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201
vè;k; &X
fpfdRlk
Chapter - X Medical
202
vè;k; & X
fpfdRlk
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky; dh
vyx bdkbZ o
LOkkLF; bdkbZ o
LokLF; bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-01 jsy lsod vFkok mlds vkfJr ds
fo'ks"k izdkj ds jksx dh xEHkhjrk
ds dkj.k ljdkjh lsokjr fo'ks"kKksa
vFkok vU; fpfdRlk vf/kdkfj;ksa
ls ijke'kZ gsrq tgkW ,sls ijke'kZ
vko';d le>s tk;sa] 'kqYd] ;k=k
HkRrk ,oa QqVdj izHkkjksa ds Hkqxrku
dh Loh—frA
jsyos cksMZ dk
i=kad 74&bZ
ch@3000 fnukad
14 tuojh 1975
iw.kZ vf/kdkj iw.kZ
vf/kdkj
dqN ugha dqN ugha iw.kZ vf/kdkj izR;sd
ekeys esa :-
750@&
rd iw.kZ
vf/kdkj
izR;sd ekeys
esa :- 500@&
rd iw.kZ
vf/kdkj
izR;sd ekeys esa
:- 100@& rd
iw.kZ vf/kdkj
fVIi.kh 10-01 %
¼1½ jksfx;ksa dks mu fo'ks"kKksa@fpfdRldksa tks ljdkjh lsok esa ugha gSa ds ikl ,oa @vFkok jsy }kjk lsfor LFkyksa ds ckgj
ugha Hkstk tk;sxkA
10-02 jsyos fpfdRlky;ksa esa i;kZIr
lqfo/kk;sa miyC/k u gksus ij
laØked jksxksa ls xzflr jsy lsod
,oa muds ifjokjksa ds mipkj gsrq
lnj fpfdRlky; ds izHkkj ds
Hkqxrku dh Loh—frA
643&Hkk0js0fp0fu0 iw.kZ vf/kdkj iw.kZ
vf/kdkj
dqN ugha dqN ugha iw.kZ vf/kdkj dqN ugha izR;sd ekeys
esa :- 500@&
rd iw.kZ
vf/kdkj
izR;sd ekeys esa
:- 200 rd
iw.kZ vf/kdkj
fVIi.kh 10-02 %
mipkj dk rkRi;Z Hkk-js-fp-fu- ds 601&3 ¼,½ ds vUrxZr of.kZr lHkh fpfdRldh; ,oa 'kY; fpfdRldh; ,oa 'kY;
fpfdRldh; lqfo/kkvksa ls gSA
10-03 varjax jksxh ds :i esa jsyos
fpfdRlky;ksa esa mipkjk/khu jsy
deZpkfj;ksa ,oa foiUu ;kf=;ksa rFkk
vfrpkfj;ksa gsrq fu%'kqYd vkgkj dh
Loh—frA
641&Hkk0js0fp0fu0 vuqes; lhek rd
iw.kZ vf/kdkj
vuqes;
lhek rd
iw.kZ
vf/kdkj
dqN ugha dqN ugha eajsiz gsrq dqN
ugha A ofj-iz'kk-
osek-@fpfdRlk
gsrq dkye 4 ds
vuqlkj vuqes;
lhek rd iw.kZ
vf/kdkj
dqN ugha dkye 4 ds
vuqlkj
dqN ugha
203
Item No. Nature of Powe r Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale
DRM/ SAG of
Medical deptt. ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital & HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of Hospital & HU
1 2 3 4 5 6 7 8 9 10 11 10.01 To sanction payment of
fees, TA and other contingent charges to specialists or other medical officers in the service of Government for consultation where such consultation is considered necessary due to seriousness of special nature of the disease for the railway servant or his dependent.
Rly. Bd.'s letter no.
74- EB/3000 dt.14.01.75 Full power Full power Nil Nil Full power
Full power upto
Rs.750/- in each case
Full power upto Rs.500/- in each
case
Full power upto Rs.100/- in each case
Note: Patient should not be referred to specialists/doctors not in Government service and/or from outside the place served by the Railway.
10.02 To sanction payment of charges to Civil Hospital for treatment of Railway servant and their families suffering from infectious diseases when adequate facilities are not available in Railway Hospital.
643-IRMM
Full power Full power Nil Nil Full power Nil Full power upto Rs.500/- in each
case
Full power upto Rs.200/- in each case
Note: Treatment means the use of all medical and surgical facilities enumerated under (601-3(A) of IRMM).
10.03 To sanction free diet to eligible Railway employees and indigent passengers and trespassers under-going treatment in Railway hospitals as indoor patients
641-IRMM
Full power upto the extent
permissible
Full power upto the extent
permissible
Nil Nil
DRM – Nil SAG/Medical - full Power upto
the extent permissible as
in col.4
Nil Same as in col.4 Nil
204
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk- osrueku
¼fpfdRlky; dh vyx
bdkbZ o LOkkLF; bdkbZ
o LokLF; bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-04 fu/kkZfjr izHkkjksa dh olwyh dh 'krZ
ij xSj jsyos jksfx;ksa dks jsyos
fpfdRlky;ksa esa vkikfrd ekeys
ds :i esa HkrhZ djuk
622&Hkk0js0fp0fu0 iw.kZ vf/kdkj iw.kZ
vf/kdkj
iw.kZ
vf/kdkj
dqN ugha eajsiz gsrq dqN
ugha ofj-iz'kk-
osek-@fpfdRlk
gsrq iw.kZ vf/kdkj
dqN
ugha
iw.kZ vf/kdkj iw.kZ vf/kdkj
fVIi.kh 10-04 %
vkikr dkfyd ekeyksa esa fpfdRlk funs'kd eqfpf/k foiUu ;kf=;ksa@vfrpkfj;ksa ds chekj gksus ij visf{kr rRdky fpfdRlk ds
lEcU/k esa izfrjksxh :- 2000@& rd ds fpfdRlky; izHkkjksa dh olwyh dh NwV ns ldrs gSaA
10-05 izkkf/kdr fpfdRlk vf/kdkjh ,oa iwoZ
ds vf/kdkjh ds ijke’kZ ls
fpfdRlky; esa Hksts x;s jsyos
lsod@vkjbZ,y,p,l 97 ,oa
muds ifjokj ds lnL;ksa ds islesdj
lfgr mipkj ds fy, fpfdRlk O;;
dh izfriwfrZ dh Loh—fr
(v)
lkekU; ifjfLFkfr;ksa esa tc
izkf/kdr jsyos esfMdy fpfdRld
}kjk jsQj fd;k tk, vkSj mlds
iwoZ mlls ijke'kZ fy;k gksA
¼1½ js0cks0 dk fn0
17-08-09 dk i=
la0- 2005/,p/6-4/ikfylh
¼2½ js0cks0 dk fn0
30-09-11 dk i=
la0- 2011/,p/6-4@ikfylh-1
iw.kZ vf/kdkj iw.kZ
vf/kdkj
dqN ugha dqN ugha iw.kZ vf/kdkj iw.kZ
vf/kdkj
:. 30,000/- rd dqN ugha
uksV: 1. dkWye 4 ,oa 5 esa ntZ vf/kdkj dsoy fpfdRlk foHkkx ds vf/kdkfj;ksa ds fy, gh gSA
2. dkWye 8 esa ntZ vf/kdkj ejsiz@vejsiz }kjk iz;ksx fd, tk,axs tgka fd fpfdRlk foHkkx ds dksbZ ,l,th vf/kdkjh
miyC/k ugha gksaxsA
(c)
fcuk esfMdy vf/kdkjh ds
leqfpr lanHkZ ds vkikrfLFkfr
esa fpfdRlk lsok izkIr djuk %
js- cks- dk fn-31-01-
07 ,oa 22.06.10 dk
i= la-2005 / ,p /6-4/ uhfr-AA fn-24-09-13 dk la-
2011/H/6-4/ uhfrA ,oa 08.07.15
(i) futh xSj ekU;rk izkIr
vLirky
eq. izk- v-/ fu- - izfr ekeyk
:. 4.0 yk[k rd
iw.kZ vf/kdkj a
dqN
ugha
dqN
ugha
dqN ugha izfr ekeyk :. 25,000/- fcuk fdlh okf"kZd
lhfyzax lhek
dsA
dqN
ugha
dqN ugha dqN ugha
205
Item No. Nature of Power Authority
Extent of Powers Zonal hospitals/Divisional Officers Divisional / Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital & HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of
Hospital & HU
1 2 3 4 5 6 7 8 9 10 11 10.04 To admit non-railway
patients in the Railway Hospitals in emergent cases subject to recovery of prescribed charges.
622- IRMM Full power
Full power
Full power
Nil Nil for DRM Full power for SAG/Medical
Nil Full power Full power
Note: In emergent cases MD/CMS may waive recovery of hospital charges upto Rs.2000/- per patient in respect of indigent passengers /trespassers taken ill requiring immediate medical attendance.
10.05
(a)
(b)
To sanction reimbursement of medical expenses for treatment including pacemaker of railway servants / RELHS-97 and members of their families.
Under normal circumstances when referred by authorized Railway Medical officer and precede in accordance with his/her advice.
Rly. Bd. letters no. 2011/ H/6-4/ Policy-1 dt.30.9.2011, 2005/H/ 6-4/Policy dated 17.08.09
Full power
Full power
Nil Nil Full power Full power Upto Rs.30,000/- Nil
Note: 1. Powers as indicated in column 4 & 5 are for officers of Medical department only. 2. DRM/ADRM will exercise these powers as indicated in column 8 where no SAG Officer of medical department is available.
