SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

Extent of Powers Delegated to

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1.

NATURE OF POWERS

CMD

CSS /Admin or
Addl.CMS/Admin

REMARKS

Contract for : a) Supply of Diet Stores to ICF Hospital such as Milk,

Bread, Vegetable and Other Provisions
(Subject to the observance of codal provision
regarding calling of tenders etc.)

Full Powers

Upto Rs.5 lakhs

b) Washing of hospital linen (Subject to finalization of

contract by CE/ICF for Dhobi Ghat)

Full Powers

Full Powers

Full Powers

Full Powers

Full Powers

Full Powers

Grant of Diet Charges to : 2.

a) To employees undergoing treatment in a Railway or

approved Non - Railway Hospital as indoor patients
for any disease other than TB or Leprosy or Mental
disease when their Basic Pay not more than
Rs.7450/- (VI PC Pay)

b) i.

To employees or members of their families when

receiving treatment for TB or Leprosy or mental
disease in a Railway Hospital or an approved
institution when Basic Pay is not more than
Rs.11540/- (VI PC Pay)

Subject to observance of Rly Bd. letter

No.2005/H/23/6 dated 29-01-2010

Subject to observance of Rly Bd. letter

No.2005/H/23/6 dated 29-01-2010

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

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NATURE OF POWERS

ii To dependant relatives of Railway employees

receiving treatment for TB Leprosy in a Railway
Hospital or in an approved institution when their
basic pay is not more than Rs.11540/- (VI PC
Pay)

CMD

CSS /Admin or
Addl.CMS/Admin

Full Powers

Full Powers

REMARKS

Subject to observance of Rly Bd. letter

No.2005/H/23/6 dated 29-01-2010

Note: In the case of temporary staff, the pay last

drawn while on active duty may be treated as
substantive pay for the purpose of this sub rule.

c)

To persons, whether Railway Employee or not

requiring such assistance from the Railway in
emergent cases which involve living under
difficulties as regards necessaries of life.

d) To sanction free diet or reimbursement of the cost of

such diet, according as the indoor treatment is given
in a Railway Hospital or in Non-Railway Hospital, to
Railway Servant injured in the course of duty for such
period as they remain indoor patients, not extending
beyond one year after they are declared permanently
unfit and discharged from service.

Full Powers

Full Powers

Full Powers

Full Powers

Note: Indigent passengers injured or

taken ill and removed to Railway Hospital
and trespassers who require immediate
medical assistance may be given diet at
the
expense
of
the
Railway
Administration, the expenditure being
treated as part of ordinary working
expenses of the Railway Hospital.
(item iv of Boards letter No. 2005/H/23/6
of 29.01.2010)

(item ii of Boards letter No. 2005/H/ 23/6

of 29.01.2010)

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

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NATURE OF POWERS

CMD

CSS /Admin or
Addl.CMS/Admin

3.

To write off irrecoverable amount in the case of Medical

Service rendered to outsiders.

Upto Rs.5,000

Upto Rs.2,000

4.

Direct Purchase of Medical Stores in emergencies

whether or not stocked by the Govt. Medical Stores
Depot.
*CS No. 2 Lr.no. A/G/103/XIII; dt. 18.02.08

Purchase of drug in emergencies

Upto Rs.50,000
Upto Rs.50,000

Above Rs.20,000
Up to Rs.25,000/Full Powers (Upto
Rs.5,000/- Finance
Concurrence is not
required)

6.

Petty repairs to hospital equipments, Surgical

instruments and Sanitary equipment and other office
equipment including AMC except payment in advance.
Advance Payment for AMC for Hospital equipments.

Upto Rs.20,000

With Bank Guarantee

- Rs.20, 000/- in each
case.
Without Bank
Guarantee (for
Supplier/Proprietary
Firms/Authorized
Agents) - Upto
Rs.5, 000/- in each
case against
Indemnity Bond.

