A Report On Census of Private Hospitals in Nepal 20131

A Report
On
Census of Private Hospitals in Nepal
2013
Government of Nepal
National Planning Commission Secretariat
Central Bureau of Statistics
Thapathali, Kathmandu
A Report
On
Census of Private Hospitals in Nepal
2013
Government of Nepal
National Planning Commission Secretariat

Thapathali, Kathmandu
Nepal
ii
Published by

P.O. Box: 11031
Ramshah Path, Thapathali
Kathmandu, Nepal
July, 2014
Phone: 4245946, 4245947, 4245948

Fax: 977-1-4227720
E-mail:environment@cbs.gov.np
Website: www.cbs.gov.np
iii
Preface
Central Bureau of Statistics (CBS) has been conducting socio-economic related censuses and
surveys from its' inception at regular and ad hoc basis. However, as to the environment statistics
CBS has taken initiative only about a half decade ago. At the outset the effort was made to
compile and published a compendium of environment statistics. After the few years, following
the United Nations Framework for the Development of Environment Statistics (UNFDES), the
present features publication Environment Statistics of Nepal" commenced to publish. For the
last few years this publications is being published at each alternative year, where as it used to
published as yearly publication at the beginning years.
The present census of private hospitals is first of this kind. It is our pleasure to bring out the
results of the Census of Private Hospitals as expected. This census provides the contribution of
the private hospitals of Nepal in the national economy and hospital waste management practices
with the perspective of environment management.
The results not only would be very useful to its stakeholders but to the general users as well.
The census operation was conducted successfully and the credit goes to the all private hospitals
of the country for their sincere cooperation during the field work. Thus the Bureau would like to
express heartfelt thanks to all respondents for providing valuable information to the census.
I wish to express special thanks to Mr. Suman Raj Aryal, Deputy Director General of the CBS
for his valuable contribution by providing overall guidance and management in the census.
Likewise, I appreciate the role of the Directors Mr. Sushil Sharma and Mr. Mahesh Chand
Pradhan to complete the census successfully. Hearty thanks to the Statistical officer Mr.
Manohar Ghimire for his active involvement in the overall census processes. I would like to
thank Statistical Officers Ms.Ranju Khadka, Mr.Tulsi Prasad Paudel and Mr. Damodar Shrestha
and Statistical Assistant Mr.Govinda Dumre, who were directly involve in the census process.
Data collection work would not have been complete without dedicated efforts of all field staff of
Statistics Offices (SOs) and CBS. So I would like to thank all enumerators, supervisors and
officers engaged in the field work.
Finally, CBS requests to the all users to provide valuable comments and suggestions on this
publication which would be very useful to improve in the future series of this kind.
Bikash Bista
Director General
July, 2014
iv
Contents
Page No.
Introduction
1 -5
Main Findings
Tables
7-32
Table 1. Number of Private Hospitals by Area and Date of Operations

Table 2. Number of Beds Approved and Operated by Area ,Type ,Bed category and
Date of Operation
Table 3 (a). Number of Patients by type in the referrence period
Table 3(b). Number of Patients by Area ,Type , Bed Category and Date of Operations
8
10
Table 4(a). Total Persons Engaged

Table 4(b). Total Employees Of Private Hospitals by Area ,Type and Bed category
13
14
Table 5 . Distribution of salary/wages Paid by Private Hospitals

Table 6 (a). Operational Cost of Hospitals by Development region and Ecological Belt
Table 6 (b). Operational Cost of Private Hospitals by type of Hospital and Type of
Bed Categories
Table 7. Operational Income of Private Hospitals by Area ,Type, Bed Category and
Date of Operation
Table 8.(a). Gross Addition in fixed Assets in the Reference period by Area , Type
and Bed Category
Table 8(b). Gross Fixed Assets at the end of Referrence Period by Area ,Type , Bed
Category and Date of Operation
15
16
11
12
18
19
21
22
Table 9. Value Added of Private Hospitals by Area ,Type and Bed Category
Table 10.1 Number of Hospital by segregation of waste
Table 10.2 Place of wastes segregation
24
25
26
Table 10.3Types of hospital wastes segregated in Hospitals
26
Table 10.4 Daily Average Waste Product per Hospital
27
Table 10.5 Number of Hospitals by Daily Average Waste Quantity Produced
28
Table 10.6 Type of bins used to collect the hospital waste products
29
Table 10.7 Final disposal locations/places of hospital waste products
29
Table 10.8 Status of Recruitment of Staff only for Hospital Waste Product Management
Table 10.9 Number of Staff for Hospital Waste Product Management by Area , Type
and Bed Category
Table 10.10 Status of Training Received by Staff for Hospital Waste Product
Management
Table 10.11 Average Monthly Expenditure Made for Hospital Waste Product
Management by Area
Table 10.12 Number of Hospitals by category of average cost in Rs. Per month for
waste management
v
30
31
32
33
34
Annnex
35
Annex1 Questionnaire of Census

Annex 2 Mannual of Census
Annex 3 Concepts and Definitions
vi
Introduction
Central Bureau of Statistics had conducted a census of private hospitals of Nepal in 2013 in order to
assess the contribution of private hospitals of Nepal in the national economy and hospital waste
management practices as well.
Background of Census of Private Hospitals

In general terminology, hospital means a health institution for diagnosis or treatment of any kinds of
health related problems or diseases. Nowadays, governmental and private, community or nongovernmental or cooperative hospitals have been established in major urban or urban natured settlements
with the view of giving health services to general public. After democracy restoration in 1990, the health
services of private or community sectors have been expanded rapidly to date. Also the number of health
sector institutions as well as community health service has been increased meaningfully. In this context,
Central Bureau of Statistics of Nepal conducted a census of private hospitals in the nation realizing the
fact to assess the contribution of health sectors in the national economy. The census of private hospitals
is one of such activities of the CBS, which will fill the data gaps pertaining to the sector. The services
provided by the private hospitals are one of the important service sectors and its contribution to the
economy is ever growing. The activities covered in the present census pertains to major Section Q of
Human Health and Social Activities, division 86 human health activities, group 861 hospital activities,
sub group 8610 hospital activities
of the ISIC rev 4 or NSIC (International standard Industrial
classification) which defines the service as short- or long-term hospital activities, i.e. medical, diagnostic
and treatment activities, of general hospitals (e.g. community and regional hospitals, hospitals of nonprofit organizations, university hospitals, military-base and prison hospitals) and specialized hospitals
(e.g. mental health and substance abuse hospitals, hospitals for infectious diseases, maternity hospitals,
specialized sanatoriums). The activities are chiefly directed to inpatients, are carried out under the direct
supervision of medical doctors and include: services of medical and paramedical staff , services of
laboratory and technical facilities, including radiologic and anesthesiology services, emergency room
services, provision of operating room services, pharmacy services, food and other hospital
services,
services of family planning centers providing medical treatment such as sterilization and termination of
pregnancy, with accommodation. The Fiscal Year 2011/12 (BS 2068/69) was the reference period of the
census. The census was started in the fiscal year 2012/2013 but owing to late data collection and
difficulties associated with it the process continues till the current fiscal year.
Health Care Waste management Practice

Health-care waste is a by-product of health care. Proper management of health care waste has been a
major challenge in the country, especially in Kathmandu valley. If the health care wastes, both hazardous
and non-hazardous, are properly not managed, it exposes health-care workers, waste handlers and the
community to infections, toxic effects and injuries including the adverse impact on the environment. One
of the purposes of this census was to find out health care waste management practices in hospital. Data
was collected using self administered questionnaire filling or interviews wherever apply. This census did
not collect information on waste management practices by observation and measurement by weight and
volume.
Objectives of the Census

The main objectives of this census are:
To assess the current size, nature of the private hospitals in the country
To generate principal indicators of private hospitals such as number of private hospitals, number of
persons engaged, value of fixed assets
To prepare list of operating private hospitals which will provide a frame for future sample survey of
the sector
To assess the value addition in the economy made by this sector
To fill the gap of information about the changes and developments-taking place in the hospitals
To study the waste management practices of private hospitals with the perspective of environment
management
Coverage of the census, reference period, census process

The census covered private hospitals, community or NGO or cooperative hospitals providing outdoor as
well as indoor patient services in the entire territory of Nepal. In the scope of this census, any private or
community or other than government financed hospitals operating indoor patient service with the
availability of at least a bed service were enumerated. Private Aayurvedic and homeopathic health
institutions operated with at least a bed of indoor patient service was also included in the scope of the
census of private hospitals. But other private health institutions like polyclinic, clinic etc which did not
have facility of indoor patient services and government hospitals, primary health centers, health posts, sub
health posts and other government health institutions were not included in the coverage of the census. The
census was carried out in one phase on the basis of list provided on private hospitals by the Ministry of
Health and Population. The data collection was undertaken by the staff of statistical offices and Central
2
Bureau of Statistics. In the context of hospitals which had operated medical colleges or nursing homes,
detail information on the part only for the private hospitals activities was collected. Reference period of
this census for the purpose of data collection was set from 2068 Shrawan 01 to 2069 Asar last day.
Information of the private hospitals which were established after the reference period or closed before the
reference period were not taken in account in the scope of census. The census was regulated with the
prevailing Statistical Act 2015 and it ensured the confidentiality of the individual information provided by
the private hospitals.
Personnel involved in the census operation.

The entire census operation was undertaken by staffs from the Central Bureau of Statistics and the
Statistical Offices. Officers from the CBS and Statistical Offices supervised the field operation in order to
improve the data quality.
Quality Control
In order to ascertain the quality of data from the census, strict statistical norms were followed. Pre test of
the questionnaire was undertaken prior to finalization of questionnaire. In order to ensure the consistency
and quality, effort was made to train all personnel to be involved in the census procedures. Training was
imparted to the enumerators. Special training programs were organized in the place namely
Birendranagar, Chitwan and Dhangadhi, Kailali. The chief of the BSO supervised the field work in the
district. Officers from the central office visited as many districts as possible for supervision while the
field work was underway.
Contents of the Census

This census collected information on private hospitals in two parts mainly general information and
economic transaction in first part and general hospital waste management practices with the view to
assess the environment management in private hospitals in second part. In the first part, information like
introductory information, type of hospital, date of operation, approved bed and bed available,
employment status by sex, service provided to inpatients, outpatients and other patients, expenditure on
salary and wages, hospital operation expenditures while providing services to patients, receipts or income
obtained from different transaction while providing hospital services, status of different fixed assets, and
stock description were collected for the reference period. Similarly in the second part of the
questionnaire, information like segregation status of hospital waste product, segregation place,
segregation by type of wastes, average daily production quantity of waste in kg per day and its
3
distribution by type of wastes, type of bins used to collect or segregate wastes, final disposal location of
wastes, recruitment status of employee for only hospital waste management and number, training status
of employee for hospital waste management, average monthly cost in Rs for waste management and the
cooperation and coordination of local level authority in regards to waste management were collected with
the perspective to assess the hospital waste management. Along with the questionnaire, a manual was
also prepared. The manual helped the enumerators and supervisors to correctly understand the
questionnaire and execute the process of the census. The manual explains the questions and provides the
understanding on what exactly is being sought on each point in the questionnaire. The format of the
schedule is placed as Appendix of the report.
Data Collection
The data collection was the most important phase in the census. The reference period (the period for
which the data was collected) was the Nepali fiscal year 20011/12 which starts and ends in mid July.
The actual enumeration work for the census was carried out during the period from April 2013 to July
mid 2013. It was a massive exercise involving the visits of enumerators to the concerned hospitals. As
the data collection of detail economic transactions of the establishments are more different from the data
collection from households, a single visit was always insufficient. During the data collection process, the
enumerators established contact with the concerned individual, handed over the questionnaire and
explained it. At a mutually agreed date, the enumerators once again visited the concerned hospital and
collected the filled questionnaire or filled it themselves in presence of the concerned informants. In some
hospitals, it was very hard to obtain information. For this, enumerators along with their respective
supervisors had made a number of follow up to collect data from the hospitals.
Data processing
The filled in questionnaire were collected in CBS. The coding and processing work was done by the staff
members of the environment section itself. Data entry was undertaken using CSPro 5.0 software. The
data checking, tabulation and summarization was done using the statistical software package SPSS.
The section has tried its best to assure the accuracy of data.
Limitations of the Census

As earlier mentioned, the census covered those private hospitals having taken permission to provide the
inpatient service as well as outpatients. As this census relied on the list provided by the Ministry of Health
and Population as the frame for conducting data collection, information were received from only 301
4
private hospitals or community hospitals or other hospitals other than government owned. Some hospitals
did not respond and some hospitals in the list were closed either before the reference period or operated
after reference period of did not meet the criteria of census definition of private hospital. Hence, statistical
tables have been generated on the basis of information received from those 301 hospitals scattered all
over the country.
Main Findings
Section A
Number of Private Hospitals
301
Number of Approved Beds
19,856
Number of Beds in Operation
19,580
Total Persons Engaged

Total Employees
24,031
22,581
Total Salary/wages in Rs
Gross Addition to Fixed Assets in the reference period
(Rs)
Gross Fixed Assets at the End of Reference period(Rs)
4,383,641,048
3,403,750,000
36,974,279,080
Value of Input (Rs)
3,396,898,641
Value of Output (Rs)
11,391,285,126
Total Value Added (Rs)
7,994,386,485
Section B
Number of Hospitals Which segregate wastes
Operation Room
Ward Room
Laboratory
Kitchen
Other
Place of Segregation of waste
Daily Average Waste Segregated by Hospital (in kg)
Mean
Median
Municipality/VDC Collection Centers
Landfill site
Hospital Compound
Incineration
Open Burning
Other
Final Disposal Locations/Place of waste products
294
72.2%
89.2%
84.4%
30.8%
36.9%
28.4
10
59.1%
17.8%
32.9%
45.6%
26.2%
14.8%
Tables
Table 1 : Number of Private Hospitals by Area and Date of Operations
Hospital Type
S.N.
Development Region
Upto
15
Beds
Bed Category
16 to
51 to
100 Beds
50
100
and
Beds
Beds
Above
Private
Community
Other
Total
Total
Eastern
47
10
11
68
50
68
Central
103
24
16
143
60
32
37
14
143
Western
40
14
59
23
17
12
59
Mid western
17
21
14
21
Far Western
10
10
Hill
102
30
16
148
62
37
36
13
148
Terai
106
22
16
144
82
26
24
12
144
Development Region
1
2
3
4
5
Ecological Belt
1 Mountain
2
3
Out of and In Kathmandu Valley
1
Kathmandu Valley
49
11
67
15
20
25
67
Out of Kathmandu
Valley
165
43
26
234
135
45
36
18
234
16
16
64
21
10
95
25
31
25
14
95
145
28
17
190
124
28
33
190
214
54
33
301
150
65
61
25
301
Date of Hospital Operation

1
Operated in 2046 BS
and Before
Operated from 2047 to

2062 BS
Operated in 2063 BS
and After
NEPAL
Number of Hospitals in Development Region
160
143
140
120
100
80
68
Number of
Hospitals in
Development
Region
59
60
40
21
20
10
0
Eastern
Central
Western
Mid
western
Far
Western
Table 2: Number of Beds Approved and Operated by Area,Type,Bed category and

Date of operation
S.N.
Area
Approved Bed
19,856
19,580
1 Eastern
2,663
2,414
2 Central
10,554
10,339
3 Western
4,741
4,952
4 Mid Western
1,532
1,504
366
371
175
172
10,261
10,421
9,420
8,987
6,024
5,857
13,832
13,723
15,203
14,983
2 Community Hospital
2,554
2,577
3 Other Hospital
2,099
2,020
1 Up to 15 Beds
2,220
1,963
2 16 to 50 Beds
2,505
2,533
3 51 to 100 Beds
4,581
4,543
10,550
10,541
1 Operated in 2046 BS and Before
1,456
1,471
2 Operated from 2047 to 2062 BS
11,280
10,923
3 Operated in 2063 BS and After
7,120
7,186
Nepal
Operated Bed
Development Region
5 Far Western
Ecological Belt
1 Mountain
2 Hill
3 Terai
1 Kathmandu Valley
2 Out of Kathmandu Valley
Type of Hospitals
1 Private Hospital
Bed Category
4 More than 100 Beds

