KARNATAKA GOVERNMENT SERVANTS’(MEDICAL ATTENDANCE) RULES, 1963

ವಿ.ಸೂ : ಇಲ್ಲಿ ಪಡೆಯುವ ಮಾಹಿತಿಗೆ ನೀವು ಲಂಚ ಕೊಡಬೇಕಾಗಿಲ್ಲ. ಕೊನೇಪಕ್ಷ ಕಾಮೆಂಟ್ /ಸಲಹೆ /ರೇಟಿಂಗ್  ಕೊಡೊ ಸೌಜನ್ಯವನ್ನಾದರೂ ತೋರಿಸಿ. ಈ ಮಾಹಿತಿ ಉಪಯುಕ್ತವೇ ಎಂಬ ಬಗ್ಗೆ ಲೇಖನದ ಕೊನೆಯಲ್ಲಿರುವ ಚೆಕ್ ಬಾಕ್ಷ್ ನಲ್ಲಿ ಕ್ಲಿಕ್ ಮಾಡಿ


GOVERNMENT OF KARNATAKA

Department of Personnel and Administrative Reforms

KARNATAKA GOVERNMENT SERVANTS'(MEDICAL ATTENDANCE) RULES, 1963

Notification No. GAD 7 OMR 63, dated 25th March 1963

In exercise of the powers conferred by the proviso to Article 309 of the
Constitution and in supersession of the Karnataka Government Servants' (Medical Attendance) Rules 1957, the Governor of Karnataka hereby makes the following rules, namely:-

Preliminary

1. Title:- These Rules may be called the Karnataka Government Servants' (Medical Attendance) Rules. 1963.

1[2. Application:- (1) These Rules shall apply to the Government Servants including the members of their family

Explanation:- For the purpose of this rules, "family" means,

(i) the wife or husband of the Government Servant,

(ii) the father and mother (including step-mother) if they ordinarily reside with the Government Servant and their total monthly income does not exceed four thousand rupees; and

(iii) children including adopted children and step children, of a Government Servant who are wholly dependent on such Government servant.] 1
1 Substituted in Notification No. DPAR 2 SMR 2005 dated 2nd September 2005

3. Definitions:- In these Rules, unless the context otherwise requires:

(a) "authorised medical attendant" means:

2[(i) a medical officer who is a Gazetted Government servant working in a Government hospital or Government Medical Institution] 2;
2 Substituted in Notification No.GAD 3 SMR 71 dated 15th July 1971



1[(ii) in the case of the following Government servants, the Government servant himself viz.-the Director of 3[Health and Family Welfare Services]3 the Joint Directors, the Deputy Directors and the Assistant Directors of Directorate of 3[Health and Family Welfare Services]3, the Superintendents of major hospitals, 2[the District Surgeons, the Chemical Examiner]2, the District Health and Family Welfare Officers and Medical Officers stationed in places where there are no other Medical Officers] 1;
1 Substituted in Notification No.GAD 4 SMR 74 dated 29th November 1974
2Substituted in Notification No.GAD 2 SMR 76 dated 18th June 1976
3Substituted in Notification No.DPAR 1 SMR 78 dated 21st September 1983
4[(iii) in the case of Government servants working in or outside Taluk Headquarters, Medical Officers, Gazetted or Non-Gazetted in charge of Local Fund Dispensaries and Primary Health Units of Centres of the place where the Government Servant is working;
(iv) in the case of Government servants working in or outside Taluk Headquarters where no Government Medical Officers are appointed, Medical Officers of the Local Fund Dispensaries in the place run by Taluk Boards or Village Panchayats]4.
4 Substituted in Notification No.GAD 10 OMR 64 dated 5th September 1964

5[Note 1 to 4]5
5Omitted in Notification No.GAD 3 SMR 69, dated 9th February 1971
(v) in the case of Government servants suffering from Tuberculosis and receiving treatment at the Karnataka Health Institute, Ghataprabha, the Chief Medical Officer of the said Institute.
6[(vi) in the case of Government servants working in the State Government offices located outside the State, Medical Officers, Gazetted or Non-Gazetted in charge of the Government hospitals of the places where such offices are located]6.
6Inserted in Notification No. GAD 2 SMR 73 dated 6th June 1974

7[(vii) in the case of Government servants availing themselves of medical attendance and/or treatment under the 8[Ayurvedic, Unani or Homoeopathic] 8 system of medicine the medical officer in charge of such "Government hospital or Dispensary] 7."
7 Inserted in Notification No. DPAR 4 SMR 77 dated 14th July 1977
8 Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 83

9[(viii) in case of the authorised hospitals or medical institutions specified in Schedule-I registered medical attendant incharge of the respective wing and in case of Diagnostic centres the person in charge of particular wing of the Diagnostic centre]9.

9[(aa) authorised Hospitals and medical institutions means the Hospitals and medical institutions specified in Schedule-I]9.
9 Inserted in Notification No. DPAR 1 SMR 2000 dated 22nd January 2001






(b) "Controlling Officer" for the purposes of claims for reimbursement of expenditure incurred in connection with Medical Attendance means:-


1[(i) in respect of government servants working in the Secretariat, such officer as may be designated by the Chief Secretary and different officers may be designated for different classes of government servants] 1;
1 Substituted in Notification No. DPAR 5 SMR 84 dated 11th June 1985

(ii) the Heads of Departments for the respective departments; and
(iii) the officers who are empowered to countersign T.A.Bills.

(c) "Form" means a form appended to these Rules.

2[(cc) 'Government hospital' or Government medical institution includes a Local Fund Hospital or Dispensary, Primary Health Centre and a Medical Institution or hospital maintained by or 3[under the control of the Central Government, a Corporation, a Municipality, a Taluk Board or a Panchayat]2 and the National Institute of Mental Health and Neuro Sciences, Bangalore]3, 4[Kidwai Memorial Institute of Oncology, Bangalore]4, 5[the Karnataka Cancer Therapy and Research Institute, Hubli and the Kuduremukh Hospital, Kuduremukh, Chikmagalur]5, 6[Sanjay Gandhi Accidents and Rehabilitation Complex, Bangalore, Sri Jayadeva Institute of Cardiolgy, Bangalore, 7[Indira Gandhi Institute of Child Health, South Hospital Complex, DRC Post, Bangalore]7 and other authorised Hospitals and medical Institutions specified in Schedule-I] 6
2 Inserted in Notification No.GAD 3 SMR 71 dated 15th July 1971
3 Substituted in Notification No.GAD 1 SMR 75 dated 17th March 1975
4 Inserted in Notification No.DPAR 5 SMR 80 dated 24th September 1981
5 Substituted in Notification No.DPAR 3 SMR 83 dated 8th May 1984
6 Inserted in Notification No.DPAR 1 SMR 2000 dated 22nd January 2001
7 Inserted in Notification No.DPAR 6 SMR 2004 dated 14th July 2004


8[ Explanation-I:- For purposes of sub-rule (3) of rule 6 'Government Hospital' means a hospital or a dispensary run by the Central Government or a State Government or a Corporation or other local authority within whose jurisdiction the office is located] 8.

8 Inserted in Notification No. GAD 2 SMR 73 dated 6th June 1974 (Renumbered in Notification No. DPAR 3 SMR 98 dated 8th March 2000)



1[Explanation-II:- In respect of Government servants working in the Karnataka Bhavan, at New Delhi, the Medical Attendance received from the doctors or in the clinics and hospitals specified below or in the private hospitals, diagnostic centres etc., recognised under the Central Government Health Scheme, shall be deemed to be medical attendance received in a Government Hospital for the purpose of sub-rule (3) of rule 6, namely:-
(1) Dr.P.N.Kochar, Physician & Authorised Medical Attendant, New Delhi.
(2) Part time Lady Medical Officer (at Karnataka Bhavan).
(3) South Delhi Pathological Clinic.
(4) General Williams Masonic Poly Clinic.
(5) Rama Krishna Mission Free Tuberculosis Clinic.
(6) Dr.Susheel Choudary, Eye Specialist, Cannaught Circus.
(7) M.M.Eyetech (P) Limited.
(8) Dr.Gandhi, Delhi Dental and Orthodentic Clinic.
(9) Dr.Prathima Venkateshwaran, Dental & Orthodentic Clinic.
(10) Sandhu Vasavani Charitable Hospital, Anand Niketan, New Delhi.
(11) Mata Channammadevi Charitable Hospital, Janakapuri, Delhi.
(12) Dr.Vijay Sharma, Dr(Mrs.)Arti Sharma, J-4, Jor Bagh Road, New Delhi.
(13) Sunil Memorial Nursing Home, S.M.Hospital (Approved by Government of Delhi) Rz-13-1/6, Main Road, Palam Colony, New Delhi-110 045.
(14) Dr.Anitha Pal, Dr.Yogendra Pal, Pal Medicare Centre, M-52, Lajpath Nagar-II, New Delhi-2.
(15) Dr.Ashok Kaushik, 110-A, Kamalanagar, Old Delhi-7.
(16) Dr.Grewal, A/2, 179, Jeevan Nagar, Ashram, New Delhi-2 (17) Dr.Kapoor's Clinic & Diagnostic Pathology lab, A1, Ring Road, South
Dr.Ashok Kaushik, 110-A, Kamalanagar, Old Delhi-7] 1.
1 Inserted in Notification No. DPAR 3 SMR 98 dated 8th March 2000
2 [(18) Holy Family Hospital, New Delhi] 2.
2 Inserted in Notification No. DPAR 8 SMR 2001 dated 4th September 2002

