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The Pakistan Wapda Employees


Medical Attendence Rules, 1979

CO

ion
eg

Re

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SC

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ng

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ain

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Ce
ing
ain

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SC

ain

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ain
Tr
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nt
Ce

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al

E
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ter

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ES
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Tr
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Re

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Re

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io
eg

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t
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Ce

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al

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ing

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Ce

CO
ES
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SC

Re

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na
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gio

Re

ng

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ain

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ain

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Ce

Tr
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t
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na

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Re

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ES
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er
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na

ng
ini

SC

E
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Tr

ing
ain

PAKISTAN
WATER AND POWER
DEVELOPMENT AUTHORITY

l
na

CO
ES
, L

ter
en

SC

E
, L

n
gio

nt
Ce

Re

O
SC

er

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en

Ce

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na
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ing
ain

Re

E
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Re

SC

in
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na
o
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nt
Ce
ng
ini
a
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a
Tr
al

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gio

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gio

SC

ter
en

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ain

Tr
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Directorategiof
Rules (S&GA) WAPDA
on
Re
Publication No. 7ReVT
(Edition)

ing

ain

Tr
al

T
al

n
gio
Re

er
nt
Ce
ing

ain
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al

gio

Re

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ion
eg

Ce

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eg

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n
gio

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e

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Ce
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Tr
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O
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Ce
ng
ini
a
r

O
SC

CO
ES
, L

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PAKISTAN WATER
AND POWER DEVELOPMENT
n
gio
Re
Re
AUTHORITY

a
Tr
al

ng
ini

n
gio

Re

Tr
al

ing

ain

ter
en

gio

Re

C
C
ES
ES
722-Wapda
House,
, L
, L
ter
ter
n
n
Ce
Ce
Lahore
ing
ing
ain
ain
Tr
Tr
l
l
a
a
Dated
10th November, 1979
ion
ion
eg
eg

In exercise of the powers


conferred by Section 13
of the Pakistan Water and
Power
O
O
O
CO
SC
SC
E
E
ES Pakistan
L
L
L
Development Authority
Act,
1958
(West
Pakistan
Act
No,
XXXI
of
1958),
the
,
,
,
er
er
ter
nt
nt
en
Ce
Ce
g C
Water and Power
to
majke
the
following
rules
namely
ng Development Authority is
npleased
ng
i
i
i
n
n
n
ai
ai
ai

ing

in
ra
l T
na
o
i
eg

n
Ce

C
ES
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er
nt

r
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na

1,

io

CO

ing
ain
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nt
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ter

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eg

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SC

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Ce
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al

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g
g
Re
Re
Re
Substituted
vide O.M. No. DG/DD(R)/07456/34/X/71701-50
dated 2-12-1993.

ing
ain

r
l T
na

ain

Tr

na
gio

Tr
al
ion

er

r
l T
na
gio

ing

ain

Tr
al

(2) Wapda Employees in Grade 115 will be allowed to draw Cash Medical
O
AllowanceESduring
leave, if otherwise Eadmissible,
except during E.O.L.
when
CO
CO
SC
ES
, L
, L
, L
ter allowances are not admissible.
ter
ter
payCand
n
n
n
e
Ce
Ce

ES
, L
ter
en

io

ing

O
SC

E
, L

Re
Re
Re
Re
(d)
(1) Employees on extraordinary
leave (without pay)
when it extends over six (6)
months,-will not be entitled to a*/ail of these benefits unless the Authority
O
CO
CO
SC
ES where illness is directly Lattributable
ES
agrees eto
extend
the facilities in cases
LE
, L
,
r,
er
er
t
t
t
n
n
n
Ce employee's official duties.
Ce
Ce
tongthe
ng
ng
ini
ini
ini
g

ing

ain

Tr
al

O
COwill be provided to the employees
CO
CO
SC Lahore
(c) Medical facilities,
of the Authority
ES
ES
Eat
ES
, L
, L
, L
, L
ter
ter
ter
ter
n
n
n
n
and other
exist in
Cestations in Pakistan, where
Ce Wapda's Hospitals/Dispensaries
Ce
Ce
ing
ing
ing
ing
ain
ain
ain
ain
Tr
Tr contained in the following
Tr Rules. Government
Tr
accordance
with
the
provisions
l
l
l
l
na
na
na
na
gio
gio
gio
gio
Re
Re
Re
Re Forces who are on deputa
servants, i.e. from the Civil
Government or the Armed
tion with the Authority will also be governed by the provisions of these Rules.
O
CODoctors only when advised
CO by the
CO
SC
They will ber,entitled
to consult Government
ES
ES
ES
LE
, L
, L
, L
e
er
er
er
nt
nt
nt
nt
e
e
e
e
C medical attendant/Director
C General Medical Services.
C
C
authorised
ing
ing
ing
ing

Re

in
ra
l T
na

r
l T
na
gio

Ce

E
, L

er
nt
Ce

O
SC

*(b) "These Rules shallCapply


to all Wapda Employees
both serving and retired Cincluding
O
O
CO
CO
S
ES
ES
ES
LE
, L
, L
, L
Governmentnteservants
of Old Electricity
Department
(enbloc transferees),
serving
r,
ter
ter
ter
n
n
n
e
Ce
Cas
Ce
Ce
deputationists
from Civil Government
well as Armed Forces
whether
they are on
ing
ing
ing
ing
ain
ain
ain
ain
Tr or leave or under suspension.
Tr Cash medical allowance shall
Tr
Tr
duty
be
admissible
only
to
l
l
l
l
a
na
na
na
on
gio
gio
gio
Re serving Wapda Employees
Re
Re
Re
ingi grade 1-15."

CO

eg

ing

ain

E
, L

er
nt
Ce

E
, L

r
l T

na

gio

Re

MEDICAL
ATTENDANCE RULES, 1979
CO
CO

er
nt

Tr

ter

n
Ce
ing
ain

n
n
n
n
(a)
Medical Attendance
gioThese Rules may be called
giothe Pakistan Wapda Employees
gio
gio
Re
Re
Re
Re
Rules, 1979.

al

CO

al

n
gio

Re

E
, L

n
gio

ES
, L
er
nt

r
l T

na

gio

Re

THE PAKISTAN WAPDA


EMF
CO

Ce
ing

ain

eg

r
l T

na

gio

Re

SC

E
, L
ter

SC

E
, L

er

t
en

SC

E
, L

ter
en

r
l T
na
gio

Ce

Re

E
, L

T
al

ing
ain

n
gio

Re

SC

C
ES
Telephone: 69911/204
, L
ter
n
Ce
Telegrams: WAPDA,
LAHORE
ing
ain
Tr
l
a
n
No. S/SO
(R)
14/21348-21947
o
i
eg

ain

ain
Tr
al

gio

n
gio
Re

Tr
al

Ce
ing

Re

ter
en

E
, L

ion
eg

Ce

Re

ES
, L

Tr
al
ion
eg

ing

ain

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

n
gio

Ce

Ce
ing

ing

ain

CO
ing

ain
Tr
al

SC

E
, L

E
, L
ter
en

ing

ain

Tr
al

Re

ter
en

ain
Tr
al

gio

Re

ES
, L

Tr
al
ion
eg

ing

ain

Tr
al

Ce
Tr
al

n
gio

O
er

nt
Ce
ng
ini
a
r

Re

O
SC

CO
ES
, L

E
, L

ing
ain

Tr
al

(e) The
Services will be assisted in the discharge of his gion
n Director ^General Medical
ion
gio
eg
e
e
Re
duties by such SpecialistsRand Medical Officers/LadyRMedical Officers as may beR
appointed by the Authority from time to time.
O

SC

SC

LE

SC

LE

SC

E
, L

ter
en

r
l T
na
gio

T
al

LE

Ce

n
gio

Re

SC

ing
ain

ing

ain

ter
en

SC

LE

,
,
,
,
er
ter
ter
ter
***(f) "All retiredCeWapda
Employees will get Cthemselves
registered with the
nearest
Wapda
nt
en
en
en
g
g
g C
g C
n
n
n
n
i
i
i
i
Hospital/Dispensary
under the same
in
in procedure as applicable to
inWapda- Employees.
ain
ain
ra
ra
ra
Tr
Tr
l T
l T
l T
al
na reimbursement of medical
nacharges to retired Wapda Employees,
na
The
duly verified byegional
ion
gio
gio
gio
eg
e
e
e
R
R
R
the Wapda authorised Medical
Attendant will be madeR by the office from where the
retired Wapda Employees receives pension. Employees who get pension from
O
Banks/Treasury Lwill
nearest to the
of
CO
CO be attached to a Wapda Division/Office
CO
Cplace
CO
ES
ES
ES
ES
ES
, L
,
, L
, L
, L
er
er
er
er
er
residence
of
offices
for
nt
ntthe retired employee. Funds
nt will be provided to respective
nt
nt
e
e
e
e
e
C
C
C
C
C
ng
ng
ng
ng
ng
reimbursement
of costs."
ini
ini
ini
ini
ini
ra
ra
ra
ra
ra

er
nt
Ce
ing

T
al
ion
eg

2.

al

ion

Ce
ing

ain

eg

io

ing

ain

er
nt

Ce

ain

Tr
al

CO

ing
ain
Tr
al
n
gio

ES
, L

S
LE

er

Tr
al
ion
eg

nt
Ce

ng
ini

CO

ing
ain

n
Ce

e.

gio

Ce
ing

ion
eg

l
na

Ce
ng

ra
l T
na

f.

io

g
Re

er
nt

Ce

ing
ain

ain

Tr

l
na

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ain

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al

er

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Ce

ng
ini

ini

l
na

Ce
ing
ain

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al

ion

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al
ion

ain

gio

Re

a
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al
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SC

ing
ain

LE
r,

SC
LE

n
gio

ing

ain

Ce

ain

gio

Re

SC

E
, L
er

ing

ain

Re

C
ES
, L

nt
Ce

l
na

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Re

ing
ain

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na

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ain

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al

ing

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gio

Re

a
Tr

n
ini

nt
Ce

Ce
ing
ain

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gio

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ain

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al

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a
Tr

n
Ce

g C

n
ini

ing

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al

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ter
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ing

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al

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en

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SC

CO

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, L

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Tr

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, L

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Ce

ing

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al

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ain

ter

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ain

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SC

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, L

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l
na
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, L
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e
C

,
er

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er

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na

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ing

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er
nt
Ce

CO

io
eg

SC

,
,
Added vide O.M. No. DG/DD(R)/07456/34/X/71701-50
dated
er
er2-12-1993.
nt
nt

r
l T
na
gio

LE

er
nt

Re

Modified vide O.M. No. DG(S&GA)


