the Right to Information Act, 2005 - HP Health Department

Department of Health and Family WelfareGovt. of Himachal PradeshInformation for the publicunder section 4(1) b and 4(2) ofthe Right to Information Act, 2005Directorate of Health and Family WelfareB.No.-6, S.D.A. Complex, Shimla-9 (H.P.)(As on 31-03-2007)1

Department of Health and Family WelfareGovt. of Himachal PradeshInformation for the public under section 4(1) b and 4(2) of the Right toInformation Act ,2005Information under section 4 (1)b – (i) to (iv)Particulars of Organizations, Functions, Duties, Powers, Decision Making ProcessIncluding channels of Supervision and the Procedure / Norms set by it for the dischargeof its functionsParticulars of Organizations :Department of Health and family welfare is one of the Social Welfare Departments ofthe Govt of Himachal Pradesh and is engaged in providing promotive , preventive and curativehealth to the people of the State through a net work of 2071 Health Sub centers, 443 PHC’s,22 Civil Dispensaries, 72 Community Health Centres, 36 Civil Hospitals, 9 RegionalHospitals, 3 Zonal hospitals , 1 T.B. Sanitorium, 3 Leprosy Hospitals, 1 Himachal Hospital ofMental Health and Rehabilitation, 1 Kamla Nehru Hospital for Mother and Child, One ESIHospital, 2 Medical Colleges and 1 one Govt. Dental college in the State as on 31.03.2007.In Himachal Pradesh presently One Health Sub-Centre is serving 2838 people againstthe National Average of 5401. Similarly, a PHC is providing health care facilities to about13,367 people against the National Average of 32,469 whereas a CHC is serving 88,911 peopleagainst the National Average of 2,43,427.The birth rate of the State is 20.0 per 1000 against 23.8 of the country; crude death rateis 6.9 against 7.6 at national level and infant mortality rate is 49 against the national figure of58. Total fertility rate is 2.1 as compare to 2.9 at the National level.H.P. HEALTH INDICATORSINDICATOR H.P. INDIABirth Rate 2005 (Per 1000) 20.0 23.8Death Rate 2005 (Per 1000) 6.9 7.6Infant Mortality Rate 2005 49 58Total Fertility Rate 2004 2.1 2.9Child Mortality Rate 2004 12.0 172

In the field of Family Planning our achievements are high and encouraging. Coverageof eligible couples with family planning methods in the State is around 68%, which is alsoquite high. The State has achieved near elimination of Leprosy with reduction in LeprosyPrevalence Rate to less than 0.32 cases per ten thousand population. Tuberculosis has also beenbrought under control with more than 88% cure rate. The achievements under the UniversalImmunization Programme have also been commendable. The State is 1 st in the country in theimplementation of Registration of Births and Deaths Act, 1969 with 100% Registration ofBirths and Deaths.The Department functions under the control of the Health Minister who is assisted bythe Principal Secretary Health to the Govt. of HP with its office in the HP Secretariat atShimla- 2, The Principal secretary is assisted by the Special/Additional/Joint/ Deputy/ UnderSecretaries as branch officers for the two branches ( Health –A ) and (Health –B) .Thesebranches function under the Section Officers. Health –A section looks after the programmesand Gazetted establishment of the Primary and Secondary Health care while Health –B sectionlooks after the programmes and establishment of the Medical Education and Tertiary healthcare institutions besides the budget and works of the entire health Department.The Directorate of Health and Family Welfare functions under the AdministrativeControl of Secretary Health GOHP and is located at Block No. 6- SDA Complex KasumptiShimla- 9.The Directorate is headed by The Director of Health Services. There is also a Mission Directorspecifically for the NRHM. Director Health Services is assisted by one Additional Director , 4Joint Directors , 6 Deputy Directors /Programme Officers ,one Deputy Director CRS, AssistantDirector Nursing , Communication Officer and other supervisory staff including oneAdministrative Officer, one Deputy Controller (F& A),One Assistant Controller (F&A ) 6Superintendents and One Assistant drug Controller . The Directorate is divided in to six mainbranches viz.Medical- 1 (Establishment of Medical Officers, Pharmacists, Staff Nurses, LabTechnicians etc.), Medical- 2 ( Establishment of Male & Female Health workers, Drivers,Class iv Staff etc.) Medical- 3 ( Procurement, Cash, Audit and Accounts ),Medical- 4(Planning , Budget, expenditure and major civil works), Medical -5 (NRHM and other NationalProgrammes ),Medical -6 General and Miscellaneous branch .There is a legal cell also to3

