South Central Railway Guntakal Division
APPLICATION FOR CANCELLATION OF FIXED MEDICAL ALLOWANCE
AND OPTING FOR OPD FACILITY
Ret: Railway Board letter No. PC-v/2016/A/Med/1(FMA)(E) dt.27.10.2022.
To
The Divisional Personnel officer,
South Central Railway,
Guntakal.
Respected Sir.
Sub: Request for stoppage of Fixed Medical Allowance
and permit to avail opting for OPD facility under
RELHS - Reg.
-0-0-0
Worked as at
(Office/station) retired/ death/ VR on request
your good office tostop the Fixed Medical Allowance drawn in my favour to enable me to
availOPD facility under RELHS. In terms of RBI [Link]/2022 dated 27.10.2022 issued under
PCPO SC N0: 146/2022/t dated 09/11/20122 the request of the pensioner shall be allowed
the opportunity to avail change in option once in the life time from FMA to OPD or wise Versa
without linkage tochange in residence. Assuch you are requested to kindly process my case
further as per the extent instructions.
Thanking you Sir,
Yours faithfully,
Signature of the Pensioners:
Name of the pensioner :
Ex Designation
Date of retirement
PPO .NO
Station : Bank Name: Branch:
SB Bank Account No
Date [Link]