Date of Hospital Operation
10
Table 3(a): Number of Patients by type in the reference period
Year
Months
Outpatients
Inpatients
Other patients
Total Patients
2068
Shrawan
555,747
92,536
62,703
710,986
2068
Bhadra
520,271
89,110
62,625
672,006
2068
Ashoj
460,308
81,679
55,164
597,151
2068
Kartik
449,192
77,557
53,472
580,221
2068
Mangsir
454,080
87,483
51,374
592,937
2068
Poush
427,311
77,863
47,549
552,723
2068
Magh
472,496
84,447
52,468
609,411
2068
Fagun
505,677
90,138
60,049
655,864
2068
Chaitra
555,138
92,393
55,594
703,125
2069
Baishakh
510,683
85,857
59,440
655,980
2069
Jestha
549,537
88,041
64,081
701,659
2069
Asar
599,339
95,595
68,737
763,671
6,059,779
1,042,699
693,256
7,795,734
77.7
13.4
8.9
100
NEPAL
In Percent
Distribution of Patients in
Hospital
8.9
13.4
Outpatients
Inpatients
77.7
Other patients
11
Table 3(b): Number of Patients by Area,Type,Bed category and Date of operation
S.N.
Area
1 Nepal
Out
Patients
In Patients
Other
Patients
Total Patients
6,059,779
1,042,699
693,256
7,795,734
1 Eastern
728,992
133,793
73,940
936,725
2 Central
3,300,693
539,001
453,438
4,293,132
3 Western
1,457,817
287,213
71,883
1,816,913
4 Mid Western
461,135
60,696
33,308
555,139
5 Far Western
111,142
21,996
60,687
193,825
56,822
7,253
806
64,881
2 Hill
3,431,277
442,957
536,541
4,410,775
3 Terai
2,571,680
592,489
155,909
3,320,078
1 Private Hospital
3,915,769
739,505
500,747
5,156,021
1,129,848
133,242
171,577
1,434,667
3 Other Hospital
1,014,162
169,952
20,932
1,205,046
1 Up to 15 Beds
702,643
106,768
61,953
871,364
2 16 to 50 Beds
1,058,345
114,957
166,273
1,339,575
3 51 to 100 Beds
1,299,046
205,306
129,665
1,634,017
2,999,745
615,668
335,365
3,950,778
Development Region
Ecological Belt
1 Mountain
Type of Hospitals
Bed Category
12
Table 4 (a): Total Persons Engaged
S.N.
Area
1 Nepal
Development Region
Proprietor
Technical
Administrative
Total Persons
/ Active Partner
Persons
Persons
Engaged
Male
Female
Total
Male
Female
Total
Male
Female
Total
Male
Female
Total
1220
230
1450
6854
9036
15890
3544
3147
6691
11618
12413
24031
1 Eastern
212
44
256
874
1135
2009
468
339
807
1554
1518
3072
2 Central
588
126
714
3735
5030
8765
1905
1698
3603
6228
6854
13082
3 Western
305
30
335
1708
2227
3935
723
794
1517
2736
3051
5787
68
22
90
408
472
880
394
283
677
870
777
1647
47
55
129
172
301
54
33
87
230
213
443
4 Mid Western
5 Far Western
Ecological Belt
1 Mountain
2 Hill
3 Terai
42
13
55
46
50
96
23
11
34
111
74
185
721
129
850
4432
6219
10651
1881
1855
3736
7034
8203
15237
457
88
545
2376
2767
5143
1640
1281
2921
4473
4136
8609
1 Private Hospital
808
151
959
4867
6966
11833
2586
2424
5010
8261
9541
17802
302
63
365
1163
1294
2457
543
470
1013
2008
1827
3835
3 Other Hospital
110
16
126
824
776
1600
415
253
668
1349
1045
2394
1 Up to 15 Beds
470
95
565
886
958
1844
356
245
601
1712
1298
3010
2 16 to 50 Beds
316
76
392
1159
1704
2863
590
460
1050
2065
2240
4305
3 51 to 100 Beds
320
44
364
1591
2255
3846
838
813
1651
2749
3112
5861
114
15
129
3218
4119
7337
1760
1629
3389
5092
5763
10855
Type of Hospitals
Bed Category
13
Table 4(b): Total Employees of Private Hospitals by Area,Type and Bed category
Total Employees
S.N.
1 Nepal
Area
Male
10398
Female
12183
Total
22581
1 Eastern
1342
1474
2816
2 Central
5640
6728
12368
3 Western
2431
3021
5452
4 Mid Western
802
755
1557
5 Far Western
183
205
388
69
61
130
2 Hill
6313
8074
14387
3 Terai
4016
4048
8064
1 Kathmandu Valley
3845
5298
9143
6553
6885
13438
1 Private Hospital
7453
9390
16843
1706
1764
3470
3 Other Hospital
1239
1029
2268
Bed Category
1 Up to 15 Beds
1242
1203
2445
2 16 to 50 Beds
1749
2164
3913
3 51 to 100 Beds
2429
3068
5497
4978
5748
10726
Development Region
Ecological Belt
1 Mountain
Type of Hospitals
Distribution of Employees by sex
53.95
46.05
Male
Female
14
Table 5 : Distribution of salary/wages Paid by Private Hospitals
S.N.
1 Nepal
Area
Total Employees
22581
Salaries/ Wages in Rs
4,383,641,048
1 Eastern
2816
445,086,928
2 Central
12368
2,284,263,377
3 Western
5452
1,279,391,999
4 Mid Western
1557
315,587,130
5 Far Western
388
59,311,613
130
25,153,302
14387
2,948,974,687
8064
1,409,513,058
16843
3,114,679,642
3470
675,978,721
3 Other Hospital
2268
592,982,685
Bed Category
1 Up to 15 Beds
2445
319,531,584
2 16 to 50 Beds
3913
623,204,014
3 51 to 100 Beds
5497
936,043,083
10726
2,504,862,366
Development Region
Ecological Belt
1 Mountain
2 Hill
3 Terai
Type of Hospitals
1 Private Hospital
15
Table 6(a): Operational Cost of Hospitals by Development Region and Ecological Belts
Expense Titles
Rent of Land
Rent of
Building
Rent of
Machinery
Tools and
others
Health Camp
Medicine
Purchase
Communication
Electricity,
Water
Fuel
Office Goods
and Stationary
Advertisement
Audit and
Legal Advisory
Training,
Workshop,
Meeting ,
Guest
reception
Other
Operating
Costs
Nepal
Eastern DR
Central DR
Development Regions
Mid Western
Western DR
DR
Ecological Belts
Far Western DR
Mountain
Hill
Terai
209,148,831
15,744,791
143,004,919
41,118,061
5,983,500
3,297,560
1,199,400
160,430,001
47,519,430
12,438,906
805,101
5,425,215
5,604,590
604,000
5,137,365
7,301,541
86,561,763
1,400,840
69,506,541
15,538,882
20,000
95,500
245,000
69,588,319
16,728,444
72,495,338
5,701,059
22,731,304
25,845,468
15,889,851
2,327,656
977,596
35,983,103
35,534,639
1,023,732,152
138,465,008
380,244,188
378,817,592
70,607,760
55,597,603
16,258,016
578,254,991
429,219,145
48,127,374
4,850,471
28,276,062
10,467,845
3,616,520
916,477
416,954
32,967,999
14,742,422
226,953,467
18,497,087
132,791,510
55,051,748
18,263,983
2,349,139
684,262
150,902,388
75,366,816
206,590,371
31,879,702
107,297,650
41,839,721
22,236,060
3,337,238
798,550
127,386,914
78,404,907
119,243,095
26,823,211
69,557,461
17,662,198
3,007,307
2,192,917
999,098
70,039,033
48,204,964
53,493,403
7,290,360
22,376,072
20,828,780
1,890,128
1,108,063
124,900
27,818,126
25,550,377
54,419,424
2,302,321
45,751,603
4,532,132
1,623,368
210,000
78,189
44,605,641
9,735,594
94,930,393
8,124,403
46,123,165
29,266,779
9,736,519
1,679,526
633,283
51,282,814
43,014,296
1,207,617,303
64,819,922
468,486,069
641,625,536
28,603,719
4,082,057
5,948,840
1,054,667,422
147,001,041
16
Change in Stock
of Fuel, Surgical
goods ,
medicines and
other inputs
Value of
operational
cost
18,853,177
-34,516,174
40,616,839
11,134,512
4,388,000
-2,770,000
1,719,000
32,180,975
-15,046,798
3,396,898,641
361,220,451
1,500,954,920
1,277,064,820
177,694,714
79,963,736
26,645,088
2,376,883,140
993,370,413
17
Table 6 (b): Operational Cost of Private Hospitals by type of Hospital and Type of Bed Categories
Value in Rs
Type of Hospitals
Expense Titles
Rent of Land
Nepal
Private Hospital
Community
Hospital
Type of Bed Categories

Other Hospital
Up to 15
Beds
16 to 50 Beds
51 to 100
Beds
More than 100

Beds
209,148,831
149,033,690
43,455,433
16,659,708
27,959,026
42,292,539
81,822,701
57,074,564
Rent of Building
12,438,906
11,238,006
1,146,912
53,988
383,800
3,174,312
1,164,940
7,715,854
Rent of Machinery
Tools and others
86,561,763
82,514,579
3,643,534
403,650
1,103,498
42,584,225
42,648,040
226,000
Health Camp
72,495,338
43,316,751
13,891,073
15,287,514
21,283,083
15,928,242
14,446,459
20,837,554
1,023,732,152
617,071,749
239,351,811
167,308,592
145,501,150
220,133,192
203,622,421
454,475,389
48,127,374
34,029,583
9,219,856
4,877,935
5,395,742
10,401,524
9,208,630
23,121,478
Electricity, Water
226,953,467
172,714,169
31,595,916
22,643,382
11,635,439
32,757,740
45,779,970
136,780,318
Fuel
206,590,371
142,458,045
38,471,030
25,661,296
13,377,267
33,321,887
50,923,108
108,968,110
Office Goods and

Stationary
119,243,095
86,785,908
22,107,282
10,349,905
12,886,442
26,188,775
31,639,987
48,527,891
Advertisement
53,493,403
46,791,609
5,367,266
1,334,528
5,327,223
6,268,696
10,151,212
31,746,272
Audit and Legal

Advisory
54,419,424
47,819,385
3,253,764
3,346,275
19,109,973
4,457,831
7,846,514
23,005,106
Training, Workshop,
Meeting , Guest
reception
94,930,393
57,032,091
15,539,132
22,359,169
6,095,546
19,981,454
20,267,004
48,586,389
1,207,617,303
1,063,665,695
66,677,841
77,273,768
34,280,196
118,888,240
249,589,121
804,859,747
18,853,177
20,962,888
-18,664,701
16,554,990
6,042,318
6,539,376
2,040,463
4,231,020
3,396,898,641
2,533,508,372
512,385,551
351,004,719
298,296,066
569,839,280
767,069,644
1,761,693,651
Medicine Purchase
Communication
Other Operating
Costs
Change in Stock of
Fuel, Surgical goods
, medicines and
other inputs
Value of
Operational
cost
18
Table 7: Operational Income of Private Hospitals by Area,Type, Bed Category and Date of Operation
Value in Rs
Area
Receipt from Patient

Registration,
Admission, Operation
and Diagnostic
Service
Nepal
Receipt from
Medicines Sell
Receipt from
Health Camp
Receipt
from Land
Rent
Receipt from
Building
Rent
Receipt from
Other Hospital
Services and
transactions
Receipt from
Ambulance
Service
Value of
Operational
Income
6,851,682,481
1,471,736,581
101,925,662
2,945,000
113,511,084
58,355,221
2,791,129,098
11,391,285,126
Eastern
684,959,181
124,465,714
21,405,306
10,000
6,892,000
7,846,342
245,457,352
1,091,035,895
Central
4,567,435,461
688,932,275
17,818,561
2,695,000
89,181,287
26,709,134
845,060,076
6,237,831,794
Western
1,141,629,624
493,025,014
33,047,897
13,111,770
19,142,619
1,403,773,250
3,103,730,176
Mid Western
394,371,386
97,712,513
17,288,248
240,000
4,086,027
2,894,000
244,375,089
760,967,263
Far Western
63,286,828
67,601,065
12,365,650
240,000
1,763,125
52,463,330
197,719,998
25,514,594
19,195,463
7,000
50,499,816
95,216,873
Hill
4,635,440,179
942,478,466
31,610,123
2,695,000
72,835,457
34,520,040
2,100,244,070
7,819,823,335
Terai
2,190,727,707
510,062,652
70,308,539
250,000
40,675,627
23,835,181
640,385,212
3,476,244,918
Development Region
Ecological Belt
Mountain

Kathmandu Valley
3,688,189,451
488,927,651
13,583,161
2,695,000
64,547,196
15,178,686
544,831,478
4,817,952,623
Out of
Kathmandu Valley
3,163,493,030
982,808,930
88,342,501
250,000
48,963,888
43,176,534
2,246,297,620
6,573,332,503
19
Type of Hospitals
Private Hospital
5,302,804,851
808,092,563
64,112,342
2,945,000
93,305,329
41,559,012
2,124,281,883
8,437,100,980
Community
Hospital
781,850,566
430,110,574
1,514,600
9,301,298
10,142,483
362,325,287
1,595,244,808
Other Hospital
767,027,064
233,533,444
36,298,719
10,904,457
6,653,726
304,521,928
1,358,939,338
Up to 15 Beds
509,135,867
192,974,052
19,812,848
277,000
2,617,500
13,556,818
171,070,161
909,444,246
16 to 50 Beds
1,005,600,124
374,728,110
40,121,223
10,000
9,935,346
17,811,053
328,216,303
1,776,422,159
51 to 100 Beds
1,597,266,335
311,308,607
21,449,807
1,638,000
28,996,302
9,970,655
453,914,949
2,424,544,655
More than 100

Beds
3,739,680,155
592,725,812
20,541,784
1,020,000
71,961,936
17,016,695
1,837,927,684
6,280,874,066
527,516,632
120,747,935
19,274,766
10,708,507
1,818,075
170,185,349
850,251,264
Operated from
2047 to 2062 BS
4,596,535,931
930,713,483
56,818,098
1,270,000
57,081,235
26,321,100
1,952,663,654
7,621,403,501
Operated after
2062 BS
1,727,629,918
420,275,163
25,832,797
1,675,000
45,721,342
30,216,046
668,280,095
2,919,630,361
Bed Category
Date of Operation
Operated in 2046
BS and Before
20
Table 8 (a): Gross Addition in fixed Assets in the Reference period by Area , Type
and Bed Category
S.N.
Area
1
Amount in Rs
Nepal
3,403,750,000
Development Region
1 Eastern
713,196,000
2 Central
1,903,900,000
3 Western
459,828,000
4 Mid western
307,072,000
5 Far Western
19,754,000
Ecological Belt
1
Mountain
41,504,000
Hill
1,705,224,000
Terai
1,657,022,000
In and Out Valley

1 Kathmandu Valley
992,030,000
2,411,720,000
Type of Hospital
1
Private
2,768,833,000
Community
401,482,000
Other
233,435,000
Upto 15 Beds
231,686,000
16 to 50 Beds
421,582,000
51 to 100 Beds
719,425,000
100 Beds and Above
Bed category
2,031,057,000
21
Table 8(b): Gross Fixed Assets at the end of Reference Period by Area ,Type , Bed Category and Date
of Operation
Gross Fixed Assets in Rs
Land
Building
Machine
Furniture
Vehicles
Other
Total Gross
Fixed Assets
4,349,321,000
11,030,042,000
10,734,963,000
3,293,085,180
5,757,738,000
1,809,129,900
36,974,279,080
538,864,000
1,103,591,000
1,268,399,000
1,451,480,180
3,877,162,000
863,673,900
9,103,170,080
2,591,574,000
6,678,969,000
6,643,335,000
1,655,742,000
1,718,760,000
797,781,000
20,086,161,000
1,133,040,000
2,239,636,000
761,861,000
108,757,000
96,543,000
134,622,000
4,474,459,000
65,793,000
953,104,000
1,975,262,000
62,877,000
42,608,000
11,553,000
3,111,197,000
20,050,000
54,742,000
86,106,000
14,229,000
22,665,000
1,500,000
199,292,000
75,000
57,872,000
50,855,000
3,266,000
974,000
5,807,000
118,849,000
3,544,653,000
7,814,475,000
5,765,112,000
1,410,712,000
1,658,556,000
809,493,000
21,003,001,000
804,593,000
3,157,695,000
4,918,996,000
1,879,107,180
4,098,208,000
993,829,900
15,852,429,080
1 Kathmandu Valley
2,346,342,000
4,866,476,000
4,607,252,000
1,150,922,000
1,271,996,000
443,854,000
14,686,842,000
2,002,979,000
6,163,566,000
6,127,711,000
2,142,163,180
4,485,742,000
1,365,275,900
22,287,437,080
3,370,999,000
8,840,411,000
9,020,293,000
1,917,153,000
5,089,586,000
1,259,411,000
29,497,853,000
2 Community
272,478,000
1,100,244,000
913,329,000
174,398,180
342,835,000
353,813,900
3,157,098,080
3 Other
705,844,000
1,089,387,000
801,341,000
1,201,534,000
325,317,000
195,905,000
4,319,328,000
S.N.
1
Area
Nepal
Development Region
1 Eastern
2 Central
3 Western
4 Mid Western
5 Far Western
Ecological Belt
1 Mountain
2 Hill
3 Terai
In and Out of Kathmandu Valley
Type of Hospitals
1 Private
22
Bed Category
1 Upto 15 Beds
352,282,000
528,192,000
2,937,355,000
1,478,275,180
3,877,493,000
545,026,900
9,718,624,080
2 16 to 50 Beds
1,147,301,000
797,773,000
2,082,939,000
322,061,000
224,368,000
208,685,000
4,783,127,000
3 51 to 100 Beds
1,146,914,000
1,404,761,000
1,583,635,000
208,159,000
153,032,000
149,798,000
4,646,299,000
4 101 Beds and Above
1,702,824,000
8,299,316,000
4,131,034,000
1,284,590,000
1,502,845,000
905,620,000
17,826,229,000
1,281,508,000
587,761,000
173,601,000
58,557,000
34,830,000
20,645,000
2,156,902,000
2,058,066,000
8,903,094,000
6,024,942,000
1,498,599,000
1,743,645,000
1,176,916,000
21,405,262,000
1,009,747,000
1,539,187,000
4,536,420,000
1,735,929,180
3,979,263,000
611,568,900
13,412,115,080
Date of operation
Operated in 2046 and
1 Before
Operated from 2047 to
2 2062
Operated in 2063 and
3 After
23
Table 9: Value Added of Private Hospitals by Area ,Type and Bed Category
S.N.
Area
1 Nepal
Value of Input
in Rs.
Value of Output
in Rs.
Value Added
in Rs.
3,396,898,641
11,391,285,126
7,994,386,485
1 Eastern
361,220,451
1,091,035,895
729,815,444
2 Central
1,500,954,920
6,237,831,794
4,736,876,873
3 Western
1,277,064,820
3,103,730,176
1,826,665,356
4 Mid Western
177,694,714
760,967,263
583,272,549
5 Far Western
79,963,736
197,719,998
117,756,262
26,645,088
95,216,873
68,571,785
2,376,883,140
7,819,823,335
5,442,940,195
993,370,413
3,476,244,918
2,482,874,504
1 Kathmandu Valley
1,138,886,726
4,817,952,623
3,679,065,897
2,258,011,915
6,573,332,503
4,315,320,588
2,533,508,372
8,437,100,980
5,903,592,608
2 Community
512,385,551
1,595,244,808
1,082,859,257
3 Other
351,004,719
1,358,939,338
1,007,934,619
1 Up to 15 Beds
298,296,066
909,444,246
611,148,180
2 16 to 50 Beds
569,839,280
1,776,422,159
1,206,582,879
3 51 to 100 Beds
767,069,644
2,424,544,655
1,657,475,011
1,761,693,651
6,280,874,066
4,519,180,415
Development Region
Ecological Belt
1 Mountain
2 Hill
3 Terai
Type of Hospitals
1 Private
Bed Category
24
Table 10.1: Number of Hospitals by Segregation of Waste
Does the hospital segregate wastes?

