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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 Email 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.

CENTRAL COUNCIL OF INDIAN MEDICINEccimindia.org/downloads/Visitation-Proforma_2013-14_Siddha .pdf · Visitation Proforma for Siddha Colleges 2013-14 1 PART- I CENTRAL COUNCIL OF INDIAN

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Page 1: CENTRAL COUNCIL OF INDIAN MEDICINEccimindia.org/downloads/Visitation-Proforma_2013-14_Siddha .pdf · Visitation Proforma for Siddha Colleges 2013-14 1 PART- I CENTRAL COUNCIL OF INDIAN

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

Email

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.

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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

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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.

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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.

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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

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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.

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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.

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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

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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.

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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

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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.

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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)

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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

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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.

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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

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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-

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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

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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

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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

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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

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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

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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

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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.

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