State Consumer Disputes Redressal Commission
Sagarmal Agarwal vs Dr. R.K.Sharma on 8 October, 2021
Page 1 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k
vihy la [ ;k 72@2011
fu.kZ ; fnuka d 08 vDVw c j] 2021
jktLFkku jkT; miHkksDrk fookn izfrrks"k vk;ksx] lfdZV cSap dksVk ¼jkt0½ vihy la[;k %& 72@2011 1- Sagarmal Agarwal S/o Mohan Lal Agarwal Aged 57 yrs 2- Manish Agarwal S/o Sagarmal Agarwal 3- Nitin Agarwal S/o Sagarmal Agarwal R/o Gubab Bari, Ladpura, KOTA (Raj.) &[email protected] cuke~ 1- Dr. R.K. Sharma S/o Ram Mahar Sharma Aged 70 Yrs Cast Brahmin R/o 593-A, Talwandi, KOTA (Raj.) 2- Dr. Kamal Prakash Jain S/o Shri Nank Lal Jain Aged 58 Yrs. Cast Jain R/o 172, Civil Lines, KOTA (Raj.) &foi{khx.k le{k % eku~uh; Jh ,l-ds-tSu] lnL; ¼U;kf;d½ eku~uh; Jh 'kSysUnz HkV~V] lnL;
mifLFkr %& 01- Jh tehy vgen] vf/koDrk] vihykFkhZx.k dh vksj ls A 02- Jh egs'k xqIrk] vf/koDrk izR;FkhZx.k dh vksj ls A fu.kZ; fnukad 08 vDVwcj] 2021 jkT; miHkksDrk vk;ksx]lfdZV cSap dksVk] }kjk Jh ,l0ds0tSu] lnL; ¼U;kf;d½ 01- [email protected] us foi{kh@izR;FkhZx.k ds fo#) ;g vihy fo}ku~ ftyk miHkksDrk laj{k.k eap] dksVk ds }kjk ifjokn izdj.k la[;k 289@06 lkxjey vxzoky o vU; cuke~ MkW0 vkj-ds-'kekZ o vU; esa ikfjr Page 2 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 fu.kZ; fnukad 20-06-2011 ds fo#) izLrqr dh gS] ftlds }kjk mUgksaus [email protected] dk ifjokn i= [kkfjt dj fn;k gS A 02- rF;kRed fLFkfr la{ksi esa bl izdkj gS fd [email protected] us fo}ku~ ftyk miHkksDrk laj{k.k eap] dksVk esa fnukad 06-10-2006 dks foi{kh@izR;FkhZx.k ds fo#) miHkksDrk laj{k.k vf/kfu;e] 1986 dh /kkjk 12 ds rgr ,d ifjokn i= bu rF;ksa dk izLrqr fd;k fd ifjoknh la[;k&1 lkxjey vxzoky us viuh iRuh Jherh ljkst vxzoky mez 46 o"kZ dks dqN le; ls cksyus esa Hkkjhiu gksus ds dkj.k fnukad 25-06-05 dks MkW0 lqjsUnz HkVukxj dks fn[kk;k Fkk] ftudh nokbZ;ksa ls Qk;nk ugha gksus ij fnukad 05- 07-05 dks MkW0 f'kodqekj dks fn[kk;k A rc mUgksua s dqN nokbZ;k nh ,oa Vocal Nodules vkWijs'ku djus dh lykg nh A fnukad 24-07-05 dks iqu% MkW0 lqjsUnz HkVukxj dks fn[kk;k] rc mUgksaus Hkh tkWp djkus ds ckn vkWijs'ku djus dh lykg nh A blds i'pkr~ ifjoknh la[;k&1 us fnukad 8 ,oa 9 vxLr] 2005 dks viuh iRuh ljkst vxzoky dks foi{kh la[;k&1 MkW0 vkj-ds-'kekZ dks fn[kk;k rc mUgksaus Vocal Nodules gksus ls vkWijs'ku djus dh lykg nh A MkW0 vkj-ds-'kekZ us TLC and DLC-BTCT tkWp djok;h] vU; dksbZ tkWp ugha djok;h A fnukad 16-08-05 dks lqcg lkr cts og MkW0 vkj-ds-'kekZ ds ryoaMh fLFkr vLirky ij igqWps] mudks iwoZ ds MkWDVjksa ds fVfdV o ijps Hkh ns fn;s rFkk vkWijs'ku ds fy, ikap gtkj #i;s ekaxus ij ns fn;s A MkW0 vkj-ds-'kekZ us crk;k fd bZ,lvkbZ vLirky ls MkW0 ds-ih-tSu ¼foi{kh la[;k&2½ vkdj ,usfLFkfl;k nsx a s] rc vkWijs'ku gksxk A ml fnu djhc 8-45 cts MkW0 ds-ih-tSu vk;s A nksuksa foi{khx.k ifjoknh la01 dh iRuh ljkst vxzoky dks vkWijs'ku #e esa ys x;s A ifjoknh la[;k&1 fpfdRld dh ijph ds vk/kkj ij nokbZ;ka ysdj vk;k] nksckjk nks batsD'ku eaxok;s] og Hkh ifjoknh ysdj vk;k A djhc ikSus nl cts foi{kh la01 MkW0 vkj-ds-'kekZ us ckgj vkdj lgefr Lo#i gLrk{kj djk;s] ftlds ikap fefuV ckn foi{khx.k us ifjoknh dks vUnj cqyok;k] rc ifjoknh ,oa mlds lkFkh vkseizdk'k vUnj x;s] tgkW vkWijs'ku fFk;sVj esa ljkst vxzoky Vsfcy ij e`r gkyr esa iMh Fkh] 'okal ugha vk jgh Fkh] ,d iSj dh ik;tsc VwVh gq;h Fkh] ukd ls [kwu vk jgk Fkk] gkFk&iSj BaMs iMs Fks A MkW0 vkj-ds-'kekZ cfu;ku igu dj vkWijs'ku dj jgs Fks A MkW0 vkj- ds-'kekZ us iwNk fd D;k ljkst dks iwoZ esa gkVZ dh chekjh Fkh] rc ifjoknh la01 Page 3 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 us euk fd;k A ml vkWijs'u fFk;sVj esa vkWDlhtu