PROJECTPROFILEFOR200BEDDEDHOSPITAL

Introduction
A Good Medical facility is the need of the hour at proposed districts of North Eastern States There is
urgent need for moderate to excellent health care facilities in these places. Moderate size hospitals of
200bedcapacitycanbesetupatcity/districtheadquarters,wellconnectedwithroadandrail.These
hospitals equipped with modern medical equipments offer excellent services for the patients suffering
fromvariousdiseases.
This PreFeasibility Study is prepared with an objective to provide basic information about hospital
project for prospective entrepreneurs, who may or may not have a medical background. It covers
extensively aspects such as: Services to be offered in the hospital, Details of hospital equipments,
Support facilities, Elaborated list of medical equipments, Various fixed assets required, No. of medical/
paramedical/ nonmedical staff required, Cost of suppliers and consumables, Revenue details,
Estimation of cost of project and means of financing, Estimates of profitability, Estimates of all key
financialindicatorssuchaspaybackperiod&Breakevenpointetc.

DetailsofServicestobeofferedintheHospital

MedicalServices
EmergencyMedicines;ICU/CCU,casualty,2majorOTs
GeneralMedicine;MinorOT,consultingrooms,NursingStations

Paediatrics&Neonatology;Nursery,IntensiveNeonatalCare,Facilitiesfor
Anaesthesia,Ventilation,Incubation
Xrayimaging;Mobilexrayunit100mAforNursinghomeand
500mAxrayMachineinOPD,CTScan
Machine
Pathology;Histopathology,Haematology,Serology,
Microbiology&Biochemistry
Gastroenterology;Endoscopy
Cardiology;ECG,stresstestwithtreadmill,Ultrasound
CardiacInvestigation
Physiotherapy;Infraredtherapy,ultraViolettherapy,Shortwave
Diathermy,highFrequencyphysiotherapy,
Traction,stimulation,Physicalfitness
Ophthalmology;GeneralSurgery
Orthopaedics;GeneralSurgery
OperationTheatre;2majorOTswithfacilitiesforAnaesthesia,
Ventilation,Monitoring,Defibrillationandone
minorOTinthenursinghome
ICU/CCU;Multibed,multiparameterMonitoring
Gynaecology;Colonoscopy,Laparoscopy&Dopplerfoetus
Detection,ultrasoundabdominal/ob/Gynae
Investigations,3labourrooms,2deliveryrooms

ENT;Examination,generalsurgery,respiration
Functionscreening
Casualty/Emergency;Resuscitation
Nephrology;Dialysis
HealthandAlliedServices
FamilyWelfare;Contraception,sterilization,immunizationandnutrition

Nursing,Paramedical&AlliedServices

Xray, Ultrasound, ECG, Medical Store, Chemist Shop, Nursing ,Sterilization, Mortuary, Blood Bank,
Laboratory,MajorOTsandMinorOT,Dialysis,Anaesthesiology,Physiotherapy
Utilities&AlliedServices
Electricity, Fire protection, Horticulture, LPG Supply, Ambulance, Medical gases supply, Air
Conditioning, Refrigeration ,Sewage disposal, Laundry, Catering Communication PABX , intercom,
nursecallsystem,,Watertreatment,Generaladministration,Computersystem
SystemsandProceduresManuals
Thesalientinformationtobeincludedinhospitalofmanual(s)areasfollows:
i) Systemforregistrationandrecordkeepingforinandoutpatients.
Details:Reception.Communications,appointments,admissionsand
Dischargeactivities.
ii) InventoryManagementSystemforconsumablesandsupplies:
Details:
a) MedicalStores(twowayoperationofmedicalshopviz.oneforoutpatientandanother
forinhousepatientswithfinaladjustmentsfrompatientsbills)
b) HouseKeeping
c) Laundry(operatingSystem)
d) Generalstores
e) Catering
f) Materialservices(thisincludedailyusemedicalsupportmaterials)
iii) Preventivesmaintenanceroutinesformedicalandothercriticalequipments.
Details:
a) Engineering maintenance for nonmedical equipments (this will include electrical,
mechanical,waterworksandothers)
b) Maintenance for medical equipment covering electrical, mechanical & electronic
Systems.
iv) Organization Structure, manpower, planning procedures, salaries and wages compensation
plan.
Details.
a) Organization:Organizationstructure,flowofresponsibilitiesetc.
b) Personnel:thisincludesrecruitmentpoliciesandsalaries,perks,promotionsetc.
c) Security: Number of hours/persons/day, number of watchman, number of shifts,
uniformandotherutilities.
d) Accountsandadministrationservices
e) OPD working: this includes number of shifts, number of Doctors shifts, fees charged,
averagenumberofpatients/doctors/shifts.
f) DiagnosticCenter:
- Pathology
- Scanningproceduresetc.
g) EmergencyServices&casualty,MinorOT:Thisincludesno.ofdoctors,no.ofbeds,noof
shifts,noofsupportingstaff,ambulanceservicesetc.
h) O.T.: ICUs operating system, no of beds in ICUs, OT nonmedical and medical activities
etc.
i) DepartmentalServiceslike:GeneralSurgeryDeptt.,GeneralMedicineDept.Pediatrics&
Neonatology Dept, Gynecology, Maternity & labour Room, Orthopedics, ENT Deptt.,
Physiotherapy,Cardiology,Gastroenterology
j)Publicrelations&marketingservices,includingscheduleofcharges
k)NursingServicesandnursestraining
l)Expansionprogram,estate&horticultureservices
m)Hospitalityforvisitors,hotelforshorttermNRIdoctorsetc.
HospitalCapacity
Theplannedhospitalwillhavetotalnumbersof200beds.Breakupofbedcapacityinthehospitalis
givenasunder:
FacilityNumbers
RegalSuits(4nos.) 4
DeluxeSinglerooms(10nos.) 10
Singlebeddedrooms(34nos.) 34
Doublebeddedrooms(20nos.) 40
Triplebeddedrooms(10nos.) 30
Sixbeddedgeneralwards(6nos.) 36
ICU(2nos.) 8
CCU(2nos.) 8
Neonatal 20
Emergency 10

Total200nos.
- The general wards can be further divided into two or three bedded cubicles for increased
flexibility,dependingon therequirements;similarly,twobedded roomswillhavetheflexibility
tobeconvertedtosinglerooms.

- Onenursinghomeshouldbelocatedoneachfloorofthehospital.

- Itwillbeseenthatmajorityofbedsareinthesinglebedded,doublebeddedandtriplebedded
roomssoastocaterspecializedandpersonalizedcaretothepatients.
- Theregalsuitsandthedeluxesinglebeddedroomswillattractthehighincomegrouppatients.
FutureExpansion
Thebuildingshouldbedesignedsoastoaccommodatetheexpansionofthishospitalwithout
disturbingthedaytodayfunctioningofthehospital.Futureexpansionispossibleoneachofthe
blocksupto5floorstocaterforaugmentedfacilitiesasnecessary.
Oncethehospitalisfullyoperational,themanagementwillbeabletoidentifytheareaswhere
expansionisrequiredbothforexistingfacilitiesandservices.Additionalmedicalequipments
commensuratewiththeexpandedfacilitiesandserviceswillneedtobeincorporatedsuitably.These
expansionswillbefinancedthroughinternalgenerationsfromtheprojectitself.Someoftheareas
forexpansionanticipatedareasunder:
DentalServices:Thedepartmentwillneedtobeequippedwithadentalxraymachine&necessary
equipments/facilitiesfordentalexaminationsandsurgery.
Neurology:Oncetheoperationsofthehospitalarefullyestablished,itmaybenecessarytoprovide
EEG&EMGunderthisdepartment:
Imaging:TheexistingfacilitiesmayneedtobeaugmentedwithcolorDopplerandadvancedCAT
scannertoprovidehighlysophisticateddiagnosticservices.Animageintensifiersystemwouldbe
necessaryforusewith500maXraysystemforconductingfluoroscopicstudies.
Capacity:Thenumberofbedsmayneedtobeincreasedintheformofadditionalmoduleina
separatebuildingappropriatelydesigned/expandedinthesamebuildingtocaterforincreased
demand.Thebuildingstructuredesignshouldcaterfor5floorsandatotalof100additionalbeds
shouldbefeasible.
OPD:Potentialshouldexistforconsiderableexpansionofthisfacility.
Ophthalmology:IntheOphthalmologydepartment,therewillbeaneedtoaugmentthefacilities
withA&Bscan,autorefractor,andafieldanalyzerinduecourseoftime.Briefutilityofthese
equipmentsisgivenbelow:
- A&Bscanemployspulsedultrasoundtodeterminetheaxiallengthoftheeye(Amode)andto
produceatwodimensionalplanviewoftheeyefordiagnosticevaluation(Bmode)
Autorefractorisusedforprovidingcompleteinformationonpatientsfunctionalacuity.Anauto
aligningrefractorenablesautomaticpositioningoftheinstrumentsatthecorrectvertex
distancefromthepatients.
- Fieldanalyzerisusedtorapidlyidentifysubnormalareas.Thiswillhaveacompletetest
library from qualitative screening for accurate, repeatable threshold testing and statistical
analysisforglaucomamanagement.
Nephrology:Theremayalsobearequirementtoinductanadditionalsinglepatientshaemodialysis
machinesubsequentlyintheNephrologydepartments.
MedicalLasers:Argon,NdYagandCO2laserscanalsobeaddediffounddesirable.
Pathology:Acomputerizedautoanalyzermaybeaddedinthelaboratoryforpathologicaltests.
Gynecology:AfoetalmonitorforFHRmeasurementandmonitoringofuterinecontractionscanbe
addedsubsequently.
Aspartofthemarketingdrive,therewillbeaneedtoapproachthecorporatebodiesforpatronage
intermsofexecutivehealthcareonpreferentialbasis.Themodalitiesforoperationofthisscheme
should be worked out at an appropriate stage which will cover concessional tariff in structure,
priorityinallotmentofroomsetc.Itisalsosuggestedtosetupaclub,whichwillinvitemembership
fromindividuals,familiesandassociationforregularhealthcheckupandtreatment.TheOPDblock
should be functional 3 to 4 months ahead of the commissioning of the hospital. This will not only
helpingeneratingrevenue,butwillalsogoalongwayinthepublicityofthehospital.
SupportiveFacilitiesintheHospital
Communications: The hospital will have all the necessary systems for communication. These will
include: EPABX system, Nurse call system, Paging system/ public address system. In addition the
hospitalmusthaveemailandfax.
Nurse call System: Nurse Call System will have to be provided with one console at each nursing
station. It will be an advanced electronic system, consisting of an indicator console located at the
nursesstation.Itneedstobecablelinkedtoahandheldmoduleateachpatientsbedsideandalso
have a bed panel. A panel outside the patients room and a panel in the toilet should also be
provided.Theconsoleaswellasthebedroomandtoiletpanelscarriesred,yellowandgreendisplay
lamps.Theconsoleatthenursingstationalsohasadigitaldisplaypanel.
In the normal situation the digital display panel on the Nurses console stays blank and all lamp
indicationsonallthepanelsremaingreen.Thisshowsthattheequipmentisfunctioning.Incaseof
emergency,patientspushabuttononthehandheldmodule.Greenlightsinallthepanelschangein
to red and the patients bed number begin flashing on the nurses console, accompanied by a
regular beep. The nurse immediately responds by pushing a single button on her console and this
causes an additional yellow lamp to light up on the patients hand held module, as well as on the
doors and bed panels, assuring the patient that the call has been heard and will be attended to.
Afterthenursehasattendedtothepatientshepressesthebuttononthebedpanel.Thisresetsthe
unitandrestoresalllampindicationstogreen.
The system is fool proof with no call remaining unattended. Additional facilities include the
connection of intercom with the system and hence allowing the nurse to speak directly with the
patientswithoutleavingherstation.
Computers: The hospital will have a computer system for efficient and fast working of the various
departments.
Power Supply System: The total estimated maximum load of the hospital would be 650 KVA. This
requirementhastobemetfromtheStateElectricityBoardssupply.Toprovideuninterruptedpower
supply to the hospital, a set of stand by DG sets will have to be catered. The power supply system
willconsistof:SubstationequipmentandStandbyDGsets(2x3560KVA).TherewillbetwoDGsets
tosupplyallthepowerneededincludingtheACunits.
Substation:
The Substation will consist of transformer, LT panel & HT oil circuit breaker. The transformer will be
Kirloskar make 11 KV/344V, 3phase 50 Hz, ONAN, core type with voltage ratio between phases at NO
LOADas11000/433VarrangedforStar/DeltaconnectionaspervectorgroupDYIIwithneutralbrought
outonLVside.ThetransformerwillconformtoIS:2026/1977.

