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1.
These regulations are published for the convenience of candidates and
to enable them to ascertain the probability of their being of the required
physical standards. The
regulations are also intended to provide guidelines to the medical examiners.
2(b)
The medical examination shall be conducted in two parts, i.e. Part I
which shall consist of the entire medical examination which the medical board
may prescribe for a candidate, except the Radiographic Examination of the
chest (X-ray test) and Part II which shall consist of Radiographic Examination
(X-ray test of the chest). The
Part II shall be conducted only in respect of the candidates who have been
declared finally successful on the basis of the examination.]
1.
To be passed as fit for appointment a candidate must be in good mental
and bodily health and free from any physical defect likely to interfere with
the efficient performance of the duties of his/her appointment.
2.
In the matter of the correlation of age, height and chest girth of
candidates of Indian (including Anglo-Indian) race it is left to the Medical
Board to use whatever correlation figures are considered most suitable as a
guide in the examination of the candidates.
If there be any disproportion with regard to height, weight and chest
girth the candidates should be hospitalised for investigation and X-ray of the
chest taken before the candidate is declared fit or not by the Board.
However, the X-ray of the chest will be done in respect of only such
candidates who are directed to appear before the Medical Board for Part II of
the medical examination.
3.
The candidates height will be measured as follows -
He/she will remove his/her shoes and be placed against the standard
with his/her feet together and the weight thrown on the heels and not on the
toes or other sides of the feet. He/
she will stand erect without rigidity and with the heels calve buttocks and
shoulders touching the standard. The
chin will be depressed to bring the vertex of the head level under the
horizontal bar and the height will be recorded in centimeters and part of a
centimeter to halves.
4.
The candidates chest will be measured as follows -
He/she will be made to stand erect with his/her feet together and to
raise his/her arms over his/her head. The
tape will be so adjusted round the chest that its upper edge touches the
interior angles of the shoulder blades, behind and lies in the same horizontal
plane when the tape is taken round the chest.
The arms will then be lowered to hang loosely by the side and care will
be taken that the shoulders are not thrown upwards or backwards so as to
displace the tape. The candidate
will then be directed to take deep inspiration several times and the maximum
expansion of the chest will be carefully noted and the minimum and maximum
expansion of the chest will be recorded in centimeter 84 89, 86 93
etc. In recording the
measurements, fractions of less than half a centimeter should not be noted.
N.B.
The height and chest of the candidate should be
measured twice before coming to a final decision.
6
(a) The
candidates eye-sight will be tested in accordance with the following rules.
The result of each test will be recorded.
(b)
There shall be no limit for minimum naked eye vision but the naked eye
vision of the candidates shall however be recorded by the Medical Board or
other medical authority in every case, as it will furnish the basic
information in regard to the condition of the eye.
(c)
The following standards are prescribed for distant and near vision with
or without glasses:-
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Distant Vision
Near Vision
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Better eye
Worse eye
Better eye
Worse eye
(Corrected
vision)
(Corrected
vision)
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6/9
6/9
J-I
J-II
or
6/9
6/12
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(d)
In every case of myopia fundus examination should be carried out and
the results recorded. In the event
of pathological condition being present which is likely to be progressive and
affect the efficiency of the candidate, he/she should be declared unfit.
(e)
Field of Vision The field of vision will be tested by the
confrontation method. When such
test gives unsatisfactory or doubtful result the field of vision should be
determined on the perimeter.
(f)
Night Blindness Broadly there are two types of night blindness (1)
as a result of Vit. A deficiency and (2) as a result of Organic Disease of
Retina a common cause being retinits Pigmentosa in (1) the fundus is
normal generally seen in younger age-group and ill-nourished persons and
improves by large doses of Vit. A and (2) the fundus is often involved and
mere fundus examination will reveal the condition in majority of cases.
The patient in this category is an adult and may not suffer from
malnutrition. Persons seeking
employment for higher posts in the Government will fall in this category.
For both (1) and (2) dark adaptation test will reveal the condition.
