SCHEDULE OF POWER MEDICAL MATTER Part-G

INDEX
SCHEDULE OF POWER MEDICAL MATTER
Sr. No. Subject Page
1. Spot Payment of Private Hospitals for Treatment 189
2. Free Diet 189
3. Motor Ambulance Charges 189
4. Hiring of Vehicles for Transportation of Passengers 189
5. Uniform, Clothing of St. John’s Ambulance Brigade (SJAB) as per Brigade Rules 190
6. Parade Allowance 190
7. Funeral Expenses for Indigent Employees who die in Railway Hospital 191
8. Expenses on Disposal of Unclaimed Dead Bodies in Railway Hospital. 191
9. Reimbursement of Medical Expenses to Staff/Retired Employees Governed by Railway Employees Liberalised Health Scheme 192
(RELHS)
10. Purchase of Medical Stores 195
11. Emergency Powers of CMD 198
12. Local Purchase 199
13. Accident Relief Medical Equipment 201
14. Supply of dietary Articles 201
15. Washing of Linen 201
16. Waiver of Hospital Changes 203
17. Supply of Medical Stores 203
18. Extension to the Period of Delivery 203
19. Cancellation of Orders Placed 204
20. Admission of Non-Railway Patients in Railway Hospitals 204
21. Replacement/Additional Petty Items 205
22. Write of and Disposal 205
23. Purchase of Medical Books 206
24. To Sanction Chrges for Analysis 206
25. Purchase of Blood for Transfusion 206
 fo"k;&lwph
fpfdRlk ls lacaf/kr 'kfDr;ksa dh vuqlwph
Øekad fo"k; i`"B
1- futh vLirkyksa dks LFky Hkqxrku 189
2- eq¶r Hkkstu 189
3- eksVj ,Ecqyals izHkkj 189
4- xkM+h nq?kZVuk eas Qals ;kf=;ksa ds vkokxeu ds fy, okgu dks fdjk;s ij ysuk 189
5- fczxsM fu;eksa ds vuqlkj] lsVa tkSu ,Ecqyl sa fczxsM dh onhZ vkoj.k ij 190
6- ijsM&HkÙkk 190
7- xjhc deZpkfj;ksa ds fy, vUR;ksf"V&[kpZ&ftudh e`R;q jsy&vLirky esa gqbZ gks 191
8- jsy vLirkyksa esa ykokfjl 'ko ds fuiVku [kpZ 191
9- jsy deZpkjh mnkjhd`r LokLF; ;kstuk (vkj bZ ,y ,p ,l) }kjk 'kkflr deZpkjh@lsokfuo`r deZpkfj;ksa dks fpfdRlk [kpZ@vfxze Hkqxrku dh izfriwfrZ 192
10- fpfdRlk ls lacaf/kr lkekuksa dh [kjhn 195
11- eq fp f/k dh vkikr'kfDr;k¡ 198
12- LFkkuh; [kjhn 199
13- nq?kZVuk jkgr fpfdRlk midj.k enksa dh [kjhn 201
14- Hkkstu lkefxz;ksa dh vkiwfrZ 201
15 fyusu dh /qkykbZ 201
16 vLirky izHkkjksa dk vf/kR;kx 203
17 fpfdRlk lkefxz;ksa dh vkiwfrZ 203
18 lqiqnZxh vof/k dks c<+kus 203
19 izLrqr fd, x, vkns'kksa dks jí djuk 204
20 jsy vLirkyksa esa xSj jsy ejhtksa dh HkrhZ 204
21 izfrLFkku@vfrfjdr NksVh ensa 205
22 cV~Vs [kkrs Mkyuk ,oa fuiVku 205
23 fpfdRlk&iqLrdksa rFkk tuZy dh [kjhn 206
24 fo'ys"k.k ds fy, izHkkjksa dh eatwjh nsuk 206
25 VªkaLÝ;wtu ds fy, jDr dh [kjhn 206
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@ eaMy@mieaMy@dkj[kkuk ofj0 osrueku ,oa fVIif.k;k¡@izkf/kdkj
la0 eq0fp0v/kh0@eq vLirky@eq[;ky; ds ifj0 lgk0 osrueku
0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds vf/kdkjh
izHkkjh vf/kdkjh
1 2 3 4 5 6 7
1- ?kk;yksa ds bykt ds fy, futh iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ :0 50]000@& rd 'kwU; izkf/kdkj % jsyos cksMZ&2003 ds vkink izca/ku ij
vLirkyksa dks LFky Hkqxrku mPp Lrjh; lfefr jiV dk en la0&32 i=
djuk (izR;sd volj ij) la0&2003@,p@715@3 (32) fnukad 23-08-05 ,oa
IRMM&2000 dk iSjk 712 (5) rFkk (6)
2- O;;% izkf/kdkj
,) varjax ejht ds :i ea jsy iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ 'kwU; (,) ds fy,% foÙkh; lgefr vko';d ugha gSA
vLirkyksa esa bZykt ik jgs xjhc 1- vkbZ vkj ,e ,e dk iSjk 641&ch uksV (IV)
;kf=;ksa ,oa vfrØe.kdkfj;ksa ds 2- egkizca/kd ds izR;k;kstu dk en la0 50
eqQr Hkkstu ij
ch) ejhtksa dks LVs'ku ls (ch) ds fy, % 1 foÙkh; lgefr vko';d ugha gSA
vLirkyksa rd ykus ,oa okilh iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ 2- jsy okgu ,oa ,Ecqyl
sa dkj miyC/k ugha jgus ij
ds fy, eksVj ,Ecqyal s izHkkj 3- vxznk; ls Hkqxrku&1206 vkbZ vkj ,e ,e
vkfn [kaM&2

lh) xkM+h nq?kZVuk eas Qals iw.kZ 'kfDr;k¡ 'kwU; A) eq[;ky; vf/kdkjh& izeq[k 'kk[kk vf/kdkjh
;kf=;ksa ds vkokxeu ds fy, foHkkxkè;{k@eq[; foHkkxkè;{k }kjk ukfer ea fp
okgu dks fdjk;s ij ysuk (cpko }kjk ukfer mieqfp funs&iw.kZ f/k }kjk :0 (lh) ds fy, % foÙkh; lgefr vko';d ugha gSA
,oa jkgr dk;ksZa ds fy,) 'kfDr;ksa 5000@& izkf/kdkj% iw0e0 jsy&vkink izca/ku en la0&1 ij
AA) eaMy vf/kdkjh&ejs iz vkbZ vkj ,e ,e 'kfDr;ksa dh vuqlwph ds iSjk
}kjk ukfer eqfpf/k dks :0 711(15) ,oa 716 ,oa vkink&izca/ku ij fjiksVZ dk
10]000@& rd en la0 30-
egkizca/kd ds izR;k;kstu dk en la0 17(2)
Mh) nq?kZVuk@vokafNr ?kVuk esa 'kwU; 'kwU; 'kwU; 'kwU;
'kkfey jsy&;kf=;ksa ds mipkj (Mh) ds fy, % egkizca/kd dks iw.kZ 'kfDr ,oa
A) ?kk;y ;kf=;ksa %& egkizca/kd dk fu.kZ; vafre gksxkA bu
futh vLirky esa fpfdRlh; 'kwU; 'kwU; 'kwU; 'kwU; ljdkjh@futh vLirkyksa ds fcyksa dks è;ku ls
mipkj tkapk tk, rFkk eaMy vLirky ds izHkkjh eq0 fp0
AA) vfrØe.kdkfj;ksa ,oa v/kh0@fpfd0 v/kh0 }kjk eaMy ds laca/k foÙk dh
[krjukd <+ax ls ;k=k djus lgefr ls ikl fd;k tk,%
okys O;fDr;ks&
a vkikrdkyhu izkf/kdkj% jsyos&cksMZ dh i= la0 2003@,p@711
fpfdRlh; mipkj ,l lh vkj fnukad 14-11-06

189
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM/CM SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
S/CHD Divisional/Sub.Divisional Asst. Scale
/Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
1. *Making on Spot payments to Full Powers Full powers Upto Rs. 50,000/- Nil Authority: Item No. 32 of High level
Private Hospitals for treatment committee report on Disaster Management of
of Injured(on each occasion) Rly. Board,letter no.2003/H/7/5/3(32)
dt,23.08.05 and para712(5) &(6) of IRMM -
2000.
2. Expenditure on
(a) Free diet to indigent Full Powers Full Powers Full Powers Nil For (a) Finance concurrence is not
passengers and trespassers necessary.
undergoing treatment in Railway Authority:
Hospitals as indoor patients. 1. Para 641-B Note (iv) of IRMM
2. Item 50 of GM’s delegations
(b)motor ambulance charges etc. Full Powers Full Powers Full Powers Full Powers
for transporting patients from For (b)1. Finance concurrence is not
station to hospitals & vice versa. necessary.
2. subject to non-availability of railway
vehicles& ambulance car
3. Payment from imprest-1206 IRMM. Vol.
(c) ** hiring of vehicles for Full Powers Full Powers i. HQ officer – Dy. CMD Rs. 5,000/- by II.
transportation of passengers (for Full Powers as nominated DMO
rescue & relief operation), by PHOD/CHOD nominated by For (c) Finance concurrence is not
involved in train accidents. ii. Divisional Officer Branch Officer necessary.
Sr. DMO Upto Rs. Authority: Para 711(15)(iii) and 716 of
10,000/-as nominated by IRMM SOP on Disaster Management Item
DRM No. 1 of East Central Railway.& item no.30
(d) Medical treatment of of report on Disaster Management
Railway passengers involved in Item NO. 17(2) of GM’s delegations.
accidents/untoward incidents For (d) – Full power to GM – GM’s decision
(i)Injured passengers – For NIL NIL NIL NIL will be final
treatment in private hospital Bills of these Govt./Pvt. Hospitals to be
(ii) Trespassers and persons scrutinized and passed by CMS/Ms incharge
traveling dangerously – NIL NIL NIL NIL of the divisional hospital with the
Emergency medical treatment concurrence of the associate finance of the
division.
Auth. R.Bd. let. No. 2003/H/7/1/SCR dt.
14.11.06

