Name : krishan kumar pathak Deputed Site: ABBOTT HEALTHCARE PVT. LTD H.

Q : Agra
Emp. Code No. : Designation: I.S.R State : u.p. Exp Month : may 2019
TNSE/TTSE/TKDE/TKDM/ISR/Contractor EXPENSE FORMAT
Month Travel Mode / Fare Allowances Other Expenses

Sr. No. Dist. In Metro / Non Tele Phone & Xerox/Station

Kms. Ex Head Time of
Date From To Bus Fare Train Fare Air Fare S/Taxi Fare Head Quarter Up. Country Meeting Metro Datacard ery/Other Courier Total
Quarter Departure Allowance Internet Exp/Misc
1 5/1/2019 Agra Holyday 0 0 750 250 140 1140
2 5/2/2019 Agra shikohabad 180 200 380
3 5/3/2019 Agra meeting 0 100 0 100
4 5/4/2019 Agra sirsaganj 200 200 400
5 5/5/2019 Agra sunday 0 0 0
6 5/6/2019 Agra jaleser 140 200 340
7 5/7/2019 Agra sadabaad 100 200 300
8 5/8/2019 Agra shamsabad 100 200 300
9 5/9/2019 Agra verndavan 200 200 400
10 5/10/2019 Agra leave 0 0 0
11 5/11/2019 Agra fatehpurshigri 160 200 360
12 5/12/2019 Agra sunday 0 0 0
13 5/13/2019 Agra koshi 260 200 460
14 5/14/2019 Agra shikohabad 180 200 380
15 5/15/2019 Agra fatehbad 100 200 300
16 5/16/2019 Agra sirsaganj 200 200 400
17 5/17/2019 Agra farah 120 200 320
18 5/18/2019 Agra firojabad 160 200 360
19 5/19/2019 Agra sunday 0 0 0
20 5/20/2019 Agra Raya 160 200 360
21 5/21/2019 Agra tundla 120 200 320
22 5/22/2019 Agra jaleser 140 200 340
23 5/23/2019 Agra verndavan 200 200 400
24 3/24/2019 Agra koshi 260 200 460
25 3/25/2019 Agra leave 0 0 0
26 5/26/2019 Agra Sunday 0 0 0
27 5/27/2019 Agra tundla 120 200 320
28 5/28/2019 Agra shikohabad 180 200 380
29 5/29/2019 Agra firojabad 160 200 360
30 5/30/2019 Agra shikohabad 180 200 380
31 5/31/2019 Agra tundla 120 200 320
Total Amount 3740 0 0 0 100 4600 0 0 0 0 750 0 250 140 9480
Approved By Name:
Date :
Date :

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