Finance - Indian Army

SECTION I: ADVERTISEMENT
SNO SUBJECT
CONTENT
(PROCUREMENT AND FUND CONTROL)
1. Policy on ECHS advertisements.
SECTION II: CASH ASSIGNMENT
1. Revision of operation of ECHS Cash Assignment (09 Aug 2010)
2. Lapse of Cash Assignment
3. Maintenance of Cash Book
4. Operation of ECHS Cash Assignment (13 Sep 07)
SECTION III: CLASSIFICATION HAND BOOK
1. Classification Handbook Defence Services CS 116 2007.
SECTION IV: CONSTRUCTIONS
1. Clarification on maintenance of ECHS Buildings
2. Recovery of maintenance charges
3. Revision of Plinth Area Rates
SECTION V: ECHS CONTRIBUTION
1. Clarification on revision of ECHS Contribution
2. Revision of ECHS Contribution
SECTION VI: FIXED MEDICAL ALLOWANCES
1. FMA Policy

SECTION VII: PROCUREMENT
1. Detailment of CHT
2. Procurement of Furniture and non-medical equipment
SECTION VIII: REFUNDS
1. Refund of ECHS Contribution (accounting Note 012004)
2. Refund of ECHS Contribution 1
3. Refund of ECHS Contribution
SECTION IX: REIMBURSEMENTS
1. Observation and Guidelines (Processing of Medical Bills)
2. Observation and Guidelines 1 (Processing of Medical Bills)
3. Priority for payment of hospital bills
4. Processing of Bills (consultation)
5. Reconciliation of Hospital Bills 1
6. Reconciliation of Hospital Bills
7. Utilization of provisions of Fin Regs towards speedy clearance of medical
bills.

1. References:-
a) B49787/AG/ECHS dated 07 Nov 03.
b) B/49715/AG/ECHS dated 12 Sep 07.
c) B/49715/AG/ECHS dated 31 Oct 07.
POLICY ON ECHS ADVERTISEMENTS
d) MoD ID No.22D(04)/08/US(WE)/D(Res) dated 15 Apr 08(Copy enclosed).
2. The DAVP vide letter No. DIR(UM) dated 30 Oct 07 has intimated that the advertisement on
account of employment of contractual staff of ECHS can also be placed directly with the DAVP
empanelled newspapers at DAVP rates. Various Regional Centres have approached Central
Organisation expressing difficulty on placement of advertisements through DAVP consequent to
relinquishing of jobs by the contractual staff without prior notice.
3. In order to overcome the situation, it has been decided that whenever situations warrant
advertisement on account of employment of contractual staff of ECHS may be placed with the
newspaper agencies empanelled with DAVP directly at the DAVP approved rates only. The
same can be periodically downloaded and referred from the DAVP website www.davp.nic.in. The
funds allotted will be purpose specific and the expenditure towards this will be maintained
separately by all concerned and reflected in all reports and returns including MERs in a separate
column below Code Head 366/00 (Misc) named “Advertisements”. The fund allotted for
advertisements will not be utilised for any other purpose whatsoever.
4. The following actions have to be taken:-
a) Station HQ. Station HQ requiring release of advertisement will forward the proposed
advertisement to the concerned Regional Centre indicating the name of DAVP empanelled
newspaper along with the quotation of DAVP rates by the news paper agency. The advertisement
can be suitably modified to reduce the cost, as the existing power of Regional Director is only Rs
15,000 per transaction. The payment will be affected through the cash assignment after due
sanction by the CFA. The available cash assignment at Station HQ will be utilised under the Code

Head 366/00 (Misc) which will be recouped through additional allotment by HQ Command. A copy
of the release order with copies of advertisement and the sanction
letter will be forwarded to Controlling Command HQ with copy to Central Org to monitor
expenditure. Allotment /Expdr will be reflected as per para 3 above in all budgetary returns
including MERs.
(b) Regional Centre. The Regional Centre will vet the propriety, empanelment and rate details
and text of the advertisement and accord necessary sanction as authorised vide GOI MoD letter
No. 24(3)/03/US(WE)/D(Res)(i) dated 08 Sep 03 with a copy to the concerned Command HQ to
allot necessary funds to the Station HQ. Regional Centres will maintain a register for Polyclinic
wise sanction details accorded during a financial year.
(c) Command HQ. On receipt of intimation of sanction by the Regional Centre, HQ Command
will allot necessary funds on case to case basis to the concerned Station HQ who will make
payment to the newspaper agency through the cash assignment. Allotment /Expdr will be reflected
as per para 3 above in all budgetary returns including MERs. Strict control will be observed on
funds allotted for advertisements.
(d) Central Organisation. Central Organisation will place funds with HQ Commands under
Code Head 366/00 for the purpose.
5. The advertisements can be placed through the DAVP also as per existing procedure
wherever cost exceeds the powers of Regional Directors/ MD ECHS, for which funds will be placed
by the Central Organisation in the beginning of the Financial Year. It may be ensured by the
Regional Centres that advertisements do not exceed two news papers at a time for a specific post
and utmost economy and value for money is achieved. The copy of the published advertisement
for maximum publicity can also be displayed at all prominent display boards of the Station such as
CSDs and Polyclinics.
6. The policy is implemented with immediate effect.
7. This may be circulated to all concerned within your AOR.
Auth : B/49715/AG/ECHS 17 Apr 2008
Sd/---
Maj Gen
MD ECHS

LAPSE OF CASH ASSIGNMENT
1. Further to this Organisation letter No. B/49797/AG/ECHS dated 12 Mar 2009.
2. It has come to notice that a f ew Station HQ have deposited the unexpended
balance in the cash assignment through the MRO to the Government.
3. It is intimated that balance of cash assignment account lapses on 31 Mar and there is
no need to deposit the amount through MRO. The unspent amount in cash assignment lies in
the Government account and thus does not require to be deposited back.
4. However, the balance held in the Public Fund Account of the OIC Polyclinics should
be deposited with the Government by 31 Mar as the amount cannot be carry forward to next
financial year. Necessary details may be c onfirmed from the concerned PCDA/CDA, if
required.
5. This is for your information and necessary circulation to all concerned under your AOR.
Auth : B/49797/AG/ECHS 21 Apr 10
Sd/--
Jt Dir (P&FC)
For MD

MAINTENANCE OF CASH BOOK
1. Reference our letter No.B/49779/AG/ECHS dated 09 Sep 09.
2. It has been reported by some of the CsDA that post implementation of the ibid policy,
the cash book is not being maintained in order by some of the Station HQ. In place of
making the individual payment entries in the cash book some of the Station HQ are making
a common entry for various Payment Vouchers (PV) in the cash book.
3. A PV no. is allotted to each voucher and entries in the cash book are to be made for
each PV no. separately. The entries in the cash book are not to be clubbed under any
circumstances.
4. Please ensure implementation.
Sd/--
Jt Dir (Fin)
Encl : As stated For MD ECHS
Auth :B/49797/AG/ECHS 17 Jun 10

1. References:-
PROVISIONAL BOOKING OF ECHS EXPENDITURE
a. B/49797/AG/ECHS dated 13 Sep 2007.
b. B/49788/AG/ECHS dated 28 Jan 2008.
c. B/49797/AG/ECHS dated 04 Apr 2008.
d. B/49797/AG/ECHS dated 02 May 2008.
2. During the last Financial Year, the total booking of expenditure by CGDA for ECHS under
Revenue head exceeded the total allotment. Discussion with CGDA officials and visits by JD
(P&FC) to various CsDA revealed that the error occurred due to submission of Appendix B (to our
letter of even reference dated 13 Sep 07) in incorrect format and at times due to the delayed
submission.
3. In order to ensure the timely booking of expenditure by all CsDA, Command HQ are
requested to ensure the following:-
(a) The cash book should be closed by 25 th of the month and Appendix B be submitted
(revised format enclosed) by Stn HQ to the concerned Regional Centre co-located with CDA by fax
by 27 th of the month (For submission of Appendix B, List of Stn HQ under concerned RC colocated
with CDA is enclosed as Appx A). Stn HQ under Air HQ and Naval HQ will forward the
Appx B directly to concerned CDA under intimation to respective service HQ.
(b) Regional Centre will compile all Appx B and forward the same under a covering letter by
hand latest by 29 th of the month to the dealing Officer in the CDA office and collect
acknowledgement on office copy.

(c) The punching medium print out generated by the CDA for booking of expenditure in respect
of all the Stations will be collected by the Regional Centre by hand in the first week of the following
month and proper vetting will be carried out to ensure that correct provisional booking has been
made by the CDA in respect of the Appx B forwarded in the previous month.
4. A report on submission of Appendix B will be forwarded by the Regional Centre to this
Organisation by 15 th of the following month under intimation to controlling Command HQ.
Whenever there have been delays in faxing of Appx B by Stn HQ to Regional Centre, the matter
will be brought to the notice of Station Commander. In case of frequent repetition in delay, the
Regional Centre will bring the matter to the notice of controlling Command HQ with a copy to
Central Organisation. For the polyclinics under Air Force and Navy, report on submission of
Appx B from Stn HQ to their CDA will be forwarded to Central Organisation by their
respective service HQ.
5. The Stations which do not provide Appendix B by fax to the concerned Regional Centre
should be clearly indicated in the covering letter of the Appendix B report to Central Organisation
and Controlling Command HQ. The concerned Command HQ are to ensure that the defaulting
Stations as per the report by Regional Centres are dealt with severely.
6. It may further be ensured that the Appx B for the month of March will include the
expenditure till 31 Mar and will be forwarded to the concerned PCsDA/CsDA by 5 th of Apr.
7. This letter supersedes our letter No. B/49788/AG/ECHS dated 28 Jan 2008 and letter of
even reference dated 04 Apr 08, 16 Oct 08(addressed to HQ NC,WC and SWC), 04 Dec
08(addressed to HQ EC,CC and SC),27 Feb 09 & 20 May 09 (addressed to HQ SC).
8. Command HQ are requested to ensure that the Stn HQ submit the Appx B in the
revised format from Sep10 onwards.
9. You are requested to disseminate this letter to all concerned within your AOR.
Auth : B/49797/AG/ECHS 09 Aug 10
Sd/-
Maj Gen
MD ECHS

STATION HQ UNDER CDA SECUNDERABAD & BANGALORE AND
APPX B TO BE SUBMITTED TO REGIONAL CENTRE HYDERABAD
Sl
No
Station HQ Polyclinics
M/
NML
RC Comd PCDA
1 Belgaum Belgaum Mil Hyderabad SC Secunderabad
Bijapur Non
Mil
Hyderabad SC Secunderabad
Dharwad Non
Mil
Hyderabad SC Secunderabad
2 Secunderabad Guntur Non
Mil
Hyderabad SC Secunderabad
Secunderabad Mil Hyderabad SC Secunderabad
Chittur Non
Mil
Hyderabad SC Secunderabad
Giddalur Non
Mil
Hyderabad SC Secunderabad
Golconda Mil Hyderabad SC Secunderabad
Kakinada Non
Mil
Hyderabad SC Secunderabad
Vijayawada Non
Mil
Hyderabad SC Secunderabad
3 HQ K&K Sub Madekeri Non Hyderabad SC Bangalore
Area
Mil
Mangalore Non
Mil
Hyderabad SC Bangalore

STATION HQ UNDER CDA CHENNAI AND APPX B TO BE SUBMITTED
TO REGIONAL CENTRE CHENNAI
Sl No Station HQ Polyclinics Mil/ N-
Mil
RC Comd PCDA
1 Chennai Vellore Non Mil Chennai SC Chennai
Chennai Mil Chennai SC Chennai
Avadi Mil Chennai SC Chennai
Kanchipuram Non Mil Chennai SC Chennai
Cuddalore Non Mil Chennai SC Chennai
Villupuram Non Mil Chennai SC Chennai
Thiruvannamalai Non Mil Chennai SC Chennai
2 Coimbatore Krishnagiri Non Mil Chennai SC Chennai
Salem Non Mil Chennai SC Chennai
Palakkad Non Mil Kochi SC Chennai
3 Tiruchirapalli Srivilliputtur Non Mil Chennai SC Chennai
Dindigul Non Mil Chennai SC Chennai
Madurai Non Mil Chennai SC Chennai
Tiruchirapalli Non Mil Chennai SC Chennai
Nagapattinam Non Mil Chennai SC Chennai
Tanjavur Non Mil Chennai SC Chennai
Theni Non Mil Chennai SC Chennai
4 Trivandrum Tirunalveli Non Mil Chennai SC Chennai
Nagarcoil Non Mil Chennai SC Chennai
Tuticorin Non Mil Chennai SC Chennai
Trivandrum Mil Kochi SC Chennai
Pathanamthitta Non Mil Kochi SC Chennai
Quilon Non Mil Kochi SC Chennai
5 Wellington Wellington Mil Chennai SC Chennai
6 Cannanore Kannur Mil Kochi SC Chennai
Kozikode Non Mil Kochi SC Chennai
Perintalmanna Non Mil Kochi SC Chennai
7 Kochi (Army) Alleppy Non Mil Kochi SC Chennai
Thrissur Non Mil Kochi SC Chennai
Kottayam Non Mil Kochi SC Chennai

