This document outlines the various expenses incurred in running a general practice clinic. It estimates expenses for clinic space rental or purchase, stationery, record keeping, medical equipment purchase and maintenance, staff salaries, medicines, laboratory investigations, taxes, donations, continuing education, travel, utilities, cleaning, and entertainment. Expenses are estimated on a per patient basis, ranging from Rs. 1-10 per patient for most items. Total estimated expenses work out to around Rs. 50-60 per patient. The document stresses setting consultation fees higher than total expenses and maintaining proper accounts from the beginning.

1. ECONOMICS of GENERAL PRACTICEDR.AVINASHBHONDWE

2. CLINIC SPACE200-300 Sq. FtPurchase 5000/- to 10,000/- per SqFtInterest at 12% p.a.Rent : Installment : 5000/- to 30,000/- per monthUp to Rs. 30/- per Patient in 40 patients a day

3. STATIONARYPrescription PadsCertificatesBills & ReceiptsReferral padsDispensing PacketsFilesAverage Expenses- Rs. 1000/- per MonthRs. 1/- per Patient

4. RECORD KEEPINGCase PapersAccounts Printing Charges Rs. 1/- perFiles pageMaintenance of records- FilesComputersPrinters, UPS, InvertersSoftwareElectricityAverage Rs. 2000/- per MonthRs. 2/- per patient

5. Equipments & MaintenanceStethoscopeWeighing ScaleBP ApparatusTorches, CellsGlucometerNebuliserECGSurgical InstrumentsIf Rs. 1,00,000/- initiallyRs. 20000/- per year & 1667/- per MonthRs.1.67 per patient

6. STAFF SALARIESMinimum Rs.5000/- per staffMore the patients more the staffAdvertisementsBonusGiftsMin. Rs. 5/- per staff per every patient seen

7. MEDICINES PURCHASEMin. purchase Rs. 5000/- per monthMore the patients more the expensesRs. 10/- per patient

8. INVESTIGATIONS & LABCollection Charges- Rs. 5 per sampleCleaningCommunications

9. TAXES & DUTIESSociety Maintenance- 2000/-Municipal Tax- 4000/-Professional Tax- 2500/-Shop Act- 3000/-Biomedical Waste- 2000/-Income Tax- 40000/-Insurance- Vehicles, Indemnity, Accident, LIC Rs.25000Total 78,500/- per year; Rs. 6500 per monthRs. 6.50 per patientPay Taxes & Be a Good Citizen

10. DONATIONS & CONTRIBUTIONSProfessional Organizations- IMA,GPAFestivals: Ganpati,Holi, GokulashtamiMandirs- RenovationsTrusts & Social CauseRs. 10,000/- per year Rs. 833/- per month Rs.8.33 per patient

11. SELF EDUCATION CMEConferencesBooksMedical MagazinesCDsRs. 15000/- per yearRs.1250/- per monthRs. 1.25 per patient

12. TRAVELTo & fro DailyVisitsVehicle- interest, Maintenance, Petrol, PUC, InsuranceRikshaw, BusRs. 5000/per monthRs.5/- per patient

13. ELECTRICITY & WaterElectricity- Rs. 500/- to 1000/- per monthWater- Rs. 500/- per monthRs. 1.50 per patient

14. CLEANING & SANITATIONCleaning of ClinicSweeperMaintenance- Dustbins, Bags, Phenyle, Soaps, Brooms,DustersPlumberAvg Rs. 1200/- per monthRs. 1.20 per patient

15. ENTERTAINMENTTea –Coffee LunchNewspapers, MagazinesAvg Rs. 3000/- mthRs.3/- per patient

17. CONSULTATION FEESYOUR FEES SHOULD BE MORE THAN THE EXPENSES INCURREDDON’T GO BY NEAR BY COMPETITORS RATESPROFESSION DOES NOT MEAN SOCIAL SERVICE

18. ACCOUNTSKEEP BOOKS OF ACCOUNTS FROM DAY 1KEEP ALL PAYMENTS BY CHEQUESKEEP A FILE FOR EXPENSESKEEP A DAILY REGISTER OF PATIENTS SEEN WITH FEES COLLECTEDTAKE A REVIEW EVERY MONTHTRY TO ANALYSE THE PROFITABILITYREVISE YOUR CHARGES AS PER INFLATION