272
1 PRESENTATION TO COSC 11 MAR 2008

ECHS March Update

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Page 1: ECHS March Update

1

PRESENTATION TO COSC

11 MAR 2008

Page 2: ECHS March Update

2

GOVT APPROVAL

• APPROVED ON 30 DEC 2002.

• IMPLEMENTED WEF 01 APR 2003.

• AUGMENTATION OF 106 ARMED FORCES CLINICS AT MIL STNS AND EST OF 121 NEW ARMED FORCES POLYCLINICS AT NON MIL STNS.

Page 3: ECHS March Update

3

EXISTING INFRASTRUCTURE• COMD AND CONTROL STRUCTURE

• SERVICE HOSPITALS/MI ROOMS• PROCUREMENT / SUP OF MEDICINES , MED EQPT

OUTSOURCINGEMPANELLED HOSPITALS/NURSING HOMESDIAGNOSTIC CENTRES/ DENTAL CLINICS/ LABORATORIES/REHABILITATION CENTRES

AUGMENTATION• ECHS CENTRAL ORG, REGIONAL CENTRES AND POLYCLINICS

• FINANCES

CONCEPT

Page 4: ECHS March Update

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PREVIEW

�CURRENT STATUS.

�IMPORTANT ISSUES.

�MISC POINTS.

Page 5: ECHS March Update

5

CURRENT STATUS

Page 6: ECHS March Update

6

CURRENT STATUS

�ALL 227 POLYCLINICS OPERATIONALISED.

�MEMBERSHIP

� VETERANS - 6,12,211

� DEPENDANTS - 14,12,411

� TOTAL BENEFICIARIES - 20,24,622

� 12.54 LACS PRE APR 2003 RETIREES YET TO

BECOME MEMBERS.

Page 7: ECHS March Update

7

MEMBERSHIP DATA AS ON 29 FEB 08

CATEGORY NOS %

PRE APR 2003 RETIREES 3,45,530 16.78

POST APR 2003 RETIREES 2,25,750 11.26

FAMILY PENSIONER 40,931 01.96

TOTAL ESM 6,12,211 30.00

FATHER 64,347 03.21

MOTHER 1,00,510 05.00

SPOUSE 5,49,169 27.00

DAUGHTER 2,98,694 14.88

SON 3,99,691 19.91

TOTAL DEPENDANT 14,12,411 70.00

TOTAL BENEFICIARIES 20,24,622

Page 8: ECHS March Update

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FY MEMBERS

(AFV)

TOTAL

BENEFICIARIES

2004-05 81,864 2,86,074

2005-06 2,65,019 9,01,065

2006-07 4,12,476 14,76,920

2007-08

(Estimated)

6,20,000 21,00,000

YEAR WISE INCREASE IN

MEMBERSHIP

Page 9: ECHS March Update

9

CURRENT STATUS�COST PER ECHS BENEFICIARY IN THE YEAR

2006-2007 IS RS 2,698/- AS COMPARED TO RS 5,108/- IN CGHS.

�PERS AVAILED MEDICAL FACILITIES :-

• 2003-2004 - 35,568

• 2004-2005 - 7,18,907

• 2005-2006 - 13,81,976

• 2006-2007 - 18,64,028

• 2007-2008 - 42,39,132*

(*UPTO 29 FEB 08)

Page 10: ECHS March Update

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TRENDS: PER CAPITA EXPDR

(OVERALL REVENUE)

FY TOTAL

EXPDR

(In Cr)

MEMBERS

(AFV)

EXPDR

PER

MEMBER

(Rs)

TOTAL BENEFICIA

RIES

EXPDR PER BENEFCIARY

(Rs)

2004-05 82.86 81,864 20, 038 2,86,074 5736

2005-06 181.78 2,65,019 10,481 9,01,065 3062

2006-07 320.80 4,12,476 9470 14,76,920 2698

2007-08

(Estimated)

489.91 6,20,000 9512 21,00,000 2333

Page 11: ECHS March Update

11

CURRENT STATUS

�88% OF THE BENEFICIARIES TREATED IN POLYCINICS, 5% IN SERVICE HOSP AND 7% IN EMPANELLED HOSP.

�1002 HOSPITALS EMPANELLED IN 152 STNS (496 EMPANELLED BETWEEN SEP 06 AND OCT 07).

Page 12: ECHS March Update

12

ECHS PATIENTS REFERRED TO

HOSP NATIONAL STATISTICSYEAR TOTAL NO OF

PATIENTS SEEN

PATIENTS REFERRED

TO SERVICE HOSP

PATIENTS REFERRED

TO EMPANELLED

FACILITY

2003-04 35,708 3,669 (10.27%) 987 (2.76%)

2004-05 7,92,422 52843 (3.57%) 34,083 (2.30%)

2005-06 14,81,817 1,08,132 (2.9%) 82,648 (2.21%)

2006-07 32,29,544 2,06,370 (6.39%) 1,84,603 (5.71)

2007-08 42,39,132 2,11,108 (4.98%) 2,92,076 (6.89%)

Page 13: ECHS March Update

13

AGE –WISE MORBIDITY TRENDS

AGE GROUP % OF TOTAL

SICK REPORT

0-40 YRS 27%

41-60 YRS 40%

61 YRS & ABOVE 33%

Page 14: ECHS March Update

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YEAR WISE EMPANELMENT

FIN YEAR HOSP DIAG

CENTRE

TOTAL

2004-05 151 65 216

2005-06 148 53 201

2006-07 196 62 258

2007-08 226 61 287

CGHS / RLY

EMP

33 07 40

TOTAL 754 248 1002

Page 15: ECHS March Update

15

STATUS OF LAND ACQUISITION AND CONSTR OF POLYCLINICS AS ON 10 MAR 08

Mil Non-Mil Total

POLYCLINICS 106 121 227

LAND ACQUIRED 105 31* 136

CONSTR COMPLETED 62 05 67

CONSTR IN PROGRESS 15 02 17

NOTE : 1. FUNCTIONING FROM GOVT/CONSTRUCTED BLDGS - 130

2. FUNCTIONING FROM HIRED BLDGS - 97

*A1 DEFENCE LAND – 21.

Page 16: ECHS March Update

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OPERATIONALISATION OF ECHS

POLYCLINICS

POLYCLINICS 2003-04 2004-05 2005-06 2006-07 TOTAL

MILITARY 36 61 09 - 106

NON MILITARY

11 44 65 01 121

TOTAL 47 105 74 01 227

Page 17: ECHS March Update

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CONSTR OF ECHS POLYCLINICS

POLY-

CLINICS

2003-04 2004-05 2005-06 2006-07 2007-08 TOTAL

MIL - - 11 35 16 62

NON

MIL

- - - 03 02 05

TOTAL - - 11 38 18 67

Page 18: ECHS March Update

18

LIST OF NON MIL POLYCLINICS WHERE LAND ACQUIRED

S.

NO

REGIONAL

CENTRE

STATE COMD POLYCLINICS TYPE LAND

ACQUISITION

1 JAMMU HP WC MANDI C A1

2 CHANDIMANDIR CHANDIGARH WC CHANDIGARH B A1

3 CHANDIMANDIR PUNJAB WC ROPAR B A1

4 CHANDIMANDIR PUNJAB WC HOSHIARPUR A A1

5 NEW DELHI HARYANA WC YAMUNANAGAR C A1

6 NEW DELHI HARYANA WC GURGAON A A1

7 NEW DELHI DELHI WC NEW DELHI

(LODHI ROAD)

A A1

8 LUCKNOW UP CC ALIGARH D A1

9 LUCKNOW UTTRAKHAND CC ALMORA B A1

10 JABALPUR UP CC PRATAPGARH D A1

Page 19: ECHS March Update

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LIST OF NON MIL POLYCLINICS WHERE LAND ACQUIRED

S.

NO

REGIONAL

CENTRE

STATE CO

MD

POLYCLINICS TYPE LAND

ACQUIS

ITION

11 Jabalpur UP CC Ghazipur B A1

12 Patna Bihar CC Muzaffarpur C A1

13 Patna Bihar CC Dharbanga D A1

14 Pune Maharastra SC Sholapur C A1

15 Pune MP SC Bhind D A1

16 Pune Maharastra SC Satara C A1

17 Pune Maharastra SC Thane (Nerul) C A1

18 Chennai Tamilnadu SC Tiruchirapalli C A1

19 Hyderabad AP SC Guntur C A1

20 Hyderabad AP SC Chittur C A1

Page 20: ECHS March Update

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LIST OF NON MIL POLYCLINICS WHERE LAND ACQUIRED

S.

NO

REGIONAL

CENTRE

STATE COMD POLYCLINICS TYPE LAND

ACQUI

SITION

21 Kochi Kerala SC Kozikode C A1

22 Chandimandir HP WC Hamirpur B C

23 Chandimandir HP WC Una C C

24 Chandimandir Punjab WC Ludhiana A C

25 Jaipur Punjab SWC Muktsar C C

26 Jaipur Rajasthan SWC Jhunjhunu A C

27 Pune Maharastra SC Kolhapur B C

28 Chennai Tamilnadu SC Vellore A C

29 Chennai Tamilnadu SC Kanchipuram C C

30 Chennai Tamilnadu SC Krishnagiri C C

31 Chennai Tamilnadu SC Nagapattinam D C

Page 21: ECHS March Update

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CONSTR OF POLYCLINICS

SERVICE NO OF POLYCLINICS

MIL NON MILTOTAL CONSTR TOTAL LAND

ACQDCONSTR

ARMY 89 53 117 31 05

NAVY 07 01 02 - -

AIR

FORCE

10 08 02 - -

TOTAL 106 62 121 31 05

Page 22: ECHS March Update

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EMPLOYMENT OF CONTRACTUAL

STAFF AS ON 01 MAR 08

S.No Appt Auth Emp %

1. OIC 227 214 94.27

2. Med Specialist 176 87 49.43

3. Gynaecologist 28 16 57.14

4. Medical Officer 375 301 80.27

5. Dental Officer 255 223 87.45

6. Para Med Staff 767 669 87.22

7. Non Med Staff 992 956 96.37

Total 2820 2466 87.45

Page 23: ECHS March Update

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PROPOSAL TO OVERCOME THE PROBLEM

CRITERIA PRESENT PROPOSED

MAX AGE FOR CONTRACTUAL SERVICE

-MO/OIC

-OTHER STAFF

65 YRS

55 YRS

70 YRS

60 YRS

WORK EXPERIENCE 03 YRS LESS THAN 3 YRS TO

BE SANCTIONED BY CENTRAL ORG

WORKING HRS FOR MO/SPECIALISTS/ GYNAECOLOGISTS

05 HRS GOC-IN-C EMPOWERED TO EMP FOR 02 TO 03 HRS WITH

PROPORTIONATE

REDUCTION IN WAGES

Page 24: ECHS March Update

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ADDL ALLCES PROPOSED FOR

MO/MED SPL IN REMOTE AREAS

• REMOTE/HILL AREA

COMPENSATION ALLCE – RS 3000/- PM.

• TRAVELLING ALLCE – RS 2000/- PM.

Page 25: ECHS March Update

25

PROPOSED REMUNERATION OF ECHS CONTRACTUAL STAFF

STAFF EXISTING PROPOSED

OFFR IC / MED OFFR / DENTAL OFFR 15,000/- 22,000/-

MEDICAL SPECIALIST/ GYNAECOLOGIST

25,000/- 27,000/-

NURSING ASSISTANT (GENERAL) 7000/- 8,500/-

NURSING ASSISTANT(NURSE) / LAB ASST / DENTAL HYGIENIST / RECEPTIONIST

7,500/- 9,000/-

DRIVER 4500/- 6,500/-

PEON / SAFAIWALA / FEMALE ATTENDANT

3500/- 5,000/-

Page 26: ECHS March Update

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OVERALL EXPENDITURE (REVENUE)

(Rs in Cr)

CODE HEAD2076/107

(REVENUE)

2003-04 2004-05 2005-06 2006-07 2007-08MA

SALARIES 0.25 7.62 15.80 23.51 25.91

MEDICINES 13.96 24.43 47.53 104.13 185.69

MED TREATMENT

Nil 47.65 113.54 187.18 263.11

OTHERS 3.01 3.15 4.91 5.98 15.20

TOTAL(G TOTAL)

17.22 82.85 181.78 320. 80 489.91(1092.56)

Page 27: ECHS March Update

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OVERALL EXPENDITURE (CAPITAL)

(Rs in Cr)

CODE HEAD4076/107

(CAPITAL)

2003-04 2004-05 2005-06 2006-07 2007-08MA

LAND Nil Nil Nil 0.07 0.10

CONSTR OF BLDG

Nil 0.46 4.91 4.77 05.00

MEDICAL EQPT

Nil 4.56 11.90 15.38 03.00

TOTAL(G TOTAL)

Nil 5.02 16.81 20.22 08.10(50.15)

NOTE: ONE TIME SANCTION FOR CREATION OF INFRASTRUCTURE : Rs 122 Cr

Page 28: ECHS March Update

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FUND POSITION: FY 2007-08

(Rs in Cr)HEAD MA EXPDR

(JAN 08)

REVENUE

SALARIES 25.91 21.57

MEDICINES 185.69 151.59

MED TREATMENT 263.11 193.80

OTHERS 15.20 12.82

TOTAL 489.91 379.78

CAPITAL

LAND 0.10 0.05

CONSTRUCTION 5.00 02.30

MED EQPT 3.00 02.69

TOTAL 8.10 05.05

Page 29: ECHS March Update

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FUND POSITION: FY 2007-08

(Rs in Cr)HEAD MA EXPDR (JAN 08)

REVENUE

SALARIES 25.91 21.57

MEDICINES 185.69 151.59

MED TREATMENT 263.11 193.80

OTHERS 15.20 12.82

TOTAL 489.91 379.78

CAPITAL

LAND 0.10 0.05

CONSTRUCTION 5.00 02.30

MED EQPT 3.00 02.69

TOTAL 8.10 05.05

Page 30: ECHS March Update

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OTHERS INCLUDE

� MOV OF PERS AND STORES

� CONTINGENCY EXPDR

� INFORMATION TECHNOLOGY

� MAINTENANCE OF EQPT

� NON-MEDICAL STORES

� PUBLICITY

� REVENUE WORKS

Page 31: ECHS March Update

31

SAVINGS TO THE GOVT(Rs in Cr)

Receipts 2004-05 2005-06 2006-07 2007-08 (Feb 08)

Total

ECHS Contribution

63.88 54.76 49.31 49.90 217.85

Savings on FMA (approx)

6.71 20.81 41.75 55.26 124.53

Total 70.59 75.57 91.06 105.16 342.38

Page 32: ECHS March Update

32

EXPANSION OF ECHS NETWORK

Page 33: ECHS March Update

33

PROPOSALS

�ESTABLISH 181 NEW POLYCLINICS.