(d) "Medical attendance" means:-

(i) in respect of a Government servant Specified in Sub-clause (a),attendance in hospital or at the residence of the Government servant, including such pathological bacteriological, radiological or other methods of examination for the purpose of diagnosis as are available in any Government hospital within the State and are considered necessary by the authorised medical attendant and such consultation with a Specialist in Government employ within the State or other Medical officer similarly in Government employ within the State as the authorised medical attendant certifies to be necessary to such extent and in such manner as the Specialist or Medical Officer may in consultation with the authorised medical attendant, determine;

(ii) in respect of any other Government Servant, attendance at a Government hospital, or in the case of illness which compels the patient to be confined to his residence, at the residence of the Government servant including such methods of examination for purpose of diagnosis, as are available in the nearest Government Hospital and such consultation with a Specialist or other Medical Officer stationed in the district, as the authorised medical attendant certifies to be necessary to such extent and in such manner as the specialist or Medical Officer may in consultation with the authorised medical attendant determine;



(e) "Patient" means a Government servant to whom these rules apply and who has fallen ill;

1[(f) pay means the pay of a Government Servant as defined in rule 8(32) of the K.C.S.RS]1.
1 Substituted in Notification No.DPAR 1 SMR 82 dated 17th July 1982

2[(ff) "Schedule" means the Schedule appended to these rules, the State Government may by notification add, remove or modify the items in the Schedule] 2.
2 Inserted in Notification No. DPAR 1 SMR 2000 dated 22nd January 2001
(g) "Station" means the town or place within the State in which the Government servant falls ill;
(h) "Treatment" means the use of all medical X-ray and surgical facilities available at the Government Hospital in which a Government servant is treated and includes:-
(i) the employment of such pathological, bacteriological, radiological or other methods as are considered necessary by the authorised medical attendant;
(ii) the supply of such medicines, vaccines, sera or other therapeutic substance as are ordinarily available in the hospital;
(iii) the supply of such medicines, vaccines, sera or other therapeutic substances as the authorised medical attendant may certify in writing to be essential for the recovery, or for the prevention of serious deterioration in the condition of the Government servant and which are not ordinarily available with the authorised Medical attendant;
3[(iiia) the supply of such quantity of blood as the authorised medical attendant may certify in writing to be essential for the recovery, or for the prevention of serious deterioration in the condition of the Government servant] 3;
3 Inserted in Notification No.GAD 18 OMR 63 dated 3rd March 1965

Note:- Prescription of expensive drugs, tonics, laxatives or other elegant and proprietary preparations for the use of Government servants and members of their families when drugs of equal therapeutic value are available in the hospitals and dispensaries is prohibited.
(iv) treatment of confinement cases of a Government servant;
(v) such class of accommodation in hospital or sanatoria as specified in column (3) of the Table below, to the Government servant whose 4[pay]4 does not exceed the limit specified in columns (1) and (2) thereof.
4 Substituted in Notification No.DPAR 1 SMR 82 dated 17th July 1982






1[TABLE

Basic Pay as per the 1999 scales of pay Class of accommodation in hospitals or Sanatoria (Rates applicable on per day basis)
1 2
1. All Government/Special Hospitals including Sanatoria.
(1) Not exceeding Rs.2925 General Wards or Rs.30 wards or Rs.50 wards in the case of Vanivilas Hospital, Bangalore, Minto Hospital, Bangalore, Cheluvamba Hospital, Mysore, Vijayanagar Institute of Medical Science, Bellary.
(2) Exceeding Rs.2925 but not exceeding Rs.4450 Rs.30 wards or any wards upto and inclusive of Rs.50 wards.
(3) Exceeding Rs.4450 but not exceeding Rs.7600 Above Rs.50 wards or any wards upto and inclusive of Rs.75 wards.
(4) Exceeding Rs.7600 but not exceeding Rs.9060 Rs.100 wards or any wards just below Rs.150.
(5) Exceeding Rs.9060 Rs.150 wards or any wards above Rs.150.] 1

1 Substituted in Notification No.DPAR 1 SMR 2000 dated 22nd January 2001


(vi) Such nursing as is ordinarily provided to inpatients by the hospital;
Provided that where special nursing becomes necessary, it should be considered on merits and a refund admitted to the extent justified in each case with the special sanction of the Government in the Finance Department.
2[(vii) the specialist consultation specified in clause (d) and diet charges at twenty percent of ward charges are admissible under item (v) in the case of members of the nursing staff of the hospitals and in the case of 3(Government Servants whose monthly pay does not exceed Rs.8200/- in accordance with the K.C.S.(Revised Pay) Rules, 1999]2 ) 3.
2 Substituted in Notification No.DPAR 1 SMR 82 dated 17th July 1982
3 Revised as per KCS (Revised Pay) Rules, 1999


4[(viii) Operation for sterilisation and medical termination of pregnancy made in a hospital established or maintained by Government or a place for the time being approved by the Government under section 4 of the Medical Termination of Pregnancy Act, 1971 (Central Act 34 of 1971)] 4.
4Inserted in Notification No. GAD 1 SMR 76 dated 7th August 1976.






1[3A; 3B:-] 1
1 Omitted in Notification No.GAD 6 SMR 70 dated 11th October 1971.



4. Determination of the Appropriate Medical Attendant:- (1) The authorised medical attendant of a Government servant shall be determined with reference to the place at which he falls ill, whether at his permanent residence or the place of casual stay or the place where he may be spending his leave.


2[(2) For purposes of these rules in medical institutions where there are Gazetted Medical Officers, Honorary Specialists or Medical Officers, Part-time Specialists or Medical Officers and Medical Officers belonging to Class III Service, shall not be treated as authorised medical attendants for any category of Government servants]2.
2Substituted in Notification No.GAD 3 SMR 69 dated 9th February 1971


(3) For purposes of these rules the pay and status of a Government servant under suspension shall be the pay he was drawing and the status he was holding immediately before the date of suspension.


(4) In the case of re-employed: pensioners, the pay they are drawing after re-employment including the pension shall be taken as the basis for purposes of medical attendance and treatment.


3[(5) in the case of Local Fund Medical Institutions and Medical Institutions run by the City of Bangalore Municipal Corporation in Bangalore City or by the Municipalities in other places, the Medical Officers of such Medical Institutions shall, irrespective of their rank be the authorised medical attendants for all categories of Government servants who are treated in such institutions] 3.
3Inserted in Notification No.GAD 3 SMR 69, dated 9th February 1971



5. Special Nursing:- Special nurses shall be engaged only with the approval of the Medical Superintendent of the Hospital concerned when their services are absolutely essential and for the minimum period necessary. For claiming charges in respect of special nursing the Government servant shall produce a Certificate in form 'A'.



PART II

1[6. Treatment outside the state:-

(1) Any Government servant who is at a place outside the State but within the territory of India, either on duty or on deputation may receive medical attendance under these rules in any Government Hospital of the place where he falls ill or if there is no such Government Hospital in an/y other institution recognised by Government from time to time and shall be entitled to recover the costs incurred therefore calculated in accordance with these rules on the production of a certificate from the Medical Officer in charge of such hospital or institution.

(2) Any Government servant who is at a place outside the State but within the territory of India either on leave or during the course of a journey may, if he suddenly falls ill and has to receive urgent medical attendance, get the same in accordance with these rules at the place he falls ill at a Government Hospital or other institution recognised by Government from time to time.

Provided that such Government servant gets himself discharged as soon as he is certified fit to travel and undertake to continue the treatment within the State; and

Provided further that such Medical attendance shall not include consultation of experts outside the State at Government cost for any particular disease] 1.
1 Substituted in Notification No. GAD 5 OMR 63 dated 24th September 1963

2[(3) A Government servant working in the State Government Offices located outside the State may receive medical attendance under these rules in Government hospitals in the places where such offices are located and they shall be entitled to recover the costs incurred therefore on the production of a certificate from the Authorised Medical Attendant] 2.
2 Inserted in Notification GAD 2 SMR 73 dated 6th June 1974


7. Free Medical Treatment:- A Government servant shall be entitled free of charge:-

to treatment :-

(i) (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

3[(b) x x x x x x ] 3
3 Omitted in Notification No.GAD 3 SMR 71 dated 15th July 1971.
(ii) to anti-rabic treatment at the nearest Government hospital providing such treatment.


8. Admission to and treatment in wards:- (1) The patients who under these rules, are eligible for treatment in a particular class of paying or special ward, may get themselves treated in any higher class of ward, by paying the difference in the rates for the two classes of wards.
(2) If at the time of admission there is no vacant bed in a ward of the class to which a patient is entitled or if such a class of ward does not exist, he may be admitted to a ward of the next higher class existing in the hospital, if vacant till such time as a ward of the class to which he is entitled falls vacant, and he should be transferred to such ward at once. For the period that he has had to stay in the next higher class ward, charges at the higher rate will be recovered provided that he will be entitled to a refund of the difference on production of the necessary certificate from the authorised Medical Attendant that the patient was admitted to the higher class of ward due to the non-availability of the class of ward he is entitled.
(3) In cases falling under sub-rule (2) when the ward of the next higher class happens to be ward of the highest class available in the Hospital as for example, the ten rupee ward in the Bowring and Lady Curzon Hospital, Bangalore, two Government servants admitted to that ward may if possible, be accommodated in the room allotted normally for one patient in that ward.
1[Provided that notwithstanding anything contained in these rules the Government Servant and his family shall be eligible for treatment in the wards of the authorized hospitals and medical institutions specified in Schedule-I as per the rates specified in of the Table below:-
TABLE
Range of pay Category of Ward/class of accommodations to which entitled Maximum ward charges/room rent to which entitled
1 2 3
i) Upto Rs.4350 per month General Ward Rs.100/- per day
ii) Rs.4351 to Rs.11840 per month Semi Private Ward Rs.200/- per day
iii) Rs.11841 and above Private Ward Rs.500/- per day] 1
1 Inserted in Notification No.DPAR 1 SMR 2000 dated 22nd January 2001.

