750 Beds Multispeciality Hospital & Medical College

750 BEDS MULTISPECIALITY HOSPITAL & MEDICAL COLLEGE 

[EIRI/EDPR/4709] J.C.: 2929XL

Several factors are driving the growth of the Indian healthcare sector including an aging population, a growing middle class, the rising proportion of lifestyle diseases, an increased emphasis on public-private partnerships as well as accelerated adoption of digital technologies, including telemedicine, besides heightened interest from investors and increased FDI inflows over the last two decades.

The Indian Government has undertaken deep structural and sustained reforms to strengthen the healthcare sector and has also announced conducive policies for encouraging FDI. The Aatmanirbhar Bharat Abhiyaan packages include several short-term and longer-term measures for the health system, including Production-Linked Incentive (PLI) schemes for boosting domestic manufacturing of pharmaceuticals and medical devices. Additionally, India is working towards becoming a hub for spiritual and wellness tourism, as the country has much to offer in Ayurveda and Yoga.

The COVID-19 pandemic has not only presented challenges but also several opportunities for India to grow. The crisis has opened the flood gates for Indian start-ups, many of whom have risen to the occasion and accelerated the development of low-cost, scalable, and quick solutions. Further, the pandemic is providing an impetus to the expansion of telemedicine and the home healthcare market in the country.

India, a signatory to the "Alma Alta" declaration of 1978, is committed to the goal of "HEALTH FOR ALL" by the year 2000 A.D. In order to achieve the targets and thereby improving the health status of people in the country, tremendous efforts are required to be made not only by government but also by people. It is in this perspective development of health care assumes significant importance. New Challenges and new opportunities for investing in health care i.e. in hospitals and nursing homes etc. have arisen.

COST ESTIMATION

Basis          750 Numbers

Land & Building (50 Acres)    Rs. 832.50 Cr

Plant & Machinery                    Rs. 750.00 Cr

Working Capital for 2 Months    Rs. 15.49 Cr

Total Capital Investment          Rs. 1674.17 Cr

Rate of Return                          8%

Break Even Point                      76%

CONTENTS

INTRODUCTION

INDUSTRY OVERVIEW

MACROECONOMIC OVERVIEW OF INDIA

REAL GDP GROWTH IN INDIA (NEW GDP SERIES)

GDP IN FISCAL 2022 GREW AT 9.1% ON-YEAR

IMPACT OF UNION BUDGET 2023-2024 ON HEALTHCARE AND WELL-BEING

HEALTH AND WELLBEING – EXPENDITURE

KEY BUDGET PROPOSALS FOR FISCAL 2023 TO FISCAL 2024

FUNDAMENTAL GROWTH DRIVERS OF GDP

INDIA’S POPULATION GROWTH

URBANIZATION LIKELY TO REACH 40% BY 2030

INDIA’S URBAN VERSUS RURAL POPULATION

INDIA’S PER CAPITA INCOME ROSE AT A HEALTHY PACE BETWEEN FISCAL 2012 AND FISCAL 2020

PER CAPITA NET NATIONAL INCOME AT CONSTANT PRICES

REVIEW OF PRIVATE FINAL CONSUMPTION EXPENDITURE (PFCE)

CONSUMPTION EXPENDITURE TO BE DRIVEN BY DISCRETIONARY ITEMS

BROAD SPLIT OF PFCE CONSUMPTION INTO BASIC AND DISCRETIONARY SPENDING

HEALTH EXPENDITURE GREW STRONG AT 8.1% CAGR FROM FISCAL 2012 TO FISCAL 2021

HEALTH SPENDING IN PFCE

SOCIAL AND HEALTHCARE RELATED PARAMETERS

INDIA LAGS PEERS IN HEALTHCARE EXPENDITURE

TOTAL HEALTHCARE EXPENDITURE AS % OF GDP (2020)

INDIA SPENDS TOO LITTLE ON HEALTHCARE

CURRENT HEALTHCARE EXPENDITURE (CHE) AS % OF GDP IN INDIA (2010 TO 2020)

