MIS: Medical Reimbursement Online Form Apply

Click here Online Form Apply

DDO Code

DDO Name

Medical Claim Form:-

Aadhar Number & Aadhar Document

PPP ID, PPP ID Document

Treatment taken from: Govt./ Unempanalled Hospital/ Empanalled Hospital

Nature of Medical Claim : Reimbursement

Essential Certificate

Emergency Certificate: Applicable/ N/A

Final Bill

Affidavit 

Annexure_A Upload

Annexure_A Details