9. Production of certificate at the time of Admission:- (1) Government servants belonging to Class III or Class IV of the State Civil Services, shall 2[produce before the Medical Officer a certificate in Form AA signed by the Head of the Office]2 furnishing all particulars about appointment, pay, etc., which are necessary for allocating a ward suitable to their status as well as for purposes of medical charges. In such cases it shall not be necessary to collect 3[the Hospital fees including ward charges]3. When no such certificate is produced, the Government servant should pay the ward charges in the first instance and claim re-imbursement later.
2 Substituted in Notification No.GAD 3 SMR 71 dated 15th July 1971
3 Substituted in Notification No. GAD 23 OMR 64 dated 18th August 1965




(2) When such Government servant is not able to produce the certificate mentioned in sub-rule (1) due to some emergent or unforeseen circumstances, he/she or a member, of his/her family may be admitted to the ward he/she is entitled to on his/her giving a written statement signed by him/her giving the necessary particulars regarding his/her pay, post and office or department. He/she should be required to produce the necessary certificate from the Head of Office within three days of admission failing which the ward charges shall be collected from him/her subject to reimbursement later.
(3) In the case of Government servants Class I and Class II seeking admission to the ward of treatment they shall produce before the Medical Officer a declaration signed by themselves furnishing the required particulars.
(4) The provisions of sub-rules (1) to (3) above shall apply to treatment in general hospitals as well as in special hospitals including Sanatoria.


10. Charges for Medical Attendance:- (1) A Government servant shall be entitled free of charges to medical attendance by the authorized medical attendant. Medical Officers shall not be allowed to charge any fees.
for Government Servants for whom they are appointed medical attendant.
(2) If a Government servant stationed or travelling on duty, or on leave in any place in the territory of India outside the State 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 after obtaining sanction of Government in the Finance Department.
(3) No Government servant will be entitled to any free services by Dentists or Opticians except for eye diseases requiring medical treatment and prescription of glasses and for removal of teeth and supply of dentures.
1[Save as provided in clause (i) and (1) of sub-rule (2) of rule 14, the Government will not bear the cost of spectacles and new dentures] 1
1 Substituted in GAD 4 SMR 71 dated 21st May 1971.

2[xxxxx xxxxx] 2
2 Omitted in Notification No. DPAR 7 SMR 76 dated 16th July 1977
(4) When a Government servant on transfer to a station leaves his family at another or previous station owing to inability to secure residential accommodation at the place to which he is transferred or because his children are in school, members of his family will be eligible for free medical attendance in the station from where the Government servant is transferred so long as his family has to remain there.
(5) No fee shall be charged or be paid by Government servants for the examination of the eyes for prescription of glasses.
(6) No fee shall be charged for sterilisation of instruments used in connection with operations performed on Government servants and their families.





11. Travelling Allowance:- (1) When the place at which the patient falls ill is not the headquarters of the authorised medical attendant:-
(a) the patient shall be entitled to travelling allowance for the journey to and from such headquarters; or
(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 1[where the patient is; or] 1
1Substituted in Notification No. GAD 14 OMR 63 dated 29th February 1964

2[(c) if the patient is unable to travel by himself and the authorised medical attendant certifies to this effect, the person accompanying such patient shall be entitled for the journey to and from such headquarters;
(i) if such person is a Government servant, to draw travelling allowance as for a journey on tour; and
(ii) if such person is not a Government servant, to draw single railway fare of the class to which the patient is entitled or the actual expenses whichever is less or the bus fare, as the case may be] 2.
2Inserted in Notification No. GAD 14 OMR 63 dated 29th February 1964.
(2) Applications for travelling allowance under sub rule (1) shall be accompanied by a certificate in writing by the authorised medical attendant stating that medical attendance was necessary, and if the application is under clause (b) of that sub rule, that the patient was too ill to travel.
3 [11-A. Conveyance Allowance.- Where a journey is undertaken within the same City, Town or other area within the jurisdiction of a municipal body and the distance travelled is more than eight kilometers each way, a Government servant and members of his family shall be entitled to conveyance allowance as indicated below, if it is certified by the authorised medical attendant that it was necessary for the Government servant or a member of his family to travel by a conveyance for purposes of treatment.
(i) if the patient is a Government servant actual conveyance charges limited to mileage allowance without daily allowance as for a journey on tour, and
(ii) if the patient is a member of the family of Government servant, actual conveyance charges limited to half the mileage allowance without daily allowance as for a journey on tour] 3.
3 Inserted in Notification No. GAD 4 SMR 66 dated 6th April 1967.



12. Special medical treatment in certain cases:- (1) If the authorised medical attendant is of the opinion that the case of the patient is of such serious or special nature as to require medical attendance by some persons other than himself or that the patient requires anti-rabic treatment he may with the approval of the Director of 1[Health and Family Welfare Services]1 2[or the Director of Indian Systems of Medicine and Homoeopathy, as the case may be] 2 which shall be obtained before and unless the delay involved entails danger to the health of the patient:-
1 Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983
2 Inserted in Notification No. DPAR 1 SMR 78 dated 21st September 1983

(a) send the patient to the nearest Specialist or the other Medical Officer as provided in clause (d) of rule 3 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 these journeys and from the Headquarters of the Specialist or other Medical Officer or the Place where he is sent for anti-rabic treatment.
3[(2A) If the patient who takes special medical treatment under sub-rule (1) is unable to travel by himself and the authorised medical attendant considers that it is unsafe for the patient to travel unattended, the person accompanying such patient shall, on production of a certificate in writing from the authorised medical attendant in this behalf, be entitled for the journey to and from the headquarters of the Specialist or other Medical Officer to draw travelling allowance or the railway fare or the bus fare, as the case may be as specified in clause (c) of sub-rule (1) of rule 11] 3
3 Inserted in Notification No.GAD 14 OMR 63 dated 29th February 1964.

(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.
13. Application of K.C.S.R:- The travelling Allowance admissible under rules 11 and 12 shall be subject to the provisions of Part VIII of the Karnataka Civil Services Rules, 1958.
14. Reimbursement of Medical Expenses:- (1) Where a Government servant is entitled under rule, 7 free of charge to treatment in any hospital any amount paid by him on account of such treatment shall on production of a certificate in writing by the authorised medical attendant in this behalf be reimbursed to him by the Government.



(2) (a) The refund of the cost of preparations which are not medicines but are primarily foods, tonics toilet preparations or disinfectants is not admissible under these rules.
1[(b) List of items for which refund is not admissible under these Rules shall be those published by the Director General of Health Service, Government of India, from time to time] 1.
1 Substituted in Notification No.GAD 14 OMR 63 dated 29th February 1964.

Provided that the cost of any therapeutic substance included in such list, which is prescribed by the authorised medical attendant as absolutely essential for the recovery of the patient shall be reimbursed by Government, if the State Government after consultation with the Director of 2[Health and Family welfare Services]2 is satisfied that such therapeutic substance was absolutely essential for the recovery of the patient and makes an order to that effect.
2 Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983.
(c) 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.
(d) If an ambulance is used to convey a patient to a place of treatment or to convey a patient from one hospital to another hospital for purposes of certain/medical examinations, etc., the charges incurred by the Government servant on that account are refundable.
(e) Charges for sterilisation of instruments used in connection with operation performed on Government servants and their families are not payble by them, as it is the duty of the Hospital authorities to keep all the surgical instruments sterilised and in order.
3[(f) In cases where, for lack of facilities at a Government hospital or in the laboratory attached to it, skiagrams of ECG's are taken at a private laboratory or hospital, the charges incurred thereon shall be refundable at the rates prevalent in Government hospitals]3.
3 Substituted in Notification No.GAD 1 SMR 74 dated 28th October 1974.
(g) Charges recovered for operations performed on Government servants, who get admitted to a ward higher than that what they are entitled to are reimbursable to them.
4[(h) the cost of Ayurvedic, Unani and Homoeopathy medicines is also refundable. The lists of items for which refund is admissible under these rules in respect of Ayurvedic, Unani and Homoeopathic medicines shall be those published by the Director of Indian Systems of Medicine and Homoeopathy.
Provided that the cost of any therapeutic substance not included in such list but is prescribed by the authorised medical attendant as absolutely essential for the recovery of the patient shall also be reimbursed by Government, if the State Government after consultation with the Director of Indian System of Medicine and Homoeopathy is satisfied that such therapeutic substance was absolutely essential for the recovery of the patient and makes an order to that effect] 4.
4Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983.




(i) (A) Refund in respect of a full set of dentures where necessary shall be allowed upto a maximum of one hundred rupees once during, the entire service of a Government servant;
(B) Refund in respect of replacement of teeth in cases other than those falling under sub-clause (A) shall be allowed as and when necessary.
Provided that no refund under clauses A and (B) shall be allowed where the dentures of or teeth are made of any material like Gold, Silver etc.
1[(C) Refund in respect of scaling and filling of the teeth or for any treatment taken for diseases connected with teeth shall be allowed]1.
1 Inserted in Notification No. DPAR 1 SMR 81 dated 29th October 1981

(j) In the case of 2[Government servants whose monthly pay does not exceed Rs.8200/- in accordance with the Karnataka Civil Services (Revised Pay) Rules, 1999]2expenses incurred for procuring artificial appliances including travelling expenses and hospitalisation charges, if any, are reimbursable provided that the officer-in-charge of the medical institution where the Government servant has undergone the treatment certifies that such appliances were absolutely essential for the treatment of the Government servant.
2 Revised as per KCS (Revised Pay) Rules, 1999

3[(k) the cost of blood purchased for being administered to the patient on the advise of the authorised medical attendant shall be refundable on production of a certificate by the authorised medical attendant] 3
3Inserted in Notification No.GAD 18 OMR 63 dated 3rd March 1965

4[(1) Refund in respect of the cost of spectacles, where necessary, shall be allowed thrice during the entire service of the Government servant, subject to the condition that the amount claimed in each case does not exceed a maximum of three hundred rupees]4.
4Substituted in Notification No.GAD 2 SMR 75 dated 13th February 1976.

