Propoal For State Referral Hospital, Falkawn Under NEDP 2016

ROADMAP UNDER NEDP SCHEME
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
ESTIMATE OF REQUIREMENTS FOR 5 YEARS
Year Amount (in Rs.)

1st Year (2016-17) 28,00,00,000
2nd Year (2017-18) 33,14,88,500
3rd Year (2018-19) 34,15,48,840
4th Year (2019-20) 35,10,04,225
5th Year (2020-21) 36,05,46,000
TOTAL 1,66,45,87,565
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)
1. MANPOWER AND SALARY REQUIREMENT

Faculty & all staff of Medical 13.1 18.0 18.9 22.1 23.8
a.
College (253 Nos) (358 Nos) (380 Nos) (459 Nos) (484 Nos)
All staff of Hospital based on
15.3 15.3 17.7 18.8 23.7
b. IPHS norms & Nursing Staff
(364 Nos) (364 Nos) (436 Nos) (459 Nos) (580 Nos)
based on MCI norms
28.4 33.3 36.6 40.9 47.5
Sub Total
(617 Nos) (722 Nos) (816 Nos) (918 Nos) (1064 Nos)
EQUIPMENT &
2. 28.0 33.15 34.16 35.11 36.1
INFRASTRUCTURE
OTHER RECURRING COST

(materials & supplies,
3. 4.0 4.50 5.0 7.0 10.0
maintenance & other
miscellaneous expenditure)
GRAND TOTAL 60.4 70.95 75.76 83.01 93.6
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
B. High Dependency Unit (10 beds)

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
1 HDU Beds 1,00,000 0 10 10,00,000 0 5 5,00,000 0
2 Ventilator 13,00,000 0 5 65,00,000 0 5 65,00,000 2 26,00,000
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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
TOTAL 0 2,87,45,000 5,00,000 2,55,45,000 79,90,000

GRAND TOTAL 6,27,80,000
2. Bio-Medical Waste Management

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
1 Incinerator 85,00,000 1 85,00,000 0 0 0 1 85,00,000
2 Autoclave (Large) 25,00,000 1 25,00,000 0 1 25,00,000 0 1 25,00,000
3 Plastic Shredder 15,00,000 1 15,00,000 0 1 15,00,000 0 1 1500000
4 Waste Transportation van 7,00,000 1 7,00,000 0 0 0 1 700000
Bins, color coded BMW bags,
5 Protective Gears, Electrical Parts 7,00,000 3,00,000 4,00,000 5,00,000 6,00,000
and other essential articles
TOTAL 1,39,00,000 3,00,000 44,00,000 5,00,000 1,38,00,000
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3. Cardiac Care Centre
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
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
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4. CENTRAL LABORATORY SERVICES
A. Department of Biochemistry
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
B. Department of Microbiology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
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C. Department of Pathology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
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
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5. Department of Dental Surgery
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
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
4 Overhead Light Source 50,000 0 1 50,000 0 1 50,000 0
5 Dental Chair 2,50,000 0 1 2,50,000 0 1 2,50,000 0

6 Wood's Lamp 50,000 0 1 50,000 0 1 50,000 0
7 Trolleys 24,000 0 0 24,000 0
8 equipments (forceps, needle 1,00,000 1,00,000 2,00,000 3,00,000 4,00,000
holder, ophthalmic forceps etc.)
TOTAL 1,24,000 42,50,000 62,00,000 44,74,000 64,00,000
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7. Endoscopy Unit
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
8.Establishment of Oxygen Plant

(as per Quotation from nspHospitech India Pvt. Ltd.)
A. Medical Oxygen Gas Pipeline
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Primary Source : Oxygen
1 78,75,000 1 78,75,000 0 0 1 78,75,000 0
Concentrator
Secondary Source:
Fully Automatic Control Panel
2 2,75,000 1 2,75,000 0 0 1 2,75,000 0
for Oxygen
3 Oxygen manifold 65,000 1 65,000 0 0 1 65,000 0
Front insertion type Gas outlets
4 3,500 250 8,75,000 0 0 250 8,75,000 0
for Oxygen
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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)
9 1,265 800 10,12,000 0 0 800 10,12,000 0
(unit in metres)
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
B. Vacuum Services Pipeline

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
1 Vacuum System 18,75,400 1 18,75,400 0 0 1 18,75,400 0
Front insertion type Gas outlets
2 3,500 250 8,75,000 0 0 250 8,75,000 0
for Vacuum
3 Ward Vacuum Unit 3,200 250 8,00,000 0 0 250 8,00,000 0
4 520 400 2,08,000 0 0 400 2,08,000 0
(unit in metres)
5 1,860 800 14,88,000 0 0 800 14,88,000 0
(unit in metres)
6 5,780 120 6,93,600 0 0 120 6,93,600 0
(unit in metres)
7 Area Alarm System 56,000 1 56,000 0 0 1 56,000 0
8 Isolation Valves 42mm OD 8,700 6 52,200 0 0 6 52,200 0
9 Isolation Valves 22mm OD 3,200 4 12,800 0 0 4 12,800 0
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CST @5% 3,03,050 0 0 3,03,050 0
SUB TOTAL 63,64,050 0 0 63,64,050 0
Installation costs and

C. 5,57,275 2,50,000 2,50,000 8,50,000 3,50,000
maintenance of Oxygen Plant
TOTAL 1,90,00,000 2,50,000 2,50,000 1,92,92,725 3,50,000
9. Department of ENT
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
1 Headlight (Heine) 5,500 2 11,000 2 11,000 0 3 16,500 0
2 Otoscopes (Heine) 8,000 2 16,000 2 16,000 0 3 24,000 0

Instruments (Nasal Specula,
Tongue Depressors, Probe with
Ring Curette, Laryngeal Mirrors,
Post Rhinoscopy Mirrors,
Ashcs/Walsham Septal Forceps,
3 Crocodile Forceps, Bulls eye 5,00,000 0 0 5,00,000 0
lamp with head mirrors,
Septoplasty Set, Micro Ear
Surgery Set, Direct
Laryngoscope/Microlaryngeal
Forceps etc.)
Cold light source with fibre optic
4 5,00,000 1 5,00,000 0 1 5,00,000 1 5,00,000 1 5,00,000
cable
Rigid Nasal Endoscopes (0, 30,
5 2,50,000 1 2,50,000 0 1 2,50,000 1 2,50,000 1 2,50,000
70) [1 each]
6 Paediatric Nasal Endoscope 2,00,000 1 2,00,000 0 1 2,00,000 1 2,00,000 1 2,00,000
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
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10. Immunology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
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
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
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12. Department of Obstetric & Gynecology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
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13. Department of Ophthalmology
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
14. Department of Orthopaedics

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Ortho OT Table with Fracture
1 3,00,000 1 3,00,000 0 1 3,00,000 1 3,00,000 1 3,00,000
table attachment
2 C Arm Image intensifier 13,00,000 1 13,00,000 0 1 13,00,000 1 13,00,000 0
3 Basic Arthroscopy set 20,00,000 1 20,00,000 1 20,00,000 1 20,00,000 1 20,00,000 0
4 General Instruments 2,00,000 1 2,00,000 0 1 2,00,000 1 2,00,000 1 2,00,000
5 Instruments for plasters 50,000 1 50,000 1 50,000 0 0 0
6 Instruments for spine 3,10,000 1 3,10,000 1 3,10,000 1 3,10,000 1 3,10,000 1 3,10,000
Instruments and Implants for
7 1,00,000 0 1 1,00,000 2 2,00,000 1 1,00,000 1 1,00,000
DHS/DCS
8 40,000 1 40,000 1 40,000 1 40,000 1 40,000 1 40,000
forearm plating
9 10,00,000 1 10,00,000 1 10,00,000 1 10,00,000 1 10,00,000 1 10,00,000
Humerus Plating
10 1,50,000 1 1,50,000 1 1,50,000 1 1,50,000 1 1,50,000 1 1,50,000
external fixator
26 | P a g e
11 70,000 1 70,000 1 70,000 1 70,000 1 70,000 1 70,000
femur interlocking nail set
12 70,000 1 70,000 1 70,000 1 70,000 1 70,000 1 70,000
Tibia interlocking nail set
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
15. Department of Paediatric Surgery