Up to Rs.10,000/-

REMARKS

Finance concurrence not necessary

(item 27 of GMs SOP)

Para 711 of Stores code

Upto Rs.20,000/- By calling 3 quotations
Above Rs.20,000/- Purchase by
convening Tender Committee

Full powers (Upto

Rs.5,000/- Finance
concurrence is not
required)
As in Col. 3

NIL

An estimate of repair should be obtained,

if the repairs are to be carried out through
an authorized agency of the
manufacturer. Minimum three quotation
should be called in other cases.

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

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NATURE OF POWERS

7.

Hiring of a taxi or other mode of conveyance in the

absence of ambulance for transporting employees and
their family members to a hospital for immediate medical
aid during emergency.

CMD

Full Powers
(These powers shall
be used in
emergency cases
only)
Rs.1,00,000/(For urgently needed
hospital equipment
chargeable to WMS
over head)

8.

Procurement of petty items of hospital and dispensary

equipment (As distinct from Medical Stores which are
i) Upto Rs. 20,000/-*
otherwise normally to be obtained through M & P
by calling three
Programme)
quotations
*CS No. 2 Lr.no. A/G/103/XIII; dt. 18.02.08

ii) Above Rs. 20,000/* purchase by

convening Tender
committee

9.

10

Tailoring charges of linen for Hospital

Full Powers (To be

done through stores)

Rs.25, 000/- per

Purchase of Medical reference Book, Medical Journals
annum for Medical
etc. including foreign journals as approved by GM
Dept.

CSS /Admin or
Addl.CMS/Admin

REMARKS

Full Powers
(These powers shall be
used in emergency cases
only)

Rs. 50,000
(For urgently needed
hospital equipment
chargeable to WMS over
head)
i) Upto Rs.20,000/- by
calling three quotations

Rly. Board's letter No.F(X)II/95/

ALC/2/PT.I dt.5.9.95.

ii)Above Rs.20,000/- by
convening Tender
Committee

Full Powers
(To be done through
stores)

Sop 20(A) on Misc.Matters

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

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NATURE OF POWERS

CMD

CSS /Admin or
Addl.CMS/Admin

11.

Emergency purchase of Diet items Viz Milk, Bread,

Vegetable,
Provisions
etc.
(Without
Finance
Rs.1000/- in each
Concurrence) [This power should be resorted to only
case
when the supplies are failed from the contractors under
force majeure]

12.

Condemnation of Major and Minor Medical Equipment

Full Powers

Full Powers

13.

Reimbursement of Medical Expenses incurred by

Railway employees in approved Non-Railway Hospital in
respect of themselves or their family members when
directed by ICF/RH

Full Powers

Full Powers

14.

Contracts for Conservancy Services

15.

To incur expenditure in connection with St.John

Ambulance Association within the allotment made for
various objects of expenditure

Rs. 1,000/- in each case

Full powers upto

three months

Full Powers upto three

months

Full powers

Full Powers

REMARKS

Para 405 of IRMM

Para 648 of IRMM

1) Finance concurrence is necessary

2) Tender procedure to be followed

3) Entering into contract in case of failure

of existing contractor without calling for
tender upto 3 months.

Subject to condition in Para 1110 of

IRMM

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

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NATURE OF POWERS

16.

To sanction local purchase of blood & blood products

from Non-Govt. Institutions

17.

Procurement of Artificial Limbs

18.

To sanction expenditure for laboratory tests for which

facilities are not available in Railway Hospitals/Health
Units and which have to be done by Govt. Laboratories at

CMD

CSS /Admin or
Addl.CMS/Admin

REMARKS

Full Powers

Blood required for transfusion to patients

is taken as medicines in terms of Railway
Boards letter No.62/F/PW/PE/7/3 dated
07-06-1963.

Full powers

Rs.5,000/- in each case

1.Bds letter No.80/H/6-4/33 & 85/HJ/64/9 dated 13-03.1985

2. Para 636 of IRMM.
3. Finance concurrence is not necessary.

Rs.10,000/- per case

Rs.5,000/- in each case

Para 663 & 664 of IRMM

Full powers

prescribed rates / Government labs.

To admit non-railway patients in railway hospitals subject

to recovery of prescribed charges.

Full powers

19.

