The AP Government Employee's Loans Medical Attendance & Family Welfare... The Andhra Pradesh Integrated Medical Attendance Rules, 1972

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The AP Government Employee's Loans Medical Attendance & Family Welfare Code
The Andhra Pradesh Integrated Medical Attendance Rules, 1972
PART 7
MEDICAL ATTENDANCE RULES
The Andhra Pradesh Integrated Medical Attendance
Rules, 1972
1.
Short title :--These rules may be
Pradesh Medical Attendance Rules,1972.
called
2.
Extent of Application :-(a) They shall
whole of the State of Andhra Pradesh.
the
extend
"Andhra
to
the
(2) These rules also apply to persons who are entitled to medical
attendance under the Secretary of State Services
(Medical
Attendance)
Rules, 1938, the All India Services
(Medical
Attendance) Rules, 1954 and also to the Andhra Pradesh State
Higher Judicial Officers who are to be treated on par with the
I.A.S. and I.P.S. Officers, but only to the extent to which they
are not inconsistent with these rules. .
3.
Definitions :- In these rules unless there
repugnant in the subject or context -
is
anything
(1)
"Government Servant" means a whole time Government Servant
employed under the Government of Andhra Pradesh and includes such
servants employed under State Governments with whom reciprocal
agreements in respect of medical attendance have been entered
into, but does not include part time or honorary workers ;
(2)
"Hospital" means a Government Hospital and includes any
Special Hospital in the State or any other Medical Institution
recognised by the Government.
Note :-Non-gazetted Officers and Employees of the local bodies
drawing salaries not exceeding Rs. 300 per mensem in the greater
Hyderabad city are permitted to take treatment for their families
in the Maternity and Child Welfare Centres of the Corporation of
Hyderabad only in emergencies and get reimbursement of the
expenses incurred by them, the emergency being certified as such
by the Medical Officer in charge of the Centre;
(3)
"Registered
Medical Practitioner" means
a
person
registered under the Madras Medical Registration Act, 1914
adopted
to
Andhra State; and the Andhra
Ayurvedic
and
Homoeopathic Medical Practitioners' Registration Act, 1956 and
the Medical Act No. 1 of 1312 Fasli of the erstwhile Hyderabad
Government;
(4)
"Authorised Medical Attendant" means a Medical Officer
attached to the Government Hospital or Dispensary in the State
who has been nominated by the Government, from time to time, to
Serve as Authorised Medical Attendant for the State Government
Servants ;
[A list of Authorised Medical Attendants, appointed
Government is given in Appendix I to these Rules.]
by
the
(5)
"Patient" means a Government Servant or any member of his
family and to whom these rules apply and who has fallen ill ;
(6)
"Station" means the town or place in which the
Servant and other entitled person falls ill ;
Government
(7)
"Family" :-(a) In the case of a male Government Servant,
family means his parents, wife, legitimate children including an
adopted son and step Children residing with and wholly dependent
on him ;
(b) In the case of a woman Government Servant it means her
parents, husband and children residing with and wholly dependent
on her.
(i)
The word 'wife' includes more than one wife.
(ii)
The claims for reimbursement of expenses in respect of
parents should be accompanied by declaration in the proforma
given below.
Proforma
I, .................................................. (full name
and
designation)
hereby
declare
that
my
father/mother.....................has no property or income of
his/her own and that he/she is wholly dependent on me.
Signature and date.
(iii) A married daughter who is under the protection of
husband does not come within the definition of "family"
purposes of these rules.
her
for
(iv) The deserted, divorced, or widowed daughters who are
residing with entirely dependent on the Government Servants and
Employees of local bodies drawing salaries not exceeding Rs. 300
per month are eligible for medical concessions allowed to
Government Servants under these rules.
(v) Their family for purpose of these rules will include adoptive
parents who are wholly dependent on the Government Servants but
does not include the real parents, though they are wholly
dependant on the Government Servants once the adoption is
effected]. [G.O.Ms.No. 123, Health, Dt. 25-11-76 & G.O.Ms.No.
718, Health, Dt. 18-7-1975]
(vi) Medical reimbursement bills of the Member of the State
Legislature can be presented directly to the District Treasury or
Sub-treasury as the case may be, from which they are authorised
to draw their salaries; on the basis of essentiality certificate
issued by the Authorised Medical Attendant without insisting for
the countersignature of the District Medical and Health Officer,
or Superintendent as the case may be.]
[Inserted by G.O.Ms.No.418, H&M, Dt. 26-6-1979]
(8)
"Well-to-do-person" means a person who is in receipt of
an annual income of Rs. 1,200 or more or who is a member of the
family of such a person and actually dependent on him.
4.
Medical Attendance :-(1) Medical Attendance in respect of
a Government Servant whose pay is not less than Rs. 500 p.m.
means :(i) Attendance in a hospital or at the consulting room of the
Authorised Medical Attendant or at the residence of the Govt.
Servant;
(ii) All pathological, bacteriological, radiological and other
methods of examination for the purpose of diagnosis, as are
available in any Government Hospital within the State and are
considered necessary by the Authorised Medical Attendant ;
(iii) Any consultation with a Specialist in Government employ
within the State or other Medical Officer similarly in Government
employ within the State or that the Authorised Medical Attendant
may certify to be necessary to such extent and in such manner as
the Specialist or Medical Officer in consultation with the
Authorised Medical Attendant, determine.
(2)
Medical
Servant, means-
Attendance in respect of any
other
Government
(i) Attendance at a Government Hospital or at the consulting room
of the Authorised Medical Attendant or in case of illness which
compels the patient to be confined to his residence, at the
residence of the Government Servant;
(ii) All methods of examination for purposes of diagnosis
are available in the nearest Government Hospital.
that
(iii) Any consultation with a Specialist or other Medical Officer
stationed in the State that the Authorised Medical Attendant may
certify to be necessary, to such extent and in such manner as the
Special Officer may, in consultation with the Authorised Medical
Attendant, determine ;
(3)
There will be cases of not infrequent occurrence in
which, it will be proper for the medical officer to visit the
Government Servant in receipt of salaries under Rupees one
hundred at their residences. The Government trust to the good
sense and good feeling of the medical profession in preference to
laying down any precise rules for such cases.
(4)
It should be distinctly understood that a medical officer
will not be expected to attend a Government Servant at his
residence unless the patient is unable to wait upon the medical
officer either at the latter's residence or his consulting room
or till such time as may be appointed by the Medical Officer for
the purpose ;
(5)
Medical Officers who are Authorised Medical Attendants to
the Government Servants, should not charge any consultation or
other
fees from the Government Servants for the
Medical
Attendance rendered to them.
5. Medical Treatment :-Medical Treatment means use of all medical
and surgical facilities available at the Government Hospital in
which the patient is treated and includes :(1)
Employment of such
pathological,
bacteriological,
radiological or other methods of investigation, etc., as are
considered necessary by the Authorised Medical Attendant ;
(2)
Supply of such medicines, special or ordinary
sera or other therapeutic substances as are ordinarily
in Government Hospitals in the State ;
vaccines,
available
[Note :-Wherever a Government Servant consults an Authorised
Medical Attendant/ Specialist in the latter's consulting Room and
medicines were prescribed, the Medical Officer of the Secretariat
Dispensary is authorised to issue medicines to the Government
servant and their families of the prescriptions given by the
Authorised Medical Attendant, Specialist although they are not
attached to the Secretariat Dispensary. In case the medicines
prescribed by the Authorised Medical Attendant/Specialist are not
available even at the Secretariat Dispensary, the Government
Servants may purchase the medicines outside and get the amount
spent thereby reimbursed later as per rules. The Medial Officer,
Secretariat Dispensary, is not ordinarily bound to purchase and
supply the medicines. He will, however, stock all the necessary
medicines in the dispensary to meet the requirements.] [Added by
G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]
(3)
Supply of such medicines, vaccines, sera or other
therapeutic substances as are not ordinarily available
in
Government Hospitals as the Authorised Medical Attendant may
certify in writing to be essential for the recovery or for the
prevention of deterioration in the condition of the patient.
(i) The refund of the cost of preparations which are not
medicines but are primarily foods, tonics, toilet preparations or
disinfectants is not admissible under the rules. Prescription of
expensive
drugs, tonics, laxatives or other
elegant
and
proprietary preparations for the use of Govt. Servants and
members of their families when drugs of equal therapeutic value
are available in hospital and dispensaries is prohibited. List of
items for which refund is not admissible under the Medical
Attendance Rules are given in Appendix II.
(ii) Sales Tax paid
special medicines from
Packing and postage
purchasing
special
by Government Servants while purchasing
the market is refundable under the Rules.
charges paid by Government Servants for
medicines from
out-stations
are
not
refundable.
(iii) All claims for refund of expenses incurred on account of
the purchase of the special medicines should be preferred in the
manner indicated in Appendix III.
[Note :-Bills for small amounts upto Rs. 157- at a time need not
be countersigned by the Authorised Medical Attendant. In such
cases, Essentiality Certificate should specifically mention the
names and quantum of medicines required. Also, that certificate
should be marked as cancelled while the bill is submitted so that
it cannot be used again.]
[Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]
(4)
Treatment of confinement cases of a Government Servant and
includes prenatal and post-natal treatment.
Note :- The pre-natal and post-natal treatment can be had at the
Government Medical Institutions in the State where facilities are
available and where no such facilities are available the case
should be referred to the concerned nearest Government specialist
by the Authorised Medical Attendant. These treatments should be
treated as "other treatment" for which a woman Government Servant
or the wife or other members of a male Government Servant are
entitled.
(G.O.Ms.No. 1466, Health, Dt. 31-8-1965)
(5)
Such accommodation as is ordinarily provided in the
Hospital and is suited to the status of a Government Servant with
reference to his pay as indicated below :(i) Government Servants drawing
Rs. 500 and above p.m.
(ii) Other Government Servants
drawing Rs. 250-499 p.m.
(iii) Government Servants Rs.
100-244 p.m.
(iv)
Government Servants
drawing below Rs. 100 p.m.
"A"class ward.In case
accommodation in"A"
class ward is not
available"A-2"class
ward.(single rooms
with/without attached
Bath-room).
"B"class ward(cement
or wooden partitioned
cubicles).
"C"class ward(curtained
drawing cubicles).
General ward.
(G.O.Ms.No. 1382, Health, Dt. 9-4-1964)
(6)
Such nursing as is ordinarily available provided in the
hospital and is suited to his status and includes such special
nursing as the Authorised Medical Attendant may certify in
writing to be essential for the recovery or for the prevention of
serious deterioration in the condition of the Government Servant.
If at all a Government Servant requires extra
engage an attendant at his own cost.
nursing
he
may
(7)
Such diet as is ordinarily provided to other patients
the hospital.
in
Note :-This concession is applicable only to the Non-Gazetted
Officers and Employees of local bodies drawing pay not exceeding
Rs. 300 and members of their families.
(8)
Blood transfusion service.
(9)
Provision of ambulance service wherever necessary for
transport of the patient to the Hospital.
the
Note (1) :-Charges paid to hospital, ambulance or to the
ambulance of a social service organisation (if there is no
ambulance
attached to the local Government Hospital)
are
reimbursed on production of a certificate from the medical
attendant
that
the
use
of
ambulance
was
necessary.
(G.O.Ms.No. 1466, Health, Dt. 31-8-1956)
Note
(2) :-[The cost of artificial limbs, hearing
aids,
corrective glasses, artificial teeth and invalid chairs, charges
are reimbursable to the eligible patients who are entitled to the
facilities for sanction of medical reimbursement].
(Subs,
1990)
by G.O.Ms.No. 175, H.M. & F.W., Dt. 7-3-1990 w.e.f.
Note (3) :-Under Rule 5 (9) cost of
replacement charges are reimbursable.
(G.O.Ms.No. 502, Health, Dt. 8-8-1978)
pace
marked
1-3-
and
its
6. Persons entitled to free medical treatment :-(i) The following
persons are entitled to free medical attendance :(a)
All Government Servants under the rule making powers of
the Government of Andhra Pradesh subject to the conditions
specified in these rules, Government Servants are entitled to
free medical attendance irrespective of whether they are on duty
or on leave, anywhere in the State.
(b)
Employees
of the Local Bodies
(Zilla
Parishads,
Municipalities,
Panchayat Samithis and Panchayats)
drawing
salaries not exceeding Rs. 3007- p.m.
The Employees of Zilla Grandhalaya Samsthas drawing
exceeding Rs. 3007 - p.m. are eligible for free
attendance in the Government Hospitals in the State.
pay not
medical
(G.O.Ms.No. 915, Health, Dt. 8-7-1975)
Note (1):-Families of Government Servants and Employees of Local
Bodies drawing pay not exceeding Rs. 3007- p.m. are eligible to
free medical attendance and the rules shall apply mutatis
mutandis to them as they apply to the Government Servant himself.
(2)
All the N.G.Os. and members of Local Bodies drawing pay
not exceeding Rs. 300/- p.m. and members of their families when
admitted to State Government Medical Institutions are exempted
from payment of diet charges and the entire cost of special and
expensive drugs administered to them.
(3)
Employees of Local Bodies who are drawing more than
300 p.m. as they will be treated as members of the public
charges collected from them as per rules.
Rs.
and
(4)
Law Officers viz., (Advocate-General, State Prosecutor,
State
Counsel, Government Pleader and Public
Prosecutor),
President, Chairman and Members of Local Bodies, Reserve Bank of
India and Currency Officers and Retired Government Servants are
not entitled to free medical attendance.
Note :-These rules are applicable to the Local Bodies Employees
who
are
drawing
pay
not
exceeding
Rs.
300/-.
(G.O.Ms.No. 699, M.& H, Dt. 23-7-1976)
(c)
(d)
Members of the State Legislature.
Village Officers and Servants.
(e)
Officers of the Hind Kusht Nivaran
Government Medical Institutions.
Sangh
working
in
(f)
Honorary Medical Officers, House Surgeons and House
Physicians employed in Government Hospitals in the
State,
Students of Government Medical Colleges in the State, Nurse
Pupils, Auxiliary Nurse-Midwives and Health Visitors undergoing
training and Gramsevak Trainees.
Note :-Students in Medical Colleges include also the students
undergoing courses in such colleges, such as Sanitary Inspectors,
Auxiliary Health Workers, etc.
(g)
Persons appointed under emergency provisions in the posts
carrying a fixed or time scale of pay, only so long as they
continue in service during the period of their treatment in a
Government Medical Institution.
(h)
Retired
Gazetted), (i)
and re-employed pensioners (Gazetted and
Government Servants under suspension.
(j) Menials in the service of both the Government and
Bodies who are paid from contingencies on monthly basis.
NonLocal
(k)
The work-charged establishment of all departments. Note \Casual and daily paid workers are not eligible for free medical
aid.
(1) The staff employed in the Office of the State Welfare
Advisory Board, Hyderabad and the Welfare Extension Projects in
the districts drawing a pay not exceeding Rs. 300 p.m. and their
families will be given the same privileges in respect of medical
attendance, treatment and accommodation including the
diet
charges and administration of special and expensive drugs as are
allowed to the employees of local bodies drawing pay not
exceeding Rs. 300 p.m.
(m) The disabled personnel from the Defence Services will be
given free treatment including diet and specialised treatment in
the general wards of Government Hospitals irrespective of their
income.
(n) Sportsmen representing the State of Andhra Pradesh in InterState tournaments at Government expenses, shall be entitled to
the privileges under Rule 10 of the Chapter on par with State
Government Servants.
Note :-If any such personnel are admitted in A, B and C class
warqs or in other special wards, the usual charges should be
levied, but the Government will be prepared to consider the grant
of concessions in individual cases on the recommendation of the
Director of Medical and Health Services.
(a)
Telangana System of giving free treatment to the patients
in General wards is extended to all Government Hospitals in the
State.
(G.O.Ms.No. 80, Health, Dt. 24-1-1976)
(b)
All Freedom Fighters who are drawing pension either from
State
Government/Central
Government/Union
Territory
Administration in respect of their income and their dependants
are eligible for free medical treatment and accommodation in
Government Hospitals on par with members of the Legislature.
(G.O.Ms.No. 652, M.&H., Dt. 8-7-1976)
(ii)
Rulers of the Merged States and their families and
personal staff:-
their
(a) The rulers of the Merged States and their families will be
treated on par with the members of the Secretary of State
Services for urposes of free medical attendance and treatment and
the provisions of the Secretary of State Services (M.A.) Rules,
1938
except
those relating to travelling
allowance
and
reimbursement of any cost incurred in respect of the medical
advice obtained by them will apply to them.
(b) The personal staff of the Rulers of the Merged States and
their families will be given the same privileges in respect of
medical attendance, treatment and accommodation as are allowed to
Government
Servants under the rule-making powers
of
the
Government.
7. Arrangements tor Free Medical Attendance :-(1) All Government
Servants and other entitled personnel are eligible for free
medical attendance in the Government Hospitals in the State and
to the extent specified in Rule 4 above.
(2) Persons entitled to treatment free of charge in any hospital,
shall produce before the hospital authorities an identification
certificate signed by the Department or by a Gazetted Officer
dealing with establishment matters or by the Head of the Office
in which they are working in the following form :GOVERNMENT OF ANDHRA PRADESH
Identification Certificate
Name of the Officer/Official...........................
Designation............................................
Accommodation to which the
Officer/Official is entitled
in Government Hospital................................
Station -:
Date :
Signature and Designation the Head
of the Department/Office
In emergency cases the above certificate will not
upon at the time of admission, but the same should
within a period of one week.
be
be
insisted
produced
(3)
In any station where there may be an Assistant Surgeon
and where there may not be proper hospital accommodation, the
duty of such officer should be to attend at their own residence.
The Upper subordinate grades of Government Servants including
clerks whose appointments are not gazetted the latter paying
conveyance hire should they reside more than two miles from the
official residence of the medical attendant. If the distance is
such as to entitle the medical officer to travelling allowance,
the amount is payable by the Government. Should the case
be
reported as serious the Civil Surgeon will visit the patient.
(4)
The Medical Officer employed in the following classes of
Institutions should render free medical attendance to Government
Servants at the stations where there are no Government Medical
Institutions(i) Local Fund and Municipal Institutions for which a percentage
contribution is given towards the pay of medical officers
employed therein.
(ii) Local Fund and Municipal Medical Institutions in respect of
which the Government meet one half of the annual maintenance
charges.
(iii) Local Fund and Municipal Taluk Headquarters
Medical
Institutions in respect of which the Government meet the entire
or a portion of the salaries of Government Medical Officers
employed in them.
(iv) In places where there are no Government Hospitals, but where
there are local fund or private hospitals, or dispensaries, the
Non-Gazetted Officers and Employees of the Local Bodies drawing
less than Rs. 300/- per mensem and their families may take
treatment stratightaway in such institutions and that
the
expenditure as incurred by them in that connection including the
cost of special and expensive drugs purchased by them on the
prescription of the doctor in charge of the institution, be
reimbursed subject to the production of relevant vouchers and
subject to the scrutiny of the relative bills by the authorised
medical attendant.
At places where there are no Government or Non-Government Medical
Institutions, Non-Gazetted Oilicers and Employees of Local Bodies
drawing less than Rs. 3007- per mensem and their families may
avail themselves of the services of local private doctor in
emergencies where there is no sufficient time for them to go to
the nearest Government Medical Institution. The expenditure
incurred by them in that connection will be reimbursed to them
subject to the production of relevant vouchers and subject to the
relative bills by the District Medical Officer concerned and to
his certifying that the amount claimed is reasonable
and
expenditure incurred was necessary. In non-emergent cases, the
entitled personnel serving in places where there are neither
Government
Medical Institutions nor Non-Government
Medical
Institutions should go to the Government Medical Institution or
the Non-Government Medical Institution at the nearest station for
treatment.
(G.O.Ms.No. 208, Health, Dt. 9-2-1955)
(v) (a) The N.G.Os. and the Employees of Local Bodies in stations
where
there are no Government or
Non-Government
Medical
Institutions who seek treatment in an emergency, under Local
Private
doctors
should in addition to
the
essentiality
certificate from the private doctors produce a certificate in the
form
given hereunder from the nearest authorised
medical
attendant immediately after they are in a fit condition to travel
to the nearest authorised medical attendant who will judge
whether the essentially certificate issued by the local private
doctor in such cases is a genuine one or not.
"I certify that there are no Government or Non-Government Medical
Institutions
available
in
the
village..........................of.......................Taluk".
"I
also
certify
that
I
examined
the
patient
(Name).........................
(Designation)........................(Department)..................
and consider that the case in question is an emergency one
requiring immediate treatment under a local private doctor."
Signature of authorised
Medical Attendant.
(b)
The local private Registered Medical Practitioner should
prescribe the drugs contained in the lists in Appendix IV as far
as possible.
(G.O.Ms.No. 1585; Health, Dt. 21-9-1956)
8.
Free of charges :-(1)
entitled free of charges :- (i)
A Govt. Servant
to treatment-
shall
be
(a)
in such Government Hospital, at or near the place where
he falls ill as can in the opinion of the authorised medical
attendant, provide the necessary and suitable treatment, or
(b)
if there be no such hospital as is referred to in subclause (a), in such hospital, other than a Government Hospital,
at or near that place as can, in the opinion of the authorised
medical attendant, provide the necessary and suitable treatment,
(ii)
to anti-rabic treatment
Hospital providing such treatment.
at
the
nearest
Government
(2) Where a Government Servant is entitled under sub-rule(l) free
of charge, no treatment in any hospital any amount paid by him on
account of such treatment shall on production of a certificate in
writing by authorised medical attendant in this behalf be
reimbursed to him by the Government.
9.(1) If the authorised medical attendant is of the opinion that
owing to the absence or remoteness of a suitable hospital or to
the severity of the illness, a Government Servant cannot be given
treatment as provided in clause (1) of Rule 6, the Government
Servant may receive treatment at his residence.
(2)
A Government Servant receiving treatment at his residence
under sub-rule (1), shall be entitled to receive towards the cost
of such treatment as he would have been entitled, free of charge,
to receive under these rules; if he had not been treated at his
residence.
(3)
Claims for sums admissible under sub-rule (2), shall be
accompanied by a Certificate in writing by the authorised medical
attendant stating-(a) his reasons for the opinion referred to in
sub-rule (1) ; (b) the cost of similar treatment referred to in
sub-rule (2).
10.
Treatment outside the State but within India :-(1) A
Government Servant and other entitled personnel in or travelling
on duty, or on leave, in any place in the territory of India
outside Andhra Pradesh receives any medical attendance for
himself or for the members of his family, any reasonable amount
paid by him on account of such treatment shall, on production of
a certificate in writing of the medical attendant, be reimbursed
to him by the Government.
(2)
The Government Servants of this State [and their families]
residing outside the State on official work and falling ill or
otherwise requiring medical attention should consult and be
treated by the "Medical Attendants" authorised to treat the
officers of equal rank of that State. For the purpose of these
rules, such medical attendants shall be the Authorised Medical
Attendants of the State.
(G.O.Ms.No.
2445, Health, Dt. 16-8-1961)
[Added by G.O.Ms.No. 1274, M&H (Kl), Dt. 29-12-78]
[Note :-The Government recognise the All India Institute of
Medical
Sciences and Wellingdon Hospital, New Delhi,
for
treatment of the employees of Andhra Pradesh and the members of
their families at New Delhi, and also those visiting New Delhi.]
[Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]
(3)
For receiving treatment outside the State but in a
Government medical institution of that State (on the advice of
the Authorised Medical Attendant) prior permission of
the
Director of Medical and Health Services should be obtained.
(G.O.Ms.No. 1792, Health, Dt. 7-6-1963)
(4)
For receiving treatment outside the State but
in an
institution other than a Government Hospital of that State (on
the advice of the Authorised Medical Attendant) prior permission
of the Government should be obtained.
10.(A) Treatment for Kidney transplantation and Coronary By-pass
Surgery
by private hospitals within the State :-(1)
The
Government servants and other entitled personnel for treatment
under the Rules shall be permitted by the Director of Medical
Education to undergo Kidney transplantation operation in the
Mahaveer Hospital, Hyderabad and Coronary By-pass Surgery in the
Durgabai Deshmukh Hospital, Andhra Mahila Sabha, Hyderabad-on the
letter of advice given by the Authorised Medical Attendant in the
Osmania General Hospital, Hyderabad or the Nizam's Institute of
Orthopaedics and Specialities, Hyderabad, respectively where the
above operations are done.
