NAME OF DIVISION CSSH/ - East Central Railways /...

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Total No. of Serving Employees: 80430Total No. of RELHS Card Holders Registered 39 in this month (Total= 903) No. of Beds in Hospital:-73

During the month

During the same month last year

Cumulative figure since April till reporting month

I MEDICAL SERVICES -

A Curative Services:-

1 Quantitative Performance :

i a No. of patients treated in OPD of Hospital 11524 9478 101873

B No. of patients treated in OPD of Health Units Not applicable Not applicable

C Total No. of patients treated in OPD 11524 9478 101873

Ii No. of patients treated in IPD 309 358 4377

Iii Diagnostic investigations (excluding CT&MRI)=Radio (USG) X-ray (IVP-03, RGV+MCV-3,B.Study-00, HSG-00, Fistulogram-00) Lab Eye=(Autorefractometry-123+Tonometry71+Biometry-35+HFA-08+A.Scan-0+B.Scan-01) ICU= CVP line-06,ABG-125,ECG-272,TROP T-12, TPI-00, Rotaplare-0, Stepto Kinare--, Tenectaplare-02 Dental Gyne=(CTG-20, CX Biopsy-00,Cry therapy-00,PAP Smear—00 Colposcopy-00) Dialysis (Femoral Catheter Use-02, AVF-96, I.J-04, D/Used-18Card (ECHO-130+TMT-16+PFT-57,ECG-461, Holter-12, TEE-00, ABP-04, Pace Maker Clinic-08) Angiography (CAG-17 + TPI-00+PPI-00+PTcA/Stent-0 )

44083954101442377

238

417

32829

84625

19

43098 942051

iv a No. of CT Scans & MRIs 52 73 402

B b) Investigation other than CT & MRI 40 49 378

A HIV tested 373 366 7824

B HIV detected 01 Nil 03

C Current pool size of HIV 09 - -

D No. of Deaths Nil nil -

vi Confinements: -

A No. of confinements in Rly. Hospitals 20 17 272

B No. of them low birth Weight babies(<2.5 kg) 03 03 18

2

vii No of Operations

A No. of Specialised Operations & operations taken more than 4 hrs. Nil nil 03

B Major Operations (including Cataract operations) 68 85 917

During the month



C Minor Operations 64+ 81(dental)= 145

68+ 77(dental)= 145

1951

D No. of Cataract operations without IOL 01 00 02

E No. of Cataract operations with IOL 09 14 123

F Grand Total of Operations 213 230 2868

2 Qualitative Performance :

I Mortality in Hospitals (Numbers only) 10 15 144

Ii Bed occupancy rate (BOR) 90% 83% 89%

Iii Average length of Stay (ALS) 7 days 05 7 days

Iv No. of patients referred to other non-Railway hospital for indoor treatment

10 17 67

V Quality of Drugs Nil -

A No. of samples sent for analysis 02 Nil 14

B No. of results received (Details if sub-std) 02 Nil -

Vi Local Purchases (In Rs.)

Cash purchase --/- 308065/= 2344608/-

Bulk purchase including emergency purchase (7A+7B+7C)7(a)Rs54,24,98+7 (b) Rs17046677 + 7(c) nil

22,47,165/- 251371/- 7845916/-

Vii Bills passed during the month on account of treatment, investigations etc at :

A Private Hospitals (Recognized) 34198/- Nil/- 1286541/-

B Government Hospital 11234/- Nil/- 705337/-

C Bill passed on account of Reimbursements (A + B) 45432/- NIL/- 1991878/-

B Industrial Health.

I RMC - Nil

3

A No. of RMC 02(Gaz) 04(Gaz) 43

B Man-days loss due to RMC 15 Days 59 Days 692

During the month.

During the same month last year.


C Man-days loss due to RMC (in %) Nil Nil Nil

Ii IOD / HOD Nil Nil Nil

A No. of IOD/HOD Nil Nil Nil

B Man days loss due to IOD/HOD Nil Nil Nil

C Man days loss due to IOD/HOD ( in %) Nil Nil Nil

Iii PMC Nil Nil Nil

A No. of PMC Nil Nil Nil

B Man days loss due to PMC Nil Nil Nil

C Man days loss due to PMC (in %) Nil Nil Nil

Iv No. of employees on RMC for more than one year Nil Nil Nil

C Total No. of Medical Exam/Boards nil

I Candidate nil

Ii PME Nil Nil Nil

Iii Medical Board Nil Nil Nil

II HEALTH SERVICES :

A FOOD SAMPLES (FSS) Nil Nil Nil

I No. of Food samples collected Nil Nil Nil

Ii No. of reports of adulterated samples Nil Nil Nil

Iii No. of prosecutions launched Nil Nil Nil

Iv No. of awarded punishment Nil Nil Nil

B FOOD SAMPLES (Quality Control) Nil Nil Nil

I No. of Food samples collected Nil Nil Nil

4

Ii No. of reports of adulterated samples Nil Nil Nil

Iii No. of recommended for fine Nil Nil Nil

During the month



C WATER SAMPLES. Nil -

i For Bacteriological Test :

a No. of samples tested N/A -

b No. of Samples fit N/A -

ii For Residual Chlorine Test :

a No. of Samples tested N/A -

b No. of Samples fit N/A -

III MEDICAL AUDIT :

No. of medical audits done 05 05 50

No. of Doctors on unauthoritised absence Nil -

Training (for one week & above)

I Gazetted nil nil -

Ii Non-Gazetted nil Nil -

Attended Scientific seminars, conferences & Workshop etc. NIL 00

I Gazetted Nil 01 -

Ii Non-Gazetted 02 nil -

V NON RAILWAY EARNINGS ( in Rs.)17317/- (OPD) + 20615/- (IPD)

37932/- 6811/- 382756/-

VI Total No. of M & P equipments available 63 63 63

No. of them under comprehensive AMC 13 07 nil

Total nos. of M&P equipments out of order more than 3 months

nil -- nil

VII MEDICAL SERVICES PROVIDED :

Progress of provision of the Augmented First-Aid facilities nil -

5

I No. of trains where Augmented First-Aid Boxes have been provided.

Nil nil -

During the month



Ii No. of staff completed first-aid training during the month

Nil nil -

Ii No. of inspection covered by Medical Officers Nil 01 -

Iv No. of passengers provided Medical Aid during journey at train/stations/yards etc (Numbers).