S.N.
1 Nepal
Area
Yes
No
Total
294
301
Eastern
67
68
Central
138
143
Western
59
59
Mid western
20
21
Far Western
10
10
147
148
138
144
Development Region
1
2
3
4
5
Ecological Belt
1 Mountain
2 Hill
3 Terai
In and Out of Valley
1 Kathmandu Valley
67
67
227
234
209
214
53
54
32
33
Upto 15 Beds
146
150
16 to 50 Beds
63
65
51 to 100 Beds
61
61
100 Beds and Above
24
25
15
16
93
95
186
190
Hospital Type
1 Private
2 Community
3 Other
Bed Category
1
2
3
4
Date of operation
Operated in 2046 and Before
1
2
Operated from 2047 to 2062

Operated in 2063 and After
25
Table 10.2 : Place of Wastes Segregation
Place of Hospital
Waste Segregation
Operation Room
Percent of
Cases*
72.20%
89.20%
Ward room
84.40%
Laboratory
30.80%
kitchen
36.90%
Other
* These results are derived from the multiple response category of question
Table 10.3: Types of hospital wastes segregated in Hospitals
Type of Wastes Segregated
Percent of Cases*
94.20%
Sharp Waste
84.30%
Pathological Waste
85.00%
Infectious Waste
33.80%
Radioactive Waste
58.40%
Chemical Waste
86.70%
Pharmaceutical Waste
25.90%
Other Waste
* These results are derived from the multiple response category of question
26
Table 10.4: Daily Average Waste Product per Hospital
S.N.
Mean
(Kg per day )
Area
1 Nepal
Median
(Kg per day)
28.42
10
1 Eastern
20.85
5.5
2 Central
35.41
10
3 Western
28.36
10.2
4 Mid western
14.43
5 Far Western
12.5
15
2 Hill
35.66
10
3 Terai
22.21
52.98
15
21.4
24.9
10
2 Community
32.02
12
3 Other
45.56
15
1 Upto 15 Beds
6.87
2 16 to 50 Beds
27.43
14
3 51 to 100 Beds
37.59
15
141.5
125
Development Region
Ecological Belt
1 Mountain
In and Out Valley

1 Kathmandu Valley
Hospital Type
1 Private
Bed Category
27
Table 10.5 : Number of Hospitals by Daily Average Waste Quantity Produced

Waste Quantity
S.N. Area
Upto 10 kg
1 Nepal
10.1 to 20 Kg
50.1 Kg
and above
20.1 to 50 Kg
Total
171
61
33
32
297
1 Eastern
48
68
2 Central
74
29
19
17
139
3 Western
29
13
59
4 Mid western
16
21
10
Hill
6
76
3
32
0
17
0
21
9
146
Terai
89
26
16
11
142
24
17
13
12
66
147
44
20
20
231
133
39
19
20
211
2 Community
25
14
10
54
3 Other
13
32
128
18
149
26
20
13
63
17
21
15
61
20
24
Development Region
Far
5 Western
Ecological Belt
1 Mountain
2
3
Kathmandu
1 Valley
2
Out of
Kathmandu
Valley
Type of Hospitals
1 Private
Bed Category
Upto 15
1 Beds
16 to 50
2 Beds
51 to 100
3 Beds
100 Beds
4 and Above
28
Table 10.6: Type of bins used to collect the hospital waste

products
S.N.
Type of Bin
Plastic Bin
Percent of Cases
96.60%
1
Plastic Bag
59.00%
Paper Cartoon
45.10%
Metal Bin
29.50%
Other Bin
9.20%
2
3
4
5
Table 10.7: Final disposal locations/places of hospital

waste products
S.N.
Final Disposal
Location
Percent of Cases*
Municipality/VDC
Collection Centers
59.10%
Lansfill Site
17.80%
Hospital Compound
32.90%
Burning in Incineration
45.60%
Burning Open
26.20%
6
Other kind of Disposal
14.80%
* These results are derived from the multiple response category of
question
29
Table 10.8: Status of Recruitment of Staff only for Hospital

Waste Product Management
Staff Arrangement
No. of Hospitals
Percent
YES
244
81.1
NO
57
18.9
Total
301
100
30
Table 10.9: Number of Staff for Hospital Waste Product Management by Area , Type
and Bed Category
S.N.
Area
No .of Staff
1 Nepal
1004
Development Region
1 Eastern
218
2 Central
488
3 Western
239
4 Mid western
33
5 Far Western
26
Ecological Belt
1 Mountain
2 Hill
516
3 Terai
480
1 Kathmandu Valley
331
673
Hospital Type
1 Private
701
2 Community
172
3 Other
131
Bed Category
1 Upto 15 Beds
202
2 16 to 50 Beds
210
3 51 to 100 Beds
344
248
31
Table 10.10: Status of Training Received by Staff for Hospital Waste Product Management
Area
S.N.
1
Waste management training received by

Staff
YES
Total Hospitals
NO
Nepal
160
141
301
Eastern
35
33
68
Central
74
69
143
Western
34
25
59
Mid western
11
10
21
Far Western
10
Hill
78
70
148
Terai
81
63
144
41
26
67
119
115
234
121
93
214
27
27
54
12
21
33
65
85
150
35
30
65
42
19
61
18
25
Development Region
1
2
3
4
5
Ecological Belt
Mountain
1
2
3
In and Out Valley
Kathmandu Valley
1
Out of Kathmandu Valley
2
Hospital type
Private
1
Community
2
Other
3
Bed category
Upto 15 Beds
1
16 to 50 Beds
2
51 to 100 Beds
3
100 Beds and Above
4
32
Table 10.11: Average Monthly Expenditure for Hospital Waste Product Management by
Area
Area
S.N.
Mean in Rs
1 Nepal
Median in Rs
23,352
6500
1 Eastern
20,085
6250
2 Central
20,706
6000
3 Western
40,188
9800
4 Mid western
6,619
5000
5 Far Western
19,200
7500
7,722
3000
2 Hill
25,273
6250
3 Terai
22,353
6500
1 Kathmandu Valley
31,272
10000
21,084
6000
1 Private
22,636
6000
2 Community
16,601
6000
3 Other
39,040
12800
1 Upto 15 Beds
6,363
3800
2 16 to 50 Beds
23,169
10000
3 51 to 100 Beds
21,481
10000
130,323
72000
Development Region
Ecological Belt
1 Mountain
In and Out Valley
Type of Hospital
Bed Category
33
Table 10.12: Number of Hospitals by category of average cost in Rs. Per month for waste
management
Category of Average Cost per month
S.N.
Area
Nepal
Total
Less than
or equal
Rs.5000
Rs 5001 to
Rs 10000
Rs 10001 to
Rs 50000
Rs 50001
and above
115
53
85
24
277
Eastern
25
13
20
62
Central
56
23
41
13
133
Western
18
11
20
55
Mid western
11
17
Far Western
10
Hill
59
24
39
16
138
Terai
53
28
44
133
Kathmandu Valley
24
11
19
11
65
Out of Kathmandu Valley
91
42
66
13
212
Private
86
40
57
16
199
Community
18
10
16
47
Other
11
12
31
Upto 15 Beds
83
25
26
135
16 to 50 Beds
16
12
27
60
51 to 100 Beds
16
16
24
60
14
22
1
Development Region
1
2
3
4
5
Ecological Belt
Mountain
1
2
3
In and out of valley
1
2
Hospital Type
1
2
3
Bed Category
1
2
3
100 Beds and Above
4
34
Annex
35
Annex- 1
o; k|ZgfjnLdf ;f]lwPsf ljj/0f tYof P]g, @)!% cg';f/ uf]Ko /xg]5g\ . s'g} klg c:ktfnsf] ljj/0f
JolStut ?kdf b]lvg] u/L k|sfzgdf NofOg] 5}g / s]jn ;fd'lxs ?kdf tYofLo k|of]hgsf nflu dfq k|of]u
1ul/g] 5 .
lghL c:ktfnx?sf] u0fgf @)^(
k|ZgfjnL
g]kfn ;/sf/
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s]Gb|Lo tYof ljefu

yfkfynL ,sf7df08f}
kmf]g g+= $@$%*$*, $@%@$&(,$@$%($^, $@$%($&, $@$%($*
kmofS; M )!$@@&&@)
j]j;fO6 M www.cbs.gov.np
ljefuLo k|of]hgsf nflu
lhNnf sf]8
36
kmf/fd gDa/
g]kfn ;/sf/
s]Gb|Lo tYof ljefu

;Gbe{ jif{ @)^*^(
-of] u0fgfdf @)^* ;fn ;fpg ! ut] b]lv @)^( ;fn cfiff9 d;fGt ;DdnfO{ ;Gbe{ cjlw dflgPsf] 5 ._
of] u0fgfsf] d'Vo p2]Zo s'n ufx{:y pTkfbg (GDP) df lghL c:ktfnx?sf] of]ubfgsf] cg'dfg ug'{ / lt
c:ktfnx?sf] kmf]xf]/d}nf Joj:yfkg ;DaGwL cWoog ug'{ xf] . o; p2]Zo kl/k"lt{ ug{sf nflu c:ktfn;Fu
;DalGwt ;To tYo laj/0f pknJw u/fO{ ;xof]u ul/lbg' x'g s]Gb|Lo tYof ljefu ;DalGwt ;a}df cg'/f]w
ub{5 .
!= kl/rofTds ljj/0f M
g]kfnLdf
!=! c:ktfnsf]] gfd M
c+u|]hLdf
!=@ 7]ufgf M
!=@=! lhNnf M
lhNnf sf]8 M
!=@=@ uf=lj=;=gu/kflnsf
!=@=# j8f g+=
!=@=$ 6f]n
!=# ;Dks{ 6]lnkmf]g g+= kmofS; g+= M

!=$ O{d]n 7]ufgf M
!=% j]j;fO6 7]ufgf -Website address _
!=^ c:ktfn ;+rfng ldlt
!=& c:ktfnsf]] lsl;d
!=* cg'dtL k|fKt z}of - Bed _ ;+Vof
!=( xfn ;+rflnt z}of - Bed _ ;+Vof
!= lglh
@= ;fd'bflos
====================================
==================================
#= cGo
@= /f]huf/ ;DaGwL laj/0f M -c:ktfndf lgoldt ?kdf sfd ug]{ sd{rf/Lx?sf] ;+Vof _
l;=g+=
sd{rf/Lsf] k|sf/
@=!
Joj:yfks;+rfns
@=@
k|fljlws - 8fS6/, ,g;{, x]=c=, c=g=dL=

cflb =_
@=#
k|zf;lgs
k'?if
sd{rf/L ;+Vof
Dflxnf
hDdf
#= c:ktfnaf6 ;]jf k|fKt u/]sf la/fdLx?sf] ;+Vof M

l;=g+=
dlxgf
#=!
@)^* ;fpg
#=@
@)^* ebf}
#=#
@)^* c;f]h
#=$
@)^* sflQs
#=%
@)^* D+fl;/
#=^
@)^* kf}if
#=&
@)^* Dff3
#=*
@)^* kmfu'g
#=(
@)^* r}q
#=!)
@)^( j}zfv
#=!!
@)^( h]i7
#=!@
@)^( c;f/
alx/
cfGtl/s
-Out Patient _
-In Patient _
hDdf
cGo
hDdf
$= c:ktfnsf] sd{rf/L vr{ M

l;=g+=
$=!
$=@
lzif{sx?
jflif{s vr{ ?=
tna , eQf ,Hofnf ,;+rosf]if , bz}+ vr{, kf]zfs eQf , cfjf;

cflb - gubdf _
sd{rf/LnfO{ lbOg] ;'ljwf lhG;Ldf
%= c:ktfnsf]] ;+rfng vr{x? M

l;=g+=
lzif{sx?
jflif{s vr{ ?=
%=!
ef8f -ejg _
%=@
ef8f - hUuf _
%=#
cGo ef8f - d]zLg/L cf}hf/ pks/0f _
%=$
:jf:Yo lzlj/ ;+rfng vr{
%=%
cf}ifwL vl/b vr{
%=^
;+rf/ vr{
%=&
ljB't, kfgL dxz'n
%=*
d;nGb ,5kfO{ , sfof{no ;fdfg ;DaGwL vr{
%=(
lj1fkg vr{
%=!)
Dfgf]/~hg tyf cltly ;Tsf/ vr{
%=!!
OGwg
%=!@
;'/Iff vr{
%=!#
Hofnf - b}lgs Hofnfbf/L jf 7]Ssfdf ePsf] sfdsf] Hofnf _
%=!$
sfg"gL tyf ;Nnfxsf/ vr{
%=!%
tflnd , uf]i7L vr{
%=!^
n]vf k/LIf0f vr{
%=!&
;+rfns ;ldltsf] a}7s, cGo a}7s vr{
%=!*
lghL{jg ljdf vr{ - lk|ldod _
%= c:ktfnsf]] ;+rfng vr{x? -qmdz===_ M

l;=g+=
%=!(
a} sldzg
%=@)
Jofh e'StfgL
%=@!
Nffef+z ljt/0f
%=@@
rGbf , bfg ,pkxf/
%=@#
Ifltk"lt{
%=@$
cGo ;+rfng vr{
lzif{sx?
jflif{s vr{ ?=
lzif{sx?
jflif{s cfDbfgL ?=
^= c:ktfnsf] cfDbfgL M
l;=g+=
^=!
lj/fdL btf{ z'Nsaf6 cfDbfgL
^=@
lj/fdL egf{af6 cfDbfGfL
^=#
zNo ls|of - Operation _ ;]jfaf6 cfDbfgL
^=$
lgbfgfTds ;]jf - Diagonstic service _ af6 cfDbfgL
^=%
cf}ifwL laqmLaf6 cfDbfgL
^=^
:jf:Yo lzlj/ ;+rfngaf6 k|fKt cfDbfgL
^=&
hldg ef8fdf lbP jfktsf] cfDbfgL
^=*
Efjg ef8fdf lbP jfktsf] cfDbfgL
^=(
pks/0f ef8fdf lbP jfktsf] cfDbfgL
^=!)
PDa'n]G; ;]jfaf6 k|fKt cfDbfgL
^=!!
Jofhaf6 k|fKt cfDbfgL
^=!@
nfef+zaf6 k|fKt cfDbfgL
^=!#
IftLk"lt{af6 k|fKt cfDbfgL
^=!$
kmf]xf]/d}nfsf] laqmLaf6 cfDbfgL
^=!%
cGo cfDbfgL
&= :yfoL ;DklQ ;DaGwL ljj/0f M -/sd ?= xhf/df pNn]v ug'{xf];\ ._

l;=g+=
ljj/0f
Hfldg
Efjg / cGo
lgdf{0f
D]flzg / cGo
pks/0f
kmlg{r/
oftfoftsf ;fwg
cGo
hDdf
-!_
-@_
-#_
-$_
-%_
-^_
-&_
-&_
-(_
&=!=
&=@=
&=#
&=$=
;Gbe{jif{sf] z'?df /x]sf]

:yfoL ;Dklt
;Gbe{jif{df yk ul/Psf]
:yfoL ;Dklt
K"fFlhut dd{t ;+ef/ ubf{sf]
nfut
cfkmg} k|of]usf] nflu cfkmg}
>dzlStaf6 pTkflbt :yfoL
;DklQsf] /sd
&=%=
;Gbe{ jif{df eO/x]sf]

k"Flhut k|ult sfo{sf] nfut
&=^
b}lj k|sf]k tyf cGo sf/0f

af6 :yfoL ;DklQsf] Iflt
&=&
:yfoL ;DklQ ljs|Laf6 k|fKt

/sd
&=*
Jfflif{s x|f; sLsf] s'n /sd

hDdf
*= df}Hbftsf] ljj/0f M -/sd ?= xhf/df pNn]v ug'{xf];\ ._

l;=g+=
df}Hbft ;DaGwL laj/0f
*=!
O{Gwg
*=@
;lh{sn ;fdfg -k"Flhut ;fdfg

afx]s_
*=#
cf}ifwL
*=$
cGo
;Gbe{ jif{sf]
z'? df}Hbft
;Gbe{ jif{sf]
clGtd df}Hbft
(= c:ktfnn] lt/]sf] s/, b:t'/, z'Ns cflbsf] laj/0f M

l
s/sf] ljj/0f
l;=g+=
jflif{s /sd ?=
(=!
:jf:Yo ;]jf s/ , d'No clej[l4 s/ - Eof6 _
(=@
:yfgLo lgsfonfO{ lt/]sf] s/
(=#
btf{ ,gjLs/0f, cg'dlt z'Ns
(=$
cGo s/ tyf z'Ns
!)= kmf]xf]/d}nf Joj:yfkg ;DaGwL ljj/0f M

!)=!
c:ktfndf pTkGg x'g] kmf]xf]/d}nf 5'ofpg]
(Segregation
!= x'G5
!)=@
_ sfo{ x'G5 x'Fb}g <
@= x'Fb}g
c:ktfndf pTkGg x'g] kmf]xf]/d}nf 5'ofpg] sfo{ sxfF sxfF xG5 < -ax' pQ/ ;Dej 5 . _
!= zNolqmof sIfdf
@= jf8{df
$= efG;fdf
#= k|of]uzfnfdf
%= cGo ==============
c:ktfndf pTkGg x'g] kmf]xf]/d}nf s'g s'g ju{df 5'ofpg] ug'{ ePsf] 5 <
-ax' pQ/ ;Dej 5 . _

