Panchkula at a Glance
Administrative Setup
Citizen Services
Forms & Procedures
 
Q:- Name of the Scheme?
Ans: Procedure for issuance of Birth and Death Certificates.
Q:- Whom to contact for availing the Birth and Death Certificates?
Ans: Rural Area:- For Rural area, one has to apply to the District Register (Births & Deaths) cum Civil Surgeon of the concerned district.
Urban Area:- For Urban area one has to apply to the Registrar (Births & Deaths) cum Secretary of concerned Municipality for Birth and Death registration and certificates.
Q:- What is minimum fee for availing the forms?
Ans: 1. For granting extract relating to each birth/death or non-availability certificate. Rs.5.00
2. For search a single entry in the first year. Rs.2.00
3. Search for every additional year. Rs.2.00
4. Additional fee in case of urgent requirement. Rs.5.00
   
 
   
Various services provided by the Department
Q:- Q:- Name of the Services?
Ans: 1. MEDICAL EXAMINATION

- FIRST ENTRY INTO GOVERNMENT SERVICE
- COMMUTATION OF PENSION
- DISABILITY/HANDICAPPED
- DRIVING LICENCE
- LEAVE ON MEDICAL GROUNDS

2. INTERNSHIP PERMISSION


3. MEDICAL RE-IMBURSEMENT

- APPROVAL FOR SPECIALIZED TREATMENT
- EX-POST FACTO APPROVAL
- WORKING OUT OF MEDICAL CLAIMS
   
 
   
Procedure for Medical Certificate for entry into Govt. Service
Q:- Competent authority for issuing the Medical Certificate?
Ans: Civil Surgeon or Deputy Civil Surgeon.
Q:- Mention the name and place of Hospital where medical examination will be done by Medical Board?
Ans:

-General Hospital Sector-16, Chandigarh
-General Hospital Sector-6, Panchkula
-Civil Hospital, Karnal
-B.K. Hospital, Faridabad
-Civil Hospital, Bhiwani
-Civil Hospital,Hisar

Q:- Mention the days when Medical Examination will be done by the Board?
Ans: Ist and 3rd Friday of the Month. However special Board can be arranged at the request of the Applicant, Employer, Department on any day.
Q:- Prescribed fee for Medical Examination?
Ans: For Class-I                   Rs.200/-

For Class-II                 Rs.200/-

For Class-III               Rs.100/-

For Class-IV               Rs. 10/-

Q:- Where the medical examination fee will be deposited?
Ans: The medical examination fee will be deposited in Government Treasury under following Head of Account:-
"2210 Medical & Public Health 800 other receipts for medical examination"
Q:- Where the Appellant Medical Board is constituted?
Ans: Special Medical Board constituted at PGIMS, Rohtak with the permission of Director General Health Services, Haryana.
   
 
   
Procedure for medical certificate regarding commutation of pension.
Q:- What is the mandatory for pensioners?
Ans: Aged 70 years and above.
Q:- To whom the application for availing the medical certificate will be addressed?
Ans: Concerned Head of Department of the Pensioner.
Q:- What are the documents required for constitution of Medical Board?
Ans: 1. Duly filled application in Form 2 (in Original)
2. Part IV of Form 2 in original duly completed by Accounts Officer
3. Form IV with a spare copy of Part III of the Form
4. Statement of Applicant
5. Two Photographs
6. Approval of Accountant General/Administrative Deptt. in case of State Government Employee.
Q:- Who is the competent authority for conducting Medical Board?
Ans: Civil Surgeon/District Medical Officer.
Q:- Where the medical examination fee will be deposited?
Ans: The medical examination fee will be deposited in Government Treasury under following Head of Account:-
"2210 Medical & Public Health 800 other receipts for medical examination"
   
 
   
Procedure for medical certificate for Driving Licence
Q:- To whom the application for availing the medical certificate will be made?
Ans: MO/SMO/PMO/Civil Surgeon on prescribed form.
Q:- Prescribed fee for Medical Examination?
Ans: Rs.100/-
 
Procedure for medical certificate for leave on medical grounds
Q:- Who is the competent authority for issuing of medical certificate?
Ans: 1. Medical Officer/SMO                    Upto 4 Days
2. Civil Surgeon                              Upto 15 Days
3. Medical Board                             Beyond 15 Days
   
 
   
