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AGREEMENT WITH M/S DISTRICT RED CRESCENT GENERAL HOSPITAL

AND RED CRESCENT INSTITUTE OF CARDIOLOGY HYDERABAD FOR THE
PROVISION OF MEDICAL FACILITIES (HOSPITALIZATION AND
OUTDOOR TREATMENT) FOR THE EMPLOYEES OF PTCL, RGM
HYDERABAD DURING THE YEAR 2014.2015

This agreement (hereinafter the Agreement is executed in Hyderabad on this day
___ of ___________2014 (hereinafter the effective date ______________)
BY AND BETWEEN
Pakistan Telecommunication Company Limited, represented by RGM Hyderabad,
CTO Compound Fatima Jinnah Road Hyderabad (hereinafter referred to as PTCL
which expression shall include the representatives and authorized officers of PTCL)
on the one Part:
AND
District Red Crescent General and Red crescent Institute of Cardiology
Hyderabad, represented by Dr. Muhammad Farooque Memon (Chairman)
(hereinafter referred to as the HOSPITAL which expression shall include its
owners, managements, representatives, successors etc.) on the other part.
PTCL and the Hospital shall, hereinafter, collectively be referred to as the Parties
and individually be referred to as the Party.

WHEREAS PTCL intended to seek and the Hospital agreed to provide
Indoor/outdoor Medical Treatment(s)/facilities to the employees of PTCL and their
dependents.
NOW THEREFORE, the Parties agree to abide by the terms and conditions
hereunder:

1. DEFINITIONS AND INTERPRETATIONS
i. PTCL Representative means a person or persons designated by the
Regional General Manager Hyderabad, PTCL to act on behalf of PTCL in
all matter arising out of this agreement.

ii. Contract means this agreement between PTCL and the Hospital for the
provision of Indoor/Outdoor medical facilities to the patients.
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iii. Employees of PTCL ,means only those employees of PTCL who are
either presently working in PTCL, RGM Hyderabad and its attached
offices or retired from PTCL entitled to avail the medical facility as per
PTCL policy.

iv. Patients means the employees of PTCL and/or their dependents who
are permitted by PTCL and have proper Medical Entitlements cards for
free Medical Treatment.

v. Hospitalization means admission of a patient in the Hospital for in-
door medical Treatments in all respects by the Hospital according to their
entitlement for accommodation, as per this contract.

vi. Medical Treatment or Treatment means the provision of all sorts of
indoor/outdoor medical facilities provided by the Hospital to the Patients
who are genuinely in need of medical care. This, therefore, does not
include any treatment for cosmetic reasons. The types of medical services
covered under this agreement are attached as Appendix-A (Rate List)
which will be updated from time to time.
vii. Medical officer means the representative of PTCL RGM Hyderabad
who is authorized to refer Patients for Medical Treatment.

viii. Approved Rates means the rates approved by the PTCL and duly
accepted by the Hospital providing the Medical Treatment in all respect to
the employees of PTCL.

2. TERMS AND ENTITLEMENTS
i. Hospitalization will be allowed according to entitlement and the
accommodation for indoor Treatment shall be provided to the patients as
per the under mentioned categories.

BPS-01 to BPS-16 General Ward
BPS-17 to BPS-19 Separate/Private Room
BPS-20 and above VIP room

ii. The Employee of PTCL will be given such preferential Treatment by
the Hospital as in appropriate keeping in view the payment which is
being made for the services rendered to them.

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iii. A reference letter will be issued by the Medical officer of PTCL
Dispensaries/Senior Manager (Medical Services), with their
signature/Stamps thereon, to the Hospital for providing necessary
medical facilities and Treatment to the employees of PTCL, in RGM
Hyderabad.

iv. Cutting/overwriting on the reference letter shall be signed and
stamped by the issuing authority/Medical Officer concerned.

v The patient will report to the Hospital along with the reference letter
and medical card for outdoor/indoor Treatment which
includesconsultation/opinion/tests/Hospitalization/medication/surge
ry etc.
vi. As the officers in BPS-20 are entitled to approach consultants directly,
reference letter should not be insisted in their case. However, Photo
copy of their CNIC may be retained and enclosed along with the bill.
vii. In case of emergency, the patient shall be admitted to the Hospital,
upon the production of the medical card along with the departmental
card issued by Regional General Manager, and also copy of the NIC
subject to the condition that the said employee will get the formalities
completed in all respects and will obtain the reference letter from the
Medical Officer of PTCL and submit the same to the Hospital on the
next working day.
viii. The Treatment will be provided by the Hospital on credit basis and
bills of charges will be sent to Regional General Manager Hyderabad in
manner given below in Clause-4.
ix The Medical Officer and/or the Senior Medical Officer may at any time
make surprise visits to the Hospital to ensure that the facilities are
being provided to the patients. The Medical Officer and/other Senior
Manager may request for the list of all admitted patients who have
been referred. The Hospital shall ensure that the list is provided as and
when required by Medical Officer and/or the Senior Medical Officer.

x Date of discharge will be counted in the number of billing dates,
irrespective of the time of discharge. If admission is before 12 noon,
whole day will be counted otherwise no charges will be paid for that
day.