PER CAPITA CURRENT EXPENDITURE ON HEALTH IN USD (2020)

OUT-OF-POCKET EXPENDITURE (% OF CURRENT HEALTH EXPENDITURE 2020)

PUBLIC HEALTHCARE EXPENDITURE IS LOW, WITH PRIVATE SECTOR ACCOUNTING FOR A LION’S SHARE

GENERAL EXPENDITURE ON HEALTH AS % OF CHE (2020)

HEALTH INFRASTRUCTURE OF INDIA IN DIRE NEED OF IMPROVEMENT

STATE-WISE MACROECONOMIC INDICATORS

MAHARASHTRA AND GUJARAT ARE TOP TWO STATES IN THE COUNTRY IN TERMS OF GSDP AS OF FISCAL 2021

STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTANT PRICES AS OF FISCAL 2021

STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTANT PRICES AS OF FISCAL 2022

GUJARAT AND MADHYA PRADESH SAW A LOWER DECLINE COMPARED TO INDIA GDP IN FISCAL 2021

GSDP GROWTH ACROSS STATES IN FISCAL 2021

GSDP GROWTH ACROSS STATES IN FISCAL 2022

MADHYA PRADESH AND GUJARAT AMONG THE FASTEST GROWING STATES IN WEST AND CENTRAL INDIA IN TERMS OF PER CAPITA NET DOMESTIC PRODUCT

STATE GROSS DOMESTIC PRODUCT FOR SELECT STATES IN RS. BILLION

GUJARAT AND MADHYA PRADESH HAVE SHOWN THE HIGHEST JUMP IN HEALTHCARE BUDGET FOR FISCAL 2023 COMPARED TO PREVIOUS YEARS AMONG THE KEY WEST AND CENTRAL INDIA STATES

DISEASE PROFILE IN INDIA

A REVIEW OF COMMUNICABLE DISEASES IN INDIA

MORBIDITY REPORTED ON MAJOR COMMUNICABLE DISEASES

MORTALITY REPORTED ON MAJOR COMMUNICABLE DISEASES

A REVIEW OF NON-COMMUNICABLE DISEASES IN INDIA

DISEASE EPIDEMIOLOGY SHIFTING TOWARDS LIFESTYLE DISEASES

WESTERN STATES OF GOA AND MAHARASHTRA HAVE HIGH PROPORTION OF NCDS IN THE RANGE OF 60% TO 75%

STATE-WISE PROPORTION OF TOTAL DISEASE BURDEN FROM NCDS IN 2016

NON-COMMUNICABLE DISEASES: A SILENT KILLER

CAUSES OF DEATH IN INDIA

MADHYA PRADESH RECORDED ONE OF THE HIGHEST NUMBERS OF NCDS IN 2020

STATE-WISE NUMBER OF PERSONS DIAGNOSED WITH NCDS IN 2020

STRUCTURE OF THE HEALTHCARE DELIVERY INDUSTRY IN INDIA

OVERVIEW

CLASSIFICATION OF HOSPITALS

CLASSIFICATION OF HOSPITALS BASED ON SERVICES OFFERED

PRIMARY CARE/DISPENSARIES/CLINICS

SECONDARY CARE

GENERAL SECONDARY CARE HOSPITALS

MULTI-SPECIALTY TERTIARY CARE HOSPITALS

QUATERNARY CARE HOSPITALS

CLASSIFICATION OF HOSPITALS BY FACILITIES/SERVICES OFFERED

CLASSIFICATION BASED ON COMPLEXITY OF AILMENT

INDICATIVE SPLIT OF AILMENTS & MEDICAL TREATMENTS PROVIDED BASIS VARIOUS CATEGORIES OF HOSPITALS & COMPLEXITIES OF AILMENT

CLASSIFICATION BASED ON OWNERSHIP

HOSPITALS CAN ALSO BE CLASSIFIED BASED ON THEIR OWNERSHIP AND MANAGEMENT AS FOLLOWS:

EMERGING TECHNOLOGIES IN HEALTHCARE DELIVERY

ROBOTIC SURGERY

ELECTRONIC HEALTH RECORDS

ARTIFICIAL INTELLIGENCE (AI) AND BLOCKCHAIN

RADIOLOGY INFORMATION SYSTEM

CLINICAL DECISION SUPPORT SYSTEM (CDSS)

MOBILE-BASED APPLICATION

TELEMEDICINE

WEARABLES AND SENSORS

PAYMENT MODES IN INDIAN HEALTHCARE

PAYOR MIX (INDIA) 2020

REGULATORY FRAMEWORK FOR HOSPITALS AND HEALTHCARE IN INDIA

GOVERNMENT FRAMEWORK FOR HEALTHCARE DELIVERY

REVENUE AND COST STRUCTURE REVIEW OF HOSPITALS

HOSPITALS DERIVE BULK OF THEIR REVENUE FROM IPD

SURGERIES AND DIAGNOSTICS FETCH BULK OF THE IPD REVENUE

OTHER MONITORABLES THAT MAY BOOST REVENUE INCLUDE:

AILMENT-WISE LENGTH OF STAY

CAPITAL COSTS

TYPICAL COST STRUCTURE OF HOSPITALS

PLAYERS WITH AVAILABLE LAND BANK IN TOP METRO CITIES HAVE AN INHERENT ADVANTAGE

ASSESSMENT OF INDIA’S HOSPITAL MARKET

REVIEW AND OUTLOOK

INDIAN HEALTHCARE DELIVERY MARKET POISED FOR ROBUST GROWTH IN THE MEDIUM TERM

OVERALL HEALTHCARE DELIVERY MARKET IN INDIA

HEALTHCARE DELIVERY INDUSTRY ESTIMATED TO GROW TO APPROXIMATELY RS.5.6 TRILLION IN FISCAL 2023

HEALTHCARE DELIVERY INDUSTRY TO GROW 10% TO 12% FROM FISCAL 2022 TO FISCAL 2027

SHARE OF TREATMENTS IN VALUE TERMS (GOVERNMENT HOSPITALS VERSUS PRIVATE HOSPITALS/CLINICS)

WESTERN REGION TO WITNESS STRONG GROWTH IN HEALTHCARE SECTOR

ESTIMATED WESTERN HEALTHCARE DELIVERY MARKET (RS. BILLION)

KEY GROWTH DRIVERS OF HEALTHCARE DELIVERY INDUSTRY

GOVERNMENT POLICIES TO IMPROVE HEALTHCARE COVERAGE

PRADHAN MANTRI JAN AROGYA YOJANA ADDS A DEMAND IMPETUS

WITH LIFE EXPECTANCY IMPROVING AND CHANGING DEMOGRAPHIC PROFILE, HEALTHCARE SERVICES ARE A MUST

LIFE EXPECTANCY (AT BIRTH) AND INFANT MORTALITY RATE: INDIA V. OTHERS

POPULATION IN 60+ AGE GROUP TO GROW FASTER

RISING INCOME LEVELS TO MAKE QUALITY HEALTHCARE SERVICES MORE AFFORDABLE

INCOME DEMOGRAPHICS

INCREASING HEALTH AWARENESS TO BOOST HOSPITALISATION RATE

URBAN POPULATION IN INDIA (% OF TOTAL POPULATION)

NON-COMMUNICABLE DISEASES, A SILENT KILLER

GROWING HEALTH INSURANCE PENETRATION TO PROPEL DEMAND

PERCENTAGE SPLIT OF NUMBER OF PERSONS COVERED UNDER HEALTH INSURANCE

MAHARASHTRA AND GUJARAT AMONG LEADING STATES IN TERMS OF HEALTH INSURANCE PENETRATION

STATE-WISE PENETRATION AND NUMBER OF PERSONS COVERED UNDER HEALTH INSURANCE (SELECT STATES) FISCAL 2022

MEDICAL TOURISM IN INDIA

GROWTH IN MEDICAL TOURISTS*

ABOUT TWO-THIRDS OF MEDICAL TOURISM DEMAND FROM SOUTH ASIA

BREAK-UP OF MEDICAL TOURISTS* BY MAJOR REGION OF ORIGIN (2019)