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
Pediatric Compact Cystoscope
set 7/7.5 Fr with electrodes
1 15,00,000 1 15,00,000 0 1 15,00,000 0 1 15,00,000
(hook/loop/ball/bugbee) (Apple
Life Sciences Company)
Pediatric Upper GI Endoscopy
2 10,00,000 1 10,00,000 0 1 10,00,000 0 0
set (Olympus)
27 | P a g e
Pediatric Laparoscopy hand held
3 instruments set (3 mm/5 mm) 20,00,000 1 20,00,000 0 1 20,00,000 0 0
(Stryker)
4 Double Surface Phototherapy 50,000 2 1,00,000 0 1 50,000 1 50,000 1 50,000
5 Syringe pump 1,50,000 5 7,50,000 0 0 1 1,50,000 1 1,50,000
6 Nebulizer set 3,000 5 15,000 0 0 1 3,000 1 3,000
7 Pediatric Ventilator set 18,00,000 0 2 36,00,000 2 36,00,000 1 18,00,000 0
8 Phillips HD5 Ultrasound 10,00,000 0 1 10,00,000 0 1 10,00,000 0
9 Suction Machine 35,000 2 70,000 0 1 35,000 0 0
Multiparameter Pediatric
10 2,00,000 1 2,00,000 2 4,00,000 2 4,00,000 2 4,00,000 0
Monitor set
11 Oxygen Concentrator 50,000 2 1,00,000 0 0 0 0
12 Pediatric Laryngoscope 8,500 2 17,000 0 0 0 0
13 Neonatal Warmer set 50,000 3 1,50,000 0 3 1,50,000 0 0
14 Pediatric Bed set (with railings) 10,000 10 1,00,000 10 1,00,000 10 1,00,000 0 0
15 Headlight set (Heine) 5,500 3 16,500 0 0 0 0
Magnifying loupe set (LED Light
16 1,00,000 1 1,00,000 0 0 0 0
Source)
17 LCD Projector with Screen 45,000 1 45,000 0 0 0 0
Monopolar Diathermy (Valley
18 5,50,000 1 5,50,000 0 1 5,50,000 0 1 5,50,000
Lab)
19 Bipolar Diathermy (Valley Lab) 5,50,000 1 5,50,000 0 1 5,50,000 0 1 5,50,000
Operation Table(C-Arm
20 5,00,000 2 10,00,000 0 1 5,00,000 0 0
Compatible)
Paediatric Bronchoscope (Full
21 32,00,000 0 1 32,00,000 1 32,00,000 0 1 32,00,000
set) (Olympus)
22 C-Arm Set (Phillips) 12,00,000 0 1 12,00,000 1 12,00,000 1 12,00,000 0
23 Cleft (lip & palate) surgery set 2,00,000 1 2,00,000 0 0 0 0
24 Portable X-Ray (Siemens) 8,00,000 0 1 8,00,000 1 8,00,000 0 0
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)
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
16. Department of Paediatrics

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
1 Syringe Pump 1,50,000 10 15,00,000 10 15,00,000 10 15,00,000 10 15,00,000 10 15,00,000
2 Nebulizer 3,000 10 30,000 10 30,000 10 30,000 10 30,000 10 30,000
3 O2 Concentrator 90,000 4 3,60,000 4 3,60,000 4 3,60,000 4 3,60,000 4 3,60,000
4 Pulse Oxymeter 5,000 4 20,000 4 20,000 4 20,000 4 20,000 4 20,000
5 Double Surface Phototherapy 45,000 4 1,80,000 4 1,80,000 4 1,80,000 4 1,80,000 4 1,80,000
Portable Phototherapy 50,000 5 2,50,000 5 2,50,000 5 2,50,000 5 2,50,000 5 2,50,000
6 Warmer 30,000 10 3,00,000 10 3,00,000 10 3,00,000 10 3,00,000 10 3,00,000
7 Bilicheck 1,10,000 4 4,40,000 4 4,40,000 4 4,40,000 4 4,40,000 4 4,40,000
Straight Blade Paediatrics
8 8,500 4 34,000 4 34,000 4 34,000 4 34,000 4 34,000
Laryngoscope
Paediatrics Bed set (with
9 10,000 15 1,50,000 15 1,50,000 15 1,50,000 15 1,50,000 0
railings)
10 Suction Machine 40,000 4 1,60,000 4 1,60,000 4 1,60,000 4 1,60,000 4 1,60,000
Curved Blade Paediatrics
11 10,000 2 20,000 2 20,000 2 20,000 2 20,000 2 20,000
Laryngoscope
12 Ambu Bag with Mask (Neonatal) 3,000 4 12,000 4 12,000 4 12,000 4 12,000 4 12,000
13 Ambu Bag with mask (Children) 3,000 4 12,000 4 12,000 4 12,000 4 12,000 4 12,000
14 Patient Monitor 2,00,000 2 4,00,000 2 4,00,000 2 4,00,000 3 6,00,000 2 4,00,000
15 Paediatrics Ventilator Set 18,00,000 2 36,00,000 2 36,00,000 2 36,00,000 3 54,00,000 2 36,00,000
29 | P a g e
16 Oxygen blender 81,000 3 2,43,000 1 81,000 1 81,000 1 81,000 1 81,000
17 Neopuff (T-Piece Resuscitator) 75,000 2 1,50,000 1 75,000 1 75,000
Other requirements
(Endotracheal tubes,
18 50,000 1,00,000 1,00,000 1,00,000 1,00,000
Paediatric's Circuit, Bain's Circuit
etc.)
TOTAL 79,11,000 76,49,000 76,49,000 97,24,000 75,74,000
17. Department of Physical Medicine & Rehabilitation

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
1 Parallel working bar 20,000 2 40,000 2 40,000 2 40,000 0 0
2 Tilt table 50,000 2 1,00,000 1 50,000 1 50,000 0 0
Medical gym set/combo (weight
3 set, dumbbells set, hand drip, 5,00,000 1 5,00,000 1 5,00,000 0 0 0
etc
Therapeutic visual feedback
4 8,000 3 24,000 3 24,000 3 24,000 0 0
mirror
5 Short wave diathermy 5,00,000 1 5,00,000 2 10,00,000 2 10,00,000 1 5,00,000 0
6 Paraffin wax bath 30,000 2 60,000 1 30,000 1 30,000 0 0
7 Electrical stimulator 50,000 2 1,00,000 2 1,00,000 2 1,00,000 1 50,000 0
Lumber and cervical traction +
8 1,00,000 3 3,00,000 2 2,00,000 2 2,00,000 1 1,00,000 0
table
9 Ultrasound therapy 1,00,000 3 3,00,000 2 2,00,000 1 1,00,000 1 1,00,000 0
10 TENS 50,000 2 1,00,000 1 50,000 1 50,000 0 0
11 Treadmill 30,000 2 60,000 2 60,000 2 60,000 0 0
12 Body weight suspension system 8,00,000 1 8,00,000 1 8,00,000 0 0 0
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
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
31 | P a g e
18. Department of Plastic Surgery
2016-17 2017-18 2018-19 2019-20 2020-21
Sl
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
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
19. Department of Radiology

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
1 CT Scan 64/128 slices 5,00,00,000 1 5,00,00,000 0 0 0 0
2 X-Ray machine 600 mA Digital 12,00,000 1 12,00,000 0 0 0 0
Mammography (Stereotactive)
3 44,00,000 0 0 1 44,00,000 0 0
[Siemens]
4 Viewing Box 10,000 1 10,000 1 10,000 1 10,000 1 10,000 1 10,000
5 Lead Coat 10,000 5 50,000 5 50,000 5 50,000 5 50,000 5 50,000
6 Lead Gloves (Pair) 10,000 5 50,000 5 50,000 5 50,000 5 50,000 5 50,000
7 Thyroid Shield (Pair) 10,000 5 50,000 5 50,000 5 50,000 5 50,000 5 50,000
8 PET Scan MR 12,00,00,000 0 0 0 0 1 12,00,00,000
33 | P a g e
9 DRS Fluoroscopy [Siemens] 20,00,000 0 1 20,00,000 0 1 20,00,000 0
10 Film Dryer (50 films) 50,000 2 1,00,000 2 1,00,000 2 1,00,000 2 1,00,000 2 1,00,000
11 OPG (Ortho Pantomography) 20,00,000 0 1 20,00,000 0 1 20,00,000 0
12 MRI (3 Tesla) [Siemens] 5,00,00,000 0 1 5,00,00,000 0 0 0
Other requirements (X-Ray
films, Ultrasound films, Dental
13 3,00,000 4,00,000 6,00,000 7,00,000 8,00,000
films, ECG paper, fixer,
developer etc.)
TOTAL 5,17,60,000 5,46,60,000 52,60,000 49,60,000 12,10,60,000
20. Department of Respiratory Medicine

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
1 Spirometer 1,20,000 1 1,20,000 0 0 1 1,20,000 0
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
21. Department of Surgery

2016-17 2017-18 2018-19 2019-20 2020-21
Sl
1 Laparoscopic Set 44,00,000 1 44,00,000 0 0 1 44,00,000 0
2 Uretero Renoscopy Set 6,00,000 1 6,00,000 0 0 1 6,00,000 0
3 Cystoscopy Set 10,00,000 1 10,00,000 0 0 1 10,00,000 0
4 Lithotripter (Nidilip) 3,00,000 1 3,00,000 0 0 1 3,00,000 0
5 Harmonic Scalpel 22,00,000 1 22,00,000 0 0 1 22,00,000 0
6 Diathermy 5,50,000 1 5,50,000 0 1 5,50,000 0 1 5,50,000
7 Surgical Instruments 5,00,000 0 0 5,00,000 0
8 Suction Machine 40,000 1 40,000 1 40,000 1 40,000 1 40,000 1 40,000
9 Infusion Pump 1,20,000 1 1,20,000 1 1,20,000 1 1,20,000 1 1,20,000 1 1,20,000
10 Oxygen Concentrator 55,000 1 55,000 1 55,000 1 55,000 1 55,000 1 55,000
11 Foldable Screen 5,000 1 5,000 1 5,000 1 5,000 1 5,000 1 5,000
12 Pulse Oxymeter 5,000 1 5,000 1 5,000 1 5,000 1 5,000 1 5,000
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
22. Infrastructural Development

