ECHS March Update

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ECHS March Update

  1. 1. PRESENTATION TO COSC 11 MAR 2008 1
  2. 2. GOVT APPROVAL • APPROVED ON 30 DEC 2002. • IMPLEMENTED WEF 01 APR 2003. • AUGMENTATION OF 106 ARMED FORCES CLINICS AT MIL STNS AND EST OF 121 NEW ARMED FORCES POLYCLINICS AT NON MIL STNS. 2
  3. 3. CONCEPT OUTSOURCING EMPANELLED HOSPITALS/NURSING HOMES DIAGNOSTIC CENTRES/ DENTAL CLINICS/ LABORATORIES/REHABILITATION CENTRES EXISTING INFRASTRUCTURE • COMD AND CONTROL STRUCTURE • SERVICE HOSPITALS/MI ROOMS • PROCUREMENT / SUP OF MEDICINES , MED EQPT AUGMENTATION • ECHS CENTRAL ORG, REGIONAL CENTRES AND POLYCLINICS • FINANCES 3
  4. 4. PREVIEW CURRENT STATUS. IMPORTANT ISSUES. MISC POINTS. 4
  5. 5. CURRENT STATUS 5
  6. 6. CURRENT STATUS ALL 227 POLYCLINICS OPERATIONALISED. MEMBERSHIP VETERANS - 6,12,211 DEPENDANTS - 14,12,411 TOTAL BENEFICIARIES - 20,24,622 12.54 LACS PRE APR 2003 RETIREES YET TO BECOME MEMBERS. 6
  7. 7. MEMBERSHIP DATA AS ON 29 FEB 08 CATEGORY NOS % PRE APR 2003 RETIREES 3,45,530 16.78 POST APR 2003 RETIREES 2,25,750 11.26 FAMILY PENSIONER 40,931 01.96 TOTAL ESM 6,12,211 30.00 FATHER 64,347 03.21 MOTHER 1,00,510 05.00 SPOUSE 5,49,169 27.00 DAUGHTER 2,98,694 14.88 SON 3,99,691 19.91 TOTAL DEPENDANT 14,12,411 70.00 7 TOTAL BENEFICIARIES 20,24,622
  8. 8. YEAR WISE INCREASE IN MEMBERSHIP FY MEMBERS TOTAL (AFV) BENEFICIARIES 2004-05 81,864 2,86,074 2005-06 2,65,019 9,01,065 2006-07 4,12,476 14,76,920 2007-08 6,20,000 21,00,000 (Estimated) 8
  9. 9. CURRENT STATUS COST PER ECHS BENEFICIARY IN THE YEAR 2006-2007 IS RS 2,698/- AS COMPARED TO RS 5,108/- IN CGHS. PERS AVAILED MEDICAL FACILITIES :- • 2003-2004 - 35,568 • 2004-2005 - 7,18,907 • 2005-2006 - 13,81,976 • 2006-2007 - 18,64,028 • 2007-2008 - 42,39,132* (*UPTO 29 FEB 08) 9
  10. 10. TRENDS: PER CAPITA EXPDR (OVERALL REVENUE) FY TOTAL MEMBERS EXPDR TOTAL EXPDR PER EXPDR (AFV) PER BENEFICIA BENEFCIARY (In Cr) MEMBER RIES (Rs) (Rs) 2004-05 82.86 81,864 20, 038 2,86,074 5736 2005-06 181.78 2,65,019 10,481 9,01,065 3062 2006-07 320.80 4,12,476 9470 14,76,920 2698 2007-08 489.91 6,20,000 9512 21,00,000 2333 (Estimated) 10
  11. 11. CURRENT STATUS 88% OF THE BENEFICIARIES TREATED IN POLYCINICS, 5% IN SERVICE HOSP AND 7% IN EMPANELLED HOSP. 1002 HOSPITALS EMPANELLED IN 152 STNS (496 EMPANELLED BETWEEN SEP 06 AND OCT 07). 11
  12. 12. ECHS PATIENTS REFERRED TO HOSP NATIONAL STATISTICS YEAR TOTAL NO OF PATIENTS REFERRED PATIENTS REFERRED PATIENTS SEEN TO SERVICE HOSP TO EMPANELLED FACILITY 2003-04 35,708 3,669 (10.27%) 987 (2.76%) 2004-05 7,92,422 52843 (3.57%) 34,083 (2.30%) 2005-06 14,81,817 1,08,132 (2.9%) 82,648 (2.21%) 2006-07 32,29,544 2,06,370 (6.39%) 1,84,603 (5.71) 2007-08 42,39,132 2,11,108 (4.98%) 2,92,076 (6.89%) 12
  13. 13. AGE –WISE MORBIDITY TRENDS AGE GROUP % OF TOTAL SICK REPORT 0-40 YRS 27% 41-60 YRS 40% 61 YRS & ABOVE 33% 13
  14. 14. YEAR WISE EMPANELMENT FIN YEAR HOSP DIAG TOTAL CENTRE 2004-05 151 65 216 2005-06 148 53 201 2006-07 196 62 258 2007-08 226 61 287 CGHS / RLY 33 07 40 EMP TOTAL 754 248 1002 14
  15. 15. STATUS OF LAND ACQUISITION AND CONSTR OF POLYCLINICS AS ON 10 MAR 08 Mil Non-Mil Total POLYCLINICS 106 121 227 LAND ACQUIRED 105 31* 136 CONSTR COMPLETED 62 05 67 CONSTR IN PROGRESS 15 02 17 NOTE : 1. FUNCTIONING FROM GOVT/CONSTRUCTED BLDGS - 130 2. FUNCTIONING FROM HIRED BLDGS - 97 *A1 DEFENCE LAND – 21. 15
  16. 16. OPERATIONALISATION OF ECHS POLYCLINICS POLYCLINICS 2003-04 2004-05 2005-06 2006-07 TOTAL MILITARY 36 61 09 - 106 NON 11 44 65 01 121 MILITARY TOTAL 47 105 74 01 227 16
  17. 17. CONSTR OF ECHS POLYCLINICS POLY- 2003-04 2004-05 2005-06 2006-07 2007-08 TOTAL CLINICS MIL - - 11 35 16 62 NON - - - 03 02 05 MIL TOTAL - - 11 38 18 67 17
  18. 18. LIST OF NON MIL POLYCLINICS WHERE LAND ACQUIRED S. REGIONAL STATE COMD POLYCLINICS TYPE LAND NO CENTRE ACQUI SITION 1 JAMMU HP WC MANDI C A1 2 CHANDIMANDIR CHANDIGARH WC CHANDIGARH B A1 3 CHANDIMANDIR PUNJAB WC ROPAR B A1 4 CHANDIMANDIR PUNJAB WC HOSHIARPUR A A1 5 NEW DELHI HARYANA WC YAMUNANAGAR C A1 6 NEW DELHI HARYANA WC GURGAON A A1 7 NEW DELHI DELHI WC NEW DELHI A A1 (LODHI ROAD) 8 LUCKNOW UP CC ALIGARH D A1 9 LUCKNOW UTTRAKHAND CC ALMORA B A1 18 10 JABALPUR UP CC PRATAPGARH D A1
  19. 19. LIST OF NON MIL POLYCLINICS WHERE LAND ACQUIRED S. REGIONAL STATE CO POLYCLINICS TYPE LAND NO CENTRE MD ACQUIS ITION 11 Jabalpur UP CC Ghazipur B A1 12 Patna Bihar CC Muzaffarpur C A1 13 Patna Bihar CC Dharbanga D A1 14 Pune Maharastra SC Sholapur C A1 15 Pune MP SC Bhind D A1 16 Pune Maharastra SC Satara C A1 17 Pune Maharastra SC Thane (Nerul) C A1 18 Chennai Tamilnadu SC Tiruchirapalli C A1 19 Hyderabad AP SC Guntur C A1 19 20 Hyderabad AP SC Chittur C A1
  20. 20. LIST OF NON MIL POLYCLINICS WHERE LAND ACQUIRED S. REGIONAL STATE COMD POLYCLINICS TYPE LAND NO CENTRE ACQUI SITION 21 Kochi Kerala SC Kozikode C A1 22 Chandimandir HP WC Hamirpur B C 23 Chandimandir HP WC Una C C 24 Chandimandir Punjab WC Ludhiana A C 25 Jaipur Punjab SWC Muktsar C C 26 Jaipur Rajasthan SWC Jhunjhunu A C 27 Pune Maharastra SC Kolhapur B C 28 Chennai Tamilnadu SC Vellore A C 29 Chennai Tamilnadu SC Kanchipuram C C 30 Chennai Tamilnadu SC Krishnagiri C C 20 31 Chennai Tamilnadu SC Nagapattinam D C
  21. 21. CONSTR OF POLYCLINICS SERVICE NO OF POLYCLINICS MIL NON MIL TOTAL CONSTR TOTAL LAND CONSTR ACQD ARMY 89 53 117 31 05 NAVY 07 01 02 - - AIR 10 08 02 - - FORCE TOTAL 106 62 121 31 05 21
  22. 22. EMPLOYMENT OF CONTRACTUAL STAFF AS ON 01 MAR 08 S.No Appt Auth Emp % 1. OIC 227 214 94.27 2. Med Specialist 176 87 49.43 3. Gynaecologist 28 16 57.14 4. Medical Officer 375 301 80.27 5. Dental Officer 255 223 87.45 6. Para Med Staff 767 669 87.22 7. Non Med Staff 992 956 96.37 22 Total 2820 2466 87.45
  23. 23. PROPOSAL TO OVERCOME THE PROBLEM CRITERIA PRESENT PROPOSED MAX AGE FOR 65 YRS 70 YRS CONTRACTUAL 55 YRS 60 YRS SERVICE -MO/OIC -OTHER STAFF WORK EXPERIENCE 03 YRS LESS THAN 3 YRS TO BE SANCTIONED BY CENTRAL ORG WORKING HRS FOR 05 HRS GOC-IN-C EMPOWERED MO/SPECIALISTS/ TO EMP FOR 02 TO 03 GYNAECOLOGISTS HRS WITH PROPORTIONATE 23 REDUCTION IN WAGES
  24. 24. ADDL ALLCES PROPOSED FOR MO/MED SPL IN REMOTE AREAS • REMOTE/HILL AREA COMPENSATION ALLCE – RS 3000/- PM. • TRAVELLING ALLCE – RS 2000/- PM. 24
  25. 25. PROPOSED REMUNERATION OF ECHS CONTRACTUAL STAFF STAFF EXISTING PROPOSED OFFR IC / MED OFFR / DENTAL OFFR 15,000/- 22,000/- MEDICAL SPECIALIST/ 25,000/- 27,000/- GYNAECOLOGIST NURSING ASSISTANT (GENERAL) 7000/- 8,500/- NURSING ASSISTANT(NURSE) / LAB 7,500/- 9,000/- ASST / DENTAL HYGIENIST / RECEPTIONIST DRIVER 4500/- 6,500/- PEON / SAFAIWALA / FEMALE 3500/- 5,000/- ATTENDANT 25
  26. 26. OVERALL EXPENDITURE (REVENUE) (Rs in Cr) CODE HEAD 2003-04 2004-05 2005-06 2006-07 2007-08 2076/107 MA (REVENUE) SALARIES 0.25 7.62 15.80 23.51 25.91 MEDICINES 13.96 24.43 47.53 104.13 185.69 MED Nil 47.65 113.54 187.18 263.11 TREATMENT OTHERS 3.01 3.15 4.91 5.98 15.20 TOTAL 17.22 82.85 181.78 320. 80 489.91 (G TOTAL) (1092.56) 26
