Medical Reimbursement Form 97 Pdf I MEDICAL ATTENDANCE Fees for consultation indicating the name and designation of the medical officer consulted and the hospital or dispensary to which attached the number and dates of consultation and the fee paid for each consultation the number and dates of injection and the fee paid for each injection
MEDICAL 97 FORM FORM OF APPLICATIONS FOR MEDICAL CLAIMS FORM OF APPLICATION FOR CLAIMING REFUND OF MEDICAL EXPENSES INCURRED IN CONNECTION WITH MEDICAL ATTENDANCE AND OR TREATMENT OF CENTRAL GOVERNMENT SERVANTS AND THEIR FAMILIES Check list for reimbursement of medical claims 1 Medical Reimbursement Claim Form Form 97 2 Copy of Employee ID card Pensioner ID Card 3 Certificate B 4 Copy of Permission letter if any 5 Emergency certificate in original if any 6 Discharge summary in
Medical Reimbursement Form 97 Pdf
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MED 97 Form of application for claiming refund of medical expenses incurred in connection with medical attendance and or treatment for Central Government servants and their families for medical attendance treatment taken both from the Authorised Medical Attendant and a Hospital NOTE 1 Form Medical Claim MED 97 Free download as PDF File pdf or read online for free A form for reimbursement of money under medical emergency for government servants
Form of application for claiming refund of medical expenses incurred in connection with medical attendance treatment of Central Government servants or their families for treatment in a Hospital 1 Name and designation of Government Servant Title Microsoft Word FORM OF APPLICATIONS FOR MEDICAL CLAIMS doc Author Administrator Created Date 3 24 2008 12 51 21
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Med 97 Form of application for claiming refund of medical expenses incurred in connection with medical attendance and or treatment for Central Government servants and their families for medical attendance treatment taken both from the Authorised Medical Attendant and a Hospital Name and designation of Government servant in block letters MED 97 Form of application for claiming refund of medical expenses incurred in connection with medical attendance and or treatment for Central Government servants and their families for medical attendance treatment taken both from the Authorised Medical Attendant and a Hospital DECLARATION TO BE SIGNED BY THE GOVERNMENT
1ed 97 A FORM OF APPLICATION FOR CLAIMING REFUND OF MEDICAL EXPENSES INCURRED IN CONNECTION WITH MEDICAL ATTENDANCE AND OR TREATMENT OF CENTRAL GOVERNMENT SERVANTS AND THEIR FAMILIES Form of application for claiming refund of medical expenses incurred in connection with medical attendance and or treatment of Central Government servants and their families For Medical Attendance by Authorised Medical Attendant
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I MEDICAL ATTENDANCE Fees for consultation indicating the name and designation of the medical officer consulted and the hospital or dispensary to which attached the number and dates of consultation and the fee paid for each consultation the number and dates of injection and the fee paid for each injection
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Medical Reimbursement Form 97 Pdf - All India Institute of Medical Sciences Guwahati Changsari Kamrup Assam 781101 iv Pathological bacteriological radiological or other similar tests indicating a The name of the hospital or laboratory at which undertaken and b Whether undertaken on the advice of the Medical Officer in charge of the case at the hospital