�15 MIL MED FACILITIES IN REMOTE AREAS TO BE AUTHORISED ECHS INCREMENT -TYPE ‘E’ MIL STATION POLYCLINIC.

�CONVERT 11 MIL TYPE POLYCLINICS TO NON MIL TYPE.

�UPGRADE 14 POLYCLINICS.

Page 34: ECHS March Update

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REVISION OF CGHS RATES

Page 35: ECHS March Update

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REVISION OF CGHS RATES

� ECHS RATES FOR PAYMENT TO EMPANELLED HOSPITALS HAVE TO BE IN CONFORMITY WITH CGHS RATES.

� CGHS REVISED ITS RATES IN NOV 06 FOR DELHI AND IN JUL 07 FOR REST OF THE COUNTRY.

Page 36: ECHS March Update

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� REVISED RATES FOR NEUROLOGY/

NEUROSURGERY,ONCOLOGY/ONCOSURGERY, NEPHROLOGY, UROLOGY, GASTRO-INTESTINAL SURGERY ARE NOT ACCEPTABLE.

� REVISED RATES FOR CARDIOLOGY, JOINT REPLACEMENT AND OPHTHALMOLOGY (EYE)ONLY ARE ACCEPTABLE IN DELHI. IN SOUTHERN INDIA EVEN CARDIOLOGY RATES ARE NOT ACCEPTABLE.

REVISION OF CGHS RATES

Page 37: ECHS March Update

37

REVISION OF CGHS RATES

� THE RATES FOR OVER 90% TREATMENT AND DIAGNOSTIC PROCEDURES IN ALL REGIONS HAVE BEEN REDUCED.

� INTER-CITY VARIATION IN RATES AND ALSO BETWEEN CITIES UNDER SAME GROUP.

Page 38: ECHS March Update

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COMPARATIVE ANALYSIS OF OLD AND REVISED CGHS RATES

PROCEDURE CGHS RATES NAME OF CITYOLD NEW % REDUCTION

Consultation Rs 61 Rs 30 51 Delhi

Rs 70 Rs 25 64.3 Pune

Rs 50 Rs 20 60 Meerut /

Allahabad

Nephrology/ Genitourinary Surgery

Nephrectomy Rs 17,900/- Rs 12,000/- 33 Delhi

Rs 19,600/- Rs 12,000/- 38.8 Bangalore/Chennai

Retroperitoneoscopy Nephrectomy

Rs 35,000/- Rs 28,000/- 20 Delhi

Page 39: ECHS March Update

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PROCEDURE CGHS RATES NAME OF

CITY

OLD NEW % REDUCTION

Joint Replacement Surgery

Total Hip Replacement

Rs 68,000

+ Implant

Rs 45,000 +

Implant34 Bangalore/

Chennai /

A1 Cities.

Total Knee Joint Replacement

Rs 91,000

+ Impant

Rs 68,000 +

Implant25.3 Bangalore/

Chennai /

A1 Cities.

Neurosurgery

Excision of Lobe Rs 50,000/- Rs 37,000/- 26 Bangalore/ Chennai

Craniotomy with evacuation of Haematoma

Rs 50,000/- Rs 31,500/- 37 Bangalore/ Chennai

Page 40: ECHS March Update

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PROCEDURE CGHS RATES NAME OF CITY

OLD NEW %REDUCTION

Cardio-thoracic Procedures

Patent Ductus Arteriousus

Rs 1,01,000/- Rs 73,200/- 27.6 Delhi

Rs 85,000/- Rs 25,000/- 70.6 Pune

Coronary Balloon Angioplasty(Stent Cost Extra)

Rs 87,500/- Rs 85,000/- 2.9 Delhi

Rs 93,000/- Rs 60,000/- 35.5 Bangalore/Chennai

Rs 70,000/- Rs 30,000/- 57.1 Nagpur

Rs 93,000/- Rs 30,000/- 67.8 Pune

Coronary Bypass Surgery

Rs 1,48,500/- Rs 85,000/- 42.8 Mumbai

Rs 1,33,650/- Rs1,30,000/- 2.8 Delhi

Rs 1,40,000/- Rs1,10,000/- 21.5 Pune

Page 41: ECHS March Update

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PROCEDURE CGHS RATES NAME OF CITY

OLD NEW % REDUCTION

Neuro Surgery

Excision of

Cervical Inter Vertebral Discs

Rs 30,000/- Rs 24,000/- 20 Delhi

Meningomyelocele Rs 50,000/- Rs 32,000/- 36 Delhi

Paediatric Surgery

Tracheo (Oesophageal Fistula Correction Surgery)

Rs 29,492/- Rs 20,150/- 31.7 Delhi

Diaphragmatic Hernia Repair (Thoracic or Abdominal approach)

Rs 20,200/- Rs 12,600/- 37.7 Delhi

Page 42: ECHS March Update

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PROCEDURE CGHS RATES NAME OF CITY

OLD NEW % REDUCTION

Diagnostic Procedures

MRI Head With contrast

Rs 8,000/- Rs 3,500/- 56.3 Delhi

MRI Head Without contrast

Rs 5,000 Rs 2,500/- 50 Delhi

CT Whole abdomen with contrast

Rs 5,580/- Rs 3,400/- 39.1 Delhi

CT Whole abdomen without contrast

Rs 4,185/- Rs 2,092/- 50.1 Delhi

Page 43: ECHS March Update

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PROCEDURE CGHS RATES NAME OF CITYOLD NEW % REDUCTION

Fistula in-ano Rs 8000/- Rs 1000/- 87.5 Calicut

Laparotomy failed Laproscopy

Rs 10500/- Rs 4050/- 61.5 Calicut

Myringotomy Rs 2,400/- Rs 600/- 75 Calicut

Peritoneal Dialysis

Rs 900/- Rs 350/- 61.2 Calicut

Cholecystectomy Rs 14,000/- Rs 6,000 57.2 Calicut

Jejunostomy Rs 10,300/- Rs 3,500/- 66.1 Calicut

Operation of Haemorrhoids

Rs 3500/- Rs 1500/ 57.2 Calicut

Dilatation of Urethra

Rs 600/- Rs 75/- 87.5 Calicut

Ovarian Cystectomy

Rs 8500/- Rs 6000/- 29.5 Calicut

Page 44: ECHS March Update

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INTER CITY VARIATION IN RATES

PROCEDURE HYDERABAD PUNE DELHI

CARDIOLOGY/CARDIO-THORACIC

Balloon Angioplasty with Valvotomy

Rs 74,950/- Rs 30,000/- Rs 1,05,000/-

Coronary Bypass Surgery

Rs 85,000/- Rs1,10,000/- Rs 1,30,000/-

Closed Valvotomy

Rs 40,000/- Rs 20,000/- Rs 1,10,000/-

Patent Ductus Arteriosus

Rs 35,000/- Rs 25,000/- Rs 73,200/-

Page 45: ECHS March Update

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INTER CITY VARIATION IN RATES

PROCEDURE HYDERABAD PUNE DELHI

ONCOLOGY & ONCOSURGERY

Carotid Body Excision

Rs 15,000/- Rs 22,000/- Rs 28,500/-

Total Laryngectomy

Rs 20,000/- Rs 22,000/- Rs 28,400/-

Parapharyngeal Tumour Excision

Rs 22,500/- Rs 21,000/- Rs 28,500/-

Page 46: ECHS March Update

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PROCEDURE HYDERABAD BANGALORE DELHI

CHEMOTHERAPY CHARGES

SINGLE DRUG THERAPY PER DAY

Rs 200/- Rs 500/- Rs 400/-

MULTIPLE DRUG THERAPY PER DAY

Rs 300/- Rs 600/- Rs 650/-

INFUSIONAL CHEMOTHERAPY

Rs 500/- Rs 750/- Rs 750/-

INTER CITY VARIATION IN RATES

Page 47: ECHS March Update

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EFFECTS OF REVISION OF RATES

� MOST OF THE REPUTED HOSPITALS HAVE DISCONTINUED TREATMENT OF ECHS PATIENTS.

� INDIFFERENT ATTENTION BY HOSPITALS WHICH ARE STILL EMPANELLED (BECAUSE OF LOW REMUNERATION).

Page 48: ECHS March Update

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ACTIONS TAKEN

�REVISED RATES IMPLEMENTED WITH

EFFECT FROM 01 DEC 07.

�ISSUE RAISED WITH RM THROUGH

CHAIRMAN COSC.

�FOLLOWING DIRECTIONS RECEIVED ON

03 MAR 08 :-

�REVERT TO PRE REVISED RATES.

�CASES ALREADY SANCTIONED WILL NOT BE

REOPENED.

Page 49: ECHS March Update

49

IMPORTANT

ISSUES

Page 50: ECHS March Update

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IMPORTANT ISSUES

• CGHS RATES.

• SHORTAGE OF MANPOWER AT

POLYCLINICS.

• PROCESSING OF BILLS.

• AVAILABILITY OF MEDICINES AT

POLYCLINICS.

Page 51: ECHS March Update

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IMP ISSUES - DIFFICULTIES FACED BY

VETERANS

• LONG WAITING PERIODS AT HIGH PRESSURE

POLYCLINICS.

• CONGESTED WAITING AREAS.

• SHORTAGE OF MEDICINES.

• MEDICINES ON DISCHARGE FROM HOSPITAL.

• NON- AVAILBILITY OF POLYCLINICS IN RURAL

AREAS.

• NOT BEING REFERRED TO CIVIL HOSPITALS.

• NON AVAILABILITY OF ACCN FOR PATIENTS /

ATTENDANTS.

Page 52: ECHS March Update

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IMP ISSUES - NATURE OF

COMPLAINTS BY VETERANS

�MED TREATMENT

�AT POLYCLINICS

�ILL TREATMENT.

�SHORTAGE OF STAFF.

�LONG WAITING HRS.

�LACK OF INFRASTRUCTURE.

�AT SERVICE HOSP

�INADEQUATE FACILITIES.

�ILLTREATMENT.

�NON REFERRAL TO EMPANELLED FACILITY.

Page 53: ECHS March Update

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IMP ISSUES - NATURE OF

COMPLAINTS BY VETERANS�AT EMPANELLED HOSP

�INADEQUATE FACILITIES.

�ILL TREATMENT.

�COST OF TREATMENT FULLY/PARTLY

CHARGED.

�NON ISSUE OF MEDICINES.

�GEN / MISC

�AYURVEDA TREATMENT.

�DENIAL OF TREATMENT AT EMPANELLED

HOSP DUE TO LOW CGHS RATES.

Page 54: ECHS March Update

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IMP ISSUES - NATURE OF

COMPLAINTS BY VETERANS

�RE-IMBURSEMENT

�EMERGENCY RE-EMBURSEMENT CLAIM

NOT/PARTIALLY PASSED.

�TRAVELLING ALLCES.

�POLICY

�ADDL PCs.

�CHANGE OF PARENT PCs.

�EMPLOYMENT.

Page 55: ECHS March Update

55

REMEDIAL MEASURES• REVISION OF CGHS RATES.

• SHORTAGE OF MANPOWER �AT POLYCLINICS.

�AT HIGH PRESSURE STNS / SERVICE

HOSPS.

• DELAY IN PROCESSING OF

BILLS.

• OVERCHARING BY EMPANELLED

HOSPS.

Page 56: ECHS March Update

56

REMEDIAL MEASURES

�AVAILABILITY OF MEDICINES

AT POLYCLINICS.

�EXTRA SPACE FOR POLYCLINIC

AT HIGH PRESSURE STNS.

�EST OF DENTAL LABS.

�EXPANSION OF ECHS.

Page 57: ECHS March Update

57

REMEDIAL MEASURES -

REVIEW OF POLICIES• PROCEDURES MADE USER- FRIENDLY

� MEMBERSHIP FORM.

� ISSUE OF MEDICINES - 90 DAYS/TAC.

�CHANGE OF PARENT POLYCLINIC.

� ISSUE OF DUPLICATE SMART CARDS.

�ASSESSMENT OF DISABILITY OF SPECIAL CHILD.

�TREATMENT AT ‘OTHER’ STATIONS.

�CONDONING DELAYED REPORTING OF OCCURENCE OF EMERGENCY.

�REFERAL POLICY.

Page 58: ECHS March Update

58

REMEDIAL MEASURES -

REVIEW OF POLICIES• SUPER SPECIALITY TREATMENT IN

EMPANELLED HOSPITALS CAN BE REVIEWED BY SAME SPECIALIST.

• SIMPLIFIED PROCEDURE FOR TREATMENT IN REMOTE AREAS.

• ADVISORY COMMITTEES CONSTITUTED AT ALL STNS FOR PERIODIC INTERACTION WITH VETERANS AND EMPANELLED HOSP.

• FEEDBACK FORM INTRODUCED.

Page 59: ECHS March Update

59

MISC POINTS�REVIEW OF ECHS AND

PERFORMANCE AUDIT.

�EXTENSION OF ECHS TO NEPAL.

�SCHEME EXTENDED TO INDIAN

COAST GUARD AND DSC.

�FREE CARDIAC OPDs.

Page 60: ECHS March Update

60

REMEDIAL MEASURES�CASE FOR AUTH OF ADDL MANPOWER

TAKEN UP WITH MOD.

�ADDL STAFF SANCTIONED FROM ARMY’S

WELFARE FUND.

�REVISION OF TERMS OF ENGAGEMENT

AND PAY AND ALLCES.

�VACANCIES OF 75 DOCTORS SHIFTED

FROM LOW PRESSURE TO HIGH

PRESSURE POLYCLINICS.

