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PRESENTATION TO COSC
     11 MAR 2008       1
GOVT APPROVAL
• APPROVED ON 30 DEC 2002.

• IMPLEMENTED WEF 01 APR 2003.

• AUGMENTATION OF 106       ARMED
  FORCES CLINICS AT MIL STNS AND
  EST OF 121 NEW ARMED FORCES
  POLYCLINICS AT NON MIL STNS.
                                 2
CONCEPT
               OUTSOURCING
   EMPANELLED HOSPITALS/NURSING HOMES
    DIAGNOSTIC CENTRES/ DENTAL CLINICS/
   LABORATORIES/REHABILITATION CENTRES


      EXISTING INFRASTRUCTURE
      • COMD AND CONTROL STRUCTURE
       • SERVICE HOSPITALS/MI ROOMS
• PROCUREMENT / SUP OF MEDICINES , MED EQPT


              AUGMENTATION
• ECHS CENTRAL ORG, REGIONAL CENTRES AND POLYCLINICS
                      • FINANCES                   3
PREVIEW
CURRENT STATUS.

IMPORTANT ISSUES.

MISC POINTS.

                    4
CURRENT
 STATUS
          5
CURRENT STATUS
ALL 227 POLYCLINICS OPERATIONALISED.
MEMBERSHIP
 VETERANS                - 6,12,211
 DEPENDANTS              - 14,12,411
 TOTAL BENEFICIARIES     - 20,24,622
12.54 LACS PRE APR 2003 RETIREES YET TO
BECOME MEMBERS.
                                          6
MEMBERSHIP DATA AS ON 29 FEB 08
CATEGORY                  NOS         %
PRE APR 2003 RETIREES     3,45,530   16.78
POST APR 2003 RETIREES    2,25,750   11.26
FAMILY PENSIONER            40,931   01.96
TOTAL ESM                 6,12,211   30.00
FATHER                      64,347   03.21
MOTHER                    1,00,510   05.00
SPOUSE                    5,49,169   27.00
DAUGHTER                  2,98,694   14.88
SON                       3,99,691   19.91
TOTAL DEPENDANT          14,12,411   70.00
                                        7
TOTAL BENEFICIARIES      20,24,622
YEAR WISE INCREASE IN
      MEMBERSHIP
    FY        MEMBERS TOTAL
                (AFV) BENEFICIARIES

2004-05          81,864     2,86,074
2005-06        2,65,019     9,01,065
2006-07        4,12,476    14,76,920
2007-08        6,20,000    21,00,000
(Estimated)                       8
CURRENT STATUS
COST PER ECHS BENEFICIARY IN THE YEAR
2006-2007 IS RS 2,698/- AS COMPARED TO
RS 5,108/- IN CGHS.
PERS AVAILED MEDICAL FACILITIES :-
• 2003-2004      -     35,568
• 2004-2005      - 7,18,907
• 2005-2006      - 13,81,976
• 2006-2007      - 18,64,028
• 2007-2008      - 42,39,132*
   (*UPTO 29 FEB 08)                 9
TRENDS: PER CAPITA EXPDR
             (OVERALL REVENUE)

    FY      TOTAL     MEMBERS    EXPDR     TOTAL      EXPDR PER
            EXPDR       (AFV)     PER     BENEFICIA   BENEFCIARY
            (In Cr)             MEMBER
                                            RIES         (Rs)
                                  (Rs)
2004-05     82.86      81,864   20, 038    2,86,074        5736
2005-06    181.78 2,65,019       10,481    9,01,065        3062
2006-07    320.80 4,12,476        9470    14,76,920        2698
2007-08     489.91 6,20,000       9512    21,00,000        2333
(Estimated)



                                                            10
CURRENT STATUS
88% OF THE BENEFICIARIES
TREATED     IN   POLYCINICS,
5% IN SERVICE HOSP AND 7% IN
EMPANELLED HOSP.

1002 HOSPITALS EMPANELLED IN
152 STNS (496 EMPANELLED
BETWEEN SEP 06 AND OCT 07).
                           11
ECHS PATIENTS REFERRED TO
    HOSP NATIONAL STATISTICS
YEAR      TOTAL NO OF     PATIENTS REFERRED PATIENTS REFERRED
          PATIENTS SEEN   TO SERVICE HOSP   TO EMPANELLED
                                            FACILITY


2003-04   35,708          3,669 (10.27%)     987 (2.76%)

2004-05   7,92,422        52843 (3.57%)      34,083 (2.30%)

2005-06   14,81,817       1,08,132 (2.9%)    82,648 (2.21%)

2006-07   32,29,544       2,06,370 (6.39%)   1,84,603 (5.71)

2007-08   42,39,132       2,11,108 (4.98%)   2,92,076 (6.89%)
                                                           12
AGE –WISE MORBIDITY
        TRENDS
AGE GROUP        % OF TOTAL
                 SICK REPORT
0-40 YRS              27%
41-60 YRS             40%
61 YRS & ABOVE        33%
                               13
YEAR WISE EMPANELMENT
FIN YEAR     HOSP   DIAG     TOTAL
                    CENTRE
2004-05      151       65     216
2005-06      148       53     201
2006-07      196       62     258
2007-08      226       61     287
CGHS / RLY    33       07      40
EMP
TOTAL        754      248    1002
                                    14
STATUS OF LAND ACQUISITION AND
CONSTR OF POLYCLINICS AS ON 10 MAR 08
                               Mil      Non-Mil Total
  POLYCLINICS                  106        121     227

  LAND ACQUIRED                105         31*   136

  CONSTR COMPLETED               62        05      67

  CONSTR IN PROGRESS             15        02     17
NOTE : 1. FUNCTIONING FROM GOVT/CONSTRUCTED BLDGS - 130

      2. FUNCTIONING FROM HIRED BLDGS             - 97
      *A1 DEFENCE LAND – 21.                            15
OPERATIONALISATION OF ECHS
        POLYCLINICS

POLYCLINICS 2003-04 2004-05 2005-06 2006-07 TOTAL

MILITARY      36      61      09      -     106

NON           11      44      65     01     121
MILITARY
TOTAL         47      105     74     01     227




                                             16
CONSTR OF ECHS POLYCLINICS

POLY-     2003-04   2004-05   2005-06   2006-07 2007-08 TOTAL
CLINICS
MIL          -         -        11        35     16      62

NON          -         -         -        03     02      05
MIL
TOTAL        -         -        11        38     18      67




                                                         17
LIST OF NON MIL POLYCLINICS WHERE
               LAND ACQUIRED
S.     REGIONAL          STATE   COMD    POLYCLINICS   TYPE LAND
NO      CENTRE                                              ACQUI
                                                            SITION

1    JAMMU          HP           WC     MANDI           C     A1
2    CHANDIMANDIR   CHANDIGARH   WC     CHANDIGARH      B     A1

3    CHANDIMANDIR   PUNJAB       WC     ROPAR           B     A1
4    CHANDIMANDIR   PUNJAB       WC     HOSHIARPUR      A     A1
5    NEW DELHI      HARYANA      WC     YAMUNANAGAR     C     A1

6    NEW DELHI      HARYANA      WC     GURGAON         A     A1
7    NEW DELHI      DELHI        WC     NEW DELHI       A     A1
                                        (LODHI ROAD)

8    LUCKNOW        UP           CC     ALIGARH         D     A1
9    LUCKNOW        UTTRAKHAND   CC     ALMORA          B     A1
                                                             18
10   JABALPUR       UP           CC     PRATAPGARH      D     A1
LIST OF NON MIL POLYCLINICS WHERE
               LAND ACQUIRED
S.     REGIONAL        STATE   CO    POLYCLINICS     TYPE   LAND
NO      CENTRE                 MD                           ACQUIS
                                                            ITION
11    Jabalpur    UP           CC   Ghazipur          B      A1
12    Patna       Bihar        CC   Muzaffarpur       C      A1
13    Patna       Bihar        CC   Dharbanga         D      A1
14    Pune        Maharastra   SC   Sholapur          C      A1
15    Pune        MP           SC   Bhind             D      A1
16    Pune        Maharastra   SC   Satara            C      A1
17    Pune        Maharastra   SC   Thane (Nerul)     C      A1
18    Chennai     Tamilnadu    SC   Tiruchirapalli    C      A1
19    Hyderabad   AP           SC   Guntur            C      A1
                                                             19
20    Hyderabad   AP           SC   Chittur           C      A1
LIST OF NON MIL POLYCLINICS WHERE
               LAND ACQUIRED
S.     REGIONAL        STATE   COMD    POLYCLINICS   TYPE   LAND
NO      CENTRE                                              ACQUI
                                                            SITION
21   Kochi        Kerala       SC     Kozikode        C      A1
22   Chandimandir HP           WC     Hamirpur        B       C
23   Chandimandir HP           WC     Una             C       C
24   Chandimandir Punjab       WC     Ludhiana        A       C
25   Jaipur       Punjab       SWC    Muktsar         C       C
26   Jaipur       Rajasthan    SWC    Jhunjhunu       A       C
27   Pune         Maharastra   SC     Kolhapur        B       C
28   Chennai      Tamilnadu    SC     Vellore         A       C
29   Chennai      Tamilnadu    SC     Kanchipuram     C       C
30   Chennai      Tamilnadu    SC     Krishnagiri     C       C
                                                            20
31   Chennai      Tamilnadu    SC     Nagapattinam    D       C
CONSTR OF POLYCLINICS
SERVICE           NO OF POLYCLINICS
                 MIL         NON MIL
          TOTAL   CONSTR   TOTAL   LAND CONSTR
                                   ACQD
ARMY       89       53      117     31    05
NAVY       07       01       02      -     -
AIR        10       08       02      -     -
FORCE
TOTAL      106      62      121     31    05
                                           21
EMPLOYMENT OF CONTRACTUAL
        STAFF AS ON 01 MAR 08
S.No           Appt      Auth   Emp      %

1.     OIC               227    214    94.27
2.     Med Specialist    176    87     49.43
3.     Gynaecologist      28    16     57.14
4.     Medical Officer   375    301    80.27
5.     Dental Officer    255    223    87.45
6.     Para Med Staff    767    669    87.22
7.     Non Med Staff     992    956    96.37
                                               22
       Total             2820   2466   87.45
PROPOSAL TO OVERCOME THE PROBLEM
CRITERIA          PRESENT PROPOSED
MAX AGE FOR        65 YRS   70 YRS
CONTRACTUAL        55 YRS   60 YRS
SERVICE
  -MO/OIC
  -OTHER STAFF
WORK EXPERIENCE    03 YRS   LESS THAN 3 YRS TO
                            BE SANCTIONED BY
                            CENTRAL ORG
WORKING HRS FOR    05 HRS   GOC-IN-C EMPOWERED
MO/SPECIALISTS/             TO EMP FOR 02 TO 03
GYNAECOLOGISTS              HRS WITH
                            PROPORTIONATE
                                             23
                            REDUCTION IN WAGES
ADDL ALLCES PROPOSED FOR
 MO/MED SPL IN REMOTE AREAS

• REMOTE/HILL AREA
  COMPENSATION ALLCE   – RS 3000/- PM.
• TRAVELLING ALLCE     – RS 2000/- PM.




                                   24
PROPOSED REMUNERATION OF ECHS
       CONTRACTUAL STAFF
             STAFF                 EXISTING   PROPOSED

OFFR IC / MED OFFR / DENTAL OFFR   15,000/-   22,000/-
MEDICAL SPECIALIST/                25,000/-   27,000/-
GYNAECOLOGIST
NURSING ASSISTANT (GENERAL)        7000/-     8,500/-
NURSING ASSISTANT(NURSE) / LAB     7,500/-    9,000/-
ASST / DENTAL HYGIENIST /
RECEPTIONIST
DRIVER                             4500/-     6,500/-
PEON / SAFAIWALA / FEMALE          3500/-     5,000/-
ATTENDANT
                                                     25
OVERALL EXPENDITURE (REVENUE)
                      (Rs in Cr)
CODE HEAD    2003-04   2004-05   2005-06   2006-07   2007-08
  2076/107                                             MA
 (REVENUE)
SALARIES      0.25      7.62      15.80     23.51     25.91

MEDICINES     13.96     24.43     47.53    104.13     185.69

MED            Nil      47.65    113.54    187.18     263.11
TREATMENT

OTHERS        3.01      3.15      4.91      5.98      15.20

TOTAL         17.22     82.85    181.78    320. 80    489.91
(G TOTAL)                                            (1092.56)
                                                          26
OVERALL EXPENDITURE (CAPITAL)
                      (Rs in Cr)
CODE HEAD       2003-04    2004-05    2005-06     2006-07      2007-08
  4076/107                                                       MA
 (CAPITAL)
LAND           Nil        Nil        Nil         0.07        0.10

CONSTR OF      Nil        0.46       4.91        4.77        05.00
BLDG

MEDICAL        Nil        4.56       11.90      15.38        03.00
EQPT
TOTAL          Nil        5.02       16.81      20.22        08.10
(G TOTAL)                                                    (50.15)

NOTE: ONE TIME SANCTION FOR CREATION OF INFRASTRUCTURE : Rs 122 Cr
                                                                       27
FUND POSITION: FY 2007-08
                        (Rs in Cr)
            HEAD             MA           EXPDR
                                         (JAN 08)
                   REVENUE
SALARIES                      25.91            21.57
MEDICINES                    185.69           151.59
MED TREATMENT                263.11           193.80
OTHERS                        15.20            12.82
TOTAL                        489.91           379.78
                   CAPITAL
LAND                              0.10          0.05
CONSTRUCTION                      5.00         02.30
MED EQPT                          3.00         02.69
TOTAL                             8.10         05.05
                                                28
FUND POSITION: FY 2007-08
                             (Rs in Cr)
            HEAD              MA           EXPDR (JAN 08)
                    REVENUE
SALARIES                           25.91             21.57
MEDICINES                      185.69               151.59
MED TREATMENT                  263.11               193.80
OTHERS                             15.20             12.82
TOTAL                          489.91               379.78
                    CAPITAL
LAND                                0.10              0.05
CONSTRUCTION                        5.00              02.30
MED EQPT                            3.00              02.69
TOTAL                               8.10             05.05

                                                      29
OTHERS INCLUDE
MOV OF PERS AND STORES
CONTINGENCY EXPDR
INFORMATION TECHNOLOGY
MAINTENANCE OF EQPT
NON-MEDICAL STORES
PUBLICITY
REVENUE WORKS

                         30
SAVINGS TO THE GOVT
                                                (Rs in Cr)

Receipts       2004-05 2005-06    2006-07   2007-08 Total
                                            (Feb 08)
ECHS            63.88     54.76    49.31      49.90 217.85
Contribution
Savings on       6.71    20.81      41.75    55.26   124.53
FMA (approx)
Total           70.59   75.57      91.06    105.16   342.38




                                                      31
EXPANSION OF
ECHS NETWORK

           32
PROPOSALS
ESTABLISH 181 NEW POLYCLINICS.
15 MIL MED FACILITIES IN REMOTE AREAS
TO BE AUTHORISED ECHS INCREMENT -
TYPE ‘E’ MIL STATION POLYCLINIC.
CONVERT 11 MIL TYPE POLYCLINICS TO
NON MIL TYPE.
UPGRADE 14 POLYCLINICS.

                                  33
REVISION OF CGHS
      RATES

              34
REVISION OF CGHS RATES

    ECHS RATES FOR PAYMENT       TO
EMPANELLED HOSPITALS HAVE TO     BE
IN CONFORMITY WITH CGHS RATES.

   CGHS     REVISED  ITS RATES IN
NOV 06 FOR DELHI AND IN JUL 07 FOR
REST OF THE COUNTRY.

                                 35
REVISION OF CGHS RATES

    REVISED  RATES    FOR   NEUROLOGY/
NEUROSURGERY,ONCOLOGY/ONCOSURGERY,
NEPHROLOGY, UROLOGY, GASTRO-INTESTINAL
SURGERY ARE NOT ACCEPTABLE.

     REVISED RATES FOR CARDIOLOGY, JOINT
REPLACEMENT AND OPHTHALMOLOGY (EYE)
ONLY ARE ACCEPTABLE IN DELHI. IN SOUTHERN
INDIA EVEN CARDIOLOGY RATES ARE NOT
ACCEPTABLE.

                                      36
REVISION OF CGHS RATES
   THE   RATES   FOR OVER  90%
TREATMENT      AND   DIAGNOSTIC
PROCEDURES IN ALL REGIONS HAVE
BEEN REDUCED.

   INTER-CITY VARIATION IN RATES AND
ALSO BETWEEN CITIES UNDER SAME
GROUP.

                                  37
COMPARATIVE ANALYSIS OF OLD AND REVISED CGHS
                   RATES
PROCEDURE         CGHS RATES          NAME OF
             OLD    NEW               CITY
                                     % REDUCTION
Consultation     Rs 61       Rs 30       51        Delhi
                 Rs 70       Rs 25       64.3      Pune
                 Rs 50       Rs 20       60        Meerut /
                                                   Allahabad
Nephrology/ Genitourinary Surgery
Nephrectomy Rs 17,900/- Rs 12,000/-       33       Delhi
               Rs 19,600/- Rs 12,000/-    38.8     Bangalore/
                                                   Chennai
Retroperiton Rs 35,000/- Rs 28,000/-      20       Delhi
eoscopy                                                    38
Nephrectomy
PROCEDURE                      CGHS RATES                   NAME OF
                                                            CITY
                     OLD          NEW         % REDUCTION

Joint Replacement Surgery
Total Hip          Rs 68,000    Rs 45,000 +        34       Bangalore/
                   + Implant    Implant                     Chennai /
Replacement
                                                            A1 Cities.
Total Knee Joint   Rs 91,000    Rs 68,000 +       25.3      Bangalore/
                   + Impant     Implant                     Chennai /
Replacement
                                                            A1 Cities.

Neurosurgery
Excision of Lobe   Rs 50,000/- Rs 37,000/-         26       Bangalore/
                                                            Chennai

Craniotomy with    Rs 50,000/- Rs 31,500/-         37       Bangalore/
evacuation of                                               Chennai
Haematoma                                                         39
PROCEDURE                    CGHS RATES                  NAME OF
                                                         CITY
                   OLD          NEW         %REDUCTION

Cardio-thoracic Procedures
Patent       Rs 1,01,000/- Rs 73,200/-          27.6     Delhi
Ductus       Rs 85,000/-   Rs 25,000/-          70.6     Pune
Arteriousus
Coronary    Rs 87,500/-      Rs 85,000/-        2.9      Delhi
Balloon     Rs 93,000/-      Rs 60,000/-                 Bangalore/
                                                35.5
Angioplasty                                              Chennai
(Stent Cost
               Rs 70,000/-   Rs 30,000/-        57.1     Nagpur
Extra)
               Rs 93,000/-   Rs 30,000/-        67.8     Pune
Coronary       Rs 1,48,500/- Rs 85,000/-        42.8     Mumbai
Bypass
               Rs 1,33,650/- Rs1,30,000/-       2.8      Delhi
Surgery
               Rs 1,40,000/- Rs1,10,000/-       21.5     Pune    40
PROCEDURE                          CGHS RATES              NAME
                                                           OF CITY
                     OLD           NEW       % REDUCTION
Neuro Surgery
Excision of      Rs 30,000/- Rs 24,000/-           20      Delhi
Cervical Inter
Vertebral Discs
Meningomyelocele Rs 50,000/- Rs 32,000/-           36      Delhi

Paediatric Surgery
Tracheo              Rs 29,492/-    Rs 20,150/-   31.7     Delhi
(Oesophageal
Fistula Correction
Surgery)
Diaphragmatic        Rs 20,200/-    Rs 12,600/-   37.7     Delhi
Hernia Repair
(Thoracic or
Abdominal                                                      41
approach)
PROCEDURE                      CGHS RATES                 NAME
                                                          OF CITY
                  OLD          NEW          % REDUCTION


Diagnostic Procedures
MRI Head With     Rs 8,000/-   Rs 3,500/-       56.3      Delhi
contrast
MRI Head          Rs 5,000     Rs 2,500/-       50        Delhi
Without
contrast
CT Whole          Rs 5,580/-   Rs 3,400/-       39.1      Delhi
abdomen with
contrast
CT Whole         Rs 4,185/- Rs 2,092/-          50.1      Delhi
abdomen
without contrast                                              42
PROCEDURE                      CGHS RATES             NAME OF
                       OLD         NEW      % REDUCTION CITY
Fistula in-ano    Rs 8000/-     Rs 1000/-       87.5    Calicut

Laparotomy failed Rs 10500/-    Rs 4050/-       61.5    Calicut
Laproscopy

Myringotomy       Rs 2,400/-    Rs 600/-        75      Calicut

Peritoneal        Rs    900/-   Rs 350/-        61.2    Calicut
Dialysis
Cholecystectomy   Rs 14,000/- Rs 6,000          57.2    Calicut
Jejunostomy       Rs 10,300/- Rs 3,500/-        66.1    Calicut

Operation of      Rs 3500/-     Rs 1500/        57.2    Calicut
Haemorrhoids

Dilatation of     Rs 600/-      Rs 75/-         87.5    Calicut
Urethra
Ovarian           Rs 8500/-     Rs 6000/-       29.5    Calicut
                                                             43
Cystectomy
INTER CITY VARIATION IN RATES

PROCEDURE       HYDERABAD        PUNE        DELHI
CARDIOLOGY/CARDIO-THORACIC

Balloon        Rs 74,950/-    Rs 30,000/-    Rs 1,05,000/-
Angioplasty
with Valvotomy
Coronary       Rs 85,000/-    Rs1,10,000/-   Rs 1,30,000/-
Bypass Surgery
Closed          Rs 40,000/-   Rs 20,000/-    Rs 1,10,000/-
Valvotomy
Patent Ductus   Rs 35,000/-   Rs 25,000/-    Rs   73,200/-
Arteriosus
                                                      44
INTER CITY VARIATION IN RATES

PROCEDURE        HYDERABAD       PUNE          DELHI

ONCOLOGY & ONCOSURGERY


Carotid Body     Rs 15,000/-   Rs 22,000/-   Rs 28,500/-
Excision

Total            Rs 20,000/-   Rs 22,000/-   Rs 28,400/-
Laryngectomy

Parapharyngeal   Rs 22,500/-   Rs 21,000/-   Rs 28,500/-
Tumour
Excision
                                                       45
INTER CITY VARIATION IN RATES

PROCEDURE       HYDERABAD     BANGALORE    DELHI
CHEMOTHERAPY CHARGES
SINGLE DRUG     Rs 200/-        Rs 500/-   Rs 400/-
THERAPY PER
DAY
MULTIPLE DRUG      Rs 300/-     Rs 600/-   Rs 650/-
THERAPY PER
DAY
INFUSIONAL         Rs 500/-     Rs 750/-   Rs 750/-
CHEMOTHERAPY


                                                46
EFFECTS OF REVISION OF RATES

   MOST    OF     THE      REPUTED
HOSPITALS    HAVE     DISCONTINUED
TREATMENT OF ECHS PATIENTS.

