;fdflhs :jf:Yo ;'/Iff sfo{s|d -;+rfng_ lgodfjnL,

@)&@

g]kfn ;/sf/

;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt

c;f]h, @)&@

-1_

परिच्छेद–१ प्रािम्भिक

;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt -u7g_ cfb]z, @)&! sf] bkmf @) n] lbPsf] clwsf/ k|of]u u/L ;ldltn] of] lgodfjnL agfPsf] 5 . != ;+lIfKt gfd / k|f/De M -!_ o; lgodfjnLsf] gfd æ;fdflhs :jf:Yo ;'/Iff sfo{qmd-;+rfng_ lgodfjnL, @)&@Æ x'g]5 . -@_ of] lgodfjnL dGqfnon] :jLs[t u/]sf] ldltb]lv k|f/De x'g]5 . @=

kl/efiff M ljifo jf k|;+un] csf]{ cy{ gnfu]df o; lgodfjnLdf Ù— -s_ -v_ -u_

“cWoIf” eGgfn] ;ldltsf] cWoIf ;Demg'k5{ . “sfo{sf/L lgb]{zs” eGgfn] ;ldltsf] sfo{sf/L lgb]{zs ;Demg'k5{ . “cfb]z” eGgfn] ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt-u7g_ cfb]z, @)&! ;Demg'k5{ .

-3_

“lhNnf ;+of]hg ;ldlt” eGgfn] lgod #& adf]lhdsf] ;ldlt ;Demg'k5{ .

-3_

“btf{ clwsf/L” eGgfn] lgod & adf]lhd lgo'Qm ePsf] jf tf]lsPsf] JolQm ;Demg'k5{ .

-ª_

ækl/jf/Æ eGgfn]] cfb]z / o; lgodfjnLsf]] k|of]hgsf nflu b]xfo adf]lhdsf] kl/jf/ ;Demg' kb{5 Ù— -!_ -@_ -#_

-r_

3/d'nL egL tf]lsPsf] JolQm, lghsf] kTgL, afa' cfdf, 5f]/f, 5f]/L, wd{k'q tyf wd{k'qL, gflt tyf gfltgL jf ljjflxt dlxnf 3/d'nL ePdf lgh, lghsf] klt, ;f;', ;;'/f, 5f]/f, 5f]/L, wd{k'q tyf wd{k'qL, gflt tyf gfltgL jf cljjflxt dlxnf 3/d'nL ePdf lghsf] cfdf, a'af, 5f]/f / 5f]/L, wd{k'q tyf wd{k'qL.

“of]ubfg /sd” eGgfn] lgod !) df plNnlvt ;]jfx?sf] ;'ljwf y}nL -a]g]lkm6 Kofs]h_ k|fKt ug{ ;xefuL x'g] kl/jf/ jf lghsf] tkm{af6 ;/sf/ jf :yfgLo lgsfo jf JolQm jf /f]huf/bftf;+u

;b:otf afkt lnOg] /sdnfO{ ;Demg'k5{ . -5_ æ;b:oÆ eGgfn] o; lgodfjnL adf]lhd lgoldt ?kdf of]ubfg /sd lt/L ;b:otf lnPsf] JolQm ;Demg' k5{ . -h_ æ;f]wegf{Æ eGgfn]] ;Demf}tf adf]lhd ;b:onfO{ ;]jf ;'ljwf k|bfg u/] jfkt ;DalGwt ;]jf k|bfosnfO{ ;ldltn] pknJw u/fOg] /sd ;Demg'k5{ . -em_ æsfo{qmdÆ eGgfn] cfb]zsf] bkmf ^ adf]lhdsf] ;fdflhs :jf:Yo ;'/Iff sfo{qmd ;Demg' k5{ . -`_

“:jf:YosdL{” eGgfn] k|rlnt sfg"g adf]lhd kl/ifb\df btf{ e} :jf:Yo k/LIf0f ug{], pkrf/ ug{] jf cf}ifwL l;kmfl/z ug{] lrlsT;s jf cGo :jf:YosdL{ ;Demg 'kb{5 .

-6_

“;dGjo ;ldlt” eGgfn] lgod #* adf]lhdsf] :jf:Yo ;+:yf ;dGjo ;ldlt ;Demg' kb{5 .

-2_

-7_ -8_

“;x–e'QmfgL” eGgfn]] ;'ljwf y}nLleqsf] ;ldltn] tf]s]sf] s'g} jf ;a} ;]jfdf ;b:on] To:tf] ;]jf ;'ljwf pkof]u ubf{ cfkm\gf] tkm{af6 Joxf]g'{ kg]{ /sd ;Demg' k5{ . æk|lti7fgÆ eGgfn] bz hgf jf ;f] eGbf j9L >lds jf sd{rf/L sfo{/t sfg'g adf]lhd :yfkgf ePsf] lgsfo ;Demg' k5{ . परिच्छेद–२ सदस्यता तथा योगदान

#=

;b:otf ;DjGwL Joj:yf M -!_ cfb]z / o; lgodfjnL adf]lhdsf] sfo{qmddf ;a} g]kfnL gful/s ;b:o aGg ;Sg]5g\\ . -@_ pklgod -!_ adf]lhd OR5's kl/jf/nfO{ sfo{qmdsf] ;b:otf k|bfg ul/g]5 . -#_ pklgod -@_ adf]lhd ;b:otf lng]] kl/jf/sf k|To]s ;b:o sfo{s|dsf ;b:o x'g]5g / kl/jf/sf k|To]s ;b:onfO{ o; sfo{qmdsf] ;b:o agfO{g] kl/ro kq k|bfg ul/g] 5 . -$_ pklgod -!_ /-@_ df h'g;'s} s'/f n]lvPsf] eP tfklg s'g} JolQm :jtGq ?kdf ;b:o aGg rfx]df To:tf JolQmnfO{ klg ;b:otf lbg ;lsg] 5 . -%_ pklgod ! adf]lhd ;b:otfsf nflu btf{ x'g rfxg] kl/jf/n] cfkm" :yfoL a;f]af; u/]sf] ufpF ljsf; ;ldlt jf gu/kflnsfsf] ;DalGwt btf{ clwsf/L ;dIf cg';'rL–! adf]lhdsf] 9f+rfdf lgj]bg lbg'kg]{5 . -^_ pklgod -!_ adf]lhd k/]sf lgj]bg pk/ cfjZos 5fgljg ubf{ ;b:otf k|bfg ug{ pko'Qm b]v]df btf{ clwsf/Ln] ;b:otf btf{{ ug]{ 5 . . -&_ pklgod -@_ h'g;'s} s'/f n]lvPsf] eP tfklg gfafnssf] xsdf lghsf] cleefjs jf ;+/Ifssf] kl/ro v'Ng] k|df0fkqsf] cfwf/df ;b:otf k|bfg ug{ ;lsg]5 . -*_ c:yfoL a;f]af; u/]sf] kl/jf/ jf JolQmsf] xsdf ;DalGwt :yfgLo lgsfosf] l;kmfl/zdf c:yfoL a;f]af; u/]sf] ufFp ljsf; ;ldlt jf gu/kflnsfaf6 sfo{qmdsf] ;b:otf lng ;Sg]5g\ . -(_ o; sfo{qmdsf] k|of]hgsf] nflu s'g} JolQm jf kl/jf/n] l;kmfl/; u/L lbg lgj]bg lbPdf k|To]s :yfgLo lgsfon] l;kmfl/; lbg' kg]{5 . :ki6Ls/0fM o; lgodsf] k|of]hgsf] nflu c:yfoL afl;Gbf eGgfn] lgh a;f]af; u/]sf] :yfgdf sDtLdf 5 dlxgf b]lv a;f]af; u/]sf] JolQm ;Demg'k5{ .

$=

-!)_ o; lgod adf]lhd k|bfg ul/g] ;b:otf Ps jif{sf] nflu dfGo x'g]5 . ;b:otf kl/ro kq k|bfg ug'{ kg]{ M -!_ lgod # adf]lhd k|fKt lgj]bg btf{ clwsf/Ln] 5fgjLg u/L l/t k'u]sf] eP To:tf] lgj]bsnfO{ btf{ ubf{s} avt cg';"rL ! adf]lhdsf] 9fFrdf ;b:otf kl/ro kq k|bfg ug{'kg]{5 . btf{ clwsf/Ln] ;b:otf k|bfg ubf{sf] ca:yfdf lghn] kfpg] ;]jf ;'lawfaf/] cg';"rL @ adf]lhdsf] hfgsf/L lbg' kg]{5 . -#_ pklgod -!_ adf]lhd ;b:otf kl/ro kq k|bfg ug]{ / ;b:on] ;]jf ;'ljwf nfu" x'g] ;do b]xfo adf]lhd x'g]5 . btf{ clwsf/Ln] ;f] s'/fsf]] hfgsf/L k|To]s ;b:onfO{ ;b:otf kl/rokq ljt/0f ubf{sf] avt u/fpg' kg]{5 .

-3_

;b:otfbtf{ calw -s_ a}zfv b]lv c;f/ dlxgf

;]jf z'? x'g] ldlt — ebf} ! ut]

-v_ -u_ -3_

— d+l;/ ! ut] — kmfu'g ! ut — h]7 ! ut]

;fpg b]lv c;f]h dlxgf sflt{s b]lv k'; dlxgf df3 b]lv r}t dlxgf

-$_ ;ldltn] pklgod -@_ adf]lhdsf] ;b:otf kl/ro kqsf] ;6\6f ;ldltn] lgwf{/0f u/] adf]lhd d]lzg l/8]jn sf8{ jf :df6{ sf8{sf] ?kdf kl/ro kqpknJw u/fpg ;Sg]5 . %=

^=

&=

;b:otf gljs/0f M -!_ lgod ! adf]lhd k|bfg ul/Psf] ;b:otf k|To]s jif{ gljs/0f ug'{ kg]{5 . -@_ pklgod -!_ adf]lhd ;b:otf gljs/0f ug{ Dofb ;dfKt x'g'eGbf Ps dlxgf cufa} cg';"lr % adf]lhdsf] 9frfdf lgj]bg lbg ;Sg]5 . -#_ pklgod -@_ adf]lh lgj]bg lbPdf lghsf] ;b:otfn] lg/Gt/tf kfpg]5 . olb lbOPsf] Dofbleq lgj]bg lbPsf] /x]g5 jf gjLs/0f u/fPsf] /x]g5 eg] lgod $ sf] pklgod -#_ adf]lhdsf] Joj:yf nfu" x'g]5 . -$_ pkbkmf -!_ adf]lhd ;b:on] gjLs/0f gu/]df jf pklgod -!_ adf]lhdsf] Dofbleq /Lt k"j{s lgj]bg glbPdf ;b:otfsf] Dofb ;dfKt ePsf] ldltblv g} ;b:on] ;'ljwf kfpg] 5}g . -%_ s'g} ;b:osf] ;b:otf kl/ro kq gi6 ePdf, RofltPdf jf x/fPdf ;ldltn] tf]s adf]lhdsf] b:t'/ lnO{ k'gM k|bfg ug{ ;lsg]5 . ;xefuLtf ;DaGwL ljz]if Joj:yf M -!_ g]kfn ;/sf/n] ;/sf/L tyf k|lti7fgsf sd{rf/L / lghsf kl/jf/nfO{ lglZrt of]ubfgsf] b/ lgwf{/0f u/L ;fdflhs ;'/Iff sfo{qmddf ;xefuL u/fpg]5 . -@_ pklgod -!_ adf]lhdsf] sfo{qmd ;+rfng eO{/x]sf lhNnfsf] xsdf ljleGg lgsfojf6 ;+rflnt ;fdflhs ;'/Iff sfo{qmddf bf]xf]/f] gkg]{ u/L o;} sfo{qmd;+u ;dfof]hg u/L ;+rfng ul/g]]5 . -#_ pklgod -!_ adf]lhd sfo{qmddf ;xeflutf ;DaGwL cGo Aoj:yf ;ldltn] lgwf{/0f u/] adf]lhd x'g]5 . btf{ clwsf/L ;DaGwL Aoa:yf M -!_ ;ldltn] cfb]z / o; lgodfjnL adf]lhd ;b:otf btf{ k|of]hgsf nflu cfjZos ;+Vofdf btf{ clwsf/L lgo'Qm ug{ jf tf]Sg ;Sg]5 . -@_ pk lgod -!_ adf]lhd lgo'Qm jf tf]lsPsf] btf{ clwsf/Lsf] sfd st{Jo / clwsf/ b]xfo adf]lhd x'g]5 M– -s_ -u_ -3_ 8=_ -r_

o; lgodfjnL adf]lhd lgwf{l/t of]ubfg /sd lnO{ ;b:otf btf{ tyf gljs/0f ug]{ ug]{ u/fpg], sfo{qmddf kx'+r gePsf jf 5'6]sf AolQm÷kl/jf/ klxrfg u/L ;b:otf btf{ ug]{ u/fpg], gjLs/0f x'g g;s]sf ;b:ox? klxrfg u/L gjLs/0fsf] Joj:yf ldnfpg], sfo{qmdsf] af/]df hgr]tgf sfo{qmd ;+rfng ug]{, ;b:otfsf] klxrfgdf ljjfb ePdf ;dfwfg ug]{ / ;dfwfg x'g g;s]df ;ldlt ;dIf lg0f{osf nflu cg'/f]w ug]{,

-4_

-5_ ;b:otf btf{ Joj:yfsf ;DaGwdf gLltut Joj:yf / k|ljlwdf ug'{ kg]{ ;'wf/sf ljifodf Joj:yfkgnfO{ ;'emfj lbg], -h_ btf{ ;xof]uLnfO{ ;b:otf btf{, gjLs/0f jf ;f] ;DaGwL cGo sfo{df kl/rfng ug],{

*=

-em_ v08 -h_ adf]lhdsf btf{ ;xof]uLsf] sfdsf] cg'udg tyf ;'k/Lj]If0f ug]{ , -`_ ;ldlt jf ;ldlt dftfxtsf sfof{non] ;do ;dodf tf]sL lbPsf cGo sfo{ ug]{ . -#_ btf{ clwsf/Lsf] of]Uotf, egf{ k|lqmof, kfl/>lds / ;]jfsf cGo ;'ljwf ;ldltn] tf]s] adf]lhd x'g]5 . -$_ ;ldltn] sfo{qmd nfu' ePsf lhNnfsf :jf:Yo rf}sL jf zx/L :jf:Yo s]Gb|nfO{ btf{ ;DaGwL sfddf ;d]t lhDd]jf/L tf]Sg ;Sg]5 . btf{ ;xof]uL ;DaGwL Joj:yfM -!_ ;ldltn] sfo{s|ddf ;b:o btf{ ug]{ k|of]hgsf nflu :yfgLo:t/df

(=

cfjZos ;+Vofdf btf{ ;xof]uL lgo'Qm u/L kl/rfng ug{ ;Sg]5 . -@_ pklgod -!_ adf]lhd kl/rfng x'g] btf{ ;xof]uLsf] sfd, st{Jo / clwsf/, tyf ;]jfsf zt{ / ;'ljwf ;DaGwL Joj:yf ;ldltn] tf]s] adf]lhd x'g]5 . -#_ pk lgod -!_ adf]lhdsf] btf{ ;xof]uLn] tf]s]sf] lhDd]jf/L k'/f gu/]df lghnfO{ ;ldltn] h'g;'s} avt lhDd]jf/Laf6 x6fpg ;Sg]5 . :jf:Yo ;+:yf tf]Sg]] M -!_ ;ldltn] sfo{qmd ;+rfng ePsf lhNnfdf ;b:ox?sf] :jf:y pkrf/sf] nflu :jf:Yo ;+:yf tf]Sg]5 . -@_ pklgod -!_ adf]lhd ;ldltn] tf]s]sf :jf:Yo ;+:yfdWo] ;b:on] ;'?df s'g :jf:Yo ;+:yfjf6 pkrf/ ;]jf lng] xf] ;f] s'/f ;b:otf lng] ;dodf g} /f]Hg' kg]{5 . -#_ ;b:ox?n] pklgod -@_ adf]lhd cfkm"n] /f]h]sf] :jf:Yo ;+:yfjf6 pkrf/ u/fpg' kg]{5 . -$_ pklgod -#_ h'g;'s} s'/f n]lvPsf] eP tfklg cfsl:ds cj:yfdf h'g;'s} ;"lrs[t ;+:yfaf6 ;]jf lng ;lsg]5 .

