BSNL Indoor Treatment Checklist, Annexure A, B, C, D-I, E, & F

Bharat Sanchar Nigam Limited has a tie-up with the hospital in most of the district hospital for the cashless medical treatment of employee and his/her dependents.



The BSNL District administration issues the list of impaneled hospitals from where the staff can get the cashless Indoor Medical Treatment.

If you are are looking for the various annexures and form for the medical facility. Here is the list of the forms available to download.

  1. Option Form (Annexure-A)
  2. Medical Reimbursement Scheme – Registration Form (Annexure-B)
  3. Annexure-C
  4. Claim Form for Indoor Treatment (Annexure-D)
  5. Certificate for Hospitalization (Annexure-D-I)
  6. Application form for Medical Advance (Annexure-E)
  7. Authorization Letter for Treatment in Hospital (Annexure-F)
  8. Indoor Treatment Checklist




Download Checklist

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