- H.V.termination
- L.H.termination
- DialThermometer
- Buchholtzrelay

LTpanelwillbeusedforthedistributionoftheloadtovariousdepartmentsinthehospital.HTOCBwill
be provided for safety in case of any short circuit. Crompton Greaves ALA 1/XL type oil circuit breaker
willbeprovidedforthispurpose.ItwillconfirmtoIS2516(PartI,Sec.2)1963,flushfronted,metalclad
with indoor floor mounting, vertical isolation, horizontal drawout having a rupturing capacity of 250
MVAat11KVAandsuitableforuseon11KV,3phase/3wire,50cyclesandwillbeeffectivelyearthed
system.

StandbyDGSets:
To take care of the power failure of the grid, hospital will be provided with two standby diesel
generatingsetswithatotalcapacityof700KVA.Thehospitalwillhavetwo350KVADGSetseach.The
componentsofDGSetscomprisethefollowing:

a) DieselEngine:KirloskarCumminsmakedieselenginemodelNTA743Ganddeveloping500BHP
at1500RPM,ratedforcontinuousduty,withadditional10%overloadcapacityforonehourin
anyperiodoftwelvehoursatcontinuousoperationatstandardoperatingconditions,asperBS:
649/5514. This is naturally aspirated/turbo charged after cooled engine. The diesel engine is
inclusiveofallstandardaccessoriesincludinginstrumentpanel.Fuelconsumptionis90litres/hr.
b) Alternator:Kirloskarmakealternatorratedfor400KVA,100RPMat0.8laggingpowerfactorat
415/440 volts, suitable for 50 HZ, 3phase system. The alternator will have screen protected
dripproofenclosurecomplyingwithBS213orIS4722.
c) AlternatorControlPanel:Floormountingtype,totallyenclosed,steelconstructioncontrolpanel,
suitableforabovegenerator.
d) Accessories:AccessoriesfortheaboveDGSetincludebaseplateformountingdieselengineand
alternator,fueltankfloormountingtype,leadbattery,sparepartsandmaintenancemanuals.
MedicalGasSupplySystem:Acentralgassupplysystemshallhavetobeprovidedforthe
distributionofmedicalgasestovariousdepartmentsofthehospitals.
GasesrequiredareOxygenandnitrousOxidealongwithsuction.Theventilatorswillbeoperatedby
meansofOxygen.Therewillbeacentralstoragetankforthesegasesanddistributionwillbe
throughcopperpipes.Acompressoristobeusedforthedeliveryofgasestovariouspoints.
Separatepipelineswillhavetobeinstalledforthispurpose.
FireFightingSystem:Formeetingtheemergencyincaseoffireinthehospital,properfirefighting
equipments,havetobeprovidedatallthesensitiveareas,duecareaboutthesafetyregulationshas
tobetakenintotheaccount.
Lifts:Thehospitalneedtohavetwohospitalliftsforthemovementofpatients,doctors,stretchers,
andwheelchairs,Visitorsetc.
Ambulance:Thehospitalneedtohavetwoambulance(Tata407modelorothermake)forattending
totheemergencyfromoutsideandbringthecasualties/emergencypatientstothehospitalfor
treatment.Ambulancehastobeavailableforthepatientswhoaredischargedandare
recommendedforcompleterest.Thisfacilitywillbeavailableonpaymentbasiswithafixed
minimumchargeandadditionalchargedependinguponthedistance.Theambulancewillhaveall
modernfirstaidfacilitieswithambubagsandoxygen.
Laundry:Laundryhastobeprovidedwiththenecessaryfacilitiestomeetthebasichospitalneeds.
Thehospitalwillbegeneratingabout100Kg.ofdirtylinenperdayforwashing.Tocaterforthis
adequateprovisionintermsofbasicinfrastructurehastobeprovided.Theoperationofthelaundry
canbeonacontractbasis.Besidesthis,thefollowingcanbeaddedinthelaterstageWashing
machinewithspinnerof50Kg/charge,sluicingmachineof7Kg/charge,andHydroextractorof25
Kg/charge.Thesemachinesareoperatedwithsteam.Henceaboilerof300Kg./hrcapacitywillbe
alsorequired.
Boiler:Oneindustrialhorizontalsmoketubedesignoilfiredboilercapableofgenerating300Kg./hr.
ofsteam(F&A100degreecentigrade)atthemaximumworkingpressureof150psi(10.54kg.Sq.
cm.)alongwithcontrolpanelandmobraycontrol.Accessoriestothisboilertoinclude:Guyrope
typechimneyofdiameter250mm&height15mtrandMSsoftwatertankcapacity1000litre.
Kitchenequipments:
Thehospitalwillhaveitsownkitchenwithbasicfacilitiestomeettherequirementsforthepatients
IPD.Qualitycontrolwillbecarriedbythefulltimedietician.Besidesthehospitalwillalsohavea
canteenfacilityfortheoutpatientsandvisitorswhichwillbeoperatedbyacontractor.
WasteDisposal:
LiquidWastegeneratedbythehospitalwillbedirectlydisposedofinmainsewerlinewhichis
alreadyexistinginthecomplex.
Solidwastelike,cottonbandages,dressingsetc.willbedisposedoffbyincineration.
MedicalEquipments
Themedicalequipmentsrequiredforthehospitalhavebeenidentifiedinaccordancewiththe
followingcriteria:
- To ensure that each of the departments/ functional areas are adequately equipped for
diagnosis/treatment.
- Toservethebasicinitialrequirementsforthehospital.Preferencehasbeengiventoequipment
basedonmodulardesigntoupgradethefacilitiesatthelaterdatethuseffectingcostsavings.
- To be cost effective with respect to performance, recommendations are based on least
pricedequipmentwithoutcompromisingondesiredfunctionalcapabilities
- Reliability of the equipment suppliers in terms of lead time, installed base, technical
specificationsandinfrastructureavailableforprovidingservicesupportdrivingand
beyondwarrantyperiod.
GeneralLayoutDescription
Land:
Thetotallandareaoflandfortheprojectisabout20,000sq.mts.
ConsiderationforLayoutFacilities:
Thefollowingfactorsareconsideredimportantwhileplanningthelayoutofvariousfacilitiesina
hospitaltoensuresmoothoperations.
Menandmaterialflow
Interdependenceofdepartmentsandservices
DiversionofTraffic
Aesthetics
Naturallightingandventilation
Segregationofnoisyareas
Requirementofasepticenvironment
LandUse
LandScaping:
In land scaping, adequate greenery has to be maintained all around the hospital. This includes
creation of lawns, gardens, etc. Horticulture has to be given special attention. Trees will be grown
alongtheboundarytoprovideshadowandaddtothegreeneryallover.Mostlygreenplantswould
beplannedsothatthereisminimumreplantingactivity.
Waterhosesforgardeningwillbeprovidedatvariouspoints.Flexiblerubberpipeswillbeusedfor
water supply for various trees and plants. Sprinklers will be provided for watering lawns. Garden
lights will also be provided which will add to the aesthetics of the hospital during night. Estate
Departmentwilllookafterthemaintenanceofgarden.
NationalBuildingStandards:
TheBureauofIndianStandards(BIS)hasdevelopedstandardsforbasicrequirementforhospitalsup
to 30 beds (IS: 12433 (part 1)1988) and standard on the classification and matrix for various
categoriesofhospitals(IS12377).Thestandardscoversbasicrequirementforplanninga30bedded
general hospital in respect of functional program, functional and space requirements, manpower
requirements, instruments and equipment and essential requirements for building services and
environment.Theclassificationandmatrixfor5categoriesofhospitals(30,100,250,500,and750
bedded)andaccordingtothefunctions(BIS(a),(b)1988).
AboveStandardspecifications(BIS)willbeadheredtoforalltheaspectsofhospitalbuilding

Building:
The building will have a frame structure both for block I and block II. This will help in providing
flexibilityofroomconfiguration.Partitionwallswillbeofsinglebrick(41/2width)/gypsumboard
partitions,whichcanberemovedasandwhenthereisaneedforchangeinroomconfiguration.The
designofbuildingwillbesuchthatthe removalofanypartition wouldnothaveanyimpactonthe
stability of the whole building. The building will have exposed brickwork on the outside walls and
plasterintheinsidewalls.Theinsidewallswillbepaintedforeasymaintainability.
Flooring of the hospital will be of PCC (plain cement concrete) with PVC tiles for minimizing noise
andcost.FlooringforOTswillbeofantistaticVinyltiles.ThestaircasewillalsohaveVinyltiles.
False ceiling will be provided in the OTICU/CCU complex on the second floor, as central/package
unitsofairconditionersareprovidedinthisarea.Falseceilingwillcovertheductingprovidedwithin
thiscomplex.
Wallsinthetoiletswillhaveglazedtilesupto7feetheightforeaseofcleaningandformaintaining
hygienicconditions.
Fittings:
All the fittings of toilets and bathrooms will be chrome plated and ceramic sanitary ware. Fittings
design will vary according to the type of room and would match the room configuration. Pipes for
conduit wiring will be of PVC (as this is rust proof). Other pipes for toilets and bathrooms will be
PVC/CIaspertherequirements.
Wiringforelectricalfittingswillbeasperstandards.
DoorsandWindows:
Doors will have steel frame and the panels will be made of timber/glass. As per the room
configuration,thesizeanddesignofdoorpanelswillvary.Windowswillhavesteelframeswithglass
panes. Self cleaning design will be provided where cleaning of the windows will be by rainwater,
wind,etc.
Hygiene:
In the design of building, all the toilets and bathrooms are provided at respective ends to have
natural ventilation. In case of wards, where usage is more, an exhaust fan will be provided for
ventilation.
Safety:
Guardroom,atthemainentrance,willbeprovidedwhichwillbemannedroundtheclock.Vehicles
cominginandoutwillhavetoobtainatokenandreturnthesamewhilegoingout.Guardroomwill
haveanintercomconnectionandalsohavedirectlinetobeusedduringemergency.Thisroomwill
have a partition to accommodate Chief Security Officer and guards on duty. Basic fire fighting
equipmentwillbeprovidedatvariouspointsinthehospitalcomplex.