(2)
The Authorised Medical Attendant in the
Government
Hospitals mentioned in sub-rule (1) will issue letter of advice
only if the said hospital cannot cope with the work load and the
treatment of the patients cannot wait till the operations could
be performed in the said Government Hospital; and
(3)
Those who obtain prior permission of the Director of
Medical Education and get admitted to the private hospitals
mentioned in sub-rule(l) for Kidney transplantation and Coronary
By-pass ^Surgery will be eligible for reimbursement of all
admissible expenditure including charges for accommodation and
also for an advance as per the estimates given by the concerned
hospital undertaking the operation".
(Inserted by G.O.Ms.No. 317, M&H (Kl), Dt. 7-5-1986)
11.
Consultations with Specialists or Colleagues :-(1) If
the
authorised medical attendant is of opinion that the case of the
patient is of such serious or special nature, as to require
medical attendance by some person other than himself or that the
patient requires anti-rabic treatment, he may with the approval
of the Director of Medical Services (which shall be obtained
before-hand unless the delay involved entails danger to the
health of the patients)(a)
send the patient to the nearest Specialist or other
Medical Officer as provided in clause (c) of Rule 2 by whom, in
his opinion medical attendance is required for the patient or in
the case of anti-rabic treatment, to the nearest place where such
treatment is available ; or
(b)
if the patient is too ill to travel, summon such
specialist or other Medical Officer to attend upon the patient.
(2)
A patient sent under clause (a)
of sub-rule (1) shall
on production of a certificate in writing by the authorised
medical attendant in this behalf, be entitled to travelling
allowance for the journeys to and from the headquarters, of the
Specialist or other Medical Officer or the place where he is sent
for anti-rabic treatment.
(3)
A Specialist or other Medical Officer summoned under subrule (1), shall on production of a certificate in writing by the
Authorised Medical Attendant in this behalf, be entitled to
travelling allowance for the journey to and from the place where
the patient is and also daily allowance according to rules.
12.
Travelling Allowance :-(1) T.A. for journeys
under Rule 10 shall be at the rates admissible to a
Servant when on tour.
undertaken
Government
(2) A member of the family of a Government Servant shall be
entitled to travel by a class by which the Government Servant
himself is entitled to travel.
13.
Medical Attendance Charges :-(1) Charges for services
rendered
in connection with but not included in
medical
attendance on, or treatment of a patient entitled to free medical
attendance or treatment under these rules, shall be determined by
the authorised medical attendant and paid by the patient.
(2) If any question arises as to whether any service is included
in Medical attendance or treatment, it shall be referred to the
Government; the decision of the Government shall be final.
14.
Treatment under Indian System of Medicines :-The following
procedure is prescribed for getting re-imbursement of cost of
medicine purchased by the persons entitled to free medical
attendance or treatment including
State Gazetted Officers when
treatment is taken under the indigenous system of medicine either
in the Government Institutions or under private doctors :
(1)
The bills relating to the modern medicine, if
prescribed by the Medical Officer in private or local
any,
fund
institutions or by the private practitioner will be scrutinised
by
the authorised medical attendant of the entitled persons in
cases where the treatment was received, in a local fund or
private institution of indigenous medicine and by the District
Medical Officer concerned in cases where the treatment was
received from a private practitioner of indigenous medicine.
(2)
The bills relating to the indigenous medicine will be
scrutinised by the medical officer or officers concerned of the
three respective systems of medicine (Ayurveda, Sidha and Unani)
employed
in the Government Ayurvedic Hospital,
Charminar,
Hyderabad to be nominated by the Special Officer of the Medicine
Department with the approval of the Government.
(3) If the bills relate to both modern and indigenous medicine
they will first be scrutinised by the authorised
medical
attendant, or the District Medical Officer, as the case may be,
in regard to the modern medicine, and then by Medical Officers or
Officers of the Government Ayurvedic Hospital, Hyderabad in
respect of the indigenous medicine.
(4)
The claims in respect of treatment under Indian Medicine
system be sanctioned by the Special Officer (Indian Medicine
Department) after due scrutiny, wherever claims are admissible
under rules. (G.O.Ms.No. 105, Health, Dt. 15-1-1963)
Note :-(1) Claims for refund of expenses should be preferred
detailed in Appendix III.
(2) A list of items for which refund is not admissible under
rules is given in Appendix II.
as
the
15. Medical Attendance for Honourable Speaker, Deputy Speaker,
Honourable Chairman, Deputy Chairman, Ministers, etc., :-(1) A
Minister or the Speaker of the Andhra Pradesh Legislative
Assembly or the Chairman of the Andhra Pradesh Legislative
Council and the Members of his family shall be entitled free of
charge, to accommodation in hospitals maintained by the State
Government and also to medical treatment and attendance on the
same terms and conditions as are applicable to the officers of
the Indian Administrative Service under All India Services
(Medical Attendance) Rules, 1954.
(2)
A Minister or the Speaker or the Chairman and the members
of his family shall be required to furnish the certificate
prescribed in clause (a) of sub-rule (3) of Rule 8 of the All
India Service (Medical Attendance) Rules, 1954 in respect of his
claims for re-imbursement of the medical expenses allowable under
the said rules for treatment at his residence under circumstances
referred to in Rule 1 of the said rules.
Explanation :-For the purposes of this rule 'family' means the
wife, son, daughter (including a validly adopted son, step-son
and step-daughter, father, mother, brother and sister of the
Minister, or the Speaker or the Chairman, residing with and
wholly dependent on him and not self-supporting relations) but
does not include a married daughter or sister who is under her
husband's protection.
(G.O.Ms.No. 165, Health, Dt. 3-2-1960 and G.O.Ms.No. 255, G.A.D.,
Dt. 1-3-1961)
(3)
A Minister and the members of his family will be entitled
free of charges, to accommodation in hospitals maintained by the
State Government and also to medical treatment and attendance on
the same terms and conditions as are applicable to the highest
category of servants employed under the Government of Andnra
Pradesh, the highest category of Government Servants who get the
maximum concessions and benefits in the matter of free medical
attendance and treatment in Government Hospitals, provided that
the Minister and members of this family shall be entitled to the
supply of diet free of charge.
(4)
The Deputy Speaker of the Legislative Assembly, the Deputy
Chairman of the Legislative Council, Chief Whip, Chairman and
Vice-Chairman of the Regional Committee, the
Parliamentary
Secretaries, if any, the Members of the Legislative Assembly and
Council who do not hold any of the offices referred to in
Sections 3-A to 5-A of the Andhra Payment of Salaries and Removal
of Disqualifications Act, 1953, (Andhra Act III of 1954) and the
members of the families of all those mentioned above shall be
entitled,
free of charge, to accommodation
in
hospitals
maintained by the State Government and also medical treatment and
attendance on the same terms and conditions as are applicable to
the Gazetted Officers of the State Government.
16.
Medical Attendance for very important personages :-Very
important personages, if they fall sick during their visit to and
stay in Andhra Pradesh should be provided with free medical
assistance which should cover apart from treatment which is
neither prolonged nor specialised and such as a hospital would
ordinarily provide.
(G.O.Ms.No. 2761, Health, Dt. 15-10-1963)
17.
Medical Attendance to Members of State Legislature :Members of the State Legislature and members of their families
are eligible for free medical facilities as are given to all
Gazetted Officers of the State Government.
They will accommodated in the paying rooms on par with Grade III
Officers (as defined in the Andhra Pradesh Travelling Allowances
Rules, i.e., Gazetted Officers drawing pay between Rs. 750 and
1,000) of the State whenever they are admitted for treatment in
the Government Hospital in the State.
18.
Medical Attendance for Officers of the AH India Services,
Andhra Pradesh State on Higher Judicial Officers :-Rule 15 will
apply for purposes of "Medical Attendance" on officers of the
Indian Administrative and Police Services and their families and
officers of the Andhra Pradesh State Higher Judicial Services and
their families.
Note
:-The Officers of the Andhra Pradesh State Higher
Judicial
Service will be treated on par with the members of
Administrative and Police Service.
the
Indian
19.
Treatment of T.B. :-(1) Rules regulating admission of T.B.
patients in Government T.B. Institutions and other Government
Medical Institutions where there are T.B. wards are given in
Appendix V.
(2)
The following private Hospitals which are in receipt of
grants from the State Government are recognised as treatment
centres for the Non-Gazetted Officers and Employees of Local
Bodies drawing pay not exceeding Rs. 300 P.M. and their families.
(i)
The U.M.T.B. Sanatorium, Madanapalle.
(ii)
Visrantipuram T.B. Sanatorium, Rajahmundry.
(3)
An officer who wishes to enter the institution for
treatment and claim reimbursement of the charges from the
Government should obtain in advance a certificate from the local
District Medical Officer to the effect that his case is one that
requires treatment in specialised T.B. Institution.
(4)
Ten beds in the U.M.T.B. Sanatorium, Madanapalle and five
beds in the Visrantipuram T.B. Sanatorium, Rajahmundry are
reserved in the general wards for the treatment of Government
Servants and members of their families.
(G.O.Ms.No. 1257, Health, Dt. 24-7-1956)
Note :-In the first instance the entitled person who has to
undergo treatment for T.B. should produce a certificate of nonavailability of beds in the nearest Government T.B. Sanatorium
and that admission against the reserved beds should be sought
only through the District Medical Officers of Chittoor and
Rajahmundry.
20.
Medical Advances to N.G.Os.:-Government Servants (nongazetted officers) are eligible for advances to meet the expenses
on medical attendance and treatment. The grant of advance shall
be regulated by the rules given in Appendix VI.
21.
Reciprocal Arrangements with other Governments :-The
Government of Andhra Pradesh have entered into
reciprocal
arrangements with the Government of Madras, Mysore and Kerala for
free medical attendance and treatment of Government Servants
while they are on duty or in transist at the Hospitals of the
respective Government, subject to the following conditions :(1)
Government Servants of any of the States mentioned above
will
be given free accommodation in class admissible
to
corresponding category of the employees of this Government,
surgical and Nursing services including X-ray examination, radium
treatment and such other special examinations as may be necessary
in respect of which facilities are available in the Hospital.
Special treatment shall also be given free of charge on the
advice of the Authorised Medical Attendant.
(2)
The Government Servant in question shall, however, be
charged for diet (in the case of Gazetted Government Servants)
and they shall also have to purchase such drugs as may not be
available in the hospital stores and may claim reimbursement from
their parent Government if it is admissible under their rules.
(3)
These arrangements have come into force with effect from
29-8-1963 in the case of Madras Government and 1-9-1963 in the
case of Mysore Government.
(G.O.Ms.No. 2382, Health, Dt. 31-8-1963
Health, Dt. 5-11-1963)
and
G.O.Ms.No.
2997,
Note (1) :-The families of Employees of Tamil Nadu are also
eligible for the above facilities when they accompany Government
Employees who happen to pass through and stay in Andhra Pradesh
on reciprocal basis.
Note (2) :-The Government Servants of Andhra Pradesh availing of
the facilities in the Medical Institutions in Tamil Nadu are not
eligible for T.A.
(G.O.Ms.No. 371, Health, Di;: 6-4-1976)
Note (3) :-Maharashtra State Government Employees are eligible
for free Medical Attendance in the Government Hospital of the
State on reciprocal basis.
(G.O.Ms.No. 971, M & H, Dt. 11-10-1976)
22. All categories of Government Servants and other entitled
persons who are eligible under current rules for reimbursement of
expenses on medical treatment within India would be eligible for
reimbursement of expenses incurred on medial treatment outside
India for which facilities are available in this Country also,
subject to the maximum of Rs. 40,000 (Rupees forty thousand only)
which includes, air passage of patient and expenditure incurred
towards Personal Attendant also.
They are also eligible for the reimbursement of the actual
expenditure
on such medial treatment where there are
no
facilities available in the Country. Expenditure on air-passage
of the person treated as well as the air-passage of the
accompanying personal attendant would also be reimbursed by
Government in such cases.
Note :-The Authorised Medical Attendant should certify whether
there is need for treatment abroad and prior approval of the
Director of Medical Education/Government in Medical & Health
should be obtained by the person who wants to secure treatment
outside the Country. The expenditure to be reimbursed should be
certified by the Director of Medical Education]. [G.O.Ms.No. 170,
M.&H. (Kl), Dt. 14-3-1985]
Authors' Note :-The ceiling of Rs. 40,0007- has been increased to
50,0007- vide G.O.Ms.No. H.M. & F.W. (Kl), Dt. 2-4-92.
APPENDIX I
[Vide Rule 3 (4) of the Rules]
The following Medical Officers are appointed to act as Authorised
Medical Attendant for the various State Government Servants and
other entitled personnel.
When treatment is obtained under Allopathic or Modern System
Medicine
1. For
Rs.
and
and
Government Servants drawing
500, and above per mensem
Members of the State Legislature
their families.
2. For other Government Servants and
their families.
Note :-(1) The term
includes
specialist
corresponding rank.
"Civil Surgeon
and
Honorary
of
Any Civil Surgeon
or the Medical
Officer of equal
Status at the
station where
the patient
resides.
Any Assistant
Surgeon at the
station where
patient resides.
and Assistant Surgeon"
Medical
Officers
of
(2)
At places where there is no Civil Surgeon or any Officer
of equal rank, the Assistant Surgeon residing at the place shall
be regarded as authorised Medical Attendant for both
the
categories mentioned above.
(3)
At places where there is neither a Civil Surgeon nor an
Assistant Surgeon the nearest Assistant Surgeon or Civil Surgeon
shall be regarded as Authorised Medical Attendant for both the
categories mentioned above. (G.O.Ms.No. 1792, Health, Dt. 7-61963)
When treatment is obtained under Indian Systems of Medicine
1.For Govt. Servants drawing
Rs. 500 and above per mensem
and Members of the State
Legislature and their families.
Gazetted Hakims and
Gazetted Vaids including
professors in the Indian
Medicine Service.
2.For other Government Servants
and their families.
Senior and Junior Vaids
and Hakims of the Indian
Medicine Department
including senior and
junior lecturers in
the Indian Medicine
Subordinate Service.
Note :-At
Vaid, the
places where there is no Gazetted Hakim or Gazetted
Senior and Junior Vaid/Hakim residing at the place
shall be regarded as Authorised Medical Attendants for both
categories mentioned above.
the
(G.O.Ms.No. 3290. Health, Dt. 12-1-1963)
APPENDIX II
List of Inadmissible Medicines
under Allopathic System of Medicine
A
Antiphlogi sting/Plaster
Aletris Cordial
Aspirin/Soluble/Tablets
Antiseptic Dusting Powder
Asoka, Vintone with/Cordial/
Compound/Cordial & Hormone
Asokavin/Asokaletris/Asokh
Ovarian Asavin/Asvan
Ovarian
Asavin/Asvan
Alcophiogistin
Alkas Eptal
Adical
Adjudet
Agretonicum/Ague Tonicum
Anto's Compound
Alopex Ointment
Alopex Tablets
Alvite/Capsules
Alvite Drops
Apaivite
Asmoplan
Antismat
Antechlor
Allistan Tablets
Aurinol Ear Drops
Anapolon Oxymetolone Tablets
Alcophenicol
Actilex Cough Syrup
Ademin Compound
Amfac Granules
Acilose Vaginal
Compound
Auralcain Ear Drops
Ancoloxin Tablets
Antihist Expectorant
Atropin
Acigel Vaginal Jelly
Anticongestin
Armolage
Anterline Cream
Asthma Nerrin Solution/Relief Powder
Avittemide Powder
Argentex
Aletris Elixir
Atomiser Rubber Bulb & Cover
Agres Tonic
Anacin
Algan Ointment
Aligipan Cream
Aikocitris
Antical Lotion
Alcohol
Acrifivin Lotion
Anteiflamin
Alkaline Citrate
A & D Vitamin Massage Oil
Aletritone
Amosan/Mouth Wash/Powder
Acimit
Algocratine Cachets
Allantoin
Allochrysine Suppositories
Anaardone Solution
Angioxyl
Antaiby Tablets
Antoxylin
Anti-Haemophylia Principle
Acriflex
Alka-Cip Tablets
Alka Seltzer
Alkia Saltraters
Allcook's Porous Plaster
Aimakal
Anadin Tablets
Analax Pastilles
Andrew's Liver Salts
Anestan Asthma Tablets
Angier's Emulsion
Anti-Kamnla Tablets
Ashton & Parson's Infants' Powder
Askit
Argusol
Alkasol 'C'
Anticirhos Tablets
Alkanant with Vit C.
Akin Malt
Aloes Compound
Aletrina
Anne French Cream
Abzol Powder
Aiopex Lotion
Albosang
Acid Glyceropepsin B-I
Antibactrin
Alkasin/T.F.
Anol Ointment
Alkacitrate Granules
Acid Salicylic Cold Cream/Powder
A & D Pearls
Antifule Tablets
Ayazol
Adrenaline Tablets
Adrenapax
Anklozid
Acid Carbolic
Adhesive Plaster
Arseno Typhoid Vaccine
Air Rings
Amorphos
Astergum
Aruna Utebin Tonic
Antiseptic Cream
Argentum 'Osool'
Atkison & Barker's Infants
Preservative A & D Pearls
Abdominal Binder
Aeri Flame
Agream
Antirabic Vaccine
Acecolex
B
Bi Glycero Pepsin
Brush
Bi Agarol
Buck fast Tonic Wine
Biphlogistine
Broom Liquid C Nebuliser
Bishop's Citrate of Lithia
Bendial Solution/Benedicts Solution
Bisuroids Laxative Tablets
Blair's Gout & Rheuma Tic Pills
Bonchi Oil
Box of Nutrotone
Bidelco
Benzocin Lozenges
Burnol
Belladonna Pigment
Brewer's Yeast Syrup
Bio-Sal
Bi-Chlorobutol Inhalant
Borofax
Boldine Houde Tablets
Burgoyne's Lodised Sarsaparilla
Biomin Syru
Brood Peroolator
Betalysin
Bacte Dysenter 1 phage
Bacte-lntesti-Phage
Bacte-Rhino-Phage
Bacte-Pyo-Phage
Bacte-Staphy-Phage
Benecardin
B-Tex Ointment
B. Neurophos Elixir
Bhustab
Biochlor Tablet
Boric Rectified Spirit
Biosodol Rulves
Broven Inhaler
Brooklex Tablets
Bacte-Coli-Phage
Bis-U-Mint Ovals
Bisurated Magnesia
Bisurated Magnesia Tablets
Bidel Compound
Blanchard's Female Pills
Binzoyl Perexide Woliey
Bioglan
Balsamic Emulsion
Barkers Biquid of Life
Bates & Go's Compound Breast Salve
Baxen Powders
Baxen Tablets
Beecham's Cough Pills
Beecham's Lung Syrup
Bynadol Liquid
Bertzyme
Bilogen
Becantex
Bronchinson Cough Syrup
Becophos
Brover Inhalent
Botonin Liquid
Borax Honey
Bairns
Boimage Paste
Bopoline
Bioplex Forte
Bishop's Varalettes Vichy salts
Blanchard's Female pills
Blinblow's Female Pills
Batlin Complex
Beg Vaccine
Bencard Allergy Remes
Blue Lion Fox Nuts (Shadfbrth's)
Bowden's Indian Balm
Box's Herbal Ointment
Bragg's Prepared Vegetable Charcoal
Beecham's Powders
Beltona Lotion
Bescorbon Medicinal Snuff
Bilas Pills
Bilson's Laxative Cleanser
Bishop's Natural Fruit Saline
Breege's Stamulating Ointment
Brocast Inhalant
Bunter's Nervine
Burgress Lion Pills
Bristayclin Pedatric Drops
Barley Peral
Breastpump
Banalon
Benaifet
Bio Malt
B.D. Min Elixir
Blinblow's Asthama Cure
Blinblow's Eucalyptus & Stramonium Cigarettes
Bonomint Laxative Chewing Gum
Bow's (DR) Liniment
Box's Indigestion Pills
Breecham's Pills
Beltona Antjuritic Tablets
Beltona Ointment
Betalax Drops
Bile Beans
Birley's Antacid Powder
Bishop's Varalenttes
British Sra Crystal Salts
Bromo-Saltzer
Burgress Lion Ointment
Buxton Rubbing Bottle
Barley
Bottle Feeder
Bepron
Beconex
Baby Oil
B.D. Vine
C
Calciba Syrup
Germicide
Calvimac
Chicken Essence
Cough Syrup
Calcium Vitamin Syrup
Carbonal Tablets
Catgut
C.T.L. Compound
Chloromex Syrup
Comitone Eilixir
Candinets
Calci-K Tablets
Cefral
Cohist
Cetavatione Powder
Corlisone
Collosal Argentum Nasal Drops
Combadex Cream
Calei Lacto
Cordial Asaka
Cusi-Ophtalmoloses
Loretinbesmuthic
Noviform
Vitaminic
Clasmiun Dearl
Cordiazol Dicodid
Cremiffm
Cotton
Cacton Glucose
Crulivex
Cough Mixture Syrup, Sandoz
Crook's Capsules
Calcium Cascinate Powder
Charcoal Tablets
Crook's Dandruff Lotion
Cystone Tablets
Cathetens
Corl Tar
Calcigenol
Citadel Fira Calcium with Vitamin C Tablets
Carsule Dutrain Cunberan
Collosal Argentum Opthalmic Salvimag
Croy Calcium
Cinerela Maritima Succur
Iodo-Rubidi-Calcium
Nizin
Subl Mine
Castophene Tablets
Calsalettes Tablets
Carter's Little Neve-Pills
Cassell's (D.R.) Tablets
Castellan No.l Cough Mixture
Castorets
Collosol Cup Um Orthalmic
Cardone Drops
Cholphytone Dragees & Drops
Cal-D-Min
Corvason Eye Lotion
Carbindon Mild
Colydeltra
Corvasymoton Eye Wash
Clarke's Blood Mixture (Tablet Form)
Clarke's Glycola Food Cream
Clarke's Medicine
Clynol Berries
Cockburn's Pills
Cogene Tablets
Collis Browre's (Dr.) Chloroeyne
Condy's Remedial Fluid
Constrpon Laxatives
Ceimo Tablets
Celunox Tablets
Collosol Gold Sulphid
Colofine
Corpus Luteum 'Aseitules'
Corpus Luteum & Mammary 'Palatinoids'
California Syrup fo Figs
Cryognine Catches & Tablets
Chemo Maltcalracreem
Carboxyl
Children Tonic
Casinone
Caliper including raising in the She etc., Complete alevator
Cream of Jujol
Curacho Emoraction
Cuticura Ointment
Chocolates Cotton Wool Cawtex Cold Creams
Cloth
Chardox Super Activated Charcoal
Chililine Ciofa Tablets
Cotton Wash
Casydril
Capsules Gelatine
Crebe Badage
Cusi Resolvent
Cocline
Carter's Little Liver Pills
Cas Ell,s (D.R.) Instant Relief
Castellan Children's Cough Mixture
Castols
Collosol Cuprum Solution
Collunovar Cullutoire
Cerebri in Palationoides
Calcium C.D. Inga Syrup/Tablets
Cal-D-Rubra with Iron
Calci Lysin
Cibzol Thrat Paint
Collofac
Cod Liver Oil (By James Co, Kepler's)
Clarke's Salve
Clarke's Skin Lotion
Cloister Neabal Tea
Cockburn's Balsam
Cockles Antibilous Pills
Cole's Family Ointment
Compericum
Congreve's Elixir
Couttis Acetic Acid
Celunox Ointment
Cethos Powders
Collosol Mercury Sulphide Solution
Conotramine Pessaries
Corpus Luteum 'Palatinoids'
Cotarine Hydrochloride 'Palatiooids'
Carmarole Compound
\
Cyclospasmoi Forte Tablets
Corpora Leu Ampltes
Cusi Denmoze
Crooks Emulsion
Chempho Feppon
Calsiloids Tablets
Calvox Ointment
Chpaln Tonic
Curicones
Cystex Tablets
Coconut Hair Oil
Cotton Boric
Carwant Lotion
Cephos Tablets
Chardox Tablets
Ch Coloids
Clarke's Blood Mixture
Carica Tablets
Calogen
Completone
Charim Tablets
Calavix Cream
Caicieshlin
Carapeplic Paints
Creamalin
Cadimalt
Carbo Citra
Corn Cure
Collo Calcium
Caifason
Cologne Water
Caripeitic Liquid
Chronalgicin
Calso-Bec
Cytamen
Carnigen Drops
Chem Tonic
Compound Hevimin with Polic Acid
Carica-Leptol with B Complex
Calci Lacto
Cream
Chewing Gum, Jyrothricine
Citro-Lemon
Coll-Cal-d-El ir/Tablets
Colossal Iwche
Cylinder (Oxygen)
C.H.O.
