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OPD Claim Form for Tata Steel Employees by sovan kumar pattasani is a document available to read on EtoBox.

Sovan Kumar Pattasani is submitting a claim form to Bajaj Allianz GIC Ltd for outpatient treatment expenses incurred for his father Lalmohan Pattasani. The total amount claimed is Rs. 8,226. This includes Rs. 500 for consultation fees, Rs. 3,700 for medicines purchased from a chemist, Rs. 3,570 and Rs. 450 for investigation charges. Sovan is requesting the reimbursement be deposited into his bank account and has provided all the necessary details. He declares that all information provided is true and correc

Author

sovan kumar pattasani

Language

EN