189
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@ eaMy@mieaMy@dkj[kkuk ofj0 osrueku ,oa fVIif.k;k¡@izkf/kdkj
la0 eq0fp0v/kh0@eq vLirky@eq[;ky; ds ifj0 lgk0 osrueku
0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds vf/kdkjh
izHkkjh vf/kdkjh
1 2 3 4 5 6 7
uksV %
1- jsyos cksMZ ;k {ks=h; jsy }kjk ekU; futh vLirkyks@ a futh vLirky ftlds lkFk jsy iz'kklu dk le>kSrk Kkiu gqvk gS@dksbZ miyC/k fudVorhZ futh vLirky@izR;sd LVs'ku
ij futh vLirkyksa dh lwph j[kh tk, vkSj izR;sd o"kZ v|ru fd;k tk,xkA
2- LVs'ku vk; ls fudklh fd, x, jkf'k@udn vxznkl ds Hkqxrku fd;k tk,xkA
3- ;Fkksfpr izekf.kr mi;qDr fcy dk Hkqxrku fd;k tk,xk vkSj orZeku funsZ'kksa ds vuqlkj ys[kk izLrqr fd;k tk,xkA
4- fpfdRlk [kpksaZ ds leUo;u ds fy, ekSds ij mifLFkr ofj"Bre fpfdRlk&vf/kdkjh uksMy&vf/kdkjh gksxkA
* 1- fdjk;k ij ysus dk dk;Z ,dy dksVs'ku ij orZeku cktkj@;Fkksfpr nj ij fd;k tk,xkA
2- Hkqxrku udn vxznk;@LVs'ku ls fudklh fd, x, vk; ls fd;k tk,xkA
3- orZeku funsZ'kksa ds vuqlkj ewy okmpjksa ds lkFk mfpr ys[kk izLrqr fd;k tk,xkA
4- ;fn ftl eaMy esa ofj0 ea0fp0vf/k0 fu;qDr ugha gks rks dkWye&5 ds varxZr iznr 'kfDr dk iz;ksx lacaf/kr ofj osrueku vf/kdkfj;ks a }kjk fd;k tk,xkA
5- eaMy ds dfu0 iz'kk0 xzsM&vf/kdkfj;ksa dks dkWye&5 ds varxZr iznÙk 'kfDr ds rgr izR;sd volj ij dqy mPpre lhek :0 10]000@& gS rFkk ofj0 osrueku vf/kdkfj;ksa dks
dkWye&6 ds varxZr iznÙk 'kfDr ds rgr izR;sd volj ij dqy mPpre lhek :0 5000@&
3 O;;& eq[; ltuZ iw.kZ
,) fczxsM fu;eksa ds vuqlkj] lsVa 'kwU; 'kfDr;k¡ ftyk 'kwU; 'kwU; foÙkh; lgefr vko';d ugha gS
tkSu ,Ecqyl sa fczxsM (,l ts , v/kh{kd&izR;sd izkf/kdkj% vkbZ vkj ,e ,e dk iSjk 1110
ch) dh onhZ vkoj.k ij volj ij :0
2500@& rd
ftyk ltZu &
:0 2000@&
rd
eq[;
'kwU; p0v/kh0@fp0 'kwU; 'kwU; 1- foÙkh; lgefr vko';d ugha gSa
ch) ijsM HkÙkk
v/kh0 iw.kZ 2- ,l ts , ch }kjk fu/kkZfjr njksa ds vuqlkj
'kfDr;k¡ eq[; izkf/kdkj % vkbZ vkj ,e ,e dk iSjk AAAA
ltZu ftyk uksV % eaMy dk eq fp v/kh ftyk ltZu gS vkSj eq0
v/kh0 ,oa ftyk fp0 fu0 eq[; ltZu gS
ltZu & iw.kZ
'kfDr;k¡

190
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM/CM SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
S/CHD Divisional/Sub.Divisional Asst. Scale
/Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
Note: * Private Hospitals recognized by Railway Board or Zonal Railway/Private Hospital with whom memorandum of understanding entered into with Railway
administration/any available nearest Private hospital. A list of private hospital be maintained at every station and which should be updated every year. 2. The
payment will be made from the Cash Imprest/amount withdrawn from Station Earning. 3. The payment will be made against the proper bill duly certified and
accountal will be rendered as per extant instructions.4. The Senior most Medical Officer at site will be the nodal officer for co-ordinating Medical expenses.
** 1. Hiring shall be on single quotation on current market/reasonable rates. 2. Payments will be made from cash imprest/earning withdrawn from station. 3. Proper
Accounts will be submitted alongwith original vouchers as per extant instructions. 4. In case where Sr. DMO is not posted in Division. Power delegated vide Col.5 is
to be exercised by respective Sr. Scale officers. 5. Rs. 10,000/- is the total ceiling limit on each occasion for power delegated vide Col 5 pertaining to JAG officers
for division and Rs. 5,000/- is total ceiling limit on each occasion for power delegated vide Col. 6 pertaining to SS officers.
3. Expenditure on Chief Surgeon Nil Nil Finance concurrence is not necessary
(a) uniform , clothing of St. Nil Full powers Authority: Para 1110 of IRMM.
John’s Ambulance Dist. Supdts.
Brigade(SJAB) as per Brigade Upto Rs.2,500/-
rules. per occasion
Dist. Surgeons
Upto Rs.2,000/-
per occasion 1. Finance concurrence is not necessary.
(b) Parade allowance Nil CMS/MS Nil Nil 2. As rates specified by SJAB
Full Powers Authority: Para 1111 of IRMM.
Chief Surgeon, Note: CMS of division is Dist Surgeon ,
Dist.Supdts. and CMD is Chief Surgeon.
Dist. Surgeons
Full Powers

190
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu

Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@ eaMy@mieaMy@dkj[kkuk ofj0 osrueku ,oa fVIif.k;k¡@izkf/kdkj
la0 eq0fp0v/kh0@eq vLirky@eq[;ky; ds ifj0 lgk0 osrueku
0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds vf/kdkjh
izHkkjh vf/kdkjh
1 2 3 4 5 6 7
4 (,) xjhc deZpkfj;ksa ds fy, izR;sd ekeyksa esa izR;sd ekeyksa esa izR;sd ekeyksa esa :0 izR;sd ekeyksa esa 1- foÙkh; lgefr vko';d ugha gSA
vUR;ksf"V [kpZ ftudh e`R;q jsy :0 8000@& rd :0 8000@& 8000@& rd :0 8000@& rd 2- e`rd ds fuiVkjk cdk;k ls jkf'k olwy fd,
vLirky esa gqbZ gksA rd tkus ds v/khuA
3- fcy vkgj.k ,oa lacaf/kr ys[kk vf/kdkjh dks rqjra
(ch) jsy&vLirkyksa esa ykokfjl iw.kZ 'kfDÙk;k¡ iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ lwfpr fd;k tk,A
'ko ds fuiVku [kpZ izkf/kdkj % vkbZ vkj bZ ,e] f}rh; laLdj.k dk iSjk
1602 (15)
2) jsyos&cksMZ dk i= la0 bZ (MCY;w) 98@MCY;w bZ
6@8 fnukad 05-08-1999
3) LVs'ku&vk; ls fudklh dh tk ldrh gSA
foÙkh; lgefr vko';d ugha gSA
izkf/kdkj % vkbZ vkj ,e ,e dk iSjk 711(5) (th0)

.
191
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM/CM SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
S/CHD Divisional/Sub.Divisional/ Asst. Scale
Workshop Hospital/HQ Officers

1 2 3 4 5 6 7

4. (a) Funeral expenses for indigent Upto Rs. Upto Rs. 8,000 in Upto Rs. 8,000 in Upto Rs. 8,000 1. Finance concurrence is not necessary.
employees who die in railway 8,000/- in each case each case in each case 2. Subject to amount being recovered from the
hospitals each case. settlement dues of the deceased.
3. Bill drawing and the concerned Accounts
officer to be advised immediately.
Authority:
1. Para 1602(15) of IREM, Second Edition.
2. Rly Board Lr. NO. E(W)98/WE6/8 dt.
05.08.1999.
3. Amount can be withdrawn from Station
Earnings.
(b) Expenses on disposal of Full Powers Full Powers Full Powers Full Powers Finance Concurrence is not necessary.
unclaimed dead bodies in railway Authority: Para 711(5)(g) of IRMM.
hospitals

191
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@eq0 eaMy@ ofj0 fVIif.k;k¡@izkf/kdkj
la0 fp0v/kh0@eq0Lok0 mieaMy@dkj[kk osrueku
funs0 uk vLirky@ ,oa lgk0
eq[;ky; ds ifj0 osrueku
xzsM@dfu0 iz'kk0 vf/kdkjh
xzsM ds izHkkjh
vf/kdkjh
1 2 3 4 5 6 7
5 jsy deZpkjh mnkjhd`r LokLF; ;kstuk 5(d) ds fy,%
(vkj bZ ,y ,p ,l) }kjk 'kkflr foÙkh; lgefr vko';d ugha gSA
deZpkjh@lsokfuo`Ùk deZpkfj;ksa dks izkf/kdkj%
fpfdRlk [kpZ@vfxze Hkqxrku dh 1- vkbZ vkj ,e ,e dk iSjk 633-635-348 (1)(,) ,oa (ch) rFkk 648 (2)
izfriwfrZ 2- jsyo&cksMZ dk i= la0 86@,p@6@2@21 fnukad 06-07-95 ,oa 12-09-95
3- jsyos&cksMZ dk i= la0 2005@,p@6&4 uhfr fnukad 17-08-09
,) izkf/kd`r fpfdRlk vf/kdkjh iw.kZ 'kfDr;k¡ izR;sd ekeys esa :0 'kwU; 'kwU; 5(ch) ds fy,%
(,0,e0vks0) }kjk ljdkjh fpfdRlk 10]000@& rd 1- foÙkh; lgefr vko';d gSA
dkWyst vLirkyks@ a (islesdj lfgr) 2- egkizc/a kd dh 'kfDr;k¡ fuEukuqlkj gS%
ljdkjh vLiryksa dks Hkstuk- iw.kZ 'kfDr;k¡ % vkikr&fLFkfr esa , ,e , }kjk cxSj leqfpr funs'Z k ds ljdkjh
vLirkyska esa bykt ds fy,-
5 (lh) ds fy,
ch) vikfrd ekeyksa esa , ,evksas }kjk eq0fp0fu0& e&js0 iz&izR;sd ekeys 'kwU; 'kwU; foÙkh; lgefr vko';d gS
fcuk leqfpr funs'Z k ds (islesdj :0 50]000@& eas :0 10]000@& rd 1- foÙkh; lgefr vko';d gs &
lfgr) ljdkjh vLirkyksa esa rd izR;sd izfro"kZ :0 50]000@& 2- egkizc/a kd@vij egkizc/a kd :0 2 yk[k rd izkf/kdkj%
ekeys esa rd mPpre lhek ds 1- vkbZ vkj ,e ,e dk iSjk 647-648
lkFk 2- jsyo&cksMZ dk i= la0 2007@6&4@uhfr&1 fnukad 26-11-2007
3- jsyo&cksMZ dk i= la0 2007@,p@6&4@uhfr&1 fnukad 07-08-2008
lh) vkikfrd ekeyksa esa :0 50]000@& ea0js0iz&izR;sd ekeys esa 'kwU; 'kwU; 4- jsyos&cksMZ dh i= la0 2005@,p@6&4@uhfr fnukad 17-08-2009
ekU;rkizkIr@xSj ekU;rk izkIr futh izR;sd ekeys esa :0 10]000@& rd]
vLirkyksa ,oa yksdksipkjh laxBuksa }kjk izfro"kZ :0 2]00]000@& 5(Mh) ds fy,
pyk, tk jgs nok[kkuksa esa ,,evks }kjk rd mPpre lhek ds 1- :0 10]000@& ls vf/kd ds fy, foleqysf/k dh lgefr ,oa cksMZ dk
cxSj leqfpr funs'Z k ds(islesdj lfgr) lkFk vuqeksnu vko’;d gSA
2- o'krsZ fd ;s tkaps , ,e vks dh lykg ij jsy vLirky esa ,s lh lqfo/kk ugha
jgus dh fLFkfr esa dh xbZ gksA
izkf/kdkj%
Mh) , ,e vks ds funs'Z k ij xSj ,y izR;sd tkap esa izHkkjh fpfd0 'kwU; 'kwU; 1- jsyos cksMZ dk i= la0 99@,p@6&4 uhfr fnukad 20-09-2000 ,oa 30-04-07
fpfdRlk&laLFkku djk, tk, lhVh :0 10]000@& funs0@eq0fp0v/kh0@fp0 2- vkbZ vkj ,e ,e 2000 dk iSjk 601(2)
LdSu@,e vkj vkbZ tkap rd v/kh0 izR;sd ekeys esa
:010]000@& rd

192
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM/CM SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
S/CHD Divisional/Sub.Divisional Asst. Scale
/Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
5. Reimbursement of medical For 5(a)
expenses/Advance payment/ Finance concurrence is not necessary.
Permission to staff/retired Authority:
employees governed by Railway 1. Paras 633,635,648(1)(a)&(b) and 648(2)
Employees Liberalized Health of IRMM.
Scheme(RELHS) 2. Rly. Board’s letter no. 86/H/6-2/21 dt.
06.07.95 and 12.09.95.
3. Rly. Bd. Letter no. 2005/H/6-4/Policy dt.
(a) Referred by Authorised Full Powers Upto Rs. 10,000/- Nil Nil 17.08.09.
Medical officer(A.M.O) to in each case. For 5(b)
Govt. medical college 1. Finance concurrence is necessary.
hospitals/Govt. hospital 2. GM’s powers are as follows:-
including Pacemaker Full powers: for treatment in Govt. Hospitals
in emergency without proper reference by
AMA.

