750 BEDS HOSPITAL & MEDICAL COLLEGE
[EIRI/EDPR/4703] J.C.: 2923XL
The Indian Government has undertaken deep structural and sustained reforms to strengthen the healthcare sector and has also announced conducive policies for encouraging FDI. The Aatmanirbhar Bharat Abhiyaan packages include several short-term and longer-term measures for the health system, including Production-Linked Incentive (PLI) schemes for boosting domestic manufacturing of pharmaceuticals and medical devices. Additionally, India is working towards becoming a hub for spiritual and wellness tourism, as the country has much to offer in Ayurveda and Yoga.
The COVID-19 pandemic has not only presented challenges but also several opportunities for India to grow. The crisis has opened the flood gates for Indian start-ups, many of whom have risen to the occasion and accelerated the development of low-cost, scalable, and quick solutions. Further, the pandemic is providing an impetus to the expansion of telemedicine and the home healthcare market in the country.
All these factors, together, make India’s healthcare industry ripe for investment. In the hospital segment, the expansion of private players to Tier 2 and Tier 3 locations, beyond metropolitan cities, offers an attractive investment opportunity. India also has the opportunity to boost domestic manufacturing of pharmaceuticals, supported by the recent PLI schemes, alongside offering investment avenues in segments like contract manufacturing and research, over-the- counter drugs, and vaccines. India is also a land of opportunities for players in the medical devices industry, with tremendous opportunities for expansion of diagnostic and pathology center’s as well as miniaturized diagnostics.
India, a signatory to the "Alma Alta" declaration of 1978, is committed to the goal of "HEALTH FOR ALL" by the year 2000 A.D. In order to achieve the targets and thereby improving the health status of people in the country, tremendous efforts are required to be made not only by government but also by people. It is in this perspective development of health care assumes significant importance. New Challenges and new opportunities for investing in health care i.e. in hospitals and nursing homes etc. have arisen.
COST ESTIMATION
Plant Capacity 750 Nos/Day
Land & Building (91 Acres) Rs. 810.97 Cr
Plant & Machinery Rs. 700.00 Cr
Working Capital for 2 Months Rs. 15.79 Cr
Total Capital Investment Rs. 1602.94 Cr
Rate of Return 4%
Break Even Point 87%
CONTENTS
INTRODUCTION
INDUSTRY OVERVIEW
MACROECONOMIC OVERVIEW OF INDIA
GDP LOGGED 5.5% CAGR BETWEEN FISCAL 2012 AND FISCAL 2022
