Medical Reimbursement-4

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COVERNMENT
OF
Maharashtra State Servlces
(MedicaL Attendance)
RuLes,l!61 .
Recognition. of Arthritls
C1in1c and Reseaich Centre
of Sushrut Medlcal Care and
Research 3ociety I s Hardikar
Hospltal ,Rrnerfor the treat
ment of-
MAIIARASHTRA
fublic .Health Department,
/558t /FH-g,
l'lantralayarBombal'- 4O0 0r2, Dated the 7th Marchr19B0.-
Urban Development'and
Resolution
REA:..
.
-
No.tr/lAG 1079
Covernment Resolution, Urban Develbprnent and fubl-lc Health
I'1AG 1O77/2r67/FH-9_, dated the 26th MarchrlpJ!.
Depariment, No.
-: Government 1s pleased io recognise Arthr j. tls ilinlc and
Rese;..':h Centre of Sushrut Medical Care and Research Societyrs Hardi.kar
Hospii:alrPunerfor the purpgse of treatment of Government servants and
their farnilies under RuIe 2(5) of lhe Maharashtra State Serwlces (Medical,
Atten'lance) Ru1es, 1961 for Arthritis treatment.
RLc-'.;j'r'r
ON:
'2.. Ccvc,rnment is also pleased to declare the l"led.1c"t Offi"". ln-charge
Arthritis Cllnic and Research Centpe of Hardikar Hospital , F.rn e as Autho. pise<l Mediial'Attend.ant for aft clabses of Covernment servants and their
''faffil ref-iAr countersigning the c1a1ms fo r:eimbursement of expendlture
i-n
crrr-:'ed-orrtre
a
tm cn
t -f or arthrit is
/'-1
T"o nr.loFq issued 1n Coverirment Resolution, Urban Development and
Drlr"l
Hoal
'*"*- i r'noE
":-: fh
-" Department,No.l'1AG 1062/S, dated ine tztrr Septeirber- 1962 w
v/ouDe appl lee !l-e_l-9_!!e.__O bb;re in s t i tu t 1 on.
-linlc and Researgh Centre is redognised.for Arthrltls
trea9r,ent alone and the reimburpement on account of 'the treatment other
than .r'nthritis should not be made admissible unless the cbnditions Lald
down '.;r Covernment Resolution, Urbah Development and Public Health Department, No.l4AC-1O77/2567/FH-9, dated the'26th'March, 197g are fuIf111ed.
-se ord.ers issue with the
i, i'!.-rs
of the Finance Deoartment.
vi.dun-off icj.a1 reference No.
"orril,."un"u
CR-2 54,/SE|1-5/BO, da ted the z6th s'eudary,
T.,^
Ah+L,-i+i^
^ -s rate'r. ",..
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I OAn
By order and
in
the. name
of the Governor of
Maharashtra.
-...r
'TlJevtrn4.rr.vruy,
Under Secretary {to Covernment.
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Dcputy Sccr ctarY to Governlentr
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cr|vEn:'ir\it
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The lthharas h tra :tate -crvices,
{]toicat- .,\t ten.lence, )-'iul ee, 1961
NT cF Il[{Mn.\strTn.t
th Depar trncnt,
l.Io.'iear
!iAc-ro82 /4 1 9 / eR-6) / pt{
lhntralaya, Bombay-4OOO32.
Dated:3lst December, 19f ',
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Dci'ar.r r;rent r \o. lL\G-1o77 / Li 5/]^:Il-9A, dated llt th Jul;'-l!18.
lit) ^trr'.,1-11 ,,r,1;f Ilcso!utlon, Iir.ban ll.velc!.ment 2 1'rri,l ic l.rc.ilth
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Gov,:r-rr:u.,,t urrdcr aovern':"cnt lesolution )io.lL\G-I077,/135,/Plt-ar
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:. I'lcys i.:r.Lr 1..r,; l:1ciir1' Ii:,ral't'f,ir'.
6. 9iri I c,l.- r_:,r''i-. l^r;r, r.ith bu11ti1 f illcr-.
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fttlol;.r'.1r:: :,'.,1 I r.L,r-' o5 r:rn'.
f.
.l'otc.;'r:: ! tlri trct 1S F.
;€r1.p-q --,)i- lr .i '-'ll Clrr.ttt:-11-ao.
l)o 1 ys tan 'c.nou: Ci, t lr.r t.Jr' li f .
,, /:ll_,crr.
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3 .: ':,, r' ., i.r c .
Ixtcqst'.i^ 1r:l,c' 1. no.9C) cns.
I';1s
,.,' : r.r;,clrt Fe,sclrrtlon js:jrrcs r' lt.lr th,r c/ ' n c ul'lr r' !l c ' I f the
rrt r 1rie, 1ts unot'f iciirl r'-'fert'rlce l:o.l7933t lrJtiatice
Firra n ce )L- -:' irli
,1
li.i.
r'.. t -
DeP.rrt;ont,
I
'|
rl ^nd irovr.,mber, lo9l'.
!y olrl^1 ar:cl ilr the :ra'ine of t'lc Gor'lrn rr rf lhb..:'
Srl,/-x r
x
(r'. '.'. 'rt relf t'*r
rL.1r
lref,Lrty -:e'c!.r^
)' to
)
.fl .-tttt,ctrt.
lto . 8u.t,/ 1i ? q
Crf f lce 1ra t'r.. le "rnt
D.J.i'i:rlic'1 c",l t' ,+' r n':tlP
Daterl i Jr'ttrn -tr)' 'Pr1l31 .
r--'',.'f to a l L th a,:1.: of Lblrarr'1ti:eltt8 r R.J.l:e
it:-^o;'r rrt icn.
flor'
Pune frr
. .'
i i c"
1 lo' l I'ge
id. -:: x x
.rr l. '.lli ,
l.J. lk,<rlcr1. col l''-e, I une .
f
I
'
th
\i/
.i.,l'lnc
etrldln;
il lcs t.cr .-' in,burc,i)l 'riL
ie 'llc:r1 r'x,rPns.'s frr (4v,'1'n1, l nt 'rr:1-'.'i:
lrr t,.::or nllt
f la.ttr,ctrt
fot. lr ltate
- ! llal i !'lc;r I [',rts rr'3r,:i
!,!r!gl9,!!,4!!
r'f 'Irl
lubltc !L.aI th De|i111n'utta,
Clrcr:1:.r- ]'-o.l'n G-1o8L /\qoi /pv-g;,
l.l- rr { r-a I lYir , Bomba Y-!t DO O32 .
ae1'tr'f
iil T::T
tr
oF:!1ArLl:ltl::-
1
iate(1 t- 2ncl January, f9F5.
READ'- I ) Governn,errt -l;'.:^r.r't jon, l'trbl lc Ir:.a1th l)e;'artT"ont,
No.XAH-fo91 /t1ao7/T'tr-ol, (tated 19th october, l!8J.
ll) Ciovernnent 1-so1,.:t icn, I'ub1lc lieil th l,epa.rt'rrcir t 'of oven
Numbcr, dated l.ot!r cclober, 1984 o
ill) rbrornqpnt lc',tr r, lr:bllc IIenl th I'enartnent,
No.i:rtC-1O,3& /63L,'l Il-9,,, dauc.d 2Znd Nov<.mber1 1p8l .
No .IlAc- lCql,/U 9O7 /PII-9r\, d:rted
C IRCq!48 r- As per i;cv3i.ni ent ltesoiutlon
Oct"Uer,
gui<)lrr6
19tU
1!81 ; ttro
Frlnct.Ple for relrnbursen'ent of meclcal
prLvate treatn€nt 1n enter'5ent ctrcu:l
for
expenses to GovernT, nt s"rvi'-rlte
-ancer rere liberallsei anr: certaln allocnts l,ere declared aa emerfFncie
It hae been repres3nt"d to Covcrnrnent that for r.ant of Clear unrlerstan(ii
c,f gore .)f the provlslc,ns Contained ln the aforesald Government Rcsoluti
rilffLcultiea arre exP<'ric'nced abuut paasing of ttre bll1s for relmburse'ron
by ths Ltrdlt. Certaln clariflcatlon
has ilready been qlven to the I'ay
& AccountG off lce uncler Governnrent letterr No.liAc-lo8'{ /632-/pu-91, e'atea
22nd November 198& a copy cf rilrlch ls apr:ended to thts Governn:ent
'
les olut1on.
I
?.
Covernnpnt ls n,)u llcased to Lssue the follorilng clarificatlons
cov."rncent
Tlesolrrtionr dated
respoct of the provl-sior.s cr)ntlined ln the
19th october-1933 qrlotecll in tlre preamble:-
2(f ) The lleads of thc Cf.icps should submlt the clai:s of reimbursettter
to the D€Puty Dlrectcr .f lrealth Serrl.cee of the concerned Circl':r
r^cLuding Bombay Ctnc1o, {n v:h ich c:rse - clalms are to be serrt to the
Deputy Dlrcctor of :lcalih icrviccs (cn), eomuay' Tlie concerned l)epr'1ty
Dlreclor of Health 'icrviccs shottld certlfy whettrer the claltn ls to be
..\
consldered untler jover6,!rrtri Ii.esolqtion I d.ited lgttr actobcr 1!81 arrd
19th rlc{-obor r 198tr or not.
