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Request for Reimbursement of Medical Bill of Hospital
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Dated:
The ............ ................. YYY (City)
Dear Sir / Madam
Regarding :- Reimbursement of Medical Expenses
This is to submit that I have incurred Rs. ................. towards treatment of my wife, Smt ................., A detailed bill of Ganga Ram, Hospital detailed Bill and discharge summary of treatment is enclosed. You are requested to reimburse the expenses per office policy. Tanking you,
Your faitfully, (Your Name) Designation Employee No. Department / Office Encl: As above.
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