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Visitation Proforma for Siddha Colleges 2013-14 1
PART- I CENTRAL COUNCIL OF INDIAN MEDICINE
NEW DELHI
VISITATION PROFORMA FOR ASSESSMENT OF AVAILABLE FACILITIES OF TEACHING
AND PRACTICAL TRAINING OF SIDDHA COLLEGE & ATTACHED HOSPITAL (2013-14)
(Under Section 13 (C) of IMCC Act) (To be filled up by the Principal and countersigned by Secretary or President of the Society)
Section ‘A’-General Information
I. Information of College
1) Name of the College with Complete Address including pin code (mentioning taluka, dist. and other details)
2) Information of communication
Contact No. of College
Contact No. of Hospital
Fax
Website
3) Information of Principal Name
Office Tel. No.
Residence Tel. No.
Mobile No.
4) Whether Government / Grant-in-aid / Private / Statutory College of University
5) Year of Establishment of Society / Trust
6) Year of Establishment of College
7) Information of State Govt. Health Secretary / AYUSH Secretary dealing with the education of Ayurved, Unani and Siddha
Name & Address
Office Tel. No.
Residence Tel. No.
Mobile No.
8) Information of State Govt. Director of Ayurved / AYUSH
Name & Address
Office Tel. No.
Residence Tel. No.
Mobile No.
9) Information of President / Secretary of Society/Trust of College (For Private / Private Aided college)
Name & Address
Office Tel. No.
Residence Tel. No.
Mobile No.
Visitation Proforma for Siddha Colleges 2013-14 2
10) Information of University / Statutory University
1. Vice chancellor
Name
Office Tel. No.
Mobile No.
2. Registrar Name
Office Tel. No.
Mobile No.
11) Important information of connectivity
Name of Nearest Airport & Distance (km)
1.
2.
3.
Name of Nearest Railway station & Distance (km)
1.
2.
3.
12) Fee Structure For Management seats
For Government seats
Name of the fee fixation authority
13) Year of 1st permission of State Govt. with Intake Capacity
14) Date & Year of First Permission of CCIM with Intake Capacity
15) 1st affiliation of University. Name of University
Year of 1st affiliation
16) Previous year permission of Dept. of AYUSH, New Delhi. with Intake Capacity
17) At Present Intake Capacity Course Intake
UG
PG (Subject wise)
Diploma (Subject wise)
Ph.D
18) Name of nearest Police Station
Name & Address
Telephone Number
Visitation Proforma for Siddha Colleges 2013-14 3
II. DETAILS OF LAND
1. Total area of land with Society/Trust (in acres)
2.
Ownership of land (Own/Lease/Rented)
In the name of the Society/Trust
In the name of President/Secretary
3. Whether entire land is in one plot or more than one. If more than one, then size and distance between these plots
4. Whether the land available with the Society/Trust is entirely for Siddha College and attached Hospital or for any other Institute also, if so, details thereof.
5. Information regarding other institutions/colleges run by the same society/trust. Whether they are in same campus or anywhere else.
6. Whether College and Hospital building are in same premises
Yes/No
If no, distance between College and Hospital in km.
7. Total area of land allotted to the Siddha college (in acres)
8. Total area of land allotted to the Siddha hospital (in acres)
9. Total area of land allotted to the hostels (in acres)
10. Name of other institutions running in the campus of Siddha College
11. Total constructed area of College (sq.ft.)
12. Total constructed area of Hospital (sq.ft.)
13. Total constructed area of Hostel (sq.ft.)
SECTION B
INFORMATION OF THE COLLEGE
I. INFORMATION OF ADMITTED STUDENTS
Year of Admission
No. of Students admitted Students admitted by order of AYUSH Deptt.
(GOI)/Court order.
Name and Date of last admitted
student UG Course PG Course
Govt. quota
Management quota
Govt. quota
Management quota
2010-11
2011-12
2012-13
Note:-
1. List of students in UG Course admitted in the Years 2010-13 be furnished as per ANNEXURE-I
2. List of subject wise total no. of Post Graduate Students Admitted in the Years 2010-13 be furnished
as per ANNEXURE –II
3. In case admissions done as per court order mention the W.P.No. and attach the copy of court order.
4. If required additional sheet be attached in prescribed format regarding information of PG Course.
Visitation Proforma for Siddha Colleges 2013-14 4
II. INFORMATION OF PASSED OUT STUDENTS SINCE LAST THREE YEARS.
Academic Year
UG Course PG Course
Final Year Final Year
No. of students appeared in exam
No. of students passed out
No. of students appeared in exam
No. of students passed out
2010-11
2011-12
2012-13
III. AREA OF COLLEGE
TOTAL CONSTRUCTED AREA OF COLLEGE
Required Available
Area (Upto 60) 2000 sq.mtr.
(61 to 100) 4000 sq.mtr.
S.No. NAME OF DEPARTMENT & SECTION
1. Administrative wing 150 300
2. Thotrakirama Aaraaichiyum Siddha Maruthuva Varalaarum 50 100
3. Thamizh/English 50 100
4. Udal koorugal 100 200
5. Udal thathuvam 100 200
6. Medicinal botany 100 200
7. Gunapaadam 75 150
8. Noi naadal 75 150
9. Varmam, Puramaruthuvam & Sirappu Maruthuvam 50 100
10. Sattam Saarntha Maruthuvamum Nanju Maruthuvamum 50 100
11. Maruthuvam 50 100
12. Kuzhandhai Maruthuvam 50 100
13. Aruvai, Thol Maruthuvam 75 150
14. Noi anuga vidhi 50 100
15. Sool, magalir Maruthuvam 50 100
16. Uyir Vedhiyiyal (Bio chemistry) 75 150
17. Teaching Pharmacy and Quality Testing Laboratory 100 200
18. Common Rooms: Separate for boys and girls 50 100
19. Canteen 50 100
20. Library 100 200
21. Auditorium/Seminar Hall/Exam hall 150 300
22. Class Rooms
400 (5x 80 sq.mt)
800 (5x 160 sq.mt)
23. Tutorial room for PG
24. Area Of Dissection Hall
Visitation Proforma for Siddha Colleges 2013-14 5
IV. DETAILS OF COLLEGE DEPARTMENTS
S.No. Name of the Department
No. of Deptt. Library Books
Museum No. of Lectures/Practicals/Clinicals carried out in the Academic year 2012-13
No. of Charts
No. of Models/
Specimen
UG PG
Theory Practical / Clinical
Theory Practical / Clinical
Seminar
1. Thotrakirama Aaraaichiyum Siddha Maruthuva varalaarum
2. Udal Koorugal
3. Udal Thathuvam
4. Gunapadam-Mooligai, Thaathu-Jeeva Vaguppu
5. Noi Naadal and Noi Mudhal Naadal
6. Sattam Saarntha Maruthuvamum Nanju Maruthuvamum
7. Sool and Magalir Maruthuvam
8. Maruthuvam
9. Aruvai, Thol Maruthuvam
10. Kuzhanthai Maruthuvam
11. Varmam, Puramaruthuvam and Sirappumaruthuvam
12. Maruthuva Thaavara Iyal
13. Uyir Vedhiyiyal
14. Noi AnugaaVidhi
15. Thamizh / English
16. Number of educational tours conducted for teaching & practical purpose in the year 2012-13
V. DETAILS OF VARIOUS SECTIONS
A. DISSECTION HALL
S.No. Details Available
1. Number of cadavers available at the time of visitation
2. Number of cadavers dissected in the year 2012-13
3. Proper Ventilation Yes / No
4. Embalming Room with Storage tank / Freezer Yes / No
B. CENTRAL LIBRARY
S.No. Details Number of Books available
1. Number of books
(i) Siddha
(ii) Modern
(iii) Medical Journals
(iv) Others (Ayurveda/Unani etc.)
