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TETRALOGY OF FALLOT
TREATMENT IN INDIA
WHAT IS TETRALOGY OF FALLOT ?
 Tetralogy of Fallot (TOF) is a rare condition caused by the
combinations of four heart defects that are present at birth.
 These defects, affect the structure of the heart, causes oxygen-
poor blood flow out of the heart and to the rest of the body.
 Infants and children with Tetralogy of Fallot usually have
blue-tinged skin because their blood doesn't carry enough
oxygen.
 Tetralogy of Fallot is often diagnosed during infancy or soon
after.
 TOF occurs in about 1 to 2000 new-born babies.
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TYPES OF TETRALOGY OF FALLOT
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The four abnormalities that make up the Tetralogy of Fallot
include:
 Pulmonary stenosis: It is when the pulmonary valve (the
valve between the right ventricle and the pulmonary artery)
is too small, narrow or stiff. It is also called pulmonic
stenosis.
 Ventricular Septal defect: It is an abnormal opening in the
heart or hole between the two ventricles. This allows
oxygen-rich and oxygen-poor blood to mix.
 Right Ventricular Hypertrophy: It is an abnormal
enlargement or the thickening of the right ventricular
muscle.
 Overriding Aorta: When the aorta is positioned directly
over a ventricular septal defect instead of over the left
ventricle, in this aorta gets blood from the right ventricle
and causes mixing of oxygenated and deoxygenated blood.
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TETRALOGY OF FALLOT SYMPTOMS
 A bluish color skin.
 Clubbed fingers, or growth of skin
and bone around the fingernails.
 Problems with eating.
 Heart murmur.
 Weakness.
 Prolonged crying.
 Failure to gain weight.
 Developmental delays or problems.
 Episodes of passing out.
 Tiring easily.
RISK FACTORS FOR TETRALOGY OF FALLOT
The following factors, during pregnancy, can result in a baby having Tetralogy of
Fallot:
 Consumption of excessive alcohol when pregnant.
 Mother aged over 40.
 History of Tetralogy of Fallot in the family.
 Viral illness such as rubella.
 Presence of Down syndrome.
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TEST AND DIAGNOSIS FOR TETRALOGY OF FALLOT
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ECG: Electrocardiogram is a test to detect and record heart’s
electrical activity and help to locate the heart problem.
Echocardiography: An electrocardiogram records the
electrical activity in the heart each time it contracts.
Chest X-ray: It show the structure of the heart and lungs. A
common sign of tetralogy of Fallot on an X-ray is a "boot-
shaped" heart, because the right ventricle is enlarged.
Pulse Oximetry: This test uses a small sensor that can be
placed on a finger or toe to measure the amount of oxygen in
the blood. Also called Oxygen level measurement.
Cardiac Catheterization: this test to evaluate the structure
of the heart and then plan surgical treatment.
TREATMENT FOR TETRALOGY OF FALLOT
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Temporary Operation
• In some infants, a shunt operation may be done first to
provide adequate blood flow to the lungs. This is not open-
heart surgery and doesn't fix the inside of the heart. The
shunt is usually a small tube of synthetic material sewn
between a body artery and the pulmonary artery. The shunt
is closed when a complete repair is done later.
Complete repair
• Complete repair is to be done early in life. The surgeon
closes the ventricular septal defect with a patch and opens
the right ventricular outflow by removing some thickened
muscle below the pulmonary valve. Sometimes a tube is
placed between the right ventricle and the pulmonary
artery. This is called a Rastelli repair.
Tetralogy of Fallot is treated surgically. A temporary operation may be done at first if the baby is small or if
there are other problems. Complete repair comes later. Sometimes the first operation is a complete repair.
PRECAUTIONS AFTER SURGERY
 Pain medications, such as ibuprofen, may be
recommended to keep the child comfortable at home.
 Child's physician will discuss pain control before the child
is discharged from the hospital.
 After surgery, older children usually have a fair tolerance
for activity.
 Child may become tired easily, and sleep more right after
surgery, but, within a few weeks, child should be fully
recovered.
WHY TO CHOOSE INDIA FOR ANGIOPLASTY TREATMENT
India stands as a top destination for cardiac surgeries with the highest success rates from over 150,000
various cardiac procedures performed every year. The top hospitals in India are equipped with the most
advanced technology and machines involved in valve replacement surgeries.
 Guidance from best cardiac surgeons in India: India is known for its quality of cardiac surgery
performed by some of the best heart surgeons in the world.
 Save a fortune: Cost of heart surgery in India is the lowest in the world.
 Opt for attractive packages: Best heart surgery hospital s in India offer attractive packages to medical
tourists coming from abroad.