GeneralLayout:
Thehospitalwillconsistofthreeblocksasfollows:
BlockINursinghome&utilities
BlockIIOutpatientdepartment
BlockIIIChemistshop&canteen
BlockIVStaffQuarters

Block I should be situated away from the main road at the south west corner of the plot.This will
ensure patient comfort and will also be free from noise and air pollution, which make the
atmosphereofhospitalconduciveforcompleterestwithoutdisturbance.

Block II should be located near the main road and main gate of the hospital. This is so planned
because of flow of the large number of out patients and their relatives throughout the day.
SufficientdistanceistobeprovidedbetweentheBlockIandBlockIItoavoidnoisepollutioninBlock
I. The diagnostic center will also be provided in Block I as this department will be used both by
outpatients, a sample collection room, pathology lab, one Xray unit, one ultrasound equipment,
ECGmachinesandphysiotherapyshouldbeprovidedinBlockII.

Block III should be between Block I & Block II, so that the chemist shop and canteen can cater to
both the Blocks simultaneously as this is at almost equal distance from both the Blocks. Block III
locationshouldbesuchthatthenoisepollutionduetotheBlockisminimumandatthesametime
thedistanceisshortestpossiblebetweenthetwo.

Block IV should be located slightly away from all other blocks being a residential one for essential
staff.
Suitable provision should be made for internal roads, parking areas as also the development of
greenareasintherestofthelandtoprovidethenecessaryenvironmentofgeneralcleanliness.
Building
ArchitecturalPrinciples:
Thebuildingforthehospitalistobedesignedtakingintoconsiderationvariousaspectslikedirection
ofsunlight,wind,seismiccharacteristics,soilstrength,waterlevel,rainfalletc.
Design&Concept:
In the design conceptualization, particularly the inpatient block, the orientation is maintained
towardsEastandWest,inordertogetmaximumsunlight,adequateopenspacesaroundtheBlocks
are left in order to provide aesthetics, ventilation and light in the rooms and to avoid congestion.
Further,theinpatientblockshouldbekeptfartherfromthemainroadinordertoreducethenoise
level,dustaswellassmokeemittedbythevehiclesmovingonthemainroad.Allthetoiletshaveto
bepositionedontheoutersidetohavedirectventilationandtosimplyplumbing.

The relationships between and within departments are directed by the rational functional
requirements of the hospital. The in patient wards offer privacy and comfort (being segregated)
and being served by nursing stations, which are so placed as to facilitate the nursing need of each
patient.Eachnursingstationisselfcontainedandclosebyserviceelevatortoreduceunduetraffic.
Thebuildingisdesignedtohavecommonandconsolidatedserviceareasoastoservethehospital
moreeffectively.

BlockILayout:
BlockIwillhavethreefloorsexcludingtheutilitiesarea.However,thefoundationsshallbedesigned
tosupportafivestoriedbuildingtocaterforfutureexpansionofcapacity.Thehospitalwillhave100
beds.Thebuildingforutilitieswillbesinglestoried.Thelayoutofvariousdepartments/serviceswill
beasfollows:

a)GroundFloor:Thegroundfloorwillhave:
Reception
Casualty/emergency/daycarewith10beds
Xrayfacility
MinorOTcapableofhandlingemergencycases
Treatment/plasterroomforcasualty/emergency
Neonatalroom
Medicalgassupplysystemneartheroadforeasyloading/unloadingofgascylinders
Centralsterilesupplydepot
Laundrywillbesituatedatthesouthwestend
Kitchen(nexttolaundryinnorthdirection)
Substationslightlyawayfromlaundry
Morgueisalsoprovidedawayfromthehospitalbuilding
Eastern part of the hospital is for the inpatient and consists of 2 six bedded rooms, 3 triple
beddedrooms,4doublebeddedrooms,2deluxeroomsand8singlebedrooms.
Anursingstation,cleanutilityroom,dutyroomandpantryarealsotobeprovidedoneachfloor.
b)FirstFloor:Thefirstfloorwillhave:
DeliveryroomsprovidedabovethecasualtyandminorOT
3Labourrooms
Sterilizationroom
20beddedneonatalcareroomwithisolationfacilityaswellasintensivecare
Dirtyutilityroom
Clean&dirtycorridor
Doctors&nurseschangerooms
Nursing home wards & rooms which provide for 2 six bedded rooms, 3 triple bedded rooms, 4
double bedded rooms, 6 deluxe rooms, two regal suits and 20 single rooms. A nurse station,
cleanutilityroom,dutyroom,pantry&storearealsotobeprovided.
c)SecondFloor:Thesecondfloorwillhave:
2majorO.Ts
OToperationarea
Corridors for movement of clean & dirty utilities, separate clean & dirty utility rooms are
provided
Doctors&nurseschangerooms
Recoveryroom
ICU(4beds)xtwonumbers
CCU(4beds)xtwonumbers
Hospitalswards&rooms
Roomfortechnician
Nursinghomewards&roomswhichprovidefor2sixbeddedrooms,4triplebeddedrooms,4regal
suits,2deliveryrooms,2doublebeddedrooms,6singleroomsand2deluxerooms.Furthera
nursingstation;dutyroom,pantry&storearecateredfor
BlockIIwillhave2floors.Thedetailsareasunder:
a)GroundFloor:
ThemainentranceforOPDwillhaveareception/registration/cashcounterinthemainlobby.
3consultationroomstobeusedin4shiftswithadequatewaitingarea.
Physiotherapyroom.
XRayroom&waitingroom.
Ultrasoundroom
Samplecollectionroom
Staircase
b)FirstFloor:
4consultationroomstobeusedin4shiftswithadequatewaitingarea
Laboratory for histopathology, biochemistry, microbiology, haematology & serology and
immunology
Stresstestroom
ECGroom
Endoscopyroom
Corridorsareprovidedforeasyman&materialmovement.
c) Parking:AsmallparkingareaisprovidedinfrontoftheOPDblock.

BlockIII
BlockIIIconsistsofchemistshop,whichwilloperateroundtheclock.Thiswouldhavetwoseparate
entrancesi.e.oneforthepublicandanotherforthehospitalstaff.Thiswouldpermitspeedy
transactionsforthehospitalstaffwherethemedicineswouldbeissuedbasedonintendsandalso
accountedforseparately.

BlockIV
Consistofasinglefloorwith25singleroomscapacitytoaccommodateessentialhospitalstaff.

Acanteenforhospitalandvisitingrelativesofthepatientsetc.shouldbelocatedadjacenttothe
chemistshop.Thiswillbeoperatedbyacontractorwhowillbringhisownequipmentandfurniture.
ToiletsfortheuseofOPDpatients,visitorsetcarealsotobeprovided.
PublicConvenience:
Adequatenumberofpublicconveniencesandtoiletsforthevisitorsandstaffhastobecateredfor
inthedesignofthehospitalbuilding.
LayoutofServices:
Toensureasmoothflowofservicesinthehospital,itisimportantthatthelayoutofservicesshould
beasperthemenandmaterialflow,interdependenceofservicesanddepartments,requirement
ofutilitiesandservicesetc.Thefloorwiselayoutdetailsareasfollows:

a)OPDBlock:
ToensurethattheOPDblockisselfsufficientuptotheextentrequired,variousalliedserviceshave
beencateredintheblock.Theblockhastohaveconsultationroomswithappropriatewaitingarea
forpatients,treatment/injectionroom,samplecollectionroom,pathologylab,physiotherapyroom,
an Xray unit, ECG and Ultrasound facility and a registration desk to monitor, control, guide and
redirect the patients.. The reception desk will also act as the cashier for the OPD block. Adequate
waitingareaforthepatientsistobeprovidedfortheseroomscateringtotakecareofthepeakhour
traffic.Thesamplecollectionroomhastobeclosetothemainentrancetoavoidcongestion.

b)NursingHomeBlock:
Thenursinghomeblockislocatedonthreefloorswithvarioustypesofaccommodationtosuitthe
payingcapacitiesofthepatients.Eachfloorhasanursingstationforprovidingnecessaryassistance
to the patients, which will be manned round the clock. Behind the nursing station there will be
provisionforsupportserviceslikestore,pantry,dirtylinenstore,etc.andtheservicesliftwillopen
inthisareaforeaseoftransportingofmaterial(usedandfreshsupplied).Theregistrationisonthe
ground floor with a separate entrance with the bed/ passenger lift opening in the lobby. The
receptiondeskwillhaveacomputerterminalandwillalsotakeuptheroleofcashier.Thisdeskwill
alsobemannedroundtheclock.

c)Emergency/casualty:
In the adjoining block of the nursing home (on the ground floor) the emergency/ casualty services
should be provided with a separate entrance and lobby. This should have a minor OT with allied
facilitiessuchasXRaydepartment,daycarebedsetc.tobeselfsufficient.Xraydepartmentshould
besoplacedthatitcanalsobeapproachedfromthenursinghome.

d)MaternityServices:
Thefirstfloorabovetheemergency/minorOTshouldhavethematernityfacilitiesinthearea.This
willbeinproximityofthenursinghomecomplexasthefirstfloorofthenursinghomewillhaveto
housethegyaenicpatients.Thelabourrooms,doctorsrooms,deliveryrooms,neonatalcarerooms,
(ICU)/normal/isolationwards)etc.shouldbeinthesameareaforeaseoffunctioning.

e)OperatingTheatres:
Theoperationtheatres(2nos.)shouldbelocatedonthesecondfloorabovethematernitysection.
These should be totally airconditioned and ultra pure air system should be installed. The OT area
should include the patients preparation area, anaesthetics area, doctors, nurses and technicians
change/restrooms,toilets,scrubroometc.Itshouldbeseparatedfromtheoperationtheatrebya
cleancorridor.FromtheOperationTheatres,thepatientswillbetransferredtotherecoveryrooms,
whichisapartofICU/CCUunitlocatedadjoiningtotheOperationTheatre.