(v) Total number of books
2. Number of seats available in reading room
3. Number of computers with internet facility
Visitation Proforma for Siddha Colleges 2013-14 6
VI. INFORMATION OF TEACHING STAFF FOR UNDER GRADUATE COURSE
S.
No. Department Intake Capacity
for UG / PG Number of Teachers as per
CCIM Norms Number of Existing Teachers Total
Prof. Asso. Prof. / Reader
Asstt. Prof./
lecturer
Prof. Asso. Prof. / Reader
Asstt. Prof./
lecturer
1. Thotrakirama Aaraaichiyum Siddha Maruthuva Varalaarum (History and Fundamental Principles of Siddha Medicine)
Up to 60 1 or 1 1
61 to 100 1 1 1
2. Udal Koorugal (Anatomy)
Up to 60 1 or 1 1
61 to 100 1 1 1
3. Udal Thathuvam (Physiology)
Up to 60 1 or 1 1
61 to 100 1 1 1
4. Gunapadam-Mooligai, Thaathu-Jeeva Vaguppu (Materia Medica)
Up to 60 1 1 1
61 to 100 1 1 2
5. Noi Naadal and Noi Mudhal Naadal (Pathology)
Up to 60 1 or 1 1
61 to 100 1 1 1
6. Sattam Saarntha Maruthuvamum Nanju Maruthuvamum (Forensic medicine and Toxicology)
Up to 60 1 or 1 1
61 to 100 1 1 1
7. Sool and Magalir Maruthuvam (Obstetrics and Gynaecology)
Up to 60 1 or 1 1
61 to 100 1 1 1
8. Maruthuvam (Medicine)
Up to 60 1 or 1 1
61 to 100 1 1 1
9. Aruvai, Thol Maruthuvam (Surgery)
Up to 60 1 or 1 1
61 to 100 1 1 1
10. Kuzhanthai Maruthuvam (Peadiatrics)
Up to 60 1 or 1 1
61 to 100 1 1 1
11. Varmam, Puramaruthuvam and Sirappumaruthuvam (Varmam Therapy External Therapy and Special Medicine)
Up to 60 1 1 2
61 to 100 1 1 2
12. Maruthuva Thaavara Iyal (Medicinal Botany and Pharmacognosy)
Up to 60 1 or 1 1
61 to 100 1 1 1
13. Uyir Vedhiyiyal (Bio-Chemistry)
Up to 60 - - 1
61 to 100 - - 2
14. Noi AnugaaVidhi (Hygiene) Including Research Methodology and Medical Statistics
Up to 60 1 or 1 1
61 to 100 1 1 1
15. Thamizh /English Up to 60 1 or 1 -
61 to 100 1 1 -
TOTAL Up to 60 15 (P+R) 15
61 to 100 14 14 17
For PG
VI. INFORMATION OF TEACHING STAFF FOR POST GRADUATE COURSE
S. No. Department Intake Capacity
for PG
Number of Existing Teachers Total
Prof. Asso. Prof. /
Reader Asstt. Prof./
lecturer
1. Maruthuvam
2. Gunapadam
3. Sirappumaruthuvam
4. Kuzhanthai Maruthuvam
5. Noi Naadal and Noi Mudhal Naadal
6. Nanju Noolum Maruthuva Neethi Noolum
TOTAL
Visitation Proforma for Siddha Colleges 2013-14 7
VII. DETAILS OF TECHNICAL AND OTHER STAFF IN THE COLLEGE
Note:- Detailed Information of Non -Teaching staff be furnished as per ANNEXURE-IV.
VIII. ADDITIONAL REQUIREMENTS :-
1. College Council Available / Not Available
i. No. of Members
ii. Name of Members (Attach List)
ii. Yearly No. of Meetings
2. College Website as per MSR. Maintained/ Not Maintained
S.No. (1)
Department (2)
Post (3)
Requirement (4)
Available (5)
1. Library Librarian 1
Assistant Librarian 1
Library Attendant or Peon 1
2. College Office Personal Assistant to Principal 1
Clerical staff for administrative accounts services
7
3. Thotrakirama Aarachiyum Siddha Maruthuva Varalarum
Attendant 1
4. Maruthuva Thavara Iyal Laboratory Technician 1
Attendant cum Museum Keeper 1
5. UyirVediyal Laboratory Technician 1
Attendant cum Museum Keeper 1
6. Udal Koorugal Laboratory Technician 1
Laboratory Assistant 1
Attendant cum Museum Keeper 1
7. Udalthathuvam Laboratory Technician 1
Attendant cum Museum Keeper 1
8. Gunapadam Laboratory Technician 1
Laboratory Assistant
Attendant cum Museum Keeper 1
9. Noi anuga vidhi Attendant cum Museum Keeper 1
10. Noi Naadal and Noi Mudhal Nadal
Laboratory Technician 1
Attendant 1
11. Sattam Sarntha Maruthuvam and Nanju Maruthuvam
Attendant cum Museum Keeper 1
12. Maruthuvam Attendant cum Museum Keeper
2
13. Varmam, Puramaruthuvam and Sirappumaruthuvam
14. Sool, Magalir Maruthuvam
15. Kuzhanthai Maruthuvam
16. Aruvai, Thol Maruthuvam
17. Herbal Garden Gardener 1
Multipurpose worker 2
Total 32
Visitation Proforma for Siddha Colleges 2013-14 8
IX. OTHER RELEVANT INFORMATION OF TEACHER
(Mention name of department)
S.No. INFORMATION OF TEACHERS Professor Reader Lecturer Total
1. Total number of teachers retired from the college (Jan. to Dec. 2012)
2. Total number of teachers transferred/left from the college (Jan. to Dec. 2012)
3. Total number of teachers newly appointed in the college (Jan. to Dec. 2012)
4. Total number of teachers re-employed after retirement from Govt. or Grant In Aid colleges (Jan. to Dec. 2012)
X. SALARY INFORMATION
S.No. Pay Scale + Grade pay of teachers Tick whichever applicable
(If no please mention reason thereof) Remarks
1. Mode of payment through Bank Yes/No
2. GPF & CPF is deducted from the salary Yes/No
3. Teachers promotion policy as per norms of CCIM Yes/No
4. Existing pay scale of teaching staff State Govt./UGC/others
5. Pay Scale + Grade pay
Pay Scale + Grade pay of Professor
Pay Scale + Grade pay of Reader/Associate Professor
Pay Scale + Grade pay of Lecturer /Assistant Professor