Explanations.- For the purpose of this clause 'artificial appliances' means"

(i) Prosthetic appliances of all kinds for the upper and lower limbs;
(ii) spinal braces or spinal supports including spinal belts;
(iii) cervical collars of all kinds, such as, of plastic, leather or stainless steel with leather coverings;
(iv) leather and metallic splints devised for correction of deformities and providing support for upper limbs;
(v) bracerage of all kinds including callipers, knee cage, knock knee and bow legs splints made of metal and leather; and
(vi) orthopaedic shoes, boots and splints used for correction of deformities of feet and legs.






1[(m) Refund in respect of the cost of Polio boots shall be allowed only at intervals of not less than three years and may be claimed only three times in respect of an individual. Refund in respect of machinery appurtenances like crutches, limb supports etc., shall be allowed only if they are purchased from a Medical College/Hospital (Rehabilitation Department), of from the Artificial body (Parts) Centre at Pune or from any other Centre/Organisation recognised and approved by Central or State Government for such purposes. Both in the cases of Polio boots and machinery appurtenances the refund is subject to their being certified by concerned specialists as essential and is admissible only to those officers whose monthly pay does not exceed Rs.8200/- if it is in accordance with the Karnataka Civil Services (Revised Pay) Rules 1999]1.
1Inserted in Notification No. DPAR 1 SMR 79, dated 16th July 1980.

*[(Artificial Limb Centres at Bangalore and Mangalore in respect of artificial limbs are recognised)] *.
*G.O.No.DPAR 4 SMR 85 dated 8th January 1986.

2[(n) Refund in respect of purchase of hearing aid shall be allowed to the extent of rupees three hundred once during the entire service of a Government Servants subject to the following conditions:
(i) The benefit of reimbursement of charges towards purchase of hearing aid will be admissible to the Government servant only and not to the members of his family:
(ii) The reimbursement of charges will be admissible on the basis of the certificate issued by the Head of the ENT Department in a Government Hospital. The certificate should specify that the Government servant is required to use hearing aid for his right/left ear;
(iii) The Government servant should make use of the hearing in the course of the discharge of his normal official duties] 2.
2 Inserted in Notification DPAR 4 SMR 80 dated 3rd March 1981.


3[(o) Refund in respect of purchase of pacemaker shall be allowed subject to the condition that the officer incharge of Medical Institution where the Government servant has undergone treatment certifies that implantation of pacemaker was absolutely essential for treatment of the Government Servant] 3.
3 Inserted in Notification No. DPAR 6 SMR 82 dated 20th September 1983.

4[(3) Notwithstanding anything contained in these rules, the reimbursement of the Medical expenses in respect of the treatment taken in the authorised hospitals and medical institutions specified in the Schedule-I shall be subject to the ceiling limits specified in column 3 of Schedule-II and Schedule-III in respect of treatment he availed specified in column 2 thereof respectively] 4.
4Inserted in Notification No. DPAR 1 SMR 2000 dated 22nd January 2001.



15. Claims for Reimbursement of Medical Charges:- (1) All claims for refund of expenses incurred on account of the purchase of the special medicine should be accompanied by an "essentiality certificate" from the authorised medical attendant; the certificate shall be in form 'B'.

(2) Claims on behalf of deceased Government servants in connection with medical charges preferred by legal heirs are reimbursible in the same manner and under the same conditions relating to a Government servant. Article 81 of the Karnataka Financial Code, being applicable to such claims, as it does to salary, leave allowances. etc., due to a deceased Government servant.

(3) Claims for the reimbursement of the expenditure incurred in connection with the medical charges shall be preferred in Form 'C' and shall be submitted to the controlling officer 1[three months, in accordance with the provisions contained in Article 146-A of Karnataka Financial Code, 1958] 1. The expenditure relating to medical charges being debitable under sub-Head 'Allowance -honoraria, etc.,- cost of medical treatment.'
1 Substituted in Notification No.GAD 2 SMR 70 dated 14th April 1970.


2[Provided that the claims for the reimbursement of medical expenditure of the officers of the Secretariat of and above the rank of Deputy Secretary may be sent direct to the Accounts Section for payment] 2.
2Inserted in Notification No. DPAR 5 SMR 84 dated 11th June 1985.

(4) Claims by Government servants who are on duty, deputation, leave or travelling in any place outside the State, but within the territory of India referred to in Rule 6, shall be supported by proper receipts and vouchers countersigned by the authorised medical attendant to the effect that the treatment was necessary and the charges are reasonable having regard to the circumstances of the case, and sanction of Government obtained in the Finance Department.
3[(5) Claims by Government servants for refund in respect of spectacles shall be accompanied by a certificate from the authorised Medical Attendant and a declaration in form D] 3.
3 Inserted in Notification No. GAD 4 SMR 71 dated 21st May 1971.
(6) Claims by Government servants for reimbursement in respect of dentures or teeth shall be accompanied by an Essentiality Certificate from the Authorised Medical Attendant and in respect of a full set of dentures, a declaration in Form `E'.

16. Scrutiny of claims by Controlling Officers:- (1) The Controlling Officer, shall scrutinise the claims carefully before signing or countersigning them and shall satisfy himself that the claims are genuine, are covered by the rules and orders and are supported by the necessary bills and receipts duly certified by the authorised Medical Attendants or other competent medical authority, the verification in respect of cost of



medicines being made with reference to the lists of non-reimbursible items issued by the Director of 1[Health and Family Welfare Services]1 in Karnataka , Bangalore 2[or with reference to lists of reimbursible items in respect of Ayurvedic, Unani or Homoeopathic Systems of Medicines issued by the Director of Indian Systems of Medicine and Homoeopathy]2 from time to time which are and should be maintained up-to-date in all offices. Cases which are referred to the Secretariat Departments or emanate in the Secretariat itself should also be verified by the respective departments in the same manner, only cases where genuine doubts arise being referred to General Administration Department of the Karnataka Government Secretariat. Claims not Conforming to these conditions shall be disallowed.
1 Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 83
2 Inserted in Notification No. DPAR 1 SMR 78 dated 21st September 83

(2) After the claims are duly signed or countersigned the amounts due to Gazetted officers on account of reimbursement of medical expenses incurred, should be drawn by them on salary bills and those due to non-Gazetted employees on Establishment pay bills and paid over to them.

17. Treatment at residence of Government Servants:- (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 (i) of Rule 7, 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 incurred by him a sum equivalent to the cost of such treatment, as he 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) and (b) the cost of similar treatment referred in sub-rule (2).

(4) Treatment referred to in sub-rules (1) to (3) means treatment as defined in clause (h) of rule 3, and is distinct from "Medical Attendance" defined in sub-clause (d) of the said rule and does not include the visiting fee of a private Medical Practitioner.

(5) Computation of the cost of the treatment shall be on the scale prevailing at a Government hospital for treatment similar to that the Government servant receives at home.

(6) The Government servant shall consult the authorised medical attendant before receiving treatment at his residence and the reimbursement of the charges is subject to the authorised medical Attendant agreeing before hand about the need for treatment at the residence.

(7) The authorised Medical Attendant when he issues the certificate under sub-rule (3) shall certify that he was consulted before the treatment began and agreed to such treatment being given, giving reasons for not arranging for treatment at a Government hospital and shall also state the cost of similar treatment at a Government hospital.




18. Determination of Medical Charges:- (1) Charges for service rendered in connection with, but not included in medical attendance on, or treatment of patient entitled free of charges to 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 and the decision of the Government shall be final.

19. Countersignature of T.A. Bills:- The controlling officer of a patient may require that any certificate required by these rules to be given by the authorised medical attendant claiming travelling allowance shall be counter signed :

(a) in the case of a certificate given by a Civil Surgeon, by the Director of 1[Health and Family Welfare Services]1, and
1 Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983


2[(aa) in the case of a certificate made by a medical officer of the Ayurvedic, Unani or Homoeopathic system of Medicine, by the Director of Indian Systems of Medicine and Homoeopathy] 2."
2 Inserted in Notification No. DPAR 1 SMR 78 dated 21st September 1983

(b) in the case of a certificate given by any other Medical Officer, by the Civil Surgeon of the District.


Part III Facilities for T.B. Patients

20. Examination of Suspected Cases:- Government servants suspected to be suffering fromTuberculosis should be sent for examination and opinion to the nearest Government T.B. Clinic or Sanatorium or nearest District Headquarters Hospital where proper facilities including X-Ray, are available for thorough examination. No charge shall be levied for X-Ray, skiagrams, examinations and laboratory investigations in this behalf.

21. Report of Medical Attendant before expiry of leave and action thereon :- (1) If, after such examination, the Government servant is found to be suffering from tuberculosis and the case is an active one, the Government servant should be granted such leave as is recommended in his case by the authorised medical attendant, until he has exhausted all the leave due to him under the leave rules applicable to him. Before the expiry of the period of leave, the Government servant shall appear before the authorised Medical Attendant for report whether he is fit to resume duty. If the authorised medical attendant reports that the Government servant is not fit to resume duty and that further treatment is necessary, the Government servant shall be granted extra-ordinary leave, as is admissible in the Karnataka Civil Service Rules for the period recommended by him, subject to a maximum of two years. If the authorised medical attendant reports that there is no likelihood of his returning to duty, the Government servant shall be retired on grounds of invalidity.