Procedure for availing medical certificate for handicap/disable person.
Q:- How the Medical Board is constituted?
Ans: 1. Civil Surgeon
2. PMO/MS/SMO In charge of District Hospital.
3. Experts to be nominated by Civil Surgeon.
4. Ophthalmologist for visually Handicapped.
5. Orthopedic Surgeon for Orthopaedically Handicapped
6. Psychiatrist for mentally handicapped.
Q:- Validity of Medical Certificate?
Ans: 3 years.
Q:- How many categories of Handicapped persons?
Ans: 1. Visually Handicapped.
2. Orthopaedically Handicapped
3. Hearing & Speech handicapped.
4. Mentally Handicapped.
Q:- Criteria for conveyance allowance?
Ans: 1. 40% permanent partial disability of either upper/lower lims.
2. or 50% permanent partial disability of both upper & blower limbs together.
3. Total absence of site.
4. Visual acuity not exceeding 6/60 or 20/200 (snellen) in the better eye with correcting lences.
Q:- Criteria for grant of scholarship to hearing handicapped.
Ans: - Do not hear/understand sound at all even with amplified speech.
- Hearing loss more than 70, decibels in the better ear (profound impairment) or total loss of hearing in both ears.
Q:- Criteria for reservation of jobs in Govt. Sector?
Ans: - Hearing loss more than 90 decibles under better ear (profound impairment) or total loss of hearing in both ears.
- Minimum of 40% Orthopeadically Handicapped.
- 1 eyed person with 1 eyed good vision.
   
 
   

Procedure for Internship Permission

Q:- Where the internship facilities are available?
Ans: Internship facilities are available in District Hospitals as per guidelines of Medical Council of India (except three months mandatory training in community medicines).
Q:- What are the conditions for availing internship facilities?
Ans: - No stipend paid to the candidates.
- Subject to the availability of seat.
- Bound to follow rules and regulations of the Hospital and instructions issued by Government from time to time.
Q:- Whom the application for getting internship facility will be made?
Ans: Director General Health Services THRO' concerned Civil Surgeon.
Q:- What are the documents to be appended with application?
Ans: 1. MBBS(final year) Mark Sheet
2. Provisional Registration of Medical Council of India/State.
3. No objection certificate of the Head of Institution from where passed MBBS.
4. Character Certificate from the Institution last attended.
Q:- Who is the competent authority for granting permission?
Ans: Director General Health Services, Haryana.
Q:- Prescribed fee for permission of internship?
Ans: Nil.
   
 
   
Procedure for Re-imbursement of Medical Claim
Q:- What are the options for getting re-imbursement of medical claim?
Ans: There are three options for getting the re-imbursement of medical claim.
1. Fixed                                      Rs.125/-per month
2. Open                                      Rs.1500/- per annum
3. Chronic                                   Rs.6000/per annum
Q:- What are the conditions imposed on obtaining the benefit of fixed, open and chronic options?
Ans: - Only one option can be availed at one point of time.
- Option can be changed in the month of April not in between.
- Adhoc Employees can only get fixed medical allowance since 1.1.1996.
Q:- Who will be consider as dependent in case of obtaining reimbursement of medical claim?
Ans:

1. Spouse:- (In case spouse is working spouse) subject to the following conditions.
i. Working on regular basis.
ii. Husband/Wife not getting any fixed Medical Allowance from any source.
iii. Furnishing of an Affidavit saying that my wife/husband is employed and not getting medical reimbursement
2. Unmarried Daughter
3. Unemployed son
4. Parents having income less than Rs.750/- per mensum and residing with the claimant at the address given in EC.
5. In-Laws if wife happens to be claimant and husband non-working.

Q:- What are the conditions to be fulfilled for Medical Reimbursement?
Ans: - Indoor and outdoor treatment should be separately claimed.
- Medicine prescribed on the date of discharge should not be included in the indoor treatment as these are not reimbursable   as per Medical Claims Rules No.2/231/81-1HBIII Dated 13.11.1986.
- Claims of Medicines/items be filled as under:
Sr.No. Name & Qty. of Medicine (In capital words) OPD/ID NO. & Date when prescribed Date which actually purchased Price Rs. Paisa
         
         
 
- Claim should be signed by the claimant giving his name, designation and complete address, date and place.
- Reimbursement claim should be verified and signed by AMA mentioning his name in capital letters along with the seal.
- For indoor medical reimbursement claim essentially certificate should be signed and stamped by AMA on second page   of EC at appropriate place.
Q:- What is time period for getting medical claim?
Ans: Medical reimbursement claim should be submitted within 6 months from the date of completion of treatment.
Q:- What are the circumstances where Non-Availability Certificate is required?
Ans:

- Must be from Super Bazaar/Cooperative store.
- Not required if the medicine is purchased in Emergency before opening/after closing of super bazaar and AMA certifies on   the prescription that the medicines were essential to be purchased in an emergency.
- Medicines not exceeding Rs.50/- can be purchased from other than Super Bazaar in a single day on one prescription or   more than one prescription.
- Medicines purchased from open market should not exceed Rs.100/- in a calendar month for the entire family, without NAC.
- Civil Surgeon/competent authority should verify on the EC if Super Bazaar/ Cooperative Store is not available at place.

