ASM CHARITABLE

SUPER-SPECIALITY HOSPITAL
AND
MEDICAL COLLEGE

ESTIMATED COST OF PROJECT APPROXIMATELY.

RS. : 726,33,60,000/V.P.O.AWANKHA VIA DINANAGAR,TEHSIL &

DISTRICT-GURDASPUR,PUNJAB,INDIA-143536.

-: Proposal submitted by :-

ANITA SALARIA MEMORIAL TRUST

A SOCIAL WORK ORGANISATION
THAKUR MEHAR SINGH SALARIA MARKET,V.P.O. AWANKHA VIA DINANAGAR,
TEHSIL & DISTRICT-GURDASPUR,STATE-PUNJAB,INDIA-143536.
OFFICE PHONE NO.:01875-220446,FAX NO.:01875-220539.
WEBSITE :www.asmtrust.org.in, E-mail : info@asmtrust.org.in, support@asmtrust.org.in

ASM SUPER-SPECIALITY HOSPITAL AND MEDICAL COLLEGE

INTRODUCTION
Good medical facilities have always been in demand for a the massive population of India. There is a tremendous need to provide the
health care to the large population of the country, which has touched one Billion marks. Hospital of 1000 bed capacity can be set up at
cities / district headquarters of the country well connected with roads and rails. These hospitals equipped with modern medical
equipment offers excellent services for the patients suffering from different diseases.
Though the World Health Organization has set the target of health for all by 2000 AD. Conditions in our country do not herald as
optimistic view. Despite the Govt.'s sincere efforts for providing free medical facilities in large numbers.
This report is prepared with an objective to provide basic information about hospital project for the entrepreneurs who may not have a
medical background. It covers extensively on various point as under:
Services offered in the hospital

Details on hospital equipments

Supportive facilities

List of medical equipments

Various fixed assets required

No. of medical/paramedical/nonmedical staff required

Cost of suppliers and consumable.

Revenue details.

Man and material movement aspects.

Estimation of cost of project and means of financing/funding.

Estimates of profitability.

Estimation of pay back period & Break - even points etc.

The report establishes the economic viability of project. Ensuring sections of these reports discuss various aspects of this project.
HOSPITAL WILL HAVE THE FOLLOWING DEPARTMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

Anatomy
Physiology
Pharmacology
Community Medicine
Forensic Medical
Microbiology
General Medicine
General Surgery
Gynecology & Obstetrics
Anesthesiology
Pediatric Medicine
Neonatology
Radio Diagnosis
ENT
Orthopedics
Bacteriology & Serology
Physical Medicine
Cardiology
Neuromedicine
Hematology
Nuclear & Experimental Diseases
Nephrology
Tropical Medicine
Surgical Gastroenterology
Neurosurgery
Cardiothoracic Surgery
Plastic Surgery
Urosurgery
Endocrinology Psychiatry
Stem Cell Cancer
HIV/AID

SPECIALITIES OF HOSPITAL

QUALITY CARE

At one-forth the cost for the normal people and free for poor people.

KEY EXPERTISE
Cancer, surgery, bone marrow, transplant, angioplasty, micro neurosurgery, Parkinson, paralysis, diabetes, HIV/AID, Tuberculosis,
Gaynor, Child health etc.

KEY CLIENTELE

Apart from India, Nepal, Bangladesh, Srilanka, Mauritius. Also Africa, Middle East, U.K., Europe & USA.

FACILITIES
Apart from the state-an-art traditional/specialized medical facilities, Hospital will have Indian Heritage medical/medicine facilities such
as Ayurvedic, homeopathic, Unani, Yoga, Meditation Holistic, Herbal, Stem cell etc.

MEDICLAIM FACILITIES
Hospital will have the arrangement for all the indoor patient MEDICLAIM facilities with the association of various Govt. & other
agencies for best treatment.

CHARITABLE ACTIVITIES
Initially charitable facilities will be available to the 20% of people against the full capacity of the hospital and then slowly-slowly this
facilities will be extended up to 50% within period of 7 years after developing the corpus funds of Rs. 300 Crore.
PREAMBLE
Recent advancements in medical science and technology have radically changed the part and practice of contemporary medicine. Many
new diagnostic and therapeutic modalities have been developed and perfected during the past two decades.
Although, most of these techniques are capital intensive, these are highly efficient, safe and cost effective.
Improvements in National economy and literacy rates have changed the pattern and extent of the use of health care services in the
country. People are becoming a ware of their health needs and are acquiring the ability to make a deliberate choice of the health services
they need. Consequently, the demand for better quality Medicare is rapidly increasing. Staff benefits in government, trade and industry
and third party financing of Medicare through voluntary and social insurance are further increasing this growing demand.
India is a developing economy with diverse needs. On account of resource constraints and overriding priorities in other sectors, public
investment in health care has not kept pace with the increasing demand and the gap between need and availability of health care facilities
is rapidly widening. This inadequacy is further compounded due to technical inefficiency and inequitable distribution of the existing
health infrastructure. In order of facilitate balanced development of health care facilities in the country, voluntary and corporate
investment in contemporary Medicare at secondary and terrier levels is being encouraged through a policy to complement the efforts of
the government and to maintain equilibrium between the three level of health care.
This project report is written for ANITA SALARIA MEMORIAL TRUST, will be located at V.P.O. AWANKHA VIA
DINANAGAR,TEHSIL & DISTRICT GURDASPUR,PUNJAB-143536,INDIA. The proposed hospital will provide services to
the Terrier and Apical care level in Respiratory, Critical Care and Sleep medicine. In addition the hospital will also provide support
services for the above specialties especially for the care of the critically is like support of internal medicine, Neurosurgery,
Gastroenterology, Nephrology etc.
Minimum bed will be Two Hundred and having all the required facilities for the surgery. Child care, Maternity, aid Control, T.B.
And other section for General and specialized diseases like Cancer, Parkinson etc. the facilities proposed will be comparable will
comparable to the best not only in the country but will be International Standards.
OBJECTIVES
The hospital will have a hierarchy of objectives, viz. Service, Training and Research. The most important objective for which the
hospital will make all out effort will be to provide high quality service at an affordable cost not only for the affluent sections of the
society, but also to those who may not be economically well off. The outpatient services will be provided on the concept of polyclinics
and referral clinics. The outpatient service will be provided not only in the morning hours but also through special clinics in the
afternoon and in the evening.
It would be the endeavor of the hospital to treat patients through ambulatory care as far as possible.
Those who need admission will first be fully investigated wherever possible through the diagnostic departments.
As far diagnosis standards are concerned, the hospital will be a rich adjustment with all the required equipments like : (1) X-Ray Unit,
(2) Radiography Machine, (3) screening Machine, (4) E.C.G. Unit, (5) X-Viewer, (6) Blood-pressure measuring instruments, (7)
Stethoscopes, (8) Surgical Instruments, (9) Wheeled chair, Stretchers, (10) Ambulance, (11) Staff Cars, (12) Various staff uniforms
including gloves, (13) Masks and appearing, (14) Oxygen cylinders (15) Blood bank, (16) Glucose & Water introducing equipments.
Ultra Sound and several other equipments and instruments of use of diagnosis of the disease and its treatment relating to hears, lungs,
kidney, ear, nose and throat and similar other organs of the body. Brain and bone specialization, cancer treatment and research will take
special status in the R & D of the hospital in the Allopathy line of treatment. Separate T.B. Wing, Homeopathy, Yunani, Ayurvedic,
Yoga and Meditation treatment provisions and beds facilities will be a special feature of the hospital. Specialists will be duly appointed
in these fields of medicines and surgery. This will ensure maximizing the inpatient beds, provide quality care, and provide cost
reduction and affordable services to the patients. The hospital will also take services to the community as Out Reach Programs through
camp approach, domiciliary car, home-care programme, etc. so that there is no wall between the hospital and the community and the
hospital truly becomes and integral part of the community.

TRAINING
The component of training will be built in form the beginning itself so that only the staff having proper training will be permitted at the
time of appointment and periodic training both in-service and on job while in hospital. The hospital will also have formal teaching for
the nurses and the Paramedical staff. The hospital will also have the recognition of DNB course where by not only will a big level of
teaching be ensured but will also ensure super specialty training and education for doctors. The hospital will also provide formal
teaching for the whereby not only will a high level of teaching be ensured but will also ensure superspeciality training and education
for doctors. The hospital will also have international affiliations and exchange programs. This will ensure high standards of patient care.
PRINCIPLES
The principles, which have been kept in mind while making, the report are as under :

The hospital will take into consideration the requirement of the patients and the community inter-alia the cultural environmental
and social background of the community and the adjoining areas.

