The document discusses minimum standards for Ayurvedic clinics, dispensaries, and therapy centers according to the Clinical Establishments Act of 2010 in India. It outlines requirements for space, staffing, equipment, and facilities. Clinics must have a doctor and support staff. Dispensaries require pharmacy services in addition. Therapy centers need more space and equipment for treatments. Record keeping, licensing, and financial transparency are also mandated. Standard templates are provided for registration, examination, medical certificates and more.

1. The Clinical Establishments
(Registration and Regulation) ACT,
2010
Minimum Standards for
AYURVEDA CLNICS
Dr. Surendra Chaudhary
dr.surendra.chaudhary@gmail.com

2. These Standards are for Ayurveda
Clinics,Dispensaries and Therapy centres only.
Standards for Hospital & Teaching institutes with
In-patients hospitals are different
-My views-
Recommendations of he draft committee on
standards for Ayurveda clinics and hospitals are
not explanatory in nature and so many points are
not covered.

3. The Clinical Establishments (Registration and
Regulation) ACT, 2010
• The Act is for the Registration and Regulation of the clinical
Establishments in the country and for matters connected
therewith
• Act passed by Parliament in August 2010 and notified on 1st
March, 2012.
• National Council under the Act notified on 19th March, 2012
and Central Rules notified on 23rd May, 2012
• Model State Rules have been circulated to the States/UT’s.
• Ministry has requested the Chief Ministers to adopt and
implement the Act.
• Highest priority of Govt. for implementation and monitored by
the PMO.

4. Definition of Clinical Establishment
(i) a hospital, maternity home, nursing home, dispensary, clinic,
sanatorium or an institution by whatever name called that offers
services, facilities requiring diagnosis, treatment or care for
illness, injury, deformity, abnormality or pregnancy in any
recognized system of medicine established and administered
or maintained by any person or body of persons, whether
incorporated or not; or
(ii) a place established as an independent entity or part of an
establishment referred to in sub-clause (i), in connection with the
diagnosis or treatment of diseases where pathological,
bacteriological, genetic, radiological, chemical, biological
investigations or other diagnostic or investigative services with
the aid of laboratory or other medical equipment, are usually
carried on, established and administered or maintained by any
person or body of persons, whether incorporated or not,

5. Coverage
All clinical establishments - including diagnostic centres and single doctor clinics, Including
ALLOPATHY
AYUSH
Ayurveda
YOGA
Unani
Siddha
Sowa-Rigpa
Homoeopathy
Naturopathy
(Exception: establishments of the Armed Forces)

6. Objectives of the Act
To establish digital registry of Clinical Establishments at
National, State and District level.
To prevent quackery by unqualified practitioners by
introducing registration system, which is mandatory.
To prescribe minimum standards of facilities and services
for all categories of health care establishments (except
teaching hospitals, health care) and ensure compliance of
other conditions for registration like standards treatment
protocols, display of range of rates to be charged,
maintenance of records.

7. Objectives of the Act
The minimum requirements of personnel as may be
prescribed;
Provisions for maintenance of records and reporting as
may be prescribed;
The clinical establishment shall undertake to provide
within the staff and facilities available such medical
examination and treatment as may be required to
stabilize the emergency medical condition of any
individual who comes or is brought to such clinical
establishment.

8. Registration under Clinical establishments act
(Data accessed on 4-8-2016)
State Total Registration Ayurvedic Registration
Andaman&Nicobar 311 22
Bihar 1 1-Homeo
Chandigarh UT 310 24
Dadra&Nagar Haveli 42 13
Daman & Diu UT 147 25
Himachal 5186 1839
Jharkhand 3096 111
Rajasthan 88 17
U.P. 5 -
Total 9186 2052

9. Type of Ayurvedic
Establishments
1. Clinic
2. Dispensary
3. Therapy Centre
4. Hospitals
1. Minimum 10 Beds
2. 11 to 25 Beds
3. 26 to 50 Beds
4. 51-100 Beds
5. More Than 100 Beds

10. CATEGORIES OF CLINICAL
ESTABLISHMENTS-
AYURVEDA1. Ausadh Chikitsa,
2. Shalya Chikitsa,
3. Shodhan
4. Chikitsa,
5. Rasayana,
6. Pathya Vyavastha
7. As categorised by Central Government *
*section 13(1) under the Clinical Establishments (Registration and Regulation) Act,
2010 reads; “Clinical Establishment of different systems shall be classified into such
categories as may be prescribed by the Central Government from time to time”.

