Cadre Restructuring of physiotherapists

Cadre Restructuring of physiotherapists

Ministry of Health and Family Welfare

Cadre Restructuring of physiotherapists

12 JUL 2019

A committee has been constituted under the Chairmanship of Dr. B. D. Athani, Principal Consultant, Directorate General of Health Services, Ministry of Health and Family welfare on cadre restructuring of Physiotherapists of four Central Government Hospitals of Delhi i.e. Safdarjung Hospital, Dr. Ram ManoharLohia Hospital, Smt. SuchetaKriplani Hospital and Kalawati Saran Children Hospital. The Terms of Reference (TOR) of the Committee are as under:

•     To review the structure of Physiotherapy Cadre in Safdarjung Hospital, Dr, RML Hospital, Lady Hardinge Medical College and SSK and Kalawati Saran Children’s Hospital along with the feeder cadre, so as to harmonise the functional need with the legitimate career expectations of its members.
•     To assess the magnitude of stagnation in various grade and suggest remedial measure, both short term and long term and to reduce promotional blocks and at the same time prevent gaps from building up.
•     To suggest measures to enhance the effectiveness of service and capacity building of the staff.
•     To take view and suggestion of the stakeholders i.e. participation Hospitals, its Union and Members of the service for cadre review.
•     To Examine any issue as referred to it by the Hospitals.
•     To review the Physiotherapy Cadre in these Hospitals keeping in view of the increased work load.

The Minister of State (Health and Family Welfare), ShAshwini Kumar Choubey stated this in a written reply in the Lok Sabha here today.

PIB

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Harmonization of the cadre structure of Medical Laboratory Staff of Indian Railways with those in Central Government Hospitals

Harmonization of the cadre structure of Medical Laboratory Staff of Indian Railways with those in Central Government Hospitals.

NFIR

National Federation of Indian Railwaymen

No.IV/1/2018

Dated: 22/04/2019

The Secretary (E),
Railway Board,
New Delhi

Dear Sir,
Sub: Harmonization of the cadre structure of Medical Laboratory Staff of Indian Railways with those in Central Government Hospitals.

Ref:
(i) Railway Board's letter No. E(NG) II2001/RR- 1/45 dated 22/05/2015.
(ii) NFIR's letter No. II/1/Part X dated 17/08/2015 & 05/11/20l5.
(iii) NFIR's letter No. II/1/Part XI dated 26/09/2016.
(iv) NFIR's letter No. IV/NFIR/7 CPC (Imp)/R.B./ 2016/Part I dated 10/07/2017 (S.N./ Item No.2).
(v) Railway Board's reply vide letter No. PC/VI/ 2016/I/5/1 Part dated 21/08/2017 .
(vi) NFIR's letter No. II/1/Part XII dated 22/09/2017.
(vii) Railway Board's letter No. PC VI/2016/ I/5/1 Part dated 30/11/2017 addressed to GS/ NIFIR.
(viii) NFIR's letter No. II/1/ Part XII dated 11/12/2017, letter No. II/1/2018 dated 25/04/2019 & 24/10/2018.

Responding to the communication received from Railway Board vide letter dated 30/11/2017 seeking views of the Federation on priority, NFIR vide its letter dated 11/12/2017 gave detailed justification for implementation of 7th CPC recommendations for introduction of revised cadre of Medical Laboratory Staff on Indian Railways and also suggested the Railway Board to convene a meeting. Subsequently, Federation has written letters dared 24/04/2018 and 24/10/2018 to Railway Board. There is however, no response from Railway Board.

In this connection, Federation reiterates that the inaction on the part of Board has been causing disappointment and frustration among the Laboratory Staff of Medical Department in Railways especially when some relief has been given through recommendation by 7th CPC. Federation further states that it is willing to discuss the subject in detail for reaching conclusion.

NFIR, once again urges upon the Railway Board to expedite action in the matter and apprise progress to this office soon.

Yours faithfully,
(Dr.M.Raghavaiah)
General Secretary

Source: NFIR

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Frequently Asked Questions on Authorised Medical Attendant (AMA)

Frequently Asked Questions on Authorised Medical Attendant (AMA)

Who are covered by CS (MA) Rules?
They shall apply to all Government servants other than (i) these in railway
service and (ii) those of non-Gazetted rank stationed in or passing through Calcutta, whose conditions of service are prescribed by Rules made or demand to be made by the Central Government, when they are on duty, leave or Foreign Service in India or which under suspension.