Taking into consideration the principle at Sub-Para above, it is however, desired that the hospital after commissioning must be
able to break-even income versus expenditure as early as possible.

The design of the building will be prepared so as to fully satisfy the professional requirement of the medical staff, nursing staff,
paramedical Staff, etc. and that the modern principle of planning i.e. "design must follow function" is completely followed. The
design of the building will also take into consideration the requirements of the patients, relation and the other community members
so that they are satisfied and also their socio-cultural background is provided. The building design will take into consideration
maintenance and house keeping so that after commissioning, it is easy and economical to maintain.
The aforesaid principles will be kept in mind while working out the human resource requirement, equipment etc.
PLANNING PARAMETERS
In order to provide efficient hospital care and to achieve patients and community satisfaction, the hospital will have the following
parameters of service.
WATER
Water will be available in all areas, in all area, in all the taps, round the clock so that good hygienic practices are carried out and various
hospital procedures are aseptically performed. The water requirements will be 600 liters per patient per day with a holding factor of
6 days to provide adequate capacity in case the supply from the mains of water is temporarily cut off for reasons of maintenance,
testing, etc. the portability of water will be ensured through quality control. Hospital will have pipe lines for drinking water and
for sewage requirement of the hospital for which tube well water may be used. As these alterations are not possible after the
building is complete, they will be kept in mind at the planning stage itself. Tube will water will be got tested to ascertain suitability for
drinking purpose for use in case corporation supply is temporarily not available.
R.O. water will be supplied for drinking purpose in the hospital.
ELECTRICITY
Hospital will have a HT line supply of 2000 KVA. The line will be supplied from 2 grids to ensure continuity of electricity in care
of power failure of any of the Grids. Hospital will have a step down transformer which will step down the supplied to required levels.
Hospital will have 3 Nos. standby [Silent] Generators to maintain the emergency requirement of the hospital in the event of power
failure. The generators will be on AMF panel to ensure that the electricity supply is restored automatically within a few seconds of
power failure. Selected areas of the hospital will also be backed by 4 - 5 Nos. Online UPS [15KVA with 3Phase in & 3Phase out and
back-up time 15 Minutes] connection of ensure 'zero' breakdown in essential areas.
SEWAGE DISPOSAL
Hospital will strictly adhere to the pollution control norms. The sewage will be first treated through the 'Sewage Treatment Plant' prior
to release to the Corporation sewer line. The final affluent will be in accordance to the Pollution control norms.
GARBAGE DISPOSAL
The garbage arising out of the hospital will be segregated at the source itself in 4 different colored bags. These bags will be stored in the
corresponding colour coded garbage drums and disposed through incineration, microwave and shredding. The syringes and needles will
be destroyed prior to disposal in the garbage.

NATIONAL HEALTH POLICY

The Constitution of India envisages the establishment of a new social order based on equality, freedom Justice and the dignity of the
individual. It aims at the elimination of poverty, ignorance and ill health and directs the State of regard the raising of the level of
nutrition and the standard of living of its people and the improvement of public health as among its primary duties, securing the health
and strength of workers, men and women, specially ensuring that children are given opportunities and facilities to develop in a healthy
manner.
Since the inception of the planning process in the country, the successive Five Years Plans have been providing the framework within
which the states may develop their health services infrastructure, facilities for medical education, research, etc. similar guidance has
sought to be provided through the discussions and conclusions arrived at in the joint Conferences of the Central Councils of Health and
Family Welfare and the Development Council. Besides, Central legislation has been enacted to regulate standards of medical education,
prevention of food adulteration, maintenance of standard in the manufacture and sale of certified drugs, etc.
While the broad approaches contained in the successive plan documents and discussions in the forums have generally served the needs of
the situation in the past, its is felt that an integrated, comprehensive approach towards the future development of medical education,
research and health services requires to be established to serve the actual health needs and priorities of the country. Stills the hospital
will have the special homeopathic, Yunani, Ayurvedic, Yoga and Mediations to avoid maximum allopathic and surgery.
OUR HERITAGE
India has a rich, centurys old heritage of medical and health sciences. The philosophy of Ayurvedic and the surgical skills enunciated
Charka and Shushruta bear testimony to our ancient tradition in the scientific health care of our people. The approach of our ancient
medical system was of a holistic nature. This took into account all aspects of human health and disease. Over the centuries, with the
intrusion of foreign influences and mingling of cultures various system of medicine evolved and has continued to be practiced widely.
However the allopathic system of medicine has, in a relatively short period of time, has made a major impact on the entire approach to
the health services infrastructure in the country.
PROGRESS ACHIEVED
During the last three decades and more, since the attainment of Independence, considerable progress has been achieved in the promotion
of the health status of our people. Smallpox has been eliminated plague is no longer a problem mortality from cholera and related
diseases has decreased and malaria brought under control to a considerable extent. The mortality rate per thousand of population has
been reduced from 27.4 to 14.4 and the life expectancy at birth has increased from 32.7 to over 52. A fairly extensive network of
dispensaries, hospitals, and intuitions providing specialized curative care has developed and a large stock of medical and health
personnel, of various levels, has become available significant indigenous capacity has been established for the production of drugs and
pharmaceuticals vaccines, sera, hospital equipment, etc.
NEED FOR EVOLVING A HEALTH POLICY - THE REVISED 20 POINT PROGRAM
India is committed to attaining the goal of "Health for all by the year 2000 AD through the universal provision of comprehensive
primary health care services. The attainment of this goal requires a through overhaul of the existing approached to the education and
training of medical and health personnel and the reorganization of the health services infrastructure. Furthermore, considering the large
variety of inputs into health, it is necessary to secure the completed integration of all plans for health and human.
Care services to the rural areas. Furthermore, the continued high emphasis on the curative approach has led to the neglect of the
preventive, primitive, public health and rehabilitative aspects of health care. The existing approach, instead of improving awareness and
building up self-reliance, has tended to enhance dependency and weaken the community's capacity to cope with its problems. The
prevailing policies in regard to the education and training of medical and health personnel providing care. The various health
programmes have, ' by the large' failed to involve individuals and families in establishing a self-reliant community. Also, over the years,
the planning process has become largely obvious of the fact that the ultimate goal in the identification of their health need and priorities
as well as in the implementation and management of the various health and related programmes.
PRIORITIES IN HEALTH SECTOR
The government is actively promoting projects in the health sector for achieving significant reeducation in the levels of morbidity and
mortality due to communicable and non-communicable diseases. The diseases given special emphasis during the eight five-year plan
(1992-97) were :
1.
Malaria Eradication
2.
Kala Azar and Japanese Encephalitis
3.
Leprosy Eradication
4.
Tuberculosis control
5.
Blindness control program
6.
Guinea Worm eradication
7.
AIDS control
8.
Diarrhea diseases
9.
Cancer Control

10. Control of iodine deficiency disorders

11. Diabetics control
12. Mental Health Services
Above all the existing facilities for critical care are totally lacking in the country. A large number of people are dying because Critical
Care treatment could not be available to them. The facility for pulmonary and sleep medicine is also relatively unknown in the
country. These facilities are going to benefit a large number of patients suffering from these disorders.
Delhi and the adjoining areas have a heavy amount of atmospheric pollution because of which a number of persons are suffering from
Respiratory ailments. Facilities provided by the hospital will be a soon for these patients.
FIVE-YEAR PLAN
Health of the people is not only a desirable goal but is also an essential investment in human resources. The National Health Policy
(1983) reiterated India's commitment to attain "Health for All (HFA) by the year 2000 A.D." Primary Health Care has been accepted
as the main instrument for achieving this goal. Accordingly, a vast network of institutions at primary, secondary and terrier levels have
been established. Control of communicable diseases through national programme and development of trained health manpower have
received special attention.
PROGRAMME THRUSTS IN THE PLAN
It is towards human development that health and population control are listed as two of the six priority objectives of this plan. Health
facilities must reach the entire population by the end of the eight plans. The Health for ALL (HFA) paradigm must take into account not
only high-risk vulnerable groups i.e., mother and children, but must also focus sharply on the under privileged segments within the
vulnerable groups. Within the HFA strategy "Health for under privileged" will be promoted consciously and consistently. This can only
be dunce through emphasizing the community-based systems reflected in our planning of infrastructure, with about 30,000 populants as
the basic unit for primary health care.
RURAL & URBAN HEALTH SERVICES
This project of super specialty hospital and medical college gives world class medical facilities to the peoples from rural as well as
urban area in rural areas we did not have good hospitals and medical facilities because most of these kind of projects are established in
the big cities but we want to establish this project in the village where more than 100 villages are connected with it and there most of the
peoples are unemployed, not getting good treatment, not educated so much due to that and due poorness they did not afford or getting
good treatment but our motive is to generate employment, give education and good medical facilities with very low cost or without any
cost to the poor peoples by this project we give life time facilities to peoples of these villages and we also want to tell you that by this
project we also gives ambulance facilities free to poor peoples so they use it and come to the hospital for treatment for this we place
duties of ambulances in the villages like at dispensary in villages. so people go there and call our ambulance or call them by phone. we
need this project fund for the development by all means of villages. other thing about this project are very clear and it all done for the
motive of serving the humanity.etc.
SECONDARY AND TERTIARY CARE SERVICES
Along with the emphasis on consolidation of primary health care, the strengthening of secondary care services and optimization of
tertiary care services would be the key objectives of the Eight Plan.
The sub-divisional and district hospitals, which are the secondary level, medical care institutions, lack adequate manpower and
facilities, to be able to discharge their responsibilities satisfactorily. In view of the resource constraints, there is need for raising
resources to maintain the quality of care and meet rising expectations of the people. It is time that the concept of free medical care is
received and people are required to pay, even if partially for the services. The systems can be so designed that the truly indigent
population are able to get free / highly subsidized medical care. Innovative approaches / practices to this end a system of medical audit
will be developed during the plan. Maximum cost-effective utilization of existing services will be another item on the agenda.

