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eq[; fpfdRlk funs’kd]iwoZ e/; jsy] gkthiqj ATotal No. of Serving Employees: 80430Total No. of RELHS Card Holders Registered 17 in this month (Total= 825) No. of Beds in Hospital:-73

During the month

During the same month last year

Cumulative figure since April till reporting month

I MEDICAL SERVICES -

A Curative Services:-

1 Quantitative Performance :

i a No. of patients treated in OPD of Hospital 9792 9640 69751

B No. of patients treated in OPD of Health Units Not applicable Not applicable

C Total No. of patients treated in OPD 9792 9640 69751

Ii No. of patients treated in IPD 389 359 3003

Iii Diagnostic investigations (excluding CT&MRI)=Radio (USG) X-ray (IVP-03, RGV+MCV-04,B.Study-00, HSG-02, Fistulogram-01) Lab Eye=(Autorefractometry-135+Tonometry125-+Biometry-23+HFA-05+A.Scan-20+B.Scan-03) ICU= CVP line-03,ABG-120,ECG-150,TROP T-10, TPI-00 Dental Gyne=(CTG-35, CX Biopsy--00,Cry therapy-03,PAP Smear—00 Colposcopy-00) Dialysis (Femoral Catheter Use-08, AVF-136, I.J-02, D/Used-22Card (ECHO-113+TMT-18+PFT-27, ECG-326, Holter-10, TEE-00, ABP-08) Angiography (CAG-24 + TPI-03 )

3952954592042377

288

28729738

103

502

16

35181 771088

iv a No. of CT Scans & MRIs 38 40 311

B b) Investigation other than CT & MRI 34 38 298

A HIV tested 378 270 6285

B HIV detected Nil Nil 01

C Current pool size of HIV 07 05 07

D No. of Deaths nil nil -

vi Confinements: -

A No. of confinements in Rly. Hospitals 18 32 205

2

B No. of them low birth Weight babies(<2.5 kg) 01 01 07

vii No of Operations 117 137 1179(Upto November)

A No. of Specialised Operations & operations taken more than 4 hrs. Nil nil 03

B Major Operations (including Cataract operations) 50 67 525

During the month



C Minor Operations 67+ 136(dental)= 203

60+ 47(dental)= 107

1120

D No. of Cataract operations without IOL 00 00 01

E No. of Cataract operations with IOL 05 08 65

F Grand Total of Operations 253 184 1800

2 Qualitative Performance :

I Mortality in Hospitals (Numbers only) 08 10 96

Ii Bed occupancy rate (BOR) 70% 76% 73%

Iii Average length of Stay (ALS) 7 06 7 days

Iv No. of patients referred to other non-Railway hospital for indoor treatment

14 13 42

V Quality of Drugs Nil -

A No. of samples sent for analysis 02 Nil 12

B No. of results received (Details if sub-std) Nil Nil -

Vi Local Purchases (In Rs.)

Cash purchase 214524/- 92678/-. 2258623/-

Bulk purchase including emergency purchase (7A+7B+7C)7(a)Rs 4,90,432+7 (b) Rs 7,68,726 + 7(c) nil

Rs1259158 774404/- 5558151/-

Vii Bills passed during the month on account of treatment, investigations etc at :

A Private Hospitals (Recognized) 236434/- 3,00,000/- 756313

B Government Hospital 9429/- Nil 649268/-

C Bill passed on account of Reimbursements (A + B) 245861/- 3,00,000/- 1405581/-

3

B Industrial Health.

I RMC - Nil

A No. of RMC 04(Gaz) 06(Gaz) 25

B Man-days loss due to RMC 137 Days 62 Days 464

During the month.

During the same month last year.


C Man-days loss due to RMC (in %) Nil Nil Nil

Ii IOD / HOD Nil Nil Nil

A No. of IOD/HOD Nil Nil Nil

B Man days loss due to IOD/HOD Nil Nil Nil

C Man days loss due to IOD/HOD ( in %) Nil Nil Nil

Iii PMC Nil Nil Nil

A No. of PMC Nil Nil Nil

B Man days loss due to PMC Nil Nil Nil

C Man days loss due to PMC (in %) Nil Nil Nil

Iv No. of employees on RMC for more than one year Nil Nil Nil

C Total No. of Medical Exam/Boards nil

I Candidate nil

Ii PME Nil Nil Nil

Iii Medical Board Nil 05 Nil

II HEALTH SERVICES :

A FOOD SAMPLES (FSS) Nil Nil Nil

I No. of Food samples collected Nil Nil Nil

Ii No. of reports of adulterated samples Nil Nil Nil

Iii No. of prosecutions launched Nil Nil Nil

Iv No. of awarded punishment Nil Nil Nil

4

B FOOD SAMPLES (Quality Control) Nil Nil Nil

I No. of Food samples collected Nil Nil Nil

Ii No. of reports of adulterated samples Nil Nil Nil

Iii No. of recommended for fine Nil Nil Nil

During the month



C WATER SAMPLES. Nil -

i For Bacteriological Test :

a No. of samples tested N/A 02 -

b No. of Samples fit N/A 01 -

ii For Residual Chlorine Test :

a No. of Samples tested N/A 04 -

b No. of Samples fit N/A 04 -

III MEDICAL AUDIT :

No. of medical audits done 05 05 30

No. of Doctors on unauthoritised absence Nil 01 -

Training (for one week & above)

I Gazetted nil nil -

Ii Non-Gazetted nil Nil -

Attended Scientific seminars, conferences & Workshop etc. NIL 00

I Gazetted Nil 01 -

Ii Non-Gazetted 02 nil -

V NON RAILWAY EARNINGS ( in Rs.)14142/- (OPD) + 22887/- (IPD)

37029/- 1350/- 272873/-

VI Total No. of M & P equipments available 63 63 63

No. of them under comprehensive AMC 13 04 nil

Total nos. of M&P equipments out of order more than 3 months

nil 01 nil

5

VII MEDICAL SERVICES PROVIDED :

Progress of provision of the Augmented First-Aid facilities nil -

I No. of trains where Augmented First-Aid Boxes have been provided.

Nil nil -

During the month



Ii No. of staff completed first-aid training during the month

Nil nil -

Ii No. of inspection covered by Medical Officers Nil 01 -

Iv No. of passengers provided Medical Aid during journey at train/stations/yards etc (Numbers).

