South Point Medical College and

Hospital
Super Specialty Hospital
and
MBBS and Dental College
At Murthal, Distt Sonepat, Haryana

(Imaginary Graphic)

Estimated Cost of Project

Rs. 513.44 Crores

Proposal submitted by

Mange Ram Educational and Charitable Trust,

450, Holambi Khurd, Delhi.
Detailed Project Report MRE charitable Trust, Delhi

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 South Point Medical College and Hospital
Super Specialty Hospital cum MBBS and Dental
College

Table of Contents

Sr. Description Page Numbers

1. Trustee’s Profile 03 – 08

2. Haryana’s Profile 09 – 18

3. Project Report for 200 Bedded Hospital 19 – 42

4. Medical and Dental College 43 – 46

5. Allied Healthcare Services 47 – 49

6. Thanks 50

Murthal, Distt. Sonepat

Haryana, India

Detailed Project Report MRE Charitable Trust, Delhi

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 Trustee’s
Profile

3 Detailed Project Report MRE Charitable Trust, Delhi

 TRUSTEE’S PROFILE

Mange Ram Education and Charitable Trust is a charitable Trust established on 09.05.2013 under the
leadership of Shri Raj Singh S/o Shri Mange Ram. Currently the trust has Six members with its chariman
as Dilbagh Singh Khattri. The names of Trustees i.e governing body are as under:-

1. Mr Dilbagh Singh Khatri R/o 149, Sector 14, Sonepat-131001 is Chairman of the trust
2. Mr Rohit Khatri R/o 149, Sector 14, Sonepat-131001 is Vice Chairman of the trust
3. Mrs Krishna D/o of Sh Dalel Singh R/o 149 Sector 14, Sonepat – 13101 is Treasurer of the Trust
4. Ms Suneera Singh D/o Manmohan Singh R/o H.no. 19 lotus enclave Parwana Road Pitam pura , Delhi-
110034 is Secretary of the trust
5. Mr Dalel Singh R/o 149 Sector 14, Sonepat – 13101 is Executive member of the trust
6. Smt Phoolo Devi is executive member of the Trust

4 Detailed Project Report MRE Charitable Trust, Delhi

 OBJECTIVES & AIMS OF TRUST

OBJECTIVE:-

The Aims and objects of the Trust are briefly specified herein below and the benefit thereof shall be
extended to all irrespective of class, community, creed or religion and for general public utility. The
Trustees shall hold the Trust funds upon trust that as far as practicable the corpus shall always remain intact
and only the income thereof shall be used, but with the liberty to the Trustee at their discretion to use the
corpus from time to time either wholly or in parts for the public charitable purposes including–
 Education of poor and the needy.
 Medical Relief, Relief for the Poor, Housing, Rehabilitant of Elderly.
 Advancement of any other object of general public utility.
 Provide access to world class education to the poorest of poor with world class infrastructure

OTHER OBJECTIVES:

 Provided that the income as well as corpus shall be applied only towards the public charitable
purposes aforesaid and any accumulation of income shall be made and deemed to be made for the
application of the public charitable purposes as aforesaid.
 Provided further that notwithstanding anything herein before or hereinafter contained, the income
as also the corpus of the Trust shall be applied and be applicable only to or for such public charitable
purposes and objects and subject to such conditions and/or limitation, if any, as may, from time to
time to le laid down in the Income Tax Act, 1961 or any other Act governing the taxation of income
as will ensure or make the trust and its income as eligible for exemption from taxation under IT act,
or any replacement or re-enactment thereof or modification thereof or under any other Government
Taxation for the time being force in India without effecting the generality of the foregoing object
or purposes, but subject as aforesaid, It is declared that the Trustees shall, in each year, apply the
income of the Trust Funds and may, at the discretion, at any time or from time to time, apply also
the Trust funds or any one or more of the following object or purposes in such proportion and
manner in all respect as Trustees may, in their absolute direction, think proper, that is to say:-

EDUCATION OF POOR and Needy:

 To provide education to the poor and needy who otherwise can’t afford it.

5 Detailed Project Report MRE Charitable Trust, Delhi

  To establish, control, direct, takeover, conduct, supervise, develop and manage and/or assist or join
in the establishment, control, direction, taking over, conduct, supervision, development and
management of schools, colleges, institutions and Bodies for giving or imparting any kind of
education and training including without prejudice to the generality and in particular primary,
secondary and higher academicals scientific, commercial, industrial, agriculturist in all its
branches, technological, vocational, theological, theosophical, professional including medical,
legal journalistic, political, historical, computer, psychological, sociological, physical, military
education and training as well as education and training in art ( including fine arts) crafts.
 To establish, construct, maintain or supports of Boarding Schools, Orphanage schools.
 To award scholarship and fellowship on such terms and conditions as the Trustees may think for
the purpose of understanding, prosecuting and encouraging studies in India and abroad.
 To provide free Books, uniforms, school fees, tuition. Grant, scholarship and prizes and/ or loans
or financial assistance in any manner to deserving students.
 To contribute to any other Trust or institution established for objects similar to those of this Trust
of any one of them.
 Trust shall pay particular attention to reconstruction and community development work in rural
areas.
 Trust shall establish, found, construct, maintain and assist in the promotion of institution for the
scientific, technological, agricultural, industrial and economic progress and development of the
country and carry out research in various fields.
 To encourage, support, assist students travelling abroad for higher Education in all possible manner
be making available financial support for their travelling, boarding, lodging, tuition fees or any
other support, either by way of grant or interest free loans or loans on soft term as may be
determined from time to time and on the merits of each separate case.

MEDICAL TO POOR PEOPLE:

 To establish, maintain and support or grant or give monetary assistance and or any other assistance
and medical relief to centers, Hospitals, Nursing Homes, mater.
 Nity homes, Medical Clinics, Family Planning centers, Cancer, Aids, Blood Banks, Eye Camps,
Sanatoriums, Asylums, Institution with facilities for the free boarding and lodging, convalescent
homes, Orphanages, homes for Widows or destitute women, Child Welfare activities, Pediatric care
and/or to contribute ant trust or institution established for the said purposes or any one or more
them for the upliftment/ betterment of the mankind by propagating/ inculcating moral and spiritual
values.
 To promote and assist benevolent and philanthropic institutions or persons carrying on activities
conducive to the welfare of humanity.
 To undertake and carry into effect or assist and encourage in any manner whatsoever any activity,
project scheme or program intended for improve the health of the people or for encouraging
academic activities or for giving assistance to needy people.

6 Detailed Project Report MRE Charitable Trust, Delhi

  To provide free medicine, supply nutrition foods to the needy persons, reimburse their medical/
hospital bills and or any other financial assistance in any manner to deserving people.
 To open drug bank, Blood bank and such allied backs and pathology laboratories and to open health
centers for educating public about types of diseases and their prevention measure and give monetary
help for such acts.
 To supply drugs, hearing aids, orthopedic operation theatre equipments or any surgical or medical
equipment, appliance like wheel chairs for handicapped and other medical appliance to the needy
people.
 To maintain ambulance services, mobile dispensaries and to organize medical diagnosis, clinical
and surgical aid camps.
 To encourage medical education, arrange medical seminars, workshops and conferences for
specific diseases, medical research and family planning.

RELIEF OF POVERTY:

 To make monthly, quarterly or other periodically or lump sums contribution to the needy person
for the advancement of education and their other day requirements.
 To provide relief in cash or kind for the uplift in any manner of all class of people including the
backward, the helpless, the destitute, orphans or deserving people in times of natural calamities,
emergency scarcities, havoc of floods, fire, famine, earthquake or calamities like civil commotion,
riots, war of force measures and the like.
 To provide housing facilities to poor and needy people.
 To establish or render help to any institution for alleviation of human suffering.
 To start, maintain and assist monetarily or otherwise in any relief measure in any part of the Country
which may become subject to natural calamities like famine, fire, flood, dearth of water, earthquake
etc.
 To engage in Rural Development Project and for that purpose to render financial and/or any other
assistance.
 To rehabilitate of the underprivileged needy persons in particular.

