_l I ) I <- \ ( , ' '/ 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. ",.. '1, /r' I OAn By order and in the. name of the Governor of Maharashtra. -...r 'TlJevtrn4.rr.vruy, Under Secretary {to Covernment. )'7qAa rJ' ! ,'L-- 61, q/ rdrrffi fqrifi ofl' f ,'r' - ''l?:. t' ' <seI Ar \t w** :rlqdofr,ftuldrdfr' ' 't. e q fdu 2uro etrwrrt- ? aG'/ ? LE "4'ivq- e$ +iTrau, :irrs"-uoo 0:ta,, f l',T'i' ao gfittt ?ec,'d ' ?) .|ilTFin, :trrt'c kor, 3cf rrt qr,f'trro ii-'fi..i"ft pT n'crirrrrfi-alca, frntt' ta lFlte ?e'3 ' mnq :- :; , iaBrrrr,d mrri nfffi ;it-t-l*r,i f,Jlit=t qtql g\ ? ) nrrtrat g'n-rii--r ilr:lm, rilr.iit, trLi crt ;r'lin lmiraZ iqu/tqr'o lt qrhrrrT tqes t qa il-qtqLlr rqrT{flT{frr ;iiilrrnrc-ft I['gl-]J$ :- flLsT }tdTTTsE ffiitst :rrotrfi qr} srftt fi -'rqllrz .rr-{T dT udr 1n-n-r qrqrfid s.qi+r eta bar :iwqq et?i-irrrq h qta :tqct'iqrrrlbqi ql-'iin r;'orr'cr Ff.qldf q-$drd. u,rd, .rrfn geqrfl-Frrt-ar rtrr'fr L'ira varicl:rr:';z']tl irtih*o ,qr*n :itmlqqi h'i qrilTd. 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I fl-s i",rn:ifc srqtilTrrc q u-.Jfuf-Jfr5 ulqn qeqrlft, rqFTftnr t"n-er mr roT-LTr rgrq:{ en-iar' fiiFer ffio..)-qr crccctqldtn (stsr=qi'=il n?fin :rfuror-qrfl-fr o-fl qtcn grordt. tr":t :rl-rt-q er Vn-roTq fr',irJ fdrd -fu:lplrrqr nqfr\ rqr fCrrfqrzcT :Ftqqrfro .i;ri pqro fr:lrr,zrser,/$vflq'i-??, fccr,l aq ;fr cqca 'rsrr fidfm .{nqrd \-o :rr}. +rarrfcqft rr--zrrTr ut',-ur uftvrrSnfr s qfqr\, SB!4DIr t: | -t, --+ .:-++. S.s.' --'-? 6t5 4"^. (e lb f{frl{ :-irlt, orufnc :rfqordJ 3 atco nrd;rfu'o 3lra)"-q -i?uFr, m.irc re lqzglsq-e s, fEqrfi eo sfF.q eecs at fTfu,. strq,r$irr_?cca,/ ,TiT . grrr'o: )rsurft-rocu(€,?)3rr-3 srdr:flt yd, -]:T, tq'1r'r/ f.l,ri-q, .;'+i-.ror;oia, q'fcnqlt forrmT-.qr :ifqqirTrqrfrTe n-d r:rrfdfr$rd1 iilfvn :_ qreqqrt ft:trrrizlr or-o-qfn tt 3lft_g,ss1g1-n_n r,.J Eft, i=q'rfr nrt rfm ?c'8 r,or rn-nq o*'frq :rrhr yrr)rc n-$ t["T )\(i6 fir:;frj ..;rcii,.\ riqr fqqrl -fuqrqra:rr yXar=rr ft+m 1t=ri; ao q_ft-o ffFqei=n crrfuu-q1.x E-qirFqi d-frdt. .--- ( / -: /.r /^ /_/\/-< q--( F. n lf-Terfi_-t flrn?G aerr|f rrftrq _> -- .--l ,1,,'|."|.,.Ilr!'.\j.n .1 3;.; I 7 :ltl ,a)^+ t on" '99w.|!|',). i i --'.'j . - . :: . . ,j.-, .':-' bt'ilrs,'crvi",sei.,ai,rg ar6 entitred to . ri'er in ii;iir,fll-:ltt"t':r 'td'rnc6 for .r.-r. j rr.r^^_=r-. tir""rs6lves and thriir. fruarr : r t I iii ii i i i ;,., :' ; i jj?X,iX g, i;,_T " ; fi; ;p,t.L, ;, {:.:;, fi-"i JF-? -:-#^i:jryt-1n_o rvt . ;Hor; " o3 ll # ; " ,--tdJ lo., " ;{:i +'i:}q ;-: i:!J,:ll E*":" 4 is.i r .n* i3 "ll}8, 5ui3ffi : ?B# "i: "::,, +'ff #: :; ^ '- i:l#i1i*ffi "i#l', i : H;;1qtr$i& hearth''o'int' or lu'ont's tr*' tl*;^l;t :':l"l;"diliiii:piffii.lfi :; ( ruc *#iryji it ii'iii"*filil:;ili3itii*i;;fu *if:-r ii; * ii:;s;$;,; fi:;;-3"1*i"3"ffiii{ry;iilil.l"o'"ol,1"iT$*:3":lrntf^r llfi,il; IrT : l;i J3" . ilffm'I" ir such 6qs;.. i:{!F,1il;ii:! d is ljs.s,""';;r;;.;,,,i1: tfr3..lfinDurse. irc'rrcdirby_ r G^vt.-".'