(2) At places where there are no authorised medical attendants, the Civil Surgeon can with the sanction of the Director of 1[Health and Family Welfare Services]1 arrange to examine Government servants suffering from Tuberculosis with the help of two Medical Officers of the Institution where the patient is receiving treatment.
1 Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983

22. Examination by Medical Board before expiry of extraordinary leave:- (1) Before the expiry of the maximum limit of extraordinary leave admissible under the rules, the Government servant concerned should be examined by a Medical Board that may be constituted by the Director of 2[Health and Family Welfare Services]2 from time to time to see whether he is fit to resume duty or should be invalidated. If the Government servant is found to have considerably improved, but is found to be in need of some more time say 1 to 3 months, to consolidate the progress and to become fit to resume duty further leave as admissible under the K.C.S. Rules may be granted subject to the limit of 3 months, provided it is certified that he is likely to resume duty by the end of that period.
2 Substituted in Notification No. DPAR 1 SMR 78 dated 21st September 1983


(2) All Heads of Departments or Offices, as the case may be shall, while sending the Government servant suffering from Tuberculosis before a Medical Board invariably inform the Medical Board of the period of extraordinary leave already taken by the Government servant concerned in pursuance of these concessions, and the balance of leave admissible, so as to enable the Medical Board to Certify whether the Government servant is likely to be fit to resume duty before the expiry of the full leave.


23. Place of treatment and expense of treatment and diet :- (1) While on leave, the Government servant shall be required to undergo treatment in a Government Medical Institution. The authorised medical attendants shall have discretion to decide whether a patient should be asked to stay in a hospital or a Sanatorium or whether he should take treatment while staying outside such an institution under such conditions as may be considered necessary.

(2) Reasonable facilities should also be provided, as far as possible, for admission of the Government servants to Government Hospitals, provided they are deemed fit for treatment by the Medical Officer in charge of the T.B. Clinic or Sanatoria. The expenses for the treatment of the Government servant and for diet-normal, extra or special, shall be met wholly by Government in the case of 3[Government servants whose monthly pay does not exceed Rs.8200/- in accordance with the Karnataka Civil Services (Revised Pay) Rules, 1999]3. In the case of Government servants whose pay exceeds the aforesaid amount charges for diet shall be borne by the Government Servants themselves.
3 Revised as per KCS (Revised Pay) Rules, 1999

(3) Treatment of Government servants suffering from Tuberculosis at the Karnataka Health Institute, Ghataprabha, shall be deemed to be treatment in a Government Medical Hospital and the Government servant in such a case shall be entitled be get refund of the ward charges and reimbursement of medical expenses admissible under these rules.



24. Facilities for out-patients:- (1) Government servants undergoing treatment as out-patients in Government Hospitals shall also be entitled to concessions admissible under rule 21.

(2) vouchers for the special medicines purchased by them for their treatment should be produced and countersigned by the Authorised Medical Attendant.


25. Continuance in service about whom the case is declared as "arrested":- If after careful examination by the Medical Board, the case is declared as "arrested" and the Government servant is considered fit to resume his duties, he shall be allowed to continue in his appointment under the following conditions :-

(a) that he remains under suitable medical supervision and treatment of the medical attendant who should maintain a special register of the cases so that the patient is followed up regularly in his own interest as well as that of public health;

(b) that the Government servant suspected of Tuberculosis or suffering from "arrested" Tuberculosis shall undergo periodical re-examination by the proper Government Medical Officer and if necessary, by a competent authority in Tuberculosis approved by Government. The re-examination should be done by the Government Medical Officer free of charge.


26. Facilities in Office to a person declared fit for duty:- In the event of a Government servant suffering from Tuberculosis being declared fit for duty, the Department concerned shall wherever possible, give him light duty for another year or so, and also allow him some period for rest daily or occasionally as advised by the authorised medical attendant.


27. Concessions to temporary Government servants:- Temporary Government servants who are regularly recruited and have put in more than a year's continuous service shall be eligible for the concessions other than monetary concessions sanctioned in these rules.

Explanation:- For the purpose of this rule, one year's service should be completed before the commencement of leave for the treatment of Tuberculosis.


1[28. Stoppage of concessions on superannuation]1
1 Omitted in Notification No. GAD 2 SMR 72 dated 3rd March 1972

29. General:- The Head of the Department under whom the Government servant in need of concessions is serving should be the authority to sanction these concessions.


30. General:- The rules in this Part are supplementary to the provisions contained in the Karnataka Civil Services Rules, 1958 and shall have effect notwithstanding any particular provision there in contrary to these rules.






1[31. Relaxation of Provisions:- Where the Government is satisfied that the operation of any of these rules causes undue hardship in any particular case, it may by order dispense with or relax the requirements of that rule to such extent and subject to such conditions as it may consider necessary for dealing with any case in a just and equitable manner] 1.
1 Inserted in Notification No. GAD 23 OMR 64 dated 18th August 1965.


By Order and in the name of the Governor of Karnataka,



K. NARAYANASWAMY,
Chief Secretary to Government,




1[SCHEDULE-I (see proviso to rule 8)
(1) Chinmaya Mission Hospital, 1st stage, Indiranagar, Bangalore-38.
(2) M.S.Ramaiah Medical Teaching Hospital, Gokula Extension, Bangalore-51.
(3) Church of South India Hospital, 2, Hazrath Kamal Bosh Road, Bangalore-51.
(4) K.I.M.S.Hospital & Research Centre, V.V.Puram, K.R.Road, Bangalore-4.
(5) Yellamma Dasappa Hospital, 27, Andree Road, Shanti Nagar, Bangalore-27.
(6) P.D.Hinduja Sindhu Hospital, Sampangiramanagar, Bangalore-26.
(7) Republic Hospital, Long Forde Garden, Bangalore-25.
(8) Bangalore Baptist Hospital, Bellary Road, Bangalore.
2{(9) Sevakshetra Hospital, 27th Cross, Sevakshetra Hospital Road, B.S.K. II Stage, Bangalore-560 070}2.
2 Corrected in Notification No.DPAR 6 SMR 2001 dated 5th September 2001.
(10) Mallige Medical Centre, 31/32, Crescent Road, Bangalore.
(11) St.John's Medical College Hospital, John nagar, Koramangala, Bangalore-34.
(12) Manipal Hospital, 98, Rustam Bagh, Airport Road, Bangalore.
(13) Wockhardt Hospital and Heart Institute, 14, Cunningham Road, Bangalore-52.
(14) Bangalore Hospital, Susruta Medical Aid and Research Home Ltd., 202, R.V.Road, Bangalore-1.
(15) St.Philomina's Hospital, No.1, Neelasandra Road, Bangalore-47.
(16) St.Marthas Hospital, Nrupathunga Road, Bangalore-560 001.
(17) Mallya Hospital, Nrupathunga Road, Bangalore-560 001.
(18) Karnataka Nephrology and Transplant Institute Lakeside Medical Centre & Hospital, 33/4, Meaneen Avenue, Bangalore-560 042] 1.
1 Inserted in Notification No.DPAR 1 SMR 2000 dated 22nd January 2001.
3[(19) Narayana Hrudayalaya, No.258/A, Bommasandra Industrial Area, Anekal Taluk, Bangalore-562 158]3.
3 Inserted in Notification No.DPAR 9 SMR 2001 dated 22nd December 2001.
4[(20) KLES Hospital and Medical Research Centre, Nehrunagar, Belgaum-590 010.
(21) R.L.Jalappa Hospital and Research Centre, Tamaka, Kolar-563 101.
(22) Dr.B.R.Ambedkar Medical College Hospital, Bangalore.
(23) Adichunchanagiri Institute of Medical Science Hospital, Balagangadhara Nagar, Mandya District, Mandya.
(24) Kasturba Medical College Hospital, Manipal.
(25) Bapuji Hospital, Davanagere.
(26) K.S.Hegde Medical College Hospital, Mangalore.
(27) Father Muller Medical College Hospital, Mangalore] 4.
4 Inserted in Notification No.DPAR 1 SMR 2003 dated 14th May 2003.