xi Prolong and unnecessary stay of the Patient in the Hospital shall be
avoided as far as possible. In case where it is felt necessary that the
patient requires Treatment for more than Three (03) days or Seven
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Days the Hospital shall inform Senior Medical Officer and Senior
Manager Medical Services Karachi respectively along with summary
of the case with such recommendation/option prior of completion of
03/07 days stay. No payment shall be made for prolong stay without
approval of PTCL SMO Hyderabad/SM (M/S) Karachi.
xii PTCL Employees are not entitled to purchase medicines directly from
the chemists/druggists, otherwise they cannot claim reimbursement.
Therefore medicines prescribed by the Medical Officer/Consultant of
the Hospital shall be provided by the Hospital and the charges of the
same will be billed to R.G.M Hyderabad. The Medicines at the time of
discharge /OPD Medicines are not allowed.
xiii Potency of medicines with its make, doses and quantity in figures and
words shall be mentioned while prescribing the medicines and
preparing the bills.
xiv Medicines, disposable etc. shall be supplied to indoor Patients through
the supplier of the Hospital at the existing rate.
xv Special nursing care, gold/silver filling, dentures, plastic surgery for
cosmetic reasons, contact lenses and spectacles shall not be included in
the Treatment. The payments of such Treatments will not be effected, if
it is included in the bill.
xvi In case a patient desires to get admitted above his entitlement, the
differences of charges of class of accommodation of entitlement and the
class availed, shall be paid by the employee himself. PTCL will not
make any payment to the Hospital if any accommodation is provided
to a Patient beyond the entitlement of the employee.
xvii. All tests recommended by the Medical Officer or consultant on the
panel of the Hospital shall be arranged by the Hospital and charges of
the same will be billed to RGM Hyderabad. However prior approval of
the General Manager Hyderabad / Senior Manager ( Medical) Services
Karachi will be required if following tests/ investigation/procedures
are recommended by the Medical Officer or consultant of the Hospital
for indoor/outdoor Patients.
a. CT Scan
b. MRI
c. Angiography/Angioplasty/CABG.
d. Thalium Scan
e. Neuro surgery
f. Burns/Plastic Surgery
g. Fibro-optic bronchoscope.
h. Bone scan / Dexa Scan
i. Haemo Dialysis
j. Chemotherapy
k. Laparoscopy / Arthoscopy
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l. ERCP / MRCP
m. Treatment of Hepatitis C.
n. Orthopedic implant---plates, screws, Austin Moore hip prosthesis
etc.
xviii. OPD investigation without refer letter is not allowed.
xix. In case, some special investigation / medicine / Treatment is required
from some other institution / hospital by the Hospital, prior approval
of PTCL Medical Officer / Senior Manager (Medical), Karachi will be
required to be obtained, except in emergency, and that expenses will be
included in the bill to be submitted to RGM, Hyderabad.
xx. The Hospital shall submit the latest list of consultants attached to the
Hospitals along with their working hours, and any change in this
regard will have to be notified immediately to the Regional General
Manager Hyderabad and concerned Medical Officer.
xxi. Copies of all investigation reports and X-rays are to be handed over to
the Patient, at the time of his discharge. However reports of expired
Patients may be retained by the Hospital.
xxii. PTCL agrees to honor the policies, rules and procedures established
from time to time by the Hospital.
xxiii. The type of medical services which the Hospital will provide relating
to in-door / out-door patients of PTCL are attached as Appendix-A
(Rate List) which will be up-dated time to time.
3. MODE OF PAYMENT
i. Monthly payment will be effected to the Hospital by RGM Hyderabad
according to the approved rates of all medical services to be provided
by the Hospital as mentioned in Appendix-A
ii. The Hospital will submit the bills latest by the 5
th
of each month of all
those Patients who have been treated by the Hospital in the previous
month.
iii. The payments will be made within 30 days from the receipt of the bills
from the Hospital subject to the condition that there is no abnormality
/ ambiguity in the bills and these are according to the conditions as
laid down in the agreement.
iv. All medical bills will be submitted to the RGM Hyderabad, in
duplicate along with the reference letter of the Medical Officer,
discharge slip of the Patients, photocopy of the medical entitlement
card of Patient in the manner given below:

(A) FOR IPD BILLING.
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a. Each Medical Bill will be submitted with a copy of discharge summary
duly signed by the Employee / Patient. Hospital stay, special
Treatment procedures like dressing, operation, oxygen, ICU, CCU,
NCU, PICU etc. shall be mentioned on the discharge card.

b. All bills will be submitted to PTCL with photo-copy of the medical
entitlement card.

c. All the Laboratory investigations will be signed by the pathologist and
will be supported by requisite slips.

d. All X-rays bills will be signed by the radiologist / sinologist, as the case
may be.

e. Date wise record of medicines supplied to the patient during his stay
by pharmacist.

f. Number of visits consultant will be the same as number of days of
Hospital stay.

