PART 7

                    MEDICAL ATTENDANCE RULES

        The Andhra Pradesh Integrated Medical Attendance

                        Rules, 1972

1.       Short  title :--These rules may be  called  the  "Andhra

Pradesh Medical Attendance Rules,1972.

2.       Extent  of Application :-(a) They shall  extend  to  the

whole of the State of Andhra Pradesh.

(2) These rules also apply to persons who are entitled to medical

attendance  under  the  Secretary  of  State  Services   (Medical

Attendance)   Rules,  1938,  the  All  India  Services   (Medical

Attendance)  Rules,  1954 and also to the  Andhra  Pradesh  State

Higher  Judicial Officers who are to be treated on par  with  the

I.A.S. and I.P.S. Officers, but only to the extent to which  they

are not inconsistent with these rules. .

3.       Definitions :- In these rules unless there  is  anything

repugnant in the subject or context -

(1)    "Government Servant" means a whole time Government Servant

employed under the Government of Andhra Pradesh and includes such

servants  employed under State Governments with  whom  reciprocal

agreements  in  respect of medical attendance have  been  entered

into, but does not include part time or honorary workers ;

(2)     "Hospital" means a Government Hospital and  includes  any

Special  Hospital in the State or any other  Medical  Institution

recognised by the Government.

Note  :-Non-gazetted Officers and Employees of the  local  bodies

drawing salaries not exceeding Rs. 300 per mensem in the  greater

Hyderabad city are permitted to take treatment for their families

in the Maternity and Child Welfare Centres of the Corporation  of

Hyderabad  only  in  emergencies and  get  reimbursement  of  the

expenses incurred by them, the emergency being certified as  such

by the Medical Officer in charge of the Centre;

(3)      "Registered   Medical  Practitioner"  means   a   person

registered  under  the  Madras  Medical  Registration  Act,  1914

adopted   to   Andhra  State;  and  the  Andhra   Ayurvedic   and

Homoeopathic  Medical Practitioners' Registration Act,  1956  and

the  Medical Act No. 1 of 1312 Fasli of the  erstwhile  Hyderabad

Government;

(4)     "Authorised  Medical Attendant" means a  Medical  Officer

attached  to the Government Hospital or Dispensary in  the  State

who  has been nominated by the Government, from time to time,  to

Serve as Authorised Medical Attendant for the State Government

Servants ;

[A  list  of  Authorised Medical  Attendants,  appointed  by  the

Government is given in Appendix I to these Rules.]

(5)    "Patient" means a Government Servant or any member of  his

family and to whom these rules apply and who has fallen ill ;

(6)    "Station" means the town or place in which the  Government

Servant and other entitled person falls ill ;

(7)     "Family" :-(a) In the case of a male Government  Servant,

family means his parents, wife, legitimate children including  an

adopted son and step Children residing with and wholly  dependent

on him ;

(b)  In  the  case of a woman Government  Servant  it  means  her

parents, husband and children residing with and wholly  dependent

on her.

(i)     The word 'wife' includes more than one wife.

(ii)     The claims for reimbursement of expenses in  respect  of

parents  should  be accompanied by declaration  in  the  proforma

given below.

                            Proforma

I, .................................................. (full  name

and      designation)      hereby      declare      that       my

father/mother.....................has  no property or  income  of

his/her own and that he/she is wholly dependent on me.

                                            Signature and date.

(iii)  A  married  daughter who is under the  protection  of  her

husband  does  not  come within the definition  of  "family"  for

purposes of these rules.

(iv)  The  deserted,  divorced,  or  widowed  daughters  who  are

residing  with entirely dependent on the Government Servants  and

Employees of local bodies drawing salaries not exceeding Rs.  300

per  month  are  eligible  for  medical  concessions  allowed  to

Government Servants under these rules.

(v) Their family for purpose of these rules will include adoptive

parents  who are wholly dependent on the Government Servants  but

does  not  include  the  real parents,  though  they  are  wholly

dependant  on  the  Government  Servants  once  the  adoption  is

effected].  [G.O.Ms.No.  123, Health, Dt. 25-11-76  &  G.O.Ms.No.

718, Health, Dt. 18-7-1975]

(vi)  Medical  reimbursement  bills of the Member  of  the  State

Legislature can be presented directly to the District Treasury or

Sub-treasury  as the case may be, from which they are  authorised

to draw their salaries; on the basis of essentiality  certificate

issued by the Authorised Medical Attendant without insisting  for

the countersignature of the District Medical and Health  Officer,

or Superintendent as the case may be.]

[Inserted by G.O.Ms.No.418, H&M, Dt. 26-6-1979]

(8)      "Well-to-do-person" means a person who is in receipt  of

an annual income of Rs.  1,200 or more or who is a member of  the

family of such a person and actually dependent on him.

4.      Medical Attendance :-(1) Medical Attendance in respect of

a  Government  Servant whose pay is not less  than Rs.  500  p.m.

means :-

(i)  Attendance  in a hospital or at the consulting room  of  the

Authorised  Medical  Attendant or at the residence of  the  Govt.

Servant;

(ii)  All pathological, bacteriological, radiological  and  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 ;

(iii)  Any  consultation with a Specialist in  Government  employ

within the State or other Medical Officer similarly in Government

employ within the State or that the Authorised Medical  Attendant

may certify to be necessary to such extent and in such manner  as

the  Specialist  or  Medical Officer  in  consultation  with  the

Authorised Medical Attendant, determine.

(2)      Medical  Attendance in respect of any  other  Government

Servant, means-

(i) Attendance at a Government Hospital or at the consulting room

of  the Authorised Medical Attendant or in case of illness  which

compels  the  patient  to be confined to his  residence,  at  the

residence of the Government Servant;

(ii)  All methods of examination for purposes of  diagnosis  that

are available in the nearest Government Hospital.

(iii) Any consultation with a Specialist or other Medical Officer

stationed in the State that the Authorised Medical Attendant  may

certify to be necessary, to such extent and in such manner as the

Special Officer may, in consultation with the Authorised  Medical

Attendant, determine ;

(3)      There  will  be cases of not  infrequent  occurrence  in

which,  it  will be proper for the medical officer to  visit  the

Government  Servant  in  receipt of  salaries  under  Rupees  one

hundred  at  their residences. The Government trust to  the  good

sense and good feeling of the medical profession in preference to

laying down any precise rules for such cases.

(4)     It should be distinctly understood that a medical officer

will  not  be  expected to attend a  Government  Servant  at  his

residence  unless the patient is unable to wait upon the  medical

officer  either at the latter's residence or his consulting  room

or till such time as may be appointed by the Medical Officer  for

the purpose ;

(5)     Medical Officers who are Authorised Medical Attendants to

the  Government Servants, should not charge any  consultation  or

other   fees  from  the  Government  Servants  for  the   Medical

Attendance rendered to them.

5. Medical Treatment :-Medical Treatment means use of all medical

and  surgical facilities available at the Government Hospital  in

which the patient is treated and includes :-

(1)       Employment  of  such   pathological,   bacteriological,

radiological  or  other methods of investigation,  etc.,  as  are

considered necessary by the Authorised Medical Attendant ;

(2)      Supply of such medicines, special or ordinary  vaccines,

sera or other therapeutic substances as are ordinarily  available

in Government Hospitals in the State ;

[Note  :-Wherever  a Government Servant  consults  an  Authorised

Medical Attendant/ Specialist in the latter's consulting Room and

medicines were prescribed, the Medical Officer of the Secretariat

Dispensary  is  authorised to issue medicines to  the  Government

servant  and  their families of the prescriptions  given  by  the

Authorised  Medical Attendant, Specialist although they  are  not

attached  to  the Secretariat Dispensary. In case  the  medicines

prescribed by the Authorised Medical Attendant/Specialist are not

available  even  at the Secretariat  Dispensary,  the  Government

Servants  may purchase the medicines outside and get  the  amount

spent thereby reimbursed later as per rules. The Medial  Officer,

Secretariat  Dispensary, is not ordinarily bound to purchase  and

supply  the medicines. He will, however, stock all the  necessary

medicines in the dispensary to meet the requirements.] [Added  by

G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]

(3)      Supply  of  such  medicines,  vaccines,  sera  or  other

therapeutic  substances  as  are  not  ordinarily  available   in

Government  Hospitals  as the Authorised  Medical  Attendant  may

certify  in writing to be essential for the recovery or  for  the

prevention of deterioration in the condition of the patient.

(i)  The  refund  of  the cost  of  preparations  which  are  not

medicines but are primarily foods, tonics, toilet preparations or

disinfectants is not admissible under the rules. Prescription  of

expensive   drugs,  tonics,  laxatives  or  other   elegant   and

proprietary  preparations  for  the use  of  Govt.  Servants  and

members  of their families when drugs of equal therapeutic  value

are available in hospital and dispensaries is prohibited. List of

items  for  which  refund is not  admissible  under  the  Medical

Attendance Rules are given in Appendix II.

(ii)  Sales  Tax  paid by Government  Servants  while  purchasing

special medicines from the market is refundable under the  Rules.

Packing  and  postage  charges paid by  Government  Servants  for

purchasing   special   medicines  from   out-stations   are   not

refundable.

(iii)  All claims for refund of expenses incurred on  account  of

the purchase of the special medicines should be preferred in  the

manner indicated in Appendix III.

[Note :-Bills for small amounts upto Rs. 157- at a time need  not

be  countersigned  by the Authorised Medical Attendant.  In  such

cases,  Essentiality Certificate should specifically mention  the

names  and quantum of medicines required. Also, that  certificate

should be marked as cancelled while the bill is submitted so that

it cannot be used again.]

[Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]

(4)    Treatment of confinement cases of a Government Servant and

includes prenatal and post-natal treatment.

Note :- The pre-natal and post-natal treatment can be had at  the

Government Medical Institutions in the State where facilities are

available  and  where no such facilities are available  the  case

should be referred to the concerned nearest Government specialist

by  the Authorised Medical Attendant. These treatments should  be

treated as "other treatment" for which a woman Government Servant

or  the  wife or other members of a male Government  Servant  are

entitled.                (G.O.Ms.No. 1466, Health, Dt. 31-8-1965)

(5)      Such  accommodation  as is ordinarily  provided  in  the

Hospital and is suited to the status of a Government Servant with

reference to his pay as indicated below :-

(i) Government Servants drawing          "A"class ward.In case

    Rs. 500 and above p.m.                accommodation in"A"

                                          class ward is not

                                          available"A-2"class

                                          ward.(single rooms

                                          with/without attached

                                          Bath-room).

(ii) Other Government Servants            "B"class ward(cement

     drawing Rs. 250-499 p.m.              or wooden partitioned

                                           cubicles).

(iii) Government Servants Rs.            "C"class ward(curtained

      100-244 p.m.                          drawing cubicles).

(iv)  Government Servants                   General ward.

      drawing below Rs. 100 p.m.

                         (G.O.Ms.No. 1382, Health, Dt. 9-4-1964)

(6)     Such nursing as is ordinarily available provided  in  the

hospital  and is suited to his status and includes  such  special

nursing  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.

If  at  all a Government Servant requires extra  nursing  he  may

engage an attendant at his own cost.

(7)     Such diet as is ordinarily provided to other patients  in

the hospital.

Note  :-This  concession is applicable only to  the  Non-Gazetted

Officers and Employees of local bodies drawing pay not  exceeding

Rs. 300 and members of their families.

(8)    Blood transfusion service.

(9)    Provision of ambulance service wherever necessary for  the

transport of the patient to the Hospital.

Note  (1)  :-Charges  paid  to  hospital,  ambulance  or  to  the

ambulance  of  a  social service organisation  (if  there  is  no

ambulance   attached  to  the  local  Government  Hospital)   are

reimbursed  on  production  of a  certificate  from  the  medical

attendant   that   the   use   of   ambulance   was    necessary.

(G.O.Ms.No. 1466, Health, Dt. 31-8-1956)

Note   (2)  :-[The  cost  of  artificial  limbs,  hearing   aids,

corrective glasses, artificial teeth and invalid chairs,  charges

are reimbursable to the eligible patients who are entitled to the

facilities for sanction of medical reimbursement].

(Subs,  by G.O.Ms.No. 175, H.M. & F.W., Dt. 7-3-1990 w.e.f.  1-3-

1990)

Note  (3)  :-Under  Rule  5  (9) cost  of  pace  marked  and  its

replacement charges are reimbursable.

(G.O.Ms.No. 502, Health, Dt. 8-8-1978)

6. Persons entitled to free medical treatment :-(i) The following

persons are entitled to free medical attendance :-

(a)      All Government Servants under the rule making powers  of

the  Government  of  Andhra Pradesh  subject  to  the  conditions

specified  in  these rules, Government Servants are  entitled  to

free medical attendance irrespective of whether they are on  duty

or on leave, anywhere in the State.

(b)      Employees   of  the  Local  Bodies   (Zilla   Parishads,

Municipalities,   Panchayat  Samithis  and  Panchayats)   drawing

salaries not exceeding Rs. 3007- p.m.

The  Employees  of  Zilla Grandhalaya Samsthas  drawing  pay  not

exceeding  Rs.  3007  -  p.m.  are  eligible  for  free   medical

attendance in the Government Hospitals in the State.

                        (G.O.Ms.No. 915, Health, Dt. 8-7-1975)

Note (1):-Families of Government Servants and Employees of  Local

Bodies  drawing pay not exceeding Rs. 3007- p.m. are eligible  to

free  medical  attendance  and  the  rules  shall  apply  mutatis

mutandis to them as they apply to the Government Servant himself.

(2)     All the N.G.Os. and members of Local Bodies  drawing  pay

not  exceeding Rs. 300/- p.m. and members of their families  when

admitted  to State Government Medical Institutions  are  exempted

from  payment of diet charges and the entire cost of special  and

expensive drugs administered to them.

(3)     Employees of Local Bodies who are drawing more  than  Rs.

300  p.m.  as they will be treated as members of the  public  and

charges collected from them as per rules.

(4)      Law Officers viz., (Advocate-General, State  Prosecutor,

State   Counsel,  Government  Pleader  and  Public   Prosecutor),

President, Chairman and Members of Local Bodies, Reserve Bank  of

India  and Currency Officers and Retired Government Servants  are

not entitled to free medical attendance.

Note  :-These rules are applicable to the Local Bodies  Employees

who    are    drawing    pay    not    exceeding    Rs.    300/-.

(G.O.Ms.No. 699, M.& H, Dt. 23-7-1976)

(c)     Members of the State Legislature.

(d)    Village Officers and Servants.

(e)      Officers  of  the Hind Kusht Nivaran  Sangh  working  in

Government Medical Institutions.

(f)      Honorary  Medical  Officers, House  Surgeons  and  House

Physicians  employed  in  Government  Hospitals  in  the   State,

Students  of  Government  Medical Colleges in  the  State,  Nurse

Pupils,  Auxiliary Nurse-Midwives and Health Visitors  undergoing

training and Gramsevak Trainees.

Note  :-Students  in Medical Colleges include also  the  students

undergoing courses in such colleges, such as Sanitary Inspectors,

Auxiliary Health Workers, etc.

(g)     Persons appointed under emergency provisions in the posts

carrying  a  fixed  or time scale of pay, only so  long  as  they

continue  in  service during the period of their treatment  in  a

Government Medical Institution.

(h)     Retired  and re-employed pensioners  (Gazetted  and  Non-

Gazetted), (i)     Government Servants under suspension.

(j)  Menials  in  the service of both the  Government  and  Local

Bodies who are paid from contingencies on monthly basis.

(k)    The work-charged establishment of all departments. Note \-

Casual  and daily paid workers are not eligible for free  medical

aid.

(1)  The  staff  employed  in the Office  of  the  State  Welfare

Advisory  Board, Hyderabad and the Welfare Extension Projects  in

the districts drawing a pay not exceeding Rs. 300 p.m. and  their

families will be given the same privileges in respect of  medical

attendance,  treatment  and  accommodation  including  the   diet

charges and administration of special and expensive drugs as  are

allowed  to  the  employees  of  local  bodies  drawing  pay  not

exceeding Rs. 300 p.m.

(m)  The  disabled personnel from the Defence  Services  will  be

given free treatment including diet and specialised treatment  in

the  general wards of Government Hospitals irrespective of  their

income.

(n) Sportsmen representing the State of Andhra Pradesh in  Inter-

State  tournaments at Government expenses, shall be  entitled  to

the  privileges  under Rule 10 of the Chapter on par  with  State

Government Servants.

Note  :-If  any such personnel are admitted in A, B and  C  class

warqs  or  in other special wards, the usual  charges  should  be

levied, but the Government will be prepared to consider the grant

of  concessions in individual cases on the recommendation of  the

Director of Medical and Health Services.

(a)     Telangana System of giving free treatment to the patients

in  General wards is extended to all Government Hospitals in  the

State.

                        (G.O.Ms.No. 80, Health, Dt. 24-1-1976)

(b)     All Freedom Fighters who are drawing pension either  from

State      Government/Central     Government/Union      Territory

Administration  in respect of their income and  their  dependants

are  eligible  for free medical treatment  and  accommodation  in

Government Hospitals on par with members of the Legislature.

                        (G.O.Ms.No. 652, M.&H., Dt. 8-7-1976)

(ii)    Rulers of the Merged States and their families and  their

personal staff:-

(a)  The rulers of the Merged States and their families  will  be

treated  on  par  with  the members of  the  Secretary  of  State

Services for urposes of free medical attendance and treatment and

the  provisions of the Secretary of State Services (M.A.)  Rules,

1938   except   those  relating  to  travelling   allowance   and

reimbursement  of  any cost incurred in respect  of  the  medical

advice obtained by them will apply to them.

(b)  The  personal staff of the Rulers of the Merged  States  and

their  families will be given the same privileges in  respect  of

medical attendance, treatment and accommodation as are allowed to

Government   Servants  under  the  rule-making  powers   of   the

Government.

7. Arrangements tor Free Medical Attendance :-(1) All  Government

Servants  and  other  entitled personnel are  eligible  for  free

medical  attendance in the Government Hospitals in the State  and

to the extent specified in Rule 4 above.

(2) Persons entitled to treatment free of charge in any hospital,

shall  produce before the hospital authorities an  identification

certificate  signed  by the Department or by a  Gazetted  Officer

dealing  with establishment matters or by the Head of the  Office

in which they are working in the following form :-

                  GOVERNMENT OF ANDHRA PRADESH

                   Identification Certificate

Name of the Officer/Official...........................

Designation............................................

Accommodation to which the

Officer/Official is entitled

in Government Hospital................................

Station -:

Date :

                               Signature and Designation the Head

                                       of the Department/Office

In  emergency  cases the above certificate will not  be  insisted

upon  at the time of admission, but the same should  be  produced

within a period of one week.

(3)      In any station where there may be an  Assistant  Surgeon

and  where  there may not be proper hospital  accommodation,  the

duty of such officer should be to attend at their own  residence.

The  Upper  subordinate grades of Government  Servants  including

clerks  whose  appointments are not gazetted  the  latter  paying

conveyance  hire should they reside more than two miles from  the

official  residence of the medical attendant. If the distance  is

such  as to entitle the medical officer to travelling  allowance,

the  amount  is payable by the Government. Should  the  case   be

reported as serious the Civil Surgeon will visit the patient.

(4)     The Medical Officer employed in the following classes  of

Institutions should render free medical attendance to  Government

Servants  at the stations where there are no  Government  Medical

Institutions-

(i) Local Fund and Municipal Institutions for which a  percentage

contribution  is  given  towards  the  pay  of  medical  officers

employed therein.

(ii) Local Fund and Municipal Medical Institutions in respect  of

which  the  Government meet one half of  the  annual  maintenance

charges.

(iii)  Local  Fund  and  Municipal  Taluk  Headquarters   Medical

Institutions  in respect of which the Government meet the  entire

or  a  portion  of the salaries of  Government  Medical  Officers

employed in them.

(iv) In places where there are no Government Hospitals, but where

there  are local fund or private hospitals, or dispensaries,  the

Non-Gazetted  Officers and Employees of the Local Bodies  drawing

less  than  Rs.  300/- per mensem and  their  families  may  take

treatment  stratightaway  in  such  institutions  and  that   the

expenditure as incurred by them in that connection including  the

cost  of  special and expensive drugs purchased by  them  on  the

prescription  of  the  doctor in charge of  the  institution,  be

reimbursed  subject  to the production of relevant  vouchers  and

subject  to the scrutiny of the relative bills by the  authorised

medical attendant.

At places where there are no Government or Non-Government Medical

Institutions, Non-Gazetted Oilicers and Employees of Local Bodies

drawing  less  than Rs. 3007- per mensem and their  families  may

avail  themselves  of  the services of local  private  doctor  in

emergencies  where there is no sufficient time for them to go  to

the  nearest  Government  Medical  Institution.  The  expenditure

incurred  by them in that connection will be reimbursed  to  them

subject to the production of relevant vouchers and subject to the

relative  bills by the District Medical Officer concerned and  to

his  certifying  that  the  amount  claimed  is  reasonable   and

expenditure  incurred was necessary. In non-emergent  cases,  the

entitled  personnel  serving in places where  there  are  neither

Government   Medical  Institutions  nor  Non-Government   Medical

Institutions  should go to the Government Medical Institution  or

the Non-Government Medical Institution at the nearest station for

treatment.

                        (G.O.Ms.No. 208, Health, Dt. 9-2-1955)

(v) (a) The N.G.Os. and the Employees of Local Bodies in stations

where   there  are  no  Government  or   Non-Government   Medical

Institutions  who  seek treatment in an  emergency,  under  Local

Private   doctors   should  in  addition  to   the   essentiality

certificate from the private doctors produce a certificate in the

form   given  hereunder  from  the  nearest  authorised   medical

attendant immediately after they are in a fit condition to travel

to  the  nearest  authorised medical  attendant  who  will  judge

whether  the essentially certificate issued by the local  private

doctor in such cases is a genuine one or not.

"I certify that there are no Government or Non-Government Medical

Institutions            available             in             the

village..........................of.......................Taluk".

"I     also    certify    that    I    examined    the    patient

(Name).........................

(Designation)........................(Department)..................

and  consider  that  the case in question  is  an  emergency  one

requiring immediate treatment under a local private doctor."

                                       Signature of authorised

                                            Medical Attendant.

(b)     The local private Registered Medical Practitioner  should

prescribe the drugs contained in the lists in Appendix IV as  far

as possible.

                        (G.O.Ms.No. 1585; Health, Dt. 21-9-1956)

8.       Free  of  charges  :-(1)    A  Govt.  Servant  shall  be

entitled free of charges :- (i)     to treatment-

(a)      in such Government Hospital, at or near the place  where

he  falls  ill as can in the opinion of  the  authorised  medical

attendant, provide the necessary and suitable treatment, or

(b)     if  there be no such hospital as is referred to  in  sub-

clause  (a), in such hospital, other than a Government  Hospital,

at  or near that place as can, in the opinion of  the  authorised

medical attendant, provide the necessary and suitable treatment,

(ii)     to  anti-rabic  treatment  at  the  nearest   Government

Hospital providing such treatment.

(2) Where a Government Servant is entitled under sub-rule(l) free

of charge, no treatment in any hospital any amount paid by him on

account of such treatment shall on production of a certificate in

writing  by  authorised  medical  attendant  in  this  behalf  be

reimbursed to him by the Government.

9.(1) If the authorised medical attendant is of the opinion  that

owing  to the absence or remoteness of a suitable hospital or  to

the severity of the illness, a Government Servant cannot be given

treatment  as  provided in clause (1) of Rule 6,  the  Government

Servant may receive treatment at his residence.

(2)    A Government Servant receiving treatment at his  residence

under sub-rule (1), shall be entitled to receive towards the cost

of such treatment as he would have been entitled, free of charge,

to  receive under these rules; if he had not been treated at  his

residence.

(3)     Claims for sums admissible under sub-rule (2),  shall  be

accompanied by a Certificate in writing by the authorised medical

attendant stating-(a) his reasons for the opinion referred to  in

sub-rule  (1) ; (b) the cost of similar treatment referred to  in

sub-rule (2).

10.     Treatment  outside  the State but within  India  :-(1)  A

Government Servant and other entitled personnel in or  travelling

on  duty,  or on leave, in any place in the  territory  of  India

outside  Andhra  Pradesh  receives  any  medical  attendance  for

himself  or for the members of his family, any reasonable  amount

paid by him on account of such treatment shall, on production  of

a certificate in writing of the medical attendant, be  reimbursed

to him by the Government.

(2)    The Government Servants of this State [and their families]

residing  outside the State on official work and falling  ill  or

otherwise  requiring  medical  attention should  consult  and  be

treated  by  the  "Medical Attendants" authorised  to  treat  the

officers  of equal rank of that State. For the purpose  of  these

rules,  such medical attendants shall be the  Authorised  Medical

Attendants  of  the  State.                           (G.O.Ms.No.

2445, Health, Dt. 16-8-1961)

               [Added by G.O.Ms.No. 1274, M&H (Kl), Dt. 29-12-78]

[Note  :-The  Government  recognise the All  India  Institute  of

Medical   Sciences  and  Wellingdon  Hospital,  New  Delhi,   for

treatment  of the employees of Andhra Pradesh and the members  of

their families at New Delhi, and also those visiting New Delhi.]

            [Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]

(3)     For  receiving  treatment  outside the  State  but  in  a

Government  medical institution of that State (on the  advice  of

the  Authorised  Medical  Attendant)  prior  permission  of   the

Director of Medical and Health Services should be obtained.

                        (G.O.Ms.No. 1792, Health, Dt. 7-6-1963)

(4)     For  receiving treatment outside the State  but    in  an

institution  other than a Government Hospital of that  State  (on

the advice of the Authorised Medical Attendant) prior  permission

of the Government should be obtained.

