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FOR
STATE REFERRAL HOSPITAL, FALKAWN
EXECUTIVE SUMMARY
The State Referral Hospital, Falkawn (SRHF) as the name implies is meant to be the Tertiary
Care Hospital which will serve as the main referral centre for the entire state as well as neighbouring
regions. The existing facilities in the hospital leave much to be desired as only the most rudimentary
and basic infrastructures are available at present. In order to upgrade this hospital into a good
functional referral centre, it is essential to strengthen this hospital on all fronts- equipment,
instruments, manpower, building etc.
It is, therefore, imperative that all necessary infrastructures be provided to develop the State
Referral Hospital, Falkawn, which will have the following advantages-
a) It will be an asset to the state in providing specialized health care to all people, particularly
to those belonging to the lower socio-economic strata.
b) It will provide specialist and super-specialist care to those suffering from serious diseases
needing sophisticated high-end investigations and treatment.
c) It will reduce the referral of patients outside the state for further investigations and
treatment very significantly. Every month about 170 patients are referred outside the state
for further investigations, medical care etc. as their needed investigation and treatment
modalities are currently not available in the state. The state government spends about Rs.
81.70 Crore on Medical Reimbursement alone in a year, of which it can be estimated that
even if only 50% of all reimbursement is for outside referrals the expenditure would still be
very high.
d) There will be reduction in the expenditure on medical referrals and treatment at individual
and family levels as well as for the state exchequer.
e) This will also reduce the mental and psychological trauma in both patients and attendants
who currently have to travel to very distant places in physically weak and sick condition.
It is also to be noted that the very FIRST Medical College of the state, MIZORAM INSTITUTE OF
MEDICAL EDUCATION & RESEARCH (MIMER) is proposed to be set up at the State Referral Hospital,
Falkawn, with an annual MBBS intake of 100 seats. Medical Council of India norms, which have been
enunciated very clearly in various MCI Guidelines, will have to be followed very strictly and complied
with on different fronts to enable MIMER to be set up. It is, therefore, imperative for Government of
Mizoram to ensure the following:
(1) Strengthen State Referral Hospital, Falkawn so as to meet the minimum standards as laid
down by MCI, e.g. to start with 250 bedded hospital having at least 4 functional Operation
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Theatres, 20 bedded Intensive Care Unit, 10 bedded Casualty functional Blood Bank and
Central Laboratory with at least 400 daily Outdoor Patient Department (OPD) attendance
and at least 125 Indoor Patient Department (IPD) attendance daily. It is imperative to
ensure that the minimum staffing of Doctors, nurses and other paramedical staff as
mandated by MCI are met, failing which Govt. of Mizoram will not be given the necessary
permission and approval to start a Medical College. It is essential for a very good functional
hospital to be available in order to attract prospective students and quality faculty doctors
from all parts of the country and the world.
(2) Establish a Medical College as per MCI norms to meet various requirements for 6 (six)
different years-
i. 1st MBBS Batch: Letter of Permission (LOP)
ii. 2nd MBBS Batch: 1st Renewal
iii. 3rd MBBS Batch: 2nd Renewal
iv. 4th MBBS Batch: 3rd Renewal,
v. 5th MBBS Batch: 4th Renewal
vi. Recognition (6th MBBS Batch)
The different parameters which have to meet MCIs minimum standards ranges from
Physical Infrastructure (like Lecture Theatres, Laboratories, Library, Hostel, Residential
Quarters etc.) to employment of essential Staff like Director, Faculty in 21 different
Departments, Para-Medical staff etc. These are given in Enclosure I for easy reference.
In order to establish a good general hospital at State Referral Hospital, Falkawn, many
infrastructures, equipment, instruments and other requirements will have to be provided. Setting up a
Tertiary Care Facility at Falkawn, which is a prerequisite for a Medical College Hospital, is even more
challenging due to the increased requirements for establishing different specialities and disciplines.
The current proposal has been prepared for funding under NEDP with the view to set up a
very good Multi- Speciality Hospital which will ultimately serve as the Medical College Hospital at a
later stage. It may be noted that different services and facilities have been proposed to be introduced
in a phase-wise manner over a 5 years period in order to cater to the disease burden of the population
so as to address the health needs of the people. The availability of local doctors from Mizoram in these
specialities has also been an important point of consideration while preparing this Road Map. The pre-
requisites as laid down by MCI have been the most important criteria while preparing this Road Map
given in Table 1.
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TABLE 1
FACILITIES/SERVICES TO BE PROVIDED (PHASE-WISE)
Year 1 (2016-17) Year 2 (2017-18) Year 3 (2018-19) Year 4 (2019-20) Year 5 (2020-21)
Upgradation of Upgradation of Establishment of
Radiology Department- Radiology- Cardiac Care Centre Establishment of
Establishment of
Procurement of CT Scan, Procurement of Urology
Geriatric Unit
Mammogram, Magnetic Resonance Department
Fluroscopy etc. Imaging (MRI)
Establishment of Spinal Establishment of Establishment of Establishment of Establishment of
care & Orthopaedic Endocrinology Gastroenterology Immunology Assisted
centre Unit(Diabetes/Thyroi Unit Department Reproductive
d etc.) Facility (IVF, ICSI
etc.)
Establishment of Oxygen Upgradation of Establishment of Establishment of Establishment of
Generating Plant Intensive Care Unit Neurology & Organ Transplant Organ Transplant
(Oxygen & Suction at Neurosurgery Centre Unit Unit
bedside, OT, ICU through
pipelines)
Establishment of Dialysis Upgradation of Upgradation of Establishment of Continued
Unit Operation Theatre Radiology Oncology Ward upgradation of all
Department specialities &
facilities
Upgradation of Upgradation of Upgradation of Playground,
Respiratory Medicine Obstetrics & Orthopaedics Auditorium,
Unit Gynaecology facilities Department Gymnasium for
Medical College
Upgradation of Upgradation of Upgradation of Continued
Paediatric Surgery Unit Emergency Services Medicine upgradation of all
Department specialities &
facilities
Upgradation of Upgradation of Upgradation of
Dermatology Unit Ophthalmology Surgery Department
Department
Upgradation of Physical Upgradation of ENT Upgradation of
Medicine & Department Paediatric
Rehabilitation Unit Department
Upgradation of Bio Upgradation of Blood Continued
Medical Waste Bank Services upgradation of all
Management Facility specialities &
facilities
Establishment of Upgradation of
Psychiatry Unit Laboratory Services
Upgradation of Central Continued
Laboratory upgradation of all
specialities &
facilities
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In order to provide the services and facilities given in Table 1, all necessary requirements have
been estimated for individual disciplines and areas which have been projected over 5 years and are
given in Table 2.
TABLE 2
It may be noted that this proposal has only projected requirements for different equipment,
instruments along with other essential fixtures and furniture for the State Referral Hospital. The other
requirements concerning Building infrastructure, Staffing, Dharamshala, Guest House/Hotels/Tourist
Lodge, Bank, ATM etc. have not been projected in this proposal and will have to be met from other
sources and funded from other government departments schemes.
The fund requirement for running Medical College and the associated hospital, therefore, is
very high and includes initial capital investment with subsequent recurring costs, which will have to
be taken into very serious consideration by the Govt. of Mizoram in order to ensure successful running
of the State Referral Hospital and MIMER and its sustainability. Failure to plan judiciously and project
for all the different requirements needed for this gigantic task may lead to disastrous consequences
and serious repercussion for the state, patients care as well as for the future medical education.
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INTRODUCTION
The State Referral Hospital located at Falkawn in Aizawl District of Mizoram was commissioned
as a 50 bedded hospital on 21st July 2005 and later upgraded to the current bed strength of 250. The
Government of Mizoram has always exhibited a keen interest in running a good multi-disciplinary
hospital at Falkawn. Hence, all out efforts have been made to strengthen this hospital. Over the years,
the Government of Mizoram has ensured that Specialist Doctors in different disciplines are posted in
the hospital. Other categories of staff from nursing staff, paramedical staffs to Group D staff have also
been posted to the hospital. At present there are a total of 241 different categories of staff in the
hospital (38 Doctors, 94 nursing staff, 42 paramedical staff, 9 clerical staff & 58 group D staff), which
comprises of both regular as well as contractual staff. The 38 doctors in the following fields are
available: Hospital Administration, Anaesthesiology, Medicine, Surgery, ENT, Obstetrics &
Gynaecology, Ophthalmology, Orthopaedics, Dental Surgery, Paediatrics, Dermatology, Radiology,
Pathology, Biochemistry, Pulmonary Medicine, Paediatric Surgery, Physical Medicine & Rehabilitation,
AYUSH, etc.
The disease burden of Mizoram comprises of both Communicable and Non communicable
Diseases, many of which necessitate Hospital care so as to be treated effectively. The quantum of
secondary and tertiary level care is very limited in the state. State Referral Hospital, Falkawn is well
placed to provide such specialized services due to the infrastructure already in place and availability of
adequate land for future expansion if the need arises. Developing this hospital makes very good logical
sense so as to meet the growing need for hospital beds and to build up on an important state asset on
which much precious resources has already been invested.
Further, the State Referral Hospital, Falkawn has been earmarked as the Medical College
Hospital, which has been accorded the highest priority by the Government of Mizoram. All activities
proposed under the NEDP scheme have been formulated to meet Medical Council of India (MCI) norms
which need to be strictly adhered to if Mizoram is to receive recognition to run a medical college.
EXISTING SCENARIO
There has been a steady and steep rise in the workload of the hospital, which has witnessed a
substantial increase in the Out Patient Department attendance leading to increase in the admission
rates in the hospital. There has been a significant increase in the number of operations (both minor
and major) over the past one to two years. The number of different cases admitted to various wards
has gone up visibly with 100% bed occupancy in certain wards like Medicine, Surgery, Obstetrics &
Gynaecology, Paediatrics, etc. The number of deliveries has also increased during this time from an
average of 17 normal deliveries in a month in 2012 to 62 in a month in 2016 and Caesarean Section
from 16/month in 2014 to 31/month in 2016. During this same period the number of major surgeries
has increased dramatically from 28/month in 2014 to 68/month in 2015 and to 109/month in 2016.