Note:- Detail Information of Teaching staff be furnished as per ANNEXURE-III
Visitation Proforma for Siddha Colleges 2013-14 9
XI. FINANCIAL INFORMATION
MONTH WISE EXPENDITURE FROM JAN. to DEC. 2012
S. No Month
Total salary of teaching
staff
Total salary of non
teaching staff
Total salary of paramedical & other hospital
staff
Total expenditure on purchase
of new books
Total expenditure on furniture
& fixtures
Total expenditure on equipments & instruments
Total purchase of raw drugs
Total purchase of
prepared medicines
Total purchase of Lab
chemicals
Building construction
and other expenditure
1 January
2 February
3 March
4 April
5 May
6 June
7 July
8 August
9 September
10 October
11 November
12 December
13 Total
14 GRAND TOTAL OF EXPENDITURE FOR THE YEAR 2012
15 TOTAL INCOME OF THE YEAR 2012
Visitation Proforma for Siddha Colleges 2013-14 10
SECTION C DETAILS OF THE HOSPITAL
I. REQUIREMENT OF AN ATTACHED HOSPITAL OF SIDDHA COLLEGE
As per CCIM norms (Sq.mtr.)
S.No. Available
Area
Available Area
I) TOTAL CONSTRUCTED AREA OF HOSPITAL Upto 60
2000 sq.mtr.
Upto 61 to 100 3500 sq.mtr.
VARIOUS SECTIONS IN THE HOSPITAL
II) HOSPITAL ADMINISTRATION BLOCK 100 sq.mtr. 150 sq.mtr.
1. Superintendent Room
2. Deputy Superintendent Room
3. Medical Officers Room (For 2 Resident Medical / Surgical Officer)
4. Matron Room
5. Assistant Matron Room (For 2)
6. Reception & Registration Room
III) Out – Patient Departments (OPD) 300 sq.mtr. 500 sq.mtr.
1. Maruthuvam OPD with toilet and wash basin
2. Varmam, Puramaruthuvam and Sirappumaruthuvam OPD with Yoga demonstration area, toilet and wash basin
3. Sool, MagalirMaruhuvam OPD toilet and Examination Room
4. Aruvai, TholMaruthuvam OPD with toilet and wash room
5. KuzhandhaiMaruhuvam OPD with toilet and wash room
6. Avasaramaruthuvam (Casualty) section with toilet and wash basin
7. Dressing and First Aid Room, Kaaranool therapy room
8. Dispensary
9. Waiting Space for patients
10. Store
11. Male and Female Toilet for patients
IV) In – Patient Departments (IPD) 1000 sq.mtr. 1850 sq.mtr.
1. Maruthuvam Male Ward with attached toilet and bath room
2. Maruthuvam Female Ward with attached toilet and bath room
3. Varmam, Puramaruthuvam and Sirappumaruthuvam Male Ward with attached toilet and bath room
4. Varmam, Puramaruthuvam and Sirappumaruthuvam Female Ward with attached toilet and bath room
5. Sool, MagalirMaruthuvam Ward with attached toilet and bath room
6. Aruvai, TholMaruthuvam Male Ward with attached toilet and bath room
7. Aruvai, TholMaruthuvam Female Ward with attached toilet and bath room
8. Kuzhandhai Maruthuvam Ward with attached
Visitation Proforma for Siddha Colleges 2013-14 11
toilet and bath room
9. Doctors’ duty room one for each department with attached toilet and bath
10. Nursing staff duty rooms, one in each ward with attached toilet-bath
11. Store room for linen, etc.
V. Operation Theaters Block 150 sq.mtr. 250 sq.mtr.
1. Minor Operation Theatre
2. Labour Room with attached toilet and bath room
3. Neonatal care room
4. Central Sterilization or Autoclave Unit
5. Scrub room
6. Two Recovery room
7. Doctors’ duty room with attached toilet and bath room
8. Interns’/house officers’/resident doctors’ room with attached toilet and bath room.
9. Nursing staff room with attached toilet and bath room
VI. Varmam, Puramaruthuvam Block 175 sq.mtr. 300 sq.mtr.
1. 1.Varmam Arai (Male) 2.Varmam Arai (Female) 3.Thokkanam Arai (Male) 4.Thokkanam Arai (Female) 5.Neeravi Kuliyal Arai (Male) 6.Neeravi Kuliyal Arai (Female) 7.Peechu Arai(Male) 8.Peechu Arai(Female) 9.Attai Viduthal, Chuttigai etc. 10.Kaara nool therapy room
2. Varmam, Puramaruthuvam therapist or Physician’s room
3. store room
4. Four attached toilet-baths for males and four for females with wash basin and geyser facility in each, which will be in addition to the toilets of wards.
VII. Central Laboratory 100sq.mtr. 150 sq.mtr.
Well equipped and spacious area of 100 square meters with separate sections for Pathology, Biochemistry and Microbiology and the attached toilet shall be there for collection of urine samples and other latest diagnostic facilities such as ECG also shall be provided.
VIII. Radiology/Sonography section 50 sq.mtr. 100 sq.mtr.
Radiology chamber withX-ray room, Dark room, film drying room, store room, Ultra Sonography room, patients waiting and dressing room, reception /registration/ report room
IX. Hospital Kitchen and Canteen: 100 150
X. Store room 25 50
Visitation Proforma for Siddha Colleges 2013-14 12
II. STAFF REQUIRED FOR HOSPITAL
Sl.No. (1)
Post (2)
Required Numbers as per M.S.R.
(3)
Available Number
(4)
1. Hospital Superintendent 01
2. Deputy Medical Superintendent 02
3. Consultants Teachers of
clinical departments
4. Emergency Medical Officers 2
5.