f)Utilities:
All the centralized utility services should be provided on the backside of the building which is a
single storied structure. These include areas for kitchen, laundry, stores, CSSD, transformer/
generatorroom,incineratoretc.Themanagementwouldbeeasiersincethesefacilitiesaregrouped
together.Thisserviceareashouldbeconnectedtothehospital/OTareasbyaservicecorridoranda
serviceliftforsmoothoperations.

g) Cashier room should be provided at the reception/ registration desk of OPD and IPD. The
receptionofIPDshouldbeprovidedwithacomputerterminal.
Organization&Management

Organizationandmanagementofthehospitalisproposedunderthefollowingheads:

- Management
- OrganizationStructure
- Manpower
- SystemsandProcedures

Management:

a) Board of Directors: The Board of Directors would lay down major politics for effective hospital
administration. These include policies concerning capital outlays, expansion and modernization
programs,microlevelfinancialcontroletc.
b) Medical Superintendent: The medical superintendent. Will be a doctor, with experience of
hospital management activity and will be competent to take decisions for the efficient dayto
day functioning of the hospital. He will be responsible for implementation of the hospital. He
willberesponsibleforimplementationofthevariouspolicyoftheBoardofDirectors/Chairman.
He will be supported by medical superintendent and general administrator. He will look the
generaladministratoractivitiesofthehospitalthroughgeneraladministration.
c) Dy.GeneralSuperintendent:Hewillbeadoctorwithsomeexperienceinoverallmanagementof
medical staff and activities of the Hospital. He would be reporting to the medical
superintendent. All the staff heads would interact with him for daytoday functioning of the
hospital. He will also look after the annual appraisals of hospital medical staff jointly with the
medicalsuperintendent.
d) General Administrator: He will be a person with experience in the general hospital
administration.HewillbereportingtoMedicalSuperintendentandwouldberesponsibleforthe
overall nonmedical activities of the hospital, such as housekeeping, laundry, personnel
department,security,accounts,powersupply,airconditioningetc.

Hewillalsoberesponsibleforthepersonneladministrationofhospitalstaffandwouldreporttothe
medical superintendent daily reporting the attendance, casualty, nonmedical/medical equipment
status,anyuntowardincidentsetc.

e) Heads of Deptts. (Medical): They would be senior specialist and will manage their respective
departments.TheywouldinteracttoDeputyMedicalSuperintendentandwouldberesponsible
forthedaytodayactivityoftheirdepartments.
They will be assisted by physicians, technicians, nurses and ward boys. Registrars of General
Medicine,GeneralSurgery,Ob/GynaecologyandaswellasPathologist,RadiologistandAnaesthetist
will be on the pay roll of the hospital while for Orthopaedics and Nephrology, Paediatrics,
Gastroenterologyandophthalmology,therewillbevisitingspecialists.

f) Heads of Deptts. (Nonmedical): They would be specialists in their respective fields and would
be responsible for daytoday activities of their departments. They will report directly to the
general administrator. These include Personnel Manager, Finance Manager, Systems Analyst,
Materials Officer (Medical and Nonmedical), Accounts Officers and Security Officers etc. They
willbeassistedbyNonmedicalstaffsuitably.

Managementcommittees:
For effective and efficient management of various activities of the hospital, different committees
will be formed. These committees would consist of experts from their respective fields and an
observernomineefromtheBoardofDirectors.Someofthesecommitteeswillbeasfollows.

a) Hospital Committee: This will consist of Medical Superintendent, Deputy Medical

Superintendent and Heads of the Department etc. and will be meeting once in a month to
reviewthemedicalaspects.
b) Technical Committee: It will consist of Medical Superintendent, General Administrator and
Senior Nonmedical and Technical Staff and will be meeting once in two months to review the
Nonmedicalaspects.
c) Hospitals Infection Control Committee: In addition to the above the following committees can
alsobeconstituted:

- ResearchCommittee
- RecordsCommittee
- AcademicCommittee
- FinanceCommittee

There would be considerable interaction between various committees due to their inter
dependence. For this purpose joint meetings would also be held. The role and the membership of
theabovecommitteeswouldbeincludedinthesystemsandproceduresmanualstobeprepared.

Financiallimits:
The Board of Directors will set financial limits for various senior functional staff. This will enable
various hospital activities to run smoothly and efficiently with proper delegation of authority and
responsibility.

Manpower:
a) ParamedicalStaff:
- CardiacCenterTechnician
- DialysisTechnician
- Pharmacist&assistantPharmacist
- Steward/Dietician
- ECGTechnician
- UltrasoundTechnician
- XrayTechnician
- ClinicalPathologyTechnician
- HaematologyTechnicians
- Physiotherapist
- EndoscopyTechnician
- Orthopaedician
- OphthalmologyAssistant
- DarkroomTechnician
- Laundry
- CSSD

b) EngineeringStaff:

Thestaffwillincludetechniciansfor:
Electricity
- Mechanical/Plumbing
- Boiler

c) NursingStaff:
- WardmasterreportingtoDeputyMedicalSuperintendent.HewillalsobefunctioningasPROto
the hospital. His responsibilities include insuring smooth functioning of hospital wards and
rooms.
- Matroninchief
- DeputyMatron
- StaffNurses

d) AdministrationandAncillarystaff:
The administrative and ancillary staff in addition to senior administrative staff given above will
consistofthefollowing:

- HeadClerk
- Cashier
- UDC/LDC/Typists/Stenographers
- RecordOfficers
- Housekeepers
- AdministrativeAssistants
- Telephone/TelexOperators/Receptionist
- Drivers
- NursingOrderly
- SecurityAttendants
- Gardeners
- Cooks
- SystemAnalyst
- ComputerProgrammer/Operator

TimeSchedule
A construction program has been developed to accomplish the desired objectives within a time span
which is as short as possible without being excessively curtailed. A time span of 16 months for project
completion defined by erection and commissioning of the hospital is estimated. Following table gives
thetimescheduleformajorworkstobecarriedoutintheimplementationoftheproject.

Activity PeriodinMonths
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Preliminary&Promotionalwork

ProcurementofLand&Site
Development

Constructionofbuildings&
structures

.Design&Engineering,

Ordering&Procurementof
equipments

ErectionandCommissioning

StartupofHospital

CapitalOutlayoftheProjectandMeansOfFinances
The estimated project cost is Rs. 1650.00 Lakhs. The debt: equity ratio considered for this project is
approximately 2:1. It is proposed that the project will have equity of Rs.500 Lakhs and rest Rs. 1150
Lakhs can be raised as long term loan from the financial institutions. The project cost and means of
financeispresentedinTablebelow

S.No
Details
Cost(inRsLakhs)
1. LandandLanddevelopment
74.00
2. Buildings 825.50
3. Plant&Equipments 235.70
4. MiscellaneousFixedAsset 170.00
5. PreliminaryExpenses
26.62
6. PreoperativeExpenses
144.88
7. Marginmoneyforworkingcapital
81.98
8. Contingencies
91.32
Total 1650.00
MeansofFinance
1 Loan 1150
2 Equity 500
Total 1650

EstimationofProjectCost
In the estimation of the project cost, the requirements and costs of various fixed assets such as land,
buildings,plantandmachineryandothermiscellaneousassetsisconsidered.Besidesthese coststhere
arecertainpreliminaryandpreoperativeexpenseswhichareincurredintheproject.Oncetheprojectis
set up, in order to run it working capital is required. Since bank provides only part of requirements of
workingcapital,marginalmoneyisrequiredtosuccessfullyoperatetheplant.Sincetherequirementof
themarginalmoneyisoflongtermnature,itisalsoconsideredasapartoftheprojectcost.

LandandSiteDevelopment
Thetotalcoveredareaofthehospitalisestimatedat10,000Sq.meters.Thisincludesthearearequired
for the main hospital, utilities section, laboratory, Administrative office; Go down, public conveniences
etc.Takingthisintoconsiderationandprovisionsforroads,pavementsandfutureexpansions,theland
requirement for the proposed unit has been estimated at 20,000 sqmeters. The cost of this land is
estimatedatRs.70.0lakhs
CostofLandandSitedevelopment
1.Land20,000squaremeters@Rs.350persquaremetersincludingregistration
charges Rs.70.00Lakhs.
2.Siteclearing,levellingandotherdevelopmentcostRs4.00Lakhs
Total Rs74.00Lakhs
BuildingandStructures
Estimates for building and structures: Covers the cost of construction of various buildings for the
hospital,utilitiessection,administrativeoffice,Godowns,laboratory,workshop,accommodationfor
hospital staff etc. The total covered area of the hospital is estimated at 12,500 sqmts. The cost of
the building and structures is estimated on the basis of area and volume and also on the type of
foundationtobeadoptedforvariousitemsofequipment.
CostofBuildingandStructures
The hospital will consist of nursing home and utilities buildings, OPD buildings, chemist shop and
canteen.Thebuildingshouldbesodesignedtohaveprovisionoffutureexpansionbyincreasingthe
floorlevel.
HospitalBuilding
A) Block (I) This building is planed to accommodate 200 no. of beds along with the supportive
services and future expansion provisions. The total covered area of the building distributed upon
threefloorsshallbeasfollows:
a)Groundfloor 2000Sqmeters
b)Firstfloor 2000Sqmeters
c)Secondfloor 2400Sqmeters
The structure shall be RCC class a construction with PVC flooring, excellent sanitation and drainage
systems, maximum provision for natural air circulation & best utilization of sunlight, good quality
fans,dustproofantidampwall,paintsonallthreefloorsonanareacomprising6400sqmeters.@
Rs.10,000persqmeter:Rs640lakhs
B)Block(II)ThetwoflooredOPD&utilitiesunitwillhouseReception/registration/
cashcounterinthemainlobbyatgroundfloorandfirstfloorwillhaveconsultation
roomsetc.
The structure shall be RCC class a construction with PVC flooring, excellent sanitation and drainage
systems, maximum provision for natural air circulation & best utilization of sunlight, good quality
fans, dust proof anti damp wall, paints on all three floors on an area 800 sqmeters. @ Rs. 10, 000
persqmeter Rs80.00Lakhs
C) Block (III) The single floor unit of chemist of shop and canteen will have a total area of 200 Sq
meter@Rs.4000/persquaremeter. Rs8.00Lakhs
D) Block (IV) The single unit accommodation of essential hospital staff with total area of 2500 Sq
Meter@3500/perSqMeter.for25nosessentialstaff. Rs.87.5Lakhs
E)OtherFacilities
1.Flushingcisterns,sewers,septictanketc
2.Boundarywall,parkingsite,watchmanscabin
3.Architectsfees
Rs10.00Lakhs
Total(A+B+C+D+E): Rs.825.50Lakhs
CostofEquipments
SI.No. Description Qty.nos UnitPrice
(inRs)
TotalCost(inRs.)
I ClinicalPathology
A Histopathology
1 BinocularMicroscope 2 8500 17000
2 AutomaticTissueProcessor 1 21000 21000
3 PrecisionRotaryMicrotome 1 14000 14000
4 FreezingMicrotome 1 5300 5300
5 Tissuefloatationbath 1 2400 2400
6 Microtomeknives 6 1000 6000
7 BlockHolders 75 30 2250
8 TissueEmbeddingMoulds 75 30 2250
9 BloodCellCounter 1 900 900
10 Microslidecabinet 1 7500 7500
11 VerticalLaminarA/Flowcabinet 1 40000 40000
12 BloodBankRefrigerator 2 36500 73000
13 Miscellaneous lot 20000 20000
SubTotalA 211600
B Haematology&Serology
1 WaterBath 2 3200 6400
2 WaterBathSerological 2 5500 11000
3 HotairOvens 2 9500 19000
4 Bacteriologicalincubators 2 9500 19000
5 Shakingmachine 2 7600 15200
6 ElectrophoresisEquipment 1 12000 12000
7 Refrigerators 2 8000 16000
8 Centrifuges 4 2000 8000
9 MonocularMicroscope 2 4000 8000
10 PrecisionBalance 1 7000 7000
11 Colorimeter 1 7000 7000
12 Miscellaneous 1 15000 15000
SubTotalB 143600
C Microbiology
1 BinocularMicroscope 2 8000 16000
2 Miscellaneous lot 15000 15000
SubTotalC 31000
D BioChemistry
1 AutoAnalyzer 1 90000 90000
2 Spectrophotometer 1 20000 20000
3 FlamePhotometer 1 14000 14000
4 compressorforflamephotometer 1 4000 4000
5 Glucometer 1 4500 4500
6 HotAirOven 2 10000 20000
7 Miscellaneous 1 15000 15000
SubTotalD 167500

