Sr no. Claim no. Received on Emp code Emp Name Relation MAID

52 31-Aug-15 44407 Pratik Singh Wife

53 31-Aug-15 40552 Mohd Faisal Modan Self

54 31-Aug-15 44407 Pratik Singh Son

5014533563  

5013982670  

Beneficiary Name Claim Type

Rachna Singh Reimbursement 34600 Received

Mohd Faisal Modan Reimbursement 14475.62 Received

B\o Rachna Singh Reimbursement Received

Claim Amount

Approved Amount

Settlement Date

Claim Status