Medical Manual

CHAPTER â€“ I
GENERAL INTRODUCTORY, SCOPE

& DEFINITION
1. MEDICAL DIRECTORATE
The Medical Directorate functions at the Directorate General of CRPF under
the direct control and command of IG/DIRECTOR(MEDICAL) with the
following staff :-
(a) IG/Director(Medical) - 01
(b) Dy. Directors - 02
(c) PS to IG/Director(Med) - 01
(d) Inspector(Ministerial) - 01
(e) Sub. Inspector(Ministerial) - 01
(f) Asstt. Sub. Inspector(Min) - 02
1.1 MEDICAL SET UP
Medical Cover for the CRPF is provided from the following
sources :-
An organized medical set up is functioning in CRPF since 1976.
i) The Medical set up of CRPF was re-organised by the Ministry

of Home Affairs during 2004 vide their order No. 27012/33/2003-
PF-III dated 02/09/2004 by creation of following Hospital set up
for CRPF having the following types of Hospitals and M.I Room
set up at Battalion level.
100 Bedded Composite Hospitals at New Delhi, Hyderabad,

Guwahati and Jammu.
50 Bedded Composite Hospitals at Allahabad, Ajmer, Avadi,

Bangalore, Bhopal, Bhubaneshwar, Bilaspur, Gandhinagar,
Imphal, Muzaffarpur, Nagpur, Neemuch, Pallipuram, Pune,
Rampur, Silchar and Sindri.
20 Bedded GC Hospitals at Durgapur, Mokamaghat, Ranga

Reddy, Lucknow, Khatkhati, Pinjore, Jallandhar, CTC(T&IT)
Ranchi and CoBRA BNs.
10 Bedded Unit M.I. Rooms/Hospital at GC-Gurgaon, Ajmer-II,

Gwalior, Siliguri, Agartala, Greater Noida, Kathgodam,
Amethi,Srinagar, Sonipat,Raipur, RAF BNs(100 to102 and 104 to
108), 88(M) Bn, 135 (M) Bn, RTC-Peringom, RTC-
Rajger(Bihar), CTC-Coimbatore, ISA-Mount Abu, CIAT School-
Silchar, CIAT School-Shivpuri, 215(M) Bn,RTC-Humhama
(Srinagar) and all field Units
ii) The Composite Hospitals will cater for the medical
requirements of the personnel and their families of all
CAPFs on production of Family Health Card issued by
Competent Authority.
iii) Army Hospitals : Units deployed under the Army will

receive medical cover from the Army Hospitals.
iv) Local Hospitals : Whenever any State Administration

or Public Sector undertaking borrows the services of the
CRPF they will be responsible for the medical cover of the
Unit.
v) Civil Hospitals : CRPF personnel can also be treated in

Govt. Hospitals and such
other private Hospitals as are authorised to treat Central
Govt. Servants.
1.2 ROLE OF CRPF MEDICAL ESTABLISHMENTS
i) All Composite Hospitals and other Hospitals will provide all
outdoor and indoor facilities available in the Hospitals to all, not
only to CRPF employees and their families as defined in CS(MA)
Rules â€“ 1944 as amended from time to time, but also to other
CAPFs personnel and their families as defined in CS(MA) Rules
â€“ 1944.
ii) Whenever and wherever appropriate facilities for treatment are

not available in own hospital, the patient shall be referred to
nearest CRPF or CAPF Hospitals/Govt. Hospitals/Private
Hospitals, which are recognised for treatment of Central Govt.
Employees and their families under CS (MA) Rules-1944 as
amended from time to time. Units under Army control will be
provided Medical cover in Army Hospitals. For referral of patients
to nearest GC/Composite Hospitals, following procedure shall be
adopted :-
(a) Prior approval of IG(Med)/DIG(Med) of the Composite
Hospital concerned shall be obtained in all routine cases.
(b) In emergency cases patient can be referred to the

nearest Composite Hospital/GC Hospital without prior
approval of In-charge GC Hospital or Medical
Superintendent./IG(Medical).
(c) In case of emergency, DIG(Med)/IG(Med) of

Composite Hospitals are competent to refer the cases to any
CGHS approved Hospitals/Private Hospitals as a life
saving measure and to this effect it has to be certified by
the referring authority. However, Head of Office of Unit
personnel should be informed/concurrence may be taken to
avoid any financial implication after the treatment is
completed.
1.3 SANCTIONED BED
STRENGTH/SPECIALITY SERVICE/ STAFF
After the re-structuring of Medical set up, the new staffing pattern
authorized by the Ministry of Home Affairs vide OM/Letter No.II-
27012/33/2003-PF-III(Pt.I) dated 29/01/2007,No.II-27012/55/2005-PF-
III dated 11/02/2010 and No.II-27012/55-2005-PF-III dated 09/03/2010
is as under :-
AUTHORISATION OF SPECIALIST DOCTORS FOR 100/50 BEDDED

HOSPITALS OF CRPF
Sl.No. Speciality 100 Bedded CH 50 Bedded CH

1 Medicine 1 1
2 Surgery 1 1
3 Gynae & Obst. 1 1
4 Radiology 1 1
5 Pathology 1 1
6 Eye - 1
7 Paediatrics 1 -
8 Orthopaedics 1 -
9 Psychiatry 1 -
10. Anesthesia 1 1
SANCTIONED STRENGTH OF 100/50 BEDDED COMPOSITE

HOSPITAL OF CRPF
Sl.No. Name of the No. of Posts

post
100 50
Bed Be
ded dd
CH ed
CH
1. Doctor 18 14
Matron 1 -
SM/Sister-in- 1 1
Charge
Insp/Sister-in- 4 2
Charge
SI(Staff Nurse) 20 13
Inspector(Dietician) 1 -
Insp (Pharmacist) 2 -
SI(Pharmacist) 3 2
ASI(Pharmacist) 3 -
SI(Radiograpist) 1 1
HC (Jr) X-Ray Asst. 1 -
SI (Physiotherapist) 1 -
ASI - 1
(Physiotherapist)
SI(Blood Bank 1 -
Tech)
HC(Lab Asstt) 1 -
Blood Bank
ASI(Lab Tech) 2 1
HC (Lab Asstt) 1 -
ASI(ECG 1 -
Technician)
ASI(OT 1 1
Technician )
HC (Electrician) 1 -
HC(AC Plant Tech) 1 -
ASI(Dental 1 1
Technician)
Adm. Officer/ 1 -
AC(M)
SI(Steno) 1 1
SI(M) 2 2
ASI(M) 1 1
HC(Nursing Asstt) 10 5
HC (Steward) 1 1
Constable (Dresser) 1 -
Constable (Driver) 12 8
Cook 3 2
Peon 4 3
Masalchi 3 2
Ward 4 3
Boy/Girl/Ayah Ay
ah
Table Boy 1 1
Total 110 66
1.4 AUTHORISED MEDICAL ATTENDANT

i) Any Medical Officer of CRPF shall be the authorised Medical
Attendant for all CRPF personnel and their families.
ii) For personnel serving in Dte., IGP and DIGP Offices at

Delhi/New Delhi, the AMA shall be Medical Officer of CGHS
Dispensary nearer to their residence or to which they are
specifically authorized to get treatment. CRPF MOs shall not be
their AMAs as they are covered under CGHS scheme.
1.5 DEFINITIONS
i) â€œMedical attendanceâ€ would mean the same as
defined in Central Services (Medical Attendance) Rule, 1944 as
amended from time to time.
ii) â€œPatientsâ€ would mean all CRPF/CAPFs

personnel and their families as defined in C.S.(M.A.)
Rules, 1944 as amended from time to time or any other orders of
Govt. of India.
1.6 MEDICAL FACILITIES IN CRPF

HOSPITALS
i) All personnel of CAPFs Gazetted/Non-Gazetted and their
families as defined in CS(MA.) Rules, 1944 would be entitled for
free medical out patient and indoor treatment in CRPF Hospitals.
Those covered under CGHS shall be entitled for treatment in
CGHS hospitals.
ii) In emergency, free first aid/treatment may be provided to any other patient
(civilian).
iii) Retired Force personnel can avail the facilities available in
CRPF Hospitals in lieu of surrendering CGHS facility and getting
Family Health Card from the last Employer/GC on payment of
nominal fee as prescribed.
1.7 GOVT. HOSPITALS/RECOGNISED HOSPITALS

i) For the purpose of â€œGovt. Hospitalsâ€ as defined in
Central Services (Medical Attendance) Rules,
1944 all M.I. Rooms of Units, Hospitals in Group Centres,
CTCs, RTCs CIAT School, CTC(T & IT) Ranchi, ISA Mt. Abu,
CRPF, CRPF Academy Gurgaon and 100/50 Bedded Composite
Hospitals would be recognized Institutions for medical attendance
for all CAPFs personnel and their families.
ii) All personnel and their families covered under CS (MA) Rules,
1944, would attend MI Room/Hospital at the Station which would
be the recognized institution for their medical care. They may
attend other Hospitals only if referred by the CRPF Medical
Officers. The Institutions/Hospitals recognized for treatment of
Central Govt. Servants will be the recognized Hospitals for
treatment of CRPF personnel and their families.
1.8 DIRECTOR (MEDICAL) AND

MEDICAL OFFICERS
i) For the purpose of Central Services (Medical Attendance) Rules
1944 or the All India Services Medical Attendance Rules, the
Director (Medical) will be the Chief Administrative Medical
Officer in respect of all Force personnel, Gazetted/Non-Gazetted
and their families.
ii) All Medical Officers would be the â€œDistrict Medical

Officersâ€ in respect of above mentioned Rules.
1.9 PRIVATE PRACTICE PROHIBITED
All Medical Staff appointed in the Force Hospitals shall not be allowed
private practice of any kind whatsoever as per existing rules.
1.10 SUPERINTENDENCE, CONTROL AND
ADMINISTRATION OF DIFFERENT
HOSPITALS IN CRPF
i) 100 Bedded Composite Hospital : The superintendence and
control of 100 Bedded Hospital shall be vested in the
IG(Medical)/Medical Superintendent who has been declared as
HOD.
ii) 50 Bedded Composite Hospital: DIG(Medical)/Medical

Superintendent of 50 Bedded Composite Hospital has been
declared as Head of Office and functions independently under the
supervision of sector IGP. The professional matter will be
supervised by the Director(Medical).
iii) GC hospital/20 bedded hospitals of Training Institution : It

shall function under the control of DIGP, GC/Principal Training
Institution. Professional inspection and guidance will be under the
jurisdiction of IG(Medical), Composite Hospital covering the
area.
iv) Unit MI Rooms : Unit M.I Room shall function under the
administrative control of Range DIGP/Commandant.
a) In this regard, it is further clarified that if
CMO(SG) doctor is posted in the Unit and the
Commandant is junior in service or of equivalent
rank, the Range DIGP shall have the administrative
control over the Hospital.
b) Where the Commandant is senior and the doctor

posted in the Bn is of the rank of CMO(OG) and
below, the Commandant of the Battalion shall be the
administrative authority over the Hospital.
c) In a particular location there should not be

multiple M.I. Rooms, which may create confusion
and affect rendering of professional services in an
effective manner. To have an effective professional
services, all such independent M.I Rooms should be
amalgamated to a common MI Room and the senior
most Medical Officer should function as the In-
charge of the Hospital and all other Medical Officers
& staff of all other Hospitals should function under
one roof.
1.11 DISCIPLINARY CONTROL
Visit/Inspection of Units/Offices by Senior Officers.
DG, Spl.DG, Addl.DG Visit 100 Bedded Composite Hospitals as
and Director(Medical) per their convenience.
Director(Medical) Inspection of 50 Bedded Composite
Hospitals once in a year. As and when need
arises may do so after approval of
competent authority.
IG(Medical) of 100 Inspection of 20 Bedded Hospital under his
Bedded Composite jurisdiction and his own charges once in 2
Hospital years. He will also visit /inspect at least 01
Bn MI Room near the GC during the
inspection of GC Hospital.
DIG(Med) of 50 Inspection of all MI Rooms and Hospitals
Bedded Composite under his control as well as his own charge
Hospital once in a year.
All CMOs and Inspection of their respective charges once
MOs in a year.
1.12 RENDITION CHANNEL FOR APAR OF

DOCTORS
SLNO NAME OF INITIATING REVIEWING SUPERIOR
POST AUTHORITY AUTHORITY REVIEWING
OFFICER/
ACCEPTING
AUTHORITY
TECH
TECH ADM ADM
01. DIR(Medical), ADG (Medical) ADG(HQR), - DG
Dte. General Dte. General -
02. DD(Medical)/ DIR (Medical) DIR(Medical) ADG (Medical) ADG(HQR) Dte.
CMO(SG) Dte. General Dte. General General
Dte. General
03. IG(Medical) 100 ADG(Medical) ADG(HQR) Dte. - DG
Bedded CH General -
04. CMO(SG)/ IG(Medical) of same IG(Medical) of same ADG (Medical) ADG (HQR) Dte.
CMO/ CH. CH. General
SMO/MO, 100
Bedded CH
5. DIG(Medical) DIR(Medical) Dte. Sector IGP ADG (Medical) ADG (HQR) Dte.
50 Bedded CH General (A note on General
the functioning of
DIG(Medical) will
also be given by
IG(Medical) of
nearest Referral 100
Bedded CH)
06. CMO(SG)/ DIG(Medical) of DIG(Medical) of DIR (Medical) Sector IGP AD
CMO/ same CH. same CH. Dte. General Gen
SMO/MO, 50
Bedded CH
07. CMO(SG) of 20 IG/DIG(Medical) of DIGP of DIR (Medical) Sector IGP AD
Bedded GC/Trg. nearest CH. GC/Training Centre Dte. General. Gen
Centre Hospital
08. CMO/SMO/ MO CMO(SG) I/C COMDT/ IG/DIG DIGP of Sec
of 20 Bedded DIGP/ (Medical) of GC/Training Centre
GC/Trg. Centre PRINCIPAL of Adm CH
Hospital GC/Training Centre having jurisdic-
tion
09. CMO(SG) of IG/DIG(Medical) of UNIT COMDT/ Director Sector AD
Duty Bn own GC/CH ADM DIGP/ OPS (Medical) Dte. IGP Gen
DIGP* General
10. CMO/SMO/MO IG/DIG(Medical)/ UNIT COMDT. IG/DIG ADM DIGP/OPS Sec
when posted CMO(SG) of GC (Medical) of DIGP*
independently having jurisdiction CH having
jurisdic-tion
higher than
initiating
Medical Authy.
* If both the Adm DIGP and Ops DIGP are available, the Ops DIGP will write/review the
APAR.
1.13 MEDICAL ETHICS

It is pertinent to mention the Hippocratic oath of medical practice,
which stands as the golden words of ethics.
(I) Hippocratic Oath
(a) You do solemnly swear each by whatever he or she holds most
sacred that you will be loyal to the Profession of Medicine and
just and generous to its members.
(b) That you will lead your lives and practice your art in
uprightness and honor.
(c) That into whatsoever house you shall enter, it shall be for the
good of the sick to the utmost of your power, you holding
yourselves far aloof from wrong, from corruption, from the
tempting of others to vice.
(d) That you will exercise your art solely for the cure of your
patients, and will give no drug, perform no operation, for a
criminal purpose, even if solicited, far less suggest it.
(e) That whatsoever you shall see or hear of the lives of men or
women, which is not fitting to be spoken, you will keep inviolably
secret. These things do you swear. Let each bow the head in sign
of acquiescence and now, if you will be true to this you oath, may
prosperity and good repute be ever yours, the opposite, if you
shall prove yourselves for sworn.
To this, your oath, any property and good repute be
ever yours.
(II) The ethics also demands certain code of
conducted in the medical practice as under :-
(a) The Medical Officers will ensure that medical

examinations are carried out in privacy.
(b) Examination of female patients will be conducted
in the presence of a Nurse or a female attendant. In
an emergence when female attendants are not
available, the husband/guardian of the patient should
be present during the examination.
(c) Before the commencement of the examination,
the female patient must be apprised of the nature of
the examination proposed to be carried out and her
consent is to be obtained.
1.14 WEARING OF PROFESSIONAL/KAKHI UNIFORMS BY
THE NURSES/ PARAMEDICAL STAFF
Matron, Asstt.Matron, Sister Incharge, Ward/Theatre Sister, Staff Nurse
(Famale/Male) will wear his/her professional uniforms in accordance with this
Medical Dte. Ltr. No. U.II-I/85-MS dated 01-05-198. All combatised hospital
staff will wear Kahi uniforms on the same line and scale of ministerial cadre till
separate scale and authorization of uniform for hospital staff is received from
the Govt. Combatised hospital staff will not wear apron over the kahi uniforms.
1.15 PROFESSIONAL TRAINING

All Medical Officers and Paramedical Staff will undergo combatisation
course/Basic training after recruitment in CRPF as per scheduled training
programme enumerated in SO-74/2001 and instructions. Medical Officers will
attend various in service/refresher course inside and outside CRPF as per SO-
2/2009.
CHAPTER-II
DUTIES OF MEDICAL OFFICERS
AND STAFF
2.1 DUTIES OF DIRECTOR(MEDICAL)
i) Advising the Director General, Zonal Spl DsG/ADG and Sector
IsGP on various policy matters related to health and medical cover
to the Force as he is the Technical Head of Medical Set-up in
CRPF.
ii) Scrutinizing all proposals relating to medical set-up of Force
from technical angle and put up for further processing to the
authority concerned.
iii) Supervision of Administration, control of Budget and issue of
expenditure sanctions for procurement of medicines/equipments
required for the Hospitals under his jurisdiction.
iv) Constitution of COI in respect of medical stores and writing
off of losses etc.
v) Inspection of 50 Bedded Composite Hospitals once in a year
and any other Unit Hospital at his discretion.
vi) Formulation of Health policies of the Force personnel.
vii) Personnel and material management concerning Medical set
up of Force and suggesting posting/transfer of Medical Officers
to Pers Directorate.
viii) Conduct of Medical Research relevant to health condition of
CRPF.
ix) Monitoring of health indices of the Force by analysis of
statistical data.
x) Dealing with all Service matters related to Paramedical Staff.
xi) Centralized recruitment to fill up the vacancy of Paramedical
Staff and transfer /attachment as per requirement.
xii) Documentation, planning and rendering advice on the
prevention of epidemic diseases to troops and their families living
in various places in India.
xiii) Planning and advising on the prevention of diseases and
promotion of health of Force personnel and their families at very
short notice.
xiv) Arranging medical cover for Units called for Law and Order
duty at any place in India at very short notice.
xv) Formulating policy regarding evacuation of casualties and its
implementation and further treatment.
xvi) Issuing of necessary guidelines and instructions to Units in all
matters concerning health of the Force personnel and their
families.
xvii) He is responsible for standardization of equipments at
different Hospitals.
xviii) Maintenance of Strength Register of MOs and Paramedical
Staff of Hospitals, drawal of Gradation Lists and Approved Lists
of Staff Nurses, Pharmacists, Nursing Assistants, Ward Boys/Girls
and other Hospital Staff.
xix) Organizing various Medical Conferences, publication of
Medical Bulletin, Training Programme and Courses for higher
studies for Medical Officers and Para Medical Staff.
xx) Maintenance of records of various diseases like AIDS,
Malaria and other diseases for future planning of preventive
measures.
xxi) Processing Deputation of Medical Officers and Paramedical

Staff to outside Organizations and Foreign assignments.
xxii) Maintaining liaison with ADG (Medical) Office, CGHS and
other Sister Organizations and ensuring better coordination with
Ministries, Defense Services, CHs for better Medicare of Force
personnel and their families.
xxiii) Constitution of various Boards for SHAPE categorization,
Invalidation, Recruitment, Review Medical Boards, Foreign
assignments etc.
xxiv) Detailment of Medical Officers for different duties.
xxv) As per para 12 of MHA UO No.I.45024/5/2011-Pers-
II(MHA) dated 23-03-2011 the senior most IG(Medical) of
Combined Gradation List is posted as Director(Medical) of
different Forces. He being the senior most and Staff Officer to the
DG will be entitled to inspect 100 Bedded Composite Hospitals
every year in order to ensure better and smooth functioning of 100
Bedded CHs.
xxvi) Organizing any Crash Course/First Aid Course for better
Medicare of the Force personnel.
xxvii) He/She will perform any other duty assigned to him/her by
DG(Medical)/ADG(HQ) CRPF/DG CRPF.
2.2 DUTIES OF
IG(MEDICAL)/SUPERINTENDENT 100
BEDDED COMPOSITE HOSPITALS
i) He/She will be the Head of Department and Drawing and
Disbursing Officer of the 100 Bedded Composite Hospital.
ii) He/She will be responsible for the general administration ,
submission of Reports and Returns, sanctioning of Casual
Leave/Earned Leave/Paternity/Maternity and Child Care leave to
Gazetted and Non-Gazetted Hospital and Ministerial Staff posted
in Composite Hospital.
iii) He/She will exercise administrative control and disciplinary

powers in respect Medical Officers and Staff posted in the
Hospital. He will initiate APAR of all Medical Officers working
under him/her and will review the APARs of all Non-Gazetted
Staff.
iv) He/She will be responsible for the internal administration,
economy, supervision and discipline of Medical Officers of all
categories and other staff working under his/her control in the
Hospital.
v) He/She will be responsible for the safe custody of Top Secret,
Secret and Confidential documents.
vi) He/She will be responsible for the preparation of Budget
Estimates and will exercise close supervision and control over the
Budgetary Grant in respect of the Hospital and also for drawal and
disbursement of Pay and Allowance of all staff working under
his/her control.
vii) He/She will be responsible for grant of annual increment to all
Group â€˜Câ€™ Ministerial and Hospital Staff of Composite
Hospital.
viii) He/She will be responsible for maintenance of Service
Books, Character Rolls of Group â€™Câ€™ Ministerial and
Hospital Staff.
ix) He will carry out Annual Inspection of the Hospitals under his
jurisdiction
x) He/She will be the sanctioning authority for all kinds of Leave
to Gazetted and Non- Gazetted staff of Hospital.
xi) He/ She will advise and give guidance to Units in the campus
regarding sanitation of lines and notification of infectious
diseases.
xii) He/She will be responsible for the discipline of the Hospital
Staff and Ministerial Staff. He/She may inform the authority
concerned all such breaches of discipline on the part of the
Members of the Force under treatment in the Composite Hospital
or attached with Hospital for other duties for taking further
disciplinary action against such Members of the Force under
CRPF Act and Rules.
xiii) He/She will detail any member of the Hospital Staff for such
duties as he may consider desirable.
xiv) He/She will supervise the medical care/treatment of the
patients admitted in the Hospital. He/She will advise other
Medical Officers regarding treatment etc., of the patients
attending OPD as and when required or when they are referred to
him/her.
xv) He/she will be overall responsible for placement of demand
and timely procurement of medicine, other hospital necessities,
equipments and general stores required for the Composite
Hospital.
xvi) He/She will scrutinize the recommendations of Head of
Department concerned for invalidation of patients on medical
grounds and those who are, in his opinion, will not become
efficient Members of the Force on medical grounds.
xvii) He/She will distribute various duties including emergency
duties amongst the Medical Officers and Staff.
xviii) He/She may entrust any Medical Officer of any Rank
working under him to act as Staff Officer/Administrative
Officer/MTO/Accounts Officer for looking after the general
administration work and accounts of the Hospital in addition to
his/her own professional duties.
xix) He/She will approve SHAPE Category Proceedings of AME for
Officers /NGOs as per guidelines in S.O for â€œSHAPEâ€
categorization system.
xx) He/She will arrange CME/Training for Medical Officers and
Paramedical Staff.
xxi) He/She will liaise with authorities of various Super Specialty
Hospitals of Government and Corporate for proper treatment of Force
personnel.
xxii) He/She will inspect the GC/Unit Hospitals under his/her
jurisdiction and supervise their functioning. He will also review
the Technical APARs of doctors posted there.
xxiii) He/She will be the Estate Officer for the Hospital and the
area of jurisdiction.
xxiv) He/She will sanction Casual/Earned/Paternity/Child Care
Leave etc to the Gazetted and Non-Gazetted Hospital Staff and
Ministerial Staff posted under his control.
xxv) He/She will perform any other duty assigned to him/her by
ADG(Medical)/ADG(HQ) CRPF/DG CRPF.
2.3 DUTIES OF DIG(MEDICAL), 50 BEDDED
COMPOSITE HOSPITAL
i) He/She will be HOO and In-charge of 50 Bedded Composite Hospital
and will be responsible for the general administration including detailing
of duties (routine as well as emergency), submission of Reports and
Returns sanctioning of Casual Leave/Earned Leave to Gazetted and
Non-Gazetted Hospital and Ministerial Staff posted in Composite
Hospital.
ii) He/She will be responsible for the procurement of Medical
Stores, Equipments and Appliances for the Hospital.
iii) He/ She will be responsible for the preparation of Indents for
GMSD and local purchase of medicines, equipments and other
items under his/her financial powers after observing all formalities
under GFR.
iv) He/She will advise and give guidance to the local
Commandant/DIGP in all matters concerning the health of Force
personnel and families, sanitation of the lines and notification of
infectious diseases.
v) He/She will be responsible for the discipline of Ministerial and
Hospital Staff and informing the authorities concerned all
breaches of discipline on the part of the Members of the Force
admitted in the Hospital or detailed to work for the Hospital for
taking disciplinary action under CRPF Act and Rules.
vi) He/She will supervise the medical care/treatment of the
patients admitted in the Hospital. He/She will advise other
Medical Officers regarding treatment etc., of the patients
attending OPD as required or when they are referred to him/her.
vii) He/She will advise Commandants/DIGP for initiating cases
for invalidation on medical grounds.
viii) He/She will distribute various duties including emergency
duties amongst the Medical Officers and Staff.
ix) He/She is responsible for the safe custody of Secret and
Confidential documents.
x) All the correspondence with higher Formations should
normally be dealt with by him and should go under his/her
signature.
xi) He/She will initiate APARs of Gazetted and Non-Gazetted
Hospital Staff.
xii) He/She may entrust any Medical Officer of any rank working
under him/her to act as Staff Officer/Administrative
Officer/MTO/Accounts Officer for looking after the general
administration work and accounts of the Hospital in addition to
his/her professional duties.
xiii) He/She will attend OPD and indoor as per his specialty or as
General Practitioner doctor.
xiv) He/She will liaise with Medical Authorities of Super
Specialty Government/Corporate Hospitals of his location and get
the facilities extended to the CRPF personnel and their families.
xv) He/She will arrange CME/Training of Medical Officers and
Paramedical Staff of his areas of jurisdiction.
xvi) He/She shall conduct Quarterly Sainik Sammelan of
Ministerial/Hospital Staff posted and attached M.T and other GD
Staff.
xvii) He/She shall supervise the AME, review of low medical
categories, invalidation of patients under his jurisdiction.
xviii) He/She shall inspect/supervise the Unit M.I. Rooms falling
under his/her jurisdiction and shall review the APARs of doctors.
xix) He/She shall be the Estate Officer of the Hospital and area of
jurisdiction.
xx) He/She will sanction Casual/Earned/Paternity/Maternity/Child
Care Leave etc to the Gazetted and Non-Gazetted Hospital Staff
and Ministerial Staff posted under his control.
xxi) He/She will perform any other duty assigned to him by
ADG(Medical)/Director(Medical)/Sector IGP under whose
jurisdiction the Hospital falls.
2.4 DUTIES OF DY.
DIRECTOR(MEDICAL)/CMO (SG)-I
Deputy Director (I) will be responsible to the Director Medical for the
following.
i) Senior among the Dy. Directors (Medical) posted in the Medical
Branch will function as DD-I and he will be the overall in-charge
of the Medical Branch and responsible for its close supervision
and efficient functioning.
ii) He/she will assist Director (Medical) on various policy matters
affecting medical cover to the Force.
iii) He/she will assist Director (Medical) in making opinion in
files sent by various Branches for opinion of Director (Medical).
iv) He/she will assist Director (Medical) with regard to
Promotion/Transfer/Attachment, Deputation, Recruitment,
Compassionate Appointment etc. in respect of Group â€˜Câ€™
Hospital Staff.
v) He/she will be responsible for the safe custody of top secret and
confidential documents.
vi) He/she will be responsible for internal administration,
economy, supervision and discipline of all Staff working in
Medical Branch.
vii) He/she will be responsible for review of Recruitment Rules of
Group â€˜Câ€™ Hospital Staff and Gradation List of Hospital
Staff.
viii) He/she will process the cases with regard to organization
/restructuring/perspective plan of Medical set up.
ix) He/she will ensure timely submission of cases received from
VIPs, MHA and Parliament Questions.
x) He/she will be responsible for timely filling up of vacant posts
of Paramedical Staff.
xi) He/she will be responsible for disposal of cases processed by
Medical Branch after obtaining approval of Director (Medical).
xii) He/she will sanction Casual Leave/Station Leave to
Ministerial Staff and personnel attached with Medical Branch.
xiii) He/she will be responsible for timely drawal of DPC for
various promotional posts amongst Paramedical Staff and
Departmental Screening Committee (DSC) for allowing MACP
for Hospital Staff.
xiv) He/she will be responsible for proper/timely utilization of
budget and monitoring of expenditure on medicines and
equipments.
xv) He/she will deal with revision of Medical Manual and PET of
all CRPF Hospitals and also attend proposals related to Ministry
of Health and Family Welfare.
xvi) He/she will attend to all correspondence related to pay
fixation/revision of pay/MACP/uniform/washing
allowance/nursing and patient care allowance.
xvii) He/she will deal with cases of procurement of Hospital
equipments/medicines.
xviii) He/she will deal with cases of review petition/interview and
compassionate appointment.
xix) He/she will deal with Tour/Visit/Inspection of Director
(Medical), Directorate General.
xx) He/she will perform any other work/duty assigned to him/her
by Director (Medical), Directorate General.
2.5 DUTIES OF DEPUTY

DIRECTOR(MEDICAL)/CMO (SG)-II
Deputy Director(Medical)-II will be responsible to the Director (Medical) for
the following:-
i) He/she will ensure submission of proposal for detailing Review
Medical Board/Monthly Medical Board at various CHs.
ii) He/she will monitor progress regarding implementation of
action plan on AIDS (Detection/ART courses/Common Training
Centre/VCCT Centers and AIDS related death and
correspondence thereof.
iii) He/she will process sanction of Medical Advance from
SRF/other Govt. Funds.
iv) He/she will process the training matters of Paramedical
Staff/attached GD staff, Medical Conference of MOs and
permission for higher studies.
v) He/she will scrutinize the percentage of disability awarded by
the Medical Board for grant of benefit out of Risk Fund before
submission of the same for concurrence of Director (Medical).
vi) He/she will be responsible for procurement of non-PET items
and processing of cases for obtaining sanction of various stores
under modernization plan.
vii) He/she will watch compliance report of Inspection Notes/
Tour Notes of DG/ADG, Conferences and Monday meetings.
viii) He/she will process cases on various single files referred by
branches of Directorate on various matters.
ix) He/she will deal with all correspondence related to
Malaria/Avian flu/Alcoholism/De-addiction/Hepatitis and other
communicable diseases in the Force and its compliance thereof.
x) He/she will deal with Hindi correspondence and
Reports/Returns regarding use of Hindi Language.
xi) He/she will deal with Medical Categorization of Force
personnel including GOs and detailment of MOs for Recruitment
Boards/Recruitment Review Boards.
xii) He/she will deal with all correspondence pertaining to
Leave/appointment/contract/Adm Review and Resignation of
MOs
xiii) He/she will deal with Forms/Library/Books/News Papers/Telephone and
Stationery.
xiv) He/she will deal with Annual Administration Report and
issue of various Medical instructions.
xv) He/she will deal with all correspondence with Army/Civil
authorities.
xvi) He/she will be responsible for documentation, Psychiatric
Study/planning and advising on the prevention of epidemic
diseases to troops and their families living in various places in
India.
xvii) He/she will process the cases for detailment of Medical
Officers and Para Medical Staff for temporary duties.
xviii) He will deal with approval for move of patients and monitor
the referral of patients to CHs and Private Hospital, MR claims
and Cashless treatment.
xix) He/she will deal with detailment of Medical Officers, Para
Medical Staff for Sports events, Anniversary Parade/Medal/DG
Disc/Amarnath Yatra/Computer course etc.
xx) He/she will deal with all Court cases pertaining to Medical
boards/MACP/Transfer/Recruitment/ HPCA/PCA/Nursing
Allowance etc.
xxi) He/she will keep up-to-date details of Hospital admission
cases in various Hospitals in and around Delhi.
xxii) He/she will deal with Pulse Polio Programmes, Death cases
and welfare of Force personnel.
xxiii) He/she will assist Director (Medical) in deciding posting of
Medical Officers.
xxiv) He/she will perform any other work/duty assigned to
him/her by Director (Medical), Directorate General.
2.6 DUTIES OF SPECIALIST (FROM SMO

