State of Odisha - Act
The Orissa Services (Medical Attendance) Rules, 1947
ODISHA
India
India
The Orissa Services (Medical Attendance) Rules, 1947
Rule THE-ORISSA-SERVICES-MEDICAL-ATTENDANCE-RULES-1947 of 1947
- Published on 15 April 1947
- Commenced on 15 April 1947
- [This is the version of this document from 15 April 1947.]
- [Note: The original publication document is not available and this content could not be verified.]
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In these rules unless there is anything repugnant in the subject or context -3.
A Government servant or a member of his family shall be entitled, free of charge, to medical attendance by the authorised medical attendant.Note - (1) Officers in superior service or the member of their families are entitled to free medical attendance including such surgical treatment as can be suitably given at their own residence unless distance renders this impracticable officers in inferior service or the members of their families can claim free medical attendance and medicines at the local general hospital or dispensary only.4.
The Ministers and Deputy Ministers appointed under the Constitution of India, their Parliamentary Secretaries, the Advocate General and Government Advocate during their employment as such and the members of the families of the Ministers and Deputy Ministers, are entitled to free medical attendance including surgical treatment as can be suitably given at their own residence unless it is considered that treatment in the nearest hospital or dispensary will be to the interest of the patient. An advocate or a pleader appointed by Government casually in not entitled to free medical attendance nor to free supply of medicines.(G.O. No. 13520 - H., dated 24.7.1965)5.
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The Controlling Officer of a patient may require that any certificate required by these rules to be given by the authorised medical attendant for Travelling Allowance purpose shall be countersigned -11.
All Government servants who received injuries in connection with civil disturbances, or on leave, would, in addition to the items included in Clause (h) of Rule 2 be entitled also to the following supplies and services as part of the treatment to which they are entitled free of charge -12.
If a Government servant or a member of his family calls in a Medical Officer other than the appointed Medical Officer it will be considered a private arrangement and the former may claim the usual fees.(G.O. No. 12803 - H,. dated 10.7.1965)13.
Subject to the following exceptions, every Medical Officer is entitled to remuneration for professional attendance on the families of those public servants whom they are required to attend gratuitously.Exception - (1) Families of the following classes of officers belonging to the Military Department :(a)Military Officers (but not those in Civil Employment).(b)Officers of the Royal Indian Marine Department.(c)Cantonment Magistrates.(d)Cantonment Chaplains.(e)Warrant Officers those of the Royal Indian Marine.(f)Army School Masters and School Mistress.(g)Non - commissioned officers and men in military employ other than purely regimental.(h)Non - Gazetted Officers and subordinate of the Indian Ordinance Department.(i)Civilian staff of army headquarters and those of Army Divisional Brigade or Station Staff Officers.(j)European pensioners of the Indian Military Service including retired Departmental Officers with honorary rank and Warrant Officers, if not employed by, or in receipt of a pension or gratuity from the Civil Department.(k)Government servants employed in the Agency tracts of Ganjam and Koraput districts.14.
The following persons are also entitled to free medical attendance at the expense of the Government of India who would reimburse the Provincial Government the cost of such medical treatment :15.
Every patient attending at a charitable hospital or dispensary is entitled to receive advice and medicines free of charge.(G.O. No; 12803 (22) - H., dated 10.7.1965)Concessions Regarding Treatment of State Government Servants and Their Families Outside the State1. Subject - Medical concession to Government servants and members of their families suffering from Poliomyelites, Cerebral Palsy and such other diseases for which there is no facility for treatment with in the State.
Government of Orissa have for some time past their consideration the question of extending the concession of the medical attendance and treatment so as to enable the State Government servants and their families to receive treatment at Government expense at suitable hospital outside the State but within India for diseases like Poliomyelitis, Cerebral Palsy and such other diseases for which there is no facility to treatment within the State. After careful consideration it has been decided that a State Government servant or a member of his family when advised by his/her authorised medical attendant not below the rank of Professors concerned with the Medical Colleges of the State may receive treatment for poliomyelitis, Cerebral Palsy and such other diseases for which there is no facility for treatment within the State at a hospital or institution situated in any other State of the Indian Union where such treatment is available, subject to the following conditions1. If the authorised medical attendant is of the opinion that the case of patient is of such a serious or special nature as to require medical attendance and treatment in a particular hospital or institution situated in any other State of the Union, he may, with the approval of the Director of Medical Education and Training, Orissa or where he is of opinion that delay involved in obtaining approval of the Medical Education and Training, Orissa would entail danger on the health of the patient, himself, may advise the patient to go to the place of treatment outside the State in anticipation of approval and shall furnish a certificate to that effect while moving the Director of Medical Education and Training, Orissa, for expost facto approval of the said advice.