Page 61: ECHS March Update

61

CASE TAKEN UP WITH MOD FOR

AUTH OF ADDL MANPOWER AT

POLYCLINICS

�FOLLOWING ADDL MANPOWER

PROPOSED:-

� SPECIALISTS - 44

� PARA-MED - 732

� NON – MED - 320

Page 62: ECHS March Update

62

REQMT OF PART TIME SPECIALISTS :

HIGH PRESSURE STNSS.

NO

STATION REQUIREMENT

Med

Spl

Cardio-

logist

Onco-

logist

Ortho

Surgeon

Total

1. DELHI CANTT 1 1 1 1 04

2. SOUTH DELHI - - - 1 01

3. NOIDA 1 - - 1 02

4. GURGAON - - - 1 01

5. PUNE 1 1 1 1 04

6. KOLKATA 1 1 1 1 04

7. CHANDIMANDIR 1 1 - 1 03

8. LUCKNOW 1 1 - - 02

9. MUMBAI 1 - 1 - 02

10. CHENNAI 1 - - 1 02

Page 63: ECHS March Update

63

REQMT OF PART TIME SPECIALISTS : HIGH PRESSURE STNS

S.

NO

STATION REQUIREMENT

Med

Spl

Cardio-

logist

Onco-

logist

Ortho

Surgeon

Total

11. BANGALORE 1 1 - 1 03

12. HYDERABAD 1 1 - - 02

13. KOCHI 1 - - 1 02

14. TRIVANDRUM 1 - - - 01

15. COIMBATORE 1 - - 1 02

16. JALANDHAR - 1 - 1 02

17. AMRITSAR 1 - - 1 02

18. GUWAHATI 1 - - - 01

19. JAMMU 1 - - 1 02

20. AMBALA 1 - - 1 02

TOTAL 17 08 04 15 44

Page 64: ECHS March Update

64

ADDL MANPOWER FOR ECHS

POLYCLINICS AT MIL/NON MIL STNs

PARAMEDICS TYPE A & B

POLYCLINICS

TYPE C & D

POLYCLINICS

MIL NON MIL MIL NON MIL

NURSING ASST 02 02 03 02

DENTAL ASST - 01 01 01

RECEPTIONIST* 01 - 01 01

CHOWKIDAR* - 01 - 01

TOTAL 03 04 05 05

NOTE - * NOT AGREED BY MOD.

Page 65: ECHS March Update

65

ADDL STAFF SANCTIONED/EMP

FROM ARMY’S WELFARE FUNDS

�FOLLOWING ADDL STAFF EMP OUT OF

ARMY’S WELFARE FUNDS:-

� SPECIALIST - 05

� PARA-MED - 56

� NON-MED - 47

�TOTAL EXPDR - RS 229.45 LAC

PER ANNUM

Page 66: ECHS March Update

66

REMEDIAL MEASURES

�CASE FOR AUTH OF 28 CONSULTANTS

AND 54 CLKS TAKEN UP WITH MOD.

�ADDL STAFF SANCTIONED / EMP FROM

ARMY’S WELFARE FUND.

�MOD REQUESTED FOR ADDL MANPOWER FOR SERVICE HOSP AS SUGGESTED BY DGAFMS.

Page 67: ECHS March Update

67

ADDL MANPOWER FOR AFMSDs/ SERVICE HOSP

TOTAL

NO OF

HOSP

MO PHARMACIST/

SKT

AMB

ASST

CLK PEON/

MAZDOOR

TOTAL

SERVICE HOSP

HAVING LARGE

DEPENDENCY OF

ECHS MEMBERS

18 - 18 - 18 - 36

DGLP FUND OF

RS 2-4 CRORE06 06 06 - 06 06 24

DGLP FUND OF RS 4

CRORE AND ABOVE5 5 10 - 10 10 35

TOTAL 29 11 34 - 34 16 95

AFMSD 3 03 09 03 03 - 18

GRAND TOTAL 32 14 43 03 37 16 113

Page 68: ECHS March Update

68

ADDL CONSULTANTS AND CLKS

S/NO STATION CONSULTANTS CLKS

1. DELHI CANTT/NCR 3 6

2. CHANDIMANDIR 1 2

3. JAMMU 1 2

4. AMBALA 1 2

5. LUCKNOW 1 2

6. KOLKATA 1 2

7. PUNE 1 2

8. MUMBAI 1 2

9. CHENNAI 1 2

10. BANGALORE 1 2

11. SECUNDERABAD 1 2

12. KOCHI 1 2

13. TRIVANDRUM 1 2

Page 69: ECHS March Update

69

ADDL CONSULTANTS AND CLKSS/NO STATION CONSULTANTS CLKS

14. COIMBATORE 1 2

15. JALANDHAR 1 2

16. AMRITSAR 1 2

17. HISSAR 1 2

18. MEERUT 1 2

19. LUDHIANA 1 2

20. KOLHAPUR 1 2

21. PATHANKOT 1 2

22. JAIPUR 1 2

23. DEHRA DUN 1 2

24. PATNA 1 2

25. KANPUR 1 2

26. CENTRAL ORGANISATION 1 -

TOTAL 28 54

Page 70: ECHS March Update

70

ADDL STAFF SANCTIONED/EMP

FROM ARMY’S WELFARE FUND

�FOLLOWING ADDL STAFF EMP OUT OF

ARMY’S WELFARE FUNDS :-

�CONSULTANTS - 16

�CLERKS - 38

�TOTAL COST PER ANNUM – RS 55.08 LAC

Page 71: ECHS March Update

71

REMEDIAL MEASURES

�NO SHORTAGE OF FUNDS.

�CASE TAKEN UP WITH MOD FOR

� ENHANCEMENT OF LP POWERS OF OIC

POLYCLINICS.

�AUTH OF LP POWERS TO OIC

POLYCLINICS IN MIL STNS.

�CASE TAKEN UP WITH CGDA FOR

APPOINTING IFA FOR ALL SERVICE HOSP.

Page 72: ECHS March Update

72

REMEDIAL MEASURES�PROCUREMENT OF MEDICINE. CASE

BEING TAKEN UP WITH MoD FOR THE FOLLOWING�EMPANELLMENT OF CHEMIST BY SEMO.�VALIDITY OF RATE ENQUIRY FOR SIX

MONTHS.�ENHANCEMENT OF FINANCIAL POWERS OF

SEMO FOR PURCHASE OF ECHSMEDICINES.

Page 73: ECHS March Update

73

REMEDIAL MEASURES�AUTH OF CONSULTANTS AND CLKS

FOR HIGH PRESSURE STNS. PENDING

SANCTION EMP FROM ARMY’S

WELFARE FUNDS.

�POSTING OF ADDL ARMY OFFRS AT

CENTRAL ORG AND SELECTED STN HQs.

�ENHANCEMENT OF DELEGATED

FINANCIAL POWERS PROPOSED TO

MOD.

Page 74: ECHS March Update

74

PROPOSED FINANCIAL POWERS REIMBURSEMENT OF MEDICAL EXPDR

COMPETENT FINANCIAL AUTH

FINANCIAL LIMITS (WITHOUT CONSULTATION)

EXISTING PROPOSED

STN CDR (COL/LT

COL)

20,000 40,000

STN CDR (BRIG) 50,000 1,00,000

SUB AREA CDR 1,00,000 1,50,000

SUB AREA (I) 1,00,000 3,00,000

AREA CDR 2,00,000 3,00,000

CORPS CDR Nil 4,00,000

ARMY CDR 4,00,000 5,00,000

VCOAS 5,00,000 8,00,000

Page 75: ECHS March Update

75

REMEDIAL MEASURES�PAYMENT ONLY AS PER CGHS RATES.

�THOROUGH SCRUTINY OF BILLS AT

SUCCESSIVE STAGES.

�HOSPITALS ADVISED NOT TO INFLATE

BILLS FOR EARLY PROCESSING.

�ADVISORY COMMITTEES FORMED AT ALL

STNS.

Page 76: ECHS March Update

76

REVISED CHANNEL OF BILL

PROCESSING

SUBMISSION OF BILLS BY EMPANELLED FACILITY

POLYCLINIC

SEMO

STN HQ

REGIONAL CENTRE ECHS

CFA

For bills beyond CFA power of Stn Cdr Sanction for

payment of Bills beyond CFA powers of Stn Cdr

Payment

Page 77: ECHS March Update

77

ANALYSIS OF COMPLAINTS FROM 01 APR 07 TO 29 FEB 08

NATURE OF COMPLAINTS QUARTER TOTAL

Q-1 Q-2 Q-3 JAN -

FEB 08

RE-IMBURSEMENT 38 20 35 13 106

MEDICAL TREATMENT 34 38 35 23 130

SHORTAGE OF MEDICINES 05 04 14 - 23

AGAINST FUNCTIONARIES

(ECHS)

01 11 15 03 30

SUPREME COURT

JUDGEMENT FOR PRE 1996

49 57 61 05 172

FUNCTIONING OF ECHS 09 13 14 17 53

ON POLICY MATTERS 40 33 79 57 209

TOTAL 176 176 253 118 723

Page 78: ECHS March Update

78

MEDICAL TREATMENT

Ist Qtr IInd Qtr IIIrd Qtr JAN -FEB 08

Total

AT POLYCLINICS 19 13 11 07 50

AT EMPANELLED FACILITY

02 05 04 08 19

AT SERVICE HOSPITAL 04 06 07 03 20

GENERAL (WITHOUT ANY SPECIFICATION)

09 14 13 05 41

TOTAL 34 38 35 23 130

Page 79: ECHS March Update

79

SHORTAGE OF MEDICINESIst Qr IInd Qr IIIrd Qr Total

SOUTHERN COMMAND 01 01 05 07

EASTERN COMMAND 01 - - 01

WESTERN COMMAND 02 01 03 06

CENTRAL COMMAND - 01 03 04

SOUTH WEST COMMAND - 01 01 02

NAVY - - - -

AIR FORCE 01 - 02 03

TOTAL 05 04 14 23

Page 80: ECHS March Update

80

ANALYSIS OF POLYCLINICS

S/

No

TYPE

OF

CITY

NO OF

POLYCLINIC

% OF TOTAL

POLYCLINIC

ESM

POPULATION

% OF

TOTAL

ESM POPU-

LATION

1. A/A1 23 10.13 3,04,221 14.10

2. B/B1/

Capital

40 17.62 3,83,855 17.79

3. Others 164 72.24 14,68,526 68.09

Page 81: ECHS March Update

81

Page 82: ECHS March Update

82

EXTENSION OF ECHS TO NEPAL

�APPROX 90,000 ESM FROM INDIAN ARMED FORCES IN NEPAL.

�ECHS NOT APPLICABLE IN NEPAL.

�ON DIRECTIONS OF RM A TEAM VISITED NEPAL TO STUDY THE FEASIBILITY OF EST ECHS AND EMPANELLING HOSP IN NEPAL.

Page 83: ECHS March Update

83

MAJ RECOMMENDATIONS

� NINE POLYCLINICS TO BE EST – FIVE IN PHASE - I AND FOUR IN PHASE – II.

� ECHS REGIONAL CENTRE TO BE EST AT KATHMANDU. TO FUNCTION UNDER DA.

� ALL PROCEDURES OF ECHS AS APPLICABLE IN INDIA TO BE FOLLOWED WITH FOLLOWING VARIATIONS.

�FIN POWERS TO BE EXERCISED BY DA AND

AMBASSADOR.

�RE-IMBURSEMENT TO EMPANELLED HOSP UNDER FIN POWERS OF DA AND AMBASSADOR.

�BULK MEDICINES TO BE SUP BY AFMSD/AMSD.

�LP OF MEDICINES UNDER POWERS OF DA AND AMBASSADOR.

Page 84: ECHS March Update

84

ZONES AND DISTRICTS

• FOR ADM IT IS DIVIDED INTO 14 ZONES AND 75 DISTS

15

41

09

2501

3204

7914

17798

37802

3024

3402

2339

2933

7170

1708

NEPALGANJ

PHIDIM

GORKHABESISAHAR

TAMGHAS

Page 85: ECHS March Update

85

ZONE WISE STATE OF PENSIONERS AS ON 31TH DECEMBER 2007

SL NO ZONE NO OF INDIAN ARMY

PENSIONERS

TOTAL

1 MAHAKALI 15 15

2 SETI 41 41

3 BHERI 2501 2501

4 RAPTI 3204 3204

5 LUMBINI 17798 17798

6 DHAULAGIRI 7914 7914

7 GANDAKI 37802 37802

8 NARAYANI 3024 3024

9 BAGMATI 3402 3402

10 JANAKPUR 2339 2339

11 SAGARMATHA 2933 2933

12 KOSHI 7170 7170

13 MECHI 1708 1708

14 KARNALI 09 09

GRAND TOTAL 89860 89860

Page 86: ECHS March Update

86

PROPOSED NEW POLYCLINICS

Page 87: ECHS March Update

87

CONSIDERATIONS FOR EST OF

NEW POLYCLINICS

�DISTRICTS WITH VETERAN POPULATION MORE THAN 1500.

�RURAL / REMOTE AREAS WITH VETERAN POPULATION OF 800.

�TYPE ‘E’ MIL POLYCLINICS AT LOCATIONS WITH VETERAN POPULATION MORE THAN 400.

�ADDITIONAL POLYCLINICS PROPOSED IN SOME LARGER CITIES.

Page 88: ECHS March Update

88

ECHS INCREMENT - TYPE ‘E’ MIL POLYCLINIC

�MO - 01,,

�NURSING ASSISTANT - 02

�DRIVER - 01

�MOBILE MEDICAL VAN - 01

Page 89: ECHS March Update

89

REGION WISE SUMMARY

PROPOSED NEW POLYCLINICS

COMMAND EXISTING PROPOSED TOTAL

SC 89 51 140

EC 18 28 46

WC 40 40 80

CC 52 50 102

NC 05 05 10

SWC 23 22 45

TOTAL 227 196 423

Page 90: ECHS March Update

90

REGION WISE SUMMARY PROPOSED

NEW POLYCLINICSCOMMAND PCs PROPOSED

MIL NON MIL TYPE ‘E’ TOTAL

SC 01 47 01 49

EC - 23 05 28

WC 03 37 - 40

CC - 46 06 52

NC 01 02 02 05

SWC - 21 01 22

TOTAL 05 176 15 196

Page 91: ECHS March Update

91

PROPOSED NEW POLYCLINICS

TYPE WISE

S. NO TYPE OF PC NO OF PCs

1. A N/MIL 01

2. B N/MIL 05

3. C N/MIL 08

4. D MIL 06

5. D N/MIL 161

6. E MIL 15

TOTAL 196

Page 92: ECHS March Update

92

PROPOSED TYPE ‘E’ POLYCLINICS

S.

