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

    PART 7

                     MEDICAL ATTENDANCE RULES         The Andhra Pradesh Integrated Medical Attendance                        Rules, 1972 1.       Short  title :--These rules may be  called  the  "AndhraPradesh Medical Attendance Rules,1972. 2.       Extent  of Application :-(a) They shall  extend  to  thewhole of the State of Andhra Pradesh. (2) These rules also apply to persons who are entitled to medicalattendance  under  the  Secretary  of  State  Services   (MedicalAttendance)   Rules,  1938,  the  All  India  Services   (MedicalAttendance)  Rules,  1954 and also to the  Andhra  Pradesh  StateHigher  Judicial Officers who are to be treated on par  with  theI.A.S. and I.P.S. Officers, but only to the extent to which  theyare not inconsistent with these rules. . 3.       Definitions :- In these rules unless there  is  anythingrepugnant in the subject or context - (1)    "Government Servant" means a whole time Government Servantemployed under the Government of Andhra Pradesh and includes suchservants  employed under State Governments with  whom  reciprocalagreements  in  respect of medical attendance have  been  enteredinto, but does not include part time or honorary workers ; (2)     "Hospital" means a Government Hospital and  includes  anySpecial  Hospital in the State or any other  Medical  Institutionrecognised by the Government. Note  :-Non-gazetted Officers and Employees of the  local  bodiesdrawing salaries not exceeding Rs. 300 per mensem in the  greaterHyderabad city are permitted to take treatment for their familiesin the Maternity and Child Welfare Centres of the Corporation  ofHyderabad  only  in  emergencies and  get  reimbursement  of  theexpenses incurred by them, the emergency being certified as  suchby the Medical Officer in charge of the Centre; (3)      "Registered   Medical  Practitioner"  means   a   personregistered  under  the  Madras  Medical  Registration  Act,  1914adopted   to   Andhra  State;  and  the  Andhra   Ayurvedic   andHomoeopathic  Medical Practitioners' Registration Act,  1956  andthe  Medical Act No. 1 of 1312 Fasli of the  erstwhile  HyderabadGovernment; (4)     "Authorised  Medical Attendant" means a  Medical  Officerattached  to the Government Hospital or Dispensary in  the  Statewho  has been nominated by the Government, from time to time,  to

 

Serve as Authorised Medical Attendant for the State GovernmentServants ; [A  list  of  Authorised Medical  Attendants,  appointed  by  theGovernment is given in Appendix I to these Rules.] (5)    "Patient" means a Government Servant or any member of  hisfamily and to whom these rules apply and who has fallen ill ; (6)    "Station" means the town or place in which the  GovernmentServant and other entitled person falls ill ; (7)     "Family" :-(a) In the case of a male Government  Servant,family means his parents, wife, legitimate children including  anadopted son and step Children residing with and wholly  dependenton him ; (b)  In  the  case of a woman Government  Servant  it  means  herparents, husband and children residing with and wholly  dependenton her. (i)     The word 'wife' includes more than one wife. (ii)     The claims for reimbursement of expenses in  respect  ofparents  should  be accompanied by declaration  in  the  proformagiven below.                             Proforma I, .................................................. (full  nameand      designation)      hereby      declare      that       myfather/mother.....................has  no property or  income  ofhis/her own and that he/she is wholly dependent on me.                                              Signature and date. (iii)  A  married  daughter who is under the  protection  of  herhusband  does  not  come within the definition  of  "family"  forpurposes of these rules. (iv)  The  deserted,  divorced,  or  widowed  daughters  who  areresiding  with entirely dependent on the Government Servants  andEmployees of local bodies drawing salaries not exceeding Rs.  300per  month  are  eligible  for  medical  concessions  allowed  toGovernment Servants under these rules. (v) Their family for purpose of these rules will include adoptiveparents  who are wholly dependent on the Government Servants  butdoes  not  include  the  real parents,  though  they  are  whollydependant  on  the  Government  Servants  once  the  adoption  iseffected].  [G.O.Ms.No.  123, Health, Dt. 25-11-76  &  G.O.Ms.No.718, Health, Dt. 18-7-1975] (vi)  Medical  reimbursement  bills of the Member  of  the  StateLegislature can be presented directly to the District Treasury orSub-treasury  as the case may be, from which they are  authorised

to draw their salaries; on the basis of essentiality  certificateissued by the Authorised Medical Attendant without insisting  forthe countersignature of the District Medical and Health  Officer,or Superintendent as the case may be.] [Inserted by G.O.Ms.No.418, H&M, Dt. 26-6-1979] (8)      "Well-to-do-person" means a person who is in receipt  ofan annual income of Rs.  1,200 or more or who is a member of  thefamily of such a person and actually dependent on him. 4.      Medical Attendance :-(1) Medical Attendance in respect ofa  Government  Servant whose pay is not less  than Rs.  500  p.m.means :- (i)  Attendance  in a hospital or at the consulting room  of  theAuthorised  Medical  Attendant or at the residence of  the  Govt.Servant; (ii)  All pathological, bacteriological, radiological  and  othermethods  of  examination  for the purpose of  diagnosis,  as  areavailable  in  any Government Hospital within the State  and  areconsidered necessary by the Authorised Medical Attendant ; (iii)  Any  consultation with a Specialist in  Government  employwithin the State or other Medical Officer similarly in Governmentemploy within the State or that the Authorised Medical  Attendantmay certify to be necessary to such extent and in such manner  asthe  Specialist  or  Medical Officer  in  consultation  with  theAuthorised Medical Attendant, determine. (2)      Medical  Attendance in respect of any  other  GovernmentServant, means- (i) Attendance at a Government Hospital or at the consulting roomof  the Authorised Medical Attendant or in case of illness  whichcompels  the  patient  to be confined to his  residence,  at  theresidence of the Government Servant; (ii)  All methods of examination for purposes of  diagnosis  thatare available in the nearest Government Hospital. (iii) Any consultation with a Specialist or other Medical Officerstationed in the State that the Authorised Medical Attendant  maycertify to be necessary, to such extent and in such manner as theSpecial Officer may, in consultation with the Authorised  MedicalAttendant, determine ; (3)      There  will  be cases of not  infrequent  occurrence  inwhich,  it  will be proper for the medical officer to  visit  theGovernment  Servant  in  receipt of  salaries  under  Rupees  onehundred  at  their residences. The Government trust to  the  goodsense and good feeling of the medical profession in preference tolaying down any precise rules for such cases. (4)     It should be distinctly understood that a medical officerwill  not  be  expected to attend a  Government  Servant  at  his

residence  unless the patient is unable to wait upon the  medicalofficer  either at the latter's residence or his consulting  roomor till such time as may be appointed by the Medical Officer  forthe purpose ; (5)     Medical Officers who are Authorised Medical Attendants tothe  Government Servants, should not charge any  consultation  orother   fees  from  the  Government  Servants  for  the   MedicalAttendance rendered to them. 5. Medical Treatment :-Medical Treatment means use of all medicaland  surgical facilities available at the Government Hospital  inwhich the patient is treated and includes :- (1)       Employment  of  such   pathological,   bacteriological,radiological  or  other methods of investigation,  etc.,  as  areconsidered necessary by the Authorised Medical Attendant ; (2)      Supply of such medicines, special or ordinary  vaccines,sera or other therapeutic substances as are ordinarily  availablein Government Hospitals in the State ; [Note  :-Wherever  a Government Servant  consults  an  AuthorisedMedical Attendant/ Specialist in the latter's consulting Room andmedicines were prescribed, the Medical Officer of the SecretariatDispensary  is  authorised to issue medicines to  the  Governmentservant  and  their families of the prescriptions  given  by  theAuthorised  Medical Attendant, Specialist although they  are  notattached  to  the Secretariat Dispensary. In case  the  medicinesprescribed by the Authorised Medical Attendant/Specialist are notavailable  even  at the Secretariat  Dispensary,  the  GovernmentServants  may purchase the medicines outside and get  the  amountspent thereby reimbursed later as per rules. The Medial  Officer,Secretariat  Dispensary, is not ordinarily bound to purchase  andsupply  the medicines. He will, however, stock all the  necessarymedicines in the dispensary to meet the requirements.] [Added  byG.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978] (3)      Supply  of  such  medicines,  vaccines,  sera  or  othertherapeutic  substances  as  are  not  ordinarily  available   inGovernment  Hospitals  as the Authorised  Medical  Attendant  maycertify  in writing to be essential for the recovery or  for  theprevention of deterioration in the condition of the patient. (i)  The  refund  of  the cost  of  preparations  which  are  notmedicines but are primarily foods, tonics, toilet preparations ordisinfectants is not admissible under the rules. Prescription  ofexpensive   drugs,  tonics,  laxatives  or  other   elegant   andproprietary  preparations  for  the use  of  Govt.  Servants  andmembers  of their families when drugs of equal therapeutic  valueare available in hospital and dispensaries is prohibited. List ofitems  for  which  refund is not  admissible  under  the  MedicalAttendance Rules are given in Appendix II. (ii)  Sales  Tax  paid by Government  Servants  while  purchasingspecial medicines from the market is refundable under the  Rules.Packing  and  postage  charges paid by  Government  Servants  for

purchasing   special   medicines  from   out-stations   are   notrefundable. (iii)  All claims for refund of expenses incurred on  account  ofthe purchase of the special medicines should be preferred in  themanner indicated in Appendix III. [Note :-Bills for small amounts upto Rs. 157- at a time need  notbe  countersigned  by the Authorised Medical Attendant.  In  suchcases,  Essentiality Certificate should specifically mention  thenames  and quantum of medicines required. Also, that  certificateshould be marked as cancelled while the bill is submitted so thatit cannot be used again.] [Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978] (4)    Treatment of confinement cases of a Government Servant andincludes prenatal and post-natal treatment. Note :- The pre-natal and post-natal treatment can be had at  theGovernment Medical Institutions in the State where facilities areavailable  and  where no such facilities are available  the  caseshould be referred to the concerned nearest Government specialistby  the Authorised Medical Attendant. These treatments should  betreated as "other treatment" for which a woman Government Servantor  the  wife or other members of a male Government  Servant  areentitled.                (G.O.Ms.No. 1466, Health, Dt. 31-8-1965) (5)      Such  accommodation  as is ordinarily  provided  in  theHospital and is suited to the status of a Government Servant withreference to his pay as indicated below :- (i) Government Servants drawing          "A"class ward.In case    Rs. 500 and above p.m.                accommodation in"A"                                          class ward is not                                          available"A-2"class                                          ward.(single rooms                                          with/without attached                                          Bath-room). (ii) Other Government Servants            "B"class ward(cement     drawing Rs. 250-499 p.m.              or wooden partitioned                                           cubicles).  (iii) Government Servants Rs.            "C"class ward(curtained      100-244 p.m.                          drawing cubicles). (iv)  Government Servants                   General ward.      drawing below Rs. 100 p.m.                          (G.O.Ms.No. 1382, Health, Dt. 9-4-1964) (6)     Such nursing as is ordinarily available provided  in  thehospital  and is suited to his status and includes  such  specialnursing  as  the  Authorised Medical  Attendant  may  certify  inwriting to be essential for the recovery or for the prevention of

serious deterioration in the condition of the Government Servant. If  at  all a Government Servant requires extra  nursing  he  mayengage an attendant at his own cost. (7)     Such diet as is ordinarily provided to other patients  inthe hospital. Note  :-This  concession is applicable only to  the  Non-GazettedOfficers and Employees of local bodies drawing pay not  exceedingRs. 300 and members of their families. (8)    Blood transfusion service. (9)    Provision of ambulance service wherever necessary for  thetransport of the patient to the Hospital. Note  (1)  :-Charges  paid  to  hospital,  ambulance  or  to  theambulance  of  a  social service organisation  (if  there  is  noambulance   attached  to  the  local  Government  Hospital)   arereimbursed  on  production  of a  certificate  from  the  medicalattendant   that   the   use   of   ambulance   was    necessary.(G.O.Ms.No. 1466, Health, Dt. 31-8-1956) Note   (2)  :-[The  cost  of  artificial  limbs,  hearing   aids,corrective glasses, artificial teeth and invalid chairs,  chargesare reimbursable to the eligible patients who are entitled to thefacilities for sanction of medical reimbursement]. (Subs,  by G.O.Ms.No. 175, H.M. & F.W., Dt. 7-3-1990 w.e.f.  1-3-1990) Note  (3)  :-Under  Rule  5  (9) cost  of  pace  marked  and  itsreplacement charges are reimbursable.(G.O.Ms.No. 502, Health, Dt. 8-8-1978) 6. Persons entitled to free medical treatment :-(i) The followingpersons are entitled to free medical attendance :- (a)      All Government Servants under the rule making powers  ofthe  Government  of  Andhra Pradesh  subject  to  the  conditionsspecified  in  these rules, Government Servants are  entitled  tofree medical attendance irrespective of whether they are on  dutyor on leave, anywhere in the State. (b)      Employees   of  the  Local  Bodies   (Zilla   Parishads,Municipalities,   Panchayat  Samithis  and  Panchayats)   drawingsalaries not exceeding Rs. 3007- p.m. The  Employees  of  Zilla Grandhalaya Samsthas  drawing  pay  notexceeding  Rs.  3007  -  p.m.  are  eligible  for  free   medicalattendance in the Government Hospitals in the State.                         (G.O.Ms.No. 915, Health, Dt. 8-7-1975) Note (1):-Families of Government Servants and Employees of  LocalBodies  drawing pay not exceeding Rs. 3007- p.m. are eligible  to

free  medical  attendance  and  the  rules  shall  apply  mutatismutandis to them as they apply to the Government Servant himself. (2)     All the N.G.Os. and members of Local Bodies  drawing  paynot  exceeding Rs. 300/- p.m. and members of their families  whenadmitted  to State Government Medical Institutions  are  exemptedfrom  payment of diet charges and the entire cost of special  andexpensive drugs administered to them. (3)     Employees of Local Bodies who are drawing more  than  Rs.300  p.m.  as they will be treated as members of the  public  andcharges collected from them as per rules. (4)      Law Officers viz., (Advocate-General, State  Prosecutor,State   Counsel,  Government  Pleader  and  Public   Prosecutor),President, Chairman and Members of Local Bodies, Reserve Bank  ofIndia  and Currency Officers and Retired Government Servants  arenot entitled to free medical attendance. Note  :-These rules are applicable to the Local Bodies  Employeeswho    are    drawing    pay    not    exceeding    Rs.    300/-.(G.O.Ms.No. 699, M.& H, Dt. 23-7-1976) (c)     Members of the State Legislature. (d)    Village Officers and Servants. (e)      Officers  of  the Hind Kusht Nivaran  Sangh  working  inGovernment Medical Institutions. (f)      Honorary  Medical  Officers, House  Surgeons  and  HousePhysicians  employed  in  Government  Hospitals  in  the   State,Students  of  Government  Medical Colleges in  the  State,  NursePupils,  Auxiliary Nurse-Midwives and Health Visitors  undergoingtraining and Gramsevak Trainees. Note  :-Students  in Medical Colleges include also  the  studentsundergoing courses in such colleges, such as Sanitary Inspectors,Auxiliary Health Workers, etc. (g)     Persons appointed under emergency provisions in the postscarrying  a  fixed  or time scale of pay, only so  long  as  theycontinue  in  service during the period of their treatment  in  aGovernment Medical Institution. (h)     Retired  and re-employed pensioners  (Gazetted  and  Non-Gazetted), (i)     Government Servants under suspension. (j)  Menials  in  the service of both the  Government  and  LocalBodies who are paid from contingencies on monthly basis. (k)    The work-charged establishment of all departments. Note \-Casual  and daily paid workers are not eligible for free  medicalaid. (1)  The  staff  employed  in the Office  of  the  State  WelfareAdvisory  Board, Hyderabad and the Welfare Extension Projects  in

the districts drawing a pay not exceeding Rs. 300 p.m. and  theirfamilies will be given the same privileges in respect of  medicalattendance,  treatment  and  accommodation  including  the   dietcharges and administration of special and expensive drugs as  areallowed  to  the  employees  of  local  bodies  drawing  pay  notexceeding Rs. 300 p.m. (m)  The  disabled personnel from the Defence  Services  will  begiven free treatment including diet and specialised treatment  inthe  general wards of Government Hospitals irrespective of  theirincome. (n) Sportsmen representing the State of Andhra Pradesh in  Inter-State  tournaments at Government expenses, shall be  entitled  tothe  privileges  under Rule 10 of the Chapter on par  with  StateGovernment Servants. Note  :-If  any such personnel are admitted in A, B and  C  classwarqs  or  in other special wards, the usual  charges  should  belevied, but the Government will be prepared to consider the grantof  concessions in individual cases on the recommendation of  theDirector of Medical and Health Services. (a)     Telangana System of giving free treatment to the patientsin  General wards is extended to all Government Hospitals in  theState.                         (G.O.Ms.No. 80, Health, Dt. 24-1-1976) (b)     All Freedom Fighters who are drawing pension either  fromState      Government/Central     Government/Union      TerritoryAdministration  in respect of their income and  their  dependantsare  eligible  for free medical treatment  and  accommodation  inGovernment Hospitals on par with members of the Legislature.                         (G.O.Ms.No. 652, M.&H., Dt. 8-7-1976) (ii)    Rulers of the Merged States and their families and  theirpersonal staff:- (a)  The rulers of the Merged States and their families  will  betreated  on  par  with  the members of  the  Secretary  of  StateServices for urposes of free medical attendance and treatment andthe  provisions of the Secretary of State Services (M.A.)  Rules,1938   except   those  relating  to  travelling   allowance   andreimbursement  of  any cost incurred in respect  of  the  medicaladvice obtained by them will apply to them. (b)  The  personal staff of the Rulers of the Merged  States  andtheir  families will be given the same privileges in  respect  ofmedical attendance, treatment and accommodation as are allowed toGovernment   Servants  under  the  rule-making  powers   of   theGovernment. 7. Arrangements tor Free Medical Attendance :-(1) All  GovernmentServants  and  other  entitled personnel are  eligible  for  freemedical  attendance in the Government Hospitals in the State  and

to the extent specified in Rule 4 above. (2) Persons entitled to treatment free of charge in any hospital,shall  produce before the hospital authorities an  identificationcertificate  signed  by the Department or by a  Gazetted  Officerdealing  with establishment matters or by the Head of the  Officein which they are working in the following form :-                   GOVERNMENT OF ANDHRA PRADESH                    Identification Certificate Name of the Officer/Official........................... Designation............................................ Accommodation to which theOfficer/Official is entitledin Government Hospital................................ Station -: Date :                                Signature and Designation the Head                                       of the Department/Office In  emergency  cases the above certificate will not  be  insistedupon  at the time of admission, but the same should  be  producedwithin a period of one week. (3)      In any station where there may be an  Assistant  Surgeonand  where  there may not be proper hospital  accommodation,  theduty of such officer should be to attend at their own  residence.The  Upper  subordinate grades of Government  Servants  includingclerks  whose  appointments are not gazetted  the  latter  payingconveyance  hire should they reside more than two miles from  theofficial  residence of the medical attendant. If the distance  issuch  as to entitle the medical officer to travelling  allowance,the  amount  is payable by the Government. Should  the  case   bereported as serious the Civil Surgeon will visit the patient. (4)     The Medical Officer employed in the following classes  ofInstitutions should render free medical attendance to  GovernmentServants  at the stations where there are no  Government  MedicalInstitutions- (i) Local Fund and Municipal Institutions for which a  percentagecontribution  is  given  towards  the  pay  of  medical  officersemployed therein. (ii) Local Fund and Municipal Medical Institutions in respect  ofwhich  the  Government meet one half of  the  annual  maintenancecharges. (iii)  Local  Fund  and  Municipal  Taluk  Headquarters   MedicalInstitutions  in respect of which the Government meet the  entire

or  a  portion  of the salaries of  Government  Medical  Officersemployed in them. (iv) In places where there are no Government Hospitals, but wherethere  are local fund or private hospitals, or dispensaries,  theNon-Gazetted  Officers and Employees of the Local Bodies  drawingless  than  Rs.  300/- per mensem and  their  families  may  taketreatment  stratightaway  in  such  institutions  and  that   theexpenditure as incurred by them in that connection including  thecost  of  special and expensive drugs purchased by  them  on  theprescription  of  the  doctor in charge of  the  institution,  bereimbursed  subject  to the production of relevant  vouchers  andsubject  to the scrutiny of the relative bills by the  authorisedmedical attendant. At places where there are no Government or Non-Government MedicalInstitutions, Non-Gazetted Oilicers and Employees of Local Bodiesdrawing  less  than Rs. 3007- per mensem and their  families  mayavail  themselves  of  the services of local  private  doctor  inemergencies  where there is no sufficient time for them to go  tothe  nearest  Government  Medical  Institution.  The  expenditureincurred  by them in that connection will be reimbursed  to  themsubject to the production of relevant vouchers and subject to therelative  bills by the District Medical Officer concerned and  tohis  certifying  that  the  amount  claimed  is  reasonable   andexpenditure  incurred was necessary. In non-emergent  cases,  theentitled  personnel  serving in places where  there  are  neitherGovernment   Medical  Institutions  nor  Non-Government   MedicalInstitutions  should go to the Government Medical Institution  orthe Non-Government Medical Institution at the nearest station fortreatment.                         (G.O.Ms.No. 208, Health, Dt. 9-2-1955) (v) (a) The N.G.Os. and the Employees of Local Bodies in stationswhere   there  are  no  Government  or   Non-Government   MedicalInstitutions  who  seek treatment in an  emergency,  under  LocalPrivate   doctors   should  in  addition  to   the   essentialitycertificate from the private doctors produce a certificate in theform   given  hereunder  from  the  nearest  authorised   medicalattendant immediately after they are in a fit condition to travelto  the  nearest  authorised medical  attendant  who  will  judgewhether  the essentially certificate issued by the local  privatedoctor in such cases is a genuine one or not. "I certify that there are no Government or Non-Government MedicalInstitutions            available             in             thevillage..........................of.......................Taluk". "I     also    certify    that    I    examined    the    patient(Name).........................(Designation)........................(Department)..................and  consider  that  the case in question  is  an  emergency  onerequiring immediate treatment under a local private doctor."                                         Signature of authorised

                                            Medical Attendant. (b)     The local private Registered Medical Practitioner  shouldprescribe the drugs contained in the lists in Appendix IV as  faras possible.                         (G.O.Ms.No. 1585; Health, Dt. 21-9-1956) 8.       Free  of  charges  :-(1)    A  Govt.  Servant  shall  beentitled free of charges :- (i)     to treatment- (a)      in such Government Hospital, at or near the place  wherehe  falls  ill as can in the opinion of  the  authorised  medicalattendant, provide the necessary and suitable treatment, or (b)     if  there be no such hospital as is referred to  in  sub-clause  (a), in such hospital, other than a Government  Hospital,at  or near that place as can, in the opinion of  the  authorisedmedical attendant, provide the necessary and suitable treatment, (ii)     to  anti-rabic  treatment  at  the  nearest   GovernmentHospital providing such treatment. (2) Where a Government Servant is entitled under sub-rule(l) freeof charge, no treatment in any hospital any amount paid by him onaccount of such treatment shall on production of a certificate inwriting  by  authorised  medical  attendant  in  this  behalf  bereimbursed to him by the Government. 9.(1) If the authorised medical attendant is of the opinion  thatowing  to the absence or remoteness of a suitable hospital or  tothe severity of the illness, a Government Servant cannot be giventreatment  as  provided in clause (1) of Rule 6,  the  GovernmentServant may receive treatment at his residence. (2)    A Government Servant receiving treatment at his  residenceunder sub-rule (1), shall be entitled to receive towards the costof such treatment as he would have been entitled, free of charge,to  receive under these rules; if he had not been treated at  hisresidence. (3)     Claims for sums admissible under sub-rule (2),  shall  beaccompanied by a Certificate in writing by the authorised medicalattendant stating-(a) his reasons for the opinion referred to  insub-rule  (1) ; (b) the cost of similar treatment referred to  insub-rule (2). 10.     Treatment  outside  the State but within  India  :-(1)  AGovernment Servant and other entitled personnel in or  travellingon  duty,  or on leave, in any place in the  territory  of  Indiaoutside  Andhra  Pradesh  receives  any  medical  attendance  forhimself  or for the members of his family, any reasonable  amountpaid by him on account of such treatment shall, on production  ofa certificate in writing of the medical attendant, be  reimbursedto him by the Government. (2)    The Government Servants of this State [and their families]

residing  outside the State on official work and falling  ill  orotherwise  requiring  medical  attention should  consult  and  betreated  by  the  "Medical Attendants" authorised  to  treat  theofficers  of equal rank of that State. For the purpose  of  theserules,  such medical attendants shall be the  Authorised  MedicalAttendants  of  the  State.                           (G.O.Ms.No.2445, Health, Dt. 16-8-1961)                [Added by G.O.Ms.No. 1274, M&H (Kl), Dt. 29-12-78] [Note  :-The  Government  recognise the All  India  Institute  ofMedical   Sciences  and  Wellingdon  Hospital,  New  Delhi,   fortreatment  of the employees of Andhra Pradesh and the members  oftheir families at New Delhi, and also those visiting New Delhi.]             [Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978] (3)     For  receiving  treatment  outside the  State  but  in  aGovernment  medical institution of that State (on the  advice  ofthe  Authorised  Medical  Attendant)  prior  permission  of   theDirector of Medical and Health Services should be obtained.                         (G.O.Ms.No. 1792, Health, Dt. 7-6-1963) (4)     For  receiving treatment outside the State  but    in  aninstitution  other than a Government Hospital of that  State  (onthe advice of the Authorised Medical Attendant) prior  permissionof the Government should be obtained. 10.(A) Treatment for Kidney transplantation and Coronary  By-passSurgery   by  private  hospitals  within  the  State  :-(1)   TheGovernment  servants and other entitled personnel  for  treatmentunder  the  Rules shall be permitted by the Director  of  MedicalEducation  to  undergo Kidney transplantation  operation  in  theMahaveer Hospital, Hyderabad and Coronary By-pass Surgery in  theDurgabai Deshmukh Hospital, Andhra Mahila Sabha, Hyderabad-on theletter of advice given by the Authorised Medical Attendant in theOsmania  General Hospital, Hyderabad or the Nizam's Institute  ofOrthopaedics and Specialities, Hyderabad, respectively where  theabove operations are done. (2)     The  Authorised  Medical  Attendant  in  the   GovernmentHospitals  mentioned in sub-rule (1) will issue letter of  adviceonly if the said hospital cannot cope with the work load and  thetreatment  of the patients cannot wait till the operations  couldbe performed in the said Government Hospital; and (3)     Those  who  obtain prior permission of  the  Director  ofMedical  Education  and  get admitted to  the  private  hospitalsmentioned in sub-rule(l) for Kidney transplantation and  CoronaryBy-pass  ^Surgery  will  be eligible  for  reimbursement  of  alladmissible  expenditure including charges for  accommodation  andalso  for an advance as per the estimates given by the  concernedhospital undertaking the operation".               (Inserted by G.O.Ms.No. 317, M&H (Kl), Dt. 7-5-1986) 

