Medical Attendance Rules

Q: What does Section 1 of Medical Attendance Rules say?

Note 1. - Every person employed under the Court of Wards, who is appointed by Government but is paid from the Wards Estate, shall be entitled to receive free medical attendance any medicines in those cases only in which the service counts for pension under the Civil Service Regulations. Road Cess Officers are also entitled to gratuitous medical attendance and medicine. This note is applicable to only those employees of the Court of Wards who are Government servants in Foreign Service under the C

Q: What does Section 3 of Medical Attendance Rules say?

(Local self-Government Department letter No. 15265-Meal.... dated the 11th December, 1950)

Q: What does Section 5 of Medical Attendance Rules say?

(a) Consultation with specialist and special treatment should be carried out as far as possible during the official duty hours though exceptions may be permitted in emergency. (b) Specialist should not ordinarily be called from their own station but the patients should go to the specialist. (c) All requisition for special treatments by specialist should ordinarily be countersigned or sent by the Civil Surgeon and no Assistant Surgeon or Sub-Assistant Surgeon should send any requisition for speci

Raw JSON API

Sections

1. Title of Government servant to free medical attendance and free supply of medicine.

Section 1

2. A Government servant on foreign service, who has no medical officer provided by his foreign employer, is entitled, in accordance with his status, to the services of the Government medical officer of the station in or near which he is employed. A Government officer of Gazetted Rank employed on foreign service who is not provided by his employer with a medical attendant of Gazetted Rank, shall be entitled to the same concession.

Section 2

3. When a Government servant has been admitted to a hospital or dispensary as an outdoor or indoor patient, he should be provided with all requisite medicines which are considered essential. Nursing may also be made available as far as possible within the resources of the hospital. It is the duty of the hospital or dispensary to supply the required drugs and medicines and there should be no occasion for the Government servant to himself purchase any medicine while admitted as an indoor patient,

Section 3

4. Dental treatment is not included in medical treatment.

Section 4

5. Free medical attendance includes the obligation to give such special treatment or treatments by specialist as is available in Government institutions without charge subject to the following restrictions:

Section 5

6. The word "specialist" in Note 5 above means specialists, who have been recognised by Government as such either by special positing or by the grant of special allowance, e.g., the Professor of Surgery or a Civil Surgeon who has been given special allowance for doing X-ray duties or an Assistant Surgeon placed under the special charge of X-ray or Radium treatment, But the medical officer who has specialised at his own cost. Eye, Nose and Throat work but who has not been appointed to special kno

Section 6

7. For the purpose of countersigning or sending recommendations for free pathological tests or X -ray examinations, the Professors of Surgery, Medicine and Gynaecology have been placed on the same footing as the Civil Surgeon and they are entitled to countersign or send requisitions for free pathological tests or X-ray examinations without any reference to the Civil Surgeon subject to one of the two following conditions being fulfilled:-

Section 7

8. All the doctors of the Patna Medical College Hospital who have beds in the hospital are authorised to countersign any requisition for free investigation by the Pathological Department on the Patna Medical College without any reference to the Civil Surgeon subject to the conditions (a) and (b) specified in Note 7 above.

Section 8

9. Retired pensioners are not treated as Government servants for the purpose of these rules and instructions but re-employed pensioners are treated as Government servants.

Section 9

10. The facility of free medical attendance and treatment at hospital as allowed to Government servants has also been extended to the Government servants, families (vide Appendix 1).

Section 10

11. The rules for the classification and charges for Government servants and their families admitted as patients in the different categories in paying wards in Government hospitals are as given in Appendix 11.

Section 11

12. Government servants being treated at their residences are also entitled to the free supply of medicines under certain circumstances for which attention is invited to Notes 2 and 3 under Rule 3.

Section 3

2. Classification of Government servants for the purpose of medical attendance by Civil Surgeon, Assistant Surgeon and Sub-Assistant Surgeon.

Section 2

2. The following officers though not included in class A are entitled to attendance by the Civil Surgeon:

Section 2

3. For Patna, the Civil Surgeon is the authorised medical attendant of those Government servants whose pay is Rs. 300 or more per month whether their appointments are Gazetted or not. The Assistant Surgeon of Gardanibagh should, however also attend and officers whose pay is Rs. 300 or more per month if sent for by them provided that the officers reside in New Capital and to the west of the Patna railway station. The Assistant Surgeon of Gardanibagh assisted by the Second Medical Officer under hi

Section 3

4. For places where there is no Civil Surgeon, Assistant Surgeon, or Sub Assistant Surgeon, "Appointed Medical Officers" should be as laid down in Rules 6 and 12 of these Rules.

