DELHI METRO RAIL CORPORATION LTD, EHO RAIL CORPORATION LTD, No. DMRC/PERS/14/2013 Dated 07/08/13 OFFICE ORDER NO. PP/1646/2013 ‘Sub: Master Circular on Medical Attendance Rules in DMRC. ‘The Master Circular on Medical Attendance Rules in DMRC, containing the updated Position on the subject, has beea prepared and is enclosed herewith for information of all employees of DMRC. This supersedes all previous instructions/orders on the subject. This issues with the approval of MD. J — aps (Karan Singh) Executive Director (HR) Copy 1. AI ED¥’ HODs/ PDs! Dy. HODs & CPMs of DMRC for wide circulation among the staff working under them, OSD to MD. Principal Advisor, Principal Advisor (Elect.) & other Advisors. Office Order file, Notice Boards. \S-AGMIIT for putting on the Intranet. DRS/DW/DBD/DP/DO/DE/DE for kind information,8 DELHI METRO RAIL CORPORATION LTD. MASTER CIRCULAR ON DMRC MEDICAL ATTENDANCE RULES AS ON 07/08/2013 NOTE + This supersedes all earlier circulars/ Office Orders! instructions issued on the subject. * This is a compilation of all office orders issued on the subject till | 31.07.2013. However, essence of all the related Office Orders is i included in this, Circular, in case of any doubt regarding | interpretation of the Rules, the related latest Office Order may be | | 4 i referred to and for further interpretation decision of Managing Director will be final. + The nomination of Hospitals/ Clinics! Path labs/ Diagnostic Centers is subject to change. It is advised to confirm the status | of nomination of hospital before taking treatment.CONTENT ‘Subject Matter — Page No. Objective & Scope of avalailty + Definitions & Nesical Benefis 2 Mecical Trealment covered under these Rules, & Monetary Geling for Imbursement 3 Prolonged Treatment 6 Hosptalisaion (Enilement pior permission or higher expendi) 3 Post retirement Medical filly 3 Medical Advence_& Denial Trealment 310 ‘Ophthalmic Treatment, Pathological Diagnostic Procedure 70. ‘Comprehensive Medical Check: up it Re-imbursement of Medical expenséa Te . [DMC Part Time Modical Coneultants & Inéome Tax Exémiplion on Medal Re-mibursement Ag [12 [Cashiess Medical facies 13-46 (73. | interpretation and Relaxation 76 {4 [Declaration of dependents - Annexure i7 | 15._| Application for Medical Re-imbursement, - Annexure ~ 48-19 | 36. | Ust of approved Hospital Cinies - Annexure."G" 20.245 i a. Exempied fiom Ingome Tax 20.23 3b. Nen- exempted from Income Tax Fa 24 _[ =e List of Laboratories diagnostic Centres 25.27 25 Format for seeking approval for Prolonged Treatment - AnnexureMASTER CIRCULAR DMRC MEDICAL ATTENDANCE RULES ‘These Rules shall be called the “DMRC Medical Attendance Rules” OBJECTIVE These Rules are designed to provide a certain measure of social security and insurance to employees and their family members against various types of Wj befall them during employment. SCOPE OF APPLICABILITY These Rules shall apply to all: @ (ii) diy ww) Regular employees of the company and those on probation or extension. Those, who are on deputation from a Government department or other PSUs, who opt to be governed by these Rules instead of by the rules in force in their parent organization, within a month of joining the company. Employees who have been offered long term contract in regular pay scales and those working on temporary/ ad-hoc basis on a scale of pay. (0.0. No. PP/1326/2011 dated 17.10.2011) Re-employed personel arid’eonsultants or CGHS: schemes will avail all treatments such as Hospitalisation/ Surgical Operation etc., against their Medical Cards. “Others will: be re- imburséd ‘for the health: insurance cover for self and’spouse only by DMRC. (ED/HR Office Note No. DMRC/PERS/14/2009 dated’09.04.2009) EXéliisioii! These Rules are not applicable to casual and daily rated ‘who aré covered undér RELHS: employees and those engaged on Reémploymenticdifract basis as Consultants, unless specifically provided for in their appointment terms.DEFINITION “Authorized Medical Attendant’ (AMA) means any qualified medical practitioner in Allopathic, Ayurvedic or Homeopathic (and not Unani) system of medicine, whether in the service of the company or practicing medicine elsewhere and acceptable to the company. ‘amily’ means an. ‘employee's SHoUSS: children: (Helaw the age of 26 they getlitianied br etriployed, eMployed"only; Who-is Fesidit @inployee “and, dees. Het -have Sfiolumantsof the DMRC ‘einployes concerted !or'<3500/ plus thereon) whicheverig more.’ (O.