Resident Medical Officer/Resident Surgical Officer (RMO/RSO)
4 (1 each in Maruthuvam, Sool, Magalirmaruthuvam, Kuzhandhaimaruthuvam and Aruvaimaruthuvam)
6. Matron/Nursing Superintendent 1
7. Staff nurses for In Patient Deptt. 1 for every 10 beds
8. Ward Boy or Ayah 1 for every 20 beds.
9. Pharmacists 2
10. Dresser 2
11. Store Keeper 1
12. Office Staff (for registration, record maintenance, data entry etc.)
2
13. Dark-room Attendant 1
14. Operation Theater Attendant 1
Modern Medical Staff
15. Medical Specialist 1 part time/on contract
16. Surgical Specialist 1 part time/on contract
17. Obstetrician and Gynecologist 1 part time/on contract
18. Pathologist 1 part time/on contract
19. Anesthesiologist 1 part time/on contract
20. Ophthalmologist 1 part time/on contract
21. Pediatrician 1 part time/on contract
22. Radiologist 1 (Post-graduate in Allopathic Radiology on contract)
23. Dentist 1 part time/on contract
24. X-Ray Technician/ Radiographer 1
Staff for Varmam, Puramaruthuvam and Sirappumaruthuvam & Therapy Section for In-Patient Department (IPD) & Out-Patient Department (OPD)
25. Varmam, Puramaruthuvam and Sirappumaruthuvam Specialists
Teachers of Varmam, Puramaruthuvam and Sirappumaruthuvam teaching department.
26. House Officer or Clinical Registrar or Senior Resident (Siddha)
1
27. Nurses for Varmam, Puramaruthuvam and Sirappumaruthuvam
2 (1 male and 1 female); in addition to the nurses indicated at S.No.7.
28. Varmam, Puramaruthuvam Assistant 2 male and 2 female
29. Yoga teacher/Varmam expert/Bone setter 1 (from Varmam, Puramaruthuvam and Sirappumaruthuvam Department)
Staff of Operation Theatre and Karanool Therapy Section
Visitation Proforma for Siddha Colleges 2013-14 13
30. Aruvaimaruthuvam and karanool Therapy Specialists Teachers of Aruvai, Tholmaruthuvam department
31. Operation Theatre Attendant 1
32. Dresser 1
33. Nurse 1; in addition to the nurses indicated at S.No.7.
Labour Room
34. Sool, Magalirmaruthuvam Specialists Teachers of Sool, Magalir Maruthuvam department
35. Midwife 01
Clinical Laboratory
36. Laboratory Technicians 02
37. Peon or Attendant 01
Teaching Pharmacy and Quality Testing Laboratory
38. Pharmacy Manager or Superintendent
1 (Teacher of Gunapaadam department.)
39. Peon or Attendant 1
40. Workers 2
41. Analytical Chemist (Part time) 1 (Lab Technician provided under non-teaching staff in the Deptt.)
42. Pharmacognosist (Part time) 1 (Lab Technician provided under non-teaching staff in the Deptt.)
Note:- Detailed information of hospital staff be furnished as per ANNEXURE-V
III. NUMBER OF PATIENTS ATTENDED OPD (Jan. to Dec. 2012)
S.No. Month
Pothu Maruthuvam
Sirappu Maruthuvam
Aruvai Maruthuvam
Sool, Mahalir and Kulanthai Maruthuvam
Avasara Maruthuvam
Thokkanam and Varmam
1. Jan.
2. Feb.
3. March
4. April
5. May
6. June
7. July
8. Aug.
9. Sept.
10. Oct.
11. Nov.
12. Dec
Total
Grand total
Note:- 1. Patients of Medical Camp OPD should not be included 2. If there is separate OPD for Ophthalmology/dentistry mention separately.
Visitation Proforma for Siddha Colleges 2013-14 14
IV. DETAILS OF IPD PATIENTS (Jan. to Dec. 2012)
Total Number of Patients Admitted in the Year 2012
S. No.
Month Pothu Maruthuvam
Sirappu Maruthuvam
Aruvai Maruthuvam
Sool, Mahalir and Kulanthai Maruthuvam
Avasara Maruthuvam
Thokkanam and Varmam
1. Jan.
2. Feb.
3. March
4. April
5. May
6. June
7. July
8. Aug.
9. Sept.
10. Oct.
11. Nov.
12. Dec
Total
Grand total
V. DETAILS OF TOTAL BED DAYS OCCUPIED (Jan. to Dec. 2012)
S. No.
Month Pothu Maruthuvam
Sirappu Maruthuvam
Aruvai Maruthuvam
Sool, Mahalir and Kulanthai Maruthuvam
Avasara Maruthuvam
Thokkanam and Varmam
1. Jan.
2. Feb.
3. March
4. April
5. May
6. June
7. July
8. Aug.
9. Sept.
10. Oct.
11. Nov.
12. Dec
Total
Grand total
VII. DETAILS OF BED DISTRIBUTION AFTER 19.02.2013
S.No. Name of the Department Required Bed Distribution
for UG
Number of Existing Beds for UG
Additional Bed for PG as per students
: bed ratio 1:4
Total Number of Existing
Beds 60 beds 100 beds
1. Maruthuvam 30% beds 18 30
2. Varmam, Puramaruthuvam and Sirappumaruthuvam
25% beds 15 25
3. Sool, MagalirMaruthuvam 15% beds 9 15
4. Aruvai, TholMaruthuvam 20% beds 12 20
5. KuzhanthaiMaruthuvam 10% beds 6 10
6. Others
Total Number of Existing Beds
Total Number of Beds from Jan to Dec 2012
Visitation Proforma for Siddha Colleges 2013-14 15
VIII. DETAILS OF OTHER FACILITIES OF HOSPITAL
(INFORMATION ABOUT VARIOUS SECTIONS IN THE HOSPITAL)
Name of Section Remarks
LABOUR ROOM- Functional/Non Functional
Antenatal Room with attached Toilet- Functional/Non Functional
Facilities for Neonatal care Available/Not Available
Other Available Facilities, Equipments, Instruments (Details be furnished as per ANNEXURE-X)
Number of Deliveries performed during the year 2012
MINOR OPERATION THEATRE Functional/Non Functional
Air conditioning Exist/Not
Pre Operative Room with attached toilet Exist/Not
Sterilization room Exist/Not
Changing and wash room with attached toilet Exist/Not
Total Number of operations done during the year 2012
Details of Available equipments, Instruments and other facilities in Operation theatre (ANNEXURE-)
Fumigation facility Available/Not Available
AMBULANCE Available/Not Available
X-Ray
Total number of X-rays done in the year 2012
ECG
Total number of ECG done in the year 2012
USG
Total number of USG done in the year 2012
IX. INFORMATION OF VARMAM, PURAMARUTHUVAM AND SIRAPPUMARUTHUVAM DEPARTMENT
Total Number of patients treated by Kara nool application in the year 2012
Total Number of patients treated by Suttigai application in the year 2012
Total Number of patients treated by Attai vidal application in the year 2012
Total Number of patients treated by any other specialised treatment procedures in the year 2012
X. CENTRAL LABORATORY
S.No. Total number of investigation done in the year 2012
1. Total Number of Hematological Tests.
2. Total Number of Bio-Chemistry Tests.
3. Total Number of Serology Test.
4. Total Number of Microbiology Tests.
XI. DETAILS OF MEDICAL CAMPS CONDUCTED BY COLLEGE IN THE YEAR 2012
S.No. Nature of the camp Date Place General/Specific Disease
Note:- * If required additional sheet be attached in the prescribed format.
