Sheet1MIDAS HEALTH CARE LTD.EXPENSE STATEMENT

NAME: ANURAG BHARDWAJ, TBM MZNH.Q.: LUCKNOW CLAIM NO.:FEBRUARYDESIGNATION : PERIOD:DATEAPPROVED T.P.AREA WORKEDALLOWANCESDISTANCEFAREE.MAIL /MISCELLANEOUSTOTALREMARKSCOURIEREXPENSES123456789101112131415161718191SUNDAY14501452Muzafarnagar14501453Muzafarnagar14501454Muzafarnagar14501455BHUDANA ( MUZ )145601.702476Muzafarnagar14501457KHATAULI ( MUZ )145401.702138SUNDAY009Muzafarnagar145014510Muzafarnagar145014511Muzafarnagar145014512Muzafarnagar145014513BHUDANA ( MUZ )145601.7024714KHATAULI ( MUZ )145401.7021315SUNDAY0016Muzafarnagar145014517Muzafarnagar145014518Muzafarnagar145014519Muzafarnagar145014520BHUDANA ( MUZ )145601.7024721KHATAULI ( MUZ )145401.7021322SUNDAY0023Muzafarnagar145014524Muzafarnagar145014525Muzafarnagar145014526Muzafarnagar145014527BHUDANA ( MUZ )145601.7024728KHATAULI ( MUZ )145401.70213293031TOTAL NO. OF VOUCHERS: TOTAL4305300Telephone Allowance300Internet AllowanceGT4905

CHECKED & VERIFIEDSIGN :DETAILS OF REIMBURSEMENTBANK TRANSFER DETAILS:SIGN:DATED:SIGN :

Sheet2

Sheet3

SUNDAY002-02-15(Mon)-Muzafarnagar1103-02-15(Tue)-Muzafarnagar1004-02-15(Wed)-Muzafarnagar1105-02-15(Thu)-BHUDANA ( MUZ )1106-02-15(Fri)-Muzafarnagar1007-02-15(Sat)-KHATAULI ( MUZ )1008-02-15(Sun)-SUNDAY009-02-15(Mon)-Muzafarnagar1010-02-15(Tue)-Muzafarnagar1111-02-15(Wed)-Muzafarnagar1012-02-15(Thu)-Muzafarnagar1113-02-15(Fri)-BHUDANA ( MUZ )1114-02-15(Sat)-KHATAULI ( MUZ )1115-02-15(Sun)-SUNDAY016-02-15(Mon)-Muzafarnagar1117-02-15(Tue)-Muzafarnagar1018-02-15(Wed)-Muzafarnagar1119-02-15(Thu)-Muzafarnagar1120-02-15(Fri)-BHUDANA ( MUZ )1221-02-15(Sat)-KHATAULI ( MUZ )1122-02-15(Sun)-SUNDAY023-02-15(Mon)-Muzafarnagar1024-02-15(Tue)-Muzafarnagar1125-02-15(Wed)-Muzafarnagar1126-02-15(Thu)-Muzafarnagar1127-02-15(Fri)-BHUDANA ( MUZ )1328-02-15(Sat)-KHATAULI ( MUZ )11