2. The concessions referred to above will also be available to those patients who are to undergo post treatment check up at the institution outside the State.
3. Patients suffering from Poliomyelitis should be referred to one of the following institutions outside the State when considered necessary by the authorised medical attendant.
4. A Government servant on his behalf or on behalf of a member of his family is entitled to claim financial assistance from Government as under for treatment in the institution outside the State.
(a)T.A. for the outward and return journey.(i)Actual conveyance charge from the headquarters of the place from which the patient (Government servant) actually travels to the hospital for treatment and back whichever is nearer or mileage allowance at the rates admissible to his/her grade as on tour under the rules in force whichever is less. He will be entitled to daily allowance at a rate admissible to his grade for the period of halt at the institution.For the members of the family of a Government Servant -(ii)journey by rail actual railway fare of the class by which the Government servant is entitled to travel on tour under the rules in force or of a lower class in which the patient actually travels;(iii)journey by road - actual fare paid for the journey by bus/other public conveyance.Note - For hired car, the cost will be reimbursed in production of the voucher.(iv)When the family members of Government servant's own conveyance the Government servant should not be paid for the family members (patient) other than usual T.A. admissible to the Government servant himself.Note - If the condition of the patient requires costlier transport, the actual fare paid shall be reimbursible, The use of such a conveyance by the patient or a member of his family in these circumstances shall be supported by a certificate from the A.M.A. to the effect that the conditions of the patient actually required costlier transport and only then the charges shall be admissible for reimbursement. Fare for journey by air or by air conditioned coaches in train will not however, be admissible for reimbursement.(b)T.A. for the attendant/escort -(i)An attendant/escort shall be entitled to T.A. both ways at the rates admissible under these orders to a member of the family of the Government servant concerned provided it is certified in writing by the concerned A.M.A. that it is unsafe for the patient to travel unattended and that an attendant/escort is essential to accompany him to the place of treatment. T.A. will also be admissible if it becomes necessary for an attendant/ escort to travel again to fetch the patient on production of the necessary certificate from the Medical Authorities of the hospital where the patient is undergoing treatment. The attendant if a Government servant shall be allowed T.A. for his to and fro journey as admissible to his grade.(ii)The second attendant when allowed under para - 1 (c) to accompany both the mother and child shall be entitled to T.A. both ways journey as admissible to the Government servants concerned. The attendant, if a Government servant shall be allowed T.A. for his to and fro journey as admissible to his grade. The first attendant (mother) shall only be entitled to daily allowance as admissible to the Government servant on production of certificate to the effect that the attendant (mother) is necessary to attend the patient during the period of treatment from to....from the treating physician of the institution.(c)Points of commencement and termination of journey -The journey for the purpose of these orders should be deemed to have commenced from the place from which the patient actually travels to the place of treatment and the return journey should be deemed to have ended at the place to which the patient actually travels of the headquarters of the Government servant concerned whichever is nearer.(d)The facility of travel by air and air - conditioned accommodation at the Government expenses is not admissible for the journeys performed for receiving medical attendance and treatment.6. This order will take effect from the date of issue.
7. This order supersedes the Health Department Resolution No. 10640 - H., dated the 15th May, 1964.
(Health & Family Welfare Department Resolution)No. 2444 - J - t., dated 30.1.1970 and amending ResolutionsNo. 28799 - H., dated 26.1.1970, No. 35699 - H., dated 3.12.1975No. 17665 - H., dated 25.5.1976 and No. 21489 - H., dated 8.6.1979.2. Subject - Fixation of limit of consulting fees of the authorised medical attendant for treatment outside the State.
The undersigned is directed to say that according to Health Department G.O. No. 13083 - (19) - H., dated 10.6.1961 the consulting fees of the authorised attendant outside the State where the Government servant and their families fall ill admissible for reimbursement. No limit of such fees has been prescribed the above G.O. This matter was under consideration of the Government for sometime past.2. After careful consideration the Governor of Orissa has been pleased to decide that the consulting fees of authorised medical attendant should be restricted to what is admissible to the Medical Officers of the concerned State where the consultation takes place.
3. This issues with the concurrence of Finance Department vide their (UOR No. 1380 CSII. dated 23.6.1977).
4. This order will take effect for the date of issue (letter No. IVMED IIM - 46/77 - 21171 (22) - H., dated 1.7.1977).
3. Subject - Reimbursement of cost or pathological examination done outside the State when such facilities are not available within the State.