Section 4

3. Title of Government servants in superior service to medical attendance at their own residence.

Section 3

2. The question of treating a Government servant at his residence has been very carefully considered. There are often instances where much needed accommodation could not be provided for patient in hospitals. In such case, the case may be treated by the authorised medical attendant at the Government servant's house. The authorised medical attendant must produce a certificate from the Superintendent of the hospital that no accommodation was available in the hospital. At the same time it should be

Section 2

3. If a Government servant falls ill in his quarters and is attended to by his authorised medical attendant he should get free supply of medicines provided that officer is not advised by his authorised medical attendant to get himself admitted to the hospital in which accommodation is available.

Section 3

4. The provisions of Notes 5, 6, 8 and 9 appended to Rule 1 above apply also to the free medical attendance at residence authorised in Rule 3.

Section 1

10. Payment of fee by Government to provide medical practitioners when called in emergency owing to no Government medical officer being available.

Section 10

11. Government servant not entitled to reimbursement of fees paid to private medical practitioners or the cost of medicines purchased privately.

Section 11

12. Medical officer of the nearest hospital to attend a Government servant.

Section 12

13. Liability of a Government servant to pay fees if he knowingly calls in a medical officer other than the appointed medical officer.

Section 13

1. The Government servants and their families will receive in the Corporation Hospital, the same facilities of free treatment at the out patient Department as given to the Corporation employees.

Section 1

2. As all the beds in the Corporation Hospital are chargeable, there being no general ward, the employees of the State Government and their families would be admitted in the Corporation Hospital at Tilaiya subject to availability of beds in the same way as the Corporation employees are treated.

Section 2

3. The employees of the State Government will pay the usual charges including Medical Officers' fees at the rate prescribed for State Government servants when admitted in the Paying Wards' if any, the Tilaiya Hospital. The fees will be deposited with the Accounts Officer of the Camp concerned.

Section 3

4. The employees of the State Government will pay fees to the Medical Officers of the Corporation when called at their residence at the rates prescribed in Government letter No. 3302 H. dated the 4th February, 1954 (copy enclosed).

Section 4

5. The Medical Officer of the Corporation will be the authorised medical attendant for the Government employees and their families stationed at Tilaiya, The Government servants will get re-imbursement of the cost of medicines, prescribed or for fess paid to the Corporation Medical Officer, on production of a certificate in the prescribed form (copy enclosed) from the authorised Medical attendant. All vouchers etc., should accompany the certificate of claim.

Section 5

6. The employees of the State Government stationed at Tilaiya are entitled to free medical attendance and treatment both at their residence and at the Corporation Hospital, but their families are entitled to free medical attendance and free treatment at Government cost only at the Corporation Hospital, Tilaiya.