NO

POLYCLINIC MIL FACILITY

COMD REMARKS

1. POONCH MH NC REMOTE

2. KARGIL FD AMB NC REMOTE

3. ABOHAR MH SWC RURAL

4. RANIKHET MH CC RURAL

5. DHARCHULA ADS CC REMOTE

6. JOSHIMATH FD AMB CC RURAL

7. AMLA (MP) AF HOSP CC RURAL

8. PACHMARHI

(MP)

MH CC RURAL

9. LANSDOWN MH CC RURAL

Page 93: ECHS March Update

93

PROPOSED TYPE ‘E’ POLYCLINICS

S.

NO

POLYCLINIC MIL FACILITY

COMD REMARKS

10. KALIMPONG MH EC REMOTE

11. MISAMARI MH EC REMOTE

12. TEJU (AP) ADS EC REMOTE

13. ALONG (AP) ADS EC REMOTE

14. BINAGURI (WB) MH EC RURAL

15. BIDAR AF HOSP SC RURAL

Page 94: ECHS March Update

94

PROPOSED EQUIPMENT FOR

ECHS TYPE ‘E’ POLYCLINIC

• NEBULIZER

• OXYGEN CONCENTRATOR

• SUCTION MACHINE BOTH BTY & ELECTRICALLY OPTD

• ELECTRIC BOILING WATER STARILIZER

• SYRINGE NEEDLE DESTROYER

• MICROSCOPE

• ECG MACHINE

• MONITOR WITH DEFIBRILLATOR

Page 95: ECHS March Update

95

PROPOSED EQUIPMENT FOR ECHS

TYPE ‘E’ POLYCLINIC• DIGITAL BLOOD

PRESSURE MACHINE

• GLUCOMETER WITH CONSUMABLES

• DRY PAPER BIOCHEMISTRY

• MALARIA DETECTION KIT

• X- RAY VIEW BOX

• AMBU BAG

• MULTIPURPOSE FOLDING STRETCHER

• MINOR SURGICAL SET

• OTHER MINOR EQUIPMENT SET

Page 96: ECHS March Update

96

STATE WISE SUMMARY OF

POLYCLINICS

S.

NOSTATE

VETERANS

STR

POLYCLINICS

EXISTING PROPOSED TOTAL

1ANDHRA PRADESH

8968108 10 18

2ARUNACHAL PRADESH

829- 02 02

3 ASSAM 38856 03 09 12

4 BIHAR 95451 06 12 18

5 CHHATISGARH 8803 01 03 04

6 GOA 2115 01 01 02

7 GUJARAT 27510 03 03 06

8 HARYANA 283829 19 16 35

Page 97: ECHS March Update

97

STATEWISE SUMMARY OF

POLYCLINICS

S.

NOSTATE

VETERANS

STR

POLYCLINICS

EXISTING PROPOSED TOTAL

9.HIMACHAL PRADESH

11976108 09 17

10.JAMMU & KASHMIR

8620408 06 14

11. JHARKHAND 23537 02 05 07

12. KARNATAKA 84967 09 08 17

13. KERALA 184123 11 12 23

14.MADHYA PRADESH

4649708 04 12

15. MAHARASHTRA 196365 21 09 30

Page 98: ECHS March Update

98

STATE WISE SUMMARY OF

POLYCLINICS

S.

NOSTATE

VETERAN

STR

POLYCLINICS

EXISTING PROPOSED TOTAL

16. MANIPUR 6813 01 01 02

17. MEGHALAYA 3068 01 - 01

18. MIZORAM 6183 01 01 02

19. NAGALAND 3292 02 01 03

20. ORISSA 27032 03 06 09

21. PUNJAB 299326 17 20 37

22. RAJASTHAN 185170 17 12 29

23. SIKKIM 1571 01 - 01

24. TAMILNADU 174958 21 06 27

Page 99: ECHS March Update

99

STATE WISE SUMMARY OF

POLYCLINICSS.

NOSTATE

VETERANS

STR

POLYCLINICS

EXISTING PROPOSED TOTAL

25. TRIPURA 2835 01 - 01

26. UTTARAKHAND 140158 08 13 21

27. UTTAR PRADESH 28416134 15 49

28. WEST BENGAL 66458 08 08 16

29. DELHI 41528 02 04 06

30. CHANDIGARH 9250 01 - 01

31.ANDAMAN & NICOBAR

63401 - 01

TOTAL 2554926 227 196 423

Page 100: ECHS March Update

100

DEPENDANCY ON POLYCLINICSS.

NOSTATE

AREA

(Sq Km)

STR OF

VETERANS

DEPENDANCY PER POLYCLINIC

EXISTING PROPOSED

1 ANDHRA PRADESH 2,75,068 89681 11210 4982

2 ARUNACHAL PRADESH 83,743 829 - 414

3 ASSAM 78,438 38856 12952 3238

4 BIHAR 94,163 95451 15908 5303

5 CHHATISGARH 1,35,194 8803 8803 2200

6 GOA 3,702 2115 2115 1057

7 GUJARAT 1,96,024 27510 9170 4585

8 HARYANA 44,212 2,83,829 14938 8109

9. HIMACHAL PRADESH 55,673 119761 14970 7044

10. JAMMU & KASHMIR 95,643 86204 10775 6631

11. JHARKHAND 79,714 23537 11768 3362

12. KARNATAKA 1,91,791 84967 9440 4998

13. KERALA 38,863 184123 16738 8005

14. MADHYA PRADESH 3,08,253 46497 5812 3874

15. MAHARASHTRA 3,07,713 196365 9350 6771

16. MANIPUR 22,327 6813 6813 3406

Page 101: ECHS March Update

101

DEPENDANCY ON POLYCLINICS

S.

NOSTATE

AREA

(Sq Km)

STR OF

VETERANS

DEPENDANCY PER POLYCLINIC

EXISTING PROPOSED

17. MEGHALAYA 22,429 3068 3068 3068

18. MIZORAM 21,081 6183 6183 3091

19. NAGALAND 16,579 3292 1646 1097

20. ORISSA 1,55,707 27032 9010 3003

21. PUNJAB 50,362 2,99,326 17607 8089

22. RAJASTHAN 3,42,239 185170 10892 6385

23. SIKKIM 7,096 1571 1571 1571

24. TAMILNADU 1,30,058 174958 8331 6479

25. TRIPURA 10,492 2835 2835 2835

26. UTTARAKHAND 55,845 140158 17519 7786

27. UTTAR

PRADESH

2,38,566 284161 8357 5799

28. WEST BENGAL 88,752 66458 8307 4153

29. DELHI 1,483 41528 20764 6921

30. CHANDIGARH 114 9250 9250 9250

31. A & N ISLANDS 8,249 634 634 634

Page 102: ECHS March Update

102

PROPOSED TYPE ‘E’ POLYCLINICS

S.

NO

POLYCLINIC MIL FACILITY

COMD REMARKS

1. POONCH MH NC REMOTE

2. KARGIL FD AMB NC REMOTE

3. ABOHAR MH SWC RURAL

4. RANIKHET MH CC RURAL

5. DHARCHULA ADS CC REMOTE

6. JOSHIMATH FD AMB CC REMOTE

7. AMLA (MP) AF HOSP CC RURAL

8. PACHMARHI

(MP)

MH CC RURAL

9. LANSDOWNE MH CC REMOTE

Page 103: ECHS March Update

103

PROPOSED TYPE ‘E’ POLYCLINICS

S.

NO

POLYCLINIC MIL FACILITY

COMD REMARKS

10. KALIMPONG MH EC REMOTE

11. MISAMARI MH EC REMOTE

12. TEJU (AP) ADS EC REMOTE

13. ALONG (AP) ADS EC REMOTE

14. BINAGURI (WB) MH EC RURAL

15. BIDAR AF HOSP SC RURAL

Page 104: ECHS March Update

104

PROPOSAL FOR UPGRADATION OF EXISTING PCs

S.NO POLYCLINIC TYPE VETERAN STR TYPE PROPOSED

1 CHANDIMANDIR C/M 16298 B/M

2 AMBALA C/M 13238 B/M

3 COIMBATORE C/M 6527 B/M

4 TIRUCHIRAPALLI C/NM 9105 B/NM

5 LUCKNOW C/M 11350 B/M

6 ALLEPPY D/NM 24903 A/NM

7 ROORKEE D/M 3279 B/M

8 MOGA C/M 11385 B/M

9. PATNA C/M 7466 B/M

10. PATHANKOT D/M 38718 B/M

11. VISAKHAPATANAM C/M 10696 B/M

12. AJMER D/M 8907 B/M

13. KOZIKODE C/NM 12393 B/NM

14. UDHAMPUR C/M 7113 B/M

Page 105: ECHS March Update

105

PROPOSAL FOR CONVERSION OF EXISTING PCs

S.

NO

POLYCLINIC TYPE ESM

STR

TYPE

PROPOSED

REMARKS

1 BHARATPUR C/M 6893 C/NM

2 SAHARANPUR (SARSAWA)

D/M 2579 D/NM

3 BALASORE D/M 2993 D/NM

4 NAGPUR C/M 5865 C/NM

5 AJMER D/M 8907 D/NM

6 YELAHANKA D/M 3857 D/NM

7 SIRSA D/M 3202 D/NM

8 JANGLOT C/M 8828 C/NM

9. SANGRUR B/M 14699 B/NM

10. MOGA C/M 11385 C/NM

11. JAISALMER D/M 1836 D/NM

Page 106: ECHS March Update

106

PROPOSED RURAL/REMOTE POLYCLINICS

RURAL - 33

REMOTE - 10

Page 107: ECHS March Update

107

POLYCLINICS IN J&K

POLYCLINICS MIL NON MIL TOTAL

EXISTING 08 - 08

PROPOSED 03 03 06

TOTAL VETERANS – 86,204

Page 108: ECHS March Update

108

INDEX

EXISTING PCs RED (08)

ADDL PC s BLUE (06)

AKHNOOR

SAMBA

BARI BRAHMANA

E

‘E’

BANDIPUR

BARAMULA

KISHTWAR

DODA

RAMBAN

REASI

Badgam

NAGROTA GUJROO

Page 109: ECHS March Update

109

PROPOSED POLYCLINICS : J&K

S.NO POLYCLINIC ESM PENSIONERS

TYPE PROPOSED

REMARKS

1. AKHNOOR 3212 D/M

2. DODA 2771 D/NM

3. POONCH 1682 E/M

4. BARIBRAHAMNA 33248

(JAMMU)

C/NM

5. KARGIL 452 E/M

6. NAGROTA GUJROO

8828 (KATHUA) D/NM

Page 110: ECHS March Update

110

VETERAN PENSIONERS OF J&K(AS PER KSB)

1.JAMMU

-AKHNOOR

-BARI BRAHAMANA

341063212

2.KATHUA

-NAGROTA GUJROO 8828

3. SAMBA 10031

4. RAJOURI 6241

5. SRINAGAR 4297

6. UDHAMPUR 7113

7. LEH 3591

8. BARAMULA 3099

9. DODA 2824

10. BANDIPORA 756

11. POONCH 1712

12. ANANTNAG 1220

13. BADGAM 295

14. KARGIL 452

15. KUPWARA 96

16. PULWAMA 259

17. REASI NA

18. RAMBAN 310

19. KISTWAR 974)

TOTAL 86204

Page 111: ECHS March Update

111

DAILY AVERAGE SICK REPORT : J&K

S/No POLYCLINIC SICK REPORT

1 BARAMULLA 0

2 JAMMU 339

3 JUNGLOT (KATHUA) 35

4 LEH 11

5 RAJOURI 12

6 SAMBA 75

7 SRINAGAR 8

8. UDHAMPUR 93

Page 112: ECHS March Update

112

POLYCLINICS IN HP

POLYCLINICS MIL NON MIL TOTAL

EXISTING 04 04 08

PROPOSED 02 07 09

TOTAL ESM – 1,19,761

Page 113: ECHS March Update

113

INDEX

EXISTING PCs RED (08)

ADDL PCs BLUE (09)

RAMPUR

YOL

GHUMARWIN

DERA

JOGINDER NAGAR

PALAMPUR

SHAHPUR

NAHAN

BAKLOH

HIMACHAL PRADESH

HOSHIARPUR

CHAMBA

Page 114: ECHS March Update

114

PROPOSED POLYCLINICS : HP

S.NO POLYCLINIC ESM PENSIONERS

TYPE PROPOSED

REMARKS

1 RAMPUR 3186 D/NM

2 NAHAN (SIRMAUR DIST)

2247 D/M

3 SHAHPUR (KANGRA) 49422 (KANGRA)

C/NM

4 PALAMPUR 10013 D/M

5 KULLU 1396 D/NM RURAL

6 DERA GOPIPUR 15240 D/NM

7 JOGINDER NAGAR 1261 D/NM RURAL

8 CHAMBA 1200 D/NM REMOTE

9 GHUMARWIN 8500 D/NM

Page 115: ECHS March Update

115

VETERAN PENSIONERS OF HIMACHAL PRADESH

(AS PER KSB)

1

KANGRA- YOL- PALAMPUR- DERA- SHAHPUR

49422

2 HAMIRPUR 23187

3MANDI-JOGINDER NAGAR

12953

4SHIMLA- RAMPUR

3230

5 UNA 12064

6CHAMBA- BAKLOH

3449

7BILASPUR-GHAMARWAIN

7887

8 KULLU 1416

9SIRMOR-NAHAN

2290

10 SOLAN 3313

11 KINNAUR 354

12 LAHUL & SPITI 196

TOTAL 119761

Page 116: ECHS March Update

116

DAILY AVERAGE SICK REPORT : HP

S/No POLYCLINIC SICK REPORT

1 BAKLOH 28

2 MANDI 47

3 YOL 196

4 HAMIRPUR 133

5 BILASPUR 52

6 UNA 92

7 SOLAN 13

8. SHIMLA 28

Page 117: ECHS March Update

117

POLYCLINICS IN PUNJAB

POLYCLINICS MIL NON MIL TOTAL

EXISTING 11 06 17

PROPOSED 02 18 20

TOTAL VETERANS – 2,98,453

Page 118: ECHS March Update

118

PATHANKOT

ROPAR

SAS NAGAR

(MOHALI)

BARNALA

NABHA

SAMANA

TARANTARAN

UNCHI BASSI

INDEX

EXISTING PCs RED (17)

ADDL PCs BLUE (20)

ABOHAR ‘E’

SURANASI

KAITHAL

JAGRAON

BATALAAJNALA

SULTANPUR

MAHALPUR

DORAHA

TALWARA

BEAS

PHAGWARA

SRI GOVINDPUR

SAMRALA

Page 119: ECHS March Update

119

PROPOSED POLYCLINICS : PUNJAB

S.