Corpora Lutex Capsules
Calzana
Cutiract
Casvac/Cas-E-Vac.
Carnigen Drops
Chem Digestin
Chemotone
Carica-Leptol
Crook's VD
D
Durol/Liquid
Dustina Powder/Antiseptic
Decholine
Dressing, Surgical
Digestive Syrup
Dagra Honey Syrup
Diabetox
O.K. Salt
Duphasol Vit-D-/-3/VIT
Dinosignatol Chesedon
Dextranil-D
Danish Ointment
Dentol Toothache Powder
Digestif Rennies Tablets
Ointment & Suppositories
Dehydronmise & Rosterone Tablets
Daya Mineral
Duodenin (Palatinoids)
Daisy Powders
Damaroids Tablets
D.C.L. Vitamin B Yeast Tablets
D.D.D. Prescription
Deokin's Inflammation Remedy
Dettolin Gargle
De Witt's Cotarrhal Cream
De Witt's Little Laxative Pills
Diotex Tablets
Dinneford's Magnesia Tablets
Dinneford's Pure Fluid Magnesia
Dodd's Kidney Pills
Dol's Voltalise Rub
Dextrosol
Deschiens Syrup Hemoglobine
D.D.D. Lotion
Dandruff Lotion, Crooks
Ducogen
Digest
Digesol
Dusent
Deimor
Diaphregin Jelly
Diporosin
Dupharsol
Diorcin Cream
Decomalt
Delvit Liquid
Deschln's Syrup of Haemoglobin Degalan
C Vit. B-12
Delbiase Tablets
Digestin
Duodenin Tablets
Daisy Tablets
Davis's (Dr.) Famous Femable Pills
D.D.D. Baim
Dekin's Lung Healer
Dettol Ointment
De Witt's Antacid Powder
De Witt's Kidney & Bladder Pills
Digestif Rennies Tablets
Doan's Ointment
Dicey's Dr. Batemen's Drops
Doan's Backache & Kidney Pills
Do-Do Tablets
Druy's Infant's Preservative
Depil
Deschiens Syrup Hepathemo
Detensyl Tablets Vegeto-polyhor
Di-Iodo-tyrosone
Dismensol Tablets
Dolchin Tablets
Duoformula Tablets
Distlled Water
Dropper eye
Distigethin
Depilatory Wax
Ditralka
Dietary Supplement
Di-lodotyrosone Tablets (Pabyrn)
Do-Do Pastilles
Drexamine Cream
Dutch Drops
Digene
D.D.T. Powder
Dollorin Cordial
Devibiso
Diana
Dollorina
E
Eledrin Dried Milk
Extra Sterilised Pads
Eozenorm
Elixir Muritunint
Eupeptic Tablets
Enzyindrin Syrup
Evahotia Tube
Eard 'Alibour'
Enthodryl Capsules
Energon
Epcol Cough Syrup
Exlixir Heposim C extra Polic Acid and B-12
Elixir Poly-B Complex
Emblelix
Eskay B-l
Eve's Cordial Enden drops
Elixir Viveta
Elixir Morhuvine
Eskay 'B'
E.C. Lotion
Elliman's Universal Emebroction
Episocal
Elixir Peptenzyme
Emp. Belladona Liquid
Eye Wash
Entero Surphazyme
Ethobral
Elixir Embrocation
Eledon Electric Vapourizer
Eiosol 10% Drops
Eade's Rhematic and Gout Pills
Elixir Gynol
Elixir Vali Vrom Evans
Elasto Crepe Bandage
Acidophils
Eade's Antibilious Pills
Egyptain Salve
Elliman's Athletic Rub Monic Hypotensor
Elixir B C Mineral
Elixir Vital
Ethi Vite Syrup
Elixir Ferveromyn
Ex. Tross
Elasmin Pearls/Drops
Elixir Thiaden
Eximalt (Evenest)
Ephomag Elixir/Tablets
Erythron Forte B-12
Elixir Utaferron
Ephemix
Elixir Panther
Elixir Vimelto
Elixir Pynoyin
Elixir Keliples
Elixir Lacteena
Elixir Combitone
Emulsion Hypophosphate
Effico Tonic
Elixir Phosferine
Elixir Com Forte
Elixir Neo Cordial
Eutheria Cream
Essence of Chirata
Ext. Ergot Liquid
Ezotine Espiq
Elastic Bandages
Essence of Pepermint
Eskay B Complex
Effevescent Sandostin Tablets
Elixir Calici Lysine
Elixir Combitone
Elixir Val Bromide Smith
E.L.A. Emulsion Lactobacillus Emge Tablets
Eade's Universal Anodyne
Elasto Nature Salve
Eno's Fruit Salt
Ephedan Powders
Elixir Vitabin
Elixir A.D.M.
Essence of Chicken
Ecsolent Compound
Elasto Tablets
E.N.T. Nerve Powders
Ex-Lax Chocolate Laxative
Esobactolin Capsules
Elixir Aminoxyl
Elastic Plaster
Ephadibe oil Drops
Eko
Eimbalm Skin Ointment
Ephedrol Inhalant
Eskay B Complex F
F
Fever Powder
Ferro Drakshomalt
Fevromyin Elixir
F. Liquid
Foliplex
Felatone Syrup
F.99 Capsules & Ointment
Ferrum 'Oscol'
Fosfexyl Pills and Syrup
Falcone's Golden Compound
Famel Pastilles
Feenamints
Fenning's Children's Colling Powders
Fungus C Prednisolone
Florozone
Fri-Pyrine
Feroglobin
Franol K
Feroldm
Fitilin Revitalising Rub
Freeman,s Chlorodyne
Fructolax
Fulier Brand Celery Perles
Fruit Salt
Feeder Grip Tight
Fenning's Fever Mixture
Fennings' Ointment
Fennings' Stomach Strengtheners
Fennings Whooping Cough Powders
Ferute Elixir
Firth's Green Salve
Fissan Anal Suppositories
Fruligar
Fellow's Syrup
Female Cordial
Felosol
Ferro Blinin
Floss Silk
Fosdexyl Pills
Fematone
Fruitlan Per Bravais
Fertilol Cream
Fructol Blackcurrent and Lodine Pastilles
Famel Syrup
Penning Adult Cooling Powders
Fungex Cream
Fruit-Lax
Fehling Solution
Farex Franol
Franol-Te
Fissian Paste
Formitoral Formaline Pastilles
Fr Esone Corn Remover
Fructole Carpinal Co. (Mayfair A Brand)
Farilan Ferromalt
Fenning's Little Healers
Fennings' Rheumatic and Erysi-Pales Drops
Fennings' Warm Powders
Fibron Adrenaline Cream
Fissan Anal Ointment
Fissan Dusting Powder
Fynnon Salt
Ferrylyn Finiex
G
Gum Paste (U.D.Co.)
Glass Urinal
Gynosedan
Glycodin Lozenges
Gripe Liquid
Grimix Gets-It
Gum Paint
Glycero Pepsin, Bi
Gluesein
Gasex Tablets
Glycomalt
Genatone
Grasshopper Ointment
Gilley's (Dr.) Herbal Laxative
Gluco
Germex
Gharbinol
Glycoactophos
Gulioix
Gastridine
Gingivities Powder (Special)
Gajjartone
Gripe Water Carminative (Woodwards)
Gripe Syrup
Glaxo-D
Gynedal
Glucose Solution Crooks
Glucotone
George's Pile & Govel Pills
Germolene Blood Purifier & Tonic
Germolene Tablets
Gripe Liq
Glysovit
Glycomal
Gynaecolin
Gameno Essence
(Gemenol Laboratories) G.S. Tablets
Gar Antiseptic Ointment
Gee's Lobelline
Genasprin Tablets
Geroge's
Gravel Pills
Galacogeno
Grape Sugar
Gluco Vita
Germoloids Suppositories
Guy's Tonic
Gelonica
Glase Rod
Geneline
Gharbionl
Gripe Ease
Gynedol Liquid
Gripe Water (Warden-India)
Gripe Mixture
Gripe Cardial
Guncetta
Grimault Haemoglobin Forte
Glucose Tablets
Guy's Linctus
George's Pills for the Piles
Germolene Ointment
Guy's Fruit Pills
Goulard's Lotion
Guttac Ephidrine
Gastrozy W*
Glyce-in extract of Red Bone Marrow
Galnoid Guipsine Pills
Golloway's Family Lung Syrup
Garlisol
Gee's Lobelline Lozenges
Genosal Nasol Cream
Gremicide
Ginkola
Geenfield's (DR)
Whooping Cough Mixture
H
Hodge's Pessary
Hinco Tonic
Herbs
Herbolcx
Hair Lotion/Tincture
Halabak
Hepacod
Honey
Hepoblum
Halibutol Orange
Haliborange Large
Huxloy's Nervigor
Heart Drops
Halibut Oil Capsule Liver
Hemo Ashoka
Hemostyl Syrup
Halingol
Haliborrnge
Hepoferrum
Himco Tonic
Herbal Bitter
Herbolax Strong (for constipation)
Himrod's Cure
Haromo-Gerobin
Hevitron Liquid
Hepatone
Hepanima Forte
Halivitol Orange
Hipro Milk
H2 02 (Hydrogen Peroxide)
Hexare
Halibut Orange Liquid
Hepatoglobin
Haumas Bro
Hemopato (Grimoult) Elixir
Hydremin
Henopital
Hydrine
Heposim C Vit B 12
Halloway's Pills
Hooper's (Dr.John) Fefale Pills
Hytex Pile Balm
Hepachol
Histamine-B.D.H. Ointment
Hair's (Dr.) Asthma Cure
Hair's (Dr.) Bronchil Cough Remedy
Hair's (Dr.) Liver Pills
Harlay's Three Salts
Hewlets Mixture
C. Bismuth Co. C Opium
Haemoglobin Elixir
Hay ward's Tonic Wine
Havimin Co Folic Acid
Huxley's Wintigen
Hame Malt
HI-Nutome
Vit Elixir
Hicolin Elixir (Cough Syrup)
Hewlett's Teething Jelly
Hinksman, Asthma Smoking Mixture
Hazeline Snow
Haemogastine
Hepagest
Holinspray
Hermo Be Dozo
Hablorane
Herbile Pills
Healex Skol Antiseptic
Hinksman's Asthma Reliever
Holloway's Ointment
Heamopetol B Complex
Hemo Gynol
Heamorrh Didal Ointment
Homocea Ointment
Hoyle's pure Vegetable Viscous Oil
Hesanol Ointment
Halmegon Tablets
Hypotensyl Tablets
Hair's (Dr.) Asthma Cure Pastilles
Hair's (Dr.) Catarrh Cure Pills
Haratax Tablets
Hepatex Malt Liquid
Hewletts Mixture Peqsin
Haemoglobin Forte
Haemoglobin Syrup C B 12
Halycitrol
Health Salt
Hydro Protein
Hemibhos
Hepsonin Elixir C Extra Folic Acid Heme-Cal-& Vit B 12
Herbalene (Lusty's)
Hinksman's Asthma Cigarettes
Holdrod's Gravel Pills
Hygiene Powder
Haemobin
Hepels Coy
Hind's Cream
Hachemina
Halingol
Hinksanm's Asthma Cigarettes
Health & Healther's Catarrh pastlles
Hockin's Remedy
Haemogasting Tonic
I
Itinsucrets
Iso Calcium
Irrigator-Piple
Ina Carabin
Inhalur Huxley's
Iodine Ointment
Iversal Lozenges
Indian Create
Inositol Capsules
lodi-Peptone
Ideal Warming Liniment
Irosol Syrup
Iodine Model Aseptic Ointment
Ionised Lodine (Molson) Brand
Iron Putty Fitting C pully
Isocol
Insanity Cure
Irrigator
Inteb Tablets
Influenza Tablets
Indu Compound
Iodised Sarsaparilia
Iglodine Antiseptic Ointment
lodemex
Iodine Black Current Pastiles
Ivax
Ice Cap
Infant's Friend
Ina Carabin
Ipsolin Rheumatic Baim
Irovna Tablets
Iodise Throat Tablets
lodalbin
I-so-Gel
Iso Glutumalt
Ice Collar
Ipca Malt
Indo-Rubidi-Calcium Ophtharmix Ointment - Cusi
Ice
lodoform Powder
Ivi-Malt
Infantone
Intrait de Matron D Inde Dausse Solution P
Iglodine
J
Jackman's Convulsion Cure
Jyrothricine Chewing Gum
Jif Neuralgic Powders
Johnson's (Mrs) American Soothing Syrup
Juvinin Tablets Complex
Jests Tablets
Jordan's Gin Pills
Jamins Liver Cure
Jenner's (Dr.) Absorbant Ozenge Brand Digestive Tablets
Juno-Junipah Salts (Powders & Tablets)
Jayakar's Convulsion Cure
Jamins Liver Cure
Jackson's Febrifuge
Jocigares
Juvigold Gland Tonic
K
Kruschen
Kepler Multivite Capsules Large
Kepler Malt Extract C Shark Liver Oil
Kepler's Cod Liver Oil C Malt
Kalei
Karsotein inhalant
Restorative Pills
Kephaldol Pectoral Cough Lozenges
Kepsins
Karmoid Tablets
Keswick's Pure Vegetable Charco-lax (Tablets)
Ki-Uma Ointment
Kompo (Dr. White's)
Kerol Medical Capsules (Gastric)
K-5 Hair Tincture
K. Liquid
Keplex Keplex Elixir
Kim
Kediprin
Kaomagma C Pectin
Kalzana-D
Kalms Tablets
Kutnow's Powder Kettle
Kasbolin Karo
Krooks Saline
Kepler's Multivitamih Capsules
Kepler's Cod Liver Oil
Kaima
Karsodrine Inhaler
Kyae's Worsdell's Vegetable
Key's Linseed Compound
Kephaldol Tablets
Kaputine Powders
Keswick's Pure Vegetable Charcoal
Ki-Uma Plasters
Kipak Vapur Rub
K. No. 2782
Korey Tablets
Kerol Medical capsules (Intesinal)
K-Salt
Kapilon Drops
Kardyl Prickly Heat Powder
Kossom Broadway
Khasinol (Cough Syrup)
Kurazol
Kylon G.F.4
Kotalko
Kwell Travel Sickness Remedy
Kotex
Kasan
Kofhol
Lysterin Antiseptic Liquid
Lotion, Crook's Dendruef
Lint Camphor
L
Liofex
Lotion Eusol
Lerestidin
Larestidin
Liver Cure
Lactose (Powder Form)
Lysofer
Lodhrinol
Ligricis Carlimix Zinc Cream
Lipsa Digest
Liver Oil Capsules
Laxil
Liniment Terpentine
Liniment Belladonna
Leetz Malt
Leetz Compound
Liquid Ext. of Lodh
Livoderm
Leukora
Loctopeptine Powder
Lalkala/Lal kala Cigarettes
Langdale's Compressed Cinnbamon Tablets
Langdaleis Compressed Self-Aid Peppermint Tablets
Lykaclin
Limical
Lysofos
Lena Protomin Syrup
Lysotone Liquid
Liximent
Lantigen A
Lantigen C
Lantigen E
Lecithiz Alb
Lipamensin Tablets
Luteomension Tablets
Lymphatic Capsules and Tablets
Listerine
Little Victor Inhaler
Lloyd's Adrenaline Cream
Lombio Suppositories
Lusty Garlic Tablets
Lysolats
Leucoplast Elastic For Chaste
Lint Absorbent Protein/Ledinac
LecivinLe Rei Albanian Salve
Lemadine Liq Ext. Arjuna
Livermight
Linctoid
Liqufruta
Lacto Kadline
Ladkovine
Liver Capsules
Lisoform
Lactolin
Low Elastic Sacroiliac Belt
Lint Anodyne
Lysatone
Lactodex
Laxative Tablets
Liniment Embrocation
Liniment Lim Abe
Leetz Cough Syrup
Leetz Pypin
Lipobets
Lead Lotion
Lidocation Jelly
Lactopeptine Tablets
Laedo Towels
Lysatone
Langdaleis Concentrated Medical
Lyraton
Liquid Pocitron
Lykacilin Drops
Libatone Ferri
Liquor Diastose
Lactated Pepsin Elixir
Livoderm
Liver Exrtract Ointment (Tcf)
Lysatone B-12
Lactodacilline Tablets
Lantigen B
Lantigen D
Lantigen F
Lenigallol (Knoll)
Loretinbis muthic Opthalmic Ointment Cusi
Lactopeptine Elixir
Little Movies
Lixenr Elixir
Lombio Lotex
Lyco Yeastlets
Leucoplast
Ladeo
Lint Salgeylic
Ledinac
Laxobac
Laxative Chocolate
Lexbsoni Cap
Lewis
Lewis's Drops
Licoricine
Limestone Phosphate Compound
Linctoid Pastilles
Lemon Barley
Lysol
M
Malto Min
Milkan Paste
Maternity Belt
Manestrin Capsules
Minaferrol
Minivtone
Multitone
Magsil Tablets
Massive Drops
Manner's Gripe Misture
Maltovit
Malt Vitonin
Mand H Emulsion
Methyl Testo Viron Tablets
Magsulph Cream
Medica Belt
Minules
Multivitamin Fipa
Mycodecyl Pomade
Moryl
Masse Ointment
Mist Seilleac
Methugum Tablets
Mettural
Metules Sandoz Capules
Molivex Compound
Magnogone Tablets
Mammary Gland 'Palatinoids'
Muscle Extract - Oxoid
Mac Brand Antiseptic Throat Sweets
Mcclure's Crescendo Vitamin Tonic Syrup
Mcclure's Oxogen Tablets
Mcclure's Glucomel
Mcclure's Vaposan Outfit
Mitson's Liver
Mulvilysin
Mebran Elixir
Multivit Candy
Malt Iron
Mivets-G Tablets
Metacin
Mag Mag
Melba Iodised Throat Tablets
Mendaco Tablets
MentexMentholatum Antiseptic Nasal Liquid
Mentholatum Blam
Milton Antiseptic Ointment
Moffat's (Dr.) Remedy
Moorland Indigestion Tablets
Moton's Elder & Peppermint Life Drops
Mothersill's Sersick Remedy
Milkan/E.H.
Massage Oil
Meads Protein
Metametrol
Methofar
Meta Metron Tablets
Multi-Tonic
Malt Vitex
Milko Mag Tablets
Malto Vito
Malt-vitol
Malt Viron
Myn Berry's Compound
Meta Drops
Maltograf
Maclean Indigestion Powder
Mandle's Throat Paint Solution
Minavitol Syrup
Mycedecyl Powder
Massy's Nipple Ointment
Masse Nipple Cream
Mixture Tone
Mount Malt
Maganatone
M. & H. Elixir
Mebradal
Mammary Capsules & Tablets
Manganese 'Oscol'
Myelin Capsules & Tablets
Mcclur's Balsam
Mcclure's Ephedrine Nasal Catarrh Specific
Mcclure's Glucose Tonic
Mistferri Et. Ammin Cit Multivitaplex Elixir
Minervin
Mulvit Syrup
Malt Vitex C Iron Mivets Tablets
Minaferol Vit. E.
Mercolized Wax Mixtures (Only Patent mixtures as Ague
etc.,)
Mensal Pills
Mil-Par Brand Laxative
Mistol Drops C Ephedrine
Monsol Throat Pastilles Morse's (Dr.) Indian Root Pills
Mixture,
Mother Siegel's Digestive Syrup M-Rex Pile Ointment
Maclean Brand Stomach Powder
Milton Tablets
Myrone Tablets
Maclean Brand Stomach Tablets
Magslate Tablets
Marienbad Anti-Obesite Tablets
Mathews' Fuller's Earth Cream
Medilax Laxative Pellets
Meggezones
Morhussion
Malt Oslo
Mackintosh Sheeting
Mandy Paint
Malt C Cod Liver Oil (Allen & Haily)
Mavilot Malt
Malt Kepler
Malt Easton (if given to adults)
Massive Vitamic
Muller Nutrient (The)
Milkan-C-Cod Liver
Malt Extract C Cod Liver Oil (A &H Co.)
Marmite
Musterold Mustaraed Ointment
Manola
Mistona
Magtriz Powder/Tablets
Man Zan Pile Remedy
Marmola Antifat Tablets
Mecca Pastilles (Gibson)
Meggeson Bismuth Dyspepsia Tablets
Medgodin
Malt Vitex
Malt Nesto
Material (Dressing)
Milk of Magnesia
Migoren Pearls/Drops/Capsules/
Tablets
Malt Compound Navitol
M.D.Towels
Mandol Malt
Multione
Measure Glass
Malt Extract (Magna Malt)
Metatone
N
Nutrima
Nutrone
Nutroton Box
N.E. Sulphar
Neuro Phosphates
Nephril Tablets
Nierph Tablets
Nycil Powder
Nephritin Tablets
Nizin Ophthalmic Ointment-Cusi
Nasimint Snuff
Naturpeat
Nemolin Pile Ointment
N.E.T.C.O. 444 Pills
Necoferin
Nervorite Mine
Nervigor
Navitol C Vids Terol
Nejdrugen Tablets
NavitolNutrinatal Tablets
Neo Sedalcer Tablets
Nuropep
Nobedon
Neurophos
Needle Hypodermic
Nursing Powder
Navitol Malt Compound
Nutrition/Capsules
Nutrotone
No Pain
New Dentol
Neuro Phosphite
Nufer Tablets
Nycil Ointment
Neo Kin Syrup
Nicamide Solution
Noviform Opthalmic Ointment-Cusi
Nature's Herbal Ointment
Nemakol Brand Nasal Compound
Nervoids
Nivea Cream
Norway Cod Liver Oil
Nisko Sap
Neuro-Lecithin
Nionate
Netrada
Needle Nozel Set
Nutro Lysate
Nico Flavin
Neurona B Complex
Noval-Gin Quinine Norasirob
Neogynges Neadallit
New Sphagol 10% Ointment
Nigroids
Nonn Tablets
Nostroline
Nasal Remedy
Neko Soap
Nestomalt
Nestrima
Noxacorn
Neson Inhaler
Noviazol
Nestargel
Nursing Case Book
Niblettis (Dr.) Vital Renewer
Niptis
Normo Gastrine Tablets
Nujol
New Dentol
Neutroxides
Norton's Chamomile Pills
Nurse Hrvey's Mixture
Natrum Phos
Nixoderin Ointment
Nevea Skin Oil
Nipple Shield or Nipple
O
Oriental Balm
Oral T.
Optibits Abott
Ovoto Line
Olive Oil & Cod Liver Oil
Ortho Applicator
Opterex Eye Lotion
Omega Oil
Omnicidine
Oxycide
Opimalt
Optinal Eye Drops
Opo-Iodamelis Tablets Female & Male Formula
Orchitate (Pabyrn) Liquer, Pessaries & Tablets
Ovacoids Tablets
Ovarian Substance 'Palatinoids'
Ovarian & Mammary 'Palatiniods'
Ovarion & Pituitary 'Palatinoids'
Ovary Whole Gland Tablets & 1 oz., Desiccated Powder
Orchitin 'Palatinoids'
One Day Cold Cure
Opas Maclean Tablets
Osborne's Mixture
Owbridge's Lung Tonic Pastilles
Oxien Pills Orlivit
Oxygen Cylinder
Ointment Milkan C Cod Liver.