STATION HQ UNDER CDA PUNE AND APPX B TO BE SUBMITTED
TO REGIONAL CENTRE PUNE
Sl
No
Station HQ Polyclinics Mil/ N-Mil RC Comd PCDA
1 Ajmer Ajmer Mil Pune SC Pune
2 Barmer Jalipa Mil Pune SC Pune
3 Jaisalmer Jaisalmer Mil Pune SC Pune
4 Jodhpur Jodhpur Mil Pune SC Pune
Pali Non Mil Pune SC Pune
5 Udaipur Udaipur Mil Pune SC Pune
6 Ahmedabad Ahmedabad Mil Pune SC Pune
7 Ahmednagar Sholapur Non Mil Pune SC Pune
Ahmednagar Mil Pune SC Pune
Osmanabad Non Mil Pune SC Pune
Latur Non Mil Pune SC Pune
8 Aurangabad Aurangabad Mil Pune SC Pune
9 Bhusabal Buldana Non Mil Pune SC Pune
Jalgaon Non Mil Pune SC Pune
10 Devlali Devlali Mil Pune SC Pune
11 Jamnagar Jamnagar Mil Pune SC Pune
12 Kolhapur Satara Non Mil Pune SC Pune
Kolhapur Non Mil Pune SC Pune
Miraj (Sangli) Non Mil Pune SC Pune
Chiplun Non Mil Pune SC Pune
13 Panaji Panaji Mil Pune SC Pune
Sindudurg Non Mil Pune SC Pune
14 Mumbai Thane (Nerul) Non Mil Pune SC Pune
Mahad Non Mil Pune SC Pune
15 Pulgaon Akola Non Mil Pune SC Pune
Amravati Non Mil Pune SC Pune
16 Vadodra Vadodra Mil Pune SC Pune
17 Pune Pune Mil Pune SC Pune

STATION HQ UNDER CDA GUWAHATI AND APPX B TO BE
SUBMITTED TO REGIONAL CENTRE GUWAHATI
Sl Station HQ Polyclinics Mil/ N- RC Comd PCDA
No
Mil
1 Agartala Agartala Mil Guwahati EC Guwahati
2 Aizwal Aizwal Non Mil Guwahati EC Guwahati
51 Sub Area Guwahati Mil Guwahati EC Guwahati
3 Guwahati
4
Dimapur Dimapur Mil Guwahati EC Guwahati
5 Leimakhong Imphal Non Mil Guwahati EC Guwahati
6 Masimpur Masimpur Mil Guwahati EC Guwahati
7 101 Sub Area
Shillong
Shillong Mil Guwahati EC Guwahati
8 Zakhama Kohima Non Mil Guwahati EC Guwahati
STATION HQ UNDER CDA PATNA AND APPX B TO BE SUBMITTED
TO REGIONAL CENTRE PATNA
Sl
No
Station HQ Polyclinics Mil/ N-Mil RC Comd PCDA
1 Danapur Ara Non Mil Patna CC Patna
Muzaffarpur Non Mil Patna CC Patna
Danapur Mil Patna CC Patna
Chhapra Non Mil Patna CC Patna
Dharbanga Non Mil Patna CC Patna
2 Gaya Gaya Mil Patna CC Patna
3 Ranchi Ranchi Mil Patna CC Patna
Jamshedpur Non Mil Patna CC Patna
4 Barrackpore Krishnanagar Non Mil Kolkata EC Patna
Barrackpore Mil Kolkata EC Patna
5 Bengdubi Bengdubi Mil Kolkata EC Patna
6 Jalapahar Darjeeling Mil Kolkata EC Patna
7 Gangtok Gangtok Mil Kolkata EC Patna
8 Kolkata Kolkata Mil Kolkata EC Patna
Salt Lake Mil Kolkata EC Patna
Midnapur Non Mil Kolkata EC Patna
9 Panagarh Burdwan Non Mil Kolkata EC Patna

STATION HQ UNDER CDA JABALPUR AND APPX B TO BE
SUBMITTED TO REGIONAL CENTRE JABALPUR
Sl
No
Station HQ Polyclinics Mil/ N-Mil RC Comd PCDA
1 Jabalpur Jabalpur Mil Jabalpur CC Jabalpur
Raipur Non Mil Jabalpur CC Jabalpur
Rewa Non Mil Jabalpur CC Jabalpur
2 Mhow Mhow Mil Jabalpur CC Jabalpur
3 Saugor Saugor Mil Pune SC Jabalpur
4 Gwalior Bhind Non Mil Pune SC Jabalpur
Gwalior Mil Pune SC Jabalpur
Morena Non Mil Pune SC Jabalpur
5 Bhopal Bhopal Mil Pune SC Jabalpur
STATION HQ UNDER CDA JAMMU AND APPX B TO BE SUBMITTED
TO REGIONAL CENTRE JAMMU
Sl
No
Station HQ Polyclinics Mil/ N-Mil RC Comd PCDA
1 Akhnoor Akhnoor Mil Jammu NC Jammu
2 Leh Leh Mil Jammu NC Jammu
3 71 Sub Area Udhampur Mil Jammu NC Jammu
4 25 Arty Bde Rajouri Mil Jammu NC Jammu
5 31 Sub Area Srinagar Mil Jammu NC Jammu

STATION HQ UNDER CDA LUCKNOW & MEERUT AND APPX B TO BE SUBMITTED
TO REGIONAL CENTRE LUCKNOW
Sl No Station HQ Polyclinics
Mil/ N-Mil RC Comd PCDA
1 Kanpur Dehat Etawah Non Mil Lucknow CC Lucknow
Akbarpur
Matti
Non Mil Lucknow CC Lucknow
2 Shahjahanpur Shahjahanpur Mil Lucknow CC Lucknow
3 Lucknow Lucknow Mil Lucknow CC Lucknow
Rae Bareilly Non Mil Lucknow CC Lucknow
4 Fatehgarh Fatehgarh Mil Lucknow CC Lucknow
5 Allahabad Allahabad Mil Jabalpur CC Lucknow
Fatehpur Non Mil Jabalpur CC Lucknow
Pratapgarh Non Mil Jabalpur CC Lucknow
6 Faizabad Azamgarh Non Mil Jabalpur CC Lucknow
Sultanpur Non Mil Jabalpur CC Lucknow
Faizabad Mil Jabalpur CC Lucknow
7 Kunrghat Deoria Non Mil Jabalpur CC Lucknow
8 Varanasi Ghazipur Non Mil Jabalpur CC Lucknow
Balia Non Mil Jabalpur CC Lucknow
Varanasi Mil Jabalpur CC Lucknow
9 Jhansi Jhansi Mil Pune SC Lucknow
Orai Non Mil Pune SC Lucknow
10 Agra Agra Mil Lucknow CC Meerut
Mainpuri Non Mil Lucknow CC Meerut
Firozabad Non Mil Lucknow CC Meerut
Etah Non Mil Lucknow CC Meerut
11 Babugarh Bulandshahr Non Mil Lucknow CC Meerut
12 Barielly Bareilly Mil Lucknow CC Meerut
Badaun Non Mil Lucknow CC Meerut
13 Dehradun Dehradun Mil Lucknow CC Meerut
14 Joshimath Karanprayag Non Mil Lucknow CC Meerut
15 Lansdowne Kotdwara Mil Lucknow CC Meerut
Pauri Garhwal Non Mil Lucknow CC Meerut
16 Mathura Mathura Mil Lucknow CC Meerut
Aligarh Non Mil Lucknow CC Meerut
17 Meerut Meerut Mil Lucknow CC Meerut
Muzaffarnagar Non Mil Lucknow CC Meerut
18 Haldwani Haldwani Mil Lucknow CC Meerut
19 Pithoragarh Pithoragarh Mil Lucknow CC Meerut
20 Roorkee Roorkee Mil Lucknow CC Meerut
21 Ranikhet Almora Non Mil Lucknow CC Meerut

STATION HQ UNDER CDA JAIPUR AND APPX B TO BE SUBMITTED
TO REGIONAL CENTRE JAIPUR
Sl Station HQ Polyclinics Mil/ N- RC Comd PCDA
No
Mil
1 Bikaner Bikaner Mil Jaipur SWC Jaipur
Churu Non Mil Jaipur SWC Jaipur
Nagaur Non Mil Jaipur SWC Jaipur
2 Bathinda Bhatinda Mil Jaipur SWC Jaipur
Mansa Non Mil Jaipur SWC Jaipur
3 Sriganganagar Sriganganagar Mil Jaipur SWC Jaipur
4 Alwar Hindaun City Non Mil Jaipur SWC Jaipur
Rewari Non Mil Jaipur SWC Jaipur
Narnaul Non Mil Jaipur SWC Jaipur
Alwar Mil Jaipur SWC Jaipur
5 Bharatpur Bharatpur Mil Jaipur SWC Jaipur
6 Jaipur Jhunjhunu Non Mil Jaipur SWC Jaipur
Jaipur Mil Jaipur SWC Jaipur
Sikar Non Mil Jaipur SWC Jaipur
7 Kota Kota Mil Jaipur SWC Jaipur
8 Hissar Jhajjar Non Mil Jaipur SWC Jaipur
Rohtak Non Mil Jaipur SWC Jaipur
Jind Non Mil Jaipur SWC Jaipur
Bhiwani Non Mil Jaipur SWC Jaipur
Hissar Mil Jaipur SWC Jaipur
Fatehabad Non Mil Jaipur SWC Jaipur

STATION HQ UNDER CDA CHANDIGARH AND APPX B TO BE SUBMITTED
TO REGIONAL CENTRE CHANDIMANDIR
Sl No Station HQ Polyclinics Mil/ N-Mil RC Comd PCDA
1 21 Sub Area Pathankot Mil Jammu WC Chandigarh
2 Samba Samba Mil Jammu WC Chandigarh
3 Dalhousie Bakloh Mil Jammu WC Chandigarh
4 Jammu Jammu Mil Jammu WC Chandigarh
Basoli & Junglot Junglot Mil Jammu WC Chandigarh
5
(Kathua)
6 Yol Yol Mil Jammu WC Chandigarh
7 Palampur Mandi Non Mil Jammu WC Chandigarh
8 Chandimandir Chandigarh Non Mil Chandimandir WC Chandigarh
Ropar Non Mil Chandimandir WC Chandigarh
Fatehgarh
Sahib
Non Mil Chandimandir WC Chandigarh
Chandimandir Mil Chandimandir WC Chandigarh
9 Jalandhar Hamirpur Non Mil Chandimandir WC Chandigarh
Bilaspur Non Mil Chandimandir WC Chandigarh
Una Non Mil Chandimandir WC Chandigarh
Hoshiarpur Non Mil Chandimandir WC Chandigarh
Jalandhar Mil Chandimandir WC Chandigarh
10 Kasauli Solan Mil Chandimandir WC Chandigarh
11 Shimla Shimla Mil Chandimandir WC Chandigarh
12 Amritsar Amritsar Mil Chandimandir WC Chandigarh
13 Faridkot Faridkot Mil Chandimandir WC Chandigarh
14 Ferozpur Muktsar Non Mil Chandimandir WC Chandigarh
Ferozpur Mil Chandimandir WC Chandigarh
Moga Mil Chandimandir WC Chandigarh
15 Gurdaspur Gurdaspur Mil Chandimandir WC Chandigarh
16 Kapurthala Kapurthala Mil Chandimandir WC Chandigarh
17 Ludhiana Ludhiana Non Mil Chandimandir WC Chandigarh
18 Patiala Sangrur Mil Chandimandir WC Chandigarh
Patiala Mil Chandimandir WC Chandigarh
19 HQ PH & HP
(Ambala)
Karnal Non Mil New Delhi WC Chandigarh
Ambala Mil New Delhi WC Chandigarh
Sonipat Non Mil New Delhi WC Chandigarh
Panipat Non Mil New Delhi WC Chandigarh
Yamunanagar Non Mil New Delhi WC Chandigarh
Kaithal Non Mil New Delhi WC Chandigarh
Kurukshetra Non Mil New Delhi WC Chandigarh
20 Delhi Cantt BHDC Mil New Delhi WC Chandigarh
Gurgaon Non Mil New Delhi WC Chandigarh
Noida Non Mil New Delhi WC Chandigarh
Lodhi Road Non Mil New Delhi WC Chandigarh