+".;;: 'il" ,',e;ru ne n t, id ,(i;nISSr.c-l. n is s ib 1. :l{--'nsc: the guidelinr)s. f Dr rc-lrnbur tiru -11'.;1's'.''1cies, :;J;i:l:i"l.iq i) r) LL] ],II / L.t ) v) vii ) ax) x) xl ./ or.."rion of, liber..ris so rnen t, of ,mtdica-1: spe slit-ti.. Ailnents , fi#; ;:. : I ;r exr€ns.is 1nd spec of,Grvt.frr-sorne iin"iryi"q uitori"e airnents ,1s prst. w.sru"1.." ofn"ia"';.;;;; "f r2)case'l t o ixr: ' u -- n c Tet'uus Diphthcr v /ccr -- br c - Y're c u I -Ir / pu 1 n c n ai. y r or. i s.. n c y . i: t;;.Jtil::/shock sundr,rns :c.riirlrg icat & vtcutlx nnt""ri:ltestin.rt ri,struction *:_*: -"gO""inrt iieverL! Hr rCmerr h --p.e . G.lstr^ Enter it is 'ryph o id Crna _Onset xii) nsl'c h iat4 ic d is order xlii ) Hotins rfl dctachnent in the eye. 2: -.Goy""r*unt is fwther or. :lL',1 l_c?.1 eXFenSeS inCUrred p_tT"q tc direct tr, "t t4i, clainshrspit..I at r pl rce wh"rc- tte ' ;:*H-fr#=i"."f,i3-#"siy*:; r."ni]y f el I s ii: i rf ilro ,15if" allnents, shcul,i be rcgulated with ... 2 \ l{rte :t:lmbur$enelt ?f madioal .-._' - expcnses Dn1rrla {-a -^-_.flfl"es shall - l;r.J .n.n" 's:iril 'li..J me an the fl.,ryi ,,r' ;r *ins in the's?'in mS t'*:* Jf;*;f;Jt:riiii l;t r,onlt*,,',, _. iirdi-"ii"ffil'.l?; :;1'f^,r)'"ir tff :[iJi['H'l"";ii:"'i'i; ,t[,*,. o'', l| t',-u #. 1i'"Hi;:""T3il'i;]iJ].q;,:t#i:rt;ltF",,*, on ,HDspitlrisatr'"r*hj :,'"rt,lio;"tToii""'H*jnit"llj-jxpcnses - t rrat 't*"" ff T^ill"l f, iir ii; I' *. iii";i#ijoi::i.J!$ i&i it"ffr:l"iii;;l;iH,ll,r.*ii:;;ii**'i:tsfr.;r_^.;;l'" :#:s: 33. :i;.,,rri,r';:;". il iiJ;h:15ff odl! iri+Fitti': "? n'ifi*t a -uli;ff"]_ tf2]"";'!-iu i]';; n:; ;'.,"' un^.i F,:,1:"1"fi:il15^ffi"Si"ji:civan,e i [e .' . C . 4. :r 9pF' t n.r.t""ir 'b-::r- :' cli:r'r1r.r i ty igt*rt" :. ner rray :ifl++-. o-i]Jj"*ri,l n3r riav ';''trsr'. Upt J "r/e o'b:roo 'laY ^, lir^ ch.cgus 'r..rvv tOf qnl t€ +^ 500 .^^^ ' fr._- Ps. r,.r 4.OC ?33";'llf3" e'oc ' t);'oo rhp scare" .,r' -,li-ti'J.u':l 2c'oc 40' oo r, fl ibui' in' p a :"pry -,'., 1.,,1 .l:::^:i:"irnl j" n :s.; ri ir "fn ty #y iio f [o iii"ii" to t ^n 9 ll: . :":'s: ;',] ii*J;; :P9 if iet in rr?r.:-1 ...b-irrcsleslit rr wn--irre" ihcr ;';";'::-:l'i'j"iI-" thcy-arc Tr :rot. ttt" on"t"ri in-the" '.r11?^l::i""J.,"-"'i"uii]fi{i:il';':"ili:,,,]; ]:.i:qr,."!rr"" - wh ich 'are held reiniursali.',"'-," "ri,, "i'ir,. irl" [fPltences ' fiI^itl^i:l til#I, ; #'"J ";, d:J : ?il li : i ff i"'"" = ,ni; i', *l*,1*" ljij re inbrlrsefoent ;;*, ;# 5. Ihe :above "..i rrr resur3t :ns thc ;i-:;i;;;,S;l;t'fii:d*:Jl;*;".orly ,l:n?ure,falt. slck or itv'ir"ii.i'IffLlr::,, ynl feoily "F.whcse cl:r!sif 1s dnergencles in n*:]{'1{_t!" ab4ve aitrsents/dlsd:lscs, ic. I li:::: o:r l*,rvE, ;; ,, '''-' 1. ." ;t,'i,; i ;il' I ii#:"3j J*lint at r" ", ],r, iiJ "in'iui.u n, "':'.:: " . ' "' ' 4 of 1r furthcr pleesed to dtrect thrt ttro llcadr of tlrc lrLC'S'16"t1g1llGdldttt'dr tbpartrtntr llrted ln Appddtx-II to rtrcticn tho be Rulel l98lr'thould Scrv:ce} of 'uthorlrcd thec€ or oe! 6 to thrlr urd'r erQGl3'rt Edlc'l of rettburaaoelrt of Heeltlt grbordlnete staff fn consultatlon rrttlr \'Dtrector Thc c'scs of rcldur gocnt Rlgionl' rcapectlve tlre of Scrvicer be declded byttt ln recpcct of tho Hg3i3 of Deprrtmnts ahould 7- Govcranmt thr g. Actorlnl etr etlve Dcpertneits t concerned' not covcred by the categonlcr The emrgenciee rvhl eh 're ld b€ refDrred to Governdt In shou above t p'!e-I ln 66 ttgted lddil Adolnirtrative q.p;i"*t-trhrough ttrc Publtc Horlth Dcp artnent conccrned' lbdtcrl et9"r'e t on 'ccount thc of raldur cenent The full 9. rpi t"]- :-t:* :I.:i'i:i:: f * ;Icer1l_'T3t1 rt r -Ho 7827-"t drted t*e ,oth "..