The clairr-e f,rr' :.-r:i',rbttr^se't'ctIt .f exIon(rlt.u'e {hotr'] d be accln'-ratriec
2(2)
/by the ioillowing <J,rcrt'r:,::rts t?c r
'
f ) Certf e tcate lr"tr: lpanting I;'o616" ln tlro enclosed proforns
r'r'J"r'iit; ''xpr-'n'li trtt-e
it) Certtelc4tc .rorn tho tr.'atir:g i)octcr
r;)r
lncurr.-d in tlrr' -''1 61os,'d !trofordla
r to t)e srrlForted b.'
vouchera an:l clrge JaPerS.
tne ltade of fieci L!!^ict's shoulc l<eep ln rnintl , the f'-'11or'ing
3. J
guldetlnes rhlle subr:ittlnc thc clalma:f ) ltre clalrns shoLrl.l not be npre than one Yearr oldo
N
ft ) tne admlsstb-1.c arrount is to be worko<J out after the clalm paJ<
are rece fved frotn the eoncerrred Deprrty T-'l-rector of tbalth
Servlceg.
fil) me claims irrc to be s'nt rllrectly tr) the Deputy DlFrct()r of
Ileal ttr Servi.ccs concerned and are to be settlecl after !"eceipt
from DePuty Jir'"ctcr of Ibalth lervic'-s '
...2/-
| 2 t-
,\o
/-.>
(/-5.,/
Clainrs sirr1ll4 not be sent t., f he .\dmlnistri tlvc De po rtt-,,i-nt
'\"'
unl.ess tiir c l;r il,s r)crta ln to lba(ls of flepartne-nt thensc.lvos.
\.r) Clalrns of erirloyoe-" worklng in the Offices of the tb:r.!s of
Depart.'tr-.nts, 'rllo are ArrttrorLsed lledlca1 Authorttles n"ed
not i'e se,lt t() the Dcputy Dtrector of ll:alth ijervlces. juch
claims can ba Cecided by th€ concerned .AuthorLsod l,bdical
Authorlt !es the mse lvc. s .
vr) Jt la n.t necessary to 6et the vouqttsr-s eountcrsl.gned fror:r the
Aubhorlsed l.t,c!ical .4uthoritles ln llncrgehc/ cts€ar
vlt ) Prlor per"nlsslon of Authorised ltedical AuthorltLes la not
neceslar)- lor treatrrent taken ln Private llospital ln case cf
v11t)
edlerSency.
The expen4i trrre incurrcd
r. i11 nct tre rclnbttrsr-rl f'rl1y btrt
only +(' lirc.cxlclr.t as sJ,eclf led in tlre (i..' i'ern,r'ent ilescl.utiont
$6.u_lf'.lOSl/\ao7/ltr-g:/', dated tqth X Cctorrer 1983r
tx) The clncessjons cjfpred under the Gov.,'r'narlnt Resol utionl
dated 19th Cctober-1983 are appl.lcable onlf in resi'ert rf
the ailments 1ls ted :th Ln the sald Government ilesoI'.rt iotr
and 60varnment ll('r-alnt l.on anrj Cov"1-fl,nent llc:rol lttion ,l:lt-\
loth oe to t,nr lnll .
*) No relmi.:rrrs lr:'r 'f exporrdLture lncrrlr'ocJ on f,trrf, f orc i3n
treatfient r' 111 bc rCrnlsslrrre.
xt ) As alre3ci;' clar. il'icd in Co.rernment I-etter \o.l.lAG-1OA{/632l/
Ft,'-9A r drt-cJ 22r.:r't )icvcmber f984 (copy ,l;3n(tod to thls
Co!ern,:€nt o.,;1t:tion I prc,::lnrlty or ,f t: of ii j.se of a C,ov..r'u,.r,.'!rt
Ilospital is it-i. r',. lcv.rnl ln the c'xt'-)it of treat'-tnt ,f
energ€ nct 'r i l. .'rtts.
Ry order ar.l irr llri
nirr:e , f ttre Covernor' .,f ihtrirr.'sl) [rdt
(r.D.Br,"e.... )
D€sk afflcer
No.
Dud/ zi3o
I ic.-- (-)f tlle !€an,
p. 3' . r:e rl 1ca 1 iot lc _e , I rrr:,:.
Dated : .Ir,nrrary ?8, I 9rj.
Of
Forrrarde
d
to
:'
11
Tre rr cl
s
of Tlepartnpnts, DoJ.lledlcal
Col
for Informatlon.
.-,n/
for DE iN,
9.J.lbrl lca1 Co'! loie I
'
r'une
'
lt';c,
l''u:c
IrI
'
::" . :i ^- f , , "t, ,' 122,'P.;-n ', ,
"rr! ! ic Ic-11 tr. -n,.irr 1 .,.:ri I
"-r:r I r a-]lliL; -}cl,Li'r.y-'t ^^^^'.
L,t6(i :- ??,r,-l i.orcrr.l . r.-11^l;
.
Tot
'156, lril y .i: \cair,;11..
C
^l .l ,,.r,rr
Bo mbirr.
SrrbJc,-^t t- jr.i Iil),. ;rrinciplcs for- r:elmburs€rir.nt ,f i"..;ic,1
i-ti , rr- -.i r.r 6overylr:rcltt i.r'Jants f or prlv:rtc, t
| ,:,t. r11t in r':rrrg.ent c ir c rr,ns t n rr c,. s .
:r^ C.
l ',!)c{
:
,:' l,.tt,'r- iir, .I'1,/;-,r. lr.,r1,';l:;,/p-;t: r'l-! '':Jor
1.-,1 ^At h .T.n li'i.)., ! o9ti .
As :'r'6ar',is
-.r,.1, of Yo'rr 'l^ttfr lt ls s1.,t.',1 trt. r iu
-rf e,tKir'6eIrcy,.,i;i
r,1,1ri
1O[clr in Lh!, tr.e-r i rien l; i,s r(.(l rrir,,cj rirc]
--'-;
bocause of iho ire.avy ',n'l.lr loacl in Cb1'€r-n,i e rrt Ibsp.lt3ls it .'.)3s rrot
beconF nosslbLe f o:. lir,r ,to.tora Ln Govcrn,r,ent lbspitals to pa),
personal atterrticll :o arry a fart'ictrlar crr"c nf errrerg,errcy,
CaSe
Tn
to tlrat thcre are some othef cor.slderatlons .rl.so,
guch as { -€rdditic:1
)on tlre slot .rcclilon lra8 to be taken as to l,hlcll trosnital.r
patlent ls to be :.-einvc(:; il ) most of tlrc, tlnre the concerned
Covernnront serva.:t is::o alepr-csse.l aud kot'rl"ed tlrat he doeg not
renraLn Ln gosltirtn tr, fhink of rtgld rulea; f tt) tn caae of trinr:elf
the out siders r who tat<c the decLslons al,e not ar.aro of the rules i
lv) ln certain casrs ir:,rr.cc,'1'. i.e spoclallsed treatment 1s esscnti.itl,
trhtch may not Le tralrc.tiate. 1y avallable ln C/'ve rnment hospltal ancl
therefore the l;atir,,;it !ras to rush to tl:e i,rlvate hospl ials for
sPeclallstS, tr:e;rt',r,',rt fcrr savings of lifo of Fatl_ent.
In v{eu of 1:lr is il. 1s not necess;rr-v t.r lndicate the 1.1;.tct-, o!
lccatlon of the C.vr.t-r:,r:('llt Jorvant arl(l tlle (lis tance of the prlv_rtc,
hospltnl con,!,rri.16 { llt- rr.trp vlth the rJi;trrl|ce c)f recOgnleeC Ck)rt{]r:nll:e]
ilospi ta.r-s/Tns t I t rrt ions .
regarJs ..)int ,',o. ff tt is statr-,1 tlra,t lt ls not rf, n,:cess:r
to gc't tl.re certllical;c iro:n tlrc r\.l:.-{. tn n:rro1'e t.l.e i:J' iarrt in
Prlvate hospit.rl. il1 crrst' ..f a ilmcr:t i- 1ke, 1)rphoid arrd 'Iyi,er.tens;lr,n.
Certtf 1C:te f r,rrt thc l:r'c"rt-1.n1; doctor tlrat tr'e case yras ac-1"rJ tte,1 in
etilergenc)' cor-rditicrr, r, r 1 1- lie necessary. ilelnrbursenent t; rr'-,rir:r'lcases of Typhold a:r,1 I jrr ^r-tenslon riLl l not bc conatdercd for tlr,.l
fetdbursement PrrrPD.5{,s .
.A.9
Thts 1et tcr i seuc a t, i th the concr)rrence of Ftnance fFn^rtr.ont
vlde tlrat Dep artnc:1t tmof f lc{al re f e:!:en c. No.CR-11147'Sfil-5r ,Jated
28th S€pteEber, 190!r.
sd/-
(n. n.nuaeare )
Desk Officer.
Copy ir lth conr11l.ments to the Finance Iepartnrent, Tha Director
of lbalth Services , Dornb3y/411 Deputy DLrec tor of Hralth Services
for lnforrnt ton.
@) lL
C'ui<llng Prlnctples for
I
of l&.Jl caI
exllpns€s to Cove|nn'ent iervlrll ts
f,,r private trea t'trent ln
ernergcn t ctrcums tances.
re Lrnbur sc nt,,'n t
CnYl'llir)illNT a)F l{AIL.IRAS IITRA
11c lba 1t h lle par tr,:e n t t
I'ub
.[enriment No. MAcf 1081 /4907/PH-9A,
Ilantralaya, Bombay+ OOO32.
Dated | 19th october r 19811 .
