COUNCIL OF INDIA NOTIFICATION
New Delhi Dated the 11th March, 2000
No. MCI 211(2)2001
Regn In exercise of the powers conferred under section 20A
read with section 33(M) of the Indian Medical Council Act, 1956 (102
of 1956), the Medical Council of India, with the previous approval
of the Central Government, hereby makes the following regulations
relating to the Professional Conduct, Etiquette and Ethics for Registered
medical practitioners, namely:-
SHORT TITLE AND COMMENCEMENT:
(1) These regulations
may be called the Indian Council (Professional conduct, and ethics)
(2) They shall come into force on the date of their publication in
the Official Gazette.
CODE OF MEDICAL ETHICS
at the time of making an application for registration under the provisions
of the Act, shall be provided a copy of the declaration and shall
submit a duly signed Declaration as provided in Appendix 1. The applicant
shall also certify that he/shehad read and
agreed to abide by the same.
B. Duties and responsibilities of the physician
1.1 Character of Physician
(Doctors with qualification of MBBS or MBBS with post graduate
degree/diploma or with equivalent qualification in any medical discipline)
1.1.1 A physician shall uphold the dignity and honor of his profession.
1.1.2. The prime object of the medical profession is to render service
to humanity; reward or financial gain is subordinate consideration.
Who-so-ever chooses his profession, assumes the obligation to conduct
himself in accordance with its ideals. A
physician should be an upright man, instructed in the art of healings.
He shall keep himself pure in character and be deligent
in caring for the sick; he should me modest, sober, patient, prompt
in discharging his duty without anxiety, conducting himself with propriety
in his profession and in all the actions of his life.
1.1.3 No person other than a doctor having qualification recognized
by Medical Council of India and registered with Medical Council of
India / State Medical Council (s) is allowed to practice Modern System
of Medicine or surgery. A person obtaining qualification in ant other
system of Medicine is not allowed to practice Modern System of Medicine
in any form.
1.2 Maintaining good medical practice
1.2.1 The principle objective of the medical profession is to render
service to humanity with full respect for the dignity of profession
and man. Physicians should merit the confidence of patients entrusted
to their care, rendering to each a full measure of service and devotion.
Physicians should try continuously to improve medical knowledge and
skills and should make available to their patients and colleagues
the benefits of their professional attainments. The physician should
practice methods of healing founded on scientific basis and should
not associate professionally with anyone who violates this principle..
The honoured ideals of the medical profession
imply that the responsibilities of the physician extend not only to
individuals but also to society.
1.2.2 Membership in Medical Society: For the advancement of his profession,
a physician should affiliate with associations and societies of allopathic
medical professions and involve actively in the functioning of such
1.2.3 A Physician should participate in professional meeting as part
of Continuing Medical Education programmes,
for at least 30 hours every five years, organized by reputed professional
academic bodies or any other authorized organizations, The compliance
of this requirement shall be informed regularly to Medical Council
of India or the State Council of India or the State Medical Councils
as the case may be.
1.3 Maintenance of medical
1.3.1 Every physician shall maintain the medical records pertaining
to his / her indoor patients for a period of 3 years from the date
of commencement of the treatment in a standard proforma
laid down by the Medical Council of India and attached as Appendix.
1.3.2 If any request is made for medical record either by the patients
/ authorized attendant or legal authorities involved, the same
may be duly acknowledged and documents shall be issued within 72 hours.
1.3.3 A registered medical practitioner shall maintain a Register
of Medical Certificates giving full details of certificates issued.
When issuing a medical certificate he /she shall always enter the
identification marks of the patient and keep a copy of the certificate.
He / She shall not omit to record the signature and / or thumbmark,
address and at least one identification mark of the patient on the
medical certificates or report. The medical certificate shall be prepared
as Appendix 2.
1.3.4 Efforts shall be made to computerize medical reports for quick
1.4 Display of registration numbers:
1.4.1 Every physician shall display the registration number accorded
to him by the State Medical Council / Medical Council of India in
his clinic and in all his prescriptions, certificates, money receipts
given to his patients,.