BREAK-UP OF MEDICAL TOURISTS* BY MAJOR COUNTRY OF ORIGIN (2019)

COUNTRY-WISE COST OF KEY TREATMENT PROCEDURES (IN US$)

IMPROVED HEALTHCARE SERVICES IN INDIA ADDING TO THE TRUST OF PATIENTS

KEY CHALLENGES FOR THE HEALTHCARE DELIVERY INDUSTRY

HEALTH INFRASTRUCTURE IN DIRE NEED OF IMPROVEMENT

HOSPITAL BED DENSITY: INDIA V. OTHER COUNTRIES

AVAILABILITY OF GOVERNMENT BEDS (PER 10,000 POPULATION) IN INDIA*

HEALTHCARE FINANCING HAS BEEN A PAIN POINT

GOVERNMENT PRICE CAPPING OF MEDICAL EQUIPMENT

OUTSTANDING RECEIVABLES AFFECTING FISCAL PROFILE OF HOSPITALS

PAUCITY OF EXPERIENCED SPECIALISED DOCTORS

HEALTHCARE PERSONNEL: INDIA V. OTHER COUNTRIES (AGGREGATE 2012 TO 2020)

KEY ACTIONABLE AREAS

SHORTFALL IN BED CAPACITY: MAJOR OPPORTUNITY FOR HEALTHCARE DELIVERY PLAYERS

DIVERSIFICATION INTO DIFFERENT FORMAT/AREAS TO INCREASE REACH AND EFFICIENCY

SINGLE SPECIALITY HEALTHCARE UNITS

DAY-CARE CENTRES

END-OF-LIFE/GERIATRIC CARE CENTRES

HOME HEALTHCARE

INCREASING PENETRATION OF HOSPITAL CHAINS IN TIER 2 AND 3 LOCATIONS

ESTABLISHED REGIONAL PRESENCE GIVES PLAYERS AN UPPER HAND

REGIONAL REVENUE MIX OF KEY PLAYERS AS OF FISCAL 2022

SOME OF THE KEY ADVANTAGES OF HAVING REGIONAL PRESENCE ARE AS FOLLOWS:

OPERATING METRICS OF KEY LISTED PLAYERS:

AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF KEY LISTED PLAYERS CLOCKED APPROXIMATELY 7.0% CAGR OVER FISCAL 2019 TO FISCAL 2022

AGGREGATE OCCUPANCY RATES AND ALOS OF KEY LISTED PLAYERS

CARDIAC SCIENCES DOMINATES IN TERMS OF SHARE, BUT ONCOLOGY DRIVES THE HIGHEST GROWTH ACROSS TREATMENT MIX FOR KEY LISTED PLAYERS

HEALTHCARE INFRASTRUCTURE IN SELECT STATES AND KEY MICRO MARKETS

WEST INDIA STATES OF GUJARAT AND MADHYA PRADESH HAVE BED DENSITY LOWER THAN THAT OF NATIONAL AVERAGE

HOSPITALS BED DENSITY (BEDS PER 10,000 POPULATION OF THE STATE) FISCAL 2022

MAHARASHTRA HAS THE HIGHEST HOSPITAL BEDS AVAILABILITY IN THE WESTERN REGION

NUMBER OF HOSPITAL BEDS BY STATE (FISCAL 2022)

SHARE OF PUBLIC HOSPITALS IN INDIA (FISCAL 2022)

ESTIMATED NUMBER OF ICU BEDS BY REGION (FISCAL 2020)

