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VARDAAN HOSPITAL & RESEARCH CENTRE Project Report “DISPENSARY PROJECT” By VARDAAN HOSPITAL & RESEARCH CENTRE Block Road, Kathitand, Ratu Ranchi - 835222 (Jharkhand) Page No. 1 Care
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Page 1: Final Dispensary Project

VARDAAN HOSPITAL & RESEARCH CENTRE

Project Report

“DISPENSARY PROJECT”

By

VARDAAN HOSPITAL & RESEARCH CENTREBlock Road, Kathitand, Ratu Ranchi - 835222 (Jharkhand)

PROPOSAL FOR 5 BEDDED DISPENSARY

SECTION - A

Page No. 1

Care Personified

Page 2: Final Dispensary Project

VARDAAN HOSPITAL & RESEARCH CENTRE

Project Report

(The proposal)

INTRODUCTION

A dispensary in a remote area needs to be equipped with all the basic

facilities for patient care and besides this, instruments for basic emergency

care must be available because lack of emergency care in a place far away

from city limits may give rise to unnecessary complications. Therefore,

impetus must be on providing basic, standard emergency care besides

general care, so that patient could be handled in a satisfactory manner before

being referred to a higher centre.

PARTS OF A 5 BEDDED DISPENSARY

1. Outdoor Patient Department – To cater the patients with daily general

ailments.

2. Indoor Facility with 5 beds (as demanded by the provider).

To treat simple diseases needing continuous care eg, Malaria, Diarrhea, Typhoid patients etc.

To take care of emergencies like trauma, fall, road accidents (minor) & work related accidents etc,

3. Minor O.T. facility - To do simple debridement , stitching, A/s dressing etc,

4. Pathology Department - For simple investigation of Blood, Urine, Sputum

etc, to diagnose diseases like Malaria, Typhoid, Anaemia, Jaundice, Urinary

infection, Diabetes etc.

5. X-ray Facility -

For diagnosing simple ailments like Cough, Pain Abdomen.

For emergency conditions like fractures etc,

6. Drug dispensing counter –

To dispense medicines to outdoor & indoor patients.

7. Staff Station or restroom

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8. Toilet / bathroom facilities for,

Patients

Doctors Staff,

9. Safe drinking water facilities for patients & Staff.

10. Laundry & Sweeping facility.

11. Stationary to maintain paper work,

12. Proper electricity arrangements

13. Regular electrical supply, Generator (7.5KVA) for emergency Operation & X-

ray, Invertors for uninterrupted light source in absence of electricity.

14. Ambulance - For emergency collection & referral of patients.

15. Staff ( for a 5 bedded dispensary),

Doctors - 1 or 2,

Male Nurse - 2 - skilled , 2 - semiskilled ,

Female Nurse - 2 Skilled, 2 - semiskilled.

X- ray technician - 1.

Pathology Technician - 1,

Sweeper - 1,

Washerman - 1,

OT Technician / Staff/ Assistant - 1,

Security guard - 1,

Bookkeeper - 1,

16. Godown + Sterilization Space ,

17. Other items ( Small ones . as per need on the spot),

The above list demonstrates the basic details of a dispensary for

Page No. 3

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VARDAAN HOSPITAL & RESEARCH CENTRE

Project Report

general and emergency care . The same level of intrastructure will be needed

whether a dispensary is 2 bedded or 5 bedded .Only the quantity or size of

the required facilities will vary according to the size of the dispensary planned.

DETAILES OF EACH FACILITY WITH APPOXIMATE BUDGET

Now the details of each department with their approximate budget are

being described as follows-

1. OUTDOOR PATIENTS DEAPERTMENT

It will be divided in 2 parts :

(a) Patients' registration and Waiting area,

(b) Doctor's Chamber.

(a) PATIENTS' REAGISTRATION & WAITING AREA

Following Items Will be Needed For This -

S.N.