10.(A) Treatment for Kidney transplantation and Coronary  By-pass

Surgery   by  private  hospitals  within  the  State  :-(1)   The

Government  servants and other entitled personnel  for  treatment

under  the  Rules shall be permitted by the Director  of  Medical

Education  to  undergo Kidney transplantation  operation  in  the

Mahaveer Hospital, Hyderabad and Coronary By-pass Surgery in  the

Durgabai Deshmukh Hospital, Andhra Mahila Sabha, Hyderabad-on the

letter of advice given by the Authorised Medical Attendant in the

Osmania  General Hospital, Hyderabad or the Nizam's Institute  of

Orthopaedics and Specialities, Hyderabad, respectively where  the

above operations are done.

(2)     The  Authorised  Medical  Attendant  in  the   Government

Hospitals  mentioned in sub-rule (1) will issue letter of  advice

only if the said hospital cannot cope with the work load and  the

treatment  of the patients cannot wait till the operations  could

be performed in the said Government Hospital; and

(3)     Those  who  obtain prior permission of  the  Director  of

Medical  Education  and  get admitted to  the  private  hospitals

mentioned in sub-rule(l) for Kidney transplantation and  Coronary

By-pass  ^Surgery  will  be eligible  for  reimbursement  of  all

admissible  expenditure including charges for  accommodation  and

also  for an advance as per the estimates given by the  concerned

hospital undertaking the operation".

              (Inserted by G.O.Ms.No. 317, M&H (Kl), Dt. 7-5-1986)

11.    Consultations with Specialists or Colleagues :-(1) If  the

authorised  medical attendant is of opinion that the case of  the

patient  is  of  such serious or special nature,  as  to  require

medical attendance by some person other than himself or that  the

patient  requires anti-rabic treatment, he may with the  approval

of  the  Director of Medical Services (which  shall  be  obtained

before-hand  unless  the  delay involved entails  danger  to  the

health of the patients)-

(a)      send  the  patient to the nearest  Specialist  or  other

Medical  Officer as provided in clause (c) of Rule 2 by whom,  in

his opinion medical attendance is required for the patient or  in

the case of anti-rabic treatment, to the nearest place where such

treatment is available ; or

(b)     if  the  patient  is  too  ill  to  travel,  summon  such

specialist or other Medical Officer to attend upon the patient.

(2)     A patient sent under clause (a)    of sub-rule (1)  shall

on  production  of  a certificate in writing  by  the  authorised

medical  attendant in this behalf, be entitled to travelling

allowance  for the journeys to and from the headquarters, of  the

Specialist or other Medical Officer or the place where he is sent

for anti-rabic treatment.

(3)    A Specialist or other Medical Officer summoned under  sub-

rule (1), shall on production of a certificate in writing by  the

Authorised  Medical  Attendant  in this behalf,  be  entitled  to

travelling allowance for the journey to and from the place  where

the patient is and also daily allowance according to rules.

12.     Travelling Allowance :-(1) T.A. for  journeys  undertaken

under  Rule 10 shall be at the rates admissible to  a  Government

Servant when on tour.

(2)  A  member  of the family of a Government  Servant  shall  be

entitled  to  travel by a class by which the  Government  Servant

himself is entitled to travel.

13.     Medical  Attendance Charges :-(1)  Charges  for  services

rendered   in  connection  with  but  not  included  in   medical

attendance on, or treatment of a patient entitled to free medical

attendance or treatment under these rules, shall be determined by

the authorised medical attendant and paid by the patient.

(2) If any question arises as to whether any service is  included

in  Medical attendance or treatment, it shall be referred to  the

Government; the decision of the Government shall be final.

14.    Treatment under Indian System of Medicines :-The following

procedure  is  prescribed for getting re-imbursement of  cost  of

medicine  purchased  by  the persons  entitled  to  free  medical

attendance or treatment including   State Gazetted Officers  when

treatment is taken under the indigenous system of medicine either

in the Government Institutions or under private doctors :

(1)     The  bills  relating  to the  modern  medicine,  if  any,

prescribed  by  the  Medical Officer in  private  or  local  fund

institutions  or by the private practitioner will be  scrutinised

by   the authorised medical attendant of the entitled persons  in

cases  where  the  treatment was received, in  a  local  fund  or

private  institution of indigenous medicine and by  the  District

Medical  Officer  concerned  in cases  where  the  treatment  was

received from a private practitioner of indigenous medicine.

(2)     The  bills relating to the indigenous  medicine  will  be

scrutinised  by the medical officer or officers concerned of  the

three respective systems of medicine (Ayurveda, Sidha and  Unani)

employed   in  the  Government  Ayurvedic  Hospital,   Charminar,

Hyderabad to be nominated by the Special Officer of the  Medicine

Department with the approval of the Government.

(3)  If the bills relate to both modern and  indigenous  medicine

they  will  first  be  scrutinised  by  the  authorised   medical

attendant,  or the District Medical Officer, as the case may  be,

in regard to the modern medicine, and then by Medical Officers or

Officers  of  the  Government Ayurvedic  Hospital,  Hyderabad  in

respect of the indigenous medicine.

(4)     The claims in respect of treatment under Indian  Medicine

system  be  sanctioned by the Special  Officer  (Indian  Medicine

Department)  after due scrutiny, wherever claims  are  admissible

under rules. (G.O.Ms.No. 105, Health, Dt. 15-1-1963)

Note  :-(1) Claims for refund of expenses should be preferred  as

detailed in Appendix III.

(2) A list of items for which refund is not admissible under  the

rules is given in Appendix II.

15.  Medical Attendance for Honourable Speaker,  Deputy  Speaker,

Honourable  Chairman, Deputy Chairman, Ministers, etc.,  :-(1)  A

Minister  or  the  Speaker  of  the  Andhra  Pradesh  Legislative

Assembly  or  the  Chairman of  the  Andhra  Pradesh  Legislative

Council  and the Members of his family shall be entitled free  of

charge,  to  accommodation in hospitals maintained by  the  State

Government  and also to medical treatment and attendance  on  the

same  terms and conditions as are applicable to the  officers  of

the  Indian  Administrative  Service  under  All  India  Services

(Medical Attendance) Rules, 1954.

(2)    A Minister or the Speaker or the Chairman and the  members

of  his  family  shall be required  to  furnish  the  certificate

prescribed  in  clause (a) of sub-rule (3) of Rule 8 of  the  All

India Service (Medical Attendance) Rules, 1954 in respect of  his

claims for re-imbursement of the medical expenses allowable under

the said rules for treatment at his residence under circumstances

referred to in Rule 1 of the said rules.

Explanation  :-For the purposes of this rule 'family'  means  the

wife,  son, daughter (including a validly adopted  son,  step-son

and  step-daughter,  father, mother, brother and  sister  of  the

Minister,  or  the  Speaker or the Chairman,  residing  with  and

wholly  dependent on him and not self-supporting  relations)  but

does  not include a married daughter or sister who is  under  her

husband's protection.

(G.O.Ms.No. 165, Health, Dt. 3-2-1960 and G.O.Ms.No. 255, G.A.D.,

Dt. 1-3-1961)

(3)    A Minister and the members of his family will be  entitled

free of charges, to accommodation in hospitals maintained by  the

State Government and also to medical treatment and attendance  on

the  same terms and conditions as are applicable to  the  highest

category  of  servants employed under the  Government  of  Andnra

Pradesh, the highest category of Government Servants who get  the

maximum  concessions and benefits in the matter of  free  medical

attendance  and treatment in Government Hospitals, provided  that

the Minister and members of this family shall be entitled to  the

supply of diet free of charge.

(4)    The Deputy Speaker of the Legislative Assembly, the Deputy

Chairman  of  the Legislative Council, Chief Whip,  Chairman  and

Vice-Chairman  of  the  Regional  Committee,  the   Parliamentary

Secretaries, if any, the Members of the Legislative Assembly  and

Council  who  do  not  hold any of the  offices  referred  to  in

Sections 3-A to 5-A of the Andhra Payment of Salaries and Removal

of Disqualifications Act, 1953, (Andhra Act III of 1954) and  the

members  of  the families of all those mentioned above  shall  be

entitled,   free  of  charge,  to  accommodation   in   hospitals

maintained by the State Government and also medical treatment and

attendance on the same terms and conditions as are applicable  to

the Gazetted Officers of the State Government.

16.     Medical Attendance for very important  personages  :-Very

important personages, if they fall sick during their visit to and

stay  in  Andhra  Pradesh should be provided  with  free  medical

assistance  which  should  cover apart from  treatment  which  is

neither  prolonged nor specialised and such as a  hospital  would

ordinarily provide.

                       (G.O.Ms.No. 2761, Health, Dt. 15-10-1963)

17.     Medical  Attendance to Members of  State  Legislature  :-

Members  of the State Legislature and members of  their  families

are  eligible  for free medical facilities as are  given  to  all

Gazetted Officers of the State Government.

They will accommodated in the paying rooms on par with Grade  III

Officers (as defined in the Andhra Pradesh Travelling  Allowances

Rules,  i.e., Gazetted Officers drawing pay between Rs.  750  and

1,000)  of the State whenever they are admitted for treatment  in

the Government Hospital in the State.

18.    Medical Attendance for Officers of the AH India  Services,

Andhra  Pradesh State on Higher Judicial Officers :-Rule 15  will

apply  for  purposes of "Medical Attendance" on officers  of  the

Indian Administrative and Police Services and their families  and

officers of the Andhra Pradesh State Higher Judicial Services and

their families.

Note  :-The Officers of the Andhra Pradesh State Higher  Judicial

Service  will  be treated on par with the members of  the  Indian

Administrative and Police Service.

19.    Treatment of T.B. :-(1) Rules regulating admission of T.B.

patients  in  Government T.B. Institutions and  other  Government

Medical  Institutions  where there are T.B. wards  are  given  in

Appendix V.

(2)     The following private Hospitals which are in  receipt  of

grants  from  the State Government are  recognised  as  treatment

centres  for  the Non-Gazetted Officers and  Employees  of  Local

Bodies drawing pay not exceeding Rs. 300 P.M. and their families.

(i)     The U.M.T.B. Sanatorium, Madanapalle.

(ii)    Visrantipuram T.B. Sanatorium, Rajahmundry.

(3)     An  officer  who  wishes to  enter  the  institution  for

treatment  and  claim  reimbursement  of  the  charges  from  the

Government should obtain in advance a certificate from the  local

District Medical Officer to the effect that his case is one  that

requires treatment in specialised T.B. Institution.

(4)    Ten beds in the U.M.T.B. Sanatorium, Madanapalle and  five

beds  in  the  Visrantipuram  T.B.  Sanatorium,  Rajahmundry  are

reserved  in  the general wards for the treatment  of  Government

Servants and members of their families.

                        (G.O.Ms.No. 1257, Health, Dt. 24-7-1956)

Note  :-In  the  first instance the entitled person  who  has  to

undergo  treatment for T.B. should produce a certificate of  non-

availability  of beds in the nearest Government  T.B.  Sanatorium

and  that  admission against the reserved beds should  be  sought

only  through  the  District Medical  Officers  of  Chittoor  and

Rajahmundry.

20.     Medical  Advances to N.G.Os.:-Government  Servants  (non-

gazetted officers) are eligible for advances to meet the expenses

on medical attendance and treatment.  The grant of advance  shall

be regulated by the rules given in Appendix VI.

21.     Reciprocal  Arrangements  with  other  Governments  :-The

Government  of  Andhra  Pradesh  have  entered  into   reciprocal

arrangements with the Government of Madras, Mysore and Kerala for

free  medical  attendance and treatment  of  Government  Servants

while  they  are on duty or in transist at the Hospitals  of  the

respective Government, subject to the following conditions :-

(1)     Government Servants of any of the States mentioned  above

will   be  given  free  accommodation  in  class  admissible   to

corresponding  category  of  the employees  of  this  Government,

surgical and Nursing services including X-ray examination, radium

treatment and such other special examinations as may be necessary

in  respect  of which facilities are available in  the  Hospital.

Special  treatment  shall  also be given free of  charge  on  the

advice of the Authorised Medical Attendant.

(2)      The  Government Servant in question shall,  however,  be

charged  for diet (in the case of Gazetted  Government  Servants)

and  they  shall also have to purchase such drugs as may  not  be

available in the hospital stores and may claim reimbursement from

their parent Government if it is admissible under their rules.

(3)     These arrangements have come into force with effect  from

29-8-1963  in the case of Madras Government and  1-9-1963 in  the

case of Mysore Government.

(G.O.Ms.No.  2382,  Health, Dt. 31-8-1963  and  G.O.Ms.No.  2997,

Health, Dt. 5-11-1963)

Note  (1)  :-The  families of Employees of Tamil  Nadu  are  also

eligible for the above facilities when they accompany  Government

Employees  who happen to pass through and stay in Andhra  Pradesh

on reciprocal basis.

Note (2) :-The Government Servants of Andhra Pradesh availing  of

the facilities in the Medical Institutions in Tamil Nadu are  not

eligible for T.A.

                        (G.O.Ms.No. 371, Health, Di;: 6-4-1976)

Note  (3) :-Maharashtra State Government Employees  are  eligible

for  free  Medical Attendance in the Government Hospital  of  the

State on reciprocal basis.

                          (G.O.Ms.No. 971, M & H, Dt. 11-10-1976)

22.  All  categories of Government Servants  and  other  entitled

persons who are eligible under current rules for reimbursement of

expenses on medical treatment within India would be eligible  for

reimbursement  of expenses incurred on medial  treatment  outside

India  for which facilities are available in this  Country  also,

subject to the maximum of Rs. 40,000 (Rupees forty thousand only)

which  includes, air passage of patient and expenditure  incurred

towards Personal Attendant also.

They  are  also  eligible for the  reimbursement  of  the  actual

expenditure   on  such  medial  treatment  where  there  are   no

facilities  available in the Country. Expenditure on  air-passage

of  the  person  treated  as  well  as  the  air-passage  of  the

accompanying  personal  attendant  would also  be  reimbursed  by

Government in such cases.

Note  :-The Authorised Medical Attendant should  certify  whether

there  is  need for treatment abroad and prior  approval  of  the

Director  of  Medical Education/Government in  Medical  &  Health

should  be obtained by the person who wants to  secure  treatment

outside  the Country. The expenditure to be reimbursed should  be

certified by the Director of Medical Education]. [G.O.Ms.No. 170,

M.&H. (Kl), Dt. 14-3-1985]

Authors' Note :-The ceiling of Rs. 40,0007- has been increased to

50,0007- vide G.O.Ms.No. H.M. & F.W. (Kl), Dt. 2-4-92.

                           APPENDIX I

                 [Vide Rule 3 (4) of the Rules]

The following Medical Officers are appointed to act as Authorised

Medical  Attendant for the various State Government Servants  and

other entitled personnel.

When  treatment is obtained under Allopathic or Modern System  of

Medicine

1. For Government Servants drawing          Any Civil Surgeon

   Rs. 500, and above per mensem            or the Medical

   and Members of the State Legislature     Officer of equal

   and their families.                      Status at the

                                            station where

                                            the patient

                                            resides.

2. For other Government Servants and        Any Assistant

   their families.                          Surgeon at the

                                            station where

                                            patient resides.

Note  :-(1)  The  term  "Civil  Surgeon  and  Assistant  Surgeon"

includes   specialist   and   Honorary   Medical   Officers    of

corresponding rank.

(2)     At places where there is no Civil Surgeon or any  Officer

of equal rank, the Assistant Surgeon residing at the place  shall

be  regarded  as  authorised  Medical  Attendant  for  both   the

categories mentioned above.

(3)     At places where there is neither a Civil Surgeon  nor  an

Assistant Surgeon the nearest Assistant Surgeon or Civil  Surgeon

shall  be regarded as Authorised Medical Attendant for  both  the

categories  mentioned above. (G.O.Ms.No. 1792, Health,  Dt.  7-6-

1963)

When treatment is obtained under Indian Systems of Medicine

1.For Govt. Servants drawing           Gazetted Hakims and

  Rs. 500 and above per mensem         Gazetted Vaids including

  and Members of the State             professors in the Indian

  Legislature and their families.      Medicine Service.

2.For other Government Servants        Senior and Junior Vaids

  and their families.                  and Hakims of the Indian

                                       Medicine Department

                                       including senior and

                                       junior lecturers in

                                       the Indian Medicine

                                       Subordinate Service.

Note  :-At  places where there is no Gazetted Hakim  or  Gazetted

Vaid,  the  Senior and Junior Vaid/Hakim residing  at  the  place

shall  be regarded as Authorised Medical Attendants for both  the

categories mentioned above.

                        (G.O.Ms.No. 3290. Health, Dt. 12-1-1963)

                           APPENDIX II

                 List of Inadmissible Medicines

               under Allopathic System of Medicine

                                A

Antiphlogi sting/Plaster

Aletris Cordial

Aspirin/Soluble/Tablets

Antiseptic Dusting Powder

Asoka, Vintone with/Cordial/

Compound/Cordial & Hormone

Asokavin/Asokaletris/Asokh

Ovarian Asavin/Asvan

Ovarian

Asavin/Asvan

Alcophiogistin

Alkas Eptal

Adical

Adjudet

Agretonicum/Ague Tonicum

Anto's Compound

Alopex Ointment

Alopex Tablets

Alvite/Capsules

Alvite Drops

Apaivite

Asmoplan

Antismat

Antechlor

Allistan Tablets

Aurinol Ear Drops

Anapolon Oxymetolone Tablets

Alcophenicol

Actilex Cough Syrup

Ademin Compound

Amfac Granules

Acilose Vaginal

Compound

Auralcain Ear Drops

Ancoloxin Tablets

Antihist Expectorant

Atropin

Acigel Vaginal Jelly

Anticongestin

Armolage

Anterline Cream

Asthma Nerrin Solution/Relief Powder

Avittemide Powder

Argentex

Aletris Elixir

Atomiser Rubber Bulb & Cover

Agres Tonic

Anacin

Algan Ointment

Aligipan Cream

Aikocitris

Antical Lotion

Alcohol

Acrifivin Lotion

Anteiflamin

Alkaline Citrate

A & D Vitamin Massage Oil

Aletritone

Amosan/Mouth Wash/Powder

Acimit

Algocratine Cachets

Allantoin

Allochrysine Suppositories

Anaardone Solution

Angioxyl

Antaiby Tablets

Antoxylin

Anti-Haemophylia Principle

Acriflex

Alka-Cip Tablets

Alka Seltzer

Alkia Saltraters

Allcook's Porous Plaster

Aimakal

Anadin Tablets

Analax Pastilles

Andrew's Liver Salts

Anestan Asthma Tablets

Angier's Emulsion

Anti-Kamnla Tablets

Ashton & Parson's Infants' Powder

Askit

Argusol

Alkasol 'C'

Anticirhos Tablets

Alkanant with Vit C.

Akin Malt

Aloes Compound

Aletrina

Anne French Cream

Abzol Powder

Aiopex Lotion

Albosang

Acid Glyceropepsin B-I

Antibactrin

Alkasin/T.F.

Anol Ointment

Alkacitrate Granules

Acid Salicylic Cold Cream/Powder

A & D Pearls

Antifule Tablets

Ayazol

Adrenaline Tablets

Adrenapax

Anklozid

Acid Carbolic

Adhesive Plaster

Arseno Typhoid Vaccine

Air Rings

Amorphos

Astergum

Aruna Utebin Tonic

Antiseptic Cream

Argentum 'Osool'

Atkison & Barker's Infants

Preservative A & D Pearls

Abdominal Binder

Aeri Flame

Agream

Antirabic Vaccine

Acecolex

                                B

Bi Glycero Pepsin

Brush

Bi Agarol

Buck fast Tonic Wine

Biphlogistine

Broom Liquid C Nebuliser

Bishop's Citrate of Lithia

Bendial Solution/Benedicts Solution

Bisuroids Laxative Tablets

Blair's Gout & Rheuma Tic Pills

Bonchi Oil

Box of Nutrotone

Bidelco

Benzocin Lozenges

Burnol

Belladonna Pigment

Brewer's Yeast Syrup

Bio-Sal

Bi-Chlorobutol Inhalant

Borofax

Boldine Houde Tablets

Burgoyne's Lodised Sarsaparilla

Biomin Syru

Brood Peroolator

Betalysin

Bacte Dysenter 1 phage

Bacte-lntesti-Phage

Bacte-Rhino-Phage

Bacte-Pyo-Phage

Bacte-Staphy-Phage

Benecardin

B-Tex Ointment

B. Neurophos Elixir

Bhustab

Biochlor Tablet

Boric Rectified Spirit

Biosodol Rulves

Broven Inhaler

Brooklex Tablets

Bacte-Coli-Phage

Bis-U-Mint Ovals

Bisurated Magnesia

Bisurated Magnesia Tablets

Bidel Compound

Blanchard's Female Pills

Binzoyl Perexide Woliey

Bioglan

Balsamic Emulsion

Barkers Biquid of Life

Bates & Go's Compound Breast Salve

Baxen Powders

Baxen Tablets

Beecham's Cough Pills

Beecham's Lung Syrup

Bynadol Liquid

Bertzyme

Bilogen

Becantex

Bronchinson Cough Syrup

Becophos

Brover Inhalent

Botonin Liquid

Borax Honey

Bairns

Boimage Paste

Bopoline

Bioplex Forte

Bishop's Varalettes Vichy salts

Blanchard's Female pills

Blinblow's Female Pills

Batlin Complex

Beg Vaccine

Bencard Allergy Remes

Blue Lion Fox Nuts (Shadfbrth's)

Bowden's Indian Balm

Box's Herbal Ointment

Bragg's Prepared Vegetable Charcoal

Beecham's Powders

Beltona Lotion

Bescorbon Medicinal Snuff

Bilas Pills

Bilson's Laxative Cleanser

Bishop's Natural Fruit Saline

Breege's Stamulating Ointment

Brocast Inhalant

Bunter's Nervine

Burgress Lion Pills

Bristayclin Pedatric Drops

Barley Peral

Breastpump

Banalon

Benaifet

Bio Malt

B.D. Min Elixir

Blinblow's Asthama Cure

Blinblow's Eucalyptus & Stramonium Cigarettes

Bonomint Laxative Chewing Gum

Bow's (DR) Liniment

Box's Indigestion Pills

Breecham's Pills

Beltona Antjuritic Tablets

Beltona Ointment

Betalax Drops

Bile Beans

Birley's Antacid Powder

Bishop's Varalenttes

British Sra Crystal Salts

Bromo-Saltzer

Burgress Lion Ointment

Buxton Rubbing Bottle

Barley

Bottle Feeder

Bepron

Beconex

Baby Oil

B.D. Vine

                                C

Calciba Syrup

Germicide

Calvimac

Chicken Essence

Cough Syrup

Calcium Vitamin Syrup

Carbonal Tablets

Catgut

C.T.L. Compound

Chloromex Syrup

Comitone Eilixir

Candinets

Calci-K Tablets

Cefral

Cohist

Cetavatione Powder

Corlisone

Collosal Argentum Nasal Drops

Combadex Cream

Calei Lacto

Cordial Asaka

Cusi-Ophtalmoloses

Loretinbesmuthic

Noviform

Vitaminic

Clasmiun Dearl

Cordiazol Dicodid

Cremiffm

Cotton

Cacton Glucose

Crulivex

Cough Mixture Syrup, Sandoz

Crook's Capsules

Calcium Cascinate Powder

Charcoal Tablets

Crook's Dandruff Lotion

Cystone Tablets

Cathetens

Corl Tar

Calcigenol

Citadel Fira Calcium with Vitamin C Tablets

Carsule Dutrain Cunberan

Collosal Argentum Opthalmic Salvimag

Croy Calcium

Cinerela Maritima Succur

Iodo-Rubidi-Calcium

Nizin

Subl Mine

Castophene Tablets

Calsalettes Tablets

Carter's Little Neve-Pills

Cassell's (D.R.) Tablets

Castellan No.l Cough Mixture

Castorets

Collosol Cup Um Orthalmic

Cardone Drops

Cholphytone Dragees & Drops

Cal-D-Min

Corvason Eye Lotion

Carbindon Mild

Colydeltra

Corvasymoton Eye Wash

Clarke's Blood Mixture (Tablet Form)

Clarke's Glycola Food Cream

Clarke's Medicine

Clynol Berries

Cockburn's Pills

Cogene Tablets

Collis Browre's (Dr.) Chloroeyne

Condy's Remedial Fluid

Constrpon Laxatives

Ceimo Tablets

Celunox Tablets

Collosol Gold Sulphid

Colofine

Corpus Luteum 'Aseitules'

Corpus Luteum & Mammary 'Palatinoids'

California Syrup fo Figs

Cryognine Catches & Tablets

Chemo Maltcalracreem

Carboxyl

Children Tonic

Casinone

Caliper including raising in the She etc., Complete alevator

Cream of Jujol

Curacho Emoraction

Cuticura Ointment

Chocolates Cotton Wool Cawtex Cold Creams

Cloth

Chardox Super Activated Charcoal

Chililine Ciofa Tablets

Cotton Wash

Casydril

Capsules Gelatine

Crebe Badage

Cusi Resolvent

Cocline

Carter's Little Liver Pills

Cas Ell,s (D.R.) Instant Relief

Castellan Children's Cough Mixture

Castols

Collosol Cuprum Solution

Collunovar Cullutoire

Cerebri in Palationoides

Calcium C.D. Inga Syrup/Tablets

Cal-D-Rubra with Iron

Calci Lysin

Cibzol Thrat Paint

Collofac

Cod Liver Oil (By James Co, Kepler's)

Clarke's Salve

Clarke's Skin Lotion

Cloister Neabal Tea

Cockburn's Balsam

Cockles Antibilous Pills

Cole's Family Ointment

Compericum

Congreve's Elixir

Couttis Acetic Acid

Celunox Ointment

Cethos Powders

Collosol Mercury Sulphide Solution

Conotramine Pessaries

Corpus Luteum 'Palatinoids'

Cotarine Hydrochloride  'Palatiooids'

Carmarole Compound    \

Cyclospasmoi Forte Tablets

Corpora Leu Ampltes

Cusi Denmoze

Crooks Emulsion

Chempho Feppon

Calsiloids Tablets

Calvox Ointment

Chpaln Tonic

Curicones

Cystex Tablets

Coconut Hair Oil

Cotton Boric

Carwant Lotion

Cephos Tablets

Chardox Tablets

Ch Coloids

Clarke's Blood Mixture

Carica Tablets

Calogen

Completone

Charim Tablets

Calavix Cream

Caicieshlin

Carapeplic Paints

Creamalin

Cadimalt

Carbo Citra

Corn Cure

Collo Calcium

Caifason

Cologne Water

Caripeitic Liquid

Chronalgicin

Calso-Bec

Cytamen

Carnigen Drops

Chem Tonic

Compound Hevimin with Polic Acid

Carica-Leptol with B Complex

Calci Lacto

Cream

Chewing Gum, Jyrothricine

Citro-Lemon

Coll-Cal-d-El ir/Tablets

Colossal Iwche

Cylinder (Oxygen)

C.H.O.