REAL GDP GROWTH IN INDIA (NEW GDP SERIES)
GDP IN FISCAL 2022 GREW AT 9.1% ON-YEAR
IMPACT OF UNION BUDGET 2023-2024 ON HEALTHCARE AND WELLBEING
HEALTH AND WELLBEING – EXPENDITURE
KEY BUDGET PROPOSALS FOR FISCAL 2023 TO FISCAL 2024
FUNDAMENTAL GROWTH DRIVERS OF GDP
BY 2030, INDIA’S POPULATION IS PROJECTED TO TOUCH 1.5 BILLION
INDIA’S POPULATION GROWTH
URBANIZATION LIKELY TO REACH 40% BY 2030
INDIA’S URBAN VERSUS RURAL POPULATION
INDIA’S PER CAPITA INCOME ROSE AT A HEALTHY PACE BETWEEN FISCAL 2012 AND FISCAL 2020
PER CAPITA NET NATIONAL INCOME AT CONSTANT PRICES
REVIEW OF PRIVATE FINAL CONSUMPTION EXPENDITURE (PFCE)
• CONSUMPTION EXPENDITURE TO BE DRIVEN BY DISCRETIONARY ITEMS
• BROAD SPLIT OF PFCE CONSUMPTION INTO BASIC AND DISCRETIONARY SPENDING
• HEALTH EXPENDITURE GREW STRONG AT 8.1% CAGR FROM FISCAL 2012 TO FISCAL 2021
• HEALTH SPENDING IN PFCE
SOCIAL AND HEALTHCARE RELATED PARAMETERS
INDIA LAGS PEERS IN HEALTHCARE EXPENDITURE
TOTAL HEALTHCARE EXPENDITURE AS % OF GDP (2020)
INDIA SPENDS TOO LITTLE ON HEALTHCARE
CURRENT HEALTHCARE EXPENDITURE (CHE) AS % OF GDP IN INDIA (2010 TO 2020)
PER CAPITA CURRENT EXPENDITURE ON HEALTH IN USD (2020)
OUT-OF-POCKET EXPENDITURE (% OF CURRENT HEALTH EXPENDITURE 2020)
PUBLIC HEALTHCARE EXPENDITURE IS LOW, WITH PRIVATE SECTOR ACCOUNTING FOR A LION’S SHARE
GENERAL EXPENDITURE ON HEALTH AS % OF CHE (2020)
HEALTH INFRASTRUCTURE OF INDIA IN DIRE NEED OF IMPROVEMENT
STATE-WISE MACROECONOMIC INDICATORS
MAHARASHTRA AND GUJARAT ARE TOP TWO STATES IN THE COUNTRY IN TERMS OF GSDP AS OF FISCAL 2021
STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTANT PRICES AS OF FISCAL 2021
STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTANT PRICES AS OF FISCAL 2022
GUJARAT AND MADHYA PRADESH SAW A LOWER DECLINE COMPARED TO INDIA GDP IN FISCAL 2021
GSDP GROWTH ACROSS STATES IN FISCAL 2021
GSDP GROWTH ACROSS STATES IN FISCAL 2022
MADHYA PRADESH AND GUJARAT AMONG THE FASTEST GROWING STATES IN WEST AND CENTRAL INDIA IN TERMS OF PER CAPITA NET DOMESTIC PRODUCT
STATE GROSS DOMESTIC PRODUCT FOR SELECT STATES IN RS. BILLION
GUJARAT AND MADHYA PRADESH HAVE SHOWN THE HIGHEST JUMP IN HEALTHCARE BUDGET FOR FISCAL 2023 COMPARED TO PREVIOUS YEARS AMONG THE KEY WEST AND CENTRAL INDIA STATES
DISEASE PROFILE IN INDIA
A REVIEW OF COMMUNICABLE DISEASES IN INDIA
• MORBIDITY REPORTED ON MAJOR COMMUNICABLE DISEASES
• MORTALITY REPORTED ON MAJOR COMMUNICABLE DISEASES
A REVIEW OF NON-COMMUNICABLE DISEASES IN INDIA
DISEASE EPIDEMIOLOGY SHIFTING TOWARDS LIFESTYLE DISEASES
WESTERN STATES OF GOA AND MAHARASHTRA HAVE HIGH PROPORTION OF NCDS IN THE RANGE OF 60% TO 75%