-ONoiPR/212/201%, Gated 04/03/44 PP/1637/2013 dated 22/07/13): Note: - 3.3 (@) If both husband and wife are employees of the company, only one of them may avail of the benefits of these rules for the family according to their option. However, dependent widow mother of both will be included independently for the purpose of these benefits, subject to the other conditions for their inclusion being satisfied. (b) Employees are required to submit a declaration in the form given in Annexure- “A” in order to claim medical reimbursement. “Sanctioning Authority” with reference to the exercise of any powers under these Rules means the officers or the authority to whom such powers are delegated in accordance with the schedule of delegation of powers and/ or any other order issued in general or in particular. MEDICAL BENEFITS ‘The employees of the Corporation to whom these Rules apply will be eligible to be paid the expenses incurred by them from time to time during the course of their employment on the medical treatment for themselves and their family subject to the stipulations and monetary limit prescribed in these rules. 22644 6. The cost of outdoor treatment is covered as a part of perks @ 35% given in IDA scales, Further, for the employees who are drawing CDA scales the reimbursement of outdoor treatment is limited within the following monetary ceiling as circulated vide Office Order No. PP/567/2006 dated 28.12.2006:- Director & above — % 2500/- pm ED, HOD, & AGM -% 2000/- pm JGM & DGM —1750/- pm Managers — =1400/- pm Astt. Managers ~ 21200/- pm MEDICAL TREATEMENT COVERED UNDER THESE RULES Medical ‘treatment “covered: “undér these” Tules “will” inelide’ following treatment taken from the nominated hospitalsiabs/elini (a) Indoor treatment, (b) Pathological Tests/ Diagnostic investigation procédures: (©) Dental treatment, (d) Ophthalmic treatment (©) Prolonged (disease) treatment. MONETARY CEILING FOR REIMBURSEMENT 5 Medical Treatment Reimbursement N. admissible 1. | Tndoor treatment taken fom the nominated Govt 700% hospital | 2 | Pathological ‘Tests’ Diagnostic investigation 30% procedures | 3. | Dental veatment 1 80% (Annual ceiling %60,000/-) 4. | Ophthalmic & Prolinged disease treatment 20%6.2 6.3 For the treatment/ advanced specialized treatment taken for certain types of very serious ailments such as those listed below, full reimbursement can be made with the approval of Managing Director, irrespective of the medical institution where from the treatment is taken but advanced/ specialized medical facilities should be available in such institution for the diseases. (a) Cancer (b) Aids (©) Kidney or Liver failure and transplantation (ED/HR Office Note dated 04.08.2010) (d) Heart bypass surgery and other surgical and non-surgical interventions on the heart. Prolonged Treatment:- (a) A few diseases are categorized as special disease/ illness for which prolonged treatment is required and re-imbursement is made @ 90%, subject to approval of the Director. The list of 13 such diseases is given 1) Tuberculosis, 2): “Hypertension, 3) Diabetes mellitus ~‘not'controlled by diet therapy, 4)» Coronary ‘artery diséasel disorder, 5). Bronchial asthma, 6)” Epilepsy, 7): Hyper or Hyperthyroidism (Thyroid), 8) Arthritis, 9) Allergy, 10) Thalassemia,” 11). Parkinson's disease/ Multi‘system atrophy; 12) Autism, 13) Neurological disorders. 14) Hyper Cholesterolemia (High Cholestrol). 415) Osteoporosis (Brittleness of Bones). The validity of approval of ‘Director is restricted to two years:or ‘completion of treatment, whichever is earlier. After 2 years, if the treatment is stillcontinuing, theprolonged. treatment should’ be’ “ah from one “of the ‘nominated hospitals of DMRG.or DMRE'S consultant Ddctors. (Oitmay be: noted “that treatiHenitcovered! Under prolonged entertained if treatn F anid not dtherwisé (0:0; No: PP/950/2009°dated'09.07:2000) (@) Reimbursement claimn for'the prolonged treatment willbe made based On the initial prescription for thé Périod:of approval by the Director caneern of ‘change’ in: the “medi¢ines/reatment: prescribed “by “the: Heating treatment,’ the: clain biesetiption is'éncloséd, 6.4 No reimbursement shall be made for expenditure incurred on vitamins, nutritional 65 ‘supplements, etc, except when prescribed / certified by the doctor to the effect that such item/s are absolutely necessary for treatment of specific disease for restoration of normal health / cure of disease. Treatriént pertaining to’ infertility and “Assisted Reproductive Techniques, “related path’ “tests/’ diagnostic investigations/ procedures aré not covered under-medical:facilitiés’ (Circular No. DMRC/O&M/HR/Med: Coir /2007 dated 05.06.2007). No re-imbursement of medical bills for the treatment taken from outstations will be ontertained except in case of an emergency. In such cases, the treatment should be taken from a reputed hospital preferably from a Govt, Hospital as far as possible and an emergency cortificate for taking treatment there should be obtained from the treating doctor and attach with the medical bills for re- imbursement. The employee concerned should mention detailed circumstances necessitating outstation treatment while submitting the medical bills for re- imbursement. For.