GAP ANALYSIS
The State Referral Hospital is providing services with the existing and available facilities, which
are unfortunately limited and rudimentary. However, in spite of the various constraints that exists in
the hospital all necessary actions have been taken and are continuing to be taken to ensure that the
best possible health care services are being rendered to patients. The dramatic increase in number of
patients attending the OPD, the number of operations being conducted, the number of deliveries
conducted, number of laboratory investigations undertaken etc. all attest to the fact that there is an
increase in service delivery by the hospital and that there is a felt need for hospital based care. It has
also proven that the reputation of the State Referral Hospital has grown over the years. The hospital
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has, thus, developed and evolved into a reputable Multi-Specialty Hospital that is attracting patients
from all over the state.
At the same time, the hospital has also been able to share the load of the Civil Hospital Aizawl
by admitting patients who could not be admitted due to unavailability of hospital beds in Aizawl. Many
such patients are forced to go to private hospitals when they can ill afford such expenses, thus putting
a strain on the family resources as well as the state exchequer. Further, many patients have been
operated in State Referral Hospital after being referred from the Civil Hospital Aizawl, which has
reduced the waiting time for elective surgery cases under the departments of General Surgery,
Orthopaedic Surgery, ENT, Dental Surgery and Obs. & Gyn. These measures have alleviated numerous
hardships faced by patients, particularly for those coming from far-flung rural areas of the state.
There is an average of 170 referrals per month to outside the state this year alone. This has
caused huge inconveniences to patients and at the same time resulted in a huge loss of revenue for
the state government. There is an urgent need to develop a fully functional referral hospital within the
state. State Referral Hospital, Falkawn has been established for this very purpose. The hospital,
however, is currently equipped with only very basic equipment and instruments and is able to provide
only basic services. Even with the best of intentions, it is difficult for doctors and specialists to do much
good if they are not provided with appropriate equipment and other infrastructural requirements. The
hospital does not yet have functional Intensive Care Unit (ICU) or High Dependency Unit (HDU). There
are only 3 functional Operation Theatres (OTs) at present. The Radiology Department currently has
one X-Ray machines (300 MA) and two Ultrasound machines. It does not yet have diagnostic facilities
of CT Scan, MRI etc. The Laboratory also needs to be strengthened to cope with the heavy workload. It
is notable that the existing doctors are doing such good work in spite of the various constraints being
faced by them.
There is also a shortage of manpower at the hospital to operate as a full-fledged referral
hospital. To reduce the number of outside referrals, various specialists of different disciplines need to
be in place. Even with top-notch facilities and equipment, timely patient care cannot be given if the
hospital is understaffed. Recruitment of specialists needs to be done at the earliest.
The pre-requisites which need to be met as mandated by MCI is given in 6 stages/years, which
starts with the 1st stage, also called LOP (Letter of Permission) stage, 1st Renewal, 2nd Renewal, 3rd
Renewal, 4th Renewal and Recognition stage. These requirements include infrastructural (building and
equipment) facilities and staffing requirements which are needed for both the Medical College
(MIMER) as well as the attached hospital (State Referral Hospital, Falkawn).
Different categories of manpower need to be filled up urgently for the hospital as well as the
medical college to pass the MCI inspection. A total of 253 staffs including teaching and non-teaching
staff are required at the LoP stage and 484 at the recognition stage. So far, no posts have been created
for this purpose. As per MCI norms, a total of 175 nurses at LoP stage and ultimately 274 nurses at
recognition are needed for the hospital. However, currently there are only 89 Nursing Staff posted at
State Referral Hospital, Falkawn of which 45 posts are regular and earmarked for the Hospital. The
other 44 Nursing Staff are attached and have been pulled out from other health care facilities.
Needless to say, this has resulted in acute shortage of Nurses at these other health facilities.
Similarly, a minimum of 333 different categories of staff are also required for the hospital as
per IPHS norms for a 500 bedded hospital while only 105 staff are posted at the hospital including
contractual and MR staff. This huge gap in manpower needs to be addressed to create a reputable
referral hospital.
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ROADMAP
In the backdrop of improving the patients care services so as to reduce outside referrals and
associated expenditure and also to prepare the State Referral Hospital, Falkawn as the Medical College
Hospital, this proposal is being submitted which comprises of various components that is spread out
over 5 years-
1) Upgradation of existing facilities to provide better diagnostic and health care facilities.
2) Procurement of various equipment and instruments.
3) Staffing/filling up of posts.
Recruitment of staff to meet statutory norms as laid by MCI, IPHS etc. have not been projected
here, but taken up elsewhere. Hospital building infrastructure is being taken up from funding received
under Government of India scheme. At the same time, there are many other requirements for a
Medical College for which alternate sources of funding needs to be explored like-
a) Dharamshala
b) Guest House/Hotels/Tourist Lodge
c) Parks/Recreation facilities etc.
d) Development of Falkawn area
e) Transportation
The first Medical College of the state (Mizoram Institute of Medical Education & Research) is
proposed to be set up in the State Referral Hospital, Falkawn. MCI has very strict norms which require
to be fulfilled in order to obtain necessary approval and permission for establishing any Medical
College. There are two very important components for setting up a Medical College, namely- (1)
Running Hospital- 250 bedded initially and 500 beds by the 5th Year of running the Medical College (2)
Medical College.
As an essential pre-requisite for a medical college, the State Referral Hospital, Falkawn has to
be developed and strengthened in many different aspects, e.g. hospital building infrastructure,
manpower, equipment, instruments, furniture, fixtures etc. Efforts are on to tap various sources for
these different requirements.
In order to provide comprehensive and quality patient care in different specialties it is essential
to provide various hospital equipment and instruments, which ranges from the most basic to high-end
sophisticated equipment and instruments. The requirement of these equipment has been projected in
a phase wise manner and is aimed at provision of different facilities and services, while keeping MCI
norms as the central guideline. The basic and existing specialities need to be strengthened so as to
ensure that OPD attendance is more than 400/day with at least 50% Indoor Patient Attendance, which
are the minimum standards mandated by MCI. Hence, the proposal prepared includes revamping of
existing facilities while introducing new services.
The proposed Roadmap over the next 5 years is envisaged to result in establishment of an
excellent Referral Hospital which will undertake all necessary investigations and provide appropriate
treatment. This will be an important step towards establishing the requisite Hospital to be attached to
the Medical College, which is expected to meet MCI norms. Further, this will result in a decrease in
referral of patients outside the state, with commensurate decrease in cost of medical referral costs.
The existing 250 beds will have to be increased to 500 beds within the next few years. This
revamped hospital will need to be provided with state-of-the-art diagnostic and therapeutic facilities,
with an excellent HMIS in place and other ancillary services to support the patient care service
delivery. The phasing of these requirements have been done while adhering to MCI norms as far as
possible.
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In view of the above, the requirements of vital departments and areas of the hospital have
been projected. The requirements for upgrading and strengthening of State Referral Hospital, Falkawn
with regards to equipment and infrastructure under NEDP over the next 5 years is as follows-
TABLE 3
SUMMARY OF REQUIREMENTS FOR EQUIPMENT & INFRASTRUCTURE
Sl. 1st Year 2nd Year 3rd Year 4th Year 5th Year
DEPARTMENT TOTAL
No. (2016-17) (2017-18) (2018-19) 2019-20 2020-21
A. EQUIPMENT COMPONENT FOR VARIOUS DEPARTMENTS
Anaesthesiology &
1 0 2,87,45,000 5,00,000 2,55,45,000 79,90,000 6,27,80,000
Intensive Care
Biomedical Waste
2 1,39,00,000 3,00,000 44,00,000 5,00,000 1,38,00,000 3,29,00,000
Management
3 Cardiac Care Centre 0 0 5,15,07,840 3,50,80,000 2,11,00,000 10,76,87,840
Central Laboratory
Services
4 (Biochemistry, 1,09,31,500 2,09,86,500 1,10,60,000 2,88,93,000 82,70,000 8,01,41,000
Microbiology,
Pathology)
5 Dental Surgery 20,14,000 5,80,000 21,00,000 16,69,000 3,00,000 66,63,000
6 Dermatology 1,24,000 42,50,000 62,00,000 44,74,000 64,00,000 2,14,48,000
7 Endoscopy Unit 3,25,000 1,00,000 78,50,000 2,25,000 80,00,000 1,65,00,000
Establishment of
8 1,90,00,000 2,50,000 2,50,000 1,92,92,725 3,50,000 3,91,42,725
Oxygen Plant
9 ENT 65,37,000 34,85,000 41,70,000 93,78,500 38,20,000 2,73,90,500
10 Immunology 0 0 1,72,25,000 50,00,000 35,00,000 2,57,25,000
11 Medicine 1,01,50,000 78,03,000 88,69,000 1,29,45,000 1,56,35,000 5,54,02,000
Obstetrics &
12 24,80,000 42,40,000 5,00,000 61,30,000 37,50,000 1,71,00,000
Gynaecology
13 Ophthalmology 1,68,05,000 3,28,05,000 5,32,40,000 3,58,85,000 4,05,00,000 17,92,35,000
14 Orthopaedics 1,53,16,000 1,45,92,000 1,42,86,000 1,52,76,000 96,86,000 6,91,56,000
15 Paediatric Surgery 85,13,500 1,14,00,000 1,68,35,000 49,03,000 64,03,000 4,80,54,500
16 Paediatrics 79,11,000 76,49,000 76,49,000 97,24,000 75,74,000 4,05,07,000
Physical Medicine &
17 76,74,000 60,94,000 36,94,000 46,00,000 4,00,000 2,24,62,000
Rehabilitation
18 Plastic Surgery 0 90,66,000 34,00,000 86,40,000 4,00,000 2,15,06,000
19 Radiology 5,17,60,000 5,46,60,000 52,60,000 49,60,000 12,10,60,000 23,77,00,000
Respiratory
20 53,36,000 38,10,000 12,30,000 80,11,000 3,20,000 1,87,07,000
Medicine
21 Surgery 1,02,23,000 6,73,000 13,23,000 98,73,000 12,88,000 2,33,80,000
18,90,00,000 21,14,88,500 22,15,48,840 25,10,04,225 28,05,46,000 1,15,35,87,565
SUB TOTAL
Infrastructural
B. 9,10,00,000 12,00,00,000 12,00,00,000 10,00,00,000 8,00,00,000 51,10,00,000
Development
GRAND TOTAL 28,00,00,000 33,14,88,500 34,15,48,840 35,10,04,225 36,05,46,000 1,66,45,87,565
Note : Space for the various equipment prepared above are available at the hospital. Staff and
Technical staff are available to operate the given equipment.
