Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1 CONST2086 Bharat Singh Bharat Singh Self Reimbursement 17‐Aug‐2010 17631 15000 625923 27‐Aug‐20102 SEPOY17253 Arijit Dasgupta Adrija Dasgupta Daughter Reimbursement 17‐Aug‐2010 5195 4834 625921 27‐Aug‐20103 CONS15051 Sukesh Roy Aloka Roy Spouse Reimbursement 17‐Aug‐2010 19219 10000 625922 27‐Aug‐20104 SEPOY19837 Soumenaditya Saha Sabita Saha Spouse Reimbursement 17‐Aug‐2010 40927 18000 625920 27‐Aug‐20105 SEPOY176 Achintya Pal Rakhi Pal Wife Reimbursement 17‐Aug‐2010 9096 7746 625909 27‐Aug‐20106 Head Sankar Guha Biswas Pousali Guha Biswas Daughter Reimbursement 17‐Aug‐2010 25840 25725 625908 27‐Aug‐20107 CONS15281 Sanjay Kumar Pal Rakhi Pal Spouse Reimbursement 17‐Aug‐2010 16672 10000 625907 27‐Aug‐20108 SEPOY707 Aminur Islam Md Hasan Mahmud Son Reimbursement 17‐Aug‐2010 2306 1975 625906 27‐Aug‐20109 RAF11 Kausik Ghosh Sonali Ghosh Spouse Reimbursement 18‐Aug‐2010 44313 40000 625914 27‐Aug‐2010

10 CONS70 Suresh Barman Dipali Barman Spouse Reimbursement 18‐Aug‐2010 17933 10000 625913 27‐Aug‐201011 ASI12046 Paban Kumar Nandan Proloy Nandan Son Reimbursement 18‐Aug‐2010 18950 15000 625912 27‐Aug‐201012 158 Arpita Bhattacharjee Sourajeet Bhattacharjee Son Reimbursement 18‐Aug‐2010 15705 14268 625901 27‐Aug‐201013 SEPOY383 Arun Kumar Mahata Purabi Mahato Wife Reimbursement 18‐Aug‐2010 22475 10000 625902 27‐Aug‐201014 ASI6042 Utpalendu Bhaduri Anusuya Bhaduri Daughter Reimbursement 18‐Aug‐2010 16434 14000 625911 27‐Aug‐201015 8 Bharat Shaw Bharat Shaw Self Reimbursement 18‐Aug‐2010 6662 5585 625915 27‐Aug‐201016 ASI4827 Jainul Abedin Md Ibrahim Son Reimbursement 18‐Aug‐2010 13855 13167 625910 27‐Aug‐201017 CONST11844 Goutam Kr Singha Chhabi Rani Singha Spouse Reimbursement 19‐Aug‐2010 20400 18000 625918 27‐Aug‐201018 CONS198 Mita Mukherjee Mita Mukherjee Self Reimbursement 19‐Aug‐2010 17043 10000 625904 27‐Aug‐201019 CONST19929 Swapan Kumar Sarkar Arati Sarkar Spouse Reimbursement 19‐Aug‐2010 8367 6800 625903 27‐Aug‐201020 ASI16776 Pramatha Nath Mondal Ishani Mondal Daughter Reimbursement 19‐Aug‐2010 30300 18000 625917 27‐Aug‐201021 SEPOY10852 Saroj Das Dipa Keshri Das Spouse Reimbursement 20‐Aug‐2010 9202 8782 625916 27‐Aug‐201022 LDA Ashis Kumar Sen Jhuma Sen Spouse Reimbursement 17‐Aug‐2010 13646 10000 106 09‐Sep‐201023 S I Surajit Bose Surajit Bose Self Post Hospitalisation 17‐Aug‐2010 61683 58205 625412 10‐Sep‐201024 SERG Prabir Bhattacharjee Prabir Bhattacharjee Self Reimbursement 26‐Aug‐2010 74000 71432 625410 10‐Sep‐201025 UASI2379 Asoke Kumar Acharjee Asoke Kumar Acharjee Self Cashless 01‐Sep‐2010 6419 6419 625969 16‐Sep‐201026 Cons7289 Chuni Bhuson Debnath Mandira Debnath Spouse Cashless 01‐Sep‐2010 5296 5000 625968 16‐Sep‐201027 P DR634 Nilmadhab Kundu Nilmadhab Kundu Self Cashless 01‐Sep‐2010 8500 8000 625970 16‐Sep‐201028 SEPOY19601 Abdul Alim Abdul Alim Self Cashless 01‐Sep‐2010 60022 60000 625966 16‐Sep‐201029 CONST9822 Tapan Kumar Roy Itu Roy Spouse Cashless 01‐Sep‐2010 52830 52000 625967 16‐Sep‐201030 const1302 Purna Chandra Das Purna Chandra Das Self Cashless 01‐Sep‐2010 73469 58069 625964 16‐Sep‐201031 Cons12373 Sujit Kumar Mehera Sujit Kumar Mehera Self Cashless 01‐Sep‐2010 42767 38000 625965 16‐Sep‐201032 P DR499 Gopal Chandra Biswas Gopal Chandra Biswas Self Cashless 01‐Sep‐2010 7988 7988 625962 16‐Sep‐201033 AASI864 Biman Chandra Das Biman Chandra Das Self Cashless 01‐Sep‐2010 22461 20000 625963 16‐Sep‐201034 POLI710 Sunil Kumar Sen Sunil Kumar Sen Self Cashless 03‐Sep‐2010 19545 12000 625977 16‐Sep‐201035 RAF16979 Swapan Oran Sanjana Oraw Daughter Cashless 03‐Sep‐2010 3154 3039 625978 16‐Sep‐201036 SERG Jamal Hossain Chowdhury Jamal Hossain Chowdhury Self Cashless 03‐Sep‐2010 6456 6393 625979 16‐Sep‐201037 SEPOY1423 Amlan Kusum Mondal Amlan Kusum Mondal Self Cashless 03‐Sep‐2010 12898 9534 625980 16‐Sep‐201038 CONST15262 Atul Chandra Das Atul Chandra Das Self Cashless 03‐Sep‐2010 22900 22000 625976 16‐Sep‐201039 CONST 1132 Rajendra Nath Murmu Promila Murmu Spouse Cashless 03‐Sep‐2010 21250 21150 625974 16‐Sep‐201040 P DR603 Arindam Chakraborty Arindam Chakraborty Self Cashless 03‐Sep‐2010 61800 59220 625975 16‐Sep‐201041 SEPOY16905 Atul Samajder Atul Samajder Self Cashless 04‐Sep‐2010 24596 13000 625984 16‐Sep‐201042 S I Ram Sankar Maity Ram Sankar Maity Self Cashless 06‐Sep‐2010 27626 20000 625971 16‐Sep‐201043 SYCE46 Gagan Deo Ram Gagan Deo Ram Self Cashless 06‐Sep‐2010 14825 14500 625973 16‐Sep‐2010

Details of Settled Claim

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt44 ASI10593 Md Ismail Aktara Begum Spouse Cashless 06‐Sep‐2010 44990 44000 625972 16‐Sep‐201045 SEPOY419 Santi Brata Guha Kakali Guha Spouse Cashless 10‐Sep‐2010 28500 28500 625988 16‐Sep‐201046 CONST6246 Mukul Chandra Paul Mukul Chandra Paul Self Cashless 10‐Sep‐2010 21200 21200 625989 16‐Sep‐201047 L CONST128 Rupa Mukharjee Rupa Mukharjee Self Cashless 10‐Sep‐2010 23000 19000 625990 16‐Sep‐201048 CONS17577 Kalyan Saha Gouri Saha Spouse Cashless 11‐Sep‐2010 45625 30000 625981 16‐Sep‐201049 SERG Partha Sarathi Mondal Partha Sarathi Mondal Self Cashless 11‐Sep‐2010 9683 9569 625982 16‐Sep‐201050 CONST9587 Shamal Kr Mondal Bharati Mondal Spouse Cashless 11‐Sep‐2010 20537 15000 625983 16‐Sep‐201051 ASI1253 Sandip Kr Das Sandip Kr Das Self Cashless 11‐Sep‐2010 10676 10000 625985 16‐Sep‐201052 CONS11693 Pradip Kumar Natta Debsruti Natta Daughter Cashless 13‐Sep‐2010 8700 6800 625986 16‐Sep‐201053 P DR745 Dhirendra Nath Mahata Dhirendra Nath Mahata Self Cashless 14‐Sep‐2010 2427 2300 625987 16‐Sep‐201054 ACP Phalguni Prasad Misra Phalguni Prasad Misra Self Reimbursement 17‐Aug‐2010 14495 14400 626009 06‐Oct‐201055 CONS1165 Sushil Kumar Routh Sandhya Routh Spouse Reimbursement 17‐Aug‐2010 41275 15000 626003 06‐Oct‐201056 CONST11484 Ashutosh Panda Akash Panda Son Reimbursement 17‐Aug‐2010 24405 18000 626004 06‐Oct‐201057 Head Sankar Guha Biswas Pousali Guha Biswas Daughter Reimbursement 17‐Aug‐2010 23900 23900 626005 06‐Oct‐201058 S I Swapan Kumar Roy Archana Roy Spouse Reimbursement 17‐Aug‐2010 16200 10000 626047 06‐Oct‐201059 CONST1397 Shib Shankar Laha Mousumi Laha Spouse Reimbursement 17‐Aug‐2010 18706 10000 625995 06‐Oct‐201060 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 17‐Aug‐2010 6800 6800 626070 06‐Oct‐201061 SEPOY1955 Subir Nandan Somita Nandan Spouse Reimbursement 17‐Aug‐2010 11457 10000 626071 06‐Oct‐201062 SEPOY17181 Surajit Roy Shatabdi Roy Spouse Reimbursement 17‐Aug‐2010 16886 14864 626072 06‐Oct‐201063 CONS16302 Kaushik Ghosh Sharmistha Ghosh Spouse Reimbursement 17‐Aug‐2010 27000 10000 625996 06‐Oct‐201064 SEPOY15392 Ganesh Sarkar Shewli Dey Spouse Reimbursement 17‐Aug‐2010 9500 8592 626073 06‐Oct‐201065 L CONST200 Swagata Bose Swagata Bose Self Reimbursement 17‐Aug‐2010 3791 3347 626084 06‐Oct‐201066 SEPOY17541 Debal Ghosh Debal Ghosh Self Reimbursement 17‐Aug‐2010 3046 2546 626083 06‐Oct‐201067 P DR648 Rabindra Nath Nandi Khokan Nandi Son Reimbursement 17‐Aug‐2010 45175 15000 626087 06‐Oct‐201068 SEPOY15423 Zafrul Islam Zafrul Islam Self Reimbursement 17‐Aug‐2010 10393 9637 626089 06‐Oct‐201069 Cons1314 Ajoy Kumar Singha Arati Singha Spouse Reimbursement 17‐Aug‐2010 11251 9167 626091 06‐Oct‐201070 SERG Sandip Gon Tanushree Gon Spouse Reimbursement 17‐Aug‐2010 37245 10000 626090 06‐Oct‐201071 ASI9826 Basudev Das Sourin Das Son Reimbursement 17‐Aug‐2010 18100 15713 626088 06‐Oct‐201072 CONST13771 Snehasis Sardar Smita Sardar Spouse Reimbursement 19‐Aug‐2010 33268 24000 626008 06‐Oct‐201073 SEPOY240 Himadri Gantait Tapasi Gantaik Wife Reimbursement 20‐Aug‐2010 13696 10000 625992 06‐Oct‐201074 ASI9444 Pabitra Kumar Nath Pabitra Kumar Nath Self Reimbursement 20‐Aug‐2010 14041 13993 626007 06‐Oct‐201075 SEPOY2205 Bijes Kumar Manna Bijes Kumar Manna Self Reimbursement 27‐Aug‐2010 3643 3493 626010 06‐Oct‐201076 P Dr1581 Ashok Barick Ashok Barick Self Reimbursement 27‐Aug‐2010 38718 15000 626015 06‐Oct‐201077 CONST11445 Dhirendra Chandra Das Jaya Das Spouse Reimbursement 28‐Aug‐2010 13347 10000 626016 06‐Oct‐201078 CONST15867 Pradip Kumar Barman Lajanti Barman Spouse Reimbursement 28‐Aug‐2010 16605 10000 626018 06‐Oct‐201079 cons16350 Sunil Karmakar Ganga Karmakar Spouse Reimbursement 28‐Aug‐2010 6893 6818 626019 06‐Oct‐201080 ASI11959 Subodh Halder Anita Halder Spouse Reimbursement 28‐Aug‐2010 4260 2895 626013 06‐Oct‐201081 CONS16606 Rafikul Islam Chanda Khatun Spouse Reimbursement 28‐Aug‐2010 10963 10000 626014 06‐Oct‐201082 SEPOY729 Sagar Kumar Das Lakshmi Das Spouse Reimbursement 28‐Aug‐2010 10186 9786 626011 06‐Oct‐201083 CONST125 Guru Pada Mondal Konika Mondal Spouse Reimbursement 28‐Aug‐2010 36078 15000 626012 06‐Oct‐201084 P DR1526 Samaresh Paul Priyanka Paul Spouse Reimbursement 28‐Aug‐2010 13000 10000 626021 06‐Oct‐201085 SERG Santosh Roy Sarita Roy Spouse Reimbursement 30‐Aug‐2010 10950 6550 626024 06‐Oct‐201086 CONS295 Bidyadhar Mahapatra Chandana Mahapatra Spouse Reimbursement 30‐Aug‐2010 15297 10000 626017 06‐Oct‐201087 CONST14699 Biswajit Dutta Arnima Dutta Daughter Reimbursement 30‐Aug‐2010 8019 7531 626020 06‐Oct‐201088 CONST19785 Tapan Kumar Dey Tapan Kumar Dey Self Cashless 03‐Sep‐2010 95650 90215 626043 06‐Oct‐2010

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt89 TYPIST1 Nirmal Mondal Archisman Mondal Son Reimbursement 04‐Sep‐2010 3499 2549 626023 06‐Oct‐201090 SEPOY16718 Mrityunjoy Chowdhury Priyanka Chowdhury Spouse Reimbursement 04‐Sep‐2010 10664 5000 626022 06‐Oct‐201091 6349 Tapan Kumar Mukherjee Aparna Mukharjee Spouse Cashless 10‐Sep‐2010 27000 26542 626027 06‐Oct‐201092 CONST6571 Ajoy Kumar Sarkar Ajoy Kumar Sarkar Self Cashless 10‐Sep‐2010 13414 12574 626064 06‐Oct‐201093 CONST4488 Chandan Bandyopadhyay Ayan Banerjee Son Cashless 10‐Sep‐2010 15248 14448 626063 06‐Oct‐201094 SEPOY17145 Rabiram Karmakar Bithika Karmkar Spouse Cashless 11‐Sep‐2010 7327 7000 626025 06‐Oct‐201095 CONS11172 Kanu Mandal Kanu Mandal Self Cashless 11‐Sep‐2010 25778 23000 626001 06‐Oct‐201096 AASI19731 Ashok Kr Sharma Roy Rekha Rani Sharma Roy Spouse Cashless 15‐Sep‐2010 10000 10000 626036 06‐Oct‐201097 4982 Abdur Rajjak Paik Abdur Rajjak Paik Self Cashless 16‐Sep‐2010 18121 14851 626057 06‐Oct‐201098 CONST6627 Abdul Wahid Yasmin Begum Spouse Cashless 16‐Sep‐2010 16180 12889 626059 06‐Oct‐201099 SEPOY12015 Jagannath Chatterjee Jagannath Chatterjee Self Cashless 16‐Sep‐2010 22946 16800 626039 06‐Oct‐2010

100 SEPOY10223 Prasanta Nandi Prasanta Nandi Self Cashless 16‐Sep‐2010 7428 7308 626028 06‐Oct‐2010101 SEPOY15750 Habibulla Khan Sahina Habib Spouse Cashless 18‐Sep‐2010 19299 18000 626041 06‐Oct‐2010102 CONST12323 Sanjib Kasyapi Rupa Kasyapi Spouse Cashless 20‐Sep‐2010 29782 28000 626054 06‐Oct‐2010103 RAF666 Manas Kumar Singha Mahapatra Subhadip Singha Mahapatra Son Cashless 20‐Sep‐2010 22635 22000 626062 06‐Oct‐2010104 ASI8649 Netai Ch Mondal Netai Ch Mondal Self Cashless 20‐Sep‐2010 15699 11633 626042 06‐Oct‐2010105 SERG Angsuman Pal Wrichik Pal Son Reimbursement 21‐Sep‐2010 17543 16868 626048 06‐Oct‐2010106 Cons Atindra Mondal Atindra Mondal Self Reimbursement 21‐Sep‐2010 65279 55000 626049 06‐Oct‐2010107 S I Debendra Nath Chowdhury Debendra Nath Chowdhury Self Cashless 21‐Sep‐2010 37701 31422 626066 06‐Oct‐2010108 SEPOY7769 Md Latif Md Latif Self Cashless 21‐Sep‐2010 29296 20960 626060 06‐Oct‐2010109 cons183 Ashok Kumar Paul Ashok Kumar Paul Self Cashless 21‐Sep‐2010 10800 10000 626065 06‐Oct‐2010110 CONST19803 Arabinda Kuila Kakuli Kuila Spouse Cashless 22‐Sep‐2010 48821 45000 626078 06‐Oct‐2010111 CONST6691 Md Nurul Islam Mabdud Hasan Son Cashless 22‐Sep‐2010 43587 43000 626081 06‐Oct‐2010112 P DR550 Keshab Chandra Tudu Keshab Chandra Tudu Self Cashless 22‐Sep‐2010 40357 40000 626080 06‐Oct‐2010113 cons1286 Pintu Dutta Pintu Dutta Self Cashless 22‐Sep‐2010 57732 55000 626079 06‐Oct‐2010114 SEPOY18157 Soumitra Dey Soumitra Dey Self Cashless 22‐Sep‐2010 20291 20291 626082 06‐Oct‐2010115 CONS12077 Sasanka Sekhar Pal Chandra Rekha Pal Spouse Cashless 22‐Sep‐2010 26066 24000 626077 06‐Oct‐2010116 SEPOY17181 Surajit Roy Surajit Roy Self Cashless 22‐Sep‐2010 34391 34000 626076 06‐Oct‐2010117 26 Dhanesh Chandra Roy Janoki Roy Spouse Cashless 22‐Sep‐2010 20048 19000 626075 06‐Oct‐2010118 SEPOY387 Samir Ghorai Samir Ghorai Self Cashless 22‐Sep‐2010 20265 20000 626074 06‐Oct‐2010119 S I Kamal Krishna Mukherjee Kamal Krishna Mukherjee Self Cashless 29‐Sep‐2010 61812 55000 625997 06‐Oct‐2010120 31 Sant Lal Ram Raju Kumar Ranjan Son Cashless 30‐Sep‐2010 56877 55000 625998 06‐Oct‐2010121 CONST12919 Mahabir Yadav Mahabir Yadav Self Reimbursement 30‐Sep‐2010 41140 40732 626000 06‐Oct‐2010122 SERG Phanindra Sarkar Tapati Sarkar Spouse Reimbursement 17‐Aug‐2010 4980 4880 626123 28‐Oct‐2010123 AC Jai Prakash Singh Upasana Singh Daughter Reimbursement 17‐Aug‐2010 8448 7568 626117 28‐Oct‐2010124 SEPOY19936 Md Abdul Halim Sahana Khatun Bibi Spouse Reimbursement 17‐Aug‐2010 10616 10000 626105 28‐Oct‐2010125 SEPOY16241 Subrata Ghosh Amita Ghosh Wife Reimbursement 17‐Aug‐2010 12268 10000 626114 28‐Oct‐2010126 cons15645 Amitava Singh Sutapa Singh Spouse Reimbursement 17‐Aug‐2010 11985 10000 626119 28‐Oct‐2010127 CONST8997 Kamal Kanti Das Tapasi Das Spouse Reimbursement 17‐Aug‐2010 1401 1321 626108 28‐Oct‐2010128 CONST13395 Swapan Saha Swapan Saha Self Reimbursement 17‐Aug‐2010 36898 35070 626118 28‐Oct‐2010129 ASI11959 Subodh Halder Anita Halder Spouse Reimbursement 17‐Aug‐2010 3149 3070 626116 28‐Oct‐2010130 SI Amal Kumar Das Mithu Das Spouse Reimbursement 17‐Aug‐2010 28154 18000 626115 28‐Oct‐2010131 CONST12514 Monjur Alam Mondal Monjur Alam Mondal Self Reimbursement 17‐Aug‐2010 23175 15000 626106 28‐Oct‐2010132 PDR6310 Jaydev Santra Monika Santra Spouse Reimbursement 17‐Aug‐2010 10500 9450 626107 28‐Oct‐2010133 SI Ashish Kumar Mukherjee Purnima Mukherjee Spouse Reimbursement 31‐Aug‐2010 22762 18000 626125 28‐Oct‐2010

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt134 SEPOY18954 Pranoy Mondal Arpana Mondal Son Cashless 16‐Sep‐2010 17507 17507 626135 28‐Oct‐2010135 SEPOY11753 Santi Bauri Santi Bauri Self Cashless 20‐Sep‐2010 14098 14098 626136 28‐Oct‐2010136 ASI11193 Haripada Hembram Thakurmoni Hembram Spouse Cashless 11‐Oct‐2010 12431 9800 626111 28‐Oct‐2010137 SEPOY1032 Sambhu Dey Sambhu Dey Self Cashless 11‐Oct‐2010 22784 7000 626110 28‐Oct‐2010138 con13799 Biswajit Chakraborty Dolan Chapa Chakraborty Spouse Cashless 11‐Oct‐2010 25932 25580 626109 28‐Oct‐2010139 ASI4593 Satya Pada Das Satya Pada Das Self Cashless 11‐Oct‐2010 178337 160000 626121 28‐Oct‐2010140 CONS16102 Naba Kumar Roy Mahua Roy Spouse Cashless 11‐Oct‐2010 154343 89700 626122 28‐Oct‐2010141 CONST3224 Santosh Kumar Sarkar Sandhya Sarkar Spouse Cashless 11‐Oct‐2010 39378 34000 626113 28‐Oct‐2010142 INSP Gautam Das Gupta Gautam Das Gupta Self Reimbursement 11‐Oct‐2010 27763 27763 626120 28‐Oct‐2010143 C18 Apurba Kumar Sen Bandana Sen Self Cashless 19‐Oct‐2010 88750 88294 626124 28‐Oct‐2010144 SEPOY18243 Gopal Ch Soren Ujjal Kumar Soren Son Cashless 22‐Oct‐2010 24841 19000 626139 28‐Oct‐2010145 SEPOY17385 Sk Ruhullah Siddique Sk Firoz Siddique Son Cashless 22‐Oct‐2010 38641 33000 626138 28‐Oct‐2010146 CONST13724 Swapan Kumar Mondal Swapan Kumar Mondal Self Cashless 22‐Oct‐2010 32007 27658 626137 28‐Oct‐2010147 P DR815 Kunal Basu Kunal Basu Self Cashless 22‐Oct‐2010 18869 18000 626127 28‐Oct‐2010148 cons4130 Chandra Dew Singh Urmila Singh Spouse Cashless 22‐Oct‐2010 15879 15000 626130 28‐Oct‐2010149 CONST10333 Bipra Das Dey Rita Dey Spouse Cashless 22‐Oct‐2010 10948 10800 626132 28‐Oct‐2010150 SEPOY6222 Ajoy Kumar Dutta Ajoy Kumar Dutta Self Cashless 22‐Oct‐2010 17500 17500 626131 28‐Oct‐2010151 SEPOY840 Dinesh Barman Dinesh Barman Self Cashless 23‐Oct‐2010 10148 9788 626134 28‐Oct‐2010152 ASI12413 Samar Majumdar Sampamajumdar Spouse Cashless 23‐Oct‐2010 11541 11469 626129 28‐Oct‐2010153 SEPOY15326 Apurba Roy Udit Roy Son Cashless 23‐Oct‐2010 7979 7500 626133 28‐Oct‐2010154 ASI5801 Tarak Nath Mondal Tarak Nath Mondal Self Cashless 25‐Oct‐2010 80762 70500 626126 28‐Oct‐2010155 1283 Raju Kundu Anurag Kundu Son Cashless 25‐Oct‐2010 21866 18366 626128 28‐Oct‐2010156 SEPOY142 Khandakar Saiful Alam Khandakar Saiful Alam Self Cashless 11‐Oct‐2010 5878 5500 626112 28‐Oct‐2010157 CONST5960 Manoj Kumar Saha Manoj Kumar Saha Self Reimbursement 17‐Aug‐2010 15400 10000 626155 30‐Oct‐2010158 CONS13725 Hemanta Kumar Ghosh Nandita Ghosh Spouse Reimbursement 20‐Aug‐2010 23061 10000 626162 30‐Oct‐2010159 SEPOY17403 Moni Sk Shyamali Khatun Wife Reimbursement 20‐Aug‐2010 9761 9761 626168 30‐Oct‐2010160 CONST15800 Biswajit Chatterjee Biswajit Chatterjee Self Reimbursement 28‐Aug‐2010 30151 28901 626167 30‐Oct‐2010161 CONST4388 Rajdeo Mishra Rajdeo Mishra Self Reimbursement 30‐Aug‐2010 20742 20442 626166 30‐Oct‐2010162 SEPOY5519 Bhagya Dhar Rej Bhagya Dhar Rej Self Cashless 11‐Sep‐2010 105456 89700 626160 30‐Oct‐2010163 CONST10563 Gobinda Ghosh Srabani Ghosh Daughter Cashless 25‐Sep‐2010 7834 7800 626170 30‐Oct‐2010164 SERG Ved Prakash Rai Sunita Rani Rai Spouse Cashless 22‐Oct‐2010 25559 20947 626163 30‐Oct‐2010165 DCP Sujay Kumar Chanda Sujay Kumar Chanda Self Reimbursement 27‐Oct‐2010 200000 100000 626152 30‐Oct‐2010166 1 Lalan Singh Lalan Singh Self Cashless 27‐Oct‐2010 12946 12204 626153 30‐Oct‐2010167 CONST15800 Biswajit Chatterjee Biswajit Chatterjee Self Cashless 27‐Oct‐2010 16688 15000 626154 30‐Oct‐2010168 HG109 Swapan Kumar Nayak Barnali Nayak Spouse Cashless 27‐Oct‐2010 17078 14500 626156 30‐Oct‐2010169 SEPOY197472 Biswanath Halder Ratna Halder Spouse Cashless 27‐Oct‐2010 10966 10000 626157 30‐Oct‐2010170 INSP Gautam Das Gupta Gautam Das Gupta Self Reimbursement 27‐Oct‐2010 24990 24938 626158 30‐Oct‐2010171 SERG Krishna Pada Das Krishna Pada Das Self Cashless 27‐Oct‐2010 16691 14000 626159 30‐Oct‐2010172 CONST3389 Ratan Kr Mukharjee Ratan Kr Mukharjee Self Cashless 27‐Oct‐2010 125817 89700 626161 30‐Oct‐2010173 CONS357 Rizwana Khatoon Raj Ahmed Brother Reimbursement 28‐Oct‐2010 34533 32000 626165 30‐Oct‐2010174 CONST12596 Anup Kumar Bhattacharjee Karunamayee Bhattacharjee Spouse Cashless 28‐Oct‐2010 12528 9500 626169 30‐Oct‐2010175 SEPOY18427 Lakshmi Kanta Ganguly Shima Ganguly Spouse Cashless 28‐Oct‐2010 16078 15000 626171 30‐Oct‐2010176 CONST3581 Pradip Kumar Dutta Pradip Kumar Dutta Self Cashless 07‐Oct‐2010 15846 15846 301010 30‐Oct‐2010177 SUB INSP7 Manoj Kumar Biswas Swapna Biswas Spouse Reimbursement 17‐Aug‐2010 44282 40000 625418 04‐Nov‐2010178 P DR690 Dhrup Deo Dubey Dhrup Deo Dubey Self Reimbursement 18‐Aug‐2010 16052 10000 625420 04‐Nov‐2010

4 of 66

Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt179 CONST15741 Sankoj Bose Ayush Bose Son Reimbursement 18‐Aug‐2010 28448 25536 625417 04‐Nov‐2010180 CONST13128 Sanat Kundu Saraswati Kundu Spouse Reimbursement 18‐Aug‐2010 14080 14080 625422 04‐Nov‐2010181 SEPOY1156 Soukat Ali Nur Fatama Spouse Reimbursement 18‐Aug‐2010 19831 10000 625419 04‐Nov‐2010182 CONST16467 Subrata Das Baishakhi Das Spouse Reimbursement 10‐Sep‐2010 9526 8337 625416 04‐Nov‐2010183 P DR1883 Sk Samiul Alam Tasrin Nahar Spouse Cashless 01‐Nov‐2010 12700 12000 625424 04‐Nov‐2010184 SERG Surajit Porel Surajit Porel Self Reimbursement 17‐Aug‐2010 21148 13738 625476 16‐Nov‐2010185 CONS15228 Rejakul Miah Momena Khatun Spouse Reimbursement 17‐Aug‐2010 13784 10000 625477 16‐Nov‐2010186 CONS15340 Oajul Rahaman Md Reajwan Nasim Son Reimbursement 28‐Aug‐2010 14140 14140 625479 16‐Nov‐2010187 SEPOY19099 Sk Monibbar Rahaman Sanjuri Bibi Spouse Reimbursement 28‐Aug‐2010 18134 10000 625470 16‐Nov‐2010188 SI Tirthankar Mondal Ritankar Mondal Son Reimbursement 28‐Aug‐2010 16415 12955 625471 16‐Nov‐2010189 CONS13691 Sadhan Kumar Saha Anjana Saha Spouse Reimbursement 30‐Aug‐2010 104084 70000 625481 16‐Nov‐2010190 CONST12101 Sanjib Das Sanjib Das Self Reimbursement 30‐Aug‐2010 41823 15000 625465 16‐Nov‐2010191 P DR1464 Basudeb Bag Basudeb Bag Self Reimbursement 31‐Aug‐2010 12614 12042 625473 16‐Nov‐2010192 SEPOY19448 Sanjit Kumar Ghosh Sulekha Ghosh Wife Reimbursement 31‐Aug‐2010 13352 10000 625462 16‐Nov‐2010193 P Dr1380 Mukul Mondal Dipali Mondal Spouse Reimbursement 31‐Aug‐2010 13358 10000 625469 16‐Nov‐2010194 P Dr1698 Kali Sankar Das Archana Das Spouse Reimbursement 31‐Aug‐2010 12212 10000 625466 16‐Nov‐2010195 CONST13678 Pradip Kumar Mishra Labani Mishra Daughter Reimbursement 31‐Aug‐2010 47553 40000 625467 16‐Nov‐2010196 SEPOY2448 Kaushik Maity Barni Maity Spouse Reimbursement 31‐Aug‐2010 6060 5000 625468 16‐Nov‐2010197 ASI6449 Sk Surabuddin Halima Khatoon Spouse Reimbursement 04‐Sep‐2010 65486 33000 625464 16‐Nov‐2010198 CONST14699 Biswajit Dutta Saptak Dutta Son Reimbursement 08‐Sep‐2010 19858 15000 625463 16‐Nov‐2010199 CONS12141 Anup Kumar Sarkar Rita Sarkar Spouse Reimbursement 09‐Sep‐2010 14911 11019 625475 16‐Nov‐2010200 SERG Devapriya Banerjee Mousumi Banerjee Spouse Reimbursement 09‐Sep‐2010 28763 10000 625474 16‐Nov‐2010201 CONST8997 Kamal Kanti Das Tapasi Das Spouse Reimbursement 10‐Sep‐2010 20355 20043 625472 16‐Nov‐2010202 CONS13362 Nitendra Nath Roy Doli Roy Spouse Cashless 07‐Oct‐2010 17516 17000 625498 16‐Nov‐2010203 ASI6035 Dilip Kumar Biswas Dilip Kumar Biswas Self Cashless 07‐Oct‐2010 11030 10000 625499 16‐Nov‐2010204 CONS6393 Sunil Kr Karmakar Dibyendu Karmakar Son Cashless 07‐Oct‐2010 31987 29000 625497 16‐Nov‐2010205 SEPOY19874 Timir Kumar Pramanik Poli Pramanik Spouse Cashless 22‐Oct‐2010 100644 100000 625509 16‐Nov‐2010206 ASI349 Tapan Kumar Ghosh Tapan Kumar Ghosh Self Cashless 25‐Oct‐2010 10000 10000 625500 16‐Nov‐2010207 CONST1881 Nar Bahadur Bhujel Nar Bahadur Bhujel Self Cashless 01‐Nov‐2010 10032 10000 625482 16‐Nov‐2010208 ASI5255 Rabindranath Biswas Manju Biswas Wife Cashless 01‐Nov‐2010 13691 13000 625483 16‐Nov‐2010209 S I Adi Nath Roy Adi Nath Roy Self Cashless 01‐Nov‐2010 13860 13000 625484 16‐Nov‐2010210 58 Bablu Roy Pankaj Roy Son Cashless 08‐Nov‐2010 18460 18460 625485 16‐Nov‐2010211 SEPOY206 Rajib Lochan Sahoo Rajib Lochan Sahoo Self Cashless 08‐Nov‐2010 24500 23000 625486 16‐Nov‐2010212 7251 Osman Ali Mondal Osman Ali Mondal Self Cashless 08‐Nov‐2010 6950 6950 625487 16‐Nov‐2010213 CONS5783 Parimal Chandra Roy Parimal Chandra Roy Self Cashless 08‐Nov‐2010 26875 25000 625488 16‐Nov‐2010214 SEPOY1574 Sumanta Das Kabiraj Manika Das Kabiraj Spouse Reimbursement 10‐Nov‐2010 12037 10000 625478 16‐Nov‐2010215 CONS8802 Mihir Kr Das Mihir Kr Das Self Reimbursement 10‐Nov‐2010 14084 13700 625480 16‐Nov‐2010216 ASI9809 Prashanta Ghosh Anjana Ghosh Spouse Cashless 10‐Nov‐2010 10000 10000 625501 16‐Nov‐2010217 P DR1885 Ajoy Mondal Ajoy Mondal Self Cashless 11‐Nov‐2010 13000 12000 625495 16‐Nov‐2010218 ASI6813 Shyamlesh Bhattacharjee Deba Prasad Bhattacharjee Son Cashless 11‐Nov‐2010 25000 25000 625494 16‐Nov‐2010219 SERG Rajyeswar Roy Papia Roy Spouse Cashless 11‐Nov‐2010 12677 12500 625493 16‐Nov‐2010220 HG109 Swapan Kumar Nayak Barnali Nayak Spouse Cashless 11‐Nov‐2010 46960 46000 625492 16‐Nov‐2010221 CONST13078 Shyam Sundar Ghosh Shyam Sundar Ghosh Self Cashless 11‐Nov‐2010 29459 29203 625491 16‐Nov‐2010222 P DR643 Prabir Kumar Dey Prabir Kumar Dey Self Cashless 11‐Nov‐2010 42000 42000 625490 16‐Nov‐2010223 SEPOY11105 Salil Mandal Salil Mandal Self Cashless 11‐Nov‐2010 11400 11400 625496 16‐Nov‐2010

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt224 P DR1051 Jayanta Dolui Jayanta Dolui Self Cashless 11‐Nov‐2010 9660 9660 625489 16‐Nov‐2010225 CONST13078 Shyam Sundar Ghosh Shyam Sundar Ghosh Self Cashless 11‐Nov‐2010 12518 12518 625502 16‐Nov‐2010226 7957 Pradip Kumar Dalal Anita Dalal Spouse Cashless 11‐Nov‐2010 27575 25000 625503 16‐Nov‐2010227 PDR613 Muakkib Kan Sarwari Begam Spouse Cashless 11‐Nov‐2010 21730 21000 625504 16‐Nov‐2010228 SYCE54 Pradip Kumar Dey Shibani Dey Spouse Cashless 11‐Nov‐2010 11500 11500 625505 16‐Nov‐2010229 ASI8074 Uttam Kr Mukhopadhya Uttam Kr Mukhopadhya Self Cashless 11‐Nov‐2010 8427 8427 625506 16‐Nov‐2010230 S I Kamal Krishna Mukherjee Kamal Krishna Mukherjee Self Cashless 11‐Nov‐2010 5000 5000 625507 16‐Nov‐2010231 19027 Niladri Sinha Paramita Sinha Spouse Cashless 11‐Nov‐2010 12263 12000 625508 16‐Nov‐2010232 CONST3581 Pradip Kumar Dutta Pradip Kumar Dutta Self Cashless 09‐Sep‐2010 15158 14775 625553 22‐Nov‐2010233 cons15139 Jagadananda Roy Jagadananda Roy Self Cashless 11‐Sep‐2010 24705 22398 625565 22‐Nov‐2010234 10828 Mithun Chandra Samanta Mithun Chandra Samanta Self Cashless 11‐Sep‐2010 25783 23562 625557 22‐Nov‐2010235 AASI10872 Amit Kumar Dutta Amit Kumar Dutta Self Cashless 21‐Sep‐2010 42012 37578 625568 22‐Nov‐2010236 CONST3581 Pradip Kumar Dutta Pradip Kumar Dutta Self Cashless 29‐Sep‐2010 14777 14520 625552 22‐Nov‐2010237 CONST4876 Rama Sankar Mishra Rama Sankar Mishra Self Cashless 22‐Oct‐2010 42571 36000 625560 22‐Nov‐2010238 SEPOY18625 Sambhu Roy Bharoti Roy Spouse Cashless 23‐Oct‐2010 52054 45193 625532 22‐Nov‐2010239 CONST3978 Nitai Chandra Sarkar Nitai Chandra Sarkar Self Cashless 23‐Oct‐2010 39327 35000 625580 22‐Nov‐2010240 ASI18 Rabindra Nath Pandey Rabindra Nath Pandey Self Cashless 25‐Oct‐2010 82721 71800 625562 22‐Nov‐2010241 cons14140 Tapan Ku Maiti Suryadeep Maiti Son Cashless 25‐Oct‐2010 8963 7683 625545 22‐Nov‐2010242 SEPOY10380 Asit Ghosh Asit Ghosh Self Cashless 28‐Oct‐2010 5512 5000 625570 22‐Nov‐2010243 INSP Kalyan Kr Mukherjee Kalyan Kr Mukherjee Self Cashless 28‐Oct‐2010 10000 10000 625555 22‐Nov‐2010244 17524 Md Minhazuddin Md Minhazuddin Self Cashless 28‐Oct‐2010 15120 12000 625554 22‐Nov‐2010245 LDA Prasenjit Chakraborty Prasenjit Chakraborty Self Cashless 12‐Nov‐2010 49635 45000 625533 22‐Nov‐2010246 P DR622 Deb Narayan Bakshi Deb Narayan Bakshi Self Cashless 15‐Nov‐2010 10000 10000 625551 22‐Nov‐2010247 P DR503 Anwar Hassain Khan Anwar Hassain Khan Self Cashless 15‐Nov‐2010 10000 10000 625542 22‐Nov‐2010248 ASI11327 Krishna Prasad Maity Krishna Prasad Maity Self Cashless 15‐Nov‐2010 10000 9030 625541 22‐Nov‐2010249 SEPOY19770 Dipakkrishna Mandal Dipakkrishna Mandal Self Cashless 15‐Nov‐2010 5000 5000 625540 22‐Nov‐2010250 CONS2620 Nityaranjan Acharya Nityaranjan Acharya Self Cashless 15‐Nov‐2010 28981 27921 625539 22‐Nov‐2010251 SEPOY16906 Reajul Islam Liman Raja Son Cashless 15‐Nov‐2010 20000 20000 625538 22‐Nov‐2010252 CONST8543 Sakir Hossain Sakir Hossain Self Cashless 15‐Nov‐2010 5000 5000 625536 22‐Nov‐2010253 SEPOY99 Surajit Khilari Surajit Khilari Self Cashless 15‐Nov‐2010 58895 50000 625534 22‐Nov‐2010254 CONST9570 Tapas Kumar Majhi Tapas Kumar Majhi Self Cashless 15‐Nov‐2010 13000 12072 625537 22‐Nov‐2010255 Pcon9649 Prasanta Samannnt Prasanta Samannnt Self Cashless 15‐Nov‐2010 33488 29494 625535 22‐Nov‐2010256 P Dr Avijit Sandhukha Avijit Sandhukha Self Cashless 15‐Nov‐2010 10500 10290 625550 22‐Nov‐2010257 S I Madan Chakraborty Madan Chakraborty Self Cashless 15‐Nov‐2010 8500 8500 625549 22‐Nov‐2010258 SEPOY16811 Satyabrata Basak Satyabrata Basak Self Cashless 15‐Nov‐2010 15000 14220 625548 22‐Nov‐2010259 P DR1682 Ramprosad Patra Ramprosad Patra Self Cashless 15‐Nov‐2010 12000 12000 625547 22‐Nov‐2010260 17961 Sunil Chandra Roy Chhaya Roy Spouse Cashless 15‐Nov‐2010 19000 18850 625546 22‐Nov‐2010261 SEPOY18794 Bidhan Chand Rai Bidhan Chand Rai Self Cashless 15‐Nov‐2010 38000 37470 625544 22‐Nov‐2010262 SEPOY1022 Md Sahanawas Mallick Md Sahanawas Mallick Self Cashless 15‐Nov‐2010 6000 5810 625543 22‐Nov‐2010263 S I Sachin Mondal Tapati Mondal Spouse Cashless 19‐Nov‐2010 8104 7294 625556 22‐Nov‐2010264 SUB INSP5 Ashutosh Patra Ashutosh Patra Self Cashless 19‐Nov‐2010 13323 12073 625558 22‐Nov‐2010265 CONS12728 Sandip Mondal Kajal Mondal Wife Cashless 19‐Nov‐2010 67606 61293 625559 22‐Nov‐2010266 CONST6627 Abdul Wahid Yasmin Begum Spouse Cashless 19‐Nov‐2010 70419 63843 625561 22‐Nov‐2010267 CONST1881 Nar Bahadur Bhujel Nar Bahadur Bhujel Self Cashless 20‐Nov‐2010 8998 8998 625579 22‐Nov‐2010268 S I689 Atanu Pal Gouri Priya Pal Spouse Cashless 20‐Nov‐2010 13300 13000 625578 22‐Nov‐2010

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt269 CONS4947 Dineswar Singh Dineswar Singh Self Cashless 20‐Nov‐2010 78865 71500 625563 22‐Nov‐2010270 SEPOY17504 Biplab Chandra Mandal Nikita Mandal Daughter Cashless 20‐Nov‐2010 6187 5707 625572 22‐Nov‐2010271 ASI12403 Supriya Kundu Sumitra Kundu Wife Cashless 20‐Nov‐2010 19854 18000 625571 22‐Nov‐2010272 CONST12135 Dhananjay Barman Dhananjay Barman Self Cashless 20‐Nov‐2010 40000 40000 625569 22‐Nov‐2010273 P DR1211 Narendra Nath Sarkar Shikha Sarkar Spouse Cashless 20‐Nov‐2010 21503 18557 625567 22‐Nov‐2010274 CONST13985 Ranjit Kr Singh Rajiv Kr Singh Son Cashless 20‐Nov‐2010 24241 18000 625564 22‐Nov‐2010275 S I Supratik Bandyopadhyay Arpita Bandyopadhyay Spouse Cashless 20‐Nov‐2010 27575 25000 625566 22‐Nov‐2010276 cons13873 Shyamla Meto Saradamoni Meto Spouse Cashless 20‐Nov‐2010 13088 12800 625577 22‐Nov‐2010277 CONST15568 Siddik Miah Beauty Sarkar Spouse Cashless 20‐Nov‐2010 14835 13500 625576 22‐Nov‐2010278 PD1204 Raghu Nath Kundu Anjana Kundu Spouse Cashless 20‐Nov‐2010 27594 25000 625575 22‐Nov‐2010279 ASI10057 Pradip Chakraborty Sampa Chakrabroty Spouse Cashless 20‐Nov‐2010 43511 39448 625574 22‐Nov‐2010280 ASI7001 Swapan Kumar Deb Basanti Deb Spouse Cashless 20‐Nov‐2010 19303 15000 625573 22‐Nov‐2010281 S I Gobinda Das Ckakraborty Gobinda Das Ckakraborty Self Cashless 20‐Nov‐2010 14400 13000 625587 22‐Nov‐2010282 ASI14264 Haendranath Duley Haendranath Duley Self Cashless 20‐Nov‐2010 15148 13000 625586 22‐Nov‐2010283 CONST12596 Anup Kumar Bhattacharjee Karunamayee Bhattacharjee Spouse Cashless 20‐Nov‐2010 8260 8260 625585 22‐Nov‐2010284 CONST18752 Paresh Chandra Roy Ankita Roy Spouse Cashless 20‐Nov‐2010 18751 17000 625584 22‐Nov‐2010285 CONST8493 Pritam Mistri Pritam Mistri Self Cashless 20‐Nov‐2010 14063 12500 625583 22‐Nov‐2010286 CONST12596 Anup Kumar Bhattacharjee Karunamayee Bhattacharjee Spouse Cashless 20‐Nov‐2010 6280 6280 625582 22‐Nov‐2010287 ASI2765 Subhash Chakraborty Laxmi Chakraborty Spouse Cashless 20‐Nov‐2010 73871 71833 625581 22‐Nov‐2010288 SEPOY18170 Md Ramjan Ali Shaikh Saleha Begam Spouse Cashless 20‐Nov‐2010 28075 25000 625590 22‐Nov‐2010289 4605 Lakshuman Thapa Lakshuman Thapa Self Cashless 20‐Nov‐2010 12000 12000 625589 22‐Nov‐2010290 CONST8292 Sk Elias Uddin Tanuja Bibi Spouse Cashless 20‐Nov‐2010 20504 18000 625588 22‐Nov‐2010291 CONST3816 Nemai Paul Madhabi Paul Spouse Reimbursement 16‐Aug‐2010 5415 4625 625644 03‐Dec‐2010292 cons334 Sk Kabir Sk Champa Bibi Spouse Reimbursement 17‐Aug‐2010 13825 10000 625620 03‐Dec‐2010293 CONST13369 Kanu Chaterjee Mitali Chatterjee Spouse Reimbursement 17‐Aug‐2010 19322 10000 625636 03‐Dec‐2010294 CONST14181 Sujit Pande Sipra Pande Spouse Reimbursement 17‐Aug‐2010 20884 10000 625641 03‐Dec‐2010295 ASI5995 Kalipada Karmakar Bhabatarini Karmakar Spouse Reimbursement 17‐Aug‐2010 20564 15000 625639 03‐Dec‐2010296 S I Norbert Rakesh Barla Usha Mary Barla Spouse Reimbursement 17‐Aug‐2010 12500 10000 625631 03‐Dec‐2010297 ASI674 Asit Kr Dey Asit Kr Dey Self Reimbursement 17‐Aug‐2010 9951 9531 625682 03‐Dec‐2010298 P DR619 Gopi Nath Ghosh Gopi Nath Ghosh Self Reimbursement 17‐Aug‐2010 5273 5273 625630 03‐Dec‐2010299 CONS15261 Somnath Patra Madhumita Patra Spouse Reimbursement 17‐Aug‐2010 9188 7336 625626 03‐Dec‐2010300 SEPOY17380 Palsang Tamang Premkit Tamang Spouse Reimbursement 17‐Aug‐2010 16613 14613 625622 03‐Dec‐2010301 SERG Subhra Das Sharma Subhra Das Sharma Self Reimbursement 17‐Aug‐2010 100005 100000 625649 03‐Dec‐2010302 CONST8445 Sujit Kr Sarkar Lila Sarkar Spouse Reimbursement 17‐Aug‐2010 20771 18000 625638 03‐Dec‐2010303 CONST2501 Paresh Ch Roy Priyanka Roy Daughter Reimbursement 17‐Aug‐2010 4722 4722 625635 03‐Dec‐2010304 CONST1438 Rintu Raha Aparna Raha Spouse Reimbursement 17‐Aug‐2010 16500 10000 625637 03‐Dec‐2010305 CONST890 Prabir Bose Prabir Bose Self Reimbursement 17‐Aug‐2010 6803 4287 625640 03‐Dec‐2010306 P DR499 Gopal Chandra Biswas Gopal Chandra Biswas Self Reimbursement 17‐Aug‐2010 163717 92012 625660 03‐Dec‐2010307 CONS13413 Santanu Dey Sujata Dey Spouse Reimbursement 17‐Aug‐2010 16259 10000 625623 03‐Dec‐2010308 SEPOY9996 Bimal Ch Bhalla Kabita Bhalla Spouse Reimbursement 17‐Aug‐2010 11470 10000 625642 03‐Dec‐2010309 CONST12721 Nirendra Nath Pal Nirendra Nath Pal Self Reimbursement 17‐Aug‐2010 11500 11088 625618 03‐Dec‐2010310 CONST15568 Siddik Miah Beauty Sarkar Spouse Reimbursement 17‐Aug‐2010 5179 3665 625616 03‐Dec‐2010311 S I Surajit Bose Surajit Bose Self Reimbursement 17‐Aug‐2010 6644 6144 625647 03‐Dec‐2010312 7274 Sudeb Sardar Tulika Sardar Daughter Reimbursement 17‐Aug‐2010 31138 22000 625681 03‐Dec‐2010313 ASI8323 Satyendra Kr Dutta Satyendra Kr Dutta Self Reimbursement 17‐Aug‐2010 36361 21361 625627 03‐Dec‐2010

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt314 CONST1457 Amalendu Kumar Jha Amalendu Kumar Jha Self Reimbursement 17‐Aug‐2010 3599 3599 625629 03‐Dec‐2010315 P DR671 Subal Kumar Ghosh Munmun Ghosh Spouse Reimbursement 17‐Aug‐2010 8920 8560 625625 03‐Dec‐2010316 ASI11959 Subodh Halder Anita Halder Spouse Reimbursement 18‐Aug‐2010 2963 2896 625634 03‐Dec‐2010317 CONS5749 Rabindranath Saha Tapati Saha Spouse Reimbursement 18‐Aug‐2010 18950 18850 625645 03‐Dec‐2010318 ASI8928 Ajit Kumar Dubey Ajit Kumar Dubey Self Reimbursement 18‐Aug‐2010 5030 4419 625628 03‐Dec‐2010319 cons16683 Papan Paul Mandira Paul Spouse Reimbursement 18‐Aug‐2010 17142 15000 625624 03‐Dec‐2010320 PD1204 Raghu Nath Kundu Raghu Nath Kundu Self Reimbursement 18‐Aug‐2010 4710 4480 625653 03‐Dec‐2010321 ASI2246 Subimal Saha Eti Saha Spouse Reimbursement 20‐Aug‐2010 38641 15180 625646 03‐Dec‐2010322 CONST16324 Santu Chakraborty Jhuma Chakraborty Spouse Reimbursement 28‐Aug‐2010 7538 5000 625695 03‐Dec‐2010323 CONST7413 Tapas Kr Ghosh Dudheswari Ghosh Spouse Reimbursement 28‐Aug‐2010 6575 6405 625657 03‐Dec‐2010324 cons19376 Dinabandhu Swrnakar Jharna Swarnakarl Spouse Reimbursement 28‐Aug‐2010 24078 10000 625654 03‐Dec‐2010325 SEPOY19330 Biswajit Das Bharati Das Spouse Reimbursement 28‐Aug‐2010 14070 10000 625632 03‐Dec‐2010326 P DRIVER998 Anuj Kumar Singh Sadhana Singh Spouse Reimbursement 28‐Aug‐2010 25050 10000 625670 03‐Dec‐2010327 cons826 Shibu Sarkar Rekha Sarkar Spouse Reimbursement 28‐Aug‐2010 14909 10000 625671 03‐Dec‐2010328 P DR662 Ashok Prosad Singh Ashok Prosad Singh Self Reimbursement 28‐Aug‐2010 142311 100000 625655 03‐Dec‐2010329 CONST179 Samaresh Hazra Shriyadita Hazra Daughter Reimbursement 30‐Aug‐2010 15594 14044 625672 03‐Dec‐2010330 CONST8638 Sanjit Kumar Ghosh Swapana Ghosh Spouse Reimbursement 30‐Aug‐2010 18010 15520 625673 03‐Dec‐2010331 SEPOY658 Prabir Sen Ayushi Sen Daughter Reimbursement 30‐Aug‐2010 2266 2266 625692 03‐Dec‐2010332 SUPE Sutanu Singha Roy Raj Rishi Singha Roy Son Reimbursement 30‐Aug‐2010 16855 15000 625659 03‐Dec‐2010333 CONST7455 Sunirmal Chakraborty Subir Chakraborty Son Reimbursement 10‐Sep‐2010 3156 3096 625677 03‐Dec‐2010334 CONST19974 Paras Nath Mahato Bachkali Devi Spouse Reimbursement 10‐Sep‐2010 15023 13842 625652 03‐Dec‐2010335 1653 Rabin Kumar Das Rinki Das Spouse Reimbursement 10‐Sep‐2010 10974 10000 625633 03‐Dec‐2010336 CONS16059 Md Rahamatullah Sufia Parveen Spouse Reimbursement 10‐Sep‐2010 15303 10000 625615 03‐Dec‐2010337 LHG Durga Prodhan Soma Prodhan Daughter Reimbursement 23‐Sep‐2010 37673 34218 625680 03‐Dec‐2010338 Cons15873 Subir Saha Snehalata Saha Spouse Reimbursement 02‐Nov‐2010 10152 10000 625619 03‐Dec‐2010339 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 11‐Nov‐2010 7946 7946 625614 03‐Dec‐2010340 P DR1388 Durgapada Santra Arnab Santra Son Reimbursement 11‐Nov‐2010 12842 12797 625621 03‐Dec‐2010341 SERG Adip Bag Anjali Bag Spouse Reimbursement 17‐Nov‐2010 55262 28000 625648 03‐Dec‐2010342 SI Sudarsan Das Parbati Das Spouse Reimbursement 19‐Nov‐2010 59624 48559 625684 03‐Dec‐2010343 P DR Bikash Bhakta Arnab Bhakta Son Reimbursement 20‐Nov‐2010 11610 10455 625678 03‐Dec‐2010344 CONST1594 Amit Kumar Das Dola Das Spouse Reimbursement 20‐Nov‐2010 19158 10000 625685 03‐Dec‐2010345 INSP Gautam Das Gupta Gautam Das Gupta Self Reimbursement 21‐Nov‐2010 73682 73547 625662 03‐Dec‐2010346 SEPOY17431 Shib Nath Halder Dipanwita Halder Spouse Reimbursement 21‐Nov‐2010 11706 10000 625689 03‐Dec‐2010347 S I Ram Sankar Maity Ram Sankar Maity Self Reimbursement 21‐Nov‐2010 9984 7626 625658 03‐Dec‐2010348 P DR1476 Bankim Chandra Mandal Bankim Chandra Mandal Self Reimbursement 21‐Nov‐2010 42814 15000 625674 03‐Dec‐2010349 Head Sankar Guha Biswas Sankar Guha Biswas Self Reimbursement 21‐Nov‐2010 55879 50375 625656 03‐Dec‐2010350 CONST13823 Mintu Das Sampa Das Spouse Reimbursement 23‐Nov‐2010 17266 10000 625650 03‐Dec‐2010351 INSP Mahendra Mandal Ramyani Mandal Daughter Reimbursement 23‐Nov‐2010 30129 18000 625651 03‐Dec‐2010352 AC Jai Prakash Singh Jai Prakash Singh Self Reimbursement 26‐Nov‐2010 30320 15000 625683 03‐Dec‐2010353 ASI10401 Ranjit Kr Mondal Akash Mondal Son Reimbursement 28‐Nov‐2010 44495 15000 625676 03‐Dec‐2010354 AASI7854 Bimal Kumar Ghosh Bula Ghosh Spouse Reimbursement 28‐Nov‐2010 26742 18000 625664 03‐Dec‐2010355 SEPOY19056 Pushpendra Singh Rathore Nirmala Kanwar Rathore Spouse Reimbursement 28‐Nov‐2010 6933 5000 625675 03‐Dec‐2010356 SEPOY19427 Prasanta Pal Mamata Pal Spouse Reimbursement 28‐Nov‐2010 10600 9778 625665 03‐Dec‐2010357 AASI10405 Tapash Kumar Ghosh Manju Ghosh Spouse Reimbursement 28‐Nov‐2010 9832 9532 625668 03‐Dec‐2010358 CONST1507 Parimal Kumar Laskar Mira Rani Laskar Spouse Reimbursement 28‐Nov‐2010 27769 18000 625667 03‐Dec‐2010