TO CMO(SG) COMMANDANT.
i) He/She will deliver specialized services to OPD and Indoor
patients in his/her own and allied field of specialty.
ii) He/She will provide specialist opinion as and when required for
different Boards other than advise of treatment.
iii) He/She will provide specialists opinion as and when required
for issue of instructions, procurement of equipments, medicines
and other accessories required for his/her specialty.
iv) He/She will advise the I/C of Hospital in all matters
concerning his/her specialty.
v) He/She will perform major/minor surgeries/procedures as per
the requirement of the patient.
vi) He/She will put up to I/C of Hospital for initiating the case for
invalidation for personnel suffering from diseases concerning
his/her specialty.
vii) He/She is responsible for proper maintenance of Case Sheets
and Medical documents related to patients admitted in his/her
field of specialty.
viii) All correspondence relating to patients admitted under
him/her with I/C Hospital or other Formations should be dealt
with by him/her and should go under his/her signature to I/C
Hospital.
ix) He/She will initiate APAR of Non-Gazetted Hospital Staff
working under him/her.
x) He/She will perform any emergency medical duties irrespective
of his/her specialized field of duties as per rotational DMO Roster
and also visit/accompany serious patients admitted in other
Hospitals. He/She shall attend emergency of their specialty as and
when called by the DMO.
xi) He/She will carry out AME/Recruitment as detailed by
Director(Medical) and I/C of Hospital and other higher
Formations under whose jurisdiction the Hospital falls.
xii) He/She will perform any other duty assigned to him/her by
his/her superiors.
2.7 DUTIES OF CMO(NFSG), CMO(OG),

SMO AND MO WHEN POSTED IN
COMPOSITE HOSPITALS/GC HOSPITALS
i) He/She will see outdoor as well as indoor patients as assigned to
him/her by Medical Supdt. In-charge of the Hospital
ii) If he/she possesses Post Graduate Qualification, he/she will
provide specialized cover to Outdoor as well as Indoor patients in
respect of his/her specialty. He/she will provide medical care and
attendance to Indoor patients if he/her is assigned duties of MO
I/C of any discipline by the Medical Supdt./DIG(Med) of the
Hospital.
iii) He/She will perform emergency duties as per DMO Roster
ordered bv Medical Supdt./DIG(Med) of the Hospital.
iv) He/She will conduct Annual Medical Examination of the
personnel and Officers of the Bns/Institutions as ordered by the
Medical Supdt./DIG(Med) of the Hospital.
v) He/She will conduct Recruitment Medical Examination/Review
Medical Examination/Invalidation Board of the
Recruits/personnel as and when such duties are assigned to
him/her by competent authority.
vi) Besides professional clinical duties mentioned above, the
Medical Officer will be responsible for Medical
stores/Dispensary/General stores, Clothing Store/Ration
Store/Laboratory/X-Ray Room/OT/Hospital.. Mess/Recreation
Room and any other administrative duty as and when he/she is
detailed for the same by the Medical Supdt./DIG(Med) of the
Hospital.
vii) If the Medical Officer is lady, she will also provide medical
care and attendance to the ladies and children attending the
Hospital. She shall attend Labour Room and conduct deliveries
viii) He/She shall inspect the sanitation and hygiene of the Camp
area as assigned by the
Medical Superintendent/In-charge of Hospital.
ix) He/She will visit/accompany serious patients admitted in other
Hospitals.
x) He/she will perform any other duty assigned to him by the
Medical Superintendent of the hospital.
2.8 DUTIES OF CMO(NFSG), CMO, SMO
AND MO WHEN POSTED IN DUTY BN
i) He/She will be In-charge of Unit Hospital and responsible for
the General Administration including detailing of duties,
submission of Reports and Returns. He will put up cases for the
sanctioning of all kinds of Leave(EL/CL/Maternity
leave/Paternity Leave, Child Care Leave etc) of Non-Gazetted
Hospital Staff to HOO and maintenance of relevant Registers.
ii) He/She will be responsible for procurement and maintenance
of Hospital Stores, Equipments and Appliances through Unit
Commandant. He will be responsible for submission of Annual
Estimated Demand to GMSD.
iii) He/She will advise and give guidance to the Commandant in
all matters concerning health care of the Force Members and their
families and once in a month will advise the Commandant
regarding upkeep of sanitation of Campus area, Family and
Jawans lines and notification of infectious diseases.
iv) He/She will be responsible for the discipline of the Medical
Staff and will report to the Commandant in all matters of
discipline of Hospital Staff and other personnel, working in the
Unit Hospital.
v) He/She will advise the Commandant for initiating cases for
invalidation on medical ground working in the Unit Hospital.
vi) He/She will initiate APARs of Non-Gazetted Hospital Staff.
vii) He/She will attend Sick Report of Unit and treat all patients in
Unit Hospital.
viii) He/She will personally conduct Annual Medical Examination
of the personnel of the Unit/other Units as per SHAPE
Categorization System and shall maintain records and shall follow
up all cases of low medical category as per instructions.
ix) He/She will attend emergency cases and maintain emergency

tray with all emergency drugs/equipments.
x) Besides performing professional duties mentioned above the
Medical Officer will be responsible for proper utilization of stores
in Medical Store/Dispensary, expendables, clothingâ€™s etc., of
the Hospital. He/she will maintain Registers regarding proper
utilization/declaring surplus/condemnation or classification of
articles.
xi) He/she will be MTO for detailment of Unit Ambulance.
xii) He/she will set up small Clinical Laboratory to carry out basic
investigations such as Malaria Test, Pregnancy Test, Hb
percentage, Blood Sugar Test and Lipid Profile, Urine Test,
Serological Test etc.
xiii) He/she will be responsible for immunization of personnel and
families of the Unit, anti-malaria measures etc.
xiv) Once in a month he/she will visit
pickets/Coys/Platoons/Sections deployed outside Bn HQr and will
also arrange emergency of patients evacuation.
xv) He will take Monthly sanitary rounds of Unit/Coy Campus
and exhibit utmost care for prevention of spreading of any
infectious/communicable disease.
xvi) He/she will put in all efforts for promotion of healthy life
style among Force personnel and their families.
xvii) He/she will deliver Lectures and make efforts to encourage
Force personnel and their families for adopting Family Planning
measures and other health related issues.
xviii) He/she will ensure utilization of Force personnel who have
undergone First Aid Course in all types of indoor/out-door
medical duties/cover during ARCF/JDPET etc in Coys.
xix) He/she will perform any other duty assigned to him/her by
the competent authority not below the rank of Commandant of the
Unit.
2.9 DUTIES OF MO/SMO/CMO (MEDICAL STORE)
i) He/she will be responsible for arranging procurement of
medicines, X-ray films and chemicals, medical equipments,
laboratory chemicals and hospital appliances/equipment etc., for
the Composite Hospital/any other Hospital. He/She will also
arrange their storage, upkeep and distribution as also
condemnation of unserviceable articles.
ii) He/she will ensure accurate and up-to-date maintenance of all
records and make correspondence pertaining to the stores
mentioned in sub-para(i) above.
iii) He/she will ensure that necessary formalities are observed before and
after procurement of stores.
iv) He/she will ensure that medicines are utilized before the expiry
date and for this purpose he/she will arrange issue of a Note
signed by the Medical Superintendent/In-charge of Hospital every
month showing the names and Expiry dates of medicines due to
expire within next six months. The Note will be circulated among
the Medical Officers with the request to consume the items well
before the expiry date.
v) He/she will ensure that the Medical Store is well provided with
medicines and will inform the Medical Superintendent/In-charge
of Hospital well in time about the medicines etc., that are going to
exhaust so that action for their procurement is taken. He will see
that no unnecessary stocking of any store is done for a long time
and will report all such instances to the Medical
Superintendent/In-charge of Hospital.
vi) He/she will see that the unserviceable articles are condemned
by a Board of Officers and will arrange for their Auction as and
when necessary. Necessary entries of such items will be made in
Condemnation and Auction Registers (CRPF Forms 16 & 103)
duly attested by the Medical Superintendent/Incharge of the
Hospital.
vii) He/she will supervise the work of Medical Store Keeper.
viii) He/she will perform any other duty assigned to him/her by
In-charge of Hospital concerned.
Note : For performing the above duties, Medical Officer I/C

Medical Stores will be assisted by Medical Store Keeper.
2.10 DUTIES OF MO/SMO/CMO
(GENERAL STORES)
i) He/she will be responsible for arranging/indenting and
purchasing of all general stores items like Hospital furnitureâ€™s,
fittings, Hospital linen, clothing, bedding, dietary and
miscellaneous articles in Composite Hospital. In all other
Hospitals he will be responsible for the procurement of dietary
articles and the rest of the stores will be procured by him/her with
the help of the QM.
records and make correspondence pertaining to the stores
mentioned in sub-para (i) above.
iii) He/she will ensure that there is no unnecessary stocking of
stores and also the quantity does not exceed the scale laid down in
PET.
iv) He/she will be responsible for procurement of required items
and supply of diet and its documentation.
v) He/she will perform any other duty assigned to him/her by the
Medical Superintendent/ In charge of Hospital.
Note : For performing the above duties, Medical officer I/C
of General Stores will be assisted by General Store Keeper.
2.11 DUTIES OF MEDICAL OFFICER IN-
CHARGE OF RADIO DIAGNOSIS
i) He/she will be responsible for timely intimating Medical
Superintendent/ In-charge of Medical Stores regarding
requirement of X-Ray equipment/ appliance, films and chemicals
required for the X-Ray Section and Ultrasound Section.
ii) He/she will be responsible for proper maintenance , storage and
use of stores held on charge of X-Ray and Ultrasound Section.
iii) He/she will supervise the work of Radiographer, X-Ray
Assistant, Ultrasound Assistant and will be responsible for proper,
smooth and efficient working of Radiology Section.
iv) He/she will perform any other duty assigned to him/her by the
Medical Superintendent of Composite Hospital/In charge of the
Hospital.
Note : For performing the above duties, Medical Officer In-charge

of X-Ray and Ultrasound Sections will be assisted by X-Ray
Technician, X-Ray Assistant and Ultrasound Assistant.
CHARGE OF LABORATORY
i) He /she will be responsible for timely intimating Medical
officer I/C Medical Stores regarding requirements of laboratory
equipments, appliances etc., required for Laboratory.
ii) He/she will be responsible for proper storage, maintenance and
use of stores held on charge of Laboratory.
iii) He/she will supervise the work of Blood Bank Technician,
Laboratory Technician and Assistant and also ensure proper,
smooth and efficient working of Laboratory.
Medical Superintendent/ DIG(Med) of CH/ In-Charge of Hospital.
Note : For performing the above duties, Medical Officer In-
charge of Laboratory will be assisted by Laboratory
Technician/Lab. Assistant.
CHARGE OF DISPENSARY AND OPD
i) He/she will be In-charge of Dispensary & OPD and responsible
for indenting of the stores from medical/general stores of the
Hospital.
records of indenting and consumption of medical/general stores
and permanent articles held on charge of Section of Hospital as in
(i) above.
iii) He/she will perform any other duty assigned to him by the
Medical Superintendent/ In-charge of the hospital.
Note : Above duties can be distributed separately, if
sufficient number of doctors are available.
2.14 DUTIES OF STAFF
OFFICER/ACCOUINTS OFFICER/MTO IN
COMPOSITE HOSPITAL
Any suitable Medical Officer of any rank working under

IG/DIG(Medical)/IC of the Hospital may be entrusted with duties
of Staff Officer/Adm Officer/MTO/Accounts Officer.
A. DUTIES OF STAFF OFFICER IN CH
i) He/She will look after the General Administration of Hospital
ii) He/She will be responsible for submission of Reports and
Returns, sanctioning of Casual Leave to Non-Gazetted
Hospital/Ministerial and attached staff.
iii) He/She will advise and recommend Leave of any kind of
Gazetted Officers to IG/DIG(Medical).
iv) He/She will initiate APARs of Hospital/Ministerial and
Attached staff.
v) He/She will help IG/DIG(Medical) in distributing emergency
duties amongst the available Medical Officer.
vi) He/she will perform any other duty assigned to him/her by
IG/DIG(Medical).
B. DUTIES OF ACCOUNTS OFFICER
i) He/she will take care of all accounts and financial

matters/transactions of the Hospital on behalf of IG/DIG(Medical)
ii) He/She
iii) He/She will perform the duties of MTO in respect of Hospital
vehicles.
iv) He will be responsible for matters pertaining to the M.T fleet
which are sanctioned for the Composite Hospital.
v) He will be responsible for the up-keep of MT
Fleet/Maintenance Section and Record keeping of the vehicles
and their timely entries of inventory, repair, maintenance etc., He
will be assisted by HC(Dvr) for maintenance of records and
technical inspection of MT Fleet.
vi) He/she will perform any other duty assigned to him/her by
IG/DIG(Medical).
2.15 DUTIES OF DENTAL SURGEON

i) He/She will see OPD/Indoor patients and will provide medical
and surgical treatment to all patients including family members of
Force personnel suffering from dental ailments.
ii) He/She will give opinion regarding dental problems of
personnel referred to him/her at the time of recruitment/RMB/Pre-
medical Examination etc.
iii) He/She will supervise the work and functioning of Dental
Technician and will report to Medical Superintendent of the
Hospital regarding any shortcoming of Dental Technician.
iv) He/She will initiate action for procurement of Dental
Equipments.
v) He/She will apprise Medical Superintendent about recent
advances in Dental Technologies.
vi) He/She shall be responsible for proper record keeping of
equipments and their maintenance, so also patient data.
vii) He/She shall deliver Lectures on dental care and hygiene to
Force personnel and family members and organize different
Courses/Programmes.
viii) He/She will perform any emergency medical duties
irrespective of his/her specialized field of duties as per rotational
DMO Roster and also visit/accompany serious patients admitted
in other hospitals.
ix) He/She will attend emergency of his/her specialty as and when
called by the DMO.
x) He will carry out any other duty assigned to him/her by the
2.16 DUTIES OF MATRON
i) The Matron will have supervisory control over the Nursing
Staff and other Group â€˜Câ€™ Hospital Staff.
ii) He/She will arrange duty hours of all Group â€˜Câ€™ Hospital
Staff with the approval of the In-charge.
iii) He/She will look into and investigate complaints of patients
and Nursing Staff. However, cases of serious or important nature
will be reported to the In-charge.
iv) He/She will initiate APAR of all Nursing Staff of the Hospital
i.e. Asst. Matron, Sister I/C, Staff Nurse of OPD and Indoor.
v) He/She shall also supervise over all working of Group
â€˜Câ€™ staff.
vi) He/She will make proper arrangements for the Visits of higher
authorities and In-charge for the round of the Hospital and Wards,
with assistance of Asst. Matron and Sister I/C.
vii) He/she will carry out any other duty as ordered by Medical
Superintendent/In-charge of the Hospital.
Note : In 50 Bedded Composite Hospitals where Matron is
not authorized, SM/Sister I/C will perform the duties of
Matron as outlined above except initiation of APAR as per
sl.no.(iv) above.
2.17 DUTIES OF SM/SISTER I/C
i) She will ensure that the Ward requisitions, indents, prescription
etc., are sent to the Dispensary or other Sections in proper time by
the Sister I/C and Female/Male Staff Nurses, Pharmacists etc., as
the case may be.
ii) She will be responsible for proper management and cleanliness
of the Kitchen and the Ward of Hospital and will take daily round
of the Hospital to ensure the same.
iii) She will check the Diet Sheet and satisfy herself about its
correctness before drawing ration from stores.
iv) She will properly supervise distribution of diet to patients
according to authorised scale with the help of Steward, Table Boy,
Ward Boy, Kahar, Masalchi etc.
v) She will carry out any other duty assigned to her by the
Matron/Officer In-charge.
2.18 DUTIES OF INSPECTOR/SISTER I/C
i) The Sister I/C will be In-charge of the Ward to which she is
posted.
ii) She will be In-charge of all the stores issued to her Ward and
responsible for them. She will maintain a record of articles in the
Ward duly attested by the Gazetted Officer concerned.
iii) She will be responsible for the supervision of nursing of
patients in the Ward of her assigned area.
iv) She will be responsible for the inspection and supervision of
the distribution of diet and medicines in her ward.
v) She will accompany the CMO/SMO/MO/Matron during their
rounds of her Ward and note down the instructions given by them
regarding treatment, nursing, care and diet.
vi) She will ensure that ward stock of medicines are properly kept.
vii) She will ensure that Nurses and other Staff are courteous to
the patients and are properly carrying out the instructions of the
In-charge.
viii) She will ensure that the Ward requisition for medicines and
diet, prescription etc., are sent to the appropriate Section at the
proper time.
ix) She will check the attendance of Non-Gazetted Staff like
Nurses (Male and Female) Nursing Assistants/Ayahs and Group
â€˜Câ€™ Staff working in her Ward.
x) She will perform emergency night checking as per Roster
which will be maintained by Sister I/C in the case of Composite
Hospitals.
xi) She will have the supervisory control over the Nursing Staff
and ensure their timely attendance, efficiency in their duties etc.,
xii) She will be responsible for proper discipline in the Nursesâ€™
Hostel.
xiii) She will check the Day and Night Report Registers of all the
Wards and endorse her signature.
xiv) She will see the serious patients are put on the Seriously ill List
immediately and the particulars of the patients furnished to the Main
Office for informing the NOK etc.,
xv) She will look after nursing and welfare sides of patients.
xvi) She will perform shift duties/night shift duties in the absence
sufficient number of staff in a Roster which will be maintained by
the Sister In-Charge concerned in CHs.
xvii) She will report to the Matron/Officer In-charge of all cases
of neglect or dereliction of duty on the part of nursing Hospital
Staff.
xviii) She will perform any other duty assigned to her by the
Medical Superintendent/In-charge of the Hospital and Matron.
2.19 DUTIES OF DIETICIAN (INSPECTOR)

i) He/She will advise/prescribe proper diet required for
OPD/Indoor patients as per the advice of treating doctor.
ii) He/She shall work as Diet Clerk, wherever posted.
iii) He/She will supervise functioning of Hospital Kitchen. He/She
will maintain cleanliness of Hospital Kitchen.
iv) He/She will supervise preparation of food and its distribution.
v) He/She will check the items procured for
consumption/preparation of diet bills and its timely submission.
vi) He/She will carry out any other duty assigned to him/her by
2.20 DUTIES OF MEDICAL STORE

KEEPER (INSP/SI/ ASI PHARMACIST)
A Pharmacist will be detailed for this purpose by the In-charge of the
Hospital who will perform the following duties.
i) He/she will work under Medical Officer In-charge of Medical
Stores and assist him/her in the performance of his/her duties.
ii) He/She will not issue or receive any stores except on the
authority of Receipt/Issue vouchers on the basis of Line
Committee Report.
iii) He/She will be present at the time of receipt/dispatch of stores
and will ensure that stores received are inspected by the Line
Committee before they are taken on charge and securely packed
before they are dispatched.
iv) He/She will maintain distribution list of permanent articles,
expendable items, medicines etc.
v) He/She will carry out periodical physical checking of the items
on charge and arrange to get the STB ordered by the Medical
Officer In-charge of the Hospital on due dates and will be
responsible for any shortage of items during his term of charge.
vi) He/She will prepare the Annual and Supplementary Indents for
medicines well in time and get it forwarded to Govt. Medical
Store Depot concerned. The nature and quantity of appliances,
drugs etc., to be indented will be decided by the Medical Officer
In-charge of the Hospital and Medical Stores. He will prepare the
Indents under the close supervision of Medical Officer In-charge
of Medical Stores.
vii) He/She will ensure that necessary formalities are observed
before and after procurement stores.
viii) He/She will ensure that the medicines are utilized before the
expiry date and for this purpose he will arrange to issue a Note
signed by the In-charge of Medical Stores every month showing
the names and expiry dates of the medicines due to expire within
next six months. The Note will be circulated among the
CMOs/SMOs/MOs with the request to consume the items before
the expiry date.
ix) He/She will ensure that the Medical Stores is well provided
with medicines and will inform the In-charge of Medical Stores
well in time about the medicines that are going to finish, so that
action for their procurement is taken well in time. He will see that
no unnecessary stocking of any medicines is done for a long
period and will report all such instances to the In-charge of the
Hospital/In charge of Medical Stores for taking action to utilize
them.
x) He/She will ensure that the articles dealt with by Medical
Stores becoming unserviceable for use or broken during bonafide
use are condemned by a Board of Officers and arrange for the
Auction as and when necessary. Necessary entries of such items
will be made in Condemnation and Auction Registers duly
attested by the In-charge of Medical Stores/In-charge of Hospital.
xi) The following Registers/documents are required to be
maintained by the Medical Stores Keeper :-
(i) Separate Stock Registers for expendable items on
Proforma in Annexure (E)/permanent articles of
hospital/medical equipment and appliance on
Proforma IAFM/1224, petty expendable stores on
Proforma CRPF 91. In the remarks column total
quantity of new, resumed and condemned will be
mentioned.
(ii) Separate issue and receipt voucher files.
(iii) Sanction Book.
(iv) Line Committee Report and Line Committee
Register.
(v) Register for unserviceable and condemned items.
(vi) Auction Report.

(vii) Breakage/Defect Register in respect of
medical/hospital equipments, appliances etc.
(viii) History Sheet Register of repair of defective
hospital/medical equipments and appliances.
ix) He/she will perform any other duty assigned to
him/her by the HOO/HOD of Hospital/In-charge of
Medical Stores.
2.21 DUTIES OF GENERAL STORE
KEEPER(INSP/SI/ ASI PHARMACIST)
A Pharmacist of any rank(ASI and above) or any other suitable
person will be detailed for this purpose by the In-charge of the
Hospital who will perform the following duties. He will work
under the Medical Officer In-charge of General Stores and assist
him in the performance of his duties :-
i) He/she will not issue or receive any stores except on the

authority of Receipt/Issue Vouchers or on the basis of Line
Committee Report.
ii) He/she will be present at the time of receipt/dispatch of stores
and will ensure that stores received are inspected by the Line
Committee and properly packed before they are dispatched.
iii) He/she will be responsible for proper upkeep, safe custody and
maintenance of all items of General Stores.
iv) He/she will ensure that consignments are cleared from the
Railway Station in time against parcel way bills/railway receipts.
Tampered packages will be taken over only after observing due
formalities.
v) He/she will assist the In-charge of General Stores in placing the
Indents/local purchase of stores in respect of all
general/miscellaneous articles.
vi) He/she will be responsible for arranging procurement,

fabrication and issue of uniform articles to Composite Hospital
Staff. He will also be responsible for their proper storage, upkeep
and maintenance.
vii) He/she will keep the samples received from the Firms in safe
custody and will maintain its record properly.
viii) He/she will carry out periodical physical checking of the
items on charge and arrange to get the STB ordered by the In-
charge of the Hospital.
ix) He/she will ensure that necessary formalities are observed
before and after procurement of stores.
x) He/she will ensure that the holding of stores does not exceed
the authorization in the PET.
xi) He/she will ensure that the articles becoming unserviceable by
use or broken during bonafide use are condemned by a Board of
Officers and arrange for their auction when necessary. Entries of
such items will be made in the Condemnation and Auction
Register duly attested by the In-charge of General Stores/In-
charge of Hospital.
xii) He/she will perform any other duty assigned to him/her by the
In-charge of General Stores/In-charge of Hospital.
Note : In Hospitals, other than Composite Hospitals, the duties of
Medical and General Store Keeper may be combined into one and
some duties may be given to any other person by the In-charge of
Hospital.
2.22 DUTIES OF SUB INSPECTOR

FEMALE/MALE STAFF NURSES
i) They will look after the general nursing of patients which
includes recording of vital signs like temperature, pulse,
respiration, making of beds and providing clean linen to all the
patients and administrating the medicines at due time. They will
be helped by Nursing Assistant/Ayah or other Group. â€˜Câ€™
Staff in this work.
ii) They will carry out special nursing instructions for any patients
as detailed by the Medical officer. These include maintenance of
intake, output chart, care of seriously ill patients pre/post
operative patients etc.
iii) They will make proper entries in the Registers maintained in
the Wards as indicated below :-
a) Day and Night Report Register where a report of
the work done during hours of duty and on the
condition and treatment given to serious patients will
be maintained in the Performa given Annexure
â€˜Dâ€™.
b) Medicine Indent Register.
c) Ward Linen Stock Register and Washer man Linen
Register.
d) Registers for items issued from the
general/medical stores.
iv) They will be responsible during their hours of duty for the
cleanliness and tidiness of the Ward. For this purpose they will
requisite the assistance of the Ward servants and the
Safaikarmachari who will always work under their order.
(v) They will report to Medical Officer of any interference by any
patient or their relatives in the treatment of any patient.
(vi) They will assist the Pharmacist in dispensing
medicines/maintenance of Medical Stores as and when required.
vii) They will not leave the Wards while on duty.
viii) They will see that the patients are provided diet as per diet
prescribed and is served at the proper hours/time.
ix) Staff Nurse on duty in the Indoor will receive all emergency
cases, make a general note of the condition and contact the
Medical Officer on Emergency Duty through a messenger/phone
for treatment of the patient. A proper Call Book will be
maintained for this purpose where the date and time of arrival of
the patient, time of sending the call, the time when call is received
by the Medical Officers and their instruction will be clearly
written.
x) They will report all irregularities that they observe in the Ward
during their hours of duty to the Sister In-Charge and Medical
Officer In-charge. Serious matters may be reported direct to
HOO/Medical Officers in -charge if required.
xi) Soon after the receipt of reports from laboratory/X-Ray
Section the same will be attached with the Bed Head Tickets of
the case. The Nurse on duty will bring it to the notice of the
Medical Officer.
xii) They will perform all kinds of Outdoor and first aid duties as
and when required.
xiii) They will perform any other duty assigned to them by In-
charge Sister/Matron/other superiors.
2.23 DUTIES OF PHYSIOTHERAPIST :

SI/ASI
i) He/She will carry out physiotherapy of Indoor and Out-door
patients as advised by Medical Officers.
ii) He/She will assist in advising Medical Officers regarding type
of physiotherapy required for ailing patient.
iii) He/She will maintain records of Physiotherapy Room and
patients undergoing treatment.
iv) He/She will maintain cleanliness of Physiotherapy room.
v) He/She will maintain the equipments issued to Physiotherapy
Room.
vi) He/She will perform any other duty assigned to him/her by
2.24 DUTIES OF SI BLOOD BANK

TECHNICIAN: SI
i) He/She will be In-charge of the Blood Bank Section and
maintain proper records and storage of blood.
ii) He/She will assist the Pathologist in grouping, cross-matching
calculation, storage of blood and timely disposal of collected
blood.
iii) He/She will maintain equipments of Blood Bank and their records.
iv) He/She will perform the duties of Lab. Technician as and when
the Blood Bank is not fully functional.
v) He/She will perform any other duty assigned to him/her by the
Pathologist or Competent Authority.
2.25 DUTIES OF RADIOGRAPHER: SI
i) He/She will be responsible for carrying out radiographic
investigations, development of X-Ray films and maintenance of
all records pertaining to the X-Ray Section. He will prepare the
Indents of items required for X-Ray Department and submit to the
In-charge X-Ray Section well in time.
ii) He/She will also be responsible for procedures like infrared,
ultraviolet and diathermy exposures and will be required to work
in X-Ray Section during routine hours of the Hospital and may
also be required in emergency to work in other hours.
iii) He/She will be responsible for the stores held under his/her
charge.
iv) He/She will be responsible for Ultrasound Section and will
ensure upkeep of records, maintenance etc.
v) He/She will perform any other duty assigned to him/her by In-
charge X-Ray Section/In-charge of the Hospital.
Note: Since the Radiographer works directly under M.O I/C X-

Ray Section, the MO I/C should also have control over him on
assigning duties.
2.26 DUTIES OF PHARMACISTS IN

DISPENSARY((INSP/SI/ ASI
PHARMACIST)
i) Compounding and dispensing of the medicines in the Dispensary.
ii) The Pharmacists on duty will be held responsible for the proper
working of the Dispensary and they will not allow any
unauthorized person to enter in the Dispensary.
iii) The Pharmacist of the Dispensary will maintain daily account of
expenditure of medical stores and keep the Medical Officerâ€™s issue
slip tagged.
iv) They will not leave the Dispensary without the permission of the In-
charges.
v) Pharmacist incharge of Dispensary in CHs will be assisted by a
Pharmacist/MSN/HC-N/Asstt in proper dispensing of medicines and
maintenance of records of Dispensary.
vi) They will perform any other duty assigned to them by
Competent Authority and MO In-Charge of the Section.
Note : Pharmacists detailed as Medical Store Keeper, General Store Keeper and
Dispensary In-Charge may not be put on Shift Duties in CHs considering their
volume of work.
2.27 DUTIES OF PHARMACIST ( ASI AND ABOVE )
(BATTALION M.I. ROOM)
i) His/her duties will include duties of Pharmacist Medical Stores,
General Stores and Dispensary as applicable.
Note : If more than one Pharmacist is posted in the M.I. Room,

these duties may be distributed amongst them by the MO In-
charge.
2.28 DUTIES OF LAB. TECHNICIAN : ASI
i) He/She will be responsible for carrying out all the Laboratory
investigations and maintenance of the records of Laboratory.
He/She will prepare the Indents of the items required for the
Laboratory and submit it to the Hospital In-charge through the
MO I/C well in time.
ii) He/She will work during routine hours of the Hospital. Under the
orders from the attending MO/In-charge Laboratory and In-charge of the
Hospital, he/she may be required to carry out the investigations during
other hours also as and when required.
iii) He/She will be responsible for any shortage or damage due to
negligence. He/She will be the store holder of Laboratory.
iv) He/she will perform any other duty as assigned by the MO I/C
Laboratory and In-charge of the Hospital.
2.29 DUTIES OF HC(LAB. ASST.) WHERE
ASI (LAB. TECHNICIAN) IS POSTED
i) He/she will assist the Lab. Technician for carrying out all the
Laboratory investigation.
ii) He will collect specimen for investigations from different
Sections of the Hospital in respect of all non-ambulatory patients
and will hand over to the Laboratory Technician.
iii) He/she will be responsible for cleanliness of all equipments of
the Laboratory.
Medical Officer In-charge of Laboratory/Hospital.
2.30 DUTIES OF LABORATORY

