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Covering Letter

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From To

HEADMASTER GRADE-II The Commissioner of School Education


K Y GOVT HIGH SCHOOL, MADDIPADU O/o CSE, Anjaneya Towers, B Block,
MADDIPADU, PRAKASAM Ibraheempatnam, Vijayawada-521456
Sir,
Sub: Medical Reimbursement - Submission of Proposals for Sanction of Medical Reimbursement in respect of -
Smt MARRI ANJANA DEVI - SCHOOL ASSISTANT HINDI - K.Y. GOVT. HIGH SCHOOL,
MADDIPADU - MADDIPADU - Reg.
Ref: 1)G.O. Ms.No. 74, M&H Dept., dated: 15-03-2005.
2)G.O. Ms.No. 105, M&H Dept., dated: 09-04-2007
3)G.O.Ms.No.68 H,M&FW(K1) Dept, Dated:28-03-2011.
3)Medical Bills issued by the Hospital concerned.
4)Application of the Employee requesting for sanction of Medical Reimbursement.
**********
With reference to the subject cited, I submit herewith the Medical Bills with all the enclosures and necessary documents
submitted by Smt MARRI ANJANA DEVI , 0941412, working as SCHOOL ASSISTANT HINDI, K.Y. GOVT. HIGH
SCHOOL, MADDIPADU, MADDIPADU ,PRAKASAM for kind sanction of the Reimbursement of Medical expenses for an
amount of Rs. 485276 (In Words Rupees Four Lakh Eighty Five Thousands Two Hundred Seventy Six Only) as her Son MVSN
SAI SRI RAM who is wholly dependent on her has undergone Treatment for disease RTA LEFT BASIFRONTAL
CONTUSION,LEFT FRONTAL UN DISPLAED FRACTURE EXTENDING TO ACF in the AP State Govt Recognised
Hopital i.e., at YASHODA HOSPITALS during the period from 09-07-2023 to 13-07-2023 and onward transmit to the higher
authorities for further necessary action at an early date.

Details of the Proposals


Name of the Beneficiary (Patient) Sri. MVSN SAI SRI RAM
Name of the Employee MARRI ANJANA DEVI
Relation with Employee Son
Name of the Hospital YASHODA HOSPITALS
Whether Hospital Recognised Yes
Date of Admisison 09-07-2023
Date of Discharge 13-07-2023
Amount Claimed Rs. 485276
I certify that I have physically verified the following documents subimitted by the employee and found correct. I also
certify that the original bills are kept under my safe custody until the sanciton of the bill and whenever asked I will submit the
original bills.
Thanking You
Enclosures:
Essentiality Certificate Yours Sincerely
Emergency Certificate
Discharge Summary
Appendix -II and IP Bills HEADMASTER GRADE-II
Dependent Certificate
Medical Bills
Check List
Non-Drawl Certificate

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