   INDIFFERENT      ATTENTION   BY
HOSPITALS    WHICH    ARE     STILL
EMPANELLED    (BECAUSE   OF    LOW
REMUNERATION).
                                47
ACTIONS TAKEN
REVISED RATES IMPLEMENTED WITH
EFFECT FROM 01 DEC 07.
ISSUE RAISED WITH RM THROUGH
CHAIRMAN COSC.
FOLLOWING DIRECTIONS RECEIVED ON
03 MAR 08 :-
 REVERT TO PRE REVISED RATES.
 CASES ALREADY SANCTIONED WILL NOT BE
 REOPENED.                        48
IMPORTANT
  ISSUES

            49
IMPORTANT ISSUES
• CGHS RATES.

• SHORTAGE OF MANPOWER AT
  POLYCLINICS.

• PROCESSING OF BILLS.

• AVAILABILITY OF MEDICINES AT
  POLYCLINICS.               50
IMP ISSUES - DIFFICULTIES FACED BY
             VETERANS
• LONG WAITING PERIODS AT HIGH PRESSURE
  POLYCLINICS.
• CONGESTED WAITING AREAS.
• SHORTAGE OF MEDICINES.
• MEDICINES ON DISCHARGE FROM HOSPITAL.
• NON- AVAILBILITY OF POLYCLINICS IN RURAL
 AREAS.
• NOT BEING REFERRED TO CIVIL HOSPITALS.
• NON AVAILABILITY OF ACCN FOR PATIENTS /
                                            51
 ATTENDANTS.
IMP ISSUES - NATURE OF
 COMPLAINTS BY VETERANS
MED TREATMENT
 AT POLYCLINICS
  ILL TREATMENT.
  SHORTAGE OF STAFF.
  LONG WAITING HRS.
  LACK OF INFRASTRUCTURE.
 AT SERVICE HOSP
  INADEQUATE FACILITIES.
  ILLTREATMENT.
  NON REFERRAL TO EMPANELLED FACILITY.
                                         52
IMP ISSUES - NATURE OF
COMPLAINTS BY VETERANS
AT EMPANELLED HOSP
 INADEQUATE FACILITIES.
 ILL TREATMENT.
 COST OF TREATMENT FULLY/PARTLY
 CHARGED.
 NON ISSUE OF MEDICINES.
GEN / MISC
 AYURVEDA TREATMENT.
 DENIAL OF TREATMENT AT EMPANELLED
 HOSP DUE TO LOW CGHS RATES.     53
IMP ISSUES - NATURE OF
 COMPLAINTS BY VETERANS
RE-IMBURSEMENT
 EMERGENCY RE-EMBURSEMENT CLAIM
 NOT/PARTIALLY PASSED.
 TRAVELLING ALLCES.
POLICY
 ADDL PCs.
 CHANGE OF PARENT PCs.
 EMPLOYMENT.

                                  54
REMEDIAL MEASURES
• REVISION OF CGHS RATES.
• SHORTAGE OF MANPOWER
  AT POLYCLINICS.
  AT HIGH PRESSURE STNS / SERVICE
  HOSPS.
• DELAY IN PROCESSING OF
  BILLS.
• OVERCHARING BY EMPANELLED
  HOSPS.                            55
REMEDIAL MEASURES
AVAILABILITY OF MEDICINES
AT POLYCLINICS.
EXTRA SPACE FOR POLYCLINIC
AT HIGH PRESSURE STNS.
EST OF DENTAL LABS.
EXPANSION OF ECHS.

                        56
REMEDIAL MEASURES -
     REVIEW OF POLICIES
• PROCEDURES MADE USER- FRIENDLY
   MEMBERSHIP FORM.
   ISSUE OF MEDICINES - 90 DAYS/TAC.
   CHANGE OF PARENT POLYCLINIC.
   ISSUE OF DUPLICATE SMART CARDS.
   ASSESSMENT OF DISABILITY OF SPECIAL CHILD.
   TREATMENT AT ‘OTHER’ STATIONS.
   CONDONING DELAYED REPORTING OF OCCURENCE
   OF EMERGENCY.
                                                57
   REFERAL POLICY.
REMEDIAL MEASURES -
     REVIEW OF POLICIES
• SUPER    SPECIALITY  TREATMENT     IN
  EMPANELLED     HOSPITALS  CAN    BE
  REVIEWED BY SAME SPECIALIST.
• SIMPLIFIED PROCEDURE FOR TREATMENT
  IN REMOTE AREAS.
• ADVISORY COMMITTEES CONSTITUTED AT
  ALL STNS FOR PERIODIC INTERACTION
  WITH VETERANS AND EMPANELLED
  HOSP.
• FEEDBACK FORM INTRODUCED.       58
MISC POINTS
REVIEW OF ECHS AND
PERFORMANCE AUDIT.
EXTENSION OF ECHS TO NEPAL.
SCHEME EXTENDED TO INDIAN
COAST GUARD AND DSC.
FREE CARDIAC OPDs.


                              59
REMEDIAL MEASURES
CASE FOR AUTH OF ADDL MANPOWER
TAKEN UP WITH MOD.
ADDL STAFF SANCTIONED FROM ARMY’S
WELFARE FUND.
REVISION OF TERMS OF ENGAGEMENT
AND PAY AND ALLCES.
VACANCIES OF 75 DOCTORS SHIFTED
FROM LOW PRESSURE TO HIGH
PRESSURE POLYCLINICS.
                                    60
CASE TAKEN UP WITH MOD FOR
AUTH OF ADDL MANPOWER AT
       POLYCLINICS
FOLLOWING ADDL MANPOWER
PROPOSED:-

  SPECIALISTS    - 44
  PARA-MED       - 732
  NON – MED      - 320

                          61
REQMT OF PART TIME SPECIALISTS :
          HIGH PRESSURE STNS
S.        STATION                  REQUIREMENT
NO                    Med   Cardio-   Onco-     Ortho    Total
                      Spl    logist   logist   Surgeon
1.     DELHI CANTT     1      1         1         1       04
2.     SOUTH DELHI     -       -        -         1       01
3.     NOIDA           1       -        -         1       02
4.     GURGAON         -       -        -         1       01
5.     PUNE            1      1         1         1       04
6.     KOLKATA         1      1         1         1       04
7.     CHANDIMANDIR    1      1         -         1       03
8.     LUCKNOW         1      1         -         -       02
9.     MUMBAI          1       -        1         -       02
                                                         62
10.    CHENNAI         1       -        -         1       02
REQMT OF PART TIME SPECIALISTS :
          HIGH PRESSURE STNS
S.     STATION                REQUIREMENT
NO               Med   Cardio-   Onco-     Ortho    Total
                 Spl    logist   logist   Surgeon
11. BANGALORE     1      1         -         1       03
12. HYDERABAD     1      1         -         -       02
13. KOCHI         1       -        -         1       02
14. TRIVANDRUM    1       -        -         -       01
15. COIMBATORE    1       -        -         1       02
16. JALANDHAR     -      1         -         1       02
17. AMRITSAR      1       -        -         1       02
18. GUWAHATI      1       -        -         -       01
19. JAMMU         1       -        -         1       02
20. AMBALA        1       -        -         1       02
                                                     63

     TOTAL       17      08        04       15       44
ADDL MANPOWER FOR ECHS
  POLYCLINICS AT MIL/NON MIL STNs
PARAMEDICS        TYPE A & B     TYPE C & D
                 POLYCLINICS    POLYCLINICS
                MIL NON MIL    MIL   NON MIL
NURSING ASST     02      02      03     02
DENTAL ASST      -      01      01     01
RECEPTIONIST*    01     -       01     01
CHOWKIDAR*       -      01       -     01
        TOTAL    03     04      05     05
NOTE - * NOT AGREED BY MOD.              64
ADDL STAFF SANCTIONED/EMP
FROM ARMY’S WELFARE FUNDS
FOLLOWING ADDL STAFF EMP OUT     OF
ARMY’S WELFARE FUNDS:-
  SPECIALIST   - 05
  PARA-MED     - 56
  NON-MED      - 47

TOTAL EXPDR    - RS 229.45 LAC
                 PER ANNUM        65
REMEDIAL MEASURES
 CASE FOR AUTH OF 28 CONSULTANTS
AND 54 CLKS TAKEN UP WITH MOD.

 ADDL STAFF SANCTIONED / EMP FROM
ARMY’S WELFARE FUND.

 MOD REQUESTED FOR ADDL MANPOWER
FOR SERVICE HOSP AS SUGGESTED BY
DGAFMS.
                              66
ADDL MANPOWER FOR AFMSDs/ SERVICE HOSP
                    TOTAL   MO   PHARMACIST/ AMB    CLK PEON/     TOTAL
                    NO OF        SKT         ASST       MAZDOOR
                    HOSP
SERVICE HOSP
HAVING LARGE         18      -      18        -     18     -       36
DEPENDENCY OF
ECHS MEMBERS

DGLP FUND OF
RS 2-4 CRORE
                     06     06      06        -     06    06       24
DGLP FUND OF RS 4
CRORE AND ABOVE      5      5       10        -     10    10       35

           TOTAL
                     29     11      34        -     34    16       95
AFMSD
                     3      03      09       03 03         -       18
 GRAND TOTAL
                     32     14      43       03 37        16      113
                                                                  67
ADDL CONSULTANTS AND CLKS
S/NO            STATION   CONSULTANTS   CLKS
1.     DELHI CANTT/NCR         3         6
2.     CHANDIMANDIR            1         2
3.     JAMMU                   1         2
4.     AMBALA                  1         2
5.     LUCKNOW                 1         2
6.     KOLKATA                 1         2
7.     PUNE                    1         2
8.     MUMBAI                  1         2
9.     CHENNAI                 1         2
10.    BANGALORE               1         2
11.    SECUNDERABAD            1         2
12.    KOCHI                   1         2
13.    TRIVANDRUM              1         2     68
ADDL CONSULTANTS AND CLKS
S/NO            STATION       CONSULTANTS   CLKS
14.    COIMBATORE                  1         2
15.    JALANDHAR                   1         2
16.    AMRITSAR                    1         2
17.    HISSAR                      1         2
18.    MEERUT                      1         2
19.    LUDHIANA                    1         2
20.    KOLHAPUR                    1         2
21.    PATHANKOT                   1         2
22.    JAIPUR                      1         2
23.    DEHRA DUN                   1         2
24.    PATNA                       1         2
25.    KANPUR                      1         2
26.    CENTRAL ORGANISATION        1         -
                                                  69
                  TOTAL           28         54
ADDL STAFF SANCTIONED/EMP
FROM ARMY’S WELFARE FUND

FOLLOWING ADDL STAFF EMP OUT OF
ARMY’S WELFARE FUNDS :-

 CONSULTANTS - 16

 CLERKS         - 38

TOTAL COST PER ANNUM – RS 55.08 LAC

                                 70
REMEDIAL MEASURES
NO SHORTAGE OF FUNDS.

CASE TAKEN UP WITH MOD FOR
 ENHANCEMENT OF LP POWERS OF OIC
 POLYCLINICS.
 AUTH OF LP POWERS TO OIC
 POLYCLINICS IN MIL STNS.

CASE TAKEN UP WITH CGDA FOR
APPOINTING IFA FOR ALL SERVICE HOSP.
                                  71
REMEDIAL MEASURES
PROCUREMENT OF MEDICINE. CASE
BEING TAKEN UP WITH MoD FOR THE
FOLLOWING
  EMPANELLMENT OF CHEMIST BY SEMO.
  VALIDITY OF RATE ENQUIRY FOR SIX
  MONTHS.
  ENHANCEMENT OF FINANCIAL POWERS OF
  SEMO FOR PURCHASE OF ECHS
  MEDICINES.

                                 72
REMEDIAL MEASURES
AUTH OF CONSULTANTS AND CLKS
FOR HIGH PRESSURE STNS. PENDING
SANCTION EMP FROM ARMY’S
WELFARE FUNDS.
POSTING OF ADDL ARMY OFFRS AT
CENTRAL ORG AND SELECTED STN HQs.
ENHANCEMENT OF DELEGATED
FINANCIAL POWERS PROPOSED TO
MOD.
                                    73
PROPOSED FINANCIAL POWERS
 REIMBURSEMENT OF MEDICAL EXPDR

   COMPETENT            FINANCIAL LIMITS (WITHOUT
 FINANCIAL AUTH              CONSULTATION)
                  EXISTING            PROPOSED
STN CDR (COL/LT   20,000              40,000
COL)
STN CDR (BRIG)    50,000              1,00,000

SUB AREA CDR      1,00,000            1,50,000
SUB AREA (I)      1,00,000            3,00,000
AREA CDR          2,00,000            3,00,000
CORPS CDR         Nil                 4,00,000
ARMY CDR          4,00,000            5,00,000
VCOAS             5,00,000            8,00,000      74
REMEDIAL MEASURES
PAYMENT ONLY AS PER CGHS RATES.

THOROUGH SCRUTINY OF BILLS AT
SUCCESSIVE STAGES.

HOSPITALS ADVISED NOT TO INFLATE
BILLS FOR EARLY PROCESSING.

ADVISORY COMMITTEES FORMED AT ALL
STNS.
                                  75
REVISED CHANNEL OF BILL
        PROCESSING
          SUBMISSION OF BILLS BY EMPANELLED FACILITY


                        POLYCLINIC
Payment

                           SEMO


                          STN HQ
                                  For bills beyond CFA
                                  power of Stn Cdr       Sanction for
                                                         payment of
                     REGIONAL CENTRE                     Bills beyond
                          ECHS                           CFA powers
                                                         of Stn Cdr


                            CFA                                76
ANALYSIS OF COMPLAINTS FROM
            01 APR 07 TO 29 FEB 08
NATURE OF COMPLAINTS            QUARTER              TOTAL
                         Q-1   Q-2   Q-3   JAN -
                                           FEB 08
RE-IMBURSEMENT           38    20    35      13     106
MEDICAL TREATMENT        34    38    35      23     130
SHORTAGE OF MEDICINES    05    04    14      -       23
AGAINST FUNCTIONARIES    01    11    15      03      30
(ECHS)
SUPREME COURT            49    57    61      05     172
JUDGEMENT FOR PRE 1996
FUNCTIONING OF ECHS      09    13    14      17      53
ON POLICY MATTERS        40    33    79      57     209
TOTAL                    176   176   253    118     723 77
MEDICAL TREATMENT
                      Ist Qtr IInd Qtr IIIrd Qtr    JAN -   Total
                                                   FEB 08
AT POLYCLINICS         19       13        11        07      50

AT EMPANELLED          02       05        04        08      19
FACILITY
AT SERVICE HOSPITAL    04       06        07        03      20

GENERAL (WITHOUT       09       14        13        05      41
ANY SPECIFICATION)

          TOTAL        34       38        35        23      130
                                                            78
SHORTAGE OF MEDICINES
                     Ist Qr   IInd Qr   IIIrd Qr   Total


SOUTHERN COMMAND      01       01         05       07
EASTERN COMMAND       01        -          -       01
WESTERN COMMAND       02       01         03       06
CENTRAL COMMAND        -       01         03       04
SOUTH WEST COMMAND     -       01         01       02
NAVY                   -        -          -        -
AIR FORCE             01        -         02       03
            TOTAL     05       04         14       23
                                                     79
ANALYSIS OF POLYCLINICS
S/ TYPE        NO OF      % OF TOTAL ESM        % OF
No OF          POLYCLINIC POLYCLINIC POPULATION TOTAL
   CITY                                         ESM
                                                POPU-
                                                LATION
1.   A/A1         23     10.13      3,04,221    14.10


2.   B/B1/        40     17.62      3,83,855    17.79
     Capital

3.   Others       164    72.24      14,68,526   68.09
                                                   80
81
EXTENSION OF ECHS TO NEPAL
APPROX 90,000 ESM FROM INDIAN ARMED
FORCES IN NEPAL.

ECHS NOT APPLICABLE IN NEPAL.

ON DIRECTIONS OF RM A TEAM VISITED
NEPAL TO STUDY THE FEASIBILITY OF
EST ECHS AND EMPANELLING HOSP IN
NEPAL.
                                82
MAJ RECOMMENDATIONS
NINE POLYCLINICS TO BE EST – FIVE IN PHASE - I AND
FOUR IN PHASE – II.
ECHS REGIONAL CENTRE TO BE EST AT KATHMANDU.
TO FUNCTION UNDER DA.
ALL PROCEDURES OF ECHS AS APPLICABLE IN INDIA
TO BE FOLLOWED WITH FOLLOWING VARIATIONS.
  FIN POWERS TO BE EXERCISED BY DA AND
  AMBASSADOR.
  RE-IMBURSEMENT TO EMPANELLED HOSP UNDER
  FIN POWERS OF DA AND AMBASSADOR.
  BULK MEDICINES TO BE SUP BY AFMSD/AMSD.
  LP OF MEDICINES UNDER POWERS OF DA AND      83
  AMBASSADOR.
ZONES AND DISTRICTS
•    FOR ADM IT IS DIVIDED INTO 14 ZONES AND 75 DISTS




                     09

    15

                                             37802
         41                       7914
              2501
                                                           3402
                 NEPALGANJ
                                                  GORKHA
                            TAMGHAS
                                      BESISAHAR                   2339
                     3204     17798
                                                                            7170

                                                                     2933               PHIDIM
                                                   3024
                                                                                    1708



                                                                                   84
ZONE WISE STATE OF PENSIONERS AS ON
                 31TH DECEMBER 2007
SL NO           ZONE   NO OF INDIAN ARMY   TOTAL
                          PENSIONERS
  1     MAHAKALI              15            15
  2     SETI                  41            41
  3     BHERI                2501          2501
  4     RAPTI                3204          3204
  5     LUMBINI              17798         17798
  6     DHAULAGIRI           7914          7914
  7     GANDAKI              37802         37802
  8     NARAYANI             3024          3024
  9     BAGMATI              3402          3402
 10     JANAKPUR             2339          2339
 11     SAGARMATHA           2933          2933
 12     KOSHI                7170          7170
 13     MECHI                1708          1708
 14     KARNALI               09            09
                                                   85
        GRAND TOTAL          89860         89860
PROPOSED NEW
 POLYCLINICS

               86
CONSIDERATIONS FOR EST OF
     NEW POLYCLINICS

DISTRICTS WITH VETERAN POPULATION
MORE THAN 1500.
RURAL / REMOTE AREAS WITH VETERAN
POPULATION OF 800.
TYPE ‘E’ MIL POLYCLINICS AT LOCATIONS
WITH VETERAN POPULATION MORE THAN
400.
ADDITIONAL POLYCLINICS PROPOSED IN
SOME LARGER CITIES.              87
ECHS INCREMENT - TYPE ‘E’ MIL
        POLYCLINIC

,,
     MO                  - 01
     NURSING ASSISTANT   - 02
     DRIVER              - 01
     MOBILE MEDICAL VAN - 01

                                88
REGION WISE SUMMARY
     PROPOSED NEW POLYCLINICS
COMMAND     EXISTING   PROPOSED TOTAL
SC             89         51     140
EC             18         28     46
WC             40         40     80
CC             52         50     102
NC             05         05     10
SWC            23         22     45
TOTAL         227        196     423
                                   89
REGION WISE SUMMARY PROPOSED
       NEW POLYCLINICS
COMMAND           PCs PROPOSED
          MIL   NON MIL   TYPE ‘E’   TOTAL
SC        01      47        01        49
EC         -      23        05        28
WC        03      37         -        40
CC         -      46        06        52
NC        01      02        02        05
SWC        -      21        01        22
TOTAL     05      176       15        196
                                             90
PROPOSED NEW POLYCLINICS
            TYPE WISE
S. NO TYPE OF PC       NO OF PCs
1.     A N/MIL             01
2.     B N/MIL            05
3.     C N/MIL            08
4.     D MIL              06
5.     D N/MIL            161
6.     E MIL               15
       TOTAL              196
                                91
PROPOSED TYPE ‘E’ POLYCLINICS
S. POLYCLINIC    MIL        COMD   REMARKS
NO               FACILITY
1.   POONCH      MH         NC     REMOTE
2.   KARGIL      FD AMB     NC     REMOTE
3.   ABOHAR      MH         SWC    RURAL
4.   RANIKHET    MH         CC     RURAL
5.   DHARCHULA   ADS        CC     REMOTE
6.   JOSHIMATH   FD AMB     CC     RURAL
7.   AMLA (MP)   AF HOSP    CC     RURAL
8.   PACHMARHI   MH         CC     RURAL
     (MP)
                                           92
9.   LANSDOWN    MH         CC     RURAL
PROPOSED TYPE ‘E’ POLYCLINICS
S. POLYCLINIC         MIL        COMD   REMARKS
NO                    FACILITY

10.   KALIMPONG       MH         EC     REMOTE
11.   MISAMARI        MH         EC     REMOTE
12.   TEJU (AP)       ADS        EC     REMOTE

