MEDICAL DEPARTMENT

MCDOFOR THE MONTH OF Nov/ 2015

(PERIOD FROM 21.10.2015 to 20.11.2015)

For kind attention of CHIEF MEDICAL DIRECTOREAST CENTRAL RAILWAYHAJIPUR

( Dr. Sanjay Kumar )

1

Total No. of Serving Employees: 81411Total No. of RELHS Card Holders Registered 08 in this month (Total= 411) No. of Beds in Hospital:-73

During the month

During the same month last year

Cumulative figure since April till reporting month

I MEDICAL SERVICES -

A Curative Services:-

1 Quantitative Performance :

i a No. of patients treated in OPD of Hospital 9640 8913 78005

B No. of patients treated in OPD of Health Units Not applicable

Not applicable

C Total No. of patients treated in OPD 9640 8913 78005

Ii No. of patients treated in IPD 359 280 2512

Iii Diagnostic investigations (excluding CT&MRI)=Radio =540X-ray =676Lab =35181Eye=(Autorefractometry-110+Tonometry-145+HFA02+02+A.Scan-15+B.Scan-02) =274ICU=(ECG-110+CVP line-01+Trop T-16)=127Dental =339Gynae= (CTG-45, CX Niopsy-01) =46 Dialysis =70Card (ECHO-86+TMT-01+PFT-22) =392

37645 31681 3,23,646

iv a No. of CT Scans & MRIs 40 29 319

B b) Investigation other than CT & MRI 38 46 871

A HIV tested 270 234 1975

B HIV detected Nil nil 01

C Current pool size of HIV 05 03 05

D No. of Deaths nil nil nil

vi Confinements: -

A No. of confinements in Rly. Hospitals 26 21 164

B No. of them low birth Weight babies(<2.5 kg) 01 01 34

vii No of Operations

A No. of Specialised Operations & operations taken more than 4 hrs. nil Nil Nil

B Major Operations (including Cataract operations) 67 41 532

2

During the month

During the same month last year

Cumulative figure since April till reporting month

C Minor Operations 60+ 47(dental)= 107

163 1094

D No. of Cataract operations without IOL Nil Nil Nil

E No. of Cataract operations with IOL 08 08 57

F Grand Total of Operations 174 212 1719

2 Qualitative Performance :

I Mortality in Hospitals (Numbers only) 10 06 94

Ii Bed occupancy rate (BOR) 76% 69.45%

Iii Average length of Stay (ALS) 06 7.4

Iv No. of patients referred to other non-Railway hospital for indoor treatment

13 09 83

V Quality of Drugs N/A n/a

A No. of samples sent for analysis Nil nil 14

B No. of results received (Details if sub-std) Nil nil 12 (Nil sub std.)

Vi Local Purchases (In Rs.)

Cash purchase 3,65,000/- 169631 27,65,461

Bulk purchase including emergency purchase (7A+7B+7C)

14950+nil+77728

92678.00 587192 8197620

Vii Bills passed during the month on account of treatment, investigations etc at :

A Private Hospitals (Recognized) 3,00,000 121246 1162080

B Government Hospital Nil nil 25109

C Bill passed on account of Reimbursements (A + B) 3,00,000 121246 1187189

B Industrial Health.

I RMC - N/A Nil

A No. of RMC 01(Gaz) N/A Nil

3

B Man-days loss due to RMC 10 Days N/A 197

During the month.

During the same month last year.

Cumulative figure since April till reporting month

C Man-days loss due to RMC (in %) Nil Nil Nil

Ii IOD / HOD Nil Nil Nil

A No. of IOD/HOD Nil Nil Nil

B Man days loss due to IOD/HOD Nil Nil Nil

C Man days loss due to IOD/HOD ( in %) Nil Nil Nil

Iii PMC Nil Nil Nil

A No. of PMC Nil Nil Nil

B Man days loss due to PMC Nil Nil Nil

C Man days loss due to PMC (in %) Nil Nil Nil

Iv No. of employees on RMC for more than one year Nil Nil Nil

C Total No. of Medical Exam/Boards 01 Nil

I Candidate 01 Nil

Ii PME Nil Nil Nil

Iii Medical Board Nil 04 Nil

II HEALTH SERVICES :

A FOOD SAMPLES (FSS) Nil Nil Nil

I No. of Food samples collected Nil Nil Nil

Ii No. of reports of adulterated samples Nil Nil Nil

Iii No. of prosecutions launched Nil Nil Nil

Iv No. of awarded punishment Nil Nil Nil

B FOOD SAMPLES (Quality Control) Nil Nil Nil

I No. of Food samples collected Nil Nil Nil

Ii No. of reports of adulterated samples Nil Nil Nil

Iii No. of recommended for fine Nil Nil Nil

4

During the month

During the same month last year

Cumulative figure since April till reporting month

C WATER SAMPLES. Nil Nil

i For Bacteriological Test :

a No. of samples tested N/A nil 01

b No. of Samples fit N/A nil 01

ii For Residual Chlorine Test :

a No. of Samples tested N/A nil 02

b No. of Samples fit N/A nil 01

III MEDICAL AUDIT :

No. of medical audits done 05 03 40

No. of Doctors on unauthoritised absence 01 01 01

Training (for one week & above)

I Gazetted nil nil NIL

Ii Non-Gazetted nil nil 03

Attended Scientific seminars, conferences & Workshop etc.

I Gazetted Nil nil 07

Ii Non-Gazetted 4 nil 02

V NON RAILWAY EARNINGS ( in Rs.)

