Medical attendance rules

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place  of treatment should carefully and clearly written  by  the

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


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

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

medicines which are not eligible shall be disallowed.


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

Dispensing Chemists.


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

without seal of the Druggists shall be rejected ;


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


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

or patient and the date of issue.


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

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

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

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

connected file.


3.  The Authorised Medical Attendant should countersign both  the

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

not   only   to  these  bills  but  also  to   the   essentiality



4.  The sanctioning authority should personally satisfy himself-


(a)    that the essentiality certificates and the bills  produced

by the claimant are genuine ;


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

treatment periods mentioned in the essentially certificates ;


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

foods, toilets and disinfectants are excluded, and


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

during the period of treatment.


5.  Original bills produced by the claimant should be  initialled

by the sanctioning authority or by any gazetted officer under him

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


6.   The  claimant should surrender the original  bills  and  the

essentiality certificate to the Treasury who disburses the  bills



                           APPENDIX IV


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


List of Medicines recommended for use by Local Registered Medical



                             LIST I


1.  Nupercaine

2.  Anethaine

3.  Pantocaine

4.  Golfoam

5.  Penicillin powder with Sulphamazathine Sodium

6.  Tubarine

7.  Tubocutrarine

8.  Picrotoxin

9.  Lobeline

10.   Pentobaribita

11.   Methedrine

12.   Intravel Sodium

13.   Tincture Morthiolate

14.   Heogynergin

15.   Quinine Urethane

16.   Forsolate

17.   B.A.L.

18.  Percorten

19.   Encortone

20.   Trasentin

21.   Newo-Trasentin

22.  Spongostan

23.  Acid Gallic

24.  Acid Picric

25.  Ammonium Bemozate

26.   Ammonium Oxalate

27.   Ammonium Bromide

28.   Benzoline

29.   Bezamine Hydrochloride

30.   Beta Nauthol

31.   Bismuth Carbonate

32.   Bismuth Salicylate

33.   Buchu Folia

34.   Donfectio Piporia

35.   Ext. Gentianae

36.   Ext. Cascanso Sagrade Siccum

37.   Ext. Hamamohdis Liquidum

38.   Ext. Jabroandi Liquidum

39.   Ext. Hucis Vommicae Liquidum

40.   Ext. Viburmi Liquidum

41.   Forriet Quinaecitras

42.   Karo Tonic

43.   Linimontum Belladonnae

44.   Liq. Arsoniet Aydrargyri Loddi

45.   Liq. Bismuthiet Ammonji Citratis

46.   Liq. Epispesticus

47.   Liq. Pot Hydrox

48.   Mag. Carb Lev

49.   Mag. Oxid Lev

50.   Oleum Amygdala (Almond Oil)

51.   Oleum Gaultheriae

52.   Oleum Cinnamomi

53.   Oleum Junipori

54.   Oleum menthae piporitae

55.   Oleum Olive

56.   Paraffmum Durum

57.  Pepsinum

58.  Pil Hydrurg

59.  Pil Acot

60.  Pot. Bicarb

61.  Pot. Brom

62.  Pot. Citras

63.  Pot. Citras

64.  Potassi Tartaras Acids

65.  Pulvis Cretae Armoticus-cum-opio

66.  Potassa sulphurata

67.  Pulvaeico

68.  Salol

69.  Sodium thiosulphate

70.  Sylphanal

71.  Syrupus Aurantil

72.  Syrupus Coloii Hypophospitis

73.  Syrupus Ferri Jo didi

74.  Syrupus Ferri phosphitis compositus

75.  Syrupus Scillae

76.  Tincture Acenitii

77.  Tincture Aloes

78.  Tincture Asofoetidad

79.  Tincture Calumbae

80.  Tincture Cannabis Indicae

81.  Tincture Capsici

82.  Tincture Catoclum

83.  Tincture Digitalis

84.  Tincture Jabornadi

85.  Tincture Myrrhao

86.  Tincuture Lobeliao Aethereo

87.  Tincture Quassiao

88.  Tincture Quinnine Ammoniata

89.  Unguentum Hydrargyri

90.  Unguentum Hydrargyri Miltratis

91.  Unguentum Rosinao

92.  Urethano

93.  All Vitamin Preparations

94.  Tinct Valeria Ammon

95.  Tinct. Sinaace

96.  All Histarmine preparations

97.  Acetylarsan

98.  Uroa Stibamine

99.  Stibatin amp

100. Gluco Solution

101. Insulin P.Z.

102. Emetine Hydrochloride

103. AminophyHa

104. Acidum phosphoricum Dilutum

105. Acidum Tactieum

106. Acidum Lrichloraceticum

107. Apomorphine Hydrochloride

108. Bleaching Powder

109. Bismuth Subnitras

110. Bension

111. Balsamm of Tolu

112. Bonzaldohyde

113. Brillian Green

114. Crushed Linseed

115. Chalk

116. Copsicum Powder

117. Crude Coal Tar

118. Dextrose