Item No. Approx Price Type of Expenditure

P. Unit Total Monthly One Time1 Table for bookkeeper 1 4000 4.000.00 One Time

2 Chair for bookkeeper 1 450 450.00 One Time

3 Stationary for bookkeeper 1 1000 1,000.00 Monthly

4 Chairs for waiting patients 6 500 3,000.00 One Time

5 Doormats / curtain /table cloths etc for waiting / registration area

1 1500 1,500.00 One Time

6 Dust bin (covered) 1 350 350.00 One Time

7 Miscellaneous items (as per need on the spot)

500.00 One Time

Total 10,800.00 1000.00 9,800.00

(b) DOCTORS CHAMBERS

Following items will be needed for this .

S.N.

Item No. Approx Price Type of Expenditure

Per Unit Total Monthly One Time

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Project Report

1 Doctor's Chair 1 3000 3,000.00 One Time

2 Doctor's Table 1 5000 5,000.00 One Time

3 Patient's stool (revolving) 1 1200 1,200.00 One Time

4 Attendant's Chair 2 400 800.00 One Time

5 Examination Table + Mattress

1 7500 7,500.00 One Time

6 Weighing machine 1 850 850.00 One Time

7 Torch 1 100 100.00 One Time

8 Stethoscope 1 500 500.00 One Time

9 B.P machine 1 1800 1,800.00 One Time

10 Towel 1 250 250.00 One Time

11 Table cloth 1 300 300.00 One Time

12 Washing bowl + stand 1 1500 1,500.00 One Time

13 Thermometer 1 25 25.00 One Time

14 Hammer 1 100 100.00 One Time

15 Tape 1 30 30.00 One Time

16 Exam table side screen 1 3500 3,500.00 One Time

17 Stationary - Prescription pad, pen etc

1 1000 1,000.00 Monthly

18 Dustbin 1 300 300.00 One Time

19 Doormats / Curtains / bedssheet etc

1 2000 2,000.00 One Time

20 miscellaneous items (as per need on the spot)