Nil nil -

V No. of Railway accident calls attended. Nil nil -

6

Annnexure-3

Annexure 1 & 2 not concerned with CH/Patna

NAME OF DIVISION CSSH/Patna

MISSION ITEM TARGET (MEDICAL) FOR THE MONTH:- AUGUST ’16

S.N Item

MonthlyTarget Achievement

Cumulative since April’.........

1 Major Surgeries+ With IOL 60 55 580

2 Minor Surgeries:-(OT+Dental)- 60

67+ 136(dental)= 203

1315

3 Total No. of Surgeries 120 258 1895

4 Man days lost due to RMC & IOD (in %) 50 Nil Nil

5 Bed Occupancy Ratio 50% 70% 89.33%

6 PME Disposal on 1st Day (In %) 25%Not done in

CH/Patna

7 Drug Analysis* N/A -- 36

8 Medical Audit 05 5 05

9 MPHD / Health Camps 02 Nil 02

10 Drinking water testing (Bacteriological) 30 N/A -

11 Drinking water testing (Residual chlorine) 700 N/A -

12 Drinking water testing (Chemical examination) 01 N/A Nil

13 Food Sample Testing (Under FSSA) 2 per FSO 01 Nil Nil

14 Food Sample Testing (Under Quality Control) 20 Nil Nil

15 Cleanliness Drive at Station 06 Nil Nil

16 Cleanliness Drive at colony 03 Nil Nil7

Annexure-4

NAME OF DIVISION.CH/Patna

DETAILS OF PATIENTS REFERRED TO PRIVATE HOSPITALS DURING THE MONTH September-16

Sl.No

Name of patient

Shri/Smt.

Age (Yr

)

Sex

Relation & name of

employee

Design Dept Stn Disease RELHS

Adm/ Cons/Inv Prim/Sec/Tert care

1 Siya Saran Roy 78 M Self Ex LP Loco SPJ Haumateme

RELHS

Rajeshwar Hospital, Patna

Tert care

2 Naresh Kumar 62 M Self Ex. Con traller

Optg Gaya CAD RELHS

Parash HMRI Hospital,Patna

Tert care

3 Md. Jalil 80 M Self Ex. BMM Gr. I

Engg. SPJ NSTEM, TVD

RELHS


Tert care

4. Rita Kumari Singh

45 F W/o P.K. Singh

Ex Pass Guard

OPTG DHN Radiotherapy & Chemotherapy

RELHS


Tert care

5. Siya Devi 76F

W/o Ramdeo

Chaudhary

Ex CIT Comm. PNBE

CAD - Parash HMRI Hospital,Patna

Tert care

6. Ranjeet Kumar 30 Self Helper Engg. Jhansi

CAG - Parash HMRI Hospital,Patna

Tert care

7. Shanti Devi 70 W/o Late K.P. Gupta

Ex. OS Engg. DNR Complete Heart Block

RELHS


Tert care

8. R. K. Rajkrihour

70 Self Ex. VP Mech. JMP CRT RELHS


Tert care

9. Mena Begaum 43 W/o M.M. Hussain

Carpenter

Engg. SPJ CHBN - Parash HMRI Hospital,Patna

Tert care

10. Ashok Kumar 55 Se;f LP TRS SEE Chemotherapy

- Parash HMRI Hospital,Patna

Tert care

11. Manmai Devi 65 W/o Mr. Bengali

Ex. LP Helper DNR RELHS

Rajeshwar Hospital, Patna

Tert Care

12. Yogendra Kumar Singh

52 Self Gateman

Optg MGS CKD/Stage(v)

- Rajeshwar Hospital, Patna

Tert Care

13. Jaya Devi 59 W/o Nayine Kumar

Khalasi Engg. DNR Complete Heart Block

- Parash HMRI Hospital,Patna

Tert Care

14. Md. Ali Haider 56 Self LP Optg JAJ CAG - Parash HMRI Hospital,Patna

Tert Care

8

DISTRIBUTION OF REFRRED CASES

HOSPITAL SPECIALITY DISEASE No. of CASES

Jeevak Heart Hospital / Patna Heart ---- 00Paras HRMI Hospial /Patna Heart Complete Heart Block, CAG & CRT 10

Rajeswar Hospital / Patna General Surgery Haumateme & CKD Stage (v) 04Ruben Memorial Hospital / Patna Nephrology - 00Mahaveer Cancer Sansthan/Patna Cancer Cancer -- TOTAL 14Referrals Non Railway Hospital + Govt. Hospital Railway Hospital Total

Tertiary Care Secondary

CareTotal Tertiary Care

ADMISSION 14 + 118 - 32 19 51OPD - - - - -TOTAL 32 - 32 19 51

Annexure-5

BILL OF PRIVATE HOSPITALS FOR TREATMENT OF RAILWAY BENEFECIARIES

S.N Name of the Hospitals

Total no. of Bills up to the month

Total amount claimed up to the month in Rs.

Total amount paid up to the Month in Rs.

Pending bills and amount up to the month

Remarks

1 Jeevak Heart Hospital/Patna

NIL NIL NIL NIL

2 Heart Hospital /Patna

NIL NIL NIL 06 848466 02- 2011Yr.01-2012 Yr01-201302-2014

3 Rajeshwar Hospital/Patna

NIL NIL NIL 13 Pending bills are of Year 2014.

4 Ruban Memorial Hospital/Patna

NIL NIL NIL 02 291778

5 Mahavir Cancer Sansthan

NIL NIL NIL 01 100559

6. Patliputra Adv Diagnostic Centre , Kadamkuan

NIL 2,30,000 NIL Nil 230000

9

Patna

Note : Bills are pending due non availability of CMD permission in the bill. Correspondence has been made with CMD’s office.

Annexure-8


(A) M&P Items sanctioned and progress as on September-2016

S.N. Description with cost Present status 1 OPG X-ray machine

Case No.- 09/12/6061Specification and name of likely suppliers have been revised and file was sent to store department.OT due on 07.12.2016

2 Q Switch Nd YAG LaserCase No.- 09/11/6064

File returned to this office on 27.08.2015 for review of the specification. Revised specification was made and re-submitted the case CME/Plg for fund availability .File received to this office on 13.10.2015 . File sent to CME/Plg .