!= wfl/nf j:t'x?
@= Kofyf]nf]lhsn kmf]xf]/x?
-Sharp Waste _
(Pathological Waste)
!)=#
#= ;+s|ldt kmf]xf]/x?
$= ljls/0fo'St kmf]xf]/x?
(Infectious Waste)
%= /f;folgs kmf]xf]/x?
(Chemical Waste)
^= cf}ifwLhGo kmf]xf]/x?
(Radioactive Waste
(Pharmaceutical Waste)
&= cGo ==================
!)=$
c:ktfndf b}lgs pTkGg x'g] kmf]xf]/sf] hDdf kl/0ffd pNn]v ug'{xf]; . -s]=hL=k|lt lbg df
pNn]v ug'{ xf];\ ._
===================================
c:ktfndf pTkGg x'g] kmf]xf]/sf] k|s[lt cg';f/sf] kl/0ffd pNn]v ug'{xf]; . -s]=hL= k|lt lbg df
pNn]v ug'{ xf];\ ._
!= wfl/nfj:t'x? ============================= @= Kofyf]nf]lhsn kmf]xf]/x? ==========================
!)=%
#= ;+s|ldt kmf]xf]/x? ============================ $= ljls/0fo'St kmf]xf]/x? ============================
%= /f;folgs kmf]xf]/x? ============================ ^= cf}ifwLhGo kmf]xf]/x? ============================
&= cGo ==================
6
!)=^
c:ktfndf pTkGg x'g] kmf]xf]/d}nf 5'ofpg;+sng ug{sf nflu s] s:tf efF8fx? k|of]u ug'{
x'G5 < -ax' pQ/ ;Dej 5 . _
!=Knfl:6s efF8fx?
@=Knfl:6s emf]nfx?
$= kmnfd:6Lnsf efF8fx?
%=cGo ===============
#= sfuhsf sf6'{g
c:ktfndf pTkGg x'g] kmf]xf]/d}nfsf] clGtd lj;h{g sxFf ug]{ ug'{ ePsf] 5 < -ax' pQ/ ;Dej
5._
!)=&
!)=*
!= g=kf=uf=lj=;= sf] ;+sng s]Gb|df
@= Nof8lkmn ;fO{6df
#=c:ktfn kl/;/df ufF8g]
$=OlG;g/]zgdf hnfpg]
%= v'nf hnfpg]
^= cGo ==============
c:ktfndf kmf]xf]/d}nf Joj:yfkgsf nflu 5'} sd{rf/L 5g\ < -5g\ eg] ;+Vof ;d]t pNn]v
ug'{xf];\ _
!= 5g\
;+Vof =================================================
@= 5}gg\
!)=(
c:ktfndf pTkGg x'g] kmf]xf]/d}nf 5'ofpg;+sng sfo{ ug]{ JolStx?n] kmf]xf]/ Joj:yfkg
;DaGwL tflnd lng' ePsf] 5 <
!= 5
@= 5|}g
c:ktfndf pTkGg x'g] kmf]xf]/d}nf Joj:yfkgdf dfl;s slt vr{ nfU5 <
!)=!)
!)=!!
?= =======================
c:ktfndf pTkGg x'g] kmf]xf]/d}nf Joj:yfkgdf :yfgLo lgsfosf] ;xsfo{;xof]u 5 <

!=5
@= 5}g
pQ/bftfsf] dGtJo - s'g} ;Nnfx, ;'emfj ePdf _ M
pQ/bftfsf] gfd M
x:tfIf/ M
kbM
;Dks{ g+= M
;+:yfsf] 5fk M
Uf0fssf] gfd M
;'k/Lj]Ifssf] gfd M
x:tfIf/ M
x:tfIf/ M
ldlt M
ldlt M
Annex - 2
lghL c:ktfnx?sf]] u0fgf @)^(

lgb]{lzsf
g]kfn ;/sf/
s]Gb|Lo tYof ljefu

/fdzfxky, yfkfynL, sf7df08f}+
kmf]g M )!$@$%($&, )!$@$%*$*, )!$@$%(!#,
ofS; M )!$@@&&@)
website: www.cbs.gov.np
email: environment@cbs.gov.np
ljifo;"rL
efu! u0fgfsf] p2]Zo / If]q
!=!
k[i7e"dL
!=@
kl/efiff
!=#
u0fgfsf] p2]Zo
!=$ u0fgfsf] If]q
!=% ;Gbe{ cjlw
!
!
@
@
@
!=^
uf]kgLotfsf] k|Tofe"tL
efu@ k|ZgfjnL =
@=!
k|ZgfjnLsf] ;fdfGo kl/ro =
@=@
aflx/L kfgf
v08 ! lghL jf ;fd'bflos c:ktfnsf] kl/rofTds laj/0f
v08 @ /f]huf/L ;DaGwL laj/0f
v08 # c:ktfn af6 ;]jf k|fKt u/]sf lj/fdLx?sf] ;+Vof
v08 $ c:ktfnsf] sd{rf/L vr{
v08 % c:ktfnsf]] ;+rfng vr{x?
v08 ^ c:ktfnsf] cfDbfgLsf] laj/0f
v08 & :yfoL ;DklQsf] laj/0f
v08 * df}Hbftsf] laj/0f
v08 ( c:ktfnn] lt/]sf] s/ tyf z'Ns
Vf08 !) kmf]xf]/d}nf Joj:yfkg ;DaGwL ljj/0f
10
$$$
#
#
$
&
&
*
(
!#
!^
@)
@@
@#
efu !M
u0fgfsf] p2]Zo / If]q
!=! k[i7e"dL
;fdfGo af]nLrfnLsf] c:ktfn eGgfn] s'g} /f]ux?sf] lgbfg tyf pkrf/
ug{ cfpg] :jf:Yo ;+:yfnfO{ a'em\g] ul/G5 . c:ktfn eGgfn] s'g} Ps jf
;a} lsl;dsf /f]ux?sf] pkrf/, lgbfgfTds pkrf/ ul/g] :jf:Yo s]Gb|nfO{
a'em\g] ul/G5 . clxn], g]kfnsf ;j}h;f] k|d'v zx/x?df ;/sf/L tyf lghL
:t/sf c:ktfnx? :yfkgf eO ;+rfngdf /x]sf] kfOG5 . b]zdf @)$^ sf]
hgcfGbf]ng kZrft :jf:Yo If]qdf lghL tyf ;fd'bflos :jf:Yo ;]jfsf]
lj:tf/n] lgs} ltj|tf kfPsf] 5 . ;fy} c:ktfnx?sf] :yfkgf / o;n] k|bfg
ug]{ ;]jf klg ;+VofTds Pj+ u'0ffTds b'j} lx;fan] a9]sf] kfOG5 . o;}
k|l/k|]Iodf lghL tyf ;fd'bflos c:ktfnx?n] d'n'ssf] cy{tGqdf k'ofPsf]
of]ubfgsf] ;lx cf+sng x'g' h?/L 5 eGg] tYonfO{ dgg\ u/L s]Gb|Lo
tYof ljefun] lghL c:ktfnx?sf] u0fgf @)^( ;+rfng ug{ nfu]sf]
5 . o;df sDtLdf Ps z}ofsf] (bed) ;]jf pknAw eO cGt/+u pkrf/
;]jf (Indoor patient service) ;+rfngdf /x]sf lghL tyf ;fd'bflos
c:ktfnx?nfO{ ;dfj]z ul/Psf] 5 . o; cGtu{t cGt/+u pkrf/ ;]jf
k|bfg ug]{ lghL cfo'j]{lbs tyf xf]ldof]Koflys c:ktfnx?sf] klg laj/0f
;+sng ug'{kb{5 . t/ c:ktfn afx]s cGo lghL If]qsf :jf:Yo pkrf/
;+:yf jf s]Gb|x? h:t} kf]lnlSnlgs, lSnlgs cflbnfO{ of] u0fgfdf
;d]l6Psf] 5}g .
!=@ kl/efiff
c:ktfnM o; u0fgfdf c:ktfn eGgfn] sDtLdf Ps z}of jf ;f] eGbf
a9L z}ofsf] cGt/+u ;]jf (Indoor patient service) pknAw u/fO{ s'g }
Ps /f]u ljz]if jf ;a} k|sf/sf /f]ux?sf] ;a} k|sf/sf pkrf/x?
u/fOg] lghL:t/df vf]lnPsf jf ;fd'bflos ?kdf :yfkgf ePsf
c:ktfnx?nfO{ ;Demg' kb{5 . o:tf] c:ktfn g]kfn leq ;+rfngdf
/x]sf] x'g' kb{5 .
~1~
!=@ u0fgfsf] p2]Zo

of] u0fgfsf p2]Zox? b]xfo adf]lhd /x]sf 5g\ M
g]kfndf lghL :jf:Yo If]qsf ljz]if u/L lghL c:ktfnx?sf]]
jt{dfg cfsf/, :j?k / k|s[lt klxrfg ug]{,
lghL :jf:Yo If]qn] cy{tGqdf k'ofPsf] of]ubfgsf] cg'dfg ug]{,
lghL :jf:Yo If]qdf /f]huf/Lsf] cj:yf ljZn]if0f ug]{,
lghL :jf:Yo If]qsf] aftfj/0f ;+/If0fsf] b[li6sf]0faf6 kmf]x/d}nf
Joj:yfkg ;DaGwL cWoog ug]{ .
!=$ u0fgfsf] If]q
o; c:ktfn u0fgfdf k|lti7fg u0fgf ljlw (Establishment
Approach) cjnDag ul/Psf] 5 . of] u0fgfsf] If]q cGtu{t
g]kfndf btf{ ePsf rfn' lghL tyf ;fd'bflos c:ktfnx? kb{5g . t/
s'g} c:ktfnn] d]l8sn sn]hx? klg ;+rfng u/]sf] 5 eg] tL sn]hx?sf]
laj/0f ;+sng gul/ c:ktfnsf] dfq laj/0fx? ;+sng ug'{ kb{5 .
!=% ;Gbe{ cjlw
of] u0fgfdf @)^* ;fn ;fpg ! ut]b]lv @)^( ;fn cfiff9 d;fGt;Ddsf]
cjlwnfO{ ;Gbe{ cjlw lgwf{/0f ul/Psf] 5 . @)^* ;fn ;fpg ! ut]
cufj} aGb ePsf / @)^( ;fn cfiff9 d;fGtkl5 z'? ePsf jf ;+rfng
ePsf c:ktfnx? of] u0fgfdf ;dfj]z x'g] 5}gg\ . u0fgfdf ;dfj]z ePsf
c:ktfnx?df sfo{/t sd{rf/Lx?sf] ;+VofTds laj/0f n]Vgsf] nflu @)^*
;fn df3 ! ut]nfO{ ;Gbe{ lbg lgwf{/0f ul/Psf] 5 .
!=^ uf]kgLotfsf] k|Tofe"tL
o; k|ZgfjnLdf ;f]lwPsf laj/0fx? tYof P]g @)!% adf]lhd uf]Ko
/xg]5g\ . oL laj/0fx? ;fd"lxs?kdf tYofLo k|of]hgsf] nflu dfq k|of]u
ul/g]5 . k|To]s c:ktfnsf] laj/0fnfO{ ;dfg vfn] cGo c:ktfnsf]
laj/0f;Fu hf]8]/ ;fd"lxs tYof tof/ kfl/g]5 .
~2~
efu @= k|ZgfjnL
@=! k|ZgfjnLsf] ;fdfGo kl/ro
lghL c:ktfnx?sf] u0fgf @)^( sf] aflx/L kfgfdf uf]klgotfsf] k|Tofe"tL
af/] ;+lIfKt k|sfz kfg'{sf] ;fy} kmf/fd gDa/ /flvPsf] 5 eg] leqL
kfgfdf u0fgfsf] p2]Zo, If]q, ;Gbe{ cjlw ;fy} kl/rofTds laj/0f pNn]v
ul/Psf]5 . of] k|ZgfjnLdf b]xfo adf]lhd qmdzM bzj6f v08x? /flvPsf
5g\ M
v08
v08
v08
v08
v08
v08
v08
v08
v08
v08
@=@ aflx/L kfgf
! M c:ktfnsf] kl/rofTds laj/0f

@ M /f]huf/ ;DaGwL laj/0f
# M c:ktfnaf6 ;]jf k|fKt u/]sf la/fdLx?sf] ;+Vof
$ M c:ktfnsf] sd{rf/L vr{
% M c:ktfnsf] ;+rfng vr{x?
^ M c:ktfnsf]] cfDbfgLsf] laj/0f
& M :yfoL ;DklQ ;DaGwL laj/0f
* M df}Hbftsf] laj/0f
( M c:ktfnn] lt/]sf] s/ ,b:t'/ ,z'Ns cflbsf] laj/0f
!) M kmf]xf]/d}nf Joj:yfkg ;DaGwL laj/0f
(Cover Page)
kmf/fd gDa/
of] ljefuLo k|of]hgsf] nflu /flvPsf] xf] . u0fgf sfo{sf] nflu vl6Psf
sd{rf/Lx?n] kmf/fd gDj/ n]Vg] sf]7f eg'{kb}{g . s'g} c:ktfnsf] laj/0f
el/Psf] k|ZgfjnL ljefudf k|fKt ePkl5 ltgnfO{ l;nl;n]jf/ ldnfP/
/fVgsf] nflu k|To]s k|ZgfjnLdf Pp6f kmf/fd gDa/ pNn]v ug'{k5{ . Pp6f
kmf/fddf pNn]v ul/Psf] kmf/fd gDa/ k'gM bf]xf]l/g ;Sb}g . kmf/fd
gDa/df tLg j6f c+ssf] gDa/ n]Vg] :yfg lbOPsf] 5 . o;df k|fKt
k|ZgfjnLnfO{ qmd};Fu ))!, ))@, ))# ub}{ qmd ;+Vof n]Vg'kb{5 .
~3~
Wofg lbg' kg]{ s'/fx?
c:ktfn eGgfn] lghL jf ;fd'bflos c:ktfnnfO{ ;lDemg' kb{5 . o; u0fgfsf] k|of]hgsf] sDtLdf
Ps z}ofsf] cGt/+u pkrf/ ;]jf ;'ljwf pknAw x'g'kb{5 . g]kfndf k|rlnt lgodfg';f/ btf{ e} ;Gbe{
cjlwdf ;+rfng ePsf o:tf c:ktfnx? u0fgfdf ;dfj]z x'g]5g\ .
of] u0fgfdf ;/sf/L lgsfoaf6 ;+rflnt c:ktfnx?, lghL kf]lnlSngLsx?, Kofyf]nf]hL Nofax?,
kmfd]{;Lx?, lSnlgsx?nfO{ ;dfj]z ul/Psf] 5}g .
of] k|ZgfjnL ebf{ ;Dk"0f{ c+s Pj+ cIf/x? g]kfnLdf dfq n]Vg'kb5{ .
of] k|ZgfjnLdf d'No jf /sd pNn]v ubf{ g]kfnL ?k}ofsf] PsfO{ -unit_ df pNn]v ug'{k5{ .
v08 !M lghL jf ;fd'bflos c:ktfnsf] kl/rofTds laj/0f

o; v08df c:ktfnsf] gfd, 7]ufgf cflb kl/rofTds k|Zgx? /flvPsf] 5 . o;df hDdf gf}j6f k|Zgx? 5g\ .
tL k|Zgx?sf] af/]df tnsf cg'R5]bx?df qmdzM j0f{g ul/Psf] 5 .
!=!= c:ktfnsf] gfd
c:ktfn eGgfn] Pp6} k|zf;lgs lgoGq0fdf jf Joj:yfkgdf s'g} lglZrt :yfgdf /xL la/fdLx?sf] cGt/+u /
alx/+u pkrf/ ;]jf pknAw u/fpg] PsfO{nfO{ j'emfpF5 . c:ktfnsf] gfd n]Vbf c:ktfnsf] /lhi6]zg ubf{sf
jvt n]lvPsf] gfd jf ;fOgjf]8{df n]lvPsf] gfd g]kfnL / c+u|]hL b'j} efiffdf :ki6 n]Vg' kb{5 . c+u|]hLdf
n]Vbf 7"nf] cIf/ -Capital letter_ df n]Vg' kb{5 .
!=@= 7]ufgf
!=@=!= lhNnf
c:ktfn ;Grfngdf /x]sf] lhNNffsf] gfd oxfF pNn]v ug'{kb{5 . vfnL /flvPsf] b'Oj6f sf]7fdf ;DjlGwt
lhNnfsf] sf]8 n]Vg'kb{5 .
!=@=@= uf=lj=;= gu/kflnsfsf] gfd
c:ktfn ;Grfngdf /x]sf] gu/kflnsf, pkdxfgu/kflnsf, dxfgu/kflnsf jf ufpF ljsf; ;ldltsf] gfd
:ki6 v'nfO{ n]Vg'kb{5 .
!=@=#= j8f g+=
c:ktfn h'g j8fdf ;Grfng eO/x]sf] 5 ;f] j8f g+= oxfF v'nfpg' kb{5 .
!=@=$= 6f]nufpF
c:ktfn cj:yLt /x]sf]] 6f]nufpFsf] gfd oxfF pNn]v ug'{kb{5 .
!=# ;Dks{ 6]lnkmf]g g+= kmofS; g+=
k|ZgfjnL eg]{ qmddf c:ktfn;+u ;DjlGwt laj/0f/fVg] k|ToIf jf ck|ToIf ?kdf s'g} JolQm;+u ;Dks{ ug'{ kg]{
x'g ;S5 . c:ktfnsf]] 6]lnkmf]g gDj/ / km\ofS; gDa/ oxfF pNn]v ug'{kb{5 .
!=$ O{d]n 7]ufgf
~4~
c:ktfnsf] d'Vo sfof{nosf] Od]n 7]ufgf oxfF pNn]v ug'{kb{5 .