!)=

-%_ ;b:on] pklgod -!_ adf]lhd tf]lsPsf] :jf:Yo ;+:yf kl/jt{g ug'{ kg]{ ePdf cfkm} jf btf{ ;xof]uL dfkm{t sf/0f ;lxt ;ldltsf] lhNnf sfof{nodf cg';"rL–# adf]lhdsf]] 9fFrfdf lga]bg lbg' kg]{5 . -^_ pklgod -@_ adf]lhdsf] lga]bgdf ;ldltsf] lhNnfl:yt sfof{non] lga]bg btf{ ePsf] ldltn] tL; lbg leq lga]bsnfO{ :jf:Yo ;+:yf kl/at{g eP jf gePsf] Aoxf]/fsf] hfgsf/L lbg'kg]{5 . of]ubfg /sd M -!_ sfo{qmddf ;xefuL x'g] k|To]s kl/jf/n] cg';'rL–$ df pNn]v eP adf]lhdsf] jflif{s /sd ltg'{kg]{5 . -@_ pklgod -!_ df h'g;'s} s'/f n]lvPsf] ePtfklg s'g} kl/jf/n] cfkm\gf] kl/jf/eGbf aflx/sf] ;uf]ndf a:g] s'g} Ps AolQmnfO{ cg';'rL–$ df pNn]v eP adf]lhdsf] of]ubfg /sd lt/L ;b:otf agfpg ;Sg]5 . o;/L yk ePsf] ;b:osf] sf/0fn] ;'lawfsf] clwstd xb a9]sf] dflgg] 5}g. -#_ k|rlnt sfg"g adf]lhd btf{ ePsf ;+3 ;+:yfn] cfkm\gf sd{rf/L / lghsf] kl/jf/nfO{ cg';'rL– $ adf]lhdsf] of]ubfg /sd lt/L o; sfo{qmddf ;xefuL u/fpg ;Sg]5 . -$_ s'g} AolQmn] cg';'rL–$ adf]lhdsf] of]ubfg /sd lt/L s'g} kl/jf/ jf kl/jf/sf] ;d"xnfO{ o; sfo{qmddf ;xefuL u/fpg ;Sg]5 .

-5_

!!=

!@=

-%_ ;b:on] sfo{qmddf ;xefuL x'g lt/]sf] /sd lkmtf{ x'g] 5}g / pQm /sd ;]jf pkof]u gu/]sf] sf/0fn] csf]{ aif{sf] nflu ;+lrt ePsf] klg dflgg] 5}g . ;/sf/n] of]ubfg jfktsf] /sd e'QmfgL ul/lbg] M -!_ g]kfn ;/sf/ ;xsf/L tyf ul/aL lgjf/0f dGqfnoaf6 k|fKt u/]s]f clt ul/a, ul/a / hf]lvddf k/]sf kl/jf/sf] kl/rokqsf] cfwf/df o; sfo{qmdsf] ;b:o aGg rfx]df ;f] kl/ro kqsf] cfwf/df sfo{qmdf ;b:o agfpg ;lsg]5 . -@_ pklgod -!_ adf]lhd ;b:o ag]sf] JolQmn] cg';'rL–$ adf]lhdsf] of]ubfg afktsf] /sddf qmdzM ;o k|ltzt, krxQ/ k|ltzt / krf; k|ltzt of]ubfg /sddf 5'6 kfpg]5 . ljz]if sf]if ;DaGwL Aoa:yfM -!_ o; sfo{qmdnfO{ k|efjsf/L ?kdf ;+rfng ug{ ;ldltn] ljz]if sf]if :yfkgf ug{ ;Sg]5 . ;b:ox?n] of]ubfg u/]sf] /sd ;ldltn] sf]ifdf hDdf ug{ ;Sg]5 . -@_ o; lgod adf]lhd pkrf/ /sd e'QmfgL ug'{ k/]df ;ldltn] pklgod -!_ adf]lhdsf] sf]ifjf6 e'QmfgL lbg]5 . -#_ pklgod -!_ adf]lhdsf] sf]ifdf b]xfo adf]lhdsf ;|f]tx?af6 /sd hDdf x'g ;Sg]5M– -s_ :yfgLo lgsfoaf6 k|fKt /sd, -v_ :jb]zL AolQm jf ;+3 ;:yfaf6 k|fKt /sd, -u_ a}b]lzs ;xof]uaf6 k|fKt /sd, -3_ ;ldltaf6 k|fKt /sd . -$_ o; lgod adf]lhd pkrf/ ug]{ afx]s c;fWo k|s[ltsf /f]usf] sf/0f u/Lj ljkGg JolQm jf 3/ kl/jf/n] pkrf/ ug{ g;Sg] e} pklgod -%_ df pNn]v ul/Psf /f]u nfu]sf]] cj:yf ePdf To:tf lj/fdLsf] pkrf/sf] lg/Gt/tfsf] ;ldltn] o;} sf]ifjf6 ug{ ;Sg]5 . -%_ pklgod -!_ adf]lhdsf] sf]ifsf] /sd o; lgod adf]lhd pkrf/ ubf{ /sd gk'u x'g] cj:yf cfPdf c'g;"rL % -s_ df pNn]v ul/Psf /f]ux?sf] pkrf/df vr{ ul/g]5 .

!#=

-^_ pk lgod @ sf] v08 -u_ adf]lhdsf] /sd k|fKt ubf{ cy{ d+qfnosf] k"j{ ;xdtL lng' kg]5 { . ;b:on] kfngf ug'{kg]{ stJo{x? M o; lgodfjnL adf]lhd ;+rfng x'g] sfo{qmsf ;b:ox?n] b]xfo adf]lhsf zt{ kfng ug'{ pgLx?sf] st{Jo x'g]5M– -s_ kl/jf/sf ;j} JolQmnfO{ sfo{qmddf ;xefuL u/fpg], -v_ sfo{qmdsf nflu tf]lsPsf] of]ubfg /sd lgoldt ?kdf ltg]{ / gjLs/0f ug]{ u/fpg], -u_ cfkm\gf] kl/rokq b'?kof]u gug]{, cfjZos ;'ljwf dfq lng] / :jf:YosdL{nfO{ cgfjZos ;]jf -3_ -ª_ -r_ -5_

;'ljwfsf] nflu cg'lrt bjfj lbg gx'g] . sfo{qmdsf] k|efjsfl/tf a9fpg / u'0f:t/ sfod ug]{ sfo{df c;n gful/ssf] x}l;otdf ;b}j ;xof]u ug]{, :jf:YosdL{n] dfu]sf] ;'rgf lbO{ pkrf/ k|lqmofdf ;xof]u ug]{, ;'tL{hGo / dfbs kbfy{ ;]jg gug]{ / kl/jf/sf ;b:onfO{ klg To:tf j:t' ;]jg gug{ k|f]T;fxg ug]{, cfxf/ ljxf/df Wofg lbg], ;lqmo hLjg ljtfpg], 3/ / 5/l5d]sdf ;/;kmfOdf Wofg lbO /f]u nfUg glbg] . -6_

परिच्छेद–३ सुम्िधा योजना सभबन्धी व्यिस्था

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;'ljwf k|bfg ug]{ M-!_ ;ldltn] cfb]zsf] bkmf ^ adf]lhdsf ;]jf jf j:t'x?sf] ;'ljwf cg';"rL–^ / cg';"lr–!^ df plNnlvt ;'lawf sf]ifdf /x]sf] /sdjf6 k|bfg ug]{5 . t/, sfo{qmdsf] ;'jLwf /sddf kl/jt{g ug'{ k/]sf] v08df cy{ dGqfnosf] k"j{ ;xdlt lng'kg]{ 5 . -@_ ;ldltn] ;|f]t, ;fwgsf] pknJwtf / ;du| :jf:Yo ;]jfsf] cfjZostfsf] cfwf/df cg';"rL–^ / cg';"lr– !^ sf]] ;'ljwfdf yk 36 ug{ ;Sg]5 . -#_ ;b:on] pklgod -!_ df pNn]v eP adf]lhdsf] ;]jf ;'ljwf lnPdf b]xfo adf]lhdsf] clwstd xb;Ddsf] ;'ljwf k|fKt ug{ ;Sg]5M– -s_ kfFrhgf;Ddsf] kl/jf/sf nflu k|lt kl/jf/ k|lt jif{ krf; xhf/ ?k}of;Dd, -v_ kl/jf/sf kfFr hgfeGbf a9L ;b:osf] xsdf k|lt ;b:o yk bz xhf/ ?k}ofsf b/n] k|lt jif{ Ps nfv ?k}of;Dd, -$_pklgod -#_ df h'g;'s} s'/f n]lvPsf] ePtfklg ;ldltn] s'g} JolQmn] o; sfo{qmdsf] ;b:otf lnP kZrft\ lghnfO{ aRrf hGd]df ;b:osf] gjhft lzz'nfO{ lghsf] kl/jf/sf] af+sL ;Demf}tf cjwL;Ddsf] nflu of]ubfg /sd glnO{ ;]jf ;'ljwfdf ;fd]n u/fpg ;lsg]5 . -%_ o; lgodfjnL adf]lhd ;+rflnt sfo{qmdleq ;dfa]z x'g] lgbfgfTds tyf pkrf/fTds ;]jfx? pklgod -#_ sf] ;Ldfleq /xL k|fKt ug{ ;lsg]5 . -^_ ;b:on] pkrf/sf] qmddf pklgod -#_ adf]lhdsf] ;'ljwfsf] clwstd xbleqsf] /sd pkof]u u/L ;s]sf] ca:yfdf SofG;/, d'6', lduf}nf, :kfOgn tyf x]8 OGh'/L, l;sn;]n Plgldof, O{af]nf, P8;\ tyf of}g/f]u, O{Gˆn'oGhf, kfls{G;g, bd, dw'd]x, cNhfO{d/ tyf l8d]lG;ofsf] yk pkrf/ ug'{ k/]df ;ldltn] ;f] ;DaGwL sfo{lalw agfO{ lgod !@ adf]lhdsf] sf]ifjf6 krf; xhf/ ?k}of;Ddsf] yk ;'lawf pknAw u/fpg ;Sg]5 . -&_pklgod -^_ adf]lhsf] ;'lawf pkof]u ug]{ ;b:on] lakGg gful/s lgb]{lzsf adf]lhd k|fKt ug]{ ;f] a/fa/sf] ;'lawf kfpg] 5}g . -*_ ;b:on] o; sfo{qmd cGtu{t ;]jf lnbf lgh ;b:o x'Fbfsf avt ;'?df cfkm}n] 5fg]sf] :jf:Yo ;+:yfjf6 ;]jf lng ;Sg]5 . -(_ ;b:on] pklgod -*_ adf]lhdsf] ;+:yfjf6 ;]jf pknJw x'g g;s]df pQm :jf:Yo ;+:yfjf6 l;kmfl/; ePsf] :jf:Yo ;+:yfaf6 lng' kg]{5 . -!)_ pklgod -(_ adf]lhd ;+:yfn] l;kmfl/; ubf{ ;ldltn] tf]s]sf] / lj/fdLnfO{ kfos kg]{ :jf:Yo ;+:yfdf ug'{kg]{5 .

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;fdfGo k/LIf0f ug'{ kg]{ M -!_ :jf:Yo rf}sLn] $) jif{ / ;f] eGbf dfly pd]/ k'u]sf o; sfo{s|dsf ;b:osf] jif{df Psk6s :jf:Yosf] ;fdfGo k/LIf0f ug'{ kg]{5 . ;fdfGo k/LIf0fdf ug'{kg]{ ;]jfx? cg';"lr– & df pNn]v eP adf]lhdsf x'g]5g . -@_ ;ldltn] pk lgod-!_ adf]lhdsf] k/LIf0fsf] vr{ cg';"lr !$ df pNn]v eP adf]lhdsf] b/n] e'QmfgL

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ug]{5 . ;]jfdf ;x–e'QmfgL tf]Sg ;Sg] M ;ldltn] cfb]zsf] bkmf ^ df pNn]lvt ;]jfdWo] s'g} jf ;j} ;]jfdf ;x–e'QmfgL tf]Sg ;Sg]5 . ;'ljwf ;dfj]z gx'g] M -!_ lgod !$ df h'g;'s} s'/f n]lvPsf] ePtfklg cg';"rL– * df plNnlvt ;]jfx? ;'ljwf sfo{qmddf ;dfj]z ePsf] dflgg]5}g\ . -@_] pklgod -!_ adf]lhdsf ;'ljwfx? ;do ;dodf ;ldltn kl/dfh{g ug{ ;Sg]5 . l;kmfl/; -k|]if0f_ ;DaGwL Joj:yfM -!_;DalGwt :jf:Yo ;+:yfn] cfkm\gf] :jf:Yo ;+:yfdf ;]jf pknJw x'g g;Sg] ePdf ;b:onfO{ cg';"rL–( adf]lhdsf] 9fFrfdf ;"rLs[t ;+:yfx?dWo] kfos kg]{ jf /f]u;+u ;DjlGwt ljlzi6Ls[t :jf:Yo ;+:yf jf c:kQfndf l;kmfl/; ug'k{ g]{5 . -@_ pkbkmf -!_ adf]lhd l;kmfl/; e} cfPsf] ;b:onfO{ l;kmfl/; ug]{ c:ktfnn] pknAw ;]jf k|bfg ug'{ kg]{5 . -#_ pkbkmf -@_ adf]lhdsf] ;b:o l;kmfl/ ul/Psf] :jf:Yo ;+:yfdf btf{ ePsf] / l8:rfh{ e} hf+bfsf] hfgsf/L l;kmfl/; ug]{ :jf:Yo ;+:yfnfO{ lbg' kg]{5 . -$_ o; lgodfjnL adf]lhd ;b:on] btf{sf] avt tf]ss ] ]f :jf:Yo ;+:yf afx]s ;"lrs[t cGo :jf:Yo ;:yfdf ;f]em} ;]jf lng uPdf nfu]sf] vr{sf] @% k|ltzt ;x e"QmfgL ug'{kg]{5 . t/ cfsl:ds pkrf/sf] xsdf of] Aoj:yf nfu" x'g] 5}g . lgMz'Ns :jf:Yo ;]jf sfo{qmd M o; lgodfjnL adf]lhd ;+rfng x'g] sfo{qmd k|f/De x'bfsf avt lhNnfdf ;+rfngdf /x]sf lgz'Ns :jf:Yo ;DaGwL sfo{qmd tyf ljkGg gful/snfO{ lbO{g] pkrf/ vr{ dGqfno;Fu ;dGjo u/L qmdzM o;} sfo{qmddf ;dfof]hg ul/g]5 .

परिच्छेद–४ सेिा प्रदायकको व्यिस्थापन ि िुक्तानी

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;"lrs/0fsf] nflu cfj]bg lbg'kg]{ M -!_ o; lgodfjnL adf]lhd ;]jf k|jfx ug{ rfxg] k|rlnt sfg"g adf]lhd :yfkgf ePsf :jf:Yo ;+:yf jf c:ktfnn] ;'lrs/0fsf] nflu ;ldlt ;dIf cg';"lr–!) adf]lhdsf] 9f+rfdf cfj]bg lbg'kg]{5 . -@_ pklgod -!_ adf]lhdsf cfj]bgdf b]xfoadf]lhdsf s'/fx? ;dfj]z ePsf] x'g'kg]{5 M– -s_ dxfgu/kflnsf / pkdxfgu/kflnsfsf] xsdf slDtdf %) z}of / gu/kflnsf / uf=la=;=sf] xsdf @% z}of ePsf], -v_ :jf:Yo ;+:yfsf] cfkm\g} kmfd]{;L ePsf], -8_

-u_ c:ktfndf Pp6f d]h/ / Pp6f dfOg/ cf]=6L ePsf], -3_ :jf:Yo ;'/Iff sfo{qmdn] lgwf{/0f u/]sf] b/df ;]jf lbg tof/ ePsf], -8_ c:ktfnsf] cfkm\gf] ;]jf ;+rfng sfo{lalw ePsf], -r_

;+:yf ;+rfng cg'dltkq / ;f] sf] gljs/0f / k|rlnt sfgg" adf]lhd s/ r'Stf k|df0fkq k]z ePsf], -5_ ;ldltn] lgwf{/0f u/]sf cGo cfwf/ k'/f u/]sf] . -#_ pklgod -!_ adf]lhd kg{ cfPsf] cfj]bg pk/ ;ldltn] 5fgljg ubf{ pklgod -@_ df pNn]lvt s'/fx? k'/f u/]sf] kfOPdf To:tf] ;+:yfnfO{ ;'lrs[t ug{ ;lsg]5 . -$_ o; lgod adf]lhd tf]lsPsf dfkb08 k'/fug]{ :jf:Yo ;+:yfnfO{ o; sfo{qmdsf] k|of]hgsf] nflu kfFr