Nil nil -

V No. of Railway accident calls attended. Nil nil -

6

Annnexure-3

Annexure 1 & 2 not concerned with CH/Patna

NAME OF DIVISION CSSH/Patna

MISSION ITEM TARGET (MEDICAL) FOR THE MONTH:- DECEMBER ’16

S.N Item

MonthlyTarget Achievement

Cumulative since April’.........

1 Major Surgeries+ With IOL 60 68 917

2 Minor Surgeries:-(OT+Dental)- 60

64+ 81(dental)= 145

1951

3 Total No. of Surgeries 120 222 2655

4 Man days lost due to RMC & IOD (in %) 50 Nil Nil

5 Bed Occupancy Ratio 50% 90% 84%

6 PME Disposal on 1st Day (In %) 25%Not done in

CH/Patna

7 Drug Analysis* N/A 00 36

8 Medical Audit 05 5 40

9 MPHD / Health Camps 02 01 03

10 Drinking water testing (Bacteriological) 30 N/A -

11 Drinking water testing (Residual chlorine) 700 N/A -

12 Drinking water testing (Chemical examination) 01 N/A Nil

13 Food Sample Testing (Under FSSA) 2 per FSO 01 Nil Nil

14 Food Sample Testing (Under Quality Control) 20 Nil Nil

15 Cleanliness Drive at Station 06 Nil Nil

16 Cleanliness Drive at colony 03 Nil Nil

7

Annexure-4

NAME OF DIVISION.CH/Patna DETAILS OF PATIENTS REFERRED TO PRIVATE HOSPITALS DURING THE MONTH September-16

Sl.No

Name of patient

Shri/Smt.

Age (Yr)

Relation & name of

employee

Design Dept Stn Disease RELHS

Adm/ Cons/Inv Prim/Sec/Tert care

1 Rajesh Kumar Chaudharu

40 M Self AA Accounts

HJP CAD - Ford Hospital/Patna

Tert care

2 Hasiba Khatoon

65 F W/m of Rahmat Ali

Porter Optg DNR CA - Mahavir Cancer Hospital

3 Ram Lakhan Mahto

69 M Self Ex. OS Engg. DHN CAG RELHS

Ford Hospital/Patna

Tert care

4. Rajdeo Thakur 69 M Self Ex. Inspect

or

Security

Hyderabad

Ca RELHS

Mahavir Cancer Hospital

Tert care

5. Madhu Kumari 29 F W/o Balcharan

ESM S&T UMB CKD - Rajeshwar Hospital Tert care

6. Siya Ram Prasad Yadav

55 M Self Khalasi Engg SPJ Chrmis sudered

- Ford Hospital/Patna

7. Dr. Vinod Bhushan

62 M Self Ex CMS

Med DHN Recurrent+GBM

RELHS

Parash HMRI Hospital,Patna

Tert care

8. Girija Devi 65 F W/o Shary Prasad

Ex. Helper

C&W NKJ CABG RELHS

Ford Hospital/Patna

Tert care

9. Shyam Sundri Devi

62 F Self Ex. Khalasi

Loco NJP CAG RELHS

Parash HMRI Hospital,Patna

Tert care

DISTRIBUTION OF REFRRED CASES

HOSPITAL SPECIALITY DISEASE No. of CASES

Jeevak Heart Hospital / Patna Heart ---- 00Paras HRMI Hospial /Patna Heart CAG & Multiform-IV 02

Rajeswar Hospital / Patna General Surgery CKD 01Ruben Memorial Hospital / Patna Nephrology - 00Mahaveer Cancer Sansthan/Patna Cancer Cancer 02Ford Hospital, Patna General Surgery CAD, CAG 04 TOTAL 09

Referrals Non Railway Hospital + Govt. Hospital Railway Hospital TotalTertiary Care Secondary Care Total Tertiary Care

ADMISSION 09 + 11 - 20 13 33OPD - - - - -TOTAL 20 - 20 13 33

8

Annexure-5

BILL OF PRIVATE HOSPITALS FOR TREATMENT OF RAILWAY BENEFECIARIES

S.N Name of the Hospitals

Total no. of Bills up to the month

Total amount claimed up to the month in Rs.

Total amount paid up to the Month in Rs.

Pending bills and amount up to the month

Remarks

1 Jeevak Heart Hospital/Patna

NIL NIL 600000/-

2 Rajeshwar Hospital/Patna

NIL NIL NIL 13 Pending bills are of Year 2014.

3 Ruban Memorial Hospital/Patna

NIL NIL - -

4 Mahavir Cancer Sansthan

NIL 500000/- 01 500000/-

6. Paras HMRI 1500000/- 20,00,000/-Fresh agreement copy of Paras HMRI Hospital is required for payment of fresh bills.Note : Bills are pending due non availability of CMD permission in the bill.

Correspondence has been made with CMD’s office.

9

Annexure-8


(A) M&P Items sanctioned and progress as on September-2016

S.N. Description with cost Present status 1 OPG X-ray machine

Case No.- 09/12/6061Tender was opened ,TR/PR has been done .File under TCM

3 800 mA X-ray machineCase No.- 09/14/6029

TR has been done .File under TCMfile sent to store dept. for needful .

4 Hospital furniture for 4 d floor File is under process of procurement through SPC 5 ENT OPD General Instrument

Case No.-09/14/6065File with Store dept for negotiation with firm.

6 ENT Treatment UnitCaser No.- 09/14/6064

LOA has been issued. Under process of issuing PO

7 Bed Side Monitor with Central Monitoring StationCase No- 09/12/6110

Ender discharge and file is under retendering .

9 MultiparamonitorCase no. 09/12/6078

File with store dept. since long time.

10 File of 02 nos. dialysis machine TR has been done file with store for TCM. 11 Dental Chair Unit through SBF PO has been issued. 12 File of procurement of ETO Sterliser

through SBF PO under vetting

13. File of procurement of Batery drive power to system for orthopaedics and tarumatologyDrill machine through SBF

Retender has been done and file with store dept. for further disposal of the case.

14 File of procurement of laparoscopicset with accessories.

Tender is to be opened on 29 .11.2016. TR/PR has been made and file is with store deptt for negotiation .;

15 File of procurement of 06 body AC Mortuary.

Proposal has been concurred by the associate finance . Sanction of GM has been obatained . Requistion is to be sent very soon for the procurement. .

16 Videoendoscope, Colonoscope and other hand instrument.

Tender is to be opened on Dec.16. TR/PR has been made and file is with store deptt.