Who is an AMA?
Authorised Medical Attendant (AMA) is Medical Officer in the employee of Central Government or Private Medical Practitioner appointed/ nominated by the Ministry/Department for providing medical attendance to its employees.

What is the Reimbursement in case of treatment taken under emergency at private hospital?
CS(MA) beneficiaries are being reimbursed as per the prevailing non NABH CGHS as applicable to a CGHS covered city and non-NABH rates applicable
to the nearest CGHS covered city in case of non-CGHS city, as the case may be, or the actual, whichever is less, for treatment undertaken at private hospitals under emergent condition.

What are the hospitals in which CS(MA) beneficiary are entitle for treatment under normal conditions?
CS(MA) beneficiaries and their dependent family members can get treatment from any of the Central Government hospitals/ State Government hospitals/ private hospitals and diagnostic centers recognized under CGHS/ CS(MA) Rules as per provisions.

Can a Central Government Employee gets reimbursement is treatment
undertaken aboard?
Treatment abroad is considered under CS (MA) Rules, 1944, on receipt of application in the prescribed format through the employee’s Ministry/ Department. However, approval depends on the opinion of the standing Committee constituted under these rules.

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Enhancement of rate of stipend being paid to interns in Central Government Institutes and Hospitals w.e.f 01.01.2018 - sanction

Enhancement of rate of stipend being paid to interns in Central Government Institutes and Hospitals w.e.f 01.01.2018 - sanction

Speed Post

F.No. S.11014/02/2018-ME-l (FTS:3174397)
Government of India
Ministry of Health and Family Welfare
(Department of Health and Family Welfare)

Nirman Bhawan, New Delhi,
Dated the 21st December, 2018

OFFICE MEMORANDUM

Subject: Enhancement of rate of stipend being paid to Interns in Central Government Institutes / Hospitals w.e.f 01.01.2018 - sanction - regarding

In continuation of this Ministry's letter number No. S.11014/4/98- ME-I dated 28.03.2016, the undersigned is directed to convey the approval of the competent authority to revise the rate of stipend to interns borne on the authorized strength of the Central Government institutions under the control of this Ministry viz. LHMC, New Delhi, JIPMER, Pondicherry, DT.RML Hospital, New Delhi, VMMC & Safdarjung Hospital, New Delhi, All India Institutes of Medical Sciences, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences etc to Rs.23,500/- (Rupees Twenty Three Thousand Five hundred only) per month w.e.f. 01.01.2018 and until further orders.

2. The expenditure involved shall be met from within the sanctioned budget grant of the concerned institute / Hospital.

3. This issues with the concurrence of Ministry of Finance, Department of Expenditure vide their ID No.12-07 /2018-E.Ill (A), dated 18.12.2018.

(D.V.K. Rao)
Under Secretary to the Govt. of India
Ph: 011-23062959

Source: Mohfw

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7th CPC: MoH&FW removed monetary ceiling for direct consultation with Specialists in Central Government /State Government Municipal Hospitals

7th CPC: MoH&FW removed monetary ceiling for direct consultation with Specialists in Central Government /State Government Municipal Hospitals

No. S.11011/11/2016- CGHS (P)/EHS
Government of India
Ministry of Health and Family Welfare
EHS Section
Nirman Bhawan, New Delhi

Dated the 5th December, 2017

OFFICE MEMORANDUM

Sub: Revision of rates of subscription under Central Government Health Scheme due to revision of pay and allowances of Central Government employees and revision of pension/ family pension on account of implementation of recommendations of the Seventh Central Pay Commission. 

The undersigned is directed to draw attention to Para 3 (F) of this Ministry’s OM No. 5.11011/16/2016-CGHS (P)/EHS, dated 09.01.2017 regarding monetary ceiling for direct consultation with specialist in Central Government/State Government/Municipal Hospitals, wherein it was mentioned that ”The monetary ceiling for determining the entitlement for direct consultation with Specialists in Central Government / State Government / Municipal Hospitals will continue at the existing rates until revision of the same after consultation with Ministry of Finance."

