Additional Expense Approval Form
Service Type
Select
Hotel
Ticket
Travelling exp
Conference
Doctor Registration
Dinner with Doctor
Mini Conf by NSM/AGM/DSH/RTM/Marketing Head
Diwali Gift
Diary
Any Other
State
Employee Name
Designation
HQ
Div
Select
D13
D24
AD
Craniaz
Name Of Doctor
Doctor City
SPE Type
Select
Pre
Post
Doctor Category (Rx / Rdx)
Select
Rx
Rdx
Billing Type
Select
Billing Type
Rx Name of Stockiest
Rdx Doctor Billing Counter Name
Billing
Sale Period (From)
Sale Period (To)
Against Sale / Expected Sale
Spe %
SPE Disbursement Type
Select
Self
Other
Spe Amount (Self)
SPE Beneficiaries (Other)
➕ Add Beneficiary
Total SPE Amount (Other)
Remarks (if any)
Submit
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