Industry Overview
The proposed hospital project is planned to improve healthcare facilities in eastern Uttar Pradesh by providing accessible medical services to patients from Varanasi and surrounding regions. Varanasi has more than 100 hospital setups, many with facilities ranging from 25 to 100 beds. The report states that outpatient footfall in Varanasi is around 10,000 patients per day, with approximately 4,000–5,000 inpatients daily. Although Banaras Hindu University (BHU) has a hospital facility with more than 2,000 beds, the report identifies an ongoing need for timely medical care and bed availability.
The selected location is intended to serve patients from Bihar, West Bihar, Mirzapur, Chandauli, Ghazipur, Sonbhadra, Hindalco at Renukoot, Shakti Nagar, Vindhya Nagar and other surrounding areas. Its location on a national highway is expected to reduce travel time compared with reaching hospitals within Varanasi city. The project is designed as a major private hospital infrastructure facility for the Purvanchal region, with scope for specialized services such as oncology treatment infrastructure and a nursing college. The Urology department has already commenced operations through a modular operation theatre. The hospital has also initiated registration processes for Ayushman, insurance and TPA services.
Cost Estimation
| Particular | Value |
|---|---|
| Plant Capacity | 354 Nos/Day |
| Land & Building (6960 sq.mt.) | Rs. 38.00 Cr |
| Plant & Machinery | Rs. 22.43 Cr |
| Working Capital for 3 Months | Rs. 1.90 Cr |
| Total Capital Investment | Rs. 63.85 Cr |
| Rate of Return | 12% |
| Break Even Point | 70% |
Content Index
- DETAILING CONCEPTION
- WE HAVE FOUR FULL TIME DOCTORS WITH US:
- SERVICES
- IN FIRST AND SECOND PHASE WE HAVE A PLAN FOR FOLLOWING SERVICES (SOME SERVICES ARE ALREADY UP AND RUNNING IN PRESENT TIME).
- HOSPITAL PLANNING
- THE PLANNING OF HOSPITAL IS PREPARED UNDER THE GUIDELINE OF COMMITTEE WITH VARIOUS EXPERTISE DETAILS ARE AS FOLLOWS:
- INTRODUCTION
- OVERVIEW OF HEALTHCARE INDUSTRY
- FIGURE 1: MAJOR SEGMENTS IN INDIA’S HEALTHCARE SECTOR
- FIGURE 2: GROWTH TREND OF INDIA’S HEALTHCARE SECTOR (USD BILLION)
- EMPLOYMENT GENERATION POTENTIAL OF HEALTH SECTOR
- FIGURE 3: DIRECT JOBS IN INDIA’S HEALTHCARE SECTOR, 2017 – 2022 EXPECTED (IN THOUSANDS)
- BUSINESS AND INVESTMENT CLIMATE
- TABLE 1: FDI IN INDIA’S HEALTH SECTOR (2000-2020)
- TABLE 2: SELECT PRIVATE EQUITY DEALS IN HEALTHCARE INDUSTRY OVER THE LAST FEW YEARS
- OVERARCHING POLICY LANDSCAPE
- AYUSHMAN BHARAT
- HUMAN RESOURCES FOR HEALTH
- NATIONAL DIGITAL HEALTH MISSION (NDHM)
- FOREIGN DIRECT INVESTMENT
- TAX INCENTIVES
- HEALTH DIPLOMACY
- DRIVERS OF GROWTH
- DEMOGRAPHIC, EPIDEMIOLOGICAL AND HEALTH TRANSITIONS
- MEDICAL VALUE TRAVEL (MVT)
- ENABLING POLICY ENVIRONMENT
- DEMAND-SUPPLY GAP
- OTHER FACTORS
- WHAT LICENSE REQUIRED TO OPEN A HOSPITAL AND THEIR PROCEDURE
- NECESSARY LICENSES REQUIRED OPENING A HOSPITAL IN INDIA
- REGISTRATION OF HOSPITAL
- THE LICENSES THAT ARE REQUIRED TO START A HOSPITAL IN INDIA ARE:
- • LAND AND CONSTRUCTION
- • ELECTRICITY AND WATER
- • SEWAGE
- • BIOMEDICAL WASTE
- • FIRE AND HEALTH LICENSE
- • REGULATIONS RELATING TO EMPLOYMENT OF STAFF
- • SIGN BOARDS
- • INFORMATION THAT REQUIRES IS DISPLAYED AT THE HOSPITAL ARE;
- • FSSAI LICENSE FOR OPERATING A KITCHEN
- • PERMIT TO STORE LPG CYLINDER
- • PHARMACY REGISTRATION FOR MEDICAL SHOP
- • TRADEMARK REGISTRATION
- • VEHICLE REGISTRATION FOR AMBULANCES
- • ARMS LICENSES UNDER ARMS ACT 1959
- • WASTE DISPOSAL
- PLANNING THE HOSPITAL INFRASTRUCTURE
- ONE MUST TAKE CARE OF THESE THINGS;
- THE OTHER IMPORTANT LICENSE REQUIRED IS:
- B.I.S SPECIFICATION
- BRIEF DESCRIPTION OF SOME COMMON HOSPITAL EQUIPMENTS
- 1. DRESSING DRUM
- 2. SURGICAL TRAY
- 3. CATHETHER TRAY
- 4. SYRINGE CASE
- 5. ANIMA POT
- 6. BOWEL
- 7. BED POT (LATRINE)
- 8. URINAL POT
- 9. KIDNEY TRAY
- 10. SPIT-ON
- 11. ELECTRICAL STERILIZER
- MODERN MEDICAL INSTRUMENTS
- BUILDING CONSTRUCTION & FURNISHING OF HOSPITAL
- THE OTHER DEPARTMENT IN A HOSPITAL ARE AS FOLLOWS:
- 1. CARDIOLOGY
- 2. E.N.T.
- 3. MATERNITY
- 4. EYE SECTION
- 5. CHILDREN WARD
- 6. LABORATORY
- 7. X-RAY ROOM & ECG CLINIC
- 8. PHYSICIAN
- GENERAL HEALTH AMENITIES
- DRUG SITUATIONS
- LISTED BELOW ARE THE DESIRED FEATURES OF AUTOMATED BIOCHEMICAL ANALYZERS.
- MODERN MEDICAL EQUIPMENT
- COMPUTER TOPOGRAPHY
- ULTRASOUND
- CATHETERS IN INTERVANTIONAL PROCEDURES ARE MAINLY USED FOR:
- CONSUMABLE STORES
- UTILITIES & OVERHEADS
- HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
- MACHINERY & EQUIPMENT SUPPLIERS
- X-RAY ACCESSORIES
- AIR CONDITIONING & REFRIGERATION UNITS
- IMPORTED PLANT & MACHINERY SUPPLIERS
- LIST OF CONSULTANT FOR SETTING UP HOSPTAL
- LIST OF NABET ACCREDITED HOSPITAL & HEALTHCARE CONSULTANT (NABH STANDARD)
- HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
- PROPOSED MINIMUM STANDARDS FOR PRIVATE HOSPITALS
- INTRODUCTION
- THE BASIC MINIMUM FUNCTIONS PROVIDED BY A HOSPITAL AS FOLLOWING:
- HUMAN POWER REQUIREMENTS
- QUALIFICATIONS
- AVAILABILITY OF PERSONNEL:
- MINIMUM REQUIREMENT OF PERSONNEL:
- DUTY MEDICAL OFFICER
- NURSING STAFF:
- NURSING AIDS:
- PARAMEDICAL STAFF :
- ENGINEERING STAFF
- ADMINISTRATIVE AND ANCILLARY STAFF
- INSTRUMENTS AND EQUIPMENT
- ENTRANCE ZONE
- RECEPTION AND REGISTRATION WITH CASHIER
- WAITING AREA
- AMBULATORY ZONE
- A. NURSING
- B. TREATMENT/DRESSING ROOM AND INJECTION ROOM
- C. EXAMINATION AND CONSULTATION ROOMS (OPDS) AND CASUALTY
- D. PHARMACY
- DIAGNOSTIC ZONE (OPTIONAL)
- PATHOLOGY
- RADIOLOGY (OPTIONAL)
- INTERMEDIATE ZONE
- A. WARDS
- B. NURSING STATION
- C. TREATMENT ROOM
- D. TROLLEY BAY
- E. WARD STORE
- OPERATION THEATRE
- INSTRUMENTS FOR GENERAL SURGERY & (MATERNITY) OBSTETRICS/GYNAECOLOGY
- OPERATION THEATRE
- EQUIPMENT FOR SURGERY AND OBSTETRICS/GYN
- EQUIPMENT FOR SERVICE ZONE
- LAUNDRY
- GENERATOR
- MINIMAL FUNCTIONAL AND SPACE REQUIREMENTS
- ENTRANCE ZONE
- AMBULATORY ZONE
- DIAGNOSTIC ZONE (OPTIONAL)
- THIS ZONE SHOULD IDEALLY BE INTERPOSED BETWEEN OPD AND IPD
- CRITICAL ZONE
- OPERATING SUITE
- BASIC DESIGN STANDARDS