RIIAD l- Governmcnt llesolution, Publlc tbalth I)eparttnrntt
No.liLc-1031 /49o7 /vtt-9a1 dated 19tb october'1.98J.
lei.n, r,:rit lras reco€-mised the f o11-orii:r11 tltirteen ail'rrQtrts
for refrnUurse;neqt of I cclical expenses to Q'vernnlent Servanis f cr
Prlvate treatment in crerl,ent circumstancc3 as. f.er .covernment licso-lution r Publ ic :l'a1Lh :r'iartr"cnt'No.!l^,\G-loel /lt9o7/PIl-gAr dated
l9th October-1c)8:'.
t
ADDENDLT!'!
Go
r) Cardlac o, ;,t,,.y/aerebro-Vascular/I'rrlnenary Firerienc)"
1r ) !IyP^r;<:rsJ .n
Te tanus
itl ) Dlph t;r c-r ia
,r) Accldents/ljhock syndrome : Cardlologlcal and vescttiar'
vr ) Abort io ns .
obstructir n.
vtt ) Acute e-bdon:ina 1 palng/lnte!tlnal
wi tl ) Severe ll:remerrhage.
k) car tro Entt'ritis.
*)
xr
Typ ho
i.
cl
.
) CoGr.
rli ) Cnset o-f l)s )'c hiatr ic dlsorder
xttl) Rotiroirl :1'tacilrient in the' eye.
\rerilnsnt is nori pl.ea€e' d to direct that the fo11o. ing Clvc
ehould
all&ente
be ;r<ldecl to the afcrerpntloned Governrnent iiesolutLon
dated the 19th Cc totlcr 1983 f or re lmbrlrser*- n t cf nerllcal expensos
to Gow€rnment Sc:vlrr ts for private treatnrent on the same terms alld
conditlons ae 1a1d .J,)\.n in the gaid Coverrurent Resolutlon:xlv | $naecr!.o;ical & Qbg tetric enprg€ncy.
rv I C€n t to - Ur in art.'y r'r€r6'ency.
xv t ) Css Garl Tc rlc .
xvii) -Forelan body in j:arl Nose & Throat enFrgency.
re'lulring urgent surElcal lntervs-rrtio
xv i1t)/Cogenltal Ananplles r
Thte r Addenrlu:n issues rtth the concLr!:rence of the Fln,tnco
3,
Departn,lent vlde lt3 trn-officlal
refercncs lro. cn-?64rl8q/slin-5r datcd
1l th June, 1984 .
By order anrl in t l:e na nre of thc Covernor of lttrharash t ra '
2o
Co
sd/
-
( c. rl . Ttro
dkar ) ,
DePuty Secretary to Gove rn "e:rt .
116.9116
/zo<6
Office of thc rjean,
B.J.lledtca I Co1 le5"e , Pwt" .
Dated 3 r''€'brtllry 2, L93).
Fonrar,! ar,l l,\ lr.,' l:c.ds of all Degri',r'trlrt:ttts, ri.Jolb,rlcal Col'ot
Prrno far
lnfornnl
i',n.
-'\,
/, /
1)
T
ls
rcnt; rc I
c ilrl:, f c...1.t: ( n !::.:::l:s?ts Fcn I \".rlrfi\:cy ll ')Ic-it,
T::l
A1')
1-
r':T TO
'n1/rir1\:nil:T
(fo r:e is.i.rcd hy attcnding lrivate
sliRi"\!iT
prectittoner
)
ThLs 1s to ccri.if y that Strl,/Smt
r lf e /ltus band /S.,n /1,., r'J, tcr/l'ttl',erfllother/Brother,/Sls
+i cl
e nrp
L
loye c! 1n
jnrt
c'r'e s s
t lre
a.s trea te d by
ffo
ter of :rhr1//
f,
ire
as an €mcrcency f ati'lrrt.
to
m
lor the complalnts rf
\'1ta1 sltln obs"f\"-'d
licces sary ernergcncy
Lnvostlgatlons
\;
lth
resul ts .
Thc Dlagnos is
w25
Totr:1 c-x'rcl:,'i1ii; e (-J,,n."-'n
'w
tit ) lltcurrr'cl
f cl
f i€r tr^:' r.
as Ils .
r'g1d
rletnil,s.,f
rt i !' i: r,1 ';l,alrat a<!vlsed to at ir-nr.l
Ce
Date
Place
' ! icir are ...i'r'on in forn 'lJr.
t'i ier ihe eriergency treat:crtt Lir" l'at i!'nt
l,r-clic;rl .ltLenclanl f Ji' trc.rtr'e[t'
iidllrtllIC
Name of !.rc tor
Jis l.cr lio.
,'i a rne of liosp{ta1
F-e
K
i)t
.l
/
a,.
(L-'
\-/
1
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fanl tJ)'
t{
..,' (l- :.:'P'.r.. t-'- -"r. (l: :_,'. -... T; I f. : -t.1.
- l_-:^i
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ri
'
)'T
. ..r 't r:a\Cy 'tv
T t"_..,T
(
t"
jtr l:v trci.tlng
Ire
:Jarc of
Prtt 1i r:t
.Dltc'rl'
ad|lir;si,.11
Ccctor an<J to lre
) lrrq,o
-'i. - .rlr'.'.,5
fr
t t'-! t ic
t
lte r'.rte
Clrrir6cs.
O;c r'1 l- i r; n tt c a r-r(, clrar6..'s.
5) An:.c a t:t .':i i;t clrar6es
6) i as r : s i'l t,l lortti!e .\-o o
D) Si...cia1
Op
f
at i,s.
I r'r.
iio.
:io.
i.r<1!.:
-.',
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at ils._ltr
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7) tr-: c 'f I.r cuba t or at Rs 1
s) Us,: i ;..r,t itoi- .tt Ile .
POr d.ri i.r'
e) Ju'. sii, ;ri-'i,.tts :- a ) I-a iir<,1.o.'y '-;rh.,.
5r.lio
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D
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u) liIr;
to ,urrrc:rure
t c,l.-, t .1.,' 't
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t
;r
3)
r, l
t ta c!red
Date of dischatrg-o
::-6pl L..l :l ii.-'l.rati.on l;o.
Clurrges ; ,{) 1) c,'rr. 'r
2
a
g
) r:f'" i.s
c
) r-ci
d
)
at
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d.r;
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ECG
ot t.ors
s ,i lr,.i igin€'
Cos
To.i:rl :6'o1,4 To tal (.'. i: ) t -
s.
t of i r':1i,. irrc.
r)
rislt
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- 1-'a- ,/
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friiilftF*:l'#e'*m# i'
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im"tl:tt'
;3lt$&1;!.ffi*iffil***,,,u, Q:
*
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i 3')ll
d
hlfu
i,r-,
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tt*,, l'"'# lf !l
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o
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l:'i::? :?.';
il,ii*i rt; "s:!? *i: :"m:l#l
;: :;'ir
" 5-'""J':;Ii1-ii^::.:il$:lr."tinj-treatnent
i
"i;i".ii;:. BLilt,i,,at ;*.*l;,F:!?:H
"*Ui'i3-l
e
a'i.en'i incur r e rr
or a u:1:.""''o o'
*'*l'
n,liffi
riT
;ffiff*fiflf;td*+*ruf$*ry'
t
i!.
"
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i"
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?:'^'.?Hl "1"'ll;
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^ t.n
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iiii6mJ-i"""'"* !.1:?.r::"?: hish rrynia cases;
iv) Ooer ative correr
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Comolex ry an ote-Fle ar t-Le
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t6
be endor sed
r".n"'certiricateshould
;:":i;"",
:: :5":::".:'
"", iv13h6r asbtr a State' 3cmbaY ancJ forwarCed
Services'
Fi6]-3th
Director 6i
:'iew Delhi { or f urther action'
es'
Servi
ntufti't
of
tor
to the Dlre
the scheCule cf 6[3rQes as aoolicreirlburse'rent
of
'
3. For Puroose
the tBonbay HoscitaltBonbay as
at
tteatrnent
raro
-able for orivate rc tine shall be adoDted'
'
inforce fr om tim
or'"'iutn'"::t"]l::..t.:;":T"::"5*::"::":::":::1*
resocc+4. In
e st i I I
u ouu' n* nt Hos pita ls ar
:::il
il
:"i:;.?::T' "' to oermit tbat the State Govern:r,.r ;: th" G";;;;ent
i' oleased
inadequate,
soecialist treatment in
ofthe
themselves
*"'- """"
-ment Servants
such cases reinbursement
below'In
5
i;-;"t"
the hosoitals listed
.r,o,,ro o" "11=rt*
"i'i" .r" ",::i,;:,
I i'u le sr e6 r
nc
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Tr:avelling'
exceot the exoenses 'rr
ictentif ied as havi
been
have
T5e f ollowirr g tr'nstitutims
India as ccntemPlated in
ln
TreatnPnt
fer Speci3list
oaTa
facilites
ab
ove.
I"i'-1g1 9:::T:,:
L#;:iI",i) Southern ' ailwaYs
paranbur, Madras.
"o.ortar,
col e!e
poitar'
ii)chr istian &'cica1.;'A'* DordraY''\'-and
ttti*. tr-.tosojtal' iorDaY'
fiosoital1
iv)
-u1J aslok Hosoi"al 3::i a-t''
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ic
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Tr iven dr um '
t'*#"".;i.o'i',1:l:-1"';1"i,€ot"li'B:l3t"t"::tl3'*"bn'n''
c}randiqarh.
ili err rr rii_Lnsr:"!!it,]i",
-3
'ill :::i "i- fl.,i'';: i1' ornboY'
!:f-B-Pesl*?tl';";"r.,
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as.
i) rsta M:r?'^lti*i;il.