DD(Rules)/07456/34/23666-2f)211,Odated 4-8-1991.
O

Tr
al

al
ion

n
gio

Re

Tr

Ce

O
SC

in

Tr
al

Amended Vide O.M. No. (IM(A)/AI)(I>IA)()7() 12/26/20038-20688, dated 01-06-1998.

r
l T
na
gio

SC
LE

a
Tr

Ce

n
gio

ain

Ce

O
O
CO
SC
SC
( 1 ) 'Such
bacteriological,
radiological or otherr,method*
as
Epathological,
ES
LE
, L
, L
ter
ter
te
n
n
n
e
ethe authorised medical attendant,
e
C
C
C
ate
considered
necessary
by
ing
ing
ing

ES
, L
ter
en

nt
Ce

er
nt

SC

LE

'Treatment" meansRethe use of all medical and surgical


facilities available atReg
g
Re
Wapda Hospital and Dispensaries and includes:

gio

Re

CO

ng
ini
ra

ini

ain

ing

ain

Tr
al

"Patient" means a Wapda


Employee/Government
Servant from the Civil egio
gio
gio
Re
Re
R
Government or the Armed Forces who is on deputation to the Authority,
including anyOmember of his/her family Oas defined in these Rules, and
to
O
SC
SC
SC
LE Rules apply and has fallen
LE
LE
whom nthese
ill.
,
,
,
er
er
ter
nt
nt

CO

eg

er

nt

Ce

ain
Tr

ES
, L
er
nt

ing

ing

ain

Tr
al

O
SC

E
, L

er
nt
Ce

T
Tr
d. al Tra"Medical Attendance"nalmeans
an attendance innOut-patients
or Indoor nal Tra
al
io
gio
gio
e
e
R
R
Hospital including such
pathological, bacteriological,
radiological or otherReg
examinations that are considered essential by the authorised medical atten
O
CO
CO
dant and, such
on the advice of authorised
SC consultations with a specialist
ES
ES
LE
, L
, L
ter
ter
ter
n
n
n
e
e
e
medical
attendant/D.G.M.S. ng C
C
C
ng
ng
l
na

Re

in
ra
l T
na

ing

SC
LE

Tr

Tr
al

l T

na

gio

Re

er
nt
Ce

CO

ion

g
Re

ES
, L
ter

al
ion
eg

,
,
,
,
teremployee's wife/husband, unemployed
ter
ter
ter
*(b) "Family11 means
legitimate and step
children
upto
en
en
en
en
g C
g C
g C
g C
n
n
n
n
i
i
i
i
ain
ain
ain
ain
ryears
the age of a25
and unmarried and unemployed
daughters and parentsalresiding
with and
Tr
Tr
Tr
l T
al
al
ion
ion
ion
ion
g
g
g
g
Re
Re of WAPDA employees shall
Re
dependent
upon the employee. Parents
be allowed treatment availableRe
only in WAPDA Hospital/Dispensary and not otherwise. Only one wife is entitled to avail of these
CO facilities. **(c) "Hospital" S
CO
CO
CO
CO
Hospitals and Dispensaries.
ES
Emeans all Wapda In-door/Out-door
ES
ES
ES
, L
, L
, L
, L
, L

er

ng
ini

al

n
gio

Re

a.n "Authorised Medical Attendant"


means Specialist/Medical
Officer/Lady on
n
n
gio
gio
gi
Re Time Medical Officer/Lady
Re Medical Officer appointed
Re
Medical Officer; Part
by the Authority.
Tr
al

gio

Re

t
en

l T

na

gio

Re

O
CO
CO
In these Rules, ,unless
there is anything repugnant
in the subject or context:
SC
ES
ES
LE
, L
, L

C
ES
, L
er
nt

r
l T
na

g
Re
DEFINITIONS

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

n
gio

ing

ain

al

Ce
ing

CO

ain
Tr
al

ing

ain
Tr
al

E
, L
ter
en

SC

ain

Tr

Ce
Tr
al

n
gio

O
er

nt
Ce
ng
ini
a
r

ing
ain

Ce

n
gio

Re

SC

Re

O
SC

CO
ES
, L

E
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ing
ain

SC

E
, L

ter
en

r
l T
na
gio

T
al

Tr
al

ing

ain

ter
en

(2) the supply of such


medicines, vaccines, sera or other therapeutic gion
n
gio
Re
Re
Re
substances as are ordinarily available in the Hospital/Dispensary,
(3) the supply
of such medicines, vaccines,
sera or other therapeutic
CO
CO
CO
CO
ES
ES
ES
ES
, L
, L
, L
, L
r
r
substances
not
ordinarily
available
as
the
authorised
medical
te
te
ter attendant
ter
n
n
n
n
Ce
Ce
Ce
Ce
ing
ing
ing
ing
of serious
ain may consider essential for
ain the recovery or for the prevention
ain
ain
Tr
Tr
Tr
Tr
l
l
l
l
a
na
na
na
ion
gio
gio
gio
deterioration in Rthe
eg condition of the employee,
Re
Re
Re

n
gio
Re

er
nt
Ce
ing

ing

ain

Tr
al

gio

Re

ter
en

E
, L

ion
eg

Ce

Re

ES
, L

Tr
al
ion
eg

ing

ain

Tr
al

(4) such accommodation as is ordinarily provided in the Hospital.


O

CO

SC

E
, L
ter

ing

in
ra
l T
na
o
i
eg

Ce
ing

ain

eg

r
l T
na

gio

Re

C
ES
, L
er
nt

io

CO

ES
, L

CO

ES

CO
ES

ES

L
, L
, L
r,
(5) such
nursing
as is ordinarily provided
to indoor patients byenthe
e
er
ter Hospital
nt
nt
Ce
Ce
C
g
g
g
in
in
in
ain and,
ain
ain
Tr
Tr
Tr
al
al
al

n
Ce

n
gio

gio

Re

Re

ter

n
Ce
ing
ain

O
SC

r
l T

na

gio

Re

E
, L

(6) the specialist consultation if considered essential by Authorised Medical


Attendant/D.GJytS.
O
CO
CO
CO
SC
ES
ES
ES
LE
*(7) dental
which includestertreatment
of alveolar (gum
,treatment
, L
, Land jaw
, L
er
er
er
t
t
t
n
n
n
en
Ce
Ce
Ce
g C
gteeth,
bone)
disease, extractionaiof
treatment for dental
n
ng caries, gingiving
nin
ini
ini
ini
ra
r
ra
ra
T
T
T
T
l
l
l
na
na
na
ties, pyorrhoea and
filling
(temporary or permanent)
of dental cavities egional
gio
gio
gio
Re
Re
Re
R
including root canal treatment and scaling but does not include
crowning ofO teeth and provision of dentures."
O
O
O
S
LE

SC
LE

SC

SC
LE

LE

,
,
,
,
ter
terin NPS 14 (posted at nLahore
ter
ter
3. (a) Employees of the
and
en Authority including those
en
e
en
g C
g C
g C
g C
g C
n
n
n
n
n
i
i
i
i
i
in
ain
ain
ain
ain
other astations
where Wapda's own
except casual .
ra
Tr
Tr Hospital/Dispensaries exist),
Tr
Tr
l T
al
al
al
al
ion
ion
ion
ion
ion
g
g
g
g
g
e
workers
and those engagedReon daily rate basis, will be
Re
Re entitled to make use ofRe
these facilities. Wapda employees in NPS 115 who are drawing Cash Medical
O
O
Allowance as sanctioned
time
to time will also beLEallowed
CO
CO by the Authority fromSC
CO
SC
ES
ES
E
ES
, L
, L
, L
,
, L
ter
ter
ter
ter
ter
n
n
n
n
n
the facility of
in case of acute g illness/accident
Ce
Ceconsultation and hospitalization
Ce
Ce
Ce
ing
ing
ing
in
ing
ain
ain
ain
ain
ain
(Emergencies).
Tr
Tr
Tr
Tr
Tr
l
l
l
l
l
na
na
na
na
na

er

t
en

io
eg

io

io

eg

io

eg

io

eg

eg

R
R
(b) RGovernment servants/deputationists
in Grade 115 may
opt for Cash Medical R
Allowance as sanctioned
by the Authority fromO time to time plus certain Orest
CO
CO
C
C
CO
ES
ES
ES
ES
ES
L
L
ricted
medical
facilities
or
for medical facilities
,
,
, L (without Cash Medical Allowance;
, L
, L
er
er
er
er
er
nt
nt
nt
nt
nt
e
e
e
e
e
C
C
C
C
C
as admissible
under the Rules of theainAuthority.
ng
ng
ng
ng
ing
ini
ini
ini
ini
ra
ra
r
ra
ra
l T
l T
l T
l T
l T
a
a
a
a
a
n
ion
ion
ion Wapda employees in
(c) RNotwithstanding
the drawal
ofionCash Medical Allowance
g
gby
gio
eg
eg
Re
Re
Re
Grade 115, they and their families, as defined in Rule 2 b. will be entitled to:
O
C
CO
CO
CO
CO
(1) (a) Indoor treatment
in Wapda Hospitals/Government
Civil Hospitals
ES
ES
ES
ES
ES
, L
, L
, L
, L
, L
er
er
er
er
er
t
t
t
t
t
n
n
n
n
n
free
A Wapda
Ce
Ce of charge in case of acute
Ceillness/accident (Emergencies).
Ce
Ce
ng
ng
ng
ng
ng
ini
ini
ini
ini
ini
ra
ra
ra who is in receipt of cash
ra
ra
employee
in
grade
115,
medical
allowance,
T
T
T
T
T
l
l
l
l
al
na
na
na
na
ion
gio
gio
gio
gio
eg
Re
Re
Re an outdoor patient if, in Re
will also be entitled
to medical treatment as
the performance of his duties, he sustains such bodily injuries as do not
O
CO
CO
CO
CO
necessitate
SC
E
ES indoor treatment in Wapda
ES Hospital.
ES
ES
, L
, L
, L
, L
, L
ter
ter
ter
ter
ter
n
n
n
n
n
Ce
Ce
Ce
Ce
Ce
(b) inIn
case
a Wapda Medical Officer
refers an Employee iin
Grade
115 to
ing
ing
ing
ing
ing
ain
a
ain
an
ain
Tr
Tr
Tr
Tr
Tr
l
l
l
l
l
a
a
a Specialist the amount
paid by the Employee
na
na
na to the Specialist on
ion
ion
gio
gio
gio
eg
eg
Re
Re
Re
account of his fee/charges
shall be re-imbuiseable,
on production of aR
Cash Receipt duly verified/countersigned by the Referring Medical

