3.
MEDICAL ATTENDANCE SCHEME
(Approved by BOM in its 11th meeting held on 24.7.1978
and circulated vide O.O No.NCDC 11-3/78-Admn. Dated 28.9.1978)
1.
These Rules may be called the National Cooperative Development Corporation Medical
Attendance Scheme and will come in force from 1st October, 1978.
2.
This scheme shall apply to all whole-time employees of the Corporation including those
on deputation. Employees on deputation may, however, be given the option to be
governed by the Medical Attendance Scheme of their parent departments. In the case of
officers on deputation from the Central Government, their option will be subject to the
Government of India agreeing to extend to them the benefit of the Central Government
Health Service Scheme.
3.
An employee shall, in respect of any illness befalling him or any member of his family,
and subject to this Scheme, be eligible for reimbursement of:a)
fee paid by him to an authorized medical attendant for consultation.
b)
The cost of such medicines, vaccines, sera or other therapeutic substances purchased
by him and certified by the authorized medical attendant to be essential for
recovery or the prevention of serious deterioration in the condition of the employee
or member of his family.
Explanation:
c)
i)
The cost of medicines, including injections etc. supplied by/purchased from the
attending physicians, is not reimbursable, except in cases of emergency and that too for
the first day of treatment only.
ii)
1[[In
respect of medical treatment under Homeopathic, Unani and Aurvedic system of
medicines, the cost of such medicines is reimbursable only if purchased from
Chemists/Druggists approved by the Government of India for the Central Government
employees. Provided that where the medicine are supplied by/purchased from
attending physician, the actual cost of medicines charged by the physician, subject to a
monetary ceiling of 2[Rs.25/- per day, shall be reimbursed for the first month and
thereafter, it shall be reduced to Rs.10/- per day in case treatment continues for more
than one month] subject to all other conditions specified under para-4 of the scheme.]]
The fees paid for such pathological, radiological or other methods of examination
for the purchase of diagnosis as are certified to be essential by the authorized
medical attendant.
_____________________
1
2
As modified vide BOM in its 35th meeting held on 10.10.85 and circulated vide Office order No.NCDC:22-4/81-Med. dtd 5.11.85
As modified vide BOM in its 141st meeting held on 21.12.04 and circulated vide Circular No.NCDC:22-5/81-Med. dtd 20.1.05
1
d)
e)
f)
the fees paid for consultation with specialist where consultation with such specialist
is certified to be essential by the authorized medical attendant.
The charges paid for treatment in a hospital.
Treatment for eye diseases, 3[testing of eyesight for glasses] and all kinds of dental
treatment.
Note: Providing of spectacles, artificial dentures and hearing aids free of charge do
not come within the purview of this scheme.
For the purpose of this Scheme:(i)
4[“authorized
medical attendant” means any qualified Registered Medical
Practitioner”.]
(ii) the term “registered medical practitioner” includes practitioners of the Ayurvedic,
Unani and Homeopathic systems of medicine.
(iii) “Specialist” means any registered medical practitioner with a post-graduate Degree
in any specialized branch of medicine.
(iv)
5[“Members
of the family” means the wife or husband of the employee as the case
may be, and parents, sisters, widowed sisters, widowed daughters and minor
brothers, children and step children residing with the employee and wholly
dependent on the employee.]
Decision:
A female employee, after her marriage will be allowed the option to include dependent
parents-in-law (instead of parents) as members of her family provided the spouse of such a
female employee is financially dependent on her having been incapacitated by disease or
otherwise. The option once exercised will be treated as final. The other conditions regarding
dependence shall be the same as provided in the Scheme.
(Vide O.M No.NCDC:18-179/79-Med. dated 15.4.81 as subsequently modified vide O.M.
