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2008 Supreme(Raj) 71

Rajasthan High Court, Jaipur Bench
Honble R.M. LODHA, J. Honble GUMAN SINGH, J.
State of Rajasthan & Ors. - Appellant
Versus
Surendra Kumar Kalra - Respondents
D.B. Civil Special Appeal (Writ) No. 1276 of 2006
Decided On : January 17, 2008

Advocates Appeared:
Parinitoo Jain, Deputy Government Counsel, for Appellants; Alok Sharma, for Respondent;

Headnote:Rajasthan Civil Services (Medical Attendance) Rules, 1970, Rule 2(3)(viii) 3, 12 – Reimbursement of medical expenses – Govt. Employee – Undergone angiography and angioplasty in Tongia Heart Hospital, Jaipur in emergent situation – Refused to reimburse on the ground that Tongia Heart hospital was not approved hospital under the Rules – Held – In view of saving provision contained in Rule 12 the provisions contained in Rule 3 are relaxable – In emergent situation, the Govt. cannot insist upon a Govt. employee to get himself treated at Govt. recognised institutions – Entitled to reimbursement at the rates that may be applicable in Govt. recognised/approved hospital.(Paras 14 to 17) Appeal dismissed.

        jktLFkku flfoy lsok ¼fpfdRlk ifjp;kZ½ fu;e] 1970] fu;e 2¼3½¼viii½] 3] 12 & fpfdRlk O;; dk iqu%HkZj.k & ljdkjh deZpkjh & Vksafx;k gkVZ gkWfLiVy] t;iqj esa ,aft;ksaxzkQh ,oa ,aft;ksIykLVh vkikrdkfyu fLFkfr esa djkbZ & bl vk/kkj ij iquHkZj.k ls badkj fd;k fd ;g vLirky fu;eksa ds rgr vuqeksfnr@Lohd`r vLirky ugha Fkk & vfHkfu/kkZfjr & fu;e 12 esa vUrfoZ"V O;ko`fr izko/kku dh n`f"V ls fu;e 3 esa vUrfoZ"V izko/kku fkfFkyrk nsus ;ksX; gS & vkikrdkfyu fLFkfr esa ljdkj vius ljdkjh deZpkjh ij ;g ncko ugha Mky ldrh fd og viuk mipkj ljdkjh ekU;rk izkIr laLFkku esa gh djkos & ml nj ls fpfdRlh; iquHkZj.k dk gdnkj gS tks jktdh; ekU;rk izkIr@Lohd`r vLirky esa ykxw gksrh gksA ¼in la[;k 14 ls 17½ vihy [kkfjt dhA

Honble LODHA, J.–The State Government and its functionaries have taken exception to the other dated 1st December, 2005 passed by the Single Judge whereby he allowed the writ petition and directed the present appellants (respondents therein) to reimburse all the medical bills submitted by the petitioner (present respondent).

(2). The controversy arises from the facts which may be briefly noticed by us immediately hereinafter.

(3). The present respondent (writ petitioner) was at the relevant time working as T.A. to Technical Member, R.W.S.S.M.B. and Superintending Engineer, PHED, Jaipur. On 11th December, 2001, on his way to the office, he suffered pain in the chest and approached his nephew (Dr. Sushil Kalra) working as a Cardiologist in the Tongiya Heart and General Hospital, Jaipur. The petitioner was immediately taken to Intensive Care Unit (`ICU) for ECG, where variance were found and he was advised complete rest and admitted in the hospital for treatment. He was kept in ICU ward under the observation of the doctors for two days i.e. on 11th and 12th December, 2001 and then on 13th December, an angiography was done which showed blockage to the extent of 99%. An angioplasty was advised to remove the blockage in the arteries and looking to the exigency of situation, angioplasty was done immediately. He applied for leave which was sanctioned. The petitioner, then, made an application for reimbursement of the medical bill of the treatment undertaken by him in the Tongiya Heart and General Hospital, Jaipur which was ultimately rejected by the government on 27th May, 2002. After giving a notice for demand to justice, the petitioner approached this Court under Article 226 of the Constitution of India inter- alia seeking direction to the respondents (present appellants) to reimburse the medical expenses/treatment bill lodged by the petitioner.

(4). The present appellants (respondents therein) contested the writ petition and inter-alia set-up the case that the petitioner was not entitled to reimbursement of the medical expenses/treatment bill under the Rajasthan Civil Services (Medical Attendance) Rules, 1970 as the Tongia Hospital was not a government hospital as defined in the rules entitled Rajasthan Civil Services (Medical Attendance) Rules, 1970. For the sake of convenience, we shall refer to these rules as `Rajasthan Medical Attendance Rules.

(5). In rule 2(3)(viii) of the Rajasthan Medical Attendance Rules, the `government hospital is defined that means inter-alia a medical hospital or institution maintained by the government for purpose of medical treatment. It also includes a dispensary or a hospital maintained by a local authority or a hospital within the State or outside the State with which arrangements have been made by the government for the treatment of government servants. List of dispensaries/hospitals with which arrangements have been made by the government for treatment of government servants is given in Appendix-2.

(6). Rule 3 of the Rajasthan Medical Attendance Rules provides thus:

"3. Free Medical Attendance and Treatment to Government Servants-(1) A Government servant shall be entitled to medical attendance and treatment free of charge in accordance with provisions of these rules.

(2) (i) The expenses incurred by a Government Servant on account of medical attendance and treatment shall on production of essentiality certificate from the authorised medical attendant in the prescribed form, be reimbursed to him to the extent and in manner provided in these rules.

(ii) The following charges paid by the Government servants for treatment are reimbursable:-

(a) Cost (including sales tax paid by the Government Servant on medicines purchased) of allopathic drugs, medicines, vaccines, sera or other therapeutic substances not ordinarily available in Govt. Hospitals. List of allopathic drugs, medicines which are not reimbursable is given in Appendix III.

(b) Cost (including Sales Tax paid by the Government Servant on medicines purc































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