11.    Consultations with Specialists or Colleagues :-(1) If  theauthorised  medical attendant is of opinion that the case of  thepatient  is  of  such serious or special nature,  as  to  requiremedical attendance by some person other than himself or that  thepatient  requires anti-rabic treatment, he may with the  approvalof  the  Director of Medical Services (which  shall  be  obtainedbefore-hand  unless  the  delay involved entails  danger  to  thehealth of the patients)- (a)      send  the  patient to the nearest  Specialist  or  otherMedical  Officer as provided in clause (c) of Rule 2 by whom,  inhis opinion medical attendance is required for the patient or  inthe case of anti-rabic treatment, to the nearest place where suchtreatment is available ; or (b)     if  the  patient  is  too  ill  to  travel,  summon  suchspecialist or other Medical Officer to attend upon the patient. (2)     A patient sent under clause (a)    of sub-rule (1)  shallon  production  of  a certificate in writing  by  the  authorisedmedical  attendant in this behalf, be entitled to travellingallowance  for the journeys to and from the headquarters, of  theSpecialist or other Medical Officer or the place where he is sentfor anti-rabic treatment. (3)    A Specialist or other Medical Officer summoned under  sub-rule (1), shall on production of a certificate in writing by  theAuthorised  Medical  Attendant  in this behalf,  be  entitled  totravelling allowance for the journey to and from the place  wherethe patient is and also daily allowance according to rules. 12.     Travelling Allowance :-(1) T.A. for  journeys  undertakenunder  Rule 10 shall be at the rates admissible to  a  GovernmentServant when on tour. (2)  A  member  of the family of a Government  Servant  shall  beentitled  to  travel by a class by which the  Government  Servanthimself is entitled to travel. 13.     Medical  Attendance Charges :-(1)  Charges  for  servicesrendered   in  connection  with  but  not  included  in   medicalattendance on, or treatment of a patient entitled to free medicalattendance or treatment under these rules, shall be determined bythe authorised medical attendant and paid by the patient. (2) If any question arises as to whether any service is  includedin  Medical attendance or treatment, it shall be referred to  theGovernment; the decision of the Government shall be final. 14.    Treatment under Indian System of Medicines :-The followingprocedure  is  prescribed for getting re-imbursement of  cost  ofmedicine  purchased  by  the persons  entitled  to  free  medicalattendance or treatment including   State Gazetted Officers  whentreatment is taken under the indigenous system of medicine eitherin the Government Institutions or under private doctors : (1)     The  bills  relating  to the  modern  medicine,  if  any,

prescribed  by  the  Medical Officer in  private  or  local  fundinstitutions  or by the private practitioner will be  scrutinisedby   the authorised medical attendant of the entitled persons  incases  where  the  treatment was received, in  a  local  fund  orprivate  institution of indigenous medicine and by  the  DistrictMedical  Officer  concerned  in cases  where  the  treatment  wasreceived from a private practitioner of indigenous medicine. (2)     The  bills relating to the indigenous  medicine  will  bescrutinised  by the medical officer or officers concerned of  thethree respective systems of medicine (Ayurveda, Sidha and  Unani)employed   in  the  Government  Ayurvedic  Hospital,   Charminar,Hyderabad to be nominated by the Special Officer of the  MedicineDepartment with the approval of the Government. (3)  If the bills relate to both modern and  indigenous  medicinethey  will  first  be  scrutinised  by  the  authorised   medicalattendant,  or the District Medical Officer, as the case may  be,in regard to the modern medicine, and then by Medical Officers orOfficers  of  the  Government Ayurvedic  Hospital,  Hyderabad  inrespect of the indigenous medicine. (4)     The claims in respect of treatment under Indian  Medicinesystem  be  sanctioned by the Special  Officer  (Indian  MedicineDepartment)  after due scrutiny, wherever claims  are  admissibleunder rules. (G.O.Ms.No. 105, Health, Dt. 15-1-1963) Note  :-(1) Claims for refund of expenses should be preferred  asdetailed in Appendix III. (2) A list of items for which refund is not admissible under  therules is given in Appendix II. 15.  Medical Attendance for Honourable Speaker,  Deputy  Speaker,Honourable  Chairman, Deputy Chairman, Ministers, etc.,  :-(1)  AMinister  or  the  Speaker  of  the  Andhra  Pradesh  LegislativeAssembly  or  the  Chairman of  the  Andhra  Pradesh  LegislativeCouncil  and the Members of his family shall be entitled free  ofcharge,  to  accommodation in hospitals maintained by  the  StateGovernment  and also to medical treatment and attendance  on  thesame  terms and conditions as are applicable to the  officers  ofthe  Indian  Administrative  Service  under  All  India  Services(Medical Attendance) Rules, 1954. (2)    A Minister or the Speaker or the Chairman and the  membersof  his  family  shall be required  to  furnish  the  certificateprescribed  in  clause (a) of sub-rule (3) of Rule 8 of  the  AllIndia Service (Medical Attendance) Rules, 1954 in respect of  hisclaims for re-imbursement of the medical expenses allowable underthe said rules for treatment at his residence under circumstancesreferred to in Rule 1 of the said rules. Explanation  :-For the purposes of this rule 'family'  means  thewife,  son, daughter (including a validly adopted  son,  step-sonand  step-daughter,  father, mother, brother and  sister  of  theMinister,  or  the  Speaker or the Chairman,  residing  with  andwholly  dependent on him and not self-supporting  relations)  but

does  not include a married daughter or sister who is  under  herhusband's protection. (G.O.Ms.No. 165, Health, Dt. 3-2-1960 and G.O.Ms.No. 255, G.A.D.,Dt. 1-3-1961) (3)    A Minister and the members of his family will be  entitledfree of charges, to accommodation in hospitals maintained by  theState Government and also to medical treatment and attendance  onthe  same terms and conditions as are applicable to  the  highestcategory  of  servants employed under the  Government  of  AndnraPradesh, the highest category of Government Servants who get  themaximum  concessions and benefits in the matter of  free  medicalattendance  and treatment in Government Hospitals, provided  thatthe Minister and members of this family shall be entitled to  thesupply of diet free of charge. (4)    The Deputy Speaker of the Legislative Assembly, the DeputyChairman  of  the Legislative Council, Chief Whip,  Chairman  andVice-Chairman  of  the  Regional  Committee,  the   ParliamentarySecretaries, if any, the Members of the Legislative Assembly  andCouncil  who  do  not  hold any of the  offices  referred  to  inSections 3-A to 5-A of the Andhra Payment of Salaries and Removalof Disqualifications Act, 1953, (Andhra Act III of 1954) and  themembers  of  the families of all those mentioned above  shall  beentitled,   free  of  charge,  to  accommodation   in   hospitalsmaintained by the State Government and also medical treatment andattendance on the same terms and conditions as are applicable  tothe Gazetted Officers of the State Government. 16.     Medical Attendance for very important  personages  :-Veryimportant personages, if they fall sick during their visit to andstay  in  Andhra  Pradesh should be provided  with  free  medicalassistance  which  should  cover apart from  treatment  which  isneither  prolonged nor specialised and such as a  hospital  wouldordinarily provide.                        (G.O.Ms.No. 2761, Health, Dt. 15-10-1963) 17.     Medical  Attendance to Members of  State  Legislature  :-Members  of the State Legislature and members of  their  familiesare  eligible  for free medical facilities as are  given  to  allGazetted Officers of the State Government. They will accommodated in the paying rooms on par with Grade  IIIOfficers (as defined in the Andhra Pradesh Travelling  AllowancesRules,  i.e., Gazetted Officers drawing pay between Rs.  750  and1,000)  of the State whenever they are admitted for treatment  inthe Government Hospital in the State. 18.    Medical Attendance for Officers of the AH India  Services,Andhra  Pradesh State on Higher Judicial Officers :-Rule 15  willapply  for  purposes of "Medical Attendance" on officers  of  theIndian Administrative and Police Services and their families  andofficers of the Andhra Pradesh State Higher Judicial Services andtheir families. 

Note  :-The Officers of the Andhra Pradesh State Higher  JudicialService  will  be treated on par with the members of  the  IndianAdministrative and Police Service. 19.    Treatment of T.B. :-(1) Rules regulating admission of T.B.patients  in  Government T.B. Institutions and  other  GovernmentMedical  Institutions  where there are T.B. wards  are  given  inAppendix V. (2)     The following private Hospitals which are in  receipt  ofgrants  from  the State Government are  recognised  as  treatmentcentres  for  the Non-Gazetted Officers and  Employees  of  LocalBodies drawing pay not exceeding Rs. 300 P.M. and their families. (i)     The U.M.T.B. Sanatorium, Madanapalle. (ii)    Visrantipuram T.B. Sanatorium, Rajahmundry. (3)     An  officer  who  wishes to  enter  the  institution  fortreatment  and  claim  reimbursement  of  the  charges  from  theGovernment should obtain in advance a certificate from the  localDistrict Medical Officer to the effect that his case is one  thatrequires treatment in specialised T.B. Institution. (4)    Ten beds in the U.M.T.B. Sanatorium, Madanapalle and  fivebeds  in  the  Visrantipuram  T.B.  Sanatorium,  Rajahmundry  arereserved  in  the general wards for the treatment  of  GovernmentServants and members of their families.                         (G.O.Ms.No. 1257, Health, Dt. 24-7-1956) Note  :-In  the  first instance the entitled person  who  has  toundergo  treatment for T.B. should produce a certificate of  non-availability  of beds in the nearest Government  T.B.  Sanatoriumand  that  admission against the reserved beds should  be  soughtonly  through  the  District Medical  Officers  of  Chittoor  andRajahmundry. 20.     Medical  Advances to N.G.Os.:-Government  Servants  (non-gazetted officers) are eligible for advances to meet the expenseson medical attendance and treatment.  The grant of advance  shallbe regulated by the rules given in Appendix VI. 21.     Reciprocal  Arrangements  with  other  Governments  :-TheGovernment  of  Andhra  Pradesh  have  entered  into   reciprocalarrangements with the Government of Madras, Mysore and Kerala forfree  medical  attendance and treatment  of  Government  Servantswhile  they  are on duty or in transist at the Hospitals  of  therespective Government, subject to the following conditions :- (1)     Government Servants of any of the States mentioned  abovewill   be  given  free  accommodation  in  class  admissible   tocorresponding  category  of  the employees  of  this  Government,surgical and Nursing services including X-ray examination, radiumtreatment and such other special examinations as may be necessaryin  respect  of which facilities are available in  the  Hospital.Special  treatment  shall  also be given free of  charge  on  the

advice of the Authorised Medical Attendant. (2)      The  Government Servant in question shall,  however,  becharged  for diet (in the case of Gazetted  Government  Servants)and  they  shall also have to purchase such drugs as may  not  beavailable in the hospital stores and may claim reimbursement fromtheir parent Government if it is admissible under their rules. (3)     These arrangements have come into force with effect  from29-8-1963  in the case of Madras Government and  1-9-1963 in  thecase of Mysore Government. (G.O.Ms.No.  2382,  Health, Dt. 31-8-1963  and  G.O.Ms.No.  2997,Health, Dt. 5-11-1963) Note  (1)  :-The  families of Employees of Tamil  Nadu  are  alsoeligible for the above facilities when they accompany  GovernmentEmployees  who happen to pass through and stay in Andhra  Pradeshon reciprocal basis. Note (2) :-The Government Servants of Andhra Pradesh availing  ofthe facilities in the Medical Institutions in Tamil Nadu are  noteligible for T.A.                         (G.O.Ms.No. 371, Health, Di;: 6-4-1976) Note  (3) :-Maharashtra State Government Employees  are  eligiblefor  free  Medical Attendance in the Government Hospital  of  theState on reciprocal basis.                           (G.O.Ms.No. 971, M & H, Dt. 11-10-1976) 22.  All  categories of Government Servants  and  other  entitledpersons who are eligible under current rules for reimbursement ofexpenses on medical treatment within India would be eligible  forreimbursement  of expenses incurred on medial  treatment  outsideIndia  for which facilities are available in this  Country  also,subject to the maximum of Rs. 40,000 (Rupees forty thousand only)which  includes, air passage of patient and expenditure  incurredtowards Personal Attendant also. They  are  also  eligible for the  reimbursement  of  the  actualexpenditure   on  such  medial  treatment  where  there  are   nofacilities  available in the Country. Expenditure on  air-passageof  the  person  treated  as  well  as  the  air-passage  of  theaccompanying  personal  attendant  would also  be  reimbursed  byGovernment in such cases. Note  :-The Authorised Medical Attendant should  certify  whetherthere  is  need for treatment abroad and prior  approval  of  theDirector  of  Medical Education/Government in  Medical  &  Healthshould  be obtained by the person who wants to  secure  treatmentoutside  the Country. The expenditure to be reimbursed should  becertified by the Director of Medical Education]. [G.O.Ms.No. 170,M.&H. (Kl), Dt. 14-3-1985] Authors' Note :-The ceiling of Rs. 40,0007- has been increased to

50,0007- vide G.O.Ms.No. H.M. & F.W. (Kl), Dt. 2-4-92.                            APPENDIX I                  [Vide Rule 3 (4) of the Rules] The following Medical Officers are appointed to act as AuthorisedMedical  Attendant for the various State Government Servants  andother entitled personnel. When  treatment is obtained under Allopathic or Modern System  ofMedicine 1. For Government Servants drawing          Any Civil Surgeon   Rs. 500, and above per mensem            or the Medical   and Members of the State Legislature     Officer of equal   and their families.                      Status at the                                            station where                                            the patient                                            resides. 2. For other Government Servants and        Any Assistant   their families.                          Surgeon at the                                            station where                                            patient resides. Note  :-(1)  The  term  "Civil  Surgeon  and  Assistant  Surgeon"includes   specialist   and   Honorary   Medical   Officers    ofcorresponding rank. (2)     At places where there is no Civil Surgeon or any  Officerof equal rank, the Assistant Surgeon residing at the place  shallbe  regarded  as  authorised  Medical  Attendant  for  both   thecategories mentioned above. (3)     At places where there is neither a Civil Surgeon  nor  anAssistant Surgeon the nearest Assistant Surgeon or Civil  Surgeonshall  be regarded as Authorised Medical Attendant for  both  thecategories  mentioned above. (G.O.Ms.No. 1792, Health,  Dt.  7-6-1963) When treatment is obtained under Indian Systems of Medicine 1.For Govt. Servants drawing           Gazetted Hakims and  Rs. 500 and above per mensem         Gazetted Vaids including  and Members of the State             professors in the Indian  Legislature and their families.      Medicine Service. 2.For other Government Servants        Senior and Junior Vaids  and their families.                  and Hakims of the Indian                                       Medicine Department                                       including senior and                                       junior lecturers in                                       the Indian Medicine                                       Subordinate Service. Note  :-At  places where there is no Gazetted Hakim  or  Gazetted

Vaid,  the  Senior and Junior Vaid/Hakim residing  at  the  placeshall  be regarded as Authorised Medical Attendants for both  thecategories mentioned above.                         (G.O.Ms.No. 3290. Health, Dt. 12-1-1963)                            APPENDIX II                  List of Inadmissible Medicines               under Allopathic System of Medicine                                 A Antiphlogi sting/PlasterAletris CordialAspirin/Soluble/TabletsAntiseptic Dusting PowderAsoka, Vintone with/Cordial/Compound/Cordial & HormoneAsokavin/Asokaletris/AsokhOvarian Asavin/AsvanOvarianAsavin/AsvanAlcophiogistinAlkas EptalAdicalAdjudetAgretonicum/Ague TonicumAnto's CompoundAlopex OintmentAlopex TabletsAlvite/CapsulesAlvite DropsApaiviteAsmoplanAntismatAntechlorAllistan TabletsAurinol Ear DropsAnapolon Oxymetolone TabletsAlcophenicolActilex Cough SyrupAdemin CompoundAmfac GranulesAcilose VaginalCompoundAuralcain Ear DropsAncoloxin TabletsAntihist ExpectorantAtropinAcigel Vaginal JellyAnticongestinArmolageAnterline CreamAsthma Nerrin Solution/Relief PowderAvittemide PowderArgentex

Aletris ElixirAtomiser Rubber Bulb & CoverAgres TonicAnacinAlgan OintmentAligipan CreamAikocitrisAntical LotionAlcoholAcrifivin LotionAnteiflaminAlkaline CitrateA & D Vitamin Massage OilAletritoneAmosan/Mouth Wash/PowderAcimitAlgocratine CachetsAllantoinAllochrysine SuppositoriesAnaardone SolutionAngioxylAntaiby TabletsAntoxylinAnti-Haemophylia PrincipleAcriflexAlka-Cip TabletsAlka SeltzerAlkia SaltratersAllcook's Porous PlasterAimakalAnadin TabletsAnalax PastillesAndrew's Liver SaltsAnestan Asthma TabletsAngier's EmulsionAnti-Kamnla TabletsAshton & Parson's Infants' PowderAskitArgusolAlkasol 'C'Anticirhos TabletsAlkanant with Vit C.Akin MaltAloes CompoundAletrinaAnne French CreamAbzol PowderAiopex LotionAlbosangAcid Glyceropepsin B-IAntibactrinAlkasin/T.F.Anol OintmentAlkacitrate GranulesAcid Salicylic Cold Cream/PowderA & D PearlsAntifule Tablets

AyazolAdrenaline TabletsAdrenapaxAnklozidAcid CarbolicAdhesive PlasterArseno Typhoid VaccineAir RingsAmorphosAstergumAruna Utebin TonicAntiseptic CreamArgentum 'Osool'Atkison & Barker's InfantsPreservative A & D PearlsAbdominal BinderAeri FlameAgreamAntirabic VaccineAcecolex                                 BBi Glycero PepsinBrushBi AgarolBuck fast Tonic WineBiphlogistineBroom Liquid C NebuliserBishop's Citrate of LithiaBendial Solution/Benedicts SolutionBisuroids Laxative TabletsBlair's Gout & Rheuma Tic PillsBonchi OilBox of NutrotoneBidelcoBenzocin LozengesBurnolBelladonna PigmentBrewer's Yeast SyrupBio-SalBi-Chlorobutol InhalantBorofaxBoldine Houde TabletsBurgoyne's Lodised SarsaparillaBiomin SyruBrood PeroolatorBetalysinBacte Dysenter 1 phageBacte-lntesti-PhageBacte-Rhino-PhageBacte-Pyo-PhageBacte-Staphy-PhageBenecardinB-Tex OintmentB. Neurophos ElixirBhustabBiochlor Tablet

Boric Rectified SpiritBiosodol RulvesBroven InhalerBrooklex TabletsBacte-Coli-PhageBis-U-Mint OvalsBisurated MagnesiaBisurated Magnesia TabletsBidel CompoundBlanchard's Female PillsBinzoyl Perexide WolieyBioglanBalsamic EmulsionBarkers Biquid of LifeBates & Go's Compound Breast SalveBaxen PowdersBaxen TabletsBeecham's Cough PillsBeecham's Lung SyrupBynadol LiquidBertzymeBilogenBecantexBronchinson Cough SyrupBecophosBrover InhalentBotonin LiquidBorax HoneyBairnsBoimage PasteBopolineBioplex ForteBishop's Varalettes Vichy saltsBlanchard's Female pillsBlinblow's Female PillsBatlin ComplexBeg VaccineBencard Allergy RemesBlue Lion Fox Nuts (Shadfbrth's)Bowden's Indian BalmBox's Herbal OintmentBragg's Prepared Vegetable CharcoalBeecham's PowdersBeltona LotionBescorbon Medicinal SnuffBilas PillsBilson's Laxative CleanserBishop's Natural Fruit SalineBreege's Stamulating OintmentBrocast InhalantBunter's NervineBurgress Lion PillsBristayclin Pedatric DropsBarley PeralBreastpumpBanalonBenaifet

Bio MaltB.D. Min ElixirBlinblow's Asthama CureBlinblow's Eucalyptus & Stramonium CigarettesBonomint Laxative Chewing GumBow's (DR) LinimentBox's Indigestion PillsBreecham's PillsBeltona Antjuritic TabletsBeltona OintmentBetalax DropsBile BeansBirley's Antacid PowderBishop's VaralenttesBritish Sra Crystal SaltsBromo-SaltzerBurgress Lion OintmentBuxton Rubbing BottleBarleyBottle FeederBepronBeconexBaby OilB.D. Vine                                 C Calciba SyrupGermicideCalvimacChicken EssenceCough SyrupCalcium Vitamin SyrupCarbonal TabletsCatgutC.T.L. CompoundChloromex SyrupComitone EilixirCandinetsCalci-K TabletsCefralCohistCetavatione PowderCorlisoneCollosal Argentum Nasal DropsCombadex CreamCalei LactoCordial AsakaCusi-OphtalmolosesLoretinbesmuthicNoviformVitaminicClasmiun DearlCordiazol DicodidCremiffmCottonCacton Glucose

CrulivexCough Mixture Syrup, SandozCrook's CapsulesCalcium Cascinate PowderCharcoal TabletsCrook's Dandruff LotionCystone TabletsCathetensCorl TarCalcigenolCitadel Fira Calcium with Vitamin C TabletsCarsule Dutrain CunberanCollosal Argentum Opthalmic SalvimagCroy CalciumCinerela Maritima SuccurIodo-Rubidi-CalciumNizinSubl MineCastophene TabletsCalsalettes TabletsCarter's Little Neve-PillsCassell's (D.R.) TabletsCastellan No.l Cough MixtureCastoretsCollosol Cup Um OrthalmicCardone DropsCholphytone Dragees & DropsCal-D-MinCorvason Eye LotionCarbindon MildColydeltraCorvasymoton Eye WashClarke's Blood Mixture (Tablet Form)Clarke's Glycola Food CreamClarke's MedicineClynol BerriesCockburn's PillsCogene TabletsCollis Browre's (Dr.) ChloroeyneCondy's Remedial FluidConstrpon LaxativesCeimo TabletsCelunox TabletsCollosol Gold SulphidColofineCorpus Luteum 'Aseitules'Corpus Luteum & Mammary 'Palatinoids'California Syrup fo FigsCryognine Catches & TabletsChemo MaltcalracreemCarboxylChildren TonicCasinoneCaliper including raising in the She etc., Complete alevatorCream of JujolCuracho EmoractionCuticura Ointment