No.NCDC:22-5/81-Med dated 27.1.84 under which the condition of the spouse being
financially dependent on the female employees was removed)
_____________________
3
The provision on “eye-sight testing” has been deleted vide BOM’s decision in its 141st meeting held on 21.12.04 and circulated vide NCD:22-5/81-Med.
dated 20.1.05 (also see under Para 7.3)
4 As modified by BOM’s decision in its 68th meeting held 30.9.1993
5 As amended by BOM in its 51st meeting held on 27.10.89 and circulated vide Office Order No.NCDC:22-4/81-Med. dated 12.2.90.
2
Note:
It is hereby clarified that:
6[
a) that such members will be regarded as completely dependent who normally
reside with the employee and whose total monthly income does not exceed
*Rs.500/-p.m. Provided further that the condition of dependents shall not
apply in case of wife or husband of the employee.]
*Decision:
Following revision of pay-scales based on 5th Pay Commission’s Recommendation, the
income ceiling of dependant parents of an employee has been revised to Rs.1500/- p.m.
(Circular No.NCDC/22-5/81-Med. dated 7.12.1999)
b)
Only the sons and unmarried daughters who are not employed otherwise than
on part-time basis will be treated as completely dependent on the employee for
purposes of reimbursement of medical expenses, under the National
Cooperative Development Corporation Medical Attendance Scheme,
irrespective of the age and income of such sons and unmarried daughters.
Decision:
Dependency of sons and daughters of an employee of the Corporation is to be regulated
as under:
(i)
Son
: Till starts earning or attaining the age of
25 years whichever is earlier.
(ii)
Daughter
: Till starts earning or get married which
ever is earlier irrespective of the age limit.
(iii)
Son suffering from any
: Irrespective of age
permanent disability of any kind
(physical or mental)
(Vide decision as circulated through Circular No.NCDC:22-5/81-Med. dated 22.10.97)
_____________________
6 As
amended by BOM in its 51stmeeting held on 27.10.89 and circulated vide Office Order No.NCDC:22-4/81-Med. dated 12.2.1990.
3
c)
As regards the wife or husband of any employee, in cases where both husband
and wife are serving the Central or a State government of a public sector
undertaking and are entitled to medical concession for themselves and their
dependents according to his/ her status in the Government/ Undertaking, the
employee and the spouse will be required to furnish to the Corporation a joint
declaration as to who will prefer the claims of reimbursement of medical
expenses incurred on medical attendance and treatment in respect of the
wife/husband and the children.
Decision:
a) As a partial modification of the principle of treating ‘family as a single unit’ for
purpose of medical treatment, it has been decided to allow reimbursement of
expenses incurred on the treatment of a part of the family from the Corporation,
in cases where the spouse of an employee is obliged to avail of medical facilities for
self from his/her employer. The above decision will cover Central Government
employees who are obliged to avail of the benefits under Central Government
Health Scheme or any other scheme of that Government.
b)
In case the spouse of an employee is in receipt of lump-sum cash payment in lieu
of medical facilities from his/her employer, the employee and his/her family will
not be entitled to medical facilities under NCDC Medical Attendance Scheme.
(Vide O.M No.NCDC:22-5/81-Med. dated 27.1.84)
Employees of the Corporation are required to furnish a certificate in
respect of family members in the prescribed form.
(v)
“Hospital” includes a Nursing Home.
Decision:
Hospitals and Nursing Homes should be recognized and registered with health authorities.
A list of hospitals and Nursing Homes in Delhi registered with Delhi Admn. under Delhi
Nursing Home Act circulated vide Circular No.NCDC:22-5/82-Admn.dated 21.5.86.
4.1
Reimbursement of consultation fees under clause (a) of para 3 above, shall be limited to
the actual fees paid for consultation, subject to maximum specified below:
7[Category
of officers
and pay range
Officers drawing Rs.4600/-p.m. and above.
