This document outlines guidelines for a fund to provide financial assistance for medical treatment of serious illnesses to poor citizens in Nepal. Key points: - It establishes a fund under the Ministry of Health and Population to provide financial assistance for treatment of illnesses like cancer, tuberculosis, HIV/AIDS and others. - A recommendation committee at the district level will evaluate applications and recommend beneficiaries. - A central committee chaired by the Health Secretary will determine approved amounts and oversee disbursements from the fund. - Assistance of up to 1 million NPR can be provided for treatments in Nepal or abroad. Priority is given to treatment in government hospitals where possible.

1. ljkGg gful/s cf}iflw pkrf/ sf]if lgb]{lzsf-;+zf]lwt_, @)&!
g]kfn ;/sf/
:jf:Yo tyf hg;+Vof dGqfno
/fdzfxky, sf7df8f}+ .
@)&!

2. ljkGg gful/s cf}iflw pkrf/ sf]if lgb]{lzsf-;+zf]lwt_, @)&!
g]kfn ;/sf/
:jf:Yo tyf hg;+Vof dGqfno
/fdzfxky, sf7df8f}+ .
@)&!

3. d'b|0fM Joj:yfkg dxfzfvf, :jf:Yo ;]jf ljefu, , 6]s", sf7df8f}+
kmf]g g+= )! $@%&&^% kmofS;M g+=

4. ljkGg gful/s cf}iflw pkrf/ sf]if lgb]{lzsf-;+zf]lwt_, @)&!
gful/s /fxt,Ifltk"lt{ tyf cfly{s ;xfotf ;DjGwL sfo{ljlw -k|yd ;+zf]wg_ @)&! sf] bkmf !#
df /x]sf] ljkGg gful/snfO{ cf}iflw pkrf/ jfkt cfly{s ;xfotf pknJw u/fpg g]kfn
;/sf/n] :jf:Yo tyf hg;+Vof dGqfno cGt/ut Ps 5'§} sf]if :yfkgf ug{ ;Sg] pNn]v ePsf]
xF'bf sf]if u7g tyf ;+rfng ug{ jfG5gLo ePsf]n] g]kfn ;/sf/, :jf:Yo tyf hg;+Vof
dGqfnon] of] lgb]{lzsf jgfO{ nfu" u/]sf] 5 .
!= ;+lIfKt gfd / k|f/De
-s_ o; lgb]{lzsfsf] gfd ÆljkGg gful/s cf}iflw pkrf/ sf]if lgb]{lzsf -;+zf]wg
;lxt_@)&! /x]sf] 5 .
-v_ of] lgb]{lzsf t'?Gt k|f/De x'g]5 .
@= kl/efiff M ljifo jf k|;Ën] csf]{ cy{ gnfu]df o; lgb]{lzsfdf,
-s_ æc:ktfnÆ eGgfn] o; lgb]{lzsfsf] bkmf $ df pNn]v ePsf c:ktfnx? / ;do
;dodf g]kfn ;/sf/ -;lrj:t/_ sf] lg0f{oaf6 tf]s]sf c:ktfnx? ;Demg' k5{ .
-v_ æs8f/f]uæ eGgfn] d'6'/f]u, d[uf}nf/f]u, SofG;/, kfls{G;;, cNhfO{d;{, :kfO{gn O{Gh'/L,
x]8 O{Gh'/L / 
l;sn;]n Plgldof /f]ux? ;Demg' k5{ .
-u_ æsf]ifÆ eGgfn] o; lgb]{lzsf jdf]lhd ljkGg gful/snfO{ s8f /f]usf] pkrf/sf nflu
;]jf k|bfg ug{ u7g ePsf] æljkGg gful/s cf}iflw pkrf/ sf]ifæ ;Demg' k5{ .
-3_ ælgb]{lzsfÆ eGgfn] ÆljkGg gful/s cf}iflw pkrf/ sf]if lgb]{lzsf, @)&!æ ;Demg'
k5{ .
-ª_ æljkGg lj/fdL gful/sÆ eGgfn] bkmf #=# df ul7t ;ldltn] l;kmfl/; u/]sf] ljkGg
lj/fdL gful/s ;Demg' k5{ .
-r_ ÆdGqfnoæ eGgfn] :jf:Yo tyf hg;Vof dGqfno j'emg' k5{ .
-5_ æl;kmfl/; ;ldltÆ eGgfn] cfly{s ?kn] ljkGg gful/snfO{ cf}iflw pkrf/ pknJw
u/fpg] k|of]hgsf nflu l;kmfl/; ug{ bkmf #=# df ul7t l;kmfl/; ;ldlt ;Demg' k5{
-h_ Æ;Dks{ s]Gb|æ eGgfn] bkmf ^ jdf]lhdsf] s]Gb| ;Demg' k5{ .
-em_ æ;ldltÆ eGgfn] l;kmfl/; ;ldltsf] l;kmfl/; pk/ 5fgljg ul/ pkrf/ vr{ pknJw
u/fpg] ;Gbe{df /sd lgwf{/0f Pjd lg0f{osf nflu ul7t ;ldlt ;Demg' k5{ .
-`_ Æljefuæ eGgfn] :jf:Yo ;]jf ljefu, 6]s"nfO{ ;Demg' k5{ .

g]kfn ;/sf/, dlGqkl/ifbsf] ldlt @)&!.$.@@ sf] a}7ssf] lg0f{ofg';f/ l;sn;]n Plgldof ePsf lj/fdL eGg] zJbx? yk ePsf] .