1350/-(OPD) +Nil/- (IPD)

1350/- 1950 199977

VI Total No. of M & P equipments available 63 63

No. of them under comprehensive AMC nil 06 06

Total nos. of M&P equipments out of order more than 3 months

nil 01 01

VII MEDICAL SERVICES PROVIDED :

Progress of provision of the Augmented First-Aid facilities nil

I No. of trains where Augmented First-Aid Boxes have been provided.

Nil nil Nil

5

During the month

During the same month last year

Cumulative figure since April till reporting month

Ii No. of staff completed first-aid training during the month Nil nil Nil

Ii No. of inspection covered by Medical Officers Nil nil 02

Iv No. of passengers provided Medical Aid during journey at train/stations/yards etc (Numbers).

Nil nil Nil

V No. of Railway accident calls attended. Nil nil Nil

Annnexure-3

Annexure 1 & 2 not concerned with CH/Patna

NAME OF DIVISION CSSH/Patna

MISSION ITEM TARGET (MEDICAL) FOR THE MONTH:- July ’15

Sl.No.

ItemMonthlyTarget

AchievementCumulative

since April’.........

1 Major Surgeries+ With IOL 50 59+08=67 548

2 Minor Surgeries:-

OT+Dental:-

50 60+ 47(dental)= 133

987

3 Total No. of Surgeries 100 174 1553

4 Man days lost due to RMC & IOD (in %) <1.5% Nil Nil

5 Bed Occupancy Ratio 50% 76%

6 PME Disposal on 1st Day (In %) 25% Not done in CH/Patna

7 Drug Analysis* 02 Nil 16

8 Medical Audit 05 5 35

9 MPHD / Health Camps 02 nil 14

6

10 Drinking water testing (Bacteriological) 30 N/A 03

11 Drinking water testing (Residual chlorine) 700 N/A 06

12 Drinking water testing (Chemical examination) 01 N/A Nil

13 Food Sample Testing (Under FSSA) 2 per FSO 01 Nil Nil

14 Food Sample Testing (Under Quality Control) 20 Nil Nil

15 Cleanliness Drive at Station 06 Nil Nil

16 Cleanliness Drive at colony 03 Nil Nil

Annexure-4

NAME OF DIVISION.CH/Patna DETAILS OF PATIENTS REFERRED TO PRIVATE HOSPITALS DURING THE MONTH …………

Sl.

No

Name of patient

Shri/Smt.

Age (Yr

)

Sex

Relation & name of

employee

Design Dept Stn Disease RELHS

Adm/ Cons/Inv

Prim/Sec/Tert care

1 Kalyani Devi 29 F Wife of S.K.Pandey

Porter Optg. Kulhariya

20 week twin

(Preg) IVF

- Rajeshwar Hospial/Patna

Tert care

2 Anjali Rani 28 F Wife of Prashat Kumar

T.Man Engg. Siwan

Pinnigravida a/w dengue fiver

- Rajeshwar Hospial/Patna

Tert care

3 Pramod Kumar Prasad

52 M Self CI Comm. HJP CKD - Rajeshwar Hospital, Patna

Tert care

4. Sarswati Devi 60 F Wife of J.L.Paswan

Ex. CWS

Engg. DNR CKD RELHS

Ruban Memorial Hospital, Patna

Tert care

5. Rajeshwar Prasad

66 M Self Ex. CWS

CWS Patna CAG RELHS

Jeevak heart Hospital/Patn

a

Tert care

6. Smt. Mahal Devi

60 F w/o Haridhyal

Rai

Ex. Tech-1

Carrage SEE Aqute Subdural Hematoma

RELHS

Rajeshwar Hospital,

Patna

Tert care

7. Bhawna Sinha 30 F Wife of A.K.Sinha

LP (E) TRS Cal breast - Mahavir Hospital,

Patna

Tert care

8. Dharmender 25 M Self T.Man Engg. Japla Rt. Renal - Ruban Memorial Tert care

7

Kumar Pandit stone Hospital, Patna

9. Naresh Kumar Pandey

57 M Self Asst. Teacher

Personnal

MGS HTM for CAG

- Jeevak Heart Hospital, Patna

Tert care

10. 07 days old man child

07 M Son of Tej Narayan

Singh

G.Man Optg. MGS CKD - Jeevak Heart Hospital, Patna

Tert care

11. Sumitra Devi 60 F Wife of Nagina Sharma

Ex. Carpent

er

C&W Gaya Cancer RELHS

Mahavir Hospital, Patna

12. R.K.Singh 58 M Self Chief CCI

Comm HJP CHB - Jeevak Heart Hospital, Patna

Tert care

13. Rajeshwar Prasad Singh

73 M Self Ex. OS Mech SEE Traumatic left side decipital region Bleed

RELHS

Rajeshwar Hospital,

Patna

Tert care

DISTRIBUTION OF REFRRED CASES

HOSPITAL SPECIALITY DISEASE No. of CASES

Jeevak Heart Hospital / Patna Heart CAD, CHB & HTM for CAG 04

Heart Hospital / Patna Heart - Nil

Rajeswar Hospital / Patna General Surgery 20 week twin (Preg) IVF, Pinnigravida a/w dengue fiver, CKD & Aqute Subdural Hematoma

05

Ruben Memorial Hospital / Patna Nephrology Rt. Renal stone & CKD 02

Mahaveer Cancer Sansthan/Patna Cancer Cancer 02

  TOTAL  13

Referrals Non Railway Hospital + Govt. Hospital Railway Hospital Total

  Tertiary Care

Secondary

Care Total Tertiary Care  

ADMISSION 13 + 12 - 25 21 46

OPD --

- - -

TOTAL 25 - 25 21 46

8

Annexure – 5

Name of Divisions:- CSSH/Patna

BILL OF PRIVATE HOSPITALS FOR TREATMENT OF RAILWAY BENEFECIARIES

S.N Name of the Hospitals

Total no. of Bills up to the month

Total amount claimed up to the month in Rs.

