PROJECT INFORMATION MEMORANDUM - maavaishnodevi.org

PROJECT INFORMATION MEMORANDUM

2

Contents

1. Project at a glance ............................................................................................................................................. 4

2. Hospital Location ............................................................................................................................................. 7

3. Market survey findings - Demography ........................................................................................................... 9

Demographic profile ............................................................................................................................................ 9

Projected population growth ............................................................................................................................... 9

Demographic transition ....................................................................................................................................... 9

Urbanization ....................................................................................................................................................... 10

Literacy................................................................................................................................................................ 10

Per capita income ............................................................................................................................................... 10

4. Market survey findings – Disease pattern .................................................................................................... 11

Mortality due to diseases – Jammu and Kashmir ........................................................................................... 11

Healthcare infrastructure – Jammu and Kashmir .......................................................................................... 12

5. Market survey findings -Service utilization .................................................................................................. 14

Utilization at government facilities ................................................................................................................... 14

Utilization at Medical College Hospitals .......................................................................................................... 14

6. Catchment areas ............................................................................................................................................. 15

Primary catchment area ..................................................................................................................................... 15

Secondary catchment area ................................................................................................................................. 15

Tertiary catchment area ..................................................................................................................................... 15

7. Service mix ...................................................................................................................................................... 16

8. Facility matrix ................................................................................................................................................. 17

Existing facilities ................................................................................................................................................ 17

Proposed facility matrix ..................................................................................................................................... 18

Outpatient consultation rooms...................................................................................................................... 18

Diagnostic facilities ........................................................................................................................................ 18

Bed distribution .............................................................................................................................................. 18

Operating rooms ............................................................................................................................................. 19

Other clinical procedure / support areas ...................................................................................................... 19

9. Total cost of the project .................................................................................................................................. 20

Assumptions ....................................................................................................................................................... 20

10. Pricing of services ....................................................................................................................................... 22

11. Utilisation .................................................................................................................................................... 23

3

12. Annexure ..................................................................................................................................................... 24

Equipment Plan .................................................................................................................................................. 24

Medical equipment ......................................................................................................................................... 24

Hospital support equipment .......................................................................................................................... 36

Administrative equipment ............................................................................................................................. 38

Automobile plan ................................................................................................................................................. 39

Furniture plan .................................................................................................................................................... 40

Manpower plan ................................................................................................................................................... 53

4

1. Project at a glance Phase 1 Multi specialty Hospital of Shri Mata Vaishno Devi Institute of Medical Excellence (SMVDIME) Location Kakryal, Jammu & Kashmir, India Promoters Shri Mata Vaishno Devi Shrine Board (SMVDSB) Bed capacity 230

Key specialties

Medical Oncology, Surgical Oncology, Radiation Oncology, Orthopaedics, Neurology, Neurosurgery, Cardiology, Cardiothoracic surgery, Emergency Medicine and Trauma care

Other specialties

Medicine, GI Surgery, Gynaecology & Obstetrics, Paediatrics, Neonatology, Nephrology, Urology, General Medicine, General Surgery, Ophthalmology, ENT, Dentistry, Dermatology

Major clinical facilities

Operating Rooms, Cardiac Catheterization Lab, LINAC, Bone Marrow Transplant, Endoscopy & Colonoscopy, Blood Bank, Physiotherapy, Telemedicine

Major diagnostic facilities

Radiology - X-Ray, USG, CT Simulator, MRI, Nuclear Med Cardiology - ECG, ECHO, TMT, Holter Neurology - EEG, EMG, Sleep Lab Others - BMD, Mammography, PFT, Uro Flowmetry Eye - A Scan, B Scan Laboratory Medicine - Haematology, Biochemistry, Serology, Histopathology, Immunology

Hospital support facilities

CSSD, Laundry, Kitchen & cafeteria (outsourced), Ambulance services, Biomedical waste management (outsourced), Mortuary, Telemedicine

Staff welfare facilities Nurse’s hostel, Doctor’s hostel

Other facilities Patients’ inn, guest house (to be constructed later)

Facility No. Consultation Rooms 24 Operating Rooms 06 Labor Room 01 Cardiac Cath Lab 01 Nuclear Medicine 01 Endo & Colonoscopy 01 LINAC 01

Facility No.

Emergency Triage 02 Emergency Observation 06 Emergency Resuscitation 01 IP Deluxe Beds 02 IP Private Beds 21 IP Semi Private Beds 42 IP General Ward Beds 66 Day care beds 18 CCU/ICU/NICU Beds 54 BMT Beds 02 Pre-Op Beds 06 Post-Op Beds 04 Dialysis 06 Total 230

Facility No.

X – Ray 02 USG 02 CT Simulator 01 MRI 01 ECG 02 ECHO 01 TMT 01 Holter 01 EEG 01 EMG 01 Sleep Lab 01 Mammography 01 PFT 01 BMD 01 UDF 01 A Scan 01 B Scan 01

Built to bring world class healthcare to Jammu & Kashmir Sprawling 45 acre campus, 15 acre demarcated for Phase 1 multi-specialty hospital Located in the foot hills of Himalayas, with a direct view to the Trikuta Hills Opposite Shri Mata Vaishno Devi University; 15 Kms from Katra Bus Station, 60 minutes drive from Jammu Railway Station/Airport

23% of the total beds as ICU beds

5

(i)

(ii)

6

(i) Architect’s artist impression of the hospital building (ii) Actual unfinished building – Front and lateral elevation (iii) Front View of building (iv) Work in progress (Doctor’s and Nurse’s Hostel) (v) Work in progress - Interiors

(iii)

(iv) (v)

7

2. Hospital Location SMVDIME is located at Kakryal in Jammu and Kashmir (J&K), the northern most state of India. Kakryal is located at around 15 kms from Katra (the base camp for Shri Mata Vaishno Devi Shrine pilgrimage) and 40 kms from Jammu Tawi city. Jammu Tawi city is situated at around 576 kms from New Delhi, the capital city of India. Kakryal houses the Shri Mata Vaishno Devi University. SMVDIME is located adjacent to the Shri Mata Vaishno Devi University campus. The satellite image of the hospital site and the building is portrayed below in relation to Shri Mata Vaishno Devi University.

The state of J&K is administratively divided into 22 districts. A satellite image of the districts of J&K is provided below.

8

The approximate distance of the district capitals from SMVDIME site is provided below along with the population of each district (Source: For distance- Google Maps; For Population – Census of India 2011).

District Kms Population District Kms Population District Kms Population Udhampur 37 555,357 Kishtwar 197 231,037 Ganderbal 279 297,003 Jammu 40 1,526,406 Anantnag 215 1,096,749 Bandipora 315 385,099 Reasi 42 314,714 Kulgam 221 423,181 Baramulla 320 1,015,503 Samba 77 318,611 Poonch 245 476,820 Kupwara 351 875,564 Ramban 119 215,000 Shopian 248 265,960 Kargil 463 143,388 Kathua 122 615,711 Pulwama 252 570,060 Leh 791 147,104 Doda 146 409,576 Srinagar 264 1,250,173 Rajauri 165 619,266 Badgam 264 755,331

9

3. Market survey findings - Demography A secondary market survey was conducted to assess the demographic, morbidity and mortality patterns in India and J&K. The survey also included assessment of the healthcare infrastructure requirements in India and J&K along with the facilities available in the major hospitals in J&K. The findings of the market survey are provided in the subsequent sections.

Demographic profile The population of India as per 2011 census was 1.21 Billion (1210193422). The present population of India (the second most populous nation in the world) is almost equal to the combined population of United States of America, Indonesia, Bangladesh, Pakistan and Japan. India added more than 181 million to its population in the last decade with a growth rate of 17.64%. This absolute addition is slightly lower than the population of Brazil, the fifth most populous country in the world. With only 2.4% of the surface area India accounts for 17.5% of the world population. The major demographic parameters of India as per

2011 census are listed in the table. At present a little more than one person out of every sixth person in the world is from India. This huge population of India has increased the demand for services and products and has poised India to be one of the largest markets across the globe. The demand for healthcare services as well has increased manifold along with the population. J&K houses 1.04% of the population of India and is growing faster (at the rate of 23.71%) than the country. The population density of J&K is lower than that of the country and thus increasing the catchment areas (in terms of distance) for healthcare facilities. While the whole of Indian healthcare is attracting private investments, J&K is one of the few states with minimal private investments and as a result the state lacks high-quality secondary and tertiary healthcare facilities. The people of J&K are majorly dependent on the government facilities/system for their healthcare needs. Thus the population of J&K poises a huge need for better healthcare facilities. The proposed hospital is expected to bridge the existing demand supply gap and be one of the apex healthcare facilities in the state.

Projected population growth As discussed earlier the population of India grew at the rate of 17.64% in the last decade. The decadal decrease has registered the sharpest decline in the last decade since independence. It declined from 23.87% for 1981 – 1991 to 21.54% for the period 1991 – 2001. This decadal growth percent has further decreased by 3.90 points for the period 2001 – 2011. The population projections by Population Research Bureau, United Nations suggest that India will cross 1.59 billion mark between the years 2040 - 2045 to overtake China to be the world’s most populous country. It is estimated that by 2060 India’s population would cross 1.7 billion. Similar to the country, there has been a decline in the population growth of J&K. The growth rate in the earlier decade was 29.04%. With the population of J&K growing faster than the country, the population is expected to double earlier. The decline in growth rate has decreased the net addition of population; however the increase in terms of absolute numbers (for both India and J&K) will be substantially high owing to high base population. This increasing population has raised the need for better healthcare facilities in India and the already lacking state of J&K.

Demographic transition India is poised to face a huge demographic transition due to the not much controlled birth rate and decreasing death rate. A study indicates that by 2025 India will house over 189 million people aged above 60 years. Increase in the average age of population and increase in the population aged above 40 years is expected to increase the health burden on the country, thus directly increasing the need for more tertiary care facilities. The life expectancy of J&K is marginally (1.3 years) lower than that of the country. This marginal decrease may not affect the increase in healthcare facility needs. It is also imperative to note that in terms of the highest increase of life expectancy between 2002 and 2008, J&K was one of the states with highest increase. (The top five states were Assam and MP (3.1 years), J&K (2.8

Parameter India J&K Total Population 121,01,93,422 1,25,48,926 Growth Percent 17.64% 23.71% Population Density 382/Sq Km 146 / Sq Km Life Expectancy 67.1 Years 65.8 Years Crude Birth Rate 20.6 18.3 Crude Death Rate 7.43 5.7 Urban Population Percent 27.8% 27.2% Sex ratio 940 883 Literacy rate 74.04% 68.74%

10

years), Odisha (2.6 years), Maharashtra and Rajasthan (2.4 years) (Source: Registrar General, Census of India). Thus with rapidly increasing life expectancy, the healthcare burden of J&K is expected to increase in the future years.