For treatment taken in emergency without proper reference by authorized Railway Medical Officer:
Rly. Bd. letter no. 2005/H/6-4 /Policy-II dated 31.01.07 & 22.06.10, 2011/H/6-4/ Policy-I dated 24.09.13 & 08.07.15
(i) Private non-recognized hospitals
CAO/Con. –
Full power
upto Rs. 4 lakh
per case
Nil Nil Nil Rs.25,000/- per case without any
annual ceiling limit
Nil Nil Nil
206
Ekn laaa- vf/kdkjksa dk izdkj izkf/kdkj
izR;k;ksftr 'kfDr;ksa dh lhek;sa
{ks=h; [email protected]; vf/kdkjh e.Myh; vf/kdkjh/dkj[kkuk vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk- osrueku
¼fpfdRlky; dh vyx
bdkbZ o LOkkLF; bdkbZ o
LokLF; bdkbZ ds izHkkjh½
ofj- osrueku
dfu- osrueku fpfd- dh vyx
bZdkbZ ,oa Lok- bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10.05 (c)
(ii) ,vkbZ,e,l]
,uvkbZ,e,l ¼gSnjkckn½ tSls
Lok;Rr fudk; ds vLirky ]
tks iwjh rjg ljdkjh fuf/k ls
iksf"kr gSa fdUrq mUgsa iz’kklfud
mn~ns’;ksa gsrq Lok;Rrrk iznRr gS ]
lfgr] ljdkjh vLirkyksa esaA
dqN ugha dqN ugha dqN
ugha
dqN ugha izfr ekeyk :. 50,000/- fcuk fdlh okf"kZd
lhfyzax lhek
dsA
dqN
ugha
dqN ugha dqN ugha
uksV : izkf/kdr fpfdRlkf/kdkjh ds leqfpr vfHkfunsZ’k ds fcuk vkikrfLFkfr esa djkbZ xbZ fpfdRlk ds O;; dh izfriwfrZ dk
vf/kdkj %
(i) ,vkbZ,e,l] ,uvkbZ,e,l ¼gSnjkckn½ tSls Lok;Rr fudk; ds vLirky ] tks iwjh rjg ljdkjh fuf/k ls iksf"kr
gSa fdUrq mUgsa iz’kklfud mn~ns’;ksa gsrq Lok;Rrrk iznRr gS ] lfgr] ljdkjh vLirkyksa dks iw.kZ vf/kdkjA dsoy
egkizcU/kd }kjk ¼mDr vf/kdkj dk½ iz;ksx fd;k tk,xk] ftls eqfpfu }kjk xgu tkWp fd;k tk,xk ,oa foleqysf/k
}kjk lgefr nh tk,xh A
(ii) xSj&ekU;rk izkIr futh vLirkyksa esa&izR;sd ekeys esa :-5 yk[k rd c’krZs fd rRlaca/kh fpfdRlk lqfo/kk u rks ljdkjh
vLirkyksa esa u gh ekU;rkizkIr futh vLirkyksa esa ekStwn gks ¼lanHkZ&vkbZvkj,e,e iSjk 648¼2½ ] jsyos cksMZ dk i= la-
2000/,p/6-4/ikfylh fnukad 15.01.04 ftls jsyos cksMZ ds i= la- 2007/,p/6-4/ikfylh&A fn- 26.11.2007. dsoy
egkizcU/kd }kjk ¼mDr vf/kdkj dk½ iz;ksx fd;k tk,xk] ftls eqfpfu }kjk xgu tkWp fd;k tk,xk ,oa foleqysf/k
}kjk lgefr nh tk,xh A
(iii) bl vf/kdkj dk iz;ksx egkizca/kd }kjk O;fDrxr :Ik ls fd;k tk,xk ftldh lh,eMh }kjk xgu tkap vkSj
foleqysf/k }kjk fof/kor~ lgefr nh tk,xhA
(iv) esfMdy O;; dh izfriwfrZ ds nkos ds fuiVkjs fy, ejsiz dks lg foRr dh lgefr ls vf/kdkj izR;k;ksftr fd, x, gSa aA
uksV : 1- ,dy pSEcj islesdj ds nkos ds ekeys esa ] nj izR;qRrj lfgr vFkok jfgr] Lohdk;Z izfriwfrZ jkf’k ¼islesdj ] yhM vkSj mi lk/ku ykxr ,oa lac) vLirky izHkkj lfgr ½ :- 1
yk[k ls vf/kd ugha gksxhA
2- ;qxy pSEcj islesdj ds nkos ds ekeys esa ] nj izR;qRrj lfgr vFkok jfgr] Lohdk;Z izfriwfrZ jkf’k ¼islesdj ] yhM vkSj mi lk/ku ykxr ,oa lac) vLirky izHkkj lfgr ½ :- 2
yk[k ls vf/kd ugha gksxhA
3- ckbZ&osfUVªdqyj islesdj ] ,dy ,oa ;qxy pSEcj bEIykUVscqy dkfMZ;ksoVZj fMfQfczysVj vkSj dkEcks fMokbl ds :-2 yk[k ls vf/kd ds fcy jsyos cksMZ dks Hksts tk,axs A
207
Item No. Nature of Power Authority
Extant og Powers Delegated to Zonal hospitals/Divisional Officers Divisional / Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital & HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of
Hospital & HU 1 2 3 4 5 6 7 8 9 10 11
10.05 (b)
(ii) In Government hospital including Autonomous body hospitals that are fully funded from Govt. funds but given autonomy for administrative purposes like AIIMS, NIMS (Hyderabad) etc.)
Nil Nil Nil Nil Rs.50,000/- per case without any annual ceiling limit
Nil Nil Nil
Note: 10.05 (b) Power for reimbursement of medical expenses for treatment taken in emergency without proper reference by authorized Medical Officer
i) Full power for Government hospitals including Autonomous body hospitals that are fully funded from Govt. funds but given autonomy for administrative purposes like AIIMS, NIMS (Hyderabad) etc. will be exercised only by GM, duly scrutinised by CMD and concurred by FA&CAO.
ii) In non-recognized private hospitals – upto Rs.5 lakh only in each case provided the treatment is neither available at govt. hospitals nor at recognized private hospital (Ref-IRMM Para 648(2), Rly Bd. letter no. 2000/H/6-4/Policy dated 15.01.04 read with Rly Bd. letter no. 2007/H/6-4/Policy I dated 26.11.2007 will be exercised only by GM, duly scrutinised by CMD and concurred by FA&CAO.
iii) The power for non-recognized private hospitals upto Rs 4 lakhs per case shall be exercised by CAO(Con.) personally duly scrutinised by CMD and concurred in by the FA&CAO.
iv) DRMs are delegated powers to settle the claims with the concurrence of their associate finance for reimbursement of medical expenses..
Note for 10.05:
1. In case of reimbursement claim with single chamber pacemaker with or without rate response, admissible reimbursable amount (including pacemaker, leads and accessories cost and all associated hospital charges) should not exceed Rs.1 lakh.
2. In case of reimbursement claim with dual chamber pacemaker, with or without rate response, the admissible reimbursable amount (including pacemaker, leads and accessories cost and all associated hospital charges) should not exceed Rs.2 lakh.
3. Bills for biventricular pacemakers, single and double chamber implantable cardioverter defibrillator and combo device, costing more than Rs.2 lakh may be referred to Railway Board.
208
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky; dh
vyx bdkbZ o
LOkkLF; bdkbZ o
LokLF; bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-06 jsyos fpfdRlky;ksa esa ykokfj'k 'koksa
ds fuLrkj.k ij O;;
izR;sd ekeysa esa
:- 2000@& rd
iw.kZ vf/kdkj
izR;sd
ekeys esa
:-
2000@&
rd iw.kZ
vf/kdkj
dyke 4 ds
vuqlkj
dqN ugha dkye 4 ds
vuqlkj
dkye 4 ds
vuqlkj
dkye 4 ds
vuqlkj
dkye 4 ds
vuqlkj
10-07 jsyos fpfdRlky;ksa gsrq tSlk
mi;qDr le>k tk,] ,sls migkjksa
dks ¼ fpfdRlk foHkkx dh vksj ls ½
Lohdkj djukA
iw.kZ vf/kdkj iw.kZ
vf/kdkj
iw.kZ
vf/kdkj
dqN ugha iw.kZ vf/kdkj iw.kZ vf/kdkj iw.kZ vf/kdkj iw.kZ vf/kdkj
10-08 tc jksxh okgu miyC/k u gks rksa
vkikrh ekeyksa esa chekj jsy
deZpkfj;ksa dks fpfdRlky;ksa esa ys
tkus ds fy, okgu izHkkjksa ij O;;
dh Loh—fr
601 ¼3½ ¼,½ Hkk-js-
fp-fu- fVIi.kh&3
iw.kZ vf/kdkj iw.kZ
vf/kdkj
iw.kZ
vf/kdkj
iw.kZ vf/kdkj iw.kZ vf/kdkj iw.kZ vf/kdkj iw.kZ vf/kdkj iw.kZ vf/kdkj
209
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD) SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital &
HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of
Hospital & HU
1 2 3 4 5 6 7 8 9 10 11 10.06 Expenses on
disposal of unclaimed dead bodies in Railway Hospitals
Full power upto Rs.2000/-
in each case
Full power upto Rs.2000/-
in each case
Same as in col.4
Nil Same as in col.4
Same as in col.4
Same as in col.4
Same as in col.4
10.07 Acceptance (on behalf of the Medical Deptt.) of such gifts for Railway Hospitals as are considered suitable
Full power Full power Full power Nil Full power Full power Full power Full power
10.08 To sanction expenditure on conveyance charges for removing sick railway employees to hospitals in emergent cases when ambulance is not available
601(3)(A) IRMM Note-3
Full power Full power Full power Full power
Full power Full power Full power Full power
210
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky; dh
vyx bdkbZ o
LOkkLF; bdkbZ o
LokLF; bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-09 ey ls Hkhxs lsusVjh Hk.Mkj dh
lkefxz;ksa dks vuqi;ksxh ?kksf"kr djuk
,oa u"V djuk gStk] pspd] dq"B
rFkk vU; laØked jksxxzLr jksfx;ksa
ls nwf"kr lHkh fyusu xfn~n;ksa dks
tykuk rFkk vU; jn~nh lkefxz;ksa
tSls LysV ds VqdM+s] VwVs tkj] dkap]
lhfjat] FkeksZa Dyhfudy ehVj MªkbZ
lsYl] jn~nh Vksdfj;kW] >kdj]dkap
ds ekid] ew= ds dkap ik= vkfn
dk fuLrkj.k djukA
iw.kZ vf/kdkj iw.kZ
vf/kdkj
iw.kZ
vf/kdkj
iw.kZ vf/kdkj iw.kZ vf/kdkj iw.kZ vf/kdkj iw.kZ vf/kdkj iw.kZ vf/kdkj
fVIi.kh 10-10 %
¼1½ laØked jksxxzLr jksfx;ksa ls nwf"kr fyusu xn~nksa dks dfu- iz'kk- osrueku ls uhps ds vf/kdkfj;ksa }kjk vuqi;ksxh ?kksf"kr
ugha fd;k tk; fyusu xn~nksa ds dLVksfM;u ,oa fdlh fpfdRld dh mifLFkfr esa tykus dh izfØ;k lEiUu dh tk;sxhA
¼2½ lkefxz;ksa ds iqupfØZ; mi;ksx ls cpus ds fy, fUkLrkj.k ls iwoZ lhfjtksa ,oa vU; dkap ik=ksa dks iw.kZr% pdukpwj fd;k
tk;sA
10-10 fpfdRLkk iqLrdksa ,oa if=dkvksa ds
Ø; dh Loh—fr
cksMZ ds i=kad
93@,p@4@9
fnukad 25-01-94
,u ,l 06-05-94
:0 45000@&
rd okf"kZd iw.kZ
vf/kdkj
dqN ugha dqN ughs dqN ugha eajsiz gsrq dqN
ugha A ofj-iz'kk-
os-ek- ¼fpfdRlk
foHkkx½ Ø; gsrq
fVIi.kh ns[ksa
dqN ugha bl en ds
dkye 4 ds
vuqlkj
dqN ugha
fVIi.kh 10-11 %
fpfdRlk funs'kd@xksj[kiqj funs'kd] dSalj 'kks/k laLFkku dks :- 15000@& okf"kZd rd] e.Myh; fpfdRlky; ds ofj- iz'kk-
osrueku ds izHkkjh dks 10000@& okf"kZd dfu- iz'kk- osrueku esa fpfdRlk v/kh{kd ¼izHkkjh½ dks :- 7500@& okf"kZd rd dk vf/kdkj
gksxkA
10-11 M~;wVh ij ?kk;y ,oa xSj ?kk;y ds
ekeys esa jsyos deZpkjh ,oa mlds
ifjokj ds lnL;ksa nksuksa dks —f=e
vax midj.k ,oa mlds Hkqxrku dh
Loh—frA
iSjk 636 Hkk-js-fp-
fu- cksMZ dk i=kad
80@,p@6&4@
33 fnukad
05&02&81
iw.kZ vf/kdkj iw.kZ
vf/kdkj
dqN ughaa dqN ugha eajsiz gsrq dqN
ugha rFkk fpfd-
foHkkx ds ofj-
iz'kk- os- ek- dks
iw.kZ vf/kdkj
dqN ugha dqN ugha dqN ugha
211
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale
DRM/ SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital & HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of Hospital &
HU 1 2 3 4 5 6 7 8 9 10 11
10.09 To condemn and destroy articles of sanitary stores soiled with night soil, burning of all linen mattresses soiled with patients suffering from Cholera, Small-pox, Leprosy and other infectious diseases and to dispose of other scrap articles such as slat pieces, broken jars, glass syringes, Thermo clinical meter dry cells, scrap baskets, jhaker once measures of glasses urine glasses etc.