flys.Mj ugha Fkk rFkk vkWDlhtu nsus ds midj.k Hkh ugha Fks A MkW0 ds-ih- tSu gs.M CysMj ls ljkst dks vkWDlhtu nsus dh dksf'k'k dj jgs Fks A ifjoknh la01 dks ;g yxk fd mldh iRuh dh 'okal uyh vFkok vU; xys dh ul dkV nh] ftlds dkj.k [kwu cg jgk Fkk A foi{khx.k us MkW0 lkdsr xks;y dks cqyk;k] ftUgksaus Hkh dbZ batsD'ku yxk;s] fdUrq ljkst esa dksbZ gypy ugha gq;h A mlds i'pkr~ foi{khx.k ljkst dks ,Ecqysl a esa Mkydj Hkkjr fodkl ifj"kn gkWLihVy ys x;s A oSu esa MkW0 lkdsr xks;y us ljkst ds 'kjhj esa ifEiax dh rFkk pkj&ikap batsD'ku yxk;s A oSu ds flys.Mj esa Hkh vkWDlhtu ugha Fkh A oSu esa MkW0 ds- ih-tSu gs.M CysMj ls vkWDlhtu nsus dh dksf'k'k dj jgs Fks A ifjoknh ds vuqlkj ljkst dh e`R;q gks pqdh Fkh A Hkkjr fodkl ifj"kn vLirky esa ljkst dks vkbZ-lh-;w- esa osUVhysVj ij j[kk x;k rFkk fnukad 19-08-05 dks jkr djhc 10&11 cts ljkst dk e`r 'kjhj ifjoknh dks lqiqnZ dj fn;k x;k A ifjoknhx.k ds vuqlkj foi{khx.k us vkWijs'ku ls igys CyM 'kqxj] bZlhth] ,Dljs vkfn dh tkWp ugha djk;h rFkk vkWijs'ku fFk;sVj esa vkWDlhtu miyC/k ugha gksrs gq, Hkh vkWijs'ku dj fn;k A ifjoknh la01 ds vuqlkj mldh iRuh dh e`R;q fnukad 16-08-05 dks gks pqdh Fkh] fdUrq mls fNikdj fnukad 19-08-05 rd vkbZlh;w esa osaVhysVj ij vius cpko esa j[kk x;k A ifjoknh la01 us ;g Hkh fy[kk fd mldh iRuh ljkst vxzoky] ^^vxzoky Mªslt s ^^ jkeiqjk] dksVk dh ekfyd Fkh A og jsMhesV xkjesaV dk O;olk; djrh Fkh rFkk vk;dj vnk djrh Fkh A bl izdkj ifjoknhx.k us foi{khx.k ls chl yk[k #i;s {kfriwfrZ fnyk;s tkus dk fuosnu fd;k gS A 03- foi{kh la01 MkW0 vkj-ds- 'kekZ us tcko ifjokn i= izLrqr dj Qhl ysus ls bUdkj fd;k] ?kj ij dsoy viuk fDyfud gksuk crk;k] vkWijs'ku fFk;sVj gksus ls bUdkj fd;k A eq[; #i ls ;g dFku fd;k fd os vkWijs'ku ugha dj jgs Fks] cfYd Laryngoscop ls vkWijs'ku ls igys dh tkWp dj jgs Fks] tks mUgksua s ,usfLFkfl;k fo'ks"kK MkW0 ds-ih- tSu dh mifLFkfr esa yksdy ,usfLFkfl;k tk;dksfyu fNMd dj fd;k Fkk A muds fDyfud esa vkWDlhtu flys.Mj ekStwn Fkk] fdUrq vf/kd ncko ls vkWDlhtu nsus dh vko';drk gksus ds dkj.k gs.M CysMj ls ifEiax dh tk jgh Fkh A ;g Hkh fy[kk fd muds fDyfud ij ljkst dh e`R;q ugha gq;h Fkh] cfYd gkVZ vVSd ls gq;h Fkh A ;g Page 4 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 Hkh fy[kk fd os vuqHkoh ,oa ;ksX;rk/kkjh ukd] dku] xyk fo'ks"kK gSa A o"kZ 1968 esa ekLVj vkWQ ltZjh dh fMxzh izkIr dh gS A ;g Hkh fy[kk gS fd mUgksua s Hkkjr esa gh ugha] cfYd fons'k bZjku esa jgdj pkj o"kZ rd bZykt fd;k gS rFkk fofHkUu iz'kalk i= feys gSa A bl izdkj mUgksua s ifjokn i= [kkfjt fd;s tkus dk fuosnu fd;k gS A 04- foi{kh la[;k&2 MkW0 ds-ih-tSu us i`Fkd~ tcko ifjokn i= izLrqr dj ;g fy[kk gS fd mUgksua s ifjoknh vFkok mudh iRuh ls fdlh izdkj dh dksbZ Qhl ugha yh gS A og vius dku esa nnZ gksus ds dkj.k foi{kh la01 ds ikl dku fn[kkus x;s Fks A ogkW ij foi{kh la01 fdlh efgyk dk xyk ns[k jgs Fks rFkk mUgksua s xyk fn[kkus gsrq lqUu djus dh nok Mky j[kh Fkh] fdUrq og efgyk vlkekU; gjdrsa djus yxh] 'okal esa ijs'kkuh vkus ls eqag esa >kx vkus yxk] rc MkW0 vkj-ds- 'kekZ ds dgus ls mUgksaus LVsFkhLdksi ls ml efgyk dh tkWp dh] rc QsQMksa ls dzsIVl dh vkokt vk jgh Fkh A mlds i'pkr~ MkW0 lkdsr xks;y dks cqyk;k x;k] ftUgksaus Hkkjr fodkl ifj"kn vLirky esa jSQj dj fn;k A muds vuqlkj mUgsa xyr rkSj ij i{kdkj cuk;k x;k gS A mUgksaus ifjokn i= [kkfjt fd;s tkus dk fuosnu fd;k A 05- mHk; i{k ds }kjk fofHkUu nLrkostkr ,oa 'kiFk i= izLrqr fd;s x;s gSaA fo}ku~ ftyk miHkksDrk vk;ksx us mHk; i{k dh cgl lqudj [email protected] dk ifjokn i= [kkfjt dj fn;k] ftlls O;fFkr gksdj ;g vihy izLrqr dh x;h gS A 06- fo}ku~ vf/koDrkx.k [email protected] dh vksj ls ;g cgl dh x;h gS fd foi{kh la01 us