1Below is a simple article format you can use for an ECHS (Ex-Servicemen Contributory Health Scheme) medical reimbursement claim. You can edit details like name, ECHS card number, hospital, dates, etc.
Subject: Application for Medical Reimbursement under ECHS
To
The Officer-in-Charge
ECHS Polyclinic
[Polyclinic Name / Location]
Date: [DD/MM/YYYY]
Subject: Request for Medical Reimbursement un der ECHS
Respected Sir/Madam,
I respectfully submit that I am an ECHS beneficiary and a member of the Ex-Servicemen Contributory Health Scheme. My particulars are as follows:
Name: [Your Name]
ECHS Card No.: [Card Number]
Rank / Service No.: [Rank / Service Number]
Relationship with Veteran (if dependent): [Self / Wife / Son / Daughter / etc.]
I had to undergo medical treatment at [Hospital Name] on [Date] due to [mention illness / medical condition]. Due to the urgency of the medical condition, I received treatment at the above-mentioned hospital and incurred medical expenses amounting to ₹[Amount].
I request you to kindly process my medical reimbursement claim under ECHS rules. All the required documents such as medical bills, prescriptions, discharge summary, investigation reports, and other relevant papers are enclosed herewith for your reference and necessary action.
I shall be grateful for your kind consideration and early processing of my claim.
Thank you.
Yours faithfully,
[Signature]
[Name]
[Address]
[Mobile Number]
Enclosures:
Original medical bills
Doctor prescription
Discharge summary
Investigation reports
ECHS card copy
Bank details / cancelled cheque
Any other relevant documents