In accordance with the new policy of the Government to encourage private initiatives, private initiatives, private hospitals /
clinics will be supported subject to maintenance of minimum standard and suitable returns for the tax incentives norms for
minimal facilities and accreditation of private hospitals/ clines would be developed to maintain quality of patient care.

The medical college hospitals and specialized hospitals have to be used exclusively as terrier care centers and for health
manpower development. Important prerequisites for this would be improvement in the facilities and standards of care available at
secondary care level and development of strong referral system.

A conscious decision has to be taken to enforce a balanced development of primary, secondary and terrier care services in the
country with priority for primary health care. Otherwise there is distinct risk of the paradigm of primary health care as a tool for
"Health for All" being overrun by the mechanism of all for a few". This tendency and trend can be halted only with scientific
arguments for witch sound epidemiological, health management and health financing data is need and hence the need for health
systems research.
ACCIDENTS
For the treatment and rehabilitation of accident victims, accident and trauma services will be started in major cities and also, on pilot
scale along some of the high traffic density national highways.

MEDICAL RESEARCH
The Indian Council of Medical Research (ICMR) is the premier institution, which is responsible for carrying out bio-medical and
operational research in India important achievements of the ICMR during previous plans include: demonstration of improved vector
control using bioenvironmental techniques for control of malaria and filarial; establishment of national Cancer Registry; multi drug
therapy and short course chemotherapy for leprosy and TB Respectively and a national surveillance system for AIDS infection. Various
other institutions under the Ministry of Health & Family Welfare and medical colleges have done notable work in the field of medical
research.
The following functional areas and services have been identified:
Entrance
Ambulatory Care
Intermediate Care
Critical Care
Operation Theatres
Casualty and Accident Emergency Care Services :

Clinical

Diagnostic

Dietary
OTHER AREAS

Administrative wing

Conference room with audio-visual aids

Research and Development area

Central Store

Manifold Room

Medical Record Department (MRD)

Hospital Library

Telephone Exchange

Air-Conditioning Plant

Electric Substation

Generator Room

Water Tank

Work Shop

Bio-medical and Computer Engineering

Public Relations

Publications, Documentation and Photographic center

Mortuary

Area for waste Disposal

RESIDENTIAL AREA

Director Residence

Residence for Nursing Superintendent.

Staff Quarters

Guest House

Recreation Centre
COMMUNITY CENTRE

Canteen cum fast food counter

Computer Facility

Telecommunication Centre
ENTRANCE AREA

Hospital will have four entrances for regulation of traffic to the hospital.

OPD entrance

Entrance for Casualty and Accident Cases

Main Entrance / Visitors Entrance

Service Entrance

AMBULATORY CARE
The ambulatory care services will comprise of the OPD patients. Broadly the services will compose of the consultation chambers, the
diagnostic services as well as the OPD Patient support services. The ambulatory care diagnostic are will provide the services of
Imaging, Laboratory, Respiratory Lab, Sleep lab and the Non invasive Cardiac Lab.
The support services will also provide facilities for minor surgery, injection, dressing, ECG etc.
MOBILE HEALTH CLINIC
The Mobile health Clinic will be develop to cover the rural and urban Masses belong to the below poverty line.

INTERMEDIATE CARE AREA

The intermediate care area will provide services based on the concept of progressive patient care. It will consist of General ward,
Economy ward, Semiprivate ward, VIP suites and the Critical Care area. The charges will be graded to suit the socioeconomic status of
the patients.
The Category wise bed distribution of the Hospital for 1000 beds will be as under :Area
Critical Care Unit - I
Critical Care Unit - II
Private Suite
Private Single Rooms
Semi Private Twin Sharing Beds
Economy Ward
General Wards
Isolation Beds
TOTAL

No. Of Beds
50
50
25
200
200
200
250
25
1000
CRITICAL CARE UNIT UNITS

The Critical Care areas will provide facilities for treatment to the critically ill patients. Hospital will have 2 critical care areas namely
critical care area-I, and II. Facilities of the best of its kind will be made available for these patients. Critical care specialists will manage
the unit round the clock. High quality equipment will be made available so that the patient could have the best chases of survival.
OPERATION THEATER COMPLEX
Hospital will aim at performing surgery in an environment whereby the incidence of infection during surgery is brought to minimum
possible levels. The Operation Theatres will be planned to permit any and of surgery be performed at the hospital. All the operation
theatres of the hospital will be centralized and clubbed together under on complex. Operation Theater will be planned on the Zonal
concept. It will have the following zones:

Normal Zone

Protective Zone

Clean Zone

Aseptic Zone

Disposal Zone
The circulation of patients, staff and supplies in the operation theatre will properly channelize. The Complex will have three main
theatres and on for minor surgery/ infected surgery. Operation Theatre will also have a Theatre Sterile Supply Unit. (TSSU) which have
fealties for emergency sterilization. The bulk of the sterile supply will be obtained from the Central Sterile Supply Department (CSSD).
CASUALTY AND ACCIDENT EMERGENCY DEPARTMENT
All emergencies attending the hospital will report to the Casualty Department. The Department will have 3 examination beds and 4
observation beds. The department will share the diagnostic facilities in common with the OPD and will work round the clock.
CLINICAL SERVICES
Hospital will provide clinical services to the terrier care level in Respiratory Medicine, Critical Care and Sleep medicine. In addition the
centre will also provide support services for the above specialties in the other specialties and super-specialties.
The Consultants will possess a minimum qualification of MD, MS, DM, M.ch or DNB in the respective specialties. The Senior
Resident medical Officers will possess Post Graduate Degree / Diploma. The Resident Medical Officers will have a minimum of MBBS
qualification.
DIAGNOSTIC SERVICES
The hospitals will emphasis on diagnostic services. The mainstay of the diagnostic services will be the imaging, laboratory services and
the Non invasive Cardiac Lab.

IMAGING SCIENCES AND NUCLEAR MEDICINE

The imaging services will provide facilities for, CT scan, Digital and conventional X-Ray, Ultrasound, and Dopier studies.
CARDIAC LAB
The Cardiac lab will have ECG recording, 24 Hours Holder recording and analysis, Stress Testing and Echo Cardiograph.
LABORATORY
The Laboratory will provide facility for

