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Passes issued on Medical Grounds

RAILWAY SERVANTS (PASS) RULES,1986 (1993 EDITION)
SCHEDULE - VII
SPECIAL PASSES
PASSES ON MEDICAL GROUNDS

Category : Group A, B, C, & D [Serving and Retired]** ACS No. 15

Conditions of entitlement : Issued for journey from station nearest to the residence of a Railway servant where railway medical facilities for treatment of the railway servant or his family members are not available to a station where railway dispensary or hospital, or sanatorium with the required facilities for treatment is located.

Entitlement/Facilities :

1. Pass will ordinarily be issued for the Class of entitlement of the railway servant on privilege account.

2-A    A higher class of pass may be issued at the discretion of the General Manager of the Railway Administration/Unit, or Secretary, Railway Board, for outward journey only to: -

  1. a railway servant or his family members suffering from Tuberculosis or cancer for travelling with one family member or dependent relative or a companion when no family member or dependent relative is included, on the recommendation of the Chief Medical Officer of the Railway concerned. No attendant will be included.
  2. a railway servant or his family member or dependent relative when the railway servant himself has arranged a bed in a sanatorium provided the Divisional Medical Officer of the Railway certifies that the Railway Administration could not arrange a bed and that treatment in that sanatorium/ hospital is necessary.
  3. a railway servant or his family member or dependant relative suffering from Tuberculosis or cancer for travel from one sanatorium to another for further treatment operation etc. provided that the concerned medical authorities certify that this is necessary and provided further that such recommendation of Sanatorium/ hospital authorities is accepted by the Chief Medical Officer of the Railway. A family member or dependent relative may also be included if necessary. 

2-B    The grant of higher class passes and  attendant on medical grounds shall be  regulated as under :-

  1. If the Medical Officer considers that patient should be accompanied by an attendant during travel for his journey to an outside station for treatment the inclusion of the attendant in the Railway pass shall be regulated as under :-
  2. One attendant may be allowed if the patient is bed ridden and is unable to sit up, on the   recommendation of the Medical Officer incharge of the hospital/health units/polyclinic.
  3. {If the patient is in big plaster, or physically handicapped or unconscious or paralysed or mentally retarded, where one attendant cannot lift the patient, two attendants in the same class may be provided on the express recommendation of the Medical Officer.} ACS No. 43

    If the patient is in big plaster where one attendant cannot lift the patient, two attendants in the same class on the recommendation of the Medical Officer may be provided.

  4. In case where the patient is in coma/shock/ stupor due to any cause such as head injury etc. regardless of whether he is suffering from T.B./cancer for which higher class pass is admissible, a higher class pass alongwith an attendant in the same class may be given on the recommendation of the Medical Officer.

Provided that the facility of an attendant shall be available only when no other family member is accompanying the patient. Such passes where an attendant has been allowed should, therefore be restricted to the patient and the attendants only.

Provided further that higher class passes shall be allowed only for outward journey while proceeding for treatment to an outside station. After the patient recovers, the return journey pass shall be issued for the class to which the patient is entitled.   Where an attendant was allowed to accompany the patient, in a higher class he shall be issued second class pass for the return journey.

3. (i) In case, higher class pass to the Railway employee for his return journey has also been considered necessary, specific recommendation of the CMO of the Railway in whose    Jurisdiction the hospital is located shall be necessary

    (ii) Pass for the return journey valid for the entitled class or a higher class, as the case may be, shall be issued on the recommendation of the CMO by the Railway in whose jurisdiction the hospital is located. To facilitate issue of return journey passes by that Railway a stamped endorsement authorising that Railways to issue pass may  be made on the outward journey pass.

4.      In cases where a railway servant falls seriously ill outside the Zonal Railway on which he is working and is referred to a hospital located on another station for specialised treatment by the Railway Medical Officer, he may be given a Special Pass available from that place to the location of the hospital/dispensary to which he has been referred and back to the same place. The concerned Medical Officer recommending the grant of the pass shall report the facts of the case to the controlling CMO of the employee indicating clearly reasons that necessitated treatment at an out side station in support of his recommendation for issue of Special Pass.

          The Medical Officer recommending the issue of pass on medical grounds shall submit a monthly statement to the concerned CMO indicating the circumstances of each case and the reasons for recommending such passes. CMO should ensure that the recommendations of the Medical Officers for issue of passes were in accordance with the guidelines of these orders.

Note: The above said power of General Manager of the Railway/Unit or Secretary, Railway Board shall not be relegated.

 




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