(B) Details of the M&P Equipments installed during the month along with the date of payment to the suppliers.

Sr.No

M&P items Date of Installation

Date of payment to the suppliers

NIL Nil Nil

(C) Details of Out of order medical equipments for more than 3 months (Cost more than Rs.1 lakhs)

Sl.No.

Name of Equipment with Model number

Cost of Purchase

Period of AMC If not under AMC, the reason

10

Nil Nil Nil Nil(D) Equipments under AMCs:- List Enclosed. Annex-8( D)

S.N Name of equipment with model number

Cost of purchase AMC from AMC upto.

1 Mechanical Ventilator 1700000/- 09.03.2015 08.03.2018

2 20 nos. infusion pump - 14.08.2015 13.08.2018

3 CR System 08.08.2015 07.08.2018 LOA issued but firm is not turnup for Agreement.

4. Gas Pipe Line Under process for CMC .

5. Dental Chair unit - 2017

6. ABG machine 12.08.2013. 11.08.2016

7. Bed Side monitor with Central Monitoring station.

11.12.2015 to 10.12.2017

8 01 no. Defibrilator with External Pacing facility

11.12.2015 10.12.2016

9 Echocardiography with TEE Probe

11.12.2015 10.12.2017

10 02 nos. ECG Machine 11.12.2015 10.12.2016

11 Random Access Automated Immunoaasy Analyser

23.12.2015 22.12.2018

12 C-ARM 15.01.2016 14.01.2018

13 Portable X-Ray Machine Mobile

13.01.2016 13.01.2021

11

Hospital Equipments costing above Rs. 1 Lakh and less than Rs. 10 lakh.

Name of the Equipment Date of Receipt / Installation

Cost (Rs.) Working condition

LABORATORY01 Cogularmeter 16.05.09 1,14,400 Wkg.02 Eliza Microplate reader plus washer 16.11.09 277056 Wkg03 SemiAutoAnalyser 16.11.09 202176 Wkg.04 Electrolyte Analyser 08.04.10 165000 Wkg.05 Blood Cell Counter 26.04.10 468000 Wkg.06 Random Access Automated

Immunoassay Analyser23.02.13 940000 Wkg

OPERATION THEATRE07 Diathermy Machine 24.12.08 133020 Wkg.08 OT lights 23.12.08 185120 Wkg09 OT light . 03 nos. 20.01.12 20,28,000 Wkg10 Multiparamonitor 27.12.08 171288 Wkg.11 OT table 31.12.08 243360 Wkg12 OT table ,04 nos. 01.13.12 1983426 Wkg13 Anesthesia machine 30.01.10 391875 Wkg14 Steriliser 24.09.10 473540 Wkg15 Defibrilator, 02 nos. 01.08.11 824000 Wkg.

RADIOLOGY16 Darkroom accessories 29.12.08 140182 Wkg.17 500 mA X-ray machine 29.12.08 546624 Wkg.

Dental Wkg18 Dental Chair unit 31.12.08 309400 Wkg19 Dental Chair unit 06.08.09 439920 Wkg20 Dental Air Compressor Chair unit 20.05.10 161720 Wkg21 Dental Chair with accessories 25.10.11 489930 Wkg 22 Dental X-ray mind DC 31.12.08 135300 Wkg23 Front loading Autoclave 29.12.08 131040 Wkg24 X-ray filim processors Auto 16.05.09 310000 Wkg25 Dental Surgical Operating

microscope16.11.13 498750 Wkg

26 Physio Dept. Wkg27 Ultrasound therapy unit 30.03.09 154856 Wkg

Eye Dept. Wkg28 Slit lamp with applanation

tonometer24.11.08 171600 Wkg

29 Autorefractometer with keratometer 29.08.10` 383760 Wkg30 AB Scan 12.05.09 926306 Wkg

12

31 Opthalmic Refraction unit 16.05.09 104000 Wkg32 Auto lenso meter 31.01.12 126000 Wkg

Cardio lab Wkg

33 ECG Machine 27.12.08 102440 Wkg34 Defibrillator 29.05.10 282880 Wkg35 Holter monitor 30.04.10 489060 Wkg

I.C.U. Wkg

36 ECG Machine,02 nos. 16.05.09 451500 Wkg37 Defibrillator with external pacing

facility20.10.11 385350 Wkg

38 ABG Machine 30.07.11 458640 Wkg39 BiPAP machine,02 nos. 29.10.11 293370 Wkg

O.P.D.40 Defibrillator with ECG monitor 29.12.08 126360 Wkg41 Digital Video Colposcope 06.02.10 196560 Wkg42 Foetal Monitor CTG 19.05.10 273520 Wkg43 Infant Warmer, Pulse Oximeter

Procedure light21.08.11 657720 Wkg

44 Electro mechanical OT table 29.10.11 221057 WkgTotal 17568106

Hospital Equipments costing above Rs. 10 LakhSl. No Name of the Equipment Date of Cost (Rs.) Working

13

Receipt / Installation

condition

45 Fully Automatic Bio Chemistry 08.03.10 1872000 Wkg.46 Diathermy with ligaseal 17.01.14 1433250 Wkg.47 Computed radiography system 12.09.09 1650900 Wkg48 USG machine 03.03.10 2524500 Wkg49 C Arm 08.08.11 813000 Wkg.50 Automated perimeter 02.05.11 1090960 Wkg51 Phacomulsification system 24.11.11 1445600 Wkg52 Operating microscope 23.08.12 1960350 Wkg53 Mechanical Ventilator 16.02.12 1700000 Wkg54 Bed Side Monitor with central

Monitoring station28.09.12 2348500 Wkg

55 TMT Machine 01.08.11 1092000 Wkg56 Echo with TEE 03.03.12 2500000 Wkg57 Cardiac Catheterization Lab 27.07.15 5,75,00,000 Wkg

Total 7,79,31060Annexure-9

NAME OF DIVISION CSSH/PatnaHIV/AIDS AWARENESS AND TRAINING PROGRAMME

(A) I.E.C. activities:-

(B) Training Courses Conducted for Class III & Class IV HIV & AIDS: -NILl.No.