NO

POLYCLINIC ESM PENSIONERS

TYPE PROPOSED

REMARKS

1 MOHALI 18954 C/NM

2 AJNALA 38241 (AMRITSAR)

D/NM

3 TARANTARAN/PATTI 38241 (AMRITSAR)

D/NM

4 BEAS 38241 (AMRITSAR)

D/NM

5 NAWANSAHAR 3709 D/NM

6 SURANASSI 25488 (JALANDHAR)

D/NM

7 UCHI BASSI 25488

(JALANDHAR)

C/NM

8 ABOHAR 5754 E/M

Page 120: ECHS March Update

120

PROPOSED POLYCLINICS : PUNJAB

S.

NO

POLYCLINIC VETERAN PENSIONERS

TYPE PROPOSED

9 JAGRAON 6469 D/NM

10 BATALA 6352 D/NM

11 SRI GOVINDPUR 38718 (GURDASPUR) D/NM

12 SULTANPUR 10769 (KAPURTHALA) D/NM

13 PHAGWARA 10769 (KAPURTHALA) D/NM

14 SAMANA 2520 D/NM

15 BARNALA 3700 D/NM

16 NABHA 3315 D/M

17 DORAHA 38393 (LUDHIANA) D/NM

18 SAMRALA 38393 (LUDHIANA) D/NM

19 MAHALPUR 47085 (HOSHIARPUR) D/NM

20 TALWARA 47085 (HOSHIARPUR) D/NM

Page 121: ECHS March Update

121

VETERAN PENSIONERS OF PUNJAB(AS PER KSB)

1

AMRITSAR- TARANTARAN

- AJNALA- BEAS

38515

2

GURDASPUR -PATHANKOT-BATALA

-SRI GOVINDPUR

38718

3

HOSHIARPUR- UNCHI BASSI

- MAHALPUR

- TALWARA

47085

4JALANDHAR- SURANASSI

25570

5

LUDHIANA- JAGRAON

- DORAHA

- SAMRALA

38393

6PATIALA- NABHA

- SAMANA

13191

7 ROPAR 18984

8SAS NAGAR (MOHALI)

18984

9SANGRUR

- BARNALA

14699

9 BHATINDA 8979

10FEROZPUR

- ABOHAR

5789

11KAPURTHALA-SULTANPUR

-PHAGWARA

10769

12 MOGA 11385

13 FARIDKOT 6815

14 FATEHGARHSAHIB 6635

15 MANSA 4437

16 MUKTSAR 5699

18 NAWANSHAHAR 3699

TOTAL 298453

Page 122: ECHS March Update

122

DAILY AVERAGE SICK REPORT : PUNJAB

S/No POLYCLINIC SICK REPORT

1 PATHANKOT 135

2 AMRITSAR 365

3 ROPAR 93

4 FATEHGARH SAHIB 71

5 FARIDKOT 31

6 FIROZPUR 50

7 MOGA 33

8 GURDASPUR 193

9 HOSHIARPUR 154

10 JALANDHAR 220

Page 123: ECHS March Update

123

DAILY AVERAGE SICK REPORT : PUNJAB

S/No POLYCLINIC SICK REPORT

11 KAPURTHALA 74

12 LUDHIANA 231

13 SANGRUR 65

14 PATIALA 123

15 BHATINDA 56

16 MANSA 21

17 MUKTSAR 15

Page 124: ECHS March Update

124

POLYCLINICS IN HARYANA

POLYCLINICS MIL NON MIL TOTAL

EXISTING 04 15 19

PROPOSED - 16 16

TOTAL VETERANS – 2,83,829

Page 125: ECHS March Update

125

CHANDIMANDIR

NARNAUL

HANSI

MAHAM

BAHADURGARH

KOSLILOHARU

INDEX

EXISTING PCs RED (19)

ADDL PCs BLUE (16)

GOHANA

CHARKHIDADRI

PALWAL

NARWANA

NUH

DHARUHERA

NARAYANGARH

SAMPLA

KHARKHAUDA

51

Page 126: ECHS March Update

126

PROPOSED POLYCLINICS : HARYANAS. NO POLYCLINIC VETERAN

PENSIONERS

TYPE PROPOSED

1 GOHANA 21522 (SONIPAT) D/NM

2 MEHAM (ROHTAK) 20704 (ROHTAK) D/NM

3 SAMPLA (ROHTAK) 20704 (ROHTAK) D/NM

4 LOHARU 32723 (JHAJJAR) D/NM

5. KOSLI 32723 (JHAJJAR) D/NM

6. BAHADURGARH (JHAJJAR) 12512 D/NM

7 GURGAON (SOHNA ROAD) 28178 B/NM

8. NUH (GURGAON) 28178 (GURGAON) D/NM

9. CHARKHIDADRI 18696 D/NM

10. MAHENDRAGARH 16175 D/NM

11. NARWANA 10666 (JIND) D/NM

12. PALWAL 10531 (FARIDABAD) D/NM

13. HANSI (HISSAR) 14461 (HISSAR) D/NM

14. DHARUHERA (REWARI) 25327 (REWARI) D/NM

15. NARAYANGARH (AMBALA) 13648 (AMBALA) D/NM

16. KHARKHAUDA (SONIPAT) 21522 (SONIPAT) D/NM

Page 127: ECHS March Update

127

VETERAN PENSIONERS OF HARYANA

(AS PER KSB)

1AMBALA - NARAYANGARH

13648

2BHIWANI- LOHARU- CHARKHIDADRI

36853

3REWARI- DHARUHERA

25327

4JHAJJAR- BAHADURGARH- KOSLI

32723

5ROHTAK- MEHAM- SAMPLA

20704

6GURGAON- SOHANA ROAD- NUH

28616

7HISSAR- HANSI

14461

8 KARNAL 6978

9NARNAUL-MAHINDERGARH

21044

10SONIPAT-GOHANA-KHARKHAUDA

21522

11JIND- NARWANA

10666

12FARIDABAD- PALWAL

10531

13 FATEHABAD 5008

14 KAITHAL 4328

15 KURUKSHETRA 5692

16 PANIPAT 7112

17 SIRSA 3221

18PANCHUKULA- CHANDIMANDIR

7179

19 YAMUNA NAGAR 8216

TOTAL 2,83,829

Page 128: ECHS March Update

128

DAILY AVERAGE SICK REPORT : HARYANA

S/No POLYCLINIC SICK REPORT

1 CHANDIGARH 194

2 FARIDABAD 95

3 KARNAL 45

4 AMBALA 219

5 SONIPAT 52

6 PANIPAT 31

7 YAMUNANAGAR 71

8 KAITHAL 17

9 KURUKSHETRA 40

10 GURGAON 190

Page 129: ECHS March Update

129

DAILY AVERAGE SICK REPORT : HARYANA

S/No POLYCLINIC SICK REPORT

11 SIRSA 9

12 JHAJJAR 56

13 REWARI 99

14 ROHTAK 53

15 JIND 43

16 NARNAUL 55

17 BHIWANI 80

18 HISSAR 43

19 FATEHABAD 6

Page 130: ECHS March Update

130

POLYCLINICS IN RAJASTHAN

POLYCLINICS MIL NON MIL TOTAL

EXISTING 11 06 17

PROPOSED - 12 12

TOTAL VETERANS – 1,85,170

Page 131: ECHS March Update

131

RAJGARH

CHIRAWA

BHUWANA

NIM KA THANABEHROR

SANGANER

HINDAUN CITY

(JALIPA)

INDEX

EXISTING PCs RED (17)

ADDL PCs BLUE (12)

SURATGARH

57

SHERGARH

Page 132: ECHS March Update

132

PROPOSED POLYCLINICS : RAJASTHAN

S.

NO

POLYCLINIC ESM PENSIONERS TYPE PROPOSED

REMARKS

1 NEEM KA THANA 15282 (SIKAR) D/NM

2 SHERGARH 17157 (JODHPUR) D/NM RURAL

3 DAUSA 2110 D/NM

4 SANGANER 10571 (JAIPUR) D/NM RURAL

5 BHUWANA 33017 D/NM

6 BHILWARA 2313 D/NM

7 SURATGARH 2595 (HANUMANGARH)

D/NM RURAL

8 DUNGARPUR 1180 D/NM RURAL

9 RAJSAMAND 1709 D/NM

10 RAJGARH 8355 D/NM

11 CHIRAWA 34361 D/NM

12. BEHROR 8907 (ALWAR) D/NM

Page 133: ECHS March Update

133

VETERAN PENSIONERS OF RAJASTHAN

1JHUNJHUNUN- BHUWANA- CHIRAWA

34361

2SIKAR- NIM KA THANA

15282

3CHURU- RAJGARH

8355

4JAIPUR- SANGANER

10571

5JODHPURSHERGARH

17157

6NAGAUR- DIDWANA

15689

7 AJMER 8907

8ALWAR- BEHROR

18957

9 BANSWARA 61

10 BARAN 380

11 BARMER 1524

12 BHARATPUR 6568

13 BHILWARA 3811

14 BIKANER 3686

15 BUNDI 1257

16 CHITTAURGARH 233

17 DAUSA 2948

18 DHAULPUR 459

19 DUNGARPUR 1180

20HANUMANGARH - SURATGARH

2748

21 JAISALMER 1836

22 JALORE 116

23 JHALAWAR 359

24 KARAULI 3976

25 KOTA 2849

26 PALI 2683

27 RAJSAMAND 3142

28 SAWAI MADHOPUR 1053

29 SHRI GANGANAGAR 4235

30 SIROHI 461

31TONK

999

32 UDAIPUR 5471

TOTAL 185170

Page 134: ECHS March Update

134

DAILY AVERAGE SICK REPORT : RAJASTHAN

S/No POLYCLINIC SICK REPORT

1 BIKANER 19

2 SRIGANGANAGAR 9

3 ALWAR 68

4 BHARATPUR 26

5 JHUJHUNU 97

6 JAIPUR 158

7 SIKAR 47

8 CHURU 11

9 NAGAUR 8

10 KOTA 47

Page 135: ECHS March Update

135

DAILY AVERAGE SICK REPORT : RAJASTHAN

S/No POLYCLINIC SICK REPORT

11HINDAUN CITY (DIST KARRAULI)

0

12 AJMER 29

13 BARMER (JALIPA) 11

14 JAISALMER 0

15 JODHPUR 93

16 PALI 0

17 UDAIPUR 16

Page 136: ECHS March Update

136

POLYCLINICS IN DELHI

POLYCLINICS MIL NON MIL TOTAL

EXISTING 01 01 02

PROPOSED - 04 04

TOTAL VETERANS – 41,528

Page 137: ECHS March Update

137

BH

LODHI RD

SECT 37

DUNDAHERA

GURGAON

HINDON

CGO COMPLEX

FARIDABAD

TIMARPUR

SHAKURBASTI

INDEX

EXISTING PCs RED (02)

ADDL PCs BLUE (04)

AF REQMT

DISTRICTS

63

Page 138: ECHS March Update

138

PROPOSED POLYCLINICS : DELHI

S.NO POLYCLINIC VETERAN PENSIONERS

TYPE PROPOSED

REMARKS

1 SHAKURBASTI 6021 B/NM

2 TIMARPUR 4383 C/NM

3. KHANPUR 3737 D/NM

4. EAST DELHI (PREET VIHAR)

7374 B/NM

Page 139: ECHS March Update

139

VETERAN PENSIONERS OF DELHI

(AS PER KSB)

NORTH 1246

NORTH WEST 9137

NORTH EAST 4983

WEST 2908

SOUTH WEST 14535

SOUTH 3737

EAST 2491

CENTRAL 1245

NEW DELHI 1246

TOTAL 41528

Page 140: ECHS March Update

140

COMPARISION WITH CGHS - DELHI

MEMBERS DISPENSARIES/

POLYCLINICS

AVERAGE DEPENDENCY

CGHS 3,58,749 87 3808

ECHS 41528 2 20764

Page 141: ECHS March Update

141

DAILY AVERAGE SICK REPORT : DELHI

S/No POLYCLINIC SICK REPORT

1 DELHI (BHDC) 373

2 NEW DELHI (LODHI ROAD) 372

Page 142: ECHS March Update

142

POLYCLINICS IN UP

POLYCLINICS MIL NON MIL TOTAL

EXISTING 15 19 34

PROPOSED - 15 15

TOTAL VETERANS - 284161

Page 143: ECHS March Update

143

INDEX

EXISTING PCs RED (34)

ADDL PCs BLUE (15)

ORAI

FATEHGARH

SARSWA (AF)

LAKHIMPUR

69

ROORKEE

Page 144: ECHS March Update

144

PROPOSED POLYCLINICS : UTTAR PRADESH

S.NO POLYCLINIC ESM PENSIONERS

TYPE PROPOSED

REMARKS

1 BAGHPAT 4600 D/NM

2 GONDA 2379 D/NM

3 BASTI 1881 D/NM

4 JAUNPUR 2089 D/NM

5 GREATER NOIDA

5023 A/NM

6 LAKHIMPUR 2617 D/NM

7 MORADABAD 2223 D/NM

Page 145: ECHS March Update

145

PROPOSED POLYCLINICS : UTTAR PRADESH

S.NO POLYCLINIC ESM PENSIONERS

TYPE PROPOSED

REMARKS

8 BIJNORE 1857 D/NM

9 RAMPUR 1856 D/NM

10 HARDOI 3478 D/NM

11 BANDA 1900 D/NM

12 MIRZAPUR/

ROBERTS GANJ

1135 D/NM RURAL

13 BARABANKI 1827 D/NM

14 UNNAO 2755 D/NM

15 HATHRAS 5866 D/NM

Page 146: ECHS March Update

146

VETERAN PENSIONERS OF UTTAR PRADESH(AS PER KSB)

