IMMEDIATE

No. 13015/3 /2000-Est(L.)

Government of India
Ministry of Personnel, Publie Grievances & Pcnsions
(Department of Personncl & Training)
*

New Delhi, Dated 24" August, 2000

OFFICE MEMORANDUM
Subject:- Recommendation of Fifth Central Pay Commission
relating to Grant of Conimuted Leave/Lcave on
Medical Certificate to Gazetted and non-Gazetted
Government servants.

Presently, under Rule 19 of CCS(Lcave) Rules, 1972,

whereas a gazetted government servant has to produce a medical
certificate for grant of leave on medical
Authorised Medical
grounds from an
Attendant (AMA), a non-gazetted,
government servant is
required to do so either from an AMA or a
Registered
Medical Practitioner (RMP), Further, in accordance
with the recommendation of the Fifth Central
made in Para 117.14 of its
Pay Commission
Report for production of
Medical/Fitness certificate by all Government servants either from
a doctor in a CGHS
Dispensary or from an AMA in places where
CGHS Dispensaries are not
available, instructions have been
issued vide this Department's OM No.13015/2/97-Estt(L), dated
7 October, 1997, requiring non-gazetted
who are CGHS beneficiaries and government servants,
are residing in an area covered
by CGHS the time of
at illness, to produce such a certificate from
a CGI-IS doctor.

2. The matter has since been considered

further by the
Government and it has now been decided
modification of the provisions of Rule 19 of
that, in partial
972 and this CCS(Leave) Rules,
to above,
Department's OM dated 7" October, 1997, referred
tlhe production of Medical/Fitness
Certificate by
gazetted and non-gazetted government servants shall be
asfollows regulated
A Government servant (gazetted or
CGIIS beneficiary and is living in annon-gazetted) who is a
area covered by the
CGHS at the time of illness shall be
required to produce the
Medical/Fitness Certificate, in the Form
19 of prescribed in Rule
CCS(Leave) Rules, 1972, either from a CGHS doctor
or a
Government Hospital.
 or non-gazetted)
wh
who is
servant (gazetted
Government Government ser.
(ii) A CGHS beneficiary (including a rvant
holder
not a CGHS card
or 1S a
out of the CGHS
who has opted not livi1g in
an area covered by
of illness Is
but at the time Headquarters on dutv
outside the
CGHS, i.c. proceeds the Certificate from
his
have to produce
leave etc.) will a non-gazetted
that in the case of such
AMA, provided of the Medical/Fitness
servant, production
government
be allowed by the leave
Certificatefrom an RMP may available within a
if there is no AMA
sanctioning authority of temporary
radius of 8 kms. of his
residence (or place
stay outside the Headquarters).

(111) ln the case of hospitalization/indoor treatment

permitted in private hospital recognised under the
a
CGHS/Central Services (Medical Attendance) Rules, 1944,
a Govt. servant (gazetted or non-gazetted, whether a CGHS

beneiciary or not) may produce the requisite

Medical/Fitness certificate from the authorized doctor in
such a hospital in case his hospitalization/indoor treatment
is on account of the particular kind of disease (e.g. heart,
cancer, etc.) for the treatment of which the concerned
hospital has been recognised by the Ministry of Health &
Family Welfare. This relaxation will not be admissiblein
case of any
day-to-dayioutdoor treatment or indoor
treatment in respect of any other disease.

3. These Orders take effect from 1"

September, 2000. Formal
amendments to the CCs (Leave) Rules, 1972, will follow.
4. In so far as persons serving
the Indian Audit and
in
Accounts Department are concerned, these orders issue in
consultation with the Comptroller && Auditor General of India.

5. Hindi version is enclosed.

JOINT SECRETARY TO THE GOVT. OF INDIA

(HARINDER SINGH)
To

All Ministries/Departments of the Govt ofindia