For 5(c)
(b) In emergent cases without CMD upto DRM upto Nil Nil 1. Finance concurrence is necessary
proper reference by AMO in Rs. 50,000/- Rs.10,000/- per 2. GM/AGM Upto Rs. 2 lakh .
Govt Hospitals. Including per case case with ceiling Authority:
Pacemaker limit of Rs. 1. Paras 647,648 of IRMM.
50,000/- Rs. 2. Rly Board’s letter No. 2007/6-4/Policy-I
dt.26.11.2007
3. Rly Bd’s letter No. 2007/H/6-4/Policy-
(c) in emergent cases in DRM upto Nil Nil 1dt.07.08.2008
recognized / non-recognised Rs.50,000/ Rs.10,000/- per 4. Rly.Bd’s. Letter no. 2005/H/6-4/Policy dt.
private hospitals and per case case with ceiling 17.08.09
dispensaries run by philanthropic limit of Rs. For 5 (d)
organizations without proper 2,00,000/- per 1. Beyond Rs. 10000/- FA&CAO’s
referral by AM.O. including year concurrence and Board’s approval is
Pacemaker required
2. Provided the investigation were done on
referral by AMO if facilities of such
investigations are not available in Rly.
Hospitals.
(d) On account of investigation Upto Rs. MD/CMS/MS in Nil Nil Authority:
of CT Scan/ MRI done at non 10000/- in charge 1. Rly. Bd.’s letter no.99/H/6-4/Policy
railway institution on referral by each test 10000/- in each dt.20.09.200 & 30.04.07
AM O case 2. Para 601 (2) of IRMM -2000

192
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@eq eaMy@mieaMy@dkj[kkuk ofj0 osrueku fVIif.k;k¡@izkf/kdkj
la0 0fp0v/kh0@eq0L vLirky@eq[;ky; ds ,oa lgk0
ok0funs0 ifj0 xzsM@dfu0 iz'kk0 osrueku
xzsM ds izHkkjh vf/kdkjh vf/kdkjh
1 2 3 4 5 6 7
uksV %
1- {ks=h; jsyksa rFkk mRiknu bZdkb;ksa dks iznku fd, x, mi;qZDr izR;k;kstu jsyos&cksMZ dh i=&la0 2005@,p@6&4@uhfr&iz fnukad 31-2007 esa fn, x, fu/kkZfjr 'krksaZ dks iwjk djus ij
fuHkZj gSA
2- tkap lwph@,p D;w esa of.kZr lHkh foUnqvksa dh foÙk dh i=&la0 bZlhvkj@,Q vkbZ bu@bZ lh ,u@fpfdRlk&izfriwfrZ 14-08-2007 dk vuqikyu lqfuf'pr fd;k tk,A
bZ) lHkh izdkj ds uSnkfud ,oa :0 5000@& :0 5000@& 'kwU; 'kwU; 5 (bZ) ds fy,
jksxkRed tkap] iSFkyksftdy izR;sd ekeys izR;sd ekeys esa 1- jsyos vLirky esa vko';d lqfo/k ugha miyC/k dh fLFkfr esa
fofdj.k tkap rFkk vU; rjg dh esa ljdkjh vLirky@futh vLirky@futh uSnkfud dsUnzksa ij tkap dh
uSnkfud iSFkyksftdy izfØ;k tk,xhA
(lh Vh LdSu ,oa ,e vkj vkbZ 2- foÙkh; lgefr vko';d ugha gSA
ds vykok) izkf/kdkj%
1- vkbZ vkj ,e ,e 2000 dk iSjk 6001(2) (Mh)
2- jsyos&cksMZ dk i= la0 99@,p@6&4@uhfr 30-04-2007
,Q) ,0,e0vks0 }kjk ljdkjh 5 (,Q) ds fy,
'kwU; 'kwU; 'kwU; 'kwU; 1- eq0fp0fu0 ds vuq'kalk ,oa foleqyksf/k dh lgefr ij egkizca/kd dh
vLirky esa Hksts x, jksfx;ksa dks
vfxze Hkqxrku 'kfDr :0 5 yk[k ;k mipkj ds vuqekfur ykxr dk izfriwfrZ ;ksX;
Hkkx rd] tks Hkh de gksA
2- vkikfÙkd fLFkfr esa ea js0 iz0 Hkh eaMy ds foÙk dh lgefr rFkk
eq0fp0 v/kh0@fp0v/kh0 ds vuq'kalk ij ,sls vfxze Hkqxrku Lohd`r
dj ldrs gSaA
izkf/kdkj% 2005@,p&6&4@uhfr fnukad 17-08-09 ,oa vkbZ vkj ,e
,e 2000 dk iSjk 651
5 (th) ds fy,%&
Egkizca/kd :0 2 yk[k (,sls vLirkyksa dks lh/sk Hkqxrku foÙkh; lgefr
th) , ,e vks }kjk Hksts x, 'kwU; 'kwU; 'kwU; 'kwU; vko';d gSaA)
ekeys esa ekU;rkizkIr vLirky izkf/kdkj % 2005@,p@6&4@uhfr fnukad 17-08-09 ,oa vkbZ vkj ,e
dks vfxze HkqxrkuA ,e 2000 dk iSjk

193
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM/CM SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
S/CHD Divisional/Sub.Divisional Asst. Scale
/Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
Note
1. The above delegation to Zonal Railways and production units is subject to the norms prescribed in Railway Board’s letter No. 2005/H/6-4/Policy-II dated
31.1.2007 being followed.
2. All the points as mentioned in the check list of HQ/ Finance letter No. ECR/FIN/ECN/Med. Reimbursement/005 dt. 14.08.2007 should be ensured to be
complied.
(e) on account of all clinical and Rs. 5,000/- Rs. 5,000/- in Nil Nil For 5(e)
Pathological investigation, in each case each case 1. Test to be done in Govt. Hospital/Private
radiological investigations and Hospital/Private Diagnostic Centres etc. in
other types of diagnostics case the requisite facility is not available in
procedures (other than CT Scan Railway Hospital.
& MRI) 2. Finance concurrence is not necessary.
Authority:
(f) Advance payment to patients Nil Nil Nil Nil 1. Para 6001(2) (d) of IRMM, 2000
referred to Govt. Hospital by 2. RB letter no. 99/H/6-4/policy dt.
AMO 30.04.2007.
For 5(f )
(i) GM’s power –RS. Five Lakh or up to
reimbursable portion of the anticipated cost
of the treatment whichever is less on the
recommendation of CMD and concurrence of
FA&CAO.
(ii) DRM can also sanction such advance
(g) Advance payment to Nil Nil Nil Nil payment in emergent situation with the
rcognised hospitals in case of concurrence of Divl. Finance and
referral by AMO. recommendation of CMS/MS
Authority: 2005/H/6-4/policy, dt. 17.08.09 &
Para 651 of IRMM 2000.
For 5(g)
GM – Rs. 2 Lakh. (Directly to such
hospitals)
Finance concurrence is necessary
Authority: 2005/H/6-4/policy, dt. 17.08.09 &
Para 651 of IRMM 2000.

193
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu

Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@ eaMy@mieaMy@dkj[kkuk ofj0 osrueku ,oa fVIif.k;k¡@izkf/kdkj
la0 eq0fp0v/kh0@ vLirky@eq[;ky; ds ifj0 lgk0 osrueku
eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds vf/kdkjh
izHkkjh vf/kdkjh
1 2 3 4 5 6 7
,p) vkikfÙkd ekeys dks Hkstuk ‘’kwU; 'kwU; ‘’kwU; ‘’kwU; 5 (,p) ds fy,%
rFkk ,e vks }kjk futh@xSj vij egkizca/kd :0 2 yk[k egkizca/kd 2 yk[k ls
ekU;rkizkIr vLirky dks Hksts mij vkSj 4 yk[k rd izR;sd ekeys esa (,sls
x,@ejhtkss dks vfxze Hkqxrku vLirkyksa dks lh/sk Hkqxrku) o'krsZ fd mipkj uk rks
jsy vLirky vkSj uk gh ekU;rkizkIr futh
vLirkyksa esa miyC/k gks rFkk ejht dks fpfdRlh;
cksMZ ds vuq'kalk ij ftlesa mipkj ds izHkko dk
mYys[k gks fo'ks"kr% ¼d½ LokLF;yk;ksa dh laHkkouk
vkSj ¼[k½ D;k ;g iw.kZ :i ls Bhd gksxk vFkok
mi'keu gksxk vkSj&;fn mi'keu gksxk rks fdrus
le; rd de gksxk ,oa blds ckn dh dkjZokbZ
rFkk laHkkfor lkbM ,QsDV dk o.kZu gks] dh fo'ks"k
:i ls futh vLirky Hkstk tk,A
foÙkh; lgefr vko';d gSA
izkf/kdkj% jsyos&cksMZ dk i=&la0
2009@,p@6&4@uhfr@4] fnukad 26-10-09 vkbZ
vkj ,e ,e iSjk 648-
vkbZ) Jo.k'kfDr&lgk;rk 20]000@& ‘’kwU; ‘’kwU; ‘’kwU; 5(vkb) ds fy,%
jsyos cksMZ dh i= la0 2005@,p@6&4@uhfr
fnukad 06-07-07

194
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM/CM SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
S/CHD Divisional/Sub.Divisional Asst. Scale
/Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
(h) To refer the emergent cases Nil Nil Nil Nil For 5 (h)
and Advance payment to AGM – Rs. 2 Lakh, GM above 2 lakh to 4
patients referred to private /non Lakh in each case (Directly to such
recognized hospital by AMO hospitals) provided treatment is neither
available in Rly. Hospital nor in recognized
Pvt. Hospitals and patient has specifically
been referred to the private hospital on the
recommendation of Medical Board opining
the efficacy of treatment, specially
mentioning (a) the chances of recovery and
(b) whether it will be complete cure or
palliation and if palliation, the expected
period of remission and further course of
action after it and possible side effects.
Finance concurrence is necessary
(i) Cost of hearing aid 20,000 Nil Nil Nil Authority:
Rly. Bd’s letter No. 2009/H/6-4/Policy/4, dt.
26.10.09 IRMM Para 648
For 5(i) Rly. Bd. L.No. 2005/H/6-4/Policy
dt. 06.07.07.