Chocolates Cotton Wool Cawtex Cold CreamsClothChardox Super Activated CharcoalChililine Ciofa TabletsCotton WashCasydrilCapsules GelatineCrebe BadageCusi ResolventCoclineCarter's Little Liver PillsCas Ell,s (D.R.) Instant ReliefCastellan Children's Cough MixtureCastolsCollosol Cuprum SolutionCollunovar CullutoireCerebri in PalationoidesCalcium C.D. Inga Syrup/TabletsCal-D-Rubra with IronCalci LysinCibzol Thrat PaintCollofacCod Liver Oil (By James Co, Kepler's)Clarke's SalveClarke's Skin LotionCloister Neabal TeaCockburn's BalsamCockles Antibilous PillsCole's Family OintmentCompericumCongreve's ElixirCouttis Acetic AcidCelunox OintmentCethos PowdersCollosol Mercury Sulphide SolutionConotramine PessariesCorpus Luteum 'Palatinoids'Cotarine Hydrochloride  'Palatiooids'Carmarole Compound    \Cyclospasmoi Forte TabletsCorpora Leu AmpltesCusi DenmozeCrooks EmulsionChempho FepponCalsiloids TabletsCalvox OintmentChpaln TonicCuriconesCystex TabletsCoconut Hair OilCotton BoricCarwant LotionCephos TabletsChardox TabletsCh ColoidsClarke's Blood MixtureCarica Tablets

CalogenCompletoneCharim TabletsCalavix CreamCaicieshlinCarapeplic PaintsCreamalinCadimaltCarbo CitraCorn CureCollo CalciumCaifasonCologne WaterCaripeitic LiquidChronalgicinCalso-BecCytamenCarnigen DropsChem TonicCompound Hevimin with Polic AcidCarica-Leptol with B ComplexCalci LactoCreamChewing Gum, JyrothricineCitro-LemonColl-Cal-d-El ir/TabletsColossal IwcheCylinder (Oxygen)C.H.O.Corpora Lutex CapsulesCalzanaCutiractCasvac/Cas-E-Vac.Carnigen DropsChem DigestinChemotoneCarica-LeptolCrook's VD                                 D Durol/LiquidDustina Powder/AntisepticDecholineDressing, SurgicalDigestive SyrupDagra Honey SyrupDiabetoxO.K. SaltDuphasol Vit-D-/-3/VITDinosignatol ChesedonDextranil-DDanish OintmentDentol Toothache PowderDigestif Rennies TabletsOintment & SuppositoriesDehydronmise & Rosterone Tablets

Daya MineralDuodenin (Palatinoids)Daisy PowdersDamaroids TabletsD.C.L. Vitamin B Yeast TabletsD.D.D. PrescriptionDeokin's Inflammation RemedyDettolin GargleDe Witt's Cotarrhal CreamDe Witt's Little Laxative PillsDiotex TabletsDinneford's Magnesia TabletsDinneford's Pure Fluid MagnesiaDodd's Kidney PillsDol's Voltalise RubDextrosolDeschiens Syrup HemoglobineD.D.D. LotionDandruff Lotion, CrooksDucogenDigestDigesolDusentDeimorDiaphregin JellyDiporosinDupharsolDiorcin CreamDecomaltDelvit LiquidDeschln's Syrup of Haemoglobin DegalanC Vit. B-12Delbiase TabletsDigestinDuodenin TabletsDaisy TabletsDavis's (Dr.) Famous Femable PillsD.D.D. BaimDekin's Lung HealerDettol OintmentDe Witt's Antacid PowderDe Witt's Kidney & Bladder PillsDigestif Rennies TabletsDoan's OintmentDicey's Dr. Batemen's DropsDoan's Backache & Kidney PillsDo-Do TabletsDruy's Infant's PreservativeDepilDeschiens Syrup HepathemoDetensyl Tablets Vegeto-polyhorDi-Iodo-tyrosoneDismensol TabletsDolchin TabletsDuoformula TabletsDistlled WaterDropper eye

DistigethinDepilatory WaxDitralkaDietary SupplementDi-lodotyrosone Tablets (Pabyrn)Do-Do PastillesDrexamine CreamDutch DropsDigeneD.D.T. PowderDollorin CordialDevibisoDianaDollorina                                 E Eledrin Dried MilkExtra Sterilised PadsEozenormElixir MuritunintEupeptic TabletsEnzyindrin SyrupEvahotia TubeEard 'Alibour'Enthodryl CapsulesEnergonEpcol Cough SyrupExlixir Heposim C extra Polic Acid and B-12Elixir Poly-B ComplexEmblelixEskay B-lEve's Cordial Enden dropsElixir VivetaElixir MorhuvineEskay 'B'E.C. LotionElliman's Universal  EmebroctionEpisocalElixir PeptenzymeEmp. Belladona LiquidEye WashEntero SurphazymeEthobralElixir EmbrocationEledon Electric VapourizerEiosol 10% DropsEade's Rhematic and Gout PillsElixir GynolElixir Vali Vrom EvansElasto Crepe BandageAcidophilsEade's Antibilious PillsEgyptain SalveElliman's Athletic Rub Monic HypotensorElixir B C MineralElixir Vital

Ethi Vite SyrupElixir FerveromynEx. TrossElasmin Pearls/DropsElixir ThiadenEximalt (Evenest)Ephomag Elixir/TabletsErythron Forte B-12Elixir UtaferronEphemixElixir PantherElixir VimeltoElixir PynoyinElixir KeliplesElixir LacteenaElixir CombitoneEmulsion HypophosphateEffico TonicElixir PhosferineElixir Com ForteElixir Neo CordialEutheria CreamEssence of ChirataExt. Ergot LiquidEzotine EspiqElastic BandagesEssence of PepermintEskay B ComplexEffevescent Sandostin TabletsElixir Calici LysineElixir CombitoneElixir Val Bromide SmithE.L.A. Emulsion Lactobacillus Emge TabletsEade's Universal AnodyneElasto Nature SalveEno's Fruit SaltEphedan PowdersElixir VitabinElixir A.D.M.Essence of ChickenEcsolent CompoundElasto TabletsE.N.T. Nerve PowdersEx-Lax Chocolate LaxativeEsobactolin CapsulesElixir AminoxylElastic PlasterEphadibe oil DropsEkoEimbalm Skin OintmentEphedrol InhalantEskay B Complex F                                 F Fever PowderFerro Drakshomalt

Fevromyin ElixirF. LiquidFoliplexFelatone SyrupF.99 Capsules & OintmentFerrum 'Oscol'Fosfexyl Pills and SyrupFalcone's Golden CompoundFamel PastillesFeenamintsFenning's Children's Colling PowdersFungus C PrednisoloneFlorozoneFri-PyrineFeroglobinFranol KFeroldmFitilin Revitalising RubFreeman,s ChlorodyneFructolaxFulier Brand Celery PerlesFruit SaltFeeder Grip TightFenning's Fever MixtureFennings' OintmentFennings' Stomach StrengthenersFennings Whooping Cough PowdersFerute ElixirFirth's Green SalveFissan Anal SuppositoriesFruligarFellow's SyrupFemale CordialFelosolFerro BlininFloss SilkFosdexyl PillsFematoneFruitlan Per BravaisFertilol CreamFructol Blackcurrent and Lodine PastillesFamel SyrupPenning Adult Cooling PowdersFungex CreamFruit-LaxFehling SolutionFarex FranolFranol-TeFissian PasteFormitoral Formaline PastillesFr Esone Corn RemoverFructole Carpinal Co. (Mayfair A Brand)Farilan FerromaltFenning's Little HealersFennings' Rheumatic and Erysi-Pales DropsFennings' Warm PowdersFibron Adrenaline Cream

Fissan Anal OintmentFissan Dusting PowderFynnon SaltFerrylyn Finiex                                 G Gum Paste (U.D.Co.)Glass UrinalGynosedanGlycodin LozengesGripe LiquidGrimix Gets-ItGum PaintGlycero Pepsin, BiGlueseinGasex TabletsGlycomaltGenatoneGrasshopper OintmentGilley's (Dr.) Herbal LaxativeGlucoGermexGharbinolGlycoactophosGulioixGastridineGingivities Powder (Special)GajjartoneGripe Water Carminative (Woodwards)Gripe SyrupGlaxo-DGynedalGlucose Solution CrooksGlucotoneGeorge's Pile & Govel PillsGermolene Blood Purifier & TonicGermolene TabletsGripe LiqGlysovitGlycomalGynaecolinGameno Essence(Gemenol Laboratories) G.S. TabletsGar Antiseptic OintmentGee's LobellineGenasprin TabletsGeroge'sGravel PillsGalacogenoGrape SugarGluco VitaGermoloids SuppositoriesGuy's TonicGelonicaGlase RodGeneline

GharbionlGripe EaseGynedol LiquidGripe Water (Warden-India)Gripe MixtureGripe CardialGuncettaGrimault Haemoglobin ForteGlucose TabletsGuy's LinctusGeorge's Pills for the PilesGermolene OintmentGuy's Fruit PillsGoulard's LotionGuttac EphidrineGastrozy W*Glyce-in extract of Red Bone MarrowGalnoid Guipsine PillsGolloway's Family Lung SyrupGarlisolGee's Lobelline LozengesGenosal Nasol CreamGremicideGinkolaGeenfield's (DR)Whooping Cough Mixture                                 H Hodge's PessaryHinco TonicHerbsHerbolcxHair Lotion/TinctureHalabakHepacodHoneyHepoblumHalibutol OrangeHaliborange LargeHuxloy's NervigorHeart DropsHalibut Oil Capsule LiverHemo AshokaHemostyl SyrupHalingolHaliborrngeHepoferrumHimco TonicHerbal BitterHerbolax Strong (for constipation)Himrod's CureHaromo-GerobinHevitron LiquidHepatoneHepanima ForteHalivitol Orange

Hipro MilkH2 02 (Hydrogen Peroxide)HexareHalibut Orange LiquidHepatoglobinHaumas BroHemopato (Grimoult) ElixirHydreminHenopitalHydrineHeposim C Vit B 12Halloway's PillsHooper's (Dr.John) Fefale PillsHytex Pile BalmHepacholHistamine-B.D.H. OintmentHair's (Dr.) Asthma CureHair's (Dr.) Bronchil Cough RemedyHair's (Dr.) Liver PillsHarlay's Three SaltsHewlets MixtureC. Bismuth Co. C OpiumHaemoglobin ElixirHay ward's Tonic WineHavimin Co Folic AcidHuxley's WintigenHame MaltHI-NutomeVit ElixirHicolin Elixir (Cough Syrup)Hewlett's Teething JellyHinksman, Asthma Smoking MixtureHazeline SnowHaemogastineHepagestHolinsprayHermo Be DozoHabloraneHerbile PillsHealex Skol AntisepticHinksman's Asthma RelieverHolloway's Ointment Heamopetol B ComplexHemo GynolHeamorrh Didal OintmentHomocea OintmentHoyle's pure Vegetable Viscous OilHesanol OintmentHalmegon TabletsHypotensyl TabletsHair's (Dr.) Asthma Cure PastillesHair's (Dr.) Catarrh Cure PillsHaratax TabletsHepatex Malt LiquidHewletts Mixture PeqsinHaemoglobin Forte

Haemoglobin Syrup C B 12HalycitrolHealth SaltHydro ProteinHemibhosHepsonin Elixir C Extra Folic Acid Heme-Cal-& Vit B 12Herbalene (Lusty's)Hinksman's Asthma CigarettesHoldrod's Gravel PillsHygiene PowderHaemobinHepels CoyHind's CreamHacheminaHalingolHinksanm's Asthma CigarettesHealth & Healther's Catarrh pastllesHockin's RemedyHaemogasting Tonic                                 I ItinsucretsIso CalciumIrrigator-PipleIna CarabinInhalur Huxley'sIodine OintmentIversal LozengesIndian CreateInositol Capsuleslodi-PeptoneIdeal Warming LinimentIrosol SyrupIodine Model Aseptic OintmentIonised Lodine (Molson) BrandIron Putty Fitting C pullyIsocolInsanity CureIrrigatorInteb TabletsInfluenza TabletsIndu CompoundIodised SarsapariliaIglodine Antiseptic OintmentlodemexIodine Black Current PastilesIvaxIce CapInfant's FriendIna CarabinIpsolin Rheumatic BaimIrovna TabletsIodise Throat TabletslodalbinI-so-GelIso Glutumalt

Ice CollarIpca MaltIndo-Rubidi-Calcium Ophtharmix Ointment - CusiIcelodoform PowderIvi-MaltInfantoneIntrait de Matron D Inde Dausse Solution PIglodineJJackman's Convulsion CureJyrothricine Chewing GumJif Neuralgic PowdersJohnson's (Mrs) American Soothing SyrupJuvinin Tablets ComplexJests TabletsJordan's Gin PillsJamins Liver CureJenner's (Dr.) Absorbant Ozenge Brand Digestive TabletsJuno-Junipah Salts (Powders & Tablets)Jayakar's Convulsion CureJamins Liver CureJackson's FebrifugeJocigaresJuvigold Gland Tonic                                 K KruschenKepler Multivite Capsules LargeKepler Malt Extract C Shark Liver OilKepler's Cod Liver Oil C MaltKaleiKarsotein inhalantRestorative PillsKephaldol Pectoral Cough LozengesKepsinsKarmoid TabletsKeswick's Pure Vegetable Charco-lax (Tablets)Ki-Uma OintmentKompo (Dr. White's)Kerol Medical Capsules (Gastric)K-5 Hair TinctureK. LiquidKeplex Keplex ElixirKimKediprinKaomagma C PectinKalzana-DKalms TabletsKutnow's Powder KettleKasbolin KaroKrooks SalineKepler's Multivitamih CapsulesKepler's Cod Liver OilKaimaKarsodrine Inhaler

Kyae's Worsdell's VegetableKey's Linseed CompoundKephaldol TabletsKaputine PowdersKeswick's Pure Vegetable CharcoalKi-Uma PlastersKipak Vapur RubK. No. 2782Korey TabletsKerol Medical capsules (Intesinal)K-SaltKapilon DropsKardyl Prickly Heat PowderKossom BroadwayKhasinol (Cough Syrup)KurazolKylon G.F.4KotalkoKwell Travel Sickness RemedyKotexKasanKofholLysterin Antiseptic LiquidLotion, Crook's DendruefLint Camphor                                 L LiofexLotion EusolLerestidinLarestidinLiver CureLactose (Powder Form)LysoferLodhrinolLigricis Carlimix Zinc CreamLipsa DigestLiver Oil CapsulesLaxilLiniment TerpentineLiniment BelladonnaLeetz MaltLeetz CompoundLiquid Ext. of LodhLivodermLeukoraLoctopeptine PowderLalkala/Lal kala CigarettesLangdale's Compressed Cinnbamon TabletsLangdaleis Compressed Self-Aid Peppermint TabletsLykaclinLimicalLysofosLena Protomin SyrupLysotone LiquidLiximent

Lantigen ALantigen CLantigen ELecithiz AlbLipamensin TabletsLuteomension TabletsLymphatic Capsules and TabletsListerineLittle Victor InhalerLloyd's Adrenaline CreamLombio SuppositoriesLusty Garlic TabletsLysolatsLeucoplast Elastic For ChasteLint Absorbent Protein/LedinacLecivinLe Rei Albanian SalveLemadine Liq Ext. ArjunaLivermightLinctoidLiqufrutaLacto KadlineLadkovineLiver CapsulesLisoformLactolinLow Elastic Sacroiliac BeltLint AnodyneLysatoneLactodexLaxative TabletsLiniment EmbrocationLiniment Lim AbeLeetz Cough SyrupLeetz PypinLipobetsLead LotionLidocation JellyLactopeptine TabletsLaedo TowelsLysatoneLangdaleis Concentrated MedicalLyratonLiquid PocitronLykacilin DropsLibatone FerriLiquor DiastoseLactated Pepsin ElixirLivodermLiver Exrtract Ointment (Tcf)Lysatone B-12Lactodacilline TabletsLantigen BLantigen DLantigen FLenigallol (Knoll)Loretinbis muthic Opthalmic Ointment CusiLactopeptine Elixir

Little MoviesLixenr ElixirLombio LotexLyco YeastletsLeucoplastLadeoLint SalgeylicLedinacLaxobacLaxative ChocolateLexbsoni CapLewisLewis's DropsLicoricineLimestone Phosphate CompoundLinctoid PastillesLemon BarleyLysol                                 M Malto MinMilkan PasteMaternity BeltManestrin CapsulesMinaferrolMinivtoneMultitoneMagsil TabletsMassive DropsManner's Gripe MistureMaltovitMalt VitoninMand H EmulsionMethyl Testo Viron TabletsMagsulph CreamMedica BeltMinulesMultivitamin FipaMycodecyl PomadeMorylMasse OintmentMist SeilleacMethugum TabletsMetturalMetules Sandoz CapulesMolivex CompoundMagnogone TabletsMammary Gland 'Palatinoids'Muscle Extract - OxoidMac Brand Antiseptic Throat SweetsMcclure's Crescendo Vitamin Tonic SyrupMcclure's Oxogen TabletsMcclure's GlucomelMcclure's Vaposan OutfitMitson's LiverMulvilysin

Mebran ElixirMultivit CandyMalt IronMivets-G TabletsMetacinMag MagMelba Iodised Throat TabletsMendaco TabletsMentexMentholatum Antiseptic Nasal LiquidMentholatum BlamMilton Antiseptic OintmentMoffat's (Dr.) RemedyMoorland Indigestion TabletsMoton's Elder & Peppermint Life DropsMothersill's Sersick RemedyMilkan/E.H.Massage OilMeads ProteinMetametrolMethofarMeta Metron TabletsMulti-TonicMalt VitexMilko Mag TabletsMalto VitoMalt-vitolMalt VironMyn Berry's CompoundMeta DropsMaltografMaclean Indigestion PowderMandle's Throat Paint SolutionMinavitol SyrupMycedecyl PowderMassy's Nipple OintmentMasse Nipple CreamMixture ToneMount MaltMaganatoneM. & H. ElixirMebradalMammary Capsules & TabletsManganese 'Oscol'Myelin Capsules & TabletsMcclur's BalsamMcclure's Ephedrine Nasal Catarrh SpecificMcclure's Glucose TonicMistferri Et. Ammin Cit Multivitaplex ElixirMinervinMulvit SyrupMalt Vitex C Iron Mivets TabletsMinaferol Vit. E.Mercolized  Wax Mixtures (Only Patent mixtures as  Ague  Mixture,    etc.,)Mensal PillsMil-Par Brand LaxativeMistol Drops C Ephedrine

Monsol Throat Pastilles Morse's (Dr.) Indian Root PillsMother Siegel's Digestive Syrup M-Rex Pile OintmentMaclean Brand Stomach PowderMilton TabletsMyrone TabletsMaclean Brand Stomach TabletsMagslate TabletsMarienbad Anti-Obesite TabletsMathews' Fuller's Earth CreamMedilax Laxative PelletsMeggezonesMorhussionMalt OsloMackintosh SheetingMandy PaintMalt C Cod Liver Oil (Allen & Haily)Mavilot MaltMalt KeplerMalt Easton (if given to adults)Massive VitamicMuller Nutrient (The)Milkan-C-Cod LiverMalt Extract C Cod Liver Oil (A &H Co.)MarmiteMusterold Mustaraed OintmentManolaMistonaMagtriz Powder/TabletsMan Zan Pile RemedyMarmola Antifat TabletsMecca Pastilles (Gibson)Meggeson Bismuth Dyspepsia TabletsMedgodinMalt VitexMalt NestoMaterial (Dressing)Milk of MagnesiaMigoren Pearls/Drops/Capsules/TabletsMalt  Compound  NavitolM.D.TowelsMandol MaltMultioneMeasure GlassMalt Extract (Magna Malt)Metatone                                 N NutrimaNutroneNutroton BoxN.E. SulpharNeuro PhosphatesNephril TabletsNierph TabletsNycil Powder

Nephritin TabletsNizin Ophthalmic Ointment-CusiNasimint SnuffNaturpeatNemolin Pile OintmentN.E.T.C.O. 444 PillsNecoferinNervorite MineNervigorNavitol C Vids TerolNejdrugen TabletsNavitolNutrinatal TabletsNeo Sedalcer TabletsNuropepNobedonNeurophosNeedle HypodermicNursing PowderNavitol Malt CompoundNutrition/CapsulesNutrotoneNo PainNew DentolNeuro PhosphiteNufer TabletsNycil OintmentNeo Kin SyrupNicamide SolutionNoviform Opthalmic Ointment-CusiNature's Herbal OintmentNemakol Brand Nasal CompoundNervoidsNivea CreamNorway Cod Liver OilNisko SapNeuro-LecithinNionateNetradaNeedle Nozel SetNutro LysateNico FlavinNeurona B ComplexNoval-Gin Quinine NorasirobNeogynges NeadallitNew Sphagol 10% OintmentNigroidsNonn TabletsNostrolineNasal RemedyNeko SoapNestomaltNestrimaNoxacornNeson InhalerNoviazolNestargelNursing Case Book

Niblettis (Dr.) Vital RenewerNiptisNormo Gastrine TabletsNujolNew DentolNeutroxidesNorton's Chamomile PillsNurse Hrvey's MixtureNatrum PhosNixoderin OintmentNevea Skin OilNipple Shield or Nipple                                 O Oriental BalmOral T.Optibits AbottOvoto LineOlive Oil & Cod Liver OilOrtho ApplicatorOpterex Eye LotionOmega OilOmnicidineOxycideOpimaltOptinal Eye DropsOpo-Iodamelis Tablets Female & Male FormulaOrchitate (Pabyrn) Liquer, Pessaries & TabletsOvacoids TabletsOvarian Substance 'Palatinoids'Ovarian & Mammary 'Palatiniods'Ovarion & Pituitary 'Palatinoids'Ovary Whole Gland Tablets & 1 oz., Desiccated PowderOrchitin 'Palatinoids'One Day Cold CureOpas Maclean TabletsOsborne's MixtureOwbridge's Lung Tonic PastillesOxien Pills OrlivitOxygen CylinderOintment Milkan C Cod Liver.Oleum ArachisOlive Oil (External or Internal)Oralex LiquidOnim (Male)Okasa TabletsOssiviteOpicycline CapsulesOptisol Eye OintmentOpimalt SyrupOberlin Granules of Chicken EmbryoOrheptol/OratolOrchic Substance Emplate (No. 5)Oleum ArachesOriviford/OatesOvarian Residue 'Palatinoids'

Ovarian Substance EmpletsOrange SquashOvary Residue TabletsOve-Sedicy 1 DrageesOdds On-LinimentOiled RayonOpas Maclean PowderOralax TabletsOwbridge's Lung TonicOxien Nerve TabletsOystral Tonic                                 P Perandern Linquets / OintmentPablum (Cereals)PessaryPastePhosphotonePowder, Antiseptic, DustingPryrodentPulverizator For Oily LiquidsPerandenPepsindon TabletsPepsin, Bl GlyceroPalmolive Shaving CreamPhosphomalt Powder DustingPrimoderm Mild CreamPilexPetrocilPanthesin BalmPiex Ointment/TabletsPecto MaltPotcholra PowderPotassium ChloratePhospho CynaminPhospho Lecithin PikacidPrimospasmyl TabletsPanheparPharmaProteinPentrol SulphaProtein HydrosylalPeptovintone Pepsinol .PhosphogdinePharma CompoundPearl BarleyPhinl Halycitrol CrookesPlinasine P.V.P. SolutionParagon (Reel)Polyvitin Capsules' ProtomylPanadantamPowders  (Prepared  From Patent medicines or  Patent  Powders  as  Johnson Powder, etc.)Parathyroid HormoneParathyroid Gland Tablets-Oxoid PedaformPhenascodin

ProtinexParculla Eye DropsProteinsolPetterson's Oky PillsPepsi DigestivePineal CompoundPrenatal CapsulesPetromulsion C Gualia ColProtominoPanzynorm DrageesPhosellite CPharmalene OintmentPhenoda Phenate of SodaPhillips Pure Live Yeast GranulesPhosferine Health SaltPhyllosam TabletsPierre's (Bather) Monastery HerbsP Ends TissuesPepsPyson Moilam WatchPoly-MlatPepsonin LiquidPolybactrinPotassium ChloridePulmocod Creasote CuaiacolPhosphokemProtodolPyorinePtychosoda TabletsPlebex CapsulesPe'diatrinProtineProtovinePepsinalPromolanProlypoPlaster Zinc AdhesivePhosperine SyrupPanovin/CompoundPalollPasiso VitevePacto CalciumPanthor (Cough Syrup)Pigment No. B1-421Polythene TubePacyl TabletsPancrexParenteralParathyroid Gland 'Paratinoid'sParvestinPetroloyan ForteProtinulesPepsin CompoundPocitronProtisolProgneter CreamPepsi Digestine