2016-17 2017-18 2018-19 2019-20 2020-21
Sl Amount
Item Rate (in Rs) Amount Amount Amount Amount
No. Qty Qty Qty Qty (in Rs Qty
(in Rs lakhs) (in Rs lakhs) (in Rs lakhs) (in Rs lakhs)
lakhs)
New Internal Road (Formation
1
Cutting) 80.00
Construction of culverts,
2
retaining wall, etc. 50.00 50.00
3 Pavement of roads
4 a) New Internal Road 80.00
5 b) Existing road and courtyard 60.00
6 Constn. of Boys' Hostel 100.00 300.00 300.00 300.00
7 Constn. of Girls' Hostel 100.00 300.00 300.00 300.00
8 Constn. Of Parking place
a) External 20.00
b) Internal 80.00
9 Fencing 100.00 100.00
10 Costn. of Helipad 100.00
11 Constn. of Shopping Complex 60.00 440.00
36 | P a g e
Constn. of Gymnasium/Indoor
12
Stadium 60.00 240.00
Constn. of Playground and
13
Pavilion etc. 100.00
External connection including
14
transformer (P&E Deptt.) 470.00 230.00
Water Supply and distribution
15
system (PHE Deptt.) 100.00
Alternate water Supply system,
16
Reservoir etc. (PHE Deptt.) 200.00 200.00 100.00
17 Forestation/Beautification 10.00 20.00 20.00 20.00 20.00
18 Constn. of Pedestrian Fly-Over 40.00 60.00
TOTAL 910.00 1,200.00 1,200.00 1,000.00 800.00
GRAND TOTAL (in Rs. Lakhs) 5,110.00
37 | P a g e
JUSTIFICATIONS FOR THE PROPOSAL
A. EQUIPMENT COMPONENT FOR VARIOUS DEPARTMENTS
1. ANAESTHESIOLOGY AND INTENSIVE CARE DEPARTMENT

A. For operation theatres:
1. Workstation : is the most important machine for giving anaesthesia during surgeries. It is
designed to provide and accurate and continuous supply of medical gases (such as oxygen and
nitrous oxide) mixed with accurate concentration of anaesthetic vapour. Machine also
incorporates a ventilator.
2. O.T. Table: Operating tables are important because certain operations are done in different
positions of patient. The table has to be easily adjustable according to the site to be operated.
3. O.T. Light: During surgeries, the site of operation has to be illuminated properly with a good
focus of light source from above. Sometimes, it has to be adjusted by the surgeon with a sterile
changeable handle.
4. Patient Monitor: Multi monitor is necessary for monitoring the important organs of the body
during anaesthesia and surgery. Blood pressure, pulse, ECG and respirations needs to be
monitored accurately.
5. Suction Machine: It is a machine which is connected with tubes or catheters to suck out the
secretions from the mouth ands throat or intra-abdominal fluids and prevents from soiling of
the linen and O.T. floors.
6. Diathermy Machine: It is useful to stop the bleeding sites where it cauterizes the tissues and
stops bleeding.
7. U. P. S: Due to unstable and irregular power supply at Falkawn, online UPS is of the utmost
importance to ensure that there are no hindrances during an operation.
8. ABG Machine: This is a very important machine for ICU, with this machine you can check the
arterial blood gases and electrolytes where most of the correction in imbalance is done
according to the result read.
9. Nerve Stimulator: This is for stimulation of the nerve when nerve block local anaesthesia is
given. With this instrument precise nerve block can be given in a particular limb or area of parts
of a body.
10. Laparoscopic Laryngoscopy: This instrument is useful for very difficult intubation. This will
minimized the procedure of tracheostomy done in most cases. This instrument will directly
visualize laryngeal opening and will help in easy intubation.
11. Ultrasonography/Ultrasound machine: This is useful in ICU patient who needs venous access
where smaller veins are difficult to find. Ultrasound guided central lines insertion is good and
reliable method top central lines insertion. This is also useful in post-operative patients kept in
ICU.
12. Crash Cart: This is also called resuscitation or code cart. It is a portable cart containing
defibrillator, airway intubation devices, resuscitation mask and medication box. In case of
emergency this cart is very useful.
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.
2. BIO-MEDICAL WASTE MANAGMENT

It is essential for a hospital to have a scientific system to manage and handle Bio Medical Waste
in hospitals and as dictated by Bio Medical Wate (Management and Handlig Rules) 2016, all hospital
wastes must be treated via Incineration or Plasma Pyrolysis or deep burial. Therefore, all necessary
equipment for this purpose such as incinerator are proposed for patient and staff safety as well as
environmental safety.
3. CARDIAC CARE CENTRE

Cardiovascular diseases are assuming increasing importance among the adult population in the
State. The prevalence is showing an upward trend and is likely to increase for one reason, life
expectancy is increasing and a greater number of people are living to older ages and are at a greater
risk of cardiovascular diseases. The life style and behavioural patterns of people of Mizoram are
changing like the rest of the world, this being favourable to the onset of Heart Diseases. The impact of
Heart Diseases on the lives of the people is serious when measured in terms of loss of life,
disablement, family hardship, poverty and financial loss to the Country. Therefore, the need of a
Cardiac Care Centre is justified as follows :
- The services rendered in the present situation is not sufficient to meet the requirement of the
people of Mizoram, therefore, establishment of well equipped Cardiology Wing at State
Referral Hospital, Falkawn is highly necessary.
- The poorer sections of the society succumb to their Heart diseases due to unavailability of
facilities for proper treatment as they do not have access to Heart centres outside the State
due to financial constraint.
- Hence, with the establishment of a well equipped Cardiac Care Centre at State Referral
Hospital, Falkawn, it is expected that the number of heart patients referred outside the State
will be brought down significantly thereby reducing the huge amount of money the State have
to bear for the treatment at other centres like Birla Heart Research Centre, Kolkata Escorts
Heart Centre, Delhi etc.
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.
5. DEPARTMENT OF DENTAL SURGERY

The Dental Department at State Referral Hospital, Falkawn is underequipped to deal with
serious cases. This leads to patients from the area having to go to private clinics which can be a burden
for poor families. The department needs to be strengthened and upgraded to cater to the needs of the
patients and to minimize outside referrals.
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.
8. ESTABLISHMENT OF OXYGEN PLANT

Central Oxygen Plant and pipeline is necessary and mandatory in a hospital especially for
proper functioning of ICU and OT. It is also essential for supplying piped oxygen to various parts of the
hospital thereby facilitating easier access of oxygen for patients at their bedside. This will reduce the
cost of procuring oxygen tanks from outside suppliers and minimize government spending in the long
run. Thus, an oxygen plant is the need of the hour for a tertiary care hospital.
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.
11. DEPARTMENT OF MEDICINE

The Department of Medicine, State Referral Hospital presently has a 40 bedded ward with
plans for further expansion. The ward is fully occupied most of the time with a large number of cases
referred from other hospitals all over Mizoram. The outpatient department also sees a large number of
cases daily. We also have daily NCD clinic, which sees patients with Diabetic mellitus, hypertension,
cancer and other non-communicable diseases. There is a huge dearth of equipment in our hospital,
which leads to delay in diagnosis and unnecessary referrals to other hospitals/diagnostic centres
outside Mizoram. Thus the hospital needs to be equipped with more sophisticated facilities, which will
lead to better treatment and diagnosis of patients.
Therefore the following materials/instruments/machines are required for the Department of
Medicine which would help in early diagnosis of the patients and early treatment inside the state of
Mizoram (eg. cancer, non-communicable diseases, early dialysis etc. ) and monitoring of patients which
will save more lives and avoid unnecessary referral of the patients to outside centres and outside the
state.
Medicine being a multidisciplinary filed has to cater to Cardiology, Nephrology,
Gastroenterology, Neurology patients and so the department needs these equipment in order to
provide better care and diagnosis for the patients in our state.
12. DEPARTMENT OF OBSTETRICS & GYNAECOLOGY

Various lists of requirements for medical equipment and instruments have been put
forward by the department of Obstetrics & Gynaecology for the improvement of the department as
well as the hospital as a whole, for the following reasons:
1) Reduction of Maternal and Infant Mortality Rate in Mizoram
- MMR and IMR are the most important National Health Care parameters and indices.
- Mizoram contributes one of the highest MMR and IMR in India.
2) Reduction of patient referrals outside state of Mizoram
- Crores of rupees have been spent annually for outside referrals and treatment by the
government of Mizoram.
- Modern, sophisticated and world-class equipment at hands will significantly reduce
treatment and referral outside state.
3) Standard and Quality Health Care of patients in Mizoram
- There will be standard and quality care for the patients, which in turn will reduce late
diagnosis and improper treatment of diseases.
- Attraction of patients from all parts of the city and the state to this esteemed hospital is
guaranteed.
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.
13. DEPARTMENT OF OPHTHALMOLOGY

There are plenty of eye problems in Mizoram. Most of the cases are not possible to be treated
in Mizoram due to non-availability of equipment. If all these necessary and important equipment are
made available, almost all the eye problems leading to blindness could be treated and operated. This
will reduce the incidence of blindness and will also reduce cases needed to be referred outside
Mizoram, thus helping the government financially.
14. DEPARTMENT OF ORTHOPAEDICS