5[(28) Rajiv Gandhi Super Speciality Hospital, "OPEC ASSISTED", Raichur] 5.
5 Inserted in Notification No.DPAR 3 SMR 2003 dated 14th July 2003.
6[(29) Vikram Hospital, Mysore.
(30) Sagar Apollo Hospital, Bangalore.
(31) B.G.S.Apollo Hospital, Kuvempunagar, Mysore] 6.
6 Inserted in Notification No.DPAR 6 SMR 2003 dated 3rd September 2003.
7[(32) Narayana Nethralaya, Bangalore]7.
7 Inserted in Notification No.DPAR 11 SMR 2003 dated 29th September 2003.
8[(33) Shekar Nethralaya, J.P.Nagar, 3rd Phase, Bangalore-560 078] 8.
8 Inserted in Notification No.DPAR 12 SMR 2003 dated 9th October 2003.
9[(34) J.S.S.Medical College Hospital, Ramanuja Road, Mysore.
(35) Sri Siddhartha Medical College Hospital, Tumkur.
(36) P.V.S.Medical, Surgical and Cardiac Hospital, Chitradurga] 9.
9 Inserted in Notification No.DPAR 10 SMR 2003 dated 25th October 2003.
10[(37) Trinity Hospital and Heart Foundation, Basavanagudi, Bangalore-560 004]10.
10 Inserted in Notification No.DPAR 14 SMR 2003 dated 16th January 2004.
11[(38) Bhagwan Mahaveer Jain Hospital, Millers Road, Bangalore.
(39) Hi-tech Kidney Stones Hospitals, Bangalore.
(40) Hosmat Hospital, Magrath Road, Bangalore.
(41) Bangalore Childrens' Hospital, Bangalore.
(42) Rajasekar Hospital, J.P.Nagar, Bangalore.
(43) K.R.Hospital, 979,25th Main Road, BSK 1st Stage, 50 ft.Road, Bangalore-560 050.
(44) Bhagawan Mahaveer Jain Heart Centre, Millers Road, Bangalore.
(45) Vydehi Hospital, 82, EPIP Area, WhiteField, Banglaore-66.
(46) Bangalore Kidney Stone Hospital, Hudson Circle, Bangalore] 11.
11 Inserted in Notification No.DPAR 13 SMR 2003 dated 9th February 2004.
13[(47) Kerudi Hospital and Research Centre, Bagalkot.
(48) A.J. Hospital and Research Centre, Mangalore.
(49) Omega Hospital (P) Ltd., Mangalore.
(50) City Hospital Research and Diagnostic Centre, Kadri, Mangalore] 13.
13 Inserted in Notification No.DPAR 3 SMR 2004 dated 18th May 2004.
14 [(51) Gopala Gowda Shanthaveri Memorial Hospital, Nazarbad, Mysore-10.
(52) Basappa Memorial Hospital, 22/B, Vinoba Road, J.L.Puram, Mysore-12.
(53) Chetana Nursing Home, Mallandur Road, Chikmagalur-577 101.
(54) Poornima Hospital and Maternity Centre, Mulbagal, Kolar District.
(55) R.K.Nursing Home, Chintamani, Kolar District] 14.
14 Inserted in Notification No.DPAR 2 SMR 2004 dated 24th July 2004.



15 [(56) Mallikarjuna Nursing Home, Shimoga.
24{(57) Malnad Hospital and Institute of Oncology, Shimoga}24.
24 Corrected vide Corrigendum No.DPAR 17 SMR 2005 dated 26th November 2005.
(58) Nanjappa Hospital, Shimoga.
(59) Basaveshwara Hospital, Shimoga.
(60) Melagi Hospital, Thirthahalli, Shimoga District.
(61) Manjunatha Health Care Hospital, Kolar.
(62) New Kolar Nursing Home, Kolar.
(63) New Kamadhenu Nursing Home, Kolar.
(64) Srinivasa Nursing Home, M.B.Road, Kolar.
(65) Babu Nursing Home, Pandavapura, Mandya.
(66) New Pragathi Nursing Home, Mandya.
(67) Archana Nursing Home, Mandya.
(68) Annapurna Nursing Home, Gangavathi, Koppal District.
(69) Patil Nursing Home, Gangavathi, Koppal District.
(70) Al Ameen Medical College Hospital, Bijapur.
(71) B.L.D.E. Medical College Hospital, Bijapur.
(72) C.S.I. Redferna Hospital, Hassan.
(73) Mangala Nursing Home, Hassan.
(74) Bharathi Nursing Home, Hassan.
(75) Keshava Nethralaya, Hassan.
(76) Kasturba Hospital, Tumkur.
(77) Sri Devi Hospital, Tumkur.
18{(78) Adarsha Nursing Home, Tumkur}18.
18 Corrected vide Corrigendum No.DPAR 1 SMR 2004 dated 4th March 2005.
(79) Ashraya Hospital, Chikmagalur.
(80) Holy Cross Hospital, Chikmagalur.
(81) Balaji Nursing Home, Kadur, Chikmagalur District.
(82) Padma Nayanalaya, M.M.Joshi Eye Centre, Hubli.
37{( (83) Shakuntala Memorial Hospital, 50/51, Golden Town, Hosur, Hubli-580 021.}37
37 Corrected vide Corrigendum No.DPAR 10 SMR 2007 dated 27th December 2007.
20{(84) Bharath Hospital and Institute of Oncology, Hebbal, Mysore}20.
20 Corrected vide Corrigendum No.DPAR 1 SMR 2004 dated 21st May 2005.
(85) City Central Hospital, Davanagere.
(86) Ravi Nursing Home, Davanagere.
(87) Shifa Hospital, Queen s Road, Bangalore.
(88) Curie Centre of Oncology, Koramangala, Bangalore.
(89) Bangalore West Lions Hospital, J.C. Road, Bangalore.
(90) Shri Krishna Sevashrama Hospital, Jayanagar, Bangalore.
28{(91) Bhagavan Mahaveer Jain Nethralaya, Seshadripuram, Bangalore.}28
28Corrected vide Corrigendum No.DPAR 17 SMR 2005 dated 10th January 2006.
22{(92) Nethradhama Super Speciality Eye Hospital, Jayanagar, Bangalore-82.}22
22Corrected vide Corrigendum No.DPAR 10 SMR 2005 dated 17th September 2005.





(93) NU Trust BKF Chand Nefro Urology Centre, Padmanabha Nagar,
Bangalore.
(94) Bangalore Institute of Oncology, 44-45/2, 2nd Cross,
Rajaram Mohan Roy Extension, Bangalore-560 027.
(95) City Hospital and Research Centre, Udupi.
(96) Vijaya Shree Accident and Orthocare, Udupi.
(97) Hitech Medicare Hospital and Research Centre, Udupi.
(98) Vinaya Hospital, Kundapur, Udupi District.
(99) City Nursing Home, Karkala, Udupi District]15.
15 Inserted in Notification No.DPAR 1 SMR 2004 dated 27th November 2004.
16[(100) Janatha Hospital and Research Centre, Hassan]16.
16 Inserted in Notification No.DPAR 1 SMR 2004 dated 9th December 2004.
17[(101) Nandini Nursing Home, No.1586, K.R.Road, Mandya.
(102) Latha Nursing Home, P.J.Extension, Davanagere]17.
17 Inserted in Notification No.DPAR 10 SMR 2004 dated 19th February 2005.
19[(103) Devi Eye Hospital, Koramangala, Bangalore.
(104) D.G.Hospital, Padmanabhanagar, Bangalore-560 073.
(105) Cauvery Nursing Home, Mandya.
(106) SSM Super Speciality Hospital, Hassan.
(107) Gandhi Hospital, Udupi.
(108) Bidari Ashwini Hospital, Bijapur.
(109) Bagalkot Medical College, Bagalkot.
(110) Kamakshi Hospital, Mysore.
(111) C.S.I. Holdworth Memorial Hospital, Mysore.
(112) Jayashree Nursing Home, Hassan.
(113) Dr.N.R.Acharya Memorial Hospital, Koteshwar, Udupi.
(114) Sri Navarathna Surgical and Maternity Nursing Home, Kolar.
(115) Vijaya Hospital, Tumkur.
(116) S.Nijalingappa Medical College and Hanagal Sri Kumareshwara Hospital and Research Centre, Navanagar, Bagalkot.
(117) Sanjeevini Sahakari Hospital and Research Centre, Hassan.
(118) B.Sidrammanna Hospital, Tumkur] 19.
19 Inserted in Notification No.DPAR 4 SMR 2005 dated 8th April 2005.
21[(119) Athena Hospital, Mangalore.
(120) Aruna Hospital, Dr.Radhakrishna Road, Tumkur.
(121) Vinayaka Hospital, Ashoknagar, Tumkur.
(122) Bapuji Nursing Home, Someshwarapuram, Tumkur.
(123) Kadli Ningamma Memorial Hospital, M.C.C.B. Block, Davanagere.
(124) Gayathri Hospital, Vijayanagar, Bangalore-40.
22{(125) Acura Speciality Hospital, Koramangala, Bangalore-95}22.
22Corrected vide Corrigendum No.DPAR 10 SMR 2005 dated 17th September 2005.




(126) Vinayaka Hospital, Hanumanthanagar, Bangalore.
(127) Karthik Nethralaya, N.R.Colony, Ashoknagar, Bangalore-50.
(128) Manohar Saigowda Memorial Hospital and Laproscopic Training Centre, Mulbagal, Kolar District.
(129) Manasa Hospital, Gowribidanur, Kolar District.
(130) Prashanth Medical Services, Nehrunagar, Mandya.
(131) Suraksha Nursing Home, Mandya.
(132) Annapoorna Hospital, K.M.Road, Chickmagalur.
(133) Jayapriya Hospital, Bylappanavaranagar, Hubli.
(134) Patil Nursing Home, Gulbarga.
(135) Hemavathi Hospital, Hassan] 21
21 Inserted in Notification No.DPAR 10 SMR 2005 dated 30th July 2005.
23[(136) Chitra Hospital and Prasad Memorial Medical Centre, Irwin Road, Mysore.
(137) Daddenavar Hospital and Research Centre, Bagalkot.
(138) Khaja Bandenawaz Teaching and General Hospital, Gulbarga.
(139) Sampige Nursing Home, Hassan.
(140) Lakshmi Nursing Home, Hassan.
(141) Suguna Nursing Home, Kolar.
(142) Bharathi Hospital, K.R.Extension, Tumkur.
(143) Chaitanya Hospital, S.S.Puram, Tumkur.
27a{(144) North Side Hospital and Diagnostic Centre, Sahakaranagar, Bangalore-92.}27a
27aCorrected vide Corrigendum No.DPAR 17 SMR 2005 dated 13th February 2006.
(145) Punya Hospital, Channapatna, Bangalore Rural District.
(146) Chinmaya Hospital, Kundapur, Udupi District.]23
23 Inserted in Notification No. DPAR 12 SMR 2005 dated 28th September 2005.
27[(147) Malnad Nursing Home, K.R.Puram, Hassan.
(148) Ashwini Nursing Home, P.J.Extension, Davangere-577 002.
(149) St.Theresa's Hospital, Rajajinagar, Bangalore-10.
(150) Mediscope Hospital Pvt. Ltd., Pillana Garden, Bangalore-45.
(151) Sri Venkateshwara Nursing Home, Srinivasapur- 563 135.
(152) Ashraya Hospital, MCC `A' Block, Davangere-577 004.
(153) City Medical Centre, MMC `B' Block, Davangere.] 27
27 Inserted in Notification No. DPAR 15 SMR 2005 dated 27th December 2005.
28[(154) Shilpasri Nursing Home, Nehru Nagar, Mandya.
(155) Pragathi Hospital, 1st Cross, S.S.Puram, Tumkur-572 102.
(156) Bapuji Child Health Institute & Research Centre, Davanagere-577 004.
(157) Smt. Savithramma & Sri Shanasappa Hospital & Research Centre, Municiple Circle, Hassan road, Arsikere-573 103, Hassan District.