Vocal Nodules dk vkWijs'ku djus ds fy, cqyk;k Fkk rFkk lqfo/kkvksa ds ugha gksrs gq, Hkh mUgksaus MkW0 ds-ih- tSu ,usfLFkfl;k fo'ks"kK dks cqykdj vkWijs'ku dj fn;k] ftlds dkWEiyhds'kUl ds dkj.k ml le; ljkst vxzoky dh e`R;q gks x;h] fdUrq foi{khx.k us MkW0 lkdsr xks;y rFkk Hkkjr fodkl ifj"kn vLirky ls feydj vius cpko eas ljkst vxzoky dks rhu fnuksa rd Hkkjr fodkl ifj"kn vLirky esa vkbZ-lh-;w- esa osaVhysVj ij j[kk A bl izdkj muds vuqlkj fo}ku~ ftyk miHkksDrk vk;ksx us xyr rkSj ij ifjokn i= [kkfjt dj fn;k gS A mUgksaus vihy Lohdkj fd;s tkus dk fuosnu fd;k gS A Page 5 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 07- fo}ku~ foi{kh@izR;FkhZx.k dh vksj ls ;g cgl dh x;h gS fd foi{kh la[;k&1 MkW0 vkj-ds- 'kekZ ;ksX;rk/kkjh ,oa vuqHkoh ukd] dku] xyk fo'ks"kK gSa] muds vuqlkj ?kVuk okys fnu os vkWijs'ku ugha dj jgs Fks] cfYd vkWijs'ku ls iwoZ dh tkWp Laryngoscop ls dj jgs Fks A lqj{kk dh n`f"V ls mUgksua s foi{kh la02 MkW0 ds-ih-tSu] ,usfLFkfl;k fo'ks"kK dks Hkh cqyk fy;k Fkk] fdUrq irk ugha fdu dkj.kksa ls ljkst vxzoky ds gkVZ vVSd vk x;k] ftldk bZykt Hkh Hkkjr fodkl ifj"kn vLirky esa fd;k x;k gS A mudk ;g Hkh rdZ gS fd foi{khx.k us ifjoknh vFkok mudh iRuh ls dksbZ Qhl ugha yh gS] blfy, ifjoknh miHkksDrk Hkh ugha gS A mUgksua s ;g Hkh cgl dh gS fd ifjoknh us iqfyl esa Hkh izFke lwpuk fjiksVZ ntZ djk;h Fkh] fdUrq U;k;ky; us iqfyl }kjk izLrqr vkjksi i= ij izlaKku ugha fy;k gS A mudk ;g Hkh rdZ gS fd bl ckjs esa esfMdy cksMZ dk xBu fd;k x;k Fkk] ftUgksua s Hkh tkWp esa foi{khx.k dh dksbZ ykijokgh ugha ekuh gS A bl izdkj muds vuqlkj fo}ku~ ftyk miHkksDrk vk;ksx dk fu.kZ; lgh gS rFkk mUgksua s vihy [kkfjt fd;s tkus dk fuosnu fd;k gS A 08- geus mijksDr mHk; i{kh; cgl ij fopkj fd;k gS ,oa i=koyh dk voyksdu fd;k gS A 09- loZizFke foi{kh@izR;FkhZx.k ds bl rdZ ij ge fopkj djrs gSa fd mUgksua s ifjoknh vFkok mldh iRuh ls dksbZ Qhl ugh yh] blfy, ifjoknh i{k miHkksDrk ugha gS A gLrxr izdj.k esa ifjoknh i{k ds vuqlkj mUgksaus fpfdRld MkW0 vkj-ds-'kekZ dks ?kVuk okys fnu ds igys Hkh fn[kk j[kk Fkk rFkk mUgksua s vkWijs'ku dh lykg nh Fkh ,oa ?kVuk okys fnu Hkh ikap gtkj #i;s vkWijs'ku@mipkj ds fy, nsuk crk;k gS A ;|fi MkW0 vkj-ds-'kekZ us Qhl ysus ls bUdkj fd;k gS] fdUrq ,sls Li"V dFku ugha fd;s gSa fd og fu%'kqYd fpfdRlh; lykg vius fDyfud ij ns jgk gks vFkok ifjoknh i{k ls dksbZ fo'ks"k igpku gksus ds dkj.k fu%'kqYd fpfdRlh; lykg rFkk mipkj dj jgs gksa A foi{kh la[;k&1 MkW0 vkj-ds-'kekZ us ?kVuk okys fnu ifjoknh ls fofHkUu nokbZ;ka Hkh eaxk;h gSa rFkk mipkj@tkWp djus dh lgefr Hkh yh gS] vr% ;g ugha ekuk tk ldrk gS fd bl LVst rd foi{kh la[;k&1 us ifjoknh i{k ls dksbZ Qhl izkIr ugha dh gks A tgkW rd foi{kh la[;k&2 ds }kjk lh/ks ifjoknh ls Qhl izkIr djus dk iz'u gS] bl ckjs esa ;|fi ;g lgh Page 6 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 gS fd ifjoknh i{k us foi{kh la02 dks lh/ks Qhl nsuk ugha crk;k gS] fdUrq ifjoknh dh iRuh ds mipkj@tkWp ds fy, foi{kh la01 fpfdRld us foi{kh la02 ,usfLFkfl;k fo'ks"kK dks cqyk;k gS] ftldk ;gh vFkZ fudyrk gS fd foi{kh la01] foi{kh la02 dks ifjoknh i{k ls izkIr dh x;h jkf'k esa ls Hkqxrku djsxk A bl izdkj foi{khx.k ds }kjk Qhl ugha fy;s tkus dk tks rdZ fy;k x;k gS] og lkjghu gS A 10- bl izdj.k esa e`rdk ljkst vxzoky ds xys ds Voice Box esa Vocal Nodules gksus ls vkokt esa Hkkjhiu vk jgk Fkk A ifjoknh i{k ds vuqlkj foi{khx.k us ?kVuk okys fnu ljkst vxzoky dk Vocal Nodules dk vkWijs'ku fd;k Fkk] tcfd foi{khx.k ds vuqlkj vkWijs'ku ls iwoZ tkWp dh tk jgh Fkh A bu lc fcUnqvksa ij fu.kZ; djus ls iwoZ bl ckjs esa esfMdy fyVjspj dk mYys[k djuk mfpr gS] tks fuEukuqlkj gS %& What are vocal nodules ?