The Department of Orthopaedics at State Referral Hospital, Falkawn is currently under-
equipped and needs to be better equipped and upgraded at the earliest to minimize outside referrals.
For this purpose, the various equipment needed are :
1. Ortho OT Table with Fracture Table attachment : With the current increase in hip and femur
fracture, ortho fracture table is an absolute requirement for hip and lower limb fracture
operations.
2. C-Arm Image Intensifier : For standard orthopaedic operations, C-Arm Image intensifier is an
aboslute requirement in around 80% of surgeries for optimal outcome.
3. Basic arthroscopy set : Due to increase in sports injuries, most of the ligaments and knee
injuries are being referred to higher centres. For managements of these cases in Mizoram,
Arthroscopy Unis is a must for all these cases.
4. Spinal Instrument Set : Spinal Injuries and complicated surgeries are being referred outside the
state due to lack of instruments. To manage these cases inside the state, spinal instrument set
is highly required.
5. Hemiarthroplasty set : Growing Increase in old-age hip fractures necessitates Hemiarthroplasty
operations.
6. DHS/DCS Instruments and Implants : Some types of hip fractures cannot be fixed without
specific instruments such as DHS/DCS set.
43 | P a g e
7. Stryker System Six Cordless Drill System : Around 90% of modern orthopaedic operations
cannot be executed without proper drill system.
8. Arthoplasty Set (Hip & Knee) : Many hip and knee diseases are being referred outside the state
at present due to lack of instruments.
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.
15. DEPARTMENT OF PAEDIATRICS SURGERY

Mizoram is making progress in the field of Surgical Superspeciality with Paediatric Surgeons
coming up in recent years, many congenital anomalies and other surgical illnesses in children which
were earlier referred outside the state can now be managed in Mizoram.
However, certain cases need special equipment without which Paediatric Surgeons of Mizoram
cannot do operations. If those instruments which cost a few lakhs of Rupees are available, crores of
Rupees of Government fund which are spent on referral outside Mizoram can be saved annually.
The required equipment is primarily for establishing Paediatric Surgery Superspeciality Center
at State Referral Hospital, Falkawn.
16. DEPARTMENT OF PAEDIATRICS

The equipment listed below are required in the Paediatrics Ward, Neonatal Intensive Care Unit
(NICU)/Surgical-Neuro Intensive Care Unit (SNICU) as at present, we are dealing with serious referred
paediatrics patients. The equipment will help us to decrease the morbidity and mortality of the
paediatrics patients. At present, there is no equipment for treating serious patients and due to the
above reason, there were cases which could not be saved. If there are equipment like syringe pump,
patient monitors, O2 concentrators etc. There will be many cases which will help the patients for
speedy recovery and salvage the sick babies and children.
1. Syringe pump : At present we have 28 beds and 1 cabin without any syringe pump. As State
Referral Hospital, Falkawn where patients had been referred from different
CHC/PHC/District Hospital. Syringe pump is very much required for the in patients for giving
proper treatment.
2. Nebulizer : At present, there is only one nebulizer, but we have more than 1- cases with
respiratory tract disorders requiring nebulizer, most of them could not get proper
treatment for the same due to sufficiency of the equipment.
3. Oxygen concentrator : There are at least 5 to 10 cases with very serious difficulty in
respiration requiring oxygen, most of the time the patients could not get oxygen inhalation
as there in not enough oxygen supply in the ward. Some patients have super added
problems due to the lack of oxygen supply.
4. Pulse oxymeter : Pulse oxymeter is required for the assessment of the presence of Oxygen
level in the patient. Accordingly the patients can be monitored and given the right
treatment as required.
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.
17. DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION

Health care in Mizoram at present is still lacking a rehabilitation care due to unavailability of a
comprehensive rehabilitation set up. Many cases such as spinal injury, stroke, traumatic brain injury,
cerebral palsy, limb amputations, joint impairment, and lots of musculoskeletal and neurological cases
need further rehabilitation care in addition to present treatment offer in our government hospitals.
Only fortunate patients can avails this rehabilitation care due to cost factor and unavailability of
rehabilitation set up in the state. Moreover the rehabilitation staff such as PMR specialist,
physiotherapist, occupational therapist, prosthetic and orthotic workers at present works with a very
poor equipments and unable to work with their full potentials. And above mentioned equipments are
the basic needs of physical and Rehabilitation Department to fully function.
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.
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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.
19. RADIOLOGY DEPARTMENT

The requirement of Radiology department is justified as follows :
1. MRI (3 TESTA) (Skyra) (Siemens)
Magnetic resonance imaging (MRI) is a test that uses a magnetic field and pulses of radio wave
energy to make pictures of organs and structures inside the body. In many cases, MRI gives different
information about structures in the body than can be seen with an X-ray, ultrasound, or computed
tomography (CT) scan. An MRI scan can be used as an extremely accurate method of disease detection
throughout the body and is most often used after other testing fails to provide sufficient information
to confirm a patient's diagnosis. In the head, trauma to the brain can be seen as bleeding or swelling.
Other abnormalities often found include brain aneurysms, stroke, tumors of the brain, as well as
tumors or inflammation of the spine. An MRI scan not only helps in defining brain anatomy but in
evaluating the integrity of the spinal cord after trauma. It is also used when considering problems
associated with the vertebrae or intervertebral discs of the spine. An MRI scan can evaluate the
structure of the heart and aorta, where it can detect aneurysms or tears.
2. CT-Scanner 128 Slices (AS-Plan) (Siemens)
CT scan images provide more detailed information than plain X-rays. A CT scan can be
used to visualize nearly all parts of the body and is used to diagnose disease or injury as well as to plan
medical, surgical or radiation treatment. They can detect any bone defect fracture and mass, it can
also detect lung diseases like masses and infection. It can pick up very small mass and artery disease
can also be detected.
3. PET-MR
This machine is useful especially for problems with nervous systems and can detect very
small cell damage of 0.1 mm size. It can also be used in whole body scanning of bone and muscle,
nervous system, urinary system.
4. DRS Flouroscopy (Limonas DRS) (Siemen)
Fluoroscopy is used in many types of examinations and procedures, such as barium X-
rays, cardiac catheterization, arthrography (visualization of a joint or joints), lumbar puncture,
placement of intravenous (IV) catheters (hollow tubes inserted into veins or arteries), intravenous
pyelogram, hysterosalpingogram, and biopsies. Fluoroscopy may be performed to evaluate specific
areas of the body, including the bones, muscles, and joints, as well as solid organs, such as the heart,
lung, or kidneys.
5. Mammography (Mommat 3000) ( Siemen)
They are most often used to screen for breast cancer in women who have no symptoms.
Mammograms and other breast imaging tests can also be used in women who have breast symptoms,
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.
20. DEPARTMENT OF RESPIRATORY MEDICINE
Respiratory Medicine is a relatively new subject/department which is gaining importance day

by day. There are so many diseases (old and new) which are related to chest/respiratory diseases. In
order to provide and treat the patients with basic care, the Respiratory Department needs to be
equipped with the following important and vital instruments. In content to the growing pollution in the
city, there is a rapid increase in the health problems relating/pertaining specifically to chest. Without
proper instruments, the diagnosis and treatment management of patients is hindered leaving
uncountable problems to the patient and the physician as well. In a state where the treatment cost
cannot be met by most of the patients, there is a necessity for provision of good equipment so as to
fully treat its patients with good outcome.
The following instruments/requirements which are highlighted are the basic ones to be able to
treat patients with respiratory diseases. Instruments like Spirometer and Bronchoscope are essential
for diagnosing many chest/respiratory diseases, measuring the lung capacity and its related problems.
Bronchoscope enables to take biopsy as and when needed for the betterment of the patient and early
diagnosis of terminal diseases.
Smoking is highly prevalent in Mizoram. As a consequence, Cancer of the lungs has become one
of the most common disease. To detect if possible, at an early stage, so that there may be a better
prognosis and lungs life-span.
21. DEPARTMENT OF SURGERY

The Department of Surgery at State Referral Hospital, Falkawn needs to be upgraded in order
to cope with the growing number of patients needing surgery. The following major equipment are
needed for upgradation of the department :
1. Cystoscopy/Ureterenoscopy set/Lithotripter : These equipment are needed for non-
invasive treatment of kidney stones/urolithiasis. This will benefit the patient by causing less
pain with a higher chance of early recovery. Non-invasive treatment will not leave any scar
which can be one cause of concern for patients. These equipment are the basic minimum
requirement for modern uro-surgical procedures.
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.
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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
MEDICAL COUNCIL OF INDIA
Requirements to be fulfilled by the Applicant Colleges for obtaining

Letter of Intent and Letter of Permission for
Establishment of the new Medical Colleges and Yearly
Renewals under Section 10-A
10 of the Indian Medical Council Act, 1956.
(As amended in July,