ASSISTANT(HC) WHERE LAB.
TECHNICIAN (ASI) IS NOT POSTED.
Same duties as laid down for Lab. Technician in Para 2.28
above.
2.31 DUTIES OF DENTAL TECHNICIAN:
ASI
i) He/She will assist the Dental Surgeon in his/her work.
ii) He/She will be responsible for the cleanliness and maintenance
of all Dental equipments, re-agents and other materials.
iii) He/She will be responsible for the cleanliness and
maintenance of Dental Chamber and Dental Laboratory.
iv) He/She will ensure upkeep the records of patients, equipments
and expendable items
v) He/she will perform any other duty assigned to him/her by
2.32 DUTIES OF ECG TECHNICIAN: ASI

i) He/She will record ECG of the patients advised by the Medical
Officer.
ii) He/She will ensure upkeep of the records of all patients
undergoing ECG.
iii) He/She will be responsible for ensuring proper service
condition of ECG Machine and its accessories.
iv) He/She will assist the Physician as and when called for in
managing cardiac patients.
v) He/She will perform any other duty assigned to him/her by
2.33 DUTIES OF OT TECHNICIAN: ASI

i) He/She will be responsible for assisting the OT Sister I/C in
cleanliness, sterilization, preparation, maintenance of equipments
etc.
ii) He/She will prepare the linen, instruments etc for sterilization
and ensure sterilization in the Auto Clave Room.
iii) He/She will assist OT Sister in the preparation of OT
Instruments Trolley.
iv) He/She will be responsible for the cleaning of all instruments,
equipments and assess its proper function from time to time.
v) He/She will assist the anesthetists in the delivery of spinal
agent anesthesia/general anesthesia.
vi) He/She will supervise entries of patients into the Operation
Theatre in proper sterilized dress and fully prepared for surgery.
vii) He/She will perform any other duty assigned to him/her by
2.34 DUTIES OF ASSISTANT (OPERATION

THEATRE)
i) He/She will assist the Theatre Sister for the preparation and
sterilization of sutures, equipments, clothing and dressing used for
operations.
ii) He/She will be responsible for cleanliness of equipment of the
Operation Theatre.
iii) He/she will bring the patient to the Operation Theatre for
operation and check patientâ€™s preparation.
iv) He/she will perform any other duty assigned to him/her by
2.35 DUTIES OF X-RAY ASSTT. WHERE

RADIOGRAPHER IS POSTED
i) He/She will ensure proper maintenance of equipments and
storage of consumable articles.
ii) He/She will help the Radiologist in carrying out radiographic
investigations, development of X-Ray films etc.
iii) He/She will be responsible for the maintenance of Ultrasound
Section.
iv) He/she will perform any other duty assigned to him/her by the In-
charge X-Ray Section.
2.36 DUTIES OF X-RAY ASSTT. IN THE
ABSENCE OF RADIOGRAPHER
i) He/She will perform all the duties assigned to Radiographer
under para 2.25 in addition to his own duties laid down in para
2.35 above .
2.37 DUTIES OF HC (LAB. ASST.)
OF BLOOD BANK
i) Same duties as outlined in para 2.24 above.
Note : In the presence of SI Blood Bank,
he/she will assist the SI Blood Bank
Technician
2.38 DUTIES OF ELECTRICIAN
i) He/she will be responsible for rectifying any electrical or power
fault of minor nature and also for the maintenance and repairs of
electrical appliances held in the Hospital.
ii) He/she will perform any other duty assigned to him/her by the
In-charge of the Hospital.
2.39 DUTIES OF TELEPHONE OPERATOR
i) He/she will operate on Telephone Board.
ii) He/she will perform any other duty assigned to him/her by the
In-charge of Hospital.
2.40 DUTIES OF HC (AC PLANT

TECHNICIAN)
i) He/She will be responsible for the operation of AC Plant.
ii) He/She will maintain the equipments under his/her custody. In
case of any defect, it should be reported immediately to the In-
charge.
iii) He/Shall be responsible for checking the electric lights,
cooling towers, generator etc., regularly.
iv) He/she will perform any other duty assigned to him/her by his/her superiors.
2.41 DUTIES OF CONSTABLE/STEWARD
i) He will be responsible for the quality of the food prepared in
Hospital Kitchen.
ii) He will have supervisory control over the Cooks.
iii) He will be responsible for timely preparation of meals and
distribution of food to patients.
iv) He will be responsible for any loss of dietary items from the
Kitchen.
v) He will perform any other duty assigned to him by his superiors.
2.42 DUTIES OF DRESSER/NURSING
ASSISTANT/AYAH (CT AND ABOVE)
i) Helping the Pharmacists and Nurses in general nursing care,
administration of medicines..
ii) Cleaning the medicine bottles and equipments of the Wards and
in doing dressing work of the patients.
iii) Helping convalescent and sick patients in toilet and bath,
taking food etc.
iv) Arranging/laying beddings of the patients to keep it in proper
order.
v) Working under close supervision of M.O/Pharmacist in the
Unit.
vi) He/She will perform any other duty assigned to him/her by In-
charge of the Hospital as applicable or Medical Officer In-Charge.
2.43 DUTIES OF CONSTABLE (WARD

BOYS/GIRLS)
i) Cleaning and dusting of the Ward and other Sections of the
Hospital.
ii) Attending the sick patients in the Wards.
iii) Helping in the general nursing care, administration of
medicines and dressing.
iv) It will be the duty of Ward Boys to clean the dishes of non-
ambulatory patients.
v) He/she will perform any other duty assigned to him/her by the
In-charge of the Ward/In-charge of the Hospital.
2.44 DUTIES OF CONSTABLE

(TABLE BOY)
i) The Table boy will be responsible to serve food in Nursesâ€™
Hostel.
ii) He will also be responsible for the cleaning of utensils/dishes
in the Nursesâ€™ Hostel and for dusting and cleaning of Hostel
furniture.
iii) He will perform any other duty assigned to him by the
Matron/In-charge of the Hospital.
2.45 DUTIES OF STAFF FOR
SISTERSâ€™ MESS (SFSM)
i) He/she will be responsible for cooking, cleaning of utensils and
other such jobs for the Sistersâ€™ Mess wherever available.
ii) If Sistersâ€™ Mess is not available he/she will perform the
duties as assigned.
iii) He/she will perform any other duty assigned to him/her by the
Matron/In-charge of the Hospital.
2.46 DUTIES OF CONSTABLE (MASALCHI)
i) Cleaning utensils of the Cook Houses.
ii) Washing and cleaning the dishes of the patients before and after
the food is served. As far as possible ambulatory patients should
clean their own dishes.
iii) Helping the Ward Boys in cleaning and dusting the Ward and
performing other duties of Ward Boys if ordered by Matron.
iv) Helping the Cooks in the preparation, cooking and serving of
food.
v) Any other duty assigned by the In-charge of the Hospital.
2.47 DUTIES OF CONSTABLE (KAHAR)

i) Fetching and serving water for patients in the Wards, Dining
Hall, OPD and cleaning of flasks and utensils.
ii) Looking after general comforts of the patients including
purchasing of articles for the patients from local market and
Canteen.
iii) Helping the Ward Boys in cleaning and dusting of Ward and
performing other duties of Ward Boys/Masalchi, if required.
iv) Any other duty assigned by the Matron/In-charge of the Hospital.
Note:In the Hospitals where Masalchies/Kahars are not posted
/authorised, the duties of Masalchies will be performed by the
Cooks and those of Kahars by the Ward Boys.
2.48 DUTIES OF CONSTABLE (COOK)
i) Preparation of food for patients and associated works of
Hospital Mess.
ii) Any other duty assigned to him/her by his/her superiors.

(WASHERMAN/WOMAN)
i) Washing of Hospital linens including clothing of patients except
private cloths.
ii) Proper up keeping of the Washing Machine and other
Equipments supplied/provided.

(CARPENTER)
i) He will be responsible for the maintenance and repairs of all
wooden furnitures of the Hospital.
ii) He will be responsible for packing the boxes to be despatched
to out-stations. He will also help in opening boxes received from
various Firms/Units.
iii) He will perform any other duty assigned to him by Medical Officer In-
charge/Matron.
(CHOWKIDAR)
i) He will perform the sentry duties in the Hospital. He will be
responsible for the security of the entire area of the Hospital.
ii) He will perform any other duty assigned by the In-charge of the
Hospital/Matron.
CHAPTER - III
PROCEDURES
PROCUREMENT OF STORES (MEDICAL STORES
INCLUDING EQUIPMENT AND APPLIANCES)
3.1 INDENTS
i) The Annual Indents in respect of the items catalogued in the
Vocabulary of Govt. Medical Stores Depot would be prepared as
per procedure prescribed for the same from time to time, subject
to the Budget provision and only after the Indents have been duly
scrutinized, sanctioned and countersigned by the Competent
Authority.
ii) (a) One consolidated Indent would be prepared in respect of
Composite Hospital.
(b) Group centre should include requirement of its
attached Bns. if the Bn is located in the GC or close
by area. If Bns are deployed in distant areas each Bn
will prepare its own consolidated Indent to be placed
with MSD covering the respective area.
(c) Training Institutions and Unattached Battalions
will prepare their own consolidated Annual Indents.
iii) The indenting Officers will be IG(Medical)/DIG(Medical) in
respect of Composite Hospitals and Head of Office in respect of
Bns/Training Institutions.
iv) These Indents are to be placed with the Central Govt. Medical
Stores Depot of the respective areas.
v) Supplementary Indents will be prepared and placed on as and
when required basis after completion of formalities as indicated in
previous sub-paragraphs.
vi) The Direct Demanding Officers may place Supply Orders for
other stores on Govt. of India, Director General of Supply &
Disposals Rate Contract Firms directly without obtaining Non-
availability Certificate.
vii) The preparation of Indents will be personally supervised by
the Medical Officer, In-charge of Medical Stores under the
guidance of Medical Superintendent/In-charge of the Hospital.
3.2 LOCAL PURCHASE

i) As far as possible items for which Non-availability Certificate
has been issued by Govt. Medical Stores Depots should be locally
purchased. Their procurement should be made from DGS&D Rate
Contract Firms as far as possible.
ii) For non-catalogued and all urgently required items, local
purchase may be resorted to after observing all formalities
required in the rules within the financial powers of the purchasing
authority as per directives issued by the Director General, Central
Reserve Police Force through Standing Orders from time to time.
iii) As far as possible the purchase should be made from the
manufacturing firms.
iv) Medicines and Medical stores will be purchased from open market
after following proper purchase procedures as per instructions issued
from time to time, if proportionate quantity of indented items are not
supplied by the GMSD in the first quarter of the financial year.
v) The indenting Unit will however, inform the GMSD about the
necessity of its purchasing stores from open market before
actually affecting the purchases.
vi) Procurement from open market will invariably be taken up against
the NA/NS certificates issued by the GMSD except in emergencies.
vii) Uninterrupted supply of drugs, surgical, general items and balanced
wholesome nourished diet are of paramount importance for effective and
efficient patient care in a hospital. The basic purpose of material
management is to make available the right supply at right place in right
quantity, at right price and at right time.
viii) The term â€˜Medical Storesâ€™ include all articles like
equipments, instruments, pharmaceutical preparations, analytical
reagents, chemicals, medical comforts, furniture, clothing and articles of
similar nature procured for special needs like Medical training and
miscellaneous Medical programme.
ix) In case any medical equipments/items which are not authorized in
PET may be procured on the recommendation of a board of Medical
Officers duly constituted by the orders of the HOO.
x) Purchase of medicines and other hospital equipments must be made in
accordance with the provisions contained in GFR-2005
3.3 SURVEY/CLASSIFCATION OF STORES
A board of officers is detailed by the competent authority to
survey stores to assess the condition and record its finding in the
Board the proceedings as follows :-
(a) Assess the condition and classify the items as, (a) Serviceable,
(b) Repairable, (c) Unserviceable and (d) obsolete.
(b) If any item is found unserviceable before its prescribed life
then it will be recorded if it is due to negligence or otherwise.
(c) Recommend mode of disposal of the items found
unserviceable.
After the proceeding of the survey/classification Board is duly
approved by the competent authority, the required action is
initiated pertaining to the unserviceable items:-
(i) When un-serviceability is due to fair, wear & tear, the stock in
question will be struck off from the ledger charge on the authority
of the approved board proceedings. In case of the item becoming
unserviceable not due to fair, wear & tear, an enquiry be
conducted and action be taken by the competent authority.
(ii) The unserviceable stores are either got repaired or condemned,
as per the recommendation in the condemnation Board proceeding
duly approved by the competent authority, and the condemned
store whould be disposed off by public auction/by
destruction/mutilation/by burial, as recommended by the Board,
as per the laid down procedures.
3.4 REPAIR OF EQUIPMENT

Necessary action for repair of the equipment needing
repairs should be intimated forthwith and should not
generally wait for approval of the Board proceedings, if
any.
3.5 SANCTION BOOKS :
A Sanction Book in the prescribed form will be maintained
by the Medical, General and Ration Store In-charges in
which sanction of the Medical Superintendent /competent
authority will be obtained for the purchase of stores locally
before the purchase is made. Before according any such
sanction, the Medical Superintendent or Authority
concerned will ensure that the limit of his financial powers
is not exceeded and that the expenditure is within the
sanctioned Budget.
3.6 LINE COMMITTEE
All stores received either from Medical Store
Depot/Ordnance or through DGS&D etc., against Indents
or from Firms against local purchase of the value
prescribed from time to time by the competent authority or
through any other source will be put up before the Line
Committee presided over by a Gazetted Officer and two
other Members, one of whom will be a Medical Officer.
The MO can also preside over the Line Committee if he is
senior GO. The Line Committee Report should be put up to
the Medical Superintendent/Competent Authority. Copy of
the Line Committee Report along with the Bill will be
forwarded to the Accountant. The duplicate copy of the
Line Committee Report will be kept in a separate register
as per proforma in Annexure â€˜Gâ€™. The Line
Committee Report will have an Annual Serial Number
corresponding with one Financial Year. Vouchers and
Inspection Notes of stores received against indents placed
on MSD etc., will be received against the Line Committee
Report. The particulars of such vouchers/inspection notes
will be noted against the Line Committee report and then
endorsed to the authorities concerned for raising debit
through Accountant General, Central Revenues. These will
also be noted in the Running Memo Register for watching
book adjustment and then kept in the relevant file.
3.7 DISPOSAL OF SURPLUS MEDICINE
i) In case the Medical Officer In-charge of the
General/Medical Stores feels that the stores cannot be
consumed during their expected life, he will send the
information to the Medical Superintendent in the prescribed
proforma as given in Annexure â€˜Fâ€™. This will be sent
to the Medical Superintendent/In-charge of the Hospital on
the 1st of each January, May and September, who will
arrange re-distribution of the stock and liquidation of
surplus so that loss to Govt. is avoided.
ii) He will also declare quantity of surplus medicine and
circulate the details to all concerned for liquidation
iii) All concerned should ensure that the information about
expiry reaches Medical Superintendent/In-charge of the
Hospital at least 4 months in advance of the date of expiry
so that the stock can be re-distributed and consumed. The
Medical Superintendent/In-charge of the Hospital will be
assisted for this by the Medical Officer (Medical Store).
3.8 RECEIPT AND ISSUE OF STORES
i) All Stores received against Indents/Supply Orders etc
shall be stocked in the (a) Medical (b) General (c) Ration
Stores. All transactions shall be made through the store
keeper and Medical Officers concerned. All store keepers
will be responsible to maintain all relevant records and
stock registers under the supervision of the Medical Officer
In-charge of Stores/Sections.
ii) Receipt and issue of all kinds of stores will be made
against receipt/issue vouchers (CRPF Form No.54). The
vouchers will have Annual Serial Number for Financial
Year.
iii) All entries in the Stock Registers will be signed by the
person maintaining the record and will be duly verified and
attested by Medical Officer In-charge of the Store. Before
placing the demand on the Store for the supply of items, the
demanding officers should get his demand approved by the
Medical Superintendent/Competent Authority as
applicable. The vouchers will be drawn in triplicate, one
copy to be retained by the Issuing Officer as his office copy
and the other two will be sent to the Receiving officer who
will retain one as his Office copy and return the other to the
Issuing Officer duly receipted for his record.
iv) Distribution List in respect of issue of permanent
articles will be maintained in Stock Register concerned.
v) Stores received from Govt. Medical Store Depot will be
taken on stock against the issue vouchers, and no fresh
voucher will be necessary in such events.
vi) A receipt voucher will be prepared in respect of all
supplies received from other sources.
3.9 ISSUE OF MEDICINES TO PATIENTS
i) All medicines etc., to be given to the patients (except
mixture, and ordinary dressing etc., will be issued by the
Dispensary on receipt of an issue slip (one for one item
only) written, signed and dated by the Medical Officer.
Issue of special drugs items will be made only after the
issue slips are countersigned by the Medical Superintendent
as applicable. The Pharmacist/Staff Nurse In-charge of
Dispensary will prepare a statement on the basis of these
slips showing the expenditure of each item during the day.
This will be deducted from the Dispensary Stock Register
and ground balance will be calculated each day. To avoid
manipulation in the quantity ordered by Medical officer, all
Medical Officer will write the quantity in their own hand.
However, the full signature and designation of the person
collecting bulk issue of medicine/full vial is required on the
back side of issue slip. Physical verification of stock should
be done frequently.
ii) All such issue slips duly tagged will be preserved for
audit and account purpose.
iii) Account of daily expenditure will be maintained in a
Register as per proforma given in Annexure â€˜Hâ€™.
iv) Wards will indent medicines and dressing materials etc.,
on daily Supplementary Indent basis from the Dispensary.
A Ward Medicine Indent Book will be maintained in each
Ward on form CRPF 54. The yearly indoor number of
patients would be mentioned against each item.
v) Medicines ordered by the Medical Officer will be entered in
duplicate in the Medicine Indent Book by the Sister In-
charge/Staff Nurse In-charge of the Ward and countersigned by
the Medical Officer In-charge of the Ward. On presenting this
Book the Dispensary will issue necessary drugs etc., and keep the
counterfoils for record and this will bear the signature of the
receiving person. The office copy of the Indent will be available
in the Ward Medicine Indent Book. No Wards will be given any
medicine unless it is properly ordered as mentioned above in the
Indent Book.
vi) In order to enable the Establishment to meet all
exigencies, Medical Superintendent/ In-charge of the
Hospital will have powers to restrict/freeze the issue of
items as considered necessary by him.
3.10 STOCK TAKING BOARDS
Stock Taking â€“cum-Audit Boards will be constituted by
the Head of Office for periodical checking of the Govt.
stores as laid down in the rules on the subject and
provisions contained in the Provisioning Manual of CRPF
Manual CRPF.
3.11 HOSPITAL EQUIPMENT (PET)FOR
BATTALIONS IN CRPF
Government of India, MHA letter No. IV-120170/01/2010-
Prov-I dated 09-02-2011 has revised the authorization cum
provisioning sanction of the President for the Hospital
Equipments of various Hospitals of CPMFs including the
CRPFâ€™s Unit M.I Room having Indoor facility. The
revised PET include various essential hospital
equipments/items apart from general hospital items and
essential equipments include Semi Auto Analyzer, Oxygen
concentrator, Pulse oxymeter ,Nebulizer, Resuscitation kit
with anti shock trouser, Crash cart trolley, Inflatable splint,
Alcohol breath analyzer, Pharmacy freezer, Deep, Portable
100 mA X-Ray machine, Automated X-Ray developer etc
and lot more other routinely required hospital equipments
have been made authorized.
CHAPTER - IV
MEDICAL ARRANGEMENTS
4.1 SICK PARADE
i) Sick Parade will be held daily soon after opening of the
Hospital/MI Room. Attend â€˜Câ€™ Attend â€˜Bâ€™, Attend
â€Ãâ€™ and new cases only will attend this Parade. Nominal
Roll will be sent under the signature of a GO on Form CRPF â€“
91.
ii) The M&D persons, civilian staff and families should attend
OPD/MI Room during routine hours of the Hospital.
iii) During other hours, emergent cases can attend the
Emergency/Casualty Sections of the Hospital and the Executive
Force personnel would be sent in a Special Sick Report through
their Coy Commander or Officer on duty.
iv) The Medical Officer will make red ink entry in the daily sick
report in any case of malingering and the Coy Commander will
produce the malingerer before the Commandant.
v) The Under Officer In-charge Sick Report will show the
Nominal Roll to the Officer In-charge of sick parade on duty.
4.2 INTERPRETATION OF TERMS USED IN SICK
REPORT
i) Attend â€˜Câ€™ : Cases requiring rest in the lines, but whose
condition is not serious enough to warrant admission to Hospital.
Excused all forms of duty, but to attend MI Room/ OPD daily as
ordered by the Medical Officer. Attend â€˜Câ€™ in continuation
of Leave/Hospitalization will be treated as Leave.
ii) Attend â€˜Bâ€™ : To attend M.I Room/OPD daily as ordered
for medicine and dressing. Excused all parades but fit to attend
lectures, course of instruction and to do any work involving no
physical exertion.
[
iii) Attend â€Ãâ€™ : Fit to perform all duties (attend only for
dressing and medicines), except where specially stated in the Sick
Report Register that the individual is excused PT, Lathi or Rifle
drill, fit for line duties only, excused boots etc.,
iv) Attend M&D : Those who have been given medicine,

examined and found fit for fully duty.
4.3 OUT PATIENT DEPARTMENT
i) Every patient attending the OPD shall report to the Registration
Counter and get the OPD ticket issued, with columns of name,
number, rank, age, sex and address of the patient filled up and
same will also be entered in the Register (Proforma No.CRPF-
B/Hosp M-5). After this, the Registration clerk/person will direct
the patient to the Medical Officer concerned by mentioning the
name of the Doctor/Room No. of Doctor on the slip.
ii) Thereafter the patient will report to the Doctor concerned. The
MO, after proper examination will record his/her clinical findings
in brief, diagnosis and prescribe treatment/advice. If the treating
MO feels that patient requires special consultation, he will refer
the patient to the specialist concerned. He/she will issue slip for
investigation if any, and will also issue medicine slip as per his
prescription.
iii) The patient thereafter will report back to Registration Counter
for getting the registration number along with entry of
diagnosis/treatment in the Register.
iv) After getting the Registration Number, the patient will report
to the Section concerned for investigation /collection of
medicine(s).
v) Separate Register will be maintained for Force personnel and
family members in the Registration Counter.
vi) In case of subsequent attendance, only the Registration
Number needs to be recorded in the register and other procedure
as laid down above will be repeated.
vii) The personnel/family members which are referred to
Specialist shall report to the Specialist concerned if available in
the hospital and will get his/her advice/treatment. If the specific
Specialist is not available in own hospital, the patient will be
referred to outside hospital. Such referrals will be mentioned in a
separate register, known as Referral Register.
viii) All MOs should maintain an OPD Register to check the
number of patients attended by them in the OPD.
ix) Routine OPD will remain closed on Sundays and GHs.
Emergencies, However, shall be attended round the clock.
4.4 KIT OF DETAINED/ADMITTED PATIENTS
i) Personnel are permitted to keep only light Kit with them.
ii) The Kit not required by the persons detained in Hospital will be
handed over to the Coy Quarter Master Havildar for safe custody
by the Platoon Commander concerned. The Sick Report UO will
be responsible for handing over the kit to the Platoon Commander.
iii) All personnel detained/admitted in the Hospital must bring

their mosquito nets with them.
4.5 ADMISSION
i) Routine cases shall be admitted in Hospital during morning
hours only. Routine cases requiring admission should be referred
to the Specialist concerned available in own Hospital. If the
specific Specialist concerned is not available in own Hospital, the
case will be referred to Medical Superintendent/MO I/C for
admission. If the Specialist CMO/MO I/C admits the case, the
treatment/indoor case sheet will be got instituted/prepared by the
Ward MO in consultation with MO, who admitted the patient.
ii) Emergency cases can be admitted at any time. During
emergency hours, attending Medical Officer will be responsible to
institute treatment and complete Indoor Medical History Sheet of
the patient.
iii) If Medical Officers feel that the patient needs observation for
a few hours before deciding further course of action about
treatment, he may detain the patient overnight and observe.
4.6 DISCHARGE
i) Patients when cured/relieved and requiring no further Indoor
treatment shall be discharged from the Hospital as per the
discretion of Ward MO I/C or treating Specialist. Before the
patient is discharged he will be produced before the Medical
Superintendent/MO I/C of Hospital for his countersignature on
Discharge Slip.
ii) Discharge Slip will be prepared on Form CRPF-2 Hospital in
triplicate for Force personnel and in duplicate for others. One
copy will be handed over to patient, one copy to be sent to the
Unit/Office concerned through Office and third copy to be
retained with Case Sheet.
iii) Discharged patient should leave the Hospital only after
evening meals unless permitted by MO I/C Ward, under special
circumstances, to leave early.
iv) Statement of admission and discharge will be sent by the
Hospital to respective Units on the proforma given in Annexure
â€˜Iâ€™. The frequency of issue of such statements may be
prescribed by Medical Superintendent from time to time.
v) At the time of discharge the personnel will be given a
Discharge Slip on form CRPF-2/Hosp or AFMSF-II.
4.7 HOSPITAL WORKING HOURS
(i) The routine working hours shall be same as laid down by the
Dept. of Health Govt. of India for the Hospital.
(ii) Timings of OPD will be prescribed by the Medical
Superintendent in Composite Hospitals and DIGP/Commandant in
consultation with the MO I/C for GC/Unit Hospital.
4.8 HOSPITAL VISITING HOURS
As fixed by Medical Superintendent in Composite Hospitals and
Competent Authority for other GC Hospital/Training Institution
Hospitals/M.I. Rooms of Bns from time to time in consultation
with CMO of the Hospital.
4.9 VISITORS BOOK FOR GC HOSPITAL AND
OTHER HOSPITALS
i) A Visitorsâ€™ Book will be kept for the use of and will be
signed by the Officers of the day and other Inspecting Officer
who are permitted to visit the Hospital at any time. Any complaint
or remarks will be entered in it. The Book will be seen by the
Medical Officer In-charge of the Ward who will sign in the Book
in token thereof indicating action taken on the remarks/complaints
where action is called for. He will bring them to the notice of
Medical Superintendent/In-charge of the Hospital as applicable.
ii) For Composite Hospitals the Visitorsâ€™ Book will be
maintained by Matron/SM Sister I/C for further necessary action.
4.10 CUSTODY OF PATIENTâ€™S PROPERTIES
AND VALUABLES
i) Patients of the same station where the Hospital is located should
not be in possession of any money or valuable articles at the time
of admission. Before admission, the Sick Report UO or person
bringing the patients with Special Sick Report will see that the
patient does not carry any valuable to Hospital but deposits those
with the Unit concerned.
(ii) Patient from outside Units to be admitted in Composite
Hospital/GC Hospital/M.I. Room may bring some pocket money
but no valuable and will hand over those to the Medical Officer on
duty before he is admitted and get a receipt from the latter. The
Medical Officer will hand it over to Accountant for safe custody
in Hospitalâ€™s safe.
(iii) Procedure of Account : Whenever a patient deposits a
particular sum it is to be entered in a Register (Proforma given in
Annexure â€˜Jâ€™) and entry of this will also be made in the Bed
Head Ticket. As and when the patient is discharged the amount
will be refunded to him after obtaining his dated signature in the
Register as well as Bed Head Ticket.
iv) Account of sums received as assistance from Units for the
patients in Composite Hospitals will be maintained by the
Accountant in a register as per proforma in Annexure â€˜Kâ€™.
v) Patients from outside Units who are to be admitted in the Unit
Hospitals other than Composite Hospital/s will deposit such
money/valuables for safe custody with the Subedar Major of Unit
to which the Hospital is attached and obtain a receipt.
vi) When a patient is brought in unconscious condition it will be
the duty of the Medical Officer to remove cash, valuable etc.,
from the person of the patient. In all such cases, the Medical
Officer will have an inventory made out in duplicate signed by
him and the Under Officer or SO or Officer accompanying the
patient and inventory kept by the Medical officer which will be
handed over to the patient on his discharge from the Hospital.
4.11 DANGEROUSLY AND SERIOUSLY ILL CASES
i) The following cases will be considered as immediate :
(a) A case of serious accident, shock or
unconsciousness or whenever declared as seriously
ill by the attending Medical Officer.
(b) Sudden dangerous attack of sickness of any
member of a family residing in the Family Quarters
of CRPF.
ii) SI-LIST & DI-LIST CASES (SERIOUSLY ILL AND
DANGEROUSLY ILL)
Serious accidents, shock, unconsciousness, serious states of

diseases not amounting to imminent fatal prognosis may be placed
in SI list.
All serious cases with probable impending fatal prognosis will be placed in DI
list.
FOLLOW UP ACTION FOR SI & DI CASES
The decision of placing the patient will be taken solely by the
attending Medical Officer. In both the above cases the MO will
inform the HOO for further information to the Next of Kin and
also to the concerned quarters.
4.12 PRINCIPLES OF EVACUATION
CRPF will coordinate with Army for evacuation of casualties during
wars/war like situation, following important principles before and during
evacuation of casualties :-
(a) Evacuate casualties only if fit to stand the journey.
(b) Evacuate them in maximum comfort.
(c) Four hourly staging should be aimed at for long distances from
one medical unit to the next.
(d) Do not allow patientâ€™s condition to deteriorate en-route.
Maintain transfusion and other treatments commenced earlier, if
necessary, while the patient is being evacuated.
(e) Allot priority for treatment and evacuation of the more
seriously ill, who are likely to benefit from early specialist
attention. This is called TRIAGE and is done by classifying
casualties into the following categories:-
(i) PRIORITY-I Cases requiring immediate resuscitation and

urgent surgery.
(ii) PEIORITY-II Cases requiring early surgical attention and
possible resuscitation.
(iii) PRIORITY-III All other wounded and sick, who will
generally be sitting cases.
(f) Casualties travel better before surgical interference than
immediately after.
(g) Chest injuries do not travel well by air at high altitudes.
(h) Correct documentation at each stage.
(i) Foresee â€œPEAK EVACUATION PERIODâ€ and be
prepared for it.
4.13 RADIOLOGICAL INVESTIGATION
i) X-RAY :
(a) Radiological investigations in respect of all
patients of OPD/Indoor will be carried out on the
specific requisition for the same by the attending
MO on proforma given in Annexure -â€˜ Lâ€™
(b) All requisitions requiring special investigations
will require countersignature of Medical
Superintendent/In-charge of the Hospital.
(c) All the requisitions will be scrutinized by the
Radiographer/X-Ray Asst. and if found complete, he
will be entered in the X-Ray/Screening Register
(Proforma in Annexure-M) and allot a Serial
Number. The number will hold good for each
Calendar Year. He will then carry out the
investigations and will note the number and size of
the plates used on the half side of the Requisition
Form meant to be in X-Ray Section. Separate
registers will be maintained for X-Ray and
screening.
(d) Screening will be done by Radiologist, attending
Medical Officer.
(e) The result of investigation will be written by the
Radiologist wherever posted/attending Medical
Officer as per the instruction of Medical
Superintendent/In-charge of the Hospital. Otherwise
it will be reviewed by the treating doctor.
(f) All reports along with X-ray plates will be sent to
OPD/Ward concerned who after completion of
treatment of patients will return them to the X-Ray
Section for record.
(g) The daily record of consumption of X-ray plates
will be kept on proforma Annexure â€˜Hâ€™ under
the signature of Radiographer/X-ray Assistant. and
Medical Officer X-Ray Section.
(h) Before signing the Register, the Medical Officer
X-Ray Section will verify the details of consumption
of plates from the actual number of exposed films
produced along with the number mentioned on the
duplicate copy of the requisition form.
(i) Record of consumption of X-Ray chemicals will
be maintained in the same expense account register
as for X-Ray plates.
(j) All permanent articles will be taken on charge in
the Register prescribed for Medical Equipments and
Appliances in Form IAFM-1224.
ii) ULTRASOUND REPORT -
Same procedure as applicable for X-Ray should be followed.