Section 6

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    "slug": "medical-attendance-rules",
    "title": "Medical Attendance Rules",
    "short_title": "Medical Attendance Rules",
    "act_number": "",
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    "act_type": "STATE",
    "location": "Bihar",
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    "description": "Medical Attendance Rules",
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    "section_label": "Section",
    "sections": [
        {
            "number": "1",
            "title": "1. Title of Government servant to free medical attendance and free supply of medicine.",
            "chapter": null,
            "content": "Note 1. - Every person employed under the Court of Wards, who is appointed by Government but is paid from the Wards Estate, shall be entitled to receive free medical attendance any medicines in those cases only in which the service counts for pension under the Civil Service Regulations. Road Cess Officers are also entitled to gratuitous medical attendance and medicine. This note is applicable to only those employees of the Court of Wards who are Government servants in Foreign Service under the Court of Wards.\n(Board of Revenue letter no. 20-360-2, dated the 28th March, 1941)",
            "footnote": "",
            "is_definition": false,
            "sort_order": 0
        },
        {
            "number": "2",
            "title": "2. A Government servant on foreign service, who has no medical officer provided by his foreign employer, is entitled, in accordance with his status, to the services of the Government medical officer of the station in or near which he is employed. A Government officer of Gazetted Rank employed on foreign service who is not provided by his employer with a medical attendant of Gazetted Rank, shall be entitled to the same concession.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 1
        },
        {
            "number": "3",
            "title": "3. When a Government servant has been admitted to a hospital or dispensary as an outdoor or indoor patient, he should be provided with all requisite medicines which are considered essential. Nursing may also be made available as far as possible within the resources of the hospital. It is the duty of the hospital or dispensary to supply the required drugs and medicines and there should be no occasion for the Government servant to himself purchase any medicine while admitted as an indoor patient, ",
            "chapter": null,
            "content": "(Local self-Government Department letter No. 15265-Meal.... dated the 11th December, 1950)",
            "footnote": "",
            "is_definition": false,
            "sort_order": 2
        },
        {
            "number": "4",
            "title": "4. Dental treatment is not included in medical treatment.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 3
        },
        {
            "number": "5",
            "title": "5. Free medical attendance includes the obligation to give such special treatment or treatments by specialist as is available in Government institutions without charge subject to the following restrictions:",
            "chapter": null,
            "content": "(a) Consultation with specialist and special treatment should be carried out as far as possible during the official duty hours though exceptions may be permitted in emergency.\n(b) Specialist should not ordinarily be called from their own station but the patients should go to the specialist.\n(c) All requisition for special treatments by specialist should ordinarily be countersigned or sent by the Civil Surgeon and no Assistant Surgeon or Sub-Assistant Surgeon should send any requisition for special treat or treatments by specialist to the specialist concerned direct.\n(Local Self-Government Department letter No. 343-L. S. G. R. dated the 12th May, 1928)",
            "footnote": "",
            "is_definition": false,
            "sort_order": 4
        },
        {
            "number": "6",
            "title": "6. The word \"specialist\" in Note 5 above means specialists, who have been recognised by Government as such either by special positing or by the grant of special allowance, e.g., the Professor of Surgery or a Civil Surgeon who has been given special allowance for doing X-ray duties or an Assistant Surgeon placed under the special charge of X-ray or Radium treatment, But the medical officer who has specialised at his own cost. Eye, Nose and Throat work but who has not been appointed to special kno",
            "chapter": null,
            "content": "Local Self-Government Department letter No. 343-L. S. G. R. dated the 12th May 1928).",
            "footnote": "",
            "is_definition": false,
            "sort_order": 5
        },
        {
            "number": "7",
            "title": "7. For the purpose of countersigning or sending recommendations for free pathological tests or X -ray examinations, the Professors of Surgery, Medicine and Gynaecology have been placed on the same footing as the Civil Surgeon and they are entitled to countersign or send requisitions for free pathological tests or X-ray examinations without any reference to the Civil Surgeon subject to one of the two following conditions being fulfilled:-",
            "chapter": null,
            "content": "(a) That the Government servant consults the Professors of Surgery, Medicine or Gynaecology as the case may be on the recommendation of the Civil Surgeon in accordance with the instructions contained in Note 5 above.\n(b) Where the Government servant consults the Professor direct and not through the Civil Surgeon, free treatment by the Pathological or X-Ray Departments will be given only if the Professors of Surgery, Medicine or Gynaecology as the case may be is himself treating the Government servant free.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 6
        },
        {
            "number": "8",
            "title": "8. All the doctors of the Patna Medical College Hospital who have beds in the hospital are authorised to countersign any requisition for free investigation by the Pathological Department on the Patna Medical College without any reference to the Civil Surgeon subject to the conditions (a) and (b) specified in Note 7 above.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 7