7 Detailed Project Report MRE Charitable Trust, Delhi

 Apart from the above listed, to help any poor and deserving family for performing the religious
rites such as last rites, funeral and other related functions on merit basis this would include the cost
involvement of donations in cash or kind, depending on the circumstances.
 To establish research association/s for general public utility which has its object to undertake to
carry on or to help to carry on research and other scientific work.
 To promote work for and undertake any activity for the Industrial domestic, social, physical, moral,
ethnic or financial welfare or upliftment of all classes of people and advancement and welfare of
all human beings.
 To establish, maintain and manage institution and organizations to further research in Industrial
and economic problems.
 To provide boarding and lodging facilities to students and working women.
 To encourage cultural activities including but not limited to promotion of peace and harmony by
holding and educative theatrical shows, dramas, lectures etc.
 To set up, establish and maintain vocational training centre.
 To promote environmental awareness and safeguard the global environment and to that end carry
on such activities as may be required and to assist in infrastructure improvement.
 To establish, takeover, run, maintain a center or centers for Senior citizens or retirements homes or
old people homes with facilities such as boarding, lodging, health care nutrition, recreation etc as
may be necessary.
 Trustees shall do all other acts and things necessary for incidental or conductive to effectuating the
foregoing purpose for which would further or fulfill the objective mentioned here before. Trustees
shall have power to add any object of general public utility to the object hereinbefore setout
provided.
 It is expressly provided that if any one or more of the objects hereinbefore specified are held not to
be object of the general public purposes, the Trustees shall not carry out such objects but the validity
of the said trust for the public charitable purpose shall not be affected in manner.
 It shall be lawful for the Trustees to aid by way of donation out of the income or the corpus of the
Trust funds to any extent they deem fit.

8 Detailed Project Report MRE Charitable Trust, Delhi

 Haryana
Profile

9 Detailed Project Report MRE Charitable Trust, Delhi

 MAP OF INDIA

10 Detailed Project Report MRE Charitable Trust, Delhi

 MAP OF HARYANA

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 MAP OF DISTT. SONEPAT

Detailed Project Report MRE Charitable Trust, Delhi

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 PROPOSED LOCATION OF SPMC&H
HOSPITAL

13 Detailed Project Report MRE Charitable Trust, Delhi

 Haryana: Brief Profile
Geographic profile of Haryana

Haryana is one of the 29 states in India, located in northern part of the country. It was carved out of the
former state of East Punjab on 1 November 1966 on linguistic as well as on cultural basis. It is ranked 22nd
in terms of area with less than 1.4% (44,212 km2 (17,070 sq mi)) of India's land area. Chandigarh is the
state capital, Faridabad in National Capital Region is the most populous city of the state and Gurugram is a
leading financial hub of NCR with major Fortune 500 companies located in it. Haryana has 6 administrative
divisions, 22 districts, 72 sub-divisions, 93 revenue tehsils, 50 sub-tehsils, 140 community development
blocks, 154 cities and towns, 6,848 villages and 6222 villages panchayats

As the largest recipient of investment per capita since 2000 in India, and among one of the wealthiest and
most economically developed regions in South Asia, Haryana has the fifth highest per capita income among
Indian states and UTs at ₹199,612 (US$2,900) against the national average of ₹112,432 (US$1,600) for
year 2016–17. Haryana's 2019-20 estimated state GSDP of US$110 billion (52% services, 34% industries
and 14% agriculture) is growing at 12.96% 2012-17 CAGR and placed on the 13th position behind only
much bigger states, is also boosted by 30 SEZs (mainly along DMIC, ADKIC and DWPE in NCR), 7%
national agricultural exports, 65% of national Basmati rice export, 67% cars, 60% motorbikes, 50% tractors
and 50% refrigerators produced in India.Faridabad has been described as eighth fastest growing city in the
world and third most in India by City Mayors Foundation survey. In services, Gurugram ranks number 1 in
India in IT growth rate and existing technology infrastructure, and number 2 in startup ecosystem,
innovation and livability (Nov 2016). Haryana has the seventh highest ranking among Indian states in
human development index.

Among the world's oldest and largest ancient civilizations, the Indus Valley Civilization sites at Rakhigarhi
village in Hisar district and Bhirrana in Fatehabad district are 9,000 years old. Rich in history, monuments,
heritage, flora and fauna, human resources and tourism with well developed economy, national highways
and state roads, it is bordered by Himachal Pradesh to the north-east, by river Yamuna along its eastern
border with Uttar Pradesh, by Rajasthan to the west and south, and Ghaggar-Hakra River flows along its
northern border with Punjab. Since Haryana surrounds the country's capital Delhi on three sides (north,
west and south), consequently a large area of Haryana is included in the economically-important National
Capital Region for the purposes of planning and development.

Demographic profile of Haryana

Haryana has a population of 235.5 lakhs(2.35 crores). Out of Haryana’s total population of 253.5 lakhs,
70% reside in the rural areas. The Sex Ratio for the State is lowest (as compared to the all-India average of
933).

The overall literacy rate for the State of Haryana is 76.64%. The male literacy rate is 85.38% which is
significantly higher than the female literacy rate (i.e., 78.49%).

Detailed Project Report MRE Charitable Trust, Delhi

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Table 1: Demographic Indicators of Haryana

Item Value
Proportion of Rural Population (%) 70%
Literacy Rate (%) 76.64%
Male literacy rate 85.38%
Female literacy rate 78.49%

Table 2: Health Care Indicators of Haryana

Item Value
Fertility rate 2.3
Infant Mortality rate 41
Maternal mortality ratio 146

15 Detailed Project Report MRE Charitable Trust, Delhi

Healthcare Infrastructure in HARYANA

S. No Health Facility Number of Institutions

1 Hospitals 59
2 CHC including Identified FRUs 119
3 PHC‟s 486
4 Mobile Dispensaries 16
5 Sub Centers 2630
6 Blood Banks 28

Healthcare Facilities in Sonepat District

The rural health care system is a three tier structure. It has “Sub-center” at the most peripheral level,
“Primary Health Centre” at the intermediate level and “Community Health Centre” at the secondary level.
The population covered by a “Sub Centre”, “Primary Health Centre” and “Community Health Centre” are
“3,000-5,000”, “20,000-30,000” and “100,000”, respectively. In addition, there are Private Voluntary
Healthy Facilities, also. As per Haryana government organizational set up, the District is headed by a
District Magistrate, who is also the chair person of the Integrated District Health Society of Sonepat district.
The District health set up of Haryana government is headed by the Chief Medical Officer followed by a
Deputy CMO as second-in-command. Chief Medical Superintendent looks after the Haryana government
hospitals in the district.

16 Detailed Project Report MRE Charitable Trust, Delhi

There are 190 government health care facilities in the district, as can be seen from the table given below.

Category Number
District Hospitals 1
No. of CHC 6
No. of PHC 22
No. of sub centers 161

Healthcare Facilities in Sonepat

Sonepat is well facilitated with ample amenities in all major fields. Sonepat has made good progress in all
fields of administration like electricity, water, infrastructure, business, economy, etc but one department
which has got special attention is the healthcare facilities in the city since it is one of the primary
requirements of every society. Medical treatment in Sonepat has developed hugely in the past few years
with the active initiation of both government hospitals as well as few private hospitals based in the area.
Excellent doctors and qualified medical professionals are recruited at these hospitals to take care the people
of the villages.

Medical treatment has also been quite progressive in the recent past years. Modernized treatments methods
and special equipments are required for accurate and quick therapy. Though not all are present in Sonepat
hospitals but still they are equipped with almost all facilities to cure any critical or emergency patients.