*"t " o.Ho" neroirillo;";;';.;:^;;';i Argutta 19?l lhould contlnu" Thesc orders shou lo. Id eleo epp ly to pendlng cas€3'The alree{ decided rhould not be oPcned' Goncuttonce of ttre Fin;rce thc wlth ThtE lrrucl II. t'te' CR-r336' SER-SIdated the offlclal un vtdc lts D.p.rttt|ent c.ses rl* 15. .t.. 1983 By ordc! and ln the naiE of the G6verno! of Mahgarhtal 5. S. v$rAK' Dcputy Sccr ctarY to Governlentr of Mehgashtte. e/ cr|vEn:'ir\it Publ lres o1 ut lc ton 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 ', o ;, 2-. /(f/ RE{Dt- t) rk,r'c,rrrr'.cnt lteeo1utlon, I'rban I)cve lopmenb & lr.rt>l ic :e.r1th i)c..r1. r'...ntr tJo. \L1C-1068/60:ll (a )-1, .tat.cl llth i'r-b:.rr:ir y-lq;l 1l ) io'.',-- r'lr:: cnt lcsolr.rttoo, l-lJrban Developuent 1 ''ulrl j-c Ile.rl ttr 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 i-: , r..,rrrt, \orli,\,,i1r)8cl//61 1,/I II-9, rt.:ted rr.t Jrur.'-1iF1, i I| r, ft,..!,.r.1rnr]6f tesr,lurLion ]....r.I.i.,,.:.1.6a,/9Oj11(,, )-1, ,tot,. lfE!!!lg\ llth Febrrr.u'v-14-l I (ior,r161-'"'y1 t lrag atl lcr.r.d lelrnbu!'s{ r,:'rtt ,I' e ^i er'{;; tr:r'c inatrrred by G.) .'.. rr. ..r:t :rervan ts for. n(rrclt.rse .,f tt)e f ol I oi, irr-. ttpng of aE 11i1n6,-s : 1) .u'i: iilci; I r irnt,s. ll) 9r'.rtr''.c- irz (l€, to tlre s1zo. Gov,:r-rr:u.,,t urrdcr aovern':"cnt lesolution )io.lL\G-I077,/135,/Plt-ar dated 1!{th -rrr1)' l'l! l.r's tlirected that tt,c fcl1or;irrg t'.io ir"nrs of appllances .;lt()r.1i' l.c -lncl uded under ltom ''SJ,ectal -ipg li.ancest of the said Govorn'. ':-.t ".so:rrr.Lon at Sr.l:o.3:t ) lbert n:r ce r"al'or tl) -\r r sc l -r:c'atoi'. lJnCFr. , ,)\. r'nr:ent Ilesolutlon No . l!\ G-]_o9O / (r\ 1r'PlI-9r d,:tccl jrd J'lnr -1981, r,;o v('t'n .ir t i..:!' irrrtfrcr dire-ctc'<l tl:at tt,o item " IIer,:'t.-',',''l le" Strou!-rl bo ad,.l rl ; t l,r.iio.!r _l - 2. Tt i-: :r..1jc-orl 1l.at 6.'1'ern-tent scrvarlts have t'r inct,r' !rt';rYy exFenclitrlre ;.'.' i Ul'clr.-tsirrg tlio ai)ltlances f :r' var'Lotr-c trc r{r,r'lrt lll<e Ilorievr:r C'vt :'rl- rrt hea.rt srrrgr:rl.' r,:,' a',r o; Lhoi)t1.cli c 1l {'a trrent. gervants a|e ',r,1 . r'tt i')L re iirrbu:'3"ment of tlre same. The 't1'.'.' i. l:'11 cf 311othg rol !t'r-: c cnt cf exf,€'n.ltt'-l|c cn !,'rch.rse of a:-r 'l l,;r':r's ar:cl e(lulFn,en+.r ,.. I icl rt'c absolutely nec,-'ssary far troa tn','nt t]krtt b) .loYr'rnrpnt :r'' i"\'. r '..i:S undcr. ccr,sl'ler al l'tr c' ^o\'al lr.r' i)l l'ir :^i:te t 1;re. i;11'.1'I ,,'i j: rrov P] easQd lc 'il.rc ct th.rt the exl'L'n'li'-I I j-'rcurr' ). -ed on f.t11:, i:r. irr'.is c,f equlfrnents slrd il :"r11?nces sl;c,.tl d bo :rl1oN(-'(l f or re lrlbrtr' , :cr.t to Oovernnerrt se t.virlits. !. Fu11 lc'rr;'.'l: c.' l'rlg els. ?. SJ' tnr. I l: .:cc. 3. Luorbo ;a.r.r1- - l-l,crJ.a1c 8o1ts. :t. ..trtt l'lc La ll lor.'-'r.' ;{ir(i ui FC'r' lirribs. i'r'.-,-i,,e cal llaer-s. l. Tsch lal r'.'i:,i j:) .1:1 1s . I'cot 5r dro: 'jr''l '::r'. ic;t1 7. Cr.r'v o. !ho":c )).r' i :. ' Covcr'u ',r1. i: a1:c pleasc, (i to a,],:l lh.' a.')1o" irrg ir': ' ;-c:;L'il'-i ]t ; '' f or I l;e orr. ll lr..'.i t .rr::1ory l-^r irPaf t Pati rrts ar.'l - \:en'lri oc^' ' r'-nt tlr r'i'i lncrrr-r'cd on i- :, il"r"S ct'orr'l<j .r1:.o ite iil lolla'l ,'rrl ricf'vailt g. l.-lr-f a.' e lr1'',', i-:i' j'll' - ': :l:\' ILirI t l-ar r.t' - 'a:i-lC l l-T..--L. l. TT. :lJ ::: - 'l i 1r'y li ..ri ',' ,'1r,.: - ,/ .r-, la I TT' .iI . l-Ti. GC:f : - 't-.'r '.'"r-- c ul ar craf t. l. 5hl-!.iy J-)1:r, ,l C-.-1.-e na tor 3-1Oo .,,'.i-o-o !. Polr-s i:.y. -,'T-:o^O Or:.-J{rri.rt.r//\'T-?a.O. l. PrrIl, :l1...' I iIter. l. laf l- [ : s' i' 1' .: i o rr I i] t',r'. :. 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-. '/. r! i.i'le :'1'(1i."t"' 4. a. 3 Ia), s ir,fc,,^l.G '- 6. ;,1.11 .;. ra\ 'I l. r 11. 