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aif{sf] nflu ;"rLs/0f ul/g]5 . -%_ o; lgoddf h'g;'s} s'/f n]lvPsf] eP tfklg ;/sf/L :jf:Yo ;+:yfsf] xsdf ;"lrs/0f ;DaGwL Joj:yf nfu' x'g] 5}g . gljs/0f ug{'kg]{ M -! lgod @@ adf]lhd ;"rLs/0f ePsf :jf:Yo ;+:yfn] ;+emf}tf adf]lhd sfo{qmdnfO{ lg/Gt/tf lbg rfx]df kfFr aif{df gljs/0f ug{' kg]{5 . -@_ lgod @@ sf] pklgod -$_ adf]lhd lbOPsf] ;"rLs/0fsf] Dofb ;dfKt x'g'eGbf slDtdf Ps dlxgf cufj} gljs/0f ug{sf] nflu ;ldlt ;dIf lgj]bg lbg' kg]{5 . -#_ pklgod -@_ adf]lhd lgj]bg k/]df ;ldltn] cfkm} jf pk;ldlt u7g u/L pQm ;+:yfsf] lg/LIf0f jf cg'udg ug'{ kg]{5 . -$_ pklgod -#_ adf]lhd cg'udg ;ldltn] gljs/0f ug{ pko'Qm 5 egL l;kmfl/; u/]df ;ldltn] gljs/0f ug'{ kg]]5 { . ;Demf}tf ug'{kg]{ M o; sfo{qmd adf]lhd ;]jf k|jfx ubf{ ;ldlt / :jf:Yo ;+:yf aLr cg';"rL– !@ adf]lhdsf] 9fFrfdf ;Demf}tf ug'{kg]{5 . ;]jf pknAw u/fpg] M -!_ :jf:Yo ;+:yfn] ;b:onfO{ /fli6«o k|f]6f]sn cg'?k lgod @# adf]lhdsf] ;Demf}tfsf] clwgdf /xL ;]jf pknAw u/fpg' kg]{5 t/ To:tf] k|f]6f]sn gag'Gh]n;Dd k|rlnt k|f]6f]sn cg'?k ;f] ;]jf pknAw u/fpg ;lsg]5 . -@_ :jf:Yo ;+:yf jf c:kQfnn] cGt/+u ;]jf k|bfg ubf{ nfUg ;Sg] cg'dflgt vr{sf] /sdaf/]] ;b:onfO{ ;]jf z'? ug'{ cufj} hfgsf/L u/fpg' kg]{5 . -#_ ;DalGwt :jf:Yo ;+:yf jf c:kQfnn] cfsl:ds cj:yfdf afx]s cGo cj:yfdf cGoq pkrf/sf] nflu btf{ jf egf{ ePsf ;b:onfO{ l;kmfl;sf cfwf/df pkrf/ ug'{ kg]{5 . -$_ o; lgodfjnL adf]lhd ;"rLs[t :jf:Yo ;+:yfn] lgodljkl/t;]jf k|jfx u/]df To:tf] ;]jf jfktsf] vr{ e'QmfgL ug{ ;ldlt afWo x'g]5}g . e'QmfgL ;DaGwL Joj:yf M -!_ ;ldltn] :jf:Yo ;+:yffjf6 k|jfx x'g] ljleGg ;'ljwfsf] e'QmfgLsf] b/ / ljlw ;do ;dodf tf]Sg]]5 . -@_ pk lgod -!_ adf]lhdsf] e'QmfgLsf] b/ / ljlw cg';"lr–!# df pNn]v eP adf]lhd x'g]5 .

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bfjL e'QmfgL ;DaGwL Joj:yf M -!_ :jf:Yo ;+:yfn] cfkm"n] k|bfg u/]sf] ;]jfsf] tLg k|lt ljn tof/ u/L klxnf] k|lt e'QmfgLsf] nflu ;ldltnfO{ a'emfO{ bf];|f] k|lt cfkm}+n] /fVg] / t];|f] k|lt ;DalGwt ;b:onfO{ lbg' kg]{5 . -@_pklgod -!_ adf]lhd bfjL e'QmfgL ubf{{ g]kfn ;/sf/af6 lgMz'Ns k|fKt cf}ifwL vl/b ubf{ nfu]sf] vr{ jfktsf] /sd 36fO{ afFsL /sd bfjL ug'{ kg]{5 t/ :jf:Yo ;+:yfn] cf}ifwL cfkm}n] v/Lb u/L lgMz'Ns lj/fdLnfO{ pknJw u/fPsf] /x]5 eg] ;f] cj:yfdf ;ldlt;+u ePsf] ;Demf}tfsf] b/df e'QmfgL ug{ afwf kg]{ 5}g . -#_ :jf:Yo ;+:yfn] ;fdfGotof x/]s dlxgf b'O{ ls:tfdf ga9g]u/L ls:tf cjlw ;dfKt ePsf] ldltn] ;ft lbgleq e'QmfgL dfu ug'{ kg{]5 . o:tf] e'QmfgL dfu ubf{ cg';'rL–!$ adf]lhdsf] ljj/0f;lxt klxnf] k|lt lan ;+nUg u/L;ldltn] tf]s]sf] :yfgdf kmf+6jf/L a'emfpg' kg]{5 . ;f]wegf{ lbg] M -!_ ;ldltn] lgod @% adf]lhdsf] e'QmfgLsf nflu bfjL;fy ;+nUg u/]sf ljn k/LIf0f u/L bfjL e'\QmfgL ug{ c+u k'u]sf] ldltn] PSsfO; lbgleq ;f]wegf{ u/L ;Sg'kg]{5 / ;]jf k|bfosnfO{ ;f] sf] hfgsf/L cg';'rL– !% adf]lhdsf] 9f+rfdf lbg'kg]{5 . -@_pklgod -!_ adf]lhd ;f]wegf{ ubf{ lgod @& adf]lhd lbPsf] k]ZsL /sd s6\6f u/L af+sL /sd ;f]wegf{ ug'{kg]{5 . k]ZsL /sd pknJw u/fpg ;Sg] M -!_ :jf:Yo ;+:yf jf c:kQfnnfO{ ;ldlt;+u ePsf] ;Demf}tf adf]lhdsf] pkrf/sf nflu ;ldltn] tf]s] adf]lhdsf] /sd clu|d ?kdf k]ZsL pknJw u/fpg ;Sg]5 . -@_ pk lgod -!_ afx]ssf :jf:Yo ;+:yfsf] xsdf ;ldlt / :jf:Yo ;+:yf jf c:kQfn aLr x'g] ;Demf}tfdf pNn]v eP adf]lhdx'g]5 . ;Demf}tf :yug jf /4 ug{ ;lsg] M -!_ ;ldltn] b]xfosf cj:yfdf :jf:Yo ;+:yf;+usf] ;Demf}tf :yug jf /4 ug{ ;Sg]5M–, -s_ ;Demf}tf cg';f/sf] ;]jf pknJw gu/fPdf, -v_ cfb]z / o; lgodfjnL adf]lhd /fVg' kg]{ clen]v cBfjlws u/]sf] gb]lvPdf jf em'7f k|ltj]bg k]z u/]df, -u_ sfo{qmd ;+rfngdf nfk/jfxL u/]df jf cfkmgf] ;+:yfdf To:tf] ;]jf pknAw x'+bf x'b }cGoq l;kmfl/; u/]df, -3_ ;ldlt cfkm} jf ;ldltn] u7g u/]sf] t];|f] kIf ;lDdlnt d"Nof+sgaf6 p7fOPsf laifox? lgwf{l/t ;dofjlwleq k'/f gu/]df . -@_pklgod -!_ adf]lhd ;Demf}tf :yug jf /4 ug'{ cl3 :jf:Yo ;+:yfnfO{ ;ldltn]] ;kmfO{ k]z ug{ dgfl;j dflkmssf] df}sf lbg'kg]{5 . -#_ pklgod -@_ adf]lhd k]z ePsf] ;kmfO{ ;Gtf]ifhgs gb]lvPdf ;ldltn] :jf:Yo ;+:yfnfO{ tLg dlxgfsf]] nflu cf+lzs jf k"0f{?kdf ;Demf}tf :yug ug{ jf ;Demf}tf /2 ug{ ;Sg]5 . -$_ pklgod -#_ adf]lhd ;Demf}tf :yug jf /4 ePsf] :jf:Yo ;+:yfnfO{ ;]jf k|jfxdf ;Gtf]ifhgs ;'wf/ u/]sf] kof{Kt cfwf/ ;lxt lgj]bg lbPdf ;ldltn] hf+r u/L ;Demf}tf adf]lhdsf ;]jf k'gM cj?2 gx'g] s'/fdf ;ldlt ljZj:t ePdf To:tf] :ylut ;Demf}tf km's'jf ug{ jf k'gM ;Demf}tf ug{ ;Sg]5 .

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:jf:Yo ;+:yfsf] sfd, st{Jo / clwsf/ M :jf:Yo ;+:yfsf] sfd, st{Jo / clwsf/ b]xfo adf]lhd x'g]5 M -s_ ;b:onfO{ ;Demf}tf adf]lhdsf] ;'ljwfsf] Kofs]h u'0f:t/Lo ?kdf k|bfg ug]{, -10_

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btf{ Pj+ ;f]wk'5sf nfuL plrt k|aGw ldnfpg], ;ldltn] tf]s]sf] lglZrt k|s[of / 9f+rfdf clen]v /fVfL k|ltj]bg ug]{, :jf:Yo ;+:yfsf] cfkm\g} kl/;/df cf}ifwL ljt/0f sIfsf] Joj:yfkg ug]{ / ;b:onfO{ cf}ifwL pknJw

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u/fpg] Joj:yf ldnfpg], :jf:Yo ;'/Iff sfo{qmd k|of]hgsf nflu tf]lsPsf] ;]jf tyf cf}iflwx?sf] lg/Gt/ pknAw x'g] Joj:yf ;'lglZrt ug]{, ;]jfu|fxLsf] u'gf;f] ;'g'jfO{ / ;f] sf] Joj:yfkg ug]{, u/fpg], ;b:otf btf{ ug]{ sfo{df cfjZos ;xof]u pknAw u/fpg], c:ktfn jf :jf:Yo ;]jf s]Gb|df pknJw eP;Dd ;DalGwt ;b:on] /f]h]sf] :jf:YosdL{af6

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k/LIf0f ug{ kfpg] Joj:yf ldnfpg], sfo{qmdsf ;b:onfO{ lzi6tf k"j{s Jojxf/ ug]{, :jf:YosdL{x?n] cf}ifwL l;kmfl/; ubf{ h]g/Ls gfdaf6 dfq l;kmfl/; ug]{ Joj:yf ldnfpg] .

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परिच्छेद–५ औषधी सभबन्धी व्यिस्था

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cf}ifwLsf] ljj/0f ;DaGwL Joj:yf M sfo{qmd cGtu{t cfsl:ds, alx/+u/ cGt/+u ;]jfsf nflu ljt/0f ul/g] cf}ifwLsf] ljj/0f cg';'rL–!^ df pNn]v eP adf]lhd x'g]5 .

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;x–e'QmfgL ;DaGwL Joj:yfM -!_ lgMz'Ns pknAw x'g] cf}ifwL afx]ssf alx/+u ;]jf lng] ;b:on] cf}ifwLsf] e'QmfgLdf kGw| k|ltzt ;x e"QmfgL ug'{kg]{]5 . -@_ pk lgod -!_ df h'g;'s} s'/f n]lvPsf] ePtfklg u/LjLsf] kl/ro kq k|fKt u/]sf ;b:on] To:tf] cf}ifwLdf ;x–e'QmfgL ug'{ kg]{ 5}g . ;b:onfO{ cf}ifwL pknAw u/fpg] ljlw / ;doM -!_ :jf:YosdL{n] ;b:onfO{ cf}ifwL l;kmfl/z ubf{ h]g]l/s gfdaf6 l;kmfl/z ug'{ kg]{5 .

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-@_ :jf:YosdL{n] ;b:onfO{ cg';"rL–!^ df plNnlvt cf}ifwL] Ps k6sdf a9Ldf tLg dlxgf;Ddsf nflu l;kmfl/z ug{ ;Sg]5 . ;f] cjwL kZrft\ k'gM hf+r u/fP/ dfq cf}ifwL l;kmfl/z ug'{kg]{5 . cf}ifwL cfk'lt{ Joj:yfM -!_ ;]jf k|bfosn] cfkm\gf] ;+:yfdf o; sfo{s|d cGtu{tsf] cf}ifwL ljt/0f ug{ kmfd]{;L hgzlQm ;lxtsf] 5'6\6} sIfsf] Joj:yf u/L ;f]xL sIfaf6 ;b:onfO{ cg';"rL–!^ adf]lhdsf cf}ifwL ljt/0f ug'{kg]{5 . -@_ :jf:Yo ;+:yfn] cf}ifwL sIfdf rf}lj;} 306f cf}ifwL pknJw u/fpg] Joj:yf ;'lglZrt ug'{ kg]{5 . -#_ pk lgod -@_ df h'g;'s} s'/f n]lvPsf] ePtfklg k|fylds :jf:Yo s]Gb|n] cfsl:ds ;]jfnfO{ cfjZos kg]{ cf}ifwL rf}lj;} 306f pknJw x'g] u/L cf}ifwLsIf slDtdf sfof{no ;do;Dd vf]Ng'kg]{5 . -$_ pk lgod -!_ adf]lhdsf] cf}ifwL sIf k|rlnt kmfd]{;L dfkb08 cg'?k x'g' kg]{5 . -%_ ;ldltn] ljefu;+u ;dGjo u/L :jf:Yo ;+:yfaf6 sfo{s|dsf] nflu ljt/0f ug]{ cf}ifwL cfk'lt{ ;DaGwL Joj:yfsf] ljlw / k|s[of tf]Sg ;Sg]5 . u'0f:t/o'Qm cf}ifwL ljt/0f ug'{kg]{M -!_ :jf:Yo ;+:yfnn]] cfkm\gf] cf}ifwL sIfaf6 cf}ifwL ljt/0f ug]{ Joj:yf ldnfpg' kg]{5 . -11_

-@_ :jf:Yo ;+:yfn] ;b:onfO{ cf}ifwL ljt/0f ubf{ lrlsT;s jf :jf:YosdL{sf] k|]l:qmK;gsf] cfwf/df cf}ifwL ljt/0f ug'{ kg]{5 . ;b:onfO{ cf}ifwL ;]jg ug]{ ljlw / ;doaf/] lghn] a'em\g] efiffdf hfgsf/L u/fpg' kg]{5 . -#_ :jf:Yo ;+:yfn] cf}ifwL ljt/0f ubf{ ;b:on] pkof]u ug]{ clGtd ;do;Dd cf}ifwLsf] Dofb af+sL /x]sf] ;'lglZrt u/]/ dfq ljt/0f ug'{ kg]{5 . -$_ :jf:Yo ;+:yfn] sfo{s|dsf] nflu ljt/0f ug]{ cf}ifwLsf] u'0f:t/ cf}ifwL Joj:yf ljefun] tf]s] adf]lhd x'g' kg]{5 . -%_ ;ldltn] pk lgod -!_ adf]lhd ljt/0f x'g] cf}ifwLsf] ;do ;dodf gd'gf lnO{ cf}ifwL Joj:yf u'0f:t/o'Qm eP gePsf] ljefuaf6 k/LIf0f u/fpg ;Sg]5 .

#%=

-^_ ;ldltn] pk lgod-@_ adf]lhdsf] u'0f:t/ k/LIf0f ubf{ lgwfl/t u'0f:t/ gePsf cf}ifwLnfO{ hkmt u/L ;DalGwt s;'/bf/nfO{ k|rlnt sfg'g adf]lhd sf/jfxL ug{ cf}ifwL Joj:yf ljefudf n]lvk7fpg]5 . cf}ifwLsf] d"No lgwf{/0f ug{ ;Sg] M -!_ o; sfo{s|dsf] nflu :jf:Yo ;+:yfaf6 ljt/0f x'g] cg';"lr–!^ adf]lhdsf cf}ifwLx? k|rlnt ahf/ d'No eGbf sd x'g] u/L ljt/0fsf] Joj:yf ldnfpg pTkfbs sDkgL jf ;f] sDkgLsf] cflwsfl/s k|ltlglw;+u jftf{åf/f d"No lgwf{/0f ug{ ;ldltn] b]xfo adf]lhdsf] cf}ifwL d'No lgwf{/0f l;kmfl/z ;ldlt u7g ug]{5M– -s_

-v_ ;b:o -u_ -3_ -8_ -r_

g]kfn ;/sf/4f/f dfGotf k|fKt lzIf0f ;+:yfaf6 kmfd]{;L ;DaGwL ljifodf sDtLdf :gftsf]Q/ pkflw xfl;n u/L kmfd]{;Lsf] If]qdf sDtLdf kGw| jif{sf] sfof{g'ej ePsf JolQmx?dWo]]af6 ;ldltn] tf]lslbPsf] Ps hgf –;+of]hs cf}ifwL Joj:yf ljefusf] clws[t :t/sf] k|ltlglw – :jf:Yo ;]jf ljefusf] clws[t:t/sf] k|ltlglw

–;b:o

dGqfnosf] sfg"g clws[t :jf:Yo ;+:yfdWo]af6 ;ldltn] dgf]gog u/]sf] sDtLdf Pshgfdlxnf ;lxt b'O{ hgf ;ldltn] tf]s]sf] :jf:Yo cy{ lj1 Ps hgf

–;b:o –;b:o –

;b:o

-5_ ;ldltn] tf]s]sf] sfo{qmdsf ;b:o jf pkef]Qmf ;ldltsf] k|ltlglw –;b:o -h_ sfo{sf/L lgb]{zsjf lghn] tf]s]sf] jl/i7 txsf] clws[t –;b:o ;lrj -@_ d"No lgwf{/0f l;kmfl/ ;ldltn]] cfjZostf cg';f/ ljifo ljz]if1nfO{ a}7sdf cfdGq0f ug{ ;Sg]5 . -#_ d"No lgwf{/0f l;kmfl/z ;ldltsf] a}7s ;DaGwL sfo{ljlw ;ldltn] lgwf{/0f u/] adf]lhd x'g]5 . -$_ pklgod-!_ adf]lhdsf] d'No lgwf{/0f l;kmfl/z ;ldltn] cf}ifwLsf] d'No lgwf{/0f u/L ;ldlt ;dIf l;kmfl/z ug' kg]{5 . -%_ pklgod -$_ adf]lhd lgwf{/0f ePsf] d'Nodf ;ldltn] ;Demf}tf cg';f/ :jf:Yo ;+:yfnfO{ cf}ifwLjfktsf] /sd e'QmfgL ug]{5 .

