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    The Islamia University of Bahawalpur: Bill For Medical Charges

    Uploaded by

    Kashif
    This document is a bill for medical charges from the Islamia University of Bahawalpur. It contains details of an employee such as name, designation, department, name of patient and their relationship to employee. It lists the name of disease, specialist seen, total amount claimed broken down into costs for medicines, hospital fees, tests, and consultant charges. The employee signs to confirm the expenses are original and they will be responsible to refund any bogus bills. The bill must then be countersigned by the specialist and head of department before being recommended for payment and proceeding through various approval and audit steps by the university's accounts, audit, and cheque sections.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    The Islamia University of Bahawalpur: Bill For Medical Charges

    Uploaded by

    Kashif
    37 views2 pages
    This document is a bill for medical charges from the Islamia University of Bahawalpur. It contains details of an employee such as name, designation, department, name of patient and their relationship to employee. It lists the name of disease, specialist seen, total amount claimed broken down into costs for medicines, hospital fees, tests, and consultant charges. The employee signs to confirm the expenses are original and they will be responsible to refund any bogus bills. The bill must then be countersigned by the specialist and head of department before being recommended for payment and proceeding through various approval and audit steps by the university's accounts, audit, and cheque sections.

    Original Title

    Medical_Bill

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    This document is a bill for medical charges from the Islamia University of Bahawalpur. It contains details of an employee such as name, designation, department, name of patient and their relationship to employee. It lists the name of disease, specialist seen, total amount claimed broken down into costs for medicines, hospital fees, tests, and consultant charges. The employee signs to confirm the expenses are original and they will be responsible to refund any bogus bills. The bill must then be countersigned by the specialist and head of department before being recommended for payment and proceeding through various approval and audit steps by the university's accounts, audit, and cheque sections.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    37 views2 pages

    The Islamia University of Bahawalpur: Bill For Medical Charges

    Uploaded by

    Kashif
    This document is a bill for medical charges from the Islamia University of Bahawalpur. It contains details of an employee such as name, designation, department, name of patient and their relationship to employee. It lists the name of disease, specialist seen, total amount claimed broken down into costs for medicines, hospital fees, tests, and consultant charges. The employee signs to confirm the expenses are original and they will be responsible to refund any bogus bills. The bill must then be countersigned by the specialist and head of department before being recommended for payment and proceeding through various approval and audit steps by the university's accounts, audit, and cheque sections.

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    The Islamia University of Bahawalpur

    Bank A/c No.


    BILL FOR MEDICAL CHARGES
    EMPCD
    Regular Contract
    Name of Employee

    Designation Scale No Department/Branch

    Name of Disease

    Name & Relationship of the patient with the employee

    Name of Specialist

    In case of reference made by University Medical Officer: Mode of Medical Attendance

    Total amount claimed Rs.

    A) Cost of Medicines, Vaccines, Sera etc. Rs.

    B) Hospital Fee (s) for accommodation and medical attendance. Rs.

    C) Other Charges (If any) U.S.G, E.C.G, X-Ray etc. Rs.

    D) Pathological tests, fee etc. Rs.

    E) Consultant Charges of Specialist. Rs.

    I certify that the patient for whom


    The re-imbursement of Medical Charges claimed in the bill belongs to me/ my
    who is wholly dependent upon me and he/she is not in service in anywhere or pensioner. I solemnly
    declare under oath that expenses mentioned in this bill are original. If any bill/receipt is found bogus, I
    will be responsible for refund of the money & liable for penalty decided by the competent authority.

    Employee’s Signature

    I and the concerned specialist to whom patient was referred have countersigned the attached bills.

    It is also certified that the Medicines, Drugs etc. include in Cash Memos No.

    Dated (Rupees.

    were essential for the recovery and restoration of the health of

    Mr./Miss/ Mrs.

    Head of Department SENIOR MEDICAL OFFICER

    Recommended & forwarded to the Treasurer for payment


    TO BE USED BY THE ACCOUNTS BRANCH

    Checked and found correct for Rs.

    Entered in the Appropriation Register at Sr. No.

    Dated

    Assistant (Accounts)

    Amount sanctioned for payment of Rs.

    (Rupees )

    Admin. Officer Asstt. Treasurer Deputy Treasurer Treasurer / Vice-Chancellor


    Sanctioning Authority.

    TO BE FILLED BY THE AUDIT BRANCH

    Pre-audited & passed for Rs.

    (Rupees )

    Audit Assistant Admin Officer Resident Audit Officer.

    TO BE FILLED BY THE CHEQUE SECTION

    Paid vide Cheque No. Dated

    Cashier Admin Officer Asstt/Deputy Treasurer Treasurer

    Voucher No. Dated Entered in Classification Register of expenditure at

    page No.

    Classification Assistant.

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