CONCESSION-CERTIFICATE-HEART PATIENTS
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CONCESSION-CERTIFICATE-HEART PATIENTS

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CONCESSION-CERTIFICATE-HEART PATIENTS CONCESSION-CERTIFICATE-HEART PATIENTS Document Transcript

  • Appendix I/55 Concession for Heart Patients APPENDIX I/55 (See Rules,101,Serial No.41) CONCESSION CERTIFICATE Form for the purpose of issue of Rail Concession to Heart Patients t o be used by the officer-in-charge of the hospital This is to certify that Shri/Shrimati……………………………………………………Whose particulars are furnished below ,is a bonafide Heart Patient and is required to travelalone or with escort from ……………………………………………………………………(Station) to ……………………………….(Station) on discharge after heart heart Operationat …………………………Hospital Particulars of the Heart Patient(a) Age(b) SexPlace ……………….. Signature …………………….. Officer-in-charge of the HospitalDate …………………Seal of the Hospital• Indicate the name of the Hospital Note (1) The Certificate is valid for three months from the date of issue (2) No alteration in the form is permitted unless attested by the issuing officer. (3) Certificate should be issued to heart patients only for travel from the station serving the Hospital to station serving his place of residence.