Corpora Lutex Capsules

Calzana

Cutiract

Casvac/Cas-E-Vac.

Carnigen Drops

Chem Digestin

Chemotone

Carica-Leptol

Crook's VD

                                D

Durol/Liquid

Dustina Powder/Antiseptic

Decholine

Dressing, Surgical

Digestive Syrup

Dagra Honey Syrup

Diabetox

O.K. Salt

Duphasol Vit-D-/-3/VIT

Dinosignatol Chesedon

Dextranil-D

Danish Ointment

Dentol Toothache Powder

Digestif Rennies Tablets

Ointment & Suppositories

Dehydronmise & Rosterone Tablets

Daya Mineral

Duodenin (Palatinoids)

Daisy Powders

Damaroids Tablets

D.C.L. Vitamin B Yeast Tablets

D.D.D. Prescription

Deokin's Inflammation Remedy

Dettolin Gargle

De Witt's Cotarrhal Cream

De Witt's Little Laxative Pills

Diotex Tablets

Dinneford's Magnesia Tablets

Dinneford's Pure Fluid Magnesia

Dodd's Kidney Pills

Dol's Voltalise Rub

Dextrosol

Deschiens Syrup Hemoglobine

D.D.D. Lotion

Dandruff Lotion, Crooks

Ducogen

Digest

Digesol

Dusent

Deimor

Diaphregin Jelly

Diporosin

Dupharsol

Diorcin Cream

Decomalt

Delvit Liquid

Deschln's Syrup of Haemoglobin Degalan

C Vit. B-12

Delbiase Tablets

Digestin

Duodenin Tablets

Daisy Tablets

Davis's (Dr.) Famous Femable Pills

D.D.D. Baim

Dekin's Lung Healer

Dettol Ointment

De Witt's Antacid Powder

De Witt's Kidney & Bladder Pills

Digestif Rennies Tablets

Doan's Ointment

Dicey's Dr. Batemen's Drops

Doan's Backache & Kidney Pills

Do-Do Tablets

Druy's Infant's Preservative

Depil

Deschiens Syrup Hepathemo

Detensyl Tablets Vegeto-polyhor

Di-Iodo-tyrosone

Dismensol Tablets

Dolchin Tablets

Duoformula Tablets

Distlled Water

Dropper eye

Distigethin

Depilatory Wax

Ditralka

Dietary Supplement

Di-lodotyrosone Tablets (Pabyrn)

Do-Do Pastilles

Drexamine Cream

Dutch Drops

Digene

D.D.T. Powder

Dollorin Cordial

Devibiso

Diana

Dollorina

                                E

Eledrin Dried Milk

Extra Sterilised Pads

Eozenorm

Elixir Muritunint

Eupeptic Tablets

Enzyindrin Syrup

Evahotia Tube

Eard 'Alibour'

Enthodryl Capsules

Energon

Epcol Cough Syrup

Exlixir Heposim C extra Polic Acid and B-12

Elixir Poly-B Complex

Emblelix

Eskay B-l

Eve's Cordial Enden drops

Elixir Viveta

Elixir Morhuvine

Eskay 'B'

E.C. Lotion

Elliman's Universal  Emebroction

Episocal

Elixir Peptenzyme

Emp. Belladona Liquid

Eye Wash

Entero Surphazyme

Ethobral

Elixir Embrocation

Eledon Electric Vapourizer

Eiosol 10% Drops

Eade's Rhematic and Gout Pills

Elixir Gynol

Elixir Vali Vrom Evans

Elasto Crepe Bandage

Acidophils

Eade's Antibilious Pills

Egyptain Salve

Elliman's Athletic Rub Monic Hypotensor

Elixir B C Mineral

Elixir Vital

Ethi Vite Syrup

Elixir Ferveromyn

Ex. Tross

Elasmin Pearls/Drops

Elixir Thiaden

Eximalt (Evenest)

Ephomag Elixir/Tablets

Erythron Forte B-12

Elixir Utaferron

Ephemix

Elixir Panther

Elixir Vimelto

Elixir Pynoyin

Elixir Keliples

Elixir Lacteena

Elixir Combitone

Emulsion Hypophosphate

Effico Tonic

Elixir Phosferine

Elixir Com Forte

Elixir Neo Cordial

Eutheria Cream

Essence of Chirata

Ext. Ergot Liquid

Ezotine Espiq

Elastic Bandages

Essence of Pepermint

Eskay B Complex

Effevescent Sandostin Tablets

Elixir Calici Lysine

Elixir Combitone

Elixir Val Bromide Smith

E.L.A. Emulsion Lactobacillus Emge Tablets

Eade's Universal Anodyne

Elasto Nature Salve

Eno's Fruit Salt

Ephedan Powders

Elixir Vitabin

Elixir A.D.M.

Essence of Chicken

Ecsolent Compound

Elasto Tablets

E.N.T. Nerve Powders

Ex-Lax Chocolate Laxative

Esobactolin Capsules

Elixir Aminoxyl

Elastic Plaster

Ephadibe oil Drops

Eko

Eimbalm Skin Ointment

Ephedrol Inhalant

Eskay B Complex F

                                F

Fever Powder

Ferro Drakshomalt

Fevromyin Elixir

F. Liquid

Foliplex

Felatone Syrup

F.99 Capsules & Ointment

Ferrum 'Oscol'

Fosfexyl Pills and Syrup

Falcone's Golden Compound

Famel Pastilles

Feenamints

Fenning's Children's Colling Powders

Fungus C Prednisolone

Florozone

Fri-Pyrine

Feroglobin

Franol K

Feroldm

Fitilin Revitalising Rub

Freeman,s Chlorodyne

Fructolax

Fulier Brand Celery Perles

Fruit Salt

Feeder Grip Tight

Fenning's Fever Mixture

Fennings' Ointment

Fennings' Stomach Strengtheners

Fennings Whooping Cough Powders

Ferute Elixir

Firth's Green Salve

Fissan Anal Suppositories

Fruligar

Fellow's Syrup

Female Cordial

Felosol

Ferro Blinin

Floss Silk

Fosdexyl Pills

Fematone

Fruitlan Per Bravais

Fertilol Cream

Fructol Blackcurrent and Lodine Pastilles

Famel Syrup

Penning Adult Cooling Powders

Fungex Cream

Fruit-Lax

Fehling Solution

Farex Franol

Franol-Te

Fissian Paste

Formitoral Formaline Pastilles

Fr Esone Corn Remover

Fructole Carpinal Co. (Mayfair A Brand)

Farilan Ferromalt

Fenning's Little Healers

Fennings' Rheumatic and Erysi-Pales Drops

Fennings' Warm Powders

Fibron Adrenaline Cream

Fissan Anal Ointment

Fissan Dusting Powder

Fynnon Salt

Ferrylyn Finiex

                                G

Gum Paste (U.D.Co.)

Glass Urinal

Gynosedan

Glycodin Lozenges

Gripe Liquid

Grimix Gets-It

Gum Paint

Glycero Pepsin, Bi

Gluesein

Gasex Tablets

Glycomalt

Genatone

Grasshopper Ointment

Gilley's (Dr.) Herbal Laxative

Gluco

Germex

Gharbinol

Glycoactophos

Gulioix

Gastridine

Gingivities Powder (Special)

Gajjartone

Gripe Water Carminative (Woodwards)

Gripe Syrup

Glaxo-D

Gynedal

Glucose Solution Crooks

Glucotone

George's Pile & Govel Pills

Germolene Blood Purifier & Tonic

Germolene Tablets

Gripe Liq

Glysovit

Glycomal

Gynaecolin

Gameno Essence

(Gemenol Laboratories) G.S. Tablets

Gar Antiseptic Ointment

Gee's Lobelline

Genasprin Tablets

Geroge's

Gravel Pills

Galacogeno

Grape Sugar

Gluco Vita

Germoloids Suppositories

Guy's Tonic

Gelonica

Glase Rod

Geneline

Gharbionl

Gripe Ease

Gynedol Liquid

Gripe Water (Warden-India)

Gripe Mixture

Gripe Cardial

Guncetta

Grimault Haemoglobin Forte

Glucose Tablets

Guy's Linctus

George's Pills for the Piles

Germolene Ointment

Guy's Fruit Pills

Goulard's Lotion

Guttac Ephidrine

Gastrozy W*

Glyce-in extract of Red Bone Marrow

Galnoid Guipsine Pills

Golloway's Family Lung Syrup

Garlisol

Gee's Lobelline Lozenges

Genosal Nasol Cream

Gremicide

Ginkola

Geenfield's (DR)

Whooping Cough Mixture

                                H

Hodge's Pessary

Hinco Tonic

Herbs

Herbolcx

Hair Lotion/Tincture

Halabak

Hepacod

Honey

Hepoblum

Halibutol Orange

Haliborange Large

Huxloy's Nervigor

Heart Drops

Halibut Oil Capsule Liver

Hemo Ashoka

Hemostyl Syrup

Halingol

Haliborrnge

Hepoferrum

Himco Tonic

Herbal Bitter

Herbolax Strong (for constipation)

Himrod's Cure

Haromo-Gerobin

Hevitron Liquid

Hepatone

Hepanima Forte

Halivitol Orange

Hipro Milk

H2 02 (Hydrogen Peroxide)

Hexare

Halibut Orange Liquid

Hepatoglobin

Haumas Bro

Hemopato (Grimoult) Elixir

Hydremin

Henopital

Hydrine

Heposim C Vit B 12

Halloway's Pills

Hooper's (Dr.John) Fefale Pills

Hytex Pile Balm

Hepachol

Histamine-B.D.H. Ointment

Hair's (Dr.) Asthma Cure

Hair's (Dr.) Bronchil Cough Remedy

Hair's (Dr.) Liver Pills

Harlay's Three Salts

Hewlets Mixture

C. Bismuth Co. C Opium

Haemoglobin Elixir

Hay ward's Tonic Wine

Havimin Co Folic Acid

Huxley's Wintigen

Hame Malt

HI-Nutome

Vit Elixir

Hicolin Elixir (Cough Syrup)

Hewlett's Teething Jelly

Hinksman, Asthma Smoking Mixture

Hazeline Snow

Haemogastine

Hepagest

Holinspray

Hermo Be Dozo

Hablorane

Herbile Pills

Healex Skol Antiseptic

Hinksman's Asthma Reliever

Holloway's Ointment

Heamopetol B Complex

Hemo Gynol

Heamorrh Didal Ointment

Homocea Ointment

Hoyle's pure Vegetable Viscous Oil

Hesanol Ointment

Halmegon Tablets

Hypotensyl Tablets

Hair's (Dr.) Asthma Cure Pastilles

Hair's (Dr.) Catarrh Cure Pills

Haratax Tablets

Hepatex Malt Liquid

Hewletts Mixture Peqsin

Haemoglobin Forte

Haemoglobin Syrup C B 12

Halycitrol

Health Salt

Hydro Protein

Hemibhos

Hepsonin Elixir C Extra Folic Acid Heme-Cal-& Vit B 12

Herbalene (Lusty's)

Hinksman's Asthma Cigarettes

Holdrod's Gravel Pills

Hygiene Powder

Haemobin

Hepels Coy

Hind's Cream

Hachemina

Halingol

Hinksanm's Asthma Cigarettes

Health & Healther's Catarrh pastlles

Hockin's Remedy

Haemogasting Tonic

                                I

Itinsucrets

Iso Calcium

Irrigator-Piple

Ina Carabin

Inhalur Huxley's

Iodine Ointment

Iversal Lozenges

Indian Create

Inositol Capsules

lodi-Peptone

Ideal Warming Liniment

Irosol Syrup

Iodine Model Aseptic Ointment

Ionised Lodine (Molson) Brand

Iron Putty Fitting C pully

Isocol

Insanity Cure

Irrigator

Inteb Tablets

Influenza Tablets

Indu Compound

Iodised Sarsaparilia

Iglodine Antiseptic Ointment

lodemex

Iodine Black Current Pastiles

Ivax

Ice Cap

Infant's Friend

Ina Carabin

Ipsolin Rheumatic Baim

Irovna Tablets

Iodise Throat Tablets

lodalbin

I-so-Gel

Iso Glutumalt

Ice Collar

Ipca Malt

Indo-Rubidi-Calcium Ophtharmix Ointment - Cusi

Ice

lodoform Powder

Ivi-Malt

Infantone

Intrait de Matron D Inde Dausse Solution P

Iglodine

J

Jackman's Convulsion Cure

Jyrothricine Chewing Gum

Jif Neuralgic Powders

Johnson's (Mrs) American Soothing Syrup

Juvinin Tablets Complex

Jests Tablets

Jordan's Gin Pills

Jamins Liver Cure

Jenner's (Dr.) Absorbant Ozenge Brand Digestive Tablets

Juno-Junipah Salts (Powders & Tablets)

Jayakar's Convulsion Cure

Jamins Liver Cure

Jackson's Febrifuge

Jocigares

Juvigold Gland Tonic

                                K

Kruschen

Kepler Multivite Capsules Large

Kepler Malt Extract C Shark Liver Oil

Kepler's Cod Liver Oil C Malt

Kalei

Karsotein inhalant

Restorative Pills

Kephaldol Pectoral Cough Lozenges

Kepsins

Karmoid Tablets

Keswick's Pure Vegetable Charco-lax (Tablets)

Ki-Uma Ointment

Kompo (Dr. White's)

Kerol Medical Capsules (Gastric)

K-5 Hair Tincture

K. Liquid

Keplex Keplex Elixir

Kim

Kediprin

Kaomagma C Pectin

Kalzana-D

Kalms Tablets

Kutnow's Powder Kettle

Kasbolin Karo

Krooks Saline

Kepler's Multivitamih Capsules

Kepler's Cod Liver Oil

Kaima

Karsodrine Inhaler

Kyae's Worsdell's Vegetable

Key's Linseed Compound

Kephaldol Tablets

Kaputine Powders

Keswick's Pure Vegetable Charcoal

Ki-Uma Plasters

Kipak Vapur Rub

K. No. 2782

Korey Tablets

Kerol Medical capsules (Intesinal)

K-Salt

Kapilon Drops

Kardyl Prickly Heat Powder

Kossom Broadway

Khasinol (Cough Syrup)

Kurazol

Kylon G.F.4

Kotalko

Kwell Travel Sickness Remedy

Kotex

Kasan

Kofhol

Lysterin Antiseptic Liquid

Lotion, Crook's Dendruef

Lint Camphor

                                L

Liofex

Lotion Eusol

Lerestidin

Larestidin

Liver Cure

Lactose (Powder Form)

Lysofer

Lodhrinol

Ligricis Carlimix Zinc Cream

Lipsa Digest

Liver Oil Capsules

Laxil

Liniment Terpentine

Liniment Belladonna

Leetz Malt

Leetz Compound

Liquid Ext. of Lodh

Livoderm

Leukora

Loctopeptine Powder

Lalkala/Lal kala Cigarettes

Langdale's Compressed Cinnbamon Tablets

Langdaleis Compressed Self-Aid Peppermint Tablets

Lykaclin

Limical

Lysofos

Lena Protomin Syrup

Lysotone Liquid

Liximent

Lantigen A

Lantigen C

Lantigen E

Lecithiz Alb

Lipamensin Tablets

Luteomension Tablets

Lymphatic Capsules and Tablets

Listerine

Little Victor Inhaler

Lloyd's Adrenaline Cream

Lombio Suppositories

Lusty Garlic Tablets

Lysolats

Leucoplast Elastic For Chaste

Lint Absorbent Protein/Ledinac

LecivinLe Rei Albanian Salve

Lemadine Liq Ext. Arjuna

Livermight

Linctoid

Liqufruta

Lacto Kadline

Ladkovine

Liver Capsules

Lisoform

Lactolin

Low Elastic Sacroiliac Belt

Lint Anodyne

Lysatone

Lactodex

Laxative Tablets

Liniment Embrocation

Liniment Lim Abe

Leetz Cough Syrup

Leetz Pypin

Lipobets

Lead Lotion

Lidocation Jelly

Lactopeptine Tablets

Laedo Towels

Lysatone

Langdaleis Concentrated Medical

Lyraton

Liquid Pocitron

Lykacilin Drops

Libatone Ferri

Liquor Diastose

Lactated Pepsin Elixir

Livoderm

Liver Exrtract Ointment (Tcf)

Lysatone B-12

Lactodacilline Tablets

Lantigen B

Lantigen D

Lantigen F

Lenigallol (Knoll)

Loretinbis muthic Opthalmic Ointment Cusi

Lactopeptine Elixir

Little Movies

Lixenr Elixir

Lombio Lotex

Lyco Yeastlets

Leucoplast

Ladeo

Lint Salgeylic

Ledinac

Laxobac

Laxative Chocolate

Lexbsoni Cap

Lewis

Lewis's Drops

Licoricine

Limestone Phosphate Compound

Linctoid Pastilles

Lemon Barley

Lysol

                                M

Malto Min

Milkan Paste

Maternity Belt

Manestrin Capsules

Minaferrol

Minivtone

Multitone

Magsil Tablets

Massive Drops

Manner's Gripe Misture

Maltovit

Malt Vitonin

Mand H Emulsion

Methyl Testo Viron Tablets

Magsulph Cream

Medica Belt

Minules

Multivitamin Fipa

Mycodecyl Pomade

Moryl

Masse Ointment

Mist Seilleac

Methugum Tablets

Mettural

Metules Sandoz Capules

Molivex Compound

Magnogone Tablets

Mammary Gland 'Palatinoids'

Muscle Extract - Oxoid

Mac Brand Antiseptic Throat Sweets

Mcclure's Crescendo Vitamin Tonic Syrup

Mcclure's Oxogen Tablets

Mcclure's Glucomel

Mcclure's Vaposan Outfit

Mitson's Liver

Mulvilysin

Mebran Elixir

Multivit Candy

Malt Iron

Mivets-G Tablets

Metacin

Mag Mag

Melba Iodised Throat Tablets

Mendaco Tablets

MentexMentholatum Antiseptic Nasal Liquid

Mentholatum Blam

Milton Antiseptic Ointment

Moffat's (Dr.) Remedy

Moorland Indigestion Tablets

Moton's Elder & Peppermint Life Drops

Mothersill's Sersick Remedy

Milkan/E.H.

Massage Oil

Meads Protein

Metametrol

Methofar

Meta Metron Tablets

Multi-Tonic

Malt Vitex

Milko Mag Tablets

Malto Vito

Malt-vitol

Malt Viron

Myn Berry's Compound

Meta Drops

Maltograf

Maclean Indigestion Powder

Mandle's Throat Paint Solution

Minavitol Syrup

Mycedecyl Powder

Massy's Nipple Ointment

Masse Nipple Cream

Mixture Tone

Mount Malt

Maganatone

M. & H. Elixir

Mebradal

Mammary Capsules & Tablets

Manganese 'Oscol'

Myelin Capsules & Tablets

Mcclur's Balsam

Mcclure's Ephedrine Nasal Catarrh Specific

Mcclure's Glucose Tonic

Mistferri Et. Ammin Cit Multivitaplex Elixir

Minervin

Mulvit Syrup

Malt Vitex C Iron Mivets Tablets

Minaferol Vit. E.

Mercolized  Wax Mixtures (Only Patent mixtures as  Ague  Mixture,

    etc.,)

Mensal Pills

Mil-Par Brand Laxative

Mistol Drops C Ephedrine

Monsol Throat Pastilles Morse's (Dr.) Indian Root Pills

Mother Siegel's Digestive Syrup M-Rex Pile Ointment

Maclean Brand Stomach Powder

Milton Tablets

Myrone Tablets

Maclean Brand Stomach Tablets

Magslate Tablets

Marienbad Anti-Obesite Tablets

Mathews' Fuller's Earth Cream

Medilax Laxative Pellets

Meggezones

Morhussion

Malt Oslo

Mackintosh Sheeting

Mandy Paint

Malt C Cod Liver Oil (Allen & Haily)

Mavilot Malt

Malt Kepler

Malt Easton (if given to adults)

Massive Vitamic

Muller Nutrient (The)

Milkan-C-Cod Liver

Malt Extract C Cod Liver Oil (A &H Co.)

Marmite

Musterold Mustaraed Ointment

Manola

Mistona

Magtriz Powder/Tablets

Man Zan Pile Remedy

Marmola Antifat Tablets

Mecca Pastilles (Gibson)

Meggeson Bismuth Dyspepsia Tablets

Medgodin

Malt Vitex

Malt Nesto

Material (Dressing)

Milk of Magnesia

Migoren Pearls/Drops/Capsules/

Tablets

Malt  Compound  Navitol

M.D.Towels

Mandol Malt

Multione

Measure Glass

Malt Extract (Magna Malt)

Metatone

                                N

Nutrima

Nutrone

Nutroton Box

N.E. Sulphar

Neuro Phosphates

Nephril Tablets

Nierph Tablets

Nycil Powder

Nephritin Tablets

Nizin Ophthalmic Ointment-Cusi

Nasimint Snuff

Naturpeat

Nemolin Pile Ointment

N.E.T.C.O. 444 Pills

Necoferin

Nervorite Mine

Nervigor

Navitol C Vids Terol

Nejdrugen Tablets

NavitolNutrinatal Tablets

Neo Sedalcer Tablets

Nuropep

Nobedon

Neurophos

Needle Hypodermic

Nursing Powder

Navitol Malt Compound

Nutrition/Capsules

Nutrotone

No Pain

New Dentol

Neuro Phosphite

Nufer Tablets

Nycil Ointment

Neo Kin Syrup

Nicamide Solution

Noviform Opthalmic Ointment-Cusi

Nature's Herbal Ointment

Nemakol Brand Nasal Compound

Nervoids

Nivea Cream

Norway Cod Liver Oil

Nisko Sap

Neuro-Lecithin

Nionate

Netrada

Needle Nozel Set

Nutro Lysate

Nico Flavin

Neurona B Complex

Noval-Gin Quinine Norasirob

Neogynges Neadallit

New Sphagol 10% Ointment

Nigroids

Nonn Tablets

Nostroline

Nasal Remedy

Neko Soap

Nestomalt

Nestrima

Noxacorn

Neson Inhaler

Noviazol

Nestargel

Nursing Case Book

Niblettis (Dr.) Vital Renewer

Niptis

Normo Gastrine Tablets

Nujol

New Dentol

Neutroxides

Norton's Chamomile Pills

Nurse Hrvey's Mixture

Natrum Phos

Nixoderin Ointment

Nevea Skin Oil

Nipple Shield or Nipple

                                O

Oriental Balm

Oral T.

Optibits Abott

Ovoto Line

Olive Oil & Cod Liver Oil

Ortho Applicator

Opterex Eye Lotion

Omega Oil

Omnicidine

Oxycide

Opimalt

Optinal Eye Drops

Opo-Iodamelis Tablets Female & Male Formula

Orchitate (Pabyrn) Liquer, Pessaries & Tablets

Ovacoids Tablets

Ovarian Substance 'Palatinoids'

Ovarian & Mammary 'Palatiniods'

Ovarion & Pituitary 'Palatinoids'

Ovary Whole Gland Tablets & 1 oz., Desiccated Powder

Orchitin 'Palatinoids'

One Day Cold Cure

Opas Maclean Tablets

Osborne's Mixture

Owbridge's Lung Tonic Pastilles

Oxien Pills Orlivit

Oxygen Cylinder

Ointment Milkan C Cod Liver.

Oleum Arachis

Olive Oil (External or Internal)

Oralex Liquid

Onim (Male)

Okasa Tablets

Ossivite

Opicycline Capsules

Optisol Eye Ointment

Opimalt Syrup

Oberlin Granules of Chicken Embryo

Orheptol/Oratol

Orchic Substance Emplate (No. 5)

Oleum Araches

Oriviford/Oates

Ovarian Residue 'Palatinoids'

Ovarian Substance Emplets

Orange Squash

Ovary Residue Tablets

Ove-Sedicy 1 Dragees

Odds On-Liniment

Oiled Rayon

Opas Maclean Powder

Oralax Tablets

Owbridge's Lung Tonic

Oxien Nerve Tablets

Oystral Tonic

                                P

Perandern Linquets / Ointment

Pablum (Cereals)

Pessary

Paste

Phosphotone

Powder, Antiseptic, Dusting

Pryrodent

Pulverizator For Oily Liquids

Peranden

Pepsindon Tablets

Pepsin, Bl Glycero

Palmolive Shaving Cream

Phosphomalt Powder Dusting

Primoderm Mild Cream

Pilex

Petrocil

Panthesin Balm

Piex Ointment/Tablets

Pecto Malt

Potcholra Powder

Potassium Chlorate

Phospho Cynamin

Phospho Lecithin Pikacid

Primospasmyl Tablets

Panhepar

Pharma

Protein

Pentrol Sulpha

Protein Hydrosylal

Peptovintone Pepsinol .

Phosphogdine

Pharma Compound

Pearl Barley

Phinl Halycitrol Crookes

Plinasine P.V.P. Solution

Paragon (Reel)

Polyvitin Capsules' Protomyl

Panadantam

Powders  (Prepared  From Patent medicines or  Patent  Powders  as

  Johnson Powder, etc.)

