In these Rules, unless the context otherwise requires:
(a) "authorised medical attendant" means:
2[(i) a medical officer who is a Gazetted Government servant working in a Government hospital or Government Medical Institution] 2;
2 Substituted in Notification No.GAD 3 SMR 71 dated 15th July 1971 1[(ii) in the case of the following Government servants, the Government servant himself viz.-the Director of 3[Health and Family Welfare Services]3 the Joint Directors, the Deputy Directors and the Assistant Directors of Directorate of 3[Health and Family Welfare Services]3, the Superintendents of major hospitals, 2[the District Surgeons, the Chemical Examiner]2, the District Health and Family Welfare Officers and Medical Officers stationed in places where there are no other Medical Officers] 1;
1 Substituted in Notification No.GAD 4 SMR 74 dated 29th November 1974 2Substituted in Notification No.GAD 2 SMR 76 dated 18th June 1976 3Substituted in Notification No.DPAR 1 SMR 78 dated 21st September 1983 4[(iii) in the case of Government servants working in or outside Taluk Headquarters, Medical Officers, Gazetted or Non-Gazetted in charge of Local Fund Dispensaries and Primary Health Units of Centres of the place where the Government Servant is working;
(iv) in the case of Government servants working in or outside Taluk Headquarters where no Government Medical Officers are appointed, Medical Officers of the Local Fund Dispensaries in the place run by Taluk Boards or Village Panchayats]4.
4 Substituted in Notification No.GAD 10 OMR 64 dated 5th September 1964 5[Note 1 to 4]5 5Omitted in Notification No.GAD 3 SMR 69, dated 9th February 1971
(v) in the case of Government servants suffering from Tuberculosis and receiving treatment at the Karnataka Health Institute, Ghataprabha, the Chief Medical Officer of the said Institute.
6[(vi) in the case of Government servants working in the State Government offices located outside the State, Medical Officers, Gazetted or Non-Gazetted in charge of the Government hospitals of the places where such offices are located]6.
6Inserted in Notification No. GAD 2 SMR 73 dated 6th June 1974 7[(vii) in the case of Government servants availing themselves of medical attendance and/or treatment under the 8[Ayurvedic, Unani or Homoeopathic] 8 system of medicine the medical officer in charge of such "Government hospital or Dispensary] 7."
7 Inserted in Notification No. DPAR 4 SMR 77 dated 14th July 1977 8 Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 83 9[(viii) in case of the authorised hospitals or medical institutions specified in Schedule-I registered medical attendant incharge of the respective wing and in case of Diagnostic centres the person in charge of particular wing of the Diagnostic centre]9.
9[(aa) authorised Hospitals and medical institutions means the Hospitals and medical institutions specified in Schedule-I]9.
9 Inserted in Notification No. DPAR 1 SMR 2000 dated 22nd January 2001
(b) "Controlling Officer" for the purposes of claims for reimbursement of expenditure incurred in connection with Medical Attendance means:- 1[(i) in respect of government servants working in the Secretariat, such officer as may be designated by the Chief Secretary and different officers may be designated for different classes of government servants] 1;
1 Substituted in Notification No. DPAR 5 SMR 84 dated 11th June 1985
(ii) the Heads of Departments for the respective departments; and
(iii) the officers who are empowered to countersign T.A.Bills.
(c) "Form" means a form appended to these Rules.
2[(cc) 'Government hospital' or Government medical institution includes a Local Fund Hospital or Dispensary, Primary Health Centre and a Medical Institution or hospital maintained by or 3[under the control of the Central Government, a Corporation, a Municipality, a Taluk Board or a Panchayat]2 and the National Institute of Mental Health and Neuro Sciences, Bangalore]3, 4[Kidwai Memorial Institute of Oncology, Bangalore]4, 6[Sanjay Gandhi Accidents and Rehabilitation Complex, Bangalore, Sri Jayadeva Institute of Cardiolgy, Bangalore, 7[Indira Gandhi Institute of Child Health, South Hospital Complex, DRC Post, Bangalore]7, 5[the Karnataka Cancer Therapy and Research Institute, Hubli and the Kuduremukh Hospital, Kuduremukh, Chikmagalur]5, and other authorised Hospitals and medical Institutions specified in Schedule-I] 6 2 Inserted in Notification No.GAD 3 SMR 71 dated 15th July 1971 3 Substituted in Notification No.GAD 1 SMR 75 dated 17th March 1975 4 Inserted in Notification No.DPAR 5 SMR 80 dated 24th September 1981 5 Substituted in Notification No.DPAR 3 SMR 83 dated 8th May 1984 6 Inserted in Notification No.DPAR 1 SMR 2000 dated 22nd January 2001 7 Inserted in Notification No.DPAR 6 SMR 2004 dated 14th July 2004 8[ Explanation-I:- For purposes of sub-rule (3) of rule 6 'Government Hospital' means a hospital or a dispensary run by the Central Government or a State Government or a Corporation or other local authority within whose jurisdiction the office is located] 8.