!=% j]j;fO6 7]ufgf -Website address)
c:ktfnsf] j]j 7]ufgf eP pQm Website address 7]ufgf oxfF pNn]v ug'{kb{5 .
!=^ c:ktfn ;+rfng ldlt
c:ktfnn] hlxn]b]lv cGt/+u / alx/+u ;]jf ;+rfng u/L pkrf/ sfo{ ug{ z'? uof] ;f]xL ldlt oxfF pNn]v
ug'{kb{5 . o;/L ldlt pNn]v ubf{ h'g ;fnb]lv ;]jf z'? u/]sf] xf] ;f]xL ;fn / dlxgf ljqmd ;Djtdf n]Vg'
kb{5 . h:t}M @)%% ;fn c;f/af6 ;f] c:ktfn ;~rfngdf cfPsf] /x]5 eg] @)%%, c;f/ n]Vg' kb{5 .
!=& c:ktfnsf] lsl;d
s'g} klg ;+:yf :yfkgf Pj+ ;Grfng ubf{ Pp6f lglZrt sfg"gL cfwf/nfO{ 6]s]/ :yfkgf ul/Psf] x'G5 ;f]xL
sfg"gL cfwf/nfO{ oxfF j}wflgs l:ylt elgPsf] 5 . lghL c:ktfnx?sf] u0fgf @)^( df c:ktfnsf]
lsl;dnfO{ b]xfo adf]lhd tLg ju{df ljefhg ul/Psf] 5 . c:ktfnsf] j}wflgs l:ylt jf lsl;d h] xf] ;f]
adf]lhdsf] pko'Qm sf]8df 3]/f nufpg'kb{5 .
!= lghL
s'g} Ps JolQm jf JolQmsf] ;d"xn] Psnf}6L jf ;+o'Qm ?kdf cfkm\gf] k"FhL nufgL u/L gfkmf gf]S;fg cfkm}n]
Joxf]g]{ u/L ljleGg P]g cg';f/ h:t} k|fOe]6 kmd{ /lhi6]zg P]g @)!$ jf sDkgL P]g cg';f/ ;Grfng u/]sf
c:ktfnx? jf gfkmf gf]S;fg ;uf]ndf ;f]xL cg'kftdf Joxf]{g] eg]/ ul/Psf] ;Demf}tfsf] cfwf/df ;fem]bf/L P]g
@)@) jf o:t} cGo P]gx? jdf]lhd btf{ eO{ ;~rfng ePsf c:ktfnx?nfO{ lghL c:ktfnx?sf] elgG5 . oL
c:ktfnx?nfO{ sf]8 ! df 3]/f nufpg'kb{5 .
@= ;fd'bflos c:ktfn
s'g} u}/ ;/sf/L ;+3, ;+:yf jf :yfgLo ;d'bfon] ;d'bfosf lxtdf ;+rfng ul/Psf c:ktfnx?nfO{ sf]8 @ df
3]/f nufpg'kb{5 .
#= cGo -v'nfpg]_
dfly pNn]lvt j}wflgs l:ylt jf sfg"gL cfwf/ jfx]s c? s'g} k|sf/n] ;+ul7t ePsf] c:ktfn /x]5 eg]
To;nfO{ :ki6 x'g]u/L v'nfO{ sf]8 # df 3]/f nufpg'kb{5 .
!=* cg'dtL k|fKt z}of - Bed _ ;+Vof
lghL c:ktfnx?n] c:ktfn ;+rfng ug{sf nflu :jLs[t k|fKt z}of ;+Vof o;df pNn]v ug'{ kb{5 .
!=( xfn ;+rflnt z}of -Bed_ ;+Vof
lghL c:ktfnx?n] c:ktfn ;+rfng ug{sf nflu :jLs[t k|fKt z}of ;+Vof cg';f/ k"0f{ Ifdtfdf ;+rfng geO
;f] eGbf sd z}of ;+Vofsf] pkrf/ ;]jf ;+rfng u/]sf] x'g ;S5 . o; cj:yfdf c:ktfnn] xfn ;+rfng
ul//x]sf] z}of ;+Vof o;df pNn]v ug'{ kb{5 .
~5~
v08@ /f]huf/L ;DjGwL laj/0f

o; lzif{s cGt{ut c:ktfnx?df lgoldt ?kdf sfd ug]{ sd{rf/Lx?sf] ;+Vof pNn]v ug'{ kb{5 .
sd{rf/Lx?sf] k|sf/nfO{ Joj:yfks ;+rfns, k|fljlws - 8fS6/, g;{, x]=c=, c=g=dL= cflb=_, / k|zf;lgs
u/L tLg k|sf/df laj/0f ;+sng ug'{kb{5 . sd{rf/Lx?sf] laj/0f ln+bf k'?if, dlxnf 5'6 \ofO lng' kb{5 .
c:ktfndf sfd ug]{ sd{rf/L cGtu{t Joj;foL tyf ;lqmo ;fem]bf/, d'Vo Joj:yfks nufot tna ;'ljwf
glng] cGo JolQm / c:ktfndf sfd u/] jfkt lgodfg';f/ tnj, Hofnf, kfl/>lds gubL jf lhG;L kfpg]
JolQmx? -sd{rf/L_ kb{5g\ . sd{rf/Lsf] ;+Vof pNn]v ubf{ @)^* ;fn df3 ! ut]sf] lbg Joj:yfks,
k|zf;sLo, lrlsT;f jf lSnLlgsn If]qdf sfo{/t k|fljlws / cGo sfo{df ;+nUg JolQmx?sf] 5'f5} ;+Vof
pNn]v ug'{kb{5 . s'g} sf/0fa; ;f] lbg c:ktfn jGb /x]sf] eP To; kl5 nuQ} v'n]sf] lbgdf ;+nUg
sd{rf/Lx?sf] ;+Vof n]Vg'kb{5 . 5f]6f] cjlwsf] labf, lj/fdL labf, 3/ labf, ;'Ts]/L labf cflb lnO{ j;]sf
JolQmnfO{ klg sd{rf/Lsf] ;+Vofdf ;fd]n ug'{kb{5 .
lgoldt sd{rf/Lx?
s'g} c:ktfndf slDtdf !*) lbg sfdu/]sf jf :yfoL tnaL sd{rf/Lx? / s'n sfo{ ;dosf] slDtdf Ps
ltxfO{ ;do sfd ug]{ j]tnaL sd{rf/Lx?nfO{ lgoldt sd{rf/Lsf] ?kdf j'em\g' kb{5 .
v08 #= c:ktfn af6 ;]jf k|fKt u/]sf lj/fdLx?sf] ;+Vof M

c:ktfnx?n] la/fdLx?nfO{ lbg] ;]jf ljleGg k|sf/sf x'g ;S5g . o; cGtu{t alx/+u ;]jf (Out patient
service), cGt/+u ;]jf (In patient service) / cGo k|sf/sf ;]jfx? h:t} cfsl:ds pkrf/ ;]jf, lgbfgfTds
;]jfx? h:t} Nofa k/LIf0f, PS;/] ;]jf, lel8of] PS; /] ;]jf cflb x'g \ . o; v08 cGtu{t laj/0f lnFbf
c:ktfnn] ;]jf k'ofPsf alx/+u cGtu{t, cGt/+u cGtu{t, / cGo cGtu{t la/fdLx?sf] ;+Vof ;Gbe{ cjwL
leqsf] dfl;s laj/0fx? ;+sng ug'{ kb{5 . s'g} la/fdL c:ktfndf egf{ gePsf t/ cfkm\gf] /f]usf] lgbfg
ug{ jf pkrf/ ug{ c:ktfnsf] ;]jf lng hfg] la/fdLnfO{ alx/+u la/fdL elgG5 / c:ktfnn] lbg] o:tf]
;]jfnfO{ alx/+u ;]jf (Outdoor patient service ) elgG5 . c:ktfn d} /ft s6fpg] u/L /f]usf] lgbfg jf
pkrf/ ug{ egf{ ePsf la/fdLnfO{ cGt/+u la/fdL elgG5 / c:ktfnn] lbg] o:tf] ;]jfnfO{ alx/+u ;]jf
(Indoor patient service ) elgG5 . c:ktfndf cGt/+u / alx/+u afx]s c:ktfn eGbf aflx/sf c:ktfn, jf
lrlsT;s jf cGoaf6 l/km/ eO{ s'g} /f]usf] Nofa k/LIf0f, lel8of] PS;/] cflbsf] dfq ;]jf lng cfpg]
la/fdLx? klg x'G5g\ . o:tf la/fdLx?sf] laj/0f c:ktfnn] alx/+u;]jf jf cGo cGtu{t 5'6 \6} /flvPsf
x'g;S5 . laj/0f lnFbf c:ktfnn] ;]jf pknAw u/]sf] dfl;s la/fdL ;+Vof pNn]v ug'{kb{5 .
v08 $= c:ktfnsf] sd{rf/L vr{ M

c:ktfndf sfo{/t :yfoL jf c:yfoL sd{rf/Lx?sf] ;Gbe{ cjwL el/ e'QmfgL ePsf] tna, eQf, Hofnf,
;+rosf]if, bz}F vr{, kf]zfs eQf, cfjf; vr{ cflb jfktsf] Psd'i7 aflif{s vr{sf] laj/0f lng'kb{5 .
sd{rf/Lsf] tnj eGgfn] c:ktfndf sfd u/] jfkt lgodfg';f/ kfpg] gub jf lhG;L xf] . sd{rf/Lx?n]
cfkm\gf] sfd u/]sf] k|To]s dlxgf jf tf]s]sf] cjlw adf]lhd lglZrt ;dodf tnj Hofnf kfpFb5g\ . tnj
Hofnfsf] /sd pNn]v ubf{ ;'? tnj :s]ndf u|]8sf] /sd hf]8L hDdf /sd pNn]v ug'{kb{5 . sltko
c:ktfnx?n] cfkm\gf sd{rf/Lx?nfO{ ;Grosf]if sL ePsf] /sd a/fa/ yk u/L ;Grosf]if hDdf ug]{ u/]sf
x'G5g . To:tf c:ktfn;+u ;DjlGwt sd{rf/Lx?sf] tnj eGgfn] ;Grosf]ifdf yk ul/Psf] /sdnfO{ ;d]t
~6~
;dfj]z u/L x'g cfpg] /sdnfO{ jf:tljs tnj dfgL k|ZgfjnL eg'{kb{5 . olb s'g} sd{rf/Ln] tnjsf] ;f
lhG;Lsf] ?kdf s]xL k|fKt ub{5 eg] pQm lhG;LnfO{ gubdf ?kfGt/0f u/L n]Vg' kb{5 .
;Gbe{ cjwLdf sd{rf/Lx?nfO{ lbOPsf] tna u|]8 ;lxt, bz} vr{ tyf cGo eQf /sd, sd{rf/Lx?sf]
;~rosf]if s6\6L u/L To;df c:ktfnn] /sd yk ul/Psf eP yk /sd, sd{rf/Lsf] hLjg ljdf ul/P
jfktsf] lk|ldod /sd c:ktfnn] lt/]sf] eP pQm ljdf /sd, gful/s nufgL sf]if s6\6L u/L To;df
c:ktfnn] /sd yk u/]sf] eP yk /sd, sd{rf/LnfO{ kf];fs ;'ljwf gub jf lhG;Ldf pknAw u/fPsf] eP
pQm /sd, sd{rf/LnfO{ cf}iflw pkrf/ ;'ljwf jfkt pknAw u/fOPsf] /sd, vfgf, vfhf jfkt pknAw
u/fOPsf] /sd, ;Gbe{ cjlwdf c:ktfnn] sd{rf/LnfO{ cfjf; ;'ljwf jfkt pknAw u/fPsf] /sd,
sd{rf/LnfO{ oftfoft ;'ljwf jfkt pknAw u/fPsf] /sd, c:ktfnn] cjsfz k|fKt sd{rf/LnfO{ pkbfg jf
k]G;g jfkt pknAw u/fPsf] /sd / oL jfx]s ;Gbe{ cjlwdf c:ktfnn] sd{rf/LnfO{ pknAw u/fPsf] cGo
/sd cf]e/ 6fOd, ljbf cflb dxTjk'0f{ vr{x? Psd'i7 aflif{s /sd pNn]v ug'{kb{5 .
v08% c:ktfnsf]] ;+rfng vr{x? M

of] u0fgfdf c:ktfnn] ;]jf k|bfg ubf{ dWojtL{ pkef]u (Intermediate consumption) cGtu{t ul/g] vr{x?
o; v08df ;+sng ul/G5 . c:ktfnsf] vr{sf /sdx? pkef]Qmfsf] d"No (consumer price) df pNn]v
ug'{kb{5 . ;Gbe{ cjwLdf c:ktfnn] s'g} j:t' jf ;]jfsf] vl/b u/]jfkt / c:ktfn ;+rfngsf] qmddf lt/]sf]
jf ltg'{ kg]{ bfloTj l;h{gf ePsf ;a} k|sf/sf /sdx? of] v08df pNn]v ug'{ kb{5 . j:t' tyf ;]jfsf]
dWojtL{ pkef]u gu/L clGtd pkef]u g} ;f] c:ktfnn] u/]sf] eP p;n] lt/]sf ;Dk'0f{ s/ ;lxtsf] d"No oxfF
;dfj]z ug'{k5{ . cfkm"n] rfx]sf] ;do / :yfgdf j:t' jf ;]jf pknAw u/fpFbf nfu]sf] oftfoft vr{ klg
;dfj]z ePsf] 5 eg] To:tf] vr{nfO{ j:t' tyf ;]jfsf] d"Nodf ;dfj]z ug'k5{ . j:t' jf ;]jfsf] vl/b ef/t
jf t]>f] d'n'saf6 u/]sf] ePklg vl/b ubf{sf] avt nfu]sf] /sd g]kfnL ?lkoFfdf n]Vg'k5{ .
%=! ejg ef8f
olb c:ktfnn] ;Gbe{ cjlwdf c:ktfn ;+rfng k|of]hgsf nflu c?sf] ejg, uf]bfd tyf cGo lgdf{0f -x?_
k|of]u u/]sf] eP ;f] jfkt lt/]sf] aflif{s vr{ /sd ?= o; dxndf pNn]v ug'{k5{ .
%=@ hldg ef8f
olb c:ktfnn] ;Gbe{ cjlwdf c:ktfn ;+rfng k|of]hg h:t} kfls{+usf nflu s;}sf] hldg ef8fdf lnPsf
eP ;f] jfkt lt/]sf] aflif{s vr{ /sd pNn]v ug'{k5{ .
%=# cGo ef8f -d]l;g/L cf}hf/pks/0f_
olb c:ktfnn] ;Gbe{ cjlwdf c? JolQm, ;+:yf jf c:ktfnsf] d]lzg pks/0f, kmlg{r/, oftfoftsf ;fwg jf
cGo ;fdu|L ef8fdf lnPsf] eP ;f] jfkt lt/]sf] aflif{s vr{ /sd o;df n]Vg'k5{ . hldg / ejg tyf cGo
lgdf{0f jfktsf] ef8f afx]s c? h'g;'s} ef8f klg o;} dxndf ;dfj]z ug'{k5{ .
%=$ :jf:Yo lzlj/ ;+rfng vr{
c:ktfnn] cfkm\gf] ;]jfnfO{ :jf:Yo ;]jfsf] kx'Fr gePsf If]qdf klg k'ofpg] p2]Zon] s'g} /f]u ljz]if jf
;Dk'0f{ /f]ux?sf]sf] pkrf/ ;]jf jf :jf:Yo ;Nnfx pknAw u/fpg a]nfa]nfdf :jf:Yo lzlj/ ;+rfng ug]{ub{5
~7~
. o:tf lzlj/ ;+rfngsf nflu ePsf] cf}ifwL pkrf/ b]lv Joj:yfkg;Ddsf ePsf ;Dk"0f{ vr{sf] aflif{s
Psd'i7 /sd pNn]v ug'{kb{5 .
%=% cf}ifwL vl/b vr{
c:ktfnn] ljleGg pkrf/ ;]jfsf nflu cfjZos kg]{ ljleGg k|sf/sf cf}iflwx? vl/b u/]sf] 5 eg] aflif{s
Psd'i7 /sd o;df pNn]v ug'{kb{5 . o:tf vl/b ul/Psf cf}iflwx? lgz'Ns ljt/0f jf z'Ns lnP/ ljt/0f jf
laqmL ug]{ p2]Zon] vl/b ul/Psf x'g ;S5 .
%=^ ;+rf/ vr{
c:ktfnn] ;Gbe{ cjlwdf ;+rf/sf ;fwgx? h:t} 6]lnkmf]g, 6]n]S;, Od]n, OG6/g]6, x'nfs, s'l/o/, kq klqsf
cflbdf u/]sf] aflif{s vr{ /sd o;df pNn]v ug{'kb{5 .
%=& ljB't kfgL dxz'n
c:ktfnn] ;Gbe{ cjlwdf ljB't, kfgL dxz'n / ldg/n jf6/ -lkpg] kfgL_ df ePsf] vr{ jfkt lt/]sf]
aflif{s vr{ /sd o;df pNn]v ug{'kb{5 .
%=* d;nGb, 5kfO{ tyf sfof{no ;fdfg ;DaGwL vr{
;Gbe{ cjlwdf c:ktfnn] 5kfO{ tyf cGo d;nGb -h:t} ljn a's, ;"rgf k'l:tsf, sfof{no ;fdfg cflbdf
ePsf] vr{ jfkt lt/]sf] aflif{s vr{ /sd o;df pNn]v ug{'kb{5 .
%=( lj1fkg vr{
;Gbe{ cjlwdf c:ktfnn] cfkm\gf] ;]jf k|j4{g ug{ u/]sf] lj1fkg vr{ -PkmPd /]l8of], 6]lnlehg, kf]i6/,
Jofg/, a|f];/ cflb_ df ePsf] vr{ jfkt lt/]sf] aflif{s vr{ /sd o;df pNn]v ug{'kb{5 .
%=!) dgf]/Ghg tyf cltyL ;Tsf/ vr{
;Gbe{ cjlwdf c:ktfnn] ;f+:s[lts tyf cGo dgf]/GhgfTds sfo{qmd / cltyL tyf kfx'gf ;Tsf/df u/]sf]
vr{ aflif{s /sd pNn]v ug{'kb{5 .
%=!! OGwg
;Gbe{ cjlwdf c:ktfnsf] ;+rfngsf nflu ljB't pTkfbg tyf ;jf/L ;fwgdf k|of]u x'g] OGwg h:t} UofF;,
d6\6Lt]n, k]6f]n, l8hn, n'la|s]G6\; nufotsf OGwgsf] aflif{s vr{ /sd pNn]v ug{'kb{5 .
%=!@ ;'/Iff vr{
;Gbe{ cjlwdf c:ktfnn] ;'/Iff lzif{sdf ul/Psf vr{x? h:t} Dofg kfj/ dfkm{t ;+:yfut s/f/ jf 7]Ssfdf
lnOPsf sd{rf/L vr{, tyf cGo ;'/Iff ;DalGw vr{sf] aflif{s /sd pNn]v ug{'kb{5 .
%=!# Hofnf
;Gbe{ cjlwdf c:ktfnn] cfjZos k/]sf] ;dodf 5f]6f] ;dosf nflu k6s] Hofnf jf b}lgs Hofnfbf/L jf
7]Ssfdf ePsf] sfdsf] Hofnf ;DalGw { aflif{s vr{ /sd pNn]v ug{'kb{5 .
%=!$ sfg'gL tyf ;Nnfxsf/ vr{
;Gbe{ cjlwdf c:ktfnn] sfg"gL tyf cGo ;Nnfxfsf/ ;]jfdf u/]sf] vr{ aflif{s /sd pNn]v ug{'kb{5 .
~8~
%=!% tflnd, uf]i7L vr{