Urbanization The urban population across the world is around 51% while the same is 27% in India. However in terms of absolute numbers, the urban population in India is more than the population of the United States of America and Brazil. Presently India has the second largest number of urban residents across the globe. It is expected by the year 2020 that one third of Indian population will reside in urban India. The percent of urbanization in J&K is nearly at par with that of the country average. Urbanization leads to increase in literacy, healthcare awareness and consumerism; thus increasing the need for more and better managed healthcare facilities.

Literacy Literacy rate in India has been increasing over years. It has increased from 12% in 1947 to 74% in 2011. The last decadal literacy rate is 9.2% higher than the previous decade. The increase in literacy rate for J&K between 2001 and 2011 is 13% which is higher than the national average. Literacy leads to better economy and awareness and thus increasing consumerism. Thus increasing literacy rate will increase the health seeking behaviour and demand for better healthcare services.

Per capita income Indian economy has been growing steadily over the years. It is expected that India’s GDP in current prices will overtake France and Italy by 2020, UK and Russia by 2025 and Japan by 2035. By 2035, it is expected that India will be the third largest economy after US and China. The present per capita income of India is around 1600 USD. It is expected to be between 8000 – 10000 USD by 2025, if the economy grows at the rate of 9% annually. The per capita income of J&K (Rs 41833 in 2011-2012) is lower than the national average (Rs 60772), but has increased at the rate of 11.6% from the earlier year. This increase in per capita income is an indicator of improving economy and spending capacity of the population. Thus the private spending on healthcare is expected to increase further in the future.

11

4. Market survey findings – Disease pattern

The course of development in countries leads to epidemiological transition wherein the initial high burden of disease and mortality due to infectious diseases and maternal and child mortality declines and gives way to non communicable diseases, injuries and geriatric problems as the main burden of disease. However the Indian epidemiological transition is marked by dual challenge of controlling/eradicating infectious diseases and the need to contend with non communicable diseases such as cancer, cardiovascular diseases, diabetes, COPD and others. Adding on to the dual challenge is the social determinants of health such as malnutrition and the array of re-emerging diseases like influenza and SARS. Annual Report to the People published by the Ministry of Health and Family Welfare (Govt. of India) indicates that communicable diseases, maternal, peri natal and nutritional disorders constitute 38 per cent of deaths in the country. Non-communicable diseases account for 42 per cent of all deaths. Injuries and ill-defined causes constitute 10 per cent of deaths each. However, majority of ill-defined causes are at older ages (70 or higher years) and likely to be from non-communicable diseases. Rural areas report more deaths (41 percent) due to communicable, maternal, peri natal and nutritional conditions. The proportion of deaths due to non-communicable diseases is less in rural areas (40 percent). Injuries constitute about the same proportion (about 10 percent) in both rural and urban areas.

Mortality due to diseases – Jammu and Kashmir The major reasons for mortality (of patients/population above 6 years of age) in J&K during the period of April 2010 to September 2011 as reported by National Health Systems Resource Centre (NHSRC) were analysed. The top five reasons for mortality (ranked as per percentage of deaths) are as follows.

• Idiopathic (47.45%) • Cardiac disease (10.68%) • Known chronic disease (9.22%) • Trauma / Accident / Burn (7.89%) • Respiratory disease – Not TB (6.73%)

Diseases of public health importance such as Diarrhoea, Tuberculosis, Malaria, AIDS and other fevers are reasons for 6.87% of the deaths. Absolute emergency conditions such as Trauma, Accident, Burn and Animal stings/bites have lead to 9.66% of the total deaths. It can be assumed that idiopathic deaths constitute brought dead cases. Per the observed patterns across the country most of these deaths are due to cardiac disease, stroke or due to any other existing chronic diseases such as Diabetes (organ failure, acute glycaemia, etc), cancer or chronic diseases that was left undiagnosed. The mortality reasons in J&K are mixed with prevalence of both communicable and non communicable diseases. However the percentage of deaths due to non communicable diseases is high, depicting the need for better secondary and tertiary care hospitals in the state of J&K.

Cause of Mortality %

Diarrhoeal disease 2.79% Tuberculosis 0.89% Other Respiratory disease 6.73% Malaria 0.58% Other fever related 2.48% HIV / AIDS 0.13% Cardiac diseases 10.68% Neurological diseases 2.75% Trauma/Accident/Burn 7.89% Suicide 1.20% Animal bites / Stings 1.77% Known acute disease 5.45% Known chronic disease 9.22% Idiopathic 47.45% Total 100.00%

12

Healthcare infrastructure – Jammu and Kashmir A report from Directorate of health services from various states in the year 2007 – 2008 shows that the number of people served per government hospital bed in the state of J&K is 2813 (less than 0.5 beds per 1000 population). The Department of Health and Family Welfare (D0HFW), J&K has enlisted 4 Medical college associated hospitals, 19 district hospitals, 77 sub-district/community hospitals, 427 Primary health centres and other hospitals/dispensaries in the state with a total bed capacity of around 12,932 beds. The details of some of the major government owned hospitals in J&K is provided below-- Government Medical College Hospital, Jammu (GMCHJ): Government Medical College Hospital, Jammu is the largest government hospital in the Jammu province with a bed capacity of 862 (850 inpatient and 12 ICU) beds. The hospital houses around 22 (10 major and 12 minor) operating rooms with associated diagnostic and treatment facilities. The hospital does not have radiation oncology services (LINAC) and LASIK services. GMCHJ is the major hospital located in the primary catchment area of SMVDIME. The summary of the infrastructure details of GMCHJ is provided in the table below.

Other than the medical college hospital, Jammu medical college also have other hospitals associated with it. The details of the associate hospitals are as follows. Shri Maharaja Gulab Singh Hospital -- The hospital houses 550 beds and serves majorly in the specialties of Gynaecology, Obstetrics, ENT and Dermatology. Major diagnostic services available in the hospital are USG, X-ray, ECG and laboratory. Government Chest Diseases Hospital -- The hospital houses 200 beds and serves only for ailments related to chest and thoracic diseases. Major diagnostic services available in the hospital are X-ray, Bronchoscopy, Lung Function Tests, Blood Gas Analysis, ECG, Ultrasound, Polysomnography and laboratory. Government Psychiatric Diseases Hospital -- The hospital houses 75 beds and serves only psychiatric and geriatric patients. Major diagnostic services available in the hospital are X-ray, EEG and laboratory.

Acharya Shri Chander Medical College Hospital, Jammu (ASCMCH): ASCMCH is located in Jammu and has been designed and commissioned to meet the needs of medical college. The 532 bed hospital provides secondary level of care in most clinical specialties. Government Medical College, Srinagar (GMCS): Government Medical College, Srinagar was one of the earliest medical college setup in the country. The college has many hospitals associated with it. The hospitals majorly serve the patients from Kashmir province. The details of the associated hospitals are as follows-- Shri Maharaja Hari Singh Hospital - The hospital houses 750 beds and serves the specialties of Medicine, Surgery, Ophthalmology, ENT, Dermatology, Radiotherapy, Cardiology, Gastroenterology, Neurology, Urology, Cardiothoracic surgery and Paediatric surgery. Major diagnostic services available in the hospital are MRI, CT scan, USG, X-ray, ECG, Colour Doppler, Nerve Conduction tests, Endoscopy and Laboratory. Lal Ded Hospital for Obstetrics and Gynaecology - The hospital is under construction and is proposed to house 500 beds exclusively for gynaecology and obstetrics. Government Chest Diseases Hospital - The hospital houses 350 beds and serves only for ailments related to chest and thoracic ailments. Major diagnostic services available in the hospital are X-ray, USG and laboratory. Bone and Joint Hospital - The hospital houses 150 beds (244 proposed) and serves only for orthopaedic ailments. Major diagnostic services available in the hospital are X-ray and laboratory.

Facility Number Inpatient Beds 850 ICU Beds 12 Total Beds 862 Major OT 12 Minor OT 10 Cardiac Cath Lab 1 X - Ray 100 mA 5 X - Ray 300 mA and above 6 CT Scan 4 MRI 1 Dialysis 10 TMT 1 EEG 2 C Arm 4 Laparoscopy 6

13

Government Hospital for Children - The hospital houses 175 beds and serves only for paediatric ailments. Major diagnostic services available in the hospital are X-ray, USG and laboratory. Government Psychiatric Diseases Hospital - The hospital houses 175 beds and serves only psychiatric and geriatric patients. Major diagnostic services available in the hospital are X-ray, EEG and laboratory. Sher I Kashmir Institute of Medical Sciences, Srinagar (SKIMS): SKIMS is one of the premier hospitals in the state of J&K. The hospital has most of the primary, secondary and tertiary specialties which includes General medicine, General Surgery, Gynae & Obs, Gastro eneterology, GI surgery, Cardiology, cardio thoracic surgery, Endocrinology, Nephrology, urology, Paediatrics, neonatology, Plastic surgery, Neurology, Neuro surgery, Medical oncology, surgical oncology, radiation oncology and Immunology. The hospital houses 850 beds with well equipped diagnostic and support departments. Other than the above hospitals, J&K also houses the following government hospitals -

• G B Pant Hospital, Srinagar (200 beds) • Gandhi Memorial Hospital, Jammu (160 beds) • Government Children Hospital, Jammu (200 beds)

Majority of the private healthcare facilities in J&K are small nursing homes / hospitals with a bed capacity of 20 – 50 beds, owned and managed by physicians. All the hospitals except Government Medical College, Jammu and Sher I Kashmir Institute of Medical sciences, of the state lack facilities to provide tertiary care services. The patients have to travel to Punjab or National Capital Region for their tertiary care. Due to lack of private investments in the state, there is a huge demand for tertiary care hospital that can provide quality healthcare services. However considering the huge demand supply gap, larger hospital chains are establishing their outpatient / inpatient facilities in J&K. The demand supply gap, state of the art infrastructure, quality of care and the trust of population on the Shrine Board combined can be expected to attract patient volumes to SMVDIME from all parts of the state and the country.

14

5. Market survey findings -Service utilization The healthcare service utilization at the government facilities in J&K were analysed from the data obtained from NHSRC. Also utilization details of Government Medical College Hospital and Acharya Shri Chander Medical College Hospital in Jammu were collected from the medical records department of respective hospitals.

