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HRD in CBEC - Directorate General of human resource ...

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Details <strong>of</strong> the Claims Total Amount Amount Non-<br />

Amount reimbursed Admissible<br />

Spent as per CS(MA)<br />

rules<br />

Cost <strong>of</strong> treatment<br />

(Doctor’s fees,<br />

Medic<strong>in</strong>es, Test,<br />

Procedure etc.<br />

ICU/CCU charges<br />

Room Charges other<br />

than ICU/CCU<br />

Sundry Charges<br />

(Viz Telephone bills,<br />

guest room charges,<br />

food, conveyance,<br />

diet, Ambulance etc.)<br />

Total<br />

Signature <strong>of</strong> Commissioner/HOD<br />

Name<br />

79

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