5. -6_ æzf]wegf{ /sdÆ eGgfn] tf]s]sf c:ktfnx?n] pkrf/ ;]jf k|bfg ubf{ nfu]sf] /sd
:jf:Yo ;]jf ljefu ;dIf zf]wegf{sf] nflu dfu]sf] /sd ;Demg' k5{ .
#= ljkGg gful/snfO{ cf}iflw pkrf/ jfkt cfly{s ;xfotf
ljkGg lj/fdLx?NffO{ b]xfoadf]lhd cfly{s ;xfotf pknAw u/fO{g]5M
#=! d[uf}nfsf ;DaGwdf
#=!=-s_ :jb]zdf d[uf}nf k|Tof/f]k0f ug]{ ePdf c:ktfn dfkm{t ? @ nfv 5'6,
#=!-v_ x]df]8fonfl;; @)* ;];g lgMz'Ns ,
#=!-u_ k]l/6f]lgon 8fonfl;; @ jif{ ;Dd lgMz'Ns .
#=! -3_ d]l8sn jf]8{sf] l;kmfl/zdf ljb]zdf uO{ d[uf}nf k|Tof/f]k0f u/]df ? @ nfv /
k|Tof/f]k0f kZrft cf}iflw ;]jgsf nflu ? ! nfv ;DalGwt lj/fdLaf6
ljnekfO{ lnO{ gub} pknAw u/fOg]5 .
#=@ d'6', SofG;/, x]8 OGh'/L, :kfOgn OGh'/L / l;nn;]n Plgldof /f]usf
;DaGwdf
dfyL pNn]v ul/Psf /f]usf] :jb]zdf pkrf/ ePdf c:ktfn dfkm{t ? !
nfv j/fj/sf] cf}iflw pkrf/ ;]jf lgMz'Ns . ljb]zdf pkrf/ ug'{kg]{ ePdf
? ! nfv pkrf/ kZrft ;DalGwt lj/fdLnfO{ ljnekf{O lnO{ gub} e'QmfgL
lbO{g]5 t/ ljb]z uO{ pkrf/ ug'{kg]{ ePdf d]l8sn af]8{sf] l;kmfl/z
clgjfo{ x'g'kg]{5 .
#=#= cNhfOd;{ / kfls{G;;sf] lj/fdLx?sf] pkrf/sf nflu ljnekfO{ lnO{ ? ! nfv
;Dd gub e'QmfgL lbOg]5 .
#=!= cfly{s ?kn] ljkGg gful/snfO{ bkmf @ -v_ df pNn]v eP cg';f/sf /f]u nflu g]kfn jf
ljb]zdf uO{ pkrf/ u/fp+bf j9Ldf !-Ps_ nfv ?k}of;Dd cf}iflw pkrf/ vr{ k|bfg ug{
;lsg]5 . o; cl3 o;} k|of]hgsf] pkrf/ ;]jf k|fKt ul/;s]sf t/ ;f] cf}ifwf]krf/
jfktsf] cfly{s ;xfotf k|fKt ul/ g;s]sf] xsdf cfjZos sfuhft k]z u/]sf] cj:yfdf
;ldltsf] lg0f{o jdf]lhd ?= ! Ps_ nfv ;Dd cf}iflw pkrf/ jfkt cfly{s ;xfotf k|bfg
ug{ ;lsg] 5 . g]kfndf pkrf/ ;]jf ;Dej ePsf] cj:yfdf g]kfndf g} pkrf/ u/fpg'
kg]{5 / o;f] ubf{ ;Dej eP;Dd ;/sf/L c:ktfndf pkrf/ ug'{ kg]{5 olb ;f] ;Dej
gePdf dfq ;/sf/L c:ktfnn] k|]if0f u/]sf] tyf d]l8sn jf]8{sf] l;kmfl/;df lghL
c:ktfndf pkrf/ u/fpg ;Sg]5 . ljb]zdf uO{ pkrf/ u/fpg kg]{ cj:yf eP :jb]zdf
pkrf/ ug]{ ;/x cfjZos sfuhftsf ;fy} g]kfn d]l8sn jf]8{sf] l;kmfl/; clgjfo{ x'g]5
. 1ljb]zaf6 pkrf/ u/fPdf c:ktfnx?sf] ljn cg';f/ d[uf}nf k|Tof/f]k0f ePdf ?= @ -b'O{_
nfv / tf]lsPsf cGo /f]usf] pkrf/sf] xsdf ? !-Ps_ nfvdf ga9g] u/L bkmf #=$
1
g]kfn ;/sf/, dlGqkl/ifbsf] ldlt @)&!.$.@@ sf] a}7ssf] lg0f{ofg';f/ ljb]zaf6 pkrf/ u/fPdf c:ktfnx?sf] ljn cg';f/ d[uf}nf k|Tof/f]k0f ePdf ?=
@ -b'O{_ nfv / tf]lsPsf cGo /f]usf] pkrf/sf] xsdf ? !-Ps_ nfvdf ga9g] u/L bkmf #=$ adf]lhdsf] ;ldltsf] lg0f{o jdf]lhd ;f]wegf{ lbg ;Sg] 5
eGg] zJbx? yk ePsf] .

6. adf]lhdsf] ;ldltsf] lg0f{o jdf]lhd ;f]wegf{ lbg ;Sg] 5 . s8f/f]usf] ljj/0f cg';"rL– !
df lbO{Psf] 5 .
#=@= g]kfndf pkrf/ u/fp+bf ;fd'bflos jf ;/sf/L c:ktfndf pkrf/ u/fOPsf] ljnsf]
cfwf/df dfq ;DjlGwt c:ktfnsf] gfddf ;f]em} o:tf] /sd zf]wegf{ lbO{g]5 . pkrf/
ug]{ u/fpg] JolQmnfO{ ;f]em} gub e'QmfgL lbO{g] 5}g . lghL c:ktfn÷gl;{Ë xf]dx?n]
;d]t ljkGg gful/sx?sf] xsdf ;fd'bflos jf ;/sf/L c:ktfnx? ;/x pkrf/ ;]jf
z'Ns lng' kg]{5 . o:tf] pkrf/ vr{sf] zf]wegf{ lbg s'g} jfwf x'g] 5}g . ;DjlGwt
c:ktfnn] ljn k|dfl0ft u/L k7fpg'[ kg]{5 .
#=#= cfly{s ?kn] ljkGg gful/snfO{ cf}iflw pkrf/ vr{ pknJw u/fpg] k|of]hgsf nflu
l;kmfl/; ug{ lhNnf:t/df b]xfosf] l;kmfl/; ;ldlt /xg]5 M
-s_ lh=lj=;=sf ;efklt jf lgh gePsf] cj:yfdf k|d'lv lhNnf clwsf/L –cWoIf
-v_ :yfgLo ljsf; clwsf/L –;b:o
-u_ lhNnf÷c+rn c:ktfnsf lrlsT;s –;b:o
-3_ sf]if tyf n]vf lgoGqs sfof{no k|d'v –;b:o
-ª_ lhNnf k|zf;g sfof{nosf clws[t:t/sf] k|ltlglw –;b:o
-r_ :yfgLo zflGt ;ldltsf ;+of]hs jf gLhn] tf]s]sf] ;ldltsf] ;b:o –;b:o
-5_ :yfgLo zflGt ;ldltsf dlxnf ;b:o –;b:o
-h_ lhNnf hg:jf:Yo÷lhNnf :jf:Yo sfof{nosf k|d'v –;b:o ;lrj
#=$ pk–bkmf #-!_ jdf]lhdsf] cfly{s ;xfotf pknJw u/fpg] ;DjGwdf pkbkmf #-#_
jdf]lhdsf] l;kmfl/z ;ldltsf] l;kmfl/zsf] cfwf/df pkrf/ vr{ pknJw u/fpg] ;DjGwdf
/sd lgwf{/0f u/L lg0f{o ug{ b]xfo jdf]lhd Ps ;ldlt /xg]5 . o; ;ldltsf] j}7s
sDtLdf dlxgfsf] Ps k6s j:g]5 .
-s_ ;lrj, :jf:Yo tyf hg;+Vof dGqfno – cWoIf
-v_ ;lrj, cy{ dGqfno – ;b:o
-u_ ;lrj, u[x dGqfno – ;b:o
-3_ cWoIf, g]kfn d]l8sn jf]8{ – ;b:o
-ª_ k|d'v, lrlsT;f ;]jf dxfzfvf :jf:Yo tyf hg;+Vof dGqfno – ;b:o
-r_ dxflgb]{zs, :jf:Yo ;]jf ljefu – ;b:o
-5_ lgb]{zs, Joj:yfkg dxfzfvf, :jf:Yo ;]jf ljefu – ;b:o ;lrj
#=% pk–bkmf #=! jdf]lhd cfly{s ?kn] ljkGg JolQmnfO{ lbO{g] cf}iflw pkrf/ vr{sf nflu
g]kfn ;/sf/n] :jf:Yo ;]jf ljefu cGt/ut /xg] ljkGg gful/s cf}iflw pkrf/ sf]ifdf
sf]if :yfkgf Pj ;+rfng ug{ jflif{s % s/f]8 /sd cg'bfg :j?k pknJw u/fpg]5 .
cfjZostf cg';f/ yk /sd ljlgof]lht ug'{kg]{5 . of] sf]ifdf Go"gtd @ -b'O{_ s/f]8
df}Hbft /xg]5 . o;sf] Joj:yfkg pk–bkmf #=$ jdf]lhdsf] ;ldltn] ug]{5 .
#=^ dfly #=$ cg';f/sf] ;ldltn] pkrf/ /sd lgwf{/0f ubf{ cfjZostfg';f/ ljz]if1x?sf] /fo
lng ;Sg]5 . cg';"rL–! df pNn]lvt /f]ux?sf] cj:yf (Stage) lgwf{/0f u/L ;f]sf]
;+j]bglzntfsf] cfwf/df cfly{s ;xfotf lgwf{/0f ug'{kg]{5 .