194
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@ eaMy@mieaMy@dkj[kkuk ofj0 osrueku ,oa fVIif.k;k¡@izkf/kdkj
la0 eq0fp0v/kh0@ vLirky@eq[;ky; ds ifj0 lgk0 osrueku
eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds vf/kdkjh
izHkkjh vf/kdkjh
1 2 3 4 5 6 7
6 ¼,) Mh th ,l ,.M Mh ds ¼A) izR;sd ekeys fpfdRlk 'kwU; 'kwU; foÙkh; lgefr vko';d ugha gSA
nj@jfuax lafonk ds rgr mh esa MªXl ,oa Mªfs lax ,oa izkf/kdkj%
th ,l ,.M Mh enksa dk Ø; nokvksa dh [kjhn nokvksa dh lh/h cksMZ dh i=&la0 2002@,Q ,l&1@ih
ij :0 [kjhn ij MCY;w@7@1 fnukad 28-08-2002
25000@& rd izR;sd ekeys esa
ysfdu izR;sd :0 2500@& uksV %
ekeys esa :0 rd gksxh rFkk ¼d) MkbjsDV fMekafMax vf/kdkjh }kjk lkafonk dks
1]00]000@& ls okf"kZd mPpre lh/sk lIykbZ vkWWMZj HkstukA
vf/kd u gks lhek :0
25000@& gSA
¼[k) HkaMkj lkexzh ds ekeys esa tc dHkh
¼2) izR;sd ekeys eqq0fp0vf/k0@ 'kwU; 'kwU; lh/sk@izR;{k Øe dh vko';drk gks rks vR;ar
esa fpfdRlk fp0vf/k0 vko';d gksus ij fu/kkZfjr izfØ;k viukdj ;k
lkefxz;ksa ds vU; izR;sd ekeys esa fdlh utnhdh LVs'ku ls LFkkuh; rkSj ij lqfo/kk
enksa esa :0 :02500@& tud rjhds ls izkIr fd;k tk ldrk gSA
10]000@& rd rd o'krsZ fd
gksxh] ysfdu okf"kZd mPpre
izR;sd ekeys esa lhek :0
o"kZ esa :0 25000@& gksA
50]000@& ls
vf/kd u gks]

195
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM/CM SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
S/CHD Divisional/Sub.Divisional Asst. Scale
/Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
6. (a) Purchase of DGS & D items (1) Drugs Direct purchase of Nil Nil Finance concurrence is not necessary
under DGS&D’s rate/running and medical dressing Authority: Board’s letter no. 2002/FS-
contracts. medicines and medicines 1/PW/7/1, dt. 28.08.2002.
upto Rs. upto Rs. 2,500/-
25,000/- in in each case
each case, subject to annual Note:
but not ceiling limit of (a) By placing supply orders directly by the
exceeding Rs. 25,000/- Direct Demanding Officer on the contractors.
Rs. 1 lakh
on the
aggregate in
a year in (b) Whenever required by direct purchase,
each case following the prescribed procedure, in the
case of stores that are urgently required or
can be conveniently obtained locally from a
nearer station.

(2) Other CMS/MS- Upto Nil Nil

items of Rs. 2500/- in each
medical case subject to an
stores upto annual ceiling of
Rs. 10,000/- Rs.25000/-.
in each case,
but not
exceeding
Rs. 50,000/-
on the
aggregate in
a year in
each case.

195
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z eaMy@mieaMy@dkj[kku ofj0 fVIif.k;k¡@izkf/kdkj
la0 @eq0fp0v/kh0 k vLirky@eq[;ky; ds osrueku ,oa
@eq0Lok0funs0 ifj0 xzsM@dfu0 iz'kk0 lgk0
xzsM ds izHkkjh vf/kdkjh osrueku
vf/kdkjh
1 2 3 4 5 6 7
6 ch) Mh th ,l ,.M Mh ,) :0 1 yk[k ls 'kwU; 'kwU; 'kwU; foÙkh; lgefr vko';d ugha gS rFkkfir ekax i= iwoZ fo/khf{kr gksus
ensa tks Mh th ,l ,.M vf/kd ykxr ds enksa ds pkfg,
Mh ds nj@jfuax lafonk fy, Mh th ,l ,.M Mh izkf/kdkj% jsyos&cksMZ dh i=&la0 2002@,Q ,l&1@ihMCY;w@7@1
ds rgr 'kkfey ugha gSA ij ekax&i= izLrqr fnukad 28-08-2002
fd;k tk,A
ch) :0 1 yk[k rd ds
ykxr okys enksa ds
lh/ks@izR;{k Ø;&gsrq
fu/kkZfjr izfØ;k viukbZ
tk,A
6 lh) flQZ ,dy@lafpr eq0fp0fu0&izR;sd e js iz@v e 1- :0 5 yk[k rd
fufonk vkjk xSj Mh th ekeys esa :0 10 js iz@ 'kwU; 'kwU; 1) foÙkh; lgefr vko';d ugha gSA
,l ,.M Mh enksa ftlesa yk[k rd ofj0iz'kk0 2) :0 5 yk[k rd ds Ø; ds fy, fdlh Hkh fufonk lfefr dk xBu
vko';d egÙoiw.kZ ,oa xszM&izR;sd djuk visf{kr ugha gSA
okaNuh; MªXl 'kkfey gS] ekeys esa :0 3) vuqeksfnr ,oa iathd`r osM a jksa dks lhfer fufonk tkjh dh tk,xhA
dks Ø; djuk 5 yk[k 4) vkiwfrZ djus okyksa dh lwph dks okf"kZd vk/kksj ij v|ru fd;k
tk,xk tks eq0 fp0 fu0 }kjk vuqeksfnr gksxkA
i) lhfer fufonk eq0Lok0fu&izR;sd 'kwU; 'kwU; 'kwU; 2- :0 5 yk[k ls vf/kd ,oa :0 15 yk[k rd
vkeaf=r djuk ekeys esa :0 5 yk[k 1) foÙkh; lgefr vko';d gSA
rd 2) fufonk&lfefr dks vuq'kalk dks Lohdkj djus okys
mieq0 fp0 fu0 :0 izkf/kdkjh }kjk Lohdkj fd;k tk,xkA
50]000 rd izR;sd 3) bu 'kfDr;ksa dk iz;ksx okf"kZd ctV uhfyZax ds Hkhrj gh dh
ekeys esa tk,xhA
vij egkizca/kd :0 izkf/kdkj %
10 yk[k ls vf/kd 1- jsyos&cksMZ dk i= la0 92@,p@4@15 fnukad 04-12-92
izR;sd ekeys esa 2- jsyos&cksMZ dk i= la0 98@vkj,p(th)@779@10 ih Vh 1 fnukad
02-07-09
3- jsyos&cksMZ dk i= la0 2006@,p@4@1 fnukad 19-06-2008

196
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM/CM SG/JA Grade Sr. Scale and REMARKS/AUTHOITY
S/CHD Incharge of Asst. Scale
Divisional/Sub. Officers
Divisional/Work
shop
Hospital/HQ
1 2 3 4 5 6 7
6. (b) DGS&D items not (a) By placing Nil Nil Nil Finance concurrence is not necessary However ,
covered under DGS&D’s indents on Indents are to be pre-vetted.
rate/running contracts. DGS&D for
Items costing Authority: Rly. Board’s letter no. 2002/FS-1/PW/ 7/1
More than Rs. 1 dt. 28.08.2002.
lakh.
(b) By direct
purchase,
following the
prescribed
procedure for
items costing up
to Rs. 1 lakh.
(c) Purchase of Non DGS CMD Upto DRM/ADRM/SA Nil Nil 1. Upto Rs. 5 lakhs.
& D items including vital, Rs.10 lakhs in G (i) Finance concurrence is not necessary.
essential and desirable each case. Rs. 5 lakh in (ii) No tender committee is required to be constituted
drugs, through each case for purchase up to Rs. 5 lakhs
single/limited tender only (iii) Limited tenders to be issued to approved and
(i) Calling of limited CHD upto Rs. Nil Nil Nil registered vendors.
tender 5 lakhs in each (iv) The list of suppliers is to be updated on a yearly
case. basis duly approved by CMD.
Dy. CMD upto
Rs. 50,000. in
each case.
AGM- Beyond
Rs. 10 lakhs in
each case

196
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@ eaMy@mieaMy@dkj[kkuk ofj0 osrueku fVIif.k;k¡@izkf/kdkj
la0 eq0fp0v/kh0@ vLirky@eq[;ky; ds ,oa lgk0
eq0Lok0funs0 ifj0 xzsM@dfu0 iz'kk0 osrueku
xzsM ds izHkkjh vf/kdkjh vf/kdkjh
1 2 3 4 5 6 7
(ii) lhfer fufonk dh Lohd`fr eq0fp0fu& izR;sd ekeys esa ea js iz@v ea 'kwU; 'kwU; 1- ,dy fufonk vk/kj ij lkaifÙkd
:0 15 yk[k rd js iz@ofj0 lkefxz;ksa dh [kjhn dh fLFkfr esa bls
eq Lok fu& izR;sd ekeys esa iz'kk0 xzsM eqfpfu ds }kjk izekf.kr fd;k tkuk
:0 5 yk[k rd izHkkjh xSj pkfg, fd fo'ks"k en ds fy, dksbZ
mi eq@fp fu& lkaifÙkd ensa izfrLFkkuh miyC/k ugha gS ;k fdlh
izR;sd ekeys esa :0 50 yk[k :0 10]000@& vU; izfrLFkk;h dks ysus dk tksf[ke
ls vf/kd rd mBkuk mi;qDr ugha gksxkA
vij egkizca/kd& 2- bu 'kfDr;ksa dk iz;ksx okf"kZd
izR;sd ekeys esa :0 15 yk[k otV lhek ds vanj djuk gksxkA
ls vf/kd 3- foÙkh; lgefr vko';d gSA
4- iathd`r fuekZrk ls ,dy@ih ,
eq0fp0fu th fufonk vkeaf=r fd;k tk,xkA
(iii) ,dy fufonk dk vkea=.k xSj lkaifÙkd ensa :0 izkf/kdkj%
50]000@& rd 'kwU; 'kwU; 'kwU; 1- jsyos&cksMZ dk i=&la0
lkaifÙkd ensa &izR;sd ekeys esa 2006@,p@4@1 fnukad 19-06-2008
:0 5 yk[k rd vko';d ,oa 2- jsyos&cksMZ dk i= la02002@,Q
egRoiw.kZ Mªxksa ds fy, flQZ ,l&1@ih MCY;w@7@11 fnukad 28-
vij egkizca/kd izR;sd ekeys 8-2002
esa :0 5 yk[k ls vf/kd
eq fp fu 'kwU; 'kwU; 'kwU;
(iv) ,dy fufonk dh Lohd`fr
:0 20]000@& rd
lkaifÙkd lkaifÙkd enksa :0 5
yk[k rd izR;sd ekeys esa vij
egkizca/d :0 5 yk[k ls mij
fp0fu0@dsUnzh; vLirky xSj
lkaifjfÙkd enksa ds fy, :0
10]000@& rd fp0fu0@dsna zh;
vLirky lkaifÙkd enksa ds fy, :0
10]000@& rd