8 of 66

Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt359 AASI10405 Tapash Kumar Ghosh Manju Ghosh Spouse Reimbursement 28‐Nov‐2010 11472 10917 625666 03‐Dec‐2010360 ASI5927 Kashi Nath Sadhukhan Sima Sadhukhan Daughter Reimbursement 28‐Nov‐2010 2391 2004 625669 03‐Dec‐2010361 INSP Swapan Chakraborty Swapan Chakraborty Self Reimbursement 29‐Nov‐2010 11197 10917 625661 03‐Dec‐2010362 ASI13007 Santi Dulal Saren Santi Dulal Saren Self Reimbursement 29‐Nov‐2010 52900 50920 625679 03‐Dec‐2010363 P DR648 Rabindra Nath Nandi Khokan Nandi Son Post Hospitalisation 29‐Nov‐2010 30000 20000 625663 03‐Dec‐2010364 CONST5143 Arun Kumar Barman Arun Kumar Barman Self Reimbursement 30‐Nov‐2010 1350 1350 625686 03‐Dec‐2010365 CONST1313 Fatik Ch Kundu Fatik Ch Kundu Self Reimbursement 30‐Nov‐2010 44527 41027 625687 03‐Dec‐2010366 ASI2644 Sudhir Kumar Ghosh Sudhir Kumar Ghosh Self Reimbursement 30‐Nov‐2010 17500 17098 625690 03‐Dec‐2010367 S I Manab Kumar Roychowdhuri Sangeeta Roychowdhuri Spouse Reimbursement 30‐Nov‐2010 15000 10000 625691 03‐Dec‐2010368 SEPOY17583 Mritunjoy Ghosh Mritunjoy Ghosh Spouse Cashless 01‐Dec‐2010 48500 44700 625693 03‐Dec‐2010369 SEPOY17583 Nirmal Kanti Pramanik Nirmal Kanti Pramanik Self Cashless 01‐Dec‐2010 18576 15000 625694 03‐Dec‐2010370 CONAS11130 Malay Sarkar Chhanda Sarkar Spouse Cashless 01‐Dec‐2010 33261 32000 625696 03‐Dec‐2010371 8 Prasenjit Bera Sumita Bera Spouse Reimbursement 17‐Aug‐2010 4885 4885 625714 14‐Dec‐2010372 CONS1492 Gour Chandra Saha Gour Chandra Saha Self Reimbursement 17‐Aug‐2010 2005 2005 625717 14‐Dec‐2010373 16484 Alok Kumar Pati Alok Kumar Pati Self Reimbursement 17‐Aug‐2010 14135 14085 625712 14‐Dec‐2010374 13407 Mono Ranjan Murmu Nirmala Baskey Spouse Reimbursement 17‐Aug‐2010 11992 10000 625713 14‐Dec‐2010375 CONST12514 Monjur Alam Mondal Monjur Alam Mondal Self Reimbursement 17‐Aug‐2010 7710 7710 625716 14‐Dec‐2010376 SEPOY19555 Hasanuzzaman Sk Hasanuzzaman Sk Self Reimbursement 18‐Aug‐2010 102921 100000 625715 14‐Dec‐2010377 SERG Prabir Bhattacharjee Prabir Bhattacharjee Self Reimbursement 26‐Aug‐2010 239869 228568 625727 14‐Dec‐2010378 CONS13766 Kartick Sen Anjana Sen Spouse Reimbursement 28‐Aug‐2010 14425 14275 625738 14‐Dec‐2010379 CONST9913 Goutam Kumar Dutta Jhuma Dutta Spouse Reimbursement 30‐Aug‐2010 36737 18000 625719 14‐Dec‐2010380 CONST9 Anupam Ghosh Sutapa Ghosh Spouse Reimbursement 30‐Aug‐2010 14604 5000 625739 14‐Dec‐2010381 SEPOY15212 Binod Kumar Gurung Sujata Gurung Spouse Reimbursement 30‐Aug‐2010 14475 10000 625720 14‐Dec‐2010382 P Dr1026 Surajit Garain Chaitali Garain Spouse Reimbursement 30‐Aug‐2010 13159 12000 625718 14‐Dec‐2010383 S I Niladri Ray Rama Rani Ray Spouse Reimbursement 30‐Aug‐2010 52895 18000 625721 14‐Dec‐2010384 P Dr1717 Sk Rakesh Mamataj Begam Spouse Reimbursement 04‐Sep‐2010 12350 10000 625737 14‐Dec‐2010385 SUBEDAR Bhabendra Nath Mondal Bhabendra Nath Mondal Self Cashless 15‐Sep‐2010 11143 9500 625728 14‐Dec‐2010386 ASI4760 Sankar Dey Sankar Dey Self Cashless 29‐Sep‐2010 92157 83551 625725 14‐Dec‐2010387 ASI7373 Trinath Ghosh Anjana Ghosh Spouse Cashless 05‐Oct‐2010 223195 202353 625724 14‐Dec‐2010388 SERG Amit Kumar Bandyopadgyay Aparup Banerjee Son Reimbursement 28‐Oct‐2010 7726 7726 625734 14‐Dec‐2010389 A S3757 Ram Chandra Jha Manju Jha Spouse Reimbursement 08‐Dec‐2010 74120 65340 625736 14‐Dec‐2010390 AASI10713 Sanchit Kr Sen Sanchit Kr Sen Self Cashless 08‐Dec‐2010 148255 89700 625722 14‐Dec‐2010391 cons532 Robindra Nath Mondal Robindra Nath Mondal Self Cashless 08‐Dec‐2010 143390 130000 625723 14‐Dec‐2010392 CONST730 Md Anisuddin Md Anisuddin Self Cashless 08‐Dec‐2010 85480 77498 625726 14‐Dec‐2010393 12760 Tarak Mandal Aveek Mandal Son Reimbursement 08‐Dec‐2010 10400 10400 625729 14‐Dec‐2010394 SEPOY10402 Banibrata Mondal Sipra Mondal Spouse Cashless 09‐Dec‐2010 7503 6200 625730 14‐Dec‐2010395 ASI2226 Kshitish Chandra Mondal Sipra Mondal Daughter Cashless 09‐Dec‐2010 6566 5950 625731 14‐Dec‐2010396 ASI2226 Kshitish Chandra Mondal Sipra Mondal Daughter Cashless 09‐Dec‐2010 7519 6800 625732 14‐Dec‐2010397 SEPOY18066 Pradip Das Susmita Das Spouse Reimbursement 10‐Dec‐2010 2390 2390 625733 14‐Dec‐2010398 CONST14507 Madhab Ghosh Pratima Ghosh Spouse Reimbursement 11‐Dec‐2010 39356 39356 625735 14‐Dec‐2010399 AASI12469 Sangay Tshering Bhutia Bibiana Gurung Spouse Reimbursement 17‐Aug‐2010 53680 40000 80334 16‐Dec‐2010400 SEPOY10390 Chandan Panda Sumana Panda Spouse Reimbursement 21‐Nov‐2010 13796 10000 80333 16‐Dec‐2010401 SEPOY10707 Yamin Dafader Yamin Dafader Self Reimbursement 20‐Aug‐2010 15040 14634 625792 27‐Dec‐2010402 P Dr1065 Tamjid Ali Nasrin Khatun Spouse Reimbursement 28‐Aug‐2010 11947 10000 625822 27‐Dec‐2010403 CONST15363 Palash Barman Rina Barman Spouse Reimbursement 28‐Aug‐2010 25163 10000 625873 27‐Dec‐2010

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt404 7251 Osman Ali Mondal Osman Ali Mondal Self Reimbursement 30‐Aug‐2010 151715 149265 625802 27‐Dec‐2010405 SEPOY18142 Manoj Kumar Rai Shivam Rai Son Reimbursement 30‐Aug‐2010 18576 18096 625801 27‐Dec‐2010406 CONST3418 Sunil Kumar Mahato Achala Bala Mahato Spouse Reimbursement 04‐Sep‐2010 7619 7310 625803 27‐Dec‐2010407 CONST13053 Uma Kanta Chakraborty Piyali Chakraborty Spouse Reimbursement 10‐Sep‐2010 21090 10000 625806 27‐Dec‐2010408 CONS15120 Manoj Kumar Das Tanmoy Das Son Reimbursement 11‐Sep‐2010 1905 1905 625808 27‐Dec‐2010409 CONST12201 Joydeb Kumar Biswas Chhanda Biswas Spouse Reimbursement 11‐Sep‐2010 30913 18000 625809 27‐Dec‐2010410 ASI7396 Kamlendu Som Nibedita Som Daughter Reimbursement 23‐Sep‐2010 19982 19622 625831 27‐Dec‐2010411 cons15994 Biswajit Mondal Pampa Mondal Spouse Reimbursement 23‐Sep‐2010 8950 8950 625843 27‐Dec‐2010412 cons15994 Biswajit Mondal Pampa Mondal Spouse Reimbursement 23‐Sep‐2010 11274 11274 625844 27‐Dec‐2010413 cons15994 Biswajit Mondal Pampa Mondal Spouse Reimbursement 23‐Sep‐2010 8253 8253 625872 27‐Dec‐2010414 cons15994 Biswajit Mondal Pampa Mondal Spouse Reimbursement 23‐Sep‐2010 9340 9340 625848 27‐Dec‐2010415 SEPOY18334 Debasis Mondal Ayan Mondal Son Reimbursement 01‐Oct‐2010 8347 8347 625823 27‐Dec‐2010416 S I Kamal Krishna Mukherjee Kamal Krishna Mukherjee Self Reimbursement 18‐Nov‐2010 49775 40000 625830 27‐Dec‐2010417 SEPOY1734 Tapash Debnath Riya Debnath Spouse Reimbursement 21‐Nov‐2010 12847 10000 625854 27‐Dec‐2010418 SUPE Arup Mukherjee Kakoli Mukherjee Spouse Reimbursement 21‐Nov‐2010 48110 10000 625815 27‐Dec‐2010419 S I Jayanta Kumar Sarkar Sangeeta Sarkar Spouse Reimbursement 21‐Nov‐2010 16200 10000 625853 27‐Dec‐2010420 SEPOY16939 Debabrata Banerjee Debabrata Banerjee Self Reimbursement 21‐Nov‐2010 10199 9879 625824 27‐Dec‐2010421 CONS1627 Subrata Nandi Subrata Nandi Self Reimbursement 21‐Nov‐2010 3012 3012 625851 27‐Dec‐2010422 CONST1697 Rabin Pal Rabin Pal Self Reimbursement 21‐Nov‐2010 6626 6546 625813 27‐Dec‐2010423 SEPOY1396 Hiren Kumar Sinha Popi Baman Wife Reimbursement 21‐Nov‐2010 11586 10000 625864 27‐Dec‐2010424 SEPOY16665 Krishnapada Roy Lipika Roy Spouse Reimbursement 21‐Nov‐2010 20545 10000 625821 27‐Dec‐2010425 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 21‐Nov‐2010 8107 8107 625760 27‐Dec‐2010426 RAF10422 Sudip Kumar Dey Alpana Dey Spouse Reimbursement 21‐Nov‐2010 14086 10000 625863 27‐Dec‐2010427 P Dr400 Biman Biswas Sangeeta Biswas Spouse Reimbursement 21‐Nov‐2010 4030 2770 625786 27‐Dec‐2010428 15495 Ratan Hansda Sanati Hansda Spouse Reimbursement 21‐Nov‐2010 10499 5000 625840 27‐Dec‐2010429 CONST153 Sanjib Mondal Mousumi Mondal Spouse Reimbursement 21‐Nov‐2010 12440 10000 625818 27‐Dec‐2010430 ASI9889 Swapan Kumar Dutta Minurani Dutta Wife Reimbursement 21‐Nov‐2010 2151 2151 625876 27‐Dec‐2010431 SEPOY16902 Manoj Kr Das Priyanka Das Wife Reimbursement 21‐Nov‐2010 11702 11152 625870 27‐Dec‐2010432 S I Pranabesh Chattopadhyay Pealy Chattopadhyay Spouse Reimbursement 21‐Nov‐2010 23524 10000 625807 27‐Dec‐2010433 SEPOY10241 Braja Gopal Sinha Tanusree Singha Spouse Reimbursement 21‐Nov‐2010 15826 10000 625869 27‐Dec‐2010434 P DR1476 Bankim Chandra Mandal Bankim Chandra Mandal Self Reimbursement 21‐Nov‐2010 143158 32056 625817 27‐Dec‐2010435 ASI1091 Anil Kr Mukherjee Anil Kr Mukherjee Self Reimbursement 21‐Nov‐2010 23500 10000 625775 27‐Dec‐2010436 SEPOY560 Sankar Charyya Sinha Mahapatra Sumitra Sinha Mahapatra Spouse Reimbursement 21‐Nov‐2010 6962 5000 625868 27‐Dec‐2010437 Subhashis Purkait Subhashis Purkait Self Reimbursement 21‐Nov‐2010 3829 3100 625776 27‐Dec‐2010438 ASI2648 Gurudas Chatterjee Bela Chatterjee Spouse Reimbursement 21‐Nov‐2010 9810 9810 625804 27‐Dec‐2010439 ASI9766 Tapan Kumar Bhandary Tapan Kumar Bhandary Self Reimbursement 21‐Nov‐2010 7578 7578 625833 27‐Dec‐2010440 CONST993 Sarba Ranjan Mondal Sarba Ranjan Mondal Self Reimbursement 21‐Nov‐2010 8039 7483 625850 27‐Dec‐2010441 15 Gabriel Mondol Mary Mondol Spouse Reimbursement 21‐Nov‐2010 6348 6348 625857 27‐Dec‐2010442 17 Parithwiraj Chatterjee Mousumi Chatterjee Spouse Reimbursement 21‐Nov‐2010 13300 10000 625800 27‐Dec‐2010443 CONST2501 Paresh Ch Roy Papiya Roy Daughter Reimbursement 21‐Nov‐2010 4991 4991 625761 27‐Dec‐2010444 CONS18751 Latiful Alam Sahida Begum Spouse Reimbursement 21‐Nov‐2010 6043 6043 625836 27‐Dec‐2010445 CONST2501 Paresh Ch Roy Papiya Roy Daughter Reimbursement 21‐Nov‐2010 837 837 625794 27‐Dec‐2010446 CONST2501 Paresh Ch Roy Priyanka Roy Daughter Reimbursement 21‐Nov‐2010 969 969 625795 27‐Dec‐2010447 CONST14992 Bimal Chandra Santra Bimal Chandra Santra Self Reimbursement 21‐Nov‐2010 15915 15915 625837 27‐Dec‐2010448 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 21‐Nov‐2010 8167 6800 625866 27‐Dec‐2010

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt449 CONS13452 Dinesh Chandra Mandal Arpita Mandal Spouse Reimbursement 21‐Nov‐2010 19878 10000 625838 27‐Dec‐2010450 P DR1552 Biswa Nath Choubey Biswa Nath Choubey Self Reimbursement 21‐Nov‐2010 38584 22000 625858 27‐Dec‐2010451 RAF792 Swapan Kumar Misra Debdut Misra Son Reimbursement 21‐Nov‐2010 1550 1550 625834 27‐Dec‐2010452 CONST2501 Paresh Ch Roy Priyanka Roy Daughter Reimbursement 21‐Nov‐2010 5123 5123 625846 27‐Dec‐2010453 SEPOY18288 Bhutnath De Sumita De Spouse Reimbursement 21‐Nov‐2010 6198 5000 625835 27‐Dec‐2010454 CONST4388 Rajdeo Mishra Rajdeo Mishra Self Reimbursement 21‐Nov‐2010 17063 16724 625793 27‐Dec‐2010455 2 Sourabh Sil Sourabh Sil Self Reimbursement 21‐Nov‐2010 16459 15000 625867 27‐Dec‐2010456 SEPOY19463 Tarun Kr Modi Tarun Kr Modi Self Reimbursement 21‐Nov‐2010 5070 5070 625780 27‐Dec‐2010457 SEPOY17046 Santosh Kr Barman Tina Dasbarman Spouse Reimbursement 21‐Nov‐2010 4428 4126 625781 27‐Dec‐2010458 CONS19822 Sumit Kumar Sadhukhan Debolina Roy Wife Reimbursement 21‐Nov‐2010 40483 10000 625842 27‐Dec‐2010459 CONS163 Jayanta Das Mousumi Das Spouse Reimbursement 21‐Nov‐2010 21354 10000 625782 27‐Dec‐2010460 LDA Palash Biswas Sangita Biswas Spouse Reimbursement 21‐Nov‐2010 11974 10000 625784 27‐Dec‐2010461 SEPOY19730 Achintya Biswas Mitali Biswas Spouse Reimbursement 21‐Nov‐2010 13510 10000 625874 27‐Dec‐2010462 LDC Anita Roy Anita Roy Self Reimbursement 21‐Nov‐2010 15074 10000 625828 27‐Dec‐2010463 SERG Dipankar Raptan Sourita Raptan Spouse Reimbursement 21‐Nov‐2010 38087 10000 625879 27‐Dec‐2010464 SEPOY17473 Md Yamin Sk Salma Sultana Wife Reimbursement 21‐Nov‐2010 10428 9662 625772 27‐Dec‐2010465 ASI4623 Arun Kr Dey Arun Kr Dey Self Reimbursement 21‐Nov‐2010 5175 5040 625878 27‐Dec‐2010466 ASI8683 Narayan Chandra Sarkar Suniti Sarkar Wife Reimbursement 21‐Nov‐2010 6523 6461 625779 27‐Dec‐2010467 8 Samar Ghosh Kaberi Ghosh Spouse Reimbursement 21‐Nov‐2010 3980 3743 625777 27‐Dec‐2010468 ASI9441 Achintya Kumar Pandit Atasi Pandit Spouse Reimbursement 06‐Dec‐2010 10437 10437 625871 27‐Dec‐2010469 HG89 Swapan Kr Paul Saraswati Paul Spouse Reimbursement 06‐Dec‐2010 6424 6424 625839 27‐Dec‐2010470 S I Kalyan Kr Bhanja Nibedita Bhanja Spouse Reimbursement 06‐Dec‐2010 8970 8220 625877 27‐Dec‐2010471 CONST17103 Rabi Murmu Ranjita Kisku Spouse Reimbursement 06‐Dec‐2010 16189 10000 625865 27‐Dec‐2010472 ASI11343 Gobinda Sarkar Tapati Sarkar Spouse Reimbursement 06‐Dec‐2010 6607 5000 625855 27‐Dec‐2010473 SERG Diptayan Kar Diptayan Kar Self Reimbursement 06‐Dec‐2010 32281 10000 625847 27‐Dec‐2010474 S I Kaushal Majumdar Rumali Majumdar Spouse Reimbursement 06‐Dec‐2010 7200 7200 625862 27‐Dec‐2010475 L CONST172 Anima Banerjee Anima Banerjee Self Reimbursement 06‐Dec‐2010 4259 4259 625849 27‐Dec‐2010476 SEPOY18330 Subhendu Sekhar Sarkar Subhendu Sekhar Sarkar Self Reimbursement 06‐Dec‐2010 22491 21878 625783 27‐Dec‐2010477 CONST3392 Swapan Kumar Chakraborty Swapan Kumar Chakraborty Self Reimbursement 06‐Dec‐2010 6945 6845 625774 27‐Dec‐2010478 CONST9790 Kul Prasad Sharma Indira Sharma Spouse Reimbursement 06‐Dec‐2010 15514 10000 625773 27‐Dec‐2010479 SEPOY14801 Santosh Kumar Singh Rani Kumari Devi Spouse Reimbursement 06‐Dec‐2010 18482 10000 625778 27‐Dec‐2010480 CONST411 Bimal Das Shyamali Das Spouse Reimbursement 06‐Dec‐2010 65207 64307 625805 27‐Dec‐2010481 SERG Srikanta Shaw Kanchan Shaw Spouse Reimbursement 06‐Dec‐2010 8649 8649 625811 27‐Dec‐2010482 CONST1278 Binay Bhushan Debnath Mousumi Debnath Spouse Reimbursement 06‐Dec‐2010 19760 10000 625810 27‐Dec‐2010483 CONST17836 Radha Nath Das Manisha Das Daughter Reimbursement 06‐Dec‐2010 69712 66832 625812 27‐Dec‐2010484 CONS757 Bimal Baran Das Arijit Das Daughter Reimbursement 06‐Dec‐2010 12013 11983 625798 27‐Dec‐2010485 1 Panchananda Ghosh Panchananda Ghosh Self Reimbursement 06‐Dec‐2010 6053 5978 625797 27‐Dec‐2010486 CONST8362 Hemanta Kr Panda Runu Panda Spouse Reimbursement 06‐Dec‐2010 13394 13394 625790 27‐Dec‐2010487 CONST313 Guru Das Datta Rupam Datta Son Reimbursement 06‐Dec‐2010 1424 1424 625789 27‐Dec‐2010488 SEPOY786 Gobardhan Pandit Puja Pandi Spouse Reimbursement 06‐Dec‐2010 8450 8110 625788 27‐Dec‐2010489 SEPOY17375 Sudipta Banerjee Sudipta Banerjee Self Reimbursement 06‐Dec‐2010 9129 8769 625787 27‐Dec‐2010490 CONST5058 Samir Kumar Dey Jhuma Dey Spouse Reimbursement 07‐Dec‐2010 16455 10000 625832 27‐Dec‐2010491 S I Raju Das Shilpa Das Spouse Reimbursement 07‐Dec‐2010 9901 9901 625799 27‐Dec‐2010492 P DR1156 Sk Yunus Ali Rabina Farwin Daughter Reimbursement 11‐Dec‐2010 10835 10835 625796 27‐Dec‐2010493 ASI10392 Tapas Kr Sarkar Saraswati Sarkar Spouse Reimbursement 11‐Dec‐2010 18836 15000 625829 27‐Dec‐2010

