Instructions to Fill up Application Online

INSTRUCTIONS TO FILL UP APPLICATION ONLINE

Beneficiaries would type url
The following window opens

He /She shall click on the link Apply Online for Plastic Cards

When one clicks on the link for plastic cards the following window appears

S.No. 1- above applies to Serving employees or pensioners obtaining a new CGHS Card. Pensioners holding a CGHS card while he/she was in service shall not click on this link.

(Reason- The link prepares for issue of a new card number and new Ben –ID.Pensioners who were having CGHS Family card number and a unique ID would lose the old Ben ID number and therefore the benefit of continuing with same Ben ID as pensioner and hence, the old medical records associated with the old Ben ID number)

S.No. 2.This link is presently applicable for beneficiaries of CGHS Delhi only, where all existing old CGHS Card holders are being provided with a Plastic card for each family – ON LINE APPLICATIONS FOR PLASTIC CARDS -EXISTING

On clicking link at S.No. 1 the following window appears

Bottom of Form

He/She shall click SAVE AND PROCEED to enter details of Family Members

After entering the details he / she shall save and a Token number shall be issued and the filled up form shall be printed.

Serving employees paste the photos of family members on the form and get is forwarded by his Ministry / Department / Office to CGHS(HQ) ( in case of Delhi or the office of AD/JD of CGHS in other cities.

Pensioners wouldpaste the photos of family members on the form and submit to CGHS(HQ) ( in case of Delhi or the office of AD/JD of CGHS in other cities along with required documents and DD.

INSTRUCTIONS TO CGHS OFFICE

At the office of CGHS the following window appears after log in with user name and pass word

Open Menu

Home

Online Request for PCs

Card Updation

Card Updation/Insertion

Insertion / Updation(New)

Card Distribution

Reports

Plastic Cards

Card Distribution Report

Search Beneficiary

On clicking the online Requests for PCs the following would appear

Online Request for PCs

1.Online Applications of Fresh Employees who are not CGHS beneficiaries

2. Existing CGHS beneficiaries who have not applied for Plastic cards

On clicking the link at S.No.1 the following Ack No. and details would be visible in respect of employees or pensioners seeking new cards.

Sr. no / Card Applier's Name / Card Type / Ack. no. / Applied Date / Department Name
1 / AMAR SINGH / S / T651 / 2009-11-06 / DG CPWD, Nirman Bhavan
2 / AMAR SINGH / S / T653 / 2009-11-07 / DG CPWD, Nirman Bhavan
3 / AMIT SAINI / S / T615 / 2009-10-21 / University Grants Commission
4 / B RAMESHBABU / S / T655 / 2009-11-09 / NTRO, Hauz Khas
5 / DR ANUPAMA PRASAD / S / T628 / 2009-10-27 / CGHS Section
6 / ELIAZAR TIRKEY / S / T616 / 2009-10-21 / M of H & F W
7 / FUNTEST / S / T610 / 2009-10-18 / NSCS Cabinet Sect., R.K.Puram
8 / GAJENDER SINGH / S / T618 / 2009-10-22 / M/O Water Resource Genl Admn, Shram Shakti Bhawan, Rafi Marg
9 / JHG / S / T625 / 2009-10-26 / Ministry of Rural Development, Land Resource Deptt.250
10 / JUGAL NAYAK / S / T659 / 2009-11-10 / M/O Finance, Deptt. Of Expenditure
11 / KAMAL DEEP / S / T650 / 2009-11-06 / Natural Bureau of Soil Survey & Land Use Planning
12 / KDFDKKK / S / T627 / 2009-10-26 / Institute of Hotel Management Catering & Nutrition
13 / MAYANK SINGH / S / T607 / 2009-10-15 / Dr. R.M.L.Hospital, New Delhi
14 / MUKESH KUMAR / S / T605 / 2009-10-14 / UPSC Shahjahan Road
15 / NAND KISHORE SHARMA / S / T604 / 2009-10-14 / CGHS Section
16 / RAJAN / S / T643 / 2009-11-03 / Ministry of Railway(Railway Board)
17 / SUNIL KUMAR SONI / S / T638 / 2009-11-01 / Ministry of Defence DRDO, Delhi Cantt
18 / T PURUSHOTHAMAN / S / T640 / 2009-11-01 / M/O Home, Dept. of DG

New employee / beneficiary would approach with T No. ( Ack No) and a print out duly forwarded by department in case of serving employees.