197
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
/CMS/CHD Divisional/Sub.Divisional Asst. Scale
/Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
(ii) Acceptance of CMD Upto Rs.15 lakhs in DRM/ADRM Nil Nil 2. Above Rs. 5 lakhs.and up to Rs. 15 lakhs
limited tender each case CHD upto Rs. 5 /SAG (i) Finance concurrence is necessary.
lakhs in each case. Incharge (ii) The recommendations of the tender committee
Dy. CMD upto Rs. 50,000. in For Non is to be accepted by accepting authority.
each case. Proprietary (iii) These powers are to be exercised within annual
AGM- Beyond Rs. 15 lakhs items upto budgetary ceiling.
in each case Rs.10,000 (iv) Limited tenders to be issued to approved and
registered vendors.
Authority:
CMD 1. Rly. Bd’s L. No. 92/H/4/15 dt. 04.12.92.
(iii) Calling of Non Proprietary items Upto NIL Nil Nil 2. Rly. Bd’s L. No.98/RS(G)/779/10
single tender Rs. 50,000/- pt.I,dt.02.07.99
3. Rly. Bd’s L. No. 2000/FX-1/PW7/1 dt.
Proprietary items upto Rs. 5 28.08.2002
Lakh in each case. (For vital 4. Rly. Bd’s L. No. 2006/H/4/1 dt. 19.06.2008
and essential drugs only) Note:
AGM- above Rs. 5 lakh in 1. In the case of purchase of proprietary articles on
each case. single tender basis it should be certified by
SAG/CMD that no substitute for the particular item
is available or it will not be proper to take the risk
(iv). Acceptance of CMD SAG of trying other substitutes.
single tender Non Proprietary items upto Incharge Nil Nil 2. These powers are to be exercised within annual
Rs. 20,000/- proprietary items For budgetary ceiling
upto Rs. 5,Lakh in each case. Proprietary 3. Finance concurrence is necessary
AGM above Rs. 5 lakh 4. Single/PAC tender to registered manufacturer
MD/Central Hospital - For items up to only.
Non Proprietary items upto 10,000 Authority:
Rs.10,000 1. Rly. Bd.’s L. No. 2006/H/4/1 dt. 19.06.2008
MD/Central Hospital For 2. Rly. Bd’s L. No. 2002/FS-1/PW /7/1 ,
Proprietary items upto dt.28.08.2002.
Rs.10,000

197
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu

Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@ eaMy@mieaMy@dkj[kkuk ofj0 osrueku ,oa fVIif.k;k¡@izkf/kdkj
la0 eq0fp0v/kh0@ vLirky@eq[;ky; ds ifj0 lgk0 osrueku
eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds vf/kdkjh
izHkkjh vf/kdkjh
1 2 3 4 5 6 7
6 Mh) eq fp fu dh vkikr'kfDr;k¡
I. Mh th ,l ,.M Mh enksa izR;sd ekeys esa izR;sd ekeys esa 'kwU; 'kwU;
dh [kjhn :0 5]00]000 rd :0 20]000@&
rd

II. xSj Mh th ,l ,.M Mh izR;sd ekeys esa izR;sd ekeys esa 'kwU; 'kwU; izkf/kdkj % jsyos&cksMZ dh i= la0 2002@,Q
enksa dh [kjhn :0 5]00]000 rd :0 20]000@& ,l&AA ih MCY;w@7@1 fnukad 28-08-2002
rd

III. vLirky ,oa fMlisl a jh vR;ar vko';d izR;sd ekeys esa 'kwU; 'kwU;
midj.k dh [kqnjk ensa vLirky&midj.k :0 20]000@&
(tks fpfdRlk&lkefxz;ksa ls ds fy,&:0 rd
fHkUu gks vkSj ftls lkekU;r% 1]00]000 rd
nwljs <+ax ls e'khujh ,oa lkekU; jktLo
IykWV&dk;ZØe ds ekè;e ls dks izHkkj
izkIr fd;k tk,xkA

198
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADRM SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
/CMS/CHD Divisional/Sub.Divisional Asst. Scale
/Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
6. (d) Emergency
Powers of CMD:

(i) Purchase of Upto Rs.5,00000/- in Rs. 20,000/- Nil Nil Authority:

DGS&D items. each case. in each case Rly. Bd’s L. No. 2002/FS-1/PW/7/1,dt.
28.08.2002.

(ii) Purchase of non Upto Rs. 5,00,000/- in Rs. 20,000/- Nil Nil
DGS&D items. each case. in each case

(iii) Petty items of Upto Rs. 1,00,000/- Rs. 20,000/- Nil Nil
hospital and for urgently needed in each case
dispensary hospital equipment
equipment(as chargeable to ordinary
distinct from revenue.
medical stores
which are
otherwise normally
to be obtained
through Machinery
and
plant programme)

198
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@eq
eaMy@mieaMy@dkj[kkuk ofj0 osrueku ,oa fVIif.k;k¡@izkf/kdkj
la0 0fp0v/kh0@eq0L vLirky@eq[;ky; ds ifj0 lgk0 osrueku
ok0funs0 xzsM@dfu0 iz'kk0 xzsM ds izHkkjh vf/kdkjh
vf/kdkjh
1 2 3 4 5 6 7
7 ,) de ewY; okys nokvksa ds fody eq fp fu & :0 fp fu@eq0 Lok0 izR;sd ekeys esa :0 5000@& 'kwU; izkf/kdkj % vkbZ vkj th dk iSjk 14 jsyos cksMZ dk i=
vLirky midj.kks]a ,Dl&js 50]000@& rd fu0&izR;sd rd la0 2006@,p@4@1 fnukad 19-06-2008 (iSjk 2-8)
lgk;d midj.kks]a lftZdy Mªfs lax izR;sd ekeys esa ekeys ea :0 uksV%&
bR;kfn dh LFkkuh; [kjhn tks HkaMkj 30]000@& rd (i) foÙkh; lgefr vko';d ugha gSA
esa miyC/k ugha gS ysfdu thou eq0 Lok0 (ii) ejhtksa ds thou cpkus ds mís'; ls lacaf/kr enksa
cpkus ds mís'; ls ;k vLirky ,oa v/kh0&izR;sd dh [kjhn dh tk,xh vkSj vuqoa/k ds iw.kZ vuqikyu esa
, vkj ,e bZ ds iz'kklfud ekeys esa :0 rS;kj dh tk,xhA
vko';drk dks iwjk djus ds fy, 30]000@& rd
(iii) en ds izkIr ugha gksus ls vLirkyksa dk lqpk:
vko';d gSA lapkyu izHkkfor gksxkA
(iv) vfuok;Zrk dh O;fDrxr :i ds izekf.kr fd;k
vkSj izR;k;ksftr izkf/kdkj }kjk ntZ fd;k x;k gksA
(v) rhu dksVs'kuksa ds izkIr gksus ds ckn izkfIr rS;kj dh
tk,xh tc rd fd 'kkfey en fof'k"V izd`fr dk u gks
vkSj ftls fdlh fo'ks"k QeZ ds }kjk gh vkiwfrZ fd;k tk
ldrk gS] tgk¡ dgha laHko gksA
(vi) ;FkkizLrkfor ,oa Lohd`r enksa dh mi;qDrrk dh
tkap ,oa izkef.kdrk Lohd`fr izkf/kdkjh }kjk dh tkuh
pkfg,A
(vii) izR;sd vkns'k dks ns;rk jftLVj esa ntZ fd;k
tkuk pkfg, vkSj ,slh izfof"V ds ;Fkk miyC/rk ds
vk/kkj ij fuf/k dks izekf.kr fd;k tkuk pkfg, vkSj ;g
ys[kk tkap ds v/khu jgsxkA
(viii) mi;ksx fd, x, ;k lekIr frfFk ;k {kfrxzLr
lkefxz;ksa] midj.k ds dsoy izfrLFkkiu ds lac/a k esa
LFkkuh; [kjhn dh 'kfDr;ksa rd vkSj LFkkfir vuqlp w h ds
vuqlkj o'krsZ fd ,slh lkexzh HkaMkj esa rqjra miyC/k ugha
gksA

199
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADR SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
M/CMS/C Divisional/Sub.Divisional/W Asst. Scale
HD orkshop Hospital/HQ Officers
1 2 3 4 5 6 7
7 (a) Local purchase CMD-up to MD/ CHD- Up to Rs. 5,000/- in each NIL Authority: Para 14 of IRP, Rly. Bd.’s L.No. 2006/ H/4/1 dt.
of medicine, Rs.50,000/- up to Rs. case. 19.06.08 (Para 2.8)
chemicals hospital in each 30,000/- in Note:
appliances, X-ray case. each case. (i). Finance concurrence is not necessary
accessories CMS –up (ii) The items to be purchased directly relate to life saving
surgical, dressing to Rs. purpose of patients and will be processed in strict compliance of
etc. involving small 30,000/- in the stipulation.
value which are not each case. (iii) Non- procurement of the item will affect the smooth running
available in store of the hospitals.
but are required (iv) The urgency is personally certified and recorded by the
urgently in delegated authority.
connection with (v) The procurement will be made after obtaining three
inescapable need quotations unless the items involved is of specialized nature and
for life saving can be supplied by some particular firm only, wherever possible.
purpose or meeting (vi) The reasonableness of the rates as offered and accepted
the administrative should be examined and certified by the accepting authority.
requirement of the (vii) Every order should be entered in the liability register and
hospital & ARME funds should be certified as available on the basis of such entry
and this will be subject to A/c’s check
(viii) Upto powers of local purchase in respect of replacement
only of stroes , equipments used up or date expired or damaged
and as per schedule laid down provided such material is not
readily available in stores.

199
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z@ eaMy@mieaMy@dkj[kkuk ofj0 osrueku fVIif.k;k¡@izkf/kdkj
la0 eq0fp0v/kh0@ vLirky@eq[;ky; ds ifj0 ,oa lgk0
eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds osrueku
izHkkjh vf/kdkjh vf/kdkjh
1 2 3 4 5 6 7
(ix) lkekU; ifjfLFkfr;ksa esa ,d o"kZ esa nokvksa ds fy,
vkoafVr dqy otV dk vf/kdre 15 izfr'kr rd
izfrfnu ds LFkkuh; [kjhn esa fy;k tk,xkA
(x) :0 20]000 ls de dh enksa ds fy, dksbZ Hkh
dksVs'ku dh vko';drk ugha gksxhA
(xi) LFkkuh; [kjhn flQZ mu enksa ds fy, dh tk,xh
ftudksa okf"kZd ekax i= esa 'kkfey fd;k x;k Fkk ysfdu
orZeku esa HkaMkj esa miyC/ ugha gS o'krsZ fd jsyos cksMZ ds
i= la0 2006@,p@4@1 fnukad 19-06-2008 (iSjk 3-
9&1-2) esa fn, x, funsZ'kksa dk vuqikyu gksA
ch) fpfdRlk&lkefxz;ksa lfgr izR;sd ekeys esa fp fu@eq fp izR;sd ekeys esa :0 5000@& LokLF; bdkbZ 1- foÙkh; lgefr vko';d ugha gS] o'krsZ fd dqy
dSalj dh nokvksa dkfMZ,d] ,.Vh :0 50]000@& vf/k@ eq Lok rd izHkkjh dks [kjhn dqy ctV ds 15 izfr'kr ds Hkhrj gksA
gseksQsfy;k iQSDVj] iks"V jsuy] rd fu izR;sd izR;sd ekeys ea 2- iwoZ eè; jsy ls iathd`r QkekZLeqfVdy iQeZ ls
VªkalIykaV] xzksFk gkeksZu] ekeys esa :0 :0 2000@& dksVs'ku eaxk;k tk,A
vkFkksZbEIykaV] ,p vkbZ oh ,oa 30]000@& rd 3- lHkh izdkj ls iz;kl fd;k tkuk pkfg, fd
vU; dksbZ vkikr nokvksa dh rd MªXl@fpfdRlk&lkexzh fo'ks"k vLirky nj ij izkIr
LFkkuh; [kjhn fd;k tk, tks eq fp fu@iw e js ls iathd`r gks
izkf/kdkj %
1- vkbZ vkj th@2002 dk iSjk 14 rFkk 14-1
lh) de ewY; okys enksa dh iw.kZ 'kfDr;k¡ fp fu@eq fp iw.kZ 'kfDr;k¡ 'kwU; 2- jsyos&cksMZ dh i= la0 2006@,p@4@1 fnukad 19-
izkfIr ftldk dqy ewY; izfro"kZ vf/k@ eq0 Lok 06-2008 (iSjk 2-8)
:0 20]000@& ls de gks fu0 iw.kZ 'kfDr izf/kdkj %
jsyos cksMZ dk i=&la0 2006@,p@4@1 fnukad 19-06-
2008 (iSjk 2-8)
1- foÙkh; lgefr vko';d ugha gSA
2- rFkkfi ;g lqfuf'pr fd;k tkuk pkfg, fd njsa
fdlh Hkh fLFkfr esa fuekZrkvks@
a vkiwfÙkZdÙkkZvksa }kjk fn,
x, ^fo'ks"k vLirky njks*a ls vf/kd u gks vkSj Hkqxrku
fcy iz.kkyh ds vk/kkj ij dsoy psd }kjk dh tk,xhA