assist in the defence of court cases. A separate State level Aids control society under the StateProgramme officer implements the AIDs control programme exclusively. There are twoHealth and Family welfare Training institutes under Principals at Parimahal (SHFWTC)Shimla and RHFWTC Cheeb Kangra. There are also 6 GNM Training Schools and MPWtraining schools under the Department. A Composite Testing Lab. at Kandaghat also functionsunder the control of DHS .At the District level the Health Department functions through the office of ChiefMedical Officers who are assisted by Medical Officer (Health) and other District healthprogramme officers like DTO, DLO, DAPO, DSO etc.At the block level there are the offices of the Block Medical officer ( BMO ‘s) wholook after the primary Health care establishments with in the blocks. The Civil and RegionalHospitals function under the control of the Senior Medical Officers while the Zonal and otherSecondary care Hospitals function under the control of Medical Supdts.Functions, Duties and PowersIt is the nodal department for the implementation of the National Health Policy 2002and various National health Programmes like NRHM , RCH , RNTCP , AIDS Control , IDSP,National Blindness Control programme , National Vector Borne Disease control programme,NLEP , ICMR Cancer control project, National Mental Health programme and Health carecomponent of the ESIC .Procurement of Equipments and DrugsThe procurement of medical equipments and drugs has been brought out of thejurisdiction of Controller Stores, H.P. and the Health Department has been makingprocurements of the medical equipments through open tenders on competitive rates. APermanent Departmental Purchase Committee has been constituted under the chairmanship ofSecretary (Health) for the procurement of medical equipments. Specialists of the particularfield are also invited to the meetings of P.D.P.C. Besides this, the procurement of medicalequipments is also made through GOI / DGS&D approved sources and H.P.S.E.D.C. whichalso involves the Specialists from the department in the procurement process.As per the Drug Procurement Policy of the State the budget for the drugs is divided intotwo parts. 70% of the budget is utilized for the procurement of drugs through H.P. State CivilSupplies Corporation Ltd. which finalizes the Rate Contract involving the Health Departmentthrough the State Level Drug Purchase Committee. The remaining 30% of the budget is placedat the disposal of CMOs for the procurement of Life Saving Drugs and Emergencyrequirements after following the prescribed procedure. They also have the option to placeorders with the sources approved in the H.P. State Civil Supplies Corporation Ltd. Rate4

Contract. The medicines under the NRHM funds have also been procured through the H.P.State Civil Supplies Corporation Ltd..The orders for supply of medicines to E.S.I. Dispensaries out of the funds madeavailable through the revolving fund are placed to the sources approved in the E.S.I.C. RateContract.During 2006-07, the State Govt. has supplied medicines worth Rs. 11,36,20,000/- to thehealth institutions working under the control of Director Health Services. Besides this, medicalkits worth Rs. 1,17,26,000/- have been made available to the Health Sub-Centres. Medicinesworth Rs. 47,55,719/- have been made available to the ESI Institutions.NRHMHimachal Pradesh has been included among 18 state of the country for theimplementation of National Rural Health Mission. NRHM is a landmark for providingaccessible and affordable health care to all citizens living in rural areas particularly to thepoorer and weaker sections. It lays stress on reducing maternal and infant mortality, universalaccess to public health services, prevention and control of communicable and noncommunicabledisease, ensuring population stabilization, maintaining gender balance,revitalization of local health traditions and promotion of healthy life styles. Under the overallumbrella of NRHM a number of programmes especially the Reproductive and Child HealthProgramme (RCH-II), Immunization Programme, Janani Surksha Yojna (JSY) and DiseaseControl Programme have been included. The Mission focuses on decentralized implementationof the activities and funneling of funds, it sets the stage for District Management of Health andactive community participation in the implementation of health programmes. The HimachalPradesh government has already constituted the State and District Health Mission and grassroot activities have been started with zeal and zest. All the CHCs would be converted into FirstReferral Units under the programme in a phased manner. Similarly, 50% of the PHCs in theState would be providing 24 Hours Services by the end of the programme. The programmealso focuses on convergance with IPH, Rural Development and Panchayati Raj, Ayurveda andSocial Justice and Empowerment Departments.In the year 2005-06, a sum of Rs. 53.36 crores was received from Govt. of India underNRHM and Rs. 34.54 crores has been spent out of it. In 2006-07, Rs. 76.61 crores has beenreleased by Govt. of India till 31.12.2006 out of which Rs. 39.95 crores has been spent as on31.12.2006.The Directorate of Health mainly performs the following functions viz.Developmental and welfare functions5

