T.R. FORM NO.

13
[LAST PAY CERTIFICATE (LPC)]
[See sub rule(1) of T. R. 4.081]
Name Of Office : Purulia Government Medical Collage & Hospital
Name Of DDO : Accounts Officer, Purulia Government Medical Collage & Hospital ( Hospital
LAST PAY CERTIFICATE (LPC) In Respect of

Employee No : 2018003880
Employee Name : SAHELI CHOUDHURY
GPF A/C No. MED/WB/99230
PAN :
Office : Accounts Officer, Purulia Government Medical Collage & Hospital ( Hospital Side)
D.D.O. Code : PUAHFH005
TAN of the D.D.O. : CALS17977B
Bill Head Of Accounts : HF-2210-01-110-00-082-01
Band Pay or Basic: 34500-Level 9 Min Pay Rs 29800
Proceeding on to : ()
2. Salary Paid up to : 31/10/2023 at the following rates : -

Earnings(Rs.) Deductions(Rs.) Out/Acc.Ded(Rs.)

Item Amount Cumulative Item Amount Cumulative Item Amount
BP 34500 272000 ECHSP 440 3520
DA 2070 16320 ECUHS 12 96
HRA 4140 32640 GISI87 12 96
MA 0 2500 GISS87 28 224
OthA 10 80 GPF 5000 40000
UniAlNs 100 800 PT 200 1600
WASHALLN 150 1200

Recoveries of Loan (Rs.) / Advances (Rs.)

Item Current Received Sanctioned Cumulative Outstandng Installment Remarks
Inst.No. this month Amount Recovery Amount Breakup

Festival Recovery :

BP :Basic/ Band/ Deputation Pay * DA :Dearness Allowance * HRA :House Rent Allowance * MA :Medical Allowance * OthA :Other Allowance * UniAlNs
:Uniform Allowance Allowance for Nursing Staff * WASHALLN :Washing Allowance(Nursing Staff)
ECHSP :Electric Charges for ocupying Medical College/Hospital Quarters * ECUHS :Establishment charges under urban health service * GISI87 :State GIS
Insurance 1987 * GISS87 :State GIS Savings 1987 * GPF :G.P.F. FOR Honble Judges/ GR. ABC(Monthly Subscription) * PT :Professional tax

Dated: 01/11/2023 12.58 PM Page 1 of 4

3. Her GPF Account No. is maintained by DDO / PAG (A&E), West Bengal.
4. She made over charge of the office on 26/09/2023 Afternoon
5. Recoveries are to be made from her emoluments etc. as detailed above.
6. She is entitled to draw pay/allowances as mentioned above.
7. She has been sanctioned _______ leave proceeding joining time for _____ days.
8. She finances the insurance policies detailed above from the Provident Fund.
9. PLI Policy premium deduction done from paybill, if any is mentioned above.
10. The Details of the G.P.F./Income-Tax/Profession Tax deduction made from her upto the date from the beginning of
current financial year is in page 2.
11.
12. Bank Details : A/c No.: 6487360067 ,IFSC : IDIB000S040

Dated:
Accounts Officer, Purulia Government Medical
Collage & Hospital ( Hospital Side)
 Summary of the salary of :SAHELI CHOUDHURY **Amount In Rs.

Month Pay Allowance Gross Deduction Recovery Net Pay Token/TV

No.& Date
Mar BP : 33500 DA : 2010 40290 ECHSP : 440 34598 28300 17/03/2023
2023 HRA : 4020 ECUHS : 12
MA : 500 GISI87 : 12
OthA : 10 GISS87 : 28
UniAlNs 100 GPF : 5000
: PT : 200
WASHA 150
LLN :
Apr BP : 33500 DA : 2010 40290 ECHSP : 440 34598 1425 27/04/2023
2023 HRA : 4020 ECUHS : 12
MA : 500 GISI87 : 12
OthA : 10 GISS87 : 28
UniAlNs 100 GPF : 5000
: PT : 200
WASHA 150
LLN :
May BP : 33500 DA : 2010 40290 ECHSP : 440 34598 3402 26/05/2023
2023 HRA : 4020 ECUHS : 12
MA : 500 GISI87 : 12
OthA : 10 GISS87 : 28
UniAlNs 100 GPF : 5000
: PT : 200
WASHA 150
LLN :
Jun BP : 33500 DA : 2010 40290 ECHSP : 440 34598 5759 28/06/2023
2023 HRA : 4020 ECUHS : 12
MA : 500 GISI87 : 12
OthA : 10 GISS87 : 28
UniAlNs 100 GPF : 5000
: PT : 200
WASHA 150
LLN :
Jul BP : 34500 DA : 2070 41470 ECHSP : 440 35778 7912 27/07/2023
2023 HRA : 4140 ECUHS : 12
MA : 500 GISI87 : 12
OthA : 10 GISS87 : 28
UniAlNs 100 GPF : 5000
: PT : 200
WASHA 150
LLN :
Aug BP : 34500 DA : 2070 40970 ECHSP : 440 35278 10457 25/08/2023
2023 HRA : 4140 ECUHS : 12
OthA : 10 GISI87 : 12
UniAlNs 100 GISS87 : 28
: GPF : 5000
WASHA 150
LLN : PT : 200
Sep BP : 34500 DA : 2070 40970 ECHSP : 440 35278 12798 22/09/2023
2023 HRA : 4140 ECUHS : 12
OthA : 10 GISI87 : 12
UniAlNs 100 GISS87 : 28
: GPF : 5000
WASHA 150
LLN : PT : 200
Oct BP : 34500 DA : 2070 40970 ECHSP : 440 35278 15585 11/10/2023
2023 HRA : 4140 ECUHS : 12
OthA : 10 GISI87 : 12
UniAlNs 100 GISS87 : 28
: GPF : 5000
WASHA 150
LLN : PT : 200
Total: 272000 53540 325540 45536 280004
Arrear(if any):

** Name of Treasury/PAO : Purulia

Dated:
Accounts Officer, Purulia Government

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