3 800 mA X-ray machineCase No.- 09/14/6029

TR has been done .file sent to store dept. for needful .

4 Hospital furniture for 4 d floor File sent to store dept. for early procurement 5 ENT OPD General Instrument

Case No.-09/14/6065File with Store dept.

6 ENT Treatment UnitCaser No.- 09/14/6064

TR has been made and file with store dept for issuing PO

7 Bed Side Monitor with Central Monitoring StationCase No- 09/12/6110

TR/PR has been made and file with Store deptt. for issuing PO.

8 Consumable for ABG MachineCase No.- 09/14/6051

PO has been issued. Material yet not supplied.

9. Nephroscope for urology dept. File is with Dy.CME/Plg from 01.08.2015 for fund availability. File returned to this on 21.01.2016 .

10 Fundus Camera for flourecein Angiography

Proposal has been uploaded on the M&P Portal and file sent to CME/Plg for inclusion in M&P Portal on 06.10.2015

11 MultiparamonitorCase no. 09/12/6078

File with store dept. since long time.

12 File of 02 nos. dialysis machine File returned to this office for revision of specification .File with medical dept.

13 Dental Chair Unit through SBF TR has been made and file with store dept. for issuing PO 14 File of procurement of ETO

Sterliser through SBFTender is to be opened on Dec.16.

15. File of procurement of Batery drive power to system for orthopaedics and tarumatologyDrill machine through SBF

Tender is to be opened on Dec.16.

16 File of procurement of laparoscopicset with accessories’

Tender is to be opened on 29 .11.2016.

10

17 File of procurement of 06 body AC Mortuary.

Proposal has been concurred by the associate finance . Sanction of GM is to be obtained through CME .

18 Videoendoscope, Colonoscope and other hand instrument.

Tender is to be opened on Dec.16.

(B) Details of the M&P Equipments installed during the month along with the date of payment to the suppliers.

Sr.No

M&P items Date of Installation

Date of payment to the suppliers

NIL Nil Nil

(C) Details of Out of order medical equipments for more than 3 months (Cost more than Rs.1 lakhs)

Sl.No.

Name of Equipment with Model number

Cost of Purchase

Period of AMC If not under AMC, the reason

Nil Nil Nil Nil(D) Equipments under AMCs:- List Enclosed. Annex-8( D)

S.N Name of equipment with model number

Cost of purchase AMC from AMC upto.

1 Mechanical Ventilator 1700000/- 09.03.2015 08.03.2018

2 20 nos. infusion pump - 14.08.2015 13.08.2018

3 CR System 08.08.2015 07.08.2018 LOA issued but firm is not turnup for Agreement.

4. Gas Pipe Line Under process for CMC .

5. Dental Chair unit - 2017

6. ABG machine 12.08.2013. 11.08.2016

7. Bed Side monitor with Central Monitoring station.

11.12.2015 to 10.12.2017

8 01 no. Defibrilator with External Pacing facility

11.12.2015 10.12.2016

9 Echocardiography with TEE Probe

11.12.2015 10.12.2017

10 02 nos. ECG Machine 11.12.2015 10.12.2016

11 Random Access Automated Immunoaasy Analyser

23.12.2015 22.12.2018

12 C-ARM 15.01.2016 14.01.2018

11

13 Portable X-Ray Machine Mobile

13.01.2016 13.01.2021

Hospital Equipments costing above Rs. 1 Lakh and less than Rs. 10 lakh.

Name of the Equipment Date of Receipt / Installation

Cost (Rs.) Working condition

LABORATORY01 Cogularmeter 16.05.09 1,14,400 Wkg.02 Eliza Microplate reader plus washer 16.11.09 277056 Wkg03 SemiAutoAnalyser 16.11.09 202176 Wkg.04 Electrolyte Analyser 08.04.10 165000 Wkg.05 Blood Cell Counter 26.04.10 468000 Wkg.06 Random Access Automated

Immunoassay Analyser23.02.13 940000 Wkg

OPERATION THEATRE07 Diathermy Machine 24.12.08 133020 Wkg.08 OT lights 23.12.08 185120 Wkg09 OT light . 03 nos. 20.01.12 20,28,000 Wkg10 Multiparamonitor 27.12.08 171288 Wkg.11 OT table 31.12.08 243360 Wkg12 OT table ,04 nos. 01.13.12 1983426 Wkg13 Anesthesia machine 30.01.10 391875 Wkg14 Steriliser 24.09.10 473540 Wkg15 Defibrilator, 02 nos. 01.08.11 824000 Wkg.

RADIOLOGY16 Darkroom accessories 29.12.08 140182 Wkg.17 500 mA X-ray machine 29.12.08 546624 Wkg.

Dental Wkg18 Dental Chair unit 31.12.08 309400 Wkg19 Dental Chair unit 06.08.09 439920 Wkg20 Dental Air Compressor Chair unit 20.05.10 161720 Wkg21 Dental Chair with accessories 25.10.11 489930 Wkg 22 Dental X-ray mind DC 31.12.08 135300 Wkg23 Front loading Autoclave 29.12.08 131040 Wkg24 X-ray filim processors Auto 16.05.09 310000 Wkg25 Dental Surgical Operating

microscope16.11.13 498750 Wkg

26 Physio Dept. Wkg27 Ultrasound therapy unit 30.03.09 154856 Wkg

Eye Dept. Wkg

12

28 Slit lamp with applanation tonometer

24.11.08 171600 Wkg

29 Autorefractometer with keratometer 29.08.10` 383760 Wkg30 AB Scan 12.05.09 926306 Wkg31 Opthalmic Refraction unit 16.05.09 104000 Wkg32 Auto lenso meter 31.01.12 126000 Wkg

Cardio lab Wkg

33 ECG Machine 27.12.08 102440 Wkg34 Defibrillator 29.05.10 282880 Wkg35 Holter monitor 30.04.10 489060 Wkg

I.C.U. Wkg

36 ECG Machine,02 nos. 16.05.09 451500 Wkg37 Defibrillator with external pacing

facility20.10.11 385350 Wkg

38 ABG Machine 30.07.11 458640 Wkg39 BiPAP machine,02 nos. 29.10.11 293370 Wkg

O.P.D.40 Defibrillator with ECG monitor 29.12.08 126360 Wkg41 Digital Video Colposcope 06.02.10 196560 Wkg42 Foetal Monitor CTG 19.05.10 273520 Wkg43 Infant Warmer, Pulse Oximeter