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It is reiterated that to establish a medical college with 100 annual admissions, there are certain
criteria laid down by MCI that needs to be met apart from equipment and infrastructure, i.e.
manpower requirements. The overall requirement for successfully running two separate entities i.e. a
medical college with 100 admissions along with a medical college hospital is given below for five years
to ensure sustainability of this important project :
TABLE 4
SUMMARY OF TOTAL REQUIREMENTS FOR MEDICAL COLLEGE
(in Rs. Crores)
4th
1st 2nd 3rd
Sl. LOP Renewal/
Category Renewal Renewal Renewal
No. (2016-17) Recognition
(2017-18) (2018-19) (2019-20)
(2020-21)
EQUIPMENT &
2. 28.0 33.15 34.16 35.11 36.1
INFRASTRUCTURE
Note : The relevant MCI norms and IPHS norms are attached as Annexures 1 and 2 respectively.
The premise for calculation of salary is given in Annexure 3.
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TABLE 4
DETAILED REQUIREMENTS
1. Anaesthesiology & Intensive Care
A. For 3 Operation Theatres
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
1 Workstation 8,00,000 0 3 24,00,000 0 3 24,00,000 0
2 OT Table 2,00,000 0 3 6,00,000 0 3 6,00,000 0
3 OT Light 2,00,000 0 3 6,00,000 0 3 6,00,000 1 2,00,000
4 Patient Monitor 2,00,000 0 3 6,00,000 0 3 6,00,000 1 2,00,000
5 Suction Machine 40,000 0 3 1,20,000 0 3 1,20,000 1 40,000
6 Diathermy Machine 5,50,000 0 3 16,50,000 0 3 16,50,000 1 5,50,000
7 UPS for 3 Ots 5,00,000 0 1 5,00,000 0 1 5,00,000 0
8 ABG Machine 5,00,000 0 4 20,00,000 0 4 20,00,000 1 5,00,000
9 Nerve Stimulator 2,00,000 0 4 8,00,000 0 4 8,00,000 1 2,00,000
10 Laparoscopic laryngoscopy 15,00,000 0 2 30,00,000 0 2 30,00,000 1 15,00,000
11 Ultrasonography for ICU 20,00,000 0 2 40,00,000 0 1 20,00,000 0
12 Crash Cart 25,000 0 3 75,000 0 3 75,000 0
Fixtures, Furnitures & other
13 1,00,000 2,00,000 3,00,000 4,00,000
consumable items
SUB TOTAL 0 1,64,45,000 2,00,000 1,46,45,000 35,90,000
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3 Ventilator Transport 5,00,000 0 5 25,00,000 0 5 25,00,000 2 10,00,000
4 Patient Monitor 2,00,000 0 10 20,00,000 0 5 10,00,000 2 4,00,000
Crash Tray/Computer, Fixtures,
5 Furnitures & Other consumable 0 3,00,000 3,00,000 4,00,000 4,00,000
items etc.
SUB TOTAL 0 1,23,00,000 3,00,000 1,09,00,000 44,00,000
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3. Cardiac Care Centre
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
1 Echocardiography 55,00,000 0 0 1 55,00,000 1 55,00,000 0
2 Treadmill Test Machine 8,00,000 0 0 2 16,00,000 1 8,00,000 0
3 Holter Machine 10,00,000 0 0 6 60,00,000 2 20,00,000 0
4 ECG Machine 1,80,000 0 0 2 3,60,000 1 1,80,000 0
5 Cath Lab 2,00,00,000 0 0 1 2,00,00,000 1 2,00,00,000 1 2,00,00,000
6 ICU Bed 3,00,000 0 0 4 12,00,000 0 0
7 Cardiac Bed (Fowler) 40,000 0 0 8 3,20,000 0 0
8 Syringe Pump 1,50,000 0 0 12 18,00,000 4 6,00,000 2 3,00,000
9 Defibrillator 6,00,000 0 0 2 12,00,000 1 6,00,000
10 Ventilator 16,00,000 0 0 4 64,00,000 2 32,00,000 1
11 Cardiac Monitor with Stand 3,50,000 0 0 12 42,00,000 4 14,00,000 2
12 Central Medical gases Pipeline 9,86,440 0 0 1 9,86,440 0
13 Wheel Chair 18,000 0 0 4 72,000 2 36,000
14 Trolley Stretcher 32,000 0 0 3 96,000 2 64,000 0
15 10 KVA online UPS 1,28,000 0 0 2 2,56,000 0 0
16 100 Ah Batteries 14,200 0 0 32 4,54,400 0 0
17 5 KVA online UPS 2,50,000 0 0 1 2,50,000 0 0
18 100 Ah Batteries 14,200 0 0 15 2,13,000 0 0
Fixtures, Furnitures & other
20 6,00,000 7,00,000 8,00,000
consumable items
21 AC 2,05,000 0 0 1 0
TOTAL 0 0 5,15,07,840 3,50,80,000 2,11,00,000
GRAND TOTAL 10,76,87,840
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4. CENTRAL LABORATORY SERVICES
A. Department of Biochemistry
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
Fully Automated BioChem
1 20,00,000 1 20,00,000 0 0 1 20,00,000 0
Analyzer with online UPS
Electrolyte Analyzer with online
2 2,50,000 1 2,50,000 0 1 2,50,000 0 1 2,50,000
UPS
Semi-Automated Biochem
3 2,50,000 1 2,50,000 0 1 2,50,000 0 1 2,50,000
Analyzer with online UPS
Automated Electrophoresis
4 20,00,000 1 20,00,000 0 1 20,00,000 0 1 20,00,000
Apparatus
Automated Immuno-Assay
5 20,00,000 0 0 1 20,00,000 0 1 20,00,000
System with online UPS
6 Distillation Plant (RO Desirable) 10,500 1 10,500 1 10,500 0 0 0
7 Centrifuge Digital (24 tubes) 70,000 2 1,40,000 0 0 2 1,40,000 0
Glass wares (Test tubes,
8 measuring cylinder, Pipettes, 1,00,000 50,000 1,00,000 2,00,000 3,00,000
Volumetric Flasks)
TOTAL 47,50,500 60,500 46,00,000 23,40,000 48,00,000
GRAND TOTAL 1,65,51,000
B. Department of Microbiology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
Biosafety Cabinet (Level 2)
1 20,00,000 0 2 40,00,000 0 1 20,00,000 0
(Thermofisher) with online UPS
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Automated Blood Culture with
2 40,00,000 0 1 40,00,000 0 1 40,00,000 0
online UPS
Automated Bacteriology
3 Identification & Sensitivity with 20,00,000 0 1 20,00,000 0 1 20,00,000 0
online UPS
Cx21i Binocular Microscope
4 70,000 2 1,40,000 2 1,40,000 0 1 70,000 0
(Olympus) with online UPS
5 Refrigerator (Big) 60,000 1 60,000 3 1,80,000 0 1 60,000 0
Deep Freezer (-20 degree
6 2,00,000 1 2,00,000 0 0 1 2,00,000 0
Celcius) with online UPS
7 Autoclave 2,00,000 1 2,00,000 0 0 1 2,00,000 0
Automated ELISA System with
8 15,00,000 0 1 15,00,000 0 1 15,00,000 0
online UPS
9 Hot Air Oven (Big) 1,20,000 0 1 1,20,000 0 1 1,20,000 0
Serological Water Bath (6 racks)
10 70,000 1 70,000 1 70,000 0 1 70,000 0
(digital)
11 Centrifuge (Digital) 24 tubes 70,000 2 1,40,000 0 0 2 1,40,000 0
Automated Flow Cytometry
12 15,00,000 0 1 15,00,000 0 1 15,00,000 0
System with online UPS
Bacteriological Incubator
13 2,00,000 1 2,00,000 1 2,00,000 0 1 2,00,000 0
(Digital) with online UPS
14 Incubator with online UPS 1,50,000 1 1,50,000 0 0 1 1,50,000 0
Bio-Safety Level II or III
15 0 0 20,00,000 0 0
establishment
Other requirements
16 (Micropipettes - Fixed Pippete 1 50,000 1,00,000 2,00,000 3,00,000 4,00,000
ml, 50 ml, 10 ml etc.)