7. #=& o; lgb]{lzsf cg';f/sf ;Dk"0f{ sfd sf/jfxLsf nflu :jf:Yo ;]jf ljefu cGt/ut
Joj:yfkg dxfzfvfdf Ps O{sfO{ /xg]5 / ;f]sf] nflu cfjZos hgzlQm :jf:Yo ;]jf
ljefun] ug'{ kg]{5 .
$= tf]lsPsf c:ktfnx?M
-!_ ljkGg gful/sn] cf}iflw pkrf/ ;]jf ;'ljwf kfpg] c:ktfnx? b]xfo jdf]lhd x'g]5g
-s_ SofG;/ /f]usf] pkrf/sf] nflu –
!_ lrlsT;f lj1fg /fli6«o k|lti7fg,jL/ c:ktfn,sf7df08f}
@_ lq=lj=lzIf0f c:ktfn, dxf/fhu+h,sf7df8f}+
#_ jL=kL=sf]O{/fnf d]df]l/on SofG;/ c:ktfn, e/tk'[/,lrtjg .
$_ eQmk'/ SofG;/ c:ktfn, eQmk'/
%_ k/f]ksf/ k|;"lt tyf :qL/f]u c:ktfn, yfkfynL, sf7df8f}+
^_ jL=lk=sf]O{/fnf :jf:Yo lj1fg k|lti7fg, w/fg, ;'g;/L
&_ kf6g :jf:Yo lj1fg k|lti7fg, kf6g c:ktfn, nlntk'/
*_ sflGtjfn c:ktfn, dxf/fhu+h,sf7df08f}
(_ lghfdtL sd{rf/L c:ktfn, ldgejg, sf7df8f}+
!)_ SofG;/ s]o/ g]kfn, hfjnfv]n,nlntk'/ tyf
dGqfnosf] 5gf}6df kg]{ cGo lghL tyf u}x| ;/sf/L :jf:Yo ;+:yfx? .
-v_ d[uf}nf /f]usf] pkrf/sf] nflu M
!_ lrlsT;f lj1fg /fli6«o k|lti7fg,jL/ c:ktfn, sf7df08f},
@_ lq=lj=lzIf0f c:ktfn, dxf/fhu+h, sf7df8f}+
#_ jL=kL=sf]O{/fnf :jf:Yo lj1fg k|lti7fg, w/fg, ;'g;/L
$_ sflGtjfn c:ktfn,dxf/fhu+h, sf7df8f}+
%_ gf/fol0f pk If]qLo c:ktfn,jL/u+h,k;f{
^_ sf]zL c+rn c:ktfn, lj/f6gu/, df]/ª
&_ hgsk'/ c+rn c:ktfn, wg'iff
*_ dfgj c+u k|Tof/f]k0f s]Gb|, eQmk'/
(_ /fli6«o d[uf}nf pkrf/ s]Gb|, ag:ynL, sf7df8f}+
!)_ g]kfnu+h d]l8sn sn]h, sf]xnk'/, afFs]
!!_ g]kfn d]l8sn sn]h hf]/kf6L, sf7df8f}+
!@_ o'lge;{n sn]h ckm d]l8sn ;fOG;];, klSnxjf, ?kGb]xL
!#_ lrtjg d]l8sn sn]h, lrtjg
!$_ sn]h ckm d]l8sn ;fOG;];, lrtjg
!%_ dl0fkfn d]l8sn sn]h, kf]v/f, sf:sL
!^_ lj P08 lj c:ktfn, Ujfsf]{, nlntk'/,
!&_ g]zgn 8fonfl;; ;]G6/, PsfGts'gf, nlntk'/
!*_ uf]N8]g c:ktfn, lj/f6gu/, df]/ª
!(_ w'lnv]n c:ktfn, sfe|]knf~rf]s
@)_ u08sL d]l8sn sn]h, kf]v/f, sf:sL

8. @!_ cf/f]Uo :jf:Yo k|lti7fg, nlntk'/,
@@_ lj/f6 c:ktfn, lj/f6gu/, df]/ª
@#_ kf6g :jf:Yo lj1fg k|lti7fg
@$_ klZrdf~rn If]lqo c:ktfn kf]v/f
of] /f]usf] pkrf/ ;'ljwf ePsf If]qLo, pkIf]qLo / cGrn c:ktfnx? tyf
dGqfnosf] 5gf}6df kg]{ gLhL tyf u}x| ;/sf/L :jf:Yo ;+:yfx? .
-u_ d'6'/f]usf] pkrf/sf] nflu M
!_ lrlsT;f lj1fg /fli6«o k|lti7fg,jL/ c:ktfn, sf7df08f},
@_ lq=lj=lzIf0f c:ktfn, dxf/fhu+h, sf7df8f}+
#_ zxLb u+ufnfn /fli6«o x[bo s]Gb|, jfF;jf/L,sf7df8f}+
$_ lj=kL=sf]O{/fnf :jf:Yo lj1fg k|lti7fg (BPKIHS) w/fg,;'g;/L
%_ kf6g :jf:Yo lj1fg k|lti7fg, kf6g c:ktfn, nlntk'/
^_ dgdf]xg sfl8{of] ef:s'n/ yf]/fl;s P08 6«fG;Knf06 s]Gb|, dxf/fhu+h,sf7df8f}+
&_ sflGtjfn c:ktfn, dxf/fhu+h, sf7df8f}+
*_ lghfdtL sd{rf/L c:ktfn, ldgejg, sf7df8f}+
(_ of] /f]usf] pkrf/ ;'ljwf ePsf If]qLo, pkIf]qLo, cGrn c:ktfnx? tyf
dGqfnosf] 5gf}6df kg]{ lghL tyf u}x| ;/sf/L :jf:Yo ;+:yfx? .
-3_ kfls{G;; tyf cNhfO{d;{ /f]u pkrf/sf] nfluM
!_ lrlsT;f lj1fg /fli6«o k|lti7fg,jL/ c:ktfn, sf7df8f}+
@_ lq=lj lzIf0f c:ktfn, dxf/fhu+h, sf7df8f}+
#_ jL=kL=sf]O/fnf :jf:Yo lj1fg k|lti7fg, w/fg,;'g;/L
$_ kf6g :jf:Yo lj1fg k|lti7fg, kf6g c:ktfn, nlntk'/ .
-ª_ :kfO{gn O{Gh'/L tyf x]8 O{Gh'/L /f]u pkrf/sf] nfluM
!_ lrlsT;f lj1fg /fli6«o k|lti7fg,jL/ c:ktfn,sf7df8f}+
@_ lq=lj lzIf0f c:ktfn, dxf/fhu+h, sf7df8f}+
#_ jL=kL=sf]O/fnf :jf:Yo lj1fg k|lti7fg, w/fg, ;'g;/L
$_ kf6g :jf:Yo lj1fg k|lti7fg, kf6g c:ktfn, nlntk'/ .
-r_
l;sn;]n Plgldof /f]u pkrf/sf] nfluM
!_ lghfdlt sd{rf/L c:ktfn, ldgejg,sf7df8f}+
@_ pk If]qLo c:ktfn, 3f]/fxL, bfª
#_ dxfsfnL c+rn c:ktfn, dx]Gb|gu/,s+rgk'/
$_ ;]tL c+rn c:ktfn,wgu9L, s}nfnL
%_ e]/L c+rn c:ktfn, g]kfnu+h, afFs]
^_ n'lDalg c+rn c:ktfn, j'6jn, ?kGb]xL

g]kfn ;/sf/, dlGqkl/ifbsf] ldlt @)&!.$.@@ sf] a}7ssf] lg0f{ofg';f/ l;sn;]n Plgldof /f]u ePsf lj/fdL eGg] zJbx? yk ePsf] .