-12_

#^=

-^_ c:ktfn kmfd]{zL ;+rfng ;DaGwL dGqfnoaf6 ePsf] gLltut Aoj:yf cGt{ut laqmL d"No sfod ug{ o; Aoj:yfn] afwf k–'ofPsf] dflgg] 5}g . v/Lb d'Nodf yk ug{ ;Sg] M lgod #% adf]lhd d'No lgwf{/0f geP;Ddsf] nflu :jf:Yo ;+:yfn] o; lgodfjnL adf]lhdsf] cf}ifwL vl/b ul/ ljt/0f u/]sf] cj:yfdf To:tf] cf}ifwLsf] v/Lb d"Nodf k|zf;lgs vr{ jfkt kf+r k|ltzt;Dd d"No yk u/L ;ldltn] ;DalGwt :jf:Yo ;+:yfnfO{ e'QmfgL ug{ ;Sg]5 . परिच्छेद–६

;ldlt ;DalGw Aoa:yf #&=

lhNnf :jf:Yo ;'/Iff ;+of]hg ;ldlt M -!_ lhNnf:t/df /x]sf ;]jf v/Lb, :jf:Yo ;+:yf, :yfgLo lgsfo Pj+ ;b:o aLr :jf:Yo ;'/Iff sfo{qmdsf] kx'+r a[l4 ug{] sfo{df ;dGjo ug{ Ps lhNnf :jf:Yo ;'/Iff ;+of]hg ;ldlt u7g ul/g]5 . -@_ lhNnf :jf:Yo ;'/Iff ;+of]hg ;ldltdf b]xfosf kbflwsf/L /xg]5g\M– -s_ lhNnf ljsf;;ldltsf] ;efklt -v_ k|d'v lhNnf clwsf/L jf lghn] tf]s]sf] clws[t k|ltlglw -u_ :yfgLo ljsf; clwsf/L – ;b:o -3_ ;fdflhs :jf:Yo ;'/Iff sfo{qmddf ;"rLs[t :jf:Yo ;+:yf /x]sf] gu/kflnsf jf ufFp ljsf; ;ldltsf k|d'v jf cWoIfx? dWo] -ª_ -r_ -5_ -h_ –;b:o -em_ -`_ -6_

– ;+of]hs – ;b:o

;+of]hsn] tf]s]sf] b'O{ hgf – ;b:o sf]if tyf n]vf lgoGqs sfof{no k|d'v jf lghn] tf]s]sf] clws[t k|ltlglw ;b:o ;+of]hsn] tf]s]sf] gful/s ;dfhsf] k|ltlglw –;b:o lhNnf lzIff clwsf/L jf lghn] tf]s]sf] clws[t k|ltlglw –;b:o ;]jf k|bfos :jf:Yo ;+:yfsf k|d'vx?dWo] @ hgf sfo{qmdsf ;b:ox? dWo]af6 ;ldltn] tf]s]sf] a9Ldf b'O hgf k|ltlglw lhNnf hg÷:jf:Yo sfof{nosf k|d'v lhNnf k|aGws

–;b:o –;b:o ;b:o ;lrj

-#_lhNnf;+of]hg ;ldltsf] sfd, st{Jo / clwsf/ b]xfo adf]lhd x'g]5M -s_ -v_ -u_ -3_

;]jf k|jfxdf ;xhtf Nofpg ;dGjo ug]{, Go"g cfo ePsf ju{nfO{ :jf:Yo ;'/Iffsf] dfWodaf6 ;fdflhs ;'/Iff k|Tofe't ug]{ sfo{df ;xof]u ug]{, :jf:Yo ;+:yfx?sf] k'jf{wf/ :t/f]GgtLdf ;xof]u k'/\ofpg], ;ldltsf] lhNnf sfof{nosf] ;dGjodflhNnf leqsf :jf:Yo ;'/Iff ;DaGwL sfo{qmdsf] cg'udg ug]{, -13_

--ª_ :jf:Yo ;'/Iffdf ;j} ;/f]sf/jfnfx?sf]] ;xeflutf clea[l4 ug{] . -$_ lhNnf;+of]hg ;ldltsf] a}7s sDtLdf jif{sf] @ k6s a:g' kg]{5 . -%_ lhNnf ;+of]hg ;ldltsf] a}7sdf lj1 ;b:onfO{ cfdGq0f ug{ ;lsg]5 . #*=

-^_ a}7s ;+rfng ;DaGwL cGo Aoa:yf lhNnf ;+of]hg ;ldltn] tf]s] adf]lhd x'g]5 . :jf:Yo ;+:Yff ;dGjo ;ldlt M -!_ ;DalGwt :jf:Yo ;+:yfdf /x]sf] ;+rfns ;ldlt jf Joj:yfkg ;ldltn] :jf:Yo ;'/Iff sfo{qmdsf] sfof{Gjogdf ;dGjo ug]{5 . ;dGjo ;ldltdf o; k|of]hgsf nflu ;ldltn] sfo{qmdsf] ;b:o ePsf Pshgf dlxnf;lxt @ hgf JolQmnfO{ ;b:o tf]Sg ;Sg]5 . -@_ lghL If]qsf :jf:Yo ;+:yfdf pklgod-!_ adf]lhdsf] ;dGjo ;ldlt gePdf To:tf] ;]jf k|bfosn] o; k|of]hgsf nflu ;dGjo ;ldlt u7g u/L ;ldltnfO{ hfgsf/L u/fpg' kg]{5 . -#_ pklgod -!_ jf -@_ adf]lhdsf] ;ldltsf] sfd, st{Jo / clwsf/ b]xfo adf]lhd x'g]5M– -s_ :jf:Yo ;'/Iff sfo{qmddf ;b:otf k|bfg tyf gjLs/0f ug{ ;xhLs/0f ug]{, -v_ :jf:Yo ;'/Iff sfo{qmd ;DaGwL hgr]tgf clea[l4 ug{ ;xof]u k'/\ofpg], -u_ :yfgLo:t/df cfPsf ;d:ofx?sf] ;dfwfg ug]{, -3_ :jf:Yo ;+:yfn] ;ldlt;+u u/]sf] ;Demf}tf cg'?k ;]jf k|bfg ug{ cfjZos Joj:yf ldnfpg], -ª_

:jf:Yo ;'/Iff sfo{s|ddf ;b:otf k|bfg ug{ cfjZos kg]{ :jo+;]js k|f/lDes 5gf}6df ;xof]u ug]{, -$_ :jf:Yo ;'/Iff ;DaGwL a}7s jif{df sDtLdf $ k6s a:g]5 . #(=

u'0f:t/ cg'udg tyf lgoGq0f ;ldltM -!_ ;ldltn] u'0f:t/ cg'udg tyf lgoGq0f ;DaGwL sfd ug{ Ps u'0f:t/ cg'udg tyf lgoGq0f ;ldlt u7g ug{ ;Sg]5 . -s_ ;ldltn] tf]s]sf] laz]if1 lrlsT;s –;+of]hs -v_ -u_ -3_ -ª_ -r_ -5_

/]l8of]nf]lhi6 Kofyf]nf]lhi6 gl;{Ë clws[t kmdf{l;i7 hg:jf:Yo la1 pk ;lra ;f=:jf=;'=lasf; ;ldlt

–;b:o –;b:o –;b:o –;b:o –;b:o –;b:o ;lra

-@_ pklgod-!_ adf]lhdsf] u'0f:t/ cg'udg tyf lgoGq0f ;ldltsf] sfd st{Jo / clwsf/ b]xfo adf]lhd x'g]5M -s_ -v_ -u_

:jf:Yo ;+:yfaf6 k|bfg u/]sf] ;]jf;+u ;DalGwt pkrf/ k|efjsf/L ?kdf u/] gu/]sf] k/LIf0f ug]{, hf]lvdsf cfwf/df pkrf/ s];x?sf] 5gf}6 u/L k/LIf0f ug]{, ;fj{hlgs ePsf ljjfb jf ;'rgf ;d]tsf cfwf/df tTsfn jf ljz]if k|s[of ckgfO k/LIf0f ug{], -14_

-3_ ª_ -r_ -5_ -h_

cfjZos g} gePsf] s'g} ;]jf lbPsf] kfOPdf ;f] ;]jf;+u ;DalGwt e'QmfgL gu{g l;kmfl/; ug]{, k6s k6s Ps} k|s[ltsf] uNtL ug]{ lrlsT;s jf cGo sd{rf/LnfO{ tf]lsPsf] lhDdfaf6 x6fpg dGqfno ;dIf l;kmfl/z ug{], :jf:Yo ;+:yfn] k|bfg ug{] ;]jf ;/n, ;'ne, k|efjsf/L / u'0f:t/Lo ?kdf k|bfg u/] gu/]sf] cg'udg ug]{, l;kmfl/; k|s[of / k4tL tf]lsP adf]lhd ckgfP gckgfPsf] cg'udg ug]{, ;]jf k|bfg ubf{ kfngf ug'{ kg]{ k2tL -k|f]6f]sn / k|f];]8\o'/_ kfngf u/] gu/]sf] cg'udg ug]{,

-em_ kmf]xf]/ Joj:yfkg k|rlnt sfg'g adf]lhd eP gePsf cg'udg ug]{], -`_ ;b:osf] tkm{{af6 btf{ ePsf] jf u/]sf] u'gf;f]sf] ;dfwfg x'g] u/] gu/]sf] cg'udg ug]{ . -#_ u'0f:t/ sfof{non] cfaZostf cg';f/ laifo la1x?sf] /f]i6/ tof/ ug]{5 . -$_ u'0f:t/ cg'udg tyf lgoGq0f ;ldltn] cfaZostf cg';f/ laifo la1nfO{ yk ;b:osf] ?kdf ;xefuL u/fpg ;Sg]5 . परिच्छेद–८ म्िम्िध

$)= $!= $@= $#=

;/sf/L af+sL ;/x c;"n ug]{M ;ldltsf] kbflwsf/L, lhNnf sfof{nosf] kbflwsf/L jf btf{ ;xof]uL s;}n] sfo{qmdsf] s'g} /sd lxgfldgf u/]df To:tf] /sd k|rlnt sfg"g adf]lhd lghaf6 ;/sf/L afFsL ;/x c;"n pk/ ul/g]5 . dGqfnon] sf/jfxL ug'{kg]{ M lgod $) adf]lhd sf/jfxLsf] nflu l;kmfl/z ePsf lrlsT;s jf sd{rf/LnfO{ dGqfnon] ;]jf;+u ;DalGwt sfg"g adf]lhd ljefuLo sf/jfxL ug{ ;Sg]5 . cg'udg ug{ ;Sg]M ;ldltn] :jf:Yo ;'/Iff sfo{qmdsf] lgoldt jf cfsl:ds cg'udg ug{ ;Sg]5 .

$$=

;"'rgf k|ljlwsf] k|of]u ug{ ;Sg]M ;ldltn] cfkm\gf] sfd sf/jfxLnfO{ r':t agfpg ;]jf k|jfxsf ;j} txdf ;'rgf k|ljlwsf] k|of]u ug{ ;Sg]5 . ;'rgf k|ljlwsf] k|of]uaf6 k|ltj]bg lng] Joj:yf ldnfpg ;Sg]5 . :jf:YosdL{ tyf sd{rf/LnfO{ k|f]T;fxgM -!_ ;fdflhs :jf:Yo ;'/Iff sfo{qmd ;+rfng ug]{ :jf:Yo ;+:yf jf

$%=

c:ktfn cGtu{tsf :jf:YosdL{ tyf sd{rf/LnfO{ k|bfg ug]{ k|f]T;fxg /sd tf]lsP adf]lhd x'g]5 M -s_ lgod cGtu{t k|fKt x'g] /sd, -v_ alx/+u tyf cfsl:ds ;]jfsf nflu e'QmfgL ePsf] /sdsf] bz k|ltzt /sd, -u_ cGt/+u ;]jf cGtu{t cf}ifwL afx]ssf nflu e'QmfgL ePsf] /sdsf] 5 k|ltzt /sd . dfl;s k|ltj]bg k]z ug]{M -!_ :jf:Yo ;+:yfnn] k|To]s dlxgfsf] & ut]leq ;]jf k|bfg u/]sf] ljj/0f dfl;s ?kdf

;ldltn] tf]s]sf] 9f+rfdf ;ldltdf k|ltj]bg k]z ug'{ kg]{5 . ;f] sf] Ps k|lt;ldltsf] lhNnf sfof{nonfO{ lbg' kg]{5 . -@_ ;ldltsf] lhNnf sfof{non] k|To]s dlxgfsf] !% ut]leq cg';"rL !& adf]lhdsf] 9fFrfdf dfl;s k|utL k|ltj]bg ;ldlt k7fpg' kg]{5 . $^= cg';'rLdf ;+zf]wg jf x]/km]/ M ;ldltn] o; lgodfjnLsf] cg';'rLdf ;+zf]wg jf x]/km]/ ug{ ;Sg]5 . -15_

$&=

JofVof ug]{ clwsf/ M o; lgb]{lzsfdf plNnlvt s'g} Joj:yf sfof{Gjogdf låljwf pTkGg ePdf ;ldltn] u/]sf] JofVof adf]lhd x'g]5 . cfly{s bfloTj kg]{ ljifodf dGqfnon] u/]sf] JofVof clGtd x'g]5 .

-16_

cg';"rLx?

-17_

cg';"lr–!

-lgod # ;+u ;DalGwt_ g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt btf{ cfj]bg kmf/d 

;fdflhs :jf:Yo ;'/Iff sfo{qmddf d]/f] ;b:otf btf{ ul/lbg' x'g cg'/f]w ub{5' . gofF btf{ ;b:o yk ug]{

3/d"nLsf] gfd

3/d"nLsf] kl/ro kq g++=

!_ JolQmsf] ljj/0f gfdy/ ========================================================================= lnËM dlxnf

□ k'?if □ cGo □hGd ldltM=================

xfnsf] 7]ufgfM=======================lhNnf===================g=kf÷uf=lj=;========j8f============================= 6f]n÷;8s=============3/ g+ kmf]g ÷df]afO{n g+M=============================== Od]n ======================================================kmf]6f] kl/ro kq g+ ================= @_ ;]jf lng rfx]sf] k|yd :jf:Yo ;+:yf =============================================================== k|f=:jf=s]/ c:ktfn #_ btf{ ldlt M ;]jf lqmofzLn x'g] ldlt □ ! efb| □ ! d+l;/ □ ! kmfNu'g □ ! h]i7 $_ ljkGg gful/s xf]

□xf]Og□olb xf] eg] ljkGg gful/s kl/ro kq g+= ========== clt ul/a□ ul/a□ hf]lvddf

k/]sf□ %_ btf{ jfkt /sd ?= ==============

=cIf/df===============================================================/l;b g+===================

^_ dGh'/LM dfly pNn]lvt ;a} Joxf]/f 7Ls 5 . km/s k/]df ;fdflhs :jf:Yo ;'/Iff sfo{qmd -;+rfng_ lgodfjnLn] tf]s]adf]lhdsf] ;hfosf] efuLbf/ x'g tof/ 5' . bfof

afFof

cfj]bssf] x:tfIf/M ========================================ldlt ==================================== sfof{no k|of]hgsf nflu !_ ljj/0f ;+sng ug]s { f] b:tvt @_ k|dfl0ft ug]{sf] b:tvt

gfd y/M

;+s]t g++= M sDKo'6/df k|lji6 ug]{sf] ;xL / ldlt

gfd ldltM

-18_

g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt JolQmut kl/ro kq

bfFof

afFof

;b:osf] b:tvt 

Gffdy/M===================================================================;b:otf g+= M hGd ldltM =========================== 3/d'nLsf] ;b:otf g+=================================== 7]ufgfM======================lhNnf====================================g=kf=÷=uf=lj=;=========j8f

;Dks{ g+

lnËM dlxnf □ k'?if □ cGo □ kl/ro kq Hff/L ldlt ==================== s;}n] of] kl/ro kq e]6fPdf glhssf] /fli6«o ;fdflhs :jf:Yo ;'/Iff, lhNnf sfof{no cyjf glhssf] k|x/L sfof{nodf a'emfO{ lbg' xf]nf

gf]6M

of] kl/ro kqsf] cgflws[t k|of]u ePdf ;b:o :jo+ lhDd]jf/ x'g]5 .