Health care Facilities in Sonepat falls under the rural health care system which is a 3-tier activity supported
by primary health sub center, Primary Health Care centers and Community Health Centre. Apart from this
there are special initiatives by Private health Units too. Besides, the primary health centers there is a
Community Health centre in Sonepat too which takes care of the medical needs at these villages. They cater
to people with severe ailments too as qualified medical practitioners are based here. The Primary Health
Centers have smaller team of medical practitioners but they target the interior areas and try to help people
for their ailments. Usually the PHC and Sub PHC are based at far away villages from where coming to the
city are difficult. Each unit of PHC and Sub PHC have a distance of 6km or more between them. Medical
awareness and free medicines are provided from this medical units to people across villages.
The population of Sonepat is more than 10 lakhs and available facilities are far much less than what is
required

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Government District Hospital
The Government Hospital in Sonepat is well equipped with modern clinical equipments to cater the needs
of the patients here. There remain proper administrative medical officers reporting to the District Medical
Officer regarding the proper functionality of the hospital. There are sufficient number of beds and special
maternity ward for the patients here. But due to high increase in population soon they will be inadequate
and Sonepat is becoming most populous city in NCT

Private Hospitals in Sonepat

Apart from the Government medical units there are few well equipped private hospitals which are giving
excellent service and proper medical treatment. Though the cost of treatment is higher at these hospitals but
they provide best treatment by highly qualified doctors and experienced medical staff. These hospitals and
nursing homes have sufficient beds to accommodate patients immediately and they also have separate wards
with specialized doctors to treat in specific ailments. There are exclusive OPD centers for patients to consult
doctors and get expert guidance. Some of the popular private hospitals in Sonepat are:

Nidaan Hospital
Haryana multi Speciality Hospital
FIMS Hospital
Handa Hospital
Gemini heart and Emergency care
Girdhar hospital
Mukhi hospital
Daya Ram Hospital
Mission Hospital
Batra hospital etc

Apart from the regular Allopathic treatment, the city has facility to treat patients with both Homeopathic
and Ayurvedic Medical treatment which are also equally effective and popular.

Pathology Labs in Sonepat

One of the most integral parts of medical treatment is proper diagnosis on the nature of medical illness, its
stage and its present status. This all information forms the backbone of accurate treatment for any type of
physical ailment.

National Pathology Lab

Dr Lal Pathological Lab
Central Pathological Laboratory
Haryana Pathological Lab

18 Detailed Project Report MRE Charitable Trust, Delhi

 Project
Report
For
Hospital

19 Detailed Project Report MRE Charitable Trust, Delhi

 PROJECT REPORT
INTRODUCTION

Healthcare scenario of India

As per statistics published by the WHO, in 2008, the death-rate due to non-communicable diseases was
more than 55% in the age group of 15 – 60 years. Lifestyle related diseases such as cardio-vascular, cancer,
gastro-intestinal and respiratory diseases contributed a major portion totaling to almost 85% of all deaths
in this category.

The projected life expectancy will be 70 years by the years 2025. On the other hand, the infant mortality
rate is on a steady downward trend thanks to the improvements in medical technology. However, it needs
to be noted that the secondary and tertiary healthcare accessibility is still largely restricted to the metro and
the larger Indian cities.

In short, Indians are living longer, steadily migrating to urban areas and are becoming more and more prone
to lifestyle related diseases at a much earlier age than before.

On the other hand, the cost of healthcare has risen steeply over the years. The public spending on health by
the Indian Government is one of the lowest in comparison to other nations, amounting to only 20%. 80%
of the healthcare expenditure is borne by the public.

The accessible and affordable Health Care services with more efficient and effective service delivery are
always in demand for the population of India especially in villages, towns and even in tier II and III cities.
The current healthcare profile of India indicates the gaps in available resources and the requirements of
infrastructure. To plug this gap there is an urgent and much required need to provide health care facilities
to the large population of the country, which has already crossed 1.30 billion mark.

World Health Organization (WHO) has emphasized the need of health for all. Conditions in India are not
very good. This is despite the Govt. of India putting in sincere efforts for providing free medical facilities
in large numbers all over India.

There is an imbalance in the doctor-patient ratio. Doctors are reluctant to serve in remote areas because of
insecurity and lack of professional growth.

Keeping in view the above requirements, MRE Charitable Trust has mooted a proposal to set up a 200
bed hospital and a medical college with 200 seats in MBBS and 100 seats in BDS at Murthal, Distt
Sonepat, Haryana.
Sonepat is well connected with Delhi and the cities of Karnal, Panipat, Gohana etc. It is on GT Road
also know has NH 1.

Detailed Project Report MRE Charitable Trust, Delhi

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The proposed hospital equipped with ultra-modern medical equipments will offer excellent health care
services to the patients suffering from various diseases and will also provide education to 200 students
in MBBS and 100 students in BDS every year.

Project at a glance

The proposed hospital would be multi-specialty tertiary care unit. The hospital would have 200 beds in
the first phase spread over a total built up area of approximately 1,200,000 sq. ft. in a 25 acres campus
along with education institute

Phases of Development

Phase I: INCEPTION AND PLANNING: After the arrangements of finances, planning of this project
will be done by qualified and experienced professionals of each and every stage of the project. That includes
preparation of Detailed Project Report, Architect‟s designing, obtaining necessary regulatory approvals,
land development & construction, arranging all supplies of materials and equipments.

Phase II: EXECUTION: After planning, and obtaining all necessary approvals from concerned
authorities, the construction work will start under the supervision of qualified professionals. The project
will be completed within the timeline given by professionals.

Phase III: CURRENT AND FUTURE FACILITIES: The following required facilities are in the
master plan phased manner:
a. Hospital
b. Medical college
c. Dental College
d. Accommodation for Nurses, Doctors & staff
e. Multipurpose Halls/Community Centre
f. Accommodation for patient‟s relatives
g. Guest house/hostels
h. Technology development Centre
i. Skill development Centre
j. Library
k. Health Club
l. Prayer Centre
m. Children Park
n. Solar Power Generation Station
o. Satellite Health Care Centers
p. School for staff engaged in the project like hospital, education and research centers.

21 Detailed Project Report MRE Charitable Trust, Delhi

 TOTAL COSTING OF THE PROJECT

Sr. Particulars Existing Proposed Total (Rs. in

(Rs. in Cr.) (Rs. in Cr.) Cr.)
1. Land (25 + 5 Acres) 98.65 0.00 98.65
2. 200 bed hospital 0.00 209.38 209.38
3. Medical college (200 0.00 87.86 87.86
MBBS seats)
4. 0.00 42.45 42.45
Dental College (100 BDS
Seats)
5. Mobile Health Care 0.00 37.4 37.4
Units (20) @ 1.87 Cr
TOTAL 98.65 377.09 475.74
6. Professional Expenses 0.00 18.85 18.85
(5% of project cost)
7. Contingency Expenses 0.00 18.85 18.85
(5% of project cost)
GRAND TOTAL 98.65 414.79 513.44

Total Project Cost :: Rs. Five Hundred Thirteen Crores Forty

Four Lacs (Say Rs. Five Hundred Forteen Crores)

22 Detailed Project Report MRE Charitable Trust, Delhi

Details of Services to be offered in the Hospital
Medical Services

Emergency Medicines ICU/CCU, Casualty, 2 Major OTs

General Medicine Minor OT, Consulting Rooms, Nursing Stations
Paediatrics & Neonatology Nursery, Intensive Neonatal Care, Facilities for Anaesthesia, Ventilation,
Incubation
X‐Ray Imaging Mobile X‐Ray Unit 100 mA for Nursing home and 500 mA X‐Ray
Machine in OPD, CT Scan Machine
Pathology Histopathology, Haematology, Serology, Microbiology & Biochemistry
Gastroenterology Endoscopy
Cardiology ECG, Stress test with treadmill, Ultrasound Cardiac Investigation
Physiotherapy Infrared Therapy, Ultra Violet Therapy, Shortwave Diathermy, High
Frequency Physiotherapy, Traction, Stimulation, Physical Fitness
Ophthalmology General Surgery
Orthopaedics General Surgery
Operation Theatre 2 Major OTs with facilities for Anaesthesia, Ventilation, Monitoring,
Defibrillation and One Minor OT in the Nursing Home
ICU/CCU Multi‐Bed, Multi‐Parameter Monitoring
Gynaecology Colonoscopy, Laparoscopy & Doppler Foetus Detection, Ultrasound
Abdominal/Ob/Gynae Investigations, 3 Labour Rooms, 2 delivery Rooms
ENT Examination, general surgery, respiration Function screening
Casualty/Emergency Resuscitation
Nephrology Dialysis

Health and Allied Services

Family Welfare Contraception, sterilization, immunization and nutrition

Nursing, Paramedical & Allied Services

 X‐ray  Mortuary
 Ultrasound  Blood Bank
 ECG  Laboratory
 Medical Store  Major OTs and Minor OT
 Chemist Shop  Dialysis
 Nursing  Anaesthesiology
 Sterilization  Physiotherapy

23 Detailed Project Report MRE Charitable Trust, Delhi

Utilities & Allied Services

 Electricity  Sewage disposal

 Fire protection  Laundry
 Horticulture  Catering Communication‐PABX
 LPG Supply  Intercom
 Ambulance  Nurse call system
 Medical gases supply  Water treatment
 Air Conditioning  General administration
 Refrigeration  Computer system

Systems and Procedures Manuals

The salient information to be included in hospital of manual (s) are as follows:‐

I. System for registration and record keeping for in and out patients.
 Reception, Communications, Appointments, Admissions and Discharge Activities.