r
l T
na
gio

ing
ain

SC

E
, L

er

nt
Ce

n
gio

SC

Tr
al

ing

ain

r
l T
na

in

ain

gio

Re

C
ES
, L

nt
Ce

l
na

gio

Re

ing
ain

C
ES
, L

ain

ing
ain

Tr
al

SC

E
, L

in

gio

Re

a
Tr

n
ini

nt
Ce

C
ES
, L

ES
, L

Ce
ing
ain

n
gio

Re

ing

ain

Tr
al

gio

Re

Tr

ing

ain

Tr
al

O
SC

CO

ES
, L

ter

Re

ES
, L
er

t
en

E
, L

ter

n
Ce

Re

er
nt

Tr
al

gio

Re

O
SC

l
na
gio

CO

ES
, L
er
nt
e
C

LE

ing

ain

n
gio

,
er

l
na

CO

in

Re

Tr

ain

Tr
al

er
nt
Ce

CO

io
eg

SC

Re

E
, L
er

r
l T
na
gio

E
, L

ter
ter
ter
Added Vide O.MNo.
Dated, 5-111988
en GA (A)/DD (R) 07450/35/V/149259-150378,
en
en
g C
g C
g C

gio

l
na

ing

ain

Tr

n
Ce

CO

ES
, L

er
nt
Ce

ing

ain

gio

Re

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

n
gio

ing

ain

CO

ing

ain
Tr
al

SC

er
nt
Ce
ing

ing

in
ra
l T
na
o
i
eg

nt
Ce

C
ES
, L
er
nt

Ce
ing

ain

r
l T
na

io

CO

ing
ain
Tr
al
n
gio

ES
, L

er

t
en

ES
, L
ter

al
ion
eg

ng

ini

a
Tr

CO

n
Ce

CO

ES
, L
ter

al
ion
eg

ing
ain

n
Ce

Tr

Ce
Tr
al

n
gio

SC

er

nt
Ce
ng
ini
a
r

O
SC

CO
ES
, L

E
, L

ing
ain

Tr
al

SC

E
, L

er

ing

ain

ter
en

SC

SC

E
, L

er

t
en

SC

E
, L

ter
en

r
l T
na
gio

t
en

Ce

Re

Officer. Any amount


incurred by the Employee on the purchase ofgion
n
gio
Re
Re
Re
medicines as advised
by the Specialist, shall,
however, be borne by the
Employee
drawing Cash Medical Allowance.
O
O
O
SC

ing
ain

n
gio

Re

E
, L

E
, L
er

t
en

C
C
C
C
(2) The
ingrecipients of Cash Medical
ingAllowance and their families
ing as defined under
ing
ain
ain
ain
ain
Tr
Tr
Tr
Tr
l
l
l
l
na
na
naOfficer appointed by theiona
the rules,.would be eentitled
to consult any Medical
gio
gio
gio
g
Re
R
Re
Re
Authority, free of charge. X-Ray, pathological tests and dental treatment,
wherever available
in Wapda Hospitals/Dispensaries
or other medicalCOarrangeO
CO
CO
SC
ES
ES
ES
LE
, L
,be
, L
, L
r
mentsntmade
by Wapda would also
free.
However,
the cost
er
e
er of medicines
er
nt
nt
nt
e
e
e
e
C
C
C
g C
ng employees on prescription
ng
ng
nin be purchased by the Wapda
ito
ini
ini of Wapda Medical
ini
ra
ra
ra
ra
l T
l T
l T
l T
a
a
a
a
n
n
n
n
Officers for outdoor
treatment
would be borne
gio
gio
gioby the employees drawing
gio
Re
Re
Re
Re
Cash Medical Allowance.
CO

CO

ES

CO
ES

ES

, L for revision of option from


, L
, L to medical
, L
(3)' Exemption
Gash Medical Allowance
er
er
er
er
nt
nt
nt
nt
Ce
Ce
Ce
Ce
g
g
g
g
n
in stage, develop any
in
nin
will be allowed Tfor
ini those cases, who, at a latter
aifacilities
ain
ain
ra
Tr
Tr
Tr
al
al
al
al
ion
ion prolonged treatment. Such
ion patients will be subjected
ion
disease
which
requires
g
g
g
g
Re
Re
Re
Re
to scrutiny by the Medical Board to justify grant of exemption.
ES

CO

C
ES

CO

CO

ES

C
ES

ES

L
L
, L
, L
r,
r,
(4) (a) In
areas/Power Houses,
where Dispensaries are
with
tefar-flung
ter
testocked
ter
en
en
en
en
g C
g C
g C
g C
n
n
n
n
i
i
i
i
medicines, treatment
and medicines will be provided
and Employee
ain
ain
ain
ain
Tr
Tr
Tr
Tr
al
al
al
al
ion
ionto opt for not to draw Cash
ionMedical Allowance.
ion
g
g
g
g
will
be
permitted
Re
Re
Re
Re

*(b) If any employee is transferred from one station where the medical
CO
CO
CO
CO
ES is not available to another
ES
ESfacility is
ES
facility
station where medical
, L
, L
, L
, L
ter
ter
ter
ter
n
n
n
n
Ceavailable then he will be
Ceallowed to change his option
Ce
Ce
from Cash
ing
ing
ing
ing
ain
ain
ain
ain
Tr
Tr
Tr
Tr
l
l
l
l
a
Medical Allowance
one month from the dategiona
na
na to medical facility within
ion
gio
gio
eg
Re
Re
Re
of joining. Similarly,
if any employee isRtransferred from one station
where the medical facility is available to another station where the
CO
CO
CO
CO
ES
ES
ES
ES
medical
facility is not available
, L
, L then he will be allowed to
, L change his
, L
er
er
er
er
nt
nt
nt
nt
e
e
e
e
C
C
C
g C
option from medical aifacility
to Cash Medical Allowance
within one
ng
ng
ng
nin
ini
ini
ini
ra
r
ra
ra
l T
l T
l T
l T
a
a
a
a
month from the
of joining.
on
ion
idate
ion
ion
eg
eg
eg
eg
R

(5) Maternity cases


will continue to be paidO for by Wapda irrespectiveO of the
O
C
C
SC
ES
ES
LE
,
, L
, L
number
er of children.
er
er
nt
nt
nt

CO

ES
, L
er
nt

Tr
al

ing

ain

Tr
al

T
al

ter
en

SC

E
, L
er

eg

E
, L
ter
en

ain

ain
Tr
al

gio

n
gio
Re

Tr
al

Ce
ing

Re

ter
en

E
, L

ion
eg

Ce

Re

ES
, L

Tr
al
ion
eg

ing

ain

Tr
al

Ce
ing

Ce
ng

ini

ain

ra
l T
na

ing

ain

Tr
al

Ce

O
SC

Ce
ing
ain

Tr
al

al
ion

a
Tr

g C

n
ini

E
, L
ter
en

Note
who wish to obtain Rexemption
or to revise option
gio 1.Those Wapda employees
g
eg
Re
Re
Re
previously exercised, shall have to produce a certificate from the Medical Board as defined
above. On the authority of Medical
Board's certificate, Cthe
GMs/CEs/Heads of Divisions
will
O
CO
CO
CO
CO
ES
ES
ES
ES
ES
, L
, L
, L
, L
, L
be
competent
to
grant
such
exemptions.
When
exemption
is
given,
then
the
employee
and
r
r
r
r
te
te
te
te
ter
n
n
n
n
n
Ce
Ce
Ce
Ce
Ce
ng
ing
i(all)
ing medical treatment irrespective
ing
ing
his dependents
will become eligible
for
of the fact
ain
ain
ain
ain
ain
Tr
Tr
Tr
Tr
Tr
l
l
l
l
l
a
a
a
na
na
on
whether
certificate obtained isRein
member
of the family or the
ion
ion
githe
giorespect of one dependenteg
gio
eg
Re
R
Re
employee himself, and the employee will cease to draw Cash Medical Allowance.

ion
eg

r
l T
na
gio

ing
ain

SC

E
, L

er

nt
Ce

SC

r
l T
na
gio

Tr
al

ing

ain

, L

er

t
en

ain

gio

Re

E
, L
er

ing

ain

Re

C
ES
, L

nt
Ce

l
na

gio

Re

ing
ain

io
eg

ing
ain

Tr
al

ing

, L
ter
en

gio

Re

a
Tr

n
ini

nt
Ce

Ce
ing
ain

n
gio

ing

ain

Tr
al

gio

Re

CO

gio

ing

ain

Tr
al

n
Ce

O
SC

CO

ES
, L

ter

Re

ES
, L
er

t
en

E
, L

ter

Tr

ing

ain

Re

O
SC

C
ES
, L

ES
, L

Tr
al

SC

LE

Re

er
nt

Re

LE

l
na
gio

CO

ES
, L
er
nt
e
C

,
er

n
gio

,
er

l
na

nt
Ce

Re

Tr

ing

ain

Tr
al

er
nt
Ce

CO

r
l T
na

ion

O
* Substituted vide O.M. No.
S/DD(R)/07456/34/10167-946,
dated
22-01-1984.
C
CO
ES
ES

n
gio

n
gio

gio

l
na

ing

ain

Tr

n
Ce

CO

ES
, L

er
nt
Ce

ing

ain

gio

Re

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

n
gio

ing

ain

ng

i
ain

ion
eg

Ce

Ce
ing

Tr
al

CO
ing

ain
Tr
al

Ce

E
, L
ter
en

Tr
al

n
gio

SC

er

nt
Ce
ng
ini
a
r

ing

Ce

ing

ing
ain

Re

O
SC

CO
ES
, L

E
, L

ing
ain

r
l T
na
gio

Ce

ing

,
er

nt

e
g C
nin

SC

LE

Tr
al

ing

ain

ter
en

ing

SC

Ce

E
, L
er

t
en

O
SC
LE

SC

LE

SC

E
, L

ter
en

in
in
in
in
ra
ra
ra
ra
5. The
such registers and other
l T Medical Officers will maintain
l T
l T records in respect of
l T
na
na
na
na
gio
gio
gio
gio
e
e
e
e
R
R
the patients
treated by them as theR Authority or the DGMS may
direct them from time toR
time.

nt
Ce

Ce

n
gio

Re

T
al

SC

ing

Ce

4. gioAll
Wapda employees willgiinitially
be examined by their nominated Authorised gion
n
on
Re
Re
Re
Re
Medical Attendants. Specialists cover will also be available to the employee subject to
referred by Authorised Medical
Attendant/DGMS Specialist
cover will be available
for
CO
CO
CO
CO
ES
ES
ES
ES
, L
, L
, L
, L
emergencies
round
the
clock.
r
r
r
r
e
e
e
e
nt
nt
nt
nt