Hematology

Biochemistry

Microbiology

Histopathology

Serology
SLEEP LAB
The Hospital will have a 6 bedded sleep lab. The lab will be equipped with central monitoring.
DIETARY SERVICE
Dietary services of a hospital are an important therapeutic tool. Properly rendered, it is a clinical and administrative means for rapid
recovery of patients.
Hospital will have an in-house Kitchen. The hospital kitchen will be responsible for supply of diet to the patients, both normal and
therapeutic. The kitchen will aim to provide a well cooked and a nutritious diet to the patient. Food will be cooked in a hygienic
environment. Hospital kitchen will be monitored by the Dietician of the hospital. Diet will provide to all the patients of the hospital.
CENTRAL STORE
Hospital will have a central store providing all the hospital supply. The Central store will have the subsections of Medical and gasses
store, nor medical store and store for waist items for sale through auction like IV bottles, used fixer and developer solutions etc.
CENTRAL STERILE SUPPLY DEPARTMENT (CSSD)
Sterilization of equipment is one of the most essential requirements of the hospital, hence will be given the utmost consideration in
planning. The depart will be centralized because centralization will increases efficiency, improve economy and ensure better supervision
and control.
CENTRAL STERILE SUPPLY DEPARTMENT (CSSD)
Sterilization of equipment is one of the most essential requirements of the hospital, hence will be given the utmost consideration in
planning. The department will be centralized because centralization wills increases efficiency, improve economy and ensure better
supervision and control.
The CSSD department will be responsible for the completer sterile supply requirements of the hospital including the operation theatre.
The department will provide provision for high-pressure steam sterilizations as well as dry heat sterilization.
The CSSD department will also undertake the packing of common sets like the syringes and needles, dressing sets etc.
PHARMACY
It is proposed to have a Pharmacy and a medical store. The pharmacy will be given on contact and will supply only the out patients of
the hospital. It will be planned in the community center of the hospital and will be open round the clock. The Medical Store will be of
the hospital ad will supply medicines to the in patients. The medical store will also be open round the clock.
MORTUARY
This will provide facility for proper storage of the dead bodies. The bodies will be stored in a refrigerated mortuary cabinet. Hospital will
be not having facility for autopsy.
The mortuary will be so located so that the dead bodies can be transported unnoticed by the general public and patients. Relatives and
mourners will have a direct access to the mortuary. The hearse van will also have a direct access to the mortuary whereby the body
could be directly removed. The mortuary will have place for performing last rites.
MANIFOLD ROOM
Hospital will have a central supply for central oxygen, central nitrous oxide, central succession and centralized compressed air for the
vital area of the hospital as well as the area where heavy commutation is expected. Nitrous oxides and compressed air will be required
only in the operation theatre. These facilities will be provided from the manifold room.

MEDICAL RECORD DEPARTMENT (MRD)

Hospital will provide update facilities for systematic maintenance of records. The records keeping will be fully computerized to start
with. The record department will provide ready statistic on the hospital patients for administrative review as well as for clinical meetings
and conferences.
TELEPHONE EXCHANGE
Hospital will have a centralized EPABX system with adequate capacity. 10 external lines and 100 internal lines will be installed in the
initial stage. The system installed will be expandable to suit the later requirements of the hospital.
AIR-CONDITIONING
Most of the areas of the hospital will be Central Air-Conditioning. The Operation Theatre will have installation of HEPA filters or
Electronic Filters, suitable for filtering the microorganisms in addition to the dust and particulate matter. The Intensive care area wills
the installation of micro filters.
MARKETING STRATEGY
Marketing strategy will pay an important role in ensuring the success of this project. There will be a number of obstacles in the way of
achieving full utilization of this hospital. There is no doubt that a well equipped super-specially hospital of the kind we are planning will
be fully utilized in the course of time, but the hospital has to achieve financial viability within a short period. It would, there, be
necessary to ensure maximum utilization right from the first year. Accordingly a great deal of prelaunch marketing will need to be
carried out of order to ensure that the public and the medical profession in the are fully aware of the sophisticate nature of facilities
available. Schemes will need to be introduced in order to ensure that more and more persons find it convenient to use the hospital.
PRELAUNCH
The main objective would be to create awareness for quality health care among various groups of potential user. A network of
information and association, for hospitals and doctors in and around the area will need to be built up. Various tie-ups will need to be
established with Government and private hospitals and public and private sector industries. The general public could be informed about
the super specialties available, and their interest could be awakened by introducing various schemes like the health insurance scheme.
Chambers of Commerce and Management Associations could be used to organize insurance tie-ups.
LAUNCH
This is a crucial exercise and involves a series of activities, which will ensure that the target market in encouraged using the services of
the hospital. The activities will start from the day of Commissioning itself. The hospital will be started after a formal inauguration has
been done. A High dignitary will be invited for the function as Chief Guest and to cut the ribbon. An all out effort will out effort will be
made to invite the Press and Doordarshan to cover the function.
The hospital will be started with a professional camp for which a doctor of highest repute, Indian or International will be invited to
see/operate case of that specialty.
The hospital will be fully displayed for the doctors and public to see so that opportunity is given to understand the services before the
hospital actually start. Visitors to the hospital will be given a broached of the services, charges and doctors to enable them to make use of
the services whenever required Arrangement will be made to take each of the visitors around the hospital to ensure full acquaintance will
the services from day one.
Visitors on the day of commissioning will be offered Tea, Cold drinks and snacks. A small memento key chain / ball pen with the
hospitals name engraved on it will also be distributed to each of the visitors a reminder if the hospital. Direction board of the hospital
will be put up over a radius of 10 Kms. for the hospital to ensure on one has to ask the way to the hospital. An effort will be made to
empanel doctors of repute from day on itself so that patients are encouraged from day on to avail the services of the hospital rather than
to have a wait and watch approach.
POST LAUNCH
The mainstay of activities in the post launch period will be to provide the best possible services at the most competitive rates. It will be
ensured that a patient leaving the hospital will be fully satisfied at all costs so that he is encouraged to refer other cases to the hospital.
The staff of the hospital shall be well trained so that patients have no difficulties and are guided properly. Their requirements are met
properly and quality services provided methodically. The staff shall be courteous, disciplined and polite to the patients. Special emphasis
will be given to the nursing care. The hospital will emphasize on quality of nursing services. A Patient Questionnaire Performa will be
provided to each of the patient, which he/she will deposit at the time of discharge. The questionnaire will be short easy to understand will
cover broadly the services provided in the hospital.
Hospital will maintain a steady stream of activities like professional camps, clinical meetings, workshops etc. through these activities
and attempt will be made to familiarize the hospital with the target population and with the doctor practicing in the area.
The marketing activities will be supported by advertising. The use of the mass media would certainly play a major rule in reducing the
time necessary to establish full utilization of the hospital facilities.
Tie up with various corporate organizations will be made for Health Check and treatment of their employees.

ASSUMPTIONS
Calculations are made on the following assumptions:

The Hospital will be commissioned as fast as possible subject to the available of fund.

Hospital will work at 50% capacity in the first year of operation, (i.e. after moratorium period), 60% occupancy in the second
year, 70% occupancy in the third year and will finally stabilize at 80% in the fourth year of operations.

Specialist doctors and Resident doctors will be on salary/contract basis and the income generated through professional charges
will be debited to the hospital account.

Depreciation has been calculated on a straight-line basis.

ALTERNATIVE TRADITIONAL INDIAN MEDICAL FACILITIES
Background
The new concept in Healthcare is the mind-body medicine. Human beings, who were hitherto thought as mere physical machines with
thoughts, are now looked upon as a conscious energy, a spirit, disguised as individuals. The credo has been the hallmark of the Indian
culture, which is amplified in the following articles.
"Indians find success in alternative medicine" Yoga, Ayurveda, Homeopathy, naturopathy have not only taken the western world by
storm, feeding multi billion dollar industry in traditional medicine, but has taken many a Indian back to his roots encouraging him to
make a carrier in alternative therapies. The rage of nature cure has given a fillip to on Indias older profession - the traditional doctor and
the modern day student has a range of alternative therapies to choose from. 'More and more people are opting for alternative medicines
and it is good news for practitioners and aspirers in the field. Either the Govt. aiming to provide health for all by the year 2004. They
need all the support of the traditional healer which comprises at least one million homeopath practitioners and 0.3 million Ayurvedic
doctors beside healers of other branches'.
The World Health Organization has encouraged programs in herbal medicine, especially in developing countries, as means of
providing affordable primary health care, Generally speaking, herb are characterized by their low toxicity, and lack of accumulation in
the body, habituation or withdraw symptoms. When appropriately selected, botanicals offer a powerful yet safe and effective approach
healing with few side effects.
"Putting Old Wisdom into New Pills". With the Central Government deciding to give alternative systems of medicine a push the
phyomedicine market, which is a trend fast gaining ground both in India and the global market, has received a fillip.
Phytomecines are medicines based on plant sources but standardized using modern technique evaluation and therefore considered to be
at par with new chemical entities (NCE) based on therapy leads from Ayurveda, phytomedicines require much shorter time to marked
and a fraction of the co-compared to its clinical counterparts.
Though India has been the forerunner in plant-based medicine, the contained emergence of valuable therapeutic against from plants has
had Europe, Africa and Asia, Particularly China and Japan, contributing to the field of herbal medicines in a big way.
According to industry estimates, phytopharmaceuticals, which are plants herbal extracts used for medicinal purposes, have a global
marked of around $ 9.5 billion. This is projected to reach $ 12 billion by the end of this year.
Sources point out of that the herbal medicine industry is worth$ 00 million in the country. Production of herbal drugs is value at $57
million per annum. The growth of Phytopharmaceuticals in the world market can be attributed to the general trend in the West towards
increased self-medication; concern about side effects associated with synthetic medicines and increased awareness of
phytopharmaceuticals as effective alternative medicines for chronic but mild symptoms. Internationally, emphasis was being placed on
the identification of active constituents of phytopharmaceutical extracts and establishing their safety and efficacy through controlled
clinical trials. The phytomedicine initiative is expected to being out the old wisdom in modern from with controlled clinical trials. That
by opting to go through the ethical route as opposed to getting Ayurvedic products classified as food products for sale in the US-an
extensive testing system is available with proven safety and effectiveness with modem standard. This in turn enables the neutral products
to carry as much of quality assurance as do modern chemicals based medicines.
Many Indian doctors too have been taking a second look at their role as healers and are questioning the efficacy of modern drugs and
delivering into discarded traditional therapies for solutions. There is a new emphasis on trying to understand the equilibrium of the
whole body instead of relying of fragmented diagnoses. Sources point out that the US too has made similar attempts to integrate
alternative treatments with modern medical practice. From 1992 to 1994, the National Institute of Health in the US spent $ 13 million
investigating the merits of treatments through Homeopathy, herbal medicines, acupuncture and relaxation Moreover, during August,
1998 to July, 1999, the top selling herbal supplements in US were garlic, saw palmetto bilberry, grape seed extracts and ginger root.
Not to be outdone by the multinational pharmaceutical against in exploiting the medicinal value of indigenous plant and herbs, Indian
entrepreneurs are eager of manufacture and market pharmaceutical preparations based on natural products. These are sold across the
counter as health products, tonics, stress relievers and even for the treatment of serious ailments like hepatitis, diabetes, rheumatism
asthma and so on. Industry sources insist that most times, it is not known whether these formulations have been subjected to extensive
and intensive medical trials, through accepted protocols, for their efficacy and absence for undesirable side efficacy and whether they
have been approved by FDA.