II Paediatrics&Neonatology
1 InfantIncubators 4 110000 440000
2 PhototherapyUnit 2 15000 30000
3 CardioRespiratoryTempMonitor 2 30000 60000
4 Miscellaneous lot 15000 15000
SubTotalII 545000

III Nephrology
1 HaemodialysisM/cwithDeionizer 1 350000 350000
2 Miscellaneous 1 25000 25000
SubTotalIII 375000

IV OPD
1 RespiratoryfunctionInspectionAnalyzer 1 90000 90000
2 BPApparatus 12 500 6000
3 Stethoscopes 30 200 6000
4 RectalThermometers 20 50 1000
5 Spirometer 1 4500 4500
6 Miscellaneous lot 30000 30000
SubTotalIV 137500

V Gastroenterology
1 GastroIntestinalFibroscopewith
opticaldevice,Adaptor
&ColdLightSource 1 600000 600000
2 Colonoscopy 1 450000 450000
3 Miscellaneous 1 35000 35000
SubTotalV 1085000
VI Causality/Emergency
1 AmbuSystem(Infant) 4 6000 24000
2 AmbuSystem(Adult) 4 6000 24000
3 Miscellaneous 1 10000 10000
SubTotalVI 58000

VII Monitoring
1 ECGMachine 6 30000 180000
2 CardiacMonitor 15 45000 675000
3 MultiParameterMonitor 8 220000 1760000
4 CentralnursingStation 2 330000 660000
5 DefibrillatorMonitorRecorder 2 90000 180000
6 CardiacPacemaker 2 30000 60000
7 StressTestSystem,TreadMill 2 650000 1300000
8 Miscellaneous lot 30000 30000
SubTotalVII 4845000

VIII Ophthalmology
1 Ophthalmoscope 2 25000 50000
2 Lensometer 1 7000 7000
3 OperatingMicroscope 1 70000 70000
4 CataractExtractor 1 3500 3500
5 Trialcase 1 5100 5100
6 RetinoscopySet 2 1600 3200
7 Tonometer 1 1400 1400
8 LeesScreen 1 8000 8000
9 Opthalometer 1 15500 15500
10 Slitlamp 1 200000 200000
11 OpthalmicInstruments 1 30000 30000
SubTotalVIII 393700

IX Physiotherapy
1 Nerve&muscleStimulator 1 5000 5000
2 ShortwaveDiathermy(Indian) 1 40000 40000
3 MicrowaveTherapyUnit 1 125000 125000
4 UltrasonicTherapy(Indian) 1 60000 60000
5 LaserTherapy 1 140000 140000
6 TranscutaneousNerveStimulator 1 1300 1300
7 StaticCycleExerciser 1 4000 4000
8 Jogger 1 7000 7000
9 Miscellaneous(Infraredlamps,pulliesetc.) 1 10000 10000
SubTotalIX 392300

X Orthopaedics
1 InvalidWalker(Adult) 4 1200 4800
2 InfantWalker(Adult) 8 800 6400
3 ParaffinWaxBath(Arm,hand&foot) 1 8000 8000
4 OrthopaedicsInstruments&Implants 2 50000 100000
5 ElectricBoneDrill 2 3500 7000
6 ElectricBoneSaw 2 7500 15000
7 ElectricPlasterSaw 3 3000 9000
8 FractureTable 2 8000 16000
9 Miscellaneous lot 25000 25000
SubTotalX 191200

XI Gynaecology
1 DopplerFoetusDetector 1 55000 55000
2 Laparoscopewithmonitor&Camera 1 600000 600000
3 Miscellaneous 1 3000 3000
SubTotalXI 685000

XII Diagnosticimaging
1 UltrasoundscannerWithhighResolution
Monitor
1 800000 800000
2 MobileXrayUnit100MA 1 225000 225000
3 XrayMachine500MA 1 850000 850000
4 C.T.ScanMachine 1 3500000 3500000
4 FilmProcessor 1 160000 160000
5 DarkRoomEquipment 1 20000 20000
6 SemiAutomaticVideoImager 1 90480 90480
7 Miscellaneous 1 20000 20000
SubTotalXII 56,65480

XIII CentralSterileSupplyDepot
1 PortableAutoclave 3 6000 18000
2 HighPressureCylindricalSteamSterilizer 1 100000 100000
3 HighspeedcylindricalelectricalSterilizer 1 90000 90000
4 Disinfector 10 9000 90000
5 Miscellaneous 1 10000 10000
SubTotalXII 308000

XIV OT(ICCU) .
1 ElectroSurgicalunit 4 120000 480000
2 BloodGasAnalyzer 2 950000 1900000
3 TwinBottleElectricSuctionApparatus 2 12000 24000
4 MajorOTLights 4 65000 260000
5 MediumShadowlessOTLights 2 25000 50000
6 MobileShadowlessOTLights 6 12000 72000
7 Ventilator(adult&Paediatric) 2 700000 1400000
8 Ventilator 4 90000 360000
9 AnaesthesiaMachine 4 110000 440000
10 Respirometer 6 25000 150000
11 MiscellaneousInstruments lot 30000 30000
SubTotalXIV 5166000

XV ENT
1 AudioMeter 2 70000 140000
2 MiscellaneousInstruments
(auroscope,Tracheotomysetsetc.) lot 120000 120000
SubTotalXV 260000

XVI Mortuary
1 MortuaryChambers 3 120000 360000
SubTotalXVI 360000

XVII Wards
1 RespirableAirPump 2 40000 80000
2 WallUnitforAnaesthesia 2 20000 40000
SubTotalXVII 120000

XVIII HospitalFurniture
1 Hospital'sCots 250 1300 325000
2 Attender'sCots 40 650 26000
3 FowlerPositionCots 20 3300 66000
4 CardiacCots 4 1800 7200
5 MaternityCots 10 1800 18000
6 BedsideLockers 240 500 120000
7 GynecExaminationtablets 5 1200 6000
8 MayoInstrumentTrolleys 25 800 20000
9 LaborTables 4 1400 5600
10 DressingTrolleys 20 1700 34000
11 OxygenCylinderTrolleys 10 200 2000
12 WheelChairs 10 1700 17000
13 RevolvingStoolsforPatients 50 200 10000
14 VisitorStools 250 200 50000
15 BedSideScreens 80 500 40000
16 BackRests 25 200 5000
17 Writingtables 70 600 42000
18 ChairWithArms 200 300 60000
19 WastePaperBins 100 25 2500
20 CentralTablesforDoctorsDutyRooms 6 4000 24000
21 NoticeBoards 8 1000 8000
22 KidneyTrays 40 60 2400
23 Cardiactables 4 1200 4800
24 SpecimenContainers 100 75 7500
25 SteelCupboards 50 3500 175000
26 StorageRacks 40 1200 48000
27 PigeonHoleRacks 8 350 2800
28 SofaSetsforDoctorsDuty 6 4500 27000
29 CotwithMattressforDutyRooms 10 1200 12000
30 StepStools 40 300 12000
31 BenchesforPatientWaitingRoom 40 500 20000
32 Bedpanswithcover 80 300 24000
33 SpittingMugs 80 60 4800
34 orthopedictables 4 7000 28000
35 Surgicaltrays 40 350 14000
36 CatheterTrays 40 150 6000
37 WashBasins 50 70 3500
38 Jugs 40 100 4000
39 Buckets 40 120 4800
40 SalineStands 40 300 12000
41 WashBasinStands 50 320 16000
42 XraysviewBoxes 15 220 3300
43 IceCaps 30 100 3000
44 InstrumentTrolleys 30 950 28500
45 WeighingMachines(Adult) 4 500 2000
46 WeighingMachines(Infant) 4 1800 7200
47 Thermometers 100 30 3000
48 HotWaterBottles 100 120 12000
49 KidneyTrays 30 60 1800
50 ExaminationTables 10 4500 45000
51 Urinals/Pans 70 150 10500
52 StretchersonTrolleys 16 2500 40000
53 PaediatricBeds 15 1200 18000
54 OverbedTables 150 600 90000
55 BabyCradles 15 400 6000
56 EmergencyTrolleys 4 1500 6000
57 Operationtables(Major) 4 90000 360000
58 SurgicalTable(Minor) 2 55000 110000
59 ICU/CCUBeds 16 11000 176000
60 Aircurtains 10 14000 140000
61 Miscellaneous lot 50000 50000
SubTotalXVIII 2429200
GrandTotal(SubtotalItoXVIII) Rs.235.70Lakhs

OtherMiscellaneousFixedAssets
Cost of miscellaneous fixed assets includes telephone and fax, office equipment, site office furniture,
vehicles etc. A total of Rs. 170 Lakhs is earmarked for the purpose. The cost involved under various
itemsisgiveninTablebelow.
OtherMiscellaneousFixedAssets CostinRs.Lakhs
Electrical&workshopequipments 80.00
Siteofficefurnitureandfixtures 30.00
Vehicles 20.00
Otherassets 40.00
Total 170.00

PreliminaryandPreoperativeExpenses
Apartfrom thecostofthetangibleassetsdescribedinearliersectionsof thisreportprovisionhasalso
been made towards other categories of expenditure necessary for the establishment of the project.
These expenses are known as preliminary and pre operative expenses. The preliminary expenses
basicallycovertheexpensesinvolvedincompanyformationandprojectidentification.Theyalsoinclude
capitalissuesexpensesifthecompanyistobeformedasapubliclimitedcompany.Thepreoperative
expenses cover all other category of expenses that are incurred in the implementation of the project
starting from project identification to commissioning of the project. The preliminary and preoperative
expensesforthisprojectareestimatedasfollows.

