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www.medakbadi.in Medical Reimbursement proposal & Claiming software
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Programme Prepared By K.VIJAYAKUMAR, HM Gr-II ,ZPHS KANDI, MDL:KANDI ,DIST:SANGAREDDY 9441208422,9948543187 Medical Bill typeApplicant Cell No
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EMPLOYEE NAME SmtNIMMAKA SATYAVATISTATUS &typeSA ENG
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DESIGNATIONSA ENGWORKING PLACEoffice of the DAO,SA,Nellore
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 vijaykumarkota12@gmail.comMandalSEETHAMPETADistrictPARVATHIPURAM MANYAM
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WWW.MEDAKBADI.INSCALE&PAY45830-130580Basic Pay70850DA%HRA% & others0Emp ID0ENCLOSURESEnclosed?
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PATIENT DETAILSINPATIENT / OUT PATIENTInpatientDDO /Forwarding officer Details :ChecklistYes
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IS THE EMPLOYEE AND PATIENT SAME ?NoDDO/Forwarding officer DesigHEADMASTER Appendix-IIYes
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NAME OF THE PATIENTSriT BHASKAR RAOName & QualificationSmt T VASANTHA LAKSHMI,M A.,HPT,.Non Drawn certificateYes
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RELATIONSHIP WITH THE EMPLOYEEhusbandsonOffice NameGTWAGH SCHOOL SEETHAMPETA Hospital Recognition G.O.Yes
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NAME OF DISEASEMalignant Brain tumor with 6,7,8,9 cranial nerves involvement MandalSeethampetaEmergency certificateYes
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PERIOD OF TREATMENT FROM27.05.2026TO30.05.2026DistrictPARVATHIPURAM MANYAM Essentiality certificateYes
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HOSPITAL NAMEDr Lakshmi Narayana multi-speciality hospital DDO Lr No. 01/MEDICAL REIMBURSEMENT/2026Discharge summaryYes
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HOSPITAL ADDRESSNew Bridge Road, Srikakulam DDO Lr Date30.06.2026Original Medical BillsYes
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HOSPITAL TYPERecognizedAmount495,096Amount Passed25,000DDO CODEXXXGenuine CertificateYes
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Date of submission proposals30.06.2026SPELL OF CLAIMFirstEmployee Bank A/C No.XXXXXifscodeXXXYes
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STO PlaceSANGAREDDYDDO TBR NO13/MEDICAL/2019Bank NameSBIBranchXXXXYes
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Link Bank NameSBI SANGAREDDYL.Bank CodePay bill month & Year(MM.YYYY)08.2019
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 The Medical Superintendent Dist Hospital PARVATHIPURAM MANYAM Lr .No :1166/MR/SUPDT/SRD/2019Date:05.08.2019Dependent certificate
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 DEO PARVATHIPURAM MANYAM Pro. No. C2/560/2019Date:09.08.2019
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Employee House AddressTo Address (Below Rs. 50,000/-)To Address (Above Rs.50,000/-)
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Goidi village, Seethampeta mandal, Parvathipuram Manyam District DSTW&EO, SRIKAKULAM
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ITDA SEETHAMPETA
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