(158) E.T.C.M. Hospital, Kolar.
(159) Pristine Hospital, No. 877, Modi Hospital Road, West of Chord Road, II Stage Extn., Bangalore.
(160) Rajeev Hospital, Government Hospital Road, Hassan-573 201.
(161) Chandrakala Hospital & Institute of Medical Research, Kalidasa Road, Jayalakshmipuram, Mysore-12.
(162) Dr. N.K. Thammaiah Hospital, Belgumba Road, Kuvempunagar, Tumkur-572 103.
(163) Akshaya Nursing Home, 3rd Cross, Gowripet, Kolar-563 101.
(164) Sukshema Hospital, Shamanur Road, Davanagere.
(165) Doddamane Hospital, Tumkur.] 28
28 Inserted in Notification No. DPAR 1 SMR 2006 dated 25th April 2006.
29[(166) Jayashree Nursing Home, No.4, 4th Cross, 4th Block, Kumara Park West,
Bangalore- 560 020.
(167) Belgaum Cancer Hospital, Ashok Nagar, Belgaum-590 016.
41{ (168) Sir M.V. Centre For DIABETES, No.33, II Main Road, Near Police Station, Vyalikaval, Bangalore-560 003.}41
41Corrected vide Corrigendum No. DPAR 9 SMR 2008 dated 22nd August 2008.
(169) Dr. Ramesh Hospital, No.6/63, 59th Cross, 4th Block, Rajajinagar, Bangalore-10.
(170) Prabha Eye Clinic & Research Centre, No.504, 40th Cross, 8th Block, Jayanagar, Bangalore-70.
(171) Benaka Health Centre, Main Road, Ujire-574 240, Dakshina Kannada District.]29
29 Inserted in Notification No. DPAR 5 SMR 2006 dated 3rd June 2006.
30[(172) Dr.K.Narasimhaiah Hospital, 4th Cross, Gandhinagar, Tumkur-01.
(173) Pragathi Speciality Hospital, Main Road, Bolwar, Puttur-574 201, Dakshina Kannada District.
(174) Vittala International Institute of Ophthalmology, 2nd Cross, 2nd Main, Hosakerehalli, Banashankari 3rd Stage, Bangalore-560 085. ]30
30 Inserted in Notification No. DPAR 6 SMR 2006 dated 27th July 2006.
31[ 175) Mangala Nursing Home & Mangala Kidney Foundation, Vajra Hills, Kadri Road, Mangalore-575 003.
(176) Nalwad Multispeciality Hospital & Research Centre, Vikas Nagar, Hosur, Hubli-21.
(177) Shushrusha Nursing Home, Gangavathi, Koppal District.
(178) Basaveshwar Teaching and General Hospital, Sedam Road, Gulbarga.
(179) Dr.Lodaya Hospital, Ashwini Nagar, Haveri-581 110.
(180) Sri Satya Sai Hospital, N.H.206, Kadur-577548, Chikmagalur District.
(181) Retina Institute of Karnataka, # 122, 5th Main Road, Chamarajpet, Bangalore-560 018.
(182) Adarsha Hospital, Udupi-576 101.
(183) Sudharshana Nethralaya, No.452, Sampige Road, Malleswaram, Bangalore-560 003. ]31
31 Inserted in Notification No. DPAR 7 SMR 2006 dated 11th October 2006.
32 [(184) Sri Venkateshwara Nursing Home, Ravindranagar, Hassan-573 201.
(185) B.J.Linge Gowda Hospital, B.M.Road, Channapatna-571 501, Bangalore Rural District.
(186) City Hospital, Chord Road, II Block, Rajajinagar, Bangalore-560 010.
(187) Ravi Polyclinic, Maternity and Nursing Home, Shimoga-577 201.
(188) Nagesh Hospital, Mysore Road, Channarayapatna-573 116, Hassan District.
(189) Krupa Nursing Home, 2050/A, II Cross, Subash Nagar, Mandya-571 401.
(190) Vivekananda Hospital & Maternity Home, Tilak Nagar, Shimoga-577 201.
(191) Shivakrupa Hospital, K.C.Road, Chikodi-591 201, Belgaum District.
(192) Chetana Hospital, Puttur-574 201, Dakshina Kannada District.
(193) Suneetha Nursing Home, C.K.Pura Extension, Chitradurga-577 501.
(194) Vijayanagar Hospital, 46, 17th Cross, M.C.Road, Vijayanagar, Bangalore-560 040.
(195) Udaya Nursing Home, V.P.Extension, Chitradurga-577 501.
(196) Koshys Hospital, Raghavendranagar, Tambuchettypalya, Ramamurthy nagar, Bangalore-560 016.
(197) Rajalakshmi Nursing Home, B.H.Road, Tumkur-572 103.
(198) Nandini Diagnostic Centre & Hospital, Uday Nagar, Station Road, Raichur-584 101.
(199) Yenepoya Hospital, Kodialbail, Mangalore-575 003, Dakshina Kannada District.]32
32 Inserted in Notification No. DPAR 8 SMR 2006 dated 20th March 2007.
33 [(200) Pavan Nursing Home, J.C.Road, Srinivasapur-563 135, Kolar District.
(201) Manjunatha Hospital, Chikkaballapur, Kolar District.
(202) Dhanush Hospital, N.R.Extension, Chintamani-563 125, Kolar District.
(203) Apollo Hospital, 154/11, Opp. I.I.M., Bannerghatta Road, Bangalore-560 076. ]33
33 Inserted in Notification No. DPAR 2 SMR 2007 dated 2nd July 2007.
34[(204) Tejasvini Hospital & SSIOT, Kadri Temple Road, Mangalore-575 002.
(205) SDM College of Medical Sciences & Hospital, Sattur, Dharwad-580 009. ]34
34 Inserted in Notification No. DPAR 2 SMR 2007 (P) dated 7th July 2007.
35[(206) Deccan Hospital, Opp. K.S.R.T.C. Depot, Vinayaka Extension, Chintamani-563 125, Kolar District.]35
35 Inserted in Notification No. DPAR 4 SMR 2007 dated 4th August 2007.
36[(207) Dr. Nukapur Hospital, Hruthik Mansion, Sharada Talkies Road, Near KSRTC Bus Stand, Kolar-563 101.
(208) S.D.Jayaram Hospital and Research Centre, 3rd Cross, Ashok Nagar,
Mandya-571 401.
(209) Jayashree Nursing Home, No.30, 1st Cross, K.R.Extension, Tumkur.
(210) Shilpa Diagnostics and Nursing Home, 2972/A-4, Near Swimming Pool, M.C.C. 'B' Block, Davangere-577 004.
(211) Mahalaxmi Memorial Hospital, Devikere Road, Sirsi-581 401, Uttara Kannada District.
(212) Patanjali Hospitals Pvt. Ltd., Off. Dharmashala Road, Chitradurga-577 501.
(213) S.S.Institute of Medical Sciences and Research Centre, "Jnanashankara" NH-4 Bypass, Davangere-577 005.]36
36 Inserted in Notification No. DPAR 5 SMR 2007 dated 3rd September 2007.
38[(214) Vishwabharathi Hospital Pvt. Ltd., No.10/4, 3rd Main Road, Hanumanthanagar, Bangalore-560 019.
(215) Aditya Orthopaedic and Trauma Centre, B.H. Road, Tumkur-572 102.
(216) Akshay Hospital, 2nd Cross, Ashoka Nagar, Tumkur-572 102.
(217) Sarvodaya Hospital, No. 11/2, Magadi Road, Agrahara Dasarahalli, Bangalore-560 079.
(218) Patil Medicare, Multi Speciality Hospital, Opp. Siddarameshwara Kalyan Mantap,
Bagalkot-587 101.
(219) Meena Nursing Home, T.K. Road, Bhadravathi-577 301, Shimoga District.
(220) R.S.L. Nursing Home, Behind Municipal Office, Chintamani-563 125, Kolar District.
(221) Dandin Hospital, Extension Area, Bagalkot-587 101.