Parathyroid Hormone

Parathyroid Gland Tablets-Oxoid Pedaform

Phenascodin

Protinex

Parculla Eye Drops

Proteinsol

Petterson's Oky Pills

Pepsi Digestive

Pineal Compound

Prenatal Capsules

Petromulsion C Gualia Col

Protomino

Panzynorm Dragees

Phosellite C

Pharmalene Ointment

Phenoda Phenate of Soda

Phillips Pure Live Yeast Granules

Phosferine Health Salt

Phyllosam Tablets

Pierre's (Bather) Monastery Herbs

P Ends Tissues

Peps

Pyson Moilam Watch

Poly-Mlat

Pepsonin Liquid

Polybactrin

Potassium Chloride

Pulmocod Creasote Cuaiacol

Phosphokem

Protodol

Pyorine

Ptychosoda Tablets

Plebex Capsules

Pe'diatrin

Protine

Protovine

Pepsinal

Promolan

Prolypo

Plaster Zinc Adhesive

Phosperine Syrup

Panovin/Compound

Paloll

Pasiso Viteve

Pacto Calcium

Panthor (Cough Syrup)

Pigment No. B1-421

Polythene Tube

Pacyl Tablets

Pancrex

Parenteral

Parathyroid Gland 'Paratinoid's

Parvestin

Petroloyan Forte

Protinules

Pepsin Compound

Pocitron

Protisol

Progneter Cream

Pepsi Digestine

Pyrgasol Lozenges/Tablets

Patromulsion

Pasuma (Strong)

Pheriban Tablets

Pramilets

Penotrane Pessaries

Phenalgin

Phensic Tablets

Phillips Pure Live Tonic Yeast Tablets

Physikurate

Pimplem

Pip

Peptalmina Dfagees & Granules

Phenurone Tablets

Parathyroid Granules & Tablets

Pitexan Capsules & Snuff

Prostiate Tablets

Phychil (Succini) Dinitril Suppositoreis

Page Wookcock's Wind Pills

Permint Double Strenght Concentrated Essences

Penetrol Drops

Penetrol Inhaler

Perivale Chidlain Ointment

Pylatum Regulators

Pyorrhosol

Powder Nursing

Petein Vaccine

Plaster Elastic

Pot Urinal

Pastiles M & E

Provatol

Phliuatyan

Preguenolone BDH Tablets

Pineldptus

Peastilles

Pineoleum Inhalant C Ephedrine

Plak

Pineoleum Ephedrine Jelly

Pond's Extract of Hamarmelis

Poor Man's Friend

 Potter's Catarrah

Pastilles Prodorm Cream

Purnol

Pastilles

Puri-Lax

Pads Corn

Powder Colgate

Powder Baby

Pulmal

Protinal

Pot Urinal

Powder Cuticura

Powder J. & J. Baby

Purgolin

Phenyle

Phrenazol Solution & Tablets

Primodern Ointment

Pregnenolone Galssettes

Prostate Gland Palationids'

Ptyalin

Panacel Antiseptic Ointment

Pateruoster's Cout & Rheumatic Pills

Pellanthum

Penetrol Inhalant

Penetrol Pastiles

Pyalatum Ointment

Pylitha Aperient Tablets

Powder Maclean Stomach Frip

Pylitha Pile Powders

Paints Carepeplic

Paste Tooth

Pins Saiety

Protopine Elixir

Procarmine

Pineal Capsules & Tablets

Pineate Honey Cough Syrup

Pineoleum Inhalant

Pinkettes Tiny Laxative Pills

Platts (Dr.) Rinex Prescription

Pond's Ointment

Potter's Asthma Cigarettes

Presto Powders

Propax Tablets

Purgen Tablets

Pads Scholler

Powder Hygiene

Powder Himalaya

Plastic Elastic

Protein Ledinac

Pablum Meads

Powder JB

Powder Talcum

Pelargen

Protolan

Plaster Sticking

Pins Safety

Paste Tooth

                                Q

Quaker Oats

Qumaresh

                                R

Robuden-G

Rubuden Dvod

Reverbin Inhalant

R.S.M. Rhinx Mild

Rheumetol

Robuden Tablets/Capsules

Rubuden Inhalant

Robert Tablets

Rhinx

Rheumason

Rheumenton

Rheumatia Tablets

Roy Pills

Rubriment-Liniment

Retrobberry compound C. Lysine

Ralciplex Dragrees

Rheumogen

Raoche's Embrocation

Rubber Tubing

Reverbin Inhaler

R. Compound

Resolvent Ointment

Raicrizyme

Remelysine Syrup

R.C.K. Tablets

Red Bone Marrow, Glycerin

Extract Glanoid

Rectarcycle Tablets

Riodine Capsules

Radiana Dressing

Radium Buxton Crystal Salts

Rankin's Ointment

Renita

Redigubil Water

Raymoids

Reader's Egyptial Salve

Redux Herbal Tea

Rexall Bisma-Rex Antacid Powder

Rahuke Sweet Digestive Syrup

Roberts, Craupline

Rectified Spirit

Rayon Oiled

Reto Super A & D pearls

Royal Oonim (Male)

Rubriment Lotion

Resyl

Rexali Orderlies

Rinoxe Capsules

Ru-Mari Compound

Rottar Tablets

Roter Tablets

Ripasen

Ranvitol Tablets

Remelysine Drops

Rumalaya Cream

Relomen

Red Bone Marrow Powder Glanoid

Roid Adhesive

Radio Bonco

Robaden Tablets

Radian B Lininment

Rand's anisaka Pills

Raspails (Dr.) Female Pills

Rose Water

Radio Malt

Readers Express Powders

Red Band (Bismuthated) Magnesia

Reguletts

Rexal Bone & Nerve Liniment

Rheumagic Oils

Rookers (Dr.) Oriental Pills

Rubber Sheeting

Radiostolem

                                S

Sani Malt

Sedapex Liquid

Stirring Rod

Super De Pearl

Sexina Sia Cod Liver Oil

Spirolon Cream (for gum Massage)

Sen's Stomach Cure

Stovina Forte

Sandozol Tablets

S.P.R. Compound

Scurfol Syrup Codifbmom

Savalone Antiseptic Lozenges

Sterodin

Syrup Mechtol

Surahalli Kasaza

Spray

Sponge Spongostan

Syrup Hevimin

Solan Balm

Sani Vidol

Sugar of Milk

Syrup of Figs

Sandoz Tablet

Safi

Spirocton Cream (for gum Massage)

Sperm Tablets

Super Malt

Syrofig

Siotrate

Sureyal

Syrup Grimalt

Syrup Methischol

Solvent

Sleeping Medicine

Soda Lime

Salidex (Superb)

Syzygium Tablets

Syrup Calcium Hyprozando

Sanitary Pads

Syrup Foli Complex

Scepriro Tablets

Senakot

Spray Shinobiotic Ephidrine

Sirop Decomphopneumine

Syrup Erythron

Syrup Alarex

Suppromide Tablets

Sidcitrate Liquid

Sanatogen

Semprin (Child)

Siotone 863

Soda ginvet mint, Tablet

Spirodin Solution

Sirolex Cough Syrup

Stomach Cure

Stimulants

Senagran

Solaspin

Sebhoric Lotion

Sulpholine Paste

Sirismals

Sanividol C creasote

Syrup Elixir Valinan

SuoretsSoframisone Collyrium

Sustagen

Sedo-Corodie

Supanenal Whole Gland, Tablets

Suptheen

Synthobilin

Sedax

Samona Tablets

Sanderson's Coung Linctus

Supavite Capsules

Supep petomalt C Lysine

SimcofSweeten Bottle

Steradent

Swax

Salvizol Lozenges

Super Neo Cod

Surgical Cotton Dressing

Suspended Suspemsory Bandage

Schoum Solution

Sedulon Syrup

Soderseine Solution

Splean Tablets

Sorbiline

Sublamine Opthalmic Ointment-Cusi

Singha (Dr.) Asthma Tablets

Slaon's Liniment

Snowfire Ointment

Songo

Syrup Mechositol

Sante Pastules

Syrup Thio-Kaf-Ephidrine

Su-Mag

Sprayer

Somegen

Sumegil

Softsules A-D (Vit.A & D) Capsules

Solgadine

Stan Malt

Super Forte

Spolax

Sopamycetin Syrup

Sulpha-Qunio-Bael

Septilin

Scariet Red Ointment

Spinal Support C Dunlop Pillow

Cushion Solvozyme Spt. Vinam Galicil

Sulpholine Ointment

Siri Malt

Spinal Brace

Syrup Mithiazole

Sedalcer Tablets

Salphur Bitter

Stancoll

Supernal Gland 'Palatinoids'

Suprarenalin Tablets

Synthalin Tablets

Sal Alterata/Sal Hepatica

Saifo in Hay Fever Salve

Sanacine Cough Mixture

Sanderson's Throat Specific

Surama Medicated Cigarettes

Shericainis

Siokoff Syrup

S.P. Vita Syrup

Sedatin

Supositous lilicensia

 Spirit Rectified

Stretched Abdominal Belt

Swabs

Sedicyl Tablets

Sobisminol Capsules

Sodium Supphocyanate Elixir

Stoniform, Dusting Powder, Lotion,Ointment & Tablets

Syrup Sadaplex

Singleton's Eye Ointment

Smedleys's Paste

Snowfire Healing Tablets

Soto Antiseptic Mouth-Wash Tablets

Sphagnol Lotion

Salt Andrew's Liver

Sacro-llliac-Belt (for treatment of Osteo-Arthritis).

Spasmo Pertusol

Schifimann's Dr. K. Asthmador

Seprolin Petroleum Emulsion

'Seven Seas' Cod Liver Oil

Shadfofters Tablets

Shurzine Antiseptic Ointment

Slif Obesity Tablets

Simpson Blood Cleanser (Iodised)

Simpson's niblain

Simpson Seaweed & Celery Tablets

Sanitary Towels

Safety Pins

Sulphe Gaicelated Neogodine

Sandal Wood Oil

Spirit Methylated

Stomhepar

Sure Shield Fruit Laxatives

Sure Shield Glycerin of Thymol Astilles

Sure Sheild Iodised Throat Lozenges

Suthers Chrono-Thermal Composition

Essence

Syrup Hemoglobin

Syrup Neogyid

Sugar Sioliat

Saccharin

Silviserin Hair Tonic

Seidlitz Powder

Syringe

Scalp Lotion

Siriprotin

Savit

Spolax Granules

Sarogol

Scott's (Dr.) Billious & Liver Pills

Serocalcin Tablets

Seven Seas' Cod Liver Capsules

(but ordinary brands of Cod   Shadphos Liver Oil are admissible)

Silbe Asthma Tablets

Simodine Simpson lodolok Iodine Locket

Diffuser

Sedulon (Roche)

Scretes throat Pastilles

Suphatone

Sinemenine

Salt Enos Fruit

Sardex

Similace

Surgaseptic

Sweeting's Toothache Elixir

Siodo Enterin Tablets

Syrup Ephedonal

Syrup Neogadine

Syrup Liver

Syrup Trosol

Stength Oval Tablets

Siblin

Silvikrin Pure Sperman

Salvon Shampoo

                                T

Tephesco

Terorite

Throat Lozenges

Tentex Tablets

Tentex Forte

Tablets Siromide

Tonavit

T. Binder

Tono Phosphotone

Tono Malt

Tono Carnine Forte

Theracibrim Gelseals

Traquinor

Tetmal

Tetmosol Soap

Toni Malt

Tyzine Drops

Tonikum

Ten-Sex Tablets

Til Oil

Tablets Sandoz

Tonovit

T.C.P. Lotion

Tonic Wine Hay ward's

Tono Blood

Tono Calcin

Therecibirm Capsules

Tyzine Spray

Trophile

Tab. Sulpha Bun

Tonofer Malt

Tisbon Elixir

Tonozym

Tonic Wine, Buckeast

Toni Merz Mixture

Tono Phospan

Throat Paint

Tannaibin

Testaeida

Thymus Tablets/'Palatiniods'

Tonoxyline Female & Male

Teasdale's Choloradyne

Towel Pills

Tussicon Pectoral Cough Elixir

Texel

Tooth Paste

Tenophophan Fortius

Toilet Lanoline

TestomaTcer Tablets

Teddylax

Thermogene Meidicated Wadding

Trilax Tablets

Talcum Powder

Tata Cologne

Tuseiopip

Taverol

Tonic Powder

Tonic Mixture

Tono Pheph Ne

Thyrol (for local application)

Tar Cream, Colourless

Testes Tablets

Tiodine (Cognet)

Trilactine Tablets

Thermonogene Vapour Rub

Towel's Pink Pills

Thermometer

Teats

Towels Sanitary

Thermax

T.W.A. Nervine

Tanas Balm & Other Balms

Tersalts

Towel's Chloradyne

Tudor Williams Balsam of Honey

Throat Pastilles

Talco Dutsting Powder

Tapes Adhesive

                                U

Urodonal

Universal Cough Syrup

Universal Compound

Uttrus Tonic

Unrocor Nenol

Unimetin Capsules

Utrina

Upvee Malt

Utero Anodyne

Unienen

Ung. Allaution

Unkon Jack Paste

Uricure Tablets

Urinal Pot/Urinal

Universal Tonic

Universal Gripe

Universal Cordial

Uniscale Lotion

Uni-Vine

Utromenol

Uteron

Undecyl Cream Milken Vinegar

Uni-Portein

Utogen/Uterine Vitamic Aruna

Ulceratum Ointment

Urace Rheumatism Tablets

Urillac Tablets

Uilprum

                                V

Vapours (for inhaling)

V.I.P. Tablets

Vitmal Compound

Vitamin Malt

Velroc, 2x3" -2x6"

Vorloc Bandages Plaster

Vino Malt Bl

Vimulta

Vintone C Asoka

Venus Cough Cure

Vitacod

Vykmin Capsules

Vitmol/Compound

Vibrona

Vitomalt

Velroc Bandages

Vide Mlat Vegain Tablets

Vilco Malt

Vitalyn Syrup

Vita Pepsin

Vitatone

Vox Pastilles

Vinkdia C. Vitamins

Vitamulsion

Vimix Liquid

Vinkavit

Vermarjem Liquid

Vitol Drops

Vercolate

Vitol Compound / Vitiol Compound

Vitamin B, C & D

Veliment Liquid & Perles

Vastone Aseptules

Vaseline Carbolated Petroleum Jelly

Vegetax Brand Tablets

Veolox Rheumatic Tablets

Veno's Liniment

Vitoferrin

VitagolVitaphor Elixir

Vitamine Elixir

Verindon Tablets

Vino Berry's Compound

Valol/Drop

Viteolin Vitamin E Capsules

Vitaepon Tablets

Vinolatur

Vimaron

Vitex Liquid

Vitaminic Opthalmic Ointment-Cusi

Vaiderma Antiseptic Balm

Vapex Inhalers

Vasano Travel Sickness Remedy

Vikelp Mineral

Vitamin Tablets

Vio-Ray malt

Vogal-Zone Nasal Capsules

Vicks Cough Drops

Veno's Seaweed Tonic

Victor's (Dr.) Ointment

Vinovit

Vintone

Vinchoie

Vinkolan

Vinegar

Vitex Liquid

Vit Isopan Tablets

Vaiderma Cream

Vidolin

Vitol Syrup

Victor's Cough Syrup

Vistaril Tablets

Vaniidene Tablets

Veritol Liquid ('Knoll')

Vaughan's Bronchial Cure

Velocium Tablets

Veno's Cough Mixture

Visept Tablets

Vapoline

Vitoline Capsules

Vino-lecithin (Liquid)

Vinocod C Creosote & Guaiacol

Vical Liquid

Viosolfal

Vogelor's Curatiil Compound

Valves

Vidol

Veritain Oral Solution

Valda Pastilles

Vapex Inhalant

Vapex Volatol

Vaseline Borated Petroleum Jelly

Vik-Wik Liniment

Vitadatio

Vykmin Vitamin Mineral Capsules

Veno's Nasal Tablets

Vicks Vapour Rub

Vimalt

Vicks Draughts

                                W

Warali Tone

Waterbury's Compound

Whoopeca

Watson's Family Pills

Wexsaline

White Lions (Shadforth's)

Winslow's Mrs. Soothing Syrup

Wright Coal Tar Soap

Win Tona

Walker's Precalcin Lactate

Worm Expelling Syrup (Trade E. & M. Mark)

Webber's Laxative Pills

Wintogeno

Winafit

Winominos

Welch's Original Female Pills

White Bear Brand Cod Liver Oil

Whit'es Q.B.C.

Wright's Coal Tar Ointment

Waxadol Capsules

Winter Bury's Compound

Wilper's Compound

Wintradine Tablets

Wintradine Tablets

Whelpton's Vegetable Purifying Pills

Whelpton's Vegetable Stomach Pills

White Tar Ointment

White Tar Ointment

Williams (Dr.) Pink Pills for Pale-People

Whiter Bear Brand Cod Liver

Oil Emulsion

Winacarnis

Wooldridge's Brand Gout and Rheumatic Tincture

                                X

Xerosol (Vitamin A.B.D. Tonic)

Xem. Ointment

                                Y

Yeastoffer Tablets

Liquid Glanoid

Yadil Antiseptic Pills

Yadil Pastilles

Yellow Bone Marrow Concentrate Yadilets

Yadil Antiseptic Ointment Yadil Antiseptic

                                Z

Zuvi Malt

Zuvi Drops

Zinc Oxide

Zee Kol Blood Tonci Pills

Zom Pile Ointment

Zomex Suppositories

Zymovit

Zam Buk Ointment

Zox Powders

Zembok

Zuvi Malt

Zumalt

Zola Cordination

Zee Kol Ointment

Zom Pile Tablets

Zotal Liniment

Zac Gripe Mixture

Zam Buk Supositories

Zubes

                             LIST B

The Following preparations are classified as Foods :

(I)   Baby Foods, Milk Foods and Invalid Foods, Other than  those

Indicated below :

Allenbury's Cereal

Allenbury's Diet

Allenbury's Humanized Milk Food No. 1

Allenbury's Humanized Milk Food No. 2

Allenbury's Malted Food No. 3

Ambrosia Benger's Food Bourn vita

Cow  and Goat Foods :

1.   Buerlac

2.   Brestol Supplementary Food

3.   Calcilac

4.   Cerex

5.   Daltose C.G.

6.   Frailac

7.   Full Cream Milk Food

8.   Half Cream Milk Food

9.   Hemolac

10.  Humanised Milk Food

11.  Lacidac Full Cream

12.  Medilac

13.  Peptalac

14.  Prentalac

15.  Prelac

16.  Separated Milk Food

17.  Special Half Cream Milk Food

18.  Weylac

Dorsella Glaxo Products :

1.    Colact

2.    Farex

3.    Ferrolac

4. Ostermilk No. 1 and No. 2

    Lacta Milk Food

    Lactegol/lactatone

    Libbp Shomogenised Foods

    Malted Milk, e.g., Barleva Beulah Horlicks

    Mellin's Food

    M.O.F.

Nestle's Preparations :

1.    Condensed Milk

2.    Lactogen

3.    Milk Food

4.    Milo Tonic Food

5.    Homogenised Foods

Neave's Food

Neave's Milk Food

Numel

Oatrex Infant and Invalid Food Fine and Medium (Kings)

Ovaltine

Ovaltine Rusks

Robinson's Preparations :

1.    Patent (Barley)

2.    'Patent' Greats

3.    Robrex

Sanatogen

Savory and Moore Food

Sister Laura's Food

Slippery Eim Foods

Strained Foods, e.g., Neinz and Scott's Torbat Lactic Oats

Turfood Follow on Food

Turfood Hunmanised Food

Turfood Prosol

Turfood Seeway

Vitasac

Vivemin

And Similar Preparations

(II) Compound Foods of Specified Vitamin Content

    Bemax

    C.V.B.

    Marmite

    Roboletin

    Virol

And Similar Preparations

(III) Glucose Preparations :

    Glucodin

    Glucose B.D.

    Glucose With Vitamin D

And Simliar Preparations

(IV) Liquid Foods and Wines :

    Apple Juices

    Barluze

    Diabetic Cordial

    Glucosol

    Lembar

    Lucozade

    Ribena

    Robinson's Lemon Barley

    Rose-H.I.P., L.B.W,

    Rose's Squashes and  Dietic Squashes All Alcoholic Beverages,

    Wines,and Spirit and Similar Preparations.

(V)  Malt Extract Preparations :

    Bronomalt

    Bynegen

    Halimalt

    Malt Extracts

    Malted Wheaten Food

    Ostomalt

    Radio-Malt

    Vimaltol

    Vitamin Malt Extracts

And Similar Preparations

(V) Meat and Vegetable Extract and Juices :

    Bovril

    Brand's Essence

    Faif s Food Jelly

    Lemco

    Oxo

    Valentine Meat Juices

And Similar Preparations

(VI) Mineral and Soda Waters :

    Apentta Water

    Conterexevile

    Maveern Mineral Water

    Soda Water

    Trefrriw Water

    Vichy Water and Tablets

And Similar Preparations

(VII) Miscellaneous Preparations :

    Arrowroot

    Aurum Ambrosium

    Blackcurrent Pastilles

    Charcoal Biscuits

    Dextrin Maltose

    Diabetic Preparations, e.g., Energen Preparations

    Glucose Barley Sugar

    Iodised Salt

    Kellog's All Bran

    Lactose

    Malted Milk Tablets, e.g., Barlova, Harlicks, Ovaltine

    Malto-Dextrin

    Natex Slimming Food

    Nestrovite Tablets

    Saccharine Tablets

    Salt Substitutes

    Saxin

    Verisal Herbs

    Virolax

    Vitaminised Chocolate

And Similar preparations

                             LIST C

Preparations Normally used for Toilet Purposes

Astringent Lotions

Cold Creams

Hair Tonics

Lanolive Toilet

Shaving Creams

Shaving Stytics Soaps

Tooth Powders

Vanishing Creams

Bath Salts

Face Powders

Hand Creams

Shampoos

Shaving Soaps

Skin Lotions

Tooth Pastes

Talcum Powders

J.B. Powders

                         AMENDMENT No. I

Copy of letter No. 41-1/67-MG, dated the 12th July, 1967 from the

Director-General of Health Services, New Delhi, addressed to  all

State  A.M.Os.,  all Ministries of Government of India,  and  all

Administrative Sections

Delete   the  following  medicines  from  the  latest   list   of

Inadmissible  Medicines  (Revised upto 1st January,  1967)  which

supersedes  the previous list issued in 1958 and  Amendments  1-X

thereto  forwarded with the Directorate Letter No.  41-1/67,  MG,

dated 16th/l 7th February, 1967 :

-----------------------------------------------------------------

Name of the Medicine                   Page No.       Column No.

-----------------------------------------------------------------

Actilex Cough Syrup                    ...2              1

BI-Agarol                              ...4              1

Brovan Inhalant                        ...4              2

Campoferron(not Champoferron)          ...10             1

Espiq                                  ...13             2

Enzynorm Dragees                       ...13             1

Franoi                                 ...15             1

Franoi-K                               ...15             1

Franol-TF                              ...15             1

Hepovite                               ...20             1

Hepachol                               ...20             1

Kepler's Multi Vitamin

Capsules                               ...23             1

Kepler Malt Extract with

Shark Liver Oil                        ...23             1

Pediatrin                              ...33             1

Protinules                             ...33             1

Panzynorm Dragees                      ...33             2

Panthor(cough Syrup)                   ...33             2

Pepsonin Liquid                        ...32             2

Ranvital Tablets                       ...36             2

R.C.K.Tablets                          ...36             2

Siprrmide Tablets                      ...39             2

Sedax                                  ...40             1

----------------------------------------------------------------

Insert  the  following  medicines in  the  list  of  Inadmissible

Medicines to above.

Algipan Ointment

Geronyl Tablets

Lavagol

Sorbiline

Surgical Belts

Collare (Not Medicine)

Hydraminos

Magmag Plaster

Surpholine

                        AMENDMENT No. II

Copy  of letter No.F 41-1/67 M.G., dated 23rd August,  1968  from

Director-General of Health Services, New Delhi, Addressed to  all

State A.M.Os., all Ministers of the Government of India.

Delete   the  following  medicines  from  the  latest   list   of

Inadmissible   Medicines  (Revised  upto  January,  1967)   which

supersedes  the previous list issued in 1958 and  its  subsequent

Amendment I-X

-----------------------------------------------------------------

Name of the Medicine              Page No.       Column No.

-----------------------------------------------------------------

Chemdigestion                     ...7                2

Hemiphos                          ...19               2

Protinex                          ...32               1

Barical                           ...36               1

Vita Pepsin                       ...44               2

Vistaril Tea                      ...45               2

---------------------------------------------------------------

The  under  mentioned  items  may be  inserted  in  the  list  of

Inadmissible Medicines referred to above :-

Chelgeatone

Corex

Isabgol

Irivine

Sat Isabgol

                        AMENDMENT No. Ill

(No.41-1/67 MG (Director-Genl. of Health Ser.), New Delhi, Dt. 3-

4-1968)

Delete   the  following  medicines  from  the  latest   list   of

Inadmissible  Medicines  (Revised  upto the  1st  January,  1967)

forwarded  with  this Directorate letter  No.  41-1/67-MG,  dated

16th/17th February, 1967 :-

-----------------------------------------------------------------

Name of the Medicine         Page No.            Column No.

-----------------------------------------------------------------

Mulvit (Syrup)               ...26                    2

Waterbury's Compound         ...47                    1

-----------------------------------------------------------------

Insert the following in the referred to above

Absorbant Cotton

Bandage  Not drug

Calcinol Syrup

Dol Cal

Enterocurmol

Elixir B C. 50

Gauze (Not drug)

Livules - 52

Netrisol

Feedlab Bottle (Not drug)

                        AMENDMENT No. IV

Copy  of letter No. 41-1/77-MG, dated 10th September,  1958,  New

Delhi, Director-General of Health Services, addressed to (1)  all

State  A.M.Os.,  (2) All Ministries of the Government  of  India,

etc., (3) All Administrative Sections.