One Time

Total 29,755.00 1000.00 28,755.00

2. INDOOR FACILITY WITH 5 BEDS: S.N.

Item No. Approx Price Type of Expenditure

P. Unit Total Monthly One Time1 Patients Bed Simple 4 5000 20,000.00 One Time

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Project Report

2 Patient bed emergency 1 8500 8500.00 One Time

3 I.V. Stand 5 1200 6,000.00 One Time

4 Bed mattress 5 2000 10,000.00 One Time

5 oxygen cylinder set 2 8500 17,000.00 One Time

6 B.P. Machine 2 1800 3600.00 One Time

7 Stethoscope 2 500 1000.00 One Time

8 Bed side locker 5 2300 11,500.00 One Time

9 Stretcher (folding) 1 2000 2000.00 One Time

10 Stretcher (with wheels) 1 7000 7000.00 One Time

11 Dressing trolley 1 6700 6700.00 One Time

12 Attendants stools (revolving)

2 1200 2,400.00 One Time

13 Bedside Screen 3 3500 10,500.00 One Time

14 Urine pot 5 300 1500.00 One Time

15 Stool Pot 1 400 400.00 One Time

16 Splint ( Bohler - brown) 1 3000 3000.00 One Time

17 Dust bin 5 350 1,750.00 One Time

18 (For nurses) Table 1 3000 3000 One Time

19 (For Nurses) Chairs 2 400 800.00 One Time

20 Almirah for instruments & linen

1 6250 6,250.00 One Time

21. Linen - Bedsheets 10 250 2,500.00 One Time

- Pillow covers 10 100 1,000.00 One Time

- Rubber sheets 10mt 150 1,500.00 One Time

- Pillows 5 200 1000.00 One Time

22. Doormats/ Curtains etc 1Set 3000 3000.00 One Time

23. Miscellaneous items (as per need arises on the spot)

Total 1,31,900.00 0.00 1,31,900.00

3. MINOR OPRATION THEATRE FACILITY:

S. Item No. Approx Price Type of Expenditure

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Project Report

N. P. Unit Total Monthly One Time1 OT LIGHT (4 DOME)

(ABCO/MED)1 18000 18,000.00 One Time

2 OT TABLE + MATRESS (NONHYDRAULIC BASIC)

1 25000 25,000.00 One Time

3 STEPS 1 1500 1,500.00 One Time

4 IV STAND 1 1200 1,200.00 One Time

5 OXYGEN CYLINDAR SET

1 8500 8,500.00 One Time

6 SUCTION MACHINE MANUAL

1 6000 6,000.00 One Time

7 SUCTION MACHINE AUTOMETIC

1 10800 10,800.00 One Time

8 MCINTOSH / PLASTIC APRONS

12 150 1800.00 One Time

9 OT TROLLEY 1 8000 8000.00 One Time

10 INSTRUMENTS FOR BASIC PROCEDURES & A/S DRESSING

** FULL RANGE OF BASIC INSTRUMENTS (Details given in Page no. 8)

17,330.00 One Time

11 INSTRUMENT DRUMS 9"

3 1000 3000.00 One Time

12 INST. DRUMS 11" 3 1200 3600.00 One Time

13 AUTOCLAVE SINGLE DRUM GAS

1 5500 5500.00 One Time

13 A

AUTOCLAVE SINGLE DRUM ELECTRIC

1 8500 8500.00 One Time

14 STERILISER (FOGGER ) (5LIT.)

1 7000 7000.00 One Time

15 OT TOWELS & GOWNS (1 DZEN EACH)

1 Set 12000 12000.00 One Time

16 MASKS & CAPS DISPOSABILPROCED

1 Box 300 300.00 Monthly

17 SLIPPERS 6

Pairs

100 600.00 One Time

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Project Report

18 GLOVES 2

Box

1000 2000.00 Monthly

19 MISCELLANEOUS (AS PER NEED)

Total 1,43,330.00 2,300.00 1,41,030.00

** INSTRUMENTS FOR BASIC PROCEDIRES & A/S DRESSING

S.No.

Item Approx Price Type of Expenditure

P. Unit Total Monthly One Time1 ARTERY FORCEFS One Time

Small 6 150 900.00 One Time

Medium 6 200 1200.00 One Time

Large 6 300 1800.00 One Time

2 ALLIS FORCEPS One Time

Small 6 150 900.00 One Time

Medium 6 200 1200.00 One Time

Large 6 300 1800.00 One Time

3 STRAIGHT SCISSORS One Time

Small 2 150 300.00 One Time

Medium 2 200 400.00 One Time

Large 2 300 600.00 One Time

4 CURVES SCISSORS One Time

Small 2 150 300.00 One Time

Medium 2 200 400.00 One Time

Large 2 300 600.00 One Time

5 KIDNEY TRAY One Time

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Project Report

Small 2 100 200.00 One Time

Medium 2 100 200.00 One Time

Large 2 200 400.00 One Time

6 RECTANGULAR TRAY

One Time

Small 2 180 360.00 One Time

Medium 2 240 480.00 One Time

Large 2 380 760.00 One Time

7 SINUS FORCEPS 1 250 250.00 One Time

8 PLAIN HOLDING FORCEPS

One Time

Med 2 75 150.00 One Time

Large 2 150 300.00 One Time

9 TOOTH HOLDING FORCEPES

One Time

Med 2 75 150.00 One Time

Large 2 150 300.00 One Time

10 STITCH CUTTING SCISSORS

1 110 110.00 One Time

11 SPONGE HOLDERS 2 190 370.00 One Time

12 SIM'S SPECULUM (BRASS)

Small 1 500 500.00 One Time

Large 1 700 700.00 One Time

13 PROCTOSCOPE (BRASS)

One Time

Small 1 500 500.00 One Time

Large 1 700 700.00 One Time

14 NEEDLE HOLDER

Medium 1 200 200.00 One Time

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Large 1 300 300.00 One Time

15 MISCELLANEOUS ( AS

PER REQURIMENT)

TOTAL 17,330.00 0.00 17,330.00

4. PATHOLOGY DEAPARTMENT :

S.N.