TOTAL 12,10,000 1,38,10,000 22,00,000 1,25,10,000 4,00,000
GRAND TOTAL 3,01,30,000
14 | P a g e
C. Department of Pathology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
Automated Tissue Processing
1 22,00,000 0 1 22,00,000 0 1 22,00,000 0
Platform
Automated Microtome with online
2 12,00,000 1 12,00,000 0 0 1 12,00,000 0
UPS
Automated Cryostat Machine with
3 15,00,000 0 1 15,00,000 0 1 15,00,000 0
online UPS
4 5 Part Differential Cell Counter 18,00,000 0 1 18,00,000 0 1 18,00,000 0
5 3 Parts Differential Cell Counter 7,50,000 1 7,50,000 1 7,50,000 0 1 7,50,000 0
6 Multi head Teaching Microscope 18,00,000 0 0 1 18,00,000 1 18,00,000 0
Immuno Flourosence Microscope
7 20,00,000 0 0 1 20,00,000 1 20,00,000 1 20,00,000
Set
8 Cytospin - LBC System 15,00,000 1 15,00,000 0 0 1 15,00,000 0
9 3 part differential Haematoanalyzer 5,00,000 1 5,00,000 0 0 1 5,00,000 0
10kVA Online Inverter Pure Sine
10 5,20,000 1 5,20,000 0 0 0
Wave for Blood Bank
CX21 Binocular Microscope
11 60,000 1 60,000 2 1,20,000 1 60,000 1 60,000 1 60,000
(Olympus)
12 Incubator 12,000 1 12,000 1 12,000 0 1 12,000 0
13 Calorimeter (for Hb) 8,000 1 8,000 1 8,000 0 1 8,000 0
14 Slide Cabinet - Culotogy & Biopsy 8,000 2 16,000 2 16,000 0 1 8,000 0
15 Micropippete (all ranges) (3 sets of 4) 2,05,000 1 2,05,000 2 4,10,000 0 1 2,05,000 2 4,10,000
Fixtures, Furnitures & other
16 2,00,000 1 3,00,000 4,00,000 5,00,000 6,00,000
consumable items
TOTAL 49,71,000 71,16,000 42,60,000 1,40,43,000 30,70,000
GRAND TOTAL 3,34,60,000
15 | P a g e
5. Department of Dental Surgery
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
1 Dental Chair Complete Set 3,75,000 1 3,75,000 1 3,75,000 0 1 3,75,000 0
2 RVG Dental X-Ray 90,000 1 90,000 0 0 1 90,000 0
3 Oil free Air compressor 40,000 2 80,000 0 0 1 40,000 0
Titanium Plates and Screws
4 1,00,000 1 1,00,000 0 0 1 1,00,000 0
(Assorted)
Titanium Plates & Screws
5 1,00,000 1 1,00,000 0 0 1 1,00,000 0
Reconstruction (Assorted)
Extraction Forceps 0 0 0 0
6 a) Primary Teeth set 10,000 1 10,000 0 0 1 10,000 0
b) Permanent teeth set 10,000 1 10,000 0 0 1 10,000 0
7 Light Curing unit 70,000 1 70,000 1 70,000 0 1 70,000 0
8 Ultra Sonic Scalers 30,000 1 30,000 0 0 1 30,000 0
9 Autoclave 1,00,000 1 1,00,000 0 0 1 1,00,000 0
10 Patient Monitor 2,00,000 2 4,00,000 0 0 1 2,00,000 1 2,00,000
11 Surgic AP NSK with 2 handpiece 2,00,000 1 2,00,000 0 0 1 2,00,000 0
12 Formalin Chamber 30,000 1 30,000 1 30,000 0 1 30,000 0
13 Air-Roter Handpiece 10,000 6 60,000 0 0 3 30,000 0
14 Instruments Locker 20,000 2 40,000 0 0 0 0
15 Glass beads sterilizer 5,000 1 5,000 1 5,000 0 0 0
Other minor instruments &
16 1,00,000 1,00,000 1,00,000 1,00,000 1,00,000
requirements
Micro Motor with a) Straight
17 Handpiece 14,000 1 14,000 0 0 1 14,000 0
b) Contra-angled Handpiece
18 Dental X-Ray IO PA 50,000 1 50,000 0 0 1 50,000 0
16 | P a g e
19 ORIF Set 50,000 1 50,000 0 0 1 50,000 0
20 Lathe Machine 70,000 1 70,000 0 0 1 70,000 0
21 OPG (Orthopantomography) 20,00,000 0 0 1 20,00,000 0 0
22 Refrigerator 30,000 1 30,000 0 0 0 0
TOTAL 20,14,000 5,80,000 21,00,000 16,69,000 3,00,000
GRAND TOTAL 66,63,000
6. Department of Dermatology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
1 Helios Q switched Nd YAG Laser 36,00,000 0 1 36,00,000 0 1 36,00,000 0
2 Intense Pulse Light Laser 60,00,000 0 0 1 60,00,000 0 1 60,00,000
Electrocautery+radio frequency
3 2,00,000 0 1 2,00,000 0 1 2,00,000 0
machine (two in one) trolley
17 | P a g e
7. Endoscopy Unit
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
Endoscope with multiple scopes
1 for upper and lower GI with 75,00,000 0 1 75,00,000 0 1 75,00,000
online UPS
2 Online UPS 2,50,000 1 2,50,000 0 1 2,50,000 0 1 2,50,000
3 Suction Apparatus 25,000 1 25,000 0 0 1 25,000 0
Furnitures, Fixtures & other
4 50,000 1,00,000 1,00,000 2,00,000 2,50,000
consumable items
TOTAL 3,25,000 1,00,000 78,50,000 2,25,000 80,00,000
GRAND TOTAL 1,65,00,000
18 | P a g e
BPC Flow Meter with Humidifier
5 1,750 250 4,37,500 0 0 250 4,37,500 0
Bottle
6 Isolation Valves 28mm 4,300 5 21,500 0 0 5 21,500 0
7 Isolation Valves 15mm 2,750 38 1,04,500 0 0 38 1,04,500 0
12mmOD x 0.9mm copper pipes
8 520 400 2,08,000 0 0 400 2,08,000 0
(unit in metres)
15mmOD x 0.7mm copper pipes
9 1,265 800 10,12,000 0 0 800 10,12,000 0
(unit in metres)
28mmOD x 0.7mm copper pipes
10 3,500 180 6,30,000 0 0 180 6,30,000 0
(unit in metres)
CST @5% 5,75,175 0 0 5,75,175 0
SUB TOTAL 1,20,78,675 0 0 1,20,78,675 0
9. Department of ENT
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
20 | P a g e
7 Laryngeal Endoscope 5,00,000 1 5,00,000 1 5,00,000 1 5,00,000 1 5,00,000 1 5,00,000
8 Esophagoscope 20,000 1 20,000 0 1 20,000 1 20,000 1 20,000
9 Operating Microscope 15,00,000 1 15,00,000 0 1 15,00,000 1 15,00,000 1 15,00,000
10 Drill with Micromotor 7,50,000 1 7,50,000 0 1 7,50,000 1 7,50,000 1 7,50,000
11 Diamond Burr Set 20,000 2 40,000 0 0 2 40,000 0
12 Fess Instruments 20,000 2 40,000 0 0 2 40,000 0
13 Monitor with camera 7,00,000 1 7,00,000 0 0 1 7,00,000 0
14 Audiometer 7,00,000 0 1 7,00,000 0 1 7,00,000 0
15 Tympanometer 5,00,000 0 1 5,00,000 0 1 5,00,000 0
16 Formalin Chamber 30,000 1 30,000 0 0 1 30,000 0
17 OAE (MAICO EROSCAN) 6,00,000 0 1 6,00,000 0 1 6,00,000 0
BERA (MAICO MB 11
18 7,50,000 0 1 7,50,000 0 1 7,50,000 0
BERAPHONE)
19 Otoscope 8,000 0 1 8,000 0 1 8,000 0
20 Dr. Speech 3,50,000 0 1 3,50,000 1 3,50,000 1 3,50,000 0
21 Therapy toys (Educational) 0 0 1,00,000 0 1,00,000
Laptop for Hearing & Speech
22 50,000 0 1 50,000 0 1 50,000 0
Therapy
Furniture for therapy room (Bed
23 for BERA/OAE, Instruments 2,00,000 0 0 1,00,000 0
Locker, Mats, tables, chairs etc.)
26 Refrigerator 30,000 1 30,000 0 0 0 0
27 Diathermy Velilab 5,50,000 1 5,50,000 0 0 1 5,50,000 0
28 Flexible Bronchosocpe 2,00,000 1 2,00,000 0 0 1 2,00,000 0
29 Rigid Bronchoscope 5,00,000 1 5,00,000 0 0 1 5,00,000 0
TOTAL 65,37,000 34,85,000 41,70,000 93,78,500 38,20,000
GRAND TOTAL 2,73,90,500
21 | P a g e
10. Immunology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
Real Time PCR (For Hepatitis C
1 40,75,000 0 0 1 40,75,000 0 1 40,75,000
Test) with online UPS
Flourescence Microscope with
2 18,50,000 0 0 1 18,50,000 0 1 18,50,000
online UPS
3 Elisa Washer with online UPS 35,00,000 0 0 1 35,00,000 0 1 35,00,000
4 Refrigerator 40,000 0 0 1 40,000 0 0
5 Air Conditioner 2,00,000 0 0 1 2,00,000 0 0
CD4 Count Machine with online
6 26,10,000 0 0 1 26,10,000 0 1 26,10,000
UPS
Laminar Air Flow (Thermolab
7 4,50,000 0 0 1 4,50,000 0 1 4,50,000
Laminar Air Flow Unit - 4 feet)
Reagents (Hepatitis C Viral time
PCR, HCV RNA Quantitative Real
8 time PCR, HCCV Genotype, 0 0 35,00,000 35,00,000 35,00,000
Qualitative HCV RNA with online
UPS, Antigen Detection etc.)
