IN THE HIGH COURT OF JUDICATURE AT PATNA CWJC No.1247 of 2003 1. DR.RAJIV RANJAN SINHA, s/o Dr. K. P. Sinha, Tutor in Biochemistry, Nalanda Medical College, Patna. 2. Geetika Sinha w/o Dr. Rajiv Ranjan Sinha Both resident of Mohalla and P.S. Budha Colony, Dist. Patna. … Petitioners. Versus 1. THE STATE OF BIHAR 2. The Director-in- Chief, Department of Health and Family Welfare, Govt. of Bihar, New Secretariat, Patna. 3. The Under Secretary, Department of Health and Family Welfare, Govt. of Bihar, New Secretariat, Patna. 4. The Commissioner-cum-Secretary, Department of Health and Family Welfare, Govt. of Bihar, New Secretariat, Patna. 5. The Principal Nalanda Medical College, Patna. 6. The Accountant General, Bihar, Patna. …. Respondents. --------- For the petitioner. : Mr. Suresh Chandra Pd Sinha, Adv. For the State : Mr. Prabhakar Takeriwal, G. A.-1 : Mr. Prabhat Kr. Singh, Adv. ----------- PRESENT HON'BLE MR. JUSTICE MIHIR KUMAR JHA ORDER (02.11.2010) Mihir Kumar Jha, J. Heard learned counsel for the petitioners and learned counsel for the State as with regard to the following prayer; “1. That this writ application is for issuance of writ/writs, order and direction for quashing memo no. 14/M.C.-05/2002 5619(14)/Heath, Patna, dated 31.10.2002 issued by Director-in-Chief (respondent no. 2) as contained in Annexure-4 and further for direction to the respondents for payment of entire medical bills of the petitioner already submitted to the respondent by an appropriate writ/writs, order/orders.” 2 Earlier this Court in its order dated 27.9.2010 had noted the broad features of this case in the following words:- "The issue after earlier order of remand by this Court in this case which has to be adjudicated is that:- “Whether the petitioner would be entitled for the expenses met towards treatment of his wife in G.B. Pant Hospital, New Delhi while she was an outdoor patient.” It is not in doubt that the petitioner no. 1 had got his wife, petitioner no. 2 admitted in G.B. Pant Hospital on 7.6.1999, and in fact after that the petitioner no. 2 was referred to the Medical Board constituted by the Government of Bihar on 31.7.1999, whereafter necessary permission in terms of Rule 26 of Bihar Medical Attendance Rules was given on 11.9.1999. The petitioner no. 2 further claims that his wife, the petitioner no. 2 was subsequently taken for treatment to the G.B. Pant Hospital on a number of occasions including from 1.9.1999 to 13.9.1999, from 10.12.1999 to 25.12.1999 and in the first fortnight of July, 2002. The petitioner no. 1 in fact, claims reimbursement towards the expenses met by him in purchase of medicines and undergoing pathological test of his wife as also traveling allowances, for all these subsequent trips during which the petitioner no. 2, the wife of the petitioner no. 1 was an outdoor patient. Mr. Prabhakar Tekriwal, learned counsel for the State has informed this Court that