Pyrgasol Lozenges/TabletsPatromulsionPasuma (Strong)Pheriban TabletsPramiletsPenotrane PessariesPhenalginPhensic TabletsPhillips Pure Live Tonic Yeast TabletsPhysikuratePimplemPipPeptalmina Dfagees & GranulesPhenurone TabletsParathyroid Granules & TabletsPitexan Capsules & SnuffProstiate TabletsPhychil (Succini) Dinitril SuppositoreisPage Wookcock's Wind PillsPermint Double Strenght Concentrated EssencesPenetrol DropsPenetrol InhalerPerivale Chidlain OintmentPylatum RegulatorsPyorrhosolPowder NursingPetein VaccinePlaster ElasticPot UrinalPastiles M & EProvatolPhliuatyanPreguenolone BDH TabletsPineldptusPeastillesPineoleum Inhalant C EphedrinePlakPineoleum Ephedrine JellyPond's Extract of HamarmelisPoor Man's Friend Potter's CatarrahPastilles Prodorm CreamPurnolPastillesPuri-LaxPads CornPowder ColgatePowder BabyPulmalProtinalPot UrinalPowder CuticuraPowder J. & J. BabyPurgolinPhenylePhrenazol Solution & TabletsPrimodern Ointment

Pregnenolone GalssettesProstate Gland Palationids'PtyalinPanacel Antiseptic OintmentPateruoster's Cout & Rheumatic PillsPellanthumPenetrol InhalantPenetrol PastilesPyalatum OintmentPylitha Aperient TabletsPowder Maclean Stomach FripPylitha Pile PowdersPaints CarepeplicPaste ToothPins SaietyProtopine ElixirProcarminePineal Capsules & TabletsPineate Honey Cough SyrupPineoleum InhalantPinkettes Tiny Laxative PillsPlatts (Dr.) Rinex PrescriptionPond's OintmentPotter's Asthma CigarettesPresto PowdersPropax TabletsPurgen TabletsPads SchollerPowder HygienePowder HimalayaPlastic ElasticProtein LedinacPablum MeadsPowder JBPowder TalcumPelargenProtolanPlaster StickingPins SafetyPaste Tooth                                 Q Quaker OatsQumaresh                                 R Robuden-GRubuden DvodReverbin InhalantR.S.M. Rhinx MildRheumetolRobuden Tablets/CapsulesRubuden InhalantRobert TabletsRhinx

RheumasonRheumentonRheumatia TabletsRoy PillsRubriment-LinimentRetrobberry compound C. LysineRalciplex DragreesRheumogenRaoche's EmbrocationRubber TubingReverbin InhalerR. CompoundResolvent OintmentRaicrizymeRemelysine SyrupR.C.K. TabletsRed Bone Marrow, GlycerinExtract GlanoidRectarcycle TabletsRiodine CapsulesRadiana DressingRadium Buxton Crystal SaltsRankin's OintmentRenitaRedigubil WaterRaymoidsReader's Egyptial SalveRedux Herbal TeaRexall Bisma-Rex Antacid PowderRahuke Sweet Digestive SyrupRoberts, CrauplineRectified SpiritRayon OiledReto Super A & D pearlsRoyal Oonim (Male)Rubriment LotionResylRexali OrderliesRinoxe CapsulesRu-Mari CompoundRottar TabletsRoter TabletsRipasenRanvitol TabletsRemelysine DropsRumalaya CreamRelomenRed Bone Marrow Powder GlanoidRoid AdhesiveRadio BoncoRobaden TabletsRadian B LininmentRand's anisaka PillsRaspails (Dr.) Female PillsRose WaterRadio MaltReaders Express Powders

Red Band (Bismuthated) MagnesiaRegulettsRexal Bone & Nerve LinimentRheumagic OilsRookers (Dr.) Oriental PillsRubber SheetingRadiostolem                                 S Sani MaltSedapex LiquidStirring RodSuper De PearlSexina Sia Cod Liver OilSpirolon Cream (for gum Massage)Sen's Stomach CureStovina ForteSandozol TabletsS.P.R. CompoundScurfol Syrup CodifbmomSavalone Antiseptic LozengesSterodinSyrup MechtolSurahalli KasazaSpraySponge SpongostanSyrup HeviminSolan BalmSani VidolSugar of MilkSyrup of FigsSandoz TabletSafiSpirocton Cream (for gum Massage)Sperm TabletsSuper MaltSyrofigSiotrateSureyalSyrup GrimaltSyrup MethischolSolventSleeping MedicineSoda LimeSalidex (Superb)Syzygium TabletsSyrup Calcium HyprozandoSanitary PadsSyrup Foli ComplexScepriro TabletsSenakotSpray Shinobiotic EphidrineSirop DecomphopneumineSyrup ErythronSyrup AlarexSuppromide Tablets

Sidcitrate LiquidSanatogenSemprin (Child)Siotone 863Soda ginvet mint, TabletSpirodin SolutionSirolex Cough SyrupStomach CureStimulantsSenagranSolaspinSebhoric LotionSulpholine PasteSirismalsSanividol C creasoteSyrup Elixir ValinanSuoretsSoframisone CollyriumSustagenSedo-CorodieSupanenal Whole Gland, TabletsSuptheenSynthobilinSedaxSamona TabletsSanderson's Coung LinctusSupavite CapsulesSupep petomalt C LysineSimcofSweeten BottleSteradentSwaxSalvizol LozengesSuper Neo CodSurgical Cotton DressingSuspended Suspemsory BandageSchoum SolutionSedulon SyrupSoderseine SolutionSplean TabletsSorbilineSublamine Opthalmic Ointment-CusiSingha (Dr.) Asthma TabletsSlaon's LinimentSnowfire OintmentSongoSyrup MechositolSante PastulesSyrup Thio-Kaf-EphidrineSu-MagSprayerSomegenSumegilSoftsules A-D (Vit.A & D) CapsulesSolgadineStan MaltSuper ForteSpolaxSopamycetin Syrup

Sulpha-Qunio-BaelSeptilinScariet Red OintmentSpinal Support C Dunlop PillowCushion Solvozyme Spt. Vinam GalicilSulpholine OintmentSiri MaltSpinal BraceSyrup MithiazoleSedalcer TabletsSalphur BitterStancollSupernal Gland 'Palatinoids'Suprarenalin TabletsSynthalin TabletsSal Alterata/Sal HepaticaSaifo in Hay Fever SalveSanacine Cough MixtureSanderson's Throat SpecificSurama Medicated CigarettesShericainisSiokoff SyrupS.P. Vita SyrupSedatinSupositous lilicensia Spirit RectifiedStretched Abdominal BeltSwabsSedicyl TabletsSobisminol CapsulesSodium Supphocyanate ElixirStoniform, Dusting Powder, Lotion,Ointment & TabletsSyrup SadaplexSingleton's Eye OintmentSmedleys's PasteSnowfire Healing TabletsSoto Antiseptic Mouth-Wash TabletsSphagnol LotionSalt Andrew's LiverSacro-llliac-Belt (for treatment of Osteo-Arthritis).Spasmo PertusolSchifimann's Dr. K. AsthmadorSeprolin Petroleum Emulsion'Seven Seas' Cod Liver OilShadfofters TabletsShurzine Antiseptic OintmentSlif Obesity TabletsSimpson Blood Cleanser (Iodised)Simpson's niblainSimpson Seaweed & Celery TabletsSanitary TowelsSafety PinsSulphe Gaicelated NeogodineSandal Wood OilSpirit MethylatedStomheparSure Shield Fruit Laxatives

Sure Shield Glycerin of Thymol AstillesSure Sheild Iodised Throat LozengesSuthers Chrono-Thermal CompositionEssenceSyrup HemoglobinSyrup NeogyidSugar SioliatSaccharinSilviserin Hair TonicSeidlitz PowderSyringeScalp LotionSiriprotinSavitSpolax GranulesSarogolScott's (Dr.) Billious & Liver PillsSerocalcin TabletsSeven Seas' Cod Liver Capsules(but ordinary brands of Cod   Shadphos Liver Oil are admissible)Silbe Asthma TabletsSimodine Simpson lodolok Iodine LocketDiffuserSedulon (Roche)Scretes throat PastillesSuphatoneSinemenineSalt Enos FruitSardexSimilaceSurgasepticSweeting's Toothache ElixirSiodo Enterin TabletsSyrup EphedonalSyrup NeogadineSyrup LiverSyrup TrosolStength Oval TabletsSiblinSilvikrin Pure SpermanSalvon Shampoo                                 T TephescoTeroriteThroat LozengesTentex TabletsTentex ForteTablets SiromideTonavitT. BinderTono PhosphotoneTono MaltTono Carnine ForteTheracibrim GelsealsTraquinor

TetmalTetmosol SoapToni MaltTyzine DropsTonikumTen-Sex TabletsTil OilTablets SandozTonovitT.C.P. LotionTonic Wine Hay ward'sTono BloodTono CalcinTherecibirm CapsulesTyzine SprayTrophileTab. Sulpha BunTonofer MaltTisbon ElixirTonozymTonic Wine, BuckeastToni Merz MixtureTono PhospanThroat PaintTannaibinTestaeidaThymus Tablets/'Palatiniods'Tonoxyline Female & MaleTeasdale's CholoradyneTowel PillsTussicon Pectoral Cough ElixirTexelTooth PasteTenophophan FortiusToilet LanolineTestomaTcer TabletsTeddylaxThermogene Meidicated WaddingTrilax TabletsTalcum PowderTata CologneTuseiopipTaverolTonic PowderTonic MixtureTono Pheph NeThyrol (for local application)Tar Cream, ColourlessTestes TabletsTiodine (Cognet)Trilactine TabletsThermonogene Vapour RubTowel's Pink PillsThermometerTeatsTowels SanitaryThermax

T.W.A. NervineTanas Balm & Other BalmsTersaltsTowel's ChloradyneTudor Williams Balsam of HoneyThroat PastillesTalco Dutsting PowderTapes Adhesive                                 U UrodonalUniversal Cough SyrupUniversal CompoundUttrus TonicUnrocor NenolUnimetin CapsulesUtrinaUpvee MaltUtero AnodyneUnienenUng. AllautionUnkon Jack PasteUricure TabletsUrinal Pot/UrinalUniversal TonicUniversal GripeUniversal CordialUniscale LotionUni-VineUtromenolUteronUndecyl Cream Milken VinegarUni-PorteinUtogen/Uterine Vitamic ArunaUlceratum OintmentUrace Rheumatism TabletsUrillac TabletsUilprum                                 V Vapours (for inhaling)V.I.P. TabletsVitmal CompoundVitamin MaltVelroc, 2x3" -2x6"Vorloc Bandages PlasterVino Malt BlVimultaVintone C AsokaVenus Cough CureVitacodVykmin CapsulesVitmol/CompoundVibronaVitomalt

Velroc BandagesVide Mlat Vegain TabletsVilco MaltVitalyn SyrupVita PepsinVitatoneVox PastillesVinkdia C. VitaminsVitamulsionVimix LiquidVinkavitVermarjem LiquidVitol DropsVercolateVitol Compound / Vitiol CompoundVitamin B, C & DVeliment Liquid & PerlesVastone AseptulesVaseline Carbolated Petroleum JellyVegetax Brand TabletsVeolox Rheumatic TabletsVeno's LinimentVitoferrinVitagolVitaphor ElixirVitamine ElixirVerindon TabletsVino Berry's CompoundValol/DropViteolin Vitamin E CapsulesVitaepon TabletsVinolaturVimaronVitex LiquidVitaminic Opthalmic Ointment-CusiVaiderma Antiseptic BalmVapex InhalersVasano Travel Sickness RemedyVikelp MineralVitamin TabletsVio-Ray maltVogal-Zone Nasal CapsulesVicks Cough DropsVeno's Seaweed TonicVictor's (Dr.) OintmentVinovitVintoneVinchoieVinkolanVinegarVitex LiquidVit Isopan TabletsVaiderma CreamVidolinVitol SyrupVictor's Cough SyrupVistaril TabletsVaniidene Tablets

Veritol Liquid ('Knoll')Vaughan's Bronchial CureVelocium TabletsVeno's Cough MixtureVisept TabletsVapolineVitoline CapsulesVino-lecithin (Liquid)Vinocod C Creosote & GuaiacolVical LiquidViosolfalVogelor's Curatiil CompoundValvesVidolVeritain Oral SolutionValda PastillesVapex InhalantVapex VolatolVaseline Borated Petroleum JellyVik-Wik LinimentVitadatioVykmin Vitamin Mineral CapsulesVeno's Nasal TabletsVicks Vapour RubVimaltVicks Draughts                                 W Warali ToneWaterbury's CompoundWhoopecaWatson's Family PillsWexsalineWhite Lions (Shadforth's)Winslow's Mrs. Soothing SyrupWright Coal Tar SoapWin TonaWalker's Precalcin LactateWorm Expelling Syrup (Trade E. & M. Mark)Webber's Laxative PillsWintogenoWinafitWinominosWelch's Original Female PillsWhite Bear Brand Cod Liver OilWhit'es Q.B.C.Wright's Coal Tar OintmentWaxadol CapsulesWinter Bury's CompoundWilper's CompoundWintradine TabletsWintradine TabletsWhelpton's Vegetable Purifying PillsWhelpton's Vegetable Stomach PillsWhite Tar OintmentWhite Tar Ointment

Williams (Dr.) Pink Pills for Pale-PeopleWhiter Bear Brand Cod LiverOil EmulsionWinacarnisWooldridge's Brand Gout and Rheumatic Tincture                                 X Xerosol (Vitamin A.B.D. Tonic)Xem. Ointment                                 Y Yeastoffer TabletsLiquid GlanoidYadil Antiseptic PillsYadil PastillesYellow Bone Marrow Concentrate YadiletsYadil Antiseptic Ointment Yadil Antiseptic                                 Z Zuvi MaltZuvi DropsZinc OxideZee Kol Blood Tonci PillsZom Pile OintmentZomex SuppositoriesZymovitZam Buk OintmentZox PowdersZembokZuvi MaltZumaltZola CordinationZee Kol OintmentZom Pile TabletsZotal LinimentZac Gripe MixtureZam Buk SupositoriesZubes                              LIST B The Following preparations are classified as Foods : (I)   Baby Foods, Milk Foods and Invalid Foods, Other than  thoseIndicated below : Allenbury's CerealAllenbury's DietAllenbury's Humanized Milk Food No. 1Allenbury's Humanized Milk Food No. 2Allenbury's Malted Food No. 3Ambrosia Benger's Food Bourn vita Cow  and Goat Foods :

 1.   Buerlac2.   Brestol Supplementary Food3.   Calcilac4.   Cerex5.   Daltose C.G.6.   Frailac7.   Full Cream Milk Food8.   Half Cream Milk Food9.   Hemolac10.  Humanised Milk Food11.  Lacidac Full Cream12.  Medilac13.  Peptalac14.  Prentalac15.  Prelac16.  Separated Milk Food17.  Special Half Cream Milk Food18.  Weylac Dorsella Glaxo Products : 1.    Colact2.    Farex3.    Ferrolac4. Ostermilk No. 1 and No. 2    Lacta Milk Food    Lactegol/lactatone    Libbp Shomogenised Foods    Malted Milk, e.g., Barleva Beulah Horlicks    Mellin's Food    M.O.F. Nestle's Preparations : 1.    Condensed Milk2.    Lactogen3.    Milk Food4.    Milo Tonic Food5.    Homogenised Foods Neave's FoodNeave's Milk FoodNumelOatrex Infant and Invalid Food Fine and Medium (Kings)OvaltineOvaltine Rusks Robinson's Preparations : 1.    Patent (Barley)2.    'Patent' Greats3.    Robrex SanatogenSavory and Moore FoodSister Laura's Food

Slippery Eim FoodsStrained Foods, e.g., Neinz and Scott's Torbat Lactic Oats Turfood Follow on FoodTurfood Hunmanised FoodTurfood ProsolTurfood SeewayVitasacVivemin And Similar Preparations (II) Compound Foods of Specified Vitamin Content     Bemax    C.V.B.    Marmite    Roboletin    Virol And Similar Preparations (III) Glucose Preparations :     Glucodin    Glucose B.D.    Glucose With Vitamin D And Simliar Preparations (IV) Liquid Foods and Wines :     Apple Juices    Barluze    Diabetic Cordial    Glucosol    Lembar    Lucozade    Ribena    Robinson's Lemon Barley    Rose-H.I.P., L.B.W,    Rose's Squashes and  Dietic Squashes All Alcoholic Beverages,    Wines,and Spirit and Similar Preparations. (V)  Malt Extract Preparations :     Bronomalt    Bynegen    Halimalt    Malt Extracts    Malted Wheaten Food    Ostomalt    Radio-Malt    Vimaltol    Vitamin Malt Extracts And Similar Preparations

 (V) Meat and Vegetable Extract and Juices :     Bovril    Brand's Essence    Faif s Food Jelly    Lemco    Oxo    Valentine Meat Juices And Similar Preparations (VI) Mineral and Soda Waters :     Apentta Water    Conterexevile    Maveern Mineral Water    Soda Water    Trefrriw Water    Vichy Water and Tablets And Similar Preparations (VII) Miscellaneous Preparations :     Arrowroot    Aurum Ambrosium    Blackcurrent Pastilles    Charcoal Biscuits    Dextrin Maltose    Diabetic Preparations, e.g., Energen Preparations    Glucose Barley Sugar    Iodised Salt    Kellog's All Bran    Lactose    Malted Milk Tablets, e.g., Barlova, Harlicks, Ovaltine    Malto-Dextrin    Natex Slimming Food    Nestrovite Tablets    Saccharine Tablets    Salt Substitutes    Saxin    Verisal Herbs    Virolax    Vitaminised Chocolate And Similar preparations                              LIST C Preparations Normally used for Toilet Purposes Astringent LotionsCold CreamsHair TonicsLanolive ToiletShaving Creams

Shaving Stytics SoapsTooth PowdersVanishing CreamsBath SaltsFace PowdersHand CreamsShampoosShaving SoapsSkin LotionsTooth PastesTalcum PowdersJ.B. Powders                          AMENDMENT No. I Copy of letter No. 41-1/67-MG, dated the 12th July, 1967 from theDirector-General of Health Services, New Delhi, addressed to  allState  A.M.Os.,  all Ministries of Government of India,  and  allAdministrative Sections Delete   the  following  medicines  from  the  latest   list   ofInadmissible  Medicines  (Revised upto 1st January,  1967)  whichsupersedes  the previous list issued in 1958 and  Amendments  1-Xthereto  forwarded with the Directorate Letter No.  41-1/67,  MG,dated 16th/l 7th February, 1967 : -----------------------------------------------------------------Name of the Medicine                   Page No.       Column No.----------------------------------------------------------------- Actilex Cough Syrup                    ...2              1 BI-Agarol                              ...4              1 Brovan Inhalant                        ...4              2 Campoferron(not Champoferron)          ...10             1 Espiq                                  ...13             2 Enzynorm Dragees                       ...13             1 Franoi                                 ...15             1 Franoi-K                               ...15             1 Franol-TF                              ...15             1 Hepovite                               ...20             1 Hepachol                               ...20             1 Kepler's Multi VitaminCapsules                               ...23             1 Kepler Malt Extract withShark Liver Oil                        ...23             1

 Pediatrin                              ...33             1 Protinules                             ...33             1 Panzynorm Dragees                      ...33             2 Panthor(cough Syrup)                   ...33             2 Pepsonin Liquid                        ...32             2 Ranvital Tablets                       ...36             2 R.C.K.Tablets                          ...36             2 Siprrmide Tablets                      ...39             2 Sedax                                  ...40             1 ---------------------------------------------------------------- Insert  the  following  medicines in  the  list  of  InadmissibleMedicines to above. Algipan Ointment Geronyl Tablets Lavagol Sorbiline Surgical Belts Collare (Not Medicine) Hydraminos Magmag Plaster Surpholine                         AMENDMENT No. II Copy  of letter No.F 41-1/67 M.G., dated 23rd August,  1968  fromDirector-General of Health Services, New Delhi, Addressed to  allState A.M.Os., all Ministers of the Government of India. Delete   the  following  medicines  from  the  latest   list   ofInadmissible   Medicines  (Revised  upto  January,  1967)   whichsupersedes  the previous list issued in 1958 and  its  subsequentAmendment I-X -----------------------------------------------------------------Name of the Medicine              Page No.       Column No.----------------------------------------------------------------- 

Chemdigestion                     ...7                2 Hemiphos                          ...19               2 Protinex                          ...32               1 Barical                           ...36               1 Vita Pepsin                       ...44               2 Vistaril Tea                      ...45               2 --------------------------------------------------------------- The  under  mentioned  items  may be  inserted  in  the  list  ofInadmissible Medicines referred to above :- Chelgeatone Corex Isabgol Irivine Sat Isabgol                         AMENDMENT No. Ill (No.41-1/67 MG (Director-Genl. of Health Ser.), New Delhi, Dt. 3-4-1968) Delete   the  following  medicines  from  the  latest   list   ofInadmissible  Medicines  (Revised  upto the  1st  January,  1967)forwarded  with  this Directorate letter  No.  41-1/67-MG,  dated16th/17th February, 1967 :- -----------------------------------------------------------------Name of the Medicine         Page No.            Column No.----------------------------------------------------------------- Mulvit (Syrup)               ...26                    2 Waterbury's Compound         ...47                    1 ----------------------------------------------------------------- Insert the following in the referred to above Absorbant Cotton Bandage  Not drug Calcinol Syrup Dol Cal 

Enterocurmol Elixir B C. 50 Gauze (Not drug) Livules - 52 Netrisol Feedlab Bottle (Not drug)                         AMENDMENT No. IV Copy  of letter No. 41-1/77-MG, dated 10th September,  1958,  NewDelhi, Director-General of Health Services, addressed to (1)  allState  A.M.Os.,  (2) All Ministries of the Government  of  India,etc., (3) All Administrative Sections. Delete   the  following  medicines  from  the  latest   list   ofInadmissible  Medicines  revised  upto  1st  January,  1967  (andsubsequent  three amendments) which supersedes the previous  listissued in 1958 and its subsequent Amendments I-X. -----------------------------------------------------------------Sl.No.   Name of the Medicine          Page No.     Column No.----------------------------------------------------------------- 1.       Alvite Capsules               ...1           2 2.       Alvite Drops                  ...1           2 3.       Ancoloxin Tablets             ...2           1 4.       Corex                         ...12          1 5.       Digene                        ...12          1 6.       Erythron Forte-12             ...13          2 7.       Hepatoglobin                  ...10          1 8.       Pre Natal Capsules            ...32          2 9.       Quamaresh                     ...35          2 10.      Sorrison Collyrium            ...30          2 11.      Neogadine Sulphogulacoted     ...41          1 ----------------------------------------------------------------- The  undermentioned  items  may  be  inserted  in  the  list   ofInadmissible Medicines referred to above : 1.  Perilexmalt 

2.  Phosformin                          AMENDMENT No. V Copy of letter No. 41-6/69-MG, dated the 12th August, 1969,  fromthe  Director General of Health Services, addressed to all  StateA.M.F.Os., all Ministries of Government of India. Deleted   the  following  medicines  for  the  latest   list   ofInadmissible  Medicines  revised  upto  1st  January,  1967  (andsubsequent amendments) which supersedes the previous lists issuedin 1958 and its subsequent Amendment I-X. -----------------------------------------------------------------Sl.No.      Name of the Medicine     Page No.       Column No.----------------------------------------------------------------- 1.        Phosformin(Ammendment          No.4,Dt.9-9-1986) 2.        Hemopatol                   ...19           1 3.        Sorbiline                   ...39           2 4.        Metatone                    ...28           1 5.        Orheptal                    ...32           -- 6.        Sedocorodil                 ...32           9 7.        Radio-Stolem                ...37           1 8.        Multivitaplox Elixir        ...26           2 9.        Cough Syrup                 ...7            2 10.       Livules 52(Ammendment          III,Dt.April,1968)          ...             .. --------------------------------------------------------------- Regarding  item  'Powders' on Page 33, Column (2)  of  the  abovementioned  list  of  Inadmissible  Medicines  is  clarified  that'Powders' prepared from Inadmissible Medicines or talcum  powderswill be inadmissible. Insert  the  following  medicine  in  the  list  of  InadmissibleMedicines  referred to above : 1.  Liv. 52                    ...  25                2                         AMENDMENT No. VI Copy  of  letter No. 41-1/67 MG, dated  9-1-1970,  from  DirectorGeneral  of  Health Services, New Delhi, Addressed to  all  StateA.M.Os.,  all  Ministeries  of Government of  India,  all  Admn.,Sections and the Comptroller and Auditor General, New Delhi.