(B) FOR O.P.D BILLING.

a. (1). All referral letters for OPD should be signed by the Patient and
copy of medical entitlement card should be attached in every case.

b. (2). Laboratory investigations / procedures up to a limit of Rs.
1000/= are allowed under the referral slip by PTCL Medical Officer.
However for investigation / procedures costing up to a limit of Rs.
2000/= will require approval by Senior Medical Officer and
investigations / procedures costing more than Rs. 2000/= will
require approval by Senior Manager (Medical Services).
v. If the overdue amount continues to remain unpaid, the Hospital reserves
the right to cancel credit arrangements as covered in this Agreement by
giving four weeks notice to the Regional General Manager, Hyderabad in
writing.
4. ESCALATION
i. No escalation in rates whatsoever on any account shall be payable to the
hospital for any medical service mentioned the approved rate list
(Appendix A). All rates shall remain fixed.
ii. The rates of medical facilities at the Hospital may be revised by mutual
consent. However, till that revision is effected, the current rates shall
remain applicable and new rate will take effect only when approved by
PTCL and duly communicated to the Hospital.
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iii. For addition rate/rates in relation to any new medical facility / facilities
to be provided to the Patients Treatment, prior written approval of RGM
Hyderabad is essential.
5. GOVERNING LAW
This Agreement shall be governed by and construed in accordance with the
laws of Pakistan.
6. DISPUTE RESOLUTION
i. Any dispute(s) relating to the interpretation / clarification of any
clause of this agreement shall be referred to Regional General Manager
Hyderabad, whose decision will be final and binding upon both
Parties. Failure to make such a reference with two (02) months form the
occurrence of dispute shall be deemed to be a waiver of all claims in
respect of such questions and disputes by concerned party.
ii. Any dispute relating to the Agreement or its subject matter including
disputes as to performance, breach, payment or termination which
cannot be settled by negotiation between the parties, shall be submitted
to binding arbitration in accordance with the Pakistan Arbitration Act
1940 (as amended). The Parties shall within thirty (30) days of the
Arbitration notice agree upon and nominate a sole Arbitrator shall take
place in Islamabad. The cost of the Arbitrator shall be borne equally by
the parties.
7. AMENDMENTS
Amendments if any in this Agreement shall be made in writing and
signed by both parties hereto.
8. SEVERABILITY
If any clause of this contract is found to be or rendered invalid, illegal
or unenforceable, such invalidity, illegality or un-enforceability shall
not affect the validity, legality or enforceability of any other
provision/clause of the contract, and such clause shall be severed from
Agreement as if it was never a part thereof.
9. WAIVER
The waiver of any breach or failure to enforce any term or condition of
this Agreement shall not be construed as a waiver or a waiver of any
other breach of the same or any other term or condition of this
Agreement. No waiver shall be valid unless it is in writing and signed
on behalf of the party making the waiver.
10. NOTICES
i. Any notice, request or consent required or permitted to be given or
made pursuant to this Agreement shall be in writing and shall be
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deemed to have been given or made when delivered in person to any
authorized representative of the Party to whom the communication is
addressed, or when sent by registered mail, telex, telegram or facsimile
to such party at the following address:

For PTCL:
Mr. Javed Ahmed Shaikh
(Regional General Manager)
Address: Regional Office CTO Compound near Gul Center
Hyderabad.
For the Hospital:
Dr. Muhammad Farooque Memon
(Chairman)
Address: Red Crescent General Hospital Unit# 06 Latifabad,
Hyderabad. And Red Crescent institute of cardiology Unit# 02,
Latifabad. Hyderabad.
ii. All Notices shall be in writing and will be deemed to be effective as
follows: In case of personal delivery or registered mail on seventh day
of receipt by addresses and in case of facsimiles, 72 (seventy two) hours
followed by registered confirmation with due regard to weekends and
national holidays.
iii. A Party may change its address or fax number for notice under this
Agreement by giving the other Party written notice pursuant to this
clause.
11. INDEMINIFICATION
Hospital shall indemnify and save harmless PTCL from and against all losses
ad all claims, demands, payments, suits, actions, recoveries, and judgment of
every nature and description made and related cost and expenses brought or
recovered against PTCL related to the services provided by the Hospital
under this Agreement, by reasons of any act, omission to act or status of
liability of Hospital or its agents or employees.
12. DURATION AND TERMINATION OF THE AGREEMENT
i. This agreement shall come into force from Effective Date and shall
remain valid for a period of ONE year (Validity Period), unless
terminated earlier, after which it may be renewed for any other
specified period or periods as to be decided by the Parties.
ii. Notwithstanding any other provision in this Agreement, upon
termination of contract, the Hospital shall continue to provide the
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Medical Treatment on the same terms and conditions as specified in
this Agreement till the selection of a new Hospital by PTCL.
iii. This agreement may be terminated any time by either Party by serving
a written notice of not less than one (01) month on the other party.
Notice period will start running from the date of receipt of the notice
by the Party concerned.
IN WITNESS WHEREOF, the Parties hereto have set their respective hands and seal
on the _______ day of _______2014


Muhammad Farooque Memon Javed Ahmed Shaikh
Chairman Regional General Manager
Red Crescent Hospital Hyderabad


1) Witness 2.Witness



From Hospital Side Senior Manager Medical Services
Name and Designation Business Zone South Karachi