- MINIMUM SPACE REQUIREMENTS
- A. PROTECTIVE ZONE
- B. CLEAN ZONE
- C. ASEPTIC ZONE
- INTERMEDIATE ZONE
- INPATIENTS NURSING UNITS
- SERVICE ZONE
- BUILDING ENGINEERING ENVIRONMENTAL STANDARDS
- 1. CATION
- 2. CEILINGS
- 3. FLOOR HEIGHT
- 4. FLOORS AND WALLS
- 5. DOORS:
- 6. WINDOWS
- 7. CORRIDOR
- 8. WATER SUPPLY, PLUMBING AND OTHER PIPING SYSTEMS
- FOR MORE THAN 50 BEDS
- FOR LESS THAN 100 BEDS
- OXYGEN CYLINDERS
- 9. ELECTRICAL STANDARDS
- 10. ACCESS ROUTES TO VARIOUS FACILITIES OF THE NURSING HOME:
- 11. COMMUNICATION SYSTEM
- 12. FIRE-FIGHTING SYSTEM
- 13. VENTILATION REQUIREMENTS FOR AREAS AFFECTING PATIENT CARE IN NURSING HOMES
- 14. REQUIREMENTS FOR SANITARY FITMENTS IN NURSING HOMES FOR PATIENTS
- INPATIENT WARDS AND NURSING UNITS
- OUTPATIENT BLOCK
- THE RADIOLOGY DEPARTMENT MUST HAVE FOLLOWING SPECIAL TOILET FACILITIES IN CASE IT CARRIES OUT PROCEDURES LIKE IVP.
- 15. WASTE DISPOSAL:
- PROJECT PLANT LOCATION FACTORS
- PRIMARY FACTORS
- 1. RAW-MATERIAL SUPPLY:
- 2. MARKETS:
- 3. POWER AND FUEL SUPPLY:
- 4. WATER SUPPLY:
- 5. CLIMATE:
- SPECIFIC FACTORS
- 6. TRANSPORTATION:
- A. AVAILABILITY OF VARIOUS SERVICES AND PROJECTED RATES
- 7. WASTE DISPOSAL:
- 8. LABOR:
- 9. REGULATORY LAWS:
- 10. TAXES:
- 11. SITE CHARACTERISTICS:
- 12. COMMUNITY FACTORS:
- 13. VULNERABILITY TO WARTIME ATTACK:
- 14. FLOOD AND FIRE CONTROL:
- PLANNING OF EACH FLOORS ARE AS FOLLOWS
- EXPLANATION OF TERMS USED IN THE PROJECT REPORT
- 1. DEPRECIATION:
- 2. FIXED ASSETS:
- 3. WORKING CAPITAL:
- 4. BREAK-EVEN POINT:
- 5. OTHER FIXED EXPENSES:
- 6. MARGIN MONEY:
- 7. TERM LOANS:
- 8. TOTAL LOAD:
- 9. LAND AREA/MAN POWER RATIO:
- ENVIRONMENTAL MANAGEMENT PLAN
- AIR ENVIRONMENT
- NOISE ENVIORNMENT
- SOLID WASTE MANAGEMENT
- OPERATION PHASE
- WATER MANAGEMENT (SOURCE & SUPPLY OF WATER)
- WATER USE CALCULATION
- SEWERAGE
- SCHEME OF SEWAGE TREATMENT PLANT:
- TREATMENT PROCESS:
- THE PROCESS FOR SEWAGE TREATMENT PLANT BASED ON MBBR TECHNOLOGY
- SCHEMATIC REPRESENTATION OF STP BASED ON MBBR TECHNOLOGY
- BENEFITS OF USING MBBR TECHNOLOGY
- PROCESS FLOW DIAGRAM FOR ETP
- ETP DESIGN
- TREATED EFFLUENT CHARACTERISTICS
- WATER CONSERVATION & AUGMENTATION
- RAINWATER HARVESTING TABLE:
- RAINWATER HARVESTING CALCULATIONS
- BLOCK DIAGRAM FOR PROPOSED RAIN WATER HARVESTING/AQUIFER RECHARGING SYSTEM
- SCHEMATIC REPRESENTATION OF THE RAINWATER HARVESTING SYSTEM
- SOLID WASTE MANAGEMENT
- SOLID WASTE GENERATION
- TABLE: TOTAL SW GENERATION FROM THE PROPOSED PROJECT
- NO OF TRANSIT CENTERS:-
- COMPOST FORMATION POTENTIAL OF THE PROJECT
- COMPOST GENERATION POTENTIAL OF THE PROJECT (CHEN, 2016)
- TENTATIVE DETAILS OF ORGANIC WASTE CONVERTOR:
- STANDARD OPERATING PROCEDURE OF ORGANIC WASTE CONVERTER:
- TABLE: HOSPITAL AND BIOMEDICAL WASTE GENERATION FROM BEDDED AREA (MINISTRY OF HEALTH AND FAMILY WELFARE; PANDIT ET AL 2006)
- SEGREGATION OF BIOMEDICAL WASTE AND ITS STORAGE:-
- BIOMEDICAL WASTE CATEGORIZATION
- BMW WILL BE SEGREGATED AND COLLECTED AND THEN WILL BE HANDED OVER TO A UPPCB APPROVED BMW VENDOR
- AIR POLLUTION CONTROL:
- STACK HEIGHT CALCULATIONS
- LANDSCAPING & HORTICULTURE
- SHRUBS/HERBS TO BE PLANTED
- PROJECT LOCATION
- IMPLEMENTATION SCHEDULE
- LIST PLANT & MACHINERY
- DEPARTMENT OF NEPHROLOGY
- DEPARTMENT OF CARDIOLOGY
- DEPARTMENT OF UROLOGY
- DEPARTMENT OF ORTHOPAEDICS
- DEPARTMENT OF NEUROSURGERY
- MAJOR LIST OF EQUIPMENTS
- DEPARTMENT OF NEPHROLOGY
- MAJOR EQUIPMENTS
- DIALYSIS MACHINE
- MICROSCOPE
- MICROSCOPE
- DEPARTMENT OF CARDIOLOGY
- MAJOR EQUIPMENTS/INSTRUMENTS
- ECHO CARDIOGRAPHY MACHINES
- TMT WIPRO GE MACHINE
- TWO FLAT PANEL CATH LABS
- ST. JUDE EP SYSTEM
- HOLTER MONITOR – ECG
- AMBULATORY BP
- CX 50
- TILT TABLE
- DEPARTMENT OF UROLOGY
- MAJOR EQUIPMENTS
- DA VINCI ROBOT
- MODULAR OPERATION THEATRES
- 60 W QUANTA HOLMIUM LASER
- ALLENGERS C ARM
- DORNIER COMPACT SIGMA LITHOTRIPSY MACHINE
- MEDISON ULTRASOUND MACHINE
- RIGISCAN PLUS
- MMS URODYANAMICS MACHINE
- ENDO UROLOGY INSTRUMENTS
- 100 WATT HOLMIUM LASER
- A MOBILE C-ARM IS A MEDICAL IMAGING DEVICE
- DEPARTMENT OF ORTHOPAEDICS
- MAJOR EQUIPMENTS
- ARTHROPLASTY
- ARTHROSCOPY SET
- INTERLOCK NAIL
- ARTHROSCOPY TROLLEY
- DEPARTMENT OF NEUROSURGERY
- MAJOR EQUIPMENTS
- MEDTRONIC 58 NAVIGATION SYSTEM (FULLY LOADED CRENIAL AND SANAL OPTICAL AND ELECTROMAGNETIC SYSTEM)
- DEDICATED CUSA (CAUITRON ULTRASONIC SURGICAL ASPIRATDR)
- MEDTRONICS HIGH SPEED DRILL SYSTEM
- WELL EQUIPPED OPERATION THEATER WITH INTEGRATED WORKSTATION (MICROSCOPE, ENDOSCOPE AND NAVIGATION SYSTEM)
- DEDICATION WELL EQUIPPED NEUROSURGICAL ICU
- MICROSCOPE:- FIRST FULLY LOADED ROBOTIC 3D MICROSCOPE WITH 30 EXOSCOPE AND ENDOSCOPE
- FULLY EQUIPPED OPERATION THEATER
- SPECIFICATIONS OF STANDARD LIST OF MEDICAL EQUIPMENT
Appendix
- APPENDIX – A:
- 01. PLANT ECONOMICS
- 02. LAND & BUILDING
- 03. PLANT AND MACHINERY
- 04. OTHER FIXED ASSESTS
- 05. FIXED CAPITAL
- 06. RAW MATERIAL
- 07. SALARY AND WAGES
- 08. UTILITIES AND OVERHEADS
- 09. TOTAL WORKING CAPITAL
- 10. TOTAL CAPITAL INVESTMENT
- 11. COST OF PRODUCTION
- 12. TURN OVER/ANNUM
- 13. BREAK EVEN POINT
- 14. RESOURCES FOR FINANCE
- 15. INSTALMENT PAYABLE IN 5 YEARS
- 16. DEPRECIATION CHART FOR 5 YEARS
- 17. PROFIT ANALYSIS FOR 5 YEARS
- 18. PROJECTED BALANCE SHEET FOR (5 YEARS)
Frequently Asked Questions
The proposed hospital project aims to improve access to healthcare services in eastern Uttar Pradesh. The project is intended to serve patients from Varanasi and surrounding areas, including regions of Bihar and eastern Uttar Pradesh. Its location on a national highway is planned to provide easier access and reduce travel time for patients who would otherwise need to travel into Varanasi city for treatment. The project also provides scope for specialized medical departments and advanced healthcare infrastructure.
The hospital is intended to cater to patients from West Bihar and several districts and industrial areas of eastern Uttar Pradesh. The report specifically identifies Mirzapur, Chandauli, Ghazipur, Sonbhadra, Hindalco at Renukoot, Shakti Nagar and Vindhya Nagar among the target areas. The project location was selected partly because patients from Bihar already contribute significantly to healthcare demand in Varanasi. Highway connectivity is expected to support access from these surrounding regions.