Total amount paid up to the Month in Rs.

Pending bills and amount up to the month

Remarks

1 Jeevak Heart Hospital/Patna

14 1214460 NIL 14 1214460

2 Heart Hospital /Patna

10 848466 NIL 10 848466 Old bill not passed due to non availability of CMD permission letter

3 Rajeshwar Hospital/Patna

56 2431979 405684 37 2026295 Old bill not passed due to non availability of CMD permission letter, , and bills which had permission letter are being passed and

4 Ruban Memorial Hospital/Patna

09 1355674 NIL 09 1355674 Bill will be passed soon.

5 Mahavir Cancer Sansthan

13 336128 NIL 13 336128 Old bills , Bill will be passed soon.

A

9

Annexure 6 & 7 not concerned with CH/Patna

Annexure-8

(A)M&P Items sanctioned and progress as on ………../ 2015Sl.

No.

Description with cost Sanction year

HQ store Case No.

Present status

1 Fully automated microbiology Identification &AST System.

2012-13 - Open tender on Jan/15. File with store dept.

2 Q Swich Nd YAG laser 2011-2012 09/11/6064 File Sent to store Dept.

3 Height Adjustable comprehensive infant Care system including baby weighing

2011-2012 File with Sr.DMO /Paed. For disposal of file since long period .

4 Digital OPG X-ray machine

2009 09/12/6061 File resent to store dept.

5 Multiparamonitor 2009 09/12/6078 Tender opened File resent to store dept.

6. Storage cabinet 2009 16/12/2008 Tender opened and file with medical for availability of fund

7. Bed Side Moniter 2009 Tender Opened and TR & PR has been made & File with store dept.

8. ABG Machine Techinical specification has been reviewed & file sent to store dept. for re- tendering the case.

9. ABG Consumable TR & PR has been made and file sent to store dept. for negotiation of the rat. File with store dept.

10

(B) Details of the M&P Equipments installed during the month along with the date of payment to the suppliers.

Sr.

No

M&P items Date of Installation

Date of payment to the suppliers

NIL Nil Nil

C) Details of Out of order medical equipments for more than 3 months (Cost more than Rs.1 lakhs)

Sl.

No.

Name of Equipment with Model number

Cost of Purchase

Period of AMC If not under AMC, the reason

X-Ray Machine 546624.00 Not under AMC. Comparative chart vetted.

D. Equipments under AMCs:-

S.N Name of equipment with model number

Cost of purchase AMC from AMC upto.

1 Mechanical Ventilator 1700000/- 09.03.2015 08.03.2018

2 20 nos. infusion pump - 14.08.2015 13.08.2018

3 CR System 08.08.2015 07.08.2018

4. Gas Pipe Line 27.08.2015 22.02.2016

5. Demtal Chair unit - 2017

6. ABG machine 12.08.2013. 11.08.2016

Hospital Equipments costing above Rs. 1 Lakh and less than Rs. 10 lakh.

11

Name of the Equipment Date of Receipt / Installation

Cost (Rs.) Working condition

LABORATORY

01 Cogularmeter 16.05.09 1,14,400 Wkg.

02 Eliza Microplate reader plus washer 16.11.09 277056 Wkg

03 SemiAutoAnalyser 16.11.09 202176 Wkg.

04 Electrolyte Analyser 08.04.10 165000 Wkg.

05 Blood Cell Counter 26.04.10 468000 Wkg.

06 Random Access Automated Immunoassay Analyser

23.02.13 940000 Wkg

OPERATION THEATRE

07 Diathermy Machine 24.12.08 133020 Wkg.

08 OT lights 23.12.08 185120 Wkg

09 OT light . 03 nos. 20.01.12 20,28,000 Wkg

10 Multiparamonitor 27.12.08 171288 Wkg.

11 OT table 31.12.08 243360 Wkg

12 OT table ,04 nos. 01.13.12 1983426 Wkg

13 Anesthesia machine 30.01.10 391875 Wkg

14 Steriliser 24.09.10 473540 Wkg

15 Defibrilator, 02 nos. 01.08.11 824000 Wkg.

RADIOLOGY

16 Darkroom accessories 29.12.08 140182 Wkg.

17 500 mA X-ray machine 29.12.08 546624 Not working

Dental Wkg

18 Dental Chair unit 31.12.08 309400 Wkg

19 Dental Chair unit 06.08.09 439920 Wkg

12

20 Dental Air Compressor Chair unit 20.05.10 161720 Wkg

21 Dental Chair with accessories 25.10.11 489930 Wkg

22 Dental X-ray mind DC 31.12.08 135300 Wkg

23 Front loading Autoclave 29.12.08 131040 Wkg

24 X-ray filim processors Auto 16.05.09 310000 Wkg

25 Dental Surgical Operating microscope

16.11.13 498750 Wkg

26 Physio Dept. Wkg

27 Ultrasound therapy unit 30.03.09 154856 Wkg

Eye Dept. Wkg

28 Slit lamp with applanation tonometer

24.11.08 171600 Wkg

29 Autorefractometer with keratometer

29.08.10` 383760 Wkg

30 AB Scan 12.05.09 926306 Wkg

31 Opthalmic Refraction unit 16.05.09 104000 Wkg

32 Auto lenso meter 31.01.12 126000 Wkg

Cardio lab Wkg

33 ECG Machine 27.12.08 102440 Wkg

34 Defibrillator 29.05.10 282880 Wkg

35 Holter monitor 30.04.10 489060 Wkg

I.C.U. Wkg

36 ECG Machine,02 nos. 16.05.09 451500 Wkg

37 Defibrillator with external pacing facility

20.10.11 385350 Wkg

38 ABG Machine 30.07.11 458640 Wkg

39 BiPAP machine,02 nos. 29.10.11 293370 Wkg

13

O.P.D.