2. The matter has been examined in consultation with Department of Expenditure, Ministry of Finance and it has been decided to remove monetary ceiling for direct consultation with Specialists in Central Government /State Government Municipal Hospitals and there is no bar on direct consultation with Specialists in Central Government/State Government/Municipal Hospitals.
3. Other contents of the above said OM will remain unchanged.

(Rajeev Attri)
Under Secretary to the Government of India

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Doctors in Government Hospitals

Doctors in Government Hospitals
Health being a State subject, the responsibility for improving the functioning of the State Government hospitals is under the jurisdiction of respective State Governments. The information in respect of State Government hospitals is not maintained centrally.

So far as Central Government hospitals under the administrative control of this Ministry is concerned, based on the requisitions received from various Government Hospitals/Institutes/Units, posts are encadred as per norms in Central Health Service (CHS) thereby increasing the number of sanctioned posts of doctors.

Insofar as the three Central Government Hospitals in Delhi viz. Safdarjung Hospital, Dr. RML Hospital and Lady Hardinge Medical College & Associated Hospitals are concerned, performance of these hospitals regarding patient health care services is regularly monitored by the Hospitals/Government. The day to day activities in these hospitals, like sanitation, patient flow, hospital infection control practices, attendance of staff, etc. are supervised by the Medical Superintendents/Additional Medical Superintendents as well as by the Supervisory staff to maintain hygiene and sanitation.

Status of functional and non-functional equipments is regularly monitored. In order to provide state-of-the-art facilities and basic amenities to the patients, latest high-end Test machines/equipments are procured by these hospitals as per the need arising from time to time.

Besides the above, several steps have been taken by the Government to improve the overall satisfaction of the doctors working in Government Hospitals:

(i) Enhancement of retirement age in all four sub-cadres of Central Health Service (CHS) to 65 years w.e.f 31.05.2016 to retain the talent.

(ii) Introduction of time-bound promotions for doctors under Dynamic Assured Career Progression (DACP) Scheme, upto Senior Administrative Grade (SAG) level.

(iii) The duration of study leave to pursue higher studies/research work has been increased to 36 months for CHS officers instead of 24 months in other cases.

(iv) The benefit of Non-Functional Upgradation (NFU) has been granted to CHS doctors.

(v) The Ministry has started Foundation Training Programme (FTP) for newly recruited CHS Officers.

(vi) Electronic submission of Annual Performance Appraisal Report (APAR) on Smart Performance Appraisal Report Recording Online Window (SPARROW) software has been introduced for CHS.

(vii) Counseling pattern has been introduced for recruitment in GDMO sub-cadre.

(viii) Annual Preventive Health Check-Up introduced for doctors over 40 Years of age.

The Union Minister for Health and Family Welfare, Sh Jagat Prakash Nadda stated this in a written reply in the Lok Sabha here today.

PIB

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Shortage of Doctors in Central Government Hospitals

Shortage of Doctors in Central Government Hospitals 

As far as three Central Government Hospitals in Delhi viz. Safdarjung Hospital, Dr. RML Hospital and Lady Hardinge Medical College and Associated Hospitals, are concerned, the details are given below:

Name of the post	Safdarjung Hospital	LHMC & Associated Hospitals	Dr. RML Hospital
Doctors	115	50	47
Resident Doctors	466	56	123
Nurses	172	131	229
Technicians	93	207	162
Other employees	168	113	437

Total vacancies filled during the last three years

Name of the post	Safdarjung Hospital	LHMC & Associated Hospitals	Dr. RML Hospital
Doctors	123	138	267
Resident Doctors	1096	544	1516
Nurses	231	401	97
Non-medical employee	106	18	58

In case of doctors, every year, on the basis of vacancies projected by the Ministry of Health and Family Welfare, Union Public Service Commission (UPSC) conducts Combined Medical Services Examination for recruitment of Medical officers of GDMO sub-cadre of Central Health Services. For filling up of vacant posts belonging to Specialists sub-cadres of Central Health Service, requisitions are also sent to UPSC. Based on the recommendations received from UPSC, candidates are given offer of appointment. Pending recommendations from UPSC, concerned units are permitted to make contractual appointments against the vacant posts, as a stop-gap arrangement, in public interest, till the time regular incumbent joins the post.

The rest of the vacant posts other than the doctors are filled as per the requirement of the respective Hospitals in terms of Recruitment Rules on regular basis, through contractual appointment as a stop-gap arrangement and on outsource basis on the basis of approval received from the Ministry.
The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Lok Sabha here today.

