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l. Short title,extent alld cOmmencement. (1)Thcse rules may be callcd the Chha isgarhStatc UPcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Niyam,2013.(2)They Shall cxtend tO thc wholc state ofchhattisgarhO)They shali comc into forcc from thc date Of is pubHcaJOn in thc offlcial Gazettc

2. Derlnitions. (1)In thcsc rulcs,unlcss the contcxt Othcrwisc rcquirc,o)Act"mcans the Statc of chhattisgarh Upchavagriha Tatha Rogopchar Sambandhi

Sthapanayc Anugyapan Adhiniyam,2010;(b)``Appellate Authori ''means thc authOry deflned in rulc 9 0fthcsc rtlles;(c)AYUS"mcans Ayu cda, Yoga, Unant Siddha and HomcOpathy systcms of

mcdicine;(d) "Schedule" means a Schedule appended to these rules;(e) "State Government,' means the Government ofChhattisgarh;(f) "unethical Act" means any unethicar act defined in chapter 6 or any misconduct

defined in chapter 7 of the Indian Medical councir (professional conduct, Etiquette,and Ethics) Regulations 2002.

(2) words and expressions used and not defined in these rules, but defined in the Act, shallhave the same meaning respectively assigned to them in the Act.3. ^ supervisory. Authority.- (l) The District collector of the concemed dishict shall bethe Supervisory Authority under these rules and shall be assisted by a District committee indischarge ofthe functions assigned to it under the Act.(2) The Supervisory Authority shall consider the recommendations made by the Districtcommittee in all matters and sha make decisions relating to registration ani /or grant oflicenses to a Clinical Establishment.


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738 (s4) E'iIRTII6 TFiq;I, I({Ifr 20 3F[RI 20134. Functions of Supervisory Authority.- The Supervisory Authority shall perform all functions

necessary to regulate the functioning of Clinical Establishments in the State ofChhattisgarh,which are as follows:-(a) To grant/renew, suspend or cancel registration/license of a Clinical Establishment as

per the provisions under Section 3, 6, 8 and 9 ofthe Act;(b) To enforce imposition ofpenalties as provided for under Section 4 and l2 ofthe Act;(c) To obtain fees for registration / issue of license as required under Section 5 ofthe Act;(d) To enforce standards as required under Section 7 and l8(2) ofthe Act;(e) To inspect and investigate as required under Section I I ofthe Act;(0 To investigate complaints related to shallful negligence with the provisions ofthe Act,

as reouired under Section l3 and l4 ofthe Act:Provided that, the above functions of the Supervisory Authority are not

exlraustive in nature.

5. Oflice of the Supervisory Authority.- The Supervisory Authority shall maintain an officeto be designated as "Office of (....district name) Clinical Establishment Registration andl.icensing Authority". The office shall work as the Secretariat of the District Committee.The office shall be served by appropriate staff who shall report to the Chairperson of theDistrict Cornmittee.

6. Income of the office of Supervisory Authority.- The fees / penalties payable by theClinical Establishments sy'all become the income of the office of the Supervisory Authority'-iof the concerned district and shall be used for the purposes of carrying the activitiesassigned to it.

7. Initial corpus of the Supervisory Authority.- The State Govrnment may provide grant-in-aid to the Supervisory Authority to supplement its resources, provided that, the quantumof such grant-in-aid shall be determined on the basis of an assessment of their income andexpend iture.

8. District Committee.- (1) The constitution oithe District Commiftee shall be as follows:-I . Chief Medical and Health Officer (CMHO)I Dist rict Collector's norninee

[Not belorv the rank of Deputy Collector]

- ChairpersonMember

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", 20-2013 738 ( ss)

3. Commissioner/CMO of the Urban Local Body - Memberof the Headquarter Town of the District

4. CEO, Zilla Panchavat - Member5. Representative of Chhattisgarh Environment - Member

Conservation Board6. District Ayurveda Officer - Member7. Civil surgeon, District Hospital - Member-Secretary(2) At least 50 % of the members must be present in order to form quorum in any

meeting of the District Committee. The representation from the Urban LocalBody/Municipal Corporation shall be compulsory.(3) The District Comrnittee may form one or more teams for the purpose of inspection ofClinical Establishments. Such team(s) shall comprise of minimum 4 members, fromvarious disciplines including a representative from AYUSH and the representative ofUrban Local Body shall compulsorily be present.(4) The reports of Inspection Team(S) shall be placed before the District Committee formaking recommendations to the Supervisory Authority in respect to ClinicalEstablishments, inspected by the team(s).

9. Appellate Authority-1p) Following authorities are delegated the powers to perform thefunctions of the Appellate Authority, to consider appeals against the orders issued by theSupervisory Authority, as provided under Section l0 ofthe Act:-

a) Director of Health Services- In respect of all Allopathic Clinical Establishments,other than hospitals attached to Medical Colleges;b) Director of Medical Education- In respect of Medical College Hospitals;

c) Director, AYUSH- In respect of Clinical Establishments belonging to Ayurveda,Yoga, Unani, Siddha and Homeopathy systems.(2) The Appellate Authority shall issue a written receipt for every appeal letter / application

received by it and shall dispose ofthe appeal within 90 calendar days from the date of issue

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738 (s6) gfr.|6 {FTt, ftci6 zo sI'TR zol:(3) The Appellate Authority may confirm, modifl or set aside the Supervisory Authority'sorder or pass any sueh an order as it may deem justified.

Prescribed standards.- (l) Every clinical Establishment liable to obtain a license underthe Act must fulfill the standards prescribed in Schedule I appended to these rules in thisregard which may be amended from time to time.(2) No Clinical Establishment shall be allowed to operate without a valid license after theexpiry of9 months from the date ofnotification ofthese rules. The time period includes theinitial 3 months for applicatiof,. followed by 6 months for inspection and rectification ofgaps, found during the inspection by the District commiftee./-any delay in the inspection bythe District committee beyond 9 months irom the date of notification of these rules, shallentitle the Clinical Establishment to continue its operations until the inspection is done bythe committee.(3) The establishments who fail to comply with the prescribed standards after the abovementioned additional period shall not be issued license under Section 6 ofthe Act'(4) Notwithstanding, anfhing contained in sub-rule (2) of this rule, the SupervisoryAuthority may grant an existing clinical Establishment further time for rectif,ing the gapsin respect of shortage of nursing staffonly, provided that:

(a) Such relaxation shall be given against a rvritten request from the owner/proprietorof the Clinical Establishment;

(b) The application for relaxation must be made along with the application forregistration; {(c) The maxim-rfifi'perrn issible time for rectification of gaps shall not be more than 3years from the date ofgrant ofregistration;

(d) During this period the unskilled and untrained staff working in the establishmentshall have to undergo a course of nursing/midwifery/paramedical of 6 monthsduration and obtain a certificate under Chhattisgarh State Skill DevelopmentMission;(e) After the relaxation period of 3 years all therules shall be applicable for the establishmentallowed to work in the Clinical Establishment.

standards as described herein theand only qualified staff shall be

10.