40 Defibrillator with ECG monitor 29.12.08 126360 Wkg

Wkg

41 Digital Video Colposcope 06.02.10 196560 Wkg

42 Foetal Monitor CTG 19.05.10 273520 Wkg

43 Infant Warmer, Pulse Oximeter

Procedure light

21.08.11 657720 Wkg

44 Electro mechanical OT table 29.10.11 221057 Wkg

Total 17568106

Hospital Equipments costing above Rs. 10 Lakh

Sl. No Name of the Equipment Date of Receipt / Installation

Cost (Rs.) Working condition

Fully Automatic Bio Chemistry 08.03.10 1872000 Wkg.

Diathermy with ligaseal 17.01.14 1433250 Wkg.

Computed radiography system 12.09.09 1650900

USG machine 03.03.10 2524500 Wkg

C Arm 08.08.11 813000 Wkg.

Automated perimeter 02.05.11 1090960 Wkg

Phacomulsification system 24.11.11 1445600 Wkg

Operating microscope 23.08.12 1960350 Wkg

14

Mechanical Ventilator 16.02.12 1700000 Wkg

Bed Side Monitor with central Monitoring station

28.09.12 2348500 Wkg

TMT Machine 01.08.11 1092000 Wkg

Echo with TEE 03.03.12 2500000 Wkg

Cardiac Catheterization Lab 27.07.15 5,75,00,000

Total 7,79,31060

Annexure-9

NAME OF DIVISION CSSH/PatnaHIV/AIDS AWARENESS AND TRAINING PROGRAMME

(A) I.E.C. activities:-

(B) Training Courses Conducted for Class III & Class IV HIV & AIDS: -NIL

15

1 No. of Seminar held NIL

2 No. of Lectures organized Nil

3 No. of Group discussions held Nil

4 No. of Audio Visuals shows organized NIL

5 No. of Exhibition held Nil

6 No. of Quiz contest organized Nil

7 Poster writing competition held Nil

8 Other activities

l.

No.

Period of Training Place of training No. of employees Trained

1. 01 Day Path/Lab/CH/Patna 08 Staff

B)SPECIAL HEALTH CHECK – UP Annexure 10 & 11 not concerned with CH/Patna

Annexure -12

Sl. No.

Name of the items This month During the year (since 1st April)

1 No. of Health check up camps conducted.

01 07

2 No. of beneficiaries attended Nil

3 Details of Camps Nil

4 Health Check up camp for Family members of Officers.

Nil.

5 Facilities provided. Nil

6 No. of camps held in this year since 1st April

C) EXECUTIVE HEALTH CHECK-UP :-

No. of officers at Divi./HQ

No. of officers undergone check-up in the month

No. of check-up done since 1st April

Remarks

HQ Nil Nil

D) SCHOOL HEALTH CHECK-UP: Nil

16

E) HEALTH EDUCATION:

Sl. No. No. of Health Education Meeting/ Seminars conducted with dates

Brief on the subject No. of meetings etc. conducted since 1st April’15

01 Nil 04 01

Annxure-13

NAME OF DIVISION .CSSH/Patna.

MEDICAL STORES:- DETAILS OF NON-PAYMENT OF BILLS TO BE GIVEN WHERE PAYMENT IS NOT DONE WITHIN 3-MONTHS OF RECEIPT OF MATERIALS:-

Sl..No

Supply Order No Name of item

Name of firm

Date of receipt of materials

Reason for non payment

Action taken

------NIL ---

Annexure-14

NAME OF DIVISION CSSH/Patna.EXTERNAL QUALITY CONTROL OF DRUGS

17

Sl. No.

Description During the month

Cumulative since 1st April

1 No. of Samples sent for analysis Nil 14

2 No. of samples report of which is pending nil 07

3 Total no. of samples awaiting for report (1+2) nil 07

4 No. of reports received 14 26

5 No. of samples found of standard quality 14 26

6 No. of samples found of Non-standard NIL NIL

7 No. of samples found of Sub-standard Nil NIL

DETAILS OF DRUGS SENT FOR ANALYSIS DURING THE MONTH ………15

Sr.

No.

Name of drug/product

Name of Manufacturer

Batch No.

Date of Mfg.

Name of Laboratory where sample sent for analysis

Result

Cause of sub-standardStand-

ardNon-Stan dard

1 2 3 4 5

Nil

DETAILS OF NON-STANDARD QUALITY OF DRUGSA No. of items found non-standard Nil

B Name of the item NIL

C Name of the pharmaceutical company NIL

D Sample analyzed at Nil

Annexure -15

NAME OF THE HOSPITAL CSSH/Patna.

18

LOCAL PURCHASE OF DRUGS

Sl.no. Item During the month in Rs. Cumulative since 1st April in Rs.

A Cash purchase 3,65,000 13,57,109

B Bulk purchase (including Local and emergency purchase

7(a)+ 7(b)+ 7(c)

14950+nil+77728=92678/-

40,01,987

C Total Local purchase (a+b) 14950

D Percentage of LP to Budget Grant (....... + ........) =....... crores

Budget not allotted %

DETAILS OF LOCAL PURCHASES :- 7(A)21/10/15 to20/11/15

Sl. No.