(i) Primary and Secondary health Care infrastructure and facilities (ii) availability ofMedicines (iii) Universal Immunization programme (iv) Reproductive and Child Health (v)IEC (vi) Implementation of National Health policy and various National Health Programmes,Blood Banks etc . vii) Pre-service Training of MPW’s and Staff Nurses. (viii) In servicetraining of Staff.Regulatory Function(i) Disease Surveillance (ii) PFA (iii) Drug Control (iv) PC&PNDT Act (v) IndianEpidemic Control Act. (iv) Prevention of Food Adulteration Act (v) SanitationConduct/ Control of Staff functions(i) Recruitments (ii) Postings (iii) Transfer (iv) Conduct & Control (v) Leave (vi ) Salary (vii)Retirement (viii) Pension etc. of the StaffDecision Making Process :The decisions in the Health Department are based upon various legislations pertainingto the Department, the Health Policy of the Govt. of India and the policy initiatives of the StateGovt. along with the data and feed back from the field on the implementation of the existingpolicy initiatives.The Health Department at the Secretariat level functions as per the rules of businessframed under The Rules of Business of the Govt. of HP 1971 and The Business of the Govt. ofHP (Allocation) Rules 1971.Policy decisions under different enactments and regulations are taken at the Govt. levelin consultation with Finance, Personnel and Law Departments and wherever required with theapproval of the Council of Ministers as per the standing orders issued by the Department fromtime to time.The Directorate and field offices implement the policy decisions of the Govt. as per theprocedure laid down in the office manual and instructions issued by the Govt. from time totime.Information under section 4 (1)b –(v)The Rules, Regulations, Instruction, Manuals and Records Held by it or under itsControl or used by its Employees for Discharging its FunctionsThe following Rules, regulations, instructions, Acts and Manuals are followed/consulted while discharging its functions by the officers /officials :-6

National Health Policy, 2002,National Population Policy,Guidelines and Instructions issued by Govt. of India under various National HealthProgrammes from time to time.Prevention of Food Adulteration Act, 1954,Indian Drugs and Cosmetics Act, 1840,Indian Epidemic Control Act,Pre conception and Pre natal Diagnostic Technique Act,HP Registration of Births and Deaths Act,1969,ESIC Act.,Indian Medical Council Act.,Indian Nursing Council Act,Indian Pharmacy Council Act,HP Paramedical council Act.,Tobacco Control Act,Prohibition of Smoking and Non-Smokers Health Protection act, 1996,Mental Health Act.CCS (Leave) Rules, 1972CCS (Conduct) Rules1964,CCS (Pension) Rules,CCS (CCA) Rules 1965LTC Rules.H.P. Financial Rules,FR & SR.Medical Attendance Rules,HBA Rules,GPF Rules,Budget Manuals,Office Manuals,H.P. Emergency Relief Manual,Hand Book on Personal Matters Volume – I, II & III .Right to Information Act.Cabinet decisions of the State Govt. issued from time to time.Information under section 4 (1)b –(vi)7

