CTC Reimbursement Summary

Employee ID

EMP123456

Employee Name

John Doe

Month Op Bal Eligibility LWP Ded Submitted Rejected Approved Paid Paid Tax C/F
Apr 2025 5000 2000 0 1500 200 1300 1300 260 5700
May 2025 5700 2000 100 1800 0 1800 1800 360 5800
Total 10700 4000 100 3300 200 3100 3100 620 11500
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