Name of the drug Qty Unit rate in RsTotal cost in Rs

Indented / non –indented item

Whethertaken

CMD/CMS’s approval or not (Yes/No)

1. proximal tibia locking plate titanium with screw

01 set Rs9950.00/jar Rs9950.00 indented yes

02 Deionised water 5 liter jar 50 jar Rs100.00/jar Rs5000.00 indented yesRS14950 .00 under 7 (A)

Purchase under 7 (C )21/10/2015 to 20/11/2015

Sl. No.

Name of the drug Qty Unit rateTotal cost in Rs

Indented / non –indented item

Whether taken CMD/CMS’s

approval or not (Yes/No)

1. Gatifloxacin eye drop 240ph Rs11.78/ph Rs2827.00 indented yes

2 flurbiprofen eye drop 450ph Rs30.92/ph Rs13194.00 indented yes

19

3 moxifloxacin eye drop 600 ph Rs14.28/ph Rs8568.00 indented yes04 phenil eye drop 255 ph Rs30.00/ph Rs7650.00 indented yes05 olopatadine eye drop 300 ph Rs59.00/ph Rs17700.00 indented yes06 HIV tridot 200 kit Rs63.00/kit Rs12600.00 indented yes 07 vacutainer 3.2%sodiun

citrate 2ml800 pcs Rs2.62/pcs Rs2096.00 indented yes

08 RA latex kit 375test Rs9.00/test Rs3375.00 indented yes

09 blood group ABD 3x10 ml 11 kit Rs368.00/kit Rs4048.00 indented yes

10 crp latex 375 test Rs15.12/test Rs5670.00 indented yes

Rs77728.00 under 7 (C)

Annerure-16

Works Programme:-

Sr.

No

Name of Work Plan Head Cost Year of Sanction

Present Position

nil nil

Annexure-17

MONTHLY PROGRESS REPORT ON FAMILY WELFARE PROGRAMME

Sl.

No.

ITEMS Progress during the Month

Progress up to the Month

Remarks

Sterilization Nil

20

I Vasectomy NIL

Conventional -

No Scalpel Vasectomy (NSV) nil

II Tubectomy 07

III Total

B IUD (Cu “T”) Insertion 03

C Condom NilTotal condom (in pieces) distributed

I Gross Nil

II Supplied to Vasectomy Person Nil

III Net (I – II) Nil

D ORAL PILLSIII Total No. of OP Cycles distributed 36

E Total No. of MTP Cases done -

F Immunization, IFA, Vit A

I TT (Preg. Women) 08

TT (2nd dose + Booster) 10

II IFA Tablets (Preg. Women) 3600

Prophylactic Completed -

III DPT (3rd dose) -

IV Polio (3rd dose) -

V BCG 1st dose -

VI Measles Nil

VII DPT (2nd Booster Dose)N/A14 VIII TT (10 Years) (2nd Dose)

21

10 IX TT (16 Years) (3rd Dose)

X Vit. A (1st dose below and up to 1 year) Nil

XI Vit. A (total-2nd to 5th dose) Nil

G Maternal Health A Ante Natal Care (ANC) -

I Registered(New) 36

II With Three check up (Old) 127

B Institutional Deliveries 26

C Domestic Deliveries - I By LHV / ANM Nil

II By Trained Birth attendant (TBA) Nil

III By Untrained Birth attendant NIL

IV Total Deliveries Reported of Col.I+II+III -

H Hepatitis B Immunization 1st Dose Nil

2nd Dose Nil

3rd Dose Nil

Anexure-18

NAME OF DIVISION.CSSH/Patna.CADRE POSITION

(GAZETTED & NON-GAZETTED)

A) Gazetted cadre: Sanctioned Strength -

22

1 No. of IRMS Doctor 22

2 No. of CMPs 12

3 No. of Vacancies of doctor with places 02

4 No. of HVS 02

5 No. of Vacancies of HVS 08

6 No. of Gr. ‘B’ Officer 01

7 No. of Gr. ‘B’ Officer vacancies Nil

8 Summary of Vacancies

B) Non Gazette cadre : Sanctioned Strength - .CSSH/Patna.

Sl. No. Details Group C Group D Total

1 Sanctioned strength 146 54 200

2 On Roll 120 (on Contract 43) 46 168

3 Action taken to fill up the vacancies Proposal sent to HO

23

Annexure 18 A

GROUP - C Category: Break up and action taken

Sl.No Details Vacancies Action taken

1 Nursing staff 08

2 Pharmacist nil

3 Physiotherapist 03 on contract

4 Dresser 14 on contract basis

TOTAL 26

GROUP D Category: Break up and action taken

Sl.No Details Vacancies Action taken

1 Safaiwala nil Proposal sent to HQ

2 Hospital attendant 06 Proposal sent to HQ

6 B.Peon Nil Proposal sent to HQ

TOTAL 06 Proposal sent to HQ

.