Full powers

Note:
1) In emergent cases, CMS may waive
recovery of hospital charges up to
Rs.1000/- per patient in respect of
indigent passengers injured or taken ill
and trespassers requiring immediate
attendance.
2) Finance concurrence not necessary.
3) Subject to availability of spare
accommodation and allotment upto
10% of beds.

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

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NATURE OF POWERS

CMD

CSS /Admin or
Addl.CMS/Admin

20.

Waival of hospital charges in respect of indigent nonrailway cases admitted in Railway Hospitals in emergent
circumstances.

Upto Rs.3000/- in
each case.

Upto Rs.3000/- in each

case.

21.

Drawal of advance for sterilization and various health

camps

Full Powers

Upto Rs.10, 000/- per

camp.

22.

Expense on disposal of unclaimed dead animals in the

Hospital premises whose sanitation if looked after by
Medical Department

Rs.250/- per case

Rs.250/- per case

i) Drugs and
Medicines upto
Rs.25,000/- in each
case subject to
annual ceiling limit
of Rs.1 lakh
23.

Purchase of medical stores / Surgical sundries /

Disposables / Dressings
a) DGS&D items covered under rate/running
contract

ii)Other items of
medical stores
including X-Ray
films upto
Rs.10,000/in each case subject
to annual ceiling
limit of Rs.50,000/7

Medical dressing and

Medicines upto Rs.5,000/in each case subject to
annual ceiling limit of
Rs.25,000

REMARKS

Item No.27 of GMs powers circulated

vide Rly Boards letter No.F(X)II2003/PW/10 dated 09.01.2004.

Rly Boards letter No.98/H(FW)/1/1/Pt.

dated 18.09.98 & 99/H-1/1/5 dated
02.08.99.
Note: Finance concurrence is necessary
.
Finance concurrence is not required.
Para 711 (5(g)) of IRMM

1. Finance concurrence is necessary.

2. By placing supply orders.
3. Whenever required by direct
purchase, following the prescribed
procedure, in the case of stores that
are urgently required or can be
conveniently obtained locally from a
nearer station, within the prescribed
limits.
Authority:
1. Boards letter No.74/H/4/19
dt.27/28.10.74 and 88/H/4/15
dt.7.3.90.
2. Boards letter No.2002/FSI/PW/7/1dt.29.8.02.

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

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23

NATURE OF POWERS

b) Direct Purchase of DGS&D items not covered

under rate/running contract

CMD

Upto Rs.1 lakh per

item.

CSS /Admin or
Addl.CMS/Admin

Nil

c) Non DGS&D items which are not covered by

Rate/ Running contract.
23
c) (i) Calling of limited tender for purchase of
non DGS&D items.

CMD upto Rs. 15

lakhs in each case.

Upto Rs.3 Lakhs in each

case.

REMARKS

1. Finance concurrence is necessary.

2. Prescribed procedure to be followed.
3. For items costing more than Rs.1 lakh,
procurement may be arranged by placing
indents on DGS/D.
Authority: Boards letter No.2002/FSI/PW/7/1 dt.29.8.02.

1.
(a) For vital Group of medicines: Finance
concurrence is necessary for tenders
valuing above Rs.5 lakhs. In case a
limited number is considered, a special
limited tender is to be approved by
competent authority with Finance
Concurrence.
(b) For essential group of medicines:
Limited Tender to registered
manufactures approved by competent
authority with Finance Concurrence
where necessary.
(c) For desirable group of medicines:
Normal limited tender procedure to be
followed.
Note: LTs to be issued to all the approved
and registered vendors in each category.
The panel of firms to be rotated in each
cycle of purchase to cover all approved
and registered vendors including last
successful vendor in 2/3 purchase cycles.
Authority: Boards letter No.2006/H/4/1
dated 19.06.2008.

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

2.
Normally open tenders to be invited for
purchases estimated to cost more than
Rs. 5 Lakhs. However, limited tenders
may be called for, subject to ensuring that
the purchases are most economical and
consistent with the need to maintain
quality of drugs.
3.
Those items which are manufactured by
Public Sector Undertakings but are not
manufactured by SSI may be purchased
directly without going through the
formalities of tenders.
Authority:
1. Boards Letter 92/H/4/15 dt. 4.12.92
2. Boards letter No.2002/FSI/PW/7/1dt.29.8.02.
3.Correction Slip No.3 & 9 of DGM/G
office

23

c) (ii) acceptance of limited tender

CMD upto Rs 15
lakhs in each case.