STATE-WISE PROPORTION OF TOTAL DISEASE BURDEN FROM NCDS IN 2016
NON-COMMUNICABLE DISEASES: A SILENT KILLER
CAUSES OF DEATH IN INDIA
MADHYA PRADESH RECORDED ONE OF THE HIGHEST NUMBERS OF NCDS IN 2020
STATE-WISE NUMBER OF PERSONS DIAGNOSED WITH NCDS IN 2020
STRUCTURE OF THE HEALTHCARE DELIVERY INDUSTRY IN INDIA
OVERVIEW
CLASSIFICATION OF HOSPITALS
CLASSIFICATION OF HOSPITALS BASED ON SERVICES OFFERED
• PRIMARY CARE/DISPENSARIES/CLINICS
• SECONDARY CARE
O GENERAL SECONDARY CARE HOSPITALS
O MULTI-SPECIALTY TERTIARY CARE HOSPITALS
• QUATERNARY CARE HOSPITALS
CLASSIFICATION OF HOSPITALS BY FACILITIES/SERVICES OFFERED
CLASSIFICATION BASED ON COMPLEXITY OF AILMENT
INDICATIVE SPLIT OF AILMENTS & MEDICAL TREATMENTS PROVIDED BASIS VARIOUS CATEGORIES OF HOSPITALS & COMPLEXITIES OF AILMENT
CLASSIFICATION BASED ON OWNERSHIP
HOSPITALS CAN ALSO BE CLASSIFIED BASED ON THEIR OWNERSHIP AND MANAGEMENT AS FOLLOWS:
EMERGING TECHNOLOGIES IN HEALTHCARE DELIVERY
ROBOTIC SURGERY
ELECTRONIC HEALTH RECORDS
ARTIFICIAL INTELLIGENCE (AI) AND BLOCKCHAIN
RADIOLOGY INFORMATION SYSTEM
CLINICAL DECISION SUPPORT SYSTEM (CDSS)
MOBILE-BASED APPLICATION
TELEMEDICINE
WEARABLES AND SENSORS
PAYMENT MODES IN INDIAN HEALTHCARE
PAYOR MIX (INDIA) 2020
REGULATORY FRAMEWORK FOR HOSPITALS AND HEALTHCARE IN INDIA
GOVERNMENT FRAMEWORK FOR HEALTHCARE DELIVERY
REVENUE AND COST STRUCTURE REVIEW OF HOSPITALS
HOSPITALS DERIVE BULK OF THEIR REVENUE FROM IPD
SURGERIES AND DIAGNOSTICS FETCH BULK OF THE IPD REVENUE
OTHER MONITORABLES THAT MAY BOOST REVENUE INCLUDE:
AILMENT-WISE LENGTH OF STAY
CAPITAL COSTS
TYPICAL COST STRUCTURE OF HOSPITALS
PLAYERS WITH AVAILABLE LAND BANK IN TOP METRO CITIES HAVE AN INHERENT ADVANTAGE
ASSESSMENT OF INDIA’S HOSPITAL MARKET
REVIEW AND OUTLOOK
INDIAN HEALTHCARE DELIVERY MARKET POISED FOR ROBUST GROWTH IN THE MEDIUM TERM
OVERALL HEALTHCARE DELIVERY MARKET IN INDIA
HEALTHCARE DELIVERY INDUSTRY ESTIMATED TO GROW TO APPROXIMATELY RS.5.6 TRILLION IN FISCAL 2023
HEALTHCARE DELIVERY INDUSTRY TO GROW 10% TO 12% FROM FISCAL 2022 TO FISCAL 2027
SHARE OF TREATMENTS IN VALUE TERMS (GOVERNMENT HOSPITALS VERSUS PRIVATE HOSPITALS/CLINICS)
WESTERN REGION TO WITNESS STRONG GROWTH IN HEALTHCARE SECTOR
ESTIMATED WESTERN HEALTHCARE DELIVERY MARKET (RS. BILLION)
KEY GROWTH DRIVERS OF HEALTHCARE DELIVERY INDUSTRY
GOVERNMENT POLICIES TO IMPROVE HEALTHCARE COVERAGE
PRADHAN MANTRI JAN AROGYA YOJANA ADDS A DEMAND IMPETUS
WITH LIFE EXPECTANCY IMPROVING AND CHANGING DEMOGRAPHIC PROFILE, HEALTHCARE SERVICES ARE A MUST
LIFE EXPECTANCY (AT BIRTH) AND INFANT MORTALITY RATE: INDIA V. OTHERS
