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HR & Administration Forms Punjab

Medical Docket PDF & Word

The Medical Docket is the form a Punjab government employee uses to claim reimbursement of medical expenses incurred on their own treatment or that of a dependent family member. Filled with the treating hospital's details and bills, it is submitted through the DDO to the department's medical reimbursement authority for sanction and payment.

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What is the Medical Docket used for?

The Medical Docket records the details of treatment received and the expenses incurred, and serves as the claim form for reimbursement of medical charges from the employee's department under the notified medical allowance rules.

What documents must be attached?

A medical reimbursement claim is usually supported by the following:

  • Original bills and cash memos from the hospital or pharmacy
  • Discharge summary / medical prescription
  • Hospital's stamped and signed medical certificate
  • Copy of the patient's CNIC and relationship with the employee
  • Referral letter, if treatment was taken on reference

How do I submit the medical claim?

Follow these steps for a smooth reimbursement:

  1. Download the docket in Word and fill in the employee, patient, and treatment details.
  2. Attach all original bills and supporting documents.
  3. Obtain the DDO / head of office signature and stamp.
  4. Submit to the concerned medical reimbursement authority for sanction.

Frequently asked questions

Yes, the Medical Docket is free to download in editable Word format from this page. There is no charge for downloading or submitting it.