;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 .
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“;dGjo ;ldlt” eGgfn] lgod #* adf]lhdsf] :jf:Yo ;+:yf ;dGjo ;ldlt ;Demg' kb{5 .
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-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 . -$_ pkbkmf -!_ adf]lhd ;b:on] gjLs/0f gu/]df jf pklgod -!_ adf]lhdsf] Dofbleq /Lt k"j{s lgj]bg glbPdf ;b:otfsf] Dofb ;dfKt ePsf] ldltblv g} ;b:on] ;'ljwf kfpg] 5}g . -%_ s'g} ;b:osf] ;b:otf kl/ro kq gi6 ePdf, RofltPdf jf x/fPdf ;ldltn] tf]s adf]lhdsf] b:t'/ lnO{ k'gM k|bfg ug{ ;lsg]5 . ;xefuLtf ;DaGwL ljz]if Joj:yf M -!_ g]kfn ;/sf/n] ;/sf/L tyf k|lti7fgsf sd{rf/L / lghsf kl/jf/nfO{ lglZrt of]ubfgsf] b/ lgwf{/0f u/L ;fdflhs ;'/Iff sfo{qmddf ;xefuL u/fpg]5 . -@_ pklgod -!_ adf]lhdsf] sfo{qmd ;+rfng eO{/x]sf lhNnfsf] xsdf ljleGg lgsfojf6 ;+rflnt ;fdflhs ;'/Iff sfo{qmddf bf]xf]/f] gkg]{ u/L o;} sfo{qmd;+u ;dfof]hg u/L ;+rfng ul/g]]5 . -#_ pklgod -!_ adf]lhd sfo{qmddf ;xeflutf ;DaGwL cGo Aoj:yf ;ldltn] lgwf{/0f u/] adf]lhd x'g]5 . btf{ clwsf/L ;DaGwL Aoa:yf M -!_ ;ldltn] cfb]z / o; lgodfjnL adf]lhd ;b:otf btf{ k|of]hgsf nflu cfjZos ;+Vofdf btf{ clwsf/L lgo'Qm ug{ jf tf]Sg ;Sg]5 . -@_ pk lgod -!_ adf]lhd lgo'Qm jf tf]lsPsf] btf{ clwsf/Lsf] sfd st{Jo / clwsf/ b]xfo adf]lhd x'g]5 M– -s_ -u_ -3_ 8=_ -r_
o; lgodfjnL adf]lhd lgwf{l/t of]ubfg /sd lnO{ ;b:otf btf{ tyf gljs/0f ug]{ ug]{ u/fpg], sfo{qmddf kx'+r gePsf jf 5'6]sf AolQm÷kl/jf/ klxrfg u/L ;b:otf btf{ ug]{ u/fpg], gjLs/0f x'g g;s]sf ;b:ox? klxrfg u/L gjLs/0fsf] Joj:yf ldnfpg], sfo{qmdsf] af/]df hgr]tgf sfo{qmd ;+rfng ug]{, ;b:otfsf] klxrfgdf ljjfb ePdf ;dfwfg ug]{ / ;dfwfg x'g g;s]df ;ldlt ;dIf lg0f{osf nflu cg'/f]w ug]{,
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-5_ ;b:otf btf{ Joj:yfsf ;DaGwdf gLltut Joj:yf / k|ljlwdf ug'{ kg]{ ;'wf/sf ljifodf Joj:yfkgnfO{ ;'emfj lbg], -h_ btf{ ;xof]uLnfO{ ;b:otf btf{, gjLs/0f jf ;f] ;DaGwL cGo sfo{df kl/rfng ug],{
*=
-em_ v08 -h_ adf]lhdsf btf{ ;xof]uLsf] sfdsf] cg'udg tyf ;'k/Lj]If0f ug]{ , -`_ ;ldlt jf ;ldlt dftfxtsf sfof{non] ;do ;dodf tf]sL lbPsf cGo sfo{ ug]{ . -#_ btf{ clwsf/Lsf] of]Uotf, egf{ k|lqmof, kfl/>lds / ;]jfsf cGo ;'ljwf ;ldltn] tf]s] adf]lhd x'g]5 . -$_ ;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 . -$_ o; lgod adf]lhd pkrf/ ug]{ afx]s c;fWo k|s[ltsf /f]usf] sf/0f u/Lj ljkGg JolQm jf 3/ kl/jf/n] pkrf/ ug{ g;Sg] e} pklgod -%_ df pNn]v ul/Psf /f]u nfu]sf]] cj:yf ePdf To:tf lj/fdLsf] pkrf/sf] lg/Gt/tfsf] ;ldltn] o;} sf]ifjf6 ug{ ;Sg]5 . -%_ pklgod -!_ adf]lhdsf] sf]ifsf] /sd o; lgod adf]lhd pkrf/ ubf{ /sd gk'u x'g] cj:yf cfPdf c'g;"rL % -s_ df pNn]v ul/Psf /f]ux?sf] pkrf/df vr{ ul/g]5 .
!#=
-^_ pk lgod @ sf] v08 -u_ adf]lhdsf] /sd k|fKt ubf{ cy{ d+qfnosf] k"j{ ;xdtL lng' kg]5 { . ;b:on] kfngf ug'{kg]{ stJo{x? M o; lgodfjnL adf]lhd ;+rfng x'g] sfo{qmsf ;b:ox?n] b]xfo adf]lhsf zt{ kfng ug'{ pgLx?sf] st{Jo x'g]5M– -s_ kl/jf/sf ;j} JolQmnfO{ sfo{qmddf ;xefuL u/fpg], -v_ sfo{qmdsf nflu tf]lsPsf] of]ubfg /sd lgoldt ?kdf ltg]{ / gjLs/0f ug]{ u/fpg], -u_ cfkm\gf] kl/rokq b'?kof]u gug]{, cfjZos ;'ljwf dfq lng] / :jf:YosdL{nfO{ cgfjZos ;]jf -3_ -ª_ -r_ -5_
;'ljwfsf] nflu cg'lrt bjfj lbg gx'g] . sfo{qmdsf] k|efjsfl/tf a9fpg / u'0f:t/ sfod ug]{ sfo{df c;n gful/ssf] x}l;otdf ;b}j ;xof]u ug]{, :jf:YosdL{n] dfu]sf] ;'rgf lbO{ pkrf/ k|lqmofdf ;xof]u ug]{, ;'tL{hGo / dfbs kbfy{ ;]jg gug]{ / kl/jf/sf ;b:onfO{ klg To:tf j:t' ;]jg gug{ k|f]T;fxg ug]{, cfxf/ ljxf/df Wofg lbg], ;lqmo hLjg ljtfpg], 3/ / 5/l5d]sdf ;/;kmfOdf Wofg lbO /f]u nfUg glbg] . -6_
परिच्छेद–३ सुम्िधा योजना सभबन्धी व्यिस्था
!$=
;'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 .
-7_
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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 .
@(=
: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_
-v_ -u_ -3_
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
-r_ -5_ -h_
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] .
-ª_
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============================================= ======================================================
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-49_
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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
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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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-60_
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