Upto Rs.3 Lakhs in each

case.

1. Upto Rs.5 lakhs.

(i) Finance concurrence is not necessary.
(ii)No Tender committee.
(iii)To be processed by Dy.CMD/Hqrs.
based on the offers from the approved
list of suppliers for acceptance by
CMD.
(iv)The list of suppliers is to be updated
on a yearly basis duly approved by
CMD.

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

2. Above Rs. 5 lakhs and upto Rs. 25
lakhs.
(i) Finance concurrence is necessary.
(ii)The recommendations of the tender
committee are to be accepted by
CMD.
Authority:
1. Boards lr. No.92/H/4/15 dt. 4.12.92
2. Boards lr. No.98/RS(G)/779/10 Pt.I dt.
2.7.99.
3.Boards letter No.2002/FS
I/PW/7/1dt.29.8.02
4) Correction Slip No.3 of DGM/G office

23

c) (iii) calling and acceptance of single tender

Nil

10

1. For vital group: Single Tender on

proprietary basis should be as per advice
of Technical Committee. The Technical
Committee is to be constituted in each
zone by CMD headed by MD/CMS/MS of
the main hospital zone with 6-8 Senior
Doctors of multi-specialty as members
and floating of single tender should be
justified.
For essential group: Through registered
manufacturer approved by competent
authority.
For desirable group: Medicines namely
vitamins may be processed through
normal limited tender procedures.
2. In the case of purchase of proprietary
articles on single tender basis, GMs
sanction will be necessary to exceed the
prescribed limits when it is possible for
the CMD to certify that either no
substitute for the particular item is
available or it will not be proper to take
the risk of trying other substitutes.

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

3. Finance concurrence is necessary if
the tender value exceeds Rs.5 lakhs in
the case of vital and essential drugs and
Rs.1 lakh in the case of other items of
medical stores.
4. The above powers are to be exercised
subject to Annual Budgetary Ceiling
during the year.
5. The procurement may be arranged by
direct purchase following the prescribed
procedure.
6. Those items which are manufactured
by Public Sector Undertakings but are not
manufactured by SSI may be purchased
directly without going through the
formalities of tenders.
7. The existing guidelines in the
Pharmacopeia 2002 may be followed, on
the issues not covered above.
Authority:
1. Boards letter No.92/H/4/15 dt.
14.08.95.
2. Boards letter No.2002/FS-I/PW/7/1dt.
29.08.2002.
3. Boards letter No.2006/H/4/1 dt.
19.06.2008. Correction Slip No.6 of
DGM/G office

11

SCHEDULE OF POWERS ON MEDICAL MATTERS WITH EFFECT FROM 26-06-2012

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23

23

23

NATURE OF POWERS

(c) (a) For vital and essential medicines only.

(c) (b) For other items of medical stores.

(c) (iv) Purchase of DGS& D items covered / not

covered by rate contracts and non - DGS&D items for
emergency purpose

CMD

Proprietary items
upto Rs.5 lakh in
each case.
Non-proprietary items
upto Rs. 20,000/- in
each case.

Proprietary items
upto Rs.1 lakh in
each case.
Non-proprietary items
upto Rs. 20,000/- in
each case.

upto Rs.5 lakhs in

each case

12

CSS /Admin or
Addl.CMS/Admin

REMARKS

Nil

Nil

Nil

1. In the case of purchase of proprietary

articles on single tender basis, GM
sanction will be necessary to exceed
the prescribed limits when it is
possible for the CMD to certify that
either no substitute for the particular
items is available or it will not be
proper to take the risk of trying other
substitutes.
2. The above powers are to be exercised
subject to Annual Budgetary Ceiling
during the year.
Authority: Boards letter
No.2002/FSI/PW/7/1 dated
29.08.2002.