Q:- Mentioned the Institutes from where treatment can be taken?
Ans:

a. GOVERNMENT INSTITUTE RECOGNIZED FOR SPECIALIST TREATMENT
- PGIMS ROHTAK
- PGI CHANDIGARH
- AIIMS NEW DELHI
- All Districts Hospitals in Haryana

b. PRIVATE INSTITUTES RECOGNISED FOR TREATMENT BY HARYANA GOVERNMENT
- EHIRC (ESCORTS), New Delhi
- Batra Hospital, Delhi
- Navedic Prosthetic Centre Daulat Singh Wala, Ziarkpur

c. INSTITUTES CONDITIONALLY RECOGNISED BY HARYANA GOVERNMENT
- Irwin Hospital, New Delhi
- Lady Harding Hospital, New Delhi
- St. Stephens Hospital, Delhi-Safdarjang Hospital, Delhi
- Wellinton Hospital, Delhi
- G.B. Pant Hospital, Delhi
- Victoria Janana Hospital, Delhi
- Mrs. Girdhari Lal Maternity Hospital, Delhi

Note:- Aforesaid Institutions are recognised for Haryana Govt. employees and their dependants who are stationed at Delhi or happen to visit or pass through Delhi on official Business/Tour.

 

d. INSTITUTES RECOGNISED FOR TREATMENT IF THE TREATMENT OF THAT
DISEASE IS NOT AVAILABLE IN THE STATE GOVT. HOSPITAL

1. By pass Coronary Surgery
- Southern Railway Headquarter Hospital, Perembur (Madras)
- K.E.M. Hospital, Bombay
- Christian Medical College and Hospital, Vallore
- Jaslok Hospital, Bombay.
- Bombay Hospital, Bombay
- Kasturba Hospital, Bombay
- Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum.
- Apolo Hospital, Madras

2. Blood Cancer
- Tata Memorial Hospital, Bombay
- Cancer Institute, Adayar, Madras

3. Complicated Heart Surgery Cases
- Southern Railway Headquarter Hospital, Perembur (Madras)
- K.E.M. Hospital, Bombay
- Christian Medical College and Hospital, Vallore
- Bombay Hospital, Bombay
- Kasturba Hospital, Bombay
- Sree Chitra Tirunal Institute of Medical Sciences and Technology, Trivandrum
- Samarian Hospital, Always (Kerala)

4. Kidney Transplant
Christian Medical College and Hospital, Vallore

Note:- Prior approval of the Civil Surgeon/DGHS is mandatory for treatment in the aforesaid institution and reimbursement will be made subject to the satisfaction of reasons of treatment by DGHS.
Q:- Q:- What are the mandatory requirements for reimbursement of medical claims for treatment in non-recognised Institutions?
Ans: i. Relaxation can only be accorded by FCHM.
ii. Relaxation requests of Health Employees along with Civil Surgeon's recommendation should only be forwarded to the Directorate by Civil Surgeon.
iii. No request of employees other than health should be forwarded by Civil Surgeons to Directorate rather they should be asked to route their requests through their administrative Heads of FCHM.
iv. Bills exceeding Rs.300/- should be countersigned by PMO/Civil Surgeon/DGHS/ Medical Superintendent PGIMS Rohtak/Director Ayurveda depending upon the treatment taken in various institutions.
Q:- Mention the competency of competent authority for signing the medical bills?
Ans: Competency of Head of Office                        Rs.1000/-
Head of the Department                                Rs.2000/-
Administrative Secretary                               Above Rs.2000/-
Q:- Mention the list of the Chronic Disease?
Ans:

i. Myocardial infarction.
ii. Angina Pectoris
iii. Chronic Heart Disease
iv. Rheumatic Heart Disease.
v. Chronic Renal Failure
vi. Rheumatic Arthritis
vii. Osteo-Arthritis
viii. Malignancy of different organs
ix. Chronic Pelvic Infection
x. Colic Diseases

Q:- How the Bill should be scrutinized?
Ans: The bill should be scrutinized on following items.

A. REIMBURSABLE ITEMS
- Medicines
- Consumables
- Rubber items
- Cotton/Bandages
- Disposable Syringes/needless

B. NON REIMBURSABLE ITEMS
- Admission Fee
- Diet Charges
- Tonic/Food/Vitamins
- Consultation Charges
- Talcum Powder
- Eudycolone
- Tooth paste & brush
- Toilet Soaps
- Mineral Water
- Attendant's room rent and diet charges.
- Deluxe room/single rooms
- Room Heater charges
- 75% Room charges in excess.