Oleum Arachis
Olive Oil (External or Internal)
Oralex Liquid
Onim (Male)
Okasa Tablets
Ossivite
Opicycline Capsules
Optisol Eye Ointment
Opimalt Syrup
Oberlin Granules of Chicken Embryo
Orheptol/Oratol
Orchic Substance Emplate (No. 5)
Oleum Araches
Oriviford/Oates
Ovarian Residue 'Palatinoids'
Ovarian Substance Emplets
Orange Squash
Ovary Residue Tablets
Ove-Sedicy 1 Dragees
Odds On-Liniment
Oiled Rayon
Opas Maclean Powder
Oralax Tablets
Owbridge's Lung Tonic
Oxien Nerve Tablets
Oystral Tonic
P
Perandern Linquets / Ointment
Pablum (Cereals)
Pessary
Paste
Phosphotone
Powder, Antiseptic, Dusting
Pryrodent
Pulverizator For Oily Liquids
Peranden
Pepsindon Tablets
Pepsin, Bl Glycero
Palmolive Shaving Cream
Phosphomalt Powder Dusting
Primoderm Mild Cream
Pilex
Petrocil
Panthesin Balm
Piex Ointment/Tablets
Pecto Malt
Potcholra Powder
Potassium Chlorate
Phospho Cynamin
Phospho Lecithin Pikacid
Primospasmyl Tablets
Panhepar
Pharma
Protein
Pentrol Sulpha
Protein Hydrosylal
Peptovintone Pepsinol .
Phosphogdine
Pharma Compound
Pearl Barley
Phinl Halycitrol Crookes
Plinasine P.V.P. Solution
Paragon (Reel)
Polyvitin Capsules' Protomyl
Panadantam
Powders (Prepared From Patent medicines or
Johnson Powder, etc.)
Parathyroid Hormone
Parathyroid Gland Tablets-Oxoid Pedaform
Phenascodin
Protinex
Patent
Powders
as
Parculla Eye Drops
Proteinsol
Petterson's Oky Pills
Pepsi Digestive
Pineal Compound
Prenatal Capsules
Petromulsion C Gualia Col
Protomino
Panzynorm Dragees
Phosellite C
Pharmalene Ointment
Phenoda Phenate of Soda
Phillips Pure Live Yeast Granules
Phosferine Health Salt
Phyllosam Tablets
Pierre's (Bather) Monastery Herbs
P Ends Tissues
Peps
Pyson Moilam Watch
Poly-Mlat
Pepsonin Liquid
Polybactrin
Potassium Chloride
Pulmocod Creasote Cuaiacol
Phosphokem
Protodol
Pyorine
Ptychosoda Tablets
Plebex Capsules
Pe'diatrin
Protine
Protovine
Pepsinal
Promolan
Prolypo
Plaster Zinc Adhesive
Phosperine Syrup
Panovin/Compound
Paloll
Pasiso Viteve
Pacto Calcium
Panthor (Cough Syrup)
Pigment No. B1-421
Polythene Tube
Pacyl Tablets
Pancrex
Parenteral
Parathyroid Gland 'Paratinoid's
Parvestin
Petroloyan Forte
Protinules
Pepsin Compound
Pocitron
Protisol
Progneter Cream
Pepsi Digestine
Pyrgasol Lozenges/Tablets
Patromulsion
Pasuma (Strong)
Pheriban Tablets
Pramilets
Penotrane Pessaries
Phenalgin
Phensic Tablets
Phillips Pure Live Tonic Yeast Tablets
Physikurate
Pimplem
Pip
Peptalmina Dfagees & Granules
Phenurone Tablets
Parathyroid Granules & Tablets
Pitexan Capsules & Snuff
Prostiate Tablets
Phychil (Succini) Dinitril Suppositoreis
Page Wookcock's Wind Pills
Permint Double Strenght Concentrated Essences
Penetrol Drops
Penetrol Inhaler
Perivale Chidlain Ointment
Pylatum Regulators
Pyorrhosol
Powder Nursing
Petein Vaccine
Plaster Elastic
Pot Urinal
Pastiles M & E
Provatol
Phliuatyan
Preguenolone BDH Tablets
Pineldptus
Peastilles
Pineoleum Inhalant C Ephedrine
Plak
Pineoleum Ephedrine Jelly
Pond's Extract of Hamarmelis
Poor Man's Friend
Potter's Catarrah
Pastilles Prodorm Cream
Purnol
Pastilles
Puri-Lax
Pads Corn
Powder Colgate
Powder Baby
Pulmal
Protinal
Pot Urinal
Powder Cuticura
Powder J. & J. Baby
Purgolin
Phenyle
Phrenazol Solution & Tablets
Primodern Ointment
Pregnenolone Galssettes
Prostate Gland Palationids'
Ptyalin
Panacel Antiseptic Ointment
Pateruoster's Cout & Rheumatic Pills
Pellanthum
Penetrol Inhalant
Penetrol Pastiles
Pyalatum Ointment
Pylitha Aperient Tablets
Powder Maclean Stomach Frip
Pylitha Pile Powders
Paints Carepeplic
Paste Tooth
Pins Saiety
Protopine Elixir
Procarmine
Pineal Capsules & Tablets
Pineate Honey Cough Syrup
Pineoleum Inhalant
Pinkettes Tiny Laxative Pills
Platts (Dr.) Rinex Prescription
Pond's Ointment
Potter's Asthma Cigarettes
Presto Powders
Propax Tablets
Purgen Tablets
Pads Scholler
Powder Hygiene
Powder Himalaya
Plastic Elastic
Protein Ledinac
Pablum Meads
Powder JB
Powder Talcum
Pelargen
Protolan
Plaster Sticking
Pins Safety
Paste Tooth
Q
Quaker Oats
Qumaresh
R
Robuden-G
Rubuden Dvod
Reverbin Inhalant
R.S.M. Rhinx Mild
Rheumetol
Robuden Tablets/Capsules
Rubuden Inhalant
Robert Tablets
Rhinx
Rheumason
Rheumenton
Rheumatia Tablets
Roy Pills
Rubriment-Liniment
Retrobberry compound C. Lysine
Ralciplex Dragrees
Rheumogen
Raoche's Embrocation
Rubber Tubing
Reverbin Inhaler
R. Compound
Resolvent Ointment
Raicrizyme
Remelysine Syrup
R.C.K. Tablets
Red Bone Marrow, Glycerin
Extract Glanoid
Rectarcycle Tablets
Riodine Capsules
Radiana Dressing
Radium Buxton Crystal Salts
Rankin's Ointment
Renita
Redigubil Water
Raymoids
Reader's Egyptial Salve
Redux Herbal Tea
Rexall Bisma-Rex Antacid Powder
Rahuke Sweet Digestive Syrup
Roberts, Craupline
Rectified Spirit
Rayon Oiled
Reto Super A & D pearls
Royal Oonim (Male)
Rubriment Lotion
Resyl
Rexali Orderlies
Rinoxe Capsules
Ru-Mari Compound
Rottar Tablets
Roter Tablets
Ripasen
Ranvitol Tablets
Remelysine Drops
Rumalaya Cream
Relomen
Red Bone Marrow Powder Glanoid
Roid Adhesive
Radio Bonco
Robaden Tablets
Radian B Lininment
Rand's anisaka Pills
Raspails (Dr.) Female Pills
Rose Water
Radio Malt
Readers Express Powders
Red Band (Bismuthated) Magnesia
Reguletts
Rexal Bone & Nerve Liniment
Rheumagic Oils
Rookers (Dr.) Oriental Pills
Rubber Sheeting
Radiostolem
S
Sani Malt
Sedapex Liquid
Stirring Rod
Super De Pearl
Sexina Sia Cod Liver Oil
Spirolon Cream (for gum Massage)
Sen's Stomach Cure
Stovina Forte
Sandozol Tablets
S.P.R. Compound
Scurfol Syrup Codifbmom
Savalone Antiseptic Lozenges
Sterodin
Syrup Mechtol
Surahalli Kasaza
Spray
Sponge Spongostan
Syrup Hevimin
Solan Balm
Sani Vidol
Sugar of Milk
Syrup of Figs
Sandoz Tablet
Safi
Spirocton Cream (for gum Massage)
Sperm Tablets
Super Malt
Syrofig
Siotrate
Sureyal
Syrup Grimalt
Syrup Methischol
Solvent
Sleeping Medicine
Soda Lime
Salidex (Superb)
Syzygium Tablets
Syrup Calcium Hyprozando
Sanitary Pads
Syrup Foli Complex
Scepriro Tablets
Senakot
Spray Shinobiotic Ephidrine
Sirop Decomphopneumine
Syrup Erythron
Syrup Alarex
Suppromide Tablets
Sidcitrate Liquid
Sanatogen
Semprin (Child)
Siotone 863
Soda ginvet mint, Tablet
Spirodin Solution
Sirolex Cough Syrup
Stomach Cure
Stimulants
Senagran
Solaspin
Sebhoric Lotion
Sulpholine Paste
Sirismals
Sanividol C creasote
Syrup Elixir Valinan
SuoretsSoframisone Collyrium
Sustagen
Sedo-Corodie
Supanenal Whole Gland, Tablets
Suptheen
Synthobilin
Sedax
Samona Tablets
Sanderson's Coung Linctus
Supavite Capsules
Supep petomalt C Lysine
SimcofSweeten Bottle
Steradent
Swax
Salvizol Lozenges
Super Neo Cod
Surgical Cotton Dressing
Suspended Suspemsory Bandage
Schoum Solution
Sedulon Syrup
Soderseine Solution
Splean Tablets
Sorbiline
Sublamine Opthalmic Ointment-Cusi
Singha (Dr.) Asthma Tablets
Slaon's Liniment
Snowfire Ointment
Songo
Syrup Mechositol
Sante Pastules
Syrup Thio-Kaf-Ephidrine
Su-Mag
Sprayer
Somegen
Sumegil
Softsules A-D (Vit.A & D) Capsules
Solgadine
Stan Malt
Super Forte
Spolax
Sopamycetin Syrup
Sulpha-Qunio-Bael
Septilin
Scariet Red Ointment
Spinal Support C Dunlop Pillow
Cushion Solvozyme Spt. Vinam Galicil
Sulpholine Ointment
Siri Malt
Spinal Brace
Syrup Mithiazole
Sedalcer Tablets
Salphur Bitter
Stancoll
Supernal Gland 'Palatinoids'
Suprarenalin Tablets
Synthalin Tablets
Sal Alterata/Sal Hepatica
Saifo in Hay Fever Salve
Sanacine Cough Mixture
Sanderson's Throat Specific
Surama Medicated Cigarettes
Shericainis
Siokoff Syrup
S.P. Vita Syrup
Sedatin
Supositous lilicensia
Spirit Rectified
Stretched Abdominal Belt
Swabs
Sedicyl Tablets
Sobisminol Capsules
Sodium Supphocyanate Elixir
Stoniform, Dusting Powder, Lotion,Ointment & Tablets
Syrup Sadaplex
Singleton's Eye Ointment
Smedleys's Paste
Snowfire Healing Tablets
Soto Antiseptic Mouth-Wash Tablets
Sphagnol Lotion
Salt Andrew's Liver
Sacro-llliac-Belt (for treatment of Osteo-Arthritis).
Spasmo Pertusol
Schifimann's Dr. K. Asthmador
Seprolin Petroleum Emulsion
'Seven Seas' Cod Liver Oil
Shadfofters Tablets
Shurzine Antiseptic Ointment
Slif Obesity Tablets
Simpson Blood Cleanser (Iodised)
Simpson's niblain
Simpson Seaweed & Celery Tablets
Sanitary Towels
Safety Pins
Sulphe Gaicelated Neogodine
Sandal Wood Oil
Spirit Methylated
Stomhepar
Sure Shield Fruit Laxatives
Sure Shield Glycerin of Thymol Astilles
Sure Sheild Iodised Throat Lozenges
Suthers Chrono-Thermal Composition
Essence
Syrup Hemoglobin
Syrup Neogyid
Sugar Sioliat
Saccharin
Silviserin Hair Tonic
Seidlitz Powder
Syringe
Scalp Lotion
Siriprotin
Savit
Spolax Granules
Sarogol
Scott's (Dr.) Billious & Liver Pills
Serocalcin Tablets
Seven Seas' Cod Liver Capsules
(but ordinary brands of Cod
Shadphos Liver Oil are admissible)
Silbe Asthma Tablets
Simodine Simpson lodolok Iodine Locket
Diffuser
Sedulon (Roche)
Scretes throat Pastilles
Suphatone
Sinemenine
Salt Enos Fruit
Sardex
Similace
Surgaseptic
Sweeting's Toothache Elixir
Siodo Enterin Tablets
Syrup Ephedonal
Syrup Neogadine
Syrup Liver
Syrup Trosol
Stength Oval Tablets
Siblin
Silvikrin Pure Sperman
Salvon Shampoo
T
Tephesco
Terorite
Throat Lozenges
Tentex Tablets
Tentex Forte
Tablets Siromide
Tonavit
T. Binder
Tono Phosphotone
Tono Malt
Tono Carnine Forte
Theracibrim Gelseals
Traquinor
Tetmal
Tetmosol Soap
Toni Malt
Tyzine Drops
Tonikum
Ten-Sex Tablets
Til Oil
Tablets Sandoz
Tonovit
T.C.P. Lotion
Tonic Wine Hay ward's
Tono Blood
Tono Calcin
Therecibirm Capsules
Tyzine Spray
Trophile
Tab. Sulpha Bun
Tonofer Malt
Tisbon Elixir
Tonozym
Tonic Wine, Buckeast
Toni Merz Mixture
Tono Phospan
Throat Paint
Tannaibin
Testaeida
Thymus Tablets/'Palatiniods'
Tonoxyline Female & Male
Teasdale's Choloradyne
Towel Pills
Tussicon Pectoral Cough Elixir
Texel
Tooth Paste
Tenophophan Fortius
Toilet Lanoline
TestomaTcer Tablets
Teddylax
Thermogene Meidicated Wadding
Trilax Tablets
Talcum Powder
Tata Cologne
Tuseiopip
Taverol
Tonic Powder
Tonic Mixture
Tono Pheph Ne
Thyrol (for local application)
Tar Cream, Colourless
Testes Tablets
Tiodine (Cognet)
Trilactine Tablets
Thermonogene Vapour Rub
Towel's Pink Pills
Thermometer
Teats
Towels Sanitary
Thermax
T.W.A. Nervine
Tanas Balm & Other Balms
Tersalts
Towel's Chloradyne
Tudor Williams Balsam of Honey
Throat Pastilles
Talco Dutsting Powder
Tapes Adhesive
U
Urodonal
Universal Cough Syrup
Universal Compound
Uttrus Tonic
Unrocor Nenol
Unimetin Capsules
Utrina
Upvee Malt
Utero Anodyne
Unienen
Ung. Allaution
Unkon Jack Paste
Uricure Tablets
Urinal Pot/Urinal
Universal Tonic
Universal Gripe
Universal Cordial
Uniscale Lotion
Uni-Vine
Utromenol
Uteron
Undecyl Cream Milken Vinegar
Uni-Portein
Utogen/Uterine Vitamic Aruna
Ulceratum Ointment
Urace Rheumatism Tablets
Urillac Tablets
Uilprum
V
Vapours (for inhaling)
V.I.P. Tablets
Vitmal Compound
Vitamin Malt
Velroc, 2x3" -2x6"
Vorloc Bandages Plaster
Vino Malt Bl
Vimulta
Vintone C Asoka
Venus Cough Cure
Vitacod
Vykmin Capsules
Vitmol/Compound
Vibrona
Vitomalt
Velroc Bandages
Vide Mlat Vegain Tablets
Vilco Malt
Vitalyn Syrup
Vita Pepsin
Vitatone
Vox Pastilles
Vinkdia C. Vitamins
Vitamulsion
Vimix Liquid
Vinkavit
Vermarjem Liquid
Vitol Drops
Vercolate
Vitol Compound / Vitiol Compound
Vitamin B, C & D
Veliment Liquid & Perles
Vastone Aseptules
Vaseline Carbolated Petroleum Jelly
Vegetax Brand Tablets
Veolox Rheumatic Tablets
Veno's Liniment
Vitoferrin
VitagolVitaphor Elixir
Vitamine Elixir
Verindon Tablets
Vino Berry's Compound
Valol/Drop
Viteolin Vitamin E Capsules
Vitaepon Tablets
Vinolatur
Vimaron
Vitex Liquid
Vitaminic Opthalmic Ointment-Cusi
Vaiderma Antiseptic Balm
Vapex Inhalers
Vasano Travel Sickness Remedy
Vikelp Mineral
Vitamin Tablets
Vio-Ray malt
Vogal-Zone Nasal Capsules
Vicks Cough Drops
Veno's Seaweed Tonic
Victor's (Dr.) Ointment
Vinovit
Vintone
Vinchoie
Vinkolan
Vinegar
Vitex Liquid
Vit Isopan Tablets
Vaiderma Cream
Vidolin
Vitol Syrup
Victor's Cough Syrup
Vistaril Tablets
Vaniidene Tablets
Veritol Liquid ('Knoll')
Vaughan's Bronchial Cure
Velocium Tablets
Veno's Cough Mixture
Visept Tablets
Vapoline
Vitoline Capsules
Vino-lecithin (Liquid)
Vinocod C Creosote & Guaiacol
Vical Liquid
Viosolfal
Vogelor's Curatiil Compound
Valves
Vidol
Veritain Oral Solution
Valda Pastilles
Vapex Inhalant
Vapex Volatol
Vaseline Borated Petroleum Jelly
Vik-Wik Liniment
Vitadatio
Vykmin Vitamin Mineral Capsules
Veno's Nasal Tablets
Vicks Vapour Rub
Vimalt
Vicks Draughts
W
Warali Tone
Waterbury's Compound
Whoopeca
Watson's Family Pills
Wexsaline
White Lions (Shadforth's)
Winslow's Mrs. Soothing Syrup
Wright Coal Tar Soap
Win Tona
Walker's Precalcin Lactate
Worm Expelling Syrup (Trade E. & M. Mark)
Webber's Laxative Pills
Wintogeno
Winafit
Winominos
Welch's Original Female Pills
White Bear Brand Cod Liver Oil
Whit'es Q.B.C.
Wright's Coal Tar Ointment
Waxadol Capsules
Winter Bury's Compound
Wilper's Compound
Wintradine Tablets
Wintradine Tablets
Whelpton's Vegetable Purifying Pills
Whelpton's Vegetable Stomach Pills
White Tar Ointment
White Tar Ointment
Williams (Dr.) Pink Pills for Pale-People
Whiter Bear Brand Cod Liver
Oil Emulsion
Winacarnis
Wooldridge's Brand Gout and Rheumatic Tincture
X
Xerosol (Vitamin A.B.D. Tonic)
Xem. Ointment
Y
Yeastoffer Tablets
Liquid Glanoid
Yadil Antiseptic Pills
Yadil Pastilles
Yellow Bone Marrow Concentrate Yadilets
Yadil Antiseptic Ointment Yadil Antiseptic
Z
Zuvi Malt
Zuvi Drops
Zinc Oxide
Zee Kol Blood Tonci Pills
Zom Pile Ointment
Zomex Suppositories
Zymovit
Zam Buk Ointment
Zox Powders
Zembok
Zuvi Malt
Zumalt
Zola Cordination
Zee Kol Ointment
Zom Pile Tablets
Zotal Liniment
Zac Gripe Mixture
Zam Buk Supositories
Zubes
LIST B
The Following preparations are classified as Foods :
(I)
Baby Foods, Milk Foods and Invalid Foods, Other than
Indicated below :
Allenbury's Cereal
Allenbury's Diet
Allenbury's Humanized Milk Food No. 1
Allenbury's Humanized Milk Food No. 2
Allenbury's Malted Food No. 3
Ambrosia Benger's Food Bourn vita
Cow
and Goat Foods :
those
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Buerlac
Brestol Supplementary Food
Calcilac
Cerex
Daltose C.G.
Frailac
Full Cream Milk Food
Half Cream Milk Food
Hemolac
Humanised Milk Food
Lacidac Full Cream
Medilac
Peptalac
Prentalac
Prelac
Separated Milk Food
Special Half Cream Milk Food
Weylac
Dorsella Glaxo Products :
1.
Colact
2.
Farex
3.
Ferrolac
4. Ostermilk No. 1 and No. 2
Lacta Milk Food
Lactegol/lactatone
Libbp Shomogenised Foods
Malted Milk, e.g., Barleva Beulah Horlicks
Mellin's Food
M.O.F.
Nestle's Preparations :
1.
2.
3.
4.
5.
Condensed Milk
Lactogen
Milk Food
Milo Tonic Food
Homogenised Foods
Neave's Food
Neave's Milk Food
Numel
Oatrex Infant and Invalid Food Fine and Medium (Kings)
Ovaltine
Ovaltine Rusks
Robinson's Preparations :
1.
2.
3.
Patent (Barley)
'Patent' Greats
Robrex
Sanatogen
Savory and Moore Food
Sister Laura's Food
Slippery Eim Foods
Strained Foods, e.g., Neinz and Scott's Torbat Lactic Oats
Turfood
Turfood
Turfood
Turfood
Vitasac
Vivemin
Follow on Food
Hunmanised Food
Prosol
Seeway
And Similar Preparations
(II) Compound Foods of Specified Vitamin Content
Bemax
C.V.B.
Marmite
Roboletin
Virol
And Similar Preparations
(III) Glucose Preparations :
Glucodin
Glucose B.D.
Glucose With Vitamin D
And Simliar Preparations
(IV) Liquid Foods and Wines :
Apple Juices
Barluze
Diabetic Cordial
Glucosol
Lembar
Lucozade
Ribena
Robinson's Lemon Barley
Rose-H.I.P., L.B.W,
Rose's Squashes and Dietic Squashes All Alcoholic Beverages,
Wines,and Spirit and Similar Preparations.
(V)
Malt Extract Preparations :
Bronomalt
Bynegen
Halimalt
Malt Extracts
Malted Wheaten Food
Ostomalt
Radio-Malt
Vimaltol
Vitamin Malt Extracts
And Similar Preparations
(V) Meat and Vegetable Extract and Juices :
Bovril
Brand's Essence
Faif s Food Jelly
Lemco
Oxo
Valentine Meat Juices
And Similar Preparations
(VI) Mineral and Soda Waters :
Apentta Water
Conterexevile
Maveern Mineral Water
Soda Water
Trefrriw Water
Vichy Water and Tablets
And Similar Preparations
(VII) Miscellaneous Preparations :
Arrowroot
Aurum Ambrosium
Blackcurrent Pastilles
Charcoal Biscuits
Dextrin Maltose
Diabetic Preparations, e.g., Energen Preparations
Glucose Barley Sugar
Iodised Salt
Kellog's All Bran
Lactose
Malted Milk Tablets, e.g., Barlova, Harlicks, Ovaltine
Malto-Dextrin
Natex Slimming Food
Nestrovite Tablets
Saccharine Tablets
Salt Substitutes
Saxin
Verisal Herbs
Virolax
Vitaminised Chocolate
And Similar preparations
LIST C
Preparations Normally used for Toilet Purposes
Astringent Lotions
Cold Creams
Hair Tonics
Lanolive Toilet
Shaving Creams
Shaving Stytics Soaps
Tooth Powders
Vanishing Creams
Bath Salts
Face Powders
Hand Creams
Shampoos
Shaving Soaps
Skin Lotions
Tooth Pastes
Talcum Powders
J.B. Powders
AMENDMENT No. I
Copy of letter No. 41-1/67-MG, dated the 12th July, 1967 from the
Director-General of Health Services, New Delhi, addressed to all
State A.M.Os., all Ministries of Government of India, and all
Administrative Sections
Delete
the following medicines from the latest
list
of
Inadmissible Medicines (Revised upto 1st January, 1967) which
supersedes the previous list issued in 1958 and Amendments 1-X
thereto forwarded with the Directorate Letter No. 41-1/67, MG,
dated 16th/l 7th February, 1967 :
----------------------------------------------------------------Name of the Medicine
Page No.
Column No.