        },
        {
            "number": "9",
            "title": "9. Retired pensioners are not treated as Government servants for the purpose of these rules and instructions but re-employed pensioners are treated as Government servants.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 8
        },
        {
            "number": "10",
            "title": "10. The facility of free medical attendance and treatment at hospital as allowed to Government servants has also been extended to the Government servants, families (vide Appendix 1).",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 9
        },
        {
            "number": "11",
            "title": "11. The rules for the classification and charges for Government servants and their families admitted as patients in the different categories in paying wards in Government hospitals are as given in Appendix 11.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 10
        },
        {
            "number": "3",
            "title": "12. Government servants being treated at their residences are also entitled to the free supply of medicines under certain circumstances for which attention is invited to Notes 2 and 3 under Rule 3.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 11
        },
        {
            "number": "2",
            "title": "2. Classification of Government servants for the purpose of medical attendance by Civil Surgeon, Assistant Surgeon and Sub-Assistant Surgeon.",
            "chapter": null,
            "content": "Class.\nEntitled persons.\nAppointed Medical Officers.\nA.\nOfficers of Government whose monthly pay as defined in the\n\t\t\t\t\tBihar and Orissa Service Code, is not less than Rs. 300 whether\n\t\t\t\t\ttheir appointments are Gazetted or not.\nCivil Surgeon\nB.\nOfficers of Government whose monthly pay is less than Rs.\n\t\t\t\t\t300.\nAssistant Surgeon or failing an officer of this rank,\n\t\t\t\t\tSub-Assistant Surgeon.\nC.\nAll lady members of the State Services Grades I, II and III.\nGovernment lady doctors attached to the hospitals situated at\n\t\t\t\t\tthe place of postings and failing that Government lady doctors\n\t\t\t\t\tattached to the nearest hospital or an Assistant Surgeon or\n\t\t\t\t\tSub-Assistant Surgeon of the nearest hospital. [O. added by No.\n\t\t\t\t\t14818 Medl. dated 20.10.1951] .\nNote 1. - A Sub-divisional Officer should ordinarily consult the Sub-divisional Medical Officer for his ailments but when he is seriously ill he may call in the Civil Surgeon. This privilege should always be exercised with proper discrimination and should not be abused. Before the Civil Surgeon is called in the local medical officer should be consulted as to the desirability of such a course.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 12
        },
        {
            "number": "2",
            "title": "2. The following officers though not included in class A are entitled to attendance by the Civil Surgeon:",
            "chapter": null,
            "content": "(1) Junior Executive Officers and Engineers of the Royal Indian Marine Department when they are required to be treated on shore\n(2) Postmaster at Sadr, stations.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 13
        },
        {
            "number": "3",
            "title": "3. For Patna, the Civil Surgeon is the authorised medical attendant of those Government servants whose pay is Rs. 300 or more per month whether their appointments are Gazetted or not. The Assistant Surgeon of Gardanibagh should, however also attend and officers whose pay is Rs. 300 or more per month if sent for by them provided that the officers reside in New Capital and to the west of the Patna railway station. The Assistant Surgeon of Gardanibagh assisted by the Second Medical Officer under hi",
            "chapter": null,
            "content": "(Deputy Inspector-General, Civil Hospitals' Letter No. 3004, dated the 16th February 1951 and Inspector-General, Civil Hospital' memo no. 10308, dated the 10th June, 1949).\n(Deputy Inspector-General, Civil Hospitals' Letter No. 3004, dated the 16th February 1951 and Inspector-General, Civil Hospital' memo no. 10308, dated the 10th June, 1949).",
            "footnote": "",
            "is_definition": false,
            "sort_order": 14
        },
        {
            "number": "4",
            "title": "4. For places where there is no Civil Surgeon, Assistant Surgeon, or Sub Assistant Surgeon, \"Appointed Medical Officers\" should be as laid down in Rules 6 and 12 of these Rules.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 15
        },
        {
            "number": "3",
            "title": "3. Title of Government servants in superior service to medical attendance at their own residence.",
            "chapter": null,
            "content": "Note 1. - The attendance or residence authorised in this Rules relates to attendance by appointed medical officers only as defined in these Rules or similar rules framed hereafter.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 16
        },
        {
            "number": "2",
            "title": "2. The question of treating a Government servant at his residence has been very carefully considered. There are often instances where much needed accommodation could not be provided for patient in hospitals. In such case, the case may be treated by the authorised medical attendant at the Government servant's house. The authorised medical attendant must produce a certificate from the Superintendent of the hospital that no accommodation was available in the hospital. At the same time it should be ",
            "chapter": null,
            "content": "(Local Self-Government Department letter No. 15265-Medl. dated the 11th December, 1950).",
            "footnote": "",
            "is_definition": false,
            "sort_order": 17
        },
        {
            "number": "3",
            "title": "3. If a Government servant falls ill in his quarters and is attended to by his authorised medical attendant he should get free supply of medicines provided that officer is not advised by his authorised medical attendant to get himself admitted to the hospital in which accommodation is available.",
            "chapter": null,