Vocal nodules are hard, rough, noncancerous growths on your vocal cords. They can be as small as a pinhead or as large as a pea.You get nodules from straining or overusing your voice, especially from singing, yelling, or talking loudly or for a long period of time.Vocal nodules go by other names based on their cause. They've been called "singing nodules," "screamer's nodules," and "teacher's nodules."
What are the symptoms ?
Voice changes Vocal nodules change the sound of your voice, making it:
hoarse raspy or scratchy tired-sounding breathy crack or break lower-pitched than usual Direct laryngoscopy and biopsy What is a Direct Laryngoscopy with or without biopsy ?Page 7 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k
vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 The larynx is the medical term used for the voice box. The voice box contains numerous structures including the vocal cords, which are the muscles and membranes that vibrate to produce sound. This sound is then shaped and altered by the remaining structures of our throat and nose, to give each of us a unique voice. Laryngoscopy is the name of the surgical procedure in which your surgeon will closely inspect the larynx and tissue around the larynx. A biopsy or remove abnormal tissue may be performed. Some laryngoscopies are performed for diagnostic purposes only--example there is an abnormal area on the vocal cord that needs to be biopsied to determine what it is. Some laryngoscopies are therapeutic meaning the lesion can be completely removed to treat the underlying problem. Your surgeon will discuss prior to surgery whether your procedure is anticipated to be diagnostic or therapeutic.
What to do BEFORE surgery Here are a few things you can do before surgery to help things go more smoothly:
Eliminate ALL medications that thin your blood for two (2) weeks before surgery, unless directed otherwise by your surgeon. Please see this list--Medications to Avoid Prior to Surgery Stop smoking at least 3 weeks before your surgery date. If you gets a cold or fever during the 5 days before the surgery, please notify us. A cold may increase the risk from anesthesia. Sometimes blood counts and clotting is checked before surgery to make sure you are not at risk of increased bleeding. Labs need to be drawn the week prior to surgery. Your insurance carrier may dictate the lab where the blood is drawn. No food 8 hours prior to surgery. No liquids for 4 hours prior to surgery.
Arrange for a ride home after the procedure.
What to Expect During Surgery This surgery is performed under general anesthesia, so that you don't feel discomfort, cough, gag, or have problems breathing during the procedure, which allows for much more precision during the inspection and tissue removal. You will be asleep for the entire surgery. Surgery typically lasts 20-30 minutes, and is done as an Page 8 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 outpatient, meaning you can go home a few hours after the surgery is completed.
What are the risks of Surgery?
As with any surgical procedure, direct laryngoscopy has associated risks. Although the chance of a complication occurring is small, it is important that you understand the potential complications and ask your surgeon about any concerns you may have bleeding hoarseness, swelling[ need for further treatment/failure to improve, damage to teeth/gums/lips, numbness of tongue/lips, weakness of tongue and Anesthesia risks.
ANESTHESIA RISKS--As with any type of surgery, the risks of anesthesia such as drug reaction, breathing difficulties and even death are possible. Please discuss these risks with your anesthesiologist. Fortunately, with this procedure, anesthetic problems are exceedingly rare.
About Your Diagnostic Laryngoscopy Under Anesthesia This information will help you get ready for your diagnostic laryngoscopy at Memorial Sloan Kettering (MSK) including what to expect before and after your procedure.
A diagnostic laryngoscopy is a procedure that lets your surgeon to look at your larynx (voice box) using an instrument called a laryngoscope. A laryngoscope is a tube with a camera at the end that your surgeon will use to get a clear view of your larynx. Your surgeon may also take a biopsy (sample of tissue) during the procedure.
Some people also have an esophagoscopy done at the same time. This is a procedure that looks at your esophagus (food pipe).
A laryngoscopy is usually done as an outpatient procedure in the operating room. You'll be given anesthesia (medication that makes you sleep) during the procedure.Page 9 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k
vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 Before Your Procedure Presurgical Testing Before your procedure, you will have an appointment for presurgical testing (PST). The date, time, and location of your PST appointment will be printed on the appointment reminder from your doctor's office.
You can eat and take your usual medications the day of your PST appointment.
During your appointment, you will meet with a nurse practitioner (NP) who works closely with anesthesiology staff (doctors and specialized nurses who will give you anesthesia during your procedure). Your NP will review your medical and surgical history with you. You may have 1 or more of the following tests, including an electrocardiogram (EKG) to check your heart rhythm, a chest x-ray, blood tests, and any other tests needed to plan your care. Your NP may also recommend that you see other healthcare providers.
Your NP will talk with you about which medications you should take the morning of your procedure.