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt494 CONST15767 Md Rabiul Haque Sahina Khatun Spouse Reimbursement 15‐Dec‐2010 1349 1349 625785 27‐Dec‐2010495 ASI9355 Ananda Kumar Das Ananda Kumar Das Self Reimbursement 15‐Dec‐2010 5887 5787 625791 27‐Dec‐2010496 SEPOY17583 Pulin Chandra Ggosh Pulin Chandra Ggosh Spouse Cashless 16‐Dec‐2010 68850 40300 625814 27‐Dec‐2010497 SAWAR72 Pratha Pratim Singha Sreparna Singha Spouse Reimbursement 16‐Dec‐2010 13864 10000 625816 27‐Dec‐2010498 ACP Ashit Baran Sil Ashit Baran Sil Self Reimbursement 16‐Dec‐2010 34000 26400 625819 27‐Dec‐2010499 SEPOI Govind Sah Govind Sah Self Reimbursement 16‐Dec‐2010 59450 54600 625820 27‐Dec‐2010500 CONS12141 Anup Kumar Sarkar Rita Sarkar Spouse Post Hospitalisation 17‐Dec‐2010 2100 2100 625825 27‐Dec‐2010501 CONST1424 Dibyendu Sarkar Chhanda Sarkar Spouse Reimbursement 17‐Dec‐2010 15400 10000 625826 27‐Dec‐2010502 NK11389 Nityananda Chakraborty Minati Chakraborty Wife Reimbursement 17‐Dec‐2010 13669 10000 625875 27‐Dec‐2010503 SEPOY18293 Sitanath Ghosh Minati Ghosh Spouse Reimbursement 18‐Dec‐2010 43850 37020 625859 27‐Dec‐2010504 ACP Phalguni Prasad Misra Phalguni Prasad Misra Self Reimbursement 18‐Dec‐2010 76001 73471 625860 27‐Dec‐2010505 SEPOY10753 Nihar Ranjan Sinha Mahapatra Sikha Sinha Mahapatra Spouse Corrected Claim 10‐Sep‐2010 5500 5000 625769 27‐Dec‐2010506 INSP Gautam Das Gupta Gautam Das Gupta Self Corrected Claim 21‐Nov‐2010 29821 29821 625771 27‐Dec‐2010507 ASI11193 Haripada Hembram Thakurmoni Hembram Spouse Corrected Claim 21‐Nov‐2010 5370 1496 625881 27‐Dec‐2010508 CONST3581 Pradip Kumar Dutta Pradip Kumar Dutta Self Corrected Claim 21‐Nov‐2010 16047 11919 625762 27‐Dec‐2010509 ASI11193 Haripada Hembram Thakurmoni Hembram Spouse Corrected Claim 21‐Nov‐2010 1015 1015 625763 27‐Dec‐2010510 SEPOY18293 Sitanath Ghosh Minati Ghosh Spouse Corrected Claim 01‐Dec‐2010 41500 41130 625764 27‐Dec‐2010511 P DR603 Arindam Chakraborty Arindam Chakraborty Self Corrected Claim 21‐Nov‐2010 25615 15000 625880 27‐Dec‐2010512 SEPOY18559 Jaydeb Ghosh Arnab Ghosh Son Corrected Claim 21‐Nov‐2010 7430 5823 625770 27‐Dec‐2010513 ASI4921 Swapon Malakar Swapon Malakar Self Corrected Claim 06‐Dec‐2010 13503 12478 625765 27‐Dec‐2010514 ASI9441 Achintya Kumar Pandit Atasi Pandit Spouse Corrected Claim 06‐Dec‐2010 11680 11680 625766 27‐Dec‐2010515 SEPOY1032 Sambhu Dey Sambhu Dey Self Corrected Claim 06‐Dec‐2010 18584 8000 625767 27‐Dec‐2010516 AC Jagotmoy Ray Jagotmoy Ray Self Corrected Claim 09‐Dec‐2010 63590 47790 625768 27‐Dec‐2010517 H Guard228 Bholanath Ghosh Bholanath Ghosh Self Reimbursement 20‐Dec‐2010 7452 7452 625861 27‐Dec‐2010518 cons18305 Rafiqul Islam Khan Nayan Khatua Spouse Reimbursement 17‐Aug‐2010 16353 10000 80335 01‐Jan‐2011519 P DR1007 Haren Kumar Bairagi Sayani Bairagi Daughter Cashless 11‐Sep‐2010 15392 11855 626242 04‐Jan‐2011520 CONS18174 Manturam Mahato Manturam Mahato Self Cashless 23‐Oct‐2010 13687 11616 626232 04‐Jan‐2011521 SEPOY6222 Ajoy Kumar Dutta Ajoy Kumar Dutta Self Cashless 18‐Dec‐2010 2500 2500 626220 04‐Jan‐2011522 CONST5140 Prasanta Kr Mukherjee Prasanta Kr Mukherjee Self Cashless 18‐Dec‐2010 8173 7000 626221 04‐Jan‐2011523 5802 Madhu Sudon Ghosh Madhu Sudon Ghosh Self Cashless 18‐Dec‐2010 14130 10000 626222 04‐Jan‐2011524 AASI5869 Wazed Ali Gazi Raseda Begam Spouse Cashless 18‐Dec‐2010 18751 17000 626229 04‐Jan‐2011525 CONST4488 Chandan Bandyopadhyay Ayan Banerjee Son Cashless 18‐Dec‐2010 9040 8000 626225 04‐Jan‐2011526 S I1162 Syed Abdul Dayan Bareja Tunnisa Spouse Cashless 18‐Dec‐2010 12030 10000 626228 04‐Jan‐2011527 ASI10366 Mohit Mazumder Dwitiya Mazumdar Daughter Cashless 18‐Dec‐2010 12684 11500 626227 04‐Jan‐2011528 SEPOY18876 Pralay Kr Mondal Mallika Mondal Spouse Cashless 18‐Dec‐2010 14339 13000 626226 04‐Jan‐2011529 S I1162 Syed Abdul Dayan Syed Abdul Dayan Self Cashless 18‐Dec‐2010 10750 10000 626224 04‐Jan‐2011530 CONS11426 Uday Sankar Jana Minati Jana Wife Cashless 18‐Dec‐2010 8950 8950 626223 04‐Jan‐2011531 CONST9680 Sushanta Baidya Champa Baidya Spouse Cashless 20‐Dec‐2010 10000 10000 626240 04‐Jan‐2011532 CONST9680 Sushanta Baidya Suchandan Baidya Son Cashless 20‐Dec‐2010 7459 7459 626239 04‐Jan‐2011533 CONS4006 Ashraf Ali Khodeja Bibi Spouse Cashless 20‐Dec‐2010 23163 17762 626238 04‐Jan‐2011534 CONST15262 Atul Chandra Das Atul Chandra Das Self Cashless 20‐Dec‐2010 5515 5000 626237 04‐Jan‐2011535 P DR540 Pasang Tamang Som Kumari Tamang Spouse Cashless 20‐Dec‐2010 14690 11261 626236 04‐Jan‐2011536 A S11125 Harendra Nath Mahato Sefali Mahato Daughter Cashless 20‐Dec‐2010 15820 14000 626235 04‐Jan‐2011537 18915 Paresh Bagani Paresh Bagani Self Cashless 20‐Dec‐2010 19303 11900 626234 04‐Jan‐2011538 S I1162 Syed Abdul Dayan Bareja Tunnisa Spouse Cashless 20‐Dec‐2010 11030 10000 626233 04‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt539 CONST396 Bipad Bhanjan Rari Sumitra Pari Spouse Cashless 20‐Dec‐2010 13030 10000 626231 04‐Jan‐2011540 CONST9476 Ashok Kumar Pramanik Ashok Kumar Pramanik Self Cashless 20‐Dec‐2010 76699 70000 626259 04‐Jan‐2011541 6905 Ram Narayan Mandal Kiran Bala Mandal Spouse Cashless 20‐Dec‐2010 13760 10000 626230 04‐Jan‐2011542 SI Debesh Chandra Bhattacharjee Debesh Chandra Bhattacharjee Self Cashless 20‐Dec‐2010 14890 13500 626243 04‐Jan‐2011543 SEPOY12949 Maghu Hansda Maghu Hansda Self Cashless 20‐Dec‐2010 14616 13370 626247 04‐Jan‐2011544 CONS4132 Manotosh Sarkar Manotosh Sarkar Self Cashless 20‐Dec‐2010 12103 11000 626244 04‐Jan‐2011545 CONST13724 Swapan Kumar Mondal Swapan Kumar Mondal Self Cashless 20‐Dec‐2010 13623 10551 626241 04‐Jan‐2011546 CONST9193 Prabir Kumar Banerjee Tanushree Banerjee Spouse Cashless 28‐Dec‐2010 9594 8894 626245 04‐Jan‐2011547 POLIC783 Narayan Chandra Ghosh Narayan Chandra Ghosh Self Cashless 28‐Dec‐2010 138510 99999 626256 04‐Jan‐2011548 SERG Raja Bhattacharya Ananya Bhattacharya Spouse Cashless 29‐Dec‐2010 158060 92940 626255 04‐Jan‐2011549 CONS12317 Chandan Kr Das Surupa Das Spouse Cashless 29‐Dec‐2010 16072 13112 626254 04‐Jan‐2011550 CONST6504 Ratnakar Kayal Rama Kayal Spouse Cashless 29‐Dec‐2010 53815 45000 626253 04‐Jan‐2011551 S I Ratan Kumar Saha Ratan Kumar Saha Self Cashless 29‐Dec‐2010 42558 38000 626251 04‐Jan‐2011552 ASI4269 Ashoke Kumar Singh Ashoke Kumar Singh Self Cashless 29‐Dec‐2010 18941 16266 626252 04‐Jan‐2011553 ASI3166 Netai Ch Gadi Netai Ch Gadi Self Cashless 29‐Dec‐2010 37524 33000 626250 04‐Jan‐2011554 CONS14509 Netai Chandra Mondal Netai Chandra Mondal Self Cashless 29‐Dec‐2010 477566 152567 626246 04‐Jan‐2011555 NAIK5984 Ashoke Kr Saha Ashoke Kr Saha Self Cashless 29‐Dec‐2010 89390 72000 626248 04‐Jan‐2011556 SEPOY18567 Pranab Kr Maity Pranab Kr Maity Self Cashless 29‐Dec‐2010 55412 46758 626249 04‐Jan‐2011557 CONST15658 Ananda Naskar Ananda Naskar Self Cashless 03‐Jan‐2011 14896 13500 626257 04‐Jan‐2011558 CONST14384 Binod Kumar Lohar Sanju Lohar Spouse Cashless 03‐Jan‐2011 8824 8000 626258 04‐Jan‐2011559 ASI6244 Samir Mondal Samir Mondal Self Cashless 03‐Jan‐2011 250000 250000 626260 04‐Jan‐2011560 CONS15335 Sandip Bhadra Pinki Bhadra Spouse Reimbursement 21‐Nov‐2010 29167 18000 626331 13‐Jan‐2011561 SEPOY1660 Satyajit Roy Sanchayita Roy Spouse Reimbursement 21‐Nov‐2010 7836 5000 626332 13‐Jan‐2011562 CONST13775 Arup Maity Jhuma Maity Spouse Reimbursement 21‐Nov‐2010 7028 7028 626328 13‐Jan‐2011563 CONS1482 Arup Kanti Ray Arup Kanti Ray Self Reimbursement 21‐Nov‐2010 95494 15000 626344 13‐Jan‐2011564 SI Arnab Roy Chowdhury Arnab Roy Chowdhury Self Reimbursement 21‐Nov‐2010 11156 10093 626330 13‐Jan‐2011565 SEPOY18288 Bhutnath De Bhutnath De Self Reimbursement 21‐Nov‐2010 2238 1950 626329 13‐Jan‐2011566 SEPOY1817 Mithun Mondal Rekha Mondal Wife Reimbursement 21‐Nov‐2010 25000 10000 626404 13‐Jan‐2011567 P DR1676 Gopal Baidya Gopal Baidya Self Reimbursement 21‐Nov‐2010 11665 11195 626326 13‐Jan‐2011568 cons12305 Kashi Nath Ghosh Kashi Nath Ghosh Self Reimbursement 21‐Nov‐2010 68224 36897 626346 13‐Jan‐2011569 P DR1642 Nitya Gopal Jana Mousumi Jana Spouse Reimbursement 21‐Nov‐2010 9623 9173 626345 13‐Jan‐2011570 SEPOY9813 Gokul Sarkar Gokul Sarkar Self Reimbursement 21‐Nov‐2010 6829 6627 626341 13‐Jan‐2011571 SEPOY9813 Gokul Sarkar Tanushri Sarkar Spouse Reimbursement 21‐Nov‐2010 21546 10000 626333 13‐Jan‐2011572 P DR928 Debasish Mondal Debasish Mondal Self Reimbursement 21‐Nov‐2010 2035 2035 626336 13‐Jan‐2011573 SEPOY19912 Goutam Ghosh Soma Ghosh Spouse Reimbursement 21‐Nov‐2010 18000 18000 626338 13‐Jan‐2011574 CONS13023 Goutam Chakraborty Sutapa Chakraborty Spouse Reimbursement 21‐Nov‐2010 20189 15000 626339 13‐Jan‐2011575 CONS896 Md Aminur Islam Selina Parveen Spouse Reimbursement 21‐Nov‐2010 9713 8860 626318 13‐Jan‐2011576 AASI10628 Ashok Kr Das Moumita Das Daughter Reimbursement 21‐Nov‐2010 4068 3167 626320 13‐Jan‐2011577 ASI11959 Subodh Halder Anita Halder Spouse Reimbursement 21‐Nov‐2010 2770 2660 626319 13‐Jan‐2011578 SEPOY571 Champak Kumar Ghosh Mousumi Ghosh Wife Reimbursement 21‐Nov‐2010 10655 10000 626322 13‐Jan‐2011579 CONST3978 Nitai Chandra Sarkar Nitai Chandra Sarkar Self Reimbursement 21‐Nov‐2010 34789 33424 626334 13‐Jan‐2011580 CONS10705 Ramesh Chandra Mandal Rani Mandal Spouse Reimbursement 21‐Nov‐2010 17092 16542 626324 13‐Jan‐2011581 CONS9395 Saradindu Koner Arpita Koner Daughter Reimbursement 21‐Nov‐2010 14340 13640 626335 13‐Jan‐2011582 S I Mrinmoy Banerjee Rupa Banerjee Spouse Reimbursement 21‐Nov‐2010 18742 8599 626323 13‐Jan‐2011583 CONS1011 Santu Talukdar Sanchita Talukdar Spouse Reimbursement 21‐Nov‐2010 11353 10000 626337 13‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt584 S I Paritosh Kr Ghosh Sujata Ghosh Spouse Reimbursement 21‐Nov‐2010 13799 12611 626325 13‐Jan‐2011585 SEPOY18548 Subrata Mandal Shymali Mondal Spouse Reimbursement 21‐Nov‐2010 9001 8851 626340 13‐Jan‐2011586 SEPOY17282 Sanjib Mondal Susmita Mondal Spouse Reimbursement 21‐Nov‐2010 3993 2906 626327 13‐Jan‐2011587 9975 Anupam Mishra Piyali Mishra Spouse Reimbursement 21‐Nov‐2010 6800 6800 626343 13‐Jan‐2011588 RECORD SUPPLIER Gorachand Mondal Puspa Mondal Spouse Reimbursement 21‐Nov‐2010 33890 15000 626317 13‐Jan‐2011589 SEPOY14265 Uttam Biswas Smriti Biswas Spouse Reimbursement 21‐Nov‐2010 9513 8500 626295 13‐Jan‐2011590 SEPOY16939 Debabrata Banerjee Debapriya Banerjee Son Reimbursement 21‐Nov‐2010 14602 13853 626321 13‐Jan‐2011591 CONST718 Santosh Kumar Das Abhinaba Das Son Reimbursement 06‐Dec‐2010 9348 9073 626294 13‐Jan‐2011592 SEPOY16829 Dulal Chandra Satiar Nandini Satiar Daughter Reimbursement 06‐Dec‐2010 5432 5292 626313 13‐Jan‐2011593 HELP Dipak Kumar Biswas Chandra Biswas Spouse Reimbursement 06‐Dec‐2010 14027 10000 626342 13‐Jan‐2011594 SEPOY10429 Gouranga Maji Manasi Maji Wife Reimbursement 07‐Dec‐2010 16894 10000 626380 13‐Jan‐2011595 SEPOY10307 Prakash Das Sathi Das Wife Reimbursement 07‐Dec‐2010 19200 10000 626382 13‐Jan‐2011596 AASI11075 Keshab Ch Biswas Sabita Biswas Spouse Reimbursement 07‐Dec‐2010 13122 10720 626305 13‐Jan‐2011597 18602 Dulal Das Sangita Das Spouse Reimbursement 07‐Dec‐2010 15000 10000 626301 13‐Jan‐2011598 ASI3523 Ajit Kumar Dutta Ajit Kumar Dutta Self Reimbursement 07‐Dec‐2010 23227 15000 626299 13‐Jan‐2011599 CONST13310 Krishna Mohan Barman Pankaj Barman Son Reimbursement 07‐Dec‐2010 24866 18958 626316 13‐Jan‐2011600 cons932 Bikash Kumar Ghosh Piu Ghosh Spouse Reimbursement 07‐Dec‐2010 11011 10000 626364 13‐Jan‐2011601 P DR1715 Sujit Kr Mandal Sujit Kr Mandal Self Reimbursement 07‐Dec‐2010 8450 7280 626309 13‐Jan‐2011602 CONST10270 Ajoy Kumar Ghosh Ajoy Kumar Ghosh Self Reimbursement 07‐Dec‐2010 9445 8544 626315 13‐Jan‐2011603 SEPOY265 Palash Ranjan Dey Supriti Dey Wife Reimbursement 07‐Dec‐2010 20271 10000 626298 13‐Jan‐2011604 CONST2501 Paresh Ch Roy Papiya Roy Daughter Reimbursement 07‐Dec‐2010 4765 4765 626370 13‐Jan‐2011605 CONST12762 Partha Chakraborty Subarna Chakraborty Spouse Reimbursement 07‐Dec‐2010 33000 10000 626366 13‐Jan‐2011606 ASI7932 Hriday Ram Mondal Hriday Ram Mondal Self Reimbursement 07‐Dec‐2010 16131 13331 626384 13‐Jan‐2011607 SERG Sk Nazmul Hossin Sk Nazmul Hossin Self Reimbursement 07‐Dec‐2010 10325 8844 626371 13‐Jan‐2011608 SEPOY16172 Ashis Saha Rithi Saha Daughter Reimbursement 07‐Dec‐2010 5600 5547 626383 13‐Jan‐2011609 UDC Joy Chowdhury Soma Chowdhury Spouse Reimbursement 07‐Dec‐2010 22255 12000 626375 13‐Jan‐2011610 S16913 Sanjay Das Jhuma Saha Das Spouse Reimbursement 07‐Dec‐2010 13305 10000 626363 13‐Jan‐2011611 ASI10207 Md Samser Ali Khan Md Samser Ali Khan Self Reimbursement 07‐Dec‐2010 43523 15000 626308 13‐Jan‐2011612 CONST1167 Biswa Nath Sardar Debarghya Sardar Son Reimbursement 07‐Dec‐2010 19793 15000 626373 13‐Jan‐2011613 CONST8568 Ratan Bhattachrjee Ratan Bhattachrjee Self Reimbursement 07‐Dec‐2010 14401 13320 626368 13‐Jan‐2011614 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 07‐Dec‐2010 8247 8247 626367 13‐Jan‐2011615 cons16460 Samir Bhandari Piyali Bhandari Spouse Reimbursement 07‐Dec‐2010 15150 10000 626377 13‐Jan‐2011616 1669 Ashis Haldar Ashis Haldar Self Reimbursement 07‐Dec‐2010 12115 10000 626362 13‐Jan‐2011617 CONST8997 Kamal Kanti Das Tapasi Das Spouse Reimbursement 07‐Dec‐2010 20848 20848 626306 13‐Jan‐2011618 P DR1683 Barun Biswas Ankit Biswas Son Reimbursement 07‐Dec‐2010 5352 3912 626365 13‐Jan‐2011619 SEPOY16842 Dulal Chandra Sarkar Indrani Sarkar Spouse Reimbursement 07‐Dec‐2010 20000 10000 626407 13‐Jan‐2011620 CONST851 Md Hozrot Ali Md Hozrot Ali Self Reimbursement 07‐Dec‐2010 800 800 626403 13‐Jan‐2011621 SEPOY14411 Alok Maity Alok Maity Self Reimbursement 07‐Dec‐2010 10590 9330 626406 13‐Jan‐2011622 cons16495 Debasis Goswami Banani Goswami Spouse Reimbursement 07‐Dec‐2010 16261 10000 626296 13‐Jan‐2011623 P DR967 Sandip Kar Sandip Kar Self Reimbursement 07‐Dec‐2010 18255 15517 626399 13‐Jan‐2011624 CONS16342 Debasish Chanda Debjani Chanda Spouse Reimbursement 07‐Dec‐2010 15815 10000 626409 13‐Jan‐2011625 SEPOY18426 Himadri Roy Himadri Roy Self Reimbursement 07‐Dec‐2010 16480 10000 626378 13‐Jan‐2011626 1146 Sajjad Hossin Sajjad Hossin Self Reimbursement 07‐Dec‐2010 1298 1298 626379 13‐Jan‐2011627 SEPOY18907 Uttam Kumar Das Sunita Das Spouse Reimbursement 07‐Dec‐2010 21661 15000 626386 13‐Jan‐2011628 CONS15641 Biswajit Das Sujata Das Spouse Reimbursement 07‐Dec‐2010 11044 10000 626381 13‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt629 SEPOY18387 Aliul Islam Ruksa Parvin Daughter Reimbursement 07‐Dec‐2010 3742 3577 626400 13‐Jan‐2011630 cons4130 Chandra Dew Singh Urmila Singh Spouse Reimbursement 07‐Dec‐2010 64830 15000 626358 13‐Jan‐2011631 SEPOY19488 Chandi Saha Papia Saha Spouse Reimbursement 07‐Dec‐2010 10500 10000 626359 13‐Jan‐2011632 S I Jayanta Mukherjee Jayanta Mukherjee Self Reimbursement 07‐Dec‐2010 15314 11302 626360 13‐Jan‐2011633 5538 Saday Mukherjee Kajal Mukherjee Spouse Reimbursement 07‐Dec‐2010 1165 45 626356 13‐Jan‐2011634 CONST13378 Sudhir Chandra Roy Niharika Roy Spouse Reimbursement 07‐Dec‐2010 28212 10000 626357 13‐Jan‐2011635 CONS13703 Partha Pratim Mitra Mantu Mitra Spouse Reimbursement 07‐Dec‐2010 20991 10000 626347 13‐Jan‐2011636 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 07‐Dec‐2010 7503 7503 626348 13‐Jan‐2011637 ASI12479 Goutam Nandy Arun Nandy Son Reimbursement 07‐Dec‐2010 11600 11063 626361 13‐Jan‐2011638 CONST4388 Rajdeo Mishra Rajdeo Mishra Self Reimbursement 07‐Dec‐2010 19795 19795 626408 13‐Jan‐2011639 80 Arun Kumar Sharma Mamata Sharma Spouse Reimbursement 07‐Dec‐2010 17818 10000 626372 13‐Jan‐2011640 CONS16342 Bijoy Murmu Smt Monika Soren Spouse Reimbursement 07‐Dec‐2010 4425 2762 626351 13‐Jan‐2011641 1759 Kanchan Saha Uttara Saha Spouse Reimbursement 07‐Dec‐2010 10620 10000 626349 13‐Jan‐2011642 HEAD ASST Kshitis Chandra Ghosh Atin Ghosh Son Reimbursement 07‐Dec‐2010 45567 40000 626350 13‐Jan‐2011643 cons1266 Pintu Sarkar Sadhana Sarkar Spouse Reimbursement 07‐Dec‐2010 18839 10000 626352 13‐Jan‐2011644 CONST8997 Kamal Kanti Das Tapasi Das Spouse Reimbursement 07‐Dec‐2010 23343 23343 626353 13‐Jan‐2011645 SEPOY720 Biswarup Ghosh Rupak Ghosh Son Reimbursement 07‐Dec‐2010 4625 4225 626354 13‐Jan‐2011646 CONS6939 Dilip Kumar Ghosh Dibyendu Ghosh Son Reimbursement 07‐Dec‐2010 9457 8067 626355 13‐Jan‐2011647 15 Gabriel Mondol Mary Mondol Spouse Reimbursement 07‐Dec‐2010 6724 6624 626369 13‐Jan‐2011648 ASI4220 Tarun Kumar Banerjee Kaushik Banerjee Son Reimbursement 07‐Dec‐2010 13128 9092 626374 13‐Jan‐2011649 CONST3493 Jiten Basak Jiten Basak Self Reimbursement 17‐Dec‐2010 21164 15000 626402 13‐Jan‐2011650 CONST1484 Ashutosh Panda Chinmoyee Panda Spouse Reimbursement 31‐Dec‐2010 6175 6175 626376 13‐Jan‐2011651 DC Debnath Baran Debnath Baran Self Reimbursement 03‐Jan‐2011 4800 4800 626385 13‐Jan‐2011652 SEPY18397 Prabir Das Puskar Das Self Cashless 03‐Jan‐2011 44680 44148 626387 13‐Jan‐2011653 ASI10477 Samir Chandra Majumder Soma Majumder Spouse Reimbursement 04‐Jan‐2011 21719 10000 626388 13‐Jan‐2011654 CONST13823 Mintu Das Sampa Das Spouse Reimbursement 04‐Jan‐2011 17266 10000 626389 13‐Jan‐2011655 SEPOY19967 Satish Kr Singh Rinku Mala Devi Spouse Reimbursement 04‐Jan‐2011 4855 4855 626390 13‐Jan‐2011656 CONST1356 Nityananda Patra Jaba Patra Spouse Reimbursement 04‐Jan‐2011 20729 20459 626391 13‐Jan‐2011657 S I Bhola Nath Chakraborty Biju Chakraborty Spouse Reimbursement 04‐Jan‐2011 19990 15000 626392 13‐Jan‐2011658 CONST13215 Goutam Bhowmick Moumita Bhowmick Spouse Reimbursement 04‐Jan‐2011 7835 5000 626393 13‐Jan‐2011659 SERG Shyama Prasad Halder Shyama Prasad Halder Self Reimbursement 04‐Jan‐2011 27597 26066 626394 13‐Jan‐2011660 CONST11455 Chinmay Sarkar Trihan Sarkar Son Reimbursement 04‐Jan‐2011 17746 15000 626395 13‐Jan‐2011661 CONST18697 Binay Roy Dipika Roy Spouse Reimbursement 04‐Jan‐2011 19079 10000 626396 13‐Jan‐2011662 CONST125 Guru Pada Mondal Konika Mondal Spouse Reimbursement 04‐Jan‐2011 12296 11080 626397 13‐Jan‐2011663 SEPOY16003 Sultan Ruhul Amin Kazi Anamica Spouse Reimbursement 04‐Jan‐2011 11714 10000 626398 13‐Jan‐2011664 SEPOY18330 Subhendu Sekhar Sarkar Subhendu Sekhar Sarkar Self Reimbursement 04‐Jan‐2011 21190 15000 626405 13‐Jan‐2011665 S I Dipak Kumar Biswas Dipak Kumar Biswas Self Reimbursement 04‐Jan‐2011 17234 12000 626401 13‐Jan‐2011666 CONST11028 Partha Sarathi Pal Aparna Pal Spouse Reimbursement 04‐Jan‐2011 17707 10000 626410 13‐Jan‐2011667 SERG Soumen Dey Sarkar Soumen Dey Sarkar Self Reimbursement 04‐Jan‐2011 8150 8150 626297 13‐Jan‐2011668 SEPOY18588 Tapas Ghosh Tapas Ghosh Self Reimbursement 04‐Jan‐2011 28306 15000 626300 13‐Jan‐2011669 CONST6603 Manas Sarkar Manas Sarkar Self Reimbursement 04‐Jan‐2011 7337 7337 626302 13‐Jan‐2011670 AASI6697 Babul Ghosh Rupam Ghosh Son Reimbursement 04‐Jan‐2011 10180 9680 626303 13‐Jan‐2011671 CONST8849 Tapas Chanda Taniya Chanda Daughter Reimbursement 04‐Jan‐2011 24581 23689 626304 13‐Jan‐2011672 CONST8997 Kamal Kanti Das Tapasi Das Spouse Reimbursement 05‐Jan‐2011 21064 21064 626307 13‐Jan‐2011673 SEPOY19588 Subhas Chandra Singha Subhas Chandra Singha Self Reimbursement 11‐Jan‐2011 2587 2587 626310 13‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt674 SEPOY19479 Md Abdul Mannan Md Abdul Mannan Self Reimbursement 11‐Jan‐2011 29795 15000 626311 13‐Jan‐2011675 CONST7945 Tara Prasanna Ghosh Tara Prasanna Ghosh Self Reimbursement 12‐Jan‐2011 6862 6862 626312 13‐Jan‐2011676 SEPOY142 Khandakar Saiful Alam Khandakar Saiful Alam Self Reimbursement 30‐Aug‐2010 9490 8920 626595 18‐Jan‐2011677 SEPOY815 Ranjit Kumar Barman Uma Barman Spouse Reimbursement 10‐Sep‐2010 12706 10000 626580 18‐Jan‐2011678 SEPOY19784 Joydeb Pandit Joydeb Pandit Self Cashless 11‐Sep‐2010 105772 89700 626635 18‐Jan‐2011679 ASI7524 Sibu Kr Singhroy Urmila Singhroy Spouse Reimbursement 23‐Sep‐2010 38962 15000 626589 18‐Jan‐2011680 CONST10710 Md Nizamuddin Saikh Pinkey Begum Spouse Reimbursement 23‐Sep‐2010 10689 10000 626599 18‐Jan‐2011681 SERG Asit Kr Saha Pramanick Asit Kr Saha Pramanick Self Cashless 29‐Sep‐2010 34711 32000 626619 18‐Jan‐2011682 SEPOY17916 Gobardhan Dey Arka Dey Son Reimbursement 11‐Oct‐2010 8238 7893 626538 18‐Jan‐2011683 SEPOY15308 Ranjit Roy Shefali Roy Spouse Cashless 25‐Oct‐2010 23944 20000 626621 18‐Jan‐2011684 SEPOY17266 Ashish Kr Saha Kakali Saha Spouse Reimbursement 21‐Nov‐2010 13335 10000 626452 18‐Jan‐2011685 SEPOY1642 Bipad Taran Sinha Baisakhi Sinha (Singha) Spouse Reimbursement 21‐Nov‐2010 22880 10000 626590 18‐Jan‐2011686 SEPOY9574 Dipak Kumar Mondal Mosoumi Mondal Spouse Reimbursement 21‐Nov‐2010 10789 10000 626587 18‐Jan‐2011687 SEPOY18920 Debashis Halder Pinki Halder Spouse Reimbursement 21‐Nov‐2010 9881 9386 626611 18‐Jan‐2011688 cons5509 Ashok Kumar Mondal Ashok Kumar Mondal Self Reimbursement 21‐Nov‐2010 7210 6000 626181 18‐Jan‐2011689 RAF10314 Firoj Khan Zeba Perween Spouse Reimbursement 21‐Nov‐2010 15243 10000 626592 18‐Jan‐2011690 SERGE Mashood Shaukat Mashood Shaukat Self Reimbursement 21‐Nov‐2010 20996 18000 626585 18‐Jan‐2011691 CONST7349 Gouranga Das Gouranga Das Self Reimbursement 21‐Nov‐2010 9328 9328 626591 18‐Jan‐2011692 S I Sunil Kumar Ghosh Sunil Kumar Ghosh Self Reimbursement 21‐Nov‐2010 14548 13653 626584 18‐Jan‐2011693 AASI9362 Tushar Kanti Chongdar Tushar Kanti Chongdar Self Reimbursement 21‐Nov‐2010 27854 27560 626588 18‐Jan‐2011694 A S4581 Md Abdul Mohit Hena Afroz Daughter Reimbursement 21‐Nov‐2010 11835 11835 626586 18‐Jan‐2011695 SEPOY Narendra Nath Saha Narendra Nath Saha Self Reimbursement 06‐Dec‐2010 25687 18000 626429 18‐Jan‐2011696 689 Ranjan Kumar Roy Ranjan Kumar Roy Self Reimbursement 06‐Dec‐2010 13325 10000 626428 18‐Jan‐2011697 SEPOY17464 Binoy Bar Binoy Bar Self Reimbursement 06‐Dec‐2010 13330 10000 626438 18‐Jan‐2011698 SEPOY16842 Dulal Chandra Sarkar Indrani Sarkar Spouse Reimbursement 06‐Dec‐2010 9454 9074 626426 18‐Jan‐2011699 CONS15988 Mrinal Kanti Roy Mrinal Kanti Roy Self Reimbursement 06‐Dec‐2010 34464 32944 626427 18‐Jan‐2011700 CONST7637 Pranab Chakraborty Pranab Chakraborty Self Reimbursement 06‐Dec‐2010 28611 28300 626430 18‐Jan‐2011701 SEPOY655 Bidyut Sarkar Bidyut Sarkar Self Reimbursement 06‐Dec‐2010 13500 10000 626455 18‐Jan‐2011702 CONST16396 Rudra Prasad Paitandi Poonam Pitandi Spouse Reimbursement 06‐Dec‐2010 18232 10000 626457 18‐Jan‐2011703 cons13445 Swadhin Das Swadhin Das Self Reimbursement 06‐Dec‐2010 11940 10000 626446 18‐Jan‐2011704 SEPOY Rasendra Nath Barman Rasendra Nath Barman Self Reimbursement 06‐Dec‐2010 14149 13779 626459 18‐Jan‐2011705 CONST12943 Tapan Kumar Kapri Tapan Kumar Kapri Self Reimbursement 06‐Dec‐2010 18191 15000 626450 18‐Jan‐2011706 1245 Dulal Sarkar Anita Sarkar Spouse Reimbursement 06‐Dec‐2010 15800 10000 626442 18‐Jan‐2011707 CONS18381 Sk Salim Hamida Begum Spouse Reimbursement 06‐Dec‐2010 6148 5000 626444 18‐Jan‐2011708 SUB INSP8 Mrinmoy Banerjee Rupa Banerjee Spouse Reimbursement 06‐Dec‐2010 5925 5835 626451 18‐Jan‐2011709 SEPOY17924 Dipak Mondal Ruby Mondal Spouse Reimbursement 06‐Dec‐2010 10263 9239 626449 18‐Jan‐2011710 SEPOY14989 Avijit Bandyopadhyay Arundhati Bandyopadhyay Spouse Reimbursement 06‐Dec‐2010 11952 10000 626454 18‐Jan‐2011711 SEPOY16784 Pankaj Mondal Pankaj Mondal Self Reimbursement 06‐Dec‐2010 12138 12138 626439 18‐Jan‐2011712 P DR1532 Motilal Poddar Priyanka Poddar Spouse Reimbursement 06‐Dec‐2010 9867 9637 626456 18‐Jan‐2011713 SEPOY9796 Satish Rai Rshama Rai Spouse Reimbursement 06‐Dec‐2010 1175 1175 626445 18‐Jan‐2011714 SERG Karma Tshering Bhutia Lakpa Doma Sherpa Bhutia Spouse Reimbursement 06‐Dec‐2010 34989 10000 626447 18‐Jan‐2011715 SEPOY1380 Mahabir Ray Mahabir Ray Self Reimbursement 06‐Dec‐2010 21473 10000 626432 18‐Jan‐2011716 CONST2501 Paresh Ch Roy Priyanka Roy Daughter Reimbursement 06‐Dec‐2010 4923 4923 626448 18‐Jan‐2011717 cons5913 Narendra Nath Chakraborty Reba Chakraborty Spouse Reimbursement 06‐Dec‐2010 16528 15000 626458 18‐Jan‐2011718 CONST2501 Paresh Ch Roy Papiya Roy Daughter Reimbursement 06‐Dec‐2010 4791 4791 626469 18‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt719 15 Gabriel Mondol Mary Mondol Spouse Reimbursement 06‐Dec‐2010 10684 10684 626464 18‐Jan‐2011720 SUB INSP5 Ashutosh Patra Ashutosh Patra Self Reimbursement 06‐Dec‐2010 2515 2515 626463 18‐Jan‐2011721 P DR1270 Sanjoy Bag Krishna Bag Spouse Reimbursement 06‐Dec‐2010 11489 10000 626462 18‐Jan‐2011722 SERG Souri Shankar Pal Manika Pal Spouse Reimbursement 06‐Dec‐2010 10713 5000 626440 18‐Jan‐2011723 P DR1201 Dulal Saha Sova Saha Spouse Reimbursement 06‐Dec‐2010 11492 10292 626443 18‐Jan‐2011724 SEPOY10812 Rajib Nandi Rajib Nandi Self Reimbursement 06‐Dec‐2010 7417 7417 626465 18‐Jan‐2011725 SEPOY1819 Prosad Kr Bahara Priyanka Bahara Spouse Reimbursement 06‐Dec‐2010 14277 10000 626466 18‐Jan‐2011726 CONS6939 Dilip Kumar Ghosh Dilip Kumar Ghosh Self Reimbursement 06‐Dec‐2010 19618 19218 626474 18‐Jan‐2011727 cons15020 Nakul Chandra Roy Nakul Chandra Roy Self Reimbursement 06‐Dec‐2010 4525 4090 626475 18‐Jan‐2011728 SEPOY17395 Md Izazul Haque Md Izazul Haque Self Reimbursement 06‐Dec‐2010 6500 5000 626473 18‐Jan‐2011729 1 Partha Pratim Singh Sri Parna Singha Daughter Reimbursement 06‐Dec‐2010 13864 10000 626472 18‐Jan‐2011730 CONST1998 Dipankar Chakraborty Sayantani Chakraborty Spouse Reimbursement 06‐Dec‐2010 17899 17899 626509 18‐Jan‐2011731 SEPOY19004 Ainal Hoque Mondal Ainal Hoque Mondal Self Reimbursement 06‐Dec‐2010 14000 10000 626471 18‐Jan‐2011732 RAF1527 Amar Soren Monika Henbram Spouse Reimbursement 06‐Dec‐2010 8304 5000 626470 18‐Jan‐2011733 LD CONS68 Shikha Rani Ghosh Shikha Rani Ghosh Self Reimbursement 06‐Dec‐2010 82961 40000 626420 18‐Jan‐2011734 CONS2573 Tapan Debnath Kakali Debnath Wife Reimbursement 06‐Dec‐2010 9141 9141 626421 18‐Jan‐2011735 PDR1701 Nimai Mondal Tumpa Mondal Wife Reimbursement 06‐Dec‐2010 16737 10000 626424 18‐Jan‐2011736 CONS1110 Jayanta Mukherjee Sulata Mukherjee Wife Reimbursement 06‐Dec‐2010 19975 10000 626425 18‐Jan‐2011737 SEPOY2397 Saurabh Parbat Minu Parbat Spouse Reimbursement 07‐Dec‐2010 18200 10000 626478 18‐Jan‐2011738 S I Mani Bhusan Bhunia Anuradha Bhunia Spouse Reimbursement 07‐Dec‐2010 6509 6509 626479 18‐Jan‐2011739 S I Sumanta Santra Sumanta Santra Self Reimbursement 07‐Dec‐2010 10940 10150 626605 18‐Jan‐2011740 ASI9724 Swadesh Ranjan Makhal Swadesh Ranjan Makhal Self Reimbursement 07‐Dec‐2010 22820 18182 626570 18‐Jan‐2011741 ASI9304 Jagadish Lodh Jagadish Lodh Self Reimbursement 07‐Dec‐2010 8940 8387 626582 18‐Jan‐2011742 S I Mrinmoy Banerjee Mrinmoy Banerjee Self Reimbursement 07‐Dec‐2010 6945 6945 626583 18‐Jan‐2011743 S I Mrinmoy Banerjee Rupa Banerjee Spouse Reimbursement 07‐Dec‐2010 6125 6035 626547 18‐Jan‐2011744 CONS17748 Tarun Kumar Singha Madhumita Singha Spouse Reimbursement 07‐Dec‐2010 2762 2762 626579 18‐Jan‐2011745 SEPOY1389 Sankar Dutta Sankar Dutta Self Reimbursement 07‐Dec‐2010 21657 10000 626520 18‐Jan‐2011746 1156 Sk Yunus Ali Rubina Praveen Daughter Reimbursement 07‐Dec‐2010 4971 3386 626581 18‐Jan‐2011747 CONST15931 Goutam Das Bhumika Das Daughter Reimbursement 07‐Dec‐2010 6677 6128 626179 18‐Jan‐2011748 CONS16763 Nilanjan Chakraborty Srimoyee Chakraborty Spouse Reimbursement 07‐Dec‐2010 17305 10000 626554 18‐Jan‐2011749 cons13038 Prabhat Ganguly Prabhat Ganguly Self Reimbursement 07‐Dec‐2010 15950 15750 626552 18‐Jan‐2011750 598 Utpal Kanrar Utpal Kanrar Self Reimbursement 07‐Dec‐2010 29441 10000 626550 18‐Jan‐2011751 RAF17623 Dinesh Prasad Dinesh Prasad Self Reimbursement 07‐Dec‐2010 9730 8650 626555 18‐Jan‐2011752 CONST7973 Ranjan Kumar Ghosh Ranjan Kumar Ghosh Self Reimbursement 07‐Dec‐2010 20807 15000 626419 18‐Jan‐2011753 SERG Mihir Majumder Adrito Majumder Son Reimbursement 07‐Dec‐2010 4264 4184 626423 18‐Jan‐2011754 CONST9937 Siddhartha Banerjee Siddhartha Banerjee Self Reimbursement 07‐Dec‐2010 6984 6984 626436 18‐Jan‐2011755 SEPOY10283 Suvendu Dhibar Anindita Dhibar Wife Reimbursement 07‐Dec‐2010 11882 10000 626525 18‐Jan‐2011756 CONST14959 Manoj Sarkar Baby Sarkar [ Roy ] Spouse Reimbursement 07‐Dec‐2010 14894 10000 626437 18‐Jan‐2011757 SEPOY10950 Amit Krishna Ghosh Koeli Ghosh Wife Reimbursement 07‐Dec‐2010 13130 10000 626527 18‐Jan‐2011758 S I Surajit Bose Surajit Bose Self Reimbursement 07‐Dec‐2010 12685 11500 626529 18‐Jan‐2011759 SEPOY19839 Joyanta Kr Chatterjee Pranati Chatterjee Spouse Reimbursement 07‐Dec‐2010 18982 10000 626477 18‐Jan‐2011760 SEPOY17191 Amal Das Amal Das Self Reimbursement 07‐Dec‐2010 16974 10000 626433 18‐Jan‐2011761 SEPOY16490 Md Rafick Nashima Begum Spouse Reimbursement 07‐Dec‐2010 13665 10000 626431 18‐Jan‐2011762 CONST18831 Sibu Das Sibu Das Self Reimbursement 07‐Dec‐2010 16974 10000 626422 18‐Jan‐2011763 S I Santosh Kr Mandal Arpan Mandal Son Reimbursement 07‐Dec‐2010 7000 6400 626434 18‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt764 SEPOY823 Amal Kr Barman Amal Kr Barman Self Reimbursement 07‐Dec‐2010 7777 5000 626435 18‐Jan‐2011765 HELP Radha Kanta Pati Anit Pati Son Reimbursement 07‐Dec‐2010 25749 24289 626498 18‐Jan‐2011766 CONST17223 Amitav Sen Baisakhi Sen Wife Reimbursement 07‐Dec‐2010 13822 10000 626528 18‐Jan‐2011767 UDA43395 Kunal Roy Aditi Roy Spouse Reimbursement 07‐Dec‐2010 60328 22000 626500 18‐Jan‐2011768 CONST1509 Dinanath Singh Dinanath Singh Self Reimbursement 07‐Dec‐2010 7618 7618 626531 18‐Jan‐2011769 CONS1573 Bhim Ghosh Sampa Ghosh Spouse Reimbursement 07‐Dec‐2010 20300 10000 626544 18‐Jan‐2011770 UDA43395 Kunal Roy Aditi Roy Spouse Reimbursement 07‐Dec‐2010 11748 10262 626530 18‐Jan‐2011771 CONST1313 Fatik Ch Kundu Fatik Ch Kundu Self Reimbursement 07‐Dec‐2010 5946 5946 626519 18‐Jan‐2011772 RAF19136 Bipul Roy Sumita Roy Spouse Reimbursement 07‐Dec‐2010 10018 10000 626532 18‐Jan‐2011773 CONST7183 Balai Chakraborty Balai Chakraborty Self Reimbursement 07‐Dec‐2010 4132 4132 626536 18‐Jan‐2011774 CONST15377 Goutam Roy Sharmistha Roy Spouse Reimbursement 07‐Dec‐2010 12640 10000 626535 18‐Jan‐2011775 SEPOY133 Sujit Kr Mandal Swapna Mondal Spouse Reimbursement 07‐Dec‐2010 12287 10000 626534 18‐Jan‐2011776 CONS13794 Bishwarup Biswas Krishna Biswas Spouse Reimbursement 07‐Dec‐2010 21408 10000 626524 18‐Jan‐2011777 CONST13078 Shyam Sundar Ghosh Sanjukta Ghosh Spouse Reimbursement 07‐Dec‐2010 4863 4308 626545 18‐Jan‐2011778 ASI5499 Mukti Prasad Roy Snigdha Roy Spouse Reimbursement 07‐Dec‐2010 89783 15000 626497 18‐Jan‐2011779 ASI Bimal Basak Tanmoy Basak Son Reimbursement 07‐Dec‐2010 97789 93989 626540 18‐Jan‐2011780 CONS14085 Ganesh Chandra Porey Sujata Porey Spouse Reimbursement 07‐Dec‐2010 7994 5000 626541 18‐Jan‐2011781 RAF17623 Dinesh Prasad Dinesh Prasad Self Reimbursement 07‐Dec‐2010 19212 15000 626542 18‐Jan‐2011782 SEPOY19588 Subhas Chandra Singha Subhas Chandra Singha Self Reimbursement 07‐Dec‐2010 1516 1516 626521 18‐Jan‐2011783 SEPOY18685 Nibas Chandra Roy Nibas Chandra Roy Self Reimbursement 07‐Dec‐2010 15017 15000 626533 18‐Jan‐2011784 P DR1775 Arun Ghosh Arun Ghosh Self Reimbursement 07‐Dec‐2010 2856 2481 626496 18‐Jan‐2011785 Const16615 Shyamal Debnath Shyamal Debnath Self Reimbursement 07‐Dec‐2010 5089 2525 626506 18‐Jan‐2011786 CONAS9924 Susanto Kr Mondal Soma Mondal Daughter Cashless 10‐Dec‐2010 20579 18000 626636 18‐Jan‐2011787 INSP Vivekananda Sinha Vivekananda Sinha Self Reimbursement 22‐Dec‐2010 22000 15000 626576 18‐Jan‐2011788 cons4005 Kamal Diensh Tiwary Nisha Tiwary Daughter Cashless 03‐Jan‐2011 17207 15600 626617 18‐Jan‐2011789 CONST8629 Md. Perwez Khan Md. Perwez Khan Self Cashless 03‐Jan‐2011 47386 30000 626618 18‐Jan‐2011790 CONST14336 Santosh Ghosh Santosh Ghosh Self Reimbursement 03‐Jan‐2011 9045 8954 626609 18‐Jan‐2011791 ASI6448 Siddhartha Karmakar Namita Karmakar Spouse Cashless 04‐Jan‐2011 61593 49000 626620 18‐Jan‐2011792 CONST14042 Kollal Roy Aparajita Roy Spouse Reimbursement 04‐Jan‐2011 21292 10000 626180 18‐Jan‐2011793 8 Manas Kumar Banik Soma Banik Spouse Cashless 04‐Jan‐2011 13755 11000 626622 18‐Jan‐2011794 CONST6603 Manas Sarkar Manas Sarkar Self Reimbursement 04‐Jan‐2011 4334 4334 626522 18‐Jan‐2011795 INSP Jayanta Datta Soma Datta Spouse Reimbursement 04‐Jan‐2011 7327 6095 626523 18‐Jan‐2011796 ASI1749 Shymal Kumar Banerjee Shelly Banerjee Spouse Cashless 04‐Jan‐2011 13718 10000 626623 18‐Jan‐2011797 ASI7094 Soumen Roy Soumen Roy Self Cashless 04‐Jan‐2011 14838 10000 626624 18‐Jan‐2011798 C920 G Sar G Sarkr Self Cashless 04‐Jan‐2011 48600 48500 626526 18‐Jan‐2011799 CONST8349 Nitai Chandra Pariya Bidyut Lata Pariya Spouse Reimbursement 05‐Jan‐2011 9653 9653 626537 18‐Jan‐2011800 SERG Surajit Porel Mala Porel Spouse Reimbursement 05‐Jan‐2011 36008 18000 626539 18‐Jan‐2011801 ASI143 Sunil Kumar Roy Sunil Kumar Roy Self Reimbursement 05‐Jan‐2011 14000 10000 626543 18‐Jan‐2011802 SEPOY17408 Arabinda Bagani Sunita Bagani Spouse Reimbursement 05‐Jan‐2011 3284 3284 626546 18‐Jan‐2011803 ASI2480 Prasanta Kr Sinha Shila Sinha Spouse Reimbursement 05‐Jan‐2011 12536 12211 626548 18‐Jan‐2011804 Subeder Jnan Ranjan Hansda Sandhya Rani Hansda Spouse Reimbursement 05‐Jan‐2011 23048 18000 626549 18‐Jan‐2011805 SEPOY131 Prasanta Kr Samanta Uma Samanta [ Goswami ] Wife Reimbursement 05‐Jan‐2011 32771 10000 626551 18‐Jan‐2011806 SEPOY431 Tarun Kr Samant Dhananjoy Samant Son Reimbursement 05‐Jan‐2011 7240 6840 626553 18‐Jan‐2011807 SEPOY531 Khondekar Niyamul Islam Ayesha Sultana Spouse Reimbursement 05‐Jan‐2011 9402 9402 626556 18‐Jan‐2011808 ASI8446 Subhasis Bandyopadhyay Subhasis Bandyopadhyay Self Reimbursement 05‐Jan‐2011 10805 10000 626557 18‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt809 ASI6839 Pravanjan Nayak Pravanjan Nayak Self Reimbursement 05‐Jan‐2011 32688 18000 626558 18‐Jan‐2011810 UDC Swarna Kamal Chaudhuri Swarna Kamal Chaudhuri Self Reimbursement 05‐Jan‐2011 15596 10000 626559 18‐Jan‐2011811 P DR1515 Vivekananda Dutta Ratna Dutta Spouse Reimbursement 05‐Jan‐2011 14351 14351 626560 18‐Jan‐2011812 CONST16789 Tinku Kumar Prosad Baby Prosad Spouse Reimbursement 05‐Jan‐2011 14657 10000 626561 18‐Jan‐2011813 CONST16570 Bishnu Pada Gonrah Priyanka Gonrah Spouse Reimbursement 05‐Jan‐2011 8491 8491 626562 18‐Jan‐2011814 P DR1515 Vivekananda Dutta Ratna Dutta Spouse Reimbursement 05‐Jan‐2011 9079 9079 626563 18‐Jan‐2011815 ASI10985 Sanjoy Chattopadhyay Sanchali Chatterjee Daughter Reimbursement 05‐Jan‐2011 9016 9016 626564 18‐Jan‐2011816 CONST11583 Abul Kalam Mansur Alam Asma Khatun Spouse Reimbursement 05‐Jan‐2011 6550 6550 626565 18‐Jan‐2011817 Cons6254 Baidya Nath Das Baidya Nath Das Self Reimbursement 05‐Jan‐2011 4688 4688 626566 18‐Jan‐2011818 S I151 Dilip Sarkar Smriti Rekha Sarkar Spouse Reimbursement 05‐Jan‐2011 25827 10000 626568 18‐Jan‐2011819 S I10725 Debdulal Banerjee Mousumi Banerjee Spouse Reimbursement 05‐Jan‐2011 16006 15000 626569 18‐Jan‐2011820 AASI6697 Babul Ghosh Rupam Ghosh Son Reimbursement 05‐Jan‐2011 23500 15000 626571 18‐Jan‐2011821 CONST7662 Tapan Ghosh Tapan Ghosh Self Reimbursement 05‐Jan‐2011 13109 13109 626572 18‐Jan‐2011822 CONST3593 Syed Wahidul Islam Syeda Rigia Begum Spouse Reimbursement 05‐Jan‐2011 26606 18000 626573 18‐Jan‐2011823 S I Swapan Kumar Roy Archana Roy Spouse Reimbursement 05‐Jan‐2011 10278 9298 626575 18‐Jan‐2011824 CONS15874 Tarit Kumar Banerjee Tarit Kumar Banerjee Self Reimbursement 06‐Jan‐2011 44000 43620 626453 18‐Jan‐2011825 SERG Subrata Chowdhury Taniya Chowdhury Spouse Reimbursement 06‐Jan‐2011 27915 15000 626574 18‐Jan‐2011826 ASI219 Bahadur Mahato Bahadur Mahato Self Reimbursement 06‐Jan‐2011 39135 15000 626614 18‐Jan‐2011827 8897 Samir Lal Chakraborty Samir Lal Chakraborty Self Cashless 06‐Jan‐2011 101088 98800 626626 18‐Jan‐2011828 S I1314 Tapan Basu Tapan Basu Self Cashless 06‐Jan‐2011 32026 31300 626627 18‐Jan‐2011829 SEPOY19134 Md Sattar Ali Md Sattar Ali Self Cashless 06‐Jan‐2011 10493 10000 626628 18‐Jan‐2011830 CONST8541 Paritosh Dutta Paritosh Dutta Self Cashless 06‐Jan‐2011 5577 5500 626629 18‐Jan‐2011831 S I1314 Tapan Basu Tapan Basu Self Cashless 06‐Jan‐2011 19287 19287 626630 18‐Jan‐2011832 DANDI422 Sukanta Roy Sukanta Roy Self Cashless 06‐Jan‐2011 6095 6095 626631 18‐Jan‐2011833 SEPOY5128 Md Jalaluddin Md Jalaluddin Self Cashless 06‐Jan‐2011 23519 22000 626632 18‐Jan‐2011834 CONST4987 Abdur Rajjaque Sarder Abdur Rajjaque Sarder Self Cashless 06‐Jan‐2011 60950 58350 626633 18‐Jan‐2011835 INSP Monoranjan Paul Monoranjan Paul Self Cashless 06‐Jan‐2011 10106 9400 626634 18‐Jan‐2011836 CONS13720 Malay Das Kabita Das Spouse Cashless 06‐Jan‐2011 31333 18000 626637 18‐Jan‐2011837 S I Gobinda Das Ckakraborty Gobinda Das Ckakraborty Self Cashless 06‐Jan‐2011 8508 7423 626638 18‐Jan‐2011838 CONST109 Nikhil Chandra Garai Nikhil Chandra Garai Self Cashless 06‐Jan‐2011 75826 72000 626639 18‐Jan‐2011839 UDC Samir Kr Saha Samir Kr Saha Self Cashless 06‐Jan‐2011 18706 17000 626640 18‐Jan‐2011840 51 Tapas Kumar Dutta Tapas Kumar Dutta Self Cashless 06‐Jan‐2011 33776 30000 626641 18‐Jan‐2011841 CONS5007 Shyamal Kumar Mitra Sraboni Mitra Spouse Cashless 06‐Jan‐2011 26375 24668 626645 18‐Jan‐2011842 SEPOY19241 Sankar Mahato Sankar Mahato Self Cashless 06‐Jan‐2011 23119 20000 626646 18‐Jan‐2011843 CONST13274 Arup Kr Joarder Arup Kr Joarder Self Cashless 06‐Jan‐2011 14413 13695 626647 18‐Jan‐2011844 CONS14043 Kamal Ray Kamal Ray Self Cashless 06‐Jan‐2011 9979 9380 626648 18‐Jan‐2011845 P DR1715 Sujit Kr Mandal Sujit Kr Mandal Self Cashless 06‐Jan‐2011 8975 8356 626649 18‐Jan‐2011846 SEPOY17269 Arup Kumar Mazumdar Arup Kumar Mazumdar Self Cashless 06‐Jan‐2011 6226 5732 626650 18‐Jan‐2011847 S I Ratan Kumar Saha Ratan Kumar Saha Self Reimbursement 07‐Jan‐2011 14460 12660 626596 18‐Jan‐2011848 CONST3547 Ashim Kumar Chatterjee Dipa Chatterjee Spouse Reimbursement 07‐Jan‐2011 11837 10000 626597 18‐Jan‐2011849 CONST14232 Biswanath Biswas Palti Biswas Spouse Reimbursement 07‐Jan‐2011 19370 10000 626612 18‐Jan‐2011850 RC13 Nilrohit Sarkar Nilrohit Sarkar Self Reimbursement 07‐Jan‐2011 11650 11460 626598 18‐Jan‐2011851 CONST1272 Dibyendu Sur Debalina Sur Spouse Reimbursement 07‐Jan‐2011 22180 10000 626600 18‐Jan‐2011852 L CONST44 Putul Sarkar Putul Sarkar Self Reimbursement 07‐Jan‐2011 9865 8165 626601 18‐Jan‐2011853 CONST8712 Jag Narayan Mishra Jag Narayan Mishra Self Reimbursement 07‐Jan‐2011 14658 11458 626602 18‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt854 SEPOY17245 Hillol Roy Dalim Sarkar Spouse Reimbursement 07‐Jan‐2011 18253 10000 626603 18‐Jan‐2011855 CONST6958 Samir Kumar Sanyal Sawrnalika Sanyal Daughter Reimbursement 07‐Jan‐2011 5912 5912 626604 18‐Jan‐2011856 ASI5244 Shymal Kanti Sen Swapna Sen Spouse Reimbursement 07‐Jan‐2011 20085 18000 626606 18‐Jan‐2011857 SI Biswambhar Tribedi Basanti Tribedi Spouse Reimbursement 07‐Jan‐2011 5600 5600 626608 18‐Jan‐2011858 CONST6497 Uttam Kumar Ghosh Dipali Ghosh Spouse Reimbursement 07‐Jan‐2011 45107 18000 626607 18‐Jan‐2011859 CONST4996 Tapan Majumdar Tapan Majumdar Self Cashless 07‐Jan‐2011 26736 25000 626651 18‐Jan‐2011860 ASI2819 Barun Kumar Acharya Munmun Acharya Daughter Reimbursement 07‐Jan‐2011 12662 12662 626610 18‐Jan‐2011861 Sowar Jitendra Prasad Sharma Shova Sharma Spouse Reimbursement 07‐Jan‐2011 19153 10000 626613 18‐Jan‐2011862 ASI9358 Ashis Saha Ashis Saha Self Reimbursement 07‐Jan‐2011 15495 15000 626615 18‐Jan‐2011863 SEPOY17923 Goutam Bhattacharjee Aishi Bhattacharjee Daughter Reimbursement 07‐Jan‐2011 8217 8168 626616 18‐Jan‐2011864 SEPOY18620 Sanjit Paul Sampa Paul Spouse Reimbursement 08‐Jan‐2011 17028 10000 626182 18‐Jan‐2011865 S I Subash Ch Sikder Subash Ch Sikder Self Reimbursement 08‐Jan‐2011 66181 58381 626183 18‐Jan‐2011866 CONST6892 Md Riazul Islam Md Riazul Islam Self Reimbursement 08‐Jan‐2011 24569 22000 626184 18‐Jan‐2011867 ASI8282 Pradip Kr Mondal Pradip Kr Mondal Self Reimbursement 08‐Jan‐2011 12956 10000 626185 18‐Jan‐2011868 SEPOY772 Paritosh Soren Paritosh Soren Self Reimbursement 08‐Jan‐2011 60409 54709 626186 18‐Jan‐2011869 ASI8446 Subhasis Bandyopadhyay Snigdha Banerjee Spouse Reimbursement 08‐Jan‐2011 36619 10000 626187 18‐Jan‐2011870 SEPOY10547 Jakir Hossen Layek Khondokar Kismatara Spouse Reimbursement 08‐Jan‐2011 16338 10000 626188 18‐Jan‐2011871 ASI9232 Subrata Sen Subrata Sen Self Reimbursement 08‐Jan‐2011 162804 100000 626189 18‐Jan‐2011872 SEPOY16914 Nurul Islam Elema Yeasmin Spouse Reimbursement 08‐Jan‐2011 3105 3105 626190 18‐Jan‐2011873 CONST7624 Mritunjoy Mukherjee Mritunjoy Mukherjee Self Reimbursement 08‐Jan‐2011 11781 11681 626191 18‐Jan‐2011874 CONST1295 Amit Sarkar Amit Sarkar Self Reimbursement 08‐Jan‐2011 6824 6654 626192 18‐Jan‐2011875 SYCE32 Ram Chandra Ram Laxmi Devi Spouse Reimbursement 08‐Jan‐2011 8007 7900 626193 18‐Jan‐2011876 SEPOY16464 Sudhir Kumar Singh Anand Kumar Singh Son Reimbursement 08‐Jan‐2011 7400 7350 626194 18‐Jan‐2011877 SEPOY18551 Shyamal Roy Pramanik Nityama Roy Pramanik Spouse Reimbursement 08‐Jan‐2011 15500 10000 626195 18‐Jan‐2011878 SEPOY1913 Sanjoy Sadhukhan Sanjoy Sadhukhan Self Reimbursement 08‐Jan‐2011 15820 15000 626196 18‐Jan‐2011879 ASI2021 Biswanath Dey Ratna Dey Spouse Reimbursement 08‐Jan‐2011 16559 16079 626197 18‐Jan‐2011880 CONST14145 Kanchan Kumar Adak Sonali Adak Spouse Reimbursement 08‐Jan‐2011 7394 5000 626198 18‐Jan‐2011881 CONST13953 Anup Kumar Baidya Rina Baidya Spouse Reimbursement 08‐Jan‐2011 14003 10000 626199 18‐Jan‐2011882 CONST16294 Jiwan Pradhan Mala Pradhan Spouse Reimbursement 08‐Jan‐2011 7018 7018 626200 18‐Jan‐2011883 CONST16377 Joydeb Bouri Subhadra Bouri Spouse Reimbursement 08‐Jan‐2011 12501 10000 626411 18‐Jan‐2011884 ASI11882 Sadhan Kumar Saha Sadhan Kumar Saha Self Reimbursement 08‐Jan‐2011 18951 18901 626412 18‐Jan‐2011885 P DR1830 Vivekananda Halder Mohua Halder Spouse Reimbursement 08‐Jan‐2011 6640 5000 626413 18‐Jan‐2011886 CONST6310 Sadhan Krishna Dhar Sadhan Krishna Dhar Self Reimbursement 08‐Jan‐2011 7505 7505 626414 18‐Jan‐2011887 CONST15743 Ujjwal Sardar Ujjwal Sardar Self Reimbursement 08‐Jan‐2011 6344 6344 626416 18‐Jan‐2011888 CONST5209 Golam Peer Khan Sashjahan Khan Son Reimbursement 08‐Jan‐2011 24714 15000 626417 18‐Jan‐2011889 P DR1128 Atanu Kumar Chanda Dolly Chanda Spouse Reimbursement 08‐Jan‐2011 8092 8092 626418 18‐Jan‐2011890 CONST9578 Tarun Kanti Das Tarun Kanti Das Self Cashless 10‐Jan‐2011 31290 28000 626653 18‐Jan‐2011891 SEPOY11609 Prasad Kumar Purkait Ellora Purkait Spouse Cashless 10‐Jan‐2011 43687 37000 626652 18‐Jan‐2011892 cons1120 Nanigopal Deb Roykat Mala Debroykat Spouse Reimbursement 11‐Jan‐2011 14737 10000 626467 18‐Jan‐2011893 ASI2021 Biswanath Dey Ratna Dey Spouse Reimbursement 13‐Jan‐2011 4000 3250 626480 18‐Jan‐2011894 CONST2727 Raj Kumar Saroj Raj Kumar Saroj Self Reimbursement 13‐Jan‐2011 10439 10039 626481 18‐Jan‐2011895 ASI7546 Santi Kumar Das Santi Kumar Das Self Reimbursement 13‐Jan‐2011 9917 1000 626482 18‐Jan‐2011896 CONST11082 Nasirul Haque Rahimul Haque Son Reimbursement 13‐Jan‐2011 3613 3613 626483 18‐Jan‐2011897 ASI1350 Bimal Chandra Roy Lakshmi Roy Spouse Reimbursement 13‐Jan‐2011 31726 22010 626484 18‐Jan‐2011898 SEPOY18618 Tapash Kumar Roy Tapash Kumar Roy Self Reimbursement 13‐Jan‐2011 5690 5690 626485 18‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt899 P DR1530 Prahllad Paul Manisha Paul Spouse Reimbursement 13‐Jan‐2011 6184 5000 626486 18‐Jan‐2011900 CONST17845 Chanchal Kumar Biswas Puspa Biswas Spouse Reimbursement 13‐Jan‐2011 17924 10000 626487 18‐Jan‐2011901 ASI4666 Tushar Kumar Mondal Tushar Kumar Mondal Self Reimbursement 14‐Jan‐2011 1808 1808 626488 18‐Jan‐2011902 ASI2721 Bishnu Charan Pati Safali Pati Spouse Reimbursement 14‐Jan‐2011 2617 2252 626489 18‐Jan‐2011903 SEPOY19980 Pradip Kumar Biswas Sikha Biswas Spouse Reimbursement 14‐Jan‐2011 19927 18000 626491 18‐Jan‐2011904 CONST13859 Sujauddin Peada Sujauddin Peada Self Reimbursement 14‐Jan‐2011 31877 22000 626490 18‐Jan‐2011905 CONST2727 Raj Kumar Saroj Raj Kumar Saroj Self Reimbursement 14‐Jan‐2011 9774 8094 626492 18‐Jan‐2011906 CONST14590 Dilip Kumar Halder Dilip Kumar Halder Self Reimbursement 14‐Jan‐2011 3832 2007 626493 18‐Jan‐2011907 S I102 Ram Prosad Mazumder Ram Prosad Mazumder Self Reimbursement 14‐Jan‐2011 10341 10341 626494 18‐Jan‐2011908 SEPOY17445 Dipak Debnath Sarbani Debnath Spouse Reimbursement 14‐Jan‐2011 7030 7030 626495 18‐Jan‐2011909 CONST8929 Ram Kumar Singh Ram Kumar Singh Self Reimbursement 14‐Jan‐2011 41571 40000 626499 18‐Jan‐2011910 CONST58 Gourav Bhattacharya Koushani Bhattacharya Daughter Reimbursement 14‐Jan‐2011 48781 47902 626501 18‐Jan‐2011911 L CONST244 Sandhya Mandal [ Das ] Sandhya Mandal [ Das ] Self Reimbursement 14‐Jan‐2011 12366 10000 626502 18‐Jan‐2011912 SEPOY18926 Palas Patra Baisakhi Patra Wife Reimbursement 14‐Jan‐2011 16000 10000 626503 18‐Jan‐2011913 UDA Subrata Bhowmick Tanusri Bhowmick Spouse Reimbursement 15‐Jan‐2011 14180 10000 626504 18‐Jan‐2011914 CONST10076 Bimal Ghosh Bimal Ghosh Self Reimbursement 15‐Jan‐2011 8500 8328 626505 18‐Jan‐2011915 CONST10901 Apurba Kumar Panda Soma Panda Spouse Reimbursement 15‐Jan‐2011 14500 10000 626507 18‐Jan‐2011916 SEPOY19683 Syed Ohi Dune Nobi Sahadatun Nessa Spouse Reimbursement 15‐Jan‐2011 13409 10000 626517 18‐Jan‐2011917 CONST13052 Anup Kumar Samanta Chiranjib Samanta Son Reimbursement 15‐Jan‐2011 16058 14868 626516 18‐Jan‐2011918 ASI3136 Sk Iyakub Hossain Sk Iyakub Hossain Self Reimbursement 15‐Jan‐2011 17323 15000 626515 18‐Jan‐2011919 CONST18603 Bijoy Kumar Ghosh Sudipta Ghosh Spouse Reimbursement 15‐Jan‐2011 22796 10000 626510 18‐Jan‐2011920 ASI5831 Sankar Kumar Ghosh Pranati Ghosh Spouse Reimbursement 15‐Jan‐2011 7030 6616 626514 18‐Jan‐2011921 CONST16446 Swarnendu Das Adhikari Rinki Das Adhikari Spouse Reimbursement 15‐Jan‐2011 19979 10000 626512 18‐Jan‐2011922 CONST16292 Himadri Roy Sangita Roy Spouse Reimbursement 15‐Jan‐2011 23000 10000 626508 18‐Jan‐2011923 ASI5831 Sankar Kumar Ghosh Pranati Ghosh Spouse Reimbursement 15‐Jan‐2011 3778 3539 626511 18‐Jan‐2011924 ASI5831 Sankar Kumar Ghosh Pranati Ghosh Spouse Reimbursement 15‐Jan‐2011 8051 5651 626513 18‐Jan‐2011925 ASI5049 Arun Kumar Kundu Arun Kumar Kundu Self Cashless 17‐Jan‐2011 19143 17355 626625 18‐Jan‐2011926 cons14722 Ramprasad Pal Anuva Pal Spouse Cashless 17‐Jan‐2011 31304 28381 626642 18‐Jan‐2011927 CONS1620 Hemant Maity Hemant Maity Self Cashless 17‐Jan‐2011 97089 88023 626643 18‐Jan‐2011928 ASI8632 Narayan Ch Garian Susmita Garain Daughter Cashless 17‐Jan‐2011 18125 16032 626644 18‐Jan‐2011929 CONST1313 Fatik Ch Kundu Fatik Ch Kundu Self Reimbursement 17‐Jan‐2011 152150 146520 626518 18‐Jan‐2011930 ASI7716 Biswajit Hazra Biswajit Hazra Self Cashless 27‐Sep‐2010 26472 24000 626717 27‐Jan‐2011931 CONS15204 Yogesh Giri Surja Giri Spouse Cashless 20‐Oct‐2010 45555 41301 626716 27‐Jan‐2011932 S I1162 Syed Abdul Dayan Syed Abdul Dayan Self Cashless 20‐Dec‐2010 11030 10000 626685 27‐Jan‐2011933 GR Dilip Kumar Mitra Dilip Kumar Mitra Self Cashless 20‐Dec‐2010 19834 18000 626696 27‐Jan‐2011934 ASI1040 Sankar Kumar Mondal Sankar Kumar Mondal Self Reimbursement 24‐Dec‐2010 74833 68058 626732 27‐Jan‐2011935 CONST7245 Nirapada Ghosh Nirapada Ghosh Self Cashless 28‐Dec‐2010 10994 10000 626704 27‐Jan‐2011936 SEPOY15235 Goutam Thakur Goutam Thakur Self Cashless 28‐Dec‐2010 5916 5446 626698 27‐Jan‐2011937 AASI9650 Rajkumar Sarkar Tapati Sarkar Spouse Cashless 28‐Dec‐2010 19854 18000 626699 27‐Jan‐2011938 SEPOY18325 Sushil Adhikary Gayatri Adhikary Wife Cashless 30‐Dec‐2010 10994 10000 626711 27‐Jan‐2011939 SERG Kalyan Das Kalyan Das Self Reimbursement 30‐Dec‐2010 38668 15000 626720 27‐Jan‐2011940 CONST13757 Pankaj Mallick Pinki Mallick Spouse Reimbursement 30‐Dec‐2010 10696 9800 626721 27‐Jan‐2011941 ASI11159 Sk Zulfikar Ali Biswas Sk Zulfikar Ali Biswas Self Reimbursement 30‐Dec‐2010 12318 8632 626724 27‐Jan‐2011942 RAF19705 Chandan Maity Swapan Maity Spouse Reimbursement 30‐Dec‐2010 6766 5995 626723 27‐Jan‐2011943 GDA Sambhu Das Sambhu Das Self Cashless 31‐Dec‐2010 11030 10000 626707 27‐Jan‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt944 SEPOY10741 Anirban Roy Pampa Roy Spouse Reimbursement 31‐Dec‐2010 19544 10000 626725 27‐Jan‐2011945 SEPOY15487 Firoj Azam Sainur Reba Spouse Reimbursement 31‐Dec‐2010 11913 10000 626728 27‐Jan‐2011946 CONST10198 Shiv Sankar Saha Soumyadip Saha Son Reimbursement 31‐Dec‐2010 10978 10978 626727 27‐Jan‐2011947 SEPOY17205 Sadhan Majumdar Anima Majumder Spouse Reimbursement 01‐Jan‐2011 3725 3625 626729 27‐Jan‐2011948 CONST203 Paban Kumar Singha Mahapatra Paban Kumar Singha Mahapatra Self Reimbursement 01‐Jan‐2011 16152 15576 626730 27‐Jan‐2011949 S I Mrinmoy Majumder Mrinmoy Majumder Self Reimbursement 01‐Jan‐2011 11270 10977 626719 27‐Jan‐2011950 CONST16525 Sandip Dhar Sangita Dhar Spouse Reimbursement 01‐Jan‐2011 13491 10000 626718 27‐Jan‐2011951 5800 Sanjoy Kumar Halder Sanjoy Kumar Halder Self Cashless 01‐Jan‐2011 80911 71850 626666 27‐Jan‐2011952 SEPOY18671 Mustaqul Hoque Rokeya Firdoshi Spouse Reimbursement 03‐Jan‐2011 12990 5000 626733 27‐Jan‐2011953 CONST12851 Sanjoy Singh Mariam Tudu Singh Spouse Reimbursement 03‐Jan‐2011 6551 5000 626731 27‐Jan‐2011954 CONST9858 Binoy Krishna Das Binoy Krishna Das Self Cashless 10‐Jan‐2011 24156 19425 626658 27‐Jan‐2011955 SEPOY18093 Sankar Saha Sankar Saha Self Cashless 10‐Jan‐2011 83577 70860 626657 27‐Jan‐2011956 con13799 Biswajit Chakraborty Biswajit Chakraborty Self Cashless 10‐Jan‐2011 25680 17120 626656 27‐Jan‐2011957 CONST13639 Tapas Mondal Tapas Mondal Self Cashless 10‐Jan‐2011 14221 11531 626655 27‐Jan‐2011958 ASI8632 Narayan Ch Garian Narayan Ch Garian Self Cashless 10‐Jan‐2011 12484 11318 626654 27‐Jan‐2011959 CONS14701 Swapan Bhattacharyya Swapan Bhattacharyya Self Cashless 12‐Jan‐2011 17648 16000 626715 27‐Jan‐2011960 cons12995 Debashis Dutta Debashis Dutta Self Cashless 13‐Jan‐2011 14287 12851 626695 27‐Jan‐2011961 SEPOY18116 Mithu Roy Mithu Roy Self Cashless 13‐Jan‐2011 16545 15000 626710 27‐Jan‐2011962 CONST Basuki Nath Let Basuki Nath Let Self Cashless 15‐Jan‐2011 126553 111400 626671 27‐Jan‐2011963 P DR1146 Ranjit Shaw Ranjit Shaw Self Cashless 17‐Jan‐2011 25093 22749 626659 27‐Jan‐2011964 AASI3755 Haradhan Mithiya Haradhan Mithiya Self Cashless 17‐Jan‐2011 89593 70000 626660 27‐Jan‐2011965 AASI3755 Haradhan Mithiya Haradhan Mithiya Self Cashless 17‐Jan‐2011 10000 8700 626661 27‐Jan‐2011966 SEPOY17696 Prabir Chowdhaury Soma Chowdhaury Spouse Cashless 17‐Jan‐2011 14563 13000 626662 27‐Jan‐2011967 cons18812 Amit Pramanick Amit Pramanick Self Cashless 17‐Jan‐2011 24699 21037 626663 27‐Jan‐2011968 SYFCE123 Sushil Kumar Murmu Sushil Kumar Murmu Self Cashless 17‐Jan‐2011 11892 10781 626664 27‐Jan‐2011969 CONST597 Sisir Kr Adhikary Sisir Kr Adhikary Self Cashless 17‐Jan‐2011 59730 45993 626665 27‐Jan‐2011970 P DR894 Bhakta Ranjan Ganguly Chhanda Ganguly Spouse Cashless 17‐Jan‐2011 37945 32829 626667 27‐Jan‐2011971 CONST17585 Tshering Sherpa Tshering Sherpa Self Cashless 18‐Jan‐2011 23371 21189 626668 27‐Jan‐2011972 CONS 1538 Bimal Kumar Dutta Bimal Kumar Dutta Self Cashless 18‐Jan‐2011 60374 53000 626669 27‐Jan‐2011973 ASI18266 Vivekananda Biswas Vivekananda Biswas Self Cashless 18‐Jan‐2011 28720 26038 626670 27‐Jan‐2011974 CONST2315 Dilip Kumar Dey Jyotsna RaniI Dey Spouse Cashless 18‐Jan‐2011 64813 55900 626672 27‐Jan‐2011975 SUBE Gopal Chandra Paul Gopal Chandra Paul Self Cashless 18‐Jan‐2011 80909 62900 626673 27‐Jan‐2011976 CONST8093 Dilip Kumar Das Dilip Kumar Das Self Cashless 18‐Jan‐2011 97385 88200 626674 27‐Jan‐2011977 cons9833 Uttam Kumar Sarder Uttam Kumar Sarder Self Cashless 18‐Jan‐2011 8564 6450 626675 27‐Jan‐2011978 CONS12801 Manan Singh Manan Singh Self Cashless 18‐Jan‐2011 7114 6450 626676 27‐Jan‐2011979 CONST11462 Kanchan Chakraborty Kanchan Chakraborty Self Cashless 18‐Jan‐2011 8518 6400 626677 27‐Jan‐2011980 SI Bimal Kumar Kundu Kingshuk Kundu Son Cashless 18‐Jan‐2011 184046 147900 626678 27‐Jan‐2011981 CONS6954 Nirmal Kanti Das Swapna Das Daughter Cashless 18‐Jan‐2011 25208 19000 626679 27‐Jan‐2011982 3129 Md Rainul Haque Md Rainul Haque Self Cashless 18‐Jan‐2011 46214 40999 626680 27‐Jan‐2011983 CONST8520 Amal Kumar Maun Amal Kumar Maun Self Cashless 18‐Jan‐2011 66550 65000 626681 27‐Jan‐2011984 CONST12047 Ram Pada Sarkar Ram Pada Sarkar Self Cashless 20‐Jan‐2011 13897 11600 626682 27‐Jan‐2011985 ASI4000 Keshab Raj Banshi Keshab Raj Banshi Self Cashless 20‐Jan‐2011 14559 13104 626683 27‐Jan‐2011986 ASI6377 Ranjit Kr  Maiti Sudha Maiti Spouse Cashless 20‐Jan‐2011 24928 22291 626684 27‐Jan‐2011987 CONST14041 Sushil Kumar Roy Sushil Kumar Roy Self Cashless 21‐Jan‐2011 6618 6000 626686 27‐Jan‐2011988 15 Gabriel Mondol Mary Mondol Spouse Cashless 21‐Jan‐2011 7058 6400 626687 27‐Jan‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt989 SEPOY6222 Ajoy Kumar Dutta Ajoy Kumar Dutta Self Cashless 21‐Jan‐2011 18016 16335 626688 27‐Jan‐2011990 ASI5782 Md Abdul Goffar Md Abdul Goffar Self Cashless 21‐Jan‐2011 11947 7000 626690 27‐Jan‐2011991 cons2264 Saraju Nandan Singh Sarada Devi Spouse Cashless 21‐Jan‐2011 11030 10000 626689 27‐Jan‐2011992 CONST7085 Jharlal Saha Pratima Saha Spouse Cashless 21‐Jan‐2011 13270 12000 626691 27‐Jan‐2011993 CONST8236 Samar Chakraborty Saikat Chakraborty Son Cashless 21‐Jan‐2011 22648 20200 626692 27‐Jan‐2011994 CONS11681 Sandip Ghosh Sandip Ghosh Self Cashless 21‐Jan‐2011 15442 14000 626693 27‐Jan‐2011995 P DR3394 Prodyut Kumar Banerjee Prodyut Kumar Banerjee Self Cashless 21‐Jan‐2011 11030 10000 626694 27‐Jan‐2011996 SEPOY18311 Sujit Mayra Mousumi Mayra Spouse Cashless 21‐Jan‐2011 17648 15820 626697 27‐Jan‐2011997 ASI420 Baban Tiwary Baban Tiwary Self Cashless 21‐Jan‐2011 11030 10000 626700 27‐Jan‐2011998 cons19449 Nagen Chandra Das Nupur Barman Daughter Cashless 21‐Jan‐2011 9761 9000 626701 27‐Jan‐2011999 SEPOY6222 Ajoy Kumar Dutta Ajoy Kumar Dutta Self Cashless 21‐Jan‐2011 18180 18180 626702 27‐Jan‐2011