4.14 LABORATORY INVESTIGATION
i) Laboratory investigations will be carried out on specific
requisition on Form CRPF-6 Hosp. for all cases of OPD/Indoor
ii) The requisition received will be annually numbered in
correspondence to each Calendar Year.
iii) The Lab. Tech/Asst. will carry out the investigation under the guidance of
MO I/C Lab.
iv) The Lab. Tech/Asst. will then enter the results in the
requisition form and make duplicate record in relevant Register
(proforma given in Annexure â€Ñâ€™).
v) The results of investigation after signature of Medical officer
In-charge of Laboratory will be sent to the OPD/Ward concerned.
vi) Permanent articles of General Stores will be taken on charge in
one Ledger in Form IAFM-1224.
vii) Record of consumable articles like laboratory stains and
chemicals and other petty expendable stores will be maintained in
the proforma given in Annexure â€˜Hâ€™.
viii) These reports will be sent to the Wards concerned for placing
the same with relevant Bed Head Tickets. In case of OPD, these
reports will be filed in OPD for record.
4.15 MEDICAL EXAMINATION FOR
RECRUITMENT.
i) All candidates selected for recruitment and sent for Medical
Examination for physical fitness for enlistment in the CRPF shall
be brought to the Medical Officer concerned by an authorized
Under Officer with Enrolment Form, Health Card and the
Enrolment Register duly entered with the complete particulars of
the recruits therein in accordance with the Recruitment Manual.
The Medical officer concerned will examine the person and
submit report on the prescribed proforma given in Annexure
â€Õâ€™ keeping in view the prescribed physical standard and
other orders on the subject.
ii) Report of Medical Examination and fitness of candidates for
Ministerial, Hospital and other Non-Gazetted posts will be given
on the proforma prescribed for the same from time to time by
Central Government.
4.16 CENTRAL GROUND OF REJECTION
Available in Recruitment Manual and Dte. General Ltr. No. A.VI-1/2011-
Rectt(SSB) dated 21/7/2011 and Dte. General Ltr. No. R.II-15/2008-Pers-II
dated 24/11/2008.
4.17 EMERGENCY CUP BOARD

A reasonable stock of all items required for use in emergency may
be maintained in different Sections of the Hospital as per the
discretion of Medical Officer In-charge of the Hospital/Medical
Superintendent as applicable.
4.18 HEALTH CARD

i) Health Card will be maintained in the format as prescribed for
all the Force personnel including GOs and their families and will
be kept with the individual concerned.
ii) Records of vaccination, inoculation, Medical Examination and
admissions in Hospitals will be entered in the Health Card of the
individual concerned.
iii) The Health Cards will invariably be sent with the patients who
are sent on Sick Report or for vaccination/inoculation/Medical
Examination/admission in the Hospital. The Medical Officer
concerned will make necessary entries in the Health Card under
his signature.
iv) During the period of Hospital admission, the Female/Male
Staff Nurse/In charge of Ward will keep the Health Card with
him/her and hand it over to the patient at the time of Discharge
after ensuring that all the entries have been properly made and
signed by Medical Officer.
4.19 FIELD SURGICAL UNIT

Statistics of war and CI Ops figures out more losses in the form of deaths and
permanent incapacitation of men due to lack of timely medical management
than direct hit by bullet or blast injury.
Timely medical aid to the battle injured is a matter of grave
concern even in modern days.
A simple wound aggravates into a fatal one due to prolonged bleeding, Simple
fracture becomes complicated and later develops non union producing lifelong
disability. Spinal injury produces paraplegia due to improper lifting.
A soldier is moulded out of a million after a lot of investments in his training

involving huge exchequer of the nation. His life is precious for the force and
for the country. Realizing that combat death is preventable we have come
out with the solution by making Field Surgical Unit whose sole aim is quick,
prompt and accurate response right at the battle field /site of incidence because
time is of essence and Golden period is fully utilized on the laid down principle
of First Aid :-
a) Preserve life b) Prevent further damage c) Promote recovery.
To overcome delay in management of injured, in 1942 the concept of mobile
surgery came into light.
â€œSurgery to The patient
Not
The patient to The surgeryâ€
This thought brought the OT to the patient. Wounded persons were attended in
record time this has minimized the mortality, morbidity and also markedly
decreased the evacuation.
Later in Iraq war â€“ US Marine Corps deployed smaller surgical units deep
inside the frontline to bridge the gap to overcome the delay.
UK Royal Army also has similar system. Inspired by the results
we have framed our own FSU.
Constitution of Team
Medical Officer - 01
Male Staff Nurse - 01
First Aid Trained Men of GD - 08
Training :-
Basic First aid training for 6 weeks.

Advance First Aid training for 4 weeks.
Trauma management training & Basic Emergency Care Course in
Trauma Centre of AIIMS for 15 days.
Life saving methods in emergency care by ST. John Ambulance
for 3 days.
Heli slithering /Pitching of tents in ISA, Kadarpur for 04 days.
This highly trained competent and well equipped men are from the same
battalions work in tandem, with the motto of
â€œRisking their life for rescuing othersâ€.
They work as a team and sequential execution of the given instructions to

rescue life of our brave soldiers from the jaws of death, this will soar the moral
of the troops sky high.
It is in infancy and has to go a long way and this unique concept of FSUâ€™s
is going to get the recognition by higher echelons who are involve in the
countries internal security
CHAPTER â€“ V
DIET AND LINEN
5.1 PROCEDURE/SCALE FOR ISSUE OF
DIET
i) Free diet will be issued to admitted Force personnel as per Rank
as prescribed by the Government from time to time.
ii) ENTITLEMENT OF FREE DIET

(a) All personnel up to the Grade Pay Rs.4800/- are
entitled for free diet in lieu of Ration Money vide
MHA OM No.II-27012/ 14/2010-PF-III
dated.07/07/2011. This may change/get amended as
per instructions issued from time to time.
(b) At the time of discharge, the Unit/Office
concerned will have to be informed about the
admission period and diet supplied to the patient so
that the Ration Money paid during the period can be
accounted for.
(c) Admitted patients not entitled to free diet may be
supplied diet on payment of actual cost on their
request.
iii) The scale of issue of dietary articles will be the same as
prescribed in Item 16 of MHA Letter No.33/32/62-AC-I dated.
28-12-1963 read with Item 25-E in the Appendix â€“ 2 of the
classification of contingent charges in Rajputana and Merwara.
The scale is shown in Annexure- â€˜Pâ€™
iv) The following procedure will be adopted for issue of diet :
(A) DIET REQUISITION :

(a) Diet for issue to the admitted personnel will be
prescribed by the Ward Medical Officer on the Diet
Slip attached with Bed Head Ticket. While
prescribing the diet the Medical Officers will keep
in view of the need the patients and ensure strict
compliance of orders pertaining to entitlement of
free diet and the prescribed scale which shall not be
exceeded in any case.
(b) Wherever dietician is posted , the help of
dietician may be taken while prescribing the diet to
the patients.
(c) In-charge of Ward will consolidate the total diet
prescribed on â€˜Diet Sheetâ€™ as per Annexure
â€˜Qâ€™ and after his signature it will be
countersigned by the Medical Officer who will also
furnish the following Certificates :-
(1) All the CAPF patients as per this diet sheet are entitled free
diet.
(2) The extra special diet prescribed is as per authorized scale of
issue which is not to be exceeded in any case.
(3) The diet prescribed is considered minimum essential for the
recovery of each case.
(4) The requisition slips will be prepared one day in advance and
the same for the next day should reach the person maintaining the
diet records latest one day prior to the date for which the
requisition pertains to by the time prescribed by the Medical
Officer In-Charge/Medical Superintendent.
(B) PREPARATION OF THE HOSPITAL DIET SHEET.

(a) The person deputed to maintain the Diet Register
will enter all the diet sheets in the Diet Register
proforma for which is given in Annexure-R.
(b) After making necessary entries as indicated
above, he will prepare a consolidated Diet Sheet in
proforma â€˜Sâ€™ showing the total number of
various diets to be supplied to each Ward and after
his signatures will get it signed by the senior most
Medical Officer (other than Medical Officer I/C
Genl. Store) or any other doctor authorised by the
Medical Superintendent.
(c) He will then hand over the consolidated sheet to

the Diet Clerk one day in advance of the day to
which the diet sheet pertains. It should reach the Diet
Clerk by the time prescribed by Medical Officer In-
charge of Hospital/Medical Superintendent as
applicable.
(C) ISSUE OF THE INDENT OF DIETARY

ARTICLES
(a) After receipt of the consolidated statement of

diet, the Diet Clerk will calculate each dietary article
and cooking gas required under due verification that
the calculations have been checked and found
correct. The same will be further checked and
certified as correct by the Medical Officer In charge.
This will be done on Statements received from the
Wards as per (B) (b) above.
(b) Proper order will be prepared and sent to
supplier/contractor for the supply of fresh items well
in time under the signatures of the Diet Clerk and
Medical Officer In-charge of Mess/Kitchen. Fresh
stores will be taken on charge against Inspection
Report of one MO and 2 NGOs in the Register,
proforma for which is given in Annexure-â€œTâ€™.
(c) Purchase of dry ration items and cooking gas will

be done after obtaining proper sanction from the
(d) Records of receipt and daily issue will be
maintained in Form CRPF-16.
(e) Medical Officer In-charge of Ration Stores will
also be in-charge of the Hospital kitchen. He will
supervise and check the quality/quantity of food
being served to the patients.
5.2 DUTIES OF DIET CLERK
i) One SI(Staff Nurse) or Dietician or any other person will be the
Diet Clerk. He/she will be responsible for dealing with all matters
related to procurement of dietary articles/scale of issue.
ii) He/she will be responsible for the safe custody of samples
received from the firms.
iii) He/she will maintain daily account for receipt/issue of dietary
articles in the Stock Ledgers.
iv) He/she will be responsible for the proper storage and upkeep
of dietary articles.
v) He/she will ensure that no unnecessary stocking is done.
Note: In the Hospitals other than Composite Hospitals, the
Mess UO will be the Store Keeper and will perform the
duties pertaining to maintenance of Stock Ledgers, issue of
dietary articles to Hospital Kitchen and bringing dietary
articles from the Suppliers. He will be closely supervised
by the person performing the duties of Diet Clerk.
5.3 LINEN
i) Hospital clothing will be washed by Washer man/Women
provided to Composite Hospitals/GC Hospitals.
ii) Different Sections of Composite Hospital/s will maintain
record in Washer man Register as per proforma given in Annexure
â€˜Uâ€™.
iii) It will be the responsibility of Sister In-charge of the Section
to make necessary entries. She will also obtain the signature of
washer man concerned as a token of having received the cloths.
iv) Each Section will serially enter the name of Section and
number of cloths given on Form as per proforma given in
Annexure â€˜Vâ€™.
v) After collection of cloths from each Section, the Washer
man/women will present the voucher as per sub-para (iv) above to
the General Store Keeper who will work out the total number of
cloths given and issue washing material to him accordingly. He
will obtain receipt of Washer man/women for the same. After
these formalities the voucher will be got attested from MO
General Stores by the General Store Keeper and the stores issued
will be charged off against this voucher.
vi) These vouchers will be serially numbered and filed. The
number will hold good for one Financial Year.
vii) Upon receiving back the cloths the Sister In-Charge of the
Section will complete the relevant entries in Washer man Register
and get it attested by MO In-charge of the Section.
viii) Woolen cloths and Blankets may be got dry cleaned or
laundered once in a year or earlier if soiled.
CHAPTER - VI
MISCELLANEOUS
6.1 MT SECTION
i) 100/50 Bedded Composite Hospitals are authorized separate
M.T. Section with posting/attachment of personnel. The overall
responsibility of MT Section will rest with the MTO.
ii) The authorization of vehicles to 100/50 Bedded CHs is as
under as per Police Divisionâ€™s UO Note No. II-
27012/12/2006-PF-III dated 14/03/2009.
Type of Vehicle 50 Bedded CH 100 Bedded CH
Motor Cycle 1 2
Light Vehicle 4 5
Medium Vehicle 1 2
Ambulance 2 3
Heavy Vehicle 0 0
Total 8 12
6.2 AMBULANCE
i) Ambulance will carry all seriously ill members of the Force and
their families to Hospital. Ambulance will also be provided on
discharge of a patient provided the patient is non-
ambulatory/certified by MO that ambulance is required to
transport the patient to his residence within the campus on
medical ground.
ii) An emergency demand from the town(out-side CRPF area)
may be made on payment as per rates applicable.
iii) In conditions where free use of ambulance is not permitted, the
patients entitled for treatment in CRPF Hospitals may be
permitted the use of ambulance on payment by MO In-
charge/Medical Superintendent at rates that may be prescribed by
DG, CRPF from time to time.
iv) When no ambulance is available, any other vehicle, may be
used as ambulance.
v) The Medical Officer of CRPF Hospital may use Govt.
vehicle/ambulance for medical attendance of Gazetted/Non-
Gazetted Officers and their families at their residence provided
the condition of the patient is such that he/she can not attend the
Hospital as out-door patient and a Certificate to this effect is
obtained from the attending Medical Officer.
vi) As and when, no other vehicle is available, the Medical Officer
may use the ambulance to attend the patients in other Hospitals or
for other Medical administrative duties.
vii) The ambulance should not be used for any work other than
transporting sick patients and by MO as mentioned at (iii) above.
Ambulance is not at all meant for the transportation of dead
bodies as it will affect the psychology of the patients
transported.
6.3 ANNUAL MEDICAL EXAMINATION

i) AME is to be conducted for all Force personnel as per Standing
Order- 4/2008 and its amendments being issued from time to time.
ii) Unit Medical Officer will be responsible for the AME of the
manpower posted in the Bn. Details of Low Medical Categories
are to be maintained separately and timely follow-up action taken
as prescribed. It should be endorsed in the Follow-up Register
also which should be evident as and when somebody is upgraded
to fitness.
iii) In Composite Hospitals, the Medical Superintendent or Staff
Officer to Medical Superintendent will detail a doctor for
conducting AME of CAPF personnel.
6.4 QUARTERLY TESTS.

i) For Cooks, in addition to Medical Examination, Stool
Examination will also be done Quarterly.
ii) For drivers of CRPF Quarterly Vision Test including Colour
Vision Test will be carried out.
6.5 STOCK LEDGERS

All entries in the Stock Ledgers will be first signed by the person
maintaining these Ledgers and then attested by the MO/Gazetted
officer detailed for the purpose.
6.6 CUSTODY OF KEYS
i) One key of the Cash Box will be kept by the Cashier, the key of
second lock will be kept by the Accounts Officer.
ii) Keys of Medical Stores, General Stores, Ration Stores,
Laboratory, X-Ray Room, Dispensary, Emergency Ward etc., will
be kept by the officials holding charges of these Stores/Sections.
iii) Duplicate keys of the keys mentioned in sub-para(i) and (ii)
above will be kept by the MO In-charge/Medical Superintendent
of Hospital or any other Gazetted officer authorised by them.
6.7 SHORTAGES
Officials holding the charge of Stores of all kinds will be held
responsible for any shortages during their term of charge.
6.8 HOSPITAL LEAVE
Hospital Leave will be granted to the CAPF personnel under the
provisions contained in Division XV of the Fundamental and
Supplementary Rules and Circular Orders as amended from time
to time.
6.9 MEDICAL RE-IMBURSEMENT

Re-imbursement of medical charges will be allowed as per procedure contained
in relevant Medical Attendance Rules as amended from time to time. All
Doctors will be guided by MO In-charge/Medical Superintendent in this regard.
6.10 RECORDING OF CERTIFICATES ON
STOCK LEDGERS
The following Certificates shall be recorded before beginning and after closing
the Stock Ledgers :-
i) (a) Certified that this Register has been started with effect from â€¦â€¦
(b) Certified that this Register contains pages â€¦â€¦
(c) Certified that all the balances from the previous
Stock Ledger page Noâ€¦â€¦ have been correctly
brought forward to this Register.
ii) (a) Certified that this Register has been closed with effect from
â€¦â€¦
(b) Certified that all the balances have been correctly
transferred to new Stock Register page number
â€¦â€¦â€¦.. with effect from â€¦â€¦..
6.11 OTHERS
(i) Men are forbidden to doctor themselves and on falling sick
must report at once to their Coy HQ/PI. HQ. Concealment of any
infectious or contagious disease will be severely punished under
the Rules of CAPF.
(ii) For points/matters not covered in this Manual, relevant
Medical Attendance Rules and other orders issued by Govt./DG,
CRPF from time to time will be applicable.
(iii) For the purpose of treatment of the CAPF personnel the
relevant Medical Attendance Rules will be followed.
CHAPTER â€“ VII

INVALIDATION
PROCEDURE IN CRPF
7.1 i) When a person is considered medically unfit for
further service in CRPF, he will be produced before a
Medical Board consisting of CRPF doctors as under :-
Composition of Board to be constituted by Medical
Superintendent/ In-charge of the hospital :-
(i) Presiding Officer : CMO/SMO
(ii) Members : 2 MOs irrespective of grade
ii) Authority to approve convening of Invalidation Boards
will be as under :-
For Officers : DG, CRPF
For NGOs :
(a) Personnel serving in Dte : DIGP(Adm)
(b) Personnel serving in IGP Office : IGP
(c) Personnel serving in Range DIGP Office : DIGP
(d) Personnel serving in GC/Attached Bns : DIGP of respective
GC to
which Bn belongs
(e) Personnel serving in Unattached Bn : Commandant
(f) Personnel serving in CTCs/RTCs/ :
DIGP/Principal of the CIAT School/CTC(T &IT)
Institution.
(g) Personnel serving in Sig.Bn : DIGP Signal Range
(h) Personnel serving in ISA, Mt. Abu : Director ISA/CRPF
Academy
CRPF Academy
(i) Personnel serving in Composite Hospitals : Medical
Superintendent.
(j) Personnel serving in CWS and AWS Rampur: DIGP of CWS
Rampur
(k) Personnel serving in AWS : DIGP of GC where the AWS
is located
(l) Personnel serving in SDG : Commandant, SDG
iii) Approving authority for invalidating personnel after
receipt of Board Proceedings are as under :-
(a) For Officers - Central Govt.
(b) For NGOs -Appointing Authority
iv) After having been declared unfit by the Medical Board
the Appointing Authority will communicate, in brief, the
findings of the Medical Board to the individual concerned.
The individual concerned will have the right to appeal
against the opinion of the Board within one month of the
Findings being communicated and on producing a prima-
facie evidence of error of judgment in the opinion
expressed by the Board. The prima-facie evidence so
produced should be from a Govt. Doctor not below the rank
of Civil Surgeon and should contain specific mention that
he has taken into consideration the Findings of the Board
before giving his opinion. This Appeal for Review Medical
Board will be considered by competent authority to
convene a Review Medical Board.
v) (a) Convening authority for review medical board will
be as under :-
For Officers -
Central Govt.
For NG - As in para
7.1 (ii) in
consultation with
CMO/ Medical
Superintendent of
nearest
GC/Composite
Hospital
respectively
(b) Composition of the Review Medical Board will be as
under :-
Presiding Officer -
Medical
Superintendent/CM
O of nearest
Composite
Hospital/ GC
Hospital.
Members - 2 MOs
preferably having PG
qualification. (Other than
those deputed for earlier
invalidation Board).
(vi) Invalidation and Review Board Proceedings of
Officers will be forwarded for perusal of
Director(Medical), Directorate General before being sent to
Central Govt. for approval. For others, the Invalidation
Board and Review Board proceedings will be sent to the
Appointing Authority concerned.
(vii) Approving authority for invalidating personnel after

Review Medical Board :-
(a) For Officers - Central Govt.
(b) For others - Appointing Authority.
(viii)No appeal shall lie against the Review Medical Board.
The Medical Board proceedings will be recorded in the
approved Form No.23 as laid down under Rule 38(3) of
CCS (Pension Rules) 1972 and will be made in duplicate in
case of NGOs and in triplicate in case of Officers.
CALCULATION OF PERCENTAGE OF
DISABILITY.
A. MENTAL RETARDATION
1. DEFINITION :-
Mental retardation is a condition of arrested or incomplete development

of the mind, which is especially characterized by impairment of skills
manifested during the development period which contribute to the over
all level of intelligence, i.e., cognitive, language, motor and social
abilities.
2. CATEGORIES OF MENTAL RETARDATION:-
2.1 Mild Mental Retardation:- The range of 50 to 69 (standardized IQ

test) is indicative of mild retardation. Understanding and use of language
tend to be delayed to a varying degree and executive speech problems
that interfere with the development of independence may persist into
adult life.
2.2 Moderate Mental Retardation: - The IQ is in the range of 35 to 49.

Discrepant profiles of abilities are common in this group with some
individuals achieving higher levels in visuo-spatial skills than in tasks
dependent on language while others are markedly clumsy by enjoy social
interaction and simple conversation. The level of development of
language in variable: some of those affected can take part in simple
conversations while others have only enough language to communicate
their basic needs.
2.3 Severe Mental Retardation:- The IQ is usually in the range of 20 to
34. In this category, most of the people suffer from a marked degree of
motor impairment or other associated deficits indicating the presence of
clinically significant damage to or mal-development of the central
nervous system.
2.4 Profound Mental Retardation: - The IQ in this category is estimated

to be under 20. The ability to understand or comply with requests or
instructions are severely limited. Most of such individuals are immobile
or severely restricted in mobility, incontinent and capable at most of only
very rudimentary forms of non-verbal communication. They possess
little or no ability to care for their own basic needs and require constant
help and supervision.
3. PROCESS OF CERTIFICATIONS :-
3.1 A Disability Certificate shall be issued by a Medical Board consisting

of three members duly constituted by the Central/State Government. At
least, one shall be a Specialist in the area of mental retardation, namely.
Psychiatrist, Pediatrician and clinical Psychologist.
3.2 The examination process will consist of three components, namely,

clinical assessment, assessment of adaptive behavior and intellectual
functioning.
B. VISUAL DISABILITY
1. DEFINITION: - Blindness refers to a condition where a person
suffers from any of the following conditions, namely,
i) total absence of sight; or
ii) visual acuity not exceeding 6/60 or 20/200(Snellen) in the
better eye with best correcting lenses; or
iii) limitation of field of vision subtending an angle of 20 degree

or worse;
2. LOW VISION : - Person with low vision means a person with

impairment of vision of less than 6/18 to 6/60 with best correction
in the better eye or impairment of field in any one of the following
categories:-
a) reduction of fields less than 50 degrees
b) Hemianopia with macular involvement
c) Altitudinal defect involving lower fields.
3. CATEGORIES OF VISUAL DISABILITY ALL WITH CORRECTION
Category Better eye Worse eye Percentage
impairment
Category 0 6/9-6/18 6/24 to 6/36 20%
Category I 6/18-6/36 6/60 to Nil 40%
Category II 6/40-4/60 or field of 3/60 to Nil /td> 75%
vision 10Â° -20Â°
Category III 3/60 to 1/60 or field F.C. at 1 ft. to Nil 100%
of vision 10Â°
Category IV F. C. at 1 ft. to Nil or F.C. at 1 ft. to Nil 100%
field of vision 10Â°
One eyed 6/6 F. C. at 1 ft. to Nil or 30%
persons field of vision 10o
C. SPEECH & HEARING DISABILITY

1. DEFINITION OF HEARING : - A persons with hearing impairment
having difficulty of various degrees in hearing sounds is an impaired
person.
2. CATEGORIES OF HEARING IMPAIRMENT .
CategoCategory Type of D B Level Speech Percentage of

Impairment discrimi impairment
nation
I Mild hearing Hearing 26 to 40 80 to 100% in Less than 40%
impairment dB in better ear better ear to 50%
II (a) Moderate hearing 41 to 60 50 to 80% in better ear 40%
hearing dB in better ear better ear to 50%
impairment
II (b) Severe hearing Hearing 61 to 70 40 to 50% in 51% to 70%
impairment dB in better ear better ear
III a) Profound 71 to 90 dB in Less than 40% 71% to 100%
hearing better ear in better ear
Impairment
III b) Total deafness 91 dB and above/ Very Poor 71% to 100%
in better ear
3. Pure tone average of learning in 500, and 2000 HZ,4000 HZ by
conduction (AC and BC ) should be taken as basis for
consideration as per the test recommendations.
4. When there is only as island of hearing present in one or two

frequencies in better ear, it should be considered as total loss of
hearing.
5. Wherever there is no response (NR) at any of the 4 frequencies

(500, 1000,2000 and 4000 HZ), it should be considered as
equivalent to 100 dB loss for the purpose of classification of
disability and in arriving at the average.
6. PROCESS OF CERTIFICATION
A disability certificate shall be issued by a Medical Board duly
constituted by the Central and the State Government in which, at
least, one Member shall be a specialist in the field of ENT.
D. LOCOMOTOR DISABILITY
1. DEFINITION :-
i) Impairment: An impairment is any loss or abnormality of

psychological, physiological or anatomical structure or function in
a human being.
ii) Functional Limitations: Impairment may cause functional

limitations which are partial or total inability to perform those
activities, necessary for motor, sensory or mental function within
the range or manner of which a human being is normally capable.
iii) Disability: A disability, is any restriction or lack. ( resulting

from an impairment) of ability to perform an activity in the
manner or within the range considered normal for a human being.
iv) Locomotor Disability: Locomotor disability is defined as a

personâ€™s inability to execute distinctive activities associated
with moving both himself and objects, from place to place and
such inability resulting from affliction of musculoskeletal and/or
nervous system.
2. CATEGORIES OF LOCOMOTOR DISABILITY :
The categories of Locomotor Disabilities are enclosed at

Annexure-A.
3. PROCESS OF CERTIFICATION :
(i) A Disability Certificate shall be issued by a Medical Board of

three members duly constituted by the Central and the State
Governments, out of which, at least, one member shall be a
Specialist from either the field of Physical Medicine and
Rehabilitation or Orthopedics.
(ii) Two specimen copies of the Disability Certificate for Mental

Retardation and others (Visual Disability, Speech and Hearing
Disability and Locomotors Disability) are enclosed at Annexure-
B.
(iii) It was also decided that whenever required the Chairman of

the Board may co-opt other experts including that of the Members
constituted for the purpose by the Central and the State
Government.
(iv) On representation by the Applicant, the Medical Board may

review its decision having regard to all the facts and
circumstances of the case and pass such order in the matter as it
thinks fit.
ANNEXURE-â€Ãâ€™
LOCOMOTOR DISABILITY
REVISED GUIDELINES FOR EVALUATION OF
THE PERMANENT PHYSICAL IMPAIRMENT
1.1 Guidelines for Evaluation of Permanent Physical
Impairment of Upper Limb.
1. The estimation of permanent impairment depends upon the

measurement of functional impairment and is not expression of a
personal opinion.
2. The estimation and measurement should be made when the
clinical condition has reached the stage of maximum improvement
from the medical treatment. Normally the time period is to be
decided by the Medical doctor who is evaluating the case for
issuing the PPI Certificate as per standard format of the
Certificate.
3. The upper limb is divided into two component parts; the arm
component and the hand component.
4. Measurement of the loss of function of arm component consists
of measuring the loss of motion, muscle strength and co-ordinated
activities.
5. Measurement of loss of function of hand component consists of
determining the prehension, sensation and strength. For estimation
of prehension opposition, lateral pinch, cylindrical grasp,
spherical grasp and hook grasp have to be assessed as shown in
Hand Component of Form A Assessment Proforma for upper
extremity.
6. The impairment of the entire extremity depends on the
combination of the functional impairments of both components.
ARM COMPONENT
Total value of arm component is 90%
1.2.1 Principles of evaluation of range of motion (ROM) of joints.
1. The value of maximum ROM in the arm component is 90%

2. Each of the three joints of the arm is weighed equally (30%)
Example:-
The intra articular fractures of the bones of right shoulder joint may
affect range of motion even after healing. The loss of ROM should be
calculated in each arc of motion as envisaged in the Assessment Form A
(Assessment Proforma for Upper Extremity).
Arc of ROM Normal value Active ROM Loss of ROM

Shoulder Flexion 0-220 110 50%
Rotation 0-180 90 50%
Abduction-Adduction 0-180 90 50%
Hence the mean loss of ROM of shoulder will be 50+50+50/3 =150/3 = 50%.
Shoulder movements constitute 30% of the motion of the arm component.
Therefore, the loss of motion for arm component will be 50 X 0.3d = 15% If
more than one joint of the arm is involved, the loss of percentage in each joint
is calculated separately as above and then added together.
1.2.2. Principles of evaluation of strength of muscles:
1. Strength of muscles can be tested by manual method and graded from 0-5 as
advocated by Medical Research Council of Great Britain depending upon the
strength of the muscles.
2. Loss of muscle power can be given percentages as follows:
Manual Loss of Strength in percentage

muscle
Strength
grading
0 100%
1 80%
2 60%
3 40%
4 20%
5 0%Â· The mean percentage of loss of muscle strength around a
joint is multiplied by 0.30.
Â· If loss of muscle strength involves more than one joint the
mean loss of percentage in each joint is calculated separately and
then added together as has been described for loss of motion.
1.2.3 Principles of evaluation of coordinated activities:
The total value for coordinated activities is 90%. Ten different

coordinated activities should be tested as given in Form A.
(Appendix.I of Annexure-A)
Each activity has a value of 9%.
1.2.4 Combining values for the Arm Component:
The total value of loss of function of arm component is obtained

by combining the value of loss of ROM, muscle strength and
coordinated activities, using the combining formula.
a + (b(90-a)/90)
where a = higher value and b = lower value
Example
Let us assume that an individual with an intra articular fracture
of bones of shoulder joint in addition to 16.5% loss of motion in
arm has 8.3% loss of strength of muscles and 5% loss of
coordination. These values should be combined as follows:
Loss of ROM - 16.5% 16.5+8.3(90-16.5) /90
Loss of strength of muscles - 8.3% To add = 23.33%
Loss of coordination - 5% 23.3+5(90-23.3)/90=27.0%
So the total value of loss of function in Arm component will be
27.0%
1.3 Hand Component:
1. Total value of hand component is 90%

2. The functional impairment of hand is expressed as loss
of prehension, loss of sensation and loss of strength.
1.3.1 Principles of evaluation of prehension:
1. Total value of prehension is 30% .

It includes :-
a) Opposition - 8% .
Tested against - Index finger - 2%
- Middle finger - 2%
- Ring finger - 2%
- Little finger - 2%
b)Lateral pinch -5% - Tested by asking the patient to hold a key
between the thumb and lateral side of index finger.
c)Cylindrical grasp - 6%. Tested for
i) Large object of 4 inches size - 3%
ii) Small object of 1 inch size - 3%
d) Spherical grasp -6% Tested for
i) Large object of 4 inches size - 3%
ii) Small object of 1 inch size - 3%
e) Hook grasp - 5% -Tested by asking the patient to lift a bag.
1.3.2. Principles of Evaluation of sensation:

Total value of sensation in hand is 30%
It should be assessed according to the distribution given below:
i)Complete loss of sensation :
Thumb ray 9%
Index finger 6%
Middle finger 5%
Ring finger 5%
Little finger 5%
ii) Partial loss of sensation: Assessment should be made
according to percentage of loss of sensation in
thumb/finger(s)
1 3.3. Principles of Evaluation of strength
Total value of strength is 30%.