 Mixed medical tourist population: If a patient comes for the heart surgery in India patient will get to
meet medical tourist from other countries as well.
 Collaborate with medical tourist companies: There are several medical tourism companies in
India that offer visa assistance, travel planning, and second opinion services, while fixing an
appointment with the best cardiac surgeon in India. They assist you with all your queries and needs
from start to end, until you recover fully.
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WHY TO CHOOSE HBG MEDICALASSISTANCE FOR HEART VALVE TREATMENT
HBG Medical Assistance is a company involved and dedicated in
delivering quality and affordable healthcare to people from World
Over coming to India in need of Medical Care and specialty treatment.
We actively involved in helping patients to come to India and avail its
world class and quality Medical Facilities. HBG Medical Assistance is
working in association with all leading Hospitals in India and provides
finest healthcare facilities. Our Services are: Advanced treatment
options in India.
 Quick and free medical opinion with quotes from hospitals
 Availability of best doctors to treat specific disease.
 Logistical support such as transportation and accommodation.
 Visa Assistance and travel assistance to the patients and their
Attendants.
 Forex and other concierge services.
 Language experts for patient support service – 24/7 service
 Non-surgical and old aged Ayurveda treatments available at affordable
cost.
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TREATING HOSPITALS AND DOCTORS
Artemis Hospital
Established in 2007, Artemis Hospital is a super specialty hospital in
Gurugram and Delhi. The hospital have 380 beds. It is the first JCI
and NABH accredited hospital in Gurugram. The hospital excels in
the fields of cardiology, neurology, neurosurgery, oncology,
orthopaedics and emergency care. Artemis Hospital has 300 full time
doctors, 11 centres of excellence and 40 specialties. For more
information please
click:https://hbgmedicalassistance.com/hospitals/artemis/
Dr. Nidhi Rawal
She is a Pediatric Cardiologist. She MBBS-General Physician, MD-
Pediatric, Fellowship of National Board (FNB) – Pediatric
Cardiology from Madras Medical Mission, Chennai 2006. Dr. Nidhi
Rawal is a practicing Pediatric Cardiac Surgeon with an experience
of 20 years. She has an extensive experience in Pediatric and
neonatal Echo, Trans-esophageal echocardiography and has been
actively involved in the Cath lab interventions at PGI. For more
information please click:
https://hbgmedicalassistance.com/doctors/paediatric-
cardiology/dr-nidhi-rawal/
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TREATING HOSPITALS AND DOCTORS
Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
BLK hospital - A passion for healing
BLK super specialty hospital has a unique combination of the
class technology and provide world class heath care of all the
patients. They have 300 eminent consultants 17 Operation
Theatre, 650 beds and 125 critical bed care. BLK has constantly
ranked amongst the top 10 multi specialty hospitals in Delhi
NCR, India. For more information please click:
https://hbgmedicalassistance.com/hospitals/blk/
Dr. Sushant Shrivastava
He is a well known and recognized Director & Sr. Consultant
Cardiothoracic & vascular surgeon. He possesses a wealth of
knowledge and surgical expertise which he has accumulated in a
career spanning of more than 25 years. He has been widely
acknowledged for his versatile and patient-centric approach. For
more information please click:
https://hbgmedicalassistance.com/doctors/cardiovascular-
surgery/dr-sushant-srivastava/
TREATING HOSPITAL S AND DOCTORS
Jaypee hospital
The flagship hospital of the Jaypee group, which heralds the group’s noble
intention to enter the healthcare space. This hospital has been planned and
designed as a 1200 bedded tertiary care multi-specialty facility and has
commissioned 525 beds in the first phase. For more information please visit:
https://hbgmedicalassistance.com/hospitals/jaypee/
Dr. Rajesh Sharma
Dr. Sharma is a Pediatric Cardiac Surgeon with 29 years of specialist
completed MS(General Surgery) and MCH (Cardiothoracic & Vascular
Surgery) from AIIMS, New Delhi. He has performed more than 20,000
cardiac surgical procedures in his career starting from 1991 constituted by a
mix of both adult and congenital heart diseases. His field of interest is the
surgical treatment of complex congenital heart diseases. For more
information please click:
https://hbgmedicalassistance.com/doctors/paediatric-cardiac-surgery/dr-
rajesh-sharma/
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TREATING HOSPITAL S AND DOCTORS
Apollo Hospital
Apollo Hospitals, New Delhi is the first hospital in India to be
Internationally Accredited by Joint Commission International (JCI)
consecutively for the fifth time. It is one of the best multispecialty
tertiary acute care hospitals ranked No. 1 in leading surveys with
over 700 beds and 164 doctors in India and the most sought after