Currently, phytopharmaceutical products are available in many markets as food additives and not as drugs with medical claims. That
with better documentation of their clinical efficacy over the next decade, these products could increasingly be accepted as OTC drugs
rather than food supplements. Approximately, 2, 65,000 plant species have been identified throughout the world and these can probably
furnish as many as 5,000,000 compounds for screening. However, less than 0.5% of these species have been systematically studies for
their chemical components or medicinal values. A number of plants derived single component drugs are it early stages of development.
Betulinic acid and Plavopiridol for cancer and Galanthamine for Alzheimer's disease are among the many compounds under intensive
research, other Compounds like Area tennin for AIDS, Crypolepine for malaria, Sericic acid as an antifungal are at a preliminary stage of
development, but showing promise worthy of future development, moreover, researchers have also developed technology to transfer
NDA sequences into plants, allowing these plants to be used as production sources for pharmaceutical proteins and vaccines. Research
efforts have also been directed towards discovery of marine based compounds.
There are a number of systems of medicines, which are generally classified as alternative systems, which fit to the above descriptions.
Brief details of some of them are given below:
AYURVEDA
Ayurveda is an ancient system of disease prevention, health care, and healing that originated in India thousands of years ago. Ayurveda
is made up of two Sanskrit words. Ayur which means life, and Veda which mean the knowledge of the most ancient sacred writings of
Hinduism written in early Sanskrit; traditionally . Ayurveda, the diagnosis of disease and individual constitutions if done by balancing the
different energies in the body. These energies are called dashes or body hormones. The specific names for than are (TRIDOSA) Vata,
Pitta, and Kapha. The literal meaning of dosha is 'fault' because these three humors are the three ways in which the body tends to move
out of balance. The Dosha are the three main combinations of the five elements (either, air, fire, water, and earth). When any of these
elements are present in the environment, they will in turn have an influence on us. The foods we eat and the weather are e examples of
the presence of these elements. These five elements in the body can balanced through diet and herbs that possess the essence of this
element each person's constitution is made up of a unique combination of these doshas. The ratios of the doshas vary in each individual
and because of this, Ayurveda sees each person as a special mixture that accounts for diversity.
Ayurveda provides a model to look at each individual as unique makeup of three doshas and to thereby design treatment protocols that
specifically address a person's health challenge. When any of the doshas (Vata, Pitta or Kapha) become dominant, Ayurveda will suggest
specific life-style and nutritional guidelines to assist the individual in reducing the dosha that has become excessive. Herbal supplements
may be suggested to facilitate the healing process. If toxins in the body are abundant, then a cleansing process known as Pancha Karma
is recommended to eliminate these unwanted toxins. The following descriptions are the treatments said in Pancha Karma. Many of them
are performed by two ayurvedic therapists working together. Two, three and sometimes four therapies may be given in a single day.
HOMEOPATHY
Homeopathy system to medicine based on the law of similar that like is cured by like. In homeopathy a drug that produces the same
symptoms a disease (e.g., quinine given to a healthy person minics malaria) is used in small doses to treat that disease.
Classical Homeopathy is based on the recognition that health and disease depend on the individual's life force (i.e. vitality, or dynamic
energy), state of susceptibility, and inherited predispositions.
In other words, it is a complete, normal system that gives relief from suffering and restores physical, mental and emotional health.
Classical Homeopathy takes me longer to find out a single remedy for a range of symptoms, which affect the whole totality of the
person.
Homeopathy encourages and strengthens the organism, thereby stimulating and encaging the body's natural healing forces. Rather
that suppressing symptoms, driving them to a deeper and more serious level. Homeopathy remedies are based on the Law of Similar,
similibus curentur, or "let likes be curd by like".
Homeopathy Consultants do not deal with isolated "symptoms" but with the complete body therefore rather than taking specific
mediating for one symptom, another specific medication for another, and yet a third medicating for something else, Homeopathy deals
with the all the characteristics and recommends a remedy which does not kill bacteria but strengthens the immune system to rid the body
of the bacteria. This as called a constitutional remedy.
It is important to note that homeopathy if NOT based on the same principle as immunization, which uses substance that cause the same
disease, not similar symptoms immunization is based on homeopathy giving a substance known to cause the exact disease in question.
Also immunization has immunological bases to it, i.e. the production of T-memory cells; where as the mechanism of action of
homeopathy is unknown at this time. However, there are several models that try to explain it, but none are sufficient. In short,
homeopathic medicines have no relationship to the diseases in question, but rather the symptoms in question.
Homeopathic remedies are made from normal substances, plant, mineral and animal a "mother tincture" is prepared from the
natural base substance with distilled water or alcohol, and then diluted many times until it reaches a micro-dose state. This guarantees
the absence of tonicity and side effects. For a reason not quite understood, the much diluted medicines have a higher potency or greater
strength and act more deeply.
UNANI
Unani Medicine, is based on the principles put forward by Hypocrites and exploited assimilated by the Medieval Muslim physicians
hypocrites was the first person to establish that disease was a natural process. That its symptoms were the reactions of the body of the
disease, and that the chief function of the physician was aid the natural forces of the body. He was the first physician to introduce the
method of taking medical histories, his chief contribution to the medical realms in the humeral theory.