9. &_ lhNnf c:ktfn slknj:t',
*_ lhNnf c:ktfn alb{of,
(_ lhNnf c:ktfn gjnk/f;L .
-@_ pkbkmf -!_ jdf]lhd cf}iflw pkrf/ k|bfg ug]{ c:ktfnx?sf] Go"gtd cfwf/ to u/L g]kfn
;/sf/sf] lg0f{oaf6 ;"rLs[t ug{ tyf yk ug{ ;lsg] 5 . of] lgb]{lzsf Pjd dGqfnosf]
lgb]{zg cg'?k sfd gu/]df To:tf c:ktfnx?nfO{ ;"rLaf6 x6fpg ;lsg]5 .
%= ljkGg gful/snfO{ cf}iflw pkrf/ ;]jf k|bfg ug]{ M–
!_ ;fn j;fnL ?kdf dGqfnonfO{ k|fKt x'g] o; ;DjGwL jh]6sf] cfwf/df c:ktfnx?
dfkm{t pkrf/ ;DjGwL ;]jfsf] Joj:yf ldnfO{g]5 .
@_ bkmf -@_ jdf]lhdsf] pkrf/ ;]jf jfkt Ps hgf lj/fdLsf] pkrf/ ubf{ nfu]sf] /sd
dWo] a9Ldf !-Ps_ nfv ?k}of ;Ddsf] /sd ljefun] ;DalGwt c:ktfnnfO{ zf]wegf{
ug]{5 .
#_ tf]lsPsf] /sd ;Ddsf] kl/lwdf /xL pkrf/sf] qmddf cfjZos kg]{ cf}iflw ;d]t
c:ktfnn] pknJw u/fpg' kg]{5, lj/fdLnfO{ vl/b ug{ nufpg kfO{g]5}g .
$_lj/fdL l8:rfh{ x'+bf tf]lsPsf] /sd dWo] s] slt /sd j/fj/ pkrf/ ;]jf k|bfg ul/Psf]
xf] ;f] jf/] l8:rfh{ n]6/df pNn]v u/]sf] x'g' kg]{5 / ;f]xL cg';f/ n]vf /fVg' kg]{5 .
%_ lj/fdL jf lj/fdLsf] s'?jfnfO{ k|To]s ljndf b:tvt u/fO{ c:ktfnaf6 k|dfl0ft ul/Psf]
x'g' kg]{5 ,cGoyf ePdf pQm ljnsf] /sd s6fO{ ;f]wegf{ lbO{g]5 .
^_ ljefusf] Joj:yfkg dxfzfvf / cfly{s k|zf;g zfvfsf k|ltlglwx?af6 k/LIf0f ePkl5
dfq vr{ ePsf] /sd ;f]wegf{ x'g]5 .
&_ pk–bkmf -#_ jdf]lhdsf] /sd jfktsf] e'QmfgL ljefun] ;f]wegf{sf] ?kdf Psd'i6 jf
k6s k6s u/L ;DjlGwt c:ktfnnfO{ pknJw u/fpg ;Sg]5 .
*_lj/fdL c:ktfndf egf{ ePs} cj:yfdf ;DjlGwt lhNnf hg:jf:Yo÷:jf:Yo sfof{nosf]
l;kmfl/z dfu u/]sf] / l;kmfl/; k|fKt ug{ l9nf ePsf] cj:yfdf l8:rfh{ x'g] lbg;Dd
l;kmfl/z NofPdf ;DjlGwt c:ktfnn] ;DjlGwt lj/fdLnfO{ tf]lsPsf] /sd j/fj/
pkrf/ ;]jf lbg' kg]{5 . tf]lsP eGbf j9L /sd vr{ ePsf] eP ;DjlGwt lj/fdLaf6 lng'
kg]{5 . lj/fdLn] l;kmfl/z dfu u/]sf] hfgsf/L c:ktfn ;Dks{ s]Gb||nfO{ k"j{ hfgsf/L
lbg' kg]{5 .
^= c:ktfndf ;Dks{ s]Gb| v8f ug'{ kg]{ M
!= o; lgb]{lzsf jdf]lhd ljkGg gful/snfO{ dfly bkmf $ df tf]lsPsf /f]ux?sf] pkrf/df
;]jf k|bfg ug]{ ;DjGwdf k|efjsf/L Joj:yfkgsf] nflu c:ktfnn] 5'§} ;Dks{ s]Gb| v8f
ug'{ kg]{5 .
@= pkbkmf -!_ jdf]lhd v8f x'g] ;Dks{ s]Gb|df kof{Kt hgzlQm / k|ljlwsf] Joj:yf ug]{
u/fpg] lhDd]jf/L c:ktfn k|d'vsf] /xg]5 . o; lgb]{lzsf jdf]lhd c:ktfnn] k|fKt ug]{
/sdsf] j9Ldf ! -Ps_ k|ltzt /sd ;Dks{ s]Gb|| Joj:yfkgsf] nflu vr{ ug{ ;Sg]5 .
#= pkbkmf -!_ jdf]lhd v8f ul/Psf] ;Dks{ s]Gb|sf] ;fO{g jf]8{ ;j}n] b]Vg] u/L ;DjlGwt
c:ktfndf clgjfo{ ?kdf /fVg' kg]{5 .