destination in the SAARC region for healthcare delivery.For more
information please
click:https://hbgmedicalassistance.com/hospitals/apollo-hospitals/
Dr. Muthu Jothi
Dr. Muthu Jothi is a Senior Consultant and Paediatric Cardiac
surgeon at Apollo Hospitals, New Delhi, India. He has overall 20
years of rich experience. He did his MBBS, MS- General Surgery
and Master of Chirurgerie (MCh) in Cardiac Surgery,Government
General Hospital, Madras, India He has trained extensively in adult
and paediatric cardiothoracic surgery in India. For more
information please click:
https://hbgmedicalassistance.com/doctors/pediatric-cardiac-
surgery/dr-muthu-jothi/
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TREATING HOSPITAL S AND DOCTORS
Gleneagles Global Hospitals
In India, Gleneagles Global Hospitals operates a chain of multi-super
specialty hospitals offering tertiary and quaternary healthcare services with
over 2,000 beds and state-of the-art, world-class hospitals in Hyderabad,
Chennai, Bangalore and Mumbai. Gleneagles Global Hospitals also
provides comprehensive multi-organ transplant services in the country. For
more information please click:
https://hbgmedicalassistance.com/hospitals/gleneagles-global-hospital/
Dr. Arul Narayanan
Dr. Arul Narayanan is a Pediatric Cardiac Surgeon with a large experience
of 17 years. He is a Pediatric Cardiologist and his expertise lies in issues
related to medical diagnosis of congenital heart defects, coronary artery
disease, heart failure, valvular heart disease and electrophysiology. Dr. Arul
Narayanan has treated innumerable children and his experience and
knowledge keeps on growing with every patient he manages. For more
information please click:
https://hbgmedicalassistance.com/doctors/pediatric-cardiology/dr-arul-
narayanan/
Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
THANK YOU !!
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Whatsapp/Mobile No.-+91-
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Best Tetralogy of Fallot surgery in India, TOF surgery in India

  • 1.
  • 2. Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503 TETRALOGY OF FALLOT TREATMENT IN INDIA
  • 3. WHAT IS TETRALOGY OF FALLOT ?  Tetralogy of Fallot (TOF) is a rare condition caused by the combinations of four heart defects that are present at birth.  These defects, affect the structure of the heart, causes oxygen- poor blood flow out of the heart and to the rest of the body.  Infants and children with Tetralogy of Fallot usually have blue-tinged skin because their blood doesn't carry enough oxygen.  Tetralogy of Fallot is often diagnosed during infancy or soon after.  TOF occurs in about 1 to 2000 new-born babies. Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
  • 4. TYPES OF TETRALOGY OF FALLOT Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503 The four abnormalities that make up the Tetralogy of Fallot include:  Pulmonary stenosis: It is when the pulmonary valve (the valve between the right ventricle and the pulmonary artery) is too small, narrow or stiff. It is also called pulmonic stenosis.  Ventricular Septal defect: It is an abnormal opening in the heart or hole between the two ventricles. This allows oxygen-rich and oxygen-poor blood to mix.  Right Ventricular Hypertrophy: It is an abnormal enlargement or the thickening of the right ventricular muscle.  Overriding Aorta: When the aorta is positioned directly over a ventricular septal defect instead of over the left ventricle, in this aorta gets blood from the right ventricle and causes mixing of oxygenated and deoxygenated blood.
  • 5. Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503 TETRALOGY OF FALLOT SYMPTOMS  A bluish color skin.  Clubbed fingers, or growth of skin and bone around the fingernails.  Problems with eating.  Heart murmur.  Weakness.  Prolonged crying.  Failure to gain weight.  Developmental delays or problems.  Episodes of passing out.  Tiring easily.
  • 6. RISK FACTORS FOR TETRALOGY OF FALLOT The following factors, during pregnancy, can result in a baby having Tetralogy of Fallot:  Consumption of excessive alcohol when pregnant.  Mother aged over 40.  History of Tetralogy of Fallot in the family.  Viral illness such as rubella.  Presence of Down syndrome. Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
  • 7. TEST AND DIAGNOSIS FOR TETRALOGY OF FALLOT Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503 ECG: Electrocardiogram is a test to detect and record heart’s electrical activity and help to locate the heart problem. Echocardiography: An electrocardiogram records the electrical activity in the heart each time it contracts. Chest X-ray: It show the structure of the heart and lungs. A common sign of tetralogy of Fallot on an X-ray is a "boot- shaped" heart, because the right ventricle is enlarged. Pulse Oximetry: This test uses a small sensor that can be placed on a finger or toe to measure the amount of oxygen in the blood. Also called Oxygen level measurement. Cardiac Catheterization: this test to evaluate the structure of the heart and then plan surgical treatment.