PIB

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7th CPC Operation Theatre Allowance to the Nursing Personnel working Central Government - Hospitals

7th CPC Operation Theatre Allowance to the Nursing Personnel working Central Government - Hospitals

No.2-16/2017-PAP
Government of India
Ministry of Communications
Department of Posts
[Establishment Division / PAP Section]

Dak Bhawan, Sansad Marg
New Delhi - 110 001
Dated: 17.11.2017

To

All Chief Post Masters General,
All Post Masters General
All General Managers (Postal Accounts & Finance)
All Directors of Accounts (Postal)
The Director, Rafi Ahmed Kidwai National Postal Academy, Ghaziabad, U.P.
All Directors of PTCs

Sub: Revision of rates of Operation Theatre Allowance (Special Allowance) to the Nursing Personnel working Central Government - Hospitals as per recommendations of the 7th CPC - regarding.

I am directed to forward herewith the copy of Ministry of Health & Family Welfare Office Memorandum No.2.28015/52/2017-N dated 27.09.2017 on the subject cited above for kind information and further necessary action at your end.

Encl.: As above.
[R.L. Patel]
Asstt. Director General [ESTT.]

No.Z.28015/52/2017-N
Government of India
Ministry of Health & Family Welfare
(Nursing Section)

Nirman Bhavan, New Delhi,
Dated the 27 September, 2017.

OFFICE MEMORANDUM

Subject: Revision of rates of Operation Theatre allowance (Special allowance) to the Nursing Personnel working in Central Government Hospitals as per recommendations of  the 7th CPC - regarding.

Consequent upon the decision taken by the Government of India on the recommendations of the 7th Pay Commission, the President is pleased to revise the rate of Operation Theatre allowance (Special allowance renamed as Operation Theatre allowance) from Rs.360/-per month to Rs.540/- per month to the Nursing Personnel working in the following specialized areas in Central Government Hospitals / Institutions under the Ministry of Health &Family welfare

a. All Major Operation Theatres.
b. All Intensive Care Units / Intensive Care Treatment areas
c. Coronary Care Units /Cardiac Catheterization Laboratories
d. Dialysis Unit/ Ward and Transplant Units/ Wards
e. Intensive Care Units for Burns
 f. Tetanus Wards and Rabies Wards
g. Paediatric Nursery/ Neonatal Units

Operation Theatre allowance admissible to nursing personnel is subject to the following conditions:

i. The allowance shall be paid to the nursing personnel for such period only when the concerned staff is actually working in the specified areas. The minimum period for working in the specialized areas will be two to three years.

ii. No Nursing Officer with less than one year of service is to be posted. for duty in these areas.

iii. This allowance is restricted to 35% of  the total staff strength of nursing staff of any hospital/ Institution.

3. The revised rates of allowances shall be admissible with effect from the 1st of July, 2017.

4. This issues with the approval of Deptt of Expenditure vide ID No.A.27023/1/2017/E.II.B(7th CPC)/Pt. dated 14.09.2017.

(A K Sahoo)
Under Secretary to the Govt. of India

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CGHS WARD ENTITLEMENT AND MONTHLY SUBSCRIPTION IN 7TH CPC

CGHS WARD ENTITLEMENT AND MONTHLY SUBSCRIPTION IN 7TH CPC

(A)Ward Entitlement and CGHS Contribution Entitlement of wards in private hospitals empanelled under CGHS (Based on basic pay in pay band): 

S N	Ward Entitlement	Corresponding Basic pay drawn by the officer in 7th CPC per month
1	General Ward	Upto Rs. 47,600/-
2	Semi Private Ward	Rs. 47,601 to 63100/-
3	Private Ward	Rs. 63101 and above

(B) Revised Monthly Subscription for CGHS facility w.e.f. 1st January 2017 

Corresponding levels in Pay Matrix as per 7th CPC	Contribution per month
Level 1-5	Rs. 250
Level 6	Rs. 450
Level 7-11	Rs. 650
Level 12 and above	Rs. 1000

Contribution to be made by the Pensioners/Family Pensioners would be the amount that they were subscribing at the time of their retirement or at the time of the death of government servant.