13.   ALONG (AP)      ADS        EC     REMOTE

14.   BINAGURI (WB)   MH         EC     RURAL


15.   BIDAR           AF HOSP    SC     RURAL
                                                 93
PROPOSED EQUIPMENT FOR
  ECHS TYPE ‘E’ POLYCLINIC

• NEBULIZER           • SYRINGE NEEDLE
                        DESTROYER
• OXYGEN
  CONCENTRATOR        • MICROSCOPE

• SUCTION MACHINE
  BOTH BTY &          • ECG MACHINE
  ELECTRICALLY OPTD

• ELECTRIC BOILING    • MONITOR WITH
  WATER STARILIZER      DEFIBRILLATOR
                                         94
PROPOSED EQUIPMENT FOR ECHS
     TYPE ‘E’ POLYCLINIC
 • DIGITAL BLOOD           • X- RAY VIEW BOX
   PRESSURE MACHINE
                           • AMBU BAG
 • GLUCOMETER WITH
   CONSUMABLES             • MULTIPURPOSE
                             FOLDING STRETCHER
 • DRY PAPER
   BIOCHEMISTRY            • MINOR SURGICAL SET

                           • OTHER MINOR
 • MALARIA DETECTION KIT     EQUIPMENT SET
                                               95
STATE WISE SUMMARY OF
             POLYCLINICS
                                         POLYCLINICS
S.                 VETERANS
     STATE
NO                 STR        EXISTING   PROPOSED      TOTAL

     ANDHRA                      08          10        18
1                    89681
     PRADESH
     ARUNACHAL                    -          02        02
2                     829
     PRADESH
3    ASSAM           38856       03          09        12
4    BIHAR           95451       06          12        18
5    CHHATISGARH     8803        01          03        04
6    GOA             2115        01          01        02
7    GUJARAT         27510       03          03        06
                                                            96
8    HARYANA        283829       19          16        35
STATEWISE SUMMARY OF
             POLYCLINICS
S.                  VETERANS              POLYCLINICS
      STATE         STR
NO                             EXISTING   PROPOSED      TOTAL

      HIMACHAL                    08          09        17
9.                   119761
      PRADESH
      JAMMU &                     08          06        14
10.                   86204
      KASHMIR
11.   JHARKHAND       23537       02          05        07
12.   KARNATAKA       84967       09          08        17
13.   KERALA         184123       11          12        23
      MADHYA                      08          04        12
14.                   46497
      PRADESH
15.   MAHARASHTRA    196365       21          09        30
                                                             97
STATE WISE SUMMARY OF
            POLYCLINICS
                                       POLYCLINICS
S.                VETERAN
      STATE       STR
NO                          EXISTING   PROPOSED      TOTAL

16.   MANIPUR       6813       01          01        02

17.   MEGHALAYA     3068       01          -         01

18.   MIZORAM       6183       01          01        02

19.   NAGALAND      3292       02          01        03

20.   ORISSA        27032      03          06        09

21.   PUNJAB       299326      17          20        37

22.   RAJASTHAN    185170      17          12        29
23.   SIKKIM        1571       01          -         01
24.   TAMILNADU    174958      21          06        27   98
STATE WISE SUMMARY OF
              POLYCLINICS
S.                                        POLYCLINICS
                    VETERANS
      STATE
NO                  STR
                               EXISTING   PROPOSED      TOTAL

25. TRIPURA           2835        01          -         01

26. UTTARAKHAND      140158       08          13        21
                                  34          15        49
27. UTTAR PRADESH    284161

28. WEST BENGAL       66458       08          08        16

29. DELHI             41528       02          04        06

30. CHANDIGARH        9250        01          -         01
      ANDAMAN &                   01          -         01
31.                    634
      NICOBAR
                                                              99
      TOTAL          2554926      227        196        423
DEPENDANCY ON POLYCLINICS
                          AREA                DEPENDANCY PER POLYCLINIC
S.                                   STR OF
   STATE                  (Sq
NO                                   VETERANS   EXISTING    PROPOSED
                          Km)
1     ANDHRA PRADESH      2,75,068     89681      11210        4982
2     ARUNACHAL PRADESH    83,743       829         -           414
3     ASSAM                78,438      38856      12952        3238
4     BIHAR                94,163      95451      15908        5303
5     CHHATISGARH         1,35,194     8803       8803         2200
6     GOA                   3,702      2115       2115         1057
7     GUJARAT             1,96,024     27510      9170         4585
8     HARYANA              44,212     2,83,829    14938        8109
9.    HIMACHAL PRADESH     55,673     119761      14970        7044
10.   JAMMU & KASHMIR      95,643      86204      10775        6631
11.   JHARKHAND            79,714      23537      11768        3362
12.   KARNATAKA           1,91,791     84967      9440         4998
13.   KERALA               38,863     184123      16738        8005
14.   MADHYA PRADESH      3,08,253     46497      5812         3874
15.   MAHARASHTRA         3,07,713    196365      9350         6771
                                                                  100
16.   MANIPUR              22,327      6813       6813         3406
DEPENDANCY ON POLYCLINICS
                                             DEPENDANCY PER POLYCLINIC
S.                    AREA       STR OF
      STATE
NO                    (Sq Km)    VETERANS      EXISTING      PROPOSED

17.   MEGHALAYA         22,429      3068         3068           3068
18.   MIZORAM           21,081      6183         6183           3091
19.   NAGALAND          16,579      3292         1646           1097
20.   ORISSA          1,55,707     27032         9010           3003
21.   PUNJAB            50,362    2,99,326      17607           8089
22.   RAJASTHAN       3,42,239     185170       10892           6385
23.   SIKKIM             7,096      1571         1571           1571
24.   TAMILNADU       1,30,058     174958        8331           6479
25.   TRIPURA           10,492      2835         2835           2835
26.   UTTARAKHAND       55,845     140158       17519           7786
27.   UTTAR           2,38,566     284161        8357           5799
28.   PRADESH
      WEST BENGAL       88,752     66458         8307           4153
29.   DELHI              1,483     41528         20764          6921
30.   CHANDIGARH          114       9250         9250           9250
31.   A & N ISLANDS      8,249      634          634            634 101
PROPOSED TYPE ‘E’ POLYCLINICS
S. POLYCLINIC    MIL        COMD   REMARKS
NO               FACILITY
1.   POONCH      MH         NC     REMOTE
2.   KARGIL      FD AMB     NC     REMOTE
3.   ABOHAR      MH         SWC    RURAL
4.   RANIKHET    MH         CC     RURAL
5.   DHARCHULA   ADS        CC     REMOTE
6.   JOSHIMATH   FD AMB     CC     REMOTE
7.   AMLA (MP)   AF HOSP    CC     RURAL
8.   PACHMARHI   MH         CC     RURAL
     (MP)
9.   LANSDOWNE   MH         CC     REMOTE
                                        102
PROPOSED TYPE ‘E’ POLYCLINICS
S. POLYCLINIC         MIL        COMD   REMARKS
NO                    FACILITY

10.   KALIMPONG       MH         EC     REMOTE
11.   MISAMARI        MH         EC     REMOTE
12.   TEJU (AP)       ADS        EC     REMOTE

13.   ALONG (AP)      ADS        EC     REMOTE

14.   BINAGURI (WB)   MH         EC     RURAL
15.   BIDAR           AF HOSP    SC     RURAL

                                                 103
PROPOSAL FOR UPGRADATION OF EXISTING PCs
S.NO    POLYCLINIC       TYPE VETERAN STR TYPE PROPOSED
1       CHANDIMANDIR     C/M    16298     B/M
2       AMBALA           C/M    13238     B/M
3       COIMBATORE       C/M    6527      B/M
4       TIRUCHIRAPALLI   C/NM   9105      B/NM
5       LUCKNOW          C/M    11350     B/M
6       ALLEPPY          D/NM   24903     A/NM
7       ROORKEE          D/M    3279      B/M
8       MOGA             C/M    11385     B/M
9.      PATNA            C/M    7466      B/M
10.     PATHANKOT        D/M    38718     B/M
11.     VISAKHAPATANAM   C/M    10696     B/M
12.     AJMER            D/M    8907      B/M
13.     KOZIKODE         C/NM   12393     B/NM
                                                   104
14.     UDHAMPUR         C/M    7113      B/M
PROPOSAL FOR CONVERSION OF EXISTING PCs

S.    POLYCLINIC   TYPE   ESM     TYPE       REMARKS
NO                        STR     PROPOSED
1     BHARATPUR    C/M    6893    C/NM
2     SAHARANPUR   D/M    2579    D/NM
      (SARSAWA)
3     BALASORE     D/M    2993    D/NM
4     NAGPUR       C/M    5865    C/NM
5     AJMER        D/M    8907    D/NM
6     YELAHANKA    D/M    3857    D/NM
7     SIRSA        D/M    3202    D/NM
8     JANGLOT      C/M    8828    C/NM
9.    SANGRUR      B/M    14699   B/NM
10.   MOGA         C/M    11385   C/NM

11.   JAISALMER    D/M    1836    D/NM          105
PROPOSED RURAL/REMOTE
     POLYCLINICS


RURAL    - 33

REMOTE   - 10


                    106
POLYCLINICS IN J&K
POLYCLINICS   MIL        NON MIL   TOTAL

EXISTING            08       -       08

PROPOSED            03      03       06



TOTAL VETERANS – 86,204
                                       107
BANDIPUR



BARAMULA                                   ‘E’
          Badgam
     E
                    RAMBAN
                                    KISHTWAR
            REASI
                             DODA
AKHNOOR

                               NAGROTA GUJROO
BARI BRAHMANA                                                INDEX
                                                 EXISTING PCs          108
                                                                     RED (08)
                SAMBA
                                                 ADDL PC s           BLUE (06)
PROPOSED POLYCLINICS : J&K
S.NO   POLYCLINIC     ESM             TYPE       REMARKS
                      PENSIONERS      PROPOSED

1.     AKHNOOR            3212        D/M

2.     DODA               2771        D/NM

3.     POONCH             1682        E/M

4.     BARIBRAHAMNA       33248       C/NM
                        (JAMMU)
5.     KARGIL              452        E/M

6.     NAGROTA        8828 (KATHUA)   D/NM
       GUJROO
                                                    109
VETERAN PENSIONERS OF J&K
                  (AS PER KSB)
     JAMMU             34106   11. POONCH            1712
1.   -AKHNOOR           3212
     -BARI BRAHAMANA           12. ANANTNAG          1220
     KATHUA                    13. BADGAM             295
2.   -NAGROTA GUJROO    8828
                               14. KARGIL             452
3.   SAMBA             10031   15. KUPWARA             96
4.   RAJOURI            6241
                               16. PULWAMA            259
5.   SRINAGAR           4297
                               17. REASI              NA
6.   UDHAMPUR           7113
7.   LEH                3591   18. RAMBAN             310
8.   BARAMULA           3099   19. KISTWAR           974)
9.   DODA               2824                TOTAL   86204
10. BANDIPORA            756
                                                     110
DAILY AVERAGE SICK REPORT : J&K

S/No POLYCLINIC          SICK REPORT

 1    BARAMULLA               0
 2    JAMMU                  339
 3    JUNGLOT (KATHUA)       35
 4    LEH                    11
 5    RAJOURI                12
 6    SAMBA                  75
 7    SRINAGAR                8
                                   111
 8.   UDHAMPUR               93
POLYCLINICS IN HP
POLYCLINICS     MIL    NON MIL   TOTAL


EXISTING         04       04       08


PROPOSED         02       07       09




TOTAL ESM – 1,19,761                 112
HIMACHAL PRADESH

             CHAMBA



                   BAKLOH


    SHAHPUR
             YOL
                      PALAMPUR

                            JOGINDER NAGAR
                    DERA




HOSHIARPUR             GHUMARWIN

                                                     RAMPUR




                                                                         INDEX
                                             NAHAN            EXISTING PCs         113
                                                                                 RED (08)
                                                              ADDL PCs           BLUE (09)
PROPOSED POLYCLINICS : HP
S.NO POLYCLINIC         ESM          TYPE       REMARKS
                        PENSIONERS   PROPOSED
1    RAMPUR                 3186     D/NM
2    NAHAN (SIRMAUR         2247     D/M
     DIST)
3    SHAHPUR (KANGRA)       49422    C/NM
                          (KANGRA)
4    PALAMPUR              10013     D/M
5    KULLU                  1396     D/NM       RURAL
6    DERA GOPIPUR          15240     D/NM
7    JOGINDER NAGAR         1261     D/NM       RURAL
8    CHAMBA                 1200     D/NM       REMOTE
9    GHUMARWIN              8500     D/NM

                                                   114
VETERAN PENSIONERS OF HIMACHAL PRADESH
                   (AS PER KSB)
    KANGRA
                                   BILASPUR            7887
    - YOL             49422   7
                                   -GHAMARWAIN
    - PALAMPUR
1
    - DERA                    8    KULLU               1416
    - SHAHPUR
                                   SIRMOR              2290
                              9
                                   -NAHAN
2   HAMIRPUR          23187   10   SOLAN               3313
                              11   KINNAUR                  354
    MANDI
3                     12953   12   LAHUL & SPITI            196
    -JOGINDER NAGAR

    SHIMLA             3230                   TOTAL   119761
4
    - RAMPUR

5   UNA               12064

    CHAMBA             3449                           115
6
    - BAKLOH
DAILY AVERAGE SICK REPORT : HP

S/No POLYCLINIC        SICK REPORT

 1    BAKLOH               28
 2    MANDI                47
 3    YOL                  196
 4    HAMIRPUR             133
 5    BILASPUR             52
 6    UNA                  92
 7    SOLAN                13
                                 116
 8.   SHIMLA               28
POLYCLINICS IN PUNJAB
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            11      06       17


PROPOSED            02      18       20



TOTAL VETERANS – 2,98,453              117
PATHANKOT

                                      SRI GOVINDPUR

                                                TALWARA
                                  UNCHI BASSI
                     BATALA
         AJNALA

                           BEAS
                                                MAHALPUR


             TARANTARAN
                          SULTANPUR
                                           PHAGWARA
                                        SURANASI



                                                   SAMRALA     ROPAR


                                                DORAHA          SAS NAGAR
                                      JAGRAON                   (MOHALI)


                               BARNALA


                                                NABHA

ABOHAR ‘E’
                                                SAMANA

                                                   KAITHAL                  INDEX
                                                             EXISTING PCs           RED (17)
                                                             ADDL PCs               BLUE (20)
                                                                                       118
PROPOSED POLYCLINICS : PUNJAB
S.   POLYCLINIC         ESM          TYPE     REMARKS
NO                      PENSIONERS   PROPOSED


1    MOHALI                18954     C/NM

2    AJNALA                38241     D/NM
                        (AMRITSAR)
3    TARANTARAN/PATTI      38241     D/NM
                        (AMRITSAR)
4    BEAS                  38241     D/NM
                        (AMRITSAR)
5    NAWANSAHAR            3709      D/NM

6    SURANASSI              25488   D/NM
                        (JALANDHAR)
7    UCHI BASSI             25488   C/NM
                        (JALANDHAR)              119
8    ABOHAR                5754      E/M
PROPOSED POLYCLINICS : PUNJAB
S.   POLYCLINIC      VETERAN              TYPE
NO                   PENSIONERS           PROPOSED
9    JAGRAON                6469          D/NM
10   BATALA                 6352          D/NM
11   SRI GOVINDPUR    38718 (GURDASPUR)   D/NM
12   SULTANPUR       10769 (KAPURTHALA)   D/NM
13   PHAGWARA        10769 (KAPURTHALA)   D/NM
14   SAMANA                 2520          D/NM
15   BARNALA                3700          D/NM
16   NABHA                  3315          D/M
17   DORAHA           38393 (LUDHIANA)    D/NM
18   SAMRALA          38393 (LUDHIANA)    D/NM
19   MAHALPUR        47085 (HOSHIARPUR)   D/NM
20   TALWARA         47085 (HOSHIARPUR)   D/NM
                                                 120
VETERAN PENSIONERS OF PUNJAB
                          (AS PER KSB)
    AMRITSAR           38515    7    ROPAR                18984
    - TARANTARAN                     SAS NAGAR
1                               8                         18984
    - AJNALA                         (MOHALI)
    - BEAS
                                     SANGRUR              14699
    GURDASPUR          38718    9
                                     - BARNALA
    -PATHANKOT
2                               9    BHATINDA              8979
    -BATALA
    -SRI GOVINDPUR                   FEROZPUR              5789
                                10
    HOSHIARPUR                       - ABOHAR
                       47085
    -   UNCHI BASSI                KAPURTHALA
3                                                         10769
    -   MAHALPUR
                                11 -SULTANPUR
    -   TALWARA
                                   -PHAGWARA
    JALANDHAR          25570    12 MOGA                   11385
4
    -   SURANASSI
                                13 FARIDKOT                6815
    LUDHIANA           38393
    -   JAGRAON                 14 FATEHGARHSAHIB          6635
5
    -   DORAHA                  15 MANSA                   4437
    -   SAMRALA
                                16 MUKTSAR                 5699
    PATIALA            13191
6   -   NABHA
                                18 NAWANSHAHAR           1213699
    -   SAMANA                                   TOTAL   298453
DAILY AVERAGE SICK REPORT : PUNJAB

S/No POLYCLINIC         SICK REPORT

 1   PATHANKOT              135
 2   AMRITSAR               365
 3   ROPAR                  93
 4   FATEHGARH SAHIB        71
 5   FARIDKOT               31
 6   FIROZPUR               50
 7   MOGA                   33
 8   GURDASPUR              193
 9   HOSHIARPUR             154
                                  122
10   JALANDHAR              220
DAILY AVERAGE SICK REPORT : PUNJAB

S/No POLYCLINIC         SICK REPORT


11   KAPURTHALA             74

12   LUDHIANA               231

13   SANGRUR                65

14   PATIALA                123

15   BHATINDA               56

16   MANSA                  21
                                  123
17   MUKTSAR                15
POLYCLINICS IN HARYANA
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            04      15       19


PROPOSED            -       16       16




TOTAL VETERANS – 2,83,829              124
CHANDIMANDIR



                                                               NARAYANGARH




                                          NARWANA



                                                         GOHANA
                                          HANSI


                                             MAHAM                KHARKHAUDA
                                                               SAMPLA
                                                                   BAHADURGARH


                               LOHARU   CHARKHIDADRI
                                                       KOSLI




                                                       DHARUHERA
           INDEX                                                  NUH        PALWAL    51
                                         NARNAUL
EXISTING PCs       RED (19)                                                           125
ADDL PCs           BLUE (16)
PROPOSED POLYCLINICS : HARYANA
S. NO   POLYCLINIC              VETERAN             TYPE PROPOSED
                                PENSIONERS
1       GOHANA                   21522 (SONIPAT)    D/NM
2       MEHAM (ROHTAK)           20704 (ROHTAK)     D/NM
3       SAMPLA (ROHTAK)          20704 (ROHTAK)     D/NM
4       LOHARU                   32723 (JHAJJAR)    D/NM
5.      KOSLI                    32723 (JHAJJAR)    D/NM
6.      BAHADURGARH (JHAJJAR)         12512         D/NM
7       GURGAON (SOHNA ROAD)          28178         B/NM
8.      NUH (GURGAON)            28178 (GURGAON)    D/NM
9.      CHARKHIDADRI                  18696         D/NM
10.     MAHENDRAGARH                  16175         D/NM
11.     NARWANA                    10666 (JIND)     D/NM
12.     PALWAL                  10531 (FARIDABAD)   D/NM
13.     HANSI (HISSAR)            14461 (HISSAR)    D/NM
14.     DHARUHERA (REWARI)        25327 (REWARI)    D/NM
15.     NARAYANGARH (AMBALA)     13648 (AMBALA)     D/NM    126
16.     KHARKHAUDA (SONIPAT)     21522 (SONIPAT)    D/NM
VETERAN PENSIONERS OF HARYANA
               (AS PER KSB)
    AMBALA           13648        NARNAUL                 21044
1                            9
    - NARAYANGARH                 -MAHINDERGARH
    BHIWANI          36853        SONIPAT                 21522
2   - LOHARU                 10   -GOHANA
    - CHARKHIDADRI                -KHARKHAUDA
    REWARI           25327
3                                 JIND                    10666
    - DHARUHERA              11
                                  - NARWANA
    JHAJJAR          32723        FARIDABAD               10531
                             12
4   - BAHADURGARH                 - PALWAL
    - KOSLI                  13   FATEHABAD                5008

                     20704   14   KAITHAL                  4328
    ROHTAK
5   -  MEHAM                 15   KURUKSHETRA              5692
    -  SAMPLA
                             16   PANIPAT                  7112
    GURGAON          28616   17   SIRSA                    3221
6   -  SOHANA ROAD
                                  PANCHUKULA
    -  NUH                   18                            7179
                                  - CHANDIMANDIR
    HISSAR           14461
7                            19   YAMUNA NAGAR             8216
    - HANSI

8   KARNAL           6978                     TOTAL   2,83,829
                                                            127
DAILY AVERAGE SICK REPORT : HARYANA

S/No POLYCLINIC         SICK REPORT

 1   CHANDIGARH             194
 2   FARIDABAD              95
 3   KARNAL                 45
 4   AMBALA                 219
 5   SONIPAT                52
 6   PANIPAT                31
 7   YAMUNANAGAR            71
 8   KAITHAL                17
 9   KURUKSHETRA            40
                                  128
10   GURGAON                190
DAILY AVERAGE SICK REPORT : HARYANA

S/No POLYCLINIC         SICK REPORT

11   SIRSA                   9
12   JHAJJAR                56
13   REWARI                 99
14   ROHTAK                 53
15   JIND                   43
16   NARNAUL                55
17   BHIWANI                80
18   HISSAR                 43
                                  129
19   FATEHABAD               6
POLYCLINICS IN RAJASTHAN

POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            11      06       17