E
, L
er

in
ra
l T
na
o
i
eg

ing

ain

Tr
al

Re

ter
en

ain
Tr
al

gio

Re

ES
, L

Tr
al
ion
eg

ing

ain

Tr
al

LE

O
SC

,
,
,
,
er
er with them
er
ter the Authority will be required
6. Employees
to carry Identity Cards
nof
nt
nt
nt
Ce
Ce
Ce
Ce
ng
ng
ng
ng
i
i
i
i
n
n
n
n
i
i
i
ai
bearing their
Code Numbers. Failure
ra
rato produce Identity
ra
Trphotographs and appropriate
l T
l T
l T
al
na
na
na
ion
gio
gio
eg
Cards Rmay
result in medical facilities
of the employees willRegio
Re being refused. Family members
Re
carry with them their "Shanakhti Cards" employees and their family members Shanakhti
O
O in the Treatment Book ofCeach
O
O
O
Card
Numbers will be entered
employee.
C
S
SC
S
SC
SC
LE
LE
LE
LE
LE
nt

er

er
nt

er

nt

er
nt

e
Ce
Ce
Ce
g Cindoor patients
7. Ordinarily,
employees and their adependents
will get treatment
as
ng
ng
n
ng
i
ini
ini
ini
ini
ra
ra
r
ra
ra
T
T
T
T
T
l
l
al
al
al
na
na
in Wapda
Hospitals/Dispensaries.
If ethe
patient
cannot be treatedegin
ion
ionWapda Indoor Hospital gion
gio
gio
eg
Re
R
R
Re
due to non-availability of bed or non-existence of treatment of a particular disease/ailment,
the DGMS/MS/Medical Officer/Part
Time Medical OfficerO as the case may be, may refer
the
CO
CO
C
CO
CO
ES
ES
ES
ES
ES
case
to
Government
Civil
treatment.
Employees
drawing
pay
in
, L
, LHospital for admission and
, L
, L
, L
r
r
r
r
te
te
te
te
ter
n
n
n
n
n
Ce
Ce
Ce
Ce
Ce
NPS-16 and above
ing
ing will be entitled to receive
ingtreatment in private wards
ing of Government
ing
ain
ain
ain
ain
ain
Tr
Tr
Tr
Tr
Tr
l
l
l
l
l
a
a
na
na
Hospitals
Employees drawingegipay
in NPS 115 will be egiona
on
ion
gioat the expense of the Authority.
gio
eg
Re
Re
R
R
entitled to treatment in General Wards'. The DGMS/MS/Medical Officer/Part Time Medical
Officer as the case may be, may
refer cases other than Government
Civil Hospital inCexcep
O
O
CO
CO
CO
SC
ES
ES
ES
ES
LE
, L
, in
, L
, L
, L
r
r
r
tional
circumstances,
i.e.
cases
of
accidents
where
this
is
unavoidable
or
where
te
te
te
ter admission
ter
n
n
n
n
n
e
Ce
Ce
Ce
Ce
g C
ng a life saving measure. In
ing
ing
ias
insuch
ing
in a non-Government
Hospital is necessary
cases all the
ain
ain
ain
ain
ain
Tr
Tr
Tr
Tr
Tr
l
l
l
l
l
a
a
na
na
on
ion
obligatory
in that HospitalRewill
be reimbursed by theRegiona
gio charges incurred by the
gipatients
gio
eg
Re
Re
Authority, except charges for diet, extra bed and other optional amenities. Patients desirous
of going to CMH or any other
non-Government Hospital
will do so, if permitted Cby
O the
CO
CO
CO
CO
S
ES
ES
ES
ES
LE
, L
, L
, L
,reimburse
, L
r
r
r
r
DGMS
(or
authorised)
medical
attendant
in
case
of
outstations
and
in
such
cases,
e
e
e
e
er
nt
nt
nt
nt
nt
e
e
e
e
e
C
C
C
C
g C
ng
ng
ng
ng
nin
ment will be allowed
at Government Civil
Hospital
rates according Ttoraientitlement.
If any
ini
ini
ini
ini
ra
ra
ra
ra
l T
l T
l T
l
l T
a
a
a
a
a
n
n
ion
ion
gio
gio other than Governmenteg
patientReseeks
admission in a Hospital
Civil
Hospital, at his ownRegion
eg
R
Re
option, i.e. without the concurrence of the DGMS/MS/Medical Officer/Part Time Medical
Officer as the case may be,SChe
reimbursement
of the expenditure
O will not be allowed any C
O
CO
CO
CO
ES
ES
ES
ES
LE
, L
, L
, L
, L
r,
er
e
er
er
er
t
t
t
t
t
incurred
by
him
on
his
treatment.
n
n
n
n
n
Ce
Ce
Ce
Ce
Ce
r
l T

a
ion
eg

ing

a
Tr
al
ion

in
ra
l T
na

ES
, L
ter
en

ing
ain

E
, L
er
nt
Ce

E
, L

er

nt
Ce

ES
, L

a
Tr

n
ini

E
, L
ter
en

er

nt
Ce

al
ion

t
en

E
, L

E
, L
ter
en

er

t
en

nt
Ce

,
er

LE

C
C
Substituted Vide inO.M.No,
DG/DD (Rules)/07456'34
**'
ng'Vol. V77 RG.it7.8-.18C ^^d n3140-1985
ng
ing
ini
i i
Tr
al

Tr
al

n
gio

gio

Re

ing

ain

Tr
al

ion
ion
Added videegO.M.
No. DG/DD(R)/07456/34/IX/22239-23489
dated 31-3-93.
eg

ing
ain

r
l T

a
ion

C
C
g
Note 2. If blood
by the Pbysici8n/Surgeon
Incbarge,
ing transfusion is considered
inessential
ing
ing
ain
ain
ain
ain
Tr
Tr
Tr
Tr
l
l
l
l
a
cost of blood purchased
will be reimbursed giona
nthe
naincluding the cost of bag/bottle,
na
gio
gio
gio
Re
Re
Re
Re
at the prevalent market rate provided the receipt is countersigned by the DGMS/
Wapda Authorised
Medical Attendant andSChe
O
O
O also certifies that the rate
O being
SC
SC
SC

io

r
l T
na
gio

ing

ain

r
l T

na
gio

Note
in Wapda Hospital only
gl.HFree food will be provided
g to Wapda employees and
g
Re
Re
Re
Re
Government servants serving on deputation and their dependents as defined
above, drawingCOpay in BSP-1 toBPS-11 .CO
CO
CO

ing

eg

ng

ini

ain

Re

Tr
al

SC

E
, L

er

CO

ES
, L
er

t
en

5
C
ES

, L
er

r
l T
na
gio

ing

ain

O
,

nt
Ce

l
na

gio

Re

ing
ain

er
nt
Ce

io
eg

ing
ain

O
,
er

Tr

l
na

gio

Re

CO

r
l T
na

SC
LE

a
Tr

n
ini

nt
Ce

C
ES
, L

ES
, L

Ce
ing
ain

n
gio

ing

ain

Tr
al

Tr
al

gio

Re

Tr

ing

ain

O
SC

CO

E
, L

ter

n
Ce

Re

er
nt

Re

O
SC

l
na
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CO

ES
, L
er
nt
e
C

LE

Re

ES
, L

ter

gio

l
na

ing

ain

Tr

n
Ce

CO

ES
, L

er
nt
Ce

ing

ain

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Re

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

n
gio

ing

ain

CO

ing

ain
Tr
al

SC

er
nt
Ce
ing

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al

ing

ain

ing

in
ra
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na
o
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eg

nt
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er

nt
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ng
ini
a
r

Ce

a
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al

ng
ini

Ce

n
gio

Re

O
SC

CO
ES
, L

E
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ing
ain

Ce

ing

ain

Tr
al

, L

Ce
ing

ing
ain
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al
n
gio

Tr
al

Ce

ing

ain

ter
en

ing

ain
Tr
al

ES
, L

er

t
en

,
er

ing

ain

E
, L
er

nt
Ce

S
LE

ES
, L
er

CO

CO

n
Ce

Tr

al

T
al
ion

CO

ES
, L
ter
en

g
Re

r
l T
na
gio

ing
ain

SC

E
, L

Ce

C
ES
, L

ain

Tr

O
SC

SC

ES
, L

CO

g
Rs.
Re600
Rs. 800
Rs. 1000

Re

ng
ini

n
gio

Tr
al

SC

LE

gio

Re

C
ES
, L

nt
Ce

l
na

gio

ing
ain

al

n
gio

O
,
er

Tr

l
na

gio

Re

CO

a
Tr

n
ini

nt
Ce

Ce
ing
ain

n
gio

O
SC

C
ES
, L

ES
, L

ing

ain

Tr
al

Tr
al

gio

Re

Re

Tr

ing

ain

ing

ain

Tr
al

ES
, L
er

t
en

O
SC

CO

ES
, L

ter

Re

gio

l
na

ing

ain

Tr

n
Ce

CO

ES
, L

er
nt
Ce

ing

ain

gio

Re

Tr
al

SC

E
, L

er

CO

E
, L

ter

n
Ce

Re

er
nt

Re

LE

l
na
gio

CO

ES
, L
er
nt
e
C

gio

Re

er
nt
Ce

al

t
en

Re

SC
LE

al

ing

ain

a
Tr
al
ion

SC

g C

n
ini

E
, L
ter
en

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a
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E
, L
ter
en

O
SC

er

nt
Ce

al
ion

,
,
,
er
er
er dated 14-3-1995.
* Substituted vide
nt O.M. Nc DG (S&GA)/DDe(R)/07456/34/XIII/13009-14309
nt
nt
Ce
C
Ce

Re

ing
ain

al

a
ion

SC

r
l T
na

Tr
al

gio

Re

LE

ing

ain

Tr
al
ion

n
gio

ing

in

in
in
nin NO. DG (S&GA) DD (Rl/07450/3
Addedvide
aiOM
ain t/IX/20ft5-31ftft dated 7-1-1092rain
Tr
Tr
T

E
, L
er

O
SC

er
nt

er
nt
Ce
ing

l T

, L
er
nt
Ce

Re

ain

a
Tr

O
SC

Employees in BPS-1-4
Re
Employees in BPS-5-15
Employees
O BPS-16 and above
Cin
ES

r
l T
na
gio

al

l T

ing
ain

io

ain

Tr

na
gio

a.
b.
c.

er

al

Re

nt
Ce

ain

Tr

SC

Ce
ing

ion
eg

SC

E
, L

er

t
en

E
LE
LE
, L
r,
10 Cost of ematernity
cases will be allowed
the following maxima,
ifer,the
delivery is
er
eupto
nt
nt
nt
C
Ce
Ce
g
g
g
in
in
in
conducted
at
residence
of
employees:n
n
n
i
i
i
ra
ra
ra

ain

C
ES
, L

O
SC

E
, L

, L

er
nt
Ce

er
nt
Ce

E
, L

n
n
ion
gio
gio
9.ion The Authority has made
arrangements for pathological
Laboratory test Rand
eg
Re
Re
X-rays in Wapda Hospitals. The Employees referred by DGMS/Authorised Medical Attendant
for a pathological Laboratory
test and X-rays etc.Sperformed
in other Laboratories
will
CO
CO
CO
CO
ES
E
ES
ES
, L
, L
, L
, L
r
r
r
e
e
e
er
t
get their receiptsCverified
from DGMS/Authorised
Medical
Attendant
and
nt
ntthe expenditure
nt
en
e
e
e
C
C
C
ng
ng
ng
ng
ini
ini
ini
ini
incurred will
authority as laid down
ra be reimbursed by the competent
ra
ra in Section-X V (G) of
ra
l T
l T
l T
l T
a
a
a
a
n
n
n
ion
gio
gio
gio
the RBook
of Financial Powers, 1977.
eg
Re
Re
Re

