| S.No | Date | From | Village Covered | Meter Reading Started | Last Meter Reading | Total Kilometers (KM) | Fuel | DA | Other | Means of Transport Used |
|---|
| मंजूर की मी | |
| दावा की मीम | |
| कटौती की मी | |
| स्वीकृत की मी | |
| गाड़ी मुआवजा @ र | |
| कुल किराया | |
| कुल डी ए | |
| देपुतातियों डी ये | |
| कुल फोन | |
| कुल अन्य | |
| वजीफा | |
| गाड़ी का खर्चा | |
| कुल योग | |
| कटौती | |
| स्वीकृत राशि | |
| वर्तमान माह का खर्चा | |
| वर्त्तमान माह में लाइफ लाइन सेल | |
| खर्च का प्रतिशत |
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