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* ili - *:?rtl -:i :T; 9 . .-i, :, :"^,.,,,i::l ll I vi i"""H:',
l
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and Hosr
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ii
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i,i'
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ic'rr
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Ct'-trar
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ttirHl$il**tft
-
s
M3
dr a s
r New De rh i'
or Mc6ical 3cierces rncrechc
-L*11"""',""';:"::':":'
is further oleasr:l tc r!ircct that nc rLlax.ttion oF the
guiCetin.'s set f grth shouIC bc c lsdiercd, unless so,:c if ical ly
. 4r
iooroved by the Governrn-'nt for soecial disoensatiryt.
l1
7, The- eqnr)ing cases cf reimbarsement for trcatrBnt abr oad anC
in oar.: 4 wh iph to! h3y-e been
soecial surqiial treatn:nt in'"iqateri
lovernment
rn or after the 5th
;;;J.ha uo i'orionsicer atimcfo
that
by
date sha1l bc rcgulateC
January I995 anrr not final1y. Ceci,jt'd
gui'leIincs.
these
in accordance with
cf th-' Finance Deoartissuei.witrr trrc concurrencc
B. "i;;;;-";Iers un-orr
ical reference ND.C8-339/95/5t.-5t latc'l thi lOth
ment vida tne
Aor it I )35..
Ltv ox.ter an,i ln the name of the Gcvernor of Mah.-reshtra,
G.V.1 IFCDK.AF'
Nc.CBIEC-III/eqqq / ct Is85
Deouty
Secretary
tc bovernment.
Office thc
Su Dcr rn ten'-ri n'-1c1-1'1 lnccr &pir,
Irr iqati on R sls 316LI&Deve1 opnent,
punjt
Dated:- ?c. ??. (q
6.Governmcnt
of fricer, Soil
tc AII Executive Engineer& Soil sGvFy &
ne ce ss ary
Sur vey DiVision. un-Jer this Office f cu^ infcrmation
action.
csey to all s.D.o.s/ \ scit survey oFf icer ' f or inf orrcticn
Ooov
O.C. SrJ. S. E.&
Directrr,
r
'{
(
.'\,.,
N !::..-- --
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ineer& Directrrr
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Date 3rd l'lnrcfu 1986'
READ:
-
ftcstlutlcnrFlbLlc IIcr'!!! Dcpe'rtnctrt ilc'
;50;7i'Ii:it-t,rntcd rsth 0ctobcr 1eB3'
Govcrtrncnt
ffil-,
ttiiolutlcn
l;
l4AG
t08V
nPl*ni'*:
li dfi !:+il,ri:iol? I !:i li:'i'i:l'*;nl
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*'cd r':r sub-ruf, cs
ilc.
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c1c
ili"ri$';tl't.!lili;;;1.T: !;ilt?iilt "il
povcrnDr of l'{e'herr's ht rn't
By ordcr and
in thc tri'nc of thc
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(il#?';i,.l$,
.iflccr'
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to thc
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Statc'Ibnbn'1"
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Revision of fee s ctrarg6d in
hospitals attached to. Med lca1
Qollege s i,n the Sta-te .
Mecl
COVIRIIMTINT OF MAIIAP.ASHTP.A
J.cal- Edtrcat j on and Dru.gs lepartrnen
b
lt". ilrs loB7/r,l4l(cR-1 17/57)MnD-4-B
I'iantra.i,ya, i.:ir,b:ty-4Oi 0J 2 .
d ated the 1 5th lvlarc h 9 88.
RESOIUTIOI{ : The fees for the irar i-ou s tests carried' out in
Col-1er.,r Iirspitals tu the St3tr': rrersr laid down
*"lO*r""t
vlde Goverrment Rssolutlon, Urban DevelcI'rnenl ar.d Public
Health Dcpartrnent lio. IIFR-I058/6569 8, eat.'rl tne 2!irr r'cb. ,1!5"
The cost of inputs used in such tests or operations have gonc
up consid.:rably Cur:inj le-st J0 ycars. The re has aLso been
trernendous ilprqvencnts in availablling of nore sop\isticated
instrlrne nt s/e qu ipmcnt s for tests antl c arrylng out operations.
The advanced. ins tr':.acrlts avail-abl e have al-so to be macle
-avai]-ablc to Oovernme nt hospltrr-1s for imprcvl.ng quali.ty of
sErvicc. It has .,,k'comc nLc.issefy to revise the exi.ting fces
charg.d in the hospitrrls to pa:tlaIly recorrer the cxpenses f or'
inproved f.cilltles.
2. Thcrcf orc, in ;r'.per.sesston of the Oovernment Resollrtion
quotcd in thc first para the .Goverrunent 1s pleased to
pre ccri.be thc foc i f c.:r' t hc v arious te sts/opc.:ations in the
Resot.utj on
1
hospi i;.rIs iLs foJ.J-ows:
Sr .
It-6 6l service .
No.
.
Bomha;'
llaglur
pr]ne.
Anbe
.i
-q:ti_.
li 1.ra J
'
d
Auran eaba
{
& SoldPur.
2.
4"
. Registration.
I
0.
2.
Iao .flvcstr_garr-ons.
a) F,o r t ixe hv,::;f, 1gn 1ion (Urin., , S1oo1 )
b
)
c,:
P.D
q
6
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q
1
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3'tcoI cr'1-'.1'., ,'+Je. )
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'7
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(
15
1.0
15
<0
10
i:Sr.'.y
)
b)
a
crocnlqg *
S taudr,rd
MI'IR/
S
In0oor h'catncnt.
q
u^^-l+^1
4,1o^
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h I t/i rna\?!
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171
2CO
1
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75
c
) Minor
d
)
irt-
Dre s s ing/
11u1sc/Dru
out:idc
10
0.T.
B:r.nd
a.3c d one by
5
2
sser tc.
e
1
Deliverit s .(After third )
Nur s ing H6rne charg- s .
a) Paying ward
n,r ra1
b ) S j-Jc Ro:'r:r of
r.rard wi'r;h .:t i l' h .,1
rr')
1o
?()
20
15
.l 5
40
15
) siae roon of ocncra.l
'1o
d) A.C.llursin,; H.,ne
e.) Non A.C.Nursinq Hcne
12O
.,-.,-
ba throorn"
c
without attacheo
'ea: bathrr o"t.
9. . Arnbule.nce service ( per K.M.
(wait;ng
ch..-rge
s
P:.2O/-P
.i.)
d^
80
|
2.5O
10. E.c.G.
?n
)v
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rt)
it .li . T.A11 ixve stigations
100
8Cr
Fn
., n 1
2,1
(
t
1n
1r)
10
12. Dcnf,2,f ***
1
I.
Phy s.r-o
thvraphy
a) Di:ithernny r'
lI.'.1,
ing 4'ac.
. rrr"e d
re lhyc Lc.l. cxcrcisc
c ) Plovid in.c; i:o:the lis
b)
Ivic
0n-l
]
iPel
-**.-r"'.";";
;"; ;.;.-"";
-"-i-;-;.;;";
"*"
b" ireu.
** If pr,tir,:lt br:-nqs his own .iiet he,/she need ncf, be
cnrr,3cd.. Po1ic, .a:'rti-ra1l vaccincs tfeatment'for
Sn. ii,I-bit,s, biindn"ss rould continue to te free
rvc.ul.u
ls bi f .tl:".
+** 3ovt. or4er for frsrrtal treatment will- be issued.Sr-
' I r.: tu l_y.
-
Y
{3
-3The exlstjxg z! categories of paticnts dcpending on
t.
the incoroe has been C,one away rr j th fc:" t:'le sinpfe rea son
that it l--l s becones di.ff ic'rlt to 1nd-cntify a r.C find cut
the actua:l- in,)')rieo of the pa. t j-r'4t3. Tll-' pt- ti'rnts on
j
the lf ou-n irarctly disclose ';i1eiT ac:]a]- nc one' thlTe fore '
1t has been cleclded to charge al l- the percons equa]-ly'
except the poor patients who cannot afford to pa;r 16i'
want of prop€r xoeans. therefore, the Dean/ Super l:lt: nCe nt/
authorised to
Adrn i-nis t:'a tive Officersr/Unit Txcharge are
exenpt such patientsr subJe.ct to a ce ll'1nq of i "240 of ti''e
etrength of the Unlt/De partment wise.
/., The Ad$tnlstratlve S"ction of the hospltal rrl J'J
consolidat.; i:rf orna tio n regard jng nunber of petienis
prcyided. free t-',',atrent an'l p-l-so cn payrenL<"
5. The fees so r€alised sha1l be cr;Cj'ted to e'-'r''ernl-:cnt
through the re levant head of account.
6. The orders ar€ operative with Jnrsedlate effect'
se orrlers aru . issued llith the ?oncurrence ('*''
the tr'ine.nce Departnent vide its Un-or'f lc j'el referiinee
7.
The
I, ilated the lSth Februcri 1?88'
By order and in the name of ttle Gcnte:Ior of Maharashire
No.224/88,I.XP-'1
sd''"
(
t't .
i.Oau tan
)
Deputy iecr"tary io
Govt'l:rnc nt
'
m^
ti..ry tc. ilre Governof .
ion,r3 of rj lvisions,
Bstabay'
Di.rectci of' l'leC.ical na"c"iion and Re searsh'
Colleges'
t'.2an, i...'t1 nne:rt I4edlca]- and Dental.