II. Inventory Management System for consumables and supplies

 Medical Stores (two way operation of medical shop viz. one for out patient and another for
in‐house patients with final adjustments from patients bills)
 House Keeping
 Laundry (operating System)
 General stores
 Catering
 Material services (this include daily use medical support materials)

III. Preventives maintenance routines for medical and other critical equipments.
 Engineering maintenance for non‐medical equipments (this will include electrical,
mechanical, water works and others)
 Maintenance for medical equipment covering electrical, mechanical & electronic Systems.

IV. Organization Structure, manpower, planning procedures, salaries and wages compensation
plan.
 Organization: Organization structure, flow of responsibilities etc.
 Personnel: This includes recruitment policies and salaries, perks, promotions etc.
 Security: Number of hours/persons/day, number of watchman, number of shifts, uniform and
other utilities.
 Accounts and administration services
 OPD working: This includes number of shifts, number of Doctors shifts, fees charged,
average number of patients/doctors/shifts.

24 Detailed Project Report MRE Charitable Trust, Delhi

  Diagnostic Center: Pathology and Scanning procedures etc.
 Emergency Services & Casualty, Minor OT: This includes no. of doctors, no. of beds, no of
shifts, no of supporting staff, ambulance services etc.
 O.T.: ICUs operating system, no of beds in ICUs, OT non‐medical and medical activities etc.
 Departmental Services: General Surgery Deptt., General Medicine Dept. Pediatrics &
Neonatology Dept, Gynecology, Maternity & labour Room, Orthopedics, ENT Deptt.,
Physiotherapy, Cardiology, Gastroenterology
 Public relations & marketing services, including schedule of charges
 Nursing Services and nurses training
 Expansion program, estate & horticulture services
 Hospitality for visitors, hotel for short‐term NRI doctors etc.

Hospital Capacity
The planned hospital will have total numbers of 200 beds .Break up of bed capacity in the hospital is
given as under:

Facility Numbers
Regal Suits 4
Deluxe Single Rooms (10 nos.) 10
Single Bedded Rooms (34 nos.) 34
Double Bedded Rooms (20 nos.) 40
Triple Bedded Rooms (10 nos.) 30
Six Bedded General Wards (6 nos.) 36
ICU (2 nos.) 8
CCU (2 nos.) 8
Neonatal 20
Emergency 10
Total 200

The general wards can be further divided into two or three bedded cubicles for increased flexibility,
depending on the requirements; similarly, two bedded rooms will have the flexibility to be converted to
single rooms.

One nursing home should be located on each floor of the hospital.

It will be seen that majority of beds are in the single bedded, double bedded and triple bedded rooms so as
to cater specialized and personalized care to the patients.

The regal suits and the deluxe single bedded rooms will attract the high income group patients.

25 Detailed Project Report MRE Charitable Trust, Delhi

Future Expansion
The building should be designed so as to accommodate the expansion of this hospital without disturbing
the day to day functioning of the hospital. Future expansion is possible on each of the blocks up‐to 5 floors
to cater for augmented facilities as necessary.

Once the hospital is fully operational, the management will be able to identify the areas where expansion is
required both for existing facilities and services. Additional medical equipments commensurate with the
expanded facilities and services will need to be incorporated suitably. These expansions will be financed
through internal generations from the project itself. Some of the areas for expansion anticipated are as
under:

Dental Services
The department will need to be equipped with a dental x‐ray machine & necessary equipments/facilities
for dental examinations and surgery.

Neurology
Once the operations of the hospital are fully established, it may be necessary to provide EEG & EMG
under this department:

Imaging
The existing facilities may need to be augmented with color Doppler and advanced CAT scanner to provide
highly sophisticated diagnostic services. An image intensifier system would be necessary for use with 500
ma X‐ray system for conducting fluoroscopic studies.

Capacity
The number of beds may need to be increased in the form of additional module in a separate building
appropriately designed/expanded in the same building to cater for increased demand. The building structure
design should cater for 5 floors and a total of 100 additional beds should be feasible.

OPD
Potential should exist for considerable expansion of this facility.

Ophthalmology
In the Ophthalmology department, there will be a need to augment the facilities with A & B scan, auto
refractor, and a field analyzer in due course of time. Brief utility of these equipments is given below:

(a) A & B scan employs pulsed ultrasound to determine the axial length of the eye (A mode) and to
produce a two‐dimensional plan view of the eye for diagnostic evaluation (B mode)
(b) Auto refractor is used for providing complete information on patient‟s functional acuity. An auto
aligning refractor enables automatic positioning of the instruments at the correct vertex distance
from the patients.

26 Detailed Project Report MRE Charitable Trust, Delhi

 (c) Field analyzer is used to rapidly identify sub‐normal areas. This will have a complete test library
from qualitative screening for accurate, repeatable threshold testing and statistical analysis for
glaucoma management.

Nephrology
There may also be a requirement to induct an additional single patient‟s haemo ‐dialysis machine
subsequently in the Nephrology departments.

Medical Lasers
Argon, Nd‐Yag and CO2 lasers can also be added if found desirable.

Pathology
A computerized auto‐analyzer may be added in the laboratory for pathological tests.

Gynecology
A foetal monitor for FHR measurement and monitoring of uterine contractions can be added
subsequently.

As part of the marketing drive, there will be a need to approach the corporate bodies for patronage in terms
of executive health care on preferential basis. The modalities for operation of this scheme should be worked
out at an appropriate stage which will cover concessional tariff in structure, priority in allotment of rooms
etc. It is also suggested to set up a club, which will invite membership from individuals, families and
association for regular health check‐up and treatment. The OPD block should be functional 3 to 4 months
ahead of the commissioning of the hospital. This will not only help in generating revenue, but will also go
a long way in the publicity of the hospital.

Supportive Facilities in the Hospital

Communications
The hospital will have all the necessary systems for communication. These will include: EPABX system,
Nurse call system, Paging system/ public address system. In addition the hospital must have e‐mail and fax.

Nurse call System

Nurse Call System will have to be provided with one console at each nursing station. It will be an advanced
electronic system, consisting of an indicator console located at the nurse‟s station. It needs to be cable ‐
linked to a hand held module at each patient‟s bedside and also have a bed panel. A panel outside the
patient‟s room and a panel in the toilet should also be provided. The console as well as the bedroom and
toilet panels carries red, yellow and green display lamps. The console at the nursing station also has a digital
display panel.

27 Detailed Project Report MRE Charitable Trust, Delhi

In the normal situation the digital display panel on the Nurse‟s console stays blank and all lamp indications
on all the panels remain green. This shows that the equipment is functioning. In case of emergency, patients
push a button on the hand held module. Green lights in all the panels change in to red and the patient‟s bed
number begin flashing on the nurse‟s console, accompanied by a regular beep. The nurse immediately
responds by pushing a single button on her console and this causes an additional yellow lamp to light up on
the patient‟s hand held module, as well as on the doors and bed panels, assuring the patient that the call has
been heard and will be attended to. After the nurse has attended to the patient she presses the button on the
bed panel. This resets the unit and restores all lamp indications to green.

The system is fool‐proof with no call remaining unattended. Additional facilities include the connection of
intercom with the system and hence allowing the nurse to speak directly with the patients without leaving
her station.