10. &= ljkGg gful/sn] pkrf/ ;]jf lng] tl/sf M
!_ ljkGg lj/fdLn] bkmf # sf] pk–bkmf #=# df Joj:yf eP jdf]lhd :yfoL j;f]jf; ePsf]
lhNnfaf6 ;ldltsf] l;kmfl/; ;lxt ;DjlGwt c:ktfnsf] ;Dks{ s]Gb|df ;Dks{ /fVg'
kg]{5 .
@_ pkrf/ ;]jfsf nflu l;kmfl/; ubf{ bkmf # sf] pk bkmf #=! jdf]lhd tf]lsPsf /f]usf
ljkGg gful/snfO{ dfq ug'{ kg]{5 . tf]lsPsf /f]u jfx]s cGo /f]usf nflu ul/Psf
l;kmfl/; dfGo x'g]5}g .
#_ bkmf $ -!_ df tf]lsPsf /f]ux?sf] xsdf Ps k6s eGbf j9L l;kmfl/; lng÷lbg kfO{g]
5}g . o:tf] l;kmfl/;sf] clen]v ;DjlGwt lhNnfsf] lhNnf hg:jf:Yo sfof{no÷:jf:Yo
sfof{non] :ki6 ?kdf /flv tf]lsPsf] dfl;s k|ltj]bg ljefudf clgjfo{ ?kdf k]z ug'{
kg]{5 . Ps} JolQmnfO{ km/s /f]usf nflu of] ;'ljwf bf]xf]l/g] u/L pknJw x'g] 5}g .
$_pkbkmf -@_ jdf]lhd l;kmfl/; ubf{ cg';"rL -#_ jdf]lhdsf] 9fFrfdf l;kmfl/; ug'{ kg]{5 .
lhNnf :t/Lo l;kmfl/; ge} of] ;'ljwf pknJw u/fO{g] 5}g .
%_ pk bkmf -!_ jdf]lhdsf] ;ldltn] l;kmfl/; ubf{ o; k|of]hgsf nflu tf]lsPsf
c:ktfnx? dWo] lj/fdLsf] dfu jdf]lhd ;DjlGwt c:ktfndf l;w} l;kmfl/; u/L k7fpg'
kg]{5 / o:tf] l;kmfl/;nfO{ ;DjlGwt c:ktfnn] clgjfo{ ?kdf u|x0f ug'{kg]{5 . o;sf
nflu ljefudf l;kmfl/; ug{ cfjZos kg]{ 5}g t/ clgjfo{ ?kdf ljefudf hfgsf/L lbg'
kg]{5 . s'g} sf/0fj; l;kmfl/; ul/Psf] c:ktfn kl/jt{g ug'{ kg]{ ePdf ljefuaf6
kl/jt{g ug{ ;lsg]5 . ljefun] kl/jt{g u/]df ;DjlGwt lhNnf hg:jf:Yo÷:jf:Yo
sfof{nonfO{ klg hfgsf/L u/fpg' kg]{5 .
*= lhNnf hg:jf:Yo ÷:jf:Yo sfof{nosf] sfd, st{Jo tyf clwsf/M–
!= ljkGg gful/sn] pkrf/sf] nflu cfjZos sfuhft ;lxt lbPsf] lgj]bg ;+sng ug'{
kg]{5 .
@= tf]lsPsf] ;do leq æl;kmfl/; ;ldltÆ af6 lg0f{o u/fpg' kg]{5 . ;DjlGwt c:ktfnaf6
pkrf/sf nflu l;kmfl/; ug{ s'g} kq cfjZos kg]{5}g .
#= l;kmfl/; ;ldltsf] lg0f{o lj/fdL jf lj/fdLsf] glhssf] xsbf/n] dGqfnon] tf]s]sf]
c:ktfnx? dWo] h'g;'s} dfu u/]sf] c:ktfndf pkrf/sf nflu l;kmfl/; u/L k7fpg'
kg]{ 5 .
$=;fdfGotofM lgj]bg k/]sf] j9Ldf # -tLg_ lbg leq l;kmfl/; ug'{ kg]{5 . sf/0fjz l9nf
ePdf l;kmfl/; kqdf lgj]bg lbPsf] ldlt ;d]t pNn]v ug'{ kg]{5 .
%=dfl;s ?kdf pkrf/sf nflu l;kmfl/; u/L k7fO{Psf lj/fdLx?sf] ljj/0f cg';"rL–$ -s_
/ $ -v_ cg';f/ tf]lsPsf k|To]s c:ktfndf k7fpg' kg]{5 .
^= l;kmfl/; ubf{ k'/fgf] ljj/0f s]nfO{ bf]xf]/f] gkg]{ ul/ dfq l;kmfl/z ug'{kg]{5 .
&= l;kmfl/z ul/Psf dWo] s] slt lj/fdLn] pkrf/ ;]jf lnPsf] xf] ;f]sf] ljj/0f dfl;s
?kdf k|fKt ug'{ kg]{5 .
(= c:ktfn ;Dks{ s]Gb| k|d'vsf] sfd, st{Jo tyf clwsf/M–

11. bkmf ^ jdf]lhd ;DjlGwt c:ktfndf v8f ul/Psf] ;Dks{ s]Gb| k|d'vsf] sfd, st{Jo tyf
clwsf/ b]xfo jdf]lhd x'g]5 .
-s_ bkmf ^ jdf]lhd ;Dks{df cfPsf ljkGg lj/fdLsf] clen]v /fVg' kg]{5 . bf]xf]/f]
l;kmfl/; eO{ cfPdf ;]jf k|jfx gug]{ / ;f]sf] hfgsf/L ljefunfO{ lbg' kg]{5 .
-v_ v08 -s_ jdf]lhdsf lj/fdLnfO ;DjlGwt lrlsT;s ;dIf k|]if0f ug'{kg]{5 .
-u_ pkrf/sf s|ddf lj/fdLnfO{ lrlsT;ssf] ;Nnfx jdf]lhd cf}iflw pknJw u/fpg'
kg]{5 .
-3_ bkmf $ jdf]lhdsf] /sdsf] ;Ldf leq /xL Pshgf lj/fdLnfO{ pkrf/ ;]jf Ps
k6s k|bfg ug{ ;lsg]5 . Ps c:ktfnaf6 pkrf/ ;]jf kfO{ ;s]sfnfO{ csf]{
c:ktfnaf6 ;d]t bf]xf]l/g] u/L ;]jf k|bfg ul/g] 5}g .
-ª_ ljkGg lj/fdLn] cf}iflw pkrf/ ;]jf lnPsf] c:ktfnaf6 cGo ljkGg ;]jf pknJw x'g]
c:ktfndf yk pkrf/sf] nflu hfg'kg]{ ePdf bkmf % sf] pk bkmf # adf]lhd afFsL
/sd a/fa/sf] pkrf/ ;'ljwf kfpg ;Sg]5g . o;sf] nflu ljefudf ;DalGwt
c:ktfnaf6 pkrf/ ;'ljwf kfPsf] /sd / k|]if0f k"hf{ ;d]t k|dfl0ft u/L k7fpg'
kg]{5 .
-r_ tf]lsPsf] /sd eGbf j9L /sd Ps lj/fdLsf] nflu vr{ gx'g] u/L :ki6 clen]vsf]
Joj:yf ldnfpg' kg]{5 .
-5_ v08 -u_ jdf]lhd cf}iflw pknJw u/fPsf] clen]v cBfjlws ul/ /fVg' kg]{5 .
-h_ ljkGg gful/s pkrf/ ;]jf jfkt ;DjlGwt lj/fdLnfO{ gub} e'QmfgL lbg kfO{g] 5}g .
-em_ c:ktfnn] rf}dfl;s ?kdf ;]jfsf] ljj/0f / vr{ ePsf] /sd c:ktfnsf] ;"rgf
kf6Ldf ;fj{hlgs ug'{kg]{5 .
-`_ c:ktfn k|d'vn] …ljkGg lj/fdLsf] pkrf/sf] ;DjGwdfÚ ;do ;dodf dGqfnon]
lbPsf] lgb]{zg kfngf ug'{ kg]{5 .
-6_ cg';"rL–%-s_, %-v_ / %-u_ dfl;s÷rf}dfl;s÷jflif{s ljj/0f cWofjlws /fVg'
kg]{5 . pQm ljj/0f ljefudf lgoldt ?kdf k7fpg' kg]{5 . ljj/0f ;fy lhNnfaf6
l;kmfl/; ul/Psf] kqsf] k|lt ;d]t ;+nUg x'g' kg]{5 .
!)= d[uf}nf /f]uLsf] pkrf/ ;DjGwdfM–
-s_ x]df]8fO{nfO{;L; jf k]l/6f]lgon 8fO{nfO{l;; u/fpg' kg]{ bkmf #=# jdf]lhdsf] ;ldltn]
l;kmfl/; u/]sf d[uf}nf /f]uLx?nfO{ j9Ldf 
@ -b'O{_ jif{ ;Dd dfq tf]lsPsf
c:ktfn÷s]Gb|x?af6 pQm ;]jf lgMz'Ns k|bfg ul/g]5 . ;f] cjlwdf x]df]8fO{nfO{;L;
jf k]l/6f]lgon 8fO{nfO{l;; u/fpg' kg]{ d[uf}nf /f]uLx? :jo+n] k|Tof/f]k0fsf] Joj:yf
ug'{ kg]{ 5 .
-v_ d[uf}nf k|Tof/f]k0f ug'{kg]{ lj/fdLnfO{ d[uf}nf k|Tof/f]k0f ubf{ nfUg] vr{ dWo] ?=
@,)),))). -b'O{nfv dfq_ :jf:Yo tyf hg;Vof dGqfno dfkm{t d[uf}{nf k|Tof/f]k0f
u/]sf] k|df0f / cfjZos ljn e/kfO{ k|fKt ePkl5 bkmf #=! jdf]lhdsf] ;ldltsf]
l;kmfl/; ;DjlGwt c:ktfn÷s]Gb|df k7fO{g] 5 . ;f] c:ktfnn] d[uf}{nf k|Tof/f]k0f ug'{
kg]{ lj/fdLnfO{ ?=@,)),))). -b'O{nfv dfq_ sf] 5'6 k|bfg ug'{kg]{ 5 .