1:l , I t. 14. 1?. I8. 1o. 2C. ?1. 1.2 ,a-:t. r r.! r.,,.. I ' ,'i, ' . i lror rrc it-. -. ir:. , r '1., tA. i' 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. i,_rr.-i.^,, .',li;rjs 1//?"-1- ) ),/P"/ .'r,trt-a. \'trl' pl5r,.3i.r:11,;-r'r'inCc S.'t. I ^x1..'-en . ^ :.1 ':..5 l( . 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 L--- fanl tJ)' t{ ..,' (l- :.:'P'.r.. t-'- -"r. (l: :_,'. -... T; I f. : -t.1. - l_-:^i .i) '--.:-f-.,r-T 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!.: -.', v 15 !r. at ils._ltr I.r J..rr ri-rt i.t r 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 . --n- tC! D !\!r u) liIr; to ,urrrc:rure t c,l.-, t .1.,' 't fC OII) 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 i.ls. d.r; J-1)-s. Pcr 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 vi.s it - 1-'a- ,/ "i' friiilftF*:l'#e'*m# i' /''.,.) im"tl:tt' ;3lt$&1;!.ffi*iffil***,,,u, Q: * ""'l 3 i 3')ll d hlfu i,r-, *, * ri tt*,, l'"'# lf !l *' o *t***;ffi* 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!. " :fl*; i" -"'t +H" H r: ,-*i 0" i{ r: e' k"r I ?:'^'.?Hl "1"'ll; "* i.li! Kidney transolant: ^ t.n ??i"["i"v* t oio"o"."r ate.d bv-pa33"3,1'"??lt"riffi:' ' Stsrrrerr L i' i'il'abroad)needing r t ( H:.':;"".0 t -' ; :iI ":t i!1. ;rri;ttit "i r "'*'0, irl ::**i:l iv e and consequent relfiPur o o " which !h6. eesratim was done iiii6mJ-i"""'"* !.1:?.r::"?: hish rrynia cases; iv) Ooer ative correr (v) Comolex ry an ote-Fle ar t-Le s ing i on an'r newlY bcnn inf ants suffer ,.tfijit"nri3it.:l'83:93'contemolate. ffi i 1liilli tfr :li )".;".';ri*l'*"?;";"lfilt.li",r.", u'' ;';*tif lq rtil $ii' i* :: " #: i * * m Health.) . D^,^ --^r. Researchr and Education lvbdical of ( li)DirecG: ' - -' 1l"t, at ashtr a Stater il cmb ay of l'{edicine . illll,iot..t?:t Tofossor :;,-h$[g*itiiF="f ffi-il .n. ",,n !r: :"n'e'r rl r : r" "e, ir .*n " r" i* B*4tli:;{r i i$:q"H:::;*'it'il-t*#* *Ht "ffi} 4*" :,ir1!; gii:q; :*.il;; li:i' l* :'l' ; ;6 ri i : I ;1, ll i'i"''*?l"J r:l : I t " ub:' i + 3 =': :,"-,'*k'i;i;=:t+n*lq:ilft i#'i"::rt';irF*.*"Ho:*E bv the 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 i il:i: : i "' :::1"' " :'i:' ;*:::.T : ;";;'; ;!!.:::::,'""::_:,"::l 'l *l'::' :T::,:: 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'' O Verzrore' on'UuV ll r.u." :-'"t":..1; 'vii) :"Srec ' Lh]--r e ;l l"tl"'rlt. "1 . or Me,r ic a l sc ie nce s & re chn oL osY' 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., r, Rok 39P"r, r{a.!-r as. i) rsta M:r?'^lti*i;il. i i'\ cencel rns L r uu e^y ir, * ili - *:?rtl -:i :T; 9 . .-i, :, :"^,.,,,i::l ll I vi i"""H:', l " and Hosr i) southern it*::il""i ;"it.t" ii iiifrl t:hlff:.fil "' Bonb :1 tu'nui't'i";I aY ii) A11'n t' HosPital r B cnk'aY i,i' u""o ir4e d ic'rr sc ie trc€ "t lll"o.tli'*..|1;"+Tl"Tt?L'..r.,te Ct'-trar vii) $ee ttirHl$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 !::..-- -- G.V.Abh rnge.) ineer& Directrrr per inten C inging Irr iqat - i cn Hg5carch 6 ,3-r Pune-I ueveloomentt o/- 'l I v3 lTifl4 f:i:_rq, in-tqG'; 3;.-Ttrrt fhrrn Sipd,.q f,:=nb re lirfcFci-I : grtO \"{i$S-fi rlirre pe..q t3rl qetTT.lT l-rcit rr-T.