THE HOURS
The humeral theory presupposes the presence of four humors- Dam (bold), Balgham (phlegm), Safra (yellow bile) and Sauda (black bile)
in the body. The temperaments of person are expressed by the words sanguine, Phlegmatic, choleric and melancholic according to the
preponderance in them of the respective homour blood, phlegm, yellow bile and black bile.
The humors the selves are assigned temperaments blood is not and moist, phlegm cold and moist, yellow bile and dry, and black bile
cold and dry.
Every person is supposed to have a unique humeral constitution, which represents his healthy state. And maintain the correct humeral
balance there is a power of self-preservation or adjustment called Quwwat-e-Mudabbira (medicatrix nature) in the body. If this powder
weakens, imbalance in the humeral composition is bound to occur to an optimum level and thereby restore humeral balance, thus
retaining health. Also, correct diet and digestion and considered to maintain humeral balance.
Another distinctive feature for the unani system of medicine is its emphasis on diagnosing a disease through nabs (pulse), arrhythmic
expansion of oratories which is felt by fingers. Other methods of diagnosis include examination of baul (urine), Baraz (stool) etc.
Unani system of medicine recognized the influence of surroundings and ecological conditions on the state of health of human beings.
This system aims at restoring the equilibrium of various elements and faculties of the human body. It has laid down six essential perrequisites for the prevention of diseases and places great emphasis, on the other hand, on the maintenance of proper ecological balance
and, on the other on keeping water, keeping water, food and air free from pollution. These essentials known as 'Asbad-eZarooriya' are
air food and drinks, bodily movement and repose, psychic movement and repose, sleep and wakefulness, and exertion and retention.
In Unani systems of medicine several of treatment are employed, such a Ilajbeer (regimen, cauterization, purging, emesis, exercise
leeching etc. Dietotherapy aims at treating certain ailments (tall therapy o, Hajj bil-Ghiza (dietotherapy), hajj bid-dawa (pharmacotherpy
and Jarhan (surgery), regimental therapy include venesection, cupping, diaphoresis, diereses, Turkish bath, massage by administration of
specific diets of by regulating he quantity and quality of food. On the other hand pharmacotherpy deals with the use of naturally
occurring drugs, mostly herbals. Though drugs of animal and mineral origin are also used. Similar, surgery has also been use in this
system for quite long. In fact, the ancient physicians of Unani Medicine were pioneers in this field had developed their own instruments
and techniques.
In Unani Medicine, single drugs or their combinations in raw form are preferred over compound formulation. The system others timetested and excelled remedies for gastrointestinal cardiovascular and nervous disorders. The naturally occurring drugs used in this system
are systolic of life and generally free from side effects. And such drugs, which are toxic in crude from, are processed and purified in
many ways before use. Since in this system, great importance is attached to the temperament of the individual, the medicines
administered are such that go well the temperament of the patient, thus accelerating the process of recovery.
NATUROPAHAY
Naturopathy, or Naturopathic Medicine, is a distinct, integrated system of primary contact health care offered by licensed
practitioners, naturopathic Medicine promotes diagnosis, treatment and prevention of human disorders by the therapeutic use of noninvasive, none-pharmaceutical means that include Clinical Nutrition. Herbal Medicine, Homeopathy, Mechanotherapy (also known as
Naturopathic manipulation or realignment), and Traditional Chineses Medicine (pulse and herbs, acupressure and acupuncture).
Naturopathy takes into consideration all of the fundamental components of a person the biochemistry, biomechanics and the emotional
predisposition in order to help a person restore themselves to state of balance or good health, generally speaking, this is the definition of
holistic medicine i.e. taking into account all of the component parts of the persona chemical, structural and emotional features of the
individual. They are interconnected each one will have a dynamic effect on the other during the course of treatment. In addition to
being a source of primary contact medicine with a holistic philosophy regarding treatment, Naturopathic Medicine offers real cost
effective solutions for many of our nation's health care problems. Respect for both tradition and innovation are the hallmarks of
Naturopathic Medicine.
The main principle behind Naturopathic is the belief that the body has an innate ability to heal itself it should be understood that the
concept of self-healing does have limitations. This thinking points to the importance of supporting the body's natural vitality, which
promotes self-cleansing, self-repair and therefore self-healing. This process can be achieved by focusing on the immune, hormonal,
nervous and detoxification/elimination systems of the body. Once these systems are in balance, the body can once again achieve
homeostasis. To do this efficiently, Naturopathic doctors treat their patients holistically i.e. taking in to consideration their individual
biochemistry, biomechanics and emotional predispositions. The body's self-healing ability can be better understood if one takes into
account how the body reaches homeostatic or balance when it is challenged. A good example is fever. When the body is invaded by a
pathogen (a substance capable of producing illness or disease), it will usually respond by producing fever to fight the invader, if the body
is properly supported e.g. nutrition and rest; the fever will help in the eventual recovery of the person. Other examples are the immune
system, hormonal system nervous system and detoxification/elimination system, which work as a unit to ensure our survival. If given the
proper support, care and the chance to function freely without suppression, they can bring the system back to a state of balance or "ease"
(as opposed to "disease").
There are no panaceas, magic bullets, potions or remedies. Each individual has their own unique set of symptoms and reactions. Which
will, in turn, dictate the approach the naturopathic doctor takes to treat the patient? This is why each person seeking help from a
naturopathic doctor will receive a relatively individualized treatment portion Naturopathic medicine is not a solitary system of care,
naturopaths work with other practitioners offering wide range treatments.
The goal of Naturopaths is to develop optimal wellness for each patient, and to educate them with the intention of cure and/or
prevention. Although naturopathic doctors are educated and trained to treat acute and chronic disease, prevention is the ultimate goal.
This is based on the Naturopaths philosophy that is the philosophy of health care, not illness care.

ACUPUNCTURE
Acupuncture involves the insertion of fine needles through the skin and tissues at specific points on the body. There is no injection of
any substances and the treatment itself causes minimal discomfort Acupuncture is very effective in treating a variety of painful disorders,
hoth acute and chronic. Acupuncture works due to its effect on the essential substance that makes up the human body and enables it to
sustain life activities and functions. This "substance" for a lack of a better word, is known as Chi or Qi (pronounced "chee"). Western
biomedical research has learned that acupuncture works in certain situations by stimulating the body to produce endorphins, a morphine like chemical threat helps block pathways that really pain messages. The result is relief from pain, general relaxation and restoring the
body's own internal regulatory system.

The world Health Organization 1979 drew up the following provisional list of disorders that land themselves to acupuncture
treatment. The list is based on clinical experience and not necessarily based on controlled clinical research:

Digestive disorders such as gastritis, hyperacidity, spastic bowl, Constipation, diarrhea;

Respiratory disorders such as sinusitis, bronchitis, asthma;
Neurological and muscular disorders such as headaches, neck and back pain, neuralgia, frozen shoulder, tennis elbow, sciatica,
arthritis;
Addiction and substance abuse and
Sleep disorders such as insomnia, sleep apnea.
PARA MEDICAL

Hospital will have the following PARAMEDICAL facilities for proper diagnosis.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.

CT SCan (Multisilice, Multi-detector)

X-Ray
EEG
TMT
MRD
LABORATORIES
ENCOSCOPES
CSSD
CATH LAB
INFO TECH.
MRI
ULTRA SOUND
ECG
PERFUSION
MAMMOGRAPHY
NUCLEAR MEDICINE
PHYSIOTHERAPY
ECHO
OTHER FACILITIES
LIST OF EQUIPMENT

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.

X-ray Machines (Big)

X-ray Machines (Small)
Cat Scan Machine
MRI Machine
ECG Unit
Incubator
Ultra Sound Machine
Photo Therapy Unit
Othiologi Scope
Jan graphic Equipment
Blood/Urine / Stool Testing Equipment
Blood Pressure Equipment
Surgical/Operative Instruments
Doctor's Stethoscope
Film Projector
ENT and Testing Machine

17. Eye Testing Equipment

18. Dental Equipment and Accessories
19. Cardiology Equipment
20. ECHO Cartographic Machine
21. Medical Kits and Others
22. Lab Equipment
23. Library
24. Hotel Equipment and Accessories
25. Hospital Equipment and Accessories
26. Ker meter
27. Fumigator
28. Auto Equalizer
29. GBC Equalizer
30. Neurological Equipment
31. ECHO Endo-Graphic Machine
32. Laser Surgical Equipment
33. Orthopedic Equipment
34. Physiotherapy Equipment
35. Ophthalmoscope
36. Sand Graphic Equipment
37. Heart Surgery Equipment
38. Stem Cell Lab
39. HIC/AID Equipment
40. Defibrillator
41. Monitor
42. Respiratory Unit
43. Microbiological Equipment
44. Bio-Chemistry Equipment
45. Serology & Immunology Equipment
46. Dialysis Unit
47. Chemotherapy Unit
48. Histopathology and Cytology
49. Radiography
50. Other Medical Kits
Due to recent research and development lot of new Ultra modern machines / equipment has been developed for testing and surgical.
Project will defiantly be try to introduce the latest equipment and technology.
MEDICAL EQUIPMENT
The medical equipments required for the hospital have been indentifies in accordance with the following criteria.
To Ensure that each of the departments of the hospital, preference has been given to equipment based on modular design to upgrade the
facility at a later date thus effacing cost savings.
To be cost effective with respect to performance. Recommendations are based on latest period equipment without compromising on
desired functional capabilities.Reliability of the equipment suppliers in terms of lead time. In staked base, technical specifications
and infrastructure available for providing service support during and beyond warranty period.
HOSPITAL INFRASTRUCTURE
The various departments, infrastructure of hospital are as follows : Pathology, pediatrics & neonatology, nephrology, pod gastro
entomology, casualty, emergency, cardiology, ophthalmology, physiotherapy, orthopedics, gynecology, radiology, central sterile OT
ENT mortuary hospital furniture.
FEATURE OF EQUIPMENT OF EACH DEPARTMENT
PATHOLOGY

This department consists of four sections.