 Deleted   the  following  medicines  from  the  latest  list   ofInadmissible Medicines revised upto 1-1-1967 (and subsequent fouramendments)  which supersedes the previous list in 1958  and  itssubsequent Amendments I-X. ----------------------------------------------------------------Name of the Medicine              Page No.       Column No.---------------------------------------------------------------- Elixir Aminoxyl                   ...13               2 Calcinol Syrup                   Ammendment III                                 Vide letter No.                                 41-1/67-MG,Dt.                                 April,1968. ----------------------------------------------------------------                         AMENDMENT No. VII [No.41-6/69-MO,  Director General of Health Services, New  Delhi,Dt.  4-5-1970)Delete  the following medicines from  the  list  ofInadmissible  Medicines  revised  upto  1-1-1967  and  subsequentamendments. -----------------------------------------------------------------Sl.No.   Name of the Medicine          Page No.       Column No.----------------------------------------------------------------- 1.       Cremaffin                     ...7            1 2.       Betonin                       ...4            2 3.       Liv.52(Tablets &Drops).         Ammendment No.V               ...3 -----------------------------------------------------------------                        AMENDMENT No. VIII Copy  of  Letter  No.  41-6-69-MG,  New  Delhi,  21-1-1971,  fromDirector  General  of Health Services,  Medical  General  Sectionaddressed  to all State A.M.Os., all Ministries of Government  ofIndia and Administrative Sections. Delete   the  following  medicines  from  the  latest   list   ofInadmissible  Medicines (revised upto 1st January, 1967) and  itssubsequent amendments.  -----------------------------------------------------------------Sl.No.   Name of the Medicine          Page No.       Column No.----------------------------------------------------------------- 1.       Deschien's Syrup of         Heamoglobin C.Vit.B-12        ...11           1

 2.       Ostomalt                      ...52           1 ----------------------------------------------------------------- List of Inadmissible Medicines in the Indian system of treatment 1.  Iftari2.  Imlas-e-Kimiyaai3.  Al-Ahnar4.  Arastu-Hair Oil5.  Akseer-e-Azam6.  Akseer-e-beh7.  Akseer-e-mardan8.  Akseer-e-Nayab9.  Aala (2) mukammal10.  Almas11.  Baluti12.  Be-nazeer Hair Oil13.  Bahare-e-Jawani14.  Pur-Zar15.   Pur-Kai16.  Tadheen17.  Jentol18.  Jenoid19.  Jernol20.  Jameelen21.  Jameelin22.   Habbe Mobahhi Khas23.   Habbe Mulazziz24.  Habbe Mumsik-e-khas25.  Habbe Mumsik-e- Mushki26.   Habbe Nishat27.  Habbe Ahmar Muqwwi-e-bbh28.  Habbe Kibr-e-tilai29.  Habbe Mumsik Tilai30.  Habbe Uroos31.   Habbe Mumsikh Surkh32.   Habbe Mumsikh Ambari33.   Habbe Kaleed-e-Ishrat34.  Habbe Wumsikh-e-khas35.   Habbe Munaish36.   Habbe Ahmar .37.   Habbe Seen38.   Habbe Ombar Moyai39.   Habbe Kaifnawaz40.   Habbe Mein-e-Shabab41.   Habbe Momyai42.  Habbe Mumsik43.  Habbe Ambar44.   Halwa-e-Baiza-e-Murgh45.  Halwa-e-Gazar Maqz-e-Ser-e-Kanjaksh Wala46. Halwa-e-Salab47. Hal wa-Mughz-e-Kanj ash48. Halwa-e-Maqawwi49. Hayat Baksh50. Dawa-e-Tikor

51. Dawa-e-Shafieb-awar52. Dawat-e-Shabab53. Roughan-e-Bhang54. Roughan-e-Beer Bohoti55. Roughan-e-Jonk56. Raughan-e-Kharteen57. Roughan-e-Jalaq58. Roughan-e-Morcha59. Roughan-e-Zalu60. Sufoof-e-Bah61. Sufoof-e-Beejband62. Sharbat-e-Nishat-e-afro63. Zemad-e-Shabad64. Tila-e-Azam65. Tila-e-Shabab-Awar66. Tila-e-Muqawwi-e-khas67. Tila-e-Uroosak68. Tila-e-Almas69. Tila-e-Ajeeb70. Tila-e-Keemiya Taseer71. Tila-e-Musakkin72. Tila-e-Mushk Wala73. Tila-e-Ejaz74. Tila-e-Akseer75. Tila-e-pih-e-shers Wala76. Tila-e-Surkh77. Tila-e-Mushakkin78. Tila-e-No. (1)79. Tila-e-Agrr Ambari80. Tila-e-Khas81. Tila-e-Sabz82. Tila-e-Aqer Qarha83. Tila-e-Munaiz84. Tila-e-Muqawwi85. Tila-e-Mumsik86. Tila-e-Hama Sifat87. Tila-e-Akhzar88. Tila-e-musakkin89. Tila-e-murallib90. Tila-e-majlooq91.  Tila-e-Siyah92.  Tila-e-Sufaid93.  Tila-e-Zard94.  Tila-e-Darchini mushkwala95.  Tila-e-mumsik-o-mulazziz96.  Tila-e-Ishrat97.  Tila-e-Hire-Wala98.  Tila-e-Jeded99.  Tila-e-Jauzbuna100. Tila-e-Zood-asar101. Tila-e-Seemab102. Tila-e-moatter103. Tila-e-Itr-e-Nagesar104. Tila-e-mulazziz105. Asbol106. Arq-e-Shahzor107. Ishrati

108. Itr-e-mulazziz109. Ghazah-e-Husn afza110. Fauladi111. Qures-Tila-e-Azam112. Qurs-e-Ajeeb113. Qurs mumsik Jadded114. Qurs-e-Akseer115. Qurs-e-Tila-e-momyai116. Qurs-e-Foulad ambari117. Qurs-e-momayai118. Qurs-e-Foulad Ambari119. Qurs-e-Momyai120. Luboob-ul-Asrar121. Luboob-e-abresham122. Luboob-e-Jawahar123. Lubbob-e-Abresham ambari124. Majun-e-Jalai125. Majun-e-Hayat Ambari126. Majun-e-mubahi Antaki127. Majoon-e-Muqawwi-e-bah Maseehul-Mulk wala128. Mahoon-e-Muqawwi-wa-mutnsik129. Majoon-e-Tiryak-al-Maseehy130. Najoon-e-Sur-at131. Majoon-e-Maddatul Hayat132. Majoon-e-Musallib133. Majoon-e-Ispand134. Majoon-e-Afrasiyab135. Majoon-e-Aurangzaib136. Majoon-e-Buzu137. Najoon-e-Jund Bedastar138. Majoon-e-Bah-Man Amabari139. Maboon-e-Jadeed Khas140. Majoon-e-Raiq-Mahi141. Majoon-e-Raiq-Mahi Ambari142. Majoon-e-Mubahhi Ajeeb143. Qurs-e-Afai144. Qurs-e-maseehi145. Qurs-e-Mumsik146. Qurs-e-Shabab-awar147. Mulazziz-e-Ajeeb148. Mumsik-e-Benazeer                           APPENDIX-III 1.    The  claims  of  all  Hon'ble  Minister's,   the   Hon'bleSpeaker,the  hon'ble High Court Judges, and members of All  IndiaServices,who  are  Governed by the All  India  Services  (MedicalAttendance).Rules,1954  shall  be preferred  to  the  Accountant-General  Direct  for  the Scrutiny and  payment  of  the  amountsclaimed  with the referrence to these rules, provided the  claimsare covered by the rules. Note:- Any relaxations in individual cases will be dealt with  bythe Government in the General Administration Department. 2. The reimbursement bills arising- 

    (i)  In  the  district will be  Scrutinised  and  passed  forpayment by the concerned District Medical Officers;    (ii) In the Hyderabad city will be Scrutinised and passed  bythe        superintendents        of        the         concernedHospitals.(G.O.Ms.No.2133,Health,Dt.26-7-1963                 andGovt.Memo.No.4473/kk/63-3,Health,Dt.15-1-1964). Note:-    All    cases    requiring    special    sanction     orrelaxation,clarification  or interpretation of the State  MedicalAttendacne  Rules  should be referred to the  Government  in  theHealth Department for orders.                       EXECUTIVE INSTRUCTION Medical  attendance  - Reimbursement of expenditure  incurred  byGovernment  Servants under Integrated Medical  Attendance  Rules,1972 - Reference to Medical & Health Department - Instructions  -Issued (G.O.Ms.No. 3142/K1/85-1, Medical and Health Dept., Dt. 17-4-1986) Order  :-According  to Rule 5(3)(iii) of the  Integrated  MedicalAttendance  Rules, all claims for refund of expenses incurred  onaccount  of  the  purchase of the  special  medicines  should  bepreferred  in the manner indicated in Appendix III. According  topara 2(ii) of the said Appendix, the reimbursement bills  arisingin the Hyderabad City will be scrutinised and passed for  paymentby  the Superintendents of the concerned Hospitals. According  topara  4 of the said Appendix claims for reimbursement  should  beaccompanied  by an Essentiality Certificate from  the  AuthorisedMedical  Attendant  or from the Medical Officer incharge  of  thecase in the hospital. 2.  With reference to the provisions referred to in para 1  aboveemployees  of  various departments of  Secretariat  are  claimingreimbursement  of expenditure incurred by them on  medicines  fortreatment of self and family members on the basis of essentialitycertificate  and  certificate of non-availability  of  the  drugsgiven  by  the  Authorised  Medial  Attendant  of  the  concernedHospital  and sometimes certificate of non-availability of  thesedrugs  in  the  Secretariat dispensary,  issued  by  the  MedicalOfficer of Secretariat Dispensary. The Departments of Secretariatare referring such claims for reimbursement of expenditure to theMedical and Health Department for concurrence. Reference of  suchcases  to this department has been on the increase  resulting  inunavoidable work load in this department and delay in reimbursingthe  claims. The Secretariat departments are  therefore  informedthat  the proposals for sanction of reimbursement of  expenditurefor treatment in Government Hospitals within the State which  areaccompanied  by  an essentiality certificate and  certificate  ofnon-availability   of  medicines  from  the  Authorised   MedicalAttendant  and  when  they are satisfied that  the  claim  is  inaccordance with the provisions in Appendix III to Andhra  PradeshIntegrated  Medical Attendance Rules, 1972, need not be  referredto  Medical  and Health Department for  remarks/acceptance.  Thisapplies  to  the cases referred by Heads of  Departments  to  theAdministrative Departments of Secretariat also.

 3.   However  as  provided in the note under para  2(ii)  of  theAppendix  III to the Integrated Medical Attendance  Rules,  1972,all cases requiring special sanction or relaxation; clarificationor interpretation of the State Medical Attendance Rules should bereferred to this department invariably. (iii)  For  District Medical reimbursement bills,  if  any  doubtarises   the  medical  reimbursement  bills  other   than   thosepertaining  to the Municipal limits of the District  Headquartersshould  be  referred to the District Medical and  Health  Officerconcerned, and for the bills arising within the Municipal  limitsof  District headquarters to the Superintendent of  the  DistrictHead quarters Hospital concerned. (iv)  In twin cities of Hyderabad and Secunderabad, if any  doubtarises  the  medical  reimbursement bills arising within themunicipal limits of Hyderabad and Secunderabad should be referredto the Superintendent, Osmania General Hospital  Hyderabad/GandhiHospital, Secunderabad, respectively]. [Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978] 3.  Any claim which has been preferred six months after the  lastdate of the period of treatment shall ordinarily be rejected. Note  :-(1) Belated claims of officers governed by the All  IndiaServices (Medical Attendance) Rules, 1954 and those by the  StateMedical  Attendance Rules shall be referred to Government in  theGeneral  Administration and Health Departments  respectively  forspecial sanction. (2)  15% cut will be imposed upon the belated claims.                           [G.O.Ms.No. 2323, Health, Dt. 28-7-1961] 4.  Claim for reimbursement should be preferred in the prescribedform  and should be accompanied by Essentiality Certificate  fromthe  Authorised Medical Attendant or from the Medical Officer  incharge of the case in hospital. (The prescribed application form and essentiality certificate aregiven below) Application  for claiming refund of medical expenses incurred  inconnection  with  Medical Attendance and/or treatment  of  AndhraPradesh Government servants and their families. [N.B. :-Separate form should be used for each patient.        Declaration to be signed by the Government Servant I hereby declare that the statements in this application are trueto  the best of my knowledge and belief and that the  person  forwhom  medical expenses were incurred is a member of my family  asdefined  under  the Andhra Pradesh  Government  Servants  MedicalAttendance Rules, 1972, and wholly dependent upon me.

                              Signature of the Government Servant                                  and officer to which attached.                     Essentiality Certificate I  certify that  Mrs./Mr./Miss..............wife/son/daughter  ofMr......................employed   in  the............has    beenunder     my     treatment     for.............diseases      fromto......................at................Hospital and  that  theunder...................(my                            consultingroom)....................mentioned medicines prescribed by me  inthis       connection      were      essential      for       therecovery............(prevention  of serious deterioration in  thecondition)  of  the patient.  The medicines are  not  stocked  inthe..............(hospital  for supply to patients) hospital  anddo  not  include  proprietary  preparations  for  which   cheapersubstances   of  equal  therapeutic  value  are   available,   orpreparations which are primarily foods, toilets or disinfectants. Names of medicines :                   Price :                                    Signature and Designation of                                  Authorised Medical Attendant.                               Signature of the Medical Officer-                             in-charge in the case of the Hospital.                           INSTRUCTIONS A.   Essentiality Certificate : 1.   The  essentiality  certificate should be filled  in  by  theAuthorised  Medical Attendant himself in the prescribed  form  asshown on reverse. 2.   Separate  Certificate should be produced in respect  of  thetreatment given to each member of the family by the claimant. 3.   The  essentiality certificate should be signed only  be  theAuthorised Medical Attendant who actually give the treatment. 4.   Any Certificate countersigned by A.M.O., who is not  A.M.A.,shall be rejected. 5.   It  shall  be the responsibility of the  A.M.A.  to  excludepreparations which are primarily in the nature of foods, toilets,or disinfectants. He should indicate in his certificate which  ofthe items included in the vouchers come under these categories. 6.  Name of the patient, relationship with the Government servantin  case of the family member, disease, period of  treatment  andplace  of treatment should carefully and clearly written  by  theA.M.A. himself in the essentiality certificate. 

7.   The  names of medicines with their cost  should  clearly  beshown in the essentiality certificate by the A.M.A. the names  ofmedicines which are not eligible shall be disallowed. B.   Bills in Original given to the Claimant by the Druggists andDispensing Chemists. (i)    bills  produced  on white papers whether  it  is  with  orwithout seal of the Druggists shall be rejected ; (ii)  the bill should be a cash voucher only ; (iii) each original bill should contain the name of the  claimantor patient and the date of issue. (iv) the name of the drug and its cost should be legibly written.2.The claimant should prepare a typed duplicate copy of each billand  send  it along with his application. The duplicate  copy  orcopies  of  the  bill will be retained in  his  office  with  theconnected file. 3.  The Authorised Medical Attendant should countersign both  theoriginal  and true copies of the bills. He should affix his  sealnot   only   to  these  bills  but  also  to   the   essentialitycertificates. 4.  The sanctioning authority should personally satisfy himself- (a)    that the essentiality certificates and the bills  producedby the claimant are genuine ; (b)   that  the dates of the bills and the  vouchers  are  withintreatment periods mentioned in the essentially certificates ; (c)    that  preparations which are in the  nature  of  primarilyfoods, toilets and disinfectants are excluded, and  (d)   that  the claim is in accordance with the rules  in  forceduring the period of treatment. 5.  Original bills produced by the claimant should be  initialledby the sanctioning authority or by any gazetted officer under himwho deals with the application and then returned to the claimant. 6.   The  claimant should surrender the original  bills  and  theessentiality certificate to the Treasury who disburses the  billsamount.                            APPENDIX IV                      [Vide Rule 7(4)(v)(b)] List of Medicines recommended for use by Local Registered MedicalPractitioners                              LIST I 

1.  Nupercaine2.  Anethaine3.  Pantocaine4.  Golfoam5.  Penicillin powder with Sulphamazathine Sodium6.  Tubarine7.  Tubocutrarine8.  Picrotoxin9.  Lobeline10.   Pentobaribita11.   Methedrine12.   Intravel Sodium13.   Tincture Morthiolate14.   Heogynergin15.   Quinine Urethane16.   Forsolate17.   B.A.L.18.  Percorten19.   Encortone20.   Trasentin21.   Newo-Trasentin22.  Spongostan23.  Acid Gallic24.  Acid Picric25.  Ammonium Bemozate26.   Ammonium Oxalate27.   Ammonium Bromide28.   Benzoline29.   Bezamine Hydrochloride30.   Beta Nauthol31.   Bismuth Carbonate32.   Bismuth Salicylate33.   Buchu Folia34.   Donfectio Piporia35.   Ext. Gentianae36.   Ext. Cascanso Sagrade Siccum37.   Ext. Hamamohdis Liquidum38.   Ext. Jabroandi Liquidum39.   Ext. Hucis Vommicae Liquidum40.   Ext. Viburmi Liquidum41.   Forriet Quinaecitras42.   Karo Tonic43.   Linimontum Belladonnae44.   Liq. Arsoniet Aydrargyri Loddi45.   Liq. Bismuthiet Ammonji Citratis46.   Liq. Epispesticus47.   Liq. Pot Hydrox48.   Mag. Carb Lev49.   Mag. Oxid Lev50.   Oleum Amygdala (Almond Oil)51.   Oleum Gaultheriae52.   Oleum Cinnamomi53.   Oleum Junipori54.   Oleum menthae piporitae55.   Oleum Olive56.   Paraffmum Durum57.  Pepsinum

58.  Pil Hydrurg59.  Pil Acot60.  Pot. Bicarb61.  Pot. Brom62.  Pot. Citras63.  Pot. Citras64.  Potassi Tartaras Acids65.  Pulvis Cretae Armoticus-cum-opio66.  Potassa sulphurata67.  Pulvaeico68.  Salol69.  Sodium thiosulphate70.  Sylphanal71.  Syrupus Aurantil72.  Syrupus Coloii Hypophospitis73.  Syrupus Ferri Jo didi74.  Syrupus Ferri phosphitis compositus75.  Syrupus Scillae76.  Tincture Acenitii77.  Tincture Aloes78.  Tincture Asofoetidad79.  Tincture Calumbae80.  Tincture Cannabis Indicae81.  Tincture Capsici82.  Tincture Catoclum83.  Tincture Digitalis84.  Tincture Jabornadi85.  Tincture Myrrhao86.  Tincuture Lobeliao Aethereo87.  Tincture Quassiao88.  Tincture Quinnine Ammoniata89.  Unguentum Hydrargyri90.  Unguentum Hydrargyri Miltratis91.  Unguentum Rosinao92.  Urethano93.  All Vitamin Preparations94.  Tinct Valeria Ammon95.  Tinct. Sinaace96.  All Histarmine preparations97.  Acetylarsan98.  Uroa Stibamine99.  Stibatin amp100. Gluco Solution101. Insulin P.Z.102. Emetine Hydrochloride103. AminophyHa104. Acidum phosphoricum Dilutum105. Acidum Tactieum106. Acidum Lrichloraceticum107. Apomorphine Hydrochloride108. Bleaching Powder109. Bismuth Subnitras110. Bension111. Balsamm of Tolu112. Bonzaldohyde113. Brillian Green114. Crushed Linseed

115. Chalk116. Copsicum Powder117. Crude Coal Tar118. Dextrose119. Hyecine Hydrobromide120. Hard Paraffin121. Preparations of Senna Kramoria cloves & contain co122. Liq. Ammonil citratis123. Lead Plaster124. Morphinae Tartras125. Liquid lodi Portis126. Oleum pini Sylvestris127. Liquid Carbonics Detergents128. Pulvia Seillae129. Magnesium phosphate130. Prepared Coal tar131. Oleum Gajuputi132. Syrup of Wild Cherry133. Pulvis Hyeseyami134. Syrupus Zingiberis135. Potassium Hydroxide136. Sodium Lactate137. Syrupus Codeinae Phosphates138. Strychnine Hydrochloride139. Syrupus Simplex140. Scarlet Red141. Sodii Hydroxidum142. Tr. Lavandulae co143. Storax144. White Bees Wax145. Tr. Arnicae Floris146. Golatin147. Ung. Hydrarg Co.,148. Linimentum Aconiti149. Sulpha drugs150. All sera Vaccines151. Homotrophine Hydrobromide152. Anti Histamine drug.                              LIST II Insulin All varietiesCoagnlo (ciba) AmpsAdrenal Cortex HormonesGold PreparationsPenicillinMapharsideRiboflavine Amps and tabletsLiver extractDiodequinAdexolinPropyl hiouracil (to be included in the place of Muthyltheuracil)Sodium pentese nucleotideProstingmin tabletsCarbursone tabletsTaka DiastaseAll drugs used for investigation in the X-ray Department

Acid ascorbic ampoules and tubesPrestigmin ampoulesPethidone ampoulesDiscoumaralPriscolHitrogan MustardHetrazanEethieninePlasmosanPanparinitP.A.S.Protein HydrolysateAylase ampoulesParaldehydePanaldrine                            APPENDIX V                    [Vide Rule 19(1) in Part I] Rules Regulating Admission of Tuberculosis Patients in GovernmentTuberculosis   Institutions   and   other   Government    MedicalInstitutions where there are Tuberculosis Wards 1.  General  :-(1)  No patient should come  for  admission  to  ahospital   or   sanatorium  unless   intimation   regarding   theavailability of a bed is received by him from the authorities  ofthe hospital or sanatorium.  (2)   Those  who come without notice are liable  to  be  refusedadmission either for want of beds or if the cases are  consideredunsuitable for admission. (3)   No  case  from  other  hospitals  should  be  sent  to  thetuberculosis  hospital or sanatorium direct, but should be  askedto  attend the nearest tuberculosis clinic, if such a  clinic  isfunctioning within a reasonable distance. (4)    The   opinion  of  the  T.B.  Control   Officer   or   theSuperintendent   of  Government  T.B.  Sanatorium   or   Hospitalconcerned shall be final with regard to the suitability of a casefor admission. (5)  Each patient, whether he seeks admission in the special wardor  general  ward  should  be required to  pay  at  the  time  ofregistration  the  cost of telegram that should be  sent  to  himintimating vacancy of bed. 2. Rules for admission to General Wards :-(1) A separate  waitinglist  of  all  suitable  cases  should  be  maintained  by   eachtuberculosis institution. (2)  Patients seeking admission in the general wards of the  T.B.sanatorium  will be examined by the concerned  Superintendent  ofT.B. Sanatorium who will prepare a waiting list of such  patientswho  require sanatorium treatment and assign a serial number  foreach  patient and communicate the list to the State T.B.  Control

Officer,  Hyderabad. Intimation regarding vacancies will be  sentto  the patients direct by the Superintendent of the  Sanatorium.Each patient will be given a time limit of five days for joining.If no reply is received within five days requesting extension  ofthe  time limit for joining the patient will be struck  off  fromthe waiting list. On such applications from the patients the timelimit may be extended to a maximum of three weeks for admission. The  Superintendent  of the Sanatorium should send to  the  StateTuberculosis  Control  Officer,  Hyderabad at the  end  of  everymonth, the serial number of the .patients who have been  admittedand  the  serial  number of the patients whose  names  have  beenstruck off from the waiting list for non-receipt of reply. (3)   Admission should be made strictly in the order of  priorityof entry in waiting list unless some emergency has occured  whichrequires immediate attention. (4)  Advance cases which have no chance of recovery should not beput on the waiting list. (5)     Letters  of  recommendations  received  with  regard   toadmission of patients direct to hospital or Sanatorium should notbe  taken into consideration, but if on an examination the  casesare found to be suitable, they should be included in the  waitinglist and should take turn along with other cases. (6)   All Government Servants including members of the  families,if  found  suitable for admission will be  admitted  immediately.Police  Constables  will  be given special  priority  over  otherGovernment  Servants. Ex-Servicemen, Suffering with T.B. will  begiven preference in admission after State Government Servants. Note  :-Central Government Servants and Railway  Servants  shouldnot be treated as Government Servants for purposes of this rule. (7)   Advanced  cases  among Government Servants  should  not  beadmitted   unless  it  be  for  purposes  of  issue  of   medicalcertificates, invalidation certificates, etc.  (8)   Emergencies  which  require immediate  attention  such  asHomoeopthysis, Spontaneous, Pneomothorax, etc., whether they  areon  the  waiting  list, or not, and whether  they  are  early  oradvanced  cases  should be admitted immediately and kept  in  thehospital or sanatorium till the emergency disappears. After that,if  they  are found suitable for treatment their  names  will  beincluded  in the waiting list on discharge from the  hospital  orsanatorium and admitted when their turn comes. (9)   Patients sent by Tuberculosis Clinics and hospitals in  themufassal   for   operative  procedure   such   as   Thoracoscopy,Thoracoplasty, etc., should be taken in directly and sent back tothe respective places after operation. (10) Patients sent from other hospitals for admission should alsobe put on the waiting list and admitted according to seniority inthe waiting list.