Ju 2015)
MEDICAL COUNCIL OF INDIA

POCKET 14, SECTOR - 8
DWARKA - 1
NEW DELHI - 110 077
PHONES : 011-25367033,
25367033, 25367036, 25367037.
Requirements for 100 admissions{ M.B.B.S. UG} only
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
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
Recognition
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
14 Nursing Staff a) Nursing Supdt. 1 1 1 1 1 1

b) Dy. Nursing Sudt. 2 2 2 2 3 3
c) Asstt. Dy. Nursing 4 4 4 5 6 7
Supdt.
d) Nursing sister 27 27 27 29 33 33
e) Staff Nurse 141 141 141 161 203 203
Total 175 175 175 198 247 247
15 Practical Laboratories 3 (150 sq. m) 6 (150 sq. m) 6 (150 sq. m) 6 (150 sq. m) 6 (150 sq. m) 6 (170 sq. m)
[College} 1 (60 sq. m) 2 (60 sq. m) 2 (60 sq. m) 2 (60 sq. m) 2 (60 sq. m) 2 (75 sq. m)
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.
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
Ist IInd IIIrd

LOP IVth Renewal
Department Designation Renewal Renewal Renewal Recognition
(1st Batch) (5th Batch)
(2nd Batch) (3rd Batch) (4th Batch)
Anatomy Professor 1 1 1 1 1 1
Assoc. Prof. 1 1 1 1 1 1
Asstt.Prof. 1 1 1 1 1 1
Tutor 3 3 3 3 3 3
Physiology Professor 1 1 1 1 1 1
Assoc. Prof. 1 1 1 1 1 1
Asstt.Prof. 1 1 1 1 1 1
Tutor 3 3 3 3 3 3
Biochemistry Professor 1 1 1 1 1 1
Assoc. Prof. 1 1 1 1 1 1
Asstt.Prof. 1 1 1 1 1 1
Tutor 3 3 3 3 3 3
Pharmacology Professor 0 1 1 1 1 1
Assoc. Prof. 1 1 1 1 1 1
Asstt.Prof. 0 1 1 1 1 1
Tutor 1 2 2 2 2 2
Pathology Professor 0 1 1 1 1 1
Assoc. Prof. 1 2 2 2 2 2
Asstt.Prof. 1 3 3 3 3 3
Tutor 1 4 4 4 4 4
Microbiology Professor 0 1 1 1 1 1
Assoc. Prof. 1 1 1 1 1 1
Asstt.Prof. 0 1 1 1 1 1
Tutor 1 3 3 3 3 3
Forensic Professor 0 1 1 1 1 1
Ist IInd IIIrd
LOP IVth Renewal
(1 Batch)
st (5th Batch)
Medicine Assoc. Prof. 0 0 0 0 0 0
Asstt.Prof. 1 1 1 1 1 1
Tutor 1 2 2 2 2 2
Community Professor 0 1 1 1 1 1
Asstt.Prof. 0 2 2 2 2 2
Epidemiologis
0 1 1 1 1 1
t-Asst. Prof.
Statistician-
0 1 1 1 1 1
cum-Tutor
Tutor 1 1 3 3 3 3
General Professor 1 1 1 1 1 1
Asstt.Prof. 3 3 3 3 4 4
Sr. Resident 3 3 3 3 4 4
Jr. Resident 6 6 6 6 8 8
Paediatrics Professor 0 1 1 1 1 1
Assoc. Prof. 1 1 1 1 1 1
Asstt.Prof. 0 1 1 2 2 2
Tuberculosis & Professor 0 0 0 0 1 1
Respiratory Assoc. Prof. 0 0 0 0 0 0
Diseases Asstt.Prof. 1 1 1 1 1 1
Dermatology, Professor 0 0 0 0 0 0
Ist IInd IIIrd
LOP IVth Renewal
(1 Batch)
st (5th Batch)
Venereology & Assoc. Prof. 0 0 0 1 1 1
Leprosy Asstt.Prof. 1 1 1 1 1 1
Psychiatry Professor 0 0 0 0 0 0
Assoc. Prof. 0 0 0 1 1 1
Asstt.Prof. 1 1 1 1 1 1
General Surgery Professor 1 1 1 1 1 1
Assoc. Prof. 2 2 2 2 3 3
Asstt.Prof. 3 3 3 3 4 4
Orthopaedics Professor 0 1 1 1 1 1
Assoc. Prof. 1 1 1 1 1 1
Asstt.Prof. 0 1 1 2 2 2
Oto-Rhino- Professor 0 0 0 0 1 1
Laryngology Assoc. Prof. 0 0 0 1 1 1
Asstt.Prof. 1 1 1 1 1 1
Ophthalmology Professor 0 0 0 0 1 1
Assoc. Prof. 0 0 0 1 1 1
Asstt.Prof. 1 1 1 1 1 1
Ist IInd IIIrd
LOP IVth Renewal
(1 Batch)
st (5th Batch)
Obstetrics Professor 1 1 1 1 1 1
&Gynaecology Assoc. Prof. 1 1 1 1 1 1
Asstt.Prof. 2 2 2 2 2 2
Anesthesiology Professor 0 0 0 1 1 1
Assoc. Prof. 2 2 2 2 2 2
Asstt.Prof. 2 2 2 2 4 4
Radio-Diagnosis Professor 0 0 1 1 1 1
Assoc. Prof. 1 1 1 1 1 1
Asstt.Prof. 1 1 1 1 1 1
Dentistry Professor 0 0 0 1 1 1
Assoc. Prof. 0 0 1 1 1 1
Asstt.Prof. 1 1 1 1 1 1
Notes:
For purpose of working out the deficiency:
(1) The deficiency of teaching faculty and Resident Doctors shall be counted separately.
(A) For Teaching Faculty:

(a) For calculating the deficiency of faculty, Prof., Assoc Prof., Asst. Prof& Tutor in respective departments shall be counted together.
(b) Any excess teaching faculty in higher cadre can compensate the deficiency of lower cadre of the same department only.
(c) Any excess teaching faculty of lower cadre/ category in any department cannot compensate the deficiency of any teaching faculty in the higher
cadre/category of the same department or any other department. e.g. excess of Assistant Professor cannot compensate the deficiency of Associate Professor
or Professor.
(d) Excess/Extra teaching faculty of any department cannot compensate the deficiency of any teaching faculty in any other department.
(B) For Resident Doctors:

(a) Excess of SR can be compensated to the deficiency of JR of the same department only.
(b) Excess SR/JR of any department cannot compensate the deficiency of SR/JR in any other department.
(c) Any excess of JR cannot compensate the deficiency of SR in same or any other department.
(d) Any excess/ extra teaching faculty of same or any other department cannot compensate the deficiency of SR/JR.
e.g. excess of Assistant Professor cannot compensate the deficiency of SR or JR.
(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
Faculty Total 58 85 89 96 105 105
Resident Total 45 47 48 59 67 67
ANNEXURE 2
Indian Public Health Standards (IPHS)
Guidelines for
District Hospitals
(101 to 500 Bedded)
Revised 2012
Directorate General of Health Services

Ministry of Health & Family Welfare
Government of India
Other Amenities break down and reduce down time of all essential and
Disabled friendly, WC with basins wash basins other equipment.
as specified by Guidelines for disabled friendly XIV) Record Maintenance
environment should be provided. (Medical Record Department)
VIII) Waste Disposal System Hospital shall have dedicated medical record
National Guidelines on Bio-Medical Waste Management departmentto store patients record and other data
are at Annexure II A. pertaining to hospital.
Mercury waste management guidelines are placed at XV) Committee Room
Annexure II B. A meeting or a committee room for conferences,
IX) Housekeeping services trainings with associated furniture.
Hospital shall develop and implement standard operating XVI) Hospital Transport Services
procedure for cleaning techniques, pest control, 1. Hospital shall have well equipped Basic Life
frequency and supervision of housekeeping activities. support (BLS) and desirably one Advanced Life
Support (ALS) ambulance.
X) Medical Gas
2. Ambulances shall be provided with
All gases may preferably be supplied through manifold communication system.
system. 3. There shall be separate space near emergency
XI) Cooking Gas for parking of ambulances.
4. Serviceability and availability of equipment and
Liquefied petroleum gas (LPG) will be used for drugs in ambulance shall be checked on daily
cooking. basis.
XII) Building Maintenance Manpower Requirements
Provision for building maintenance staff and an office- Following is the minimum essential manpower
cum store will be provided to handle day to day required for a functional District Hospital of different
maintenance work. bed strengths as indicated. Efforts shall be made by the
XIII) Annual Maintenance Contract (AMC) States/UTs to provide all desirable services including
super-specialty services as listed, as and when the
AMC should be taken for all equipment which need required manpower is available in the concerned
special care and preventive maintenance done to avoid District/State.
District Hospital Man PowerMedical

Specialty 100 Beds 200 Beds 300 Beds 400 Beds 500 Beds
Medicine 2 2 3 4 5
Surgery 2 2 3 3 4
Obstetric & Gynae 2 3 4 5 6
Paediatrics 2 3 4 4 5
Anaesthesia 2 2 3 3 4
Opthalmology 1 1 2 2 2
Orthopaedics 1 1 2 2 2
Radiology 1 1 2 2 2
Pathology 1 2 3 3 4
ENT 1 1 2 2 2
Dental 1 1 2 3 3
MO 11 13 15 19 23
Dermatology 1* 1* 1 1 1
Psychiatry 1 1 1 1 1
Microbiology 1* 1* 1 1 1
Forensic Specialist 1* 1* 1 1 1
AYUSH Doctors# 1 1 1 2 2
Total 29+3 34+3 50 58 68
*Desirable
#If more than one AYUSH doctors are available, at least one doctor should have a recognised PG qualification in relevant system under AYUSH.
36 Indian Public Health Standards (IPHS): Guidelines for District Hospitals