11- gLrxr izdj.k esa i=koyh ij miyC/k nLrkostkr ds vk/kkj ij fuEufyf[kr rF;kRed fcUnqvksa dk mYys[k fd;k tkuk Hkh mfpr gS %& 1- bl izdj.k esa ifjoknh i{k ds }kjk iqfyl esa QkStnkjh izdj.k ntZ djk;k x;k gS] ftl ij iqfyl us vuqla/kku djds foi{khx.k ds fo#) /kkjk 304&, ,oa 201 Hkk0n0la0 esa vkjksi i= izLrqr fd;k x;k gS] ;|fi U;k;ky; ds }kjk vius 14 i`"Bh; vkns'k ls izlaKku ugha fy;k x;k gS A 2- MkW0 vkj-ds- 'kekZ dks fn[kk;s tkus ls igys e`rdk ljkst vxzoky dks MkW0 lqjUs nz HkVukxj rFkk MkW0 f'kodqekj dks Hkh fn[kk;k x;k Fkk] ftUgksaus ljkst vxzoky ds xys esa Vocal Nodules gksuk crk;k Fkk rFkk csgks'k djds nwjchu ls vkWijs'ku djus dh lykg nh Fkh A 3- MkW0 lqjUs nz HkVukxj us iqfyl lhvkbZMhlhch tkWp esa ;g crk;k gS fd mUgksua s vkWijs'ku ls igys TLC, HB, LBR, BT,CT. BS, Fasting Page 10 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 Complete, Urine Exam, ECG rFkk psLV ,Dljs djokus dh lykg nh Fkh] D;ksfa d muds vuqlkj vkWijs'ku ls igys lHkh tkWpsa vko';d Fkh A 4- bl ekeys esa vfrfjDr ftyk eftLVªsV] dksVk] vfrfjDr iqfyl v/kh{kd] dksVk 'kgj] mik/kh{kd ,e-ch-,l-fpfdRlky;] dksVk ,oa bZ- ,u-Vh-fo'ks"kK dh tkWp desVh us tkWp djds viuh fjiksVZ nh gS] ftUgksua s viuh tkWp esa ;g ekuk gS fd MkW0 vkj-ds-'kekZ us fnukad 16-08-05 dks ,usfLFkfl;k fo'ks"kK MkW0ds-ih-tSu dks Lo;a ds fDyfud ij cqykdj ifjoknh dh lgefr ysus ds ckn mipkj izkjEHk fd;k] fdUrq mipkj ds le; nh x;h fdlh nok ls fj;sD'ku gksus ds dkj.k ejht dh gkyr xEHkhj gksus ij MkW0 lkdsr xks;y dks cqyk;k] ftudh lykg ij Hkkjr fodkl ifj"kn vLirky esa ljkst dks HkrhZ fd;k x;k] tgkW mldh e`R;q gks x;hA 12- bl ekeys esa fo'ks"kK fpfdRldksa dh nwljh tkWp Vhe xfBr dj tkWp djkbZ x;h gS] ftuesa ukd] dku] xyk foHkkx ds fo'ks"kK] QksjsfUld esfMdy foHkkx ds fpfdRld rFkk ,usfLFkfl;k foHkkx ds fpfdRldksa dks 'kkfey fd;k x;k Fkk] ftUgksua s ;g ekuk gS fd iSFkksykWth tkWp dh dksbZ fjiksVZ miyC/k ugha gS] ejht vFkok ifjtuksa dk lgefr i= Hkh miyC/k ugha gS A ;g Hkh ekuk gS fd MkW0 'kekZ }kjk jksx ls lEcfU/kr dkxtkr ifjoknh dks fn;s vFkok ugha fn;s] bl ckjs esa dksbZ fVIi.kh lEHko ugha gS A ;g Hkh ekuk fd bl izdkj dh tkWp ds fy, yksdy ,usfLFkfl;k fn;k tkrk gS] ftlds fy, vkbZ -lh-;w- dh vko';drk ugha gS A 13- bl ekeys esa foi{kh fpfdRld }kjk fy[ks x;s ijps ,oa ifjoknh dh lgefr] iSFkksykWth tkWp fjiksVZ vFkkZr~ fpfdRlh; lEcfU/kr nLrkostkr] tks fd MkW0 vkj-ds-'kekZ ds fDyfud ij rS;kj fd;s x;s Fks] os miyC/k ugha gSa A MkW0 vkj-ds-'kekZ bu nLrkostkr dks MkW0 ds-ih-tSu dks nsuk dgrs gSa rFkk MkW0 ds-ih- tSu bu nLrkostkr dks Hkkjr fodkl ifj"kn vLirky ys tkrs le; ejht ds ikl j[k nsuk dgrs gSa A 14- e`rdk ljkst vxzoky dk iksLVekVZe ugha djk;k x;k gS A 15- MkW0 ds-ih-tSu foi{kh la02 vius tcko ifjokn i=] c;ku ds 'kiFk i= rFkk tkWp desVh dks fn;s x;s c;kuksa esa ;g dgrs gSa fd os vius dku esa nnZ Page 11 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 gksus ds dkj.k ?kVuk ds le; MkW0 vkj-ds- 'kekZ ds fDyfud ij x;s Fks] tcfd MkW0 vkj-ds-'kekZ vius tcko ifjokn i=] lk{; okys 'kiFk i= rFkk vius tkWp desVh dks fn;s x;s c;kuksa esa ;g crkrs gSa fd mUgksaus foi{kh la02 MkW0 ds-ih- tSu dks ljkst vxzoky ds mipkj ds fy, ,usfLFkfl;k fo'ks"kK ds #i esa cqyok;k Fkk A 16- foi{kh la01 MkW0 vkj-ds-'kekZ dh fDyfud esa vkWijs'ku fFk;sVj vFkok vkWijs'ku #e rFkk vkbZ-lh-;w- miyC/k ugha gS] fdUrq MkW0 f'kodqekj }kjk fd;s x;s fujh{k.k ds vuqlkj muds fDyfud ij vkWDlhtu flys.Mj ,oa lqj{kk ds vU; midj.k ekStwn Fks A 17- e`rdk ljkst vxzoky dh dksbZ Hkh iSFkksykWth fjiksVZ ;|fi miyC/k ugha gS] fdUrq i=koyh ij miyC/k nLrkostkr ds vk/kkj ij ;g ik;k tkrk gS fd tSu fnokdj Mk;Xuksfll fDyfud cMk rkykc] dksVk ij [kwu ,oa is'kkc dh tkWpsa djok;h x;h Fkh] fdUrq bZ-lh-th- ,oa psLV dk ,Dljs Lohd`r #i ls ugha djk;k x;k A 18- gLrxr izdj.k esa ifjoknh i{k ds vuqlkj MkW0 vkj-ds- 'kekZ us ?kVuk