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dfrsrrd {Ficr, kqiq zo :+rre zor: 738 (s7 )ll. Procedure for issue of license.- (l) procedure for Registration and licensins ofexisting establishments shall be as follows:_a) All clinical Estabrishments arready in existence on the date of notification ofthese rules shall apply for registration to the office of the concerned SuperVisoryAuthority within 90 days from the date of notification of these rules, as per theformat given in Schedule 2;b) As per Section 5 of the Act, every application must be accompanied by fees asprescribed in Schedule 3 and in the form of a bank draft or postal order in thename of the Supervisory Authority. The fees prescribed in Schedule 3 may berevised from time to time;c) The Supervisory Authority shalr issue a Registration certificate upon receipt ofsuch application with the prescribed fee. The Registration certificate shall beissued in the format given in Schedure 4. The Registration certificate shall bevalid for a period of6 months from the date ofissuance:d) The Supervisory Authority shall order the District Committee to inspect theclinical Estabrishment of the applicant within the validiry period of theRegistration certificate to confirm (or otherwise) eligibility for issue ofricense:e) where the Estabrishment is certified to be operating as per the prescribedstandards, the Supervisory Authority sha issue a ricense under Section 3 and 6 ofthe Act, which shall be valid for a period of5 years, as prescribed under Section gofthe Act. The license shall be issued in the format given in Schedule 5;f) where it is found on inspection, that the establishment does not fulfill theprescribei*i#ndards, Supervisory Authority may refuse to issue a license;g) where the Establishment fairs to obtain a Iicense under these rules, theestablishment shall have to apply afresh for license. The fee for application shabe same as prescribed for a new Clinical Establishment. Establishments applyingfor the second time under these rures sha not be issued Registration certificateand the establishments shall not be deemed to be resistered.

(2) Procedure for Licensing ofnew establishments:_a) Any new clinical Estabrishment sha only be allowed to operate after obtaininga valid license, after the Rules have been notified.

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738 ( 58 .)

, 20 2 3An applicant intending to set up a Clinical Establishment, after the notiiication ofthese Rules, shall apply to the concerned Supervisory Authority as per the formatprescribed in Schedule 2 along with the fees prescribed in Schedule 3.The Application form must indicate the date of commencement of ClinicalEstablishment which shall not be less than 30 days from the date ofapplication.The Supervisory Authority shall indicate a tentative date for inspection in itsacknowledgment letter / receipt.Where it is found on inspection that the Establishment does not fulfill theprescribed standards, Supervisory Authority may refuse to issue a license.Where the establishment fails to obtain a license under these rules. the

establishment shall have to apply afresh for license. The fee for application shallbe same as prescribed for a new Clinical Establishment. Establishmentsapplying for the second time under these Rules shall not be issued registrationcertificate and the establishments shall not be deemed to be resistered.

(3) General conditions applicable to all Clinical Establishments are as follows:-a) The license shall be kept affixed in a conspicuous place in the ClinicalEstablishment in such a manner so as to be visible to everyone visiting theestablishment;In case the license is lost, destroyed, mutilated or damaged, the SupervisoryAuthority may issue a duplicate license against the application of the ClinicalEstablish_ment and after the payment of fees as prescribed in Schedule 3. Aizacertiilcate bf resistration / license issued under this rule shall be marked'Duplicate' in frana lseat;The license shall be non-transferable. In case of change of ownership ormanagement, the Clinical Establishment shall inform the Supervisory Authorityofany such change and shall have to apply again for registration or.issuance ofafresh license, as the case may be;In the event ofchange of ownership / change in the category of license / changein location or closure of the establishment, the license shall be surrendered to theSupervisory Authority;All inspection reports ofthe Supervisory Authority shall be placed in the publicdomain and shall be available on demand to the General Public;

b)

C)

d)

e)

C)

d)

e)

rage b o1 5/


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,m20 3 738(59)

License shall be issued/granted in the name of Establishment and the Proplietorand not in the name ofthe Owner;In case of Multi-specialty /Super-specialty hospitals having DiagnosticFacilities or Physiotherapy Units separate application should be filed forlicensing of such Diagnostic and Physiotherapy Units. Small ClinicalEstablishments where routine/small pathological procedures are canied out shallnot require separate license under these rules.

Procedure for Renerval of License.- (1) Every Establishment must apply for renewal of itslicense atleast 3 months before the date of expiry of its license.(2) The procedure for renewal shall be the same as for licensing ofnew Establishments.

Register of Clinical Establishments'- (1) The Supervisory Authority shall maintain aregister indicating category wise list of Clinical Establishments licensed to operate in itsjurisdiction. The information shall be in the public domain and shall be easily available ondemand to General Public.(2) The Register shall be prepared and updated in the format prescribed in Schedule 6(Table 1) which may be amended from time to time.

14. Records to be maintained by Clinical Establishments.- Every Clinical Establishment shallmaintain such records ofpatient treated and / or admitted by it for treatment as prescribed inSchcdulc 7 and may bc a"cnded from time to timc.

15. Reporting of contagious or communicable / notifiable diseases.- (l) Every ClinicalEstablishment shall submit the report data and statistics on contagious or communicable /notifiable diseases to the Chief Medical and Health Officer ofthe concerned district:-a) Immediate written report through e-mail or Fax (within 24 hours or on next rvorking day

in case of holidays) as per format in Schedule 8 in case a person with any of thefollowing notifiable diseases is received / admiued / treated by a Clinical Establishmentlike: Dengue, Swine Flu, Bird flu, Tuberculosis, Small Pox, Cholera, Plague, Scarletfever, Yellow fever, Diphtheria, Typhus, Relapsing Fever, Cerebrospinal Fever,Poliomyelitis, Viral Encephalitis, AIDS, Meningococcal Meningitis or any other diseasenotified by the Government of lndia, from time to time;

b) Monthly report as per format in Schedule 9.Wiz--"',t- Pa?e 7 of 57

D

13.


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17.

738 ( 60) o-d-g'ra rrqqt, f-{i+. 20 3FrRI 201316' Participation in National /state p'bric l{earth programrnes.- Every crinicalEstablishment sha participate in a Nationar / state pubric Hearth programmes subject rosuch guidelines which the Directorate of Hearth Services may issue in this regard, from timeto time. Participation under various schemes of Nationar/ state Government shall bevoluntary' Statisticar repo(s of National or state programmes / schemes like- Derivery,caesarean Section operation, Immunization, Sterirization operation under Famiry welfare,cataract, Sickre celr erc. shalr be produced before the chief Medicai and Health officer ofthe concerned District when demanded.

obligation to secure patient's Convenience.- (r) Every clinicar Estabrishment shalrensure that the patient and / or a person authorized by him/ her receives the folowing:-a) The relevant information about the nature, cause, likery outcome of the presentillnesV treatment/ operation;b) The relevant information about expected costs and complications;c) An access to his / her crinical records, at afi times during admission and treatmentand alier d ischarge Id) Photocopy of medical records after discharge or death (a{ler paying fees forphotocopy, if necessary);

time of discharge, which slrould contain date oftreatment given, operations, investigations, and

(2)Every Clinical Establishmcnt shall cnsurc fO Owing rights Of thc paticnt and his/hcrattcndant:

a) RighttO dignity and privacy during cxaminatiOn,proccdurcs and trcatmcnt;b) Right to get informcd cOnscnt bcforc ancsthcsia, b100d and b100d prOduct

transftlsiOns and invasivc/ high risk prOccdurcs/ treatment, risks, bcncflts,altcrnativcs if any and as tO whO sha pcrform thc rcquisitc proccdurc. Infonllcdconscnt includcs informatiOn in a languagc and in a manncr that patient canundcrstand; can takc risks and bencflts; has altcmatives availablc and rcquisitcpr9CCdurcs tO bc pcrfOrmcd accOrdingly; =

c) Right Of a fcmalc paicnt tO havc propcr p vacy du`ng cxaminatiOn ln case ofcxaminatiOn by a lmalc dOctOr,a fcrnale a cndant 122ust bc prcscnt;

c)A dischargc summa at thc

7

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e-d-g'ra rreq;, foiio 20 3rrrm 20 13 738 (61 )d) Rights to confidentiality of reports. Such reports and information should not to be

disclosed to anyone other than the patient or person authorized by the patient;e) Right of a person suffering from HIV to receive care without any discrimination.Not having a Voluntary Testing and Counseling Centre cannot be a ground to refusecare. For management of patients who are HIV positive, the nursing home shouldfollow guidelines circulated by NACO (National AIDS Control Organization) fromtime to time:f) Right to dignity in case of,death or withholding ofthe body by the hospital;g) Right to referral/transfer to any other facility that the palient or hiVher attendant maywanVwish:h) Right to be asked for a prior consent before being examined by studentVinterns fortraining.