On clicking relevant Ack No. following data would appear. The data needs to be verified from the form

Top of Form

Applicant details
Card Holder Name* /
Card Type* / / (ifAutonomous)
IC Number(For MP's Only) /
Date of Birth* / /
Sex* /
Department * /
Designation Status /
Pay Scale: / *(in Rs.)
Present Pay: / *(in Rs.)
Last Pay: / *(in Rs.)
Entitlement /
To Dispensary
Official Address
Phone Number : /
E-mail Address : /
Address : /
Pin Number : /
Residential Address
Address: /
Place : /
City* : /
Pin Number : /
Phone Number : / Mobile No.

Bottom of Form

If details pertaining to the head of family is to be changed the option of ‘EDIT DETAILS’

Option would be used ;

Then Click ‘EDIT FAMILY DETAILS’’ option

Window similar to the following would appear.

Top of Form

Card Holder Name: / Dr S V Ramakrishna / Ben Id: / 639 / Card Type: / S
Sl No. / Name / Date Of Birth / Relation / Sex / Blood Group / Options
1 / Dr S V Ramakrishna / xxxx-07-xx / SELF / M / O+ / Delete / Edit / Image Upload / View Photo
2 / Mrs S Satyavati / xxxx-xx-xx / WIFE / F / O+ / Delete / Edit / Image Upload / View Photo
3 / S R Rao / 19xx-xx-29 / SON / M / O+ / Delete / Edit / Image Upload / View Photo
4 / S Anuradha / 19xx-xx-10 / DAUGHTER / F / O+ / Delete / Edit / Image Upload / View Photo

Bottom of Form

Top of Form

Name / / DOB /
Sex / / Blood Group /
Relationship /

By clicking edit option Bottom of Form

Against each name the data whether name , DOB, relationship orBlood group can be edited / added. Similarly if any name is to be added it can be added.

After verifying the Data Click on ‘Verify / Insert Card’

Message will pop up from web

‘ Have you Checked All the Information of ‘T- ‘ If Yes Click ‘Ok’

For recheck Click ‘Cancel’

After clicking OK the following window opens:

Acknowledgement number : T6y1

1. / Card Holder Name: / Axxx SINGH
2. / Card Type: / S
3. / Sex: / M
4. / Allot Validity date: /
5. / Allot Dispensary to the Applicant : /

Dispensary shall be selected from the list and Click on ‘APPROVE THE APPLICATION FORM’

Computer would generate an Index card

Similar to the following:

INDEX CARD
GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
CENTRAL GOVERNMENT HEALTH SCHEMEPrintBack

1. / Card No./ Type / 112/S
2. / Name of The Govt Employee / Dr S V Ramakrishna
3. / Residential Address / 930, BLOCK 30 ,, BABA KHRAK SINGH MARG
4. / CGHS Dispensary / zzzzzzzzzzzzz
5. / Valid Upto: / 31-07-xxxx
6. / Entitlement:
7. / Family Member Details:
S.No. / Beneficiary Id / Name / Date of Birth / Relation
1 / 6xx / Dr S V Ramakrishna / 21-07-19xx / SELF
2 / 6xx / Mrs S Satyavati / 05-01-19xx / WIFE
3 / 6xx / S R Rao / 29-07-19xx / SON
4 / 6xx / S Anuradha / 10-02-19xx / DAUGHTER

This Slip is valid till issue of Plastic Card.

A print out of the same is taken in Duplicate. It shall be signed by Authorized signatory with Stamp.

One will be issued to serving employee and one copy to department.

This print out would be valid for availing CGHS facility (incl. treatment at empanelled hospitals) till Plastic Card is made.

SCANNING OF PHOTOS – 200 dpi RESOLUTION

Individual Photographs are scanned and stored in jpeg format on computer in a separate folder.

Ether name may be used or Token (Ack) number may be used to label photos.

( T-221-1.jpg, T-221-2.jpg, T-221-3.jpg , etc.,)

C:\Documents and Settings\S.V.RAMAKRISHNA\My Documents\photos

Open Menu

Home

Online Request for PCs

Card Updation

Card Updation/Insertion

Insertion / Updation(New)

Card Distribution

Reports

Plastic Cards

Card Distribution Report

Search Beneficiary

Click on Insertion /Updation (new) and the screen as above appears.