Full power Full power Full power
Full power Full power Full power Full power Full power
Note: 1. Condemnation of linen, mattresses soiled from the patients suffering from infectious diseases should be done not
below the rank of JAG Officer. The burning process will be done in presence of custodian of linen mattresses and a medical officer.
2. The syringes and other glasswares should be fully smashed before disposal to avoid recycling of the materials.
10.10 To sanction purchase of medical books and journals
Bd.'s letter No.
93/H/4/9 dated
25.1.94 NS 06.05.94
Full Powers
upto Rs.45,000/
annually
Nil Nil Nil
DRM - nil, for SAG (Medical
Deptt), see Note
Nil As per Note Nil
Note: Power of MD/GKP, Director CRI will be upto Rs.15,000/- annually, SAG incharge of Divisional Hospital Rs.10,000/- annually. MS (Incharge) in JA grade Rs.7,500/- annually.
10.11 To sanction artificial limb appliances and payment thereof to the Railway employee and members of their family both in the case of injured and non-injured on duty.
Para 636 IRMM Rly. Bd.'s letter
no. 80/H/6-4/33 dt. 05.02.81
Full Power Full Power Nil Nil DRM - Nil , SAG of Medical
Deptt - full power
Nil Nil Nil
212
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky; dh
vyx bdkbZ o
LOkkLF; bdkbZ o
LokLF; bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-12 Mk;xuksfLVd ¼jksx funku½ fdV
bR;kfn tSls midj.k dks vuqi;ksxh
?kksf"kr djuk
iw.kZ vf/kdkj izR;sd
en ds
fy, :-
10 yk[k
rd iw.kZ
vf/kdkj
dqN ughaa dqN ugha izR;sd en ds
fy, :- 10
yk[k rd iw.kZ
vf/kdkj
dqN ugha dqN ugha dqN ugha
fVIi.kh 10-13 %
¼1½ vuqi;ksxh ?kksf"kr djus ds fy, vf/k—r vf/kdkjh Lo;a midj.k dk fujh{k.k djsaxsA
¼2½ :- 2000@& ls vf/kd rFkk 5000@& rd ewY; ds enksa fy, nks fpfdRlk vf/kdkfj;ksa dh laLrqfr yh tk,xhA
¼3½ :- 5000@& ls vf/kd ewY; ds enksa ds fy, fpfdRlk foHkkx ds nks dfu"B iz'kklfud osrueku o foŸk foHkkx ds ,d
dfu"B iz'kklfud osrueku vFkok ofj"B osrueku dh ,d lfefr visf{kr gSA lfefr dh laLrqfr fpfdRlk foHkkx ds ofj"B
iz'kklfud osrueku }kjk Lohdkj dh tk,xhA
¼4½ :- 10 yk[k ls vf/kd ewY; ds enksa dk vuqi;ksxhdj.k eqfpfu Lohdk;Z djsaxsA
¼5½ :-40]000@& ls Åij ds enksa ds fy, foŸkh; lgefr vko';d gSA
10-13 ljdkjh iz;ksx'kkyk esa vkS"kf/k] ikuh]
[kk|] uewus dh tkap ds fy, jkf'k
dh Loh—fr
iw.kZ vf/kdkj iw.kZ
vf/kdkj
izR;sd
ekeys esa :-
2000@&
rd iw.kZ
vf/kdkj
dqN Ukgha iw.kZ vf/kdkj iw.kZ vf/kdkj izR;sd ekeys
esa :-
1000@& rd
iw.kZ vf/kdkj
dkye 10 ds
vuqlkj
fVIi.kh 10-14 %
vkS"kf/k dh tkap ;fn izfrf"Br xSj ljdkjh iz;ksx'kkykvksa tks dsUnzh; jkT; ljdkj vkS"kf/k fu;U=.k izkf/kdkjh }kjk vuqeksfnr gS ls
djk, tkrs gSa rks foleqysf/k ds ijke'kZ ls nj ds vkSfpR; dk fu/kkZj.k fd;k tk;sA
¼jsyos cksMZ ds i=kad 2000@,p@4@1 fnukad 28-01-2002½
213
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional/Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital & HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of Hospital &
HU 1 2 3 4 5 6 7 8 9 10 11
10.12 Condemnation of equipment like ECG machine BP Instrument, Microscope, Diagonstic Kit etc.
Full power Full power up to Rs.10 lakh for each item
Nil Nil Full power up to Rs. 10 lakh for
each item
Nil Nil Nil
Note: 1. The officer authorised for condemnation will personally inspect the equipment & should prepare a full report. 2. For the items of value more than 2,000/- and upto 5000/- recommendation of two medical officers is necessary. 3. For the items of value more than Rs. 5000/= a committee of two JAG of Medical department and one JAG or Sr.
Scale of finance department is necessary. Recommendation of the committee be accepted by the SAG of Medical department.
4. CMD will accept condemnation of items of value more than Rs.10 lakh. 5. Financial concurrence should be obtained for the item above Rs.40,000/-.
10.13 Sanction of amount for testing for drugs, water, food samples in Govt. Laboratories
Full power Full power Full power upto
Rs.2000/- in
each case
Nil Full power Full power
Full power upto
Rs.1000/- in each case
Same as in col.10
Note: Testing of the drugs if done from reputed non-governmental laboratories which are approved by Central State Government Drug Controlling Authority, Reasonableness of rates should be determined in consultation with F A&CAO (Rly. Board's letter No. 2000/H/4/1 dt. 28.1.2002.