200
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADR SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
M/CMS/C Divisional/Sub.Divisional/W Asst. Scale
HD orkshop Hospital/HQ Officers
1 2 3 4 5 6 7
(ix) Under normal circumstances not more than 15% of the total
budget allocated for medicines in a year should be incurred on
day to day local purchases.
(x) No quotation shall be required for local purchase of items
below Rs. 20,000/-
(xi) L.P. to be made only for those items which were included in
‘Annual indent’ but presently not available in stock and subject
to observance of instructions contained in Bd.’s Lr. No. 2006/
H/4/1 dt. 19.06.08 (Para 3.9- 1, 2)

(b) Emergency Upto Rs. MD/CMS/ Upto Rs. 5,000/- in each Health Unit - 1. Finance concurrence is not necessary subject to the condition
purchase power for 50,000/- in CHD – case. Incharge up that total purchase must be within 15% of the total budget.
local purchase of each case. upto Rs. to Rs. 2,000/- 2. By calling of quotations from pharmaceutical firms/registered
medical stores 30,000/- in in each case. with ECR.
including cancer each case. 3 All efforts to be made to procure drugs/medical stores at special
drugs, cardiac ,anti hospital rates.
hemophilia factor, 4. All efforts to be made to procure drugs/medical stores from
post renal registered firms with CMD/ECR.
transplant, growth Authority:
hormone, ortho 1. Para 14 & 14.1 of IRP /2002.
implants, HIV and 2. Rly. Bd. L.r No. 2006/H/4/1 Dt. 19.06.2008 para 2.8
any other
emergency drugs. Authority: Rly. Bd’s L.No. 2006/H/4/1 dated 19.06.2008 (Para
2.8).
(c) Procurement of Full MD/CMS Full power Nil 1. Finance concurrence not necessary.
small value items , Powers /CHD 2. It may however be ensured that the rates are not in any case
full power higher than the ‘special hospital rates’ indicated by the
whose aggregate
value is less than manufacturers/suppliers and payment is to be made on bill
Rs. 20,000/- per system only by cheques.
annum

200
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 ejsiz@vejsia z eaMy@mieaMy@dkj[kkuk ofj0 osrueku fVIif.k;k¡@izkf/kdkj
la0 funs0 @eq0fp0v/kh0 vLirky@eq[;ky; ds ifj0 ,oa lgk0
@eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds osrueku
izHkkjh vf/kdkjh vf/kdkjh
1 2 3 4 5 6 7
8 izFke mipkj iw.kZ iw.kZ 'kfDr;k¡ e ofj fp vf/k@ofj xzsM@dfu ea- fp- 1- foÙkh; lgefr vko;d ugha gSA
lkefxz;ksa lfgr 'kfDr;k¡ js iz@vejs iz'kk&xzsM eaMy ds izHkkjh f/k@izHkkjh 2- izR;k;kstu izkjafHkd vkiwfrZ@iqu% iwfrZ ds fy, gSA izHkkjh eq0 fp0 vf/k@ofj
nq?kZVuk&jkgr eajiz@veajis z izR;sd ekeys esa :0 5000 izR;sd ekeys fp vf/k@fp vf/k@ ea fp vf/k dks ekfld fooj.k rS;kj dj eq0 fp0 funs0 dks
fpfdRlk&midj.k iz@eq fp rd esa :0 2000 izLrqr djuk pkfg, ftlesa izfrLFkkiu ds dkj.k rFkk [kjhn dh ek=k&dk
enksa dh [kjhn vf/k&iw.kZ rd fooj.k gks
'kfDr;k¡ izkf/kdkj % jsyos&cksMZ dh i=&la0 2000@,e@4 fnukad 27-10-2000
9 d) iw.kZ fp fu@eqp iw.kZ 'kfDr;k¡ 'kwU; 1- fufonk izfØ;kvksa ds vuqikyu ds v/khu
Hkkstu&lkefxz;ksa 'kfDr;k¡ fp vf/k iw.kZ 2) (d) mu txgksa ij tgk¡ foHkkxh; [kku&iku (dsVfjax) dh O;oLFkk gS] ogk¡
dh vkiwfrZ% 'kfDr;k¡ [kku&iku foHkkx ds ekè;e ls fofHkUu dPps lkefxz;ksa dh vkiwfrZ dk iz;kl
([kqyh@lhfer fd;k tkuk pkfg, vkSj [kkuiku foHkkx ds LVkWd ls fy, x, vkiwfrZ;ksa ds fy,
fufonk) vLirky ls vko';d MsfcV djus dk vuqjks/k fd;k tkuk pkfg,A
[k) vU; txgksa ij tgk¡ [kku&iku foHkkx vkiwfrZ dh O;oLFkk djus esa leFkZ
ugha gS] ogk¡ [kk|&lkefxz;ksa ,oa fofHkUu Hkkstu&lkefxz;ksa dh [kjhn Bsdsnkjkas ds
,tsalh ds ekè;e ls dh tk,xh] ftls [kqyh fufonk ds vk/kkj ij fd;k tkuk
pkfg,A ,sls ekeyksa es rFkkfi ;g vko';d gS jsyos }kjk fufonkvksa dh leqfpr
tkap dh tk, vkSj bl izdkj dh lafonkvksa ds fu"iknu ij mfpr fuxjkuh j[kh
tk,A fo'ks"k :i ls bu foUnqvksa ij è;ku j[kk tk,A
i izR;sd vyx in ds nj dh mi;qDrrk ij Lohd`fr ds
iwoZ lko/kuhiwoZd fopkj fd;k tkuk pkfg,A
ii ek=kvksa dk ewY;kadu ;FkklaHko okLrfod gksuk pkfg,A
iii Lohd`r ewY; ds lkFk oSls enksa dh fLFkfr esa ftldk ewY; cgqr vf/kd gS]
fcy ikfjr djus okys vf/kdkjh dks fo'ks"k :i ls lko/kku jguk pkfg, rkfd
vuqekfud ;k=kvksa ds gksus okyh vlkekU; o`f) ij fuxjkuh j[kh tk, vkSj
tkap dh tk, vkSj lafonk ds ,sls enksa dh okLrfod :i ls vuqekfur ewY; ds
fo:¼ le;&le; ij fd, x, okLrfod ekfld Hkqxrkuksa esa gksus okys vf/kd
varjksa dh tkap dh tk, vkSj vko';d gksus ij dkjZokbZ dh tk,A
izkf/kdkj %
[k) [kqyh fufonk iw.kZ 'kfDr ea js iz@ v ea 'kwU; 'kwU; 1- vkbZ vkj ,e ,e dk iSjk 405
ds ekè;e ls fyusu js iz&iw.kZ 2- jsyos&cksMZ dh i=&la0 83@,Q(3)@ih MCY;w&7@1 fnukad 02-03-94
dh /kqykbZ (eaxkuk 'kfDr;k¡ fpfdRlk foHkkx esa ;kaf=d ykS.Mjh lqfo/kk miyC/k
vkSj Lohdkj) fp fu@eq fp ugha jgus ;k dk;Z ugha djus dh fLFkfr esa
vf/k 5 yk[k 2- fufonk izfØ;k dk vuqikyu

201
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADR SG/JA Grade Incharge Sr. Scale REMARKS/AUTHOITY
M/CMS/C of and Asst.
HD Divisional/Sub.Divisio Scale
nal/Workshop Officers
Hospital/HQ
1 2 3 4 5 6 7
8. Purchase of items Full DRM/ Sr.MS/SG/ JAG-In- DMO/In- 1. Finance concurrence is not necessary.
for accident relief powers ADRM charge of Divison charge – 2. Delegation is for initial supply/replacement
medical equipment /CMS - Upto Rs. 5,000/- in upto Rs. 3. CMS/Sr.MS/MS/DMO In-charge should submit a monthly statement to CMD
including First aid Full each case. 2000/- in indicating the reasons for such replacement and the quantum of purchases etc.
articles. powers. each case. Authority:
Railway Bd’s lr.no. 2000/H/4 dt. 27.10.2000.
9. (a) Supply of Full MD/CMS- Full power Nil 1. Subject to observance of tender procedures.
dietary articles: power Full power 2.(a) At places where departmental catering exists, efforts should be made to
(Through arrange the supplies of various raw materials through the catering department
Open/Limited which should be requested to raise the necessary debits against the hospital for
Tender). the supplies taken from the stock of the catering department.
(b) At other places , where the catering department is not able to arrange
supplies,the purchase of provision and various articles of diet may be made
through the agency of contractors, which should be on an open tender basis. In
such cases, however, it is necessary that the railway scrutinize the tender properly
and keep a proper watch on execution of such contracts. Specially bearing in
(b)Washing of DRM/ADR mind the following points –
linen through open Full M- Full (i) The reasonableness of the rate of each individual items should be considered
tender. (Calling Power powers NIL carefully before acceptance.
and acceptance) MD/CMS- Nil (ii) The assessment of quantities should be as realistic as possible.
5 lakh (iii) In the case of items with accepted prices that are very high, the bill passing
officers should be specially cautioned so that abnormal increases over estimated
quantities are watched and investigated and wide deviation in the actual monthly
payment allowed from time to time against originally estimated value of such
items of the contract are checked and action considered necessary taken.
Authority:
1. Para 405 of IRMM
2. Railway Bd’s lr. No. 83/F(3)/PW-7/1,dt. 02.03.94.
1. Subject to mechanical laundry facilities not being available or not functioning
in the medical department.
2. Observance of Tender procedure.