`

24

Annexure 19

NAME OF DIVISION…CENTRAL SUPER SPECIALITY HOSPITAL E.C.R. PATNA..MONTHALY

SURGERY REPORT:- MAJOR DATE:- 21 OCTOBER TO 20 NOVEMBER

SL NO

DATE NAME OF SURGERY NAME OF SURGEON

DESIGNATION SPECIALITY TYPE

01 23-10-15 Rt. Hernia Dr. Sanjay Sr. DMO G. Surgeon MAJOR02 26-10-15 Lap Chole. Dr. Anuj

Dr. SanjayADMOSr. DMO

G. Surgeon ,,

03 26-10-15 Lap Chole. Dr. SanjayDr. Anuj

Sr. DMOADMO

G. Surgeon ,,

,,

04 26-10-15 DFN + Locking Bolts Dr. Pankaj DMO Orthopedic ,,05 27-10-15 Lap Chole. Dr. Anuj

Dr. SanjayADMOSr. DMO

G. Surgeon ,,

06 27-10-15 TAH Dr. R.Sinha Sr. DMO Gynecology ,,07 27-10-15 Lap Chole. Dr. Sanjay

Dr. AnujSr. DMOADMO

G. Surgeon ,,

,,

08 27-10-15 TAH Dr. R.Sinha Sr. DMO Gynecology ,,09 27-10-15 Lap Chole. Dr. Anuj

Dr. SanjayADMOSr. DMO

G. Surgeon ,,

10 27-10-15 LSCS + BLTL Dr. R. Sinha Sr. DMO Gynecology ,,11 27-10-15 Lap Chole. Dr. Sanjay

Dr. AnujSr. DMOADMO

G. Surgeon ,,

,,

12 29-10-15 TAH Dr. R.Sinha Sr. DMO Gynecology ,,13 29-10-15 # Rt. Ulna Dr. Pankaj DMO Orthopedic ,,14 30-10-15 OIU Dr. Kaushal DMO Urology ,,15 30-10-15 Fistulectomy Dr. Sanjay Sr. DMO G. Surgeon ,,16 30-10-15 LSCS DR. Alpana DMO Gynecology ,,17 01-11-15 LSCS DR. Alpana DMO Gynecology ,,18 01-11-15 LSCS DR. Alpana DMO Gynecology ,,19 02-11-15 LSCS DR. Alpana DMO Gynecology ,,20 02-11-15 TURP Dr. Kaushal DMO Urology ,,21 02-11-15 TURP Dr. Kaushal DMO Urology22 02-11-15 # Shaft of Humerus Lt. Dr. Pankaj DMO Orthopedic ,,23 02-11-15 RIH Dr. Sanjay Sr. DMO G. Surgeon ,,24 02-11-15 MTP + Ligation(BLTL) DR. Alpana DMO Gynecology ,,25 03-11-15 Lap Chole. Dr. Anuj

Dr. SanjayADMOSr. DMO

G. Surgeon ,,

26 03-11-15 Lap Chole. Dr. SanjayDr. Anuj

Sr. DMOADMO

G. Surgeon ,,

,,

27 03-11-15 Lap Chole. Dr. AnujDr. Sanjay

ADMOSr. DMO

G. Surgeon ,,

28 03-11-15 # Lt. Tibia Plating Dr. Pankaj DMO Orthopedic ,,29 04-11-15 Lap Chole. Dr. Sanjay

Dr. AnujSr. DMOADMO

G. Surgeon ,,

,,

30 04-11-15 Lap Chole. Dr. Anuj ADMO G. Surgeon ,,25

Dr. Sanjay Sr. DMO31 05-11-15 # Rt. Ulna Dr. Pankaj DMO Orthopedic ,,32 05-11-15 LSCS + BLTL Dr. Alpana DMO Gynecology ,,33 05-11-15 AV. Fistula Dr. Kaushal DMO Urology ,,34 05-11-15 Hernia Dr. Sanjay Sr. DMO G. Surgeon ,,35 06-11-15 Para Umbilical Hernia Dr. Sanjay Sr. DMO G. Surgeon ,,36 06-11-15 # Patella Rt. TBW Dr. Pankaj DMO Orthopedic ,,37 06-11-15 Appendectomy Dr. Sanjay Sr. DMO G. Surgeon ,,38 06-11-15 LSCS Dr. Alpana DMO Gynecology ,,39 06-11-15 Gluteal Abscess Dr. Sanjay Sr. DMO G. Surgeon ,,40 07-11-15 LSCS Dr. Alpana DMO Gynecology ,,41 07-11-15 DHS + Plate Dr. Pankaj DMO Orthopedic ,,42 07-11-15 Penoplasty Dr. Kaushal DMO Urology ,,43 09-11-15 AV. Fistula Dr. Kaushal DMO Urology ,,44 09-11-15 # Distal Humerus Rt Dr. Pankaj DMO Orthopedic ,,45 09-11-15 Hemireplacement Dr. Pankaj DMO Orthopedic ,,46 10-11-15 Lap Chole. Dr. Anuj

Dr. SanjayADMOSr. DMO

G. Surgeon ,,

47 10-11-15 LSCS Dr. Alpana DMO Gynecology ,,48 10-11-15 Lap Chole. Dr. Anuj

Dr. SanjayADMOSr. DMO

G. Surgeon ,,

49 12-11-15 LSCS Dr. R.Sinha Sr. DMO Gynecology ,,50 12-11-15 TURP Dr. Kaushal DMO Urology ,,51 13-11-15 LSCS Dr. Alpana DMO Gynecology ,,52 13-11-15 LSCS Dr. R. Sinha Sr. DMO Gynecology ,,53 20-11-15 LSCS + BLTL Dr. R. Sinha Sr. DMO Gynecology ,,54 20-11-15 Appendectomy Dr. Sanjay Sr. DMO G. Surgeon ,,55 20-11-15 AV. Fistula Dr. Kaushal DMO Urology ,,56 20-11-15 Fibroadonema of Breast Dr. Sanjay Sr. DMO G. Surgeon ,,57 20-11-15 LSCS Dr. R.Sinha Sr. DMO Gynecology ,,58 20-11-15 LSCS Dr. R.Sinha Sr. DMO Gynecology ,,59 20-11-15 LSCS Dr. R.Sinha Sr. DMO Gynecology ,,

01. Total no of General Surgeries:-2202. Total no of Orthopedic Surgeries:-0903. Total no of Gyne&Obs. Surgeries:-2004. Total no of Urology Surgeries:-0805. Total no of ENT Surgeries:-Nil