1 AGRA 9138

2 ALLAHABAD 5535

3 BULANDSHAR 15753

4 MAINPURI 9233

5 MEERUT 14597

6 BAREILLY 6581

7 ETAH 6976

8 ETAWAH 8738

9 GHAZIABAD 10582

10 GHAZIPUR 22119

11 GORAKHPUR 4781

12 LUCKNOW 11350

13 MATHURA 6143

14 ALIGARH 6139

15 AZAMGARH 3652

16 BALLIA 9989

17 BADAUN 2644

18 DEORIA 4577

19 BAGHPAT 4600

20 FATEHPUR 3851

21 FEROZABAD 3732

22KHERI

- LAKHIMPUR2617

23 MUZZAFAR NAGAR 4678

24 PRATAPGARH 4627

25 SULTANPUR 7675

26 VARANASI 4633

27 BAHRAICH 660

28 BALRAMPUR 131

Page 147: ECHS March Update

147

VETERAN PENSIONERS OF UTTAR PRADESH(AS PER KSB)

29 BANDA 1900

30 BARABANKI 1827

31 BASTI 1924

32 BIJNORE 1858

33 CHANDAULI 718

34 FAIZABAD 4498

35 FATEHGARH 9371

36 GONDA 2394

37 HAMIRPUR 1176

38 HARDOI 3514

39 JAUNPUR 2089

40 JHANSI 1882

41JYOTIBA PHULE

NAGAR664

42 KAUSHAMBI 320

43 LALITPUR 254

44 MAHOBA 210

45 MAHRAJGANJ 656

46 MAU 2769

47 MIRZAPUR 1174

48 MURADABAD 2223

49 PILIBHIT 1369

50 RAE BAREILLY 4570

51 RAMPUR 1863

52 SAHARANPUR 3013

53KANPUR DEHAT

-AKBARPUR MATTI3410

54 KANPUR NAGAR 9429

Page 148: ECHS March Update

148

VETERAN PENSIONERS OF UTTAR PRADESH(AS PER KSB)

55 SANT RAVIDAS NAGAR 208

56 SHAHJAHANPUR 2603

57 SIDDHARTH NAGAR 640

58 SITAPUR 1052

59 SHRAWASTI 115

60 UNNAO 2755

61 SONBHADRA 250

62 KUSHINAGAR 901

63JALAUN

-ORAI

3028

1112

64 HATHRAS 5866

65GAUTAM BUDH NAGAR

- GREATER NOIDA5353

66 CHITRAKOOT 445

67 AMBEDKAR NAGAR 1377

68 AURAIYA

69 KANNAUJ

TOTAL 284161

Page 149: ECHS March Update

149

DAILY AVERAGE SICK REPORT : UP

S/No POLYCLINIC SICK REPORT

1 GHAZIABAD (HINDON) 91

2 NOIDA 301

3 KANPUR 103

4 AGRA 119

5 ETAWAH 23

6 MAINPURI 30

7 FIROZABAD 27

8 ETAH 20

9 BULANDSHAHR 59

10 BAREILLY 116

Page 150: ECHS March Update

150

DAILY AVERAGE SICK REPORT : UP

S/No POLYCLINIC SICK REPORT

11 BADAUN 13

12 FATEHGARH 66

13AKBARPUR MATTI (KANPUR)

11

14 LUCKNOW 241

15 RAE BAREILLY 27

16 MATHURA 62

17 ALIGARH 19

18 MEERUT 230

19 MUZAFFARNAGAR 27

Page 151: ECHS March Update

151

DAILY AVERAGE SICK REPORT : UP

S/No POLYCLINIC SICK REPORT

20 SAHARANPUR (SARSAWA AF) 22

21 SHAHJAHANPUR 22

22 GORAKHPUR 73

23 ALLAHABAD 79

24 FATEHPUR 16

25 PRATAPGARH 17

26 AZAMGARH 17

27 SULTANPUR 02

28 FAIZABAD 28

29 DEORIA 13

Page 152: ECHS March Update

152

DAILY AVERAGE SICK REPORT : UP

S/No POLYCLINIC SICK REPORT

30 GHAZIPUR 46

31 VARANASI 30

32 BALIA 26

33 JHANSI 28

34 ORAI 3 (0)

Page 153: ECHS March Update

153

POLYCLINICS IN UTTARAKHAND

POLYCLINICS MIL NON MIL TOTAL

EXISTING 05 03 08

PROPOSED 04 09 13

TOTAL VETERANS – 1,40,158

Page 154: ECHS March Update

154

INDEX

EXISTING PCs RED (08)

ADDL PCs BLUE (13)

GOPESHWAR

KOTDWARA LANSDOWNE ‘E’

PAURI GARHWAL

HALDWANI

ROORKEE

JOSHIMATH

80

UTTARAKHAND

RUDRAPUR

DEHRADUN

PITHORAGARH

DHARCHULA ‘E’

RANIKHET ‘E’

HERBERTPUR

RAMANAGARBAMBASA

Page 155: ECHS March Update

155

PROPOSED POLYCLINICS : UTTARAKHAND

S.

NO

POLYCLINIC VETERAN

PENSIONERS

TYPE

PROPOSED

REMARKS

1. JOSHIMATH 13798 (CHAMOLI) E/M REMOTE

2. DEHRADUN (HARIDWAR RD) 24792 C/NM

3. VIKASNAGAR (DEHRADUN) 24792(DEHRADUN) D/NM

4. TEHRI 6002 D/NM

5. RUDRAPRAYAG 3699 D/NM

6. RANIKHET 12510 (ALMORA) E/M REMOTE

7. BAGESHWAR 9377 B/NM

8. BANBASA (CHAMPAWAT) 3350 D/NM

9. RUDRAPUR 5840 D/NM

10. DHARCHULA 21574

(PITHORAGARH)

E/M REMOTE

11. LANSDOWN 27053

(PAURIGARHWAL)

E/M

12. UTTARKASHI 799 D/NM

13. RAM NAGAR (NAINITAL) 7350 D/NM

Page 156: ECHS March Update

156

VETERAN PENSIONERS OF UTTARAKHAND(AS PER KSB)

1DEHRADUN -HARIDWAR ROAD-HERBERTPUR

25170

2

PAURIGARHWAL-PAURI

-KOTDWARA

- LANSDOWN

27053

3PITHORAGARH- DHARCHULA

21574

4CHAMOLI

-JOSHI MATH -GOPESHWAR

13798

6947

5TEHRI GARHWAL

-NEW TEHRI6002

6ALMORA

- RANIKHET12510

7NAINITAL

-HALDWANI

-RAMNAGAR

7350

8

UDHAM SINGH

NAGAR / RUDRAPUR

5938

9 BAGESHWAR 9584

10HARIDWAR - ROORKEE

3279

11 RUDRAPRAYAG 3699

12 UTTARKASHI 799

13 CHAMPAWAT 3402

TOTAL 140158

Page 157: ECHS March Update

157

DAILY AVERAGE SICK REPORT : UTTARAKHAND

S/No POLYCLINIC SICK REPORT

1 DEHRADUN 305

2 GOPESHWAR 3

3 KOTDWARA (LANSDOWNE) 30

4. PAURI GARHWAL 5

5 HALDWANI 68

6 PITHORAGARH 76

7 ROORKEE 118

8 ALMORA 25

Page 158: ECHS March Update

158

POLYCLINICS IN BIHAR

POLYCLINICS MIL NON MIL TOTAL

EXISTING 02 04 06

PROPOSED - 12 12

TOTAL VETERANS – 95,451

Page 159: ECHS March Update

159

INDEX

EXISTING PCs RED (06)

ADDL PCs BLUE (12)

ARA

DANAPUR

CHHAPRA

SASARAM

MOTIHARI

BIHAR

85

Page 160: ECHS March Update

160

PROPOSED POLYCLINICS : BIHAR

S.NO POLYCLINIC ESM PENSIONERS

TYPE PROPOSED

REMARKS

1 BHAGALPUR 3475 D/NM

2 KATIHAR 389 D/NM RURAL

3 MOTIHARI 3341 D/NM

4 SIWAN 1814 D/NM

5 SAMASTIPUR 2162 D/NM

6 MADHUBANI 5520 D/NM

7 BUXER 3601 D/NM

8 VAISHALI 2967 D/NM

9 SASARAM 2074 D/NM

10 KHAGARIA 1111 D/NM RURAL

11 MUNGER 958 D/NM RURAL

12 SITAMARHI 1165 D/NM RURAL

Page 161: ECHS March Update

161

ESM PENSIONER OF BIHAR(AS PER KSB)

1BHOJPUR- ARA

24920

2SARAN- CHHAPRA

10548

3 MADHUBANI 5520

4 PATNA 7466

5 BUXAR 3601

6 MUZAFFARPUR 9269

7 VAISHALI 2967

8 ARRARIA 97

9 AURANGABAD 349

10 BANKA 352

11 BEGUSARAI 250

12 BHABHUA (KAIMUR) 1232

13 BHAGALPUR 3475

14 CHASCOURT 103

15 DARBHANGA 5030

16EAST CHAMPARAN- MOTIHARI

3341

17 GAYA 3674

18 GOPALGANJ 629

19 JAMUI 100

20 JEHANABAD 1194

21 KATIHAR 389

22 KHAGARIA 1111

23 KISHANGANJ 62

24 NAWADA 324

25 LAKHISARAI 127

26 MADHEPURA 201

27 MUNGER 2930

28 NALANDA 856

29 PURNIA 221

30ROHTASH-SASARAM

2074

31 SAHARSA 133

32 SAMASTIPUR 2162

33 SHEIKHPURA 101

34 SHEOHAR 486

35 SITAMARHI 1165

36 SIWAN 1814

37 SUPAUL 126

38 WEST CHAMPARAN 318

TOTAL 95451

Page 162: ECHS March Update

162

DAILY AVERAGE SICK REPORT : BIHAR

S/No POLYCLINIC SICK REPORT

1 ARA 42

2 MUZAFFARPUR 20

3 DANAPUR (PATNA) 90

4. CHHAPRA 19

5 DHARBANGA 6

6 GAYA 30

Page 163: ECHS March Update

163

POLYCLINICS IN JHARKHAND

POLYCLINICS MIL NON MIL TOTAL

EXISTING 01 01 02

PROPOSED - 05 05

TOTAL VETERANS – 23,537

Page 164: ECHS March Update

164

INDEX

EXISTING PCs RED (02)

ADDL PCs BLUE (05)

JAMSHEDPUR

CHAIBASA

DALTANGANJ

90

Page 165: ECHS March Update

165

PROPOSED POLYCLINICS : JHARKHAND

S.

NO

POLYCLINIC ESM PENSIONERS

TYPE PROPOSED

REMARKS

1. DUMKA 2091 D/NM

2. GUMLA 3700 D/NM

3. CHAIBASA 3748 D/NM

4. DALTANGANJ 903 D/NM RURAL

5. DHANBAD 509 D/NM RURAL

Page 166: ECHS March Update

166

VETERAN PENSIONERS OF JHARKHAND(AS PER KSB)

1 RANCHI 13022

2 BOKARO 4

3 CHATRA 11

4 DEOGHAR 61

5 DHANBAD 509

6 DUMKA 2091

7EAST

SINGHBHUM

- JAMSHEDPUR

1331

8 GARHWA 24

9 GIRIDIH 425

10 GODDA 306

11 HAZARIBAG 854

12 LOHARDAGA 21

13 PAKAUR 5

14PALAMAU

- DALTANGANJ

903

15 SAHIBGANJ 222

16 GUMLA

17WEST SINGHBHUM

- CHAIBASA

3748

18 KODARMA

TOTAL 23537

Page 167: ECHS March Update

167

DAILY AVERAGE SICK REPORT : JHARKHAND

S/No POLYCLINIC SICK REPORT

1 RANCHI 46

2 JAMSHEDPUR 15

Page 168: ECHS March Update

168

POLYCLINICS IN MP

POLYCLINICS MIL NON MIL TOTAL

EXISTING 05 03 08

PROPOSED 02 02 04

TOTAL VETERANS – 46,497

Page 169: ECHS March Update

169

INDEX

EXISTING PCs RED (08)

ADDL PCs BLUE (04)

MHOW

PACHMARHI ‘E’

AMLA ‘E’

MADHYA PRADESH

95

Page 170: ECHS March Update

170

PROPOSED POLYCLINICS : MADHYA PRADESH

S.NO POLYCLINIC VETERAN PENSIONERS

TYPE PROPOSED

REMARKS

1. SATNA 1966 D/NM

2. UJJAIN 886 D/NM RURAL

3. AMLA NA E/M RURAL

4. PACHMARHI 726 (HOSHANGABAD)

E/M

Page 171: ECHS March Update

171

VETERAN PENSIONERS OF MADHYA PRADESH(AS PER KSB)

1 BHIND 6719

2 GWALIOR 5315

3 RAISEN 130

4 REWA 4262

5 BALAGHAT 120

6 BETUAL 432

7 BHOPAL 2766

8 BILASPUR 189

9 CHHATARPUR 554

10 CHHINDWARA 459

11 DAMOH 634

12 DATIA 95

13 DEWAS 545

14 DHAR 367

15 GUNA 536

16HOSHANGABAD

- PACHMARHI726

17INDORE

- MHOW

4000

18 JABALPUR 4972

19 JHABUA 87

20 KHANDWA 274

21 KHARGAON 40

22 MANDLA 178

23 MANDSAUR 294

24 MORENA 3545

25 NARSIMHAPUR 530

26 PANNA 102

Page 172: ECHS March Update

172

VETERAN PENSIONERS OF MADHYA PRADESH(AS PER KSB)

27 RAJGARH 4

28 RATLAM 356

29 SATNA 1966

30 SAGAR 924

31 SEONI 322

32 SHAHDOL 420

33 SHAJAPUR 82

34 SHIVPURI 231

35 SIDHI 1317

36 SEHORE 52

37 TIKAMGARH 266

38 UJJAIN 905

39EAST NIMAR

- AMLA NA

40 VIDISHA 104

TOTAL 46497

Page 173: ECHS March Update

173

DAILY AVERAGE SICK REPORT : MP

S/No POLYCLINIC SICK REPORT

1 JABALPUR 101

2 REWA 40

3 MHOW 73

4. BHOPAL 0

5 BHIND 34

6 GWALIOR 94

7 MORENA 23

8 SAUGOR 21

Page 174: ECHS March Update

174

POLYCLINICS IN CHATTISGARH

POLYCLINICS MIL NON MIL TOTAL

EXISTING - 01 01

PROPOSED - 03 03

TOTAL VETERANS – 8,803

Page 175: ECHS March Update

175

INDEX

EXISTING PCs RED (01)

ADDL PCs BLUE (03)

JAGDALPUR

AMBIKAPURGUMLA

101

Page 176: ECHS March Update

176

PROPOSED POLYCLINICS : CHATTISGARH

S.