  27. 27. OVERALL EXPENDITURE (CAPITAL) (Rs in Cr) CODE HEAD 2003-04 2004-05 2005-06 2006-07 2007-08 4076/107 MA (CAPITAL) LAND Nil Nil Nil 0.07 0.10 CONSTR OF Nil 0.46 4.91 4.77 05.00 BLDG MEDICAL Nil 4.56 11.90 15.38 03.00 EQPT TOTAL Nil 5.02 16.81 20.22 08.10 (G TOTAL) (50.15) NOTE: ONE TIME SANCTION FOR CREATION OF INFRASTRUCTURE : Rs 122 Cr 27
  28. 28. FUND POSITION: FY 2007-08 (Rs in Cr) HEAD MA EXPDR (JAN 08) REVENUE SALARIES 25.91 21.57 MEDICINES 185.69 151.59 MED TREATMENT 263.11 193.80 OTHERS 15.20 12.82 TOTAL 489.91 379.78 CAPITAL LAND 0.10 0.05 CONSTRUCTION 5.00 02.30 MED EQPT 3.00 02.69 TOTAL 8.10 05.05 28
  29. 29. FUND POSITION: FY 2007-08 (Rs in Cr) HEAD MA EXPDR (JAN 08) REVENUE SALARIES 25.91 21.57 MEDICINES 185.69 151.59 MED TREATMENT 263.11 193.80 OTHERS 15.20 12.82 TOTAL 489.91 379.78 CAPITAL LAND 0.10 0.05 CONSTRUCTION 5.00 02.30 MED EQPT 3.00 02.69 TOTAL 8.10 05.05 29
  30. 30. OTHERS INCLUDE MOV OF PERS AND STORES CONTINGENCY EXPDR INFORMATION TECHNOLOGY MAINTENANCE OF EQPT NON-MEDICAL STORES PUBLICITY REVENUE WORKS 30
  31. 31. SAVINGS TO THE GOVT (Rs in Cr) Receipts 2004-05 2005-06 2006-07 2007-08 Total (Feb 08) ECHS 63.88 54.76 49.31 49.90 217.85 Contribution Savings on 6.71 20.81 41.75 55.26 124.53 FMA (approx) Total 70.59 75.57 91.06 105.16 342.38 31
  32. 32. EXPANSION OF ECHS NETWORK 32
  33. 33. PROPOSALS ESTABLISH 181 NEW POLYCLINICS. 15 MIL MED FACILITIES IN REMOTE AREAS TO BE AUTHORISED ECHS INCREMENT - TYPE ‘E’ MIL STATION POLYCLINIC. CONVERT 11 MIL TYPE POLYCLINICS TO NON MIL TYPE. UPGRADE 14 POLYCLINICS. 33
  34. 34. REVISION OF CGHS RATES 34
  35. 35. REVISION OF CGHS RATES ECHS RATES FOR PAYMENT TO EMPANELLED HOSPITALS HAVE TO BE IN CONFORMITY WITH CGHS RATES. CGHS REVISED ITS RATES IN NOV 06 FOR DELHI AND IN JUL 07 FOR REST OF THE COUNTRY. 35
  36. 36. REVISION OF CGHS RATES REVISED RATES FOR NEUROLOGY/ NEUROSURGERY,ONCOLOGY/ONCOSURGERY, NEPHROLOGY, UROLOGY, GASTRO-INTESTINAL SURGERY ARE NOT ACCEPTABLE. REVISED RATES FOR CARDIOLOGY, JOINT REPLACEMENT AND OPHTHALMOLOGY (EYE) ONLY ARE ACCEPTABLE IN DELHI. IN SOUTHERN INDIA EVEN CARDIOLOGY RATES ARE NOT ACCEPTABLE. 36
  37. 37. REVISION OF CGHS RATES THE RATES FOR OVER 90% TREATMENT AND DIAGNOSTIC PROCEDURES IN ALL REGIONS HAVE BEEN REDUCED. INTER-CITY VARIATION IN RATES AND ALSO BETWEEN CITIES UNDER SAME GROUP. 37
  38. 38. COMPARATIVE ANALYSIS OF OLD AND REVISED CGHS RATES PROCEDURE CGHS RATES NAME OF OLD NEW CITY % REDUCTION Consultation Rs 61 Rs 30 51 Delhi Rs 70 Rs 25 64.3 Pune Rs 50 Rs 20 60 Meerut / Allahabad Nephrology/ Genitourinary Surgery Nephrectomy Rs 17,900/- Rs 12,000/- 33 Delhi Rs 19,600/- Rs 12,000/- 38.8 Bangalore/ Chennai Retroperiton Rs 35,000/- Rs 28,000/- 20 Delhi eoscopy 38 Nephrectomy
  39. 39. PROCEDURE CGHS RATES NAME OF CITY OLD NEW % REDUCTION Joint Replacement Surgery Total Hip Rs 68,000 Rs 45,000 + 34 Bangalore/ + Implant Implant Chennai / Replacement A1 Cities. Total Knee Joint Rs 91,000 Rs 68,000 + 25.3 Bangalore/ + Impant Implant Chennai / Replacement A1 Cities. Neurosurgery Excision of Lobe Rs 50,000/- Rs 37,000/- 26 Bangalore/ Chennai Craniotomy with Rs 50,000/- Rs 31,500/- 37 Bangalore/ evacuation of Chennai Haematoma 39
  40. 40. PROCEDURE CGHS RATES NAME OF CITY OLD NEW %REDUCTION Cardio-thoracic Procedures Patent Rs 1,01,000/- Rs 73,200/- 27.6 Delhi Ductus Rs 85,000/- Rs 25,000/- 70.6 Pune Arteriousus Coronary Rs 87,500/- Rs 85,000/- 2.9 Delhi Balloon Rs 93,000/- Rs 60,000/- Bangalore/ 35.5 Angioplasty Chennai (Stent Cost Rs 70,000/- Rs 30,000/- 57.1 Nagpur Extra) Rs 93,000/- Rs 30,000/- 67.8 Pune Coronary Rs 1,48,500/- Rs 85,000/- 42.8 Mumbai Bypass Rs 1,33,650/- Rs1,30,000/- 2.8 Delhi Surgery Rs 1,40,000/- Rs1,10,000/- 21.5 Pune 40
  41. 41. PROCEDURE CGHS RATES NAME OF CITY OLD NEW % REDUCTION Neuro Surgery Excision of Rs 30,000/- Rs 24,000/- 20 Delhi Cervical Inter Vertebral Discs Meningomyelocele Rs 50,000/- Rs 32,000/- 36 Delhi Paediatric Surgery Tracheo Rs 29,492/- Rs 20,150/- 31.7 Delhi (Oesophageal Fistula Correction Surgery) Diaphragmatic Rs 20,200/- Rs 12,600/- 37.7 Delhi Hernia Repair (Thoracic or Abdominal 41 approach)
  42. 42. PROCEDURE CGHS RATES NAME OF CITY OLD NEW % REDUCTION Diagnostic Procedures MRI Head With Rs 8,000/- Rs 3,500/- 56.3 Delhi contrast MRI Head Rs 5,000 Rs 2,500/- 50 Delhi Without contrast CT Whole Rs 5,580/- Rs 3,400/- 39.1 Delhi abdomen with contrast CT Whole Rs 4,185/- Rs 2,092/- 50.1 Delhi abdomen without contrast 42
  43. 43. PROCEDURE CGHS RATES NAME OF OLD NEW % REDUCTION CITY Fistula in-ano Rs 8000/- Rs 1000/- 87.5 Calicut Laparotomy failed Rs 10500/- Rs 4050/- 61.5 Calicut Laproscopy Myringotomy Rs 2,400/- Rs 600/- 75 Calicut Peritoneal Rs 900/- Rs 350/- 61.2 Calicut Dialysis Cholecystectomy Rs 14,000/- Rs 6,000 57.2 Calicut Jejunostomy Rs 10,300/- Rs 3,500/- 66.1 Calicut Operation of Rs 3500/- Rs 1500/ 57.2 Calicut Haemorrhoids Dilatation of Rs 600/- Rs 75/- 87.5 Calicut Urethra Ovarian Rs 8500/- Rs 6000/- 29.5 Calicut 43 Cystectomy
  44. 44. INTER CITY VARIATION IN RATES PROCEDURE HYDERABAD PUNE DELHI CARDIOLOGY/CARDIO-THORACIC Balloon Rs 74,950/- Rs 30,000/- Rs 1,05,000/- Angioplasty with Valvotomy Coronary Rs 85,000/- Rs1,10,000/- Rs 1,30,000/- Bypass Surgery Closed Rs 40,000/- Rs 20,000/- Rs 1,10,000/- Valvotomy Patent Ductus Rs 35,000/- Rs 25,000/- Rs 73,200/- Arteriosus 44
  45. 45. INTER CITY VARIATION IN RATES PROCEDURE HYDERABAD PUNE DELHI ONCOLOGY & ONCOSURGERY Carotid Body Rs 15,000/- Rs 22,000/- Rs 28,500/- Excision Total Rs 20,000/- Rs 22,000/- Rs 28,400/- Laryngectomy Parapharyngeal Rs 22,500/- Rs 21,000/- Rs 28,500/- Tumour Excision 45
  46. 46. INTER CITY VARIATION IN RATES PROCEDURE HYDERABAD BANGALORE DELHI CHEMOTHERAPY CHARGES SINGLE DRUG Rs 200/- Rs 500/- Rs 400/- THERAPY PER DAY MULTIPLE DRUG Rs 300/- Rs 600/- Rs 650/- THERAPY PER DAY INFUSIONAL Rs 500/- Rs 750/- Rs 750/- CHEMOTHERAPY 46
  47. 47. EFFECTS OF REVISION OF RATES MOST OF THE REPUTED HOSPITALS HAVE DISCONTINUED TREATMENT OF ECHS PATIENTS. INDIFFERENT ATTENTION BY HOSPITALS WHICH ARE STILL EMPANELLED (BECAUSE OF LOW REMUNERATION). 47
  48. 48. ACTIONS TAKEN REVISED RATES IMPLEMENTED WITH EFFECT FROM 01 DEC 07. ISSUE RAISED WITH RM THROUGH CHAIRMAN COSC. FOLLOWING DIRECTIONS RECEIVED ON 03 MAR 08 :- REVERT TO PRE REVISED RATES. CASES ALREADY SANCTIONED WILL NOT BE REOPENED. 48
  49. 49. IMPORTANT ISSUES 49
  50. 50. IMPORTANT ISSUES • CGHS RATES. • SHORTAGE OF MANPOWER AT POLYCLINICS. • PROCESSING OF BILLS. • AVAILABILITY OF MEDICINES AT POLYCLINICS. 50
  51. 51. IMP ISSUES - DIFFICULTIES FACED BY VETERANS • LONG WAITING PERIODS AT HIGH PRESSURE POLYCLINICS. • CONGESTED WAITING AREAS. • SHORTAGE OF MEDICINES. • MEDICINES ON DISCHARGE FROM HOSPITAL. • NON- AVAILBILITY OF POLYCLINICS IN RURAL AREAS. • NOT BEING REFERRED TO CIVIL HOSPITALS. • NON AVAILABILITY OF ACCN FOR PATIENTS / 51 ATTENDANTS.