REVISED PROCEDURE ON OPERATION OF ECHS CASH ASSIGNMENT AT
STATION HQ
1. This Organisation letter No. B/49791/AG/ECHS dated 23 Jan 2004 on the subject, has been
reviewed and the revised procedure for Operation of ECHS Cash Assignment at Station HQ is
stipulated in the succeeding Paras.
Release of Cash Assignment
2. Cash Assignment will be released on a quarterly basis by PCsDA /CsDA to the Stn HQ as
per the following schedule:-
(a) Release of Cash Assignment During the First Quarter of Financial Year. The
requisition for release of Cash Assignment for the amount passed on Vote on Account
(VOA) will be raised by the Station and forwarded under a covering letter to the concerned
PCDA / CDA with a copy to Controlling Command HQ by 15 Mar of previous Financial Year
in the format placed at Appendix ‘A’ to this letter. The total fund on VOA will be released to
the Station by the PCDA / CDA in the first week of April of every Financial Year. N o
sooner, the budget is passed by the Parliament; Supplementary Demand for the first
quarter, if any will be raised by the Station and forwarded to the concerned PCDA / CDA for
release of additional funds at the earliest. The amount demanded in the supplementary
demand will be to the extent of estimated expenditure in the first quarter of the Financial
Year.
(b) Release of Cash Assignment During the Second, Third and Fourth Quarter of the
Financial Year. The requisition for fund requirement for second, third and fourth quarter will
be forwarded to the concerned PCDA / CDA with a copy to Controlling Command HQ by 10
Jun, 10 Sep and 10 Dec for QE September, December and March of the financial year
respectively. The requisition for Cash Assignment will be based on the estimated liability
during the quarter but will not exceed the total allotment to the Station

in the Financial Year. The Formation HQs allotting funds shall invariably endorse
original allotment letters to the concerned PCsDA / CsDA.
Instructions to Stn Cdrs / PCsDA/ CsDA.
3. The following instructions are to be complied with by all Stations Commanders /
PCsDA/CsDA in respect of ECHS Cash Assignment:-
(a) On receipt of estimated Cash Assignment (including committed liabilities duly
supported by details) Requisition from the Stn HQ, PCsDA/ CsDA will is sue necessary
letter of credit to the SBI /RBI with a copy to concerned Command HQ / Stn HQ in the first
week of the beginning of each quarter. Command HQ / Stn HQ will e xercise caution in
projecting realistic Cash Assignment. Reasons for short / non release, if any, are to be
intimated in writing by the PCsDA/CsDA to the Station HQ with copy to Controlling
Command HQ by fastest means to enable Command HQ /Stn HQ to take corrective
measures. Caution will be exercised by PCsDA/CsDA before rejecting any Cash
Assignment Requisition as inadequate / non release of Cash Assignment will adversely
effect the functioning of the Polyclinics.
(b) Each Station HQ will nominate main Cash Assignment Officer, as also a Reserve
Officer, who will assume the charge in the event of the Main Officer being away on long
leave, duty or for any other reasons. The PCsDA/CsDA will issue Defence Cheque Books
for disbursing payments by the Cash Assignment Holder. The names and the designation
of the Cash Assignment Holder and the reserve officer who are authorised to sign the
Defence Cheques together with their specimen signatures duly attested are to be intimated
by the Stn HQ to the bankers and to the concerned PCDA / CDA. Copy of the intimation
will be endorsed to the concerned Command HQ and SBI/RBI. Subsequent changes, if any,
in the operation of Cash Assignment are to be communicated accordingly.
(c) Funds likely to remain unutilized or surrendered at RE / MA Stage are not to
be demanded by the Stn HQ.
(d) With every demand for cash assignment, a ph oto copy of allotment letter duly
authenticated by the Station Commander will be enclosed by Station along with Cash
Assignment Requisition.
(e) Supplementary demand for cash assignment can be raised when the available Cash
Assignment is considered inadequate to meet the liabilities of that quarter or for any
reasons advanced by the Station by enclosing the supporting details and within the total
allotment. If the demands are forwarded by hand, efforts will be made by the PCsDA/CsDA
to release the Cash Assignment on priority.
(f) Cash Assignment release at any stage is not to exceed the allotted funds to the
Station.
(g) Cash Assignment not utilized by the Station at the end of the Financial Year, if any
will automatically lapse and balance amount can not be utilized or carried forwarded by the
Station.
(h) Cash Assignment Officer is to render a monthly statement, in duplicate, of drawals
made against Cash Assignment in the Cash Assignment Cash Book together with the paid
vouchers, details of Cheques issued, duly reconciled with the Monthly Bank Reconciliation

Statement showing utilization during the month, to concerned PCDA / CDA by 7 th of the
following month.
(j) Provisional Booking of Expenditure. To facilitate timely booking of expenditure
during a month, Stn HQs will ensure that a summary of monthly accounts indicating
headwise allotment and expenditure is forwarded in the format placed as Appendix
‘B’, to the concerned PCDA / CDA on or before the last working day of the month to which
the account pertains by fax / hand with a copy to the controlling Command HQ. The PCDA
/ CDA shall make provisional booking on the basis of this advanced intimation (submitted
by the same authority to which cash assignment had been placed). After completion of
post audit of cash assignment, the provisional booking shall be appropriately amended to
final booking.
(k) Cash Assignment Officer will also maintain a bank passbook which is to be
periodically sent to the Bank / Treasury Officer for updation from the “Register of Cheques
paid” maintained by SBI/RBI. The accounts will be expeditiously audited and the
expenditure booked by the PCsDA / CsDA.
(l) All high value cheques i.e. in excess of Rs 10 lakh will be signed by two officers,
one of whom will be the Station Commander.
(m) The irregularities, if any, noticed during the post audit of ECHS Cash Assignment
Cash Book by the PCsDA/CsDA will be br ought to the notice of the Cash Assignment
Holder and settled expeditiously. No restrictions will be imposed by the PCsDA/CsDA in
subsequent release of Cash Assignment on this account. However, quarterly cash
assignments shall be released subject to the condition that the Station HQ concerned has
submitted the monthly expenditure details of the previous quarter.
(n) The provisions of Rule(s) 310 to 316 Financial Regulations Part-I Volume-1 Revised
Edition 1983 are to be complied with by all the Station Commander(s) in the Army/ Navy/
Air Force for ECHS payment out of their Cash Assignment Accounts.
4. This letter supersedes letter No. B/49791/AG/ECHS dated 23 Jan 2004.
5. This issue with concurrence of CGDA vide their UO No. AT/IV/4807/ECHS/Vol-VI dated 11
Sep 07.
Auth :B/49797/AG/ECHS 13 Sep 07
Maj Gen
MD ECHS

Appendix A
REQUISITION FOR CASH ASSIGNMENT
(to B/49797/AG/ECHS
dated 13 Sep 07)
Name of the Command HQ_____________________________________________
Name of the PCsDA/CsDA_____________________________________________
Name of the Station HQ _______________________________________________
Address /Location____________________________________________________
Name and address of the SBI (having treasury facilities) / RBI__________________
Requisition No._______________________________dated___________________
(No. to be serial running from 1 st April to 31 March)
Ser No Particulars Total Amount (Rs)
1. Budget Allotment for the Financial Year (20……...- 20…..) in
Major Head 2076 Minor Head 107 ECHS
2. Cash Assignment already drawn during the Financial Year
3. Balance allotment available in the current Financial Year (Ser
1 (-) Ser 2)
4. Cash Assignment Required (details attached on a separate
sheet including committed liabilities)
5. Balance of Cash Assignment Held
(likely to remain unexpended in the current quarter)
6. Funds now being requisitioned (Ser 4 (-) Ser 5)
7. Balance of Allotment after this Requisition
(Ser 1 – { Ser 2 (+) Ser 6})
Note: Funds under requisition (Ser No. 6) should not exceed the balance allotment
available (Ser No 3).
(Signature of Cash Assignment Officer)
Name:
Date: Rank:
COUNTERSIGNATURE OF STATION COMMANDER
Unit Seal Signature of Stn Cdr
Name:
Date: Rank:

CLASSIFICATION HAND BOOK DEFENCES SERVICES RECEIPT AND
CHARGES 1992 EDITION
1. Refer CS No. 116/2007 (copy enclosed)
2. CS No. 88/2004 of Classification Hand Book Defence Services Receipts and
Charges 1992 (Edition) has been reconstructed vide CS No. 116/2007 dated
01/JUN/07. The CS 116/200/ is info effect from the date of issue.
3. A case has been taken up with the office of the CGDA with request that code I lead
363/03 and 363/04 may be effective from next financial year 2008-09 as no
projections have been made in the said Code Heads in the current Financial Year
Also. Supply orders for Generators and Air Conditioners have been placed for
booking of expenditure ub the Code Head 363/02.
4. The progress on the issue will be intimated: on receipt of reply from the office of the
CGDA.
5. All other Code Heads are into effect from the date of issue of CS No. 116/2007.
6. This is for your information and dissemination to all stn HQs under your AOR.
Encl : As Stated
Auth : B/49784/AG/ECHS/III 27/JUN/07
(SK Agarwal)
Wg & dr
Jt Dir (P&FC)
For MD
AMENDMENT TO CLASSIFICATION HAND BOOK DEFENCE SERVICES RECEIPT
AND CHARGES 1992 (EDITION)

Page 75
Major Head: 2076-DEFRNCE SERVICES ARMY
MINOR Head: 107-Ex-servicemen Contributory Health Schemes (ECHS)
Sub Head: A to H
Re-construct Sub Head A to H (inserted vide C.S No. 88/2004 and further amended vide
this offices letter of even No. dated 23 Feb 05 and C.S No. 105/2006) as under.
Sub Head A – Pay & Allowances of Employed/Contrasted staff
1. Officers 361/01
2. Para Medical Staff 361/02
3. Overtime Allowance 361/03
4. Non Medical Staff 361/04
Sub Head B – Tramportation
1. Movement of presumed 362/01
2. Movement of stoves 361/02
3. Foreign Travel 362/03
Sub Head C – Stores
1. Medical Stores 363/01
2. Other Stores 363/02
3. Furniture & Air conditioners 363/03
a. Medical Equipment
b. Balk local and emergent purchase of Medicines, Drugs
and Consumsbion.
c. Purchase of special medicines
d. Repair and maintenance of Medical equip hear including
(ALC)
e. Surgical and other implants, hearing aids, intra-ocular
leases, cochlear implants, joint replacement implants
etc.
f. Special consumable and implants for cardiology, cardio
thoracic surgery, renal dialysis and surgery etc.
a. Clothing Items
b. FOL
c. Non-Medical stores & equipment
d. Repair & Maintenance including AMC
e. Expenditure on procurement which has value of less 10
lakh each with a life span of less than 7 years is to be
compiled to this head.
a. Expenditure on procurement of furniture & Air
conditioners
b. Expenditure on repair and maintenance of furniture & Air
conditioners including AMC.