Visitation Proforma for Siddha Colleges 2013-14 16
SECTION D
OTHER ALLIED INFRASTRUCTURE REQUIREMENTS OF AN SIDDHA COLLEGE
i. DETAILS OF HOSTEL
Hostel Area (sq.mtr. / sq.ft.)
Own / Rented
No. of Rooms
Capacity Mess facility (available/not
available)
Warden (available/not
available)
Boys
Girls
ii. HERBAL GARDEN
S.No. Particulars upto 60
intake
61 to 100
intake Available
1. Area 2500
sq.mtr.
4000
sq.mtr.
2. Total number of Medicinal plants
3. Total number of species 250 250
4. Irrigation facility – available/not available - -
5. Demonstration Room Area 25 sq.mtr. 50 sq.mtr.
iii. SPORTS AND GAMES FACILITY
Sports and Games Facility – Available/ Not
iv. TRANSPORT FACILITY
Transport Facility – Available/ Not
If yes, Number of vehicles
v. DETAILS OF TEACHING PHARMACY
1. Quality Testing Laboratory Available/ not available
2. Number of medicines prepared in 2012-13
vi. DETAILS OF PREPARED MEDICINES IN THE YEAR 2012
S. No. Name of Prepared Medicine Quantity of Prepared Medicine
1.
2.
3.
4.
5.
6.
7.
Note- If required additional sheet be attached in the prescribed format.
Visitation Proforma for Siddha Colleges 2013-14 17
vii. PROGRESS MADE BY THE INSTITUTION IN LAST TWO YEARS ON SALIENT POINTS
S.No. Important Information of College Progress made by college
1. Construction of college and hospital building
2. Appointment of Teaching staff
3. Appointment of Non-Teaching staff
4. Appointment of Paramedical and other Hospital staff
5. Expansion of Various Departments of College
6. Expansion of Herbal Garden, Plantation of New Plants
7. Development of Pharmacy
8. Hospital OPD
9. Hospital IPD
10. Any national/international/state level seminars, ROTP, CME etc.
11. Publication by college and teaching staff
12. Research activities if any
13. Awards won by teaching staff and students
Declaration of Principal of Govt. & Private College
I, ____________ _ s/o Shri ________________ Principal, ____________ _ (name of the College) solemnly writing that if any information provided by me in proforma and Annexures found false, I shall be held responsible in the matter. I shall have no objection if any legal action is taken by the CCIM against me.
Signature of Principal Dated_______ Place:____________ Name with Stamp
Declaration of Secretary/President of the Private College I, __________ ______ __ s/o Shri _ _______________ Secretary/President, ___________ __ (name of the Society) solemnly state that, looking after the management of the college & hospital. The information provided by the Principal in the proforma and Annexures are true. If any information provided by the Principal found false the undersigned has no objection for any legal action initiated by the CCIM against the Principal and me. Signature of Secretary/President Dated_______ Place:____________ Name with Stamp
Visitation Proforma for Siddha Colleges 2013-14 18
LIST OF ANNEXURES TO BE SUBMITTED BY COLLEGE
S.No. ANNEXURE Number Name of the ANNEXURE
1. ANNEXURE-I
Details of students admitted in Under Graduate course for the year 2010-11, 2011-12 & 2012-13.
2. ANNEXURE-II Details of students admitted in Post Graduate course for the year 2010-11, 2011-12 & 2012-13.
3. ANNEXURE-III Proforma to furnish the details of Teaching Staff
4. ANNEXURE-IV Proforma to furnish the details of Non Teaching Staff
5. ANNEXURE-V Proforma to furnish the details of Hospital Staff
6. ANNEXURE-VI Details of Drug distribution in OPD & IPD (Jan. to Dec. 2012)
7. ANNEXURE-VII Notarised Affidavit to be filled up by teacher in the given format
8. ANNEXURE-VIII Details of the OPD patients of the hospital
9. ANNEXURE IX Details of the IPD Patients of the Hospital
10. ANNEXURE X Details of Equipments and Instruments for College
11. ANNEXURE XI Details of Equipments and Instruments for Hospital
ANNEXURE-I
DETAILS OF UNDER GRADUATE STUDENTS ADMITTED IN THE YEAR 2010-11, 2011-12 & 2012-13.
S. No
Name of Student
Father’s Name
Date of
Birth
Fee Receipt Number and Date
Residential Address
Govt./ Management
Quota
% of PCB in 10+2
Category (Gen./SC/ST/ OBC/others )
ANNEXURE-II
DETAILS OF POST GRADUATE STUDENTS ADMITTED IN THE YEAR 2010-11, 2011-12 & 2012-13.
S. No.
Name of PG Subject Students admitted by order
of AYUSH Deptt. (GOI)/Court order number……dated……
Number of Admitted Students
1. Maruthuvam
2. Gunapadam
3. Sirappu Maruthuvam
4. Kuzhanthai Maruthuvam
5. Noi Nadal
6. Nanju Noolum Maruthuva Neethi Noolum
GRAND TOTAL
Note:-*If required additional sheet be attached in the prescribed format.
Visitation Proforma for Siddha Colleges 2013-14 19
ANNEXURE-III PROFORMA TO FURNISH THE DETAILS OF TEACHING STAFF
S. No.
Name of the Teacher
Fath
er'
s N
ame
Dat
e o
f B
irth
UG
Qu
alif
icat
ion
(U
niv
ers
ity
& y
ear
)
PG
Qu
alif
icat
ion
wit
h s
ub
ject
(U
niv
ers
ity
& y
ear
)
Date wise details of Experience in chronological order (1
st appointment to
till date)
De
par
tme
nt
(Su
bje
ct)
Nat
ure
of
pre
sen
t ap
po
intm
ent
(re
gula
r/ c
on
trac
tual
/
de
pu
tati
on
/ p
art
tim
e/
adh
oc)
Loca
l R
esi
de
nti
al A
dd
ress
Pe
rman
en
t A
dd
ress
Nam
e o
f St
ate
Bo
ard
&
Re
gist
rati
on
Nu
mb
er
Sala
ry A
cco
un
t N
um
be
r &
Bra
nch
Tele
ph
on
e N
um
be
r &
Mo
bile
Nu
mb
er
of
Te
ach
er
Photograph of Teacher (Attested by the Principal)
Signature of Teacher ( At the time of visitation)
Du
rati
on
(d/m
/y)
De
sign
atio
n
Nam
e o
f th
e
colle
ge
Sur
Nam
e
Firs
t N
ame
Mid
dle
nam
e
Note: Please attach the certified copies of UG, PG & Registration Certificates experience certificates, Form No. 16 and original affidavit of newly appointed / promoted teachers after the last visitation (ANNEXURE-III). Inspectors will verify the teachers based on teaching staff declaration forms submitted to the council. If in case of presence of any newly appointed / promoted teachers before visitation, declaration forms (ANNEXURE IV) can be submitted to inspectors for verification. The provisional certificates will be considered only for two years after passing the examination.