Utilization at government facilities The utilization of government healthcare services for the period from April 2011 to September 2011 was analyzed using the data published by NHSRC. The analysis depicts a high outpatient visit rate. The number of dental visits is high as the data includes the utilization of dental colleges. It could be observed that 7.2% of outpatients (excluding AYUSH and Dental OP) were admitted. 29.7% of the inpatients underwent surgeries. 17% (8607 in number) of the total surgeries were major surgeries performed under general/spinal anaesthesia. The utilization in SMVDIME could be expected to be higher than the government hospitals owing to the service mix of SMVDIME. The details of the analysed data are provided in the table below.

In J&K, a total of 2,62,528 pregnancies were estimated for the period from April 2011 to September 2011, of which 30% (72,991) were estimated for the districts of Jammu, Kathua, Udhampur, Reasi and Poonch. The hospital could expect to perform high number of deliveries if proper EmOC services are provided in these districts.

Utilization at Medical College Hospitals On analysis of the secondary data obtained from Sher I Kashmir Institute of Medical sciences, it could be observed that the hospital serves over 5 lakh outpatients, 80 thousand emergency patients and 55 thousand inpatients at an OP-IP conversion rate of above 10%. SMVDIME could expect similar or even better service utilization at maximum capacity utilization.

Particulars Details

Total Outpatient visits 2640256 Dental Outpatients 114805 % of Dental Outpatients 4.3% AYUSH Outpatients 159414 % of AYSUH Outpatients 6.0% Total Inpatients 170102 % of admissions on OP (Exclude Dental and AYUSH)

7.2%

Total Surgeries 50580 % of surgical admissions 29.7%

OP-IP conversion rate – 7.2%

IP – Surgery Conversion rate - 29.7%

17% of the total surgeries were major surgeries performed under general/spinal anaesthesia

The NHSRC data includes primary level government facilities and hence the SMVDIME can expect further increased utilization rates

Government Medical College Hospital, Jammu

• Above 1000 Outpatient visits per day • 300-350 emergency patients per day • 85-90 admissions per day • OP – IP conversion rate - 10.3% • Over 30% of admissions are direct surgical

admissions • 20-25 surgeries per day (include minor and

major) • One Angiography procedure per day • Angioplasty is performed once in three days • Aurtogram is performed once in 9 days • Pace maker is performed once in three days

Acharya Shri Chander Medical College Hospital, Jammu

• Around 400 outpatient visits per day • Around 33 emergency patient visits per

day • OP-IP conversion of 12% with around 44

admissions daily • General surgeries, Eye surgeries and

deliveries are the major revenue streams • Around 3 dialysis per day

15

6. Catchment areas The catchment areas for SMVDIME is expected to be wide due to the following reasons

• Lack of tertiary care facilities in J&K • The hospital being promoted as a state of the art tertiary care facility which shall provide world class quality

healthcare services • Low density of population and healthcare facilities in the state • Popularity of Shri Mata Vaishno Devi Shrine Board

SMVDIME is the first hospital of its size and magnitude in the state of J&K. Hence it is expected that the whole state of J&K will be the catchment area for the hospital. The hospital is expected to attract patients with chronic and severe illness from all parts of J&K and from the bordering areas in the adjoining states of Punjab and Himachal Pradesh. The hospital is also expected to attract patients from other parts of the country owing to the faith of pilgrims on Shri Mata Vaishno Devi Shrine. Also it is imperative to consider the travel time to the hospital from various parts of the state and hence the existing government hospitals in Kashmir province will continue to attract patients for emergency, primary and secondary care treatment.

Primary catchment area The primary catchment area for the hospital is assumed to be the adjoining areas of the hospital up to 150 kms of travel distance. The districts of Udhampur, Jammu, Reasi, Samba, Ramban, Kathua and Doda will form the primary catchment area. These districts constitute around 32% of the total population of J&K. The hospital is expected to receive patients pertaining to all levels of care (primary, secondary and tertiary) from the primary catchment area. The primary catchment area will also include the pilgrims visiting the shrine (in most cases – emergency patients). Thus the hospital might expect around 100% of its primary & emergency care, 70% of secondary care patient load from the primary catchment area. The other major hospitals in the primary catchment area are Jammu Medical college and Shri Aacharya Chander Medical College Hospital. Both the hospitals are medical college hospitals with focus on primary and secondary care specialties. Since SMVDIME is planned to be state of the art with best of medical facilities the hospital will attract majority of patients to be the leading healthcare provider in the region.

Secondary catchment area The secondary catchment area for the hospital is assumed to be the areas from 151 to 300 kms of travel distance. The districts of Rajauri, Kishtwar, Anantanag, Kulgam, Poonch, Shopian, Pulwama, Srinagar, Badgam, and Ganderbal will form the secondary catchment area. These districts constitute around 48% of the total population of J&K. The hospital is expected to receive patients pertaining to mostly secondary and tertiary level of care from the secondary catchment area. Thus the hospital might expect around 25% of secondary care patient load from the secondary catchment area. The other major hospitals in the secondary catchment area are associate hospitals of Government Medical College- Srinagar and Sher-I-Kashmir hospital.

Tertiary catchment area The Tertiary catchment area for the hospital is assumed to be the other districts of J&K and the rest of India. The districts of Bandipora, Baramulla, Kupwara, Kargil and Leh will form the tertiary catchment area. These districts constitute around 20% of the total population of J&K. The hospital is expected to receive patients pertaining only to secondary and tertiary levels of care from the tertiary catchment area. The hospital is also expected to receive terminally ill patients from the bordering areas of Punjab, Himachal Pradesh and rest of India, owing to the faith of the people on Shri Mata Vaishno Devi Shrine.

0 – 150 Kms from the hospital site

Udhampur, Jammu, Reasi, Samba, Ramban, Kathua and Doda districts

Catchment Population – 3,955,375 (32% of the total population of J&K

151 - 300 Kms from the hospital site

Rajauri, Kishtwar, Anantanag, Kulgam, Poonch, Shopian, Pulwama, Srinagar, Badgam, and Ganderbal districts

Catchment Population – 5,985,580 (48% of the total population of J& K)

Above 300 Kms from the hospital site

Bandipora, Baramulla, Kupwara, Kargil and Leh districts and other states

Catchment Population – 2,566,658 (20% of the total population of J& K)

16

7. Service mix Service mix defines the specialties of care that will be provided in a hospital. It forms the epicentre of the healthcare delivery model and the business of hospitals, including the capital investment and operational expenses. The proposed tertiary care hospital of SMVDIME has been planned as a multi-specialty hospital with super-specialty disciplines in Oncology, Emergency & Trauma care, Neurology, Neurosurgery, Cardiology, Cardio-thoracic surgery and orthopaedics including joint replacements. The multi-specialty disciplines will include all the other major clinical specialties providing primary or secondary levels of care. The below table depicts the proposed service mix with the clinical specialties and levels of care that is proposed for SMVDIME.

Super-specialties Secondary Specialties Primary level of care Diagnostic & Clinical Support Departments

Medical Oncology Gynaecology & Obstetrics General / Internal Medicine

Physiotherapy

Surgical Oncology Paediatrics & Neonatal care

General Surgery Radiology diagnostics - X Ray, USG, CT, MRI

Radiation Oncology Gastroenterology Dentistry Laboratory diagnostics Bone Marrow Transplant Gastro enteric surgery Ophthalmology Cardiac Diagnostics - ECG, ECHO,

TMT, HOLTER Emergency & Trauma Minimal Access Surgeries

(Gastro) Otorhinolaryngology Neuro diagnostics – EEG, EMG, ENG

Neurology Nephrology & Dialysis Dermatology Blood Bank with cell separators

Neurosurgery Urology Diabetology Nuclear Medicine Cardiology Cardiac Cath Lab

Cardiac Surgery Orthopaedics – BMD Thoracic Surgery Uro Dynamic Lab Orthopaedics & Joint Replacement

Sleep Lab

Mammography Telemedicine

Thus the above service mix is expected to serve the unmet healthcare needs for quality healthcare services in the state of J&K for both communicable and non communicable diseases. The hospital will house the best oncology department catering services for medical, surgical and radiation oncology patients. The hospital is also expected to provide world class treatment in specialties such as Neurology, Neurosurgery, Cardiology, Cardiac surgery, orthopaedics. With the above range of super-specialty services combined with the state of the art infrastructure and operational expertise of the private partner, SMVDIME is expected to bring world class healthcare to J&K and serve as one of the best hospitals in the state.

17

8. Facility matrix Facility matrix defines the major clinical and non clinical facilities that are proposed to be commissioned at SMVDIME. The restructuring activities to accommodate the proposed facilities will be carried out by the private partner in consultation with SMVDSB. The list of existing facilities and the major facilities that are considered are provided in the below sections.

Existing facilities The existing hospital infrastructure has been planned for 183 beds along with the following diagnostic and therapeutic facilities. Facility Number Facility Number Outpatient consultation rooms 24 Day care beds 24 Radiology diagnostics Clinical procedure areas X – ray 2 Labor room 0 USG 2 Cardiac Cath Lab 0 CT Simulator 1 LINAC 2 MRI 1 Blood Bank 1 Cardiology diagnostics Physiotherapy 1 ECG 0 Emergency ECHO 0 Triage beds 2 TMT 0 Observation beds 4 Holter monitor 0 Resuscitation room / bed 0 Neurology diagnostics Inpatient Beds EEG 0 Deluxe rooms 2 EMG 0 Private rooms 21 Sleep Lab 0 Semi-private beds 38 Other diagnostics General ward 54 Laboratory Yes Intensive care beds Mammography 1 ICU 16 Nuclear medicine 1 CCU 0 Bone Marrow Densitometer 0 NICU 0 Urodynamic flow 0 Other beds Endoscopy 0 Preoperative beds 6 Operating Rooms Postoperative beds 14 Major OR (include one endoscopy room)

4 Dialysis 0

Infectious OR 1 Bone marrow transplant 2 The hospital has been designed to accommodate the following support and engineering facilities.

• Telemedicine • Sample collection area • Pharmacy • Nutrition and dietary • Patient reception and billing areas • Medical Records • Laundry • Kitchen and cafeteria • Purchase and Stores • Administrative areas • Engineering area • Biomedical engineering workshop • Biomedical waste management

• Medical Gas Pipeline System • Water Treatment Plant • Sewage Treatment Plant • Generator and UPS backup • Heating Ventilation Air Conditioning

18

Proposed facility matrix The hospital was originally designed to house 183 beds, 5 operating rooms with diagnostic and support areas (detailed in the above section). It was decided by SMVDSB to the increase number and range of facilities to augment the financial viability of the hospital. The facility matrix for the feasibility study has accounted the additional facilities that shall be built after restructuring. It has been considered that the hospital will house 230 beds with 6 operating rooms. Additional diagnostic facilities for cardiology, cardiac surgery, neurology, neurosurgery and urology are proposed to be included. Also clinical procedure areas such as labor room, dialysis and cardiac catheterization lab are proposed to be commissioned. Outpatient consultation rooms The present infrastructure is developed to house 24 outpatient consultation rooms. It could also be observed that each consultation room has an examination room attached. It is proposed to commission all the 24 consultation rooms in the first year. The examination rooms may be converted to consultation rooms in future depending on the volume of patients and the number of physicians visiting in the hospital.