            "content": "(Local Self-Government Department letter No, 15265-Medl. dated the 11th December 1950)",
            "footnote": "",
            "is_definition": false,
            "sort_order": 18
        },
        {
            "number": "1",
            "title": "4. The provisions of Notes 5, 6, 8 and 9 appended to Rule 1 above apply also to the free medical attendance at residence authorised in Rule 3.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 19
        },
        {
            "number": "4",
            "title": "4. Title of officers in inferior service of medical attendance.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 20
        },
        {
            "number": "5",
            "title": "5. Civil Surgeon to see a Government servant when recommended by the subordinate medical attendant.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 21
        },
        {
            "number": "6",
            "title": "6. Title of Government servants to free medical attendance by L.B. Drs.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 22
        },
        {
            "number": "7",
            "title": "7. Part time officers not entitled to free medical attendance.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 23
        },
        {
            "number": "8",
            "title": "8. Every medical officer to attend a risk call in case of emergency.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 24
        },
        {
            "number": "9",
            "title": "9. Consultation with specialist.",
            "chapter": null,
            "content": "A.\n(a) to send the patient with the provisional permission of the controlling officer of the patient, if such permission can be obtained without risk to the patient, to another medical officer or to a specialist or to the nearest Government hospital providing special treatments where in his opinion medical attendance is absolutely required for the patient; or\n(b) if the patient is too ill to travel, to obtain the aid of the other medical officer or of the specialist for the purpose of consultation by moving the Inspector-General of Civil Hospital to depute the other medical Officer or the specialist. The Inspector-General of Civil Hospital, shall pay due regard alike to the interest of the patient and of general public.\nNote. - In case of special urgency the authorised medical attendant may however, call in the other medical officer or the specialist in anticipation of orders from the Civil Surgeon or the Inspector-General of Civil Hospitals to whom the action taken should be reported without delay.\nB.\n(a) the patient shall be entitled to travelling allowance for the journey to and from such headquarters or the hospital; or\n(b) if the patient is too ill to travel, the authorised medical attendant shall be entitled to travelling allowance for the journey to and from the place where the patient is-",
            "footnote": "",
            "is_definition": false,
            "sort_order": 25
        },
        {
            "number": "10",
            "title": "10. Payment of fee by Government to provide medical practitioners when called in emergency owing to no Government medical officer being available.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 26
        },
        {
            "number": "11",
            "title": "11. Government servant not entitled to reimbursement of fees paid to private medical practitioners or the cost of medicines purchased privately.",
            "chapter": null,
            "content": "Note. - This Rule has been liberalised by the issue of Local Self-Government Department letter No. 1563 Medl. dated the 11th December. 1950, which has been incorporated in Note 3 to Rule 1 above and Notes 2 and 3 to Rule 3 above. Under these instructions there should be no occasion for Government servant to purchase any medicines while admitted as indoor or outdoor patients of the hospital or dispensary or if they are treated at their residences by the authorised medical attendant who does not advise him to get admitted to the hospital in which accommodation is available.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 27
        },
        {
            "number": "12",
            "title": "12. Medical officer of the nearest hospital to attend a Government servant.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 28
        },
        {
            "number": "13",
            "title": "13. Liability of a Government servant to pay fees if he knowingly calls in a medical officer other than the appointed medical officer.",
            "chapter": null,
            "content": "(b) If an officer at the headquarters of a district entitled to the service of the Civil Surgeon calls in with the cognizance of the Civil Surgeon, the Assistant Surgeon he shall be liable to pay the latter, a fee only if he was warned at the outset of his liability\nNote 1. The medical officer will not be entitled to any fee if he is detained by the Civil Surgeon to attend person entitled to the service of the Civil Surgeon on account of the latter's inability to attend, or he is taken as an assistant either in a surgical or medical case.\nNote 2. When an Assistant Surgeon, is in charge of the station during the absence of the Civil Surgeon, he is not entitled to demand any fee for attending any officials who are entitled to the services of the Civil Surgeon. .",
            "footnote": "",
            "is_definition": false,
            "sort_order": 29
        },
        {
            "number": "14",
            "title": "14. Families of Government servants not entitled to free medical attendance.",
            "chapter": null,
            "content": "Families of officers of the military Department entitled\n\t\t\t\tMilitary to free medical attendance.\nException - Families of the following classes of\n\t\t\t\tofficers belonging to the  Department:-\nException\n(a) Military officers (but not those in civil employment).\n(b) Officers of the Royal Indian Marine Department.\n(c) Cantonment Magistrates.\n(d) Cantonment Chaplains.\n(e) Warrant Officers including those of the Royal Indian Marine,\n(f) Army School Masters and School Mistresses.\n(g) Non-Commissioned Officers and men in military employ, other than purely regimental.\n(h) Non-Gazetted Officer and subordinates of the Indian Ordinance Department,\n(i) Civilian staff of army headquarters and those of Army Divisional Brigade, or Station Staff Officers.\n(j) European pensioners of the Indian Military Service including retired departmental officers with honorary rank and Warrant Officers, not employed by, or in receipt of a pension or gratuity from, the Civil Department.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 30