Reagent requirement for
9 automated BacT/ALERT System 0 0 10,00,000 15,00,000 20,00,000
and Vitek 2 Compact System
TOTAL 0 0 1,72,25,000 50,00,000 1,79,85,000
GRAND TOTAL P
22 | P a g e
11. Department of Medicine
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
1 Dialysis Machine with RO 12,00,000 2 24,00,000 2 24,00,000 0 2 24,00,000 2 24,00,000
2 EEG Machine (RMS Company) 3,00,000 1 3,00,000 1 3,00,000 0 2 6,00,000 0
3 ABG Machine 3,00,000 2 6,00,000 2 6,00,000 0 2 6,00,000 2 6,00,000
4 Defibrillator 3,00,000 2 6,00,000 0 2 6,00,000 1 3,00,000 2 6,00,000
5 Cardiac Monitor 1,50,000 2 3,00,000 2 3,00,000 0 2 3,00,000 4 6,00,000
6 Oxygen Concentrator 55,000 4 2,20,000 4 2,20,000 4 2,20,000 4 2,20,000 4 2,20,000
7 ECHO Machine 17,00,000 1 17,00,000 0 1 17,00,000 1 17,00,000 1 17,00,000
8 ECG Machine 1,00,000 3 3,00,000 2 2,00,000 2 2,00,000 2 2,00,000 2 2,00,000
9 Infusion Pump 1,20,000 12 14,40,000 12 14,40,000 14 16,80,000 16 19,20,000 20 24,00,000
10 Foldable Screen 5,000 6 30,000 6 30,000 8 40,000 8 40,000 10 50,000
11 Viewing box 10,000 3 30,000 3 30,000 3 30,000 3 30,000 3 30,000
12 Emergency Light 3,000 4 12,000 5 15,000 5 15,000 5 15,000 5 15,000
13 Pulse Oxymeter 5,000 6 30,000 6 30,000 8 40,000 10 50,000 10 50,000
14 Spirometer 1,20,000 1 1,20,000 1 1,20,000 1 1,20,000 2 2,40,000 2 2,40,000
15 EMG with NCS machine 20,00,000 1 20,00,000 1 20,00,000 2 40,00,000 2 40,00,000 3 60,00,000
16 Nebulizer 3,000 6 18,000 6 18,000 8 24,000 10 30,000 10 30,000
Other minor instruments &
17 50,000 1,00,000 2,00,000 3,00,000 5,00,000
requirements
TOTAL 1,01,50,000 78,03,000 88,69,000 1,29,45,000 1,56,35,000
GRAND TOTAL 5,54,02,000
23 | P a g e
12. Department of Obstetric & Gynecology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
1 Labour Table 40,000 2 80,000 0 0 2 80,000 0
2 Ultrasonography - 3 probes 12,00,000 0 1 12,00,000 0 1 12,00,000 0
3 Phototherapy unit 50,000 2 1,00,000 1 50,000 1 50,000 1 50,000 1 50,000
Surgical Hand Instruments
4 5,00,000 0 0 5,00,000 0
(Major & Minor Procedures)
5 Suction Machine 40,000 1 40,000 2 80,000 1 40,000 1 40,000 1 40,000
6 Portable Surgical Light 60,000 1 60,000 1 60,000 1 60,000 1 60,000 1 60,000
7 Colposcopy 5,00,000 1 5,00,000 0 0 1 5,00,000 0
8 Laparoscopy & Hysteroscopy Set 25,00,000 0 1 25,00,000 0 1 25,00,000 1 25,00,000
Syringe Infusion
9 1,00,000 1 1,00,000 0 0 1 1,00,000 1 1,00,000
Pump(Eclampsia Room)
Patient Moniotor(For Eclampsia
10 1,50,000 1 1,50,000 0 0 1 1,50,000 1 1,50,000
Room)
Oxygen Concentrator (Eclampsia
11 5,00,000 1 5,00,000 0 0 1 5,00,000 1 5,00,000
Room)
12 Cryotherapy 1,00,000 1 1,00,000 0 0 1 1,00,000 0
Cardio-Tocography/Fetal
13 3,50,000 1 3,50,000 1 3,50,000 1 3,50,000 1 3,50,000 1 3,50,000
Monitor
TOTAL 24,80,000 42,40,000 5,00,000 61,30,000 37,50,000
GRAND TOTAL 1,71,00,000
24 | P a g e
13. Department of Ophthalmology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
Wavelight Eximer Laser with
1 4,00,00,000 0 0 1 4,00,00,000 0 1 4,00,00,000
online UPS
HAAG STREIT Digital Imaging
2 19,00,000 0 1 19,00,000 1 19,00,000 1 19,00,000 0
System
3 Diode Green Laser 523nm 22,70,000 0 1 22,70,000 1 22,70,000 1 22,70,000 0
4 Diode Yellow Laser 577nm 40,00,000 0 1 40,00,000 1 40,00,000 1 40,00,000 0
5 Infrared Diode Laser 810nm 23,00,000 1 23,00,000 1 23,00,000 0 1 23,00,000 0
6 Visual field recording equipment 15,00,000 1 15,00,000 1 15,00,000 0 1 15,00,000 0
7 Specular Microscope 20,15,000 1 20,15,000 1 20,15,000 0 1 20,15,000 0
8 Fundus Camera 13,70,000 1 13,70,000 1 13,70,000 0 1 13,70,000 0
9 Phaco Machine 35,00,000 0 1 35,00,000 1 35,00,000 1 35,00,000 0
10 A-Scan Biometer 3,00,000 1 3,00,000 1 3,00,000 0 1 3,00,000 0
11 Autoref Keratometer 5,00,000 1 5,00,000 1 5,00,000 0 1 5,00,000 0
12 Sonomed B Scan Biometry 9,00,000 1 9,00,000 1 9,00,000 0 1 9,00,000 0
13 Operation Table Motorized 1,50,000 1 1,50,000 1 1,50,000 0 1 1,50,000 0
14 Wet Field Bipolar Cautery 30,000 5 1,50,000 2 60,000 2 60,000 2 60,000 0
15 Direct Ophthalmoscope 30,000 2 60,000 3 90,000 0 1 30,000 0
16 Indirect Ophthalmoscope 1,50,000 1 1,50,000 1 1,50,000 1 1,50,000 1 1,50,000 0
17 Dacryocystectomy Set 30,000 2 60,000 3 90,000 0 1 30,000 0
18 UPS (Power backup) 2,50,000 2 5,00,000 3 7,50,000 0 1 2,50,000 0
19 Cataract Set (Titanium) 30,000 5 1,50,000 2 60,000 2 60,000 2 60,000 0
20 Operating Microscope 20,00,000 1 20,00,000 1 20,00,000 0 1 20,00,000 0
21 AB Scan NIDEK 12,00,000 1 12,00,000 1 12,00,000 0 1 12,00,000 0
22 NdYAG Laser 15,00,000 1 15,00,000 0 0 1 15,00,000 0
23 Pachymeter 10,00,000 1 10,00,000 0 1 10,00,000 1 10,00,000 0
25 | P a g e
Optical Coherence Tomography
24 30,00,000 0 1 30,00,000 0 1 30,00,000 0
(OCT)
25 IOL Master 10,00,000 1 10,00,000 0 0 1 10,00,000 0
26 Indirect Ophthalmoscopy Laser 15,00,000 0 1 15,00,000 0 1 15,00,000 0
27 Anterior Segment OCT 30,00,000 0 1 30,00,000 0 1 30,00,000 0
Furniture, Fixtures & other
28 2,00,000 3,00,000 4,00,000 5,00,000
consumable items
TOTAL 1,68,05,000 3,28,05,000 5,32,40,000 3,58,85,000 4,05,00,000
GRAND TOTAL 17,92,35,000
26 | P a g e
Instruments and Implants for
11 70,000 1 70,000 1 70,000 1 70,000 1 70,000 1 70,000
femur interlocking nail set
Instruments and Implants for
12 70,000 1 70,000 1 70,000 1 70,000 1 70,000 1 70,000
Tibia interlocking nail set
Instruments and Implants for
13 10,00,000 1 10,00,000 2 20,00,000 1 10,00,000 1 10,00,000 1 10,00,000
Femur Plating
14 Bosch Battery drill 6,000 6 36,000 2 12,000 1 6,000 1 6,000 1 6,000
Stryker System Six Cordless Drill
15 12,00,000 1 12,00,000 1 12,00,000 1 12,00,000 1 12,00,000 0
System
Manmann Power reamer
16 60,000 1 60,000 1 60,000 0 0 0
system
17 Humerus Instrument Set 1,00,000 1 1,00,000 1 1,00,000 1 1,00,000 1 1,00,000 1 1,00,000
18 Prosumal Femoral Nail Set 3,40,000 1 3,40,000 1 3,40,000 1 3,40,000 1 3,40,000 1 3,40,000
19 Total Hip Replacement system 30,00,000 1 30,00,000 1 30,00,000 1 30,00,000 1 30,00,000 1 30,00,000
20 Total Knee Replacement Syetem 30,00,000 1 30,00,000 1 30,00,000 1 30,00,000 1 30,00,000 1 30,00,000
22 MIPO Set 90,000 1 90,000 1 90,000 0 1 90,000 0
23 DEXA Machine 10,00,000 1 10,00,000 1 10,00,000 0 1 10,00,000 0
TOTAL 1,53,16,000 1,45,92,000 1,42,86,000 1,52,76,000 96,86,000
GRAND TOTAL 6,91,56,000
28 | P a g e
Lower GI Endoscopy
25 10,00,000 0 1 10,00,000 1 10,00,000 0 0
(Paediatrics) (Olympus)
Furniture, Fixtures & other
26 50,000 1,00,000 2,00,000 3,00,000 4,00,000
consumable items
TOTAL 85,13,500 1,14,00,000 1,68,35,000 49,03,000 64,03,000
GRAND TOTAL 4,80,54,500
30 | P a g e
Electrical limb Passive mobilize
13 1,00,000 1 1,00,000 1 1,00,000 1 1,00,000 1 1,00,000 0
upper limb
Electrical limb Passive mobilize
14 60,000 2 1,20,000 1 60,000 1 60,000 0 0
lower limb
15 Quadriceps chair 20,000 2 40,000 1 20,000 1 20,000 1 20,000 0
Interferential current Therapy
16 1,00,000 2 2,00,000 1 1,00,000 1 1,00,000 1 1,00,000 0
(IFT)
17 Infrared radiation therapy 80,000 1 80,000 1 80,000 1 80,000 1 80,000 0
18 Prosthetic and orthotic Oven 5,00,000 2 10,00,000 1 5,00,000 1 5,00,000 1 5,00,000 0
Prosthetic and orthotic work
19 5,00,000 1 5,00,000 1 5,00,000 1 5,00,000 1 5,00,000 0
equipments
Occupational therapy
20 3,00,000 1 3,00,000 1 3,00,000 0 0 0
equipments /sets
21 Treatment tables 10,000 10 1,00,000 3 30,000 3 30,000 0 0
Deluxe treatment/postural
22 4,00,000 1 4,00,000 1 4,00,000 1 4,00,000 1 4,00,000 0
drainage table
23 MSK Ultrasound Machine 10,00,000 1 10,00,000 0 0 1 10,00,000 0
24 Ozone Therapy Machine 8,00,000 1 8,00,000 1 8,00,000 0 1 8,00,000 0
25 Walking Training Aids (Set) 40,000 2 80,000 1 40,000 1 40,000 1 40,000 0
26 Instrument Boiler/Sterilizer 10,000 2 20,000 1 10,000 1 10,000 1 10,000 0
Furniture, Fixtures & other
27 50,000 1,00,000 2,00,000 3,00,000 4,00,000
consumable items
