Page 714 - The Central Motor Vehicles Rules, 1989

686 THE CENTRAL MOTOR VEHICLES RULES, 1989 ANNEXURE-XIII

47. Brief description of the accident
48. Compensation claimed

49. Hospital details
i. PMJAY Empanelled Yes
No
ii. Hospital name
iii. State

iv. District
v. Address
vi. Pincode
vii. Hospital Type Government
Private

viii. Classification (if Government) Primary Health Centres
Community Health Centres
District Hospitals
Medical Colleges and Research Institutions
ix. Speciality (if Private) Multispecialty hospital
Allergy
Anesthesia
Bariatic Medicine/Surgery
Burn/Trauma
Cardiac Catheterization
Cardiology
Cardiovascular Surgery
Dermatology
Electrophysiology
Emergency Medicine
Endocrinology
Family practice
Gastroenterology
General Surgery
Geriatrics
Gynecology/oncology
Hematology/oncology
Hepatobiliary
Hospitalist
Infectious Disease
Internal medicine
Interventional radiology
Medical genetics
Neonatology