District Hospital Man Power Nurses and Para-Medical
Cadre 100 Beds 200 Beds 300 Beds 400 Beds 500 Beds
Staff Nurse 45 90 135 180 225
Lab Tech 6 9 12 15 18
Pharmacist 4+1# 6+1# 8+1# 10+1# 12+1#
Storekeeper 1 1 2 2 2
Radiographer 2 3 5 7 9
ECG Tech/Eco 1 2 3 4 5
Audiometrician - - 1 1 1
Optha. Asstt. 1 1 2 2 2
EEG Tech - - 1 1 1
Dietician 1 1 1 1 1
Physiotherapist 1 1 2 2 3
O.T. technician 4 6 8 12 14
CSSD Asstt. 1 1 2 2 3
Social Worker 2 3 4 5 6
Counsellor 1 1 2 2 2
Dermatology Technician - - 1 1 1
Cyto-Technician - - 1 1 1
PFT Technician - - - - 2
Dental Technician 1 1 2 2 3
Darkroom Asstt. 2 3 5 7 9
Rehabilitation Therapist 1 1 2 2 3
Biomedical Engineer* 1 1 1 1 1
Total 76 132 201 261 325
#For AYUSH
*Desirable
Total Medical and Paramedical Manpower

Doctors 29 34 50 58 68
Staff Nurse 45 90 135 180 225
Paramedicals 31 42 66 81 100
Total Strength 105 166 251 319 393
District Hospital Man Power Administration

Hospital Administrator 1 1 1 2 2
Housekeeper/manager 1 2 3 4 5
Medical Records officer 1 1 1 1 1
Medical Record Asstt. 1 2 3 3 3
Accounts/Finance 2 3 4 5 6
Admn. Officer 1 1 1 1 1
Office Asstt. Gr I 1 1 2 2 2
Office Asstt. Gr II 1 1 2 3 4
Ambulance Services (1 driver + 2 Tech.) 1 1 2 3 3
Total 12 15 21 26 29
Note: Manpower for the services which are outsourced are not shown here i.e services like Mali, Dhobi, Waste handler, Aya, Peon, OPD Attendant, Ward
Boys, Parking attendant, Plumber, Electrician, Mistry, Vehicle drivers, Security and Sanitary workers etc.
Indian Public Health Standards (IPHS): Guidelines for District Hospitals 37

District Public Health Unit 1 nurse for 6 beds for General Ward
This unit may be located in the District Hospital. The Unit 1 Nurse for 4 beds Special ward
shall be responsible for carrying out and coordinating 1 Nurse for 1 bed for ICU
the activities required for preventing and controlling 2 Nurse for one OT Table
public health emergency situation like epidemic, 2 Nurse for one Labour room
disaster an event affecting the community at large. The One Nurse for a load of 100 patient Injections
activities shall include Integrated Disease surveillance, 45% leave reserve
epidemic investigations, establishing community and
Laboratory diagnosis, implementing public health Equipment Norms
measures required in epidemic and disaster situations Equipment norms are worked out keeping in mind
and emergency response the assured service recommended for various grades
1. One Epidemiologist of the district hospitals. The equipment required are
2. One Entomologist worked out under the following headings. Some of the
3. One Microbiologist equipment which may be available in ideal situation
4. One IEC Officer have been indicated as Desirable and rest is Essential.
5. One District Public Health Nursing Officer I. Imaging equipment
6. One District Data analyst/Demographer II. X-Ray Room Accessories
Man Power Blood Bank III. Cardiopulmonary Equipment
IV. Labour ward, Neo Natal and Special Newborn
Sl. Cadre 100 200 300 400 500
Care Unit (SNCU) Equipment
No. Beds Beds Beds Beds Beds
V. Immunization Equipment
Blood Bank In-
1 charge (Doctor - - 1 1 1 VI. Ear Nose Throat Equipment
Pathologist) VII. Eye Equipment
2 Staff Nurse 3 3 3 3 3 VIII. Dental Equipment
Male/Female Ix. Operation Theatre Equipment
3 1 1 1 1 1
Nursing Attendant
x. Laboratory Equipment
Blood Bank
4 1 1 1 2 2 xI. Surgical Equipment Sets
Technician
5 Sweeper 1 1 1 1 1 xII. Physical Medicine and Rehabilitation (PMR)
Equipment
Post Partum Unit (Desirable)* xIII. Endoscopy Equipment
S. No. Cadre Number xIV. Anaesthesia Equipment
1 Doctor: MBBS with PG in Obstetrics 1 xV. Furniture & Hospital Accessories
and Gynecology:
xVI. Post Mortem equipment
2 Staff Nurse 1
3 Counselor cum Data entry Operator 1 xVII. Linen
*In case the delivery case load is more than 75 per month xVIII. Teaching Equipment
xIx. Administration
Note: General HR and Bed norms for Obstetric Cases xx. Refrigeration & AC
No. of Requirement Requirement HR require- xxI. Hospital Plants
Deliveries in of Bed of Labour ment Staff
a month table Nurses xxII. Hospital Fittings & Necessities
100 10 beds 2 Labour 4 for Labour xxIII. Transport
deliveries tables Rooms xxIV. Radiotherapy
5 for ANC/ xxV. Intensive Care Unit (ICU)
PNC Wards
The detailed information on service norms for equipment
Specific requirements for nursing staff can be calculated for 100-200 bedded, 201-300 bedded and 301 to 500
according to Indian Nursing Council Norms, as given below beds district Hospitals is given in the Table I to XXIII.
38 Indian Public Health Standards (IPHS): Guidelines for District Hospitals

ANNEXURE 3
Summary of Staff requirements for Medical College with 100 annual admissions
1) MCI Norms LOP 1st Renewal 2nd Renewal 3rd Renewal 4th Renewal Recognition
a) MIMER Staff 253 358 380 459 484 484

b) Nursing Staff 175 175 175 198 247 247
Sub-Total 428 533 555 657 731 731
2) IPHS Norms 300 Beds 400 Beds 500 Beds
a) Para Medical 66 66 81 81 100 100
b) Admin Staff 23 23 30 30 33 33
c) Group D Staff 100 100 150 150 200 200
Sub-Total 189 189 261 261 333 333
GRAND TOTAL 617 722 816 918 1064 1064
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
SALARY REQUIREMENT FOR HOSPITAL (Based on IPHS norms)

300 Beds (Immediate) 400 Beds (Intermediate) 500 Beds (Final)
PER MONTH (in 55,62,259 76,21,880 96,95,489
PER YEAR (in Rs.) 6,67,47,108 9,14,62,560 11,63,45,868
SALARY REQUIREMENT FOR NURSING STAFF (Based on MCI norms)

PER MONTH (in
71,12,599 71,12,599 71,12,599 80,42,276 99,82,154 99,82,154
Rs.)
PER YEAR (in Rs.) 8,53,51,188 8,53,51,188 8,53,51,188 9,65,07,312 11,97,85,848 11,97,85,848
GRAND TOTAL SALARY REQUIREMENTS

PER MONTH (in
2,35,61,831 2,76,72,685 3,04,55,013 3,40,59,665 3,94,35,909 3,94,35,909
Rs.)
PER YEAR (in Rs.) 28,27,41,972 33,20,72,220 36,54,60,156 40,87,15,980 47,32,30,908 47,32,30,908
STAFF REQUIREMENT FOR MIMER
TEACHING FACULTY REQUIREMENTS
4th Renewal /
Sl. No. Designation LOP 1st renewal 2nd Renewal 3rd Renewal PAY
Recognition
1 Professor 6 13 14 16 19 PB-4+10,000 AGP
2 Associate Professor 17 19 20 24 26 PB-4+9000 AGP
3 Asst. Professor 22 31 31 33 37 PB-3+6000 AGP
4 Sr. Resident 18 18 18 21 24 PB-3+6000 AGP
5 Jr. Resident 27 29 30 38 43 PB-3+5,400 GP
6 Tutor/Demonstrator 14 22 23 23 23 PB-3+5,400 GP
TOTAL 104 132 136 155 172
TEACHING FACULTY SALARY REQUIREMENTS