TOTAL 76,74,000 60,94,000 36,94,000 46,00,000 4,00,000
GRAND TOTAL 2,24,62,000
31 | P a g e
18. Department of Plastic Surgery
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Item Rate (in Rs) Amount Amount Amount Amount Amount
No. Qty Qty Qty Qty Qty
(in Rs) (in Rs) (in Rs) (in Rs) (in Rs)
Humby's skin graft blade handle
1 20,000 0 2 40,000 0 1 20,000 0
(Watson modification)
2 Power Dermatome 2,00,000 0 1 2,00,000 1 2,00,000 0 0
Skin graft mesher/expander
3 1,70,000 0 1 1,70,000 1 1,70,000 0 0
1:1.5 to 1:4 exp ratio
4 Micro apply clamps (Double) 5,000 0 2 10,000 0 1 5,000 0
5 Micro apply clamps (single) 5,000 0 2 10,000 0 1 5,000 0
Debakey bulldog clamps (curved
6 6,000 0 2 12,000 0 1 6,000 0
& straight)
7 Microsurgical set/box 80,000 0 1 80,000 1 80,000 0 0
Cleft (Lip, Palate & face) surgery
8 2,00,000 0 1 2,00,000 1 2,00,000 1 2,00,000 0
set
9 Cranio/maxillo facial surgery set 4,00,000 0 1 4,00,000 1 4,00,000 1 4,00,000 0
10 Mandible surgery set 0 1,00,000 0 1 0 0
11 Bone cutters and drills 10,000 0 5 50,000 0 1 10,000 0
12 Rhinoplasty set 4,00,000 0 4,00,000 0 1 4,00,000 0
13 Blepharoplasty set 2,00,000 0 2,00,000 0 1 2,00,000 0
14 Hair transplant instruments set 10,00,000 0 1 10,00,000 1 10,00,000 1 10,00,000 0
15 Patient chair (adjustable)1 2,00,000 0 1 2,00,000 0 1 2,00,000 0
Bipolar coagulator jewellers
16 5,50,000 0 1 5,50,000 0 1 5,50,000 0
forceps(straight/curved)
17 Monopolar diathermy 5,50,000 0 1 5,50,000 0 1 5,50,000 0
Operating Loupe (LED lights
18 1,20,000 0 1 1,20,000 0 1 1,20,000 0
source)
19 Surgical microdrill 1,50,000 0 1 1,50,000 1 1,50,000 1 1,50,000 0
20 Liposuction machine/set 10,00,000 0 1 10,00,000 1 10,00,000 1 10,00,000 0
32 | P a g e
21 Breast retractor set 50,000 0 1 50,000 0 1 50,000 0
22 Breast calipers 5,000 0 1 5,000 0 1 5,000 0
Four ring breast reduction
23 4,000 0 1 4,000 0 1 4,000 0
markers
24 CO2 Laser 2,50,000 0 1 2,50,000 0 1 2,50,000 0
25 Nd YAG Laser 20,00,000 0 1 20,00,000 0 1 20,00,000 0
Operating Microscope with dual
26 10,00,000 0 1 10,00,000 0 1 10,00,000 0
eye piece
Motorised saw set (oscillating
27 1,00,000 0 1 1,00,000 0 1 1,00,000 0
and reciprocating saw)
28 Abdominoplasty retractor sets 80,000 0 1 80,000 0 1 80,000 0
29 Suction machine 35,000 0 1 35,000 0 1 35,000 0
Furniture, Fixtures & other
30 1,00,000 2,00,000 3,00,000 4,00,000
consumable items
TOTAL 0 90,66,000 34,00,000 86,40,000 4,00,000
GRAND TOTAL 2,15,06,000
Bronchoscope (Olympus) -
2 35,00,000 1 35,00,000 0 0 1 35,00,000 0
Whole Set
Rigid Bronchoscope (Datau
3 Novatech) - Whole set with 20,00,000 0 1 20,00,000 0 1 20,00,000 0
Stent Applicator
4 Cautery for Bronchoscopes 2,00,000 0 1 2,00,000 0 1 2,00,000 0
5 Pulse Oxymeter 5,000 2 10,000 0 0 2 10,000 0
Vitals Monitor (5 Parameters)
6 (SpO/BP/Pulse/ECG/Breathing 1,20,000 2 2,40,000 0 2 2,40,000 1 1,20,000 1 1,20,000
Rate)
X-Ray View Box for OPD
7 6,000 1 6,000 0 0 1 6,000 0
(Large/Double)
34 | P a g e
Oxygen Concentrator (Nidek or
8 55,000 2 1,10,000 0 0 1 55,000 0
Phillips)
General Anaesthesia
9 10,00,000 0 1 10,00,000 0 1 10,00,000 0
Workstation
10 OT Table 2,00,000 0 1 2,00,000 0 1 2,00,000 0
11 Suction Machine 40,000 2 80,000 0 2 80,000 2 80,000 0
12 ABG Machine 5,00,000 1 5,00,000 0 1 5,00,000 1 5,00,000 0
13 Infusion Pump 1,20,000 6 7,20,000 3 3,60,000 3 3,60,000 1 1,20,000 0
Instruments and consumables
14 50,000 50,000 50,000 1,00,000 2,00,000
for intervention in ward (Set)
TOTAL 53,36,000 38,10,000 12,30,000 80,11,000 3,20,000
GRAND TOTAL 1,87,07,000
35 | P a g e
13 Emergency Light 3,000 1 3,000 1 3,000 1 3,000 1 3,000 1 3,000
14 Viewing box 10,000 1 10,000 1 10,000 1 10,000 1 10,000 1 10,000
15 Formalin Chamber 5,000 1 5,000 1 5,000 1 5,000 1 5,000 0
16 Patient Monitor 2,00,000 1 2,00,000 1 2,00,000 1 2,00,000 1 2,00,000 0
17 Glass Beads sterilizer 30,000 1 30,000 1 30,000 1 30,000 1 30,000 0
Furnitures, Fixtures & Other
18 2,00,000 2,00,000 3,00,000 4,00,000 5,00,000
requirements
TOTAL 1,02,23,000 6,73,000 13,23,000 98,73,000 12,88,000
GRAND TOTAL 2,33,80,000
37 | P a g e
JUSTIFICATIONS FOR THE PROPOSAL
A. EQUIPMENT COMPONENT FOR VARIOUS DEPARTMENTS
38 | P a g e
B. For High Dependency Unit (10 Beds):
1. HDU Beds: A high dependency unit is an area in a hospital usually located closely to the
intensive care unit, where patients can be cared for more extensively than on a normal ward.
2. Ventilators: It is a machine that supports breathing and helps patients to move breathable air
into and out of the lungs for a patient who is physically unable to breath or breathing
insufficiently.
3. Transport Ventilator: This is a portable machine that helps patients to breath. It is useful during
transport of a patient eg. From casualty to I. C. U. or Dialysis room etc.
4. Patient Monitor: This multi monitor is useful for monitoring the important organs of the body
like heart, respiration etc.
5. Crash Tray: It contains all the resuscitation equipment like defibrillator, airway intubation
devices, resuscitation mask and medication box.
39 | P a g e
4. CENTRAL LABORATORY SERVICES
Laboratory diagnostics are essential part of guiding and determining treatment protocols for
clinicians. A proper microbiology laboratory needs to be set up for culture and sensitivity, antibiotic
resistance, confirmatory tests for suspected diseases i.e. ELISA. A complete sterilization of laboratory
equipment and infectious material is required for infection control in the Hospital.
1. The current laboratory areas are leaking in many places with minimal infrastructure for optimal
functioning of staff. For this we require to revamp the structure, laboratory tables, working areas need
to be refined as at present all machines are cramped up in one place.
2. There is a shortage of microscopes at the laboratory, if there are more microscopes results may be
provided at a quicker pace thereby decreasing patient wait time.
3. Currently we have only one calorimeter for HB which malfunctions at times due to fluctuating
power. This small machine is required for giving correct results for these basic investigations.
4. Histopathology (Biopsy) is not yet done in this Hospital; grossing table is the first requirement for
processing biopsy.
5. Currently there is no storage space for FNAC and biopsy slides. For medicolegal cases etc. slides
need to be stored in organized matter and in a safe cabinet.
6. Hematoanalyser is an integral part of any basic laboratory. This is one of the most important
requirement for basic diagnose and patient cases.
7. The micropipettes we have are old and is insufficient in number for daily use, as they are required
for daily routine use.
6. DEPARTMENT OF DERMATOLOGY
The requirement of Q-Switched ND YAG is justified in that there is none in the whole state. This
machine is important in treating lesions like haematologic abnormalities whereby the appearance of a
patient is hampered. Besides this, sometimes these lesions can impair normal growth of the patient
and as such till date we are responsible to refer the patients to centres where it is available. If this
machine is installed at the State Referral Hospital, Falkawn, majority of our cases referred would not
be required to be done so.
It is also imperative to have an Electrocautery machine to deal with cases like warts, DPN etc.
for which we are consulted on a daily basis.
Dental chair is required as the procedures have to be performed at certain angles and even for
one patient, as many as 10 different positions are sometimes required. It is easy to manoeuvre a
dental chair and no manpower is required. A dental chair with an overhead lamp is a necessity for the
procedures. The rest of the listed requirements are routine instruments and assets present in a
Dermatosurgical unit and therefore are required.