1.4.2 Physicians shall display as suffix to their names only recognized
medical degrees or such certificates / diplomas and memberships /
honors which confer professional knowledge or recognizes any exemplary
qualification / achievements.
1.5 Use of Generic names of
Every physician should, as far as possible, prescribe drugs with generic
names and he/ she shall ensure that there is a rational prescription
and use of drugs.
1.6 Highest quality Assurance
in patient care:
should aid in safeguarding the profession against admission to it
of those who are deficient in moral character or education. Physician
shall not employ in connection with his professional practice any
attendant who is neither registered nor enlisted under the Medical
acts in force and shall not permit such persons to attend, treat or
perform operations upon patients wherever professional discretion
or skill is required.
1.7 Exposure of Unethical Conduct:
A physician should expose, without fear or favour, incompetent or corrupt, dishonest or unethical conduct
on the part of members of the profession.
1.8 Payment of Professional
The Physician, engaged in the practice of medicine
shall give priority to the interests of patients. The personal financial
interests of a physician should not conflict with the medical interests
of patients. A physician should announce his fees before rendering
service and not after the operation or treatment is under way. Remuneration
received for such services should be in the form and amount specifically
announced to the patient at the time the service is rendered. It is
unethical to enter into a contract of no cure no payment. Physician
rendering service on behalf of the state shall refrain from anticipating
or accepting any consideration.
1.9 Evasion of Legal Restrictions:
The physician shall observe the laws of the country
in regulating the practice of medicine and shall also not assist others
to evade such laws. He should be cooperative in observance and enforcement
of sanitary laws and regulations in the interest of public health.
A physician should observe the provisions of the State Acts like Drugs
and Cosmetics Act, 1940; Pharmacy Act, 1948; Narcotic Drugs and Psychotropic
substances Act, 1985; Medical Termination of Pregnancy Act, 1971;
Transplantation of Human Organ Act, 1994; Mental Health Act, 1987;
Environment Protection Act, 1986, Pre-natal Sex Determination Test
Act, 1994: Drugs and Magic Remedies (Objectionable Advertisement)
Act, 1954; Persons with disabilities (Equal Opportunities and Full
Participation) Act, 1995 and Bio-medical Waste (Management and Handling)
Rules, 1998 and such other Acts, Rules and Regulations made by the
Central / State Governments or local Administrative Bodies or any
other relevant Act relating to the protection and promotion of public
DUTIES OF PHYSICIANS TO THEIR PATIENTS
2.1 Obligations to the Sick:
2.1.1 Though a physician is not bound to treat each and every person
asking his service she should not be ever ready to respond to the
calls of the sick and the injured, but should be mindful of the high
character of his mission and the responsibility he discharges in the
course of his professional duties. In his treatment, he should never
forget that the health and the lives of those entrusted to his care
depend on his skill and attention. A physician should endeavour
to add to the comfort of the sick by making his visits at the hour
indicated to the patients. A physician advising a patient to seek
advice of another physician is acceptable, however, in case of emergency a physician must
treat the patient. No physician shall arbitrarily refuse treatment
to a patient. However for good reason, when a patient is suffering
from an ailment, which is not within the range of experience of the
treating physician, the physician may refuse treatment and refer the
patient to another physician.
2.1.2 Medical practitioner having any incapacity detrimental to the
patient or which can affect his performance vis-a
vis the patient is not permitted to practice his profession.
2.2. Patience, Delicacy and
Patience and delicacy should characterize the physician.
Confidences concerning individual or domestic life entrusted by patients
to a physician and defects in the disposition or character of patients
observed during medical attendance should never be revealed unless
their revelation is required by the laws of the State. Sometimes,
however, a physician must determine whether his duty to society requires
him to employ knowledge, obtained through confidence as a physician,
to protect a healthy person against a communicable disease to which
he is about to be exposed. In such instance, the physician should
act, as he would wish another to act toward one of his own family
in like circumstances.
The Physician should neither exaggerate nor minimize
the gravity of a patients condition. He should ensure himself that
the patient, his relatives or his responsibility friends have such
knowledge of the patients condition as will serve the best interests
of the patient and the family.