;Gbe{ cjlwdf c:ktfnn] tflnd, uf]i7Ldf u/]sf] vr{ aflif{s /sd pNn]v ug{'kb{5 .
%=!^ n]vf k/LIf0f vr{
;Gbe{ cjlwdf c:ktfnn] cfkm\gf] sf/f]af/ ;DaGWfdf u/]sf] n]vf k/LIf0f ;]jfdf u/]sf] aflif{s vr{ /sd
pNn]v ug{'kb{5 .
%=!& ;+rfns ;ldltsf] a}7s, cGo a}7s vr{
;Gbe{ cjlwdf c:ktfnn] ;+rfns ;ldltsf] a}7s jf c:ktfndf x'g] u/]sf a}7sx?df x'g] u/]sf vfhf vr{,
d;nGb h:tf vr{x? Psd'i7 aflif{s vr{ /sd pNn]v ug{'kb{5 .
%=!* lghL{jg ljdf vr{
;Gbe{ cjlwdf c:ktfnn] lghL{jg ljdf -3/, ;jf/L ;fwg, d]l;g/L ;fdfg cflb_ jfkt lt/]sf] lk|ldod
aflif{s /sd pNn]v ug{'kb{5 .
%=!( a}+s sldzg
;Gbe{ cjlwdf c:ktfnn] a}+s ;]jf lnP jfkt a}+snfO{ e'QmfgL u/]sf] a}+s sldzg vr{sf] aflif{s vr{ /sd
pNn]v ug{'kb{5 .
%=@) Aofh e'QmfgL
;Gbe{ cjlwdf a}+s tyf ljQLo ;+:yfaf6 jf s'g} cGo JolQm jf ;+:yfaf6 lnPsf] C0fsf] Aofh olb ;Gbe{
cjlwdf lt/]sf] eP ;f] /sd o; dxndf pNn]v ug'{k5{ . Aofhafx]s a}+sn] lng] c? z'NsnfO{ o;df ;dfj]z
ug'{x'Fb}g .
%=@! Nffef+z ljt/0f
;Gbe{ cjlwdf c:ktfnn] gfkmf /sd dWo]af6 ;/f]sf/jfnfx?nfO{ s'g} k|sf/af6 ljt/0f u/]sf] nfef+zsf]
Psd'i7 aflif{s /sd pNn]v ug{'kb{5 .
%=@@ rGbf, bfg, pkxf/
;Gbe{ cjlwdf c:ktfnn] s;}nfO{ lbPsf] rGbf, bfg tyf o:t} lsl;dsf pkxf/sf] aflif{s /sd pNn]v
ug{'kb{5 .
%=@# Ifltk'lt{
olb c:ktfnn] ;Gbe{ cjlwdf s'g} sf/0faz s'g} JolQm jf ;+:yfnfO{ Ifltk'lt{ lt/]sf] /x]5 eg] pQm /sd
aflif{s Psd'i7 /sd pNn]v ug{'kb{5 .
%=@$ cGo vr{
Dffly pNn]v gePsf ;Gbe{ cjlwdf c:ktfnn] u/]sf cGo ljljw vr{x?sf] aflif{s Psd'i7 /sd oxfF pNn]v
ug{'kb{5 .
~9~
v08^ c:ktfnsf] cfDbfgLsf] laj/0f

o; v08df c:ktfnx?sf] ;Dk"0f{ cfDbfgLnfO{ ;d]6g vf]lhPsf] 5 . of] u0fgfsf] bfo/f leq kg]{ c:ktfnx?n]
/f]usf] lgbfg, jf pkrf/ / cGo lqmofsnfkx?af6 cfDbfgLx? u/]sf x'G5g\ . c:ktfnsf] cfDbfgLsf
laj/0fx? lj:t[t?kdf cfpg;S5 . h:t} c:ktfnn] zNolqmof, Pg]:y]l;of, 8]G6n, ECG, Emergency,
Gyno, Surgery, Lab Test, Neuro surgery, CT scan, Physio, Urology, USG, Xray, Minor OT, OPD
income, Endoscopy, Histopathology, Pharmacy income, Canteen service , lab test h:tf ;]jfx?
pknAw u/fpFbf cfDbfgL u/]sf x'g;S5g\ . lt cfDbfgLx?nfO{ ldNbf] lzif{s cGtu{t Psd'i7 cfDbfgL /sd
pNn]v ug'{kb{5 . o:tf] /sd of] v08 ^ sf] pko'Qm nx/df /fVg'k5{ . of] v08df hDdf !% j6f cfDbfgLsf
lzif{sx? /flvPsf 5g\ . tL lzif{sx?sf] af/]df tn qmdzM rrf{ ul/Psf] 5 .
^=! la/fdL btf{ z'Nsaf6 cfDbfgLM
c:ktfnn] lj/fdLnfO{ pkrf/ ;]jf k|bfg ubf{ alx/+u, cGt/+u jf cfsl:ds ;]jf cGtu{t btf{ul/ lglZrt
tf]lsPsf] lgwf{l/t z'Ns lnPsf] x'G5 . ;Gbe{ cjlwdf c:ktfnn] o; k|sf/sf] la/fdLbtf{ k|lqmofaf6 cfDbfgL
u/]sf] z'Nssf] aflif{s Psd'i7 /sd pNn]v ug'{kb{5 .
^=@ la/fdL egf{af6 cfDbfgLM
c:ktfnn] lj/fdLnfO{ pkrf/ ;]jf k|bfg ubf{ cGt/+u ;]jf cGtu{t egf{ ul/ pkrf/ ;]jfafkt z'Ns lnPsf]
x'G5 . ;Gbe{ cjlwdf c:ktfnn] o; k|sf/sf] la/fdLegf{ k|lqmofaf6 cfDbfgL u/]sf] z'Nssf] aflif{s Psd'i7
/sd pNn]v ug'{kb{5 .
^=# zNo lqmofaf6 cfDbfgLM
c:ktfnn] lj/fdLnfO{ pkrf/ ;]jf k|bfg ubf{ zNolqmof klg ug'{kb{5 . c:ktfnn] la/fdLnfO{ zNolqmof ubf{
k|fKt cfDbfgL aflif{s Psd'i7 /sd pNn]v ug'{kb{5 .
^=$ lgbfgfTds ;]jf -Diagnostic test_ af6 cfDbfgLM
c:ktfnn] ;]jf k|bfg ubf{ ljleGg k|sf/sf lgbfgfTds k/LIf0fx? h:t} PS; /], cN6f;fp08, Pd cf/ cfO,
l;6L :Sofg, ljleGg /Qm k/LIf0f, Ol;hL, Osf], lb;flk;fa cflb k/LIf0fx? ug]{ u5{g . pQm lgbfgfTds
k/LIf0faf6 k|fKt cfDbfgL u/]sf] z'Nssf] aflif{s Psd'i7 /sd pNn]v ug'{kb{5 .
^=% cf}ifwL laqmLaf6 cfDbfgLM
c:ktfnn] ;]jf k|bfg ubf{ cfkm\g} nufgLdf c:ktfn kl/;/ leq} kmfd]{;L vf]nL jf gvf]nL cf}ifwL ljqmL ug{
;S5 . o:tf] cf}iflw ljqmLaf6 k|fKt cfDbfgL aflif{s Psd'i7 /sd oxfF pNn]v ug'{kb{5 .
^=^ :jf:Yo lzlj/ ;+rfngaf6 cfDbfgLM
c:ktfnn] slxn] sfFxL u|fdL0f jf gu/sf ljleGg If]qdf :jf:Yo k/LIf0f jf pkrf/ ;]jf k|bfg ug]{ Woon]
:jfYo lzlj/ ;+rfng u/]sf x'g;S5 . o;/L lzlj/ ;+rfng ubf{ s'g} ;]jf k|bfg ubf{ z'Ns lnO :jf:Yo
k/LIf0f jf pkrf/ ;]jf k|bfg u/]sf] /x]5 eg] ;f] jfkt k|fKt cfDbfgL aflif{s Psd'i7 /sd pNn]v ug'{kb{5 .
~ 10 ~
^=& hldg ef8fdf lbPjfkt cfDbfgLM

olb c:ktfnn] ;Gbe{ cjlwdf s'g} k|sf/sf] zt{df ef8fdf cfgf] hldg c?nfO{ k|of]u ug{ lbPsf] eP ;f]
jfkt kfPsf] aflif{s Psd'i7 /sd pNn]v ug'{kb{5 .
^=* ejg ef8fdf lbP jfktsf] cfDbfgL
olb c:ktfnn] ;Gbe{ cjlwdf cfgf] ejg tyf cGo lgdf{0f-x?_ c?nfO{ k|of]u ug{ lbPsf] eP ;f] jfkt
kfPsf] /sd o; dxndf pNn]v ug'{k5{ . olb s'g} c:ktfnn] SofG6Lg jf cf}iflw k;n rnfpgsf] nflu c?
s;}nfO{ ef8fdf lbPsf] eP ;f] jfkt k|fKt /sd o;df ;dfj]z ug'{k5{ . t/ cfkm}n] SofG6Lg jf cf}iflw k;n
;~rfng u/]sf] eP ;f] af6 k|fKt cfonfO{ cGoq /fVg'k5{ .
^=( pks/0f ef8fdf lbP jfktsf] cfDbfgL
olb c:ktfnn] ;Gbe{ cjlwdf c? JolQm jf c:ktfnnfO{ cfgf] :jfldTjsf] s'g} d]lzg pks/0f h:t} lel8of]
PS;/] d]l;g ef8fdf lbPsf] eP ;f] jfkt kfPsf] aflif{s Psd'i7 /sd pNn]v ug'{kb{5 .
^=!) PDa'n]G; ;]jfaf6 k|fKt cfDbfgL
c:ktfnn] ;]jf k|bfg ug]{qmddf PDa'n]; ;]jf klg k|bfg u/]sf] x'G5 . olb c:ktfnn] ;Gbe{ cjlwdf cfgf]
:jfldTjdf ePsf] PDa'n]G; ;]jf k|bfg u/] jfkt z'Ns lnPsf] eP ;f] jfkt kfPsf] Psd'i7 /sd pNn]v
ug'{k5{ .
^=!! Aofhaf6 k|fKt cfDbfgL
ljutdf jf ;Gbe{ cjlwdf c:ktfnn] s;}nfO{ C0f lbPsf] eP ;f] sf] Aofh, a}+s tyf ljQLo ;+:yfdf /x]sf
cfgf] gub df}Hbftaf6 k|fKt u/]sf] Aofh jf C0fkq cflb vl/b u/]sf] eP ;f] jfkt k|fKt Aofh / Aofh
;DaGwL cGo /sdx? olb ;Gbe{ cjlwdf k|fKt u/]sf] eP ;f] /sdsf] hf]8 aflif{s Psd'i7 /sd pNn]v
ug'{k5{ . Aofh afx]s rGbf, bfg, pkxf/x?nfO{ o;df ;dfj]z ug'{x'Fb}g .
^=!@ nfef+zaf6 k|fKt cfDbfgL
olb c:ktfnn] cGo s'g} c:ktfn jf cGo Joj;fodf z]o/ nufgL u/]sf] /x]5 eg] ;f] jfkt ;Gbe{ cjlwdf
k|fKt u/]sf] nfef+z /sdnfO{ o; dxndf hf]8]/ n]Vg'kb{5 . af]g; z]o/ k|fKt u/]sf] eP klg ;f] jfktsf] /sd
oxfF ;dfj]z ug'{k5{ .
^=!# IftLk"lt{af6 k|fKt cfDbfgL
olb c:ktfnn] cfkm\gf] :jfldTj jf ;+rfngdf ePsf ;Dklt jf ;fwgx? Iflt eO{ ;f] jfkt s'g} JolQm jf
;+:yf jf sDkgLaf6 IftLk"lt{af6 /sd k|fKt u/]sf] /x]5 eg] ;f] jfktsf] /sd oxfF pNn]v ug'{k5{ . t/ ;f]
jfktsf] IftLk'lt{ jLdfaf6 kfPsf] /x]5 eg] oxfF pNn]v ug'{kb}{g .
^=!$ kmf]x/d}nfsf] laqmLaf6 k|fKt cfDbfgL
olb c:ktfnn] c:ktfndf pTkGg ePsf] ljleGg k|sf/sf] kmf]x/d}nf ljqmL u/L cfDbfgL u/]sf] eP ;f] jfktsf]
/sd oxfF ;dfj]z ug'{k5{ .
^=!% cGo cfDbfgL
olb c:ktfnn] dfly pNn]v ePsf lzif{sx?df gkg]{ vfnsf cGo lqmofsnfkx?af6 h:t} km'8 tyf cGo
~ 11 ~
sfpG6/ ;+rfng, kfls{ z'Ns jfkt cflbaf6 cfh{g u/]sf] /sd cfDbfgL ;Gbe{ cjlwdf k|fKt u/]sf] eP
aflif{s Psd'i7 /sd oxfF ;dfj]z ug'{k5{ .
v08&M :yfoL ;DklQsf] laj/0f