Period of Training Place of training No. of employees Trained

1. 01 Day Path/Lab/CH/Patna 08 Lab Staff2. 01 day Seminar Hall/CSSH/Patna 40 (Neonetal care)

B) SPECIAL HEALTH CHECK – UP Annexure -12


14

1 No. of Seminar held NIL2 No. of Lectures organized Nil3 No. of Group discussions held Nil4 No. of Audio Visuals shows organized NIL5 No. of Exhibition held Nil6 No. of Quiz contest organized Nil7 Poster writing competition held Nil8 Other activities

Sl. No.

Name of the items This month During the year (since 1st April)

1 No. of Health check up camps conducted.

02 05

2 No. of beneficiaries attended 953 Details of Camps 1.Health Check up Camp

was held on 08.03.17 for 45 nos of women employee of CSSH/Patna2. On occasion of World Kidney Day on 09-03-17 a health check up camp was organized for employee and their dependent. 50 nos participants were checked

4 Health Check up camp for Family members of Officers.

-

5 Facilities provided. -

6 No. of camps held in this year since 1st April

-

C) EXECUTIVE HEALTH CHECK-UP :-

No. of officers at Divi./HQ

No. of officers undergone check-up in the month

No. of check-up done since 1st April

Remarks

HQ Nil Nil

D) SCHOOL HEALTH CHECK-UP: Nil

E) HEALTH EDUCATION:

Sl. No. No. of Health Education Meeting/ Seminars conducted with dates

Brief on the subject No. of meetings etc. conducted since 1st April’15

01 - - --

Annxure-13

NAME OF DIVISION /CSSH/Patna.

15

MEDICAL STORES:- DETAILS OF NON-PAYMENT OF BILLS TO BE GIVEN WHERE PAYMENT IS NOT DONE WITHIN 3-MONTHS OF RECEIPT OF MATERIALS:-

-- -- -- -- -- -- -- NIL -- -- -- -- -- -- -- -- -- -- -- -- 21/02/17 to 20/03/17

Sl..No Supply Order No Name of item

Name of firm

Date of receipt of materials

Reason for non payment

Action taken

Nil Nil Nil Nil Nil Nil

Annexure-14

NAME OF DIVISION CSSH/Patna.EXTERNAL QUALITY CONTROL OF DRUGS 21/02/17 to 20/03/17

Sl. No.

Description During the month

Cumulative since 1st April

1 No. of Samples sent for analysis 2 42

2 No. of samples report of which is pending 02 06

3 Total no. of samples awaiting for report (1+2) 04 06

4 No. of reports received 2 32

5 No. of samples found of standard quality nil 36

6 No. of samples found of Non-standard Nil Nil

7 No. of samples found of Sub-standard Nil Nil

DETAILS OF DRUGS SENT FOR ANALYSIS DURING THE MONTHof 21/02/17 to 20/03/17--NILSr.No.

Name of drug/product

Name of Manufacturer

Batch No.

Date of Mfg.

Name of Laboratory where sample sent for analysis

Result Cause of sub-standard

Stand-ard

Non-Stan dard

1 2 3 4 5

1 Tab. Cilnodipine 10 mg micro BS000

3 01/17Vimlascientific,secunderabad

2 Tab. S- Amlodipine 2.5 mg micro SAMY

0053 02/17 ‘’ ‘’ ‘’ ‘’ ‘’

DETAILS OF NON-STANDARD QUALITY OF DRUGS 21/02/17 to 20/03/17

16

A No. of items found non-standard NIL

B Name of the item

C Name of the pharmaceutical company

D Sample analyzed at

Annexure -15NAME OF THE HOSPITAL CSSH/Patna.

LOCAL PURCHASE OF DRUGS

Sl.no. Item During the month in Rs. Cumulative since 1st April in Rs.

A Cash purchase

B Bulk purchase (including Local and emergency purchase

7(a)Rs12,82,354 +7 (b) Rs nil = Rs 1282354

C Total Local purchase (a+b) 7(a)Rs1282354 +7 (b) Rs = Rs 1282354/-

D Percentage of LP to Budget Grant (....... + ........) =....... crores

=Total amount of LP X100/Allotted budget=59200000…...

17

DETAILS OF LOCAL PURCHASES :- 7(A)21/02/17 to20/03/17.

Sl. No.

Name of the drug Qty Unit rate in RsTotal cost in Rs

Indented non –indented item

Whethertaken CMD / CMS’s a approval or not (Yes/No)

01. Tab vildagliptin + metformin 900 tab Rs 22.00/tab 19800 indented yes

02 Trop t 55 pcs Rs 361.00/p 19875 indented yes 03 Teriparatide rh pth 04 vial Rs 4770.00/v 19080 indented yes04 Inj zolandronic acid 11 vial Rs 1484.00/v 16324 indented yes05 Jelco I,v cathter radio opque 200 pcs Rs 89.00/pc 17800 indented yes06 Femoral seath 6 f 06 pcs Rs 1000.00/p 6000 indented yes07 Rail type fixtor 01 set Rs 15175.00/s 15175 indented yes08 Locking screw 3.5 mm

cancellous 20 mm length10 pcs Rs 735.00/pcs 7350 indented yes

09 Locking screw 3.5 mm cancellous 22 mm length

10 pcs Rs 735.00/pcs 7350 indented yes






10 pcs Rs 735.00/pcs 7350 Indented yes

13 Guiding cathter 01 set Rs 4028.00/set 4028 indented yes

14 PTCA wire MBW 01 SET Rs 4770.00/ set 4770 indented yes15 Inflammation device 01 set Rs 3286.00 3286 indented yes 16 Ptca connector push kit 01 set Rs 901.00/kit 901 indented yes 17 coronary ballon spinter

legend 01 set Rs 13780.00 13780 indented yes

18 Coronary stent systemDES 01 Set Rs 23625.00 23625 indented yes

19 Inj amphotyericin b 20 vial Rs 200.00/vial 4000 indented yes 20 Inj tirofeban i.v 04 bott Rs 2300.00/v 9200 indented yes21 Tab sofosvir + ledispavir 28 tab Rs 464.28/tab 13000 indented yes 22 PLI introducer needle 01 set Rs 3500.00/set 3500 indented yes 23 Guiding cathter 01 set Rs 4028.00/set 4028 indented yes 24 PTCA wire MBW 01 SET Rs 4770.00/ set 4770 Indented yes25 Inflammation device 01 set Rs 3286.00 3286 indented yes 26 Ptca connector push kit 01 set Rs 901.00/kit 901 indented yes 27 coronary ballon spinter 01 set Rs 13780.00 13780 indented yes28 Coronary stent systemDES 01 Set Rs 23625.00 23625 indented yes 29 Ringer lactate 500 ml 1050 bott Rs 19.00/bott 19950 Indented yes 30 Metformin 1 gm 21500 Rs 0.92/tab 19780 indented yes31 Tab metoprolol 50 mg 30000 Rs 0.65/tab 19500 indented yes 32 Tab cefexime 200 mg 4600 tabs Rs 4.32/tab 19975 indented yes 33 Inj amoxycilline + clavaunic