TOTAL RELHS :- 09

26

Annexure 19/A

NAME OF DIVISION…CENTRAL SUPER SPECIALITY HOSPITAL E.C.R. PATNA…MONTHALY

SURGERY REPORT:- MINOR DATE:- 21 OCTOBER TO 20 NOVEMBER

SL NO

DATE NAME OF SURGERY NAME OF SURGEON

DESIGNATION SPECIALITY TYPE

01 23-10-15 D&E Dr. Alpana DMO Gynecology MINOR02 23-10-15 POP Lt. For Arm Dr. Pankaj DMO Orthopedic ,,03 23-10-15 POP Lt. Wrist Dr. Pankaj DMO Orthopedic ,,04 23-10-15 Inj. Depomedrol Dr. Pankaj DMO Orthopedic ,,05 24-10-15 POP Lt. Ankle Dr. Pankaj DMO Orthopedic ,,06 24-10-15 Inj. Depomedrol Dr. Pankaj DMO Orthopedic ,,07 24-10-15 Myringo Cavity Dr. Divesh DMO ENT ,,08 26-10-15 B/L APW Dr. Divesh DMO ENT ,,09 26-10-15 D&E Dr. Alpana DMO Gynecology ,,10 26-10-15 D&E Dr. R. Sinha Sr. DMO Gynecology ,,11 27-10-15 Cystoscopy Dr. Kaushal DMO Urology ,,12 27-10-15 Wound removal Dr. Sanjay MD Orthopedic ,,13 27-10-15 Knee Aspiration Dr. Pankaj DMO Orthopedic ,,14 27-10-15 POP Rt. Foot Dr. Pankaj DMO Orthopedic ,,15 27-10-15 Ligation(BLTL) Dr. R. Sinha Sr. DMO Gynecology ,,16 29-10-15 Removal of Lt. Ear F.B. Dr. Divesh DMO ENT ,,17 29-10-15 MTP + Ligation(BLTL) Dr. Alpana DMO Gynecology ,,18 29-10-15 D&C + EB Dr. R. Sinha Sr. DMO Gynecology ,,19 30-10-15 S&E Dr. R. Sinha Sr. DMO Gynecology ,,20 30-10-15 S&E Dr. R. Sinha Sr. DMO Gynecology ,,21 30-10-15 Ligation(BLTL) Dr. Alpana DMO Gynecology ,,22 30-10-15 Inj. Depomedrol Dr. Pankaj DMO Orthopedic23 30-10-15 Inj. Depomedrol Dr. Pankaj DMO Orthopedic ,,24 31-10-15 Cystoscopy Dr. Kaushal DMO Urology ,,25 31-10-15 D&C Dr. R. Sinha Sr. DMO Gynecology ,,26 31-10-15 D&C Dr. Alpana DMO Gynecology ,,27 31-10-15 Removal of Lt. Ear F. B. Dr. Divesh DMO ENT ,,28 02-11-15 MTP + Lap Ligation(BLTL) Dr. Alpana DMO Gynecology ,,29 02-11-15 Removal of Lt. Ear F.B. Dr. Divesh DMO ENT ,,30 02-11-15 I/D Pas Abscess Dr. Divesh DMO ENT ,,31 03-11-15 Inj. Depomedrol Dr. Pankaj DMO Orthopedic ,,32 03-11-15 POP Rt. Hand Dr. Pankaj DMO Orthopedic ,,33 03-11-15 D&C Dr. Alpana DMO Gynecology ,,34 03-11-15 I/D Lt. Hand Dr. Anuj ADMO G. Surgeon ,,35 04-11-15 Inj. Depomedrol Dr. Pankaj DMO Orthopedic ,,36 05-11-15 Cystoscopy Dr. Kaushal DMO Urology ,,37 05-11-15 Penile Biopsy Dr. Kaushal DMO Urology ,,38 05-11-15 Ligation(BLTL) Dr. Alpana DMO Gynecology ,,39 05-11-15 Urethral Dilatation Dr. Kaushal DMO Urology ,,

27

40 06-11-15 Cystoscopy Dr. Kaushal DMO Urology ,,41 07-11-15 Inj. Depomedrol Dr. Pankaj DMO Orthopedic ,,42 07-11-15 Cystoscopy Dr. Kaushal DMO Urology ,,43 07-11-15 Inj. Depomedrol Dr. Pankaj DMO Orthopedic ,,44 09-11-15 Hydrocelectomy Rt. Dr. Anuj ADMO G. Surgeon ,,45 09-11-15 Inj. Synvise Dr. Pankaj DMO Orthopedic ,,46 10-11-15 Removal of Rt. Ear F.B. Dr. Divesh DMO ENT ,,47 12-11-15 Cyst of Rt. Ear Dr. Divesh DMO ENT ,,48 12-11-15 Removal of DJ Stant Dr. Kaushal DMO Urology ,,49 14-11-15 Secondry Suturing Dr. Kaushal DMO Urology ,,50 14-11-15 I/D Dr. Kaushal DMO Urology ,,51 19-11-15 Cystoscopy Dr. Kaushal DMO Urology ,,52 19-11-15 Hydrocelectomy Dr. Sanjay Sr. DMO G. Surgeon ,,53 20-11-15 Ligation(BLTL) Dr. R. Sinha Sr. DMO Gynecology ,,54 20-11-15 D&E Dr. R. Sinha Sr. DMO Gynecology ,,55 20-11-15 I/D Dr. Sanjay Sr. DMO G. Surgeon ,,56 20-11-15 POP Dr. Pankaj DMO Orthopedic ,,57 20-11-15 POP Dr. Pankaj DMO Orthopedic ,,58 20-11-15 Ligation(BLTL) Dr. R. Sinha Sr. DMO Gynecology