2.4 The patient must not be
A Physician is chosen whom he will serve. He should,
however, respond to any request for his assistance in an emergency.
Once having undertaken a case, the physician should not neglect the
patient, nor should he withdraw from the case without giving adequate
notice to the patient and his family. Provisionally or fully registered
medical practitioner shall not willfully commit an act of negligence
that may deprive his patient or patients from necessary medical care.
2.5 Engagement for an Obsteric case:
When a physician who has been engaged to attend
an obsteric case is absent and another is
sent for and delivery accomplished, the acting physician is entitled
to his professional fees, but should secure the patients consent
to resign on the arrival of the physician engaged.
DUTIES OF PHYSICIAN IN CONSULTATION
3.1 Unnecessary consultations
should be avoided
3.1.1 However in case of serious illness and in doubtful or difficult
situations, the physician should request consultation, but under any
circumstances such consultation should be justifiable and in the interest
of the patient only and not for any other consideration.
3.1.2 Consulting pathologists / radiologists or asking for any other
diagnostic Lab investigation should be done judiciously and not in
a routine manner.
3.2 Consultation for Patients
In every consultation,
the benefit to the a patient is of foremost
importance. All physicians engaged in the case shoul be frank with the patient
and his attendants.
3.3 Punctuality in Consultation:
should be observed by a physician in making themselves available for
3.4 Statements to Patient after
3.4.1 All statements to the patient or his representatives should
take place in the presence of the consulting physicians, except as
otherwise agreed. The disclosure of the opinion to the patient or
his relatives or friends shall rest with the medical attendant.
3.4.2 Differences of opinion should not be divulged unnecessarily
but when there is irreconcilable difference of opinion the circumstances
should be frankly and impartially explained to the patient or his
relatives or friends. It would be opened to them to seek further advice
as they do desire.
3.5 Treatment after consultation:
No decision should
restrain the attending physician from making such subsequent variations
in the treatment if any unexpected change occurs, but at the next
consultation, reasons for the variations should be discussed/explained.
The same privilege, with its obligations, belongs to the consultant
when sent for in an emergency during the absence of attending physician.
The attending physician may prescribe medicine at any time for the
patient, whereas the consultant may prescribe only in case of emergency
or as an expert when called for.
3.6 Patients Referred to Specialists:
When a patient
is referred to a specialist by the attending physician, case summary
of the patient should be given to the specialist, who should communicate
his opinion in writing to the attending physician.
3.7. A physician shall write
his name and designation in full along with registration particulars
in his prescription letterhead.
Note: In Government
hospital where the patient-load is heavy, the name of the prescribing
doctor must be written below his/her signature
4. RESPONSIBILITIES OF
THE PHYSICIANS TO EACH OTHER
4.1 Dependence of Physicians
to each other:
A physician should consider it as a pleasure and privilege to render
gratuitous service to all physicians and their immediate family dependants
4.2 Act in consultation:
In consultations, no insincerity, rivalry or envy should be indulged
in. All due respect should be observed towards the physician in-charge
of the case and no statement or remark be made, which would impair
the confidence reposed in him. For this purpose no discussion should
be carried on in the presence of the patient or his representatives.
4.3 Consultant not to take
charge of the case:
When a physician has been called for consultation, the Consultant should
normally take charge of the case, especially on the solicitation of
the patient or friends. The Consultant shall not criticize the referring
physician. He / She shall discuss the diagnosis treatment plan with
the referring physician.
4.4 Appointment of Substitute:
Whenever a physician requests another physician to attend his patients
during his temporary absence from his practice, professional courtesy
requires the acceptance of such appointment only when he has the capacity
to discharge the additional responsibility along with his/her other
duties. The physician acting under such an appointment should give
the utmost consideration to the interests and reputation of the absent
physician and all such patients should be restored to the care of
the latter upon his/her return.