(C) Monetary Ceiling for Free Diet:
The monetary ceiling for free diet for CGHS beneficiaries is revised to pay/ pension / family pension of Rs. 44,900/- per month.

(D) Monetary ceiling for free diet for beneficiaries suffering from TB or Mental disease
The monetary ceiling for free diet in case of beneficiary suffering from TB or Mental diseaseis revised to pay/pension/family pensionof Rs 69,700/-per month.

(E) Pay slab for determining the entitlement of Nursing Home facilities in Government / State Government / Municipal Hospitals

The monetary ceiling for determining the entitlement The monetary ceiling of nursing home facilities in Central Government / State Government / Municipal Hospitals is revised to pay / pension / family pension Rs. 47,600/- per month and above.

(F) Monetary Ceiling for direct consultation with Specialists in Central Government / State Government / Municipal Hospital

The monetary ceiling for determining the entitlement for direct consultation with Specialists in Central Government / State Government /Municipal Hospitals will continue at the existing rates until revision of the Same after consultation with Ministry of Finance. (G)Pay slab for determining the entitlement of accommodation in AIIMS, New Delhi. The revised entitlement, as per the pay drawn by the officials, is as follows:

Sl.No.	Corresponding Basic Pay drawn by the Officer in 7th CPC per month	Ward entitlement
1.	Up to Rs. 63,100/-	General
2.	Rs. 63,101/- to Rs. 80,900/-	Private
3.	Rs. 80,901/- and above	Deluxe /Private

Source: CGHS

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Proposal for the Cadre review of Medical Laboratory Staff in 4 Central Government Hospitals

Proposal for the Cadre review of Medical Laboratory Staff in 4 Central Government Hospitals has been approved by Finance Ministry:-

F.No. 2(12)/E.III Desk/2013

Department of Expenditure

E.III Desk

Subject: Proposal for the Cadre review of Medical Laboratory Staff in 4 Central Government Hospitals.

Reference Ministry of Health and Family Welfare’s Note No. Z-28020/11/2008-PMS (Part) dated 30.01.2015 on the above mentioned subject.

 

2.  The proposal has been examined in this Department and the following Cadre Structure for the Laboratory Staff in 4 Central Government Hospitals is concurred to with the approval of Hon’ble Finance Minister -

Sl. No.	Existing Name of Post & Pay Scales In four central hospitals (Sufdarjung Hospital & VMCC + RML Hospital + LHMC & SSK Hospital + Kalawati Saran Hospital)	Existing Strength of all four Hospitals	Name of Post & Pay Scales Proposed by AM	Strength proposed by AM	Revised Strength approved by Hon’ble FM
1.	Laboratory Assistant PB-1, GP (2000, 2400, 2800)	108	Junior Medical Lab Technologist PB-1 GP-2800	108	108
2.	Lab Technician/ Blood Bank Technician PB-1, GP 2800	233	Medical Lab Technologist # PB-2 GP 4200	233	Post of Lab Technician/ Blood Bank Technician & Technical Assistant/ Sr. Laboratory Technician/ Museum  Curator/ Senior Blood Bank Technician have been merged with a revised designation as Medical Lab Technologist 324 (merged in GP 4200/-)
3	Technical Assistant/ Sr. Laboratory Technician/ Museum Curator/ Senior Blood Bank Technician PB-1 GP 2800	77	Senior Medical Technologist (MLT) # PB-2 GP-4600 Group-B	91
4	Senior Technical Assistant (Lab)/ Technical Supervisor (Lab) PB-2, GP-4200 Group B	18	Technical Officer (MLT) PB-2, GP-4800 Group-B	42	32## Revised designation of Technical Officer (MLT) in the GP of 4600
5	Junior Technical Officer/ Technical Supervisor (Lab) PB-2, GP-4600 Group-B	8	Senior Technical Officer # (MLT) PB-3 GP 5400	18	18 Revised designation of Senior Technical Officer (MLT) in the GP of 4800/-
6	Chief Technical Officer (MLT) ** (New grade)	4	Chief Technical Officer (MLT) PB-3 GP 6600 Group-A (Gazetted)	4 (one post for each hospital)	4 (one post for each hospital in GP of 5400/- in PB3 (Gazetted)
	Lab Attendants* PB-1 GP 1800	130	Proposed to be abolished
	Total	578		496 (-82)	486 (-82)

* These will be gradually phased out on functional grounds

** New grade of Chief Technical Officer (MLT) for promotional avenues for Senior Technical Officer (STO) and managing the Technical supervision of four central hospitals.

