DGEHS Medical Claim, Made Simple
Generate Annexure 3, 4 & 5 documents in PDF
and Excel format with ease.
on your device
and Excel
documents
Why Choose Our Tool?
Fast & Efficient
Generate claims in just
a few simple steps.
Accurate & Reliable
Pre-filled government
approved formats.
Easy Export
Download and print
anytime, anywhere.
How It Works
Details
Information
Annexures
or Excel
Common Details
These details are saved automatically in your browser and reused across all generated forms.
Import Previous Claim
Upload a previously exported .json file to restore all details instantly.
Office / School Details
Provide your school or office information.
Employee Details
Provide DGEHS card holder information.
DGEHS Card Information
Contact Details
Address and communication information.
Bank Details
For reimbursement transfer.
Hospital Details
One hospital per line if multiple hospitals were involved.
DGEHS Medical Reimbursement Claims
Central Government Health Scheme — Generate reimbursement forms instantly
Patient Details
Enter names of patients for reimbursement
Select Annexure to Fill
Choose the form you want to generate
For Single Claim, choose which annexure you want to fill. Annexure 3 is recommended — Annexure 2 will auto-generate.
Annexure 3 — Check List of Bills
Fill bill details for each patient. Amounts calculate automatically.
Use the tabs below to switch between patients. Your bill entries are preserved when adding more rows.
Annexure 2 — Covering Letter
Direct fill mode for single claim
You have chosen to fill Annexure 2 directly. Enter the details below.
Generated Forms
Single Claim — Ready to print
Generated Forms
Multiple Claims — Ready to print