Select Dispensary name

Card type – Serving / Pensioner etc.,

Enter either Card name or Beneficiary ID of Employee / Pensioner and click on ‘Click me’

The following screen shall appear.

Click on Family details

The following would appear

Card Holder Name: / Dr S V Ramakrishna / Ben Id: / 639 / Card Type: / S
Sl No. / Name / Date Of Birth / Relation / Sex / Blood Group / Options
1 / Dr S V Ramakrishna / xxxx-07-xx / SELF / M / O+ / Delete / Edit / Image Upload / View Photo
2 / Mrs S Satyavati / xxxx-xx-xx / WIFE / F / O+ / Delete / Edit / Image Upload / View Photo
3 / S R Rao / 19xx-xx-29 / SON / M / O+ / Delete / Edit / Image Upload / View Photo
4 / S Anuradha / 19xx-xx-10 / DAUGHTER / F / O+ / Delete / Edit / Image Upload / View Photo

Click on Image upload

The following screen shall po-up

Click on Browse to select Photo and upload the photos. Similarly for all Family members.

The Data would go online to the agency for preparation of Plastic Cards. They would arrange for delivery of Cards to the office of CGHS.

The procedure is similar for pensioners who have applied for new CGHS cards online.

MANUAL SUBMISSION OF APPLICATION FOR NEW CGHS (PLASTIC) CARD

Serving employees would fill up the relevant form duly forwarded by department to CGHS.

At CGHS Office after log in the following window would appear. On left side

Open Menu

Home

Online Request for PCs

Card Updation

Card Updation/Insertion

Insertion / Updation(New) Click on the Link

Card Distribution

Reports

Plastic Cards

Card Distribution Report

Search Beneficiary

The following would appear

INDEX CARD ENTRY

Top of Form

Dispensary Name /
Card Type* / / Click me / (if Autonomous)
(Generate card no)
IC Number
(For MP's Only) /
Card Number /
Beneficiary Id /
Date of Issue* / /
Date of Birth* / /
Valid Up to* /
Card Holder Name* /
Department /
Sex* /
Entitlement /
Miscellaneous /
Case / Transfer Delete Unselect
Residential Address
House No : /
Place : /
City : /
Pin Number : /
Phone Number : /

Data shall be entered.

Select dispensary

Select card type in the list

Enter date of issue

DOB

Valid upto

Card Holder’s Name

Department

Sex

Entitlement

Residential Address.

No Card no / Ben ID number is entered . These are generated by Computer.

In case of Serving employee making a new Card click option GenerateCard No.

In case of Autonomous Body Click If Autonomous Body

click on

System would generate a new Card number and Ben ID.

Again select the dispensary allotted and click on Click me

At the bottom of table click on

Enter Family Details and upload the photos.

Card Holder Name: / Dr S V Ramakrishna / Ben Id: / 6yy / Card Type: / S
Sl No. / Name / Date Of Birth / Relation / Sex / Blood Group / Options
1 / Dr S V Ramakrishna / xxxx-07-xx / SELF / M / O+ / Delete / Edit / Image Upload / View Photo
2 / Mrs S Satyavati / xxxx-xx-xx / WIFE / F / O+ / Delete / Edit / Image Upload / View Photo
3 / S R Rao / 19xx-xx-29 / SON / M / O+ / Delete / Edit / Image Upload / View Photo
4 / S Anuradha / 19xx-xx-10 / DAUGHTER / F / O+ / Delete / Edit / Image Upload / View Photo

Bottom of Form

Top of Form

Name / / DOB /
Sex / / Blood Group /
Relationship /

Bottom of Form

After name , sex, DOB, Relationship , Blood Group are filled / selected Click on

after adding Family members Click on

The following would appear. Give command for ‘Print’ by clicking on Print

INDEX CARD
GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
CENTRAL GOVERNMENT HEALTH SCHEMEPrintBack

1. / Card No./ Type / xxx/S
2. / Name of The Govt Employee / Dr S V Ramakrishna
3. / Residential Address / 930, BLOCK 30 ,, BABA KHRAK SINGH MARG
4. / CGHS Dispensary / NORTH AVENUE
5. / Valid Upto: / 31-07-20xx
6. / Entitlement:
7. / Family Member Details:
S.No. / Beneficiary Id / Name / Date of Birth / Relation
1 / 6xx / Dr S V Ramakrishna / 21-07-19xx / SELF
2 / 6xx / Mrs S Satyavati / 05-01-19xx / WIFE
3 / 6xx / S R Rao / 29-07-19xx / SON
4 / 6xx / S Anuradha / 10-02-19xx / DAUGHTER

This Slip is valid till issue of Plastic Card.