The project report identifies several specialized departments, including Nephrology, Cardiology, Urology, Orthopaedics and Neurosurgery. It also discusses broader hospital functions such as pathology, radiology, pharmacy, maternity, ENT, ophthalmology, children's services and physician services. The Urology department has already started operations using a modular operation theatre. The planned combination of departments is intended to provide both general and specialized healthcare services within the hospital infrastructure.
Hospital planning in the report covers patient-care areas, diagnostic facilities, operation theatres, inpatient wards, nursing stations, pharmacies, service zones and supporting infrastructure. It also addresses entrance and ambulatory zones, critical areas, engineering systems, electrical standards, fire protection, ventilation, water supply, sanitation, communication systems and waste disposal. The report further considers minimum space requirements and zoning principles intended to support safe and functional movement of patients, staff and materials throughout the facility.
The project report includes an environmental management plan covering air, noise, water, sewage and solid waste management. It discusses sewage treatment based on MBBR technology, an ETP, treated effluent characteristics, water conservation and rainwater harvesting. The report also addresses hospital and biomedical waste segregation, storage and disposal, air pollution control, stack height calculations, landscaping and horticulture. Biomedical waste is proposed to be collected and handed over to a UPPCB-approved biomedical waste vendor, as stated in the report.
The report lists specialized equipment for multiple clinical departments. Examples include dialysis machines for Nephrology; echocardiography machines, TMT equipment, Cath Labs and monitoring systems for Cardiology; a Da Vinci robot, modular operation theatres, holmium lasers, lithotripsy equipment and urology instruments for Urology; and arthroplasty and arthroscopy equipment for Orthopaedics. Neurosurgery equipment includes navigation systems, high-speed drill systems, CUSA, integrated operating theatre workstations and specialized microscopes.
The project report provides several financial parameters, including plant capacity, land and building cost, plant and machinery cost, working capital for three months, total capital investment, rate of return and break-even point. The stated figures are 354 Nos/Day plant capacity, Rs. 38.00 Cr for land and building, Rs. 22.43 Cr for plant and machinery, Rs. 1.90 Cr working capital, Rs. 63.85 Cr total capital investment, a 12% rate of return and a 70% break-even point. These values are reproduced from the report without recalculation.
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