  52. 52. IMP ISSUES - NATURE OF COMPLAINTS BY VETERANS MED TREATMENT AT POLYCLINICS ILL TREATMENT. SHORTAGE OF STAFF. LONG WAITING HRS. LACK OF INFRASTRUCTURE. AT SERVICE HOSP INADEQUATE FACILITIES. ILLTREATMENT. NON REFERRAL TO EMPANELLED FACILITY. 52
  53. 53. IMP ISSUES - NATURE OF COMPLAINTS BY VETERANS AT EMPANELLED HOSP INADEQUATE FACILITIES. ILL TREATMENT. COST OF TREATMENT FULLY/PARTLY CHARGED. NON ISSUE OF MEDICINES. GEN / MISC AYURVEDA TREATMENT. DENIAL OF TREATMENT AT EMPANELLED HOSP DUE TO LOW CGHS RATES. 53
  54. 54. IMP ISSUES - NATURE OF COMPLAINTS BY VETERANS RE-IMBURSEMENT EMERGENCY RE-EMBURSEMENT CLAIM NOT/PARTIALLY PASSED. TRAVELLING ALLCES. POLICY ADDL PCs. CHANGE OF PARENT PCs. EMPLOYMENT. 54
  55. 55. REMEDIAL MEASURES • REVISION OF CGHS RATES. • SHORTAGE OF MANPOWER AT POLYCLINICS. AT HIGH PRESSURE STNS / SERVICE HOSPS. • DELAY IN PROCESSING OF BILLS. • OVERCHARING BY EMPANELLED HOSPS. 55
  56. 56. REMEDIAL MEASURES AVAILABILITY OF MEDICINES AT POLYCLINICS. EXTRA SPACE FOR POLYCLINIC AT HIGH PRESSURE STNS. EST OF DENTAL LABS. EXPANSION OF ECHS. 56
  57. 57. REMEDIAL MEASURES - REVIEW OF POLICIES • PROCEDURES MADE USER- FRIENDLY MEMBERSHIP FORM. ISSUE OF MEDICINES - 90 DAYS/TAC. CHANGE OF PARENT POLYCLINIC. ISSUE OF DUPLICATE SMART CARDS. ASSESSMENT OF DISABILITY OF SPECIAL CHILD. TREATMENT AT ‘OTHER’ STATIONS. CONDONING DELAYED REPORTING OF OCCURENCE OF EMERGENCY. 57 REFERAL POLICY.
  58. 58. REMEDIAL MEASURES - REVIEW OF POLICIES • SUPER SPECIALITY TREATMENT IN EMPANELLED HOSPITALS CAN BE REVIEWED BY SAME SPECIALIST. • SIMPLIFIED PROCEDURE FOR TREATMENT IN REMOTE AREAS. • ADVISORY COMMITTEES CONSTITUTED AT ALL STNS FOR PERIODIC INTERACTION WITH VETERANS AND EMPANELLED HOSP. • FEEDBACK FORM INTRODUCED. 58
  59. 59. MISC POINTS REVIEW OF ECHS AND PERFORMANCE AUDIT. EXTENSION OF ECHS TO NEPAL. SCHEME EXTENDED TO INDIAN COAST GUARD AND DSC. FREE CARDIAC OPDs. 59
  60. 60. REMEDIAL MEASURES CASE FOR AUTH OF ADDL MANPOWER TAKEN UP WITH MOD. ADDL STAFF SANCTIONED FROM ARMY’S WELFARE FUND. REVISION OF TERMS OF ENGAGEMENT AND PAY AND ALLCES. VACANCIES OF 75 DOCTORS SHIFTED FROM LOW PRESSURE TO HIGH PRESSURE POLYCLINICS. 60
  61. 61. CASE TAKEN UP WITH MOD FOR AUTH OF ADDL MANPOWER AT POLYCLINICS FOLLOWING ADDL MANPOWER PROPOSED:- SPECIALISTS - 44 PARA-MED - 732 NON – MED - 320 61
  62. 62. REQMT OF PART TIME SPECIALISTS : HIGH PRESSURE STNS S. STATION REQUIREMENT NO Med Cardio- Onco- Ortho Total Spl logist logist Surgeon 1. DELHI CANTT 1 1 1 1 04 2. SOUTH DELHI - - - 1 01 3. NOIDA 1 - - 1 02 4. GURGAON - - - 1 01 5. PUNE 1 1 1 1 04 6. KOLKATA 1 1 1 1 04 7. CHANDIMANDIR 1 1 - 1 03 8. LUCKNOW 1 1 - - 02 9. MUMBAI 1 - 1 - 02 62 10. CHENNAI 1 - - 1 02
  63. 63. REQMT OF PART TIME SPECIALISTS : HIGH PRESSURE STNS S. STATION REQUIREMENT NO Med Cardio- Onco- Ortho Total Spl logist logist Surgeon 11. BANGALORE 1 1 - 1 03 12. HYDERABAD 1 1 - - 02 13. KOCHI 1 - - 1 02 14. TRIVANDRUM 1 - - - 01 15. COIMBATORE 1 - - 1 02 16. JALANDHAR - 1 - 1 02 17. AMRITSAR 1 - - 1 02 18. GUWAHATI 1 - - - 01 19. JAMMU 1 - - 1 02 20. AMBALA 1 - - 1 02 63 TOTAL 17 08 04 15 44
  64. 64. ADDL MANPOWER FOR ECHS POLYCLINICS AT MIL/NON MIL STNs PARAMEDICS TYPE A & B TYPE C & D POLYCLINICS POLYCLINICS MIL NON MIL MIL NON MIL NURSING ASST 02 02 03 02 DENTAL ASST - 01 01 01 RECEPTIONIST* 01 - 01 01 CHOWKIDAR* - 01 - 01 TOTAL 03 04 05 05 NOTE - * NOT AGREED BY MOD. 64
  65. 65. ADDL STAFF SANCTIONED/EMP FROM ARMY’S WELFARE FUNDS FOLLOWING ADDL STAFF EMP OUT OF ARMY’S WELFARE FUNDS:- SPECIALIST - 05 PARA-MED - 56 NON-MED - 47 TOTAL EXPDR - RS 229.45 LAC PER ANNUM 65
  66. 66. REMEDIAL MEASURES CASE FOR AUTH OF 28 CONSULTANTS AND 54 CLKS TAKEN UP WITH MOD. ADDL STAFF SANCTIONED / EMP FROM ARMY’S WELFARE FUND. MOD REQUESTED FOR ADDL MANPOWER FOR SERVICE HOSP AS SUGGESTED BY DGAFMS. 66
  67. 67. ADDL MANPOWER FOR AFMSDs/ SERVICE HOSP TOTAL MO PHARMACIST/ AMB CLK PEON/ TOTAL NO OF SKT ASST MAZDOOR HOSP SERVICE HOSP HAVING LARGE 18 - 18 - 18 - 36 DEPENDENCY OF ECHS MEMBERS DGLP FUND OF RS 2-4 CRORE 06 06 06 - 06 06 24 DGLP FUND OF RS 4 CRORE AND ABOVE 5 5 10 - 10 10 35 TOTAL 29 11 34 - 34 16 95 AFMSD 3 03 09 03 03 - 18 GRAND TOTAL 32 14 43 03 37 16 113 67
  68. 68. ADDL CONSULTANTS AND CLKS S/NO STATION CONSULTANTS CLKS 1. DELHI CANTT/NCR 3 6 2. CHANDIMANDIR 1 2 3. JAMMU 1 2 4. AMBALA 1 2 5. LUCKNOW 1 2 6. KOLKATA 1 2 7. PUNE 1 2 8. MUMBAI 1 2 9. CHENNAI 1 2 10. BANGALORE 1 2 11. SECUNDERABAD 1 2 12. KOCHI 1 2 13. TRIVANDRUM 1 2 68
  69. 69. ADDL CONSULTANTS AND CLKS S/NO STATION CONSULTANTS CLKS 14. COIMBATORE 1 2 15. JALANDHAR 1 2 16. AMRITSAR 1 2 17. HISSAR 1 2 18. MEERUT 1 2 19. LUDHIANA 1 2 20. KOLHAPUR 1 2 21. PATHANKOT 1 2 22. JAIPUR 1 2 23. DEHRA DUN 1 2 24. PATNA 1 2 25. KANPUR 1 2 26. CENTRAL ORGANISATION 1 - 69 TOTAL 28 54
  70. 70. ADDL STAFF SANCTIONED/EMP FROM ARMY’S WELFARE FUND FOLLOWING ADDL STAFF EMP OUT OF ARMY’S WELFARE FUNDS :- CONSULTANTS - 16 CLERKS - 38 TOTAL COST PER ANNUM – RS 55.08 LAC 70
  71. 71. REMEDIAL MEASURES NO SHORTAGE OF FUNDS. CASE TAKEN UP WITH MOD FOR ENHANCEMENT OF LP POWERS OF OIC POLYCLINICS. AUTH OF LP POWERS TO OIC POLYCLINICS IN MIL STNS. CASE TAKEN UP WITH CGDA FOR APPOINTING IFA FOR ALL SERVICE HOSP. 71
  72. 72. REMEDIAL MEASURES PROCUREMENT OF MEDICINE. CASE BEING TAKEN UP WITH MoD FOR THE FOLLOWING EMPANELLMENT OF CHEMIST BY SEMO. VALIDITY OF RATE ENQUIRY FOR SIX MONTHS. ENHANCEMENT OF FINANCIAL POWERS OF SEMO FOR PURCHASE OF ECHS MEDICINES. 72
  73. 73. REMEDIAL MEASURES AUTH OF CONSULTANTS AND CLKS FOR HIGH PRESSURE STNS. PENDING SANCTION EMP FROM ARMY’S WELFARE FUNDS. POSTING OF ADDL ARMY OFFRS AT CENTRAL ORG AND SELECTED STN HQs. ENHANCEMENT OF DELEGATED FINANCIAL POWERS PROPOSED TO MOD. 73
  74. 74. PROPOSED FINANCIAL POWERS REIMBURSEMENT OF MEDICAL EXPDR COMPETENT FINANCIAL LIMITS (WITHOUT FINANCIAL AUTH CONSULTATION) EXISTING PROPOSED STN CDR (COL/LT 20,000 40,000 COL) STN CDR (BRIG) 50,000 1,00,000 SUB AREA CDR 1,00,000 1,50,000 SUB AREA (I) 1,00,000 3,00,000 AREA CDR 2,00,000 3,00,000 CORPS CDR Nil 4,00,000 ARMY CDR 4,00,000 5,00,000 VCOAS 5,00,000 8,00,000 74
