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.

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ENGINEERS INDIA RESEARCH INSTITUTE
4/54, Roop Nagar, Delhi-110007 (India)
Phone: 9289151047, 9811437895, 9811151047
E-mail: eiri@eiriindia.org
Website: www.eiriindia.org
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.

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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.

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CONTENTS
• INTRODUCTION
• INDUSTRY OVERVIEW
• MACROECONOMIC OVERVIEW OF INDIA
• GDP LOGGED 5.5% CAGR BETWEEN FISCAL 2012 AND FISCAL 2022
• 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
WELLBEING
• HEALTH AND WELLBEING – EXPENDITURE
• KEY BUDGET PROPOSALS FOR FISCAL 2023 TO FISCAL 2024
• FUNDAMENTAL GROWTH DRIVERS OF GDP
• BY 2030, INDIA’S POPULATION IS PROJECTED TO TOUCH 1.5 BILLION
• 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)

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• 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

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• 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:

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• 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

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• 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

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• 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

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• 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

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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)

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• 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

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• 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:

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• 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

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• 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

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• 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

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• 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

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• 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)

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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%