ANNEXURE-IV
PROFORMA TO FURNISH THE DETAILS OF NON TEACHING STAFF
S.No. Name of Employee
Father’s Name
Qualification Date of Appointment
Nature of Appointment (regular/ contractual/
Part time)
Designation Name of working department
Pay Scale
ANNEXURE-V
PROFORMA TO FURNISH THE DETAILS OF HOSPITAL STAFF
S.No. Name of Employee
Father’s Name
Qualification Date of Appointment
Nature of appointment (regular/ contractual/
Part time)
Designation Name of working department
Pay Scale
Visitation Proforma for Siddha Colleges 2013-14 20
ANNEXURE-VI
DETAILS OF DRUG DISTRIBUTION IN OPD & IPD (JAN. to DEC. 2012)
S.No. Name and Quantity of Drugs obtained from own
Pharmacy
Name and Quantity of Drugs purchased from market
Name and Quantity of utilised Drugs along with balance
Siddha Drugs Modern Drugs Siddha Drugs Modern Drugs
Utilised Balance Utilised Balance
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Note:-*If required additional sheet be attached in the prescribed format.
Visitation Proforma for Siddha Colleges 2013-14 21
ANNEXURE VII
NOTARISED AFFIDAVIT TO BE FILLED UP BY TEACHER IN THE GIVEN FORMAT
S.No Information of Teacher To be filled up by Teacher
1. Name of the Teacher (Sur Name- First Name- Middle Name)
2. Change of Name (if Applicable after marriage)
3. Date of Birth (dd / mm / yyyy)
4. UG Qualification (University & year) Year
Name of the University
5. PG Qualification with subject (University & year) of completion
Subject
Year
Name of the University
6. Ph.D (if applicable) Subject
Year
Name of the University
7. Post wise details of Experience in chronological order (* Date, Month and Year wise experience should be mentioned)
Duration (dd/mm/yyyy)
to (dd/mm/yyyy)
Department (Subject)
Designation Name of the college
8. Present working Department (Subject)
9. Present Designation
10. Name of present working college
11. Permanent Residential Address
12. Local Residential Address
13. State Board/ Council Registration detail Registration Number
Name of State Board
14. Bank details Salary Account Number
Name and Branch of Bank
15. Contact Details
Mobile Number
Residence Number
Permanent Residence Number
Email ID
I hereby solemnly affirm that the above information is correct as per my record and knowledge. I further affirm that if any information given in this affidavit is found to be incorrect/ false, I shall be liable to be blacklisted or debarred from service and to face any disciplinary action.
Date:
Signature of Deponent/ Teacher
I hereby solemnly affirm that the above information is correct as per my record and knowledge. I further affirm that if any information given in this affidavit is found to be incorrect/ false, I have no objection for any disciplinary action against the concerned teacher and myself.
Date:
Signature of Principal with Stamp
Pass Port
Size
Photograph
(To be
attested by
Principal)
Visitation Proforma for Siddha Colleges 2013-14 22
ANNEXURE-VIII
DETAILS OF OPD PATIENTS OF THE HOSPITAL
S. NO.
OPD SECTIONS
TOTAL NUMBER OF PATIENTS ATTENDED OPD
PRIOR TO 15 DAYS OF
VISITATION
PREVIOUS DAY OF VISITATION
DAY OF VISITATION
1. Maruthuvam
2. Varmam, Puramaruthuvam and Sirappumaruthuvam
3. Aruvai, Thol Maruthuvam
4. Sool, Magalir Maruthuvam
5. Kuzhanthai Maruthuvam
6. Avasara Maruthuvam
Visitation Proforma for Siddha Colleges 2013-14 23
ANNEXURE -IX DETAILS OF IPD PATIENTS OF THE HOSPITAL
A. TOTAL NUMBER OF BEDS AVAILABLE ON THE DAY OF VISITATION
B. TOTAL NUMBER OF IPD PATIENTS AVAILABLE ON THE DAY OF VISITATION
C. DEPARTMENT WISE DETAILS OF IPD PATIENTS AVAILABLE ON THE DAY OF VISITATION:-
S.No. OPD Registration
Number
IPD Registration
Number
Name of Patients Age Sex M/F
Bed Number
Diagnosis Date of Admission
Name of treating Doctor
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Note:-*If required additional sheet be attached in the prescribed format.
Visitation Proforma for Siddha Colleges 2013-14 24
ANNEXURE- X DETAILS OF EQUIPMENT AND INSTRUMENTS FOR VARIOUS SECTIONS OF COLLEGE
A. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR MEDICINAL BOTANY LABORATORY
B. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR DISSECTION HALL
S. No. Essential Instruments and Equipments Number of Instruments and Equipments available
1. (i) Tank with a capacity to preserve 2-4 bodies.
(ii) Preservative Chemicals
2. Dissection Tables Sets 10 Sets
3. Dissecting Table
(i) Full size with steel top or marble top stainless
04
(ii) Half size with steel top or marble top stainless
08
4. Miscellaneous
(i) Bone cutter of the numbers ¾, ½, ¼, ⅛ – fine pointed Chisel bone dissector
(ii) Bucket and Mug
(iii) Gloves powder
(iv) Surgical gloves
(v) Surgical blade
(vi) Soap
(vii) Disposable syringe – 20cc, 10cc, 5cc
(viii) Towels
(ix) Dustbin
5. Furniture and Other Equipments
(i) Stools preferably of metal
50
(ii) Wash basin
02
(iii) Machines for bones and brain sectioning
1
(iv) OHP
1
(v) X-ray viewing box or panels
3
(vi) Glass jars of different sizes
300
S.No. Essential Equipment and Instruments Number of Instruments and Equipments available
1. Field magnifier
2. Compound microscope
3. Dissecting Microscope
4. Microscope
5. Slides box with cover slips,
6. Blotting/filter papers
7. Electronic balance
8. Dissection Box
9. Enamel Trays
Visitation Proforma for Siddha Colleges 2013-14 25
C. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR PHYSIOLOGY (UDAL THATHUVAM) LABORATORY