[] 0r1r: c-3ra.t'l ?o(a,/g??q,/ Ir t rrfrft-frd fiw re.er 3qsra q rrrTri-,t,; orlq-ri tirdlr ET.,tf jrfdldf ft_ancrfl Trrr rirbcr sn-rr flTfirIq sriu-r_q-1, E ,f]ri rr:gr +_rrrro h&. ldr sir''r':T i-Ti-Fqr':r qqrr-fiTr r-ic rzirit oirn-frqr qrt'rq h-t rrq-rvr arE. lfi] w ffi q5fy eMdt rTrfrdrii odilrfi radrn nr:gfir Eterffft sfrTf,TT riq-r owrrm Ho. ,--,t-,ti prrfr :l:- E Slfrq .Fffi qelTrxrf rr'q k.rr 6Mrl qfil.rifl ftcc r.lf 3lTFrT.Fft{df'fiao-rr-in rqtr1o-Tltff o rm,'a-6"6 ffio le vf}-o ,':r,4r: i::lT ceT Jq'sro-nsr-qrr arfffsfiO S 3ltsr.Ttq-dRrd-t'to rr:-r3l ITR{flr{ ..iitf(-,'l'n$u rlo t-.=-,1' :i"le orrtn-a trda. r.Fl ? t- rrraolr, +rfqT-tTt $]ncTEqT rrsqtt{d Jq-drTrflffi cTtt, ,T :,rlstst 11 ylri'rlqqre qrfi.rdl #no-rrrr dr+req E ,' .,r'L:i-r'r(iirrrF.siq 6ror-qqri 3,{LET r-r-FFI "rart.fotr+, ' ',, r,={: :Tr=iHT h-l;m rrilr.rr rro-rrqcrt.qqTUTg>T ', ..:;' e ffi ffi erfffi ,';-;q- rrqrqo rr?. f,_- E sq,ooo./- Ecitrrilr fiqrd rtqffd 3rcET Jq.ilra1tt erldt, i:,=, llxit st'srut:ynrr q stnruitltnT qrqiif, iiqr"x ard .rt-dt t_dt ,,ti . 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(' {. qo [1l ?ox3] ] ?RQ [ *{qq li-eo] rEqil lqq ;fi ur fd6-'rfi 616qeirrrfr{qErn silfu'Jr q-r$flE{r ?o z cffiq r. ?q.qo rnB q fi rmq qo r.0ur rrqi cfftr rlq uo t *On* ofr rrB. qr fi to , rmfrl tsrr-'E1c odtn-rri F.erd: rtt#o'rrt: 'nrrn sfiIff nr fileFcrDr $rrro1'J erri agff 6ro-qrEr - {tilift qftftTfin rlftirrdrqFr{Eur rre1. ffin fffif; etq-rr triir ,rq-f tn-+mrqffir cor, (q^r eI qo,,f 'JT ,qqrqrcFl i"um vrff' orr srrr:,ftr o{ur-rrt qrfs-o tm rr 3oc aqql paril*r ffi vla rrrr- fiififlq 6rqrd'rm rirm cffiq etqmdt rnd rrorrrr anerriil oirrr rna-o1q ofrr-c-fil grfudr,q*ilrch iitlq s-uf:ff 'rm yfm5oT f,rln. arrirc-qri {Tclqrf ii-c'rr rrisrr1trrr E it'{ri. hn .1 rLtH ? fr "l tprrrcr rritl orrfsq rflrorfi. ytt, nfiq, {-refcTf,, qdTrrE-{ $TiR. qrd>rrt qrqrft afrq, dt q rrr'$i.'rrft Tdtrr ffiTETo. {er nfq.fl't ffi'l trEtrPtro. r,{ ;il-r, 3,Trfu'J ln"r[ r oo ffi rc: lzode ofirnl 3Fs srqtrd{ 3rfe rd f+r=rri 3n'Jffi. ir,f ftCrrftrcrrt' ;)q;il'J )r'(r.i'c i ; i :.ir-.'rirrco. ;tti -,v "f-i .r' , '.: '-.,n ;";. ft.s -.---,.',j:\ r< ffi1, rii fntrir :rrii-:; :;frtrfr. er-gorie,iri; , i ., .... , .'. 1+-r,1-1-i1rir'$ uflrc ro. . rr.3te'tirr* ,! .!. t_ .'. | | gil. .n:a : ;. i;i;' ' 4" rt'i ?/ \{ t{.- 4or-- Gul<itn6 prlrrc!p'lcs fDr rclnhtrsc5 f' l,tcrl l cir crf'e.,:tr; c: tn A -nett 'L .-,cGe,rcrnnc:rt Scrrr.rts 'iDr Drr:./i.'tc i i ce.tr:'c:rt itr c:rct'6'c:tcy clrc'.rnst- "-,il,tY" -tJlC covDRIMEllT o C S F llAiiAltast lTRAt ?3Bti'ii?il'-o' c""" rr:li:l,ii'.ji.il13 'l'lnltre] Donlxry -4O0 o32' n'ynr ' 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 1983t'thc l'lAg iodiisio?tiil-g 't ttntch 19th octobcr *'cd r':r sub-ruf, cs ilc. " c1c ili"ri$';tl't.!lili;;;1.T: !;ilt?iilt "il povcrnDr of l'{e'herr's ht rn't By ordcr and in thc tri'nc of thc t\ il i\ (il#?';i,.l$, .iflccr' .l 'z6y Dcsk O To. Thc Sccrcti''r1' to thc Covcrnor! - Mr 'ln-r r's ht r i"' Statc'Ibnbn'1" i: lpr; ;;: i: tiil !scrvtccs' iibiii"tei of llceltlr rl!'i:liltit'"xliiir"'l i,,rr, lrnr ht re r c r Li'.,ld Rc c*rrs r Pccrta' , n. J ;ltl.l?fl. "8;*l tllili: i' r.:rtr Drrc cto or Dlvrslc's' gan::tl$l:: t+i li iiri. ?r r. s fr:;li;"i;t?:lliif;' r4cdlcar scrvrccs' ^,olil ' nd'\. "Xil Sl;il;t"i,i?liti o{*ss"::..-- c .{a-'r A li'spitr'rs ltr Grcr'tcr B:ntnv' B$:iiii'f$:t}iii.ii*.qi;:'*crrt li: Pcc:ti.' err<l lfr.crur. T}rc Asstt. oii'i.lii cf A1;urvc<ia,oUP?F.fi ;"lt imf Lllilil: i iic brr ! i,.r corpn. r,t d' Bonbsv . "tc i Thc l4mncl:rt ".".o. t'-l{!'ll"ll,tAl}:l'f:' c c ' iil; il;iit-ti lonbr.y. i iii 6" iltin t f "'ir-co' s ;, "r",ntra:; . r 3. o1li I t tt l"il:u?lLi ',' tl: iiillSlili;;:i:,'i;ie;J.i,r'.1'li;ttr*''ffi1i1i,o"""". "l;,''ii i li :i n:l :r l?Brtfi .9li';*t ;ilifi iis. g:riltiit,,qif; ;",",",, t* t : 1 . g;igltii'i::1.':":':"',:': 't t' . t L ,v\ i .