Procedure light21.08.11 657720 Wkg

44 Electro mechanical OT table 29.10.11 221057 WkgTotal 17568106

Hospital Equipments costing above Rs. 10 Lakh

Sl. No Name of the Equipment Date of Receipt / Installation

Cost (Rs.) Working condition

45 Fully Automatic Bio Chemistry 08.03.10 1872000 Wkg.46 Diathermy with ligaseal 17.01.14 1433250 Wkg.47 Computed radiography

system12.09.09 1650900 Wkg

48 USG machine 03.03.10 2524500 Wkg49 C Arm 08.08.11 813000 Wkg.50 Automated perimeter 02.05.11 1090960 Wkg51 Phacomulsification system 24.11.11 1445600 Wkg52 Operating microscope 23.08.12 1960350 Wkg53 Mechanical Ventilator 16.02.12 1700000 Wkg54 Bed Side Monitor with central

Monitoring station28.09.12 2348500 Wkg

55 TMT Machine 01.08.11 1092000 Wkg

13

56 Echo with TEE 03.03.12 2500000 Wkg57 Cardiac Catheterization Lab 27.07.15 5,75,00,000 Wkg

Total 7,79,31060Annexure-9

NAME OF DIVISION CSSH/PatnaHIV/AIDS AWARENESS AND TRAINING PROGRAMME

(A) I.E.C. activities:-

(B) Training Courses Conducted for Class III & Class IV HIV & AIDS: -NILl.No.

Period of Training Place of training No. of employees Trained

1. 01 Day Path/Lab/CH/Patna 08 Lab Staff

B) SPECIAL HEALTH CHECK – UP Annexure -12


Sl. No.

Name of the items This month During the year (since 1st April)

1 No. of Health check up camps conducted.

01 (17.10.16 to 22.10.16) --

2 No. of beneficiaries attended 133 Details of Camps Cervical PEP SMEAR

Camp.4 Health Check up camp for Family

members of Officers.-

5 Facilities provided. -

6 No. of camps held in this year since 1st April

-

C) EXECUTIVE HEALTH CHECK-UP :-

14

1 No. of Seminar held NIL2 No. of Lectures organized Nil3 No. of Group discussions held Nil4 No. of Audio Visuals shows organized NIL5 No. of Exhibition held Nil6 No. of Quiz contest organized Nil7 Poster writing competition held Nil8 Other activities

No. of officers at Divi./HQ

No. of officers undergone check-up in the month

No. of check-up done since 1st April

Remarks

HQ Nil Nil

D) SCHOOL HEALTH CHECK-UP: Nil

E) HEALTH EDUCATION:

Sl. No. No. of Health Education Meeting/ Seminars conducted with dates

Brief on the subject No. of meetings etc. conducted since 1st April’15

01 NIL -- --

Annxure-13

NAME OF DIVISION /CSSH/Patna.

MEDICAL STORES:- DETAILS OF NON-PAYMENT OF BILLS TO BE GIVEN WHERE PAYMENT IS NOT DONE WITHIN 3-MONTHS OF RECEIPT OF MATERIALS:-

--------------NIL ------------------------ 21/10/16 to 20/11/16

Sl..No Supply Order No Name of item

Name of firm

Date of receipt of materials

Reason for non payment

Action taken

Nil Nil Nil Nil Nil Nil

Annexure-14

NAME OF DIVISION CSSH/Patna.EXTERNAL QUALITY CONTROL OF DRUGS 21/10/16 to 20/11/16

Sl. No.

Description During the month

Cumulative since 1st April

1 No. of Samples sent for analysis 02 36

2 No. of samples report of which is pending 04 04

3 Total no. of samples awaiting for report (1+2) 04 04

4 No. of reports received nil 32

5 No. of samples found of standard quality nil 32

6 No. of samples found of Non-standard Nil Nil

15

7 No. of samples found of Sub-standard Nil Nil

DETAILS OF DRUGS SENT FOR ANALYSIS DURING THE MONTH of 21/10/16 to 20/11/16--NILSr.No.

Name of drug/product

Name of Manufacturer

Batch No.

Date of Mfg.

Name of Laboratory where sample sent for analysis

Result Cause of sub-standard

Stand-ard

Non-Stan dard

1 2 3 4 5

1Tab. Enalapril maleate 5 mg

ortinGA16008

10/16Vimlalab,secunderabad

2Tab. CEPHALEXIN 750 MG

LUPINF 601820

09/16Vimla lab, secunderabad

3

DETAILS OF NON-STANDARD QUALITY OF DRUGS 21/10/16 to 20/11/16

A No. of items found non-standard NIL

B Name of the item

C Name of the pharmaceutical company

D Sample analyzed at

Annexure -15NAME OF THE HOSPITAL CSSH/Patna.

LOCAL PURCHASE OF DRUGS

Sl.no. Item During the month in Rs. Cumulative since 1st April in Rs.

A Cash purchase

B Bulk purchase (including Local and emergency purchase

7(a)Rs 4,90,432+7 (b) Rs 7,68,726=Rs1259158

C Total Local purchase (a+b) under 7(A) Rs + 7(b)Rs = RS /-

D Percentage of LP to Budget Grant (....... + ........) =.......

16

crores=Total amount of LP X100/Allotted budget=38857000…...

DETAILS OF LOCAL PURCHASES :- 7(A)21/09/16 to20/10/16

Sl. No.