4.5 Visiting another Physicians
When it becomes the duty of a Physician occupying an official position
to see and report upon an illness or injury, he should communicate
to the physician in attendance so as to give him an option of being
present. The medical officer / physician occupying an official position
should avoid remarks upon the diagnosis or the treatment that has
5. DUTIES OF PHYSICIAN TO THE PUBLIC AND TO THE PARAMEDICAL
5.1 Physicians as Citizens:
good citizens, possessed of special training should disseminate advice
on public health issues. They should play their part in enforcing
the laws of the community and in sustaining the institutions that
advance the interests of humanity. They should particularly co-operate
with the authorities in the administration of sanitary/ public health
laws and regulations
5.2 Public and Community Health:
those engaged in public health work, should enlighten the public concerning
quarantine regulations and measures for the prevention of epidemic
and communicable diseases. At all times the physician should notify
the constituted public health authorities of every case of communicable
disease under his care, in accordance with the laws, rules and regulations
of the health authorities. When an epidemic occurs a physician should
not abandon his duty for fear of contracting the disease himself.
5.3 Pharmacists/ Nurses:
recognize and promote the practice of different paramedical services
such s pharmacy, and nursing as professions and should seek their
cooperation wherever required.
6. UNETHICAL ACTS:
A physician should not aid or abet or commit any of the following
acts which shall be constructed as unethical -
6.1.1 Soliciting of patients directly or indirectly, by a physician,
by a group of physicians or by institutions or organizations is unethical.
A physician shall not make use of him / her (or his / her name) as
subject of any form or manner of advertising or publicity through
any mode either alone or in conjunction with others which is of such
a character as to invite attention to him or or
to his professional position, skill, qualification, achievements,
attainments, specialties, appointments, associations, affiliations
or honors and/ or such character as would ordinarily result in his
self aggrandizement. A physician shall not give to any person whether
for compensation or otherwise, any approval, recommendation, endorsement,
certificate, report or statement with respect of any drug, medicine,
nostrum remedy, surgical, or therapeutic article, apparatus or appliance
or any commercial product or article with respect of any property,
quality or use of or any test, demonstration or trial thereof, for
use in connection with his name, signature, or photograph in any form
or manner of advertising though any mode nor shall he boast of cases,
operations, cures or remedies or permit the publication of report
thereof through any mode. A medical practitioner is however permitted
to make a formal announcement in press regarding the following:
(1) On starting practice
(2) On change of type of practice
(3) On changing address
(4) On temporary absence from duty
(5) On resumption of another practice
(6) On succeeding to another practice
(7) Public declaration of charges
6.1.2 Printing of self photograph, or any such material of publicity
in the letter head or on sign board of the consulting room or any
such clinical establishment shall be regarded as acts of self advertisement
and unethical conduct on the part of the physician. However, printing
of sketches, diagrams, picture of human system shall not be treated
6.2 Patent and Copy rights:
A physician may patent surgical instruments, appliances and medicine
or Copyright applications, methods and procedures. However, it shall
be unethical if the benefits of such patents or copyrights are not
made available in situations where the interest of large population
6.3. Running an open shop (Dispensing
of Drugs and Appliances by Physicians):
A Physician should not run an open shop for sale of medicine for dispensing
prescriptions by doctors other than himself or for sale of medicine
or surgical appliances, It is not unethical for a physician to prescribe
or supply drugs, remedies or appliances as lons
as there is no exploitation of the patient. Drugs prescribe by a physician
or brought from the market for a patient should explicitly state the
proprietary formulae as well as generic name of the drug.
6.4 Rebates and Commission:
6.4.1 A physician shall not give, solicit, or receive nor shall he
offer to give solicit or receive, any gift, gratuity, commission or
bonus in consideration of or return for the referring, recommending
or procuring of any patient for medical, surgical or other treatment.
A physician shall not directly or indirectly, participate in or be
a party to act of division, transference, assignment, subordination,
rebating, splitting or refunding of any fee for medical, surgical
or other treatment.
6.4.2 Provisions of para 6.4.1 shall apply
with equal force of the referring, recommending or procuring by a
physician or any person, specimen or material for diagnostic purposes
or other study / work. Nothing in this section, however, shall prohibit
payment of salaries by a qualified physician to other duly qualified
person rendering medical care under his provision.