acid 265 vial Rs 75.00/vial 19875 indented yes

34 Inj hepatitis 10 ml 20 vial Rs 375.00 /vial 7500 Indented Yes

18

35 Inj HCG 5000 75 Vial Rs 205.00/v 15375 Indented Yes 36 inj adrenalin 300 amp Rs 11.00/amp 3300 Indented Yes 37 Chromic actgut 4242 192pcs Rs 100.00/p 19200 Indented Yes 38 Vacutainer non vaccum 7900 Rs 2.50/p 19750 Indented Yes 39 Vacutainer with EDTA 7900 Rs 2.50/p 19750 Indented Yes 40 Modular bi polar hip

prothesis01 set Rs 13000.00/s 13000 indented yes

41 Tab dapaglofuzin 10 mg 500 tabs Rs 38.00/tab 19000 Indented yes 42 Tiger cathter 15 pc Rs 1250.00/p 18750 indented yes43 Contrast non ionic 15 pcs Rs 1250.00/p 18750 indented yes 44 Cag wire 20 pcs Rs 500.00/set 10000 indented yes 45 Syp sodium valporate 500 p Rs 47.50/p 14250 indented yes 46 Syp levosalbutamol 150 ph Rs 14.60/p 2190 Indented Yes 49 Bacillus clause oral

suspension 400 ph Rs 37.50/p 15000 Indented Yes

50 Inj decadurabolin 300 vial Rs 55.00/v 16500 Indented Yes 51 Inj vtamin d3 500 amp Rs 34.50/amp 17250 Indented Yes 52 Inj epsolin 500 amp Rs 9.40/amp 4700 Indented Yes 53 Tab vildagliptin +

metformin500900 tabs Rs 22.00/tab 19800 Indented Yes

54 Tab sofosvir + ledispasvir 28 tabs Rs 464.28/tab 13000 indented yes 55 PLI introducer needle 01 set Rs 3500.00/set 3500 Indented yes 56 Guiding cathter 01 set Rs 4028.00/set 4028 indented yes57 PTCA wire MBW 01 SET Rs 4770.00/ set 4770 indented yes 58 Inflammation device 01 set Rs 3286.00 3286 indented yes 59 Ptca connector push kit 01 set Rs 901.00/kit 901 indented yes 60 coronary ballon spinter

legend 01 set Rs 13780.00 13780 Indented Yes

61 Coronary stent systemDES 01 Set Rs 23625.00 23625 Indented Yes 62 Tab duoloextin 30 mg 3000 tab Rs 8.00/tab 24000 Indented Yes 63 Inj darbaprotein alpha 18 pfs Rs 1645.00 29610 Indented Yes 64 Inj methylcobalamin 500

mcg700 amp Rs 10.00/amp 7000 Indented Yes

65 Chloramphenicol 5 % + clotrimazol+ baclomethasone

600 ph Rs 28.00/ph 16800 Indented Yes

66 Xylometazolin nasal drop paediatrics

500 ph Rs 12.00/ph 6000 indented yes 67 Clobetasole+ miconazole 1000 ph Rs 15.90/ph 15900 Indented yes 68 Tab doxylamin+pyridoxine 7500 tabs Rs 3.90/tab 29250 indented yes69 Polyethylene glycol 750 pcs Rs 23.00/s 17250 indented yes 70 Tab atrovastatin 20 mg 30000 tabs Rs 0.90/tab 27000 indented yes 71 Ringer lactate 500 ml 1550 bott Rs 19.00/bott 29450 indented yes 72 Low molecular of heparin 50 pfs Rs 140.00/pfs 7000 Indented Yes 73 Tab ranitidine 150 mg 52000 tabs Rs 0.45/tab 23400 Indented Yes

Indented Yes 74 Tab Lorthinine 2500 tabs Rs 9.50/tab 23750 Indented Yes 75 Sodium bicarbonate +

phenol 500 ph Rs 56.00/ph 28000 Indented Yes

76 Tab mesalamine 400 mg 4500 tabs Rs 6.43/tab 28935 Indented Yes 77 Xylometazolin nasal drop 2000 ph Rs 12.50/ph 27260 indented yes 78 Tab metformin 1000 mg 32000 tabs Rs 0.92/tab 29440 Indented yes 79 Tab L cartinine 500 mg 2500 tabs Rs 10.80/tab 27000 indented yes

19

80 Tab fexofenadine 120 mg 10000 tabs Rs 2.77/tab 27700 indented yes 81 Tab cefuroxime axetill 500

mg2100 tabs Rs 13.80/tab 29980 indented yes

82 Oint terbenbafin 1 % 200 tube Rs 46.00/tube 9200 indented yes 83 Tab folihair 1000 tabs Rs 14.85/t 14850 Indented Yes 84 Disposable needle no 16 1000 Rs 1.75/t 1750 Indented Yes 85 Intracath no 16 1000 pcs Rs 11.75/p 11750 Indented Yes 86 Tab spironolactone100 mg 1000 tabs Rs 8.58/tab 8580 Indented Yes 87 Inj fluconazole 100 ml 150 bott Rs 85.00/b 12750 Indented Yes 88 Inj iron sucrose 180 amp Rs 110.00/a 19800 Indented Yes 89 Chromic catgut 4249 60 pcs Rs 138.00/ 8280 Indented Yes 90 Dialyser f6 25 pcs Rs 790.00 19750 Indented Yes 91 Inj azetronam500 mg 80 vial Rs 245/v 19600 Indented Yes

under 7 (A)Rs12,82,354/-

Purchase under 7 (b )21/02/2017 to 20/03/2017

Sl. No.

Name of the drug QtyUnit rate in Rs

Total cost in Rs

Indented non –indented item

Whethertaken CMD / CMS’s a approval or not (Yes/No)

NIL NIL NIL NIL NIL NIL

under 7 (B)Rs/-

Annerure-16Works Programme:-Sr.No

Name of Work Plan Head Cost Year of Sanction

Present Position

nil nil

MONTHLY PROGRESS REPORT ON FAMILY WELFARE PROGRAMME

20

Sl. No.

