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Iierlb -*'li **--J.ecR-celJ-. Dated. 26 . 2. 2008.
Copy fgri,,rarde,l to A+I Heads of Police, Eshts., OrissE
f,or inforrnation and 9J idarce.
t
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:
I- c. of Policd
or j-ss an or ttac k.
Gove!'nfitent of Orissa,
G e n e r a l A . d m i n i st r a t r o n ( S E D e p a r t n r e
) nt.
r*. ftl93,sE Datec '
Frorn ?J 1 .?Mx
Lerr;a.jAS (.SAGt
Srt l.,1
AddiitcrnaI Secretal- tc Go',,efnrnent
To
All Prlnctpal
SecretarrestCom
m isstoner_cu
m-
Secretanes.,
Secreraries/Special
Secretaries/A!l
Heaos of Departmeni.iAli
R.D.CsrallColiectors.
Sub: A m e n d m e n It n S c h e d u l eo f I n s t r u c t t o n sf o r
r e c o r d i n go f
in theperfcrmance
Rerna:'ks Apprais"fn"pcrifinhl
PoliceiOther Officialsworking'in tt e Cornmisslon"r","
"f
Sir,
ChiefSecretary
na:D
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3 ACP
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9 ACP
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l.J,ll lJlrveLvl, !-/ I u
trtrr Cnmmclt L;OmnlOt. 1,.r.
16 SuDedar -A.C.P.
17.lnspector, Ciime Crime A d d l .C . P CP
Sectron.
1C q.;d^i;fi. nffi^a'
D.C.P. r Director.Health
2 2 C . l .o f P c l i c e .
23-inspector.-HRPC
-PCrP-,- C.P.
DCRB
24.lnspector, A C P:- jlqjL c.P.
n:{.9_o4Aq!-----*Py=Commcjt C.P.
-'--
i_5,Subeciqll\{,T1 l-)irantnr F P
2O..nsst Public ACdl.P.P./P P. D.C.P.
Prosecr.ttor
fTl
21 f.:afficEngineerot- PrinCipal,
TTI
28 Establishment D C P (Hqrs) Addt.c P CP
Officer
Yoursfarrnfully,
of Hon'bleChiefMinister,
kindinfornration
AdditionalSe
G c v e r n m e n to f O l s s a
G e n e r aI A d r n i n i s t r a t i o(nSE ) D e p a r t m e n r
A s p e r t h e A I S ( p A R )R u l e s 2 0 0 7 a n d a m e n d m e n i s
rradernereundei
annualhealth check up rs mandatoryfor ali lpS
officers The summaryoi the
rnedrcarreport irn part-c of Fcnn- rV) rs to be aftachedto the pAR by the
' memberof the service The pAR arongwith the summary
of the medrcarreport
shall ce kept in the PerfortrancsAppraisaldossier
of each nremberot the
Service
2- -The€ overrrmerrt*ra
vejiraiized the.gaekage :aie fu,rthsrnediear eheekup
@ Rs 1500/-per officerto be ccnductedin any of rhe fofiowrrrg Governrnenr
as
wellas PrivateMedicaiCoiieges& Hospitals.
oJg11U1eIrr M-qdlgal Co ||eo es,& Hos p ita I
_LjS!_gL_q
(r) S C B. MecjicalCollege& Hospital.Clrttack
(ir) l , l K . C . G .M e d r c aCl o i r e g e&, H o s p i t a iB e r h a m p u r
.
(iii) V . S . S .M e C r c aCl o i l e g e& H o s p i t a lB, u r l a S a m b a i o L r r .
1 r v ) C a p r t a l H o s p i t aBth. u b a n e s w a r
-l.:,ls!Sfpr'vate trtedicaIC
(i) K a l i n g aH o s p i t a E
t ,i hu b an e s w ar
(ij) K l l v l SM e d i c aCl o i l e g e& H c s p r r a B
l.hubanesrvar
(iii) hr- fech lvtedical Coliege& irospital,Bhubanes,,var
(tv) S U M M e d r c aCt o l i e g e& H o s p i t a lB, h r J b s 6 s s , ! v r r -
3 T h e H e a l t n& F a n l y w e l f a r eD e p a d n n e nhla v e a , s c S S - i c . i t € s S a . v
l n s t r u c t r ot o
n t h e a b o v er r e d i c aCl o l l e g e s& H o s p l t a /fso r t e a t h c r e c x . : o c i F S
officersrn theirretterNo 3637dt i6 2 2009
4 S i n c et h e H e a l t hC h e c ku p h a s b e e n m a d e m a n d a r o r yt h e a u l h o z e d
hospitalsshall performthe requrredtests and examinetionson productlonot
identityand proofof dateof birth.
