Date of receipt

No. of receipt

Particulars of receipts

Amount received from the Treasury

Amount received from other sources

Date of expenditure

No. of voucher

Particulars of expenditure

Amount paid to individual payees

Amount remitted in to the Treasury

Remarks

Rs

p.

Rs

p.

Rs

p.

Rs

p.

Opening balance

Total expenditure

Total receipts

Closing balance

GRAND TOTAL

GRAND TOTAL