ITEMS Progress during the Month

Progress up to the Month

Remarks

Sterilization NilI Vasectomy NIL

Conventional -No Scalpel Vasectomy (NSV) nil

II Tubectomy 03III TotalB IUD (Cu “T”) Insertion 02C Condom Nil

Total condom (in pieces) distributedI Gross NilII Supplied to Vasectomy Person NilIII Net (I – II) NilD ORAL PILLSIII Total No. of OP Cycles distributed 48E Total No. of MTP Cases done --F Immunization, IFA, Vit A -- I TT (Preg. Women) 09

TT (2nd dose + Booster) 05 II I/FA Tablets (Preg. Women) 2100/900

Prophylactic Completed - III DPT (3rd dose) - IV Polio (3rd dose) - V BCG 1st dose - VI Measles Nil VII DPT (2nd Booster Dose)

N/A VIII TT (10 Years) (2nd Dose) 30 IX TT (16 Years) (3rd Dose) 30 X Vit. A (1st dose below and up to 1 year) Nil XI Vit. A (total-2nd to 5th dose) NilG Maternal Health A Ante Natal Care (ANC) 194 I Registered(New) 49II With Three check up (Old) 145B Institutional Deliveries -C Domestic Deliveries -I By LHV / ANM NilII By Trained Birth attendant (TBA) NilIII By Untrained Birth attendant NILIV Total Deliveries Reported of Col.I+II+III -H Hepatitis B Immunization 1st Dose Nil

2nd Dose Nil3rd Dose Nil

Annexure-17Anexure-18

CADRE POSITION (GAZETTED & NON-GAZETTED)

21

A) Gazetted cadre: Sanctioned Strength -

1 No. of IRMS Doctor 22

2 No. of CMPs 093 No. of Vacancies of doctor with

places 05

4 No. of HVS 025 No. of Vacancies of HVS 086 No. of Gr. ‘B’ Officer 017 No. of Gr. ‘B’ Officer vacancies Nil8 Summary of Vacancies 11

B) Non Gazette cadre : Sanctioned Strength - .CSSH/Patna.

S.No. Details Group C Group D Total1 Sanctioned strength 146 56 2022 On Roll 113 (on Contract 33) 49 1623 Action taken to fill up the

vacanciesProposal sent to HO

Annexure 18 A

GROUP - C Category: Break up and action taken

Sl.No Details Vacancies Action taken1 Nursing staff 04 Proposal sent to HQ2 Pharmacist Nil Proposal sent to HQ3 Physiotherapist Nil Proposal sent to HQ4 Dresser 05 On contract basis

TOTAL 09

GROUP D Category: Break up and action taken

Sl.No Details Vacancies Action taken1 Safaiwala nil Proposal sent to HQ2 Hospital attendant 06 Proposal sent to HQ6 B.Peon Nil Proposal sent to HQ

TOTAL 06 Proposal sent to HQ

Annexure 19

22

NAME OF DIVISION CSSH/Patna .

MONTHLY SURGERY REPORT : Major Date:-21 February To 20 March

Sl.No. Date Name of surgery Name of surgeon Designation Speciality TYPE

01 21.02.17 Lap CholecystectomyDr. Anuj Dr.Sanjay

ADMO, Sr.DMO

G. Surgery Major

02 21.02.17 VH Dr. R. Sinha Sr. DMO Gynecology Major


ADMO, Sr.DMO

G. Surgery ,,

04 22.02.17 ORIF of # Lt. Humerus&Redius Dr. Pankaj DMO Orthopedec Major

05 22.02.17 VH Dr. R. Sinha Sr. DMO Gynecology Major


ADMO, Sr.DMO

G. Surgery ,,

07 22.02.17 LSCS Dr. R. Sinha Sr. DMO Gynecology Major


ADMO, Sr.DMO

G. Surgery Major

09 23.02.17 Microscopy & Lt. Ear PNS Dr. Divesh Sr. DMO ENT ,,

10 23.02.17 Septoplasty Dr. Divesh Sr. DMO ENT ,,

11 23.02.17 TAH Dr. R. Sinha Sr. DMO Gynecology Major

12 23.02.17 # Rt. Tibia Dr. Pankaj DMO Orthopedec Major

13 23.02.17 LSCS Dr. R. Sinha Sr. DMO Gynecology ,,

14 23.02.17 Haemorrhoidectomy Dr. Sanjay Sr. DMO G. Surgeon Major


16 27.02.17 CPE + OIU Dr. Sanjay Sr. DMO G. Surgeon ,,


ADMO, Sr.DMO

G. Surgery Major

18 27.02.17 Implant Removal + Implant Insert Dr. Pankaj DMO Orthopedec ,,

19 27.02.17 Hernioplasty(RIH)Dr. Anuj Dr.Sanjay

ADMO, Sr.DMO

G. Surgery ,,


ADMO, Sr.DMO

G. Surgery ,,





ADMO, Sr.DMO

G. Surgery ,,

25 28.02.17 Excision of Rt.Hand Middle finger Dr. Sanjay, Dr. Pankaj MD, DMO Gynecology ,,