8 Inserted in Notification No. GAD 2 SMR 73 dated 6th June 1974 (Renumbered in Notification No. DPAR 3 SMR 98 dated 8th March 2000) 1[Explanation-II:- In respect of Government servants working in the Karnataka Bhavan, at New Delhi, the Medical Attendance received from the doctors or in the clinics and hospitals specified below or in the private hospitals, diagnostic centres etc., recognised under the Central Government Health Scheme, shall be deemed to be medical attendance received in a Government Hospital for the purpose of sub-rule (3) of rule 6, namely:-
(1) Dr.P.N.Kochar, Physician & Authorised Medical Attendant, New Delhi.
(2) Part time Lady Medical Officer (at Karnataka Bhavan).
(3) South Delhi Pathological Clinic.
(4) General Williams Masonic Poly Clinic.
(5) Rama Krishna Mission Free Tuberculosis Clinic.
(6) Dr.Susheel Choudary, Eye Specialist, Cannaught Circus.
(7) M.M.Eyetech (P) Limited.
(8) Dr.Gandhi, Delhi Dental and Orthodentic Clinic.
(9) Dr.Prathima Venkateshwaran, Dental & Orthodentic Clinic.
(10) Sandhu Vasavani Charitable Hospital, Anand Niketan, New Delhi.
(11) Mata Channammadevi Charitable Hospital, Janakapuri, Delhi.
(12) Dr.Vijay Sharma, Dr(Mrs.)Arti Sharma, J-4, Jor Bagh Road, New Delhi.
(13) Sunil Memorial Nursing Home, S.M.Hospital (Approved by Government of Delhi) Rz-13-1/6, Main Road, Palam Colony, New Delhi-110 045.
(14) Dr.Anitha Pal, Dr.Yogendra Pal, Pal Medicare Centre, M-52, Lajpath Nagar-II, New Delhi-2.
(15) Dr.Ashok Kaushik, 110-A, Kamalanagar, Old Delhi-7.
(16) Dr.Grewal, A/2, 179, Jeevan Nagar, Ashram, New Delhi-2
(17) Dr.Kapoor’s Clinic & Diagnostic Pathology lab, A1, Ring Road, South Dr.Ashok Kaushik, 110-A, Kamalanagar, Old Delhi-7] 1.
1 Inserted in Notification No. DPAR 3 SMR 98 dated 8th March 2000 2 [(18) Holy Family Hospital, New Delhi] 2.
2 Inserted in Notification No. DPAR 8 SMR 2001 dated 4th September 2002
(d) "Medical attendance" means:-
(i) in respect of a Government servant Specified in Sub-clause (a),attendance in hospital or at the residence of the Government servant, including such pathological bacteriological, radiological or other methods of examination for the purpose of diagnosis as are available in any Government hospital within the State and are considered necessary by the authorised medical attendant and such consultation with a Specialist in Government employ within the State or other Medical officer similarly in Government employ within the State as the authorised medical attendant certifies to be necessary to such extent and in such manner as the Specialist or Medical Officer may in consultation with the authorised medical attendant, determine;
(ii) in respect of any other Government Servant, attendance at a Government hospital, or in the case of illness which compels the patient to be confined to his residence, at the residence of the Government servant including such methods of examination for purpose of diagnosis, as are available in the nearest Government Hospital and such consultation with a Specialist or other Medical Officer stationed in the district, as the authorised medical attendant certifies to be necessary to such extent and in such manner as the specialist or Medical Officer may in consultation with the authorised medical attendant determine;
(e) "Patient" means a Government servant to whom these rules apply and who has fallen ill;
1[(f) pay means the pay of a Government Servant as defined in rule 8(32) of the K.C.S.RS]1.