Sl
no Description


Expenses(Rs.In
lakhs)
1 PreliminaryExpenses
1
DraftingchargespayabletoCAfordraftingthememorandumandarticles
ofassociationofthecompany 0.15
2
Printingchargesformemorandumandarticlesofassociationofthe
company 0.15
3 ApplicationfeepayabletotheRegistrarofCompaniesforRegistrationof
thecompanyassumingthatthe
AuthorizedcapitalofthecompanywillbeRs.452Lakhs

0.72
4
FeesPaidtoConsultantsforprojectidentificationandevaluation,
preparationofprojectprofiles,conducting
marketsurveyandpreparingprojectfeasibilitystudies 0.94
5 CapitalIssueExpenses
(i) AdvertisementandPublicity 4.11
(ii) PrintingandPostage 4.11
(iii) Underwriterscommissionandbrokerage(4%) 8.22
(iv) FeespaidtoManagersandregistrarstotheissue 4.11
(v) Listingfeesandotherexpenses 4.11
Total 26.62
Description
1 SalariesandWages 3.20
2 StaffWelfareExpenses 1.00
3 PrintingandStationeryExpenses 1.05
4 Rent,ratesandTaxes 3.15
5 vehicleExpenses 0.00
6 RepairandMaintenanceExpenses
7 TravellingandConveyanceExpenses 2.10
8 Auditor'sRemuneration 0.35
9 InsurancePremium 2.93
10 InterestandCommitmentCharges 104.55
11 BankChargesandcommission 1.50
12 RecruitmentofPersonnel 0.40
13 LegalandProfessionalFees 0.50
14 OtherMiscellaneousExpenses 24.15
Total
Rs.144.88
Lakhs

WorkingCapitalandMarginalMoney
Estimates of Working Capital requirements have been worked out on the basis of following cycles of
expenditureinvolvingcashliabilitiesandotherrecurringrequirements.

StockofRawMaterialsinStores
(i)Imported 0.0 Months
(ii)Indigenous 0.5 Months
PackingMaterials 0.5 Months
WorkinProgress 0.05 Months
StockofFinishedGoodsinStores 0.5 Months
AccountsReceivable 0.1 Months
OtherRecurringExpenses 1 Months
ElectricityDeposits Rs.35 Lakhs

Work in progress covers the cost of Raw Materials, Utilities, Lob our and Staff Wages. The value of
finishedgoodsforsaleisarrivedatbytakingintoconsideration,thecostofrawmaterials,utilities,labor
and staff wages, administrative overheads, maintenance and repairs and insurance. Other recurring
expenses cover utilities, labor and staff wages, maintenance and repairs, insurance, administrative
overheadsandsalesexpenses.
Therequirementsofmarginmoneyforworkingcapitalrequirementsaremadeonthebasisoffollowing
normsadoptedbyallnationalizedbanksinourcountry.

MarginonRawMaterialinstores 20.00%
MarginonPackingMaterial 20.00%
MarginonWorkinProgress 30.00%
MarginonFinishedGoodsin
stores 30.00%
MarginonAccountsReceivable 20.00%
MarginonOtherRecurring
Expenses 100.00%
MarginonElectricityDeposit 100.00%

The requirement of total working capital, bank borrowings and margin money during the first, second,
thirdandsubsequentyearsofplantoperationareestimatedinthefollowingtable.

AssessmentofWorkingCapital&MarginMoneyRequirements

FirstYear
CapacityUtilization
= 70%
Description
No.of
Mont
hs
Margin
Money%
Working
Capital
Margin
Money
Bank
Finance
StockofRaw
MaterialsinStores
(i)Imported 0.00 20.00% 0.00 0.00 0.00
(ii)Indigenous 0.50 20.00% 6.27 1.25 5.02
PackingMaterials 0.50 20.00% 0.00 0.00 0.00
Total1+2 6.27 1.25 5.02
WorkinProgress 0.05 30.00% 2.14 0.64 1.50
StockofFinished
GoodsinStores 0.50 30.00% 23.46 7.04 16.42
Accounts
Receivable 0.10 20.00% 7.33 1.47 5.87
OtherRecurring
Expenses 1.00 100.00% 36.58 36.58 0.00
Electricity
Deposits 100.00% 35.00 35.00 0.00
Total FirstYear 110.78 81.98 28.80

SecondYear
CapacityUtilization
= 75%
Description
No.of
Mont
hs
Margin
Money%
Working
Capital
Margin
Money
Bank
Finance
StockofRaw
MaterialsinStores
(i)Imported 0.00 20.00% 0.00 0.00 0.00
(ii)Indigenous 0.50 20.00% 6.72 1.34 5.38
PackingMaterials 0.50 20.00% 0.00 0.00 0.00
Total1+2 6.72 1.34 5.38
WorkinProgress 0.05 30.00% 2.22 0.66 1.55
StockofFinished
GoodsinStores 0.50 30.00% 24.23 7.27 16.96
Accounts
Receivable 0.10 20.00% 7.86 1.57 6.29
OtherRecurring
Expenses 1.00 100.00% 37.38 37.38 0.00
Electricity
Deposits 100.00% 35.00 35.00 0.00
Total Second 113.40 83.23 30.17
Year

ThirdYear
CapacityUtilization
= 75%
Description
No.of
Mont
hs
Margin
Money%
Working
Capital
Margin
Money
Bank
Finance
StockofRaw
MaterialsinStores
(i)Imported 0.00 0.20 0.00 0.00 0.00
(ii)Indigenous 0.50 0.20 6.72 1.34 5.38
PackingMaterials 0.50 0.20 0.00 0.00 0.00
Total1+2 6.72 1.34 5.38
WorkinProgress 0.05 0.30 2.22 0.66 1.55
StockofFinished
GoodsinStores 0.50 0.30 24.23 7.27 16.96
Accounts
Receivable 0.10 0.20 7.86 1.57 6.29
OtherRecurring
Expenses 1.00 1.00 37.38 37.38 0.00
Electricity
Deposits 0.00 1.00 35.00 35.00 0.00
Total ThirdYear 113.40 83.23 30.17

ManufacturingInputsandCost
CostofSuppliesandConsumables
Foroperatinga200bedhospitalat100%capacityutilization,thefollowingconsumablesmaybe
required.
Item Numbers RateRs. TotalAmt.(Rs.
Lakhs)
(I)Medical
A.OperationTheatre
MajorOperation(preparationAnaesthesia
&
Disposables)
0
1500 1800.00 27.00
MinorOperation(dressingMaterialsetc.) 2000 600.00 12.00
B.DeliveryCharges
DeliveryCases(DressingMaterialsetc.) 2000 600.00 12.00
C.Diagnostics
iImaging
Xray(xrayfilms+DevelopingMaterials) 30,000 60.00 18.00
BariumXray(xray+BariumMetal 1500 75.00 1.13
UltraSound(Ultrasound+jelly) 12000 60.00 7.20
C.TScan(Dyes) 6000 1000 40.00
iiPathology
Misc.Reagents&Chemicals 2,50,000 12.00 30.00
iiiCardiacTests
ECG(ECGpaper&Jelly) 12000 12.00 1.44
StressTesting(stressTestPaper&Jelly) 900 30.00 0.27
CardiacEvaluation(AsforECG,stresstest
&
ultrasound)
1800 85.00 1.53
ivResp.Screening(RecordingPaper) 1500 10.00 0.15
D.Dialysis
Dialtser(reusable),fluidsetc. 150 900.00 1.33
E.Endoscopy 3000 50.00 1.50
F.Physiotherapy(waxetc.) 6000 30.00 1.80
G.GeneralHealthEvaluation(Xray,U
sound.ECG,Pathologicaltests,Resp.
Screening&stresstest)
2400 300.00 7.20
IINonMedical
A.Laundry 150 3.00 1.64
B.Kitchen(ForIPDpatients) 150 80.00 43.80
C.Housekeepingsupplies(ForOPD,IPD&
Admen.Block
700 275.00 1.93
Miscellaneous(OxygenCylindersetc.) 5.07
Total(inRs.Lakhs) 215.00

Utilities
Themainutilitiesrequiredfortheplantarewater,fueloilandelectricity.
Water
The annual requirement of water at 100 % utilization capacity is estimated at 30,000 KL. Considering a
unitrateofRs3perKLofwater,theannualcostofwaterisestimatedatRs.9Lakhs.
Diesel
DieselisrequiredforDGset.TheannualrequirementofDieselat100%capacityutilizationisestimated
at50.00KL.ConsideringunitrateofRs.16,000perKLofdiesel,theannualcostofDieselisestimatedat
Rs.8.00lakhs.
Fueloil
Fueloilisrequiredforsteamgeneration.Theannualrequirementoffueloilat100%capacityutilization
isestimatedat50.00KL.ConsideringaunitrateofRs10000perKLoffueloil,theannualcostoffueloil
at100%capacityisestimatedtobeRs5.00Lakhs.
Electricity
Theunitwillneedatotalconnectedpowerloadof600KW.Theannualconsumptionofelectricityat100
% capacity utilization is estimated at 40 lakh units. Considering a unit rate of Rs 3.50 per KWh of
electricity,theannualcostofelectricityat100%utilizationcapacityisestimatedatRs.140.00Lakhs.
AnnualCostofUtilitiesisthusestimatedasfollows
Annualcostofcoal
Rs8.00Lakhs
Annualcostofwater
Rs.90.0Lakhs
Annualcostofelectricity
Rs.140.00Lakhs
AnnualcostofFueloil Rs.5.00Lakhs
Total Rs.153.90Lakhs

Manpowerrequirement
Therequirementsofpersonnel hasbeenworkedoutbytakingintoconsiderationtheanticipated work
load,degreeofskillrequiredandtheproductivityoftheworkersonsimilarJobs.Theplantisproposed
tobeoperatedonsingleshiftbasiscomprisingofeighthourseachona300daysworkingscheduleina
year.
Based upon the plant capacity and the number of machines, the total requirements of personnel are
estimatedat35Nos.underdifferentcategories.AnnualwagebillofthestaffworksouttobeRs.18.00
Lakhs.
Thedetailsofmanpowerrequiredareasunder.
Type
Designation No.s MonthlySalary
(inRs)
TotalCosts
(inRslakhs)
(I)Medical
Staff