;fdflhs :jf:Yo ;'/Iff ljsf; ;ldltsf] nf]uf] /xg]5 .

-19_

cg';"lr–@ -lgod $-!_ ;+u ;DalGwt_ g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt ;]jf ;'ljwf ;DalGw hfgsf/L ;fdflhs :jf:Yo ;'/Iff sfo{qmdsf] ;b:otf lnO{ sfo{qmddf cfj4 x'g' ePsf]df ;ldlt xflb{s :jfut ub{5. ;ldltn]b]xfo adf]lhdsf ;]jfx? pknAw u/fpg cfZj:t ub{5 . != sfo{qmdsf ;b:ox?nfO{ ;fdflhs :jf:Yo ;'/Iff sfo{qmd ;+rfng lgodfjnL, @)&@ sf] cg';'rL –^ / !& df plNnlvt ;]jf ;'ljwfx? pknAw u/fOg]5 . @= alx/+u tyf cfsl:ds ;]jfx? cfjZostf cg';f/ lng ;lsg]5 . #= a'bfF @ sf cltl/St tf]lsPsf :jf:Yo ;+:yfaf6 k|fKt ug{ ;lsg] ;]jf ;'ljwfsf] aflif{s clwstd ;Ldf b]xfo adf]lhd x'g]5M -s_ kfFr hgf;Ddsf] kl/jf/sf nflu k|lt kl/jf/ k|To]s jif{ ?= %),))).–, -v_ kfFr hgf eGbf a9L ;b:osf nflu k|lt yk ;b:o ?=!),))) b/n] clwstd ?= !,)),))).– ;DDf. $= dfly h];'s} n]lvPsf] ePtfklg cg';"rL– * adf]lhdsf] :jf:Yo ;]jfx?nfO{ ;dfj]z ul/Psf] 5}g . %= of]ubfg /sd s'g} klg sf/0faf6 lkmtf{ x'g] 5}g . ^= ;]jf lng cfpbf ;fydf kl/ro kq lnP/ cfpg' kg]{5 . &= ;]jfsf] k|yd laGb'af6 ;]jf lng' kg]{5 . ;f] laGb'af6 ;]jf k|fKt gx'g] cj:yfdf k|yd ;]jf laGb' egL tf]lsPsf] :jf:Yo ;+:yfaf6 k|]if0fsf] l;kmfl/z lnO{ pkrf/ u/fpg kfOg]5 . *=;b:on] cfkm\gf] st{Josf] kfngf ug'{ kg]{5 . (= kl/ro kq x/fPdf jf RofltPdf jf gi6 ePdf ?= @). lt/L gofF agfpg ;lsg]5 . !)= sfo{qmddf kl/jf/sf ;a} ;b:ox? clgjfo{ ?kn] ;dfj]z x'g kg]{5 . !!= o;df pNn]v gePsf ljifox? jf o;df plNnlvt ljifox?df km/s k/]df lgodfjnL adf]lhd x'g]5 . s'g} ljjfb ePdf ;ldltsf] lg0f{o clGtd x'g]5 .

cg';"lr–# -20_

-lgod (-%_;+u ;DalGwt_

g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt

>L ======================== laifoM :jf:Yo ;+:yf kl/jt{g ;DaGwdf . ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldltn] ;~rfng u/]sf] sfo{qmdsf] :jf:Yo ;+:yf kl/jt{g ul/ lbg'x'g cg'/f]w ub{5' . gfd y/ M kl/jf/sf] d'nLsf] ;+s]t g+= ;b:otf btf{ g+= xfnsf] k|yd :jf:Yo ;+:yf ==========================k|fylds :jf:Yo s]Gb . c:ktfn lhNnfM================================= kl/at{g ug{ rfx]sf] M:jf:Yo ;+:yf ==========================k|fylds :jf:Yo s]Gb . c:ktfn lhNnfM================================= k|yd M:jf:Yo ;+:yf kl/at{g ug'{kgf{sf] sf/0f ! a;fO;/fO{ @ lajfx # cWoog k|of]hgsf] nlu a;fO $ ;?jf % cGo ;+nUg sfuhftM ! @ lgj]bssf] x:tfIf/ =================================================================================================================================== ;ldltsf] tkm{af6 pk/f]Qm adf]lhdsf] Joxf]/f hf+r ubf{ pko'Qm b]lvPsf]n] lgj]bssf] dfu adf]lhd k|yd ;]jf laGb' kl/jt{g ug{ dgfl;j b]lvG5 . l;kmfl/z ug]{sf] ;xL lgj]bs;+u of]ubfg /sd lng af+sL 5}g . cfly{s k|zf;g zfvf :jLs[t ug]{ cg';l" r–$

-lgod!)-!_;+u ;DalGwt_ -21_

g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt

of]ubfg /sd !=gofF btf{ tyf gljs/0fsf nflu of]ubfg /sd jfkt b]xfosf] /sd nfUg]5 . - % hgf;Ddsf] kl/jf/n] jflif{s ?kdf k|ltkl/jf/ ?= @%)) ÷– - % hgfeGbf a9L hlt;'s} eP klg k|lt ;b:o ?= $@%÷– sf b/n] yk ltg{' kg]{5 . -

s'g} JolQm :jtGq ?kdf ;b:o aGg rfx]df k|lt JolQm ? %)).

@= of]ubfg /sd s'g} klg sf/0faf6 lkmtf{ x'g] 5}g . kl/jf/sf ;b:o s'g} sf/0fn] 36]df -d[To', a;fO{;/fO{ tyf ljjfx_ of]ubfg /sd lkmtf{ x'g] 5}g / ;f] sf] ;§fdf csf]{ ;b:o yKg] ;'ljwf klg kfO{g] 5}g .

cg';"lr–% -lgod %-@_ ;+u ;DalGwt_ g]kfn ;/sf/ -22_

;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt kl/jf/ ;b:o gljs/0f kmf/fd ;fdflhs :jf:Yo ;'/Iff ljsf;,;ldltn];~rfng u/]sf] sfo{qmddf d / d]/f] kl/jf/sf lgDgfg';f/sf ;b:ox¿sf] ;b:otf gjLs/0f ul/lbg' x'g cg'/f]w ub{5' . ;b:ox?sf] ljj/0f k"j{ l;= g+=

Gffd y/

;b:otf

cj:yfdf

of]ubfg /sd

kl/jt{g eP÷gePsf]

g+= JolQmut ;ldlt

kl/jt{g ePsf]df sf/0f

hDdf

!= @ # $ %

sfof{no k|of]hgsf nflu ;b:otf gljs/0f jfkt k|fKt hDdf /sd ?= ============== cIf/df -=========================================================_ /l;b g+=÷a}+s ef}r/ g+============================================================ hDdf u/]sf] vftf g+= ============================================================ ldlt ===================================== ================== /sd a'em\g] clwsf/L

-23_

===============

:jLs[tug]{

cg'';'rL–% -s_ -lgod !@-%_;+u ;DalGwt_ g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt yk pkrf/ ;DaGwL Aoa:yf SofG;/, d'6', d[uf}nf / :kfOgn, x]8 OGh'/L, l;sn;]n Plgldof, O{af]nf, P8;\ tyf of}g/f]u, O{Gˆn'oGhf, kfls{G;g, bd, dw'd]x, cNhfO{d/ tyf l8d]lG;of.

-24_

cg';"lr–^ - lgod !$-!_;Fu ;DalGwt_ g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt ;fdflhs :jf:Yo ;'/Iff sfo{qmd cGtu{t k|fKt ug]{ ;'ljwf y}nLcGtu{tsf ;]jf ;'ljwfsf] ljj/0f != lgbfgfTds k/LIf0fcGtu{t k|of]uzfnf k/LIf0fsf ;]jfx?

(Laboratory Diagnostic Services):

-s_ g]kfn ;/sf/sf :jf:Yo ;]jf ljefu cGtu{taf6 ;+rflnt sfo{qmddfkm{t lgMz'Ns ?kdf k|fKt x'g] lgbfgfTds k/LIf0f ;]jfx? (List of Laboratory Tests Provided Free/Subsidized through Nepal Government’s Vertical Health Programs NOT through SHS) SN

Name of Test

Program

PHC

Upto 25 bed Hospital EM

OPD

IPD

50 bed or above

1

K-39 Test

Kalazar











2











3

Peripheral smear / Malaria RDT for MP CD4 Count HIV

x

x

x

X

*

4

Viral load

HIV

x

x

x

X

*

5

AFB Stain

Tuberculosis











6

Gene Expert

Tuberculosis

x

x

x

X

*

7

Influenza PCR

x

x

x

X

*

8

Smear for Lepra

Outbreak/ Surveillance Leprosy











-v_ g]kfn ;/sf/, ;fdflhs :jf:Yo aLdf sfo{qmddfkm{t Joxf]l/g] lgbfgfTds k/LIf0f ;]jfx? (List of Laboratory Tests Provided through Social Health Security Program ) SN Name of Test Program PHC Upto 25 bed Hospital EM OPD IPD Biochemistry 1 S. Glucose F/R/PP

SHS



-25_







50 bed or above √

2

24 hours urine protein SHS

x









3 4 5 6

CPK CPK MB LFT - S. Bilirubin T & D

SHS SHS SHS SHS

x x x x

x x * *

x x * *

x x * *

√ √ √ √

7

- S. Alkaline Phos

SHS

x

*

*

*



8

- S.GPT

SHS

x

*

*

*



9

- Total Protein

SHS

x

*

*

*



10 11 12

- S. Albumin SGOT S. Alpha Amylase

SHS SHS SHS

x x x

* * *

* * *

* * *

√ √ √

13

S. Uric Acid

SHS

x









14

A/G Ratio

SHS

x

*

*

*



15

Lipid Profile - S. Cholesterol - S. Triglyceride - HDL - LDL

SHS

x

x

x

x



SHS

x

x

x

x



SHS

x

x

x

x



SHS

x

x

x

x



16

S. Creatinine

SHS











17

S. Urea

SHS











SHS

x

x

x

x



SHS SHS SHS SHS SHS SHS SHS SHS SHS

x x x x x x x x √

* * * * * * * * √

* * * * * * * * √

* * * * * * * * √

√ √ √ √ √ √ √ √ √

SHS











SHS

x

*

*

*



18 S. electrolytes(Na/K) Haematology 19 Absolute cell count 20 Eosinophil 21 Neutrophil 22 Lymphocyte 23 Monocyte 24 Basophil 25 Aldehyde Test 26 BT / CT 27 CBC (TC/DC/Hb) 28 29

ESR PCV(HCT)

-26_

30 31 32 33 34 35

Platelet Count Reticulocyte Count Comment on Peripheral smear Bone Marrow study (ME) Prothrombin Time (PT)

SHS SHS SHS

x x x

* * *

* * *

* * *

√ √ √

SHS

x

x

x

x

*

SHS

x

x

x

x

*

HbA1C (Maxm. Twice/year)

SHS

x

x

x

x

*

SHS

x

x

x

x

*

SHS SHS SHS SHS SHS

x x x x x

x x x x x

x x x x x

x x x x x

* * * * *

SHS SHS

x √

* √

* √

* √

√ √

SHS

x

*

*

*



Histo/Cyto pathology 36 Biopsy (Endo+Colonoscopy) 37 Fluid Cytology 38 FNAC 40 Histo Biopsy (Major) 41 Histo Biopsy (Minor) 42 Pap Smear Immunology 43 ASO 44 Blood Group &RhTyping 45 Brucella 46

CRP

SHS

x

*

*

*



47

Pregnancy Test Urine

SHS











48

RA Test

SHS

x

*

*

*



49

TPHA

SHS

x

*

*

*



50

VDRL/RPR

SHS











51

Tumour Marker CA 125 PSA Cross-match (where blood bank available)

SHS SHS SHS

x x x

x x x

x x x

x x x

* * *

SHS

x

*

*

*

*

SHS











SHS

x









SHS

x

*

*

*

*

52

Virology 53 HIV (in pre-surgical screening) 54 HBsAg 55

HCV

-27_

56

HEV

SHS

x

*

*

*

*

57

Dengue

SHS

x

*

*

*



SHS

x

x

x

x

*

SHS

x

x

x

x



Endocrinology 58 Thyroid Function:T3, T4, TSH* (not more than twice a year) Microbiology 59 Blood Culture 60

CSF Culture

SHS

x

x

x

x



61

CSF R/E

SHS

x

x

x

x



62

Gram Stain

SHS











63

KOH Preparation

SHS











64

Pus Culture

SHS

x

x

x

x



65

Sputum/Throat Swab/ Urine/Stool Culture Urethral/Cervical swab culture Widal

SHS

x

x

x

x



SHS

x

x

x

x



SHS

x

*

*

*



Parasitology 68 Stool :R/E

SHS











69

SHS











66 67

Urine R/E

-28_

@= lgbfgfTds k/LIf0fcGtu{t /]l8of]nf]hL tyf cGo k/LIf0fsf ;]jfx?(Radiological/

Other

DiagnosticServices):

-s_ g]kfn ;/sf/sf :jf:Yo ;]jf ljefu cGtu{taf6 ;+rflnt sfo{qmddfkm{t lgMz'Ns ?kdf k|fKt x'g] /]l8of]nf]hL tyf cGo k/LIf0fsf ;]jfx?(List of Diagnostic Services Provided Free/Subsidized through Nepal Government’s Vertical Health Programs)- None

-v_ g]kfn ;/sf/, ;fdflhs :jf:Yo ;'/Iff sfo{qmd cGtu{t Joxf]l/g] /]l8of]nf]hL tyf cGo k/LIf0fsf ;]jfx?(List of Diagnostic Services Provided Free through Social Health Security Program (SHS) (within the Ceiling defined by the Program)

SN

Name of Service

Program PHC √

Upto 25 bed Hospital EM OPD IPD √ √ √

50 or above bed √

1

X-Ray Plain

SHS

2

Ultrasound for (Acute

SHS











abdominal pain, 1 time for ANC ) 3

ECG

SHS











4

Gastro-endoscopy

SHS

x









5

Vision Test

SHS











6

Color Blindness

SHS











7

Hearing test (traditional method) Plain CT Scan of skull (once a year) Echo Cardiogram Angiography

SHS











SHS

x

x

x

X

*

SHS SHS

x x

x x

x x

X X

* *

8 9 10

Note: √: Available at the health facility X: NOT available at the health facility *: Available only if the service is catered from respective health facility

-29_

#= /f]u tyf /f]usf] cj:yfsf] pkrf/sf ;]jfx?M -s_ g]kfn ;/sf/sf :jf:Yo ;]jf ljefu cGtu{taf6 ;+rflnt sfo{qmddfkm{t lgMz'Ns ?kdf k|fKt x'g] /f]u. /f]usf] cj:yfsf] pkrf/sf ;]jfx?(List of Diseases/Conditions made Free by Nepal Government (At Health Centers Identified by Govt.)

SN

Name of Diseases/conditions

Immunization 1 Vaccination (NIP covered) 2 Rabies vaccine 3 Japanese Enceph. Vaccine Infectious Diseases 2 Diarrhoea (mild dehydration) 3

ARI Pneumonia

4 5 6

12

Treatment of all TB Cases Multi Drug Resistant TB Case Extensive Drug Resistant TB Cases Leprosy treatment Leprosy treatment reaction Leprosy Rehablitation care Simple Malaria Case Management Complicated Malaria Case Management Kala azar

13

Japanese encephalitis

14

First line Therapy HIV AID

15

Second line Therapy HIV

7 8 9 10 11

RTIs / STIs (including Cervical erosion) 17 VCT Counselling Family Planning 18 Family Planning

Program

i.