the bills submitted by the petitioner towards treatment of his wife in the indoor treatment in G.B. Pant Hospital has already been paid and the dispute now remains only with regard to the treatment that she claims to have undergone while being an out patient door (O.P.D) in G.B. Pant Hospital. Mr. Tekriwal points out that as per condition imposed in the order of the State Government in terms of Rule 26, in paragraph no.1 and 6 read together would clearly go to show that such approval was exclusively meant for the treatment as an indoor patient and not an outdoor 3 patient. Before this Court would decide these aspects, it would require to go into some of the relevant question of facts including the full details of the periods in which wife of the petitioner had been admitted in G.B. Pant Hospital. As noted above, the petitioners have divulged the date of admission in G.B. Pant Hospital as on 7.6.1999 which can be found in the legal notice sent on behalf petitioner no. 2 on 1st February, 2002, but there is no date of discharge pursuant to the admission in G.B. Pant Hospital of wife of the petitioner on 7.6.1999. Counsel for the petitioner while drawing attention to paragraph 29 has also stated that once such treatment was given to the petitioner on 11.9.1999 the subsequent visit made by the petitioner with his wife for treatment in O.P.D was always brought to the notice of the authorities and yet at no point of time the same was rejected. This Court would therefore call upon the petitioner to produce all those communications by which it is said that the department always was kept abreast with continuing treatment of petitioner no. 2 in O.P.D. and the necessity of going Delhi as is sought to be conveyed in paragraph 26 of the writ application. At the same time this Court would also direct the respondents to produce the main file from which the order in question dated 11.9.1999 was issued and/or any other material to show that once permission was given to the petitioners for indoor treatment in G.B. Pant Hospital, Delhi on 11.9.1999, there was no question of the petitioner being allowed for further journey and/or treatment in O.P.D. in absence of specific prior approval of the State Government." Both the sides have filed affidavits as also the learned counsel for the State has produced the two files. Having considered the materials on record this Court is of the considered opinion that as the petitioner no.1 was 4 given special permission under Rule 26 of Bihar Medical Attendant Rules on 11.9.1999 in the following terms:- Þfcgkj ljdkj Lok0 fp0 fl0 ,oa i0 d0 foHkkx izs"kd] Jh lhjhy lkslks Lkjdkj ds voj lfpo lsok esa] egkys[kkdkj] fcgkj ohjpUn iVsy ekxZ] iVuk@iks0 &fgUuw] jkaph A iVuk] fnukad fo"k; % Mk0 jktho jatu flUgk] V;wVj tho jlk;u foHkkx] ukyUnk es0 dk0 vk0] iVuk dh iRuh dks th0ch0 iUr vLirky] ubZ fnYyh esa fpfdRlk djkus dh Lohd`fr A egk’k;] funsZ’kkuqlkj eq>s dguk gS fd Mk0 