6.5 Secret Remedies:
The prescribing or dispensing by a physician of secret remedial agents
of which he does not know the composition, or the manufacture or promotion
of their use is unethical and as such prohibited. All the drugs prescribed
by a physician should always carry a proprietary formula and clear
6.6 Human Rights:
The physician shall not aid or abet torture nor shall he be a party
to either infliction of mental or physical trauma or concealment of
torture inflicted by some other person or agency in clear violation
of human rights.
Practicing euthanasia shall constitute unethical conduct. However on
specific occasion, the question of withdrawing supporting devices
to sustain cardiopulmonary function even after brain death, shall
be decided only by a team of doctors and not merely by the treating
physician alone. A team of doctors shall declare withdrawal of support
system. Such team shall consist of the doctor in charge of the patient,
Chief Medical Officer / Medical Officer in charge of the hospital
and doctor nominated by the in-charge of the hospital from the hospital
staff or in accordance with the provisions of the Transplantation
of Human Organ Act, 1994.
The following acts of commission or omission on the part of a physician
shall constitute professional misconduct rendering him/her liable
for disciplinary action -
7.1 Violation of the Regulations:
If he/she commits any violation of these Regulations
7.2 If he/she does
not maintain the medical records of his/her indoor patients for a
period of three years as per regulation 1.3 and refuses to provide
the same within 72 hours when the patient or his. her authorized representative
makes a request for it as per the regulation 1.3.2
7.3 If he/she does not display the registration number accorded to
him/her by the State Medical Council of India in his clinic, prescriptions
and certificates etc. issued by him or violates the provisions of
7.4 Adultery or Improper Conduct:
Abuse of professional
position by committing adultery or improper conduct with a patient
or by maintaining an improper association with a patient will render
a Physician liable for disciplinary action as provided under the Indian
Medical Council Act, 1956 or the concerned State Medical Council Act.
7.5 Conviction by Court of
Conviction by a
Court of Law for offences involving moral turpitude / Criminal acts
7.6 Sex Determination Tests:
On no account sex,
determination test shall be undertaken with the intent to terminate
the life of a female fetus developing in her mothers womb, unless
there are other absolute indications for termination of pregnancy
as specified in the Medical Termination of Pregnancy Act, 1971. Any
act of termination of pregnancy of normal female foetus
amounting to female feticide shall be regarded as professional misconduct
on the part of the physician leading to penal ensure besides rendering
him liable to criminal proceedings as per the provisions of this Act.
7.7 Signing Professional Certificates,
Reports and other Documents:
practitioners are in certain cases bound by law to give, or may from
time to time be called upon or requested to give certificates, notification,
reports and other documents of similar character signed by them in
their professional capacity for subsequent use in the courts or for
administrative purposes etc. Such documents, among others, include
the ones given at Appendix 4. Any registered practitioner who is
shown to have signed or given under his name and authority any such
certificate, notification, report or document of a similar character
which is untrue misleading or improper, is liable to have his name
deleted from the Register.
7.8 A registered medical practitioner
shall not contravene the provisions of the Drugs and Cosmetics Act
and regulations made there under. Accordingly-
a) Prescribing steroids / psychotropic drugs when there is no absolute
b) selling Schedule H & L drugs and poisons to the public
except to his patient; in contravention of the above provisions shall
constitute gross professional misconduct on the part of the physician.
7.9 Performing or enabling
unqualified person to perform an abortion or any illegal operation
for which there is no medical surgical or psychological indication.
7.10 A registered medical practitioner
shall not issue certificates of efficiency in modern medicine to unqualified
or nonmedical person.
(Note: The foregoing does not restrict the proper training and instruction
of bonafide students, midwives, dispensers, surgical attendants, or
skilled mechanical and technical assistants and therapy assistants
under the personal supervision of physicians.)
7.11 A physician should not contribute to the lay press articles and
give interviews regarding diseases and and
treatments which may have the effect of advertising himself or soliciting
practices; but is open to write to the lay press under his own name
on matters of public health, hygienic living or to deliver public
lectures, give talks on the radio/ TV/ internet chat for the same
purpose and send announcement of the same to lay press.