Officers drawing less than Rs.4600/-p.m
First
Consultation
Subsequent
Consultation
Rs.70.00
Rs.50.00
Rs.50.00
Rs.30.00]
_____________________
7
As amended by BOM in its 141st meeting held on 21.12.04 and circulated vide Circular No.NCDC:22-5/81-Med. dated 20.1.05, vide which provision
regarding reimbursement of domiciliary visit (which was introduced through Board’s decision in its 19 th meeting held on 4.4.81 as circulated by O.O
No.NCDC:22-4/81-Med. dated 24.6.81) has been deleted.
4
Provided also that the total number of consultations, the fee in respect of which shall be
reimbursable, in respect of any illness, shall not exceed four.
Decision:
1. For the purpose of above proviso, it has been decided that the expenditure incurred on
treatment obtained from AMA during 30 days or the period covered by four consultations
whichever period expires earlier shall alone be considered for reimbursement under the Scheme
vide O.M. No.NCDC/18-179/79-Med. dated 16.6.1980.
4.2
An officer of the Corporation drawing pay of *Rs.9375/- per month and above may,
however, if he so desires avail of the service of the specialist even for first consultation
and subsequent ones, and claim reimbursement at the rates fixed for specialists.
Decision:
* Following revision of pay-scales based on 5th Pay Commission’s recommendations, it was
decided to adopt the revised pay of Rs.9375/- p.m. in place of pre-revised pay of Rs.3100/- p.m.
vide Circular No.NCDC/22-5/81-Med. dated 7.12.1999.
4.3
Where injections/dressings are administered by or under the direction of an authorized
medical attendant, the fees for administring such injections shall be reimbursed at
following rates upto a limit of 10 injections in respect of any one illness. Reimbursement
for injections in excess of 10 will be allowed in special cases if recommended by the
attending doctor.
8[a)
I/M Injection
b) I/V Injection
c) Dressing Charges
5.
Rs.20/- each
Rs.30/- each
Rs.20/- each]
9[For
the purpose of clause(b) of para-3, an employee shall not be eligible for
reimbursement of the cost of such preparations which are included in Schedule I to
Central Services (Medical Attendance) Rules, 1944, for the purpose of reimbursement by
the Central Government under the rules regulating the reimbursement of medical
charges incurred by Central Government Servants. The cost of admissible medicines
shall be reimbursed provided the authorized Medical Attendant certificate that these
were essential for recovery of the prevention of serious deterioration in the condition of
the patient.]
_____________________
8
9
As amended by BOM it its 141st meeting held on 21.12.04 and circulated vide Circular No.NCDC22-5/810 Med. dated 20.1.05
As amended by BOM in its19th meeting held on 4.6.81 and circulated vide O.O.No.NCDC:22-4/810 Med. dated 24.6.81
5
6.
Reimbursement of fees paid for consultation with a specialist shall be limited to the
actual fees so paid, subject to the maximum specified below:10[First
consultation
:
Subsequent consultations :
Rs.150/Rs.120/-]
The maximum number of consultations in respect of which reimbursement shall be
permitted in respect of any one illness shall be limited to two.
Decision:
1. In case of chronic illness requiring prolonged treatment and periodic consultations,
reimbursement of consultation charges and other expenses on treatment in excess of the
limits prescribed above, shall be made on the merits of individual case. In such cases the
employees are required to obtain additional certificate from the specialist in the concerned
speciality to the following effect to enable consideration of the case:i)
ii)
The patient requires prolonged treatment and periodic consultations, specifying the
periodicity of such consultations; and
The patient does not require hospitalization at that stage of his /her illness.
(O.M. No.18-179/79-Med. dated 16.6.1980)
2.
In case of chronic illness requiring prolonged treatment beyond 3 months, the treatment,
should, invariably, be obtained from a recognized hospital or from an authorized medical
attendant on the prescription of such a hospital, which should be renewed after every 3
months by the hospital.