        },
        {
            "number": "15",
            "title": "15. Fees for medical attendance on families to be settled before hand.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 31
        },
        {
            "number": "16",
            "title": "16. Medical attendance on Indian Chiefs, noble or gentlemen of high position.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 32
        },
        {
            "number": "17",
            "title": "17. Travelling allowance for journey to obtain medical treatment.",
            "chapter": null,
            "content": "(a) to travelling allowance for a journey-\n(i) for attendance by a Dentist or Oculist; or\n(ii) outside the Province; or\n(b) to reimbursement of cost incurred in respect of medical services obtained by him or to travelling allowance for any journey performed by him otherwise than as expressly provided in the Bihar Set vice Code.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 33
        },
        {
            "number": "18",
            "title": "18. Countersignature of certificates for travelling allowance purpose by the Administrative Medical Officer.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 34
        },
        {
            "number": "19",
            "title": "19. Patient attending at hospital to receive advice and medicines free of charge.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 35
        },
        {
            "number": "20",
            "title": "20. Prohibition of accepting fee, gift or reward from a patient in a Hospital.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 36
        },
        {
            "number": "21",
            "title": "21. Pensioners not entitled to free medical attendance.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 37
        },
        {
            "number": "22",
            "title": "22. Employees of local bodies not entitled to free medical attendance by Government medical officer.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 38
        },
        {
            "number": "23",
            "title": "23. Medical attendance on disqualified proprietors of encumbered estates or under the management of the Court of Wards.",
            "chapter": null,
            "content": "(1) Rupees sixteen per visit for the Civil Surgeon and Rs. 4 per visit for the Assistant Surgeon for attendance in the attendance at headquarters;\n(2) Rupees fifty per visit for the Civil Surgeon and Rs. 25 per visit for the Assistant Surgeon for attendance in the mufassil within 10 Miles of headquarters;\n(3) Rupees one hundred per visit for the Civil Surgeon and Rs. 50 per visit for the Assistant Surgeon for attendance in the mufassil beyond a distance of 10 miles from headquarters;\n(4) A Civil Surgeon or an Assistant Surgeon shall also be entitled to travelling allowance for journeys beyond headquarters according to the Bihar Service Code.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 39
        },
        {
            "number": "24",
            "title": "24. Medical attendance on military personnel by civil medical officer free of charge.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 40
        },
        {
            "number": "25",
            "title": "25. Concession regarding medical treatment to Government servants of other Province.",
            "chapter": null,
            "content": "26.\n,sls mipkj vkSj bykt tks bl fu;ekoyh }kjk izkf/kd`r ugha gS dks fj;k;r nsus dh jkT; ljdkj dh 'kfDr %& bl fu;ekoyhg esa fdlh ckr ds gksrs gq, Hkh jkT; ljdkj dks ;g 'kfDr gS fd og fdlh Hkh O;fDr dks] tks bl fu;ekoyh ds v/khu mipkj ;k bykt ds fy, izkf/kd`r ugha gSa] mipkj vkSj bykt dh lqfo/kk iznku djsaA la[;k\n,e0&\n}kjk vUr% LFkkfirA\nAppendix I\nInstructions for free medical attendance and treatment of families of Government servants at the hospitals.\nInstructions for free medical attendance and treatment of families of Government servants at the hospitals.\n(I)\n(I)\nSubject.\nCopy of the Letter No. 2149 A.dated 21.1.1958.\nSubject-Recognition of the Health Centres for the purpose of medical attendance and treatment of Government servants and their families.\nSubject.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 41
        },
        {
            "number": "1",
            "title": "1. The Government servants and their families will receive in the Corporation Hospital, the same facilities of free treatment at the out patient Department as given to the Corporation employees.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 42
        },
        {
            "number": "2",
            "title": "2. As all the beds in the Corporation Hospital are chargeable, there being no general ward, the employees of the State Government and their families would be admitted in the Corporation Hospital at Tilaiya subject to availability of beds in the same way as the Corporation employees are treated.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 43
        },
        {
            "number": "3",
            "title": "3. The employees of the State Government will pay the usual charges including Medical Officers' fees at the rate prescribed for State Government servants when admitted in the Paying Wards' if any, the Tilaiya Hospital. The fees will be deposited with the Accounts Officer of the Camp concerned.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 44
        },
        {
            "number": "4",
            "title": "4. The employees of the State Government will pay fees to the Medical Officers of the Corporation when called at their residence at the rates prescribed in Government letter No. 3302 H. dated the 4th February, 1954 (copy enclosed).",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 45
        },
        {
            "number": "5",