Item No. Approx Price Type of Expenditure

P. Unit Total Monthly One Time1. COLORIMETER

(BEACON)1 7000 7000.00 One Time

2. CENTRIFUGE MACHINE (REMI)

1 4000 4000.00 One Time

3. MICROSCOPE BINOCULAR (MICRON)

1 18000 18,000.00 One Time

4. HB METER (TOP) 1 900 900.00 One Time

5. MICROPIPETTE VARIABLE (HBL)

1 2000 2000.00 One Time

6. GLUCOMETER (JOHNS. & JOHNS.)

1 1250 1250.00 One Time

7. TESTTUBES & TEST TUBE HOLDER

1 Set 1500 1500.00 One Time

8. ESR STAND (BOROSIL) 1 500 500.00 One Time

9. ESR TUBE 1 Set 300 300.00 One Time

10. INCUBATOR (ACNE) 14" * 14"

1 5500 5500.00 One Time

11. DIAGNOSTIC STRIPS & KITS FOR DIFFERENT DISEASES (Details Given below) ***

9,350.00 Monthly

12. MISCELLANEONS (AS PER REQURIMENT)

1000.00

TOTAL 51,300.00 9,350.00 41,950.00

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Project Report

* * * STRIPS & KITS & CHEIMCALS FOR DIFFERENT DISEASES:

S.

N.

Item No. Approx Price Type of Expenditure

P. Unit Total Monthly One Time

1. MALARIA KIT 1 Box 1500 1500.00 Monthly

2. PREGANCY KIT 1 Box 500 500.00 Monthly

3. HEPATITIS KIT 1 Box 1000 1000.00 Monthly

4. HIV KIT 1 Box 2000 2000.00 Monthly

5. URINE DIPSTIC 1 Box 500 500.00 Monthly

6. CHEMICALS FOR

TYPHOID TEST

1 Box 300 300.00 Monthly

7. CHEMICAL FOR BL.

UREA / & CREATININE

1 Box 500 500.00 Monthly

8. CHEMICAL FOR S.

LRILINITINE ( JAUNDICE)

1 Box 300 300.00 Monthly

9. CHEMICAL FOR

BLOOB GROUP &

TYPING

1 Box 500 500.00 Monthly

10. GLUCOMETER STRIPS 1 Box 1250 1250.00 Monthly

11. MISCELLANEOUS

CHEMICAL & STRIPS

1000.00

TOTAL 9,350.00 9,350.00

5. X- RAY FACILITY - This needs the following

X-ray room

Dark room

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Project Report

X-ray machine accessories

S.

N.

Item No. Approx Price Type of Expenditure

P. Unit Total Monthly One Time

1. X-RAY MACHINE

(100MA) (As per Choice)

1 One Time

GE 2.5 lakh One Time

MEDITRONICES 1.5 lakh One Time

SIEMENS 2.5 lakh One Time

ALLENGER 1.6 lakh One Time

ADONIS 1.5 lakh One Time

2. PATIENTS TROLLEY

FOR X- RAY(BUCKY

TABLE) (For Adonis

and Meditronics)

1 35,000 .00 One Time

PATIENTS TROLLEY

FOR X- RAY(BUCKY

TABLE) (For Others)

1 65,000.00

3. INSTRUMENTS OF DARK ROOM

X-Ray Plates One Time

8” x 10” 1 Box 1500.00 1500.00 One Time

10” x 12” 1 Box 2000.00 2000.00 One Time

12” x 15 1 Box 2500.00 2500.00 One Time

Fixer 1 Box 500.00 500.00 One Time

Developer 1 Box 500.00 500.00 One Time

Patients Gown 2 2 Pair 2000.00 4000.00 One Time

Lead Appon For

Technician

1 3500.00 3500.00 One Time

Blue Base Screen With

Cassette

One Time

8” x 10” 1 Box 2200.00 2200.00 One Time

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10” x 12” 1 Box 3200.00 3200.00 One Time