ESTIMATED HOSPITALS BED DENSITY (BEDS PER 10,000 POPULATION) AS OF DECEMBER 31, 2022

MUMBAI METROPOLITAN REGION (MMR) MICRO MARKET HAS 33.0 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022

KALYAN-DOMBIVLI MICRO MARKET HAS APPROXIMATELY 10 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022

PUNE METROPOLITAN REGION MICRO MARKET HAS 30.0 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022

INDORE MICRO MARKET

COMPETITIVE MAPPING OF KEY PLAYERS IN THE INDIAN HEALTHCARE DELIVERY MARKET

COMPARATIVE ANALYSIS OF PLAYERS IN THE HOSPITAL SECTOR

KEY SPECIALTIES UNDERTAKEN BY MAJOR PLAYERS

MODE OF OPERATION OF KEY PLAYERS AS OF FISCAL 2022

ANALYSIS OF HOSPITALS AND BEDS FOR SELECT PLAYERS

PERCENTAGE OF TOTAL HOSPITALS WITH 300+ BEDS IN TERMS OF TOTAL BED CAPACITY (ESTIMATED)

KEY OPERATIONAL PARAMETERS OF MAJOR HOSPITAL PLAYERS

TOTAL NUMBER OF HOSPITALS (DECEMBER 2022)

TOTAL BED CAPACITY (DECEMBER 2022)

ESTIMATED NUMBER OF HOSPITALS IN WESTERN REGION (DECEMBER 2022)

ESTIMATED TOTAL BED CAPACITY IN WESTERN REGION (DECEMBER 2022)

TOTAL NUMBER OF HOSPITAL BEDS PER HOSPITAL/AVERAGE SIZE OF HOSPITAL (DECEMBER

OCCUPANCY RATE (OR) AND ALOS FOR FISCAL 2022

AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF MAJOR HOSPITAL PLAYERS FOR FISCAL 2022 (RS. IN ‘000)

PROPORTION OF BED CAPACITY IN KEY CITIES OF KEY LISTED PLAYERS (FISCAL 2022)

SELECT OPERATIONAL PARAMETERS OF KEY LISTED PLAYERS (FISCAL 2022)

ADDITIONAL SELECT FINANCIAL PARAMETERS OF KEY LISTED PLAYERS (FISCAL 2022)

KEY FINANCIAL PARAMETERS OF MAJOR HOSPITAL PLAYERS

KEY FINANCIAL PARAMETERS (FISCAL 2022)

KEY FINANCIAL RATIOS FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)

COST STRUCTURE OF MAJOR HOSPITAL PLAYERS AS A PERCENTAGE OF OPERATING INCOME (OI)–FISCAL 2022

GROSS BLOCK PER BED AT THE END OF FISCAL 2022 (RS. MILLION)

PLANNED EXPANSION OF KEY PLAYERS

GEARING AND INTEREST COVERAGE FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)

ROCE AND OPERATING MARGIN FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)

SERVICES

BRIEF DESCRIPTION OF SOME COMMON HOSPITAL EQUIPMENTS

1. DRESSING DRUM

2. SURGICAL TRAY

3. CATHETHER TRAY

4. SYRINGE CASE

5. ANIMA POT

6. BOWEL

7. BED POT (LATRINE)

8. URINAL POT

9. KIDNEY TRAY

10. SPIT-ON

11. ELECTRICAL STERILIZER

BUILDING CONSTRUCTION & FURNISHING OF HOSPITAL

THE OTHER DEPARTMENT IN A HOSPITAL ARE AS FOLLOWS:

1. CARDIOLOGY

2. E.N.T.

3. MATERNITY

4. EYE SECTION

5. CHILDREN WARD

6. LABORATORY

7. X-RAY ROOM & ECG CLINIC

8. PHYSICIAN

GENERAL HEALTH AMENITIES

DRUG SITUATIONS

LISTED BELOW ARE THE DESIRED FEATURES OF AUTOMATED BIOCHEMICAL ANALYZERS

MODERN MEDICAL EQUIPMENT

COMPUTER TOPOGRAPHY

ULTRASOUND

CATHETERS IN INTERVANTIONAL PROCEDURES ARE MAINLY USED FOR:

CONSUMABLE STORES

HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS

MACHINERY & EQUIPMENT SUPPLIERS

X-RAY ACCESSORIES

AIR CONDITIONING & REFRIGERATION UNITS

IMPORTED PLANT & MACHINERY SUPPLIERS

PROPOSED MINIMUM STANDARDS

LIST OF CONSULTANT FOR SETTING UP HOSPTAL

LIST OF NABET ACCREDITED HOSPITAL & HEALTHCARE CONSULTANT (NABH STANDARD)

HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS

PROPOSED MINIMUM STANDARDS FOR PRIVATE HOSPITAL

BASIC FUNCTIONS PROVIDED BY A HOSPITAL

EMERGENCY FIRST AID:

GENERAL MEDICINE:

MEDICAL PERSONNEL

GENERAL SURGERY :

MATERNITY FACILITIES:

PATHOLOGY:

RADIOLOGY:

HEALTH EDUCATION:

AMBULANCE SERVICES:

MEDICAL RECORDS:

HUMAN RESOURCE REQUIREMENT

QUALIFICATIONS

AVAILABILITY OF PERSONNEL:

MINIMUM REQUIREMENT OF PERSONNEL:

DUTY MEDICAL OFFICER

STAFF:

NURSING AIDS:

PARAMEDICAL STAFF :

ENGINEERING STAFF

ADMINISTRATIVE AND ANCILLARY STAFF

OPERATION THEATRE

INSTRUMENTS FOR GENERAL SURGERY & (MATERNITY) OBSTETRICS/GYNAECOLOGY

OPERATION THEATRE

EQUIPMENT FOR SURGERY AND OBSTETRICS/GYN

EQUIPMENT FOR SERVICE ZONE

LAUNDRY

GENERATOR

MINIMAL FUNCTIONAL AND SPACE REQUIREMENTS

SPACE REQUIREMENTS HAVE BEEN DIVIDED INTO FOLLOWING CATEGORIES:

ENTRANCE ZONE

AMBULATORY ZONE

DIAGNOSTIC ZONE

CRITICAL ZONE

OPERATING SUITE

MINIMUM SPACE REQUIREMENTS

PROTECTIVE ZONE

CLEAN ZONE

ASEPTIC ZONE

INTERMEDIATE ZONE

INPATIENTS NURSING UNITS

SERVICE ZONE

BUILDING ENGINEERING ENVIRONMENTAL STANDARDS

CATION

CEILINGS

FLOOR HEIGHT

FLOORS AND WALLS

DOORS:

WINDOWS

CORRIDOR

WATER SUPPLY, PLUMBING AND OTHER PIPING SYSTEMS

FOR MORE THAN 750 BEDS

FOR LESS THAN 100 BEDS

OXYGEN CYLINDERS

ELECTRICAL STANDARDS

PANEL BOARDS

ACCESS ROUTES TO VARIOUS FACILITIES OF THE NURSING HOME:

COMMUNICATION SYSTEM

FIRE-FIGHTING SYSTEM

VENTILATION REQUIREMENTS FOR AREAS AFFECTING PATIENT CARE IN NURSING HOMES

REQUIREMENTS FOR SANITARY FITMENTS IN NURSING HOMES FOR PATIENTS

INPATIENT WARDS AND NURSING UNITS

OUTPATIENT BLOCK

THE RADIOLOGY DEPARTMENT MUST HAVE FOLLOWING SPECIAL TOILET FACILITIES IN CASE IT CARRIES OUT PROCEDURES LIKE IVP.