  75. 75. REMEDIAL MEASURES PAYMENT ONLY AS PER CGHS RATES. THOROUGH SCRUTINY OF BILLS AT SUCCESSIVE STAGES. HOSPITALS ADVISED NOT TO INFLATE BILLS FOR EARLY PROCESSING. ADVISORY COMMITTEES FORMED AT ALL STNS. 75
  76. 76. REVISED CHANNEL OF BILL PROCESSING SUBMISSION OF BILLS BY EMPANELLED FACILITY POLYCLINIC Payment SEMO STN HQ For bills beyond CFA power of Stn Cdr Sanction for payment of REGIONAL CENTRE Bills beyond ECHS CFA powers of Stn Cdr CFA 76
  77. 77. ANALYSIS OF COMPLAINTS FROM 01 APR 07 TO 29 FEB 08 NATURE OF COMPLAINTS QUARTER TOTAL Q-1 Q-2 Q-3 JAN - FEB 08 RE-IMBURSEMENT 38 20 35 13 106 MEDICAL TREATMENT 34 38 35 23 130 SHORTAGE OF MEDICINES 05 04 14 - 23 AGAINST FUNCTIONARIES 01 11 15 03 30 (ECHS) SUPREME COURT 49 57 61 05 172 JUDGEMENT FOR PRE 1996 FUNCTIONING OF ECHS 09 13 14 17 53 ON POLICY MATTERS 40 33 79 57 209 TOTAL 176 176 253 118 723 77
  78. 78. MEDICAL TREATMENT Ist Qtr IInd Qtr IIIrd Qtr JAN - Total FEB 08 AT POLYCLINICS 19 13 11 07 50 AT EMPANELLED 02 05 04 08 19 FACILITY AT SERVICE HOSPITAL 04 06 07 03 20 GENERAL (WITHOUT 09 14 13 05 41 ANY SPECIFICATION) TOTAL 34 38 35 23 130 78
  79. 79. SHORTAGE OF MEDICINES Ist Qr IInd Qr IIIrd Qr Total SOUTHERN COMMAND 01 01 05 07 EASTERN COMMAND 01 - - 01 WESTERN COMMAND 02 01 03 06 CENTRAL COMMAND - 01 03 04 SOUTH WEST COMMAND - 01 01 02 NAVY - - - - AIR FORCE 01 - 02 03 TOTAL 05 04 14 23 79
  80. 80. ANALYSIS OF POLYCLINICS S/ TYPE NO OF % OF TOTAL ESM % OF No OF POLYCLINIC POLYCLINIC POPULATION TOTAL CITY ESM POPU- LATION 1. A/A1 23 10.13 3,04,221 14.10 2. B/B1/ 40 17.62 3,83,855 17.79 Capital 3. Others 164 72.24 14,68,526 68.09 80
  81. 81. 81
  82. 82. EXTENSION OF ECHS TO NEPAL APPROX 90,000 ESM FROM INDIAN ARMED FORCES IN NEPAL. ECHS NOT APPLICABLE IN NEPAL. ON DIRECTIONS OF RM A TEAM VISITED NEPAL TO STUDY THE FEASIBILITY OF EST ECHS AND EMPANELLING HOSP IN NEPAL. 82
  83. 83. MAJ RECOMMENDATIONS NINE POLYCLINICS TO BE EST – FIVE IN PHASE - I AND FOUR IN PHASE – II. ECHS REGIONAL CENTRE TO BE EST AT KATHMANDU. TO FUNCTION UNDER DA. ALL PROCEDURES OF ECHS AS APPLICABLE IN INDIA TO BE FOLLOWED WITH FOLLOWING VARIATIONS. FIN POWERS TO BE EXERCISED BY DA AND AMBASSADOR. RE-IMBURSEMENT TO EMPANELLED HOSP UNDER FIN POWERS OF DA AND AMBASSADOR. BULK MEDICINES TO BE SUP BY AFMSD/AMSD. LP OF MEDICINES UNDER POWERS OF DA AND 83 AMBASSADOR.
  84. 84. ZONES AND DISTRICTS • FOR ADM IT IS DIVIDED INTO 14 ZONES AND 75 DISTS 09 15 37802 41 7914 2501 3402 NEPALGANJ GORKHA TAMGHAS BESISAHAR 2339 3204 17798 7170 2933 PHIDIM 3024 1708 84
  85. 85. ZONE WISE STATE OF PENSIONERS AS ON 31TH DECEMBER 2007 SL NO ZONE NO OF INDIAN ARMY TOTAL PENSIONERS 1 MAHAKALI 15 15 2 SETI 41 41 3 BHERI 2501 2501 4 RAPTI 3204 3204 5 LUMBINI 17798 17798 6 DHAULAGIRI 7914 7914 7 GANDAKI 37802 37802 8 NARAYANI 3024 3024 9 BAGMATI 3402 3402 10 JANAKPUR 2339 2339 11 SAGARMATHA 2933 2933 12 KOSHI 7170 7170 13 MECHI 1708 1708 14 KARNALI 09 09 85 GRAND TOTAL 89860 89860
  86. 86. PROPOSED NEW POLYCLINICS 86
  87. 87. CONSIDERATIONS FOR EST OF NEW POLYCLINICS DISTRICTS WITH VETERAN POPULATION MORE THAN 1500. RURAL / REMOTE AREAS WITH VETERAN POPULATION OF 800. TYPE ‘E’ MIL POLYCLINICS AT LOCATIONS WITH VETERAN POPULATION MORE THAN 400. ADDITIONAL POLYCLINICS PROPOSED IN SOME LARGER CITIES. 87
  88. 88. ECHS INCREMENT - TYPE ‘E’ MIL POLYCLINIC ,, MO - 01 NURSING ASSISTANT - 02 DRIVER - 01 MOBILE MEDICAL VAN - 01 88
  89. 89. REGION WISE SUMMARY PROPOSED NEW POLYCLINICS COMMAND EXISTING PROPOSED TOTAL SC 89 51 140 EC 18 28 46 WC 40 40 80 CC 52 50 102 NC 05 05 10 SWC 23 22 45 TOTAL 227 196 423 89
  90. 90. REGION WISE SUMMARY PROPOSED NEW POLYCLINICS COMMAND PCs PROPOSED MIL NON MIL TYPE ‘E’ TOTAL SC 01 47 01 49 EC - 23 05 28 WC 03 37 - 40 CC - 46 06 52 NC 01 02 02 05 SWC - 21 01 22 TOTAL 05 176 15 196 90
  91. 91. PROPOSED NEW POLYCLINICS TYPE WISE S. NO TYPE OF PC NO OF PCs 1. A N/MIL 01 2. B N/MIL 05 3. C N/MIL 08 4. D MIL 06 5. D N/MIL 161 6. E MIL 15 TOTAL 196 91
  92. 92. PROPOSED TYPE ‘E’ POLYCLINICS S. POLYCLINIC MIL COMD REMARKS NO FACILITY 1. POONCH MH NC REMOTE 2. KARGIL FD AMB NC REMOTE 3. ABOHAR MH SWC RURAL 4. RANIKHET MH CC RURAL 5. DHARCHULA ADS CC REMOTE 6. JOSHIMATH FD AMB CC RURAL 7. AMLA (MP) AF HOSP CC RURAL 8. PACHMARHI MH CC RURAL (MP) 92 9. LANSDOWN MH CC RURAL
  93. 93. PROPOSED TYPE ‘E’ POLYCLINICS S. POLYCLINIC MIL COMD REMARKS NO FACILITY 10. KALIMPONG MH EC REMOTE 11. MISAMARI MH EC REMOTE 12. TEJU (AP) ADS EC REMOTE 13. ALONG (AP) ADS EC REMOTE 14. BINAGURI (WB) MH EC RURAL 15. BIDAR AF HOSP SC RURAL 93
  94. 94. PROPOSED EQUIPMENT FOR ECHS TYPE ‘E’ POLYCLINIC • NEBULIZER • SYRINGE NEEDLE DESTROYER • OXYGEN CONCENTRATOR • MICROSCOPE • SUCTION MACHINE BOTH BTY & • ECG MACHINE ELECTRICALLY OPTD • ELECTRIC BOILING • MONITOR WITH WATER STARILIZER DEFIBRILLATOR 94
  95. 95. PROPOSED EQUIPMENT FOR ECHS TYPE ‘E’ POLYCLINIC • DIGITAL BLOOD • X- RAY VIEW BOX PRESSURE MACHINE • AMBU BAG • GLUCOMETER WITH CONSUMABLES • MULTIPURPOSE FOLDING STRETCHER • DRY PAPER BIOCHEMISTRY • MINOR SURGICAL SET • OTHER MINOR • MALARIA DETECTION KIT EQUIPMENT SET 95
  96. 96. STATE WISE SUMMARY OF POLYCLINICS POLYCLINICS S. VETERANS STATE NO STR EXISTING PROPOSED TOTAL ANDHRA 08 10 18 1 89681 PRADESH ARUNACHAL - 02 02 2 829 PRADESH 3 ASSAM 38856 03 09 12 4 BIHAR 95451 06 12 18 5 CHHATISGARH 8803 01 03 04 6 GOA 2115 01 01 02 7 GUJARAT 27510 03 03 06 96 8 HARYANA 283829 19 16 35
  97. 97. STATEWISE SUMMARY OF POLYCLINICS S. VETERANS POLYCLINICS STATE STR NO EXISTING PROPOSED TOTAL HIMACHAL 08 09 17 9. 119761 PRADESH JAMMU & 08 06 14 10. 86204 KASHMIR 11. JHARKHAND 23537 02 05 07 12. KARNATAKA 84967 09 08 17 13. KERALA 184123 11 12 23 MADHYA 08 04 12 14. 46497 PRADESH 15. MAHARASHTRA 196365 21 09 30 97