4. Vehicles & Generators 363/04
Sub Head D – Information Technology
(a) Hardware
a. Expenditure on procurement of vehicles & generators
b. Expenditure on repair and maintenance of vehicles &
generators including AMC.
I. Local Purchase 364/01
a. Expenditure on procurement of computer and connected
stores.
II. Central Purchase 364/02
a. Expenditure costing less than Rs. 10 lakh with less than
7 years expected life will be compiled to this head.
(b) Software
I. Local Purchase 364/03
a. Caters for expenditure on purchase of software.
II. Central Purchase 364/04
a. Expenditure costing less than Rs. 10 lakh with less than
7 years expected life will be compiled to this head.
(c) Maintenance
I. Local Purchase 364/05
a. caters for expenditure on maintenance of computers ect
including AMC
II. central Purchase 364/06
(d) Computer Stationary and Consumables
I. Local Purchase 364/07
a. Caters for expenditures on procurement of Computer
Stationery and Consumable items.
II. Central Purchase 364/08
(e) Information technology Training
I. Local Purchase 364/09
a. Caters for expenditure on information Technology
training.
II. Central Purchase 364/10

Sub Head E- Medical treatment
Related Expenditure. 365/00
a. Payment to Empanelled Hospitals nursing Homes,
Diagnostic Centres and other empanelled facilities.
b. Medical advances.
c. Re-imbursement to patients for emergent treatment.
d. Purchase of specific medical equipment for patients.
e. Medical comforts to ex-servicemen Patients.
f. Travelling expenditure for patients and Attendants.
Sub Head F-Miscellaneous 366/00
a. Stationery and consumables.
b. Local printing of stationary.
c. Service lables (stamps), official postage,
telegrams/telex, speed post and registion charges.
d. Installation and payment of telephone bills/fax and
internet.
e. Cost of law suits/Medico legal cases.
f. Cost of photographs and identity cards to polyclinic
employees.
g. Annual Contingency Grant.
h. Library books.
i. Hot weather/Cold weather appliances establishment
charges.
j. Washing of polyclinics lines, bedding and patient
clothing.
k. Funeral expenses in respect of death while in polyclinic
(limited to linen used, preservation of body and mortuary
charges).
l. Gardening and area upkeep.
m. Other expenses for establishment not covered under any
head.
n. Insurance of vehicle drivers of polyclinic.
o. Office equipment and Maintenance of office equipment,
including AMC.
p. Insurance of ambulance, vehicles and payment for
vehical registration and other local charges.
q. MACT claims.
r. Department conferences and connected expenditure.
s. Publicity including expenditure on Web site.
t. Installation/de-installation of equipment excluding
transportation.
u. Annual Training Grant.

Sub Head G- Revenue Works 367/00
a. Minor Works.
b. Special Works.
c. Special repairs.
d. Emergency repairs.
e. Hiring of buildings.
f. Property tax.
g. Water and electricity charges.
h. Maintenance of buildings.
(To be effective from 2007-08)
Authority:
Ministry of Defence (Finance/budget I) UO No. 875/B-I/07 dated 25-05-2007
DGADS UO No. 54/AA-16/2006-07/CHB 23-05-2007
No. A/B/I/13626/XXVIII
Office of the C.G.D.A
West Block-V, R.K.Puram
New Delhi 110066
Dated: 01-06-2007
All Pr. C.D.A/C.D.A Please acknowledged receipt
All E.D.P/D.D.P centers A certificate to the effect that
code file has been updated to
the extent of this C.S may
please be s ent to computer
center of this Hqrs.
E.D.P. Center, Office of the CGDA for information and necessary
new Delhi-110066 action.
Director General of Audit Defence Services for information.
L-Block, New Delhi
Ministry of Defence (Fin/Budget-I) for information.
As per standard list for information.
Sr. Accounts Officer (Budget)

REVISION OF PLINTH AREA RATES FOR CONSTRUCTION OF ECHS
POLYCLINICS
1. Please refer this Organisation letter No B/49705-C/AG/ECHS dated 25 Jul 07.
2. The Plinth Area (PA) rates for construction of ECHS Polyclinics were fixed at flat rate of Rs.
765/- per Sq Ft (excluding external services).
3. In view of the inflation and increase of cost of construction since the issue of the above
mentioned letter, the maximum PA rates have now been revised to Rs. 1000/- per Sq Ft (excluding
external services). The external services work will continue to be executed from the normal
budget allotted to the formations as earlier. With the revision in PA rates as above, revised
monetary ceiling for construction of Polyclinics will now be as under:-
(a) Polyclinic Type A - Rs. 50.00 Lakh
(b) Polyclinic Type B - Rs. 40.00 Lakh
(c ) Polyclinic Type C - Rs. 25.00 Lakh
(d) Polyclinic Type D - Rs. 20.00 Lakh
4. The revised PA rates of Rs. 1000/- per Sq Ft (Without external services) will apply from the
date of issue of this letter. No increase will be accepted in cases where construction is already in
progress.
5. The procedure for sanction of additional cost, if any will remain as per existing instructions.
Auth : B/49705-C/AG/ECHS 13 Aug 2008
Sd/
Maj Gen
MD ECHS

CLARIFICATION: MAINTENANCE OF ECHS BUILDINGS
1. The policy on maintenance of ECHS Polyclinic buildings was issued by the Dte of Wks, Ein-C’s
Branch for action by all concerned vide letter No A/37696/12-1/Pol/E2W (PPC) dated 30 Sep
2008 and was also circulated by this Organisation vide letter of even reference dated 17 Oct 2008.
2. It has been observed at a few places that the requirement of maintenance funds for
Polyclinic buildings had not been included in the Maintenance Plan of the Stations resulting into
poor maintenance.
3. It is reiterated that after a Polyclinic is constructed by the MES and handed over to the
Station, the building thereafter is to be treated like any other building of the Station and maintained
accordingly.
4. It is therefore necessary that the Polyclinic building should be included in the Maintenance
Plan of the Station and related fund requirements should be projected accordingly. The
expenditure should be debited to the relevant Minor Heads of the Army, Navy and Air Force.
Auth B/4783/AG/ECHS 25 Aug 2009
Dte of Wks, E-in-C Branch
Sd/
Jt Dir (P&FC)
For MD ECHS

POLICY ON RECOVERY OF MAINT CHARGES. ELECT/WATER SUPPLY BILLS:
ECHS POLYCLNICS
Policy on recovery of maint charges, Elect/water supply bills in respect of ECHS Polyclinics
issued by Central Organisation EHS AG’s Branch letter No B/49783/AG/ECHS dated 23 Sep 08
enclosed herewith for information and necessary action please.
Auth A/37696/12-1/Pol/E2W(PPC) 30 Sep 2008
sd/
(Pradeep Agrawal, IDSE)
EE(SG)
JT. Dir /E2W (PPC)
For E-in-C

POLICY ON RECOVERY OF MAINT CHARGES/ELECTRIC
WATER SUPPLY BILLS : ECHS POLYCLINIC
1. Please refer :-
GOI MoD letter No. 22(1)/01/US(WE)(Res) dated 30 Dec 2002.
GOI MoD letter No. 24(7)/03/US(WE)(Res) dated 17 Sep 03.
GOI MoD letter No. 22(26)/06/US(WE)(Res) dated 22 Sep 06.
2. The ECHS was sanctioned vide letter dated 30 Dec 2002 referred above and was
implemented with effect from 01 Apr 2003. After a period of five years, the Scheme has now been
reviewed by the MoD team.
3. On the subject of construction of Polyclinics in Military and Non-Military Stations and their
maintenance, the following have been recommended for implementation:-
(a) Construction of Polyclinics. One time expenditure on construction of ECHS Polyclinics will
be incurred out of the capital budget of ECHS (Major Head 4076, Sub Major Head 01-Army,Minor
Head 107, Code Head 907/39 (Construction).
(b) Enhancements and Maintenance of ECHS Polyclinic Buildings. The alternations,
additions, further enhancements and maintenance of ECHS Polyclinic Buildings will be carried out
from the budget estimates and related Code Heads of the concerned Service (Army, Navy and Air
Force).
(c ) Payment of Water & Electricity Charges. To ensure uninterrupted supply of electricity
and water in Polyclinics functioning in Non-Military Stations and to avoid disconnections which may
arise due to untimely payments, the expenditure on account of water & electricity charges in
respect of Polyclinics in non-military Stations will be met out of the ECHS revenue budget
(Major Head 2076, Sub Major Head 01-Army, Minor Head 107, Code Head 367/00) for which
ECHS funds will be provided to the Stn Cdr for payment as being followed presently. The
expenditure however, on account of water & electricity charges in military Stations will be
incurred from the budget estimates and related Code Heads of the concerned Service (Army,
Navy and Air Force).
4. You are requested to issue necessary policy/guidelines accordingly for compliance by all
concerned.
Sd/
Maj Gen
ADG LW&E MD ECHS
Auth :B/49783/AG/ECHS 23 Sep 2008

REVISION OF PLINTH AREA RATES FOR
CONSTRUCTION OF ECHS POLYCLINICS
1. Please refer this Organisation letter No B/49705-C/AG/ECHS dated 25 Jul 07.
2. The Plinth Area (PA) rates for construction of ECHS Polyclinics were fixed at flat rate of Rs.
765/- per Sq Ft (excluding external services).
3. In view of the inflation and increase of cost of construction since the issue of the above
mentioned letter, the maximum PA rates have now been revised to Rs. 1000/- per Sq Ft (excluding
external services). The external services work will continue to be executed from the normal budget
allotted to the formations as earlier. With the revision in PA rates as above, revised monetary ceiling
for construction of Polyclinics will now be as under:-
(a) Polyclinic Type A - Rs. 50.00 Lakh
(b) Polyclinic Type B - Rs. 40.00 Lakh
(c ) Polyclinic Type C - Rs. 25.00 Lakh
(d) Polyclinic Type D - Rs. 20.00 Lakh
4. The revised PA rates of Rs. 1000/- per Sq Ft (Without external services) will apply from the
date of issue of this letter. No increase will be accepted in cases where construction is already in
progress.
5. The procedure for sanction of additional cost, if any will remain as per existing instructions.
Sd/
(A Srivastava)
Maj Gen
MD ECHS

T
I
REVISED RATES OF SUBSCRIPTION OF ECHS
1. Refer GOI MoD letter No. 22D(04)/10/US(WE)/D(Res) dated 29 Sep 10.
2. The subscription rates for ECHS have been revised wef 01 Jun 2009 as under:-
Grade Pay drawn at the time of retirement Contribution
Rs. 1800/-, Rs. 1900/-, Rs. 2000/-, Rs. 2400/- and Rs. 2800/- per month `15,000
Rs. 4200/- per month ` 27,000
Rs. 4600/-, Rs. 4800/-, Rs. 5400/-, and Rs. 6600/- per month ` 39,000
Rs. 7600/- and above per month ` 60,000
3. The contribution amount has now been linked with the grade pay drawn at the time of
retirement instead of uncommitted basic pension / family pension. The features/ conditions of the
revised rates in ECHS would be as follows:-
(a) Contribution made by the ESM pensioner would be as applicable in the Grade pay at the
time of retirement.
(b) Any ESM pensioner / family pensioners who is entitled to avail ECHS facility and has not
become member of ECHS, the rate of contribution in such cases will be with reference to the
Grade Pay that the ESM pensioner would have drawn in the rank / post held by him (at the time of
his retirement / death) had he continued to be in service now but for his retirement / death.
4. You are requested to disseminate to all concerned under your AOR.
Auth :B/49784/AG/ECHS 05 Oct 10
Jt Dir (Fin)
For MD ECHS

REVISED RATES OF SUBSCRIPTION OF ECHS
1. Refer our letters of even reference on the subject dated 05 Oct 10 and 04 Nov 10.
2. For ease of understanding, the ESM have been divided into 4 different categories, namely:-
(a) ESM who retired prior to 01 Jan 1996. These ESM who wish to join the
scheme do not have to pay any subscription as per the prevailing GoI orders.
(b) ESM who retired from 01 Jan 1996 to 31 Mar 2004. Though the scheme was made
compulsory w.e.f. 01 Apr 03, the CsDA Pension started deducting the contribution from PPO for all
ESM only w.e.f. 01 Apr 04. These ESM who retired between 01 Jan 1996 to 31 Mar 2004 and
joined the scheme on or after 01 Jun 2009 will have to pay revised rate of subscription. If they have
already applied but not yet collected their cards, they will have to pay the difference of subscription
at the time of receipt of card.
(c) ESM who retired from 01 Apr 2004 to 31 May 2009. Subscription as applicable has been
deducted from the PPO of these ESM hence they do not have to pay additional amount even when
the application for membership is submitted by the ESM after 31 May 2009.
(d) ESM who retired on or after 01 Jun 2009. Office of the CGDA was approached to recover
the difference of subscription from the pension of ESM who have retired after 31 May 2009. CGDA
office has however expressed its inability to recover the difference of subscription from the pension
of ESM. These ESM will therefore have to pay the difference of subscription through MRO.
4. A number of queries are being received from various formations on the applicability of these
rates. The detailed clarifications on these queries are as under:-