okys fnukad dks ifjoknh la01 rFkk mldh iRuh dks Vocal Nodules ds mipkj ds fy, cqyk;k Fkk rFkk vkWijs'ku djrs le; ;g ?kVuk ?kfVr gq;h gS] fdUrq foi{khx.k ds vuqlkj vkWijs'ku ugha fd;k tk jgk Fkk] cfYd vkWijs'u ls iwoZ dh tkWp dh tk jgh Fkh A Vocal Nodules ds ekeys esa nwjchu ls Nodules dks gVk;k tkrk gS] blh izfdz;k dks vkWijs'ku dgrs gSa A gLrxr izdj.k esa MkW0 vkj-ds-'kekZ foi{kh la01 us ?kVuk ds le; MkW0 ds-ih- tSu ,usfLFkfl;k fo'ks"kK foi{kh la02 dks cqyk;k gS] igys gh CyM rFkk ;wfju VsLV djk fy;s x;s Fks] bZykt lEcfU/kr nLrkostkr ,oa iSFkksykWth tkWp fjiksVZ xk;c dj nh x;h gS] MkW0 ds-ih-tSu dk dguk ;g gS fd og vius dku esa nnZ gksus ds dkj.k MkW0 vkj-ds-'kekZ ds ?kj x;s Fks] tcfd MkW0 vkj-ds-'kekZ Li"V #i ls izR;sd LFkku ij ;g dg jgs gSa fd mUgksua s ljkst vxzoky ds mipkj@tkWp ds fy, MkW0 ds-ih-tSu ,usfLFkfl;k fo'ks"kK ds #i eas cqyk;k Fkk A foi{khx.k ;g Hkh ekurs gSa fd mUgksaus yksdy ,usfLFkfl;k dk VsLV ljkst vxzoky ds gkFk ij fd;k Fkk A MkW0 vkj-ds- 'kekZ us tk;dksfyu ljkst vxzoky ds xys ij fNMdk Fkk A MkW0 vkj-ds-'kekZ us Laryngoscop xys esa Mkyk gS A foi{khx.k ;g Hkh ekurs gSa fd fdlh nok ds fj;sD'ku ds dkj.k Pulmonary Edema gks Page 12 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 x;k Fkk A blds vykok ;g rF; vR;Ur egRoiw.kZ gS fd iqfyl us tkWp esa MkW0 vkj-ds- 'kekZ ds fDyfud ds ikl esa fLFkr dfiy esfMdy LVksj ds ekfyd Jh iz'kkar vxzoky ds c;ku /kkjk 161 n0iz0la0 ds rgr ys[kc) fd;s gSa] ftlus vius dFkuksa esa crk;k gS fd fnukad 16-08-05 dks mldh nqdku ij lkxjey vxzoky MkW0 vkj-ds-'kekZ dh ifpZ;ka ysdj nokbZ;ka ysdj x;s Fks A mUgksua s fcy uEcj 1692 ,oa 1699 dkVk Fkk] tks nokbZ;ka mlus nh Fkh] og nokbZ;ka ejht dks csgks'k djds vkWijs'ku djus ds dke vkrh Fkh rFkk is'kkc c<kus ,oa 'okal uyh dks pkSMk djus ds dke vkrh gSa A ;g Hkh egRoiw.kZ gS fd ifjoknh ua01 us ljkst vxzoky dks blds iwoZ MkW0 f'kodqekj rFkk MkW0 lqjUs nz HkVukxj ukd] dku] xyk fo'ks"kK dks Hkh fn[kk;k Fkk rFkk MkW0 vkj-ds- 'kekZ ;g ekurs gSa fd muds ijps Hkh ifjoknh us mudks fn[kk fn;s Fks rFkk CyM] ;wfju vkfn dh tkWpsa Hkh gks pqdh Fkh A bu lc rF;ksa ds vk/kkj ij ;gh fu"d"kZ fudyrk gS fd ?kVuk okys le; MkW0 vkj-ds-'kekZ foi{kh la01 us Vocal Nodules dks gVkus ds fy, gh MkW0 ds-ih-tSu foi{kh la02 ,usfLFkfl;k fo'ks"kK dks vius fDyfud ij cqyok;k gS] nokbZ;ka eaxok;h gS] yksdy ,usfLFkfl;k dh tkWp dh gS rFkk yksdy ,usfLFkfl;k fn;k gS A Lo;a MkW0 vkj- ds-'kekZ ;g ekurs gSa fd mUgksaus ejht dks fyVkdj mlds xys esa tk;dksfyu Mkydj rFkk fNMd dj lqUu djds ejht ds eqag esa Laryngoscop Mkyk] rc mlesa ls >kx vkus yxs ,oa QsQMksa ls dzsIVl dh vkoktsa vk jgh Fkh] vFkkZr~ ?kVuk ds le; nksuksa foi{khx.k ifjoknh la01 dh iRuh ljkst vxzoky ds Voice box eas ekStwn Vocal Nodules dks gVkus dk gh mipkj dj jgs Fks] rHkh mUgksua s mijksDr leLr rjhdk viuk;k gS A 19- rdZ ds rkSj ij ;fn ;g Hkh ekuk tkos fd MkW0 vkj-ds-'kekZ Vocal Nodules ds mipkj ds iwoZ dh tkWp Laryngoscop ls dj jgs Fks] rc Hkh esfMdy fyVjspj ds vuqlkj Laryngoscop ls tkWp djus ij fpfdRld ejht ds Voice box dks vPNh rjg ls ns[k ldrk gS] D;ksafd Laryngoscop dh V~;wc esa dSejk yxk gksrk gS A Laryngoscop ls Voice box dks ns[krs le; gh tgkW&tgkW Vocal Nodules miyC/k gksx a s] mUgsa nwjchu ls ml le;
gVk;k tk ldrk gS] fdUrq bl ekeys esa Laryngoscop Mkyrs le; gh ejht dh fLFkfr xEHkhj gks tkus ds dkj.k mipkj ugha gks ldk gS A mijksDr of.kZr esfMdy fyVjspj ls ;g Hkh Li"V gS fd Laryngoscop ds le; Hkh Page 13 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 dkWEiyhds'kUl gks ldrs gSa A blh izdkj esfMdy fyVjspj ds vuqlkj ,usfLFkfl;k ls Hkh dkWEiyhds'kUl gks ldrs gSa] tSlk fd gLrxr izdj.k esa Hkh fdlh nok ds fj;sD'ku ls Pulmonary Edema gks tkuk crk;k tk jgk gS A 20- foi{kh@izR;FkhZx.k dh vksj ls eku~uh; loksZPp U;k;ky; dk U;k; n`"VkUr~ ekfVZu ,Q fMlwtk cuke~ eksgEen