Upto 25 50 or Bed above bed

Program: EPI Program EPI

√ * *

√ * *

√ * *

Nepal Government Program (<5 children) Program: Tuberculosis













√ √ x

√ √ √

√ √ √

Program: Leprosy

√ x x √

√ √ x √

√ √ √ √







Program: NTDs







Program: NTDs







Program: HIV/STI







x











*

*

*







Program: Malaria

16

19

PHC

Program Program: Family planning

Condoms

-30_

20

ii.

Minilap







21

iii.

Vasectomy











X

Others: 22 Snake bite (antivenom)

Program

-v_ g]kfn ;/sf/, ;fdflhs :jf:Yo ;'/Iff sfo{qmdaf6 k|fKt x'g] /f]u. /f]usf] cj:yfsf] pkrf/sf ;]jfx?(List of Diseases/Conditions Provided Free through Social Health Security Program (SHS)) SN

Name of Disease/Condition

Program PHC

Upto 25 50 or bed above bed

SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







10

SHS







Meningitis Paediatrics 11 Birth asphyxia

SHS







12

Neonatal sepsis

SHS







13

Low birth weight







SHS







SHS







SHS







Infectious Diseases 1 Diarrhoea With severe dehydration 2 Dysentery 3

ARI - severe pneumonia

4 5

Sesonal Flu Treatment for Hep A Hep B and Hep E

6 Enteric Fever 7 Dengue fever 8 9

Dengue hemorrhagic fever Tetanus (only tetanus vaccine TT covered)

Less than 1800 1800-2500 g 14

Malnutrition (severe)

-31_

Gynae/Obs 15 Puerperal sepsis

SHS







16

Septic abortion

SHS

x





17

ANC

SHS







18

Normal delivery

SHS







19

Assisted Delivery (vaccum, forceps SHS use etc.) Cesarean Section Post Natal Care ( upto 7 days) SHS







x √

x √

√ √

Pelvic Organ Prolapse (POP) screening & conservative management Uterine Prolapse surgical management

SHS







SHS

x

X



SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS

x





SHS







SHS







SHS

x

X



SHS

x





SHS







20 21 22

23 24

Premature rupture of membrane 25 Antepartum hemorrhage 26 Postpartum hemorrhage 27 Severe anemia 28 Eclampsia 29 30 31 32 33

Cx cancer Cryo therapy Medical examination for Breast cancer screening Disfunctional Uterine bleeding (DUB) Perimenopausal syndrome (osteoporosis management) Post Abortion Care

34 Ectopic Pregnancy ENT/Opthalmo 35 Eye check up / Diabetic retinopathy 36 Cataract surgery operations 37 Refraction check up gf]6M √: Available at the health facility

SHS

-32_

38

Simple infection (conjunctivitis, Stye)

39

SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS

x





SHS

x





Acute otitis media 40 Chronic otitis media 41 Hearing test (audiogram) 44 Rhinitis 45 46

Sinusitis Foreign body in eye, nose, ear and throat

47 Epistaxis 48 Pharyngitis 49 Tonsillitis 50 Laryngitis 51 URTI Lung/Chest Diseases 52 Bronchitis 53 ARI 54 Asthma (Acute - emergency and routine drugs) 55 Chronic Obstructive Pulmonary Disease (upto OPD Management nebulizer during emergency) 56 Pnemothorax 57 Pleural effusion Cardiac 58 Coronary Artery Diseaseconservative management 59 Rheumatic Heart Disease-CM 60 Acute Hypertensive Stroke (conservative) 60 Myocardial Infraction (medical treatment) 61 Primary treatment for Congestive Cardiac Failure

-33_

62

SHS







SHS







SHS







SHS







SHS







SHS







SHS







SHS

x

X



DHS

x

X



Nephrology 71 Acute Nephritis

SHS







72

SHS







SHS







74 Urinary Bladder Calculus RTI/Conditons (Male) 75 Orchitis 76 Phimosis/Paraphimosis

SHS

x

x



SHS







SHS







77 Ortho 78

SHS

x

x



SHS







SHS







SHS







SHS







SHS







SHS







Arrhythmia Gastro 63 Acid Peptic Disorder 64 65

Cholecystitis Pancreatitis(conservative management)

66

69

Treatment of appendicitis Intestinal obstruction (conservative management) Peritonitis (conservative management) Appendectomy

70

Cholecystectomy

67 68

73

79

Nephrotic Syndrome (medical management) Urinary Tract Infection

Hydrocele surgical management

Osteomyelitis (medical treatment) Gout / RA/ Osteoarthritis (medical treatment)

80 81 85

Muscle pain/ turticolis/ Back pain Mgmt of Fracture (simple) Cervical /Lumber spondolysis (conservative management)

Dental 86 Oral and dental check up

-34_

87

SHS







SHS







SHS







SHS







Filling 88 Simple extraction NCDs 89 Migraine headache 90 Hypertension 91

SHS







92

Diabetes mellitus Anxiety

SHS







93

Depression

SHS







94

Schizophrenia

SHS







95

bipolar disorders

SHS







96

Common Mental disorders (including psycosis) Child & adolescent psychiatric disorders Geriatric problems including dementia

SHS







SHS







SHS







99

SHS







Epilepsy Injuries/Surgeries 100 Conservative management of head injury 101 Minor injuries including falls

SHS







SHS







102

SHS







103

Other minor ailments (like aches, scabies, worms, boils) Burn management

SHS







104

Suture

SHS







105

SHS







106 107

Shoulder, elbow and hip dislocation Amputation Burn clean dressing and graft

SHS SHS

x √

X √

√ √

108

Incision and drainage

SHS







109

Incision and drainage (e.g. Osteomyelitis) Cyst, Lump, Lipoma

SHS

x





SHS







97 98

110

-35_

111

SHS







Others 112 Poisoning (Lavage and antidote)

SHS







113

Circumcision

SHS

x





114

Hernia

SHS

x





115

Hemorrhoid excision

SHS

x





116

SHS

x





SHS

x





118

Polyp (Nasal, Cervical, Simple Rectal)/ kharsutra Ear lobe repair (*cosmetic purpose not included) Palliative care for cancer patients

SHS

x





119

Physiotherapy

SHS







120

Counselling

SHS







117

Impacted Nail

X: Not available at the health facility *: Available only if the service is catered from respective health facility

-36_

cg'';'lr– & -lgod !%-!_ ;+u ;DalGwt_ g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt ;fdfGo :jf:Yo k/LIf0f kmf/d :jf:Yo k/LIf0f ug]{ AolQmsf] d'nL;b:osf] g+= ;b:osf] ;b:otf g+= gfdM

pd]/

ln+u

dlxnf

k'?if

k]zfM ;Dk{s g+= Medical Histroy of Chronic Disease Conditions Medical Condition

cj:Yff 5

cf}ifwL ;]jg 5}g

u/]sf]

;]jg u/L/x]sf] cf}iflwsf] gfd

gu/]sf]

dw'd]x pRr /Qm rfk s'g} k|sf/sf] dgf];fdflhs ;d :of cGo s'g} bL3{/f]u

Family Histroy Medical Condition

cj:Yff 5

dw'd]x pRr /Qm rfk

-37_

5}g

cGo

s'g} dgf];fdflhs ;d :of cGo bL3{ /f]u

Present Medical Condition Wt: ………………..Kg Blood Pressure

Height: Inches Systolic

Blood /Urine SugarLevel

BMI

Diastolic ……..

mg/dl or Micro mole

S. (reatimire ……………. mg)

Risk Behaviour Smoking

Yes

No

Alcohol Daily or Frequently Ligth Drinking Physical Activity < 30 minutes Dietary Habit

Occassionally

Never

Moderate Drinking

Heavy Drinking

30- 60 minute

Vegetarian

Non-Vegetarian

Daily Fat Consumption ………………………..

lbOPsf] k/fdz{ ;]jfM

b:tvt :jf:Yo ;+:yfsf] k|d'v jf :jf:YosdL{

-38_

> 60 minutes

cg';"lr–* -lgod !^-!_;+u ;DalGwt_

g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt sfo{qmddf ;dfj]z gePsf ;]jf ;'ljwfsf] ;'rL -!_ s:d]l6s ;h{/L, -@_ cg';'rL % df ;dfj]z ePsf afx]s cGo ;xfos pks/0f oGqx? -s[lqd c+ux?, jif{df Ps k6sdf ?= %)) eGbf a9L d"Nosf r:df -Vision Glass_, ;'Gg] oGq cflb_ . -#_ cg';'rL ^ df pNn]vul/Psf afx]ssf bfFt pkrf/ ;]jfx? -$_ s[lqd uef{wfgsf ;]jfx?, lnË kl/jt{g ;DaGwL ;]jf -%_ JolQmut em}emu8fsf sf/0f rf]6k6s nfuL pkrf/ ;]jf -^_ l8d]lG;of, cNhdfO// kls{G;g\ /f]usfpkrf/ ;]jf -&_ dfbs jf nfu' kbfy{ ;]jgsf sf/0faf6 ePsf] b'3{6gf;DaGwL pkrf/ -*_ ue{ktg ;]jf

-39_

cg';"rL–( -lgod !*-!_ ;+u ;DalGwt_

g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt l;kmfl/z -k]|if0f_ kmf/fd l/km/n g++ M >L====================================== ;fdflhs :jf:Yo ;'/Iff sfo{s|dsf lgDg ;b:onfO{ tFxf :jf:Yo ;+:yf÷c:ktfn;+u ePsf] ;xdlt adf]lhd :jf:Yo ;]jf pknAw u/fO{ lbgx'g cg'/f]w ul/G5 . la/fdLsf] ljj/0f ;b:otf g+===================== 3/d"nLsf] gfdM =========================== lj/fdLsf] gfdM============================ pd]/M========== 7]ufgf ==================================== ;Defljt lgbfg M BP

Pulse

Tempreature

Respiration

pkrf/ ljj/0fM k|]if0fsf] sf/0f================================================================================================================ ================================================================================================================================== k]|if0f ug]{ lrlsT;s÷:jf:YosdL{ gfdM================================bhf{M==============================;xLM=============================== ;+:yfsf] gfdM================================== sfplG;n btf{ g+= ===================ldltM=====================

-40_

cg';"lr–!) -lgod @)-!_ ;+u ;DalGwt_

g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt ;"lrs/0fsf] cfj]bg kmf/d ldltM======================= >L ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt ===================. To; ;ldltsf] lgodfg';f/sf] ;]jf pknJw u/fpg OR5's ePsf]n] ;ldltn] to u/]sf] b]xfosf] cfwf/ k'/f u/]sf] x'+bf ;ldltsf] ;]jf pknJw u/fpg o; ======-:jf:Yo ;+:yf_ nfO{ ;'lrs/0fdf ;dfj]z ul/lbg' x'g of] cfj]bg k]z u/]sf] 5' . ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldltn] ;~rfng u/]sf] sfo{qmddf ljkGg gful/s cGtu{t d / d]/f] kl/jf/sf lgDgfg';f/sf ;b:ox¿sf] gfd btf{ ul/lbg' x'g b]xfodf pNn]v u/]sf] ljj/0f e/L cg'/f]w ub{5' . -s_ dxfgu/kflnsf / pkdxfgu/kflnsfsf] xsdf slDtdf %) z}of / gu/kflnsf / uf=la=;=sf] xsdf @% z}of ePsf], -v_:jf:Yo ;+:yfsf] cfkm\g} kmfd]{;L ePsf], -u_c:ktfndf Pp6f d]h/ / Pp6f dfOg/ cf]=6L ePsf], -3_=:jf:Yo ;'/Iff sfo{qmdn] lgwf{/0f u/]sf] b/df ;]jf lbg tof/ ePsf], -8_c:ktfnsf] cfkm\gf] ;]jf ;+rfng sfo{lalw ePsf], -r_;+:yf ;+rfng cg'dltkq / ;f] sf] gljs/0f / k|rlnt sfgg" adf]lhd s/ r'Stf k|df0fkq k]z ePsf], -5_ cGoM

-41_

cg';"rL–!! -lgod @)-%_ ;+u ;DalGwt_ g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt ;]jf k|bfos c:ktfnx?sf] gfdfjnL ;fdflhs:jf:Yo ;'/Iffsfo{qmd cGtu{t ;"rLs[t ul/Psf ;]jf k|bfos ;+:yfx?sf] ;"rL lgDg adf]lhd 5M k|yd txsf c:ktfnx? sfo{qmd nfu' ePsf lhNnfsf ;j} k|fylds :jf:Yo s]Gb|x? tyf lhNnfl:yt ;j} ;/sf/L c:ktfnx?

l4lto txsf c:ktfnx? ;a} cGrn c:ktfnx?

ljlzi6Ls[t txsf c:ktfnx? lzIf0f c:ktfn, dxf/fhu+h

zlxb u+ufnfn Åbo /f]u s]Gb|, afF;jf/L sfo{qmd nfu" ePsf lhNnfdf lhNnf txsf] ;d]t sfd ug]{ c~rn tyf If]qLo c:ktfnx?

z'qm/fh 6«lksn c:ktfn, 6]s'

sfo{qmd;+u ;Demf}tf ePsf cGo c:ktfnx? k|;'tLu[x yfkfynL klZrdf~rn If]qLo c:ktfn, sfZsL

dfgj c+u k|Tof/f]k0f s]Gb| eQmk'/ lj=lk= sf]O/fnf :jf:Yo lj1fg k|lti7fg

e/tk'/ c:ktfn, lrtjg

lj=lk= sf]O/fnf d]df]l/on SofG;/ c:ktfn

gf/fo0fL pkIf]qLo c:ktfn

jL/ c:ktfn kf6g c:ktfn sfo{qmd;+u cfa4 ePsf lghL lzIf0f c:ktfn tyf lghL If]qsf c:ktfnx?

-42_

gf]6M lhNnf c:ktfn gePsf lhNnfx?df cjl:yt bf]>f] tyf clt ljlzi6Ls[t txsf c:ktfnx?n] tt tt\ lhNnfdf lgb]{lzsfn] tf]s]sf] If]qleq btf{ ePsf ;b:onfO{ k|yd txsf] c:ktfnn] pknAw u/fpg] ;]jf klg pknAw u/fpg]5g . o; k|of]hgfy{ lgb]{lzsfn] tf]s] cg'?k k|]if0f k'hf{sf] cfjZostf kb}{g .

cg'';'rL – !@ -lgod @@ ;+u ;DalGwt_ g]kfn ;/sf/

;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt ;]jf ;Demf}tfsf] 9fFrf

g]kfn ;/sf/, ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt o;kl5 k|yd kIf elgg] /……… c:ktfn÷k|fylds :jf:Yo s]Gb|o; kl5 bf];|f] kIf elgg] aLr ;fdflhs :jf:Yo ;'/Iff sfo{qmd -;+rfng_ lgodfjnL, @)&@ cGtu{t ;'ljwf y}nLdf pNn]v ePsf] ;]jf ;'ljwf pknJw u/fpg] ;DaGwdf ePsf] ;Demf}tf != g]kfn ;/sf/sf] /fli6o :jf:Yo aLdf gLlt,@)&! n] g]kfnL hgtfsf] ;du| :jf:Yo l:yltdf ;'wf/ ug]{ bL3{sflng nIo lnPsf] / ;f] nIo xfl;n ug]{ ljifo kIfsf] bfloTj ePsf]n], ;fdflhs :jf:Yo ;'/Iff sfo{qmddfkm{t u'0f:t/Lo :jf:Yo ;]jf pknJw u/fO{ g]kfnL gful/snfO{ :jf:Yof]krf/ ;]jf ;j{;'ne u/fpg, ;]jfsf] pknJwtf ;'lglZrt ug{ / :jf:Yof]krf/df gful/ssf] ljQLo cfj:ostfnfO{ qmdz Go"g ub}{ ljQLo hf]lvd sd ub}{ n}hfg b'j} kIf ;xdt ePsf]n], / :jf:Yosf If]qdf ldn]/ sfd ug{ b'j} kIf ;xdt ePsf]n] ;fdflhs :jf:Yo ;'/Iff sfo{qmd -;+rfng_ lgodfjnL, @)&@ sf] clwgdf /xL ;+nUg ;]jf ;'ljwf ;"rL cGtu{tsf] ;]jf k|bfg of] ;Demf}tf ul/Psf] 5 . @= bf];|f] kIf sf] lhDd]jf/L b]xfo adf]lhd x'g]5M -s_=sfo{s|dsf ;b:ox?nfO{ sfo{s|dsf] lqmofzLn cjlwleq lgodfjnLsf] cg';'lr ^, / cg';"lr !^ df pNn]v eP adf]lhdsf] ;'lawf y}nLcGtu{tsf ;]jf k|bfg ug{'kg]{, -v_bf];|f] kIfn] b]xfo adf]lhdsf] sfo{ ug]{ Joj:yf ug'{kg]{5M , -!_ -@_ -#_ -$_ -%_

