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Policies & Circulars
Empanelled Hospitals and Related Matters
Forms and Other Documents
Medical Claim Reimbursement
Forms and Other Documents
Sr.No.
Title
Issue Date
Documents
1
Annexure for Form-A
26/04/23
2
Annexure for Form-B
26/04/23
3
Annexure for Form-C
26/04/23
4
IPD Medical Reimbursement claim Form
01/04/22
5
OPD Medical Reimbursement claim Form
01/04/22
6
SPL,Post-operative and Chronic Diseases Reimbursement claim Form
01/04/22
7
FORM-A FOR ISSUING MEDICAL CARD (REGULAR EMPLOYEE)
01/04/22
8
FORM-B FOR ISSUING MEDICAL CARD (PENSIONERS)
01/04/22
9
FORM-C FOR ISSUING MEDICAL CARD (FAMILY PENSIONERS)
01/04/22
10
FORM-D APPLICATION FOR AMENDMENT ISSUE OF NEW MEDICAL CARD
01/04/22
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