214
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky; dh
vyx bdkbZ o
LOkkLF; bdkbZ o
LokLF; bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-14 Mh th ,l ,.M Mh ds nj ,oa pkyw
lafonkvksa ds vUrxZr u vkus okys
nokvksa vkS"kf/k fpfdRlk Hk.Mkjksa]
midj.kksa ,oa miLdjksa dh lh/kh [kjhn
10-14 ¼d½ lhfer fufonk vk/kkj jsyos cksMZ ds i=kad
2002@,Q
,l&A@ih
MCY;w@7@1 fnukad
29-08-02]
2001@ ,Q
,l&1@ih
MCY;w@7@1 fnukad
12-10-01 ,oa i=kad
2007@ ,Q ¼,l½
1@ ihMCyw&7@1
fn0 07-12-07
¼d½ :- 10 yk[k
rd fufonkvksa ds
vkeU=.k
¼[k½ :- 15 yk[k
fufonkvksa dh Loh—
fr
izR;sd
ekeysa esa
#0 3
yk[k ls 5
yk[k rd
iw.kZ
vf/kdkj
izR;sd ekeysa
esa :- 3
yk[k rd
iw.kZ vf/kdkj
dqN ugha izR;sd ekeysa esa
:- 10000@&
rd ijUrq izR;sd
ekg lap;h #0
100000@& ls
vf/kd ugha vkSj
lh-vkj-vkbZ- ds
ofj-iz-os-ek- dks
izR;sd ekeys esa
:- 10000@&
rd ijUrq izR;sd
ekg lap;h #0
50000@& ls
vf/kd ugha
uksV%& #0 1 ls 3
yk[k rd ds
lap;h ewY; ds
fy, izeq[k@
iz/kku foHkkxk/;{k
dh Lohd`fr
vko’;d gSA
dkye 8 ds
vuqlkj
eaMy esa izR;sd
ekeysa esa :-
1000@& rd
ijUrq izR;sd
ekg :-
20000@&ls
vf/kd ugha rFkk
lh vkj vkbZ ds
izHkkjh d-iz-os-ek-
izR;sd ekeys esa
:0 5000@&
ijUrq :0
50000@&
izfrekg ls
vf/kd ugha ij
iw.kZ vf/kdkj
uksV%& #0 1 ls
3 yk[k rd ds
lap;h ewY; ds
fy, izeq[k@
iz/kku
foHkkxk/;{k dh
Lohd`fr
vko’;d gSA
dqN ugha
fVIi.kh 10-15 ¼d½ %
¼1½ ¼d½ dkye 8 ,oa 9 esa bfxr 'kfDr;ksa dk iz;ksx eajisz@vejsiz mu ifjfLFkfr;ksa esa djsaxs tgkW fpfdRlk foHkkx esa ofj0 iz’kk0 os0ek0 dk vf/kdkjh u gks
¼[k½ dkye 8 vkSj [k.M ch rFkk dkey 9 esa bafxr 'kfDr;ksa dk iz;ksx eajsiz@vejsiz mu ifjLFkfr;ksa esa djsaxs tc [email protected] esa
o0iz’kk0os0ek0 dk dksbZ vf/kdkjh u gksA¼lh ,l & 17½
¼2½ fufonk vkea=.k o fufonk lfefr ls lacaf/kr fu/kkZfjr izfØ;k dk vuqikyu fufonk lfefr dks djuk gksxA
¼3½ eq[; fpfdRlk funs'kd izR;sd ekeys esa :- 1 yk[k rd fcuk iwoZ foŸkh; lgefr ds lafonkvksa ds vkbZ vkj-,l- 'krksZa ls fopyu Lohdkj dj ldrs gSaA
¼4½ :- 5 yk[k ,oa mlls vf/kd ewY; lHkh fufonkvksa dh tkap fufonk lfefr }kjk dh tk,xhA rFkkfi ;g fdlh fufonk lfefr }kjk :- 5 yk[k ls de
ewY; dh fufonk izLrko] tgkW fLFkfr;ka cgqr U;k;laxr gS ds lh/ks fopkj ij eqfpfu ds foosd ij vHkh Hkh jgsxkA
215
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital, Individual Unit of Hospital &
HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit
of Hospital & HU1 2 3 4 5 6 7 8 9 10 11
10.14 Direct purchase of medicines drugs, medical stores, instruments and appliances not
(A) Limited Tender basis
Rly.Bd.'s No. 2002/FS- 1/PW/7/1
dt.29.08.02 and 2001/FS-
1/PW/7/1 dt. 12.10.01
2007/F(S)1/pw-7/1 dt-7-12-2007
(a) Calling for tenders upto Rs.10 lakh (b) Accept-ance of tenders upto Rs.15 lakh
Full power upto Rs.3 to
5 lakh in eachcase
Full power upto
Rs. 3 lakh in each
case
Nil Full power up to Rs.10,000/- in each case but not exceeding cumulative Rs.1 lakh per month in division and SAG of CRI - Rs.10,000/- in each case but not exceeding cumulative Rs.50,000/- per month Note: Cumulative value beyond Rs.1 lakh upto Rs.3 lakh sanction of CHOD/PHOD is required
As in col. 8
Full power up to Rs.1000/- in each case but not exceeding cumulative Rs.20000/- per month in division, JAG of CRI -Rs.5,000/- in each case but not exceeding cumulative Rs.50,000/- per month Note: Cumulative value beyond Rs.1 lakh upto Rs.3 lakh sanction of CHOD/ PHOD is required
Nil
Note: 1. (a) DRM/ADRM will exercise these powers indicated in Col.8 & 9 in the circumstances where there is no SAG officer
in Medical Deptt. (b) DRM/ADRM will exercise these powers indicated in column 8 as clause B and in column 9 in the circumstances where there is no SAG officer in CRI Varanasi in Medical department.
2. Prescribed procedure relating to invitation of tenders and tender committee shall have to be followed. 3. CMD can accept deviation from IRS conditions of contract without prior financial concurrence upto Rs.1 lakh in each
case. 4. All tenders of Rs.5 lakh and over in value shall be scrutinized by Tender Committee. It will however still be at the
discretion of CMD to direct consideration of offiers even below the tender value of Rs.5 lakh by a tender committee where situation so warrants.
216
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky; dh
vyx bdkbZ o
LOkkLF; bdkbZ o
LokLF; bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
¼5½ tc fdlh lhfer fufonk ij ek= ,d dksVs'ku izkIr gksrk gS fufonk lkekU;r;k iqu% vkeaf=r fd;k tk,A mu ekeyksa esa tgkW :- 5000@& ls de ds lHkh Ø;ksa ds
fy, de ls de dfu- iz'kk- osrueku rFkk :- 5000@& ls vf/kd ds fy, ofj"B iz'kklfud osrueku }kjk rkRdkfydrk izekf.kr dh xbZ gks eqfpfu ,dy dksVs'ku
Lohdkj djus ds l{ke izkf/kdkjh gksaxs ijUrq ewY; dk vkSfpR;iw.k gksuk izekf.kr fd;k x;k gksA
¼6½ tc fufonk ds izR;qRrj esa iqu% ek= ,d dksVs’ku izkIr gksrk gS rks mlij] ;g lqfuf’pr djus ds i'pkr fd iqu% fufonk djus esa fufonk lwpuk fiNys vkiwfrdrkZ rFkk
vU; dks iath—r ikorh doj ds vUrxZr izsf"kr gqvk Fkk rFkk iqu% fufonk esa izkIr njsa vkSfpR;iw.kZ gS] lkekU; Ø; 'kfDr ds vuqlkj Loh—fr gsrq fopkj fd;k tk ldrk
gSA
¼7½ ,dy fufonk vk/kkj ij LokfeRo enksa ds Ø; ds ekeys esa fu/kkZfjr lhek ls vf/kd ds fy, egkizcU/kd dh Loh—fr vko';d gksxh tc eqfpfu ds fy, izekf.kr djuk
lEHko gks fd bl fo'ks"k en dk dksbZ fodYi miyC/k ugha gS ;k fdlh vU; fodYi dk iz;ksx djus dk tksf[ke mBkuk mfpr u gksxkA
¼8½ mi;qZDr 'kfDr dk iz;ksx okf"kZd ctVh; lhek ds rgr gksuk gSA
¼9½ os en ftudk ,d fpfdRlky; esa okf"kZd Ø; :- 10000@& gSA fpfdRlky; }kjk Lo;a Ø; fd;k tk;A ,sls ekeyksa esa fpfdRlky; ds izHkkjh dk Ø; 'kfDr :0
10000@& okf"kZd gSA izkf/kdkj&vkS"kf/k dks"k 2002 dk iSjk ,l&A
¼10½ 1 yk[k ls vf/kd dh laj{kk en rFkk laj{kk ls brj en ds fy, xSj LVkd ekax dh iqujh{kkA
¼11½ 1 yk[k ls vf/kd #i;s ds Ø; vkns’k dh iqujh{kkA
10-14 ¼[k½ & I- ,dy fufonk
I-, leku
ifjfLFkfr;ksa esa xSj
LokfeRo oLrq
jsyos cksMZ dk i=kad
2002@,Q
,l&1@ih
MCY;w@7@1 fnukad
18-08-02
:- 20000@& rd :- 20000
rd
:- 5000@&
rd
dqN ugha :- 5000@& rd :- 5000@&
rd
:- 500@& rd dqN ugha
I & ch LokfeRo oLrq ;fn ;g
izekf.kr djuk lEHko gks fd blh rjg
dh nok tks blds cnys iz;ksx dh tk
ldrh gS ns'k esa fdlh vU; QeZ }kjk
ugha cuk;h tkrh gSA
jsyos cksMZ dk
2002@,Q ,l&
1@ih MCY;w@7@1
fnukad 18-08-02
iw.kZ vf/kdkj dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
I & lh LokfeRo oLrq ;fn ;g
izekf.kr djuk lEHko u gks fd blh
rjg dh nok tks blds cnys iz;ksx dh
tk ldrh gS ns'k esa fdlh vU; QeZ
}kjk ugha cuk;h tkrh gSA
izR;sd ekeys esa :-
50000@& rd dk
iw.kZ vf/kdkj
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
¼[k½ & II ,dy fufonk ds
vk/kkj ij dsoy thounk;uh o
vR;ko';d vkS"kf/k dh [kjhn Loh—r
djukA
jsyos cksMZ dk
fnukad 19-06-08 dk
i= la-&
2006@,p@4@1
izR;sd ekeys esa :-
5 yk[k rd
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
fVIi.kh %
dkye 4 esa fn;k x;k ikoj dk iz;ksx egkizcU/kd ds O;fDrxr vuqeksnu ls fn;k tk;sxkA
217
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale
DRM/ SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital &
HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of
Hospital & HU 1 2 3 4 5 6 7 8 9 10 11
10.14 Note 10.14(A): 5. When a single quotation is received against a limited tender, the tender should normally be re-invited. In case where urgency has
been certified by not less than a JAG Officer for all purchases less than Rs.5,000/- and SAG Officer for more than Rs.5,000/- CMD will be competent to accept single quotation provided that the prices have been certified as reasonable
6. When in response to tender, a single quotation is again received, the same may be considered for acceptance as per normal purchase power after ensuring that tender notice in a re-tendering were despatched to last supplier and other likely under Regd. A.D cover and rates received in re-tender are reasonable.
7. In the case of purchases of proprietary articles on single tender basis GM's sanction will be necessary to exceed the prescribed limits when it is possible for the CMD to certify that no other substitute for the particular item is available or it will not be proper to take risk of trying other substitutes.
8. The above powers are to be exercised subject to annual budgetary ceiling during the year. 9. Items whose annual purchase is Rs.10,000 in a hospital should be purchased by Hospitals themselves. In such cases purchase
power of incharges of hospital is Rs.10,000/- per items annually. (Authority- Para S-1 of Pharmopia of 2000). 10. Vetting of non stock demand / requisition for safety item more than Rs. 1 lakh and other than safety item will be required. 11. Vetting of purchase order – Above Rs.1 lakh will be required.