Computers
The hospital will have a computer system for efficient and fast working of the various departments.

Power Supply System

The total estimated maximum load of the hospital would be 650 KVA. This requirement has to be met from
the State Electricity Boards supply. To provide uninterrupted power supply to the hospital, a set of stand
by DG sets will have to be catered. The power supply system will consist of: Sub‐station equipment and
Standby DG sets (2x3560 KVA).There will be two DG sets to supply all the power needed including the
AC units.

Sub‐station
The Sub‐station will consist of transformer, LT panel & HT oil circuit breaker. The transformer will be
Kirloskar make 11 KV/344V, 3‐phase 50 Hz, ONAN, core type with voltage ratio between phases at NO
LOAD as 11000/433V arranged for Star/Delta connection as per vector group DY‐II with neutral brought
out on LV side. The transformer will conform to IS: 2026/1977.
 H.V. termination
 L. H. termination
 Dial Thermometer
 Buchholtz relay

LT panel will be used for the distribution of the load to various departments in the hospital. HT OCB will
be provided for safety in case of any short circuit. Crompton Greaves ALA 1/XL type oil circuit breaker
will be provided for this purpose. It will confirm to IS‐2516 (Part I, Sec. 2) 1963, flush fronted, metal clad
with indoor floor mounting, vertical isolation, horizontal draw‐out having a rupturing capacity of 250 MVA
at 11 KVA and suitable for use on 11 KV, 3 phase /3‐wire, 50 cycles and will be effectively earthed system.

Detailed Project Report MRE Charitable Trust, Delhi

28
Standby DG Sets
To take care of the power failure of the grid, hospital will be provided with two standby diesel generating
sets with a total capacity of 700 KVA. The hospital will have two 350 KVA DG Sets each. The components
of DG Sets comprise the following:
(a) Diesel Engine: Kirloskar Cummins make diesel engine model NTA‐743‐G and developing 500
BHP at 1500 RPM, rated for continuous duty, with additional 10% overload capacity for one hour
in any period of twelve hours at continuous operation at standard operating conditions, as per BS:
649/5514. This is naturally aspirated/turbo charged after cooled engine. The diesel engine is
inclusive of all standard accessories including instrument panel. Fuel consumption is 90 litres/hr.
(b) Alternator: Kirloskar make alternator rated for 400 KVA, 100 RPM at 0.8 lagging power factor at
415/440 volts, suitable for 50 HZ, 3‐phase system. The alternator will have screen protected drip‐
proof enclosure complying with BS‐213 or IS‐4722.
(c) Alternator Control Panel: Floor mounting type, totally enclosed, steel construction control panel,
suitable for above generator.
(d) Accessories: Accessories for the above DG Set include base plate for mounting diesel engine and
alternator, fuel tank floor mounting type, lead battery, spare parts and maintenance manuals.

Medical Gas Supply System

A central gas supply system shall have to be provided for the distribution of medical gases to various
departments of the hospitals.

Gases required are Oxygen and nitrous Oxide along with suction. The ventilators will be operated by means
of Oxygen. There will be a central storage tank for these gases and distribution will be through copper
pipes. A compressor is to be used for the delivery of gases to various points. Separate pipelines will have
to be installed for this purpose.

Fire Fighting System

For meeting the emergency in case of fire in the hospital, proper fire fighting equipments, have to be
provided at all the sensitive areas, due care about the safety regulations has to be taken into the account.

Lifts
The hospital need to have two hospital lifts for the movement of patients, doctors, stretchers, and wheel
chairs, Visitors etc.

Ambulance
The hospital need to have two ambulance (Tata 407 model or other make) for attending to the emergency
from outside and bring the casualties/ emergency patients to the hospital for treatment. Ambulance has to
be available for the patients who are discharged and are recommended for complete rest. This facility will
be available on payment basis with a fixed minimum charge and additional charge depending upon the
distance. The ambulance will have all modern first aid facilities with ambu bags and oxygen.

29 Detailed Project Report MRE Charitable Trust, Delhi

Laundry
Laundry has to be provided with the necessary facilities to meet the basic hospital needs. The hospital will
be generating about 100 Kg. of dirty linen per day for washing. To cater for this adequate provision in terms
of basic infrastructure has to be provided. The operation of the laundry can be on a contract basis. Besides
this, the following can be added in the later stage‐Washing machine with spinner of 50 Kg/charge, sluicing
machine of 7 Kg/charge, and Hydro extractor of 25 Kg/charge. These machines are operated with steam.
Hence a boiler of 300 Kg. / hr capacity will be also required.

Boiler
One industrial horizontal smoke tube design oil fired boiler capable of generating 300 Kg./hr. of steam (F
& A 100 degree centigrade) at the maximum working pressure of 150 psi (10.54 kg. Sq. cm.) along with
control panel and mobray control. Accessories to this boiler to include: ‐Guy rope type chimney of diameter
250 mm & height 15 mtr and MS soft water tank capacity 1000 litre.

Kitchen equipments
The hospital will have its own kitchen with basic facilities to meet the requirements for the patients IPD.
Quality control will be carried by the full time dietician. Besides the hospital will also have a canteen facility
for the out‐patients and visitors which will be operated by a contractor.

Waste Disposal
Liquid Waste generated by the hospital will be directly disposed of in main sewer line which is already
existing in the complex.

Solid waste like, cotton bandages, dressings etc. will be disposed off by incineration.

Medical Equipments
The medical equipments required for the hospital have been identified in accordance with the following
criteria:
 To ensure that each of the departments/ functional areas are adequately equipped for diagnosis/
treatment.
 To serve the basic initial requirements for the hospital. Preference has been given to equipment
based on modular design to upgrade the facilities at the later date thus effecting cost savings.
 To be cost effective with respect to performance, recommendations are based on least priced
equipment without compromising on desired functional capabilities.
 Reliability of the equipment suppliers in terms of lead time, installed base, technical specifications
and infrastructure available for providing service support driving and beyond warranty period.

Detailed Project Report MRE Charitable Trust, Delhi

30
General Layout Description
Land
The total land area of land for the project is about 30 Acres.

Consideration for Layout Facilities:

The following factors are considered important while planning the layout of various facilities in a hospital
to ensure smooth operations.
 Men and material flow
 Interdependence of departments and services
 Diversion of Traffic
 Aesthetics
 Natural lighting and ventilation
 Segregation of noisy areas
 Requirement of aseptic environment
 Land Use

Landscaping
In landscaping, adequate greenery has to be maintained all around the hospital. This includes creation of
lawns, gardens, etc. Horticulture has to be given special attention. Trees will be grown along the boundary
to provide shadow and add to the greenery all over. Mostly green plants would be planned so that there is
minimum replanting activity.

Water hoses for gardening will be provided at various points. Flexible rubber pipes will be used for water
supply for various trees and plants. Sprinklers will be provided for watering lawns. Garden lights will also
be provided which will add to the aesthetics of the hospital during night. Estate Department will look after
the maintenance of garden.

National Building Standards

The Bureau of Indian Standards (BIS) has developed standards for basic requirement for hospitals up to 30
beds (IS: 12433 (part 1)‐1988) and standard on the classification and matrix for various categories of
hospitals (IS 12377). The standards covers basic requirement for planning a 30 bedded general hospital in
respect of functional program, functional and space requirements, manpower requirements, instruments and
equipment and essential requirements for building services and environment. The classification and matrix
for 5 categories of hospitals (30, 100, 250, 500, and 750 bedded) and according to the functions (BIS (a),
(b) 1988).

Above Standard specifications (BIS) will be adhered to for all the aspects of hospital building

31 Detailed Project Report MRE Charitable Trust, Delhi

Building
The building will have a frame structure both for block I and block II. This will help in providing flexibility
of room configuration. Partition walls will be of single brick (4‐1/2” width)/ gypsum board partitions, which
can be removed as and when there is a need for change in room configuration. The design of building will
be such that the removal of any partition would not have any impact on the stability of the whole building.
The building will have exposed brickwork on the outside walls and plaster in the inside walls. The inside
walls will be painted for easy maintainability.