Sunei:rt"::1ents of Go\terarment Hospltals t
CoIIe c tors,
ultable Presr; '
Dircctor of Rrrttlctty(For issue of-e
Accounti'.nt G€nL:'?, f , Maharashtra - n L L, oomtay/Naqpur'"
Pay :,n.:', tl: coui:ts Off lcer, Bonba;
Re sident Aud lt Offlcer' B6nbaY.' '
Sinancr: Dc partnen!,
other Dcpartnents of Mantralata r Service
Jommlssion' T)
;,4anarashtt" zuUf-i. * Scc:.vtr.rv.
Bon i'''
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lotacconpan j'ed to Gove rl-rnent
l,1st of EguiSnrents/Appllcanc€,s
23rd June' 1968 'aro
iSttZTi6oltin-s' o"t"ait]'nr,+
Resolution, No.l'lAG
l'ili / zs'zo
/ cr' -"2'r /
g gr, t'oiJii#
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I096/
3 oth Aprit r
t'i"{G
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"i Go\te rru're ntRs solution '
g! /PH-1 , Dat€d 24'2'1993 and
eis-k,s' ie/in-t DaLed 2r' 6'lse?'
sr.
'
LtrylglSgal-Ape-lianc--
joint
unllateral long long brance without hip
2. Hip joint lrith pe}vic band
. 3. SPinaI Brace
4. Unilateral short leg brace
paralysed or
5. Shoe or Booc-Protectlve or aidinq !o
weak J'eg
ak Ieq
6. Bilateral hip Sol-nt 'vrith pelvic band'/r'e
joint
7. Bilateral lorrg leg brace without h'ip
8r Bilateral sftor! feg Brace
supPort
9, L\x(rbe-secral or spinal su:li)ort or Bac)i
IO. TaYIort s Brace
II. I'illwaukee brace
12 . i'le rmaid s PI int
13. Pesgerior slab
14. CervLcal Brace four Post
15. Bigid @rvical Colla r"ith head extension
16. Cerv1cal eollar
I?. Dynartl.ic splint ( Alu-'dnirun)
18. cool(-uP splj.nt ( Plain-altuoinilrm)
19. cook-up splint (pl'astic) or }ong opponeng
20. Turn Buckle splint
2:-. tluckle l:ende r sPlint
22. Aterior knee Guard si)bint
23. Denis Rrolrn splint
splint
24. congeniLal T'rlipus i'iquino Varus/Galgus
25. short opporrens P'v'c' (Plastic)
26. Knee Cage
Long opponenb v'ith !i'P' FI' bar and finEer
21 .
28. Extension (Plastic) Dynainic
29. Boot with c & g fleet and arch supPort
30. C & E H'icl'
3]. Arch SuPPort
,-I''l''
3Zt
l4u
33. i^. T.l . Raising
;
3.!.
35.
T.Strail
Slxrr)g" hcel'
/-..
103
g.:ll":
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Lrtifi.i,"_r_4pp}iA*-1
36. Vredge I/8
3T.Universal ralsing I
38. Foot drop splint
39. Belor', r.nee plosChetics (P.T.B. type prostlEtics)
40. A.ll. prosthr3tics
above knee r19ht splint
41. Aluminium adjustabLc
abduction
42. Plastlc shoulder aluat*oq splirrt
43. Plaster of Parj.s or Gypsona cast
44. Modificd shoes
45. Below Dlbovr Prosthetics
46. Eooks
cosrnetic tland
4'7 ,
48. splint for c. D.tl.
49. Spllnt for Elbow
50. Above Elbow and below elbow Porsthetics
5I. cors€t
52. WheeL Chalr
53. Protective shoiis vrltl) riricroceLluf ar rubber without
nails often wlth addrtional gadgets like adjustab.Ie
sprlngs nd rockers.
crutcl]e s
54 .
55. !lal-)iin!j iron w.ith plaster CasLs
56. Callpers
57. Braces
,-.s 58. Art.if iciai - I j-rnbs
59. H.J art Pace mak:r
60. PuLse @nerator
6I. Haet.ro Dyal:-sis
62. Inhaler
63. I.v. sets
64. scaL velns needle
65. ,ixtra Cap Cathetor
66. Disposable Syringe and needle I0 c.c. and 2 c.c.
6'l . Ail typ.:s of infusion to tratlsf usion
68. cua.ro vJirc (t.sha;:e )
69. rntra-ocul.:r Lens ( I ndian)
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tt
AliD AccOuliTs^DEPARTqilr
TNDIAI'I AU.^IT
..
Office rf the Ao:oulttrult Lieuar"LrlJq4r-ut- *
t)
MAIIAMSI I RA' I,IAGPURJ+I+C\IOI-.
-
W.r/F r v / c Grrsc aV firz
Date 22/oLh998,
I"lo .
The Secretary I
Irr)-gation Department t
Govenrmetrt of I'iahtrashtra t
Iir,nntralnyn,
l'{rlMBAr 4(
o tt2
Qi n
A copy rf enctr Governrnent of Indln, Mlnletry 'lf
Office
Hen1tlr. nnd Fnmlty tielfnre, Dbpnrtnent nf Henlth,
Menornndurn (r) ruo.s.rr+oz5/ 29 /slJls, dnted 25/9 /97'i ^nd
(2) No.s.14o25/17/%+1s, dnted 36/9/y7, nre fonrnrded
herewlth for clrcul-ntlon among st n1l the Dlvlsicrrs under
your contrr.l.
TIte
recelpt cf thls letter ony plense be
acknowledg ed
.
Yours f aitlrArllY
'
sd/_
Sr.Accounts Off 3.cer/t[4.I
i}.cl:. fgo
I
Teler.,hone No.
bfag'P.B.X.526141 Ielo1;rrq'lrl.':-Adrlress'
ora sld;.p.R.x.57211'i]- I{TSAB'l'lAcPUR
Hew
Telex No.l12
\
llq
\
I{o.47?.au'r-t (n:res) /zea!tt-1-51(?91^
rrllD AUDTToR
orrlbb'oF tin'com'mrnol-lERINDIA
CI{E CEI'IERAI 0F
I'IEW DH,HI
DATED:- 12 I\OV
T9r :
Advnnce to Central Government
$rbject: Grnnt of MedlctO
emi)l-g:'ols- ii"i.gatlotr cf Powers tq tt:9-1$1{tt-si.itiv" l"tirrt strlo c/Department s under ost rtA,l t
hrle
sr
1!44.
rf Health and
A copy of Govenrment cf Inclin, Mi*istry
I{o'
Offlct
Fnmilv Welfarer uepr,itient-"r rit"ifnt subJectFi&crrmdr.m
above
mentloned
on th6
s':iitLs'jziltdi-lls-a'"t.a )5,g.g7and
to:
action
necessary
i"-r"ri,l-,.ili f or lnf orrnr.tion
l-. a'l'l offices 1n thc IA & lD (ns per maillng list)'
(Ardit ) ' Dlrector
.c].1 Anlts, Director.Getrcral
DAl (
DAI.DAt(c),
.
2t
pN,
e i,"
9( ) *^tu-P*l :lli :"-"
l
5.* tt
(:';
'
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r (st r e.: j) .
to l)r"?*.
oi
rec
i6;l;fr itc- I((ilT)
lq"-.-Diiliii
-p".
; .' f
( irin)'"i'.Director
ii."l
Pr.nirector ful
; Pr.Director
-F'.
!T-9' )
'
)
(::'m),
Dlrec
Dircctor im) I Pr. ni'"it"5-(3is.
Pr.
i;:";i;il;.'I:.
19"'Director
( c99g))
i;;i.")
,Fr
i-pi'loi;;i;;:(AiE4)
iilp;;i'birecter
'
'
Dlrcctor (Report-c;;i;"l); lc(il)'D-:-rector(P)tAc(P('
Pr. Dlrcctor
r-r{ na nrnr.&So.:r'r.tn nv to CnC. Diiector (exnm), 9Yf
( tlcE1])
sr'A' o ( BF' ),,.- . o.o
+
Di"";#;- ( ;7b;i;- fo .or'o"io"
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8il?t'l' ;iH3f "ixB,[: 38"i"!l
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if,"r,
" "[!"!il tfl 13ry
(
ilT
il L n l:"1
Coorqlendlun, Guard FlIe & Audit Bulletln Sent of
mg
4.
gi
ft :' ;Lfl
l^"-lr s ":.T I i "
3, " fiE ffi
""
*''
.
the
^h
Hindl version
not recelved'
sd/_
( H.VEN$TARAI'1AN)
SR.ADIIN ISTRAI.'IVF
(AUDIT
RULES)
OFF
T
CER
r
\r)
/zgls, rls
,T;i?,;l;lf
I{errnre
Mlnlst1 cr,l;:.,Jt'-Sti.$^ltt t.
zt
liJ
rmnn Bllnrnn Ncw De1hl
Dnted
3!tlr Se-Pt', 199/'
orFICp uruonat'iun.l
sru3-ect:
,io-
Medlcnl
A*Y11":"tBoffi$iijq*""
:il1:r:t tx1fri'if#l'a'**;.lilTr
e
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rui
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;J#l*r*,,lll,i9;
::m:*:;:,9i,:"
& FA (Hen1'ih)
sa/_
(EFAllxl*{ ''..""'\
uNDER sEcRETARY
Nkn.
To
r#"i6r"r'
oF rlrDrA'
Y
\16
No.4g2
ardlt
(tutre") /u-gS / rrr
9z
(Jr)
OFFICD IE' TI{E COMPTRoLLER AI'ID .eUDfToR
GENERAI OF INDIA
NEW
Dd,rII.