(222) Sparsh Hospital, 29/P2, Narayana Health City, Hosur Road, Bommasandra, Bangalore-560 099.
(223) Suguna Hospital, 1A/87, Dr. Rajkumar Road, 4th N Block, Rajajinagar, Bangalore-560 010.
(224) Kelagar Medical Centre, Vinayaka Nagar, Ranebennur-581 115, Haveri District.
(225) Sanjo Hospital, Srinivasapura, Mandya-571 404.
(226) City Hospital, RMR Road, Durgigudi, Shimoga-577 201. ]38

38 Inserted in Notification No. DPAR 9 SMR 2007 dated 31st December 2007.

39[(227) Dr.R.B.Patil Hospital, Vidyanagar, Hubli-580 021.
(228) Basaveshwara Medical College & Hospital, Chitradurga-577 502.
(229) Wockhardt Hospital, 154/9, Opp. Indian Institute of Management,
Bannerghatta Road, Bangalore-560 076.
(230) BGS Global Hospitals, BGS Health & Education City, #67, Uttarahalli Road, Kengeri, Bangalore-560 060.
(231) Usha Nursing Home, Ravindranagar, Shimoga.
(232) Surabhi Hospital & Intensive Care Centre, Near Anne Park, K.R.Road, Ashoknagar, Mandya-571 401.
(233) Hegde Health Complex, Park Extension, Durgigudi, Shimoga-577 201. ]39

39 Inserted in Notification No. DPAR 3 SMR 2008 dated 17th March 2008.

40[(234) Mahaveer Eye Hospital Pvt. Ltd., No.02, Sirur Park Road, Seshadripuram, Bangalore-560 020.
(235) Ashraya Nursing Home, Sajjan Colony, Ling Temple Road, Bijapur-586 103.
(236) Choudhari Hospital, Shikarkhana Road, Bijapur-586 104. ]40

40 Inserted in Notification No. DPAR 6 SMR 2008 dated 22nd July 2008.


1 [Diagnostic Centres
(1) Medinova Diagnostic Service Ltd., 55, Infantry Road, Bangalore-27.
(2) Anand Diagnostic Centre, No.11, Blue Cross Chambers, Infantry Road, Bangalore-1.
(3) Elbit Diagnostic Centre, No.6/1, Infantry Road, Bangalore-1] 1.
1 Inserted in Notification No.DPAR 1 SMR 2000 dated 22nd January 2001.
9 [(4) Kiran Diagnostic and Consultation Centre, Turuvanoor Road, Chitradurga] 9.
9 Inserted in Notification No.DPAR 10 SMR 2003 dated 25th October 2003.
11 [(5) Thatagath Heart Centre, Bangalore.
12 {(6) Kanva Diagnostic Services Pvt. Ltd., Rajajinagar, Bangalore-10.} 12
12 Corrected vide Corrigendum No.DPAR 13 SMR 2003 dated 19th February 2004.
(7) Padmashree Medicare Pvt. Ltd., Vijayanagar, Bangalore.
(8) R.V.Diagnostic Laboratory, Malleswaram, Bangalore] 11.
11 Inserted in Notification No.DPAR 13 SMR 2003 dated 9th February 2004.
15 [(9) Srinivasa Diagnostic Centre, Kolar.
(10) Mandya Diagnostic Centre, Mandya.
(11) Gururaja Diagnostic Lab, Gangavathi, Koppal District.
(12) Ambli Diagnostic Laboratory, Tumkur.
18 {(13) Hubli Scan Centre, Hubli} 18 ] 15 .
15 Inserted in Notification No.DPAR 1 SMR 2004 dated 27th November 2004.
18 Corrected vide Corrigendum No.DPAR 1 SMR 2004 dated 4th March 2005.
19[(14) Baba House, HKMR Private Limited, Gulbarga] 19.
19 Inserted in Notification No.DPAR 4 SMR 2005 dated 8th April 2005.
21[(15) Das Diagnostic Laboratory and Scanning Centre, Hassan] 21.
21 Inserted in Notification No.DPAR 10 SMR 2005 dated 30th July 2005.
27[(16) Bhagavan Pathology Laboratory, Srirampet, Mysore-570 001.
(17) Dr.Karigoudar Laboratory, Bijapur-586 101.
(18) Santosh Diagnostic & Scan Centre, St.John's Church Road, Bangalore-560 005.]27
27 Inserted in Notification No.DPAR 15 SMR 2005 dated 27th December 2005.
29[(19) N M R Scan Centre, Club Road, Hubli-580 020.
(20) Ragavs Diagnostic & Research Centre Pvt. Ltd., No.14, Sadguru Complex,
27th Cross, 4th Block West, Jayanagar, Bangalore-11.]29
29 Inserted in Notification No. DPAR 5 SMR 2006 dated 3rd June 2006.
31[(21) Dr. Jeevannavar's Laboratory Blood Bank, Gokul Road Cross, Hosur, Hubli-580 021.]31
31 Inserted in Notification No. DPAR 7 SMR 2006 dated 11th October 2006.
38[(22) Karnataka Cardio Diagnostics Centre, No. L 25/2A, Irwin Road, Mysore-570 001. ]38
38 Inserted in Notification No. DPAR 9 SMR 2007 dated 31st December 2007.
40[(23) Clumax Diagnostic & Research Centre Pvt. Ltd., 68/150/3, "Sri Lakshmi Towers",
9th Main, 3rd Block, Jayanagar, Bangalore-560 011. ]40
40 Inserted in Notification No. DPAR 6 SMR 2008 dated 22nd July 2008.







FORM 'A'
(Vide Rule 5)
Certificates

I certify that, Shri/Smt.......................................employed in the ..................... . . . . . . . . . . has been under treatment for . . . . . . . . . . . . . . . . . . . . disease at the .........................................hospital and that the services of the special nurses, for which an expenditure of Rs........... was incurred, vide bills and receipts attached were essential for the recovery/prevention of serious deterioration in the condition of the patient.

. . . . . . . . . . . .
Signature of the Medical Officer
in charge of the case of the Hospital.

Countersigned
Medical Superintendent,
.................……. Hospital






1[FORM 'AA'

(Vide Rule 9(1))
Form of certificate to be produced by a Government servant under rule 9 (1) of the Karnataka Government Servants ' (Medical Attendance) Rules 1963.

CERTIFICATE

This is to certify that Shri/Smt ............................... who is working as a ........................... in the office of .................................................is a Government servant to whom the Karnataka Government Servants (Medical Attendance) Rules, 1963, apply and therefore he/she and members of his/her family are entitled to free medical attendance and treatment.
His/Her total emoluments are Rs......P.M., the details of which are as follows :
Pay .. Rs. P.M Dearness Allowances .. Rs. P.M.
House Rent Allowance .. Rs. P.M.
Any other allowance .. Rs. P.M

Signature and Designation of the
Head of Office or any other Gazetted
Officer belonging to that Office.

Declaration of Government servant regarding a dependent receiving medical attendance and treatment.
I hereby declare that Shri/Smt................................. is a member of my family as defined under the Karnataka Government Servants' (Medical Attendance) Rules and is wholly Dependant upon me. He/She is my.............. (here mention the relationship).

Signed before me: Signature and Designation of the
Government servant.
Head of Office or any other
Gazetted Officer belonging to
the Office with designation.] 1
1 Inserted in Notification No.GAD 3 SMR 71 dated 15th July 1971





FORM 'B'

[Vide Rule 15 (1)]

Essentiality Certificate

I certify that, Shri/Smt....................................... wife/son/daughter of shri.............................. employed in the ....................................... has been under my treatment for .....................1Disease from ............. to ........... at the ...............................Hospital/my consulting room and that the undermentioned medicines prescribed by me in this connection were essential for the recovery/prevention of serious deterioration in the condition of patient. The medicines are not stocked in the .................. Hospital for supply to private patients and do not include proprietary preparations for which cheaper substance of equal therapeutic value are available nor 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 of case at the Hospital.
Date…………….

1 In the case of Confinement the words 'during pregnancy' or 'child birth' may, as the case may be, substituted for the word "disease".


















FORM 'C'

[Vide Rule 15(3)]
Application Form for Claiming Refund of Medical
Expenses

1. Name and designation of the Government servant
(in block letters )..
_______________________________________________________

2. Office in which employed ..
________________________________________________________________
3. Salary .. ..
__________________________________________________________
4. Place of duty .. ..
________________________________________________________________
5. Full residential address .. _______________________________________________________________
6. Name of the Patient and his/her
relationship to the Government servants/ ..
Note :- In the case of children,
state age also. __________________________________________________________
7. Place at which the patient fell ill ________________________________________________________________
8. Nature of illness and its duration ___________________________________________________________
9. Details for the amounts/claimed ____________________________________________________________
10. Total amount claimed ___________________________________________________________
11. List of enclosures ________________________________________________________
1[12. Countersignature by the controlling officer] 1
1Inserted in Notification No.DPAR 5 SMR 84 dated 11th June 1985










Declaration to be signed by the Government
Servant


1[(1) I hereby declare that the statement 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 detailed under the Karnataka Government Servants' (Medical Attendance) Rules, 1963 and is wholly dependant upon me] 1.


1[(2) I also declare that:

my wife/husband is not an employee of any State/Central Government or of an undertaking or body wholly or partly financed by Government.

OR

my wife/husband is employed in ................ and this claim for reimbursement has not been and will not be preferred by my wife/ husband] 1.
1 Numbered in Notification No.DPAR 5 SMR 77 dated 29th July 1977.
1 Inserted in Notification No.DPAR 5 SMR 77 dated 29th July 1977.




Signature of the
Govt. Servant


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Note:- Separate form should be used for each patient.






1[FORM 'D'
[See rule 15(5)]


I hereby declare that this is the first/second/third time that I have claimed refund in respect of spectacles for me/my* ..........……...…….. Sri/Smt.**................................................ who is a member of my family".
*Here write the relationship. ** The name of the member of the family.


Signature of Government servant] 1.

1 Substituted in Notification No. GAD 2 SMR 75 dated 13th February 1976.





FORM 'E'
[See Rule 15(6)]
Declaration to be signed by the Government Servant

I hereby declare that I have not at any time during my entire service claimed refund in respect of full set of dentures for me/my* ................................ Sri/Smt.**...........….............................. who is a member of my family.
* Here write the relationship.
** The name of the member of the family.

Signature of the Government Servant.

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