  • 8. TREATMENT FOR TETRALOGY OF FALLOT Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503 Temporary Operation • In some infants, a shunt operation may be done first to provide adequate blood flow to the lungs. This is not open- heart surgery and doesn't fix the inside of the heart. The shunt is usually a small tube of synthetic material sewn between a body artery and the pulmonary artery. The shunt is closed when a complete repair is done later. Complete repair • Complete repair is to be done early in life. The surgeon closes the ventricular septal defect with a patch and opens the right ventricular outflow by removing some thickened muscle below the pulmonary valve. Sometimes a tube is placed between the right ventricle and the pulmonary artery. This is called a Rastelli repair. Tetralogy of Fallot is treated surgically. A temporary operation may be done at first if the baby is small or if there are other problems. Complete repair comes later. Sometimes the first operation is a complete repair.
  • 9. PRECAUTIONS AFTER SURGERY  Pain medications, such as ibuprofen, may be recommended to keep the child comfortable at home.  Child's physician will discuss pain control before the child is discharged from the hospital.  After surgery, older children usually have a fair tolerance for activity.  Child may become tired easily, and sleep more right after surgery, but, within a few weeks, child should be fully recovered.
  • 10. WHY TO CHOOSE INDIA FOR ANGIOPLASTY TREATMENT India stands as a top destination for cardiac surgeries with the highest success rates from over 150,000 various cardiac procedures performed every year. The top hospitals in India are equipped with the most advanced technology and machines involved in valve replacement surgeries.  Guidance from best cardiac surgeons in India: India is known for its quality of cardiac surgery performed by some of the best heart surgeons in the world.  Save a fortune: Cost of heart surgery in India is the lowest in the world.  Opt for attractive packages: Best heart surgery hospital s in India offer attractive packages to medical tourists coming from abroad.  Mixed medical tourist population: If a patient comes for the heart surgery in India patient will get to meet medical tourist from other countries as well.  Collaborate with medical tourist companies: There are several medical tourism companies in India that offer visa assistance, travel planning, and second opinion services, while fixing an appointment with the best cardiac surgeon in India. They assist you with all your queries and needs from start to end, until you recover fully. Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
  • 11. WHY TO CHOOSE HBG MEDICALASSISTANCE FOR HEART VALVE TREATMENT HBG Medical Assistance is a company involved and dedicated in delivering quality and affordable healthcare to people from World Over coming to India in need of Medical Care and specialty treatment. We actively involved in helping patients to come to India and avail its world class and quality Medical Facilities. HBG Medical Assistance is working in association with all leading Hospitals in India and provides finest healthcare facilities. Our Services are: Advanced treatment options in India.  Quick and free medical opinion with quotes from hospitals  Availability of best doctors to treat specific disease.  Logistical support such as transportation and accommodation.  Visa Assistance and travel assistance to the patients and their Attendants.  Forex and other concierge services.  Language experts for patient support service – 24/7 service  Non-surgical and old aged Ayurveda treatments available at affordable cost. Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
  • 12. TREATING HOSPITALS AND DOCTORS Artemis Hospital Established in 2007, Artemis Hospital is a super specialty hospital in Gurugram and Delhi. The hospital have 380 beds. It is the first JCI and NABH accredited hospital in Gurugram. The hospital excels in the fields of cardiology, neurology, neurosurgery, oncology, orthopaedics and emergency care. Artemis Hospital has 300 full time doctors, 11 centres of excellence and 40 specialties. For more information please click:https://hbgmedicalassistance.com/hospitals/artemis/ Dr. Nidhi Rawal She is a Pediatric Cardiologist. She MBBS-General Physician, MD- Pediatric, Fellowship of National Board (FNB) – Pediatric Cardiology from Madras Medical Mission, Chennai 2006. Dr. Nidhi Rawal is a practicing Pediatric Cardiac Surgeon with an experience of 20 years. She has an extensive experience in Pediatric and neonatal Echo, Trans-esophageal echocardiography and has been actively involved in the Cath lab interventions at PGI. For more information please click: https://hbgmedicalassistance.com/doctors/paediatric- cardiology/dr-nidhi-rawal/ Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