  98. 98. STATE WISE SUMMARY OF POLYCLINICS POLYCLINICS S. VETERAN STATE STR NO EXISTING PROPOSED TOTAL 16. MANIPUR 6813 01 01 02 17. MEGHALAYA 3068 01 - 01 18. MIZORAM 6183 01 01 02 19. NAGALAND 3292 02 01 03 20. ORISSA 27032 03 06 09 21. PUNJAB 299326 17 20 37 22. RAJASTHAN 185170 17 12 29 23. SIKKIM 1571 01 - 01 24. TAMILNADU 174958 21 06 27 98
  99. 99. STATE WISE SUMMARY OF POLYCLINICS S. POLYCLINICS VETERANS STATE NO STR EXISTING PROPOSED TOTAL 25. TRIPURA 2835 01 - 01 26. UTTARAKHAND 140158 08 13 21 34 15 49 27. UTTAR PRADESH 284161 28. WEST BENGAL 66458 08 08 16 29. DELHI 41528 02 04 06 30. CHANDIGARH 9250 01 - 01 ANDAMAN & 01 - 01 31. 634 NICOBAR 99 TOTAL 2554926 227 196 423
  100. 100. DEPENDANCY ON POLYCLINICS AREA DEPENDANCY PER POLYCLINIC S. STR OF STATE (Sq NO VETERANS EXISTING PROPOSED Km) 1 ANDHRA PRADESH 2,75,068 89681 11210 4982 2 ARUNACHAL PRADESH 83,743 829 - 414 3 ASSAM 78,438 38856 12952 3238 4 BIHAR 94,163 95451 15908 5303 5 CHHATISGARH 1,35,194 8803 8803 2200 6 GOA 3,702 2115 2115 1057 7 GUJARAT 1,96,024 27510 9170 4585 8 HARYANA 44,212 2,83,829 14938 8109 9. HIMACHAL PRADESH 55,673 119761 14970 7044 10. JAMMU & KASHMIR 95,643 86204 10775 6631 11. JHARKHAND 79,714 23537 11768 3362 12. KARNATAKA 1,91,791 84967 9440 4998 13. KERALA 38,863 184123 16738 8005 14. MADHYA PRADESH 3,08,253 46497 5812 3874 15. MAHARASHTRA 3,07,713 196365 9350 6771 100 16. MANIPUR 22,327 6813 6813 3406
  101. 101. DEPENDANCY ON POLYCLINICS DEPENDANCY PER POLYCLINIC S. AREA STR OF STATE NO (Sq Km) VETERANS EXISTING PROPOSED 17. MEGHALAYA 22,429 3068 3068 3068 18. MIZORAM 21,081 6183 6183 3091 19. NAGALAND 16,579 3292 1646 1097 20. ORISSA 1,55,707 27032 9010 3003 21. PUNJAB 50,362 2,99,326 17607 8089 22. RAJASTHAN 3,42,239 185170 10892 6385 23. SIKKIM 7,096 1571 1571 1571 24. TAMILNADU 1,30,058 174958 8331 6479 25. TRIPURA 10,492 2835 2835 2835 26. UTTARAKHAND 55,845 140158 17519 7786 27. UTTAR 2,38,566 284161 8357 5799 28. PRADESH WEST BENGAL 88,752 66458 8307 4153 29. DELHI 1,483 41528 20764 6921 30. CHANDIGARH 114 9250 9250 9250 31. A & N ISLANDS 8,249 634 634 634 101
  102. 102. PROPOSED TYPE ‘E’ POLYCLINICS S. POLYCLINIC MIL COMD REMARKS NO FACILITY 1. POONCH MH NC REMOTE 2. KARGIL FD AMB NC REMOTE 3. ABOHAR MH SWC RURAL 4. RANIKHET MH CC RURAL 5. DHARCHULA ADS CC REMOTE 6. JOSHIMATH FD AMB CC REMOTE 7. AMLA (MP) AF HOSP CC RURAL 8. PACHMARHI MH CC RURAL (MP) 9. LANSDOWNE MH CC REMOTE 102
  103. 103. PROPOSED TYPE ‘E’ POLYCLINICS S. POLYCLINIC MIL COMD REMARKS NO FACILITY 10. KALIMPONG MH EC REMOTE 11. MISAMARI MH EC REMOTE 12. TEJU (AP) ADS EC REMOTE 13. ALONG (AP) ADS EC REMOTE 14. BINAGURI (WB) MH EC RURAL 15. BIDAR AF HOSP SC RURAL 103
  104. 104. PROPOSAL FOR UPGRADATION OF EXISTING PCs S.NO POLYCLINIC TYPE VETERAN STR TYPE PROPOSED 1 CHANDIMANDIR C/M 16298 B/M 2 AMBALA C/M 13238 B/M 3 COIMBATORE C/M 6527 B/M 4 TIRUCHIRAPALLI C/NM 9105 B/NM 5 LUCKNOW C/M 11350 B/M 6 ALLEPPY D/NM 24903 A/NM 7 ROORKEE D/M 3279 B/M 8 MOGA C/M 11385 B/M 9. PATNA C/M 7466 B/M 10. PATHANKOT D/M 38718 B/M 11. VISAKHAPATANAM C/M 10696 B/M 12. AJMER D/M 8907 B/M 13. KOZIKODE C/NM 12393 B/NM 104 14. UDHAMPUR C/M 7113 B/M
  105. 105. PROPOSAL FOR CONVERSION OF EXISTING PCs S. POLYCLINIC TYPE ESM TYPE REMARKS NO STR PROPOSED 1 BHARATPUR C/M 6893 C/NM 2 SAHARANPUR D/M 2579 D/NM (SARSAWA) 3 BALASORE D/M 2993 D/NM 4 NAGPUR C/M 5865 C/NM 5 AJMER D/M 8907 D/NM 6 YELAHANKA D/M 3857 D/NM 7 SIRSA D/M 3202 D/NM 8 JANGLOT C/M 8828 C/NM 9. SANGRUR B/M 14699 B/NM 10. MOGA C/M 11385 C/NM 11. JAISALMER D/M 1836 D/NM 105
  106. 106. PROPOSED RURAL/REMOTE POLYCLINICS RURAL - 33 REMOTE - 10 106
  107. 107. POLYCLINICS IN J&K POLYCLINICS MIL NON MIL TOTAL EXISTING 08 - 08 PROPOSED 03 03 06 TOTAL VETERANS – 86,204 107
  108. 108. BANDIPUR BARAMULA ‘E’ Badgam E RAMBAN KISHTWAR REASI DODA AKHNOOR NAGROTA GUJROO BARI BRAHMANA INDEX EXISTING PCs 108 RED (08) SAMBA ADDL PC s BLUE (06)
  109. 109. PROPOSED POLYCLINICS : J&K S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 1. AKHNOOR 3212 D/M 2. DODA 2771 D/NM 3. POONCH 1682 E/M 4. BARIBRAHAMNA 33248 C/NM (JAMMU) 5. KARGIL 452 E/M 6. NAGROTA 8828 (KATHUA) D/NM GUJROO 109
  110. 110. VETERAN PENSIONERS OF J&K (AS PER KSB) JAMMU 34106 11. POONCH 1712 1. -AKHNOOR 3212 -BARI BRAHAMANA 12. ANANTNAG 1220 KATHUA 13. BADGAM 295 2. -NAGROTA GUJROO 8828 14. KARGIL 452 3. SAMBA 10031 15. KUPWARA 96 4. RAJOURI 6241 16. PULWAMA 259 5. SRINAGAR 4297 17. REASI NA 6. UDHAMPUR 7113 7. LEH 3591 18. RAMBAN 310 8. BARAMULA 3099 19. KISTWAR 974) 9. DODA 2824 TOTAL 86204 10. BANDIPORA 756 110
  111. 111. DAILY AVERAGE SICK REPORT : J&K S/No POLYCLINIC SICK REPORT 1 BARAMULLA 0 2 JAMMU 339 3 JUNGLOT (KATHUA) 35 4 LEH 11 5 RAJOURI 12 6 SAMBA 75 7 SRINAGAR 8 111 8. UDHAMPUR 93
  112. 112. POLYCLINICS IN HP POLYCLINICS MIL NON MIL TOTAL EXISTING 04 04 08 PROPOSED 02 07 09 TOTAL ESM – 1,19,761 112
  113. 113. HIMACHAL PRADESH CHAMBA BAKLOH SHAHPUR YOL PALAMPUR JOGINDER NAGAR DERA HOSHIARPUR GHUMARWIN RAMPUR INDEX NAHAN EXISTING PCs 113 RED (08) ADDL PCs BLUE (09)
  114. 114. PROPOSED POLYCLINICS : HP S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 1 RAMPUR 3186 D/NM 2 NAHAN (SIRMAUR 2247 D/M DIST) 3 SHAHPUR (KANGRA) 49422 C/NM (KANGRA) 4 PALAMPUR 10013 D/M 5 KULLU 1396 D/NM RURAL 6 DERA GOPIPUR 15240 D/NM 7 JOGINDER NAGAR 1261 D/NM RURAL 8 CHAMBA 1200 D/NM REMOTE 9 GHUMARWIN 8500 D/NM 114
  115. 115. VETERAN PENSIONERS OF HIMACHAL PRADESH (AS PER KSB) KANGRA BILASPUR 7887 - YOL 49422 7 -GHAMARWAIN - PALAMPUR 1 - DERA 8 KULLU 1416 - SHAHPUR SIRMOR 2290 9 -NAHAN 2 HAMIRPUR 23187 10 SOLAN 3313 11 KINNAUR 354 MANDI 3 12953 12 LAHUL & SPITI 196 -JOGINDER NAGAR SHIMLA 3230 TOTAL 119761 4 - RAMPUR 5 UNA 12064 CHAMBA 3449 115 6 - BAKLOH
  116. 116. DAILY AVERAGE SICK REPORT : HP S/No POLYCLINIC SICK REPORT 1 BAKLOH 28 2 MANDI 47 3 YOL 196 4 HAMIRPUR 133 5 BILASPUR 52 6 UNA 92 7 SOLAN 13 116 8. SHIMLA 28
  117. 117. POLYCLINICS IN PUNJAB POLYCLINICS MIL NON MIL TOTAL EXISTING 11 06 17 PROPOSED 02 18 20 TOTAL VETERANS – 2,98,453 117