Sl No. Query Clarification
01 In case of ESM who have retired between 01 Jan 96
and 01 Apr 04 and who have not yet collected their
cards / who have not yet applied for membership, will
they have to pay as per the revised rates?
Sl No. Query Clarification
02 Are the ESM permitted to pay the subscription in
installments?
03 Why revised rates are not applicable to ESM
who have retired between 01 Apr 2004 and 31
May 2009?
04 Since the revised rates of subscription for JCOs
and Officers who are in receipt of Grade Pay of
`4600/-, `4800/-, `5400/- and `6600/- is
`39000/-, will all these categories of ESM be
entitled to Private wards?
05 The revised rates are based on Grade pay. How
is the subscription fixed for the ESM retired pre
VI Pay Commission?
06 Will the ESM, who retired after o1 Apr 04 and
ECHS contribution was deducted through PPO,
but did not submit ECHS Application form, have
to pay the difference of subscription?
Such ESM will have to pay the revised rate of
subscription before the ECHS card is handed over
to them.
The option of paying the subscription in installments
has to be exercised at the time of filling the application
form.
The revised rates are applicable for ESM who join the
scheme on or after 01 Jun 2009.
The entitlement to wards is governed by GoI MoD
letter No. 24(8)/03/US(WE)/D(Res) dated 19 Dec 2003
as amended vide 22(16)/05/US(WE)/D(Res) dated 19
Jul 2005 which remains unchanged.
The rates of contribution in such cases would be with
reference to the Grade Pay that the ESM pensioner
would have drawn in the rank/post held by him (at the
time of retirement/death) had he continued to be in
service now but for his retirement/death. e.g. An
officer of the rank of Major retired in 2000 but did not
join the scheme. If the officer desires to join the scheme
at this stage, his contribution will be based on the grade
pay now of a Major i.e. ` 6,600/-.
For all practical purposes, once the subscription is paid,
the ESM will be deemed to be a member of the scheme.
He therefore does not have to pay the revised rate.
4. The instructions on the recovery of difference of subscription from the ESM who are eligible
to pay the revised rate but have already collected their cards will follow in due course.
5. This supersedes our letter of even reference dated 04 Nov 2010.
Auth B/49784/AG/ECHS 20 Dec 10
Jt Dir (Fin)
For MD ECHS

APPLICABILITY OF CERTIFICATE ON STOPPAGE OF FIXED MEDICAL
ALLOWANCES (FMA) FOR TAKING ECHS MEMBERSHIP
1. The ECHS scheme has been made compulsory for all the ESM wef 01 Apr 2003 and is
optional for the ESM retired prior to 01 Apr 2003. Accordingly, the contribution is deducted through
PPO by all CsDA (Pension) wef 01 Apr 2004 and these ESM retired on or after 01 Apr 2004 are
not being paid FMA. In some cases, CsDA (Pension) has not deducted the contribution through
PPO in respect of the ESM retired from 01 Apr 2003 to 31 Mar 2004. Therefore, the following
procedure is advised ;-
(a) The ESM retired on or after 01 Apr 2004 are not to be asked to produce the certificate on
stoppage of fixed medical allowances (FMA) for taking ECHS membership since they are not being
paid FMA.
(b). The ESM retired before 01 Apr 2004 are to provide the existing certificate on stoppage of
fixed medical allowances by PDA (respective Banker) for taking ECHS membership.
2. This may be disseminated to all concerned under your AOR.
Auth : B/49791-FMA/AG/ECHS 16 Jun 11
(
Dir (Fin)
For MD ECHS

DETAILMENT OF CHT FOR ECHS DUTIES
1. Enclosed please find DGOL letter No 76354/SC/ADG Mov (Budget) dated 28 Sep 10
regarding clarification on detailment of CHT for ECHS duties.
2. This is for your information please.
Auth :B/49791-Gen/AG/ECHS 05 Oct 10
Jt Dir (P & FC)
For MD ECHS

PROCUREMENT OF FURNITURE AND NON-MEDICAL EQUIPMENT FOR
POLYCLINICS OF ECHS
1. Reference:-
(a) GOI MoD letter No 24(5) /04/US(WEW)/D(Res) dt 26 Aug 04.
(b) P & FC Accounting Note No 2/2004 issued vide Central Org letter No
B/49787/AG/ECHS dt 02 Nov 04.
(c) Central Org letter No B/49787/AG/ECHS dt 08 Jul 05.
(d) Amendment to ECHS accounting Note No 2/2004 issued vide Central Org letter No
B/49787/AG/ECHS dt 09 Dec 05.
(e) Central Org letter No B/49795/AG/ECHS dt 02 Aug 07.
2. The scales for furniture and non-medical equipments are divided into three parts as
mentioned below:-
(a) List of furniture items which are of MES origin. - Appendix A
(b) List of items which are to be procured through local - Appendix B
purchase under code head 363/02.
(c) List of items which are to be procured through Local - Appendix C purchase
under code head 366/00.
3. The procedure to be followed for procurement of furniture and non-medical equipment for
ECHS Polyclinics is given below:-

(a) Items at Appendix A are to be supplied by MES as per works procedure for which budget
has been placed/being placed with Command Q of respective Command HQ under code head
363/03. In case of non-availability, local purchase may be carried out by the station HQ under code
head 366/00 after obtaining NA certificate from MES.
(b) Items at Appendix B & C are to be procured by Station HQ through local purchase as per
existing local purchase procedure under code head 363/02 and 366/00 respectively.
(c) Quality items only be purchased to ensure durability. Items which are available from
CSD be purchased as per existing procedure.
4. Our letters mentioned at para 1 (b) to (e) are hereby superseded. You are requested to
disseminate these instructions down the chain of command for early action.
Appendices :- A - List of furniture items which are of MES origin.
B - List of items which are to be procured through local purchase under
code head 363/02.
C - List of items which are to be procured through local purchase under code
head 366/00.
Auth :B/49795/AG/ECHS 23 May 11
(A Srivastava)
Maj Gen
MD ECHS

Appendix A
LIST OF FURNITURE ITEMS WHICH ARE OF MES ORIGIN
Sl
No
Nomenclature Type A Type B Type C Type D
1 Bed stead Iron Hospital 1 1 1 1
2 Bead Stead Fowler 1 1 0 0
3 Table Bed Side II 2 2 2 1
4 Stool Steel 3 3 1 1
5 Step Two Tier 5 5 3 2
6 Invalid Chair Non Folding 2 3 1 1
7 Table 90 cms x 60 CMS stailless steel on castors 2 2 1 1
8 Screen movable 2 2 2 2
9 Patient Trolley stretcher 2 2 2 2
10 Revolving Stool 14 14 9 7
11 Respectable Large75 Ltrs 6 6 4 4
12 Respectable Large 35 Ltrs 24 24 16 10
13 IV Fluid stand 2 2 2 2
14 Examination Cough 5 5 4 3
15 Examination Cough Obstetric 1 1 0 0
16 Cylinder Trolley 1 1 1 1
17 Board Notice 3 3 2 2
18 Lateral Filing Cabinet 3 drawer 3 2 2 2
19 Rack Adjustable closed on 3 sides 6 tiers 9 7 5 2
20 Rack Adjustable open 8 5 4 2
21 Side Rack with 3 trays wooden ,3 sides 7 7 4 3
22 Chair CB (without arms)-stackable visitor 5 5 2 1
23 Chair CBA(visitor) with padded arm 12 8 6 4
24 Chair CB elevated and Rotating 2 2 2 2
25 Chair Executive Revolving Low back with 8 8 5 5
26 Computer chair with Arm on casters 3 3 2 2
27 Computer chair without Arm on casters 1 1 1 1
28 Chair folding Multiseater set of 3 15 12 10 8
29 Table 150cms X 75cms X 75cms 9 9 5 4
30 Table 100cms X 75cms X 75cms 2 2 2 2
31 Almirah Large 3 3 2 1
32 Almirah medium 6 6 3 2
33 Computer table set 6 6 3 3
34 Cash safe Iron Small 1 1 1 1
35 Trolley Mobile (Waste management) 1 1 1 1
36 Form post with Back and Arms 6 6 4 4

Appendix B
LIST OF ITEMS WHICH ARE TO BE PROCURED THROUGH
LOCAL PURCHASE UNDER CODE HEAD 363/02
No Nomenclature Type A Type B Type C Type D
1 Refrigerator 300 Ltrs 1 1 1 1
2 Refrigerator 165 Ltrs 1 1 0 0
3 Hot Case 1 1 1 1
4 Gas Double Burner 1 1 0 0
5 Gas single Burner 1 1 2 2
6 Tool kit for minor repairs constituting Hammer, 1 1 1 1
Wrench, Pliers, Screw Drivers
7 Water cooler with Aqua Guard 2 2 1 1
8 Thermos 1 Ltr 1 1 1 1
9 Stretcher Folding Lt Wt 1 1 1 1
10 Standard Measuring height 1 1 1 1
11 Weighing Machine 5 5 3 3
12 Blanket Hospital 4 4 2 2
13 Matress Hospital 2 2 1 1
14 Pillow Hospital 4 4 4 4
15 Pillow Slip 8 8 8 8
16 Bed Sheet Hospital 6 6 6 6
17 Towel Hand 24 24 16 16
18 Table Cloth 24 24 16 16
19 Vaccuum Cleaner 1 1 1 1
20 Torch Hand 5 5 3 3
21 Gown operating 2 2 2 2
22 Aprons water proof 1 1 1 1
23 Inverter 5 KVA 1 1 1 1
24 White Gowns As reqd As reqd As reqd As reqd
25 White Caps As reqd As reqd As reqd As reqd
26 Face Masks As reqd As reqd As reqd As reqd

LIST OF ITEMS WHICH ARE TO BE PROCURED THROUGH
LOCAL PURCHASE UNDER CODE HEAD 366/00
Appendix C
No Nomenclature Type A Type B Type C Type D
1 Soap Tray 12 12 8 8
2 Mat Door 12 12 8 6
3 Bucket Plastic with Mug 5 5 3 3
4 Tape measuring 5 5 3 3
5 Safety Razor and Blade 2 2 2 2
6 Slipper Rubber 2 2 2 2
7 Spray Hand Anti Insect 1 1 1 1
8 Brooms Sweeping 4 4 3 3
9 Ice Box 1 1 1 1
10 Wall Clock 5 5 3 3
11 Rechargeable Light 2 2 2 2
12 Torch cells 4 per torch 4 per torch 4 per torch 4 per torch
13 Water glass As reqd As reqd As reqd As reqd
14 Floor mops As reqd As reqd As reqd As reqd
15 Phenyl As reqd As reqd As reqd As reqd
16 Odonil As reqd As reqd As reqd As reqd
17 Soap Toilet As reqd As reqd As reqd As reqd
18 Soap Laundry As reqd As reqd As reqd As reqd
19 Soap Woolen As reqd As reqd As reqd As reqd

REFUND OF ECHS CONTRIBUTION
1. The following clarification was sought from the Office of CGDA for the categories of
personnel given below. In view of the queries raised by a few station HQ on the issue of
refund of excess contribution.
(a) Personnel retiring on 01 Apr 2004, as they had been born on 01 Apr and
deemed members of the scheme wef 02 Apr 2004.
(b) Personnel retiring on 31 Mar 2004 (AN) whose deduction for contribution is
recovered through PPO on 01 Apr 04 and deemed members of the scheme wef 01 Apr
2004.
3. It was requested to clarify the rate of contribution i/r/o cases cited above whether
they would need to pay at the old rate of the contribution or the new rate. It was further
requested to intimate whether or not, the above categories of personnel would be entitled
to refund of excess contribution.
4. Clarification has been received on the above issue from office of CGDA vide their letter No
AT/IV/4807/EHS/VI dated 08 Jul 07 and contents of the letter is reproduced below.
“This has reference to HQs office letter No AT/IV/4807/EHS-IV dated 25/27 -4-05 regarding the
subject matter.
In this connection following amendments are made in the abovementioned letter:-
(a) In para 2 (c)
Replace
“Those who became members after 1 st Apr 2004 and deduction was made through PPO”.