POPULATION IN 60+ AGE GROUP TO GROW FASTER
RISING INCOME LEVELS TO MAKE QUALITY HEALTHCARE SERVICES MORE AFFORDABLE
INCOME DEMOGRAPHICS
INCREASING HEALTH AWARENESS TO BOOST HOSPITALISATION RATE
URBAN POPULATION IN INDIA (% OF TOTAL POPULATION)
NON-COMMUNICABLE DISEASES, A SILENT KILLER
GROWING HEALTH INSURANCE PENETRATION TO PROPEL DEMAND
PERCENTAGE SPLIT OF NUMBER OF PERSONS COVERED UNDER HEALTH INSURANCE
MAHARASHTRA AND GUJARAT AMONG LEADING STATES IN TERMS OF HEALTH INSURANCE PENETRATION
STATE-WISE PENETRATION AND NUMBER OF PERSONS COVERED UNDER HEALTH INSURANCE (SELECT STATES) FISCAL 2022
MEDICAL TOURISM IN INDIA
GROWTH IN MEDICAL TOURISTS*
ABOUT TWO-THIRDS OF MEDICAL TOURISM DEMAND FROM SOUTH ASIA
BREAK-UP OF MEDICAL TOURISTS* BY MAJOR REGION OF ORIGIN (2019)
BREAK-UP OF MEDICAL TOURISTS* BY MAJOR COUNTRY OF ORIGIN (2019)
COUNTRY-WISE COST OF KEY TREATMENT PROCEDURES (IN US$)
IMPROVED HEALTHCARE SERVICES IN INDIA ADDING TO THE TRUST OF PATIENTS
KEY CHALLENGES FOR THE HEALTHCARE DELIVERY INDUSTRY
HEALTH INFRASTRUCTURE IN DIRE NEED OF IMPROVEMENT
HOSPITAL BED DENSITY: INDIA V. OTHER COUNTRIES
AVAILABILITY OF GOVERNMENT BEDS (PER 10,000 POPULATION) IN INDIA*
HEALTHCARE FINANCING HAS BEEN A PAIN POINT
GOVERNMENT PRICE CAPPING OF MEDICAL EQUIPMENT
OUTSTANDING RECEIVABLES AFFECTING FISCAL PROFILE OF HOSPITALS
PAUCITY OF EXPERIENCED SPECIALISED DOCTORS
HEALTHCARE PERSONNEL: INDIA V. OTHER COUNTRIES (AGGREGATE 2012 TO 2020)
KEY ACTIONABLE AREAS
SHORTFALL IN BED CAPACITY: MAJOR OPPORTUNITY FOR HEALTHCARE DELIVERY PLAYERS
DIVERSIFICATION INTO DIFFERENT FORMAT/AREAS TO INCREASE REACH AND EFFICIENCY
SINGLE SPECIALITY HEALTHCARE UNITS
DAY-CARE CENTRES
END-OF-LIFE/GERIATRIC CARE CENTRES
HOME HEALTHCARE
INCREASING PENETRATION OF HOSPITAL CHAINS IN TIER 2 AND 3 LOCATIONS
ESTABLISHED REGIONAL PRESENCE GIVES PLAYERS AN UPPER HAND
REGIONAL REVENUE MIX OF KEY PLAYERS AS OF FISCAL 2022
SOME OF THE KEY ADVANTAGES OF HAVING REGIONAL PRESENCE ARE AS FOLLOWS:
OPERATING METRICS OF KEY LISTED PLAYERS:
AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF KEY LISTED PLAYERS CLOCKED APPROXIMATELY 7.0% CAGR OVER FISCAL 2019 TO FISCAL 2022
AGGREGATE OCCUPANCY RATES AND ALOS OF KEY LISTED PLAYERS
CARDIAC SCIENCES DOMINATES IN TERMS OF SHARE, BUT ONCOLOGY DRIVES THE HIGHEST GROWTH ACROSS TREATMENT MIX FOR KEY LISTED PLAYERS
HEALTHCARE INFRASTRUCTURE IN SELECT STATES AND KEY MICRO MARKETS
WEST INDIA STATES OF GUJARAT AND MADHYA PRADESH HAVE BED DENSITY LOWER THAN THAT OF NATIONAL AVERAGE
HOSPITALS BED DENSITY (BEDS PER 10,000 POPULATION OF THE STATE) FISCAL 2022