CO

ing

ter

8. In theg Ccase of patients entitled tog treatment in private wards


Cof hospitals, when
n
in
ing
ini
ain
ain
ra
a composite
institution,
as
an
inclusive
charge
to cdver medical nal Train
Tr lumpsum is levied by anl T
Tr
l
l
a
a
a
ion
ion
ion
g
g
g
gio
Re
Re
Re
Re
surgical
and nursing charges (including
diet and accommodation
charges etc.) which cannot
be specified separately, 20 percent of such a sum will be taken as representing diet charges
CO and the balance of 80 percent
CO
CO
CO
to be borne by the patient
as representating, Lthe
ES
ES
ES medical/
ES
, L
, L
, L
ter
ter
ter
ter
n
n
n
n
e
surgical charges
etc.
to be borne by the Authority.
C
Ce
Ce
Ce
ing
ing
ing
ing

ES
, L
er
nt

in
ra
l T
na

t
en

ES
, L
ter

Tr
al

, L

t
en

n
Ce
ing
ain

ng
ing
ing
Note-5 "Patients
desirous of going Tabroad
under their own arrangements
for medical Training
ini
ain
ain
ra
Tr
Tr
l
al
al
al
n
n
n
na
by the Central
Board Wapda Lahore
io
gio treatment may do so if recommended
gio
gMedical
gio
Re
Re
Re
Re
and in such cases, reimbursement in local currency will be limited to the extent as the
treatment would have
been availed in Government
Hospitals of Pakistan." O
O
O

g
Re

ing
ain

E
, L
er

SC

nt
Ce

er
nt
Ce

Ce

Tr
al
ion
eg

E
, L

er
nt
Ce

SC

E
, L

ter
en

r
l T
na
gio

T
al

er
nt

io

io
eg

SC

ing
ain

ng
ng
ng
inihospital has two types of a
ini
ini employee in National
Note 4. l If
aa
r room with different rents,Tthe
ra
r
Tr
l T
l
l T
a
a
a
n
n
na
ion
gio
gio
gio
Pay Scale No. 17 andRabove
(and their dependents)
eg
Re
Re will be eligible to occupy
Rethe
room 'With the higher rent, and all other employees and their dependents will
O
O
be eligible to Eoccupy
the room with lowerESrent.
C
CO
CO
SC
ES
ES

CO

n
gio

E
, L

ain

r
l T
na

eg

Tr
al

Re

er
nt
Ce

, L
er
nt

al
ion
eg

Ce

n
n
n
n
NoteRe3.
Air-conditioning charges
admitted in private rooms
gio
gioin respect of Wapda patients
gio
gio
Re
Re
Re
of Government Hospitals including CMH will be reimbursed to the officer/
employees. SCO
O
O
O
SC
SC
SC

E
, L
er

eg

E
, L
ter
en

ing

ain

Tr
al

charged is in conformity
n with the prevalent market rate. The fee for blood
n
gio
gio
Re
Re
Re
grouping and matching will be reimbursed at the Government Hospital rates. The
reimbursementO of fee for blood groupingO will be admissible only Oonce in a
C
C
C
ES
ES
ES
, L
, L
, L
h capitalisation
case.
er
er
er
nt
nt
nt

ain

ain
Tr
al

gio

ter
en

E
, L

ion
eg

Ce
ing

Re

n
gio
Re

Tr
al

Ce

Re

ES
, L

Tr
al
ion
eg

ing

ain

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

n
gio

ing

ain

ing

ain
Tr
al

E
, L
ter
en

ing

ain

Tr
al

Ce
Tr
al

n
gio

SC

er

nt
Ce
ng
ini
a
r

SC

O
SC

CO
ES
, L

ing
ain

Tr
al

C
*Note 2.~Deleted.
ing
Tr
al

ain

a
Tr
al

ng
ini

SC

E
, L

er

t
en

ing

ain

Tr
al

SC

E
, L

er

t
en

in

al

n
gio

in

ain

Tr

al

n
gio

ing

ain
Tr
al

i
ain

al

ion
eg

SC

Tr

ing

ain

ter
en

E
, L
er

t
en

io
io
gio
gio
eg
eg
Note R3.
Reimbursement of theRcost
of maternity cases willRenot
be admissible in respect
Re of
spontaneous or legal abortions, miscarriages and still births, except when delivery
is conductedLESin
HospitalsLESon
CO
CO Wapda Indoor Hospital/Government
CO
CO proper
S
E
ES
, L
,
, L
,
er
er
ter
ter
nt
n
nMedical
nt
reference
from
the
authorised
Wapda
Officer.
e
e
e
e
g C
g C
g C
g C

ain
Tr
al

SC

E
, L

ter
en

r
l T
na
gio

SC

E
, L

ter
en

Ce

Re

E
, L

T
al

ing
ain

n
gio

Re

Note 1.
shall
constitute and be considered as single delivery for
n Twin/Multiple deliveries io
n
n
gio
g
gio
e
Re
Re
Re
the purpose of reimbursement
irrespective of theR fee received by the attending
Lady Doctor/Midwife.

ain

ion
eg

ain
Tr
al

gio

CO

E
, L

ion
eg

Ce
ing

Re

ter
en

er
nt
Ce
ing

Tr
al

Ce

Re

ES
, L

Tr
al
ion
eg

ing

ain

Tr
al

ter

in

ain

Tr

n
Ce
ing
ain

E
, L

O
SC

r
l T

na

gio

Note 4.Reimbursement of charges of normal/Caeserean delivery cases conducted in a


Government Hospital will be admissible according to entitlement. If a Wapda
O normal/Caeserean delivery
CO
CO case conducted in a Hospital
CO
CO
employee getsLEthe
other
S
SC
E
ES
ES
ES
, L
,
, L
, L
, L
er
er
er
er
er
t
t
t
t
t
n
n
n
n at Government
n
than Government
Civil Hospital, reimbursement
will be admissible
Ce
Ce
Ce
Ce
Ce
ng
ng
ng
ng
ng
ini
ini
ini
ini
ini
ra
ra
ra to entitlement. Reimbursement
ra
ra
Civil
Hospital
rates
according
will
be
limited
to
T
T
T
T
T
l
l
l
al
al
na
na
na
ion
ion
gio
gio
gio
eg
eg
Re
Re
Re
cost of medicines and Rwill
not include items of normal
labour room/theatre items
like needles, sutures etc.
Re

Re

CO

ES
, L

ES
, L
er

er

t
en

Re

CO

C
ES
, L

er
nt
Ce

t
en

SC

E
, L

er

t
en

C
ES
, L

er
nt
Ce
ing

C
C
** Note 5. In cases
where delivery is conducted
at home and the employee
is entitled to
ng
ng
ng
ini
ini
ini
ain
ra
ra
ra
T
T
T
Tr
l
l
l
areimbursement of charges
aas defined in rule 10 above
a (subject to production of
al
ion
ion
ion
ion
g
g
g
g
e
e
Re
Re
Re
necessary documents including
a birth certificate Rissued
by a Municipal Corporation/Municipal Committee/Notified Area Committee/Town Committee/Union
CO
CO
CO
CO
CO
ES
ES
ES
ES seven days
ES
Council concerned)
no medicines will be
issued
at Wapda's cost during
L
,
, L
, L
, L
, L
ter
ter
ter
ter
ter
n
n
n
n
n
Ce
Ce
Ce delivery charges cover the
Ce cost of medicines
Ce
after
delivery,
as reimbursement
of
ing
ing
ing
ing
ing
ain
ain
ain
ain
ain
Tr
Tr
Tr
Tr
Tr
l
l
l
l
l
na
naused during this period. iona
na
na
gio
gio
g
gio
gio

ing
ain
Tr
al
n
gio

Re

Re

Re

Re

***Note 6 Reimbursement of normal deliveries in Hospital will be limited to a maximum


CO
CO
CO
amount of Rs.
medicines
etc. For Caeserean
ES40000 including fee and L
ES
ES and other
, L
,
, L
ter
ter
ter
n
n
n
e
e
e
complicated
cases, the maximum amount
will be Rs. 7000.
C
C
C
ng
ng
ng

CO

ES
, L
ter

al
ion
eg

ing
ain

n
Ce

Tr

io

eg

CO

ES
, L
er
nt

Tr
al

Ce
ing

CO

ing

in
ra
l T
na

ES
, L
ter
en

er

ing
ain

CO

ES
, L

SC

E
, L
er

io
eg

l
na

io

eg

O
SC

Tr

ain

ing

O
SC

SC

E
, L
er
nt

na

gio

Tr
al

ing

ain

l
na

E
, L
ter
en

na
gio

gio

Re

er

t
en

ain

gio

Re

C
ES
, L

nt
Ce

l
na

gio

Re

ing
ain

io

ini

a
Tr

E
, L

er
nt

Re

ing
ain

Tr
al

Re

ing

,
ter
en

gio

Re

a
Tr

n
ini

nt
Ce

C
ES
, L

ES
, L

Ce
ing
ain

n
gio

Re

ing

ain

Tr
al

gio

Re

ing

ain

Tr
al

O
SC

CO

ES
, L

ter

Re

ES
, L
er

t
en

E
, L

n
Ce

Re

er
nt

Tr
al

gio

ter

Tr

ing

ain

Re

O
SC

l
na
gio

CO

ES
, L
er
nt
e
C

LE

CO

,
er

n
gio

,
er

l
na

nt
Ce

Re

Tr

ing

ain

Tr
al

er
nt
Ce

CO

r
l T
na

l
na

C
Ce
Ce
C
(a)aining (i)
When a patient is referred
for a specialist's consultation
to another
ng
ng
ng
ini
ini
ini
r
ra
ra
ra
T
T
T
l
l
l T
al
a
a
a
n
n
n
n
station by DGMS/MS/MO
as the case may
be, he/she shall be entitled
gio
gio
gio
gio
Re
Re
Re
Re
to Travelling Allowance on tour rates only and no Daily Allowance will
be allowed
for the period in transit
or halt. If the patient is Oa member
CO
CO
C
CO
ES
ES
ES
ES
, Lhis/ her family, he/she will
, L
, L
, L
r
r
of
be
entitled
to the same nTravelling
Allowte
te
ter
ter
n
n
n
Ce
Ce
Ce
Ce
ng
ing
ing
ance on tour ratesTas
to the WapdaTraemployee
whose depen- Training
inadmissible
ini
ain
ra
Tr

n
gio

ing

eg

ter
en

Re

ain

ain

Tr

Deleted Vide OM. No. S/DD (Rules)/07456/34/10167-946 dated 221-84. Substituted Vide OJM.No.
S/DD (Rules/07456/34/10167-946 dated 22-1-84. "Substituted vide O.M. No. DG (S&GA)/DD
O
O
O
O
dated 4-3-1995.
SC (R)/07456/34/XIII/13009-14309
SC
SC
SC
LE
LE
LE
LE

r
l T
na
gio

io

gio
Re

nt
Ce

l
na

eg

l
na

io

r
l T
na
gio

ain
Tr

R
R
NoteR 7.~ Reimbursement for ante-natal/post-natal
visit fees
will be allowed for omyRone
ante-natal and one post-natal visit.