DATED'-
l).IT.I9y7.
of cellirg lln1t for reimhrsement
Sr\Jects_ Flxntlon
or' ilre
cost of Corcruu>r StAnts - Rndtt'lntor, SC.lgLq,Chnnber
p a.3rl.rrcer rud Drrd.r€fn6€r pncearrksn"urxier C
{llA)
h:1es
1
A copy of . Goverrment of Indtn, Mialstry of Henlt
oi-Fien:.trr,
Henlth, Office, M.-mcr!:+rndun l,lo,
Igu.j"q, . D(ngtl"l!
31'tgelr!-gf
trru-'3"u1!6i',i".,tio"ed nborve ls forwir .
*JT^$Fq
ryqlw7nna"n.rroces!;r;-"btio"
ded--for lnfornntion
tn, L, A]'l Offlce ln flre IA & AD (ns per n.,iffr,6 tlst),
2. DA_I, g{I(c), AJ-l aBAIs, DJ.rector Gerernl. ((maf
Ar'rdr t),
t).fDlre c t or
6;".ifi
senernl (t iii
r!!
DlrecSf
l. 3il"
ji:
I),13P_i.,
i^l
o
t o"" r( 4E),:FF;: lii,"ll
-(;i,,
t"i.'
; or""i ff
Ts+;ff
i
lllr.ector
(tT/ rpr.Dlrccto::
ni;;;;;;
j "
ii;iffi ;;;r. tfiifii;i;i5ru:i";.ffii
(t Rlh)
^3i
nihl lel.Di;p;i";-|fr;:T,''
?1"::lll-ltr)rli*prrecto::rpr.Dtro"tor-(i
i itor
Pr.Dlrector
(f::or;, er.
(f:ror).
Dlrecigi_(
i6,
er.bjreltl
i;ir,
fr. fr.ieligi_(i1ari,;;ir;.
( Report Stntes) ,pr.Dlrector
( a,gac )' -FIni i,",.,.,.
Bii:"
H(t
i:r
i:;*i
i isru } tB;i:i*:;i;tiffiF'
ilmi
{ff
lriHii"i to
i
ililiil'i5riq6!qi;i"6;:;fii
Dlrector
Drrector
& s.crilnrv-i;-i^q;Ei{A;'ilili:
secrLtnry
ca0.hricii
iiiitli3"
clo1-{A/cs),
ro,
Dy.Dtrector_
(],ggar),
Sr.elO
( a.i'r' 3'
y"#
i
3"'
i'
b'
j:
j"'tr1'}i'
t
i
I
ol|
r\,
ii
comni :ff
ssL on""c.u)q--si. fA:o
"ilc \lay
:; ;(
H_i i:
ia#t:s
5. Accountsl lfE Group. (6 <;opies), $E.rcu(4 coplea)y'8_.r,
'
t
.
rr,
Rartway ardi t,
ai_ii*" l.U ?r- rgpr" ), c,o^;,
CompJnlnts,_ rudl t Alg_ttr'a,
. . f -ffiS-f
"
iresJ, nn,b/rqdr,r
An:blrrrg Rl-I F.O-Jf .*.cdi.nns of Horrjqrlu,ta:.:s
,1.fi.ice.
c E.
t
iE
.
4. Coryenf::nj Cr:rurtfJ.f+ A.e.rdtt-D)Llf,tln Seat of ilre
Aecf.tnr(.
IlJndl versiotr
rro
t recelvedr
sd/_
(M.vEnKATAn.lMAr,r)
S. MDI,III,iI STRATIVE OFF ICER
(.ALrDrr RULBS),
F. r{o . s Jl.er541 /9$ -IaS
\\1
G
Mi',rdry-
o.rcroqpnt
iilii1it
of
-"Xitly
Tndla -. - ^
uerrqf,e
Nfu'onn Bhqmn l\lew De'lr'{
Dated the lOth Se[rt
r
1997'
oFrrcE l.{B'toEAI{rl8{'
^sir;.r
e.?t3-
Lfr fi S:"tfi :1ifr
!*'3%s
Pnnemalr er rrrtd run1 ct)',ltlbcr
R41
611.--61:t'c1 !1,-:1y tl'at tlle'pntter^regnrdlnG
1l
cf the cost of Co:'o'
fldation of cclliid ritit fcr-rej.ritturit#nt Pacemake5s bns leen
tii:"iffiTiig$r#t-",
"
ittt'cr
-?'"'n,,r,,c
#"t3hi*,.xnFiili;:HHiit.
ifr
ril
to
dec.
6een decr
" p urclusc"eriiffi
or rne trru'Ep.rs rwe-.!
fi;i^;i;;-,1th r4nrd to
lhc
,
ed, ir9l!t+- Rcqnrdit$'
3ffffi ,3mi
u:r.lcrs1c{red
below:-
Sr.l$o,. t'lnbe
zl
(pei stent)srbJect to n
6i t'6-st'"8 ll :l P-l!1:1t.,^-ffii;{.i.
;;: tlt; nctunl cost, wlrlclrever ls ress
3s.5OrOoO/- or the ac ttrnl coct'
Rs.5a.Gno/-
l. Cororrnrl' Stent
2.. Rotnblntor
vhl.chever 1a r€sg'
(stngte
-3. Pacew*gr
thout rnte
wl
Clurnber)
fecporlse.
4.
l'laxlm:.o ceillr|€; pef lteth
of tlre lten
Pacennlcer (slrr6le
Clrnrnber wl'th
r€9pons€ o
rate
5. Pncennker (U:at
Rs.77,1oo/. or the acluel cost'
vhLchever
ls ]csg'
Re.65,OOo/- or tha nctunl coat'
wlrichever J.s lecs.
fla.
r]51fr6/-
-do:
Chnnber)
v111 be ndmlsslbfe
The cost of@;+nry Stsrt nelrtJ'oned nbove
trre cost of Arl8lcprasl.v 'i;"il:;;:--ri.o
over nnd above the
*ruot
416
;;;; ;ttd nbovc tlre clrnrges of ba1Ion
ln excepHowevor'
txcoeti-tvi'
2.
";;i ;;-A'ui;iitti-=9-ltl:*:'t*,i: f,H:l^t"
stens in n pntieni"litii:'a
"d;;ii" ""i
two Stents aorm
iiu orttt'tt tlnn
tionnt cl-rsunstanc", blii-J!-tii"-p"liEit'
nrlor pcr'ission of
becooe necessarv t"
be obtnlnei '
Dirictor Gencrnl or tleaftfr Serrrlc-es' witi irave to
?l'?i i'']i f# E::i':ilti
i:iT'on of
:f
W i3i"if l:*Sll
3:
Govt' ]togpltnl's
ilEiGii-$3rat'.ot-h'tt
^3;1,'"e'
cnrdloloGlst
serrlor
"T[
of
ff Bi',x:$'H'"8;t*#j!ll{*::'ea'ift iiffiB::l'i"uii
v
1 t?
Stents or Rotabl-ntor are imDlnnted 1n prlvnte
hospltnls not rccognlsed x by-gs ( fqa) nrles, 1944,under
enerGellcy conditions, ex-post fncto npproval of flie
ninlstry of Henlth will lrave To Ue obtntned, i"drlch
will
be based on the , cert if ig.:t\r /re6nrdhg rear6'nnblqness of the cost by
thetr:atlng physlctnn nnd reconmendntlon of Dlrector
of Henlth Servlce s.
4.
When
5. $rere n Central Govt. Gr:.- L i,.y.eq/Psnslgngr 1s nlready
n&rltted. ln Ccvt./plivnte ricofnlsed/prlvnte lrospltnl' for
treatment and .uly of the items-mentio-ned 1s reco mended for
lrplnntation, he/slte nay not be nsked to furnj. sh Urree qu*'
tations for-p urchase of the same. The bengflcinrl,r nny be
relmtursed the cost at flre max.irnrm cel1lng'rate fixed- as
mentioled iu pa:.a 1 above or .tite actr:nl_ c6st, whichc'er iibK
1s 1csc.
6._ Since permanent pncemaker nre not lnplanted 1n emergeucy,
whlch_1s nlway s tackled by lnsertitrg tecporary pnolrg s1: stel,
prlor per.oi. ssion-of Dlrectbr'Geneial' of H6a1flr
l" "]f such.cases,
i;ervlces,
wil_l_ lrave to be obtalnedo
Thi.s lssues w.l-th tl:e npprovnl of Ffunnce Dll,ision vlde
7t
flre.lr Dy.No.5tl6/97Js & FA (Heiitfr) anlea the 19ur sc+lemter,gZ.
8. These orders wilJ- be nppllcnblb frorn flre.dnta cf 1szue.
I
sd/under.
s""""t-l3lTfl*1flJ"".. or rndia,
Nka.
/
I s'tqa f;,f,''-r ofc"r-.q-ft.r *rohr strm :ftF oruqirr*;.ltni
a;rtw rrrrtTq ggarn fsrfta rruirrq-Tqdi
urrilvrvrn, rpql
\13
nt
F rq'vll.3frrl. {qrctaa.!.,
Hil?rg6'97 1.
q-x
ft. rr. ?. qc 4-r qrrd]|
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tr
iEftd ?oa.</cttz/l?oule,cl-gT.
