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Mohan Rao

The document is a communication from the In-Charge Medical Officer of E.S.I. Dispensary in Gandhi gram to the Medical Superintendent of E.S.I. Hospital regarding the re-submission of a medical reimbursement bill for a beneficiary named J. Sriknath. The bill amount is Rs. 1,07,558 and includes rectified documents such as an Essentiality Certificate and IP Signature. This submission follows previous correspondence regarding the bill's return for corrections.

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5 views

Mohan Rao

The document is a communication from the In-Charge Medical Officer of E.S.I. Dispensary in Gandhi gram to the Medical Superintendent of E.S.I. Hospital regarding the re-submission of a medical reimbursement bill for a beneficiary named J. Sriknath. The bill amount is Rs. 1,07,558 and includes rectified documents such as an Essentiality Certificate and IP Signature. This submission follows previous correspondence regarding the bill's return for corrections.

Uploaded by

medicalofficergajuwaka
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We take content rights seriously. If you suspect this is your content, claim it here.
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File No.

ESIDGG-HOD0DIMS(CORP)/14/2024-JA(JA)-ESI-GG

GOVEMENT OF ANDHRA PRADESH


INSURANCE MEDICAL SERVICES DEPARTMENT
From To
The In-Charge Medical officer, The Medical Superintendent
E.S.I. Dispensary, Gandhi gram, E.S.I. Hospital,
D.No. 61-1-54, Gandhigram,
Rmakrishna puram, Visakhapatnam - 530005
Malkapuram,
Visakhapatnam- 530011

Rc. No.379339/A1/ESID-GG-VSKP/2024, Date: 24/05/2024


Respected Sir,
Sub: - I.M.S – E.S.I. Dispensary, Gandhi gram, Visakhapatnam District –Re-Submitting the
Medical Reimbursement bill of J.SRIKSNTH, S/o J.RAMOHAN RAO, I.P. NO.
7010324399, Beneficiary.No.1009363318. Re submitted – Regarding

.
Ref: - 1. Rc.No.SPL/RF/B/2022,Dated: 30-11-2022,O/o the Director,IMS,A.P,Vijayawada.
2. Rc.No.1859224-6/G2/ESIH-VSKP/2023.O/o the Medical Superintendent,
ESI,Hospital,Visakhapatnam, Dated: 22/12/2023

*****

I am herewith the Re-Submitting the Medical Reimbursement bill of J.SRIKSNTH,


S/o J.RAMOHAN RAO, I.P.NO.7010324399, Beneficiary.No.1009363318 for an amount of
Rs. 1,07,558.00/- [In words: Rupees One lakh seven thousand five hundred fifty eight
rupees only], which was returned earlier from the Director Insurance Medical services,
A.P.,Vijayawada through the Medical superintendent, ESI.Hospital, Visakhapatanm vide 2nd reference
cited above and the following documents are here by rectified and submitted along with the Bill.
1. Essentiality Certificate along with Bill No. & Bill Date.
2. IP Signature on all bills.

This is for your kind informaton and necessary actonn

Yours faithfully,

Ch.ramesh Babu
IN CHARGE MEDICAL OFFICER

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