(Circular No.NCDC:18-3/79-Med. dated 26.12.1983)
7.1
For the purpose of clause (e) of para-3 treatment shall include:a)
Use of all medical and surgical facilities available at the hospital in which the
employee is treated;
b)
the employment of such pathological, bacteriological, radiological or other methods
of diagnosis as are considered necessary by the hospital authorities;
c)
the supply of such medicines, vaccines, sera or other therapeutic substances as are
certified by the hospital authorities to be essential for the recovery of/for the
prevention of serious deterioration in the condition of the patient;
d)
such accommodation as is ordinarily provided in the hospital and is suited to
his/her status; but subject to the financial limits mentioned below in para 7.2.
_____________________
10
As amended by BOM in its 141st meeting held on 21.12.2004 and circulated vide Circular No.NCDC:22-5/81-Med. dtd 20.1.05.
6
e)
such nursing as is ordinarily provided to in-patients by the hospital;
f)
such consultation with a specialist as is considered necessary by the hospital
authorities; but does not include, except in the case of employees belonging to
category III, diet charges payable in such hospitals.
g)
Maternity Cases: In the case of the female employee or the wife of a male employee,
treatment includes confinement as well as per-natal and post-natal treatment at a
Government hospital or other maternity centers.
Note:
i) Charges on account of treatment for immunizing prophylactic purposes will not be
reimbursed except in cases of communicable diseases viz, Cholera, Typhoid group of
fevers, Plague, Diphtheria, Whooping cough and Tetanus.
ii) The cost of vaccinations, inoculations, injections taken by an employee to secure
health certificate under International Travel Regulations will be reimbursed provided
the journey is undertaken at the expense of the Corporation
7.2
In cases where the employee or a member of his family undergoes treatment in any
hospital including Nursing Home, reimbursement of actual charges for such treatment
shall, except where the Managing Director otherwise, directs, be limited to the amounts
mentioned below:Grade of
Employees
11[1.
Officers drawing
Rs.9375/- p.m. &
above
2.
3.
Entitlement Cost of Accomof Accommomodation
dation
(per day)
A Class/
Deluxe
Room
Rs.1700/-
Officers drawing
pay from Rs.4600/to Rs.9374/- p.m.
B Class
Room
Rs.1100/-
Officers drawing
pay below
Rs.4600/- p.m.
General
Ward
Rs.500/-]
Charges for Surgical
Operation
12[The
amounts charged
by AIIMS, New Delhi
for different operations.
In addition, the charges
for
administering
anesthesia and rent for
Operation Theatre shall
also be reimbursed.]
Fees for minor operations will be reimbursed upto half of the above rates.
_____________________
11 As
12
approved by BOM in its 141st meeting held on 21.12.2004 and circulated vide Circular No.NCDC:22-5/81-Med. dated 20.1.05.
As approved by BOM in its 19th meeting held on 4.6.1981 and circulated vide O.O No.NCDC:22-4/81-Med. dated 24.6.81
7
Decision:
1. Employees advised to have surgical operation performed in Hospitals or recognized Nursing
Homes. In such cases, the claim should be supported by a certificate from the Hospital
/Nursing Home that the operation performed was of a minor/major nature.
(Circular No.NCDC:18-179/79-Med. dated 5.7.1979)
2.
For the purpose of obtaining medical treatment from hospital/nursing home sanction of
advance will be regulated as follows:a) The advance shall normally be admissible in respect of treatment as an ‘in-patient’ in a
Hospital/Nursing Home. In case of diseases requiring prolonged treatment as an outpatient, the grant of advance may be considered on merits of each case;
b) the quantum of advance shall be the least of the following amounts:i.
4 months pay of the employee; or
ii.
Rs.20,000/-; or
iii. 80% of the amount eligible for reimbursement on the basis of the estimated
expenditure on the proposed treatment.
c) A second advance may be sanctioned where the actual expenditure on hospitalization is
estimated to exceed (b) above, subject to the employee furnishing the details about the
utilization of advance sanctioned earlier, to the satisfaction of the sanctioning authority.
d) The application for the advance shall be made in the prescribed form (annexure ‘A’), duly
supported by an estimate of expenditure in the prescribed form (Annexure ‘B’) to be
issued by the Hospital/Nursing Home, where the patient is admitted or intends to seek
admission for treatment;
e) The advance shall be disbursed not more than five days before the date of actual/intended
hospitalization.