A Statement of the Categories of Documents that are held by it or under its controlThe Directorate of Health primarily holds files , correspondence , Reports and manualspertaining to subjects mentioned above.National Health Policy, 2002, National Population Policy, Guidelines and Instructionsissued by Govt. of India under various National Health Programmes from time to time,Prevention of Food Adulteration Act, 1954, Indian Drugs and Cosmetics Act, 1840, IndianEpidemic Control Act, Pre conception and Pre natal Diagnostic Technique Act, HPRegistration of Births and Deaths Act,1969, ESIC Act., Indian Medical Council Act., IndianNursing Council Act, Indian Pharmacy Council Act, HP Paramedical council Act., TobaccoControl Act, Prohibition of Smoking and Non-Smokers Health Protection act, 1996, MentalHealth Act, CCS (Leave) Rules, 1972, CCS (Conduct) Rules1964, CCS (Pension) Rules, CCS(CCA) Rules 1965, LTC Rules, H.P. Financial Rules, FR & SR., Medical Attendance Rules,HBA Rules, GPF Rules, Budget Manuals, Office Manuals, H.P. Emergency Relief Manual,Hand Book on Personal Matters Volume – I, II & III, Right to Information Act. and Cabinetdecisions of the State Govt. issued from time to time.Information under section 4 (1)b –(vii)The Particulars of any arrangements that exists for consultation with or representationby Members of the Public in Relation to the Formulation of Its Policy or Implementationthereof.For consultation and coordination with the public for proper formulation andimplementation of various programmes the department has formed PARIKAS at the Healthsub center level. The suggestions and feedback from the Block Development Committees andZila Parishads are also given due weightage by the Department while formulating annualaction plans. The AKS/RKS also have public representatives in the executive bodies. TheState Health Mission and Distt. Health Missions also have a fair representation of the publicrepresentatives.Information under section 4 (1)b –(viii)A Statement of the Boards, Councils, Committees and Other Bodies Consisting of Two orMore Persons Constituted as Its Part or for the Purpose of Its Advice, and as to whetherMeetings of those Boards, Councils, Committees and other bodies are open to the public,or the minutes of such meetings are accessible to the public.There is a State level Health and Family welfare Society at the State level for effectiveimplementation of the programmes Different programmes also have societies at the State andDistrict level . State and District Health Missions have been formed under the NRHM .The8

Hospitals also have AKS/RKS. Various councils like State Nursing council, State MedicalCouncil, State Paramedical Council, State Pharmacy Council, and State Licensing authorityunder Drugs and Cosmetics Act also function under the Deptt. Their proceedings areaccessible for the public .Information under section 4 (1)b –(ix) to (x)A Directory of its Officers, Employees and Monthly Remuneration Received by the eachof its Officers and Employees including the System of Compensation as provided itsRegulationsThe directory of its officers and employees alongwith monthly remuneration is as under :-Sr.No.Designation of officer/Employee Pay scale No of posts ason 01.05.20071 Director Health Services 18600-22100 12 Mission Director NRHM 14300-18150 13 Addl. Director Health Services 14300-18600 14 Jt. Director health Services 14300-18600 45 Dy. Director Health Services 14300-18150 66 CMO 14300-18150 127 Medical Supdt/Principals 14300-18150 58 Medical Officers 7880 - 13500 16069 Dy. Controller (F&A) 7880-11660 110 Asstt. Controller (F&A) 7220-11660 111 Supdt. Gr-I 7220-11660 412 Supdt. Gr-II 6400-10640 213 Private Secy. 7220-11660 114 Personal Assistant 6400-10640 315 Sr. Asstt. 5800-9200 21016 Sr. Scale Steno 5800-9200 717 Jr. Asstt / Clerk 4400-7000 / 3120-5160 70718 Jr. Scale Steno 4400-7000 419 Staff Nurse 5000-8100 155020 Pharmacists / Chief Pharmacists 4550-7220 96521 Lab Technicians / Chief Lab. Tech. 5000-8100 83022 Radiographers/ Sr. Radiographers 4550-7220 20223 O.T.A. 3330-6200 12024 Health Educators 5800-9200 8125 Lab. Assistant 3120-5160 12626 Health Supervisors 5800-9200 41327 MPWs (Male) 4400-7000 200828 MPW’s (Female) 4400-700 221329 Class-IV 2520-4140 224930 Sweepers 2520-4140 112331 Trained Dais 2820-4400 4609