Name of the drug Qty Unit rate in Rs

Total cost in Rs

Indented non –indented item

Whethertaken CMD / CMS’s a approval or not (Yes/No)

01. Normal saline 500 ml 1170 bott 17.50/bott 19950 indented yes

02 Glutaldehyde 5 liter jar 29 jar 680.00/jar 18850 indented yes 03 Surgical spirit 400 ml 250 bott 75.00 bott 18750 indented yes04 Intracath 20 no 2000 pcs 9.90/bott 19800 indented yes05 i.v set 1900pcs 10.50/bott 19950 indented yes06 Intracath 22 no 2000 pcs 9.90/pcs 19800 indented yes07 Insulin deludec 13 pen 1480.0/pcs 19240 indented yes08 Insulin liraglutide 18mg/pre 05 pen 3687/pen 18438 indented yes

09 Dialyser f6 28 pcs 690.00/pcs 19320 indented yes10 Single lumen femoral 20 pcs 890.00/pcs 17800 indented yes11 Part a 5 liter jar 34 jar 430.00/jar 16340 indented yes12 Glucostrip for glucostrip 2300 strip 8.40/jar 19320 Indented yes13 Dialysis tubing set 40 pcs 256.00/pcs 10240 indented yes

14 K free part a 10 jar 264.00/jar 2640 indented yes15 Fistula needle no 16 100 pcs 65.00/pcs 6500 indented yes 16 Contrast none ionic 07 pcs 1250.00/pcs 8750 indented yes 17 Tiger cathter radial 5 f 07 pcs 1250.00/pcs 8750 indented yes 18 Guide wire termo 07pcs 1250pcs 8750 indented yes 19 Radial seath 5 f 07 pcs 1250 pcs 8750 indented yes 20 Controlled syringe 12 ml 16 pcs 600 pcs 9600 indented yes21 Titanium proximal locking 01 set 9800 9800 indented yes 22 Amio acid 72 solution 10 bott 232.00/bott 11500 indented yes 23 Vicryl 2346 52 pcs 381.00 19812 indented yes 24 Vicryl 2347 52 pcs 381.00 19812 Indented yes25 Liga clip LT 300 60 PKT 330/pkt 19800 indented yes 26 Vicryl 2826 48 pcs 390.00/pcs 18720 indented yes

27 Disposable syringe 5 cc 11200 1.75/pcs 19600 indented yes28 Disposable syringe 10 cc 6000 pcs 3.15/pcs 18900 indented yes 29 Tab sofosovir +ledivasvir 28 tabs 0464.28/tab 13000 Indented yes 30 Contrast none ionic 07 pcs 1250.00/pcs 8750 indented yes31 Cag wire 0.35x150 mm 18 pcs 550 pcs 9900 indented yes

17

Purchase under 7 (b )21/08/2016 to 20/09/2016

Sl. No. Name of the drug Qty Unit rate in

RsTotal cost in Rs

Indented / non –indented item

Whethertaken CMD / CMS’s

approval or not (Yes /No)

01. Syp cefpodoxime 100 mg 600 ph 42.89/ph 25734 indented yes 02 Tab camylofin+pcm 4500 tabs 3.90/tab 17550 indented yes

03 Cap methyl cobalmine + alphalipoic acid + folic acid 7500 caps 3.60/caps 27000 indented yes

04 Tab acetyl cystein 600 mg 3000 tabs 12.27/tab 36810 indented yes 05 Anti snake venom 10vial 120 .00/v 1200 Indented yes06 tab pregabaline 75 mg 15000 cap 2.80/tab 42000 indented yes 07 Tab diagoxine 9000 tab 1.00/tab 9000 indented yes 08 Drop zinc 1000 tab 48.00/ph 48000 indented yes09 Syp ibuprofen 100 mg/5ml 1500 ph 13.75/ph 20975 indented yes 10 Tab alfuzocin 10 mg 3000 tab 4.15/tab 12450 Indented yes 11 Inj MVI 3000 tab 15.45/tab 46350 indented yes 12 Syp fexofenadine 30 mg/5ml 500ph 43.60/ph 21800 indented yes 13 Syp albendazole +ivermecti 600 ph 8.65/ph 5190 indented yes 14 Isorobide mononitrate 20

mg45000 tabs 0.45/tab 20250 indented yes

15 Tab tramadol 37.5 mg+pcm 20000 tabs 0.86/tab 17200 indented yes 16 Bupavacaine heavy 1500 caps 22.70/caps 34050 indented yes

17 Micronized natural projesrone100 mg

3000 tabs 7.20/tabs 21600 indented yes

18 Haemodialysis fluid 70 jar 430 jar 30100 indented yes 19 Liquid sevoflorane 250 ml 10 bott 2050 bott 20500 indented yes 20 Inj propofol 20mg 500 vial 92.00/vial 46000 indented yes 21 Tab etrocoxib 90 mg 11400 tabs 3.53/tab 40242 indented yes 22 Inj ketamine 300 vial 108.00/v 32400 indented yes 23 Tab rabiprazole 20 mg 140000 cap 0.695/tab 97300 indented yes 24 Tab atrovastatin +asprin 75

mg15000 tab 1.85/tab 27750 indented yes

25 Normal saline 0.9% 5250 bott 9.90/bott 51975 indented yes 26 Tab resperidone 4 mg 3000 tabs 5.10/tab 15300 Indented yes

under 7 (B)Rs7,68,726/- Annerure-16

Works Programme:-Sr.No

Name of Work Plan Head Cost Year of Sanction

Present Position

nil nil

18

Annexure-17MONTHLY PROGRESS REPORT ON FAMILY WELFARE PROGRAMME

Sl. No.

ITEMS Progress during the Month

Progress up to the Month

Remarks

Sterilization Nil

19

I Vasectomy NILConventional -No Scalpel Vasectomy (NSV) nil

II Tubectomy 08III TotalB IUD (Cu “T”) Insertion 04C Condom Nil

Total condom (in pieces) distributedI Gross NilII Supplied to Vasectomy Person NilIII Net (I – II) NilD ORAL PILLSIII Total No. of OP Cycles distributed 38 E Total No. of MTP Cases done --F Immunization, IFA, Vit A -- I TT (Preg. Women) 05

TT (2nd dose + Booster) 09 II IFA Tablets (Preg. Women) 1500

Prophylactic Completed - III DPT (3rd dose) - IV Polio (3rd dose) - V BCG 1st dose - VI Measles Nil VII DPT (2nd Booster Dose)

N/A VIII TT (10 Years) (2nd Dose) 142 IX TT (16 Years) (3rd Dose) 01 X Vit. A (1st dose below and up to 1 year) Nil XI Vit. A (total-2nd to 5th dose) NilG Maternal Health A Ante Natal Care (ANC) 144 I Registered(New) 35II With Three check up (Old) 109B Institutional Deliveries -C Domestic Deliveries -I By LHV / ANM NilII By Trained Birth attendant (TBA) NilIII By Untrained Birth attendant NILIV Total Deliveries Reported of Col.I+II+III -H Hepatitis B Immunization 1st Dose Nil

2nd Dose Nil3rd Dose Nil

Anexure-18

CADRE POSITION (GAZETTED & NON-GAZETTED)

A) Gazetted cadre: Sanctioned Strength -

1 No. of IRMS Doctor 22

2 No. of CMPs 0820

3 No. of Vacancies of doctor with places

06

4 No. of HVS 025 No. of Vacancies of HVS 086 No. of Gr. ‘B’ Officer Nil7 No. of Gr. ‘B’ Officer vacancies Nil8 Summary of Vacancies 14

B) Non Gazette cadre : Sanctioned Strength - .CSSH/Patna.