(B) Single tender basis B(1)(a)Non-proprietary article in normal circums-tances.
Rly. Bd.'s letter no. 2002/F-1/PW/7/1 dt.
18.08.02
Upto Rs.20,000/-
Upto Rs.20,000/-
Upto Rs.5000/-
Nil Upto Rs.5000/-
Upto Rs.5000/-
Upto Rs.500/- Nil
B(1)(b) Proprietary article if it is possible to certify that similar medicine which could be used in lieu is not manufactured by any other firm in the country.
Rly. Bd.'s letter no. 2002/FS-1/PW/7/1
dt. 18.08.02
Full Power Nil Nil Nil Nil Nil Nil Nil
B(1)(c) Proprietary article if it is not possible to certify that similar medicine which could be used in lieu is not manufac-tured by any other firm in the country.
Full power upto
Rs.50,000/- in each case
Nil Nil Nil Nil Nil Nil Nil
B(2) To sanction purchase of vital and essential medicines only on single tender basis.
Rly. Bd.’s letter no. 2006/H/4/1 dt.
19.06.08
Upto Rs.5.0 lakh in each
case
Nil Nil Nil Nil Nil Nil Nil
Note: Power delegated in column 4 will be exercised with personal approval of GM.
218
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky; dh
vyx bdkbZ o
LOkkLF; bdkbZ o
LokLF; bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-15 Mh th ,l ,.M Mh ds nj dh pkyw
lafonk dh lh/kh [kjhnA
¼v½ MªXl ,oa nok;sa
js0cks0 dk i=kad
la0&2002@,Q
,l@1@ihMCyw@
7@1 fn0 29-08-
02
izR;sd ekeys esa
:- 25000@&
rd ijUrq ,d
o"kZ esa izR;sd
ekeys esa
lfEefyr :i esa
:- 1 yk[k ls
vf/kd ugha gsrq
iw.kZ vf/kdkj
izR;sd
ekeys esa
:- 5000@
rd ijUrq
,d o"kZ esa
izR;sd
ekeys esa
lfEefyr
:i esa :-
50000 ls
vf/kd ugha
gsrq iw.kZ
vf/kdkj
izR;sd
ekeys esa :-
2000@&
rd ijUrq
,d o"kZ esa
izR;sd
ekeys esa
lfEefyr
:i esa :-
25000 ls
vf/kd ugha
gsrq iw.kZ
vf/kdkj
dqN ugha izR;sd ekeys esa
:- 5000@&
rd ijUrq ,d
o"kZ esa izR;sd
ekeys esa
lfEefyr :i esa
:- 25000 ls
vf/kd ugha gsrq
iw.kZ vf/kdkj
dkye 8 ds
vuqlkj
dkye 6 ds
vuqlkj
dqN ugha
fVIi.kh 10-16 %
10-15 dh fVIi.kh esa of.kZr fu/kkZfjr izfØ;k ds vuqlkj izs"k.k fd;k tk;A
¼c½ fpfdRlk Hk.Mkj
mnkgj.kr% % miLdj] midj.k 'kY;
ejge iV~Vh ,oa ,Dljs fQYe vkfnA
izR;sd ekeys esa
:- 10000@&
rd ijUrq ,d
o"kZ esa izR;sd
ekeys esa
lfEefyr :i esa
:- 50000 ls
vf/kd ugha gsrq
iw.kZ vf/kdkj
izR;sd
ekeys esa
:- 5000@
rd ijUrq
,d o"kZ esa
izR;sd
ekeys esa
lfEefyr
:i esa :-
50000 ls
vf/kd ugha
gsrq iw.kZ
vf/kdkj
izR;sd
ekeys esa :-
2000@&
rd ijUrq
,d o"kZ esa
izR;sd
ekeys esa
lfEefyr
:i esa :-
25000 ls
vf/kd ugha
gsrq iw.kZ
vf/kdkj
dqN ugha izR;sd ekeys esa
:- 5000@&
rd ijUrq ,d
o"kZ esa izR;sd
ekeys esa
lfEefyr :i esa
:- 50000 ls
vf/kd ugha gsrq
iw.kZ vf/kdkj
izR;sd
ekeys esa :-
5000@&
rd ijUrq
,d o"kZ esa
izR;sd
ekeys esa
lfEefyr
:i esa :-
50000 ls
vf/kd ugha
gsrq iw.kZ
vf/kdkj
dqN ugha dqN ugha
¼l½ Mh th ,l ,.M Mh ds
nj dh pkyw lafonk ds vUrxZr u
vkus okys Mhth,l ,.M Mh enA
:- 1 yk[k rd :-
20000@
& rd
dqN ugha dqN ugha :- 20000@&
rd rFkk fpfdRlk
foHkkx ds ofj-iz'kk-
os-ek- dks dqN ugha
dqN ugha dqN ugha dqN ugha
fVIi.kh 10-16 ¼l½ % ,d yk[k ls vf/kd ds enksa ds fy, ekWx&i= lh/ks Mhth,l ,.M Mh dks Hksts tk;A
219
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD) SAG JAG Sr. Scale/
Jr. Scale
DRM/ SAG of
Medical deptt. ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital & HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of Hospital & HU
1 2 3 4 5 6 7 8 9 10 11 10.15 Direct purchase of
DGS&D’s Rate Running Contract
(a) Drugs and Medicines
Full power up to Rs.25000/- in each case
but not exceeding Rs.
1 lakh in aggregate in
each case in a year
Full power up to Rs.5,000/- in each case
but not exceeding
Rs.50,000/- in aggregate in
each case in a year
Full power upto Rs.2000/- in
each case but not
exceeding Rs.25,000/- in aggregate in
each case in a year
Nil Full power upto Rs.5,000/- in
each case but not exceeding
Rs 25,000/- in aggregate in each
case in a year
Same as in col. 8
Same as in col. 6 Nil
Note: Procurement should be made as per prescribed procedure as mentioned in remarks of 10.14
(b) Medical Stores e.g. instruments, appliances surgicaldressings and X-Ray films etc.
Full Power upto
Rs.10,000 in each case but not exceeding Rs. 50,000 in aggregate in
each case in a year
Full power up to Rs.5,000/- in each case
but not exceeding
Rs.50,000/- in aggregate in each case in a
year
Full power upto Rs.2,000/- in each case but not exceeding Rs.25,000/- in aggregate in
each case in a year
Nil Full Power upto Rs.5,000/- in
each case but not exceeding
Rs50,000 in aggregate in each
case in a year
Full power upto
Rs.5,000 in each case but not
exceeding Rs.50,000
in aggregate in each case
in a year
Nil Nil
(c) DGS&D items notcovered under DGS&D's rate/running contract
Upto Rs.1 lakh Upto Rs.20,000
Nil Nil DRM - upto Rs.20,000/-,
SAG of Medical Deptt. - Nil
Nil Nil Nil
Note: For item costing more than Rs.1 lakh, indent should be placed directly on DGS&D.
220
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky; dh
vyx bdkbZ o
LOkkLF; bdkbZ o
LokLF; bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-16 vkS"kf/k;ksa ,oa fpfdRlk Hk.Mkj dk
LFkkuh; Ø;
jsyos cksMZ dk
fnukad 19-06-2008
dk i=kad
2006@,p@4@1
izR;sd en :-
50000@&
dqN ugha dqN ugha dqN ugha eajsiz dqN ugha
fpfdRlk funs'kd ds
fy, izfr en :-
30000@& vkSj
eqfpv ds fy, izfr
en :- 20000@&
dqN ugha dqN ugha dqN ugha
fVIi.kh % :- 20000@& izR;sd ls de ds ekeyksa esa dksbZ dksVs'ku vko';d ugha gSA rFkkfi izR;sd ekeys esa nj ds vkSfpR; ds lR;kiu ds fy,
fiNys Ø; vfHkys[k dks /;ku esa j[kk tk,A
10-17 eqfpfu ds vkikfrd vf/kdkj
¼d½ nj lafonk ds vUrxZr u
vkus okys Mh th ,l ,.M Mh enksa ,oa
xSj Mh th ,l ,.M Mh enksa dk Ø;
jsyos cksMZ dk i=kad
2002@,Q@,l1
ih MCY;w@7@1
fnukad 29-08-02
izR;sd ekeys esa
:- 5 yk[k rd
izR;sd
ekeysa esa
:- 5
yk[k rd
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
¼[k½ nj lafonk ds vUrxZr vkus
okys Mh th ,l ,.M Mh enksa ,oa xSj
Mh th ,l ,.M Mh enksa dk Ø;
izR;sd ekeys esa :-
5 yk[k rd
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
¼x½ fpfdRlky; ,oa vkS"k/kky;
midj.kksa ds NksVs en ¼fpfdRlk Hk.Mkj
ls vyx :i esa tk lkekUr% e'khu ,oa
la;a= dk;ZØe }kjk izkIr fd;s tkus gSa½
lk/kkj.k jktLo dks
izHkk;Z rRdky
vko';d
fpfdRlky;
midj.k ds fy,
:- 1 yk[k rd
lk/kkj.k
jktLo dks
izHkk;Z
rRdky
vko';d
fpfdRlky
;
midj.k
ds fy,
:- 1
yk[k rd
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
10-18 czsLV bEIykUV@izksLFksfll ds fy,
fpfdRlk O;; dh izfriwfrZ
jsyos cksMzZ dk
fnukad 05-08-05 dk
i= la0
2005@23@3
izR;sd ekeys esa
:0 5000@& rd
iw.kZ vf/kdkj
¼eqfpfu½
izR;sd
ekeys esa
:-
5000@&r
d iw.kZ
vf/kdkj
¼fpfdRlk
foHkkx½
dqN ugha dqN ugha izR;sd ekeys esa :-
5000@& rd iw.kZ
vf/kdkj
¼fp0fu0@lh vkj
vkbZ ½
dqN ugha dqqN ugha dqN ugha
fVIi.kh %
czsLV bEIykUV@izksLFksfll ds izR;sd ekeys dh vPNh rjg ls Nku chu o tkWp jsyos fpfdRlky; ds
fdlh mi;qDr efgyk fpfdRld }kjk dh tk,A ikWp o"kksZa esa ,d ckj izfrLFkkiu dh vuqefr nh tk,xhA
221
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital & HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of Hospital & HU
1 2 3 4 5 6 7 8 9 10 11 10.16 Local purchase of
medicines and medical stores
Rly. Bd.’s letter no.