(Vide Circular No.NCDC:22-3/81-Med. dated 24.9.1981)
3.
Provided further that reimbursement of actual expenditure on surgical operation in case of
hospitalization in Govt. or reputed trust hospitals like Holy Family, M.C.K.R, Sir Ganga
Ram and Tirath Ram Hospital may be recommended to Managing Director for relaxation.
This decision will not apply to cases of treatment in private Nursing Homes.
(As decided in the meeting of the Standing Committee on Medical Attendance Scheme held
on 14.12.1983).
4.
The limit raised to Rs.20,000/- vide decision in the meeting of the Standing Committee to
review NCDC Medical Attendance Scheme held on 8.1.2002.
8
7.3
For purpose of clause (f) of para-3, charges for dental treatment will be reimbursable
upto the ceiling indicated below:
13[(a)
Extraction (for each tooth)
(b) Filling (for each tooth)
(c) Scaling (per sitting) (Subject to max. of 3 sittings)
(d) RCT (for each tooth)
Rs. 160/Rs. 250/Rs. 250/Rs.1200/-]
[The provision on “Eye-sight testing” has been deleted as the same has been treated
as part of consultation fee of the consulting physician and reimbursement is to be
allowed as per provisions of the scheme.]
14
8.
The Managing Director if he is satisfied that circumstances exist justifying such
action, may:
a) authorize the grant of traveling allowance to any employee for enabling him to
consult a specialist at any place other than that in which the employee is stationed;
b) in case of emergency, authorize the grant of traveling allowance to an authorized
medical attendant or specialist for enabling him to undertake a journey to any
place where an employee has fallen ill and from which he is unable to move.
15
[8-A. The retired employee, his/her spouse and spouse of the deceased employee shall be
entitled to medical benefits, subject to the following terms:
a)
the retiring employees to be eligible for benefits of the scheme shall have to
annually contribute to the Corporation as follows:Group
‘A’
‘B’ & ‘C’
‘D’
b)
Rupees*
375/225/110/-
For outdoor treatments excluding hospitalization, the retired employee will be
allowed the medical reimbursement, limited to *Rs.7500/- p.a.
(*Rates as revised by BOM in its 141st meeting held on 21.12.2004 and circulated vide Circular NO.22-5/81-Med. dated 20.1.2005)
c)
9.1
For hospitalization cases, the retiring employee shall be allowed reimbursement
of medial benefits as applicable to the serving employees. It may also cover
treatment such as Dialysis, Chemotherapy, Radiotherapy, etc. taken in the
Hospital/Nursing Home and the patient is discharged on the same date.]
Claims for reimbursement will be preferred in the form appended in Annexure ’A’ to this
Scheme. The claims should be duly countersigned by the Authorized Medical Attendant
and supported by original prescriptions, cash memoranda, receipt for fees paid to
specialist and charges for surgical operation, maternity and hospital accommodation,
pathological, bacteriological and radiological examination and treatments.
_____________________
13&14 As
15
amended by BOM in its 141st meeting held on 21.12.04 and circulated vide Circular No.NCDC:22-5/81-Med. dtd 20.1.05.
As approved by BOM in its 73rd meeting held on 14.7.94 and circulated vide O.O No.NCDC:22-5/81-Med. dated 4.10.94.
9
9.2
Subject to sub-para (i), the procedures prescribed and the conditions subject to which
claims of Central Government servants are reimbursable by the Government of India,
shall, so far as may be applicable to reimbursement of medical charges to the employee of
the Corporation under this scheme.
10.
