AKSID Health Benefit Claim

Approval Route

1. Dept Head (you enter email)→ 2. Audit→ 3. HR→ 4. Accounting→ 5. MD→ 6. ERP Upload→ 7. Copy to Accounts & HR

Employee Name *

Employee ID *

Designation

Department *

Project / Location

Mobile No

National ID

Employee Email *

Patient Full Name *

Patient Date of Birth

Relationship *

Disease / Diagnosis *

Doctor Name

Hospital / Clinic

Diagnostic Center

Pharmacy

Doctor Visit Cost

Diagnostic Cost

Medicine Cost

Total Cost *

0 BDT

Department Head Email *

The claim is routed here first. Steps 2–7 (Audit → HR → Accounting → MD → ERP → final copy) follow automatically.