jktho jatu flUgk dh iRuh tks gSiksVkbZVhl ÞlhÞ jksx ls ihfM+r gS] dks ljdkj us fcgkj mipkj] fu;ekoyh ds fu;e &26 ds vuqlkj fo’ks"k ifjfLFkfr esa ,d lgpj ds lkFk th0 ch0 iUr vLirky] ubZ fnYyh esa fpfdRlk djkus dh Lohd`fr nh gSA 2- Mk0 flUgk fpfdRlksijkUr lEcfU/kr fpfdRlk laLFkku ds izeq[k inkf/kdkjh ds izfrgLrk{kfjr foi= izLrqr djus ij fpfdRlk esa gq, O;; dh vuqekU; izfriwfrZ jkf’k dh izfriwfrZ dh tk;sxhA 3- ubZ fnYyh vkus tkus ds fy, lgpj ds lkFk lko;fn ;k=k HkRrk fu;ekoyh ds rgr vuqekU; gksxk rks izFke Js.kh ds vU;Fkk f}rh; Js.kh ds jsy HkkM+k vuqekU; gksxkA blds uhp dh Js.kh esa ;k=k djus ij mlh Js.kh dk jsyHkkM+k ns; gksxk ftl Js.kh esa ;k=k oLrqr% dh tk;sxhA bl ;k=k ds fy, jksM ekbZyst] bUlhMsUVy pktz rFkk foJke HkRrk ns; ugha gksxkA 4- ok;q;ku rFkk okrkuqdwfyr Js.kh }kjk ;k=k vuqekU; ugha gksxkA 5- lkus ,oa jgus ls lEcfU/kr O;; dh izfriwfrZ mDr laLFkku ds lkekU; nj ij dh tk;sxhA rFkk fo’ks"k :i esa fy;s x;s futh dejs ds fdjk;s dh izfriwfrZ ns; ugha gksxhA 6- fpfdRlk laLFkku ds lkekU; okMZ esa djkuh gksxhA futh okMZ esa fpfdRlk vuqekU; ugha gksxk A 7- izR;sd psd vi ds iwoZ vuqefr izkIr dj ysuk vfuok;Z gksxkA fo'oklHkktu g0@& ljdkj ds voj lfpoAÞ 5 the petitioner no.1 would not be entitled for reimbursement of any expenditure on the treatment of his wife prior to the period 11.1.1999 either indoor or outdoor in the G. B. Pant Hospital, New Delhi. The reason is very simple that the application of petitioner no. 1 for special permission was backed with the recommendation of specialist at Patna dated 20.5.1999 whereafter the petitioner no. 2 was referred to Medical Board and the Medical Board only on 30.7.1999 had made its recommendation for treatment of wife of petitioner no. 1 in G. B. Pant Hospital, New Delhi. The consequential order thereafter was issued by the State Government on 11.9.1999 which has been quoted above. From the reading of the aforementioned order in the background of facts noted above, it cannot be said that the said order of the government had given post facto approval to the treatment of wife of the petitioner no.1 in G. B. Pant Hospital for any date prior to date 11.9.1999. Having however held that the petitioner no. 1 would be entitled for reimbursement on the treatment of his wife in G. B. Pant Hospital, New Delhi on or after 6 11.9.1999 or towards the expenditure in journey from Patna to Delhi and back, this Court is still not in a position to accept the submission of the learned counsel for the State that the petitioner will not be entitled for any expenditure towards Out Patient Door (O.P.D.) treatment including cost of medicine and/or expenses incurred in investigation (pathological test) of the wife of petitioner no. 1 under the advice of doctors at G. B. Pant, Hospital, New Delhi. In this regard it has to be kept in mind that such permission for treatment granted to the petitioner on 11.9.1999 as with regard to of a dreaded disease namely Hepatitis