4th /
Sl. No. Designation LOP (in Rs.) 1st (in Rs.) 2nd (in Rs.) 3rd (in Rs.) Recognition (in
Rs.)
1 Professor 6,77,340 14,67,570 15,80,460 18,06,240 21,44,910
2 Associate Professor 18,79,180 21,00,260 22,10,800 26,52,960 28,74,040
3 Asst. Professor 11,49,720 16,20,060 16,20,060 17,24,580 19,33,620
4 Sr. Resident 9,40,680 9,40,680 9,40,680 10,97,460 12,54,240
5 Jr. Resident 13,72,950 14,74,650 15,25,500 19,32,300 21,86,550
6 Tutor/Demonstrator 7,11,900 11,18,700 11,69,550 11,69,550 11,69,550
Monthly Requirement 67,31,770 87,21,920 90,47,050 1,03,83,090 1,15,62,910
Annual Requirement 8,07,81,240 10,46,63,040 10,85,64,600 12,45,97,080 13,87,54,920
ADMINISTRATIVE STAFF REQUIREMENTS
4th Renewal /
Recognition
1 Director/Principal 1 1 1 1 1 PB-4+10,000 AGP
2 Medical Superintendent 1 1 1 1 1 PB-3+7,600 GP
3 Deputy Registrar 2 2 2 2 2 PB-3+7,600 GP
4 Assistant Registrar 3 3 3 3 3 PB-3+5,400 GP
5 Finance & Accounts Officer 1 1 1 1 1 PB-3+5,400 GP
6 Office Superintendent 1 1 1 1 1 PB-3+5,400 GP
7 P.A. to Director (Steno gr II) 1 1 1 1 1 PB-2+4,400 GP
8 Assistant 2 2 2 4 4 PB-2+4,400 GP
9 Asst Divisional Accountant 2 2 2 2 2 PB-2+4,400 GP
10 UDC 2 2 2 4 4 PB-2+4,200 GP
11 LDC 2 2 2 4 4 PB-1+2,400 GP
12 Store Keeper 1 1 1 1 1 PB-1+2,400 GP
13 Receptionist 1 1 1 2 2 PB-2+4,200 GP
14 PA to Dy Registrar Steno gr III 2 2 2 2 2 PB-2+4,200 GP
15 Computer Operator 2 2 2 3 3 PB-2+4,400 GP
16 Mechanic 1 1 1 1 1 PB-1+2,400 GP
17 Driver/Rider 3 3 4 7 7 PB-1+1,900 GP
18 Security Guard 4 4 4 4 4 1S + 1650 GP
19 IV Grade 10 10 10 20 20 1S + 1650 GP
20 Legal Adviser 1 1 1 1 1 PB-3+5,400 GP
TOTAL 43 43 44 65 65
ADMINISTRATIVE STAFF SALARY REQUIREMENTS
4th /
Rs.)
1 Director/Principal 1,12,890 1,12,890 1,12,890 1,12,890 1,12,890
2 Medical Superintendent 70,825 70,825 70,825 70,825 70,825
3 Deputy Registrar 1,41,650 1,41,650 1,41,650 1,41,650 1,41,650
4 Assistant Registrar 1,52,550 1,52,550 1,52,550 1,52,550 1,52,550
5 Finance & Accounts Officer 50,850 50,850 50,850 50,850 50,850
6 Office Superintendent 50,850 50,850 50,850 50,850 50,850
7 P.A. to Director (Steno gr II) 36,262 36,262 36,262 36,262 36,262
8 Assistant 72,524 72,524 72,524 1,45,048 1,45,048
9 Asst Divisional Accountant 72,524 72,524 72,524 72,524 72,524
10 UDC 65,850 65,850 65,850 1,31,700 1,31,700
11 LDC 48,978 48,978 48,978 97,956 97,956
12 Store Keeper 24,489 24,489 24,489 24,489 24,489
13 Receptionist 32,925 32,925 32,925 65,850 65,850
14 PA to Dy Registrar Steno gr III 65,850 65,850 65,850 65,850 65,850
15 Computer Operator 72,524 72,524 72,524 1,08,786 1,08,786
16 Mechanic 24,489 24,489 24,489 24,489 24,489
17 Driver/Rider 58,098 58,098 77,464 1,35,562 1,35,562
18 Security Guard 68,532 68,532 68,532 68,532 68,532
19 IV Grade 1,71,330 1,71,330 1,71,330 3,42,660 3,42,660
20 Legal Adviser 50,850 50,850 50,850 50,850 50,850
Monthly Requirement 14,44,840 14,44,840 14,64,206 19,50,173 19,50,173
TECHNICAL STAFF REQUIREMENTS
4th Renewal /
Recognition
1 Technician/Technical Asst. 12 18 18 18 18 PB-2+4,200 GP
2 Sweepers 12 16 16 16 16 1S + 1650 GP
Store keeper/Clerk/Record
3 8 9 9 9 9 PB-1+2,400 GP
keeper/Computer Operator
Stenographer/Typist/Computer
4 4 4 4 4 4 PB-2+4,200 GP
Operator
5 Laboratory Attendants 6 9 9 9 9 PB-2+4,200 GP
6 Dissection Hall Attendant 4 4 4 4 4 PB-1+1,800 GP
7 MSW 0 1 1 1 1 PB-2+4,200 GP
TOTAL 46 61 61 61 61
TECHNICAL STAFF SALARY REQUIREMENTS

4th /
Rs.)
1 Technician/Technical Asst. 3,95,100 5,92,650 5,92,650 5,92,650 5,92,650
2 Sweepers 2,05,596 2,74,128 2,74,128 2,74,128 2,74,128
Store keeper/Clerk/Record
3
keeper/Computer Operator 1,95,912 2,20,401 2,20,401 2,20,401 2,20,401
Stenographer/Typist/Computer
4
Operator 1,31,700 1,31,700 1,31,700 1,31,700 1,31,700
5 Laboratory Attendants 1,97,550 2,96,325 2,96,325 2,96,325 2,96,325
6 Dissection Hall Attendant 70,600 70,600 70,600 70,600 70,600
7 MSW 0 32,925 32,925 32,925 32,925
RHTC STAFF REQUIREMENTS
4th Renewal /
Recognition
1 Lady Medical Officer 1 1 1 1 PB-3+5,400 GP
2 Medical Social Workers 2 2 2 2 PB-2+4,200 GP
3 Public Health Nurse 1 1 1 1 PB-2+4,400 GP (SN)
4 Health inspector/Health Asst-Male 1 1 1 1 PB-2+4,200 GP
5 Health Educator 1 1 1 1 PB-2+4,200 GP
6 Technical Asst/Technician 1 1 1 1 PB-2+4,200 GP
7 Peon 1 1 1 1 1S + 1650 GP
8 Van Driver 1 1 1 1 PB-1+1,800 GP
9 Store keeper-Clerk 1 1 1 1 PB-1+2,400 GP
10 Sweepers 2 2 2 2 1S + 1650 GP
TOTAL 0 12 12 12 12
RHTC STAFF SALARY REQUIREMENTS

4th /
Rs.)
1 Lady Medical Officer 50,850 50,850 50,850 50,850
2 Medical Social Workers 65,850 65,850 65,850 65,850
3 Public Health Nurse 40,262 40,262 40,262 40,262
4 Health inspector/Health Asst-Male 32,925 32,925 32,925 32,925
5 Health Educator 32,925 32,925 32,925 32,925
6 Technical Asst/Technician 32,925 32,925 32,925 32,925
7 Peon 17,133 17,133 17,133 17,133
8 Van Driver 17,650 17,650 17,650 17,650
9 Store keeper-Clerk 24,489 24,489 24,489 24,489
10 Sweepers 34,266 34,266 34,266 34,266
Monthly Requirement 0 3,49,275 3,49,275 3,49,275 3,49,275
Annual Requirement 0 41,91,300 41,91,300 41,91,300 41,91,300
UHTC STAFF REQUIREMENTS
4th Renewal /
Recognition
1 Lady Medical Officer 1 1 1 1 PB-3+5,400 GP
2 Medical Social Worker 2 2 2 2 PB-2+4,200 GP
3 Public Health Nurse 1 1 1 1 PB-2+4,400 GP (SN)
4 Health inspector/Healh Asst-Male 2 2 2 2 PB-2+4,200 GP
5 Health Educator 1 1 1 1 PB-2+4,200 GP
6 Technical Asst/Technician 2 2 2 2 PB-2+4,200 GP
7 Peon 1 1 1 1 1S + 1650 GP
8 Van Driver 1 1 1 1 PB-1+1,800 GP
9 Store keeper 1 1 1 1 PB-1+2,400 GP
10 Record Clerk 1 1 1 1 PB-1+2,400 GP
11 Sweepers 2 2 2 2 1S + 1650 GP
TOTAL 0 15 15 15 15
UHTC STAFF SALARY REQUIREMENTS

4th /
Rs.)
1 Lady Medical Officer 50,850 50,850 50,850 50,850
2 Medical Social Worker 65,850 65,850 65,850 65,850
3 Public Health Nurse 40,262 40,262 40,262 40,262
4 Health inspector/Healh Asst-Male 65,850 65,850 65,850 65,850
5 Health Educator 32,925 32,925 32,925 32,925
6 Technical Asst/Technician 65,850 65,850 65,850 65,850
7 Peon 17,133 17,133 17,133 17,133
8 Van Driver 17,650 17,650 17,650 17,650
9 Store keeper 24,489 24,489 24,489 24,489
10 Record Clerk 24,489 24,489 24,489 24,489
11 Sweepers 34,266 34,266 34,266 34,266
Monthly Requirement 0 4,39,614 4,39,614 4,39,614 4,39,614
Annual Requirement 0 52,75,368 52,75,368 52,75,368 52,75,368
RHTC + UHTC Monthly Salary 0 7,88,889 7,88,889 7,88,889 7,88,889
RHTC + UHTC Annual Salary 0 94,66,668 94,66,668 94,66,668 94,66,668
ANCILLARY STAFF REQUIREMENTS