‘treatiiéhts: Costing. ‘ver {X/25,000/: ED/HR® oF GM/HR: (O&M) -“6iv mobile” or by” sending ‘SMS 9910484357 & 9810598153 itespectively ‘should: be obtained: Further, the re- imbursement of such medical bills will be made only after its scrutiny by a hone‘ sNos! Se66 committee of three officials comprising DGM/F&E, SPO/P & DMRC Medical Consultant. The re-imbursement will be restricted to the rates of Sir Ganga Ram Hospital, New Delhi, if the hospital charges higher rates. (0.0. No. PP/1553/2013 dated 15.01.2013) Re-imbursement for knee replacement of the employee is permissible but shall not be admissible for knee replacement of the dependent family members of the ‘employee.(0.0 No.PP/1212/2011 dated 04.03.2011)) 7. HOSPITALISATION fospital;-as per the: ti sémployee! A list of nominated hospital is given at annexure-C’. This list is being amended time to time, The expenses incurred on minor operations/procedures in a nominated hospital for which hospitalization is not required will also be reimbursed at the rate indicated in Para 6.1(1). Moreover, full reimbursement shall be made in case of “injured on duty" and for any ailment for which indoor treatment is taken from a Government hospital. The sanctioning authority for re-imbursement of medical bills is indicated as under: SN. Reimbursement Amount Sanctioning Authority 1 Upto €50,000/- “GMIF ae 2. | From¥50,001/- to %2,00,0007- OF 3. ‘Above €2,00,000/- MD Applicable for Delhi and its satellite cities only. For the treatment taken from other than these places, reimbursement with the approval of respective authority, as indicated above shall be made. In case where it is not possible to reach the nominated hospital and treatment is taken from any non nominated hospital, reimbursement in such cases will be made only on a certification from the Doctor of the hospital to the effect that the patient had to be admitted in emergency and with the approval of Director.7.2. Cost of Hospitalization will include pre and post admission treatment, OPD charges and resultant cost of medicine subject to certification by the hospital that such OPD charges and pre/post admission treatment was part of the indoor treatment, subject to maximum limit of 3 months on each side. Further, in case of pregnancy/delivery, regular check- ups & treatment continues and therefore, for treatment taken during the period of 3 months before & after delivery, no certificate is required. SN Designation amiss Eniilerient of the Treatment Room rent ‘accommodation Entitlement” per day ®) [i MOT Directors 720007 | Suita Batuxe Room nH Z| EDIHODS : *OG0O | Dekixe Room SHHT 3,_| AGMAIGMISr OGM 7500 | Single Room SN (a. Dew 7 Managers? Assit [~~ 56007 | Single Room ~~] SNF | | managers! Sr. Supervisors | Supenisors “46007. | Two Three bedded Room oP &._| Non-Supervisors 3200 | Economy (General Wardete. [SP *—NH- Nursing Home, SNH- Semi Nursing Home, SP- Semi Private. {0.0. ‘No. PP/1556/2013 dated 22/01/2013) Most of the hospitals have three different rates for various treatment procedures (NH/SNH/ SP), the NH being the costliest and SP least costly. For re-imbursement of indoor treatment for various diseases procedures, the different categories will be considered as per their room entitlement, i.e. the Non-executives will be eligible for reimbursement at SP rates, the Dy HOD/ Manager! AM/ Sr. Supervisors, at SNH rates and HOD and above levels at NH rates. In case of those hospitals, where there is only one rate for various treatment/ procedures, all categories of personnel will get re-imbursement of indoor treatment at a uniform rate.in Intensives Care “Unit ICU): of ithe: Hospital; ‘ve* eR 2700/esper day. 7.4 For :thel period “of treatment ‘Treatment costing Uj ‘Authority | [| For treatment costing & 50, 000/ to)%2.00,000/ “EOFAR "2. | Fortréatmentecosting above £200,000 ~~ DF In case of emérgeny, like heartattack, accident, Stidical delivery case etc. ED/ HR or GM/HR should be informed telephonically:’No prior: approval is required for thé indoor’ tréatment” estimated below '®.50,000/; iF tréativient is’ taken’ from cminated hospital RETIREMENT MEDICAL FACILITY. Av eligible employee on superannuation (at the age of 60 years) and a Director & <3 on completion of tenure appointment shall be entitled for reimbursement of expenditure incurred on indoor treatment for self and spouse at the same rate as icable to regular employees of equal level. An employee will be eligibie for this facility only if he/she has superannuated from DMRC after putting in a minimum of years service including uninterrupted deputation period, if any, along with the condition that one has served for a minimum period of 15 years in a Government Departmen¥PSU/DMRC (ali put together) on the date of superannuation. This iacllity will also be available to an employee in case of his/her retirement on medical citation before superannuation or completion of tenure appointment of aDirector and MD. The spouse of the deceased eligible employee, if any, shall also be eligible for the above facility. For this purpose, the services on contract & re- employment shall not be counted."