Flooring of the hospital will be of PCC (plain cement concrete) with PVC tiles for minimizing noise and
cost. Flooring for OTs will be of anti‐static Vinyl tiles. The staircase will also have Vinyl tiles.

False ceiling will be provided in the OT‐ICU/CCU complex on the second floor, as central/package units
of air conditioners are provided in this area. False ceiling will cover the ducting provided within this
complex.
Walls in the toilets will have glazed tiles up to 7 feet height for ease of cleaning and for maintaining hygienic
conditions.

Fittings
All the fittings of toilets and bathrooms will be chrome plated and ceramic sanitary ware. Fittings design
will vary according to the type of room and would match the room configuration. Pipes for conduit wiring
will be of PVC (as this is rust proof). Other pipes for toilets and bathrooms will be PVC/CI as per the
requirements.

Wiring for electrical fittings will be as per standards.

Doors and Windows

Doors will have steel frame and the panels will be made of timber/glass. As per the room configuration, the
size and design of door panels will vary. Windows will have steel frames with glass panes. Self cleaning
design will be provided where cleaning of the windows will be by rainwater, wind, etc.

Hygiene
In the design of building, all the toilets and bathrooms are provided at respective ends to have natural
ventilation. In case of wards, where usage is more, an exhaust fan will be provided for ventilation.

Safety
Guardroom, at the main entrance, will be provided which will be manned round the clock. Vehicles coming
in and out will have to obtain a token and return the same while going out. Guardroom will have an intercom
connection and also have direct line to be used during emergency. This room will have a partition to
accommodate Chief Security Officer and guards on duty. Basic fire fighting equipment will be provided at
various points in the hospital complex.

32 Detailed Project Report MRE Charitable Trust, Delhi

General Layout
The hospital will consist of Five blocks as follows:
Block I Nursing home & utilities
Block II Out patient department
Block III Chemist shop & canteen
Block IV Staff Quarters
Block V Admin Block

Block I should be situated away from the main road at the south‐west corner of the plot. This will ensure
patient comfort and will also be free from noise and air pollution, which make the atmosphere of hospital
conducive for complete rest without disturbance.

Block II should be located near the main road and main gate of the hospital. This is so planned because of
flow of the large number of out‐patients and their relatives throughout the day. Sufficient distance is to be
provided between the Block I and Block II to avoid noise pollution in Block I. The diagnostic center will
also be provided in Block I as this department will be used both by outpatients, a sample collection room,
pathology lab, one X‐ray unit, one ultrasound equipment, ECG machines and physiotherapy should be
provided in Block II.

Block III should be between Block I & Block II, so that the chemist shop and canteen can cater to both the
Blocks simultaneously as this is at almost equal distance from both the Blocks. Block III location should
be such that the noise pollution due to the Block is minimum and at the same time the distance is shortest
possible between the two.

Block IV should be located slightly away from all other blocks being a residential one for essential staff.
Suitable provision should be made for internal roads, parking areas as also the development of green areas
in the rest of the land to provide the necessary environment of general cleanliness.

Building
Architectural Principles
The building for the hospital is to be designed taking into consideration various aspects like direction of
sun light, wind, seismic characteristics, soil strength, water level, rainfall etc.

Design & Concept

In the design conceptualization, particularly the inpatient block, the orientation is maintained towards East
and West, in order to get maximum sunlight, adequate open spaces around the Blocks are left in order to
provide aesthetics, ventilation and light in the rooms and to avoid congestion. Further, the inpatient block
should be kept farther from the main road in order to reduce the noise level, dust as well as smoke emitted
by the vehicles moving on the main road. All the toilets have to be positioned on the outer side to have
direct ventilation and to simply plumbing.

33 Detailed Project Report MRE Charitable Trust, Delhi

The relationships between and within departments are directed by the rational functional requirements of
the hospital. The in‐patient wards offer privacy and comfort (being segregated) and being served by nursing
stations, which are so placed as to facilitate the nursing need of each patient. Each nursing station is self
contained and close by service elevator to reduce undue traffic. The building is designed to have common
and consolidated service area so as to serve the hospital more effectively.

Block‐I Layout
Block‐I will have three floors excluding the utilities area. However, the foundations shall be designed to
support a five‐storied building to cater for future expansion of capacity. The hospital will have 100 beds.
The building for utilities will be single storied. The layout of various departments/ services will be as
follows:

Ground Floor
The ground floor will have:
• Reception
• Casualty/ emergency/ day care with 10 beds
• X‐ray facility
• Minor OT capable of handling emergency cases
• Treatment/ plaster room for casualty/ emergency
• Neonatal room
• Medical gas supply system near the road for easy loading/ unloading of gas cylinders
• Central sterile supply depot
• Laundry will be situated at the south‐west end
• Kitchen (next to laundry in north direction)
• Substation slightly away from laundry
• Morgue is also provided away from the hospital building
• Eastern part of the hospital is for the inpatient and consists of 2 six bedded rooms, 3 triple bedded
rooms, 4 double‐bedded rooms, 2 deluxe rooms and 8 single bedrooms.
A nursing station, clean utility room, duty room and pantry are also to be provided on each floor.

First Floor
The first floor will have:
• Delivery rooms provided above the casualty and minor OT
• 3 Labour rooms
• Sterilization room
• 20 bedded neonatal care room with isolation facility as well as intensive care
• Dirty utility room
• Clean & dirty corridor
• Doctors & nurses change rooms
• Nursing home wards & rooms which provide for 2 six bedded rooms, 3 triple bedded rooms, 4
double bedded rooms, 6 deluxe rooms, two regal suits and 20 single rooms. A nurse station, clean
utility room, duty room, pantry & store are also to be provided.

34 Detailed Project Report MRE Charitable Trust, Delhi

Second Floor
The second floor will have:
• 2 major O.Ts
• OT operation area
• Corridors for movement of clean & dirty utilities, separate clean & dirty utility rooms are
provided
• Doctors & nurses change rooms
• Recovery room
• ICU (4 beds) x two numbers
• CCU (4 beds) x two numbers
• Hospitals wards & rooms
• Room for technician
• Nursing home wards & rooms which provide for 2 six bedded rooms, 4 triple bedded rooms, 4
regal suits, 2 delivery rooms,2 double bedded rooms, 6 single rooms and 2 deluxe rooms. Further
a nursing station; duty room, pantry & store are catered for

Block‐II
Block‐II will have 2 floors. The details are as under:

Ground Floor:
• The main entrance for OPD will have a reception/ registration/ cash counter in the main lobby.
• 3 consultation rooms to be used in 4 shifts with adequate waiting area.
• Physiotherapy room.
• X‐Ray room & waiting room.
• Ultrasound room
• Sample collection room
• Staircase

First Floor:
• 4 consultation rooms to be used in 4 shifts with adequate waiting area
• Laboratory for histopathology, biochemistry, microbiology, haematology & serology and
immunology
• Stress‐test room
• ECG room
• Endoscopy room
• Corridors are provided for easy man & material movement.

Parking
A small parking area is provided in front of the OPD block.

35 Detailed Project Report MRE Charitable Trust, Delhi

Block‐III
Block‐III consists of chemist shop, which will operate round the clock. This would have two separate
entrances i.e. one for the public and another for the hospital staff. This would permit speedy transactions
for the hospital staff where the medicines would be issued based on intends and also accounted for
separately.

Block IV
Consist of a single floor with 25 single rooms capacity to accommodate essential hospital staff.
A canteen for hospital and visiting relatives of the patient‟s etc. should be located adjacent to the chemist
shop. This will be operated by a contractor who will bring his own equipment and furniture. Toilets for the
use of OPD patients, visitors etc are also to be provided.

Public Convenience
Adequate number of public conveniences and toilets for the visitors and staff has to be catered for in the
design of the hospital building.