201
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z eaMy@mieaMy@dkj[kkuk ofj0 osrueku fVIif.k;k¡@izkf/kdkj
la0 @eq0fp0v/kh0 vLirky@eq[;ky; ds ifj0 ,oa lgk0
@eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds osrueku
izHkkjh vf/kdkjh vf/kdkjh
1 2 3 4 5 6 7
10 d) Bksl ,oa rjy dwM+k&ddZV ftlesa iw.kZ 'kfDr eajis z@veajis z izR;sd ekeys esa rd :0 1 'kwU; 1- ;fn lkQ lQkbZ@LoPNrk ,oa vU;
jsy ifjlj ds vanj ukys ,oa lsfjVd @&iw.kZ yk[k dk;Zdyki tSls fd VqdM+s dks mBkus tSls dk;ksZa
VSad ds xkn fudkyuk (lQkbZ djuk) 'kfDr;ksa fp0 dks foHkkxh; lalk/ku ls djokuk laHko ugha gks rks
,oa blh izdkj ds vU; dk;Z 'kkfey fu@eq0 fp0 ea js iz ds vuqeksnu ,oa eaMy ds foÙk dh lgefr
gS ds bdV~Bk djus ,oa fuiVkjk vf/k izR;sd ls tks ih vks la0 bZ lh vkj@lh vkj ,e@ih,@
djus &gsrq lafonk dk fu/kkZj.k ekeys esa : 5 ,l , ,e@001@04 fnukad 02-04-08 esa fn, x,
yk[k rd izfØ;k dk vuqikyu dj vkmVlksflZx a }kjk fd;k
[k) vLirky ds dwM+k&ddZVksa dks tk ldrk gSA
iw.kZ 'kfDr &ogh& izR;sd ekeys esa :0 1 yk[k 'kwU; 2- fufonk izfØ;k dk vuqikyu fd;k tk,A
gVkus ds fy, lafonk dk fu/kkZj.kA rd 3- lQkbZ@vLirkyksa ds dwM+k&ddZV dh
lkQ&lQkbZ O;oLFkk ds Hkax gksus dh fodV fLFkfr
esa oxSj fufonkvksa dks vkeaf=r fd, dksVs'ku ds
vk/kkj ij oxSj vfxze foLrkj ds rhu ekg dh
vof/k ds fy, lafonk fu/kkZfjr dh tk ldrh gSA
x) vuqekfur [kpZ dh Lohd`fr iw.kZ 'kfDr 40 yk[k
iw.kZ 'kfDr 'kwU; 4- eq0 fp0 fu0@eq0 fp0 vf/k0 dks izekf.kr
djuk gksxk fd dk;Z foHkkxh; Lrj ij ugha
djok;k tk ldrk gSA iSjk 3 (,Q) vkWQ ikVZ&,
?k) LVs'ku&ifjlj dh lkQ&lQkbZ ds iw.kZ 'kfDr (dk;Z ekeyk)
8 djksM+ 2 djksM+ 'kwU; Mh ds fy,%
fy, [kqyh fufonk dk vkea=.k ,oa
Lohd`fr 1- ,l vks ih dk;Z ekeys ds iSjk 10 (,) ds
vuqlkj
ii ts ih vks la0
ECR/CRM/PA/SAN/001/04 fnukad 02-04-
08
iii jsyos&cksMZ dk i=&la0 961 ,y ,e
(ch)@11@7 fnukad 18-06-1999
;fn fufonk dk fu;eu djuk gks rFkk dksVs'ku
eaxkuk ,oa Lohdkj djuk gks rks ,l vks ih ¼dk;Z
ekeys½ ds iSjk 11 dk vuqikyu fd;k tk,A

202
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADR SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
M/CMS/C Divisional/Sub.Divisional Asst. Scale
HD /Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
10. (a)Fixing up of Full DRM/ADR Upto Rs.1 lakh Nil 1. In case the cleaning/sanitation and other activities like rag picking
contracts for Power M- Full in each case. can not be managed by departmental resources, outsourcing can be
Collection & powers. resorted to by following the due procedures contained in JPO no.
disposal of solid & MD/CMS- ECR/CRM/PA/SAN/001/04 dt. 02.04.08 with the approval of DRM and
liquid waste Up to Rs. 5 concurrence of Divl. Finance.
including desilting lakh in 2. Tender procedure to be followed.
of drains and septic each case. 3. In extreme cases of break down of conservancy services/hospital
tanks and similar wastes, contracts may be fixed without calling tenders for a period of
other works in three months on quotation basis without further extension.
railway premises. 4. CMD/CMS to certify that the work can’t be executed departmentally.
As per Para 3 (f) of Part-A (Works Matter)
(b) Fixing up of Full --- do--- --- do --- Nil
contracts for Power
disposal of hospital
waste

(c) Sanction of Full Full Power 40 Lakh Nil

estimates Power

(d) To invite and Full 8 cr. 2 Cr. NIL For (d) Authority: (i) As per Para 10(a) of SOP Works Matter. (ii)
accept open tender Power JPO No. ECR/CRM/PA/SAN/001/04 dated 02.04.08. (iii) Rly. Bd’s
for cleanliness of L.No. 96/LM (B)/11/7 dated 18.06.1999.
station premises If tender is to be dispensed with and to invite and accept Quotation Para
11 of SOP Works Matter to be followed.

202
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z eaMy@mieaMy@dkj[kkuk ofj0 osrueku fVIif.k;k¡@izkf/kdkj
la0 @eq0fp0v/kh0 vLirky@eq[;ky; ds ifj0 ,oa lgk0
@eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds osrueku
izHkkjh vf/kdkjh vf/kdkjh
1 2 3 4 5 6 7
11 xSj jsyos ejht ds laca/k eas vLirky&izHkkjksa dk izR;sd ekeys izR;sd ekeys 'kwU; 'kwU; 1- foÙkh; lgefr vko';d ugha gSA
vf/kR;kx esa : esa : 2- bu 'kfDr;ksa dk iz;ksx dsoy vkikr
1]000@& rd 10]00@& rd ifjfLFkfr;ksa esa jsy vLirky esa HkrhZ fd,
uksV % eq fp x, ;ksX; xjhc xSj jsy ekeyksa ds laca/k esa
fu dks fjiksVZ fd;k tk,xkA
Hksth tkuh izkf/dkj % egkizca/kd ds izR;k;kstu dk en
pkfg,A la0 27
12 d) fpfdRlk&lkefxz;ksa dh vkiwfrZ vuqcaf/kr vius Lo;a dh 'kwU; 'kwU; 'kwU; LVksj dksM izko/kku ds vuqlkj Mhy fd;k
le; ds Hkhrj fpfdRlk&lkefxz;ksa dks lqiqnZ [kjhn& tk,
djus esa foQy gksus ij tqekZus dk vf/kjksi.k ,oa 'kfDr;ksa ds
vf/kR;kx v/khu fd,
x, [kjhn ds
laca/k esa iw.kZ
'kfDr;k¡
[k) lqiqnZ.kh vof/k dks c<+kusA muds Lohdkj muds Lohdkj muds Lohdkj djus rd iw.kZ 'kwU; 1- lqiqnZxh ds iwoZ frfFk ds fopkj ls fdlh
lqiqnZxh frfFk ;k lafonk iw.kZ djus dh frfFk dks djus rd iw.kZ djus rd 'kfDr;k¡ fuEu nj okyksa fufonk ds fo:) mPprj
c<+kuk (izfrekg izsf"kr eky ds lafonk ewY; dk 'kfDr;k¡ iw.kZ 'kfDr;k¡ nj okyh lafonk dh Lohd`fr ds ekeysa esa
2% fyfDoMsVsM {kfr ds lkFk) rFkk vkiwfrZ lqiwnZxh vof/k foLrkj gsrq foÙkh; lgefr
lafonk;s olwyh dh tkus okyh fyfDoMsVsM {kfr dh vko';drk gksxhA ]
dh mPpre lhek nsj ls vkiwfrZ fd, x, ewY;
2- vU; lHkh ekeyksa esa nokvksa dh vkiwfrZ
dk 10% (nl izfr'kr) gksxk tc rd fd
gsrq lqiwnZxh vof/k esa foLrkj izfr ekg 2
lafonk esa fo'ks"k :i ls bldk mYys[k ugha gksA
izfr'kr dh nj ls foyac lqiwnZxh ds
vuqlkj dh tk,xhA ysfdu lqiwnZxh vof/k
ds ckn fd, x, lHkh nokvksa dh vkiwfrZ
gsrq 10 izfr'kr ls vf/kd ugha gksus
pkfg,A ftlds fy, foÙkh; lgefr dh
vko';drk ugha gksxhA

203
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADR SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
M/CMS/C Divisional/Sub.Divisional Asst. Scale
HD /Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
11. Waiver of hospital charges in Upto Rs. Upto Rs. Nil Nil 1. Finance concurrence is not necessary.
respect of non-railway 1,000/- in each 1000/- in 2. These powers are to be exercised in respect of
patients. case each case. deserving indigent non-railway cases admitted
Note: in railway hospital in emergent circumstances
Report to only.
be sent to Authority: Item No. 27 of GM’s delegation.
CMD.
12 (a) Supply of Medical Stores Full Powers Nil Nil Nil To be dealt with as per store code provisions
imposition and waiver of Upto their
penalties for failure to deliver power of
medical stores within stipulated purchase
time.

(b) Extension to the period of Full Powers Full Up to their power of Nil 1. Finance concurrence will be required for
delivery period Upto their Powers purchase. extension of D.P. in case higher rate in the
power of Upto their Full powers upto the contract was accepted against other lower tender
purchase power of power of acceptance. in sonsideration of earth date of delivery.
To extend delivery dates or date purchase
of completion of contracts with
liquidated damage @ 2% of the 2. In all other cases, extension of D.P. for
contract price of the supply of medicines shall be done with
consignment per month and imposition of L.D. @ 2% per month, but not
upper limit of recovery of exceeding 10% to all supples of medicines that
liquidated damage in supply are made beyond the D.P. which will not require
contract will be 10 % (Ten finance concurrence.
percent) of value of delayed
supplies irrespective of delays,
unless other wise provided,
specifically in the contract.