C which is definitely a disease of liver. For treatment of liver disease including liver cancer the State Government has already made exception for also reimbursing even the expenses incurred in the outdoor treatment. It has to be also kept in mind that such exceptions has been carved out from time to time by the State Government in keeping with certain other diseases as well. For example on 16.5.1980 the State Government had made a provision for reimbursing the expenditure in the outdoor 7 treatment for the disease like Tuberculosis, Cancer, Leprosy for which its notification reads as follows:- ÞjkT; ljdkj us ;g fu.kZ; fy;k gS fd ladYi la[;k 1443 ¼6½] fnukad 10-6-75 ls jkT; ljdkj ds deZpkfj;ksa dh df.Mdk 9 esa nh x;h fpfdRlk izfriwfrZ dh lqfo/kk ds vykos lHkh ljdkjh lsodksa ,oa muds vkfJrksa dks ;{ek] dSalj vkSj dq"V jksxksa ds fy, cfgokZlh jksxh ds :i esa Hkh fpfdRlk ds fy, okLrfod O;; dh izfriwfrZ dh tk,xhA [Kki la[;k 6@,e&4&01/79&666 ¼6½ Lok0] fnukad 16-5-1980] jkT; ljdkj dk ;g fu.kZ; ladYi ds fuxZr djus dh frfFk ls ykxw gksxk AÞ Similarly on 8.12.1994 the State Government had clarified as with regard to reimbursement of expenditure in the outdoor treatment of patient who had undergone bypass heart surgery and kidney transplantation by making the following provision; “[fcgkj ljdkj LokLF; ,oa i0d0 foHkkx ladYi la[;k 24@,e 10&04&94&5257 Lok0] iVuk fnukad 8-12-94@izs"kd ch0ih0 JhokLro ljdkj ds mi lfpo] fo"k; % jkT; ljdkj ds dfeZ;ksa dks miyC/k cfgokZlh fpfdRlk lqfo/kk esa Li"Vhdj.k A jkT; ljdkj ds lsokjr dfeZ;ksa dh ladYi la[;k 1443¼6½ fnukad 10-6-75 ds vuqlkj fpfdRlk lqfo/kk fuEuor miyC/k djk;h tkrh gS %& 1- vUrokZlh d{k esa fpfdRlk gksus ij mu vkS"kf/k;ksa dh dher dh izfriwfrZ dh tkrh gS] ftldh vkiwfrZ ljdkjh vLirky HkaMkj ls ugha gks ikrhgSA 2- ofgokZlh jksxh ds :i esa fpfdRlk gksus ij ckgj ls Ø; dh xbZ vko’;d nokvksa dh dher dh izfriwfrZ ljdkj }kjk ugha dh tkrh gS oju~ bl O;; ds fy, dfeZ;ksa dks ,d fuf’pr jde ekfld fpfdRlk HkRrk ds :I esa Hkqxrku fd;k tkrk gSA viokn Lo:I ladyi la[;k 666 ¼6½ fnukad 16-5-80 ls ek= ;{ek] dSalj ,oa dq"Vjksxksa ds fy, cfgokZlh fpfdRlk ls lacaf/kr O;; dh Hkh izfriwfrZ dh lqfo/kk ljdkj }kjk iznÙk gSA 3- xqnkZ izR;kjksi.k ,oa g`n; dh 'kY; fØ;k ds ckn cfgokZlh fpfdRlk esa Hkh dkQh O;; gksrk gS] blls deZpkfj;ksa dks gksus okyh dfBukbZ;ksa dks /;ku esa j[krs gq, bl O;; dh izfriwfrZ dk ekeyk ljdkj ds fopkjk/khu FkkA 8 4- lqfopkj.k ds i'pkr jkT; ljdkj }kjk vc fu.kZ; fy;k x;k gS fd g`n; dh 'kY;&fpfdRlk ,oa xqnkZ izR;kjksi.k ds ckn lacaf/kr fpfdRlh;sa laLfkku esa gksus okyh cfgokZlh fpfdRlk ds Øe esa Ø; dh tkus okyh vkS"kf/k;ksa ,oa tk¡p ij gksus okys O;; dh izfriwfrZ jkT; ljdkj }kjk dh tk;xh ijUrq g`n; dh 'kY; fpfdRlk ,oa xqnkZ&izR;kjksi.k ds iwoZ gqbZ ofgokZlh fpfdRlk ;k jkt; ds ckgj vU; jksxksa dh cfgokZlh fpfdRlk ds ekeys esa flQZ ;k=k O;; dh izfriwfrZ fu;ekuqlkj dh tk;xh tkWp ,oa nok ij gq, O;; dh izfriwfrZ ugha dh tk;sxhA vkns'k % vkns’k fn;k