NO

POLYCLINIC VETEERAN PENSIONERS

TYPE PROPOSED

REMARKS

1 JAGDALPUR 397 D/NM RURAL

2 RAIGARH 1313 D/NM RURAL

3 BILASPUR 603 D/NM RURAL

Page 177: ECHS March Update

177

VETERAN PENSIONERS OF CHATTISGARH

(AS PER KSB)

1 BILASPUR 1242

2 DURG 1211

3 RAIPUR 1029

4 RAIGARH 129

5 RAJNANDGAON 125

6BASTAR

- JAGDALPUR397

7JASHPUR 1213

8 SURGUJA 182

9 DANTEWARA 20

10 KORIYA 44

11 KORBA 264

12 JANJGIR 198

13 MAHASAMUND 77

14 KAWARDHA 8

15 KANKER 60

16 DHAMTARI 68

TOTAL 8803

Page 178: ECHS March Update

178

DAILY AVERAGE SICK REPORT : CHATTISGARH

S/No POLYCLINIC SICK REPORT

1 RAIPUR 9

Page 179: ECHS March Update

179

POLYCLINICS IN WEST BENGAL

POLYCLINICS MIL NON MIL TOTAL

EXISTING 05 03 08

PROPOSED 02 06 08

TOTAL VETERANS – 66,458

Page 180: ECHS March Update

180

BARRACKPORE

BENGDUBI

KRISHNANAGAR

SALT LAKE

BAHRAMPUR

BARUIPUR

RAIGANJ

KALIMPONG ‘E’

INDEX

EXISTING PCs RED (08)

ADDL PCs BLUE (08)

BINAGURI ‘E’WEST BENGAL

106

Page 181: ECHS March Update

181

PROPOSED POLYCLINICS : WEST BENGAL

S.NO POLYCLINIC VETERAN PENSIONERS

TYPE PROPOSED

REMARKS

1. BAHRAMPUR 2457 D/NM

2. BARUIPUR

(SOUTH 24 PARGANA)

15531 D/NM

3. BANKURA 819 D/NM RURAL

4. HOWRAH 4582 D/NM

5. RAIGANJ 606 (UTTAR DINAJPUR)

D/NM REMOTE

6. COOCH BEHAR 625 D/NM RURAL

7. KALIMPONG 11406 E/M

8. BINNAGURI 2945 (JALPAIGURI)

E/M RURAL

Page 182: ECHS March Update

182

BARAKPUR TO

THE NORTH

BARUIPUR TO

THE SOUTH

KOLKATA CITYKOLKATA CITY

INDEX

EXISTING PCs RED

ADDL PCs BLUE

108

Page 183: ECHS March Update

183

VETERAN PENSIONERS OF WEST BENGAL

(AS PER KSB)

1

24 PARAGANA

- SALT LAKE

- BARUIPUR

15727

2

DARJEELING

- KALIMPONG

11685

3 KOLKATA 5722

4NADIA

- KRISHNANAGAR

5152

5 BANKURA 1100

6 BIRBHUM 1527

7 COOCH BIHAR 1120

8 HOWRAH 2300

9HOOGLY

- BARRACKPORE

2369

10JALPAIGURI

- BENGDUBI

- BINNAGURI

1880

11 MALDA 916

12 MIDNAPORE 5784

13MURSHIDABAD

- BAHRAMPUR

2640

14 PURULIA 410

15 BURDWAN 4380

16UTTAR DINAJPUR

-RAIGANJ

1100

17 DAKSHIN DINAJPUR 1210

TOTAL 66458

Page 184: ECHS March Update

184

DAILY AVERAGE SICK REPORT :

WEST BENGAL

S/No POLYCLINIC SICK REPORT

1 BARRACKPORE 117

2 BENGDUBI 43

3 DARJEELING 16

4 KRISHNANAGAR 47

5 KOLKOTA 140

6 SALT LAKE 39

7 MIDNAPUR 13

8 BURDWAN 36

Page 185: ECHS March Update

185

POLYCLINICS IN SIKKIM

POLYCLINICS MIL NON MIL TOTAL

EXISTING 01 - 01

PROPOSED - - -

Page 186: ECHS March Update

186

INDEX

EXISTING PCs RED (01)

ADDL PCs BLUE ( 0 )

112

Page 187: ECHS March Update

187

ESM PENSIONER OF SIKKIMAS ON DEC 06 (AS PER KSB)

S/NO

DISTRICTNO OF

PENSIONR

1 GANGTOK 905

2 GYALSI/GEYZING (W) 301

3 NAMCHI (S) 365

TOTAL 1571

Page 188: ECHS March Update

188

DAILY AVERAGE SICK REPORT : SIKKIM

S/No POLYCLINIC SICK REPORT

1 GANGTOK 5

Page 189: ECHS March Update

189

POLYCLINICS IN ASSAM

POLYCLINICS MIL NON MIL TOTAL

EXISTING 03 - 03

PROPOSED 01 08 09

TOTAL VETERANS – 38,856

Page 190: ECHS March Update

190

GUWAHATI

MASIMPUR

LANKA

TEJPUR

INDEX

EXISTING PCs RED (03)

ADDL PCs BLUE (09)

MISAMARI ‘E’

ASSAM

116

Page 191: ECHS March Update

191

PROPOSED POLYCLINICS : ASSAM

S.NO POLYCLINIC ESM

PENSIONERS

TYPE

PROPOSED

REMARKS

1. LANKA 3044 (NAGAON) D/NM

2. BONGAIGAON 1500 D/NM

3. TINSUKIA 1307 D/NM RURAL

4. TEZPUR 1977 D/NM

5. MISAMARI 154 (DARRANG) E/M

6. DIBRUGARH 1421 D/NM RURAL

7. GOALPARA 1265 D/NM RURAL

8. DHUBRI 4652 D/NM

9. LAKHIMPUR 3883 D/NM

Page 192: ECHS March Update

192

ESM PENSIONER OF ASSAM

(AS PER KSB)1 BARPETA 93

2 BONGAI GAON 1500

3CACHAR

- MASIMPUR

3736

4DARRANG

- MISSAMARI

154

5 DHEMAJI 197

6 DHUBRI 4652

7 DIBRUGARH 1421

8 GOLPARA 1265

9 HAILKANDI 221

10KAMRUP

-GUWAHATI

4209

11 KARBI ANGLONG 409

12 KARIM GANJ 373

13 KOKRAJHAR 2372

14 LAKHIMPUR 3883

15 MARIGAON

16 NALBARI 308

17NOWGONG

–LANKA

3044

18 SIBSAGAR 1044

19SONITPUR

- TEJPUR

2156

20 TINSUKIA 1307

21 GOLAGHAT 1323

22 JORHAT 4954

23NORTH CACHAR

HILLS235

TOTAL 38856

Page 193: ECHS March Update

193

DAILY AVERAGE SICK REPORT : ASSAM

S/No POLYCLINIC SICK REPORT

1 JORHAT 17

2 GUWAHATI 38

3 MASIMPUR 12

Page 194: ECHS March Update

194

PROPOSED POLYCLINICS

POLYCLINICS MIL TOTAL

EXISTING - -

PROPOSED 02 02

TOTAL VETERANS – 829

Page 195: ECHS March Update

195

TEZU ‘E’

INDEX

EXISTING PCs NIL

ADDL PCs BLUE (05)

ALONG ‘E’

121

Page 196: ECHS March Update

196

PROPOSED POLYCLINICS

S.

No

Polyclinic Veteran

PensionersType Proposed

Remarks

1. TEZU (ARUNACHAL PRADESH)

NA E/M REMOTE

2. ALONG (ARUNACHAL PRADESH)

NA E/M REMOTE

Page 197: ECHS March Update

197

POLYCLINICS IN OTHER NE STATES

POLYCLINICS MIL NON MIL TOTAL

EXISTING 03 03 06

PROPOSED - 03 03

TOTAL VETERANS – 22,191

Page 198: ECHS March Update

198

MOKOKCHUNG

KOHIMA

DIMAPUR

IMPHAL

SHILLONG

CHURA CHANDPUR

AGARTALA

LUNGLEI

INDEX

EXISTING PCs RED (O6)

ADDL PCs BLUE (03)

AIZAWAL

124

Page 199: ECHS March Update

199

PROPOSED POLYCLINICS : NORTH EAST

S.

No

Polyclinic Veteran

PensionersType Proposed

Remarks

1. CHURA CHANDPUR

(MANIPUR)

2125 D/NM

2. MOKOKCHUNG

(NAGALAND)

839 D/NM REMOTE

3. LUNGLEI (MIZORAM) 1223 D/NM REMOTE

Page 200: ECHS March Update

200

Page 201: ECHS March Update

201

LIMAKONG

TINSUKHIA

CHANDRAPUR

DISTRICTS

DISTRICTS

GANGTOK

127

INDEX

EXISTING PCs RED (O7)

ADDL PCs BLUE ( 5 )

Page 202: ECHS March Update

202

INDEX

EXISTING PCs RED (O7)

ADDL PCs BLUE ( 05 )

LUNGLEI

Page 203: ECHS March Update

203

VETERAN PENSIONERS OF OTHER NE STATES

(AS PER KSB)

S/NO

STATE DISTRICT NO OF PENSIONR

1 MANIPUR CHURACHANDPUR 2125

2 MANIPUR IMPHAL 4162

3 MANIPUR CHANDEL 72

4 MANIPUR SENAPATI 324

5 MANIPUR UKHRUL 130

TOTAL 6813

6 MEGHALAYA NONPOH 13

7 MEGHALAYA SHILLONG 2810

8 MEGHALAYA SOHARA 7

9 MEGHALAYA TURA 238

TOTAL 3088

Page 204: ECHS March Update

204

VETERAN PENSIONERS OF OTHER NE STATES

(AS PER KSB)

S/NO

STATE DISTRICT NO OF PENSIONR

10 NAGALAND DIMAPUR 405

11 NAGALAND KOHIMA 776

12 NAGALAND MOKOK CHUNG 839

13 NAGALAND MON 26

14 NAGALAND SAIHA 190

15 NAGALAND TUENSANG 57

16 NAGALAND WOKHA 670

17 NAGALAND ZUNHEBOTA 329

TOTAL 3292

Page 205: ECHS March Update

205

VETERAN PENSIONERS OF OTHER NE STATES

(AS PER KSB)

S/NO

STATE DISTRICTNO OF

PENSIONER

18 MIZORAM AIZAWAL 4960

19 MIZORAM LUNGLEI 1223

TOTAL 6183

20 TRIPURA AGARTALA 2562

21 TRIPURA DHARMA NAGAR 273

TOTAL 2835

Page 206: ECHS March Update

206

DAILY AVERAGE SICK REPORT : NORTH EAST

S/No POLYCLINIC SICK REPORT

1 IMPHAL (MANIPUR) 7

2 SHILLONG (MEGHALAYA) 17

3 AIZWAL (MIZORAM) 7

4 DIMAPUR (NAGALAND) 3

5 KOHIMA (NAGALAND) 2

6 AGARTALA (TRIPURA) 7

Page 207: ECHS March Update

207

POLYCLINICS IN ORISSA

POLYCLINICS MIL NON MIL TOTAL

EXISTING 01 02 03

PROPOSED - 06 06

TOTAL VETERANS – 27,032

Page 208: ECHS March Update

208

BHUBNESWAR

BRAHMAPUR

INDEX

EXISTING PCs RED (03)

ADDL PCs BLUE (06)

BHAWANIPATNA

134

Page 209: ECHS March Update

209

PROPOSED POLYCLINICS : ORISSA

S.NO POLYCLINIC VETERAN PENSIONERS

TYPE PROPOSED

REMARKS

1. PURI 2133 D/NM

2. SAMBALPUR 1963 D/NM

3. KORAPUT 111 D/NM RURAL

4. ANUGUL 1465 D/NM RURAL

5. BAWANIPATNA 1544

(KALAHANDI )

D/NM

6. DHENKANAL 4466 C/NM

Page 210: ECHS March Update

210

VETERAN PENSIONERS OF ORISSA

(AS PER KSB)1 SUNDER GARH 1157

2 KHORDHA 591

3 ANGUL 1465

4 BALASORE (BALESWAR)3075

5 BARAGARH 22

6GANJAM

- BARHAMPUR

6548

7 BARIPADA 757

8 BHADRAK 308

9 BOLANGIR 192

10 BAUDH 333

11CUTTAK

- BHUNESHWAR

10035

2766

12 DHENKANAL 4466

13 GAJAPATI 91

14 JAGATSINGHPUR 33

15 JAJPUR 358

16 JHARSUGUDA 51

17KALAHANDI

- BAWANIPATNA

1544

18 KENDRAPARA 375

19 KENDUJHAR 285

20 KORAPUT 111

21 MALKANGIRI 9

22 NAWARANGPUR 12

23 NAYAGARH 197

24 PHULBANI 642

25 PURI 2133

26 RAYAGADA 13

27 SAMBALPUR 1963

28 SONAPUR 14

TOTAL 27032

Page 211: ECHS March Update

211

DAILY AVERAGE SICK REPORT : ORISSA

S/No POLYCLINIC SICK REPORT

1 BRAHMAPUR 30

2 BHUBNESWAR 45

3 BALASORE 23

Page 212: ECHS March Update

212

POLYCLINICS IN ANDHRA PRADESH

POLYCLINICS MIL NON MIL TOTAL

EXISTING 03 05 08

PROPOSED - 10 10

TOTAL VETERANS – 89,681

Page 213: ECHS March Update

213

GIDDALUR

SECUNDERABAD

ELURU

SRIKAKULAM

KHAMMAM

KURNOOL

KARIMNAGAR

MAHBUBNAGAR

ANANTAPURCUDDAPAH

NELLORE

GUNTUR

VIJAYAWADA

VISHAKHAPATNAM

KAKINADA

CHITTUR

INDEX

EXISTING PCs RED (08)

ADDL PCs BLUE (10)

GOLCONDA

Page 214: ECHS March Update

214

PROPOSED POLYCLINICS : ANDHRA PRADESH

S.