  • 13. TREATING HOSPITALS AND DOCTORS Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503 BLK hospital - A passion for healing BLK super specialty hospital has a unique combination of the class technology and provide world class heath care of all the patients. They have 300 eminent consultants 17 Operation Theatre, 650 beds and 125 critical bed care. BLK has constantly ranked amongst the top 10 multi specialty hospitals in Delhi NCR, India. For more information please click: https://hbgmedicalassistance.com/hospitals/blk/ Dr. Sushant Shrivastava He is a well known and recognized Director & Sr. Consultant Cardiothoracic & vascular surgeon. He possesses a wealth of knowledge and surgical expertise which he has accumulated in a career spanning of more than 25 years. He has been widely acknowledged for his versatile and patient-centric approach. For more information please click: https://hbgmedicalassistance.com/doctors/cardiovascular- surgery/dr-sushant-srivastava/
  • 14. TREATING HOSPITAL S AND DOCTORS Jaypee hospital The flagship hospital of the Jaypee group, which heralds the group’s noble intention to enter the healthcare space. This hospital has been planned and designed as a 1200 bedded tertiary care multi-specialty facility and has commissioned 525 beds in the first phase. For more information please visit: https://hbgmedicalassistance.com/hospitals/jaypee/ Dr. Rajesh Sharma Dr. Sharma is a Pediatric Cardiac Surgeon with 29 years of specialist completed MS(General Surgery) and MCH (Cardiothoracic & Vascular Surgery) from AIIMS, New Delhi. He has performed more than 20,000 cardiac surgical procedures in his career starting from 1991 constituted by a mix of both adult and congenital heart diseases. His field of interest is the surgical treatment of complex congenital heart diseases. For more information please click: https://hbgmedicalassistance.com/doctors/paediatric-cardiac-surgery/dr- rajesh-sharma/ Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
  • 15. TREATING HOSPITAL S AND DOCTORS Apollo Hospital Apollo Hospitals, New Delhi is the first hospital in India to be Internationally Accredited by Joint Commission International (JCI) consecutively for the fifth time. It is one of the best multispecialty tertiary acute care hospitals ranked No. 1 in leading surveys with over 700 beds and 164 doctors in India and the most sought after destination in the SAARC region for healthcare delivery.For more information please click:https://hbgmedicalassistance.com/hospitals/apollo-hospitals/ Dr. Muthu Jothi Dr. Muthu Jothi is a Senior Consultant and Paediatric Cardiac surgeon at Apollo Hospitals, New Delhi, India. He has overall 20 years of rich experience. He did his MBBS, MS- General Surgery and Master of Chirurgerie (MCh) in Cardiac Surgery,Government General Hospital, Madras, India He has trained extensively in adult and paediatric cardiothoracic surgery in India. For more information please click: https://hbgmedicalassistance.com/doctors/pediatric-cardiac- surgery/dr-muthu-jothi/ Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
  • 16. TREATING HOSPITAL S AND DOCTORS Gleneagles Global Hospitals In India, Gleneagles Global Hospitals operates a chain of multi-super specialty hospitals offering tertiary and quaternary healthcare services with over 2,000 beds and state-of the-art, world-class hospitals in Hyderabad, Chennai, Bangalore and Mumbai. Gleneagles Global Hospitals also provides comprehensive multi-organ transplant services in the country. For more information please click: https://hbgmedicalassistance.com/hospitals/gleneagles-global-hospital/ Dr. Arul Narayanan Dr. Arul Narayanan is a Pediatric Cardiac Surgeon with a large experience of 17 years. He is a Pediatric Cardiologist and his expertise lies in issues related to medical diagnosis of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Dr. Arul Narayanan has treated innumerable children and his experience and knowledge keeps on growing with every patient he manages. For more information please click: https://hbgmedicalassistance.com/doctors/pediatric-cardiology/dr-arul- narayanan/ Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91-7506405503
  • 17. THANK YOU !! Contact us at- care@hbgmedicalassistance.com ; Whatsapp/Mobile No.-+91- 7506405503; To know more, https://hbgmedicalassistance.com/

Editor's Notes

  1. Source: http://tourism.gov.in/sites/default/files/Other/India%20Tourism%20Statistics%202018.pdf
  2. Source: http://tourism.gov.in/sites/default/files/Other/India%20Tourism%20Statistics%202018.pdf
  3. Source: http://tourism.gov.in/sites/default/files/Other/India%20Tourism%20Statistics%202018.pdf
  4. Source: http://tourism.gov.in/sites/default/files/Other/India%20Tourism%20Statistics%202018.pdf
  5. Source: http://tourism.gov.in/sites/default/files/Other/India%20Tourism%20Statistics%202018.pdf
  6. Source: http://tourism.gov.in/sites/default/files/Other/India%20Tourism%20Statistics%202018.pdf
  7. Source: http://tourism.gov.in/sites/default/files/Other/India%20Tourism%20Statistics%202018.pdf