Note:- Vitamins are reimbursable provided AMA certifies that these were essential for the treatment of the patient and were not used as food or tonic.
  C. CONDITIONALLY REIMBURSABLE

i AC Charges- if recommended by AMA
ii. Ambulance charges-Refundable provided the ambulance is used to carry patience to the place of treatment or to carry patient from one hospital to other for certain medical examination.

Ambulance charges will not be refundable in following cases.
1. Ambulance does not belong to Govt./Local fund/social service organizations viz. Indian Red Corss/Hospital where patient is admitted.
2. When patient is required to be transferred to his residence.
iii. Taxi/Tonga/other conveyance charges to shift the patient to the hospital is not reimbursable.
iv. IOL (Intraocular Lens) Charges will be reimbursed upto a minimum of Rs.800/- once in life time provided the treatment is taken from Govt./State Recognized Hospital.

Q:- Who is the competent authority for approval of specialist treatment in Govt. approved hospitals ?
Ans: Civil Surgeon on recommendation of Specialist.
   
Procedure for obtaining Ex-facto sanction
Q:- Under which circumstances the ex-post facto sanction may be granted?
Ans: Ex-post facto sanction may be granted only when due to emergency prior approval for specialized could not be obtained.
Q:- Who is the competent authority for granting the ex-post facto sanction?
Ans: DGHS on recommendation of Civil Surgeon.
Q: When the post-facto sanction will be accorded?
Ans: Only after on completion of the treatment.
Q: Mention the documents to be appended with the request for Ex-post facto sanction?
Ans: - Request of application duly recommended by Civil Surgeon/HOD
- Discharge summary/slip of the Medical Institution attended.
   
 
   
Revised fee structure Under Drugs & Cosmetics Act.
                  TABLE-1 Sale Applications, Licences, Fees & Penalty
S.
No.
Category Type Sale Application Form Licence Form Fees for Grant/Renewal Renewal Certificate Form No. Penalty after Expiry but Within six months Fee for Duplicate Copy of Org. Lic.
1. Drugs other than those Specified in Schedule C&C (1) & X Whole Sale 19 20-B Rs.1500 21-C Rs.1500+Rs. 500 p.m. or part there of Rs.150
Retail sale 19 20 Rs.1500 21-C Rs.1500+Rs. 500 p.m. or part there of Rs.150
Restricted
(Gen. Store)
19 20-A
R-61(1)
Rs.500
R-59(2)
21-C Rs.1500+Rs. 500 p.m. or part there of Rs.150
R-59(3)
2. Drugs specified in Schedule C&C (1) but excluding those specified in schedule X Whole Sale 19 21-B Rs.1500 21-C Rs.1500+Rs. 500 p.m. or part there of Rs.150
Retail sale 19 21 Rs.1500 21-C Rs.1500+Rs. 500 p.m. or part there of Rs.150
Restricted
(Gen. Store)
19-A 21-B
R-61(1)
Rs. 500
R-59(2)

21-C

Rs.500+Rs. 250 p.m. or part there of R-59(4) Rs.150
R-59(3)
3.

Drugs specified in Schedule ‘X’

Whole Sale 19-C

20-G

Rs. 500

21-C Rs.500+Rs. 250 p.m. or part there of Rs.150
Retail sale 19-C 20-F
R-61(1)
Rs. 500
R-59(2)
21-C Rs.500+Rs. 250 p.m. or part there of R-59(4) Rs.150
R-59(3)
4. Sale of Drugs Motor vehicles 1) Drugs other than those specified in Schedule C&C Whole Sale 19-AA 20-BB Rs. 500 21-CC Rs. 500+
Rs. 250 p.m. or
Part there of
Rs. 150
2) Drugs specified in Schedule C&C(1) Whole Sale 19-AA 20-BB
R-62 (D)
Rs. 500
R-62-C
21-CC Rs. 500+
Rs. 250 p.m. or
Part there of
R-62(C)
Rs. 150
R-62(C)
5. Homeopathic Medicines Whole Sale 19-B

20-D Rs.250 20-E Rs.250+Rs. 50
p.m. or part there of
Rs.50
Retail sale 19-B 20-C Rs.250 20-E Rs.250+Rs. 50
p.m. or part there of R-67-A(2)
Rs.50
R-67-A(2)
Note:

1. All Retail Sale Licence Applications are to be submitted in the office of Senior Drug Inspector of the concerned zone.

2. All Whole Sale Licence Applications are to be submitted in the office of State Drug Controller, Haryana Panchkula.

 
 
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