WebNIHFW Web1.Photocopy of the CGHS Card of the employee along with the patients CGHS Card. 2.Copy of permission letter, if any. 3.Emergency Certificate (Original), in case of emergency. 4.Copy of the Discharge Summary. 5.Ambulance Certificate (Original), if any. 6.Original Bills / Cash Memo / Vouchers, etc. for the reimbursement amount claimed. IMPORTANT:
CGHS renewal Form - Indian Council of Medical Research
WebMedical Officer in charge of the case at the hospital PART-B I certify that the patient has been under treatment at the _____hospital and that the service of the special nurses for which an expenditure of Rs. _____was incurred, vide bills and receipts attached, were WebOct 17, 2024 · • MED-97 form in respect of CSMA beneficiaries or, M RC (S)/ MED-2004 form in respect of CGHS beneficiary is to be duly filled and signed by the beneficiary. • Referral Memo of the CGHS for CGHS beneficiary may clearly mention on the prescription as to type of treatment/OPD consultation audited to be taken at empanelled hospital. can you shoot a shoplifter
NIHFW
WebMar 31, 2016 · View Full Report Card. Fawn Creek Township is located in Kansas with a population of 1,618. Fawn Creek Township is in Montgomery County. Living in Fawn … WebMODIFIED CHECK LIST FOR REIMBURSEMENT OF MEDICAL CLAIMS 1. CGHS Token No. and place of issue : (or Ben ID of Employee/Pensioner) ... Medical 2004 Form : Yes/No (b) Photocopy of CGHS card : Yes/No. ... received any payment against original bills/claim papers from any source and WebFORM - MRC (S) (For serving employees) CENTRAL GOVERNMENT HEALTH SCHEME MEDICAL REIMBURSEMENT CLAIM FORM (To be filled up by the Principal Card holder in BLOCK LETTERS) Name of the Principal CGHS Card Holder CGHS Ben ID No. Employee Code No Ward Entitlement — Pvt./Semi-Pvt./General Full Address Mobile telephone No. … brio gas station