1000 CONST537 Ganga Dhar Pal Ganga Dhar Pal Self Cashless 21‐Jan‐2011 10000 10000 626703 27‐Jan‐20111001 CONST14844 Girija Sankar Roy Tumpa Roy Spouse Cashless 21‐Jan‐2011 14690 12092 626706 27‐Jan‐20111002 Hara Krishna Roy Hara Krishna Roy Self Cashless 21‐Jan‐2011 16000 16000 626705 27‐Jan‐20111003 SI Bimal Kumar Majumdar Dipali Majumdar Wife Cashless 21‐Jan‐2011 24817 21847 626708 27‐Jan‐20111004 CONST6372 Sanjib Kumar Ghosh Sanjib Kumar Ghosh Self Cashless 21‐Jan‐2011 11030 10000 626712 27‐Jan‐20111005 ASI8513 Kanchan Kr Dutta Sukla Dutta Spouse Cashless 21‐Jan‐2011 13635 12070 626709 27‐Jan‐20111006 CONST2979 Kamal Kr Mitra Kamal Kr Mitra Self Cashless 21‐Jan‐2011 11030 10000 626713 27‐Jan‐20111007 SI Byomkesh Chakraborty Byomkesh Chakraborty Self Cashless 21‐Jan‐2011 11030 10000 626714 27‐Jan‐20111008 ASI3292 Mir Haidar Ali Mir Haidar Ali Self Cashless 10‐Jan‐2011 11000 9973 20110128 27‐Jan‐20111009 SEPOY19637 Atul Chandra Das Aritra Das Son Cashless 10‐Jan‐2011 10134 9188 20110127 27‐Jan‐20111010 POLI539 Tulshi Das Tulshi Das Self Cashless 28‐Dec‐2010 11030 10000 20110130 27‐Jan‐20111011 cons2264 Saraju Nandan Singh Sarada Devi Spouse Cashless 21‐Jan‐2011 11030 10000 20110129 27‐Jan‐20111012 CONST5301 Sasadhr Halder Sasadhr Halder Self Cashless 20‐Oct‐2010 17609 15965 20110131 27‐Jan‐20111013 AASI6826 Uday Chand Ghosal Uday Chand Ghosal Self Cashless 11‐Sep‐2010 37762 34000 626830 03‐Feb‐20111014 1 Prabir Dey Prabir Dey Self Cashless 22‐Sep‐2010 10454 9477 626774 03‐Feb‐20111015 CONS16789 Tinku Kumar Prosad Tinku Kumar Prosad Self Reimbursement 18‐Nov‐2010 18091 15000 626789 03‐Feb‐20111016 CONST610 Manab Kuri Madhumita Kuri Spouse Reimbursement 21‐Nov‐2010 3027 3027 626801 03‐Feb‐20111017 CONST7190 Lakhindar Bhattacharjee Lakhindar Bhattacharjee Self Reimbursement 21‐Nov‐2010 2872 2872 626809 03‐Feb‐20111018 4605 Lakshuman Thapa Lakshuman Thapa Self Post Hospitalisation 21‐Nov‐2010 3071 3071 626808 03‐Feb‐20111019 SEPOY17202 Palash Ghosh Banti Ghosh Wife Reimbursement 21‐Nov‐2010 24199 15000 626803 03‐Feb‐20111020 P DR1883 Sk Samiul Alam Tasrin Nahar Spouse Post Hospitalisation 06‐Dec‐2010 5570 3720 626807 03‐Feb‐20111021 4605 Lakshuman Thapa Lakshuman Thapa Self Post Hospitalisation 06‐Dec‐2010 13688 7688 626806 03‐Feb‐20111022 4605 Lakshuman Thapa Lakshuman Thapa Self Pre Hospitalisation 06‐Dec‐2010 4424 4424 626805 03‐Feb‐20111023 CONST246 Tapas Ghosh Moly Ghosh Spouse Reimbursement 07‐Dec‐2010 17220 10000 626804 03‐Feb‐20111024 1242 Md Farooque Md Farooque Self Reimbursement 07‐Dec‐2010 27043 26043 626777 03‐Feb‐20111025 CONST10994 Tapan Kumar Banerjee Dipali Banerjee Spouse Reimbursement 07‐Dec‐2010 5517 5107 626778 03‐Feb‐20111026 SEPOY1351 Tosaddaque Goni Tosaddaque Goni Self Reimbursement 07‐Dec‐2010 2286 2286 626795 03‐Feb‐20111027 SEPOY18387 Aliul Islam Md Juwel Ali Son Reimbursement 07‐Dec‐2010 7018 6118 626794 03‐Feb‐20111028 SERG Samrat Dhali Sutrishna Dhali Spouse Reimbursement 07‐Dec‐2010 83025 10000 626792 03‐Feb‐20111029 CONS11680 Tridib Kumar Ganguli Jhumaganguli Wife Reimbursement 07‐Dec‐2010 10757 9818 626787 03‐Feb‐20111030 SEPOY17713 Parimal Roy Parimal Roy Self Reimbursement 07‐Dec‐2010 22084 10000 626818 03‐Feb‐20111031 ASI6813 Shyamlesh Bhattacharjee Deba Prasad Bhattacharjee Son Reimbursement 07‐Dec‐2010 78407 40000 626799 03‐Feb‐20111032 ASI3479 Yudhisthir Ray Surovi Ray Daughter Reimbursement 07‐Dec‐2010 19839 15000 626791 03‐Feb‐20111033 CONS1482 Arup Kanti Ray Arup Kanti Ray Self Reimbursement 07‐Dec‐2010 4555 4555 626783 03‐Feb‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1034 SEPOY17167 Md Almadiar Rahaman Nazif Farhan Son Reimbursement 07‐Dec‐2010 22686 15000 626788 03‐Feb‐20111035 SERG Rishi Kumar Prasad Sunita Prasad Spouse Reimbursement 31‐Dec‐2010 13235 11218 626749 03‐Feb‐20111036 SEPOY16093 Ajoy Kr Sharma Poonam Sharma Spouse Reimbursement 31‐Dec‐2010 14656 10000 626747 03‐Feb‐20111037 S I Subhadip Chakraborty Shrila Chakraborty Spouse Reimbursement 31‐Dec‐2010 31424 10000 626758 03‐Feb‐20111038 RAF9802 Rajkumar Mondal Debika Mondal Spouse Reimbursement 08‐Jan‐2011 14883 10000 626748 03‐Feb‐20111039 S I Susanta Kr Shaw Susanta Kr Shaw Self Reimbursement 08‐Jan‐2011 15062 14804 626746 03‐Feb‐20111040 SEPOY10812 Rajib Nandi Mithu Nandi Spouse Reimbursement 08‐Jan‐2011 11408 10000 626750 03‐Feb‐20111041 ASI5831 Sankar Kumar Ghosh Pranati Ghosh Spouse Reimbursement 08‐Jan‐2011 3543 3354 626751 03‐Feb‐20111042 SEPOY19026 Nilkamal Routh Barnali Routh Wife Reimbursement 08‐Jan‐2011 12099 10000 626752 03‐Feb‐20111043 CONST1092 Utpal Kumar Bhattacharya Ruma Bhattacharya Spouse Reimbursement 10‐Jan‐2011 29509 15000 626753 03‐Feb‐20111044 ASI11841 Tapash Sen Chowdhury Tapash Sen Chowdhury Self Reimbursement 10‐Jan‐2011 21710 21635 626754 03‐Feb‐20111045 ASI11841 Tapash Sen Chowdhury Tapash Sen Chowdhury Self Reimbursement 10‐Jan‐2011 21339 21264 626755 03‐Feb‐20111046 SEPOY2161 Golam Akbar Azam Lovely Yeasmin Spouse Reimbursement 10‐Jan‐2011 16257 10000 626756 03‐Feb‐20111047 SEPOY10555 Prosun Ghosh Prosun Ghosh Self Reimbursement 10‐Jan‐2011 6601 5000 626757 03‐Feb‐20111048 SEPOY19561 Soumen Kr Mondal Sanchayita Mondal Spouse Reimbursement 12‐Jan‐2011 18885 10000 626812 03‐Feb‐20111049 P Dr890 Asit Kumar Banerjee Asit Kumar Banerjee Self Reimbursement 20‐Jan‐2011 10680 10600 626797 03‐Feb‐20111050 CONST1155 Sk Abdul Sk Abdul Self Cashless 27‐Jan‐2011 14339 13000 626759 03‐Feb‐20111051 ASI2702 Yogendra Pratap Singh Yogendra Pratap Singh Self Cashless 27‐Jan‐2011 10000 10000 626766 03‐Feb‐20111052 CONST1464 Baishista Narayan Singh Baishista Narayan Singh Self Cashless 27‐Jan‐2011 32194 31244 626765 03‐Feb‐20111053 RAF9697 Sudhangshu Biswas Sudhangshu Biswas Self Cashless 27‐Jan‐2011 10000 10000 626763 03‐Feb‐20111054 SEPOY19420 Mahatma Nath Pandey Mahatma Nath Pandey Self Cashless 27‐Jan‐2011 28712 28200 626762 03‐Feb‐20111055 S I Tapan Kumar Basu Tapan Kumar Basu Self Cashless 27‐Jan‐2011 15519 15000 626761 03‐Feb‐20111056 HG Randhir Kr Saha Riya Sah Daughter Cashless 27‐Jan‐2011 15442 14000 626760 03‐Feb‐20111057 CONST7219 Dilip Adhikary Dilip Adhikary Self Cashless 27‐Jan‐2011 100000 89700 626764 03‐Feb‐20111058 S I1004 Biswajit Nandy Biswajit Nandy Self Cashless 27‐Jan‐2011 19534 17710 626767 03‐Feb‐20111059 ASI2449 Bablu Kumar Pal Supriya Pal Spouse Cashless 27‐Jan‐2011 9498 8611 626768 03‐Feb‐20111060 CONAS16589 Durga Prasad Mahanti Durga Prasad Mahanti Self Cashless 27‐Jan‐2011 11030 10000 626769 03‐Feb‐20111061 ASI2614 Mrigendra Nath Mandal Mrigendra Nath Mandal Self Cashless 27‐Jan‐2011 21267 19000 626770 03‐Feb‐20111062 SEPOY18157 Soumitra Dey Soumitra Dey Self Cashless 27‐Jan‐2011 16518 14975 626771 03‐Feb‐20111063 Brojendra Nath Karan Brojendra Nath Karan Self Cashless 27‐Jan‐2011 6114 5543 626772 03‐Feb‐20111064 16780 Rakesh Ali Sk Ariyan Son Cashless 27‐Jan‐2011 14988 13264 626773 03‐Feb‐20111065 CONST6691 Md Nurul Islam Mabdud Hasan Son Cashless 27‐Jan‐2011 22000 19940 626775 03‐Feb‐20111066 ASI2449 Bablu Kumar Pal Supriya Pal Spouse Cashless 27‐Jan‐2011 46359 42030 626776 03‐Feb‐20111067 SEPOY1338 Rabi Baskay Rabi Baskay Self Reimbursement 29‐Jan‐2011 10505 10000 626779 03‐Feb‐20111068 CONST3277 Jiban Kumar Besra Latika Besra Spouse Reimbursement 29‐Jan‐2011 17235 15000 626780 03‐Feb‐20111069 ASI3363 Bhagawati Pandey Asha Pandey Spouse Reimbursement 29‐Jan‐2011 7138 7138 626781 03‐Feb‐20111070 INSP Anjan Kumar Das Anjan Kumar Das Self Reimbursement 29‐Jan‐2011 18175 15000 626782 03‐Feb‐20111071 ASI11959 Subodh Halder Anita Halder Spouse Reimbursement 29‐Jan‐2011 2785 2785 626784 03‐Feb‐20111072 CONST14830 Milan Kumar Mukherjee Dipti Mukherjee Spouse Reimbursement 29‐Jan‐2011 8968 5000 626785 03‐Feb‐20111073 SERG Sandip Barman Jayanti Barman Spouse Reimbursement 29‐Jan‐2011 10750 10000 626786 03‐Feb‐20111074 CONST1700 Rathindranath Saren Rani Saren Spouse Reimbursement 29‐Jan‐2011 20629 15000 626790 03‐Feb‐20111075 PA Biplab Nayak Abhirup Nayak Son Reimbursement 29‐Jan‐2011 10461 10461 626796 03‐Feb‐20111076 SERG Abdur Rashid Ishrat Rashid Spouse Reimbursement 29‐Jan‐2011 24165 15000 626798 03‐Feb‐20111077 L CONST128 Rupa Mukharjee Rupa Mukharjee Self Reimbursement 29‐Jan‐2011 3358 3358 626800 03‐Feb‐20111078 SI Sanjoy Sinha Susmita Sinha Spouse Cashless 31‐Jan‐2011 56253 51000 626810 03‐Feb‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1079 7957 Pradip Kumar Dalal Anita Dalal Spouse Cashless 31‐Jan‐2011 50738 46000 626811 03‐Feb‐20111080 ASI9469 Santosh Kumar Mondal Santosh Kumar Mondal Self Cashless 31‐Jan‐2011 11030 10000 626813 03‐Feb‐20111081 CONS5932 Md Abdul Wazed Md Abdul Wazed Self Cashless 31‐Jan‐2011 11030 10000 626814 03‐Feb‐20111082 HELPER Moloy Guha Moloy Guha Self Cashless 31‐Jan‐2011 18555 14000 626815 03‐Feb‐20111083 CONST10216 Haribal Mandal Haribal Mandal Self Cashless 31‐Jan‐2011 10362 8000 626816 03‐Feb‐20111084 CONST805 Sarat Chandra Saha Sarat Chandra Saha Self Cashless 31‐Jan‐2011 25139 21000 626817 03‐Feb‐20111085 SEPOY16484 Fatik Barman Fatik Barman Self Cashless 31‐Jan‐2011 5069 4554 626819 03‐Feb‐20111086 CONST15063 Puranjoy Roy Puranjoy Roy Self Cashless 31‐Jan‐2011 82202 63000 626820 03‐Feb‐20111087 CONS13216 Ashis Kumar Guha Ashis Kumar Guha Self Cashless 31‐Jan‐2011 7134 6468 626821 03‐Feb‐20111088 CONS13682 Azizur Rahaman Naveed Nawaz Son Cashless 31‐Jan‐2011 4272 3834 626822 03‐Feb‐20111089 MA Susanta Mondal Smita Mondal Wife Cashless 31‐Jan‐2011 8824 8000 626823 03‐Feb‐20111090 CONST10994 Tapan Kumar Banerjee Dipali Banerjee Spouse Cashless 31‐Jan‐2011 16988 15423 626824 03‐Feb‐20111091 CONS12903 Bijay Kumar Ghosh Bijay Kumar Ghosh Self Cashless 31‐Jan‐2011 44120 40000 626825 03‐Feb‐20111092 S I Ashok Kumar Roy Alpana Roy Chowdhuri Spouse Cashless 31‐Jan‐2011 81721 74090 626826 03‐Feb‐20111093 ASI9889 Swapan Kumar Dutta Minurani Dutta Wife Cashless 31‐Jan‐2011 16021 16000 626827 03‐Feb‐20111094 P DR1207 Ashim Kumar Biswas Ashim Kumar Biswas Self Cashless 01‐Feb‐2011 17000 17000 626828 03‐Feb‐20111095 CONS13362 Nitendra Nath Roy Nitendra Nath Roy Self Cashless 01‐Feb‐2011 22114 20050 626829 03‐Feb‐20111096 SEPOY496 Biplab Kr Mondal Mousumi Mondal Spouse Reimbursement 10‐Sep‐2010 11482 10000 80342 08‐Feb‐20111097 ASI2084 Bhardwaja Mishra Godawri Mishra Spouse Reimbursement 23‐Sep‐2010 16885 16885 80339 08‐Feb‐20111098 Cons14735 Vijai Shankar Shukla Kanchan Shukla Spouse Reimbursement 06‐Dec‐2010 30540 10000 80341 08‐Feb‐20111099 CONST17816 Siraj Uddin Mallick Siraj Uddin Mallick Self Reimbursement 06‐Dec‐2010 13399 9999 80343 08‐Feb‐20111100 CONST11604 Avijit Singha Avijit Singha Self Reimbursement 07‐Dec‐2010 14324 14324 80338 08‐Feb‐20111101 ASI4350 Pijush Kiran Das Snigdha Das Daughter Reimbursement 07‐Dec‐2010 20000 19365 80337 08‐Feb‐20111102 P DR619 Gopi Nath Ghosh Gopi Nath Ghosh Self Reimbursement 17‐Aug‐2010 11639 10139 626878 14‐Feb‐20111103 S I Rudra Kanta Sinha Rudra Kanta Sinha Self Cashless 11‐Sep‐2010 40000 38000 626894 14‐Feb‐20111104 P DR1476 Bankim Chandra Mandal Bankim Chandra Mandal Self Cashless 11‐Sep‐2010 52000 48000 626892 14‐Feb‐20111105 P DR1452 Tapas Kumar Pal Tapas Kumar Pal Self Reimbursement 06‐Dec‐2010 15995 10000 626934 14‐Feb‐20111106 ASI10805 Saikat Dey Saikat Dey Self Reimbursement 06‐Dec‐2010 85841 70000 626906 14‐Feb‐20111107 CONST718 Santosh Kumar Das Abhinaba Das Son Reimbursement 06‐Dec‐2010 5261 5261 626900 14‐Feb‐20111108 cons556 Nabagopal Hansda Saraswati Hansda Spouse Reimbursement 06‐Dec‐2010 20863 10000 626881 14‐Feb‐20111109 cons9833 Uttam Kumar Sarder Uttam Kumar Sarder Self Reimbursement 06‐Dec‐2010 103800 93550 626887 14‐Feb‐20111110 CONST14086 Sudhir Chandra Das Mousumi Das Spouse Reimbursement 06‐Dec‐2010 21927 18000 626882 14‐Feb‐20111111 CONS16515 Bipul Barman Moushumi Barman Wife Reimbursement 06‐Dec‐2010 22816 10000 626883 14‐Feb‐20111112 ASI11841 Tapash Sen Chowdhury Tapash Sen Chowdhury Self Reimbursement 07‐Dec‐2010 145136 145101 626888 14‐Feb‐20111113 P DR540 Pasang Tamang Pasang Tamang Self Reimbursement 07‐Dec‐2010 2067 2067 626919 14‐Feb‐20111114 19712 Murari Mohan Ghosh Murari Mohan Ghosh Self Reimbursement 07‐Dec‐2010 12039 10000 626869 14‐Feb‐20111115 CONS13898 Milan Kumar Das Mainak Das Son Reimbursement 07‐Dec‐2010 7054 6974 626921 14‐Feb‐20111116 SEPOY19130 Sk Kahir Ali Sk Kistia Islam Daughter Reimbursement 07‐Dec‐2010 5350 3750 626871 14‐Feb‐20111117 SEPOY17419 Bijoy Kr Mandal Sagarika Mandal Wife Reimbursement 07‐Dec‐2010 9732 9582 626876 14‐Feb‐20111118 SEPOY19410 Md Anwarul Hoque Mabia Siddiqua Wife Reimbursement 07‐Dec‐2010 9698 5000 626877 14‐Feb‐20111119 CONS15441 Goutam Kumar Ghosh Madhushree Ghosh Spouse Reimbursement 07‐Dec‐2010 18127 10000 626870 14‐Feb‐20111120 cons3875 Vijoy Bahadur Tewary Kamala Devi Spouse Reimbursement 07‐Dec‐2010 44422 40000 626879 14‐Feb‐20111121 CONS15886 Azizur Raharan Runa Laila Spouse Reimbursement 07‐Dec‐2010 8596 8596 626902 14‐Feb‐20111122 SEPOY18386 Aloke Sikdar Saswata Sikdar Son Reimbursement 07‐Jan‐2011 138189 122000 626885 14‐Feb‐20111123 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 10‐Jan‐2011 7993 7993 626928 14‐Feb‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1124 UDA Ranjoy Kumar Mondal Smt Rina Mondal Spouse Reimbursement 11‐Jan‐2011 7213 5000 626868 14‐Feb‐20111125 RAF643 Ramesh Dutta Ramesh Dutta Self Reimbursement 12‐Jan‐2011 3829 3829 626873 14‐Feb‐20111126 ASI10392 Tapas Kr Sarkar Saraswati Sarkar Spouse Post Hospitalisation 20‐Jan‐2011 3800 3000 626927 14‐Feb‐20111127 512 Parimal Dutta Chandan Dutta Spouse Reimbursement 21‐Jan‐2011 22000 18000 626889 14‐Feb‐20111128 CONST15830 Samiran Bhattacharya Gopa Bhattacharya Spouse Reimbursement 24‐Jan‐2011 5957 5000 626925 14‐Feb‐20111129 CONST16973 Niranjan Debnath Ranbir Debnath Son Reimbursement 24‐Jan‐2011 6503 6218 626926 14‐Feb‐20111130 33 Kaniska Sarkar Kaniska Sarkar Self Reimbursement 24‐Jan‐2011 29148 15000 626930 14‐Feb‐20111131 SEPOY19412 Bimal Kr Mete Pratima Mete Wife Reimbursement 24‐Jan‐2011 23095 10000 626929 14‐Feb‐20111132 AASI16832 Pulak Mukherjee Mithu Mukherjee Spouse Reimbursement 29‐Jan‐2011 7586 7586 626880 14‐Feb‐20111133 CONST3599 Ram Aawadesh Tewari Ram Aawadesh Tewari Self Reimbursement 31‐Jan‐2011 15596 10000 626904 14‐Feb‐20111134 SEPOY5519 Bhagya Dhar Rej Bhagya Dhar Rej Self Post Hospitalisation 02‐Feb‐2011 142000 75733 626867 14‐Feb‐20111135 CONST17029 Karuna Kanta Barman Karuna Kanta Barman Self Cashless 02‐Feb‐2011 104785 94240 626872 14‐Feb‐20111136 SI Ashish Kumar Mukherjee Ashish Kumar Mukherjee Self Reimbursement 04‐Feb‐2011 24950 18000 626874 14‐Feb‐20111137 CONST16229 Subrata Maity Samrik Maity Son Reimbursement 04‐Feb‐2011 2500 2500 626875 14‐Feb‐20111138 ASI1017 Samsul Haque Saidul Haque Son Reimbursement 04‐Feb‐2011 16605 15000 626886 14‐Feb‐20111139 CONST13428 Nakul Ghosh Tinni Ghosh Daughter Reimbursement 07‐Feb‐2011 14189 14189 626884 14‐Feb‐20111140 SEPOY307 Asit Kumar Bhunia Rumpa Bhunia Spouse Cashless 09‐Feb‐2011 42757 42000 626890 14‐Feb‐20111141 CONST16667 Anjan Kr Das Anjan Kr Das Self Cashless 09‐Feb‐2011 24434 20000 626891 14‐Feb‐20111142 CONST1435 Kamal Saha Soma Saha Spouse Reimbursement 09‐Feb‐2011 29598 10000 626893 14‐Feb‐20111143 CONST1094 Manik Ch Singha Manik Ch Singha Self Cashless 09‐Feb‐2011 7269 6950 626895 14‐Feb‐20111144 SEPOY16766 Madan Kumar Singh Madhu Singh Spouse Reimbursement 09‐Feb‐2011 15999 10000 626896 14‐Feb‐20111145 3129 Md Rainul Haque Md Rainul Haque Self Cashless 09‐Feb‐2011 4964 4964 626897 14‐Feb‐20111146 ASI8720 Basu Dev Chakraborty Basu Dev Chakraborty Self Cashless 09‐Feb‐2011 12892 11688 626898 14‐Feb‐20111147 ASI1245 Kamal Kanti Podder Rina Rani Podder Spouse Cashless 09‐Feb‐2011 16545 15000 626899 14‐Feb‐20111148 ASI5801 Tarak Nath Mondal Tarak Nath Mondal Self Cashless 09‐Feb‐2011 104785 95000 626901 14‐Feb‐20111149 SEPOY19049 Md Saleque Anjuman Nesha Wife Reimbursement 10‐Feb‐2011 9165 5000 626903 14‐Feb‐20111150 S I Ashok Das Ashok Das Self Cashless 10‐Feb‐2011 104456 94702 626907 14‐Feb‐20111151 SI Bimal Kumar Majumdar Dipali Majumdar Wife Cashless 10‐Feb‐2011 19854 18000 626908 14‐Feb‐20111152 ASI6766 Hitesh Biswas Rita Biswas Spouse Cashless 11‐Feb‐2011 30874 28000 626909 14‐Feb‐20111153 15 Gabriel Mondol Mary Mondol Spouse Cashless 11‐Feb‐2011 6400 6400 626910 14‐Feb‐20111154 CONS2041 Birendra Nath Biswas Birendra Nath Biswas Self Cashless 11‐Feb‐2011 11030 10000 626911 14‐Feb‐20111155 ASI11611 Md Farmanuz Zaman Taiyeba Khatun Spouse Cashless 11‐Feb‐2011 16545 15000 626912 14‐Feb‐20111156 CONS9918 Sajal Das Smt Kalpana Das Spouse Reimbursement 11‐Feb‐2011 21471 18000 626915 14‐Feb‐20111157 24 Prodyut Kumar Banerjee Prodyut Kumar Banerjee Self Cashless 11‐Feb‐2011 11030 10000 626913 14‐Feb‐20111158 cons2998 Jitendra Nath Mandal Suchitra Mandal Spouse Reimbursement 11‐Feb‐2011 27893 27893 626914 14‐Feb‐20111159 HG Kajal Ch Dey Avijit Dey Son Cashless 11‐Feb‐2011 10379 9410 626916 14‐Feb‐20111160 SERG Surajit Porel Surajit Porel Self Reimbursement 11‐Feb‐2011 13970 13720 626918 14‐Feb‐20111161 SEPOY393 Sukamal Jana Priyanka Jana Daughter Cashless 11‐Feb‐2011 14254 12923 626917 14‐Feb‐20111162 SEPOY18680 Jagadish Mukherjee Jagadish Mukherjee Self Cashless 11‐Feb‐2011 18751 17000 626920 14‐Feb‐20111163 CONST2093 Ismail Khan Ismail Khan Self Cashless 11‐Feb‐2011 11030 10000 626922 14‐Feb‐20111164 A S3686 Harun Al Rashid Harun Al Rashid Self Cashless 11‐Feb‐2011 11030 10000 626923 14‐Feb‐20111165 CONST4526 Barun Kr Sarkar Barun Kr Sarkar Self Reimbursement 11‐Feb‐2011 12809 11409 626924 14‐Feb‐20111166 RAF9649 Nabin Kayal Nabin Kayal Self Cashless 11‐Feb‐2011 4579 4579 626933 14‐Feb‐20111167 5528 Nurul Islam Nurul Islam Self Cashless 11‐Feb‐2011 60000 60000 626932 14‐Feb‐20111168 CONST11386 Taffozzei Tarafdar Taffozzei Tarafdar Self Cashless 11‐Feb‐2011 40000 40000 626931 14‐Feb‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1169 4605 Lakshuman Thapa Lakshuman Thapa Self Cashless 12‐Feb‐2011 28070 25000 626935 14‐Feb‐20111170 SEPOY19608 Hafijur Rahaman Hafijur Rahaman Self Cashless 12‐Feb‐2011 28701 28701 626936 14‐Feb‐20111171 SEPOY19608 Hafijur Rahaman Hafijur Rahaman Self Cashless 12‐Feb‐2011 27389 27389 626937 14‐Feb‐20111172 CONST13640 Nitai Chandra Pahan Nitai Chandra Pahan Self Cashless 12‐Feb‐2011 41288 41288 626938 14‐Feb‐20111173 SEPOY18164 Susanta Kr Patra Susanta Kr Patra Self Reimbursement 06‐Dec‐2010 31213 30892 80347 17‐Feb‐20111174 ASI6813 Shyamlesh Bhattacharjee Deba Prasad Bhattacharjee Son Reimbursement 07‐Dec‐2010 27053 15000 80349 17‐Feb‐20111175 SERG Kingshuk Daptari Asmani Daptari Spouse Reimbursement 23‐Sep‐2010 2255 2255 80350 23‐Feb‐20111176 SEPOY10309 Ram Kanai Ghoshal Soma Ghoshal Wife Reimbursement 21‐Nov‐2010 8366 5000 80459 23‐Feb‐20111177 CONST452 Akshay Ghar Sampa Ghar Spouse Reimbursement 06‐Dec‐2010 9500 9500 80456 23‐Feb‐20111178 SEPOY19244 Abul Kalam Azad Anjura Begam Spouse Reimbursement 07‐Dec‐2010 17147 15000 80458 23‐Feb‐20111179 CONST1690 Ajijul Molla Tuhina Yasmin Spouse Reimbursement 17‐Dec‐2010 18987 10000 80457 23‐Feb‐20111180 CONST454 Sadhan Das Seuli Das Spouse Reimbursement 08‐Jan‐2011 21765 10000 80460 23‐Feb‐20111181 CONST2754 Goutam Mondal Goutam Mondal Self Reimbursement 21‐Nov‐2010 36801 35566 626962 26‐Feb‐20111182 CONS13547 Tapan Kumar Das Tapan Kumar Das Self Reimbursement 21‐Nov‐2010 3284 3284 626989 26‐Feb‐20111183 CONS16102 Naba Kumar Roy Mahua Roy Spouse Post Hospitalisation 21‐Nov‐2010 54061 52000 626991 26‐Feb‐20111184 SEPOY12579 Sirajul Monir Sirajul Monir Self Reimbursement 06‐Dec‐2010 4568 4568 626969 26‐Feb‐20111185 P DR1646 Niharendu Chatterjee Niharendu Chatterjee Self Reimbursement 06‐Dec‐2010 7000 6460 626965 26‐Feb‐20111186 18652 Gautam Mitra Gautam Mitra Self Reimbursement 06‐Dec‐2010 17030 10000 626963 26‐Feb‐20111187 SEPOY18388 Uttam Barma Uttam Barma Self Reimbursement 06‐Dec‐2010 16553 10000 626970 26‐Feb‐20111188 CONS3682 Kanchan Charkroborty Kanchan Charkroborty Self Reimbursement 06‐Dec‐2010 13066 13066 626961 26‐Feb‐20111189 CONS18174 Manturam Mahato Manturam Mahato Self Reimbursement 06‐Dec‐2010 5601 4920 626986 26‐Feb‐20111190 CONST14619 Sailen Kumar Mandi Chandana Mandi Spouse Reimbursement 06‐Dec‐2010 12106 10000 626967 26‐Feb‐20111191 SEPOY1755 Pradip Roy Samapti Roy Spouse Reimbursement 06‐Dec‐2010 9149 8919 626966 26‐Feb‐20111192 CONS12802 Lakshman Chandra Mahato Sudip Mahato Son Reimbursement 06‐Dec‐2010 8352 7674 626968 26‐Feb‐20111193 SEPOY18430 Kalyan Moy Nandi Kabiyaa Nandi Daughter Reimbursement 06‐Dec‐2010 1885 1885 626975 26‐Feb‐20111194 SEPOY19587 Sujauddin Sk Sujauddin Sk Self Reimbursement 07‐Dec‐2010 11758 11500 102517 26‐Feb‐20111195 CONS17928 Ranjit Kr Mondal Shjkha Mondal Spouse Reimbursement 07‐Dec‐2010 19271 10000 626978 26‐Feb‐20111196 SEPOY16955 Suresh Barman Aniruddha Barman Son Reimbursement 07‐Dec‐2010 8666 8346 626988 26‐Feb‐20111197 SEPOY19935 Sukumar Sarkar Sanchita Sarkar Spouse Reimbursement 07‐Dec‐2010 13880 10000 626974 26‐Feb‐20111198 9401 Debasish Chatterjee Debasish Chatterjee Self Reimbursement 07‐Dec‐2010 10624 10000 626979 26‐Feb‐20111199 cons13520 Debasis Basak Debasis Basak Self Reimbursement 07‐Dec‐2010 13034 10000 626980 26‐Feb‐20111200 7957 Pradip Kumar Dalal Pradip Kumar Dalal Self Reimbursement 07‐Dec‐2010 4460 4460 626981 26‐Feb‐20111201 SEPOY9645 Balailal Bera Balailal Bera Self Reimbursement 07‐Dec‐2010 3530 3530 626982 26‐Feb‐20111202 SEPOY17159 Santosh Chakraborty Sayan Chakraborty Son Reimbursement 07‐Dec‐2010 10005 10005 626977 26‐Feb‐20111203 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 07‐Dec‐2010 7976 7976 626976 26‐Feb‐20111204 SEPOY17700 Rajesh Banik Priti Banik Spouse Reimbursement 07‐Dec‐2010 16504 10000 626983 26‐Feb‐20111205 ASI11959 Subodh Halder Anita Halder Spouse Reimbursement 07‐Dec‐2010 2980 2980 626984 26‐Feb‐20111206 P DR1885 Ajoy Mondal Ajoy Mondal Self Reimbursement 07‐Dec‐2010 5621 4461 626972 26‐Feb‐20111207 SEPOY1319 Debasis Paria Debasis Paria Self Reimbursement 07‐Dec‐2010 9752 9572 626971 26‐Feb‐20111208 S I Mrinmoy Banerjee Rupa Banerjee Spouse Reimbursement 07‐Dec‐2010 5925 5835 626964 26‐Feb‐20111209 P DR1049 Goutam Ghosh Chaitali Ghosh Spouse Reimbursement 07‐Dec‐2010 10153 10000 626973 26‐Feb‐20111210 CONST3520 Abdul Hannan Abdul Hannan Self Reimbursement 30‐Dec‐2010 35579 15000 102586 26‐Feb‐20111211 CONST3520 Abdul Hannan Abdul Hannan Self Reimbursement 30‐Dec‐2010 58625 15000 102587 26‐Feb‐20111212 SEPOY17468 Subhas Chandra Mandal Subhas Chandra Mandal Self Reimbursement 30‐Dec‐2010 45899 12000 627000 26‐Feb‐20111213 SEPOY2153 Bikash Rajbanshi Kabita Mondal { Rajbanshi } Spouse Reimbursement 30‐Dec‐2010 8389 8389 102502 26‐Feb‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1214 SERG Anirban Chakraborty Anirban Chakraborty Self Reimbursement 30‐Dec‐2010 12343 11343 626997 26‐Feb‐20111215 CONST17161 Basanta Pramanick Sonali Pramanick Spouse Reimbursement 30‐Dec‐2010 15011 5000 102529 26‐Feb‐20111216 SEPOY19036 Somnath Dam Tanu Dam Sister Reimbursement 30‐Dec‐2010 22902 21577 102506 26‐Feb‐20111217 SEPOY18935 Manas Kumar Mondal Mitali Mondal Spouse Reimbursement 30‐Dec‐2010 18148 10000 626996 26‐Feb‐20111218 CONST16528 Dillip Kumar Das Sharmila Das Spouse Reimbursement 30‐Dec‐2010 16883 15000 626993 26‐Feb‐20111219 CONST7190 Lakhindar Bhattacharjee Lakhindar Bhattacharjee Self Reimbursement 30‐Dec‐2010 7828 7828 102534 26‐Feb‐20111220 CONS18641 Jagabandhu Roy Sabita Roy Wife Reimbursement 30‐Dec‐2010 21530 10000 102504 26‐Feb‐20111221 CONST9928 Indudeb Biswas Sandhya Biswas Spouse Reimbursement 30‐Dec‐2010 41726 18000 626995 26‐Feb‐20111222 CONST13577 Md Kayem Seikh Md Kayem Seikh Self Reimbursement 30‐Dec‐2010 5890 5530 102503 26‐Feb‐20111223 AASI6577 Ashim Chatterjee Ava Chatterjee Spouse Reimbursement 30‐Dec‐2010 6378 6227 102511 26‐Feb‐20111224 SEPOY393 Sukamal Jana Sukamal Jana Self Reimbursement 30‐Dec‐2010 4081 2761 102507 26‐Feb‐20111225 RAF1661 Bablu Chandra Sarkar Malati Sarkar Spouse Reimbursement 30‐Dec‐2010 11084 10000 102528 26‐Feb‐20111226 CONST16145 Pravash Kanungo Rimpi Kanungo Spouse Reimbursement 30‐Dec‐2010 21034 10000 102527 26‐Feb‐20111227 S I Jogen Kr Chakraborty Ila Chakarbaroty Spouse Reimbursement 30‐Dec‐2010 5494 3000 102513 26‐Feb‐20111228 SEPOY17092 Abhijit Misra Uma Misra Spouse Reimbursement 30‐Dec‐2010 9332 9332 102515 26‐Feb‐20111229 CONST11078 Jyotish Bandhu Mallick Jayeeta Mallick Spouse Reimbursement 03‐Jan‐2011 10440 10330 626990 26‐Feb‐20111230 SEPOY204 Sk Jamaluddin Sk Jamaluddin Self Reimbursement 03‐Jan‐2011 23173 15000 102543 26‐Feb‐20111231 SEPOY16696 Ardhendu Mondal Ardhendu Mondal Self Reimbursement 19‐Jan‐2011 19768 15000 102546 26‐Feb‐20111232 S I Rina Roychowdhury Amit Roychowdhury Spouse Reimbursement 24‐Jan‐2011 15957 15000 102553 26‐Feb‐20111233 CONST2501 Paresh Ch Roy Papiya Roy Daughter Reimbursement 24‐Jan‐2011 4863 4863 102558 26‐Feb‐20111234 CONST8997 Kamal Kanti Das Tapasi Das Spouse Reimbursement 24‐Jan‐2011 17089 13381 102556 26‐Feb‐20111235 P DR5185 Ramkrishna Das Ramkrishna Das Self Reimbursement 24‐Jan‐2011 2900 2900 102555 26‐Feb‐20111236 SERG Abhishek Ghosh Abhishek Ghosh Self Reimbursement 24‐Jan‐2011 18296 15000 102554 26‐Feb‐20111237 SEPOY18660 Goutam Bhowmick Sougandha Bhowmick Daughter Reimbursement 24‐Jan‐2011 3132 3132 102533 26‐Feb‐20111238 SEPOY1377 Dipak Rana Jharna Rana Spouse Reimbursement 24‐Jan‐2011 8371 8371 102505 26‐Feb‐20111239 INSP Gautam Das Gupta Gautam Das Gupta Self Reimbursement 24‐Jan‐2011 34932 34932 102535 26‐Feb‐20111240 10197 Subham Banerjee Sayanti Banerjee Spouse Reimbursement 24‐Jan‐2011 25822 10000 102512 26‐Feb‐20111241 SERG Sanjib Pantu Pinki Pantu Spouse Reimbursement 24‐Jan‐2011 16196 10000 102514 26‐Feb‐20111242 RAF9745 Biswajit Das Sunita Das Spouse Reimbursement 24‐Jan‐2011 13683 10000 102516 26‐Feb‐20111243 CONS1370 Nilanjan Roy Rinki Roy Spouse Reimbursement 24‐Jan‐2011 7955 7955 102522 26‐Feb‐20111244 CONST17575 Asit Bairagi Nibedita Bairagi Spouse Reimbursement 24‐Jan‐2011 8000 8000 102523 26‐Feb‐20111245 ASI6442 Abdul Gaffar Mollah Abdul Gaffar Mollah Self Reimbursement 24‐Jan‐2011 7801 7801 102521 26‐Feb‐20111246 58 Bablu Roy Bablu Roy Self Reimbursement 24‐Jan‐2011 18769 15000 102519 26‐Feb‐20111247 SEPOY18190 Jiaul Ansary Zeenat Ara Spouse Reimbursement 24‐Jan‐2011 6435 5000 102520 26‐Feb‐20111248 CONS136 Apurba Kr Guha Arpita Koner Guha Spouse Reimbursement 25‐Jan‐2011 19007 10000 102562 26‐Feb‐20111249 CONS16045 Manoj Chowdhury Papiya Chowdhury Wife Reimbursement 27‐Jan‐2011 10467 10467 102560 26‐Feb‐20111250 CONS15592 Piyus Kanti Naskar Deepashree Naskar Spouse Reimbursement 27‐Jan‐2011 11543 10000 102548 26‐Feb‐20111251 ASI5831 Sankar Kumar Ghosh Pranati Ghosh Spouse Reimbursement 27‐Jan‐2011 3768 3768 102552 26‐Feb‐20111252 ASI4506 Subrata Ghosh Sudeshna Ghosh Daughter Reimbursement 31‐Jan‐2011 22717 18000 102566 26‐Feb‐20111253 1467 Arabinda Halder Arabinda Halder Self Reimbursement 31‐Jan‐2011 4850 4850 102539 26‐Feb‐20111254 P DRC997 Dipak Biswas Dipika Biswas Spouse Reimbursement 31‐Jan‐2011 11370 5000 102567 26‐Feb‐20111255 SEPOY17176 Binay Mondal Anjali Mondal Spouse Reimbursement 31‐Jan‐2011 17060 10000 102568 26‐Feb‐20111256 SEPOY19815 Mithilesh Kumar Singh Ranjita Singh Wife Reimbursement 31‐Jan‐2011 20410 10000 102569 26‐Feb‐20111257 cons3842 Sufal Chandra Mandal Sufal Chandra Mandal Self Reimbursement 31‐Jan‐2011 11204 10000 102572 26‐Feb‐20111258 CONS18381 Sk Salim Sagar Sk Son Reimbursement 31‐Jan‐2011 13133 11733 102538 26‐Feb‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1259 15 Gabriel Mondol Mary Mondol Spouse Reimbursement 31‐Jan‐2011 6338 6338 102547 26‐Feb‐20111260 CONST8478 Dipak Kumar Das Dipak Kumar Das Self Reimbursement 31‐Jan‐2011 1595 1595 102557 26‐Feb‐20111261 CONST5301 Sasadhr Halder Sasadhr Halder Self Reimbursement 31‐Jan‐2011 15259 15259 102563 26‐Feb‐20111262 SEPOY338 Kalyan Prasad Paine Manimala Paine Spouse Reimbursement 31‐Jan‐2011 18063 10000 102559 26‐Feb‐20111263 CONS585 Asis Biswas Mili Biswas Spouse Reimbursement 31‐Jan‐2011 11579 10000 102565 26‐Feb‐20111264 SEPOY9781 Sudipta Ghosh Antara Ghosh Spouse Reimbursement 31‐Jan‐2011 16980 10000 102564 26‐Feb‐20111265 SEPOY865 Mukul Basak Rakhi Basak Spouse Reimbursement 12‐Feb‐2011 13575 10000 626987 26‐Feb‐20111266 10174 Prasenjit Shyam Falguni Shyam Spouse Reimbursement 14‐Feb‐2011 12377 10000 102551 26‐Feb‐20111267 CONST1932 Kazi Md Nasimuddin Naznin Begam Spouse Reimbursement 14‐Feb‐2011 5195 5000 102574 26‐Feb‐20111268 CONST1253 Sujit Roy Srijoni Roy Dalal Spouse Reimbursement 14‐Feb‐2011 8214 8214 102573 26‐Feb‐20111269 CONST11681 Sandip Ghosh Sandip Ghosh Self Reimbursement 14‐Feb‐2011 4355 4000 626992 26‐Feb‐20111270 CONST17050 Achinta Das Achinta Das Self Reimbursement 14‐Feb‐2011 16883 15000 626994 26‐Feb‐20111271 SEPOY19562 Kailash Pati Das Rathindara Nath Das Son Reimbursement 15‐Feb‐2011 42281 42051 626998 26‐Feb‐20111272 L CONSt103 Shaswati Dey Shaswati Dey Self Reimbursement 15‐Feb‐2011 34016 33800 102508 26‐Feb‐20111273 AASI6697 Babul Ghosh Rupam Ghosh Son Reimbursement 15‐Feb‐2011 2050 2050 102509 26‐Feb‐20111274 CONST4714 Tapan Kumar Chakraborty Mukti Chakraborty Spouse Reimbursement 15‐Feb‐2011 80282 18000 102510 26‐Feb‐20111275 ASI8752 Paresh Chandra Ghosh Debojyoti Ghosh Son Reimbursement 15‐Feb‐2011 34126 15000 102518 26‐Feb‐20111276 S I Mrinmoy Banerjee Rupa Banerjee Spouse Reimbursement 15‐Feb‐2011 6079 6079 102524 26‐Feb‐20111277 CONST15657 Pradip Das Aditi Das Spouse Reimbursement 15‐Feb‐2011 9500 9500 102525 26‐Feb‐20111278 CONST13120 Ainal Hoque Ainal Hoque Self Reimbursement 15‐Feb‐2011 5036 4886 102526 26‐Feb‐20111279 SI Ashish Kumar Mukherjee Krishnendu Mukherjee Son Reimbursement 15‐Feb‐2011 15904 11584 102532 26‐Feb‐20111280 ASI4584 Rejaul Haque Umma Amina Begum Spouse Reimbursement 15‐Feb‐2011 28379 28019 102530 26‐Feb‐20111281 SEPOY17675 Tarak Nath Roy Tarak Nath Roy Self Reimbursement 15‐Feb‐2011 20139 10000 102531 26‐Feb‐20111282 S I Sankar Prosad Aich Payal Aich Daughter Reimbursement 16‐Feb‐2011 23050 12000 102537 26‐Feb‐20111283 CONST14407 Anup Kumar Dey Anup Kumar Dey Self Reimbursement 16‐Feb‐2011 5066 5066 102545 26‐Feb‐20111284 CONST14407 Anup Kumar Dey Anup Kumar Dey Self Reimbursement 16‐Feb‐2011 7150 7150 102544 26‐Feb‐20111285 ASI9935 Tapan Roychowdhury Dwaipayan Roychowdhury Son Reimbursement 16‐Feb‐2011 622 622 102542 26‐Feb‐20111286 SEPOY16432 Agradut Bhattacharyya Ishika Bhattacharyya Daughter Reimbursement 16‐Feb‐2011 3195 3095 102541 26‐Feb‐20111287 S I Akhilesh Jha Akhilesh Jha Self Reimbursement 16‐Feb‐2011 30000 10000 102540 26‐Feb‐20111288 P DR1188 Biswajit Roy Suparna Roy Spouse Reimbursement 17‐Feb‐2011 6811 6811 102570 26‐Feb‐20111289 ASI9935 Tapan Roychowdhury Dwaipayan Roychowdhury Son Reimbursement 17‐Feb‐2011 2383 2383 102571 26‐Feb‐20111290 ASI2456 Satyendra Nath Paul Anjali Paul Spouse Reimbursement 17‐Feb‐2011 16575 15000 102549 26‐Feb‐20111291 SEPOY16334 Swapan Mahato Malati Mahato Spouse Reimbursement 17‐Feb‐2011 9500 5000 102550 26‐Feb‐20111292 SEPOY17509 Md Ataur Rahaman Laskar Md Ataur Rahaman Laskar Self Reimbursement 17‐Feb‐2011 7120 7120 102575 26‐Feb‐20111293 S I Karunamay Maitra Karunamay Maitra Self Reimbursement 17‐Feb‐2011 39117 15000 102576 26‐Feb‐20111294 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 17‐Feb‐2011 8349 8349 102577 26‐Feb‐20111295 SERG Joy Mukherjee Joy Mukherjee Self Reimbursement 17‐Feb‐2011 30856 15000 102578 26‐Feb‐20111296 CONST12933 Padma Nabha Sinha Aparna Sinha Spouse Reimbursement 17‐Feb‐2011 6689 5000 102579 26‐Feb‐20111297 SEPOY19716 Chandan Mondal Sefali Mandal Spouse Reimbursement 17‐Feb‐2011 5094 5000 102580 26‐Feb‐20111298 S1113 Rana Bose Mitali Bose Spouse Reimbursement 17‐Feb‐2011 10250 10000 102581 26‐Feb‐20111299 SEPOY8951 Pradip Kumar Sinha Purnima Sinha Sister Reimbursement 17‐Feb‐2011 5463 5463 102582 26‐Feb‐20111300 23 Sukanta Choudhuri Sumana Choudhuri Spouse Reimbursement 17‐Feb‐2011 34372 15000 102583 26‐Feb‐20111301 CONST6425 Bhola Nath Mondal Shyamali Mondal Spouse Reimbursement 17‐Feb‐2011 19551 18000 102584 26‐Feb‐20111302 SEPOY18040 Tapan Dey Mousumi Dey Spouse Reimbursement 17‐Feb‐2011 12180 10000 102585 26‐Feb‐20111303 SERG Sumalya Chatterjee Sumalya Chatterjee Self Reimbursement 18‐Feb‐2011 89000 65000 102588 26‐Feb‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1304 ASI921 Prasidh Nath Singh Kanti Devi Singh Spouse Reimbursement 18‐Feb‐2011 11378 11378 102589 26‐Feb‐20111305 57 Shyamali Dasroy Shyamali Dasroy Self Cashless 19‐Feb‐2011 58468 53000 626948 26‐Feb‐20111306 ASI8687 Utpal Chakraborty Baby Chakraborty Spouse Cashless 19‐Feb‐2011 127948 116000 626949 26‐Feb‐20111307 CONS282 Subrata Dey Subrata Dey Self Cashless 19‐Feb‐2011 36399 33000 626950 26‐Feb‐20111308 L S I Patricia Field Patricia Field Self Cashless 19‐Feb‐2011 66544 60000 626951 26‐Feb‐20111309 SOWAR Raj Kumar Naithani Nanda Naithani Spouse Cashless 19‐Feb‐2011 16241 14727 626952 26‐Feb‐20111310 ASI7084 Nisith Baran Aich Nisith Baran Aich Self Cashless 19‐Feb‐2011 48532 44000 626953 26‐Feb‐20111311 CONST2510 Ashok Kr Singh Ashok Kr Singh Self Cashless 19‐Feb‐2011 46369 42039 626954 26‐Feb‐20111312 S I11001 Biswajit Pramanick Manjushree Pramanick Spouse Cashless 19‐Feb‐2011 22481 20400 626955 26‐Feb‐20111313 CONST290 Surendra Singh Surendra Singh Self Cashless 19‐Feb‐2011 50000 45315 626956 26‐Feb‐20111314 CONST290 Surendra Singh Surendra Singh Self Cashless 19‐Feb‐2011 50319 45635 626957 26‐Feb‐20111315 CONST9691 Shyam Prasad Das Shyam Prasad Das Self Cashless 21‐Feb‐2011 44672 40500 626958 26‐Feb‐20111316 SEPOY Bidhan Chandra Khatua Bidhan Chandra Khatua Self Cashless 21‐Feb‐2011 30001 27200 626959 26‐Feb‐20111317 CONST3941 Sukhomoy Giri Sukhomoy Giri Self Cashless 21‐Feb‐2011 37502 34000 626960 26‐Feb‐20111318 L CONST263 Sabina Yeasmin Sabina Yeasmin Self Reimbursement 06‐Dec‐2010 11814 11664 80641 28‐Feb‐20111319 CONST809 Dilip Kumar Das Radha Rani Das Wife Reimbursement 07‐Dec‐2010 13173 12328 80462 03‐Mar‐20111320 SERG Biswajit Raha Santwana Raha Spouse Reimbursement 18‐Feb‐2011 6594 6084 102706 04‐Mar‐20111321 CONST18768 Shyamal Chandra Adhikary Subhadra Adhikary Spouse Reimbursement 22‐Feb‐2011 17970 5000 102598 04‐Mar‐20111322 18914 Milan Kumar Sinha Renu Sinha Spouse Reimbursement 24‐Jan‐2011 5345 5000 102685 04‐Mar‐20111323 SERG Pradipta Ghosh Soma Ghosh Spouse Reimbursement 11‐Feb‐2011 30755 18000 102694 04‐Mar‐20111324 15 Gabriel Mondol Mary Mondol Spouse Reimbursement 18‐Feb‐2011 6982 6982 102595 04‐Mar‐20111325 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 11‐Jan‐2011 8402 8402 102714 04‐Mar‐20111326 S I Dasarath Mondal Dasarath Mondal Self Reimbursement 18‐Feb‐2011 19779 15000 102596 04‐Mar‐20111327 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 30‐Dec‐2010 9755 9755 102668 04‐Mar‐20111328 SERG Debabrata Roy Protyush Roy Son Reimbursement 18‐Feb‐2011 3520 3520 102606 04‐Mar‐20111329 HELPER280 Susanta Kumar Das Sounak Das Son Reimbursement 11‐Jan‐2011 8000 6202 102708 04‐Mar‐20111330 S I Nagendra Nath Singh Nagendra Nath Singh Self Reimbursement 18‐Feb‐2011 66886 63028 102615 04‐Mar‐20111331 cons13678 Krishna Kumar Jha Souvik Jha Son Reimbursement 29‐Jan‐2011 26999 24500 102720 04‐Mar‐20111332 S I Kuntal Sidhartha Antara Mondal Sidhartha Spouse Reimbursement 17‐Feb‐2011 5838 5568 102719 04‐Mar‐20111333 CONST16578 Ujjwal Kr Mondal Rupali Mondal Spouse Reimbursement 23‐Feb‐2011 41904 40000 102632 04‐Mar‐20111334 ASI2332 Mahadeb Samanta Shruti Samanta Daughter Reimbursement 23‐Feb‐2011 22190 21560 102613 04‐Mar‐20111335 ASI1505 Nil Madhab Banerjee Nil Madhab Banerjee Self Reimbursement 23‐Feb‐2011 16693 15000 102611 04‐Mar‐20111336 SI Asit Kumar Ghosh Asit Kumar Ghosh Self Reimbursement 22‐Jan‐2011 15724 12000 102673 04‐Mar‐20111337 ASI8675 Srinath Pal Aditi Pal Spouse Reimbursement 21‐Feb‐2011 7816 7816 102699 04‐Mar‐20111338 CONST12537 Manas Kumar Laha Manas Kumar Laha Self Reimbursement 21‐Feb‐2011 6256 5679 102692 04‐Mar‐20111339 P DR841 Basudev Ganguly Basudev Ganguly Self Reimbursement 29‐Jan‐2011 11921 11641 102592 04‐Mar‐20111340 CONST6497 Uttam Kumar Ghosh Dipali Ghosh Spouse Reimbursement 18‐Feb‐2011 17760 15000 102637 04‐Mar‐20111341 CONST9981 Biswanath Das Bisakhi Das Daughter Reimbursement 18‐Feb‐2011 6200 5200 102660 04‐Mar‐20111342 CONST14375 Badal Chandra Biswas Dipti Biswas Spouse Reimbursement 18‐Feb‐2011 4813 4813 102635 04‐Mar‐20111343 L S I Trishna Bose Trishna Bose Self Reimbursement 17‐Feb‐2011 50244 40000 102646 04‐Mar‐20111344 CONST15670 Krishnapada Sarder Krishnapada Sarder Self Reimbursement 23‐Feb‐2011 35647 35267 102612 04‐Mar‐20111345 Dinesh Kumar Halder Srabani Halder Daughter Reimbursement 21‐Feb‐2011 59065 15000 102702 04‐Mar‐20111346 SEPOY18314 Arup Dey Choudhury Arup Dey Choudhury Self Reimbursement 14‐Jan‐2011 35948 35590 102735 04‐Mar‐20111347 P DR1309 Sushanta Kumar Pal Suchitra Pal Spouse Reimbursement 29‐Jan‐2011 20934 15000 102721 04‐Mar‐20111348 SEPOY19049 Md Saleque Anjuman Nesha Wife Reimbursement 21‐Jan‐2011 29371 18000 102726 04‐Mar‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1349 CONST1092 Utpal Kumar Bhattacharya Ruma Bhattacharya Spouse Reimbursement 18‐Feb‐2011 36422 15000 102644 04‐Mar‐20111350 8980 Ranjan Ghosh Itu Ghosh Spouse Reimbursement 11‐Jan‐2011 12755 12055 102709 04‐Mar‐20111351 Cons8626 Binoy Chandra Roy Binoy Chandra Roy Self Reimbursement 12‐Jan‐2011 18770 18000 102736 04‐Mar‐20111352 TAILOR Samir Saha Samir Saha Self Reimbursement 23‐Feb‐2011 22078 18000 102608 04‐Mar‐20111353 P DR1568 Prasanta Hazari Chitra Hazari Spouse Reimbursement 18‐Feb‐2011 14679 14679 102653 04‐Mar‐20111354 SI Krishna Chandra Saha Krishna Chandra Saha Self Reimbursement 22‐Jan‐2011 19612 18000 102728 04‐Mar‐20111355 SEPOY19186 Animesh Pyne Animesh Pyne Self Reimbursement 19‐Feb‐2011 27196 26718 102690 04‐Mar‐20111356 ASI3469 Bijoy Kr  Barman Bijoy Kr  Barman Self Reimbursement 18‐Feb‐2011 6940 6800 102590 04‐Mar‐20111357 ASI8564 Dilip Saha Soma Saha Daughter Reimbursement 18‐Feb‐2011 5742 5592 102663 04‐Mar‐20111358 SEPOY11242 Haranath Kundu Haranath Kundu Self Reimbursement 31‐Dec‐2010 11349 11349 102669 04‐Mar‐20111359 RAF9646 Alok Bal Padmabati Bal Spouse Reimbursement 29‐Jan‐2011 19042 15000 102729 04‐Mar‐20111360 P DR713 Samsul Sardar Samsul Sardar Self Reimbursement 22‐Feb‐2011 15508 14000 102603 04‐Mar‐20111361 S I Ram Sankar Maity Ram Sankar Maity Self Reimbursement 15‐Feb‐2011 17088 10000 102664 04‐Mar‐20111362 LHG Durga Prodhan Durga Prodhan Self Reimbursement 18‐Feb‐2011 16105 10000 102686 04‐Mar‐20111363 SEPOY7221 Himangshu Karmakar Himangshu Karmakar Self Reimbursement 11‐Jan‐2011 2924 2924 102740 04‐Mar‐20111364 SEPOY18325 Sushil Adhikary Gayatri Adhikary Wife Reimbursement 23‐Feb‐2011 11947 10000 102630 04‐Mar‐20111365 CONST3224 Santosh Kumar Sarkar Sandhya Sarkar Spouse Reimbursement 11‐Jan‐2011 13356 11119 102666 04‐Mar‐20111366 S I Dasarath Mondal Dasarath Mondal Self Reimbursement 18‐Feb‐2011 26410 15000 102593 04‐Mar‐20111367 LDA Dipali Sen Joydev Kumar Sen Spouse Reimbursement 18‐Feb‐2011 31447 31447 102594 04‐Mar‐20111368 cons16444 Siddhartha Manna Sampa Manna Spouse Reimbursement 24‐Jan‐2011 2500 2500 102730 04‐Mar‐20111369 Jiban Kumar Rudra Jiban Kumar Rudra Self Reimbursement 18‐Feb‐2011 9114 9114 102591 04‐Mar‐20111370 506 Shyamal Kumar Mitra Shyamal Kumar Mitra Self Reimbursement 11‐Jan‐2011 8450 8450 102713 04‐Mar‐20111371 AASI5779 Madan Kr Chakraborty Ava Chakraborty Spouse Reimbursement 18‐Feb‐2011 19580 10000 102681 04‐Mar‐20111372 INSP Kamal Krishna Debroy Anima Debroy Spouse Reimbursement 24‐Jan‐2011 20595 10000 102722 04‐Mar‐20111373 CONS2752 Prandhan Bhattacharjee Prandhan Bhattacharjee Self Reimbursement 19‐Feb‐2011 2658 2658 102688 04‐Mar‐20111374 SEPOY9835 Himanish Barman Tulika Barman Spouse Reimbursement 18‐Feb‐2011 27009 15000 102658 04‐Mar‐20111375 16 Shankar Choudhury Shankar Choudhury Self Reimbursement 18‐Feb‐2011 5501 5286 102661 04‐Mar‐20111376 P DR1621 Shyam Sundar Das Sibsankar Das Son Reimbursement 18‐Feb‐2011 9439 9439 102605 04‐Mar‐20111377 SEPOY10272 Hemanta Ghosh Nupur Ghosh Spouse Reimbursement 19‐Feb‐2011 4887 4887 102689 04‐Mar‐20111378 ASI9750 Sital Kumar Dey Sital Kumar Dey Self Reimbursement 11‐Jan‐2011 8725 8250 102609 04‐Mar‐20111379 SERG Partha Saha Srinjoyee Saha Daughter Reimbursement 10‐Jan‐2011 8188 7988 102705 04‐Mar‐20111380 P DR1058 Sanjoy Baidya Sanjoy Baidya Self Reimbursement 18‐Feb‐2011 2214 2214 102638 04‐Mar‐20111381 RAF709 Debdas Nath Debasmita Nath Daughter Reimbursement 14‐Jan‐2011 5631 5631 102616 04‐Mar‐20111382 SEPOY18867 Sasanka Roy Sangita Roy Daughter Reimbursement 17‐Jan‐2011 9318 9168 102625 04‐Mar‐20111383 SEPOY19850 Ganesh Biswas Ganesh Biswas Self Reimbursement 12‐Jan‐2011 9522 9362 102739 04‐Mar‐20111384 L CONST237 Narmada Roy Juthika Roy Daughter Reimbursement 23‐Feb‐2011 5252 5152 102634 04‐Mar‐20111385 SEPOY17149 Md Mustafizur Rahaman Md Mustafizur Rahaman Self Reimbursement 30‐Dec‐2010 2415 2415 102676 04‐Mar‐20111386 SI Subhasis Pal Subhasis Pal Self Reimbursement 11‐Jan‐2011 13366 12661 102716 04‐Mar‐20111387 Head Sankar Guha Biswas Pousali Guha Biswas Daughter Reimbursement 29‐Jan‐2011 37881 35517 102704 04‐Mar‐20111388 CONST12850 Md Jianur Rahaman Khan Doli Khan Daughter Reimbursement 21‐Feb‐2011 48524 47000 102707 04‐Mar‐20111389 CONST3581 Pradip Kumar Dutta Pradip Kumar Dutta Self Reimbursement 23‐Feb‐2011 30836 27402 102626 04‐Mar‐20111390 Head Sankar Guha Biswas Pousali Guha Biswas Daughter Reimbursement 29‐Jan‐2011 6043 5969 102723 04‐Mar‐20111391 ASI3103 Manoj Kumar Dey Chhaya Dey Spouse Reimbursement 24‐Jan‐2011 13497 13497 102687 04‐Mar‐20111392 ASI11193 Haripada Hembram Thakurmoni Hembram Spouse Reimbursement 22‐Jan‐2011 1890 1890 102671 04‐Mar‐20111393 SEPOY19186 Animesh Pyne Animesh Pyne Self Reimbursement 18‐Feb‐2011 7529 7419 102682 04‐Mar‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1394 CONST14486 Anup Kumar Mazumder Chumki Mazumder Daughter Reimbursement 22‐Feb‐2011 9519 9354 102602 04‐Mar‐20111395 CONST2501 Paresh Ch Roy Priyanka Roy Daughter Reimbursement 29‐Jan‐2011 6403 6403 102724 04‐Mar‐20111396 CONST2501 Paresh Ch Roy Priyanka Roy Daughter Reimbursement 18‐Feb‐2011 5003 5003 102656 04‐Mar‐20111397 CONST2501 Paresh Ch Roy Papiya Roy Daughter Reimbursement 29‐Jan‐2011 6163 6163 102725 04‐Mar‐20111398 SERG Amlan Biswas Amlan Biswas Self Reimbursement 18‐Feb‐2011 71721 69221 102642 04‐Mar‐20111399 CONS7565 Debasis Debnath Mala Debnath Spouse Reimbursement 11‐Jan‐2011 11274 11024 102647 04‐Mar‐20111400 ASI10783 Panchu Gopal Mondal Madhumita Mondal Daughter Reimbursement 23‐Feb‐2011 10559 10259 102734 04‐Mar‐20111401 9641 Sukhen Kumar Nayak Susmita Nayak Spouse Reimbursement 18‐Feb‐2011 11445 10000 102654 04‐Mar‐20111402 17741 Ram Prasad Mondal Indira Mondal Spouse Reimbursement 17‐Jan‐2011 19087 10000 102718 04‐Mar‐20111403 SEPOY19972 Rajen Rai Anupa Rai Spouse Reimbursement 18‐Feb‐2011 14186 10000 102645 04‐Mar‐20111404 CONST1132 Mahabub Sarkar Shabnam Mustary Spouse Reimbursement 21‐Jan‐2011 18223 10000 102667 04‐Mar‐20111405 CONS16468 Dilip Kumar Mondal Moli Mondal Spouse Reimbursement 21‐Feb‐2011 11129 10000 102698 04‐Mar‐20111406 SEPOY19139 Rafikul Islam Gulfasan Sarkar Wife Reimbursement 14‐Jan‐2011 21908 10000 102623 04‐Mar‐20111407 CONST16367 Sirajul Islam Sulatan Kamrun Niher [ Khatun ] Spouse Reimbursement 22‐Jan‐2011 7068 7068 102674 04‐Mar‐20111408 SEPOY9631 Skakbar Rahaman Skakbar Rahaman Self Reimbursement 11‐Jan‐2011 11753 10000 102610 04‐Mar‐20111409 CONS12293 Dipchand Mondal Shipra Mondal Spouse Reimbursement 30‐Dec‐2010 12087 10000 102675 04‐Mar‐20111410 P DR1412 Mritunjoy Jha Pappi Jha Spouse Reimbursement 12‐Jan‐2011 23846 10000 102738 04‐Mar‐20111411 CONST15025 Pinaki Koley Putul Koley Spouse Reimbursement 22‐Feb‐2011 10805 10000 102599 04‐Mar‐20111412 CONST14492 Sumanta Kumar Ghosh Nomita Ghosh Spouse Reimbursement 23‐Feb‐2011 20217 10000 102633 04‐Mar‐20111413 CONST14757 Haradhan Pal Archana Pal Spouse Reimbursement 18‐Feb‐2011 19126 10000 102636 04‐Mar‐20111414 SEPOY9835 Himanish Barman Tulika Barman Spouse Reimbursement 18‐Feb‐2011 6229 5000 102659 04‐Mar‐20111415 SEPOY17383 Partha Dey Mousumi Dey Spouse Reimbursement 11‐Jan‐2011 13655 10000 102711 04‐Mar‐20111416 CONST 1557 Kajal Chatterjee Mukti Chatterjee Spouse Reimbursement 14‐Jan‐2011 11829 10000 102622 04‐Mar‐20111417 CONST11919 Md Qumrul Huda Reshmi Reheman Spouse Reimbursement 21‐Jan‐2011 24294 5000 102727 04‐Mar‐20111418 SEPOY174435 Gadadhar Pal Tanima Pal Spouse Reimbursement 14‐Jan‐2011 19570 10000 102617 04‐Mar‐20111419 ASI8485 Khokan Chakraborty Mithu Chakraborty Spouse Reimbursement 21‐Feb‐2011 20213 5000 102696 04‐Mar‐20111420 SEPOY19693 Birbal Singh Rima Devi Spouse Reimbursement 12‐Jan‐2011 16231 10000 102737 04‐Mar‐20111421 SEPOY19461 Sk Moktar Ali Marufa Pervin Spouse Reimbursement 30‐Dec‐2010 18698 10000 102662 04‐Mar‐20111422 SEPOY19899 Nirmal Ch Patra Golap Patra Wife Reimbursement 11‐Jan‐2011 71679 10000 102717 04‐Mar‐20111423 SEPOY2196 Sanjoy Kr Maity Pratima Rani Maity Spouse Reimbursement 18‐Feb‐2011 11880 10000 102604 04‐Mar‐20111424 SEPOY10775 Dibakar Pandey Minu Pandey Spouse Reimbursement 17‐Jan‐2011 10100 10000 102624 04‐Mar‐20111425 CONST1044 Sanjoy Mondal Mallika Maity [ Mondal ] Spouse Reimbursement 18‐Feb‐2011 18964 10000 102683 04‐Mar‐20111426 SEPOY578 Bibhashis Debsharma Debasree Debsharma Spouse Reimbursement 21‐Feb‐2011 23029 10000 102700 04‐Mar‐20111427 SEPOY564 Rakesh Mondal Piyali Mondal Wife Reimbursement 31‐Dec‐2010 31468 10000 102679 04‐Mar‐20111428 CONS1757 Aliul Islam Jamuli Banu Spouse Reimbursement 14‐Jan‐2011 10538 10000 102614 04‐Mar‐20111429 cons16628 Dipak Kumar Patra Shampa Rani Patra Spouse Reimbursement 04‐Feb‐2011 13389 10000 102731 04‐Mar‐20111430 P DR1566 Ajit Kumar Tewary Papiya Tewary Spouse Reimbursement 22‐Feb‐2011 11497 10000 102600 04‐Mar‐20111431 CONST16798 Nil Ratan Routh Tanusree Routh Spouse Reimbursement 23‐Feb‐2011 7076 5000 102620 04‐Mar‐20111432 SEPOY19564 Santu Garai Supriya Garai Spouse Reimbursement 11‐Jan‐2011 10114 10000 102712 04‐Mar‐20111433 SEPOY55 Prodip Kr Sarkar Aparna Sarkar Spouse Reimbursement 18‐Feb‐2011 9485 8385 102657 04‐Mar‐20111434 SEPOY18061 Ram Krishna Ghosh Mampi Ghosh Spouse Reimbursement 18‐Feb‐2011 7974 5000 102648 04‐Mar‐20111435 SEPOY18675 Subrata Dhar Nitu Dhar Spouse Reimbursement 28‐Jan‐2011 22418 10000 102639 04‐Mar‐20111436 SEPOY7447 Soumendra Nath Mandal Anjana Mandal Spouse Reimbursement 30‐Dec‐2010 10952 10000 102652 04‐Mar‐20111437 SEPOY1804 Apurba Ghosh Jayanti Ghosh Spouse Reimbursement 11‐Jan‐2011 10821 10000 102715 04‐Mar‐20111438 SEPOY17459 Subrata Biswas Sampa Ghosh Spouse Reimbursement 23‐Feb‐2011 11029 10000 102629 04‐Mar‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1439 SEPOY1228 Bikash Roy Purnima Roy Spouse Reimbursement 22‐Jan‐2011 20978 10000 102672 04‐Mar‐20111440 SEPOY18152 Sanjib Kr Manna Sopra Manna Spouse Reimbursement 14‐Feb‐2011 56400 48050 102643 04‐Mar‐20111441 SEPOY784 Samir Kundu Samir Kundu Self Reimbursement 11‐Jan‐2011 12308 11768 102710 04‐Mar‐20111442 CONST9243 Md Jalaluddin Jharna Khatun [ Begam ] Spouse Reimbursement 18‐Feb‐2011 9416 8871 102650 04‐Mar‐20111443 SEPOY12067 Md Rezaul Karim Sadeka Bibi Spouse Reimbursement 22‐Jan‐2011 1256 1256 102732 04‐Mar‐20111444 ASI10160 Pranab Kumar Patra Pranab Kumar Patra Self Reimbursement 18‐Feb‐2011 12852 12632 102649 04‐Mar‐20111445 AASI9362 Tushar Kanti Chongdar Tushar Kanti Chongdar Self Reimbursement 23‐Feb‐2011 16025 15000 102628 04‐Mar‐20111446 SEPOY19840 Raju Sarkar Sonali Sarkar Spouse Reimbursement 30‐Dec‐2010 7723 7483 102651 04‐Mar‐20111447 CONST12153 Kenaram Ghosh Kenaram Ghosh Self Reimbursement 18‐Feb‐2011 9799 9799 102655 04‐Mar‐20111448 SEPOY1318 Hari Das Roy Sima Roy Spouse Reimbursement 18‐Feb‐2011 16560 10000 102640 04‐Mar‐20111449 SEPOY1914 Nimai Chandra Mandal Mridula Mandal Spouse Reimbursement 18‐Feb‐2011 22674 10000 102641 04‐Mar‐20111450 SEPOY19442 Md Jahangir Hossain Taharima Khatun Spouse Reimbursement 23‐Feb‐2011 12247 10000 102618 04‐Mar‐20111451 SERG Raja Saha Bhaswati Saha Spouse Reimbursement 14‐Jan‐2011 30080 10000 102621 04‐Mar‐20111452 L CONST273 Rubi Chattaraj Rubi Chattaraj Self Reimbursement 24‐Jan‐2011 36222 10000 102680 04‐Mar‐20111453 CONST200 Sanjib Goswami Dipannita Goswami Spouse Reimbursement 23‐Feb‐2011 15834 10000 102733 04‐Mar‐20111454 ASI11744 Narayan Gopal Bhattacharjee Nita Bhattacharjee Spouse Reimbursement 30‐Dec‐2010 12741 10000 102677 04‐Mar‐20111455 SEPOY19786 Noor Md Sardar Salma Sardar Spouse Reimbursement 23‐Feb‐2011 13275 10000 102619 04‐Mar‐20111456 SEPOY840 Dinesh Barman Sima Barman Spouse Reimbursement 21‐Feb‐2011 15027 10000 102703 04‐Mar‐20111457 SI Dulal Saha Roy Barnali Saha Roy Spouse Reimbursement 22‐Feb‐2011 20000 10000 102601 04‐Mar‐20111458 CONST1798 Niranjan Mondal Rita Mondal Spouse Reimbursement 23‐Feb‐2011 15300 10000 102631 04‐Mar‐20111459 CONS14156 Kundan Kumar Singh Nalini Singh Wife Reimbursement 30‐Dec‐2010 15798 10000 102670 04‐Mar‐20111460 SI Bimal Kumar Kundu Kingshuk Kundu Son Reimbursement 19‐Feb‐2011 8282 8280 102691 04‐Mar‐20111461 ASI11855 Jugal Kishore Jha Jugal Kishore Jha Self Reimbursement 21‐Feb‐2011 33457 32737 102701 04‐Mar‐20111462 CONST7815 Santi Lal Jana Parul Jana Spouse Reimbursement 30‐Dec‐2010 22157 22157 102665 04‐Mar‐20111463 L ASI62 Kana Saha Kana Saha Self Reimbursement 30‐Dec‐2010 15384 15184 102678 04‐Mar‐20111464 SEPOY10678 Susovan Panda Susovan Panda Self Reimbursement 22‐Feb‐2011 47044 40000 102597 04‐Mar‐20111465 HA Anup Kumar Sarkar Akash Sarkar Son Reimbursement 31‐Dec‐2010 250000 100000 102741 04‐Mar‐20111466 P DR900 Swapan Kumar Dutta Krishna Dutta Spouse Reimbursement 21‐Nov‐2010 24368 15000 80466 07‐Mar‐20111467 CONST16663 Arjun Ghosh Swastika Ghosh Spouse Reimbursement 21‐Nov‐2010 18576 10000 80463 07‐Mar‐20111468 CONST5177 Ashutosh Biswas Pianki Biswas Daughter Reimbursement 21‐Nov‐2010 35055 32350 80464 07‐Mar‐20111469 P Dr983 Gour Chandra Dey Gour Chandra Dey Self Reimbursement 01‐Jan‐2011 15293 10000 80465 07‐Mar‐20111470 CONST7040 Radha Gobinda Roy Radha Gobinda Roy Self Cashless 28‐Feb‐2011 15000 15000 102743 11‐Mar‐20111471 ASI8720 Basu Dev Chakraborty Basu Dev Chakraborty Self Cashless 09‐Mar‐2011 7445 6750 102828 11‐Mar‐20111472 ASI8720 Basu Dev Chakraborty Basu Dev Chakraborty Self Cashless 09‐Mar‐2011 4964 4500 102826 11‐Mar‐20111473 SEPOY19219 Anisur Rahaman Anisur Rahaman Self Cashless 28‐Feb‐2011 7000 7000 102745 11‐Mar‐20111474 SEPOY18543 Mrityunjay Bhattacherjee Jhuma Bhattacharjee Spouse Cashless 28‐Feb‐2011 20500 20500 102747 11‐Mar‐20111475 SEPOY18139 Manjur Khan Manjur Khan Self Cashless 08‐Mar‐2011 8542 7560 102811 11‐Mar‐20111476 ASI12893 Prahlad Hembran Bharati Hembran Spouse Cashless 08‐Mar‐2011 16545 15000 102803 11‐Mar‐20111477 CONS9610 Biswajit Ghosh Biswajit Ghosh Self Cashless 05‐Feb‐2011 19584 18000 102814 11‐Mar‐20111478 CONS12317 Chandan Kr Das Surupa Das Spouse Cashless 04‐Mar‐2011 16545 15000 102759 11‐Mar‐20111479 CONST15743 Ujjwal Sardar Ujjwal Sardar Self Cashless 08‐Mar‐2011 19854 18000 102819 11‐Mar‐20111480 ASI11993 Chandan Saha Soma Saha Spouse Cashless 08‐Mar‐2011 16515 14973 102761 11‐Mar‐20111481 CONST9570 Tapas Kumar Majhi Tapas Kumar Majhi Self Cashless 02‐Mar‐2011 15000 15000 102782 11‐Mar‐20111482 SEPOY17915 Asim Kumar Sinha Peuli Sinha Wife Cashless 27‐Jan‐2011 19854 18000 102810 11‐Mar‐20111483 CONST8478 Dipak Kumar Das Dipak Kumar Das Self Cashless 08‐Mar‐2011 19854 18000 102823 11‐Mar‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1484 S I Jogen Kr Chakraborty Ila Chakarbaroty Spouse Cashless 08‐Mar‐2011 16545 15000 102824 11‐Mar‐20111485 S I Md Nurulhuda Nurnehar Begam Spouse Cashless 02‐Mar‐2011 38605 35000 102774 11‐Mar‐20111486 3129 Md Rainul Haque Md Rainul Haque Self Cashless 09‐Mar‐2011 5791 5250 102825 11‐Mar‐20111487 3129 Md Rainul Haque Md Rainul Haque Self Cashless 04‐Mar‐2011 5791 5250 102798 11‐Mar‐20111488 3129 Md Rainul Haque Md Rainul Haque Self Cashless 04‐Mar‐2011 4136 3750 102793 11‐Mar‐20111489 CONST5095 Ajoy Kr Dutta Ajoy Kr Dutta Self Cashless 02‐Mar‐2011 8000 8000 102783 11‐Mar‐20111490 CONST11791 Asesh Kr Mondal Malati Mondal Spouse Cashless 08‐Mar‐2011 27575 25000 102821 11‐Mar‐20111491 9199 Ashok Kumar Halder Sujata Halder Daughter Cashless 01‐Mar‐2011 10000 10000 102763 11‐Mar‐20111492 ASI3682 Ranajit Kumar Saha Swapna Saha Spouse Cashless 08‐Mar‐2011 8626 8000 102806 11‐Mar‐20111493 SEPOY2278 Rajendra Nath Hazra Rajendra Nath Hazra Self Cashless 04‐Mar‐2011 18751 10000 102791 11‐Mar‐20111494 CONS14737 Mukul B Hattacharya Mukul B Hattacharya Self Cashless 13‐Jan‐2011 11612 10528 102776 11‐Mar‐20111495 SEPOY17887 Naresh Ch Ghosh Naresh Ch Ghosh Self Cashless 08‐Mar‐2011 27575 12600 102805 11‐Mar‐20111496 10671 Avinath Singh Avinath Singh Self Cashless 08‐Mar‐2011 6618 6000 102760 11‐Mar‐20111497 SEPOY15819 Rajat Samaddar Kinjal Samaddar Daughter Cashless 02‐Mar‐2011 5258 5000 102770 11‐Mar‐20111498 Cons16533 Javed Akhter Khan Javed Akhter Khan Self Cashless 04‐Mar‐2011 16886 15309 102796 11‐Mar‐20111499 ASI104 Subhadra Burman Kumsupriya Burman Daughter Cashless 08‐Mar‐2011 26346 24000 102817 11‐Mar‐20111500 P DR630 Debnath Garai Debnath Garai Self Cashless 08‐Mar‐2011 25369 23000 102778 11‐Mar‐20111501 SI Anup Kumar Roy Anup Kumar Roy Self Cashless 27‐Jan‐2011 22047 20000 102809 11‐Mar‐20111502 VSTP GUARD Ganga Ram Sardar Ganga Ram Sardar Self Cashless 02‐Mar‐2011 38605 35000 102773 11‐Mar‐20111503 P Dr811 Prasanta Kumar Ghosh Smt Minati Ghosh Spouse Reimbursement 11‐Jan‐2011 5956 5956 102832 11‐Mar‐20111504 CONST12762 Partha Chakraborty Om Chakraborty Son Cashless 02‐Mar‐2011 7916 7916 102775 11‐Mar‐20111505 S I Ashok Das Ashok Das Self Cashless 08‐Mar‐2011 27047 5000 102820 11‐Mar‐20111506 S I Partha Kumar Shil Partha Kumar Shil Self Cashless 08‐Mar‐2011 14399 13000 102802 11‐Mar‐20111507 cons9969 Prasun Banerjee Prasun Banerjee Self Cashless 08‐Mar‐2011 40811 37000 102804 11‐Mar‐20111508 NAIK12548 Gautam Debnath Purnima Debnath Spouse Cashless 01‐Mar‐2011 25000 25000 102765 11‐Mar‐20111509 O C Tnzing Bhutia Tnzing Narbu Bhutia Son Cashless 08‐Mar‐2011 13298 10000 102822 11‐Mar‐20111510 SEPOY15428 Shankar Das Pinki Das Wife Cashless 28‐Feb‐2011 12500 12500 102748 11‐Mar‐20111511 56 Suku Behera Dolly Behera Spouse Cashless 01‐Mar‐2011 14663 14663 102766 11‐Mar‐20111512 CONST3708 Bulganin Biswas Bulganin Biswas Self Cashless 03‐Mar‐2011 110300 100000 102801 11‐Mar‐20111513 SI Abul Kalam Azad Abul Kalam Azad Self Cashless 04‐Mar‐2011 17648 15000 102795 11‐Mar‐20111514 SEPOY7477 Joydeb Mondal Joydeb Mondal Self Cashless 08‐Mar‐2011 38649 35040 102779 11‐Mar‐20111515 ASI9443 Sisir Kumar Chattopadhyay Sisir Kumar Chattopadhyay Self Cashless 02‐Mar‐2011 8467 8000 102769 11‐Mar‐20111516 SEPOY10033 Deepak Kumar Yash Kumar Son Cashless 08‐Mar‐2011 6067 5500 102780 11‐Mar‐20111517 SEPOY19438 Omkar Tiwari Omkar Tiwari Self Cashless 01‐Mar‐2011 8795 8500 102752 11‐Mar‐20111518 LHG1542 Manika Konar Soumyadip Roy Son Cashless 01‐Mar‐2011 11000 8000 102767 11‐Mar‐20111519 SEPOY18957 Bhanu Mondal Bhanu Mondal Self Cashless 01‐Mar‐2011 5700 5700 102751 11‐Mar‐20111520 SEPOY16784 Pankaj Mondal Pankaj Mondal Self Cashless 04‐Mar‐2011 16545 15000 102799 11‐Mar‐20111521 RC19 Sahid Ali Busra Ali Daughter Cashless 01‐Mar‐2011 11019 9000 102757 11‐Mar‐20111522 CONST9741 Tapan Kumar Paul Dipali Paul Spouse Cashless 08‐Mar‐2011 30471 30000 102818 11‐Mar‐20111523 CONS7886 Dipak Kr Mondal Dipti Mondal Spouse Reimbursement 21‐Jan‐2011 17613 16833 102840 11‐Mar‐20111524 CONST9741 Tapan Kumar Paul Dipali Paul Spouse Cashless 08‐Mar‐2011 180471 150000 102816 11‐Mar‐20111525 SEPOY1191 Amresh Kumar Singh Amresh Kumar Singh Self Cashless 01‐Mar‐2011 10000 7000 102768 11‐Mar‐20111526 CONS10012 Bijay Shankar Singh Bijay Shankar Singh Self Cashless 28‐Feb‐2011 8000 8000 102746 11‐Mar‐20111527 CONST1533 Shyamal Kumar Ganguly Shyamal Kumar Ganguly Self Cashless 01‐Mar‐2011 21000 21000 102754 11‐Mar‐20111528 SEPOY10973 Manas Panja Manas Panja Self Cashless 08‐Mar‐2011 12755 9000 102813 11‐Mar‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1529 CONST9003 Panchanan Konar Panchanan Konar Self Cashless 02‐Mar‐2011 6767 6000 102781 11‐Mar‐20111530 SEPOY9796 Satish Rai Satish Rai Self Cashless 01‐Mar‐2011 9500 8383 102758 11‐Mar‐20111531 SEPOY19601 Rabindra Nath Haldar Rabindra Nath Haldar Self Cashless 04‐Mar‐2011 30060 27253 102790 11‐Mar‐20111532 SEPOY11015 Ramanath Roy Ramanath Roy Self Cashless 27‐Jan‐2011 13483 12567 102812 11‐Mar‐20111533 SEPOY11104 Azmut Ali Mondal Azmut Ali Mondal Self Cashless 02‐Mar‐2011 10500 7000 102771 11‐Mar‐20111534 ASI11685 Md Badsha Gazi Md Badsha Gazi Self Cashless 02‐Mar‐2011 24047 23500 102784 11‐Mar‐20111535 S I Ashok Kumar Roy Alpana Roy Chowdhuri Spouse Cashless 03‐Mar‐2011 32784 29000 102789 11‐Mar‐20111536 RAF9697 Sudhangshu Biswas Sudhangshu Biswas Self Cashless 02‐Mar‐2011 13201 13201 102785 11‐Mar‐20111537 CONST15819 Raja Samaddar Tanima Samaddar Spouse Cashless 01‐Mar‐2011 5600 5600 102762 11‐Mar‐20111538 RC19 Sahid Ali Busra Ali Daughter Cashless 02‐Mar‐2011 34168 34168 102787 11‐Mar‐20111539 30 Sami Ram Sami Ram Self Cashless 01‐Mar‐2011 10000 10000 102764 11‐Mar‐20111540 CONST3689 Baidya Nath Saha Latika Saha Spouse Cashless 08‐Mar‐2011 9984 9494 102808 11‐Mar‐20111541 3129 Md Rainul Haque Md Rainul Haque Self Cashless 04‐Mar‐2011 9854 8907 102797 11‐Mar‐20111542 CONS14399 Abdul Khaled Kamarunnehar Bibi Wife Cashless 09‐Mar‐2011 14468 13117 102827 11‐Mar‐20111543 SEPOY7221 Himangshu Karmakar Himangshu Karmakar Self Cashless 01‐Mar‐2011 28807 25000 102753 11‐Mar‐20111544 CONST13261 Somesh Ch Sanyal Somesh Ch Sanyal Self Reimbursement 17‐Feb‐2011 10411 10211 102842 11‐Mar‐20111545 P Dr402 Syed Asfak Ahmed Taiba Khatton Spouse Cashless 01‐Mar‐2011 10000 10000 102750 11‐Mar‐20111546 ASI2819 Barun Kumar Acharya Barun Kumar Acharya Self Reimbursement 17‐Jan‐2011 10668 10000 102834 11‐Mar‐20111547 CONS642 Michel Pahan Michel Pahan Self Reimbursement 17‐Jan‐2011 10962 10000 102835 11‐Mar‐20111548 SEPOY18432 Hari Prasad Das Anita Das Spouse Reimbursement 21‐Jan‐2011 38784 10000 102839 11‐Mar‐20111549 P DR1101 Amit Nar Sharmila Biswas(Nar) Spouse Reimbursement 11‐Jan‐2011 17363 10000 102833 11‐Mar‐20111550 SERG Sambhunath Chabry Aparna Chabry Spouse Reimbursement 17‐Jan‐2011 29684 10000 102836 11‐Mar‐20111551 CONS15928 Sushanta Kundu Chaitali Kundu Spouse Reimbursement 17‐Jan‐2011 12363 10000 102838 11‐Mar‐20111552 15473 Jewel Murmu Saraswati Murmu Spouse Reimbursement 17‐Jan‐2011 20610 10000 102837 11‐Mar‐20111553 L CONST291 Sugandhi Minj Sugandhi Minj Self Cashless 01‐Mar‐2011 7000 7000 102749 11‐Mar‐20111554 SEPOY15212 Binod Kumar Gurung Binod Kumar Gurung Self Cashless 01‐Mar‐2011 12621 12621 102756 11‐Mar‐20111555 ASI3626 Madan Kumar Marg Madan Kumar Marg Self Cashless 03‐Mar‐2011 28266 28266 102788 11‐Mar‐20111556 CONST14805 Sanjoy Roy Sanjoy Roy Self Cashless 08‐Mar‐2011 250000 250000 102807 11‐Mar‐20111557 SERG Raja Bhattacharya Ananya Bhattacharya Spouse Cashless 04‐Mar‐2011 7666 6950 102792 11‐Mar‐20111558 SYCE28 Roudhi Ram Payri Devi Spouse Cashless 28‐Feb‐2011 13500 13500 102742 11‐Mar‐20111559 CONST17835 Mamud Ali Khan Mamud Ali Khan Self Cashless 02‐Mar‐2011 13428 12700 102772 11‐Mar‐20111560 ASI10761 Debasish Dey Barnali Dey Spouse Cashless 04‐Mar‐2011 12140 11006 102794 11‐Mar‐20111561 SEPOY9770 Dibyendu Dam Dibyendu Dam Self Cashless 08‐Mar‐2011 22576 21000 102815 11‐Mar‐20111562 ASI4341 Rama Shankar Tiwary Rama Shankar Tiwary Self Reimbursement 22‐Jan‐2011 14943 14103 102841 11‐Mar‐20111563 SEPOY10353 Purna Chandra Das Purna Chandra Das Self Cashless 02‐Mar‐2011 7000 7000 102786 11‐Mar‐20111564 P DR1060 Abu Hena Abu Hena Self Cashless 28‐Feb‐2011 23500 23500 102744 11‐Mar‐20111565 CONST13600 Debasish Chakraborty Debasish Chakraborty Self Cashless 01‐Mar‐2011 3782 3500 102755 11‐Mar‐20111566 CONS15251 Dulal Chandra Roy Bhaswati Roy Daughter Cashless 02‐Mar‐2011 17500 17500 102777 11‐Mar‐20111567 ASI8981 Anil Kr Chattodpadhya Anil Kr Chattodpadhya Self Cashless 03‐Mar‐2011 110300 100000 102800 11‐Mar‐20111568 SEPOY19186 Animesh Pyne Animesh Pyne Self Cashless 17‐Feb‐2011 81862 75842 102968 15‐Mar‐20111569 INSP Manamatha Kr Bhattacharjee Gargeev Bhattacharjee Spouse Cashless 11‐Feb‐2011 15114 13602 102993 15‐Mar‐20111570 INSP Gautam Das Gupta Gautam Das Gupta Self Reimbursement 24‐Jan‐2011 25665 25665 102873 15‐Mar‐20111571 INSP Gautam Das Gupta Gautam Das Gupta Self Reimbursement 24‐Jan‐2011 25302 25302 102874 15‐Mar‐20111572 SEPOY16081 Pranay Subha Pranay Subha Self Cashless 11‐Mar‐2011 77210 70000 102928 15‐Mar‐20111573 CONST12873 Raghunandan Mahata Raghunandan Mahata Self Cashless 14‐Mar‐2011 46519 44416 102973 15‐Mar‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1574 SEPOY9831 Debendra Nath Parmanik Debendra Nath Parmanik Self Reimbursement 02‐Mar‐2011 22762 15000 102896 15‐Mar‐20111575 19907 Jagannath Banerjee Jagannath Banerjee Self Reimbursement 29‐Jan‐2011 14048 13690 102849 15‐Mar‐20111576 CONS5144 Bipad Taron Konai Chabi Konai Spouse Cashless 14‐Mar‐2011 39533 35871 102975 15‐Mar‐20111577 ASI3443 Aloke Kumar Dey Munni Dey Spouse Reimbursement 30‐Dec‐2010 16688 16000 102911 15‐Mar‐20111578 ASI3103 Manoj Kumar Dey Chhaya Dey Spouse Reimbursement 02‐Mar‐2011 25680 25680 102901 15‐Mar‐20111579 ASI5453 Chanchal Kumar Chattorpadhya Supriti Chattopadhya Spouse Cashless 19‐Feb‐2011 13072 12488 102992 15‐Mar‐20111580 SEPOY19608 Hafijur Rahaman Hafijur Rahaman Self Cashless 14‐Mar‐2011 176480 160000 102998 15‐Mar‐20111581 Head Sankar Guha Biswas Pousali Guha Biswas Daughter Reimbursement 29‐Jan‐2011 49565 49514 102844 15‐Mar‐20111582 SI Bimal Kumar Kundu Kingshuk Kundu Son Cashless 14‐Mar‐2011 59562 54000 102996 15‐Mar‐20111583 ASI5282 Ratan Lal Saha Ratan Lal Saha Self Reimbursement 08‐Jan‐2011 6846 6196 102884 15‐Mar‐20111584 CONST4106 Ashok Roy Ashok Roy Self Cashless 03‐Mar‐2011 9885 9100 102969 15‐Mar‐20111585 ASI5281 Pradip Bhattacharyya Pradip Bhattacharyya Self Cashless 25‐Feb‐2011 11648 10000 102989 15‐Mar‐20111586 CONST11399 Chitta Ranjan Tonga Chitta Ranjan Tonga Self Cashless 04‐Mar‐2011 20000 20000 102991 15‐Mar‐20111587 CONST16396 Rudra Prasad Paitandi Rudra Prasad Paitandi Self Reimbursement 24‐Feb‐2011 40699 32899 102902 15‐Mar‐20111588 A S2790 Anit Bandhyapadhya Krishna Banerjee Spouse Reimbursement 24‐Feb‐2011 24574 15000 102920 15‐Mar‐20111589 ASI10085 Niranjan Chowdhury Niranjan Chowdhury Self Cashless 11‐Mar‐2011 10000 10000 102933 15‐Mar‐20111590 SERG Angsuman Pal Wrichik Pal Son Reimbursement 28‐Feb‐2011 32239 30983 102894 15‐Mar‐20111591 SEPOY15235 Goutam Thakur Goutam Thakur Self Reimbursement 12‐Feb‐2011 10633 10418 102905 15‐Mar‐20111592 ASI9766 Tapan Kumar Bhandary Souvik Bhandary Son Reimbursement 09‐Feb‐2011 1783 1783 102879 15‐Mar‐20111593 LC196 Lakshmi Bhunia Kabir Bhunia Son Reimbursement 29‐Jan‐2011 1476 1476 102869 15‐Mar‐20111594 ASI11493 Bikash Das Bikash Das Self Reimbursement 31‐Dec‐2010 16302 15000 102885 15‐Mar‐20111595 P DR1767 Manoj Kr Ghosh Manoj Kr Ghosh Self Reimbursement 24‐Feb‐2011 790 790 102852 15‐Mar‐20111596 SEPOY2109 Nirmal Saha Niloy Saha Son Reimbursement 03‐Mar‐2011 3912 3912 102909 15‐Mar‐20111597 ASI5786 Dilipkumar Chowdhury Smt Swapna Chowdhury Spouse Reimbursement 09‐Feb‐2011 6146 6146 102878 15‐Mar‐20111598 SEPOY16706 Nemai Chandra Akhuli Nemai Chandra Akhuli Self Cashless 31‐Jan‐2011 18460 17000 102967 15‐Mar‐20111599 SI Sunil Sarkar Sunil Sarkar Self Reimbursement 02‐Mar‐2011 9152 8977 102862 15‐Mar‐20111600 CONST5143 Arun Kumar Barman Arun Kumar Barman Self Cashless 11‐Mar‐2011 19139 19139 102937 