Need help with ESI calculation on Salary

Can someone please help me with ESI computation on Salary

1. I have to pay a salary of 21000/- In hand to my employee.
2. PT: 200/- will be paid by me
3. ESI-Employer & ESI-Employee, both will be paid by me
4. PF is not applicable.

Salary split is as follows:

• 9875.00 - Basic
• 4740.00 - HRA
• 1250.00 - Medical Reimbursement
• 3160.00 - Special Allowance
• 1975.00 - WFH Allowance
• 21000.00 - Take Home

How much will be the CTC, Gross salary & ESI-Employer, ESI-Employee components?

Thanks a ton in advance.

Sanjay