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I GOVT. OF ANDHnn pnno-esH

( A.P.r.c HR Biil )

District : 02-Visakhapatnam

Bill No : 2020-665659

Office ( D.D.O.): HEADOFACGOUNT(VOTED/CHARGED)

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Major Head : 2OZ1+ensiorianO Otfler I

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Mirror Head : 800-other Expeiioituie

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Sub Head : 05-Medicat neimOuiiement ofall
_lypes of Pensioners
Head : O40-pensionary Gaiges -
NON. PLAN
sub Detaiteo ne@mbt;;ement -

For Rupees ( 26115.00

l.tt:SO
FIFTEEN Rupees onty.)
, -EIVEN ]-Y-S.I}L T ILO*U_SAND-AN E HUNDRED

Y
6
t Receiveci Contents

FOR USE IN TREA_S_UBYIPAY

lav.R9_26_Us.00 ( Rupees TWEN

Cash / Cheque tDrafti no;ustmJ,r only) by

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Accounts Officer
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that the billwas not drawn
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Financial Year :
1. Budget allotted for the
26115.00
2. Total Expenditure with
This Bilt :

3. Balance Amount:

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Page 3 of 3
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 Beneficiary De,tails

PAN No. Aadhaar No.

008003 1 0731001 3
AZTPA1496
6829 1 01 857
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0lnric llcditol & tlolth 0lllra

. Uilokhonornnr 530013
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Page 2 of 3
 a

OFFICE OF THE DISTRICT MEDICAL AND HEALTH

OFFICER, VISAKHAPAThIAM
LDis No. 11.45 /G2 /zOLg
Dated: 30/05 /2020

sub: Medical Reimbursement -r\redicar Reimbursement biil

of smt.
A.Varaharatnam w/o sri.A.Narasimhachary, Retd.
A.o District Medicar and
Health officerVisakhapatna"n forthe treatment
+Dyslipidemia +Depression urith Anxiety ,,
of ,, tir N,DM+cAt)
at King Georgr: Hcspital ,
Visakhapatnam- - Medical Reimbursement bilis
sarrction orders- lssrrcrcl.

Ref:-1.GoMsNo.74H M&FW(K:t Dept. Dated

) 15/03/2005
2'Praposals Received fron the Medicalofficer pHcentre
Vecharam vsp
3'Counter signed by the superintendent,KG H,Visa
l<ha patnanr,Vide llc. No
1,14s /c6/2020 Dated 06 /04/ZO2O.

ln pursuance of the orders issued in the reference 1'L

Medical and Health officer, visakhapatnam cite<J, the District
is pleased to sanctioned an arnourrt of Rs.
(Rupees Twenty Thousand one 26,.)_$ l-
Hundred and Fifteen only) towards MecJical
smt' A'Varaharatnam w/o sri:A'Narasimhacl'rary, Retd. Rc'inrburserneilt tJiils of
Health officer Visakhapatnamfor the treatmentof
A.o District Mc,cjir al ancl
of " HTN,DM+CAD +Dysripicienria +Depre:,sion with
Anxiety " at King George Hospital
, Visakhapainan- The original bills are counter signc,cl by the
Superintendent,KGH,Visakhapatnam .,,

The Administrativs officer,%oDM&Ho, Visakhapatnam,is

rer.1tie:;ted to rtra,.v
and pay the above individuar, The original
bills are here with enclosecr.
. '.:

Sd/-Dr.S.Tirti patirao
Dist.Medical antj l-tealth Officcr,
Visakhapatnam.

,1's Huilililtsrrarrve urncer, 7o DM&Ho, Visakhapatnam

Copy to sri'A.Narasimhachary, Retd.
A.o District Medicar and Health Officer
Copy to the Treasury Officer concerned.f' -
. .
Visakhaparna m
copy to file.
 ,TO
From
The Superintendent,
The )istrict Medical & Health Office (DMHO),
KinAGeorBe Hospita l, ' Visa khapatna m
Visal(ha patna m
Rc.No. 1145 /c6l2O2O Date 06.04.2020
Sir,
Sub:- King George Hospital, Visakhapatnam- Medical Reimbursement
Bills submitted for scrutiny-Returned after Counter Signature - Regarding.
Ref :- Your letter Rc. No. tL45lG2/2OL9 Date 10.03.2020
,* )i :i

With reference to the Medical Reimbursement bills received in the

reference cited,lamto state that the Medical Reimbursement bills of
Sri/Smt. A,VaTahARATNAM, w/o A.Narasimhachary, Retd AO
who undergone treatment at King George Hospital, viskahapatnam
during the period from 23.06.2019 to 24.lO.2OLg have scrutinized and counter
signed as detailed below:
Totalamount Claimed : Rs. 27965.00
ln-admissible amount : Rs. 1850.00
Amount Limited to : Rs. 0.00
Net Admissible : Rs. 26115.00.\
(Rupees Twentysix Thousand One Hundred and Fifteen on ly)

Note Yours sincerely,

SU PER II..ITEN D ENT

Dtr,ii ttr,,tircl t lrcolth 0llite

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 NON DRAWL CER-[tFtCATE

This is to certify that the claim of Rs.26,11.5=00 (Rupees

Twenty six thousand one
hundred and fifteen only) for Reimbursement of Medicar Expenses incurred by sri
A'Narasimhachary, Retd, Ao, District Medical
and Health office, Visakhapatnam. Towards the

Medical treatment "HTN,DM+GAD+DYSL|PIDEMIA+DEpRESsloN

wlrH ANXIEry, at King George
Hospitat Visakhapatnam From on 23.06.2019 to24.10.2019. Has not drawn and paid
previously.

t{iiffiri,r ollitu
0lstritl illgCi(01 & !{aolrh 0tlite

(ffi Ar YirolhoPotnon 530013

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