15‐Mar‐20111601 Anil Kumar Ghosh Bhagyabati Spouse Reimbursement 09‐Feb‐2011 9475 9475 102880 15‐Mar‐20111602 CONST9906 Tapas Banerjee Pratim Banerjee Son Reimbursement 09‐Feb‐2011 28647 28647 102887 15‐Mar‐20111603 ASI459 Rabindranath Garai Kabita Garai Spouse Reimbursement 09‐Feb‐2011 50755 31000 102882 15‐Mar‐20111604 SEPOY2109 Nirmal Saha Nirmal Saha Self Reimbursement 03‐Mar‐2011 6734 6734 102908 15‐Mar‐20111605 CONS15390 Shib Prasad Mandal Shib Prasad Mandal Self Cashless 23‐Feb‐2011 15837 14400 102979 15‐Mar‐20111606 INSP6093 Indrajit Ghosh Dastidar Indrajit Ghosh Dastidar Self Cashless 14‐Mar‐2011 100000 100000 102994 15‐Mar‐20111607 Cons820 Provat Chandra Das Laxmi Rani Das Spouse Cashless 14‐Mar‐2011 95796 95000 102997 15‐Mar‐20111608 CONST9775 Purnendu Mandal Purnendu Mandal Self Cashless 14‐Mar‐2011 79360 71950 102987 15‐Mar‐20111609 97 Nandji Yadav Nandji Yadav Self Cashless 14‐Mar‐2011 21806 19729 102965 15‐Mar‐20111610 CONS12627 Kalyan Dey Kalyan Dey Self Cashless 14‐Mar‐2011 115547 104757 102995 15‐Mar‐20111611 CONST4277 Rameshwar Nath Dubey Kamala Devi Spouse Reimbursement 09‐Mar‐2011 196624 100000 102924 15‐Mar‐20111612 CONS7717 Pinaki Prosad Biawas Dipu Rani Biswas Spouse Cashless 11‐Mar‐2011 14339 13000 102944 15‐Mar‐20111613 INSP Santanu Mukhopadhyay Santanu Mukhopadhyay Self Cashless 12‐Mar‐2011 18751 16800 102953 15‐Mar‐20111614 CONS6954 Nirmal Kanti Das Madhabi Das Wife Cashless 11‐Mar‐2011 22215 22000 102930 15‐Mar‐20111615 CONS13967 Partha Pratim Das Divyajyoti Das Son Reimbursement 24‐Feb‐2011 12504 11724 102860 15‐Mar‐20111616 CONS2111 Biswanath Roy Biswanath Roy Self Cashless 21‐Jan‐2011 24266 22000 102955 15‐Mar‐20111617 AASI2921 Pradyout Kumar Mandal Sumita Mandal Spouse Cashless 30‐Oct‐2010 27000 24219 102988 15‐Mar‐20111618 S I Megh Nath Barman Megh Nath Barman Self Cashless 11‐Mar‐2011 11030 10000 102941 15‐Mar‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1619 ASI7283 Md Jahangir Alam Md Jahangir Alam Self Cashless 23‐Feb‐2011 11030 10000 102982 15‐Mar‐20111620 CONST2353 Bishwambhar Singh Bishwambhar Singh Self Cashless 31‐Jan‐2011 11030 10000 102980 15‐Mar‐20111621 ASI2581 Hari Mohan Das Hari Mohan Das Self Cashless 12‐Mar‐2011 11030 10000 102961 15‐Mar‐20111622 ASI3888 Md Badiruddin Md Badiruddin Self Cashless 12‐Mar‐2011 11030 10000 102963 15‐Mar‐20111623 ASI19848 Khedan Mishra Tuntun Mishra Spouse Reimbursement 24‐Feb‐2011 15120 10000 102845 15‐Mar‐20111624 ASI7479 Gour Chandra Adhikary Gouri Adhikary Spouse Reimbursement 09‐Feb‐2011 10000 10000 102904 15‐Mar‐20111625 CONST8177 Kshitish Chandra Sikdar Kshitish Chandra Sikdar Self Cashless 23‐Feb‐2011 11030 10000 102983 15‐Mar‐20111626 ASI10733 Ardhendu Kumar Batabyai Ardhendu Kumar Batabyai Self Cashless 11‐Mar‐2011 9263 8398 102950 15‐Mar‐20111627 CONS9692 Chaturbhuj Ghosh Chaturbhuj Ghosh Self Cashless 25‐Feb‐2011 11648 10000 102990 15‐Mar‐20111628 CONST3582 Athar Hossain Ansari Athar Hossain Ansari Self Cashless 14‐Mar‐2011 55019 49500 102970 15‐Mar‐20111629 S I Subrata Mukherjee Mousumi Mukherjee Spouse Reimbursement 22‐Feb‐2011 23188 15000 102914 15‐Mar‐20111630 cons11196 Parimal Saha Parimal Saha Self Cashless 12‐Mar‐2011 29564 26803 102952 15‐Mar‐20111631 ASI10761 Debasish Dey Barnali Dey Spouse Reimbursement 24‐Feb‐2011 14944 14164 102848 15‐Mar‐20111632 CONST14486 Anup Kumar Mazumder Chumki Mazumder Daughter Reimbursement 24‐Feb‐2011 26469 15000 102857 15‐Mar‐20111633 23 Sukanta Choudhuri Sumana Choudhuri Spouse Reimbursement 12‐Feb‐2011 29188 15000 102877 15‐Mar‐20111634 CONS7717 Pinaki Prosad Biawas Pinaki Prosad Biawas Self Reimbursement 02‐Mar‐2011 3150 3150 102900 15‐Mar‐20111635 ASI3443 Aloke Kumar Dey Munni Dey Spouse Cashless 12‐Mar‐2011 28125 25498 102956 15‐Mar‐20111636 ASI6819 Uttam Kumar Singha Roy Uttam Kumar Singha Roy Self Cashless 11‐Mar‐2011 15442 14000 102942 15‐Mar‐20111637 cons5242 Shyam Prasad Mondal Chinmayee Mondal Spouse Reimbursement 25‐Feb‐2011 9979 9615 102890 15‐Mar‐20111638 ASI7409 Mahatab Murshed Bina Begum Spouse Cashless 11‐Mar‐2011 13400 13400 102935 15‐Mar‐20111639 ASI11211 Bankim Chandra Das Bankim Chandra Das Self Cashless 22‐Feb‐2011 19854 18000 102986 15‐Mar‐20111640 CONST15029 Prabir Das Sonali Das Spouse Reimbursement 22‐Feb‐2011 14105 14085 102913 15‐Mar‐20111641 INSP Santanu Mukhopadhyay Santanu Mukhopadhyay Self Cashless 21‐Jan‐2011 1204 1204 102959 15‐Mar‐20111642 CONST8750 Partha Roy Khana Barman Spouse Cashless 11‐Mar‐2011 13468 13000 102929 15‐Mar‐20111643 AASI9650 Rajkumar Sarkar Tapati Sarkar Spouse Reimbursement 25‐Feb‐2011 24129 15000 102864 15‐Mar‐20111644 CONST14694 Shyamal Majee Sandhya Majee Spouse Reimbursement 21‐Feb‐2011 228399 100000 102926 15‐Mar‐20111645 ASI9670 Debasis Mukhopadhya Kalyani Mukharjee Spouse Reimbursement 22‐Feb‐2011 15016 15016 102915 15‐Mar‐20111646 CONST3878 Subhas Chandra Piplai Subhas Chandra Piplai Self Reimbursement 24‐Feb‐2011 58068 15000 102847 15‐Mar‐20111647 S I Prasanta Karan Aloka Karan Spouse Reimbursement 03‐Mar‐2011 9515 9515 102912 15‐Mar‐20111648 SEPOY142 Khandakar Saiful Alam Khandakar Saiful Alam Self Cashless 11‐Mar‐2011 13500 13500 102934 15‐Mar‐20111649 ASI2765 Subhash Chakraborty Subhash Chakraborty Self Cashless 14‐Mar‐2011 55000 55000 102964 15‐Mar‐20111650 SEPOY393 Sukamal Jana Sukamal Jana Self Cashless 12‐Mar‐2011 14339 13000 102960 15‐Mar‐20111651 ASI3859 Swapan Kr  Bhattacharjee Swapan Kr  Bhattacharjee Self Cashless 12‐Mar‐2011 15680 14216 102957 15‐Mar‐20111652 CONST4569 Supriya Das Bairagya Supriya Das Bairagya Self Cashless 03‐Mar‐2011 24153 22668 102981 15‐Mar‐20111653 SEPOY19421 Soumya Sinha Soumya Sinha Self Cashless 22‐Feb‐2011 19854 18000 102985 15‐Mar‐20111654 CONST7956 Satyapriya Roy Satyapriya Roy Self Cashless 14‐Mar‐2011 93755 82000 102966 15‐Mar‐20111655 S I Gour Das Mukherjee Gour Das Mukherjee Self Cashless 11‐Mar‐2011 24266 22000 102945 15‐Mar‐20111656 SEPOY16853 Mansur Ali Sarkar Mansur Ali Sarkar Self Cashless 12‐Mar‐2011 16545 15000 102954 15‐Mar‐20111657 CONS6579 Uttam Kumar Chattopadhyay Tulika Chattopadhyay Wife Cashless 14‐Mar‐2011 11998 10000 102978 15‐Mar‐20111658 SEPOY17986 Sanjay Layek Aparna Layek Spouse Cashless 21‐Jan‐2011 17097 15500 102958 15‐Mar‐20111659 HELP Vivekananda Mondal Vivekananda Mondal Self Cashless 14‐Mar‐2011 22060 20000 102974 15‐Mar‐20111660 15 Gabriel Mondol Mary Mondol Spouse Cashless 11‐Mar‐2011 8136 7200 102939 15‐Mar‐20111661 15 Gabriel Mondol Mary Mondol Spouse Cashless 11‐Sep‐2010 7200 7200 102931 15‐Mar‐20111662 15 Gabriel Mondol Mary Mondol Spouse Reimbursement 09‐Feb‐2011 6383 5449 102906 15‐Mar‐20111663 15 Gabriel Mondol Mary Mondol Spouse Cashless 11‐Mar‐2011 7200 7200 102932 15‐Mar‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1664 CONST17014 Naresh Munda Naresh Munda Self Cashless 14‐Mar‐2011 134566 122000 102971 15‐Mar‐20111665 ASI45787 Amiya Kumar Ghosh Amiya Kumar Ghosh Self Reimbursement 22‐Jan‐2011 38017 30417 102843 15‐Mar‐20111666 SEPOY12949 Maghu Hansda Maghu Hansda Self Cashless 25‐Feb‐2011 15853 14400 102936 15‐Mar‐20111667 CONST5301 Sasadhr Halder Sasadhr Halder Self Reimbursement 24‐Feb‐2011 17501 17501 102846 15‐Mar‐20111668 cons1778 Subash Ch  Ghosh Subash Ch  Ghosh Self Reimbursement 22‐Feb‐2011 26764 22000 102918 15‐Mar‐20111669 SYCE54 Pradip Kumar Dey Pradip Kumar Dey Self Cashless 14‐Mar‐2011 23618 21413 102972 15‐Mar‐20111670 CONST9110 Bhramar Chandra Ghosh Bhramar Chandra Ghosh Self Cashless 11‐Mar‐2011 8160 7398 102947 15‐Mar‐20111671 ASI3099 Shri Niwash Singh Shri Niwash Singh Self Cashless 11‐Mar‐2011 6260 5675 102938 15‐Mar‐20111672 INSP Swapan Chakraborty Gopa Chakraborty Spouse Reimbursement 24‐Feb‐2011 34756 30000 102863 15‐Mar‐20111673 CONST18507 Mirza Asik Ali Jyasmina Begum Spouse Cashless 14‐Mar‐2011 11620 10533 102976 15‐Mar‐20111674 SAF9626 Bhaskar Halder Bhaskar Halder Self Cashless 11‐Mar‐2011 34936 15820 102943 15‐Mar‐20111675 P DR809 David Nirmalendu Mondal Supriya Mondal Spouse Reimbursement 24‐Feb‐2011 10409 10409 102858 15‐Mar‐20111676 SEPOY19488 Chandi Saha Papia Saha Spouse Reimbursement 31‐Dec‐2010 4777 4777 102886 15‐Mar‐20111677 S I Shyamal Kumar Nandi Shyamal Kumar Nandi Self Cashless 12‐Mar‐2011 15379 13943 102962 15‐Mar‐20111678 ASI6662 Shyamal Kumar Dey Soumyajeet Dey Son Cashless 14‐Mar‐2011 16545 15000 102977 15‐Mar‐20111679 CONST925 Raju Chandra Roy Raju Chandra Roy Self Cashless 11‐Mar‐2011 44057 39943 102951 15‐Mar‐20111680 LASI70 Manika Saha Manika Saha Self Cashless 11‐Mar‐2011 12133 11000 102940 15‐Mar‐20111681 ASI11392 Dhanpati Ghosh Kunal Ghosh Son Cashless 11‐Mar‐2011 33429 30000 102948 15‐Mar‐20111682 ASI11226 Md Majharul Haque Md Majharul Haque Self Reimbursement 25‐Feb‐2011 9765 9483 102888 15‐Mar‐20111683 P DRC750 Samir Chowdhury Suman Chowdhury Son Cashless 11‐Mar‐2011 12430 11000 102946 15‐Mar‐20111684 ASI11192 Debasish Barman Debangan Barman Son Reimbursement 24‐Feb‐2011 12743 12743 102859 15‐Mar‐20111685 SI Subrata Ghosh Ruma Ghosh Spouse Cashless 11‐Mar‐2011 8863 8000 102949 15‐Mar‐20111686 16110 Gour Chandra Pati Mallika Sinha Spouse Reimbursement 09‐Feb‐2011 15500 10000 102898 15‐Mar‐20111687 10194 Biswajit Karan Sathi Karan Spouse Reimbursement 12‐Feb‐2011 29956 10000 102875 15‐Mar‐20111688 17622 Darpan Kumar Singh Anjana Singh Spouse Reimbursement 12‐Feb‐2011 8039 8039 102876 15‐Mar‐20111689 CONST16560 Rahul Bepari Shyamoli Bepari Spouse Reimbursement 29‐Jan‐2011 12118 10000 102870 15‐Mar‐20111690 SEPOY1637 Bappa Singha Roy Suparna Singha Roy Spouse Reimbursement 25‐Feb‐2011 8473 8473 102891 15‐Mar‐20111691 CONST16886 Prasanta Sarkar Sujata Sarkar Spouse Reimbursement 25‐Feb‐2011 15100 10000 102865 15‐Mar‐20111692 CONST9966 Tarasankar Majumder Niyati Majumder Spouse Reimbursement 25‐Feb‐2011 21500 10000 102866 15‐Mar‐20111693 SEPOY10779 Raghupati Kundu Munmun Kundu Spouse Reimbursement 25‐Feb‐2011 15056 10000 102893 15‐Mar‐20111694 SERG Saugat Roy Simi Roy Spouse Reimbursement 23‐Feb‐2011 37040 10000 102919 15‐Mar‐20111695 P DR1653 Jadab Kumar Denre Tumpa Denre Spouse Reimbursement 25‐Feb‐2011 13432 10000 102889 15‐Mar‐20111696 SEPOY692 Anupam Chowdhury Mandira Chowdhury Spouse Reimbursement 22‐Feb‐2011 11384 10000 102917 15‐Mar‐20111697 CONS19945 Ramprasad Bhattacharjee Soma Bhattacharjee Spouse Reimbursement 22‐Feb‐2011 5299 5299 102916 15‐Mar‐20111698 CONST18577 Pintu Saha Madhabi Saha Spouse Reimbursement 02‐Mar‐2011 5932 5932 102903 15‐Mar‐20111699 SEPOY750 Bikash Hazra Mousumi Hazra Spouse Reimbursement 29‐Jan‐2011 6527 5000 102868 15‐Mar‐20111700 8 Subrata Lodh Arpita Lodh Spouse Reimbursement 29‐Jan‐2011 20004 10000 102871 15‐Mar‐20111701 SERG Sukanta Das Runa Roy Das Spouse Reimbursement 09‐Feb‐2011 19909 10000 102897 15‐Mar‐20111702 cons19 Srikant Mondal Soma Mondal Spouse Reimbursement 09‐Feb‐2011 14769 10000 102883 15‐Mar‐20111703 CONST14988 Netai Barik Mousumi Barik Spouse Reimbursement 22‐Feb‐2011 18948 10000 102895 15‐Mar‐20111704 CONST17056 Sibdai Narjinary Beli Narjinary Spouse Reimbursement 09‐Feb‐2011 18233 10000 102881 15‐Mar‐20111705 SEPOY19885 Ratan Das Sarmila Das Spouse Reimbursement 24‐Feb‐2011 11744 10000 102851 15‐Mar‐20111706 SEPOY17737 Sanjib Mukherjee Mousumi Mumukherjee Spouse Reimbursement 09‐Feb‐2011 21779 10000 102899 15‐Mar‐20111707 SEPOY9776 Sujit Rabi Das Soma Das Spouse Reimbursement 25‐Feb‐2011 12837 10000 102867 15‐Mar‐20111708 CONST18499 Bimal Chandra Roy Aruna Roy Spouse Reimbursement 25‐Feb‐2011 10818 10000 102892 15‐Mar‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1709 SEPOY18789 Pinku Saha Kiran Saha Spouse Reimbursement 29‐Jan‐2011 18914 10000 102853 15‐Mar‐20111710 SEPOY16008 Nima Sherpa Prasila Sherpa Spouse Reimbursement 24‐Jan‐2011 24000 5000 102872 15‐Mar‐20111711 S I37 Jitendra Prasad Shila Kumari Spouse Reimbursement 24‐Feb‐2011 14355 10000 102856 15‐Mar‐20111712 ASI13007 Santi Dulal Saren Santi Dulal Saren Self Reimbursement 23‐Feb‐2011 53200 48330 102850 15‐Mar‐20111713 P DR1126 Arun Kr Dutta Bakul Dutta Spouse Reimbursement 24‐Feb‐2011 33021 28201 102854 15‐Mar‐20111714 ASI4575 Basudev Roy Basudev Roy Self Reimbursement 13‐Jan‐2011 139533 79000 102923 15‐Mar‐20111715 CONST8024 Anup Kumar Das Anup Kumar Das Self Reimbursement 24‐Feb‐2011 4307 4307 102855 15‐Mar‐20111716 SEPOY10730 Chandan Mukherjee Chandan Mukherjee Self Reimbursement 09‐Mar‐2011 242800 100000 102925 15‐Mar‐20111717 CONST16586 Milan Ghosh Milan Ghosh Self Cashless 23‐Feb‐2011 44638 34069 102984 15‐Mar‐20111718 ASI9355 Ananda Kumar Das Purnia Das Spouse Reimbursement 22‐Feb‐2011 224800 94213 102927 15‐Mar‐20111719 SEPOY17916 Gobardhan Dey Arka Dey Son Reimbursement 24‐Feb‐2011 27581 18791 102861 15‐Mar‐20111720 Cons4139 Chandan Chakraborty Rakesh Chakraborty Son Cashless 11‐Sep‐2010 15702 6000 103079 24‐Mar‐20111721 ASI8720 Basu Dev Chakraborty Basu Dev Chakraborty Self Cashless 15‐Mar‐2011 7445 6750 103007 24‐Mar‐20111722 15 Gabriel Mondol Mary Mondol Spouse Cashless 22‐Mar‐2011 7941 7199 103039 24‐Mar‐20111723 cons9166 Sagar Ch Sarkhel Sujoy Sarkhel Son Cashless 22‐Mar‐2011 11992 10872 103032 24‐Mar‐20111724 CONST3132 Ganapati Mukherjee Bela Rani Mukherjee Spouse Cashless 22‐Mar‐2011 6541 5930 103030 24‐Mar‐20111725 Cons19 Minu Rani Pyne Anirban Pyne Son Cashless 22‐Mar‐2011 3377 3062 103060 24‐Mar‐20111726 SEPOY1026 Suranjan Sarkar Mamta Sarkar Spouse Reimbursement 15‐Mar‐2011 11561 10000 103004 24‐Mar‐20111727 ASI672 Rathindra Nath Sanyal Rathindra Nath Sanyal Self Cashless 22‐Mar‐2011 28011 24000 103036 24‐Mar‐20111728 CONST411 Bimal Das Shyamali Das Spouse Cashless 22‐Mar‐2011 20889 19104 103080 24‐Mar‐20111729 S I Subas Chandra Sarkar Suprava Sarkar Spouse Cashless 22‐Mar‐2011 13236 12000 103044 24‐Mar‐20111730 SEPOY9987 Nandan Majumdar Chandrani Majumdar Daughter Cashless 21‐Mar‐2011 9878 8955 103017 24‐Mar‐20111731 CONST15633 Bablu Halder Bablu Halder Self Cashless 21‐Mar‐2011 19854 17500 103027 24‐Mar‐20111732 ASI7112 Ashimananda Nag Sipra Nag Spouse Cashless 15‐Mar‐2011 55121 50000 103005 24‐Mar‐20111733 SEPOY393 Sukamal Jana Priyanka Jana Daughter Cashless 22‐Mar‐2011 11030 10000 103037 24‐Mar‐20111734 CONST14909 Alok Kr Majumder Alok Kr Majumder Self Cashless 21‐Mar‐2011 19742 15000 103013 24‐Mar‐20111735 ASI8636 Dinabandhu Biswas Dinabandhu Biswas Self Cashless 21‐Mar‐2011 6831 6194 103014 24‐Mar‐20111736 ASI8636 Dinabandhu Biswas Dinabandhu Biswas Self Cashless 21‐Mar‐2011 187908 167640 103023 24‐Mar‐20111737 CONST13137 Sukhen Sikder Nilmadhav Sikder Son Reimbursement 22‐Mar‐2011 7980 7980 103038 24‐Mar‐20111738 CONST1581 Baban Singh Chinta Devi Singh Spouse Cashless 22‐Mar‐2011 11030 10000 103072 24‐Mar‐20111739 CONS2111 Baidyanath Gope Baidyanath Gope Self Cashless 22‐Mar‐2011 11030 10000 103066 24‐Mar‐20111740 ASI3281 Abdus Shukur Abdus Shukur Self Cashless 22‐Mar‐2011 11030 10000 103057 24‐Mar‐20111741 ASI3380 Swapan Kumar Roy Shyamali Roy Spouse Cashless 22‐Mar‐2011 11030 10000 103056 24‐Mar‐20111742 S I Ram Sankar Maity Ram Sankar Maity Self Reimbursement 18‐Mar‐2011 47088 42020 103009 24‐Mar‐20111743 CONAS1959 Sanjit Kumar Biswas Sanjit Kumar Biswas Self Cashless 21‐Mar‐2011 23658 21449 103020 24‐Mar‐20111744 CONST2445 Mozammal Hoque Mozammal Hoque Self Cashless 07‐Feb‐2011 11030 10000 103063 24‐Mar‐20111745 CONST6681 Abdul Quayyum Abdul Quayyum Self Cashless 22‐Mar‐2011 11030 10000 103052 24‐Mar‐20111746 4 Madan Gopal Hazra Madan Gopal Hazra Self Cashless 22‐Mar‐2011 11030 10000 103055 24‐Mar‐20111747 Binoy Krishna Pain Binoy Krishna Pain Self Cashless 22‐Mar‐2011 11030 10000 103029 24‐Mar‐20111748 CONS11954 Abdul Mannan Sk Abdul Mannan Sk Self Cashless 07‐Feb‐2011 11030 10000 103061 24‐Mar‐20111749 SI Md Munjur Rahaman Md Munjur Rahaman Self Cashless 22‐Mar‐2011 11030 10000 103053 24‐Mar‐20111750 SI Joydeb Nayak Joydeb Nayak Self Cashless 17‐Jan‐2011 11030 10000 103054 24‐Mar‐20111751 const7314 Kanai Lal Das Kanai Lal Das Self Cashless 22‐Mar‐2011 12956 12956 103078 24‐Mar‐20111752 S I Susanta Kr Shaw Susanta Kr Shaw Self Cashless 15‐Mar‐2011 13236 12000 103006 24‐Mar‐20111753 S I Sachin Mondal Tapati Mondal Spouse Cashless 22‐Mar‐2011 10784 10000 103075 24‐Mar‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1754 133 Ram Chandrao Paswan Rampari Devi Spouse Cashless 21‐Mar‐2011 23578 21376 103025 24‐Mar‐20111755 P DR1390 Amit Kumar Naskar Dipali Naskar Spouse Cashless 22‐Mar‐2011 25919 23498 103033 24‐Mar‐20111756 3606 Son Kumar Thapa Bikram Thapa Son Cashless 21‐Mar‐2011 24957 22626 103012 24‐Mar‐20111757 CONST8746 Banda Rahamatulla Banda Rahamatulla Self Cashless 21‐Mar‐2011 77210 70000 103024 24‐Mar‐20111758 CONS1482 Arup Kanti Ray Arup Kanti Ray Self Reimbursement 21‐Mar‐2011 80000 60000 103011 24‐Mar‐20111759 Cons5555 Anup Mandal Anup Mandal Self Cashless 21‐Mar‐2011 23043 20891 103026 24‐Mar‐20111760 CONST4690 Rathi Bhusan Chakraborty Rathi Bhusan Chakraborty Self Cashless 22‐Mar‐2011 16167 14557 103045 24‐Mar‐20111761 ASI7752 Provash Chandra Sarkar Usha Rani Sarkar Spouse Cashless 22‐Mar‐2011 20969 19000 103040 24‐Mar‐20111762 CONST4216 Shyama Prosad Dey Shyama Prosad Dey Self Cashless 22‐Mar‐2011 14339 13000 103041 24‐Mar‐20111763 SACP Sanjay Singh Manisha Rana Spouse Reimbursement 18‐Mar‐2011 29382 15000 103010 24‐Mar‐20111764 CONST14200 Buddhadev Mondal Buddhadev Mondal Self Cashless 21‐Mar‐2011 68278 61902 103028 24‐Mar‐20111765 SI Joydev Kumar Pati Joydev Kumar Pati Self Cashless 22‐Mar‐2011 8434 7646 103034 24‐Mar‐20111766 8753 Sisir Bhattacherjee Susmita Bhattacherjee Daughter Cashless 22‐Mar‐2011 19051 12500 103081 24‐Mar‐20111767 CONST12537 Manas Kumar Laha Manas Kumar Laha Self Cashless 22‐Mar‐2011 14339 13000 103031 24‐Mar‐20111768 CONST586 Surendra Nath Chowdhury Surendra Nath Chowdhury Self Cashless 22‐Mar‐2011 14925 13531 103043 24‐Mar‐20111769 SEPOY11609 Prasad Kumar Purkait Ellora Purkait Spouse Cashless 21‐Mar‐2011 8318 7541 103016 24‐Mar‐20111770 ASI3180 Ranjit Kr Chatail Ranjit Kr Chatail Self Cashless 22‐Mar‐2011 11030 10000 103065 24‐Mar‐20111771 CONS15873 Debabrata Roy Debabrata Roy Self Cashless 07‐Feb‐2011 11030 10000 103062 24‐Mar‐20111772 ASI5658 Barendra Mohan Chakraborty Barendra Mohan Chakraborty Self Cashless 22‐Mar‐2011 6618 6000 103068 24‐Mar‐20111773 ASI1971 Tapan Kanti Banerjee Tapan Kanti Banerjee Self Cashless 22‐Mar‐2011 11030 10000 103069 24‐Mar‐20111774 CONST5008 Ananta Dan Ananta Dan Self Cashless 22‐Mar‐2011 11030 10000 103070 24‐Mar‐20111775 1461 Pradesh Ch Paul Pradesh Ch Paul Self Cashless 22‐Mar‐2011 11030 10000 103047 24‐Mar‐20111776 CONST1135 Dhani Ram Saren Dhani Ram Saren Self Cashless 22‐Mar‐2011 11030 10000 103035 24‐Mar‐20111777 SUBEDAR575 Shyam Sundar Tapadar Shyam Sundar Tapadar Self Cashless 07‐Feb‐2011 11030 10000 103064 24‐Mar‐20111778 CONST678 Sudam Chandra Shaw Sudam Chandra Shaw Self Cashless 22‐Mar‐2011 11030 10000 103067 24‐Mar‐20111779 ASI61 Rupanand Debnath Sefali Debnath Spouse Cashless 22‐Mar‐2011 11030 10000 103050 24‐Mar‐20111780 SEPOY19051 Rajeswar Prasad Sinha Rajeswar Prasad Sinha Self Cashless 22‐Mar‐2011 4412 4000 103071 24‐Mar‐20111781 AASI6035 Dilip Kumar Biswas Dilip Kumar Biswas Self Cashless 22‐Mar‐2011 11030 10000 103051 24‐Mar‐20111782 cont16628 Uttam Chakraborty Mallika Chakarborty Spouse Cashless 22‐Mar‐2011 21620 13728 103076 24‐Mar‐20111783 cons15659 Nikhil Kuma Halderm Binapani Halder Spouse Cashless 21‐Mar‐2011 46230 45000 103021 24‐Mar‐20111784 INSP Vivekananda Sinha Vivekananda Sinha Self Reimbursement 18‐Mar‐2011 49700 47100 103008 24‐Mar‐20111785 INSP Sati Jiban Nath Sati Jiban Nath Self Cashless 21‐Mar‐2011 37881 34344 103022 24‐Mar‐20111786 15 Gabriel Mondol Gabriel Mondol Self Cashless 22‐Mar‐2011 11030 10000 103046 24‐Mar‐20111787 ASI6484 Saumen Mandal Saumen Mandal Self Cashless 22‐Mar‐2011 11030 10000 103042 24‐Mar‐20111788 SEPOY1307 Tapan Bhattacharya Tapan Bhattacharya Self Cashless 21‐Mar‐2011 55281 50119 103015 24‐Mar‐20111789 INSP Narattam Ghosh Narattam Ghosh Self Cashless 22‐Mar‐2011 248858 248858 103048 24‐Mar‐20111790 Inst Aloke Kumar Chakraborty Aloke Kumar Chakraborty Self Cashless 15‐Mar‐2011 16545 15000 103002 24‐Mar‐20111791 SEPOY9589 Kamal Kumar Mandi Kamal Kumar Mandi Self Cashless 22‐Mar‐2011 50000 50000 103074 24‐Mar‐20111792 SEPOY9589 Kamal Kumar Mandi Kamal Kumar Mandi Self Cashless 22‐Mar‐2011 250000 250000 103073 24‐Mar‐20111793 S I Snehasis Karan Snehasis Karan Self Cashless 22‐Mar‐2011 7114 6450 103058 24‐Mar‐20111794 SEPOY10534 Jit Banerjee Jit Banerjee Self Cashless 22‐Mar‐2011 13907 10000 103049 24‐Mar‐20111795 CONS14671 Susanta Mandal Susanta Mandal Self Cashless 21‐Mar‐2011 10614 9623 103018 24‐Mar‐20111796 SEPOY15308 Dilip Mandal Dilip Mandal Self Cashless 15‐Mar‐2011 5515 5000 103003 24‐Mar‐20111797 CONST16543 Shyamal Roy Lima Roy Daughter Cashless 22‐Mar‐2011 16314 15245 103077 24‐Mar‐20111798 CONST10475 Sailesh Das Sailesh Das Self Cashless 21‐Mar‐2011 12608 10000 103019 24‐Mar‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1799 82 Swapan Debnath Jhumur Debnath Spouse Cashless 22‐Mar‐2011 7247 6571 103059 24‐Mar‐20111800 ASI19935 Shamsher Bahadur Singh Shamsher Bahadur Singh Self Reimbursement 21‐Feb‐2011 2561 2561 80468 28‐Mar‐20111801 ASI19935 Shamsher Bahadur Singh Shamsher Bahadur Singh Self Reimbursement 21‐Feb‐2011 23665 23665 80470 28‐Mar‐20111802 ASI19935 Shamsher Bahadur Singh Shamsher Bahadur Singh Self Reimbursement 21‐Feb‐2011 3680 3680 80469 28‐Mar‐20111803 CONST1225 Rabindra Nath Chanda Rabindra Nath Chanda Self Reimbursement 22‐Jan‐2011 34901 15000 80480 13‐Apr‐20111804 CONST14552 Abdul Kuddus Shaikh Asmira Bibi Spouse Reimbursement 30‐Dec‐2010 18332 18000 80473 13‐Apr‐20111805 ASI8791 Dilip Biswas Kalpana Biswas Spouse Reimbursement 07‐Dec‐2010 32972 18000 80472 13‐Apr‐20111806 43 sreeprasanna dikpati Om Dikpati Son Reimbursement 09‐Feb‐2011 9970 8970 80478 13‐Apr‐20111807 CONST10356 Dilip Kumar Mondal Dilip Kumar Mondal Self Reimbursement 18‐Feb‐2011 7373 7373 80475 13‐Apr‐20111808 SEPOY19576 Nanda Dulal Hazra Nanda Dulal Hazra Self Reimbursement 30‐Dec‐2010 16406 15296 80476 13‐Apr‐20111809 SERG Santanu Kumar Dhar Archita Dhar Spouse Reimbursement 09‐Feb‐2011 48835 10000 80477 13‐Apr‐20111810 SEPOY10835 Sanjoy Pati Manju Pati Spouse Reimbursement 30‐Dec‐2010 8626 8000 80482 13‐Apr‐20111811 SEPOY806 Srikanta Dirghangi Tandra Dirghangi Spouse Reimbursement 27‐Jan‐2011 11920 10000 80481 13‐Apr‐20111812 SEPOY19905 Sabyasachi Mandal Kakali Mandal Wife Reimbursement 30‐Dec‐2010 16287 10000 80471 13‐Apr‐20111813 AASI6697 Babul Ghosh Subham Ghosh Son Reimbursement 07‐Dec‐2010 13480 10755 80474 13‐Apr‐20111814 S I Ashoke Kumar Roy Chowdhury Alpana Roy Chowdhuri Spouse Reimbursement 30‐Dec‐2010 41368 33923 80479 13‐Apr‐20111815 CONST11823 Nirmal Hembrom Alomani Hembrom Spouse Reimbursement 23‐Feb‐2011 23000 18000 77902 19‐Apr‐20111816 CONST14181 Harendra Pandey Harendra Pandey Self Reimbursement 14‐Jan‐2011 152000 90000 77903 19‐Apr‐20111817 CONST2501 Paresh Ch Roy Papiya Roy Daughter Reimbursement 17‐Apr‐2011 4482 4482 103148 26‐Apr‐20111818 CONST2501 Paresh Ch Roy Priyanka Roy Daughter Reimbursement 05‐Apr‐2011 5310 5310 103095 26‐Apr‐20111819 SEPOY17385 Sk Ruhullah Siddique Sk Firoz Siddique Son Reimbursement 21‐Feb‐2011 17453 17203 103085 26‐Apr‐20111820 A S3757 Ram Chandra Jha Manju Jha Spouse Reimbursement 13‐Apr‐2011 72200 71792 103125 26‐Apr‐20111821 ACCT Debjani Chattoraj Debjani Chattoraj Self Cashless 07‐Apr‐2011 58665 53187 103133 26‐Apr‐20111822 SEPOY18338 Ashis Palit Sukla Palit Spouse Reimbursement 02‐Mar‐2011 25413 18000 103161 26‐Apr‐20111823 CONST4714 Tapan Kumar Chakraborty Mukti Chakraborty Spouse ReOpen Claim 07‐Apr‐2011 80282 52000 103119 26‐Apr‐20111824 ASI2129 Subodha Kumar Panda Jyotsna Panda Spouse Cashless 07‐Apr‐2011 55150 50000 103137 26‐Apr‐20111825 L CONSt103 Shaswati Dey Shaswati Dey Self Reimbursement 18‐Mar‐2011 32863 28000 103112 26‐Apr‐20111826 INSP Arun Kumar Dey Nita Dey Wife Reimbursement 22‐Apr‐2011 25444 18000 103129 26‐Apr‐20111827 649 Raghunath Samanta Raghunath Samanta Self Reimbursement 30‐Mar‐2011 18297 10000 103097 26‐Apr‐20111828 CONST4959 Himanshu Biswas Himanshu Biswas Self Reimbursement 09‐Apr‐2011 15079 10000 103120 26‐Apr‐20111829 INSP Satyabrata Paul Debarghya Paul Son Reimbursement 02‐Apr‐2011 28451 15000 103149 26‐Apr‐20111830 SEPOY17915 Asim Kumar Sinha Sayantan Sinha Son Reimbursement 25‐Feb‐2011 6660 6460 103108 26‐Apr‐20111831 Sowar Jitendra Prasad Sharma Jitendra Prasad Sharma Self Cashless 09‐Apr‐2011 19854 18000 103169 26‐Apr‐20111832 SEPOY19984 Ranjan Mandal Monisha Mondal Spouse Reimbursement 01‐Apr‐2011 58600 55920 103150 26‐Apr‐20111833 SI Bishwadeb Dutta Purabi Dutta Spouse Reimbursement 30‐Mar‐2011 9392 9392 103100 26‐Apr‐20111834 CONST16762 Goutam Mandal Onkar Mandal Son Reimbursement 02‐Mar‐2011 7267 6982 103157 26‐Apr‐20111835 P DR1705 Prasanta Polley Shana Polley Daughter Reimbursement 30‐Mar‐2011 2216 2016 103098 26‐Apr‐20111836 S I Subrata Kumar Roy Subrata Kumar Roy Self Cashless 07‐Apr‐2011 28502 25840 103163 26‐Apr‐20111837 cons18858 Manas Das Manas Das Self Cashless 09‐Apr‐2011 18971 17200 103171 26‐Apr‐20111838 CONST14272 Md Fazlul Hoque Md Fazlul Hoque Self Cashless 09‐Apr‐2011 12807 11611 103172 26‐Apr‐20111839 ASI2765 Subhash Chakraborty Laxmi Chakraborty Spouse Reimbursement 20‐Apr‐2011 61022 45167 103124 26‐Apr‐20111840 CONST3940 Nirmal Kr Singh Dewanti Singh Spouse Cashless 07‐Apr‐2011 19854 18000 103166 26‐Apr‐20111841 CONST1474 Tarakeshwar Ram Tarakeshwar Ram Self Cashless 07‐Apr‐2011 26472 24000 103132 26‐Apr‐20111842 CONST8148 Pradip Kumar Roy Pradip Kumar Roy Self Cashless 11‐Apr‐2011 26472 24000 103141 26‐Apr‐20111843 Cons1314 Ajoy Kumar Singha Arati Singha Spouse Reimbursement 13‐Apr‐2011 64400 62050 103122 26‐Apr‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1844 RAF17832 Nirmal Ghosh Nirmal Ghosh Self Reimbursement 05‐Apr‐2011 4040 4040 103105 26‐Apr‐20111845 AASI7357 Gour Mohan Mondal Gour Mohan Mondal Self Cashless 11‐Apr‐2011 81622 74000 103142 26‐Apr‐20111846 SERG Nabyendu Kumar Bhattacharya Nabyendu Kumar Bhattacharya Self Cashless 07‐Apr‐2011 10581 9593 103168 26‐Apr‐20111847 CONS12736 Ajoy Kumar Pani Ajoy Kumar Pani Self Reimbursement 22‐Feb‐2011 11482 11482 103089 26‐Apr‐20111848 CONST407 Shailesh Ch Bhowmick Shailesh Ch Bhowmick Self Reimbursement 02‐Apr‐2011 19155 18000 103115 26‐Apr‐20111849 SI Joydev Kumar Pati Joydev Kumar Pati Self Post Hospitalisation 05‐Apr‐2011 2446 2446 103101 26‐Apr‐20111850 CONST15124 Mahendra Samant Akash Samant Son Reimbursement 21‐Feb‐2011 13689 13689 103153 26‐Apr‐20111851 SEPOY9172 Kalyan Kumar Santra Kalyan Kumar Santra Self Cashless 07‐Apr‐2011 50738 46000 103134 26‐Apr‐20111852 CONST3631 Bipul Kanti Das Tapashi Das Spouse Reimbursement 02‐Apr‐2011 25187 24512 103113 26‐Apr‐20111853 CONST11601 Md. Ali Mondal Md. Ali Mondal Self Cashless 07‐Apr‐2011 27575 25000 103167 26‐Apr‐20111854 AASI11562 Amarendra Nath Roy Singha Amarendra Nath Roy Singha Self Cashless 11‐Apr‐2011 95654 86722 103143 26‐Apr‐20111855 ASI8164 Anil Pal Anil Pal Self Reimbursement 22‐Feb‐2011 7179 7179 103109 26‐Apr‐20111856 CONST11552 Tazir Hosen Mondal Tazir Hosen Mondal Self Reimbursement 30‐Mar‐2011 47161 45903 103082 26‐Apr‐20111857 SEPOY18303 Goutam Barman Purabi Baraman Spouse Reimbursement 02‐Mar‐2011 20652 18000 103094 26‐Apr‐20111858 SEPOY18303 Goutam Barman Purabi Baraman Spouse Reimbursement 02‐Mar‐2011 28038 22000 103162 26‐Apr‐20111859 CONST12919 Mahabir Yadav Mahabir Yadav Self Reimbursement 06‐Apr‐2011 18177 15000 103160 26‐Apr‐20111860 Hasimuddin Sk Hasimuddin Sk Self Cashless 09‐Apr‐2011 17235 15625 103138 26‐Apr‐20111861 cons1985 Kalyan Chakaraborty Pala Chakraborty Spouse Reimbursement 04‐Apr‐2011 31260 18000 103117 26‐Apr‐20111862 CONST10831 Mrinal Kanti Khamrui Mrinal Kanti Khamrui Self Reimbursement 21‐Apr‐2011 20420 18000 103126 26‐Apr‐20111863 CONST6622 Ashis Kumar Chakraborty Nabanita Chakraborty Daughter Reimbursement 21‐Apr‐2011 13475 13325 103127 26‐Apr‐20111864 Hasimuddin Sk Hasina Khatun Daughter Cashless 04‐Apr‐2011 24266 22000 103131 26‐Apr‐20111865 CONST11529 Dulal Chandra Barman Dulal Chandra Barman Self Cashless 04‐Apr‐2011 37428 33933 103130 26‐Apr‐20111866 SEPOY18348 Krishna Ch Mondal Debasri Mondal Spouse Reimbursement 22‐Feb‐2011 18832 10000 103151 26‐Apr‐20111867 SEPOY10606 Dipak Kumar Chakraborty Soma Chakraborty Spouse Reimbursement 02‐Mar‐2011 16485 10000 103156 26‐Apr‐20111868 SEPOY17908 Sunil Ghosh Sonali Ghosh Spouse Reimbursement 09‐Feb‐2011 20544 10000 103107 26‐Apr‐20111869 CONST15613 Krishnedu Biswas Haimanti Sukla Biswas Spouse Reimbursement 30‐Mar‐2011 32201 10000 103099 26‐Apr‐20111870 SI3048 Chameli Mukherjee Chameli Mukherjee Self Reimbursement 05‐Apr‐2011 18460 10000 103102 26‐Apr‐20111871 ASI11181 Uttam Chanda Sucheta Chanda Spouse Reimbursement 21‐Feb‐2011 16227 10000 103152 26‐Apr‐20111872 SEPOY77 Manik Roy Lata Roy Spouse Reimbursement 19‐Apr‐2011 17513 10000 103123 26‐Apr‐20111873 CONST15520 Md Kamaruzzaman Rubi Khatun Spouse Reimbursement 02‐Mar‐2011 9800 5000 103158 26‐Apr‐20111874 18542 Sibu Roy Munmun Roy Spouse Reimbursement 24‐Feb‐2011 30564 10000 103155 26‐Apr‐20111875 CONS Kalyan Kumar Biswas Sanchita Biswas Spouse Reimbursement 05‐Apr‐2011 5036 5036 103103 26‐Apr‐20111876 CONS16671 Tapanendu Pati Manashi Pati Spouse Reimbursement 02‐Mar‐2011 17462 10000 103093 26‐Apr‐20111877 SEPOY17999 Prayag Chandra Mahata Puspa Mahata Wife Reimbursement 22‐Feb‐2011 3237 3237 103154 26‐Apr‐20111878 P DR1224 Goutam Das Chanda Das Spouse Reimbursement 02‐Apr‐2011 23714 10000 103114 26‐Apr‐20111879 SEPOY436 Gouranga Roy Bulbul Roy Spouse Reimbursement 18‐Mar‐2011 15833 10000 103110 26‐Apr‐20111880 SEPOY15447 Raibul Islam Samima Yesmin Spouse Reimbursement 18‐Mar‐2011 7066 5000 103111 26‐Apr‐20111881 SEPOY1141 Pankaj Das Soumya Das Spouse Reimbursement 05‐Apr‐2011 1579 1579 103096 26‐Apr‐20111882 Cosn12950 Puranjay Manna Kakali Manna Spouse Reimbursement 21‐Feb‐2011 1389 1389 103086 26‐Apr‐20111883 SEPOY17783 Pallab Das Sumita Das Spouse Reimbursement 04‐Apr‐2011 7414 5000 103118 26‐Apr‐20111884 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 02‐Mar‐2011 10561 10561 103159 26‐Apr‐20111885 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 05‐Apr‐2011 9336 9336 103091 26‐Apr‐20111886 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 21‐Feb‐2011 9055 9055 103084 26‐Apr‐20111887 ASI45787 Amiya Kumar Ghosh Amiya Kumar Ghosh Self Reimbursement 22‐Feb‐2011 14906 12306 103090 26‐Apr‐20111888 CONST17612 Sunil Kr Ghosh Sunil Kr Ghosh Self Cashless 11‐Apr‐2011 62871 57000 103140 26‐Apr‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1889 SEPOY18342 Sanat Kumar Ray Lopa Ray Spouse Reimbursement 05‐Apr‐2011 13670 10000 103104 26‐Apr‐20111890 CONST1268 Santosh Mahato Anjona Mahato Spouse Reimbursement 21‐Apr‐2011 5074 5000 103128 26‐Apr‐20111891 19788 Avijit Jana Tanusree Jana Spouse Reimbursement 02‐Apr‐2011 34412 18000 103116 26‐Apr‐20111892 AASI10711 Ranjit Prosad Saw Ranjit Prosad Saw Self Cashless 11‐Apr‐2011 7665 6950 103174 26‐Apr‐20111893 CONST16322 Lakshmi Kanta Barik Rajdeep Barik Son Reimbursement 05‐Apr‐2011 13497 13377 103106 26‐Apr‐20111894 CONST13245 Mistri Hansda Mistri Hansda Self Cashless 07‐Apr‐2011 41914 38000 103136 26‐Apr‐20111895 CONST11575 Shyamal Roy Shyamal Roy Self Reimbursement 04‐Feb‐2011 8127 8127 103083 26‐Apr‐20111896 SEPOY19562 Kailash Pati Das Rathindara Nath Das Son Reimbursement 12‐Apr‐2011 47100 46900 103121 26‐Apr‐20111897 ASI10326 Md Tajuddin Nurjahan Begum Wife Cashless 09‐Apr‐2011 14339 13000 103170 26‐Apr‐20111898 CONST7185 Shib Shankar Ghosh Shib Shankar Ghosh Self Cashless 09‐Apr‐2011 25837 23331 103173 26‐Apr‐20111899 CONS13153 Amal Kr. Mallick Tulshi Rani Mallick Wife Cashless 07‐Apr‐2011 19854 18000 103165 26‐Apr‐20111900 CONST407 Biswajit Ghosh Biswajit Ghosh Self Reimbursement 21‐Feb‐2011 7444 7219 103088 26‐Apr‐20111901 CONST11494 Sissique Ali Laskar Sissique Ali Laskar Self Cashless 11‐Apr‐2011 9941 9013 103139 26‐Apr‐20111902 ASI5789 Manick Roychoudhury Shibani Roy Choudhury Spouse Reimbursement 21‐Feb‐2011 15058 13783 103087 26‐Apr‐20111903 SEPOY10778 Bhajan Mondal Bhajan Mondal Self Cashless 07‐Apr‐2011 11030 10000 103135 26‐Apr‐20111904 SEPY7459 Saifuddin Molla Saifuddin Molla Self Cashless 07‐Apr‐2011 63974 58000 103164 26‐Apr‐20111905 ASI4584 Rejaul Haque Umma Amina Begum Spouse Reimbursement 14‐Mar‐2011 46858 40000 103092 26‐Apr‐20111906 ACP Subhash Chandra Ray Sumana Ray Spouse Cashless 22‐Apr‐2011 15441 14000 103218 29‐Apr‐20111907 S I Sachin Mondal Tapati Mondal Spouse Cashless 21‐Apr‐2011 12133 11000 103198 29‐Apr‐20111908 AASI7032 Ropan Kr Saha Ropan Kr Saha Self Cashless 18‐Apr‐2011 40811 37000 103184 29‐Apr‐20111909 HG83 Bivesh Ghosh Bivesh Ghosh Self Cashless 22‐Apr‐2011 10000 10000 103219 29‐Apr‐20111910 CONST4007 Ratan Roy Chowdhury Krishna Roy Chowdhury Spouse Cashless 11‐Apr‐2011 9438 8549 103178 29‐Apr‐20111911 CONS16789 Tinku Kumar Prosad Tinku Kumar Prosad Self Cashless 22‐Apr‐2011 10000 10000 103214 29‐Apr‐20111912 SERG Soumen Acharyya Soumen Acharyya Self Cashless 20‐Apr‐2011 9904 8979 103189 29‐Apr‐20111913 125 S K Joymobarar S K Joymobarar Self Cashless 20‐Apr‐2011 11030 10000 103188 29‐Apr‐20111914 SEPOY18604 Mihir Mandal Mihir Mandal Self Cashless 22‐Apr‐2011 16545 15000 103203 29‐Apr‐20111915 CONST18463 Debasish Mukherjee Debasish Mukherjee Self Cashless 11‐Apr‐2011 15994 14500 103180 29‐Apr‐20111916 CONST9950 Shib Kumar Das Tandra Das Wife Cashless 20‐Apr‐2011 17431 14500 103187 29‐Apr‐20111917 ASI6944 Md Azadali Md Azadali Self Cashless 18‐Apr‐2011 33343 20000 103185 29‐Apr‐20111918 ASI2226 Kshitish Chandra Mondal Sipra Mondal Daughter Cashless 21‐Apr‐2011 6566 5910 103195 29‐Apr‐20111919 SEPOY19485 Sk. Endadul Haque Sima Khatun Wife Cashless 22‐Apr‐2011 25471 23027 103215 29‐Apr‐20111920 CONST13884 Sarat Kumar Das Sarat Kumar Das Self Cashless 11‐Apr‐2011 77265 70000 103176 29‐Apr‐20111921 ASI5939 Dulal Chandra Das Dulal Chandra Das Self Cashless 21‐Apr‐2011 143036 129679 103201 29‐Apr‐20111922 CONST10909 Sk Hafizul Rahaman Sk Hafizul Rahaman Self Cashless 18‐Apr‐2011 70592 64000 103212 29‐Apr‐20111923 P DR1493 Swaraj Kr Acharya Swaraj Kr Acharya Self Cashless 11‐Apr‐2011 13617 12345 103179 29‐Apr‐20111924 CONST8746 Banda Rahamatulla Banda Rahamatulla Self Cashless 18‐Apr‐2011 169790 162582 103183 29‐Apr‐20111925 CONST3864 Kona Besra Kona Besra Self Cashless 22‐Apr‐2011 13000 13000 103216 29‐Apr‐20111926 S I Dilip Kumar Debnath Arpita Debnath Spouse Cashless 14‐Apr‐2011 62540 56700 103181 29‐Apr‐20111927 SEPOY17186 Dharmendra Rajak Dharmendra Rajak Self Cashless 22‐Apr‐2011 26472 24000 103204 29‐Apr‐20111928 SEPOY17186 Dharmendra Rajak Dharmendra Rajak Self Cashless 20‐Apr‐2011 14136 12200 103186 29‐Apr‐20111929 CONST6075 Gopal Chandra Das Sailabala Das Spouse Cashless 11‐Apr‐2011 89343 81000 103175 29‐Apr‐20111930 P DR573 Joydeb Samanta Joydeb Samanta Self Cashless 21‐Apr‐2011 71105 64465 103192 29‐Apr‐20111931 CONST3886 Gangesh Kumar Saha Gangesh Kumar Saha Self Cashless 21‐Apr‐2011 121330 110000 103202 29‐Apr‐20111932 ASI4424 Biswanath Saha Biswanath Saha Self Cashless 21‐Apr‐2011 121330 110000 103193 29‐Apr‐20111933 SI Mintu Deb Mintu Deb Self Cashless 21‐Apr‐2011 11284 10230 103194 29‐Apr‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1934 ASI4424 Biswanath Saha Biswanath Saha Self Cashless 21‐Apr‐2011 48369 44000 103200 29‐Apr‐20111935 ASI9526 Sayamal Kar Halder Sayamal Kar Halder Self Cashless 21‐Apr‐2011 16490 15000 103197 29‐Apr‐20111936 62473 Susanta Mukherjee Susanta Mukherjee Self Cashless 22‐Apr‐2011 12534 11000 103217 29‐Apr‐20111937 SEPOY10402 Banibrata Mondal Sipra Mondal Spouse Cashless 21‐Apr‐2011 7946 7200 103191 29‐Apr‐20111938 CONST918 Nikhil Kumar Sinha Nikhil Kumar Sinha Self Cashless 18‐Apr‐2011 22060 15000 103210 29‐Apr‐20111939 CONST7122 Pasupati Nath Singh Sunaina Devi Wife Cashless 18‐Apr‐2011 57576 52200 103182 29‐Apr‐20111940 SEPOY16166 Swarup Kr Karmakar Swarup Kr Karmakar Self Cashless 22‐Apr‐2011 11300 10000 103206 29‐Apr‐20111941 ASI5282 Ratan Lal Saha Ratan Lal Saha Self Cashless 20‐Apr‐2011 11030 10000 103190 29‐Apr‐20111942 ASI9742 Banshi Nath Gayen Banshi Nath Gayen Self Cashless 21‐Apr‐2011 57970 52557 103196 29‐Apr‐20111943 CONS11513 Dilip[ Kumar Das Dilip[ Kumar Das Self Cashless 18‐Apr‐2011 21461 19450 103213 29‐Apr‐20111944 S I Tapan Kumar Basu Chaitali Basu Spouse Cashless 21‐Apr‐2011 8832 8055 103199 29‐Apr‐20111945 HG83 Bivesh Ghosh Bivesh Ghosh Self Cashless 11‐Apr‐2011 27575 25000 103177 29‐Apr‐20111946 ASI12633 Kaustav Mullick Kaustav Mullick Self Cashless 18‐Apr‐2011 67283 56000 103211 29‐Apr‐20111947 SOWAR Devendra Prasad Sharma Devendra Prasad Sharma Self Cashless 18‐Apr‐2011 65629 59500 103208 29‐Apr‐20111948 CONST3941 Sukhomoy Giri Sukhomoy Giri Self Cashless 22‐Apr‐2011 16545 15000 103205 29‐Apr‐20111949 SOWAR Raj Kumar Naithani Raj Kumar Naithani Self Cashless 18‐Apr‐2011 62403 56575 103209 29‐Apr‐20111950 ASI26909 Aurobindo Chakraborty Aurobindo Chakraborty Self Cashless 22‐Apr‐2011 34675 31500 103207 29‐Apr‐20111951 ASI8464 Shib Sankar Ghosh Susama Ghosh Spouse Cashless 07‐May‐2011 27573 25000 103250 10‐May‐20111952 SEPOY10220 Keshab Ch Acharya Keshab Ch Acharya Self Cashless 19‐Jan‐2011 168579 152837 103229 10‐May‐20111953 CONST12596 Anup Kumar Bhattacharjee Karunamayee Bhattacharjee Spouse Cashless 07‐May‐2011 3270 3270 103258 10‐May‐20111954 CONST12596 Anup Kumar Bhattacharjee Karunamayee Bhattacharjee Spouse Cashless 07‐May‐2011 2850 2850 103260 10‐May‐20111955 SEPOY11609 Prasad Kumar Purkait Ellora Purkait Spouse Cashless 06‐May‐2011 33339 27000 103272 10‐May‐20111956 HELP Susanta Das Susanta Das Self Cashless 07‐May‐2011 6994 6754 103239 10‐May‐20111957 CONST16130 Nitai Pal Sarmistha Pal Spouse Cashless 06‐May‐2011 11300 10000 103228 10‐May‐20111958 ASI5433 Sanjib Mukherjee Gita Mukherjee Wife Cashless 07‐May‐2011 22595 20894 103264 10‐May‐20111959 HG690 Haradhan Bhattacharjee Haradhan Bhattacharjee Self Cashless 07‐May‐2011 11733 11092 103261 10‐May‐20111960 CONST8209 Samaresh Tripathi Samaresh Tripathi Self Cashless 06‐May‐2011 108743 89965 103230 10‐May‐20111961 S I2076 Ganesh Ch Garain Rita Garain Spouse Cashless 06‐May‐2011 30747 27875 103275 10‐May‐20111962 RC304 Provash Das Rina Das Spouse Cashless 05‐May‐2011 19850 18000 103225 10‐May‐20111963 CONS14085 Ganesh Chandra Porey Sujata Porey Spouse Cashless 06‐May‐2011 33300 29000 103235 10‐May‐20111964 CONST16991 Mobil Akhtar Mobil Akhtar Self Cashless 07‐May‐2011 6792 6200 103248 10‐May‐20111965 CONST6937 Ajay Kumar Ganai Ajay Kumar Ganai Self Cashless 07‐May‐2011 20594 18000 103284 10‐May‐20111966 CONST9293 Partha Chell Partha Chell Self Cashless 07‐May‐2011 21768 20219 103247 10‐May‐20111967 CONS19291 Rajesh Swarnakar Rajib Swarnakar Son Cashless 05‐May‐2011 13021 11805 103221 10‐May‐20111968 CONST10579 Parimal Kundu Piyani Kundu Daughter Cashless 05‐May‐2011 12519 11350 103223 10‐May‐20111969 SEPOY10220 Keshab Ch Acharya Keshab Ch Acharya Self Cashless 05‐May‐2011 77210 70000 103226 10‐May‐20111970 CONST12596 Anup Kumar Bhattacharjee Karunamayee Bhattacharjee Spouse Cashless 07‐May‐2011 16122 16122 103283 10‐May‐20111971 cons9042 Zakir Hossain Gazala Hossain Spouse Cashless 07‐May‐2011 116490 111503 103286 10‐May‐20111972 CONS7204 Amal Paul Archana Paul Wife Cashless 07‐May‐2011 28827 27089 103263 10‐May‐20111973 SEPOY18543 Mrityunjay Bhattacherjee Mrityunjay Bhattacherjee Self Cashless 06‐May‐2011 35063 31500 103270 10‐May‐20111974 CONS14189 Raju Naskar Sohom Naskar Son Cashless 07‐May‐2011 8060 7438 103259 10‐May‐20111975 ASI11533 Nazmul Haque Wasim Haque Son Cashless 05‐May‐2011 15442 12300 103224 10‐May‐20111976 ASI6920 Debabrata Mitra Debabrata Mitra Self Cashless 07‐May‐2011 22060 20000 103252 10‐May‐20111977 SI Swapan Kumar Dey Swapan Kumar Dey Self Cashless 05‐May‐2011 14203 13173 103269 10‐May‐20111978 ASI947 Parimal Chowdhury Gita Chowdhury Spouse Cashless 06‐Jan‐2011 27715 25246 103257 10‐May‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt1979 PA Surajit Ghosh Surajit Ghosh Self Cashless 07‐May‐2011 18621 17245 103262 10‐May‐20111980 S I3612 Ashutosh Sarkar Ashutosh Sarkar Self Cashless 07‐May‐2011 12667 10000 103280 10‐May‐20111981 CONST19626 Subobh Mahato Subobh Mahato Self Cashless 07‐May‐2011 27038 25000 103249 10‐May‐20111982 ASI8163 Baidya Nath Dey Sharmila Dey Spouse Cashless 20‐Jan‐2011 19854 18000 103256 10‐May‐20111983 CONS10941 Subhamoy Dey Trishna Dey Spouse Cashless 07‐May‐2011 18832 17000 103277 10‐May‐20111984 ASI5963 Shyamal Kumar Sarkar Shyamal Kumar Sarkar Self Cashless 07‐May‐2011 22224 20678 103285 10‐May‐20111985 SEPOY17455 Manoj Kumar Das Manasi Das Wife Cashless 07‐May‐2011 19854 18000 103245 10‐May‐20111986 INSP Edwin Joy Charles Edwin Joy Charles Self Cashless 07‐May‐2011 19854 18000 103246 10‐May‐20111987 PUMPMAN Joydeb Karmakar Joydeb Karmakar Self Cashless 07‐May‐2011 19854 18000 103251 10‐May‐20111988 ASI10032 Asim Saha Rita Saha Wife Cashless 05‐May‐2011 16640 15087 103268 10‐May‐20111989 ASI10165 Nibin Kumar Mukherjee Debarati Mukherjee Daughter Cashless 07‐May‐2011 6920 6274 103279 10‐May‐20111990 SEPOY19879 Bimal Sarkar Megha Sarkar Daughter Cashless 05‐May‐2011 5980 5422 103222 10‐May‐20111991 L CONST171 Mursida Khatun Mehdi Hossain Son Cashless 06‐May‐2011 18324 14813 103274 10‐May‐20111992 CONST805 Sarat Chandra Saha Kalpana Saha Spouse Cashless 07‐May‐2011 24245 21000 103236 10‐May‐20111993 CONST16302 Kaushik Ghosh Devanshi Ghosh Daughter Cashless 07‐May‐2011 44173 40853 103267 10‐May‐20111994 CONS15987 Goutam Kumar Pramanik Goutam Kumar Pramanik Self Cashless 07‐May‐2011 10473 9813 103253 10‐May‐20111995 SEPOY16731 Prasanta Kumar Podder Debolina Podder Daughter Cashless 07‐May‐2011 3084 2803 103255 10‐May‐20111996 SEPOY18674 Goutam Roy Goutam Roy Self Cashless 07‐May‐2011 13371 12951 103238 10‐May‐20111997 SEPOY11015 Ramanath Roy Ramanath Roy Self Cashless 07‐May‐2011 14971 14144 103281 10‐May‐20111998 CONST11183 Subal Kumar Biswas Subal Kumar Biswas Self Cashless 07‐May‐2011 9718 9418 103240 10‐May‐20111999 8 Bijoy Nath Bijoy Nath Self Cashless 23‐Oct‐2010 13285 12485 103244 10‐May‐20112000 ASI2456 Satyendra Nath Paul Satyendra Nath Paul Self Cashless 07‐May‐2011 12305 11801 103241 10‐May‐20112001 9214 Tapan Paul Tapan Paul Self Cashless 06‐May‐2011 9912 9054 103227 10‐May‐20112002 CONST14571 Anil Kumar Tiwari Amarnath Tiwari Son Cashless 07‐May‐2011 15133 14797 103243 10‐May‐20112003 ASI12413 Samar Majumdar Sampamajumdar Spouse Cashless 07‐May‐2011 12207 12000 103242 10‐May‐20112004 CONAS16064 Haru Besra Bholanath Besra Son Cashless 07‐May‐2011 34296 31000 103276 10‐May‐20112005 cons18706 Biplab Sen Pranamita Sen Spouse Cashless 07‐May‐2011 38638 35644 103265 10‐May‐20112006 AASI3892 Gobind Singh Majhi Kalpana Majhi Spouse Cashless 07‐May‐2011 78962 72695 103266 10‐May‐20112007 SEPOY11609 Prasad Kumar Purkait Ellora Purkait Spouse Cashless 06‐May‐2011 12863 11513 103273 10‐May‐20112008 CONS4492 Yudhisthir Mondal Yudhisthir Mondal Self Cashless 06‐May‐2011 33041 29103 103231 10‐May‐20112009 SEPOY Ali Haijun Ali Haijun Self Cashless 06‐May‐2011 21785 19750 103232 10‐May‐20112010 SEPOY18093 Sankar Saha Sankar Saha Self Cashless 06‐May‐2011 8524 7728 103271 10‐May‐20112011 CONS2111 Biswanath Roy Biswanath Roy Self Cashless 02‐Nov‐2010 40193 39328 103220 10‐May‐20112012 S I Debabrata Chatterjee Debabrata Chatterjee Self Cashless 07‐May‐2011 62744 40000 103278 10‐May‐20112013 CONST10908 Avijit Goswami Avijit Goswami Self Cashless 06‐May‐2011 18186 16488 103233 10‐May‐20112014 CONST7056 Badal Ghosh Badal Ghosh Self Cashless 06‐May‐2011 19634 17800 103234 10‐May‐20112015 CONST13775 Arup Maity Arup Maity Self Cashless 07‐May‐2011 42171 38534 103254 10‐May‐20112016 CONST1612 Pijush Das Pijush Das Self Cashless 20‐Apr‐2011 259349 237689 103282 10‐May‐20112017 SEPOY19670 Mihir Singh Anusree Singha Spouse Cashless 07‐May‐2011 20962 19982 103237 10‐May‐20112018 cons10466 Subhasis Majumder Riti Majumder Spouse Reimbursement 01‐Apr‐2011 12080 10000 103381 23‐May‐20112019 10205 Julfikar Alam Mani Begum Spouse Reimbursement 05‐Apr‐2011 23750 10000 103345 23‐May‐20112020 SERG Samar Biswas Mamata Biswas Spouse Reimbursement 22‐Feb‐2011 13114 10000 103341 23‐May‐20112021 CONST14737 Mukul Bhattacharya Hansi Bahattacajee Spouse Reimbursement 23‐Apr‐2011 18620 10000 103347 23‐May‐20112022 SEPOY13036 Biswajit Bosu Sampa Bosu Spouse Reimbursement 26‐Apr‐2011 16353 10000 103321 23‐May‐20112023 SEPOY9777 Sanjay Mandal Keya Mandal Spouse Reimbursement 22‐Feb‐2011 14682 10000 103313 23‐May‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2024 L CONST264 Sarala Das Sarala Das Self Reimbursement 01‐Apr‐2011 26516 10000 103391 23‐May‐20112025 ASI5924 Susanta Ghosh Minoti Ghosh Spouse Cashless 07‐May‐2011 59011 53000 103295 23‐May‐20112026 14 Arun Kumar Mitra Sipra Mitra Spouse Cashless 07‐May‐2011 34689 31451 103294 23‐May‐20112027 CONS15616 Bimal Kumar Debnath Aparna Debnath Spouse Reimbursement 05‐Apr‐2011 13108 13108 103392 23‐May‐20112028 ASI12941 Tarak Nath Mandal Malabika Mandal Spouse Reimbursement 23‐Apr‐2011 138167 100000 103358 23‐May‐20112029 P DR613 Muakkil Khan Intazar Khan Son Reimbursement 04‐Apr‐2011 23616 23616 103362 23‐May‐20112030 CONST6427 Haradhan Ghosh Haradhan Ghosh Self Reimbursement 05‐Apr‐2011 7443 7263 103311 23‐May‐20112031 CONST13137 Sukhen Sikder Nilmadhav Sikder Son Reimbursement 04‐Apr‐2011 7980 7980 103354 23‐May‐20112032 P Dr683 Ahad Ali Mokami Sahabaz Mokami Son Reimbursement 05‐Apr‐2011 9728 9728 103393 23‐May‐20112033 PP Subhasis Bhattacharyya Aparajita Bhattacharyya Daughter Reimbursement 26‐Apr‐2011 19405 15000 103370 23‐May‐20112034 CONST13683 Barun Kumar Das Suparna Das Spouse Reimbursement 04‐Apr‐2011 8387 8387 103336 23‐May‐20112035 SEPOY15948 Azad Rahaman Azad Rahaman Self Reimbursement 04‐Apr‐2011 2517 2517 103343 23‐May‐20112036 CONST12514 Monjur Alam Mondal Monjur Alam Mondal Self Reimbursement 02‐Apr‐2011 9889 9889 103388 23‐May‐20112037 CONST1358 Pankaj Roy Rambhashree Roy Daughter Reimbursement 26‐Apr‐2011 8069 7569 103368 23‐May‐20112038 P DR1191 Biswajit Ghosh Suvojit Ghosh Son Reimbursement 04‐Apr‐2011 2175 2175 103355 23‐May‐20112039 CONST8245 Shib Nath Chatterjee Arnab Chatterjee Son Reimbursement 23‐Apr‐2011 10321 10071 103307 23‐May‐20112040 CONST12890 Hiralal Mondal Sujoy Mondal Son Reimbursement 23‐Apr‐2011 7155 6805 103306 23‐May‐20112041 SI Sankarshan Chandra Mishra Sankarshan Chandra Mishra Self Reimbursement 11‐Apr‐2011 253239 250000 103300 23‐May‐20112042 AASI8225 Mrinal Bhowmick Tultul Bhowmick Spouse Reimbursement 01‐Apr‐2011 15426 14676 103333 23‐May‐20112043 CONST4388 Rajdeo Mishra Rajdeo Mishra Self Reimbursement 29‐Apr‐2011 49400 43039 103301 23‐May‐20112044 CONST9060 Pranay Kuamr Dhar Prema Dhar Spouse Reimbursement 22‐Apr‐2011 8388 8388 103324 23‐May‐20112045 ASI11318 Nikhil Poddar Nikhil Poddar Self Reimbursement 06‐Apr‐2011 19222 15000 103314 23‐May‐20112046 CONST3586 Aswini Kumar Das Aswini Kumar Das Self Reimbursement 04‐Apr‐2011 6041 5791 103366 23‐May‐20112047 P DR1664 Samir Das Samir Das Self Reimbursement 22‐Apr‐2011 12591 12200 103302 23‐May‐20112048 SEPOY18636 Subhasish Sikdar Sayantani Sikdar Daughter Reimbursement 23‐Apr‐2011 1845 1845 103310 23‐May‐20112049 ACP Phalguni Prasad Misra Phalguni Prasad Misra Self Reimbursement 04‐Apr‐2011 100000 92129 103287 23‐May‐20112050 S I Sunil Debnath Sunil Debnath Self Reimbursement 05‐Apr‐2011 3323 3323 103395 23‐May‐20112051 CONST2093 Ismail Khan Ismail Khan Self Cashless 07‐May‐2011 11030 10000 103293 23‐May‐20112052 ASI10207 Md Samser Ali Khan Md Samser Ali Khan Self Post Hospitalisation 02‐Apr‐2011 43523 15000 103298 23‐May‐20112053 ASI6377 Ranjit Kr  Maiti Sudha Maiti Spouse Post Hospitalisation 01‐Apr‐2011 4892 4892 103332 23‐May‐20112054 SEPOY133 Sujit Kr Mondal Sujit Kr Mondal Self Reimbursement 04‐May‐2011 44900 40000 103363 23‐May‐20112055 SEPOY1586 Kamal Sarkar Anamika Sengupta Sarkar Spouse Reimbursement 30‐Apr‐2011 250000 125000 103346 23‐May‐20112056 SEPOY355 Tarun Dey Chandrani Dey Spouse Reimbursement 05‐Apr‐2011 15931 15000 103312 23‐May‐20112057 ASI3103 Manoj Kumar Dey Chhaya Dey Spouse Reimbursement 01‐Apr‐2011 13154 13154 103331 23‐May‐20112058 ASI12595 Ranjit Kr Sarkar Ranjit Kr Sarkar Self Reimbursement 29‐Apr‐2011 6262 6262 103326 23‐May‐20112059 SOWAR Jagannath Bal Jayanti Bal Spouse Reimbursement 04‐May‐2011 13247 12862 103365 23‐May‐20112060 CONST7509 Jyotirmoy Naskar Kanika Naskar Daughter Reimbursement 23‐Apr‐2011 79027 70000 103364 23‐May‐20112061 CONST9485 Haro Chatterjee Haro Chatterjee Self Reimbursement 04‐Apr‐2011 11263 10000 103289 23‐May‐20112062 SI Uday Sankar Kundu Uday Sankar Kundu Self Reimbursement 07‐May‐2011 10500 10000 103291 23‐May‐20112063 CONST3547 Ashim Kumar Chatterjee Dipa Chatterjee Spouse Reimbursement 01‐Apr‐2011 12165 10000 103379 23‐May‐20112064 CONST538 Hriday Kumar Mondal Nanda Rani Mondal Spouse Reimbursement 01‐Apr‐2011 8842 8592 103376 23‐May‐20112065 P DR813 Rabindranath Dey Pratima Dey Spouse Reimbursement 22‐Apr‐2011 11071 10000 103373 23‐May‐20112066 Typist Swapan Mitra Swapan Mitra Self Reimbursement 21‐Apr‐2011 12353 10000 103327 23‐May‐20112067 ASI19673 Md Rabiul Hossain Joshnara Begam Spouse Reimbursement 01‐Apr‐2011 17450 10000 103378 23‐May‐20112068 S I Dipak Saha Amita Saha Spouse Reimbursement 23‐Apr‐2011 7500 7000 103303 23‐May‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2069 ASI6454 Swpan Kumar Maity Swpan Kumar Maity Self Reimbursement 05‐Apr‐2011 11730 10000 103340 23‐May‐20112070 Inst Joydeb Chakraborty Aparna Chakarborty Spouse Reimbursement 02‐Apr‐2011 11238 10000 103386 23‐May‐20112071 73 Nirmal Kanti Pramanik Nirmal Kanti Pramanik Self Reimbursement 01‐Apr‐2011 7410 7130 103375 23‐May‐20112072 SEPOY18548 Subrata Mandal Sagnik Mondal Son Reimbursement 26‐Apr‐2011 7746 7746 103316 23‐May‐20112073 ASI1566 Bikrama Jadav Chanamuni Devi Spouse Reimbursement 26‐Apr‐2011 9096 7396 103322 23‐May‐20112074 SEPOY19471 Rejaul Haque Sabnam Mastari Daughter Reimbursement 25‐Apr‐2011 17800 15000 103317 23‐May‐20112075 CONST15429 Jiten Ch Rajak Jesi Rajak Daughter Reimbursement 04‐Apr‐2011 4695 4315 103351 23‐May‐20112076 S I Animesh Howladar Anisha Howladar Daughter Reimbursement 04‐Apr‐2011 12000 4750 103383 23‐May‐20112077 CONS1607 Saroj Kumar Singha Mousumi Singha Spouse Reimbursement 08‐Jan‐2011 18368 10000 103299 23‐May‐20112078 1525 Anup Podder Shampa Podder Spouse Reimbursement 05‐Apr‐2011 15621 10000 103344 23‐May‐20112079 SEPOY19971 Abhijit Kar Soma Kar Spouse Reimbursement 01‐Apr‐2011 12432 10000 103335 23‐May‐20112080 L S I Sucheta Nag Sucheta Nag Self Reimbursement 04‐Apr‐2011 24788 10000 103353 23‐May‐20112081 SEPOY7414 Tribhuwan Narayan Singh Subhadra Singh Spouse Reimbursement 02‐Apr‐2011 31993 10000 103387 23‐May‐20112082 INSP Abhijit Modak Malibika Modak [ Jana ] Spouse Reimbursement 29‐Apr‐2011 23100 10000 103325 23‐May‐20112083 SEPOY16422 Simant Chowdhury Reba Chowdhury Wife Reimbursement 01‐Apr‐2011 13902 10000 103330 23‐May‐20112084 SEPOY16811 Satyabrata Basak Arpita Basak Spouse Reimbursement 04‐Apr‐2011 19000 10000 103384 23‐May‐20112085 cons18490 Biswajit Dutta Amrita Dutta Spouse Reimbursement 05‐Apr‐2011 8736 5000 103339 23‐May‐20112086 SERG Babla Bala Sonali Bala Spouse Reimbursement 30‐Apr‐2011 11583 10000 103348 23‐May‐20112087 SEPOY17929 Shilan Banerjee Baby Banerjee Spouse Reimbursement 25‐Apr‐2011 3900 3900 103374 23‐May‐20112088 CONST10969 Amitabh Mandal Bulu Mondal Spouse Reimbursement 01‐Apr‐2011 5663 5000 103380 23‐May‐20112089 CONST18503 Sudip Samanta Mithu Samanta Spouse Reimbursement 05‐Apr‐2011 26500 10000 103315 23‐May‐20112090 CONS1794 Munshi Abdul Siraj Sayeda Habiba Begam Spouse Reimbursement 09‐Feb‐2011 13364 10000 103308 23‐May‐20112091 SEPOY18485 Nripendra Narayan Tumpa Narayan [ Ray ] Spouse Reimbursement 04‐Apr‐2011 12721 10000 103382 23‐May‐20112092 CONST17596 Umesh Sunar Rupa Sunar Spouse Reimbursement 02‐Apr‐2011 29246 25196 103350 23‐May‐20112093 RAF740 Montu Bhattacharjee Rupa Bhattacharjee Spouse Reimbursement 05‐Apr‐2011 18825 18000 103394 23‐May‐20112094 SERGNT Goutam Chattopadhyay Mousumi Chattopadhyay Spouse Reimbursement 09‐Feb‐2011 11260 11260 103290 23‐May‐20112095 CONS15616 Bimal Kumar Debnath Aparna Debnath Spouse Reimbursement 05‐Apr‐2011 3747 2807 103319 23‐May‐20112096 CONST13657 Rabindra Singh Dipa Singh Spouse Reimbursement 05‐Apr‐2011 16644 16000 103342 23‐May‐20112097 CONST17073 Palash Biswas Kakali Biswas Spouse Reimbursement 26‐Apr‐2011 19043 15000 103372 23‐May‐20112098 CONST17073 Palash Biswas Kakali Biswas Spouse Reimbursement 22‐Apr‐2011 22175 21723 103305 23‐May‐20112099 CONST8552 Panchanan Pal Kakoli Pal Spouse Reimbursement 04‐Apr‐2011 21000 20610 103357 23‐May‐20112100 CONST19204 Raja Goswami Raja Goswami Self Reimbursement 26‐Apr‐2011 4405 4255 103323 23‐May‐20112101 SEPOY10301 Subhendu Koner Smritikana Koner Spouse Reimbursement 26‐Apr‐2011 4209 3789 103369 23‐May‐20112102 PDR965 Amarjit Poddar Sharmistha Poddar Spouse Reimbursement 26‐Apr‐2011 21158 10000 103371 23‐May‐20112103 SEPOY2260 Abul Kalam Yeasmin Bibi Spouse Reimbursement 23‐Apr‐2011 3520 3320 103309 23‐May‐20112104 SEPOY483 Anup Kumar Jana Usha Jana Spouse Reimbursement 02‐Apr‐2011 3500 3500 103390 23‐May‐20112105 CONST1287 Anil Kumar Singh Minu Kumari Spouse Reimbursement 05‐Apr‐2011 3428 3428 103389 23‐May‐20112106 CONST15125 Joydeb Ghosh Tithi Ghosh Daughter Reimbursement 01‐Apr‐2011 2822 2822 103338 23‐May‐20112107 SEPOY19146 Asim Basak Poulami Basak Spouse Reimbursement 04‐Apr‐2011 523 523 103367 23‐May‐20112108 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 02‐Apr‐2011 7215 7215 103385 23‐May‐20112109 ASI4607 Prasanta Kr Guchhait Prasanta Kr Guchhait Self Reimbursement 04‐May‐2011 100000 100000 103359 23‐May‐20112110 ASI8075 Baidya Nath Mondal Susovon Mondal Son Reimbursement 01‐Apr‐2011 47000 40000 103334 23‐May‐20112111 SERG Arindam Ghosh Arindam Ghosh Self Reimbursement 30‐Apr‐2011 29830 15000 103349 23‐May‐20112112 HG30 Goutam Kumar Mondal Goutam Kumar Mondal Self Reimbursement 01‐Apr‐2011 18738 15000 103337 23‐May‐20112113 CONST15069 Ranjit Malik Rupam Malik Son Reimbursement 25‐Apr‐2011 32600 29040 103328 23‐May‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2114 15 Gabriel Mondol Mary Mondol Spouse Cashless 07‐May‐2011 15000 13600 103297 23‐May‐20112115 SEPOY17329 Md Abdul Gaffar Md Abdul Gaffar Self Cashless 07‐May‐2011 13872 12577 103296 23‐May‐20112116 AASI3158 Sankar Lal Mudi Nagendra Nath Mudi Son Reimbursement 26‐Apr‐2011 20285 15000 103318 23‐May‐20112117 P DR713 Samsul Sardar Mamataj Bibi Spouse Reimbursement 04‐Apr‐2011 10970 10670 103304 23‐May‐20112118 SYCE42 Jaikishan Ram Kamla Devi Spouse Reimbursement 04‐Apr‐2011 17560 16780 103356 23‐May‐20112119 A S6195 Barun Kr Sarkar Barun Kr Sarkar Self Cashless 07‐May‐2011 17362 15741 103292 23‐May‐20112120 SI Sudipta Roy Sudipta Roy Self Reimbursement 04‐Apr‐2011 25900 18000 103352 23‐May‐20112121 PA Surajit Ghosh Surajit Ghosh Self Reimbursement 02‐Mar‐2011 3000 3000 103360 23‐May‐20112122 P DR630 Debnath Garai Debnath Garai Self Reimbursement 11‐Apr‐2011 2443 2443 103288 23‐May‐20112123 P DR713 Samsul Sardar Samsul Sardar Self Reimbursement 05‐Apr‐2011 100000 70000 103361 23‐May‐20112124 HELPER Bapi Kundu Rana Kundu Son Reimbursement 29‐Apr‐2011 26603 15000 103329 23‐May‐20112125 CONST15896 Utpal Dhar Utpal Dhar Self Reimbursement 26‐Apr‐2011 8172 7922 103320 23‐May‐20112126 cons1778 Subash Ch  Ghosh Subash Ch  Ghosh Self Reimbursement 22‐Feb‐2011 25226 15000 103377 23‐May‐20112127 CONST16302 Kaushik Ghosh Kaushik Ghosh Self Cashless 24‐May‐2011 13566 12299 103430 25‐May‐20112128 CONST9000 Utpal Kr Singha Maha Patra Utpal Kr Singha Maha Patra Self Cashless 16‐May‐2011 4406 4000 103423 25‐May‐20112129 SEPOY9886 Subrata Das Subrata Das Self Cashless 13‐Apr‐2011 39987 36664 103406 25‐May‐20112130 CONST9000 Utpal Kr Singha Maha Patra Utpal Kr Singha Maha Patra Self Cashless 16‐May‐2011 27575 25000 103424 25‐May‐20112131 SEPOY15492 Niranjan Mandal Niranjan Mandal Self Cashless 24‐May‐2011 46061 42510 103446 25‐May‐20112132 ASI14800 Dilip Kumar Roy Mamta Roy Spouse Cashless 20‐May‐2011 14992 13592 103428 25‐May‐20112133 S I Bhaskar Sarkar Bhaskar Sarkar Self Reimbursement 17‐May‐2011 29663 25000 103457 25‐May‐20112134 SEPOY18627 Tarak Das Tarak Das Self Cashless 24‐May‐2011 24326 22055 103441 25‐May‐20112135 TYPIS Utpala Nandi Gora Chand Nandi Spouse Cashless 24‐May‐2011 98686 98686 103448 25‐May‐20112136 SERG Basu Deb Nag Aparna Nag [ Majumder ] Spouse Reimbursement 16‐May‐2011 14695 14005 103450 25‐May‐20112137 SEPOY10001 Ashis Kr Rana Mamata Rana Spouse Reimbursement 18‐May‐2011 6264 5000 103456 25‐May‐20112138 P DR511 Basudev Das Basudev Das Self Cashless 24‐May‐2011 52686 47765 103462 25‐May‐20112139 ASI5453 Chanchal Kumar Chattorpadhya Supriti Chattopadhya Spouse Cashless 20‐Apr‐2011 10432 7512 103410 25‐May‐20112140 SUBEDAR2834 Sambhu Nath Singh Rahul Singh Son Cashless 16‐May‐2011 14285 12800 103425 25‐May‐20112141 P DR1504 Kamal Kundu Dolan Kundu Spouse Reimbursement 31‐Dec‐2010 12360 10000 103411 25‐May‐20112142 CONST5620 Swapan Kumar Khara Swapan Kumar Khara Self Cashless 16‐May‐2011 22611 20500 103419 25‐May‐20112143 14270 Roshan Chhetri Yasoda Chhetri Spouse Cashless 20‐May‐2011 7557 6851 103429 25‐May‐20112144 SEPOY17392 Sunil Ghosh Nandita Ghosh Spouse Reimbursement 19‐May‐2011 17000 10000 103451 25‐May‐20112145 asi5188 Netra Bhadur Tamang Netra Bhadur Tamang Self Cashless 19‐Apr‐2011 11030 10000 103408 25‐May‐20112146 CONST12168 Goutam Roy Goutam Roy Self Cashless 21‐May‐2011 110300 100000 103459 25‐May‐20112147 CONST13956 Mritunjoy Ghosh Mritunjoy Ghosh Self Cashless 20‐May‐2011 46459 42000 103427 25‐May‐20112148 39 Dillip Singh Susila Devi Spouse Cashless 24‐May‐2011 19433 14500 103433 25‐May‐20112149 cons18462 Biswajit Patra Biswajit Patra Self Reimbursement 14‐May‐2011 44858 43000 103413 25‐May‐20112150 SEPOY8997 Md Hanif Md Hanif Self Cashless 24‐May‐2011 41306 38700 103442 25‐May‐20112151 73 Nirmal Kanti Pramanik Nirmal Kanti Pramanik Self Cashless 24‐May‐2011 26292 23837 103439 25‐May‐20112152 ASI7456 Ashim Kr Talukder Ashim Kr Talukder Self Cashless 24‐May‐2011 7114 6450 103436 25‐May‐20112153 SEPOY2038 Sachin Kr Rai Sachin Kr Rai Self Cashless 24‐May‐2011 16117 14500 103432 25‐May‐20112154 735 Gour Chandra Marik Rama Marik Spouse Reimbursement 18‐May‐2011 14780 14780 103455 25‐May‐20112155 SEPOY17399 Chand Saha Supriya Saha Spouse Cashless 20‐May‐2011 19458 17641 103426 25‐May‐20112156  P DR551 Janardhan Singh Uma Singh Spouse Cashless 16‐May‐2011 33941 30500 103415 25‐May‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2157 19075 Jogesh Ch Mardi Jogesh Ch Mardi Self Cashless 24‐May‐2011 16701 15142 103434 25‐May‐20112158 S I Swapan Kumar Roy Sandip Roy Son Reimbursement 13‐May‐2011 26341 22000 103412 25‐May‐20112159 CONST12446 Shib Nath Bhattacharjee Krishana Bhattacharje Spouse Reimbursement 14‐May‐2011 18306 18000 103431 25‐May‐20112160 CONST15906 Sadhan Pramanick Sadhan Pramanick Self Cashless 24‐May‐2011 83976 83976 103444 25‐May‐20112161 SEPOY1410 Paresh Halder Anjali Halder Spouse Cashless 21‐May‐2011 207915 188500 103458 25‐May‐20112162 SEPY9647 Asis Kr Chowdhury Asis Kr Chowdhury Self Cashless 07‐May‐2011 15781 14309 103400 25‐May‐20112163 CONST5518 Ram Nihal Ojha Ram Nihal Ojha Self Cashless 24‐May‐2011 14526 13170 103435 25‐May‐20112164 SEPOY12949 Maghu Hansda Maghu Hansda Self Cashless 14‐Apr‐2011 25339 22816 103402 25‐May‐20112165 CONST3940 Nirmal Kr Singh Dewanti Singh Spouse Cashless 24‐May‐2011 53298 34000 103443 25‐May‐20112166 ASI1342 Sahadat Ali Khan Rakhiman Nesha Begum Spouse Cashless 24‐May‐2011 62600 62600 103447 25‐May‐20112167 ASI16765 Mrinal Kumar Sarkar Sukla Sarkar Wife Cashless 16‐May‐2011 15297 13869 103420 25‐May‐20112168 ASI5954 Ranajit Kr Halder Ranajit Kr Halder Self Cashless 24‐May‐2011 16545 15000 103438 25‐May‐20112169 RAF51 Sanjib Kumar Ghosh Sanjib Kumar Ghosh Self Cashless 07‐May‐2011 15651 14189 103399 25‐May‐20112170 CONST3659 Nikhil Chandra Roy Nikhil Chandra Roy Self Cashless 16‐May‐2011 43396 39344 103418 25‐May‐20112171 MTEC Asit Dutta  Mousumi Dutta Spouse Cashless 24‐May‐2011 35880 32000 103463 25‐May‐20112172 CONST1411 Mohitosh Kumar Pramanik Gouri Rani Pramanik Spouse Reimbursement 18‐May‐2011 17974 17974 103454 25‐May‐20112173 AASI6030 Haramohan Biswas Malina Biswas Spouse Reimbursement 18‐May‐2011 15408 15408 103452 25‐May‐20112174 CONST2251 Surman Singh Sabita Kumari Negi Daughter Cashless 16‐May‐2011 24515 22226 103417 25‐May‐20112175 CONST14069 Gobinda Ch Purkait Bhaskar Purkait Son Cashless 16‐May‐2011 34730 31487 103416 25‐May‐20112176 CONST14075 Shib Sankar Ghosh Shib Sankar Ghosh Self Cashless 24‐May‐2011 14487 13135 103440 25‐May‐20112177 CONST9061 Jalaswar Mondal Dolon Mondal Daughter Reimbursement 18‐May‐2011 3000 3000 103453 25‐May‐20112178 CONST13985 Ranjit Kr Singh Ranjit Kr Singh Self Cashless 21‐May‐2011 22449 20353 103460 25‐May‐20112179 CONST14207 Jeremias Minj Elizabeth Minj Wife Cashless 24‐May‐2011 33223 30121 103464 25‐May‐20112180 SEPOY18293 Sitanath Ghosh Minati Ghosh Spouse Reimbursement 14‐May‐2011 91400 88550 103414 25‐May‐20112181 CONS492 Jagannath Chatterjee Jagannath Chatterjee Self Reimbursement 06‐Apr‐2011 241791 125000 103461 25‐May‐20112182 ASI454 Pulin Chandra Ggosh Pulin Chandra Ggosh Self Cashless 24‐May‐2011 42000 42000 103445 25‐May‐20112183 CONS359 Pralay Bhowmick Pralay Bhowmick Self Cashless 24‐May‐2011 16765 15200 103437 25‐May‐20112184 CONST8308 Md Sodud Mollah Nasima Begum Spouse Cashless 24‐May‐2011 66000 66000 103449 25‐May‐20112185 P DR1684 Saroj Roy Subarna Roy Spouse Cashless 16‐May‐2011 8386 7603 103422 25‐May‐20112186 INSP16841 Nilratan Bose Nilratan Bose Self Cashless 11‐Apr‐2011 11030 10000 103405 25‐May‐20112187 si Sambhu Nath Chanda Sambhu Nath Chanda Self Cashless 07‐May‐2011 11030 10000 103401 25‐May‐20112188 CONST1753 Sewjee Singh Sewjee Singh Self Cashless 22‐Apr‐2011 9927 9000 103409 25‐May‐20112189 ASI8536 Tushar Kumar Chattopadhyay Tushar Kumar Chattopadhyay Self Cashless 19‐Apr‐2011 11648 10000 103407 25‐May‐20112190 ASI2543 Md Elius Ali Mondal Achhia Khatun Spouse Cashless 16‐Apr‐2011 11030 10000 103403 25‐May‐20112191 ASI1751 Narendra Kumar Singh Narendra Kumar Singh Self Cashless 16‐May‐2011 9318 8448 103421 25‐May‐20112192 INSP Swapan Kr Mukherjee Swapan Kr Mukherjee Self Cashless 11‐Apr‐2011 11030 10000 103404 25‐May‐20112193 ASI10866 Prabodh Ghoshal Ritiwick Ghosahal Son Reimbursement 11‐Apr‐2011 11360 8106 103556 31‐May‐20112194 CONST6595 Ramesh Chandra Halder Anjali Halder Spouse Reimbursement 17‐May‐2011 24148 15000 103518 31‐May‐20112195 SEPOY16117 Sanjay Prasad Utkarsh Prasad Son Reimbursement 11‐Apr‐2011 1845 1845 103536 31‐May‐20112196 CONST11333 Rafiqul Islam Rafiqul Islam Self Cashless 26‐May‐2011 14779 14779 103466 31‐May‐20112197 SEPOY Bidhan Chandra Khatua Bidhan Chandra Khatua Self Cashless 27‐May‐2011 14000 14000 103498 31‐May‐20112198 SEPOY17792 Joydeb Sau Joydeb Sau Self Reimbursement 09‐Feb‐2011 3598 3598 103499 31‐May‐20112199 P DR1410 Nagendra Nath Besra Bandana Besra Daughter Reimbursement 17‐May‐2011 23784 20384 103535 31‐May‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2200 SEPOY10535 Bivash Chandra Manna Subhra Manna Spouse Reimbursement 17‐May‐2011 5101 5000 103508 31‐May‐20112201 CONST2502 Prem Kumar Lama Prem Kumar Lama Self Reimbursement 11‐Apr‐2011 18194 10000 103532 31‐May‐20112202 AC Md Salahuddin Md Salahuddin Self Reimbursement 17‐May‐2011 10732 10000 103517 31‐May‐20112203 CONST21136 Ram Chandra Mondal Ram Chandra Mondal Self Cashless 27‐May‐2011 25783 22500 103562 