- n,r1ihr,.,.. ; -.- ") c>9 -2The l,l. 0 . I nc hr.rg c, T. B.S n:r ltcrlun, Gonr'i i :., Thc 1,1.0 . I :rch".rgc C. G. Iiet ]ri T. D. iic s f, it ^,1 i,,::r ^..,re.t t. Ihc Dlrcctcr lf Publiclty. T lrc Acccurrtiurt Gcncrn l -llanba.l' (rvlth foo !rlerc crpicr ). Thc A c ccuirt r.urt Go,.o"nl-il.,gnt.t". T !rc Pa1' rurd Acccr-rlrts 0fflccrt Donbr..:,'. Thc Sr.D;,'.Accnrntr.:rt Cc:icrr.i., ll.S1ilr.5pul'. Thc Chlcf Atrr'llttr, Lccr,l F\::r.is Accrrrlltr, lo:'rbr..','. (r"lth 5O s l.r:' c cclies). Thc Dlrcctor, 0o.,i. i)rir:ttlg errd Str.tiltcri' th:1hrp'. T ]rc l,l;.:re5cr, Gcvt. Cc:rtre1 Prcsr, Dcnb..1,'. 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E a. q.. rec< ft eil. _ .trc rd' : g{3lTqg6 i c.<,/? 1l ? q 4 Z rr_ C4 / c ( )-NflUF 'Ir"y/ J, qrzdrrrt ftlTrrr, riaraq, {<6 - eoo oaa. fr-rrqr :- 4s q. ?g<c. 7< --c'flr .ll qredtrrt ftrt-TrL,ri' .i;flrq:':3rrfro Rri fdqr.l .136 trf{r crffi E 3{TqFm o'rfrq'#t.:dT z.qt.T. ?. nd tarn-q pge rr+r f1ffi ;rqu=ni :ft al. rzrg ft. ?q. a. ?q<( Err ilrrn{ f{qqr-.ft go o fciin u. g, ?q,a(, fr. '.r,," u, ?q<. ii fr+re a. o. ?q{( zfl-,q-ff sTqi=q[ ilfirrcqlr\-dtfl n5 ai;nr-crrr grfcrf' q ;i'rerq' or'ter$lrfr qraFrqril !T?ET-il. .:.,\l,,'l ' '/!" I ;lTl - f[. I e. ?. ?q(( inT iiTT{ fffi t;''-"' s. E'r. \cc oer 3frr6ffr. F-d ' ] s -ft. v, e. <(, lo. g. << yt,Ft :q- ,ffi66 :ri.\f\n 6g $flr6r{t- 3{T[{riili]-.. ;rei:nt'fbrrrq, rfiraq, iE€, , ?TEl ,i . .ti :, i qredijTt 1i+.n. Cxfno, {e€, -rt. Jq Rfi,-i LqilTflql .:fi: qts odi L,.. irci:.,'< lur*. dtfau 3. q. ?q<( :-i{tl dui ryrdr0. 'V/ l , 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 Blooc q 1 ia-L i-r:--".r'"i.:'fr..ion 3'tcoI cr'1-'.1'., ,'+Je. ) J '7 1 :j.11. c ( 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^ f^e 26 tr T\.rr:+ t'+ ,20 5 t- {'L:' -22, l' g:,.1 " -,. ) 3.iigg !'1"5o:-' i.) l: cr'.1;j.ons h I t/i rna\?! .f 171 2CO 1 r.a 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 '| I . 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''' S" ;;J il;; ; " it'il;il;;i ;;- r," ii":-n t""e se cre te'r iate' P.S. to Ml-nister (tqoD ) (FfD. ) P.S. to -i.;Mlnlster e ;;; " 7_F. i.- t"- ii'.. . T*1".1:" :|Tf :" l"#,. :: i3 l'.- : The Se cre Conmil':. 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Cervlcal- Brace four post Blgid C-erv1c_al Co1ler .with head extenslon Uelvlc"I Cor_Lar Mern)aid iiiflri; siiitt iSiln:#:ifllnr,,,r Spl1nt (plastlc) Ycc:(-up -urn BuckIe SnItnt Nuckle bender- splint jirard nt e:.ior knee ni s Broun Spllnt llc uurrsenltal .A or long opponens Splint 1.-:lipus VarFs/Valgus *---bhcrt_opponens P. v. lqgfno c.'iFristi;t-'' Splint e Case Lsng opponen_s wittr.li.p.Fl. bar ard f inger Extension (plastlc) Dy namlc Bcct_wlth C & E irei:l and arch support C 8x linc $ !Jgs] Suppor, ,.r!. Kaising l,:. rprrrge heel tZ, I.r. T. pad 14. T. Stiap j6. hedee j7g rooi-a"lp splint .- T.1e, Y'l*1.:"::1 '-clsi|s.