DEPARTME
4th Renewal / Estimated Salary in

Sl no. Designation LOP 1st renewal 2nd Renewal 3rd Renewal
Recognition Rs. (per head)
NT
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
Library Assistant 2 2 2 3 4 PB-1+2,400 GP

1 Guard / IV Grade/Peon 1 2 2 2 2 1S + 1650 GP
Documentalist 1 1 1 1 1 1S + 1650 GP
Draftaries 0 1 1 2 2 1S + 1650 GP
Cataloguer 1 1 1 1 1 1S + 1650 GP
Engineer ( +/-) PB-3+6,100 GP
1
Asst. Engineer 0 1 1 1 PB-3+5,400 GP
CENTRAL WORKSHOP
ENGINEERING CELL &
Sr. Technician (Electrical Mech/Electro/

2 4 4 4 4 PB-2+4,400 GP
Refrigerator)
2
Jr. Technician 0 1 1 2 2 PB-2+4,200 GP
Blacksmith 0 1 PB-1+2,400 GP
Attendant 2 3 4 4 4 PB-1+1,800 GP
Carpenter 1 1 1 1 1 PB-1+2,400 GP
Medical Record Officer 0 1 1 1 1 PB-2+4,600 GP
Statistician 1 1 1 1 1 PB-2+4,200 GP
CENTRAL RECORD
Coding Clerk 1 2 2 4 4 PB-2+4,200 GP

3 Record Clerk 2 3 3 4 6 PB-1+2,800 GP
DEPT.
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
5 Dark Room Assistant 1 1 1 1 1 PB-1+1,800 GP

Audio Visual Technician 1 1 1 1 1 PB-2+4,200 GP
Store Keeper/ Clerk 1 1 1 1 1 PB-1+2,400 GP
Attendant / IV Grade 1 1 1 1 1 1S + 1650 GP
Stenographer 1 1 1 1 1 PB-2+4,200 GP
Computer Operator 1 PB-2+4,200 GP
EDUCATION
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
Library Assistant 48,978 48,978 48,978 73,467 97,956

1 Guard / IV Grade/Peon 17,133 34,266 34,266 34,266 34,266
Documentalist 17,133 17,133 17,133 17,133 17,133
Draftaries 0 17,133 17,133 34,266 34,266
Cataloguer 17,133 17,133 17,133 17,133 17,133
Engineer ( +/-) 0 0 0 0 58,417
Asst. Engineer 0 50,850 50,850 50,850 0
CENTRAL WORKSHOP
ENGINEERING CELL &
Sr. Technician (Electrical Mech/Electro/

Refrigerator) 72,524 1,45,048 1,45,048 1,45,048 1,45,048
2
Jr. Technician 0 32,925 32,925 65,850 65,850
Blacksmith 0 0 0 0 24,489
Attendant 35,300 52,950 70,600 70,600 70,600
Carpenter 24,489 24,489 24,489 24,489 24,489
Medical Record Officer 0 41,479 41,479 41,479 41,479
Statistician 32,925 32,925 32,925 32,925 32,925
CENTRAL RECORD
Coding Clerk 32,925 65,850 65,850 1,31,700 1,31,700

3 Record Clerk 55,792 83,688 83,688 1,11,584 1,67,376
DEPT.
Draftries 48,978 48,978 48,978 48,978 48,978

Typist 27,896 27,896 27,896 27,896 27,896
IV Grade/ Peon 17,133 34,266 34,266 34,266 34,266
Veterinary Officer 50,850 50,850 50,850 50,850 50,850
Animal Attendant 17,650 35,300 35,300 35,300 35,300
CENTRAL
ANIMAL
4
HOUSE
Technician 32,925 32,925 32,925 32,925 32,925

Sweeper/IV Grade 17,133 17,133 17,133 34,266 34,266
Photographer 32,925 32,925 32,925 32,925 32,925
Artist 0 32,925 32,925 32,925 32,925
PHOTOGRAPHIC &
AUDIO-VISUAL
Modeller 0 32,925 32,925 32,925 32,925

CENTRAL
5 Dark Room Assistant 17,650 17,650 17,650 17,650 17,650

Audio Visual Technician 32,925 32,925 32,925 32,925 32,925
PHOTOGRAPHIC
AUDIO-VISUA
Store Keeper/ Clerk 24,489 24,489 24,489 24,489 24,489
Attendant / IV Grade 17,133 17,133 17,133 17,133 17,133
Stenographer 32,925 32,925 32,925 32,925 32,925
Computer Operator 32,925 32,925 32,925 32,925 32,925
Technician 32,925 32,925 32,925 32,925 32,925
A.V Artist 32,925 32,925 32,925 65,850 65,850
Matron 50,850 50,850 50,850 50,850 50,850
Staff Nurse 36,262 72,524 1,08,786 1,45,048 1,45,048
Technical assistant 65,850 1,31,700 1,97,550 2,63,400 2,63,400
7
CSSD
Technicians 65,850 1,31,700 1,97,550 2,63,400 2,63,400

Ward Boy 34,266 68,532 1,02,798 1,37,064 1,37,064
Sweeper 17,133 34,266 51,399 68,532 68,532
Supervisor 0 36,262 36,262 72,524 72,524
LAUNDRY
8 Dhobi/Washerman/Women 35,300 70,600 1,41,200 1,76,500 2,11,800

SERVICE
Packer 35,300 70,600 1,41,200 1,76,500 2,11,800

Warden 41,479 82,958 82,958 82,958 82,958
Head cook 27,896 55,792 55,792 55,792 55,792
Cook 1,02,798 1,37,064 1,37,064 2,74,128 2,74,128
HOSTEL &
HOUSING
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

Propoal For State Referral Hospital, Falkawn Under NEDP 2016

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Propoal For State Referral Hospital, Falkawn Under NEDP 2016

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ROADMAP UNDER NEDP SCHEME

ESTIMATE OF REQUIREMENTS FOR 5 YEARS

Year Amount (in Rs.)

1. MANPOWER AND SALARY REQUIREMENT

OTHER RECURRING COST

GRAND TOTAL 60.4 70.95 75.76 83.01 93.6

B. High Dependency Unit (10 beds)

TOTAL 0 2,87,45,000 5,00,000 2,55,45,000 79,90,000

2. Bio-Medical Waste Management

4 Overhead Light Source 50,000 0 1 50,000 0 1 50,000 0

5 Dental Chair 2,50,000 0 1 2,50,000 0 1 2,50,000 0

8.Establishment of Oxygen Plant

B. Vacuum Services Pipeline

Installation costs and

1 Headlight (Heine) 5,500 2 11,000 2 11,000 0 3 16,500 0

2 Otoscopes (Heine) 8,000 2 16,000 2 16,000 0 3 24,000 0

14. Department of Orthopaedics

15. Department of Paediatric Surgery

16. Department of Paediatrics

17. Department of Physical Medicine & Rehabilitation

19. Department of Radiology

20. Department of Respiratory Medicine

1 Spirometer 1,20,000 1 1,20,000 0 0 1 1,20,000 0

21. Department of Surgery

22. Infrastructural Development

1. ANAESTHESIOLOGY AND INTENSIVE CARE DEPARTMENT

2. BIO-MEDICAL WASTE MANAGMENT

3. CARDIAC CARE CENTRE

5. DEPARTMENT OF DENTAL SURGERY

8. ESTABLISHMENT OF OXYGEN PLANT

11. DEPARTMENT OF MEDICINE

12. DEPARTMENT OF OBSTETRICS & GYNAECOLOGY

13. DEPARTMENT OF OPHTHALMOLOGY

14. DEPARTMENT OF ORTHOPAEDICS

15. DEPARTMENT OF PAEDIATRICS SURGERY

16. DEPARTMENT OF PAEDIATRICS

17. DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION

19. RADIOLOGY DEPARTMENT

20. DEPARTMENT OF RESPIRATORY MEDICINE

Respiratory Medicine is a relatively new subject/department which is gaining importance day

21. DEPARTMENT OF SURGERY

MEDICAL COUNCIL OF INDIA

Requirements to be fulfilled by the Applicant Colleges for obtaining

(As amended in July,

MEDICAL COUNCIL OF INDIA

14 Nursing Staff a) Nursing Supdt. 1 1 1 1 1 1

Ist IInd IIIrd

(A) For Teaching Faculty:

(B) For Resident Doctors:

Faculty Total 58 85 89 96 105 105

Indian Public Health Standards (IPHS)

Directorate General of Health Services

District Hospital Man PowerMedical

36 Indian Public Health Standards (IPHS): Guidelines for District Hospitals

Total Medical and Paramedical Manpower

District Hospital Man Power Administration

Indian Public Health Standards (IPHS): Guidelines for District Hospitals 37

38 Indian Public Health Standards (IPHS): Guidelines for District Hospitals

a) MIMER Staff 253 358 380 459 484 484

SALARY REQUIREMENT FOR HOSPITAL (Based on IPHS norms)

SALARY REQUIREMENT FOR NURSING STAFF (Based on MCI norms)

GRAND TOTAL SALARY REQUIREMENTS