203
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z eaMy@mieaMy@dkj[kkuk ofj0 osrueku fVIif.k;k¡@izkf/kdkj
la0 @eq0fp0v/kh0 vLirky@eq[;ky; ds ifj0 ,oa lgk0
@eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds osrueku
izHkkjh vf/kdkjh vf/kdkjh
1 2 3 4 5 6 7
x) eky Hkstus okys }kjk lqiqnZxh vof/k dh muds }kjk dkWye (3) ds dkWye (3) ds leku 'kwU; jsyos cksMZ dk i= la0 2007@vkj ,l
lekfIr ds i'pkr~ Hksth x;h lkexzh dks Lohdkj Lohdkj fd, leku (th)@779@1 fnukad 28-07-2008 (d) 3
djukA x, fufonk ds yk[k ds ewY; rd ds fy, 6 eghus rd dh
vuqlkj iw.kZ nsjh foyacA
'kfDr;k¡ ([k) :0 3 yk[k ls 6 yk[k rd ds ewY;
ds fn, x, vkns'k ds fy, 21 fnu rd dk
foyac c'krsZ fd izkjafHkd lqiqnZxh vof/k 6
eghus ls vf/kd ugha gksA
uksV % vU; lHkh vkns'k ftldk ewY; :0 6
yk[k ls vf/kd gks rks Ø; dk;kZy; ls
lqiqnZxh vof/k dks c<+kus dh iwoZ lgefr
vko';d gksxkA
?k) izLrqr fd, x, vkns'kksa dks jí djuk iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ 'kwU; bl izdkj ls jí djus ds dkj.kksa dks ntZ
(Lohd`r djus okys izkf/kdkjh }kjk) fd, tkus ds v/khu vkSj ;g fd jí djus
ds ifj.kkeLo:i dksbZ foÙkh; izfrfØ;k rks
ugha gqbZ gSA
izkf/kdkj % 132 ,l dk en 5
13 jsy vLirkyksa esa xSj jsy&ejhtksa dh HkrhZ iw.kZ 'kfDr;k¡ fp fu@eq fp iw.kZ 'kfDr;k¡ 'kwU; 1- foÙkh; lgefr vko';d ugha gSA
vf/k iw.kZ 2- jsy deZpkjh ,oa muds ifjokj tuksa dh
'kfDr;k¡ vko';drkvksa dh iwfrZ ds ckn vfrfjDr
LFkku dh miyC/krk ds v/khuA
3- bl izdkj HkrhZ fd, x, ejhtksa ls
lacaf/kr fu;eksa ds v/khu fu/kkZfjr izHkkjksa dh
olwyh dh tkuh pkfg,
izkf/kdkj % vkbZ vkj ,e ,e dk iSjk 622

204
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADR SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
M/CMS/C Divisional/Sub.Divisional Asst. Scale
HD /Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
(c) Acceptance of stores Full Powers as Same as Same as column 3 NIL Rly. Bd’s L. No. 2007/RS (G)/779/1 dt.
dispatched after the expiry of per tender column 3 28.07.2008 (a) Delay up to 6 months for
delivery period by the accepted by valued up to Rs. 3 lakhs.
consignee. them. (b) Delay up to 21 days for orders valued
between Rs. 3 lakhs to Rs. 6 lakhs provided the
initial delivery period does not exceeded 6
months.
Note:- For all other orders, valued over Rs. 6
lakhs prior extension of delivery period from the
purchase office will be necessary.
(d) Cancellation of orders Full Powers Full Full Powers Nil Subject to reasons being recorded for such
placed. (by tender accepting Powers cancellation and that there are no financial
authority) repercussions as a result of cancellation.
Authortiy : Item 5 of 132 S .
13. Admission of Non-Railway Full Powers MD/CMS Full Powers Nil 1. Finance concurrence is not necessary.
patients in Railway hospitals. Full 2. Subject to availability of spare
Powers accommodation after meeting the requirements
of the Railway staff and their families.
3. The prescribed charges under the relevant
rules should be recovered from the patients so
admitted.
Authority: Para 622 of IRMM.

204
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 ejsiz@vejsia z eaMy@mieaMy@dkj[kkuk ofj0 fVIif.k;k¡@izkf/kdkj
la0 funs0 @eq0fp0v/kh0 vLirky@eq[;ky; ds ifj0 osrueku
@eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds ,oa lgk0
izHkkjh vf/kdkjh osrueku
vf/kdkjh
1 2 3 4 5 6 7
14 jktLo izHkkj vLirky ,oa fMisla jh&midj.k dk :0 1 yk[k :0 20]000 Lora= izHkkj /kj.k djus okys 'kwU; 1- foÙkh; lgefr vko';d gS ;fn fpfdRlk
izfrLFkku@vfrfjDr NksVh ensa rd rd dks 10]000@& rd midj.k ds fdlh en dk ewY; :0 20]000
ls vf/kd gks vkSj fpfdRlk midj.k ls fHkUu
fdlh en dk ewY; :0 1]000 ls vf/kd gSA
2- eqfpfu }kjk vfr vko';d vLirky
midj.kksa dh izkfIrA eqfpfu O;fDrxr vk;
vfr vko';d izkfIr ,sls ekeys dks izekf.kr
djsxa sA
izkf/kdkj % cksMZ dh i=&la0 ,Q
(,Dl)@AA@95@, ,y th@2@ih
Vh@fnukad 05-09-95
15 cV~Vs [kkrs Mkyuk ,oa fuiVku& 1- tc dksbZ Hkh mÙkjnkf;Ro fu/kkZfjr ugha
I- ifjogu esa VwVs gq, Xykl dh oLrq,a iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ 'kwU; 'kwU; fd;k tk,xk rc iz;ksx fd;k tk,xkA
2- foÙkh; lgefr vko';d ugha gSA
izkf/kdkj % 132 ,l [kaM&1 dk ejn la0 18
II-lHkh fyusu dks tykdj u"V djds ;k iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ Lora= izHkkj /kkj.k djus 'kwU; 1- tc bldk iqu% iz;ksx ugha fd;k tk lds
vuqi;ksxh ?kksf"kr djds okys dks iw.kZ 'kfDr;k¡ rc iz;ksx fd;k tk,A
2- foÙkh; lgefr vko';d ugha gSA
izkf/kdkj % vkbZ vkj ,e ,e dk iSjk 409
rFkk 411 (2)
III.ewY;ghu LØSi lkefxz;ksa dks LFky ij iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ Lora= izHkkj /kkj.k djus 'kwU; 1- fdlh jktif=r vf/kdkjh ds i;Zos{k.k ds
Qsd
a dj okys dks iw.kZ 'kfDr;k¡ v/khu fd;k tk,xkA
2- foÙkh; lgefr vko';d ugha gSA
izkf/kdkj % vkbZ vkj ,e ,e dk iSjk 409 ,oa
411 (2)

205
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
S.No. Nature of Powers CMD DRM/ADR SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
M/CMS/C Divisional/Sub.Divisional Asst. Scale
HD /Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
14. Replacement/additional petty Upto Rs. 1 Upto Rs. Holding independent Nil 1. Finance concurrence is necessary, if the cost
items of Hospital and lakh 20,000/- charge upto Rs. 10,000/- of an item of medical equipment exceeds Rs.
dispensary equipment 20,000/- and other than medical equipment
chargeable to revenue. exceeds Rs. 10,000/-
2. Procurement by CMD for urgently needed
hospital equipments CMD shall personally
certify such cases of urgent procurement.
Authority: Board’s letter No.
F(X)/II/95/ALC/2/PT.1 dt. 05.09.95.
15. Write off and disposal
(i) of articles of glass broken in Full Powers Full Nil Nil 1. To be exercised when no responsibility can
transit. Powers be fixed.
2. Finance concurrence is not necessary.
Authority: Item No. 18 of 132-S Vol.I
(ii) Through condemnation or Full Powers Full Holding independent Nil 1. To be exercised when it cannot be re-used.
destruction by burning all Powers charge - full powers 2. Finance concurrence is not necessary.
linens. Authority: Para 409 and 411(2) of IRMM.

(iii) By throwing away at site,

scrap articles of no value. Full powers Full powers Holding independent Nil 1. To be done under the supervision of a
charge - full powers Gazetted officer.
2. Finance concurrence is not necessary.
Authority: Para 409 and 411(2) of IRMM.

205
 fpfdRlk ekeyksa ls lacaf/kr 'kfDr;ksa dk izR;k;kstu
Øa 'kfDr;ksa dh izd`fr eq0 fp0 funs0 ejsiz@vejsia z eaMy@mieaMy@dkj[kkuk ofj0 osrueku fVIif.k;k¡@izkf/kdkj
la0 @eq0fp0v/kh0 vLirky@eq[;ky; ds ifj0 ,oa lgk0
@eq0Lok0funs0 xzsM@dfu0 iz'kk0 xzsM ds osrueku
izHkkjh vf/kdkjh vf/kdkjh
1 2 3 4 5 6 7
16- fpfdRlk&iqLrdksa rFkk tuZy dh [kjhn izfro"kZ :0 fp-fu@eq-fp- ofj-fp-v/kh-@ izHkkjh fp-v- 'kwU; foÙkh; lgefr vko';d ugha gS
25000@& vf/k- dks /kh- dks izfro"kZ :0 7500@& izkf/kdkj%
rd iw.kZ izfro"kZ :0 rd iw.kZ 'kfDr;k¡ 1- foÙkh; dksM [kaM&1 dk iSjk 1057 rFkk
'kfDr;k¡ 10]000@& 1038
rd iw.kZ 2- vkbZ vkj ,e ,e Hkkx&1 dk iSjk 241
'kfDr;k¡
17- fofHkUu ljdkjh ,oa vU; iz;ksx'kkykvksa esa ty] iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ 'kwU; 'kwU; izkf/kdkj %
Hkkstu MªXl ds fo'ys"k.k ds fy, izHkkjksa dh egkizca/kd ds 'kfDr;ksa dh vuqlwph dk en
eatwjh nsuk] tc bl izdkj dh tkap jsyos esa ugh la0 21
gks ldsA
18- vkikr fLFkfr esa ekU;rkizkIr jDr&cSad ls iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ iw.kZ 'kfDr;k¡ foÙkh; lgefr vko';d ugha gSA
VªkaL¶;wtu ds fy, jDr dh [kjhn izkf/kdkj % vkbZ vkj ,e ,e dk iSjk 638
(5)
19- fpfdRlk midj.kksa ds ejEer gsrq [kpZ dk 'kqU; izfr ekeyk # 'kqU; 'kqU; 1- ;fn ejEer dk dk;Z eqy midj.k
oguA 50]000 gtkj fuekZrk (vks b ,e) ;k izkf/kd`r izfrfuf/k
rd A }kjk fd;k tkrk gS rks ejEer dk dk;Z
lkfey izkDdfyr eqY; ds vuqlkj ,dy
fufonk @,dy dksVs’ku ds vk/kkj ij
fd;k tkuk pkfg, A ;fn ejEer dk dk;Z
dksVs’ku ds vk/kkj ij fd;k tkrk gS rks
orZeku izpfyr fu;eksa ds vuqlkj de ls
de rhu dksVs’ku izkIr fd;s tk,axs A
2- fofRr; lgefr vko’;d gS A
3- lanHkZ jsyos cksMZ dk i= la0
2006@114@1 fn0 19@06@2008 iSjk 2-8

206
 DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS

S.No. Nature of Powers CMD DRM/ADR SG/JA Grade Incharge of Sr. Scale and REMARKS/AUTHOITY
M/CMS/C Divisional/Sub.Divisional Asst. Scale
HD /Workshop Hospital/HQ Officers
1 2 3 4 5 6 7
16. Purchase of Medical Books Full powers MD/CMS Sr. MS/MS In-charge Full Nil Finance concurrence is not necessary.
and Journals upto Rs. Full Powers up to Rs. 7,500/- Authority:
25,000/- per Powers per annum. 1. Para 1057 & 1038 of financial code volume I.
annum. upto 2. Para 241 of IRMM Vol. I
Rs.10,000/-
per annum
17. To sanction charges for analysis Full Powers Full Power Nil Nil Authority:
of water, food & drugs at Item No. 21 of GM’s Schedule of Powers.
various Govt. and other
laboratories when such tests
cannot be performed in
Railway.
18. Purchase of blood for Full powers. Full Full Powers Full Powers Finance concurrence is not necessary.
transfusion from recognized powers. Authority: Para 638(5) of IRMM.
blood banks in emergencies.
19. Inclurring expenditure towards NIL Up to Rs. NIL NIL 1. It the repair is undertaken by te original
repairing of medial equipments 50,000/- equipment manufacturer (OEM), or authorized
per case representative the repairing work should be
under taken on Single Tender/Single quotation
basis as per assessed cost involved. If repairing
work is undertaken on quotation basis at least
three quotations shall be obtained as per
prevailing rules.
2. Finance Cocurrence necessary.
3. Ref, Rly. Bd's L. No. 2006/114/1 ldt.
19.06.2008 (Para 2.8)

206