With
“Those who became members on or after 1 st Apr 2004 and deduction was made through PPO”.
(a) In para 2 (d)
Replace
“Those who became members after 1 st Apr 2004 and paid contribution through MRO”.
With
“Those who became members on or after 1 st Apr 2004 and paid contribution through MRO”.
5. You are requested to disseminate this clarification to all concerned under your AOR and
intimate the affected ESM accordingly.
Auth : B/49787-Ref/AG/ECHS 29 Jun 07
Sd/--
(SK Agrawal)
Wg Cdr
Jt Dir (P&FC)
For MD

REFUND OF ECHS CONTRIBUTION 1
1. Reference is made to CGDA letter No AT/IV/4807/ECHS-IV dated 25 Apr 2005
(Copy enclosed).
2. It has been reported by environment that ESMs are asking for refund of Contribution
which has been erroneously paid by them while becoming members due to various
reasons. In this regard the policy as issued by CGDA is to be taken into cognizance and
refund cases dealt with accordingly.
3. All dealing staff be apprised of the same.
Auth : B/49787/Ref/AG/ECHS 16 Oct 09
Dir (P&FC)
For MD ECHS

To
No.AT/IV/4807/ECHS-IV
Office of the
Controller General of Defence Accounts
West Block-V, R.K. Puram
New Delhi-110066
Dated 25.4.2005
All Regional CsDA / PCsDA
PCDA (Navy) Mumbai, PCDA (Pensions) Allahabad
CDA (O) Pune and CDA (AF) New Delhi
Sub: Revised rate of ECHS contribution
A copy of Army HQs. AG’s Branch, Central Organisation ECHS letter No.
B/49787/4/AG/ECHS dated 15.1.2005 regarding revision of rates of ECHS
contributions wef 1.4.2004 is enclosed.
2. As per Para-4 of the AHQrs above mentioned letter dated 15.1.2005 issued
by MD ECHS, excess remittance of ECHS subscription over and above the
subscription paid should be refunded as per procedure mentioned at Para-27 of this
Office Most Important Circular letter No. AT/IV/4807/ECHS dated 29.10.2003. In
this connection, the following guidelines/instructions are issued for regulating the
claims for refund of excess contributions.
(a) Those who became members prior to 01 Apr 2004 and deduction
of contribution was made from their PPO – No
refund will be made.
(b) Those who became members prior to 01 Apr 2004 and paid
contribution through MRO.
(i) Paid in one installment - No refund will be made
(ii) Paid in installments - No refund will be made. All
subsequent installments will be based on contribution rates as were
applicable prior to 01 April 2004.
(c) Those who became members after 01 Apr 2004 and deduction was
made from their PPO.
Refund, if due, will be made by PCDA (Pensions) Allahabad, PCDA (Navy)
Mumbai or CDA (AF) New Delhi as the case may be who made the
deductions through PPOs and not by Regional CsDA / PCsDA, nor will such
cases be handeled by Station HQs. or Regional Centres.

(d) Those who became members after 01 Apr 2004 and paid contribution
through MRO The refund of excess remittance of ECHS subscriptions will be
afforded by the concerned PCDA/CDA to the beneficiaries on receipt of a
pre-receipt Contingent Bill duly countersigned by the ECHS authorities
(Station HQs/Regional Centre) along with a copy of MRO as already provided
for vide Para-27 of this HQrs. Office above quoted Most Important Circular
letter dated 29.10.2003.
For PCDA (Pensions) Allahabad,
PCDA (Navy) Mumbai, and It is requested that suo-moto action
CDA (AF) New Delhi to issue Corr. PPOs for refund,
wherever due, against excess
deductions of ECHS contribution made through PPOs in respect of Service
Personnel and Officers retired after 01 April 2004 may please be taken
immediately. Addl CGDA (Insp) desires that the requisite action to issue the corr.
PPOs may kindly be completed by 25 th May 2005 and completion report sent so as
to reach this HQrs. Office by 25 th May 2005.
Copy to:-
Sd/-
(Anoop Srivastava)
Dy. CGDA (Audit)
1. CDA (PD) Meerut
2. CDA Chennai It is requested that Suitable instructions to
The DPDOs to afford refund immediately
on receipt of Corr. PPOS from the PSAs may please be issued and completion
action closely monitored. Considering the fact that the requisite Corr. PPOS
concerning refund will be received by the DPDOs by the end of May 2005, action to
afford refund based on such Corr. PPOS may be taken in the monthly pension
schedules for the month of Jun 2005 and completion report sent to this HQrs. Office
indicating the total number of such corr. PPOs received and refund afforded.
3. MD, ECHS, AHQrs.
New Delhi : For information.
Sd/-
(Anoop Srivastava)
Dy. CGDA (Audit)

P&FC ACCOUNTNG NOTE-1/2004 REFUND OF ECHS CONTRIBUTION
1. Please refer this Organisation letter of even reference No dated 17 Dec 2003.
2. A number of queries are still being received by this Organisation for refund of ECHS
contribution either in respect of withdrawal of membership from the scheme or contribution
paid in excess or refund of contribution in respect of war widows. These three conditions
will be addressed as follows:-
(a) Withdrawal of Membership.
(i) Once a contribution has been made, withdrawals from the scheme
and seeking refund is not permitted.
(ii) Those who were not eligible and become members by default may be
refunded their contribution as per the procedure given in paragraph 3.
(b) Those who have paid in excess. This would have happened due to lack of
understanding of the rules and regulations. Procedure as given in paragraph
3 will be followed.
(c) Refund of contribution paid by war widows. Procedure as given in
paragraph 3 would have to be followed.
3. The refund of excess remittance of ECHS contribution will be afforded by the
concerned PCDA/CDA to the beneficiary on receipt of pre-receipted contingent bill duly
countersigned by Dir Regional Centre/ Station Commander along with Xerox copy of MRO.
A copy of CGDA Most Important Circular No.AT/IV/4807/ECHS dated 29 Oct 2003 is
enclosed for your ready reference.

4. You are requested to disseminate the information down the chain of command up to Station
HQ level.
Auth : B/49784/AG/ECHS 13 Oct 04
Sd/--
MD ECHS

OBSERVATION AND GUIDELINES : RECONCILIATION OF HOSPITAL BILLS,
CODE HEAD : 365/00
1. Further to this Org letter No. B/49779/AG/ECHS dated 06 Mar 09, 06 Nov 09 and
14 Jan 10.
2. Annexed herewith is the list of common errors observed while scrutinising the
Reconciliation data. The guidelines to prepare the same in the correct manner are mentioned
against each observation.
3. All Regional Centres are to submit the reconciliation of hospital bills strictly as per guide
lines issued by this Organisation. Allotment of fund is directly related to receipt of
reconciliation data in time, as it effects budgetary projections and allotment of fund by MoD.
Auth : B/49779/AG/ECHS/ 02 Feb 10
Sd/--
(KK Krishnia)
Gp Capt
Dir (P&FC)
For MD ECHS

COMMON ERRORS AND GUIDELINES : RECONCILIATION RETURN
Sl
No
ERRORS GUIDELINES
01 The sequence of listed The same sequence of hospitals is to be maintained for each
hospitals is different in month and also carried forward to next month /quarter. The name
each month
of the hospital should not be deleted from the return even if the
amount is ‘nil’ for any hospital or the hospital has been deempanelled
in any month. The remark “de-empanelled”/etc be
mentioned.
02 Balance of Bills/Amount is Balance of Bills/Amount reflected in the last two columns of each
not carried forward month (10 & 11, 21 & 22 and 32 & 33 ) is to be brought forwarded
correctly in the next correctly to the first two columns of next month(12 &13, 23 & 24
month/Quarter
and 01 &02 of next quarter).
03 The data forwarded by The data in r/o each Stn HQ is to be collected and compiled by
some Regional Centres the Regional Centre well in advance. The same has to be
are not complete
forwarded to this Organisation well in time for onward
submission to MoD by due date. Name of the Stn HQ, from
where data has not been received, and the detailed reason for
delay in submission is to be mentioned in covering letter for
perusal of Managing Director.
04 Stn HQ is directly
Stn HQ is to be instructed not to send any data directly to this
forwarding data to this Organisation and all correspondence to this Organisation,
Organisation including soft
copy
including soft copy, should be through Regional Centre only
05 Arithmetical errors are Arithmetical correctness should be confirmed while totaling
reflected in the subject
return
vertically and horizontally
06 Hard copy of Appx ‘A’ is Soft copy of Appx ‘A’ & ‘B’, in a single CD, is to be forwarded to
forwarded to this
this Org along with hard copy of Appx ‘B’, by Regional Centre
Organisation by some only. Appx ‘A’ should not be forwarded to this organisation
Regional Centres
directly by Stn HQ.
07 Font size used for the
subject return is too small
The font size must be twelve
08 Return forwarded is in “Ms
Word” in soft copy
The return is to be made in ‘MS Excel’ only in soft copy
09 Each column is not totaled Each Column of each page is to be totaled at the bottom of the
at the bottom of each page page
10 Separate summary for Separate Month wise summary table sheet should be made in
totaling of each page of the last page of the month. (Sample for the same is shown in the
each month is not attached last page).
11 Some Regional Centres Regional Centres are to mandatorily include the data pertaining
are not including data to all polyclinics under their AOR, irrespective of funds being
pertaining to all polyclinics
under their AOR
allotted by Army, Navy or Air Force.

Sl
No
ERRORS GUIDELINES
12 Some polyclinics are not It is mandatory that all bills received at polyclinics are to be
including all the bills accounted for, in column No. 03 & 04 every month. A
received by them Certificate should be rendered on the last page of the
quarterly return, that all bills have been accounted for, and is
to be signed by Director Regional Centre.
FOR DIRECTOR REGIONAL CENTRE ONLY
(a) Certificate required from Regional Centre that all bills have been paid up to previous Quarter
(i.e. 31 March, 31 Jun, 31 Oct & 31 Dec) as applicable.
(b) Certified that reconciliation has been carried out at the end of the month and that polyclinics
and empanelled hospitals are in agreement (Month wise certificate may be obtained every month
from OIC Polyclinic/Stn HQ) on the reconciliation.
Signature by RC
SAMPLE
TABLE FOR MAKING MONTH WISE SUMMARY
SUMMARY FOR THE MONTH OF OCT 09
Page No C/F From Received
Amount Bills Paid Balance
previous during the Total Disallowed during the
Month month
month
Bills Amt Bills Amt Bills Amt Bills Amt Bills Amt
1 2 3 4 5 6 7 8 9 10 11
01
02
03
04
05
Grand Total
OCT 09
Signature by RC
Similiarly for Nov 09
Similiarly for Dec 09
Signature by RC
Signature by RC

Regional Centre ECHS
OBSERVATIONS AND GUIDELINES : PROCESSING OF MEDICAL CLAIMS
1. Refer various previous correspondences on the subject.
2. Annexed herewith is the list of common errors observed while scrutinising the Medical
Claims at various levels. The guidelines to process the same in the correct manner are mentioned
against each observation.
3. All Regional Centres are to scrutinise the Medical Claim thoroughly and forward the same
to this HQ only after confirming that all required documents are attached along with claims.
Forwarding of claims to this HQ with out proper scrutiny results into undue delay in processing of
bills.
Auth :B/49779/AG/ECHS/Gen Corres 08 Jun 10
Sd/--
Dir (P&FC)
For MD ECHS

COMMON ERRORS AND GUIDELINES: PROCESSING OF MEDICAL CLAIMS
Sl ERRORS
No
01 Time Check Sheet not
completed and authenticated by
OIC PC / Dir RC.
02 Certificate of OIC PC is not
Duly Completed and not
authenticated properlly.
03 Copy of Smart Card / Proof of
Membership is not legible and
DOM not mentioned separately
by PC and not authenticated
with Stamp.
04 HQ Command / Stn HQ / PC
are directly forwarding claims to
this HQ.
05 Date of Admission is prior to
Referral but “Emergency” not
mentioned and super scribed in
red color in Referral Form / Bills
and Emergency Certificate not
attached.
06 Diagnosis mentioned in
Discharge Summary is different
from Work Sheet.
07 Justification for not obtaining
Prior Approval not attached.
08 Drug Certificate on MRP is not
attached.
09 MOA and Annexure – II not
found attached.
10 Authentication made by PC /
RC is with out Stamp and Date.
GUIDELINES
Duly Completed Time Check Sheet is to be attached along with
all claims. Each movement of file is to be mentioned and
authenticated by OIC PC / Dir RC with their Rubber Stamp. In
this regard pl refer our signal dated 24 Feb 10. Justification for
delay for more than two weeks after receipt of claim in any office
is to be mentioned in appropriate column and is to be
authenticated by OIC / PC / RC properly.
Certificate of OIC Polyclinic is to be attached with all Med Claims
irrespective of Emp Hosp / Non Emp Hosp Claim. If it is Emp
Hosp Claim it is to be mentioned clearly that “Empanelled
Hospital Bill” and Date of Empanelment to be mentioned in the
certificate. If it is Non Emp Hosp Claim then it is to be mentioned
that “Non Emp Hosp Claim” in the certificate. It is also to be
mentioned clearly that whether the claim is Emergency or
Referral. The Certificate should be authenticated with Rubber
Stamp and date.
Copy of Smart Card / Proof of Membership (Preferably enlarged
copy of Smart Card) should be legible. DOM is to be mentioned
separately and authenticated with Rubber Stamp and Date.
All Med Claims (including Not Recommended claims and
representations received) to be forwarded to this HQ through RC
only. RC is to scrutinise the case and forward to this HQ with
proper Remarks / Check List and Work Sheet as applicable. All
Concerned to be instructed not to send any Claim directly to this
Organisation.
If Date of Admission is prior to Referral (Emergency Cases) All
Bills & Referral Form should be clearly superscribed as
“Emergency” in Red Colour. An Emergency Certificate is to be
attached by Hospital and authenticated by PC / RC.
Diagnosis mentioned in Discharge Summary and Work Sheet
should be the same.
If Prior Approval is not obtained for any case and it needs Prior
Approval, then justification for not obtaining the same is to be
attached and authenticated by PC/RC.
Drug Certificate on MRP as per the format issued by this HQ
letter dated 17 Sep 09 is to be attached with all claims
irrespective of Emp Hosp / Non Emp Hosp claims and to be
Countersigned by OIC PC/ Dir RC.
A copy of MOA along with relevant Annexure (Annexure–II)
giving details of rates charged is to be attached along with all
Emp Hosp Claims.
All Authentications are to be made properly with Date and
Rubber Stamp.

