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  1. Bill Number     : 0                                      Bill Dt.        : 00-00-0000
  2. Franchisee Name : KARIMNAGAR-POOJA SERVICE POINT         Franchisee Code : 42XHXY
  3. Payment Period : Month - Mar, Year - 2009
  4. ----------------------------------------------------------------------------------------------------------------------
  5. |OrdTyp | Act.Code | Inst.Type | CallCnt |  PPL  |  PRS  |  WAR  |    Rate    |   Amount   |  Tran.Rat  | Tra.Amount |
  6. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  7. |  041  |   C      |     E0    |  2      | 0     | 0     | 2     | 60         | 120        | 0          | 0          | 
  8. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  9. |  041  |   C    |     TF    |  2      | 0     | 0     | 2     | 50         | 100        | 0          | 0          | 
  10. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  11. |                              |  4      | 0     | 0     | 4     | Tot Amount | 220        | Total Tran |  0         |
  12. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  13. |                                                                | Other      | 0          |            | 0          |
  14. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  15. |                                                  Bonus Amount for ACE Calls | 0          |            |            |
  16. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  17. |                                                                |Service Tax | 22.66      |            |            |
  18. |-------|----------|-----------|---------|-------|-------|-------|------------|------------|------------|------------|
  19. |                                          Total Amount Including Service Tax | 242.66     |            |            |
  20. |--------------------------------------------------------------------------------------------------------------------|
  21.  
  22. Payment done only for visit category WAR,PPL,PRS.
  23. |----------------------------------------------------------------------------------------------|
  24. |                 |  CHA  |  CHW  |  CUP  |  OSC  |  UPV  |  WAR  |  PPL  |  PRS  |GRAND TOTAL |
  25. |-----------------|-------|-------|-------|-------|-------|-------|-------|-------|------------|
  26. |Total Call Count | 1     | 0     | 0     | 0     | 0     | 4     | 0     | 0     |   5        |
  27. |----------------------------------------------------------------------------------------------|
  28.  
  29. Repeat  : RDC  -->0    
  30.         : CALL -->0    
  31. ACE Calls (FRT <= 4 Hrs) :0    
  32. We confirm that the above said claims are for the month  _______________ . We do not have any claims pending prior to this month.          
  33.   
  34.   
  35. Signature of ASP   
  36.   
  37.        
  38. We confirm having audited 20 % of the above calls. We found that updation was correct and wherever we found them to be not correct          
  39. we have corrected/penealized the said calls."    
  40.  
  41.          
  42. Branch Executive                                    Service Manager                                                  RSvM
  43.  
  44.  
  45. --------------------------------------------------------------------------------------
  46. |       |    V1    |    V2    |    V3    |    V4    |    V5    |    V8    |    V9    |
  47. |-------|----------|----------|----------|----------|----------|----------|----------|
  48. |  EO   | 0        | 120      | 0        | 0        | 0        | 0        | 0        | 
  49. |-------|----------|----------|----------|----------|----------|----------|----------|
  50. |   TF  | 0        | 100      | 0        | 0        | 0        | 0        | 0        | 
  51. |-------|----------|----------|----------|----------|----------|----------|----------|
  52. | Total | 0        | 220      | 0        | 0        | 0        | 0        | 0        | 
  53. |-------|----------|----------|----------|----------|----------|----------|----------|
  54. |Ace amt|----------| 0        |----------|----------|----------|----------|----------|
  55. |-------|----------|----------|----------|----------|----------|----------|----------|
  56. | Other |----------| 0        |----------|----------|----------|----------|----------|
  57. |-------|----------|----------|----------|----------|----------|----------|----------|
  58. |Tot+Ser| 0        | 242.66   | 0        | 0        | 0        | 0        | 0        | 
  59. |-------|----------|----------|----------|----------|----------|----------|----------|
  60. |Transport  Amount |          | 0        |          | 0        |          | 0        | 
  61. --------------------------------------------------------------------------------------
  62. Remarks  : 
  63.  
  64. V1  DEMO SERVICE ORDER
  65. V2  WAR CALL
  66. V3  WAR RELEATED RDC
  67. V5  PPL CALLS
  68. V5  PPL RELATED RDC
  69. V8  PRS/PDI CALLS
  70. V9  PRS/PDI RELATED RDC
  71.