Layout of Services
To ensure a smooth flow of services in the hospital, it is important that the layout of services should be as
per the men and material flow, inter‐dependence of services and departments, requirement of utilities and
services etc. The floor wise layout details are as follows:

OPD Block
To ensure that the OPD block is self –sufficient up to the extent required, various allied services have been
catered in the block. The block has to have consultation rooms with appropriate waiting area for patients,
treatment/ injection room, sample collection room, pathology lab, physiotherapy room, an X‐ray unit, ECG
and Ultrasound facility and a registration desk to monitor, control, guide and redirect the patients.. The
reception desk will also act as the cashier for the OPD block. Adequate waiting area for the patients is to
be provided for these rooms catering to take care of the peak hour traffic. The sample collection room has
to be close to the main entrance to avoid congestion.

Nursing Home Block

The nursing home block is located on three floors with various types of accommodation to suit the paying
capacities of the patients. Each floor has a nursing station for providing necessary assistance to the patients,
which will be manned round the clock. Behind the nursing station there will be provision for support
services like store, pantry, dirty linen store, etc. and the services lift will open in this area for ease of
transporting of material (used and fresh supplied). The registration is on the ground floor with a separate
entrance with the bed/ passenger lift opening in the lobby. The reception desk will have a computer terminal
and will also take up the role of cashier. This desk will also be manned round the clock.

Detailed Project Report MRE Charitable Trust, Delhi

36
Emergency/ casualty
In the adjoining block of the nursing home (on the ground floor) the emergency/ casualty services should
be provided with a separate entrance and lobby. This should have a minor OT with allied facilities such as
X‐Ray department, day care beds etc. to be self‐sufficient. X‐ray department should be so placed that it can
also be approached from the nursing home.

Maternity Services
The first floor above the emergency/ minor OT should have the maternity facilities in the area. This will be
in proximity of the nursing home complex as the first floor of the nursing home will have to house the
gyaenic patients. The labour rooms, doctors rooms, delivery rooms, neonatal care rooms, (ICU)/
normal/isolation wards) etc. should be in the same area for ease of functioning.

Operating Theatres
The operation theatres (2 nos.) should be located on the second floor above the maternity section. These
should be totally air‐conditioned and ultra pure air system should be installed. The OT area should include
the patient‟s preparation area, anaesthetics area, doctors, nurses and technicians change/ rest rooms, toilets,
scrub room etc. It should be separated from the operation theatre by a clean corridor. From the Operation
Theatres, the patients will be transferred to the recovery rooms, which is a part of ICU/CCU unit located
adjoining to the Operation Theatre.

Utilities
All the centralized utility services should be provided on the backside of the building which is a single
storied structure. These include areas for kitchen, laundry, stores, CSSD, transformer/ generator room,
incinerator etc. The management would be easier since these facilities are grouped together. This service
area should be connected to the hospital/ OT areas by a service corridor and a service lift for smooth
operations.

Cashier room
Cashier room should be provided at the reception/ registration desk of OPD and IPD. The reception of IPD
should be provided with a computer terminal.

Organization & Management

Organization and management of the hospital is proposed under the following heads:
 Management
 Organization Structure
 Manpower
 Systems and Procedures

37 Detailed Project Report MRE Charitable Trust, Delhi

Management
Board of Directors
The Board of Directors would lay down major politics for effective hospital administration. These include
policies concerning capital outlays, expansion and modernization programs, micro level financial control
etc.

Medical Superintendent
The medical superintendent. Will be a doctor, with experience of hospital management activity and will be
competent to take decisions for the efficient day‐today functioning of the hospital. He will be responsible
for implementation of the hospital. He will be responsible for implementation of the various policy of the
Board of Directors/Chairman. He will be supported by medical superintendent and general administrator.
He will look the general administrator activities of the hospital through general administration.

Dy. General Superintendent

He will be a doctor with some experience in overall management of medical staff and activities of the
Hospital. He would be reporting to the medical superintendent. All the staff heads would interact with him
for day‐to‐day functioning of the hospital. He will also look after the annual appraisals of hospital medical
staff jointly with the medical superintendent.

General Administrator
He will be a person with experience in the general hospital administration. He will be reporting to Medical
Superintendent and would be responsible for the overall non‐medical activities of the hospital, such as
housekeeping, laundry, personnel department, security, accounts, power supply, air‐conditioning etc.

He will also be responsible for the personnel administration of hospital staff and would report to the medical
superintendent daily reporting the attendance, casualty, non‐medical/medical equipment status, any
untoward incidents etc.

Heads of Deptts. (Medical)

They would be senior specialist and will manage their respective departments. They would interact to
Deputy Medical Superintendent and would be responsible for the day‐to‐day activity of their departments.
They will be assisted by physicians, technicians, nurses and ward boys. Registrars of General Medicine,
General Surgery, Ob/Gynaecology and as well as Pathologist, Radiologist and Anaesthetist will be on the
pay roll of the hospital while for Orthopaedics and Nephrology, Paediatrics, Gastroenterology and
ophthalmology, there will be visiting specialists.

38 Detailed Project Report MRE Charitable Trust, Delhi

Heads of Deptts. (Non‐medical)
They would be specialists in their respective fields and would be responsible for day‐to‐day activities of
their departments. They will report directly to the general administrator. These include Personnel Manager,
Finance Manager, Systems Analyst, Materials Officer (Medical and Non‐medical), Accounts Officers and
Security Officers etc. They will be assisted by Non‐medical staff suitably.

Management committees
For effective and efficient management of various activities of the hospital, different committees will be
formed. These committees would consist of experts from their respective fields and an observer nominee
from the Board of Directors. Some of these committees will be as follows.

Hospital Committee
This will consist of Medical Superintendent, Deputy Medical Superintendent and Heads of the
Department etc. and will be meeting once in a month to review the medical aspects.

Technical Committee
It will consist of Medical Superintendent, General Administrator and Senior Non‐medical and Technical
Staff and will be meeting once in two months to review the Non‐medical aspects.

Hospitals Infection Control Committee

In addition to the above the following committees can also be constituted:
 Research Committee
 Records Committee
 Academic Committee
 Finance Committee

There would be considerable interaction between various committees due to their interdependence. For this
purpose joint meetings would also be held. The role and the membership of the above committees would
be included in the systems and procedures manuals to be prepared.

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

Manpower
Paramedical Staff
• Cardiac Center Technician
• Dialysis Technician
• Pharmacist & assistant Pharmacist
• Steward/Dietician

39 Detailed Project Report MRE Charitable Trust, Delhi

 • ECG Technician
• Ultrasound Technician
• X‐ray Technician
• Clinical Pathology Technician
• Haematology Technicians
• Physiotherapist
• Endoscopy Technician
• Orthopaedician
• Ophthalmology Assistant
• Darkroom Technician
• Laundry

Engineering Staff
The staff will include technicians for:-
• Electricity
• Mechanical/Plumbing
• Boiler

Nursing Staff
• Ward master reporting to Deputy Medical Superintendent. He will also be functioning as PRO to
the hospital. His responsibilities include insuring smooth functioning of hospital wards and rooms.
• Matron‐in‐chief
• Deputy Matron
• Staff Nurses

Administration and Ancillary staff

The administrative and ancillary staff in addition to senior administrative staff given above will consist of
the following:
• Head Clerk
• Cashier
• UDC/LDC/Typists/Stenographers
• Record Officers
• Housekeepers
• Administrative Assistants
• Telephone/Telex Operators/Receptionist
• Drivers
• Nursing Orderly
• Security Attendants
• Gardeners
• Cooks
• System Analyst Computer Programmer/Operator

40 Detailed Project Report MRE Charitable Trust, Delhi

Estimated Cost of Hospital
Land, Building and other infrastructure

Sr. Particulars Amount (Rs.

in Cr.)
1. Land (25 + 5 Acres, already with trust) 0.00
2. Fencing / Boundary, levelling of the site. 4.00
3. Hospital Building (Approx 300,000 sq. ft. @ Rs. 36.00
1200 sq. ft)
4. Development of Parks 10.00
5. Other Facilities (Sewerage, Sewerage Treatment 35.00
Plant, parking, architect fee etc.)
6. Electrification (Inclusive of DG set & Poles) 7.00
7. Air Conditioning 35.00
8. Residential area for Doctors, Nurses & Staff 9.00
(75,000 sq. ft. @ Rs. 1,200 sq. ft.)
TOTAL 136.00
Cost of Equipments

Sr. Particulars Amount (Rs. in Cr.)