7.12 An institution run by a physician for a particular purpose such
as maternity home, nursing home, private hospital, rehabilitation
centre or any type of training institution etc may be advertised in
the lay press, but such advertisements should not contain anything
more than the name of the institution, type of patients, admitted
type of training and other facilities offered and the fees.
7.13 It is improper for a physician to use an usually large sign board
and write on it anything other than his name, qualifications obtained
from a university or s statutory body, titles and name of his specialty,
registration number including the name of the State Medical Council
under which registered. The same should be the content of his prescription
papers. It is improper to affix a sign board on a chemists shop or
in places where he does not reside or work.
7.14 The registered medical practitioner shall not disclose the secrets
of a patient that have been learnt in the exercise of his / her profession
I) in a court of law under orders of the Presiding Judge
ii) in circumstances where there is a serious and identified risk
to a specific
iii) noticeable diseases
In case of communicable / notifiable diseases,
concerned public health authorities should be informed immediately.
7.15 The registered medical practitioner shall not refuse on religious
grounds alone to give assistance in or conduct of sterility, birth
control, circumcision and medical termination of pregnancy when there
is medical indication, unless the medical practitioner feels himself
/ herself incompetent to do so.
7.16 Before performing an operation the physician should obtain in
writing the consent from the husband or wife, parent or guardian in
case of minor, or the patient himself as the case may be. In an operation
which may result in sterility the consent of both husband and wife
7.17 A registered medical practitioner shall not publish photographs
or case reports of his / her patients without their permission, in
any medical or other journal in a manner by which their identity should
be made out. If the identity is not to be disclosed, the consent is
7.18 In the case of running of a nursing home by a physician and employing
assistants to help him / her, the ultimate responsibility rests on
7.19 A physician shall not use touts or agents for procuring patients.
7.20 A physician
shall not claim to be specialist unless he has a special qualification
in that branch.
7.21 No act of invitro fertilization or
artificial insemination shall be undertaken without the informed consent
of the female patient and her spouse as well as the donor. Such consent
shall be obtained in writing only after the patient is provided, at
her own level of comprehension, with sufficient information about
the purpose, methods, risks, inconveniences, disappointments of the
procedure and possible risk and hazards.
7.22 Research: Clinical drug trials or other research involving patients
or volunteers as per the guidelines of ICMR can be undertaken, provided
ethical considerations are borne in the mind. Violation of existing
ICMR guidelines in this regard shall constitute misconduct. Consent
taken from the patient for trial of therapy which is not as per the
guidelines shall also be construed as misconduct.
7.23 If a physician posted in rural area is found absent onm
more than two occasions during inspection by the Head of the District
Health Authority or the Chairman, Zila Parishad,
the same shall be construed as a misconduct if it is recommended to
the Medical Council of India / State Medical Council by the State
Government for action under these Regulations.
7.24 If a physician posted in a medical college/institution both as
teaching faculty or otherwise shall remain in hospital / college during
the assigned duty hours. If they are found absent on more than two
occasions during this period, the same shall be construed as a
misconduct if it is certified by the Principal/ Medical Superintendent
and forwarded through the State Government to Medical Council of India
/ State Medical Council for action under these Regulations.
PUNISHMENT AND DISCIPLINARY ACTION
8.1 It must be clearly understood that the instances of offences and
Professional misconduct which are given above do not constitute and
are not intended to constitute a complete list of the infamous acts
which calls for disciplinary action, and that by issuing this notice
the Medical Council of India and or State Medical Councils are in
no way precluded from considering and dealing with any other form
of professional misconduct on the part of a registered practitioner.
Circumstances may and do arise from time to time in relation to which
there may occur questions of professional misconduct which do not
come within any of these categories. Every care should be taken that
the code is not violated in letter or spirit. In such instances as
in all others, the Medical Council of India and / or State Medical
Councils have to consider and decide upon the facts brought before
the Medical Council of India / or State Medical Councils.