For (2) specially when fundus is not involved electro-retinography is
required to be done. Both these
tests (dark adaptation and retinography), are time consuming and require
specialised set-up and equipment and thus are not possible as a routine test
in a medical check-up. Because of
these technical considerations, it is for the Ministry/Department to indicate
if these tests for night blindness are required to be done.
This will depend upon the job requirement and nature of duties to be
performed by the prospective Government employee.
(g) Ocular
condition, other than visual acuity. - (i) Any organic disease or a
progressive refractive error which is likely to result in lowering the visual
acuity should be considered a disqualification.
(ii) Squint For technical services where the presence of binocular
vision is essential, squint, even if the visual acuity in each eye is of the
prescribed standard should be considered disqualification.
For other services the presence of squint should not be considered as
disqualification, if the visual acuity is of the prescribed standard.
(iii) One eye If a person has one eye or if he/she has one eye which
has normal vision and the other eye is ambiopic or has subnormal vision, the
usual effect is that the person lacks stereoscopic vision for perception of
depth. Such vision is not
necessary for many civil posts. The
Medical Board may recommend as fit such person provided the normal eye has : -
(i) 6/6 distant vision and J-I near vision with or without glasses
provided the error in any
meridian is not more than 4 dioptres for distance vision,
(ii) full field of vision,
(iii) normal colour vision wherever required.
Provided the board is satisfied that the candidate can perform all the
functions for the particular job is question.
(h) Contact
Lenses During the medical examination of a candidate, the use of contact
lenses is not to be allowed. It is
necessary that when conducting eye tests the illumination of the type letters
for distant vision should have an illumination of 15 foot-candles.
7.
Blood Pressure
The board will use its discretion regarding Blood Pressure.
A rough method of calculating normal maximum systolic pressure is as
follow : -
(i) With young
subjects 15-25 years of the age the average is about 100 plus the age.
(ii) With Subjects over 25
years of age the general rule of 110 plus half the age seems quite
satisfactory.
The mercury monometer type of instrument should be used as a rule. The
measurement should not be taken within fifteen minutes of any exercise or
excitement. Provided the patient, and particularly his/her arm is relaxed
he/she may be either lying or sitting. The arm is supported comfortably at the
patients side in a more or less horizontal position. The arm should be
freed from clothes to the shoulder. The cuff completely deflated should be
applied with the middle of the rubber over the inner side of the arm and its
lower edge an inch or two above the bend of the elbow. The following turns of
clothes bandage should spread evenly over the bag to avoid bulging during
inflation.
The branchial artery is located by palpitation at the bend of the elbow
and the stethoscope is then applied lightly and centrally over it below but
not in contact with the cuff. The cuff is inflated to about 200 mm. Hg. and
then slowly deflated. The level at which the column stands when soft
successive sounds are heard represents the systolic pressure. When more air is
allowed to escape the sounds will be heard to increase in intensity. The level
of the column at which the well-heard clear sounds change to soft muffled
fading sounds represents the diastolic pressure. The measurements should be
taken in a fairly brief period of time as prolonged pressure of cuff is
irritating to the patient and will vitiate the readings. Rechecking if
necessary, should be done only a few minutes after complete deflation of the
cuff (sometimes, as the cuff is deflated sounds are heard or at a certain
level; they may disappear as pressure falls and reappear at a still lower
level. This `Silent Gap may cause error on readings.
8.
The urine (passed in the presence of the examiner) should be examined
and the result recorded. Where a Medical Board finds sugar present in a
candidates urine by the usual chemical tests the Board will proceed with
the examination with all its other aspects and will also specially note any
signs or symptoms suggestive of diabetes. If except for the glycosuria the
Board finds the candidate confirm to the standard of medical fitness required
they may pass the candidate fit subject to the glycosuria being non-diabetic
and the Board will refer the case to a specified specialist in Medicine who
has hospital and laboratory facilities at his disposal. The Medical Specialist
will carry out whatever examination, clinical and laboratory he/she considers
necessary including a standard blood sugar tolerance test and will submit his/her
opinion to the Medical Board upon which the Medical Board will base its final
opinion fit or unfit. The candidate will not be required to appear
in person before the Board on the second occasion. To exclude the effects of
medication it may be necessary to retain a candidate for several days in
hospital under strict supervision.