32 Drug Inspector 6400-10640 1033 Food Inspector 4550-7220 1034 Ophthalmic Asstt 5480-8925 14535 FHS 5800-9200 35036 Part Time Helpers 1100/- fixed 54837 Physiotherapist 5480-8295 12Information under section 4 (1)b – (xi)The Budget allocated to each of its agencies, indicating the particulars of all plans,proposed expenditure and reports of disbursements made.Budget provision of Health Department for the financial year 2007-08 for non-plan & plan areas under :-Budget for the year 2007-08(Rs. in Thousands)S.No. Kind of Plan Demand Demand Demand Demand Demand Demand TotalNo. 9 No. 15 No. 19 No. 24 No. 31 No. 321. Non-Plan 1153289 0 9000 800 57989 0 12210782 State Plan 782000 0 0 0 120580 0 9025803. State- SCSP 0 0 0 0 0 120500 1205004 BASP State 0 138000 0 0 0 0 138000Plan5 CSS Plan 319732 0 0 0 16816 0 336548Total 22255021 138000 9000 800 195385 120500 2718706Information under section 4 (1)b – (xii)The manner of execution of the subsidy programmes, including the amounts allocatedand the details of beneficiaries of such programmesThe medicines for the patients and BPL Families are procured by the Deptt. throughThe HP Civil Supplies Corporation and made available from the various health institutions.The vaccines under the universal immunization programme are provide free of cost through theHealth institutions. The IP’s are also provided with the medicines procured under the ESICFunds. The medicines under the RNTCP and Leprosy programmes are provided by the GOI. Asum of Rs.390 lakhs has been provided under the State Budget for supply of medicines during2006-07.Information under section 4 (1)b –(ix) to (xiii)Particulars of the recipients of concessions, permits or authorizations granted by it10

The families below poverty line are provided free treatment in the Health institutionsThe IP’s under ESIC establishments get free medicines/ treatment. The TB and Leprosypatients get free treatment under the DOT’s and NLEP programmes.11

Information under section 4 (1)b – (xiv)Details in respect of the information, available to or held by it, reduced in an electronicform.Most of the Information is available in the form of hard copies only. The citizens mayalso refer to the web site: hphealth.nic.in for details of information about the DepartmentInformation under section 4 (1)b –(xv)The particulars of facilities available to citizens for obtaining information, including theworking hours of a library or reading room, if maintained for public use.The Citizens may obtain information from the Public information officers or Assistantpublic information officers on any working day between 10 Am to 5 PM.Information under section 4 (1)b – (xvi)The names, designation and other particulars of public information officersThe details and other particulars of Public Authorities, State Public InformationOfficers and Asstt. Public Information officers in respect of Health Department are as under :-Sr.No.Name of the StatePublicInformationOfficerDesignation& OfficeAddress1. Public Authority PrincipalSecretary(Health) tothe Govt. ofH.P.2. AppellateAuthority3 State PublicInformationOfficerDirectorHealthServices,H.P.DirectorDental,HealthServicesPrincipalIGMC,ShimlaPrincipalRPGMC,TandaJurisdictionState ofH.P.State ofH.P.State ofH.P.State ofH.P.State ofH.P.Office TelephoneNo.0177-2621902E-mail AddressHealthsecy_hp@mail.nic.in0177-2621424 Health_hp@mail.nic.in0177-26215940177-280425101892-26711512

Spl. Secy /Addl. Secy /Jt. Secy /Dy. Secy /UnderSecretary.State ofH.P.0177-26224980177-26272593 PublicInformationOfficerMissionDirectorAdditionalDirectorHealthServices,H.P.ProjectDirectorCMOBilaspurCMOChambaCMOHamirpurCMOKangraCMOKinnaurCMOKulluCMO L &SCMOMandiCMOShimlaCMOSirmaurCMOSolanCMO UnaPrincipal,SHFWTC,Parimahal /RHFWTC,CheebNRHM,H.P.Directorate ofHealth andFamilyWelfare,H.P.AIDSControlSociety,H.P.ForDistrictForDistrictForDistrictForDistrictForDistrictForDistrictForDistrictForDistrictForDistrictForDistrictForDistrictForDistrictFor theirrespectiveinstitutions0177-2628250 mdnrhm@yahoo.com0177-2620500177-951978-222586951899-222223951972-222223951892-224874951786-222922951902-223077951900-2222439519052221770177-2657225951702-222543951792-224181951975-226064cmobilaspur@yahoo.co.incmochambahp@yahoo.co.incmohamirpur@yahoo.co.incmokangrahp@yahoo.co.incmokinnaur@yahoo.co.incmokulluhp@yahoo.co.incmolahaulspiti@yahoo.co.incmomandihp@yahoo.co.incmoshimlahp@yahoo.co.incmosolanhp@yahoo.co.incmosirmour@yahoo.co.incmouna_hp@yahoo.co.in13