(3) The indoor patients shall be considered to be under the custody of treating physicianwho shall be solely responsible lor the safety ofsuch patients.

18. Procedure of Receipt and Registration of complaints (Grievance Redressal) at thelevel of Supervisory Authority.- (l) All communications / complaints in writing (bywhatsoever mode they are received) addressed to the supervisory Authority, either by nameor designation, shall be received by the office ofthe Supervisory Authority.(2) All complaints shall be duly recorded and serially numbered in a register to bemaintained by the office ofthe Supervisory Authority indicating sender's name and addressofthe complainant as presgribed in Table 2 of Schedule 6.---- t(J) Complaints receivefby hand shall be immediately registered and an acknowledgementreceipt shall be issued across the counter. Complaints received through other modes shall beregistered within I working day lrom the date ofthe receipt ofthe complaint.(4) For complaints received through mail / email /fax, an acknowledgement shall be senr rothe complainant within 3 working days of the receipt of the complaint.(5) complaints and other communications requiring urgent attention shall be placedexpeditiously before Supervisory Authority.(6) The complaints received in respect to the chhaftisgarh State Upcharyagriha TathaRogopchar Sambandhi Sthapanaye Anugyapan Niyam, 20t3, shall be examined through aCommittee formed by the Supervisory Authority of the concerned District. The Chairpersonof such committee shall be of a rank higher or equivalent to a Deputy Collector and shallinclude a specialist doctor ofthe concerned discipline.

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738 \62) o m20 204319, Miscellaneous.- (l) Employees of the Supervisory Authority to be pubiic servants- The

staffof the office of the Supervisory Authority shall be deemed to be public servants withinthe meaning of Section 21 of Indian Penal Code, 1860.(2) The Supervisory Authority shall have the power to cancel the license of any ClinicalEstablishment found to be in any unethical practices.(3) Amendments to the rules and /or its schedules- The Government may amend these Rulesand /or the Schedules, there of, from time to time.

By order and in the narne ofthe Governor ofChhattisgarh.M. M. MINJ, Deputy Secretary.


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e-*e.rd {|qTd, ffiifr 20 3T'TR 2013 738 (63)SCHEDULE-1

(See Rule 10)

A. STANDARD FOR CLINICS1. Minimum InfrastructureRequirernent:1.1 Location and Surroundings-1.1.1 The clinic shall be located in an open place, having clean

parking space.1.1.2 The clinic shall not be adjacent to on open sewer, drain

factory/establishment emitting smoke or obnoxious odour.

surroundings with adequateor public lavatory or to a

1.2 Building-1.2.1 The building used for the clinic shall comply with the relevant municipal bye-laws enforced

from time to time.1.2.2 The access to the clinic building shall be friendly for the persons with disability.1.2.3 The rooms of the clinig shall be well ventilated, lighted and shall be kept in clean and"' ?;;Yhygienic conditions.1.2.4 The flooring shall be washable with disinfectants such as not to permit relention of

accumulation of dust.1.2.5 Arrangement for taking anti infective/disinfection measures in all clinical procedures shall

be available.1.2.6 Each clinic shall have clean and hvsienic toilet. Space Requirements:

Individual Allopathic clinics- It shall liave theConsultation/Treatment room and rvaiting area

follor.r ing miltirttuur standatds -200 sq.ft

Individual AYUSI{ Clinic- lt sliall have L}re Ibilou'ins mir.iir.nurn slandards.

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38(64) t .,R 20 2013o Consultatior/Treatment room and waiting areaEmergency First Aid:

200 sq ft

Every doctor has a professional obligation to extel.rd services to

must provide immediate medical aid in all cases of medicalproviding medical care and are registered under these rulesfunctional life saving equipments:-

protcct life All thc clinicscinergcncy All clinics

must have the fO110 ving

^

^

3.1.1 Ambu Bag3.1.2 Oxygen cylinder with flow meter, catheter and mask3'1.3 IV infusion set and lv fluids like Normal saline, dextrose and ringer lactate3.1 .4 There should be staff trained in cardio pulmonarv resuscitation3.1.5 ErnergencyMedicines

4

In case a patient is brought in a critical condition to a clinic and it is decided to refer tlrepatient to a hospital, the patient shall be treated and stabilized before being referred / slrifteilto the hospital, provided also that tlie patient shall be transferred to a higher cerltre orNursing Home/Hospital, accompanied by a medical attendant along w'ith all rnedical records(including X-rays, investigation reports, clinical notes)."-JIt is also expected that the doctor who had treated the patient initially shall keep in touchwith the institution to which the patient has been transfened to, so as to rerrain aware ofthepatient's condition.

Entrance zone:1,1 Signage-4.1.1 Prominent display boards in local language and Pictorial depiction4.1 .2 Boards/Charts providing information regarding the services available and the timings of the

institute.4.1.3 Boards or chat'ts meutioning Proplietor's Name. Nar.ne of tl.re doctor- his qualification-

Stream of rledicine plactised. Address. Telepl.ror.re nurlber. email Id (if any).4.2 Outpatienfflepartment-Page 12 of 57


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38(65) m20 than onc Clinic in an421 Clinics fOr Valious mcdiCal disCiplincS If thCrc arC morcEstablishment then there shall be separate cabins for valious disciplines available in theclinicwithsepalateprovisronforexaminationwlriclrerrsuresprivacytotlrepatient.ThecabinsshailbeprovidedwithDoctor,sChairTable,PatientsChair,Attendants,Seat,WashBasin, X Ray Film View Box and other set of tools as may be required for differentdisciplines.

4.2'2SeparatetoiletsformaleandfenraleinthepremisesincaseofPolyclinicsandcomnrot1toilet in case of a single clinic'

4.2.3 If there is a pharmacy in the premises it should be located in an area convenientlyaccessible to the Patients.

4.2.4 Emergency Room: The emergency room should have an easy access to the incolningPatients'

4.2.5 Treatment Room:o Minor OTo Dressing Room/lnjection Roorn5. Human Resource: Clinical services shall only be provided by a qualified nedical

practitioner as described in the Act'

Support Services: *'- :,y'Electricity- Provision for continuousthere.

supply of electricity and porver back up should be

Water Supply- Provision for safe drinking water and hand washing arrangementsshall be there.All Clinics have to maintain firefighting equipnlents like extinguishers as plescribed bymunicipal authorities.

7. aste Disposal: The Disposal ofvastcs in the hoSpital shan bc in accordancc Vith BioMcdical Wastc(Managcment and Handling)Rule,1998 Provislons shall bC nnadc forscgregation and safc disposal of bionlcdicalVastcS,Sharps and Syringcs cithCr by thcir o inrcsourccs or through tictlpth Comn10n BionlcdicalastC Trcatinncnt Facilitics

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738 (66) BitsTd {|qrl{, ffiis 20 srriRT 2oj3

11

Pathological laboratory:a. Small Lab: Routine clinical procedures like HB, TLC, DLC, Uri'e Sugar (Bloodand Urine)b. Large Lab : Above Procedures plus Blood - Urea , Cholestrol, RFT, LFT, LipidProfile, Bio Chemistry, Microbiology, Histopathology, Common Homone Assay :T3, T4, TSH, Prolactin, Urine and Blood Culture, Elisa Test, elc

The minimurn area ofthe laboratory should be: 120 + 40 Sq. ftThe clinical laboratory shourd be provided with 600mm wide and 900mm highbench of length about 2 metres per technician and enough room for pathorogist i.charge of the laboratory. Each laboratory bench should have a raboratory sink withswan neck fittings, reagent shelving, gas and power point and counter cabinet. Top ofthe laboratory bench should be acid alkali proof.All clinical laboratories should keep records properly with the name of the patients, theiraddress and the name ofthe referral doctor along with the details of investigation results.All Pathology labs have to maintain firefighting equipments like extinguishers as prescribedby municipal authorities.All labs should have Personal protective Equipmerx (ppE) for the staffClean toilet facility for sample collection with due privacv.