            "title": "5. The Medical Officer of the Corporation will be the authorised medical attendant for the Government employees and their families stationed at Tilaiya, The Government servants will get re-imbursement of the cost of medicines, prescribed or for fess paid to the Corporation Medical Officer, on production of a certificate in the prescribed form (copy enclosed) from the authorised Medical attendant. All vouchers etc., should accompany the certificate of claim.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 46
        },
        {
            "number": "6",
            "title": "6. The employees of the State Government stationed at Tilaiya are entitled to free medical attendance and treatment both at their residence and at the Corporation Hospital, but their families are entitled to free medical attendance and free treatment at Government cost only at the Corporation Hospital, Tilaiya.",
            "chapter": null,
            "content": "Copy of letter no. F. 12 (6) W/II/45 dated the 19th April, 1945, from the Deputy Secretary to the Government of India, Finance Department, New Delhi, to the Chief Secretaries of all Provincial Governments.\nSubject:-\nSubject.\nSubject. - Free medical attendance and treatment of the families of the Government servants and members of the Legislature of the State of Bihar.\nAppendix II\nAppendix II\nRules for the classification and charges for patients admitted to different categories of Paying Wards in Government hospitals in Bihar\nRules for the classification and charges for patients admitted to different categories of Paying Wards in Government hospitals in Bihar\nClassification\n(a) Accommodation.\n(b) Daily attendance by the attending physicians or Surgeons.\n(c) Ordinary Nursing.\n(d) Special Diet.\n(e) Ordinary Drugs and dressing available in the hospital.\n(f) All pathological, X-Ray and other diagnostic service.\n(a) Attending Physicians or Surgeons for daily visit-Rs. 2.50.\n(b) For each Pathological examination-half the fees prescribed for each Pathological examination from private paying case.\n(c) X-Ray-Rs. 3.75 Paise per diagnostic examination.\n(d) Electro Cardiograph-3.50 Paise for one complete examination.\nAppendix III\nAppendix III\nRules regarding fees to be charged by Maternity Supervisor, Patna\nRules regarding fees to be charged by Maternity Supervisor, Patna\nNote. - There is a Maternity Supervisor posted at the Patna Medical College Hospital to attend to maternity cases of Government servants and the members of the public. Under the Rules framed by Government, Government servants may avail of the services of the Maternity Supervisor without payment of fees. They can also obtain free of cost an ambulance car which has been placed under the disposal of the Maternity Supervisor for transporting maternity cases to and from the hospital. The Rules on the subject are reproduced below.\n(1) When the Maternity Supervisor visits Labour case as a consultant to a midwife for rendering necessary advice and guidance in difficult cases, no fees should be charged.\n(2) A call should be regarded as a private call when the party approaches the Maternity Supervisor direct for domiciliary service. In such case the following fee should be charged:-\n(i) A fee of Rs. 4 only for an ordinary visit.\n(ii) A fee of Rs. 30 (Rupees thirty only) when the Maternity Supervisor actually conducts a labour cases under her personal supervision. This should include three free visits during the first week of confinement.\nAppendix IV\nRules regarding Anti-Rabic Treatment\nRules regarding Anti-Rabic Treatment\nRules--Regarding the Grant of concessions to Government Servants and Indigent person in Bihar proceeding to the Pasteur Institute at Patna or the nearest station where anti-rabic treatment is available.\nGovernment servants\n(i) All Government servants irrespective of the pay drawn by them may be granted-\nConcession A.\n(ii) Government servants drawing not less than Rs. 100 and not more than Rs. 500 may be granted the following two concessions (B and C) in addition to the concession A above:-\nConcession B.\nNote. - During the one month's extra leave granted under the concession, the leave-salary of a Government servant in inferior service will not be subject to the usual condition of there being no extra expense to Government. The leave-salary will be equal to pay in accordance with Rule 305 E, Bihar and Orissa Service Code.\nConcession C.\n(iii) Government servants drawing more than Rs. 25 but less than Rs. 100 a month may be given the following concession (D) in addition to the concession A, B and C above:-\nConcession D.\n(iv) Government servants drawing not more than Rs. 25 a month may be given the following two concessions (E) and (F) in addition to the concessions A, B, C and D above:-\nConcession E.\nConcession F.\n3.\n4.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 47
        },
        {
            "number": "5",
            "title": "5. Families of Government servants.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 48
        },
        {
            "number": "6",
            "title": "6. Persons unconnected with the public service.",
            "chapter": null,
            "content": "(a) Single third class fare by rail and the actual expenses of journey by road, boat or steamer to Patna or other treatment centre and back.\n(b) Daily allowance at the following rates. - European and Anglo-Indians Rs. I during the journey and Rs. 2.50 Paise during treatment, Indians 25 Paise during the journey and 25 Paise during treatment.\n(c) Indigent persons including women, children under 16 years of age, and men who are, by reason of age or other sufficient cause incapable of travelling alone may be allowed one attendant to accompany them to the institute or treatment centres except in special cases, e.g. when the patient is a child unable to travel without the mother or other women in charge who also requires an attendant or when the patient is a woman and in addition to one attendant is compelled to take one or more children with her. More than one attendant may be allowed, the cost being borne by the fund to which the charges on account of the patient are debited. Such attendant or attendants may be granted the travelling expenses and daily allowance at the rate sanctioned for the patients and also wages not exceeding 25 Paise a day, in cases where the despatching officer is satisfied that the patient is unable to pay.\nNote-The daily allowance under Clauses (b) and (c) above will be paid at the rate of 37 Paise a day for the duration of the war.\n7.",