S.No. Details Group C Group D Total1 Sanctioned strength 146 56 2022 On Roll 118 (on Contract 37) 49 1673 Action taken to fill up the

vacanciesProposal sent to HO

Annexure 18 A

GROUP - C Category: Break up and action taken

Sl.No Details Vacancies Action taken1 Nursing staff Nil Proposal sent to HQ2 Pharmacist Nil Proposal sent to HQ3 Physiotherapist 01 Proposal sent to HQ4 Dresser 09 On contract basis

TOTAL 10

GROUP D Category: Break up and action taken

Sl.No Details Vacancies Action taken1 Safaiwala nil Proposal sent to HQ2 Hospital attendant 06 Proposal sent to HQ6 B.Peon Nil Proposal sent to HQ

TOTAL 06 Proposal sent to HQ

Annexure 19

NAME OF DIVISION CSSH/Patna .

MONTHLY SURGERY REPORT : Major Date:-21 October To 20 November

Sl.No. Date Name of surgery Name of surgeon Designation Speciality TYPE

21

01 21-10-16 Tympanoplasty Rt. Ear Dr. Divesh Sr. DMO ENT Major

02 21-10-16 LSCS Dr. R. Sinha Sr. DMO Gynecology Major

03 21-10-16 LIH Dr.Sanjay Sr.DMO G. Surgery ,,


05 23-10-16 Wound Drain + Stigmin Pin Dr. Pankaj DMO Orthopedec Major

06 24-10-16 Lap CholecystectomyDr. Anuj Dr.Sanjay

ADMO, Sr.DMO

G. Surgery ,,

07 24-10-16 MTP + Lap Ligation(BLTL) Dr. Alpana Sr. DMO Gynecology ,,


ADMO, Sr.DMO

G. Surgery Major

09 24-10-16 AppendectomyDr. Anuj Dr.Sanjay

ADMO, Sr.DMO

G. Surgery ,,

10 25-10-16 LSCS Dr. Alpana Sr. DMO Gynecology ,,

11 26-10-16 TAH Dr. R. Sinha Sr. DMO Gynecology Major

12 27-11-16 Rt. Pyololithotomy Dr. Sanjay Sr. DMO G. Surgeon Major

13 27-10-16 # Rt. Humerus Dr. Pankaj DMO Orthopedec ,,

14 28-10-16 Pyoloplasty Rt. + D.J. Stanting Dr. Sanjay Sr. DMO G. Surgeon Major


16 01-11-16 A.V. Fistula Dr. Kaushal Sr. DMO Nephrology ,,

17 01-11-16 Hernioplasty Dr. Sanjay Sr. DMO G. Surgeon Major

18 02-11-16 LSCS Dr. Alpana Sr. DMO Gynecology ,,


ADMO, Sr.DMO

G. Surgery ,,

20 03-11-16 # BB Rt. Leg Dr. Pankaj DMO Orthopedec Major

21 03-11-16 #Distal Rt. Femur Dr. Pankaj DMO Orthopedec Major

22 04-11-16 Appendectomy Dr. Sanjay Sr. DMO G. Surgeon Major

23 04-11-16 Arthoscopy Dr. Pankaj DMO Orthopedec Major

24 08-11-16 # Rt. Patella Dr. Pankaj DMO Orthopedec ,,

25 09-11-16 CRIF Of Trochatra # Rt. Femur Dr. Pankaj DMO Orthopedec ,,


ADMO, Sr.DMO

G. Surgery ,,


28 11-11-16 ORIF Of # Rt. Femur Dr. Pankaj DMO Orthopedec Major

22

29 11-11-16 ORIF Of TBW # Rt. Patella Dr. Pankaj DMO Orthopedec Major

30 12-11-16 LSCS Dr. Alpana Sr. DMO Gynecology Major


32 14-11-16 LSCS + BLTL Dr. R. Sinha Sr. DMO Gynecology Major

33 15-11-16 Lap CholecystectomyDr. Anuj Dr. Sanjay

ADMO, Sr.DMO

G. Surgery ,,


ADMO, Sr.DMO

G. Surgery ,,

35 15-11-16 Dislocation of 2nd Finger Rt. Hand Dr. Pankaj DMO Orthopedec Major

36 15-10-16 Implant Removal Lt. Femur Dr. Pankaj DMO Orthopedec Major


ADMO, Sr.DMO

G. Surgery Major


ADMO, Sr.DMO

G. Surgery ,,

39 17-11-16 # Rt. Humerus Dr. Pankaj DMO Orthopedic ,,

40 18-11-16 Tympanoplasty Lt. Ear Dr. Divesh Sr. DMO ENT Major

41 18-11-16 # BBFA Rt. Hand Dr. Pankaj DMO Orthopedic Major

42 19-11-16 CPE + TUBNI Dr. Sanjay Sr. DMO G. Surgeon Major

43 19-11-16 CPE + OIU Dr. Sanjay Sr. DMO G. Surgeon Major



01. Total No of Genral Surgeries :-12 5. Total No of URO Surgeries :-0502. Total No of Orthopaedic Surgeries :-13 6. TOTAL RELHS :-06 03. Total No of Gynae & Obs. Surgeries :-1304. Total No of ENT Surgeries :-02