16 SupewisOw Docto161 4inilnunl qualiflcatiOn tO run a small LaboratOry is an MBBS degrcc1 6 2 Minimum qualiflcatiOn tO run a largc LaboratOry shall bc MD/DCP in Path01ogy

17 Technical Personnel The tcchnical pcrsOn pcrforming tcsts undcr thc supcrvision OfthcsupervisOry dOctOr shOuld havc thc f0110wing qlalincations:_

1 7 1 Diploma in Mcdical LaboratOry Tccllo10gy(with a Course of atleast of One ycarduratiOn)aWardcd by a University, State Govcrnlllcllt, CCntral Tcchnical Board

1 7 2 Any such cOulsc apprOvcd by thc Govclnmcnt of Chhattisgarh,flolll tinlC to tinlc

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1 ` 0t20 aT 2013 73S (67)

1 8 C011eCtiOn CentreC011cction Centrc can be run by a D 4LT or a traincd nursc ThCcollection centre should have a room of atleast 80 sq ft area, where facilities of collecttonand storage of samples and proper transportation ol samples from centre to medical labshould be p'rovided. The transportation should be done carefully with proper marntenallceof cold chain.

Radiotogy And Imaging:The role of Radiology Centre is to provide Radio Diagnostic Services and tl.rerefore' itshall be run by appropriately qualifred specialist in Radiology and Imaging'Tl-re Radio Diagnosis Units generally deal with Radiography' Ultrasonography (USG)'Nuclear medicine and Computed Axial Tomography Scaruler (CT Scan)' MagneticResonance Imaging (MRI) etc.SuchUnitsshallhaveX-RayandnormalUltrasonographyfacilities.ApartfromthisitShallhave facilities like colour Doppler, Echocardiography, computed Axial Tomography Scan(CT scan), Magnetic Resonance Imaging (MRI) and other Nuclear Medicine related tests'All Establishments having Radiology and Imaging facilities must fulfill the clattseslaid down in the SAFETY MANUAL plepared by ATOMIC ENERGYREGULATORY BOARD. Some of the points include:-

o Availability of lead screen near the control panel and lead aprons for technicians'oAvailabilityofTLDbadgeswitlrroutineevalrtationofteclrniciarrsforexposuretoradioactive'tay#

.Prominentdisplayoflogoandcautionsigrrageespecially|ortheplegnantladiesilrlocal language.

rThewallsofroomwlrereprimarybeamfallsshallnotbelesstlran35mmthickandrvalls on r.vhich the scattered beam falls shall not be less than 23 mrn thick'

. Windows shall be lead painted or shielded rvith i'7 rnm lead' if there'The Center should have beer-r approved by the Atomic Energy Regulatory Body'3. Ultrasonography:3.1 All Establishn-rents performing Ultrasonography should have a license under the PC-PNDT

Act.i.l In case the Llltrasol'ttc facilit"v maintains a potable machine' the r:se of such urachine shall

be limited to rl.re l.rospiial prerlises as prescribc-d undcr the PND',f guidelines.

24

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738(68) e-frere wqa, Rli* 20 3TrrR 20134. Qualifications:4.1 Supervisory Doctor-4.1.1 Minimum qualification for X-Ray and Sonography shall be MBBS with Training/Diploma

in a relevant discipline, approved by the Government of Chhattisgarh'4.1.2 Minimum qualification for higher levels of services (cT Scan, MRI etc.) shall be MD

Radiology/ Radio Diagnosis / Diploma in Medical Radiology and Electrology / Diplon-ra inMedical Radio Diagnosis/Diploma in Medical Radiology or any other Qualification/ Degreeor Diploma recognized by MCI.

4.2 Technical Personnel- The technical person performing the tests under supervision ofthesupervisory doctor should have one of the following qualifications :-4.2.1 Diplorna in X-ray and Imaging awarded by a University, state Government oI central

Technical Board.4.2.2 Any such course approved by Goverrunent of Chhattisgarh' from time to time'

Support Services:Elcctricity Provision for continuous supply of elcctricity and poM er back up shall bc thcrc

V/atcr Supply Provision for safe drinking vater and hand washing arrangcmcnts shall bcthereAll Radiology Labs vc to maintain ircighting cquipmcllts like cxtinguishers asprcscribcd by N4unicipal Authoritics.

Equipment:Thc Ccntcrs must bc providcdvith all instrumcnts/cquipmcnts rcquircd fOr cmcrgcncy&basic lifc supportThc clinic providing intcrventiona1 /contrast studics nlust havc instrtlnlcnts/equiplllcnts/mcdicines to dcal vith any allcrgic and/or anaphylactic cornplications that rnayarisc

7. Waste Disposat: The Disposal of wastes in the hospital shall be in accordatlce u'ith Bio-N,ledical Waste (iv{anagement and Handling) Rule. 1998. Provisions shall be nrade torsegfegation and safe disposal of biomedicai rvastes. -sharps and slringes eithcr"bl lhcit orrtllesources or throu-qli tie-Lrp ivirh (lor.nmon Bromeclical \\ asre flcalrrrcrit Fecilirics

^

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738 ( 70)

, 20 2013Width Of dOOrs in thcvall 3Bath&toiletNumbcr ofurinals

36sq iI per 6 bed

Number of toilets and baths 1 per 6 bedNumber ofwash basins I per l0 bedOperation Theatre (sterile zone)Instrument Sterlization

300 sq feet50 sq. ft.

Scrubbing uphcre ShOuld be prOper zoning iii5protcctivc,clean zOnc and sterile zOnc 25 sq

Labor Room with ToiletsDoctor's Duty RoomNurses Station

140 sq. ft. + 20 sq. ft.100 sq (with tOilct)100 sq. ft.(with toiler)

Ward StOre100 sq. ft.

Trolley Bay *_rl^-onsu ttlng Kootn and Examination Room

30 sq. ft.120 sq. ft.

2.4 Labour Room-a. Labour. Tableb. New Born Resuscitation Unitc. Emergency Medicinesd. Shadow Less Lampe. Instruments for Assisted Deliveries1-. Minor Surgical Instrunents

1.5 lJcrr Born care at.ea-a, TItis unit sliall be located w,ithiu or in close prorinrit\ to lirbor roonlb. Radiant Wanner.s must be kcpt in this are a.

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o 20 2m3 38(71)

3.

Emergency MedicinesSuction Machines

Minimum equirrments required for Maternitv home:a. Labor Tableb. Foetal Monitor (Doppler or Cardiotocograph)

Neonatal Resuscitation KitOne suction machine with power back up & one standby foot sttction machineMinimum one oxygen cylinder for 8 beds or part, with one standby cylinderArnbu bag, Oxygen mask catheter, and nebulizersg. Minimum one Infant Wannerh. All instruments equipments required for emergency & basic life support

; F-^.--..,, T,"-j. Dressing Trolleyk. Instruments & equipments required for Emergency Obstetric Care (LSCS.

Obstetric Hysterectomy, Forceps)l. Defibrillator.Diasnostic Services: Diagnostics Services like Pathological Lab, USG, FoetalMonitor and empanelled blood bank tie up, portable X-ray, ECG machine, if availableshall be as per the standards prescribed in Standards of Diagnostics in Part B of thisSchedule. ".";tSupport Services:a. Electricity- Provision for continuous supply of electlicity and porver back up shall

be there.b. Water Supply- Provision for safe drinking water and hand u'ashing anangemelltsshall be there.

c. F-ire safety- All Maternity Homes have to rnaintain firefighting equipr-nents likefire extingu ishers.

Waste Disnosal: The Disposal of nastes in the hospital shall be in accordance rvithBio-Medical Waste (Managernent and I-landling) Rule. 1998. Ptovisions shall bemade for segregation and sale disposal of biorredical uastes. sharps artd sltingeseithel b-v their or.vn rcsources or througli tie-rp i.r,irh Comnron Biornedicai \\'aste'i r e atr.ner.it Facilities.

