Medical Reimbursement Form.xlsx.pdf
abidali210860
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Oct 02, 2022
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About This Presentation
medical users history
Slide Content
Synavos Solutions (Pvt) Ltd
OPD/Medical Reimbursement Form
Employee Name: Iqra Sultan Date: 8-25-2022
Employee ID: 231 Medical Card No.
Designation: Frontend Developer Job Status: Permanent
Sr. No Patient Name Relationship Bill/Invoice No.Bill/Invoice Date Description Amount (Rs)
3 Sultan Mahmood father 174772 24-8-2022 ( 2,590)
1 Sultan Mahmood father 319274 24-8-2022 ( 17,950)
2 Sultan Mahmood father 346851 16-8-2022 ( 453)
2
2
2
2
2
2
13
14
15
( - )
16
( - )
TOTAL ( 20,993)
Employee Signature: `
HOD Signature:
OPD/Medical Reimbursement Form
Employee Name: Iqra Sultan Date: 8-25-2022
Employee ID: 231 Medical Card No.
Designation: Frontend Developer Job Status: Permanent
Sr. No Patient Name Relationship Bill/Invoice No.Bill/Invoice Date Description Amount (Rs)
3 Sultan Mahmood father 174772 24-8-2022 ( 2,590)
1 Sultan Mahmood father 319274 24-8-2022 ( 17,950)
2 Sultan Mahmood father 346851 16-8-2022 ( 453)
2
2
2
2
2
2
13
14
15
( - )
16
( - )
TOTAL ( 20,993)
Employee Signature: `
HOD Signature:
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