S. No.
Essential Instruments and Equipments Number of Instruments and
Equipments available
1. Microscopes with oil immersion
2. Westergren’s pipette for ESR
3. Haematocrit Tube
4. Sahli’sHaemoglobinometer
5. Haemocytometer
6. Stethoscope
7. Clinical Thermometer
8. Knee Hammer
9. Tuning forks
10. Electrocardiograph
11. Stop watches
12. Water Distillation still
13. Thermometers, balances, Microslides
14. Cover slips, glassware
15. Centrifuge with speed control
16. Colorimeter (Photoelectric)
17. pH Meter (Electric)
18. pH Comparator with disc
19. Refrigerator
20. Newton’s colour wheel in a batch
21. Spirometer
22. Tonometer
23. Hydrometer
24. Viscometer
25. Osmometer
26. Sterilizer
27. BP Apparatus
28. Torch
29. Measuring Tape
30. Weighing machine
31. Peakflowmeter
32. Reagents
D. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR GUNAPAADAM (TEACHING
PHARMACY ) LABORATORY
S.No. Essential Instruments and Equipments Number of Instruments and
Equipments available
1. Kalvam
(i) Small
(ii) Medium
(iii) Porcelain
(iv) Thapthakalvam
2. Heating Device-
(i) Gas Stove
(ii) Electric stove
(iii) Hot plate
(iv) Aduppu (Charcoal)
3. Vessels-
Visitation Proforma for Siddha Colleges 2013-14 26
E. DETAILS OF EQUIPMENTS AND INSTRUMENTS REQUIRED FOR NOI NAADAL (PATHOLOGY) LABORATORY
S.No. Essential Equipment and Instruments Number of Instruments and Equipments available
1. Binocular microscope
2. X-ray view box
3. Sterile disposable lancer/needle
4. Sahli’s Square tube
5. Hb pipette
6. Dropper
7. Glass rod
8. WBC Pipette
9. Improved Neubauer chamber
10. Cover slip
11. Red cell pipette
12. Cleaned slides
(i) Frying Pan
(ii) Steel Vessel
(iii) Spatula
(iv) Ladles & Spoons
(v) Knife
(vi) Plates
4. Measuring Equipments Different Size (Glass)
5. Big Vessels & Containers
(i) Brass
(ii) Copper
(iii) Steel etc.
6. Balance (Different Capacities)
(i) Physical
(ii) Chemical
7. Pounding Apparatus
8. Sieves (Assorted Numbers & Size)
9. Wet Grinder
10. Mixi
11. Juice Extractor
12. Pudam (Different kinds)
13. Pyrometer
14. Thermometer
15. Pressure Cooker
16. Moosai (Crucibles)
17. Thuruthi with Blower
18. Refrigerator
19. Jars(Porcelain) Fermentation Purpose
20. Yandiram
(i) ThulaYandiram
(ii) ValukaYandiram
21. Distillation Apparatus
22. Enamel Trays
23. Spirit Lamp
24. Microscope
25. Earthen Vessels
26. Almiras& Racks for storage
Visitation Proforma for Siddha Colleges 2013-14 27
13. Incubator
14. Wintrobe’s tube
15. Pasteur’s pipette
16. Centrifuge Graduate machine
17. Westregren’s pipette
18. Rubber teat
19. Westergrens’s stand
20. Litmus paper
21. pH indicator paper strips
22. Urinometer
23. Multi stix
24. Bunsen burner
25. Test tube
26. Test tube holder
27. Filter paper
28. Steel almirah
29. Steel rack
30. Glass Jars with lid of different sizes
31. Glass view rack
32. Magnifying lens
33. Autoclave
34. Water bath
35. Separating funnels of various sizes
36. Stop watch
37. Ultraviolet lamp
38. Monocular microscope with oil emersion lens20(e)
39. Capillary Tubes
40. Hot air oven
41. Microscope with oil immersion
42. Refrigerators
43. Sterile vessels/bottle to collect samples
44. BP Apparatus
45. Stethoscope
46. Thermometer
47. Tongue depressor
48. Torch
49. Knee hammer
50. Measuring Tape
51. ENT examination set
52. Reflectors(Mirrors)
53. Weighing machine
54. Tuning Forks
55. Nasal speculum
56. Laryngoscope
57. Catheters
58. Probes
59. Disposable Gloves
60. Physical balance
61. Syringe needle destroyer
62. HBs Ag kit
63. HIV kit - Tridot (method by T Mitra)
64. CT and BT kit
65. Cell counter (haemoautoanalyser)
66. Renal profile, LET kit, Lipid profile, Blood Sugar kit
Visitation Proforma for Siddha Colleges 2013-14 28
ANNEXURE – XI
DETAILS OF EQUIPMENT AND INSTRUMENTS FOR VARIOUS SECTIONS OF HOSPITAL
A. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR OUT PATIENT DEPARTMENTS
S. No.
Name of Department Equipment, Instrument, Furniture etc required as per norms of CCIM
Number of Instruments and Equipments available
1 Maruthuvam – (Medicine)
Hand Washing facility
X-ray viewing Box
BP Apparatus
Stethoscope
Sitting arrangement for internees/students
Examination Table
Thermometer
Tongue depressor
Cotton balls
Torch
Measuring tape
Weight and height measuring stand
Knee Hammer
Washbasin
2 Varmam, Puramaruthuvam and Sirappumaruthuvam (Varmam therapy, External therapy and Special Medicine)
X-ray viewing Box
BP Apparatus
Stethoscope
Sitting arrangement for internees/students
Examination Table
Thermometer
Tongue depressor
Cotton balls
Torch
Measuring tape
Weight and height measuring stand
Knee Hammer
Washbasin
3 Aruvai, Thol Maruthuvam (Surgery, Dermatology)
Hand washing facility
Drainage facility
Minor OT
Instruments for ano-rectal examination
Examination Table
BP Apparatus
Surgical Blades
Cotton balls
Gauze pieces
X-ray viewing Box
Stethoscope
Sitting arrangement for internees/students
Cheetle’s forceps
Torch
Visitation Proforma for Siddha Colleges 2013-14 29
4 Sool, Magalir Maruthuvam (Obstetrics and Gynecology)
Weighing machine
Sim’s speculum
Cusco’s speculum
Examination Table
Lamp stand
Torch
X-ray viewing Box
BP Apparatus
Stethoscope
Sitting arrangement for internees/students
Examination Table
Weighing Machine
Measuring tape
Washbasin
5 Kuzhanthai Maruthuvam (Paediatrics)
Scale (Baby Weighing)
Torch
X-Ray Viewing Box
Thermometer
BP Apparatus
Stethoscope
Examination Table
Sitting arrangement for internees/students
Scale for height measurement
6 Avasara Maruthuvam (Casualty)
Facilities available as per requirement (Equipment, Instrument, Furniture etc)
7 Others Facilities available as per requirement (Equipment, Instrument, Furniture etc)
B. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR LABOUR ROOM
S.No. Essential Equipment and Instruments Number of Instruments and Equipments available
1. Shadowless Lamp
2. Suction Machine (Neonatal)
3. Oxygen Cylinder and Mask
4. FoetalToco Cardiograph
5. Radiant Warmer
6. Photo therapy Unit
7. Weighing Machine (Paediatric)
8. Patient trolley
9. Anaesthesia trolley
10. Infantometer
11. Vacuum extractor
12. Foetal Doppler
13. Low cavity forceps
14. Sterilizer
15. Mackintosh rubber sheet
16. Catguts and Thread
17. Speculum – Sim’s -Cuscos
Visitation Proforma for Siddha Colleges 2013-14 30
S.No. Essential Equipment and Instruments Number of Instruments and Equipments available