It includes:
i) Grip strength 20% .
ii) Pinch strength 10%
Strength of hand should be tested with hand dynamo-meter or by
clinical method (grip method).
Additional weightage - A total of 10% additional weightage can
be given to following accompanying factors if they are
continuous and persistent despite treatment
1. Pain
2. Infection
3. Deformity
4. Malalignment
5. Contractures
6. Cosmetic disfiguration
7. Dominant extremity-4%
8. Shortening of upper limb
First 1" - No weightage
For each 1" beyond first 1" -2%
The extra points should not exceed 10% of the total Arm
Component and total PPI should not exceed 100% in any case.
1.3.4. Combining values of hand component:
The final value of loss of function of hand component is

obtained by summing up values of loss of prehension, sensation
and strength.
1.3.5. Combining values for the Extremity:
Values of impairment of arm component and impairment of hand

component should be added by using combining formula:
a +[ (b(90-a)/90)]
where a = higher value and b = lower value
Example:
Impairment of Arm - 27% 64+27(90-64)/90
Impairment of hand - 64% =71.8%
The total value can also be obtained by using the Ready
Reckoner table for combining formula given at Appendix.ll of
Annexure.A.
2. Guidelines for Evaluation of permanent physical
Impairment in Lower Limb.
The measurement of loss of function in lower extremity is
divided into two components: Mobility and standing
components.
2.1 Mobility Component:-
Total value of Mobility Component is 90%.

It includes range of movement (ROM) and muscle strength.
2.1.1. Principles of Evaluation of Range of Movement:
The value of maximum range of movement in mobility

component is 90%.
Each of three joints i.e. hip, knee and foot-ankle component is
weighed equally - 30%.
Example:
A fracture of right hip joint bones may affect range of motion of
the hip joint. Loss of ROM of the affected hip in different arc
should be assessed as given in Form B (Assessment Proforma
for lower extremity). (Appendix -.I of Annexure-â€Ãâ€™)
Affected Joint - Rt. Hip:

Arc of Movement Normal ROM Active ROM Loss in percentage
Flexion-Extension 0-140 70 50%
Abduction-Adduction 0-90 60 33%
Rotations 0-90 30 66%
3. Mean loss of ROM of Rt Hip = (50+33+66)/3 = 50%.
4. Since the hip constitute 30% of the total mobility component of

the lower limb the loss of motion in relation to the lower limb will
be 50 x 0.30=15%
5. If more than one joint of the limb is involved the mean loss of
ROM in percentage should be calculated in relation to individual
joint separately and then added together as follows to calculate the
loss of mobility component in relation to that particular limb.
Example.
Mean loss of ROM of Rt. Hip: 50%

Mean loss of ROM Rt. Knee: 40%
Loss of mobility component of Rt. Lower Limb will be: (50 x 0.30)+(40
x 0.30) = 27%
2.1.2. Principle of Evaluation of Muscle Strength:
The value for maximum muscle strength in the limb is 90%.

Strength of muscles can be tested by Manual Method and graded
0-5 as advocated by MRC of Great Britain depending upon the
residual strength in the muscle group.
Manual muscle grading can be given percentage as given below:
Power Grade of Muscles Loss of strength in percentage

0 100
1 80
2 60
3 40
4 20
5 0
Mean percentage of muscle strength loss around a joint is
multiplied by 0.30 to calculate loss in relation to limb.
If there has been a loss of muscle strength involving more than
one joint the values are added as has been described for loss of
ROM.
2.1.3. Combining values for mobility component:

1. The values of loss of ROM and loss of muscle strength should
be combined with the help of combining formula: a+b(90-a)/ 90 (a
= higher value, b = lower value).
Example: Let us assume that the individual with a fracture of right hip bones
has in addition to 16% loss of motion, 8% loss of muscle strength also.
Combined values
Motion-16%: 16+8(90-16)/ 90
Strength-8% =22.6%
2.2 Stability component:
1. Total value of the stability component is 90%.

2. It should be tested by clinical method as given in From B
(Assessment Proforma for lower extremity). There are nine
activities, which need to be tested, and each activity has a value of
ten per cent (10%). The percentage valued in relation to each
activity depends upon the percentage of loss of stability in relation
to each activity.
2.3 Extra points:
Extra points have been given for pain, deformities, contractures, loss of
sensations and shortening Maximum points to be added are 10% (excluding
shortening). Details are as under:-
i) Deformity In functional position 3%

In non-functional position 6%
ii) Pain Severe(grossly interfering with function) 9%
Moderate (moderately interfering with 6%
function) 3%
Mild (mildly interfering with function)
iii) Loss of sensation Complete Loss 9%
Partial Loss 6%
iv) Shortening First 1/2" Nil
Every 1/2" beyond first 1/2" 4%
v) Complications Superficial complications 3%
Deep complications 3%
3. Guidelines for Evaluation of Permanent Physical Impairment of Trunk

(Spine).
Basic guidelines:
1. As permanent physical impairment caused by spinal deformity

tends to change over the years, the Certificate issued in relation to
spine should be reviewed as per the standard format of the
Certificate given at Annexure â€“B.
2. Permanent physical impairment should be awarded in relation
to spine and not in relation to whole body.
3. Permanent physical impairment due to neurological deficit in

addition to spinal impairment should be added by combining
formula. The local effects of the lesions of the spine can be
conventionally divided into traumatic and non-traumatic. The
percentage of PPI in relation to each situation should be valued as
follows:
3.1 TRAUMATIC LESIONS:
3.1.1 Cervical spine injuries Percentage of
PPI in relation to
Spine
i) 25% or more compression of one or two adjacent 20%
vertebral bodies with no involvement of posterior
elements, no nerve root involvement, moderate-neck
rigidity and persistent soreness.
ii) Posterior element damage with radiological
evidence of moderate parts dislocation/subluxation
including whiplash injury.
A) With fusion healed, no permanent motor or sensory 10%
changes 25%
B)Persistent pain with radiologically demonstrable
instability.
iii) Severe Dislocation:
a) Fair to good reduction with or without fusion with
no residual motor or sensory involvement. 10%
b) Inadequate reduction with fusion and persistent radicular
pain. 15%
3.1.2. Cervical Intervertebral Disc Lesions Percentage of PPI In

relation to Spine
i) Treated case of disc lesion with persistent pain 10%
and no neurological deficit.
ii) Treated case with pain and instability. 15%
3.1.3. Thoracic and Thoracolumbar Spine Injuries:
i) Compression of less than 50% involving one vertebral body with no 10%
neurological manifestation.
ii) Compression of more than 50% involving single vertebra or more with 20%
involvement of posterior elements, healed, no neurological manifestations
persistent pain and fusion indicated.
iii) Same as (ii) with fusion, pain only on heavy use of back 15%
iv) Radiologically demonstrable instability with fracture or fracture 30%
dislocation with persistent pain.
3.1.4 Lumbar and Lumbosacral Spine Fracture
a)Compression of 25% or less of one or two adjacent Vertebral 15%

bodies with no definite pattern or neurological Deficit.
b)Compression of more than 25% with disruption of Posterior 30%
elements, persistent pain and stiffness, healed with or without fusion
and inability to lift more than 10 kgs.
c)Radiologically demonstrable instability in low lumbar or 35%
Lumbosacral spine with pain
3.1. 5 Disc lesion:
a)Treated case with persistent pain. 15%

b)Treated case with pain and instability. 20%
c)Treated case of disc disease with pain activities of lifting moderately 25%
modified.
d)Treated case of disc disease with persistent pain and stiffness, 30%
aggravated by heavy lifting necessitating modification of all activities
requiring heavy weight lifting.
3.2 NON TRAUMATIC LESIONS:
3.2.1 Scoliosis:
Basic guidelines: - Following modification is suggested:- The largest structural

curve should be accounted for while calculating the PPI and not the
compensatory curve or both structural curves.
3.2.2 Measurement of Spine Deformity:
Cobb's method for measurement, of angle of curve in the Cobb's PPI in

radiograph taken in standing position should be used. The Angle relation to
curves have been divided into following groups depending Spine
upon the angle of major structural scoliotic deformity.
Group
I 0-20 NIL
II 21-50 10%
III 51-100 20%
IV 101 & 30%
above
3.2.3 Torso Imbalance:

In addition to the above, PPI should also be evaluated in relation the torso
imbalance. The torso imbalance should be measured by dropping a plumb line
from C7 spine and measuring the distance of plumb line from gluteal crease.
Deviation of Plumb line PPI
Upto 1.5 Cm 4%
1.6 - 3 Cm 8%
3.1 - 5 Cm 16%
5.1 and above 32%
3.2.4 Head Tilt over C7 spine PPI
Upto 15 4%
More than 15 10%
3.2.5 Cardiopulmonary Test
In cases with scoliosis of severe type cardiopulmonary function tests and

percentage deviation from normal should be assessed by one of the following
methods whichever seems more reliable clinically at the time of assessment.
The value thus obtained may be added by combining formula.
a. Chest Expansion PPI

4 - 5 Cm. Normal
Less than 4 cm reduction in Chest expansion 5% for each cm
No expansion 25%
b. Counting in one breathe:
Breathe Count PPI

More than 40 Normal
0-40 5%
0-30 10%
0-20 15%
0-10 20%
Less than 5 25%
3.2.6 Associated Problems: To be added directly but the total

value of PPI in relation to spine should not exceed 100%.
a) Pain :
-mildly interfering with ADL 4%
-moderately restricting ADL 6%
-severely restricting ADL 10%
b) Cosmetic Appearance:
-No obvious disfigurement with cloths on Nil

-mild disfigurement 2%
-severe disfigurement 4%
c) Leg Length Discrepancy.
-First1/2 " shortening Nil

-Every1/2" beyond first1/2" 4%
d) Neurological deficit :-
Neurological deficit should be calculated as per established method of

evaluation of PPI in such cases. Value thus obtained should be added
telescopically using combining formula.
3.3 KYPHOSIS
Evaluation should be done on the similar guidelines as used for scoliosis with
the following modifications:
3.3.1 Spinal Deformity Percentage of PPI

Less than 20 Nil
21-40 10%
41-60 20%
Above 60 30%
3.3.2 Torso Imbalance - Plumb line dropped from external ear normally falls
at ankle level. The deviation from normal should be measured from ankle
anterior joint line to the plumb line.
Less than 5 cm in front of ankle 4%

5 to 10 cm in front of ankle 8%
10 to 15 cm in front of ankle 16%
More than 15 cm in front of ankle 32%
(Add directly)
Miscellaneous conditions:
Those conditions of the spine which cause stiffness and pain etc. are rated as
follows.
Conditions Percentage of
PPI
A Subjective symptoms of pain, no involuntary muscle -0%
spasm,, not substantiated by demonstrable structural
pathology
B Pain, persistent muscles spasm and stiffness of spine, -20%
substantiated by mild radiological change.
C Same as B with moderate radiological changes -25%
D Same as B with severe radiological changes involving any -30%
one of the regions of spine
E Same as D involving whole spine -40%
4. Guidelines for Evaluation of PPI in cases of Short Stature/Dwarfism:
1. Recumbent length or longitudinal height below 3rd percentile

or less than 2 Standard Deviation from the mean is considered to
have short stature.
2. The evaluation of a Short Statured person should be considered

only when it is of disproportionate variety and is accompanied by
an underlying pathological conditions, e.g.,
Achondroplasia,Chondrodysplasia Punctata, spondyloepiphysial
dysplasia,mucopolys- acchrydosis, etc.
3. The ICMR norms as enclosed at Appendix-III of Annexure-

â€Ãâ€™ should be used as a guideline for the height.
4. Every 1" vertical height reduction should be valued as 4%

permanent physical impairment.
5. Associated skeletal deformities should be evaluated, separately

and total percentage of both should be added by combining
formula.
5. Guidelines for Evaluation of Permanent Physical

Impairment in Amputees:
Basic Guidelines:
1. In cases of multiple amputees if the total sum of permanent

physical impairment is above 100%, it should be taken as 100%
only.
2. If the stump is unfit for fitting the prosthesis, additional

weightage of 5% should be added to the value.
3. In case of amputation in more than one limb percentage of each

limb is added by combining formula and another 10% will be
added but when only toes or fingers are involved only 5% will be
added
4. Any complication in the form of stiffness of proximal joint,
neuroma infection, etc., should be given upto a total of 10%
additional weightage.
Dominant upper extremity should be given 4% additional

weightage.
Upper Limb Amputations PPI & loss of
physical function
of each limb
1. Fore-quarter amputations 100%
2. Shoulder Disarticulation 90%
3. Above Elbow upto upper 1/3 of arm 85%
4. Above Elbow upto lower 1/3 of forearm 80%
5. Elbow disarticulation 75%
6. Below Elbow upto upper 1/3 of forearm 70%
7. Below Elbow upto lower 1/3 of forearm 65%
8. Wrist disarticulation 60%
9. Hand through carpal bones 55%
10. Thumb through C.M. or though 1st MC joint 30%
11. Thumb disarticulation through metacarpophalangeal 25%
Joint or through proximal phalanx.
12. Thumb disarticulation through inter phalangeal joint or 15%
Through distal phalanx.
Index Middle Ring Little Finger
Finger Finger Finger (2%)
(15%) (5%) (3%)
13. Amputation through 15% 5% 3% 2%
Proximal phalanx or
Disarticulation through M.P.
Joint
14. Amputation through Middle 10% 4% 2% 1%
phalanx or Disarticulation
through PP joint.
15. Amputation through Distal 5% 2% 1% 1%
phalanx or disarticulation
through DIP joint.
1.3 Lower Limb Amputations:
1. Hind quarter 100%

2. Hip disarticulation 90%
3. Above knee upto upper 1/3 of thigh 85%
4. Above knee upto lower 1/3 of thigh 80%
5. Through knee 75%
6. B.K. upto 8 cm 70%
7. B.K. upto lower 1/3 of leg 60%
8. Through ankle 55%
9. Syme's 50%
10. Upto mid-foot 40%
11. Upto fore-foot 30%
12. All toes 20%
13. Loss of first toe 10%
14. Loss of second toe 5%
15. Loss of third toe 4%
16. Loss of fourth toe 3%
17. Loss of fifth toe 2%
6. Guidelines for Evaluation of Permanent Physical

Impairment of Congenital deficiencies of the limbs.
6.1 Transverse Deficiencies-

(i) Functionally congenital transverse limb deficiencies are comparable to
acquired amputations and can be called synonymously as congenital
amputation. However, in some cases revision of amputation is required to fit in
a prosthesis.
(ii) The transverse limb deficiencies, therefore, should be assessed on the basis
of the guidelines applicable to the evaluation of PPI in cases of amputees as
given in the preceding paragraph 5.
Examples PPI
Transverse deficiency Rt. Arm complete 90%
(shoulder disarticulation)
Transverse deficiency at thigh complete 90%
(hip disarticulation)
Transverse deficiency Proximal Upper arm 85%
(Above elbow Amp.)
Transverse deficiency at lower thigh 80%
(Above knee Amp. Lower 1/3)
Transverse deficiency forearm complete 75%
(elbow disarticulation)
Transverse deficiency lower forearm 65%
(Below Elbow Amp.)
Transverse deficiency carpel complete 60%
(wrist disarticulation)
Transverse deficiency Metacarpal complete 55%
(Disarticulation through carpel bones)
6.2 Longitudinal Deficiencies:
6.2.1 Basic Guidelines
1. In cases of longitudinal deficiencies of limbs due consideration

should be given to functional impairment
2. In upper limb, loss of ROM loss muscular strength and hand
functions like prehension, etc should be tested while assessing the
case for PPI
3. In lower limb clinical method of stability component and
shortening of lower limb should be given due weightage.
4. Apart from functional assessment the lost joint/part of body
should also be valued as per distribution Given in chapter
Guidelines for Evaluation of PPI in upper extremity and lower
extremity The values so obtained should be added with the help of
combining formula.
Example:
Congenital absence of humerus where forearm bones directly articulate with
scapula.
There will be mild reduction in ROM and strength of muscles in the existing
joints apart from loss of body part.
Loss of shoulder joint can be given - 30%
Loss of ROM of Elbow/Shoulder and Wrist â€“ 30% each
All the components should be added together by the combining formula of a +

b (90-a)/ 90
6.2.2 In cases of loss of single bone in forearm the evaluation should be based
on the principles of evaluation of Arm component which include Evaluation of
ROM, Muscle strength-and coordinated activities. The values so obtained
should be added together with the help of combining formula.
6.2.3 In cases of loss of single bone in leg the evaluation should be based on the
principles of evaluation of mobility component and stability components of the
lower extremity. The values so obtained should be added together with the help
of combining formula.
7. Guidelines for Evaluation of Physical Impairments in Neurological

conditions.
7.1 Basic Guidelines:

1. Assessment in neurological conditions is not the assessment of
disease but the assessment of its effects, i.e. clinical
manifestations.
2. These guidelines should only be used for central and upper

motor neuron lesions.
3. Proforma (Form A & B) will be used for assessment of lower

motor neuron lesions, muscular disorders and other locomotors
conditions.
4. Normally any neurological assessment for the purpose of

certification has to be done six months after the onset of disease.
However exact time period is to be decided by the Medical
Officer who is evaluating the case and has to recommend the
review of Certificate as given in the standard Format of
Certificate.
5. Total percentage of physical impairment in any neurological

condition should not exceed 100% .
6. In mixed cases the highest score will be taken into

consideration. The lower score will be added telescopically to it
by the help of combining formula a+b(90-a)/90.
7. Additional rating of 4% will be given for dominant upper

extremity.
8. Additional weightage up-to 10% can be given for loss of

sensation in each extremity but the total physical impairment
should not exceed 100%.
7.2 Table - I
Neurological Status Physical Impairment
Altered sensorium 100%
7.3 Table - II
Intellectual Impairment (to be assessed by Clinical Psychologist)
Degree of Mental Retardation IQ Range Intellectual Impairment

Border line 70-79 25%
Mild 50-69 50%
Moderate 35-49 75%
Severe 20-34 90%
Profound Less than 20 100%
7.4 Table - III
Speech defect Physical Impairment

Mild dysarthria Nil
Moderate dysarthria 25%
Severe dysarthria 50%
7.5 Table - IV
Type of Cranial Nerve Involvement Physical Impairment

Motor cranial nerve 20% for each nerve
Sensory cranial nerve 10% for each nerve
7.6 Table-V
Motor system Disability
Neurological Involvement Physical Impairment

Hemiparesis:-
- Mild 25%
- Moderate . 50%
- Severe 75%
7.7 Table-VI
Sensory System Disability
Extent of Sensory Deficit Physical Impairment

Anaesthesia Upto 10% for each limb
Depending upon percentage of
Loss of sensation up to 30% depending
Upon percentage of loss sensation
Hypoaesthesia
Paraestheis
Hands/feet sensory loss
7.8 Table - VII
Bladder disability due to neurogenic Involvement
Bladder Involvement Physical Impairment

Mild (Hesitancy/Frequency) 25%
Moderate (Precipitancy) 50%
Severe(Occasional but recurrent Incontinence) 75%
Very Severe (Retention/Total Incontinence) 100%
7.9 Table - VIII
Post Head Injury Fits and Epileptic Convulsions
Frequency/Severity of Convulsions Physical

Impairment
Mild : occurrence of one convulsion Only Nil
Moderate : 1-5 Convulsions per month on adequate - 25%
medication
Severe : 6-10 Convulsions per month on adequate 50%
medication
Very Severe : More than 10 fits per months on adequate - 75%
medication
7.10 Table - IX
Ataxia (Sensory or Cerebellar)
Severity of Ataxia Physical Impairment

Mild (Detected on examination) 25%
Moderate 50%
Severe 75%
Very Severe 100%
8 Guidelines for Evaluation of Physical Impairment due to

Cardiopulmonary Diseases.
8.1 Basic Guidelines:-
1. Modified New York Heart Association subjective classification

should be utilised to assess the functional disability.
2. The assessing Physician should be alert to the fact that patients

who come for disability claims are likely to exaggerate their
symptoms. In case of any doubt patients should be referred for
detailed physiological evaluation.
3. Disability evaluation of cardiopulmonary patients should be

done after full medical, surgical and rehabilitative treatment
available, because most of these diseases are potentially treatable.
4. Assessment of cardiopulmonary impairment should also be

done in diseases which might have associated cardiopulmonary
problems, e.g., amputees, myopathies, etc.
5. For respiratory assessment, routine respiratory functions test

should be done. However, in cases of interstitial lung diseases,
diffusion studies may be done.
6. In cases of Angina pectoris (chest pain) base line studies in

resting ECG should be done. When there is persistence of
symptoms, exercise or stress test should be done.
8.2 The proposed classification with loss of function is as follows:-
Group 0: A patient with cardiopulmonary disease who is asymptomatic (i.e. has
no symptoms of breathlessness, palpitation, fatigue or chest pain).
Group 1: A patient with cardiopulmonary disease who becomes symptomatic

during his ordinary physical activity but has mild restriction (25%) of his
physical activities.

during his ordinary physical activity and has 25-50% restriction of his ordinary
physical activities.

during less than ordinary physical activity so that his ordinary physical
activities are 50-75% restricted.
Group 4: A patient with cardiopulmonary disease who is symptomatic even at

rest or on mildest exertion so that his ordinary physical activities are severely
or completely restricted (75-100%).
Group 5: A patient with cardiopulmonary disease who gets intermittent

symptoms at rest (i.e. patients with bronchial asthma, paroxysmal nocturnal
dyspnoea, etc.)
9. Guidelines for Evaluation of Physical Impairment due to multiple

Disabilities.
9.1 Definition of Multiple Disabilities:
Multiple disabilities means a combination of two or more disabilities as defined

in clause (i) of Section (2) of the Persons with Disabilities. (Equal
Opportunities, Protection of Rights and Full Participation) Act, 1995, namely
:â€“
I. Locomotor disability including leprosy cured.
II. Blindness/low vision.
III. Speech and hearing impairment.
IV. Mental retardation.
V. Mental illness.
9.2 Guidelines for Evaluation:-

1. In order to evaluate the multiple disability, the same guidelines
shall be used as have been developed by the respective sub-
committees of various single disability, viz. Mental Retardation,
Locomotor Disability, Visual Disability, and Speech and Hearing
Disability and recommended in the meeting held on 29.2.2000
under the Chairmanship of Dr. S.P. Agarwal, Director General of
Health Services, Government of India, with reference to Order
No.16-18/96-Nl.l, dated 28th August, 1998 and communicated to
Ministry of Social Justice & Empowerment, Government of India,
vide letter No.S-13020/4/98-MH, dated 16th March, 2000.
2. However, in order to arrive at the total percentage of multiple

disability, the combining formula a + b (90-a)/90 as given in the
Manual for Doctors to evaluate.Permanent Physical Impairment,
developed by â€œExpert Group Meeting on Disability
Evaluation" shall be used, where "a" will be the higher score and
"b" Will be the lower score. However, the maximum total
percentage of multiple disabilities shall not exceed 100%.
For example, if the percentage of Hearing Disability is 30% and

Visual Disability is 20%, then by applying the combining formula
given above, the total percentage of Multiple Disability will be
calculated as follows:-
30 + 20(90-30) = 43%
90
9.3 Procedure for Certification of Multiple Disability:-
The procedure will remain the same as has been developed by the respective
Sub-committees on various single disability and finalised in a meeting under
the Chairpersonship of Dr. S.P. Agarwal held on 29.2.2000. The final Disability
Certificate for Multiple Disability will be issued by Disability Board which has
given higher score of disability by combining the score of different disabilities
using the combining formula, i.e., a + b (90-a)/90. In cases, where two scores of
disability are equal, the final Certificate of Multiple Disability will be issued by
any one of them as decided by Local Authority.
APPENDIX - I OF ANNEXURE â€“
â€Ãâ€™
FORM - A
ASSESSMENT PROFORMA FOR UPPER
EXTREMITY
Name ___________..Age_______.Sex_____.Diagnosis______.
Address____________O.P.D________.Deptt_________.
ARM COMPONENT (Total Value 90%)

Arm Component ComponentNormal Value
(Degrees)Rt. SideLt. SideLoss of %
Rt. SideLoss of % Lt. SideMean %
Loss Rt. Lt.Sum of % Loss Rt.
Lt.Combining Value Rt. Lt.%
Summary Value for component
Range of Movement (Active) Value 90% 1. Flexion-Extension Arc
Elbow 2. Rotation Arc
3. Abduction - Adduction Arc0-220o
0-180o
0-180o
Shoulder Range of
Movement (Active) Value
90%
Wrist 1. Flexion - Extension Arc
2. Radial â€“ Ulnar deviation Arc 0-160o
0-55o
Muscle Strength Value 90% 1. Flexion

Shoulder 2. Extension
3. Rotation - Ext
4. Rotation - Int.
5. Abduction
6. Adduction
Muscle Strength Value 90% 1. Flexion
2. Extension
3. Pronation
4. Supination
Muscle Strength Value 90% 1. Dorso flexon

2. Palmar Flexion
3. Radial Deviation
4. Ulnar Deviation
Coordinated Activities Value 90% 1.

Lifting overhead objects. Removing and placing at the
same place 9%
2. Touching nose with end of extremity 9%
3. Eating Indian style 9%
4. Combing and Plaiting 9%
5. Putting on a shirt/â€™Kurtaâ€™ 9%
6. Ablution glass of water 9%
7. Drinking glass of water 9%
8. Buttoning 9%
9 Tie Nara of Dhoti 9%
10. Writing 9%
HAND COMPONENT ( TOTAL VALUE 90%)

30% Movement Normal Value
prehension 1. Index 2]
1. Hand 2. Middle 2] 8%
Component 3. Ring 2]
A. 4. Little 2]
Oppos Key Holding 5%
ition a. Large 3}
(8%) Object 3} 6%
B. Lateral ( 40) 3}
Pinch (5%) b. Small 3} 6%
C.Cylindrical Object 5%
Grasp (10)
D. Spherical
Grasp
a. Large
E. Hook Grasp Object
( 4o)
b. Small
Object
(10)
Lifting
Bag
2. Sensation 30% 1. Radial Side

2. Ulnar Side Thumb
3. Radial Fingers
4. Ulnar} 4:1
(4.8 : 1.2)
3. 1. Grip 20%
Streng Strength
th 2. Pinch 10%
30% Strength
Summary value for upper extremity is calculated from Arm component and
Hand component values. Add 4% for dominant extremity-10%. Additional
weightage to be given to infection, deformity, malalignment, contracture,
cosmetic appearance and abnormal mobility.
APPENDIX.I OF ANNEXURE-â€Ãâ€™
FORM-B
ASSESSMENT PROFORMA FOR LOWER
EXTREMITY
Name________.Age________..Sex_______..Diagnosis__________..
Address______________..O.P.D. No_________..Deptt_______.
Diagnosis______________________
MOBILITY COMPONENT (Total Value (90%)

Joint Component Normal Value Rt. Side Lt. Side Loss of % Rt. Side Loss of % Lt.
Side Mean % Rt. Lt. Mean 0.30 Rt. Lt. Combing Value Rt. Lt. % Summary Value
for mobility Component a+b (90+a)/90 Range of Movement (Active)
HIP 1. Flexion-Extension arc
2. Abduction
Adduction
3. Rotation arc 0-140Â°
0-90Â°
0-90Â° Range of
Movement
(Active) KNEE 1. Flexion
Extension are 0-125Â°
Range of 1. Dorsi flexion 0-70Â°
Movement Plantar flexion arc 0-60Â°
(Active) 2. Inversior -
ANKLE Extension arc
&
FOOT
HH
Muslce Strength HIP 1. Flexor

Muscles
2. Extensor
Muscles
3. Abductor
Muscles
4. Adductor
Muscles
5. Rotator
Muscles
(Ext. Int.) Muscles Strength
KNEE 1. Flexor
Muscles
2. Extensor
Muscles
Muscle
Strength
ANKLE
&
FOOT 1. Planter fliexor
Muscles
2. Dorsi flexor
Muscles
3. Invertor
Muscles
4. Exertor
Muscles STABILITY COMPONENT (Total Value 90%)
Based on CLINICAL METHOD of Evaluation
1. Walking on plain surface-10 %
2. Walking on slope-10%
3. Climbing Stairs-10%
4. Standing on both legs-10%
5. Standing on affected leg-10%
6. Squatting on floor-10%
7. Sitting Cross leg-10%
8. Kneeling-10%
9. Taking turns-10%
Total -90 %
10% is given for complications like (i) Infection (ii) Deformity (iii) Loss of
sensation.
APPENDIX.II OF ANNEXURE â€“â€Ãâ€™
READY RECKONER TABLE FOR A + B(90-A)/90
0 B(1) B(2) B(3) B(4)B(5)B(6)B(7)B(8)B(9)B(10)B(11)B(12)B(13)B(14)B(15)
A(1) 1.99 3.98 3.97 4.96 5.94 6.93 7.92 8.91 9.90 10.89 11.88 12.87 13.86
14.84 15.83
A(2) 2.98 3.96 4.93 5.916.897.878.849.8210.8011.7812.7613.7314.7115.6916.67

A(3) 3.97 4.93 5.90 6.877.838.809.7710.7311.7012.6713.6314.6015.5716.5316.67
A(4) 4.96 5.91 6.87 7.82 8.78 9.73 10.69 11.64 12.65 13.50 14.44 15.39 16.33
17.28 18.33
A(5) 5.94 6.89 7.83 8.789.7210.6711.6112.5613.5014.4415.3916.3317.2818.2219.17
A(6) 6.93 7.87 8.80 9.73 10.67 11.60 12.50 13.46 14.38 15.30 16.27 17.20
18.13 19.07 20.00 A(7) 7.92 8.84 9.77 10.69 11.61 12.53 13.46 14.38 15.29
16.20 17.11 18.07 18.99 19.91 20.83 A(8) 8.91 9.82 10.73 11.64 12.56 13.47
14.38 15.29 16.20 17.10 18.02 18.93 19.84 20.76 21.67 A(9) 9.90 10.80 11.70
12.60 13.50 14.40 15.30 16.20 17.10 18.00 18.90 19.80 20.70 21.60 22.50
A(10) 10.89 11.87 12.67 13.56 14.44 15.33 16.22 17.11 18.00 18.89 19.78
20.67 21.56 22.44 23.33
A(11) 11.88 12.76 13.63 14.5115.3916.2717.1418.0218.9019.7820.6621.5322.4123.2924.17

A(12) 12.87 13.73 14.60 15.4716.3317.2018.0718.9319.8020.6721.5322.4023.2724.1325.00
A(13) 13.86 14.71 15.57 16.4217.2818.1318.9919.8420.7021.5622.4123.2724.1224.9825.83
A(14) 14.84 15.69 16.53 17.38 18.22 19.07 19.91 20.76 21.60 22.44 23.29
24.13 24.98 25.82 26.67 A(15) 15.83 16.67 17.50 18.33 19.17 20.00 20.83
21.67 22.50 23.33 24.17 25.00 25.83 26.67 27.50
A(16) 16.82 17.64 18.47 19.2020.1120.9321.7622.5823.4024.2225.0425.8726.6927.5128.33