Diagnostic facilities As discussed earlier in this report additional diagnostic facilities are proposed to commission the planned multispecialty hospital. All the diagnostics are proposed to be commissioned in the first year apart from specialty specific diagnostics as per the schedule of the roll out of the clinical specialties. The diagnostic facilities proposed are as follows.

• Radiology diagnostics – X – ray (2 in number and includes mobile x-rays), CT Simulator, MRI, USG • Nuclear medicine – Gamma camera • Cardiac diagnostics – ECG (2 in number), ECHO, Holter, Tread Mill Test • Neurology diagnostics – EEG, EMG, Sleep Lab • Eye – A Scan, B Scan • Other diagnostics – Mammography, Nuclear medicine, Pulmonary Function Test, Bone Marrow

Densitometry, Urodynamic flow, Endoscopy and colonoscopy • Laboratory diagnostics – Haematology, Biochemistry, Microbiology, Histopathology, Immunology, serology

and Virology Bed distribution It is proposed to commission 47 additional beds to the presently designed 183 beds. Also the ICU bed distribution is segregated as CCU, Surgical ICU, Medical ICU and Step down ICU to match with the clinical needs. At present 23.5% of the total beds are ICU beds. The post operative beds may be converted into ICU beds if required, depending on the volume of patients requiring intensive clinical care.

The details of the planned 230 beds is as follows.

Facility Total IP - Deluxe / Suite 2 IP - Private Rooms 21 IP - Semi-private 42 IP - General Ward 66 Day care (General) 12 Day care (Chemo) 6 Bone marrow transplant 2 Dialysis 6 Post-operative beds 4 Pre-operative beds 6 CCU 10 ICU Specialty Surgical 8 ICU General Surgical 6 ICU Isolation 2

19

ICU Medical 10 ICU Step Down 14 NICU 4 Emergency – Triage 2 Emergency Observation 6 Trauma Resuscitation 1

Operating rooms The existing surgical complex would require re-designing. It is proposed to commission at least one additional operating room to the presently designed five operating rooms. The operating rooms are categorized to the specialty of surgeries that will be performed. All the operating rooms are assumed to be commissioned in Year 1. The type and number of operating rooms considered are as follows-

Facility Total Major OT – Cardiothoracic 1 Major OT - Orthopaedic and Neurosurgery 1 Major OT – Oncosurgery 1 General OT - Gastro, Gynae & Others 2 Infectious OT 1 Total 6

Other clinical procedure / support areas It is proposed to customise / add procedure/support areas to match with that of the service mix. Labour Room, Cardiac Catheterization lab and Emergency procedure room are added to the existing facilities. The below table depicts the proposed clinical procedure rooms.

Facility Total Labour Room 1 Cardiac Cath Lab 1 Emergency Minor Procedure Room 1 Blood Bank 1 Physiotherapy 1 LINAC 1

20

9. Total cost of the project The total cost of the project is estimated at Rs. 25411.61 lakhs.

Assumptions Infrastructure

• The hospital was initially designed to house 183 beds and 5 operating rooms. After analysis and assessment of the site it was decided that certain areas of the hospital will be redesigned and structured to meet the facilities detailed in the facility matrix section of this report. This restructuring and refurbishment shall be carried out by the private partner. The total expense for the above restructuring is estimated to be Rs 500 Lakhs. SMVDSB will invest the cost. This amount has been added to the total project cost.

• The hospital will house 230 beds with 6 operating rooms and additional diagnostic facilities. Land

• 15 acres of land is demarcated for the hospital from the Project Site of 45 acres. • The cost of the land is assumed at Rs. 100 lakhs.

Medical equipment

• Department wise major equipment is assumed based on the existing industry trends preferred by major hospital chains / large hospitals

• A mix of indigenous and imported equipment is considered. High end equipment is considered for diagnostic and critical patient care areas such as OTs and Intensive care units.

• The operating expenses and lead time for operational maintenance has been considered in the selection of equipment and the technology.

• The cost of equipment is as per the prevailing rates in Northern India. The final rates may vary depending on the negotiating capacity of the private partner.

• VAT, Delivery and Installation Charges (a total of 15.5%) is considered. Hospital support equipment

• The hospital support equipment consists of the equipment that shall be commissioned in the support departments such as Pharmacy, Central Sterile Supplies Department, Laundry, Morgue and Telemedicine.

• Telemedicine setup for the hospital is only considered. The equipment for nodal telemedicine centers has not been considered.

• The Kitchen & cafeteria and Biomedical waste management equipment is not considered as the department is considered to be outsourced.

Administrative equipment

• The administrative equipment consists of Hospital Management Information System, computers, printers, scanners, photocopiers, projectors, software, television, music systems and other patient recreation devices that shall be commissioned in the hospital.

Automobile

• One fully equipped and two semi- equipped ambulances have been assumed to be procured. • The other automobiles include one for CEO, one for other hospital utilities and one for camps.

Medical furniture

• Medical furniture consists of all the furniture that shall be used for direct patient care such as beds, bed side tables/lockers, trolleys, stretchers, wheel chairs and others.

Non medical furniture

• Non medical furniture consists of all office furniture, chairs, work stations, racks, counters and other fixed and movable fixtures.

The estimate of the total cost of the project is provided in the table below.

21

Particulars Amount (Rs.

Lakhs) Total (Rs.

Lakhs) (A) - Land 100.00 Sub total - (A)

100.00

(B) - Main Hospital Civil works, interiors, engineering, MEP and services 10,448.25 Modification of existing infrastructure 500.00 Medical, support & admin equipment Medical Equipment 5,762.54 Medical Furniture 233.14 Hospital Support Equipment 213.69 Administrative Equipment 269.71 Automobile 87.85 Non Medical Furniture 200.07 Contingency 203.01 Sub total - (B) 17,918.26 ( C)- Residential and other buildings Residential buildings 4,465.35 Other buildings i.e. Guest House, Patient-Inn, Dharamshalla, Shops &

Bank accommodation 1,702.40

Development of site and Road works 888.00 Services works i.e. Power Stations, STP, Water & Electric supply 337.60

Sub total - ( C) 7,393.35 Total Project Cost 25,411.61

The private entity is expected to bring in investments towards medical equipment and medical furniture to the extent committed as a part of the bid, while the remaining investments, if any, shall be provided by SMVDSB. SMVDSB will also invest in redesigning the existing infrastructure to accommodate more facilities. However the redesigning and refurbishment of infrastructure to accommodate additional facilities shall be carried out by the private partner.

22

10. Pricing of services 1. The Applicable Tariffs for various services provided by Concessionaire shall be fixed on the basis of the CGHS

rates for super specialty hospitals for Delhi. The rates for services shall be maximum upto the rates as a percentage of the CGHS rates for super specialty hospitals for Delhi as per the Bid of the Selected Bidder.

2. The prices will undergo annual revision as per the revision under CGHS in the normal course. However, in case of delay of revision of rates by CGHS, the rates shall be revised on an annual basis which could result in a price revision of maximum upto 5%. Such revision shall be subsumed/ set off against the new applicable CGHS tariffs as and when released.

3. In case CGHS rates for super specialty hospitals for Delhi for a particular procedure is not available, then the rate applicable shall be the CGHS rates for NABH accredited hospitals for Delhi. In case of investigations, where rates for super specialty hospitals or NABH hospitals for Delhi are not available, then CGHS rates for NABL accredited empanelled diagnostic laboratories and imaging centres for Delhi shall be considered.

4. In case for specific services, where the CGHS rates for super specialty hospitals or rates for NABH accredited hospitals or investigation rates for NABL empanelled laboratories and diagnostic centres for Delhi are not prescribed and such rates are not published, then rates for such services provided by Concessionaire shall be mutually decided and agreed upon by the parties to the Agreement.

23

11. Utilisation • The capacity utilization of the hospital is assumed to gradually increase from 25% in year 1 to a maximum of

85% in year 6. • The OP-IP conversion rate is assumed to be 9%. The IP-Surgery rate is assumed to be 47%. • The inpatient, major diagnostic and emergency departments will be operational 365 days a year • The outpatient unit will be operational 301 days a year while the operational days for surgical units is

considered to be 310 days a year to include emergency surgeries The year wise number of major procedures assumed up-to year 6 is as follows.

Year à Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Procedures /Day

OP Visits 168 269 403 470 538 571 Emergency Patients 24 38 58 67 77 82 IP Admissions 15 24 35 41 47 50 X ray 22 36 53 62 71 76 CT Scan 6 9 14 16 19 20 MRI 4 7 10 12 14 15 USG 29 67 111 143 180 210 ECG 15 23 35 41 47 50 TMT 3 5 7 8 9 10 ECHO 3 5 7 8 9 10 EEG 3 5 7 8 9 10 EMG 2 3 5 6 7 7 Endoscopy 2 3 5 6 7 7 Colonoscopy 1 2 4 4 5 5 Dialysis 5 7 11 13 14 15 Angiogram - 4 6 7 8 9 Angioplasty - 1 1 1 2 2 LINAC – New - - 2 2 2 3 Chemotherapy - - 9 10 12 12 Normal Deliveries 0 0 1 1 1 1 C-Section Deliveries 0 0 1 1 1 1 Day care minor procedures 1 2 2 3 3 4 Minor Surgeries 3 5 7 8 9 10 Moderate Surgeries 1 1 1 1 2 2 Major Surgeries 2 4 5 6 7 8

24

12. Annexure Equipment Plan Medical equipment

OUTPATIENT ROOMS 0

Name of Equipment Unit Cost

(Rs) Total Qty

Total Cost (Rs)

Digital Weight Machine 2,100 12 25,200

Height Machine 1,500 12 18,000

Body Mass Index 5,00,000 1 5,00,000

Stethoscope 600 24 14,400

BP Apparatus 1,100 12 13,200

Thermometer 70 12 840

Torch 150 24 3,600

OP Patient Call System 2,00,000 1 2,00,000

X-ray view box 3,000 24 72,000

Dental Consultation Room 7,00,000 1 7,00,000

Eye Consultation Room 2,00,000 1 2,00,000 Sub total 17,47,240

RADIOLOGY DIAGNOSTICS


(Rs) Total Qty

Total Cost (Rs)