4.

5.

6.

Page 19 of57


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738 (72) o , 20 2 3

D

It is an establishment where massaging, electrotherapy, hydrotherapy, medicalgymnastics or any other similar processes are usualry carried on for the purpose of treatmentofdisease or deformity. Folrowing standards shall be maintained for the physiotherapy Unit:-t' Same as prescribed for a clinicin Part A of this Schedule.2.2122

3. Equirrments:I . Short Wave Diathermy3. Magnetic Therapy5. Interferentialtherapy7. Paraffin wax bath9. Ultra Sound Therapy' *- -'f

Microwave DiatherntyLaser TherapyLumbar Traction and Cervical TractiouHot Packs

Hman ResOurce:Such Establishments shall be under direct supervision of Bacheror of physiotherapyfrom a recognized univerlity or institute.Male or female employees providing such therapy shall be under direct supervision ofa qualified Physiotherapist as mentioned above and shall possess a minimumqualificatio' ofhigher secondary and minimum practical experience as prescribed bvthe MCI in Physiotherapy department of any hosoital.

4. SuppOrt serviccs:

C

b

Electricity- Provision for continuous supply of electricity a'd power.back,p shall bethere.water Supply- Provision ror safe drinking rvater and hand washing arr.angerrentsshall be there.Fire saflety- All Physiotherapy units have to n.raintain firefighting equipments rike tireexringuishers.waste Disrrosar: The Disposal of rvastes in the hospital shall be i' accoraance withBio-N4edical waste (Managemenr and Handling) Rule. 1998. pro'isions sha bemade lbr segregation and sale disposal of bio'.redical wastes. sharps a'd s1..r.inceseither bl their orvir resources or th'ough tie,up *,ith comrron lrio'redical \\,asteTreatr.r)en1 Facilities.

5.

2468

J-ge 2i-) af 5 i


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ddR{ttd {"iqd. k+iq zo errrs zors 738(73)E. HOSPITALS AND NURSING HOMES

1. The Basic Minimum Facilities Provided trv a Nursing Home/Hospitals includes:1.1 Emergency First Aid- As prescribed for a clinic in part A ofthis Schedule.1.2 Indoor Admission facilities- The HospitalAJursing Home shall provide indoor

facilities for various disciolines.1.3 Other Services-1.3.1 The facility shall have ear-marked space for OPD block as per standards as prescribed

for clinics in Part A ofthis Schedule.1.3.2 Services of one Medical Practitioner on duty shall be available 24hrs for attending

emergency calls of indoor patients. 24hrs duty of Medical Practitioner shall not becompulsory if Day Care Centres are available. But availability of Doctor iscompulsory till a patient is there in the Hospital.

1.3.3 Diagnostic Services if available shall be as per standards prescribed for MedicalLaboratories in part B of this Schedule.

1.3.4 Services of Physiotherapist if available shatl be as per standards prescribed forPhysiotherapy Units in Part D of this Schedule.

2. OPD Block: Minimum Infrastructure requirement: As prescribed for a clinic.mm mA dm4, Inpatient Derrartment:4.1 Wards-

a. The ward Should have Enough space between beds (as prescribed in clause 8 ofPart E ofthis Schedule)

b. Separate toilets for nrales and lenralesc. Separate room for infectious patientsd. Fire fighting equipments/evacuation plan/exit plan and firc alarme. Emelgency Trayf. Suction Machineg. Oxygen cylinder wirh Mask & Anibr-r Bagh. Dressing Trolleyi. Separate s,ards for males and females

y= Page 21 of 57


76/110

738 \74 ) dfis'rd {srct, R{s 20 qrrR 20134.2 Intensive Care Unit (If available)-

Intensive Care Unit shall be well supported by medical and paramedical staff ir.r orderto provide Resuscitation and Shoit Tenl Cardio Respiratory Support includingDefibrillation. Following standards shall be maintained for Intensive Care Units:-a. Entrance door- 4 ft wideb. Space per ICU bed- 100 sq. ft.c. Distance between two adjacent beds- 3.5ftd. Curtain/partition between bedse. Bedside Supply- centralised oxygen supply facilities must be available.f. Suction Machine beside each bedg. Non Invasive Electronic Monitoring- SPO2, HR, R.hythrn, NIBP, ECG,

Temperature.h. Ventilator And Defibrillatori. Crash Carl Trolley/ Resuscitation Trayj. In- House Basic Clinical Labk. Imaging Facilities- X-Ray, USG, ECGl. Qualified R.esident Medical Officerm. Nurse and support staffn. Separate hand washing facilityo. WheelchairsiStretchersp. Separate Mediciiie a*fl Consumable Storage.4.3 Operation Theatre Complex/ Zone-a. Pre-operative room / areab. Changing room for stalfc. Scrub Aread. Sterilization Roorle. Storef. Provision for hot waterg. Operation Tableh. Shadow Less Larnpsi. Post- Operative (Recovery) Roorn

Page 22 ot 57


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, 20 2013

. 4.4 Labour Room - As prescribed for Maternity Homes in Part C of this Schedule.' 4.5 New Born Care Unit- As prescribed for Maternity Homes in Part C of this Schedule.5. Support Services and Necessary Requirements For Staff:5.1 Support Services-a. Diet- Diet may either be outsourced or adequate separate space for cooking shall be

provided. Hygienic food as advised by the physician shall be available to the patients.b. CSSD (Central Sterile Supply Deparlment) (Compulsory for hospitals with 100 beds

or more)- Adequate space and standard procedures for sterilization and sterile stolageshall be available. A practical protocol for quality asslrrance of CSSD shall bedeveloped.

c. Laundry- There shall be separate storage facility for dirty and clean linen and also forinfected/soiled and non-infected /non soiled linen.d. Electricity- Provision for continuous supply of electricity and power back up shall be

there.e. Water Supply. Provision for safe drinking water and hand washing arrangements shallbe there.f. Fire Fighting equipments- AII hospitals to have fire fighting equiprnents like FireExtinguishers.5.2 Necessary requirements for staff-a. The stalf employet-sh:Xll be fi'ee from any contagious disease and shall be providedwith clean uniforms suitable to the nature oftheir duties.b. The workers shall be medically examined at the time of employment and periodicalchecks ofthe staff should be done.c. Staff shall be ensured for rnedical hazards and statuary rules of emplovment shall befollowed.

6, Equipment: The Nursing Homes shall provide and maintain the following:-a. All instruments/equipments required for emergency and basic life supportb. ECG Machinec. EnTergency Tlayd. One Suction Machine & one Standby Foot Sr"rction Machrnee- N,{ir.rir.nunr olle ox) gen cylinder for 8 beds u.itli one Standbl, CylinderI Defibrillator

738(75)

Page 23 of 57


78/110

738 (76) dn|qrrc rl-rH, fu+iq zo errr*e zors

61

g. Infusion Pumph. Dressing Trolleyi. Facility for power back upj. Fire Fighting Equipments/ Evacuarion planMinimum requirements of Operation Theatre-a. Operation Tableb. Boyles Machine

Laryngoscope with 5 blades ofdifferent sizesEndo Tracheal Tubes of all sizes with connectionsPulse Oxymeter/ Multi - parameter MonitorElectric Suction Machine with generator connection

g. Foot Suction Machineh. Emergency Tray with Medicinesi. Autoclavej. Shadow Less Lampk. Electric Cauteryl. Defibrillatorm. Oxygen cylinders in sufficient numberMinimum Instruments and Equipments required for Nursing Home /Hospital-Minimum required instruments & equipments shall vary as per parlicularspecialty/super spetidi{, however, a list has been provided as per Indian publicHealth Standards (ArLnexure -A).