----------------------------------------------------------------Actilex Cough Syrup
...2
1
BI-Agarol
...4
1
Brovan Inhalant
...4
2
Campoferron(not Champoferron)
...10
1
Espiq
...13
2
Enzynorm Dragees
...13
1
Franoi
...15
1
Franoi-K
...15
1
Franol-TF
...15
1
Hepovite
...20
1
Hepachol
...20
1
Kepler's Multi Vitamin
Capsules
...23
1
Kepler Malt Extract with
Shark Liver Oil
...23
1
Pediatrin
...33
1
Protinules
...33
1
Panzynorm Dragees
...33
2
Panthor(cough Syrup)
...33
2
Pepsonin Liquid
...32
2
Ranvital Tablets
...36
2
R.C.K.Tablets
...36
2
Siprrmide Tablets
...39
2
Sedax
...40
1
---------------------------------------------------------------Insert the following
Medicines to above.
medicines in
the
list
of
Inadmissible
Algipan Ointment
Geronyl Tablets
Lavagol
Sorbiline
Surgical Belts
Collare (Not Medicine)
Hydraminos
Magmag Plaster
Surpholine
AMENDMENT No. II
Copy of letter No.F 41-1/67 M.G., dated 23rd August, 1968 from
Director-General of Health Services, New Delhi, Addressed to all
State A.M.Os., all Ministers of the Government of India.
Delete
the following medicines from the latest
list
of
Inadmissible
Medicines (Revised upto January, 1967)
which
supersedes the previous list issued in 1958 and its subsequent
Amendment I-X
----------------------------------------------------------------Name of the Medicine
Page No.
Column No.
----------------------------------------------------------------Chemdigestion
...7
2
Hemiphos
...19
2
Protinex
...32
1
Barical
...36
1
Vita Pepsin
...44
2
Vistaril Tea
...45
2
--------------------------------------------------------------The under mentioned items may be inserted
Inadmissible Medicines referred to above :-
in
the
list
of
Chelgeatone
Corex
Isabgol
Irivine
Sat Isabgol
AMENDMENT No. Ill
(No.41-1/67 MG (Director-Genl. of Health Ser.), New Delhi, Dt. 34-1968)
Delete
the following medicines from the latest
list
of
Inadmissible Medicines (Revised upto the 1st January, 1967)
forwarded with this Directorate letter No. 41-1/67-MG, dated
16th/17th February, 1967 :----------------------------------------------------------------Name of the Medicine
Page No.
Column No.
----------------------------------------------------------------Mulvit (Syrup)
...26
2
Waterbury's Compound
...47
1
----------------------------------------------------------------Insert the following in the referred to above
Absorbant Cotton
Bandage
Not drug
Calcinol Syrup
Dol Cal
Enterocurmol
Elixir B C. 50
Gauze (Not drug)
Livules - 52
Netrisol
Feedlab Bottle (Not drug)
AMENDMENT No. IV
Copy of letter No. 41-1/77-MG, dated 10th September, 1958, New
Delhi, Director-General of Health Services, addressed to (1) all
State A.M.Os., (2) All Ministries of the Government of India,
etc., (3) All Administrative Sections.
Delete
the following medicines from the latest
list
of
Inadmissible Medicines revised upto 1st January, 1967 (and
subsequent three amendments) which supersedes the previous list
issued in 1958 and its subsequent Amendments I-X.
----------------------------------------------------------------Sl.No.
Name of the Medicine
Page No.
Column No.
----------------------------------------------------------------1.
Alvite Capsules
...1
2
2.
Alvite Drops
...1
2
3.
Ancoloxin Tablets
...2
1
4.
Corex
...12
1
5.
Digene
...12
1
6.
Erythron Forte-12
...13
2
7.
Hepatoglobin
...10
1
8.
Pre Natal Capsules
...32
2
9.
Quamaresh
...35
2
10.
Sorrison Collyrium
...30
2
11.
Neogadine Sulphogulacoted
...41
1
----------------------------------------------------------------The undermentioned items may be inserted
Inadmissible Medicines referred to above :
1.
Perilexmalt
2.
Phosformin
in
the
list
of
AMENDMENT No. V
Copy of letter No. 41-6/69-MG, dated the 12th August, 1969, from
the Director General of Health Services, addressed to all State
A.M.F.Os., all Ministries of Government of India.
Deleted
the following medicines for the latest
list
of
Inadmissible Medicines revised upto 1st January, 1967 (and
subsequent amendments) which supersedes the previous lists issued
in 1958 and its subsequent Amendment I-X.
----------------------------------------------------------------Sl.No.
Name of the Medicine
Page No.
Column No.
----------------------------------------------------------------1.
Phosformin(Ammendment
No.4,Dt.9-9-1986)
2.
Hemopatol
...19
1
3.
Sorbiline
...39
2
4.
Metatone
...28
1
5.
Orheptal
...32
--
6.
Sedocorodil
...32
9
7.
Radio-Stolem
...37
1
8.
Multivitaplox Elixir
...26
2
9.
Cough Syrup
...7
2
10.
Livules 52(Ammendment
III,Dt.April,1968)
...
..
--------------------------------------------------------------Regarding item 'Powders' on Page 33, Column (2) of the above
mentioned list of Inadmissible Medicines is clarified that
'Powders' prepared from Inadmissible Medicines or talcum powders
will be inadmissible.
Insert the following medicine
Medicines referred to above :
1.
Liv. 52
...
in
the
25
list
of
Inadmissible
2
AMENDMENT No. VI
Copy of letter No. 41-1/67 MG, dated 9-1-1970, from Director
General of Health Services, New Delhi, Addressed to all State
A.M.Os., all Ministeries of Government of India, all Admn.,
Sections and the Comptroller and Auditor General, New Delhi.
Deleted
the following medicines from the latest list
of
Inadmissible Medicines revised upto 1-1-1967 (and subsequent four
amendments) which supersedes the previous list in 1958 and its
subsequent Amendments I-X.
---------------------------------------------------------------Name of the Medicine
Page No.
Column No.
---------------------------------------------------------------Elixir Aminoxyl
...13
Calcinol Syrup
2
Ammendment III
Vide letter No.
41-1/67-MG,Dt.
April,1968.
---------------------------------------------------------------AMENDMENT No. VII
[No.41-6/69-MO, Director General of Health Services, New Delhi,
Dt. 4-5-1970)Delete the following medicines from the list of
Inadmissible Medicines revised upto 1-1-1967 and subsequent
amendments.
----------------------------------------------------------------Sl.No.
Name of the Medicine
Page No.
Column No.
----------------------------------------------------------------1.
Cremaffin
...7
1
2.
Betonin
...4
2
3.
Liv.52(Tablets &Drops).
Ammendment No.V
...3
----------------------------------------------------------------AMENDMENT No. VIII
Copy of Letter No. 41-6-69-MG, New Delhi, 21-1-1971, from
Director General of Health Services, Medical General Section
addressed to all State A.M.Os., all Ministries of Government of
India and Administrative Sections.
Delete
the following medicines from the latest
list
Inadmissible Medicines (revised upto 1st January, 1967) and
subsequent amendments.
of
its
----------------------------------------------------------------Sl.No.
Name of the Medicine
Page No.
Column No.
----------------------------------------------------------------1.
Deschien's Syrup of
Heamoglobin C.Vit.B-12
...11
1
2.
Ostomalt
...52
1
----------------------------------------------------------------List of Inadmissible Medicines in the Indian system of treatment
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
Iftari
Imlas-e-Kimiyaai
Al-Ahnar
Arastu-Hair Oil
Akseer-e-Azam
Akseer-e-beh
Akseer-e-mardan
Akseer-e-Nayab
Aala (2) mukammal
Almas
Baluti
Be-nazeer Hair Oil
Bahare-e-Jawani
Pur-Zar
Pur-Kai
Tadheen
Jentol
Jenoid
Jernol
Jameelen
Jameelin
Habbe Mobahhi Khas
Habbe Mulazziz
Habbe Mumsik-e-khas
Habbe Mumsik-e- Mushki
Habbe Nishat
Habbe Ahmar Muqwwi-e-bbh
Habbe Kibr-e-tilai
Habbe Mumsik Tilai
Habbe Uroos
Habbe Mumsikh Surkh
Habbe Mumsikh Ambari
Habbe Kaleed-e-Ishrat
Habbe Wumsikh-e-khas
Habbe Munaish
Habbe Ahmar .
Habbe Seen
Habbe Ombar Moyai
Habbe Kaifnawaz
Habbe Mein-e-Shabab
Habbe Momyai
Habbe Mumsik
Habbe Ambar
Halwa-e-Baiza-e-Murgh
Halwa-e-Gazar Maqz-e-Ser-e-Kanjaksh Wala
Halwa-e-Salab
Hal wa-Mughz-e-Kanj ash
Halwa-e-Maqawwi
Hayat Baksh
Dawa-e-Tikor
Dawa-e-Shafieb-awar
52. Dawat-e-Shabab
53. Roughan-e-Bhang
54. Roughan-e-Beer Bohoti
55. Roughan-e-Jonk
56. Raughan-e-Kharteen
57. Roughan-e-Jalaq
58. Roughan-e-Morcha
59. Roughan-e-Zalu
60. Sufoof-e-Bah
61. Sufoof-e-Beejband
62. Sharbat-e-Nishat-e-afro
63. Zemad-e-Shabad
64. Tila-e-Azam
65. Tila-e-Shabab-Awar
66. Tila-e-Muqawwi-e-khas
67. Tila-e-Uroosak
68. Tila-e-Almas
69. Tila-e-Ajeeb
70. Tila-e-Keemiya Taseer
71. Tila-e-Musakkin
72. Tila-e-Mushk Wala
73. Tila-e-Ejaz
74. Tila-e-Akseer
75. Tila-e-pih-e-shers Wala
76. Tila-e-Surkh
77. Tila-e-Mushakkin
78. Tila-e-No. (1)
79. Tila-e-Agrr Ambari
80. Tila-e-Khas
81. Tila-e-Sabz
82. Tila-e-Aqer Qarha
83. Tila-e-Munaiz
84. Tila-e-Muqawwi
85. Tila-e-Mumsik
86. Tila-e-Hama Sifat
87. Tila-e-Akhzar
88. Tila-e-musakkin
89. Tila-e-murallib
90. Tila-e-majlooq
91. Tila-e-Siyah
92. Tila-e-Sufaid
93. Tila-e-Zard
94. Tila-e-Darchini mushkwala
95. Tila-e-mumsik-o-mulazziz
96. Tila-e-Ishrat
97. Tila-e-Hire-Wala
98. Tila-e-Jeded
99. Tila-e-Jauzbuna
100. Tila-e-Zood-asar
101. Tila-e-Seemab
102. Tila-e-moatter
103. Tila-e-Itr-e-Nagesar
104. Tila-e-mulazziz
105. Asbol
106. Arq-e-Shahzor
107. Ishrati
108. Itr-e-mulazziz
109.
110.
111.
112.
113.
114.
115.
116.
117.
118.
119.
120.
121.
122.
123.
124.
125.
126.
127.
128.
129.
130.
131.
132.
133.
134.
135.
136.
137.
138.
139.
140.
141.
142.
143.
144.
145.
146.
147.
148.
Ghazah-e-Husn afza
Fauladi
Qures-Tila-e-Azam
Qurs-e-Ajeeb
Qurs mumsik Jadded
Qurs-e-Akseer
Qurs-e-Tila-e-momyai
Qurs-e-Foulad ambari
Qurs-e-momayai
Qurs-e-Foulad Ambari
Qurs-e-Momyai
Luboob-ul-Asrar
Luboob-e-abresham
Luboob-e-Jawahar
Lubbob-e-Abresham ambari
Majun-e-Jalai
Majun-e-Hayat Ambari
Majun-e-mubahi Antaki
Majoon-e-Muqawwi-e-bah Maseehul-Mulk wala
Mahoon-e-Muqawwi-wa-mutnsik
Majoon-e-Tiryak-al-Maseehy
Najoon-e-Sur-at
Majoon-e-Maddatul Hayat
Majoon-e-Musallib
Majoon-e-Ispand
Majoon-e-Afrasiyab
Majoon-e-Aurangzaib
Majoon-e-Buzu
Najoon-e-Jund Bedastar
Majoon-e-Bah-Man Amabari
Maboon-e-Jadeed Khas
Majoon-e-Raiq-Mahi
Majoon-e-Raiq-Mahi Ambari
Majoon-e-Mubahhi Ajeeb
Qurs-e-Afai
Qurs-e-maseehi
Qurs-e-Mumsik
Qurs-e-Shabab-awar
Mulazziz-e-Ajeeb
Mumsik-e-Benazeer
APPENDIX-III
1.
The claims of all Hon'ble Minister's,
the
Hon'ble
Speaker,the hon'ble High Court Judges, and members of All India
Services,who are Governed by the All India Services (Medical
Attendance).Rules,1954 shall be preferred to the AccountantGeneral Direct for the Scrutiny and payment of the amounts
claimed with the referrence to these rules, provided the claims
are covered by the rules.
Note:- Any relaxations in individual cases will be dealt with
the Government in the General Administration Department.
by
2. The reimbursement bills arising(i)
In
the
district will be
Scrutinised
and
passed
for
payment by the concerned District Medical Officers;
(ii) In the Hyderabad city will be Scrutinised and passed by
the
superintendents
of
the
concerned
Hospitals.(G.O.Ms.No.2133,Health,Dt.26-7-1963
and
Govt.Memo.No.4473/kk/63-3,Health,Dt.15-1-1964).
Note:All
cases
requiring
special
sanction
or
relaxation,clarification or interpretation of the State Medical
Attendacne Rules should be referred to the Government in the
Health Department for orders.
EXECUTIVE INSTRUCTION
Medical attendance - Reimbursement of expenditure incurred by
Government Servants under Integrated Medical Attendance Rules,
1972 - Reference to Medical & Health Department - Instructions Issued
(G.O.Ms.No. 3142/K1/85-1, Medical and Health Dept., Dt. 17-4-1986)
Order :-According to Rule 5(3)(iii) of the Integrated Medical
Attendance Rules, all claims for refund of expenses incurred on
account of the purchase of the special medicines should be
preferred in the manner indicated in Appendix III. According to
para 2(ii) of the said Appendix, the reimbursement bills arising
in the Hyderabad City will be scrutinised and passed for payment
by the Superintendents of the concerned Hospitals. According to
para 4 of the said Appendix claims for reimbursement should be
accompanied by an Essentiality Certificate from the Authorised
Medical Attendant or from the Medical Officer incharge of the
case in the hospital.
2. With reference to the provisions referred to in para 1 above
employees of various departments of Secretariat are claiming
reimbursement of expenditure incurred by them on medicines for
treatment of self and family members on the basis of essentiality
certificate and certificate of non-availability of the drugs
given by the Authorised Medial Attendant of the concerned
Hospital and sometimes certificate of non-availability of these
drugs in the Secretariat dispensary, issued by the Medical
Officer of Secretariat Dispensary. The Departments of Secretariat
are referring such claims for reimbursement of expenditure to the
Medical and Health Department for concurrence. Reference of such
cases to this department has been on the increase resulting in
unavoidable work load in this department and delay in reimbursing
the claims. The Secretariat departments are therefore informed
that the proposals for sanction of reimbursement of expenditure
for treatment in Government Hospitals within the State which are
accompanied by an essentiality certificate and certificate of
non-availability
of medicines from the Authorised
Medical
Attendant and when they are satisfied that the claim is in
accordance with the provisions in Appendix III to Andhra Pradesh
Integrated Medical Attendance Rules, 1972, need not be referred
to Medical and Health Department for remarks/acceptance. This
applies to the cases referred by Heads of Departments to the
Administrative Departments of Secretariat also.
3.
However as provided in the note under para 2(ii) of the
Appendix III to the Integrated Medical Attendance Rules, 1972,
all cases requiring special sanction or relaxation; clarification
or interpretation of the State Medical Attendance Rules should be
referred to this department invariably.
(iii) For District Medical reimbursement bills, if any doubt
arises
the medical reimbursement bills other
than
those
pertaining to the Municipal limits of the District Headquarters
should be referred to the District Medical and Health Officer
concerned, and for the bills arising within the Municipal limits
of District headquarters to the Superintendent of the District
Head quarters Hospital concerned.
(iv) In twin cities of Hyderabad and Secunderabad, if any doubt
arises the medical reimbursement bills arising within the
municipal limits of Hyderabad and Secunderabad should be referred
to the Superintendent, Osmania General Hospital Hyderabad/Gandhi
Hospital, Secunderabad, respectively].
[Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]
3. Any claim which has been preferred six months after the last
date of the period of treatment shall ordinarily be rejected.
Note :-(1) Belated claims of officers governed by the All India
Services (Medical Attendance) Rules, 1954 and those by the State
Medical Attendance Rules shall be referred to Government in the
General Administration and Health Departments respectively for
special sanction.
(2)
15% cut will be imposed upon the belated claims.
[G.O.Ms.No. 2323, Health, Dt. 28-7-1961]
4. Claim for reimbursement should be preferred in the prescribed
form and should be accompanied by Essentiality Certificate from
the Authorised Medical Attendant or from the Medical Officer in
charge of the case in hospital.
(The prescribed application form and essentiality certificate are
given below)
Application for claiming refund of medical expenses incurred in
connection with Medical Attendance and/or treatment of Andhra
Pradesh Government servants and their families.
[N.B. :-Separate form should be used for each patient.
Declaration to be signed by the Government Servant
I hereby declare that the statements in this application are true
to the best of my knowledge and belief and that the person for
whom medical expenses were incurred is a member of my family as
defined under the Andhra Pradesh Government Servants Medical
Attendance Rules, 1972, and wholly dependent upon me.
Signature of the Government Servant
and officer to which attached.
Essentiality Certificate
I certify that Mrs./Mr./Miss..............wife/son/daughter of
Mr......................employed
in the............has
been
under
my
treatment
for.............diseases
from
to......................at................Hospital and that the
under...................(my
consulting
room)....................mentioned medicines prescribed by me in
this
connection
were
essential
for
the
recovery............(prevention of serious deterioration in the
condition) of the patient. The medicines are not stocked in
the..............(hospital for supply to patients) hospital and
do not include proprietary preparations for which
cheaper
substances
of equal therapeutic value are
available,
or
preparations which are primarily foods, toilets or disinfectants.
Names of medicines :
Price :
Signature and Designation of
Authorised Medical Attendant.
Signature of the Medical Officerin-charge in the case of the Hospital.
INSTRUCTIONS
A.
Essentiality Certificate :
1.
The essentiality certificate should be filled in by the
Authorised Medical Attendant himself in the prescribed form as
shown on reverse.
2.
Separate Certificate should be produced in respect of the
treatment given to each member of the family by the claimant.
3.
The essentiality certificate should be signed only be the
Authorised Medical Attendant who actually give the treatment.
4.
Any Certificate countersigned by A.M.O., who is not
shall be rejected.
A.M.A.,
5.
It shall be the responsibility of the A.M.A. to exclude
preparations which are primarily in the nature of foods, toilets,
or disinfectants. He should indicate in his certificate which of
the items included in the vouchers come under these categories.
6. Name of the patient, relationship with the Government servant
in case of the family member, disease, period of treatment and
place of treatment should carefully and clearly written by the
A.M.A. himself in the essentiality certificate.
7.
The
names of medicines with their cost
should
clearly
be
shown in the essentiality certificate by the A.M.A. the names
medicines which are not eligible shall be disallowed.
of
B.
Bills in Original given to the Claimant by the Druggists and
Dispensing Chemists.
(i)
bills produced on white papers whether it
without seal of the Druggists shall be rejected ;
(ii)
is
with
or
the bill should be a cash voucher only ;
(iii) each original bill should contain the name of the
or patient and the date of issue.
claimant
(iv) the name of the drug and its cost should be legibly written.
2.The claimant should prepare a typed duplicate copy of each bill
and send it along with his application. The duplicate copy or
copies of the bill will be retained in his office with the
connected file.
3. The Authorised Medical Attendant should countersign both the
original and true copies of the bills. He should affix his seal
not
only
to these bills but also to
the
essentiality
certificates.
4.
The sanctioning authority should personally satisfy himself-
(a)
that the essentiality certificates and the bills
by the claimant are genuine ;
produced
(b)
that the dates of the bills and the vouchers are within
treatment periods mentioned in the essentially certificates ;
(c)
that preparations which are in the nature
foods, toilets and disinfectants are excluded, and
of
(d)
that the claim is in accordance with the rules
during the period of treatment.
primarily
in
force
5. Original bills produced by the claimant should be initialled
by the sanctioning authority or by any gazetted officer under him
who deals with the application and then returned to the claimant.
6.
The claimant should surrender the original bills and the
essentiality certificate to the Treasury who disburses the bills
amount.
APPENDIX IV
[Vide Rule 7(4)(v)(b)]
List of Medicines recommended for use by Local Registered Medical
Practitioners
LIST I
1.
Nupercaine
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
Anethaine
Pantocaine
Golfoam
Penicillin powder with Sulphamazathine Sodium
Tubarine
Tubocutrarine
Picrotoxin
Lobeline
Pentobaribita
Methedrine
Intravel Sodium
Tincture Morthiolate
Heogynergin
Quinine Urethane
Forsolate
B.A.L.
Percorten
Encortone
Trasentin
Newo-Trasentin
Spongostan
Acid Gallic
Acid Picric
Ammonium Bemozate
Ammonium Oxalate
Ammonium Bromide
Benzoline
Bezamine Hydrochloride
Beta Nauthol
Bismuth Carbonate
Bismuth Salicylate
Buchu Folia
Donfectio Piporia
Ext. Gentianae
Ext. Cascanso Sagrade Siccum
Ext. Hamamohdis Liquidum
Ext. Jabroandi Liquidum
Ext. Hucis Vommicae Liquidum
Ext. Viburmi Liquidum
Forriet Quinaecitras
Karo Tonic
Linimontum Belladonnae
Liq. Arsoniet Aydrargyri Loddi
Liq. Bismuthiet Ammonji Citratis
Liq. Epispesticus
Liq. Pot Hydrox
Mag. Carb Lev
Mag. Oxid Lev
Oleum Amygdala (Almond Oil)
Oleum Gaultheriae
Oleum Cinnamomi
Oleum Junipori
Oleum menthae piporitae
Oleum Olive
Paraffmum Durum
Pepsinum
Pil Hydrurg
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.
87.
88.
89.
90.
91.
92.
93.
94.
95.
96.
97.
98.
99.
100.
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
112.
113.
114.
115.
Pil Acot
Pot. Bicarb
Pot. Brom
Pot. Citras
Pot. Citras
Potassi Tartaras Acids
Pulvis Cretae Armoticus-cum-opio
Potassa sulphurata
Pulvaeico
Salol
Sodium thiosulphate
Sylphanal
Syrupus Aurantil
Syrupus Coloii Hypophospitis
Syrupus Ferri Jo didi
Syrupus Ferri phosphitis compositus
Syrupus Scillae
Tincture Acenitii
Tincture Aloes
Tincture Asofoetidad
Tincture Calumbae
Tincture Cannabis Indicae
Tincture Capsici
Tincture Catoclum
Tincture Digitalis
Tincture Jabornadi
Tincture Myrrhao
Tincuture Lobeliao Aethereo
Tincture Quassiao
Tincture Quinnine Ammoniata
Unguentum Hydrargyri
Unguentum Hydrargyri Miltratis
Unguentum Rosinao
Urethano
All Vitamin Preparations
Tinct Valeria Ammon
Tinct. Sinaace
All Histarmine preparations
Acetylarsan
Uroa Stibamine
Stibatin amp
Gluco Solution
Insulin P.Z.
Emetine Hydrochloride
AminophyHa
Acidum phosphoricum Dilutum
Acidum Tactieum
Acidum Lrichloraceticum
Apomorphine Hydrochloride
Bleaching Powder
Bismuth Subnitras
Bension
Balsamm of Tolu
Bonzaldohyde
Brillian Green
Crushed Linseed
Chalk
116.
117.
118.
119.
120.
121.
122.
123.
124.
125.
126.
127.
128.
129.
130.
131.
132.
133.
134.
135.
136.
137.
138.
139.
140.
141.
142.
143.
144.
145.
146.
147.
148.
149.
150.
151.
152.
Copsicum Powder
Crude Coal Tar
Dextrose
Hyecine Hydrobromide
Hard Paraffin
Preparations of Senna Kramoria cloves & contain co
Liq. Ammonil citratis
Lead Plaster
Morphinae Tartras
Liquid lodi Portis
Oleum pini Sylvestris
Liquid Carbonics Detergents
Pulvia Seillae
Magnesium phosphate
Prepared Coal tar
Oleum Gajuputi
Syrup of Wild Cherry
Pulvis Hyeseyami
Syrupus Zingiberis
Potassium Hydroxide
Sodium Lactate
Syrupus Codeinae Phosphates
Strychnine Hydrochloride
Syrupus Simplex
Scarlet Red
Sodii Hydroxidum
Tr. Lavandulae co
Storax
White Bees Wax
Tr. Arnicae Floris
Golatin
Ung. Hydrarg Co.,
Linimentum Aconiti
Sulpha drugs
All sera Vaccines
Homotrophine Hydrobromide
Anti Histamine drug.