True DR with IITV - 80 KW (1000 mA) 80,00,000 1 80,00,000

HF 500 mA 16,00,000 1 16,00,000

HF (60 - 100 mA) 6,00,000 3 18,30,000

Computerised Radiography 14,00,000 1 14,00,000

Dry Laser Imager 4,00,000 1 4,00,000

PACS 75,00,000 1 75,00,000

X-ray viewer ( 4 Film panel) 75,000 4 3,00,000

X-ray room Accessories (Lead Panel, Barriers) 2,00,000 2 4,00,000

USG 24,00,000 2 48,00,000

CT Simulator 4,50,00,000 1 4,50,00,000

MRI 3.5 Tesla 4,50,00,000 1 4,50,00,000

BMD (with pencil Beam and Dual Chamber) 30,00,000 1 30,00,000

Digital Mammography 24,00,000 1 24,00,000 Sub total 12,16,30,000

CARDIOLOGY DIAGNOSTICS


(Rs) Total Qty

Total Cost (Rs)

ECG 75,000 2 1,50,000

TMT (with Blue tooth) 12,00,000 1 12,00,000

25

Crash Cart with Defib 2,00,000 1 2,00,000

ECHO (both Cardiac & Neuro) 43,00,000 1 43,00,000

Holter (Recorder (4) with Analyser) 14,00,000 1 14,00,000 Sub total 72,50,000

NEUROLOGY DIAGNOSTICS


(Rs) Total Qty

Total Cost (Rs)

EEG 10,00,000 1 10,00,000

EMG 16,00,000 1 16,00,000

Sleep Lab 12,00,000 1 12,00,000 Sub total 38,00,000

EYE & OTHER DIAGNOSTICS


(Rs) Total Qty

Total Cost (Rs)

A Scan 4,00,000 1 4,00,000

B Scan 13,20,000 1 13,20,000

Indirect Ophthalmoscope 25,000 1 25,000

PFT 16,00,000 1 16,00,000

Uro Flowmetry & Uro dynamics 16,00,000 1 16,00,000 Sub total 49,45,000

NUCLEAR MEDICINE


(Rs) Total Qty

Total Cost (Rs)

Gamma Camera 30,00,000 1 30,00,000

Hot Lab & Others (Schields etc) 6,00,00,000 1 6,00,00,000 Sub total 6,30,00,000

ENDOSCOPY & COLONOSCOPY


(Rs) Total Qty

Total Cost (Rs)

Endoscopy with ERCP (Upper & Lower GI) 25,00,000 1 25,00,000 Sub total 25,00,000

LABORATORY & BLOOD BANK


(Rs) Total Qty

Total Cost (Rs)

Binocular Microscope 32,000 2 64,000

Centrifuge 13,000 4 52,000

Swing out head with glass tubes 3,800 4 15,200

Mini Rotary Shaker 6,500 2 13,000

D10HBA1C Analyser 11,00,000 1 11,00,000

Autoclave 15,000 2 30,000

Incubator 10,500 2 21,000

26

Hot Air Oven 10,500 2 21,000

Water Bath (Small) 8,000 1 8,000

Water / Air Baths (Large) 46,000 1 46,000

Analytical Balance 11,500 1 11,500

Auto scan 4 3,10,000 1 3,10,000

CP Immuno Assay System 25,00,000 1 25,00,000

Blood Culture System 6,00,000 1 6,00,000

Fully Automated Random Access Biochemistry Analyser 23,00,000 1 23,00,000

Automated Elisa Plate Reader and Microplate Washer 2,00,000 1 2,00,000

Automated Urine Analyser 90,000 1 90,000

Automated Coagulation Analyser 2,00,000 1 2,00,000

Semi Automated Biochemistry Analyser 1,50,000 1 1,50,000

ISR Based Electrolyte Analyser 2,30,000 1 2,30,000

Fully Automated Haematology Analyser 10,00,000 1 10,00,000

Histopath Knife 18,000 1 18,000

Histopath Knife Sharpener 20,000 1 20,000

Blood Bank Refrigerator (240 bags) 1,00,000 1 1,00,000

Blood Bank Refrigerator (40 to 60 bags) 60,000 1 60,000

Freezer ( 250bags -40 Deg. C) 3,00,000 1 3,00,000

Freezer ( 250bags -86 Deg. C) 6,00,000 1 6,00,000

Cell Washing System 4,10,000 1 4,10,000

Platelet Incubator Agitator 4,00,000 1 4,00,000

Insulated Blood product transport 15,000 1 15,000

Refrigerated Cold Centrifuge 13,00,000 1 13,00,000

Haemo sealer 91,000 1 91,000

Apheresis Equipment 30,00,000 1 30,00,000

Blood Collection Monitor 65,000 1 65,000

LAF bench (Class 100) 1,20,000 1 1,20,000

Bio safety cabinet 1,10,000 1 1,10,000

Automated Donor Couches 1,50,000 2 3,00,000

Plasma Thaw Bath (37 Deg C) 70,000 1 70,000

Cryobath (4 Deg C) 90,000 1 90,000

Plasma Expressor Automated 50,000 1 50,000

Plasma Expressor Manual 10,200 1 10,200

Automated Hb testing 42,000 1 42,000

ID system 1,00,000 1 1,00,000

Ultrasonic Washer 6,00,000 1 6,00,000

RIA Lab 30,00,000 1 30,00,000

Medicine Refrigerator 25,000 1 25,000

Bio-chemistry kits, etc 7,50,000 1 7,50,000

Distilled Water equipment 2,00,000 1 2,00,000 Sub total 2,08,07,900

PHYSIOTHERAPY


(Rs) Total Qty

Total Cost (Rs)

Single Swing Stand 20,000 1 20,000

Single Swing Feet for indoor use 7,000 1 7,000

27

Springs, in pairs 1,500 5 7,500

Swirl Spinner 38,000 1 38,000

Bolster Swing 31,000 1 31,000

Platform Swing 18,000 1 18,000

Disc Swing 35,000 1 35,000

Tire Swing 9,000 1 9,000

Tire Swing Suspension 2,500 1 2,500

Spinner 7,000 1 7,000

String Swing 12,000 1 12,000

Body Sox 9,000 1 9,000

IFT 28,000 1 28,000

Ultrasound 12,000 1 12,000

CPM (Knee Unit) 20,500 1 20,500

Muscle Stimulator 7,500 1 7,500

Moist Hit (Hydrocolator) 8 packs 15,500 1 15,500

Theraband - 5 Pcs (1 mtr) 1,000 1 1,000

Finger Exercise Ladder 1,500 1 1,500

Quads Chair (with back rest) 9,500 1 9,500

Shoulder Wheel 6,300 1 6,300

Parallel Bars 10ft (adult) 15,500 1 15,500

Postural Mirror (with stand). 6,250 1 6,250

Short Wave Diathermy 500W. 31,000 1 31,000

Portable TENS 8,000 1 8,000

Tilt Table - Motorised 32,000 1 32,000

Traction unit 18,000 1 18,000

Traction Bed four fold 15,500 1 15,500

Walkers 700 1 700

Shoulder Abduction Ladder 1,350 1 1,350

Elbow Crutches - 1 pair 1,100 1 1,100

Auxiliary Crutches - 1 pair 1,100 1 1,100

Exercise Staircase L Type 19,000 1 19,000

Wax Bag Big - 20x14x10" 7,000 1 7,000

Gym Ball - 650 dia 2,200 1 2,200

Gym Ball - 850 dia 3,500 1 3,500

Wedge 8*24*28" 2,700 1 2,700

Bolster 15*61 cms 6"*24" Long 2,100 1 2,100

MAT (1 Piece) (6x2x.5)' 7,900 1 7,900

Goniometer long hand - metal 300 1 300

Goniometer finger - metal 200 1 200

Putty Imported (100 gm Pack) 400 1 400

Wax (5Kg. Pack) 1,100 1 1,100

Knee Hammer with metal handle 70 1 70

Sports tape - 1 inch 600 1 600

1 & 1/2 inch 600 1 600

2 inch 650 1 650

Balance board 2,100 1 2,100

Brush (2cm & 3cm each 2 pcs) 300 2 600

Trampoline 4,600 1 4,600

28

Weight cuff - Metal (0.5 to 5 kg) 800 2 1,600

Phyaction E - Electrotherapy 1,95,000 1 1,95,000

Phyaction U - Ultrasound 1,42,000 1 1,42,000

B P Instrument Digital 2,200 1 2,200

Height Machine 1,500 1 1,500

BMI 5,00,000 1 5,00,000

Digital Weight Machine 2,100 1 2,100 Sub total 13,28,320

CATH LAB


(Rs) Total Qty

Total Cost (Rs)

Digital Flat Panel 2,70,00,000 1 2,70,00,000

Syringe Pump 35,000 4 1,40,000

Monitor 2,25,000 2 4,50,000

ECG 75,000 1 75,000

Anaesthesia Work Station 14,00,000 1 14,00,000

IABP 18,00,000 1 18,00,000


Digital Weight Machine 2,100 1 2,100 Sub total 3,08,69,300

LINAC, BRACHYTHERAPY & CHEMOTHERAPY


(Rs) Total Qty

Total Cost (Rs)

LINAC 7,50,00,000 1 7,50,00,000

Brachytherapy 45,00,000 1 45,00,000

Dosimetry System 15,00,000 2 30,75,000

Treatment Planning Accessories 6,00,000 1 6,00,000

Gamma Med System 5,75,000 1 5,75,000

Breast Board and Survey Meter 2,00,000 1 2,00,000

Crash Cart 2,00,000 1 2,00,000

Syringe Pump 35,000 4 1,43,500

Monitor 2,25,000 4 9,22,500

ECG 75,000 1 75,000


Digital Weight Machine 2,100 1 2,100 Sub total 8,52,95,300

BONE MARROW TRANSPLANT UNIT


(Rs) Total Qty

Total Cost (Rs)

Bone Marrow Transplant kit 6,00,000 3 18,00,000

Crash Cart with Defib 2,00,000 1 2,00,000

Syringe Pump 35,000 4 1,40,000

Monitor 2,25,000 2 4,50,000

ECG 75,000 1 75,000

29



EMERGENCY TRIAGE


(Rs) Total Qty

Total Cost (Rs)

Crash cart & Defib 2,00,000 1 2,00,000

Syringe Pump 35,000 4 1,40,000

Monitor 2,25,000 2 4,50,000

ECG 75,000 1 75,000

Ventilator (Transport) 7,50,000 2 15,37,500

Stethoscope 600 1 600



TRAUMA & RESUSCITATION ROOM


(Rs) Total Qty

Total Cost (Rs)

Syringe Pump 35,000 2 70,000

Monitor 2,25,000 1 2,25,000

Ventilator (Transport) 7,50,000 1 7,50,000 Sub total 10,45,000

EMERGENCY OBSERVATION


(Rs) Total Qty

Total Cost (Rs)