;b:onfO{ o; lgodfjnL adf]lhdsf;]jf ;'ljwf u'0f:t/Lo ?kdf k|bfg ug]{ u/fpg], btf{ Pj+ ;f]wk'5sf nflu plrt k|aGw ldnfpg], ;ldltn] tf]s]sf] lglZrt k|s[of / 9f+rfdf clen]v /fVfL k|ltj]bg ug]{, ;]jf k|bfossf] cfkm\g} kl/;/df cf}ifwL ljt/0f sIfsf] Joj:yfkg ug]{ / ;b:onfO{ cf}ifwL pknJw u/fpg] Joj:yf ldnfpg], :jf:Yo ;'/Iff sfo{s|d k|of]hgsf nflu tf]lsPsf] ;]jf tyf cf}iflwx?sf]lg/Gt/

-^_

pknAw x'g] Joj:yf ;'lglZrt ug]{, ;]jfu|fxLsf] u'gf;f] ;'g'jfO{ / ;f] sf] Joj:yfkg ug]{, u/fpg], -43_

-&_ ;b:otf btf{ ug]{ sfo{df cfjZos ;xof]u pknAw u/fpg], -*_ c:ktfn jf :jf:Yo ;]jf s]Gb|df pknJw eP;Dd ;DalGwt ;b:on] /f]h]sf] :jf:YosdL{af6 k/LIf0f ug{ kfpg] Joj:yf ldnfpg], -(_ sfo{qmdsf ;b:onfO{ lzi6tfk"j{s Jojxf/ ug]{, -u_bf];|f] kIfsf lrlsT;s jf :jf:YosdL{n] cf}ifwL l;kmfl/; ubf{ h]g/Ls gfd af6 dfq l;kmfl/; ug],{ -3_ bf];|f] kIfn] cf}ifwL sIfdf rf}lj;} 306f cf}ifwL pknJw u/fpg] Joj:yf ;'lglZrt ug'{kg]{, -ª_ ;]jf lbg' cl3 ;b:on] kfpg] ;'ljwf slt afFsL 5 eGg] s'/fsf] hfgsf/L ;]jfu|fxL ;b:onfO{ lbg], -r_ bf];|f] kIfn] ;b:onfO{ cfsl:ds, alx/+u / cGt/+u;]jf k|bfg ug'{ cl3 To:tf ;]jf jfkt nfUg ;Sg] vr{ clu|d ?kdf ;ldltn] tf]s]sf] ;"rgf k|0ffnLdf hgfpg], -5_ ;b:osf] ;b:otf gjLs/0f eP gePsf] x]/L gjLs/0f gePsf] cj:yfdf ;ldltsf] vr{df ;]jf k|bfg gug]{, # ;fdflhs :jf:Yo ;'/Iffsf] laifodf bf];|f] kIfsf ;a} sd{rf/Lx? hfgsf/ x'g' kg]{5 . $= bf];|f] kIfn] ;fdflhs :jf:Yo ;'/Iff ljsf; ;ldltn] bfaL nufPtsf laifox?df dfu u/]sf] ljifodf hjfkm k7fpg' kg]{5 . % bf];|f] kIfn] pkrf/ ;]jf lbFbf /fli6«o pkrf/ ;+lxtf -k|f6f]sn_ sf] cg';/0f ug'{ kg]{5 . /fli6«o pkrf/ ;+lxtf -k|f6f]sn_ sf] gePsf] cj:yfdf k|rlnt pkrf/ ;++lxtsf] kfngf ug'{ kg]{5 . ^= k|yd kIfsf] bfloTj b]xfo adf]lhd x'g]5M -s_ bf];|f] kIfsf sd{rf/LnfO{ ;fdflhs :jf:Yo ;'/Iff sfo{qmdsf ljifodf hfgsf/L u/fpg], -v_ sfo{qmd;+u ;DalGwt k|rf/ ;fdu|L-a|f];/, kf]i6/ cflb_ pknJw u/fpg], -u_ sfo{qmd ;+rfngsf] nflu cfj:os hgzlQmnfO{ ;"rgf k|0ffnL, bfjL e'QmfgL tyf pkrf/ vr{ gD;{sf af/]df hfgsf/L u/fpg], -3_bf];|f] kIfaf6 dfu bfjL ul/Psf] e'QmfgL /sd tf]lsPsf] Dofbleq e'QmfgL lbg] . &= k|yd kIfn] bf];|f] kIfnfO{ lgodfjfnLsf] cg';"rL !# df pNn]v ePsf] b/df alx/+u ;]jf, cfsl:ds ;]jf / ;Demf}tf x'+bfsf avt ;xdtL ePsf] Joj:yf cg'?k cGt/+u ;]jfsf] e'QmfgL ug{]5 . *= k|yd kIfn] cg';"rL !^ df ;fdflhs :jf:Yo ;'/Iff sfo{qmdn] Joxf]g]{ egL pNn]v ePsf cf}ifwLx? ;Demf}tf x'+bfsf avt tf]lsPsf] b/df e'QmfgL ug]{5 . (= bf];|f] kIfn] o; ;Demf}tf adf]lhd k|bfg u/]sf] ;]jf jfktsf] /sd k|To]s dlxgf !% lbg ;dfKt ePsf] ldltn] kfFr lbgleq t]/Lh / lgodfjnLsf] cg';'rL–!$ adf]lhdsf] ljj/0f;lxt klxnf] k|lt -44_

lan ;+nUg u/L bfjL e'QmfgL;fdflhs :jf:Yo ;'/Iff ljsf; ;ldlt, lhNnf sfof{nodf kmf+6jf/L a'emfpg'kg]{5 . !)= k|yd kIfn] b]xfosf] cj:yfdf ;'g'jfO{sf] df}sf lbO{ ;Demf}tf :yug jf /4 ug{ ;Sg]5M– -s_ ;Demf}tf cg';f/sf] ;]jfpknJw gu/fPdf, -v_ cfb]z / o; lgodfjnL adf]lhd /fVg' kg]{ clen]v cBfjlws u/]sf] gb]lvPdf jfem'7f k|ltj]bg k]z u/]df, -u_sfo{qmd ;+rfngdf nfk/jfxL u/]df jf cfkmgf] ;+:yfdf To:tf] ;]jf pknAw x'bfx'b}cGoq k|]if0f u/]df, -3_ ;ldlt cfkm} jf ;ldltn] u7g u/]sf] t];|f] kIf ;lDdlnt d"Nof+sgaf6 p7fOPsf laifox?lgwf{l/t ;dofjwL leq kfngfgu/]df . !!= of] ;Demf}tf sfof{Gjog ug]{ l;nl;nfdf s'g} l4lawf jf ljjfb pTkGg ePdf b'a} kIfsf] ;xdltdf To:tf] lålawf jf ljjfbsf] ;dfwfg ul/g] 5 . !@= of] ;Demf}tf ================ b]lv nfu' x'g] 5 . !#of] ;Demf}tfsf] calw # jif{sf] x'g]5 . ;f] cjwL kZrft\ gjLs/0f ug'{ kg]{5 . !$ e'QmfgLsf b/x? k|To]s jif{ gjLs/0f ug'{ kg]{5 . gjLs/0f gePdf ;Demf}tfdf plNnlvt b/df e'QmfgL x'g]5 .

k|yd kIfsf] tkm{af6 gfd M kb M– b:tvt M–

bf];|f] kIfsf] tkm{af6

sfof{no M–;fdflhs :jf= ;'=lj=;= ldlt M– /f]xj/ gfd M kb M– b:tvt M–

gfd M– kb M– k|d'v b:tvt M– sfof{no M lhNnf c:ktfn÷k|f=:jf=s]=== ldlt M– /f]xj/ gfd M– kb M– b:tvt M–

sfof{no M–;f=:jf=;'=lj=;= sfof{no M–

-45_

cg'';'rL – !# -lgod @$-@_ ;+u ;DalGwt_ g]kfn ;/sf/

;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt e'QmfgLsf] b/ / lalw

!=;]jf k|bfosnfO{ alx/+u ;]jfsf] e'QmfgL Joj:yfM !=! ;ldltn] ;]jf k|bfosnfO{ alx/+u ;]jf k|bfg u/]k|lt ;b:o k|lt alx/+u;]jf jfkt b]xfo adf]lhde'QmfgL ug]{5M -s_k|fylds :jf:Yo s]Gb|sf nflu ?= *) -v_ c:ktfnsf nflu ?= !$).– sf b/n], !=@ e'QmfgL k|of]hgsf] nflu b]xfosf] ;]jf alx/+u ;]jfdf u0fgf ul/g] 5|}gM– -s_ lgoldt cf}ifwL dfq lng' k/]df, -v_ ;ft lbg leq k|bfg ul/Psf]] kmnf]ck ;]jf . @= cfsl:ds ;]jfsf] e'QmfgL @=! ;ldltn] ;]jf k|bfosnfO{cfsl:ds ;]jf k|bfg u/]k|lt ;b:o k|lt cfsl:ds ;]jf jfkt b]xfo adf]lhd e'QmfgL ug]{5M -s_cf}ifwL afx]s k|fylds :jf:Yo s]Gb|sf nflu ?= *) -v_ c:ktfnsf nflu ?= !&%.– sf b/n] @=@alx/+u ;]jf lbg' kg]{ k|s[ltsf pkrf/ ;]jf cfsl:ds ;]jfaf6 lbPsf] cj:yfdf alx/+u ;]jfsf nflu tf]s]sf] /sd dfq e'QmfgL lbOg]5 #= cGt/+u ;]jfsf] e'QmfgLM cGt/+u ;]jfsf] e'QmfgL b]xfosf] s'g} Ps ljlwaf6 ul/g]5M #=! k|lt /f]u ;d"x -DRG_sf] ;ldltn] lgwf{/0f u/]sf] Psd'i6 b/af6 jf #=@ k|lt /f]u cj:yfsf] ;ldltn] tf]s]sf] k|lt lbgsf] b/af6 jf #=# ;]jf k|bfos;+usf] ;Demf}tf ubf{s} cj:yfdf plNnlvt b/df jf #=$ ;]jf k|bfosnfO{ ;]jf lbg] ;b:osf] cg'dflgt nIo tf]sL ;ldltn] lgwf{/0f u/}sf] Psd'i7 ah]6 e'QmfgL ug]{ u/L $= :jf:Yo rf}sLnfO{ cg';"lr & adf]lhdsf] aif{sf] ! k6s :jf:Yosf] ;fdfGo k/LIf0f u/]sf]df k|lt ;b:o ?= #). %= btf{ ;xof]uLsf] kfl/>lds Joj:yfM %=! btf{ ;xof]uLnfO{ sfo{qmddf ;b:otf btf{ u/]jfkt gof+ btf{sf] xsdf k|ltJolQm ?= rfln; / gjLs/0f u/]sf]df ? @) pknJw u/fOg]5 . %=@ btf{ ;xof]uLn] Psk6s btf{ u/fPsf] ;b:osf] yk $ jif{ ;Dd gjLs/0f jfktsf] /sd k|fKt ug]{5 . gjLs/0f ePsf ;b:osf] lx;fjn] dfq gjLs/0f jfktsf] /sd kfpg]5 . -46_

%=# ;ldltn] btf{ ;xof]uLnfO{ lbg] /sddf nIo tf]sL e'QmfgL ug]{ Joj:yf ldnfpg ;Sg]5 . gf]6M dly !=! sf] s / v tyf @=! sf] s / v df plNnvt alx/+u tyf cfsl:ds ;]jfsf nflu tf]lsPsf] /sd e"QmfgL ubf{ ;f] jfkt ;]jf k|bfosn] ;b:onfO{ pknAw u/fpg' kg]{ ;]jfx?sf] ;"rL ;ldltn] lgwf{/0f ug]{5

-47_

cg'';'rL – !$ -lgod @%-#_ ;+u ;DalGwt_ g]kfn ;/sf/

;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt bfjL e'QmfgL kmf/fd ;]jf k|bfossf] gfd M o; ======================n] ldlt ================÷========÷ b]lv ldlt ======================= ;Dd k|bfg u/]sf] lgDgfg';f/sf] ;]jf ;'ljwfsf] ljj/0f o; k|sf/ 5 . ;fy} k|To]s ;b:osf] ;]jf lbP afktsf] k|dfl0ft lan, e/kfO{ tyf cfjZos sfuhftx? o;} ;fy ;+nUg ul/Psf] 5 . l;=g+=

;b:otf g+=

ldlt

alx/+u ;]jf

cGt/+u ;]jfx?

;d'x -! jf @_

cf}iflw k|of]uzfnf Od]lh+u z}of cf}ifwL hDdf

ldlt M ================================ k]z ug]{

:jLs[t ug]{

gfd ==============================

gfd ========================

bhf{ ===========================

bhf{ =========================

============================ ;]jf k|bfos ;+:yfaf6 k|fKt ljj/0f cg'zf/ r]shfFr ubf{ ?= =============================÷– e'QmfgL ug{ l;kmfl/z ul/of] . sfof{nosf] tkm{af6 ?h' ug]{

l;kmfl/z ug]{

e'QmfgL lbg]

gfd ============================== bhf{ ===========================

gfd ============================== bhf{ ===========================

gfd ============================== bhf{ =============================

ldlt ============================

ldlt ============================

ldlt=========================

cg'';'rL– !% -lgod @^ -@_ ;+u ;DalGwt_ g]kfn ;/sf/ -48_

;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt e'QmfgL lbPsf] hfgsf/L >L============================================= ======================================================

To;=====================================sf] ;f]wegf{ e'QmfgL g+= =================================af6 dfu ePsf] ?=========================== -cIf]?kL========================================================================_ /sddWo] r]s hfFr u/L lgb]{lzsf adf]lhd e'QmfgL gx'g] /sd ?================================================ cIf]?kL====================================================================_ s§f u/L afFsL x'g cfPsf] ?============================================ -cIf]?kL=====================================================================================_ To; ;+:yfsf] gfddf e'QmfgL k7fOPsf] 5 . k|fKt ePsf] hfgsf/L u/fpg' xf]nf .

sf]ifsf] tkm{af6M ================

cg'';'rL– !^ -lgod #) ;+u ;DalGwt_

g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff ljsf;;ldlt ;fdflhs:jf:Yo ;'/Iff sfo{s|daf6 ljt/0f x'g] cf}ifwLsf] gfdfjfnL

-49_

!= :jf:Yo ;]jf ljefu cGtu{t ;+rflnt sfo{qmdaf6 lgMz'Ns k|fKt x'g] t/ ;fdflhs ;'/Iff sfo{qmddf ;dfj]z gePsf cf}ifwLx?sf] ljj/0f-#%j6f cf}ifwLx?_

NAME OF MEDICINE 1. Artesunate 50mg Artesunate 120mg 2. Chloroquine 250mg Chloroquine 155mg Chloroquine 40mg Chloroquine 500mg 3. Primaquine 7.5mg 4. Capreomycin 100mg/300mg 5. Cycloserine 250mg 6. Ethambutol 1gm Ethambutol 200mg Ethambutol 400mg Ethambutol 600mg Ethambutol 800mg 7. Isoniazid+Rifampicin (75+150)/(60+60) 8. Rifampicin+ Pyrazinamide + Ethambutol (75+150+400+275) 9. Isoniazid+Rifampicin +Ethambutol (75+150) / (60+60) 10. Kanamycin 100mg Kanmycin 500mg 11. Rifampicin 150mg Rifampicin 600mg 12. Streptomycin 1000mg Streptomycin 750mg 13. Para amino salicylic acid 14. Ethionamide 250mg 15. Clofazimine 50mg/100mg 16. Dapsone 100mg 17. Dapsone 25mg 18. Dapsone 50mg 19. Diethylcarbazine 100mg 20. Diethylcarbazine 100mg/30ml 21. Efavirenz 200mg Efavirenz 600mg 22. Lamivudine 100mg Lamivudine 150mg 23. Lopinavir/Rotinavir 24. Stavudine 30mg -50_

DOSAGE FORM TABLET INJECTION TABLET TABLET TABLET TABLET INJECTION TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET TABLET

NAME OF PROGRAM MALARIA MALARIA MALARIA MALARIA MALARIA MALARIA MALARIA TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS

TABLET

TUBERCULOSIS

TABLET TABLET TABLET TABLET INJECTION INJECTION SACHET TABLET TABLET DT TABLET TABLET TABLET SUSPENSION CAPSULE TABLET TABLET TABLET TABLET

TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS TUBERCULOSIS LEPROSY LEPROSY LEPROSY LEPROSY FILARIASIS FILARIASIS ANTIRETROVIRAL(HIV/AIDS) ANTIRETROVIRAL(HIV/AIDS) ANTIRETROVIRAL(HIV/AIDS) ANTIRETROVIRAL(HIV/AIDS) ANTIRETROVIRAL(HIV/AIDS)

CAPSULE

ANTIRETROVIRAL(HIV/AIDS)

Stavudine 40mg 25. Zidovudine 100mg Zidovudine 300mg Zidovudine 50mg 26. Tenofovir disoproxil fumarate 300mg(TDF) 27. Miltefosine 28. Magnesium sulphate 50% w/v,10ml 29. Misoprostol 100mcg

CAPSULE TABLET TABLET TABLET TABLET CAPSULE INJECTION TABLET

Misoprostol 200mcg

ANTIRETROVIRAL(HIV/AIDS) ANTIRETROVIRAL(HIV/AIDS) ANTIRETROVIRAL(HIV/AIDS) ANTIRETROVIRAL(HIV/AIDS) ANTIRETROVIRAL(HIV/AIDS) LEISHMANIASIS SAFE MOTHERHOOD PROGRAMME SAFE MOTHERHOOD PROGRAMME

TABLET

SAFE MOTHERHOOD PROGRAMME

30. Oxytocin

INJECTION

SAFE MOTHERHOOD PROGRAMME

31. Japanese Enceph.Vaccine

INJECTION

32. 33. 34. 35.