9.
A woman candidate who as a result of tests is found to be pregnant of
12 weeks standing or over should be declared temporarily unfit until the
confinement is over. She should be re-examined for a fitness certificate six
weeks after the date for confinement subject to the production of a medical
certificate of fitness from a registered medical practitioner.
10.
The following additional points should be observed:-
(a)
that the candidates hearing in each ear is good and that there is no sign
of disease of the ear. In case it is defective the candidate should be got
examined by the ear specialist; provided that if the defect in hearing is
remediable by operation or by use of a hearing aid candidate cannot be
declared unfit on that account provided he/she has no progressive disease in
the ear. The following are the guidelines for the medical examining authority
in this regard:-
(1) Marked or total deafness in one ear other ear being normal.
(3) Perforation of tympanic membrane of central or marginal type.
(4) Ears with Mastoid cavity subnormal hearing on one side /on both
sides.
(5) Persistently/discharging
ear operated/ unoperated.
(6) Chronic inflammatory/allergic conditions of nose with or without
bonydeformities of nasal septum.
(7) Chronic inflammatory conditions of tonsils and/or Larynx.
(8) Benign or locally malignant tumours of the ENT.
(9) Otosclerosis
(10) Congenital defects of ear, nose or throat.
(11) Nasal Poly
Fit in respect of both technical and non-technical job if the deafness is
up to 30 decibles in speech frequency of 1000 to 4000.
ji) One ear normal other ear perforation of tympanic membrane present
Temporarily unfit.
Under improved conditions of Ear Surgery a candidate with marginal or
other perforation in both ears should be given chance by declaring him/her
temporarily unfit and then he/she may be considered under 4(ii) below:
(ii) Marginal or attic perforation in both ears Unfit.
(iii) Central perforation in both ears -
Temporarily
Unfit.
Temporarily unfit for both technical and non-technical jobs.
(i) A decision with be taken as per circum-stances of individual case.
(ii) If deviated nasal septum is present with symptoms Temporarily
unfit.
(i) Chronic inflammatory conditions of tonsils and/or larynx Fit.
(ii) Hoarseness of voice of severe degree if present then Temporarily
unfit.
(i) Benign tumour Temporarily Unfit.
iii) Malignant tumours Unfit.
If the hearing is within 30 Decibles after operation or with the help of
hearing aidFit.
(i) If not interfering with functions Fit.
(ii) Stuttering of severe degree Unfit.
Temporarily Unfit.
(b) that his/her speech is without impediment;
(c) that his/her teeth are in good order and that he/she is provided with
dentures where necessary for effective mastication (well filled teeth will be
considered as sound);
(d) that the chest is well formed and his/her chest expansion sufficient; and
that his/her heart and lungs are sound;
(e) that there is no evidence of any abdominal disease;
(f) that he/she is not ruptured;
(g) that he/she does not suffer from hydrocele, a severe degree of
varicocele, varicose veins or piles;
(h) that his/her limbs, hands and feet are well formed and developed and
that there is free and perfect motion of all joints;
(i) that he/she does not suffer from any inveterate skin-disease;
(j) that there is no congenital malformation or defect;
(k) that he/she does not bear traces of acute or chronic disease pointing
to an impaired constitution;
(l) that he/she bears marks of efficient vaccination; and
(m) that he/she is free from communicable disease.
The decision of the Chairman of the Central Standing Medical Board
(conducting the medical examination of the concerned candidate) about the
fitness of the candidate shall be final.
12.
In case of doubt regarding health of a candidate, the Chairman of the
Medical Board may consult a suitable Hospital specialist to decide the issue of
fitness or unfitness of the candidate for Government Service, e.g. if a
candidate is suspected to be suffering from any mental defect or aberration, the
Chairman of the Board may consult a Hospital Psychiatrist/Psychologist, etc.
When any defect is found it must be noted in the certificate and the
medical examiner should state his/her opinion whether or not it is likely to
interfere with efficient performance of the duties which will be required of the
candidate.