MAHARASHTRA HAS THE HIGHEST HOSPITAL BEDS AVAILABILITY IN THE WESTERN REGION
NUMBER OF HOSPITAL BEDS BY STATE (FISCAL 2022)
SHARE OF PUBLIC HOSPITALS IN INDIA (FISCAL 2022)
ESTIMATED NUMBER OF ICU BEDS BY REGION (FISCAL 2020)
ESTIMATED HOSPITALS BED DENSITY (BEDS PER 10,000 POPULATION) AS OF DECEMBER 31, 2022
MUMBAI METROPOLITAN REGION (MMR) MICRO MARKET HAS 33.0 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022
KALYAN-DOMBIVLI MICRO MARKET HAS APPROXIMATELY 10 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022
PUNE METROPOLITAN REGION MICRO MARKET HAS 30.0 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022
INDORE MICRO MARKET
COMPETITIVE MAPPING OF KEY PLAYERS IN THE INDIAN HEALTHCARE DELIVERY MARKET
COMPARATIVE ANALYSIS OF PLAYERS IN THE HOSPITAL SECTOR
KEY SPECIALTIES UNDERTAKEN BY MAJOR PLAYERS
MODE OF OPERATION OF KEY PLAYERS AS OF FISCAL 2022
ANALYSIS OF HOSPITALS AND BEDS FOR SELECT PLAYERS
PERCENTAGE OF TOTAL HOSPITALS WITH 300+ BEDS IN TERMS OF TOTAL BED CAPACITY (ESTIMATED)
KEY OPERATIONAL PARAMETERS OF MAJOR HOSPITAL PLAYERS
TOTAL NUMBER OF HOSPITALS (DECEMBER 2022)
TOTAL BED CAPACITY (DECEMBER 2022)
ESTIMATED NUMBER OF HOSPITALS IN WESTERN REGION (DECEMBER 2022)
ESTIMATED TOTAL BED CAPACITY IN WESTERN REGION (DECEMBER 2022)
TOTAL NUMBER OF HOSPITAL BEDS PER HOSPITAL/AVERAGE SIZE OF HOSPITAL (DECEMBER
OCCUPANCY RATE (OR) AND ALOS FOR FISCAL 2022
AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF MAJOR HOSPITAL PLAYERS FOR FISCAL 2022 (RS. IN ‘000)
PROPORTION OF BED CAPACITY IN KEY CITIES OF KEY LISTED PLAYERS (FISCAL 2022)
SELECT OPERATIONAL PARAMETERS OF KEY LISTED PLAYERS (FISCAL 2022)
ADDITIONAL SELECT FINANCIAL PARAMETERS OF KEY LISTED PLAYERS (FISCAL 2022)
KEY FINANCIAL PARAMETERS OF MAJOR HOSPITAL PLAYERS
KEY FINANCIAL PARAMETERS (FISCAL 2022)
KEY FINANCIAL RATIOS FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)
COST STRUCTURE OF MAJOR HOSPITAL PLAYERS AS A PERCENTAGE OF OPERATING INCOME (OI)–FISCAL 2022
GROSS BLOCK PER BED AT THE END OF FISCAL 2022 (RS. MILLION)
PLANNED EXPANSION OF KEY PLAYERS
GEARING AND INTEREST COVERAGE FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)
ROCE AND OPERATING MARGIN FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)
SERVICES
BRIEF DESCRIPTION OF SOME COMMON HOSPITAL EQUIPMENTS
1. DRESSING DRUM
2. SURGICAL TRAY
3. CATHETHER TRAY
4. SYRINGE CASE
5. ANIMA POT
6. BOWEL
7. BED POT (LATRINE)
8. URINAL POT
9. KIDNEY TRAY
10. SPIT-ON
11. ELECTRICAL STERILIZER
BUILDING CONSTRUCTION & FURNISHING OF HOSPITAL
THE OTHER DEPARTMENT IN A HOSPITAL ARE AS FOLLOWS:
1. CARDIOLOGY
2. E.N.T.
3. MATERNITY
4. EYE SECTION
5. CHILDREN WARD
6. LABORATORY
7. X-RAY ROOM & ECG CLINIC
8. PHYSICIAN
GENERAL HEALTH AMENITIES
DRUG SITUATIONS
LISTED BELOW ARE THE DESIRED FEATURES OF AUTOMATED BIOCHEMICAL ANALYZERS
MODERN MEDICAL EQUIPMENT
COMPUTER TOPOGRAPHY
ULTRASOUND
CATHETERS IN INTERVANTIONAL PROCEDURES ARE MAINLY USED FOR:
CONSUMABLE STORES
HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
MACHINERY & EQUIPMENT SUPPLIERS
X-RAY ACCESSORIES
AIR CONDITIONING & REFRIGERATION UNITS
IMPORTED PLANT & MACHINERY SUPPLIERS
PROPOSED MINIMUM STANDARDS
LIST OF CONSULTANT FOR SETTING UP HOSPTAL
LIST OF NABET ACCREDITED HOSPITAL & HEALTHCARE CONSULTANT (NABH STANDARD)
HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
PROPOSED MINIMUM STANDARDS FOR PRIVATE HOSPITAL
BASIC FUNCTIONS PROVIDED BY A HOSPITAL
EMERGENCY FIRST AID:
GENERAL MEDICINE:
MEDICAL PERSONNEL
GENERAL SURGERY :
MATERNITY FACILITIES:
PATHOLOGY:
RADIOLOGY:
HEALTH EDUCATION:
AMBULANCE SERVICES:
MEDICAL RECORDS:
HUMAN RESOURCE REQUIREMENT
QUALIFICATIONS
AVAILABILITY OF PERSONNEL:
MINIMUM REQUIREMENT OF PERSONNEL:
DUTY MEDICAL OFFICER
STAFF:
NURSING AIDS:
PARAMEDICAL STAFF:
ENGINEERING STAFF
ADMINISTRATIVE AND ANCILLARY STAFF
OPERATION THEATRE
INSTRUMENTS FOR GENERAL SURGERY & (MATERNITY) OBSTETRICS/GYNAECOLOGY
OPERATION THEATRE
EQUIPMENT FOR SURGERY AND OBSTETRICS/GYN
EQUIPMENT FOR SERVICE ZONE
LAUNDRY
GENERATOR
MINIMAL FUNCTIONAL AND SPACE REQUIREMENTS
SPACE REQUIREMENTS HAVE BEEN DIVIDED INTO FOLLOWING CATEGORIES:
ENTRANCE ZONE
AMBULATORY ZONE
DIAGNOSTIC ZONE
CRITICAL ZONE
OPERATING SUITE
MINIMUM SPACE REQUIREMENTS
A. PROTECTIVE ZONE
B. CLEAN ZONE
C. ASEPTIC ZONE
INTERMEDIATE ZONE
INPATIENTS NURSING UNITS
SERVICE ZONE
BUILDING ENGINEERING ENVIRONMENTAL STANDARDS
CATION
CEILINGS
FLOOR HEIGHT
FLOORS AND WALLS
DOORS:
WINDOWS
CORRIDOR
WATER SUPPLY, PLUMBING AND OTHER PIPING SYSTEMS
FOR MORE THAN 750 BEDS
FOR LESS THAN 100 BEDS
OXYGEN CYLINDERS
ELECTRICAL STANDARDS
PANEL BOARDS
ACCESS ROUTES TO VARIOUS FACILITIES OF THE NURSING HOME:
COMMUNICATION SYSTEM
FIRE-FIGHTING SYSTEM
VENTILATION REQUIREMENTS FOR AREAS AFFECTING PATIENT CARE IN NURSING HOMES
REQUIREMENTS FOR SANITARY FITMENTS IN NURSING HOMES FOR PATIENTS
INPATIENT WARDS AND NURSING UNITS
OUTPATIENT BLOCK
THE RADIOLOGY DEPARTMENT MUST HAVE FOLLOWING SPECIAL TOILET FACILITIES IN CASE IT CARRIES OUT PROCEDURES LIKE IVP.
