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      Passengers
         Rail Travel Concession
            Rail Travel Concession
               Concession Form for Cancer Patients ( Return Journey )
Concession Form for Cancer Patients ( Outward Journey )
Concession Form for Heart Patients ( Outward Journey )
Concession Form for Heart Patients ( Return Journey )
Concession Form for Allopathic Doctors with minimum M.B.B.S. Qualification
Concession Form for Blind Persons
Concession Form for Deaf & Dumb Persons
Concession Form for Mentally Retarded Persons
Concession Form for Orthopaedically Handicapped / Paraplegic Persons
Concession Form for Lupas Valgaris / TB Patients ( Outward Journey )
Concession Form for Lupas Valgaris / TB Patients ( Return Journey )
Concession form for Non - Infectious Leprosy Patients
Concession Form for Thalassemia Major Patients
Concession Form for AIDS Patient ( Outward Journey )
Concession Form for AIDS Patient ( Return )
Concession Form for Haemophilla Patient ( Outward Journey )
Concession Form for Haemophilia Patient ( Return Journey )
Concession Form for Sickle Cell Anaemia Patients ( Outward Journey )
Concession Form for Sickle Cell Anaemia Patients ( Return Journey )
Concession Form for Aplastic Anaemia Patient ( Return Journey )
Concession Form for Aplastic Anaemia Patient ( Outward Journey )
Concession Form for Kidney Patients ( Outward Journey )
Concession Form for Kidney Patients ( Return Journey )


 
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Concession Form for Cancer Patients ( Return Journey )

                  Concession Form for Cancer Patients (Return Journey)                   Appendix-1/18

CONCESSION CERTIFICATE 

                   Form for the purpose of issue of Rail Concession to Cancer Patients used by 
                                        The Officer –in Charge of the Cancer Hospital / Institute

To

The Station Master

   …………………. (Station)

   …………………. (Railway)

This is to certify that Shri /Shrimati…………………………………whose particulars are furnished below, is a bonafideCancer patient required to travel from ……… (Station) to ……………… (Station)*. On discharge from / after re- examination / periodical check up at …………………………………………….. Cancer Hospital / Cancer Institute and is entitled to * a single journey ticket on payment of 1/4ththe normal fare due / permission to travel accompanied by a attendant on payment of 1/4th of the normal fare for the escort in the class occupied .

Particulars of the Cancer patient

   (a)   Age:           

(b)   Sex:

(c)Personal Identification marks (1)…………………………………………………………..

( d) Signature or left thumb Impression of the patient (2)…………………………………………………………..

  Station……………………

  Date………………………………(Officer-in-charge of the Cancer Hospital/Institute)

  Seal of the Hospital / Institute

* Strike out where not applicable

+ Indicate name of the Hospital etc.

Note:

     .             1. The certificate is valid for three months from the date of issue.

2. No alteration in the form is permitted unless attested by the Issuing Officer.

3. Certificate should be issued to patients only for travelling from the station serving the Hospital / Institute. to the station serving his place of residence.




Source : South Eastern Railway CMS Team Last Reviewed on: 25-10-2013  


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