 (11)  Only early cases of tuberculosis amongst convicts should beadmitted in the Government Tuberculosis Sanatoria. 3. Rules for Admission to Special Wards :-(1) Heads of GovernmentTuberculosis  Institutions will maintain a separate waiting  listfor admission in the special wards, send necessary intimation  tothe patients and control their admission. (2)  A  registration  fee  of Rs.  257-  should  be  charged  forincluding the same in the waiting list for special wards and thisamount  should be remitted along with application for  admission.This  amount will be adjusted towards hospital stoppages  payableby patients when admitted. If the patient does not turn up withinseven days from the date of receipt of intimation of the  vacancyof  a  bed,  and if no extension of time  is  obtained  from  theSuperintendent of Sanatorium, the registration fee collected willbe  forfeited  to  Government and the bed will be  given  to  thepatient next in the waiting list. The  registration  fee will be refunded in cases  (a)  where  theintimation  of a vacancy of bed is sent after three  months  fromthe  date of registration and where the individual does not  thenpropose  to seek admission, and (b) where patients expire  beforethe  receipt of intimation regarding the availability of beds  orwithin seven days from the date of receipt of such intimation. Note :-1. State Government Servants and members of their familiesshall  be  exempted from payment of the registration fee  of  Rs.251- provided they are entitled to free accommodation in  specialwards. 2.  Patients seeking admissions in the special wards, who fail orfind  it difficult to obtain and produce the  income  certificatefrom  the  Revenue Authorities, may be admitted  in  the  specialwards,  provided they give an undertaking to pay  the  Sanatoriumcharges  and  provided they pay the month's advance  of  hospitalstoppages and regular and prompt in the payment of the dues everymonth. 3.   Patients  from  other States will be admitted  only  in  thespecial wards. 4.  When special wards are not available, a cottage can be  builtby  the  Sanatroium  authorities provided  that  the  patient  isprepared to pay the cost of construction of the cottage. 5.  The following procedure shall be adopted for the constructionof  cottages  in  the compound  of  the  Government  TuberculosisSanatoria in the State :  (a)   The cottages which have been put up in the compound of theSanatorium  and  which  are made of brick with  mud  plaster  andthatched  roofing  should be left as they are. New  occupants  ofthese  cottages should be asked to effect repairs at  their  costwhen  necessary  before occupation. They shall be  scrapped  whenthey become completely irreparable and no new thatched shed shall

be allowed to be put up. (b)   New  cottage  should  be  constructed  only  with   durablematerial. Each cottage will consist of a twin ward. For the construction ofeach  cottage consisting of a twin ward the approximate  cost  isRs. 2,500/- for the construction of a similar ward. When two suchoffers  are  received  i.e., when the first twin  ward  has  beenoccupied  completely, a second twin ward should be built  on  thesame  model and patients who pay Rs. 2,5007- should  be  admittedinto  these  wards. When no person is coming forward to  pay  thecontribution of Rs. 2,500/- the twin ward will be kept vacant. 4.   Admission  of Patients, fit for Surgical  Treatment  :-Casesprovisionally  suitable  for surgical treatment  should  also  beplaced  on the common waiting list by the Superintendents of  theconcerned  Tuberculosis Sanatoria, marked the letter "S"  in  redink, or in some other coloured ink. Such patients should be  toldthat  they  are  being admitted into the  Sanatorium  only  on  aprovisional  basis  that  if, after observation  they  are  foundsuitable, they will be given the necessary surgical treatment andthat  otherwise they will be discharged from the  Sanatorium  andput  in  the  waiting list again at  the  appropriate  place.  Anundertaking in the following form should be obtained form each ofsuch patient.                               FORM "I  understand  that I am being admitted  into  the  TuberculosisSanatorium  on  a provisional basis for observation  whether  anycase  is suitable for a surgical procedure. I agree that, if  thecase  is  suitable  for  such a procedure,  I  will  undergo  thenecessary   surgical   treatment.  If  it  is  decided   by   theSuperintendent  my case is not suitable for surgical treatment  Iagree  to be discharged from the observation ward and to have  myname placed in the waiting list at the appropriate place". The Mass Radiography beds will be used for observation purpose. Note :-Pregnant women should be given the same priority as in thecase of early surgical cases in regard to their admission in  theSanatorium. 5.   Discharge of Chronic Patients :-(1) The  Superintendents  ofthe Sanatoria will discharge the patients who become chronic eventhough sputum in positive, thus making the vacant beds  availablefor  more suitable or early cases. In order to  avoid  complaintsabout  the disease of these classes of patients, a committee  maybe  constituted  consisting  of  the  Superintendent,   AssistantSuperintendent,  and the Pathisiologist or the  Resident  MedicalOfficer  where there is no post of Pathisiologist, and it  shouldmeet twice a month to decide on the discharge of such patients . (2)  These  cases found unsuitable at the time of  admission  forSanatorium  type of treatment should be kept on for a  reasonableperiod of observation and the medical officer should be empowered

to  discharge them on making certain that such patients  are  notlikely to be benefited by their stay in Sanatorium any further. 6.  Wards for cases detected through Mass Radiography Survey :-Inthe  hospital  for tuberculosis diseases, Irrumnuma, ward  of  24beds  shall  be set apart exclusively for the  accommodation  andtreatment of Tuberculosis cases detected through mass radiographysurveys  and  a  separate waiting list, for  this  ward  will  bemaintained.  The  persons in the separate waiting  list,  if  notalready  admitted into the reserve ward shall be admitted to  theother wards in this hospital according to their turn in the orderof  priority, their names being entered in the waiting  list  forthe general wards also in their turn of priority for the purpose. 7.  Medical Attendance on the Tuberculosis X-ray and  RadiographyPatients  :-(i) The following are the Scheduled rates for  takingfurther  X-ray  picture  of  a person,  who  has  been  initiallysubjected  to  mass radiography, if his income is Rs.  1007-  permensem and above provided however, that for the first follow  up,half the fees shall be levied. (ii)  With  reference to Rule 13(b) hospital  stoppages  will  belevied in respect of persons who are employees of firms, and  whoafter  mass-radiography  are  admitted  as  in-patients  of   thehospital  for the Tuberculosis Diseases, Irrumnuma even if  theirincome  is  below Rs. 1OO/- per mensem and the  charges  will  becollected  from the employees concerned. These patients  will  beadmitted  only with the consent and permission of the  employees.The necessity and urgency for the treatment of such cases  shouldbe explained to the employers concerned. (iii)  Fees at the following rates will be levied from  employersfor issue of certificates in respect of their employees, who  aresubjected  to  mass-radiographic  examination  or  treatment  fortuberculosis.                                                  Rs. Certificate of Medeical Examination byCivil Surgeon                                --  16-00 Certificate of Medical Examination byan Assistant Surgeon                         --   5-00 Admission and discharge certificate fromTuberculosis Sanatorium                      --   0-13 (iv) Hospital stoppages shall be levied at prescribed rates  frommembers  of  the  general  public  who  are  subjected  to  mass-radiography  and who undergone the treatment in the Hospital  forTuberculosis diseases if their income is Rs. 100/- and above  permensem.                            APPENDIX VI                               PART I 

                         [Vide Rule 20] The  Andhra Pradesh Rules of Advance for Medical  Attendance  andTreatment I.  The Advances shall be regulated by the following rules :- (1)   These  rules shall be called "The Andhra Pradesh  Rules  ofAdvances for Medical Attendance and Treatment". (2)  These rules shall apply to all the Non-Gazetted Employees ofthe State. (3)  The advances may be granted to Non-Gazetted Employees of theState to meet the expenses of medical attendance and treatment ofhimself  or any member of his family which he is entitled  to  bereimbursed  from  the State funds under  the  Medical  AttendanceRules. (4)   The advances shall be treated like advances  of  travellingallowance  and  pa on transfer and recovery must be  effected  byadjustment  of  claim  for  reimbursement  c  medical   expenses.                         (G.O.Ms.No. 1274, M&H, Dt. 29-2-197) (5)   The Head of the Office competent to draw pay bills  of  hisoffice,  ma sanction, draw and disburse the advances to  all  theNon-Gazetted  employees  workin under him; where the Head  of  anOffice drawing pay bills happens to be Non-Gazette Employee,  theadvance  has to be sanctioned to him by the  Officer  immediatelysuperii to him but he may himself draw the advance. (6)   The  amount of the advance shall be limited to  the  amountrequired to me actual reimbursable medical expenses certified  bythe  Authorised Medical attendant of tl employee or  the  nearestCivil Assistant Surgeon subject to a maximum of Rs. 50/- at time.If  the  sanctioning  authority is satisfied  that  the  case  isemergent, he may sanction an advance upto a maximum limit of  Rs.507- without insisting upon completion of necessary formalities.                         (G.O.Ms.No. 317, M&H, Dt. 14-4-197) (7)  When an advance is sanctioned to a non-permanent  GovernmentEmployee  has to be drawn and disbursed to him only after a  bondin  Form  II  of the Andhra Prade Financial  Code,  Volume  I  isexecuted by him together with the surety of a permane  GovernmentServant drawing a pay not less than the borrower. (8)  (a)  The advance should be adjusted in full within a  periodof  three  mont  from  the  date of  drawal  of  the  advance  bypresenting  the  claim  in the form prescrib  under  the  MedicalAttendance Rules irrespective of the fact that the treatment lastfor  me than three months. The claim should be furnished  to  theDirector  of  Medical and Hea Services or  the  Special  Officer,Indian Medicine, as the case may be, through t Authorised MedicalAttendant and the Medical Officer who gave the treatment. After tclaim  is received back from the Director of Medical  and  Health

Services/Special Offu Indian Medicine, it should be presented  tothe Treasury or the Accountant-General, Andl Pradesh, as the casemay  be  by the Heads of Offices for adjustment  against  advancedraw. (b) A second advance of this kind should not be granted until thefirst  c  has been fully adjusted. The Bill for the  2nd  advanceshould  be  accompanied by the certificate from  the  sanctioningauthority that the previous advance has been adjusted full. If  the  advance is not adjusted or returned within a  period  ofthree months it shoi summarily be recovered from his salary. (9)   When any portion of the claim for reimbursement of  medicalexpense is any reason disallowed, such amount should be recoveredfrom the salary of the individ in four instalments starting  withthe pay drawn immediately after the claim has been disallowed. (10)  In  every  office the drawal of these  advances  should  berecovered in register of temporary advances and their recovery byadjustment   or  refund  should  watched.  When  a  borrower   istransferred  to a new office the details of the advance  shoi  beclosed.  In  the  new  office  which  the  borrower  joins,   theparticulars  of the advance shoi be entered in the  Register  andthe recovery watched. (11)  Ordinarily  not more than one advance shall be  granted  inrespect  of the sa illness or injury, but when the amount of  thefirst  advance  has already been spent, a second advance  can  besanctioned  when the sanctioning authority is satisfied that  theprevious  advance has already been spent and the Medical  Officerconcerned has certified the necessity of further expenditure. Thetotal amount of both the advances shall not exceed Rs. 30 or fourmonth's  pay  which ever is less. There is no  objection  to  theborrower if a claim for the adjustment of the first advance  evenbefore  the  treatment is over and later on presenting  a  secondclaim  regarding the further expenses to be adjusted  the  secondadvance. (12) The term "Pay" for this purpose shall mean the pay  actuallydrawn, including personnel pay, as on the date of application butshall exclude special pay. II. The advance granted under these rules should be accounted forunder new subhead, "Advance for Medical Attendance and Treatment"to  be opened under the head "T.III. Deposits Advances  I.  CivilAdvances". Certificate to be furnished by the Medical Officer under Rule 6 Certified  that Sri/Smt.................. a member of the  familyof Sri/Smt............working as...................in the  officeof..............at............is  suffering  from.............andthat  a  sum of Rs.............(Rupees................)  only  isnecessary as advance to cover the medical expenses  reimbursementby Government in this case. 

Date :                                    Signature : Station :                                 Designation :           Certificate by Medical Officer under Rule 11 Certified  that  Sri/Smt.............a member of  the  family  ofSri/Smt.................working   as.....................in   theOffice of the.................. at...............(Place) is stillsuffering  from...........................and that a further  sumof Rs...........(Rupees.........) only is necessary as advance tocover the reimbursable medical expenses in this case as from thisdate. Date :                                 Signature : Station :                              Designation : Note  :-Strike off the unnecessary portion when  the  certificaterelates to the Government Employee himself.                              PART II Rules  relating  to  Medical  Attendance  of  Central  GovernmentEmployees  and their Families, Military Personnel, Merchant  Navyand Special Police Establishments. Note :-Not Printed.                      EXECUTIVE INSTRUCTIONS Facilities of admission and treatment to pensioners at Governmenthospitals Consolidated orders - Modifications          [G.O.Ms.No. 718, M. & H. (Kl), Dt. 26-11-1981] Note  :-For  the text of the G.O. see Instruction No. 2  of  nextChapter.2.  Medical Advance - Treating like T.A. Advance [U.O.  Note  No. 5463A/167/A & L/82-1, Fin. &  Pig.  (Fin.  Wing.Accts. & Loans), Dt. 30-3-1982] Ref  :_  i.    From  the Acctt.-Genel.,  A.P.,  I,  Hyd.,  Lr.No.TM/I/II/12-53/76-79/4, Dt. 27-4-1979.         2.  G.O.Ms.No. 426, M. & H. (KI), Dt. 28-7-1981. Order  :-In  the reference first cited,  the  Accountant-General,Andhra  Pradesh,  I  Hyderabad has suggested  amendments  to  theAndhra Pradesh Integrated Medical Attendance Rules, 1972 and  hasrequested  the Government to issue specific instructions  to  allthe drawing and disbursing officers/all the Treasury Officers andthe  Pay  and  Accounts Officers to treat  Medical  Advance  likeadvance of T.A. and Pay on transfer. 2.  The  matter  has been considered carefully,  keeping  in  the

changed  conditions the Drawing and Disbursing Officers, and  theTreasury  Officers and the Pay and Accounts Officers  are  herebydirected to treat the advance for Medical treatment as an advanceof  T.A. and Pay on transfer and efforts shall be made that  suchan  advance  for Medical treatment is adjusted  within  the  timestipulated, avoid probable objections at a later date. 3.  Advances for Medical Treatment [Memo.  No. 39027/724/BG/82, F.& P. (Fin. Wing-B.G.),  Dt.  21-9-1982] Ref. :-G.O.Ms.No. 1274, M. & H., Dt, 29-12-1978. Order  :-Under  the revised accounting classification  which  hascome  into  force with effect from 1-4-1974, the  expenditure  onMedical  advances  was  being classified  under  "766.  Loans  toGovernment  Servants-MH. 25 Other Advances, SH (03) Advances  forMedical  attendance and treatment. But in consultation  with  theAccountant-General, Andhra Pradesh, Hyderabad certain  amendmentswere  issued  to the A.P. Integrated  Medical  Attendance  Rules,1972, through the reference cited. Among other things it was alsoordered  therein that the Medical advances shall be treated  likeadvances  of  Travelling Allowance and pay on  transfer  and  therecovery  must  be  affected by adjustment  from  the  claim  forreimbursement  of medical expenses. Even though orders have  beenissued to the above effect, it has been brought to the notice  ofthe  Government  that  the  Medical  advances  are  still   beingaccounted for under "Loans and Advances". 2. The Director of Treasuries and Accounts is therefore requestedto issue suitable instructions to all District Treasury  Officersto  adopt the revised classification debiting the expenditure  onMedical advances to the Service head of account instead of  Loansand Advances head of account. 4.  Reimbursement of Medical expenditure - Instructions        [U.O. Note No. 3142/K1/85-1, M. & H, Dt. 17-4-1986] Order  :-According  to Rule 5(3) (ii) of the  Integrated  MedicalAttendance  Rules, all claims for refund of expenses incurred  onaccount  of  the  purchase of the  special  medicines  should  bepreferred  in the manner indicated in Appendix-Ill. According  toPara 2  (ii) of the said Appendix, the reimbursement bills arising  inthe Hyderabad City will be scrutinised and passed for payment  bythe Superintendents of the concerned Hospitals. According to Para4  of  the  said Appendix, claims  for  reimbursement  should  beaccompanied  by an Essentiality Certificate from  the  AuthorisedMedical  Attendant or from the Medical Officer in-charge  of  thecase in the hospital. 2.  With reference to the provisions referred to in Para 1 above,employees,  of  various departments of Secretariat  are  claimingreimbursement  of expenditure incurred by them on  medicines  for

treatment of self and family members on the basis of essentialitycertificate  and  certificate of non-availability  of  the  drugsgiven  by  the  Authorised Medical  Attendant  of  the  concernedHospital  and sometimes certificate of non-availability of  thesedrugs  in  the  Secretariat dispensary,  issued  by  the  MedicalOfficer of Secretariat Dispensary. The Departments of Secretariatare referring such claims for reimbursement of expenditure to theMedical and Health Department for concurrence. Reference  of  such  cases to this department  has  been  on  theincrease resulting in avoidable work load in this department  anddelay in reimbursing the claims. The Secretariat departments  aretherefore   informed   that  the  proposals   for   sanction   ofreimbursement  of  expenditure incurred  by  Government  Servantswhich are in accordance with the provisions of rules referred  toin   Para  1  above,  Viz.,  the  calims  for  reimbursement   ofexpenditure  for  treatment in Government  Hospitals  within  theState  which are accompanied by an Essentiality  Certificate  andcertificate of non-availability of medicines from the  AuthorisedMedical  Attendant and when they are satisfied that the claim  isin  accordance  with  the provisions in  Appendix-III  to  AndhraPradesh  Integrated Medical Attendance Rules, 1972, need  not  bereferred to Medical and Health Department for remarks/acceptance.This applies to the cases referred by Heads of Departments to theAdministrative Departments of Secretariat also. 3.    However  as provided in the note under Para 2 (ii)  of  theAppendix - III to the Integrated Medical Attendance Rules,  1972,all   cases   requiring   Special  sanction   or   relaxation   ;clarification  or interpretation of the State Medical  AttendanceRules should be referred to this department invariably. 5.    Treatment underwent in the Appollo Hospital, Madras,  etc.,for by-pass surgery, etc., - Certain instructions issued    (G.O.Ms.No. 69/K1/89-1,, H.M. & F.W. Dept., Dt. 14-3-1989) Ref. :- 1.  G.O.Ms.No. 317, M&H (Kl), Dt. 7-5-1986. 2.  G.O.Ms.No. 72, I&CAD (Irrigation Ser. II) Dept., Dt. 4-2-1988. Order :-Certain instructions were issued in the Government  Order1st cited in respect of availment of medical treatment for Kidneytransplantation and Coronory Bypass Surgery in private  hospitalsin the State by the Government employees. Government servants andothers entitled for treatment under the Medical Attendance Rules,1972  were permitted to undergo Kidney transplantation  operationin the Mahavir Hospital, Hyderabad and Coronory Bypass Surgery inthe  Durga Bai Desmukh Hospital, Andhra Mahila Sabha,  Hyderabad,on the letter of advice given by the Authorised Medical Attendantin  the  Osmania General Hospital/Nizams's Institute  of  MedicalSciences,  Hyderabad respectively where the above operations  aredone. A condition was also stipulated in the G.O. first cited  tothe effect that those who obtain prior permission of the Directorof Medical Education, Kidney Transplantation and Coronory  BypassSurgery  will  be eligible for reimbursement  of  all  admissibleexpenditure  including charges for accommodation and also for  an

advance  as  per  the estimate given by  the  concerned  hospitalundertaking the operation. 2.   Though the above facilities were extended to the  Governmentemployees  for  treatment, some of the Heads of  Departments  aresending proposals to Government recommending for sanction of  theclaims  of  the  Government employees for  reimbursement  of  theexpenditure  incurred  by them for their treatment  for  CoronoryBypass  Surgery  and  Kidney transplantation,  etc.,  in  privatehospitals, like Appollo, etc., outside the State in deviation  ofthe  instructions  issued in the Government Order 1st  cited  andthough relevant instructions were issued from time to time. 3.   The Government after careful consideration have decided  notto  reimburse the claims of the Government employees who  undergotreatment  in Appollo Hospital, Madras or any other  institutionsoutside  the  State or in Hyderabad hereafter, which are  not  inaccordance  with the instructions issued in the Government  Order1st  cited unless specific prior permission is obtained from  theGovernment.6.  Medical treatment to Government Employees - Reimbursement  ofMedical expenditure incurred - Fixing the maximum ceiling to *Rs.40,0007-          [G.O.Ms.No. 281, H.M. & F.W. (K), Dt. 1-5-1989] Note :-These orders as amended subsequently are applicable to thenon-teaching  staff  of all Universities in the  State  -Vide  ofG.O.Ms.No. 542, Edn., Dt. 20-11-1998. Ref. :- \.  G.O.Ms.No. 170, M&H(K1), Dt. 14-3-1985. Order  :-In the G.O. first read above, orders were issued  fixingthe  maximum  limit of */**Rs. 40,0007- to  Government  Employeestowards  reimbursement  of expenses incurred by them  on  medicaltreatment, subject to the condition specified therein. However,  several  instances  have  come to  the  notice  of  theGovernment  to the effect that Government Employees are  claiminghuge  amounts  towards medical treatment beyond  the  permissibleceiling limit of Rs. 40,0007- fixed by the Government. Since  the  Government  is providing free  treatment  to  personsbelonging  to Weaker Sections of the society who are  green-card-holders,  the Government after careful examination  have  decidedand  direct  that the maximum ceiling limit of  */**Rs.  40,0007-(Rupees  forty thousand only) be fixed for the  State  Govenimentemployees  towards  their  medical  reimbursement,  whether  theyobtain  treatment in the State Government Hospitals, or in  otherStates  in  India,  or outside India,  includes  Air  Passage  ofpatient  and expenditure incurred towards Personal Attendant.  Ifthe  treatment  is  required abroad, or outside  the  State,  theAuthorised  Medical Attendant should certify to the  effect  thatthere  is need for obtaining the treatment of the patient,  i.e.,outside  the  State, or outside India and prior approval  of  theDirector  of Medical Education/Government in Health  Medical  andFamily  Welfare Department should also be obtained by the  person

who wants to obtain treatment outside the State, and outside  theCountry.  A certificate from the Director, Medical  Education  isalso  to be obtained by the Department concerned who process  theclaim putforth by the individual for sanction of the  expenditureby  producing the bills/ vouchers to be reimbursed. These  ordersshall come into force with effect from 1-5-1989. All  the  Departments  of  Secretariat  and  all  the  Heads   ofDepartments  are  informed  that  any  claim  of  the  GovernmentEmployees  for reimbursement of their medical expenditure  beyondthe  maximum limit of *Rs. 40,0007- as specified in Para 3  aboveshall  not be entertained and they should issue  instructions  toall their subordinates to follow these orders strictly. 7.    Medical  Treatment - Cardiac Surgery - Free  of  charge  tomembers  of  public belonging to weaker  sections  in  Governmenthospitals - Orders - Issued      (G.O.Ms.No. 580, H.M. & F.W. (SCK) Dept, Dt. 30-9-1989) Order :-Of late several requests are being made by the members ofpublic  directly  or though their representatives  for  financialhelp  towards  payment of expenses on medical  treatment  and  oncardiac surgery undertaken by certain hospitals under the controlof  the  Government where such facilities  are  available.  Govt.depending  on  the eligibility of the person and  need  for  suchmedical  treatment have been authorising the concerned  hospitalsfor giving free treatment or for free cardiac surgery as the casemay  be  with a request to send necessary bills  to  the  RevenueDepartment for effecting payment towards the cost of  consumable,disposables from out of Chief Ministers Relief Fund. As  requests for financial aid towards cardiac surgery  are  everincreasing  and in order to rationalise the entire procedure  thefollowing guidelines are issued: 1.   All  requests  made by the members of  public  belonging  toweaker  sections  of  society,  recommended  by  any  Department,M.L.As., MPs, Ministers, etc., shall be forwarded for examinationby   the  Government  in  Health,  Medical  and  Family   WelfareDepartment.   No  representations  made  by  any  individual   orrepresentatives of the patients shall be received by any hospitaleither  for  examination  or for treatment free  of  cost  unlessspecific orders are issued by the Government. 2.   The  applicant  requesting  free  medical  treatment/cardiacsurgery shall be a member of weaker sections of society and shallpossess a green ration card. 3.  The bonafides of the applicant requesting free treatment  forhis dependent shall be verified to ascertain that the dependent'sname figures in the green ration card possessed by him and is thesame person for whom medical treatment is sought. 4.  The beneficiary shall execute a bond on a five rupee  stampedpaper  (non-Judicial) to the effect that he/she is member of  thefamily of the green ration card holder.