40 | P a g e
7. ENDOSCOPY UNIT
With the growing increase in the field of diagnostic procedure, Endoscopy has become one of
the most important diagnostic procedure in detecting early gastro-intestinal cancer. It has become a
part and parcel of everyday diagnostic procedure, especially for detecting gastric cancer in our state,
which is the most common gastro-intestinal cancer.
1) UPS : To maintain continuous uninterrupted power supply, this has to be a back-up online
UPS. This is highly necessary for the proper maintenance of the machine and also for
uninterrupted endoscopic procedure causing minimal discomfort to the patient. In view of
the erratic and irregular power supply at present, the chances of damaging the
machine/instrument are highly possible. So the procurement of UPS back-up is of the
utmost importance.
2) Suction Apparatus : Suction apparatus is a mainstay in operating endoscopy machine. The
machine cannot perform without suction apparatus. There has to be a stand by suction
apparatus just in case the present functioning one is suddenly damaged because of the
erratic power supply.
3) Steel Almirah/Steel Rack/Wooden Rack with drawer : In order to store the various
supply/parts needed for functioning of the endoscope, the above said facilities are
required.
4) Stand-by Scope : With the growing increase in the number of endoscopic investigations
being carried at present, there is a necessity for having a stand-by scope in the instance that
the functioning one is damaged.
9. DEPARTMENT OF ENT
1. These instruments are required to reduce unnecessary referral to other hospitals.
2. Routine and emergency procedures can be performed as per need of the patient.
3. Tympanometer, Audiometer, OAE, BERA, Dr. Speech, Therapy Toys and other items mentioned
are needed for early detection, interaction and management of deafness and delayed speech.
4. Inverter, UPS, Multi Plug, Stabilizer etc are required for proper maintenance of this expensive
machines. Moreover, interrupted power supply can interfere with the diagnosis, may cause
unnecessary repititions of these investigations causing inconvenience and financial problems to
the patients
5. Rigid bronchoscope is necessary as it is useful for both diagnostic/therapeutic purpose.
6. Minor procedure can be performed in the OPD using microscope/nasal endoscope for reducing
unnecessary usage of OT.
7. Nasal endoscope, Laryngoscope, Bronchoscope etc are required to facilitate early detection of
Head and Neck cancer.
41 | P a g e
10. IMMUNOLOGY
A good tertiary care hospital will have to cater to the needs of serios patients who require more
intensive investigations, treatment and follow up. Cases of immunology related diseases is on the rise
in Mizoram with most of these cases requiring referral outside the state. Setting up a good
Immunology Centre will be beneficial to the patients and the state.
42 | P a g e
4) Prevention, early detection and treatment of the disease
- These equipment are vital for patient education, early detection when curable and correct
treatment of different diseases.
5) Socio-economic benefits for the patients
- Early diagnosis, shorter hospital stay, safer techniques and treatments, less invasive
procedures and better cosmoses are provided with these equipment.
- Avoidance of referral of patients to other hospitals and higher centres.
6) Meeting the norms and standards of a full-fledged hospital
- Most of the equipment are mandatory for smooth-running and establishment of quality
health care in a qualified and standard Hospital.
7) Advanced treatment of disease and Management of critically-ill patients
- Most of the advanced, modern and world-class treatment, surgeries/operations as well as
Critical care are possible only with these equipment.
8) Establishment of a Medical College
- These equipment plays an important role for increase in no. of patients(OPD and IPD) as
well as their very existence determines the criteria and permission of Medical Council of
India(MCI) inspection for a Medical college in Mizoram.
Even though the importance of only few instruments are highlighted, Orthopaedic operations
require a variety of instruments, equipment and implants due to the complexity and diversity of types
of bones and fractures, of which most of the cases require specific instruments.
With the current increase in road-traffic accidents and high-speed trauma, the requirements
highlighted here are of absolute importance for execution of standard orthopaedic operations.
44 | P a g e
5. Phototherapy Unit : At present, there is only one phototherapy which is functioning. Most
of the time, we have around 5 to 10 new born babies requiring phototherapy. Due to the
above reason, the babies are not given enough care.
6. Warmer : The paediatrics Department have only one warmer, but we have about 5 to 10
new born babies daily most of them requiring warmer.
7. Bilicheck : There is one Bilicheck in the maternity ward which is being shared bythe whole
ward (Paediatrics, maternity and Gynae). The readings are most of the time unreliable so
there is urgent need for Bilicheck.
8. Straight/Curved Blade Paediatrics Laryngoscope : There is no straight blade or curved
laryngoscope at present in the ward, so fi there is any serious or dying patients, there is no
equipment for intubation.
9. Ambu Bag : There is no Ambu bag at present (neonatal or paediatrics size) which could be
used for resuscitation. Due to this reason, patients could not be resuscitated.
10. Suction Machine : There is no suction machine in the Paediatrics Ward for sucking the
secretions of the serios/aspirated patients.
11. Patient Monitor : We do not have any patient monitor at present in the Paediatrics
Department, so the condition of serious patients cannot be monitored or assessed.
12. Other requirements : Equipment like Endotracheal Tube, Paediatrics Circuit, Bains Circuit
etc. are always required for the resuscitation of serious patients.
13. Paediatric Bed with railings : The patients/babies are sleeping on beds without railings due.
Due to this, many babies/patients can fall down from their beds while sleeping and may get
injured due to this.
This Physical Medicine and Rehabilitation Department, should it fully function, with all
mentioned equipments, will strengthen the State Referral Hospital and definitely put the state to one
step ahead in tertiary health care. It will provide excellent care and a complete rehabilitation care to
spinal injury patients, stroke, traumatic brain injury, cerebral palsy, neuropathic cases and other
chronic neurological condition, and even to the extent its care to sports injury rehabilitation. All
patients who underwent rehabilitation treatment at outside states and those who could not afford
rehabilitation treatment at present would have equal opportunity for treatment if this physical
medicine and rehabilitation department is fully equipped.
45 | P a g e
18. DEPARTMENT OF PLASTIC SURGERY
Plastic Surgery Unit is not yet available in the whole state of Mizoram. There have been many
cases requiring Plastic Surgery, all of whom has to go outside the state for treatment. This has resulted
in huge loss of revenue for the government. The required technical person for this department is now
available in the state. If such an Unit is set up in the State Referral Hospital, Falkawn, it will minimize
outside referrals and minimize the cost for patients. Therefore, the requirement for setting up a Plastic
Surgery unit is given in the proposal.
46 | P a g e
such as a lump or pain, or who have a suspicious change seen on a screening mammogram. This
machine can defect the site of the mass and biopsy can be taken as well during the examination.
6. LED Viewing Box
An LED X-Ray viewing box is used to study X-Ray films after a scan is done.
7. X-Ray 600 ma
(Flourscope) ( Siemen)
The current X-ray machine is not strong enough for certain uses. The penetration on a
600 ma X-Ray machine is stronger and films are clearer. A digital device is required for modernization
of the hospital.
8. X-Ray Cassettes
It is a light-tight container in which x-ray films are placed for exposure to ionizing
radiation and usually backed by lead to eliminate the effects of back scatter radiation.
47 | P a g e
2. Laparoscopic Set : This is the basic requirement for gold-standard operation/treatment of
common surgeries like cholecystectomy/appendectomy/diagnostic laparoscopy etc. This is
a compulsory requirement for standard hospitals and referral centres to perform non-
invasive treatment/operations.
3. Harmonic Scalpel : Also called a blood-less knife, a harmonic scalpel is useful for almost
every operation. It is a necessity for modern surgical treatment. It will benefit the patients
and surgeons because there is less bleeding and will have less complications after surgery
for the patients.
B. INFRASTRUCTURAL DEVELOPMENT
In the State Referral Hospital Falkawn, there is a vast area of land which is yet undeveloped due
to inaccessibility, especially in the Residential areas. Hence, to make use of the land and to facilitate
proper planning, it is imperative that a good road network is established first and foremost.
4 - 11 With the advent of the establishment of MIMER and the corresponding upgradation of the
Hospital, there are several infrastructures which need to be put in place for smooth
functioning and public convenience.
a. It is proposed to construct a boys hostel and a girls hostel for a total capacity of about 500
through NEDP fund since the same could not be accommodated in the project for MIMER.
b. It is proposed to construct a balcony on the road side of the Highway outside the hospital
premises to cater to various public transports, and a multi-level parking within the hospital
premises.
c. For security reasons and proper demarcation of land to avoid future land dispute,
permanent boundary walls needs to be erected.
d. To have easy access and air transportation of critical patients, a helipad needs to be made
within the hospital premise. A small hillock adjacent to the main hospital building has been
identified for this purpose.
e. To cater to the everyday needs of the patients, students, staff etc., it is necessary to
provide amenities such as shopping complex, indoor stadium and also a functional
playground.
12 The hospital/MIMER requires a dedicated power line to facilitate uninterrupted power supply.
On consultation of P&E Department, Govt. of Mizoram, a dedicated line can be provided from
the sub-station at Melriat. This proposal is for the dedicated line as well as all LT lines within the
complex, including all necessary transformers.
13 At present no proper water distribution system is available in the complex; hence it is necessary
to establish proper water distribution system to all the buildings through PHE Department, Govt.
of Mizoram.
48 | P a g e
14 It is also found necessary to have an alternate source of water supply for emergencies, other
than the main line provided by PHE. Hence, it is proposed to establish an independent water
supply from the nearby stream.
15 To safeguard the environment, it is also proposed to plant trees and green zones within the
complex.
16 As the Aizawl - Lunglei State Highway runs between the Main Hospital Complex and residential
complex, it is felt imperative that a pedestrian flyover be constructed over this road.