(as modified vide office order No. PP/1626/ 2013, dated 27/06/13) MEDICAL ADVANCES In exdeptional casés advance requiréd:by-individual employees on’ Accountlor grave fafaShipito"iheet the expenditure Wh Connection with’ indoor Weatinentin ehierdent eases GAN be Given onthe reeothmendatiOn eA a horninatedy Government’ hospital: The. sanctioning auiti dal Advance"1S:Giveh-as under Ss MEDICALADVANCE SANCTIONING AUTHORITY N E Up to %50,0007- SMIAR | 2 Up-to €4,00,000/- EB/HR Ps. Up-to'22,00,000/- DF/DO | & Above 82,00,000/- MD J ihe medical advance should be settled within30. days-OF drawal/of thé advance. The bills. of the: hospital-along with. dll necessary: déctiments “are: reQiditéd’ to ‘be submitted within one month's time after ‘the This arrangement will be initially foF'a!peridd of one Year; which will be extendéd further on the basis ‘of experigrice/-fecdback received from the employees. In addition; the entitlement for indoor medical tréatmént, the existing category- wise entitlement of. the acconiniodation: for: inddor ‘treatment, includingfor the cashless facility, stands revised a8 under with immédiate effect: Entitlement of accommodation will be’as per Para'=7.3 above. In case of non- availability of the: entitled accommodation, employes may get treatment in the lower category of accommodation ‘only. However, employee may take'a room upto his her entitled amount and excess rent,’ if any, will be bore by the employee. Further, the employee should ensure that he/she avails treatment as per his/her entitlement, and in no case treatment in a higher type will be admissible. a13.‘General:Instructions tor availing Cashléss:Medical Facility:- (a) Admissibility: This. facility. deputationists, ong term contractual employees: in regular pay-scales and. their families. only (as- per DMRC. Medical ‘Rules). “Family”. means, an. employee's Spouse, children. (below the age of: 25 years or till they get married:or employed, Whichever is. earlier) “and: widowtiother- only,’ who is. residing: with:-him/her and wholly dependent upon the employes, ©2(b) Limit : This facility.is admissible’only upto'.75,000/- in one treatment. #2 (Note) (i) If both husband and wife are employed in the Corporation, only one of them ‘may’ avail the’ benefits of these! Rules“for the family accoiding to’ their Option. However, dependent, sdependent!widow mother of both will:be included ihdependently for the purpose of these benefits, Gi) All employees’ are required to ‘submit a declaration in’ the Form: given in Annexure-‘A’, in-order to get cashless medical facility, (@) Cashless medical treatment facility may be availed for indoor: treatment only from all branches of Max Healthcare & Fortis, Sit Ganga Ram and St.’Stephen's Hospital in Delhi and NCR, including Pathological test prescribed by the Doctor of the DMRC nominated Hospital/ DMR. constiltant Doctors. However, cashless facility for Pathological test prescribed’ by ‘the Dootor ‘of the DMRC nominated Hospital’ DMRC Consultant Doctor ‘shall not be available in branches of Max Hospital. due to: their problem: in accounting (0.0.No. PP/1691/2013 dated 01/08/13). Some. of the DMRC nominated Hospitals. have given 10-15% corporate discount to DMRC, the same should be brought to the notice of the ji bes “eldmisaible to. regular. employees, concerned Hospital at the time of payment from where cashless medical facility is being availed. At present, out of the aforesaid four Hospitals, Max Healthcare Hospitals and Fortis Hospitals offer corporate discount @ 15% and 10% respectively to DMRC. (d) Issue of Medical ID card: Employees, who want to avail the cashless medical facility, may download the medical identity card forms from intranet site and duly filled in forms may be submitted to HR Department through HOD concerned in a consolidated manner along with a covering letter. Applications for medical 1D cards will be invited from time to time (Quarterly or half yearly), so that the same may be procured in bulk.Ae): Validity of Medical 1D card:‘The Medical Identity Cards will be valid