PROPOSED            -       12       12




TOTAL VETERANS – 1,85,170              130
SURATGARH
                                                          RAJGARH

                                                                  CHIRAWA

                                                                  BHUWANA
                                                                            BEHROR
                                                   NIM KA THANA



                                    SHERGARH
                                                    SANGANER

                                                                              HINDAUN CITY




                              (JALIPA)




           INDEX
EXISTING PCs       RED (17)
                                                                                             131
ADDL PCs           BLUE (12)                                                                       57
PROPOSED POLYCLINICS : RAJASTHAN
S.    POLYCLINIC      ESM PENSIONERS    TYPE       REMARKS
NO                                      PROPOSED
1     NEEM KA THANA     15282 (SIKAR)   D/NM
2     SHERGARH        17157 (JODHPUR)   D/NM       RURAL

3     DAUSA                 2110        D/NM
4     SANGANER         10571 (JAIPUR)   D/NM       RURAL
5     BHUWANA              33017        D/NM
6     BHILWARA              2313        D/NM
7     SURATGARH            2595         D/NM       RURAL
                      (HANUMANGARH)
8     DUNGARPUR             1180        D/NM       RURAL
9     RAJSAMAND             1709        D/NM
10    RAJGARH               8355        D/NM
11    CHIRAWA              34361        D/NM          132
12.   BEHROR            8907 (ALWAR)    D/NM
VETERAN PENSIONERS OF RAJASTHAN
     JHUNJHUNUN                    15   BUNDI                    1257
                           34361
1    -  BHUWANA
     -  CHIRAWA                    16   CHITTAURGARH              233
     SIKAR                 15282   17   DAUSA                    2948
2
     - NIM KA THANA                18   DHAULPUR                  459
     CHURU                 8355    19   DUNGARPUR                1180
3
     -  RAJGARH
                                        HANUMANGARH              2748
     JAIPUR                10571   20
4                                       - SURATGARH
     -   SANGANER
                                   21   JAISALMER                1836
     JODHPUR
5                          17157   22   JALORE                    116
     SHERGARH
     NAGAUR                15689   23   JHALAWAR                  359
6
     -  DIDWANA                    24   KARAULI                  3976
7    AJMER                 8907    25   KOTA                     2849
     ALWAR                 18957   26   PALI                     2683
8
     -  BEHROR
                                   27   RAJSAMAND                3142
9    BANSWARA                61
                                   28   SAWAI MADHOPUR           1053
10   BARAN                  380
                                   29   SHRI GANGANAGAR          4235
11   BARMER                1524
                                   30   SIROHI                    461
12   BHARATPUR             6568
                                        TONK
13   BHILWARA              3811    31                             999
14   BIKANER               3686
                                   32   UDAIPUR                  5471
                                                                    133
                                                       TOTAL   185170
DAILY AVERAGE SICK REPORT :
              RAJASTHAN
S/No POLYCLINIC           SICK REPORT

 1   BIKANER                  19
 2   SRIGANGANAGAR             9
 3   ALWAR                    68
 4   BHARATPUR                26
 5   JHUJHUNU                 97
 6   JAIPUR                   158
 7   SIKAR                    47
 8   CHURU                    11
 9   NAGAUR                    8
                                    134
10   KOTA                     47
DAILY AVERAGE SICK REPORT :
              RAJASTHAN
S/No POLYCLINIC           SICK REPORT


     HINDAUN CITY (DIST
11                             0
     KARRAULI)

12   AJMER                    29
13   BARMER (JALIPA)          11
14   JAISALMER                 0
15   JODHPUR                  93
16   PALI                      0
                                    135
17   UDAIPUR                  16
POLYCLINICS IN DELHI
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            01      01       02


PROPOSED            -       04       04




TOTAL VETERANS – 41,528                136
TIMARPUR
                                                                     HINDON




                     AF REQMT
       SHAKURBASTI


DISTRICTS




                        BH


                                         LODHI RD


                                                                       SECT 37




DUNDAHERA
 GURGAON                                               CGO COMPLEX
                       INDEX                            FARIDABAD
            EXISTING PCs RED (02)                                                137
            ADDL PCs         BLUE (04)
                                                                                       63
PROPOSED POLYCLINICS : DELHI

S.NO   POLYCLINIC      VETERAN      TYPE       REMARKS
                       PENSIONERS   PROPOSED
1      SHAKURBASTI         6021     B/NM


2      TIMARPUR            4383     C/NM


3.     KHANPUR             3737     D/NM


4.     EAST DELHI          7374     B/NM
       (PREET VIHAR)



                                                  138
VETERAN PENSIONERS OF DELHI
       (AS PER KSB)

    NORTH        1246
    NORTH WEST   9137
    NORTH EAST   4983
    WEST         2908
    SOUTH WEST   14535
    SOUTH        3737
    EAST         2491
    CENTRAL      1245
    NEW DELHI    1246
    TOTAL        41528
                              139
COMPARISION WITH CGHS - DELHI
       MEMBERS      DISPENSARIES/   AVERAGE
                    POLYCLINICS     DEPENDENCY



CGHS     3,58,749          87          3808


ECHS      41528             2         20764




                                          140
DAILY AVERAGE SICK REPORT : DELHI

S/No POLYCLINIC               SICK REPORT

 1   DELHI (BHDC)                 373
 2   NEW DELHI (LODHI ROAD)       372




                                        141
POLYCLINICS IN UP
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            15      19       34


PROPOSED            -       15       15



TOTAL VETERANS - 284161                142
SARSWA (AF)
        ROORKEE




                              LAKHIMPUR




                  FATEHGARH




                    ORAI




                                 INDEX
                  EXISTING PCs            RED (34)    143
                                                            69
                  ADDL PCs                BLUE (15)
PROPOSED POLYCLINICS : UTTAR PRADESH

S.NO   POLYCLINIC   ESM          TYPE       REMARKS
                    PENSIONERS   PROPOSED

1      BAGHPAT          4600     D/NM

2      GONDA            2379     D/NM

3      BASTI            1881     D/NM

4      JAUNPUR          2089     D/NM

5      GREATER          5023     A/NM
       NOIDA
6      LAKHIMPUR        2617     D/NM

7      MORADABAD        2223     D/NM
                                                144
PROPOSED POLYCLINICS : UTTAR PRADESH

S.NO   POLYCLINIC     ESM          TYPE       REMARKS
                      PENSIONERS   PROPOSED

8      BIJNORE            1857     D/NM

9      RAMPUR             1856     D/NM

10     HARDOI             3478     D/NM

11     BANDA              1900     D/NM
12     MIRZAPUR/          1135     D/NM       RURAL
       ROBERTS GANJ
13     BARABANKI          1827     D/NM

14     UNNAO              2755     D/NM

15     HATHRAS            5866     D/NM           145
VETERAN PENSIONERS OF UTTAR PRADESH
                        (AS PER KSB)

1    AGRA                9138   15   AZAMGARH         3652
2    ALLAHABAD           5535   16   BALLIA           9989
3    BULANDSHAR         15753   17   BADAUN           2644
4    MAINPURI            9233   18   DEORIA           4577
5    MEERUT             14597   19   BAGHPAT          4600
6    BAREILLY            6581   20   FATEHPUR         3851
7    ETAH                6976   21   FEROZABAD        3732
8    ETAWAH              8738        KHERI            2617
                                22
9    GHAZIABAD          10582        - LAKHIMPUR

10   GHAZIPUR           22119   23   MUZZAFAR NAGAR   4678

11   GORAKHPUR           4781   24   PRATAPGARH       4627

12   LUCKNOW            11350   25   SULTANPUR        7675

13   MATHURA             6143   26   VARANASI         4633

14   ALIGARH             6139   27   BAHRAICH          660
                                28   BALRAMPUR         131


                                                      146
VETERAN PENSIONERS OF UTTAR PRADESH
                           (AS PER KSB)

29   BANDA                1900   44   MAHOBA             210
30   BARABANKI            1827   45   MAHRAJGANJ         656
31   BASTI                1924   46   MAU               2769
32   BIJNORE              1858   47   MIRZAPUR          1174
33   CHANDAULI             718   48   MURADABAD         2223
34   FAIZABAD             4498   49   PILIBHIT          1369
35   FATEHGARH            9371   50   RAE BAREILLY      4570
36   GONDA                2394   51   RAMPUR            1863
37   HAMIRPUR             1176   52   SAHARANPUR        3013
38   HARDOI               3514        KANPUR DEHAT
                                 53                     3410
39   JAUNPUR              2089        -AKBARPUR MATTI

40   JHANSI               1882   54   KANPUR NAGAR      9429

     JYOTIBA PHULE
41                         664
        NAGAR
42   KAUSHAMBI             320
43   LALITPUR              254
                                                        147
VETERAN PENSIONERS OF UTTAR PRADESH
                 (AS PER KSB)
55   SANT RAVIDAS NAGAR                     208
56   SHAHJAHANPUR                          2603
57   SIDDHARTH NAGAR                        640
58   SITAPUR                               1052
59   SHRAWASTI                              115
60   UNNAO                                 2755
61   SONBHADRA                              250
62   KUSHINAGAR                             901
     JALAUN                                3028
63
     -ORAI                                 1112
64   HATHRAS                               5866
     GAUTAM BUDH NAGAR                     5353
65
     - GREATER NOIDA
66   CHITRAKOOT                             445
67   AMBEDKAR NAGAR                        1377
68   AURAIYA
69   KANNAUJ
                                                  148
                          TOTAL       284161
DAILY AVERAGE SICK REPORT : UP

S/No POLYCLINIC           SICK REPORT

 1   GHAZIABAD (HINDON)       91
 2   NOIDA                    301
 3   KANPUR                   103
 4   AGRA                     119
 5   ETAWAH                   23
 6   MAINPURI                 30
 7   FIROZABAD                27
 8   ETAH                     20
 9   BULANDSHAHR              59
                                    149
10   BAREILLY                 116
DAILY AVERAGE SICK REPORT : UP

S/No POLYCLINIC       SICK REPORT

11   BADAUN               13
12   FATEHGARH            66
     AKBARPUR MATTI
13                        11
     (KANPUR)
14   LUCKNOW              241
15   RAE BAREILLY         27
16   MATHURA              62
17   ALIGARH              19
18   MEERUT               230
19   MUZAFFARNAGAR        27    150
DAILY AVERAGE SICK REPORT : UP

S/No POLYCLINIC                SICK REPORT

20   SAHARANPUR (SARSAWA AF)       22
21   SHAHJAHANPUR                  22
22   GORAKHPUR                     73
23   ALLAHABAD                     79
24   FATEHPUR                      16
25   PRATAPGARH                    17
26   AZAMGARH                      17
27   SULTANPUR                     02
28   FAIZABAD                      28
                                        151
29   DEORIA                        13
DAILY AVERAGE SICK REPORT : UP

S/No POLYCLINIC       SICK REPORT



30   GHAZIPUR             46

31   VARANASI             30

32   BALIA                26

33   JHANSI               28

                                 152
34   ORAI                3 (0)
POLYCLINICS IN UTTARAKHAND
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            05      03       08


PROPOSED            04      09       13




TOTAL VETERANS – 1,40,158              153
UTTARAKHAND



    HERBERTPUR                                               JOSHIMATH


                                                           GOPESHWAR



           DEHRADUN




                               PAURI GARHWAL
                                                                                   DHARCHULA ‘E’



               ROORKEE
                          KOTDWARA LANSDOWNE ‘E’
                                                                            PITHORAGARH
                                                    RANIKHET ‘E’

                                                   RAMANAGAR
                                                                         BAMBASA
                                                          HALDWANI


              INDEX
                                                           RUDRAPUR
EXISTING PCs RED (08)
                                                                                               154
ADDL PCs      BLUE (13)                                                                   80
PROPOSED POLYCLINICS : UTTARAKHAND
S. POLYCLINIC                 VETERAN           TYPE     REMARKS
NO                            PENSIONERS        PROPOSED
1.   JOSHIMATH                13798 (CHAMOLI)   E/M      REMOTE
2.   DEHRADUN (HARIDWAR RD)         24792       C/NM
3.   VIKASNAGAR (DEHRADUN)    24792(DEHRADUN) D/NM

4.   TEHRI                          6002        D/NM
5.   RUDRAPRAYAG                    3699        D/NM
6.   RANIKHET                 12510 (ALMORA)    E/M      REMOTE
7.   BAGESHWAR                      9377        B/NM
8.   BANBASA (CHAMPAWAT)            3350        D/NM
9.   RUDRAPUR                       5840        D/NM
10. DHARCHULA                       21574       E/M      REMOTE
                               (PITHORAGARH)
11. LANSDOWN                       27053        E/M
                              (PAURIGARHWAL)
12. UTTARKASHI                      799         D/NM
                                                           155
13. RAM NAGAR (NAINITAL)            7350        D/NM
VETERAN PENSIONERS OF UTTARAKHAND
                (AS PER KSB)

    DEHRADUN         25170        NAINITAL
                                                    7350
1   -HARIDWAR ROAD           7    -HALDWANI
    -HERBERTPUR                   -RAMNAGAR
    PAURIGARHWAL                  UDHAM SINGH
    -PAURI           27053   8    NAGAR /           5938
2
    -KOTDWARA                     RUDRAPUR
    - LANSDOWN               9    BAGESHWAR         9584
    PITHORAGARH      21574        HARIDWAR          3279
3                            10
    - DHARCHULA                   - ROORKEE
    CHAMOLI          13798   11   RUDRAPRAYAG       3699
4   -JOSHI MATH
    -GOPESHWAR        6947   12   UTTARKASHI        799

    TEHRI GARHWAL            13   CHAMPAWAT         3402
                      6002
5
    -NEW TEHRI                           TOTAL   140158
    ALMORA           12510
6
    - RANIKHET

                                                     156
DAILY AVERAGE SICK REPORT :
             UTTARAKHAND
S/No POLYCLINIC              SICK REPORT

 1    DEHRADUN                   305
 2    GOPESHWAR                   3
 3    KOTDWARA (LANSDOWNE)       30
 4.   PAURI GARHWAL               5
 5    HALDWANI                   68
 6    PITHORAGARH                76
 7    ROORKEE                    118
                                       157
 8    ALMORA                     25
POLYCLINICS IN BIHAR
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            02      04       06


PROPOSED            -       12       12




TOTAL VETERANS – 95,451                158
BIHAR

                MOTIHARI




          CHHAPRA
                 DANAPUR
          ARA




SASARAM

                                          INDEX
                               EXISTING PCs RED (06)
                               ADDL PCs         159
                                              BLUE (12)
                                                    85
PROPOSED POLYCLINICS : BIHAR
S.NO   POLYCLINIC   ESM          TYPE       REMARKS
                    PENSIONERS   PROPOSED
1      BHAGALPUR        3475     D/NM
2      KATIHAR          389      D/NM       RURAL
3      MOTIHARI         3341     D/NM
4      SIWAN            1814     D/NM
5      SAMASTIPUR       2162     D/NM
6      MADHUBANI        5520     D/NM
7      BUXER            3601     D/NM
8      VAISHALI         2967     D/NM
9      SASARAM          2074     D/NM
10     KHAGARIA         1111     D/NM       RURAL
11     MUNGER           958      D/NM       RURAL
12     SITAMARHI        1165     D/NM       RURAL
                                                160
ESM PENSIONER OF BIHAR
                             (AS PER KSB)
     BHOJPUR                   24920   21   KATIHAR                    389
1
     - ARA                             22   KHAGARIA                   1111
     SARAN                     10548   23   KISHANGANJ                   62
2
     - CHHAPRA
                                       24   NAWADA                     324
3    MADHUBANI                 5520
                                       25   LAKHISARAI                 127
4    PATNA                     7466
                                       26   MADHEPURA                  201
5    BUXAR                     3601
                                       27   MUNGER                     2930
6    MUZAFFARPUR               9269
                                       28   NALANDA                    856
7    VAISHALI                  2967
                                       29   PURNIA                     221
8    ARRARIA                      97
                                            ROHTASH                    2074
9    AURANGABAD                 349    30
                                            -SASARAM
10   BANKA                      352    31   SAHARSA                    133
11   BEGUSARAI                  250    32   SAMASTIPUR                 2162
12   BHABHUA (KAIMUR)          1232    33   SHEIKHPURA                 101
13   BHAGALPUR                 3475    34   SHEOHAR                    486
14   CHASCOURT                  103    35   SITAMARHI                  1165
15   DARBHANGA                 5030    36   SIWAN                      1814
     EAST CHAMPARAN            3341    37   SUPAUL                     126
16
     - MOTIHARI
                                       38   WEST CHAMPARAN             318
17   GAYA                      3674
18   GOPALGANJ                  629
                                                             TOTAL   95451
19   JAMUI                      100                                    161

20   JEHANABAD                 1194
DAILY AVERAGE SICK REPORT : BIHAR


S/No POLYCLINIC         SICK REPORT


 1    ARA                   42

 2    MUZAFFARPUR           20

 3    DANAPUR (PATNA)       90

 4.   CHHAPRA               19

 5    DHARBANGA              6
                                 162
 6    GAYA                  30
POLYCLINICS IN JHARKHAND
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            01      01       02


PROPOSED            -       05       05




TOTAL VETERANS – 23,537                163
DALTANGANJ




                        JAMSHEDPUR




             CHAIBASA                           INDEX
                                     EXISTING PCs       RED (02)
                                     ADDL PCs             164
                                                        BLUE (05)

                                                              90
PROPOSED POLYCLINICS : JHARKHAND


S.   POLYCLINIC   ESM        TYPE     REMARKS
NO                PENSIONERS PROPOSED

1.   DUMKA        2091      D/NM

2.   GUMLA        3700      D/NM

3.   CHAIBASA     3748      D/NM

4.   DALTANGANJ 903         D/NM     RURAL

5.   DHANBAD      509       D/NM     RURAL
                                         165
VETERAN PENSIONERS OF JHARKHAND
                 (AS PER KSB)

1    RANCHI         13022   11   HAZARIBAG             854
2    BOKARO            4    12   LOHARDAGA              21
3    CHATRA            11   13   PAKAUR                      5
4    DEOGHAR           61        PALAMAU               903
                            14
5    DHANBAD          509        - DALTANGANJ
6    DUMKA           2091   15   SAHIBGANJ             222
     EAST                   16   GUMLA
                     1331
7       SINGHBHUM                WEST SINGHBHUM        3748
                            17
     - JAMSHEDPUR                - CHAIBASA
8    GARHWA            24   18   KODARMA
9    GIRIDIH          425
10   GODDA            306
                                             TOTAL   23537


                                                       166
DAILY AVERAGE SICK REPORT :
              JHARKHAND

S/No POLYCLINIC            SICK REPORT


 1   RANCHI                    46

 2   JAMSHEDPUR                15




                                    167
POLYCLINICS IN MP
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            05      03       08


PROPOSED            02      02       04




TOTAL VETERANS – 46,497                168
MADHYA PRADESH




                  PACHMARHI ‘E’

MHOW




                                                  INDEX      95
       AMLA ‘E’                                         169
                                       EXISTING PCs   RED (08)
                                       ADDL PCs       BLUE (04)
PROPOSED POLYCLINICS : MADHYA PRADESH

S.NO    POLYCLINIC   VETERAN       TYPE     REMARKS
                     PENSIONERS    PROPOSED


1.      SATNA             1966     D/NM


2.      UJJAIN            886      D/NM     RURAL


3.      AMLA              NA       E/M      RURAL


4.      PACHMARHI         726      E/M
                     (HOSHANGABAD)              170
VETERAN PENSIONERS OF MADHYA PRADESH
                    (AS PER KSB)
1    BHIND         6719   15   GUNA            536
2    GWALIOR       5315        HOSHANGABAD     726
                          16
3    RAISEN         130        - PACHMARHI

4    REWA          4262        INDORE         4000
                          17
                               - MHOW
5    BALAGHAT       120
                          18   JABALPUR       4972
6    BETUAL         432
                          19   JHABUA           87
7    BHOPAL        2766
                          20   KHANDWA         274
8    BILASPUR       189
                          21   KHARGAON         40
9    CHHATARPUR     554
                          22   MANDLA          178
10   CHHINDWARA     459
11   DAMOH          634   23   MANDSAUR        294

12   DATIA           95   24   MORENA         3545

13   DEWAS          545   25   NARSIMHAPUR     530

14   DHAR           367   26   PANNA           102


                                              171
VETERAN PENSIONERS OF MADHYA PRADESH
             (AS PER KSB)
   27   RAJGARH                   4
   28   RATLAM                  356
   29   SATNA                  1966
   30   SAGAR                   924
   31   SEONI                   322
   32   SHAHDOL                 420
   33   SHAJAPUR                 82
   34   SHIVPURI                231
   35   SIDHI                  1317
   36   SEHORE                   52
   37   TIKAMGARH               266
   38   UJJAIN                  905
        EAST NIMAR
   39                           NA
        - AMLA
   40   VIDISHA                 104
                     TOTAL    46497
                                       172
DAILY AVERAGE SICK REPORT : MP

S/No POLYCLINIC       SICK REPORT

 1    JABALPUR            101
 2    REWA                40
 3    MHOW                73
 4.   BHOPAL               0
 5    BHIND               34
 6    GWALIOR             94
 7    MORENA              23
                                173
 8    SAUGOR              21
POLYCLINICS IN CHATTISGARH
POLYCLINICS   MIL       NON MIL   TOTAL


EXISTING            -      01       01


PROPOSED            -      03       03



TOTAL VETERANS – 8,803
                                      174
GUMLA
            AMBIKAPUR




JAGDALPUR




                              INDEX        101
                   EXISTING PCs         175
                                      RED (01)
                   ADDL PCs           BLUE (03)
PROPOSED POLYCLINICS : CHATTISGARH