 5.   The  applicant  shall  affix  a  passport  size  of   latestphotograph  of  the beneficiary/ dependent on the  righthand  topcorner of the applicant for and also enclose a xerox copy of  thegreen ration card before sending to the Government. 6.   Government in Health, Medical and Family Welfare  Departmentafter  verifying  the application form and if it found  that  theapplicant  or  his  dependent fulfills all  conditions  for  freemedical  treatment/free Cardiac Surgery necessary orders will  beissued  to  the hospitals under the control of  Government  wheresuch  facilities  are available for free  medical  treatment/freecardiac  surgery  and only after issue of such orders  the  casesshall  be admitted and given free treatment/surgery.  Expenditureon  consumables/disposables,  if any shall be met  by  Governmentfrom out of Chief Minister's Relief Fund. 7. The concerned hospitals where cardiac surgery is done free  ofCost to any person on the orders of Government in Health, Medical& Family Welfare Department, shall at the end of every month senda  statement, quoting relevant references from the Government  inHealth,  Medical  and  Family Welfare  Department  of  Health  ofpatients,  treatment  given,  surgery  conducted  and  the  costsinvolved with regard to consumables or disposables to the RevenueDepartment  for purposes of effecting necessary payment from  outof  Chief  Minister's  Relief Fund under  intimation  to  Health,Medical & Family Welfare Department. 8.   Medical Attendance - Issuing of letter of advice to  undergotreatment  /  Open  Heart Surgery outside  the  State  -  CertainInstructions Issued     (Memo.No. 2113/K1/89-1, H.M. & F.W. Dept., Dt. 4-10-1989) Order  :-It is observed that despite the instructions  issued  byGovt. in Memo. No. 69/K1/89-1, HM&FW, dt. 14-3-89, the authorisedMedical  Attendant to hospitals on outside Govt.  Hospitals  haveindiscriminately  referred cases to hospitals outside  the  Statefor  treatment/Surgery without referring such case in  the  firstinstance   to  the  Govt.  Hospitals,  viz.,   Gandhi   Hospital,Secunderabad,  Osmania  General Hospital,  Hyderabad  where  suchfacilities are already available for such treatment or to Nizam'sInstitute  of Medical Sciences, Hyderabad which is  a  "REFERRAL"Hospital.  On account of this the department concerned have  beenplaced  in embrassing situation, which lead to  with  unnecessarycorrespondence with Government. 2.  Government have examined the matter carefully and direct thatall the authorised Medical Attendants should refer the cases thatcome  to them for treatment/ surgery to Osmania  Genl.  Hospital,Hyderabad, Gandhi Hospital, Secunderabad or Nizam's Institute  ofMedical  Sciences, Hyderabad, of serious nature in any case  theyshould not refer such cases to hospitals outside when  facilitiesare  available  for such treatment/surgery  in  these  governmentHospitals  of  this State while issuing the letter of  advice  toNizam's  Institute  of Medical Sciences, Hyderabad,  they  shouldcertify  that  necessary facilities are not  available  in  their

Institutions.  They  should refer a  case  for  Treatment/surgeryoutside the State only in consultation with Nizam's Institute  ofMedical Sciences, Hyderabad, and on obtaining a certificate  thatthere are no facilities available in Nizam's Institute of MedicalSciences. 3.   All the Medical Officers of the Hospitals, and  Dispensariesin the State should adhere to the above orders scrupulously,  anydeviation of these instructions will be viewed seriously. 9.  Facilities of admission and treatment to the  pensioners  andtheir   family   members  in  Super  Specialities   Hospitals   -Reimbursement of medical expenditure incurred thereon           [G.O.Ms.No. 401, HM & FW (Kl), Dt. 25-6-1991] Ref. :- 1.   G.O.Ms.No. 35, M&H, Dt. 26-1-1981.         2.  G.O.Ms.No. 718, M&H, Dt. 26-11-1981. 3.   From the Secretary, The Hyderabad  Pensioner's  Association,Hyderabad, Ref. No. 28/B/89/HPA, Dt. 28-8-1989. 4.      From     the    Director    of     Medical     Education,Lr.Rc.No.l6793/MA.C/89, Dt. 4-12-1989. Order :- In the G.Os. first and second read above, it was orderedamong other that the retired Government Employees are entitled tofree  medical  treatment in all the Government Hospitals  in  theState  and that they are not eligible to claim  reimbursement  ofmedical expenses and for medicines purchased in the open  market,if any, on the prescription of the Government Medical Officers. 2.   In the reference third read above, Secretary, the  HyderabadPensioners Association, Hyderabad has represented that pensionersare  likely  to  fall sick frequently due to their  old  age  andrequire  medical  attention and that due to meagre  pension  theycannot afford to spend huge amounts towards medical treatment. Hehas  therefore  requested that free medical aid, in  all  GeneralHospitals under the control of Government and Super  SpecialitiesHospitals  including  Nizam's  Institute  of  Medical   Sciences,Hyderabad, may be provided and necessary orders will be issued inthis regard. 3.   After  careful examination, the Government have  decided  toprovide medical treatment to all retired Government Employees andtheir  dependents  on par with serving Government  Employees.  Inpartial modification of the orders issued in the G.Os. first  andsecond   read  above,  Government  hereby  direct  that   medicaltreatment  provided  at Nizam's Institute  of  Medical  Sciences,Hyderabad   to  the  retired  Government  Employees   and   theirdependents  on par with serving Government Employees  who  sufferwith  serious ailments of the Heart, Kidney, Brain Cancer or  anyother  disease or Surgery for which facilities are not  availablein   any  of  the  teaching  hospitals  in  the  State  and   forreimbursement  of the cost of the treatment including  consumableand  disposable  and  medicines direct to  Nizam's  Institute  of

Medical Sciences, Hyderabad subject however to a maximum limit ofRs.  40,0007-  (Rupees  Forty  thousand  only)  or  as  fixed  byGovernment from time to time as in the case of serving GovernmentEmployees.  The  reimbursement shall not however, be  allowed  ifthey have obtained treatment in any other private hospitals.  TheNizam's  Institute of Medical Sciences, Hyderabad shall  take  upcases  only on authorisation by Authorised Medical  Attendant  ofany teaching hospitals as in the case of serving Govt. Employees.The  Nizam's Institute of Medical Sciences, Hyderabad shall  takeup  treatment  direct to the pensioners upto the limit  fixed  byGovernment  subject  to  scrutiny of the  bills  by  Director  ofMedical Education and claim reimbursement from Government. 4.   The  expenditure  on  this account shall  be  met  from  theconcerned Office/ Department from where the Pensioner worked lastand  retired on attaining the age of superannuation and shall  bedebited  to the "Salaries Head" as in the case of  regular  Govt.Employees. 5.  These orders shall come into force with effect from the  dateof issue of orders. 10. Nizam's Institute of Medical Sciences - Medical treatment  ofGovt.   Employees  and  their  dependents  -   Reimbursement   ofexpenditure - Simplification of procedure - Orders - Issued            [G.O.Ms.No. 445, HM&FW(E2), Dt. 19-7-1991] Ref. :-G.O.Ms.No. 609, HM&FW, Dt. 21-11-1988. Order  :-1. The Government have, for sometime,  been  consideringsimplification  of  the  procedure for  treatment  of  GovernmentServants at the Nizam's Institute of Medical Sciences. The procedure has been outlined in the G.O. cited. Presently  theNi/am's  Institute  of Medical Sciences is regarded  as  referralhospital subject to the following conditions :- (a)    The  Nizam's  Institute  of Medical  Sciences  will  be  areferral hospital other than for emergencies. (b)   Referral  of  patients  to  Nizam's  Institute  of  MedicalSciences  should be from the teaching hospital with the  approvalof the Head of the Departments/Speciality concerned. (c)    The  referring  hospital  should  ensure  that  facilitiesavailable  in  that  hospital are fully  utilised  in  the  firstinstance ; and (d)   The  referring hospitals should refer the  cases  with  alldetails including a referral summary. 2.   Under the present procedure, the teaching hospitals  in  theState  are  referring  cases  of  Government  Servants  requiringspecialised  treatment  to  the  Nizam's  Institute  of   MedicalSciences  whenever  facilities are not available  with  them  fortreatment  of various ailments. The sanction of  expenditure  for

treatment  incurred at Nizam's Institute of Medical  Sciences  isbeing regulated in terms of the provisions of the Andhra  PradeshIntegrated  Medical Attendance Rules, 1972. These  rules  requirethat the bills of Nizam's Institute of Medical Sciences should bescrutinised by the Director of Medical Education before  sanctionis accorded for payment by the concerned Heads of Departments. 3.  The above procedure has been found to be cumbersome and thereare  some cases of delay in the referral of even emergency  casesto  Nizam's  Institute  of  Medical  Sciences  by  the   teachinghospitals. The procedure of pre-scrutiny of bills by the Directorof Medical Education is also causing delays. 4.  After due consideration, it has been decided that  GovernmentEmployees  or  their dependants can obtain treatment  at  Nizam'sInstitute of Medical Sciences directly for the following ailments("earmarked categories"). In respect of these cases, referral  bya teaching hospital will not be required. (a)  Acute Mycardial Infraction (Cardiology Department) (b)  Acute renal failure (Nephrology Department) (c)    Severe  cases  of head and  spinal  injury  (Neuro-SurgeryDepartment) (d)  Cases of Coma (Neurology Department) 5.  With regard to the above earmarked categories, the  followingprocedure shall be followed :- (a)    The Nizam's Institute of Medical Sciences need not  insiston  advance payment by the Government Servants and  may  commencetreatment immediately taking into account the seriousness of  thecase. (b)   The Nizam's Institute of Medical Sciences should prepare anestimate  of  the approximate expenditure for the  treatment  andhand  it over to the concerned Government Employee who,  in  turnmay  apply for advance to the concerned Head of  Department.  Theestimate of expenditure shall be calculated only with respect  toitems  reimbursable under the Andhra Pradesh  Integrated  MedicalAttendance Rules. This has to be ensured by Nizam's Institute  ofMedical  Sciences. After the advance is sanctioned the amount  ofadvance shall be made over by the Head of Department directly  toNizam's  Institute  of Medical Sciences. Normally,  the  Head  ofDepartment  should ensure that the amount sanctioned  as  advancereaches Nizam's Institute of Medical Sciences within a period  of15  days.  The  amount of advances drawn  shall  be  adjusted  bypreferring   claims  by  the  respective  departments  with   thenecessary certificates and vouchers. (c)    Orders  delegating  powers to  Heads  of  Departments  fordrawing of advances are being issued separately. (d)   It will no longer be necessary to get the bills  scrutinsedby  the Director of Medical Education. The Nizam's  Institute  of

Medical  Sciences  shall take necessary steps to  scrutinise  thebills  in accordance with the Andhra Pradesh  Integrated  MedicalAttendance Rules and forward them for payment to the Head of  theDepartment concerned. The bills so sent must relate only to itemsof  expenditure  admissible under the Andhra  Pradesh  IntegratedMedical Attendance Rules. (e)   The Nizam's Institute of Medical Sciences must make its ownarrangements  with the Government Employee concerned for  paymentwith  regard  to  items  of expenditure in  the  bill  which  areinadmissible   under  the  Andhra  Pradesh   Integrated   MedicalAttendance  Rules.  Likewise, the Nizam's  Institute  of  MedicalSciences  must  make  its own arrangements  with  the  GovernmentEmployee concerned for payment of bills in excess of Rs. 40,000/-which is the limit for reimbursement of medical expenses  incuredby a Government Servant. 6.  With regard to any matter not covered by the above procedure,the  provisions  of the G.O. cited shall continue  to  apply.  Inrespect of the other cases, viz., cases not falling under any  ofthe above earmarked categories, the existing instructions  issuedin the G.O. cited will continue to be in force. 11.  NIMS  -  Medical  treatment of  Govt.  employees  and  theirdependents  -Reimbursement  of expenditure  -  Simplification  ofprocedure - Regarding      (Letter No. 2706/K1/92-1, HM & FW Dept, Dt. 30-1-1992) Ref. :- G.O.Ms.No. 445, HM & FW, Dt.  19-7-91. Order  :-In the G.O. cited, orders have been  issued  identifyingthe earmarked ailments one each in the Departments of Cardiology,Nephrology,  Neuro-surgery and Neurology of Nizam's Institute  ofMedical  Sciences  in which the Government  employees  and  theirdependents have been permitted to approach the Nizam's  Instituteof Medical Sciences directly for the treatment without  referencefrom teaching hospitals in the State. It is however noticed  thatthe  cases  received  from other Departments  for  various  otherailments,  the  Government  employees and  their  dependents  aredirectly  approaching the Nizam's Institute of  Medical  Sciencesfor  treatment  i.e., other than those  identified  as  mentionedabove  and others obtaining the estimates for the  treatment  andapproaching  the  government for sanction of  advance  to  obtaintreatment   or  for  reimbursement  for  the  treatment   alreadyobtained.  In  the Estimation Certificates/Bills  issued  by  theNizam's  Institute of Medical Sciences authorities, there  is  noindication as to whether or not, the ailments for which treatmentis sought for or obtained are those identified for the  treatmentin Nizam's Institute of Medical Sciences as provided in para 4 ofG.O.Ms.No.  445,  H.M. & F.W., Dt. 19-7-1991. In the  absence  ofsuch   information,  it  has  become  necessary  to  enter   intocorrespondence  with  the Departments and  Nizam's  Institute  ofMedical Sciences tO  Obtain  the exact position  in terms of  theaforesaid   orders  thereby resulting in delay in  settlement  ofmedical  claims  of  the  employees  consequently  a  subject  ofcriticism.

 2. With a view to avoid correspondence and consequential delay insettlement    of    medical    claims    of    the     Governmentemployees/pensioners,  I  am directed to request  you  kindly  toincorporate  in the estimation certificate to be sent or  on  themedical  bills  to  be  given by  Nizam's  Institute  of  MedicalSciences  to  the  Government  employees  or  retired  Governmentemployees,  as the case may be, a certificate whether or not  thecase  is covered by the orders issued in G.O.Ms.No. 445.  H.M.  &F.W.,   dated  19-7-91  or  whether  it  meets  the   requirementprescribed in G.O.Ms.No. 609, H.M. & F.W. dated 21-11.1988 (i.e.,reference  to  Nizam's  Institute  of  Medical  Sciences  from  aTeaching Hospital). 12.  Sanction of Medical Advance for Medical treatment  of  Govt.Employees and their dependants in NIMS, Hyd. for certain  seriousdiseases  -  Delegation  of powers to Heads  of  Departments  forsanction of Advance - Orders Issued.                [G.O.Ms.No. 86, F&P, Dt. 1-6-1992] Ref. :- 1.  G.O.Ms.No. 609, HM&FW (E2), Dt. 21-11-1988.         2.  G.O.Ms.No. 445, HM&FW (E2), Dt. 19-7-1991.         3.  G.O.Ms.No. 184, HM&FW (Kl), Dt. 2-4-1992. Order :-In the G.O. 1st read above, Government have issued ordersdeclaring  Nizam's  Institute  of Medical  Sciences  as  referralHospital subject to the following conditions :- 1.  The Nizam's Institute of Medical Sciences will be a  referralHospital other than for emergencies. 2.   Reference  of  patients  to  Nizam's  Institute  of  MedicalSciences should be from the Teaching Hospitals with the  approvalof the Head of the Department/Speciality concerned. 3.   The  referring  hospitals  should  ensure  that   facilitiesavailable  in  that  hospitals are fully utilised  in  the  firstinstance. 4.   The  referring  hospitals should refer the  cases  with  alldetails including a referral summary. 5.  The patients should be clearly informed that taking up of thecase by the Nizam's Institute of Medical Sciences is dependent onthe  availability  of accommodation and other facilities  in  theNizam's Institute of Medical Sciences. 2.  In consideration of the difficulties being experienced by thebeneficiaries and also the delay involved in setting the  medicalclaims,  it  has  been decided to delegated  the  powers  to  theconcerned  Heads of Departments for sanction of Medical  advancesto  the employees working under their administrative  control  inrespect of the following diseases without referral by  AuthorisedMedical Attendant vide orders issued in G.O. 2nd read above.

 (a)   Acute Myocardial In Infraction (Cardiology Department) (b)  Acute renal failure (Nephrology Department) (c)    Severe  cases  of head and  spinal  injury  (Neuro-SurgeryDepartment) (d)  Cases of Coma (Neurology Department) 3.   The medical claims of State Government Employees covered  byA.P.I.M.A. Rules, 1972 can be broadly categorised into : (i)    Claims    preferred    against    treatment    in    Govt.Hospitals/Referral Hospitals/ Recognised Hospitals. (ii)  Claims preferred against treatment in unrecognised  PrivateHospitals. (iii)  Calims  preferred  against treatments  in  NIMS  who  wereadmitted  direct without reference by the A.M.A. under  emergencycircumstances  to undergo treatment for the diseases noted  underPara 2 above. 4.   At present in respect of the claims noted against Items  (i)and  (iii)  under  Para 3 above, Government is  vested  with  thepowers  of sanction of medical advances to  Government  Employeesand  their dependents towards medical expenditure incurred  whileundergoing treatment for certain diseases. 5.  In respect of claims preferred by the individuals either  forsanction  of advance or for reimbursement of medical  expenditureincurred   for  treatment  undergone  in   unrecognised   PrivateHospitals   the  Government  would  not  entertain  such   claimsnormally. 6.  After due consideration, it has been decided to delegate  thepowers to Heads of Departments concerned for sanction of  medicaladvance   to  Government  Employees  and  their  dependents   andsettlement  of  final bills for undergoing treatment in  NIMS  inrespect  of  cases referred to under G.O.Ms.No. 445,  HM&FW  (E2)Dept., Dt. 19-7-91 subject to the following conditions :- (a)   the maximum amount should not exceed Rs.  50,000/- and  theexpenditure incurred over and above Rs. 50,000/- should be  borneby the individual. (b)   The  Head of the Department should ensure that  the  amountsanctioned  as  advance  shall  be  paid  to  NIMS  by  means  ofCheque/Draft  within  15  days  from  the  date  of  receipt   ofestimation of the expenditure from the NIMS. (c)   The advance drawn and paid to the NIMS shall be adjusted bypreferring claims by the concerned Head of the Department  within3  months  from  the date of drawal  of  advance  with  necessarycertificates and vouchers prescribed in A.P.I.M.A. Rules, 1972. 

(d)  The claim sent by the NIMS must relate only to the items  ofexpenditure admissible under the A.P.I.M.A. Rules, 1972. (e)    The bills need not be sent to the D.M.E. for scrutiny  andthe  claim  be admitted based on  the  admissibility  certificateissued by NIMS. 7.   If a Government Servant seeks admission in NIMS vide  ordersissued  in  G.O.Ms.No. 609, H&M, Dt. 21-11-1988 the Head  of  theDepartment  is competent to sanction advances and also the  finalbill  following  the  conditions mentioned in Para  6  above.  Inaddition  he shall ensure that the patient is preferred to  NIMS,Hyderabad by the Authorised Medical Attendant. The A.M.A. of  theTeaching  Hospitals  with  the  approval  of  the  Heads  of  theDepartments/Specialists  of the Hospital alone have to refer  thecases   to   NIMS.   Other   Heads   of   Departments   of    anymofusall/Headquarters or City Hospitals who are not the Heads  ofDepartments/Specialists  of the Teaching Hospitals would  not  bereckoned as Authorised Medical Attendants, competent to refer thecases  to NIMS covered vide order issued in G.O.Ms.No. 609,  M&H,dated 21-11-1988. 8.  Where the authority referring the cases to NIMS is not deemedas Authorised Medical Attendant, such cases are to be referred toGovernment  for  relaxation  of A.P.I.M.A. Rules, in  HM  &  F.W.Dept.,  and Finance and Planning (FW) Department for  concurrenceand  for  relaxation  of  A.P.I.M.A.  Rules.  The  Head  of   theDepartment is not empowered to sanction advance if relaxation  ofA.P.I.M.A. Rules is involved. 9.   The  Government extend the facility  available  for  CentralGovernment Servant wherein a member of the family can also  applyand  draw the advance when the Government Servant  is  criticallyill and hospitalised so as the avoid inconvenience. In such casesthe wife or a legal heir of the Government Employee shall  submitan  application  for  sanction  of advance to  the  Head  of  theDepartment  under  whom  the  employee is  working  in  case  theemployee is critically ill and cannot sign the application.  Thisfacility is available to all Government Servants who avail of thefacilities  in the NIMS, Hyderabad under G.O.Ms.No. 445,  H.M.  &F.W.  (E2) Dept, dated 19-7-1991 and G.O.Ms.No.609, H.M.  &  F.W.(E2) Department, dated 21-11-1988. 10.  The advance sanctioned shall be debited to the Service  Headof Account to which the' pay and other allowances of the employeeare being debited. 13.  Provision of Corrective Glasses and Hearing Aids -  Fixationof limit of expenditure for reimbursement - Orders - Issued           [G.O.Ms.No. 276, HM & FW (Kl), Dt. 11-5-1993] Ref. :- 1.  G.O.Ms.No.175, HM & FW, Dt. 7-3-1990.         2.  Govt. Memo. No. 2118/K1/90-1, Dt. 28-4-1990. 3.  From the Director of Medical Education, Lr.No. 14845/MA B/90,

Dt. 23-8-1990. Order :-In the Government Order 1st cited above orders have  beenissued to amend the Andhra Pradesh Integrated Medical  AttendanceRules, 1972. As per this amendment the cost of Artificial  Limbs,Hearing  Aids, Corrective Glasses, Artificial Teeth  and  InvalidChatirs  are  reimbursable  to  the  eligible  patients  who  areentitled to the facilities for sanction of medical reimbursement. 2.   Government after careful reconsideration of the above  orderissued  in G.O.Ms.No. 175, HM & PW, dated 7-3-1990  hereby  orderthe cancellation of G.O.Ms.No. 175, HM&FW, dated 7-3-1990. 3.  All existing claims which have been received pursuant to  theissue of G.O.Ms.No. 175, HM&FW, dated 7-3-1990 will be settled by30-6-1993.  These  existing  claims  should  pertain  to   claimsreceived in pursuance of G.O.Ms. No. 175, HM &FW, dated 7-3-1990,till the date of the cancellation of the Government Order. 4.   For settlement of the existing claims received  pursuant  toissue  of  G.O.Ms.No. 175, HM & FW, dated 7-3-1990 the  scale  atwhich the settlements have to be made has been considered by  theGovernment  and  after taking into  consideration  the  proposalsreceived from the Director of Medical Education the Govt.  herebydecide that the maximum expenditure eligible for reimbursement tothe Government Employees and their family members for  settlementof  the  existing claims preferred by them before issue  of  thisGovernment Order will be as follows :- (i)  Corrective Eye Glasses            Rs.200/-(Rupees two     inclusive of frame                hundred only) (ii) Hearing Aids-All types            Rs.300/-(Rupees three                                       hundred only) (iii) Hearing Aids-All types           Rs.1,500/-(Rupees one                                       thousand five hundred                                       only) (iv) Dentures :     (a)  Complete Denture              Rs.300/- (Rupees three         Rehabilitation                hundred only)         (Upper and Lower Jaw)     (b)  Single complete denture       Rs.150/- (Rupees one         prosthesis against natural    hundred and fifty only)         detention (only upper         Lower Jaw)     (c)  Bilateral Partial edentulous  Rs.50/- (Rupees fifty         condition Glass-I             only)         (Replacement of single teeth)     (d)  Crown- acrylic JC/Dowel       Rs.50/- (Rupees fifty         Dowel Crown                   only) 

    (e)  Crown Porcelain.              Rs.150/- (Rupees one                                       hundred and fifty only) 5.    Necessary  order  amending the  Andhra  Pradesh  IntegratedMedical  Attendance  Rules, 1972 in this regard  will  be  issuedseparately. 14.  Medical  Attendance  to State Government  employees  at  SriVenkateswara  Institute  of  Medical  Sciences,  Tirupathi   witheligibility for reimbursement / medical advance - Orders - Issued        (G.O.Ms.No. 544, H.M. & F.W. Dept., Dt. 9-11-1993) Ref. :- 1.  G.O.Ms.No. 445, H.M. & F.W. Dept., Dt.  19-7-1991.         2.   G.O.Ms.No. 184, H.M. & F.W. Dept., Dt. 2-4-1992.         3.   G.O.Ms.No. 86, Fin. & Pig. (FW) Dept., Dt.  1-6-1992. Order :-The medical attendance to State Government employees  andtheir  dependent family members is governed by the provisions  ofAndhra  Pradesh Medical Attendance Rules, 1972. As an  additionalfacility  orders were issued in the Government Orders first  readabove  allowing them to obtain treatment at Nizam's Institute  ofMedical  Sciences  directly without reference  in  the  followingmedical  situations  with eligibility for  reimbursement  of  theadmissible expenditure therefore or for advance with reference tothe  estimate  furnished  by the  Nizam's  Institute  of  MedicalSciences subject to the monetary ceiling fixed by the  Governmentfrom time to time. (a)   Acute Mycardinal Infraction (Cardiology Department) (b)  Acute Renal Failure (Nephrology Department) (c)    Severe  cases  of Head and  Spinal  injury  (Neuro-surgeryDepartment) (d)  Cases of Coma (Neurology Department) In  all  other cases also the facility of treatment for  them  atNizam's"  Institute  of  Medical Sciences  with  eligibility  forreimbursement  or advance is made available subject to  referenceto  that  Institute by a Specialist Head of the Department  of  ateaching  hospital  and  subject  to  the  monetary  ceiling   asmentioned  above. Orders have also been issued in the  GovernmentOrder  third  read  above  delegating  powers  to  the  Heads  ofDepartments  for  the sanction of advances  within  the  monetaryceiling  for  the  treatment  at  Nizam's  Institute  of  MedicalSciences as indicated above. 2. In quite a number of cases the employees working in the borderdistricts  of  Nellore,  Chittoor  and  Cuddapah  are   obtainingtreatment in neighbouring States and coming up with requests  forreimbursement.  Each of these cases are being examined on  meritsand  such  of those cases, where the required  treatment  is  notavailable  in State Government Hospitals within the area  of  the

State,  a liberal view is being taken and such claims  are  beingallowed  in relaxation of rules on compassionate grounds in  viewof the distance involved in coming to State capital. 3.   Now  the Super Speciality Hospital, viz.,  Sri  VenkateswaraInstitute  of Medical Sciences, Tirupathi,  financed by  TirumalaTirupathi Devasthanam, has commenced functioning at Tirupathi  asa Society with the following specialities : 1.  Cardiology 2.  Cardio Thoracic Surgery 3.  Neurology 4.  Urology 5.  Nephrology 6.  Endocronology The  President, Andhra Pradesh Non-Gazetted Officers  Associationin  his  representation  fourth  read  above  has  requested  foraccording  permission  for treatment at this  institution  as  atNizam's Institute of Medical Sciences, Hyderabad. 4.   Government have reviewed the matter including the policy  asmentioned  in  para  2 above and hereby extend  the  facility  oftreatment  at  Sri Venkateswara Institute  of  Medical  Sciences,Tirupathi  to all those who are eligible for  Medical  Attendanceunder Andhra Pradesh Integrated Madical Attendance Rules, 1972 onthe  same  lines  as  applicable for  the  treatment  at  Nizam'sInstitute   of   Medical  Sciences,   Hyderabad   including   theeligibility  for  advance. Simultaneously, Government  have  alsodecided  not  to allow relaxation of  Andhra  Pradesh  IntegratedMedical  Attendance Rules, 1972/Orders in the cases of  the  typementioned in para 2 above with immediate effect. 5.   These orders will have prospective effect from the  date  ofissue of this orders. 15.  Medical Attendance facilities of admission and treatment  tothe  Pensioners  and  their  dependants  in  Super   SpecialitiesHospitals at Nizam's Institute of Medical Sciences, Hyderabad andSri  Venkateswara Institute of Medical Sciences,  Tirupathi  witheligibility for reimbursement/medical advance - Orders - Issued         (G.O.Ms.No. 579, H.M. & F.W. Dept, Dt. 1-12-1993) Ref. :- 1.   G.O.Ms.No. 401, H.M. & F.W. Dept., Dt. 25-6-1991.         2.  G.O.Ms.No. 445, H.M. & F.W. Dept, Dt. 19-7-1991.         3.  G.O.Ms.No.  184, H.M. & F.W. Dept, Dt. 2-4-1992.         4.  G.O.Ms.No. 86, Fin. & Pig. (FW) Dept, Dt.  1-6-1992. 