1. Histopathology 4.00
2. Hematology & Serology 2.50
3. Microbiology & Biochemistry 5.00
4. Pediatrics & Neonatology 1.50
5. Nephrology 3.50
6. OPD/Causality/Emergency 2.50
7. Gastro-Entomology 3.50
8. Ophthalmology 1.00
9. Physiotherapy & Orthopedics 2.00
10. Gynecology 2.00
11. Diagnostic Imaging 8.50
12. Central Sterile supply depot 1.50
13. OT (ICCU) 4.00
14. ENT 1.00
15. Mortuary 1.50
16. Hospital Furniture 10.00
17. Ambulances for hospital & Trauma Center 2.00
18. Other miscellaneous Assets 5.50
TOTAL 61.50

41 Detailed Project Report MRE Charitable Trust, Delhi

 Other Expenses

Sr. Particulars Amount (Rs. in

Cr.)
1. Preliminary and Pre-operative Expenses 1.50
2. Working Capital 5.38
3. Manpower requirement 2.50
4. Administrative Overheads 2.50
TOTAL 11.88

Summary of all Expenses for setting up a hospital

Sr. Particulars Amount (Rs. in

Cr.)
1. Land, Building and other infrastructure 136.00
2. Cost of Equipments 61.50
3. Other Expenses 11.88
GRAND TOTAL 209.38

42 Detailed Project Report MRE Charitable Trust, Delhi

 MBBS
AND BDS
COLLEGE

43 Detailed Project Report MRE Charitable Trust, Delhi

 MBBS and BDS COLLEGE
Introduction:

The MBBS and BDS College for a modern Multispeciality Hospital, is very much required. it is very
difficult to get trained and experienced Doctors with growing population of India. It is all the more difficult
to retain their services for a longer time. Haryan being industrially and economically connected to Delhi
losses its doctors to Delhi.The proposed MBBS College will provide help to both the unemployed youth
and our hospital. At the same time, it will help meet the growing demand of trained Doctors in the country.
In fact, the demand, for more and more Doctors, is increasing phenomenally.

Accordingly, the MRE Charitable Trust proposes to construct MBBS and BDS College as well as a
Hostel for the trainees and staff, with all required facilities.

Pre-requisites for getting recognition of a MBBS Institution are

a. Procurement of the No Objection/Essentiality Certificate from the State Government,

b. Approval of the MCI regarding suitability with regard to physical infrastructure, clinical facility
and teaching faculty in order to give permission to start the program,

c. After getting the permission from the MCI to start the MBBS program, approval from the State
Council and Examination Board/University has to be obtained and thereafter the Institution will
start admitting the students.

Physical Facilities: The building profile:

For the said School, with an annual admission capacity of 60 students, the constructed area of the school
will be 40,000 square feet. The physical facilities are listed below:

a. Class Rooms
b. Laboratories: There will be four laboratories as under:
Nursing Practice Laboratory
Community Practice Laboratory
Nutrition Laboratory
Computer Laboratory
c. Auditorium
d. Library
e. Office requirements:

44 Detailed Project Report MRE Charitable Trust, Delhi

 f. Common Rooms for teaching faculty, students and office staff
g. Record and Stores Rooms
h. Garage

Departments:
The proposed college will have following departments
1. Fundamentals of Medicines
2. Medical Surgical
3. Community Health
4. Obstetric and Gynecological
5. Child Health
6. Psychiatry and Mental Health

Laboratories:
The proposed college will have following seven laboratories
1. Foundations and Medical Surgical
2. Community Health Nursing
3. OBG and Peadiatracs
4. Nutrition
5. Computer laboratory with 10 computers
6. Pre Clinical Science Lab. (Biochemistry, Microbiology, Biophysics, Anatomy & Physiology)
7. Surgery labs
Auditorium
Spacious auditorium for hosting functions of the college, educational conferences/ workshops,
examinations etc. It will have proper stage with green room facilities. It will d have proper lighting system,
basic and advanced audio-visual aids.

Library
Spacious library with adequate infrastructure

Offices Requirements
1. Principal‟s Office
2. Office for Vice-Principal
3. Office for Faculty Members
4. One separate office room for the office staff adequately furnished with items like tables, chairs,
cupboards, built–in racks and shelves, filing cabinets, book cases, computers and telephone.

Common Rooms
1. For teaching faculty,
2. For the students
3. For the office staff.
4. Cupboards, lockers, cabinets, built-in-shelves and racks will be provided in all the common
rooms with toilet and hand washing facilities

45 Detailed Project Report MRE Charitable Trust, Delhi

Record Room
A separate record room with steel racks, built-in shelves and racks, cupboards and filing cabinets for
proper storage of records and other important papers/documents belonging to the college.

Store room
A separate store room for equipments and other inventory articles with proper and safe storage of these
articles and equipments

Room for Audio-Visual Aids

Other Facilities
1. Students‟ welfare hall
2. Indoor games hall
3. Safe drinking water
4. Adequate sanitary/toilet facilities both men and women separately
5. Garage
6. Fire Extinguisher as per the local bye-laws.
7. Playground for outdoor sports like Volleyball, football, badminton and for Athletics.

Hostel:
1. Recreation room
2. Visitors’ room
3. Kitchen and Dining Hall, Pantry
4. Washing & Ironing Room,
5. Sick Room
6. Room for Night Duty Nurses
7. Guest Room
8. Warden‟s Room and Canteen.

The cost of building creating such infrastructure and running expenses for first 6 months to one year will
be appx Rs. 87.86 Cr. (Rs Eighty Seven Crores Eighty Six lakhs only) For MBBS college and
42.45Cr.(Rs Forty-Two Crores and Forty Five Lakhs only)

Detailed Project Report MRE Charitable Trust, Delhi

46
 Allied
Healthcare
Services

47 Detailed Project Report MRE Charitable Trust, Delhi

ALLIED HEALTH CARE SERVICE CENTERS
In the last phase of development, MRE Charitable Trust plans to set up advanced diagnostic and health care
mobile units in all 20 in numbers.

The aim is to offer a comprehensive health care program for sample testing and consultation from experts
in the field of Ophthalmology, ENT, Skin, Medicine and Dentistry along with diagnostic laboratories.

The setup required for these mobile units include:

1. Laboratory set up
2. Ophthalmological set up
3. Dental set up
4. ENT set up
5. Skin set up
6. Medicine set up
7. Radiology set up

1. Laboratory Set Up with state of the art diagnostic equipment and latest diagnostic technology for
accurate results in all three categories:

a. Pathology
b. Bio Chemistry and
c. Microbiology

The appx costing of setting up a fully equipped mobile laboratory will be Rs. 1.60 Crores

2. Ophthalmological Setup to deal with the anatomy, physiology and diseases of the eye. Just like
other medical fields, Ophthalmic set up can be divided into two sections, medical and surgical.

The appx cost of basic equipments required for an Ophthalmology unit, for each mobile unit will be
appx Rs. 6 lacs.

3. Dental Set up for diagnosis, prevention and treatment of diseases, disorders and conditions of the oral
cavity. Dentistry has been universally recognized as necessary for complete oral health.

The proposed basic dental set up will be made capable of carrying out treatment options like Filling,
Extraction of tooth, Scaling, Fixed and Removable partial dentures, Complete dentures, Removable
orthodontic appliances etc.

The cost of equipments required for a one Dental Set up unit in a mobile unit will be appx Rs. 5 lacs in
Equipment.

48 Detailed Project Report MRE Charitable Trust, Delhi

4. ENT Setup: ENT is the branch of medicine that deals with the diagnosis, treatment, prevention of
diseases of Ear, Nose and Throat.

5. Medicines and skin setup to deal with the diagnosis, prevention and medical (not surgical) treatment
of majority of diseases, usually related to any of the system of human body. Dermatology is a branch
of medicine, which deals with the diagnosis, prevention and treatment of disorders of skin and related
problems.

The approximate cost of mobile unit setup with various different configurations will come out to be
1.87 Cr. each

Detailed Project Report MRE Charitable Trust, Delhi

49
 Thanks

50 Detailed Project Report MRE Charitable Trust, Delhi