Delete   the  following  medicines  from  the  latest   list   of

Inadmissible  Medicines  revised  upto  1st  January,  1967  (and

subsequent  three amendments) which supersedes the previous  list

issued in 1958 and its subsequent Amendments I-X.

-----------------------------------------------------------------

Sl.No.   Name of the Medicine          Page No.     Column No.

-----------------------------------------------------------------

1.       Alvite Capsules               ...1           2

2.       Alvite Drops                  ...1           2

3.       Ancoloxin Tablets             ...2           1

4.       Corex                         ...12          1

5.       Digene                        ...12          1

6.       Erythron Forte-12             ...13          2

7.       Hepatoglobin                  ...10          1

8.       Pre Natal Capsules            ...32          2

9.       Quamaresh                     ...35          2

10.      Sorrison Collyrium            ...30          2

11.      Neogadine Sulphogulacoted     ...41          1

-----------------------------------------------------------------

The  undermentioned  items  may  be  inserted  in  the  list   of

Inadmissible Medicines referred to above :

1.  Perilexmalt

2.  Phosformin

                         AMENDMENT No. V

Copy of letter No. 41-6/69-MG, dated the 12th August, 1969,  from

the  Director General of Health Services, addressed to all  State

A.M.F.Os., all Ministries of Government of India.

Deleted   the  following  medicines  for  the  latest   list   of

Inadmissible  Medicines  revised  upto  1st  January,  1967  (and

subsequent amendments) which supersedes the previous lists issued

in 1958 and its subsequent Amendment I-X.

-----------------------------------------------------------------

Sl.No.      Name of the Medicine     Page No.       Column No.

-----------------------------------------------------------------

1.        Phosformin(Ammendment

          No.4,Dt.9-9-1986)

2.        Hemopatol                   ...19           1

3.        Sorbiline                   ...39           2

4.        Metatone                    ...28           1

5.        Orheptal                    ...32           --

6.        Sedocorodil                 ...32           9

7.        Radio-Stolem                ...37           1

8.        Multivitaplox Elixir        ...26           2

9.        Cough Syrup                 ...7            2

10.       Livules 52(Ammendment

          III,Dt.April,1968)          ...             ..

---------------------------------------------------------------

Regarding  item  'Powders' on Page 33, Column (2)  of  the  above

mentioned  list  of  Inadmissible  Medicines  is  clarified  that

'Powders' prepared from Inadmissible Medicines or talcum  powders

will be inadmissible.

Insert  the  following  medicine  in  the  list  of  Inadmissible

Medicines  referred to above :

1.  Liv. 52                    ...  25                2

                        AMENDMENT No. VI

Copy  of  letter No. 41-1/67 MG, dated  9-1-1970,  from  Director

General  of  Health Services, New Delhi, Addressed to  all  State

A.M.Os.,  all  Ministeries  of Government of  India,  all  Admn.,

Sections and the Comptroller and Auditor General, New Delhi.

Deleted   the  following  medicines  from  the  latest  list   of

Inadmissible Medicines revised upto 1-1-1967 (and subsequent four

amendments)  which supersedes the previous list in 1958  and  its

subsequent Amendments I-X.

----------------------------------------------------------------

Name of the Medicine              Page No.       Column No.

----------------------------------------------------------------

Elixir Aminoxyl                   ...13               2

Calcinol Syrup                   Ammendment III

                                 Vide letter No.

                                 41-1/67-MG,Dt.

                                 April,1968.

----------------------------------------------------------------

                        AMENDMENT No. VII

[No.41-6/69-MO,  Director General of Health Services, New  Delhi,

Dt.  4-5-1970)Delete  the following medicines from  the  list  of

Inadmissible  Medicines  revised  upto  1-1-1967  and  subsequent

amendments.

-----------------------------------------------------------------

Sl.No.   Name of the Medicine          Page No.       Column No.

-----------------------------------------------------------------

1.       Cremaffin                     ...7            1

2.       Betonin                       ...4            2

3.       Liv.52(Tablets &Drops).

         Ammendment No.V               ...3

-----------------------------------------------------------------

                       AMENDMENT No. VIII

Copy  of  Letter  No.  41-6-69-MG,  New  Delhi,  21-1-1971,  from

Director  General  of Health Services,  Medical  General  Section

addressed  to all State A.M.Os., all Ministries of Government  of

India and Administrative Sections.

Delete   the  following  medicines  from  the  latest   list   of

Inadmissible  Medicines (revised upto 1st January, 1967) and  its

subsequent amendments.

-----------------------------------------------------------------

Sl.No.   Name of the Medicine          Page No.       Column No.

-----------------------------------------------------------------

1.       Deschien's Syrup of

         Heamoglobin C.Vit.B-12        ...11           1

2.       Ostomalt                      ...52           1

-----------------------------------------------------------------

List of Inadmissible Medicines in the Indian system of treatment

1.  Iftari

2.  Imlas-e-Kimiyaai

3.  Al-Ahnar

4.  Arastu-Hair Oil

5.  Akseer-e-Azam

6.  Akseer-e-beh

7.  Akseer-e-mardan

8.  Akseer-e-Nayab

9.  Aala (2) mukammal

10.  Almas

11.  Baluti

12.  Be-nazeer Hair Oil

13.  Bahare-e-Jawani

14.  Pur-Zar

15.   Pur-Kai

16.  Tadheen

17.  Jentol

18.  Jenoid

19.  Jernol

20.  Jameelen

21.  Jameelin

22.   Habbe Mobahhi Khas

23.   Habbe Mulazziz

24.  Habbe Mumsik-e-khas

25.  Habbe Mumsik-e- Mushki

26.   Habbe Nishat

27.  Habbe Ahmar Muqwwi-e-bbh

28.  Habbe Kibr-e-tilai

29.  Habbe Mumsik Tilai

30.  Habbe Uroos

31.   Habbe Mumsikh Surkh

32.   Habbe Mumsikh Ambari

33.   Habbe Kaleed-e-Ishrat

34.  Habbe Wumsikh-e-khas

35.   Habbe Munaish

36.   Habbe Ahmar .

37.   Habbe Seen

38.   Habbe Ombar Moyai

39.   Habbe Kaifnawaz

40.   Habbe Mein-e-Shabab

41.   Habbe Momyai

42.  Habbe Mumsik

43.  Habbe Ambar

44.   Halwa-e-Baiza-e-Murgh

45.  Halwa-e-Gazar Maqz-e-Ser-e-Kanjaksh Wala

46. Halwa-e-Salab

47. Hal wa-Mughz-e-Kanj ash

48. Halwa-e-Maqawwi

49. Hayat Baksh

50. Dawa-e-Tikor

51. Dawa-e-Shafieb-awar

52. Dawat-e-Shabab

53. Roughan-e-Bhang

54. Roughan-e-Beer Bohoti

55. Roughan-e-Jonk

56. Raughan-e-Kharteen

57. Roughan-e-Jalaq

58. Roughan-e-Morcha

59. Roughan-e-Zalu

60. Sufoof-e-Bah

61. Sufoof-e-Beejband

62. Sharbat-e-Nishat-e-afro

63. Zemad-e-Shabad

64. Tila-e-Azam

65. Tila-e-Shabab-Awar

66. Tila-e-Muqawwi-e-khas

67. Tila-e-Uroosak

68. Tila-e-Almas

69. Tila-e-Ajeeb

70. Tila-e-Keemiya Taseer

71. Tila-e-Musakkin

72. Tila-e-Mushk Wala

73. Tila-e-Ejaz

74. Tila-e-Akseer

75. Tila-e-pih-e-shers Wala

76. Tila-e-Surkh

77. Tila-e-Mushakkin

78. Tila-e-No. (1)

79. Tila-e-Agrr Ambari

80. Tila-e-Khas

81. Tila-e-Sabz

82. Tila-e-Aqer Qarha

83. Tila-e-Munaiz

84. Tila-e-Muqawwi

85. Tila-e-Mumsik

86. Tila-e-Hama Sifat

87. Tila-e-Akhzar

88. Tila-e-musakkin

89. Tila-e-murallib

90. Tila-e-majlooq

91.  Tila-e-Siyah

92.  Tila-e-Sufaid

93.  Tila-e-Zard

94.  Tila-e-Darchini mushkwala

95.  Tila-e-mumsik-o-mulazziz

96.  Tila-e-Ishrat

97.  Tila-e-Hire-Wala

98.  Tila-e-Jeded

99.  Tila-e-Jauzbuna

100. Tila-e-Zood-asar

101. Tila-e-Seemab

102. Tila-e-moatter

103. Tila-e-Itr-e-Nagesar

104. Tila-e-mulazziz

105. Asbol

106. Arq-e-Shahzor

107. Ishrati

108. Itr-e-mulazziz

109. Ghazah-e-Husn afza

110. Fauladi

111. Qures-Tila-e-Azam

112. Qurs-e-Ajeeb

113. Qurs mumsik Jadded

114. Qurs-e-Akseer

115. Qurs-e-Tila-e-momyai

116. Qurs-e-Foulad ambari

117. Qurs-e-momayai

118. Qurs-e-Foulad Ambari

119. Qurs-e-Momyai

120. Luboob-ul-Asrar

121. Luboob-e-abresham

122. Luboob-e-Jawahar

123. Lubbob-e-Abresham ambari

124. Majun-e-Jalai

125. Majun-e-Hayat Ambari

126. Majun-e-mubahi Antaki

127. Majoon-e-Muqawwi-e-bah Maseehul-Mulk wala

128. Mahoon-e-Muqawwi-wa-mutnsik

129. Majoon-e-Tiryak-al-Maseehy

130. Najoon-e-Sur-at

131. Majoon-e-Maddatul Hayat

132. Majoon-e-Musallib

133. Majoon-e-Ispand

134. Majoon-e-Afrasiyab

135. Majoon-e-Aurangzaib

136. Majoon-e-Buzu

137. Najoon-e-Jund Bedastar

138. Majoon-e-Bah-Man Amabari

139. Maboon-e-Jadeed Khas

140. Majoon-e-Raiq-Mahi

141. Majoon-e-Raiq-Mahi Ambari

142. Majoon-e-Mubahhi Ajeeb

143. Qurs-e-Afai

144. Qurs-e-maseehi

145. Qurs-e-Mumsik

146. Qurs-e-Shabab-awar

147. Mulazziz-e-Ajeeb

148. Mumsik-e-Benazeer

                          APPENDIX-III

1.    The  claims  of  all  Hon'ble  Minister's,   the   Hon'ble

Speaker,the  hon'ble High Court Judges, and members of All  India

Services,who  are  Governed by the All  India  Services  (Medical

Attendance).Rules,1954  shall  be preferred  to  the  Accountant-

General  Direct  for  the Scrutiny and  payment  of  the  amounts

claimed  with the referrence to these rules, provided the  claims

are covered by the rules.

Note:- Any relaxations in individual cases will be dealt with  by

the Government in the General Administration Department.

2. The reimbursement bills arising-

    (i)  In  the  district will be  Scrutinised  and  passed  for

payment by the concerned District Medical Officers;

    (ii) In the Hyderabad city will be Scrutinised and passed  by

the        superintendents        of        the         concerned

Hospitals.(G.O.Ms.No.2133,Health,Dt.26-7-1963                 and

Govt.Memo.No.4473/kk/63-3,Health,Dt.15-1-1964).

Note:-    All    cases    requiring    special    sanction     or

relaxation,clarification  or interpretation of the State  Medical

Attendacne  Rules  should be referred to the  Government  in  the

Health Department for orders.

                      EXECUTIVE INSTRUCTION

Medical  attendance  - Reimbursement of expenditure  incurred  by

Government  Servants under Integrated Medical  Attendance  Rules,

1972 - Reference to Medical & Health Department - Instructions  -

Issued

(G.O.Ms.No. 3142/K1/85-1, Medical and Health Dept., Dt. 17-4-1986)

Order  :-According  to Rule 5(3)(iii) of the  Integrated  Medical

Attendance  Rules, all claims for refund of expenses incurred  on

account  of  the  purchase of the  special  medicines  should  be

preferred  in the manner indicated in Appendix III. According  to

para 2(ii) of the said Appendix, the reimbursement bills  arising

in the Hyderabad City will be scrutinised and passed for  payment

by  the Superintendents of the concerned Hospitals. According  to

para  4 of the said Appendix claims for reimbursement  should  be

accompanied  by an Essentiality Certificate from  the  Authorised

Medical  Attendant  or from the Medical Officer incharge  of  the

case in the hospital.

2.  With reference to the provisions referred to in para 1  above

employees  of  various departments of  Secretariat  are  claiming

reimbursement  of expenditure incurred by them on  medicines  for

treatment of self and family members on the basis of essentiality

certificate  and  certificate of non-availability  of  the  drugs

given  by  the  Authorised  Medial  Attendant  of  the  concerned

Hospital  and sometimes certificate of non-availability of  these

drugs  in  the  Secretariat dispensary,  issued  by  the  Medical

Officer of Secretariat Dispensary. The Departments of Secretariat

are referring such claims for reimbursement of expenditure to the

Medical and Health Department for concurrence. Reference of  such

cases  to this department has been on the increase  resulting  in

unavoidable work load in this department and delay in reimbursing

the  claims. The Secretariat departments are  therefore  informed

that  the proposals for sanction of reimbursement of  expenditure

for treatment in Government Hospitals within the State which  are

accompanied  by  an essentiality certificate and  certificate  of

non-availability   of  medicines  from  the  Authorised   Medical

Attendant  and  when  they are satisfied that  the  claim  is  in

accordance with the provisions in Appendix III to Andhra  Pradesh

Integrated  Medical Attendance Rules, 1972, need not be  referred

to  Medical  and Health Department for  remarks/acceptance.  This

applies  to  the cases referred by Heads of  Departments  to  the

Administrative Departments of Secretariat also.

3.   However  as  provided in the note under para  2(ii)  of  the

Appendix  III to the Integrated Medical Attendance  Rules,  1972,

all cases requiring special sanction or relaxation; clarification

or interpretation of the State Medical Attendance Rules should be

referred to this department invariably.

(iii)  For  District Medical reimbursement bills,  if  any  doubt

arises   the  medical  reimbursement  bills  other   than   those

pertaining  to the Municipal limits of the District  Headquarters

should  be  referred to the District Medical and  Health  Officer

concerned, and for the bills arising within the Municipal  limits

of  District headquarters to the Superintendent of  the  District

Head quarters Hospital concerned.

(iv)  In twin cities of Hyderabad and Secunderabad, if any  doubt

arises  the  medical  reimbursement bills arising within the

municipal limits of Hyderabad and Secunderabad should be referred

to the Superintendent, Osmania General Hospital  Hyderabad/Gandhi

Hospital, Secunderabad, respectively].

[Added by G.O.Ms.No. 1274, M.&H. (Kl), Dt. 29-12-1978]

3.  Any claim which has been preferred six months after the  last

date of the period of treatment shall ordinarily be rejected.

Note  :-(1) Belated claims of officers governed by the All  India

Services (Medical Attendance) Rules, 1954 and those by the  State

Medical  Attendance Rules shall be referred to Government in  the

General  Administration and Health Departments  respectively  for

special sanction.

(2)  15% cut will be imposed upon the belated claims.

                          [G.O.Ms.No. 2323, Health, Dt. 28-7-1961]

4.  Claim for reimbursement should be preferred in the prescribed

form  and should be accompanied by Essentiality Certificate  from

the  Authorised Medical Attendant or from the Medical Officer  in

charge of the case in hospital.

(The prescribed application form and essentiality certificate are

given below)

Application  for claiming refund of medical expenses incurred  in

connection  with  Medical Attendance and/or treatment  of  Andhra

Pradesh Government servants and their families.

[N.B. :-Separate form should be used for each patient.

       Declaration to be signed by the Government Servant

I hereby declare that the statements in this application are true

to  the best of my knowledge and belief and that the  person  for

whom  medical expenses were incurred is a member of my family  as

defined  under  the Andhra Pradesh  Government  Servants  Medical

Attendance Rules, 1972, and wholly dependent upon me.

                             Signature of the Government Servant

                                  and officer to which attached.

                    Essentiality Certificate

I  certify that  Mrs./Mr./Miss..............wife/son/daughter  of

Mr......................employed   in  the............has    been

under     my     treatment     for.............diseases      from

to......................at................Hospital and  that  the

under...................(my                            consulting

room)....................mentioned medicines prescribed by me  in

this       connection      were      essential      for       the

recovery............(prevention  of serious deterioration in  the

condition)  of  the patient.  The medicines are  not  stocked  in

the..............(hospital  for supply to patients) hospital  and

do  not  include  proprietary  preparations  for  which   cheaper

substances   of  equal  therapeutic  value  are   available,   or

preparations which are primarily foods, toilets or disinfectants.

Names of medicines :                   Price :

                                  Signature and Designation of

                                  Authorised Medical Attendant.

                             Signature of the Medical Officer-

                             in-charge in the case of the Hospital.

                          INSTRUCTIONS

A.   Essentiality Certificate :

1.   The  essentiality  certificate should be filled  in  by  the

Authorised  Medical Attendant himself in the prescribed  form  as

shown on reverse.

2.   Separate  Certificate should be produced in respect  of  the

treatment given to each member of the family by the claimant.

3.   The  essentiality certificate should be signed only  be  the

Authorised Medical Attendant who actually give the treatment.

4.   Any Certificate countersigned by A.M.O., who is not  A.M.A.,

shall be rejected.

5.   It  shall  be the responsibility of the  A.M.A.  to  exclude

preparations which are primarily in the nature of foods, toilets,

or disinfectants. He should indicate in his certificate which  of

the items included in the vouchers come under these categories.

6.  Name of the patient, relationship with the Government servant

in  case of the family member, disease, period of  treatment  and

place  of treatment should carefully and clearly written  by  the

A.M.A. himself in the essentiality certificate.

7.   The  names of medicines with their cost  should  clearly  be

shown in the essentiality certificate by the A.M.A. the names  of

medicines which are not eligible shall be disallowed.

B.   Bills in Original given to the Claimant by the Druggists and

Dispensing Chemists.

(i)    bills  produced  on white papers whether  it  is  with  or

without seal of the Druggists shall be rejected ;

(ii)  the bill should be a cash voucher only ;

(iii) each original bill should contain the name of the  claimant

or patient and the date of issue.

(iv) the name of the drug and its cost should be legibly written.

2.The claimant should prepare a typed duplicate copy of each bill

and  send  it along with his application. The duplicate  copy  or

copies  of  the  bill will be retained in  his  office  with  the

connected file.

3.  The Authorised Medical Attendant should countersign both  the

original  and true copies of the bills. He should affix his  seal

not   only   to  these  bills  but  also  to   the   essentiality

certificates.

4.  The sanctioning authority should personally satisfy himself-

(a)    that the essentiality certificates and the bills  produced

by the claimant are genuine ;

(b)   that  the dates of the bills and the  vouchers  are  within

treatment periods mentioned in the essentially certificates ;

(c)    that  preparations which are in the  nature  of  primarily

foods, toilets and disinfectants are excluded, and

 (d)   that  the claim is in accordance with the rules  in  force

during the period of treatment.

5.  Original bills produced by the claimant should be  initialled

by the sanctioning authority or by any gazetted officer under him

who deals with the application and then returned to the claimant.

6.   The  claimant should surrender the original  bills  and  the

essentiality certificate to the Treasury who disburses the  bills

amount.

                           APPENDIX IV

                     [Vide Rule 7(4)(v)(b)]

List of Medicines recommended for use by Local Registered Medical

Practitioners

                             LIST I

1.  Nupercaine

2.  Anethaine

3.  Pantocaine

4.  Golfoam

5.  Penicillin powder with Sulphamazathine Sodium

6.  Tubarine

7.  Tubocutrarine

8.  Picrotoxin

9.  Lobeline

10.   Pentobaribita

11.   Methedrine

12.   Intravel Sodium

13.   Tincture Morthiolate

14.   Heogynergin

15.   Quinine Urethane

16.   Forsolate

17.   B.A.L.

18.  Percorten

19.   Encortone

20.   Trasentin

21.   Newo-Trasentin

22.  Spongostan

23.  Acid Gallic

24.  Acid Picric

25.  Ammonium Bemozate

26.   Ammonium Oxalate

27.   Ammonium Bromide

28.   Benzoline

29.   Bezamine Hydrochloride

30.   Beta Nauthol

31.   Bismuth Carbonate

32.   Bismuth Salicylate

33.   Buchu Folia

34.   Donfectio Piporia

35.   Ext. Gentianae

36.   Ext. Cascanso Sagrade Siccum

37.   Ext. Hamamohdis Liquidum

38.   Ext. Jabroandi Liquidum

39.   Ext. Hucis Vommicae Liquidum

40.   Ext. Viburmi Liquidum

41.   Forriet Quinaecitras

42.   Karo Tonic

43.   Linimontum Belladonnae

44.   Liq. Arsoniet Aydrargyri Loddi

45.   Liq. Bismuthiet Ammonji Citratis

46.   Liq. Epispesticus

47.   Liq. Pot Hydrox

48.   Mag. Carb Lev

49.   Mag. Oxid Lev

50.   Oleum Amygdala (Almond Oil)

51.   Oleum Gaultheriae

52.   Oleum Cinnamomi

53.   Oleum Junipori

54.   Oleum menthae piporitae

55.   Oleum Olive

56.   Paraffmum Durum

57.  Pepsinum

58.  Pil Hydrurg

59.  Pil Acot

60.  Pot. Bicarb

61.  Pot. Brom

62.  Pot. Citras

63.  Pot. Citras

64.  Potassi Tartaras Acids

65.  Pulvis Cretae Armoticus-cum-opio

66.  Potassa sulphurata

67.  Pulvaeico

68.  Salol

69.  Sodium thiosulphate

70.  Sylphanal

71.  Syrupus Aurantil

72.  Syrupus Coloii Hypophospitis

73.  Syrupus Ferri Jo didi

74.  Syrupus Ferri phosphitis compositus

75.  Syrupus Scillae

76.  Tincture Acenitii

77.  Tincture Aloes

78.  Tincture Asofoetidad

79.  Tincture Calumbae

80.  Tincture Cannabis Indicae

81.  Tincture Capsici

82.  Tincture Catoclum

83.  Tincture Digitalis

84.  Tincture Jabornadi

85.  Tincture Myrrhao

86.  Tincuture Lobeliao Aethereo

87.  Tincture Quassiao

88.  Tincture Quinnine Ammoniata

89.  Unguentum Hydrargyri

90.  Unguentum Hydrargyri Miltratis

91.  Unguentum Rosinao

92.  Urethano

93.  All Vitamin Preparations

94.  Tinct Valeria Ammon

95.  Tinct. Sinaace

96.  All Histarmine preparations

97.  Acetylarsan

98.  Uroa Stibamine

99.  Stibatin amp

100. Gluco Solution

101. Insulin P.Z.

102. Emetine Hydrochloride

103. AminophyHa

104. Acidum phosphoricum Dilutum

105. Acidum Tactieum

106. Acidum Lrichloraceticum

107. Apomorphine Hydrochloride

108. Bleaching Powder

109. Bismuth Subnitras

110. Bension

111. Balsamm of Tolu

112. Bonzaldohyde

113. Brillian Green

114. Crushed Linseed

115. Chalk

116. Copsicum Powder

117. Crude Coal Tar

118. Dextrose

119. Hyecine Hydrobromide

120. Hard Paraffin

121. Preparations of Senna Kramoria cloves & contain co

122. Liq. Ammonil citratis

123. Lead Plaster

124. Morphinae Tartras

125. Liquid lodi Portis

126. Oleum pini Sylvestris

127. Liquid Carbonics Detergents

128. Pulvia Seillae

129. Magnesium phosphate

130. Prepared Coal tar

131. Oleum Gajuputi

132. Syrup of Wild Cherry

133. Pulvis Hyeseyami

134. Syrupus Zingiberis

135. Potassium Hydroxide

136. Sodium Lactate

137. Syrupus Codeinae Phosphates

138. Strychnine Hydrochloride

139. Syrupus Simplex

140. Scarlet Red

141. Sodii Hydroxidum

142. Tr. Lavandulae co

143. Storax

144. White Bees Wax

145. Tr. Arnicae Floris

146. Golatin

147. Ung. Hydrarg Co.,

148. Linimentum Aconiti

149. Sulpha drugs

150. All sera Vaccines

151. Homotrophine Hydrobromide

152. Anti Histamine drug.

                             LIST II

Insulin All varieties

Coagnlo (ciba) Amps

Adrenal Cortex Hormones

Gold Preparations

Penicillin

Mapharside

Riboflavine Amps and tablets

Liver extract

Diodequin

Adexolin

Propyl hiouracil (to be included in the place of Muthyltheuracil)

Sodium pentese nucleotide

Prostingmin tablets

Carbursone tablets

Taka Diastase

All drugs used for investigation in the X-ray Department

Acid ascorbic ampoules and tubes

Prestigmin ampoules

Pethidone ampoules

Discoumaral

Priscol

Hitrogan Mustard

Hetrazan

Eethienine

Plasmosan

Panparinit

P.A.S.

Protein Hydrolysate

Aylase ampoules

Paraldehyde

Panaldrine

                           APPENDIX V

                   [Vide Rule 19(1) in Part I]

Rules Regulating Admission of Tuberculosis Patients in Government

Tuberculosis   Institutions   and   other   Government    Medical

Institutions where there are Tuberculosis Wards

1.  General  :-(1)  No patient should come  for  admission  to  a

hospital   or   sanatorium  unless   intimation   regarding   the

availability of a bed is received by him from the authorities  of

the hospital or sanatorium.

 (2)   Those  who come without notice are liable  to  be  refused

admission either for want of beds or if the cases are  considered

unsuitable for admission.

(3)   No  case  from  other  hospitals  should  be  sent  to  the

tuberculosis  hospital or sanatorium direct, but should be  asked

to  attend the nearest tuberculosis clinic, if such a  clinic  is

functioning within a reasonable distance.

(4)    The   opinion  of  the  T.B.  Control   Officer   or   the

Superintendent   of  Government  T.B.  Sanatorium   or   Hospital

concerned shall be final with regard to the suitability of a case

for admission.