[b].
c-rafu* t<rm,
:irreu, $*d - uoo oaa.
ffiTqt
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rd
?o/q/?qq.,
ryrqtT{T rrq;d}.
g|lTr
r\tr_rr fElnt
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s'Taqft gd
bh af-f
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+ttit 3rrilI
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frqrfrrs
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tr.41gal
nrwrt rit irfW
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tirrr a lglatrr]-lr qETrFf, {rq1( q.f{r
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r
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thrl slerf
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:11;;l'"T#'*
fcqlr li-
t.
e*61
iflqq
I Enre gt
sdr.l
I'
.Ir
.,
Officc .f tlre Ao;ountNt Gerl'c'fiu.l4t.r+-+ - - i4,f
l '"
I,IAHAR/,SHTRA' I'LACPURJ4C('o1'
rNDlAI,l AU
No . tJM.r/E-r \
AliD Accouiirs-DEPARTTg{r
/ cstrscaV
fiL2
Date 22/OI/I998.
'
t.-
The SecretarY t
J rrlnatlon Deptrrtnent,
Govehrmerrt of l'lalinraslrtra t
liatltralnYn t
!nI{BAI 4(o 132
vf{
r.,
.
^
of Indla I Minletry 'rf
HenLthr office
Health nnd FAintly Yle)farel Depnrtnent rf
A copy
-
'
ench Govermnent
nnd
I'1o.s.14o25l29/g7-vLs, aatea 25/9/9J;
Nb.s.14625/L7/g6-rrs, dnted 3a/gls|' nre forwnrdeti
.Memorirnd...,n
(2)
of
(r)
under
herewlth fer clrculntlon amongst n}1 the Dlvlslcns
. Your contrr' 1.
The receipt cf thls letter Dny plense'be
r.rcknowledced.
Yours
falthfullY,
sd/_
Sr.Accounts Off lcer/t8l'I
ihcl!
T',ro
Ielerrhone
No.
kx [i*. :gli :+:Zf;fl
ress'
ffi
l,to.f12
"ig',"i'il]ifi
Telex
oAdrl
r'ro.4Z7.Au.,:t ( nrres) / 2847
,
\u
DATED:- 12 I\OV
Slbject:
/IrT-g/
(5B)
OFFICE OF.THE COM4PTR(JLLER AI,ID AUD]TOR
qXE CEI{EML OF IIIDIA
r,J.trw uLl,ilL
rrurt of
1gg.
to Central Government
Delegatlon cf Powers to the adnin-i strative Ministrlcs/Departnents under CS(!IA),
G
l"iedi.crn Advnuce
emp15.:1'o1s-
Rrlesr
l!44.
A copy of Government of Ind1a, Iilin-i stry of Health rurd
of Health, Officc I'i&orrurdum I'to.
Inq+fy
{ellare, Department
s-r4(25/n/y7-.Ivts
dated 2j.9.97 on ur! srbJect mentl_oned nbove
is forwnrded for lnforxnation and necessarw action to:1
' All of f l ces ln thc IA & AD ( as pcr r.lrrr,O li st) .
DAITDAl(C), AIL ABAIsrDirector
(Audtt).Dlrec.
ABAls,Director Gencral (euaft)
GenEral_
GeneralSeneral- (ITC), Pr.Dir6ctor
(:.sj,, Pr.Director Cs*-of f )tor
Pr.Director (:.sj,,
(iyT). Pr.Dlrcctor
Pr.Dlrcctor (DT),
( RIR)
Pr.
Dtrcc
RIn) ,pr.Directo
Iut.)
, Pr.pirector ((Ff,g
Fr.Dlrcctor
rPr:Dj.rector
(:::i:c)',
Dircctor
(ti'n.).pr.Direcior
Pr.Director
!r.
((Rcport
(AEEc):F".bi""ct".-(cornmr)
Rcport statci),
(Co
Statcs), er'.Dlreci;;
Pr.Dlrector (mfc;,Fr.birector
(cor.nm])
Pr.
P5. Director
Director (Report cg+!""]), Ac(N)rltrector(e)rac(p(, I
Dlrector&Secrctnry
Dlre ctor&Secrctniy to
(Exnm),
(Exnm),
bo CAG, Dlrcctor_
Dlicctor- (Exnm)
Dlicct6r
, Dy,
W.
(t,ogn1),
(LoGn1),
Dlrcctor (A/Cs), by.Dlracior
Dlrcctor-(A/cs),
(Logn]),
.Dlractor
Sr.A.
Sr.A.o(BRS)r
Sr.irlo(bi
Sr.A.o
$.Dlractor
(Exnn), Sr.A.CiPny Commisslon cell),3r.A.o(N-I)
_
-
3,
AccoyrrtsrlGE Group (6 coptes)rlGE. (4 coptes)
GE-II, Railway Audlt, OE & Blils (5 copies).CA_f.re#ffE-I
Complalnts, 4ud1t Pliu. & MIS (2 coptei), zui3Ulraltn
ArublurG, RA-I & RA_II Sectlons of Hendquirters off lce.
Coorupendlum, Guard F1le & A:dlt Bulletln Sent of flre
Sec tion.
Hindl verslon.
not recelved,,
.
4.
q
sd/_
,
( H.VDr'!$TARAI,1AN)
SR.ADMIIJISTR.AI'IVE OFFI.CER
(elimr RULEs)
,
\'12F.No.S.1402
6 6t1zs11rne
5
/29 /s7
nt of lnd1a
ris
oi- HerJ'th.,nnd, Fnnlly l{elfnre
MinlstrT
'
( Dcptt. of Hcn'Lur,l
' "'' ' ' "
Nlflrrin Blr^wnn Nev De1Jr1
Drted :l5th SePt.' f99li
oFFIcE MgtoBAl{qfi
,
li'itt'..'
:'
''suoJect:
'
.
Gort'
b"^lt of i/tedlcnl 4Y''ttt"9-tB^Cehtrnl
tlre
to
of
erproyees --beLegntlon
,lowers
s uncer
AdmlnrstralG-ili"r "i"roRe8nrdlru'
"/DePnrtmcnt
c.S..(l'lA) R'rles, Ig/{t+ -
tllls
The undcrslgned'14 dlrected-. tg fgl::,to
/ n -vLs
urn'r" irii'i-'oiii li"-MEi"i"i'i"i- r'n .s,rtx 2.5 /7
to sny-tlut
;il4-i'5.5.g6-on the*iiove struJe"t nnd nedlcal advru:3e
a"orala-io
the sg$ttl
ii"ilt-;;;-6"""
iy-ensa
"ttt'inqn
ffi"-'
: [}T:v
naJor'uuliiaei
of
cnse
ln
-d;#i;ir-i'iXi;"-ctder-lrentoen-t etc'. The nnoun!
or
gt"6-"r ttro p3ckru9.$11
-i
esttortte
"""tfii#a:"ii"
ac6orrcnii-to the privnte
1t
recosnlsed
innv be
ndvnnce
-*Gi'ever-
iii'."''
"*l-"!C
c otLnwtt
iriiiililtiia-;uv civot i&iJ
nny be paiti
T"'iiu".-1rt'":t'nlrrnce
ffi"p;fii; iirtttrel:c"
on
f.tlrtri n.Uttstnent.
& fA (Henlth)
2t Thls lssuee wlth the concl'rrrertce-9f-"S
iia"-tr,orr-oy.'Iio.5ne/9? date.d 8.9.r99f '
/-^.'?rrt
-. t
Ird/_
^fit\ov /
t r' f(AJrA"l U
GOyI. OF
TUN
UNDER'SECRETANY TO
Nkn.
0
INDIA'
lt3
'
No.492
lualg (&.rr,ed/U_gS/ttI 91(6r)
oFFrcE rE':r{E
TH^$ffi"*8F
NEU
DzuII .
DATDrS:bJect:_
p#*Hi'#'ig;ffi
/t.
19.lt.tgy/.
Flxntlon of celllrvr...lllrt fqf,r-eimburs€nent
ffi*
ffi-:,"1il:"#rfl"
4'
ANp .duDrrDR
"f##,i$ffiry'F-r,
.Sg.gf*'a!Ld-fJ.r+d--&drt4tr]r-eux seat or ure
lllnril
versLon
not recelved.
-r".*ffdioul4rN)
*Tii;Ijif,
_.
or- the
iilrihi
oFF r cER
F.rJo.sJloe547 /*-MS
Gorrcrr:raent of Tndla
tienlth &' Fnrnlly ldelfare
Itinlstn'- of
(DcDtt. of Ee,].uD
t1\
N1ronn-Bh6mn Ncry Delhl.
DAted the ]Oth Selrt r 1997.
oFFrcE l{Elo.&[NuE1.
of the
of ceJ-llng rlolt-for reldbFeenent
cllTPer
^*1t-.1e,;t3- Fl:(rttlon
sfr€l;t
cost of c;;"et'v SEenls, Ro?rbhF"t tuder cs(ilA)
p.,"enarei:iif-rir"r
Cntttuot Pncemnkcr hrlosy 19tt4- Rrrqnrdltl{3.
nurtter. re5ardlng
thq un.ict.s16red ls ciir,ectc,cl !o- s^y flrat the
cost of co:'o;
tlre
of
;;tiiil iirii';;;-;girrgriernent
flratrin-or
-sfggro/t\rn1 chnmbcr Paceonkers
h^s :een
Ilms
i""y sl-tt", Rofi;a',t;",
'niIt^
nnry
pnst.
scmetlme
f
or
if..-Cirt.
..
,.. - ,r]i6lr
be:repn,.
wlth.icHS
nt
celliru
"on"iiternfi""
.i;-;ii irro-ionnwtru of gG nfoiesnld ltens lndlcater
^"'-i'ffia;;fi;;
urcir"le
ii;-i";i;;:*1tn
'
be]'ow:
-
"a;r;-io-p
sr.I!t'.. lhire oj: the ltem
1.