3. Assistant PublicInformationOfficerMedicalSupdts.Dy. PublicAnalyst,KandaghatAsstt. DrugControllerDistt. BilaspurBMOGhumarwinFor theirrespectiveinstitutionsFor CTLKandaghatFor DrugControlAdmn. inH.P.ForBlockForBlockForBlockBMOJhanduttaBMOMarkandDistt. ChambaBMO ForBharmourForBlockBMO PangiBlockBMO ForPukhari BlockBMO ForSamote BlockBMO TissaForBlockDistt. HamirpurBMO BarsarForBlockBMO ForBhoranj BlockBMO ForNadaun BlockBMO ForSujanpur BlockBMO Tauni ForDevi BlockDistt. KangraBMO ForBhawarna BlockBMO DadaSibaBMOGangathBMOGopalpurBMO IndoraForBlockForBlockForBlockForBlock951978-255238 ----951978-272024 ----951978-286026 ----951899-271011 ----951897-222246 ----951899-237323 ----951899-227011 ----951896-227050 ----951972- 228034 ----951972- 266026 ----951972- 232248 ----951972- 272043 ----951972- 278434 ----951894- 247158 ----951970- 289237 ----951893- 275042 ----951894- 252226 ----951893- 241239 ----14

BMOJawalamukhiBMOForBlockForNagrota (B) BlockBMO ForShahpur BlockBMO ThuralForBlockBMO TiaraForBlockBMO RakkarForBlockBMO ForNagrota (S) BlockBMO ForMahakal BlockDistt. KinnaurBMO NicharForBlockBMO PoohForBlockBMO SanglaForBlockDistt. KulluBMO AnniForBlockBMO BanjarForBlockBMO JarriForBlockBMO ForNaggar BlockBMO ForNirmand BlockDistt. Lahaul and SpitiBMO KazaForBlockDistt. MandiBMOJanjheliBMO KarsogBMO KotliBMO LadbharolBMO PadharBMO RattiForBlockForBlockForBlockForBlockForBlockForBlock951970- 222237 ----951892- 252294 ----951298- 238038 ----951894- 276634 ----951892- 232313 ----951970- 279282 ----951893- 265042 ----951894- 265301 ----951786- 252275 ----951785-232338 ----951786- 242403 ----951904- 253334 ----951903- 222214 ----951902- 276257 ----951902- 248294 ----951904- 255129 ----951906- 222218 ----951907- 256512 ----951907- 222218 ----951905- 281231 ----951908- 278140 ----951908- 260228 ----951905- 242296 ----15

BMORohandaBMO SandholDistt. ShimlaBMOChirgaonBMO KotkhaiBMOKumarsainBMOMashobraBMO MatianaBMONankhariBMO NerwaBMO TikkarDistt. SirmaurBMODhageraBMO RajpuraBMO SangrahBMO SarahanBMO ShillaiDistt. SolanBMO ArkiBMO ChandiBMODharampurBMONalagarhBMO SyriDistt. UnaBMO AmbBMO GagretBMO HaroliBMOThanakalanForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlockForBlock951907- 274120 ----951905- 273223 ----951781- 277223 ----951783- 255327 ----951782- 240063 ----95177-2740230 ----951783- 225222 ----951782- 225242 ----951783- 264338 ----951781- 233181 ------- ------- ----951702- 241891 ----951799- 236731 ----951704- 278542 ----951796- 220368 ----951792-278555 ----951792- 264025 ----951795- 221204 ----951792- 288056 ----951976- 260274 ----951975- 241319 ----951975- 284022 ----951975- 273036 ----16

Information under section 4 (1)b –(ix) to (xvii)Such other information as may be prescribedAdditional information is available on the Web site at the following addresses :-Website: hphealth.nic.inDIRECTOR HEALTH SERVICESHIMACHAL PRADESH.17

No. HFW-H(I)B(2)1/2006Directorate of Health and Family WelfareHimachal Pradesh.ToThe Principal Secretary (Health)to the Govt. of Himachal Pradesh,Shimla- 171 002.Dated : Shimla-9, the 2006Subject :-Draft proposal for issuing notification under section 4(I)b and 4(2) of theright to information act, 2005.Madam,I have the honour to refer to your letter No. Health-A(4)-2/2003-loose dated11.05.2007 on the subject cited above and to enclose herewith revised and updated proposal asdesired vide your letter under reference for your perusal and further necessary action.It is, therefore, requested that necessary notification in this regard may be issuedat Govt. level at the earliest please. Further additions if any can be made at the time ofpublication of periodic information under Rule 4(2) of the RTI Act.Yours faithfully,Director Health ServicesHimachal Pradesh.18