Scribd Logo
Upload

Welcome to Scribd!

  • 15K views

    Cancer Certificate

    Uploaded by

    kayalontheweb
    This document is a concession certificate form for issuing rail concessions to cancer patients. The form requires information about the patient such as name, age, sex, origin and destination stations for travel, and details of the admitting cancer hospital or institute. It is to be signed and sealed by the officer-in-charge of the hospital. The certificate is valid for one year and can only be used for travel between the patient's place of residence and the treating hospital.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Cancer Certificate

    Uploaded by

    kayalontheweb
    15K views1 page
    This document is a concession certificate form for issuing rail concessions to cancer patients. The form requires information about the patient such as name, age, sex, origin and destination stations for travel, and details of the admitting cancer hospital or institute. It is to be signed and sealed by the officer-in-charge of the hospital. The certificate is valid for one year and can only be used for travel between the patient's place of residence and the treating hospital.

    Original Description:

    Indian Railway concession format

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a concession certificate form for issuing rail concessions to cancer patients. The form requires information about the patient such as name, age, sex, origin and destination stations for travel, and details of the admitting cancer hospital or institute. It is to be signed and sealed by the officer-in-charge of the hospital. The certificate is valid for one year and can only be used for travel between the patient's place of residence and the treating hospital.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15K views1 page

    Cancer Certificate

    Uploaded by

    kayalontheweb
    This document is a concession certificate form for issuing rail concessions to cancer patients. The form requires information about the patient such as name, age, sex, origin and destination stations for travel, and details of the admitting cancer hospital or institute. It is to be signed and sealed by the officer-in-charge of the hospital. The certificate is valid for one year and can only be used for travel between the patient's place of residence and the treating hospital.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    APPENDIX – I/17

    I(See rule 101,Serial No.11) I

    CONCESSION-CERTIFICATE
    Form for the purpose of issue of Rail Concession to Cancer
    Patients to be used by the Officer-in-charge of the
    Hospital/sanatorium
    This is to certify that Shri/Shrimati__________________________________
    Whose particulars are furnished below, is a bonafide Cancer patient and is
    required to travel from ______________________________(station) to
    ______________________________(station).The patient has secured admission
    for treatment/is travelling for periodical checkup at _____________________
    ____________________________Cancer Hospital/Institute.

    Particulars of the Cancer Patient

    (a) Age:

    (b) Sex:

    Station:_______________________ Signature:
    Date:_________________________ (officer-in-charge of the
    hospital/Institute).

    Seal of the
    Hospital / Institute

    *Strike out where not applicable.


    +Indicate the name of the hospital,etc.

    Note: (1) The certificate is valid for one year from the date of issue.
    (2)No alteration in the form is permitted unless attested by the Issuing
    officer.
    (3) Certificate should be issued to the patients only for travelling from and
    to stations serving his place of residence, to and from the stations
    serving the Hospital/Institute.

    You might also like