Northern Railway
Appendix 1/15
Concession for T.B patients
APPENDIX 1/15
(See Rule 101,Serial No.10)
CONCESSION CERTIFICATE
Form for the purpose of issue of Rail Concession to T.B Patients to be issued by the officer- in-charge of the T.B Hospital/Sanatorium

This is to certify that Shri/Smt_____________________________________ Whose particulars are furnished below, is a bonafide T.B patient, And is required to travel from ________________________ (station) to _________________________________ (station).The patient has secured admission for treatments/is travelling for periodical checkup at the _________________________________ T.B Hospital / Sanatorium.
Particulars of the T.B Patient
(a) Age:
(b) Sex:
Station:____________________________ Signature:
Date:_______________ Officer-in-charge of the hospital/sanatorium:
Seal of the
Hospital/Sanatorium:
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 and to stations serving his place of residence to and from the stations serving the hospital sanatorium.