119. Hyecine Hydrobromide

120. Hard Paraffin

121. Preparations of Senna Kramoria cloves & contain co

122. Liq. Ammonil citratis

123. Lead Plaster

124. Morphinae Tartras

125. Liquid lodi Portis

126. Oleum pini Sylvestris

127. Liquid Carbonics Detergents

128. Pulvia Seillae

129. Magnesium phosphate

130. Prepared Coal tar

131. Oleum Gajuputi

132. Syrup of Wild Cherry

133. Pulvis Hyeseyami

134. Syrupus Zingiberis

135. Potassium Hydroxide

136. Sodium Lactate

137. Syrupus Codeinae Phosphates

138. Strychnine Hydrochloride

139. Syrupus Simplex

140. Scarlet Red

141. Sodii Hydroxidum

142. Tr. Lavandulae co

143. Storax

144. White Bees Wax

145. Tr. Arnicae Floris

146. Golatin

147. Ung. Hydrarg Co.,

148. Linimentum Aconiti

149. Sulpha drugs

150. All sera Vaccines

151. Homotrophine Hydrobromide

152. Anti Histamine drug.


                             LIST II


Insulin All varieties

Coagnlo (ciba) Amps

Adrenal Cortex Hormones

Gold Preparations



Riboflavine Amps and tablets

Liver extract



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

Sodium pentese nucleotide

Prostingmin tablets

Carbursone tablets

Taka Diastase

All drugs used for investigation in the X-ray Department

Acid ascorbic ampoules and tubes

Prestigmin ampoules

Pethidone ampoules



Hitrogan Mustard






Protein Hydrolysate

Aylase ampoules




                           APPENDIX V


                   [Vide Rule 19(1) in Part I]


Rules Regulating Admission of Tuberculosis Patients in Government

Tuberculosis   Institutions   and   other   Government    Medical

Institutions where there are Tuberculosis Wards


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

hospital   or   sanatorium  unless   intimation   regarding   the

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

the hospital or sanatorium.


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

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

unsuitable for admission.


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

tuberculosis  hospital or sanatorium direct, but should be  asked

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

functioning within a reasonable distance.


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

Superintendent   of  Government  T.B.  Sanatorium   or   Hospital

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

for admission.


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

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

registration  the  cost of telegram that should be  sent  to  him

intimating vacancy of bed.


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

list  of  all  suitable  cases  should  be  maintained  by   each

tuberculosis institution.


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

sanatorium  will be examined by the concerned  Superintendent  of

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

who  require sanatorium treatment and assign a serial number  for

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

Officer,  Hyderabad. Intimation regarding vacancies will be  sent

to  the patients direct by the Superintendent of the  Sanatorium.

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

If no reply is received within five days requesting extension  of

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

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

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


The  Superintendent  of the Sanatorium should send to  the  State

Tuberculosis  Control  Officer,  Hyderabad at the  end  of  every

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

and  the  serial  number of the patients whose  names  have  been

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


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

of entry in waiting list unless some emergency has occured  which

requires immediate attention.


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

put on the waiting list.


(5)     Letters  of  recommendations  received  with  regard   to

admission of patients direct to hospital or Sanatorium should not

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

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

list and should take turn along with other cases.


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

if  found  suitable for admission will be  admitted  immediately.

Police  Constables  will  be given special  priority  over  other

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

given preference in admission after State Government Servants.


Note  :-Central Government Servants and Railway  Servants  should

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


(7)   Advanced  cases  among Government Servants  should  not  be

admitted   unless  it  be  for  purposes  of  issue  of   medical

certificates, invalidation certificates, etc.