(5)  Each patient, whether he seeks admission in the special ward

or  general  ward  should  be required to  pay  at  the  time  of

registration  the  cost of telegram that should be  sent  to  him

intimating vacancy of bed.

2. Rules for admission to General Wards :-(1) A separate  waiting

list  of  all  suitable  cases  should  be  maintained  by   each

tuberculosis institution.

(2)  Patients seeking admission in the general wards of the  T.B.

sanatorium  will be examined by the concerned  Superintendent  of

T.B. Sanatorium who will prepare a waiting list of such  patients

who  require sanatorium treatment and assign a serial number  for

each  patient and communicate the list to the State T.B.  Control

Officer,  Hyderabad. Intimation regarding vacancies will be  sent

to  the patients direct by the Superintendent of the  Sanatorium.

Each patient will be given a time limit of five days for joining.

If no reply is received within five days requesting extension  of

the  time limit for joining the patient will be struck  off  from

the waiting list. On such applications from the patients the time

limit may be extended to a maximum of three weeks for admission.

The  Superintendent  of the Sanatorium should send to  the  State

Tuberculosis  Control  Officer,  Hyderabad at the  end  of  every

month, the serial number of the .patients who have been  admitted

and  the  serial  number of the patients whose  names  have  been

struck off from the waiting list for non-receipt of reply.

(3)   Admission should be made strictly in the order of  priority

of entry in waiting list unless some emergency has occured  which

requires immediate attention.

(4)  Advance cases which have no chance of recovery should not be

put on the waiting list.

(5)     Letters  of  recommendations  received  with  regard   to

admission of patients direct to hospital or Sanatorium should not

be  taken into consideration, but if on an examination the  cases

are found to be suitable, they should be included in the  waiting

list and should take turn along with other cases.

(6)   All Government Servants including members of the  families,

if  found  suitable for admission will be  admitted  immediately.

Police  Constables  will  be given special  priority  over  other

Government  Servants. Ex-Servicemen, Suffering with T.B. will  be

given preference in admission after State Government Servants.

Note  :-Central Government Servants and Railway  Servants  should

not be treated as Government Servants for purposes of this rule.

(7)   Advanced  cases  among Government Servants  should  not  be

admitted   unless  it  be  for  purposes  of  issue  of   medical

certificates, invalidation certificates, etc.

 (8)   Emergencies  which  require immediate  attention  such  as

Homoeopthysis, Spontaneous, Pneomothorax, etc., whether they  are

on  the  waiting  list, or not, and whether  they  are  early  or

advanced  cases  should be admitted immediately and kept  in  the

hospital or sanatorium till the emergency disappears. After that,

if  they  are found suitable for treatment their  names  will  be

included  in the waiting list on discharge from the  hospital  or

sanatorium and admitted when their turn comes.

(9)   Patients sent by Tuberculosis Clinics and hospitals in  the

mufassal   for   operative  procedure   such   as   Thoracoscopy,

Thoracoplasty, etc., should be taken in directly and sent back to

the respective places after operation.

(10) Patients sent from other hospitals for admission should also

be put on the waiting list and admitted according to seniority in

the waiting list.

(11)  Only early cases of tuberculosis amongst convicts should be

admitted in the Government Tuberculosis Sanatoria.

3. Rules for Admission to Special Wards :-(1) Heads of Government

Tuberculosis  Institutions will maintain a separate waiting  list

for admission in the special wards, send necessary intimation  to

the patients and control their admission.

(2)  A  registration  fee  of Rs.  257-  should  be  charged  for

including the same in the waiting list for special wards and this

amount  should be remitted along with application for  admission.

This  amount will be adjusted towards hospital stoppages  payable

by patients when admitted. If the patient does not turn up within

seven days from the date of receipt of intimation of the  vacancy

of  a  bed,  and if no extension of time  is  obtained  from  the

Superintendent of Sanatorium, the registration fee collected will

be  forfeited  to  Government and the bed will be  given  to  the

patient next in the waiting list.

The  registration  fee will be refunded in cases  (a)  where  the

intimation  of a vacancy of bed is sent after three  months  from

the  date of registration and where the individual does not  then

propose  to seek admission, and (b) where patients expire  before

the  receipt of intimation regarding the availability of beds  or

within seven days from the date of receipt of such intimation.

Note :-1. State Government Servants and members of their families

shall  be  exempted from payment of the registration fee  of  Rs.

251- provided they are entitled to free accommodation in  special

wards.

2.  Patients seeking admissions in the special wards, who fail or

find  it difficult to obtain and produce the  income  certificate

from  the  Revenue Authorities, may be admitted  in  the  special

wards,  provided they give an undertaking to pay  the  Sanatorium

charges  and  provided they pay the month's advance  of  hospital

stoppages and regular and prompt in the payment of the dues every

month.

3.   Patients  from  other States will be admitted  only  in  the

special wards.

4.  When special wards are not available, a cottage can be  built

by  the  Sanatroium  authorities provided  that  the  patient  is

prepared to pay the cost of construction of the cottage.

5.  The following procedure shall be adopted for the construction

of  cottages  in  the compound  of  the  Government  Tuberculosis

Sanatoria in the State :

 (a)   The cottages which have been put up in the compound of the

Sanatorium  and  which  are made of brick with  mud  plaster  and

thatched  roofing  should be left as they are. New  occupants  of

these  cottages should be asked to effect repairs at  their  cost

when  necessary  before occupation. They shall be  scrapped  when

they become completely irreparable and no new thatched shed shall

be allowed to be put up.

(b)   New  cottage  should  be  constructed  only  with   durable

material.

Each cottage will consist of a twin ward. For the construction of

each  cottage consisting of a twin ward the approximate  cost  is

Rs. 2,500/- for the construction of a similar ward. When two such

offers  are  received  i.e., when the first twin  ward  has  been

occupied  completely, a second twin ward should be built  on  the

same  model and patients who pay Rs. 2,5007- should  be  admitted

into  these  wards. When no person is coming forward to  pay  the

contribution of Rs. 2,500/- the twin ward will be kept vacant.

4.   Admission  of Patients, fit for Surgical  Treatment  :-Cases

provisionally  suitable  for surgical treatment  should  also  be

placed  on the common waiting list by the Superintendents of  the

concerned  Tuberculosis Sanatoria, marked the letter "S"  in  red

ink, or in some other coloured ink. Such patients should be  told

that  they  are  being admitted into the  Sanatorium  only  on  a

provisional  basis  that  if, after observation  they  are  found

suitable, they will be given the necessary surgical treatment and

that  otherwise they will be discharged from the  Sanatorium  and

put  in  the  waiting list again at  the  appropriate  place.  An

undertaking in the following form should be obtained form each of

such patient.

                              FORM

"I  understand  that I am being admitted  into  the  Tuberculosis

Sanatorium  on  a provisional basis for observation  whether  any

case  is suitable for a surgical procedure. I agree that, if  the

case  is  suitable  for  such a procedure,  I  will  undergo  the

necessary   surgical   treatment.  If  it  is  decided   by   the

Superintendent  my case is not suitable for surgical treatment  I

agree  to be discharged from the observation ward and to have  my

name placed in the waiting list at the appropriate place".

The Mass Radiography beds will be used for observation purpose.

Note :-Pregnant women should be given the same priority as in the

case of early surgical cases in regard to their admission in  the

Sanatorium.

5.   Discharge of Chronic Patients :-(1) The  Superintendents  of

the Sanatoria will discharge the patients who become chronic even

though sputum in positive, thus making the vacant beds  available

for  more suitable or early cases. In order to  avoid  complaints

about  the disease of these classes of patients, a committee  may

be  constituted  consisting  of  the  Superintendent,   Assistant

Superintendent,  and the Pathisiologist or the  Resident  Medical

Officer  where there is no post of Pathisiologist, and it  should

meet twice a month to decide on the discharge of such patients .

(2)  These  cases found unsuitable at the time of  admission  for

Sanatorium  type of treatment should be kept on for a  reasonable

period of observation and the medical officer should be empowered

to  discharge them on making certain that such patients  are  not

likely to be benefited by their stay in Sanatorium any further.

6.  Wards for cases detected through Mass Radiography Survey :-In

the  hospital  for tuberculosis diseases, Irrumnuma, ward  of  24

beds  shall  be set apart exclusively for the  accommodation  and

treatment of Tuberculosis cases detected through mass radiography

surveys  and  a  separate waiting list, for  this  ward  will  be

maintained.  The  persons in the separate waiting  list,  if  not

already  admitted into the reserve ward shall be admitted to  the

other wards in this hospital according to their turn in the order

of  priority, their names being entered in the waiting  list  for

the general wards also in their turn of priority for the purpose.

7.  Medical Attendance on the Tuberculosis X-ray and  Radiography

Patients  :-(i) The following are the Scheduled rates for  taking

further  X-ray  picture  of  a person,  who  has  been  initially

subjected  to  mass radiography, if his income is Rs.  1007-  per

mensem and above provided however, that for the first follow  up,

half the fees shall be levied.

(ii)  With  reference to Rule 13(b) hospital  stoppages  will  be

levied in respect of persons who are employees of firms, and  who

after  mass-radiography  are  admitted  as  in-patients  of   the

hospital  for the Tuberculosis Diseases, Irrumnuma even if  their

income  is  below Rs. 1OO/- per mensem and the  charges  will  be

collected  from the employees concerned. These patients  will  be

admitted  only with the consent and permission of the  employees.

The necessity and urgency for the treatment of such cases  should

be explained to the employers concerned.

(iii)  Fees at the following rates will be levied from  employers

for issue of certificates in respect of their employees, who  are

subjected  to  mass-radiographic  examination  or  treatment  for

tuberculosis.

                                                 Rs.

Certificate of Medeical Examination by

Civil Surgeon                                --  16-00

Certificate of Medical Examination by

an Assistant Surgeon                         --   5-00

Admission and discharge certificate from

Tuberculosis Sanatorium                      --   0-13

(iv) Hospital stoppages shall be levied at prescribed rates  from

members  of  the  general  public  who  are  subjected  to  mass-

radiography  and who undergone the treatment in the Hospital  for

Tuberculosis diseases if their income is Rs. 100/- and above  per

mensem.

                           APPENDIX VI

                              PART I

                         [Vide Rule 20]

The  Andhra Pradesh Rules of Advance for Medical  Attendance  and

Treatment

I.  The Advances shall be regulated by the following rules :-

(1)   These  rules shall be called "The Andhra Pradesh  Rules  of

Advances for Medical Attendance and Treatment".

(2)  These rules shall apply to all the Non-Gazetted Employees of

the State.

(3)  The advances may be granted to Non-Gazetted Employees of the

State to meet the expenses of medical attendance and treatment of

himself  or any member of his family which he is entitled  to  be

reimbursed  from  the State funds under  the  Medical  Attendance

Rules.

(4)   The advances shall be treated like advances  of  travelling

allowance  and  pa on transfer and recovery must be  effected  by

adjustment  of  claim  for  reimbursement  c  medical   expenses.

                        (G.O.Ms.No. 1274, M&H, Dt. 29-2-197)

(5)   The Head of the Office competent to draw pay bills  of  his

office,  ma sanction, draw and disburse the advances to  all  the

Non-Gazetted  employees  workin under him; where the Head  of  an

Office drawing pay bills happens to be Non-Gazette Employee,  the

advance  has to be sanctioned to him by the  Officer  immediately

superii to him but he may himself draw the advance.

(6)   The  amount of the advance shall be limited to  the  amount

required to me actual reimbursable medical expenses certified  by

the  Authorised Medical attendant of tl employee or  the  nearest

Civil Assistant Surgeon subject to a maximum of Rs. 50/- at time.

If  the  sanctioning  authority is satisfied  that  the  case  is

emergent, he may sanction an advance upto a maximum limit of  Rs.

507- without insisting upon completion of necessary formalities.

                        (G.O.Ms.No. 317, M&H, Dt. 14-4-197)

(7)  When an advance is sanctioned to a non-permanent  Government

Employee  has to be drawn and disbursed to him only after a  bond

in  Form  II  of the Andhra Prade Financial  Code,  Volume  I  is

executed by him together with the surety of a permane  Government

Servant drawing a pay not less than the borrower.

(8)  (a)  The advance should be adjusted in full within a  period

of  three  mont  from  the  date of  drawal  of  the  advance  by

presenting  the  claim  in the form prescrib  under  the  Medical

Attendance Rules irrespective of the fact that the treatment last

for  me than three months. The claim should be furnished  to  the

Director  of  Medical and Hea Services or  the  Special  Officer,

Indian Medicine, as the case may be, through t Authorised Medical

Attendant and the Medical Officer who gave the treatment. After t

claim  is received back from the Director of Medical  and  Health

Services/Special Offu Indian Medicine, it should be presented  to

the Treasury or the Accountant-General, Andl Pradesh, as the case

may  be  by the Heads of Offices for adjustment  against  advance

draw.

(b) A second advance of this kind should not be granted until the

first  c  has been fully adjusted. The Bill for the  2nd  advance

should  be  accompanied by the certificate from  the  sanctioning

authority that the previous advance has been adjusted full.

If  the  advance is not adjusted or returned within a  period  of

three months it shoi summarily be recovered from his salary.

(9)   When any portion of the claim for reimbursement of  medical

expense is any reason disallowed, such amount should be recovered

from the salary of the individ in four instalments starting  with

the pay drawn immediately after the claim has been disallowed.

(10)  In  every  office the drawal of these  advances  should  be

recovered in register of temporary advances and their recovery by

adjustment   or  refund  should  watched.  When  a  borrower   is

transferred  to a new office the details of the advance  shoi  be

closed.  In  the  new  office  which  the  borrower  joins,   the

particulars  of the advance shoi be entered in the  Register  and

the recovery watched.

(11)  Ordinarily  not more than one advance shall be  granted  in

respect  of the sa illness or injury, but when the amount of  the

first  advance  has already been spent, a second advance  can  be

sanctioned  when the sanctioning authority is satisfied that  the

previous  advance has already been spent and the Medical  Officer

concerned has certified the necessity of further expenditure. The

total amount of both the advances shall not exceed Rs. 30 or four

month's  pay  which ever is less. There is no  objection  to  the

borrower if a claim for the adjustment of the first advance  even

before  the  treatment is over and later on presenting  a  second

claim  regarding the further expenses to be adjusted  the  second

advance.

(12) The term "Pay" for this purpose shall mean the pay  actually

drawn, including personnel pay, as on the date of application but

shall exclude special pay.

II. The advance granted under these rules should be accounted for

under new subhead, "Advance for Medical Attendance and Treatment"

to  be opened under the head "T.III. Deposits Advances  I.  Civil

Advances".

Certificate to be furnished by the Medical Officer under Rule 6

Certified  that Sri/Smt.................. a member of the  family

of Sri/Smt............working as...................in the  office

of..............at............is  suffering  from.............and

that  a  sum of Rs.............(Rupees................)  only  is

necessary as advance to cover the medical expenses  reimbursement

by Government in this case.

Date :                                    Signature :

Station :                                 Designation :

          Certificate by Medical Officer under Rule 11

Certified  that  Sri/Smt.............a member of  the  family  of

Sri/Smt.................working   as.....................in   the

Office of the.................. at...............(Place) is still

suffering  from...........................and that a further  sum

of Rs...........(Rupees.........) only is necessary as advance to

cover the reimbursable medical expenses in this case as from this

date.

Date :                                 Signature :

Station :                              Designation :

Note  :-Strike off the unnecessary portion when  the  certificate

relates to the Government Employee himself.

                             PART II

Rules  relating  to  Medical  Attendance  of  Central  Government

Employees  and their Families, Military Personnel, Merchant  Navy

and Special Police Establishments.

Note :-Not Printed.

                     EXECUTIVE INSTRUCTIONS

Facilities of admission and treatment to pensioners at Government

hospitals Consolidated orders - Modifications

         [G.O.Ms.No. 718, M. & H. (Kl), Dt. 26-11-1981]

Note  :-For  the text of the G.O. see Instruction No. 2  of  next

Chapter.

2.  Medical Advance - Treating like T.A. Advance

[U.O.  Note  No. 5463A/167/A & L/82-1, Fin. &  Pig.  (Fin.  Wing.

Accts. & Loans), Dt. 30-3-1982]

Ref  :_  i.    From  the Acctt.-Genel.,  A.P.,  I,  Hyd.,  Lr.No.

TM/I/II/12-53/76-79/4, Dt. 27-4-1979.

        2.  G.O.Ms.No. 426, M. & H. (KI), Dt. 28-7-1981.

Order  :-In  the reference first cited,  the  Accountant-General,

Andhra  Pradesh,  I  Hyderabad has suggested  amendments  to  the

Andhra Pradesh Integrated Medical Attendance Rules, 1972 and  has

requested  the Government to issue specific instructions  to  all

the drawing and disbursing officers/all the Treasury Officers and

the  Pay  and  Accounts Officers to treat  Medical  Advance  like

advance of T.A. and Pay on transfer.

2.  The  matter  has been considered carefully,  keeping  in  the

changed  conditions the Drawing and Disbursing Officers, and  the

Treasury  Officers and the Pay and Accounts Officers  are  hereby

directed to treat the advance for Medical treatment as an advance

of  T.A. and Pay on transfer and efforts shall be made that  such

an  advance  for Medical treatment is adjusted  within  the  time

stipulated, avoid probable objections at a later date.

3.  Advances for Medical Treatment

[Memo.  No. 39027/724/BG/82, F.& P. (Fin. Wing-B.G.),  Dt.  21-9-

1982]

Ref. :-G.O.Ms.No. 1274, M. & H., Dt, 29-12-1978.

Order  :-Under  the revised accounting classification  which  has

come  into  force with effect from 1-4-1974, the  expenditure  on

Medical  advances  was  being classified  under  "766.  Loans  to

Government  Servants-MH. 25 Other Advances, SH (03) Advances  for

Medical  attendance and treatment. But in consultation  with  the

Accountant-General, Andhra Pradesh, Hyderabad certain  amendments

were  issued  to the A.P. Integrated  Medical  Attendance  Rules,

1972, through the reference cited. Among other things it was also

ordered  therein that the Medical advances shall be treated  like

advances  of  Travelling Allowance and pay on  transfer  and  the

recovery  must  be  affected by adjustment  from  the  claim  for

reimbursement  of medical expenses. Even though orders have  been

issued to the above effect, it has been brought to the notice  of

the  Government  that  the  Medical  advances  are  still   being

accounted for under "Loans and Advances".

2. The Director of Treasuries and Accounts is therefore requested

to issue suitable instructions to all District Treasury  Officers

to  adopt the revised classification debiting the expenditure  on

Medical advances to the Service head of account instead of  Loans

and Advances head of account.

4.  Reimbursement of Medical expenditure - Instructions

       [U.O. Note No. 3142/K1/85-1, M. & H, Dt. 17-4-1986]

Order  :-According  to Rule 5(3) (ii) of the  Integrated  Medical

Attendance  Rules, all claims for refund of expenses incurred  on

account  of  the  purchase of the  special  medicines  should  be

preferred  in the manner indicated in Appendix-Ill. According  to

Para

2  (ii) of the said Appendix, the reimbursement bills arising  in

the Hyderabad City will be scrutinised and passed for payment  by

the Superintendents of the concerned Hospitals. According to Para

4  of  the  said Appendix, claims  for  reimbursement  should  be

accompanied  by an Essentiality Certificate from  the  Authorised

Medical  Attendant or from the Medical Officer in-charge  of  the

case in the hospital.

2.  With reference to the provisions referred to in Para 1 above,

employees,  of  various departments of Secretariat  are  claiming

reimbursement  of expenditure incurred by them on  medicines  for

treatment of self and family members on the basis of essentiality

certificate  and  certificate of non-availability  of  the  drugs

given  by  the  Authorised Medical  Attendant  of  the  concerned

Hospital  and sometimes certificate of non-availability of  these

drugs  in  the  Secretariat dispensary,  issued  by  the  Medical

Officer of Secretariat Dispensary. The Departments of Secretariat

are referring such claims for reimbursement of expenditure to the

Medical and Health Department for concurrence.

Reference  of  such  cases to this department  has  been  on  the

increase resulting in avoidable work load in this department  and

delay in reimbursing the claims. The Secretariat departments  are

therefore   informed   that  the  proposals   for   sanction   of

reimbursement  of  expenditure incurred  by  Government  Servants

which are in accordance with the provisions of rules referred  to

in   Para  1  above,  Viz.,  the  calims  for  reimbursement   of

expenditure  for  treatment in Government  Hospitals  within  the

State  which are accompanied by an Essentiality  Certificate  and

certificate of non-availability of medicines from the  Authorised

Medical  Attendant and when they are satisfied that the claim  is

in  accordance  with  the provisions in  Appendix-III  to  Andhra

Pradesh  Integrated Medical Attendance Rules, 1972, need  not  be

referred to Medical and Health Department for remarks/acceptance.

This applies to the cases referred by Heads of Departments to the

Administrative Departments of Secretariat also.

3.    However  as provided in the note under Para 2 (ii)  of  the

Appendix - III to the Integrated Medical Attendance Rules,  1972,

all   cases   requiring   Special  sanction   or   relaxation   ;

clarification  or interpretation of the State Medical  Attendance

Rules should be referred to this department invariably.

5.    Treatment underwent in the Appollo Hospital, Madras,  etc.,

for by-pass surgery, etc., - Certain instructions issued

   (G.O.Ms.No. 69/K1/89-1,, H.M. & F.W. Dept., Dt. 14-3-1989)

Ref. :- 1.  G.O.Ms.No. 317, M&H (Kl), Dt. 7-5-1986.

2.  G.O.Ms.No. 72, I&CAD (Irrigation Ser. II) Dept., Dt. 4-2-1988.

Order :-Certain instructions were issued in the Government  Order

1st cited in respect of availment of medical treatment for Kidney

transplantation and Coronory Bypass Surgery in private  hospitals

in the State by the Government employees. Government servants and

others entitled for treatment under the Medical Attendance Rules,

1972  were permitted to undergo Kidney transplantation  operation

in the Mahavir Hospital, Hyderabad and Coronory Bypass Surgery in

the  Durga Bai Desmukh Hospital, Andhra Mahila Sabha,  Hyderabad,

on the letter of advice given by the Authorised Medical Attendant

in  the  Osmania General Hospital/Nizams's Institute  of  Medical

Sciences,  Hyderabad respectively where the above operations  are

done. A condition was also stipulated in the G.O. first cited  to

the effect that those who obtain prior permission of the Director

of Medical Education, Kidney Transplantation and Coronory  Bypass

Surgery  will  be eligible for reimbursement  of  all  admissible

expenditure  including charges for accommodation and also for  an

advance  as  per  the estimate given by  the  concerned  hospital

undertaking the operation.

2.   Though the above facilities were extended to the  Government

employees  for  treatment, some of the Heads of  Departments  are

sending proposals to Government recommending for sanction of  the

claims  of  the  Government employees for  reimbursement  of  the

expenditure  incurred  by them for their treatment  for  Coronory

Bypass  Surgery  and  Kidney transplantation,  etc.,  in  private

hospitals, like Appollo, etc., outside the State in deviation  of

the  instructions  issued in the Government Order 1st  cited  and

though relevant instructions were issued from time to time.

3.   The Government after careful consideration have decided  not

to  reimburse the claims of the Government employees who  undergo

treatment  in Appollo Hospital, Madras or any other  institutions

outside  the  State or in Hyderabad hereafter, which are  not  in

accordance  with the instructions issued in the Government  Order

1st  cited unless specific prior permission is obtained from  the

Government.

6.  Medical treatment to Government Employees - Reimbursement  of

Medical expenditure incurred - Fixing the maximum ceiling to *Rs.

40,0007-

         [G.O.Ms.No. 281, H.M. & F.W. (K), Dt. 1-5-1989]

Note :-These orders as amended subsequently are applicable to the

non-teaching  staff  of all Universities in the  State  -Vide  of

G.O.Ms.No. 542, Edn., Dt. 20-11-1998.

Ref. :- \.  G.O.Ms.No. 170, M&H(K1), Dt. 14-3-1985.

Order  :-In the G.O. first read above, orders were issued  fixing

the  maximum  limit of */**Rs. 40,0007- to  Government  Employees

towards  reimbursement  of expenses incurred by them  on  medical

treatment, subject to the condition specified therein.

However,  several  instances  have  come to  the  notice  of  the

Government  to the effect that Government Employees are  claiming

huge  amounts  towards medical treatment beyond  the  permissible

ceiling limit of Rs. 40,0007- fixed by the Government.

Since  the  Government  is providing free  treatment  to  persons

belonging  to Weaker Sections of the society who are  green-card-

holders,  the Government after careful examination  have  decided

and  direct  that the maximum ceiling limit of  */**Rs.  40,0007-

(Rupees  forty thousand only) be fixed for the  State  Goveniment

employees  towards  their  medical  reimbursement,  whether  they

obtain  treatment in the State Government Hospitals, or in  other

States  in  India,  or outside India,  includes  Air  Passage  of

patient  and expenditure incurred towards Personal Attendant.  If

the  treatment  is  required abroad, or outside  the  State,  the

Authorised  Medical Attendant should certify to the  effect  that

there  is need for obtaining the treatment of the patient,  i.e.,

outside  the  State, or outside India and prior approval  of  the

Director  of Medical Education/Government in Health  Medical  and

Family  Welfare Department should also be obtained by the  person

who wants to obtain treatment outside the State, and outside  the

Country.  A certificate from the Director, Medical  Education  is

also  to be obtained by the Department concerned who process  the

claim putforth by the individual for sanction of the  expenditure

by  producing the bills/ vouchers to be reimbursed. These  orders

shall come into force with effect from 1-5-1989.

All  the  Departments  of  Secretariat  and  all  the  Heads   of

Departments  are  informed  that  any  claim  of  the  Government

Employees  for reimbursement of their medical expenditure  beyond

the  maximum limit of *Rs. 40,0007- as specified in Para 3  above

shall  not be entertained and they should issue  instructions  to

all their subordinates to follow these orders strictly.