tkrk gS fd bl ladYi dks fcgkj jkti= ds vlk/kkj.k vad esa loZlk/kkj.k ds lwpukFkZ izdkf’k fd;k tk;AÞ As a matter of fact, the State Government had again made specific provision for meeting the expenditure on the outdoor treatment in the case of Liver Transplantation and to that extent, the order of the State Government dated 2.5.2000 reads as follows:- “[fcgkj ljdkj LokLF; ,oa i0 d0 foHkkx ladYi la[;k 24@,e 12@&10@99&1356 ¼24½ @Lok0 iVuk] fnukad 2-5- 2000 izs"kd Mka0 fouksn vxzoky] vij vk;qDr lg fo’ks"k lfpo] fo"k; % jkT; ljdkj ds dfeZ;ksa dks ladYi la0 1443 [6] fn0 10-6-75 ds vuqlkj fuEufyf[kr fpfdRlk lqfo/kk miyC/k djkbZ tkrh gS %& 1- vUrZoklh d{k esa fpfdRlk gksus ij mu vkS"kf/k;ksa dk dher dk izfriwfrZ dh tkrh gS ftldh vkiwfrZ ljdkjh HkaMkj ls ugha gks ikrh gSA 2- ofgZoklh jksxh ds :i esa fpfdRlk gksus ij ckgj ls Ø; dh xbZ vko’;d vkS"kf/k;ksa dh dher dh izfriwfrZ ljdkj }kjk ugha dh tkrh gS oju bl O;; ds fy, dfeZ;ksa dks ,d fuf’pr jde ekfld HkRrk ds :I esa Hkqxrku fd;k tkrk gSA viokn Lo:I ladYi la0 666 ¼6½ fnukad 16-5-80 esa ek= ;{ek dSalj ,oa dq"V rFkk la0 5257 ¼24½ fn0 8-12-94 esa xqnkZ izR;ksjksi.k ,oa g`n; dh 'kY; fpfdRlk ds i'pkr lacaf/kr fpfdRlh; laLFkku esa gksus okyh ofgZoklh fpfdRlk ds Øe esa Ø; dh tkus okyh vkS"kf/k;ksa ,oa tkap ij gksus okys O;; dh izfriwfrZ jkT; ljdkj }kjk djus dk fu.kZ; fy;k x;k gSA 3- jkT; ljdkj }kjk vc ;g lqfopkfjr fu.kZ; fy;k x;k gS fd yhHkj izr;kjksi.k] ds ekeys esa Hkh lacaf/kr ljdkjh fpfdRlh; laLFkku esa gksus okyh ofgaoklh fpfdRlk ds Øe esa Ø; dh tkusokyh vkS"kf/;ksa dh tkap ij gksusokys O;; dh 9 izfriwfrZ jkT; ljdkj }kjk dh tk;sxhA ijUrq fons’k esa tkap ;k fpfdRlk ls lacaf/kr O;; dh izfriwfrZ fdlh Hkh ifjfLFkfr esa ugha dh tk;sxhA 4- ;g ladYi foRr foHkkx dh lgefr izkIr dj fuxZr fd;k tk jgk gSAÞ All these aspects in fact have been sought to be clarified by the State Government in its compact circular dated 2nd June 2006 which for sake of clarity is also extracted hereinbelow; “fcgkj ljdkj LokLF; ,oa i0d0 foHkkx ladYi la0 14@fofo/k &04@2006&1182 ¼14½ iVuk fnukad 2 twu 2006] izs"kd nhid dqekj] ljdkj ds lfpo fo"k; %& jkT; ljdkj ds dfeZ;ksa dks fpfdrlk O;; dh izfriwfrZ ds laca/k esa ekxZn’kZu A egk’k;] jkT; ljdkj ds inkf/kdkfj;ksa@deZpkfj;ksa dks fpfdRlk O;; dh izfriwfrZ dh izfØ;k ds ljyhdj.k ds mn~ns’; ls jkt; ds vUnj vkSj ckgj ljdkjh vLirkyksa@fpfdRlk dsUnzksa@jkT; ljdkj }kjk ekU;rk izkIr vLirkyksa esa djkbZ x;h vUrokZlh vkSj dfri; fpfUgr jksxksa esa ofgZoklh fpfdRlk ij gq, O;; dh izfriwfrZ dh 'kfDr LokLF; ,oa i0s0 foHkkx ds ladYi l0 1070 fnukad 20-05-2006 }kjk lacaf/kr ljdkjh lsod ds fu;a=.k inkf/kdkjh vkSj foHkkxh; lfpo dks izR;k;ksftr dh xbZ gS bl fy, fpfdRlk O;; dh izfriwfrZ ds ekeys esa ,d:irk cuk;s j[kus vkSj fu;eksa dk vuqikyu lqfuf’pr djus ds fy, lkekU; fn’kkfunsZ’k@ekxZn’kZu fn;k tkuk vko’;d gS %& 1- vUrokZlh fpfdRlk & fcgkj mipkj fu;ekoyh] 1947 ds izko/kkuksa vkSj LokLF; foHkkx ds ifji= Kki la[;k 6@1- 535&73&1443 (6) Lok0 fnukad 