            "footnote": "",
            "is_definition": false,
            "sort_order": 49
        },
        {
            "number": "8",
            "title": "8. Power to grant concessions.",
            "chapter": null,
            "content": "Department\nDesignation of Officer.\nEmpowered to grant concessions in respect of-\nRemarks\n1.\nGeneral Administration\nGovernment servants not below the rank of Sub-divisional\n\t\t\t\t\tOfficers including the officer left in charge at headquarters\n\t\t\t\t\tduring the absence of the Sub-divisional Officer on tour.\nGovernment servants and indigent persons unconnected with\n\t\t\t\t\tpublic service.\n2.\nMedical..\nMedical officer in charge of a subdivision who is not below\n\t\t\t\t\tthe rank of an Assistant Surgeon.\nDitto\n3.\nAgriculture Department.\nDirector of Agricultural Institute, Pusa. Deputy Director of\n\t\t\t\t\tAgriculture. Assistant Directors of Agriculture, Farm Managers.\nOwn sub-ordinates only\n4.\nSettlement Department.\nSettlement officers and Civil Assistant Settlement officers\n\t\t\t\t\tin Bihar and Chota Nagpur.\nDitto\n5.\nForest Department.\nForest officers in charge of divisions.\nDitto\n6.\nPublic Works Department.\nPublic Works Department Sub-divisional officers.\nDitto\n7.\nPolice Department.\nSuperintendents of Police and Assistant Superintendents of\n\t\t\t\t\tPolice.\nDitto\n8.\nBengal Nagpur Railway.\nAll Gazetted Officers.\nIndigent persons only.\n9.\nSecretariat..\nUnder-Secretaries and Assistant Secretaries.\nOwn subordinates only.\n10.\nHeads of Departments.\nAll Gazetted Officers.\nDitto\n9.\nAppendix V\nAppendix V\nMiscellaneous provision relating to Government Servants",
            "footnote": "",
            "is_definition": false,
            "sort_order": 50
        },
        {
            "number": "1",
            "title": "1. Medical attendance outside the State.",
            "chapter": null,
            "content": "(a) When a servant of the State Government falls ill in another State while he is on duty (or on foreign service) there, or while he is passing through that State on duty, on charge should be made either by the Government of State or by the Medical Officer for medical treatment or attendance at a Government Hospital.\n(b) The usual charges should be levied (both by the attending medical officer and by the State Government) in case a servant of the State Government falls ill and requires treatment while he is on leave in another State.\n(c) No charge should be made for medical examination of Government Servants of this State for purpose for any extension of leave, ascertaining and invalidating from Government Service:",
            "footnote": "",
            "is_definition": false,
            "sort_order": 51
        },
        {
            "number": "2",
            "title": "2. Appearance before the Medical Board etc.",
            "chapter": null,
            "content": "",
            "footnote": "",
            "is_definition": false,
            "sort_order": 52
        },
        {
            "number": "3",
            "title": "3. Facilities for treatment of Tuberculosis.",
            "chapter": null,
            "content": "(a) the leave will be admissible to those who contract tuberculosis and undergo treatment in a recognised Sanatorium:\n(b) the post for which the Government Servant proceeds on leave is likely to last till his return to duty;\n(c) the extraordinary leave shall be granted subject to the production of a certificate from the medical officer in charge of the Sanatorium specifying the period for which leave is recommended;\n(d) the Medical Officer in recommending leave shall consider whether the Government Servant has reasonable prospect of returning to duty; and\n(e) the concession of extraordinary leave up to twenty months will be admissible also to temporary Government Servants suffering from tuberculosis of bones or joints on the production of certificate by a qualified T. B. specialist or a Civil Surgeon.\nAppendix VI\nAppendix VI\n(1)\n(1)\nSubject-Gratuitous medical attendance on Hon'ble Ministers, Parliamentary Secretaries and their families.\nSubject:-Payment of fees for specialist treatment of Government servant at non-Government Institutions.\nSubject:-Extension of the scope of Medical concession at present provided for Government servants and their families.\nSubject:-Facilities and concessions in respect of medical attendance and supply of medicines and of accommodation in hospitals admissible to the Speaker, Deputy Speaker, Chairman and the Deputy Chairman and their families.\n(2)\n(2)\nSubject. - Grant of free medical attendance and pathological service to members of the Bihar Legislature.\nSubject. - Grant of free medical attendance to members of the Bihar Legislature.\nSubject. - Grant of free medical attendance to members of the Bihar Legislature.\nSubject. - Free medical attendance and treatment to the families of the Government servant and members of the Legislature of the State of Bihar.\nSubject. - Provision of free medical attendance to District Engineers.\nComments-\nSubject. - Accounting procedure for grant of medical attendance and supply of medicines to Government Servants of the State of Bihar.\n(i) to a hospital or dispensary where the person concerned has been treated; and\n(ii) to the Government Servant concerned on the production of a certificate from the authorised medical attendance that the cost has been incurred by him.\nRe-Imbursement Certificate\nSignature and designation of the authorised Medical Attendant\n............Hospital Dispensary\nName of Medicine\nQuantity\nPrice.\nCountersigned\nCivil Surgeon..........District D. H. S., Bihar\nDated.........................",
            "footnote": "",
            "is_definition": false,
            "sort_order": 53
        }
    ],
    "metadata": {
        "Act ID": "bh439",
        "Act Number": "",
        "Enactment Date": "",
        "Act Year": "",
        "Short Title": "Medical Attendance Rules",
        "Type": "STATE",
        "Location": "Bihar"
    },
    "updated_at": "2026-09-29 21:55:19"
}