7.    Medical  Treatment - Cardiac Surgery - Free  of  charge  to

members  of  public belonging to weaker  sections  in  Government

hospitals - Orders - Issued

     (G.O.Ms.No. 580, H.M. & F.W. (SCK) Dept, Dt. 30-9-1989)

Order :-Of late several requests are being made by the members of

public  directly  or though their representatives  for  financial

help  towards  payment of expenses on medical  treatment  and  on

cardiac surgery undertaken by certain hospitals under the control

of  the  Government where such facilities  are  available.  Govt.

depending  on  the eligibility of the person and  need  for  such

medical  treatment have been authorising the concerned  hospitals

for giving free treatment or for free cardiac surgery as the case

may  be  with a request to send necessary bills  to  the  Revenue

Department for effecting payment towards the cost of  consumable,

disposables from out of Chief Ministers Relief Fund.

As  requests for financial aid towards cardiac surgery  are  ever

increasing  and in order to rationalise the entire procedure  the

following guidelines are issued:

1.   All  requests  made by the members of  public  belonging  to

weaker  sections  of  society,  recommended  by  any  Department,

M.L.As., MPs, Ministers, etc., shall be forwarded for examination

by   the  Government  in  Health,  Medical  and  Family   Welfare

Department.   No  representations  made  by  any  individual   or

representatives of the patients shall be received by any hospital

either  for  examination  or for treatment free  of  cost  unless

specific orders are issued by the Government.

2.   The  applicant  requesting  free  medical  treatment/cardiac

surgery shall be a member of weaker sections of society and shall

possess a green ration card.

3.  The bonafides of the applicant requesting free treatment  for

his dependent shall be verified to ascertain that the dependent's

name figures in the green ration card possessed by him and is the

same person for whom medical treatment is sought.

4.  The beneficiary shall execute a bond on a five rupee  stamped

paper  (non-Judicial) to the effect that he/she is member of  the

family of the green ration card holder.

5.   The  applicant  shall  affix  a  passport  size  of   latest

photograph  of  the beneficiary/ dependent on the  righthand  top

corner of the applicant for and also enclose a xerox copy of  the

green ration card before sending to the Government.

6.   Government in Health, Medical and Family Welfare  Department

after  verifying  the application form and if it found  that  the

applicant  or  his  dependent fulfills all  conditions  for  free

medical  treatment/free Cardiac Surgery necessary orders will  be

issued  to  the hospitals under the control of  Government  where

such  facilities  are available for free  medical  treatment/free

cardiac  surgery  and only after issue of such orders  the  cases

shall  be admitted and given free treatment/surgery.  Expenditure

on  consumables/disposables,  if any shall be met  by  Government

from out of Chief Minister's Relief Fund.

7. The concerned hospitals where cardiac surgery is done free  of

Cost to any person on the orders of Government in Health, Medical

& Family Welfare Department, shall at the end of every month send

a  statement, quoting relevant references from the Government  in

Health,  Medical  and  Family Welfare  Department  of  Health  of

patients,  treatment  given,  surgery  conducted  and  the  costs

involved with regard to consumables or disposables to the Revenue

Department  for purposes of effecting necessary payment from  out

of  Chief  Minister's  Relief Fund under  intimation  to  Health,

Medical & Family Welfare Department.

8.   Medical Attendance - Issuing of letter of advice to  undergo

treatment  /  Open  Heart Surgery outside  the  State  -  Certain

Instructions Issued

    (Memo.No. 2113/K1/89-1, H.M. & F.W. Dept., Dt. 4-10-1989)

Order  :-It is observed that despite the instructions  issued  by

Govt. in Memo. No. 69/K1/89-1, HM&FW, dt. 14-3-89, the authorised

Medical  Attendant to hospitals on outside Govt.  Hospitals  have

indiscriminately  referred cases to hospitals outside  the  State

for  treatment/Surgery without referring such case in  the  first

instance   to  the  Govt.  Hospitals,  viz.,   Gandhi   Hospital,

Secunderabad,  Osmania  General Hospital,  Hyderabad  where  such

facilities are already available for such treatment or to Nizam's

Institute  of Medical Sciences, Hyderabad which is  a  "REFERRAL"

Hospital.  On account of this the department concerned have  been

placed  in embrassing situation, which lead to  with  unnecessary

correspondence with Government.

2.  Government have examined the matter carefully and direct that

all the authorised Medical Attendants should refer the cases that

come  to them for treatment/ surgery to Osmania  Genl.  Hospital,

Hyderabad, Gandhi Hospital, Secunderabad or Nizam's Institute  of

Medical  Sciences, Hyderabad, of serious nature in any case  they

should not refer such cases to hospitals outside when  facilities

are  available  for such treatment/surgery  in  these  government

Hospitals  of  this State while issuing the letter of  advice  to

Nizam's  Institute  of Medical Sciences, Hyderabad,  they  should

certify  that  necessary facilities are not  available  in  their

Institutions.  They  should refer a  case  for  Treatment/surgery

outside the State only in consultation with Nizam's Institute  of

Medical Sciences, Hyderabad, and on obtaining a certificate  that

there are no facilities available in Nizam's Institute of Medical

Sciences.

3.   All the Medical Officers of the Hospitals, and  Dispensaries

in the State should adhere to the above orders scrupulously,  any

deviation of these instructions will be viewed seriously.

9.  Facilities of admission and treatment to the  pensioners  and

their   family   members  in  Super  Specialities   Hospitals   -

Reimbursement of medical expenditure incurred thereon

          [G.O.Ms.No. 401, HM & FW (Kl), Dt. 25-6-1991]

Ref. :- 1.   G.O.Ms.No. 35, M&H, Dt. 26-1-1981.

        2.  G.O.Ms.No. 718, M&H, Dt. 26-11-1981.

3.   From the Secretary, The Hyderabad  Pensioner's  Association,

Hyderabad, Ref. No. 28/B/89/HPA, Dt. 28-8-1989.

4.      From     the    Director    of     Medical     Education,

Lr.Rc.No.l6793/MA.C/89, Dt. 4-12-1989.

Order :- In the G.Os. first and second read above, it was ordered

among other that the retired Government Employees are entitled to

free  medical  treatment in all the Government Hospitals  in  the

State  and that they are not eligible to claim  reimbursement  of

medical expenses and for medicines purchased in the open  market,

if any, on the prescription of the Government Medical Officers.

2.   In the reference third read above, Secretary, the  Hyderabad

Pensioners Association, Hyderabad has represented that pensioners

are  likely  to  fall sick frequently due to their  old  age  and

require  medical  attention and that due to meagre  pension  they

cannot afford to spend huge amounts towards medical treatment. He

has  therefore  requested that free medical aid, in  all  General

Hospitals under the control of Government and Super  Specialities

Hospitals  including  Nizam's  Institute  of  Medical   Sciences,

Hyderabad, may be provided and necessary orders will be issued in

this regard.

3.   After  careful examination, the Government have  decided  to

provide medical treatment to all retired Government Employees and

their  dependents  on par with serving Government  Employees.  In

partial modification of the orders issued in the G.Os. first  and

second   read  above,  Government  hereby  direct  that   medical

treatment  provided  at Nizam's Institute  of  Medical  Sciences,

Hyderabad   to  the  retired  Government  Employees   and   their

dependents  on par with serving Government Employees  who  suffer

with  serious ailments of the Heart, Kidney, Brain Cancer or  any

other  disease or Surgery for which facilities are not  available

in   any  of  the  teaching  hospitals  in  the  State  and   for

reimbursement  of the cost of the treatment including  consumable

and  disposable  and  medicines direct to  Nizam's  Institute  of

Medical Sciences, Hyderabad subject however to a maximum limit of

Rs.  40,0007-  (Rupees  Forty  thousand  only)  or  as  fixed  by

Government from time to time as in the case of serving Government

Employees.  The  reimbursement shall not however, be  allowed  if

they have obtained treatment in any other private hospitals.  The

Nizam's  Institute of Medical Sciences, Hyderabad shall  take  up

cases  only on authorisation by Authorised Medical  Attendant  of

any teaching hospitals as in the case of serving Govt. Employees.

The  Nizam's Institute of Medical Sciences, Hyderabad shall  take

up  treatment  direct to the pensioners upto the limit  fixed  by

Government  subject  to  scrutiny of the  bills  by  Director  of

Medical Education and claim reimbursement from Government.

4.   The  expenditure  on  this account shall  be  met  from  the

concerned Office/ Department from where the Pensioner worked last

and  retired on attaining the age of superannuation and shall  be

debited  to the "Salaries Head" as in the case of  regular  Govt.

Employees.

5.  These orders shall come into force with effect from the  date

of issue of orders.

10. Nizam's Institute of Medical Sciences - Medical treatment  of

Govt.   Employees  and  their  dependents  -   Reimbursement   of

expenditure - Simplification of procedure - Orders - Issued

           [G.O.Ms.No. 445, HM&FW(E2), Dt. 19-7-1991]

Ref. :-G.O.Ms.No. 609, HM&FW, Dt. 21-11-1988.

Order  :-1. The Government have, for sometime,  been  considering

simplification  of  the  procedure for  treatment  of  Government

Servants at the Nizam's Institute of Medical Sciences.

The procedure has been outlined in the G.O. cited. Presently  the

Ni/am's  Institute  of Medical Sciences is regarded  as  referral

hospital subject to the following conditions :-

(a)    The  Nizam's  Institute  of Medical  Sciences  will  be  a

referral hospital other than for emergencies.

(b)   Referral  of  patients  to  Nizam's  Institute  of  Medical

Sciences  should be from the teaching hospital with the  approval

of the Head of the Departments/Speciality concerned.

(c)    The  referring  hospital  should  ensure  that  facilities

available  in  that  hospital are fully  utilised  in  the  first

instance ; and

(d)   The  referring hospitals should refer the  cases  with  all

details including a referral summary.

2.   Under the present procedure, the teaching hospitals  in  the

State  are  referring  cases  of  Government  Servants  requiring

specialised  treatment  to  the  Nizam's  Institute  of   Medical

Sciences  whenever  facilities are not available  with  them  for

treatment  of various ailments. The sanction of  expenditure  for

treatment  incurred at Nizam's Institute of Medical  Sciences  is

being regulated in terms of the provisions of the Andhra  Pradesh

Integrated  Medical Attendance Rules, 1972. These  rules  require

that the bills of Nizam's Institute of Medical Sciences should be

scrutinised by the Director of Medical Education before  sanction

is accorded for payment by the concerned Heads of Departments.

3.  The above procedure has been found to be cumbersome and there

are  some cases of delay in the referral of even emergency  cases

to  Nizam's  Institute  of  Medical  Sciences  by  the   teaching

hospitals. The procedure of pre-scrutiny of bills by the Director

of Medical Education is also causing delays.

4.  After due consideration, it has been decided that  Government

Employees  or  their dependants can obtain treatment  at  Nizam's

Institute of Medical Sciences directly for the following ailments

("earmarked categories"). In respect of these cases, referral  by

a teaching hospital will not be required.

(a)  Acute Mycardial Infraction (Cardiology Department)

(b)  Acute renal failure (Nephrology Department)

(c)    Severe  cases  of head and  spinal  injury  (Neuro-Surgery

Department)

(d)  Cases of Coma (Neurology Department)

5.  With regard to the above earmarked categories, the  following

procedure shall be followed :-

(a)    The Nizam's Institute of Medical Sciences need not  insist

on  advance payment by the Government Servants and  may  commence

treatment immediately taking into account the seriousness of  the

case.

(b)   The Nizam's Institute of Medical Sciences should prepare an

estimate  of  the approximate expenditure for the  treatment  and

hand  it over to the concerned Government Employee who,  in  turn

may  apply for advance to the concerned Head of  Department.  The

estimate of expenditure shall be calculated only with respect  to

items  reimbursable under the Andhra Pradesh  Integrated  Medical

Attendance Rules. This has to be ensured by Nizam's Institute  of

Medical  Sciences. After the advance is sanctioned the amount  of

advance shall be made over by the Head of Department directly  to

Nizam's  Institute  of Medical Sciences. Normally,  the  Head  of

Department  should ensure that the amount sanctioned  as  advance

reaches Nizam's Institute of Medical Sciences within a period  of

15  days.  The  amount of advances drawn  shall  be  adjusted  by

preferring   claims  by  the  respective  departments  with   the

necessary certificates and vouchers.

(c)    Orders  delegating  powers to  Heads  of  Departments  for

drawing of advances are being issued separately.

(d)   It will no longer be necessary to get the bills  scrutinsed

by  the Director of Medical Education. The Nizam's  Institute  of

Medical  Sciences  shall take necessary steps to  scrutinise  the

bills  in accordance with the Andhra Pradesh  Integrated  Medical

Attendance Rules and forward them for payment to the Head of  the

Department concerned. The bills so sent must relate only to items

of  expenditure  admissible under the Andhra  Pradesh  Integrated

Medical Attendance Rules.

(e)   The Nizam's Institute of Medical Sciences must make its own

arrangements  with the Government Employee concerned for  payment

with  regard  to  items  of expenditure in  the  bill  which  are

inadmissible   under  the  Andhra  Pradesh   Integrated   Medical

Attendance  Rules.  Likewise, the Nizam's  Institute  of  Medical

Sciences  must  make  its own arrangements  with  the  Government

Employee concerned for payment of bills in excess of Rs. 40,000/-

which is the limit for reimbursement of medical expenses  incured

by a Government Servant.

6.  With regard to any matter not covered by the above procedure,

the  provisions  of the G.O. cited shall continue  to  apply.  In

respect of the other cases, viz., cases not falling under any  of

the above earmarked categories, the existing instructions  issued

in the G.O. cited will continue to be in force.

11.  NIMS  -  Medical  treatment of  Govt.  employees  and  their

dependents  -Reimbursement  of expenditure  -  Simplification  of

procedure - Regarding

     (Letter No. 2706/K1/92-1, HM & FW Dept, Dt. 30-1-1992)

Ref. :- G.O.Ms.No. 445, HM & FW, Dt.  19-7-91.

Order  :-In the G.O. cited, orders have been  issued  identifying

the earmarked ailments one each in the Departments of Cardiology,

Nephrology,  Neuro-surgery and Neurology of Nizam's Institute  of

Medical  Sciences  in which the Government  employees  and  their

dependents have been permitted to approach the Nizam's  Institute

of Medical Sciences directly for the treatment without  reference

from teaching hospitals in the State. It is however noticed  that

the  cases  received  from other Departments  for  various  other

ailments,  the  Government  employees and  their  dependents  are

directly  approaching the Nizam's Institute of  Medical  Sciences

for  treatment  i.e., other than those  identified  as  mentioned

above  and others obtaining the estimates for the  treatment  and

approaching  the  government for sanction of  advance  to  obtain

treatment   or  for  reimbursement  for  the  treatment   already

obtained.  In  the Estimation Certificates/Bills  issued  by  the

Nizam's  Institute of Medical Sciences authorities, there  is  no

indication as to whether or not, the ailments for which treatment

is sought for or obtained are those identified for the  treatment

in Nizam's Institute of Medical Sciences as provided in para 4 of

G.O.Ms.No.  445,  H.M. & F.W., Dt. 19-7-1991. In the  absence  of

such   information,  it  has  become  necessary  to  enter   into

correspondence  with  the Departments and  Nizam's  Institute  of

Medical Sciences tO  Obtain  the exact position  in terms of  the

aforesaid   orders  thereby resulting in delay in  settlement  of

medical  claims  of  the  employees  consequently  a  subject  of

criticism.

2. With a view to avoid correspondence and consequential delay in

settlement    of    medical    claims    of    the     Government

employees/pensioners,  I  am directed to request  you  kindly  to

incorporate  in the estimation certificate to be sent or  on  the

medical  bills  to  be  given by  Nizam's  Institute  of  Medical

Sciences  to  the  Government  employees  or  retired  Government

employees,  as the case may be, a certificate whether or not  the

case  is covered by the orders issued in G.O.Ms.No. 445.  H.M.  &

F.W.,   dated  19-7-91  or  whether  it  meets  the   requirement

prescribed in G.O.Ms.No. 609, H.M. & F.W. dated 21-11.1988 (i.e.,

reference  to  Nizam's  Institute  of  Medical  Sciences  from  a

Teaching Hospital).

12.  Sanction of Medical Advance for Medical treatment  of  Govt.

Employees and their dependants in NIMS, Hyd. for certain  serious

diseases  -  Delegation  of powers to Heads  of  Departments  for

sanction of Advance - Orders Issued.

               [G.O.Ms.No. 86, F&P, Dt. 1-6-1992]

Ref. :- 1.  G.O.Ms.No. 609, HM&FW (E2), Dt. 21-11-1988.

        2.  G.O.Ms.No. 445, HM&FW (E2), Dt. 19-7-1991.

        3.  G.O.Ms.No. 184, HM&FW (Kl), Dt. 2-4-1992.

Order :-In the G.O. 1st read above, Government have issued orders

declaring  Nizam's  Institute  of Medical  Sciences  as  referral

Hospital subject to the following conditions :-

1.  The Nizam's Institute of Medical Sciences will be a  referral

Hospital other than for emergencies.

2.   Reference  of  patients  to  Nizam's  Institute  of  Medical

Sciences should be from the Teaching Hospitals with the  approval

of the Head of the Department/Speciality concerned.

3.   The  referring  hospitals  should  ensure  that   facilities

available  in  that  hospitals are fully utilised  in  the  first

instance.

4.   The  referring  hospitals should refer the  cases  with  all

details including a referral summary.

5.  The patients should be clearly informed that taking up of the

case by the Nizam's Institute of Medical Sciences is dependent on

the  availability  of accommodation and other facilities  in  the

Nizam's Institute of Medical Sciences.

2.  In consideration of the difficulties being experienced by the

beneficiaries and also the delay involved in setting the  medical

claims,  it  has  been decided to delegated  the  powers  to  the

concerned  Heads of Departments for sanction of Medical  advances

to  the employees working under their administrative  control  in

respect of the following diseases without referral by  Authorised

Medical Attendant vide orders issued in G.O. 2nd read above.

(a)   Acute Myocardial In Infraction (Cardiology Department)

(b)  Acute renal failure (Nephrology Department)

(c)    Severe  cases  of head and  spinal  injury  (Neuro-Surgery

Department)

(d)  Cases of Coma (Neurology Department)

3.   The medical claims of State Government Employees covered  by

A.P.I.M.A. Rules, 1972 can be broadly categorised into :

(i)    Claims    preferred    against    treatment    in    Govt.

Hospitals/Referral Hospitals/ Recognised Hospitals.

(ii)  Claims preferred against treatment in unrecognised  Private

Hospitals.

(iii)  Calims  preferred  against treatments  in  NIMS  who  were

admitted  direct without reference by the A.M.A. under  emergency

circumstances  to undergo treatment for the diseases noted  under

Para 2 above.

4.   At present in respect of the claims noted against Items  (i)

and  (iii)  under  Para 3 above, Government is  vested  with  the

powers  of sanction of medical advances to  Government  Employees

and  their dependents towards medical expenditure incurred  while

undergoing treatment for certain diseases.

5.  In respect of claims preferred by the individuals either  for

sanction  of advance or for reimbursement of medical  expenditure

incurred   for  treatment  undergone  in   unrecognised   Private

Hospitals   the  Government  would  not  entertain  such   claims

normally.

6.  After due consideration, it has been decided to delegate  the

powers to Heads of Departments concerned for sanction of  medical

advance   to  Government  Employees  and  their  dependents   and

settlement  of  final bills for undergoing treatment in  NIMS  in

respect  of  cases referred to under G.O.Ms.No. 445,  HM&FW  (E2)

Dept., Dt. 19-7-91 subject to the following conditions :-

(a)   the maximum amount should not exceed Rs.  50,000/- and  the

expenditure incurred over and above Rs. 50,000/- should be  borne

by the individual.

(b)   The  Head of the Department should ensure that  the  amount

sanctioned  as  advance  shall  be  paid  to  NIMS  by  means  of

Cheque/Draft  within  15  days  from  the  date  of  receipt   of

estimation of the expenditure from the NIMS.

(c)   The advance drawn and paid to the NIMS shall be adjusted by

preferring claims by the concerned Head of the Department  within

3  months  from  the date of drawal  of  advance  with  necessary

certificates and vouchers prescribed in A.P.I.M.A. Rules, 1972.

(d)  The claim sent by the NIMS must relate only to the items  of

expenditure admissible under the A.P.I.M.A. Rules, 1972.

(e)    The bills need not be sent to the D.M.E. for scrutiny  and

the  claim  be admitted based on  the  admissibility  certificate

issued by NIMS.

7.   If a Government Servant seeks admission in NIMS vide  orders

issued  in  G.O.Ms.No. 609, H&M, Dt. 21-11-1988 the Head  of  the

Department  is competent to sanction advances and also the  final

bill  following  the  conditions mentioned in Para  6  above.  In

addition  he shall ensure that the patient is preferred to  NIMS,

Hyderabad by the Authorised Medical Attendant. The A.M.A. of  the

Teaching  Hospitals  with  the  approval  of  the  Heads  of  the

Departments/Specialists  of the Hospital alone have to refer  the

cases   to   NIMS.   Other   Heads   of   Departments   of    any

mofusall/Headquarters or City Hospitals who are not the Heads  of

Departments/Specialists  of the Teaching Hospitals would  not  be

reckoned as Authorised Medical Attendants, competent to refer the

cases  to NIMS covered vide order issued in G.O.Ms.No. 609,  M&H,

dated 21-11-1988.

8.  Where the authority referring the cases to NIMS is not deemed

as Authorised Medical Attendant, such cases are to be referred to

Government  for  relaxation  of A.P.I.M.A. Rules, in  HM  &  F.W.

Dept.,  and Finance and Planning (FW) Department for  concurrence

and  for  relaxation  of  A.P.I.M.A.  Rules.  The  Head  of   the

Department is not empowered to sanction advance if relaxation  of

A.P.I.M.A. Rules is involved.

9.   The  Government extend the facility  available  for  Central

Government Servant wherein a member of the family can also  apply

and  draw the advance when the Government Servant  is  critically

ill and hospitalised so as the avoid inconvenience. In such cases

the wife or a legal heir of the Government Employee shall  submit

an  application  for  sanction  of advance to  the  Head  of  the

Department  under  whom  the  employee is  working  in  case  the

employee is critically ill and cannot sign the application.  This

facility is available to all Government Servants who avail of the

facilities  in the NIMS, Hyderabad under G.O.Ms.No. 445,  H.M.  &

F.W.  (E2) Dept, dated 19-7-1991 and G.O.Ms.No.609, H.M.  &  F.W.

(E2) Department, dated 21-11-1988.

10.  The advance sanctioned shall be debited to the Service  Head

of Account to which the' pay and other allowances of the employee

are being debited.

13.  Provision of Corrective Glasses and Hearing Aids -  Fixation

of limit of expenditure for reimbursement - Orders - Issued

          [G.O.Ms.No. 276, HM & FW (Kl), Dt. 11-5-1993]

Ref. :- 1.  G.O.Ms.No.175, HM & FW, Dt. 7-3-1990.

        2.  Govt. Memo. No. 2118/K1/90-1, Dt. 28-4-1990.

3.  From the Director of Medical Education, Lr.No. 14845/MA B/90,

Dt. 23-8-1990.

Order :-In the Government Order 1st cited above orders have  been

issued to amend the Andhra Pradesh Integrated Medical  Attendance

Rules, 1972. As per this amendment the cost of Artificial  Limbs,

Hearing  Aids, Corrective Glasses, Artificial Teeth  and  Invalid

Chatirs  are  reimbursable  to  the  eligible  patients  who  are

entitled to the facilities for sanction of medical reimbursement.

2.   Government after careful reconsideration of the above  order

issued  in G.O.Ms.No. 175, HM & PW, dated 7-3-1990  hereby  order

the cancellation of G.O.Ms.No. 175, HM&FW, dated 7-3-1990.

3.  All existing claims which have been received pursuant to  the

issue of G.O.Ms.No. 175, HM&FW, dated 7-3-1990 will be settled by

30-6-1993.  These  existing  claims  should  pertain  to   claims

received in pursuance of G.O.Ms. No. 175, HM &FW, dated 7-3-1990,

till the date of the cancellation of the Government Order.

4.   For settlement of the existing claims received  pursuant  to

issue  of  G.O.Ms.No. 175, HM & FW, dated 7-3-1990 the  scale  at

which the settlements have to be made has been considered by  the

Government  and  after taking into  consideration  the  proposals

received from the Director of Medical Education the Govt.  hereby

decide that the maximum expenditure eligible for reimbursement to

the Government Employees and their family members for  settlement

of  the  existing claims preferred by them before issue  of  this

Government Order will be as follows :-

(i)  Corrective Eye Glasses            Rs.200/-(Rupees two

     inclusive of frame                hundred only)

(ii) Hearing Aids-All types            Rs.300/-(Rupees three

                                       hundred only)

(iii) Hearing Aids-All types           Rs.1,500/-(Rupees one

                                       thousand five hundred

                                       only)

(iv) Dentures :

    (a)  Complete Denture              Rs.300/- (Rupees three

         Rehabilitation                hundred only)

         (Upper and Lower Jaw)

    (b)  Single complete denture       Rs.150/- (Rupees one

         prosthesis against natural    hundred and fifty only)

         detention (only upper

         Lower Jaw)

    (c)  Bilateral Partial edentulous  Rs.50/- (Rupees fifty

         condition Glass-I             only)

         (Replacement of single teeth)

    (d)  Crown- acrylic JC/Dowel       Rs.50/- (Rupees fifty

         Dowel Crown                   only)

    (e)  Crown Porcelain.              Rs.150/- (Rupees one

                                       hundred and fifty only)

5.    Necessary  order  amending the  Andhra  Pradesh  Integrated

Medical  Attendance  Rules, 1972 in this regard  will  be  issued

separately.

