330.00
TRAIN+BUS 985.00 70 90 1145.00
TRAIN+BUS 1015.00 200 50 1265.00
BUS 350.00 11 100 461.00
TRAIN 1015.00 80 80 1175.00
TRAIN 855.00 90 90 1035.00
BUS 80.00 280 70 430.00
BUS 130.00 60 80 270.00
BUS 220.00 50 80 350.00
BUS 145.00 11 90 246.00
BUS 380.00 120 90 590.00
BUS 180.00 130 50 360.00
13168.00 0.00 2332.00 1580.00 0.00
TOTAL 17080.00

EXPENSE
STATEMENT