S.   POLYCLINIC   VETEERAN     TYPE       REMARKS
NO                PENSIONERS   PROPOSED

1    JAGDALPUR        397      D/NM       RURAL

2    RAIGARH          1313     D/NM       RURAL

3    BILASPUR         603      D/NM       RURAL




                                              176
VETERAN PENSIONERS OF CHATTISGARH
               (AS PER KSB)

1   BILASPUR      1242   11 KORBA               264
2   DURG          1211   12 JANJGIR             198
3   RAIPUR        1029   13 MAHASAMUND           77
4   RAIGARH       129    14 KAWARDHA              8
5   RAJNANDGAON   125    15 KANKER               60
     BASTAR       397    16 DHAMTARI             68
6
    - JAGDALPUR
    JASHPUR       1213                 TOTAL   8803
7

8   SURGUJA       182

9   DANTEWARA      20
10 KORIYA          44
                                                177
DAILY AVERAGE SICK REPORT :
              CHATTISGARH

S/No POLYCLINIC            SICK REPORT


 1   RAIPUR                     9




                                    178
POLYCLINICS IN WEST BENGAL
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            05      03       08


PROPOSED            02      06       08




TOTAL VETERANS – 66,458                179
KALIMPONG ‘E’

                          BENGDUBI

WEST BENGAL                 BINAGURI ‘E’




               RAIGANJ




               BAHRAMPUR


                     KRISHNANAGAR




              BARRACKPORE
                     SALT LAKE

                     BARUIPUR                   INDEX          106
                                     EXISTING PCs       RED (08)
                                     ADDL PCs              180
                                                        BLUE (08)
PROPOSED POLYCLINICS : WEST BENGAL
S.NO    POLYCLINIC    VETERAN        TYPE       REMARKS
                      PENSIONERS     PROPOSED
1.      BAHRAMPUR     2457           D/NM
2.      BARUIPUR      15531          D/NM
        (SOUTH 24
        PARGANA)
3.      BANKURA       819            D/NM       RURAL

4.      HOWRAH        4582           D/NM

5.      RAIGANJ       606 (UTTAR     D/NM       REMOTE
                      DINAJPUR)
6.      COOCH BEHAR   625            D/NM       RURAL

7.      KALIMPONG     11406          E/M

8.      BINNAGURI     2945           E/M        RURAL
                      (JALPAIGURI)                  181
BARAKPUR TO
                THE NORTH
KOLKATA CITY




                                        INDEX
                             EXISTING PCs        RED
                             ADDL PCs            BLUE




               BARUIPUR TO
                                                182
                THE SOUTH                        108
VETERAN PENSIONERS OF WEST BENGAL
                (AS PER KSB)
     24 PARAGANA      15727   11   MALDA                 916
1    - SALT LAKE
     - BARUIPUR               12   MIDNAPORE            5784
     DARJEELING       11685        MURSHIDABAD          2640
                              13
2    - KALIMPONG                   - BAHRAMPUR
                              14   PURULIA               410
3    KOLKATA           5722   15   BURDWAN              4380
     NADIA             5152        UTTAR DINAJPUR       1100
4                             16
     - KRISHNANAGAR                -RAIGANJ
5    BANKURA           1100   17   DAKSHIN DINAJPUR     1210
6    BIRBHUM           1527                    TOTAL   66458

7    COOCH BIHAR       1120
8    HOWRAH            2300
     HOOGLY            2369
9
     - BARRACKPORE
     JALPAIGURI        1880
10   - BENGDUBI                                        183
     - BINNAGURI
DAILY AVERAGE SICK REPORT :
            WEST BENGAL

S/No POLYCLINIC          SICK REPORT

 1   BARRACKPORE             117
 2   BENGDUBI                43
 3   DARJEELING              16
 4   KRISHNANAGAR            47
 5   KOLKOTA                 140
 6   SALT LAKE               39
 7   MIDNAPUR                13
                                   184
 8   BURDWAN                 36
POLYCLINICS IN SIKKIM
POLYCLINICS   MIL        NON MIL   TOTAL


EXISTING            01       -       01


PROPOSED            -        -        -



                                          185
INDEX
EXISTING PCs       RED (01)     186112
ADDL PCs           BLUE ( 0 )
ESM PENSIONER OF SIKKIM
         AS ON DEC 06 (AS PER KSB)