  118. 118. PATHANKOT SRI GOVINDPUR TALWARA UNCHI BASSI BATALA AJNALA BEAS MAHALPUR TARANTARAN SULTANPUR PHAGWARA SURANASI SAMRALA ROPAR DORAHA SAS NAGAR JAGRAON (MOHALI) BARNALA NABHA ABOHAR ‘E’ SAMANA KAITHAL INDEX EXISTING PCs RED (17) ADDL PCs BLUE (20) 118
  119. 119. PROPOSED POLYCLINICS : PUNJAB S. POLYCLINIC ESM TYPE REMARKS NO PENSIONERS PROPOSED 1 MOHALI 18954 C/NM 2 AJNALA 38241 D/NM (AMRITSAR) 3 TARANTARAN/PATTI 38241 D/NM (AMRITSAR) 4 BEAS 38241 D/NM (AMRITSAR) 5 NAWANSAHAR 3709 D/NM 6 SURANASSI 25488 D/NM (JALANDHAR) 7 UCHI BASSI 25488 C/NM (JALANDHAR) 119 8 ABOHAR 5754 E/M
  120. 120. PROPOSED POLYCLINICS : PUNJAB S. POLYCLINIC VETERAN TYPE NO PENSIONERS PROPOSED 9 JAGRAON 6469 D/NM 10 BATALA 6352 D/NM 11 SRI GOVINDPUR 38718 (GURDASPUR) D/NM 12 SULTANPUR 10769 (KAPURTHALA) D/NM 13 PHAGWARA 10769 (KAPURTHALA) D/NM 14 SAMANA 2520 D/NM 15 BARNALA 3700 D/NM 16 NABHA 3315 D/M 17 DORAHA 38393 (LUDHIANA) D/NM 18 SAMRALA 38393 (LUDHIANA) D/NM 19 MAHALPUR 47085 (HOSHIARPUR) D/NM 20 TALWARA 47085 (HOSHIARPUR) D/NM 120
  121. 121. VETERAN PENSIONERS OF PUNJAB (AS PER KSB) AMRITSAR 38515 7 ROPAR 18984 - TARANTARAN SAS NAGAR 1 8 18984 - AJNALA (MOHALI) - BEAS SANGRUR 14699 GURDASPUR 38718 9 - BARNALA -PATHANKOT 2 9 BHATINDA 8979 -BATALA -SRI GOVINDPUR FEROZPUR 5789 10 HOSHIARPUR - ABOHAR 47085 - UNCHI BASSI KAPURTHALA 3 10769 - MAHALPUR 11 -SULTANPUR - TALWARA -PHAGWARA JALANDHAR 25570 12 MOGA 11385 4 - SURANASSI 13 FARIDKOT 6815 LUDHIANA 38393 - JAGRAON 14 FATEHGARHSAHIB 6635 5 - DORAHA 15 MANSA 4437 - SAMRALA 16 MUKTSAR 5699 PATIALA 13191 6 - NABHA 18 NAWANSHAHAR 1213699 - SAMANA TOTAL 298453
  122. 122. DAILY AVERAGE SICK REPORT : PUNJAB S/No POLYCLINIC SICK REPORT 1 PATHANKOT 135 2 AMRITSAR 365 3 ROPAR 93 4 FATEHGARH SAHIB 71 5 FARIDKOT 31 6 FIROZPUR 50 7 MOGA 33 8 GURDASPUR 193 9 HOSHIARPUR 154 122 10 JALANDHAR 220
  123. 123. DAILY AVERAGE SICK REPORT : PUNJAB S/No POLYCLINIC SICK REPORT 11 KAPURTHALA 74 12 LUDHIANA 231 13 SANGRUR 65 14 PATIALA 123 15 BHATINDA 56 16 MANSA 21 123 17 MUKTSAR 15
  124. 124. POLYCLINICS IN HARYANA POLYCLINICS MIL NON MIL TOTAL EXISTING 04 15 19 PROPOSED - 16 16 TOTAL VETERANS – 2,83,829 124
  125. 125. CHANDIMANDIR NARAYANGARH NARWANA GOHANA HANSI MAHAM KHARKHAUDA SAMPLA BAHADURGARH LOHARU CHARKHIDADRI KOSLI DHARUHERA INDEX NUH PALWAL 51 NARNAUL EXISTING PCs RED (19) 125 ADDL PCs BLUE (16)
  126. 126. PROPOSED POLYCLINICS : HARYANA S. NO POLYCLINIC VETERAN TYPE PROPOSED PENSIONERS 1 GOHANA 21522 (SONIPAT) D/NM 2 MEHAM (ROHTAK) 20704 (ROHTAK) D/NM 3 SAMPLA (ROHTAK) 20704 (ROHTAK) D/NM 4 LOHARU 32723 (JHAJJAR) D/NM 5. KOSLI 32723 (JHAJJAR) D/NM 6. BAHADURGARH (JHAJJAR) 12512 D/NM 7 GURGAON (SOHNA ROAD) 28178 B/NM 8. NUH (GURGAON) 28178 (GURGAON) D/NM 9. CHARKHIDADRI 18696 D/NM 10. MAHENDRAGARH 16175 D/NM 11. NARWANA 10666 (JIND) D/NM 12. PALWAL 10531 (FARIDABAD) D/NM 13. HANSI (HISSAR) 14461 (HISSAR) D/NM 14. DHARUHERA (REWARI) 25327 (REWARI) D/NM 15. NARAYANGARH (AMBALA) 13648 (AMBALA) D/NM 126 16. KHARKHAUDA (SONIPAT) 21522 (SONIPAT) D/NM
  127. 127. VETERAN PENSIONERS OF HARYANA (AS PER KSB) AMBALA 13648 NARNAUL 21044 1 9 - NARAYANGARH -MAHINDERGARH BHIWANI 36853 SONIPAT 21522 2 - LOHARU 10 -GOHANA - CHARKHIDADRI -KHARKHAUDA REWARI 25327 3 JIND 10666 - DHARUHERA 11 - NARWANA JHAJJAR 32723 FARIDABAD 10531 12 4 - BAHADURGARH - PALWAL - KOSLI 13 FATEHABAD 5008 20704 14 KAITHAL 4328 ROHTAK 5 - MEHAM 15 KURUKSHETRA 5692 - SAMPLA 16 PANIPAT 7112 GURGAON 28616 17 SIRSA 3221 6 - SOHANA ROAD PANCHUKULA - NUH 18 7179 - CHANDIMANDIR HISSAR 14461 7 19 YAMUNA NAGAR 8216 - HANSI 8 KARNAL 6978 TOTAL 2,83,829 127
  128. 128. DAILY AVERAGE SICK REPORT : HARYANA S/No POLYCLINIC SICK REPORT 1 CHANDIGARH 194 2 FARIDABAD 95 3 KARNAL 45 4 AMBALA 219 5 SONIPAT 52 6 PANIPAT 31 7 YAMUNANAGAR 71 8 KAITHAL 17 9 KURUKSHETRA 40 128 10 GURGAON 190
  129. 129. DAILY AVERAGE SICK REPORT : HARYANA S/No POLYCLINIC SICK REPORT 11 SIRSA 9 12 JHAJJAR 56 13 REWARI 99 14 ROHTAK 53 15 JIND 43 16 NARNAUL 55 17 BHIWANI 80 18 HISSAR 43 129 19 FATEHABAD 6
  130. 130. POLYCLINICS IN RAJASTHAN POLYCLINICS MIL NON MIL TOTAL EXISTING 11 06 17 PROPOSED - 12 12 TOTAL VETERANS – 1,85,170 130
  131. 131. SURATGARH RAJGARH CHIRAWA BHUWANA BEHROR NIM KA THANA SHERGARH SANGANER HINDAUN CITY (JALIPA) INDEX EXISTING PCs RED (17) 131 ADDL PCs BLUE (12) 57
  132. 132. PROPOSED POLYCLINICS : RAJASTHAN S. POLYCLINIC ESM PENSIONERS TYPE REMARKS NO PROPOSED 1 NEEM KA THANA 15282 (SIKAR) D/NM 2 SHERGARH 17157 (JODHPUR) D/NM RURAL 3 DAUSA 2110 D/NM 4 SANGANER 10571 (JAIPUR) D/NM RURAL 5 BHUWANA 33017 D/NM 6 BHILWARA 2313 D/NM 7 SURATGARH 2595 D/NM RURAL (HANUMANGARH) 8 DUNGARPUR 1180 D/NM RURAL 9 RAJSAMAND 1709 D/NM 10 RAJGARH 8355 D/NM 11 CHIRAWA 34361 D/NM 132 12. BEHROR 8907 (ALWAR) D/NM
  133. 133. VETERAN PENSIONERS OF RAJASTHAN JHUNJHUNUN 15 BUNDI 1257 34361 1 - BHUWANA - CHIRAWA 16 CHITTAURGARH 233 SIKAR 15282 17 DAUSA 2948 2 - NIM KA THANA 18 DHAULPUR 459 CHURU 8355 19 DUNGARPUR 1180 3 - RAJGARH HANUMANGARH 2748 JAIPUR 10571 20 4 - SURATGARH - SANGANER 21 JAISALMER 1836 JODHPUR 5 17157 22 JALORE 116 SHERGARH NAGAUR 15689 23 JHALAWAR 359 6 - DIDWANA 24 KARAULI 3976 7 AJMER 8907 25 KOTA 2849 ALWAR 18957 26 PALI 2683 8 - BEHROR 27 RAJSAMAND 3142 9 BANSWARA 61 28 SAWAI MADHOPUR 1053 10 BARAN 380 29 SHRI GANGANAGAR 4235 11 BARMER 1524 30 SIROHI 461 12 BHARATPUR 6568 TONK 13 BHILWARA 3811 31 999 14 BIKANER 3686 32 UDAIPUR 5471 133 TOTAL 185170
  134. 134. DAILY AVERAGE SICK REPORT : RAJASTHAN S/No POLYCLINIC SICK REPORT 1 BIKANER 19 2 SRIGANGANAGAR 9 3 ALWAR 68 4 BHARATPUR 26 5 JHUJHUNU 97 6 JAIPUR 158 7 SIKAR 47 8 CHURU 11 9 NAGAUR 8 134 10 KOTA 47
  135. 135. DAILY AVERAGE SICK REPORT : RAJASTHAN S/No POLYCLINIC SICK REPORT HINDAUN CITY (DIST 11 0 KARRAULI) 12 AJMER 29 13 BARMER (JALIPA) 11 14 JAISALMER 0 15 JODHPUR 93 16 PALI 0 135 17 UDAIPUR 16
  136. 136. POLYCLINICS IN DELHI POLYCLINICS MIL NON MIL TOTAL EXISTING 01 01 02 PROPOSED - 04 04 TOTAL VETERANS – 41,528 136