11 It is not clearly mentioned in
Work Sheet that whether the
claim pertaining to Emp Hosp /
Non Emp Hosp & Emergency
/ Referral.
12 Emergency Certificate by
Hospital and Emergency
Information Report by PC are
not attached for Non Emp
Hosp Claims.
13 Covering Letter is mentioned
as Emp Hosp Claim but the
claim pertains to Non Emp
Hosp.
14 All Documents issued by
Hosp are not authenticated by
PC / RC
15 All Pages are not numbered
and documents not kept in
order of occurrence.
16 Duplicate Claims are
forwarded to this HQ.
17 Medical Claims are forwarded
to this HQ in Shabby condition
and documents are not
Flagged.
18 Claims returned for
rectification of observations
are not rectified and returned in
due time.
19 Amendments made in the
documents are not
authenticated properly.
20 While returning the claim after
rectification of observations,
Para wise / point wise reply is
not furnished and this HQ
letter reference is not referred
properly.
In Sl No 6 (a) of Work Sheet it is to be clearly mentioned as
“Emp Hosp Bill” / Non Emp Hosp Bill” and in Sl No 6 (b) as
“Emergency” / “Referral”.
Emergency Certificate issued by Hospital and Emergency
Information Report issued by Poly Clinic are mandatory along
with all Non Emp Hosp Claims.
It is mandatory to mention in the Covering Letter that the claim
pertaining to Emp Hosp or Non Emp Hosp correctly.
All documents, i.e, Bills, Discharge Summary, Emergency
Certificate, Drug Certificate etc are to be authenticated by PC /
RC.
All Pages are to be numbered and Documents are to be kept
in the order of occurrence, i.e. starting from Referral Form
/Emergency Certificate to Discharge Summary etc. All the
documents placed on the file should be in Original and
Complete in all respect.
Despite repeated reminders Duplicate Claims are still
forwarded to this HQ. Duplicate Claims are not required at this
Org and are not to be forwarded to this HQ.
All documents in the file are to be properly Flagged. File
Cover is to be neat and in Good Condition and Properly
Labeled.
Claims returned for rectification of observation are not rectified
and returned to this HQ in due time. If the observation is not
rectified with in two weeks of receipt of claim at your office,
then the present position of the claim and reason for delay to
be intimated to this office with out waiting for this HQ’s
intervention.
The Amendments / Corrections / cuttings made in the
documents to be authenticated properly with Rubber stamp
and date.
While returning the claims to this HQ after rectification of
observations, Para wise / point wise reply to this HQ letter is to
be furnished and this HQ letter Number (Ref No) is also to be
cross referred properly.
*** Dir RC is to ensure that guide lines issued by this HQ are adhered strictly by RC / Stn
HQ / PC etc. before forwarding the claims to this HQ.

PRIORITY FOR PAYMENT OF HOSPITAL BILLS
1. During the examination of accounts by the Rep of this Organisation at a few Station HQ and
Polyclinics, it was observed that bills received later had been paid while older bills were found lying
un-actioned / unpaid at the Polyclinics / Station HQ.
2. No reasonable or justifiable explanation could be given either by the OsIC Polyclinic or the
OsIC ECHS, Stn HQ. It needs to be emphasized that unless the bills are under observation where
the hospital authorities are required to clarify certain issues raised or if there is other genuine
reason, the holding of such bills across various levels of processing is questionable. It is
imperative that bills which have been received first have to be paid first.
3. It is therefore requested that suitable instructions at various levels of processing of bills,
especially
at the Polyclinic and the Stn HQ level, may please be issued for immediate compliance.
Dy MD
For MD ECHS

POLICY ON PROCESSING OF BILLS RELATED TO CONSULTATION FEES
1. The bills on consultation constitute a large percentage of hospital bills. While the amounts
of such bills are low and fixed across the Country, the processing procedure being followed is the
same as in case of high value bills. For example, the approved rate in Delhi is Rs. 61/- per
consultation. It is considered that the unnecessary paperwork and delay in processing of claim
towards consultation charges, when referred to any empanelled hospital, can be considerably
reduced by raising hospital wise composite claims. This will also provide more time to the
processing officials in carrying out quality check of high value bills leading to reduction in costs.
2. Procedure. The procedure to be followed for raising and payment of composite bills
towards CONSULTATION FEES is as follows:-
(a) Raising of bills by Hospitals. The hospitals may be asked to raise composite bills
for the referrals made towards OPD consultation during the month. These would include
cases where only consultation charges are involved and no further investigation / treatment
procedures were carried in the hospital. Each of the hospital bills including the composite
consultation bills should be serially numbered throughout the year in the usual manner for
easy identification. A specimen of the Bill to be raised by the Hospital is placed at Appendix
A.
(b) The hospitals while forwarding the composite consultation bill to the Polyclinics will
ensure that each entry of the bill is enclosed with original referral forms of the patients
supporting the outcome of consultation.
(c) Action at the Polyclinic. On receipt of composite consultation bills from the
empanelled hospitals, the OIC Polyclinic will register the claims and verify the correctness
of the bill and the referral forms enclosed. The OIC Polyclinic will then prepare a
contingent bill cum cover note. The specimen of the contingent bill cum cover note is
placed as Appendix B. The contingent bill cum cover note enclosed with the original
composite consultation bill received from hospital and the original referral forms in original
will be forwarded to Stn HQ for further action.

(d) Action at the Stn HQ. The Cash Assignment Officer / OIC ECHS Cell will obtain
CFA sanction and make the payment to the concerned hospital in the usual manner and will
endorse a copy of the covering letter to the OIC Polyclinic for necessary reconciliation. The
original contingent bill cum cover note alongwith the original composite consultation bill and
referral forms will be forwarded to the concerned PCDA / CDA for post audit. A photocopy
of the contingent bill cum cover note alongwith the composite bill will be retained as record.
3. You are requested to circulate this policy to all concerned under your AOR for necessary
compliance.
Sd/--
Dy MD
For MD ECHS

RECONCILIATION OF HOSPITAL BILLS CODE HEAD : 365/00
1. Further to this Organisation letter of even reference dated 03 Mar 2009.
2. It has come to notice that a few hospitals are intimating higher amounts and number of bills
outstanding for payment as compared to the figures provided by the Station HQ on outstanding
amounts with respect to a particular hospital.
3. The reasons for the disparity could be as follows:-
(a) Civil hospitals are not amending their outstanding figures with respect to the
amounts disallowed by the Station Commanders / SEMOs.
(b) There are bills in process with the OsIC Polyclinic and the SEMOs which are not
known by the Station HQ.
4. A need has been felt to reconcile the outstanding bill numbers and amounts with the civil
empanelled facilities on a regular basis. It is intimated that the point for receipt of hospital claims is
the Polyclinics where the claim is registered and a unique identification code number is allotted to
each bill. After scrutiny, these bills are forwarded to the SEMOs who inturn forward the bills to the
Station HQ after making their recommendations. The bills are returned to the Polyclinics in case of
observations and bills forwarded to Station HQ are paid by the Cash Assignment Officer after
obtaining CFA sanction.
5. The details of payment and the amounts disallowed are not endorsed to the Polyclinics.
Hence, the Polyclinics do not get to know the total number of bills pending for payment against the
total number of bills received.
6. It has been decided that in future the copy of the forwarding letter of the cheque with detail
of payments to the empanelled hospital should also be provided to the Polyclinics. The
Polyclinics will maintain bill-wise claimed and paid amount in respect of each of the empanelled
hospitals in the format appended below:-

Name of the Civil Empanelled Facility…………………PLACE …………
Date of Bill
raised &
details
Date of bill
received
Particulars
of claim
Unique
Identification
Number
Amount
Claimed
Date
forwarded
to SEMO
7. A hospital wise monthly summary will be prepared as under:-
Amount
paid by
Stn HQ
with details
(a) Outstanding no. of Bills and amount carried forward from previous month
(b) Number of Bills received during the month and total amount
(c) Total Amount disallowed
(d) Total numbers & amount paid during the month
(e) Balance numbers & amount outstanding
Signature of OIC Polyclinic Signature of Reps of Hospital
Amount
Disallowed
8. A reconciliation will be carried out in the first week of each quarter ending with the
representatives of the hospitals and signatures would be obtained on the reconciliation statement /
register to confirm that the Polyclinics and the empanelled hospitals are in agreement. OIC
Polyclinics shall forward the reconciliation statement to Stn HQ and Regional Centre ECHS.
9. Since the Polyclinics would know the exact details of the outstanding bills and the trend of
its receipt, all budgetary projections will be made by the OIC Polyclinics to the concerned Station
HQ which in turn will compile, analyse and forward budget estimates in the laid down periodicity to
higher formations. This will ensure correct assessment of the ECHS liability and will avoid
embarrassments towards non payment of bills due to paucity of funds. The Polyclinics will forward
copy of the summary every month to the concerned Station HQ for keeping them up to date.
10. This may be forwarded to all concerned within your AOR for strict compliance and the first
reconciliation should be carried out as on close of 31 Mar 2009.
Sd/----
Dir (P&FC)
For MD ECHS

Tele: 28636834
ASCON : 36834
RECONCILIATION OF HOSPITAL BILLS CODE HEAD : 365/00
1. Further to this Organisation letter of even reference dated 06 Mar 09 (Para 07).
2. Policy for Reconciliation of Hospital bills was to be implemented with effect from 31 Mar
09. By now the teething problems of monthly reconciliation would have been resolved and the
reconciliation process would be firmly in place.
3. MoD has been insisting on various data regarding medical bills, hospital wise, polyclinic
wise and Stn HQ wise. This HQ does not have the requisite data. The same can be obtained from
the Reconciliation Statements being generated by the polyclinics functioning under the Stn HQ.
Thus a ‘Reconciliation Return’ is being instituted at this stage. ‘Reconciliation return’ is to be sent
to this HQ once in three months (quarterly). The return will have all data month wise pertaining to
the previous three months. The return should be submitted as per the format attached at Appx ‘A’.
The return is to be forwarded by respective Stn HQ to concerned Regional Centres and HQ
Commands. The hard copy of the return should be accompanied by a soft copy on a CD.
4. Regional Centres are to compile all data pertaining to their AOR and forward the same to
this HQ in form of a CD along with a hard copy of Appx ‘B’. Copy of the same should also be
forwarded to respective HQ Command. This CD should contain all data as received from Stn HQ
plus the compiled data as per Appx ‘B’.
5. The first such Return for the month of Jul, Aug and Sep 09 should be compiled and
forwarded so as to reach this HQ and HQ Command by 15 Nov 09. Subsequently this
Reconciliation return should reach on or before 15 Jan, 15 Apr, 15 Jul and 15 Oct for the
respective quarters.
6. All Command HQ are requested to issue instructions to Stn HQ under their AOR for strict
compliance.
Sd/--
(SP Patil)
Brig
Dy MD
For MD ECHS

0
POLICY ON PROCESSING OF BILLS
RELATED TO CONSULTATION FEES
1. Further to our letter of even number dated 17 Sep 09.
BY REGD SDS/ POST
2. The following amendment may please be made in Column No. 07 of Appx ‘A’ & ‘B’ to this HQ
letter quoted above.
‘FOR’ - “ Diagnosis”
‘READ’ - “ Diagnosis / Treatment / Procedure “
3. This is for your information and further dissemination to all concerned under your AoR.
Sd/-
Dir (P & FC)
for MD ECHS