15” x 18” 1 Box 4500.00 4500.00 One Time

CHEST STAND 1 1500.00 1500.00 One Time

BLOCKER 1 500.00 500.00 One Time

SAFE LIGHT 1 400.00 400.00 One Time

RADIO OPAQUE

LETTERS /DIGITS

1 Set

Each

300.00 300.00 One Time

CLIPS 4 200.00 800.00 One Time

HANGER One Time

12"* 15" 1 450.00 450.00 One Time

10" * 12" 1 500.00 500.00 One Time

MISCELLANEONS (AS

PER REQURIMENT)

500.00

TOTAL 29,350.00 29,350.00

6. DRUG DISPENSING COUNTER

This will need -

1 CHAIR

1 TABLE

4 ALMIRAHS TO KEEP MEDICINES

PHARMACY ITEMS

SURGICAL ITEM

Chair 1 400.00/- 400.00

Table 1 3000.00/- 3,000.00

Almirahs 4 6200.00/- Each 24,800.00

Pharmacy Items Full Range of Basic Medicines

50,000.00 (Initially)

Surgical Items Full Range of Surgical Items

50,000.00 (Initially)

Total 1,09,600.00

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7. STAFF STATION OR REST ROOM

BED+MATTRESS 3000.00

2 CHAIRS 800.00

CURTAIN + BEDSHEET + PILLOW ETC 1000.00

Total 4,800.00

8. TOILET / BATHROOM FACILITIES FOR

Doctors - equipped with basic accessories as soap freshener, mug,

bucket, etc,

500.00

Patients - mug bucket etc 500.00

Total 1,000.00

9. SAFE DRINKING WATER FACILITIES WILL HAVE

S.N.

Item No. Approx Price Type of Expenditure

P. Unit Total Monthly One Time1. AQUA GARD 1 8000 8000.00 One Time

WATER FILTERS 1 1000 1000.00 One Time

Total 9,000.00 9,000.00

10. SWEEPING FACILITIES :-

S.N.

Item No. Approx Price Type of Expenditure

P. Unit Total Monthly One Time1. BROOMS 2 100 200.00 Monthly

2. SWEEPING BRUSHES 2 400 800.00 One Time

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3. MUGS 2 100 200.00 One Time

4. BUCKETS 2 500 1000.00 One Time

5. PHENYL 1000.00 Monthly

6. HAND WASH 1000.00 Monthly

Total 4,200.00 2000.00 2,200.00

11. LAUNDARY :-

1 WASHERMAN ( LOCAL, ON CALL)

MONTHLY EXPENDITURE :- 3000/- APPROX.

12. STATONARY TO MAINTAIN PAPER WORK (MONTHLY EXPENDITURE)

S.

N.

Item No. Approx Price Type of Expenditure

P. Unit Total Monthly One Time

1. REGISTERS 6 100 600.00/- Monthly

2. PENS 15 10 150.00/- Monthly

3. PRESCRIPTION

PADS

1000 1000.00 Monthly

4. WHITENER 1 30.00 Monthly

5. FILES 10 300.00 Monthly

6. STAMP PADS &

STAMPS ETC

5 250.00 One Time

Total 2,330.00 2,080.00 250.00

13. ELECTRICITY ARRANGEMENTS

a. (1400 VA INVERTOR WITH BATTERIES) Rs. 35,000.00

b. 7.5 KVA Air Cooled Generator (Kirlosker) Rs. 85,000.00

Page No. 15

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Project Report

Total Rs. 1,20,000.00

14.AMBULENCE- OPTIONAL, AS IT IS ALREADY AVAILABLE AS

INFORMED.

15.STAFF

S.N.

Item Approx Price Type of Expenditure

P. Unit Total Monthly One Time

1. DOCTORS 2 Part Time 35,000.00/- Monthly

2. MALE NURSE 2 Skilled 14,000.00/- Monthly

3. MALE NURSE 2 Semi killed 10,000.00/- Monthly

4. FEMALE NURSE 2 Skilled 14,000.00/- Monthly

5. FEMALE NURSE 2 Semiskilled 10,000.00/- Monthly

6. X-RAY TECHNICIAN 1 8,000.00/- Monthly

7. PATHOLOGIST 1 10,000.00/- Monthly

8. SWEEPER 1 5,000.00/- Monthly

9. OT ASSISTANT 1 7,000.00/- Monthly

10. SECURITY GUARD 1 5,000.00/- Monthly

11. BOOKKEEPER 1 5,000.00/- Monthly

Total 1,23,000.00 1,23,000.00

16.GODOWN + STERILISATION SPACE - OPTIONAL

17.OTHER ITEMS (SMALL ITEMS AS PER NEEDS THE SPOT) - Will need an

emergency fund of 15000/- approx. monthly.

