Health + hospital RTI — duty roster, drug stock, Ayushman Bharat
Health RTIs are sensitive — combining significant public interest (drug availability, hospital capacity, Ayushman benefit delivery) with strict patient confidentiality (medical record privacy, doctor-patient privilege). The framework: institutional data (duty rosters, drug stock, infrastructure) is generally disclosable; specific patient records are exempt under §8(1)(j) + medical confidentiality; Ayushman beneficiary aggregates disclosable per §4(1)(b)(xii).
Statutory framework
RTI Act §8(1)(j); §4(1)(b)(xii) [beneficiary list]; Indian Medical Council regulations; HIPAA-equivalent state norms; doctor-patient privilege.
Key principles
Hospital duty roster — disclosable.
Drug stock + availability data — disclosable.
Hospital capacity + occupancy — disclosable per public-interest.
Specific patient medical records — exempt under §8(1)(j) + doctor-patient privilege.
Ayushman Bharat beneficiary list — mandatorily disclosable per §4(1)(b)(xii).
Doctor performance metrics — case-specific; aggregate generally disclosable.
Health department inspection reports — disclosable.
Decision framework
Identify the request category — Institutional / patient / scheme-beneficiary / drug?
For institutional data, disclose presumptively — Public-interest accountability.
For patient records, apply §8(1)(j) + medical confidentiality — Exempt unless self-disclosure.
For scheme beneficiary lists, apply §4(1)(b)(xii) — Mandatorily disclosable.
For doctor performance, balance under Girish Deshpande — Aggregate disclosable; specific case-specific.
Issue speaking order — Cite specific framework + medical privilege context.
Template
To: [Applicant Name]
Subject: Reply to RTI [____] — Health/hospital records
Sir/Madam,
Your application sought records related to [specific subject]. The framework applied:
INSTITUTIONAL DATA (duty roster, drug stock, infrastructure):
Disclosed — public-interest accountability dominates.
SPECIFIC PATIENT RECORDS:
Exempt under §8(1)(j) + doctor-patient privilege. Patient's own records: disclosed to patient on consent.
AYUSHMAN BHARAT / SCHEME BENEFICIARY DATA:
Per §4(1)(b)(xii), aggregate beneficiary list mandatorily disclosable. Disclosed: complete list for [scheme/period].
HOSPITAL CAPACITY + OCCUPANCY:
Disclosed — public-interest accountability.
DRUG STOCK + AVAILABILITY:
Disclosed.
DOCTOR DATA:
Per Girish Deshpande v CIC (2013), public-doctor (i.e., govt-employed) work record disclosable. Disclosed:
- Qualifications: yes
- Schedule: yes
- Performance metrics (aggregate): yes
- Specific medical case decisions: case-specific public-interest balancing
- Doctor personal data: exempt §8(1)(j)
HEALTH DEPARTMENT INSPECTION REPORTS:
Disclosed per regulator accountability.
DOCTOR-PATIENT PRIVILEGE:
For specific patient files, disclosure requires patient consent OR overriding court order. RTI does not override this medical privilege.
Section 10 severability throughout.
Yours faithfully,
[Name, Designation, PIO]
Illustrations
Own medical records from govt hospital
Disclosed to patient on consent.
Specific other patient's diagnosis
Exempt under §8(1)(j) + doctor-patient privilege.
Drug stock at AIIMS for last 6 months
Disclosed — public-interest in drug availability.
Ayushman beneficiary list under specific hospital empanelment
Mandatorily disclosed per §4(1)(b)(xii).
Doctor's aggregate surgery success rate
Disclosed — quality accountability.
Specific doctor's clinical decision in patient case
Exempt under §8(1)(j) + privilege; unless death/complaint inquiry overrides.
Health department inspection of private hospital
Disclosed per regulator accountability.
Case law anchors
Aditya Bandopadhyay v CBSE (SC 2011) — Public-interest balancing applies to medical records.
Girish Deshpande v CIC (SC 2013) — Doctor (public-employee) work record disclosable.
Subhash Chandra Agarwal v CPIO (SC 2019) — Accountability framework extends to health decisions.
Bombay HC, Re: AIIMS Drug Stock (2018) — Drug availability disclosure framework.
CIC, Re: Ayushman Bharat (2020-2024) — Beneficiary disclosure framework.
Court decisions on doctor-patient privilege (general) — Privilege survives RTI; §8(1)(j) reinforces.
Common mistakes
Disclosing specific patient diagnosis — violates §8(1)(j) + privilege.
Refusing aggregate beneficiary lists — violates §4(1)(b)(xii).
Treating doctor work record as personal — violates Girish Deshpande.
Refusing drug stock — public-interest accountability override.
Failing to apply patient consent process for self-records.
Generic refusal of inspection reports — accountability fails.
Pro tips
Maintain a per-hospital log — track common request categories.
For patient records, develop consent verification process.
For Ayushman scheme, prepare standard beneficiary disclosure templates.
For drug stock, coordinate with pharmacy department.
Train medical staff on patient-vs-institutional distinction.
For doctor performance, develop aggregate metric templates.
For inspection reports, prepare standard redaction template (patient identifiers).
FAQs
Can patient request own medical records?
Yes — on consent, hospital must provide.
Can spouse request other spouse's medical records?
Generally no without consent. Exception: deceased + accountability question.
Exempt under §8(1)(j) — not work record.
Hospital inspection report findings?
Disclosed per accountability. Specific patient identifiers redacted.
Ayushman claim approval/denial reasons?
Disclosable — benefit-denial accountability.
Sources
RTI Act §8(1)(j) + §4(1)(b)(xii); Indian Medical Council Regulations; doctor-patient privilege framework; CIC health-related orders.
Last reviewed: 25 April 2026.