Syringe Pump 35,000 2 70,000

Monitor 2,25,000 6 13,50,000


B P Instrument Digital 2,200 1 2,200 Sub total 14,22,800

EMERGENCY PROC ROOM


(Rs) Total Qty

Total Cost (Rs)

Minor OT Table 1,50,000 1 1,50,000

Monitor 2,25,000 1 2,25,000

OT Light 1,00,000 1 1,00,000

Instrument Set 50,000 4 2,00,000 Sub total 6,75,000

LABOR ROOM


(Rs) Total Qty

Total Cost (Rs)

30

Delivery Table 3,50,000 1 3,50,000

Delivery Room Light 3,50,000 1 3,50,000

Volumetric Infusion Pump 60,000 1 60,000

Suction Machine 10,000 1 10,000

Instrument Set 1,00,000 4 4,00,000

Crash cart & Defib 2,00,000 1 2,00,000

Foetal Doppler 25,000 1 25,000


Foetal Monitoring System 3,50,000 1 3,50,000 Sub total 17,47,100

INPATIENT NURSE STATIONS


(Rs) Total Qty

Total Cost (Rs)


Infusion Pumps 35,000 50 17,67,500


BP Apparatus 1,100 5 5,555

Crash cart & Defib 2,00,000 5 10,10,000


Nurse Call System 20,80,000 1 20,80,000 Sub total 49,27,190

DAY CARE - CHEMO


(Rs) Total Qty

Total Cost (Rs)


Syringe Pump 35,000 12 4,20,000

Volumetric Infusion Pump 60,000 6 3,60,000

Monitor 2,25,000 2 4,50,000



Crash cart & Defib 2,00,000 1 2,00,000


DAY CARE - GENERAL


(Rs) Total Qty

Total Cost (Rs)




Crash cart & Defib 2,00,000 1 2,00,000 Sub total 2,23,985

CARDIO THORACIC OT

31


(Rs) Total Qty

Total Cost (Rs)

OT Table with accessories 12,00,000 1 12,00,000

OT Lights 8,00,000 1 8,00,000

Head Light 1,85,000 2 3,70,000

Heart Lung Machine 35,00,000 1 35,00,000

Sternal saw with motor 4,00,000 1 4,00,000

IABP 18,00,000 1 18,00,000

Motorized Articulated OT Pendent with Anaesthesia W/S & Ventilator 28,00,000 1 28,00,000

Fibre Optic Bronchoscope 12,50,000 1 12,50,000

Rigid Bronchoscope 4,50,000 1 4,50,000

Defibrillator 1,50,000 1 1,50,000

Blood Gas Analyser 3,50,000 1 3,50,000

Monitor 4,00,000 1 4,00,000

Transport Monitor 2,00,000 1 2,00,000

Slave Monitor 2,00,000 1 2,00,000

Diathermy 4,50,000 1 4,50,000

Haemotherm Machine 20,00,000 1 20,00,000

Syringe Infusion Pump 35,000 4 1,40,000

HD Camera Set 4,50,000 1 4,50,000

Surgical Instrument Set 10,00,000 4 40,50,000


Stethoscope 600 2 1,200 Sub total 2,09,63,400

ORTHO & NEURO OT


(Rs) Total Qty

Total Cost (Rs)


OT Lights 8,00,000 1 8,00,000

Operating Microscope 45,00,000 1 45,00,000

Head Light 1,85,000 2 3,70,000

C ARM 26,00,000 1 26,00,000

Arthroscope 2,00,000 1 2,00,000


Defibrillator 1,50,000 1 1,50,000

Multipara Monitor 2,25,000 2 4,50,000


Slave Monitor 2,00,000 1 2,00,000

Diathermy 4,50,000 1 4,50,000

Syringe Infusion Pump 35,000 2 70,000

HD Camera Set 4,50,000 1 4,50,000

Retractors, Periosteal elevators, Screws 6,00,000 2 12,00,000

Surgical Instrument Set 15,00,000 8 1,21,50,000


Stethoscope 600 1 600 Sub total 3,01,92,800

32

ONCO SURGERY OT


(Rs) Total Qty

Total Cost (Rs)


OT Lights 8,00,000 1 8,00,000

CO2 Laser 30,00,000 1 30,00,000

Head Light 1,85,000 2 3,70,000


Crash Cart & Defib 2,00,000 1 2,00,000



Slave Monitor 2,00,000 1 2,00,000

Diathermy 4,50,000 1 4,50,000

Syringe Infusion Pump 35,000 2 70,000

HD Camera Set 4,50,000 1 4,50,000




OTHER GENL & INFECTIOUS OT


(Rs) Total Qty

Total Cost (Rs)


OT Lights 8,00,000 3 24,00,000

Laparoscopy Set 5,00,000 4 20,50,000

Head Light 1,85,000 6 11,10,000

Anaesthesia Machine with ventilator 16,00,000 3 48,00,000

Crash Cart & Defib 2,00,000 3 6,00,000


Diathermy 4,50,000 3 13,50,000


HD Camera Set 4,50,000 3 13,50,000




CCU


(Rs) Total Qty

Total Cost (Rs)

Monitor 4,00,000 10 40,60,000


Central Station 4,00,000 1 4,00,000


Defibrillator 3,25,000 2 6,66,250

33

External Pacemaker 1,25,000 1 1,25,000

Ventilator 8,50,000 5 43,35,000

Nebulizer 7,000 5 35,700

ECG 75,000 1 75,000

Suction Machines 10,000 1 10,000

Mobile Light 2,65,000 2 5,43,250

Echo Colour Doppler Portable 22,00,000 1 22,00,000 Sub total 1,35,10,700

SICU


(Rs) Total Qty

Total Cost (Rs)

Monitor 2,25,000 16 36,56,250


Central Station 5,00,000 1 5,00,000

Syringe Infusion Pumps 35,000 32 11,37,500

Defibrillator/ Monitor / Recorder 3,25,000 1 3,25,000

Ventilator 8,50,000 8 69,27,500

Nebulizer 7,000 8 57,050

ECG 75,000 1 75,000

Suction Machines 10,000 2 20,500

Mobile Light 1,50,000 1 1,50,000 Sub total 1,35,66,300

MICU & Step Down ICU


(Rs) Total Qty

Total Cost (Rs)

Monitor 1,60,000 24 38,96,000


Defibrillator/ Monitor / Recorder 1,50,000 1 1,50,000

Nebulizer 7,000 2 14,350

ECG 75,000 1 75,000

Suction Machines 10,000 2 20,500 Sub total 50,08,100

NICU


(Rs) Total Qty

Total Cost (Rs)

Monitor 2,25,000 4 9,11,250

Omnibed 8,50,000 4 34,42,500

Phototherapy unit 40,000 2 81,000


Ventilator 8,00,000 4 32,40,000

Nebulizer 7,000 2 14,350

Suction Machines 10,000 2 20,500 Sub total 79,93,100

34

UROLOGY & NEPHROLOGY


(Rs) Total Qty

Total Cost (Rs)

Dialysis units 7,50,000 6 45,75,000

RO Plant 3,50,000 1 3,50,000

Monitor 1,60,000 6 9,76,000


Crash Cart & Defib 2,00,000 1 2,00,000

Weight Scale (Large) 15,000 1 15,000

Bed Wing Scale 80,000 1 80,000

Dialyser Reprocessing unit 6,50,000 1 6,50,000 Sub total 82,73,000

35

SUMMARY OF MEDICAL EQUIPMENT

Department / Unit Total Cost (Rs)

OUTPATIENT ROOMS 17,47,240

RADIOLOGY DIAGNOSTICS 12,16,30,000

CARDIOLOGY DIAGNOSTICS 72,50,000

NEUROLOGY DIAGNOSTICS 38,00,000

EYE & OTHER DIAGNOSTICS 49,45,000

NUCLEAR MEDICINE 6,30,00,000

ENDOSCOPY & COLONOSCOPY 25,00,000

LABORATORY & BLOOD BANK 2,08,07,900

PHYSIOTHERAPY 13,28,320

CATH LAB 3,08,69,300

LINAC, BRACHYTHERAPY & CHEMOTHERAPY 8,52,95,300

BONE MARROW TRANSPLANT UNIT 26,69,300

EMERGENCY TRIAGE 24,07,400

TRAUMA & RESUSCITATION ROOM 10,45,000

EMERGENCY OBSERVATION 14,22,800

EMERGENCY PROC ROOM 6,75,000

LABOR ROOM 17,47,100

INPATIENT NURSE STATIONS 49,27,190

DAY CARE - CHEMOTHERAPY 14,43,800

DAY CARE - GENERAL 2,23,985

CARDIO THORACIC OT 2,09,63,400

ORTHO & NEURO OT 3,01,92,800

ONCO SURGERY OT 1,36,18,400

OTHER GENL & INFECTIOUS OT 1,72,78,400

CCU 1,35,10,700

SICU 1,35,66,300

MICU & Step Down ICU 50,08,100

NICU 79,93,100

UROLOGY & NEPHROLOGY 72,73,000

MISC (2%) 97,82,777

Total 49,89,21,612

VAT (13.5%) 6,73,54,418

Freight & Insurance (1%) 49,89,216

Installation (1%) 49,89,216

GRAND TOTAL 57,62,54,462

36

Hospital support equipment PHARMACY & INVENTORY

Name of Equipment Unit

Cost (Rs) Total Qty

Total Cost (Rs)

Medicine Fridges (for all stores) 30,000 6 1,80,000

Bar coder 1,50,000 2 3,00,000 Sub total 4,80,000

CSSD


Cost (Rs) Total Qty

Total Cost (Rs)

Steam sterilizer (Twin Door) - 250 L 15,00,000 1 15,00,000

Steam sterilizer (Twin Door) - 575 L 28,00,000 1 28,00,000

ETO steriliser 6,00,000 1 6,00,000

Plasma Steriliser - 30 L 25,00,000 1 25,00,000

Flash Steriliser 3,50,000 1 3,50,000

Ultrasonic Instrument cleaner 1,00,000 1 1,00,000

Drying Cabinet 3,00,000 2 6,15,000

Washer Disinfector 17,50,000 1 17,50,000

Rotary Sealer 1,00,000 1 1,00,000 Sub total 1,03,15,000

LAUNDRY


Cost (Rs) Total Qty

Total Cost (Rs)

Sluice wash machine (100 kg) 5,00,000 1 5,00,000

Hydro-extractor 50 Kg 1,50,000 1 1,50,000

Drying tumbler 50Kg 1,00,000 1 1,00,000

Calendering Machine 10,00,000 1 10,00,000

Flat work iron tables 7,50,000 1 7,50,000

Sewing Machine 40,000 1 40,000

Hand iron tables with irons 15,000 1 15,000 Sub total 25,55,000

MORGUE


Cost (Rs) Total Qty

Total Cost (Rs)