b'kQkd izLrqr fd;k x;k gS] ftlesa crk;k x;k gS fd ;fn fpfdRld ds }kjk fd;s x;s bZykt ls Qk;nk ugha feyrk gS vFkok vkWijs'ku Qsy gks tkrk gS] rc blh vk/kkj ij fpfdRld dks nks"kh ugha ekuk tkuk pkfg, A gLrxr izdj.k esa ,sls rF; ugha gSa] cfYd gLrxr izdj.k esa foi{khx.k us lkekU; fDyfud ij mipkj djds vius drZO; dk fuoZgu ugha fd;k gS A vr% ;g U;k; n`"VkUr foi{khx.k dh dksbZ lgk;rk ugha djrk gS A foi{khx.k dh vksj ls izLrqr U;k; n`"VkUr~ 2018 Mh-,u-ts- ,l-lh- 993 MkW0 ,l-ds->qu>quokyk cuke~ Jherh /kuoarh dqekj o vU; izLrqr fd;k x;k gS] ftlesa crk;k x;k gS fd fpfdRlh; ykijokgh ds fy, fo'ks"kK dh fjiksVZ izLrqr ugha fd;s tkus ds dkj.k fpfdRlh; ykijokgh ugha ekuh tk,xh A gLrxr izdj.k esa pwfa d foi{khx.k us vius drZO; dk fuoZgu ugha fd;k gS] vFkkZr~ ,slk ekeyk ugha gS fd vkWijs'ku Qsy gks x;k gks] vFkkZr~ gLrxr izdj.k esa fpfdRlh; fo'ks"kK fjiksVZ dh vko';drk ugha gS A foi{kh@izR;FkhZx.k dh vksj ls U;k; n`"VkUr~ ,-vkbZ-vkj- 2019 lqizhe dksVZ 1143 fouksn tSu cuke~ larksdck nqyZHkth eSeksfj;y gkWLihVy o vU; izLrqr fd;k x;k gS A bl ekeys esa ;g ekuk x;k fd xyr Mk;Xuksfll fd;s tkus dks fpfdRlh; ykijokgh ugha ekuk tk,xk] fdUrq gLrxr izdj.k esa xyr Mk;Xuksfll fd;s tkus dk ekeyk ugha gS A vr% ;g U;k; n`"VkUr~ Hkh foi{khx.k dh dksbZ lgk;rk ugha djrk gS A foi{khx.k dh vksj ls izLrqr U;k; n`"VkUr~ 2010 Mh-,u-ts- lqizhe dksVZ 218 dqlqe 'kekZ o vU; cuke~ c=k gkWLihVy o vU; izLrqr fd;k x;k gS] ftlesa fpfdRlh; ykijokgh dk fu"d"kZ fudkyus ds fy, fofHkUu fl)kUr vFkkZr~ fofHkUu iSjkehVlZ crk;s x;s gSa] ftlesa eq[; #i ls ;gh crk;k x;k gS fd ;fn dksbZ fpfdRld lkekU; izKkoku O;fDr dh Hkkafr viuh M~;wVh fuHkkrk gS] rc dkWEiyhds'kUl gksus ij Hkh vFkkZr~ bZykt esa lQyrk ugha feyus ij Hkh fpfdRld dks ykijokg ugha ekuk tk,xk] fdUrq gLrxr izdj.k esa ,sls rF;Page 14 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k
vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 ugha gSa] cfYd gLrxr izdj.k esa mijksDr foospukuqlkj ;g ik;k x;k gS fd foi{khx.k fpfdRldksa us lkekU; fDyfud ij mipkj@tkWp fd;k gS] vFkkZr~ vius drZO; dk fuoZgu ugha fd;k] ftlds dkj.k mudh fpfdRlh; ykijokgh ekuh x;h gS A vr% ;g U;k; n`"VkUr~ Hkh gLrxr ekeys ij ykxw ugha gksrk gS A 21- gLrxr izdj.k esa tgkW rd fo'ks"kK tkWp desfV;ksa ds }kjk foi{khx.k dh ykijokgh ugha crkus dk iz'u gS] bl ckjs esa ;g ik;k tkrk gS fd esfMdy fyVjspj ds vuqlkj Mk;Xuksfld Laryngoscopy ds ekeys eas Hkh dkWEiyhds'kUl gksus ds fjLd gksrs gSa rFkk yksdy ,usfLFkfl;k ds ekeys esa Hkh dkWEiyhds'kUl gksus ds fjLd gksrs gSa A gLrxr izdj.k esa Lohd`r #i ls bl izfdz;k dks djus ds igys bZ-lh-th- rFkk psLV ,Dljs ugha djk;k x;k gS A fo'ks"kK desfV;ksa esa fpfdRld lnL;x.k Fks A ,slh fLFkfr esa ;g LokHkkfod gS fd og vius lkFkh ofj"B fpfdRld dks cpkus dk iz;kl djsaxs rFkk fpfdRlh; nLrkost ds vHkko esa ,slh fo'ks"kK desVh dh tkWp fjiksVZ dk dksbZ egRo Hkh ugha gS A MkW0 f'kodqekj] MkW0 lqjsUnz HkVukxj us iqfyl dks fyf[kr eas ;g fn;k gS fd Vocal Nodules dks gVkus dh izfdz;k ds igys bZ-lh-th- ,oa ,Dljs psLV] CyM] ;wfj;k] ;wfju dYpj vkfn fjiksVZ gksuk vko';d gS] fdUrq Lohd`r #i ls bZ-lh-th- ,oa psLV ,Dljs ugha djk;k x;k gS A MkW0 vkj-ds-'kekZ foi{kh la01 dk ;g dguk ekU; ugha gS fd os ml le; Vocal Nodules dk mipkj ugha dj jgs gks] D;ksfa d mUgksaus mijksDr of.kZr vuqlkj MkW0 ds -ih- tSu] ,usfLFkfl;k fo'ks"kK dks cqyk;k gS A ;g Hkh ik;k x;k gS fd Laryngoscop ls tkWp djus ds ekeys eas Hkh dkWEiyhds'kUl dh fjLd gksrh gS] vFkkZr~ gekjh jk; esa MkW0 vkj-ds-'kekZ ,oa MkW0 ds-ih-tSu dks mDr mipkj@tkWp vius lkekU; fDyfud ij ugha djuh pkfg, Fkh] cfYd vkWijs'ku fFk;sVj #e esa djuh pkfg, Fkh A ;|fi ;g lgh gS fd MkW0 vkj-ds-'kekZ ;ksX;rk/kkjh] vuqHkoh ukd] dku] xyk fo'ks"kK gSa] fdUrq mUgksaus gLrxr ekeys esa Laryngoscopy tkWp@mipkj djus esa vius drZO; dk fuoZgu lko/kkuhiwoZd ugha fd;k gS] cfYd nksuksa