Coronnry Stent
Maxim,un
celllng Por ltedt
Rs,6o.Cr$/- (per stent)$rbJect to n
naxf*it of two Stene in n Pntlent-
costl whlchever Is
or the actunl cost,
nr. the nctunl
2.,
Ro
tnblntor
Paceonker (strgte
J. 'Cturmber
) wlthout rnte
4.
5.
reaponse .
Paceronker (stngte
Clnraber wJ,tlr rate
!€SPon9e o
Pncennk er (nraf
Chnnber)
Ps.5OrOOO./-
rdr.lcbever
ls
feaB
1ess.
RB.l7rrAO/. or tbe sctual cDstt
nh.lchever 1g less.
Rs.55rOoo./-
or tho nc tunl cost,
rddchever J.s lesl.
Rz.
L]5.1i/i,c/- -aol
The cost ofbr-.:gr,ry Stant nantioned above w111 be ndmlsslble
over nnd nbove the bosl of A'gloplasty rurd t5e q-.Bt of Rotabl-ntor
Thc rn:mber
ovor .,td nbove the char6es of-ba1lon Angioplasty.
llswevert
rn. exceptrvo.
patlent
not
exceed
sbcuJ-d
of stens ln a
.
*tr"x
$tsnf,s
two
thnn
ofno:e
use
the
tlonnJ. clrcumstance, when
uEcone necessary to'bnil out the pntlsrt, prior.pennission of
Dlrector Generni of Henlth SerrrlcLs, will hnve to bc obtained.
2.
nforesald devlces ce'n
7. the facllilty for lppJ-nntntlon cf tlle
the recomnendntions of
on
6e avalled of bi CS(MA)- bencflcinrlcs
tlre Govt' HosDltnls or ot
of
Medlcnl
Srpdt.
i-ntor Cnrdloloilst and
lons
t'rie private rec66nl ce( -ho spitnlsllnstltut (MA) npproved f or
Fdriee, 1944.
eiisriphiti .*a Ev paltstr-tgiry-inaer cs
l
lor 4.
Mren Stents
o.
ge,-lgplnnted
-uii-i
Ln prlvntc
"
T?lllllt,or
t::
no t
ocnl.oc
e
199
:t_i
.
rer+4, upc er
emerGency conditlons, ex_posi_iacioippiorrlr of ure
_
lll :
dil'iii:..",
ninlstry of Henlth *iri ]riu"tt""u."oilixireil, wlrlclr
wlt1
be based on tlre ' car_ticicicc
regnraing"iensonnblqness
"- tlre cost by
rura reconile'il;li"; or orrJtoi- of
ji",fi;ll,it"*fj::i*
5.
a Central G ovt. e:.- Li?jreq/pgns11
c""il
reco[nl s"a/p"ili[.1f
lg11lJg_d,i"
rrenrn€]1t and rurv7p*"i"ntc,
of
tlre
rtems"oenti;;;;'i;=";:;;*Si^i":^"$iilitr""
i.cpran tation, helsrre il; ;;;"';^"::;::"::
"3*
*.: j::,9-tT,e"de.l {of
ta ti ons ro r
y if, ::i^i^;:.ff5".T,ils:irif
- p urtrra :"Ti tii:
.I4rere
reimbursi..i
-
ti,"-l J"t' at-,che maxi.um ."i
in parri {
f?lrti,:'j:,,
abc.',Er
or. .iiro
1i;;":1;lH_llri-!.
,.vhlcl1r3r,61
aci-rli-".,st,
futu
nre no t rry]gt ec in' eherse'cy,
i:""1;ifrH:*rl:
"Ps-."
Lnsertilu
tenfgr.y'y pnoiru rj:;i&,
1rr ntl
-*l.ii;;i;"i;";.t:ffi;::n
or
Dlrec tbr- ceneiai" oi rri,ortr,
"r"r; "ii"J."i::l-PI
ser',,G"*,
i,;, ;ff
.
7; Thls lssltes wiUr
Division vlde
trierr ry. fri :ltiaiSii!,f f,l"ifi:lir,:i Flnrurce
dnted thc 19ilr S,e9tember,97.
8. These orders will be npplJ.cable fron
the datc cf lssue.
sd/(nn-esAu DEv)
^
under Secretary
to the Govt.
Nka.
\J
.!
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A)
Blood CBC (Complotr Blood Count)
Blood Group
ESR (Ery{hrocyt Scdlmcotrtlon Rrtc
Fartlng Blood Sugar
I Hour llrndom Blood Sugrr
Upld Pro0lc
'Totrl Cholerterol
Trtglycrddcr
Phorphollpldr
Llvcr Prcfilc
)
Blllnrbln
TdelProtdm
A/G Rrllo (Albumln / Globulla)
HDL / IDL / VU), L (Iflgh Dculty Uppopddnr / Inw Dculty Llppoprotclm /
Vcry Low lhnrlty Uppoprotdu)
CPK (Crntlnlnc Pbopho Xlnuo)
RcnlPrcnh
SOPT, ALT (8crun Glutrnln Tru Phophot / Ahrlno Tnmmlorrc )
SGOT/ AST (Scrum Glutuln Onlmtlc Tnuralor$.rArDdhtcTrrrrmlnrso)
Allrlbc
Pborpbotero
LDH (hc0c lhhydrtgcnrrc)
Prctb,ronb&i/Tlnc
Aurtnlb Aatfoo (tleprdtr - B )
Scnrm Sodlum
Srntm Potirslum
B)
Urlno Routlns
BUN (Blood Urce Nltrogo
Unr
Urlc Add
Sclun Cnrtlnlne
Scrum Blcrrbonetcr
Crlclum
Phophotuur
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D)
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D
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C)
ADDITIONALTEST
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Echo / Stre$
Tcrt
f) G 6 PD (Glucosc Dchydrogase)
2) Acld Phosphrts3c for Gcnts / Ladies
3)Audlognm @er Test )
4) Splromntry @caplntory Crprcity)
5) Sonognphy (Any
Mrrr
Cyrt Tcrt)
Q Gynrecologtst'o Conrultrtloi
7) Ophthelmologlrt'r Comulb0on.
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16.8. 1999
Sr.No
I
2
3
4
5
5
7
t
-9
l0
II
12
t3
14
It
16
17
It
19
20
2l
Tl
23
21
25
26
27
2E
D
30
3l
t2
33
34
35
36
37
38
39
Gorlrrnml Rroltdotl
$c.tr$tttcd b
NrmesofArd[drlAPillrs.
uoilatcral bog bg bnooc tdhot! hiP jobt
tfp joilt widr pctvic bmd
SphalBruc
Utddcrel
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lcgbnoc
Stroo or Boot-prrrtccdw or aidirg, to p(rba€d
Bilrtcrd hin joint with pclvic bfiftvodt log
c
rvorl tq,
Bilrtcrd krg lcg br'.,.€ wilhout biP ioht
Bil&rrl rhorr kg Brrc
Llnrbo-orcrd or rpinrl epport or Bac& ruport
I'rylor'r8rrcc
lriGlsm*cc b,racc
Mcrtrodd.Dlint
Podlrior lhb
Ccnicrl Brrco fou porl
Bigid Ccrvicrl Co[rr wilh berd crenaba
Cc'rvioel Coller
Dynrnis Splint (.fttnttlun)
Coot{qr Splint (fuiFduminirn)
!tr-642(Cx35
Coo&+p Splht(flrrtio) a
Tum Buc&lc Splint
Nucfk Band.r Splint
Alcrior kncc Guard Splint
lqopman
DcntuBmwn$plitrl
Coogenilr! fa[pu Equino vtru^/dgor Splid
Short Oppocnr P.V.C. (Pblb)
Kncc Ctgc
t"ong Opttncm witb lvLP. Ft Brr rtd fltSet
Extcnrion (Ph!tic) DF tnic
BoolwitftC&Ebcctlodrmh.tpFtt
C&EHcd
Arch SuPport
M.T.pd
I(T.8. R.hin8
T.SE P
spongc hccl
Wcdgo r/8
Uniwiltlnfuing I
Frxl drop rplint
Bclorv kneo proatheticr (P.T.B.
J0 -
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Tpc ptoahoda)
No.
ut
Nrmcs of Ardndd ADg[rncG!
Sr.No.
40
1l
42
43
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45
46
47
4E
49
50
5l
52
53
54
55
s6
s7
5t
59
60
6l
62
63
64
o)
65
61
68
69
A.K. proslhotics
Alurniniurn edjurlrblo rborr lcc rllil 4|hl
Ptastic sbould.r abduction rplinl
Plarlcr of Perin c Crypcona crrt
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llclow Elborv hoothctict
I looks
Cosnrctic lland
Splint for C.D.[L
Splint tbr Elbow
Aborc Elbow and bdow cborv posthcticl
Oortct
Rheel Chair
Protcctivc shocg with microccllulr nrbbc. wi6di
grdgots likc adjurlrblc rpring md mctcn'
Crulclrss
Walking iron with pledcr Crrtr
Calipcrr
ndr ofico rvllh r@iool
Bracce
Artificial -limbg
Hcart Prcc malcr
lblro Cicttctttor
Hacmo Dyalirir
lnhalcr
I.V. 51l!
Scal Vcins necrdlc
[,xtra Cap Crihctor
Drposrblc Syrings urd nccdlc l0 c.c. Attd 2
All lype of infueion to tsrncfirrbo
crratd wirc (I.rheJro)
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