23

26 01.03.17 # Rt. Femur Dr. Pankaj DMO Orthopedec Major

27 01.03.17 Appendectomy Dr. Anuj ADMO, G. Surgery ,,

28 01.03.17 RIH Dr. Anuj ADMO, G. Surgery Major

29 01.03.17 LSCS Dr. Alpana Sr. DMO Gynecology Major

30 03.03.17 Lap Tubectomy Dr. Alpana Sr. DMO Gynecology Major

31 03.03.17 Hemireplacement Lt. Hip Dr. Pankaj DMO Orthopedec SPL


33 04.03.17 MTP + Lap Tubectomy Dr. Alpana Sr. DMO Gynecology ,,

34 06.03.17 VH Dr. Alpana Sr. DMO Gynecology ,,

35 06.03.17 # Rt. TOE Dr. Pankaj DMO Orthopedec Major


37 07.03.17 Lap Cholecystectomy + AppendectomyDr. Anuj Dr. Sanjay

ADMO, Sr.DMO

G. Surgery SPL

38 07.03.17 Lap CholecystectomyDr. Anuj Dr. Sanjay

ADMO, Sr.DMO

G. Surgery ,,


ADMO, Sr.DMO

G. Surgery ,,

40 08.03.17 # Lt. Femur(DHS) Dr. Pankaj DMO Orthopedec Major

41 08.03.17 RIH Dr. Sanjay Sr. DMO G. Surgeon Major

42 08.03.17 LSCS + LIgation Dr. Alpana Sr. DMO Gynecology Major


44 09.03.17 Septorhinoplasty Dr. Divesh Sr. DMO ENT ,,

45 10.03.17 CPE + TURP Dr. Sanjay Sr. DMO G. Surgeon Major

46 10.03.17 # Rt. Femur + Rt. Patella Dr. Pankaj DMO Orthopedec Major


48 10.03.17 LSCS Dr. R. Sinha Sr. DMO Gynecology ,,




ADMO, Sr.DMO

G. Surgery ,,



54 17.03.17 RIH Dr. Sanjay Sr. DMO G. Surgeon Major

24

55 17.03.17 LIH Dr. Sanjay Sr. DMO G. Surgeon Major

56 17.0317 LSCS Dr. R. Sinha Sr. DMO Gynecology Major


58 20.0317 Lap CholecystectomyDr. Anuj Dr. Sanjay

ADMO, Sr.DMO

G. Surgery Major

59 20.03.17 # Rt. Distal Tibia Dr. Pankaj DMO Orthopedec Major

01. Total No of Genral Surgeries :-21 5. Total No of URO Surgeries :-0202. Total No of Orthopaedic Surgeries :-10 6. TOTAL RELHS :-13 03. Total No of Gynae & Obs. Surgeries :-2304. Total No of ENT Surgeries :-03

Annexure 19/A


MONTHLY SURGERY REPORT : Minor Date:- 21 February To 20 March

Sl.No. Date Name of surgery Name of surgeon Designation Speciality TYPE

01 21.02.17 Rt. Ear Trangal Abscess Dr. Divesh Sr. DMO ENT Minor

02 21.02.17 Rt. Ear Trangal Abscess Dr. Divesh Sr. DMO ENT Minor

03 21.02.17 Inj. Synvics One Rt. Knee Dr. Sanjay MD Orthopedec ,,

04 21.02.17 D&C Dr. R. Sinha Sr. DMO Gynecology Minor

05 22.02.17 B/L Microscopy Nose Dr. Divesh Sr. DMO ENT Minor

06 23.02.17 B/L Ear Microscopy Dr. Divesh Sr. DMO ENT Minor

07 23.02.17 Lt. Ear Lobuloplasty Dr. Divesh Sr. DMO ENT Minor

08 23.02.17 Caudal Epidural Inj. Depomedrol Dr. Sanjay MD Orthopedec ,,

09 23.02.17 MTP + Ligation Dr. Alpana Sr. DMO Gynecology ,,

10 23.02.17 Vesectomy Dr. Sanjay Sr. DMO G. Surgeon Minor

11 23.02.17 Inj. Kenacort Rt. Leg Dr. Sanjay Sr. DMO G. Surgeon Minor

12 23.02.17 Inj. Depomedrol Rt. Wrist Dr. Pankaj DMO Orthopedec Minor

13 23.02.17 Inj. Depomedrol Rt. Shoulder Dr. Pankaj DMO Orthopedec Minor

14 23.02.17 Mirena Insertion Dr. Alpana Sr. DMO Gynecology Minor

25

15 27.02.17 POP Lt. Wrist Dr. Pankaj DMO Orthopedec ,,

16 27.02.17 Aspiration Lt. Knee Dr. Pankaj DMO Orthopedec ,,

17 27.02.17 Aspiration Rt. Knee Dr. Pankaj DMO Orthopedec ,,

18 27.02.17 B/L ANP for Nasal Bleeding Dr. Divesh Sr. DMO ENT Minor

19 28.02.17 D&E + CU-T Dr. R. Sinha Sr. DMO Gynecology Minor

20 28.02.17 Ligation(BLTL) Dr. R. Sinha Sr. DMO Gynecology Minor

21 02.03.17 Inj. Synvics one Lt. Knee Dr. Pankaj DMO Orthopedec ,,

22 02.03.17 POP Rt. Knee Dr. Pankaj DMO Orthopedec ,,


24 02.03.17 POP Lt. Ankle Dr. Pankaj DMO Orthopedec ,,

25 03.03.17 Ligation(BLTL) Dr. Alpana Sr. DMO Gynecology Minor

26 04.03.17 MTP + Ligation(BLTL) Dr. Alpana Sr. DMO Gynecology Minor

27 04.03.14 D&C + CU-T Dr. Alpana Sr. DMO Gynecology ,,

28 06.03.17 I&D Abscess Drain Dr. Anuj ADMO G. Surgeon Minor


30 07.03.17 Inj. Depomedrol Lt. Shoulder Dr. Pankaj DMO Orthopedec Minor

31 07.03.17 Aspiration Of Rt. Knee Dr. Pankaj DMO Orthopedec Minor

32 07.03.17 Inj. Depomedrol Lt. Knee Dr. Pankaj DMO Orthopedec Minor

33 07.03.17 SPC Dr. Sanjay Sr. DMO G. Surgeon ,,

34 07.03.17 POP Lt. Hand Dr. Pankaj DMO Orthopedec ,,

35 07.03.17 B/L APW Dr. Divesh Sr. DMO ENT Minor

36 08.03.17 Lt. Ear F.B. Removal Dr. Divesh Sr. DMO ENT Minor



39 09.03.17 S&E + CU-T Dr. R. Sinha Sr. DMO Gynecology Minor


41 09.03.17 Rt. Knee Aspiration + Inj. Depomedrol Dr. Pankaj DMO Orthopedec Minor

42 09.03.17 Inj. Synvics one Lt. Knee Dr. Pankaj DMO Orthopedec Minor

43 10.03.17 Removal of Cyst Rt. Finger Dr. Sanjay Sr. DMO G. Surgeon Minor

44 10.03.17 Nerves + RIPE Excision Dr. Sanjay Sr. DMO G. Surgeon Minor

45 10.03.17 Tubectomy(BLTL) Dr. R. Sinha Sr. DMO Gynecology ,,

26


47 15.03.17 Lt. Ear F.B. Removal Dr. Divesh Sr. DMO ENT Minor

48 15.03.17 Cystoscopy Dr. Sanjay Sr. DMO G. Surgeon Minor


50 16.03.17 S&E + CU-T Dr. R. Sinha Sr. DMO Gynecology Minor


52 16.03.17 Inj. Depomedrol Rt. Elbow Dr. Pankaj DMO Orthopedec Minor

53 17.03.17 Excision of fibroadenoma Lt. Breast Dr. Sanjay Sr. DMO G. Surgeon Minor