:yfoL ;DklQ eGgfn] laqmL u/L kmfObf p7fpg] p2]Zo geO{ s]jn c:ktfnsf] ;]jf ;+rfng jf tTf\;DaGwL
cGo sfo{ ;~rfng ug{ hf]8hfd -Installation_ ul/Psf Ps jif{eGbf a9L cjwL;Dd vKg] vfnsf j:t'xnfO{
hgfpF5 . o:tf] :yfoL ;DklQ b[Zo -Tangible_ jf d"t{ klg x'g;S5 / cb[Zo -Intangible_ jf cd"t{ klg
x'g;S5 . :yfoL ;DklQsf] vl/b /sd n]Vbf pQm ;DklQ c:ktfn;Dd NofO{ h8fg ubf{ nfu]sf] vr{ / To;df
nfu]sf] ck|ToIf s/ tyf dxz'n cflb ;d]t ;dfj]z u/L Psd'i6 v'nfpg' kb{5 . oxfF :yfoL ;DklQ eGGffn]
hldg, ejg tyf cGo lgdf{0f, d]lzg / cGo pks/0f, sDKo"6/ ;6j]o/ / 8f6fj];, kmlg{r/, oftfoftsf
;fwg, / cGo ;DktLnfO{ hgfpF5 .
k|ZgfjnLdf pk/f]Qm lsl;dsf :yfoL ;DklQsf] lsl;d cg';f/sf] lgDg laj/0fx? ;+sng ug'{kb{5 . M
!= ;Gbe{ cjlwsf] z'df /x]sf] :yfoL ;DklQ
@= ;Gbe{ cjlwdf yk u/]sf] :yfoL ;DkQL
#= k"FhLut dd{t ;Def/ ubf{sf] nfut
$=;Gbe{ cjlwdf cfg} k|of]usf] nflu cfkm\g} >dzlQmaf6 pTkflbt :yfoL ;Dkltsf] /sd -lgoldt
sd{rf/Ln] a9] a9fPsf] ;DklQ_
%= ;Gbe{ jif{df eO/x]sf] k"Flhut k|ult sfo{sf] nfut
^= ;Gbe{ cjlwdf b}jL k|sf]k tyf cGo sf/0faf6 :yfoL ;Dkltsf] Iflt
&= :yfoL ;Dklt ljqmLaf6 k|fKt /sd
*= aflif{s x|f; sLsf] s'n /sd
c:ktfnsf] :jfldTjdf /x]sf ;a} lsl;dsf :yfoL ;DklQsf] d"Nof+sg u/L tflnsfsf] pko'Qm sf]7fdf ;f]
d"Nof+sgnfO{ ?k}of+df pNn]v ug'{k5{ . o;/L /sd pNn]v ubf{ ?= xhf/df pNn]v ug'{ kb{5 . o; v08df
;dfj]z ul/Psf pk/f]Qm lsl;dsf :yfoL ;DklQx?sf] af/]df tn JofVof ul/Psf] 5 .
dxn #M hldg
s'g} klg c:ktfn Ps lglZrt sDkfp08 leq :yfkgf eO{ ;~rfngdf cfPsf] x'G5 . :jf:Yo ;]jf k|bfg
ug{sfnflu c:ktfnsf] sDkfp08 leq ag]sf 3/, uf]bfd, ef]hgfno, k|zf;lgs sfof{no, cflbn] cf]u6]sf]
hldgafx]s cGo afFsL vfnL /x]sf] hldgsf] d"No o; lzif{s cGtu{t /fVg' kb{5 . olb s'g} c:ktfnn] hldg
ef8fdf lnO{ s'g} klg k|sf/n] c:ktfnsf] s'g} sfo{ ;~rfng u/]sf] /x]5 eg] pQm hldg o; cGtu{t kb}{g .
c:ktfnsf ;+:yfksx?sf] lghL hUuf hldgnfO{ oxfF pNn]v ug'{ x'Fb}g . ;Gbe{ cjlwdf cfg} lgoldt
sd{rf/Ln] a9] a9fP/ / k"FhLut dd{t ;Def/ u/]/ hldg ga9g] ePsf] n] oL b'O{ k|sf/sf laj/0f eg]{ sf]7fdf
:of8f] -Shadow_ nufOPsf] 5 . ToxfF s'g} laj/0f eg'{x'Fb}g .
dxn $M ejg / cGo lgdf{0f
o; cGtu{t c:ktfnn] :jf:Yo ;]jf pknAw u/fpg k|of]u ul//x]sf ejgx -c:ktfn ejg, uf]bfd 3/,
~ 12 ~
sfof{no ejg, cf}iflw e08f/, lj>fd 3/, sd{rf/L cfjfl;o 3/ cflb_ / lgdf{0f eO{/x]sf] ejgnfO{ ;d]t
;dfj]z ug{'kb{5 . t/ oxfF pNn]lvt ejg tyf cGo lgdf{0f c:ktfnsf] kl/;/ leq x'g' cfjZos x'G5 .
c:ktfnn] ef8fdf jf aGwsdf lnO{ /fv]sf] ejg eP To:tf ejg oxfF ;dfj]z ug{' x'Fb}g .
pbfx/0fsf] nflu Pla;L c:ktfnn] s'g} JolQmsf] 3/ ef8fdf lnO{ rnfPsf] 5 . ;f] ejg pQm c:ktfnsf]
:jfldTjsf] ejg xf]Og . o:tf] ejgsf] oxfF d"Nof+sg ug'{kb}{g . o:tf] ejgsf] ef8f c:ktfnn] 3/wgLnfO{
ltb{5 . ejg ef8fsf] ;DaGwLt dxndf pNN]v ug'{k5{ .
t/ sf7df08f}sf] PS;\ c:ktfn ePsf] ejg ;f] c:ktfns} :jfldTjdf /x]sf] ejg xf] . of] ejgsf] cuf8L /
leqklsf s]xL ;6/x? ef8fdf nufOPsf 5g\ . cfgf] :jfldTjsf] ejg ePsf] cj:yfdf ;Dk"0f{ ejgsf]
d"Nof+sg u/L /sd oxfF pNn]v ug'{k5{ . o;/L d"Nof+sg ubf{ ;f] ejgn] rr]{sf] 38]/Lsf] d"No klg ;f]
d"Nof+sgdf hf]8]/ n]Vg'k5{ .
dxn %M d]zLg / cGo pks/0f
:jf:Yo ;DalGw ljleGg lgbfgfTds jf k/LIf0f ;]jf, pkrf/ ;]jf ;+rfng ug]{ k|of]hgsf nflu cfjZos x'g]
c:ktfnsf] :jfldTjdf /x]sf ;j} lsl;dsf d]zLg, kf6{k"hf{ / vKg] ju{df kg]{ ;a} y/L pks/0fx? o; lzif{s
cGtu{t kb{5g\ . pbfx/0fsf] lgldQ PS;/] d]lzg, Ol;hL d]l;g, lel8of] PS;/] d]l;g, Sofd]/f, k|f]h]S6/, ljB't
df]6/, h]g]/]6/, sDKo'6/, cGo d]lzg oGq jf pks/0fx cflb h:tf l6sfp ;fdfgx o;df ;dfj]z ug{'kb{5
. t/ ef8fdf NofPsf d]zLg/L ;fdfgx o; cGtu{t ;dfj]z ug{' x'Fb}g .
dxn ^M kmlg{r/
o; cGtu{t c:ktfnsf] pTkfbg / k|zf;lgs sfo{df k|of]u eO{ /x]sf kmlg{r/, h:t} M s';L{, 6]a'n, b/fh cflb
:yfoL ;DklQx? o; lzif{s cGtu{t kb{5g\ .
dxn &M ;jf/L ;fwgx?
c:ktfnsf] :jfldTjdf /x]sf ;a} cfjfudg tyf 9'jfgLsf ;fwgxnfO{ ;jf/Lsf ;fwg ;Demg'kb{5 . h:t}M
a;, sf/, hLk, Eofg, 6s, df]6/;fOsn cflb . t/ ef8fdf lnO{ /fv]sf oftfoftsf ;fwgx o;df ;dfj]z
ug'{ x'Fb}g .
dxn *M cGo
o;df cGo b[Zo ;DklQ / cGo cb[Zo ;DklQ kb{5g\ . cGo b[Zo :yfoL ;DklQx eGgfn] dfly pNn]v
gePsf h:t} M d"Nojfg j:t'x (Valuables), c:ktfnsf] sfof{nosf] sf]7fdf ;hfj6sf nflu /flvPsf
ax'd"No t:jL/x, hldgdf nufOPsf vx cflb kb{5g eg] cGo cb[Zo ;DklQ eGgfn] h:t} 6]8 dfs{,
VoftL -Goodwill_ cflb kb{5g . o:tf ;DklQx? c?nfO{ k|of]u ug{ lbP jfkt ef8f jf /f]oN6L k|fKt x'g ;S5
. olb s'g} c:ktfnn] o:tf ;DklQx?sf] d"Nof+sg u/]sf] ePdf ;f] sf] /sd o; lzif{s cGtu{t /fVg'k5{ .
dfly pNn]lvt :yfoL ;DklQsf] laj/0f k|ZgfjnLsf b]xfo adf]lhdsf ;DalGwt nx/df pNn]v ug'{ kb{5 M
&=! ;Gbe{ jif{sf] z'df /x]sf] :yfoL ;DklQ
;Gbe{ cjlwsf] z'df c:ktfndf /x]sf] dfly plNnlvt :yfoL ;DklQ -hldg, ejg tyf cGo lgdf{0f, d]lzg
ty cGo pks/0fx?, sDKo'6/, oftfoftsf ;fwgx?, kmlg{r/ tyf cGo / ;\6j]o/ cflb_sf] d"No ;DalGwt
dxndf n]Vg'kb{5 .
~ 13 ~
&=@ ;Gbe{ jif{df yk ul/Psf] :yfoL ;DklQ

dfly plNnlvt :yfoL ;DklQ dWo] s'g} ;DklQ ;Gbe{ cjlw leq gofF yk ul/Psf] eP jf ;Gbe{ cjlw leq
k|of]u eO{/x]sf] s'g} :yfoL ;DklQ vl/b ul/Psf] eP ;f] yk ;DklQsf] vl/b /sd dxnsf] ;DalGwt dxndf
n]Vg' kb{5 . pbfx/0fsf] nflu olb s'g} c:ktfnn] ;Gbe{ cjlwdf cfgf] c:ktfn ejgdf csf]{ klg Pp6f
Pg]S; ejg yk u/]sf] eP pQm gofF ejg yk ubf{ nfu]sf] nfut /sd pNn]v ug'{ kb{5 .
&=# k"FhLut dd{t ;Def/ ubf{sf] nfut
c:ktfnsf] :jfldTjdf /x]sf] ljleGg lsl;dsf :yfoL ;DklQxdf olb ;Gbe{ cjlwdf k|d'v ;'wf/, dd{t
;Def/ / lh0ff]{4f/sf] sfd caf6 u/fPsf] /x]5 eg] To;sf] nfut ;DalGwt sf]7fdf n]Vg' kb{5 . k"FhLut
dd{t ;Def/ eGgfn] :yfoL ;DklQ leq kg]{ ;fwgxsf] cfo' a9fpg] dd{tnfO{ a'em\g' kb{5 . hldgsf]
k"FhLut dd{t ;Def/ ug{ ;ls+b}g .
&=$ ;Gbe{ cjlwdf cfg} k|of]usf] nflu cfkm\g} >dzlQmaf6 pTkflbt :yfoL ;Dkltsf] /sd
c:ktfnn] cfgf] lgldQ k|of]u eO{ /x]sf] :yfoL ;DklQdf cfgf] lgoldt >dzlQm nufO{ k"FhLut dd{t
;Def/ / lh0ff]{4f/ u/]sf x'G5g . ToxL sfd cGo s;}jf6 u/fpFbf vr{ nfUg ;S5 . o:tf] cg'dflgt /sd
;DalGwt sf]7fdf n]Vg' kb{5 . t/ hldgnfO{ To;/L a9fpg ;ls+b}g . To;}n] hldgsf] ;Gbe{df of] eg'{kb}{g .
&=^ ;Gbe{ cjlwdf b}jL sf/0faf6 ePsf] :yfoL ;DklQsf] Iflt
b}jL k|sf]k h:t}M e"sDk, cfunfuL, af9L jf b'3{6gf cflb vfnsf] s'g} sf/0faf6 dfly plNnlvt s'g} klg
:yfoL ;DklQsf] Iflt ;Gbe{ cjlwdf x'g uPsf] ePdf ;f] Iflt a/fa/sf] d"No o; lzif{s cGtu{tsf] ;DalGwt
sf]7fdf pNn]v ug{' kb{5 . To:f/L Iflt ePsf] :yfoL ;DklQsf] olb jLdf ul/Psf] /x]5 / c:ktfnn] jLdf
jfkt ;f] Ifltsf] Ifltk"lt{ kfPsf] ePklg ;f] Iflt a/fa/sf] /sd oxfF pNn]v ug'{kg]{5 .
&=&= :yfoL ;DklQ ljqmLaf6 k|fKt /sd
;Gbe{ cjlwdf olb c:ktfnn] cfkm\gf] :jfldTjsf] s'g} k|sf/sf] :yfoL ;DklQ ljqmL u/]sf] /x]5 eg] ;f] jfkt
k|fKt /sd oxfF pNn]v ug'{ kb{5 .
&=*= aflif{s x|f; sLsf] s'n /sd
olb c:ktfnn] cfkm\gf] :jfldTjsf] s'g} k|sf/sf] :yfoL ;DklQdf aflif{s x|f;sL ug]{ u/]sf] 5 eg] ;f] jfktsf]
/sd oxfF pNn]v ug'{ kb{5 .
v08 *M df}Hbftsf] laj/0f

o; v08 cGtu{t lgDg rf/ k|sf/sf j:t'x?sf] df}Hbft /sd pNn]v ug'{ kb{5 M
!= OGwg
@= ;lh{sn ;fdu|L
#= cf}ifwL
$= cGo
;Gbe{ cjlwsf] ;'? / cGTodf /x]sf] df}Hbft
lglZrt cjlwdf vl/b ul/Psf] j:t'x?, OGwg, cf}ifwLx? s'g} sf/0fn] vr{ geO{ jf afFls /x]sf j:t'x?nfO{
df}Hbft elgG5 . oxfF df}Hbft eGgfn] ;Gbe{ aif{sf] ;'?sf] / cGTosf] df}Hbft a'g' kb{5 . t;y{ ;Gbe{
~ 14 ~
aif{eGbf cl3Nnf] aif{ pkef]u jf laqmL u/]/ afFls /xg cfPsf] j:t' rfn' aif{df ;'?sf] df}Hbft x'G5 eg] ;Gbe{
aif{sf] cGTodf pkef]u jf laqmLsf nflu afFsL /xg cfPsf] j:t'nfO{ ;Gbe{ aif{sf] cGTosf] df}Hbft elgG5 .
o; u0fgfsf] nflu @)^* ;fn >fj0f ! ut]sf] df}HbftnfO{ ;Gbe{ aif{sf] ;'?sf] df}Hbft / @)^( ;fn cfiff9
d;fGtsf] df}HbftnfO{ ;Gbe{ aif{sf] cGTosf] df}Hbft dfgL /sd pNn]v ug'{ kb{5 . df}Hbft j:t'sf] kl/df0fnfO{
k|rlnt d"No (Current price) df d"Nof+sg u/L ?= xhf/df pNn]v ug'{kb{5 .
*=! OGwg
o; lzif{s cGt{ut c:ktfnn] vl/b u/]sf] OGwg -l8h]n, k]6f]n, Pnlk Uof;, ljB't vl/b, jNj cflb_ k|of]u
u/L jfFsL /x]sf] OGwg ;Gbe{ jif{ eGbf cuf8Lsf] ePsf] ;Gbe{ jif{sf] z"?sf] df}Hbft dxn # df / cGTosf]
df}Hbft dxn $ df pNn]v ug'{kb{5 .
*=@ ;lh{sn ;fdu|L
o; lzif{s cGt{ut c:ktfnn] :jf:Yo ;]jf pknAw ug]{ qmddf zNolqmof cflbsf] k|of]hgsf nflu ;lh{sn
;fdu|Lx? vl/b u/]sf] x'g ;S5 . o:tf] ;fdfgx? s'g} ;Gbe{ jif{df k'/f pkof]u geO df}Hbft /xg ;S5 .
k'Flhut ;lh{sn ;fdfgafx]ssf] df}Hbftdfq oxfF n]Vg'k5{ . o:tf] df} Hbft ;Gbe{ jif{ eGbf cuf8Lsf] ePsf]
;Gbe{ jif{sf] z"?sf] df}Hbft / cGTosf] df}Hbft ;DalGwt dxndf pNn]v ug'{kb{5 .
*=# cf}ifwL
o; lzif{s cGt{ut c:ktfnn] :jf:Yo ;]jf pknAw ug]{ qmddf pkrf/ cflb k|of]hgsf nflu ljleGg cf}ifwLx?
vl/b u/]sf] x'g ;S5 . o:tf] cf}ifwLx? s'g} ;Gbe{ jif{df k'/f pkof]u geO df}Hbft /xg ;S5 . o:tf] df}Hbft
;Gbe{ jif{ eGbf cuf8Lsf] ePsf] ;Gbe{ jif{sf] z"?sf] df}Hbft / cGTosf] df}Hbft ;DalGwt dxndf pNn]v
ug'{kb{5 .
*=$ cGo
dfly pNn]lvt df}Hbft cGtu{tsf lzif{sx?df gk/]sf j:t'x? df}Hbft ePsf] eP o; cGtu{t ;Dk"0f{
j:t'x?sf] d'Nof+sg ul/ *=$ sf] dxnx?df pNn]v ug'{ kb{5 . df}Hbftdf ;/f]6 (Posting) ubf{ c?sf]
:jfldTjdf x:tfGt/0f e};s]sf] j:t'x? klg df}Hbft eP To:tf] j:t'sf] /sd oxfF ;dfj]z ug'{ x'b}g .
Vf08 (= c:ktfnn] lt/]sf] s/ tyf z'Ns

c:ktfnn] ;Gb{e cjlwdf lt/]sf Pj+ ;+sng u/]sf s/x?sf af/]df o; lzif{s cGt{ut laj/0f eg'{k5{ . o;
v08df lgDg lsl;dsf s/ tyf z'Nsx?nfO{ ;dfj]z ul/Psf] 5 M
:jf:Yo ;]jf s/, d'No clej[l4s/ -Eof6_

:yfgLo lgsfonfO{ lt/]sf] s/
/lhi6]zg tyf gjLs/0f z'Ns, Ohfht b:t'/
cGo z'Ns tyf s/x?
~ 15 ~
(=! :jf:Yo ;]jf s/ d"No clej[l4 s/ -Eof6_

c:ktfnn] ;]jf pknAw u/fpFbf :jf:Yo ;]jf s/ ;fy} cfkm\gf] ;]jf ljqmL u/L g]kfn ;/sf/nfO{ lt/]sf] Eof6
/sd o; lzif{s cGt{ut /fVg' kb{5 .
(=@ :yfgLo lgsfonfO{ lt/]sf] s/
c:ktfnn] :yfgLo lgsfonfO{ dfl;s jf jflif{s lx;fan] Psd'i6 :yfgLo s/ lt/]sf] x'G5 . ;Gbe{ cjlwdf
:yfgLo lgsfox? h:t} ufpF ljsf; ;ldlt, gu/kflnsf, pkdxfgu/kflnsf jf dxfgu/kflnsfnfO{ s'g}
c:ktfnn] :yfgLo s/ eg]/ s'g} /sd lt/]sf] eP ;f] jfktsf] jflif{s /sdnfO{ pNn]v ug'{kb{5 . t/ c:ktfn
lgdf{0f ubf{ ;d]t :yfgLo lgsfosf] :jLs[tL Pj+ gS;fkf; cfjZos kg]{ ePsf] ;f] jfkt lt/]sf] /sd o;df
;dfj]z ug'{ x'Fb}g .
(=# btf{ tyf gjLs/0f z'Ns
k|To]s c:ktfnn] k|rlnt sfg"g jdf]lhd btf{ x'g'k5{ / jif]{gL gjLs/0f klg ug'{k5{ . o;qmddf ;/sf/L jf
u}/;/sf/L lgsfox?df lgodfg';f/ lt/]sf] /lhi6]zg tyf gljs/0f z'Ns tyf l;kmfl/z b:t'/ jfktsf] jflif{s
/sdnfO{ /lhi6]zg tyf gjLs/0f z'Ns lt/]sf] dxndf pNn]v ug'{kb{5 . t/ s'g} k]zfut ;+3 ;+:yfdf
;b:otf lnP jfkt lt/]sf] ;b:otf z'NsnfO{ oxfF n]Vg' x'Fb}g .
(=$ cGo s/, b:t'/ tyf z'Nsx?
dfly pNn]v ePb]lv jfx]s cGo s'g} ck|ToIf s/x?, b:t'/x? jf z'Nsx? jfkt ;Gbe{ cjlwdf olb s'g}
c:ktfnn] s'g} /sd e'QmfgL u/]sf] eP To:tf] jflif{s /sdnfO{ o; dxndf pNn]v ug'{kb{5 .
Vf08 !) M kmf]xf]/d}nf Joj:yfkg ;DaGwL ljj/0f M