S/                                 NO OF
     DISTRICT
NO                                PENSIONR

1    GANGTOK                            905

2    GYALSI/GEYZING (W)                 301

3    NAMCHI (S)                         365

                          TOTAL        1571

                                      187
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ECHS March Update

  • 1. PRESENTATION TO COSC 11 MAR 2008 1
  • 2. GOVT APPROVAL • APPROVED ON 30 DEC 2002. • IMPLEMENTED WEF 01 APR 2003. • AUGMENTATION OF 106 ARMED FORCES CLINICS AT MIL STNS AND EST OF 121 NEW ARMED FORCES POLYCLINICS AT NON MIL STNS. 2
  • 3. CONCEPT OUTSOURCING EMPANELLED HOSPITALS/NURSING HOMES DIAGNOSTIC CENTRES/ DENTAL CLINICS/ LABORATORIES/REHABILITATION CENTRES EXISTING INFRASTRUCTURE • COMD AND CONTROL STRUCTURE • SERVICE HOSPITALS/MI ROOMS • PROCUREMENT / SUP OF MEDICINES , MED EQPT AUGMENTATION • ECHS CENTRAL ORG, REGIONAL CENTRES AND POLYCLINICS • FINANCES 3
  • 6. CURRENT STATUS ALL 227 POLYCLINICS OPERATIONALISED. MEMBERSHIP VETERANS - 6,12,211 DEPENDANTS - 14,12,411 TOTAL BENEFICIARIES - 20,24,622 12.54 LACS PRE APR 2003 RETIREES YET TO BECOME MEMBERS. 6
  • 7. MEMBERSHIP DATA AS ON 29 FEB 08 CATEGORY NOS % PRE APR 2003 RETIREES 3,45,530 16.78 POST APR 2003 RETIREES 2,25,750 11.26 FAMILY PENSIONER 40,931 01.96 TOTAL ESM 6,12,211 30.00 FATHER 64,347 03.21 MOTHER 1,00,510 05.00 SPOUSE 5,49,169 27.00 DAUGHTER 2,98,694 14.88 SON 3,99,691 19.91 TOTAL DEPENDANT 14,12,411 70.00 7 TOTAL BENEFICIARIES 20,24,622
  • 8. YEAR WISE INCREASE IN MEMBERSHIP FY MEMBERS TOTAL (AFV) BENEFICIARIES 2004-05 81,864 2,86,074 2005-06 2,65,019 9,01,065 2006-07 4,12,476 14,76,920 2007-08 6,20,000 21,00,000 (Estimated) 8
  • 9. CURRENT STATUS COST PER ECHS BENEFICIARY IN THE YEAR 2006-2007 IS RS 2,698/- AS COMPARED TO RS 5,108/- IN CGHS. PERS AVAILED MEDICAL FACILITIES :- • 2003-2004 - 35,568 • 2004-2005 - 7,18,907 • 2005-2006 - 13,81,976 • 2006-2007 - 18,64,028 • 2007-2008 - 42,39,132* (*UPTO 29 FEB 08) 9
  • 10. TRENDS: PER CAPITA EXPDR (OVERALL REVENUE) FY TOTAL MEMBERS EXPDR TOTAL EXPDR PER EXPDR (AFV) PER BENEFICIA BENEFCIARY (In Cr) MEMBER RIES (Rs) (Rs) 2004-05 82.86 81,864 20, 038 2,86,074 5736 2005-06 181.78 2,65,019 10,481 9,01,065 3062 2006-07 320.80 4,12,476 9470 14,76,920 2698 2007-08 489.91 6,20,000 9512 21,00,000 2333 (Estimated) 10
  • 11. CURRENT STATUS 88% OF THE BENEFICIARIES TREATED IN POLYCINICS, 5% IN SERVICE HOSP AND 7% IN EMPANELLED HOSP. 1002 HOSPITALS EMPANELLED IN 152 STNS (496 EMPANELLED BETWEEN SEP 06 AND OCT 07). 11
  • 12. ECHS PATIENTS REFERRED TO HOSP NATIONAL STATISTICS YEAR TOTAL NO OF PATIENTS REFERRED PATIENTS REFERRED PATIENTS SEEN TO SERVICE HOSP TO EMPANELLED FACILITY 2003-04 35,708 3,669 (10.27%) 987 (2.76%) 2004-05 7,92,422 52843 (3.57%) 34,083 (2.30%) 2005-06 14,81,817 1,08,132 (2.9%) 82,648 (2.21%) 2006-07 32,29,544 2,06,370 (6.39%) 1,84,603 (5.71) 2007-08 42,39,132 2,11,108 (4.98%) 2,92,076 (6.89%) 12
  • 13. AGE –WISE MORBIDITY TRENDS AGE GROUP % OF TOTAL SICK REPORT 0-40 YRS 27% 41-60 YRS 40% 61 YRS & ABOVE 33% 13
  • 14. YEAR WISE EMPANELMENT FIN YEAR HOSP DIAG TOTAL CENTRE 2004-05 151 65 216 2005-06 148 53 201 2006-07 196 62 258 2007-08 226 61 287 CGHS / RLY 33 07 40 EMP TOTAL 754 248 1002 14
  • 15. STATUS OF LAND ACQUISITION AND CONSTR OF POLYCLINICS AS ON 10 MAR 08 Mil Non-Mil Total POLYCLINICS 106 121 227 LAND ACQUIRED 105 31* 136 CONSTR COMPLETED 62 05 67 CONSTR IN PROGRESS 15 02 17 NOTE : 1. FUNCTIONING FROM GOVT/CONSTRUCTED BLDGS - 130 2. FUNCTIONING FROM HIRED BLDGS - 97 *A1 DEFENCE LAND – 21. 15
  • 16. OPERATIONALISATION OF ECHS POLYCLINICS POLYCLINICS 2003-04 2004-05 2005-06 2006-07 TOTAL MILITARY 36 61 09 - 106 NON 11 44 65 01 121 MILITARY TOTAL 47 105 74 01 227 16
  • 17. CONSTR OF ECHS POLYCLINICS POLY- 2003-04 2004-05 2005-06 2006-07 2007-08 TOTAL CLINICS MIL - - 11 35 16 62 NON - - - 03 02 05 MIL TOTAL - - 11 38 18 67 17
  • 18. LIST OF NON MIL POLYCLINICS WHERE LAND ACQUIRED S. REGIONAL STATE COMD POLYCLINICS TYPE LAND NO CENTRE ACQUI SITION 1 JAMMU HP WC MANDI C A1 2 CHANDIMANDIR CHANDIGARH WC CHANDIGARH B A1 3 CHANDIMANDIR PUNJAB WC ROPAR B A1 4 CHANDIMANDIR PUNJAB WC HOSHIARPUR A A1 5 NEW DELHI HARYANA WC YAMUNANAGAR C A1 6 NEW DELHI HARYANA WC GURGAON A A1 7 NEW DELHI DELHI WC NEW DELHI A A1 (LODHI ROAD) 8 LUCKNOW UP CC ALIGARH D A1 9 LUCKNOW UTTRAKHAND CC ALMORA B A1 18 10 JABALPUR UP CC PRATAPGARH D A1
  • 19. LIST OF NON MIL POLYCLINICS WHERE LAND ACQUIRED S. REGIONAL STATE CO POLYCLINICS TYPE LAND NO CENTRE MD ACQUIS ITION 11 Jabalpur UP CC Ghazipur B A1 12 Patna Bihar CC Muzaffarpur C A1 13 Patna Bihar CC Dharbanga D A1 14 Pune Maharastra SC Sholapur C A1 15 Pune MP SC Bhind D A1 16 Pune Maharastra SC Satara C A1 17 Pune Maharastra SC Thane (Nerul) C A1 18 Chennai Tamilnadu SC Tiruchirapalli C A1 19 Hyderabad AP SC Guntur C A1 19 20 Hyderabad AP SC Chittur C A1
  • 20. LIST OF NON MIL POLYCLINICS WHERE LAND ACQUIRED S. REGIONAL STATE COMD POLYCLINICS TYPE LAND NO CENTRE ACQUI SITION 21 Kochi Kerala SC Kozikode C A1 22 Chandimandir HP WC Hamirpur B C 23 Chandimandir HP WC Una C C 24 Chandimandir Punjab WC Ludhiana A C 25 Jaipur Punjab SWC Muktsar C C 26 Jaipur Rajasthan SWC Jhunjhunu A C 27 Pune Maharastra SC Kolhapur B C 28 Chennai Tamilnadu SC Vellore A C 29 Chennai Tamilnadu SC Kanchipuram C C 30 Chennai Tamilnadu SC Krishnagiri C C 20 31 Chennai Tamilnadu SC Nagapattinam D C
  • 21. CONSTR OF POLYCLINICS SERVICE NO OF POLYCLINICS MIL NON MIL TOTAL CONSTR TOTAL LAND CONSTR ACQD ARMY 89 53 117 31 05 NAVY 07 01 02 - - AIR 10 08 02 - - FORCE TOTAL 106 62 121 31 05 21
  • 22. EMPLOYMENT OF CONTRACTUAL STAFF AS ON 01 MAR 08 S.No Appt Auth Emp % 1. OIC 227 214 94.27 2. Med Specialist 176 87 49.43 3. Gynaecologist 28 16 57.14 4. Medical Officer 375 301 80.27 5. Dental Officer 255 223 87.45 6. Para Med Staff 767 669 87.22 7. Non Med Staff 992 956 96.37 22 Total 2820 2466 87.45
  • 23. PROPOSAL TO OVERCOME THE PROBLEM CRITERIA PRESENT PROPOSED MAX AGE FOR 65 YRS 70 YRS CONTRACTUAL 55 YRS 60 YRS SERVICE -MO/OIC -OTHER STAFF WORK EXPERIENCE 03 YRS LESS THAN 3 YRS TO BE SANCTIONED BY CENTRAL ORG WORKING HRS FOR 05 HRS GOC-IN-C EMPOWERED MO/SPECIALISTS/ TO EMP FOR 02 TO 03 GYNAECOLOGISTS HRS WITH PROPORTIONATE 23 REDUCTION IN WAGES
  • 24. ADDL ALLCES PROPOSED FOR MO/MED SPL IN REMOTE AREAS • REMOTE/HILL AREA COMPENSATION ALLCE – RS 3000/- PM. • TRAVELLING ALLCE – RS 2000/- PM. 24
  • 25. PROPOSED REMUNERATION OF ECHS CONTRACTUAL STAFF STAFF EXISTING PROPOSED OFFR IC / MED OFFR / DENTAL OFFR 15,000/- 22,000/- MEDICAL SPECIALIST/ 25,000/- 27,000/- GYNAECOLOGIST NURSING ASSISTANT (GENERAL) 7000/- 8,500/- NURSING ASSISTANT(NURSE) / LAB 7,500/- 9,000/- ASST / DENTAL HYGIENIST / RECEPTIONIST DRIVER 4500/- 6,500/- PEON / SAFAIWALA / FEMALE 3500/- 5,000/- ATTENDANT 25
  • 26. OVERALL EXPENDITURE (REVENUE) (Rs in Cr) CODE HEAD 2003-04 2004-05 2005-06 2006-07 2007-08 2076/107 MA (REVENUE) SALARIES 0.25 7.62 15.80 23.51 25.91 MEDICINES 13.96 24.43 47.53 104.13 185.69 MED Nil 47.65 113.54 187.18 263.11 TREATMENT OTHERS 3.01 3.15 4.91 5.98 15.20 TOTAL 17.22 82.85 181.78 320. 80 489.91 (G TOTAL) (1092.56) 26
  • 27. OVERALL EXPENDITURE (CAPITAL) (Rs in Cr) CODE HEAD 2003-04 2004-05 2005-06 2006-07 2007-08 4076/107 MA (CAPITAL) LAND Nil Nil Nil 0.07 0.10 CONSTR OF Nil 0.46 4.91 4.77 05.00 BLDG MEDICAL Nil 4.56 11.90 15.38 03.00 EQPT TOTAL Nil 5.02 16.81 20.22 08.10 (G TOTAL) (50.15) NOTE: ONE TIME SANCTION FOR CREATION OF INFRASTRUCTURE : Rs 122 Cr 27
  • 28. FUND POSITION: FY 2007-08 (Rs in Cr) HEAD MA EXPDR (JAN 08) REVENUE SALARIES 25.91 21.57 MEDICINES 185.69 151.59 MED TREATMENT 263.11 193.80 OTHERS 15.20 12.82 TOTAL 489.91 379.78 CAPITAL LAND 0.10 0.05 CONSTRUCTION 5.00 02.30 MED EQPT 3.00 02.69 TOTAL 8.10 05.05 28
  • 29. FUND POSITION: FY 2007-08 (Rs in Cr) HEAD MA EXPDR (JAN 08) REVENUE SALARIES 25.91 21.57 MEDICINES 185.69 151.59 MED TREATMENT 263.11 193.80 OTHERS 15.20 12.82 TOTAL 489.91 379.78 CAPITAL LAND 0.10 0.05 CONSTRUCTION 5.00 02.30 MED EQPT 3.00 02.69 TOTAL 8.10 05.05 29
  • 30. OTHERS INCLUDE MOV OF PERS AND STORES CONTINGENCY EXPDR INFORMATION TECHNOLOGY MAINTENANCE OF EQPT NON-MEDICAL STORES PUBLICITY REVENUE WORKS 30
  • 31. SAVINGS TO THE GOVT (Rs in Cr) Receipts 2004-05 2005-06 2006-07 2007-08 Total (Feb 08) ECHS 63.88 54.76 49.31 49.90 217.85 Contribution Savings on 6.71 20.81 41.75 55.26 124.53 FMA (approx) Total 70.59 75.57 91.06 105.16 342.38 31
  • 33. PROPOSALS ESTABLISH 181 NEW POLYCLINICS. 15 MIL MED FACILITIES IN REMOTE AREAS TO BE AUTHORISED ECHS INCREMENT - TYPE ‘E’ MIL STATION POLYCLINIC. CONVERT 11 MIL TYPE POLYCLINICS TO NON MIL TYPE. UPGRADE 14 POLYCLINICS. 33
  • 34. REVISION OF CGHS RATES 34
  • 35. REVISION OF CGHS RATES ECHS RATES FOR PAYMENT TO EMPANELLED HOSPITALS HAVE TO BE IN CONFORMITY WITH CGHS RATES. CGHS REVISED ITS RATES IN NOV 06 FOR DELHI AND IN JUL 07 FOR REST OF THE COUNTRY. 35
  • 36. REVISION OF CGHS RATES REVISED RATES FOR NEUROLOGY/ NEUROSURGERY,ONCOLOGY/ONCOSURGERY, NEPHROLOGY, UROLOGY, GASTRO-INTESTINAL SURGERY ARE NOT ACCEPTABLE. REVISED RATES FOR CARDIOLOGY, JOINT REPLACEMENT AND OPHTHALMOLOGY (EYE) ONLY ARE ACCEPTABLE IN DELHI. IN SOUTHERN INDIA EVEN CARDIOLOGY RATES ARE NOT ACCEPTABLE. 36
  • 37. REVISION OF CGHS RATES THE RATES FOR OVER 90% TREATMENT AND DIAGNOSTIC PROCEDURES IN ALL REGIONS HAVE BEEN REDUCED. INTER-CITY VARIATION IN RATES AND ALSO BETWEEN CITIES UNDER SAME GROUP. 37
  • 38. COMPARATIVE ANALYSIS OF OLD AND REVISED CGHS RATES PROCEDURE CGHS RATES NAME OF OLD NEW CITY % REDUCTION Consultation Rs 61 Rs 30 51 Delhi Rs 70 Rs 25 64.3 Pune Rs 50 Rs 20 60 Meerut / Allahabad Nephrology/ Genitourinary Surgery Nephrectomy Rs 17,900/- Rs 12,000/- 33 Delhi Rs 19,600/- Rs 12,000/- 38.8 Bangalore/ Chennai Retroperiton Rs 35,000/- Rs 28,000/- 20 Delhi eoscopy 38 Nephrectomy
  • 39. PROCEDURE CGHS RATES NAME OF CITY OLD NEW % REDUCTION Joint Replacement Surgery Total Hip Rs 68,000 Rs 45,000 + 34 Bangalore/ + Implant Implant Chennai / Replacement A1 Cities. Total Knee Joint Rs 91,000 Rs 68,000 + 25.3 Bangalore/ + Impant Implant Chennai / Replacement A1 Cities. Neurosurgery Excision of Lobe Rs 50,000/- Rs 37,000/- 26 Bangalore/ Chennai Craniotomy with Rs 50,000/- Rs 31,500/- 37 Bangalore/ evacuation of Chennai Haematoma 39
  • 40. PROCEDURE CGHS RATES NAME OF CITY OLD NEW %REDUCTION Cardio-thoracic Procedures Patent Rs 1,01,000/- Rs 73,200/- 27.6 Delhi Ductus Rs 85,000/- Rs 25,000/- 70.6 Pune Arteriousus Coronary Rs 87,500/- Rs 85,000/- 2.9 Delhi Balloon Rs 93,000/- Rs 60,000/- Bangalore/ 35.5 Angioplasty Chennai (Stent Cost Rs 70,000/- Rs 30,000/- 57.1 Nagpur Extra) Rs 93,000/- Rs 30,000/- 67.8 Pune Coronary Rs 1,48,500/- Rs 85,000/- 42.8 Mumbai Bypass Rs 1,33,650/- Rs1,30,000/- 2.8 Delhi Surgery Rs 1,40,000/- Rs1,10,000/- 21.5 Pune 40
  • 41. PROCEDURE CGHS RATES NAME OF CITY OLD NEW % REDUCTION Neuro Surgery Excision of Rs 30,000/- Rs 24,000/- 20 Delhi Cervical Inter Vertebral Discs Meningomyelocele Rs 50,000/- Rs 32,000/- 36 Delhi Paediatric Surgery Tracheo Rs 29,492/- Rs 20,150/- 31.7 Delhi (Oesophageal Fistula Correction Surgery) Diaphragmatic Rs 20,200/- Rs 12,600/- 37.7 Delhi Hernia Repair (Thoracic or Abdominal 41 approach)
  • 42. PROCEDURE CGHS RATES NAME OF CITY OLD NEW % REDUCTION Diagnostic Procedures MRI Head With Rs 8,000/- Rs 3,500/- 56.3 Delhi contrast MRI Head Rs 5,000 Rs 2,500/- 50 Delhi Without contrast CT Whole Rs 5,580/- Rs 3,400/- 39.1 Delhi abdomen with contrast CT Whole Rs 4,185/- Rs 2,092/- 50.1 Delhi abdomen without contrast 42
  • 43. PROCEDURE CGHS RATES NAME OF OLD NEW % REDUCTION CITY Fistula in-ano Rs 8000/- Rs 1000/- 87.5 Calicut Laparotomy failed Rs 10500/- Rs 4050/- 61.5 Calicut Laproscopy Myringotomy Rs 2,400/- Rs 600/- 75 Calicut Peritoneal Rs 900/- Rs 350/- 61.2 Calicut Dialysis Cholecystectomy Rs 14,000/- Rs 6,000 57.2 Calicut Jejunostomy Rs 10,300/- Rs 3,500/- 66.1 Calicut Operation of Rs 3500/- Rs 1500/ 57.2 Calicut Haemorrhoids Dilatation of Rs 600/- Rs 75/- 87.5 Calicut Urethra Ovarian Rs 8500/- Rs 6000/- 29.5 Calicut 43 Cystectomy
  • 44. INTER CITY VARIATION IN RATES PROCEDURE HYDERABAD PUNE DELHI CARDIOLOGY/CARDIO-THORACIC Balloon Rs 74,950/- Rs 30,000/- Rs 1,05,000/- Angioplasty with Valvotomy Coronary Rs 85,000/- Rs1,10,000/- Rs 1,30,000/- Bypass Surgery Closed Rs 40,000/- Rs 20,000/- Rs 1,10,000/- Valvotomy Patent Ductus Rs 35,000/- Rs 25,000/- Rs 73,200/- Arteriosus 44
  • 45. INTER CITY VARIATION IN RATES PROCEDURE HYDERABAD PUNE DELHI ONCOLOGY & ONCOSURGERY Carotid Body Rs 15,000/- Rs 22,000/- Rs 28,500/- Excision Total Rs 20,000/- Rs 22,000/- Rs 28,400/- Laryngectomy Parapharyngeal Rs 22,500/- Rs 21,000/- Rs 28,500/- Tumour Excision 45
  • 46. INTER CITY VARIATION IN RATES PROCEDURE HYDERABAD BANGALORE DELHI CHEMOTHERAPY CHARGES SINGLE DRUG Rs 200/- Rs 500/- Rs 400/- THERAPY PER DAY MULTIPLE DRUG Rs 300/- Rs 600/- Rs 650/- THERAPY PER DAY INFUSIONAL Rs 500/- Rs 750/- Rs 750/- CHEMOTHERAPY 46
  • 47. EFFECTS OF REVISION OF RATES MOST OF THE REPUTED HOSPITALS HAVE DISCONTINUED TREATMENT OF ECHS PATIENTS. INDIFFERENT ATTENTION BY HOSPITALS WHICH ARE STILL EMPANELLED (BECAUSE OF LOW REMUNERATION). 47
  • 48. ACTIONS TAKEN REVISED RATES IMPLEMENTED WITH EFFECT FROM 01 DEC 07. ISSUE RAISED WITH RM THROUGH CHAIRMAN COSC. FOLLOWING DIRECTIONS RECEIVED ON 03 MAR 08 :- REVERT TO PRE REVISED RATES. CASES ALREADY SANCTIONED WILL NOT BE REOPENED. 48
  • 50. IMPORTANT ISSUES • CGHS RATES. • SHORTAGE OF MANPOWER AT POLYCLINICS. • PROCESSING OF BILLS. • AVAILABILITY OF MEDICINES AT POLYCLINICS. 50
  • 51. IMP ISSUES - DIFFICULTIES FACED BY VETERANS • LONG WAITING PERIODS AT HIGH PRESSURE POLYCLINICS. • CONGESTED WAITING AREAS. • SHORTAGE OF MEDICINES. • MEDICINES ON DISCHARGE FROM HOSPITAL. • NON- AVAILBILITY OF POLYCLINICS IN RURAL AREAS. • NOT BEING REFERRED TO CIVIL HOSPITALS. • NON AVAILABILITY OF ACCN FOR PATIENTS / 51 ATTENDANTS.
  • 52. IMP ISSUES - NATURE OF COMPLAINTS BY VETERANS MED TREATMENT AT POLYCLINICS ILL TREATMENT. SHORTAGE OF STAFF. LONG WAITING HRS. LACK OF INFRASTRUCTURE. AT SERVICE HOSP INADEQUATE FACILITIES. ILLTREATMENT. NON REFERRAL TO EMPANELLED FACILITY. 52
  • 53. IMP ISSUES - NATURE OF COMPLAINTS BY VETERANS AT EMPANELLED HOSP INADEQUATE FACILITIES. ILL TREATMENT. COST OF TREATMENT FULLY/PARTLY CHARGED. NON ISSUE OF MEDICINES. GEN / MISC AYURVEDA TREATMENT. DENIAL OF TREATMENT AT EMPANELLED HOSP DUE TO LOW CGHS RATES. 53
  • 54. IMP ISSUES - NATURE OF COMPLAINTS BY VETERANS RE-IMBURSEMENT EMERGENCY RE-EMBURSEMENT CLAIM NOT/PARTIALLY PASSED. TRAVELLING ALLCES. POLICY ADDL PCs. CHANGE OF PARENT PCs. EMPLOYMENT. 54
  • 55. REMEDIAL MEASURES • REVISION OF CGHS RATES. • SHORTAGE OF MANPOWER AT POLYCLINICS. AT HIGH PRESSURE STNS / SERVICE HOSPS. • DELAY IN PROCESSING OF BILLS. • OVERCHARING BY EMPANELLED HOSPS. 55
  • 56. REMEDIAL MEASURES AVAILABILITY OF MEDICINES AT POLYCLINICS. EXTRA SPACE FOR POLYCLINIC AT HIGH PRESSURE STNS. EST OF DENTAL LABS. EXPANSION OF ECHS. 56
  • 57. REMEDIAL MEASURES - REVIEW OF POLICIES • PROCEDURES MADE USER- FRIENDLY MEMBERSHIP FORM. ISSUE OF MEDICINES - 90 DAYS/TAC. CHANGE OF PARENT POLYCLINIC. ISSUE OF DUPLICATE SMART CARDS. ASSESSMENT OF DISABILITY OF SPECIAL CHILD. TREATMENT AT ‘OTHER’ STATIONS. CONDONING DELAYED REPORTING OF OCCURENCE OF EMERGENCY. 57 REFERAL POLICY.
  • 58. REMEDIAL MEASURES - REVIEW OF POLICIES • SUPER SPECIALITY TREATMENT IN EMPANELLED HOSPITALS CAN BE REVIEWED BY SAME SPECIALIST. • SIMPLIFIED PROCEDURE FOR TREATMENT IN REMOTE AREAS. • ADVISORY COMMITTEES CONSTITUTED AT ALL STNS FOR PERIODIC INTERACTION WITH VETERANS AND EMPANELLED HOSP. • FEEDBACK FORM INTRODUCED. 58
  • 59. MISC POINTS REVIEW OF ECHS AND PERFORMANCE AUDIT. EXTENSION OF ECHS TO NEPAL. SCHEME EXTENDED TO INDIAN COAST GUARD AND DSC. FREE CARDIAC OPDs. 59
  • 60. REMEDIAL MEASURES CASE FOR AUTH OF ADDL MANPOWER TAKEN UP WITH MOD. ADDL STAFF SANCTIONED FROM ARMY’S WELFARE FUND. REVISION OF TERMS OF ENGAGEMENT AND PAY AND ALLCES. VACANCIES OF 75 DOCTORS SHIFTED FROM LOW PRESSURE TO HIGH PRESSURE POLYCLINICS. 60
  • 61. CASE TAKEN UP WITH MOD FOR AUTH OF ADDL MANPOWER AT POLYCLINICS FOLLOWING ADDL MANPOWER PROPOSED:- SPECIALISTS - 44 PARA-MED - 732 NON – MED - 320 61