The Government have had, for sometime past, under their consideration the question of reimbursement of the cost of pathological examination undergone by the State Government servants and their families outside the State but within India when such facilities are not available in Government Hospital and Medical College Hospitals of the State. After careful consideration it has been decide that the cost of pathological examination in such cases should be reimbursible when the concerned Government servant or a member of his family is advised by his/her authorised medical attendant for examination, etc. outside the State but within the Indian Union, subject to the following conditions :1. if the authorised medical attendant is of the opinion that the disease . of a patient is serious or of special nature necessitating pathological examination etc. in a particular hospital or institution situated outside the State he must obtain the approval of the Superintendent of Medical College Hospital of the State before advising the patient to go in for such pathological examination.
2. Government servant, on his behalf or on behalf of a member of his family is entitled to claim financial assistance from Government for pathological examination in the institution out side the State as per paragraph - 4 of the Health and Family Welfare Department Resolution No. 2444 - H., dated 30.1.1970 read with Resolution No. 35699 - H., dated 3.12.1975.
3. This order will take effect from the date of issue
(Resolution No. IV Med - III, M - 44/77 - 32997 - H., dated 3.10.1977).Concessions Regarding Treatment of State Government Servants and their Families Suffering From T.B.1. Subject - Liberalisation of medical concession to Government servants and the members of their families suffering from Tuberculosis.
Government of Orissa have, for sometime past under their consideration the question of extending the concessions of the Medical Attendance and treatment so as to enable the State Government servants and the members of their families to receive treatment at Government expenses who are suffering from T.B. or suspected to be suffering from T.B. at a recognised Sanatorium/ Hospital within the State or outside the State but within India. After careful consideration it has been decided that in supersession of Resolution No.2146 - L.S.G., dated the 16th June, 1945 and Resolution No. 3482 L.S.G. dated the 16th May, 1946 a State Government servant or a member of his family when advised by his/her authorised medical attendant or by the T.B. Specialist attached to the Hospital/Medical College (Hospital which is near at hand) should be granted the following concession for treatment of T.B. at Government expenses at a Sanatorium/Hospital where such facilities are available.2. (a) Reimbursement of the Sanatorium/Hospital charges (which should include charges for accommodation, ordinary diet, medicines, etc.) at the rate actually paid by the patient. Receipt of the amount from the treating Physician, paid at the Sanatorium/Hospital should be produced while granting reimbursement.
3. The following concessions will be available to those patients during the period of their pre and post Sanatorium/Hospital treatment.
4. (i) A Government servant, on his behalf or on behalf of a member of his family is entitled to claim financial assistance in shape of T.A. from the State Government for treatment of T.B. in the Sanatorium/Hospital as indicated below :
5. This order will take effect from the date of issue and will also regulate the pending claims of the patients, who are under treatment on the date of this resolution.
The Accountant - General, Orissa is being informed.Health Department Resolution No. 24677/H., dated 4.8.1977Health Department Resolution No. 28319/H., dated 10.12.1973Health Department Resolution No. 21453/H., dated 29.7.19752. Subject - Sanction of dietary allowance for treatment of T.B. clarification thereof.
REF - Their letter No. 6719/Vig., dated 28.10.1980The undersigned is directed to say that the special dietary allowance made under the provision of paras 2(b) and 3(d) of Health Department Resolution No. 27424 - H., dated 7.11.1970 and No. 24677 - H., dated 4.8.1977 is treated as the supplement to the cost of medicine for the speedy recovery of the patient in case of T.B. only rather than to provide amenities to the patient and this type of allowance is not allowed in any other diseases. In vrew of this the special dietary allowance should be met from the sub - head "Reimbursement of cost of medicines" and not from any other sub - head.(Health Department G.O. No. 1624 - H., dated 23.1.1981)Subject - Liberalisation of medical concession to Government servants and the members of their families suffering from Tuberculosis.REF - Health and F.W. Department Resolution No. 27424 - H., dated 7th November, 1970 and No. 24677/H,. dated the 4th August, 1977.As per Health and F.W. Department Resolution referred above the special dietary allowance @ Rs. 2 per day is admissible to Government servants for period of two years on the recommendation of the Medical Officer in charge of the patient Government servant (or member of his family) who is undergoing treatment as an indoor/outdoor patient in a T.B. Hospital/ Sanatorium.2. Sometimes it so happens that a patient (Government servant or member of his family) while undergoing treatment in a Hospital for a particular disease and during the course of investigation the patient is detected to be suffering from T.B. also, the treating Physician recommends for diet allowance for speedy recovery of the patient. The question of accepting such certificate for sanction of diet allowance was under consideration of Government.
3. After careful consideration Government of Orissa have decided to accept the Medical certificate recommending fqr special dietary allowance by any Medical Officer of the Hospital/Dispensary when such certificate is countersigned by the District T.B. Officer of the District/Superintendent, T.B. Demonstration and Training Centre, Cuttack (District jurisdiction) Medical Superintendent of a T.B. Hospital of the State.