10-06-75 }kjk jkT; ljdkj ds inkf/kdkfj;ksa@deZpkfj;ksa ,oa muds vkfJrksa tSls ekrk&firk ifr iRuh@iq=&iq=h dks ljdkjh vLirkyksa@fpfdRlk dsUnzksa@ jkT; ljdkj }kjk ekU;rk izkIr vLirkyksa esa djkbZ xbZ vurokZlh fpfdRlk ds nkSjku mu vkS"kf/k;ksa ij gq, O;; dh izfriwfrZ ftldh vkiwfrZ ljdkjh vLirky HkaMkj ls ugha gks ikrh gS] vuqekU; gS LokLF; foHkkx dh vf/klwpuk la[;k 482 ¼14½ fnukad 24-03-2006 }kjk fcgkj mipkj fu;ekoyh ds fu;e &1 esa fVIi.kh & 13 tksM+dj lh0th0,p0,l0 }kjk ekU;rk izkIr vLirkyksa dks Hkh lh0th0,p0,l0 }kjk fu/kkZfjr njksa ij Hkqxrku dh 'kRrksZ ij vUrokZlh fpfdRlk gsrq ekU;rk nh xbZ gSA lh0th0,p0,l0 }kjk ekU;rk izkIr vLirkyksa dh lwph bZ&esy la0 }kjk Mkmu yksM dj izkIr fd;k tk ldsxkA 2- ofgokZlh fpfdRlk LokLF; foHkkx ds ladYi la[;k 5257 ¼24½ 10 fnukad 8-12-94] 666 ¼6½ fnukad vkSj ladYi la[;k 1356 ¼24½ fnukad 2-5-2000 ¼ladYi dh izfr layXu½ ds }kjk jkT; ljdkj ds inkf/kdkjh@deZpkjh ,oa muds vkfJr lnL;ksa dks fuEukafdr fo’ks"k jksxksa esa ofgZoklh fpfdRlk ¼Out Door½ ij gq, O;; ¼lacaf/kr fpfdRlh; laLFkku esa gksus okyh ofgZoklh fpfdRlk ds Øe esa Ø; dh tkusokyh vkS"kf/k;ksa ,oa tkWp ij gksus okys O;;½ dh izfriwfrZ Hkh vuqekU; gS %& (a);{kek (b) dSalj (C)dq"B (d) g`n; dh 'kY; fØ;k ds ckn fpfdRlk ij gq, O;; (e) xqnkZ izR;kjksiu ds ckn dh fpfdRlk ij gq, O;; (f) yhHkj izR;kjksiu ds ckn fpfdRlk ij gq, O;; ij g`n; dh 'kY; fpfdRlk ,oa xqnkZ izR;kjksiu ds iwoZ gqbZ ofgokZlh fpfdRlk ds ekeys esa flQZ ;k=k O;; dh izfriwfrZ fu;ekuqlkj vuqekU; gS] tkWp ,oa nok ij gq, O;; dh izfriwfrZ ughaA yhHkj izR;kjksiu ds ekeys esa Hkh fons’k esa tkWp ;k fpfdRlk ls lacaf/kr O;; dh izfriwfrZ fdlh Hkh ifjfLFkfr esa vuqekU; ugha gSA 3- foi= dh vuqekU;rk ,oa 'kq)rk dh tkWp dh izfØ;k & foi= dh vuqekU;rk ,oa 'kq)rk dh tkWp dh fy, fuEukafdr izfd;k viuk;h tk;sxh %& (I) jkt; dh Hkhrj djkbZ xbZ fpfdRlk ls lacaf/kr 20]000@& ¼chl gtkj :i;s½ ek= rd ds nkos ljdkjhlsod inkLFkkfir@dk;Zjr gSaA flfoy ltZu }kjk foi= dh vuqekU;rk ,oa 'kq)rk dh tkWp dh tk;sxh vkSj foi= ij vuqekU; jkf’k izfrgLrk{kfjr djrs gq, mls lacaf/kr ljdkjh lsod ds fu;a=.k inkf/kdkjh dks vxzsrj dkjZokbZ gsrq Hkstk tk;sxkA (II) jkT; ds vUnj djkbZ xbZ fpfdRlk ls lacaf/kr 20]000@& :i;s ls mij ds nkos dh vuqekU;rk ,oa 'kq)rk dh tkWp v/kh{kd] ih0,e0lh0,p0] iVuk ds la;kstdRo esa xfBr ,oa f=lnL;h; lfefr }kjk dh tk;sxhA mDr lfefr esa ih0,e0lh0,p0 iVuk ds vkS"kf/k ,oa 'kY; fØ;k foHkkx ds foHkkxk/;{k lnL; ds :i esa jgsaxsA v/kh{kd] ih0,e0lh0,e0 vko’;drkuqlkj fdlh vU; foHkkxk/;{k dks bl lfefr esa fo’ks"k vkeaf=r ds :i esa cqyk ldsaxsA f=lnL;h; lfefr dh cSBd lIrkg esa nks ckj vkgwr dhtk;sxhA foi= tkWpksijkUr izfrgLrk{kj dj lacaf/kr ljdkjh lsod ds iz’kklh foHkkx dks okil ykSVk;k tk;sxkA (III) jkt; ds ckgj djkbZ fpfdRlk O;; ls lacaf/kr lHkh nkoksa dks Hkh ljdkjh lsod dk iz’kklh fohkkx v/kh{kd] ih0,e0lh0,e0 ivuk dks foi= dh vuqekU;rk ,oa 'kq)rk dh tkWp ds fy, Hkstsxk] tks mijksDr izfØ;k ¼ii½ ds vuqlkj tkWp djkus ds i’pkr foi= lacaf/kr foHkkx dks okil ykSVk;saxsA 