PROJECT PLANT LOCATION FACTORS

PRIMARY FACTORS

RAW-MATERIAL SUPPLY:

MARKETS:

POWER AND FUEL SUPPLY:

WATER SUPPLY:

CLIMATE:

SPECIFIC FACTORS

TRANSPORTATION:

WASTE DISPOSAL:

LABOR:

REGULATORY LAWS:

TAXES:

SITE CHARACTERISTICS:

COMMUNITY FACTORS:

VULNERABILITY TO WARTIME ATTACK:

FLOOD AND FIRE CONTROL:

EXPLANATION OF TERMS USED IN THE PROJECT REPORT

DEPRECIATION:

FIXED ASSETS:

WORKING CAPITAL:

BREAK-EVEN POINT:

OTHER FIXED EXPENSES:

MARGIN MONEY:

TERM LOANS:

TOTAL LOAD:

LAND AREA/MAN POWER RATIO:

PLANNING OF EACH FLOORS  ARE AS FOLLOWS

CONSTRUCTION DETAILS:

THE TYPICAL FLOOR PLAN IS MENTIONED BELOW:

MEDICAL COLLEGE HOSPITAL FACILITY:

DETAILS OF PLANNED CONSTRUCTION:

FLOOR PLAN IMAGES:

PHOTO GALLERY

MACHINERY & EQUIPMENT’S:

LABORATORY & EXPERIMENT:

EMERGENCY UNIT:

MATERNAL & CHILD HEALTH:

GROUND FLOOR

FIRST FLOOR

SECOND FLOOR

THIRD FLOOR

FOURTH FLOOR

FIFTH FLOOR

SIXTH FLOOR

SEVENTH FLOOR

ENVIRONMENTAL MANAGEMENT PLAN

AIR ENVIRONMENT

NOISE ENVIORNMENT

SOLID WASTE MANAGEMENT

OPERATION PHASE

WATER MANAGEMENT (SOURCE & SUPPLY OF WATER)

SEWERAGE

SCHEME OF SEWAGE TREATMENT PLANT:

TREATMENT PROCESS:

THE PROCESS FOR SEWAGE TREATMENT PLANT BASED ON MBBR TECHNOLOGY

SCHEMATIC REPRESENTATION OF STP BASED ON MBBR TECHNOLOGY

BENEFITS OF USING MBBR TECHNOLOGY

PROCESS FLOW DIAGRAM FOR ETP

ETP DESIGN

TREATED EFFLUENT CHARACTERISTICS

WATER CONSERVATION & AUGMENTATION

RAINWATER HARVESTING

TABLE: RAINWATER HARVESTING CALCULATIONS

BLOCK DIAGRAM FOR PROPOSED RAIN WATER HARVESTING / AQUIFER RECHARGING SYSTEM

SCHEMATIC REPRESENTATION OF THE RAINWATER HARVESTING SYSTEM

COMPOST FORMATION POTENTIAL OF THE PROJECT

COMPOST GENERATION POTENTIAL OF THE PROJECT (CHEN, 2016)

TENTATIVE DETAILS OF ORGANIC WASTE CONVERTOR:

STANDARD OPERATING PROCEDURE OF ORGANIC WASTE CONVERTER:

SEGREGATION OF BIOMEDICAL WASTE AND ITS STORAGE:-

BIOMEDICAL WASTE CATEGORIZATION

BMW WILL BE SEGREGATED AND COLLECTED AND THEN WILL BE HANDED OVER TO A UPPCB APPROVED BMW VENDOR

AIR POLLUTION CONTROL:

STACK HEIGHT CALCULATIONS

LANDSCAPING & HORTICULTURE

SHRUBS/ HERBS TO BE PLANTED

PROJECT LOCATION

HISTORY

LIST OF HEALTH INSTITUTIONS

DEMOGRAPHY

ESTIMATED POPULATION IN 2024

POPULATION AS PER 2011 CENSUS

BARPETA POPULATION

IMPLEMENTATION SCHEDULE

LIST PLANT & MACHINERY

MAJOR LIST OF EQUIPMENTS

DEPARTMENT OF NEPHROLOGY

MAJOR EQUIPMENTS

DIALYSIS MACHINE

MICROSCOPE

DEPARTMENT OF CARDIOLOGY

MAJOR EQUIPMENTS/INSTRUMENTS

ECHO CARDIOGRAPHY MACHINES

TMT WIPRO GE MACHINE

TWO FLAT PANEL CATH LABS

ST. JUDE EP SYSTEM

HOLTER MONITOR – ECG

AMBULATORY BP

CX 50

TILT TABLE

DEPARTMENT OF UROLOGY

MAJOR EQUIPMENTS

DA VINCI ROBOT

MODULAR OPERATION THEATRES

60 W QUANTA HOLMIUM LASER

ALLENGERS C ARM

DORNIER COMPACT SIGMA LITHOTRIPSY MACHINE

MEDISON ULTRASOUND MACHINE

RIGISCAN PLUS

MMS URODYANAMICS MACHINE

ENDO UROLOGY INSTRUMENTS

100 WATT HOLMIUM LASER

A MOBILE C-ARM IS A MEDICAL IMAGING DEVICE

DEPARTMENT OF ORTHOPEDICS

MAJOR EQUIPMENTS

ARTHROPLASTY

ARTHROSCOPY SET

INTERLOCK NAIL

ARTHROSCOPY TROLLEY

DEPARTMENT OF NEUROSURGERY

MAJOR EQUIPMENTS

MEDTRONIC 58 NAVIGATION SYSTEM (FULLY LOADED CRENIAL AND SANAL OPTICAL AND ELECTROMAGNETIC SYSTEM)

DEDICATED CUSA (CAUITRON ULTRASONIC SURGICAL ASPIRATDR)

MEDTRONICS HIGH SPEED DRILL SYSTEM

WELL EQUIPPED OPERATION THEATER WITH INTEGRATED WORKSTATION (MICROSCOPE,ENDOSCOPE AND NAVIGATION SYSTEM)

DEDICATION WELL EQUIPPED NEUROSURGICAL ICU

MICROSCOPE:- FIRST FULLY LOADED ROBOTIC 3D MICROSCOPE WITH 30 EXOSCOPE AND ENDOSCOPE

FULLY EQUIPPED OPERATION THEATER

SPECIFICATIONS OF STANDARD LIST OF MEDICAL EQUIPMENT

WHAT LICENSE REQUIRED TO OPEN A HOSPITAL AND THEIR PROCEDURE

NECESSARY LICENSES REQUIRED OPENING A HOSPITAL IN INDIA

REGISTRATION OF HOSPITAL

LAND AND CONSTRUCTION

ELECTRICITY AND WATER

SEWAGE

BIOMEDICAL WASTE

FIRE AND HEALTH LICENSE

REGULATIONS RELATING TO EMPLOYMENT OF STAFF

SIGN BOARDS

INFORMATION THAT REQUIRES IS DISPLAYED AT THE HOSPITAL ARE;

FSSAI LICENSE FOR OPERATING A KITCHEN

PERMIT TO STORE LPG CYLINDER

PHARMACY REGISTRATION FOR MEDICAL SHOP

TRADEMARK REGISTRATION

VEHICLE REGISTRATION FOR AMBULANCES

ARMS LICENSES UNDER ARMS ACT 1959

WASTE DISPOSAL

PLANNING THE HOSPITAL INFRASTRUCTURE

ONE MUST TAKE CARE OF THESE THINGS;

THE OTHER IMPORTANT LICENSE REQUIRED IS:

B.I.S SPECIFICATION

LICENSES REQUIRED FOR HOSPITAL

APPENDIX – A:

01. PLANT ECONOMICS

02. LAND & BUILDING

03. PLANT AND MACHINERY

04. OTHER FIXED ASSESTS

05. FIXED CAPITAL

06. RAW MATERIAL

07. SALARY AND WAGES

08. UTILITIES AND OVERHEADS

09. TOTAL WORKING CAPITAL

10. TOTAL CAPITAL INVESTMENT

11. COST OF PRODUCTION

12. TURN OVER/ANNUM

13. BREAK EVEN POINT

14. RESOURCES FOR FINANCE

15. INSTALMENT PAYABLE IN 5 YEARS

16. DEPRECIATION CHART FOR 5 YEARS

17. PROFIT ANALYSIS FOR 5 YEARS

18. PROJECTED BALANCE SHEET FOR (5 YEARS)