Registrars
GeneralMedicine 3 12000 4.32
GeneralSurgery 3 12000 4.32
Obstetrics&
Gynaecology
3 12000 4.32
Cardiology 2 12000 2.88
Pathologist 2 12000 2.88
Radiologist 2 12000
2.88
GeneralDuty
Medical
Officers

SeniorHousePhysician 8 9000 8.64

JuniorHousePhysician 8 6000 5.76
Anaesthetist 8 6000 5.76
(II)Nursing
Staff

Wardmaster 4 8000 3.84

Matroninchief 1 6000 .72
DeputyMatron 2 5000 1.20
OperationTheatreNurse 16 4000 7.68
LabourRoomNurse 10 4000 4.80
Sisters 20 4000 9.60
StaffNurses 70 4000 33.60
NurseMidwife 40 3000 14.40
(III)
Paramedical
Staff

CardiacCentre
Technician
2 5000
1.20
Dialysistechnician 2 5000 1.20
Pharmacist/Astt.
Pharmacist
2 5000
1.20
Steward/Dietician

2 5000
1.20
Technologist/
technician

ECG 4 5000 2.40

Imaging 6 5000 3.60
Clinicalpathology 7 5000 4.20
BloodBank 4 5000 2.40
Laundry 4 5000 2.40
CSSD 4 5000 2.40
Ophthalmology 1 5000 .60
StressTest 1 5000 .60
DarkRoom 3 5000 1.80
Physiotherapist 1 5000 .60
EndoscopeTechnician 1 5000 .60

Orthopaedics
2
5000
1.20
(IV)Non
Medicalstaff

Engineering
Staff

Electrician 4 3500 1.68

MechanicalPlumbing 4 3500 1.68
(V)
Administrative
&AlliedStaff

MedicalSupdt. 1 20000 2.40

GeneralAdministrator 1 10000 1.20
PersonnelOfficer 1 8000 .96
FinanceOfficer 1 8000 .96
Accountsofficer 1 8000 .96
Cashier 1 5000 .60
LDC/Typist/
stenographer
10
2500
3.00
RecordClerk 2 2500 .60
HouseKeepers 6 2000 1.44
MaterialsOfficer 4 3000 1.44
TelephoneOperators 4 3000 1.44
Driver 4 2500 1.20
Attendant/Nursing/
Orderly
10
2000
2.40
Guards/Security
Attendants
16
2000
3.84
SecurityOfficer 1 6000 .72
JuniorHousekeeping
staff
20
2000
4.80
(VI)Computer
Division

Computeroperators 6 6000 4.32

Total
345 Rs180.84Lakhs
OtherBenefits 74.16
Totalsalariesperannum
i

Rs255.00Lakhs

AdministrativeOverheads
Administrative overheads include administrative and office expenses such as staff travelling, office
stationeryandpostage,telephonebills,auditfee,legalfee,bankchargesandothersundryexpenses.

Details AmountinRs.Lakhs
Rent,rates&taxes 3.50
TravellingandConveyance 2.25
Vehicleexpenses 4.00
Bankcharges,Guarantee,commissionsetc 1.23
Post,TelephoneandFaxcharges 1.50
Advertisement&Publicity 8.50
Officesupply&stationary 0.80
Auditorsfeeandexpenses 0.12
Legal&Professionalexpenses 0.60
Directorssittingfeesandexpenses 0.12
Misc.Expenses 3.39
Total 26.01

MaintenanceandRepairs
Onthebasisofnormsavailablefromsimilarhospitalsinactualoperation,provisionhasbeenmadefor
annual cost of maintenance and repairs. The maintenance and repair expenses are estimated at 1% of
the cost of building and structure and 2% of the erected cost of machinery and other miscellaneous
fixedassets.ThecostofMaintenanceandrepairsisestimatedasunder:

Type RepairandMaintenanceCostinRs.Lakhs
Maintenanceofbuildingandstructures@1%onRs
825.50Lakhs
8.255
Maintenanceofmachinery@2%onRs.235.70
lakhs
4.71
Maintenanceofothermiscellaneousfixedassets@
2%onRs.170.00Lakhs
3.40
Total Rs.16.37Lakhs

Insurance
Thebuildingandstructures,plantandmachineryandothermiscellaneousfixesassetsoftheunitwillbe
insuredagainstalltypesofrisks.Itisestimatedat0.6%onRs.1231.20LakhswhichworksouttobeRs.
7.39lakhs.
SalesExpenses
The sales expenses generally cover commission, brokerage, discount etc. the annual sales expenses at
100 % capacity utilization are estimated at 3% of the annual sales revenue of 1257.00 Lakhs, which
comesouttobeasRs.37.71LakhsAnnually.

FinancialExpenses(interestonshorttermloanandlongtermloan)

A.InterestonShortTermLoan
To partially meet the working capital requirements of the project, the company will have to make
arrangements for cash facilities credit facilities with a nationalised bank. The present rate of interest
takenhereis16%forshorttermloans.
Thefollowingtablegivestherequirementsofshorttermloansandanticipatedinterestspayabletothe
bankduringthefirst10yearsofitsoperations.

InterestonShortTermLoans
UnitRs.Lakhs
SerialNo YearOfOperation BankBorrowings InterestPayable
1 First
28.80 4.61
2 Second
30.17 4.83
3 Third&subsequentyears
30.17 4.83

BInterestonLongTermLoans
ItisproposedtoraisethesumofRs.1150Lakhsaslongtermloansfromfinancialinstitutionstomeet
thecapitalcostoftheproject.Forcalculatingtheinterestonlongtermloans,aninterestrateof13%is
takenintoconsiderationinthisreport.
Theprincipalwillberepaidin17halfyearlyinstalments.ThefirstinstalmentofRs.50.00lakhswillbe
paid at the end of completion of second year of the working of the unit and balance 16 half yearly
instalmentsofRs.50.00lakhseachwillbepayableathalfyearlyintervalsfromthedateofpaymentof
firstinstalment.Thefollowingtablegivesdetailofinterestpayableonlongtermloansduringthefirst
10yearsofoperationofplant.
Interestonlongtermloans(Rs.Lakhs)
S.N. Year Interest
1 First 149.50
2 Second 149.50
3 Third 139.75
4 Fourth 126.75
5 Fifth 113.75
6 Sixth 100.75
7 Seventh 87.75
8 Eighth 74.75
9 Ninth 61.75
10 Tenth 0.00

CapitalizationofPreoperativeExpensesandContingencies
For the purpose of claiming extra depreciation and amortisation the preoperative expenses and
contingencieswillbecapitalizedwiththecostoffixedassets.Thedistributionofpreoperativeexpenses
and contingencies has been done in proportion to the cost of all the fixed assets (except land and site
development)inthefollowingtable.
CapitalizationofPreOperativeExpenses&ContingenciesinRsLakhs.

NameoftheAsset ActualCost
%ofTotal
Cost
Amount
Allocated Capitalcost
CostofLandandSiteDevelopment 74.00 0.00% 0.00 74.00
A.FactoryBuilding 825.50 67.05% 158.37 983.87
B.NonfactoryBuilding 0.00 0.00% 0.00 0.00
CostofPlantandmachinery 235.70 19.14% 45.22 280.92
ElectricalandWorkshopEquipments 80.00 6.50% 15.35 95.35
OfficeEquipmentsandFurniture 30.00 2.44% 5.76 35.76
Vehicles 20.00 1.62% 3.84 23.84
OtherAssets 40.00 3.25% 7.67 47.67
Total 1305.20 100.00% 236.20 1541.40
CapitalisationofPreOperativeExpenses&ContingenciesinRs.Lakhs 1541.40

DeprecationbyWDVMethod:
For income tax purpose, the depreciation of depreciable assets (all fixed assets except land and site
development) is carried out by written down value method at applicable rate permitted under the
incometaxActandrules.Asperthepresentrulesthefollowingratesareapplicablefordepreciationof
differenttypesofassets.

TaxApplicableonDifferentAssets
SerialNo Assets Tax
1 CostofLandandSiteDevelopment 0.00%
2 A.FactoryBuilding 10.00%
3 B.NonfactoryBuilding 5.00%
4 CostofPlantandmachinery 25.00%
5 ElectricalandWorkshopEquipments 25.00%
6 OfficeEquipmentsandFurniture 10.00%
7 Vehicles 10.00%
8 OtherAssets 15.00%

DepreciationByWDVMethod
DepreciationByWDVMethod Unit Rs.Lakhs

Descriptionon Rate Year1 Year2 Year3 Year4 Year5
CostofLandandSiteDevelopment 0.00% 0.00 0.00 0.00 0.00 0.00
A.FactoryBuilding 10.00% 98.39 88.55 79.69 71.72 64.55
B.NonfactoryBuilding 5.00% 0.00 0.00 0.00 0.00 0.00
CostofPlantandmachinery 25.00% 70.23 52.67 39.50 29.63 22.22
ElectricalandWorkshopEquipments 25.00% 23.84 17.88 13.41 10.06 7.54
OfficeEquipmentsandFurniture 10.00% 3.58 3.22 2.90 2.61 2.35
Vehicles 25.00% 5.96 4.47 3.35 2.51 1.89
OtherAssets 15.00% 7.15 6.08 5.17 4.39 3.73
209.14 172.86 144.02 120.92 102.28 209.14

DeprecationbyStraightLineMethod(Rs.Lakhs)

In the estimation of cost of sales and in books of accounts of the company the normally adopted
practice is to depreciate the various assets by straight line method. At present the following rates are
applicablefordepreciationbystraightlinemethodofvariousassets.