Annexure 19/A

23


MONTHLY SURGERY REPORT : Minor Date:- 21 September To 20 October

Sl.No. Date Name of surgery Name of surgeon Designation Speciality TYPE

01 21-09-16 Intralehical Inj.Kenacort Dr. Divesh Sr. DMO ENT Minor

02 21-09-16 Nasal Packing Dr. Divesh Sr. DMO ENT ,,

03 21-09-16 I&D Rt. Lower Limb Dr. Sanjay MD Orthopedec ,,

04 21-09-16 Inj. Depomedrol Lt. Shoulder Dr. Sanjay MD Orthopedec ,,

05 21-09-16 Inj. Corticosteroid of lower Limb Dr. Sanjay Sr. DMO G. Surgeon ,,

06 22-09-16 Removal of Cyst of Nack Dr. Sanjay Sr. DMO G. Surgeon ,,

07 22-09-16 B/L Knee Aspiration + Inj. Depomedrol Dr. Pankaj DMO Orthopedec Minor

08 22-09-16 Removal of D.J. Stant Dr. Sanjay Sr. DMO G. Surgeon ,,

09 23-09-16 Ligation(BLTL) Dr. R. Sinha Sr. DMO Gynecology ,,

10 23-09-16 Stigmen Pin Dr. Pankaj DMO Orthopedec ,,

11 24-09-16 POP Rt. Leg Dr. Pankaj DMO Orthopedec Minor

12 24-09-16 Excision of Corn Rt. Leg Dr. Sanjay Sr. DMO G. Surgeon Minor

13 24-09-16 Three Way Cather Interduse Dr. Sanjay Sr. DMO G. Surgeon ,,

14 24-09-16 Intra Tympano of Inj. Dexona Dr. Divesh Sr. DMO ENT Minor

15 24-09-16 B/L Ear APW Dr. Divesh Sr. DMO ENT ,,

16 26-09-16 Lt. Ear TMCP Chemical Coutry Dr. Divesh Sr. DMO ENT ,,

17 26-09-16 Caste POP Lt. Ankle Dr. Pankaj DMO Orthopedec ,,

18 26-09-16 Inj. Depomedrol Rt. Wrist Dr. Pankaj DMO Orthopedec ,,

19 26-09-16 Caste POP Lt. Leg Dr. Pankaj DMO Orthopedec ,,

20 27-09-16 Wound Drain Dr. Sanjay MD Orthopedec ,,

21 27-09-16 Inj. Depomedrol Lt. Shoulder Dr. Sanjay MD Orthopedec ,,

22 27-09-16 D&E Dr. Alpana Sr. DMO Gynecology ,,

23 28-09-16 D&C + BLTL Dr. R. Sinha Sr. DMO Gynecology Minor

24 28-09-16 Lap Ligation(BLTL) Dr. Anuj, Dr. Alpana ADMO,Sr.DMO Surgeo. Gynae ,,

25 28-09-16 Cystoscopy Dr. Sanjay Sr. DMO G. Surgeon Minor

26 29-09-16 Cervical circlange Dr. R. Sinha Sr. DMO Gynecology Minor

27 29-09-16 Inj. Depomedrol Rt. KNee Dr. Pankaj DMO Orthopedec ,,

28 29-09-16 Cystoscopy Dr. Sanjay Sr. DMO G. Surgeon Minor

29 29-09-16 Aspiration Abscess Rt. Side Nack Dr. Sanjay Sr. DMO G. Surgeon ,,

24

30 29-09-16 Excision of Rt. Leg Wound Dr. Sanjay Sr. DMO G. Surgeon Minor

31 30-09-16 Sab. Cyst For Head Dr. Sanjay Sr. DMO G. Surgeon ,,

32 30-09-16 P/O ASD of Rhinophyma Dr. Divesh Sr. DMO ENT ,,

33 01-10-16 Bartholian Cyst Dr. Alpana Sr. DMO Gynecology ,,

34 01-10-16 Intra Tympano of Inj. Dexona Dr. Divesh Sr. DMO ENT ,,

35 01-10-16 D&C Dr. R. Sinha Sr. DMO Gynecology ,,

36 01-10-16 Gangilion Lt. Wrist Dr. Sanjay Sr. DMO G. Surgeon Minor

37 01-10-16 Ligation(BLTL) Dr. R. Sinha Sr. DMO Gynecology Minor

38 03-10-16 Excision of Rt. Ear EAC Mass Dr. Divesh Sr. DMO ENT ,,

39 03-10-16 Chemical Cautry Of Lt. Ear Dr. Divesh Sr. DMO ENT Minor

40 03-10-16 Rt.. Ear I.G Packing Dr. Divesh Sr. DMO ENT Minor

41 04-10-16 Lt. Ear F.B. Removal Dr. Divesh Sr. DMO ENT Minor

42 04-10-16 D&C Dr. R. Sinha Sr. DMO Gynecology Minor

43 04-10-16 D&C +EB Dr. R. Sinha Sr. DMO Gynecology Minor

44 04-10-16 MTP + Ligation(BLTL) Dr. Anuj,Dr.Sanjay ADMO,Sr.DMO G.Surgeon Minor



47 05-10-16 Rt. Ear Intra Tympano Inj. Kenacort Dr. Divesh Sr. DMO ENT Minor

48 05-10-16 S&E + Ligation(BLTL) Dr. R. Sinha Sr. DMO Gynecology ,,

49 05-10-16 D&C Dr. R. Sinha Sr. DMO Gynecology ,,

50 06-10-16 Exploration of Nasal Cavitry B/L ANP Dr. Divesh Sr. DMO ENT Minor




54 07-10-16 D&C + EB Dr. R. Sinha Sr. DMO Gynecology ,,

55 07-10-16 Rt. Knee Aspiration Dr. Pankaj DMO Orthopedec Minor

56 13-10-16 Inj. Depomedrol Rt. Wrist Dr. Sanjay MD Orthopedec ,,

57 13-10-16 Inj. Depomedrol Lt. Wrist Dr. Pankaj DMO Orthopedec ,,

58 13-10-16 POP Lt. Leg Dr. Pankaj DMO Orthopedec ,,

59 13-10-16 Rt. Knee Aspiration + Inj. Depomedrol Dr. Pankaj DMO Orthopedec ,,


61 14-10-16 D&E + Ligation(BLTL) Dr. R. Sinha Sr. DMO Gynecology ,,

25


63 14-10-16 Inj. Depomedrol Lt. Shoulder Dr. Pankaj DMO Orthopedec ,,

64 14-10-16 Excision of Sab. Cyst Lower Lip Dr. Sanjay Sr. DMO G. Surgeon ,,

65 14-10-16 Contracture Release Dr. Sanjay Sr. DMO G. Surgeon Minor

66 14-10-16 Rt. Ear F.B. Removal Dr. Divesh Sr. DMO ENT Minor

67 14-10-16 Rt. Ear CS Otoimycis Dr. Divesh Sr. DMO ENT Minor