g]kfn ;/sf/, dlGqkl/ifbsf] ldlt @)&!.$.@@ sf] a}7ssf] lg0f{ofg';f/ @-b'O{_ jif{ eGg] zJb yk ePsf] .

12. 
ljb]zaf6 pkrf/ u/fPdf c:ktfnx?sf] ljn cg';f/ d[uf}nf k|Tof/f]k0f ePdf ?= @
-b'O{_ nfv / tf]lsPsf cGo /f]usf] pkrf/sf] xsdf ? !-Ps_ nfvdf ga9g] u/L bkmf
#=$ adf]lhdsf] ;ldltsf] lg0f{o jdf]lhd ;f]wegf{ lbg ;lsg] 5 .
-u_ d[uf}nf k|Tof/f]k0f kZrft cf}iflw ;]jg ug'{kg]{ lj/fdLnfO{ Ps k6s jf k6s k6s
u/L j9Ldf ?= ! -Ps_ nfv dfq cf}iflw jfktsf] pkrf/ vr{ ljnsf] cfwf/df bkmf
#=$ jdf]lhdsf] /sd lgwf{/0f ul/ lg0f{o ug{ ul7t ;ldltsf] l;kmfl/;df ;DjlGwt
lj/fdLnfO{ k|bfg ul/g]5 .
!!= lj/fdLsf] ljdf /sd ;DjGwdfM–
cf}iflw pkrf/ ;]jf k|fKt ug]{ lj/fdLx?sf] :jf:Yo ljdf jfktsf] /sd k|fKt ug]{ cj:yf
/x]df jf:tljs pkrf/ vr{df ljdfaf6 k|fKt x'g] /sd s6fO{ jfFsL vr{sf] ljn dfq o;
lgb]{lzsf jdf]lhd k|fKt ug]{ cf}iflw pkrf/ vr{sf] nflu u0fgf ul/g]5 .
!@= sf]ifsf] Joj:yfM b]xfo jdf]lhd k|fKt /sd o; sf]ifdf /xg]5 .
-s_ g]kfn ;/sf/af6 ;fnj;fnL jf ;do ;dodf cg'bfg :j?k k|fKt x'g] /sd .
-v_ :jb]zL Pj+ ljb]zL bft[ lgsfoaf6 k|fKt x'g] /sd .
-u_ s / v af6 k|fKt x'g] /sdsf] n]vf cnu cnu /fVg' kg]{5 .
!#= vftf ;+rfngM
!#=!= sf]ifsf] vftf ;Grfng :jf:Yo ;]jf ljefu, Joj:yfkg dxfzfvfsf lgb]{zs /
ljefun] tf]s]sf] n]vf clws[taf6 ;+rfng ul/g]5 .
!#=@= sf]ifsf] k|zf;lgs Pj cg'udg sfo{sf nflu jflif{s cg'dflgt vr{ x'g] /sdsf] ! -
Ps_ k|ltztsf] kl/lw leq /xL ljefusf] jflif{s jh]6 tyf sfo{qmddf ljlgof]hg
ul/ sfo{ ;Dkfbg ug'{ kg]{5 .
!$= clen]v /fVg' kg]{ M–
!_ k|To]s c:ktfnn] bkmf $ jdf]lhd ljefuaf6 k|fKt ePsf] /sdsf] 5'§} n]vf /fVg' kg]{5 .
@_ pkbkmf -!_ jdf]lhdsf] lj/fdLsf] pkrf/ tyf vr{sf] ljj/0f cg';"rL–@-s_ sf] 9fFrfdf
;DalGwt c:ktfndf clen]v /fVg' kg]{5 . x]df]8fonfl;; tyf k]l/6f]lgon 8fonfl;;
;]jfsf] clen]v eg] cg';"rL @-v_ sf] 9fFrfdf cnUu} /fVg' kg]{5 .
#_ l;kmfl/zsf] clen]v ;DjlGwt sfof{non] clgjfo{ ?kdf /fVg' kg]{5 / tf]lsPsf] 9fFrfdf
x/]s dlxgf dGqfnodf k]z ug'{ kg]{5 .
$_ pkrf/ lbg] c:ktfnn] ljkGg lj/fdLx?sf] pkrf/ u/]sf] k|ltj]bg cg';"rL–% -s_ , % -
v_ / %-u_ df pNn]v eP adf]lhdsf] 9fFrfdf dfl;s÷rf}dfl;s÷jflif{s ?kdf ljefudf
k]z ug'{ kg]{5 . ljj/0f ;fy lhNNfaf6 l;kmfl/z ul/Psf] kqsf] k|lt ;d]t ;+nUg x'g'kg]{ 5 .

g]kfn ;/sf/, dlGqkl/ifbsf] ldlt @)&!.$.@@ sf] a}7ssf] lg0f{ofg';f/ ljb]zaf6 pkrf/ u/fPdf c:ktfnx?sf] ljn cg';f/ d[uf}nf k|Tof/f]k0f ePdf ?= @
-b'O{_ nfv / tf]lsPsf cGo /f]usf] pkrf/sf] xsdf ? !-Ps_ nfvdf ga9g] u/L bkmf #=$ adf]lhdsf] ;ldltsf] lg0f{o jdf]lhd ;f]wegf{
lbg ;Sg] 5 eGg] zJbx? yk ePsf] .