01. Total no of General Surgeries:-0502. Total no of Orthopedic Surgeries:-1703. Total no of Gyne&Obs. Surgeries:-1704. Total no of Urology Surgeries:-1105. Total no of ENT Surgeries:-08

TOTAL BLTL(LIGATION) :- 07

VASECTOMY :- NIL

TOTAL RELHS :- 09

28

Annexure 19/B

NAME OF DIVISION…CENTRAL SUPER SPECIALITY HOSPITAL E.C.R. PATNA…MONTHALY

SURGERY REPORT:- EYE DATE:- 21 OCTOBER TO 20 NOVEMBER

SL NO

DATE NAME OF SURGERY

NAME OF SURGEON DESIGNATION SPECIALITY TYPE

01 27-10-15 CATARACT + IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL02 27-10-15 CATARACT + IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL03 03-11-15 CATARACT + IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL04 03-11-15 CATARACT + IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL05 05-11-15 CATARACT + IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL06 05-11-15 CATARACT + IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL07 05-11-15 CATARACT + IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL08 10-11-15 CATARACT + IOL Dr. Shreeprakash Sr. DMO Ophthalmologist SPL09 10-11-15 Chalagion LE Dr. Shreeprakash Sr. DMO Ophthalmologist Minor10 12-11-15 Chalagion LE Dr. Shreeprakash Sr. DMO Ophthalmologist Minor

01. Total no of EYE Surgeries:- 10

TOTAL RELHS :- 04

29

NAME OF DIVISION.CSSH/Patna.

DETAILS OF COSTING OF SERVICES TO RELHS MEMBERS FOR THE MONTH

S N RELHS patients in different units No. of patients Cost of expenditure (in Rs.)

1 OPD 1337

2 IPD 57

3 O.T 23

4 Laboratory N/A

5 Radiology including Sonography 79- X.Ray

51-USG

6 ICU 13

7 Casualty 46

8 Referrals 05

9 Ambulance N/A

10 ECG room 116

11 OPD dispensary -

12 Main pharmacy -

13 Local purchase section 86

14 Dental clinic 93

15 Physiotherapy -

MD/CSSH

30

Annexure-20

NAME OF DIVISION. CSSH/PatnaA) ACTION TAKEN FOR ACCREDITATION OF OT/ ICU/ LAB/ OTHERS OF HOSPITAL

:------------------------------------------------------------------------------------------------------Nil

B) SPECIAL/ IMPORTANT ACTIVITIES: on dt 02.1015 Cleanliness drive and tree plantation was done in the campus of CSSH/PNBE.

HIGH LIGHTS FOR THE MONTH :---------------------------------------------------------------

I) SPECIAL INDOOR HOSPITAL ACTIVITIES:-A. ---------------------------------------------------------------------------------------------NilB. ---------------------------------------------------------------------------------------------Nil

II)III) HEALTH & FAMILY WELFARE ACTIVITES:

i) Multipurpose health drive----------------------------------------------------------------------------ii) Multipurpose health drives: -------------------------------------------------------------------------iii) Multipurpose health drives: -------------------------------------------------------------------------iv) Important Days Observations: 02.10.2015 v) IMPORTANT MATTERS: -------ASSISTANCE REQUIRED: --------------------------------------------------------------------------------

Attending Scientific Seminar, Conference & Workshop (period 21/…../15 to 20/…./15)

(A) Gazetted Officers:Sl. No.

Name & Design of the Officer

Name of the institute where

attended

Subject Period Remarks

1. Dr. Y.P. Tiwari CSSH/Patna 02 Seminar attended

02. Dr. Sanjay Kumar MD/CSSH/PNBE

CSSH/PNBE Not provided

31

03. Dr. R.R singh CSSH/PNBE Not provided

04. Dr. P. K. Ojha CSSH. PNBE Not provided

05. Dr. A. Neyaz CSSH/PNBE Not provided

06 Dr A k Ojha CSSH/PNBE Not provided

07 Dr. S. K Gupta CSSH/PNBE Not provided

08. Dr. Bimmi Not provided

09. Dr Alpana CSSH/PNBE Not provided

10 Dr Kaushal/Nefro CSSH/Pnbe Not provided

11 Dr. Kaushal/Uro CSSH/PNBE Not provided

12 Dr. Ranjana Hota; parache 01 01.11.15

13 Dr Sanjay Kumar/Surgeon

CSSH/Pnbe Not provided

14 Dr. Arvind CSSH/Pnbe Not provided

15 Dr. Divesh CSSH/PNBE Not provided

16 Dr Pankaj CSSH/PNBE Not provided

17 Dr. Shree prakesh CSSH/PNBE Not provided

18 Dr. O.P. singh CSSH/PNBE Not provided

19 Dr. Sanket CSSH/PNBE Not provided

20 Dr/ Anuj Chaudhary

CSSH/PNBE Not provided

B) Non- Gazetted Officer:

Sl. No. Name & Design of the Staff

Name of the institute where attended

Subject Period Remarks

Nil Nil Nil Nil

32

Annexure 21

NAME OF DIVISION.. .CSSH/Patna

Sl.No. Date of complaint Place of complaint

Details of complaint

Remarks

NIL NIL Nil

BENCH MARKING REPORT :-

Name of the Division Total Medical Officers + Staff on roll

Total Employees of ECR + RELHS Card Holder

MPR

(Medical personnel on roll per thousand employees)

Central Hospital 207 1,02,506 2.019

33