A(17) 17.81 18.62 19.3720.2421.0621.8722.6823.4924.3025.1125.9226.7327.5428.3629.17
A(18) 18.80 19.60 22.33 21.20 22.00 22.80 23.60 24.40 25.20 26.00 26.80
27.60 28.40 29.20 30.00
A(19) 19.79 20.58 23.30 22.1622.9423.7324.5225.3126.1026.8927.6828.4729.2630.0430.83
A(20) 20.78 21.56 24.27 23.11 23.89 24.67 25.44 26.22 27.00 27.78 28.56
29.33 30.11 30.89 31.67 A(21) 21.77 22.53 25.23 24.07 24.83 25.60 26.37
27.13 27.90 28.67 29.43 30.20 30.97 31.73 32.50 A(22) 22.76 23.51 26.20
25.02 25.78 26.33 27.29 28.04 28.80 29.56 30.31 31.07 31.82 32.58 33.33
A(23) 23.44 24.49 27.17 25.08 26.72 27.47 28.21 28.96 29.70 30.44 31.19
31.93 32.68 33.42 34.17 A(24) 24.73 25.47 28.13 26.93 27.67 28.40 29.13
29.87 30.60 31.33 32.07 32.80 33.57 34.27 35.00 A(25) 25.72 26.44 29.10
27.89 28.61 29.33 30.06 30.78 31.50 32.22 32.94 33.67 34.39 35.11 35.83
A(26) 26.71 27.42 30.07 28.84 29.56 30.27 30.98 31.69 32.40 33.11 33.82
34.53 35.21 35.96 36.67
A(27) 27.70 28.40 31.03 29.8030.5031.2031.9032.6033.3034.0034.4025.4036.1036.8037.50

A(28) 28.69 29.38 32.00 30.7631.4432.1332.8033.5134.4034.8935.5836.2736.9637.6438.33
A(29) 29.68 30.36 32.97 31.71 32.39 33.07 33.74 24.42 35.10 35.78 36.46
37.13 37.81 38.49 39.17 A(30) 30.67 31.33 32.00 32.67 33.33 34.67 35.33
36.00 36.67 36.67 37.33 38.00 38.67 39.33 40.00
A(31) 31.66 32.31 34.97 33.62 34.2834.9335.5936.2436.9037.9638.2138.8739.5040.1840.83

A(32) 32.64 33.29 33.93 34.5835.2235.8736.5137.1637.8038.4439.0939.7340.3811.0211.67
A(33) 33.63 34.27 34.90 35.5336.1736.8037.4338.0738.7039.3339.9740.6041.2341.8742.50
A(34) 34.62 35.24 35.87 36.49 37.11 37.73 38.36 38.98 39.60 40.22 40.84
41.47 42.09 42.71 43.33 A(35) 35.61 36.22 36.83 37.44 38.06 38.67 39.28
39.89 40.50 41.11 41.72 42.33 42.94 43.56 44.17 A(36) 36.60 37.20 37.80
38.40 39.00 39.60 40.20 40.80 41.40 42.00 42.60 43.20 43.80 44.40 45.00
A(37) 37.59 38.18 38.77 39.36 39.94 40.53 41.12 41.71 42.30 42.89 43.48
44.07 44.66 45.24 45.83
A(38) 38.58 39.16 39.73 40.3140.8941.4742.0442.6243.2043.7844.3644.9345.5146.0946.67

A(39) 39.57 4013 40.70 41.2741.8342.4042.9743.5344.1044.6745.2344.8046.3746.9347.50
A(40) 40.56 41.11 41.67 42.2242.7843.3343.8944.4445.0045.5646.1146.6747.2247.7848.33
A(41) 40.54 40.09 42.62 43.1843.7244.2744.8145.3645.9046.4446.9947.5348.0848.6249.17
A(42) 42.53 43.07 43.60 44.1344.6745.2045.7346.2746.8047.3347.8748.4048.9349.4750.00
A(43) 43.52 44.04 44.57 45.09 45.61 46.13 46.66 47.18 47.70 48.22 48.74
49.24 49.79 50.13 50.83
A(44) 44.51 45.02 44.53 46.0446.5647.0747.5848.0948.6049.1149.6250.1350.6451.6151.67
A(45) 45.50 46.00 46.50 47.00 47.50 48.00 48.50 49.00 49.50 50.00 50.50
51.00 51.50 52.00 52.50
0 B(1) B(2) B(3) B(4) B(5) B(6) B(7) B(8) B(9) B(10) B(11) B(12) B(13)
B(14) B(15) A(46) 46.49 46.98 47.47 47.96 48.44 48.93 49.42 49.91 50.40
50.89 51.38 51.87 52.36 52.84 53.33 A(47) 47.48 47.96 48.43 48.91 49.39
49.87 50.34 50.82 51.30 51.78 52.26 52.73 53.21 53.69 54.17 A(48) 48.47
48.93 49.40 49.87 50.33 50.80 51.27 51.73 52.20 52.67 53.13 53.60 54.07
54.53 55.00 A(49) 49.46 49.91 50.37 50.82 51.28 51.73 52.19 52.64 53.10
53.56 54.01 54.47 54.92 55.38 55.83
A(50) 50.44 50.89 51.33 51.7852.2252.6753.1153.5654.0054.4454.8955.3355.7856.2256.67
A(51) 51.43 51.87 52.30 52.73 53.17 53.60 54.03 54.47 54.90 55.33 55.77
56.20 56.63 57.07 57.50 A(52) 52.42 52.84 53.27 53.69 54.11 54.53 54.96
55.38 55.80 56.22 56.64 57.07 57.49 57.91 58.33
A(53) 53.41 53.82 54.23 54.6455.0655.4755.8856.2956.7057.1157.5257.9358.3458.7659.17
A(54) 54.40 54.80 55.20 55.60 56.00 56.40 56.80 57.20 57.60 58.00 58.40
58.80 59.20 59.60 60.00
A(55) 55.39 55.78 56.17 56.56 56.9457.3357.7258.1158.5058.8959.2859.6760.0660.4460.83

A(56) 56.38 56.76 57.13 57.51 57.89 58.27 58.64 59.02 59.40 59.78 60.16
60.53 60.91 61.21 61.67
A(57) 57.37 57.73 58.10 58.4758.8359.2059.5759.9360.3060.6761.0361.4061.7762.1362.50
A(58) 58.36 58.71 59.07 59.42 59.78 60.13 60.49 60.84 61.20 61.56 61.91
62.26 62.62 62.98 63.33 A(59) 59.34 59.69 60.03 60.38 60.72 61.07 61.41
61.76 62.10 62.44 62.79 63.13 63.48 63.82 64.17 A(60) 60.33 60.67 61.00
61.33 61.67 62.00 62.33 62.67 63.00 63.00 63.67 64.00 64.33 64.67 65.00
A(61) 61.32 61.64 61.97 62.2962.6162.9363.2663.5863.9064.2264.5464.8765.1965.5165.83

A(62) 62.31 62.62 62.93 63.2463.5663.8764.1864.4964.8065.1165.4265.7366.0466.3666.67
A(63) 63.30 63.60 63.90 64.2064.5064.8065.1065.4065.7066.0066.3066.6066.9067.2067.50
A(64) 64.29 64.58 64.87 65.1665.4465.7366.0266.3166.6066.8969.1867.4767.7668.0468.33
A(65) 65.28 65.56 65.8366.1166.3966.6766.9467.2267.5067.7868.0668.3368.6168.8969.17
A(66) 66.27 66.53 66.80 67.07 67.33 67.60 67.87 68.13 68.40 68.67 68.93
69.20 69.47 69.73 70.00
A(67) 67.26 67.51 67.7768.0268.2868.5368.7969.0469.3069.5669.8170.0770.3270.5870.83

A(68) 68.24 68.49 68.7368.9869.2269.4769.7169.9670.2070.1470.6971.9371.1871.4271.67
A(69) 69.23 69.47 69.70 69.93 70.17 70.40 70.63 70.87 71.10 71.33 71.57
71.80 72.03 72.27 72.50 A(70) 70.22 70.44 70.67 70.89 71.11 71.33 71.56
71.78 72.00 72.22 72.44 72.67 72.89 73.11 73.33 A(71) 71.21 71.42 71.63
71.84 72.06 72.27 72.48 72.69 72.90 73.11 73.32 73.53 73.74 73.96 74.17
A(72) 72.20 72.40 72.60 72.80 73.00 73.20 73.40 73.60 73.80 74.00 74.20
74.40 74.60 74.80 75.00 A(73) 73.19 73.38 73.57 73.76 73.94 74.13 74.32
74.51 74.70 74.89 75.08 75.27 75.46 75.64 75.83
A(74) 74.18 74.36 74.5374.7174.8975.0775.2475.4275.6075.7875.9676.1376.3176.4976.67

A(75) 75.17 75.33 75.50 75.67 75.83 76.00 76.17 76.33 76.50 76.67 76.83
77.00 77.17 77.33 77.50
A(76) 76.16 76.31 76.4776.6276.7876.9377.0977.2477.4077.5677.7177.8778.0278.1878.33

A(77) 77.14 77.29 77.4377.5877.7277.8778.0178.1678.3078.4478.5978.7378.8879.0279.17
A(78) 78.13 78.27 78.40 78.53 78.67 78.80 78.93 79.07 79.20 79.33 79.47
79.60 79.73 79.87 80.00 A(79) 79.12 79.24 79.37 79.49 79.61 79.73 79.86
79.98 80.10 80.22 80.34 80.47 80.59 80.71 80.83
A(80) 80.11 80.22 80.3380.4480.5680.6780.7880.8981.0081.1181.2281.3381.4481.5681.67

A(81) 81.10 81.20 81.3081.4081.5081.6081.7081.8081.9082.0082.1082.2082.3082.4082.50
A(82) 82.09 82.18 82.27 82.36 82.44 82.53 82.62 82.71 82.80 82.89 82.98
83.07 83.16 83.24 83.33 A(83) 83.08 83.16 83.23 83.31 83.39 83.47 83.54
83.62 83.70 83.78 83.86 83.93 84.01 84.09 84.17
A(84) 84.07 84.13 84.2084.2784.3384.4084.4784.5384.6084.6784.7384.8084.8784.9385.00
A(85) 85.06 85.11 85.17 85.22 85.28 85.33 85.39 85.44 85.50 85.56 85.61
85.67 85.72 85.78 85.83
A(86) 86.04 86.09 86.1386.1886.2286.2786.3186.3686.4086.4486.4986.5386.5886.6286.67

A(87) 87.03 87.07 87.1087.1387.1787.2087.2387.2787.3087.3387.3787.4087.4387.4787.50
A(88) 88.02 88.04 88.07 88.09 88.11 88.13 88.16 88.18 88.20 88.22 88.24
88.27 88.29 88.13 88.33
A(89) 89.01 89.02 89.0389.0489.0689.0789.0889.0989.1089.1189.1289.1389.1489.1689.17
A(90) 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00
90.00 90.00 90.00 90.00
0 B(16) B(17) B(18) B(19) B(20) B(21) B(22) B(23) B(24) B(25) B(26) B(27)
B(28) B(29) B(30) A(1) 16.82 17.81 18.80 19.79 20.78 21.77 22.76 23.74
24.73 25.72 26.71 27.70 28.69 29.68 30.67 A(2) 17.64 18.62 19.60 20.58 21.56
22.53 23.51 24.49 25.47 26.44 27.42 28.40 29.38 30.36 31.33 A(3) 18.47 19.43
20.40 21.37 22.33 23.30 24.27 25.23 26.20 27.17 28.13 29.10 30.07 31.03
32.00 A(4) 19.29 20.24 21.20 22.16 23.11 24.07 25.02 25.98 26.93 27.89 28.84
29.80 30.76 31.71 32.67
A(5) 20.11 21.06 22.0022.9423.8924.0725.7826.7227.6728.6129.5630.5031.4432.3933.33

A(6) 20.93 21.87 22.8023.7324.6724.8326.5327.4728.4029.3330.2731.2032.1333.0734.00
A(7) 21.76 22.68 23.60 24.52 25.60 25.60 27.13 28.04 29.13 30.06 30.98 31.90
32.82 33.74 34.67
A(8) 22.58 23.49 24.4025.3126.3726.3727.9028.8029.8730.7831.6932.6033.5134.4235.33
A(9) 23.40 24.30 25.20 26.10 27.00 27.90 28.80 29.70 30.60 31.50 32.40 33.30
34.20 35.10 36.00 A(10) 24.22 25.11 26.00 26.89 27.78 28.67 29.56 30.44
31.33 32.22 33.11 34.00 34.89 35.78 36.67 A(11) 25.04 25.92 26.80 27.68
28.56 29.56 30.31 31.39 32.07 32.94 33.82 34.70 35.58 36.46 37.33 A(12)
25.87 26.73 27.60 28.47 29.33 30.20 31.07 31.93 32.80 33.67 34.53 35.40
36.27 37.13 38.00 A(13) 26.69 27.54 28.40 29.26 30.11 30.97 31.82 32.68
33.53 34.39 35.24 36.10 36.96 37.81 38.67 A(14) 27.51 28.36 29.20 30.04
30.89 31.73 32.58 33.42 34.27 35.11 35.96 36.80 37.64 38.49 39.33 A(15)
28.33 29.17 30.00 30.83 31.67 32.50 33.33 34.17 35.00 35.83 36.67 37.50
38.33 39.17 40.00 A(16) 29.16 29.98 30.80 31.62 32.44 33.27 34.09 34.91
35.73 36.56 37.38 38.20 39.02 39.84 40.67 A(17) 29.98 30.79 31.60 32.41
32.22 34.03 34.84 35.66 36.47 37.28 38.09 38.90 39.71 40.52 41.33
A(18) 30.80 31.60 32.4032.2034.0034.8035.6036.4037.2038.0038.8039.6040.4041.2042.00

A(19) 31.62 32.41 33.2033.9934.7835.5736.3637.1437.9338.7239.5140.3041.0941.8842.67
A(20) 32.44 33.22 34.0034.7835.5636.3337.1137.8938.6739.4440.2241.0041.7842.5643.33
A(21) 33.27 34.03 34.80 35.57 36.33 37.10 37.87 38.63 39.40 40.17 40.93
41.70 42.47 43.23 44.00
A(22) 34.09 34.84 35.6036.3637.1137.8738.6239.3840.1340.8941.6442.4043.1643.9144.67
A(23) 34.91 35.66 36.40 37.14 37.89 38.63 39.38 40.12 40.87 41.61 42.36
43.10 43.84 44.59 45.33
A(24) 35.73 36.47 37.2037.9338.6739.4040.1340.8741.6042.3343.0743.8044.5345.2746.00
A(25) 36.56 37.28 38.00 38.72 39.44 40.17 40.89 41.61 42.33 43.06 43.78
44.50 45.22 45.94 46.67
A(26) 37.38 38.09 38.8039.5140.2240.9341.6442.3643.0743.7844.4945.2045.9146.6247.33

A(27) 38.20 38.90 39.6040.3041.0041.7042.4043.1043.8044.5045.2045.9046.6047.3048.00
A(28) 39.02 39.71 40.4041.0941.7842.4743.1643.8444.5345.2245.9146.6047.2947.9848.67
A(29) 39.84 40.52 41.2041.8842.5643.2343.9144.5945.2745.9446.6247.3047.9848.6649.33
A(30) 40.67 41.33 42.0042.6743.3344.0044.6745.3346.0046.6747.3348.0048.6749.3350.00
A(31) 41.49 42.14 42.80 43.46 44.11 44.77 45.42 46.08 46.73 47.39 48.04
48.70 49.36 50.01 50.67 A(32) 42.31 42.96 43.60 44.24 44.89 45.23 46.18
46.82 47.47 48.11 48.76 49.40 50.04 50.69 51.33
A(33) 43.13 43.77 44.4045.0345.6746.3046.9347.5748.2048.8349.4750.1050.7351.3752.00
A(34) 43.96 44.58 45.20 45.82 46.44 47.07 47.69 48.31 48.93 49.56 50.18
50.80 51.42 52.04 52.67 A(35) 44.78 45.39 46.00 46.61 47.22 47.83 48.44
49.06 49.67 50.28 50.89 51.50 52.11 52.72 53.33
A(36) 45.60 46.20 46.8047.4048.0048.6049.2049.8050.4051.0051.6052.2052.8053.4054.00
A(37) 46.42 47.01 47.60 48.19 48.78 49.37 49.96 50.54 51.13 51.72 52.31
52.90 53.40 54.08 54.67 A(38) 47.24 47.82 48.40 48.98 49.56 50.13 50.71
51.29 51.87 52.44 53.02 53.60 54.18 54.76 55.33 A(39) 48.07 48.63 49.20
49.77 50.33 50.90 51.47 52.03 52.60 53.17 53.73 54.30 54.87 55.43 56.00
A(40) 48.89 49.44 50.00 50.56 51.11 51.67 52.22 52.78 53.33 53.89 54.44
55.00 55.56 56.11 56.67
A(41) 49.71 50.26 50.8051.3451.8952.4352.9853.5254.0754.6155.1655.7056.2456.7957.33
A(42) 50.53 51.07 51.60 52.13 52.67 53.20 53.73 54.27 54.80 55.33 55.87
56.40 56.93 57.47 58.00 A(43) 51.36 51.88 52.40 52.92 53.44 23.97 54.49
55.01 55.53 56.06 56.58 57.10 57.62 58.14 58.67
A(44) 52.18 52.69 53.2053.7154.2254.7355.2455.7656.2756.7857.2957.8058.3158.8259.33

A(45) 53.00 53.50 54.0054.5055.0055.5056.0056.5057.0057.5058.0058.5059.0059.5060.00

0 B(16) B(17) B(18)B(19)B(20)B(21)B(22)B(23)B(24)B(25)B(26)B(27)B(28)B(29)B(30)
A(46) 53.82 54.31 54.8055.2955.7856.2756.7657.2457.7358.2258.7159.2059.6960.1860.67
A(47) 54.64 55.12 55.60 56.08 56.56 57.03 57.51 57.99 58.47 58.94 59.42
59.90 60.38 60.86 61.33 A(48) 55.47 55.93 56.40 56.87 57.33 57.80 58.27
58.73 59.20 59.67 60.13 60.60 61.07 61.53 62.00 A(49) 56.29 56.74 57.20
57.66 58.11 58.57 59.02 59.48 59.93 60.39 60.84 61.30 61.76 62.21 62.67
A(50) 57.11 57.56 58.00 58.44 58.89 59.33 59.78 60.22 60.67 61.11 61.56
62.00 62.44 62.89 63.33 A(51) 57.93 58.37 58.80 59.23 59.67 60.10 60.55
60.97 61.40 61.83 62.27 62.70 63.13 63.57 64.00 A(52) 58.76 59.18 59.60
60.02 60.44 60.87 61.29 61.71 62.13 62.56 62.98 63.40 63.82 64.26 64.67
A(53) 59.58 59.99 60.40 60.81 61.22 61.63 62.04 62.46 62.87 63.28 63.69
64.10 64.51 64.92 65.33 A(54) 60.40 60.80 61.20 61.60 62.00 62.40 62.80
63.20 63.60 64.00 64.40 64.80 65.20 65.60 66.00
A(55) 61.22 61.61 62.0062.3962.7863.1763.5663.9464.3364.7265.1165.5065.8966.2866.67
A(56) 62.04 62.42 62.80 63.18 63.56 63.93 64.31 64.69 65.07 65.44 65.82
66.20 66.58 66.96 67.33 A(57) 62.87 63.23 63.60 63.97 64.33 64.70 65.07
65.43 65.80 66.17 66.53 66.90 67.27 67.63 68.00 A(58) 63.69 64.04 64.40
64.76 65.11 65.47 65.82 66.18 66.53 66.89 67.24 67.60 67.96 68.31 68.67
A(59) 64.51 64.86 65.20 65.54 65.89 66.23 66.58 66.92 67.27 67.61 67.96
68.30 68.64 68.99 69.33 A(60) 65.33 65.67 66.00 66.33 66.67 67.00 67.33
67.67 68.00 68.33 68.67 69.00 69.33 69.67 70.00
A(61) 66.16 66.48 66.80 67.12 67.4467.7768.0968.4168.7369.0669.3869.7070.0270.3470.67

A(62) 66.98 67.29 67.60 67.91 68.2268.5368.8469.1669.4769.7870.0970.4070.7171.0271.33
A(63) 67.80 68.10 68.40 68.70 69.00 69.30 69.60 69.90 70.20 70.50 70.80
71.10 71.40 71.70 72.00
A(64) 68.62 68.91 69.20 69.49 69.7870.0770.3670.6470.9371.2271.5171.8072.0972.3872.67

A(65) 69.44 69.72 70.00 70.28 70.5670.8371.1171.3971.6771.9472.2272.5072.7873.0673.33
A(66) 70.27 70.53 70.80 71.07 71.3371.6071.8772.1372.4072.6772.9373.2073.4773.7374.00
A(67) 71.09 71.34 71.60 71.86 72.1172.3772.6272.8873.1373.3973.6473.9074.1674.4174.67
A(68) 71.91 72.16 72.40 72.64 72.8973.1373.3873.6273.8774.1174.3674.6074.8475.0975.33
A(69) 72.73 72.97 73.20 73.43 73.6773.9074.1374.3774.6074.8375.0775.3075.5375.7776.00
A(70) 73.56 73.78 74.00 74.22 74.44 74.67 74.89 75.11 75.33 75.56 75.78
76.00 76.22 76.44 76.67 A(71) 74.38 74.59 74.80 75.01 75.22 75.43 75.64
75.86 76.07 76.28 76.49 76.70 76.91 77.12 77.33 A(72) 75.20 75.40 75.60
75.80 76.00 76.20 76.40 76.60 76.80 77.00 77.20 77.40 77.60 77.80 78.00
A(73) 76.02 76.21 76.40 76.5976.7876.9777.1677.3477.5377.7277.9178.1078.2978.4878.67

A(74) 76.84 77.02 77.2077.3877.5677.7377.9178.0978.2778.4478.6278.8078.9879.1679.33
A(75) 77.67 77.83 78.00 78.17 78.33 78.50 78.67 78.83 79.00 79.17 79.33
79.50 79.67 79.83 80.00
A(76) 78.49 78.64 78.8078.9679.1179.2779.4279.5879.7379.8980.0480.2080.3680.5180.67

A(77) 79.31 79.46 79.6079.7479.8980.0380.1880.3280.4780.6180.7680.9081.0481.1981.33
A(78) 80.13 80.27 80.27 80.40 80.67 80.80 80.93 81.07 81.20 81.33 81.47
81.60 81.73 81.87 82.00
A(79) 80.96 81.08 81.2081.3281.4481.5781.6981.8181.9382.0682.1882.3082.4282.5482.67

A(80) 81.76 81.89 82.0082.1182.2282.3382.4482.5682.6782.7882.8983.0083.1183.2283.33
A(81) 82.60 82.70 82.8082.9083.0083.1083.2083.3083.4083.5083.6083.7083.8083.9084.00
A(82) 83.42 83.51 83.60 83.69 83.78 83.87 83.96 84.04 84.13 84.22 84.31
81.40 84.90 84.58 84.67
A(83) 84.24 84.24 84.4084.4884.5684.6384.7184.7984.8784.8985.0285.1085.1885.2685.33
A(84) 85.07 85.07 85.20 85.27 85.33 85.40 85.47 85.53 85.60 85.67 85.73
85.80 85.87 85.93 86.00 A(85) 85.89 85.89 86.00 86.06 86.11 86.17 86.22
86.28 86.33 86.39 86.44 86.50 86.56 86.61 86.67 A(86) 86.71 86.76 86.80
86.84 86.89 86.89 86.98 87.02 87.07 87.11 87.16 87.20 87.24 87.29 87.33
A(87) 87.53 87.57 87.57 87.60 87.63 87.67 87.73 87.77 87.80 87.83 87.87
87.90 87.93 87.97 88.00
A(88) 88.36 88.38 88.3888.4088.4288.4488.4988.5188.5388.5688.5988.6088.6288.6488.67

A(89) 89.18 89.13 89.1989.2089.2189.2389.2489.2689.2789.2889.2989.3089.3189.3289.33
A(90) 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00
90.00 90.00 90.00 90.00
READY RECKONER TABLE FOR A+ B(90-A)/90
0 B(31) B(32) B(33)B(34)B(35)B(36)B(37)B(38)B(39)B(40)B(41)B(42)B(43)B(44)B(45)
A(1) 31.66 32.64 33.63 34.62 35.61 36.60 37.59 38.58 39.57 40.56 41.54 42.53
42.52 44.51 45.50
A(2) 32.31 33.29 34.2735.2436.2237.2038.1839.1640.1341.1142.0943.0744.0445.0246.00

A(3) 32.97 33.93 34.90 35.87 36.83 37.80 38.77 39.73 40.70 47.67 42.63 43.60
44.57 45.53 46.50 A(4) 33.62 34.58 35.53 36.49 37.44 38.40 39.36 40.31 41.27
42.22 43.18 44.13 45.09 46.04 47.00 A(5) 34.28 35.22 36.17 37.11 38.06 39.00
39.94 40.89 41.83 42.78 43.72 44.67 45.61 46.56 47.50 A(6) 34.93 35.87 36.80
37.73 38.67 39.60 40.53 41.74 42.40 43.33 44.27 45.20 46.13 47.07 48.00 A(7)
35.59 36.51 37.43 38.36 39.28 40.20 41.12 42.04 42.97 43.89 44.81 45.73
46.66 47.58 48.50 A(8) 36.24 37.16 38.07 38.98 39.89 40.80 41.71 42.62 43.53
44.44 45.36 46.27 47.18 48.09 49.00 A(9) 36.90 37.80 38.70 39.60 40.50 41.40
42.30 43.20 44.10 45.00 45.90 46.80 47.70 48.60 49.50
A(10) 37.56 38.44 38.3340.2241.1142.0042.8943.7844.6745.5646.4447.3348.2249.1150.00

A(11) 38.21 39.09 39.9740.8441.7242.6043.4844.3645.2346.1146.9947.8748.7449.6250.50
A(12) 38.87 39.73 40.6041.4742.3343.2044.0744.9345.8046.6747.5348.4049.2750.1351.00
A(13) 39.52 40.38 41.23 42.94 43.80 44.66 45.51 46.37 47.22 48.08 48.93
49.79 50.64 50.64 51.50 A(15) 40.83 41.67 42.50 43.33 44.17 45.00 45.83
46.67 47.50 48.33 49.17 50.00 50.83 51.67 52.50
A(16) 41.49 42.31 43.1343.9644.7845.6046.4247.2448.0748.8949.7150.5351.3652.1853.00
A(17) 42.14 42.96 43.77 44.58 45.39 46.20 47.01 47.82 48.63 49.44 50.26
51.07 51.88 52.69 53.50
A(18) 42.80 43.60 44.4045.2046.0046.8047.8047.6048.4049.2050.0051.6052.4053.2054.00
A(19) 43.46 44.24 45.03 45.82 46.61 47.40 48.19 48.98 49.77 50.56 51.34
52.13 52.92 53.71 54.50 A(20) 44.11 44.89 45.67 46.44 47.22 48.00 48.78
49.56 50.33 51.11 51.89 52.67 53.44 54.22 55.00
A(21) 44.77 45.53 46.3047.0747.8348.6049.3750.1350.9051.6752.4353.2053.9754.7355.50
A(22) 45.42 46.18 46.93 47.69 48.44 49.20 49.96 50.71 51.47 52.22 52.98
53.73 54.49 55.24 56.00
A(23) 46.08 46.82 47.5758.3149.0649.8050.5451.2952.0352.7853.5254.2755.0155.7656.50
A(24) 46.73 47.47 48.20 48.93 49.67 50.40 51.13 51.87 52.60 53.33 54.07
54.80 55.53 56.27 57.00 A(25) 47.39 48.11 48.83 49.56 50.28 51.00 51.72
52.44 53.17 53.89 54.61 55.33 56.06 56.78 57.50
A(26) 48.04 48.76 49.4750.1850.8951.6052.3153.0253.7354.4455.1655.8756.5857.2958.00

A(27) 48.70 49.40 50.1050.8051.5052.2052.9053.5054.3055.0055.7056.4057.1057.8058.50
A(28) 49.36 50.04 50.7351.4252.1152.8053.4954.1854.8755.5656.2456.9357.6258.3159.00
A(29) 50.01 50.60 51.3752.0452.7253.4054.0854.7655.4356.1156.7957.4758.1458.8259.50
A(30) 50.67 51.33 52.0053.6753.3354.0054.6755.3356.0056.6757.3358.0058.6759.3360.00
A(31) 51.32 51.98 52.63 53.2953.9454.6055.2655.9156.5757.2257.8858.5359.1959.8460.50
A(32) 51.98 52.62 53.27 53.91 54.56 55.20 55.84 57.13 57.13 57.78 58.42
59.07 59.71 60.36 61.00 A(33) 52.63 53.27 53.90 54.53 55.17 55.80 56.43
57.07 57.70 58.33 58.97 59.60 60.23 60.87 61.50 A(34) 53.29 53.91 54.53
55.16 55.78 56.40 57.02 57.64 58.27 58.89 59.51 60.13 60.76 61.38 62.00
A(35) 53.94 54.56 55.17 55.7856.3957.0057.6158.2258.8359.4460.0660.6761.2861.8962.50
A(36) 54.60 55.20 55.80 56.40 57.00 57.60 58.20 58.80 59.40 60.00 60.60
61.20 61.80 62.40 63.00 A(37) 55.26 55.84 56.43 57.02 57.61 58.20 58.79
59.38 59.97 60.56 61.14 61.73 62.32 62.91 63.50 A(38) 55.91 56.49 57.07
57.64 58.22 58.80 59.38 59.96 60.53 61.11 61.69 62.27 62.84 63.42 64.00
A(39) 56.57 57.13 57.70 58.27 58.83 59.40 59.97 60.53 61.10 61.67 62.23
62.80 63.37 63.93 64.50 A(40) 57.22 57.78 58.33 58.89 59.44 60.00 60.56
61.11 61.67 62.22 62.78 63.33 63.89 64.44 65.00 A(41) 57.88 58.42 58.97
59.51 60.06 60.60 61.14 61.69 62.27 62.78 63.32 63.87 64.41 64.96 65.50
A(42) 58.53 59.07 59.60 60.13 60.67 61.20 61.73 62.27 62.80 63.33 63.87
64.40 64.93 65.47 66.00
A(43) 59.19 59.71 60.23 60.7661.2861.8062.3263.8463.3763.8964.4164.9365.4665.9866.50

A(44) 59.84 60.36 60.87 61.3861.8962.4062.9163.4263.9364.4464.9665.4765.9866.4967.00
A(45) 60.50 61.00 61.50 62.00 62.50 63.00 63.50 64.00 64.50 65.00 65.50
65.50 65.50 67.00 67.50
0 B(31) B(32) B(33) B(34) B(35) B(36) B(37) B(38) B(39) B(40) B(41) B(42)
B(43) B(44) B(45)
A(46) 61.16 61.64 62.13 62.6263.1363.6064.0964.5865.0765.5666.0466.5367.0267.5168.00

A(47) 61.81 62.29 62.77 63.2463.7264.2064.6865.1665.6366.1166.5967.0767.5468.0268.50
A(48) 62.47 62.93 63.40 63.87 64.33 64.80 65.27 65.73 66.20 66.67 67.13
67.60 68.07 68.53 69.00
A(49) 63.12 63.58 64.03 64.4964.9465.4065.8666.366.7767.2267.6868.1368.5969.0469.50