LIST II
Insulin All varieties
Coagnlo (ciba) Amps
Adrenal Cortex Hormones
Gold Preparations
Penicillin
Mapharside
Riboflavine Amps and tablets
Liver extract
Diodequin
Adexolin
Propyl hiouracil (to be included in the place of Muthyltheuracil)
Sodium pentese nucleotide
Prostingmin tablets
Carbursone tablets
Taka Diastase
All drugs used for investigation in the X-ray Department
Acid ascorbic ampoules and tubes
Prestigmin ampoules
Pethidone ampoules
Discoumaral
Priscol
Hitrogan Mustard
Hetrazan
Eethienine
Plasmosan
Panparinit
P.A.S.
Protein Hydrolysate
Aylase ampoules
Paraldehyde
Panaldrine
APPENDIX V
[Vide Rule 19(1) in Part I]
Rules Regulating Admission of Tuberculosis Patients in Government
Tuberculosis
Institutions
and
other
Government
Medical
Institutions where there are Tuberculosis Wards
1. General :-(1) No patient should come for admission to a
hospital
or
sanatorium unless
intimation
regarding
the
availability of a bed is received by him from the authorities of
the hospital or sanatorium.
(2)
Those who come without notice are liable to be refused
admission either for want of beds or if the cases are considered
unsuitable for admission.
(3)
No case from other hospitals should be sent to the
tuberculosis hospital or sanatorium direct, but should be asked
to attend the nearest tuberculosis clinic, if such a clinic is
functioning within a reasonable distance.
(4)
The
opinion of the T.B. Control
Officer
or
the
Superintendent
of Government T.B. Sanatorium
or
Hospital
concerned shall be final with regard to the suitability of a case
for admission.
(5) Each patient,
or general ward
registration the
intimating vacancy
whether he seeks admission in the special ward
should be required to pay at the time of
cost of telegram that should be sent to him
of bed.
2. Rules for admission to General Wards :-(1) A separate waiting
list of all suitable cases should be maintained by
each
tuberculosis institution.
(2) Patients seeking admission in the general wards of the T.B.
sanatorium will be examined by the concerned Superintendent of
T.B. Sanatorium who will prepare a waiting list of such patients
who require sanatorium treatment and assign a serial number for
each patient and communicate the list to the State T.B. Control
Officer, Hyderabad. Intimation regarding vacancies will be sent
to the patients direct by the Superintendent of the Sanatorium.
Each patient will be given a time limit of five days for joining.
If no reply is received within five days requesting extension of
the time limit for joining the patient will be struck off from
the waiting list. On such applications from the patients the time
limit may be extended to a maximum of three weeks for admission.
The Superintendent of the Sanatorium should send to the State
Tuberculosis Control Officer, Hyderabad at the end of every
month, the serial number of the .patients who have been admitted
and the serial number of the patients whose names have been
struck off from the waiting list for non-receipt of reply.
(3)
Admission should be made strictly in the order of priority
of entry in waiting list unless some emergency has occured which
requires immediate attention.
(4) Advance cases which have no chance of recovery should not be
put on the waiting list.
(5)
Letters of recommendations received with regard
to
admission of patients direct to hospital or Sanatorium should not
be taken into consideration, but if on an examination the cases
are found to be suitable, they should be included in the waiting
list and should take turn along with other cases.
(6)
All Government Servants including members of the families,
if found suitable for admission will be admitted immediately.
Police Constables will be given special priority over other
Government Servants. Ex-Servicemen, Suffering with T.B. will be
given preference in admission after State Government Servants.
Note :-Central Government Servants and Railway Servants should
not be treated as Government Servants for purposes of this rule.
(7)
Advanced cases among Government Servants should
admitted
unless it be for purposes of issue of
certificates, invalidation certificates, etc.
not be
medical
(8)
Emergencies which require immediate attention such as
Homoeopthysis, Spontaneous, Pneomothorax, etc., whether they are
on the waiting list, or not, and whether they are early or
advanced cases should be admitted immediately and kept in the
hospital or sanatorium till the emergency disappears. After that,
if they are found suitable for treatment their names will be
included in the waiting list on discharge from the hospital or
sanatorium and admitted when their turn comes.
(9)
Patients sent by Tuberculosis Clinics and hospitals in the
mufassal
for
operative procedure
such
as
Thoracoscopy,
Thoracoplasty, etc., should be taken in directly and sent back to
the respective places after operation.
(10) Patients sent from other hospitals for admission should also
be put on the waiting list and admitted according to seniority in
the waiting list.
(11) Only early cases of tuberculosis amongst convicts should be
admitted in the Government Tuberculosis Sanatoria.
3. Rules for Admission to Special Wards :-(1) Heads of Government
Tuberculosis Institutions will maintain a separate waiting list
for admission in the special wards, send necessary intimation to
the patients and control their admission.
(2) A registration fee of Rs. 257- should be charged for
including the same in the waiting list for special wards and this
amount should be remitted along with application for admission.
This amount will be adjusted towards hospital stoppages payable
by patients when admitted. If the patient does not turn up within
seven days from the date of receipt of intimation of the vacancy
of a bed, and if no extension of time is obtained from the
Superintendent of Sanatorium, the registration fee collected will
be forfeited to Government and the bed will be given to the
patient next in the waiting list.
The registration fee will be refunded in cases (a) where the
intimation of a vacancy of bed is sent after three months from
the date of registration and where the individual does not then
propose to seek admission, and (b) where patients expire before
the receipt of intimation regarding the availability of beds or
within seven days from the date of receipt of such intimation.
Note :-1. State Government Servants and members of their families
shall be exempted from payment of the registration fee of Rs.
251- provided they are entitled to free accommodation in special
wards.
2. Patients seeking admissions in the special wards, who fail or
find it difficult to obtain and produce the income certificate
from the Revenue Authorities, may be admitted in the special
wards, provided they give an undertaking to pay the Sanatorium
charges and provided they pay the month's advance of hospital
stoppages and regular and prompt in the payment of the dues every
month.
3.
Patients from
special wards.
other States will be admitted
only
in
the
4. When special wards are not available, a cottage can be built
by the Sanatroium authorities provided that the patient is
prepared to pay the cost of construction of the cottage.
5. The following procedure shall be adopted for the construction
of cottages in the compound of the Government Tuberculosis
Sanatoria in the State :
(a)
The cottages which have been put up in the compound of the
Sanatorium and which are made of brick with mud plaster and
thatched roofing should be left as they are. New occupants of
these cottages should be asked to effect repairs at their cost
when necessary before occupation. They shall be scrapped when
they become completely irreparable and no new thatched shed shall
be allowed to be put up.
(b)
New
material.
cottage
should
be
constructed
only
with
durable
Each cottage will consist of a twin ward. For the construction of
each cottage consisting of a twin ward the approximate cost is
Rs. 2,500/- for the construction of a similar ward. When two such
offers are received i.e., when the first twin ward has been
occupied completely, a second twin ward should be built on the
same model and patients who pay Rs. 2,5007- should be admitted
into these wards. When no person is coming forward to pay the
contribution of Rs. 2,500/- the twin ward will be kept vacant.
4.
Admission of Patients, fit for Surgical Treatment :-Cases
provisionally suitable for surgical treatment should also be
placed on the common waiting list by the Superintendents of the
concerned Tuberculosis Sanatoria, marked the letter "S" in red
ink, or in some other coloured ink. Such patients should be told
that they are being admitted into the Sanatorium only on a
provisional basis that if, after observation they are found
suitable, they will be given the necessary surgical treatment and
that otherwise they will be discharged from the Sanatorium and
put in the waiting list again at the appropriate place. An
undertaking in the following form should be obtained form each of
such patient.
FORM
"I understand that I am being admitted into the Tuberculosis
Sanatorium on a provisional basis for observation whether any
case is suitable for a surgical procedure. I agree that, if the
case is suitable for such a procedure, I will undergo the
necessary
surgical
treatment. If it is decided
by
the
Superintendent my case is not suitable for surgical treatment I
agree to be discharged from the observation ward and to have my
name placed in the waiting list at the appropriate place".
The Mass Radiography beds will be used for observation purpose.
Note :-Pregnant women should be given the same priority as in the
case of early surgical cases in regard to their admission in the
Sanatorium.
5.
Discharge of Chronic Patients :-(1) The Superintendents of
the Sanatoria will discharge the patients who become chronic even
though sputum in positive, thus making the vacant beds available
for more suitable or early cases. In order to avoid complaints
about the disease of these classes of patients, a committee may
be constituted consisting of the Superintendent,
Assistant
Superintendent, and the Pathisiologist or the Resident Medical
Officer where there is no post of Pathisiologist, and it should
meet twice a month to decide on the discharge of such patients .
(2) These cases found unsuitable at the time of admission for
Sanatorium type of treatment should be kept on for a reasonable
period of observation and the medical officer should be empowered
to discharge them on making certain that such patients are not
likely to be benefited by their stay in Sanatorium any further.
6. Wards for cases detected through Mass Radiography Survey :-In
the hospital for tuberculosis diseases, Irrumnuma, ward of 24
beds shall be set apart exclusively for the accommodation and
treatment of Tuberculosis cases detected through mass radiography
surveys and a separate waiting list, for this ward will be
maintained. The persons in the separate waiting list, if not
already admitted into the reserve ward shall be admitted to the
other wards in this hospital according to their turn in the order
of priority, their names being entered in the waiting list for
the general wards also in their turn of priority for the purpose.
7. Medical Attendance on the Tuberculosis X-ray and Radiography
Patients :-(i) The following are the Scheduled rates for taking
further X-ray picture of a person, who has been initially
subjected to mass radiography, if his income is Rs. 1007- per
mensem and above provided however, that for the first follow up,
half the fees shall be levied.
(ii) With reference to Rule 13(b) hospital stoppages will be
levied in respect of persons who are employees of firms, and who
after mass-radiography are admitted as in-patients of
the
hospital for the Tuberculosis Diseases, Irrumnuma even if their
income is below Rs. 1OO/- per mensem and the charges will be
collected from the employees concerned. These patients will be
admitted only with the consent and permission of the employees.
The necessity and urgency for the treatment of such cases should
be explained to the employers concerned.
(iii) Fees at the following rates will be levied from employers
for issue of certificates in respect of their employees, who are
subjected to mass-radiographic examination or treatment for
tuberculosis.
Rs.
Certificate of Medeical Examination by
Civil Surgeon
--
16-00
Certificate of Medical Examination by
an Assistant Surgeon
--
5-00
Admission and discharge certificate from
Tuberculosis Sanatorium
--
0-13
(iv) Hospital stoppages shall be levied at prescribed rates from
members of the general public who are subjected to massradiography and who undergone the treatment in the Hospital for
Tuberculosis diseases if their income is Rs. 100/- and above per
mensem.
APPENDIX VI
PART I
[Vide Rule 20]
The Andhra Pradesh Rules of Advance for Medical
Treatment
I.
Attendance
and
The Advances shall be regulated by the following rules :-
(1)
These rules shall be called "The Andhra Pradesh
Advances for Medical Attendance and Treatment".
Rules
of
(2) These rules shall apply to all the Non-Gazetted Employees of
the State.
(3) The advances may be granted to Non-Gazetted Employees of the
State to meet the expenses of medical attendance and treatment of
himself or any member of his family which he is entitled to be
reimbursed from the State funds under the Medical Attendance
Rules.
(4)
The advances shall be treated like advances of travelling
allowance and pa on transfer and recovery must be effected by
adjustment of claim for reimbursement c medical
expenses.
(G.O.Ms.No. 1274, M&H, Dt. 29-2-197)
(5)
The Head of the Office competent to draw pay bills of his
office, ma sanction, draw and disburse the advances to all the
Non-Gazetted employees workin under him; where the Head of an
Office drawing pay bills happens to be Non-Gazette Employee, the
advance has to be sanctioned to him by the Officer immediately
superii to him but he may himself draw the advance.
(6)
The amount of the advance shall be limited to the amount
required to me actual reimbursable medical expenses certified by
the Authorised Medical attendant of tl employee or the nearest
Civil Assistant Surgeon subject to a maximum of Rs. 50/- at time.
If the sanctioning authority is satisfied that the case is
emergent, he may sanction an advance upto a maximum limit of Rs.
507- without insisting upon completion of necessary formalities.
(G.O.Ms.No. 317, M&H, Dt. 14-4-197)
(7) When an advance is sanctioned to a non-permanent Government
Employee has to be drawn and disbursed to him only after a bond
in Form II of the Andhra Prade Financial Code, Volume I is
executed by him together with the surety of a permane Government
Servant drawing a pay not less than the borrower.
(8) (a) The advance should be adjusted in full within a period
of three mont from the date of drawal of the advance by
presenting the claim in the form prescrib under the Medical
Attendance Rules irrespective of the fact that the treatment last
for me than three months. The claim should be furnished to the
Director of Medical and Hea Services or the Special Officer,
Indian Medicine, as the case may be, through t Authorised Medical
Attendant and the Medical Officer who gave the treatment. After t
claim is received back from the Director of Medical and Health
Services/Special Offu Indian Medicine, it should be presented to
the Treasury or the Accountant-General, Andl Pradesh, as the case
may be by the Heads of Offices for adjustment against advance
draw.
(b) A second advance of this kind should not be granted until the
first c has been fully adjusted. The Bill for the 2nd advance
should be accompanied by the certificate from the sanctioning
authority that the previous advance has been adjusted full.
If the advance is not adjusted or returned within a period
three months it shoi summarily be recovered from his salary.
of
(9)
When any portion of the claim for reimbursement of medical
expense is any reason disallowed, such amount should be recovered
from the salary of the individ in four instalments starting with
the pay drawn immediately after the claim has been disallowed.
(10) In every office the drawal of these advances should be
recovered in register of temporary advances and their recovery by
adjustment
or refund should watched. When a borrower
is
transferred to a new office the details of the advance shoi be
closed. In the new office which the borrower joins,
the
particulars of the advance shoi be entered in the Register and
the recovery watched.
(11) Ordinarily not more than one advance shall be granted in
respect of the sa illness or injury, but when the amount of the
first advance has already been spent, a second advance can be
sanctioned when the sanctioning authority is satisfied that the
previous advance has already been spent and the Medical Officer
concerned has certified the necessity of further expenditure. The
total amount of both the advances shall not exceed Rs. 30 or four
month's pay which ever is less. There is no objection to the
borrower if a claim for the adjustment of the first advance even
before the treatment is over and later on presenting a second
claim regarding the further expenses to be adjusted the second
advance.
(12) The term "Pay" for this purpose shall mean the pay actually
drawn, including personnel pay, as on the date of application but
shall exclude special pay.
II. The advance granted under these rules should be accounted for
under new subhead, "Advance for Medical Attendance and Treatment"
to be opened under the head "T.III. Deposits Advances I. Civil
Advances".
Certificate to be furnished by the Medical Officer under Rule 6
Certified that Sri/Smt.................. a member of the family
of Sri/Smt............working as...................in the office
of..............at............is suffering from.............and
that a sum of Rs.............(Rupees................) only is
necessary as advance to cover the medical expenses reimbursement
by Government in this case.
Date :
Signature :
Station :
Designation :
Certificate by Medical Officer under Rule 11
Certified that Sri/Smt.............a member of the family of
Sri/Smt.................working
as.....................in
the
Office of the.................. at...............(Place) is still
suffering from...........................and that a further sum
of Rs...........(Rupees.........) only is necessary as advance to
cover the reimbursable medical expenses in this case as from this
date.
Date :
Signature :
Station :
Designation :
Note :-Strike off the unnecessary portion when
relates to the Government Employee himself.
the
certificate
PART II
Rules relating to Medical Attendance of Central Government
Employees and their Families, Military Personnel, Merchant Navy
and Special Police Establishments.
Note :-Not Printed.
EXECUTIVE INSTRUCTIONS
Facilities of admission and treatment to pensioners at Government
hospitals Consolidated orders - Modifications
[G.O.Ms.No. 718, M. & H. (Kl), Dt. 26-11-1981]
Note :-For the text of the G.O. see Instruction No. 2
Chapter.
2. Medical Advance - Treating like T.A. Advance
[U.O. Note No. 5463A/167/A & L/82-1, Fin. &
Accts. & Loans), Dt. 30-3-1982]
Ref :_ i.
From the Acctt.-Genel.,
TM/I/II/12-53/76-79/4, Dt. 27-4-1979.
2.
A.P.,
Pig.
I,
of
next
(Fin.
Hyd.,
Wing.
Lr.No.
G.O.Ms.No. 426, M. & H. (KI), Dt. 28-7-1981.
Order :-In the reference first cited, the Accountant-General,
Andhra Pradesh, I Hyderabad has suggested amendments to the
Andhra Pradesh Integrated Medical Attendance Rules, 1972 and has
requested the Government to issue specific instructions to all
the drawing and disbursing officers/all the Treasury Officers and
the Pay and Accounts Officers to treat Medical Advance like
advance of T.A. and Pay on transfer.
2. The
changed
matter has been considered carefully, keeping in
conditions the Drawing and Disbursing Officers, and
the
the
Treasury Officers and the Pay and Accounts Officers are hereby
directed to treat the advance for Medical treatment as an advance
of T.A. and Pay on transfer and efforts shall be made that such
an advance for Medical treatment is adjusted within the time
stipulated, avoid probable objections at a later date.
3.
Advances for Medical Treatment
[Memo.
1982]
No. 39027/724/BG/82, F.& P. (Fin. Wing-B.G.),
Dt.
21-9-
Ref. :-G.O.Ms.No. 1274, M. & H., Dt, 29-12-1978.
Order :-Under the revised accounting classification which has
come into force with effect from 1-4-1974, the expenditure on
Medical advances was being classified under "766. Loans to
Government Servants-MH. 25 Other Advances, SH (03) Advances for
Medical attendance and treatment. But in consultation with the
Accountant-General, Andhra Pradesh, Hyderabad certain amendments
were issued to the A.P. Integrated Medical Attendance Rules,
1972, through the reference cited. Among other things it was also
ordered therein that the Medical advances shall be treated like
advances of Travelling Allowance and pay on transfer and the
recovery must be affected by adjustment from the claim for
reimbursement of medical expenses. Even though orders have been
issued to the above effect, it has been brought to the notice of
the Government that the Medical advances are still
being
accounted for under "Loans and Advances".
2. The Director of Treasuries and Accounts is therefore requested
to issue suitable instructions to all District Treasury Officers
to adopt the revised classification debiting the expenditure on
Medical advances to the Service head of account instead of Loans
and Advances head of account.
4.
Reimbursement of Medical expenditure - Instructions
[U.O. Note No. 3142/K1/85-1, M. & H, Dt. 17-4-1986]
Order :-According to Rule 5(3) (ii) of the Integrated Medical
Attendance Rules, all claims for refund of expenses incurred on
account of the purchase of the special medicines should be
preferred in the manner indicated in Appendix-Ill. According to
Para
2 (ii) of the said Appendix, the reimbursement bills arising in
the Hyderabad City will be scrutinised and passed for payment by
the Superintendents of the concerned Hospitals. According to Para
4 of the said Appendix, claims for reimbursement should be
accompanied by an Essentiality Certificate from the Authorised
Medical Attendant or from the Medical Officer in-charge of the
case in the hospital.
2. With reference to the provisions referred to in Para 1 above,
employees, of various departments of Secretariat are claiming
reimbursement of expenditure incurred by them on medicines for
treatment of self and family members on the basis of essentiality
certificate and certificate of non-availability of the drugs
given by the Authorised Medical Attendant of the concerned
Hospital and sometimes certificate of non-availability of these
drugs in the Secretariat dispensary, issued by the Medical
Officer of Secretariat Dispensary. The Departments of Secretariat
are referring such claims for reimbursement of expenditure to the
Medical and Health Department for concurrence.
Reference of such cases to this department has been on the
increase resulting in avoidable work load in this department and
delay in reimbursing the claims. The Secretariat departments are
therefore
informed
that the proposals
for
sanction
of
reimbursement of expenditure incurred by Government Servants
which are in accordance with the provisions of rules referred to
in
Para 1 above, Viz., the calims for reimbursement
of
expenditure for treatment in Government Hospitals within the
State which are accompanied by an Essentiality Certificate and
certificate of non-availability of medicines from the Authorised
Medical Attendant and when they are satisfied that the claim is
in accordance with the provisions in Appendix-III to Andhra
Pradesh Integrated Medical Attendance Rules, 1972, need not be
referred to Medical and Health Department for remarks/acceptance.
This applies to the cases referred by Heads of Departments to the
Administrative Departments of Secretariat also.
3.
However as provided in the note under Para 2 (ii) of the
Appendix - III to the Integrated Medical Attendance Rules, 1972,
all
cases
requiring
Special sanction
or
relaxation
;
clarification or interpretation of the State Medical Attendance
Rules should be referred to this department invariably.
5.
Treatment underwent in the Appollo Hospital, Madras,
for by-pass surgery, etc., - Certain instructions issued
etc.,
(G.O.Ms.No. 69/K1/89-1,, H.M. & F.W. Dept., Dt. 14-3-1989)
Ref. :- 1.
2.
G.O.Ms.No. 317, M&H (Kl), Dt. 7-5-1986.
G.O.Ms.No. 72, I&CAD (Irrigation Ser. II) Dept., Dt. 4-2-1988.
Order :-Certain instructions were issued in the Government Order
1st cited in respect of availment of medical treatment for Kidney
transplantation and Coronory Bypass Surgery in private hospitals
in the State by the Government employees. Government servants and
others entitled for treatment under the Medical Attendance Rules,
1972 were permitted to undergo Kidney transplantation operation
in the Mahavir Hospital, Hyderabad and Coronory Bypass Surgery in
the Durga Bai Desmukh Hospital, Andhra Mahila Sabha, Hyderabad,
on the letter of advice given by the Authorised Medical Attendant
in the Osmania General Hospital/Nizams's Institute of Medical
Sciences, Hyderabad respectively where the above operations are
done. A condition was also stipulated in the G.O. first cited to
the effect that those who obtain prior permission of the Director
of Medical Education, Kidney Transplantation and Coronory Bypass
Surgery will be eligible for reimbursement of all admissible
expenditure including charges for accommodation and also for an
advance as per the estimate given by the concerned hospital
undertaking the operation.
2.
Though the above facilities were extended to the Government
employees for treatment, some of the Heads of Departments are
sending proposals to Government recommending for sanction of the
claims of the Government employees for reimbursement of the
expenditure incurred by them for their treatment for Coronory
Bypass Surgery and Kidney transplantation, etc., in private
hospitals, like Appollo, etc., outside the State in deviation of
the instructions issued in the Government Order 1st cited and
though relevant instructions were issued from time to time.
3.
The Government after careful consideration have decided not
to reimburse the claims of the Government employees who undergo
treatment in Appollo Hospital, Madras or any other institutions
outside the State or in Hyderabad hereafter, which are not in
accordance with the instructions issued in the Government Order
1st cited unless specific prior permission is obtained from the
Government.
6. Medical treatment to Government Employees - Reimbursement of
Medical expenditure incurred - Fixing the maximum ceiling to *Rs.
40,0007[G.O.Ms.No. 281, H.M. & F.W. (K), Dt. 1-5-1989]
Note :-These orders as amended subsequently are applicable to the
non-teaching staff of all Universities in the State -Vide of
G.O.Ms.No. 542, Edn., Dt. 20-11-1998.
Ref. :- \.
G.O.Ms.No. 170, M&H(K1), Dt. 14-3-1985.
Order :-In the G.O. first read above, orders were issued fixing
the maximum limit of */**Rs. 40,0007- to Government Employees
towards reimbursement of expenses incurred by them on medical
treatment, subject to the condition specified therein.
However, several instances have come to the notice of the
Government to the effect that Government Employees are claiming
huge amounts towards medical treatment beyond the permissible
ceiling limit of Rs. 40,0007- fixed by the Government.