        5.  G.O.Ms.No. 544, H.M. & F.W. Dept, Dt. 9-11-1993.         6.  From   the  President,   State   Govt.   Pensioners            Association, Dt. 16-7-93. Order  :-Orders were issued in the Government order  second  readabove  allowing  the  government employees  and  their  dependantfamily  members  to  obtain treatment  at  Nizam's  Institute  ofMedical  Sciences,  Hyderabad directly without reference  in  thefollowing  medical situations with eligibility for  reimbursementof  the  admissible  expenditure therefor  or  for  advance  withreference  to the estimate furnished by the Nizam's Institute  ofMedical  Sciences,  subject  to the  monetary  ceiling  fixed  byGovernment from time to time : (a)  Acute Mycardial Infraction (Cardiology Department) (b)  Acute Renal Failure (Nephrology Department) (c)    Severe  cases  of head and  spinal  injury  (Neuro-SurgeryDepartment) (d)  Cases of Coma (Neurology Department). In  all  other cases also the facility of treatment for  them  atNizam's  Institute  of  Medical Sciences,  with  eligibility  forreimbursement or advances is made available subject to  referenceof  the  patient to that Institute by a  Specialist/Head  of  theDepartment  of  a teaching Hospital and subject to  the  monetaryceiling  as mentioned above. Orders have also been issued in  theGovernment Order fourth read above delegating powers to the Headsof  Departments for the sanction of advances within the  monetaryceiling  for  the  treatment  at  Nizam's  Institute  of  MedicalSciences, Hyderabad as indicated above. 2.   In  the  G.O.  fifth read  above  orders  have  been  issuedextending the facility of treatment at Sri Venkateswara Instituteof Medical Sciences, Tirupathi to all those who are eligible  formedical  attendance  under  Andhra  Pradesh  Integrated   MedicalAttendance  Rules, 1972 on the same lines as applicable  for  thetreatment  at  Nizam's Institute of Medical  Sciences,  Hyderabadincluding the eligibility for advance. 3.   In  respect  of State Government  Pensioners,   orders  wereissued  in  the Government order first read above to  the  effectthat  medical  treatment  be provided  at  Nizam's  Institute  ofMedical  Sciences, Hyderabad to the retired Government  employeesand their dependants on par with serving Government employees whosuffer with serious ailments of the Heart, Kidney, Brain,  Canceror  any  other disease or surgery for which  facilities  are  notavailable  in any of the teaching hospitals in the State and  forreimbursement of the cost of the treatment including  consumablesand  disposables  and medicines direct to  Nizam's  Institute  ofMedical Sciences, Hyderabad subject to however to a maximum limitof  Rs.  40,000/-  (Rs.  Forty thousand  only)  or  as  fixed  byGovernment from time to time as in the case of serving Governmentemployees. It was also ordered therein that the Nizam's Institute

of  Medical  Sciences,  Hyderabad shall take  up  cases  only  onauthorisation  by  Authorised Medical Attendant of  any  teachinghospitals as in the cases of serving Government employees. 4.   The  President  State  Government  Pensioner's  Association,Hyderabad in his representation sixth read above, has stated thatthe  pensioners  are  facing  difficulties  on  account  of   thecumbersomeness  of  the  existing procedure  and  they  are  alsoexperiencing delays in the referral of emergency cases to Nizam'sInstitute   of  Medical  Sciences,  Hyderabad  by  the   teachingHospitals.  He has therefore requested to issue orders  extendingthe  concessions  and facilities provided to  serving  Governmentemployees in G.O.Ms.No. 445, Health, Medical and Family  Welfare,Department  dated  19-7-1991  and  G.O.Ms.No.  86,  Finance   andPlanning  (FW)  Department  dated 1-6-1992  to  State  GovernmentPensioners.  Further, he has also requested that  the  Pensionersand their dependants in Rayalaseema Region and Nellore  Districtsmay  be  permitted to obtain treatment at  the  Super  SpecialityHospital, Tirupathi on the analogy of the procedure laid down  inrespect of Nizam' Institute of Medical Sciences, Hyderabad. 5.  After careful examination, the Government here by extend  thefacility  of treatment at Nizam's Institute of Medical  Sciences,Hyderabad  and  Sri Venkateswara Institute  of  Medial  Sciences,Tirupathi to the State Government Pensioners and their  dependentFamily member on the lines similar to those provided for  servingGovernment  employees  and  their  dependant  family  members  asdetailed  in  paras  first and second read  above  including  thefacility  of  advance  to the extent of  ceiling  amount  of  Rs.50,000/ - as per G.O. fourth read above. 16.   Sanction  of  Medical Advance  to  Government  employees  -Reimbursement  for  treatment, etc., for second time -  Orders  -Issued        (G.O.Ms.No. 223, H.M. & F.W. Dept., Dt. 23-4-1994) Ref.  :- 1.  G.O.Ms.No.  170, M&H, Dt.  14-3-1985.          2.  G.O.Ms.No. 281, H.M. & F.W. Dept., Dt.  1-5-1989.          3.  G.O.Ms.No.  184, H.M. & F.W. Dept., Dt. 2-4-1992. Order  :-Orders  were issued in the Government  orders  2nd  readabove  fixing ceiling of reimbursement amount for  the  treatmentobtained  inside or outside India as Rs.  40,000/-.  Subsequentlyorders  were  issued  in  the Government  order  3rd  read  aboveincreasing  the ceiling of reimbursable amount from Rs.  40,0007-to 50,000/-. 2.   The issue as to how the ceiling is applicable to  Governmentofficials  was examined earlier and it was decided that  it  willapply  to  the  entire  treatment of  an  ailment  including  theexpenditure towards tests and examination, operations if any  andfor post operative treatment whatever may be the duration of  thetreatment.  Subsequently  this  decision  was  again  revised  inconsultation with Finance and Planning (FW) Department  regarding

the  applicability  of ceiling for each spent  in  treatment  andwhether the employees can be allowed reimbursement or advance, asthe  case  may  be,  according,  to  rules  for  the  second  andsubsequent operations even including the operations for the  sameailments. 3.   The Government, therefore hereby order that  the  Governmentofficials  shall be allowed reimbursement or advance as the  casemay  be  according  to  rules  for  the  second  and   subsequentoperations even including the operations for the same ailments. 17.  Medical treatment of Govt. employees/retired  employees  andtheir  dependents - Reimbursement of expenditure -  Treatment  inprivate hospitals within the State and outside the State - Orders- Issued      (G.O.Ms.No. 38, H.M. & F.W. (Kl) Dept., Dt. 23-1-1996) Ref.  :- 1.   G.O.Ms.No. 609, HM & FW, Dt. 21-11-1988.          2.  G.O.Ms.No. 445, HM & FW, Dt. 19-7-1991.          3.  G.O.Ms.No.  184, HM & FW, Dt. 2-4-1993.          4.  G.O.Ms.No. 544, HM & FW, Dt. 9-11-19893.          5.  G.O.Ms-No. 579, HM & FW, Dt.  1-12-1993.          6.  From the D.M.E. Lr.Rc.No. 20739/MA.A/94,  Dt.  9-2-             1995. Order :-The Pay Revision Commission has made certain observationsin  regard to the medical facilities to the Government  employeesand retired employees and their dependents in teaching  hospitalsand  also private hospitals within the State as well  as  outsidethe State. 2.   The Government have constituted a Committee to go  into  therecommendations  of  the  Pay  Revision  Commission  and   submitsuggestions/recommendations.  The  said committee  suggested  thefollowing recommendations : (i)  that the existing system of reference of teaching  hospitalsshall be continued. (ii)  that they have reiterated the recommendations made in  1986to  extend the facility of wellknown hospitals outside the  Statealso. (iii)  the maximum ceiling of Rs. 50,000/- may be  continued  andthe same could be reviewed periodically. In respect of  treatmentin  hospitals  outside  the  State with  the  permission  of  theGovernment  the  bills  may be settled  subject  to  scrutiny  bydirector  of  Medical  Education regarding  entitlements  of  theofficials who undergo treatment in such hospitals. (iv)  Even  in  respect of twin cities  also,  where  specialised

treatment  is  available only in private hospitals which  is  notavailable in Government hospitals, the employees may be given thebenefit  of  treatment  in  such  hospitals  subject  to  paymentaccording  to the entitlements and within the ceiling subject  toscrutiny of bills by the Director of Medical Education. (v)  In  respect  of suggestions at items  (ii)  to  (iv)  above,reference      from     Superintendent     of     a      teachinghospital/Superintendent   of  District  Headquarters   hospitals,except  in respect of cases like "Acute Mycordial Infraction"  asmay be specified, shall be necessary. 3.   The above recommendations have been sent to the Director  ofMedical  Education for his remarks and to suggest  the  hospitalswhich  could be recognised for purposes  of  reimbursement.   TheDirector of Medical Education considering  the recommendations ofthe  High Power Committee has submitted proposals to  Government.After  careful  consideration  of  the  recommendations  of   theDirector  of  Medical  Education, Government  hereby  permit  theemployees  both  serving and retired to secure treatment  in  theprivate hospitals both within and outside the State. 4.   Under Rule 7 of the AP.I.M.A. Rules 1972  Government  herebyrecognised the following Private Hospitals within and outside theState   for  treatment  to  the  Government  employees,   retiredemployees and their dependents. I.  Private Hospitals within the State : 1.  Appollo Hospital, Hyderabad. 2.  Medwin Hospital, Hyderabad 3.  C.D.R. Hospital, Hyderabad. 4.  Mediciti Centre, Hyderabad. 5.  Satya Kidney Centre, Hyderabad. 6.  Seven Hills Hospitals, Visakhapatnam. 7.   Kamineni Hospitals Limited, L.B. Nagar, Hyderabad. 8.   Sree   Padmvathi  Orthopaedic  &  Surgical   Nursing   Home,     Himayatnagar, Hyderabad-29. 9.   Durga Bai Deshmukh Hospital and Research Centre, Hyderabad. 10.  Bibi General Hospital and Cancer Centre 11.  Citi Cardiac Research Centre, Vijayawada. 12.  Owaisi Hospital, Hyderabad. 13.  L.V. Prasad Eye Institute, Hyderabad. 14.  Mahavir Hospital, Hyderabad.

 15.  Yashoda Super Speciality Hospital, Malakpet, Hyderabad 16.  Usha Cardiac Centre, Hyderabad. 17.  Care Hospital, Hyderabad.] 18.  Swatantra Hospitals, Rajahmundry. 19.  Indo-American  Cancer  Institute  and   Research   Centre,     Hyderabad.     [G.O. Ms. No. 133, HM & FW, Dt. 9-4-2001] 20.  Aware Hospital, Hyderabad.                     [G.O.Ms.No. 328, HM & FW, Dt. 23-08-2001] 21.  Mytri Multi Speciality Hospitals, Hyderabad.                     [G.O.Ms.No. 329, HM & FW, Dt. 23-08-2001] 22.  Image Hospitals, Hyderabad.                     [G.O.Ms.No. 462, HM & FW, Dt.  11-12-2001] 23.   Pratima Institute of Medical Sciences, Nagunur, Karimnagar.                      [G.O.Ms.No. 36, HM & FW, Dt. 13-02-2002] Private Hospitals Out-side State : 1.  Apollo Hospitals, Madras. 2.  Sankar Netralaya, Madras. 3.  Adayar Cancer Centre, Madras. 4.  Vijaya Hospital, Vijaya Heart Foundation, Chennai. 5.  C.M.C., Vellore. 6.  N.I.M.H.A.N.R., Bangalore. 7.  Kidwai Memoral Cancer Hospital, Bangalore. 8.  Tata Memorial Cancer Hospital, Bangalore. 5.  The above Private Hospitals both within the State and outsidethe State shall be regarded as referral hospitals subject to  thefollowing conditions : (a)   The above private hospitals will be referral hospitals  forall  types of cases including Acute Mycordial Infracture ;  AcuteCoronary  Disease, Acute Renal Failure; Severe cases of Head  andSpinal Injury and cases of Coma. (b)   Referral of patients to the above private hospitals  shouldbe  from  the  Director, Nizam  Institute  of  Medical  Sciences,

Hyderabad/Sri   Venkateswara  Institute  of   Medical   Sciences,Tirupathi in respect of above cases, only on a Certificate  givenby   the  Director,  Nizam's  Institute  of   Medical   Sciences,Hyderabad/Director,   Sri  Venkateswara  Institute   of   MedicalSciences,  Tirupathi  stating that Nizam's Institute  of  MedicalSciences/ Sri Venkateswara Institute of Medical Science will  notbe able to cope with the work load in the interest of the  healthof  the  patient  such  a  reference  to  Private  Hospitals   isessential. (c)   The  referring  hospitals  should  ensure  that  facilitiesavailable  in  those hospitals are fully utilised  in  the  firstinstance. 6.   The  ceiling of Rs. 50,0007- (Rupees  Fifty  thousand  only)fixed  by  the Govt. vide G.O.Ms.No. 184,  Health,   Medical  andFamily Welfare,  dated 2-4-1992  for reimbursement to  Governmentemployees including pensioners will be continued. 7.   In respect of treatment in the above Private Hospitals  withprior permission, the bills may be settled subject to scrutiny byDirector of Medical Educational about the entitlement. 18.  Medical Treatment of Government/Retired Employees and  theirdependants -Re-imbursement of Expenditure - Treatment in  Privaterecognised Hospitals within and outside the State - Admissibilityof  Medical Expenditure, with 20% Cut on eligible amount  withoutreferral   from   Nizam's   Institute   of   Medical    Sciences,Hyderabad/Sri   Venkateshwara  Institute  of  Medical   Sciences,Tirupathi in cases of emergencies - Orders - Issued     (G.O.Ms.No.  175, H.M. & F.W. (Kl) Dept., Dt. 28-5-1997) Ref. :- 1.  G.O.Ms.No. 38, HM & FW, Dt. 23-1-1996.         2.  G.O.Ms.No. 258, HM & FW, Dt. 15-6-1996.         3.  From    the   President,   APNGO's    Association,            Representation   dated 22-3-1996 and representation            from  certain service Associations.         4.  From Dir. of Medical Edn., Lr. No. (RC) 3773/MA.A/96,            Dt. 9-10-1996. Order  :-In the Government orders 1st and 2nd read  above  orderswere  issued  permitting  the State  Government  Employees,  bothserving  and  retired to secure treatment  in  Private  Hospitalswithin and outside the State indicating therein that under Rule 7of the Andhra Pradesh Integrated Medical Attendance Rules,  1972,on a reference made by Nizam's Institute of Medical  Sciences/SriVenkateshwara Institute of Medical Sciences. 2.   In  the  reference 3rd read above the  Andhra  Pradesh  Non-Gazetted Officer Association and some other Service  Associationsrepresented  that the orders issued in the Government Orders  1stand 2nd read above are not beneficial to the employees because ofthe  condition  that  the  employee  has  to  obtain  a  referral

certificate from Nizam's Institute of Medical Sciences, Tirupathito get treatment in Super Speciality Hospitals within or  outsidethe State and requested that this stipulation be omitted. 3.   It  has  been  observed that a number  of  cases  are  beingreferred  to  Government  for relaxation of  the  Andhra  PradeshIntegrated Medical Attendance Rules, 1972 when the treatment  hasbeen obtained directly at the Private Hospitals without  referralfrom   Nizam's  Institute  of  Medical  Sciences,   Hyderabad/SriVenkateshwara Institute of Medical Sciences, Tirupathi in view ofthe serious nature of the patient and lack of sufficient time  toobtain such referral letter from the hospitals stated above. 4.   After  careful consideration of this issue  in  consultationwith  the  Director  of Medical Education,  the  Government  havedecided to permit employees both serving and retired and also  totheir  dependants, to secure treatment in the  Private  Hospitalsrecognised in the Government Orders 1 st and 2nd read above, whenthe case is serious which required immediate treatment and  thereis  no  sufficient  time  to get  referral  letter  from  Nizam'sInstitute   of  Medical  Sciences,   Hyderabad/Sri   VenkateswaraInstitute  of  Medical  Sciences, Tirupathi.  All  the  competentauthorities are therefore permitted to sanction reimbursement  ofMedical   expenses  for  the  treatment  in   Private   Hospitalsrecognised in the Government Orders 1st and 2nd read above  aftersatisfying  themselves  that  the patient  was  admitted  in  thehospital  in   a very serious condition and it was  an  emergencycase  and there was no sufficient time to obtain referral  letterfrom   Nizam's  Institute  of  Medical  Sciences,   Hyderabad/SriVenkateswara   Institute  of  Medical  Sciences,  Tirupathi,   ifnecessary after obtaining a certificate from the hospital to thateffect  and after obtaining copy of the case sheet. In  all  suchcases of the treatment without referral letter, a 20% cut has  tobe  imposed  on  the  eligible amount  after  getting  the  billsscrutinised by the Director of Medical Education, Hyderabad. 5.   All  the  Departments  of  Secretariat  and  all  Heads   ofDepartments are also informed that such cases covered under  para4  above  need not be referred for relaxation and  the  authoritycompetent to sanction the medical reimbursement can sanction suchreimbursement  in the above cases also. In all other cases  wherethe  competent  authority though not satisfied with  the  allegedseriousness of the condition of the patient, but when the patienthas obtained treatment at a private hospital directly on his  ownchoice  shall be referred to Government for relaxation  when  theHeads  of  Departments consider that there is genuine  cause  foranxiety and recommend for relaxation. 6.   All  Departments  of  the  Secretariat  and  all  Heads   ofDepartments  are  informed that the rejected cases shall  not  bereopened and the cases pending as on the date of this order  withthe  concerned  competent authorities may be disposed of  as  perabove order. 19. Medical Attendance to Government Employees/Retired  Employees-Reimbursement  of treatment etc. incurred - Raising  of  maximumceiling from Rs. 50,000 to Rs. 75,000/- - Orders - Issued.

    (G.O. Ms. No. 161, H. M & F.W (Kl) Dept, dated 05-05-2000) Ref. :- 1.  G.O. Ms. No. 170, M & H, Dept., dated 14-03-1985.         2.   G.O. Ms. No. 281, H. M & F.W, Dept, dated 01-05-1989.         3.   G.O. Ms. No. 184, H. M & F.W (Kl), Dept, dated  02-             04-1992. Order  :-Orders  were issued in the Government Order  third  readabove,  fixing  the maximum limit at Rs. 50,0007-  (Rupees  fiftythousands only) to Government employees towards reimbursement  ofexpenses  incurred by them on medical treatment, subject  to  theconditions specified therein. 2.  The President, A.P. Retired Government Employees  Associationand  Andhra  Pradesh Non-Gazetted Officers Association  in  theirrepresentations  fourth and fifth read above, have requested  theGovernment  to  enhance  the ceiling from  Rs.  50,0007-  to  Rs.1,50,000/-  since the cost of treatment is  invariably  exceedingRs. 50,000/-. 3.  The Pay Revision Commission, 1999 has recommended to  enhancethe  ceiling  limit  from  Rs.  50,000/-  to  Rs.  75,000/-   forreimbursement  of  the  medical  expenses  to  State   Governmentemployees. 4.   Government  after careful examination of  the  matter,  havedecided that the maximum ceiling of Rs. 50,0007- reimbursable  toGovernment  employees/  Retired employes  and  their  dependents,towards reimbursement of medical expenditure shall be raised fromRs. 50,0007- to Rs. 75,0007- (Rupees seventy five thousand  only)subject to the conditions existing now. Any expenditure in excessof  the enhanced ceiling limit of Rs. 75,0007- shall  however  beborne  by  the Government employees/Retired Employees  and  theirdependents  themselves. However, the procedure of requirement  ofreferral  letter  by  NIMS  or  SVIMS  to  obtain  treatment   inrecognised private hospitals shall be continued. 20.  Certain guidelines for referral of Insured Persons and theirbeneficiaries  and  reimbursement  of medical bills  -  Orders  -Issued.   (G.O. Ms. No. 117, HM & FW(Q2) Department, dated 27-03-2000) Note :-This Order is printed at page 237 of this book. 21.  Reimbursement  of expenditure for the treatment  at  privaterecognised  hospitals  within  and  outside  the  State  and   atGovernment  Hospitals  - Imposing of 20% cut  on  the  admissibleamount  - Scrutiny of bills by Director of Medical Education  andby the Superintendents of Government Hospitals - Orders - Issued.  (G.O. Ms. No. 373, H. M. & F. W. (Kl) Dept., dated 20-10-2000) Note :-This Order is printed at page 239 of this book.

 22.  Recognition  of A.P. Super Speciality  Dental  Hospitals  asReferral  Hospitals  for the treatment of  Government  employees,retired  employees  and  their  dependents  -  Reimbursement   ofexpenditure - Orders - Issued.   (G.O. Ms. No. 38, H. M. & F. W. (Kl) Dept., dated 24-01-2001) Note :-This Order is printed at page 240 of this book. 23. Nizam's Institute of Medical Sciences - Medical treatment  ofState   Government   Employees,  Retired  Employees   and   theirDependents  -  Reimbursement  of  Expenditure  for  all  diseaseswithout referral letter, etc. - Orders - Issued.    (G.O. Ms. No. 134, HM. & F.W. (Kl) Dept, dated 09-04-2001) Note :-This Order is printed at page 241 of this book.