A(50) 63.78 64.22 64.67 65.1165.5666.0066.4466.8967.3367.7868.2268.6769.1169.5670.00
A(51) 64.43 64.87 65.30 65.7366.1766.6067.0367.4767.9068.3368.7769.2069.6370.0770.50
A(52) 65.09 65.51 65.93 66.33 66.78 67.20 67.62 68.40 68.47 68.89 69.31
69.73 70.16 70.58 71.00
A(53) 65.74 66.16 66.57 66.9867.3967.8068.2168.6269.0369.4469.8670.2770.6871.0971.50
A(54) 66.40 66.80 67.20 67.60 68.00 68.40 68.80 68.20 69.60 70.00 70.40
70.80 71.20 71.60 72.00 A(55) 67.06 67.44 67.83 68.22 68.61 69.00 69.39
69.78 70.17 70.56 70.94 71.33 71.72 72.11 72.50 A(56) 67.71 68.09 68.47
68.84 69.22 69.60 69.98 70.36 70.73 71.11 71.49 74.87 72.24 72.62 73.00
A(57) 68.37 68.73 69.10 69.47 69.83 70.20 70.57 70.93 71.30 71.67 72.03
72.40 72.77 73.13 73.50
A(58) 69.02 69.38 69.7970.0970.4470.8071.1671.5171.8772.2272.5872.9373.2973.6474.00
A(59) 69.68 70.02 70.37 70.71 71.06 71.40 71.74 72.09 72.43 72.78 73.12
73.47 73.81 74.16 74.50 A(60) 70.33 70.67 71.00 71.33 71.57 72.00 72.33
72.67 73.00 73.33 73.67 74.00 74.33 74.67 75.00 A(61) 70.99 71.31 71.63
71.96 72.28 72.60 72.92 73.24 73.57 73.89 74.21 74.53 74.86 75.18 75.50
A(62) 71.64 71.96 72.2772.5872.8973.2073.5173.8274.1374.4474.7675.0775.3875.6976.00
A(63) 72.30 72.60 72.90 73.20 73.50 73.80 74.10 74.40 74.70 75.00 75.30
75.60 75.90 76.20 76.50 A(64) 72.96 73.24 73.53 73.82 74.11 74.40 74.69
74.98 75.27 75.56 75.84 76.13 76.42 76.71 77.00 A(65) 73.61 73.89 74.17
74.44 74.72 75.00 75.28 75.56 75.83 76.11 76.39 76.67 76.94 77.22 77.50
A(66) 74.27 74.53 74.8075.0775.3375.6075.8776.1376.4076.6776.9377.2077.4777.7378.00

A(67) 74.92 75.18 75.43 75.69 75.9476.2076.4676.7176.9777.2277.4877.7377.9978.2478.50
A(68) 75.58 75.82 76.07 76.31 76.5676.8077.0477.2977.5377.7878.0278.2778.5178.7679.00
A(69) 76.23 76.47 76.70 76.93 77.17 77.40 77.63 77.87 78.10 78.33 78.57
78.80 79.03 79.27 79.50
A(70) 76.89 77.11 77.33 77.56 77.7878.0078.2278.4478.6778.8979.1179.3379.5679.7880.00
A(71) 77.54 77.76 77.97 78.18 78.39 78.60 78.81 79.02 79.23 79.44 79.66
79.87 80.08 80.29 80.50
A(72) 78.20 78.40 78.60 78.80 79.0079.2079.4079.6079.8080.0080.2080.4080.6080.8081.00

A(73) 78.86 79.04 79.23 79.42 79.6179.8079.9980.1880.3780.5680.7480.9381.1281.3181.50
A(74) 79.51 79.69 79.87 80.04 80.22 80.40 80.58 80.76 80.93 81.11 81.29
81.47 81.64 81.82 82.00 A(75) 80.17 80.33 80.50 80.67 80.83 81.00 81.17
81.33 81.50 81.67 81.83 82.00 82.17 82.33 82.50 A(76) 80.82 80.98 81.13
81.29 81.44 81.60 81.76 81.91 82.07 82.22 82.38 82.53 82.69 82.84 83.00
A(77) 81.48 81.62 81.77 81.91 82.06 82.20 82.34 82.49 82.63 82.78 82.92
83.07 83.21 83.36 83.50
A(78) 82.13 82.27 82.4082.5382.6782.8082.9383.0783.2083.3383.4783.6083.7383.8784.00

A(79) 82.79 82.91 83.03 83.16 83.28 83.40 83.52 83.64 83.77 83.89 84.01
84.13 84.26 84.38 84.50 A(80) 83.44 83.56 83.67 83.78 86.89 84.00 84.11
84.22 84.33 84.44 84.56 84.67 84.78 78.89 85.00 A(81) 84.10 84.20 84.30
84.40 84.50 84.60 84.70 84.80 84.90 85.00 85.10 85.20 85.30 85.40 85.50
A(82) 84.76 84.84 84.93 85.02 85.11 85.20 85.29 85.38 85.47 85.56 85.64
85.73 85.82 85.91 86.00 A(83) 85.41 85.49 85.57 85.64 85.72 85.80 85.88
85.96 87.03 86.11 86.19 86.27 86.34 86.42 86.50
A(84) 86.07 86.13 86.2086.2786.5386.4086.4786.5387.6086.6786.7386.8086.8786.9387.00
A(85) 86.72 86.78 86.83 86.89 87.94 87.00 87.06 87.11 88.17 87.22 87.28
87.33 87.39 87.44 87.50 A(86) 87.38 87.42 87.47 87.51 88.56 87.60 87.64
87.69 88.73 87.78 87.82 87.87 87.91 87.96 88.00 A(87) 88.03 88.07 88.10
88.13 88.17 88.20 88.23 88.27 88.30 88.33 88.37 88.40 88.43 88.47 88.50
A(88) 88.69 88.71 88.7388.7689.7888.8088.8288.8488.8788.8988.9188.9388.9688.9889.00

A(89) 89.34 89.36 89.3789.3889.3989.4089.4189.2489.4389.4489.4689.4489.4689.4989.50
A(90) 90.00 90.00 90.0090.0090.0090.0090.0090.0090.0090.0090.0090.0090.0090.0090.00

0 B(46) B(47) B(48) B(49) B(50) B(51) B(52) B(53) B(54) B(55) B(56) B(57)
B(58) B(59) B(60) A(1) 46.49 47.48 48.47 49.46 50.44 51.43 52.42 53.41
54.40 55.39 56.38 57.37 58.36 59.34 60.33 A(2) 46.98 47.96 48.93 49.91 50.89
51.87 52.84 53.82 54.80 55.78 56.76 57.73 58.71 59.69 60.67
A(3) 47.47 48.43 49.4050.3751.3352.3053.2754.2355.2056.1757.1258.1059.0760.0361.00
A(4) 47.96 48.91 49.87 50.82 51.78 52.73 53.69 54.64 55.60 56.56 57.51 58.47
59.42 60.38 61.33 A(5) 48.44 49.39 50.33 51.28 52.22 53.17 54.11 55.06 56.00
56.94 57.89 58.83 59.78 60.72 61.67 A(6) 48.93 49.87 50.80 51.73 52.67 53.60
54.53 55.47 56.40 57.33 58.27 59.20 60.13 61.07 62.00 A(7) 49.42 50.34 51.27
52.19 53.11 54.03 54.96 55.88 56.80 57.72 58.64 59.57 60.49 61.41 62.33
A(8) 49.91 50.82 51.7352.6453.5654.4755.3856.2057.2058.1159.0259.9360.8461.7662.67

A(9) 50.40 51.30 52.2053.1054.0054.9055.8056.7057.6058.5059.4060.3061.2062.1063.00
A(10) 50.89 51.78 52.6753.5654.4455.3356.2257.1158.0058.8959.7860.6761.5662.4463.33
A(11) 51.38 52.26 53.1354.0154.8355.7756.6457.5258.4059.2860.1661.0361.9162.7963.67
A(12) 51.87 52.73 53.6054.4755.3356.2057.0757.9358.8059.6760.5361.4062.2763.1364.00
A(13) 52.36 53.21 54.07 54.92 55.78 56.63 57.49 58.34 59.20 60.06 60.91
61.77 62.62 63.48 64.33 A(14) 52.84 53.69 54.53 55.38 56.22 57.07 57.19
58.76 59.60 60.44 61.29 62.13 62.98 63.82 64.67
A(15) 53.33 54.17 55.0055.8356.6757.5058.3359.1760.0060.8361.6762.5063.3364.1765.00

A(16) 53.82 54.64 55.4756.2957.1157.9358.7659.5860.4061.2262.0462.8763.6964.5165.33
A(17) 54.31 55.12 55.9356.7457.5658.3759.1859.9960.8061.6162.4263.2364.0464.8665.67
A(18) 54.80 55.60 56.40 57.20 58.00 58.80 59.60 60.40 61.20 62.00 62.80
63.60 64.40 65.20 66.00 A(19) 55.29 56.08 56.87 57.66 58.44 59.23 60.02
60.81 61.60 62.39 63.18 63.97 64.54 65.54 66.33 A(20) 55.78 56.56 57.33
58.11 58.89 59.67 60.44 61.22 62.00 62.78 63.56 64.33 65.11 65.89 66.67
A(21) 56.27 57.03 57.80 58.57 59.33 60.10 60.87 61.63 62.40 63.17 63.93
64.70 65.47 66.23 67.00 A(22) 56.76 57.51 58.27 59.02 59.78 60.53 61.29
62.04 62.80 63.56 64.31 65.07 65.82 66.58 67.33
A(23) 57.24 57.99 58.7359.4860.2260.9761.7162.4663.2063.9464.6965.4366.1866.9267.67

A(24) 57.73 58.47 59.20 59.93 60.67 61.40 62.13 62.87 63.60 64.33 65.07
65.80 66.53 67.27 68.00
A(25) 58.22 58.94 59.67 60.39 61.1161.8362.5663.2864.0064.7265.4466.1766.8967.6168.33

A(26) 58.71 59.42 60.13 60.84 61.5662.2762.9863.6964.4065.1165.8266.5367.2467.9668.67
A(27) 59.20 59.90 60.60 61.30 62.0062.7063.4064.1064.8065.5066.2066.9067.6068.3069.00
A(28) 59.69 60.38 61.07 61.76 62.44 63.13 63.82 64.51 65.20 65.89 66.58
67.27 67.96 68.64 69.33 A(29) 60.18 60.86 61.53 62.21 62.89 63.57 64.24
64.92 65.60 66.28 66.96 67.63 68.31 68.99 69.67 A(30) 60.67 61.33 62.00
62.67 63.33 64.00 64.67 65.33 66.00 66.67 67.33 68.00 68.67 69.33 70.00
A(31) 61.16 61.81 62.47 63.12 63.7864.4365.0965.7466.4067.0667.7168.3769.0269.6870.33
A(32) 61.64 62.29 62.93 63.58 64.22 64.87 65.51 66.16 66.80 67.44 68.09
68.73 69.38 70.02 70.67 A(33) 62.13 62.77 63.40 64.03 64.67 65.30 65.93
66.57 67.20 67.83 68.47 69.10 69.73 70.37 71.00
A(34) 62.62 63.24 63.87 64.49 65.1165.7366.3633.9867.6068.2268.8469.4770.0970.7171.33

A(35) 63.11 63.72 64.33 64.94 65.5666.1766.7867.3968.0068.6169.2269.8370.4471.0671.67
A(36) 63.90 64.20 64.8065.4066.0066.6067.2067.8068.0068.6169.2270.2070.8071.4072.00
A(37) 64.09 64.68 65.27 65.86 66.44 67.03 67.62 68.04 68.40 69.00 69.60
70.57 71.16 71.74 72.33 A(38) 64.58 65.16 65.73 66.31 66.89 67.47 68.04
68.47 68.80 69.39 69.98 70.93 71.51 72.09 72.33 A(39) 65.07 65.63 66.20
66.27 67.33 67.90 68.47 69.03 69.60 70.17 70.73 71.30 71.87 72.43 73.00
A(40) 65.56 66.11 66.6767.2267.7868.3368.8969.4470.0070.5671.1171.6772.2272.7873.33

A(41) 66.04 66.59 67.1367.6868.2268.7769.3169.8670.4070.9471.4972.0372.5873.1273.67
A(42) 66.53 67.07 67.60 68.13 68.67 69.20 69.73 70.27 70.80 71.33 71.87
72.40 72.93 73.47 74.00 A(43) 67.02 67.54 68.07 68.59 69.11 69.63 70.16
70.68 71.20 71.72 72.24 72.77 73.29 73.81 74.33 A(44) 67.51 68.02 68.53
69.04 69.56 70.07 70.58 71.09 71.60 72.11 72.62 73.13 73.64 74.16 74.67
A(45) 68.00 68.50 69.00 69.50 70.00 70.50 71.00 71.50 72.00 72.50 73.00
73.50 74.00 74.50 75.00
0 B(46) B(47) B(48) B(49) B(50) B(51) B(52) B(53) B(54) B(55) B(56) B(57)
B(58) B(59) B(60) A(46) 68.49 68.98 69.47 69.96 70.44 70.93 71.42 71.91
72.40 72.89 73.38 73.87 74.36 74.84 75.33 A(47) 68.98 69.46 69.93 70.41
70.89 71.37 71.84 72.32 72.80 73.28 73.76 74.23 74.71 75.19 75.67 A(48)
69.47 69.93 70.40 70.87 71.33 71.80 72.27 72.73 73.20 73.67 74.13 74.60
75.07 75.53 76.00
A(49) 69.96 70.41 70.8771.3271.7872.2372.6973.1473.6074.0674.5174.9775.4275.8876.33
A(50) 70.44 70.89 71.33 71.78 72.22 72.67 73.11 73.56 74.00 74.44 74.89
75.33 75.78 76.22 76.67 A(51) 70.93 71.37 71.80 72.23 72.67 73.10 73.53
73.97 74.40 74.83 75.27 75.70 76.13 76.57 77.00
A(52) 71.42 71.84 72.2772.6973.1173.5373.9674.3874.8075.2275.6476.0776.4976.9177.33
A(53) 71.91 72.32 72.73 73.14 73.56 73.97 74.38 74.79 75.20 75.61 76.02
76.43 73.84 77.26 77.67 A(54) 72.40 72.80 73.20 73.60 74.00 74.40 74.80
75.20 75.60 76.00 76.40 76.80 77.20 77.60 78.00
A(55) 72.89 73.28 73.6774.0674.4474.8375.2275.6176.0076.3976.7877.1777.5677.9478.33

A(56) 73.38 73.76 74.1374.5174.8975.7775.6476.0276.4076.7877.1477.5377.9178.2978.67
A(57) 73.87 74.23 74.60 74.97 75.33 75.70 76.07 76.43 76.80 77.17 77.53
77.90 78.27 78.63 79.00 A(58) 74.36 74.71 75.07 75.42 75.78 76.13 76.49
76.84 77.20 77.56 77.91 78.27 78.62 78.98 79.33 A(59) 74.84 75.19 77.53
75.88 76.22 76.57 76.91 77.26 77.60 77.94 78.29 78.63 78.98 79.32 79.67
A(60) 75.33 75.67 76.0076.3376.6777.0077.3377.6778.0078.3378.6779.0079.3379.6780.00

A(61)75.8276.1476.4776.7977.1177.4377.7678.0878.4078.7279.0479.3779.6980.0180.33
A(62) 76.31 76.62 76.93 77.24 77.56 77.87 78.18 78.40 78.80 79.11 79.42
79.73 80.04 80.36 80.67 A(63) 76.80 77.10 77.40 77.70 78.00 78.30 78.60
78.90 79.20 79.50 79.80 80.10 80.40 80.70 81.00 A(64) 77.29 77.58 77.87
78.16 78.44 78.73 79.02 79.31 79.60 79.89 80.18 80.47 80.76 81.04 81.33
A(65) 77.78 78.06 78.3378.6178.8979.1779.4479.7280.0080.2880.5680.8381.1181.3981.67

A(66) 78.27 78.53 78.8079.0779.3379.6079.8780.1380.4080.6780.9381.2081.4781.7382.00
A(67) 78.76 79.01 79.27 79.52 79.78 80.03 80.29 80.54 80.80 81.06 81.31
81.57 81.82 82.08 82.33 A(68) 79.24 79.49 79.73 79.98 80.22 80.47 80.71
80.96 81.20 81.44 81.69 81.93 82.18 82.42 82.67 A(69) 79.73 79.97 80.20
80.43 80.67 80.90 81.13 81.37 81.60 81.83 82.07 82.30 82.53 82.77 83.00
A(70) 80.22 80.44 80.67 80.89 81.11 81.33 81.56 81.78 82.00 82.22 82.44
82.67 82.89 83.11 83.33
A(71) 80.71 80.92 81.1381.3481.5681.7781.9882.1982.4082.6182.8283.0383.2483.4683.67
A(72) 81.20 81.40 81.60 81.80 82.00 82.20 82.40 82.60 82.80 83.00 83.20
83.40 83.60 83.80 84.00 A(73) 81.69 81.88 82.07 82.26 82.44 82.63 82.82
83.01 83.20 83.39 83.58 83.77 83.96 84.14 84.33 A(74) 82.18 82.36 82.53
82.71 82.89 83.07 83.24 83.42 83.60 83.78 83.96 84.13 84.31 84.49 84.67
A(75) 82.67 82.83 83.0083.1783.3383.5083.6783.8384.0084.1784.3384.5084.6784.8385.00
A(76) 83.16 83.31 83.47 83.62 83.78 83.93 84.09 84.24 84.40 84.56 84.71
84.87 85.02 85.18 85.33 A(77) 83.64 83.79 83.93 84.08 84.22 84.37 84.51
84.66 84.80 84.94 85.09 85.23 85.38 85.52 85.67
A(78) 84.13 84.27 84.4084.5384.6784.8084.9385.0785.2085.3385.4785.6085.7385.8786.00

A(79) 84.62 84.74 84.8784.9985.1185.2385.3685.4885.6085.7285.8485.9786.0986.2186.33
A(80) 85.11 85.22 85.33 85.44 85.56 85.67 85.78 85.89 86.00 86.11 86.22
86.33 86.44 86.56 86.67
A(81) 85.60 85.70 85.8085.9086.0086.1086.2086.3086.4086.5086.6086.7086.8086.9087.00

A(82) 86.09 86.18 86.2786.3686.4486.5386.6286.7186.8086.8986.9887.0787.1687.2487.33
A(83) 86.58 86.66 86.7386.8186.8986.9787.0487.1287.2087.2887.3687.4387.5187.5987.67
A(84) 87.07 87.13 87.2087.2787.3387.4087.4787.5387.6087.6787.7387.8087.8787.9388.00
A(85) 87.56 87.61 87.67 87.72 87.78 87.83 87.89 87.94 88.00 88.06 88.11
88.17 88.22 88.28 88.33
A(86) 88.04 88.09 88.1388.1888.2288.2788.3188.3688.4088.4488.4988.5388.5888.6288.67

A(87) 88.53 88.57 88.6088.6388.6788.7088.7388.7788.8088.8388.8788.9088.9388.9789.00
A(88) 89.02 89.04 89.07 89.09 89.11 89.13 89.16 89.18 89.20 89.22 89.24
89.27 89.29 89.31 89.33
A(89) 89.51 89.52 89.53 89.5489.5689.5789.5889.5989.6089.6189.6289.6389.6489.6689.67

A(90) 90.00 90.00 90.00 90.0090.0090.0090.0090.0090.0090.0090.0090.0090.0090.0090.00
READY RECKONER TABLE FOR A+B (90-A)/90

0 B(61) B(62) B(63) B(64)B(65)B(66)B(67)B(68)B(69)B(70)B(71)B(72)B(73)B(74)B(75)
A(1) 61.32 62.31 63.30 64.29 65.28 66.27 67.26 68.24 69.23 70.22 71.21 72.20
73.19 74.18 75.17 A(2) 61.64 62.62 63.60 64.58 65.56 66.53 67.51 68.49 69.47
70.44 71.42 72.40 73.38 74.36 75.33 A(3) 61.97 62.93 63.90 64.87 65.83 66.80
67.77 68.73 69.70 70.67 71.63 72.60 73.57 74.53 75.50 A(4) 62.29 63.24 64.20
65.16 66.11 67.07 68.02 68.98 69.93 70.89 71.84 72.80 73.76 74.71 75.67
A(5) 62.61 63.56 64.50 65.4466.3967.3368.2869.2270.1771.1172.0673.0073.9474.8975.83
A(6) 62.93 63.87 64.80 65.73 66.67 67.60 68.53 69.47 70.40 71.33 72.27 73.20
74.13 75.07 76.00 A(7) 63.26 64.18 65.10 66.02 66.94 67.87 68.79 69.71 70.63
71.56 72.48 73.40 74.32 75.24 76.17 A(8) 63.58 64.49 65.40 66.31 67.22 68.13
69.04 69.96 70.87 71.78 72.69 73.60 74.51 75.42 76.33
A(9) 63.90 64.80 65.70 66.6067.5068.4069.3070.2072.1072.0072.9073.8074.7075.6076.50
A(10) 64.22 65.11 66.00 66.8967.7868.6769.5670.4471.3372.2273.1174.0074.8975.7876.67
A(11) 64.54 65.42 66.30 67.1868.0668.9369.8170.6971.5772.4473.3274.2075.0875.9676.83
A(12) 64.87 65.73 66.60 67.47 68.33 69.20 70.07 70.93 71.80 72.67 73.53
74.40 75.27 76.13 77.17
A(13) 65.19 66.04 66.90 67.7868.6169.4770.3271.1872.0372.8973.7474.6075.4676.4977.33

A(14) 65.51 66.36 67.20 68.0468.8969.7370.5871.4272.2773.1173.9674.8075.8376.6777.50
A(15) 65.83 66.67 67.50 68.3369.1770.0070.8371.6772.5073.3374.1775.0076.0276.8477.67
A(16) 66.16 66.98 67.80 68.62 69.44 70.27 71.09 71.91 72.73 73.56 74.38
75.20 76.21 77.02 77.83 A(17) 66.68 67.29 68.10 68.91 69.72 70.53 71.34
72.16 72.97 73.78 74.59 75.40 76.40 77.20 78.00 A(18) 66.80 67.60 68.40
69.20 70.00 70.80 71.60 72.40 73.20 74.00 74.80 75.60 76.59 77.36 78.17
A(19) 67.12 67.91 68.70 69.49 70.28 71.07 71.86 72.64 73.43 74.22 75.01
75.80 76.78 77.56 78.33 A(20) 67.44 68.22 69.00 69.78 70.56 71.33 72.11
72.89 73.67 74.44 75.22 76.00 76.78 77.56 78.33 A(21) 67.77 68.53 69.30
70.07 70.80 71.60 72.37 73.13 73.90 74.67 75.43 76.20 76.97 77.73 78.50
A(22) 68.09 68.84 69.6070.3671.1171.8772.6273.3874.1374.8975.6476.4077.1677.9178.67
A(23) 68.14 69.10 69.90 70.64 71.39 72.13 72.88 73.62 74.37 75.11 75.86
76.60 77.34 78.09 78.83 A(24) 68.73 69.47 70.20 70.93 71.67 72.40 73.13
73.87 74.60 75.33 76.07 76.80 77.53 78.27 79.00
A(25) 69.06 69.78 70.5071.2271.9472.6773.3974.1174.8375.5676.2877.0077.7278.4479.17
A(26) 69.38 70.00 70.80 71.51 72.22 72.93 73.64 74.36 75.07 75.78 76.49
77.20 77.91 78.62 79.33 A(27) 69.07 75.40 71.10 71.80 72.50 73.20 73.90
74.60 75.30 76.00 76.70 77.40 78.10 78.80 79.50
A(28) 70.02 70.71 71.4072.0972.7873.4774.1674.8475.5376.2276.9176.6078.2978.9879.67

A(29) 70.34 71.02 71.7072.3873.0673.7374.4175.0975.7776.4477.1277.8078.4879.679.83
A(30) 70.67 71.33 72.00 72.67 73.33 74.00 74.67 75.33 76.00 76.67 77.33
78.00 78.67 79.33 80.00 A(31) 70.99 71.64 72.30 72.96 73.61 74.27 74.92
75.58 76.23 76.89 77.54 78.20 78.86 79.51 80.17
A(32) 71.31 71.96 72.60 73.24 73.8974.5375.8275.1876.4777.1177.7678.4079.0479.6980.33
A(33) 71.69 72.27 72.90 73.53 74.17 74.80 75.43 76.07 76.70 77.33 77.97
78.60 79.23 79.87 80.50
A(34) 71.96 72.58 73.20 73.82 74.4475.0775.6976.3176.9377.5678.1878.8079.4280.0480.67
A(35) 72.28 72.89 73.50 74.11 74.72 75.33 75.94 76.56 77.17 77.78 78.39
79.00 79.61 80.22 80.83 A(36) 72.60 73.20 73.80 74.40 75.00 75.60 76.20
76.80 77.40 78.00 78.60 78.20 79.80 80.40 81.00
A(37) 72.92 73.51 74.10 70.69 75.2875.8776.4677.0477.6378.2278.8179.4079.9980.5881.17

A(38) 73.24 73.82 74.40 74.99 75.5676.1376.7177.2977.8778.4479.0279.6080.1880.7681.33
A(39) 73.57 74.13 74.70 75.27 75.8376.4076.9777.5378.1078.6779.2379.8080.3780.9381.50
A(40) 73.89 74.44 75.00 75.56 76.1176.6777.2277.7878.3378.8979.4480.0080.5681.1181.67
A(41) 74.21 74.76 75.30 75.84 76.39 76.93 77.48 78.02 78.57 79.11 79.66
80.20 80.74 81.29 81.83 A(42) 74.43 75.07 75.60 76.13 76.67 77.20 77.73
78.27 78.80 79.33 79.87 80.40 80.93 81.47 82.00 A(43) 74.86 75.38 75.90
76.42 76.94 77.47 77.99 78.51 79.03 79.56 80.08 80.60 81.12 81.64 82.17
A(44) 75.18 75.69 76.20 76.71 77.22 77.73 78.24 78.76 79.27 79.78 80.29
80.80 81.31 81.82 82.33 A(45) 75.50 76.00 76.50 77.00 75.50 78.00 78.50
79.00 79.50 80.00 80.50 81.00 81.50 82.00 82.50

0 B(61) B(62) B(63) B(64) B(65) B(66) B(67) B(68) B(69) B(70) B(71) B(72)
B(73) B(74) B(75)
A(46) 75.82 76.31 76.80 77.29 77.7878.2778.7679.2479.7380.2280.7181.2081.6982.1882.67
A(47) 76.14 76.62 77.10 77.58 78.06 78.53 79.01 79.49 79.97 80.44 80.92
81.40 81.88 82.36 82.83 A(48) 76.47 76.93 77.40 77.87 78.33 78.80 79.27
79.73 80.20 80.67 81.13 81.60 82.07 82.53 83.00 A(49) 76.79 77.24 77.70
78.16 78.61 79.07 79.52 79.98 80.43 80.89 81.34 81.80 82.26 82.71 83.17
A(50) 77.11 77.56 78.00 78.44 78.89 79.33 79.78 80.22 80.67 81.11 81.56
82.00 82.44 82.89 83.33 A(51) 77.43 77.87 78.30 78.73 79.17 79.60 80.03
80.47 80.90 81.33 81.77 82.20 82.63 83.07 83.50
A(52) 77.76 78.18 78.60 79.02 79.4479.8780.2980.7181.1381.5681.9882.4082.8283.2483.67

A(53) 78.08 78.49 78.90 79.31 79.7280.1380.5480.9681.3781.7882.1982.6083.0183.4283.83
A(54) 78.40 78.80 79.20 79.60 80.00 80.40 80.80 81.20 81.60 82.00 82.40
82.80 83.20 83.60 84.00 A(55) 78.72 79.11 79.50 79.60 80.28 80.67 81.06
81.44 81.83 82.22 82.61 83.00 83.39 83.78 84.17
A(56) 79.04 79.42 79.80 80.18 80.5680.9381.3381.6982.0782.4482.8283.2083.5883.9684.33
A(57) 79.37 79.73 80.10 80.47 80.83 81.20 81.57 81.93 82.30 82.67 83.03
83.40 83.77 84.13 84.50
A(58) 79.69 80.04 80.40 80.76 81.1181.4781.8282.1882.5382.8983.2483.6083.9684.3184.67
A(59) 80.01 80.36 80.70 81.04 81.39 81.73 82.08 82.42 82.77 83.11 83.46
83.80 84.14 84.49 84.83 A(60) 80.33 80.67 81.00 81.33 81.67 82.00 82.33
82.67 83.00 83.33 83.67 84.00 84.33 84.67 85.00
A(61) 80.66 80.98 81.30 81.62 81.9482.2782.5982.9183.2383.5683.8884.2084.5284.8485.17

A(62) 80.98 81.29 81.60 81.91 82.2282.5382.8483.1683.4783.7884.0984.4084.7185.0285.33
A(63) 81.30 81.60 81.90 82.20 82.5082.8083.1082.4083.7084.0084.3084.6084.9085.2085.50
A(64) 81.62 81.91 82.20 82.49 82.78 83.07 83.36 83.64 83.93 84.22 84.51
84.80 85.09 85.38 85.67
A(65) 81.94 82.22 82.50 82.78 83.0683.3383.6183.8984.1784.4484.7285.0085.2885.5685.83

A(66) 82.27 82.53 82.8083.0783.3383.6083.8784.1384.4084.6784.9385.2085.4785.7386.00
A(67) 82.59 82.84 83.10 83.36 83.61 83.87 84.12 84.38 84.63 84.89 85.14
85.40 85.66 85.91 86.17 A(68) 82.91 83.16 83.40 83.64 83.89 84.13 84.38
84.62 84.87 85.11 85.36 85.60 85.84 86.09 86.33 A(69) 83.73 83.47 83.70
83.93 84.17 84.40 84.63 84.87 85.10 85.33 85.57 85.80 86.03 86.27 86.50
A(70) 73.56 83.78 84.00 84.22 84.44 84.67 84.89 85.11 85.33 85.56 85.78
86.00 86.22 86.44 86.67 A(71) 83.88 84.09 84.30 84.51 84.72 84.93 85.14
85.36 85.57 85.78 85.99 86.20 86.41 86.62 86.83
A(72) 84.20 84.40 84.6084.8085.0085.2085.4085.6085.8086.0086.2086.4086.6086.8087.00

A(73) 84.52 84.71 84.9085.0985.2885.4785.6685.8486.0386.2286.4186.6086.7986.9887.17
A(74) 84.84 85.02 85.2085.3885.5685.7385.9186.0986.2786.4486.6286.8086.9887.1687.33
A(75) 85.17 85.33 85.50 85.67 85.83 86.00 86.17 86.33 86.50 86.67 86.83
87.00 87.17 87.33 87.50 A(76) 85.49 85.64 85.80 85.96 86.11 86.27 86.42
86.58 86.73 86.89 87.04 87.20 87.36 87.51 87.67 A(77) 85.81 85.96 86.10
86.24 86.39 86.53 86.68 86.82 86.97 87.11 87.26 87.04 87.54 87.69 87.83
A(78) 86.13 86.27 86.4086.5386.6786.8086.9387.0787.2087.3387.4787.6087.4387.8788.00
A(79) 86.16 86.58 86.70 86.82 86.94 87.07 87.19 87.31 87.73 87.56 87.68
87.80 87.92 88.04 88.17
A(80) 86.78 86.89 87.00 87.11 87.2287.3387.4487.5687.6787.7887.8988.0088.1188.2288.33

