Office of the Managing Director,
Mushirabad : Hyderabad-20,
No.P1/468(5)/98-PO.IV
CIRCULAR NO.PD-91/1998, DATE. 12.11.1998
Sub :- MEDICAL ATTENDANCE - Identification of employees and their family members for the purpose of treatment - Issue of Health Books and Maintenance of health Records for treatment at Tarnaka Hospital - Instructions - Reiterated.
Ref :- 1) Circular No. 27, Dt. 16.07.196 (Issued in file in No. Supdt/JC3/403/85 - TH).
2) Notification No. Supdt/JC3/403/85 - TH, dated 19.07.1986.
3) Circular No. Supdt/JC3/403/85-Th, Dt. 04.09.86.
-oOo-
Instructions were issued through Circular cited, regarding maintenance of Health Book/ Records at Tarnaka Hospital for the purpose of Medical treatment and the procedure to be followed for obtaining Heath Book / Records. According to the said instructions, no person shall attend to the Medical Officer at the APSRTC Hospital, Tarnaka without the possession of a Health Book / Record.
Instructions were also issued through Circular 3rd cited, that no employee or family member will be given treatment at Tarnaka Hospital unless they obtain Health Books by submitting Two Passport size photos of all the family members with family declaration duly certified by the Unit Officer from 01.10.1986. Inspire of issuing clear instructions on the subject to the Unit Officers for enlightening the employees about the procedures, it is observed that still some of the employees and their family members are attending Tarnaka Hospital without the possession of the Health Books.
In order to supply Health Book and Identity Card to each and every employee/Family members who attend Tarnaka Hospital for treatment and to maintain permanent Health Record of all the patients attending the Tarnaka Hospital, the following instructions are reiterated.
I. PROCEDURE TO OBTAIN HEALTH BOOK :
a) Employee must come with a declaration of family members attested by the Unit Officer.
b) They must bring two passport size photos of self and each member of the family including the children from the age of two years and above (children below 2 years are exempted).
II. The Health Book along with the Identify Card will be issued at Tarnaka Hospital duly signed by the Medical Officer on the individual Card after submitting photos and the family declaration forms signed by the Units Officer.
III. Health Books shall be kept only at the Tarnaka Hospital and Identity Cards shall be handed over to the patient. Whenever the patient comes for treatment, he/she shall produce the Identify Card and obtain Health Book from the Registration Counter. The patient shall return the Health book and take back the Identity Card before he/she leaves the Hospital on the some day.
All Officers are requested to take necessary steps to issue family declaration forms (proforma enclosed) for such of those employees who have not obtained Health Books sofar. It may be notified to all the employees that no employee / family member shall be given any treatment at Tarnaka Hospital w.e.f. 01.01.1999 if he/she is not obtained the Health Back on or before 31.12.1998.
Sd/-V. APPARAO
VICE CHAIRMAN & MANAGING DIRECTOR
// ATESTED //
SD/- XXXXX
DY.CHIEF PERSONNEL MANAGER (IR & W)
DECLARATION OF 'FAMILY IDENTITY CARD'
MEDICAL IDENTITY
(to be filled in 'Triplicate') Date of Appointment :
Name of the Employee :
Staff No : Designation :
Place of Work : Date of Retirement :
Total NO. of Family Members (in words)
Particulars of Family Members as on :
House Address :
__________________________________________________________________________________________
Sl. Name of the person Age Relationship Marks of Identification
No with employee
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1. .
2
3.
4.
5.
6.
7.
__________________________________________________________________________________________
I certify that my family members as mentioned above are residing with me.
I declare that dependents as mentioned above within the meaning of Reg.2 (VIII) of APSRTC Employees' (Medical Attendance) Regulations, 1963, have no individual income in any manner exceeding Rs. 1,000/- or 25% of my emoluments whichever is less.
.I undertake that I shall intimate the change if any, from time to time within 15 days of such change in the members of their eligibility for Medical Attendance.
I further undertake that if the information furnished by me as above is found to be false at a later date, I render myself liable for any disciplinary action that may be deemed fit.
SIGNATURE OF THE EMPLOYEE
Date :
WITNESS :
1 Name Staff No :
Signature : Designation :
2. Name : Staff No.
Signature : Designation :
__________________________________________________________________________________________
SIGNATURE OF THE CONTROLLING
OFFICER & DESIGNATION :
___________________________________________________________________________________________
NOTE : In accordance with Reg. 2 (viii) of APSRTC Employees' (Medical Attendance) Regulations, Family Means :-
i) a spouse
ii) Wholly dependent sons under 21 years of age, wholly dependent unmarried daughters, and sons who are bonafide students of recognised educational institution and wholly dependent on the employee.
iii) Invalid children i.e., sons and daughters.
iv) Parents wholly dependent and residing with the employee. In case of lady employees the dependent parents, if there are no male children for the parents. IMPOTANT NOTE :
1. Wholly dependent on employee means a person who does not have independent income of more that 25% of the emoluments of the employee concerned or Rs.1000/- per month whichever is less.
Where the spouse of APSRTC employees is the employee of the Government/ other Organisations, such working spouse is not entitled for medical attendance in APSRTC irrespective of income.
Provided no such medical facilities exist in their Organisations. Declaration to be given to that effect."