initially for one-year only. In-case, employee remains!absentsftom duty for moré than 15 days, without’ approval ‘of competerit“authority: his/her. card’ shall-be cancelled ‘ni ‘intimation: of ‘such’ cards| will be’ givn ‘to the: Hospitals: on’ first day of sUcéeeding ‘fionth. Such’ einployées “should not avail'thé cashless ‘medical / failing which he/she will beliableto"be taken’ up Under D&AR rules. The Hospital will also communicate within: 24: hours’ regarding" Hospitalization of DMRC ejiployee, through emailffax,:so thatthe ‘employee's attendarice: status May be scrutinised. (f) MiSuse of Medical 1D card! Any false’ declaration for‘ obtaining medical identity éaia or misuse of medical identity card’ will entail cancellation: of ‘the catd and it D&AR action will be initiated against the“employee. In’ such case, further igsiiance’ of -card'to him’ will'be barréd, Thé'Wabour’ Welfare Inspectors and/or \Vigilaiice Inspectors may visit the Hospital for verification of the dependents, (g)' Return of 1D card: Employee leaving the ‘Grganization will have to return the médical identity card to HR office, while obtaining "No. Dues’Cettificate”. In case ‘of non-return, all dues of the employee ‘will be kept withheld. (h), "The following treatmehts are: not covered “under the Cashless Medical Facility: (No organ transplant/ artificial. organ implant: In ino case organ transplant or artificial organ implant including knee replacement will be allowed through the cashless treatment facility. In case of extreme exigency for saving the life, prior permission, alongwith estimated expenditure, will be obtained from the competent authority. In case of indoor treatment of cataract, the upper cost ceiling for the IOL (Intra Ocular Lens) is fixed at &.7500/-. {i Infertility treatment: As per rules, indoor treatment taken for infertility is not re- imbursable and in case employee avails cashless medical facility for the same, payment of bills shall not be made to him/her. (iii) Further, this facility shall not be available for cosmetic procedures, dental treatment, comprehensive medical health check-up or any other kind of outdoor treatment, (). Procedure for availing the facility: The employee will carry his ID card and Medical Identity card with him/her, while approaching the Hospital for “15.ith’ detailed: break-up, fromthe Hospital: Ifthe pflor éppiovallof:conp. Belmandatory be ore hospi asheaitiattack: He! paymiit in: such: cases:involviig. over fein USEment/medical advances basis only. ‘The employees! who: intend tozavail the:cashless medical facility, may download thé? Medical ‘Identity, Gard: requisition form’ from. the. intranet. or ‘collect from conéemed HRvoffies, fromi'01/02/13 onwards: (0.0: No .BP/556/2013 dated. 22.01.2013) 17, INTERPRETATION AND RELAXATION. The Managing Director has the power to interpret these rules and in case of doubt/ dispute his decision will be final. He may also relax the provisions of these rules in individual cases of hardship for reasons to be recorded in writing. + 16+Annexure DECLARATION FOR CLAIMING RE-IMBURSEMENT MEDICAL EXPENSES Name. . Desig..... Emp. No..... The members of my family and other dependents for whom | shall be claiming re- imbursement of medical expenses are as under =~ S.] Name Dt of ‘Age | Relationship | Residing | Marital IN. Birth with me | status \. i} — My wife/ husband is employed in ........... is not employed and she/he will/ will not claim re-imbursement from DMRC or her/ his employer/ and she/ he will not avail the medical facilities available to her/ him from any other source. ertified that the person (s) for whom re-imbursement will be claimed is/ are wholly s'spendent upon me and residing with me. Signature of the employee Name.APPLICATION FOR MEDICAL REIMBURSEMENT {As per 0.0, No. PP/1599/2013 dated 29.04.2013) 4, Name of the Employee. Desig. Deptt. n Employee No. Pay -scale Rs. 2. Re-Imbursement claim made for- Indoor! Dental/ Ophthalmic! injury on Duty! Pre-post Hospitalization treatment! pathological test/ prolong treatment. 4, Contact No. ~ Mob... Ph. No Extn, ©. Reimbursement taken for treatment of — Solff Spouse! Son‘! Daughter“/Widowed mother! (“below 25 years ofage or til he! she gets marie or employed, whichever i earl). Name. Relation... Age. me. Relation.. Age. Co Relation... Age. 6. ‘Whether deciaration (as per Annexure ~ ‘A’ of med. Rules) showing dependents, Attached - +. Treatment taken from... 8. Whether hospital is Nominated / Non-nominated / Out-Station / Govt. Hospital. | non-nominated, is the Emergency Certificate enclosed?. iF Outstation, is administrative approval obtained, 9. Date of admission / discharge. 1 _.-- Period of hospitalization... ...days. Diagnosis/ Disease. 