  137. 137. TIMARPUR HINDON AF REQMT SHAKURBASTI DISTRICTS BH LODHI RD SECT 37 DUNDAHERA GURGAON CGO COMPLEX INDEX FARIDABAD EXISTING PCs RED (02) 137 ADDL PCs BLUE (04) 63
  138. 138. PROPOSED POLYCLINICS : DELHI S.NO POLYCLINIC VETERAN TYPE REMARKS PENSIONERS PROPOSED 1 SHAKURBASTI 6021 B/NM 2 TIMARPUR 4383 C/NM 3. KHANPUR 3737 D/NM 4. EAST DELHI 7374 B/NM (PREET VIHAR) 138
  139. 139. VETERAN PENSIONERS OF DELHI (AS PER KSB) NORTH 1246 NORTH WEST 9137 NORTH EAST 4983 WEST 2908 SOUTH WEST 14535 SOUTH 3737 EAST 2491 CENTRAL 1245 NEW DELHI 1246 TOTAL 41528 139
  140. 140. COMPARISION WITH CGHS - DELHI MEMBERS DISPENSARIES/ AVERAGE POLYCLINICS DEPENDENCY CGHS 3,58,749 87 3808 ECHS 41528 2 20764 140
  141. 141. DAILY AVERAGE SICK REPORT : DELHI S/No POLYCLINIC SICK REPORT 1 DELHI (BHDC) 373 2 NEW DELHI (LODHI ROAD) 372 141
  142. 142. POLYCLINICS IN UP POLYCLINICS MIL NON MIL TOTAL EXISTING 15 19 34 PROPOSED - 15 15 TOTAL VETERANS - 284161 142
  143. 143. SARSWA (AF) ROORKEE LAKHIMPUR FATEHGARH ORAI INDEX EXISTING PCs RED (34) 143 69 ADDL PCs BLUE (15)
  144. 144. PROPOSED POLYCLINICS : UTTAR PRADESH S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 1 BAGHPAT 4600 D/NM 2 GONDA 2379 D/NM 3 BASTI 1881 D/NM 4 JAUNPUR 2089 D/NM 5 GREATER 5023 A/NM NOIDA 6 LAKHIMPUR 2617 D/NM 7 MORADABAD 2223 D/NM 144
  145. 145. PROPOSED POLYCLINICS : UTTAR PRADESH S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 8 BIJNORE 1857 D/NM 9 RAMPUR 1856 D/NM 10 HARDOI 3478 D/NM 11 BANDA 1900 D/NM 12 MIRZAPUR/ 1135 D/NM RURAL ROBERTS GANJ 13 BARABANKI 1827 D/NM 14 UNNAO 2755 D/NM 15 HATHRAS 5866 D/NM 145
  146. 146. VETERAN PENSIONERS OF UTTAR PRADESH (AS PER KSB) 1 AGRA 9138 15 AZAMGARH 3652 2 ALLAHABAD 5535 16 BALLIA 9989 3 BULANDSHAR 15753 17 BADAUN 2644 4 MAINPURI 9233 18 DEORIA 4577 5 MEERUT 14597 19 BAGHPAT 4600 6 BAREILLY 6581 20 FATEHPUR 3851 7 ETAH 6976 21 FEROZABAD 3732 8 ETAWAH 8738 KHERI 2617 22 9 GHAZIABAD 10582 - LAKHIMPUR 10 GHAZIPUR 22119 23 MUZZAFAR NAGAR 4678 11 GORAKHPUR 4781 24 PRATAPGARH 4627 12 LUCKNOW 11350 25 SULTANPUR 7675 13 MATHURA 6143 26 VARANASI 4633 14 ALIGARH 6139 27 BAHRAICH 660 28 BALRAMPUR 131 146
  147. 147. VETERAN PENSIONERS OF UTTAR PRADESH (AS PER KSB) 29 BANDA 1900 44 MAHOBA 210 30 BARABANKI 1827 45 MAHRAJGANJ 656 31 BASTI 1924 46 MAU 2769 32 BIJNORE 1858 47 MIRZAPUR 1174 33 CHANDAULI 718 48 MURADABAD 2223 34 FAIZABAD 4498 49 PILIBHIT 1369 35 FATEHGARH 9371 50 RAE BAREILLY 4570 36 GONDA 2394 51 RAMPUR 1863 37 HAMIRPUR 1176 52 SAHARANPUR 3013 38 HARDOI 3514 KANPUR DEHAT 53 3410 39 JAUNPUR 2089 -AKBARPUR MATTI 40 JHANSI 1882 54 KANPUR NAGAR 9429 JYOTIBA PHULE 41 664 NAGAR 42 KAUSHAMBI 320 43 LALITPUR 254 147
  148. 148. VETERAN PENSIONERS OF UTTAR PRADESH (AS PER KSB) 55 SANT RAVIDAS NAGAR 208 56 SHAHJAHANPUR 2603 57 SIDDHARTH NAGAR 640 58 SITAPUR 1052 59 SHRAWASTI 115 60 UNNAO 2755 61 SONBHADRA 250 62 KUSHINAGAR 901 JALAUN 3028 63 -ORAI 1112 64 HATHRAS 5866 GAUTAM BUDH NAGAR 5353 65 - GREATER NOIDA 66 CHITRAKOOT 445 67 AMBEDKAR NAGAR 1377 68 AURAIYA 69 KANNAUJ 148 TOTAL 284161
  149. 149. DAILY AVERAGE SICK REPORT : UP S/No POLYCLINIC SICK REPORT 1 GHAZIABAD (HINDON) 91 2 NOIDA 301 3 KANPUR 103 4 AGRA 119 5 ETAWAH 23 6 MAINPURI 30 7 FIROZABAD 27 8 ETAH 20 9 BULANDSHAHR 59 149 10 BAREILLY 116
  150. 150. DAILY AVERAGE SICK REPORT : UP S/No POLYCLINIC SICK REPORT 11 BADAUN 13 12 FATEHGARH 66 AKBARPUR MATTI 13 11 (KANPUR) 14 LUCKNOW 241 15 RAE BAREILLY 27 16 MATHURA 62 17 ALIGARH 19 18 MEERUT 230 19 MUZAFFARNAGAR 27 150
  151. 151. DAILY AVERAGE SICK REPORT : UP S/No POLYCLINIC SICK REPORT 20 SAHARANPUR (SARSAWA AF) 22 21 SHAHJAHANPUR 22 22 GORAKHPUR 73 23 ALLAHABAD 79 24 FATEHPUR 16 25 PRATAPGARH 17 26 AZAMGARH 17 27 SULTANPUR 02 28 FAIZABAD 28 151 29 DEORIA 13
  152. 152. DAILY AVERAGE SICK REPORT : UP S/No POLYCLINIC SICK REPORT 30 GHAZIPUR 46 31 VARANASI 30 32 BALIA 26 33 JHANSI 28 152 34 ORAI 3 (0)
  153. 153. POLYCLINICS IN UTTARAKHAND POLYCLINICS MIL NON MIL TOTAL EXISTING 05 03 08 PROPOSED 04 09 13 TOTAL VETERANS – 1,40,158 153
  154. 154. UTTARAKHAND HERBERTPUR JOSHIMATH GOPESHWAR DEHRADUN PAURI GARHWAL DHARCHULA ‘E’ ROORKEE KOTDWARA LANSDOWNE ‘E’ PITHORAGARH RANIKHET ‘E’ RAMANAGAR BAMBASA HALDWANI INDEX RUDRAPUR EXISTING PCs RED (08) 154 ADDL PCs BLUE (13) 80
  155. 155. PROPOSED POLYCLINICS : UTTARAKHAND S. POLYCLINIC VETERAN TYPE REMARKS NO PENSIONERS PROPOSED 1. JOSHIMATH 13798 (CHAMOLI) E/M REMOTE 2. DEHRADUN (HARIDWAR RD) 24792 C/NM 3. VIKASNAGAR (DEHRADUN) 24792(DEHRADUN) D/NM 4. TEHRI 6002 D/NM 5. RUDRAPRAYAG 3699 D/NM 6. RANIKHET 12510 (ALMORA) E/M REMOTE 7. BAGESHWAR 9377 B/NM 8. BANBASA (CHAMPAWAT) 3350 D/NM 9. RUDRAPUR 5840 D/NM 10. DHARCHULA 21574 E/M REMOTE (PITHORAGARH) 11. LANSDOWN 27053 E/M (PAURIGARHWAL) 12. UTTARKASHI 799 D/NM 155 13. RAM NAGAR (NAINITAL) 7350 D/NM
  156. 156. VETERAN PENSIONERS OF UTTARAKHAND (AS PER KSB) DEHRADUN 25170 NAINITAL 7350 1 -HARIDWAR ROAD 7 -HALDWANI -HERBERTPUR -RAMNAGAR PAURIGARHWAL UDHAM SINGH -PAURI 27053 8 NAGAR / 5938 2 -KOTDWARA RUDRAPUR - LANSDOWN 9 BAGESHWAR 9584 PITHORAGARH 21574 HARIDWAR 3279 3 10 - DHARCHULA - ROORKEE CHAMOLI 13798 11 RUDRAPRAYAG 3699 4 -JOSHI MATH -GOPESHWAR 6947 12 UTTARKASHI 799 TEHRI GARHWAL 13 CHAMPAWAT 3402 6002 5 -NEW TEHRI TOTAL 140158 ALMORA 12510 6 - RANIKHET 156
  157. 157. DAILY AVERAGE SICK REPORT : UTTARAKHAND S/No POLYCLINIC SICK REPORT 1 DEHRADUN 305 2 GOPESHWAR 3 3 KOTDWARA (LANSDOWNE) 30 4. PAURI GARHWAL 5 5 HALDWANI 68 6 PITHORAGARH 76 7 ROORKEE 118 157 8 ALMORA 25
  158. 158. POLYCLINICS IN BIHAR POLYCLINICS MIL NON MIL TOTAL EXISTING 02 04 06 PROPOSED - 12 12 TOTAL VETERANS – 95,451 158
  159. 159. BIHAR MOTIHARI CHHAPRA DANAPUR ARA SASARAM INDEX EXISTING PCs RED (06) ADDL PCs 159 BLUE (12) 85
  160. 160. PROPOSED POLYCLINICS : BIHAR S.NO POLYCLINIC ESM TYPE REMARKS PENSIONERS PROPOSED 1 BHAGALPUR 3475 D/NM 2 KATIHAR 389 D/NM RURAL 3 MOTIHARI 3341 D/NM 4 SIWAN 1814 D/NM 5 SAMASTIPUR 2162 D/NM 6 MADHUBANI 5520 D/NM 7 BUXER 3601 D/NM 8 VAISHALI 2967 D/NM 9 SASARAM 2074 D/NM 10 KHAGARIA 1111 D/NM RURAL 11 MUNGER 958 D/NM RURAL 12 SITAMARHI 1165 D/NM RURAL 160