Since the Government is providing free treatment to persons
belonging to Weaker Sections of the society who are green-cardholders, the Government after careful examination have decided
and direct that the maximum ceiling limit of */**Rs. 40,0007(Rupees forty thousand only) be fixed for the State Goveniment
employees towards their medical reimbursement, whether they
obtain treatment in the State Government Hospitals, or in other
States in India, or outside India, includes Air Passage of
patient and expenditure incurred towards Personal Attendant. If
the treatment is required abroad, or outside the State, the
Authorised Medical Attendant should certify to the effect that
there is need for obtaining the treatment of the patient, i.e.,
outside the State, or outside India and prior approval of the
Director of Medical Education/Government in Health Medical and
Family Welfare Department should also be obtained by the person
who wants to obtain treatment outside the State, and outside the
Country. A certificate from the Director, Medical Education is
also to be obtained by the Department concerned who process the
claim putforth by the individual for sanction of the expenditure
by producing the bills/ vouchers to be reimbursed. These orders
shall come into force with effect from 1-5-1989.
All the Departments of Secretariat and all the Heads
of
Departments are informed that any claim of the Government
Employees for reimbursement of their medical expenditure beyond
the maximum limit of *Rs. 40,0007- as specified in Para 3 above
shall not be entertained and they should issue instructions to
all their subordinates to follow these orders strictly.
7.
Medical Treatment - Cardiac Surgery - Free
members of public belonging to weaker sections
hospitals - Orders - Issued
of
in
charge to
Government
(G.O.Ms.No. 580, H.M. & F.W. (SCK) Dept, Dt. 30-9-1989)
Order :-Of late several requests are being made by the members of
public directly or though their representatives for financial
help towards payment of expenses on medical treatment and on
cardiac surgery undertaken by certain hospitals under the control
of the Government where such facilities are available. Govt.
depending on the eligibility of the person and need for such
medical treatment have been authorising the concerned hospitals
for giving free treatment or for free cardiac surgery as the case
may be with a request to send necessary bills to the Revenue
Department for effecting payment towards the cost of consumable,
disposables from out of Chief Ministers Relief Fund.
As requests for financial aid towards cardiac surgery are ever
increasing and in order to rationalise the entire procedure the
following guidelines are issued:
1.
All requests made by the members of public belonging to
weaker sections of society, recommended by any Department,
M.L.As., MPs, Ministers, etc., shall be forwarded for examination
by
the Government in Health, Medical and Family
Welfare
Department.
No representations made by any individual
or
representatives of the patients shall be received by any hospital
either for examination or for treatment free of cost unless
specific orders are issued by the Government.
2.
The applicant requesting free medical treatment/cardiac
surgery shall be a member of weaker sections of society and shall
possess a green ration card.
3. The bonafides of the applicant requesting free treatment for
his dependent shall be verified to ascertain that the dependent's
name figures in the green ration card possessed by him and is the
same person for whom medical treatment is sought.
4. The beneficiary shall execute a bond on a five rupee stamped
paper (non-Judicial) to the effect that he/she is member of the
family of the green ration card holder.
5.
The applicant shall affix a passport size of
latest
photograph of the beneficiary/ dependent on the righthand top
corner of the applicant for and also enclose a xerox copy of the
green ration card before sending to the Government.
6.
Government in Health, Medical and Family Welfare Department
after verifying the application form and if it found that the
applicant or his dependent fulfills all conditions for free
medical treatment/free Cardiac Surgery necessary orders will be
issued to the hospitals under the control of Government where
such facilities are available for free medical treatment/free
cardiac surgery and only after issue of such orders the cases
shall be admitted and given free treatment/surgery. Expenditure
on consumables/disposables, if any shall be met by Government
from out of Chief Minister's Relief Fund.
7. The concerned hospitals where cardiac surgery is done free of
Cost to any person on the orders of Government in Health, Medical
& Family Welfare Department, shall at the end of every month send
a statement, quoting relevant references from the Government in
Health, Medical and Family Welfare Department of Health of
patients, treatment given, surgery conducted and the costs
involved with regard to consumables or disposables to the Revenue
Department for purposes of effecting necessary payment from out
of Chief Minister's Relief Fund under intimation to Health,
Medical & Family Welfare Department.
8.
Medical Attendance - Issuing of letter of advice to
treatment / Open Heart Surgery outside the State Instructions Issued
undergo
Certain
(Memo.No. 2113/K1/89-1, H.M. & F.W. Dept., Dt. 4-10-1989)
Order :-It is observed that despite the instructions issued by
Govt. in Memo. No. 69/K1/89-1, HM&FW, dt. 14-3-89, the authorised
Medical Attendant to hospitals on outside Govt. Hospitals have
indiscriminately referred cases to hospitals outside the State
for treatment/Surgery without referring such case in the first
instance
to the Govt. Hospitals, viz.,
Gandhi
Hospital,
Secunderabad, Osmania General Hospital, Hyderabad where such
facilities are already available for such treatment or to Nizam's
Institute of Medical Sciences, Hyderabad which is a "REFERRAL"
Hospital. On account of this the department concerned have been
placed in embrassing situation, which lead to with unnecessary
correspondence with Government.
2. Government have examined the matter carefully and direct that
all the authorised Medical Attendants should refer the cases that
come to them for treatment/ surgery to Osmania Genl. Hospital,
Hyderabad, Gandhi Hospital, Secunderabad or Nizam's Institute of
Medical Sciences, Hyderabad, of serious nature in any case they
should not refer such cases to hospitals outside when facilities
are available for such treatment/surgery in these government
Hospitals of this State while issuing the letter of advice to
Nizam's Institute of Medical Sciences, Hyderabad, they should
certify that necessary facilities are not available in their
Institutions. They should refer a case for Treatment/surgery
outside the State only in consultation with Nizam's Institute of
Medical Sciences, Hyderabad, and on obtaining a certificate that
there are no facilities available in Nizam's Institute of Medical
Sciences.
3.
All the Medical Officers of the Hospitals, and Dispensaries
in the State should adhere to the above orders scrupulously, any
deviation of these instructions will be viewed seriously.
9. Facilities of admission and treatment to the pensioners and
their
family
members in Super Specialities
Hospitals
Reimbursement of medical expenditure incurred thereon
[G.O.Ms.No. 401, HM & FW (Kl), Dt. 25-6-1991]
Ref. :- 1.
2.
G.O.Ms.No. 35, M&H, Dt. 26-1-1981.
G.O.Ms.No. 718, M&H, Dt. 26-11-1981.
3.
From the Secretary, The Hyderabad Pensioner's
Hyderabad, Ref. No. 28/B/89/HPA, Dt. 28-8-1989.
4.
From
the
Director
of
Lr.Rc.No.l6793/MA.C/89, Dt. 4-12-1989.
Medical
Association,
Education,
Order :- In the G.Os. first and second read above, it was ordered
among other that the retired Government Employees are entitled to
free medical treatment in all the Government Hospitals in the
State and that they are not eligible to claim reimbursement of
medical expenses and for medicines purchased in the open market,
if any, on the prescription of the Government Medical Officers.
2.
In the reference third read above, Secretary, the Hyderabad
Pensioners Association, Hyderabad has represented that pensioners
are likely to fall sick frequently due to their old age and
require medical attention and that due to meagre pension they
cannot afford to spend huge amounts towards medical treatment. He
has therefore requested that free medical aid, in all General
Hospitals under the control of Government and Super Specialities
Hospitals including Nizam's Institute of Medical
Sciences,
Hyderabad, may be provided and necessary orders will be issued in
this regard.
3.
After careful examination, the Government have decided to
provide medical treatment to all retired Government Employees and
their dependents on par with serving Government Employees. In
partial modification of the orders issued in the G.Os. first and
second
read above, Government hereby direct that
medical
treatment provided at Nizam's Institute of Medical Sciences,
Hyderabad
to the retired Government Employees
and
their
dependents on par with serving Government Employees who suffer
with serious ailments of the Heart, Kidney, Brain Cancer or any
other disease or Surgery for which facilities are not available
in
any of the teaching hospitals in the State and
for
reimbursement of the cost of the treatment including consumable
and disposable and medicines direct to Nizam's Institute of
Medical Sciences, Hyderabad subject however to a maximum limit of
Rs. 40,0007- (Rupees Forty thousand only) or as fixed by
Government from time to time as in the case of serving Government
Employees. The reimbursement shall not however, be allowed if
they have obtained treatment in any other private hospitals. The
Nizam's Institute of Medical Sciences, Hyderabad shall take up
cases only on authorisation by Authorised Medical Attendant of
any teaching hospitals as in the case of serving Govt. Employees.
The Nizam's Institute of Medical Sciences, Hyderabad shall take
up treatment direct to the pensioners upto the limit fixed by
Government subject to scrutiny of the bills by Director of
Medical Education and claim reimbursement from Government.
4.
The expenditure on this account shall be met from the
concerned Office/ Department from where the Pensioner worked last
and retired on attaining the age of superannuation and shall be
debited to the "Salaries Head" as in the case of regular Govt.
Employees.
5. These orders shall come into force with effect from the
of issue of orders.
date
10. Nizam's Institute of Medical Sciences - Medical treatment
Govt.
Employees and their dependents Reimbursement
expenditure - Simplification of procedure - Orders - Issued
of
of
[G.O.Ms.No. 445, HM&FW(E2), Dt. 19-7-1991]
Ref. :-G.O.Ms.No. 609, HM&FW, Dt. 21-11-1988.
Order :-1. The Government have, for sometime, been considering
simplification of the procedure for treatment of Government
Servants at the Nizam's Institute of Medical Sciences.
The procedure has been outlined in the G.O. cited. Presently the
Ni/am's Institute of Medical Sciences is regarded as referral
hospital subject to the following conditions :(a)
The Nizam's Institute of Medical Sciences
referral hospital other than for emergencies.
will
be
a
(b)
Referral of patients to Nizam's Institute of Medical
Sciences should be from the teaching hospital with the approval
of the Head of the Departments/Speciality concerned.
(c)
The referring hospital should
available in that hospital are fully
instance ; and
ensure that
utilised in
(d)
The referring hospitals should refer the
details including a referral summary.
cases
facilities
the first
with
all
2.
Under the present procedure, the teaching hospitals in the
State are referring cases of Government Servants requiring
specialised treatment to the Nizam's Institute of
Medical
Sciences whenever facilities are not available with them for
treatment of various ailments. The sanction of expenditure for
treatment incurred at Nizam's Institute of Medical Sciences is
being regulated in terms of the provisions of the Andhra Pradesh
Integrated Medical Attendance Rules, 1972. These rules require
that the bills of Nizam's Institute of Medical Sciences should be
scrutinised by the Director of Medical Education before sanction
is accorded for payment by the concerned Heads of Departments.
3. The above procedure has been found to be cumbersome and there
are some cases of delay in the referral of even emergency cases
to Nizam's Institute of Medical Sciences by the
teaching
hospitals. The procedure of pre-scrutiny of bills by the Director
of Medical Education is also causing delays.
4. After due consideration, it has been decided that Government
Employees or their dependants can obtain treatment at Nizam's
Institute of Medical Sciences directly for the following ailments
("earmarked categories"). In respect of these cases, referral by
a teaching hospital will not be required.
(a)
Acute Mycardial Infraction (Cardiology Department)
(b)
Acute renal failure (Nephrology Department)
(c)
Severe
Department)
(d)
cases
of head and
spinal
injury
(Neuro-Surgery
Cases of Coma (Neurology Department)
5. With regard to the above earmarked categories, the
procedure shall be followed :-
following
(a)
The Nizam's Institute of Medical Sciences need not insist
on advance payment by the Government Servants and may commence
treatment immediately taking into account the seriousness of the
case.
(b)
The Nizam's Institute of Medical Sciences should prepare an
estimate of the approximate expenditure for the treatment and
hand it over to the concerned Government Employee who, in turn
may apply for advance to the concerned Head of Department. The
estimate of expenditure shall be calculated only with respect to
items reimbursable under the Andhra Pradesh Integrated Medical
Attendance Rules. This has to be ensured by Nizam's Institute of
Medical Sciences. After the advance is sanctioned the amount of
advance shall be made over by the Head of Department directly to
Nizam's Institute of Medical Sciences. Normally, the Head of
Department should ensure that the amount sanctioned as advance
reaches Nizam's Institute of Medical Sciences within a period of
15 days. The amount of advances drawn shall be adjusted by
preferring
claims by the respective departments with
the
necessary certificates and vouchers.
(c)
Orders delegating powers to Heads of Departments
drawing of advances are being issued separately.
for
(d)
It will no longer be necessary to get the bills scrutinsed
by the Director of Medical Education. The Nizam's Institute of
Medical Sciences shall take necessary steps to scrutinise the
bills in accordance with the Andhra Pradesh Integrated Medical
Attendance Rules and forward them for payment to the Head of the
Department concerned. The bills so sent must relate only to items
of expenditure admissible under the Andhra Pradesh Integrated
Medical Attendance Rules.
(e)
The Nizam's Institute of Medical Sciences must make its own
arrangements with the Government Employee concerned for payment
with regard to items of expenditure in the bill which are
inadmissible
under the Andhra Pradesh
Integrated
Medical
Attendance Rules. Likewise, the Nizam's Institute of Medical
Sciences must make its own arrangements with the Government
Employee concerned for payment of bills in excess of Rs. 40,000/which is the limit for reimbursement of medical expenses incured
by a Government Servant.
6. With regard to any matter not covered by the above procedure,
the provisions of the G.O. cited shall continue to apply. In
respect of the other cases, viz., cases not falling under any of
the above earmarked categories, the existing instructions issued
in the G.O. cited will continue to be in force.
11. NIMS - Medical treatment of Govt.
dependents -Reimbursement of expenditure
procedure - Regarding
employees and their
- Simplification of
(Letter No. 2706/K1/92-1, HM & FW Dept, Dt. 30-1-1992)
Ref. :- G.O.Ms.No. 445, HM & FW, Dt.
19-7-91.
Order :-In the G.O. cited, orders have been issued identifying
the earmarked ailments one each in the Departments of Cardiology,
Nephrology, Neuro-surgery and Neurology of Nizam's Institute of
Medical Sciences in which the Government employees and their
dependents have been permitted to approach the Nizam's Institute
of Medical Sciences directly for the treatment without reference
from teaching hospitals in the State. It is however noticed that
the cases received from other Departments for various other
ailments, the Government employees and their dependents are
directly approaching the Nizam's Institute of Medical Sciences
for treatment i.e., other than those identified as mentioned
above and others obtaining the estimates for the treatment and
approaching the government for sanction of advance to obtain
treatment
or for reimbursement for the treatment
already
obtained. In the Estimation Certificates/Bills issued by the
Nizam's Institute of Medical Sciences authorities, there is no
indication as to whether or not, the ailments for which treatment
is sought for or obtained are those identified for the treatment
in Nizam's Institute of Medical Sciences as provided in para 4 of
G.O.Ms.No. 445, H.M. & F.W., Dt. 19-7-1991. In the absence of
such
information, it has become necessary to enter
into
correspondence with the Departments and Nizam's Institute of
Medical Sciences tO Obtain the exact position in terms of the
aforesaid
orders thereby resulting in delay in settlement of
medical claims of the employees consequently a subject of
criticism.
2. With a view to avoid correspondence and consequential delay in
settlement
of
medical
claims
of
the
Government
employees/pensioners, I am directed to request you kindly to
incorporate in the estimation certificate to be sent or on the
medical bills to be given by Nizam's Institute of Medical
Sciences to the Government employees or retired Government
employees, as the case may be, a certificate whether or not the
case is covered by the orders issued in G.O.Ms.No. 445. H.M. &
F.W.,
dated 19-7-91 or whether it meets the
requirement
prescribed in G.O.Ms.No. 609, H.M. & F.W. dated 21-11.1988 (i.e.,
reference to Nizam's Institute of Medical Sciences from a
Teaching Hospital).
12. Sanction of Medical Advance for Medical treatment of Govt.
Employees and their dependants in NIMS, Hyd. for certain serious
diseases - Delegation of powers to Heads of Departments for
sanction of Advance - Orders Issued.
[G.O.Ms.No. 86, F&P, Dt. 1-6-1992]
Ref. :- 1.
G.O.Ms.No. 609, HM&FW (E2), Dt. 21-11-1988.
2.
G.O.Ms.No. 445, HM&FW (E2), Dt. 19-7-1991.
3.
G.O.Ms.No. 184, HM&FW (Kl), Dt. 2-4-1992.
Order :-In the G.O. 1st read above, Government have issued orders
declaring Nizam's Institute of Medical Sciences as referral
Hospital subject to the following conditions :1. The Nizam's Institute of Medical Sciences will be a
Hospital other than for emergencies.
referral
2.
Reference of patients to Nizam's Institute of Medical
Sciences should be from the Teaching Hospitals with the approval
of the Head of the Department/Speciality concerned.
3.
The referring
available in that
instance.
hospitals should ensure that
hospitals are fully utilised in
4.
The referring hospitals should refer the
details including a referral summary.
cases
facilities
the first
with
all
5. The patients should be clearly informed that taking up of the
case by the Nizam's Institute of Medical Sciences is dependent on
the availability of accommodation and other facilities in the
Nizam's Institute of Medical Sciences.
2. In consideration of the difficulties being experienced by the
beneficiaries and also the delay involved in setting the medical
claims, it has been decided to delegated the powers to the
concerned Heads of Departments for sanction of Medical advances
to the employees working under their administrative control in
respect of the following diseases without referral by Authorised
Medical Attendant vide orders issued in G.O. 2nd read above.
(a)
(b)
Acute Myocardial In Infraction (Cardiology Department)
Acute renal failure (Nephrology Department)
(c)
Severe
Department)
(d)
cases
of head and
spinal
injury
(Neuro-Surgery
Cases of Coma (Neurology Department)
3.
The medical claims of State Government Employees covered
A.P.I.M.A. Rules, 1972 can be broadly categorised into :
(i)
Claims
preferred
against
treatment
Hospitals/Referral Hospitals/ Recognised Hospitals.
by
in
Govt.
(ii) Claims preferred against treatment in unrecognised
Hospitals.
Private
(iii) Calims preferred against treatments in NIMS who were
admitted direct without reference by the A.M.A. under emergency
circumstances to undergo treatment for the diseases noted under
Para 2 above.
4.
At present in respect of the claims noted against Items (i)
and (iii) under Para 3 above, Government is vested with the
powers of sanction of medical advances to Government Employees
and their dependents towards medical expenditure incurred while
undergoing treatment for certain diseases.
5. In respect of claims preferred by the individuals either for
sanction of advance or for reimbursement of medical expenditure
incurred
for treatment undergone in
unrecognised
Private
Hospitals
the Government would not entertain such
claims
normally.
6. After due consideration, it has been decided to delegate the
powers to Heads of Departments concerned for sanction of medical
advance
to Government Employees and their dependents
and
settlement of final bills for undergoing treatment in NIMS in
respect of cases referred to under G.O.Ms.No. 445, HM&FW (E2)
Dept., Dt. 19-7-91 subject to the following conditions :(a)
the maximum amount should not exceed Rs. 50,000/- and the
expenditure incurred over and above Rs. 50,000/- should be borne
by the individual.
(b)
The Head of the Department should ensure that the amount
sanctioned as advance shall be paid to NIMS by means of
Cheque/Draft within 15 days from the date of receipt
of
estimation of the expenditure from the NIMS.
(c)
The advance drawn and paid to the NIMS shall be adjusted by
preferring claims by the concerned Head of the Department within
3 months from the date of drawal of advance with necessary
certificates and vouchers prescribed in A.P.I.M.A. Rules, 1972.
(d)
The claim sent by the NIMS must relate only to the items
of
expenditure admissible under the A.P.I.M.A. Rules, 1972.
(e)
The bills need not be sent to the D.M.E. for scrutiny and
the claim be admitted based on the admissibility certificate
issued by NIMS.
7.
If a Government Servant seeks admission in NIMS vide orders
issued in G.O.Ms.No. 609, H&M, Dt. 21-11-1988 the Head of the
Department is competent to sanction advances and also the final
bill following the conditions mentioned in Para 6 above. In
addition he shall ensure that the patient is preferred to NIMS,
Hyderabad by the Authorised Medical Attendant. The A.M.A. of the
Teaching Hospitals with the approval of the Heads of the
Departments/Specialists of the Hospital alone have to refer the
cases
to
NIMS.
Other
Heads
of
Departments
of
any
mofusall/Headquarters or City Hospitals who are not the Heads of
Departments/Specialists of the Teaching Hospitals would not be
reckoned as Authorised Medical Attendants, competent to refer the
cases to NIMS covered vide order issued in G.O.Ms.No. 609, M&H,
dated 21-11-1988.
8. Where the authority referring the cases to NIMS is not deemed
as Authorised Medical Attendant, such cases are to be referred to
Government for relaxation of A.P.I.M.A. Rules, in HM & F.W.
Dept., and Finance and Planning (FW) Department for concurrence
and for relaxation of A.P.I.M.A. Rules. The Head of
the
Department is not empowered to sanction advance if relaxation of
A.P.I.M.A. Rules is involved.
9.
The Government extend the facility available for Central
Government Servant wherein a member of the family can also apply
and draw the advance when the Government Servant is critically
ill and hospitalised so as the avoid inconvenience. In such cases
the wife or a legal heir of the Government Employee shall submit
an application for sanction of advance to the Head of the
Department under whom the employee is working in case the
employee is critically ill and cannot sign the application. This
facility is available to all Government Servants who avail of the
facilities in the NIMS, Hyderabad under G.O.Ms.No. 445, H.M. &
F.W. (E2) Dept, dated 19-7-1991 and G.O.Ms.No.609, H.M. & F.W.
(E2) Department, dated 21-11-1988.
10. The advance sanctioned shall be debited to the Service Head
of Account to which the' pay and other allowances of the employee
are being debited.
13. Provision of Corrective Glasses and Hearing Aids - Fixation
of limit of expenditure for reimbursement - Orders - Issued
[G.O.Ms.No. 276, HM & FW (Kl), Dt. 11-5-1993]
Ref. :- 1.
2.
G.O.Ms.No.175, HM & FW, Dt. 7-3-1990.
Govt. Memo. No. 2118/K1/90-1, Dt. 28-4-1990.
3. From the Director of Medical Education, Lr.No. 14845/MA B/90,
Dt. 23-8-1990.
Order :-In the Government Order 1st cited above orders have been
issued to amend the Andhra Pradesh Integrated Medical Attendance
Rules, 1972. As per this amendment the cost of Artificial Limbs,
Hearing Aids, Corrective Glasses, Artificial Teeth and Invalid
Chatirs are reimbursable to the eligible patients who are
entitled to the facilities for sanction of medical reimbursement.
2.
Government after careful reconsideration of the above
issued in G.O.Ms.No. 175, HM & PW, dated 7-3-1990 hereby
the cancellation of G.O.Ms.No. 175, HM&FW, dated 7-3-1990.
order
order
3. All existing claims which have been received pursuant to the
issue of G.O.Ms.No. 175, HM&FW, dated 7-3-1990 will be settled by
30-6-1993. These existing claims should pertain to
claims
received in pursuance of G.O.Ms. No. 175, HM &FW, dated 7-3-1990,
till the date of the cancellation of the Government Order.
4.
For settlement of the existing claims received pursuant to
issue of G.O.Ms.No. 175, HM & FW, dated 7-3-1990 the scale at
which the settlements have to be made has been considered by the
Government and after taking into consideration the proposals
received from the Director of Medical Education the Govt. hereby
decide that the maximum expenditure eligible for reimbursement to
the Government Employees and their family members for settlement
of the existing claims preferred by them before issue of this
Government Order will be as follows :(i)
Corrective Eye Glasses
inclusive of frame
Rs.200/-(Rupees two
hundred only)
(ii) Hearing Aids-All types
Rs.300/-(Rupees three
hundred only)
(iii) Hearing Aids-All types
Rs.1,500/-(Rupees one
thousand five hundred
only)
(iv) Dentures :
(a)
Complete Denture
Rehabilitation
(Upper and Lower Jaw)
Rs.300/- (Rupees three
hundred only)
(b)
Single complete denture
prosthesis against natural
detention (only upper
Lower Jaw)
Rs.150/- (Rupees one
hundred and fifty only)
(c)
Bilateral Partial edentulous Rs.50/- (Rupees fifty
condition Glass-I
only)
(Replacement of single teeth)
(d)
Crown- acrylic JC/Dowel
Dowel Crown
Rs.50/- (Rupees fifty
only)
(e)
Crown Porcelain.
