Chapter VI

MEDICAL ATTENDANCE AND TREATMENT

Section A - Definitions

601. In these paragraphs , unless there is anything repugnant in the subject or context and
subject always to the provisions contained in the Indian Railway Establishment Code, Volume I(1)
'Authorised Medical Officer' means the Railway Medical Officer within whose jurisdiction the
Railway employee is headquartered or one who is specifically nominated for the purpose.
Note: (i) The Authorised Medical Officer may, as per the requirements of a particular case, refer
the case to any other Medical Officer of the required speciality.
(ii) Ordinarily the jurisdiction of a Railway Medical Officer will be taken to cover Railway
employees residing within a radius of 2.5 km. of the Railway hospital/health unit and within 1 km. radius
from the station of the Medical Officers jurisdiction.
(iii) A Railway doctor on regular leave cannot perform the duties of Authorised Medical
Officer.
(2)

"Medical attendance" means-

(a) Attendance on Railway employee, members of the family or dependent relatives as defined in
pass rules ( hereafter called Beneficiary ) at the consultation room maintained by the Authorised Medical
Officer or in any Railway hospital/health unit.
(b) If there is no such consultation room/health unit/hospital, then attendance in any non-Railway
hospital/health centre/dispensary to which the Railway beneficiary is referred to by the authorised
medical officer.
(c) Attendance on a Railway employee at his residence in terms of para 634 of this chapter .
(d) Such special investigations as are considered necessary by the authorised medical officer.
Note: (i) Special investigations may include Pathological, Bacteriological and similar
tests, USG, Endoscopic examinations,FNAC etc.,
For such special investigations upto Rs 1000/- in each case done in Govt./recognised Hospital or
(ii)
in any hopsital, powers for referral/reimbursement are redelegated to MD/CMS/MS up to Rs
1000/-in each case, in case the requisite facilities are not available in nearby Govt/recognised
Hospital
(iii)
This power will be excercised by the MD/CMS/MS in consultation with two senior doctors(one
pathologist and the other from surgical or medical speciality or by the last two when a
pathoogist is not available) and the proceedings of the opinion, justification and sanction
recorded in the bed head ticket of the patient before the test is recommended
(iv)
It should be enured that only the special investigation facilities which are not available in
Railway Hospital are referred and not the routine ones.
(v)
Investigations costing more than Rs 1000/- each will continue to be decided by the Chief
Medical director of the Railways, wherever necessary, in consultation with the FA&CAO,
provided these were done at the instance of the Authorised Medical Officer and the amount
involved does not exceed Rs.10000/- per case.
( Ministry of Railway's letterNo.87/H/6-1/20 dt. 10/03/88, No.91/H/6-4/26 dt. 05/01/1994 , 05/12/97,
No. 89/H/6-4/policy dated 20/09/2000 and No.99/H/6-4/Policy dated 8-11-2001)
(e) Such consultation with a specialist or other medical officer in the service of Government,
stationed at places served by the Railway administration which the Authorised Medical Officer, with the
approval of the Chief Medical Director, certifies to be necessary to such extent and in such manner as the
specialist or the medical officer may determine.
Note: (i) A patient should not be referred to:(a) a specialist or medical officer not in the service of Government.
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