| Dep Station |
Date | Time | Arr Station |
Date | Time | Mode of Journey | Local Mileage | Daily Allowance | Actual Expenses | Total (Rs.) |
Action | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mode | Km | Amt | Km | Rate | Amt* | Days | Rate | Amt* | Particulars | Amt | ||||||||
| GRAND TOTAL: | 0.00 | |||||||||||||||||
| Total in Words: Zero Rupees Only | ||||||||||||||||||