11.

ain

ion
eg

eg

l
na

SC

E
, L

ter

n
Ce

gio

l
na

ing

ain

Tr

n
Ce

CO

ES
, L

er
nt
Ce

ing

ain

gio

Re

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

n
gio

ing

ain

al

ain
Tr
al

ing

ain
Tr
al

E
, L
ter
en

SC

ain

Tr

SC

g
nin

ai
Tr
al
ion
eg

C
ES
, L
er
nt

Ce
ing

ain

r
l T
na

Tr
al

n
gio

O
er

nt
Ce
ng
ini
a
r

Ce

n
gio

O
SC

CO
ES
, L

ing
ain

SC

E
, L

ter
en

r
l T
na
gio

Tr
al

ing

ain

ter
en

dent he/she is, and


nno Daily Allowance will be allowed for the period in ion
gio
g
Re
Re
Re
transit or halt.
(ii) Employee
or any person may accompany
a patient as Attendant
in
O
O
O
CO
SC
SC
SC
ES
LE
LE
LE
,
,
,
, L
r
r
r
serious
cases
only
if
advised
the
Director-General
Medical
Services/
e
te
tby
te
ter
n
n
n
n
e
Ce
Ce
Ce
g C
ing Medical Superintendent/Medical
ing
ing
nin
Officer. In that
the Attendant
ain
ain
aievent
ain
Tr
Tr
Tr
Tr
l
l
l
l
a
a
na
na
ion Travelling Allowance at
ion
will be entitled
tour
rates as admissible Rto
gio
gto
gio
eg
Re
Re
Re
the Wapda employees and no Daily Allowance will be admissible to the
Attendant
orO halt.
O for the period in transit C
O
O
SC
S
SC
SC
E
, L

E
, L

E
, L
ter

ter

ter

E
, L

n
n
n
en
Ce
Ce
Ce
(b) Innincase
a patient is to be removed
to a Hospital in nambulance
in lying
g C
ing
ing
ing
ai
ain
ai
ain
r
r
r
r
l T condition and the ambulance
l T
l T
l T
is not providedgioby
na
na
na the Authority, cost ofiona
gio
gio
g
e
Re
Re
Re
transportation by ambulance
may be reimbursedR as admissible under Wapda
T.A. Rules for engagement of a full Jtaxi subject to a certificate to be
O
CO
CO
CO
SC
ES
ES
ES
recorded
LE the Authorised Medical
, by
, L Attendartt that no Wapda
, Lambulance
, L
er
er
er
er
t
t
t
t
n
n
n
n
Ce
Ce
Ce
Ce
was
ng available at that time.
ng
ng
ng
ini
ini
ini
ini
r
l T

r
l T

r
l T

r
l T

a
na
na
na
on
12.
from the Wapda
gioMedicines prescribed by ethe
gio medical officers but not
gisupplied
gio
Re
R
Re
Re
Dispensary will be obtained from the approved Wapda Chemists.

io

ing
ain

Re

E
, L

T
al

ter

nt
Ce

Ce

Re

SC

n
gio
Re

er
nt
Ce
ing

ing

ain

Tr
al

gio

CO

E
, L
er

eg

Ce
ing

Re

ter
en

E
, L

ion
eg

Ce

Re

ES
, L

Tr
al
ion
eg

ing

ain

Tr
al

CO

CO expression includes protective


CO
CO
CO
Note. If a medicine rwhich
and curative vaccine/sera,
is
ES
ES
ES
ES
, L
, L
, L
, L
te
ter
ter
ter
n
n
n
n
not available
with UUJ Wapda Chemists,
deputaC
Ce
Ce Wapda employee and Government
Ce
Ce
ng
ing
ing
ing
ing
ini
ain
ain
ain
ain
ra
Tr
Tr
Tr
T
Tr
tionists
will
be
permitted
to
purchase
it
from
a
chemist
on
proper
cash
receipt
l
l
l
l
l
a
na
na
na
na
ion
gio
gio
gio
gio
eg
Re
Re
Re
and the expenditure thusReincurred
will be reimbursed,
subject to non-availability
certificate from ai least one of the Wapda Chemist and countersignature of the
O
CO
CO
CO
CO
SC(he Director-General Medical
Cash Receiptr, by
Services/Medical Superintendent/
ES
ES
ES
ES
L
LE
,
, L
, L
, L
ter
te
ter
ter
ter
n
n
n
n
n
Medical
Officer/Authorised
Medical
Officer.
Ce
Ce
Ce
Ce
Ce
ing
ing
ing
ing
ing

ES
, L

er

t
en

Tr
al
ion
eg

ain

l
na
13.
gio(a)
Re

CO

ES
, L
ter

al
ion
eg

ing
ain

n
Ce

Tr

CO

ES
, L
er
nt

Tr
al

Ce
ing

ain

ion
eg

CO

ing

in
ra
l T
na

ES
, L
ter
en

io

eg

r
l T
na
gio

ing
ain

SC

E
, L

er

nt
Ce

ion

SC

E
, L
er

r
l T
na
gio

ing

ain

ain

al

Tr

C
ES
, L

nt
Ce

l
na

gio

Re

io
eg

ing
ain

al

ion

g
Re

ing
ain

Tr

O
,
er

Tr

l
na

gio

Re

a
Tr

n
ini

nt
Ce

in

ain

Tr

Ce
ing
ain

n
gio

ing

ain

gio

Re

Tr
al

al

ion

g
Re

O
SC

C
ES
, L

ES
, L

Tr
al

Tr

Tr

ing

ain

Tr

O
SC

CO

E
, L

ter

n
Ce

Re

er
nt

Re

LE

l
na
gio

CO

ES
, L
er
nt
e
C

al

ion

g
Re

er
nt
Ce

CO

r
l T
na

a
Tr

Tr

l
l
al
na
na
Medical facilities asReindicated
above will also beRavailable
to employees of the
ion
gio
gio
eg
Re
Authority posted in the mofussil if they fall ill while on a short visit to or
while on leave
at Lahore.
CO
CO
CO
CO
ES
ES
ES
ES
, L
, L
, L
, L
r
e
er
*(b) No employee
shall
be
allowed
to
avail
facility
at
place
other
place
of
his
ter
ter
nt
nmedical
nthan
nt
e
e
e
e
C
C
C
C
ng
ng
ng
ng
posting.
On transfer from oneTrastation
to an other station, medical
facility will not be
ini
ini
ini
ini
ra
ra
ra
l T
l
l T
l T
a
a
a
a
n
n
on
provided until and unless
the station of transferReisgion
gio
gio cancellation of such facility
gifrom
Re
Re
Re
provided and placed on relevant record. For this purpose, the Green Book maintained by
Hospital/Dispensary
for each employee Oshall be transferred to his
new
O
O
CO
SC
SC
SC
ES
LE
LE
LE
hospital/dispensary
accordingly.
,
,
,
, L
er
er
er
er
t
t
t
t
n
n
n
n
Ce
Ce
Ce
Ce
ng
ng
ing of transfer of an employee,
ing
(c) TIn
case
along,
the budget for
in
ini who does not take his family
in
ini
ra
ra
ra
ra
T
T
T
l
l
l
l
na
na
na
Green Book of such employee
shall be given to the Hospital/Dispensary
wherefrom hisRegiona
gio
gio
gio
Re
Re
Re
family gets treatment.
O or hospitalization in Lahore
(d) Cases for consultation
by the Specialists Eand
CO
CO will
CO
SC
ES
ES
ES
, L
, L
, L
, L
ter to the DGMS by the appropriate
ter
ter Projects,
ter
be referred
Medical
Officer
(at
n
n
n
n
Ce
Ce
Ce
Ce
ng
ing
ing
ing
ini
ain
ain
ain
ra the Government MedicalTr
Officers
at
other
places)
only
Tor
Tr if Lahore happens
Tr
l
l
l
l
na
na
na
na
gio
gio
gio
to be the nearest station.
In such cases, the patients
will bring with him aRegio
Re
Re
Re
reference chit from the appropriate Authorised Medical Officer together
CO
CO the treatment previously
CO
CO
with a note Lriving
the history of the caseLESand
ES
ES given.
ES
,
,
, L
, L
ter
ter
ter
ter
n
n
n
n
e
Ce
Ce
Ce
Amended
12/26/20038-20688, dated
01-06-1998.
g C O.M No. GM(A)/AD(E-IA)()7()
nvide
ng
ng
ng
ini
ini
ini
ini
g
Re