4- nkoksa dh izfriwfrZ dh Lohd`fr dh izfØ;k & nkoksa dh izfriwfrZ dh Lohd`fr ds fy, fuEukafdr izfØ;k viukbZ tk;sxh %& (i) nkok izfriwfrZ ds lkFk izfriwfrZ izek.k i= lefiZr fd;k tkuk 11 vko’;d gSA (ii) Ø; fd;s x;s vkS"kf/k;ksa ls lacaf/kr vfHkJo@foi= lacaf/kr laLfkku ds fpfdRld ds }kjk eqgj ds lkFk izfrgLrk{kfjr jgus pkfg,A (iii) izfriwfrZ izek.k i= vLirky@laLfkku ds v/kh{kd@funs’kd }kjk hkh eqgj ds lkfk izfrglrk{kfjr gksuk vko’;d gSa (iv) Ø; dh x;h vkS"kf/k;ksa ls lacaf/kr dS’keseks@nok ls lacf/kr vLirky dk iqtkZ dh Nk;k izfr;ka ,oa vLirky esa vUrokZlh jksxh dk fMLpktZ lejh ewy :i esa izLrqr fd;s tkus pkfg, (v) LokLF; foHkkx ds ifji= 2059 ¼24½ fnukad 27-5-97 ¼izfrfyfi layXu½ ds vkyksd esa g`n; jksx ds ekeys esa isl esdj yxk;s tkus ij islesdj en esa vf/kdre :i0 38]000@& ¼vM+rhl gtkj :i;s½ dh izfriwfrZ vuqekU; gSA (vi) LokLF; foHkkx ds ladYi la[;k 3800 ¼14½ fnukad 10-12-03 ¼izfrfyfi layXu ½ }kjk us= jksx ds ekeys esa ysal bEiykUVs’ku ds fy, vf/kdre 5000@& :0 ¼ikWp gtkj :i;s½ ysl ,oa fpfdRlk nksuksa ij gksus okys O;; dh vf/kdre lhek 10]000@& :0 ¼nl gtkj :i;s½ izfriwfrZ gsrw fu/kkZfjr gSA (vii) foVkfeu 'kfDro/kZd vkS"kf/k;ksa ,oa [k| inkFkksZ enks ij gq, O;; dh izfriwfrZ vuqekU; ugha dh tk;sxhA fMlikstscqy enksadh izfriwfrZ Hkh vuqekU; ugha gSA 5- ;k=k HkRrk & foRr foHkkx ds ifji= Kkikad ,Q0 fnukad 16-12-1959 ¼izfrfyfi layXu ½ vkSj fcgkj ;k=k HkRrk fu;ekoyh ds fu;e 130 ds uhps jkT; ljdkj }kjk fy;s x;s fu.kZ; ds vuqlkj fpfdRlk ds iz;kstukFkZ ok;q;ku ,oa okrkuqdwfyr jsy ;k=k vuqekU; ugha gSA 6- Lohd`r fpfdRlk vfxze ds ekWfuVfjax ds O;oLfkk& lacaf/kr fpfdRlk laLfkku la izkir izkDdyu ds vk/kkj ij izkDdfyr jkf’k dk 80izfr’kr vf/kdre 2 yk[k :i;s rd fpfdRlk vfxze l{ke inkf/kdkjh ¼vkUrfjd foRrh; lykgdkj ds ek/;e ls fohkkxh; lfpo½ }kjk Lohd`r fd;k tkuk gSA fdUrq Lohd`r fpfdRlk vfxze dks fu/kkZfjr le;&lhek ¼vf/kdre 6 ekg½ ds Hkhrj lek;kstu lqfuf’pr djus ds fy, fpfdRlk vfxze ds ekWfufVfjax dh O;oLFkk iz’kklh foHkkx vkSj fu;a=.k inkf/kdkjh nksuksa Lrjksa ij dh tk;sxhA 7- 'kh"kZ fpfdRlk izfriwfrZ@fpfdRlk vfxze esa gksus okys O;; dk ogu vk;&O;; ds mlh 'kh"kZ ds vUrxZr izkFkfed bdkbZ 0147 fpfdRlk izfriwfrZ ls gksxk ftlls lacaf/kr ljdkjh lsod vius osru HkRrs dh fudklh djrs gSA” A question would therefore arise as to whether a patient suffering from Hepatitis „C‟, a rare liver disease in which no transplantation of liver is involved but a 12 specialized treatment has to be gone into, for which a Government servant or his dependant has got no suitable treatment in this State. can be deprived of reimbursement of the actual expenditure met towards investigation (pathological and other specialized tests) and the medicine prescribed while undergoing treatment in O.P.D.? In the considered opinion of this Court it is only in such cases that Rule 26 in its true purport comes into play. Rule 26 in fact a residuary power of the State Government to grant concession with regard to medical attendance treatment not authorized by the rules and gives absolute authority to the State Government to accord sanction in special cases. For sake of clarity rule 26 is also quoted hereinbelow; “26. Power of Government to grant concessions relating to medical attendance or treatment not authorized by these rules.