Histopathology maematology & serology microbiology biochemistry

The equipment in the indeciduate; sections is as below :

HISTOPATHOLOGY
BINOCULAR MICROCOPE
Automatic tissue processor for complete automatic dehydration and filtration of human tissues unto final fixing in wax. This has a
pre-programmable provision for dehydrating cycle (use selectable). Tissues are subjected OT continuous agitation by rotating
stainless steel tissue basket for trough penetration of reagents. The wax bath temperature controlled and maintained by a thermostat.
Precision rotary microtome for precise serial sectioning. Adjustable from 1 to 30 micron in step of I micron.

Freezing microtome for freezing with the help of evaporation of carbon dioxide gas around the specimen. This allows section thickness
range between 54 C microns in step of 5 microns. It can be clamped at a corner of worktable.
Tisssue flotation bath for preparing distortion less and wrinkle free tissue specimens / the thermostat control provides and accuracy of 2
C with a range from ambient to 70 C for drying the wet slides.
Block holders for holding the wax block for taking sections on the microtone.
Tissue embedding modules for the preparation and taking of tissues section. Blood cell count for counting cells and simple
computations including percentage. It thus 6 units. Each unity counts upto 999 and last unit totalized the difference calls. Micro slide
cabinet for accommodating 5000 sliders.
Vertical laminar airflow cabinet for localized high quality clean working environment. This is catered for to provide an atmosphere
free from air born particles with laminar air flowing downward the worktable. The working area is 4 ft. x 2 ft x 2 ft. the filters retain all
air born particles of size 0.3 microns and larger.

BLOOD BANK
Refrigerator for keeping blood bottles or blood bags. The temperature range is maintained between 4-6 degrees centigrade.
Audiovisual alarm is available is the event of fluctuation exceeding permitted tolerance.

HEMATOLOGY & SEROLOGY

Water bath for evaporating liquids like alcohol or for melting solids as agar. This can accommodate containers of various sizes and
has automatic cut off device when the bath gets dry.
Water bath (serological) to handle clinical procedures, incubatin, agglutination as well as many serological, pharmaceutical &
biomedical procedures. This has 6 racks in the inner chamber and has thermostat control for immersion heating elements.
Hot air ovens (2 Nos. of different sizes) for destination bacteria, viruses, fungus and sterilize glassware's
etc. by application of dry heat with thermostat temperature control ranging between 50-250 degree
centigrade.
Bacteriological incubator for a variety of uses such as drying and staining of slides, paraffin embedding,
tissue culture work, crystallization studies and incubation of hydroxy1 steroids. The temperature control is from ambient to 80
degrees centigrade. The size of the inner chamber is 455 x 455 x 455 mm.
Shaking machine for shaking bottles or flakes of different sizes.
Electrophoresis equipment
Refrigerators (2 Nos.)
Centrifuge
Modular microscope
Precision balance
Colorimeter for a variety of colorimetric analysis. It has eight filter to cover the whole visible range of the spectrum and the
meter reads directly the percentage transmission of the optical density of the solvent.
MICROBIOLOGY

Binocular microscope some of the equipments in other sections of pathology will be use by this sectin as well.
BIOCHEMISTRY
Lab system analyzer to analyze different blood chemistry test like glucose, urea, cholesterol, hemoglobin, total protein etc.
Spectrophotomer for colorimetry.. It has digital display of percentage transmission or optical dentistry, the range is 340-950 milli micro
suitable for colorimetry. Flame photometer with compressor for rapid and accurate determination of alkali and alkali earth metals.
Narrow brand-pass filters for sodium and potassium are supplied as standard. Light emitted by the flame, into which a solution of the
salt is atomized, is measured by a hermetically sealed photo diode.
GLOCOMETER
Hot air oven for destroying bacterial, viruses, fungus and sterilize glasswares etc. by application of dry heat.
PEDIATRICS & NEONATOLOGY
Infant incubators with control for air (or baby) temperature, humidity and oxygen at uniform selected levels.
Phototherapy unit for treatment of jaundice in neonates. Cardio respiratory temperature monitor for reliable detection of anemic episodes
and cardiac dysfunction particularly in infants.
NEPHROLOGY
Haemofialysis machine with deionizer for a single patient, which enable diluting dial state concentrate at a prescribed concentration and
supplying the diluted dial sate to the dialyses. Both bicarbonate and acetate programmers are available. It has ultra filtration rate control
system. Which enables top monitor precise fluid removal from the patient's body in accordance with a predetermined time schedule. An
accumulative UF amount is displayed at every moment and completion of fluid removal is indicated through an alarm buzzer. Digital
display of dial sate pressure, venous pressure and dialysate conductivity with alarm facility is available. This department can be
augmented with additional hem dialysis machines depending on the requirements i9n the near future.
OUT PATIENT DEPARTMENT (OPD)

Respiratory function inspection analyzer for respiratory function screening to be located in the consulting room. The parameter is
automatically calculated with only one examination (taking approx. 90 seconds) and the results (data curve & judgment) are
printed out in approx. 30 succeeds. Thus it provides accurate data for effective diagnosis of respiratory functions.

BP apparantus

Stethoscope


Rectal thermometers
Each of the consultation rooms in the pod will be suitably equipped for examination. Other facilities available in OPD are covered under
separate heads of functional specialization / departments.

GASTRO-ENTEROLOGY
Gastro intestinal fiberscope for endoscopy procedures within narrow 9.8 mm insertion tube, wide 2.8 mm instrument channel and
high quality optics, this serves as a multipurpose fiberscope for treatment and routing examinations.
Colonoscope for endoscopy procedures. This colon fiberscope has a high degree of insert ability due to its slim external diameter of
13mm and allows for accurate angulations due to the application of a wide 120 degree. This scope allows flexibility of function and so
also suitable for routine procedures.

CASULTY / EMERGENCY
Ambusystem for infants & adults (4 each) are catered for use both in emergency / or. The facilities available in other department.
depending upon the requirements.
CARDIOLOGY
ECG Machines one in cardiac center, two in opd.
Cardiac monitors 3 in icu, 4 ccu and 2 in major ots. Intelligent monitoring with comprehensive alarms, display of selected functions
and automatic heart rate setting are available along with peripheral pulse option.
Multi parameter monitors for monitoring ecg, single invasive blood pressure, peripheral pulse, dual temperature & respiration (2 in
major ots one in recovery room and one in ICU), alarms for bradycardia tachycardia a systole and irregular qrs vailable, apnea alarms
given for delays of 10, 20, or 30 seconds, temperature measuring range is 12-44 degrees centigrade. Display of blood pressure wave
forms with derived values of systolic, diastolic and mean pressure is available.
Central nursing satins (2 nos.) with combined multi-bed ecg (6) channels ) and multi-parameter monitoring in ICU / CCU. Queuing
facility enable 3 simultaneous alarms to be recorded. Wave from, bed number, heart rate fault and status indications are displayed on
screen.
Defibrillator monitor recorders, one in each to and cardiac center. Defibrillator changing in less than 100 second. Energy restricted to
50 joules when internal or neonatal paddles are connected. On - Screen display of heart rate and prescribed limits in monitor made is
available. Alarm given if no systole is detected for 3 seconds.
Cardiac pacemaker in major ot. Stress test system with tread mill in cardiac center.
OPHTHALOMOLOGY

Othalmoscope

Lensometer for power measurement

Operating microscope

Cataract extractor

Trial Case

Radioscopy

Monometer

Lees screen

Ophthalmometer

Slit lamp

Ophthalmic instruments
PHYSIOTHERAPY
Nerve & muscle stimulator with galvanic interrupted galvanic faradic and surged faradic currents.
Short - wave diathermy for therapy of body tissues through deep heating without excessive temperature elevation of the skin surface and
subcutaneous fatty tissue. High frequency physiotherapy unit for treatment of sprains of muscle and other physical ailments. The
ultrasound energy reaches the muscle at a depth and massaging effect is obtained without pain to the tender part of muscle. Intermittent /
constant lumpier - cum cervical traction unit. Transaction nerve stimulator Static cycle exercisers (adult & Junior). Quadriceps exercise
table.
Miscellaneous (including infrared lamps, ultraviolet lamps, weight & pulley system etc.)
ORTHOPEDICS
Colposcope for rapid examination of pathological changes directly visible to the eye such as carcinoma of the cervix. It can be easily
moved for rapid bedside examinations and photographing. Doppler fetus detector with digital display of fur t o be located in the pod.
The fur Laparoscope's.
RAIOLOGY
Ultrasound scanner for abdominal ob'gynae and cardiac investigations, this will be located at ultrasound room in the opd. The scanner
can be upgraded subsequently with Medium dhasoless OT lights for minor OT, which are designed to give concentrated light on the read
of surgery with minimum dissipation of heat.
Mobile shadows less to lights (3 sets) one for minor to 2 for delivery rooms.
Ventilators (adult & pediatric ) in ICU / CCU for intensive care, anesthesia and patient transportation.
Adult ventilators two for majors ots.