Freezer Cabinets 3,50,000 6 21,35,000 Sub total 21,35,000

TELEMEDICINE


Cost (Rs) Total Qty

Total Cost (Rs)

Telemedicine - Software 7,00,000 1 7,00,000

Telemedicine - Equipment 7,00,000 2 14,35,000 Sub total 21,35,000

37

SUMMARY OF HOSPITAL SUPPORT EQUIPMENT

Department / Unit Total Cost

(Rs) PHARMACY & INVENTORY 4,80,000

CSSD 1,03,15,000

LAUNDRY 25,55,000

KITCHEN and CAFETERIA - OUTSOURCED 0

MORGUE 21,35,000

TELEMEDICINE 21,35,000

MISC (5%) 8,81,000

Total 1,85,01,000

VAT (13.5%) 24,97,635




38

Administrative equipment

COMPUTERS / LAPTOP

Department / Person Unit Cost

(Rs) Total Qty

Total Cost (Rs)

CEO 58,000 1 58,000

Medical Superintendent 58,000 1 58,000

GM Operations 40,000 1 40,000

Nursing Superintendent 30,000 1 30,000

CFO 58,000 1 58,000

Other Laptops 30,000 20 6,07,500

Desktops 30,000 140 42,30,000

Sub total 165 50,81,500 SUMMARY OF ADMINISTRATIVE EQUIPMENT

Department / Unit Total Cost

(Rs) COMPUTERS / LAPTOP 50,81,500

PRINTERS AND FAX 4,43,200

SERVER SYSTEM 7,50,000

SCANNERS AND PHOTOCOPY 4,00,000

PROJECTORS 1,60,000

HOSPITAL SOFTWARE AND BIOMETRICS 1,00,50,000

DRINKING WATER DISPENSORS 3,05,000

TELEVISION, DIGITAL SIGNAGE, MUSIC SYSTEM 50,50,000

Misc (5%) 11,11,985

Total 2,33,51,685

VAT (13.5%) 31,52,477




39

Automobile plan

Name of Vehicle Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Ambulances - Fully Equipped 28,00,000 1 28,00,000

Ambulances - Semi Equipped 17,00,000 2 34,85,000

CEO official vehicle 10,00,000 1 10,00,000

Other official Vehicle 8,00,000 1 8,00,000

Camp Vehicle 7,00,000 1 7,00,000

Grand Total 87,85,000

40

Furniture plan

Medical furniture

OUTPATIENT AREA

Name of Furniture

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Examination Beds (except Eye, Dent) 22,000 22 4,84,000

Transfer Stretchers 45,000 4 1,80,000

Wheel Chairs 7,000 20 1,40,000 Sub total 8,04,000


Name of Furniture

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Examination Beds (ECG) 22,000 2 44,000

Examination Beds (ECHO) 22,000 1 22,000

TMT Room 30,000 1 30,000 Sub total 66,000


Name of Furniture

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Examination Beds (EEG) 22,000 1 22,000

Examination Beds (EMG) 22,000 1 22,000

Sleep Lab Bed 30,000 1 30,000 Sub total 74,000

NUCLEAR MEDICINE

Name of Furniture

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Transfer Stretcher 45,000 1 45,000 Sub total 45,000


Name of Furniture

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Endoscopy Bed / Couch 45,000 1 45,000

Colonoscopy Bed / Couch 45,000 1 45,000 Sub total 90,000

PHYSIOTHERAPY

41

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Patient recuperation bed 30,000 1 30,000 Sub total 30,000


Name of Furniture

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Phlebotomy chair 65,000 4 2,60,000

Blood Donation couch 65,000 2 1,30,000

Patient recuperation bed (BB) 45,000 2 90,000 Sub total 4,80,000

CATH LAB

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Equipment Trolley 22,000 6 1,32,000

Instrument Trolley 10,000 6 60,000

Transfer Stretchers 45,000 4 1,80,000 Sub total 3,72,000

LINAC & BRACHYTHERAPY

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Stretcher Trolley 45,000 2 90,000 Sub total 90,000


Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Intensive Care Beds 80,000 2 1,60,000

Transfer Stretchers 45,000 2 90,000

Bed side Locker 7,000 2 14,000 Sub total 2,64,000

TRAUMA & RESUSCITATION ROOM

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Intensive Care Beds 50,000 1 50,000

Bed side Locker 7,000 1 7,000 Sub total 57,000

EMERGENCY TRIAGE

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

42

Triage Beds 50,000 2 1,00,000

Stretcher Trolley 45,000 1 45,000

Transfer Stretchers 45,000 1 45,000

Wheel Chairs 7,000 1 7,000 Sub total 1,97,000


Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Patient Beds 30,000 6 1,80,000

Bed Side Lockers 7,000 6 42,000


EMERGENCY PROC ROOM

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Dressing Trolley 10,000 2 20,000

Instrument Trolley 10,000 2 20,000 Sub total 40,000

LABOR ROOM

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Equipment Trolley 22,000 2 44,000

Dressing Trolley 10,000 2 20,000

Instrument Trolley 10,000 2 20,000 Sub total 84,000


Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Equipment Trolley 22,000 5 1,11,100

Wheel Chairs 7,000 20 1,41,400


Bed side screens 7,000 15 1,06,050 Sub total 8,13,050

DAY CARE - CHEMOTHERAPY

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Patient Beds / Couch 30,000 6 1,80,000

Bed side Lockers 7,000 6 42,000

Wheel Chairs 7,000 3 21,000

Transfer Stretcher 45,000 2 90,000

43

Sub total 3,33,000

DAY CARE - GENERAL

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Patient Beds 30,000 12 3,66,000

Bed side Tables 7,000 12 85,400

Bed side Lockers 7,000 12 85,400


OPERATING ROOMS

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)


Stretcher Trolley 45,000 6 2,70,000

Scrub Station 1,50,000 6 9,00,000

OT Fixture and Fittings 50,000 6 3,00,000

Preop Beds 30,000 6 1,83,000

Post Op Beds 50,000 4 2,02,500

Instrument Trolleys 10,000 24 2,46,000

Equipment Trolley 22,000 12 2,70,600 Sub total 26,42,100

CCU, SICU, MICU, Step Down

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

ICU Beds 50,000 50 25,37,500

Bed side lockers 7,000 50 3,55,250

Nurse Station Furniture 1,00,000 6 6,05,000

Stretcher on Trolley 45,000 12 5,44,500


ICU Fittings 10,000 50 5,07,500 Sub total 48,22,000

NICU

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Formula Room 1,00,000 1 1,00,000

Formula Room Air Hood 1,50,000 1 1,50,000

NICU Fittings 10,000 3 30,000 Sub total 2,80,000

INPATIENT

44

Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Patient Beds 30,000 131 39,81,000

Bed side tables 7,000 131 9,28,900

Bed side lockers 7,000 131 9,28,900 Sub total 58,38,800


Name of Equipment

Unit Cost (Rs)

Total Qty

Total Cost (Rs)

Dialysis Beds 1,25,000 6 7,62,500

Bedside Lockers 7,000 6 42,700

Dialysis room Fittings 15,000 6 91,500

Urodynamic lab Fittings 75,000 1 75,000

Equipment trolley 22,000 1 22,000 Sub total 9,93,700

SUMMARY OF MEDICAL FURNITURE


OUTPATIENT AREA 8,04,000

CARDIOLOGY DIAGNOSTICS 66,000

NEUROLOGY DIAGNOSTICS 74,000

NUCLEAR MEDICINE 45,000

ENDOSCOPY & COLONOSCOPY 90,000

LABORATORY & BLOOD BANK 4,80,000

PHYSIOTHERAPY 30,000

CATH LAB 3,72,000

LINAC & BRACHYTHERAPY 90,000

BONE MARROW TRANSPLANT UNIT 2,64,000

EMERGENCY TRIAGE 1,97,000

TRAUMA & RESUSCITATION ROOM 57,000

EMERGENCY OBSERVATION 2,50,000

EMERGENCY PROC ROOM 40,000

LABOR ROOM 84,000


DAY CARE - CHEMOTHERAPY 3,33,000

DAY CARE - GENERAL 5,58,150

OPERATING ROOMS 26,42,100

CCU, SICU, MICU, Step Down 48,22,000

NICU 2,80,000

INPATIENT 58,38,800

UROLOGY & NEPHROLOGY 9,93,700

MISC (5%) 9,61,190

Total 2,01,84,990

45


VAT (13.5%) 27,24,974




46

Non medical furniture

ENQUIRY, REGISTRATION AND BILLING

Name of Furniture Unit Cost

(Rs) Total Qty

Total Cost (Rs)

Chairs 4,000 20 80,800

File Racks 4,000 6 24,400

Patient Waiting Area 5,00,000 1 5,00,000 Sub total 6,05,200

OUTPATIENT AREA


(Rs) Total Qty

Total Cost (Rs)

Doctor's Chairs 8,000 24 1,92,000

Attendant Chairs 4,000 48 1,92,000

Patient Stool 1,200 24 28,800

Doctor's Secretary Chairs 4,000 12 48,000


RADIOLOGY DIAGNOSTICS


(Rs) Total Qty

Total Cost (Rs)

Chairs 4,000 8 32,000

Storage Racks 4,000 4 16,000




(Rs) Total Qty

Total Cost (Rs)

Chairs 4,000 3 12,000

Storage Racks 4,000 3 12,000

Patient Waiting Area 20,000 1 20,000 Sub total 44,000



(Rs) Total Qty

Total Cost (Rs)

Chairs 4,000 3 12,000


NUCLEAR MEDICINE

47


(Rs) Total Qty

Total Cost (Rs)

Chairs 4,000 4 16,000

Attendant Waiting Area 20,000 1 20,000 Sub total 36,000



(Rs) Total Qty

Total Cost (Rs)

Doctor's Chairs 8,000 2 16,000

Nurse's Chair 4,000 2 8,000




(Rs) Total Qty

Total Cost (Rs)

Doctor's Chair 8,000 5 40,000

Technician Stools 4,000 12 48,000

Phlebotomist tool 4,000 4 16,000

Waiting Sofa 22,000 1 22,000 Sub total 1,26,000

PHYSIOTHERAPY


(Rs) Total Qty

Total Cost (Rs)

Doctor's Chairs 8,000 2 16,000

Patient Sofa 22,000 1 22,000 Sub total 38,000

CATH LAB


(Rs) Total Qty

Total Cost (Rs)


Technician Chair 4,000 4 16,000 Sub total 32,000

LINAC & BRACHYTHERAPY


(Rs) Total Qty

Total Cost (Rs)