2006/H/4/1 dt. 19.06.08
Rs.50,000/- each item
Nil Nil Nil DRM - Nil, MD - Rs.30,000 per item, CMS - Rs. 20000 per item
Nil Nil Nil
Note: For cases below Rs.20000/- each, no quotation to be required, however past purchase records to be consulted for verifying the rate reasonableness in each case.
10.17 Emergency power of CMD
(A) Purchase of DGS&D items not covered by rate contract and non-DGS&D items
Rly. Bd. Letter no. 2002/FS- 1/PW/7/1 dt.
29.08.02
Upto Rs.5 lakh in each
case
Upto Rs.5 lakh in each
case
Nil Nil Nil Nil Nil Nil
(B) Purchase of DGS & D item covered by rate contract and non DGS & D items
Upto Rs.5 lakhs in
each case
Nil Nil Nil Nil Nil Nil Nil
(C)- Petty items of Hospital and Dispensary equipments (as distinct from Medical stores which are otherwise normally to be obtained through Machine & Plant programme)
Upto Rs.1 lakh for urgently needed hospital
equipment chargeable to
ordinary Revenue
Upto Rs.1 lakh
for urgently needed hospital
equipment chargeable to
ordinary Revenue
Nil Nil Nil Nil Nil Nil
10.18 Reimbursement of medical expenses for breast implant/ Prosthesis
Rly. Bd.’s letter no.
2005/H/23/ 3 dated
05.08.05
Full power up to Rs.5000/- in each case
(CMD)
Full power up to Rs.5000/- in each case
(Medical Deptt)
Nil Nil Full power upto Rs.5000/- in each case (MD/CRI) only
Nil Nil Nil
Note: 1. Each case of breast implants/Prosthesis should be thoroughly scrutinized and examined by a suitable lady doctor of the Rly Hospital. 2. Replacement will be allowed once in five years.
222
en
la[;k
vf/kdkj dk fooj.k izkf/kdkj
izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh {ks=h; fpfdRlky;@e.My ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk- osrueku
¼fpfdRlky; dh vyx bdkbZ
o LOkkLF; bdkbZ o LokLF;
bdkbZ ds izHkkjh½
ofj- osrueku
dfu- osrueku fpfd- dh vyx
bZdkbZ ,oa Lok- bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10.19 mipkj dh vuqekfur ykxr ds
Hkkx ds vfxze Hkqxrku tgka og
vkikr fLFkfr esa izkf/kdr fpfdRlk
vf/kdkjh }kjk ljdkjh rkSj ls
jsQj fd;k x;k gksA
jss0cks0 fn0 15-04-
04 dk i=kad
2000@,p@6&4@
ikfylh ,oa fn0
26-11-07 dk i=kad
2007@,p@6&4@
ikfylh
¼A½ Lok;Rrk okys vLirkyksa lfgr
] ljdkjh fpfdRlky;
ogh dqN ugha dqN ugha dqN ugha dqN ugha eajsiz :- 2 yk[k dqN ugha dqN ugha dqN ugha
¼AA½ xSj ekU;rk izkIr
fpfdRlky;
jsyos cksMZ dk i=
la-
2000@,p@6&4
@uhfr fnukad
15-04-04 o 2007
,p@6&4@uhfr
fnukad 25-11-07
dqN ugha dqN ugha dqN ugha dqN ugha dqN
ugha dqN ugha dqN ugha dqN ugha
uksV%&
¼1½ eqfpfu@eqfpv dh laLrqfr o lg;ksxh foŸk dh lgefr ls Lok;Rrk okys vLirkyksa lfgr * ] ljdkjh fpfdRlky;ksa ds fy, egkizcU/kd
dks iw.kZ vf/kdkjA
¼2½ egkizca/kd }kjk ,sls fpfdRlky;ksa dks lh/ks izR;sd ekeys esa #0 5 yk[k ek= rd dk vfxze Hkqxrku fd;k tk ldrk gS c’krsZ izkf/kdr
fpfdRlkf/kdkjh }kjk ml futh xSj ekU;rk&izkIr fpfdRlky; esa deZpkjh@ykHkkFkhZ dks jsQj fd;k x;k gksA jksxh dks Hkstrs le; jsyos cksMZ
ds fn0 31-01-07 ds i= la0&2005@,p@6&4@ikfylh esa fn;s x;s vuqns’kksa dk ikyu fd;k tkuk pkfg, ¼ js0cks0 dk fn0 26-11-2007 ds
i=kad 2007@,p@6&4@ikfylh&1 ds iSjk 648 ¼2½ esa uhps ntZ uksV ds vUrxZr en la0&AA ½
¼3½ egkizca/kd }kjk ,sls fpfdRlky;ksa dks xqnsZ ds izR;kjksi.k gsrq lh/ks izR;sd ekeys esa #0 5 yk[k ek= rd dk vfxze Hkqxrku fd;k tk
ldrk gS c’krsZ izkf/kdr fpfdRlkf/kdkjh }kjk deZpkjh@ykHkkFkhZ dks ljdkjh@futh xSj ekU;rk&izkIr fpfdRlky; esa jsQj fd;k x;k gks
c’krZs fd Lohdr dh tkus okyh jkf’k ml uxj esa tgka vLirky gS mlds lhth,p,l iSdst nj ls vf/kd ugha gksxkA
* os vLirky tks fd ljdkjh fuf/k }kjk iwjh rjg iksf"kr gSa fdUrq iz’kklfud mn~ns’;ksa gsrq Lok;Rrk iznku fd, x, gSa ] tSls ,vkbZvkbzzz,e,l ] ,UkvkbZ,e,l ¼gSnjkckn½ vkfnA
223
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD) SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital, Individual Unit of Hospital &
HU)
Sr.Scale, Jr. Scale Incharge of Hospital,
Individual Unit of Hospital & HU
1 2 3 4 5 6 7 8 9 10 11 10.19 Advance payment up to
reimbursement part of the anticipated cost of the treatment where they are officially referred in emergency by the authorized Medical Officer to
Rly. Bd. letter no. 2005/H/6-4/Policy dt. 20.10.06 and 2011/H/6-4/ Policy-I dt. 24.09.13
(i) Govt. hospitals including autonomous body hospitals*
-do- Nil Nil Nil Nil Rs. 50,000 only
in each case (DRM)
Nil Nil Nil
(ii) Non-recognized private Hospitals
Rly. Bd.’s letter no. 2000/H/6-4/
Policy dt. 15.04.04 & 2007/H/6-4/ Policy dated
26.11.07
Nil Nil Nil Nil Nil Nil Nil Nil
Note: 1. On recommendation of CMD/CMS and financial concurrence of associated finance, for Government hospitals including
autonomous body hospitals* - General Manager - Full powers. 2. General Manager may sanction release of advance payment upto Rs.5 lakh only per case directly to such hospitals
provided the employee/beneficiary had specifically been referred to that private non-recognised hospital by authorized Medical Officer. While referring the patient instructions given in Railway Board letter no. 2005/H/6-4/Policy dated 31.01.2007 and 16.04.07 should be adhered to. (Ref. - Item no. (ii) under note below para 648 (2) of Rly Board letter no. 2007/H/6-4/Policy -1 dated 26.11.2007.
3. General Manager may sanction release of advance payment upto Rs.5 lakh only per case directly to such hospitals provided the employee/beneficiary had specifically been referred to that Govt./non-recognized private hospitals by authorized Medical Officer for kidney transplant subject to the condition that the amount to be sanctioned should not exceed CGHS package rate applicable in the city where the hospital is located.
* hospitals that are fully funded from Govt. funds but given autonomy for administrative purposes like AIIMS, NIMS (Hyderabad) etc.)
224
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh eaMy@dkj[kkuk ds vf/kdkjh
izeq[k
foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu-
osrueku
eajsiz ,oa fpfdRlk foHkkx ds ofj- iz'kk- osrueku vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky;
dh vyx
bdkbZ o
LOkkLF; bdkbZ
o LokLF;
bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku
fpfd- dh vyx
bZdkbZ ,oa Lok-
bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-20 dsl ds vuqlkj O;kolkf;d lsok,a
miyC/k djkus ds fy, jsyos
fpfdRlky; esa fpfdRlk
ijke’kZnkrk dks cqykukA
1- ijke’kZ 'kqYd
jsyos cksMZ
dk i=
la0&2005
@,p@1
@2@34@
ihVh fn0 5-
5-06
dqN ugha dqN ugha dqN ugha dqN ugha (i) vfr fo'ks’kK ¼,e Mh@ ,e0Mh0,p@
led{k½ dks izfr dsl izfr foftV #0
500@& rd rFkk mlh foftV ds nkSjku
,d vfrfjDr dsl ds fy, #0 100@&
(ii) fo'ks’kK ¼,e Mh@ ,e0,l0@
led{k½ dks izfr dsl izfr foftV #0
400@& rd rFkk mlh foftV ds nkSjku
,d vfrfjDr dsl ds fy, #0 50@&
(iii) fMIyksek dks izfr dsl izfr foftV
#0 200 rd rFkk mlh foftV ds
vuqlkj ,d vfrfjDr dsl ds fy, #0
50@&
dqN ugha dqN ugha dqN ugha
2- 'kY; izfdz;k jsyos cksMZ
dk i=
la0&2005
@,p@1
@2@34@
ihVh fn0 5-
5-06
(i) NksVs vkijs'ku ds fy, ,d iSdst jsV
ds :Ik esa izfr dsl #0 2000@& rd
(ii) cMs+s vkijs'ku ds fy, ,d iSdst jsV
ds :Ik esa izfr dsl #0 5000@& rd
(iii)fo'ks’k ijs'ku ds fy, ,d iSdst jsV
ds :Ik esa izfr dsl #0 8000@& rd
ukksV%&
¼d½ izR;sd jsyos fpfdRlky; ds izHkkjh ¼,e0Mh½] lh0,e0,l0 rFkk ,e0,l0½ ml {ks= ds eq[; fpfdRlk fo’ks"kK tks fd jsyos vLirky esa vkuk ,oa dk;Z Hkh djuk pkgrs gS] fd ,d lwph
vuqjf{kr djsaxsA bl dk;Z ds fy, ml jsyos fpfdRlky; ds izHkkjh fpfu@eqfp/kh@fp/kh ml fpfdRlky; ds rhu ofj"B fpfdRlksa dh ,d lfefr xfBr djsaxs] ;g lfefr fo’ks"kK
fpfdRlksa dh ,d vufUre lwph rS;kj djsxh ftls jsyos fpfdRlky; ds izHkkjh fpfu@eqfp/kh@fp/kh ls vuqeksfnr djkuk vko’;d gSA
¼[k½ mUgsa dsl ds vuqlkj cqyk;k tk;sxkA mUgsa ,sls ekeyksa] ds izca/ku ds fy, gh cqyk;k tkuk gS] ftudk iw.kZr;k izcU/k ml fpfdRlky; ds Hkk0jsfp0 ls fo’ks"kK fpfdRldksa rFkk voSrfud
foftfVax fo’ks"kK fpfdRlksa }kjk ugha fd;k tk ldrk gksA
¼x½ 'kY; izfdz;k ds fy,]] iSdst esa & ¼1½ tkWp ij izR;sd vkijs’kuA ¼2½ 'kY; vkijs’kuA ¼3½ vkijs’ku ds ckn ds 3 fnu rd tkWp ¼vkijs’ku dk fnu NksM+dj½A
¼?k½ O;; ds fy, ,d vyx jftLVj vuqjf{kr fd;k tkuk gS rFkk ;g O;; jsyos cksMZ ds }kjk iwokZuqekfur vkoafVr ctV ds vUnj gksuk pkfg,A
¼M½ ;g O;; mDr vkoafVr ctV ls vf/kd ugha gksuk pkfg,A
¼p½ ;g nj vf/kdre gS]A ;fn ijke’kZnkrk de 'kwYd ij miyC/k gks rks ;g fn;k tkuk pkfg,A
225
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital &
HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of Hospital &
HU 1 2 3 4 5 6 7 8 9 10 11 10.20 Calling of Medical
Consultant to Railway Hospital for providing professional services on case to case basis. (i) Consultancy Fees
Rly. Bd.’s letter no.