gh foi{khx.k us ykijokghiwoZd vkWijs'ku fFk;sVj@vkWijs'ku #e ds ckgj lkekU; fDyfud esa leLr izfdz;k lEiUu dh gS] ftlds ifj.kkeLo#i ifjoknh la01 dh iRuh Jherh ljkst vxzoky dh fLFkfr vR;Ur xEHkhj gks x;h A MkW0 lkdsr xks;y g`n~; fo'ks"kK us Hkh tkWp desVh dks fn;s x;s c;kuksa Page 15 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 esa rFkk iqfyl dks fn;s x;s c;kuksa esa ;g ekuk gS fd ?kVukLFky ij gh ljkst vxzoky dh czsu MsFk gks x;h Fkh] ;|fi mUgksaus ;g dFku fd;k gS fd gS.M CysMj ls ifEiax djus ij ukMh ykSV vk;h Fkh] tks muds dFkukuqlkj ,d&nks ckj tkdj okfil ykSVh gS A ;g Hkh Li"V gS fd ljkst vxzoky Hkkjr fodkl ifj"kn vLirky esa rhu fnu rd HkrhZ jgus ds nkSjku dHkh&Hkh psrU; voLFkk esa ugha vk;h gS] cfYd yxHkx czsu MsFk dh fLFkfr esa osUVhysVj ij jgh gS A ;g rF; Hkh egRoiw.kZ gS fd i=koyh ls ;g Li"V gqvk gS fd MkW0 vkj-ds- vxzoky ds ryo.Mh fLFkr fDyfud ls Hkkjr fodkl ifj"kn vLirky dkQh nwj gS] tcfd muds fDyfud ds ikl gh lq/kk gkWLihVy o vU; vLirky ekStwn gSa] tgkW g`n~; fo'ks"kK dh lqfo/kk miyC/k gS] fQj Hkh ljkst vxzoky dks Hkkjr fodkl ifj"kn vLirky ys tk;k x;k gS A gLrxr izdj.k esa tSlk fd Åij foospu fd;k x;k gS] mlds vuqlkj MkW0 ds-ih-tSu ,oa MkW0 vkj-ds-'kekZ ds dFkuksa esa ?kVukLFky ij vkus ds mn~ns'; dks ysdj xEHkhj fojks/kkHkkl gS A MkW0 vkj-ds-'kekZ ds fDyfud ij rS;kj fd;s x;s bZykt ds ijps] lgefr i=] iSFkksykWth tkWp fjiksVZ vkfn xk;c dj nh x;h gS A bu lc rF;ksa ls rFkk esfMdy fyVjspj ds vuqlkj ;gh fu"d"kZ fudyrk gS fd bl izdj.k dh ifjoknh la01 dh iRuh ljkst vxzoky ds mipkj@tkWp ds ekeys esa nksuksa foi{khx.k fpfdRlh; ykijokgh ds nks"kh gSa A fo}ku ftyk miHkksDrk vk;ksx us xyr rkSj ij ifjoknhx.k dk ifjokn i= [kkfjt dj fn;k gS A 22- vc ge ;g fopkj djrs gSa fd ifjoknhx.k dks foi{khx.k ls bl fpfdRlh; ykijokgh ds ckjs esa fdruh jkf'k fnyok;h tkos A Jherh ljkst vxzoky dh mez ?kVuk ds le; djhc 46 o"kZ Fkh A ifjoknh i{k ds vuqlkj og jsMhesV O;olk; dh izksijkbZVj Fkh rFkk vk;dj nsrh Fkh] ,d gtkj #i;s vk;dj tek djkus dk nLrkost Hkh izLrqr fd;k x;k gS A ifjoknh la01 ds lkFk&lkFk muds nks iq= Hkh ifjoknh ds lkFk la;ksftr gSa A bl izdkj ljkst vxzoky dh e`R;q gks tkus ds dkj.k muds ifr rFkk nksuksa iq= mudh ns[kjs[k] Lusg vkfn ls oafpr gks x;s gSa A e`rdk ,d O;olk;jr efgyk Fkh A bu lc rF;ksa dks ns[krs gq, rFkk mldh mez dks ns[krs gq, gekjh jk; eas ifjoknhx.k dks foi{khx.k ls 20]00]000@&#i;s ¼v{kjs chl yk[k #i;s½ {kfriwfrZ fnyk;k tkuk U;k;ksfpr gSA blds vykok ;g izdj.k djhc iUnzg o"kksZa rd pyk gS] bl rF; dks ns[krs gq, 50]000@&#i;s ¼v{kjs ipkl gtkj #i;s½ dh jkf'k Page 16 of 16 jkt0jkT; vk;ks x lfdZ V cS a p ]dks V k vihy la [ ;k 72@2011 fu.kZ ; fnuka d 08 vDVw c j] 2021 ifjokn O;; isVs Hkh fnyok;k tkuk U;k;ksfpr gS A bl izdkj ifjoknhx.k dk ifjokn i= Lohdkj fd;s tkus ;ksX; gS A vkns'k [email protected] ds }kjk foi{kh la[;k&1 o 2 ds fo#) izLrqr vihy Lohdkj dh tkrh gS A fo}ku~ ftyk miHkksDrk vk;ksx] dksVk ds }kjk ifjokn izdj.k la[;k 289@2006 lkxjey vxzoky o vU; cuke~ MkW0 vkj-ds- 'kekZ o vU; eas ikfjr fu.kZ; fnukad 20-06-2011 vikLr fd;k tkrk gS A 23- [email protected] }kjk foi{kh la01 o 2 ds fo#) fnukad 06-10- 2006 dks izLrqr fd;k x;k ifjokn i= Lohdkj djrs gq, fuEu vkns'k ikfjr fd;k tkrk gS %& 1- foi{kh la01 rFkk 2 la;qDrr% ,oa i`Fkd~r%] ifjoknhx.k dks 20]00]000@&#i;s ¼v{kjs chl yk[k #i;s½ rFkk bl jkf'k ij ifjokn izLrqr djus dh fnukad 06-10-2006 ls rk olwyh 9 ¼ukS½ izfr'kr okf"kZd nj ls C;kt lfgr {kfriwfrZ Lo#i vnk djsx a sA 2- foi{kh la01 rFkk 2] la;qDrr% ,oa i`Fkd~r%] ifjoknhx.k dks 50]000@&#i;s ¼v{kjs ipkl gtkj #i;s½ ifjokn O;; ds #i esa vkt ls ,d ekg ds vUnj vnk djsx a s rFkk bl vof/k esa mDr ipkl gtkj #i;s dh jkf'k vnk ugha djus ij vkt vkns'k fnukad 08-10-2021 ls rk olwyh 9 ¼ukS½ izfr'kr okf"kZd nj ls C;kt lfgr vnk djsx a sA A ¼'kSysUnz Hkͽ ¼,l0ds0tSu½ lnL; lnL; ¼U;kf;d½