- Nothing in these rules shall be as preventing the state Government from, granting to any person to whom they apply and concession relating to medical attendance or treatment which is not authorized by these rules.” Once the aforementioned provision of Rule 26 in the case of the petitioner has to be given true and constructive meaning which by itself does not by itself hedge or restrict the outdoor treatment, the consequential 13 government order issued in the case of the petitioner already quoted above will also have to be accordingly understood in that context. The Government had issued order allowing treatment of the petitioner no. 2, wife of the petitioner no. 1 on or after 11.9.1999 at G. B. Pant Hospital, New Delhi for treatment of Hepatitis „C‟. It would be therefore too late in the day to allow the technical plea of the counsel for the State that as the Rules as a whole do not contemplate any reimbursement of the treatment of a patient in the outdoor, the Rule 26 or the consequential order issued in the case of the petitioner will have to be read as the authority only for reimbursement of the indoor treatment of wife of petitioner no. 1 at G. B. Pant Hospital, New Delhi. If a patient of cancer in any organ can be allowed to undergo outdoor treatment and be reimbursed the expenditure incurred in Hepatitis „C‟ is also alike cancer because there is no absolute cure of Hepatitis C alike Cancer. The disease Cancer including liver cancer as is commonly understood means that such disease is a incurable and by its treatment the condition of the patient is managed or stablisised for being saved from 14 further detoriation. The position of a patient suffering from Hepatitis "C" is no better inasmuch as in Medical encyclopedia from Wikipedia it has been described that:- "Hepatitis C is an infectious disease affecting the liver, caused by the hepatitis C virus (HCV). The infection is often asymptomatic, but once established, chronic infection can progress to scarring of the liver (fibrosis), and advances scarring (cirrhosis), which is generally apparent after many years. In some cases, those with cirrhosis will go on to develop liver failure or other complications of cirrhosis, including liver cancer or life threatening esophageal varices and gastric varices. " Thus, considering the scope of Rule 26 and the special order issued in the case of the petitioner, this Court is of the opinion that the petitioner no. 1 will be entitled for reimbursement of all the expenditure towards the O.P.D. treatment of his wife on the advice of G. B. Pant Hospital, New Delhi which of course includes any