31‐May‐20112204 UDC Manjari Mukharjee Ardhendu Mukharjee Spouse Reimbursement 11‐Apr‐2011 16000 10000 103550 31‐May‐20112205 CONST7878 Mrityunjoy Madduney Archana Madduney Spouse Reimbursement 17‐May‐2011 15092 10000 103507 31‐May‐20112206 ASI16355 Arup Kr Das Rama Das Spouse Reimbursement 09‐Feb‐2011 15753 10000 103553 31‐May‐20112207 P Dr848 Amar Karmkar Swati Karmakar Spouse Reimbursement 11‐Apr‐2011 11318 10000 103564 31‐May‐20112208 SEPOY12068 Joydev Majumder Dayamoyee Majumdar Wife Reimbursement 11‐Apr‐2011 10176 10000 103542 31‐May‐20112209 CONS12097 Basudev Saha Shyamali Saha Sister Reimbursement 07‐Apr‐2011 13733 10000 103481 31‐May‐20112210 CONS15728 Sujit Roy Sujit Roy Self Reimbursement 11‐Apr‐2011 5556 5316 103574 31‐May‐20112211 ASI45787 Amiya Kumar Ghosh Amiya Kumar Ghosh Self Reimbursement 07‐Apr‐2011 46736 15000 103490 31‐May‐20112212 P DR536 Barmeshwar Prasad Yadav Barmeshwar Prasad Yadav Self Cashless 26‐May‐2011 39696 36000 103488 31‐May‐20112213 P DR1616 Rabindra Nath Ghosh Rabindra Nath Ghosh Self Cashless 26‐May‐2011 19982 19982 103477 31‐May‐20112214 CONST9061 Jalaswar Mondal Reba Mondal Spouse Reimbursement 11‐Apr‐2011 1932 1932 103489 31‐May‐20112215 CONS15384 Bipin Kumar Tigga Bipin Kumar Tigga Self Cashless 26‐May‐2011 38678 35998 103486 31‐May‐20112216 P DR1457 Harshabradhan Barman Biplab Barman Son Reimbursement 18‐May‐2011 27000 15000 103522 31‐May‐20112217 CONST15931 Goutam Das Bhumika Das Daughter Reimbursement 11‐Apr‐2011 16518 15000 103555 31‐May‐20112218 CONST12281 Makhan Lal Sarkar Makhan Lal Sarkar Self Cashless 26‐May‐2011 60000 60000 103475 31‐May‐20112219 SEPOY10547 Jakir Hossen Layek Jakir Hossen Layek Self Reimbursement 11‐Apr‐2011 2939 2939 103541 31‐May‐20112220 CONST8557 Pranay Kumar Ghosh Priya Ghosh Daughter Reimbursement 17‐May‐2011 12936 12936 103504 31‐May‐20112221 P DR1301 Ratan Ghosh Sangita Ghosh Daughter Cashless 26‐May‐2011 11030 10000 103467 31‐May‐20112222 ASI7522 Md Abdus Safique Momotaj Begum Spouse Reimbursement 17‐May‐2011 25900 15000 103513 31‐May‐20112223 SEPOY17440 Dulal Chakraborty Satabdi Chakraborty Spouse Reimbursement 11‐Apr‐2011 37474 22000 103573 31‐May‐20112224 ASI5216 Tapan Kr Bhowmick Rashmita Bhowmick Daughter Reimbursement 11‐Apr‐2011 70306 40000 103551 31‐May‐20112225 CONST6903 Krishna Kumar Das Krishna Kumar Das Self Cashless 27‐May‐2011 16373 14844 103500 31‐May‐20112226 CONST2501 Paresh Ch Roy Priyanka Roy Daughter Reimbursement 11‐Apr‐2011 5461 5461 103568 31‐May‐20112227 SEPOY17257 Nihar Garain Piyali Garain Wife Reimbursement 11‐Apr‐2011 32594 18000 103531 31‐May‐20112228 ASI4550 Swapan Debnath Niyati Debnath Spouse Cashless 26‐May‐2011 29209 28087 103487 31‐May‐20112229 ASI7764 Panchanan Mondal Putul Mondal Spouse Cashless 26‐May‐2011 63567 57631 103473 31‐May‐20112230 P DR698 Gautam Dutta Tulika Dutta Spouse Cashless 26‐May‐2011 57356 52000 103465 31‐May‐20112231 ASI5146 Haradhan Dutta Haradhan Dutta Self Cashless 27‐May‐2011 16089 14586 103497 31‐May‐20112232 SEPOY275 Sk Alam Mahammad Sk Alam Mahammad Self Reimbursement 11‐Apr‐2011 15733 15000 103549 31‐May‐20112233 CONS14230 Indrajit Roy Indrajit Roy Self Reimbursement 26‐May‐2011 215000 100000 103480 31‐May‐20112234 ASI3549 Sambhu Nath Dey Sandhya Dey Spouse Reimbursement 11‐Apr‐2011 39889 38604 103577 31‐May‐20112235 ASI12413 Samar Majumdar Sampamajumdar Spouse Cashless 25‐Oct‐2010 11483 11423 103554 31‐May‐20112236 8718 Subir Bhattacharyya Papiya Bhattacharyya Spouse Reimbursement 11‐Apr‐2011 4470 4070 103470 31‐May‐20112237 SEPOY17219 Md Barkat Ali Tuhinaj Parvin Wife Reimbursement 25‐May‐2011 9348 8768 103478 31‐May‐20112238 S I Guru Pada Roy Senuka Roy Spouse Reimbursement 17‐May‐2011 8042 8042 103503 31‐May‐20112239 SEPOY16343 Syivester Minj Sahil Minj Son Cashless 27‐May‐2011 30608 29384 103560 31‐May‐20112240 Nishakar Makar Nishakar Makar Self Cashless 27‐May‐2011 13707 12000 103561 31‐May‐20112241 SEPOY5054 Ram Bahadur Magar Arati Magar Daughter Reimbursement 18‐May‐2011 13762 11226 103521 31‐May‐20112242 SEPOY1541 Md Narul Hasan Anima Khatun Spouse Reimbursement 15‐Feb‐2011 29949 18000 103559 31‐May‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2243 S I Anindya Sundur Giri Madhumita Giri Spouse Reimbursement 17‐May‐2011 26238 15000 103570 31‐May‐20112244 CONST16199 Sk Abdul Karim Yeismin Begam Spouse Reimbursement 11‐Apr‐2011 6214 5000 103571 31‐May‐20112245 CONS1482 Arup Kanti Ray Ripa Ray Spouse Reimbursement 27‐May‐2011 12458 10000 103538 31‐May‐20112246 P DR1684 Saroj Roy Subarna Roy Spouse Reimbursement 14‐May‐2011 16833 10000 103520 31‐May‐20112247 SEPOY18335 Susankar Saha Rajni Saha Spouse Reimbursement 17‐May‐2011 36000 10000 103515 31‐May‐20112248 S I Koushik Chatterjee Pompa Chatterjee Spouse Reimbursement 11‐Apr‐2011 15261 10000 103543 31‐May‐20112249 18802 Sanjay Barik Aparna Barik Spouse Reimbursement 11‐Apr‐2011 3181 3181 103565 31‐May‐20112250 S I Avijit Chatterjee Sarmuila Chatterjee Spouse Reimbursement 11‐Apr‐2011 10451 10000 103537 31‐May‐20112251 SEPOY9307 Biplab Sardar Rema Sardar Spouse Reimbursement 17‐May‐2011 7036 7036 103510 31‐May‐20112252 19312 Utpal Kumar Sarkar Pampa Sarkar Spouse Reimbursement 11‐Apr‐2011 7024 5000 103530 31‐May‐20112253 CONST15630 Prahlad Pal Radha Rani Pal Spouse Reimbursement 27‐May‐2011 2339 2339 103539 31‐May‐20112254 SEPOY10933 Sudipta Atha Parbati Atha Spouse Reimbursement 17‐May‐2011 5011 5000 103533 31‐May‐20112255 ASI11615 Partha Sinharay Partha Sinharay Self Cashless 26‐May‐2011 9671 9000 103482 31‐May‐20112256 STORE KEEPER Mukti Ram Banerjee Mukti Ram Banerjee Self Cashless 27‐May‐2011 33090 30000 103563 31‐May‐20112257 HG109 Swapan Kumar Nayak Barnali Nayak Spouse Cashless 27‐May‐2011 11030 10000 103495 31‐May‐20112258 SI Gouridas Mukherjee Gouridas Mukherjee Self Reimbursement 14‐May‐2011 6613 5928 103519 31‐May‐20112259 CONS Madhusudan Adhikari Madhusudan Adhikari Self Reimbursement 18‐May‐2011 15243 15000 103526 31‐May‐20112260 Md Azmaul Hoque Md Azmaul Hoque Self Reimbursement 11‐Apr‐2011 8335 8335 103552 31‐May‐20112261 ASI6511 Bhim Chandra Das Puspa Das Spouse Cashless 26‐May‐2011 12284 11924 103484 31‐May‐20112262 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 18‐May‐2011 7785 7785 103525 31‐May‐20112263 ASI6848 Paresh Nath Ghosh Renuka Ghosh Spouse Reimbursement 11‐Apr‐2011 10137 10137 103474 31‐May‐20112264 ASI2622 Sunil Kr Maity Sunil Kr Maity Self Reimbursement 17‐May‐2011 16030 14510 103524 31‐May‐20112265 CONST1376 Nishakar Panda Baby Panda Spouse Reimbursement 11‐Apr‐2011 25610 18000 103575 31‐May‐20112266 CONST14235 Subhasish Choudhury Subhasish Choudhury Self Reimbursement 11‐Apr‐2011 13061 12811 103544 31‐May‐20112267 S I Jayanta Mukherjee Debarpan Mukharjee Son Reimbursement 18‐May‐2011 38500 15000 103566 31‐May‐20112268 CONST14881 Surendra Nath Tiwari Amar Nath Tiwari Son Reimbursement 17‐May‐2011 20856 20716 103528 31‐May‐20112269 ASI459 Rabindranath Garai Kaberi Garai Daughter Reimbursement 11‐Apr‐2011 25890 15000 103491 31‐May‐20112270 ASI11651 Pranab Kumar Majumder Taniya Majumder Spouse Reimbursement 11‐Apr‐2011 3874 3874 103548 31‐May‐20112271 AASI8624 Sukumar Mukherjee Debika Mukherjee Spouse Cashless 27‐May‐2011 60665 55000 103493 31‐May‐20112272 SERG Surajit Pal Surajit Pal Self Cashless 26‐May‐2011 23700 23700 103469 31‐May‐20112273 CONST12281 Makhan Lal Sarkar Makhan Lal Sarkar Self Cashless 27‐May‐2011 12133 11000 103494 31‐May‐20112274 Sowar Vijay Kumar Mishra Vijay Kumar Mishra Self Cashless 27‐May‐2011 15904 14419 103496 31‐May‐20112275 CONST2717 Sanjib Kr Mani Sanjib Kr Mani Self Reimbursement 27‐May‐2011 6639 6639 103546 31‐May‐20112276 CONST10087 Sibananda Mondal Santanu Mondal Son Reimbursement 11‐Apr‐2011 27608 25000 103557 31‐May‐20112277 CONST11623 Kalisan Kar Roy Sankalita Roy Daughter Cashless 26‐May‐2011 72759 70000 103492 31‐May‐20112278 CONS15760 Dipak Sardar Dipak Sardar Self Reimbursement 25‐May‐2011 72820 70000 103567 31‐May‐20112279 CONST19420 Sanjoy Aich Sanjoy Aich Self Cashless 27‐May‐2011 3309 3000 103505 31‐May‐20112280 P DR1167 Srimanto Mahato Srimanto Mahato Self Cashless 27‐May‐2011 5405 4900 103506 31‐May‐20112281 ASI8569 Joyprakash Sharma Joyprakash Sharma Self Reimbursement 17‐May‐2011 9994 9994 103569 31‐May‐20112282 CONST9950 Shib Kumar Das Shib Kumar Das Self Cashless 26‐May‐2011 24732 22423 103472 31‐May‐20112283 SEPOY19626 Subodh Mahato Mira Mahato Spouse Reimbursement 17‐May‐2011 18313 10000 103512 31‐May‐20112284 CONST6595 Ramesh Chandra Halder Anjali Halder Spouse Reimbursement 17‐May‐2011 51307 45000 103516 31‐May‐20112285 CONST16054 Swapan Kr Roy Sudeshna Roy Spouse Reimbursement 17‐May‐2011 11276 10000 103509 31‐May‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2286 SEPOY18093 Sankar Saha Sonali Saha Spouse Reimbursement 11‐Apr‐2011 45176 10000 103572 31‐May‐20112287 SEPOY16793 Raj Kr Ghosh Priyanka Ghosh Spouse Reimbursement 28‐May‐2011 19240 10000 103468 31‐May‐20112288 CONST16230 Rupesh Chowdhury Ipsita Chowdhury Spouse Reimbursement 17‐May‐2011 26847 10000 103511 31‐May‐20112289 SEPOY18449 Amirul Hoque Nuri Begam Spouse Reimbursement 18‐May‐2011 18200 10000 103523 31‐May‐20112290 SEPOY751 Sanjoy Kr Halder Moumita Halder Wife Reimbursement 11‐Apr‐2011 14783 10000 103529 31‐May‐20112291 SEPOY11061 Rabi Roy Asha Roy Spouse Reimbursement 17‐May‐2011 19303 10000 103540 31‐May‐20112292 CONST1411 Mohitosh Kumar Pramanik Gouri Rani Pramanik Spouse Reimbursement 18‐May‐2011 20597 10000 103527 31‐May‐20112293 SEPOY19344 Sukumar Ghosh Ananya Ghosh Spouse Reimbursement 25‐May‐2011 1050 1050 103476 31‐May‐20112294 SEPOY19344 Sukumar Ghosh Ananya Ghosh Spouse Reimbursement 11‐Apr‐2011 7585 7585 103576 31‐May‐20112295 ECG TECH Haripada Das Satabdi Das Daughter Reimbursement 11‐Apr‐2011 21340 10000 103471 31‐May‐20112296 SEPOY837 Shiw Kumar Hela Rita Hela Spouse Reimbursement 17‐May‐2011 16013 10000 103534 31‐May‐20112297 SEPOY492 Subrata Kr Mallick Falguni Mallick Spouse Reimbursement 11‐Apr‐2011 8362 8362 103485 31‐May‐20112298 SEPOY19305 Barun Kanti Ghosh Rupa Ghosh Spouse Reimbursement 17‐May‐2011 17453 10000 103514 31‐May‐20112299 SEPOY18566 Gopal Chandra Debanath Shilpi Debnath Spouse Reimbursement 11‐Apr‐2011 16238 10000 103479 31‐May‐20112300 SEPOY19103 Rasaraj Mudi Hemlata Mudi Wife Reimbursement 11‐Apr‐2011 11700 10000 103547 31‐May‐20112301 SEPOY18329 Debasish Das Soumita Das Spouse Reimbursement 17‐May‐2011 18700 10000 103502 31‐May‐20112302 P DR1103 Ganesh Mardi Magdalina Murmu Spouse Reimbursement 11‐Apr‐2011 15080 5000 103483 31‐May‐20112303 SEPOY767 Sukhen Das Shrabanti Das Wife Reimbursement 11‐Apr‐2011 10392 5000 103545 31‐May‐20112304 Pradip Kumar Acharya Sandip Kumar Acharya Son Cashless 27‐May‐2011 62350 60894 103558 31‐May‐20112305 Sowar Vijay Kumar Mishra Saroj Mishra Spouse Cashless 27‐May‐2011 9353 8480 103501 31‐May‐20112306 CONS10541 Mrinal Kanti Kar Sipra Kar Spouse Cashless 04‐Jun‐2011 17648 16000 103590 09‐Jun‐20112307 ASI8607 Nitai Chandra Mondal Nitai Chandra Mondal Self Cashless 04‐Jun‐2011 62891 57018 103588 09‐Jun‐20112308 CONST5669 Harisadhan Mondal Harisadhan Mondal Self Cashless 03‐Jun‐2011 222607 201820 103597 09‐Jun‐20112309 cons6746 Sunil Kumar Thokdar Sunil Kumar Thokdar Self Cashless 04‐Jun‐2011 44120 40000 103587 09‐Jun‐20112310 CONST1430 Sk Rabauddin Tahera Bibi Spouse Cashless 28‐May‐2011 61565 61565 103578 09‐Jun‐20112311 ASI1916 Ajit Kumar Sardar Ajit Kumar Sardar Self Cashless 03‐Jun‐2011 108947 98774 103582 09‐Jun‐20112312 S I Tapan Kumar Ghosh Tapan Kumar Ghosh Self Cashless 04‐Jun‐2011 110300 89700 103601 09‐Jun‐20112313 CONS7417 Ratan Bhattacharjee Ratan Bhattacharjee Self Cashless 06‐Apr‐2011 110300 100000 103602 09‐Jun‐20112314 AASI7556 Md Abdul Gafur Gain Md Abdul Gafur Gain Self Cashless 03‐Jun‐2011 110300 100000 103598 09‐Jun‐20112315 SI3989 Raghunath Thakur Raghunath Thakur Self Cashless 30‐Mar‐2011 16545 15000 103585 09‐Jun‐20112316 CONST1225 Rabindra Nath Chanda Rabindra Nath Chanda Self Cashless 18‐Mar‐2011 123047 110847 103584 09‐Jun‐20112317 SEPOY10402 Banibrata Mondal Sipra Mondal Spouse Cashless 18‐Mar‐2011 7946 7200 103583 09‐Jun‐20112318 CONS10667 Biswanath Biswas Biswanath Biswas Self Cashless 03‐Jun‐2011 132360 120000 103600 09‐Jun‐20112319 SEPOY262 Arup Kumar Mandal Arup Kumar Mandal Self Cashless 08‐Jun‐2011 76500 76500 103596 09‐Jun‐20112320 SI Kamal Das Purnima Das Spouse Cashless 14‐Mar‐2011 26845 24337 103595 09‐Jun‐20112321 cons9042 Zakir Hossain Sania Hossain Daughter Cashless 04‐Jun‐2011 133784 121291 103589 09‐Jun‐20112322 ASI2367 Niranjan Pal Niranjan Pal Self Cashless 03‐Jun‐2011 99250 99250 103580 09‐Jun‐20112323 CONST692 Ranjit Kumar Bakshi Ranjit Kumar Bakshi Self Cashless 04‐Jun‐2011 99244 89976 103586 09‐Jun‐20112324 CONST Paran Paul Paran Paul Self Cashless 04‐Jun‐2011 150000 150000 103591 09‐Jun‐20112325 SEPOY10720 Gyan Mohan Sarkar Pritha Rani Sarkar Daughter Cashless 04‐Jun‐2011 32036 29044 103592 09‐Jun‐20112326 ASI9663 Susanta Ghosh Sarbani Ghosh Spouse Cashless 04‐Jun‐2011 28547 26000 103594 09‐Jun‐20112327 33 Sankar Chandra Mitra Sankar Chandra Mitra Self Cashless 04‐Jun‐2011 27235 24692 103593 09‐Jun‐20112328 S I Ashis Basu Ashis Basu Self Cashless 03‐Jun‐2011 108792 98633 103581 09‐Jun‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2329 Cons19 Minu Rani Pyne Anirban Pyne Son Cashless 03‐Jun‐2011 101476 92000 103599 09‐Jun‐20112330 SEPOY18180 Biplob Roy Sumana Roy Spouse Cashless 03‐Jun‐2011 18066 16379 103579 09‐Jun‐20112331 SEPOY2759 Ali Nowas Sk Selina Khatun Spouse Reimbursement 05‐Apr‐2011 15051 10000 103630 15‐Jun‐20112332 SEPOY172 Dipak Kumar Sau Nilimasau Wife Reimbursement 11‐Apr‐2011 24014 10000 103626 15‐Jun‐20112333 CONST13393 Pranab Sil Joyita Sil Spouse Reimbursement 23‐May‐2011 11024 10000 103610 15‐Jun‐20112334 SEPOY19833 Sujit Sen Rinku Sen Wife Reimbursement 11‐Apr‐2011 18689 10000 103612 15‐Jun‐20112335 CONS9693 Ayatulla Khomini Semiara Khatun Spouse Reimbursement 11‐Apr‐2011 30154 10000 103613 15‐Jun‐20112336 SEPOY2316 Sk Arju Sona Bibi Spouse Reimbursement 16‐May‐2011 6013 6013 103633 15‐Jun‐20112337 SEPOY18179 Swapan Roy Mithu Roy Spouse Reimbursement 11‐Apr‐2011 16296 10000 103619 15‐Jun‐20112338 18002 Dhrubatara Kabiraj Kabita Kabiraj Spouse Reimbursement 11‐Apr‐2011 14562 10000 103677 15‐Jun‐20112339 CONST16751 Joydev Sarkar Priyanka Sarkar Spouse Reimbursement 30‐May‐2011 28278 10000 103710 15‐Jun‐20112340 SEPOY19242 Siban Kr Bhattacharjee Soma Bhattachree Spouse Reimbursement 09‐Feb‐2011 39432 10000 103708 15‐Jun‐20112341 SERG Devkumar Mazumdar Tapasi Mazumdar Spouse Reimbursement 11‐Apr‐2011 26229 10000 103627 15‐Jun‐20112342 CONST11214 Pradipta Baibhab Das Tapasi Das Spouse Reimbursement 23‐May‐2011 36418 10000 103687 15‐Jun‐20112343 CONS13040 Arunabha Dutta Pampa Dutta Spouse Reimbursement 01‐Jun‐2011 20000 10000 103666 15‐Jun‐20112344 SEPOY657 Milan Pandit Manisha Pandit Spouse Reimbursement 06‐May‐2011 15026 10000 103643 15‐Jun‐20112345 SEPOY15929 Yogendra Sharma Yasoda Sharma Spouse Reimbursement 11‐Apr‐2011 21200 10000 103679 15‐Jun‐20112346 CONST14016 Debasish Roy Sathi Roy Spouse Reimbursement 01‐Jun‐2011 5419 5000 103686 15‐Jun‐20112347 C1741 Sudipta Kumar Pal Sumona Pam Spouse Reimbursement 23‐May‐2011 6367 5000 103617 15‐Jun‐20112348 CONS14208 Dipankar Banerjee Mitali Banerjee Wife Reimbursement 20‐Apr‐2011 10937 5000 103644 15‐Jun‐20112349 SEPOY10873 Sanjay Kr Panda Chandana Panda [ Satpati ] Spouse Reimbursement 25‐May‐2011 6783 5000 103636 15‐Jun‐20112350 SEPOY19184 Abdus Sahad Choudhury Twamanna Saha Wife Reimbursement 28‐May‐2011 6632 5000 103702 15‐Jun‐20112351 18801 Sandip Kr Manna Jharna Manna Spouse Reimbursement 30‐May‐2011 9572 9122 103628 15‐Jun‐20112352 S I Susanta Mondal Smita Mondal Dey Spouse Reimbursement 28‐May‐2011 2000 2000 103651 15‐Jun‐20112353 P DR1115 Sumanta Das Rimpa Das Spouse Reimbursement 11‐Apr‐2011 16799 10000 103678 15‐Jun‐20112354 CONST14817 Swapan Kumar Patra Jharna Patra Spouse Reimbursement 16‐May‐2011 15628 5000 103622 15‐Jun‐20112355 SEPOY11063 Tapash Mondal Gouri Mondal Spouse Reimbursement 17‐Feb‐2011 14400 10000 103623 15‐Jun‐20112356 SEPOY16883 Abhijit Mahato Anima Mahato [ Chowdhury ] Spouse Reimbursement 17‐Feb‐2011 1840 1840 103656 15‐Jun‐20112357 P DR1008 Raju Sau Piyali Sau Spouse Reimbursement 09‐Feb‐2011 12473 10000 103653 15‐Jun‐20112358 SEPOY19768 Debasis Majumdar Sarmistha Majumder Spouse Reimbursement 12‐Feb‐2011 14282 10000 103654 15‐Jun‐20112359 SEPOY19087 Pradip Kumar Sarkar Nandita Sarkar Spouse Reimbursement 04‐May‐2011 27291 10000 103624 15‐Jun‐20112360 SEPOY19745 Kalyan Haldar Tanusri Haldar Wife Reimbursement 28‐May‐2011 6640 5000 103698 15‐Jun‐20112361 P DR1288 Haidar Ali Mondol Sahanara Begum Spouse Reimbursement 16‐May‐2011 9607 5000 103621 15‐Jun‐20112362 CONST11109 Surojit Sankar Sau Surojit Sankar Sau Self Reimbursement 03‐Jun‐2011 49365 44605 103715 15‐Jun‐20112363 10160 Nur Mahammad Nur Mahammad Self Reimbursement 20‐Apr‐2011 22534 21754 103650 15‐Jun‐20112364 ASI11558 Shibu Ranjan Das Sweta Das Daughter Reimbursement 16‐May‐2011 26544 15000 103634 15‐Jun‐20112365 AASI9198 Gora Chand Mandi Madhabi Mandi Spouse Reimbursement 16‐May‐2011 80595 70000 103620 15‐Jun‐20112366 CONS16307 Gautam Ghosh Shila Ghosh Spouse Reimbursement 28‐May‐2011 16640 10000 103705 15‐Jun‐20112367 cons15713 Biswanath Ghosh Madhumita Ghosh Spouse Reimbursement 11‐Apr‐2011 7260 7260 103639 15‐Jun‐20112368 SEPOY15098 Naseem Ahmed Khan Dilnasin Naaz Daughter Reimbursement 21‐Apr‐2011 15674 14924 103648 15‐Jun‐20112369 SEPOY11089 Tanmoy Dutta Tanmoy Dutta Self Reimbursement 16‐May‐2011 59079 40000 103635 15‐Jun‐20112370 CONS13377 Rathindra Sunder Bhattacharjee Rathindra Sunder Bhattacharjee Self Reimbursement 01‐Jun‐2011 21302 18000 103665 15‐Jun‐20112371 CONS9614 Bihari Thakur Usha Devi Spouse Reimbursement 28‐May‐2011 26962 18000 103646 15‐Jun‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2372 ASI8987 Ramprasad Samanta Ramprasad Samanta Self Reimbursement 28‐May‐2011 19900 18000 103701 15‐Jun‐20112373 CONST9105 Swapan Paul Uma Paul Spouse Reimbursement 16‐May‐2011 19868 15000 103632 15‐Jun‐20112374 ASI8874 Kisan Chhetry Kisan Chhetry Self Reimbursement 28‐May‐2011 16520 15000 103696 15‐Jun‐20112375 ASI11150 Chanchal Kumar Batabyal Chanchal Kumar Batabyal Self Reimbursement 28‐May‐2011 8794 8044 103703 15‐Jun‐20112376 14869 Jiten Hansda Lila Hansda Spouse Reimbursement 28‐May‐2011 17600 15000 103699 15‐Jun‐20112377 CONST8789 Santi Ranjan Saha Sonia Saha Daughter Reimbursement 21‐Apr‐2011 27798 27650 103641 15‐Jun‐20112378 CONST13741 Subrata Goswami Jharna Goswami Spouse Reimbursement 27‐May‐2011 63466 40000 103640 15‐Jun‐20112379 SEPOY79222 Naba Kr Singh Tumparani Singh Spouse Reimbursement 07‐Apr‐2011 9073 9073 103603 15‐Jun‐20112380 SEPOY15948 Azad Rahaman Azad Rahaman Self Reimbursement 11‐Apr‐2011 16122 15000 103609 15‐Jun‐20112381 16 Mansoor Alam Khan Rubi Khatoon Daughter Reimbursement 30‐May‐2011 10410 7850 103680 15‐Jun‐20112382 7251 Osman Ali Mondal Osman Ali Mondal Self Reimbursement 01‐Jun‐2011 157000 8785 103659 15‐Jun‐20112383 dand397 Kanailal Dey Kanailal Dey Self Reimbursement 28‐May‐2011 123448 100000 103707 15‐Jun‐20112384 SEPOY5893 Subal Ch Badhuk Subal Ch Badhuk Self Reimbursement 30‐May‐2011 27700 26260 103693 15‐Jun‐20112385 P DR1410 Nagendra Nath Besra Bandana Besra Daughter Reimbursement 03‐Jun‐2011 33899 32000 103663 15‐Jun‐20112386 cons5476 Khokan Dutta Ranjan Dutta Son Reimbursement 30‐May‐2011 25820 25820 103709 15‐Jun‐20112387 ASI7716 Biswajit Hazra Biswajit Hazra Self Post Hospitalisation 04‐Jun‐2011 23930 13000 103712 15‐Jun‐20112388 ASI5574 Pranab Kumar Mondal Dipti Mondal Spouse Reimbursement 23‐May‐2011 7107 7107 103615 15‐Jun‐20112389 CONST2293 Md Meraj Khan Md Meraj Khan Self Reimbursement 04‐Jun‐2011 30344 28000 103713 15‐Jun‐20112390 CONS Pranab Karmakar Pranab Karmakar Self Reimbursement 12‐Feb‐2011 22596 18000 103655 15‐Jun‐20112391 SEPOY1431 Pradip Chatterjee Pradip Chatterjee Self Reimbursement 21‐Apr‐2011 12000 11650 103692 15‐Jun‐20112392 ASI3103 Manoj Kumar Dey Chhaya Dey Spouse Reimbursement 28‐May‐2011 19068 19068 103704 15‐Jun‐20112393 CONST12855 Abhijit Kumar Roy Soma Roy Spouse Reimbursement 28‐May‐2011 10392 10392 103652 15‐Jun‐20112394 CONST12654 Amal Maity Rita Maity Spouse Reimbursement 11‐Apr‐2011 29223 18000 103607 15‐Jun‐20112395 CONS9614 Bihari Thakur Usha Devi Spouse Reimbursement 23‐May‐2011 23510 18000 103616 15‐Jun‐20112396 ASI10251 Debasish Bakundi Namita Bakundi Spouse Reimbursement 01‐Jun‐2011 1192 1192 103668 15‐Jun‐20112397 SEPOY19140 Sanjit Kumar Mahato Sujata Mahato Wife Reimbursement 30‐May‐2011 13000 13000 103689 15‐Jun‐20112398 GR Hari Nandan Ram Hari Nandan Ram Self Reimbursement 16‐May‐2011 23127 18000 103631 15‐Jun‐20112399 SEPOY16360 Prasanta Kr Mondal Nitu Mondal Spouse Reimbursement 01‐Jun‐2011 19906 18000 103669 15‐Jun‐20112400 CONST1752 Dharam Deo Singh Nirmala Devi Spouse Reimbursement 01‐Jun‐2011 25275 18000 103660 15‐Jun‐20112401 P DR802 Md Rouf Tasneem Fatma Spouse Reimbursement 03‐Jun‐2011 14894 14614 103671 15‐Jun‐20112402 CONST3748 Monotosh Kumar Das Monotosh Kumar Das Self Reimbursement 25‐May‐2011 98527 70000 103681 15‐Jun‐20112403 ASI8874 Kisan Chhetry Rekha Chhetry Spouse Reimbursement 28‐May‐2011 19582 15000 103697 15‐Jun‐20112404 UDA Ila Goswami Sipra Ghoswami Sister Reimbursement 28‐May‐2011 122664 100000 103647 15‐Jun‐20112405 CONS13808 Aloke Malakar Ranajoy Malakar Son Reimbursement 30‐May‐2011 17748 17600 103694 15‐Jun‐20112406 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 28‐May‐2011 7497 7497 103682 15‐Jun‐20112407 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 28‐May‐2011 8642 8642 103605 15‐Jun‐20112408 CONST12596 Anup Kumar Bhattacharjee Karunamayee Bhattacharjee Spouse Reimbursement 01‐Jun‐2011 6408 6408 103661 15‐Jun‐20112409 15 Gabriel Mondol Mary Mondol Spouse Reimbursement 23‐May‐2011 6289 4801 103683 15‐Jun‐20112410 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 28‐May‐2011 8159 8159 103706 15‐Jun‐20112411 HELPER Bapi Kundu Rana Kundu Son Reimbursement 20‐May‐2011 100000 85000 103606 15‐Jun‐20112412 ASI10056 Md Asrafali Mondal Monika Mondal Spouse Reimbursement 02‐Jun‐2011 54600 51750 103672 15‐Jun‐20112413 CONST5518 Ram Nihal Ojha Ram Nihal Ojha Self Post Hospitalisation 27‐May‐2011 7754 7754 103684 15‐Jun‐20112414 SEPOY17919 Suhreed Hansda Shipra Hansda Daughter Reimbursement 28‐May‐2011 11484 11484 103695 15‐Jun‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2415 CONST19981 Sheopukur Singh Sheopukur Singh Self Reimbursement 27‐May‐2011 48375 40000 103688 15‐Jun‐20112416 3496 Nripendra Nath Singha Malabika Singha Spouse Reimbursement 11‐Apr‐2011 20000 10000 103675 15‐Jun‐20112417 ASI8874 Kisan Chhetry Dipti Chhetey Daughter Reimbursement 28‐May‐2011 10938 9888 103645 15‐Jun‐20112418 CONST12968 Rabindranath Saha Tapati Saha Spouse Reimbursement 16‐May‐2011 10074 10000 103638 15‐Jun‐20112419 ASI3537 Uttam Kumar Singh Uttam Kumar Singh Self Reimbursement 11‐Apr‐2011 15000 10000 103629 15‐Jun‐20112420 StenoTypist Mohan Ch Naskar Saraswati Naskar Spouse Reimbursement 23‐May‐2011 16607 14000 103618 15‐Jun‐20112421 Sudip Kumar Sen Latika Sen Spouse Reimbursement 28‐May‐2011 28617 15000 103700 15‐Jun‐20112422 790 Md Murshed Ali Md Murshed Ali Self Reimbursement 20‐Apr‐2011 15326 15000 103642 15‐Jun‐20112423 SI Kanai Lal Chatterjee Kanai Lal Chatterjee Self Reimbursement 11‐Apr‐2011 17714 10000 103674 15‐Jun‐20112424 AASI143 Sunil Kumar Roy Puspa Roy Spouse Reimbursement 03‐Jun‐2011 14000 10000 103673 15‐Jun‐20112425 ASI5831 Sankar Kumar Ghosh Pranati Ghosh Spouse Reimbursement 30‐May‐2011 2683 2683 103690 15‐Jun‐20112426 ASI5831 Sankar Kumar Ghosh Pranati Ghosh Spouse Reimbursement 30‐May‐2011 2859 2859 103670 15‐Jun‐20112427 ASI5831 Sankar Kumar Ghosh Pranati Ghosh Spouse Reimbursement 01‐Jun‐2011 36522 36522 103685 15‐Jun‐20112428 CONST2501 Paresh Ch Roy Papiya Roy Daughter Reimbursement 02‐Jun‐2011 1397 1397 103658 15‐Jun‐20112429 CONST2501 Paresh Ch Roy Priyanka Roy Daughter Reimbursement 01‐Jun‐2011 5371 5371 103662 15‐Jun‐20112430 CONST9133 Md Zamiul Hoque Ayesha Bibi Spouse Reimbursement 03‐Jun‐2011 10186 9736 103664 15‐Jun‐20112431 cons18856 Eheteshamul Haque Nalia Haque Spouse Reimbursement 20‐Apr‐2011 16219 10000 103649 15‐Jun‐20112432 SEPOY18125 Rejaul Karim Afsana Khatun Spouse Reimbursement 04‐Jun‐2011 22132 18000 103714 15‐Jun‐20112433 cons2576 Kumud Ranjan Paul Sandhya Paul Spouse Reimbursement 11‐Apr‐2011 25935 18000 103611 15‐Jun‐20112434 12312 Ashish Chakraborty Ashish Chakraborty Self Reimbursement 31‐May‐2011 42258 32000 103604 15‐Jun‐20112435 S I Bidyut Kumar Das Indu Das Spouse Reimbursement 01‐Jun‐2011 16560 16000 103711 15‐Jun‐20112436 CONST718 Santosh Kumar Das Abhinaba Das Son Reimbursement 11‐Apr‐2011 9069 8619 103625 15‐Jun‐20112437 SEPOY16117 Sanjay Prasad Utkarsh Prasad Son Reimbursement 01‐Jun‐2011 4550 4400 103667 15‐Jun‐20112438 CONST9782 Swapan Kumar Naskar Krishna Naskar Daughter Reimbursement 11‐Apr‐2011 21900 19100 103608 15‐Jun‐20112439 UDASSTT Sakti Sadhan Lokshan Sakti Sadhan Lokshan Self Reimbursement 30‐May‐2011 2869 2869 103691 15‐Jun‐20112440 CONST9981 Biswanath Das Jyotirmoy Das Son Reimbursement 11‐Apr‐2011 4022 4022 103676 15‐Jun‐20112441 HG40 Pulak Chakraborty Ruchika Chakraborty Daughter Reimbursement 26‐Apr‐2011 1933 1933 103637 15‐Jun‐20112442 SERG Kuntal Singha Roy Taniya Singha Roy Daughter Reimbursement 11‐Apr‐2011 15749 15000 103614 15‐Jun‐20112443 ASI9698 Subhasish Saha Jaba Saha Spouse Reimbursement 30‐May‐2011 30793 18000 103657 15‐Jun‐20112444 SEPY7459 Saifuddin Molla Saifuddin Molla Self Reimbursement 08‐Jun‐2011 3340 3340 103794 23‐Jun‐20112445 SEPOY9114 Ashim Kr Mukherjee Dibya Mukherjee Son Reimbursement 07‐Jun‐2011 26708 22000 103842 23‐Jun‐20112446 CONST6427 Haradhan Ghosh Haradhan Ghosh Self Reimbursement 17‐Feb‐2011 9571 9571 103808 23‐Jun‐20112447 CONST7382 Satya Gopal Banik Satya Gopal Banik Self Reimbursement 09‐Jun‐2011 79860 70000 103811 23‐Jun‐20112448 ASI5710 Sadip Kr Chowdhury Sadip Kr Chowdhury Self Reimbursement 07‐Jun‐2011 23876 22000 103768 23‐Jun‐20112449 P DR1162 Ganesh Tanti Payal Tanti Daughter Reimbursement 06‐Jun‐2011 18662 15000 103822 23‐Jun‐20112450 INSP2992 Debajit Chatterjee Deshna Chatterjee Daughter Reimbursement 03‐Jun‐2011 6500 6500 103828 23‐Jun‐20112451 CONST18839 Sumit Bhattacharya Suhit Bhattacharya Son Reimbursement 06‐May‐2011 20228 20000 103783 23‐Jun‐20112452 CONST13145 Sharat Ch Roy Probha Roy Spouse Reimbursement 07‐Jun‐2011 8000 8000 103763 23‐Jun‐20112453 ASI5050 Amar Chandra Nag Sukla Nag Spouse Reimbursement 06‐Jun‐2011 12000 10000 103754 23‐Jun‐20112454 ASI10023 Krushna Saran Ghosh Debojyoti Ghosh Son Reimbursement 10‐Jun‐2011 10865 10000 103856 23‐Jun‐20112455 CONST7989 Sudhir Ranjan Sarkar Sudhir Ranjan Sarkar Self Reimbursement 08‐Jun‐2011 10687 10000 103797 23‐Jun‐20112456 AASI8044 Satya Shat Safali Shat Spouse Reimbursement 06‐Jun‐2011 11426 10000 103732 23‐Jun‐20112457 CONST187 Rupali Roy Choudhury Rupali Roy Choudhury Self Reimbursement 08‐Jun‐2011 17273 15000 103775 23‐Jun‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2458 SI Satya Brata Kuor Satya Brata Kuor Self Reimbursement 09‐Jun‐2011 100000 100000 103817 23‐Jun‐20112459 SEPOY17286 Dipankar Sarkar Dipasree Sarkar Daughter Reimbursement 03‐Jun‐2011 25613 15000 103727 23‐Jun‐20112460 ASI12098 Sanjay Kumar Guray Sanjay Kumar Guray Self Reimbursement 07‐Jun‐2011 24179 24179 103844 23‐Jun‐20112461 CONS15905 Sontosh Kr Goswami Polyrani Goswami Spouse Reimbursement 09‐Jun‐2011 7490 7490 103801 23‐Jun‐20112462 CONST19981 Sheopukur Singh Sheopukur Singh Self Reimbursement 10‐Jun‐2011 23300 15000 103861 23‐Jun‐20112463 CONS362 Prafulla Kumar Das Prafulla Kumar Das Self Reimbursement 08‐Jun‐2011 37064 32000 103777 23‐Jun‐20112464 ASI9502 Gazijahangi Rhossain Rabeya Khatun Spouse Reimbursement 18‐May‐2011 13813 13813 103860 23‐Jun‐20112465 SI Aditya Kumar Mukherjee Dheera Mukherjee Spouse Reimbursement 08‐Jun‐2011 14694 14444 103766 23‐Jun‐20112466 SEPOY8844 Tapan Kr Ghosh Tulika Ghosh Spouse Reimbursement 08‐Jun‐2011 6000 6000 103786 23‐Jun‐20112467 SEPOY19588 Subhas Chandra Singha Subhas Chandra Singha Self Reimbursement 06‐Jun‐2011 1269 1269 103735 23‐Jun‐20112468 CONS12960 Goutam Chakraborty Goutam Chakraborty Self Reimbursement 18‐May‐2011 16254 16254 103855 23‐Jun‐20112469 CONST11106 Ram Chandra Mondal Ram Chandra Mondal Self Reimbursement 09‐Jun‐2011 114525 75000 103767 23‐Jun‐20112470 Gopal Ghosh Nupur Ghosh Spouse Reimbursement 09‐Jun‐2011 14715 14715 103819 23‐Jun‐20112471 11918 Partha Keshab Chowdhury Partha Keshab Chowdhury Self Reimbursement 09‐Jun‐2011 6200 6200 103809 23‐Jun‐20112472 ASI3103 Manoj Kumar Dey Chhaya Dey Spouse Reimbursement 09‐Jun‐2011 14082 13802 103816 23‐Jun‐20112473 ASI3743 Atul Chandra Saha Jyotsna Saha Spouse Reimbursement 06‐Jun‐2011 3250 3250 103758 23‐Jun‐20112474 Sowar Sankar Roy Chaitali Roy Spouse Reimbursement 09‐Jun‐2011 5206 4646 103810 23‐Jun‐20112475 ASI5442 Chittaranjan Ghara Minati Ghara Spouse Reimbursement 08‐Jun‐2011 14046 13766 103765 23‐Jun‐20112476 CONST12390 Lalchand Mondal Tajiram Bibi Spouse Reimbursement 03‐Jun‐2011 21574 18000 103829 23‐Jun‐20112477 CONST14826 Santi Deb Roy Sujata Roy Spouse Reimbursement 04‐Jun‐2011 25205 22000 103823 23‐Jun‐20112478 CONAS13820 Motilal Saha Manju Rani Saha Spouse Reimbursement 09‐Jun‐2011 19858 19400 103854 23‐Jun‐20112479 Susanta Mondal Sulekha Mondal Spouse Reimbursement 08‐Jun‐2011 26748 18000 103787 23‐Jun‐20112480 1446 Md Babar Ali Farsia Khatun Spouse Reimbursement 09‐Jun‐2011 15434 15000 103841 23‐Jun‐20112481 P DR732 Kanai Lal Ghosh Trishna Ghosh Spouse Reimbursement 09‐Jun‐2011 35734 18000 103805 23‐Jun‐20112482 CONST2501 Paresh Ch Roy Papiya Roy Daughter Reimbursement 03‐Jun‐2011 5350 5350 103743 23‐Jun‐20112483 ASI19955 Dilip Kumar Das Shibani Das Spouse Reimbursement 07‐Jun‐2011 6351 6351 103845 23‐Jun‐20112484 AASI8006 Bakkar Ali Mohaldar Bakkar Ali Mohaldar Self Reimbursement 07‐Jun‐2011 11370 11370 103772 23‐Jun‐20112485 H ASST Shyamali Roy Shyamali Roy Self Reimbursement 07‐Jun‐2011 64134 40000 103762 23‐Jun‐20112486 CONST4266 Mohan Kr Panday Neha Panday Daughter Reimbursement 07‐Jun‐2011 13424 13424 103847 23‐Jun‐20112487 CONST1371 Banamali Mahato Banamali Mahato Self Reimbursement 04‐Jun‐2011 12046 11946 103749 23‐Jun‐20112488 ASI12286 Barun Kumar Mistry Suvam Mistry Son Reimbursement 07‐Jun‐2011 6831 6831 103843 23‐Jun‐20112489 CONST18747 Md Jaynul Hoque Chhabi Rahaman Spouse Reimbursement 07‐Jun‐2011 13291 13011 103738 23‐Jun‐20112490 SEPOY18557 Shyamlal Sarkar Anushka Sarkar Daughter Reimbursement 06‐Jun‐2011 11132 10902 103750 23‐Jun‐20112491 ASI10802 Naba Kumar Ghosh Mithu Ghosh Spouse Reimbursement 09‐Jun‐2011 8028 7528 103851 23‐Jun‐20112492 SI Anup Kumar Roy Anup Kumar Roy Self Reimbursement 08‐Jun‐2011 1845 1845 103789 23‐Jun‐20112493 CONST2337 Kamal Chakraborty Pratima Chakraborty Spouse Reimbursement 09‐Jun‐2011 27588 15000 103807 23‐Jun‐20112494 P DR1578 Subon Sundor Raha Soma Raha Spouse Reimbursement 03‐Jun‐2011 12709 12259 103826 23‐Jun‐20112495 SEPOY19303 Subrata Kumar Mandal Ranu Mondal Spouse Reimbursement 03‐Jun‐2011 23054 18000 103745 23‐Jun‐20112496 ASI11498 Sushanta Ghosh Sushanta Ghosh Self Reimbursement 07‐Jun‐2011 2733 2733 103846 23‐Jun‐20112497 HG40 Pulak Chakraborty Pulak Chakraborty Self Reimbursement 08‐Jun‐2011 18197 18000 103788 23‐Jun‐20112498 CONST13252 Chiranjib Majumder Purnima Majumder Spouse Reimbursement 06‐Jun‐2011 11995 11765 103751 23‐Jun‐20112499 SEPOY10579 Manab Kumar Roy Sweta Chakraborty Spouse Reimbursement 07‐Jun‐2011 5250 5250 103770 23‐Jun‐20112500 SI Swapan Kumar Dey Swapan Kumar Dey Self Reimbursement 09‐Jun‐2011 2789 2789 103818 23‐Jun‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2501 CONST15005 Sourendra Nath Ghosh Soham Ghosh Son Reimbursement 06‐Jun‐2011 3450 3450 103821 23‐Jun‐20112502 P DR Amar Mondal Abhijit Mondal Son Reimbursement 08‐Jun‐2011 21570 18000 103774 23‐Jun‐20112503 cons18845 Bhaskar Chakraborty Debangshi Chakarborty Daughter Reimbursement 08‐Jun‐2011 11659 11379 103850 23‐Jun‐20112504 P DR617 Dinesh Singh Sunita Singh Spouse Reimbursement 08‐Jun‐2011 18721 15000 103849 23‐Jun‐20112505 SEPOY17374 Subham Modak Satarupa Modak Daughter Reimbursement 03‐Jun‐2011 3610 3610 103730 23‐Jun‐20112506 P DR1230 Badal Kumar Ray Puka Ray Daughter Reimbursement 03‐Jun‐2011 19918 15000 103825 23‐Jun‐20112507 CONST17028 Nati Babu Darjee Nati Babu Darjee Self Reimbursement 09‐Jun‐2011 5605 5605 103800 23‐Jun‐20112508 CONST7993 Mohan Lal Ghosh Mohan Lal Ghosh Self Reimbursement 06‐Jun‐2011 24703 15000 103753 23‐Jun‐20112509 2 Sourabh Sil Sourabh Sil Self Reimbursement 04‐Jun‐2011 29426 25866 103836 23‐Jun‐20112510 CONST7220 Pradip Karmakar Pradip Karmakar Self Reimbursement 09‐Jun‐2011 7573 7573 103853 23‐Jun‐20112511 CONST5301 Sasadhr Halder Sasadhr Halder Self Reimbursement 02‐Jun‐2011 22411 5095 103835 23‐Jun‐20112512 CONST10552 Prasanta Kumar Mondal Prasanta Kumar Mondal Self Reimbursement 08‐Jun‐2011 9645 9645 103781 23‐Jun‐20112513 ASI8752 Paresh Chandra Ghosh Debojyoti Ghosh Son ReOpen Claim 30‐May‐2011 34126 10000 103748 23‐Jun‐20112514 SEPOY60 Subir Chowdhury Subham Chowdhury Son Reimbursement 09‐Jun‐2011 6568 6310 103798 23‐Jun‐20112515 INSP8252 Dipak Kanti Aich Dipak Kanti Aich Self Reimbursement 04‐Jun‐2011 17262 15000 103840 23‐Jun‐20112516 Dinesh Kumar Halder Srabani Halder Daughter ReOpen Claim 06‐Jun‐2011 59065 15000 103757 23‐Jun‐20112517 CONST14192 Sadhan Kumar Chowdhury Tanushree Chowdhury Spouse Reimbursement 09‐Jun‐2011 5355 5355 103802 23‐Jun‐20112518 8 Aanarul Houqe Arifa Tamanna Daughter Reimbursement 08‐Jun‐2011 1754 1754 103793 23‐Jun‐20112519 SERG Gairik Basu Gairik Basu Self Reimbursement 08‐Jun‐2011 9767 9517 103779 23‐Jun‐20112520 SEPOY19596 Sovon Singha Mahua Singha Spouse Reimbursement 01‐Jun‐2011 4768 4768 103741 23‐Jun‐20112521 Sowar Vikram Singh Rathore Hansa Kanwar Spouse Reimbursement 07‐Jun‐2011 5563 5115 103742 23‐Jun‐20112522 SEPOY1307 Uttam Kumar Jana Pampa Jana Spouse Reimbursement 07‐Jun‐2011 2818 2818 103736 23‐Jun‐20112523 CONST8251 Prakash Paul Soma Pal Spouse Reimbursement 16‐May‐2011 17777 10000 103858 23‐Jun‐20112524 S I201109 Sanjay Mishra Poonam Mishra Spouse Reimbursement 03‐Jun‐2011 19482 10000 103831 23‐Jun‐20112525 L HG Sunita Moyra [ Sardar ] Sunita Moyra [ Sardar ] Self Reimbursement 04‐Jun‐2011 11953 10000 103747 23‐Jun‐20112526 CONST14464 Gosta Behari Sarkar Soma Sarkar Spouse Reimbursement 06‐Jun‐2011 15000 10000 103833 23‐Jun‐20112527 SEPOY10173 Abhijit Mukharjee Tanuja Mukherjee Spouse Reimbursement 06‐Jun‐2011 20692 10000 103755 23‐Jun‐20112528 cons11955 Md Lutfar Rahaman Jahida Yasmin Spouse Reimbursement 09‐Jun‐2011 42369 10000 103852 23‐Jun‐20112529 SEPOY65 Chandan Kr Singh Nandita Singha [ Barman ] Spouse Reimbursement 06‐Jun‐2011 13973 10000 103734 23‐Jun‐20112530 CONST267 Anjan Bandhaapadhyay Swapna Bandhapadhyay Spouse Reimbursement 08‐Jun‐2011 16366 10000 103780 23‐Jun‐20112531 CONST16060 Sujit De Shampa Dutta De Spouse Reimbursement 07‐Jun‐2011 15660 10000 103731 23‐Jun‐20112532 SEPOY19571 Mehdi Hassan Salina Khatun Spouse Reimbursement 03‐Jun‐2011 9062 9062 103728 23‐Jun‐20112533 SEPOY738 Raj Kumar Mondal Monalisa Mondal Spouse Reimbursement 03‐Jun‐2011 26995 10000 103827 23‐Jun‐20112534 P DR960 Sankar Matabbar Rita Matabbar Spouse Reimbursement 09‐Jun‐2011 15337 10000 103803 23‐Jun‐20112535 SEPOY17413 Asoke Kumar Ghosh Sampa Ghosh Spouse Reimbursement 08‐Jun‐2011 8445 8445 103784 23‐Jun‐20112536 SEPOY834 Biswajit Chandra Manjushree Chandra Wife Reimbursement 08‐Jun‐2011 4851 4851 103792 23‐Jun‐20112537 SEPOY17204 Helarius Mardi Mery Tudu Wife Reimbursement 08‐Jun‐2011 6497 6497 103790 23‐Jun‐20112538 cons16614 Tanajit Som Rakhi Som Spouse Reimbursement 02‐Jun‐2011 24000 10000 103834 23‐Jun‐20112539 15 Karnadhar Biswas Nupur Biswas Spouse Reimbursement 04‐Jun‐2011 23172 10000 103824 23‐Jun‐20112540 SEPOY9731 Bidhan Ch Sarakar Rupali Sarkar Spouse Reimbursement 07‐Jun‐2011 11320 10000 103737 23‐Jun‐20112541 CONST15646 Sudipta Saha Suchitra Saha Spouse Reimbursement 07‐Jun‐2011 15537 10000 103761 23‐Jun‐20112542 CONS15866 Netail Das Jayashree Das Spouse Reimbursement 11‐Apr‐2011 16400 10000 103815 23‐Jun‐20112543 SEPOY18137 Rajat Kanti Bagchi Pitu Bagchi Spouse Reimbursement 04‐Jun‐2011 7357 7357 103838 23‐Jun‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2544 10572 Sanjay Halder Shilpi Halder Spouse Reimbursement 03‐Jun‐2011 15604 10000 103744 23‐Jun‐20112545 CONST1588 Sudipta Ghosh Smritikana Ghosh [ Saha ] Spouse Reimbursement 07‐Jun‐2011 13759 10000 103760 23‐Jun‐20112546 SEPOY19316 Biplab Kumar Das Pratima Das Spouse Reimbursement 08‐Jun‐2011 7997 5000 103776 23‐Jun‐20112547 CONST18472 Ratan Roy Krishna Roy Spouse Reimbursement 08‐Jun‐2011 7902 7902 103795 23‐Jun‐20112548 CONST14443 Ashoke Chowdhury Mili Chowdhury Spouse Reimbursement 06‐Jun‐2011 20597 10000 103739 23‐Jun‐20112549 CONST16522 Prasanta Kr Malik Piu Malik Spouse Reimbursement 06‐Jun‐2011 41292 10000 103733 23‐Jun‐20112550 CONAS16692 Sukumar Ch Roy Tapasi Roy Spouse Reimbursement 04‐Jun‐2011 15019 10000 103837 23‐Jun‐20112551 CONST16122 Swarup Dey Gita Dey Spouse Reimbursement 09‐Jun‐2011 7150 5000 103806 23‐Jun‐20112552 P DR1068 Mazaffar Alam Khan Sampriti Khan Spouse Reimbursement 08‐Jun‐2011 12487 10000 103791 23‐Jun‐20112553 10432 Sankar Chowdhury Sunanda Chowdhury Spouse Reimbursement 08‐Jun‐2011 21957 10000 103764 23‐Jun‐20112554 CONST18758 Nirad Chandra Ray Baby Ray Spouse Reimbursement 07‐Jun‐2011 19307 10000 103773 23‐Jun‐20112555 SEPOY887 Souranshu Deo Choudhury Srabanti Deo Choudhury Spouse Reimbursement 08‐Jun‐2011 17753 10000 103778 23‐Jun‐20112556 CONS1847 Asish Chowdhury Deepmala Chowdhury Spouse Reimbursement 28‐May‐2011 17754 10000 103804 23‐Jun‐20112557 SEPOY1300 Sanjit Kumar Roy Taparshi Roy Spouse Reimbursement 18‐Feb‐2011 26053 10000 103812 23‐Jun‐20112558 SEPOY2627 Nihar Kanti Biswas Rama Rani Biswas Spouse Reimbursement 04‐Jun‐2011 16886 10000 103746 23‐Jun‐20112559 CONS18201 Santosh Rabi Das Kakali Rabi Das Spouse Reimbursement 08‐Jun‐2011 15104 10000 103796 23‐Jun‐20112560 P DR1188 Biswajit Roy Suparna Roy Spouse Reimbursement 08‐Jun‐2011 17966 10000 103848 23‐Jun‐20112561 SEPOY1575 Soumitra Chatterjee Sagorika Chatterjee Spouse Reimbursement 03‐Jun‐2011 11251 10000 103726 23‐Jun‐20112562 SEPOY10600 Panchanan Samanta Rumpa Samanta Spouse Reimbursement 04‐Jun‐2011 5365 5000 103839 23‐Jun‐20112563 SERG Ranjee Yadav Rubi Yadav Spouse Reimbursement 17‐May‐2011 5581 5000 103813 23‐Jun‐20112564 CONST15649 Niranjan Sarkar Parbati Sarkar Spouse Reimbursement 03‐Jun‐2011 9203 5000 103830 23‐Jun‐20112565 SEPOY18094 Abhijt Acharjee Preeti Acharjee Spouse Reimbursement 02‐Apr‐2011 12004 10000 103740 23‐Jun‐20112566 L CONST336 Chanda Tiwari Chanda Tiwari Self Reimbursement 03‐Jun‐2011 6789 5000 103725 23‐Jun‐20112567 SEPOY19975 Mohalal Roy Joyita Roy Wife Reimbursement 06‐Jun‐2011 7956 5000 103759 23‐Jun‐20112568 SEPOY292 Susanta Jana Mithu Rani Jana Spouse Reimbursement 07‐Jun‐2011 4081 4081 103771 23‐Jun‐20112569 SEPOY8243 Dipal Pal Kabita Pal Spouse Reimbursement 04‐Jun‐2011 10763 10000 103857 23‐Jun‐20112570 SEPOY18033 Moloy Kr Mohata Tandra Mohanta Spouse Reimbursement 17‐May‐2011 14630 10000 103859 23‐Jun‐20112571 ASI10023 Krushna Saran Ghosh Debojyoti Ghosh Son Reimbursement 09‐Jun‐2011 4659 4659 103799 23‐Jun‐20112572 SERG Palash Majumder Srila Majumder Spouse Reimbursement 03‐Jun‐2011 12600 10000 103832 23‐Jun‐20112573 CONST17971 Astick Pal Shilu Pal Spouse Reimbursement 06‐Jun‐2011 18655 10000 103756 23‐Jun‐20112574 CONS234 Anit Banerjee Anit Banerjee Self Reimbursement 01‐Apr‐2011 9110 9110 103814 23‐Jun‐20112575 CONST7413 Tapas Kr Ghosh Dudheswari Ghosh Spouse Reimbursement 08‐Jun‐2011 9921 9471 103782 23‐Jun‐20112576 L ASI62 Kana Saha Debasmita Saha Daughter Reimbursement 07‐Jun‐2011 5839 5839 103769 23‐Jun‐20112577 CONS7204 Amal Paul Archana Paul Wife Reimbursement 08‐Jun‐2011 4349 4349 103785 23‐Jun‐20112578 CONST2080 Mohitosh Bose Rupa Bose Spouse Reimbursement 06‐Jun‐2011 6548 6548 103752 23‐Jun‐20112579 SEPOY14948 Sajal Chakraborty Sajal Chakraborty Self Reimbursement 03‐Jun‐2011 8312 8312 103729 23‐Jun‐20112580 ASI9698 Subhasish Saha Jaba Saha Spouse Reimbursement 11‐Jun‐2011 12000 6000 103878 24‐Jun‐20112581 L CONST190 Lakshmi Moni Mandi [ Saren ] Lakshmi Moni Mandi [ Saren ] Self Reimbursement 12‐Jun‐2011 24170 10000 103894 24‐Jun‐20112582 P DR1117 Arup Kumar Mondal Nayan Moni Mondal Spouse Reimbursement 12‐Jun‐2011 11402 10000 103915 24‐Jun‐20112583 SEPOY19536 Sundar Gopal Pal Rinku Pal Wife Reimbursement 10‐Jun‐2011 8645 5000 104019 24‐Jun‐20112584 SEPOY1182 Nalini Roy Anima Roy Spouse Reimbursement 12‐Jun‐2011 20168 10000 103892 24‐Jun‐20112585 SEPOY2636 Abulla Gazi Manjila Khatun Spouse Reimbursement 10‐Jun‐2011 15497 10000 103882 24‐Jun‐20112586 SERG Alok Das Sumana Das Spouse Reimbursement 12‐Jun‐2011 11000 10000 103900 24‐Jun‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2587 CONST17809 Jugal Chandra Roy Nili Roy Spouse Reimbursement 12‐Jun‐2011 12652 10000 104058 24‐Jun‐20112588 CONS16831 Sanat Kumar Pal Monika Pal Spouse Reimbursement 10‐Jun‐2011 8851 8851 104027 24‐Jun‐20112589 SEPOY10791 Sunil Bag Soma Bag Spouse Reimbursement 12‐Jun‐2011 9300 9300 103899 24‐Jun‐20112590 CONST1366 Ratan Kumar Pal Ranjita Paul Spouse Reimbursement 12‐Jun‐2011 15000 10000 103895 24‐Jun‐20112591 ASI3380 Swapan Kumar Roy Swapan Kumar Roy Self Cashless 21‐Jun‐2011 50000 50000 103984 24‐Jun‐20112592 S1520 Sk Abu Hossain Sk Abu Hossain Self Cashless 12‐Jun‐2011 6930 6930 103918 24‐Jun‐20112593 SEPOY11258 Biplab Naskar Smriti Naskar [ Das ] Spouse Reimbursement 12‐Jun‐2011 18289 10000 103909 24‐Jun‐20112594 CONST12829 Jiwan Gurung Sandhya Gurung Spouse Reimbursement 10‐Jun‐2011 6110 5000 104038 24‐Jun‐20112595 SEPOY822 Partha Sarathi Mandal Kalpana Mandal Spouse Reimbursement 12‐Jun‐2011 15917 10000 104066 24‐Jun‐20112596 CONST17031 Dashrath Barman Jharna Barman Spouse Reimbursement 12‐Jun‐2011 15989 10000 104052 24‐Jun‐20112597 L S I Trishna Bose Mrinal Kanti Bose Spouse Cashless 02‐May‐2011 18420 18420 104014 24‐Jun‐20112598 ASI2226 Kshitish Chandra Mondal Sipra Mondal Daughter Cashless 13‐May‐2011 7416 7200 104017 24‐Jun‐20112599 L CONST286 Ratna Banerjee [ Karmakar ] Asish Ranjan Karmakar Spouse Reimbursement 12‐Jun‐2011 22985 22000 104063 24‐Jun‐20112600 CONST10219 Pradip Kumar Sukul Bithika Sukul Wife Cashless 12‐Jun‐2011 24266 22000 104070 24‐Jun‐20112601 CONST15262 Atul Chandra Das Pratima Das Spouse Cashless 21‐Jun‐2011 23000 23000 104093 24‐Jun‐20112602 CONST1263 Durga Pada Mondal Durga Pada Mondal Self Cashless 22‐Jun‐2011 29081 29081 104004 24‐Jun‐20112603 SWEEPER Uma Nath Dhanuk Asha Dhanuk Spouse Cashless 22‐Jun‐2011 26543 26543 103999 24‐Jun‐20112604 ASI8257 Gautam Ghosh Santana Ghosh Spouse Reimbursement 10‐Jun‐2011 18525 11075 103872 24‐Jun‐20112605 CONST3668 Md Sabir Ali Md Sabir Ali Self Cashless 15‐Jun‐2011 10360 9393 103951 24‐Jun‐20112606 CONS10012 Bijay Shankar Singh Chinta Singh Spouse Cashless 21‐Jun‐2011 31769 31769 104092 24‐Jun‐20112607 CONST12071 Ratan Ghosh Rakesh Ghosh Son Reimbursement 12‐Jun‐2011 27659 27409 104043 24‐Jun‐20112608 SEPOY6222 Ajoy Kumar Dutta Ajoy Kumar Dutta Self Cashless 12‐Jun‐2011 20125 18245 103921 24‐Jun‐20112609 SEPOY6222 Ajoy Kumar Dutta Ajoy Kumar Dutta Self Cashless 12‐Jun‐2011 23642 9795 103928 24‐Jun‐20112610 SEPOY6222 Ajoy Kumar Dutta Ajoy Kumar Dutta Self Cashless 12‐Jun‐2011 19240 17445 103927 24‐Jun‐20112611 SEPOY12949 Maghu Hansda Maghu Hansda Self Cashless 23‐May‐2011 22406 22406 104111 24‐Jun‐20112612 SEPOY12949 Maghu Hansda Maghu Hansda Self Cashless 03‐Jun‐2011 3200 3200 104011 24‐Jun‐20112613 CONST2251 Surman Singh Surman Singh Self Cashless 13‐Jun‐2011 33090 30000 104082 24‐Jun‐20112614 CONST824 Bijoy Bir Bijoy Bir Self Cashless 12‐Jun‐2011 18751 17000 104071 24‐Jun‐20112615 ASI6944 Md Azadali Md Azadali Self Cashless 14‐Jun‐2011 88240 40000 103957 24‐Jun‐20112616 CONST2949 Sk Yunush Ali Sk Yunush Ali Self Cashless 15‐Jun‐2011 5570 5050 103948 24‐Jun‐20112617 CONS2383 Sk Mahamuddin Amna Begum Wife Cashless 14‐Jun‐2011 70975 64347 103969 24‐Jun‐20112618 CONST5673 Bidyut Chakraborty Bidyut Chakraborty Self Reimbursement 10‐Jun‐2011 39291 15000 104039 24‐Jun‐20112619 S I Arun Kumar Mitra Arun Kumar Mitra Self Cashless 26‐May‐2011 10000 10000 104013 24‐Jun‐20112620 48 Reba Das Dipankar Das Spouse Cashless 13‐Jun‐2011 26928 25371 104084 24‐Jun‐20112621 ASI12324 Shyamal Kumar Sarkar Shyamal Kumar Sarkar Self Reimbursement 12‐Jun‐2011 45960 40000 103910 24‐Jun‐20112622 S I Tapan Kumar Basu Tapan Kumar Basu Self Cashless 13‐Jun‐2011 15352 13918 103973 24‐Jun‐20112623 P DR503 Anwar Hussain Khan Anwar Hussain Khan Self Cashless 21‐Jun‐2011 29772 20672 103976 24‐Jun‐20112624 SEPOY12260 Aniruddha Roy Aniruddha Roy Self Cashless 21‐Jun‐2011 31987 25000 104095 24‐Jun‐20112625 CONST6692 Asit Kr Saha Chandana Saha Spouse Cashless 14‐Jun‐2011 101476 92000 103966 24‐Jun‐20112626 Cons1116 Phanindra Nath Hembram Phanindra Nath Hembram Self Cashless 14‐Jun‐2011 110300 100000 103968 24‐Jun‐20112627 CONST11088 Bipul Roy Bipul Roy Self Cashless 12‐Jun‐2011 13597 12327 104068 24‐Jun‐20112628 CONS14684 Satyen Chakraborty Chameli Chakraborty Spouse Cashless 22‐Jun‐2011 21375 19379 103992 24‐Jun‐20112629 CONST14201 Arup Ratan Kar Ankush Kar Son Cashless 25‐May‐2011 4679 4679 104110 24‐Jun‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2630 ASI12488 Sanjay Ganguly Sanjay Ganguly Self Cashless 21‐Jun‐2011 19999 19989 103978 24‐Jun‐20112631 42 Sanjib Krishna Mukherjee Suman Mukherjee Son Cashless 21‐Jun‐2011 20000 20000 104097 24‐Jun‐20112632 P DR745 Tarak Nath Ghosh Tarak Nath Ghosh Self Reimbursement 12‐Jun‐2011 24706 15000 104047 24‐Jun‐20112633 CONST2799 Bhaihab Nand Pandey Awadh Kumari Devi Spouse Cashless 13‐Jun‐2011 61145 60500 103943 24‐Jun‐20112634 ASI7753 Krishna Pada Das Krishna Pada Das Self Cashless 08‐Jun‐2011 10900 10900 104012 24‐Jun‐20112635 LHG1043 Anima Biswas Prabir Biswas Spouse Reimbursement 12‐Jun‐2011 10603 10603 104057 24‐Jun‐20112636 DGC1365 Rina Sengupta Dilip Kr Sengupta Spouse Reimbursement 12‐Jun‐2011 32113 15000 103887 24‐Jun‐20112637 CONST3508 Swapan Kr Mondal Kalyani Mondal Spouse Cashless 21‐Jun‐2011 53000 53000 103985 24‐Jun‐20112638 INSP711 Nirmal Kumar Sarkar Nirmal Kumar Sarkar Self Reimbursement 12‐Jun‐2011 71334 52584 103891 24‐Jun‐20112639 P PROS Alok Nath Bhattacharya Alok Nath Bhattacharya Self Reimbursement 12‐Jun‐2011 100000 100000 103864 24‐Jun‐20112640 ASI10551 Biplab Ghosh Rina Ghosh Wife Cashless 22‐Jun‐2011 18200 16500 103997 24‐Jun‐20112641 CONST15182 Amitabh Sanyal Tumpa Sanyal Spouse Cashless 11‐Jun‐2011 18200 15977 103916 24‐Jun‐20112642 S I Sajedur Rahaman Azizz Rahaman Spouse Cashless 22‐Jun‐2011 22000 15000 103990 24‐Jun‐20112643 CONST7199 Suraj Lal Gupta Sadhana Gupta Spouse Cashless 13‐Jun‐2011 16545 15000 103975 24‐Jun‐20112644 SEPOY9921 Anil Murmu Anil Murmu Self Cashless 14‐Jun‐2011 11030 10000 104083 24‐Jun‐20112645 CONST2219 Nirmal Ch Dey Nirmal Ch Dey Self Cashless 12‐Jun‐2011 11030 10000 103925 24‐Jun‐20112646 CONS10743 Chaifur Rahaman Chaifur Rahaman Self Cashless 15‐Jun‐2011 11030 10000 103952 24‐Jun‐20112647 ASI3281 Abdus Shukur Anisa Khatun Spouse Cashless 13‐Jun‐2011 19645 19645 104086 24‐Jun‐20112648 ASI10015 Kanti Kr Singha Arati Singha Spouse Cashless 13‐Jun‐2011 15442 13900 103974 24‐Jun‐20112649 CONS232 Purnima Das Joydeb Das Spouse Cashless 12‐Jun‐2011 13945 12543 103917 24‐Jun‐20112650 SEPOY15536 Md Naim Islam Noor Afsana Begam Spouse Cashless 21‐Jun‐2011 36000 36000 103980 24‐Jun‐20112651 ASI3401 Hari Pada Roy Manju Roy Spouse Reimbursement 12‐Jun‐2011 4338 4338 104062 24‐Jun‐20112652 AASI5534 Mohan Prasad Pradhan Mohan Prasad Pradhan Self Cashless 12‐Jun‐2011 9444 9444 103936 24‐Jun‐20112653 CONST6281 Malay Kr Sen Malay Kr Sen Self Cashless 06‐Jun‐2011 10000 10000 104112 24‐Jun‐20112654 Cons10025 Ashis Mukherjee Ashis Mukherjee Self Reimbursement 10‐Jun‐2011 4029 4029 103871 24‐Jun‐20112655 INSP6407 Rahim Baksh Rahim Baksh Self Cashless 15‐Jun‐2011 10000 10000 103954 24‐Jun‐20112656 cons2565 Samir Kumar Das Samir Kumar Das Self Cashless 12‐Jun‐2011 11030 10000 104073 24‐Jun‐20112657 CONST262 Ram Deo Pathak Ram Deo Pathak Self Cashless 12‐Jun‐2011 11030 10000 103938 24‐Jun‐20112658 SEPOY3804 Ranjan Paul Dolly Paul Spouse Cashless 12‐Jun‐2011 11030 10000 103933 24‐Jun‐20112659 ASI8735 Biplob Talukdar Biplob Talukdar Self Reimbursement 10‐Jun‐2011 31690 31310 103874 24‐Jun‐20112660 CONST9061 Jalaswar Mondal Reba Mondal Spouse Cashless 12‐Jun‐2011 14635 13219 103926 24‐Jun‐20112661 CONST16396 Rudra Prasad Paitandi Rudra Prasad Paitandi Self Cashless 22‐Jun‐2011 5726 5726 104005 24‐Jun‐20112662 ASI1385 Upendra Nath Dubey Mina Debi Spouse Reimbursement 12‐Jun‐2011 5596 5596 104046 24‐Jun‐20112663 AASI8044 Satya Shat Satya Shat Self Cashless 22‐Jun‐2011 28419 28419 104002 24‐Jun‐20112664 CONST12887 Joydeb Poulik Joydeb Poulik Self Reimbursement 10‐Jun‐2011 24650 10000 104033 24‐Jun‐20112665 CONS14684 Satyen Chakraborty Sayantan Chakraborty Son Cashless 21‐Jun‐2011 33208 30107 104099 24‐Jun‐20112666 SEPOY19396 Debiprosad Mollick Debiprosad Mollick Self Cashless 15‐Jun‐2011 10599 9609 103955 24‐Jun‐20112667 ASI7004 Manik Chandra Bhatta Mou Bhatta Daughter Cashless 12‐Jun‐2011 18756 18687 103922 24‐Jun‐20112668 SEPOY820 Narugopal Banerjee  Narugopal Banerjee  Self Cashless 13‐Jun‐2011 13848 12555 103970 24‐Jun‐20112669 SEPOY16966 Nikhil Barman Anita Barman Spouse Reimbursement 10‐Jun‐2011 7262 7262 104036 24‐Jun‐20112670 P DR1117 Arup Kumar Mondal Nayan Moni Mondal Spouse Reimbursement 12‐Jun‐2011 2670 2670 104060 24‐Jun‐20112671 SEPOY10390 Chandan Panda Ankita Panda Daughter Reimbursement 12‐Jun‐2011 3000 3000 104041 24‐Jun‐20112672 CONST5676 Biplab Ghosh Biplab Ghosh Self Cashless 22‐Jun‐2011 13064 13000 103991 24‐Jun‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2673 CONS579 Jahangir Alam Jahangir Alam Self Cashless 13‐Jun‐2011 12685 11500 104087 24‐Jun‐20112674 P DR1768 Pratap Bhandari Promit Bhandari Son Reimbursement 12‐Jun‐2011 6663 6663 103902 24‐Jun‐20112675 SEPOY887 Souranshu Deo Choudhury Saanvi Deo Chowdhury Daughter Reimbursement 12‐Jun‐2011 18000 15000 104064 24‐Jun‐20112676 ASI2632 Subodh Chakraborty Sashikala Chakraborty Wife Cashless 14‐Jun‐2011 16151 16151 103962 24‐Jun‐20112677 S I Prasanta Bhowmik Prasanta Bhowmik Self Reimbursement 10‐Jun‐2011 52410 15000 103876 24‐Jun‐20112678 SEPOY17172 Abonindra Nath Dhibar Joyanti Dhibar Spouse Reimbursement 09‐Jun‐2011 2319 2319 103866 24‐Jun‐20112679 CONS2027 Pabitra Kumar Gupta Suchitra Gupta Spouse Cashless 13‐Jun‐2011 33180 30082 103945 24‐Jun‐20112680 AASI6583 Suchandan Haldar Sabita Haldar Spouse Reimbursement 12‐Jun‐2011 395 395 104056 24‐Jun‐20112681 ASI8257 Gautam Ghosh Santana Ghosh Spouse Reimbursement 10‐Jun‐2011 5500 5030 104025 24‐Jun‐20112682 ASI8257 Gautam Ghosh Santana Ghosh Spouse Reimbursement 10‐Jun‐2011 28500 15000 104029 24‐Jun‐20112683 CONST10831 Mrinal Kanti Khamrui Monish Khamrui Son Reimbursement 10‐Jun‐2011 3444 3444 104026 24‐Jun‐20112684 SEPOY17457 Asaduzzaman Anisha Jaman Daughter Cashless 21‐Jun‐2011 19786 17938 104098 24‐Jun‐20112685 CONST9061 Jalaswar Mondal Dolon Mondal Daughter Cashless 12‐Jun‐2011 13641 12267 103934 24‐Jun‐20112686 cons14683 Sanjib Kr  Samanta Sanjib Kr  Samanta Self Cashless 22‐Jun‐2011 21324 15899 103994 24‐Jun‐20112687 ASI10187 Md Asrarul Hossain Nazra Khatoon Spouse Reimbursement 12‐Jun‐2011 30141 18000 104054 24‐Jun‐20112688 ASI6278 Satyabrata Basu Srimoyee Basu Daughter Reimbursement 10‐Jun‐2011 26964 26094 104028 24‐Jun‐20112689 CONST11369 Bishnu Pada Bhunia Kalpana Bhunia Spouse Cashless 21‐Jun‐2011 57730 52339 104100 24‐Jun‐20112690 P DR723 Sitendra Nath Singh Roy Kabita Singha Roy Spouse Reimbursement 12‐Jun‐2011 15716 15366 103889 24‐Jun‐20112691 SEPOY713 Bhajan Kr Pal Rekha Pal Wife Reimbursement 09‐Jun‐2011 14716 14716 103867 24‐Jun‐20112692 AASI4807 Nikhil Sarkar Rina Sarkar [ Biswas ] Spouse Reimbursement 12‐Jun‐2011 28629 18000 104048 24‐Jun‐20112693 cons18856 Eheteshamul Haque Nalia Haque Spouse Cashless 13‐Jun‐2011 20190 18492 103959 24‐Jun‐20112694 ASI10476 Arun Kumar Dhar Shampa Dhar Spouse Cashless 12‐Jun‐2011 23359 21179 103942 24‐Jun‐20112695 CONST14711 Pradip Kumar Singh Sunita Singh Spouse Cashless 13‐Jun‐2011 34229 33700 104077 24‐Jun‐20112696 CONS15362 Subrata Poddar Moumita Poddar Spouse Reimbursement 10‐Jun‐2011 54508 40000 104023 24‐Jun‐20112697 CONST13207 Basab Bhattacharjee Tanushree Bhattacharjee Spouse Reimbursement 12‐Jun‐2011 26880 26880 103905 24‐Jun‐20112698 19961 Subhendu Pal Rupali Pal Spouse Cashless 17‐May‐2011 27545 25000 104107 24‐Jun‐20112699 P DR1097 Uttam Kr Panda Sona Panda Spouse Cashless 22‐Jun‐2011 15000 15000 103998 24‐Jun‐20112700 P DR1404 Gosto Chandra Moshan Suparna Moshan Spouse Cashless 21‐Jun‐2011 32000 32000 103982 24‐Jun‐20112701 cons17347 Pronay Kr Singh Mini Singh Spouse Cashless 15‐Jun‐2011 24685 22380 103963 24‐Jun‐20112702 S I Biplab Chakraborty Biplab Chakraborty Self Reimbursement 10‐Jun‐2011 41802 40000 103881 24‐Jun‐20112703 CONS6315 Rampada Sarkar Rampada Sarkar Self Reimbursement 10‐Jun‐2011 30037 29667 103879 24‐Jun‐20112704 S I Kaushal Majumdar Rumali Majudar Spouse Reimbursement 10‐Jun‐2011 64873 64873 103870 24‐Jun‐20112705 S I Kaushal Majumdar Rumali Majudar Spouse Reimbursement 10‐Jun‐2011 12647 12647 104020 24‐Jun‐20112706 CONST3581 Pradip Kumar Dutta Pradip Kumar Dutta Self Cashless 16‐May‐2011 100000 100000 104016 24‐Jun‐20112707 CONST11106 Ram Chandra Mondal Ram Chandra Mondal Self Reimbursement 09‐Jun‐2011 87998 25000 104030 24‐Jun‐20112708 SEPOY16955 Pankaj Kr Barman Pankaj Kr Barman Self Cashless 21‐Jun‐2011 29800 29000 104094 24‐Jun‐20112709 17721 Patit Paban Roy Patit Paban Roy Self Cashless 21‐Jun‐2011 24989 24000 103977 24‐Jun‐20112710 SEPOY11863 Anupam Nath Anupam Nath Self Cashless 14‐Jun‐2011 55152 55152 103961 24‐Jun‐20112711 CONST2220 Hossain Ali Mia Firoza Begam Spouse Reimbursement 12‐Jun‐2011 3932 3932 104053 24‐Jun‐20112712 33 Sankar Chandra Mitra Sankar Chandra Mitra Self Cashless 25‐May‐2011 23635 23635 104109 24‐Jun‐20112713 CONS3025 Lalan Singh Lalan Singh Self Cashless 14‐Jun‐2011 12645 12645 103965 24‐Jun‐20112714 ASI Jakir Hossain Mallick Sabir Hossain Son Cashless 11‐May‐2011 16330 16330 104015 24‐Jun‐20112715 ASI11913 Santosh Kumar Ray Moniya Ray Daughter Cashless 13‐Jun‐2011 13162 11933 103971 24‐Jun‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2716 ASI11672 Prabir Banerjee Prabir Banerjee Self Reimbursement 12‐Jun‐2011 14708 14138 104050 24‐Jun‐20112717 SEPOY13243 Arun Kr Ghosh Panchami Ghosh Spouse Cashless 12‐Jun‐2011 16085 14955 103932 24‐Jun‐20112718 CONS11301 Tapas Das Sharmistha Das Spouse Cashless 13‐Jun‐2011 8784 8784 104081 24‐Jun‐20112719 SEPOY10503 Rabin Kumar Maji Manika Maji Spouse Reimbursement 10‐Jun‐2011 7439 7439 103869 24‐Jun‐20112720 SEPOY16769 Bikash Kali Sain Moumita Sain Spouse Reimbursement 10‐Jun‐2011 5148 5000 103880 24‐Jun‐20112721 SEPOY15466 Soumen Bhattacharyya Mou Bhattacharyya Spouse Reimbursement 12‐Jun‐2011 2267 2267 103888 24‐Jun‐20112722 CONST18085 Arun Kumar Mandal Babli Barua [ Mandal ] Spouse Reimbursement 10‐Jun‐2011 13939 10000 104037 24‐Jun‐20112723 CONST16098 Babu Lal Sau Sunaina Sao Spouse Reimbursement 10‐Jun‐2011 21247 10000 103885 24‐Jun‐20112724 SEPOY1384 Manoranjan Sarkar Kakali Sarkar Spouse Reimbursement 12‐Jun‐2011 14000 10000 103912 24‐Jun‐20112725 P Dr992 Thomas Kisku Sudip Takishku Spouse Reimbursement 10‐Jun‐2011 13049 10000 103883 24‐Jun‐20112726 P DR1719 Pradip Kumar Sarkar Riya Sarkar Spouse Reimbursement 12‐Jun‐2011 19100 10000 103913 24‐Jun‐20112727 S I Sk Sabir Uddin Masuma Rahaman Spouse Reimbursement 09‐Jun‐2011 23848 10000 103862 24‐Jun‐20112728 SEPOY10357 Arnab Roy Snigdha Roy Spouse Reimbursement 12‐Jun‐2011 10500 10000 103911 24‐Jun‐20112729 SEPOY16245 Malay Hore Nipa Hore Spouse Reimbursement 12‐Jun‐2011 19721 10000 103897 24‐Jun‐20112730 SEPOY889 Nitisjh Barmasaud Mamoni Barmasud Spouse Reimbursement 10‐Jun‐2011 13730 10000 104022 24‐Jun‐20112731 CONST18788 Shashanka Talukder Manashamoni Talukder Spouse Reimbursement 12‐Jun‐2011 21660 10000 103901 24‐Jun‐20112732 SEPOY10745 Amit Kr Singha Mahapatra Swapna Singha Mahapatra Spouse Reimbursement 12‐Jun‐2011 17841 10000 103896 24‐Jun‐20112733 CONST288 Nanda Dulal Das Tapasi Das Spouse Reimbursement 12‐Jun‐2011 7969 5000 103886 24‐Jun‐20112734 SEPOY10380 Asit Ghosh Kanya Kumari Ghosh Spouse Reimbursement 12‐Jun‐2011 16700 10000 103908 24‐Jun‐20112735 SEPOY6256 Dilip Kumar Roy Babita Roy Spouse Reimbursement 12‐Jun‐2011 20654 10000 103903 24‐Jun‐20112736 CONST18853 Chandra Kanta Bag Surya Bag Spouse Reimbursement 12‐Jun‐2011 13928 10000 103904 24‐Jun‐20112737 SI Tapan Kumar Das Tapan Kumar Das Self Reimbursement 10‐Jun‐2011 14008 13000 104024 24‐Jun‐20112738 CONST10054 Nityananda Mondal Nityananda Mondal Self Cashless 12‐Jun‐2011 9321 8451 103924 24‐Jun‐20112739 CONST 1132 Rajendra Nath Murmu Promila Murmu Spouse Cashless 12‐Jun‐2011 8095 8095 103931 24‐Jun‐20112740 ASI5522 Brindabon Sutradhar Manjusree Sutradhar Spouse Cashless 22‐Jun‐2011 47472 47472 104009 24‐Jun‐20112741 ASI11063 Pankoj Kumar Roy Pankoj Kumar Roy Self Cashless 02‐Jun‐2011 10247 10247 104010 24‐Jun‐20112742 CONST10588 Tanmay Roy Tanmay Roy Self Cashless 21‐Jun‐2011 7793 7793 104091 24‐Jun‐20112743 ASI6944 Md Azadali Md Azadali Self Cashless 20‐Jun‐2011 88240 40000 103958 24‐Jun‐20112744 CONST2253 Sankar Prasad Biswas Debnita Biswas Spouse Reimbursement 12‐Jun‐2011 10579 9999 104051 24‐Jun‐20112745 SEPOY19013 Jaysiyaram Singh Jaysiyaram Singh Self Cashless 21‐Jun‐2011 57742 57742 104096 24‐Jun‐20112746 CONST10944 Sukumar Dhibar Sukumar Dhibar Self Reimbursement 12‐Jun‐2011 43088 15000 103890 24‐Jun‐20112747 CONST2220 Hossain Ali Mia Firoza Begam Spouse Reimbursement 12‐Jun‐2011 11462 11462 103914 24‐Jun‐20112748 INSP Snehasish Datta Snehasish Datta Self Cashless 22‐Jun‐2011 17127 17127 104008 24‐Jun‐20112749 SEPOY10752 Ayan Sarkar Ayan Sarkar Self Reimbursement 10‐Jun‐2011 30960 30180 104021 24‐Jun‐20112750 CONST16686 Hemanta Kundu Hemanta Kundu Self Cashless 22‐Jun‐2011 16920 13263 104006 24‐Jun‐20112751 ASI10871 Goutam Modak Gitasree Modak Daughter Cashless 22‐Jun‐2011 5127 5127 104003 24‐Jun‐20112752 CONST1607 Debabrata Pal Tanushree Pal Spouse Reimbursement 12‐Jun‐2011 16000 10000 104059 24‐Jun‐20112753 SEPOY17382 Kamlesh Ch Das Pratima Das Spouse Reimbursement 10‐Jun‐2011 19058 10000 103875 24‐Jun‐20112754 PSI Atanu Roy Nabanita Pal Spouse Reimbursement 12‐Jun‐2011 15000 10000 104049 24‐Jun‐20112755 CONST17009 Sainur Rahaman Mondal Najnin Jahan Spouse Reimbursement 10‐Jun‐2011 12784 10000 103884 24‐Jun‐20112756 SEPOY1116 Chandan Saha Banani Saha Spouse Reimbursement 10‐Jun‐2011 17347 10000 104035 24‐Jun‐20112757 SEPOY9810 Goutam Sinha Ray Bulbul Sinha Ray Spouse Reimbursement 12‐Jun‐2011 12586 10000 104042 24‐Jun‐20112758 CONST14908 Goutam Kundu Goutam Kundu Self Cashless 21‐Jun‐2011 82480 82480 104103 24‐Jun‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2759 CONST2977 Arun Kumar Das Arpan Das Son Cashless 21‐Jun‐2011 44000 44000 104104 24‐Jun‐20112760 SEPOY17330 Tajuddin Molla Mamataj Khatun Spouse Cashless 12‐Jun‐2011 13287 13000 103930 24‐Jun‐20112761 TYPIST Dilip Chaturvedi Sunita Chaturvedi Spouse Cashless 13‐Jun‐2011 15454 14011 104076 24‐Jun‐20112762 SUBEDAR Mazrul Hoque Mazrul Hoque Self Cashless 12‐Jun‐2011 14016 12607 103923 24‐Jun‐20112763 UDC Pankaj Bhattacharjee Pumpa Bhattacharjee Spouse Cashless 12‐Jun‐2011 15583 14129 103941 24‐Jun‐20112764 CONST18992 Maynatddin Sabina Khatun Spouse Cashless 12‐Jun‐2011 16545 15000 104075 24‐Jun‐20112765 SEPOY16827 Barun Kumar Mallick Kakali Mallick Spouse Cashless 13‐Jun‐2011 7866 7500 104079 24‐Jun‐20112766 CONS1607 Saroj Kumar Singha Mousumi Singha Spouse Cashless 22‐Jun‐2011 18000 18000 103995 24‐Jun‐20112767 CONST11349 Nazir Ahammed Sk Nazir Ahammed Sk Self Cashless 12‐Jun‐2011 12684 11500 104072 24‐Jun‐20112768 CONST11349 Nazir Ahammed Sk Nazir Ahammed Sk Self Cashless 13‐Jun‐2011 49635 45000 103944 24‐Jun‐20112769 CONST5171 Sushiol Mandal Sushiol Mandal Self Cashless 21‐Jun‐2011 58000 58000 104090 24‐Jun‐20112770 20 Joydev Chandra Ghosh Sima Ghosh Spouse Cashless 13‐Jun‐2011 13622 13000 104080 24‐Jun‐20112771 ASI6833 Naba Krishna Garai Naba Krishna Garai Self Cashless 12‐Jun‐2011 14554 13190 103940 24‐Jun‐20112772 cons15246 Sushant Ghosh Sushant Ghosh Self Cashless 02‐May‐2011 28021 25500 104108 24‐Jun‐20112773 S I Prasanta Bhowmik Prasanta Bhowmik Self Cashless 22‐Jun‐2011 18000 18000 103996 24‐Jun‐20112774 P DR643 Prabir Kumar Dey Prabir Kumar Dey Self Reimbursement 10‐Jun‐2011 2550 2550 103877 24‐Jun‐20112775 CONST2949 Sk Yunush Ali Sk Yunush Ali Self Cashless 15‐Jun‐2011 14911 13519 103950 24‐Jun‐20112776 CONST14746 Biswajit Sinha Mahapatra Joy Sinha Mahapatra Son Reimbursement 12‐Jun‐2011 18674 15000 104065 24‐Jun‐20112777 NAIK10458 Probir Kumar Das Probir Kumar Das Self Cashless 12‐Jun‐2011 26718 26718 103920 24‐Jun‐20112778 ASI11307 Shankar Mallick Mou Mallick Spouse Cashless 12‐Jun‐2011 14339 13000 104074 24‐Jun‐20112779 SEPOY1453 Abdul Hakim Mehjabnin Begum Spouse Cashless 15‐Jun‐2011 15442 14000 103956 24‐Jun‐20112780 SEPOY60 Subir Chowdhury Sunita Chowdhury Spouse Reimbursement 09‐Jun‐2011 28587 18000 104031 24‐Jun‐20112781 SEPOY307 Asit Kumar Bhunia Rumpa Bhunia Spouse Reimbursement 12‐Jun‐2011 14725 14000 104045 24‐Jun‐20112782 ASI3549 Sambhu Nath Dey Sandhya Dey Spouse Reimbursement 09‐Jun‐2011 3230 3230 103863 24‐Jun‐20112783 SI Chandan Guha Aniket Guha Son Cashless 14‐Jun‐2011 110300 100000 103960 24‐Jun‐20112784 P DR1182 Ashok Kumar Sen Ashok Kumar Sen Self Cashless 14‐Jun‐2011 42668 38684 103972 24‐Jun‐20112785 ASI6517 Apurba Chakraborty Apurba Chakraborty Self Cashless 15‐Jun‐2011 23786 21565 103953 24‐Jun‐20112786 ASI2648 Gurudas Chatterjee Bela Chatterjee Spouse Cashless 13‐Jun‐2011 14188 14000 104078 24‐Jun‐20112787 GR Suresh Ch Balmiki Puspa Devi Balmiki Spouse Cashless 14‐Jun‐2011 32785 20000 103964 24‐Jun‐20112788 HEAH ASSTT Paritosh Chakrabarty Paritosh Chakrabarty Self Cashless 12‐Jun‐2011 12686 12500 103935 24‐Jun‐20112789 ASI9889 Swapan Kumar Dutta Minurani Dutta Wife Cashless 22‐Jun‐2011 19210 17000 103988 24‐Jun‐20112790 ASI8616 Joydev Mondal Joydev Mondal Self Cashless 21‐Jun‐2011 40292 40292 103979 24‐Jun‐20112791 S1520 Sk Abu Hossain Sk Abu Hossain Self Cashless 12‐Jun‐2011 16368 14842 103919 24‐Jun‐20112792 CONST15721 Timir Kr Mondal Shampa Mondal Spouse Reimbursement 10‐Jun‐2011 10642 10562 104034 24‐Jun‐20112793 SEPOY264 Jiten Bouri Jiten Bouri Self Cashless 22‐Jun‐2011 23431 23431 103987 24‐Jun‐20112794 POLI1004 Arun Kumar Deashi Abhijit Deashi Son Cashless 21‐Jun‐2011 20000 20000 103981 24‐Jun‐20112795 CONST10760 Debasish Mitra Debasish Mitra Self Cashless 21‐Jun‐2011 90881 90881 104102 24‐Jun‐20112796 CONST16772 Upen Mandi Upen Mandi Self Cashless 15‐Jun‐2011 22476 20377 103946 24‐Jun‐20112797 NK9734 Sahadeb Halder Sahadeb Halder Self Cashless 15‐Jun‐2011 14617 13252 103947 24‐Jun‐20112798 STORE KEEPER Mukti Ram Banerjee Mukti Ram Banerjee Self Cashless 21‐Jun‐2011 66500 66500 104106 24‐Jun‐20112799 CONST16578 Ujjwal Kr Mondal Pritam Mondal Son Cashless 12‐Jun‐2011 12917 11613 104067 24‐Jun‐20112800 cons2975 Alo Barua Alo Barua Self Cashless 12‐Jun‐2011 19303 17500 103939 24‐Jun‐20112801 ASI10122 Dipak Kumar Roy Dipak Kumar Roy Self Cashless 12‐Jun‐2011 16545 15000 104069 24‐Jun‐2011

