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Medical Reimbursement Proposals Software Prepare MR Proposals Online

Sec-1 Personal Details
Treasury Id Number
Prefix	Select Smt Sri Kum
Name of the Teacher/Employee
Designation
Place/School of Working/
Mandal
District
Present Basic(New PRC)	Select Basic 20000 20600 21200 21800 22460 23120 23780 24500 25220 25940 26720 27500 28280 29130 29980 30830 31750 32670 33590 34580 35570 36560 37640 38720 39800 40970 42140 43310 44570 45830 47090 48440 49790 51140 52600 54060 55520 57100 58680 60260 61960 63660 65360 67190 69020 70850 72810 74770 76730 78820 80910 83000 85240 87480 89720 92110 94500 96890 99430 101970 104510 107210 109910 112610 115500 118390 121280 124380 127480 130580 133900 137220 140540 144150 147760 151370 154980 158880 162780 166680
Scale of Pay	Select Pay Scale 20000-61960 (Grade I) 20600-63660 (Grade II) 21200-65360 (Grade III) 22460-72810 (Grade IV) 23120-74770 (Grade V) 23780-76730 (Grade VI) 25220-80910 (Grade VII) 27500-87480 (Grade VIII) 28280-89720 (Grade IX) 29980-94500 (Grade X) 32670-101970 (Grade XI) 34580-107210 Grade XII) 35570-109910 (Grade XIII) 37640-115500 (Grade XIV) 38720-118390 (Grade XV) 40970-124380 (Grade XVI) 44570-127480 (Grade XVII) 45830-130580 (Grade XVIII) 48440-137220 (Grade XIX) 54060-140540 (Grade XX) 57100-147760 (Grade XXI) 61960-151370 (Grade XXII) 65360-154980 (Grade XXIII) 70850-158880 (Grade XXIV) 76730-162780 (Grade XXV) 80910-166680 (Grade XXVI) 87480-170580 (Grade XXVII) 94500-170580 (Grade XXVIII) 101970-174790 (Grade XXIX) 112610-174790 (Grade XXX) 124380-179000 (Grade XXXI) 133900-179000 (Grade XXXII)
Residential Address
PINCODE
Mobile Number
Sec-2 Patient Details
Prefix	Select Baby Smt Sri Kum Master Miss
Name of the Patient
Relation with Employee	Select Father Mother Self Legal Hier Husband Wife Son Daughter Widower
Age of Pateint
Name and address of Hospital
Category of Hospital	Select Recognised Private
Name of Treatment/Disease
Amount of Hospital Bill Rs.
Date of Joining in Hospital
Date of Discharge
Date of Submission of Proposal to DDO
Sec-3 DDO Details
Prefix	Select Smt Sri Kum
Name of the DDO
DDO Designation
DDO Place of Working
DDO Mandal
DDO District
Sec-4 Proposals Sending Address
Select Department	Select Education Department Otherthan Edn Dept
Enter Med Reim Sending Address

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