ain

Tr

Re

ES
, L

ter

gio

l
na

ing

ain

Tr

n
Ce

CO

ES
, L

er
nt
Ce

ing

ain

gio

Re

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

n
gio

ing

ain

ing

ain
Tr
al

E
, L
ter
en

SC

er
nt
Ce
ing

ing

in
ra
l T
na
o
i
eg

er

nt
Ce
ng
ini
a
r

n
gio

O
SC

CO
ES
, L

ing
ain

r
l T
na
gio

Tr
al

ing

ES
, L

er

t
en

ini

ing

nt
Ce

S
LE

Ce
ng

ES
, L
ter

ES
, L
ter
en

SC

E
, L

er

nt
Ce

O
SC

SC

E
, L
er

ing

ain

Tr
al

ing

E
, L

O
SC

C
ES
, L

er
nt
Ce
ing

SC
LE

O
SC

er
nt

SC

LE

n
Ce

Ce

Ce
ing
ain

Tr
al

Tr
al

E
, L

er

t
en

gio

C
ES
, L

l
na

gio

Re

ing
ain

l
na

gio

Re

a
Tr

n
ini

n
gio

Re

LE

ing

ain

Tr
al

gio

Re

Tr

gio

ing

ain

ing

Tr
al

ES
, L
er

t
en

O
SC

CO

E
, L

n
Ce

ES
, L

ter

Re

gio

l
na

ing

ain

Tr

n
Ce

CO

ES
, L

er
nt
Ce

ing

ain

gio

Re

Tr
al

SC

E
, L

er

CO

ain

ter

l
na
gio

Tr
al

t
en

Re

O
SC

C
ES
, L

ES
, L

Ce
ing
ain

SC

LE

Re

er
nt

Tr
al

,
er

n
gio

CO

ES
, L
er
nt
e
C

nt
Ce

Re

,
er

Tr

ing

ain

nt
Ce

ing

ain

n
gio

Tr
al

g C

n
ini

E
, L
ter
en

Re

C
ES
, L
ter
n
e

er
nt
Ce

CO

ing

a
Tr

a
Tr
al
ion

Tr
al

Re

al
ion

en

ain

ng
ini

Re

SC

Re

nt
Ce

n
Ce

gio

ing

ing

ain

Re

ain

ion

Tr
al

O
SC

SC

E
, L
er
nt

n
gio

Tr
al
ion

n
gio

ing
ain

ter

SC

E
, L

er

t
en

E
, L

C
ng

Re

r
l T
na

O
SC
LE

ter
en

ing

n
Ce
ing
ain

Clarified
Vide O.M. No. DG/DDRe(R)/07456/34/Vol. VIII/99539-100359
dated 18-12-1985.
gio
g
Re
Re
Added Vide O.M. No. S/DD (R)/07456/34/Vol. III//59707-60666 dated 7-7-1986.
Deleted wide O.M. No. ODG/DD (R)/07456/34/X/71701-50
dated 2-12-1993.
C
CO
CO
ES No. DG/DD (R)/07456/34/4036-5306
ES
ES
Amended Vide tO.M.
dated 25-1-1994.
, L
, L
, L
r
r
e
te
ter
g
Re

ain

C
ES
, L

CO

ing
ain

io

r
l T
na
gio

E
, L
er

nt
Ce

er
nt
Ce

ES
, L

ini

CO

ing
ain

ng

19. Rules Regulating


the Medical Attendance and
Treatment of Wapda Employees
in
CO
CO
CO
CO
ES
ES
ES
ES
, L
, L
, L
, L
r
r
r
Lahore and Karachi,
promulgated
vide
No.
S/OSD
(R&CM)
SO
(R)
6
(14)/104698-798,
e
e
e
er
nt
nt
nt
nt
e
e
e
e
C
C
C
C
ng
ng
ng for the employees of
ng
dated December
6, 1977 are hereby repealed
Medical Attendance Rules
ini
ini
ini
ini
ra
ra
ra
ra
l T
l T
l T
l T
a
a
a
a
n
n
n No. KGA-10 (6) Med/578,
n
the
Authority
working on Projects,
issued vide Office Order
gio
gio
gio
gio
Re
Re
Re
Re
dated 26-1-1963, and amended from time to time, are also hereby repealed.

ra
l T
na

ion
eg

r
l T
na
gio

CO
ing

LE

Ce
ing

E
, L
er

t
en

,
,
,
,
ter
ter
ter
ter
Note.- The Director-General
Medical Services
will be consulted
certain
en
en
en where
en
g C
g C
g C
g C
n
n
n
n
i
i
i
i
in
in Authority's ruling through
in
in
changes/amendments
are to be incorporated.
ra
ra
ra Secretary and General
ra
l T
l T
l T
l T
na
na
na
na
gio(S&GA) will be final.
gio
gio
gio
Manager
e
e
e
e
R
R
R
R

ain

ing

E
, L

ES
, L
er

CO

in
ra
l T
na

ng

er
nt
Ce

t
en

CO

ES
, L
er
nt

Tr
al

SC

er

t
en

n
in
in
ain
ra
ra the provisions of these
T
Tr
18. naIfl Taraiquestion
arries as to thenacorrect
interpretation of any
of
l T
al
al
io
io
ion
ion
g
g
g
g
e
Re
Re
Rules,Rethe orders of the Authority will
be obtained through the RSecretary
and General Manager
(S&GA) Wapda.

CO

a
Tr

***** yj perrnanently and totally incapacitated/crippled children of serving, retired and


O
O
O
CO
CO
SC
SC
ES
ES
LE
LE
deceased Wapda Employees,
who are not able to
their living, will beteallowed
medical
, L
, earn
, L
r,
er
er
er
t
t
t
n
n
n
n
Ce
Ce
Ce
Ce
treatment irrespective
of their age. The treatment
will be limited to whatever
is available in
ng
ng
ng
ng
ini
ini
ini
ini
ra
ra
ra
ra
T
T
T
T
l
al
al
al
Wapda gHospitals/Dispensaries
where
the
patient is registered.giHowever,
the patient maygibe
na
on
on
ion
gio
Re
Re
Re
Re
referred
to nearest Wapda Hospital
for hospitalization, if needed.
The disability will be certified
by Wapda Central Medical Board."

,
er

ain

ion

er

t
en

ng
ng
ng
"""Clarification.
It is hereby clarified
ini
ini that the effective date of the
ini application of rule 16
ra
ra
ra
r
l T
l T
l T
l T
a
a
a
n
n
na
ion be 7-5-1985.
aboveRshall
gio
gio
gio
eg
Re
Re
Re

Tr
al
ion
eg

ng

E
, L

CO

ing

ain

ter
en

O
O
15. Deleted vide O.M
dated 25-1-1994.LESCO
SCNo. DG/DD (R)/07456/34/4036-5306
SC
LE
LE
ter
en

SC

E
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ter
en

C
ES
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ter

Ce
ing

ing
ain
Tr
al
n
gio

Ce

Re

E
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T
al

er
nt
Ce

nt
Ce

io

io
eg

n
gio

ing
ain

ng

Tr
al

i
i
i
ini
ain
ain
ain
ra
16. aWidows
and dependent children
Tr upto the age of 21 years and
Tr unmarried/unemployed l Tr
l T
al
al
a
n
n
n
n
o
o
o
o
gi of all deceased employees
gi
gi
gi
daughters
only in Wapda Hospital
Re
Re will be provided medical facilities
Re
Re
and dispensaries where they exist. Treatment at residence, reimbursement of expenditure on
purchase
of medicines/specialist
consultation is not covered.
O
O
O
O
SC
SC
SC
SC

ain

r
l T
na

eg

Ce

Re

ion

E
, L
er

SC

ion

ing

ain

Tr
al

g
g
g
Re
Re the Authority may relax any
Reof the foregoing provisions. Re
14.
In case of special hardship

Tr
al

a
ion
eg

ain
Tr
al

gio

CO

ain

eg

Ce
ing

Re

ter
en

E
, L

ion
eg

Ce

Re

ES
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Tr
al
ion
eg

ing

ain

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

ing

ain

ing

ain
Tr
al

E
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en

SC

n
Ce
ing

ain
Tr

ing

ain

C
ES
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nt

ing

ain

a
Tr
al

Tr
al

ing

ing

ain

Tr
al

SC

E
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en

SC

ing

Re

ain
Tr
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SC

SC

E
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Ce

E
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er

nt
Ce

ES
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er

CO

C
ES
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er
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Ce

S
LE

ing

ain

n
Ce

Ce

C
ES
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er
nt
Ce
ing

ing
ain

Ce

a
Tr
al

Tr
al

E
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er
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Ce

ain
Tr

l
na

ain

Tr

l
na

E
, L

ng

ini

a
Tr

ion
eg

CO

ES
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ter
en

SC

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a.
b.
c.
d.

n
gio

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ing

ain

Tr
al

ing

ain

ain

gio

Re

SC
LE
r,

n
Ce

l
na

gio

ing
ain

Tr
al

ing

ng
ini

a
Tr
al
ion

en

,
er

e
nt
Ce

l
na

gio

Re

a
Tr

n
ini

nt
Ce

C
ES
, L

ES
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Ce
ing
ain

ing

ain

Tr
al

n
gio

O
SC

Tr
al

gio

Re

Tr

ing

ain

ing

Tr
al

ES
, L
er

t
en

O
SC

CO

ES
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ter

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gio

l
na

ing

ain

Tr

n
Ce

CO

ES
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er
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Ce

ing

ain

gio

Re

Tr
al

SC

E
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er

E
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ter

n
Ce

Re

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nt

Re

LE

l
na
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CO

ES
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e
C

gio

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t
en

CO

ain

n
gio

10

ing

ain

Tr
al

n
Ce

Re

Tr

ing

ain

Tr
al

E
, L
ter
en

CO
ES

ing

en

Re

ing
ain

O
SC

For initial recruitment;


n
n
gio
g
gio
Re
Re
Re
For medical categorization/re-categorization;
For Invalidment out of service; and
O
CO
CO
SC
ES
ES
LEso directed
For re-assessing
percentage of disability
of those invalided out,
, L
, L
,if
ter
ter
ter

CO

r
l T
na

CO

ain

Tr
al

Re

E
, L
ter

ES

ing
ain

Tr
al
ion

r
l T
na
gio

CO

ES

g
Re

ing
ain

ing

E
, L
er
nt

er
nt

, L
, L
, L
er
er
A Medical
will normally be assembled
for the following purposes:
ter
nBoard
nt
nt
Ce
Ce
Ce

6.

io

r
l T
na
gio

ain

SC

E
, L

n
Ce

e
a. A
fresh
Medical Board be held;
C
Cor
Ce
C
ng
ng
ng
ing
ini
ini
ini
ain
ra
ra
ra
T
T
T
Tr
l
b.
the
case
be
retained
in
for
further
treatment/observation;
or
al
ahospital
al
al
n
n
n
n
gio
gio
gio
gio
Re
Re
Re
Re
c. thq xase be disposed
bf otherwise as per directions
of the approving/confirm
ing authority.

