7th Floor,New Administrative Building, 

Central Railway,
D.N. Road, CST, Mumbai - 400 001,
Phone No. 022 – 22626343,
Fax No. 022 – 22626392
   
No. RVNL/Mumbai/Genl./13/1 Date:10/01/2022
Group General Manager(HR)
Rail Vikas Nigam Limited
1st floor,August Kranti Bhawan,
Bhakaji Kama place, R.K.Puram,
New Delhi-110066 

                Sub: Submission if medical claim incurred by Shri Lallu Lumar Singh,

                         Manager /Finance/RVNL/Mumbai
                 Ref:  RVNL CO’s order no RVNL/HR/3/16/Med. Reimbursement dt: 25/10/19

Shri Lallu Kumar Singh , Manager /Finance/RVNL/Mumbai has applied in the

prescribed proforma for reimbursement of medical bills for Rs 16387.00 towards
the expenses incurred for medical treatment. Hospital’s expenditure details are
given below:
S. Name of patient & Name of Bill/Regd. No. & Bill for Amount
No. relationship with Hospital/Institute/Test date Claimed
employee Centre
1 LALLU KUMAR SINGH LIFEBLYSS HELTHCARE 1.LH/ DOCTOR FEE 700.00
MANAGER/FIN/MUM CENTRE KALYAN THANE 2021/8019 & BLOOD
MUMBAI /23.11.2021, & TEST VISIT 200.00
2.872 DT CHARGES
25.11.2021
2 LALLU KUMAR SINGH LIFEDROP PATHOLOGY LP/2021/2161 DT BLOOD TEST 3800.00
MANAGER/FIN/MUM KALYAM MUMBAI 25.11.2021 COST

4 LALLU KUMAR SINGH ASHUTOSH MRDICAL 63644 DT 26.11.21 MEDICINE 2478.00

MANAGER/FIN/MUM KALYAN MUMBAI & 63495 DT COST
29.11.21 159.00
LALLU KUMAR SINGH LIFEPERL DIAGNOSTICS LD/2021/1525 DT SLEET STUDY 2500..00
MANAGER/FIN/MUM KALYAN MUMBAI 06.12.2021 + TESTVECG, X-
LD/2021/1459 DT RAY ,CHEST 750.00
23.11.21 PA
6 LALLU KUMAR SINGH BOMBAY HOSPITAL MUMBAI CLT/NEB 15006 DOC FEE 5000.00
MANAGER/FIN/MUM DT 08.11.2021
DR.N.E BHARUCHA
7 LALLU KUMAR SINGH UDC LAB RTPCT COVID 800.00
MANAGER/FIN/MUMBAI TEST
SIXTEEN THOUSAND THREE HUNDRED EIGHTY SEVEN ONLY Total 16387.0

The payment of the above bills spend on the medical treatment, has been paid by
Shri  Lallu Kumar Singh, Manager Finance/RVNL/Mumbai to the hospital
authority. All requisite document in scan copy i.e all bills/ receipt/report & etc.in
respect of treatment taken from concerned hospital are sent herewith for the
further necessary action at your end.It is requested to examine the above and
arrange to convey competent authority sanction for the above bill. 

(V.Ramkrishna) 
Joint General Manager (Finance)
RVNL/Mumbai