13. The candidate filing an
appeal against the decision of the Medical Board have to deposit an appeal fee
of Rs.50/- in such manner as may be prescribed by the Government of India in
this behalf. This fee would be refunded if the candidate is declared fit by the
Appellate Medical Board. The
candidates may, if they like, enclose medical certificate in support of their
claim of being fit. Appeal should be
submitted within 21 days of the date of the communication in which the decision
of the Medical Board is communicated to the candidates, otherwise request for
second medical examination by an Appellate Medical Board will not be
entertained. The medical examination
by the Appellate Medical Board would be arranged at
Medical Boards Report
No person will be deemed qualified for admission to the Public Service
who shall not satisfy Government, or the appointing authority as the case may
be, that he/she has no disease, constitutional affliction, or bodily infirmity
unfitting him/her, or likely to unfit him/her for that service.
It should be understood that the question of fitness involves the future
as well as the present and that one of the main objects of medical examination
is to secure continuous effective service, and in the case of candidates for
permanent appointment to prevent early pension or payments in case of premature
death. It is at the same time to be
noted that the question is one of the likelihood of continuous effective service
and the rejection of a candidate need not be advised on account of the presence
of a defect which in only a small proportion of cases is found to interfere with
continuous effective service.
The Board should normally consist of three members (i) a Physician, (ii)
a Surgeon and (iii) an Opthalmologist all of whom should as far as practicable
be of equal status. A lady doctor
will be co-opted as a member of the Medical Board whenever a woman candidate is
to be examined.
Candidate appointed to the Indian Economic Service/Indian Statistical
Service are liable for field service in or out of
In case where a candidate is declared unfit for appointment in the
Government Service, the grounds for rejection may be communicated to the
candidate in broad terms without giving minute details regarding the defects
pointed out by the Medical Board. In
case where a Medical Board considers that a minor disability disqualifying a
candidate for Government service can be cured by treatment, (medical or
surgical) a statement to that effect should be recorded by the Medical Board.
There is no objection to a candidate being informed of the Boards
opinion to this
In case of candidates who are to be declared Temporarily unfit the
period specified for re-examination should not ordinarily exceed six months at
the maximum.
On re-examination after the specified period these candidates should not
be declared temporarily unfit for a further period but a final decision in
regard to their fitness for appointment or otherwise should be given.
(a) Candidates statement and declaration.
The candidate must make the statement required below prior to his/her
Medical Examination and must sign the Declaration appended thereto.
His/h er attention is specially directed to the warning contained in the
Note below :-
1.
State your name in full
_____________________________________________
(in block letters)
2.
State your age and birth place
_____________________________________________
3(a)
Do you belong to races such as
Gorkhas, Garhwali, Assames,
Nagaland Tribes etc. whose average
height is distinctly Lower ? Answer
Yes and No and if the
answer is
Yes state the name of the race.
______________________________________
(b)
Have you ever had small pox, inter-
mittent or any other fever, enlargement
or suppuration of glands, spitting of
blood, asthma, heart disease, lung
disease, fainting attacks, rheumatism,
appendicitis ?
______________________________________
4.
Have you suffered from any form of
nervousness due to overwork or any
other cause
______________________________________
5.
Furnish the following particulars concerning your family :-
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Fathers age if
Fathers
age at No. of brothers living,
No. of brothers dead, living and state
death and cause
their ages and state
their ages at death and of
health
of
death
of health
cause of death
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1.
2.
3.
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Mothers age if
Mothers
age at No. of sisters living,
No. of sisters dead, living and state
death and cause
their ages and state
their ages at death and of
health
of
death
of health
cause of death
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1.
2.
3.
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6.
Have you been examined by a
Medical Board before ?
__________________________________________________
7.
If answer to above is Yes,
please state what Service/
Services, you were examined
for?
_________________________________________________
8.
Who was the examining
authority?
_________________________________________________
9.
When and where was the
Medical Board held?
_________________________________________________
10.
Results of the Medical Boards
examination, if communicated to
you or if known.
___________________________________________
11.