Technician Chair 4,000 4 16,000

SS Rack (Mould Room) 18,000 4 72,000

Waiting Area 20,000 1 20,000 Sub total 1,08,000


48


(Rs) Total Qty

Total Cost (Rs)


Nurse's / Technician Chair 4,000 2 8,000

SS Rack 18,000 2 36,000 Sub total 60,000

EMERGENCY


(Rs) Total Qty

Total Cost (Rs)



SS Rack 18,000 2 36,000

Doctor's Rest Room 20,000 1 20,000

Nurse Station fittings 20,000 1 20,000

Emergency Registration 4,000 2 8,000

Telephone Console 4,000 1 4,000

Waiting Area 40,000 1 40,000 Sub total 1,52,000



(Rs) Total Qty

Total Cost (Rs)


Nurse Station Fittings 20,000 1 20,000

File Rack 4,000 1 4,000 Sub total 32,000

LABOR ROOM


(Rs) Total Qty

Total Cost (Rs)

Doctors' Chair 8,000 1 8,000


Attendant Chair 4,000 2 8,000

SS Rack 4,000 1 4,000 Sub total 28,000



(Rs) Total Qty

Total Cost (Rs)

Nurse's Chairs 4,000 20 80,800

Nurse Station Fittings 20,000 5 1,01,000

File Rack 4,000 20 80,800 Sub total 2,62,600

DAY CARE - CHEMOTHERAPY

49


(Rs) Total Qty

Total Cost (Rs)



SS Racks 4,000 1 4,000 Sub total 32,000

DAY CARE - GENERAL


(Rs) Total Qty

Total Cost (Rs)




OPERATING ROOMS


(Rs) Total Qty

Total Cost (Rs)

Doctor's Relaxation Area 1,00,000 1 1,00,000

OT Stores - Chair 4,000 2 8,000

OT Stores - SS Rack 18,000 8 1,44,000 Sub total 2,52,000

ICU


(Rs) Total Qty

Total Cost (Rs)


Nurse Station Fittings 20,000 5 1,00,000

ICU Store - Chairs 4,000 2 8,000

ICU Store - SS Racks 18,000 16 2,88,000 Sub total 4,36,000

NICU


(Rs) Total Qty

Total Cost (Rs)

Formula Room - Couch and Chair 20,000 1 20,000




INPATIENT


(Rs) Total Qty

Total Cost (Rs)

Attendant Couches 10,000 65 6,59,000

50

Attendant Chairs 4,000 262 10,61,600 Sub total 17,20,600



(Rs) Total Qty

Total Cost (Rs)


Nurse's / Technician Chairs 4,000 4 16,000


Waiting Area 20,000 1 20,000 Sub total 64,000

CSSD


(Rs) Total Qty

Total Cost (Rs)

Technician Chairs 4,000 4 16,000

Storage Racks 18,000 10 1,81,800

Work Stations - SS 25,000 4 1,00,000

Trolleys - SS 20,000 6 1,22,000

SS Sorting Table 25,000 2 50,000 Sub total 4,69,800

LAUNDRY


(Rs) Total Qty

Total Cost (Rs)

Supervisor Chair 4,000 1 4,000

Technician Chairs 2,000 4 8,000

Storage Racks 18,000 8 1,45,800

Trolleys 20,000 8 1,64,000 Sub total 3,21,800

ADMINISTRATION


(Rs) Total Qty

Total Cost (Rs)

CEO Room - Full Furnishing 2,00,000 1 2,00,000

Conference Room 2,00,000 1 2,00,000

CFO Office 1,00,000 1 1,00,000

MS Office 1,00,000 1 1,00,000

NS Office 50,000 1 50,000

GM Office 1,00,000 1 1,00,000

Senior Managers 50,000 5 2,50,000

Meeting Rooms 1,00,000 5 5,00,000

Telemedicine Room 1,00,000 1 1,00,000

Server and Electrical Rooms 50,000 1 50,000

Other office spaces 25,00,000 1 25,00,000 Sub total 41,50,000

51

MEDICAL RECORDS & LIBRARY


(Rs) Total Qty

Total Cost (Rs)

MRO - Chair 8,000 1 8,000


Work Stations 10,000 2 20,000

Racks 7,000 12 85,400

Library Reading Chairs 3,000 12 36,600

Library Tables 6,000 3 18,300

Book Racks 4,000 4 16,400 Sub total 2,00,700

PHARMACY AND STORES


(Rs) Total Qty

Total Cost (Rs)

Manager Chairs 8,000 2 16,000

Other Chair 4,000 8 32,000

Racks 10,000 24 2,44,000

Rack with Locker 20,000 2 40,000 Sub total 3,32,000

ENGINEERING AND BIOMEDICAL DEPT


(Rs) Total Qty

Total Cost (Rs)

Manager Chairs 8,000 2 16,000


Work Station 10,000 2 20,500

Racks 4,000 2 8,200

Rack with Locker 20,000 1 20,000 Sub total 80,700

SUMMARY OF NON MEDICAL FURNITURE


ENQUIRY, REGISTRATION AND BILLING 6,05,200

OUTPATIENT AREA 9,60,800

RADIOLOGY DIAGNOSTICS 1,48,000

CARDIOLOGY DIAGNOSTICS 44,000

NEUROLOGY DIAGNOSTICS 32,000

NUCLEAR MEDICINE 36,000

ENDOSCOPY & COLONOSCOPY 34,000

LABORATORY & BLOOD BANK 1,26,000

PHYSIOTHERAPY 38,000

52

SUMMARY OF NON MEDICAL FURNITURE


CATH LAB 32,000

LINAC & BRACHYTHERAPY 1,08,000

BONE MARROW TRANSPLANT UNIT 60,000

EMERGENCY 1,52,000

EMERGENCY OBSERVATION 32,000

LABOR ROOM 28,000


DAY CARE - CHEMOTHERAPY 32,000

DAY CARE - GENERAL 64,000

OPERATING ROOMS 2,52,000

ICU 4,36,000

NICU 66,000

INPATIENT 17,20,600

UROLOGY & NEPHROLOGY 64,000

CSSD 4,69,800

LAUNDRY 3,21,800

KITCHEN & CAFETERIA - OUTSOURCED 0

ADMINISTRATION 41,50,000

MEDICAL RECORDS & LIBRARY 2,00,700

PHARMACY AND STORES 3,32,000

ENGINEERING AND BIOMEDICAL DEPT 80,700

CHANGE ROOMS AND LOCKERS 7,75,000

AUDITORIUM 20,00,000

OTHER WOOD WORK FURNITURE & INTERIORS (Rs 10 / Sq Ft) 28,34,251

MISC (5%) 8,24,873

Total 1,73,22,324

VAT (13.5%) 23,38,514




53

Manpower plan

Staff Category Number of Staff

Administrative Staff

CEO / Hospital Administrator 1

Medical Superintendent 1

Nursing Superintendent 1

Chief Financial Officer 1

GM Administration 1

Sr. Managers 7

Managers 11

Asst. Managers 6

Supervisors 7

Process Executives 22

Senior Accountant 1

Junior Accountant 2

Security In-charge 1

62

Patient Relations

Patient Counsellors 3

Patient care Executives 30

Billing Executives 20

Physician Secretaries 12

Admission / Discharge Executives 8

Data Entry Operators 5

Medical Record Technicians 3

Social Workers 2

Telephone operators 4

87

Medical Professionals

Cardiologist 2

Cardiac Surgeon 1

Cardiac Surgeon - Assistant 1

Cardiac Surgeon 1

Orthopaedic Surgeon - Genl 2

Orthopaedic Surgeon - Genl (Assistant) 1

Orthopaedic Surgeon - Joint Replacement 1

Neurologist 2

54


Neurosurgeon 2

Neurosurgeon - Assistant 1

Medical Oncologist 2

Surgical Oncologist 3

Radiation Oncologist 3

Anaesthetist - Senior 3

Anaesthetist - Junior 2

Emergency and Critical Care Specialist 1

Maxillo Facial Surgeon 1

Gynae & Obstetrician 2

Neonatologist 1

Paediatrician 2

Gastro Enterologist 2

Gastroenteric Surgeon 2

Gastroenteric Surgeon - Part time 1

Nephrologists 2

Urologist 1

Pulmonologist & Thoracic Surgeon 1

Internal Medicine 6

General Surgeon 5

General Medicine 4

Endocrinologist / Diabetologist 1

Ophthalmologist / Surgeon 1

ENT Surgeon 1

Dermatologist 1

Intensivists - Senior 2

Intensivists - Junior 4

Radiologists 2

Sonologists 2

Haematologist 1

Pathologist 1

Microbiologist 1

Biochemist 1

Resident Physicians 12

Dentist 1

Physiotherapist 3

92

55


Nurses

OT Nurses - Senior 18

OT Nurses - Junior 8

ICU / CCU Nurses - Senior 92

ICU / CCU Nurses - Junior 92

IP & Day Care Nurses - Senior 32

IP & Day Care Nurses - Junior 65

IP Nurses - Assistant 32

Emergency Nurses - Senior 14

Emergency Nurses - Junior 14

Other Procedure Area Nurses - Senior 13

Other Procedure Area Nurses - Junior 13

OP & Diagnostic Area Nurses 32

425

Para Medical Professionals

Radiographers - Senior 1

Radiographers - Junior 4

Sonographers 2

CT MRI Technician - Senior 2

CT MRI Technician - Junior 1

Other Diagnostic Tech - Senior 4

Other Diagnostic Tech - Junior 6

Lab Technicians - Senior 6

Lab Technicians - Junior 12

Perfussionists - Senior 1

Perfussionists - Junior 1

OT Technicians - Senior 3

OT Technicians - Junior 12

Dialysis Technicians 5

CSSD Technicians - Senior 2

CSSD Technicians - Junior 6

Phelbotomist 4

Blood Bank Technicians 4

Onco Technicians 5

Nuclear Medicine Technicians 3

BMT Technicians 3

Cath Lab Technicians 3

56


Optometrist 2

Pharmacist - Senior 2

Pharmacist - Junior 4

Pharmacy & Inventory Aids 8

Dieticians 3

109

Engineering Staff

Biomedical engineer - Senior 1

Biomedical engineer – Assistant 1

MEP Engineers - Senior 1

MEP Engineers - Junior 1

IT Engineer - Junior 1

Engineering Assistants 3

8

Laundry & Transport

Launderers 10

Tailor 1

Drivers 15

Security Staff 90

Gardeners 2

Transport Aides 60

Barber 1

179

House Keeping

Patient Attendants & House Keeping 152

152

Total Staff 1114

Documents

PROJECT INFORMATION MEMORANDUM - maavaishnodevi.org