  161. 161. ESM PENSIONER OF BIHAR (AS PER KSB) BHOJPUR 24920 21 KATIHAR 389 1 - ARA 22 KHAGARIA 1111 SARAN 10548 23 KISHANGANJ 62 2 - CHHAPRA 24 NAWADA 324 3 MADHUBANI 5520 25 LAKHISARAI 127 4 PATNA 7466 26 MADHEPURA 201 5 BUXAR 3601 27 MUNGER 2930 6 MUZAFFARPUR 9269 28 NALANDA 856 7 VAISHALI 2967 29 PURNIA 221 8 ARRARIA 97 ROHTASH 2074 9 AURANGABAD 349 30 -SASARAM 10 BANKA 352 31 SAHARSA 133 11 BEGUSARAI 250 32 SAMASTIPUR 2162 12 BHABHUA (KAIMUR) 1232 33 SHEIKHPURA 101 13 BHAGALPUR 3475 34 SHEOHAR 486 14 CHASCOURT 103 35 SITAMARHI 1165 15 DARBHANGA 5030 36 SIWAN 1814 EAST CHAMPARAN 3341 37 SUPAUL 126 16 - MOTIHARI 38 WEST CHAMPARAN 318 17 GAYA 3674 18 GOPALGANJ 629 TOTAL 95451 19 JAMUI 100 161 20 JEHANABAD 1194
  162. 162. DAILY AVERAGE SICK REPORT : BIHAR S/No POLYCLINIC SICK REPORT 1 ARA 42 2 MUZAFFARPUR 20 3 DANAPUR (PATNA) 90 4. CHHAPRA 19 5 DHARBANGA 6 162 6 GAYA 30
  163. 163. POLYCLINICS IN JHARKHAND POLYCLINICS MIL NON MIL TOTAL EXISTING 01 01 02 PROPOSED - 05 05 TOTAL VETERANS – 23,537 163
  164. 164. DALTANGANJ JAMSHEDPUR CHAIBASA INDEX EXISTING PCs RED (02) ADDL PCs 164 BLUE (05) 90
  165. 165. PROPOSED POLYCLINICS : JHARKHAND S. POLYCLINIC ESM TYPE REMARKS NO PENSIONERS PROPOSED 1. DUMKA 2091 D/NM 2. GUMLA 3700 D/NM 3. CHAIBASA 3748 D/NM 4. DALTANGANJ 903 D/NM RURAL 5. DHANBAD 509 D/NM RURAL 165
  166. 166. VETERAN PENSIONERS OF JHARKHAND (AS PER KSB) 1 RANCHI 13022 11 HAZARIBAG 854 2 BOKARO 4 12 LOHARDAGA 21 3 CHATRA 11 13 PAKAUR 5 4 DEOGHAR 61 PALAMAU 903 14 5 DHANBAD 509 - DALTANGANJ 6 DUMKA 2091 15 SAHIBGANJ 222 EAST 16 GUMLA 1331 7 SINGHBHUM WEST SINGHBHUM 3748 17 - JAMSHEDPUR - CHAIBASA 8 GARHWA 24 18 KODARMA 9 GIRIDIH 425 10 GODDA 306 TOTAL 23537 166
  167. 167. DAILY AVERAGE SICK REPORT : JHARKHAND S/No POLYCLINIC SICK REPORT 1 RANCHI 46 2 JAMSHEDPUR 15 167
  168. 168. POLYCLINICS IN MP POLYCLINICS MIL NON MIL TOTAL EXISTING 05 03 08 PROPOSED 02 02 04 TOTAL VETERANS – 46,497 168
  169. 169. MADHYA PRADESH PACHMARHI ‘E’ MHOW INDEX 95 AMLA ‘E’ 169 EXISTING PCs RED (08) ADDL PCs BLUE (04)
  170. 170. PROPOSED POLYCLINICS : MADHYA PRADESH S.NO POLYCLINIC VETERAN TYPE REMARKS PENSIONERS PROPOSED 1. SATNA 1966 D/NM 2. UJJAIN 886 D/NM RURAL 3. AMLA NA E/M RURAL 4. PACHMARHI 726 E/M (HOSHANGABAD) 170
  171. 171. VETERAN PENSIONERS OF MADHYA PRADESH (AS PER KSB) 1 BHIND 6719 15 GUNA 536 2 GWALIOR 5315 HOSHANGABAD 726 16 3 RAISEN 130 - PACHMARHI 4 REWA 4262 INDORE 4000 17 - MHOW 5 BALAGHAT 120 18 JABALPUR 4972 6 BETUAL 432 19 JHABUA 87 7 BHOPAL 2766 20 KHANDWA 274 8 BILASPUR 189 21 KHARGAON 40 9 CHHATARPUR 554 22 MANDLA 178 10 CHHINDWARA 459 11 DAMOH 634 23 MANDSAUR 294 12 DATIA 95 24 MORENA 3545 13 DEWAS 545 25 NARSIMHAPUR 530 14 DHAR 367 26 PANNA 102 171
  172. 172. VETERAN PENSIONERS OF MADHYA PRADESH (AS PER KSB) 27 RAJGARH 4 28 RATLAM 356 29 SATNA 1966 30 SAGAR 924 31 SEONI 322 32 SHAHDOL 420 33 SHAJAPUR 82 34 SHIVPURI 231 35 SIDHI 1317 36 SEHORE 52 37 TIKAMGARH 266 38 UJJAIN 905 EAST NIMAR 39 NA - AMLA 40 VIDISHA 104 TOTAL 46497 172
  173. 173. DAILY AVERAGE SICK REPORT : MP S/No POLYCLINIC SICK REPORT 1 JABALPUR 101 2 REWA 40 3 MHOW 73 4. BHOPAL 0 5 BHIND 34 6 GWALIOR 94 7 MORENA 23 173 8 SAUGOR 21
  174. 174. POLYCLINICS IN CHATTISGARH POLYCLINICS MIL NON MIL TOTAL EXISTING - 01 01 PROPOSED - 03 03 TOTAL VETERANS – 8,803 174
  175. 175. GUMLA AMBIKAPUR JAGDALPUR INDEX 101 EXISTING PCs 175 RED (01) ADDL PCs BLUE (03)
  176. 176. PROPOSED POLYCLINICS : CHATTISGARH S. POLYCLINIC VETEERAN TYPE REMARKS NO PENSIONERS PROPOSED 1 JAGDALPUR 397 D/NM RURAL 2 RAIGARH 1313 D/NM RURAL 3 BILASPUR 603 D/NM RURAL 176
  177. 177. VETERAN PENSIONERS OF CHATTISGARH (AS PER KSB) 1 BILASPUR 1242 11 KORBA 264 2 DURG 1211 12 JANJGIR 198 3 RAIPUR 1029 13 MAHASAMUND 77 4 RAIGARH 129 14 KAWARDHA 8 5 RAJNANDGAON 125 15 KANKER 60 BASTAR 397 16 DHAMTARI 68 6 - JAGDALPUR JASHPUR 1213 TOTAL 8803 7 8 SURGUJA 182 9 DANTEWARA 20 10 KORIYA 44 177
  178. 178. DAILY AVERAGE SICK REPORT : CHATTISGARH S/No POLYCLINIC SICK REPORT 1 RAIPUR 9 178
  179. 179. POLYCLINICS IN WEST BENGAL POLYCLINICS MIL NON MIL TOTAL EXISTING 05 03 08 PROPOSED 02 06 08 TOTAL VETERANS – 66,458 179
  180. 180. KALIMPONG ‘E’ BENGDUBI WEST BENGAL BINAGURI ‘E’ RAIGANJ BAHRAMPUR KRISHNANAGAR BARRACKPORE SALT LAKE BARUIPUR INDEX 106 EXISTING PCs RED (08) ADDL PCs 180 BLUE (08)
  181. 181. PROPOSED POLYCLINICS : WEST BENGAL S.NO POLYCLINIC VETERAN TYPE REMARKS PENSIONERS PROPOSED 1. BAHRAMPUR 2457 D/NM 2. BARUIPUR 15531 D/NM (SOUTH 24 PARGANA) 3. BANKURA 819 D/NM RURAL 4. HOWRAH 4582 D/NM 5. RAIGANJ 606 (UTTAR D/NM REMOTE DINAJPUR) 6. COOCH BEHAR 625 D/NM RURAL 7. KALIMPONG 11406 E/M 8. BINNAGURI 2945 E/M RURAL (JALPAIGURI) 181
  182. 182. BARAKPUR TO THE NORTH KOLKATA CITY INDEX EXISTING PCs RED ADDL PCs BLUE BARUIPUR TO 182 THE SOUTH 108
  183. 183. VETERAN PENSIONERS OF WEST BENGAL (AS PER KSB) 24 PARAGANA 15727 11 MALDA 916 1 - SALT LAKE - BARUIPUR 12 MIDNAPORE 5784 DARJEELING 11685 MURSHIDABAD 2640 13 2 - KALIMPONG - BAHRAMPUR 14 PURULIA 410 3 KOLKATA 5722 15 BURDWAN 4380 NADIA 5152 UTTAR DINAJPUR 1100 4 16 - KRISHNANAGAR -RAIGANJ 5 BANKURA 1100 17 DAKSHIN DINAJPUR 1210 6 BIRBHUM 1527 TOTAL 66458 7 COOCH BIHAR 1120 8 HOWRAH 2300 HOOGLY 2369 9 - BARRACKPORE JALPAIGURI 1880 10 - BENGDUBI 183 - BINNAGURI
  184. 184. DAILY AVERAGE SICK REPORT : WEST BENGAL S/No POLYCLINIC SICK REPORT 1 BARRACKPORE 117 2 BENGDUBI 43 3 DARJEELING 16 4 KRISHNANAGAR 47 5 KOLKOTA 140 6 SALT LAKE 39 7 MIDNAPUR 13 184 8 BURDWAN 36
  185. 185. POLYCLINICS IN SIKKIM POLYCLINICS MIL NON MIL TOTAL EXISTING 01 - 01 PROPOSED - - - 185
  186. 186. INDEX EXISTING PCs RED (01) 186112 ADDL PCs BLUE ( 0 )
  187. 187. ESM PENSIONER OF SIKKIM AS ON DEC 06 (AS PER KSB) S/ NO OF DISTRICT NO PENSIONR 1 GANGTOK 905 2 GYALSI/GEYZING (W) 301 3 NAMCHI (S) 365 TOTAL 1571 187
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