A(81) 87.10 87.20 87.30 87.40 87.5087.6087.7087.8087.9088.0088.1088.2088.3088.4088.50
A(82) 87.42 87.51 87.60 87.69 87.78 87.87 87.96 88.04 88.13 88.22 88.31
88.40 88.49 88.58 88.67
A(83) 87.74 87.82 87.90 87.98 88.0688.1388.2188.2988.3788.4488.5288.6088.6888.7688.83

A(84) 88.07 88.13 88.20 88.27 88.3388.4088.4788.5388.6088.6788.7388.8088.8788.9389.00
A(85) 88.39 88.44 88.50 88.56 88.61 88.67 88.72 88.78 88.83 88.89 88.94
89.00 89.06 89.11 89.17
A(86) 88.71 88.76 88.80 88.84 88.8988.9388.9889.0289.0789.1189.1689.2089.2489.2989.33

A(87) 89.03 89.07 89.10 89.13 89.1789.2089.2389.2789.3089.3389.3789.4089.4389.4789.50
A(88) 89.36 89.38 89.40 89.42 89.44 89.47 89.49 89.51 89.53 89.56 89.58
89.60 89.62 89.64 89.67 A(89) 89.68 89.69 89.70 89.71 89.72 89.73 89.74
89.76 89.77 89.78 89.79 89.80 89.81 89.82 89.83 A(90) 90.00 90.00 90.00
90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00
0 B(76) B(77) B(78) B(79) B(80)B(81)B(82)B(83)B(84)B(85)B(86)B(87)B(88)B(89)B(90)
A(1) 76.16 77.14 78.13 79.12 80.11 81.10 82.09 83.08 84.07 85.06 86.04 87.03
88.02 89.01 90.00
A(2) 76.31 77.29 78.27 79.2480.2281.2082.1883.1684.1385.1186.0987.0788.0489.0290.00

A(3) 76.47 77.43 78.40 79.3780.3381.3082.2783.2384.2085.1786.1387.1088.0789.0390.00
A(4) 76.62 77.58 78.53 79.49 80.44 81.40 82.36 83.31 84.27 85.22 86.18 87.13
88.09 89.04 90.00 A(5) 76.78 77.72 78.67 79.61 80.56 81.50 82.44 83.39 84.33
85.28 86.22 87.17 88.11 89.06 90.00
A(6) 76.93 77.87 78.80 79.7380.6781.6082.5383.4784.4085.3386.2787.2088.1389.0790.00

A(7) 77.09 78.01 78.93 79.8680.7881.7082.6283.5484.4785.3986.3187.2388.1689.0990.00
A(8) 77.24 78.16 79.07 79.98 80.89 81.80 82.71 83.62 84.53 85.44 86.36 87.27
88.18 89.09 90.00 A(9) 77.40 78.30 79.20 80.10 81.00 81.90 82.80 83.70 84.60
85.50 86.40 87.30 88.20 89.10 90.00 A(10) 77.56 78.44 79.33 80.22 81.11
82.00 82.89 83.78 84.67 85.56 86.44 87.33 88.22 89.11 90.00
A(11) 77.71 78.59 79.47 80.3481.2282.1082.9883.8684.7385.6186.4987.3788.2489.1290.00

A(12) 77.87 78.73 79.60 80.4781.3382.2083.0783.9384.8085.6786.5387.4088.2789.1390.00
A(13) 78.02 78.88 79.73 80.59 81.44 82.30 83.16 84.01 84.87 85.72 86.18
87.43 88.29 89.16 90.00 A(14) 78.18 79.02 79.87 80.71 81.56 82.40 83.24
84.09 84.93 85.78 86.02 87.47 88.31 89.16 90.00 A(15) 78.33 79.17 80.00
80.83 81.67 82.50 83.33 84.17 85.00 85.83 86.61 87.50 88.33 89.17 90.00
A(16) 78.49 79.31 80.13 80.96 81.78 82.60 83.42 84.24 85.07 85.89 86.71
87.53 88.36 89.81 90.00
A(17) 78.64 79.46 80.27 81.0881.8982.7083.5184.3285.1385.9486.7687.5788.3889.1990.00
A(18) 78.80 79.60 80.40 81.20 82.00 82.80 83.60 84.40 85.20 86.00 86.80
87.60 88.40 89.20 90.00
A(19) 78.96 79.74 80.53 81.3282.7182.9083.6984.4885.2786.0686.8487.6388.4289.2190.00

A(20) 79.11 79.89 80.67 81.4482.2283.0083.7884.5685.3386.1186.8987.6788.4489.2290.00
A(21) 79.27 80.03 80.80 81.5782.3383.1083.8784.6385.4086.1786.9387.7088.4789.2390.00
A(22) 79.42 80.18 81.93 81.69 82.44 83.20 83.96 84.71 85.47 86.22 86.98
87.73 88.49 89.24 90.00
A(23) 79.58 80.32 81.07 81.8182.5683.3084.0484.7985.5386.2887.0287.7788.5189.2690.00
A(24) 79.73 80.47 81.20 81.93 82.67 83.40 84.13 84.87 85.60 86.33 87.07
87.80 88.53 89.27 90.00 A(25) 79.89 80.61 81.33 82.06 82.78 83.50 84.22
84.94 85.67 86.39 87.11 87.80 88.56 89.28 90.00 A(26) 80.04 80.76 81.47
82.18 82.89 83.60 84.31 85.02 85.73 86.44 87.16 87.89 88.58 89.29 90.00
A(27) 80.20 80.90 81.60 82.30 83.00 83.70 84.40 85.10 85.80 86.50 87.20
87.90 88.60 89.30 90.00 A(28) 80.36 81.04 81.73 82.42 83.11 83.80 84.49
85.18 58.87 86.56 87.24 87.93 88.62 89.31 90.00 A(29) 80.51 81.19 81.87
82.54 83.22 83.90 84.58 85.26 85.93 86.61 87.29 87.97 88.64 89.32 90.00
A(30) 80.67 81.33 82.00 82.67 83.33 84.00 84.67 85.33 86.00 86.67 87.33
88.00 88.67 89.33 90.00 A(31) 80.82 81.48 82.13 82.79 83.44 84.10 84.76
85.41 86.07 86.72 87.38 88.03 88.69 89.34 90.00 A(32) 80.98 81.62 82.27
82.91 83.56 84.20 84.84 85.49 86.13 86.78 87.42 88.07 88.70 89.36 90.00
A(33) 81.13 81.77 82.40 83.03 83.67 84.30 84.93 85.57 86.20 86.83 87.47
88.10 88.73 89.37 90.00 A(34) 81.29 81.91 82.53 83.16 83.78 84.40 85.02
85.64 86.27 86.89 87.51 88.13 88.67 89.38 90.00 A(35) 81.44 82.06 82.67
83.28 83.89 84.50 85.11 85.72 86.33 86.94 87.56 88.17 88.78 89.39 90.00
A(36) 81.60 82.20 82.80 83.40 84.00 84.60 85.20 85.80 86.40 87.00 87.60
88.20 88.80 89.40 90.00 A(37) 81.76 82.34 82.93 83.53 84.11 84.70 85.29
85.88 86.47 87.06 87.64 88.23 88.82 89.41 90.00
A(38) 81.91 82.49 83.07 83.64 84.2284.8085.3885.9686.5387.1187.6988.2788.8489.4290.00
A(39) 82.07 82.63 83.20 83.77 84.33 84.90 85.47 86.03 86.60 87.17 87.73
88.30 88.87 89.43 90.00 A(40) 82.22 82.78 83.33 83.89 84.44 85.00 85.56
86.11 86.67 87.22 87.78 88.33 88.89 89.44 90.00 A(41) 82.38 82.92 83.47
84.01 84.56 85.10 85.64 86.19 86.73 87.82 87.28 87.82 88.37 88.91 90.00
A(42) 82.53 83.07 83.60 84.13 84.6785.2085.7386.2786.8087.3387.8788.4088.9389.4690.00

A(43) 83.69 83.21 83.73 84.26 84.7885.3085.8286.3486.8787.3987.9188.4388.9689.6790.00
A(44) 82.84 83.36 83.87 84.38 84.89 85.40 85.91 86.42 86.93 87.44 87.96
88.47 88.98 89.84 90.00 A(45) 83.00 83.50 84.00 84.50 85.00 85.50 86.00
86.50 87.00 87.50 88.00 88.50 89.00 89.50 90.00
READY RECKONER TABLE FOR A+B (90-A) / 90
0 B(76) B(77) B(78) B(79) B(80)B(81)B(82)B(83)B(84)B(85)B(86)B(87)B(88)B(89)B(90)
A(46) 83.16 83.64 84.13 84.62 85.11 85.60 86.09 86.58 87.07 87.56 88.04
88.53 89.02 89.51 90.00
A(47) 83.31 83.79 84.2784.7485.2285.7086.1886.6687.1387.6188.0988.5789.0489.5290.00
A(48) 83.47 83.93 84.40 84.87 85.33 85.80 86.27 86.73 87.20 87.67 88.13
88.60 89.07 89.53 90.00 A(49) 83.62 84.08 84.53 84.99 85.44 85.90 86.36
86.81 87.27 87.72 88.18 88.63 89.09 89.54 90.00 A(50) 83.78 84.22 84.67
85.11 85.56 86.00 86.44 86.89 87.33 87.78 88.22 87.67 89.11 89.56 90.00
A(51) 83.93 84.37 84.80 85.23 85.67 86.10 86.53 86.97 87.40 87.83 88.27
88.70 89.13 89.57 90.00
A(52) 84.09 84.66 84.9385.3685.7886.2086.6287.0487.4787.8988.3188.7389.1689.5890.00
A(53) 84.24 84.66 85.0785.4885.8986.3086.7187.1287.5387.9488.3688.7789.1889.5990.00
A(54) 84.40 84.80 85.2085.6086.0086.4086.8087.2087.6088.0088.4088.8089.2089.6090.00
A(55) 84.56 84.94 85.3385.7286.1186.5086.8987.2887.6788.0688.4488.8389.2289.6190.00
A(56) 84.71 85.09 85.4785.8486.2286.6086.9887.3687.7388.1188.4988.8789.2489.6290.00
A(57) 84.87 85.23 85.60 85.97 86.33 86.70 87.07 87.43 87.80 88.17 88.53
88.90 89.27 89.63 90.00 A(58) 85.02 85.38 85.73 86.09 86.44 86.80 87.16
87.51 87.87 88.22 88.58 88.93 88.29 89.64 90.00
A(59) 85.18 85.52 85.8786.2186.5686.9087.2487.5987.9388.2888.6288.9789.3189.6690.00

A(60) 85.33 85.67 86.0086.3386.6787.0087.3387.6788.0088.3388.6789.0089.6789.6790.00
A(61) 85.49 85.81 86.1386.4686.7887.1087.4287.7488.0788.3988.7189.0389.3689.6890.00
A(62) 85.64 85.96 86.27 86.58 86.89 87.20 87.51 87.82 88.13 88.44 88.76
89.07 89.38 89.69 90.00
A(63) 85.80 86.10 86.4086.7087.0087.3087.6087.9088.2088.5088.8089.1089.4089.7090.00
A(64) 85.96 86.24 86.53 86.82 87.11 87.40 87.69 87.98 88.27 88.56 88.84
89.13 89.42 89.71 90.00 A(65) 86.11 86.39 86.67 86.94 87.22 87.50 87.78
88.06 88.33 88.61 88.89 89.17 89.44 89.72 90.00 A(66) 86.27 86.53 86.80
87.07 87.33 87.60 87.87 88.13 88.40 88.67 88.93 89.20 89.47 89.73 90.00
A(67) 86.42 86.68 86.9387.1987.4487.7087.9688.2188.4788.7288.9889.2389.4989.7490.00
A(68) 86.58 86.87 87.07 87.31 87.56 87.80 88.04 88.29 88.53 88.78 89.02
89.27 89.51 89.76 90.00 A(69) 86.73 86.97 87.20 87.43 87.67 87.90 88.13
88.37 88.60 88.83 89.07 89.30 89.53 89.77 90.00 A(70) 86.89 87.41 87.33
87.56 87.78 88.00 88.22 88.44 88.67 88.89 89.11 89.33 89.56 89.78 90.00
A(71) 87.04 87.18 87.4787.6887.8988.1088.3188.5288.7388.9489.1689.3789.5889.7990.00

A(72) 87.20 87.40 87.6087.8088.0088.2088.4088.6088.8089.0089.2089.4089.6089.8090.00
A(73) 87.36 87.54 87.73 87.92 88.11 88.30 88.49 88.68 88.87 89.06 89.24
89.43 89.62 89.81 90.00 A(74) 87.51 87.69 87.87 88.04 88.17 88.33 88.50
88.67 88.93 89.11 89.29 89.47 89.64 89.82 90.00 A(75) 87.67 87.83 88.00
88.17 88.33 88.50 88.67 88.83 89.00 89.17 89.33 89.50 89.67 89.83 90.00
A(76) 87.82 87.98 88.13 88.29 88.44 88.60 88.76 88.91 89.07 89.22 89.38
89.53 89.69 89.84 90.00
A(77) 87.98 88.12 88.2788.4188.5688.7088.8488.9989.1389.2889.4289.5789.7189.8690.00

A(78) 88.13 88.27 88.4088.5388.6788.8088.9389.0789.2089.3389.4789.6089.7389.8790.00
A(79) 89.29 88.41 88.53 88.66 88.78 88.90 89.02 89.14 89.27 89.39 89.51
89.63 89.76 89.88 90.00
A(80) 88.45 88.56 88.6788.7888.8989.0089.1189.2289.3389.4489.5689.6789.7889.8990.00

A(81) 88.60 88.70 88.8088.9089.0089.1089.2089.3089.4089.5089.6089.7089.8089.9090.00
A(82) 88.76 88.84 88.93 89.02 89.11 89.20 89.29 89.38 89.47 89.56 89.64
89.73 89.82 89.91 90.00 A(83) 88.91 88.99 89.07 89.14 89.22 89.30 89.38
89.46 89.53 89.61 89.69 89.77 89.84 89.92 90.00
A(84) 89.07 89.13 89.2089.2789.3389.4089.4789.5389.6089.6789.7389.8089.8789.9390.00
A(85) 89.22 89.28 89.33 89.39 89.44 89.50 89.56 89.61 89.67 89.72 89.78
89.83 89.89 89.94 90.00 A(86) 89.38 89.42 89.47 89.51 89.56 89.60 89.64
89.69 89.73 89.78 89.82 89.87 89.91 89.96 90.00 A(87) 89.53 89.57 89.60
89.63 89.67 89.70 89.73 89.77 89.80 89.83 89.87 89.90 89.93 89.97 90.00
A(88) 89.69 89.71 89.73 89.76 89.78 89.80 89.82 89.84 89.87 89.89 89.91
89.93 89.96 89.98 90.00 A(89) 89.47 89.86 89.87 89.88 89.89 89.90 89.91
89.92 89.93 89.94 89.96 89.97 89.98 89.99 90.00 A(90) 90.00 90.00 90.00
90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00
APPENDIX - III OF ANNEXURE- â€Ãâ€™
STANDING HEIGHTS FOR INDIAN POPULATION
(IN INCHES) MEAN AND STANDARD DEVIATIONS
Age Mean S.D. -2S.D.MeanS.D.-
2S.D.
Less than 22.13 2.32 17.4921.652.1317.39
3months
3months+ 24.68 1.58 21.5223.982.4021.80
6months+ 25.55 3.19 19.1725.351.4322.49
9months+ 27.36 1.77 23.82 26.26 1.52 23.22
1year+ 29.09 2.07 24.9528.542.0424.46
2year+ 32.13 2.10 27.93 31.53 2.28 26.97
3year+ 34.96 2.58 29.8034.332.5029.33

4year+ 37.80 2.65 32.5037.202.5032.20
5year+ 40.19 3.16 33.8439.922.9034.12
6year+ 42.71 2.81 37.09 42.28 3.41 35.46
7year+ 44.84 3.41 38.0244.043.3437.72
8year+ 46.96 2.89 41.18 46.53 3.03 40.47
9year+ 48.70 3.65 41.40 48.382.9642.46

10year+ 48.97 3.93 41.11 50.55 3.15 44.25
11year+ 52.51 3.83 44.86 52.603.7345.14
12year+ 54.45 3.99 46.47 54.80 4.03 46.74
13year+ 56.93 3.84 49.2556.653.6349.39

14year+ 59.10 3.95 51.2058.073.8250.43
15year+ 61.22 3.94 53.34 58.89 3.27 52.35 16year+ 62.79 3.84 55.11 59.44
2.80 53.84 17year+ 63.54 4.11 55.32 59.64 2.95 53.74 18year+ 64.21 3.76
56.69 59.72 2.31 55.10
19year+ 64.37 3.79 56.7959.722.3155.10

20year+ 64.60 2.75 59.1059.722.3255.08
21year+ 64.64 2.40 59.84 60.24 2.24 55.76
ANNEXURE â€“ â€˜Bâ€™

CERTIFICATE OF MENTAL RETARDATION FOR GOVERNMENT
BENEFITS
This is to certify that

Shri/Smt./Kum______________________________________________ Son/
Daughter of___________________________________________________ of
Village/Town/City ___________________________________with particulars
given below is categorised as under :-
a) Age
b) Sex
c) Signature/Thumb impression
CATEGORISATION OF MENTAL RETARDATION
Mild/Moderate/Severe/Profound.
Validity of the Certificate : Permanent
Signature of the Government Doctor/Hospital with seal
Chairperson Mental Retardation
Certification Board
Recent attested photograph showing the disability affixed here.
Dated:
Place:
ANNEXURE â€“ B
STANDARD FORMAT OF THE CERTIFICATE
Certificate No.____________
Date____________
CERTIFICATE FOR THE PERSONS WITH DISABILITIES
This is to certify that
Shri/Smt/Kum____________________________________________
Son/wife/daughter of
Shri____________________________________________________
Age_____________old male/female, Registration No.___________________
is a case of
_______________________________________________________________
He/She is physically disabled/visually disabled/speech & hearing disabled and
has______% (_______ per cent) permanent (physical impairment/visual
impairment/speech & hearing impairment) in relation to his/her
______________________________________________________
Note:-
1. This condition is progressive/non-progressive/likely to improve/not likely to

improve.*
2. Re-assessment is not recommended/is recommended after a period of

______________________________months/years.*
*Strike out which is not applicable.

Sign. Sign Sign
(DOCTOR) (DOCTOR)
(DOCTOR)
Seal Seal Seal
Signature/Thumb impression of the patient.

Countersigned
by the
Medical
Superintenden
t/CMO/Head
of
Hospital (with seal)
Recent attested photograph showing the disability affixed here.
Subject - Guidelines for evaluation and assessment of mental illness and

procedure for certification.
No. 16-18/97-NI.
1. Mental illness has been recognised as one of the disabilities under Section 2
(i) of the Persons with Disabilities (Equal Opportunities, Protection of Rights
and Full Participation) Act, 1995. "Mental illness" has been defined under
Section 2(q) of the said Act as any mental disorder other than mental
retardation.
2. In order to prescribe guidelines for evaluation and assessment of mental

illness and procedure for certification, a Committee was constituted by the
Department of Health, Government of India vide Order dated 6th August, 2001
under the Chairmanship of Director General of Health Services on the basis of
request made by the Ministry of Social Justice & Empowerment. The
Committee has submitted its report.
3. After having considered the report of the Committee, the undersigned is

directed to convey the approval of the President to notify the guidelines for
evaluation and assessment of mental illness and procedure for certification.
Copy of the Report is enclosed herewith as ANNEXURE-â€Ãâ€™.
4. The minimum degree of disability should be 40% in order to be eligible for

any concessions/benefits.
5. According to the Persons with Disabilities (Equal Opportunities, Protection

of Rights and Full Participation) Rules, 1996 notified by the Central
Government in exercise of the powers conferred by sub-section (1) and (2) of
Section 73 of the Persons with Disabilities (Equal Opportunities, Protection of
Rights and Full Participation) Act, 1995 (l of 1996) authorities to give
Disability Certificate will be a Medical Board duly constituted by the Central or
the State Government. The Committee has recommended that certification of
disability for the purposes of the Act may be carried out by a Medical Board
comprising of the following members â€“
(a) The Medical Superintendent/Principal/Director /Head or the Chairperson of

Institution or his nominee
(b) Psychiatrist Member
(c) Physician Member
6. At least two of the Members, including Chairperson of the Board must be

present and sign the Disability Certificate.
7. The State Governments are, therefore, requested to constitute Medical

Boards as indicated above immediately.
8. Specified test as indicated in ANNEXURE A should be conducted by the

Medical Board and recorded before a Certificate is given.
9. The Certificate would be valid for a period of five years for those whose
disability is temporary and are below the age 18 years. For those who acquire
permanent disability, the validity can be shown as 'Permanentâ€™ in the
Certificate.
10. The Director General of Health Services, Ministry of Health and Family
Welfare shall be the final authority, should there arise any controversy/doubt
regarding the interpretation of the definitions/classifications/evaluation tests
etc.
Indian Disability Evaluation and Assessment Scale
Indian Disability Evaluation and Assessment Scale (IDEAS) is a scale for

measuring and quantifying disability in mental disorders.
Items â€“
1. Self Care: Includes taking care of body hygiene, grooming, health including
bathing, toileting, dressing, eating, taking care of one's health.
2. Interpersonal Activities (Social Relationships): Includes initiating and

maintaining interactions with others in contextual and social appropriate
manner.
3. Communication and Understanding: Includes communication and

conversation with others by producing and comprehending spoken/written/non-
verbal messages.
4. Work: Three areas are Employment/Housework/ Education Measures on any

aspect as enumerated below :-
(i) Performing in Work/Job: Performing in work/employment (paid)
employment/self-employment/ family concern or otherwise. Measure
ability to perform tasks at employment completely and efficiently and in
proper time. Includes seeking employment.
(ii) Performing in Housework: Maintaining household including
cooking, caring for other people at home, taking care of belongings etc.
Measures ability to take responsibility for and perform household tasks
completely and efficiently and in proper time.
(iii) Performing in school/college: Measures performance in education
related tasks.
Scores for each item:
0- NO disability (none, absent, negligible)

1- MILD disability (slight, low)
2- MODERATE disability (medium, fair)
3- SEVERE disability (high, extreme)
4- PROFOUND disability (total-cannot do)
TOTAL SCORE
Add scores of the 4 items and obtain a total score
Weightage for Duration of illness (DOI) :
DOI: < 2 years: score to be added is 1
2-5 years: add 2 .
6-10 years: add 3
> 10 years: add 4
Global Disability â€“
Total Disability score + DOI score = Global Disability Score Percentages:

0 No Disability = 0%
1-6 Mild Disability = < 40 %
7-13 Moderate Disability = 40 - 70 %

14-19 Severe Disability = 71-99%
20 Profound Disability = l00%
Cut off for welfare measures = 40 %
Manual for "IDEAS" â€“
In order to score this instrument, information from all possible sources should
be obtained. This will include interview of patient, the care given and case
notes when available.
I. SELF CARE: This should be regarded as activity guided by social norms

and conventions. The broad areas covered are
a. Maintenance of personal hygiene and physical health.
b. Eating habits
c. Maintenance of personal belongings and living space
d. Does he look after himself. wash his clothes regularly, take a bath and brush
his teeth?
e. DOES he have regular meals?
f. Does he take food of right quality and quantity?
g. What about his table manners?
h. Does he take care of his personal belongings with reasonable standard
of cleanliness and orderliness?
0= No disability
Patient's level and pattern of self-care are normal, within the social cultural and
economic context.
1= Mild
Mild deterioration in self-care and appearance (not bathing. shaving, changing
clothes for the occasion as expected). Does not have adverse consequences
such as hazards to his health. No embarrassment to family.
2= Moderate
Lack of concern for self-care should be clearly established such as mild
deterioration of physical health, obesity, tooth decay and body odours.
3= Severe
Decline in self-care should be marked in all areas. Patient wearing torn clothes,
would only wash if made to and would only eat if told. Evidence of serious
hazards to physical health. (Malnutrition. infection. patient unacceptable in
public).
4= Profound
Total or near total lack of self-care (Example: risk to physical survival, needs
feeding, washing, putting on clothes etc., Constant supervision necessary)
II Inter Personal Activities
Includes patient's response to questions, requests and demands of others,

activities of regulating emotions, activities of initiating, maintaining and
terminating interactions and activities of engaging in physical intimacy.
Guiding Questions
a. What is his behaviour with others?

b. Is he polite?
c. Does he respond to questions?
d. Is he able to regulate verbal and physical aggression?
e. Is he able to act independently in social interactions?
f. How does he behave with strangers?
g. Is he able to maintain friendship?
h. Does he show physical expression of affection and desire?
Scoring
0= No
Patient gets along reasonably well with people and personal relationships. No
friction in inter-personal relationships.
1= Mild
Some friction on isolated occasions. Patient is known to be nervous or irritable
but generally tolerated by others.
2= Moderate
Factual evidence that pattern of response to people is unhealthy. May be seen
on more than few occasions. Could isolate himself from others and avoid
company.
3= Severe
Behaviour in social situations is undesirable and generalised. Causes serious
problems in daily living/work. Patient is socially ostracised.
4= Profound
Patient is in serious and lasting conflict, serious danger to problems of others.
Family is afraid of potential consequences.
III. Communication and Understanding
Understanding spoken messages as well as written and non-verbal messages

and ability to reduce messages in order to communicate with others.
1. Questions
a. Does he avoid talking to people?

b. When people come home what does he do?
c. Does he ever visit others?
d. Is he able to start, maintain and end a conversation?
e. Does he understand body language and emotions of others such as smiling,
crying, screaming, etc.,
f. Does he indulge in reading and writing?
g. Do you encourage him to be more sociable?
Scoring:
0 = No disability
Patient mixes, talks and generally interacts with people as much as can be
expected in his socio-cultural context. No evidence of avoiding people.
1= Mild
Patient described as uncommunicative or solitary in social situations. Signs of
social anxiety might be reported.
2= Moderate
A very narrow range of social contacts, evidence of active avoidance of people
on some occasions and interference with performance of social rules causes
concern to family.
3= Severe
Evidence of more generalised, active avoidance of contact with people (leave
the room when visitors arrive and would not answer the door or phone).
4= Profound
Hardly has any contacts and actively avoids people nearly all the time. E.g may
lock himself inside the room. Verbal communication is nil or a bare minimum.
IV. Work
This includes employment, housework and educational performance. Score

only one category in case of an overlap.
Employment:
Guiding Questions
a. Is he employed/unemployed?
b. If employed, does he go to work regularly?
c. Does he like his job and coping well with it?
d. Can you rely on him financially?
e. If unemployed, does he make efforts to find a job?
Scoring:
0= No disability.
Patient goes to work regularly and his output and quality of work performance
are within acceptable levels for the job.
1= Mild
Noticeable decline in patient's ability to work, to cope with it and meet the
demands of work. May threaten to quit.
2= Moderate
Declining work performance, frequent absences and lack of concern about all
this. Financial difficulties are foreseen.
3= Severe
Marked decline in work performance, disruptive at work, unwilling to adhere to
disciplines of work. Threat of losing his job.
4= Profound
Has been largely absent from work and termination imminent. Unemployed and
making no efforts to find jobs.
In similar ways, housewives should be rated on the amount, regularity and
efficiency in which tasks in the following areas are completed. Consider the
amount of help required completing these:- Acquiring daily necessities,
making, storing and serving of food, cleaning the house, working with those
helping with domestic duties such as maids, cooks etc., looking after
possessions and valuable in the house.
Students - Assess a score on performance in school/college, regularity,
discipline, interest in future studies, behaviour at the Educational Institution.
Those who had to discontinue education on account of mental disability and
unable to continue further should be given a score of 4.
IDEAS SCORING SHEET

ITEMS 0 1 2 3 4 Self care Interpersonal Activities Communication &
Understanding
Work
A. TOTAL SCORE B. DOI SCORE. GLOBAL SCORE (A+B)
Idea Scoring Sheet
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CHAPTER â€“ I

GENERAL INTRODUCTORY, SCOPE

An organized medical set up is functioning in CRPF since 1976.

i) The Medical set up of CRPF was re-organised by the Ministry

100 Bedded Composite Hospitals at New Delhi, Hyderabad,

50 Bedded Composite Hospitals at Allahabad, Ajmer, Avadi,

20 Bedded GC Hospitals at Durgapur, Mokamaghat, Ranga

10 Bedded Unit M.I. Rooms/Hospital at GC-Gurgaon, Ajmer-II,

iii) Army Hospitals : Units deployed under the Army will

iv) Local Hospitals : Whenever any State Administration

v) Civil Hospitals : CRPF personnel can also be treated in

ii) Whenever and wherever appropriate facilities for treatment are

(b) In emergency cases patient can be referred to the

(c) In case of emergency, DIG(Med)/IG(Med) of

AUTHORISATION OF SPECIALIST DOCTORS FOR 100/50 BEDDED

Sl.No. Speciality 100 Bedded CH 50 Bedded CH

SANCTIONED STRENGTH OF 100/50 BEDDED COMPOSITE

Sl.No. Name of the No. of Posts

1.4 AUTHORISED MEDICAL ATTENDANT

ii) For personnel serving in Dte., IGP and DIGP Offices at

ii) â€œPatientsâ€ would mean all CRPF/CAPFs

1.6 MEDICAL FACILITIES IN CRPF

1.7 GOVT. HOSPITALS/RECOGNISED HOSPITALS

1.8 DIRECTOR (MEDICAL) AND

ii) All Medical Officers would be the â€œDistrict Medical

ii) 50 Bedded Composite Hospital: DIG(Medical)/Medical

iii) GC hospital/20 bedded hospitals of Training Institution : It

b) Where the Commandant is senior and the doctor

c) In a particular location there should not be

1.12 RENDITION CHANNEL FOR APAR OF

1.13 MEDICAL ETHICS

(a) The Medical Officers will ensure that medical

1.15 PROFESSIONAL TRAINING

xxi) Processing Deputation of Medical Officers and Paramedical

iii) He/She will exercise administrative control and disciplinary

2.5 DUTIES OF DEPUTY

2.6 DUTIES OF SPECIALIST (FROM SMO

2.7 DUTIES OF CMO(NFSG), CMO(OG),

ix) He/She will attend emergency cases and maintain emergency

Note : For performing the above duties, Medical Officer I/C

Note : For performing the above duties, Medical Officer In-charge

Any suitable Medical Officer of any rank working under

B. DUTIES OF ACCOUNTS OFFICER

i) He/she will take care of all accounts and financial

2.15 DUTIES OF DENTAL SURGEON

2.19 DUTIES OF DIETICIAN (INSPECTOR)

2.20 DUTIES OF MEDICAL STORE

(vi) Auction Report.

i) He/she will not issue or receive any stores except on the

vi) He/she will be responsible for arranging procurement,

2.22 DUTIES OF SUB INSPECTOR

2.23 DUTIES OF PHYSIOTHERAPIST :

2.24 DUTIES OF SI BLOOD BANK

Note: Since the Radiographer works directly under M.O I/C X-

2.26 DUTIES OF PHARMACISTS IN

Note : If more than one Pharmacist is posted in the M.I. Room,

2.30 DUTIES OF LABORATORY

2.32 DUTIES OF ECG TECHNICIAN: ASI

2.33 DUTIES OF OT TECHNICIAN: ASI

2.34 DUTIES OF ASSISTANT (OPERATION

2.35 DUTIES OF X-RAY ASSTT. WHERE

2.40 DUTIES OF HC (AC PLANT

2.43 DUTIES OF CONSTABLE (WARD

ii) â€œPatientsâ€ would mean all CRPF/CAPFs

â€œRisking their life for rescuing othersâ€.