The Managing Director and subject to his control and direction, the Deputy Managing
Director may from time to time:
11.
a)
issue such order as may be expedient for the purpose of proper administration of
this scheme, including the adoption of such safeguards as are necessary to prevent
their abuse; and
b)
make such provisions as are expedient for the purpose of providing such cases or
category of cases for any circumstance or category or circumstances as are not
adequately covered by this scheme.
Notwithstanding the provisions contained in this scheme or any administrative orders
issued thereunder, the Deputy Managing Director may allow reimbursement of medical
charges upto Rs.100/- in individual cases, if he is satisfied that the claim is genuine and is
otherwise in order and the strict application of the scheme/orders will cause hardship.
Cases involving relaxation of rules will, however, be put up to the Managing Director for
orders.
Decision:
The Managing Director has re-delegated powers for sanction of medical claims by virtue of
relaxation in terms of para 11 of NCDC Medical Attendance Scheme to Financial Adviser upto
Rs.10,000/- in each case and to DMD beyond Rs.10,000/-.
(Vide office order No.NCDC:2-1/2004-Admn dated 25.6.2004)
12.
Notwithstanding anything contained in this scheme or any administrative orders issued
there-under, the I.A.S. Officers who may be on deputation to this Corporation may opt
for the above scheme with the provision that they shall be entitled to consult any medical
practitioner of the status of Chief Medical Superintendent/Civil Surgeon/Principal
Medical Officer of a State and that the actual charges for consultation/ hospitalization
etc. shall be reimbursable to them.
Note:
In accordance with the terms and conditions of the I.A.S Officers on deputation to the
NCDC, they are allowed to avail of the medical facilities not inferior to those, they would
have enjoyed as an IAS Officer.
____________
10
ANNEXURE-A
APPLICATION FOR REIMBURSEMENT OF EXPENSES INCURRED IN
MEDICAL CONSULTATION / TREATMENT.
***********
1)
Name and designation of employee
And department (in block letters)
2)
Basic Pay
3)
Headquarters station of the employee
and local residential address
4)
Name of the patient and his/her
relationship with the employee
(state age in case of children)
5)
Place at which the patient fell ill
(if 3 & 5 are different stations
explain difference)
6)
Name of the medical officer consulted
7)
Details of amount claimed:
i) Consultation
charges
Date
ii) Injection
charges
iii) Charges for
pathological
and other tests
Date
Nature
of test
iv) Cost of medicines:
Supplied by the doctor
Purchased from market
No.
Where consulted
(Doctor’s clinic/
patient’s residence)
No.
Injection Fee paid
Fee
paid
Fee Paid
No. & date of cash
receipt enclosed
Rs.
Rs.
(List of medicines, cash memos, prescriptions and essentiality certificate should be attached.)
v)
Any other charges (to be
supported by voucher)
Rs.
Total of item No. 7
Rs.
11
DECLARATION BY THE CLAIMANT
I hereby certify:
a)
that the statements made in the claims are true to the best of my knowledge and belief.
b)
persons for whom the medical expenses were incurred were members of my family as
defined.
c)
the children for whom the claim is made are actually dependent on me, do not include
married daughters and that the sons/unmarried daughters are not employed otherwise
than on a part time basis.
d)
that my parent(s) for whom the claim is made about is (are) normally residing with me
and that their monthly income does not exceed my pay plus dearness pay and that it also
does not exceed the prescribed maximum of Rs.1,500/- per month.
(Delete whichever is not applicable)
Employees signature
12
CERTIFICATE
I hereby certify that the following are the “Members of my family” for the purposes of
Medical Attendance Rules of the Corporation, and that they are completely dependent
on me.
Name of the member
Date of Birth
Relationship
2.
It is certified that the details of the dependent children given above do not include
married daughters, and that sons/unmarried daughters are not employed otherwise
than on part-time basis.
3.
It is also certified that my parents, details of which are given above are residing with me
and that their recurring monthly income does not exceed pay plus dearness pay; and that
it also does not exceed the prescribed maximum income of Rs.1,500/- per month.