DepreciationBySLM
DepreciationBySLM Unit Rs.Lakhs
Descriptionon ActualCost
%Total
cost
Amt
Allocate
d
Captal
Cost Rate Depr.
CostofLandandSite
Development 74.00 5.67% 14.90 74.00 0.00% 0.00
A.FactoryBuilding 825.50 63.25% 166.23 983.87 3.39% 33.35
B.NonfactoryBuilding 0.00 0.00% 0.00 0.00 1.64% 0.00
CostofPlantandmachinery 235.70 18.06% 47.46 280.92 9.50% 26.69
ElectricalandWorkshop
Equipments 80.00 6.13% 16.11 95.35 9.50% 9.06
OfficeEquipmentsand
Furniture 30.00 2.30% 6.04 35.76 3.39% 1.21
Vehicles 20.00 1.53% 4.03 23.84 9.50% 2.26
OtherAssets 40.00 3.06% 8.05 47.67 5.28% 2.52
Total 1,305.20 1.00 262.82 1,541.40 75.09

WorkingResultsandProfitability
TheannualcostofsalesisdevelopedfromallcostandexpensesincurredintherunningofHospital(200
Bed), maintenance of the plant and sales of the finished product. The annual cost of sales during the
first10yearsofplantoperationisestimatedinthefollowingtable.
Description Cost Year1 Year2 Year3 Year4 Year5 Year6
HospitalOccupancy 70% 75% 75% 75% 75% 75%
VariableCosts
RawMaterial 215.00 150.50 161.25 161.25 161.25 161.25 161.25
Utilities 153.90 107.73 115.43 115.43 115.43 115.43 115.43
PackingMaterials 0.00 0.00 0.00 0.00 0.00 0.00 0.00
SalesExpenses 37.71 26.40 28.28 28.28 28.28 28.28 28.28
InterestonBank
Borrowing
AsPer
Limit 4.61 4.83 4.83 4.83 4.83 4.83
Total 289.24 309.78 309.78 309.78 309.78 309.78
FixedCosts
Labour&StaffWages 255.05 255.05 255.05 255.05 255.05 255.05 255.05
Repair&Maintenance 16.37 16.37 16.37 16.37 16.37 16.37 16.37
Insurance 7.39 7.39 7.39 7.39 7.39 7.39 7.39
Admin.Overheads 26.01 26.01 26.01 26.01 26.01 26.01 26.01
InterestonLongTerm
AsPer
Limit 149.50 149.50 139.75 126.75 113.75 100.75
Depreciation 75.09 75.09 75.09 75.09 75.09 75.09 75.09
Total 529.41 529.41 519.66 506.66 493.66 480.66

Annual
Cost 818.65 839.20 829.45 816.45 803.45 790.45

SalesRevenues
TheAnnualsalesrevenueat100%occupancy

Sl Facility Nos Rate(inRs) Total Revenue (Rs. In

lakh)(365days)
1 Registration(IPD+OPD) 60000 30 18.00
2 Consultation 80000 80 64.00
3 Nursing home ( room
charge)

Regalsuit 4 1700 24.82
Single(deluxe) 10 1200 43.80
Single 34 1000 124.10
Double 40 680 99.28
Triple 30 450 49.28
Ward(6bedded) 36 225 29.59
ICU/CCU 16 1100 64.24
NeoNatalcare 20 900 65.70
Emergencybeds 10 225 8.21
3 Operationtheatre
Major Operation( 3 per
day)
1095 2500 27.38
Minor operation ( 6 per
day)
2190 1100 24.09
4 Diagnostics
a.Imaging
Xray(80platesperday) 2400 150 36.00
BariumXray(7platesper
day)
2100 250 5.25
Ultra Sound ( 20
patients/day)
6000 450 27.00
CTScan(10patients/day) 3000 5000 150.00
b. Pathology (500
routines/day)
150000 150 225.00
c.CardiacTests
ECG(20patients/day) 6000 150 9.00
Stress testing ( 6
patients/day)
1800 1300 23.40
Cardiac Evaluation (6
test/day)
1800 1900 34.20
d. Resp. screening 10
screen/day
3000 150 4.50
5 Dialysis(2patients/day) 300 3000 9.00
6 Endoscopy 9 3
patients/day)
900 650 5.85
7 Physiotherapy ( 50
patients/day)
15000 150 22.50
8 Gen. Evaluation (10
patients/day)
3000 1600 48.00
9 Chamber Ch ( monthly
charges from out side
doctors)
30 300 1.08
10 Kitchen(IPD) 150 150 82.10
11 Ambulance(10trips/day) 3700 110 4.07
12 Revenue from chemist
shop ( including of lease
rental and commission on
sale)
Lot 60000 7.20

SalesRevenue(rs.Inlakhs) : Rs. 1380.00

Less@10%of1230lakhs : Rs 1107.00
RevenuefromCTscan : Rs 150.00
TotalsalesReveneu : Rs 1257.00

EstimationofWorkingResults(RsLakhs)

Description Year1 Year2 Year3 Year4 Year5 Year6

PlantEfficiency 70% 75% 75% 75% 75% 75%
SalesRevenue 879.90 942.75 942.75 942.75 942.75 942.75
CostofProduction 818.65 839.20 829.45 816.45 803.45 790.45
Profitafterdepreciation 61.25 103.55 113.30 126.30 139.30 152.30
FinancialExpenses
InterestontermLoan 149.50 149.50 139.75 126.75 113.75 100.75
InterestonworkingCapital 4.61 4.83 4.83 4.83 4.83 4.83
SubTotal 154.11 154.33 144.58 131.58 118.58 105.58
WritingoffofPreExpenses 2.66 2.66 2.66 2.66 2.66 2.66
Depreciation 75.09 75.09 75.09 75.09 75.09 75.09
NetProfitBeforeTax 58.59 100.89 110.64 123.64 136.64 149.64
IncomeTax 22.71 0.94 12.56 23.42 32.95 41.42
RetainedEarnings/profitaftertax 81.30 99.95 98.09 100.22 103.70 108.22
DepreciationWrittenback 75.09 75.09 75.09 75.09 75.09 75.09
NetCashAccruals 156.40 175.04 173.18 175.31 178.79 183.31
CashProfit 159.06 177.71 175.84 177.97 181.45 185.97
Reserves&Surplus 81.30 181.26 279.34 379.56 483.26 524.68

CashFlowStatement(Rsinlakhs)

CashFlowStatement
Description Const.
Period
Year1 Year2 Year3 Year4 Year5
SourcesofFunds
BalanceBankFinance 55.36 77.08 126.46 75.84 77.97
Promoters/EquityCapital 500.00 0.00 0.00 0.00 0.00 0.00
CashSubsidy 0.00 0.00 0.00 0.00 0.00 0.00
LongTermLoans 1,150.00 0.00 0.00 0.00 0.00 0.00
ShortTermLoans 28.80 1.37 0.00 0.00 0.00
CashProfit 61.25 103.55 113.30 126.30 139.30
Depreciation 75.09 75.09 75.09 75.09 75.09
TotalA 1,650.00 165.15 180.02 188.40 201.40 214.40
ApplicationofFunds
IncreaseinFixedAssets 1,568.02 0.00 0.00 0.00 0.00 0.00
IncreaseinCurr.Assets 0.00 110.78 2.62 0.00 0.00 0.00
DecreaseinL.T.Loans 0.00 0.00 50.00 100.00 100.00 100.00
PreliminaryExpenses 26.62 0.00 0.00 0.00 0.00 0.00
Taxation 0.00 22.71 0.94 12.56 23.42 32.95
DepositswithIDBI 0.00 0.00 0.00 0.00 0.00 0.00
TotalB 1,594.64 88.07 53.55 112.56 123.42 132.95
OpeningBalance 0.00 55.36 132.44 258.90 334.74 412.71
Surplus(Deficit) 55.36 77.08 126.46 75.84 77.97 81.45
ClosingBalance 55.36 132.44 258.90 334.74 412.71 494.16

ProjectedBalanceSheet

Description Year1 Year2 Year3 Year4 Year5
A)Liabilities
Promoters/EquityCapital 500.00 500.00 500.00 500.00 500.00
Reserve&Surplus 81.30 181.26 279.34 379.56 483.26
LongTermLoans 1,150.00 1,100.00 1,000.00 900.00 800.00
ShortTermLoans 28.80 30.17 30.17 30.17 30.17
TotalA 1,760.11 1,811.43 1,809.51 1,809.73 1,813.43
B)Assets
GrossFixedAssets 1,568.02 1,568.02 1,568.02 1,568.02 1,568.02
Depreciation 75.09 150.18 225.28 300.37 375.46
NettFixedAssets 1,492.93 1,417.84 1,342.74 1,267.65 1,192.56
CurrentAssets 110.78 113.40 113.40 113.40 113.40
DepositswithIDBI 0.00 0.00 0.00 0.00 0.00
CashandBankBalance 132.44 258.90 334.74 412.71 494.16
PreliminaryExpensestothe
extentnotwrittenoff
23.96 21.30 18.63 15.97 13.31
TotalB 1,760.10 1,811.43 1,809.51 1,809.73 1,813.43

DebtServiceCoverageRatio
TheDSCRfortheproposedprojectiscalculatedinthefollowingtable

DebtServiceCoverageRatio

Description Year1 Year2 Year3 Year4 Year5
DebtServiceFunds
NetCashAccruals 156.40 175.04 173.18 175.31 178.79
InterestonL.T.Loans 149.50 149.50 146.25 133.25 120.25
TotalA 305.90 324.54 319.43 308.56 299.04
Debts
RepaymentofL.T.Loans 0.00 0.00 0.00 100.00 100.00
InterestonL.T.Loans 149.50 149.50 146.25 133.25 120.25
TotalB 149.50 149.50 146.25 233.25 220.25
DebtServiceCoverageRatio
Total(A)/(B)
2.05 2.17 2.18 1.32 1.36

PayBackPeriod
Paybackperiodisdefinedastheno.ofmonthsoryearrequiredfortheunittogeneratecumulativegross
operatingsurplusequaltothefixedcapitalinvestmentintheproject.

PayBackPeriodoftheunitisestimatedinthefollowingtable

PayBackPeriod
Description Year1 Year2 Year3 Year4 Year5
NettProfitBeforeTaxes 58.59 100.89 110.64 123.64 136.64
Depreciation 75.09 75.09 75.09 75.09 75.09
InterestonLET.Loans 149.50 149.50 146.25 133.25 120.25
GrossOperatingSurplus 283.18 325.48 331.98 331.98 331.98
Cum.GrossOperatingSurplus 283.18 608.67 940.65 1,272.64 1,604.62
ReturnofEquity 11.72% 20.18% 22.13% 24.73% 27.33%
ReturnofInvestment 17.16% 19.73% 20.12% 20.12% 20.12%
0.368889 0.570091 0.771294 0.9724958

BreakEvenPointEfficiency
Thebreakevenpointanalysisoftheplantisdevelopedfromtheassumedplantefficiency,fixedcostof
sales,variablecostofsales,andsalesrevenues
BreakEvenPointEfficiencyfortheproposedprojectisgivenbelow:
BreakEvenPointEfficiency
Description Year1 Year2 Year3 Year4 Year5
PlantEfficiency 70.00 75.00 75.00 75.00 75.00
FixedCostofsales 529.41 529.41 519.66 506.66 493.66
FixedCostofsalesDepreciation 454.32 454.32 444.57 431.57 418.57
SalesRevenue 879.90 942.75 942.75 942.75 942.75
Variablecostofsales 289.24 309.78 309.78 309.78 309.78
CashBreakEvenPoint 76.92% 71.78% 70.24% 68.18% 66.13%
Breakevenefficiency 62.74 62.73 61.57 60.03 58.49

AverageBreakEvenPointEfficiencyover5Years=61.11%