13. %_ l;kmfl/; eO{ cfPsf] / pkrf/ ;]jf lbPsf] ljj/0fsf] clen]v ljefun] /fVg' kg]{5 .
l;kmfl/; eO{ cfPsf] / pkrf/ ;]jf lbPsf] b'j}sf] ljj/0f ljZn]if0f u/L ;xL eP,gePsf]
Plsg ug'{ kg]{5 .
^_ ;]jfu|fxLx?sf] clen]v / vr{ kf/bzL{ jgfpg dGqfno / ;]jf k|bfos c:ktfnsf] jLrdf
s]Gb|Ls[t ;"rgf Joj:yfkgsf nflu ;~hfn :yfkgf ul/g]5 .
&_ sf]if dfkm{t ePsf sfo{x?sf] jflif{s ?kdf ;dLIff ul/g]5 o; sfo{sf nflu bkmf !# sf]
pk–bkmf -!#=@_ jdf]lhdsf] zLif{saf6 vr{ ul/g]5 .
!%= cg'udg Joj:yfM–
ljkGg gful/snfO{ cf}iflw pkrf/ ;]jf k|bfg ug]{ sfo{sf] cg'udg ug{, :jf:Yo tyf
hg;+Vof dGqfno cGt/utsf lrlsT;f ;]jf dxfzfvf, hg:jf:Yo k|zf;g, cg'udg tyf
d"Nof+sg dxfzfvf, :jf:Yo ;]jf ljefusf Joj:yfkg dxfzfvf / cfly{s k|zf;g zfvfsf
k|ltlglwx?sf] Ps ;+oGq /xg]5 .
!^= n]vfk/LIf0fM–
!_ bkmf $ jdf]lhd k|fKt ePsf] /sdsf] vr{sf] ljj/0f ;lxt k|rlnt sfg"g jdf]lhd n]vf
k/LIf0f u/fpg' ;DjlGwt c:ktfnsf] st{Jo x'g]5 .
@_ pk bkmf -!_ jdf]lhdsf] n]vf k/LIf0fsf] k|ltj]bg k|To]s jif{sf] sflt{s d;fGt leq
ljefudf j'emfpg' kg]{5 . o:tf] k|ltj]bg oyf ;dodf k|fKt geP k|bfg ul/Psf] pkrf/
;]jf jfktsf] /sd ;f]wegf{ /f]Ssf ug{ ;lsg]5 .
!&= sf/jfxL x'g]M–
o; lgb]{lzsf ljkl/t sfo{ ug]{ lhNnf hg:jf:Yo sfof{no÷ lhNnf :jf:Yo sfof{no,
c:ktfn, c:ktfn k|d'v tyf ;Dks{ s]Gb| k|d'vnfO{ lghsf] ;]jf zt{ ;DjGwL k|rlnt sfg"g
jdf]lhd sf/jfxL x'g]5 . lghL tyf u}x| ;/sf/L c:ktfnx?sf] xsdf o; lgb]{lzsf ljkl/t
sfo{ ug]{ c:ktfnnfO{ ;f]wegf{ ug'{ kg]{ /sd /f]Ssf ul/g]5 ;fy} dGqfnon] To:tf
c:ktfnnfO{ ;"rLaf6 x6fpg ;Sg]5 .
!*= vf/]hL / arfpM–
of] lgb]{lzsf :jLs[t ePsf] ldlt b]lv nfu" x'g]5 . ;fy} lgb]{lzsf nfu" ePsf] ldlt b]lv o;
cl3 o;} k|of]hgsf cGo sfo{ljlw, lgb]{lzsf jdf]lhd ePsf sfo{x? o;} lgb]{lzsf jdflhd
ePsf] dflgg]5 .

14. cg';"rL–!
-bkmf # sf] pkbkmf #=! ;+u ;DjlGwt_
lgMz'Ns pkrf/ x'g] /f]usf] ljj/0f
o; lgb]{lzsfsf] k|of]hgsf] nflu b]xfosf] /f]usf] nflu s8f /f]u eGgfn] b]xfo jdf]lhd
;Demg' k5{ .
!= d[uf}nf /f]u
s= cNksflng ?kdf d[uf}nfn] sfd gu/]sf] (ARF)
v= bLw{sflng ?kdf d[uf}nfn] sfd gu/]sf] (CRF)
u= Acute Glumerulo Nephritistis and Nephritis Syndrome ePsf lj/fdLx?sf] d[uf}{nf sfd
ug]{ 5f8]kl5 dfq ;]jf kfpg]5 .
3= d[uf}nf v/fj e} Dialysis ug'{ kg]{ ePdf .
ª= d[uf}nf lk;fjy}nL, Urethra ;+u ;DjlGwt Operation ug'{ kg]{ ePdf .
!=!= d[uf}nf /f]usf nflu kfpg] ;'ljwfx?M dfly pNn]lvt cj:yfsf] klxrfg tyf pkrf/sf
nflu cfjZos kg]{ cf}iflw tyf ;]jf z'Nsx? .

15. @= d'6' /f]usf nflu kfpg] ;'ljwfx?
s= d'6'/f]usf] lgbfgsf nflu cfjZos kg]{ ljz]if k/LIf0fx? h:t} ECG,Echo cardiography,
Lab tests TMT, Halter Monitoring, ABP, Angiography ;j} k|sf/sf zNo lrlsT;f
;'ljwfx? .
v= d'6' /f]usf] pkrf/df k|of]u x'g] cf}iflwx? tyf ;]jf z'Nsx? .
#= ;j} lsl;dsf SofG;/ /f]ux?M
#=!= SofG;/ /f]usf nflu kfpg] ;'ljwfx?M o; /f]usf] klxrfg tyf pkrf/sf nflu
cfjZos kg]{ cf}iflw tyf ;]jf z'Nsx? .
$= kfls{G;g tyf cNhfO{d;{ /f]ux?M
oL /f]ux?sf] klxrfg tyf pkrf/sf nflu cfjZos kg]{ ljleGg lgbfgfTds kl/If0f,
cf}iflw tyf ;]jf z'Ns? .
%= :kfO{gn O{Gh'/L tyf x]8 O{Gh'/L ePsf lj/fdL
M
^= l;sn;]n Plgldof ePsf lj/fdL .

g]kfn ;/sf/, dlGqkl/ifbsf] ldlt @)&!.$.@@ sf] a}7ssf] lg0f{ofg';f/ l;sn;]n Plgldof ePsf lj/fdL eGg] zJbx? yk ePsf] .