11, Amount of claim Rs. 2. Whether Medical advance drawn {if yes mention the amount) Rs. 18, For Indoor medial bls, detailed break-up of package alongwith discharge summary duly stamped and signed by Hospital authority, is encilosed. all lab tests a self certified copy of investigation reports and prescription is enclosed. nr eee a 15. Discount offered by hospital Path lab, if any. se 16. Whether treatment is taken as per entitlement (Attach all bills in original duly ve summarized as on the reverse.) ied, prescription advising medicines! pathological test and -18-Summary of bill ‘Description of expense! bill Bill No date ‘Amount Remarks (Rs.) (Hf, any) ze Total 4. Lhereby cerffy that all the above bills are true and correct. 2. Itis also certified that my spouse is a housewife/ working in. pov and she ‘he is not claiming medical re-imbursement from her/his employer. 3, Claims submitted are not older than six months. Date. (Signature of the employee) Controtling Off ‘Sy. HOD e HR Branch Medical claim of Emp. No. With HR Serial No. dated, For Rs. has been verified in HR Deptt. with regard to his/her entitlement / eligibility and “ecessary certificates is duly forwarded to Establishment (Finance) for re-imbursement as per extent IRC Medical Rules. Manager! AM/ HR OAIHR ‘Accounts Branch 1.) Amount of claim for re-imbursement Rs. (2)) Amount not admissible Rs (3) Amount to be reimbursed Rs. Manager/AOIF&E 219.Annexure-C LIST OF APPROVED HOSPITALS/ CLINICS (Exempted from Income Tax) CENTRAL ZONE Hospital's Name & Address Contact No. JANKI DAS MEMORIAL HOSPITAL, Pandav 25705811 Nagar,Naraina Rd. Patel Nagar, Delhi 25700216 | 2 [JEEVAN MALA HOSPITAL, 6771, New Rohtak 23511474-77 t RoadNew Delhi, 32906191 3. | KAILASH NURSING HOME, 49, South Patel Nagar, 25847412, New Delhi 4, | SIR GANGA RAM HOSPITAL, Rajinder Nagar. 25712389 New Delhi i: 7 | 3. | DELATHEART & LUNG INSTITUTE, 3-MIL, 23538351-8 |__| Panchukuian Road, New Delhi-110055, €. | GOYAL EYE INSTITUTE, 1/10 East Patel Nagar 25881259 ___| New Dethi-110008 25888145 7. | G.L. DHALLADENTAL RESEARCH, 41, Netaji Subhas 23282437 ___| Marg, Daryaganj, New Delhi-02 : 8.” | Fortis Jessa Ram Hospital, 8-B, Pusa Road, Karol Bagh, | 45013222 Ext290 & New Delhi-110005. i 291. NORTHERN ZONE Max Super Speciality Hospital, FC-50, C&D Block, 66422222 Shalimar Bagh, New Delhi-110088._ PARMARTH MISSION HOSPITAL, 23842300 23/7, Shanti Nagar, Dethi 5. | SUNDER LAL JAIN HOSPITAL, 47030900, 27119964 to 5 __| Ashok Vihar, Phase-IIIl, New Delhi SANT PARMANAND HOSPITAL 73981260 18, Shamnath Marg, Delhi-110053. 23983928 TEERATH RAM HOSPITAL, 22522425 __| Rajpur Road, Delhi-110053 _ 23956336 6. JIVODAYA HOSPITAL, Ashok Vihar Central Market 27253204 Phase-1, Delhi 27418672, St. STEPHENS HOSPITAL, Tis Hazari,Delhi 73966021 to 6 Fortis Hospital, A- Block, Shalimar Bagh, New Delhi- 4530222———«| 110088 AT884788 =20-EASTERN ZONE SN. | Hospital Contact No. 1. | KAILASH HOSPITAL & RESEARCH CENTRE 120-2444444 H.22, Sector-27, Noida-201301 9990444444 2. | DEEPAK MEMORIAL HOSPITAL & RESEARCH 22617771-75, CENTRE, 5, Institutional Area, Vikas Marg Extn, Delhi 22626383-85 3._ | FORTIS HOSPITAL, Sector-62, Noida (U.P.) 0120-2403232 Ranbaxy Group : 4. | WALIA NURSING & MATERNITY TOME 22548585 G-60, Laxini Nagar, Shakarpur, Delhi 22542294 | 3.” | DHARMSHILA CANCER HOSPITAL, 43066666 Vasundhara Enclave, Delhi 43066517-18 | 6 | METRO HOSPITAL & HEART INSTT. (0120-2533491 | Xl, Sector-12, Noida 7. | METRO MULTISPECIALITY HOSPITAL, 0120-2522959 L.94, Sector-11, Noida 2442666 8,__ | VIRMANI HOSPITAL, Mayur Vihar Phase-II, Delhi 22779232 9.__| YASHODA HOSPITAL, 3" M, Nehru nagar, Ghaziabad 0120-275000i [10.~| YASHODA HOSPITAL, H-1, Kaushambi, Ghaziabad 0120-2750001-04 i (Near Anand Vihar ISBT) [11 [NOIDA MEDICAL CENTRE, Sector-30, Noida 0130-2453801-8 | 12. | NARENDRA MOHAN HOSPITAL & HEART 0120-2657501-9 1 CENTRE, Mohan Nagar, Ghaziabad. ; 13. [ARYA VAIDYA SALA KATTAKKAL AYURVEDIC 22376534 ! HOSPITAL & RESEARCH CENTRE, 18x, 19x , L Industrial Area, Karkardooma, Delhi | 14. | RAM LAL KUNDAN LAL ORTHOPAEDIC 55252288-9 I HOSPITAL, Plot No. 8, Pandav nagar Paiparganj. Delhi z 15. | MAX BALAJI HOSPITAL, 108 A, IP Exin, Opp. Sancha 22235555 Appts.Patparganj, Delhi- 110092 43033333 |_16." | MAX HOSPITAL, A-364, Sector-19, Noida (UP) 0120-2549999 (17. | PUSHPANJALI CROSSLAY HOSPIT "AL, 9810324736 | | W.3, Sector-1, Vaishali, Ghaziabad. | 18._"| Apollo Hospital, E-2, Sector-26, Noida 201301, _ 120-4012000 SOUTHERN ZONE, Hospital Contact No, INSTITUTE OF LEVER & BILLIARY SCIENCES, 46300000, D-l, Vasant Kunj, New Delhi-110070._ 26706700 FORTIS Fit-Lt. RAJAN DHALL HOSPITAL, Sector-B, 42776222 Pocket-I, Aruna Asaf Ali Marg, Vasant Kunj. New Delhi- 42776444 110070, -21-ESCORT HOSPITAL & RE! Neelam Bata Road, Faridabad (0129-2466183 0129-2466192 KALYANI HOSPITAL, Opp. Girls college, Sector-14, Mehrauli Rd. Gurgaon. 