-1.' proste (P. tlcs B. type pro-strriiic-it f"lo,prI1"9, .t.l!. o sthetic s adiustable abcve knee rlght 6pL.lnt i]:tllll"r, Ht_n s iL c shJulder aMucticn splint Plaster l- p2r1s or Cypsona iasl I'iooii ico shoes i,.r'.ch. bou prcsthesis *ro/.or-- Hoiks. del- c r,r r:,1 Cosnetlc Hand Sp].1nt for C.D.H. Spli rt for Elbovr Abcve.Elbou and belor,r elbor,l prostehtlcs vOrSet Lheel Chair Prc iectice shoes vtth mlcrocellu].ar rubber flltbout nalls oiten vrith acditional gadgets file aajustaUfe iprine'i-ina r 3 l(el. c s . iru tches .,.1 iing lron wlth plaster \.. LLpgrs .ri. CeS . icial-- lir,rbs ar'i Pace [raker ljecr;rc uyalisis r. v. Sets Casts Lr' :r_ AA r'tL D.xtra u-ap Ca thet or 60. Pulse Generator 62. Inhaler ' 64. Scalp Velng needle 66. Disoosab'l e Svrinp & hccdlF t,7 rrqttcnoq Hqnl firrs ,;=rrr5 ffi g{:Rrrri vr ;,rrr.fr}'ffi* sqqtq: . . /q-fqTfT.{fEcl cElrfcIl ortf,a'rtrr . ETqT:- IJ $r{r flrfg, 3lratrq=q -L Slrn;L rrrrtq fE:{rrr rtrff{ fqftr pefm vw+? ?-oe ?/? q7 o./ tifrii_ throq isf cooorq fe{fu ree o o ?zq. r,z.,r }, rr_u l.( ?9. Q. ?ee3. mdq-fro 3rrrfrq ft+rq felro la Et ps,cc. 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' 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": Ngrree-of 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. 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SiHTT :rTriq''fdq, ftnq aq vlyi,tez,r zrr nr6{t r=q\ vsr a-uffr -f{qq t i :- -tg.1 u .- l:{qrl q :- fqc iq-orrort'?rr ynq# utfi{frm- s 3itqq}qarrrat'lri 3ifdq tfud kers r'5 owura l{.r afr, rar rr"=fgt6a sqofltifr ffi.f..ir'cft riln\ q :'}sftcsrg qrsrdl orqq-rrr iqi'-s afr q sri.{&hfr slqrd-ar sttfqr} rrs<,Tq l.{rn-qTb gqsr f"iftra :,rsrrr\crdt r,T;q-dT \u-qrd 3{ltiqr -6n{TeRIT'tI Ftrorr1 "\Sr afqrqo art. 'E riT,i Fb u9, ooo 4T C':rrO qqfqq-d--1 3{.ISI 3q6tqffr' ulfr riirrfr :rtst s sftsqlc-Err qr+fl'o dcrq c{ qrt'-ca't i orir -,k, hsdqr rl5llft firfi-a trqn fir airrqm bdo. rs-{ rFiqfft {rcjii d'q''ttfd u;l.lT-qtg $T-t-iit-qr -itlrl'rgff urrfrn q rFd ? q fsq nVUr 3ulq{ }s-{rd q1ft. $rwcftq orlsr--{rh 3llrl?;*lr frtq.c-req 56aa l/ry; .{1r od 3iT'tq qqr orrqrg'rfr t 3rsl riqr srh aTE, -..rTa crrqrsro'-i s vcT sRrqfrq 3l{sT fifl;fqT"q DrqTmirrd gcaTt ot,qt$l,J't bati r.ho hlrs t 3c'qttira $Tot, lth 3ir'e, 'a q16o-q1fr sqrqsnl orqfriq y6urfr rrelo. tal rft;n .-.[r cr-"'.rrar fq:flbrq"rs{ ffif r,'1flqr-uJr f{qft r. .r.=.rarff_: 4ri+- -=* -ir---in Fiyr= 7<-rtrtTG }t'ti 1r.lifi * rrr-.? f \ 1/l lt -----2/ \1(l// d"Ji-irf 'qErET6.( U. nls-nt sftE' 3-('.1'J? ?e( qTqS 3i{( \ t la- fifq"r-qhr ll..ftu lrtr-q li;T rru-.r,-ti.itlii r;rhr orflhq ggaf{r yrr-f?d frg.qrcr-,\rd uerilqrrrer rrq{r cft q-x F r6Fq. grt rq. z{<rrzaerl, fQ. ll. ?. s.c qr rf,rit ggqa-{r6 stq-a il,fl-q fd J. -t- n s'0il toe.c/cl? /Lqouzq< J-gr. [b]. rrdtrrt fq:n"rr drrqq, iqf - uoo o3?. J,Jjl\l 190g :- ffi rfrfurt ft:fizn:crftf, ?o'/\/?q?4 , r{ ordb,rrt irffii. Rrffi fr+'fr brrqr? lt 6'r', {m.?{ 3rrtlr Fqfrrrr ffang'ftft.tr{ r,cARTT s{ Wtq ofqr-qtqr frqf{r€ ,r,- e -eL /tt ,''('{n) . t ' " tr'411al ms-{rn 6[ $fir6nt rdq-gr;larqrq iirrr c SJhuarl-1, cET(TrA, ''r-m1r rrhr :rrledl-oR-crr, 3rf. cr. [b] eraerd 3Yyu ' rllrrr iv,)t- tt iq<f i,r:t'*#U "i - rxtr-g<1uc\ lr-1. '''" ' ,, frt.- ],+ n;i;* lntr- Irflqlz;aa= r\ \ \ N- <q,dl \" | /or"\^\it"-rq'/ / >1 tqlYtintlt- a5^-,1 r r_trl t c4v | / ..^^.4 Ir 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$1{tt-si.itiv" l"tirrt strlo c/Department s under ost rtA,l t hrle sr 1!44. rf Health and A copy of Govenrment cf Inclin, Mi*istry I{o' Offlct Fnmilv Welfarer uepr,itient-"r rit"ifnt subJectFi&crrmdr.m above mentloned on th6 s':iitLs'jziltdi-lls-a'"t.a )5,g.g7and to: action necessary i"-r"ri,l-,.ili f or lnf orrnr.tion l-. a'l'l offices 1n thc IA & lD (ns per maillng list)' (Ardit ) ' Dlrector .c].1 Anlts, Director.Getrcral DAl ( DAI.DAt(c), . 