16. cg';"rL @ -s_
gful/s /fxt, Ifltk"lt{ tyf cfly{s ;xfotf ;DjGwL -k|yd ;+zf]wg_ sfo{ljlw, @)&!
kl/R5]b–#
/fli6«o hLjgsf dxTjk"0f{ JolQm / ljkGg gful/snfO{ pkrf/ vr{ tyf cfly{s ;xfotf
!@= /fli6«o hLjgsf dxTjk"0f{ JolQmnfO{ cf}ifwf]krf/sf] cfly{s ;xfotfM
!@=!= /fli6«o hLjgsf dxTjk"0f{ JolQm tyf d'n'snfO{ pNn]v of]ubfg k'¥ofpg] JolQmnfO{
d'6'/f]u,d[uf}nf/f]u,SofG;/,kfls{G;;,cNhfO{d;{,:kfO{gn O{Gh'/L / 
x]8 O{Gh'/L cfbL
h:tf s8f/f]u ePsf] cj:yfdf d]l8sn jf]8{sf] l;kmfl/;df k|s/0f !@=% jdf]lhdsf]
;ldltn] lg0f{o u/]sf] cj:yfdf :jb]zdf jf ljb]zdf uO{ pkrf/ u/fp+bf b]xfosf
JolQmnfO{ ;fdfGotof b]xfo jdf]lhdsf] /sddf gj9g] u/L cf}ifwf]krf/ jfktsf]
/sd :jb]zsf] xsdf ljn jdf]lhdsf] /sd ;DjlGwt c:ktfnnfO{ / ljb]zsf] xsdf
b'tfjf; dfkm{t ;DjlGwt c:ktfnnfO{ ;f]em} k|bfg ug{ ;lsg]5M–
s_ k"j{ /fi6«klt, k"j{ pk/fi6«klt, k"j{ k|wfgdGqLnfO, j9Ldf !% nfv ?k}of ;Dd .
v_ k"j{ k|wfg GofofwLz, k"j{ ;efd"vsf nflu j9Ldf !) bz nfv ?k}of ;Dd .
u_ ;flxTo, ;ËLt, snf, /fhgLlt, ;fj{hlgs k|zf;g nufot /fli6«o hLjgsf cGo
If]qdf pNn]Vo of]ubfg k'¥ofPsf dxTjk"0f{ JolQmnfO{ /f]usf] k|s[lt x]/L j9Ldf %
kfFrnfv ?k}of ;Dd .
!@=@= cf}ifwL pkrf/ jfktsf] /sd pknJw u/fpbf :jb]zdf pkrf/ u/fPsf] eP ;DjlGwt
c:ktfnsf] jLn jdf]lhdsf] /sdsf] cfwf/df ;DjlGwt c:ktfnnfO{ ;f]em} pknJw
u/fpg' kg]{5 . t/ o:tf] /sd k|s/0f !@=! sf] ;Ldf leq dfq pknJw u/fO{g]5 .
To:t}, ljb]zdf pkrf/ u/fPsf] eP k|s/0f !@=! jdf]lhdsf]] ;Ldf leqsf] /sd dfq
;DjlGwt c:ktfnsf] ljn jdf]lhdsf] /sd ;DjlGwt b]zdf /x]sf] g]kfnL b'tfjf;df
k//fi6« dGqfno dfkm{t pknJw u/fO{g]5 .
!@=#= k|s/0f !@=! jdf]lhdsf] cf}iflw pkrf/ jfkt ;'ljwf k|fKt ug{ ;/sf/L jf
u}/gfkmfd"ns ;fd'bflos c:ktfndf pkrf/ u/fPsf] x'g'kg]{5 . ;/sf/L jf
;fd'bflos c:ktfndf pkrf/ x'g g;Sg] ePdf ;DjlGwt ;/sf/L c:ktfnn] sf/0f
;d]t vf]nL l/km/ u/]df lghL c:ktfndf pkrf/ ug{ ;lsg]5 .

g]kfn ;/sf/, dlGqkl/ifbsf] ldlt @)&!.!.!( sf] a}7ssf] lg0f{ofg';f/ x]8 OGh'/L eGg] zJbx?sf] ;§fdf x]8 OGh'/L cfbL h:tf s8f/f]u eGg] zJbx? yk
ePsf] .

17. !@=$= k|s/0f !@=#= jdf]lhd pknJw u/fpg] /sd jfx]s ;fdfGotof s'g} klg JolQm
ljz]ifnfO{ pkrf/ /sd jfkt gub lbO{g] 5}g . JolQm ljz]ifnfO{ o; ;DjGwdf gub
/sd pknJw u/fpg] eGg] lg0f{o h'g;'s} kbflwsf/Ljf6 eP To:tf] lg0f{oaf6 e'QmfgL
ePsf] /sd lg0f{o ug]{ kbflwsf/Ljf6 c;"n pk/ ul/g]5 .
!@=%= k|s/0f !@=! jdf]lhdsf] cfly{s ;xfotf pknJw u/fpg] ;DjGwdf l;kmfl/; ug{
b]xfo jdf]lhdsf] Ps ;ldlt /xg]5 .
s_ ;lrj, :jf:Yo tyf hg;+Vof dGqfno –cWoIf
v_ ;lrj, cy{ dGqfno –;b:o
u_ ;lrj, u[x dGqfno –;b:o
3_ cWoIf d]l8sn jf]8{ –;b:o
ª_ lrlsT;f dxfzfvf k|d'v, :jf=tyf hg;+Vof dGqfno –;b:o
r_ dxflgb]{zs, :jf:Yo ;]jf ljefu –;b:o
5_ lgb]{zs, Joj:yfkg dxfzfvf, :jf=;]=lj –;b:o ;lrj
!@=^= cf}iflw pkrf/ /sd e'QmfgL dfu ubf{ ;DjlGwt c:ktfnn] g} lj/fdL btf{ b]lv ;Dk"0f{
ljn, k|]l:qmK;g ;lxt :jf:Yo ;]jf ljefudf k]z ug'{ kb{5 .
!@=& cf}iflw pkrf/ tyf cfly{s ;xfotf ;DjGwL s'g} klg k|:tfj dlGqkl/ifbdf :jf:Yo
tyf hg;+Vof dGqfnoaf6 dfq k]z ul/g]5 .
!@=*= :jb]zdf pkrf/ u/fpg]sf] xsdf ljn k|fKt ePkl5 dfq ;DjlGwt c:ktfnnfO{
ljefu dfkm{t /sd pknJw u/fO{g]5 . ljb]zdf pkrf/ u/fpg hfg]sf] xsdf pkrf/
u/fO{ /x]sf] eGg] k|dfl0ft ePsf] cj:yfdf k//fi6« dGqfno dfkm{t ;DjlGwt g]kfnL
b"tfjf;df /sd k7fO{g]5 . ;DjlGwt b"tfjf;n] /sd e'QmfgL u/]sf] e/kfO{
ljefunfO{ clgjfo{ ?kdf k7fpg' kg]{5 .
!@=(= k|s/0f !@=! jdf]lhdsf] /sd cy{ dGqfnon] :jf:Yo tyf hg;+Vof dGqfno, :jf:Yo
;]jf ljefu dfkm{t pknJw u/fO{g]5 .

!@=!) dfyLsf k|s/0fx?df h'g;'s} s'/f n]lvPsf] ePtf klg ljz]if sf/0f hgfO{ dlGqkl/ifbn]
plrt 7fg]sf] pkrf/ vr{ /sd pknAw u/fpg ;Sg] 5 .
!#= lj/fdLsf] ljdf /sd ;DjGwdf M–
cf}iflw pkrf/ ;]jf k|fKt ug]{ lj/fdLx?n] :jf:Yo ljdf jfktsf] /sd k|fKt ug]{ cj:yf
/x]df jf:tljs pkrf/ vr{df ljdfjf6 k|fKt x'g] /sd s6fO{ jf+sL vr{sf] ljn dfq o;
lgb]{lzsf jdf]lhd k|fKt ug]{ cf}iflw pkrf/ vr{sf] nflu u0fgf ul/g]5 .
 
g]kfn ;/sf/, dlGqkl/ifbsf] ldlt @)&!.!.!( sf] a}7ssf] lg0f{ofg';f/ /sd afx]s eGg] Joxf]/f kl5 ;fdfGotof eGg] zJb yk ePsf] .

g]kfn ;/sf/, dlGqkl/ifbsf] ldlt @)&!.!.!( sf] a}7ssf] lg0f{ofg';f/ k|s/0f !@=( kl5 k|s/0f !@=!) yk ul/ dfyLsf k|s/0fx?df h'g;'s} s'/f
n]lvPsf] ePtf klg ljz]if sf/0f hgfO{ dlGqkl/ifbn] plrt 7fg]sf] pkrf/ vr{ /sd pknAw u/fpg ;Sg] 5 zJbx? yk ePsf] .