  • 62. REQMT OF PART TIME SPECIALISTS : HIGH PRESSURE STNS S. STATION REQUIREMENT NO Med Cardio- Onco- Ortho Total Spl logist logist Surgeon 1. DELHI CANTT 1 1 1 1 04 2. SOUTH DELHI - - - 1 01 3. NOIDA 1 - - 1 02 4. GURGAON - - - 1 01 5. PUNE 1 1 1 1 04 6. KOLKATA 1 1 1 1 04 7. CHANDIMANDIR 1 1 - 1 03 8. LUCKNOW 1 1 - - 02 9. MUMBAI 1 - 1 - 02 62 10. CHENNAI 1 - - 1 02
  • 63. REQMT OF PART TIME SPECIALISTS : HIGH PRESSURE STNS S. STATION REQUIREMENT NO Med Cardio- Onco- Ortho Total Spl logist logist Surgeon 11. BANGALORE 1 1 - 1 03 12. HYDERABAD 1 1 - - 02 13. KOCHI 1 - - 1 02 14. TRIVANDRUM 1 - - - 01 15. COIMBATORE 1 - - 1 02 16. JALANDHAR - 1 - 1 02 17. AMRITSAR 1 - - 1 02 18. GUWAHATI 1 - - - 01 19. JAMMU 1 - - 1 02 20. AMBALA 1 - - 1 02 63 TOTAL 17 08 04 15 44
  • 64. ADDL MANPOWER FOR ECHS POLYCLINICS AT MIL/NON MIL STNs PARAMEDICS TYPE A & B TYPE C & D POLYCLINICS POLYCLINICS MIL NON MIL MIL NON MIL NURSING ASST 02 02 03 02 DENTAL ASST - 01 01 01 RECEPTIONIST* 01 - 01 01 CHOWKIDAR* - 01 - 01 TOTAL 03 04 05 05 NOTE - * NOT AGREED BY MOD. 64
  • 65. ADDL STAFF SANCTIONED/EMP FROM ARMY’S WELFARE FUNDS FOLLOWING ADDL STAFF EMP OUT OF ARMY’S WELFARE FUNDS:- SPECIALIST - 05 PARA-MED - 56 NON-MED - 47 TOTAL EXPDR - RS 229.45 LAC PER ANNUM 65
  • 66. REMEDIAL MEASURES CASE FOR AUTH OF 28 CONSULTANTS AND 54 CLKS TAKEN UP WITH MOD. ADDL STAFF SANCTIONED / EMP FROM ARMY’S WELFARE FUND. MOD REQUESTED FOR ADDL MANPOWER FOR SERVICE HOSP AS SUGGESTED BY DGAFMS. 66
  • 67. ADDL MANPOWER FOR AFMSDs/ SERVICE HOSP TOTAL MO PHARMACIST/ AMB CLK PEON/ TOTAL NO OF SKT ASST MAZDOOR HOSP SERVICE HOSP HAVING LARGE 18 - 18 - 18 - 36 DEPENDENCY OF ECHS MEMBERS DGLP FUND OF RS 2-4 CRORE 06 06 06 - 06 06 24 DGLP FUND OF RS 4 CRORE AND ABOVE 5 5 10 - 10 10 35 TOTAL 29 11 34 - 34 16 95 AFMSD 3 03 09 03 03 - 18 GRAND TOTAL 32 14 43 03 37 16 113 67
  • 68. ADDL CONSULTANTS AND CLKS S/NO STATION CONSULTANTS CLKS 1. DELHI CANTT/NCR 3 6 2. CHANDIMANDIR 1 2 3. JAMMU 1 2 4. AMBALA 1 2 5. LUCKNOW 1 2 6. KOLKATA 1 2 7. PUNE 1 2 8. MUMBAI 1 2 9. CHENNAI 1 2 10. BANGALORE 1 2 11. SECUNDERABAD 1 2 12. KOCHI 1 2 13. TRIVANDRUM 1 2 68
  • 69. ADDL CONSULTANTS AND CLKS S/NO STATION CONSULTANTS CLKS 14. COIMBATORE 1 2 15. JALANDHAR 1 2 16. AMRITSAR 1 2 17. HISSAR 1 2 18. MEERUT 1 2 19. LUDHIANA 1 2 20. KOLHAPUR 1 2 21. PATHANKOT 1 2 22. JAIPUR 1 2 23. DEHRA DUN 1 2 24. PATNA 1 2 25. KANPUR 1 2 26. CENTRAL ORGANISATION 1 - 69 TOTAL 28 54
  • 70. ADDL STAFF SANCTIONED/EMP FROM ARMY’S WELFARE FUND FOLLOWING ADDL STAFF EMP OUT OF ARMY’S WELFARE FUNDS :- CONSULTANTS - 16 CLERKS - 38 TOTAL COST PER ANNUM – RS 55.08 LAC 70
  • 71. REMEDIAL MEASURES NO SHORTAGE OF FUNDS. CASE TAKEN UP WITH MOD FOR ENHANCEMENT OF LP POWERS OF OIC POLYCLINICS. AUTH OF LP POWERS TO OIC POLYCLINICS IN MIL STNS. CASE TAKEN UP WITH CGDA FOR APPOINTING IFA FOR ALL SERVICE HOSP. 71
  • 72. REMEDIAL MEASURES PROCUREMENT OF MEDICINE. CASE BEING TAKEN UP WITH MoD FOR THE FOLLOWING EMPANELLMENT OF CHEMIST BY SEMO. VALIDITY OF RATE ENQUIRY FOR SIX MONTHS. ENHANCEMENT OF FINANCIAL POWERS OF SEMO FOR PURCHASE OF ECHS MEDICINES. 72
  • 73. REMEDIAL MEASURES AUTH OF CONSULTANTS AND CLKS FOR HIGH PRESSURE STNS. PENDING SANCTION EMP FROM ARMY’S WELFARE FUNDS. POSTING OF ADDL ARMY OFFRS AT CENTRAL ORG AND SELECTED STN HQs. ENHANCEMENT OF DELEGATED FINANCIAL POWERS PROPOSED TO MOD. 73
  • 74. PROPOSED FINANCIAL POWERS REIMBURSEMENT OF MEDICAL EXPDR COMPETENT FINANCIAL LIMITS (WITHOUT FINANCIAL AUTH CONSULTATION) EXISTING PROPOSED STN CDR (COL/LT 20,000 40,000 COL) STN CDR (BRIG) 50,000 1,00,000 SUB AREA CDR 1,00,000 1,50,000 SUB AREA (I) 1,00,000 3,00,000 AREA CDR 2,00,000 3,00,000 CORPS CDR Nil 4,00,000 ARMY CDR 4,00,000 5,00,000 VCOAS 5,00,000 8,00,000 74
  • 75. REMEDIAL MEASURES PAYMENT ONLY AS PER CGHS RATES. THOROUGH SCRUTINY OF BILLS AT SUCCESSIVE STAGES. HOSPITALS ADVISED NOT TO INFLATE BILLS FOR EARLY PROCESSING. ADVISORY COMMITTEES FORMED AT ALL STNS. 75
  • 76. REVISED CHANNEL OF BILL PROCESSING SUBMISSION OF BILLS BY EMPANELLED FACILITY POLYCLINIC Payment SEMO STN HQ For bills beyond CFA power of Stn Cdr Sanction for payment of REGIONAL CENTRE Bills beyond ECHS CFA powers of Stn Cdr CFA 76
  • 77. ANALYSIS OF COMPLAINTS FROM 01 APR 07 TO 29 FEB 08 NATURE OF COMPLAINTS QUARTER TOTAL Q-1 Q-2 Q-3 JAN - FEB 08 RE-IMBURSEMENT 38 20 35 13 106 MEDICAL TREATMENT 34 38 35 23 130 SHORTAGE OF MEDICINES 05 04 14 - 23 AGAINST FUNCTIONARIES 01 11 15 03 30 (ECHS) SUPREME COURT 49 57 61 05 172 JUDGEMENT FOR PRE 1996 FUNCTIONING OF ECHS 09 13 14 17 53 ON POLICY MATTERS 40 33 79 57 209 TOTAL 176 176 253 118 723 77
  • 78. MEDICAL TREATMENT Ist Qtr IInd Qtr IIIrd Qtr JAN - Total FEB 08 AT POLYCLINICS 19 13 11 07 50 AT EMPANELLED 02 05 04 08 19 FACILITY AT SERVICE HOSPITAL 04 06 07 03 20 GENERAL (WITHOUT 09 14 13 05 41 ANY SPECIFICATION) TOTAL 34 38 35 23 130 78
  • 79. SHORTAGE OF MEDICINES Ist Qr IInd Qr IIIrd Qr Total SOUTHERN COMMAND 01 01 05 07 EASTERN COMMAND 01 - - 01 WESTERN COMMAND 02 01 03 06 CENTRAL COMMAND - 01 03 04 SOUTH WEST COMMAND - 01 01 02 NAVY - - - - AIR FORCE 01 - 02 03 TOTAL 05 04 14 23 79
  • 80. ANALYSIS OF POLYCLINICS S/ TYPE NO OF % OF TOTAL ESM % OF No OF POLYCLINIC POLYCLINIC POPULATION TOTAL CITY ESM POPU- LATION 1. A/A1 23 10.13 3,04,221 14.10 2. B/B1/ 40 17.62 3,83,855 17.79 Capital 3. Others 164 72.24 14,68,526 68.09 80
  • 81. 81
  • 82. EXTENSION OF ECHS TO NEPAL APPROX 90,000 ESM FROM INDIAN ARMED FORCES IN NEPAL. ECHS NOT APPLICABLE IN NEPAL. ON DIRECTIONS OF RM A TEAM VISITED NEPAL TO STUDY THE FEASIBILITY OF EST ECHS AND EMPANELLING HOSP IN NEPAL. 82
  • 83. MAJ RECOMMENDATIONS NINE POLYCLINICS TO BE EST – FIVE IN PHASE - I AND FOUR IN PHASE – II. ECHS REGIONAL CENTRE TO BE EST AT KATHMANDU. TO FUNCTION UNDER DA. ALL PROCEDURES OF ECHS AS APPLICABLE IN INDIA TO BE FOLLOWED WITH FOLLOWING VARIATIONS. FIN POWERS TO BE EXERCISED BY DA AND AMBASSADOR. RE-IMBURSEMENT TO EMPANELLED HOSP UNDER FIN POWERS OF DA AND AMBASSADOR. BULK MEDICINES TO BE SUP BY AFMSD/AMSD. LP OF MEDICINES UNDER POWERS OF DA AND 83 AMBASSADOR.
  • 84. ZONES AND DISTRICTS • FOR ADM IT IS DIVIDED INTO 14 ZONES AND 75 DISTS 09 15 37802 41 7914 2501 3402 NEPALGANJ GORKHA TAMGHAS BESISAHAR 2339 3204 17798 7170 2933 PHIDIM 3024 1708 84
  • 85. ZONE WISE STATE OF PENSIONERS AS ON 31TH DECEMBER 2007 SL NO ZONE NO OF INDIAN ARMY TOTAL PENSIONERS 1 MAHAKALI 15 15 2 SETI 41 41 3 BHERI 2501 2501 4 RAPTI 3204 3204 5 LUMBINI 17798 17798 6 DHAULAGIRI 7914 7914 7 GANDAKI 37802 37802 8 NARAYANI 3024 3024 9 BAGMATI 3402 3402 10 JANAKPUR 2339 2339 11 SAGARMATHA 2933 2933 12 KOSHI 7170 7170 13 MECHI 1708 1708 14 KARNALI 09 09 85 GRAND TOTAL 89860 89860
  • 87. CONSIDERATIONS FOR EST OF NEW POLYCLINICS DISTRICTS WITH VETERAN POPULATION MORE THAN 1500. RURAL / REMOTE AREAS WITH VETERAN POPULATION OF 800. TYPE ‘E’ MIL POLYCLINICS AT LOCATIONS WITH VETERAN POPULATION MORE THAN 400. ADDITIONAL POLYCLINICS PROPOSED IN SOME LARGER CITIES. 87
  • 88. ECHS INCREMENT - TYPE ‘E’ MIL POLYCLINIC ,, MO - 01 NURSING ASSISTANT - 02 DRIVER - 01 MOBILE MEDICAL VAN - 01 88
  • 89. REGION WISE SUMMARY PROPOSED NEW POLYCLINICS COMMAND EXISTING PROPOSED TOTAL SC 89 51 140 EC 18 28 46 WC 40 40 80 CC 52 50 102 NC 05 05 10 SWC 23 22 45 TOTAL 227 196 423 89
  • 90. REGION WISE SUMMARY PROPOSED NEW POLYCLINICS COMMAND PCs PROPOSED MIL NON MIL TYPE ‘E’ TOTAL SC 01 47 01 49 EC - 23 05 28 WC 03 37 - 40 CC - 46 06 52 NC 01 02 02 05 SWC - 21 01 22 TOTAL 05 176 15 196 90
  • 91. PROPOSED NEW POLYCLINICS TYPE WISE S. NO TYPE OF PC NO OF PCs 1. A N/MIL 01 2. B N/MIL 05 3. C N/MIL 08 4. D MIL 06 5. D N/MIL 161 6. E MIL 15 TOTAL 196 91
  • 92. PROPOSED TYPE ‘E’ POLYCLINICS S. POLYCLINIC MIL COMD REMARKS NO FACILITY 1. POONCH MH NC REMOTE 2. KARGIL FD AMB NC REMOTE 3. ABOHAR MH SWC RURAL 4. RANIKHET MH CC RURAL 5. DHARCHULA ADS CC REMOTE 6. JOSHIMATH FD AMB CC RURAL 7. AMLA (MP) AF HOSP CC RURAL 8. PACHMARHI MH CC RURAL (MP) 92 9. LANSDOWN MH CC RURAL
  • 93. PROPOSED TYPE ‘E’ POLYCLINICS S. POLYCLINIC MIL COMD REMARKS NO FACILITY 10. KALIMPONG MH EC REMOTE 11. MISAMARI MH EC REMOTE 12. TEJU (AP) ADS EC REMOTE 13. ALONG (AP) ADS EC REMOTE 14. BINAGURI (WB) MH EC RURAL 15. BIDAR AF HOSP SC RURAL 93
  • 94. PROPOSED EQUIPMENT FOR ECHS TYPE ‘E’ POLYCLINIC • NEBULIZER • SYRINGE NEEDLE DESTROYER • OXYGEN CONCENTRATOR • MICROSCOPE • SUCTION MACHINE BOTH BTY & • ECG MACHINE ELECTRICALLY OPTD • ELECTRIC BOILING • MONITOR WITH WATER STARILIZER DEFIBRILLATOR 94
  • 95. PROPOSED EQUIPMENT FOR ECHS TYPE ‘E’ POLYCLINIC • DIGITAL BLOOD • X- RAY VIEW BOX PRESSURE MACHINE • AMBU BAG • GLUCOMETER WITH CONSUMABLES • MULTIPURPOSE FOLDING STRETCHER • DRY PAPER BIOCHEMISTRY • MINOR SURGICAL SET • OTHER MINOR • MALARIA DETECTION KIT EQUIPMENT SET 95
  • 96. STATE WISE SUMMARY OF POLYCLINICS POLYCLINICS S. VETERANS STATE NO STR EXISTING PROPOSED TOTAL ANDHRA 08 10 18 1 89681 PRADESH ARUNACHAL - 02 02 2 829 PRADESH 3 ASSAM 38856 03 09 12 4 BIHAR 95451 06 12 18 5 CHHATISGARH 8803 01 03 04 6 GOA 2115 01 01 02 7 GUJARAT 27510 03 03 06 96 8 HARYANA 283829 19 16 35
  • 97. STATEWISE SUMMARY OF POLYCLINICS S. VETERANS POLYCLINICS STATE STR NO EXISTING PROPOSED TOTAL HIMACHAL 08 09 17 9. 119761 PRADESH JAMMU & 08 06 14 10. 86204 KASHMIR 11. JHARKHAND 23537 02 05 07 12. KARNATAKA 84967 09 08 17 13. KERALA 184123 11 12 23 MADHYA 08 04 12 14. 46497 PRADESH 15. MAHARASHTRA 196365 21 09 30 97
  • 98. STATE WISE SUMMARY OF POLYCLINICS POLYCLINICS S. VETERAN STATE STR NO EXISTING PROPOSED TOTAL 16. MANIPUR 6813 01 01 02 17. MEGHALAYA 3068 01 - 01 18. MIZORAM 6183 01 01 02 19. NAGALAND 3292 02 01 03 20. ORISSA 27032 03 06 09 21. PUNJAB 299326 17 20 37 22. RAJASTHAN 185170 17 12 29 23. SIKKIM 1571 01 - 01 24. TAMILNADU 174958 21 06 27 98
  • 99. STATE WISE SUMMARY OF POLYCLINICS S. POLYCLINICS VETERANS STATE NO STR EXISTING PROPOSED TOTAL 25. TRIPURA 2835 01 - 01 26. UTTARAKHAND 140158 08 13 21 34 15 49 27. UTTAR PRADESH 284161 28. WEST BENGAL 66458 08 08 16 29. DELHI 41528 02 04 06 30. CHANDIGARH 9250 01 - 01 ANDAMAN & 01 - 01 31. 634 NICOBAR 99 TOTAL 2554926 227 196 423
  • 100. DEPENDANCY ON POLYCLINICS AREA DEPENDANCY PER POLYCLINIC S. STR OF STATE (Sq NO VETERANS EXISTING PROPOSED Km) 1 ANDHRA PRADESH 2,75,068 89681 11210 4982 2 ARUNACHAL PRADESH 83,743 829 - 414 3 ASSAM 78,438 38856 12952 3238 4 BIHAR 94,163 95451 15908 5303 5 CHHATISGARH 1,35,194 8803 8803 2200 6 GOA 3,702 2115 2115 1057 7 GUJARAT 1,96,024 27510 9170 4585 8 HARYANA 44,212 2,83,829 14938 8109 9. HIMACHAL PRADESH 55,673 119761 14970 7044 10. JAMMU & KASHMIR 95,643 86204 10775 6631 11. JHARKHAND 79,714 23537 11768 3362 12. KARNATAKA 1,91,791 84967 9440 4998 13. KERALA 38,863 184123 16738 8005 14. MADHYA PRADESH 3,08,253 46497 5812 3874 15. MAHARASHTRA 3,07,713 196365 9350 6771 100 16. MANIPUR 22,327 6813 6813 3406
  • 101. DEPENDANCY ON POLYCLINICS DEPENDANCY PER POLYCLINIC S. AREA STR OF STATE NO (Sq Km) VETERANS EXISTING PROPOSED 17. MEGHALAYA 22,429 3068 3068 3068 18. MIZORAM 21,081 6183 6183 3091 19. NAGALAND 16,579 3292 1646 1097 20. ORISSA 1,55,707 27032 9010 3003 21. PUNJAB 50,362 2,99,326 17607 8089 22. RAJASTHAN 3,42,239 185170 10892 6385 23. SIKKIM 7,096 1571 1571 1571 24. TAMILNADU 1,30,058 174958 8331 6479 25. TRIPURA 10,492 2835 2835 2835 26. UTTARAKHAND 55,845 140158 17519 7786 27. UTTAR 2,38,566 284161 8357 5799 28. PRADESH WEST BENGAL 88,752 66458 8307 4153 29. DELHI 1,483 41528 20764 6921 30. CHANDIGARH 114 9250 9250 9250 31. A & N ISLANDS 8,249 634 634 634 101
  • 102. PROPOSED TYPE ‘E’ POLYCLINICS S. POLYCLINIC MIL COMD REMARKS NO FACILITY 1. POONCH MH NC REMOTE 2. KARGIL FD AMB NC REMOTE 3. ABOHAR MH SWC RURAL 4. RANIKHET MH CC RURAL 5. DHARCHULA ADS CC REMOTE 6. JOSHIMATH FD AMB CC REMOTE 7. AMLA (MP) AF HOSP CC RURAL 8. PACHMARHI MH CC RURAL (MP) 9. LANSDOWNE MH CC REMOTE 102
  • 103. PROPOSED TYPE ‘E’ POLYCLINICS S. POLYCLINIC MIL COMD REMARKS NO FACILITY 10. KALIMPONG MH EC REMOTE 11. MISAMARI MH EC REMOTE 12. TEJU (AP) ADS EC REMOTE 13. ALONG (AP) ADS EC REMOTE 14. BINAGURI (WB) MH EC RURAL 15. BIDAR AF HOSP SC RURAL 103
  • 104. PROPOSAL FOR UPGRADATION OF EXISTING PCs S.NO POLYCLINIC TYPE VETERAN STR TYPE PROPOSED 1 CHANDIMANDIR C/M 16298 B/M 2 AMBALA C/M 13238 B/M 3 COIMBATORE C/M 6527 B/M 4 TIRUCHIRAPALLI C/NM 9105 B/NM 5 LUCKNOW C/M 11350 B/M 6 ALLEPPY D/NM 24903 A/NM 7 ROORKEE D/M 3279 B/M 8 MOGA C/M 11385 B/M 9. PATNA C/M 7466 B/M 10. PATHANKOT D/M 38718 B/M 11. VISAKHAPATANAM C/M 10696 B/M 12. AJMER D/M 8907 B/M 13. KOZIKODE C/NM 12393 B/NM 104 14. UDHAMPUR C/M 7113 B/M
  • 105. PROPOSAL FOR CONVERSION OF EXISTING PCs S. POLYCLINIC TYPE ESM TYPE REMARKS NO STR PROPOSED 1 BHARATPUR C/M 6893 C/NM 2 SAHARANPUR D/M 2579 D/NM (SARSAWA) 3 BALASORE D/M 2993 D/NM 4 NAGPUR C/M 5865 C/NM 5 AJMER D/M 8907 D/NM 6 YELAHANKA D/M 3857 D/NM 7 SIRSA D/M 3202 D/NM 8 JANGLOT C/M 8828 C/NM 9. SANGRUR B/M 14699 B/NM 10. MOGA C/M 11385 C/NM 11. JAISALMER D/M 1836 D/NM 105
  • 106. PROPOSED RURAL/REMOTE POLYCLINICS RURAL - 33 REMOTE - 10 106
  • 107. POLYCLINICS IN J&K POLYCLINICS MIL NON MIL TOTAL EXISTING 08 - 08 PROPOSED 03 03 06 TOTAL VETERANS – 86,204 107
  • 108. BANDIPUR BARAMULA ‘E’ Badgam E RAMBAN KISHTWAR REASI DODA AKHNOOR NAGROTA GUJROO BARI BRAHMANA INDEX EXISTING PCs 108 RED (08) SAMBA ADDL PC s BLUE (06)
  • 109. PROPOSED POLYCLINICS : J&K S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 1. AKHNOOR 3212 D/M 2. DODA 2771 D/NM 3. POONCH 1682 E/M 4. BARIBRAHAMNA 33248 C/NM (JAMMU) 5. KARGIL 452 E/M 6. NAGROTA 8828 (KATHUA) D/NM GUJROO 109
  • 110. VETERAN PENSIONERS OF J&K (AS PER KSB) JAMMU 34106 11. POONCH 1712 1. -AKHNOOR 3212 -BARI BRAHAMANA 12. ANANTNAG 1220 KATHUA 13. BADGAM 295 2. -NAGROTA GUJROO 8828 14. KARGIL 452 3. SAMBA 10031 15. KUPWARA 96 4. RAJOURI 6241 16. PULWAMA 259 5. SRINAGAR 4297 17. REASI NA 6. UDHAMPUR 7113 7. LEH 3591 18. RAMBAN 310 8. BARAMULA 3099 19. KISTWAR 974) 9. DODA 2824 TOTAL 86204 10. BANDIPORA 756 110
  • 111. DAILY AVERAGE SICK REPORT : J&K S/No POLYCLINIC SICK REPORT 1 BARAMULLA 0 2 JAMMU 339 3 JUNGLOT (KATHUA) 35 4 LEH 11 5 RAJOURI 12 6 SAMBA 75 7 SRINAGAR 8 111 8. UDHAMPUR 93
  • 112. POLYCLINICS IN HP POLYCLINICS MIL NON MIL TOTAL EXISTING 04 04 08 PROPOSED 02 07 09 TOTAL ESM – 1,19,761 112
  • 113. HIMACHAL PRADESH CHAMBA BAKLOH SHAHPUR YOL PALAMPUR JOGINDER NAGAR DERA HOSHIARPUR GHUMARWIN RAMPUR INDEX NAHAN EXISTING PCs 113 RED (08) ADDL PCs BLUE (09)
  • 114. PROPOSED POLYCLINICS : HP S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 1 RAMPUR 3186 D/NM 2 NAHAN (SIRMAUR 2247 D/M DIST) 3 SHAHPUR (KANGRA) 49422 C/NM (KANGRA) 4 PALAMPUR 10013 D/M 5 KULLU 1396 D/NM RURAL 6 DERA GOPIPUR 15240 D/NM 7 JOGINDER NAGAR 1261 D/NM RURAL 8 CHAMBA 1200 D/NM REMOTE 9 GHUMARWIN 8500 D/NM 114
  • 115. VETERAN PENSIONERS OF HIMACHAL PRADESH (AS PER KSB) KANGRA BILASPUR 7887 - YOL 49422 7 -GHAMARWAIN - PALAMPUR 1 - DERA 8 KULLU 1416 - SHAHPUR SIRMOR 2290 9 -NAHAN 2 HAMIRPUR 23187 10 SOLAN 3313 11 KINNAUR 354 MANDI 3 12953 12 LAHUL & SPITI 196 -JOGINDER NAGAR SHIMLA 3230 TOTAL 119761 4 - RAMPUR 5 UNA 12064 CHAMBA 3449 115 6 - BAKLOH
  • 116. DAILY AVERAGE SICK REPORT : HP S/No POLYCLINIC SICK REPORT 1 BAKLOH 28 2 MANDI 47 3 YOL 196 4 HAMIRPUR 133 5 BILASPUR 52 6 UNA 92 7 SOLAN 13 116 8. SHIMLA 28
  • 117. POLYCLINICS IN PUNJAB POLYCLINICS MIL NON MIL TOTAL EXISTING 11 06 17 PROPOSED 02 18 20 TOTAL VETERANS – 2,98,453 117
  • 118. PATHANKOT SRI GOVINDPUR TALWARA UNCHI BASSI BATALA AJNALA BEAS MAHALPUR TARANTARAN SULTANPUR PHAGWARA SURANASI SAMRALA ROPAR DORAHA SAS NAGAR JAGRAON (MOHALI) BARNALA NABHA ABOHAR ‘E’ SAMANA KAITHAL INDEX EXISTING PCs RED (17) ADDL PCs BLUE (20) 118
  • 119. PROPOSED POLYCLINICS : PUNJAB S. POLYCLINIC ESM TYPE REMARKS NO PENSIONERS PROPOSED 1 MOHALI 18954 C/NM 2 AJNALA 38241 D/NM (AMRITSAR) 3 TARANTARAN/PATTI 38241 D/NM (AMRITSAR) 4 BEAS 38241 D/NM (AMRITSAR) 5 NAWANSAHAR 3709 D/NM 6 SURANASSI 25488 D/NM (JALANDHAR) 7 UCHI BASSI 25488 C/NM (JALANDHAR) 119 8 ABOHAR 5754 E/M
  • 120. PROPOSED POLYCLINICS : PUNJAB S. POLYCLINIC VETERAN TYPE NO PENSIONERS PROPOSED 9 JAGRAON 6469 D/NM 10 BATALA 6352 D/NM 11 SRI GOVINDPUR 38718 (GURDASPUR) D/NM 12 SULTANPUR 10769 (KAPURTHALA) D/NM 13 PHAGWARA 10769 (KAPURTHALA) D/NM 14 SAMANA 2520 D/NM 15 BARNALA 3700 D/NM 16 NABHA 3315 D/M 17 DORAHA 38393 (LUDHIANA) D/NM 18 SAMRALA 38393 (LUDHIANA) D/NM 19 MAHALPUR 47085 (HOSHIARPUR) D/NM 20 TALWARA 47085 (HOSHIARPUR) D/NM 120