c:ktfndf lj/fdLnfO{ hfFr ubf{, cf}ifwL pkrf/ ubf{ / pkrf/ af/] cg';Gwfg ubf{ ljleGg k|sf/sf
kmf]xf]/d}nfx?sf] pTkfbg x'g] u5{ .c:ktfnaf6 lg:sg] kmf]xf]/d}nf ljz]if k|s[lQsf] x'G5 / o;sf] ;xL
Joj:yfkg gePdf ljleGg lsl;dsf ;+s|d0fx? km}ng] ;Defjgf x'G5 , ;dfhsf] jftfj/0fnfO{ k|b'lift kfg]{
sfd u5{ . t;y{ lglh c:ktfnx?n] cfkmgf] c:ktfnaf6 lg:sg] kmf]xf]/d}nfx?sf] Joj:yfkg s] s;/L ug]{
u/]sf 5g\ , ;f] sf] af/]df ;fdfGo hfgsf/L lng' o; v08sf] k|d'v p2]Zo xf] . o; v08df !! j6f k|Zgx?
;dfj]z ul/Psf 5g\, lt k|Zgx?sf] af/]df lj:t[t rrf{ tn ul/Psf] 5 .
!)=! c:ktfndf :jf:Yo ;]jf lbg] qmddf ljleGg k|sf/sf kmf]xf]/d}nfx? pTkfbg x'g] u5{g\ . To;/L pTkflbt
kmf]xf]/d}nfdf ljleGg lsl;dsf ;fdu|Lx? h:t} M vfgf , ;'O{ ,;\nfOgsf af]tnx?, cf}ifwLx?, sfuhsf 6's|fx?
, skf; cfbL ldl;Psf] x'G5 o;/L lt ;fdu|Lx?nfO{ ljleGg ;d'xdf 5'fopg] sfo{ ul/G5 ls ul/b}g eg]/
;f]Wg' k5{ . olb c:ktfnn] To;/L ljleGg ;d'xdf 5'fopg] sfo{ ul/G5 eg] x'G5 eGg]df uf]nf]3]/f nufpg] /
5'fopg] sfo{ ul/b}g eg] x'Fb}g eGg]df uf]nf]3]/f nufpg' k5{ .
!)=@= c:ktfndf ;]jf k|bfg ug]{ qmddf ljleGg ljefu tyf sIfx?df kmf]xf]/d}nfx? pTkfbg x'G5g\ . To;/L
pTkfbg x'g] kmf]xf]/d}nf sxfF sxfF 5'ofpg] sfo{ ul/G5 ;f] sf] af/]df ;f]wvf]h u/L To;/L 5'ofpg] sfo{ ul/g]
7fpFx?df uf]nf]3]/f nufpg' k5{ . c:ktfndf kmf]xf]/d}nf ck|]zg sIfdf, jf8{x?df, k|of]uzfnf nufotsf
7fpFx?df 5'ofpg] sfo{ ul/G5 .
~ 16 ~
!)=# c:ktfnaf6 pTkflbt x'g] kmf]xf/d}nfx? ljleGg lsl;dsf x'G5g\ . tLgsf d'Vo lsl;dx? lgDgfg';f/
5g\ M
!=wfl/nf j:t'x? -sharp waste_M c:ktfndf ljleGg lsl;dsf wfl/nf j:t'x?sf] w]/} k|of]u x'g] u5{ h:t}M ;'O{
,l;l/Gh,Jn]8 cfbL . o:tf ;fdu|Lx?sf] Ps k6s k|of]u ul/ ;s] kl5 csf]{ k6s ;fwf/0ftof k|of]u ul/b}g .
@= Kofyf]nf]lhsn kmf]xf]/x? -pathological waste_ eGgfn] c:ktfndf ;]jf k|bfg ug]{ qmddf pTkGg ePsf]
dfgjc+ux? Jff tGt'x? (any recognizable human or animal body part and tissue) nfO{ a'emfpg]ub{5 .
#= ;+s|ldt kmf]xf]/x? (Infectious waste_ eGgfn] dfg;x?nfO{ ;+qmd0fx'g] vt/f ePsf j:t'x? h:t}
/f]unfu]sf JolQmsf] /ut tyf /QmhGo tGt'x?, contaminated animal waste, blood soaked bandages,
discarded surgical gloves, cultures, swabs to inoculate cultures cflb kb{5g\ .
$= ljls/0fo'St kmf]xf]/x? -Radioactive waste_ eGgfn] /]l8of] ljls/0f pkrf/ ljlwaf6 pTkGg ePsf
ljls/0fo'Qm ljsf/x?, cancer therapies and radioactive isotopes k|of]ux'g] d]l8sn ;fdu|Lx? kb{5g\ .
h:t} solid, liquid and gaseous waste contaminated with radionuclides generated from in vitro
analysis of body tissue and fluid, in vivo body organ imaging and tumour localisation, and
investigative and therapeutic procedures.
%= /f;folgs kmf]xf]/x? -Chemical waste_ eGgfn] ;+qmd0fhGo kmfxf]/d}nfx? ;kmfubf{ To:tf] ljlwaf6
kmflnPsf jf pTkGg ePsf /;fogx? a'lemG5 . (Chemical waste consists of discarded chemicals that
are generated during disinfecting procedures or cleaning processes). o:tf kmf]xf]/x? ;a}
hazardous x'Fb}gg\ t/ o:tf /f;folgs kmfxf]/x? ljiffn', hngzLn, k|ltqmLofzLn, ljikmf]6scflb u'0fx?
x'G5g\ . h:t} thermometers, blood-pressure gauges, photographic fixing and developing solutions
in X-ray departments, halogenated or non-halogenated solvents, organic and in-organic

chemicals /f;folgs kmfxf]/sf pbfx/0fx? x'g\ .
^= cf}ifwLhGo kmf]xf]/x? (Pharmaceutical waste) eGgfn] Dofb gf3]sf jf s'g} sf/0faf6 pkof]u ug{ g;lsg]
cf}ifwLhGo 7f]; jf t/n jf UofF; kbfy{x? a'lemG5 . h:t} Discernible liquid residues of cytotoxic
concentrates, post-expiration-date cytotoxic pharmaceuticals and materials proven to be visibly

contaminated by cytotoxic pharmaceuticals must be disposed of as cytotoxic pharmaceutical
waste
&= cGo -Others_ M dfly pNn]lvtafx]s s'g} klg k|sf/sf kmfxf]/x? h:t} sfuhsf 6'qmfx?, Knfli6ssf
efF8fx?, Knfl:6sx?, efG;f3/af6 pTkGg kmfxf]/x? cflb nfO{ cGo k|sf/sf] kmfxf]/df pNn]v ug'Fkb{5 .
!)=$ c:ktfnaf6 b}lgs pTkfbg x'g] kmf]xf]/d}nfsf] kl/0ffd ;f]wL o; dxndf pNn]v ug'{ k5{ . kl/0ffd
pNn]v ubf{ k|ltlbg cf};tdf pTkfbg x'g] kmf]xf]/sf] kl/0ffd lsnf]u|fddf pNn]v ug'{ k5{ . c:ktfnx?n] o:tf]
kl/0ffd /fVg] gu/]sf] ePdf cg'dfg ug{ nufO{ n]Vg' k5{ .
!)=% c:ktfnaf6 pTkfbg x'g] b}lgs kmf]xf]/sf] s'n kl/0ffdnfO{ ljleGg ;d'x?df 5'ofP/ pNn]v ug'{k5{ .
kl/0ffd pNn]v ubf{ k|ltlbg cf};tdf pTkfbg x'g] kmf]xf]/sf] kl/0ffd lsnf]u|fddf pNn]v ug'{ k5{ .
~ 17 ~
!)=^ c:ktfndf kmf]xf]/d}nf 5'ofpg jf ;+sng ug{sf nflu ljleGg lsl;dsf ;fdu|Lx?sf] k|uf]u ul/Psf]
x'G5 . ;fwf/0ftof c:ktfnx?df kmf]xf]/d}nf ;+sng ug{sf nflu Knfl:6ssf efF8fx? , Knfl:6s emf]nfx? ,
sfuhsf sf6'{g ,kmnfd jf l:6nsf efF8fx? jf cGo ;fdu|Lx?sf] k|of]u ul/Psf] x'G5 . oL dWo] Ps eGbf a9L
;fdu|Lx?sf] ;d]t k|of]u ul/Psf] x'G5 . o;/L ;+sng ug{ k|of]u ul/g] ljleGg ;fdu|Lx?sf] ;f]wvf]h u/L
;DalGwt dxndf lrGx nufpg' k5{ . Ps eGbf a9L k|sf/sf ;fdu|Lx?sf] k|of]u ul/Psf] ePdf lt ;a}df
lrGx nufpg' k5{ .
!)=& c:ktfndf pTkfbg ePsf] kmf]xf]/d}nf sf] clGtd lj;h{g - Disposal _ ljleGg tl/sfn] ug]{ ul/G5 .
c:ktfnn] pTkfbg u/]sf] kmf]xf]/d}nf clGtd lj;h{g s;/L u5{ ;f] sf] ;f]wvf]h u/L ;DalGwt dxndf lrGx
nufpg' k5{ . c:ktfnn] kmf]xf]/d}nfsf] clGtd lj;h{g g=kf=uf=lj=; sf] ;+sng s]Gb|df kmofFs]/ ug{ ;S5 .
To:t} cfkmgf] ;fwgsf] k|of]u ul/ l;w}+ Nof08lkmn ;fO6df nu]/ kmofFSg ;S5 . o:t} cGoq st} gkmofFsL
cfkmg} c:ktfn kl/;/df vfN8f] vlg uf8g\ klg ;S5 . of] afx]s c:ktfnn] OlG;/]zgsf] Joj:yf u/L pRr
tfkqmddf ToxfF nu]/ hnfP/ gi6 klg ug{ ;S5 . c:ktfnn] v'nf rf}/df jf cGo st} hnfP/ klg clGtd
lj;h{g ug{ ;S5 . oL dfly pNn]v ul/Psf afx]s cGo s'g} tl/sfn] klg c:ktfnn] kmf]xf]/d}nfsf] clGtd
lj;h{g ug{ ;S5 , To;f] ePsf] v08df ;f] ;d]t v'nfpg' k5{ . c:ktfnn] Ps eGbf a9L lsl;dsf] ljlw
k|of]u ug]{ u/]sf] ePdf pSt c:ktfnn] ;a}eGbf a9L kl/0ffddf s'g ljlwsf] k|of]u 4f/f lj;h{g ul/G5 , ;f]
ljlwdf dfq uf]nf]3]/f nufpg'k5{ .
!)=* c:ktfndf kmf]xf]/d}nfsf] Joj:yfkg ug{sf nflu ljleGg lsl;dsf sd{rf/Lx?sf] Joj:yf ul/Psf] x'G5 .
o:tf sd{rf/Lx? eP gePsf] Plsg u/L ePdf ;+Vof ;d]t v'nfpg' k5{ .
!)=( c:ktftfndf kmf]xf]/d}nf Joj:yfkg ug{sf nflu ePsf sd{rf/Lx?n] tt\;DaGwL tflnd lnPsf] jf
glnPsf] Plsg u/L lnPsf] ePdf 5 df uf]nf]3]/f nufpg] / glnPsf] ePdf 5}g df uf]nf]3]/f nufpg] .
!)=!) c:ktfnn] cfkmgf] ;+:yfdf pTkfbg x'g] kmf]xf]/d}nfsf] Joj:yfkg ug{sf nflu dfl;s s] slt vr{ u5{
;f] sf] ;f]wvf]h u/L o; dxndf n]Vg' k5{ . vRf{ pNn]v ubf{ o; sfo{df ;+nUg sd{rf/Lx?sf] tna , Hofnf ,
oftfoftsf] ;fwgsf] 9'jfgL vr{ , cGo k|zf;lgs vr{x? ;a} ;f]wL Psd'i6 pNn]v ug'{ k5{ .
!)=!! c:ktfnn] pTkfbg ug]{ kmf]xf]/d}nf Joj:yfkg ug{sf nflu ;DalGwt :yfgLo lgsfox?sf] ;xof]u /
;xsfo{ 5 jf 5}g ;f] ;f]wL pNn]v ug'{ k5{ . cfkmgf] If]q leqsf] kmf]xf]/d}nf Joj:yfkg sfo{ ug]{ d'Vo
lhDd]jf/L :yfgLo lgsfox?sf] ePsfn] pgLx?sf] ;xof]u / ;xsfo{ c:ktfnx?nfO{ 5 jf 5}g egL hfgsf/L
lng' o; k|Zgsf] d'Vo p2]Zo xf] .
~ 18 ~

Annex -3
Concept and definitions
1.
Private Hospital
Private hospital is defined here as the
health
institution established by a person or a group of

persons
other
community
than
owned
or
government
non
investment,
government
or
organizations
having the facility of inpatient and outpatient

services.
It
is
one
predominantly
engaged
in
providing health care service activities.

2.
Coverage
The census covers all private hospitals, community

hospitals
and
other
hospitals
other
than
government established in the country.

3.
Number of employees
Number of persons who work in or for the private

hospital and receive pay, in cash or in kind at a
regular
intervals.
It
includes
Administrative
worker, Technical Workers and Operative workers;

whether they are in full time employment or part
time employment.
4.
Number of persons
Engaged
Number
of
employees
proprietors
and
plus
active
Number
business
of
working
partners
plus
Number of unpaid family & other workers working

for at least 1/3 of the normal working hours)
5.
Wages, salaries, and benefits

Direct
kind
wages,
salaries
remuneration
Benefits
like
of
Housing
and
facilities
(cash
or
current
work
performed)
and
family
education
allowances directly paid by employer plus Bonuses

and gratuities plus Payment in kind
6.
Total Operating cost of hospitals

Cost
of
materials
including:
Rent
paid
for
building, land, and other machinery tools, cost of

health camping, cost of medicine purchase, cost of
communication, water, electricity, materials and
supplies
such
as
stationary,
(including
production) plus Cost of advertisement,
own
Cost of

fuel purchased, cost for entertainment and guest
reception,
cost
of
security,
cost
of
wages
on
lease basis, cost of legal advisory and audit,

cost of training, workshops and meetings, cost of
non
life
insurance,
donation,
cost
of
bank
commission,
compensation
paid
dividend,
and
other
hospital operating costs.

7.
Total stocks
Value of the following goods under ownership of the
unit.
(a) Fuels
(b) Surgical Materials and supplies other
than capital supplies
(c) Medicines
(d) Other non capital goods
8.
Change in value of
Total stocks
Value of total stocks at the end of the year less

value
of
total
stocks at
the
beginning
of
the
year.
9.
Value of input
Total operating cost of hospitals plus change in

value of stocks of materials and fuels.
10. Value of Receipts

Amount
Received
patient
from
sale
registration,
of
services
inpatient
like
admission,
operation service, diagonostic service, receipts

from
the
sell
of
medicines,
receipts
from
the
operation of health camps, receipts from renting

land,
buildings,
equipments,
receipts
and
receipts
from
medical
from
or
surgical
ambulance
service,
dividend,
receipts
from
compensation, receipts by selling hospital waste

by
product,
services
and
receipts
from
other
hospital

11. Value of Output
Value of Receipts plus income from nonhospital
service.
12. Fixed asset
Comprises
medical
of
land,
equipments,
buildings,
machinery
furniture
and
and
fixtures,
transport equipment.
13. Total value added
Value of output less value of input.
14. Gross addition to

The fixed assets
Addition of fixed assets during the year
15. Gross fixed assets at

The end of the year
Fixed
assets
at
the beginning
of
the year
and
Gross addition to fixed Assets during the year

less
loss
due
to
natural
and
human
made
Catastrophes less Sales of fixed assets .

16. Taxes
Comprises of sales tax, excise duty, import duty,

local taxes and miscellaneous taxes etc.

A Report On Census of Private Hospitals in Nepal 20131

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A Report On Census of Private Hospitals in Nepal 20131

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A Report

Central Bureau of Statistics

Central Bureau of Statistics

Phone: 4245946, 4245947, 4245948

Table 1. Number of Private Hospitals by Area and Date of Operations

Table 4(a). Total Persons Engaged

Table 5 . Distribution of salary/wages Paid by Private Hospitals

Table 10.3Types of hospital wastes segregated in Hospitals

Table 10.4 Daily Average Waste Product per Hospital

Table 10.5 Number of Hospitals by Daily Average Waste Quantity Produced

Table 10.7 Final disposal locations/places of hospital waste products

Annex1 Questionnaire of Census

Background of Census of Private Hospitals

of the ISIC rev 4 or NSIC (International standard Industrial

Health Care Waste management Practice

Objectives of the Census

To assess the value addition in the economy made by this sector

Coverage of the census, reference period, census process

Personnel involved in the census operation.

Contents of the Census

Limitations of the Census

Number of Approved Beds

Number of Beds in Operation

Total Persons Engaged

Value of Input (Rs)

Value of Output (Rs)

Total Value Added (Rs)

Place of Segregation of waste

Daily Average Waste Segregated by Hospital (in kg)

Final Disposal Locations/Place of waste products

Table 1 : Number of Private Hospitals by Area and Date of Operations

Date of Hospital Operation

Operated from 2047 to

Number of Hospitals in Development Region

Table 2: Number of Beds Approved and Operated by Area,Type,Bed category and

1 Operated in 2046 BS and Before

2 Operated from 2047 to 2062 BS

3 Operated in 2063 BS and After

4 More than 100 Beds

Table 3(a): Number of Patients by type in the reference period

Table 3(b): Number of Patients by Area,Type,Bed category and Date of operation

4 More than 100 Beds

Table 4 (a): Total Persons Engaged

4 More than 100 Beds

2 Out of Kathmandu Valley

4 More than 100 Beds

Out of and In Kathmandu Valley

Distribution of Employees by sex

Table 5 : Distribution of salary/wages Paid by Private Hospitals

4 More than 100 Beds

Type of Bed Categories

More than 100

Office Goods and

Audit and Legal

Receipt from Patient

Out of and In Kathmandu Valley

More than 100

In and Out Valley

2 Out of Kathmandu Valley

100 Beds and Above

2 Out of Kathmandu Valley

4 101 Beds and Above