0124-2303103 E-18, Defence Colony, New Delhi 3, | ARTHONOVA ORTHOPEDICS HOSPITAL, C-5/29, Opp. 42012345 Main gate IIT, Safilarjang Ind! Area, New Delhi-16 6, | ROCKLAND HOSPITAL, W222 B-33,34, Qutub Institutional area, New Delhi-110016___ z 7. [APOLLO HOSPITAL, 26H2SB58 Sarita Vihar, Mathura Road, New Delhi 3, | ESCORT HEART INSTITUTE & REASEARCH CENTRE 26825000 ____| Okhla Road, New Delhi 9._ | HOLY FAMILY HOSPITAL, Okhla Road, New Delhi 26845900 10. NATIONAL HEART INSTITUTE, 26414156-57 49 Community Centre, East of KailashNew Delhi. 26428372-74 if. | VENU EYE INSTITUTE, 729251951 ___| 161, Sheikh Sarai Phase-2, New Delhi-110017 29251155-56 12, | PUSHPAWATI SINGHANIA RESEARCH INSTITUTE 29252516 FOR LIVE R, RENAL & DIGESTIVE DISEASE, Press 30611700/900/999 Enclave Marg, Behind Shaheed Bhagat Singh College, ‘Sheikh Sarai, Phase-Il, New Delhi-17 eae SUKHDA HOSPITAL, R-Block, Greter Kailash, 43364400 ___| New Delhi = 26416475 | SETHI HOSPITAL, 301-302/4, Model Town Basai Road 0124-2321539 Near Buddheswar Temple, Gurgaon, 15. | MOOL CHAND KHAIRATI RAM HOSPITAL 42000000 Lajpat Nagar, New Delhi 1&. | METRO HEART INSTITUTE 0129-2263590 Sector-16 A, Faridabad 17. [R.G. STONE UROLOy & LAPROSCOPY HOSPITAL, 41621000 F-12, Bast of Kailash, New Delhi _ MAX SUPERSPECIALITY HOSPITAL (West Block) 66115050 1, Press Enclave Road. Saket, New Delhi-110017 40554055, MAX SUPERSPECIALITY HOSPITAL,(East Block) 26515050 2, Press Enclave Road. Saket, New Delhi-110017 MAX MEDCENTRE, 26499870 N-110, Panchsheel Park, New Delhi-110017. iH Max SUPER SPECIALITY CLINIC (Eye &Dental care) 26499880 $-347, Panchsheel Park, New Delhi-110017. MEDANTA, The Medicity, 9958899479 Sec-38, Gugaon_ Medanta — Medi Clinic, O11-44114411WESTERN ZONE SN. Hospital Contact No. | 1. [AYUSHMAN HOSPITAL, 42811114-8 Sector-12, Dwarka, Delhi 2. [MAHARAJA AGARSAIN HOSPITAL, 25221802 Road No. 35-36 West Punjabi Bagh, New Delhi 3. | RAJIV GANDHI CANCER INSTITUTE & RESEARCH 27051011 CENTRE, Sector~5 Rohini, Delhi 27051015 4._|JAIPUR GOLDEN HOSPITAL, 27514510 2, Industrial Area Sector-3, Rohini, Delhi - 5. | FLEX MEDICAL CENTRE, 25288801 B-1/4, Paschim Vuhar New Delhi a 6. | SUMERMAL JAIN EYE HOSPITAL, 47030900 69/5-A, Najafgarh Road, Ramesh Nagar, New Delhi 9811958500 7... [KUKREJA HOSPITAL AND HEART INSTITUTE, 25416681 C-1 Visahl Enclave, Rajori Garden, New Delhi 25117646 & [MATA CHANAN DEVI ARYA DHARMARTH 25554702 HOSPITAL, C-1, Janakpuri, New Delhi 25610009 8. SAROJ CHARITABLE HOSPITAL, 27557201 Madhuban Chowk, Rohini, New Delhi. 9891277989 9. | MAX HOSPITAL, HB Twin Towers, 27351844 Near TV Tower Pitampura, New Delhi-110034. 10. | MAX HOSPITAL, 0124-6623000 Block-B, Sushant Lok, Phase-1, Gurgaon, TI.” | SREBALAII ACTION MEDICAL INSTITUTE, 42888888 FC-34, A-4, Paschim Vihar, New Delhi-110063. 12.” | Action Cancer Hospital , 49222DDD H.2, A-4, Paschim Vihar, New Delhi-110063. EYE HOSPITALS (Exempt from Income Tax) SN. Hospital Contact No, 1. [Centre | B-5/24, Safdarjang Enclave, Near Deer Park, 41644000" for Sight, | New Delhi _45738888_ Eye F-19, Preet Vihar, Vikas Marg, 43097930 Hospital | Delhi seeeaaeti | 304-309, 3 Floor, Ring Rd, Mall, Sector-3, 43089700 Rohini, New Delhi J-12/30, Rajouri Garden, 9560666894, New Delhi-110027 i 47401363/64 ‘4, Roop Nagar, Delhi-110007 9650299799, = 7 ___|__45052800/01/09 12. A220, Opp. Bal Bharti Public Schooi, 8527895888, | Dwarka, New Delhi- 41524500/01/05 -B.Sector-16 A, Faridabad-121002 SCO Complex-317, 0124-4210317-18, Sec-29, Gurgaon 4287300 ‘CFS at Sun Flag Hospital, 0129-4004441-42 LIST OF APPROVED Hit (Non - exempted from Income Tax) CLINICS Contact No. jan. ‘Hospital | 1. | Dr. P.S. Gulia, RZ-35, Rati Ram Park, Behind LIC 25322348 | Building,Near 817 Bus Stand, Najafgarh, New Delhi-43 SHYAM LAL NURSING HOME & RESEARCH 3268715 CENTRE 19,Ansari Road, Darya Ganj, Delhi SACHDEVA DENTAL CLINIC, 28742672 R-546, Shankar Road, New Delhi. 4. | BUDHIRAJA'S DENTAL CLINIC, A-52, Main Market, 73095887 __| Near Mother Dairy, Delhi-92 at (9810684487) | 5. DENTAL & BRACES CENTRE, 22057456 __| B:371, Vikas Marg, Nirman Vihar, Dethi-92. ¢. | SHAM LAL EYE HOSPITAL, TRS6483 Malka Ganj, Delhi DENTAL CARE & CURE CLINIC, 27318068 ____| 45, 1" Floor, DDA Market, Pitampura, New Delhi (9811250405) & DENTAL HEALTH CLINIC, 27225345 __| A-10, Phase-2, Ashok Vihar, New Delhi (9911113357) | » |SACHDEVA DENTAL CLINIC, 26142719 ___| A-9/26, Vasant Vihar, New Delhi, 3. | DENTAL CURE DENTAL CLINIC, 26420012 i 56 Krishna Market, Kalkaji, New Delhi. 