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Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2802 ASI10018 Kamal Kumar Dutta Tushnik Dutta Son Reimbursement 10‐Jun‐2011 3362 3362 104040 24‐Jun‐20112803 SEPOY17968 Goutam Chakraborty Sayanti Chakraborty Spouse Cashless 12‐Jun‐2011 13842 13500 103937 24‐Jun‐20112804 INSP319 Sankar Chandra Adak Dipali Adak Spouse Reimbursement 12‐Jun‐2011 28837 22000 104055 24‐Jun‐20112805 CONST11678 Susanta Ghosh Susanta Ghosh Self Cashless 25‐Oct‐2010 16269 14750 104089 24‐Jun‐20112806 SI Anup Kumar Roy Anup Kumar Roy Self Post Hospitalisation 21‐Jun‐2011 3868 3868 103865 24‐Jun‐20112807 CONST19942 Mustakim Shaikh Reshma Khatun Daughter Cashless 13‐Jun‐2011 18225 16523 104088 24‐Jun‐20112808 CONST12446 Shib Nath Bhattacharjee Krishana Bhattacharje Spouse Cashless 22‐Jun‐2011 23965 23500 103989 24‐Jun‐20112809 P Dr811 Prasanta Kumar Ghosh Minati Ghosh Spouse Cashless 13‐Jun‐2011 17648 16000 104085 24‐Jun‐20112810 SEPOY11723 Biplab Das Biplab Das Self Cashless 22‐Jun‐2011 32000 32000 103986 24‐Jun‐20112811 CONST7119 Mohan Ch Mallik Snehalata Mallik Spouse Reimbursement 12‐Jun‐2011 18244 18164 103906 24‐Jun‐20112812 CONST14178 Bhuwaneshwar Thakur Nishant Kumar Son Reimbursement 12‐Jun‐2011 2845 2845 103898 24‐Jun‐20112813 ASI1566 Bikrama Yadav Chanamuni Devi Spouse Reimbursement 12‐Jun‐2011 1822 1822 104061 24‐Jun‐20112814 CONST13245 Mistri Hansda Kajal Hansda Spouse Cashless 21‐Jun‐2011 35000 35000 104101 24‐Jun‐20112815 SEPOY10382 Uttam Kumar Paul Uttam Kumar Paul Self Reimbursement 10‐Jun‐2011 11148 11148 103868 24‐Jun‐20112816 SERG Rizwan Rafique Lamiah Rafique Daughter Reimbursement 10‐Jun‐2011 33656 15000 103873 24‐Jun‐20112817 INSP Tarun Kumar Sarkar Tamal Sarkar Son Cashless 15‐Jun‐2011 50738 46000 103949 24‐Jun‐20112818 ASI1230 Pabitra Kumar Biswas Partha Pratim Biswas Son Reimbursement 12‐Jun‐2011 90443 70000 103893 24‐Jun‐20112819 P DR778 Prasanta Kumar Sur Prasanta Kumar Sur Self Cashless 20‐May‐2011 109675 100000 104018 24‐Jun‐20112820 5 Bijaoy Kumar Bhunia Radha Rani Bhunai Spouse Cashless 22‐Jun‐2011 8357 8357 104000 24‐Jun‐20112821 cons5639 Nazrulislam Mondal Sufia Khatun Spouse Cashless 14‐Jun‐2011 45727 41457 103967 24‐Jun‐20112822 ASI9107 Swarup Kr Mitra Swarup Kr Mitra Self Cashless 21‐Jun‐2011 99500 99500 104105 24‐Jun‐20112823 CONST16241 Tarun Kumar Dutta Tarun Kumar Dutta Self Reimbursement 12‐Jun‐2011 32865 30015 103907 24‐Jun‐20112824 ASI10057 Pradip Chakraborty Sampa Chakrabroty Spouse Cashless 12‐Jun‐2011 38630 34930 103929 24‐Jun‐20112825 S I Debabrata Biswas Debabrata Biswas Self Cashless 22‐Jun‐2011 9074 9074 103993 24‐Jun‐20112826 P DR976 Tapan Garai Kaberi Garai Spouse Cashless 22‐Jun‐2011 21730 21730 104001 24‐Jun‐20112827 CONST10843 Tarun Polley Tarun Polley Self Cashless 22‐Jun‐2011 147860 140000 104007 24‐Jun‐20112828 SEPOY19884 Avijit Dutta Avijit Dutta Self Reimbursement 12‐Jun‐2011 4474 4324 104044 24‐Jun‐20112829 CONST9822 Tapan Kumar Roy Itu Roy Spouse Cashless 21‐Jun‐2011 48000 48000 103983 24‐Jun‐20112830 Sib Sankar Dutta Priyaangshu Dutta Son Reimbursement 09‐Jun‐2011 4463 4013 104032 24‐Jun‐20112831 cons15154 Uttam Mondal Hashi Mondal Spouse Cashless 23‐Jun‐2011 17061 10000 104137 30‐Jun‐20112832 SARANG Amal Roy Arati Roy Spouse Cashless 27‐Jun‐2011 35500 35000 104150 30‐Jun‐20112833 ASI1056 Anarul Islam Habibul Islam Son Cashless 29‐Jun‐2011 30171 27353 104151 30‐Jun‐20112834 ASI11093 Bibekananda Mondal Bibekananda Mondal Self Cashless 23‐Jun‐2011 29158 25000 104114 30‐Jun‐20112835 P DR660 Ainul Haque Khan Shahjahan Khatoon Spouse Cashless 25‐Jun‐2011 7114 6450 104167 30‐Jun‐20112836 GR MALI Uttam Kumar Ghosh Uttam Kumar Ghosh Self Cashless 23‐Jun‐2011 11590 10015 104118 30‐Jun‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2837 CONST13221 Naba Kumar Kundu Naba Kumar Kundu Self Cashless 23‐Jun‐2011 15989 15989 104140 30‐Jun‐20112838 SI Atanu Majumder Atanu Majumder Self Cashless 23‐Jun‐2011 60000 60000 104127 30‐Jun‐20112839 SI Atanu Majumder Atanu Majumder Self Cashless 23‐Jun‐2011 18115 18115 104128 30‐Jun‐20112840 S I Prasanta Kr Chatterjee Prasanta Kr Chatterjee Self Cashless 25‐Jun‐2011 9797 9797 104165 30‐Jun‐20112841 L S I Lila Acherjee Lila Acherjee Self Cashless 23‐Jun‐2011 27846 27846 104157 30‐Jun‐20112842 P DR842 Swapan Kr Halder Swapan Kr Halder Self Cashless 23‐Jun‐2011 30000 30000 104116 30‐Jun‐20112843 CONST1961 Uttam Kr Poddar Uttam Kr Poddar Self Cashless 23‐Jun‐2011 21948 20000 104113 30‐Jun‐20112844 5182 Ashis Kumar Gon Ashis Kumar Gon Self Cashless 23‐Jun‐2011 40106 40106 104136 30‐Jun‐20112845 AASI10872 Amit Kumar Dutta Amit Kumar Dutta Self Cashless 29‐Jun‐2011 15953 14463 104153 30‐Jun‐20112846 E DR Sankar Ch Santra Sankar Ch Santra Self Cashless 23‐Jun‐2011 81966 77474 104135 30‐Jun‐20112847 ASI11193 Haripada Hembram Thakurmoni Hembram Spouse Cashless 23‐Jun‐2011 76659 69500 104126 30‐Jun‐20112848 S I200 Arun Kumar Sarkar Arun Kumar Sarkar Self Cashless 23‐Jun‐2011 9546 9546 104130 30‐Jun‐20112849 AASI10872 Amit Kumar Dutta Amit Kumar Dutta Self Cashless 29‐Jun‐2011 14774 14774 104155 30‐Jun‐20112850 CONST7503 Md Ayub Ali Sardar Md Ayub Ali Sardar Self Cashless 22‐Jun‐2011 140000 10650 104163 30‐Jun‐20112851 SEPOY7612 Biswanath Sarkar Biswanath Sarkar Self Cashless 22‐Jun‐2011 33705 30557 104141 30‐Jun‐20112852 INSP1794 Bonbihari Das Bonbihari Das Self Cashless 25‐Jun‐2011 88101 88100 104168 30‐Jun‐20112853 SEPOY1794 Paritosh Basak Sefali Bask Spouse Cashless 25‐Jun‐2011 99000 99000 104145 30‐Jun‐20112854 Sudip Kumar Sen Latika Sen Spouse Cashless 23‐Jun‐2011 28647 27345 104124 30‐Jun‐20112855 P DR894 Bhakta Ranjan Ganguly Pralay Ganguly Son Cashless 23‐Jun‐2011 15918 8919 104160 30‐Jun‐20112856 CONST2743 Mrityunjoy Ghorai Mrityunjoy Ghorai Self Cashless 25‐Jun‐2011 95001 95000 104146 30‐Jun‐20112857 CONST7503 Md Ayub Ali Sardar Md Ayub Ali Sardar Self Cashless 24‐Jun‐2011 140224 127130 104164 30‐Jun‐20112858 CONST7536 Haradhan Halder Haradhan Halder Self Cashless 27‐Jun‐2011 74500 74500 104148 30‐Jun‐20112859 SEPOY1123 Ranjan Das Ranjan Das Self Cashless 23‐Jun‐2011 12838 12838 104132 30‐Jun‐20112860 Cons10065 S K Basir Mondal Nurida Khatun Spouse Cashless 23‐Jun‐2011 21420 21420 104131 30‐Jun‐20112861 CONST12630 Susanta Kr  Dey Susanta Kr  Dey Self Cashless 23‐Jun‐2011 15000 15000 104115 30‐Jun‐20112862 SEPOY756 Pradyut Kumar Para Manasi Patra Spouse Cashless 27‐Jun‐2011 48000 48000 104149 30‐Jun‐20112863 ASI6511 Bhim Chandra Das Puspa Das Spouse Cashless 23‐Jun‐2011 60500 60000 104161 30‐Jun‐20112864 SYCE96 Md Sabir Mehereen Hossaain Spouse Cashless 23‐Jun‐2011 12502 12502 104123 30‐Jun‐20112865 ASI6568 Raicharan Mandal Rekha Mandal Spouse Cashless 29‐Jun‐2011 22280 20201 104121 30‐Jun‐20112866 E DR Dilip Kumar Mondal Champa Mondal Spouse Cashless 23‐Jun‐2011 38471 38471 104134 30‐Jun‐20112867 ASI6662 Shyamal Kumar Dey Shyamal Kumar Dey Self Cashless 23‐Jun‐2011 24090 24090 104129 30‐Jun‐20112868 1615 Umesh Chandra Kumar Umesh Chandra Kumar Self Cashless 22‐Jun‐2011 46967 42581 104142 30‐Jun‐20112869 ASI1669 Swapan Kumar Roy Swapan Kumar Roy Self Cashless 25‐Jun‐2011 40913 40913 104144 30‐Jun‐20112870 S I Debabrata Biswas Debabrata Biswas Self Cashless 25‐Jun‐2011 48386 48000 104147 30‐Jun‐20112871 SEPOY110016 Kallol Ku Dey Kallol Ku Dey Self Cashless 29‐Jun‐2011 51017 51017 104156 30‐Jun‐20112872 CONST5301 Sasadhr Halder Sasadhr Halder Self Cashless 29‐Jun‐2011 18766 17014 104152 30‐Jun‐20112873 ASI444 Haladhar Dai Haladhar Dai Self Cashless 23‐Jun‐2011 11980 10862 104162 30‐Jun‐20112874 ASI8720 Basu Dev Chakraborty Basu Dev Chakraborty Self Cashless 23‐Jun‐2011 7650 7650 104158 30‐Jun‐20112875 L S I Trishna Bose Mrinal Kanti Bose Spouse Cashless 29‐Jun‐2011 10192 9240 104119 30‐Jun‐20112876 CONST9691 Shyam Prasad Das Shyam Prasad Das Self Cashless 23‐Jun‐2011 114483 114483 104139 30‐Jun‐20112877 10406 Ambarish Pal Ambarish Pal Self Cashless 23‐Jun‐2011 40911 40411 104125 30‐Jun‐20112878 SEPOY18157 Soumitra Dey Soumitra Dey Self Cashless 29‐Jun‐2011 47703 43248 104117 30‐Jun‐20112879 CONST3229 Manindra Nath Barman Manindra Nath Barman Self Cashless 29‐Jun‐2011 27722 27722 104154 30‐Jun‐2011