5. At the appropriate place on the covering Note of the bill / claim, the designated Officer
should countersign on behalf of CFA. Thus, the CFAs are required to approve the payment on the
file only and the designated Officers are required to issue sanction and countersign claim on the
CFA’s behalf.
6. Forwarding of Bills / Claims to Higher CFAs /Formations. After a bill has been
scrutinized by the Polyclinic and the SEMO and is established that it would require sanction of the
higher CFA / formation, the claim can be recommended for approval by the OIC ECHS on behalf of
the lower CFA (Stn Cdr). It may not be essential that the Stn Cdr himself recommends approval of
the claim / bill by the higher CFA / formation.
7. The above procedure will enable speedy processing of the medical bills / claims and will not
overburden the CFAs towards signing routine communications. Considering the requirement of
reducing the load and unnecessary repetitive work by the CFAs who have a larger role to play,
provisions have been made in Rule 65, FR Part-I which needs to be extensively utilized. Part-I,
Para 17 of the ECHS policy letter issued vide GOI MoD letter No. 24(3)/03/US(WE)/D(Res)
(ii) dated 09 Sep 03 is also referred in this regard.
8. This may be circulated to all concerned under your AOR for immediate implementation.
Sd/---
Dy MD
For MD ECHS

Tele :
SPECIMEN COPY
Appendix A
(Refer Para 3 of
B/49779/AG/ECHS
dated 09 Sep 2009]
File Reference Date
PCDA (WC)
Chandigarh
Station HQ
Delhi Area
New Delhi- 10
AUTHORISATION TO COUNTERSIGN CLAIMS AND SIGN COMMUNICATION
AND DOCUMENTS OF A FINANCIAL CHARACTER
1. Under the provisions of Rule 65, Financial Regulations Part-I, Vol-I and
financial powers delegated vide GOI MoD letter No. 24(3)/03 /US(WE)/D(Res) (i) dated 08
Sep 2003, I hereby authorize ………………………………………….. (Name & Appointment) with
effect from…………….. (date) to countersign claims and sign communications and documents of a
financial character on my behalf after financial sanction has been accorded by me.
2. The specimen signatures of the Officer are appended below:-
----------------------- ----------------------- -----------------------
(ABC)
Brig
Stn Cdr

SPECIMEN COPY
(Note to CFA)
Appendix B
(Refer Para 4 of
B/49779/AG/ECHS
dated 09 Sep 2009]
File Reference…………………. Sheet No…………
SANCTION OF THE COMPETENT FINANCIAL AUTHORITY
FOR INDIVIDUAL / HOSPITAL CLAIM DEBITABLE TO
MAJOR HEAD 2076 MINOR HEAD 107 SUB HEAD E, CODE HEAD 365/00
1
1. Enclosed with this file, please find the following individual / hospital claims as per the
details given below for your sanction under the powers vested vide GOI MoD letter No.
24(3)/03/US(WE)/D(Res) (i) dated 08 Sep 2003.
Sl
No. ECHS
Card No.
1.
2.
3.
4.
40.
KC00057
KC01152
Name of
the ESM /
Member
Sub K
Singh
Nk D
Kumar
Name of
Patient with
Relation
Mamta Devi
(Mother)
Name &
Place of
the
Hospital
Appollo
Hospital,
Delhi
Self Fortis
Hospital,
Mohalli
Period of
Hospitalisation
From To
01/01/
09
15/06/
09
15/01
/09
21/06
/09
Diagnosis Amount
Recomme
nded
liver
disease
RTA
injury
(In Rs)
9,514/-
10,154/-
2. The claim has been vetted by the concerned authorities as per the procedure stipulated
vide GOI MoD letter No. 24(8)/03/US(WE)/D(Res) dated 19 Dec 2003 and found to be in order.
3. Put up for your approval please.
VCOAS
MD ECHS
Nov 2009

Sl
No.
SPECIMEN COPY
SANCTION OF THE COMPETENT FINANCIAL AUTHORITY
FOR INDIVIDUAL / HOSPITAL CLAIM DEBITABLE TO
MAJOR HEAD 2076 MINOR HEAD 107 SUB HEAD E, CODE HEAD 365/00
Appendix C
(Refer Para 4 of
B/49779/AG/ECHS
dated 09 Sep 2009]
Under the provisions of Rule 65, FR Part-I, the undersigned has been directed to convey the sanction accorded by
…………………………………………. (CFA) vide File Reference ……………………………………… dated………………., in exercise of
powers delegated vide GOI MoD letter No. 24(3)/03/US(WE)/D(Res) (i) dated 08 Sep 2003 in respect of the following claims:-
ECHS Card
No.
Name of the ESM /
Member
Name of Patient
with Relation
Name & Place of
the Hospital
1. KC00057 Sub K Singh Mamta Devi Apollo Hospital,
(Mother) Delhi
2. KC01152 Nk D Kumar Self Fortis Hospital,
Mohalli
40.
File Reference:
Period of Hospitalization Diagnosis Amount
From To
Sanctioned
(In Rs)
01/01/09 15/01/09 Decompensate liver disease with
complication
9,514/-
15/06/09 21/06/09 RTA Chest injury 10,154/-
Station / Sub Area / Area/ Command (XYZ)
Rank
Appointment of Officer Designated
Date:

POLICY ON PROCESSING OF BILLS
RELATED TO CONSULTATION FEES
1. Further to our letter of even number dated 17 Sep 09.
2. The following amendment may please be made in Column No. 07 of Appx ‘A’ & ‘B’ to this HQ
letter quoted above.
‘FOR’ - “ Diagnosis”
‘READ’ - “ Diagnosis / Treatment / Procedure “
3. This is for your information and further dissemination to all concerned under your AoR.
Sd/-
Dir (P & FC)
for MD ECHS

OP IMMEDIATE DTG
From : INDARMY (CENTRAL ORG ECHS) UNCLAS
In lieu of msg from
To : REGIONAL CENTRE ECHS, PATNA A-333025/AG/ECHS
REGIONAL CENTRE ECHS, LUCKNOW
REGIONAL CENTRE ECHS, JABALPUR
REGIONAL CENTRE ECHS, CHANDIMANDIR
REGIONAL CENTRE ECHS, DELHI CANTT (BY ORIG)
Info : HQ CENTRAL COMMAND (A/ECHS)
HQ WESTERN COMMAND (A/ECHS)
- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------
GUIDE LINES FOR PROCESSING MED CLAIMS (.) FURTHER TO OUR LETTER NO.
B/49779/AG/ECHS JUN 08 (.) CONFIRM RECEIPT AND STRICT COMPLIANCE OF SAME (.)
HENCE FORTH DIR RC TO ATTACH A CERTIFICATE ALONG WITH ALL MED CLAIM STATING
THAT CLAIM CHECKED AS PER GUIDE LINES ISSUE BY CENTRAL ORG AND FOUND
CORRECT (.) NO MED CLAIM WILL BE ACCEPTED WITH OUT SUBJECT CERTIFICATE HENCE
FORTH (.) SIXTH AND SEVENTH ADDRESSEES REQ INTERVENE (.) REQ ACK (.)////-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - -
SQN LDR JT DIR (P&FC) TELE : 36834
FILE NO : B/49779/AG/ECHS/GEN CORRES SQN LDR
DATED : 25 JUN 10 TOR : ________ HRS

OP IMMEDIATE DTG
From : INDARMY (CENTRAL ORG ECHS) UNCLAS
In lieu of msg from
To : REGIONAL CENTRE ECHS, JAIPUR A-333026/AG/ECHS
REGIONAL CENTRE ECHS, JAMMU
REGIONAL CENTRE ECHS, KOLKATA
REGIONAL CENTRE ECHS, GUWAHATI
Info : HQ SOUTH WESTERN COMMAND (A/ECHS)
HQ NORTHERN COMMAND (A/ECHS)
HQ EASTERN COMMAND (A/ECHS)
- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------
GUIDE LINES FOR PROCESSING MED CLAIMS (.) FURTHER TO OUR LETTER NO.
B/49779/AG/ECHS JUN 08 (.) CONFIRM RECEIPT AND STRICT COMPLIANCE OF SAME (.)
HENCE FORTH DIR RC TO ATTACH A CERTIFICATE ALONG WITH ALL MED CLAIM STATING
THAT CLAIM CHECKED AS PER GUIDE LINES ISSUE BY CENTRAL ORG AND FOUND
CORRECT (.) NO MED CLAIM WILL BE ACCEPTED WITH OUT SUBJECT CERTIFICATE HENCE
FORTH (.) FIFTH COMMA SIXTH AND SEVENTH ADDRESSEES REQ INTERVENE (.) REQ ACK
(.)////-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - -
SQN LDR JT DIR (P&FC) TELE : 36834
FILE NO : B/49779/AG/ECHS/GEN CORRES SQN LDR
DATED : 25 JUN 10 TOR : ________ HRS

OP IMMEDIATE DTG
From : INDARMY (CENTRAL ORG ECHS) UNCLAS
In lieu of msg from
To : REGIONAL CENTRE ECHS, PUNE A-333024/AG/ECHS
REGIONAL CENTRE ECHS, CHENNAI
REGIONAL CENTRE ECHS, HYDERABAD
REGIONAL CENTRE ECHS, KOCHI (BY ORIG)
Info : HQ SOUTHERN COMMAND (A/ECHS)
IHQ OF MOD (NAVY) / DIR ECHS (N) (BY ORIG)
AIR HQ VB / DPS (BY ORIG)
HQ NAVAL COMMAND (ECHS)
HQ ANDAMAN & NICOBAR COMMAND (ECHS)
- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------
GUIDE LINES FOR PROCESSING MED CLAIMS (.) FURTHER TO OUR LETTER NO.
B/49779/AG/ECHS JUN 08 (.) CONFIRM RECEIPT AND STRICT COMPLIANCE OF SAME (.)
HENCE FORTH DIR RC TO ATTACH A CERTIFICATE ALONG WITH ALL MED CLAIM STATING
THAT CLAIM CHECKED AS PER GUIDE LINES ISSUE BY CENTRAL ORG AND FOUND
CORRECT (.) NO MED CLAIM WILL BE ACCEPTED WITH OUT SUBJECT CERTIFICATE HENCE
FORTH (.) SIXTH AND SEVENTH ADDRESSEES REQ INTERVENE (.) REQ ACK (.)////-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - -
SQN LDR JT DIR (P&FC) TELE : 36834
FILE NO : B/49779/AG/ECHS/GEN CORRES SQN LDR
DATED : 25 JUN 10 TOR : ________ HRS

RECONCILIATION OF HOSPITAL BILLS
CODE HEAD : 365/00
1. Ref our letter of even reference dt 06 Nov 09.
2. Further to the guidelines mentioned in the letter the following points be implemented while
forwarding the above return with immediate effect :-
(a) Font size must be twelve.
(b) Return is to be made in MS Excel only.
(c) Each column and each page of the return are to be totalled at the bottom.
(d) Concerned Regional Centre are to attach one separate summary sheet, of each column of all
pages.
3. All Regional Centres are to submit the return strictly as per Appx ‘A’ and ‘B’ circulated vide
our ibid letter.
Auth :B/49779/AG/ECHS/ 14 Jan 10
Sd/-
(KK Krishnia)
Gp Capt
Dir (P&FC)
For MD ECHS

SCRUTINY OF HOSPITAL BILLS:
DRUG CERTIFICATE ON MRP
1. Ref this Organisation letter No B/49779/AG/ECHS/Policy dt 17 Sep 2009.
2. It is intimated that a revised certificate as per attached Appx is to be rendered by the concerned
hospital that all drugs/medicines/consumables costing Rupees one thousand or above for unit item
have been billed at rates which are not more than MRP. This certificate has to be countersigned by OIC
polyclinic and Regional Centre for bills above 2 lakh. The same is to be attached along with bill
summary.
3. This Organisation letter cited at para 1 above stands superseded.
________
Sd/-
Dir (P & FC)
for MD ECHS

CERTIFICATE BY HOSPITAL
It is certified that all drugs / Medicines / Consumables costing Rs. 1000/- or above for
unit item have been billed at rates which are not more thatn MRP.
Date : Authorised Signatory
Hospital Stamp
COUNTERSIGNED
Scrutinised all bills in the claim and verified correct.
Signature of MO PC / OIC PC Signature of Jt Dir (Med) RC / Dir RC
(For bills above 2 Lakh)
Date : Date :