49 | P a g e
ANNEXURE 1
S.No. Infrastructural facilities LOP Ist Renewal IInd Renewal IIIrd Renewal IVth Renewal
Recognition
(1st Batch) (2nd Batch) (3rd Batch) (4th Batch) (5th Batch)
1 Lecture Theatre a) Number 2 2 3 3 4 4
[ College building] b) Capacity 120 120 120 120 120 120
c) Type Gallery Gallery Gallery Gallery Gallery Gallery
[Hospital Building] a) Number - - 1 1 1 1
b) Capacity - - 150 150 150 150
c) Type - - Gallery Gallery Gallery Gallery
2 Examination Hall Capacity -- 250 250 250 250 250
Number 1 1 1 1 1
3 Central Library a) Area (sq. m) 400 800 1200 1600 1600 1600
b) Seating Capacity 50 100 150 200 200 200
c) Books 1500 1500 3000 4000 5000 7000
d) Journals (Indian + 14 + 06 14 + 06 28 + 12 28 + 12 42 + 18 70 + 30
Foreign)
4 Hostel a) Boys/Girls Capacity 75 150 225 300 375 375
@75%
b) Residents Capacity 45 47 48 59 67 67
@100%
c) Interns Hostel @100% -- -- -- -- 100
d) Nurses 35 35 35 42 48 48
accommodation @20%
5 Residential Quarters a) Teaching @20% 12 18 18 20 21 21
b) Non -Teaching @20% 20 32 36 36 36 36
Bed Distribution
6 Medicine & Allied a) Gen. Medicine 72/3 72/3 72/3 100/3 120/4 120/4
b) Pediatrics 24/1 24/1 24/1 40/2 60/2 60/2
c) TB & Chest 8/1 8/1 8/1 10/1 10/1 10/1
S.No. Infrastructural facilities LOP Ist Renewal IInd Renewal IIIrd Renewal IVth Renewal
Recognition
(1stBatch) (2nd Batch) (3rd Batch) (4th Batch) (5th Batch)
d) Skin V.D. 8/1 8/1 8/1 10/1 10/1 10/1
e) Psychiatry 8/1 8/1 8/1 10/1 10/1 10/1
Total 120/7 120/7 120/7 170/8 210/9 210/9
7 Surgery & Allied a) Gen. Surgery 90/3 90/3 90/3 100/3 120/4 120/4
b) Orthopedics 30/1 30/1 30/1 40/2 60/2 60/2
c) Ophthalmology 10/1 10/1 10/1 10/1 10/1 10/1
d) ENT 10/1 10/1 10/1 10/1 10/1 10/1
140/6 140/6 140/6 160/7 200/8 200/8
Total
8 OBG a) OBG & ANC 25/1 25/1 25/1 30/1 30/1 30/1
b) Gynecology 15/1 15/1 15/1 20/1 30/1 30/1
Total 40/2 40/2 40/2 50/2 60/2 60/2
Grand Total 300/15 300/15 300/15 380/17 470/19 470/19
9 OPD 400 500 600 700 800 800
10 Bed occupancy % Other States 60% 60% 60% 75% 75% 75%
Bed Occupancy % North Eastern States and 50% 60% 60% 60% 60% 60%
Hill States, **notified
Tribal Areas, Union
Territories of Andaman &
Nicobar Island, Daman &
Diu, Dadra & Nagar
Haveli and Lakshadweep
11 OT & ICU a) Major OT 4 4 4 5 7 7
b) Minor OT 2 2 2 2 2 2
c) ICCU 5 beds 5 beds 5 beds 5 beds 5 beds 5 beds
ICU 5 beds 5 beds 5 beds 5 beds 5 beds 5 beds
PICU/NICU 5 beds 5 beds 5 beds 5 beds 5 beds 5 beds
SICU 5 beds 5 beds 5 beds 5 beds 5 beds 5 beds
d) Casualty Beds 10 10 10 15 20 20
S.No. Infrastructural facilities LOP Ist Renewal IInd Renewal IIIrd Renewal IVth Renewal
Recognition
(1stBatch) (2nd Batch) (3rd Batch) (4th Batch) (5th Batch)
12 Radiology a) Static unit - 300 mA 1 1 1 1 2 2
- 600 mA 1 1 1 1 2 2
- 800 mA -- -- -- 1 IITV 1 IITV 1 IITV
b) Mobile unit - 60 mA 1 1 1 1 2 2
- 100 mA 1 1 1 1 2 2
c) USG (Color) 2 2 2 2 3 3
d) CT Scan( 16 slice- - - 1 1 1 1
spiral)
13 Paramedical & Non 101 101 101 160 179 179
Teaching staff
16 Central Laboratory 1 Available & 1 Available & 1 Available & 1 Available & 1 Available & 1 Available &
[Hospital.} functional functional functional functional functional functional
17 Blood bank There shall be a licensed blood bank available and functional right from inception stage.
S.No. Infrastructural facilities LOP Ist Renewal IInd Renewal IIIrd Renewal IVth Renewal
Recognition
(1st Batch) (2 Batch)
nd (3 Batch)
rd (4 Batch)
th (5th Batch)
18 Rural Health Training 3 PHC's should be identified for the purpose of rural health training, from the LOP stage onwards. One of these PHC's should be
Centre: developed into RHTC with full complement of infrastructure, staff and equipment and should be ready for training of students from
the 1st renewal onwards. This should be within 30KM or 1hour of commuting distance from the college. Residential and messing
facilities for the internee doctors should be available at time of recognition. The RHTC will be under control of the Dean/Principal of
the college.
19 Urban Health Training An Urban Health Training Centre under control of community medicine will be identified at the LOP and by time of 1st renewal
Centre assessment it should have full fledged infrastructure staff and equipment for training of the medical students. The UHTC will be
under control of the Dean/Principal of the college. Adequate transport facility for the staff and students should be available in both
the above training center .
20 Central research lab/cell A central research lab/cell shall be available and functional from 2nd renewal [Third batch] with all infrastructure and staff
Staff Requirement for 100 Admission
(2) A separate department of Dentistry/Dental faculty is not required where a dental college is available in same campus/cityand run by the same
management.
(3) Colleges running PG program require additional staff, beds & other requirements as per the PG Regulations 2000.
Designation LOP Ist Renewal IInd Renewal IIIrd Renewal IVth Renewal
Recognition
(1stBatch) (2nd Batch) (3rd Batch) (4th Batch) (5th Batch)
Resident Total 45 47 48 59 67 67
ANNEXURE 2
Guidelines for
District Hospitals
(101 to 500 Bedded)
Revised 2012
1) MCI Norms LOP 1st Renewal 2nd Renewal 3rd Renewal 4th Renewal Recognition
SALARY REQUIREMENT FOR MIMER (excluding Nursing Staff) (Based on MCI norms)
LoP 1st Renewal 2nd Renewal 3rd Renewal 4th Renewal Recognition
PER MONTH (in
1,08,86,973 1,49,97,827 1,57,20,534 1,83,95,509 1,97,58,266 1,97,58,266
Rs.)
PER YEAR (in Rs.) 13,06,43,676 17,99,73,924 18,86,46,408 22,07,46,108 23,70,99,192 23,70,99,192
Librarian 1 1 1 1 1 PB-2+4,600 GP
Dy. Librarian 1 1 1 1 1 PB-2+4,200 GP
CENTRAL LIBRARY
Draftries 2 2 2 2 2 PB-1+2,400 GP
Typist 1 1 1 1 1 PB-1+2,800 GP
IV Grade/ Peon 1 2 2 2 2 1S + 1650 GP
Veterinary Officer 1 1 1 1 1 PB-3+5,400 GP
Animal Attendant 1 2 2 2 2 PB-1+1,800 GP
CENTRAL
ANIMAL
4
HOUSE
Technician 1 1 1 1 1 PB-2+4,200 GP
CENTRAL
ANIMAL
HOUSE
Sweeper/IV Grade 1 1 1 2 2 1S + 1650 GP
Photographer 1 1 1 1 1 PB-2+4,200 GP
Artist 0 1 1 1 1 PB-2+4,200 GP
PHOTOGRAPHIC &
AUDIO-VISUAL
Modeller 0 1 1 1 1 PB-2+4,200 GP
CENTRAL
1 1 1 1
MEDICAL
Technician 1 PB-2+4,200 GP
UNIT
1 1 1 1
A.V Artist 1 1 1 2 2 PB-2+4,200 GP
Matron 1 1 1 1 1 PB-3+5,400 GP
Staff Nurse 1 2 3 4 4 PB-2+4,400 GP
Technical assistant 2 4 6 8 8 PB-2+4,200 GP
7
CSSD
Technicians 2 4 6 8 8 PB-2+4,200 GP
Ward Boy 2 4 6 8 8 1S + 1650 GP
Sweeper 1 2 3 4 4 1S + 1650 GP
Supervisor 0 1 1 2 2 PB-2+4,400 GP
LAUNDRY
SERVICE
8 Dhobi/Washerman/Women 2 4 8 10 12 PB-1+1,800 GP
Packer 2 4 8 10 12 PB-1+1,800 GP
Warden 1 2 2 2 2 PB-2+4,600 GP
Head cook 1 2 2 2 2 PB-1+2,800 GP
Cook 6 8 8 16 16 1S + 1650 GP
HOSTEL &
HOUSING
9
Sweeper/ Chowkider 2 4 4 8 8 1S + 1650 GP
Peon 2 4 4 8 8 1S + 1650 GP
Security Guard 2 2 2 4 4 1S + 1650 GP
TOTAL 60 95 112 151 159
ANCILLARY STAFF SALARY REQUIREMENTS
4th /
DEPART
Sl no. Designation LOP (in Rs.) 1st (in Rs.) 2nd (in Rs.) 3rd (in Rs.) Recognition (in
MENT
Rs.)
Librarian 41,479 41,479 41,479 41,479 41,479
Dy. Librarian 32,925 32,925 32,925 32,925 32,925
CENTRAL LIBRARY
4
HOUSE
9
Sweeper/ Chowkider 34,266 68,532 68,532 1,37,064 1,37,064
Peon 34,266 68,532 68,532 1,37,064 1,37,064
Security Guard 34,266 34,266 34,266 68,532 68,532
Monthly Requirement 15,13,905 24,23,449 28,01,660 36,54,628 38,37,565
Annual Requirement 1,81,66,860 2,90,81,388 3,36,19,920 4,38,55,536 4,60,50,780