NATIONAL BANK OF PAKISTAN

BILL FOR MEDICAL CHARGES

1 . Name of Employee:CH ABBAS AHMED
2 . Nature of Disease: Medical Check up
3 . Category & Designation of Employee:OG-I
4 . Residental Address:PIND DADAN KHAN
5 .Name & Relationship of the patient with the employee:
(in case Medical Facilities are availed by family members of the employee)
6 .Mode of Medical Attendance:BANK 's MEDICAL OFFICER

SPECIALIST OR OTHER MEDICAL

ATTENDANCE OR COUNSULTATION
NAME & ADDRESS

RECOGNISED HOSPITAL
NAME & ADDFRESS

7 . Total Amount Claimed RS__1000/-_________________

8 .Break up of the amount as per item (7)
A.

Cost of Medicines,Vaccines ,Sera,etc

RS .

(If not available from Bank's Dispensary)

B.

Hospital fee (s) for Accommodation & Medical attendance

RS .

C.

Cost of Pathological Bacteriological Examination etc

RS .

D.

Nursing Charges for indoor Patient in Hospital,(if any)

RS .

E.

Diet Charges (in case of employee in Category IV only)

RS .

F.

Consultation Charges of a Specialist.

RS .

G.

Travelling Charges(if any)

RS .

1000/-

(Respective Bill ,Certificates,Cash Memos etc.must be attached)

9 .For Parents Treatment only.
(quote refrence of Regional office .Lahore letter)
Encls:

Employees Signature

Medical Officer's Remarks/Approval

PROVED

To be used only if applicable

certified that the Vitamins & Tonics Included in the

Checked By:

bill are essential to cure the illness

Posted By:

Payment order No & Date

Bank Medical Officer

Bank Medical Officer

Recommended & certified that the bill has scrutinized throughly & that the cost of medicines as shown in the bill are
in accordance with the prices ruling in the market.
Manager

AMOUNT SANCTIONED FOR PAYMENT

RS_______________________________
Rupees:________________________________________________________________________________________________________
DATED:

E.Vice President/Sanctioning Authorty

NOTE:All items must be completed where no details are to be given a ..may be drawn.

NATIONAL BANK OF PAKISTAN

BILL FOR MEDICAL CHARGES
1 . Name of Employee:MUHAMMAD ISHTIAQ QURESHI
2 . Nature of Disease: Medical Check up
3 . Category & Designation of Employee:OG-III
4 . Residental Address:RAWALPINDI
5 . Name & Relationship of the patient with the employee:WIFE
(in case Medical Facilities are availed by family members of the employee)
6 .Mode of Medical Attendance:BANK 's MEDICAL OFFICER

SPECIALIST OR OTHER MEDICAL

ATTENDANCE OR COUNSULTATION
NAME & ADDRESS

RECOGNISED HOSPITAL
NAME & ADDFRESS

7 . Total Amount Claimed RS_300/-_________________

8 .Break up of the amount as per item (7)
A.

Cost of Medicines,Vaccines ,Sera,etc

RS .

(If not available from Bank's Dispensary)

B.

Hospital fee (s) for Accommodation & Medical attendance

RS .

C.

Cost of Pathological Bacteriological Examination etc

RS .

D.

Nursing Charges for indoor Patient in Hospital,(if any)

RS .

E.

Diet Charges (in case of employee in Category IV only)

RS .

F.

Consultation Charges of a Specialist.

RS .

G.

Travelling Charges(if any)

RS .

(Respective Bill ,Certificates,Cash Memos etc.must be attached)

H.

LAB TEAST

RS.

300/-

9 .For Parents Treatment only.

(quote refrence of Regional office .Lahore letter)
Encls:

Employees Signature

Medical Officer's Remarks/Approval

PROVED

To be used only if applicable

certified that the Vitamins & Tonics Included in the

Checked By:

bill are essential to cure the illness

Posted By:

Payment order No & Date

Bank Medical Officer

Bank Medical Officer

Recommended & certified that the bill has scrutinized throughly & that the cost of medicines as shown in the bill are
in accordance with the prices ruling in the market.
Manager

AMOUNT SANCTIONED FOR PAYMENT

RS_______________________________
Rupees:________________________________________________________________________________________________________
DATED:

E.Vice President/Sanctioning Authorty

NOTE:All items must be completed where no details are to be given a ..may be drawn.

NATIONAL BANK OF PAKISTAN

BILL FOR MEDICAL CHARGES
1 . Name of Employee:MUHAMMAD ISHTIAQ QURESHI
2 . Nature of Disease: HOSPITLIZATION FOR LSCS OPREATION
3 . Category & Designation of Employee:OG-III
4 . Residental Address:RAWALPINDI
5 . Name & Relationship of the patient with the employee:WIFE
(in case Medical Facilities are availed by family members of the employee)
6 .Mode of Medical Attendance:BANK 's MEDICAL OFFICER

SPECIALIST OR OTHER MEDICAL

ATTENDANCE OR COUNSULTATION
NAME & ADDRESS

RECOGNISED HOSPITAL
NAME & ADDFRESS

7 . Total Amount Claimed RS__42576/-_________________

8 .Break up of the amount as per item (7)
A.

Cost of Medicines,Vaccines ,Sera,etc

RS .

4301/-

(If not available from Bank's Dispensary)

B.

Hospital fee (s) for Accommodation & Medical attendance

RS .

C.

Cost of Pathological Bacteriological Examination etc

RS .

D.

Nursing Charges for indoor Patient in Hospital,(if any)

RS .

E.

Diet Charges (in case of employee in Category IV only)

RS .

F.

Hospitlization Charges

RS .

G.

Travelling Charges(if any)

RS .

38275/-

(Respective Bill ,Certificates,Cash Memos etc.must be attached)

9 .For Parents Treatment only.
(quote refrence of Regional office .Lahore letter)
Encls:

Employees Signature

Medical Officer's Remarks/Approval

PROVED

To be used only if applicable

certified that the Vitamins & Tonics Included in the

Checked By:

bill are essential to cure the illness

Posted By:

Payment order No & Date

Bank Medical Officer

Bank Medical Officer

Recommended & certified that the bill has scrutinized throughly & that the cost of medicines as shown in the bill are
in accordance with the prices ruling in the market.
Manager

AMOUNT SANCTIONED FOR PAYMENT

RS_______________________________
Rupees:________________________________________________________________________________________________________
DATED:

E.Vice President/Sanctioning Authorty

NOTE:All items must be completed where no details are to be given a ..may be drawn.