Aneshesia machines two for major ots.

Tespirometers two for major or and one for ICU / CCU

ENT
Audiometer for testing hearing ability with automatic recording. Automatic operation at test frequencies from 0.25 - 8 khz or by random
generator with rest sound level.
Miscellaneous instruments including auroscope tracheotomy sets etc.
TRAUMA CENTRE SERVICE
Trauma services will be provided for the peoples got some injuries on highways, treated & taken to this centre.
This Trauma Center Services would have 5 big ambulances consisting of all modern equipments needed for first aid for these type of
cases.
MORTUARY
Mortuary chambers for storage of up to 3 bodies. Temperature of (-) 2 degrees to 4 degrees centigrade in maintained.
HOSPITAL FURNITURE

Hospital Cots.

Attendant's cots

Flower position cots

Cardiac cots 2 in CCU

Maternity cots 3 in the wards

Gymea examination table one in OPD and one in the ward

labor table 3 in delivery rooms

Cardiac tables 2 one in OPD and one in CCU

Steel cupboards 35, 13 in consulting rooms, 3 in nursing section, 10 in main store, 2 in major OTS, 2 in ICU/CCU and 1 in OT
4
additional

Storage racks 20 in main stores

Sofa sets for doctors duty room 3

Cot with mattress for duty room

Orgioaedu/ia tables one in consulting room and one in ward

Examination tables

Stretcher on trolley

Pediatric beds in nursery

Operation tables for major OT's

Surgical table one for minor OT's

ICU / CCU beds

Air curtain for transparent insulation / barrier

WARDS
Repairable air pump this can provide a source of breathable air for the adult ventilator and can also be used in the intensive care unit as a
standby in the even of main pump failure or as an alternative of expensive cylinder supply.
Additional software of carrying out blood flow studies and can be upgraded to conventional Doppler with an additional investment.
Semi-automatic video imager to be located at ultrasound room
Mobile x-ray machine 500 ma to be located in the nursing home.
X-ray machine 500 ma to be located at OPD, the system can be upgraded to carry out fluoroscopic studies with image intensifier
TB subsequently. The additional investment would be made and when required.
CENTRAL STERILE SUPPLY DEPOT
Portable autoclave for sterilization of instruments and dressings etc. this will be located at major OT.
Horizontal high-pressure cylindrical steam sterilizer for bulk sterilization of dressings linen surgical instruments glass wares utensils etc.
this is based on the principal of microbiological action of saturated steam. This has in - built safety features to control the pressure and
temperature. The capacity is 500 x 1200 mm.
Horizontal high-pressure high-speed cylindrical sterilization for built sterilization with size of 400 mm x 600 mm deep. It is fitted with
18 kw electric heater to furnish the sterilization within 6 minutes and is primarily intended for emergency sterilization of unwrapped
surgical instruments etc.
Disinfector for decontamination of operations theaters & wards etc. it converts the liquid formal into aerosol particles which ensures
100% sterile germ free and zero bacterial environment and culminates the cumbersome conventional method of fumigation. It can
sterilize about 9800 cu. ft in just 30 - 60 minutes.

OPERATION THEATER (OT)

Electro-surgical unit for surgical applications two for major OTS it has two independent high frequency generators for monopolar and
bipolar applications. Lamp indication and audible tones are available on cutting coagulation and patients plate discontinuity. Blood gas
monitor the range is 0 - 80 mm hg for PO2 and 1- 200 mm hg PCO2 with alarm adjustable for low and high limits for PO2 and PCO2 .
Twin bottle electric suction apparatus designed for continuous work. Each glass receptacle has a capacity of 2.3 liters. Major OT light
one set for each major OT designed for maximum light output with minimum heat dissipation.
ESTIMATED PROJECTED COST OF HOSPITAL ( FOR 1000 BEDS)
Cost of Land
Land Development (Road leveling etc.)
(7,00,000 sq. ft. @ Rs. 400 sq. ft.)
Fencing / Boundary of the site @ Rs. 400 sq. ft.)
Hospital Building
(Approx 450.000 sq. ft. @ Rs. 1500 sq. ft)
Development of Parks
Other Facility
(Sewerage, flushing center, parking, architect fee etc.)
Electrification
(Inclusive of DG set & Poles)
Building of Nursing College
(50,000 sq. ft. @ Rs. 3000 sq. ft.)
Hostel Building for nurses trainees
(20, 000 sq. ft. @ Rs. 1,000 sq. ft.)
Residential area for Doctors, Nurses & Staff
(1,00, 000 sq. ft. @ Rs. 1,000 sq. ft. )
(A). Sub Total
COST OF EQUIPMENTS
Histopathology
Hematology & Serology
Microbiology
Biochemistry
Pediatrics & Neonatology
Nephrology
OPD
Gastro-Entomology
Causality / Emergency
Monitoring
Ophthalmology
Physiotherapy
Orthopedics
Gynecology
Diagnostic Imaging
Central Sterile supply depot
OT (ICCU)
ENT
Mortuary
Wards
Hospital Furniture
ambulances for hospital
Ambulances for Trauma Centre Services
Other miscellaneous Assets
(B). Sub - Total
Preliminary and Pre-operative Expenses
Preliminary Expenses
Working Capital
( C ) Sub Total
Manufacturing Input and Costs
Medical

All ready with the Trust

28,00,00,000
28,00,00,000
58,80,60,000
40,00,00,000
16,00,00,000
50,00,00,000
15,00,00,000
2,00,00,000
10,00,00,000
247,80,60,000

8,50,00,000
5,50,00,000
1,50,00,000
7,50,00,000
3,16,00,000
6,00,00,000
1,00,00,000
5,50,00,000
2,57,00,000
15,00,00,000
2,50,00,000
2,00,00,000
1,00,00,000
3,50,00,000
9,70,00,000
1,50,00,000
15,00,00,000
1,00,00,000
1,50,00,000
1,70,00,000
60,00,00,000
50,00,000
50,00,000
40,00,00,000
196,63,00,000
1,00,00,000
40,00,00,000
40,00,00,000
81,00,00,000

Operation Theater
Delivery Charges
Diagnostics
Diagnostics
Others
Non - Medical
Utility Cost
Manpower Requirements(Approx. Cost)
Administrative Overhead
Maintenance
Miscellaneous
(D). Sub-Total

16,00,00,000
8,00,00,000
8,00,00,000
8,00,00,000
2,35,00,000
6,60,00,000
7,50,00,000
35,00,00,000
8,50,00,000
2,95,00,000
40,00,00,000
134,90,00,000

(E) Contigency Charges (10%)

66,00,00,000

Total Cost
(A+B+C+D+E) (247,80,60,000 + 196,63,00,000 + 81,00,00,000+134,90,00,000 + 66,00,00.000) =
( Rupees Seven Hundred Twenty Six Crores Thirty Three Lakhs Sixty Thousand only ) .

726,33,60,000/-

IMPORTANT NOTICE :- THIS PROJECT IS DESIGNED WITH A MOTIVE OF SOCIAL WORK NOT FOR BUSINESS
WITH THIS PROJECT WE GENERATE JOBS FOR NEEDY,GIVE WORLD CLASS MEDICAL FACILITY TO POOR AND
NEEDY,TO PRODUCE SOME OF THE BEST DOCTORS IN INDIA TO SERVE OUR NATION FAITHFULLY BY GIVING
THEM MEDICAL EDUCATION AT ALL OUR MOTTO IS TO SERVING THE HUMANITY IF ANY MISTAKE IS REMAINED
IN THIS PROJECT REPORT THEN WE CORRECT IT FOR THIS PROJECT WE NEED 726,33,60,000/- INR.
THANKS FOR SUPPORTING US IN THIS NOBLE CAUSE

ANITA SALARIA MEMORIAL TRUST

THAKUR MEHAR SINGH SALARIA MARKET,
V.P.O. AWANKHA VIA DINANAGAR,
TEHSIL & DISTRICT-GURDASPUR,
PUNJAB,INDIA-143536.
PHONE 01875-220446,FAX 01875-220539.
WEBSITE : WWW.ASMTRUST.ORG.IN,
E-MAIL INFO@ASMTRUST.ORG.IN,SUPPORT@ASMTRUST.ORG.IN.