A print out of the same is taken in Duplicate. It shall be signed by Authorized signatory with Stamp.

One will be issued to serving employee and one copy to department.

This print out would be valid for availing CGHS facility (incl. treatment at empanelled hospitals) till Plastic Card is made.

The Data would go online to the agency for preparation of Plastic Cards. They would arrange for delivery of Cards to the office of CGHS.

ON LINE APPLICATIONS FOR PLASTIC CARDS -EXISTING

-As of now only in DELHI

-Beneficiaries would type url

-The following window opens

Central Government Health Scheme
Ministry of Health & Family Welfare
Government of India
Dispensary Code: /
User Id /
Password : /

Download SoftwareVisit CGHS website

Contact ListLife saving drugsApply Online for Plastic Cards

This site is best viewed in 1024x768 resolution*.

He /She shall click on the link Apply Online for Plastic Cards

When one clicks on the link for plastic cards the following window appears

Central Government Health Scheme
Ministry of Health & Family Welfare
Government of India

1.New Employees/Pensioners who are not CGHS beneficiaries, apply for plastic cards

2. Existing CGHS Beneficiaries who have not applied for Plastic cards

**Note:- The beneficiaries whose card type needs to be changed from serving to pensioners should not apply Online.

On clicking link at S.No. 2 the following window appears

Either fill up first three fields or enter Ben ID

Click on

It would open application form with Ben ID –a print out is to be taken out and details are to be filled up. Photographs are to be pasted. In case of serving employees the form is to be verified and forwarded to the office of Addl. Director (HQ), CGHS. A copy of old card is enclosed.

AT CGHS(HQ)

At the office of CGHS the following window appears after log in with user name and pass word

Open Menu

Home

Online Request for PCs

Card Updation

Card Updation/Insertion

Insertion / Updation(New)

Card Distribution

Reports

Plastic Cards

Card Distribution Report

Search Beneficiary

On clicking the online Requests for PCs the following would appear

Online Request for PCs

1.Online Applications of Fresh Employees who are not CGHS beneficiaries

2. Existing CGHS beneficiaries who have not applied for Plastic cards

On clicking the link at S.No.2 the following details would be visible in respect of employees or pensioners seeking new cards.

Sr. no / Card Applier's Name / Card No. / Card Type / Applied Date / Department Name
1 / SUSHILA AGARWAL / 42748 / P / 2009-10-14 / Not Available
2 / DR SANJAY JAIN / 2977 / S / 2009-10-14 / CGHS Section
3 / ABC / 12345 / P / 2009-10-13 / Not Available
4 / SH JASMINDER SINGH / 102489 / P / 2009-10-13 / Not Available
5 / SRINIVAS MURTHY / 2829 / S / 2009-10-14 / CGHS Section
6 / NAND KISHORE / 181592 / S / 2009-10-14 / Directorate General of Works, CPWD, Nirman Bhavan
7 / KAUSIK DATTA / 624601 / S / 2009-10-14 / Not Available
8 / POTHINENI SRINIVASA RAO / 147289 / S / 2009-10-14 / M/O Commerce & Industry, Dept. of Industrial Policies and Promotion
9 / BISHNU PADA MUKHOPADHYAY / 41424 / S / 2009-10-15 / Not Available
10 / SUMAN KR THAKUR / 11111 / S / 2009-10-13 / Ordnance Depot Delhi Cant
11 / DARSHAN LAL / 61275 / P / 2009-10-13 / Not Available
12 / MADAN LAL PRASAD / 146806 / S / 2009-10-14 / M/O Commerce & Industry, Dept. of Industrial Policies and Promotion
13 / RAVI KUMAR / 1478 / S / 2009-10-15 / CGHS Section

Click on the name – the following details appear.

The data from application form is verified and modified on page and is clicked.

Again select the dispensary and click on Click me

Click on Family details and edit Data as in case of new cards. Similarly photographs are uploaded. And click The Data would go online to agency.