Hosnitals as per availabilifv: Hospitals / Nursing Homes offering multi-specialty isuper-specialty services must l.rave specialists in the relevant discipline either on theirpay roll or as a panelist in their list of consultants. The minimum qualificationrequired for such specialists shall be as indicated in the table below:-

62

7.

Specialty / Discipline Desirable QualificationsSuper Specialist DNB/MCH/DM/ Post PG Diploma/ Fello*'shipGeneral Surgeor.r;-; - -----rn) srcl ait MS/DNB, (General Surgery),\l D/l )N l J. (Ur.ucral Merlicine)Obstehic jan & Gynaecologist DCjO (OBG)i\4SiDNB/N{D

Page 24 of 57


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20 2013 38(77)

Pacdiatrics DCH/MD(Paediatrics)/DNBOrthopaedics MS/DNB/D ORTHENT Specialist 4S/DLOAnaesthetist MD(Anaesthesia)/DNB/DAEye surgeon MD/MS/DOMS/DNB/(Ophthalm010gy)Dental Surgeon BDSPathologist MD/DNB/DCPRadiologist MD/DNB/DMRE/DMRD/DMRPsychiatrist MD/DP ,4DNBDermatologist MD/DNB/DiplomaGeneral Practitioner lallqpathg MBBS/ or any other degree in allopathic

medicineGeneral practitioner (ayush) BAMS/BHMS/ BUMS/Siddha/YosaSpecialist ofAYUSH Post Graduate in AYUSH

72

Resident Medical Officers / General Duty Medical Officers-Nulsing Home must have at least one Resident Medical OfficerMedical Officer for every 20 beds.Nursing staff and other supportive staff - Minimum nursing and other support stalfshall be in the ratio indicated below:,_- {?-:/'

Every Hospital // General Duty

S.No Category of Staff rvhichshould be available in anynursinghome/hospital/maternityhome

For holv manyPatients

Number to beprovided

1 Nursc/Midwifc 20 beds ol its part 12 General Duty Attendant 20 beds or its part 1 Sr.veeper l0 beds or its part 1

*This is On 8 bourly basis(per SIift)

Page 25 of,7


80/110

738 (78) 'sfrgrra trqcr, ifib, 20 3TrtR 20138. Phvsical Standards:

Specification of areas for Clinical EstablishmentItem Minimum Area RequiredMinimum floor space per bed in ward 100 sq. ft. for one bed and additional 60 sq ft

for every additional bed in the roomMinimum distance between two beds 6 ft.Minimum clearance between bed and wall 60 mmMinimum width of doors in the wall 3ft.Brath&Toilct 36 sq. ft.Number of Toilets and Baths 1 per 6 bedNumber of Wash Basins I per 10 bedMinimum area of Operation Theatre (sterilezone) up to 10 beds

140 sq. ft.

>10 and 30 beds *J 200 sq. ft.>30 bcds 300 sq. ft.Area fol Instrument Sterilization 50 sq. ft.Area for scrubbing upAr'ea for pantry (NH more than 20 beds) 80 sq. ft.Labor room with Toilets l4O cn ft + ?O qn fiDoctor's dr"rty room 100 sq. ft.(with toileoNurses Station 100 sq. ft.(with toile0Arca ior USG As pel PNDT Gr-ridelines

PaEe 26 .l 5t


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, 20 `I"2013 738 (79)Area for laboratory 120 sq. ft. + 40 sq. ft.Physiotherapy unit wirh equiprnenrs 160 sq. ft.Ward Store 100 sq. ft.Trolly Bay 30 sq. ft.Consulting Room and Examination Room 120 sq. ft.

9. Emergencv Medal Sewices:91 All Nursing Homes wherevcr registercd mcdical practitionc s arc cngagcd,must

primarily attcnd the emcrgcncy patients and provide basic life support withoutconsidering thc flnancial ability of thc paticnt, and thcn rcfcr, if ncccssary tO thcncarest privatc ubliC hOspital With Suitablc mcdical rcport about thC ailmcnts,ascarly as possiblc Goldcn HOur Trcatmcnt Protocols shall bc f01lo vcd

92 Evcry Nursing Homc shall havc al1 logistics for cmcrgcncy basic lifc support withtraincd medical and paramedical personnel

93 Evcry nursing hOmc shall cnsurc that they must prescribc rational drugs to thcirpatients and follow the provisions Ofthe Dnlgs and Cosmctics Act,1940

9.4 Every Nursing HOme has a prOfessiona1 0bligation tO cxtend its scrviccs ith ducexpertisc for protcctin fc in cmcrgcncy or in disastcr

10. Waste Dis,osal: The Disposa1 0fastcs in tllc hOspital shall bc in accordancc withBioMcdical Wastc(Managcmcnt and Halldling)Rule,1998 Provisions shall bc madcfor scgrcgation and safc disposal of biOmcdical vastcs,sharps and syringcs cithcr bythcir own rcsources or through tic up ith Conlmon Blomcdical Wastc TrcatnlcntFacilitics

Page 27 of 5?


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38(80) Ernfgrrd {trqqt, l({is 20 3Trrkt 2013SCHEDULE 2(See Rule ll)

FORII CE l:APPLICATION FOR RECISTRAT10N/1SSUANCE OF LICENSE/RENEWAL OF LICENSE

ICLINIC(ALLOPATHIc/AYUSH)AND PHYSIOTHERAPY UNIT

Application for Registration / Renewal ofregistration u'der The chhattisgarh StateUpcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Adhiniy am,20l0

I . Name of the establishment:Address: Village/ Town:.................. TalukaDistrict: .... ... State ....pincode

Email id lobic No /

4

)

D Year of starting:Location:

Orvnership:l-l Municipal Corporation l-l OthersI I lndividual Proprierorship[-l Regisrered Pafrr]ershipfl Registered Company l-l Co-operative Societyf-l Trust / Charitable Irsu f--l Corpolation

6 Name of orvner of clinic:.

7. Name of perscn incharge of clinic:Page 28 of57


83/110

dfrs?rd {.rcr. ktio zo eTrf zot: 738(81)Designation Education eualificationAddress: Village/ Town: .......TalukaDistrict : State ........................Pin code

Email id . Mobile No _8. System of Medicine offers (please tick whichever is applicable):

I Allopathy

[-l Ye'

I J Yes

Ayurveda f-l Unani tr Siddhal lomeopathy L__j Yoga and Naturoparhy I Physiotherapy

9. InfrastructureDetails:Area of Establishment (in sq. ft).............Total Area .....,,Constructed Area............

lWhdher m/ waste disposal license obtained frolll Panchayat/Municipality/ Municipal Corporation?

NoI I . whether clearance obtained from cG Environment conservation Board?

ENo

Page 29 of57


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- 738 (s2 ) Ertrsq TFrFt, fccis zo srrrm zot:12. Human resource:Total no. ofstaffas on date ofapplicationPlease furnish the following table:_

(Scparatc sheet tO be attac

13. Payment option for registration fees:l. Online payment 2. Demand draft 3. postal orderAmount (in words),............[)ctails

S.No Category of staff Name Qualification Registration

No.(where applicable )

Nature ofserwicetemporery/permanent /visiting Iconsultation

Page 30 of 57


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Bfrstrd {rqqd, ffiis 20 :{qkl 2013 738 (83)

I, ...................'.. .on my behalf and on behalf ofmy company/ society/ association/ body, hereby, declare that the statements made above aecorrect and true to the best of my knowledge and I shall abide by all the rules and regulationsunder the chhattisgarh State upcharyagriha Tatha Rogopchar Sarnbandhi SthapanayeAnugyapan Niyam, 2013.

I, further underlake to intimate to the appropriate Registering Authority anychange in particulars given above.