TABLET INJECTION IMPLANT IMPLANT

EXTENDED PROGRAM OF IMMUNIZATION PROGRAM PROGRAM PROGRAM PROGRAM

Oral Contraceptives(Pills) DEPO IUCD Contraceptive Implants

@= g]kfn ;/sf/ ;fdflhs :jf:Yo ;'/Iff sfo{qmdaf6 pknJw x'g] cf}ifwLx?sf] ljj/0f -^@ j6fcf}ifwLx?_ SN

NAME OF MEDICINE

DOSAGE FORM

NAME OF PROGRAM

PH C

Upt o 25 Bed

50 or abov e bed

1

Amphotericin B

INJECTION

ANTIFUNGAL







2

Amoxycillin 125 mg/5ml,60ml Amoxycillin 500 mg

SUSPENSION

ANTIBIOTIC







TABLET

ANTIBIOTIC







3

Amoxycillin + Clavulanate

TABLET

ANTIBIOTIC







4

Ampicillin 500mg

INJECTION

ANTIBIOTIC







5

SUSPENSION

ANTIBIOTIC







6

Azithromycin 100mg/5ml,15ml Bismuth Iodoform

PASTE

ENT







7

Cefriaxone 250 mg

INJECTION

ANTIBIOTIC







-51_

8

Cefriaxone 500 mg

INJECTION

ANTIBIOTIC







Cefixime 100mg

TABLET

ANTIBIOTIC







Cefixime 200mg

DISPERSIBLE TABLET DRY SYRUP

ANTIBIOTIC







ANTIBIOTIC







Chlorampheicol Eye Applicap 1 %,5ML Flucloxacillin 500mg

DROPS

ANTIBIOTIC







CAPSULE

ANTIBIOTIC







Clathrithromycin 250mg Clathromycin 500mg

TABLET

ANTIBIOTIC







TABLET

ANTIBIOTIC







Clindamycin 150mg

CAPSULE

ANTIBIOTIC







Clindamycin 300mg/600 mg Gentamicin 40mg/ml,80 mg/ml Erythromycin 125mg/5ml,60ml Erythromycin 250mg

CAPSULE

ANTIBIOTIC







INJECTION

ANTIBIOTIC







SUSPENSION

ANTIBIOTIC







TABLET

ANTIBIOTIC







Erythromycin 500mg

TABLET

ANTIBIOTIC







Levofloxacin 500mg

TABLET

ANTIBIOTIC







Levofloxacin 750mg

TABLET

ANTIBIOTIC



















Cefixime DS 9 10 11

12

13 14

15

16

Ichthamol in Glycerine Ear DROPS Drops

15

Moxifloxacin 400mg

TABLET

ANTIINFLAMMATO RY & ANTIMICROBIAL ANTIBIOTIC

SUSPENSION

ANTIBIOTIC







17

Moxifloxacin 400mg/100ml Ofloxacin DT 100mg

TABLET

ANTIBIOTIC







Ofloxacin 200mg

TABLET

ANTIBIOTIC







Ofloxacin 400mg

TABLET

ANTIBIOTIC







Ofloxacin 50mg/5ml ,30ml Ofloxacin 100ml

INJECTION

ANTIBIOTIC







INJECTION

ANTIBIOTIC







Piperazine Citrate

SYRUP

ASCARIASIS







18

-52_

19

Permerthin

TOPICAL

SCABIES,LICE







20

Spironolactone 12.5mg

TABLET

DIURETIC







Spironolactone 25mg

TABLET

DIURETIC







Spironolactone 100mg

TABLET

DIURETIC







Chlorpheniramine maleate 10mg Chlorpheniramine maleate 1mg PheniramineTab 1mg/4mg/25mg Salbutamol ,100 ml

TABLET

ANTIHISTAMINICS







TABLET

ANTIHISTAMINICS







TABLET

ANTIHISTAMINICS







SYRUP







Salbutamol 2mg

TABLET







24

Chlorpromazine 25 mg

TABLET

BRONCHODILATOR S BRONCHODILATOR S ANTIDEPRESSANTS







25

Fluoxetine 10mg

CAPSULE

ANTIDEPRESSANT







Fluoxetine 20mg

CAPSULE

ANTIDEPRESSANT







Fluphenazine Decanoate(Prolinate) 25mg/ml,1ml Haloperidol 0.25mg

INJECTION

ANTIDEPRESSANT







TABLET

ANTIDEPRESSANT







Haloperidol 1.5mg

TABLET

ANTIDEPRESSANT







Diazepam 10mg

TABLET

ANTIANXIETY







Diazepam 5mg

TABLET

ANTIANXIETY







29

Dexamethasone 0.5mg

TABLET







30

Diclofenac 100mg

TABLET

ANTIINFLAMMATO RY AGENTS NSAIDS







Diclofenac 50mg

TABLET

NSAIDS







Enalapril 10mg

TABLET







Enalapril 2.5mg

TABLET







Enalapril 5mg

TABLET







Nifedipine 10mg

TABLET







Nifedipine 5mg

TABLET

ANTIHYPERTENSIV ES ANTIHYPERTENSIV ES ANTIHYPERTENSIV ES ANTIHYPERTENSIV ES ANTIHYPERTENSIV ES







21

22 23

26

27

28

31

32

-53_

33

Bisacodyl 5mg

TABLET

LAXATIVE







Bisacodyl 5mg

SUPPOSITORY

LAXATIVE







Bisacodyl 10mg

SUPPOSITORY

LAXATIVE







34

Anti –venom

INJECTION







35

Hepatitis B Vaccine

INJECTION

ANTIDOTE FOR SNAKE BITE VACCINE







36

Mefenamic Acid,250mg

TABLET







Mefenamic Acid,500mg

TABLET







37

Metformin 850mg

TABLET

ANTISPASMOLYTIC S ANTISPASMOLYTIC S ANTIDIABETIC







38

Clopropamide 100mg/250mg Glimpiride 1mg

TABLET

ANTIDIABETIC







TABLET

ANTIDIABETIC







Glimpiride 2mg

TABLET

ANTIDIABETIC







Glimpiride 3mg

TABLET

ANTIDIABETIC







Glimpiride 4mg

TABLET

ANTIDIABETIC







TABLET

RHEUMATOIOD ARTHRITIS URICOSURIC AGENTS







41

Methotrexate2.5mg/7.5m g Probenecid 500mg







42

Tranexamic acid 250mg

TABLET

ANTIFRIBINOLYTIC S







43

Warfarin1mg

TABLET

ORAL ANTICOAGULANTS







Warfarin 2mg

Tab

ORAL ANTICOAGULANTS







Warfarin 3mg, 5 mg

Tab







Atorvastatin 5mg

TABLET







Atorvastatin 10mg

TABLET







Atorvastatin20mg

TABLET







Cholecalciferol 250mg

TABLET

ORAL ANTICOAGULANTS LIPID LOWERING AGENT LIPID LOWERING AGENT LIPID LOWERING AGENT VITAMIN D







39

40

44

45

TABLET

-54_

Cholecalciferol 200ml

SUSPENSION

VITAMIN D







Ascorbic acid 500mg

VITAMIN C







Ascorbic acid,15ML

TABLET/CAPSU LE DROP

VITAMIN C







47

Calcium acetate

TABLET

CALCIUM SALTS







48

TABLET

ALLERGY COUGH & COLD







SYRUP

ALLERGY COUGH & COLD







50

PARACETAMOL CHLORPHENIRAMINE MALEATE+PSEUDOEPHED RINE HYDROCHLORIDE +CHLORPHENIRAMINE MALEATE+PSEUDOEPHED RINE HYDROCHLORIDE,60ml Probenecid 500mg

TABLET







51

Omeprazole 20mg

TABLET







52

Penicillin G 10 Lac IU

INJECTION

URICOSURIC AGENTS ANTISECRECTORY AGENTS ANTIBACTERIAL







Penicillin G 400,000

INJECTION

ANTIBACTERIAL







Penicillin G 500,000

INJECTION

ANTIBACTERIAL







Penicillin G 800,000

INJECTION

ANTIBACTERIAL







53

Spectinomycin

POWDER

ANTIBACTERIAL







54

Permethin 30gm/5%w/v

SOLUTION

SCABIES







55

Phenobarbitone 30 mg

TABLET

ANTISEIZURE







56

Pyridoxine 100mg

TABLET







Pyridoxine 10mg

TABLET







Pyridoxine 40mg

TABLET







Pyridoxine 60mg

TABLET







Podophyllin Tincture Benzoin Sulphacetamide 10% Eye DROPS,10ml Suphacetamide 20% Eye Drops Suphacetamide 30% Eye Drops

TINCTURE

PYRIDOXINE DEFICIENCY PYRIDOXINE DEFICIENCY PYRIDOXINE DEFICIENCY PYRIDOXINE DEFICIENCY ANO GENITAL WARTS BACTERIAL INFECTIONS BACTERIAL INFECTIONS BACTERIAL INFECTIONS

























46

49

57 58

DROPS DROPS DROPS

-55_

59 60

61

62

Tetracycline Eye Ointment 1%,5mg Trihexiphenidyl 1.5mg

OINTMENT

ANTIINFECTIVES







TABLET







Trihexiphenidyl 2mg

CAPSULE







Trihexiphenidyl 5mg

TABLET







Valacyclovir 100mg

TABLET

ANTIPARKINSONIA NS ANTIPARKINSONIA NS ANTIPARKINSONIA NS ANTIVIRAL







Valacyclovir 500mg

TABLET

ANTIVIRAL







Valacyclovir 1gm

TABLET

ANTIVIRAL







Zinc Sulphate 10mg

TABLET

MINERALS







Zinc Sulphate 20mg

TABLET

MINERALS







Note:

√ : Available at 15% Co-payment for non free drugs.

-56_

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Name of drugs Adrenaline 1:1000 Amlodipine 5mg Acetazolamide 250mg Acyclovir 200mg/5gm Albendazole 400mg Allupurinol 500mg Alprazolam 0.25mg Aluminium Hydroxide+Magnesium Hydroxide (250mg+250mg) Amitryptiline 10mg,20mg Amoxycillin 125mg DT,250mg DT Amoxycillin 500mg Aminophyllin 100mg Aspirin 75 mg/150mg/300mg Atenolol 50 mg Atropine 0.6 mg/ml, 1 ml Azithromycin 250mg,500mg Benzoic Acid 6%+ Salicylic Acid 3% Oint., 30 gm Calamine Lotion 15%, 30 ml Carbamazepine 200mg/400mg Ceftriaxone 1 gm Cetrizine 10 mg Cetrizine 10mg/5ml Charcoal Activated 10gm/sachet Chloramphenicol APPLICAP 1% Chloramphenicol 250 mg/500mg Chlorpheniramine 4 mg Chlorpromazine 100 mg Clove oil,5ml Ciprofloxacin 250mg/500 mg

Dosage forms Injection Tablet Tablet Tablet/Ointment Tablet Tablet Tablet

Therapeutic Group Anaphylactic shock Antihypertensive For high altitude sickness Antiviral Antihelmintic Antigout Benzodiazepin

Tablet Tablet Tablet Capsule Tablet Tablet Tablet Injection Tablet

Antacids Mental stimulant Antibiotic Antibiotic Bronchitis,Asthma NSAID/Cardiac Antihypertensive Antispasmodic Antibiotic

Ointment Lotion Tablet Injection Tablet Suspension Powder Applicap Capsule Tablet Tablet Liquid Tablet

Eczema Allergy,Sunburn Anti-epileptics Antibiotic Antihistamine Antihistamine Anti-poisoning Antibiotic Antibiotic Antihistamine Psychotic drug Dental pain Antibiotic

-57_

Ciprofloxacin E/E drops 0.3 %,5ml Drops Antibiotic Ciprofloxacin Infusion 200 mg / 100 ml Infusion Antibiotic Clotrimazole 25mg 1% w/w Skin cream Antifingal Clotrimazole 100mg Pessary Tablet Antifungal Cloxacillin 125mg/250mg/500mg Capsule/Tablet Antibiotic Compound solution of Sodium Lactate Solution Infusion 500 ml(Ringer Electrolyte Lactate) Imbalance Cream Silver Sulphadiazine 25g, 1% w/w Cream Dexamethasone 2 ml, 4 mg/ml Injection Steroid Dextrose Solution5 % w/v 500 ml Infusion Glucose substitution Diazepam 5mg/2ml Injection Traquilizer Diclofenac 25 mg / ml, 3 ml Injection NSAID Digoxin 0.25 mg Tablet Cardiac glycoside Doxycycline 100 mg Capsule Antibiotic Ferrous Sulphate 60mg elemental Iron Tablet Anaemia Fluconazole 150 mg/15gm Tablet/Ointment Antifungal Folic Acid 5 mg Tablet Anaemia Frusemide 10mg/ml,2ml Injection Diuretic Frusemide 40 mg Tablet Diuretic Gamma Benzene Hexachloride lotion,100ml Lotion Scabies Gentain Violet 2% ,10ml Solution Antiseptic Gentamicin 500mg/ml Injection Antibiotic Hydrochlorthiazide 25mg Tablet Diuretic,Antihypertensive Hydrocortisone Succinate 100mg/vial with WFI Powder for injection Corticosteroid(Bronchodilator,allergy) Hyoscine Butylbromide 20mg/ml Injection Antispasmodics Hyoscine Butylbromide 10mg,20mg Tablet Antispasmodics Ibuprofen 400mg Tablet NSAID Indomethacin 25mg/50mg Tablet NSAID Levothyroxin 100 mcg Tablet Anti thyroid Lignocaine 30 ml,1% with or without Adrenaline ,2%w/v Injection Local Anaesthesia Metformin 500 mg Tablet Antidiabetic Metoclopramide 10mg Tablet Anti emetic Metoclopramide 5mg/ml,2ml Injection Anti emetic Metronidazole 500 mg/100ML Infusion Antiprotozoal

-58_

Metronidazole 200 mg/5ml,60ml Metronidazole 400mg Neomycin Skin Oint., 15 gm Oxymetazoline 0.1 %, 5 ml Paracetamol 125 mg / 5 ml, 60 ml Paracetamol 150 mg / ml, 2 ml Paracetamol 500 mg Pheniramine 22.75 mg / ml, 2 ml Phenobarbitone 60 mg Povidone Iodine 5 % Solution, 500 ml Pralidoxim Sodium 500mg Prednisolone 5mg/10 mg Promethazine HCl 25 mg Ranitidine 150 mg Ranitidine 25 mg / ml, 2 ml/150mg Rehydration Solutions(ORS)/Ltr Salbutamol 4 mg Silver Sulphadiazine 25g,1% w/w Sodium Chloride 500ml(Normal Saline) Sulphamethoxazole+ Trimethoprim 120mg DT,480mg & 960mg Tetracycline 250 mg/500mg Tinidazole 500 mg Vitamin B-complex

Syrup Tablet Ointment Nasal drop Syrup Injection Tablet Injection Tablet Liquid,500ml Injection Tablet Tablet Tablet Injection/Tablet Sachet(powder) Tablet Cream Infusion

Antiprotozoal Antiprotozoal Ext.Antibiotic Nasal decongestant NSAID NSAID NSAID Antihistamine Antiepileptic Antiseptics Anti-toxic (antidote for OP) Oral corticosteroid Antiemetic

Tablet Capsule Tablet Capsule

Antibacterial Broad spectrum antibiotic Antiprotozoal Vitamin supplement

Ulcer healing drug Rehydration Bronchodilator Antiseptic for burn Ion substitution

Note:

√ : Available at 15% Co-payment for non free drugs.

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