PROJECT PLANT LOCATION FACTORS
PRIMARY FACTORS
1. RAW-MATERIAL SUPPLY:
2. MARKETS:
3. POWER AND FUEL SUPPLY:
4. WATER SUPPLY:
5. CLIMATE:
SPECIFIC FACTORS
6. TRANSPORTATION:
7. WASTE DISPOSAL:
8. LABOR:
9. REGULATORY LAWS:
10. TAXES:
11. SITE CHARACTERISTICS:
12. COMMUNITY FACTORS:
13. VULNERABILITY TO WARTIME ATTACK:
14. FLOOD AND FIRE CONTROL:
EXPLANATION OF TERMS USED IN THE PROJECT REPORT
1. DEPRECIATION:
2. FIXED ASSETS:
3. WORKING CAPITAL:
4. BREAK-EVEN POINT:
5. OTHER FIXED EXPENSES:
6. MARGIN MONEY:
7. TERM LOANS:
8. TOTAL LOAD:
9. LAND AREA/MAN POWER RATIO:
PLANNING OF EACH FLOORS ARE AS FOLLOWS
CONSTRUCTION DETAILS:
THE TYPICAL FLOOR PLAN IS MENTIONED BELOW:
I. MEDICAL COLLEGE HOSPITAL FACILITY:
DETAILS OF PLANNED CONSTRUCTION:
FLOOR PLAN IMAGES:
PHOTO GALLERY
MACHINERY & EQUIPMENT’S:
LABORATORY & EXPERIMENT:
EMERGENCY UNIT:
MATERNAL & CHILD HEALTH:
GROUND FLOOR
FIRST FLOOR
SECOND FLOOR
THIRD FLOOR
FOURTH FLOOR
FIFTH FLOOR
SIXTH FLOOR
SEVENTH FLOOR
ENVIRONMENTAL MANAGEMENT PLAN
AIR ENVIRONMENT
NOISE ENVIORNMENT
SOLID WASTE MANAGEMENT
OPERATION PHASE
WATER MANAGEMENT (SOURCE & SUPPLY OF WATER)
SEWERAGE
SCHEME OF SEWAGE TREATMENT PLANT:
TREATMENT PROCESS:
THE PROCESS FOR SEWAGE TREATMENT PLANT BASED ON MBBR TECHNOLOGY
SCHEMATIC REPRESENTATION OF STP BASED ON MBBR TECHNOLOGY
BENEFITS OF USING MBBR TECHNOLOGY
PROCESS FLOW DIAGRAM FOR ETP
ETP DESIGN
TREATED EFFLUENT CHARACTERISTICS
WATER CONSERVATION & AUGMENTATION
RAINWATER HARVESTING
TABLE: RAINWATER HARVESTING CALCULATIONS
BLOCK DIAGRAM FOR PROPOSED RAIN WATER HARVESTING / AQUIFER RECHARGING SYSTEM
SCHEMATIC REPRESENTATION OF THE RAINWATER HARVESTING SYSTEM
COMPOST FORMATION POTENTIAL OF THE PROJECT
COMPOST GENERATION POTENTIAL OF THE PROJECT (CHEN, 2016)
TENTATIVE DETAILS OF ORGANIC WASTE CONVERTOR:
STANDARD OPERATING PROCEDURE OF ORGANIC WASTE CONVERTER:
SEGREGATION OF BIOMEDICAL WASTE AND ITS STORAGE:-
BIOMEDICAL WASTE CATEGORIZATION
BMW WILL BE SEGREGATED AND COLLECTED AND THEN WILL BE HANDED OVER TO A UPPCB APPROVED BMW VENDOR
AIR POLLUTION CONTROL:
STACK HEIGHT CALCULATIONS
LANDSCAPING & HORTICULTURE
SHRUBS/ HERBS TO BE PLANTED
PROJECT LOCATION
HISTORY
LIST OF HEALTH INSTITUTIONS
DEMOGRAPHY
ESTIMATED POPULATION IN 2024
POPULATION AS PER 2011 CENSUS
BARPETA POPULATION
IMPLEMENTATION SCHEDULE
LIST PLANT & MACHINERY
MAJOR LIST OF EQUIPMENTS
DEPARTMENT OF NEPHROLOGY
MAJOR EQUIPMENTS
DIALYSIS MACHINE
MICROSCOPE