2t pN, e i," 9( ) *^tu-P*l :lli :"-" l 5.* tt (:'; ' ""3 r (st r e.: j) . to l)r"?*. oi rec i6;l;fr itc- I((ilT) lq"-.-Diiliii -p". ; .' f ( irin)'"i'.Director ii."l Pr.nirector ful ; Pr.Director -F'. !T-9' ) ' ) (::'m), Dlrec Dircctor im) I Pr. ni'"it"5-(3is. Pr. i;:";i;il;.'I:. 19"'Director ( c99g)) i;;i.") ,Fr i-pi'loi;;i;;:(AiE4) iilp;;i'birecter ' ' Dlrcctor (Report-c;;i;"l); lc(il)'D-:-rector(P)tAc(P(' Pr. Dlrcctor r-r{ na nrnr.&So.:r'r.tn nv to CnC. Diiector (exnm), 9Yf ( tlcE1]) sr'A' o ( BF' ),,.- . o.o + Di"";#;- ( ;7b;i;- fo .or'o"io" l"tlTi: r N-r ) "?'titiir c"ir), 3".A.o ( "H{" ( ;- s; ;h:c iF^t' d;ffi i;;i;"' :il t"' ;;5i;"i;; i*::*;utii*ilti:s':s il;i 8il?t'l' ;iH3f "ixB,[: 38"i"!l C^^+.i E if,"r, " "[!"!il tfl 13ry ( ilT il L n l:"1 Coorqlendlun, Guard FlIe & Audit Bulletln Sent of mg 4. gi ft :' ;Lfl l^"-lr s ":.T I i " 3, " fiE ffi "" *'' . the ^h Hindl version not recelved' sd/_ ( H.VEN$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 s: rui i'l i ""o * ''*#ruftHruffiffi Hdsl:'itn1r wnrcnc' .{.!llti n.ijttsttlcllT,' ;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]| -r- tr iEftd ?oa.</cttz/l?oule,cl-gT. [b]. c-rafu* t<rm, :irreu, $*d - uoo oaa. ffiTqt qTz,+Trt fEllr-rnTrltfr rd ?o/q/?qq., ryrqtT{T rrq;d}. g|lTr r\tr_rr fElnt rc..rnr Q(uqrd s'Taqft gd bh af-f o"i-, +ttit 3rrilI 3rrArr RTJqr , iltTir mqfrqm ff.rf+y*,terr rsilnrr sd f,fiq 6fq.r_qkr frqrfrrs 3rrqGF" .,f?J. ' tr.41gal nrwrt rit irfW rdq-{rdarurq tirrr a lglatrr]-lr qETrFf, {rq1( q.f{r rrrtt<ifl-q, Frcrr, 3n r 1';,-1"., I thrl slerf sitt "t*r.';t'"t' :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 .! \2( sl-qd " :leT{TE{ nt'q ilqr t}..foq ioirql 1'lq.t,?qE? i-TTs trrir-c'rq ''Trl-rq rri'r$r-tfl'Tf h,-Foq iq:{rrTT.rT nrgc tqlt'o r. tr. sz t rd. l F.rb:'.h q 2 t t,ftl rof ?o <v[ ? q]4 d,r.T-,urT fT{q F. $-l'JtII. eqvff ?o,/s.e.l 3tf- tMl 2 o " ril iqwr.-rT t1T.fqffii Q.4/T,p. lrcr?irf-+-a qlzdtrrt tssrr ,frn+,5e{ 8oo 03Q i<c]'ct: ?r{ ?. q,s.. 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RR "/ teqftftIqn A) Blood CBC (Complotr Blood Count) Blood Group ESR (Ery{hrocyt Scdlmcotrtlon Rrtc Fartlng Blood Sugar I Hour llrndom Blood Sugrr Upld Pro0lc 'Totrl Cholerterol Trtglycrddcr Phorphollpldr Llvcr Prcfilc ) Blllnrbln TdelProtdm A/G Rrllo (Albumln / Globulla) HDL / IDL / VU), L (Iflgh Dculty Uppopddnr / Inw Dculty Llppoprotclm / Vcry Low lhnrlty Uppoprotdu) CPK (Crntlnlnc Pbopho Xlnuo) RcnlPrcnh SOPT, ALT (8crun Glutrnln Tru Phophot / Ahrlno Tnmmlorrc ) SGOT/ AST (Scrum Glutuln Onlmtlc Tnuralor$.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 cttr- | o9e(3000 - t2 - s8)2. : ' ) 4 ] \QO t< C) Stool Routlne D) E) X-Rey (Chcst) D Pap Smerr for Lrdler C) ADDITIONALTEST ECG l2 - D 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. gs- | 099(3000- |2- s8)2- 4. 3h31 rcT6 gsTqsTI ?o<v/L?sE/'ul q_feiitJ.rt 3{Itul w.4_ ' \q\ {h,rrJr, ,.- \ ri-dt-oo, S*$ uoooel' dfl'd 'd-K-9"( ,t_ rr.€(lt 7| c-reiiffi feprrrl,6t6ur ,qH' - #:o":":' -',*a qETg1-s-( Ftrr, q-re.itJTt fts,fi' fftrrtr, SrI, -.- , qredurt .!!r'i- tftFl q-reiidTt f{$rrT' wt' 1r6s 3rfldidT, -,,- q-re.t.ft f4trrrr' fittrrrerE tftFlcTdtidTt ftsrrrT' $trqrerd' qTedfit fAqTrI, ltC-{Tilfr {FfSf -'.- -.'- itugo:t*fugo'q6?q' d{C' -..-'- -'i- tffi"ffi'lrraiurt fbffrl' . 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