8.2 It is made clear that any complaint with regard to professional
misconduct can be brought before the appropriate Medical Council or
Disciplinary action. Upon receipt of any complaint of professional
misconduct, the appropriate Medical Council would hold an inquiry
and give opportunity to the registered medical practitioner to be
heard in person or by pleader. If the medical practitioner is found
to be guilty of committing professional misconduct, the appropriate
Medical Council may award such punishment as deemed necessary or may
direct the removal altogether or for a specified period, from the
register of the name of the delinquent registered practitioner. Deletion
from the Register shall be widely publicized in local press as well
as in the publications of different Medical associations / Societies/
8.3 In case the punishment of removal from the register is for a limited
period, the appropriate Council may also direct that the name so removed
shall be restored in the register after the expiry of the period for
which the name was ordered to be removed.
8.4 Decision on complaint against delinquent physician shall be taken
within a time limit of 6 months.
8.5 During the pendency of the complaint
the appropriate Council may restrain the physician from performing
the procedure or practice which is under scrutiny.
8.6 Professional incompetence shall be judged by peer group as per
guidelines prescribed by Medical Council of India.
At the time of registration, each applicant shall be given a copy
of the following declaration by the Registrar concerned and the applicant
shall read and agree to abide by the same:
1) I solemnly pledge
myself to consecrate my life to service of humanity,
2) Even under threat, I will not use my medical knowledge contrary
to the laws of
3) I will maintain the utmost respect for human life from the time
4) I will not permit considerations of religion, nationality, race,
party politics or
social standing to intervene between my duty and my patient.
5) I will practice my profession with conscience and dignity.
6) The health of my patient will be my first consideration.
7) I will respect the secrets which are confined in me.
8) I will give to my teachers the respect and gratitude which is their
9) I will maintain by all means in my power, the honour
and noble traditions of
10) I will treat my colleagues with all respect and dignity.
11) I shall abide by the code of medical ethics as enunciated in the
Council (Professional Conduct Etiquette and Ethics) Regulations 2002.
I make these promises solemnly, freely and upon my honour
1. FORM OF CERTIFICATE RECOMMENDED FOR LEAVE OR EXTENSION OR COMMUNICATION
OF LEAVE AND FOR FITNESS
Signature of patient
or thumb impression
To be filled in by the applicant in the presence of the Government
Medical Attendant or Medical Practitioner
after careful examination of the case certify
.. whose signature is given
above is suffering from
and I consider that a period of
absence from duty of
. With effect from
absolutely necessary for the restoration of his health.
after careful examination of the case certify hereby
.. on restoration if health
is now fit to join service.
. Signature of Medical attendant
(Medical Council of India / State
Medical Council of
Note: The nature and probable duration of the illness should also
be specified. This certificate must be accompanied by a brief resume
of the case giving the nature of the illness, its symptoms, causes
FORMAT FOR MEDICAL REPORT
(see regulation 3.1)
Name of the patient :
Date of 1st visit :
Clinical note (summary) of the case :
Prov : Diagnosos
Investigations advised with reports :
Diagnosis after investigation :
Signature in full
Name of Treating Physician
LIST OF CERTIFICATES,
REPORTS, NOTIFICATIONS ETC. ISSUED BY DOCTORS FOR THE PURPOSE OF VARIOUS
ACTS/ ADMINISTRATIVE REQUIREMENTS -
a) Under the Acts
relating to birth, death or disposal of the dead.
b) Under the Acts relating to Lunacy and Mental Deficiency and under
illness Act and the rules made there under
c) Under the Vaccination Acts and the regulations made there under
d) Under the Factory Acts and the regulations made there under
e) Under the Education Acts.
f) Under the Public Health Acts and the Orders made there under
g) Under the Workmens Compensation Act and the Persons with Disability
h) Under the acts and orders relating to the notification of infectious
I) Under the Employees State Insurance Act.
j) In connection with the sick benefit insurance and friendly societies
k) Under the Merchant Shipping Act.
l) For procuring / issuing of passports
m) For excusing attendance in courts of justice, in public services,
in public offices
or ordinary employment
n) In connection with Civil and Military matters.
0) In connection with matters under the control of Department of Pensions
p) In connection with quarantine rules.
q) For procuring driving licence.
(DR. M. SACHDEVA)