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ANNEXUREIV ERIC MODEL HOSPITAL CUM O.D.C, ADHERE EAST400093 INDENT/SUPPLY ORDER FOR LOCAL CHEMIST Name of Chemist:Indent No.: Date:Sr. Name OfInsuranceNo. Patient No. Name Of DrugsQuantityMfg BMG
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How to fill out esic model hopspital cum

How to fill out esic model hopspital cum
01
To fill out ESIC Model Hospital cum form, follow these steps:
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Start by downloading the ESIC Model Hospital cum form from the official website or obtain a physical copy from the ESIC office.
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Read the instructions provided on the form carefully to understand the requirements and guidelines for filling it out.
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Begin filling out the form by entering your personal details, such as your name, address, contact information, and ESIC registration number if applicable.
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Provide the necessary information about the hospital or healthcare facility that this form pertains to, including its name, address, and ESIC code.
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Fill in the details of the patient or patients being treated at the hospital, including their names, ESIC registration numbers, medical conditions, and treatment received.
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If applicable, mention the date of admission and discharge for each patient.
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Include any additional information or remarks necessary for the completion of the form, as specified in the instructions.
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Review the completed form thoroughly for any mistakes or missing information before submitting it.
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Once you are satisfied with the accuracy of the form, submit it to the designated ESIC office through the prescribed channels provided by the authorities.
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Keep a copy of the filled-out form for your records in case of any future references or inquiries.
Who needs esic model hopspital cum?
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ESIC Model Hospital cum form is needed by hospitals and healthcare facilities that are registered under the Employees' State Insurance Corporation (ESIC).
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It is required for documenting and reporting the treatment provided to ESIC beneficiaries or employees who are entitled to receive medical benefits under the ESIC scheme.
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The form helps in maintaining records and facilitating the reimbursement process for the medical expenses incurred by the employees covered under ESIC.
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What is esic model hopspital cum?
The ESIC Model Hospital Cum is a healthcare facility established under the Employees' State Insurance Corporation (ESIC) scheme that provides medical care to insured employees and their dependents.
Who is required to file esic model hopspital cum?
Employers of establishments covered under the Employees' State Insurance Act are required to file the ESIC Model Hospital Cum to ensure that their employees receive adequate medical benefits.
How to fill out esic model hopspital cum?
To fill out the ESIC Model Hospital Cum, employers need to provide relevant details such as the establishment's information, employee details, and services required, and ensure all documents are correctly attached as per the ESIC guidelines.
What is the purpose of esic model hopspital cum?
The purpose of the ESIC Model Hospital Cum is to provide medical facilities and healthcare services to insured workers and their families, helping ensure their well-being and promote occupational health.
What information must be reported on esic model hopspital cum?
The information that must be reported includes establishment details, employee demographics, medical services needed, and compliance with ESIC regulations.
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