Book No. ................ | Receipt No. ................ | Book No. ................ | Receipt No. ............... |
Received from ............... the sum of Rs. ............ (in words) .................. on account of ...................... Rs. .................. Chief A/c. Officer/ Authorised Officer Entered in Cash Book, Page No. .......... Accountant | Received from ................... the sum of Rs. ................ (in words) .......................... on account of ................ Rs. ...................... Chief A/c. Officer/ Authorised Officer Employees' State Insurance Corporation |