1 Substituted in Notification No.DPAR 1 SMR 82 dated 17th July 1982 2[(ff) “Schedule” means the Schedule appended to these rules, the State Government may by notification add, remove or modify the items in the Schedule] 2.
2 Inserted in Notification No.DPAR 1 SMR 2000 dated 22nd January 2001
(g) "Station" means the town or place within the State in which the Government servant falls ill;
(h) "Treatment" means the use of all medical X-ray and surgical facilities available at the Government Hospital in which a Government servant is treated and includes:-
(i) the employment of such pathological, bacteriological, radiological or other methods as are considered necessary by the authorised medical attendant;
(ii) the supply of such medicines, vaccines, sera or other therapeutic substance as are ordinarily available in the hospital;
(iii) the supply of such medicines, vaccines, sera or other therapeutic substances as the authorised medical attendant may certify in writing to be essential for the recovery, or for the prevention of serious deterioration in the condition of the Government servant and which are not ordinarily available with the authorised Medical attendant;
3[(iiia) the supply of such quantity of blood as the authorised medical attendant may certify in writing to be essential for the recovery, or for the prevention of serious deterioration in the condition of the Government servant] 3;
3 Inserted in Notification No.GAD 18 OMR 63 dated 3rd March 1965 Note:- Prescription of expensive drugs, tonics, laxatives or other elegant and proprietary preparations for the use of Government servants and members of their families when drugs of equal therapeutic value are available in the hospitals and dispensaries is prohibited.
(iv) treatment of confinement cases of a Government servant;
(v) such class of accommodation in hospital or sanatoria as specified in column
(3) of the Table below, to the Government servant whose 4[pay]4 does not exceed the limit specified in columns (1) and (2) thereof.
4 Substituted in Notification No.DPAR 1 SMR 82 dated 17th July 1982 1[TABLE Basic Pay as per the 1999 scales of pay Class of accommodation in hospitals or Sanatoria (Rates applicable on per day basis) 1 2
1. All Government/Special Hospitals including Sanatoria.
(1) Not exceeding Rs.2925 General Wards or Rs.30 wards or Rs.50 wards in the case of Vanivilas Hospital, Bangalore, Minto Hospital, Bangalore, Cheluvamba Hospital, Mysore, Vijayanagar Institute of Medical Science, Bellary.
(2) Exceeding Rs.2925 but not exceeding Rs.4450 Rs.30 wards or any wards upto and inclusive of Rs.50 wards.
(3) Exceeding Rs.4450 but not exceeding Rs.7600 Above Rs.50 wards or any wards upto and inclusive of Rs.75 wards.
(4) Exceeding Rs.7600 but not exceeding Rs.9060 Rs.100 wards or any wards just below Rs.150.
(5) Exceeding Rs.9060 Rs.150 wards or any wards above Rs.150.] 1 1 Substituted in Notification No.DPAR 1 SMR 2000 dated 22nd January 2001
(vi) Such nursing as is ordinarily provided to inpatients by the hospital;
Provided that where special nursing becomes necessary, it should be considered on merits and a refund admitted to the extent justified in each case with the special sanction of the Government in the Finance Department.
2[(vii) the specialist consultation specified in clause (d) and diet charges at twenty percent of ward charges are admissible under item (v) in the case of members of the nursing staff of the hospitals and in the case of 3(Government Servants whose monthly pay does not exceed Rs.8200/- in accordance with the K.C.S.(Revised Pay) Rules, 1999]2 ) 3.
2 Substituted in Notification No.DPAR 1 SMR 82 dated 17th July 1982 3 Revised as per KCS (Revised Pay) Rules, 1999 4[(viii) Operation for sterilisation and medical termination of pregnancy made in a hospital established or maintained by Government or a place for the time being approved by the Government under section 4 of the Medical Termination of Pregnancy Act, 1971 (Central Act 34 of 1971)] 4.
4 Inserted in Notification No. GAD 1 SMR 76 dated 7th August 1976.
1[3A; 3B:-] 1 1 Omitted in Notification No.GAD 6 SMR 70 dated 11th October 1971.