DEPARTMENT OF CARDIOLOGY
MAJOR EQUIPMENTS/INSTRUMENTS
ECHO CARDIOGRAPHY MACHINES
TMT WIPRO GE MACHINE
TWO FLAT PANEL CATH LABS
ST. JUDE EP SYSTEM
HOLTER MONITOR – ECG
AMBULATORY BP
CX 50
TILT TABLE
DEPARTMENT OF UROLOGY
MAJOR EQUIPMENTS
DA VINCI ROBOT
MODULAR OPERATION THEATRES
60 W QUANTA HOLMIUM LASER
ALLENGERS C ARM
DORNIER COMPACT SIGMA LITHOTRIPSY MACHINE
MEDISON ULTRASOUND MACHINE
RIGISCAN PLUS
MMS URODYANAMICS MACHINE
ENDO UROLOGY INSTRUMENTS
100 WATT HOLMIUM LASER
A MOBILE C-ARM IS A MEDICAL IMAGING DEVICE
DEPARTMENT OF ORTHOPEDICS
MAJOR EQUIPMENTS
ARTHROPLASTY
ARTHROSCOPY SET
INTERLOCK NAIL
ARTHROSCOPY TROLLEY
DEPARTMENT OF NEUROSURGERY
MAJOR EQUIPMENTS
MEDTRONIC 58 NAVIGATION SYSTEM (FULLY LOADED CRENIAL AND SANAL OPTICAL AND ELECTROMAGNETIC SYSTEM)
DEDICATED CUSA (CAUITRON ULTRASONIC SURGICAL ASPIRATDR)
MEDTRONICS HIGH SPEED DRILL SYSTEM
WELL EQUIPPED OPERATION THEATER WITH INTEGRATED WORKSTATION (MICROSCOPE, ENDOSCOPE AND NAVIGATION SYSTEM)
DEDICATION WELL EQUIPPED NEUROSURGICAL ICU
MICROSCOPE:- FIRST FULLY LOADED ROBOTIC 3D MICROSCOPE WITH 30 EXOSCOPE AND ENDOSCOPE
FULLY EQUIPPED OPERATION THEATER
SPECIFICATIONS OF STANDARD LIST OF MEDICAL EQUIPMENT
WHAT LICENSE REQUIRED TO OPEN A HOSPITAL AND THEIR PROCEDURE
NECESSARY LICENSES REQUIRED OPENING A HOSPITAL IN INDIA
REGISTRATION OF HOSPITAL
• LAND AND CONSTRUCTION
• ELECTRICITY AND WATER
• SEWAGE
• BIOMEDICAL WASTE
• FIRE AND HEALTH LICENSE
• REGULATIONS RELATING TO EMPLOYMENT OF STAFF
• SIGN BOARDS
• INFORMATION THAT REQUIRES IS DISPLAYED AT THE HOSPITAL ARE;
• FSSAI LICENSE FOR OPERATING A KITCHEN
• PERMIT TO STORE LPG CYLINDER
• PHARMACY REGISTRATION FOR MEDICAL SHOP
• TRADEMARK REGISTRATION
• VEHICLE REGISTRATION FOR AMBULANCES
• ARMS LICENSES UNDER ARMS ACT 1959
• WASTE DISPOSAL
PLANNING THE HOSPITAL INFRASTRUCTURE
ONE MUST TAKE CARE OF THESE THINGS;
THE OTHER IMPORTANT LICENSE REQUIRED IS:
B.I.S SPECIFICATION
LICENSES REQUIRED FOR HOSPITAL
APPENDIX – A:
01. PLANT ECONOMICS
02. LAND & BUILDING
03. PLANT AND MACHINERY
04. OTHER FIXED ASSESTS
05. FIXED CAPITAL
06. RAW MATERIAL
07. SALARY AND WAGES
08. UTILITIES AND OVERHEADS
09. TOTAL WORKING CAPITAL
10. TOTAL CAPITAL INVESTMENT
11. COST OF PRODUCTION
12. TURN OVER/ANNUM
13. BREAK EVEN POINT
14. RESOURCES FOR FINANCE
15. INSTALMENT PAYABLE IN 5 YEARS
16. DEPRECIATION CHART FOR 5 YEARS
17. PROFIT ANALYSIS FOR 5 YEARS
18. PROJECTED BALANCE SHEET FOR (5 YEARS)