#  Upgradation has been proposed to establish parity in pay scales for suitable placement as per their upgraded professional qualification.

## There is a reduction of 10 posts of Technical Office in the four central hospitals in the proportion i.e. SJH (-3) + RMLH (-4) + LHMC (-3).

 

3.  RRs for all these posts may be revised on priority basis as per the proposed qualifications etc. in consultation with DoP&T.

 

4. The Designations and the Grade Pays of all the posts may be revised as approved.

 

5.  As decided in the meeting held on 24.05.2015, the proposal of MoH&FW all exising Medical Laboratory staff at level 1 & 2 may be considered for promotion based on length of service based on DoP&T Guidelines.

 

6.  Ministry is advised to form a common cadre of all the Laboratory staff working in the four Government Hospitals with a new nomenclature, and service rules.

(Ravi Katyal)

Deputy Secretary (E.III Desk)

Joint Secretary (HR), MoH&FW, Nirman Bhawan, New Delhi
——————————————————————————–
MoF, DoE, I.D. No. 2(12)/E.III Desk/2013 dated 06th July, 2015
Copy to:

(i)  Kaptan Singh Sehrawat, General Secretary, Joint Forum of Medical Technologists of India and Others in respect of OA No. 2521/2012, CP No. 545/2014 before CAT, Principal Bench, New Delhi

(ii)  The Principal Registrar (CP), Central Administrative Tribunal, Copurnicas Marg, New Delhi-110001.

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Change of designation of ECG & Holter Technicians working in Railway Hospitals – allotment of Qualification based pay structure-reg.

Change of designation of ECG & Holter Technicians working in Railway Hospitals – allotment of Qualification based pay structure-reg.

NFIR
National Federationf Indian Railwaymen
3, CHELMSFORD ROAD, NEW DELHI . 110 055

Affiliated to :
Indian National Trade Union Congress (INTUC)
International Transport Workers’ Federation (ITF)

No.II/49/Part. II

Dated: 2310312015

The Secretary (B),
Railway Board,
New Delhi

Dear Sir,

Sub: Change of designation of ECG & Holter Technicians working in Railway Hospitals – allotment of Qualification based pay structure-reg.

Ref: (i) NFIR’s PNM Item No. 6012012.
(ii) Railway Board’s letterNo. 20I2lH-1110/6 dated 22/08/2013.
(iiii) NFIR’s letter No. II/49lPt. II dated 7/10/2013, 18/03/2014,16/10/2014,17/11/2014.

NFIR desires to invite kind attention of the Railway Board to the discussions held in the PNM meeting on 1.9th/20th December 2014 relating to allotment of qualification related Grade pay/pay Band to ECG & Holter Technicians working in the Railway Hospitals (appearing under PNM item No. 60/2012) wherein the Federation was apprised that the matter will be referred to the 7th Central Pay Commission with full justification thereof.

2. Further the Federation wishes to state that the issue of revision of designation of ECG & Holter Technician to “Cardiac Technologist” has also been pending in the Railway Board. In this connection, Federation desires to add that majority of Zonal Railways have since suggested for revision of designation of this category to “Cardiac Technologist” as the same is reported to the in vogue in Central and State Government Hospitals. lncidentally NFIR states that this proposal tias NIL financial implications and hence there should be no difficulty to revise the designation.

NFIR, therefore, once again urges upon the Railway Board to send copy,of proposal relating to allotment of qualification based pay structure sent by Railway Board to 7th CPC to the Federation and also issue instructions for revision of designation of ECG & Holter Technician to “Cardiac Technologist” working in the Railway Hospitals at an early date. Federation may please be provided with the copy of the instructions.

Yours faithfully,

(Dr. M. Raghavaiah)
General Secretary

Copy to Director General/RHS, Railway Board, New Delhi for information and necessary action.
Copy to Executive Director/PC-lI, Railway Board, New Delhi.
Coov to General Secretaries of affiliated Unions of NFIR.
Copy to Media Centre/NFIR.
Copy to File No. 60/2012 (PNM) &7th CPC file – Medical Department.

Source: www.nfirindia.org

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