41600530 VIDYA SAGAR INSTITUTE of MENTAL HEALTH 29849010-20 |, Institutional Area, Nehru Nagar, New Delhi (1800-11-34) 12. | MULTI SPECIALITY DENTAL CLINIC 29257117 113-D, Sheikh Sarai-I-K, New Delhi-110017 Z ESTHETIC DENTAL CLINIC, 28537300 PG- 1/2- B,Vikaspuri, New Delhi (9810688760) MADAN DENTAL CLINIC, 25272022 A-3/17-B, Green Apartment, Pashchim Vihar, New Delhi (9810001629) DARYA RAM HOSPITAL, 0130-2234005 Murthal Road, Sonipat (Haryana) i 2218768 | 16.) MITTAL NURSING HOME, 0130-2241355 Model Town, Sonepat (Haryana.) eet 2242533 THE METRO DENTIST, 65144264 1" Floor, Rajouri Garden Metro Station, New Delhi (9811056626) GREEN PARK DENTAL INSTT. & RESEARCH 26170777 _____| CENTRE, P-8, Green Park extension. New Delhi-110016, (9810054222) 19. | INDIDENT DENTAL CLINIC & IMPLANTOLOGY 41543747 ___| Research Centre, 3A/15, Jhandewalan Extn., New Delhi-55, (9810294477) 224.LIST OF NOMINATED LABORATORIES/ DIGNOSTIC CENTRES, ‘Hospital Contact No. Super Religare Laboratory Ltd, 011-39125000 D-3, A Wing, 2 Floor, Distt. Centre, Saket, New Delhi 2. | Diwan Chand Medical Services Pvt. Ltd., 3707700 43707700 (i) 10-B, Kasturba Gandhi Marg, New Delhi-110001. Gil) A-2,Kirti Nagar, New Delhi-110015. 75435050 3 | Dr Lal Pathological Labs, As per list enclosed + The nomination of the hospitals’ labs is subject to change, it is advised to verify the status before taking indoor treatment or before undergoing diagnostic procedures. List of the Branches of Dr. Lal Path Labs Pvt. Ltd. in NCR S.N. Lab Address Ph.No. | Patholog ¥ 1 |Hanuman | Eskay House 54, Hanuman | 30403210 Road (C.P) | Mandir Road, New Delhi- 140001. 2 | Rohini Block-E, Sector-18, Rohini, New Dethi- 110085 30258600 3 [SDA C216, Safdarjung Development —_Area,New | 30403230 Delhi-110016. 4” | Ashok Vihar [B-2/9, Anmol House, Near | 32055414 Syndicate Bank, Ashok Vihar Ph- Ii, New Delhi- : __| 110052. 5 | New D-819, Ground Floor, New | 32055453 Friends Friends Colony," Near | /54 Colony Escorts Hospital, New - Delhi-140025. Be 6 [East of {A-15, GF, Kallash Colony, | 32069665 Kailash Near Metro Station, New | 32900434 Delhi-110048__ 7 [Preet Vihar |C-49, Main Vikas Marg, Preet Vihar 30403240 i. New Deihi-110092, 8 | Tilak Nagar | 46/13, Near Metro Pillar No. | 32901922 494, Tilak Nagar, New | 32999672 ____| Dethi-110018 9 | Dwarka Raj Laxmi Plaza, Seclor-12, | 32314373 Near Agarwal Restaurent, Dwarka, New Delhi i70 |MayurVihar [Shop No.G345, Sikka [32314073 Plaza 2™, Beside CCD Mayur Vihar Phase-I, Main ete Market, Delhi-110091. if 11. | Faridabad | SCO-30, Sector-16, | 0129- _| Faridabad (Haryana) 3266060 | _ eer 12 | Gurgaon | C-1/8, Clear View, Old DLF | 0124- Colony, Sector-14, | 3988505 Gurgaon. 13 |-do- Shop No. 9,10,30,31 DLF | 0124 City Court Sikanderpur, | 3212530. [iesaes| ed Gurgaon, Haryana 15 | Noida N-27, Sec- 18, Noida, U.P. | 0120- 16 |-do- B-1/1, Central Market, Sec- | 0 I 50, Noida, UP 3191331 17 |indirapuram [GF, Shop Wo. 8G-03, /0120- Aditya Shopping Complex, | 3292266 Plot No. C/GH-3, Vaibhav Defence Colony Fly over, New Delhi24 i Khand, Indirapuram, i Ghaziabad L List of the Ce :tion Centre of Dr. Lal Path Labs Pvt. Ltd. in NCR PSC Site ‘Address PhNo. | Patholog | Radiolog y y Patel 15/1, GF, West Patel Nagar, | 32043539 Nagar_| New Delhi-08 oeeeeeee ae ee 2 | Shalimar | Shop No. A-1/BQ Market, | 32043543 i Bagh Shalimar Bagh, Delhi 3 | Green J5, Green Park Main, New | 32043533 Park Delhi-16 {| Janak Puri | B-29, Community Centre, Opp. | 32043534 PNB, Janakpuri, New Delhi-58 [S| Krishna | F-4/9, Near Happy English | 32043535 Nagar School, Main Bus Stand, Krishna Nagar, Delhi-51 [6 | Dwarka | Shop No. -6, Vardhaman | 32043534 Sudarshan Plaza, Sec-5, Near Pizza Hut, Ashirvad Chowk, | E | Dwarka, New Delhi-73 | aaa 7 | Lajpat “| Shop No. 3, C-1/103-104, Lajpat | 32043536 Nagar Nagar-1, Opposite Nirulas l 226 =RZ-83-A/1240/8-0, Basement, | 32043545 |; Opp. Fortis Hospital IN Gate. | Kishan Garh, Vasantkunj, Dethi- | 70 | Rohint 124, Pocket C-9, Opp. Fire | 32043541 Hee Station, Sec-8, Rohini, New est Delhi-85 Wie] Pe Wargen Shop No. G3 & G4, Aggarwal | 32043840 Tower, LSC-2, IP Extension, \ Le Patparganj, Near SBI ATM, i Delhi jit iz Mukhemi | A-37,38,39, GF-2, Commercial | 32043537 || Nagar Complex, Near HDFC Bank | Delhi -9 | 2” Shakti” [24726, GF Shakti Nagar, Near | 32043542 | Nagar Govt Girls School-1, Delhi-7 Be saon |” SF-103< FF, Galeria Market, | _0124- i DLF, Phase-IV, Gurgaon 3273232 Noida | A-34, GF, Sec-26, Noida, UP- | 0120- a a 3193232KING APPROVAL FOR PROLONGED TREATMENT (As per 0.0. No. PP/950/2009 dated 09.07.2009) FORMAT FOR MRC/Estt/Prolonged Treatment/2013 Dated: / / 20 Name of the Employee Designation Emp. No, Name of the patient Relationship with the patient ‘Name of disease Hospital in which under treatment Signature of the employee © Recommendation -28-