Place:Date:

Name of Signatory AuthoritY with01Lcial Seal

"J


86/110

38(84) ( ,,m20 2Cl1 3FORpvI_cE2:APPLICAT10N FOR REGISTRAT10N/1SSUANCE OF LICENSE/

RENEVAL OF LICENSE[lEDICAL LABORATORY AND DIAGNOSTIC SERVICES]

Application for Registration / Renerval ofregistration under The Chhattisgarh StateUpcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Adhiniyam' 20101. Name of the establishment: . . . . . . . . . . . . . . . . .: . . . . . . . . . . . . . .

Address: Villase/ Town: ..... TalukaDistrict: .......State ....Pin codeTel No(Vith STD codc) . Fax No.

Email id......... MobileNo.......3. Year of starting:4 Location:

Ownership:

fl NJunicipal Corpolation l-l Oth"rt*_;5 f-l lndividual Proprietorship fl Regislered Partnership

l---l Registered Company fl Co-operatii,e Societyfl Trust / Charitable f] PSU fl Corporation

6. Name of olvner of Medical Laboratorv:7. Name of person incharge of Medical Laboratorv:

Designation Educatior.r Qualification alukaPage 32 of 57Address V illage, Tour:


87/110

Br*grf6 {lrlq:{. k{is 20 3T.fR 2013 /J6 l d),District: ......'State ....Pin code

Email id. Mobilc No. 8. Providing testing and Diagnosis:

Laboratory:fl Pathology Lab [-l Collection Center

Diagnostic and imaging centre:fl x-Ray I Sonography t] cr Scanfl Magnetic Resonance Imaging (MRI) E Isotope Scans f-l Any other

9. InfrastructureDetails:Area of Establistunea{n sq. ft)...... .......'Total Area ...... .Constructed Area... ........ .

10. Whether biomedical waste disposal license obtained from Panchayat/Municipality/ Municipal Corporation?

I Yes f No.I l. Whether clearance obtained from CG Environment Conscrvation Board?

n No.12. Vheth

13. Whether registered under PC-PNDT Act?

[_l

v.'


88/110

738(86) o ,m20 2013 14. Human resource:

Total no. of staff as on the date of applicationPlease furnish the following table:-

Category ofstaff

Name Qualification Registration No.(where applicable )

Nature ofservice

(Separate sheet to be attached for various categories of staff)15. Payment option for registration fees:

I . Online Payment 2. Demand draft 3. Postal orderAmount (in words)

Receipt No. ...... :::.*{

Page 34 of 57


89/110

dfr{rrg Tr-rrr, Ftiq zo errrw zor: 738 ( 87)

r, ...................... .on my behalf and on behalf of mycompany/ society/ association/ body, hereby, declare that the statements made above arecorrect and true to the best ofmy knowledge and I shalr abide by all the rures and regulationsunder the chhattisgarh state upcharyagriha Tatha Rogopchar Sambandhi SthaparrayeAnugyapan Niyam,2013.

I. further undertake to intimate to the appropriate Registering Authority any changein particulars given above.

Place:Date:

Name of Signatory Authorify withOfflcial Seal

1r"

PaBe 35 of 57


90/110

738 (88) d*grrd {Ftttt, kqt+ zo sllw zot:FORM - CE-3: APPLICATION FOR REGISTRATION / ISSUANCE OF LICENSE /

RENEWAL OF LICENSE[HOSPITALIMATERNITY HOMES/NURSING HOMES]

Application for Registration / Renewal of HospitaUMaternity Homes/NursingHome registration under The Chhattisgarh State Upcharyagriha Tatha Rogopchar SambardhiSthapanaye Anugyapan Adhiniyam, 201 0l. Nameof the Establishment: ... ... ......2. Address:

Village/ Town:. .. Taluka

Email id MObilc No

Year of starting: . . ..::.:.j.;j

4. Location : lMunicipal Corporation f-l Others5. Orvnership: lndividual Proprietorship I Registered Partnership

3.

I Registered Companyn Trust / Charitable

Co-Operative Societyf] Psu I Corporation

6. Name of orvner of Hospital/Maternify Homes/Nursing Homes):

Page 7E or 5 t


91/110

d*grrc {FTt, fu-* zo ,:r.rg zot: 738 (89)1, Name of person in-charge:...... .

Designation Education QualificationAddress: Villase/ Town: .......Taluka .........District: .......State ....Pin code.Tel. No. (With STD code)............. ......FaxNo.Emallid Mobile No

8. System of Medicines offered (please tick rvhichever is applicable):

Yoga and Naturopathy9. Providing inpatient care:

f] Hospital I Nursing Home f] Maternity HomeI Atry otlier (please spesify)...................'-J "10. ProvidingDiagnosticServices:Laboratory:

Ll AtlopathyL-l Homeopathy

Pathology LabDiagnostic and imaging centre:

tr--i -,I t.\ ravI Magrretic Resonance Imaging (MRI)

Infrastructure details :

I Ayurveda tr Unani f] siaana

LJ Lolleclron L enter

SonographyIsotope Scans

CT ScanAny other

Alea of Establislmrent (in square meters). .

fotal Area . .. . .. .. .. ....Ccnstructed Area.....

11.

Page 37 of 57


92/110

738 (90) e-fr$rd {"rct. fuliq zo errg zo'1:a. OutpatientDepartment:

Specialty wise distribution of OPD clinic:S. No Specialty No. of rooms Remarks

b. In Patient Department:Total No. ol beds ..................Specialty wise distribution ofbeds (in case the hospital is more than 100 beds):-

S. No Specialfy No. of rooms Remarks

gt/-Whether Biomedical Waste Disposal License obtained from Panchayat/Municipality/ Municipal Corporation?

LJ Yes l--l No.d. Whether clearance obtained from Chhattisgarh Environment Conversation

Board?fl Y"' n No.

e. Whether clearance obtained from BARC/AERB?n Y"t I No.

f. Whether registered under PC-PNDT Act?[]xoPage 38 cf 57

l- I YCS


93/110

,m20 38(91)12. uman resource:

Total no of staffas on date of appliCation Plcase furnish thc fo10wing t l

Nature of servicetempera/ Permanent/visitirrg / consultation

RegistrationNo. (whereapplicable )

Qualificationategory of staff

Other pleasespecify

(S"p*"t" ttt""t to b""tt^"hed

for various categories of staffl13.Payment op6on folle traes:

1 0nlinc paymcnt 2 Dcmand draft 3- Postal order

Amount (in words)... .. . .Dctails D o^6;nr l\I^f\ccglpt I \u.


94/110

738 (92) sdl{r|d T|qTd, ftrifr 20 3TrfK 2013DECLARAT10N

I, ...................... .on my behalf and on behalf of rnycompany/ society/ association/ body, hereby, declare that the statements made above arecorrect and true to the best of my knowledge and I shall abide by all the rules and regulationsunder the Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi SthapanayeAnugyapan Niyam,2013.

I, further undertake to intimate to the appropriate Registering Authority any changeir, particulars given above.

Place:Date:

Name of Signatory Authority rvithOfficial Seal

"J

Page 40 of 57


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Edr {rsq-t. ffii6 20 errf 2013 38(93)SCHEDULE 3

(See Rule ll)

MunicipalCorporation

Other Areas

Registration Fee(in Rs.)

Registration Fee(in Rs.)

Individual Clinic ( All Pathies)(a) Graduates 700 350(b) Post- Graduate diploma and degree holder 1500 750(c) Poly clinics & other Clinic 700/doctor 350/doctorNursing Home and/or Maternity Homes or Hospitals(a) Up to 10 beds 2000 1000(b) I l-20 beds 3000 1500(c) 21-30 beds 4000 2000(d) more than 30 beds 5000 2500Pathological Laboratory(a) Pathological Laboratory 1000 500(b)Collection Centre for Pathological Labs 1000 500IMAGING,X RAY&OTHERS

(a)USG/ECHO/Color Dopplcr/X Ray/ECT,EEG,EMG,Endoscopy

1000 800

(b) MRI/ CT Scan/ Angiography 3000 1500Amendment fees (In addition to original fee) 800 500Duplicate Copy of License 500 250

Page 41 of 57


96/110

738 \94 ) saRFrd {EFDI. Id;Itrf 20 3lrfRt 2013SCHEDULE 4(See Rule ll)

FOIAT FOR RECEIPT FOR REGISTRAT10N UNDER

Registration NoIt is, hereby, certified that the Establishment

Address.......... ...... underthe ownership of Mr./Mrshas paid a total sum of Rupees .(in figure)

(in words) and is registered under theChhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye AnugyapanNiyarn,2013.