Rs.150/- (Rupees one
hundred and fifty only)
5.
Necessary order amending the Andhra Pradesh
Medical Attendance Rules, 1972 in this regard will
separately.
Integrated
be issued
14. Medical Attendance to State Government employees at Sri
Venkateswara Institute of Medical Sciences, Tirupathi
with
eligibility for reimbursement / medical advance - Orders - Issued
(G.O.Ms.No. 544, H.M. & F.W. Dept., Dt. 9-11-1993)
Ref. :- 1.
G.O.Ms.No. 445, H.M. & F.W. Dept., Dt.
19-7-1991.
2.
G.O.Ms.No. 184, H.M. & F.W. Dept., Dt. 2-4-1992.
3.
G.O.Ms.No. 86, Fin. & Pig. (FW) Dept., Dt.
1-6-1992.
Order :-The medical attendance to State Government employees and
their dependent family members is governed by the provisions of
Andhra Pradesh Medical Attendance Rules, 1972. As an additional
facility orders were issued in the Government Orders first read
above allowing them to obtain treatment at Nizam's Institute of
Medical Sciences directly without reference in the following
medical situations with eligibility for reimbursement of the
admissible expenditure therefore or for advance with reference to
the estimate furnished by the Nizam's Institute of Medical
Sciences subject to the monetary ceiling fixed by the Government
from time to time.
(a)
(b)
Acute Mycardinal Infraction (Cardiology Department)
Acute Renal Failure (Nephrology Department)
(c)
Severe
Department)
(d)
cases
of Head and
Spinal
injury
(Neuro-surgery
Cases of Coma (Neurology Department)
In all other cases also the facility of treatment for them at
Nizam's" Institute of Medical Sciences with eligibility for
reimbursement or advance is made available subject to reference
to that Institute by a Specialist Head of the Department of a
teaching hospital and subject to the monetary ceiling
as
mentioned above. Orders have also been issued in the Government
Order third read above delegating powers to the Heads of
Departments for the sanction of advances within the monetary
ceiling for the treatment at Nizam's Institute of Medical
Sciences as indicated above.
2. In quite a number of cases the employees working in the border
districts of Nellore, Chittoor and Cuddapah are
obtaining
treatment in neighbouring States and coming up with requests for
reimbursement. Each of these cases are being examined on merits
and such of those cases, where the required treatment is not
available in State Government Hospitals within the area of the
State, a liberal view is being taken and such claims are being
allowed in relaxation of rules on compassionate grounds in
of the distance involved in coming to State capital.
view
3.
Now the Super Speciality Hospital, viz., Sri Venkateswara
Institute of Medical Sciences, Tirupathi, financed by Tirumala
Tirupathi Devasthanam, has commenced functioning at Tirupathi as
a Society with the following specialities :
1.
Cardiology
2.
Cardio Thoracic Surgery
3.
Neurology
4.
Urology
5.
Nephrology
6.
Endocronology
The President, Andhra Pradesh Non-Gazetted Officers Association
in his representation fourth read above has requested for
according permission for treatment at this institution as at
Nizam's Institute of Medical Sciences, Hyderabad.
4.
Government have reviewed the matter including the policy as
mentioned in para 2 above and hereby extend the facility of
treatment at Sri Venkateswara Institute of Medical Sciences,
Tirupathi to all those who are eligible for Medical Attendance
under Andhra Pradesh Integrated Madical Attendance Rules, 1972 on
the same lines as applicable for the treatment at Nizam's
Institute
of
Medical Sciences,
Hyderabad
including
the
eligibility for advance. Simultaneously, Government have also
decided not to allow relaxation of Andhra Pradesh Integrated
Medical Attendance Rules, 1972/Orders in the cases of the type
mentioned in para 2 above with immediate effect.
5.
These orders will have prospective effect from the
issue of this orders.
date
of
15. Medical Attendance facilities of admission and treatment to
the Pensioners and their dependants in Super
Specialities
Hospitals at Nizam's Institute of Medical Sciences, Hyderabad and
Sri Venkateswara Institute of Medical Sciences, Tirupathi with
eligibility for reimbursement/medical advance - Orders - Issued
(G.O.Ms.No. 579, H.M. & F.W. Dept, Dt. 1-12-1993)
Ref. :- 1.
G.O.Ms.No. 401, H.M. & F.W. Dept., Dt. 25-6-1991.
2.
G.O.Ms.No. 445, H.M. & F.W. Dept, Dt. 19-7-1991.
3.
G.O.Ms.No.
4.
G.O.Ms.No. 86, Fin. & Pig. (FW) Dept, Dt.
5.
G.O.Ms.No. 544, H.M. & F.W. Dept, Dt. 9-11-1993.
184, H.M. & F.W. Dept, Dt. 2-4-1992.
1-6-1992.
6.
From
the President,
State
Association, Dt. 16-7-93.
Govt.
Pensioners
Order :-Orders were issued in the Government order second read
above allowing the government employees and their dependant
family members to obtain treatment at Nizam's Institute of
Medical Sciences, Hyderabad directly without reference in the
following medical situations with eligibility for reimbursement
of the admissible expenditure therefor or for advance with
reference to the estimate furnished by the Nizam's Institute of
Medical Sciences, subject to the monetary ceiling fixed by
Government from time to time :
(a)
Acute Mycardial Infraction (Cardiology Department)
(b)
Acute Renal Failure (Nephrology Department)
(c)
Severe
Department)
(d)
cases
of head and
spinal
injury
(Neuro-Surgery
Cases of Coma (Neurology Department).
In all other cases also the facility of treatment for them at
Nizam's Institute of Medical Sciences, with eligibility for
reimbursement or advances is made available subject to reference
of the patient to that Institute by a Specialist/Head of the
Department of a teaching Hospital and subject to the monetary
ceiling as mentioned above. Orders have also been issued in the
Government Order fourth read above delegating powers to the Heads
of Departments for the sanction of advances within the monetary
ceiling for the treatment at Nizam's Institute of Medical
Sciences, Hyderabad as indicated above.
2.
In the G.O. fifth read above orders have been issued
extending the facility of treatment at Sri Venkateswara Institute
of Medical Sciences, Tirupathi to all those who are eligible for
medical attendance under Andhra Pradesh Integrated
Medical
Attendance Rules, 1972 on the same lines as applicable for the
treatment at Nizam's Institute of Medical Sciences, Hyderabad
including the eligibility for advance.
3.
In respect of State Government Pensioners,
orders were
issued in the Government order first read above to the effect
that medical treatment be provided at Nizam's Institute of
Medical Sciences, Hyderabad to the retired Government employees
and their dependants on par with serving Government employees who
suffer with serious ailments of the Heart, Kidney, Brain, Cancer
or any other disease or surgery for which facilities are not
available in any of the teaching hospitals in the State and for
reimbursement of the cost of the treatment including consumables
and disposables and medicines direct to Nizam's Institute of
Medical Sciences, Hyderabad subject to however to a maximum limit
of Rs. 40,000/- (Rs. Forty thousand only) or as fixed by
Government from time to time as in the case of serving Government
employees. It was also ordered therein that the Nizam's Institute
of Medical Sciences, Hyderabad shall take up cases only on
authorisation by Authorised Medical Attendant of any teaching
hospitals as in the cases of serving Government employees.
4.
The President State Government Pensioner's Association,
Hyderabad in his representation sixth read above, has stated that
the pensioners are facing difficulties on account of
the
cumbersomeness of the existing procedure and they are also
experiencing delays in the referral of emergency cases to Nizam's
Institute
of Medical Sciences, Hyderabad by the
teaching
Hospitals. He has therefore requested to issue orders extending
the concessions and facilities provided to serving Government
employees in G.O.Ms.No. 445, Health, Medical and Family Welfare,
Department dated 19-7-1991 and G.O.Ms.No. 86, Finance
and
Planning (FW) Department dated 1-6-1992 to State Government
Pensioners. Further, he has also requested that the Pensioners
and their dependants in Rayalaseema Region and Nellore Districts
may be permitted to obtain treatment at the Super Speciality
Hospital, Tirupathi on the analogy of the procedure laid down in
respect of Nizam' Institute of Medical Sciences, Hyderabad.
5. After careful examination, the Government here by extend the
facility of treatment at Nizam's Institute of Medical Sciences,
Hyderabad and Sri Venkateswara Institute of Medial Sciences,
Tirupathi to the State Government Pensioners and their dependent
Family member on the lines similar to those provided for serving
Government employees and their dependant family members as
detailed in paras first and second read above including the
facility of advance to the extent of ceiling amount of Rs.
50,000/ - as per G.O. fourth read above.
16.
Sanction of
Reimbursement for
Issued
Medical Advance to Government employees
treatment, etc., for second time - Orders
-
(G.O.Ms.No. 223, H.M. & F.W. Dept., Dt. 23-4-1994)
Ref.
:- 1.
G.O.Ms.No.
170, M&H, Dt.
14-3-1985.
2.
G.O.Ms.No. 281, H.M. & F.W. Dept., Dt.
3.
G.O.Ms.No.
1-5-1989.
184, H.M. & F.W. Dept., Dt. 2-4-1992.
Order :-Orders were issued in the Government orders 2nd read
above fixing ceiling of reimbursement amount for the treatment
obtained inside or outside India as Rs. 40,000/-. Subsequently
orders were issued in the Government order 3rd read above
increasing the ceiling of reimbursable amount from Rs. 40,0007to 50,000/-.
2.
The issue as to how the ceiling is applicable to Government
officials was examined earlier and it was decided that it will
apply to the entire treatment of an ailment including the
expenditure towards tests and examination, operations if any and
for post operative treatment whatever may be the duration of the
treatment. Subsequently this decision was again revised in
consultation with Finance and Planning (FW) Department regarding
the applicability of ceiling for each spent in treatment and
whether the employees can be allowed reimbursement or advance, as
the case may be, according, to rules for the second and
subsequent operations even including the operations for the same
ailments.
3.
The Government, therefore hereby order that the Government
officials shall be allowed reimbursement or advance as the case
may be according to rules for the second and
subsequent
operations even including the operations for the same ailments.
17. Medical treatment of Govt. employees/retired employees and
their dependents - Reimbursement of expenditure - Treatment in
private hospitals within the State and outside the State - Orders
- Issued
(G.O.Ms.No. 38, H.M. & F.W. (Kl) Dept., Dt. 23-1-1996)
Ref.
:- 1.
G.O.Ms.No. 609, HM & FW, Dt. 21-11-1988.
2.
G.O.Ms.No. 445, HM & FW, Dt. 19-7-1991.
3.
G.O.Ms.No.
4.
G.O.Ms.No. 544, HM & FW, Dt. 9-11-19893.
5.
G.O.Ms-No. 579, HM & FW, Dt.
6.
From the D.M.E. Lr.Rc.No. 20739/MA.A/94,
1995.
184, HM & FW, Dt. 2-4-1993.
1-12-1993.
Dt.
9-2-
Order :-The Pay Revision Commission has made certain observations
in regard to the medical facilities to the Government employees
and retired employees and their dependents in teaching hospitals
and also private hospitals within the State as well as outside
the State.
2.
The Government have constituted a Committee to go into the
recommendations of the Pay Revision Commission and
submit
suggestions/recommendations. The said committee suggested the
following recommendations :
(i) that the existing system of reference of teaching
shall be continued.
hospitals
(ii) that they have reiterated the recommendations made in 1986
to extend the facility of wellknown hospitals outside the State
also.
(iii) the maximum ceiling of Rs. 50,000/- may be continued and
the same could be reviewed periodically. In respect of treatment
in hospitals outside the State with the permission of the
Government the bills may be settled subject to scrutiny by
director of Medical Education regarding entitlements of the
officials who undergo treatment in such hospitals.
(iv) Even in respect of twin cities also, where specialised
treatment is available only in private hospitals which is not
available in Government hospitals, the employees may be given the
benefit of treatment in such hospitals subject to payment
according to the entitlements and within the ceiling subject to
scrutiny of bills by the Director of Medical Education.
(v) In respect of suggestions at items (ii) to (iv) above,
reference
from
Superintendent
of
a
teaching
hospital/Superintendent
of District Headquarters
hospitals,
except in respect of cases like "Acute Mycordial Infraction" as
may be specified, shall be necessary.
3.
The above recommendations have been sent to the Director of
Medical Education for his remarks and to suggest the hospitals
which could be recognised for purposes of reimbursement.
The
Director of Medical Education considering the recommendations of
the High Power Committee has submitted proposals to Government.
After careful consideration of the recommendations of
the
Director of Medical Education, Government hereby permit the
employees both serving and retired to secure treatment in the
private hospitals both within and outside the State.
4.
Under Rule 7 of the AP.I.M.A. Rules 1972 Government hereby
recognised the following Private Hospitals within and outside the
State
for treatment to the Government employees,
retired
employees and their dependents.
I.
Private Hospitals within the State :
1.
Appollo Hospital, Hyderabad.
2.
Medwin Hospital, Hyderabad
3.
C.D.R. Hospital, Hyderabad.
4.
Mediciti Centre, Hyderabad.
5.
Satya Kidney Centre, Hyderabad.
6.
Seven Hills Hospitals, Visakhapatnam.
7.
Kamineni Hospitals Limited, L.B. Nagar, Hyderabad.
8.
Sree
Padmvathi Orthopaedic
Himayatnagar, Hyderabad-29.
9.
Durga Bai Deshmukh Hospital and Research Centre, Hyderabad.
10.
Bibi General Hospital and Cancer Centre
11.
Citi Cardiac Research Centre, Vijayawada.
12.
Owaisi Hospital, Hyderabad.
13.
L.V. Prasad Eye Institute, Hyderabad.
14.
Mahavir Hospital, Hyderabad.
&
Surgical
Nursing
Home,
15.
Yashoda Super Speciality Hospital, Malakpet, Hyderabad
16.
Usha Cardiac Centre, Hyderabad.
17.
Care Hospital, Hyderabad.]
18.
Swatantra Hospitals, Rajahmundry.
19.
Indo-American
Hyderabad.
20.
Aware Hospital, Hyderabad.
Cancer Institute and
Research
Centre,
[G.O. Ms. No. 133, HM & FW, Dt. 9-4-2001]
[G.O.Ms.No. 328, HM & FW, Dt. 23-08-2001]
21.
Mytri Multi Speciality Hospitals, Hyderabad.
[G.O.Ms.No. 329, HM & FW, Dt. 23-08-2001]
22.
Image Hospitals, Hyderabad.
[G.O.Ms.No. 462, HM & FW, Dt.
23.
11-12-2001]
Pratima Institute of Medical Sciences, Nagunur, Karimnagar.
[G.O.Ms.No. 36, HM & FW, Dt. 13-02-2002]
Private Hospitals Out-side State :
1.
Apollo Hospitals, Madras.
2.
Sankar Netralaya, Madras.
3.
Adayar Cancer Centre, Madras.
4.
Vijaya Hospital, Vijaya Heart Foundation, Chennai.
5.
C.M.C., Vellore.
6.
N.I.M.H.A.N.R., Bangalore.
7.
Kidwai Memoral Cancer Hospital, Bangalore.
8.
Tata Memorial Cancer Hospital, Bangalore.
5. The above Private Hospitals both within the State and outside
the State shall be regarded as referral hospitals subject to the
following conditions :
(a)
The above private hospitals will be referral hospitals for
all types of cases including Acute Mycordial Infracture ; Acute
Coronary Disease, Acute Renal Failure; Severe cases of Head and
Spinal Injury and cases of Coma.
(b)
Referral of patients to the above private hospitals should
be from the Director, Nizam Institute of Medical Sciences,
Hyderabad/Sri
Venkateswara Institute of
Medical
Sciences,
Tirupathi in respect of above cases, only on a Certificate given
by
the Director, Nizam's Institute of
Medical
Sciences,
Hyderabad/Director,
Sri Venkateswara Institute
of
Medical
Sciences, Tirupathi stating that Nizam's Institute of Medical
Sciences/ Sri Venkateswara Institute of Medical Science will not
be able to cope with the work load in the interest of the health
of the patient such a reference to Private Hospitals
is
essential.
(c)
The
available
instance.
referring hospitals should ensure that
in those hospitals are fully utilised in
facilities
the first
6.
The ceiling of Rs. 50,0007- (Rupees Fifty thousand only)
fixed by the Govt. vide G.O.Ms.No. 184, Health,
Medical and
Family Welfare, dated 2-4-1992 for reimbursement to Government
employees including pensioners will be continued.
7.
In respect of treatment in the above Private Hospitals with
prior permission, the bills may be settled subject to scrutiny by
Director of Medical Educational about the entitlement.
18. Medical Treatment of Government/Retired Employees and their
dependants -Re-imbursement of Expenditure - Treatment in Private
recognised Hospitals within and outside the State - Admissibility
of Medical Expenditure, with 20% Cut on eligible amount without
referral
from
Nizam's
Institute
of
Medical
Sciences,
Hyderabad/Sri
Venkateshwara Institute of Medical
Sciences,
Tirupathi in cases of emergencies - Orders - Issued
(G.O.Ms.No.
Ref. :- 1.
175, H.M. & F.W. (Kl) Dept., Dt. 28-5-1997)
G.O.Ms.No. 38, HM & FW, Dt. 23-1-1996.
2.
G.O.Ms.No. 258, HM & FW, Dt. 15-6-1996.
3.
From
the
President,
APNGO's
Association,
Representation
dated 22-3-1996 and representation
from certain service Associations.
4.
From Dir. of Medical Edn., Lr. No. (RC) 3773/MA.A/96,
Dt. 9-10-1996.
Order :-In the Government orders 1st and 2nd read above orders
were issued permitting the State Government Employees, both
serving and retired to secure treatment in Private Hospitals
within and outside the State indicating therein that under Rule 7
of the Andhra Pradesh Integrated Medical Attendance Rules, 1972,
on a reference made by Nizam's Institute of Medical Sciences/Sri
Venkateshwara Institute of Medical Sciences.
2.
In the reference 3rd read above the Andhra Pradesh NonGazetted Officer Association and some other Service Associations
represented that the orders issued in the Government Orders 1st
and 2nd read above are not beneficial to the employees because of
the condition that the employee has to obtain a referral
certificate from Nizam's Institute of Medical Sciences, Tirupathi
to get treatment in Super Speciality Hospitals within or outside
the State and requested that this stipulation be omitted.
3.
It has been observed that a number of cases are being
referred to Government for relaxation of the Andhra Pradesh
Integrated Medical Attendance Rules, 1972 when the treatment has
been obtained directly at the Private Hospitals without referral
from
Nizam's Institute of Medical Sciences,
Hyderabad/Sri
Venkateshwara Institute of Medical Sciences, Tirupathi in view of
the serious nature of the patient and lack of sufficient time to
obtain such referral letter from the hospitals stated above.
4.
After careful consideration of this issue in consultation
with the Director of Medical Education, the Government have
decided to permit employees both serving and retired and also to
their dependants, to secure treatment in the Private Hospitals
recognised in the Government Orders 1 st and 2nd read above, when
the case is serious which required immediate treatment and there
is no sufficient time to get referral letter from Nizam's
Institute
of Medical Sciences,
Hyderabad/Sri
Venkateswara
Institute of Medical Sciences, Tirupathi. All the competent
authorities are therefore permitted to sanction reimbursement of
Medical
expenses for the treatment in
Private
Hospitals
recognised in the Government Orders 1st and 2nd read above after
satisfying themselves that the patient was admitted in the
hospital in
a very serious condition and it was an emergency
case and there was no sufficient time to obtain referral letter
from
Nizam's Institute of Medical Sciences,
Hyderabad/Sri
Venkateswara
Institute of Medical Sciences, Tirupathi,
if
necessary after obtaining a certificate from the hospital to that
effect and after obtaining copy of the case sheet. In all such
cases of the treatment without referral letter, a 20% cut has to
be imposed on the eligible amount after getting the bills
scrutinised by the Director of Medical Education, Hyderabad.
5.
All the Departments of Secretariat and all Heads
of
Departments are also informed that such cases covered under para
4 above need not be referred for relaxation and the authority
competent to sanction the medical reimbursement can sanction such
reimbursement in the above cases also. In all other cases where
the competent authority though not satisfied with the alleged
seriousness of the condition of the patient, but when the patient
has obtained treatment at a private hospital directly on his own
choice shall be referred to Government for relaxation when the
Heads of Departments consider that there is genuine cause for
anxiety and recommend for relaxation.
6.
All Departments of the Secretariat and all Heads
of
Departments are informed that the rejected cases shall not be
reopened and the cases pending as on the date of this order with
the concerned competent authorities may be disposed of as per
above order.
19. Medical Attendance to Government Employees/Retired Employees
-Reimbursement of treatment etc. incurred - Raising of maximum
ceiling from Rs. 50,000 to Rs. 75,000/- - Orders - Issued.
(G.O. Ms. No. 161, H. M & F.W (Kl) Dept, dated 05-05-2000)
Ref. :- 1.
G.O. Ms. No. 170, M & H, Dept., dated 14-03-1985.
2.
G.O. Ms. No. 281, H. M & F.W, Dept, dated 01-05-1989.
3.
G.O. Ms. No. 184, H. M & F.W (Kl), Dept, dated
04-1992.
02-
Order :-Orders were issued in the Government Order third read
above, fixing the maximum limit at Rs. 50,0007- (Rupees fifty
thousands only) to Government employees towards reimbursement of
expenses incurred by them on medical treatment, subject to the
conditions specified therein.
2. The President, A.P. Retired Government Employees Association
and Andhra Pradesh Non-Gazetted Officers Association in their
representations fourth and fifth read above, have requested the
Government to enhance the ceiling from Rs. 50,0007- to Rs.
1,50,000/- since the cost of treatment is invariably exceeding
Rs. 50,000/-.
3. The Pay Revision Commission, 1999 has recommended to enhance
the ceiling limit from Rs. 50,000/- to Rs. 75,000/for
reimbursement of the medical expenses to State
Government
employees.
4.
Government after careful examination of the matter, have
decided that the maximum ceiling of Rs. 50,0007- reimbursable to
Government employees/ Retired employes and their dependents,
towards reimbursement of medical expenditure shall be raised from
Rs. 50,0007- to Rs. 75,0007- (Rupees seventy five thousand only)
subject to the conditions existing now. Any expenditure in excess
of the enhanced ceiling limit of Rs. 75,0007- shall however be
borne by the Government employees/Retired Employees and their
dependents themselves. However, the procedure of requirement of
referral letter by NIMS or SVIMS to obtain treatment
in
recognised private hospitals shall be continued.
20. Certain guidelines for referral of Insured Persons and their
beneficiaries and reimbursement of medical bills - Orders Issued.
(G.O. Ms. No. 117, HM & FW(Q2) Department, dated 27-03-2000)
Note :-This Order is printed at page 237 of this book.
21. Reimbursement of expenditure for the treatment at private
recognised hospitals within and outside the State and
at
Government Hospitals - Imposing of 20% cut on the admissible
amount - Scrutiny of bills by Director of Medical Education and
by the Superintendents of Government Hospitals - Orders - Issued.
(G.O. Ms. No. 373, H. M. & F. W. (Kl) Dept., dated 20-10-2000)
Note :-This Order is printed at page 239 of this book.
22. Recognition of A.P. Super Speciality Dental Hospitals as
Referral Hospitals for the treatment of Government employees,
retired employees and their dependents - Reimbursement
of
expenditure - Orders - Issued.
(G.O. Ms. No. 38, H. M. & F. W. (Kl) Dept., dated 24-01-2001)
Note :-This Order is printed at page 240 of this book.
23. Nizam's Institute of Medical Sciences - Medical treatment of
State
Government
Employees, Retired Employees
and
their
Dependents - Reimbursement of Expenditure for all diseases
without referral letter, etc. - Orders - Issued.
(G.O. Ms. No. 134, HM. & F.W. (Kl) Dept, dated 09-04-2001)
Note :-This Order is printed at page 241 of this book.
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