(8)   Emergencies  which  require immediate  attention  such  as

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

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

advanced  cases  should be admitted immediately and kept  in  the

hospital or sanatorium till the emergency disappears. After that,

if  they  are found suitable for treatment their  names  will  be

included  in the waiting list on discharge from the  hospital  or

sanatorium and admitted when their turn comes.


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

mufassal   for   operative  procedure   such   as   Thoracoscopy,

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

the respective places after operation.


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

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

the waiting list.


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

admitted in the Government Tuberculosis Sanatoria.


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

Tuberculosis  Institutions will maintain a separate waiting  list

for admission in the special wards, send necessary intimation  to

the patients and control their admission.


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

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

amount  should be remitted along with application for  admission.

This  amount will be adjusted towards hospital stoppages  payable

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

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

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

Superintendent of Sanatorium, the registration fee collected will

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

patient next in the waiting list.


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

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

the  date of registration and where the individual does not  then

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

the  receipt of intimation regarding the availability of beds  or

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


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

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

251- provided they are entitled to free accommodation in  special



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

find  it difficult to obtain and produce the  income  certificate

from  the  Revenue Authorities, may be admitted  in  the  special

wards,  provided they give an undertaking to pay  the  Sanatorium

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

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



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

special wards.


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

by  the  Sanatroium  authorities provided  that  the  patient  is

prepared to pay the cost of construction of the cottage.


5.  The following procedure shall be adopted for the construction

of  cottages  in  the compound  of  the  Government  Tuberculosis

Sanatoria in the State :


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

Sanatorium  and  which  are made of brick with  mud  plaster  and

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

these  cottages should be asked to effect repairs at  their  cost

when  necessary  before occupation. They shall be  scrapped  when

they become completely irreparable and no new thatched shed shall

be allowed to be put up.


(b)   New  cottage  should  be  constructed  only  with   durable



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

each  cottage consisting of a twin ward the approximate  cost  is

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

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

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

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

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

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


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

provisionally  suitable  for surgical treatment  should  also  be

placed  on the common waiting list by the Superintendents of  the

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

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

that  they  are  being admitted into the  Sanatorium  only  on  a

provisional  basis  that  if, after observation  they  are  found

suitable, they will be given the necessary surgical treatment and

that  otherwise they will be discharged from the  Sanatorium  and

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

undertaking in the following form should be obtained form each of

such patient.




"I  understand  that I am being admitted  into  the  Tuberculosis

Sanatorium  on  a provisional basis for observation  whether  any

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

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

necessary   surgical   treatment.  If  it  is  decided   by   the

Superintendent  my case is not suitable for surgical treatment  I

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

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


The Mass Radiography beds will be used for observation purpose.


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

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



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

the Sanatoria will discharge the patients who become chronic even

though sputum in positive, thus making the vacant beds  available

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

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

be  constituted  consisting  of  the  Superintendent,   Assistant

Superintendent,  and the Pathisiologist or the  Resident  Medical

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

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


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

Sanatorium  type of treatment should be kept on for a  reasonable

period of observation and the medical officer should be empowered

to  discharge them on making certain that such patients  are  not

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


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

the  hospital  for tuberculosis diseases, Irrumnuma, ward  of  24

beds  shall  be set apart exclusively for the  accommodation  and

treatment of Tuberculosis cases detected through mass radiography

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

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

already  admitted into the reserve ward shall be admitted to  the

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

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

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


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

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

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

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

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

half the fees shall be levied.


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

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

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

hospital  for the Tuberculosis Diseases, Irrumnuma even if  their

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

collected  from the employees concerned. These patients  will  be

admitted  only with the consent and permission of the  employees.

The necessity and urgency for the treatment of such cases  should

be explained to the employers concerned.


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

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

subjected  to  mass-radiographic  examination  or  treatment  for





Certificate of Medeical Examination by

Civil Surgeon                                --  16-00


Certificate of Medical Examination by

an Assistant Surgeon                         --   5-00


Admission and discharge certificate from

Tuberculosis Sanatorium                      --   0-13


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

members  of  the  general  public  who  are  subjected  to  mass-

radiography  and who undergone the treatment in the Hospital  for

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



                           APPENDIX VI


                              PART I


                         [Vide Rule 20]


The  Andhra Pradesh Rules of Advance for Medical  Attendance  and



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


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

Advances for Medical Attendance and Treatment".


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

the State.


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

State to meet the expenses of medical attendance and treatment of

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

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