This registration, however, does not guarantee the above mentionedthe license under the Act. The registration Certificate will be valid till

"- -_/

Nanie ofthe Snpervisory Authority..... . ..

Signature

establishment,

Page 42 of 57


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adeqs {rqq{, f


98/110

38(96) , 20a 2013SCHEDULE 6(See Rule 13,Clause 8.2)

ESTABLISHMENTSDistrict. Status as on Remarks (*)Sl.No.

Name andaddress ofClinicalEstablishment

Categoryof ClinicalEstablishment

Date ofregistration

Date ofissue Irenewal oflicense

Validi ofregistration/1icense

(*)lndicate entry / page number ofthe applications folder

LE 2:FOmIAT FOR IIIAINTAINActionTaken

Remarks(*)

Name ofComplainant the

complainant

Name ofClinical

Establishmentagainst whomthe complaint

is made

Investigation done

(")Enter cases registered u'ith .{ppeliate Authority_ : '

Page 44 of 57


99/110

dd-'r|d 1rqrr. Rli* zo erts zor: 738 (97 )

2.

SCHEDULE 7(Rule 14)

Every Nursing Home/ Clinical Establishment shall maintain and preserve medicalrecords for a period of five years from the date of the patient attending the hospital.Following records shall be maintained:-

1 OPD Records: The "OPD paper" ofa patient attending the OPD should contain theDoctor's name and detailed clinical notes including patient's name, age, occupation,chief complaints, onset/duration/progress of illness, past history, personal history,family history, detailed examination findings, provisional diagnosis and treatmentadvised.

IPD Records: The Nursing Home shall keep the following details of the patientsadmitted in the Nursing Home as an in-door patient, narnely:-(i) Records of admission(iD Discharge / DOR/LAMA/ Absconding/Dearh of the patient;(iii) Records of Treatment(iv) These registers..lf to be duly maintained and updated chronologically , copies

of which have to be kept in the record room of the nursing hone for at least 5years. The information in this regard shall be supplied to the SupervisoryAuthority, as and when required.

3. Other Registers to be maintained: Other Registers to be maintained are:-i. Labor Room Registerii. Operation Theater Registeriii. MTP register (if registered under the Medical Ten.nination of Pregnancy Act.

1971)iv. It4edico Legal Registerv. Laboratorl Rcgistert'i. Radiolog),andInterging Registervii. liltr-asorrograplil Register. 11_ Page 4.c of 57


100/110


101/110

B-algrrd tl;IrFt. l(lFF 20 sTrt 2013 738 (99)l INTIDIIAT10N OF BIRTH OF A CHILD OCCURRING IN NURSING

HO IE AS PER BIRTH AND DEATH REGISTRAT10NFORDI A

BIRTREGISTERFollolving entries are to be made in the birth register:-

I . Date o'f birth:2. Gender:3. Name of the child, if any:4. Father's Name:5. Permanent address:6. Mother's Name:

"--/7. Place of birth:1. If institutional -- then -- Hospital/lnstitution Name:2. if Home Delivery -- then -- Address:

Page 47 of57


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103/110

o'fr{trr6 TEq1. R{iq 20 srtrkt 2oi3 738 ( 101)

DEATH REGISTERLEGAL INFORMATION

Following entries are to be made in the Death register:-

1. Date of Death:2. Name of the deceased:3. Sex of the deceased:4. Age of the deceased:5. Place of Death:

a. If institutional -- then - Hospital/lnstitution Name:b. If Death at home -- then -- Address:c. Other (Specify)................

y/--- '-"'':f

Page 49 of 57


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738 ( 102 ) ,, 20 2013DEATH REPORT

STATISTICAL INFORMATION(This part to be detached and sent for statistical processing)

1. Address of the deceased:2. Religion of the deceased:

a. Hindu b. Muslim3. Occupation of the deceased:

c Sikll

4. Type of medical attention received before death:a. Institutionalb. Medical attention other than institutionalc. No medical attention5. Was the cause of death medically certified? Yes

d Christian

No

6. Name of Disease or Actual Cause of Death:.J7 . In case of death of a female, whether the death occurred during pregnancy or at the

time of delivery or within 6 rveeks of the Delivery : Yes No

Page 50 of 57


105/110

R-frsAA rrqt. Rfq 20 3Trtfn 20.13 738 (103)SCHEDULE 9

(See Rule 15)

NOTIFIABLE DISEASES

S NoMonth

Name of the diseaseCategory of diseaseTotal no. of patients admittedDate of first patient admitted

Total no. of deathsArca flomlich maxinnOpatients arc adlllittcd

/PaBe 52 ci 57


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38(104) BRftsr|d {rqtn. F{is 20 3TrrRI 2013ANNEXURE A

LIST OF EOUIPMENTS

STANDARD SURCICAL SET I(INSTRUMENTS)S.No. Instrument Minimumrequirement1 Tray, instrumenVdressing with cover, 3 10 x 200 x 600mm-ss 1 Glovcs surgcon,latcx stcrilizttlc,SiZC 6 3 Gloves surgeon, latex sterilizable, 6-112 4 Gloves surgeon, latex sterilizable, size 7 5 Gloves surgeon, latex sterilizable, 7-l i2 12 Gloves surgeon, latex sterilizable, 8 7 Forceps, backhaus towel, 130 mm 48 Forceps, sponge holding, 228 ntnt 69 Forceps, afiery, pean straight, 160 mm, stainless steel 410 Forceps hysterectomy, curved, 22.5 mm 411

: mttM Sm_ Q d , 5 6

Forceps, tissue, all/is 6x7 teeth, straiglrt, 200 mm-ss 13 Forceps, uterine, tenaculum, 280 mrn, stainless steel 114 Needle holder, mayo, straight, nanow jarv, 175 mm, ss 115 Krife-handle surgical for minor surgery # 3 116 Knife-haudle surgical for rnajor surger; # 4 117 Klife-blade surgical, size 11, for minor surgery, pkt of5 D Knife-blade surgical, size 15 for minor surgery, pkt of 5 4

19 Klrife blade surgical. size 22. for major surgery. pkt of 5 D20 Needles. sutrrre lrianuular point. 7.i crrr. pkr of tr 21 Needles, suture. rourd bodied. 3/8 circle No. l2 nkt of6

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q ,m20 2013 738 ( 10s )S.No. Instrument Minimumrequirement22 Rctractor,abdOminal,Deavers,sizc 3,2 5 cnlx 22 5 cm 123 Retactor, double-ended abdominal. Beltouis. set of2 24 Scissors, operating curved mayo-blunt pointed l7Omm l Retractor abdominal, Balfour 3 blade self-retaininp l

26 Scissors, operating, straight, blunt point, i 70 mm 1IUD INSERT10N I T

2 Gloves Surgeon, latex, size 6-112Ref.4148 63 Gloves surgeon latex, size 7-1/2Ref.4148 64 Bowl, metal sponge, 600 ml, Ref. IS: 5782 15 Speculum vaginal bi-valve cusco's graves srnall ss 16 Forccps spongc h01ding,straigh1 228 4MH Scmkcn 200mm l7 Sound uterine simpson, 300 mm graduated UB 20 mm 1 Forceps tltcrinatclla"lum duplay DBL CVD,280 mm 19 Forceps tissue - 160 mm 110 Anterior vaginal wall retractor stainless 1

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Nursing Home Rules 2013

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