PROCEEDINGS OF GAZETTED HEAD MASTER, Z.P.H.S.

SIRIKONDA, Mdl:KATHALAPUR

Present: Sri Bajoji Srinivas, B.Sc.B.Ed.

No._______________
Sub

Ref

Date:__________
Medical Attendance Medical reimbursement Proposals of Sri
A.VenkataRamana, S.A. Sanction Orders issued Reg.
1) Proc. of D.E.O., Karimnagar, No.2512/B7/2013-14 Dt: 31.1.2014
2) Proc. of Dist. Coordinator of Hospital Services, Karimnagar RC No.
MR/509/DCHS-K/2014 Dt: 30.08.2014
3) G.O.Rt.No. 24.,Fin(TFR)Dept. Dt: 22.07.2014
******

ORDER :
In pursuance of orders issued by the Dist.Educatiotioal Officer ,Karimnagar vide Ref
1 cited above on the basis of scrutiny issued by the Dist. Coordinator of Hospital Services,
Karimnagar vide Ref. 2nd cited above the Head master, ZPHS, Sirikonda is pleased to
sanction an amount of Rs. 26,309=00 ( Rupees Twenty Six Thousand Three Hundred and
Nine Only ) towards medical reimbursement medical expenses incurred by him for the
treatment for him self during the period from 14.09.2012 to 20.01.2013 at Yashoda Hospital,
Secunderabad.
As per the Govt. orders vide Ref. 3rd cited above One Bill for Appointment of liability
of the State of Telangana in the population ratio i.e. @ 41.68 % ( 26309/- X 41.68 / 100 =
10966/- ) Rupees Ten Thousand Nine Hundred and Sixty Six Only debtable to the regular
expenditure head.
And
Another bill for the liability of the State of Andhra Pradesh in the population ratio i.e.
@ 58.32 % ( 26309/- X 58.32 / 100 = 15343/- ) Rupees Fifteen Thousand Three Hundred and
Forty Three Only debtable to MJH 8793-ISS-MNH-129 will be preferred separately.
The original medical proceedings under ref. cited along with medical bills will be
enclosed to the first bill and attested Xerox copies will be enclosed to the second bill.
st

GAZETTED HEAD MASER

Z.P.H.S SIRIKONDA
Copy to:
1. The individual concerned
2. S.T.O.Koratla along with bills

Government of TELANGANA
(APTC FORM-058)
BILL FOR WITHDRAWAL FROM MEDICAL REIMBURSEMENT)
For the Month & Year

2014 Bill For :

(For Treasury Use Only)

District : 1508STO

Date:19/11/2014

D.D.O's T.B.R. No : 2014000034

Trans ID:___________________

*******************************************************************
Major Head

2202

Sub Major Head

02

Minor Head

191

Group Sub Head

00

Sub Head

05

Det Head

010

Plan/NonPlan

Service Head

SubDetailed Head 017

---------------------------------------------------------------TREASURY/PAO CODE:
DDO DESIGNATION:
Bank Branch Code:

1508

DDOCODE:

15080308031

HM ZPSS SIRIKONDA
_____________Bank Branch Name:

_____________

------------------------------------------------------------------Total amount of this bill Rs.10966 (ten thousand nine hundred sixty-six)
is paid through Cash/Cheque/Draft/Account Credit/Adjustment
Amount Received
Drawing Officer

Drawing Officer

-------------------------------------------------------------------FOR USE IN TREASURY/PAY & ACCOUNTS OFFICE ONLY

Pay Rs________________(Rupees_______________________________________
(______________________________________________by
only)by cash/Cheque/Draft/Account Credit/Adujustment

Treasury Officer /Pay & Accounts Officer

BUDGET INFORMATION
1. _____________________ Yearly Estimated Budget Rs_______________________
2. _____________________Amount Including this BilRs_______________________
3.Balance ____________________ Rs_______________________

Drawing Officer
___________________________________________________________________________
______________

Government of TELANGANA
(APTC FORM-040)
BILL FOR WITHDRAWAL FROM IS-201)
For the Month & Year

2014 Bill For :

(For Treasury Use Only)

District : 1508STO

Date:19/11/2014

D.D.O's T.B.R. No : 2014000035

Trans ID:___________________

*******************************************************************
Major Head

8793

Sub Major Head

00

Minor Head

129

Group Sub Head

00

Sub Head

00

Det Head

000

Plan/NonPlan

Service Head 2202

SubDetailed Head 000

---------------------------------------------------------------TREASURY/PAO CODE:
DDO DESIGNATION:
Bank Branch Code:

1508

DDOCODE:

15080308031

HM ZPSS SIRIKONDA
_____________Bank Branch Name:

_____________

------------------------------------------------------------------Total amount of this bill Rs.15343 (fifteen thousand three hundred fortythree)
is paid through Cash/Cheque/Draft/Account Credit/Adjustment
Amount Received
Drawing Officer

Drawing Officer

-------------------------------------------------------------------FOR USE IN TREASURY/PAY & ACCOUNTS OFFICE ONLY

Pay Rs________________(Rupees_______________________________________
(______________________________________________by
only)by cash/Cheque/Draft/Account Credit/Adujustment

Treasury Officer /Pay & Accounts Officer

BUDGET INFORMATION
1.

_____________________ Yearly Estimated Budget Rs_______________________

2. _____________________Amount Including this BilRs_______________________

3.Balance ____________________ Rs_______________________

Drawing Officer
___________________________________________________________________________
______________