All the above answers, are to the best of my knowledge & belief, true
and correct and I shall be liable for action under law for any, material
infirmity in the information furnished by me, or suppression of relevant
material information. The furnishing
of false information or suppression of any factual information would be a
disqualification and is likely to render me unfit for employment under the
Government. If the fact that false information has been furnished or that there
has been suppression of any factual information comes to notice at any time
during my service, my services would be liable to be terminated.
Candidates signature
..
Signed in my presence
..
Signature of the Chairman of the Board
.
PROFORMA-I
Report of the Medical Board on (name of candidate) physical examination
..
1.
General development : Good
Fair
. Poor
. Nutrition : Thin
.. Average
..
Obese
.. Height (without shoes)
weight
. Best Weight
When ?
. any recent change in weight ?
..
Temperature
...
Girth of Chest :
(i) After full inspiration
..
(ii) After full expiration
..
2.
Skin any obvious disease
.
3.
Eyes :
(i)
Any disease
(ii)
Night blindness
.
(iii)
Defect in colour vision
.
(iv)
Field of vision
(v)
Visual acuity
.
(vi)
Fundus examination
____________________________________________________________________________
Acq uity of vision
Naked eye with glasses
Strength of glasses
--------------------------
Sph. Cly.
Axis.
--------------------------------------------------------------------------------------------------------------------------------
Distant Vision
R.E.
L.E.
Near Vision
R.E.
L.E.
---------------------------------------------------------------------------------------------------------------------------------
4.
Ears : Inspection
Hearing : Right Ear
Left Ear
5.
Glands
.
Thyroid ..
.
6.
Condition of teeth
7.
Respiratory system : Does physical examination reveal anything abnormal
in the respiratory organs ? If yes, explain fully .
8.
Circulatory System :
(a) Heart : Any organic lesions ?
Rate
Standing
After hopping 25 times
..
2 minutes after hopping
(b) Blood Pressure : Systolic
..
Diastolic
.
9.
Abdomen : Girth ..
Tenderness
.
Hernia ..
...
(a) Palpable : Liver
. Spleen
Kidneys
Tumours
(b) Haemorrhoids
Fistula
.
10.
Nervous System : Indication of nervous of mental disabilities
.
11.
Loco-Motor System : Any abnormality
12.
Genito Urinary System : Any evidence of varicocele, etc.
Urine Analysis :
(a)
Physical
appearance
..
(b)
Sp.
Gr
.
(c)
Albumen
(d)
Sugar
.
(e)
Casts
.
(f)
Cells
..
13.
Report of Screening/X-ray Examination of Chest
...
14.
Is there anything in the health of the candidate likely to render him/her
unfit for the efficient discharge of his/her duties in the service for which
he/she is a candidate ?
Note : In case of female candidate, if it is found that she is pregnant
of 12 weeks standing or over, she should be declared temporarily unfit, vide
regulation 9.
15 (i) Has he/she been found qualified in all
respect for the efficient and continuous discharge of his/her duties in the
Indian Economic Service/Indian Statistical Service?
(ii) Is the candidate fit for FIELD SERVICE?
Note (i) : The Board should record their findings under one of the
following three categories :
(i)
Fit
.
(ii)
Unfit on account
of
(iii)
Temporarily unfit
on account of
.
Note (ii) : The candidate has not undergone chest X-ray test.
In view of this, the above findings are not final and are subject to the
report on Chest X-ray test.
Place :
Chairman
Date :
Signature
Member
Member
Seal
of the Medical Board
PROFORMA-II
Candidates statement/Declaration
1.
State your name :
.
(in block letters)
2.
Roll No.
.
Candidates Signature ------------------------------------
Signed in my presence
Signature of the Chairman of the Board
--------------------------------
--------------------
To be filled-in by the Medical Board
Note : The Board should record their findings under one of the following
three categories in respect of chest X-ray test of the candidate.
Name of the Candidate
..
(i) Fit
.
(ii) Unfit on
account of
(iii) Temporarily unfit
on account of
.
Place :
Chairman
Date :
Signature
Member
Member
Seal of the Medical Board