2005/H/1/ 12/34/pt.
dt. 05.05.06
Nil Nil Nil Nil (i) Super specialists (DM/MCH/Similar) up to Rs.500/- per case per visit and Rs.100/-for additional 1 case during the same visit.
(ii) Specialists (MD/MS/similar) up to Rs.400/- per case per visit and Rs.50/- for additional case during the same visit.
(iii) Diploma up to Rs.200/- per case per visit and Rs.50/- for additional case during the same visit.
(ii) Surgical procedures Rly. Bd.’s letter no.
2005/H/1/ 12/34/pt.
dt. 05.05.06
(i) For minor surgery up to Rs.2000/- per case as a package rate.
(ii) For major surgery up to Rs.5000/- per case as a package rate.
(iii) For special surgery up to Rs.8000/- per case as a package rate.
Note: (a) Each Railway Hospital in charge (MD, CMS and MS in charge) will maintain a list of leading medical specialist of that locality who are also
willing to come and work in Railway Hospitals. For this purpose MD/CMS/MS in charge of the Railway Hospital will constitute a committee of 3 senior doctors from that hospital. The committee will prepare a provisional list of specialist Doctors which is required to be approved by MD/CMS/MS in charge of the Railway hospital.
(b) They will be called on case to case basis. They are to be called for management of such cases, who can not be fully managed by the IRMS specialist doctors and Honorary Visiting Specialist doctors of that Railway Hospital.
(c) For surgical procedures. The package contains: (1) pre-operation check up, (2) the surgical operation, (3) Post operative follow up for 3 days (excluding the day of operation).
(d) A separate register for expenditure is to be maintained and expenditure should be within allotted budget as per direction of Rly. Board. (e) The expenditure should not exceed above allotted budget. (f) These rates are maximum. If consultants are available at lower fees, the same should be paid.
226
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh eaMy@dkj[kkuk ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky;
dh vyx
bdkbZ o
LOkkLF; bdkbZ
o LokLF;
bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku fpfd- dh vyx bZdkbZ
,oa Lok- bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-21 ;fn jsyos fpfdRlky; esa visf{kr
lqfo/kk miyC/k ugha gS rks ml
ekeys esa ljdkjh
fpfdRlky;@futh
fpfdRlky;@futh funku dsUnz
}kjk fd;s tkus okys ¼lhVh LdSu
,oa ,evkjvkbZ ds vykok½ jsyos
ykHkkfFkZ;ksa ds lHkh fDyfudy ,oa
iSFkkykftdy tkWp@jsfM;ks
ykftdy tkWp ,oa vU; izdkj dh
funku izfØ;k
js0cks0 dk fn0
30-04-07 dk i=
la0&99@,p@6
&4@ikfylh
vfxze 'kqf) iphZ
la0&3@gsYFk@20
07 Hkk0js0fp0fu0
#0 5000@& #0
5000@&
dqN ugha dqN ugha #0 5000@& dqN ugha dqN ugha dqN ugha
¼1½ #0 5000@& ls vf/kd ds ekeyksa dks jsyos cksMZ Hkstk tkuk pkfg,A
¼2½ bl 'kfDr dk iz;ksx fp0fu0@eqfp/kh@fp/kh }kjk nks ofj0 fpfdRldksa ¼,d iSFkkykftLV ,oa nwljk lftZdy ;k esfMdy fo’ks"kKrk ls ;k tgkW
iSFkkykftLV miyC/k ugha gks] ogkW vafre nks }kjk½ ds ijke’kZ ls fd;k tk;sxk vkSj tkWp laLrqr djus ls iwoZ jksxh ds csM gsM fudV esa jk;
vkSfpR; ,oa Lohdfr dh dk;Zokgh ntZ dh tk,xkA
10-22 vR;ko’;d ekeyksa esa ljdkjh@
ekU;rk izkIr fpfdRlky; esa vFkok
ljdkjh@ekU;rk fpfdRlky; esa
visf{kr lqfo/kk miyC/k u gksus ij
fdlh fpfdRlky; esa djk, x,
lhVh LdSu@,evkjvkbZ tkWpksa ij
js0cks0 dk fn0
29-09-2000 dk
i=
la0&99@,p@6
&4@ikfylh
vfxze 'kqf) iphZ
la0&7
@gsYFk@2000
#0 10000@& dqN ugha dqN ugha dqN ugha :0 10000@& dqN ugha dqN ugha dqN ugha
¼1½ bl 'kfDr dk iz;ksx fp0fu0@eqfp/kh@fp/kh }kjk nks ofj0 fpfdRldksa ¼,d lftZdy ls rFkk nwlj esfMdy fo’ks"kKrk ls½ ds ijke’kZ ls fd;k
tk;sxk rFkk tkWp laLrqr djus ls iwoZ jksxh ds csM gsM fudV esa jk;] vkSfpR; ,oa Lohdfr dh dk;Zokgh ntZ dh tk,xkA
10-23
(i) jsy lsod ,oa jsy nq?kZVukvksa esa
?kk;y vU; O;fDr;ksa dks
O;olkf;d lsok nsus ds fy,
flfoy ltZuksa] vU; ljdkjh
fpfdRlk vf/kdkfj;ksa ,oa futh
izsfDVlujksa dks 'kqYd ds laca/k esa
O;;
Hkk0js0fp0fu0 iSjk
712
Ikw.kZ vf/kdkj dqN ugha dqN ugha dqN ugha Ikw.kZ vf/kdkj izR;sd
ekeys esa
#0 500
izR;sd
ekeys esa
#0 200
dqN ugha
uksV%&
¼1½ foRrh; lgefr vko’;d gksxhA
¼2½ 'kqYd ml eaMy ds eqfp/kh ds ijke’kZ ls vVSUM djus okys jsyos fpfdRld }kjk fu/kkZfjr dh tk;sxhA
¼3½ Hkk0js0fp0fu0 ds iSjk 712 ds vU; izko/kkuksa tSls 8 fd0eh0 ds vUnj jsyos@ljdkjh fpfdRlky; dh dh vuqiyC/krk ns[kk] tkuk pkfg,A
227
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD)
SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital,
Individual Unit of Hospital & HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of Hospital & HU
1 2 3 4 5 6 7 8 9 10 11 10.21 All clinical and pathological
investigations/ radiological investigations and other types of diagnostic procedures of Railway beneficiary (other than CT Scan & MRI) to be done by Govt. Hospital / Private Hospital/Private Diagnostic Centre, in case the requisite facility is not available in Railway Hospital
Rly. Bd. letter no. 99/H/6-4/ Policy dt. 30.04.07 advance correction slip no 3 / Health /2007 IRMM
Rs.5000/- Rs.5000/- Nil Nil Rs.5000/- Nil Nil Nil
Note: 1. Beyond Rs.5000/- the case should be refereed to Railway Board 2. This power will be exercised by MD/CMS/MS in consultation with two senior doctors (one pathologist and the other from
surgical or Medical specialty or by the last two when a pathologist in not available) and the proceeding of the opinion, justification and sanction recorded in the bed head/OPD ticket of the patient before the test is recommended.
10.22 On CT scan /MRI tests done in absolutely essential cases at Govt./Recognized Hospital of in any Hospital in case the requisite facilities are not available in Govt/ Recognized Hospital
Rly. Bd. letter no. 99/H/6-4/ Policy dt. 29.09.2000 advance correction slip no 7 of Health/2000
Rs.10000/- Nil Nil Nil Rs.10000/- Nil Nil Nil Note:
This power will be exercised by MD/CMS/MS in consultation with two senior doctors (one form Surgical and one form Medical Specialty) and the proceeding of the opinion ,justification and sanction recorded in the bed head/ ticket of the patient before the test is recommended
10.23 (i) Expenditure in connection with fees to civil surgeons, other government medical officers and to private practitioners for professional service to railway servants and to other persons injured in railway accidents
IRMM Para 712
Full power Nil Nil Nil Full power Up to Rs.500/- in each case
Upto Rs.200/- in each case
Nil
Note: 1. Finance concurrence will be necessary 2. Fees should be fixed by the Rly. doctor attending in consultation with CMS of that division. 3.Other provisions of IRMM para 712 like non-availability of Rly./Govt. hospital within 8 km should be observed.