4. This order will take effect from the date of issue.
(Resolution No. IV-Med-III - 16/75( Part ) - 8698 - .H, dated 14th March, 1978)Special Arrangements for Medical Attendance and Treatment of State Government Servants and their Families in the Hospital/dispensary other than State Government Hospital/Dispensaries1. Subject Recognition of the Artificial Limb Manufacturing Corporation of India at Olatpur, Cuttack as Authorised Medical Institution for treatment of Government servants and their families.
The undersigned is directed to say that Government servants and their family members in the past were obliged to go outside the State for artificial limbs and for orthopaedic appliances since this facility was not available in the State, and the cost thereof was being reimbursed as per Orissa State Medical Attendance Rules, 1947. Now an Artificial Limb Manufacturing Corporation has started functioning at Olatpur in the district of Cuttack. It provides artificial limbs to the disabled and orthcpaedicially handicapped persons. As such there may be no need to refer for such of cases to outside the State. Further, facilities for treatment of other types of diseases are also available at the A.L.I.M.C.O.2. Government after careful consideration have been pleased to recognise the Artificial Limb Manufacturing Corporation of India at Olatpur district Cuttack as Authorised Medical Institution for treatment of Government servants and their family members on payment of usual charges as fixed by the authority and the cost thereof except diet charges will be reimbursed to the Government servant as admissible according to the Medical Attendance Rules in vogue on getting the Essentiality Certificate prescribed by the State Government the A.L.I.M.C.O. authorities to the effect. A copy of the Essentiality Certificate approved by the State Government is enclosed.
3. This order will be given effect from the date of issue.
4. This order has been issued with the concurrence of F.D. in their U.O.R. No. 2073 - 111, dated 31st March, 1978.
5. The A.G. Orissa is being informed.
(Health Department G.O. No. 13529 - H., dated 25.4.1975)Essential CertificateI certify that Shri/Smt..........Wife/son/daughter/father/mother of Shri...........employed in the......has been under - treatment for.......disease from to at the Medical Institution Artificial Limb Manufacturing Corporation of India, Olatpur. Cuttack and that the undermentioned charges were made for his/her treatment.| Price | ||
| Rs. | ||
| 1. | Accommodation | ... |
| 2. | Diet | ... |
| 3. | Nursing | ... |
| 4. | Pathological & Radiological Examination | ... |
| 5. | Medicines | ... |
| 6. | Operation | ... |
| 7. | Artificial Limbs/Appliances | ... |
| Total | ... |
| Name of the medicines | Price |
| 1. | Rs. |
| 2. | Rs. |
| 3. | Rs. |
2. Subject - Recognition of Paradeep Port Hospital as Authorised Medical Institution for treatment of Government servants and their families.
The undersigned is directed to say that since there is no Medical institution of this State Government at Paradeep Port, Government feel that the State Government servants and their families stationed there are undersigned great hardship for their medical attendance and treatment.2. To obviate such difficulty, Government after consideration, have been pleased to recognise the Paradeep Port Trust Hospital as authorised Medical Institution for treatment of State Government servants and the members of their families stationed in or passing through Paradeep on payment of usual charges as fixed by the Port authorities (copy enclosed) and the cost thereof except diet charges will be reimbursed to the Government servants as admissible according to the Medical Attendance Rules in vogue on getting essentiality certificate prescribed by the State Government from the Port Hospital Authorities to the effect. A copy of the essentiality certificate approved by the State Government is enclosed
3. This procedure will continue till a Hospital is provided by the State Government at Paradeep.
4. This order will be given effect from the date of issue. All the pending cases shouid be disposed of in accordance with this decision and cases already settled otherwise should be re - opened.
5. This order issues with the concurrence of Finance Department vide their UOR No. 113 - C.S. II (l) - dated 9.7.1976.
6. The A.G., Orissa is being informed.
(Health Department G.O. No. 235 - 0. H., dated 21.7.1977)Essentiality CertificateI certify that Shri/Smt.................... wife/son/daughter/father/mother of Shri.......................employed in the.........has been under treatment for disease from.... to at the Port Hospital, Paradeep and that the undermentioned charges were made for his/her treatment.| 1. | Accommodation | - Rs. |
| 2. | Diet | - Rs. |
| 3. | Nursing | - Rs. |
| 4. | Pathological & Radiological Examination | - Rs. |
| 5. | Medicines | - Rs. |
| 6. | Delivery | - Rs. |
| Total | - Rs. |
| Name of the medicines | Price |
| 1. | Rs. |
| 2. | Rs. |
| 3. | Rs. |