Coal India and its Subsidiary companies like CCL can use this application form for the medical rembusment process.
What ever the medicine you purchase outside after The company's official Doctor prescription that can only be allowed for the rembusment.
This is Front page (page 1)
Back page (page 2)
You must print this in single page both in front and back side of single page.
The amount will be credited in your salary account if medical claim is under verified limit and within Coal India Jurisdiction