(ii) Transportation of passengers involved in train accidents
IRMM Para 711(15)(III) &
716
Full power Nil Nil Nil Full power Full power Full power Full power
Note: The detail in regard to payment is to be settled in consultation with finance.
228
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh eaMy@dkj[kkuk ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky;
dh vyx
bdkbZ o
LOkkLF; bdkbZ
o LokLF;
bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku fpfd-
dh vyx bZdkbZ ,oa
Lok- bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-23
(ii) Vªsu nq?kZuk esa 'kkfey ;kf=;ksa dk
vkokxeu ¼VªkaliksVs’ku½
Hkk0js0fp0fu0 iSjk
712 ¼15½ ,oa 716
Ikw.kZ vf/kdkj dqN ugha dqN ugha dqN ugha Ikw.kZ vf/kdkj Ikw.kZ vf/kdkj Ikw.kZ vf/kdkj Ikw.kZ vf/kdkj
Hkqxrku ds laca/k esa foLrkj ls foRr ds ijke’kZ ls r; fd;k tkuk pkfg,A
10-23
(iii) nq?kVZuk LFky ij vfrfjDr thou
j{kd nokvksa dh cktkj ls
vf/kizkfIr gsrq 'kfDr;kWA
js0cks0 dk fn0 28-
05-03 dk i=kad
2002@,p@774
@Mh
Ikw.kZ vf/kdkj Ikw.kZ
vf/kdkj
dqN ugha dqN ugha Ikw.kZ vf/kdkj Ikw.kZ vf/kdkj Ikw.kZ vf/kdkj dqN ugha
uksV%& foRrh; lgefr dh vko’;drk ugha gSA
10-23
(iv) Vsªu nq?kZVuk esa ?kk;y ekeyksa dks
Hkstus ¼fjQj djus½ ,oa
ljdkjh@futh fpfdRlky;ksa esa
vfiz; ?kVukvksa rFkk mu ij
vkWu&LikWV Hkqxrku djus ij O;;
Hkk0js0fp0fu0 iSjk
711 ¼7½ ,oa ¼8½
,oa iSjk 712 dh
vfxze 'kqf) iphZ
Ikw.kZ vf/kdkj Ikw.kZ
vf/kdkj
dqN ugha dqN ugha Ikw.kZ vf/kdkj Ikw.kZ vf/kdkj Ikw.kZ vf/kdkj dqN ugha
¼1½ bl 'kfDr dk mi;ksx fpfdRlk ny ds ofj"Bre izHkkjh fpfdRld }kjk fd;k tk,xkA
¼2½ izkf/kdkj ds vuqlkj vU; 'krsZ ykxw gksaxhA
10-24
bi –pap & c-pap dh vf/kizkfIr
js0cks0 dk fn0
0809-10 dk i=kad
2007@,p@23@
5 ¼,SIykbulsl½
,d yk[k rd
Ikw.kZ vf/kdkj
dqN ugh
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
(a) Bi –pap ckbZ0 iSi
(b) C-pap lh0 iSi #0 50]000 rd
iw.kZ vf/kdkj
dqN ugh
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
fVIi.kh%&¼1½ iwjs thou esa ,d ckj e’khu miyC/k djk;h tk;sxh ftls eR;w ds mijkUr vLirky dks okil fd;k tk;sxkA
¼2½ lacaf/kr jsyos ykHkkFkhZ e’khu dh ejEer ,oa vuqj{k.k ds fy, ftEesnkj gksxkA
¼3½ jsyos cksMZ ds fn0 08-09-10 ds i= la0&2007@,p@23@5 ¼,SYikbulsal½ ds vuqlkj izfdz;k dks viuk;k tk;sxkA
(c) fg;fjax ,M ¼dku esa lquus
okyh e’khu½
js0cks0 dk fn0 06-
07-07 dk i=kad
2005@,p@6&6
@ikfylh
izR;sd ekeys esa
#0 20]000@&
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
;fn eY; 20]000@& dh lhek ls vf/kd gS rks ,sls ekeys dks foleqysf/k dh lgefr ls eqfpfu }kjk jsyos cksMZ dks Hkstk tk;sxkA
10-25
vkikr fLFkfr esa VªkalQ~;wtu ds
fy, ekU;rk izkIr Cyd cSad ls
CyM dh [kjhn
Hkk0js0fp0fu0 iSjk
638¼5½
Ikw.kZ vf/kdkj Ikw.kZ
vf/kdkj
dqN ugha dqN ugha Ikw.kZ vf/kdkj izR;sd
ekeys esa
#0
2000@&
izR;sd
ekeys esa
#0
2000@&
dqN ugha
fVIi.kh%& foRrh; lgefr dh vko’;drk ughaA
229
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD) SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital, Individual Unit of Hospital &
HU)
Sr.Scale, Jr. Scale Incharge of Hospital, Individual Unit of Hospital
& HU
1 2 3 4 5 6 7 8 9 10 11 10.23
(iii) Powers for procure-ment of additional life saving drugs from the market at the site of accident.
Rly. Bd. letter no. 2002/H/774 dt.
20.05.03
Full power Full power Nil Nil Full power Full power Full power Nil
Note: Finance concurrence is not necessary.
(iv) Expenditure on referring of cases injured in train accidents and untoward incidence to government/ private hospitals and making on the spot payment thereof
IRMM Para 711 advance correction slip to Para 711(7) & (8) & Para 712
Full power Full power Nil Nil Full power Full power Full power Nil
Note: 1. The senior most doctor in charge of the medical team will exercise the power. 2. Others condition to be followed as per authority
10.24 Procurement of bi-pap c-pap
Rly. Bd. letter no. 2007/H/23/5
(APPLIANCES) dt. 08.9,10
A)Bi-pap Full power upto Rs.1 lakh
Nil Nil Nil Nil Nil Nil Nil
B)C-pap Full power upto Rs.50000/-
Nil Nil Nil Nil Nil Nil Nil
C) HEARING AID Rly. Bd. letter no. 2005/H/6-4/Policy
dt. 06.07.07
Rs.20000/- per case
Nil Nil Nil Nil Nil Nil Nil
Note: If cost exceeds the limit of Rs.20000/-,the same should be referred by CMD to Rly.Bd. with concurrence of FA&CAO.
10.25 Purchase of blood for transfusion from recognized blood bank in emergencies
IRMM Para 638(5)
Full power Full power
Nil Nil Full power Upto Rs.2000/-
in each case
Upto Rs.2000 in each case
Nil
Note: Finance concurrence is not necessary.
230
en
la[;k
enksa dk fooj.k izkf/kdkj izR;k;ksftr 'kfDr;ksa dh lhek;sa
eq[;ky; ds vf/kdkjh eaMy@dkj[kkuk ds vf/kdkjh
izeq[k foHkkxk/;{k
eqfpfu
ofj- iz'kk-
osrueku
dfu- iz'kk-
osrueku
ofj-
osrueku@
dfu- osrueku
eajsiz ,oa fpfdRlk
foHkkx ds ofj- iz'kk-
osrueku
vij eajsiz dfu- iz'kk-
osrueku
¼fpfdRlky;
dh vyx
bdkbZ o
LOkkLF; bdkbZ
o LokLF;
bdkbZ ds
izHkkjh½
ofj- osrueku
dfu- osrueku fpfd-
dh vyx bZdkbZ ,oa
Lok- bdkbZ ds izHkkjh
1 2 3 4 5 6 7 8 9 10 11
10-26
(i)
fczxsM fu;e ds vuqlkj lsaV tkUl
,Ecqysal fczxsM ¼,lts,ch½ ds
;wfuQkeZ diM+s ij O;;A
Hkk0js0fp0fu0 iSjk
1110
vij vk;qDr
fpfdRlk
vij
dekaMj@
fpfdRlk
mik;qDr
Ikw.kZ vf/kdkj izR;sd
volj
ij
2500@&
izR;sd
volj ij
2000@&
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
(ii) ijsM HkRrk Hkk0js0fp0fu0 iSjk
1111
vij vk;qDr
fpfdRlk
vij
dekaMj@
fpfdRlk
izR;sd
volj ij
2000@&
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
Ikw.kZ vf/kdkj Ikw.kZ
vf/kdkj
Ikw.kZ
vf/kdkj
dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
uksV%& ¼1½ foRrh; lgefr dh vko’;drk ughaA ¼2½ ,l0ts0,0ch0 }kjk fu/kkZfjr fofufnZ"V nj ij
(iii) ,l0ts0,0ch0 ds vH;FkhZ ds fy,
ckmpj@esMkfy;u ij O;;
Hkk0js0fp0fu0 iSjk
1106¼8½ ,oa 1112
Ikw.kZ vf/kdkj dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha dqN ugha
231
Item No. Nature of Power Authority
Extent of Powers Delegated to Head Quarter Officers Divisional / Workshop Officers
PHOD (CMD) SAG JAG Sr. Scale/
Jr. Scale DRM/
SAG of Medical deptt.
ADRM
JAG (Incharge of Hospital, Individual Unit of Hospital &
HU)
Sr.Scale, Jr. Scale Incharge of
Hospital, Individual Unit of Hospital & HU
1 2 3 4 5 6 7 8 9 10 11 10.26
(i) Expenditure on Uniform clothing of St.John’s Ambulance Brigade (SJAB) as per brigade rules.
IRMM Para 1110
Adl. Commissioner/
Medical
Addl. Commander/
Medical
Dy. commissioner
Full power Rs.2500/- per occasion
Rs.2000/- per occasion
Nil Nil Nil Nil Nil
(ii) Parade allowance IRMM PARA 1111
Adl. Commissioner/
Medical
Addl. Commander/
Medical
Dy. Commissioner
Nil Nil Nil Nil Nil
Full power Full power Full power Nil Nil Nil Nil Nil
Note: 1. Finance concurrence is not necessary. 2. At rate to be fixed/specified by SJAB.
(iii) Expenditure on voucher / medallion for the candidate of SJAB
IRMM PARA 1106(8)&1112
Full power Nil Nil Nil Nil Nil Nil Nil