11. Mandatory Requirements
Clinic
1. Display the name of doctor with the degree.
2. Registration number of the doctor
3. Fee
4. Timing of the clinic
5. Experience of the doctor
Dispensary- in addition to the clinic
1. Dispensing counter with signage
2. Name of the pharmacist with degree and experience
Therapy centre- in addition to clinic & Dispensary
1. Display of the therapy performed in the centre
2. Fee structure for various procedures on daily as well as package
system

12. Minimum Standards for Ayurvedic Establishments
Specifications Clinic Dispensary Therapy Centre
Space(Sq.Feet) 100 100 150
Human Resource
Doctor
One One One
Multi-purpose
Worker
One One One
Pharmacist X One
Pharmacist cum
therapist

13. Minimum Standards for Ayurvedic Establishments
Equipments Clinic Dispensary Therapy Centre
Stethoscope
1 1 1
B.P. apparatus 1 1 1
Thermometer 1 1 1
Torch 1 1 1
Tongue depressor 1 1 1
X – Ray view box 1 1 1
Weighing machine 1 1 1
Hammer 1 1 1
Kharal 1 1 1
Other-as required
Panchkarma
equipments

14. Minimum Standards for Ayurvedic Establishments
Equipments Clinic Dispensary Therapy Centre
Doctor’s Table 1 1 1
Doctor’s Chair 1 1 1
Attendant Chair 2 2 2
Patient’s stool
1 1 1
Examination
Table
1 1 1
Foot Step 1 1 1
Panchkarma
Furniture
X X
As per
requirement

15. Facilities@Clinic
Essentials
1. Name of the physicians with qualification & Registration Number inside the clinics.
2. Biomedical waste management authorisation certificate.
3. Fire Extinguisher
4. Display of services provided.
5. Minimum physical, furniture and equipments
6. Hand washing facility, Drinking Water and some waiting space
Optional
1. Noise and Air Pollution authorization certificate.
2. Electricity back up
3. Toilet facility

16. Licenses
Name of the act Authority Status
Registration under shop and Establishment act
Local authority-
Municipal board etc
If applicable
Registration under clinical establishment act State government Applicable
Clearance for radiation safety Imaging Not applicable
Licenses for distribution of medicine Drugs authority Not applicable
Biomedical waste collection agreement BWM agencies Applicable*
Noise pollution control certificate
Pollution control
board
Applicable if
generator is there
Generator Exhaust air quality -do- -do-
*-Applicable if any process is being offered.There are certain other licenses which are
applicable on Ayurveda clinics if being run by societies or charitable trusts

17. Template for Clinical establishment Rate/Charges
Name & Address of establishment with e-mail
Registration number-provisional/ permanent
Type of establishment
Facilities available Charges/ consultationFee
OPD General
OPD Specialty
Investigation/Diagnostic-if any
Therapeutic Charges
Doctor consultation + any consumable expenditure + Medicine Charges(actual)+ any other
Specialty- Doctors fee + Consumable( during punch karma , ksharsutra ) + Therapy charges + any other + Medicine

18. Clinical Records supposed to be kept
OPD registration record
Treatment record
Medication Record
Report of investigations
Consent forms
(All records are supposed to keep for three years)

19. Template for basic Processes-
Registration
Registration number, Name
Age Gender
Socioeconomic status Address with pin code
Marital status Contact number/e-mail,
Veg/Non-veg Date and time of visit,
diagnosis Investigations if advised
Name of the doctor
(Records can be kept electronically)

20. Assessment/ History taking Template
Primary complaint of the patient Family History
History of the primary complaint General Examination
History of Medication Systemic Examination
History of implants Physical Examination
Past History Prakriti estimation
History of Allergies Agni Pariksha
Diet & Lifestyle History Pathya-Apathya
Personal History Diagnosis-Provisional/Final
Treatment Re-visit instructions
Take note of any advise regarding home remedies, yogic advise,Anupan etc

21. Template For Medical
Certificate
(As per Uttar Pradesh Draft)

22. Template for Examination
(As per Uttar Pradesh Draft)

23. For Suggestions,
additions,
omissions &
comments
dr.surendra.chaudhary@gmail.com