Ce
ing

ain

er

Tr

ter

l
na

E
, L

ter
en

ter
en

E
, L
ter

n
Ce

The
Boards will be approved
by the Director-General
gio proceedings of all Medical
gio
gio
gio
Re
Re
Re
Re
Medical Services, should the approving authority not concur with the findings of a Medical
Board, it may direct that:O
O
O
O
SC
SC
SC
SC

E
, L
er
nt

ing

ain

Tr
al
ion

SC

E
, L

e
g C

n
ini

E
, L

ter

n
Ce

Approval
of Medical Board Proceedings
ing
ing

5.

l
na

nt
Ce

SC

SC

E
, L

er

t
en

3. The President of Othe Board will ensure that all


formalities are completed
before
C
CO
CO
ES
ES
ES
the documents are submitted
to
the
Director-General
, L
, LMedical Services.
, L
r
r
r
e
e
e
nt
nt
nt
Tr
al

E
, L

ter

n
Ce

CO

n
Ce

Tr

ing

SC

(b) nThe
Medical Boards will normally
be assemblediunder orders
of the Directorng
ing
ing
ing
i i
ain
ain
ain
ra
Tr
Tr
Tr
l T
General Medical Services,
Medical
Superintendents
of
Wapda
Hospitals
or
al
al
al
n
n
n
gio
gio
gio
Re
Re
Re
Medical Superintendents
of Government Hospitals
as per written directions
of Director-General Medical Services.
t
en

ES
, L
ter

in
ra
l T
na

E
, L
er

t
en

gio

n
4.egionAs for as possible, the specialists
concerned and theegMedical
Officer Incharge of
ion
gio
g
Re
R
Re
R
the case will not be the Members of the Board and in no case will either of them act as
President of the Board.
CO
CO
CO
CO

ing
ain

gio

Re

ing

ain

C
g C
2. TheaiMedical
Superintendent ofainaingHospital will be the President
of the Medical
ing
nin
ain
ain
Tr
Tr
Tr
Tr
l
l
l
a
a
a
al
n
n
n
Board eunless
directed
otherwise.
io
io
ion
gio
g
g
g
e
e
e

,
ter

ain

SC

E
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SC

E
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ter
en

a
ion

ES
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er

t
en

ng
ini

E
, L

ter

n
Ce

Ce

io
eg

CO
ES
, L

ter
en

(a) The competent


authority shall require an
employee suspected to beO suffer
CO
CO
C
CO
ES
ES
ES
ES
, La mental or bodily illness which
, L
, L
, L
ing from
is
likely to render him
r
r
e
e
er permanently
er
nt
nt
nt
nt
e
e
e
e
C
C
C
C
ng
ng
ng
incapable
of discharging his
examined by the
ing
in
ini official duties, to have himself
ini
ini
ra
ra
ra
ra
l T
l T
l T
l T
a
a
a
a
n
n
n Board. Failure to appearion
Medical Board at Lahore
or the respective Medical
gio
gio
gio
g
Re
Re
Re
Re
before the Board will make the employee liable to action under the E&D
Rules applicable
to him.
O
O
O
O

ing
ain
Tr
al
n
gio

O
SC

E
, L

er

Ce

n
gio

ing
ain

t
en

ing
ain

Re

r
l T
na
gio

SC

E
, L

ter
en

CO

eg

er

nt
Ce
ng
ini
a
r

Re

Tr
al

Tr
al

n
gio

Convening
of Medical Boardsegion
ion
eg
SC

al
ion
eg

Ce

Re

T
al

General

1.

Tr
al

E
, L
ter

Tr
al
ion
eg

SC

r
l T
na
gio

ing

ain

Tr
al

20 PROCEDURES
REGARDING gMEDICAL
BOARDS/CATEGORIZATION/INVALIDg-ion
n
ion
gio
Re
Re
Re
Re
MENT

ain

al
ion
eg

ain
Tr
al

gio

CO

er
nt
Ce
ing

Tr
al

Ce
ing

Re

ter
en

E
, L

ion
eg

n
gio

Ce

Re

ES
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Tr
al
ion
eg

ing

ain

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

Ce
ing

ain
Tr
al
ion
g
e

n
gio

ing

ain

CO

ing

ain
Tr
al

ain

O
SC

CO
ES
, L

ing
ain

Tr
al

gio

,
er

er
nt
Ce

nt
Ce

SC

ing

ain

Re

ing

ain

ter
en

gio

Re

Tr
al

SC

E
, L

ter
en

r
l T
na
gio

in

er
nt
Ce

nt
Ce

Ce

n
gio

Re

a
Tr
al

ing
ain

Re

E
, L

n
(1) Director General
Medical
Services
gio
Re
(2) Medical Specialist
O
O
(3) Surgical
SC Specialist
SC
LE
LE

n
gio

SC

ain
Tr
al

E
, L
er

t
en

n
Convenor
gio
Re
Member
O
SC Member
LE

ter

n
Ce
ing
ain

E
, L

O
SC

g
ng
ng
nin
ini
ini
** 7. New
will be recruited l in
category 'A' l Tr
aimedical
ra entrants including workcharged
ra
Tr
l T
l T
a
a
a
n
na
ion
ion
gio
gAuthority.
gio
unlessReotherwise
specified by the
The existing Rworkcharged
employees who
eg
Re
Re
have rendered more than 10 years of service or have attained the age of 50 years can be
lower
medical categoriesEin
O
O
Ocase their disability/disease,
C retained in service even in
CO if any,
CO
SC
SC
ES
ES
ES
LE
, L
, L
, L
, L
r,
er
e
erlower medical category will
erbe on recomer
t
t
t
t
t
is
not
advanced
or
of
serious
nature.
Retention
in
n
n
n
n
n
Ce
Ce
Ce
Ce
Ce
ng
ng
ng
ng
ing
ini
ini
ini Services.
ini
ain
mendation
of
Board
duly
approved
ra
rMedical
ra by Director General Medical
ra
ra
T
T
T
T
T
l
l
l
l
l

in
ra
l T
na
o
i
eg

eg

nt
Ce
ng
ini
a
r

T
al

gio

Tr
al

n
gio

er

Re

Ce

Re

ain

Re

ing

SC

by the Authority.

Tr
al

E
, L
er

E
, L
ter
en

ing

ain

Tr
al

* (e) Medical Board for Treatment Abroad


CO
CO
CO shall
The Medical
ES Board which will examine
ES all cases for treatment abroad
ES
, L
, L
, L
ter
ter
ter
n
n
n
consist
of the following members
Ce
Ce
Ce
ing
ing
ing

O
SC

er
nt
Ce
ing

ain
Tr
al

gio

ter
en

E
, L

ion
eg

Ce
ing

Re

n
gio
Re

Tr
al

Ce

Re

ES
, L

Tr
al
ion
eg

ing

ain

Tr
al

ion

na

gio

Re

na

gio

Re

gio
Re

na

na

gio

Re

8. A Medical Board/Medical Officer will examine the candidates in accordance with


the standards laid down and
communicate the result direct
to the Director-General CMedical
O
CO
CO
CO
CO
S
ES
ES
ES
ES
LE
, L
, L
, L
, L
r,
Services.
The
deformities/disabilities
responsible
for
unfitness
will
ter
ter
ter the temporary/permanent
te
ter
n
n
n
n
n
Ce
Ce
Ce
Ce
Ce
ing
ing to the Officer/Official by
ing
ing
ing
be communicated
Services or the
ain
ain
ain the Director-General Medical
ain
ain
Tr
Tr
Tr
Tr
Tr
l
l
l
l
l
a
a
na
na
na
ion
ionAppointing Authority.
Authorised
Medical Attendant/orRthe
gio
gio
gio
eg
eg
Re
Re
Re
ES
, L
ter

Tr
al
ion
eg

ing

ain

9. A candidate declared temporarily unfit will be directed to report for re-examina


O
CO
CO
SC
ES period for which he/she isLE
ES
tion after the expiry of
the
, L
, declared temporarily unfit.
, L
ter
ter
ter

CO

n
Ce

ini

ng
ini

Re

a.
b.
c.

n
Ce

Tr

l
na

Re

Tr
al
ion

l
na

ain

Tr

l
na

Re

ing

in
ra
l T
na

ES
, L
ter
en

io

in

a
Tr

l
na

SC

E
, L

ing
ain

nt
Ce

CO

Re

CO

T
al
ion

T
al

T
al
ion

ion

E
, L

er

t
en

al
ion

n
gio

C
ES
, L
ter
n
e

gio

Re

na

a
Tr

g C

n
ini

ing

ain

n
gio

nt
Ce

,
er

SC

LE

E
, L
ter
en

Tr
al

t
en

SC

E
, L

er

CO

Added Vide O.M.


Dated 30-9-1987
**
C No. G.M. (A)/DD (R)/07456/34/92857-93930.
C
ng
ng
ing
ini
ini 25-11-84.
ain OM. No.S/DD (Rules)/07456/34/Vol.
Substituted lVide
VIII/105057-105836 dated
ra
ra
Tr
l T
l T
Re

ing

Re

SC

ain

CO

g
g
Re major illness or injury.
Re
(1) After recovery from
(2) In excess of the period required for full recovery.

g
Re

Re

ion

Tr

SC

E
, L

n
Ce

O
SC

S
ES
ES
LE
, L will recommend leave onr,Medical
, L following
(a) Medical Board
Certificate under
the
ter
te
ter
en
en
en
C
C
C
ng
ng
ng
conditions:
ini
ini
ini
ra
ra
ra

g
Re

er

r
l T
na
gio

n
gio

11. Leave on Medical Certificate


CO

eg

ion

ter

io
gio Such candidates as are edeclared
gio
gio
Mote.
temporarily unfit
the
eg
Re
Re will be re-examined by R
R
Medical Board after treatment/Operation, as the case may be, on a specified date.
O
O
O
O
If he/she desires
that
Medical examinationEmay
be carried out earlier,Ethen
he/she
C
SC
SC
SC
ES
LE
L
L
, L
r,
r,
r,
er
e
e
e
t
t
t
t
will have
to produce a certificate from
a Specialist that he/sheChas
been treated/
n
n
n
en
Ce
Ce
Ce
ng
ng
ng
ng
ini
ini
ini
ini
operated
upon
successfully.
ra
ra
ra
ra
T
T
T
T
al
al
al
al

ion
eg

ter
en

Re

Declare him/her as physically fit; or


O
O
CO
SC
SC
Declare ,him/her
as physically unfit; ,or
ES
LE
LE
, L
er
er
er
nt
nt
nt
e
e
e
C
Cunfit for a specified period.
C
Declare
him/her as temporarily
ing
ing
ing

ain
Tr

ing

ain

SC

E
, L

en

g C

n
ini

Re

ing
ain

en

a
a
a
Tr
Tr
Tr
10. ionMedical
Board/Medical Officer
after
examining a fresh ientrant
may:
al
al
al
on
ion

C
ES
, L
ter

al
ion
eg

ng

en

ing

ain

n
gio

gio

Re

Re

Tr
al

ES
, L
er

t
en

11
C
ES

, L
er

r
l T
na
gio

ing

ain

O
,

nt
Ce

l
na

gio

Re

ing
ain

er
nt
Ce

io
eg

ing
ain

O
,
er

Tr

l
na

gio

Re

CO

r
l T
na

SC
LE

a
Tr

n
ini

nt
Ce

C
ES
, L

ES
, L

Ce
ing
ain

n
gio

ing

ain

Tr
al

Tr
al

gio

Re

Tr

ing

ain

O
SC

CO

E
, L

ter

n
Ce

Re

er
nt

Re

O
SC

l
na
gio

CO

ES
, L
er
nt
e
C

LE

Re

ES
, L

ter

gio

l
na

ing

ain

Tr

n
Ce

CO

ES
, L

er
nt
Ce

ing

ain

gio

Re

Tr
al

Ce

ing

ain

n
gio

Re

Tr
al

Ce

er
nt

SC

E
, L

er
nt

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