AP Medical Reimbursement proposal & Claiming software dt 14.11.2020.xlsx

	A	B	C	D	E	F	G	H	I	J	K	L	M	O	P	Q	R	S	T	U	V	Y	AB
1	www.medakbadi.in Medical Reimbursement proposal & Claiming software
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3		Programme Prepared By K.VIJAYAKUMAR, HM Gr-II ,ZPHS KANDI, MDL:KANDI ,DIST:SANGAREDDY 9441208422,9948543187					Medical Bill type										Applicant Cell No			9493028886
4							EMPLOYEE NAME			Sri	S PRAKASA RAO					STATUS &type
5							DESIGNATION		Retired Office Subordinate				WORKING PLACE			office of the DAO,SA,Nellore
6	vijaykumarkota12@gmail.com						Mandal		Nellore				District		SPSR Nellore
7	WWW.MEDAKBADI.IN						SCALE&PAY		0		Basic Pay		0		DA%		HRA% & others	0		Emp ID	0	ENCLOSURES	Enclosed?
8																						ENCLOSURES	Enclosed?
9	PATIENT DETAILS				INPATIENT / OUT PATIENT					Inpatient				DDO /Forwarding officer Details :								Checklist	Yes
10	IS THE EMPLOYEE AND PATIENT SAME ?									Yes				DDO/Forwarding officer Desig				District Audit Officer				Appendix-II	Yes
11	NAME OF THE PATIENT				Smt		P THULASAMMA							Name & Qualification				D.Simhadri				Non Drawn certificate	Yes
12	RELATIONSHIP WITH THE EMPLOYEE						mother				son			Office Name		Office of the DAO,SA,Nellore						Hospital Recognition G.O.	Yes
13	NAME OF DISEASE			SEPTIC ENCEPHALOPATHY THROMBOCYTOPENIA										Mandal		Nellore						Emergency certificate	Yes
14	PERIOD OF TREATMENT FROM						28.12.2025			TO	06.01.2026			District		SPSR Nellore District						Essentiality certificate	Yes
15	HOSPITAL NAME			MEDICOVER HOSPITAL ,NELLORE										DDO Lr No.				___/MEDICAL REIMBURSEMENT/2026				Discharge summary	Yes
16	HOSPITAL ADDRESS			CHINTAREDDYPALEM,NELLORE										DDO Lr Date								Original Medical Bills	Yes
17	HOSPITAL TYPE			Recognized				Amount		445,000				Amount Passed		25,000		DDO CODE			XXX	Genuine Certificate	Yes
18	Date of submission proposals					17.02.2026			SPELL OF CLAIM		First			Employee Bank A/C No.			XXXXX			ifscode	XXX		Yes
19	STO Place		SANGAREDDY					DDO TBR NO		13/MEDICAL/2019				Bank Name			SBI		Branch	XXXX			Yes
20	Link Bank Name			SBI SANGAREDDY						L.Bank Code				Pay bill month & Year(MM.YYYY)				08.2019
21	The Medical Superintendent Dist Hospital SPSR Nellore District Lr .No :											1166/MR/SUPDT/SRD/2019							Date:	05.08.2019
22	DEO SPSR Nellore District Pro. No.									C2/560/2019						Date:		09.08.2019
23	Employee House Address						To Address (Below Rs. 50,000/-)								To Address (Above Rs.50,000/-)
24							THE District audit Officer,State Audit, Nellore									THE District audit Officer,State Audit, Nellore
25							SPSR Nellore District									SPSR Nellore District
26	Sangareddy -TS														524001
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