5 The Govt as well as Prrvatehospitalsshallundertakethe healthc.heckup
as containedin Form-lV{copyenctosed)and submitthe reportto the Officerduty
srgnedby the Superintendent
/C.M.O.concernedon paymentof Rs. 1500/-oer
Officer
6. The expenditurefor conCuctinghealth check up wrll be borne by the
concernedDepartment
/Organisatron
etc. and reimbursed at par with the R C.M
claims in the establishment
in which the salary of the Officer(s)is drawn on
submissionof necessarydocuments.
7 This mav be brought to the notice cf all IPS Officers concerned
immediately
8. This has been cor,curredin by Health& FamilyWelfare Departmentjn
theirUOR No. 4326/5 H&FWdt. 27 12.20:08 andiry Financepepa rtmentin thef
UOR No. 1275tPSF dt.27 3.2009 i/
A . ^ L, 't l] ,-t"- , ,
AdditionalSecretaryio dovernment
'79
Memo No. 4 Dt 13.04.20@
Copy with copy ci enclosureforw,ardedto Sr. P S. to Chief Secretary,
Joint
l/)
13.04. 20@
79a Date
Memo No.
f:Yfl*1 t-,*:i"t? lli"J'iltt"l'i,3'
ofeIcr:syre,
copywithcopv
dated162200e
P:f,iT:ili;'3:,#;ii;ffi-;''i'ro 36szrFrirv
joi nt S/cr"elary iGQPenm ent,t
;:' \'-.'
' \a' :l-\'l
?' -o-q \3'o4' 20@
' M e m oN o . Dt
c
the Health & Famrryvvcrrcrr
99 jv tvitn copy of enclosure-forwa'-d,"d^to^ nt i10 (ten)
/Finance
Department -p"liliiyi*" :::tr:ji:,"t
andnecessary l.lJJ'''"
action
i"i;t"rmation
r;r"
3;i,1lIiii.'l;gl.fi i .t
M e m oN o .
80o u4lc
*s::i#'ktvs|'n
r S . O a .z O 0 9
CoPY forwarded
necessaryaction
( )
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Annexurc
Fo'm lV
[ s e e r u l e3 ]
R e P o r t )R u i u s 2 0 C 7
T h e A I I l n C i a5 e r v i c e( P e r f o r m a n c eA p p r a l S a l
t t ' r c x u pr o n t ' s o r f l c t ^ s
p a o r o n v or o n x E a L t u
Sax: l t i , /F
AEE
NarnL_
B r i e f c l i n i c a lh i s l o r v , i f a n v :
I : E x am i n a t i o n
A . G c n e r aI P h Y s i c aEl x a m i n a i r o n
B S V sl , e m i cE x dm i n a t r o n
C. Hearing
D. Vrsicjr'
ll. lnvestisations
Hae!'r'oEram
Hb%
Tr_a
DLC
P e r i p h e r aSl m e a r
Blood Sugar
P.P
Lipid Prollle
Total Cholesterol
)- ,. _, ,,..11t,l
i-L !iri,la,!irrirt
r r! D / . C h o l c 5 i c r c l
i t L l f . . , t) o a
L i v e r F L r 6 s 1q 6 T s 5 1
T o t , r tD r i, - u b i n
i l r a €c t B r l r i ub i n
l r i . j ri i. (I B r l i ur b i n
SGOT
5GPT
/ \ L K P h o s p ha l a 5 e
5 P r o te i n
Alibumin
clobutin
K i d n e y Fu n c t i o n T e s t
Urea
Cr e at i n i ne
UricAcid
Electrolytes
li a+
C.a
lcium
InorganiP
c hosphates
CardiacProfile
CPK
CK-M8
LDH
SGOT
Urinc
Rouijnc l'/,tqascoptc
5ugar
Albumin
X - r a yC h e s t
U l t r e S o u n dA b d o m e n
Hearing
Vision
Physical EfticiencYTest
Advice
,lormaULow
1. Haemoslobinlevelof tlE olffigg!
) Satisfactory/Normau Htgh/Low _
Ilood sugarlevel
Chol6terol level of the officer Normat/ High/Low
dVsfunctioning
Satisfactory/No|.mal,'
4. Liverfunctioning
Normat/Both-one kidneYnot f unctional
KidneyStatus
oPtimallY
e CardiacStatus lilormal/enlarged/blockd/not
UnderweiSht/Normal/Overwei
normal
ght/Obese
7. BMI
(BodYMass Index)
6- Test
Endurance -t€iiFr-tsFoffit4ow
C j S u m m a r y o l M e d i c e i R ( p o 1 1( . o p y t o b e e i i a . h e . ! o p A R l
g [ , ! e _ ,_ - _ _ _ , Exc<ljeni/Veryca.!,ic.oci!,.\.,,t:,:-
r n e d i c acl h e c ku p o f t h e o f f i c e r
W h e t h e rF i t f o r F i e l dD u
Oate S i g n a t i r ,f . o f t r i e C i c z A
l oiltcriiy
De5l3iletion