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Kolkata Police Group Mediclaim Policy

Sr. N Rank  & No. Employee Name Patient Relation ClmType Claim Date Clam Amt Paid Amt Chq No. Chq Dt2880 CONST12596 Anup Kumar Bhattacharjee Karunamayee Bhattacharjee Spouse Cashless 23‐Jun‐2011 8007 8007 104133 30‐Jun‐20112881 ASI2226 Kshitish Chandra Mondal Sipra Mondal Daughter Cashless 23‐Jun‐2011 7504 6800 104120 30‐Jun‐20112882 ASI2226 Kshitish Chandra Mondal Sipra Mondal Daughter Cashless 23‐Jun‐2011 6800 6800 104122 30‐Jun‐20112883 A S2749 Anup Kumar Bose Anup Kumar Bose Self Cashless 25‐Jun‐2011 53311 53310 104166 30‐Jun‐20112884 Dand392 Sonaram Hembram Srimoti Hembram Spouse Cashless 23‐Jun‐2011 35218 35218 104138 30‐Jun‐20112885 133 Ram Chandrao Paswan Rampari Devi Spouse Cashless 23‐Jun‐2011 37695 37695 104159 30‐Jun‐20112886 1293 Probir Naskar Anita Naskar Spouse Cashless 25‐Jun‐2011 18000 18000 104143 30‐Jun‐2011

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