14.  Medical  Attendance  to State Government  employees  at  Sri

Venkateswara  Institute  of  Medical  Sciences,  Tirupathi   with

eligibility for reimbursement / medical advance - Orders - Issued

       (G.O.Ms.No. 544, H.M. & F.W. Dept., Dt. 9-11-1993)

Ref. :- 1.  G.O.Ms.No. 445, H.M. & F.W. Dept., Dt.  19-7-1991.

        2.   G.O.Ms.No. 184, H.M. & F.W. Dept., Dt. 2-4-1992.

        3.   G.O.Ms.No. 86, Fin. & Pig. (FW) Dept., Dt.  1-6-1992.

Order :-The medical attendance to State Government employees  and

their  dependent family members is governed by the provisions  of

Andhra  Pradesh Medical Attendance Rules, 1972. As an  additional

facility  orders were issued in the Government Orders first  read

above  allowing them to obtain treatment at Nizam's Institute  of

Medical  Sciences  directly without reference  in  the  following

medical  situations  with eligibility for  reimbursement  of  the

admissible expenditure therefore or for advance with reference to

the  estimate  furnished  by the  Nizam's  Institute  of  Medical

Sciences subject to the monetary ceiling fixed by the  Government

from time to time.

(a)   Acute Mycardinal Infraction (Cardiology Department)

(b)  Acute Renal Failure (Nephrology Department)

(c)    Severe  cases  of Head and  Spinal  injury  (Neuro-surgery

Department)

(d)  Cases of Coma (Neurology Department)

In  all  other cases also the facility of treatment for  them  at

Nizam's"  Institute  of  Medical Sciences  with  eligibility  for

reimbursement  or advance is made available subject to  reference

to  that  Institute by a Specialist Head of the Department  of  a

teaching  hospital  and  subject  to  the  monetary  ceiling   as

mentioned  above. Orders have also been issued in the  Government

Order  third  read  above  delegating  powers  to  the  Heads  of

Departments  for  the sanction of advances  within  the  monetary

ceiling  for  the  treatment  at  Nizam's  Institute  of  Medical

Sciences as indicated above.

2. In quite a number of cases the employees working in the border

districts  of  Nellore,  Chittoor  and  Cuddapah  are   obtaining

treatment in neighbouring States and coming up with requests  for

reimbursement.  Each of these cases are being examined on  merits

and  such  of those cases, where the required  treatment  is  not

available  in State Government Hospitals within the area  of  the

State,  a liberal view is being taken and such claims  are  being

allowed  in relaxation of rules on compassionate grounds in  view

of the distance involved in coming to State capital.

3.   Now  the Super Speciality Hospital, viz.,  Sri  Venkateswara

Institute  of Medical Sciences, Tirupathi,  financed by  Tirumala

Tirupathi Devasthanam, has commenced functioning at Tirupathi  as

a Society with the following specialities :

1.  Cardiology

2.  Cardio Thoracic Surgery

3.  Neurology

4.  Urology

5.  Nephrology

6.  Endocronology

The  President, Andhra Pradesh Non-Gazetted Officers  Association

in  his  representation  fourth  read  above  has  requested  for

according  permission  for treatment at this  institution  as  at

Nizam's Institute of Medical Sciences, Hyderabad.

4.   Government have reviewed the matter including the policy  as

mentioned  in  para  2 above and hereby extend  the  facility  of

treatment  at  Sri Venkateswara Institute  of  Medical  Sciences,

Tirupathi  to all those who are eligible for  Medical  Attendance

under Andhra Pradesh Integrated Madical Attendance Rules, 1972 on

the  same  lines  as  applicable for  the  treatment  at  Nizam's

Institute   of   Medical  Sciences,   Hyderabad   including   the

eligibility  for  advance. Simultaneously, Government  have  also

decided  not  to allow relaxation of  Andhra  Pradesh  Integrated

Medical  Attendance Rules, 1972/Orders in the cases of  the  type

mentioned in para 2 above with immediate effect.

5.   These orders will have prospective effect from the  date  of

issue of this orders.

15.  Medical Attendance facilities of admission and treatment  to

the  Pensioners  and  their  dependants  in  Super   Specialities

Hospitals at Nizam's Institute of Medical Sciences, Hyderabad and

Sri  Venkateswara Institute of Medical Sciences,  Tirupathi  with

eligibility for reimbursement/medical advance - Orders - Issued

        (G.O.Ms.No. 579, H.M. & F.W. Dept, Dt. 1-12-1993)

Ref. :- 1.   G.O.Ms.No. 401, H.M. & F.W. Dept., Dt. 25-6-1991.

        2.  G.O.Ms.No. 445, H.M. & F.W. Dept, Dt. 19-7-1991.

        3.  G.O.Ms.No.  184, H.M. & F.W. Dept, Dt. 2-4-1992.

        4.  G.O.Ms.No. 86, Fin. & Pig. (FW) Dept, Dt.  1-6-1992.

        5.  G.O.Ms.No. 544, H.M. & F.W. Dept, Dt. 9-11-1993.

        6.  From   the  President,   State   Govt.   Pensioners

            Association, Dt. 16-7-93.

Order  :-Orders were issued in the Government order  second  read

above  allowing  the  government employees  and  their  dependant

family  members  to  obtain treatment  at  Nizam's  Institute  of

Medical  Sciences,  Hyderabad directly without reference  in  the

following  medical situations with eligibility for  reimbursement

of  the  admissible  expenditure therefor  or  for  advance  with

reference  to the estimate furnished by the Nizam's Institute  of

Medical  Sciences,  subject  to the  monetary  ceiling  fixed  by

Government from time to time :

(a)  Acute Mycardial Infraction (Cardiology Department)

(b)  Acute Renal Failure (Nephrology Department)

(c)    Severe  cases  of head and  spinal  injury  (Neuro-Surgery

Department)

(d)  Cases of Coma (Neurology Department).

In  all  other cases also the facility of treatment for  them  at

Nizam's  Institute  of  Medical Sciences,  with  eligibility  for

reimbursement or advances is made available subject to  reference

of  the  patient to that Institute by a  Specialist/Head  of  the

Department  of  a teaching Hospital and subject to  the  monetary

ceiling  as mentioned above. Orders have also been issued in  the

Government Order fourth read above delegating powers to the Heads

of  Departments for the sanction of advances within the  monetary

ceiling  for  the  treatment  at  Nizam's  Institute  of  Medical

Sciences, Hyderabad as indicated above.

2.   In  the  G.O.  fifth read  above  orders  have  been  issued

extending the facility of treatment at Sri Venkateswara Institute

of Medical Sciences, Tirupathi to all those who are eligible  for

medical  attendance  under  Andhra  Pradesh  Integrated   Medical

Attendance  Rules, 1972 on the same lines as applicable  for  the

treatment  at  Nizam's Institute of Medical  Sciences,  Hyderabad

including the eligibility for advance.

3.   In  respect  of State Government  Pensioners,   orders  were

issued  in  the Government order first read above to  the  effect

that  medical  treatment  be provided  at  Nizam's  Institute  of

Medical  Sciences, Hyderabad to the retired Government  employees

and their dependants on par with serving Government employees who

suffer with serious ailments of the Heart, Kidney, Brain,  Cancer

or  any  other disease or surgery for which  facilities  are  not

available  in any of the teaching hospitals in the State and  for

reimbursement of the cost of the treatment including  consumables

and  disposables  and medicines direct to  Nizam's  Institute  of

Medical Sciences, Hyderabad subject to however to a maximum limit

of  Rs.  40,000/-  (Rs.  Forty thousand  only)  or  as  fixed  by

Government from time to time as in the case of serving Government

employees. It was also ordered therein that the Nizam's Institute

of  Medical  Sciences,  Hyderabad shall take  up  cases  only  on

authorisation  by  Authorised Medical Attendant of  any  teaching

hospitals as in the cases of serving Government employees.

4.   The  President  State  Government  Pensioner's  Association,

Hyderabad in his representation sixth read above, has stated that

the  pensioners  are  facing  difficulties  on  account  of   the

cumbersomeness  of  the  existing procedure  and  they  are  also

experiencing delays in the referral of emergency cases to Nizam's

Institute   of  Medical  Sciences,  Hyderabad  by  the   teaching

Hospitals.  He has therefore requested to issue orders  extending

the  concessions  and facilities provided to  serving  Government

employees in G.O.Ms.No. 445, Health, Medical and Family  Welfare,

Department  dated  19-7-1991  and  G.O.Ms.No.  86,  Finance   and

Planning  (FW)  Department  dated 1-6-1992  to  State  Government

Pensioners.  Further, he has also requested that  the  Pensioners

and their dependants in Rayalaseema Region and Nellore  Districts

may  be  permitted to obtain treatment at  the  Super  Speciality

Hospital, Tirupathi on the analogy of the procedure laid down  in

respect of Nizam' Institute of Medical Sciences, Hyderabad.

5.  After careful examination, the Government here by extend  the

facility  of treatment at Nizam's Institute of Medical  Sciences,

Hyderabad  and  Sri Venkateswara Institute  of  Medial  Sciences,

Tirupathi to the State Government Pensioners and their  dependent

Family member on the lines similar to those provided for  serving

Government  employees  and  their  dependant  family  members  as

detailed  in  paras  first and second read  above  including  the

facility  of  advance  to the extent of  ceiling  amount  of  Rs.

50,000/ - as per G.O. fourth read above.

16.   Sanction  of  Medical Advance  to  Government  employees  -

Reimbursement  for  treatment, etc., for second time -  Orders  -

Issued

       (G.O.Ms.No. 223, H.M. & F.W. Dept., Dt. 23-4-1994)

Ref.  :- 1.  G.O.Ms.No.  170, M&H, Dt.  14-3-1985.

         2.  G.O.Ms.No. 281, H.M. & F.W. Dept., Dt.  1-5-1989.

         3.  G.O.Ms.No.  184, H.M. & F.W. Dept., Dt. 2-4-1992.

Order  :-Orders  were issued in the Government  orders  2nd  read

above  fixing ceiling of reimbursement amount for  the  treatment

obtained  inside or outside India as Rs.  40,000/-.  Subsequently

orders  were  issued  in  the Government  order  3rd  read  above

increasing  the ceiling of reimbursable amount from Rs.  40,0007-

to 50,000/-.

2.   The issue as to how the ceiling is applicable to  Government

officials  was examined earlier and it was decided that  it  will

apply  to  the  entire  treatment of  an  ailment  including  the

expenditure towards tests and examination, operations if any  and

for post operative treatment whatever may be the duration of  the

treatment.  Subsequently  this  decision  was  again  revised  in

consultation with Finance and Planning (FW) Department  regarding

the  applicability  of ceiling for each spent  in  treatment  and

whether the employees can be allowed reimbursement or advance, as

the  case  may  be,  according,  to  rules  for  the  second  and

subsequent operations even including the operations for the  same

ailments.

3.   The Government, therefore hereby order that  the  Government

officials  shall be allowed reimbursement or advance as the  case

may  be  according  to  rules  for  the  second  and   subsequent

operations even including the operations for the same ailments.

17.  Medical treatment of Govt. employees/retired  employees  and

their  dependents - Reimbursement of expenditure -  Treatment  in

private hospitals within the State and outside the State - Orders

- Issued

     (G.O.Ms.No. 38, H.M. & F.W. (Kl) Dept., Dt. 23-1-1996)

Ref.  :- 1.   G.O.Ms.No. 609, HM & FW, Dt. 21-11-1988.

         2.  G.O.Ms.No. 445, HM & FW, Dt. 19-7-1991.

         3.  G.O.Ms.No.  184, HM & FW, Dt. 2-4-1993.

         4.  G.O.Ms.No. 544, HM & FW, Dt. 9-11-19893.

         5.  G.O.Ms-No. 579, HM & FW, Dt.  1-12-1993.

         6.  From the D.M.E. Lr.Rc.No. 20739/MA.A/94,  Dt.  9-2-

             1995.

Order :-The Pay Revision Commission has made certain observations

in  regard to the medical facilities to the Government  employees

and retired employees and their dependents in teaching  hospitals

and  also private hospitals within the State as well  as  outside

the State.

2.   The Government have constituted a Committee to go  into  the

recommendations  of  the  Pay  Revision  Commission  and   submit

suggestions/recommendations.  The  said committee  suggested  the

following recommendations :

(i)  that the existing system of reference of teaching  hospitals

shall be continued.

(ii)  that they have reiterated the recommendations made in  1986

to  extend the facility of wellknown hospitals outside the  State

also.

(iii)  the maximum ceiling of Rs. 50,000/- may be  continued  and

the same could be reviewed periodically. In respect of  treatment

in  hospitals  outside  the  State with  the  permission  of  the

Government  the  bills  may be settled  subject  to  scrutiny  by

director  of  Medical  Education regarding  entitlements  of  the

officials who undergo treatment in such hospitals.

(iv)  Even  in  respect of twin cities  also,  where  specialised

treatment  is  available only in private hospitals which  is  not

available in Government hospitals, the employees may be given the

benefit  of  treatment  in  such  hospitals  subject  to  payment

according  to the entitlements and within the ceiling subject  to

scrutiny of bills by the Director of Medical Education.

(v)  In  respect  of suggestions at items  (ii)  to  (iv)  above,

reference      from     Superintendent     of     a      teaching

hospital/Superintendent   of  District  Headquarters   hospitals,

except  in respect of cases like "Acute Mycordial Infraction"  as

may be specified, shall be necessary.

3.   The above recommendations have been sent to the Director  of

Medical  Education for his remarks and to suggest  the  hospitals

which  could be recognised for purposes  of  reimbursement.   The

Director of Medical Education considering  the recommendations of

the  High Power Committee has submitted proposals to  Government.

After  careful  consideration  of  the  recommendations  of   the

Director  of  Medical  Education, Government  hereby  permit  the

employees  both  serving and retired to secure treatment  in  the

private hospitals both within and outside the State.

4.   Under Rule 7 of the AP.I.M.A. Rules 1972  Government  hereby

recognised the following Private Hospitals within and outside the

State   for  treatment  to  the  Government  employees,   retired

employees and their dependents.

I.  Private Hospitals within the State :

1.  Appollo Hospital, Hyderabad.

2.  Medwin Hospital, Hyderabad

3.  C.D.R. Hospital, Hyderabad.

4.  Mediciti Centre, Hyderabad.

5.  Satya Kidney Centre, Hyderabad.

6.  Seven Hills Hospitals, Visakhapatnam.

7.   Kamineni Hospitals Limited, L.B. Nagar, Hyderabad.

8.   Sree   Padmvathi  Orthopaedic  &  Surgical   Nursing   Home,

     Himayatnagar, Hyderabad-29.

9.   Durga Bai Deshmukh Hospital and Research Centre, Hyderabad.

10.  Bibi General Hospital and Cancer Centre

11.  Citi Cardiac Research Centre, Vijayawada.

12.  Owaisi Hospital, Hyderabad.

13.  L.V. Prasad Eye Institute, Hyderabad.

14.  Mahavir Hospital, Hyderabad.

15.  Yashoda Super Speciality Hospital, Malakpet, Hyderabad

16.  Usha Cardiac Centre, Hyderabad.

17.  Care Hospital, Hyderabad.]

18.  Swatantra Hospitals, Rajahmundry.

19.  Indo-American  Cancer  Institute  and   Research   Centre,

     Hyderabad.     [G.O. Ms. No. 133, HM & FW, Dt. 9-4-2001]

20.  Aware Hospital, Hyderabad.

                    [G.O.Ms.No. 328, HM & FW, Dt. 23-08-2001]

21.  Mytri Multi Speciality Hospitals, Hyderabad.

                    [G.O.Ms.No. 329, HM & FW, Dt. 23-08-2001]

22.  Image Hospitals, Hyderabad.

                    [G.O.Ms.No. 462, HM & FW, Dt.  11-12-2001]

23.   Pratima Institute of Medical Sciences, Nagunur, Karimnagar.

                     [G.O.Ms.No. 36, HM & FW, Dt. 13-02-2002]

Private Hospitals Out-side State :

1.  Apollo Hospitals, Madras.

2.  Sankar Netralaya, Madras.

3.  Adayar Cancer Centre, Madras.

4.  Vijaya Hospital, Vijaya Heart Foundation, Chennai.

5.  C.M.C., Vellore.

6.  N.I.M.H.A.N.R., Bangalore.

7.  Kidwai Memoral Cancer Hospital, Bangalore.

8.  Tata Memorial Cancer Hospital, Bangalore.

5.  The above Private Hospitals both within the State and outside

the State shall be regarded as referral hospitals subject to  the

following conditions :

(a)   The above private hospitals will be referral hospitals  for

all  types of cases including Acute Mycordial Infracture ;  Acute

Coronary  Disease, Acute Renal Failure; Severe cases of Head  and

Spinal Injury and cases of Coma.

(b)   Referral of patients to the above private hospitals  should

be  from  the  Director, Nizam  Institute  of  Medical  Sciences,

Hyderabad/Sri   Venkateswara  Institute  of   Medical   Sciences,

Tirupathi in respect of above cases, only on a Certificate  given

by   the  Director,  Nizam's  Institute  of   Medical   Sciences,

Hyderabad/Director,   Sri  Venkateswara  Institute   of   Medical

Sciences,  Tirupathi  stating that Nizam's Institute  of  Medical

Sciences/ Sri Venkateswara Institute of Medical Science will  not

be able to cope with the work load in the interest of the  health

of  the  patient  such  a  reference  to  Private  Hospitals   is

essential.

(c)   The  referring  hospitals  should  ensure  that  facilities

available  in  those hospitals are fully utilised  in  the  first

instance.

6.   The  ceiling of Rs. 50,0007- (Rupees  Fifty  thousand  only)

fixed  by  the Govt. vide G.O.Ms.No. 184,  Health,   Medical  and

Family Welfare,  dated 2-4-1992  for reimbursement to  Government

employees including pensioners will be continued.

7.   In respect of treatment in the above Private Hospitals  with

prior permission, the bills may be settled subject to scrutiny by

Director of Medical Educational about the entitlement.

18.  Medical Treatment of Government/Retired Employees and  their

dependants -Re-imbursement of Expenditure - Treatment in  Private

recognised Hospitals within and outside the State - Admissibility

of  Medical Expenditure, with 20% Cut on eligible amount  without

referral   from   Nizam's   Institute   of   Medical    Sciences,

Hyderabad/Sri   Venkateshwara  Institute  of  Medical   Sciences,

Tirupathi in cases of emergencies - Orders - Issued

    (G.O.Ms.No.  175, H.M. & F.W. (Kl) Dept., Dt. 28-5-1997)

Ref. :- 1.  G.O.Ms.No. 38, HM & FW, Dt. 23-1-1996.

        2.  G.O.Ms.No. 258, HM & FW, Dt. 15-6-1996.

        3.  From    the   President,   APNGO's    Association,

            Representation   dated 22-3-1996 and representation

            from  certain service Associations.

        4.  From Dir. of Medical Edn., Lr. No. (RC) 3773/MA.A/96,

            Dt. 9-10-1996.

Order  :-In the Government orders 1st and 2nd read  above  orders

were  issued  permitting  the State  Government  Employees,  both

serving  and  retired to secure treatment  in  Private  Hospitals

within and outside the State indicating therein that under Rule 7

of the Andhra Pradesh Integrated Medical Attendance Rules,  1972,

on a reference made by Nizam's Institute of Medical  Sciences/Sri

Venkateshwara Institute of Medical Sciences.

2.   In  the  reference 3rd read above the  Andhra  Pradesh  Non-

Gazetted Officer Association and some other Service  Associations

represented  that the orders issued in the Government Orders  1st

and 2nd read above are not beneficial to the employees because of

the  condition  that  the  employee  has  to  obtain  a  referral

certificate from Nizam's Institute of Medical Sciences, Tirupathi

to get treatment in Super Speciality Hospitals within or  outside

the State and requested that this stipulation be omitted.

3.   It  has  been  observed that a number  of  cases  are  being

referred  to  Government  for relaxation of  the  Andhra  Pradesh

Integrated Medical Attendance Rules, 1972 when the treatment  has

been obtained directly at the Private Hospitals without  referral

from   Nizam's  Institute  of  Medical  Sciences,   Hyderabad/Sri

Venkateshwara Institute of Medical Sciences, Tirupathi in view of

the serious nature of the patient and lack of sufficient time  to

obtain such referral letter from the hospitals stated above.

4.   After  careful consideration of this issue  in  consultation

with  the  Director  of Medical Education,  the  Government  have

decided to permit employees both serving and retired and also  to

their  dependants, to secure treatment in the  Private  Hospitals

recognised in the Government Orders 1 st and 2nd read above, when

the case is serious which required immediate treatment and  there

is  no  sufficient  time  to get  referral  letter  from  Nizam's

Institute   of  Medical  Sciences,   Hyderabad/Sri   Venkateswara

Institute  of  Medical  Sciences, Tirupathi.  All  the  competent

authorities are therefore permitted to sanction reimbursement  of

Medical   expenses  for  the  treatment  in   Private   Hospitals

recognised in the Government Orders 1st and 2nd read above  after

satisfying  themselves  that  the patient  was  admitted  in  the

hospital  in   a very serious condition and it was  an  emergency

case  and there was no sufficient time to obtain referral  letter

from   Nizam's  Institute  of  Medical  Sciences,   Hyderabad/Sri

Venkateswara   Institute  of  Medical  Sciences,  Tirupathi,   if

necessary after obtaining a certificate from the hospital to that

effect  and after obtaining copy of the case sheet. In  all  such

cases of the treatment without referral letter, a 20% cut has  to

be  imposed  on  the  eligible amount  after  getting  the  bills

scrutinised by the Director of Medical Education, Hyderabad.

5.   All  the  Departments  of  Secretariat  and  all  Heads   of

Departments are also informed that such cases covered under  para

4  above  need not be referred for relaxation and  the  authority

competent to sanction the medical reimbursement can sanction such

reimbursement  in the above cases also. In all other cases  where

the  competent  authority though not satisfied with  the  alleged

seriousness of the condition of the patient, but when the patient

has obtained treatment at a private hospital directly on his  own

choice  shall be referred to Government for relaxation  when  the

Heads  of  Departments consider that there is genuine  cause  for

anxiety and recommend for relaxation.

6.   All  Departments  of  the  Secretariat  and  all  Heads   of

Departments  are  informed that the rejected cases shall  not  be

reopened and the cases pending as on the date of this order  with

the  concerned  competent authorities may be disposed of  as  per

above order.

19. Medical Attendance to Government Employees/Retired  Employees

-Reimbursement  of treatment etc. incurred - Raising  of  maximum

ceiling from Rs. 50,000 to Rs. 75,000/- - Orders - Issued.

   (G.O. Ms. No. 161, H. M & F.W (Kl) Dept, dated 05-05-2000)

Ref. :- 1.  G.O. Ms. No. 170, M & H, Dept., dated 14-03-1985.

        2.   G.O. Ms. No. 281, H. M & F.W, Dept, dated 01-05-1989.

        3.   G.O. Ms. No. 184, H. M & F.W (Kl), Dept, dated  02-

             04-1992.

Order  :-Orders  were issued in the Government Order  third  read

above,  fixing  the maximum limit at Rs. 50,0007-  (Rupees  fifty

thousands only) to Government employees towards reimbursement  of

expenses  incurred by them on medical treatment, subject  to  the

conditions specified therein.

2.  The President, A.P. Retired Government Employees  Association

and  Andhra  Pradesh Non-Gazetted Officers Association  in  their

representations  fourth and fifth read above, have requested  the

Government  to  enhance  the ceiling from  Rs.  50,0007-  to  Rs.

1,50,000/-  since the cost of treatment is  invariably  exceeding

Rs. 50,000/-.

3.  The Pay Revision Commission, 1999 has recommended to  enhance

the  ceiling  limit  from  Rs.  50,000/-  to  Rs.  75,000/-   for

reimbursement  of  the  medical  expenses  to  State   Government

employees.

4.   Government  after careful examination of  the  matter,  have

decided that the maximum ceiling of Rs. 50,0007- reimbursable  to

Government  employees/  Retired employes  and  their  dependents,

towards reimbursement of medical expenditure shall be raised from

Rs. 50,0007- to Rs. 75,0007- (Rupees seventy five thousand  only)

subject to the conditions existing now. Any expenditure in excess

of  the enhanced ceiling limit of Rs. 75,0007- shall  however  be

borne  by  the Government employees/Retired Employees  and  their

dependents  themselves. However, the procedure of requirement  of

referral  letter  by  NIMS  or  SVIMS  to  obtain  treatment   in

recognised private hospitals shall be continued.

20.  Certain guidelines for referral of Insured Persons and their

beneficiaries  and  reimbursement  of medical bills  -  Orders  -

Issued.

  (G.O. Ms. No. 117, HM & FW(Q2) Department, dated 27-03-2000)

Note :-This Order is printed at page 237 of this book.

21.  Reimbursement  of expenditure for the treatment  at  private

recognised  hospitals  within  and  outside  the  State  and   at

Government  Hospitals  - Imposing of 20% cut  on  the  admissible

amount  - Scrutiny of bills by Director of Medical Education  and

by the Superintendents of Government Hospitals - Orders - Issued.

 (G.O. Ms. No. 373, H. M. & F. W. (Kl) Dept., dated 20-10-2000)

Note :-This Order is printed at page 239 of this book.

22.  Recognition  of A.P. Super Speciality  Dental  Hospitals  as

Referral  Hospitals  for the treatment of  Government  employees,

retired  employees  and  their  dependents  -  Reimbursement   of

expenditure - Orders - Issued.

  (G.O. Ms. No. 38, H. M. & F. W. (Kl) Dept., dated 24-01-2001)

Note :-This Order is printed at page 240 of this book.

23. Nizam's Institute of Medical Sciences - Medical treatment  of

State   Government   Employees,  Retired  Employees   and   their

Dependents  -  Reimbursement  of  Expenditure  for  all  diseases

without referral letter, etc. - Orders - Issued.

   (G.O. Ms. No. 134, HM. & F.W. (Kl) Dept, dated 09-04-2001)

Note :-This Order is printed at page 241 of this book.