18. Instruments for labour and Episiotomy (Scissors, forceps, needle holders etc.)
19. Baby tray
20. Draw Sheets
21. Plastic Aprons
22. HIV kit for emergency patients
23. Plain and Hole towels
24. Gloves
25. Nebuliser
26. Foetoscope
27. Auto Clave
28. Drums
29. Instrumental Trolley
30. OT tables and head -Up and head -Low facility
31. Double dome Shadow less lamp
32. Pulse Oxymeter
33. Oxygen Cylinder
34. Resuscitation kit
35. Boyle’s apparatus
36. Electro Cautery
37. MTP Suction Machine
38. Anaesthesia Kit
39. Blunt and Sharp Curettes
40. Dilators set (Hegar’s, Hawkins)
41. Anterior Vaginal Wall retractor
42. Uterine sound
43. Volsellum
44. MTP Suction Curette
45. Needles
46. Needle holders
47. Sponge holding forceps
48. Towel Clips
49. Retractors abdominal (Doyne’s etc.)
50. Green armytage forceps
51. Uterus holding forceps
52. Kocher’s forceps
53. Artery forceps (Long, short, Mosquito)
54. Scissors- different sizes
55. Forceps obstetrics
56. Tongue depressor
57. Endotrachial tubes
58. B.P. apparatus
59. HSG Cannula
60. Cord Cutting appliances
61. I.U.C.D. removing hook
62. Bladder Sound
C. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR MINOR OPERATION THEATRE
S.No. Essential Equipment and Instruments Number of Instruments and Equipments
available
1. Spot light
2. Needle Holding Forceps
Visitation Proforma for Siddha Colleges 2013-14 31
3. Dressing Drums of assorted size
4. I.V. Stand
5. X-ray view box
6. Masks and caps
7. Gauze, cotton and Bandage
8. Gloves of different sizes
9. Artery forceps (small, medium, big)
10. Dissection forceps
11. Sinus forceps
12. Scissors – straight
13. Scissors curved of different sizes
14. Stitch removal scissors
15. Pointed scissors
16. Probes assorted sizes
17. Needle holders
18. Suturing needle
19. Surgical thread
20. B.P. Handle of different size
21. Surgical blades of different sizes
22. Rubber catheters
23. Generator
24. Emergency light
25. Refrigerator
26. Autoclave
27. Proctoscopes – various sizes
28. Nasal speculum
29. Ear speculum
30. Eye wash glasses
31. Aural syringe
32. Kidney trays
33. Kaaranool – Medicated Thread
34. Salaagai
35. Operation Table
36. Instrument trolley
37. Revolving stools
38. Electric sterilizers
39. Vaporizer
40. Nebulizer
41. Gabriel syringe
42. Piles holding Forceps
43. Barron piles Gun
44. Vertical BP Instrument
45. Surgical instruments described in classical Texts of Siddha Medicine
Visitation Proforma for Siddha Colleges 2013-14 32
CENTRAL COUNCIL OF INDIAN MEDICINE, NEW DELHI
GUIDELINES/INSTRUCTIONS FOR COLLEGES REGARDING VISITATION 1. College may download the updated visitation proforma (Part I) from website of CCIM and may use it
to expand the tables wherever necessary. ANNEXURE-III (MS-excel format) should be separately
downloaded from CCIM’s website (www.ccimindia.org), duly filled & sent along with the visitation
proforma. Hard copy of visitation proforma (Part I) is enclosed for ready reference. A soft copy of
the details of teaching staff as per ANNEXURE-III should be submitted along with the visitation
report.
2. Any change in the prescribed format will not be accepted by CCIM.
3. Read the proforma carefully before filling up.
4. College should keep ready three sets of Visitation proforma duly signed on each page by the
Principal/ Dean/ Director along with all ANNEXURES for visitors.
5. New teacher appointed after visitation of the college will not be considered/counted in the faculty
list of the concerned college.
6. Any data / documents submitted by the college after visitation will not be accepted by the central
council.
7. College shall bear the whole responsibility of typographical errors in the OPD/IPD data and
experience of teachers. In previous years, due to incomplete information and typographical errors in
the visitation proforma, colleges have to face the Hearing. Therefore, college is advised to submit all
the relevant information and fill the proforma in proper manner as per the given guidelines.
8. Page-wise Index of all ANNEXURES should be provided.
9. Attested copy of UG & PG Certificates, Experience Certificates, Joining report, Relieving letter and
Affidavit (as per ANNEXURE-VII) of teachers should be attached.
10. Teachers of Govt. colleges/ constituent colleges of University should also submit the affidavit of
newly appointed teachers after the last visitation.
11. If false affidavit/ false experience is submitted by any teacher or if teacher is found in duplicity,
then legal action will be initiated by the central council against the concerned teacher and Principal
of the college.
12. Copy of Form No. 16 issued for purpose of income tax should be submitted in respect of all the
teaching staff.
13. Financial information should be filled as per enclosed proforma.
14. College should make arrangement of videographer and photographer during visitation of CCIM team
for preparing CD and group photographs with Teaching staff and non-teaching staff of College and
Medical and Paramedical staff of Hospital with the visitors separately. The name of each staff
member should be mentioned on the bottom of the photograph. The Video/photo shall be
submitted to the visitors on or before the completion of visitation. It is to be noted that without CD
& Photograph, the visitation report will not be accepted by CCIM.
15. If college has any queries/ doubt/ other information required regarding the visitation proforma,
contact telephonically
16. The filled up visitation proforma shall be typed and submitted in a separate CD to the visitors.
*************