  • 121. VETERAN PENSIONERS OF PUNJAB (AS PER KSB) AMRITSAR 38515 7 ROPAR 18984 - TARANTARAN SAS NAGAR 1 8 18984 - AJNALA (MOHALI) - BEAS SANGRUR 14699 GURDASPUR 38718 9 - BARNALA -PATHANKOT 2 9 BHATINDA 8979 -BATALA -SRI GOVINDPUR FEROZPUR 5789 10 HOSHIARPUR - ABOHAR 47085 - UNCHI BASSI KAPURTHALA 3 10769 - MAHALPUR 11 -SULTANPUR - TALWARA -PHAGWARA JALANDHAR 25570 12 MOGA 11385 4 - SURANASSI 13 FARIDKOT 6815 LUDHIANA 38393 - JAGRAON 14 FATEHGARHSAHIB 6635 5 - DORAHA 15 MANSA 4437 - SAMRALA 16 MUKTSAR 5699 PATIALA 13191 6 - NABHA 18 NAWANSHAHAR 1213699 - SAMANA TOTAL 298453
  • 122. DAILY AVERAGE SICK REPORT : PUNJAB S/No POLYCLINIC SICK REPORT 1 PATHANKOT 135 2 AMRITSAR 365 3 ROPAR 93 4 FATEHGARH SAHIB 71 5 FARIDKOT 31 6 FIROZPUR 50 7 MOGA 33 8 GURDASPUR 193 9 HOSHIARPUR 154 122 10 JALANDHAR 220
  • 123. DAILY AVERAGE SICK REPORT : PUNJAB S/No POLYCLINIC SICK REPORT 11 KAPURTHALA 74 12 LUDHIANA 231 13 SANGRUR 65 14 PATIALA 123 15 BHATINDA 56 16 MANSA 21 123 17 MUKTSAR 15
  • 124. POLYCLINICS IN HARYANA POLYCLINICS MIL NON MIL TOTAL EXISTING 04 15 19 PROPOSED - 16 16 TOTAL VETERANS – 2,83,829 124
  • 125. CHANDIMANDIR NARAYANGARH NARWANA GOHANA HANSI MAHAM KHARKHAUDA SAMPLA BAHADURGARH LOHARU CHARKHIDADRI KOSLI DHARUHERA INDEX NUH PALWAL 51 NARNAUL EXISTING PCs RED (19) 125 ADDL PCs BLUE (16)
  • 126. PROPOSED POLYCLINICS : HARYANA S. NO POLYCLINIC VETERAN TYPE PROPOSED PENSIONERS 1 GOHANA 21522 (SONIPAT) D/NM 2 MEHAM (ROHTAK) 20704 (ROHTAK) D/NM 3 SAMPLA (ROHTAK) 20704 (ROHTAK) D/NM 4 LOHARU 32723 (JHAJJAR) D/NM 5. KOSLI 32723 (JHAJJAR) D/NM 6. BAHADURGARH (JHAJJAR) 12512 D/NM 7 GURGAON (SOHNA ROAD) 28178 B/NM 8. NUH (GURGAON) 28178 (GURGAON) D/NM 9. CHARKHIDADRI 18696 D/NM 10. MAHENDRAGARH 16175 D/NM 11. NARWANA 10666 (JIND) D/NM 12. PALWAL 10531 (FARIDABAD) D/NM 13. HANSI (HISSAR) 14461 (HISSAR) D/NM 14. DHARUHERA (REWARI) 25327 (REWARI) D/NM 15. NARAYANGARH (AMBALA) 13648 (AMBALA) D/NM 126 16. KHARKHAUDA (SONIPAT) 21522 (SONIPAT) D/NM
  • 127. VETERAN PENSIONERS OF HARYANA (AS PER KSB) AMBALA 13648 NARNAUL 21044 1 9 - NARAYANGARH -MAHINDERGARH BHIWANI 36853 SONIPAT 21522 2 - LOHARU 10 -GOHANA - CHARKHIDADRI -KHARKHAUDA REWARI 25327 3 JIND 10666 - DHARUHERA 11 - NARWANA JHAJJAR 32723 FARIDABAD 10531 12 4 - BAHADURGARH - PALWAL - KOSLI 13 FATEHABAD 5008 20704 14 KAITHAL 4328 ROHTAK 5 - MEHAM 15 KURUKSHETRA 5692 - SAMPLA 16 PANIPAT 7112 GURGAON 28616 17 SIRSA 3221 6 - SOHANA ROAD PANCHUKULA - NUH 18 7179 - CHANDIMANDIR HISSAR 14461 7 19 YAMUNA NAGAR 8216 - HANSI 8 KARNAL 6978 TOTAL 2,83,829 127
  • 128. DAILY AVERAGE SICK REPORT : HARYANA S/No POLYCLINIC SICK REPORT 1 CHANDIGARH 194 2 FARIDABAD 95 3 KARNAL 45 4 AMBALA 219 5 SONIPAT 52 6 PANIPAT 31 7 YAMUNANAGAR 71 8 KAITHAL 17 9 KURUKSHETRA 40 128 10 GURGAON 190
  • 129. DAILY AVERAGE SICK REPORT : HARYANA S/No POLYCLINIC SICK REPORT 11 SIRSA 9 12 JHAJJAR 56 13 REWARI 99 14 ROHTAK 53 15 JIND 43 16 NARNAUL 55 17 BHIWANI 80 18 HISSAR 43 129 19 FATEHABAD 6
  • 130. POLYCLINICS IN RAJASTHAN POLYCLINICS MIL NON MIL TOTAL EXISTING 11 06 17 PROPOSED - 12 12 TOTAL VETERANS – 1,85,170 130
  • 131. SURATGARH RAJGARH CHIRAWA BHUWANA BEHROR NIM KA THANA SHERGARH SANGANER HINDAUN CITY (JALIPA) INDEX EXISTING PCs RED (17) 131 ADDL PCs BLUE (12) 57
  • 132. PROPOSED POLYCLINICS : RAJASTHAN S. POLYCLINIC ESM PENSIONERS TYPE REMARKS NO PROPOSED 1 NEEM KA THANA 15282 (SIKAR) D/NM 2 SHERGARH 17157 (JODHPUR) D/NM RURAL 3 DAUSA 2110 D/NM 4 SANGANER 10571 (JAIPUR) D/NM RURAL 5 BHUWANA 33017 D/NM 6 BHILWARA 2313 D/NM 7 SURATGARH 2595 D/NM RURAL (HANUMANGARH) 8 DUNGARPUR 1180 D/NM RURAL 9 RAJSAMAND 1709 D/NM 10 RAJGARH 8355 D/NM 11 CHIRAWA 34361 D/NM 132 12. BEHROR 8907 (ALWAR) D/NM
  • 133. VETERAN PENSIONERS OF RAJASTHAN JHUNJHUNUN 15 BUNDI 1257 34361 1 - BHUWANA - CHIRAWA 16 CHITTAURGARH 233 SIKAR 15282 17 DAUSA 2948 2 - NIM KA THANA 18 DHAULPUR 459 CHURU 8355 19 DUNGARPUR 1180 3 - RAJGARH HANUMANGARH 2748 JAIPUR 10571 20 4 - SURATGARH - SANGANER 21 JAISALMER 1836 JODHPUR 5 17157 22 JALORE 116 SHERGARH NAGAUR 15689 23 JHALAWAR 359 6 - DIDWANA 24 KARAULI 3976 7 AJMER 8907 25 KOTA 2849 ALWAR 18957 26 PALI 2683 8 - BEHROR 27 RAJSAMAND 3142 9 BANSWARA 61 28 SAWAI MADHOPUR 1053 10 BARAN 380 29 SHRI GANGANAGAR 4235 11 BARMER 1524 30 SIROHI 461 12 BHARATPUR 6568 TONK 13 BHILWARA 3811 31 999 14 BIKANER 3686 32 UDAIPUR 5471 133 TOTAL 185170
  • 134. DAILY AVERAGE SICK REPORT : RAJASTHAN S/No POLYCLINIC SICK REPORT 1 BIKANER 19 2 SRIGANGANAGAR 9 3 ALWAR 68 4 BHARATPUR 26 5 JHUJHUNU 97 6 JAIPUR 158 7 SIKAR 47 8 CHURU 11 9 NAGAUR 8 134 10 KOTA 47
  • 135. DAILY AVERAGE SICK REPORT : RAJASTHAN S/No POLYCLINIC SICK REPORT HINDAUN CITY (DIST 11 0 KARRAULI) 12 AJMER 29 13 BARMER (JALIPA) 11 14 JAISALMER 0 15 JODHPUR 93 16 PALI 0 135 17 UDAIPUR 16
  • 136. POLYCLINICS IN DELHI POLYCLINICS MIL NON MIL TOTAL EXISTING 01 01 02 PROPOSED - 04 04 TOTAL VETERANS – 41,528 136
  • 137. TIMARPUR HINDON AF REQMT SHAKURBASTI DISTRICTS BH LODHI RD SECT 37 DUNDAHERA GURGAON CGO COMPLEX INDEX FARIDABAD EXISTING PCs RED (02) 137 ADDL PCs BLUE (04) 63
  • 138. PROPOSED POLYCLINICS : DELHI S.NO POLYCLINIC VETERAN TYPE REMARKS PENSIONERS PROPOSED 1 SHAKURBASTI 6021 B/NM 2 TIMARPUR 4383 C/NM 3. KHANPUR 3737 D/NM 4. EAST DELHI 7374 B/NM (PREET VIHAR) 138
  • 139. VETERAN PENSIONERS OF DELHI (AS PER KSB) NORTH 1246 NORTH WEST 9137 NORTH EAST 4983 WEST 2908 SOUTH WEST 14535 SOUTH 3737 EAST 2491 CENTRAL 1245 NEW DELHI 1246 TOTAL 41528 139
  • 140. COMPARISION WITH CGHS - DELHI MEMBERS DISPENSARIES/ AVERAGE POLYCLINICS DEPENDENCY CGHS 3,58,749 87 3808 ECHS 41528 2 20764 140
  • 141. DAILY AVERAGE SICK REPORT : DELHI S/No POLYCLINIC SICK REPORT 1 DELHI (BHDC) 373 2 NEW DELHI (LODHI ROAD) 372 141
  • 142. POLYCLINICS IN UP POLYCLINICS MIL NON MIL TOTAL EXISTING 15 19 34 PROPOSED - 15 15 TOTAL VETERANS - 284161 142
  • 143. SARSWA (AF) ROORKEE LAKHIMPUR FATEHGARH ORAI INDEX EXISTING PCs RED (34) 143 69 ADDL PCs BLUE (15)
  • 144. PROPOSED POLYCLINICS : UTTAR PRADESH S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 1 BAGHPAT 4600 D/NM 2 GONDA 2379 D/NM 3 BASTI 1881 D/NM 4 JAUNPUR 2089 D/NM 5 GREATER 5023 A/NM NOIDA 6 LAKHIMPUR 2617 D/NM 7 MORADABAD 2223 D/NM 144
  • 145. PROPOSED POLYCLINICS : UTTAR PRADESH S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 8 BIJNORE 1857 D/NM 9 RAMPUR 1856 D/NM 10 HARDOI 3478 D/NM 11 BANDA 1900 D/NM 12 MIRZAPUR/ 1135 D/NM RURAL ROBERTS GANJ 13 BARABANKI 1827 D/NM 14 UNNAO 2755 D/NM 15 HATHRAS 5866 D/NM 145
  • 146. VETERAN PENSIONERS OF UTTAR PRADESH (AS PER KSB) 1 AGRA 9138 15 AZAMGARH 3652 2 ALLAHABAD 5535 16 BALLIA 9989 3 BULANDSHAR 15753 17 BADAUN 2644 4 MAINPURI 9233 18 DEORIA 4577 5 MEERUT 14597 19 BAGHPAT 4600 6 BAREILLY 6581 20 FATEHPUR 3851 7 ETAH 6976 21 FEROZABAD 3732 8 ETAWAH 8738 KHERI 2617 22 9 GHAZIABAD 10582 - LAKHIMPUR 10 GHAZIPUR 22119 23 MUZZAFAR NAGAR 4678 11 GORAKHPUR 4781 24 PRATAPGARH 4627 12 LUCKNOW 11350 25 SULTANPUR 7675 13 MATHURA 6143 26 VARANASI 4633 14 ALIGARH 6139 27 BAHRAICH 660 28 BALRAMPUR 131 146
  • 147. VETERAN PENSIONERS OF UTTAR PRADESH (AS PER KSB) 29 BANDA 1900 44 MAHOBA 210 30 BARABANKI 1827 45 MAHRAJGANJ 656 31 BASTI 1924 46 MAU 2769 32 BIJNORE 1858 47 MIRZAPUR 1174 33 CHANDAULI 718 48 MURADABAD 2223 34 FAIZABAD 4498 49 PILIBHIT 1369 35 FATEHGARH 9371 50 RAE BAREILLY 4570 36 GONDA 2394 51 RAMPUR 1863 37 HAMIRPUR 1176 52 SAHARANPUR 3013 38 HARDOI 3514 KANPUR DEHAT 53 3410 39 JAUNPUR 2089 -AKBARPUR MATTI 40 JHANSI 1882 54 KANPUR NAGAR 9429 JYOTIBA PHULE 41 664 NAGAR 42 KAUSHAMBI 320 43 LALITPUR 254 147
  • 148. VETERAN PENSIONERS OF UTTAR PRADESH (AS PER KSB) 55 SANT RAVIDAS NAGAR 208 56 SHAHJAHANPUR 2603 57 SIDDHARTH NAGAR 640 58 SITAPUR 1052 59 SHRAWASTI 115 60 UNNAO 2755 61 SONBHADRA 250 62 KUSHINAGAR 901 JALAUN 3028 63 -ORAI 1112 64 HATHRAS 5866 GAUTAM BUDH NAGAR 5353 65 - GREATER NOIDA 66 CHITRAKOOT 445 67 AMBEDKAR NAGAR 1377 68 AURAIYA 69 KANNAUJ 148 TOTAL 284161
  • 149. DAILY AVERAGE SICK REPORT : UP S/No POLYCLINIC SICK REPORT 1 GHAZIABAD (HINDON) 91 2 NOIDA 301 3 KANPUR 103 4 AGRA 119 5 ETAWAH 23 6 MAINPURI 30 7 FIROZABAD 27 8 ETAH 20 9 BULANDSHAHR 59 149 10 BAREILLY 116
  • 150. DAILY AVERAGE SICK REPORT : UP S/No POLYCLINIC SICK REPORT 11 BADAUN 13 12 FATEHGARH 66 AKBARPUR MATTI 13 11 (KANPUR) 14 LUCKNOW 241 15 RAE BAREILLY 27 16 MATHURA 62 17 ALIGARH 19 18 MEERUT 230 19 MUZAFFARNAGAR 27 150
  • 151. DAILY AVERAGE SICK REPORT : UP S/No POLYCLINIC SICK REPORT 20 SAHARANPUR (SARSAWA AF) 22 21 SHAHJAHANPUR 22 22 GORAKHPUR 73 23 ALLAHABAD 79 24 FATEHPUR 16 25 PRATAPGARH 17 26 AZAMGARH 17 27 SULTANPUR 02 28 FAIZABAD 28 151 29 DEORIA 13
  • 152. DAILY AVERAGE SICK REPORT : UP S/No POLYCLINIC SICK REPORT 30 GHAZIPUR 46 31 VARANASI 30 32 BALIA 26 33 JHANSI 28 152 34 ORAI 3 (0)
  • 153. POLYCLINICS IN UTTARAKHAND POLYCLINICS MIL NON MIL TOTAL EXISTING 05 03 08 PROPOSED 04 09 13 TOTAL VETERANS – 1,40,158 153
  • 154. UTTARAKHAND HERBERTPUR JOSHIMATH GOPESHWAR DEHRADUN PAURI GARHWAL DHARCHULA ‘E’ ROORKEE KOTDWARA LANSDOWNE ‘E’ PITHORAGARH RANIKHET ‘E’ RAMANAGAR BAMBASA HALDWANI INDEX RUDRAPUR EXISTING PCs RED (08) 154 ADDL PCs BLUE (13) 80
  • 155. PROPOSED POLYCLINICS : UTTARAKHAND S. POLYCLINIC VETERAN TYPE REMARKS NO PENSIONERS PROPOSED 1. JOSHIMATH 13798 (CHAMOLI) E/M REMOTE 2. DEHRADUN (HARIDWAR RD) 24792 C/NM 3. VIKASNAGAR (DEHRADUN) 24792(DEHRADUN) D/NM 4. TEHRI 6002 D/NM 5. RUDRAPRAYAG 3699 D/NM 6. RANIKHET 12510 (ALMORA) E/M REMOTE 7. BAGESHWAR 9377 B/NM 8. BANBASA (CHAMPAWAT) 3350 D/NM 9. RUDRAPUR 5840 D/NM 10. DHARCHULA 21574 E/M REMOTE (PITHORAGARH) 11. LANSDOWN 27053 E/M (PAURIGARHWAL) 12. UTTARKASHI 799 D/NM 155 13. RAM NAGAR (NAINITAL) 7350 D/NM
  • 156. VETERAN PENSIONERS OF UTTARAKHAND (AS PER KSB) DEHRADUN 25170 NAINITAL 7350 1 -HARIDWAR ROAD 7 -HALDWANI -HERBERTPUR -RAMNAGAR PAURIGARHWAL UDHAM SINGH -PAURI 27053 8 NAGAR / 5938 2 -KOTDWARA RUDRAPUR - LANSDOWN 9 BAGESHWAR 9584 PITHORAGARH 21574 HARIDWAR 3279 3 10 - DHARCHULA - ROORKEE CHAMOLI 13798 11 RUDRAPRAYAG 3699 4 -JOSHI MATH -GOPESHWAR 6947 12 UTTARKASHI 799 TEHRI GARHWAL 13 CHAMPAWAT 3402 6002 5 -NEW TEHRI TOTAL 140158 ALMORA 12510 6 - RANIKHET 156
  • 157. DAILY AVERAGE SICK REPORT : UTTARAKHAND S/No POLYCLINIC SICK REPORT 1 DEHRADUN 305 2 GOPESHWAR 3 3 KOTDWARA (LANSDOWNE) 30 4. PAURI GARHWAL 5 5 HALDWANI 68 6 PITHORAGARH 76 7 ROORKEE 118 157 8 ALMORA 25
  • 158. POLYCLINICS IN BIHAR POLYCLINICS MIL NON MIL TOTAL EXISTING 02 04 06 PROPOSED - 12 12 TOTAL VETERANS – 95,451 158
  • 159. BIHAR MOTIHARI CHHAPRA DANAPUR ARA SASARAM INDEX EXISTING PCs RED (06) ADDL PCs 159 BLUE (12) 85
  • 160. PROPOSED POLYCLINICS : BIHAR S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 1 BHAGALPUR 3475 D/NM 2 KATIHAR 389 D/NM RURAL 3 MOTIHARI 3341 D/NM 4 SIWAN 1814 D/NM 5 SAMASTIPUR 2162 D/NM 6 MADHUBANI 5520 D/NM 7 BUXER 3601 D/NM 8 VAISHALI 2967 D/NM 9 SASARAM 2074 D/NM 10 KHAGARIA 1111 D/NM RURAL 11 MUNGER 958 D/NM RURAL 12 SITAMARHI 1165 D/NM RURAL 160
  • 161. ESM PENSIONER OF BIHAR (AS PER KSB) BHOJPUR 24920 21 KATIHAR 389 1 - ARA 22 KHAGARIA 1111 SARAN 10548 23 KISHANGANJ 62 2 - CHHAPRA 24 NAWADA 324 3 MADHUBANI 5520 25 LAKHISARAI 127 4 PATNA 7466 26 MADHEPURA 201 5 BUXAR 3601 27 MUNGER 2930 6 MUZAFFARPUR 9269 28 NALANDA 856 7 VAISHALI 2967 29 PURNIA 221 8 ARRARIA 97 ROHTASH 2074 9 AURANGABAD 349 30 -SASARAM 10 BANKA 352 31 SAHARSA 133 11 BEGUSARAI 250 32 SAMASTIPUR 2162 12 BHABHUA (KAIMUR) 1232 33 SHEIKHPURA 101 13 BHAGALPUR 3475 34 SHEOHAR 486 14 CHASCOURT 103 35 SITAMARHI 1165 15 DARBHANGA 5030 36 SIWAN 1814 EAST CHAMPARAN 3341 37 SUPAUL 126 16 - MOTIHARI 38 WEST CHAMPARAN 318 17 GAYA 3674 18 GOPALGANJ 629 TOTAL 95451 19 JAMUI 100 161 20 JEHANABAD 1194
  • 162. DAILY AVERAGE SICK REPORT : BIHAR S/No POLYCLINIC SICK REPORT 1 ARA 42 2 MUZAFFARPUR 20 3 DANAPUR (PATNA) 90 4. CHHAPRA 19 5 DHARBANGA 6 162 6 GAYA 30
  • 163. POLYCLINICS IN JHARKHAND POLYCLINICS MIL NON MIL TOTAL EXISTING 01 01 02 PROPOSED - 05 05 TOTAL VETERANS – 23,537 163
  • 164. DALTANGANJ JAMSHEDPUR CHAIBASA INDEX EXISTING PCs RED (02) ADDL PCs 164 BLUE (05) 90
  • 165. PROPOSED POLYCLINICS : JHARKHAND S. POLYCLINIC ESM TYPE REMARKS NO PENSIONERS PROPOSED 1. DUMKA 2091 D/NM 2. GUMLA 3700 D/NM 3. CHAIBASA 3748 D/NM 4. DALTANGANJ 903 D/NM RURAL 5. DHANBAD 509 D/NM RURAL 165
  • 166. VETERAN PENSIONERS OF JHARKHAND (AS PER KSB) 1 RANCHI 13022 11 HAZARIBAG 854 2 BOKARO 4 12 LOHARDAGA 21 3 CHATRA 11 13 PAKAUR 5 4 DEOGHAR 61 PALAMAU 903 14 5 DHANBAD 509 - DALTANGANJ 6 DUMKA 2091 15 SAHIBGANJ 222 EAST 16 GUMLA 1331 7 SINGHBHUM WEST SINGHBHUM 3748 17 - JAMSHEDPUR - CHAIBASA 8 GARHWA 24 18 KODARMA 9 GIRIDIH 425 10 GODDA 306 TOTAL 23537 166
  • 167. DAILY AVERAGE SICK REPORT : JHARKHAND S/No POLYCLINIC SICK REPORT 1 RANCHI 46 2 JAMSHEDPUR 15 167
  • 168. POLYCLINICS IN MP POLYCLINICS MIL NON MIL TOTAL EXISTING 05 03 08 PROPOSED 02 02 04 TOTAL VETERANS – 46,497 168
  • 169. MADHYA PRADESH PACHMARHI ‘E’ MHOW INDEX 95 AMLA ‘E’ 169 EXISTING PCs RED (08) ADDL PCs BLUE (04)
  • 170. PROPOSED POLYCLINICS : MADHYA PRADESH S.NO POLYCLINIC VETERAN TYPE REMARKS PENSIONERS PROPOSED 1. SATNA 1966 D/NM 2. UJJAIN 886 D/NM RURAL 3. AMLA NA E/M RURAL 4. PACHMARHI 726 E/M (HOSHANGABAD) 170
  • 171. VETERAN PENSIONERS OF MADHYA PRADESH (AS PER KSB) 1 BHIND 6719 15 GUNA 536 2 GWALIOR 5315 HOSHANGABAD 726 16 3 RAISEN 130 - PACHMARHI 4 REWA 4262 INDORE 4000 17 - MHOW 5 BALAGHAT 120 18 JABALPUR 4972 6 BETUAL 432 19 JHABUA 87 7 BHOPAL 2766 20 KHANDWA 274 8 BILASPUR 189 21 KHARGAON 40 9 CHHATARPUR 554 22 MANDLA 178 10 CHHINDWARA 459 11 DAMOH 634 23 MANDSAUR 294 12 DATIA 95 24 MORENA 3545 13 DEWAS 545 25 NARSIMHAPUR 530 14 DHAR 367 26 PANNA 102 171
  • 172. VETERAN PENSIONERS OF MADHYA PRADESH (AS PER KSB) 27 RAJGARH 4 28 RATLAM 356 29 SATNA 1966 30 SAGAR 924 31 SEONI 322 32 SHAHDOL 420 33 SHAJAPUR 82 34 SHIVPURI 231 35 SIDHI 1317 36 SEHORE 52 37 TIKAMGARH 266 38 UJJAIN 905 EAST NIMAR 39 NA - AMLA 40 VIDISHA 104 TOTAL 46497 172
  • 173. DAILY AVERAGE SICK REPORT : MP S/No POLYCLINIC SICK REPORT 1 JABALPUR 101 2 REWA 40 3 MHOW 73 4. BHOPAL 0 5 BHIND 34 6 GWALIOR 94 7 MORENA 23 173 8 SAUGOR 21
  • 174. POLYCLINICS IN CHATTISGARH POLYCLINICS MIL NON MIL TOTAL EXISTING - 01 01 PROPOSED - 03 03 TOTAL VETERANS – 8,803 174
  • 175. GUMLA AMBIKAPUR JAGDALPUR INDEX 101 EXISTING PCs 175 RED (01) ADDL PCs BLUE (03)
  • 176. PROPOSED POLYCLINICS : CHATTISGARH S. POLYCLINIC VETEERAN TYPE REMARKS NO PENSIONERS PROPOSED 1 JAGDALPUR 397 D/NM RURAL 2 RAIGARH 1313 D/NM RURAL 3 BILASPUR 603 D/NM RURAL 176
  • 177. VETERAN PENSIONERS OF CHATTISGARH (AS PER KSB) 1 BILASPUR 1242 11 KORBA 264 2 DURG 1211 12 JANJGIR 198 3 RAIPUR 1029 13 MAHASAMUND 77 4 RAIGARH 129 14 KAWARDHA 8 5 RAJNANDGAON 125 15 KANKER 60 BASTAR 397 16 DHAMTARI 68 6 - JAGDALPUR JASHPUR 1213 TOTAL 8803 7 8 SURGUJA 182 9 DANTEWARA 20 10 KORIYA 44 177
  • 178. DAILY AVERAGE SICK REPORT : CHATTISGARH S/No POLYCLINIC SICK REPORT 1 RAIPUR 9 178
  • 179. POLYCLINICS IN WEST BENGAL POLYCLINICS MIL NON MIL TOTAL EXISTING 05 03 08 PROPOSED 02 06 08 TOTAL VETERANS – 66,458 179
  • 180. KALIMPONG ‘E’ BENGDUBI WEST BENGAL BINAGURI ‘E’ RAIGANJ BAHRAMPUR KRISHNANAGAR BARRACKPORE SALT LAKE BARUIPUR INDEX 106 EXISTING PCs RED (08) ADDL PCs 180 BLUE (08)
  • 181. PROPOSED POLYCLINICS : WEST BENGAL S.NO POLYCLINIC VETERAN TYPE REMARKS PENSIONERS PROPOSED 1. BAHRAMPUR 2457 D/NM 2. BARUIPUR 15531 D/NM (SOUTH 24 PARGANA) 3. BANKURA 819 D/NM RURAL 4. HOWRAH 4582 D/NM 5. RAIGANJ 606 (UTTAR D/NM REMOTE DINAJPUR) 6. COOCH BEHAR 625 D/NM RURAL 7. KALIMPONG 11406 E/M 8. BINNAGURI 2945 E/M RURAL (JALPAIGURI) 181
  • 182. BARAKPUR TO THE NORTH KOLKATA CITY INDEX EXISTING PCs RED ADDL PCs BLUE BARUIPUR TO 182 THE SOUTH 108
  • 183. VETERAN PENSIONERS OF WEST BENGAL (AS PER KSB) 24 PARAGANA 15727 11 MALDA 916 1 - SALT LAKE - BARUIPUR 12 MIDNAPORE 5784 DARJEELING 11685 MURSHIDABAD 2640 13 2 - KALIMPONG - BAHRAMPUR 14 PURULIA 410 3 KOLKATA 5722 15 BURDWAN 4380 NADIA 5152 UTTAR DINAJPUR 1100 4 16 - KRISHNANAGAR -RAIGANJ 5 BANKURA 1100 17 DAKSHIN DINAJPUR 1210 6 BIRBHUM 1527 TOTAL 66458 7 COOCH BIHAR 1120 8 HOWRAH 2300 HOOGLY 2369 9 - BARRACKPORE JALPAIGURI 1880 10 - BENGDUBI 183 - BINNAGURI
  • 184. DAILY AVERAGE SICK REPORT : WEST BENGAL S/No POLYCLINIC SICK REPORT 1 BARRACKPORE 117 2 BENGDUBI 43 3 DARJEELING 16 4 KRISHNANAGAR 47 5 KOLKOTA 140 6 SALT LAKE 39 7 MIDNAPUR 13 184 8 BURDWAN 36
  • 185. POLYCLINICS IN SIKKIM POLYCLINICS MIL NON MIL TOTAL EXISTING 01 - 01 PROPOSED - - - 185
  • 186. INDEX EXISTING PCs RED (01) 186112 ADDL PCs BLUE ( 0 )
  • 187. ESM PENSIONER OF SIKKIM AS ON DEC 06 (AS PER KSB) S/ NO OF DISTRICT NO PENSIONR 1 GANGTOK 905 2 GYALSI/GEYZING (W) 301 3 NAMCHI (S) 365 TOTAL 1571 187