54 17.03.17 Hydrocelectomy Dr. Sanjay Sr. DMO G. Surgeon ,,

55 17.03.17 Excision of Sab. Cyst Dr. Sanjay Sr. DMO G. Surgeon Minor

56 17.03.17 Removal of Sab Cyst Dr. Sanjay Sr. DMO G. Surgeon ,,

57 18.03.17 D&E + EB Dr. R. Sinha Sr. DMO Gynecology Minor

58 18.03.17 Inj. Depomedrol Rt. Shoulder Dr. Pankaj DMO Orthopedec ,,

59 20.03.17 Inj. Synvics one Lt. Knee Dr. Sanjay MD Orthopedec ,,

60 20.03.17 Inj. Depomedrol I/A Dr. Sanjay MD Orthopedec ,,

61 20.03.17 Inj. Synvics one Lt. Knee Dr. Pankaj DMO Orthopedec ,,

62 20.03.17 Inj. Depomedrol I/A Dr. Pankaj DMO Orthopedec ,,


01. Total No of Genral Surgeries :-0902. Total No of Orthopaedic Surgeries :-2603. Total No of Gynae & Obs. Surgeries :-1404. Total No of ENT Surgeries :-12

05. Total No of URO Surgeries :-02

TOTAL RELHS :- 08TOTAL BLTL(LIGATION) :- 07 VASECTOMY :- 01

27

Annexure 19/B


MONTHLY SURGERY REPORT : Eye Date:- 21 February To 20 March

Sl.No.

Date Name of surgery Name of surgeon Designation Speciality TYPE

01 21.02.17 Cataract with IOL(RE) Dr. Shreeprakash Sr. DMO Ophthalmologist SPL

02 21.02.17 Cataract with IOL(LE) Dr. Shreeprakash Sr. DMO Ophthalmologist SPL


04 23.02.17 Cataract with IOL(RE) Dr. Shreeprakash Sr. DMO Ophthalmologist SPL





09 28.02.17 Cataract with IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL

10 28.02.17 Redial IOL(LE) Dr. Shreeprakash Sr. DMO Ophthalmologist Minor

Total RELHS :- 06

28

NAME OF DIVISION.CSSH/Patna.

DETAILS OF COSTING OF SERVICES TO RELHS MEMBERS FOR THE MONTH

S N RELHS patients in different units No. of patients Cost of expenditure (in Rs.)

1 OPD 1154

2 IPD 82

3 O.T 27

4 Laboratory N/A

5 Radiology including Sonography 131- X.Ray89-USG

6 ICU 44

7 Casualty 36

8 Referrals ICU-08+06

9 Ambulance N/A

10 ECG room 163

11 OPD dispensary -

12 Main pharmacy -

13 Local purchase section Nil

14 Dental clinic 88

15 Physiotherapy -

29

MD/CSSH

Annexure-20

NAME OF DIVISION. CSSH/PatnaA) ACTION TAKEN FOR ACCREDITATION OF OT/ ICU/ LAB/ OTHERS OF

HOSPITAL : Nil

B) SPECIAL/ IMPORTANT ACTIVITIES: On 09.03.2017 (World Kidney Day) a special health check up camp for Railway employee was organized at CSSH/ECR/Patna for renal treatment etc.

HIGH LIGHTS FOR THE MONTH

I) SPECIAL INDOOR HOSPITAL ACTIVITIES:-II)

30

A. NilB. Nil

III) HEALTH & FAMILY WELFARE ACTIVITES:

S.No Date Subject Description

Attending Scientific Seminar, Conference & Workshop (period 21/02/17 to 20/03/17)

(A) Gazetted Officers:Sl. No.

Name & Design of the Officer

Name of the institute where

attended

Subject Period Remarks

Total no in Feb

Total no in Marc

01. Dr. R.C. Trivedi,CMD/ECR/HJP

CSSH/Patna -- --

02. Dr. Sanjay Kumar MD/CSSH/PNBE

CSSH/Patna 01 01

03 Dr. Y.P. Tiwari CSSH/PNBE 01 0204. Dr. P. K. Ojha CSSH. PNBE -- 01

05 Dr. A. Neyaz CSSH/PNBE 01 03

06 Dr A K Ojha CSSH/PNBE 01 01

07 Dr. S. K Gupta CSSH/PNBE 01 02

08 Dr. Bimmi CSSH/PNBE 01 0309 Dr. Arun Kumar CSSH/PNBE 01 0310 Dr Alpana CSSH/PNBE 01 0211 Dr Kaushal/Nefro CSSH/Pnbe 01 0312 Dr. Ranjana Sinha CSSH/PNBE -- 03

13 Dr Sanjay Kumar/Surgeon

CSSH/Pnbe -- 02

14 Dr. Arvind Kr. CSSH/Pnbe -- 0215 Dr. Divesh Kr. CSSH/PNBE 01 0316 Dr Pankaj CSSH/PNBE -- 0217 Dr. Shree prakesh CSSH/PNBE 01 0318 Dr. Sanket Anand CSSH/PNBE 01 0119 Dr/ Anuj Chaudhary CSSH/PNBE -- 0120 Dr. Padma CSSH/PNBE 01 0221 Dr. Shakraja CSSH/PNBE 01 0222 Dr. Anshuman CSSH/PNBE 01 0323 Dr. Neeraj Kumar CSSH/PNBE -- --24. Dr. Shashi Bala CSSH/PNBE -- 0325. Dr. Manju Mittal CSSH/PNBE -- 02

31

B) Non- Gazetted Officer:Sl. No. Name & Design of

the StaffName of the institute where attended

Subject Period Remarks

01 Nil -- --

02 Nil -- --

Annexure 21

NAME OF DIVISION:CSSH/Patna

Sl.No. Date of complaint Place of complaint

Details of complaint

Remarks

NIL NIL Nil

BENCH MARKING REPORT :-

Name of the Division Total Medical Officers + Staff on roll

Total Employees of ECR + RELHS Card Holder

MPR

(Medical personnel on roll per thousand employees)

Central Hospital 202 1,03,270 2.3

32

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