FINAL BUDGET :

S.N.

Particulars Budget

Total Monthly One Time

Page No. 16

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1. Outdoor Patient Department 10,800.00 1000.00 9,800.00

Doctor’s Chamber 29,755.00 1000.00 28,755.00

2. Indoor Facilities with 5 Beds 1,31,900.00 1,31,900.00

3 Minor OT Facilities 1,43,330.00 2,300.00 1,41,030.00

4 Pathology Department 51,300.00 9,350.00 41,950.00

5 X-Ray Machine (Adonis) 1,50,000.00 1,50,000.00

X-Ray Table for Adonis 35,000.00 35,000.00

Dark Room Facilities 29,350.00 29,350.00

6 Drug Dispensing Counter 1,09,600.00 1,09,600.00

7 Staff Station or Rest Room 4,800.00 4,800.00

8 Toilet / Bathroom Facilities 1,000.00 1,000.00

9 Safe Drinking water facilities 9,000.00 9,000.00

10 Sweeping facilities 4,200.00 2000.00 2,200.00

11 Laundry facilities 3000.00 3000.00

12 Stationary to maintain paper

work

2,330.00 2,080.00 250.00

13 Electricity Arrangement 1,20,000.00 1,20,000.00

14 Ambulance facilities Available

15 Staff 1,23,000.00 1,23,000.00

16 Others Items (Miscellaneous) 15,000.00 15,000.00

Total 9,73,365.00 1,59,730.00 8,13,635.00

Consultancy and dispensary management fees will be (10% of) total fixed

budget + (15% of) total monthly running budget.

"SECTION - B"

(OUR BRIEF HISTORY)

1. INTRODUCTION:

Page No. 17

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Project Report

Vardaan Hospital & Research Centre is a 15 bedded hospital situated

at Ratu block , in outskirts of Ranchi. We are basically a periphery based

hospital concentrating mainly at providing health care to people at village &

block level. This hospital is being run by Dr. Namita Singh (MBBS,DGO),a

young gynecologist dedicated solely to treatment of patients at the hospital

and Dr. K. P. Singh (MBBS,MS), a surgeon, who helps her in all aspects of

the management as her husband & colleague.

2. OUR EXPERIENCE IN RUNNING PERIPHERY BASED HOSPITALS:

Our own hospital at Ratu block , Ranchi is running successful for last

two & a half years.

We have run a small dispensary named " Life Line Hospital" at Patratu,

Ramgarh, successfully for four years.

Dr K. P. Singh was personally attached to "Jindal Steel & Power Ltd "

in Patratu area for 2 years and helped the management to develop the

dispensary setup & organize health camps in remote areas around the

steel plant.

We are attached directly with govt. owned schemes for poor people &

providing free treatment to them through schemes like " RASHTRIYA

SWASTHYA BIMA YOJANA (RSBY)"& Jharkraft owned " ICICI

Lombard weavers health policy."

3. OUR FUTURE PROJECTS :

In June, 2012 (less then 15 days from now), we are starting a small

dispensary at Chaibasa in Collaboration with "ICICI Lombard

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Project Report

sericulture health policy " to provide health care to sericulture workers

& organize health camps funded by Jharkhand govt.

There are plans of setting small dispensaries of the same type in

Lohardaga & Simdega districts also within next 3 - 4 Months.

Note-

We are open to discuss the proposal and its parts in detail and

available to help in evolving the plans for a basic but standard dispensary

facility as per your requirement.

Regards,

Dr. Namita Singh & Dr. K. P. Singh,

Vardaan Hospital & Research Center,

Block Road, Ratu, Ranchi-835222 (Jharkhand).

Page No. 19


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