(Note: Recurring monthly income from sources such as houses, land-holding etc. has
been taken into account for the purpose of income)
4.
Certified that my wife/husband is not employed in service anywhere.
OR
Certified that my wife/husband is employed and that she/he will not/will prefer claim
for reimbursement of medical expenses. Necessary joit declaration to this effect is
enclosed.
(Delete whichever is not applicable)
Signature:
Name:
Address:
13
JOINT DECLARATION
We the undersigned hereby declare that for the reimbursement of medical expenses
incurred on the medical attendance and treatment in respect of us and our children, the
claim will be preferred by Shri/Smt. to his/her office and that no claim on this account
will be preferred by Shri/Smt. to his/her office, nor will the C.G.H.S facility be availed of
by him/her in respect of any member of the family.
This declaration shall remain in force till such time as it is revised by such writing.
Husband
Wife
Signature
Name
Designation
Office to which attached:
To be completed by the Admn. Section
Countersigned
Signature
Name of the Officer
Designation
Office
Seal
14
CERTIFICATE-A
Certificate by the Attending Doctor
Certified that Mr./Mrs/Miss/Master………………………………. Was
from……………….. to …………………… and was under my treatment.
suffering
Certified that I have received Rs…………… from the claimant, *(which includes a sum of
Rs………………. on account of fee for …………… visit(s) to the patient’s residence in
emergency)
Certified that the following pathological/bacteriological/radiological test(s) was/were
authorized by me.
Certified that the medicines prescribed/supplied do not include any food, tonic and
disinfectant.
@ Countersigned
Signature of Attending Physician
Registration No.
Authorized Medical Attendant/Company’s doctor.
*
@
To be scored through if no applicable
Where Authorized Medical Attendant/Company’s Doctor has been appointed.
15
CERTIFICATE-B
(To be completed in the case of patients receiving treatment in hospitals)
PART -I
(To be signed by the medical Officer-in-charge of the case at the Hospital)
I, Dr…………………………………………… hereby certify:
a)
that the patient was admitted to hospital on my
……………………………… (name of the medical officer).
b)
That
the
patient
has
been
under
treatment
at
………………………..
…………………………. and that the under-mentioned medicines prescribed by me in this
connection were essential for the recovery/prevention of serious deterioration in the
condition of the patient.
The medicines are not stocked in the
……………………………………….. (name of the hospital) for supply to private patients,
and do not include proprietary preparations for which cheaper substances of equal
therapeutic value are available nor preparations which are primarily foods, toilets or
disinfectants.
Name of medicine
advise/the
advise
of
Price
1.
2.
3.
4.
5.
(c)
that the injections administered were/were not for immunizing or prophylactic purpose.
(d) that the patient is/was suffering from ……………………………. and is/was under my
treatment from ……………… to ………………….
(e)
that the X-ray, laboratory tests, etc. for which an expenditure of Rs………….. was
incurred
were
necessary
and
were
undertaken
on
my
advice
at
……………………………………….. (name of hospital/laboratory)
(f)
that I called in Dr………………………… for specialist consultation and the necessary
approval of the ……………………………….. (name of the Chief Medical Officer) as
required under the Rules was obtained.
16
PART-II
I certify that the patient has been under treatment at the …………………………
………………………………. Hospital and that the services of special nurses for which an
expenditure of Rs…………………… was incurred (vide bills and receipt attached) was
essential for the recovery/prevention of serious deterioration in the condition of the patient.
Signature of the Medical
Officer-in-charge at the Hospital
Countersigned
Medical Superindent
………………………..(hospital)
I certify that the patient has been under treatment at the ……………………
……………………… hospital and that the facilities provided were the minimum which were
essential for the patient’s treatment.
Medical Superindent
………………………..Hospital
Place……………..
Date……………….
N.B. Certificate not applicable should be struck off. Certificate (B) is compulsory and must be
billed in the by the Medical Officer in all cases.
17