69 14-10-16 B/L Ear Removal Of Impacted Wax Dr. Divesh Sr. DMO ENT Minor

70 15-10-16 Inj. Depomedrol Lt. Shoulder Dr. Pankaj DMO Orthopedec ,,

71 17-10-16 Cystiscopy Dr. Sanjay Sr. DMO G. Surgeon ,,

72 17-10-16 Inj. Synvics One Rt. Knee Dr. Sanjay MD Orthopedec Minor


74 17-10-16 B/L Ear APW Dr. Divesh Sr. DMO ENT Minor

75 17-10-16 B/L Nasal Dressing Dr. Divesh Sr. DMO ENT ,,




79 18-10-16 I/A Inj. Depomedrol Dr. Pankaj DMO Orthopedec ,,

80 18-10-16 POP Rt. Leg Dr. Pankaj DMO Orthopedec ,,

81 18-10-16 Cyst Removal For Chest Dr. Anuj ADMO G. Surgeon ,,

82 18-10-16 Lt. Ear Kenotosis Removal Dr. Divesh Sr. DMO ENT ,,


84 20-10-16 POP Rt. Leg Dr. Pankaj DMO Orthopedec ,,



01. Total No of Genaral Surgery :- 14 Total no of vasectomy :-Nill02. Total No of Orthopaedic Surgery :- 27 Total RELHS :-1203. Total No Of Gynae & OBS. Surgery :-20

04. Total no of ENT Surgery :-22

05. Total no of Urology Surgery :-03

Total No of Ligation(BLTL) :-14

26

Annexure 19/B


MONTHLY SURGERY REPORT : Eye Date:- 21 September To 20 October

Sl.No.

Date Name of surgery Name of surgeon Designation Speciality TYPE

01 27-09-16 Cataract with IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL






07

Total RELHS :- 01

27

NAME OF DIVISION.CSSH/Patna.

DETAILS OF COSTING OF SERVICES TO RELHS MEMBERS FOR THE MONTH S N RELHS patients in different units No. of patients Cost of expenditure

(in Rs.)

1 OPD 834

2 IPD 47

3 O.T 23

4 Laboratory N/A

5 Radiology including Sonography 112- X.Ray61-USG

6 ICU 25

7 Casualty 40

8 Referrals ICU-04+07

9 Ambulance N/A

10 ECG room 151

11 OPD dispensary -

12 Main pharmacy -

13 Local purchase section 79

14 Dental clinic 109

15 Physiotherapy -

MD/CSSH

28

Annexure-20

NAME OF DIVISION. CSSH/Patna

A) ACTION TAKEN FOR ACCREDITATION OF OT/ ICU/ LAB/ OTHERS OF HOSPITAL : Nil

B) SPECIAL/ IMPORTANT ACTIVITIES: Healthy Baby Show was organize on 16.11.2016 between 00 to 05 years children at CSSH/ECR/Patna. Total 109 babies participate in this function. President/ECRWWO and its Officials/Members present on this occasion. Mrs. Shibani Gayen, President/ECRWWO/Hajipur distribute prize among wining healthy babies.

29

HIGH LIGHTS FOR THE MONTH

I) SPECIAL INDOOR HOSPITAL ACTIVITIES:-II)

A. NilB. Nil

III) HEALTH & FAMILY WELFARE ACTIVITES:

S.No Date Subject Description

Attending Scientific Seminar, Conference & Workshop (period 21/08/16 to 20/09/16)

(A) Gazetted Officers:Sl. No.

Name & Design of the Officer

Name of the institute where

attended

Subject Period Remarks

Total no in Oct.

Total no in Nov.

01. Dr. R.C. Trivedi,CMD/ECR/HJP

CSSH/Patna -- --

02. Dr. Sanjay Kumar MD/CSSH/PNBE

CSSH/Patna -- 01

03 Dr. Y.P. Tiwari CSSH/PNBE 01 01

04. Dr. P. K. Ojha CSSH. PNBE -- 01

30

05 Dr. A. Neyaz CSSH/PNBE 01 01

06 Dr A K Ojha CSSH/PNBE 01 01

07 Dr. S. K Gupta CSSH/PNBE 01 01

08 Dr. Bimmi CSSH/PNBE 01 0109 Dr. Arun Kumar CSSH/PNBE 01 --10 Dr Alpana CSSH/PNBE 01 01

11 Dr Kaushal/Nefro CSSH/Pnbe 01 --

12 Dr. Ranjana Sinha CSSH/PNBE 01 01

13 Dr Sanjay Kumar/Surgeon

CSSH/Pnbe 01 01

14 Dr. Arvind Kr. CSSH/Pnbe -- 01

15 Dr. Divesh Kr. CSSH/PNBE 01 0116 Dr Pankaj CSSH/PNBE -- --

17 Dr. Shree prakesh CSSH/PNBE 01 01

18 Dr. Sanket Anand CSSH/PNBE -- --

19 Dr/ Anuj Chaudhary CSSH/PNBE 01 01

20 Dr. Padma CSSH/PNBE 01 01

21 Dr. M.A. Raza CSSH/PNBE -- --22 Dr. Shakraja CSSH/PNBE 01 0123 Dr. Anshuman CSSH/PNBE 01 0124. Dr. Neeraj Kumar CSSH/PNBE -- --25. Dr. Md. Rafeul Haque CSSH/PNBE -- --26. Dr. Shashi Bala CSSH/PNBE 01 01

B) Non- Gazetted Officer:Sl. No. Name & Design of

the StaffName of the institute where attended

Subject Period Remarks

01 Nil -- --

02 Nil -- --

Annexure 21

NAME OF DIVISION.. .CSSH/Patna

31

Sl.No. Date of complaint Place of complaint

Details of complaint

Remarks

NIL NIL Nil

BENCH MARKING REPORT :-

Name of the Division Total Medical Officers + Staff on roll

Total Employees of ECR + RELHS Card Holder

MPR

(Medical personnel on roll per thousand employees)

Central Hospital 202 1,02,082 1.97

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