No

Polyclinic ESM Pensioners

Type Proposed

Remarks

1. Srikakulam 2929 D/NM

2. Anantapur 2226 D/NM

3. Kurnool 2922 D/NM

4. Cuddapah 3089 D/NM

5. Nellore 2202 D/NM

6. Karimnagar 837 D/NM RURAL

7. Eluru (West Godavari)

4164 D/NM

8. Secunderabad 10244 D/NM

9. Khammam 747 D/NM RURAL

10. Mehbubnagar 1129 D/NM RURAL

Page 215: ECHS March Update

215

HYDERABAD HYDERABAD

INDEX

EXISTING PCs RED

ADDL PCs BLUE

GOLCONDA

NAVY REQMT

Page 216: ECHS March Update

216

Page 217: ECHS March Update

217

VETERAN PENSIONERS OF AP

(AS PER KSB)

1SECUNDERABAD

HYDERABAD

10244

2 GUNTUR 8975

3 CHITTOR 8413

4KRISHNA

- VIJAYAWADA

4713

5 VISHAKHAPATNAM 10696

6 ADILABAD 338

7 ANANTPUR 2226

8 CHUDDAPAH 3089

9EAST GODAVARI

-KAKINADA

3733

10 KARIM NAGAR 837

11 KHAMMAM 747

12 KURNOOL 2922

13 MEDAK 1047

14 MEHBOOB NAGAR 1129

15 NALGONDA 843

16 NELLORE 2202

17 NIZAMABAD 450

18PRAKASAM

-GIDDALUR

7210

19 SRIKAKULAM 2929

20 WARANGAL 912

21WEST GODAWARI

- ELURU

4164

22RANGA REDDY

-GOLCONDA

10519

23 VIZAYNAGRAM 1340

TOTAL 89681

Page 218: ECHS March Update

218

DAILY AVERAGE SICK REPORT : AP

S/No POLYCLINIC SICK REPORT

1 VISHAKAPATNAM (VIZAG) 91

2 GUNTUR 35

3 SECUNDERABAD 253

4 CHITTUR 30

5 GIDDALUR 22

6 GOLCONDA 43

7 KAKINADA 08

8 VIJAYAWADA 21

Page 219: ECHS March Update

219

DAILY AVERAGE SICK REPORT : AP

S/No POLYCLINIC SICK REPORT

1 VISHAKAPATNAM (VIZAG) 81

2 GUNTUR 28

3 SECUNDERABAD 221

4 CHITTUR 32

5 GIDDALUR 18

6 GOLCONDA 39

7 KAKINADA 10

8 VIJAYAWADA 13

Page 220: ECHS March Update

220

POLYCLINICS IN TAMILNADU

POLYCLINICS MIL NON MIL TOTAL

EXISTING 03 18 21

PROPOSED - 06 06

TOTAL VETERANS– 174,958

Page 221: ECHS March Update

221

INDEX 147

EXISTING PCs RED (21)

ADDL PCs BLUE (06)

WELLINGTON

AVADI

KRISHNAGIRI

SRIVILLIPUTTUR

NAGARCOIL

TUTICORIN

TAMBRAM (AF)

KUMBHKONUMISLAND GROUND

Page 222: ECHS March Update

222

PROPOSED POLYCLINICS : TAMILNADU

S.

No

Polyclinic Veteran Pensioners

Type Proposed

Remarks

1. Erode 2474 D/NM

2. Sivaganga 2484 D/NM

3. Kumbhkonum (Tiruvallur)

7197 D/NM

4. Chennai (Island Ground)

13523 D/NM

5. Ramanathapuram 1856 D/NM

6 Tambaram 6953 (KANCHIPURAM)

D/NM

Page 223: ECHS March Update

223

CHENNAI CHENNAI

INDEX

EXISTING PCs RED

ADDL PCs BLUE

AF REQMT 149

Page 224: ECHS March Update

224

Page 225: ECHS March Update

225

VETERAN PENSIONERS OF TAMILNADU (AS PER KSB)

1 VELLORE 25078

2CHENNAI

ISLAND GROUND13523

3 THENI 4356

4DHARAMAPURI

-KRISHNAGIRI9882

5 TIRUCHIRAPALLI 9105

6 MADURAI 8230

7KANYAKUMARI

-NAGARCOIL

6202

8 SAIDAPET 3150

9 SALEM 6576

10 THANJAVUR 4657

11TOOTHUKODI

- TUTICORIN 4484

12VIRUDHUNAGAR

-SRIVILLIPUTTUR7174

13 COIMBATORE 6527

14 DINDIGUL 4412

15 ERODE 2474

16KANCHIPURAM

-TAMBARAM

6953

17 NAGAPATTINAM 4123

18 NAMAKKAL 866

19 PUDUKOTTAI 1206

20 RAMNATHPURAM 1856

21 SHIVAGANGAI 2484

22 SOUTH ARCOT 1287

23 TIRUNELVELI 6997

24

THIRUVARUR

-KUMBHKONUM

-AVADI

7197

25 TIRUVENNAMLAI 10197

26NILGIRIS

- WELLINGTON

2663

27 VILLUPURAM 5011

28 CUDDALORE 3003

TOTAL 174958

Page 226: ECHS March Update

226

DAILY AVERAGE SICK REPORT : TAMILNADU

S/No POLYCLINIC SICK REPORT

1 VELLORE 168

2 CHENNAI 146

3 AVADI 66

4 KANCHIPURAM 16

5 CUDDALORE 23

6 VILLUPURAM 25

7 COIMBATORE 87

8 VIJAYAWADA 13

9 KRISHNAGIRI 42

10. SALEM 48

Page 227: ECHS March Update

227

DAILY AVERAGE SICK REPORT : TAMILNADU

S/No POLYCLINIC SICK REPORT

11 SRIVILLIPUTTUR 52

12 DINDIGUL 63

13 MADURAI 159

14 TIRUCHI 54

15 NAGAPATTINAM 14

16 THANJAVUR 26

17 THENI 59

18 TIRUNALVELI 66

19 NAGARCOIL 44

20 WELLINGTON 34

21 THIRUVANNAMALAI 28

Page 228: ECHS March Update

228

POLYCLINICS IN KERALA

POLYCLINICS MIL NON MIL TOTAL

EXISTING 03 08 11

PROPOSED - 12 12

TOTAL VETERANS – 1,84,123

Page 229: ECHS March Update

229

KOCHI

PERINTALMANNA

ALLEPPY

MAVALI KARA

THODAPUZHA

INDEX

EXISTING PCs RED (11)

ADDL PCs BLUE (12)

KANHAGAD

KALPETTA

CHANGANNASSERY

MED COLLEGE

MOOVATTUPUZHA

IRITTI

KUNNAMKULAM

KOTTARAKKARA

KILIMANUR

RANNI

Page 230: ECHS March Update

230

PROPOSED POLYCLINICS : KERALA

S.No Polyclinic Veteran Pensioners

Type Proposed

1. Mavelikara (Alleppy) 25572 B/NM

2. Kanhagad (Kasargod) 1698 D/NM

3. Kalpetta (Wayanad) 2147 D/NM

4. Thodupuzha (Idukki) 1923 D/NM

5. Trivandrum (Medical College) 20440 D/NM

6. Changanacherry (Kottayam) 11740 D/NM

7. Moovattupuzha (Ernakulam) 14829 D/NM

8. Iritti (Kannur) 15792 D/NM

9. Kunnamkulam (Trichur) 15704 D/NM

10. Kottarakara (Kollam) 16947 D/NM

11. Ranni (Pathanamthitta) 17962 D/NM

12. Kilimanur (Thiruvanathapuram) 25786 D/NM

Page 231: ECHS March Update

231

VETERAN PENSIONERS OF KERALA

(AS PER KSB)

1

TIRUVANANTHAPURAM

-MED COLLEGE

- KOTTARAKARA

25786

2

ERNAKULAM

- KOCHI

- MOOVATTUPUZHA

14829

3KOTTAYAM

-CHANGANNASERRY

11740

4PATHNAMTHITTA

- RANNI

17962

5KOLLAM (QUILON)

KILIMANUR

16947

6CANNANORE

- IRITTI15792

7 PALAKKAD 13548

8TRISSUR

- KUNNAMKULAM

15704

9ALLEPPEY

- MAVELIKERA

25572

10IDDUKI

- THODAPUZHA

1923

11KASARGOD

-KANHAGAD

1698

12 KOZHIKODE 12393

13MALAPURAM

- PERINTAIMANNA

8082

14WYNAD

- KALPETTA2147

TOTAL 184123

Page 232: ECHS March Update

232

DAILY AVERAGE SICK REPORT : KERALA

S/No POLYCLINIC SICK REPORT

1 PALAKKAD 81

2 KOCHI 170

3 KANNUR 122

4 KOZKIKODE 148

5 PERINTHALMANNA 90

6 ALLEPPY 173

7 TRISSUR 113

8 KOTTAYAM 68

9 TRIVANDRUM 209

10 PATHANAMTHITTA 178

11 KOLLAM 147

Page 233: ECHS March Update

233

DAILY AVERAGE SICK REPORT : KERALA

S/No POLYCLINIC SICK REPORT

1 PALAKKAD 81

2 KOCHI 170

3 KANNUR 122

4 KOZKIKODE 148

5 PERINTHALMANNA 90

6 ALLEPPY 173

7 TRISSUR 113

8 KOTTAYAM 68

9 TRIVANDRUM 209

10 PATHANAMTHITTA 178

11 KOLLAM 147

Page 234: ECHS March Update

234

POLYCLINICS IN KARNATAKA

POLYCLINICS MIL NON MIL TOTAL

EXISTING 04 05 09

PROPOSED 01 07 08

TOTAL VETERANS - 84,967

Page 235: ECHS March Update

235

KARWAR

MADEKERI

MANGALORE

JALHALLI

E

INDEX

EXISTING PCs RED (09)

ADDL PCs BLUE (08)

YELAHANKA

VIRARAJENDRAPET

Page 236: ECHS March Update

236

PROPOSED POLYCLINICS : KARNATAKA

S.

No

Polyclinic Veterans Pensioners

Type Proposed

Remarks

1. Kolar 2631 D/NM

2. Tumkur 1090 D/NM RURAL

3. Hassan 755 D/NM RURAL

4. Shimoga 1950 D/NM

5. Bangalore (AF Stn Jalhalli)

30979 D/NM

6. Gulbarga 2473 D/NM

7. Bidar 1111 E/M RURAL

8. Virarajendrapet 6272 (KODAGU)

D/NM

Page 237: ECHS March Update

237

INDEX

EXISTING PCs RED

ADDL PCs BLUE

AF RQMT

NAVY REQMT

SEMO AIR HQ

- AT HEBBAL

Page 238: ECHS March Update

238

Page 239: ECHS March Update

239

VETERAN PENSIONERS OF KARNATAKA

(AS PER KSB)

1BANGALOREJALHALLI

30979

2BANGALORE RURAL- YELAHANKA

3961

3 BELGAUM 14631

4KODAGU-VIRARAJENDRAPET-MADEKERI

6272

5 BIJAPUR 4004

6 KOLAR 2631

7 BELLARY 355

8 BIDAR 1111

9 CHAMARAJA NAGAR 43

10 CHICKMAGLUR 371

11 CHITRADURGA 329

12 DHARWAD 4048

13 DAVANGERE NA

14. UDUPI NA

15 GULBARGA 2473

16 HASSAN 755

17 HAWERI 27

18 MANDIAYA 280

19 MYSORE 3182

20NORTH KANARA-KARWAR

2158

21 RAICHUR 1105

22 SHIMOGA 1950

23SOUTH KANARA-MANGALORE

3482

24 TUMKUR 1090

25 BAGALKOT NA

26 KOPPAL NA

24 GADAG NA

TOTAL 84967

Page 240: ECHS March Update

240

DAILY AVERAGE SICK REPORT : KARNATAKA

S/No POLYCLINIC SICK REPORT

1 BANGALORE (URBAN) 297

2 YELAHANKA (BANGALORE) 19

3 MADEKERI 0

4 MANGALORE 16

5 MYSORE 15

6 BELGAUM 179

7 BIJAPUR 23

8 DHARWAD 22

9 KARWAR 0

Page 241: ECHS March Update

241

POLYCLINICS IN MAHARASHTRA

POLYCLINICS MIL NON MIL TOTAL

EXISTING 07 14 21

PROPOSED - 09 09

TOTAL VETERANS - 1,96,365

Page 242: ECHS March Update

242

INDEX

EXISTING PCs RED (21)

ADDL PCs BLUE (09)

MIRAJ

NAVI MUMBAIPOWAI

DEVLALI

CHIPLUN

MAHAD

KHADKI (BY NAVY)MUMBAI JUHU

(NERUL)

SOUTH PUNE

KARAD

Page 243: ECHS March Update

243

PROPOSED POLYCLINICS : MAHARASHTRA

S.

No

Polyclinic Veterans Pensioners

Type Proposed

Remarks

1. Beed 2862 D/NM

2. Nanded 1148 D/NM RURAL

3. Karad (Satara) 23585 D/NM

4. Wardha 2012 D/NM

5. Navi Mumbai 10231 C/NM

6. South Pune 26083 D/NM

7. Pune/Khadki 26083 D/NM

8. Yavatmal 1731 D/NM

9. Dhule 1500 D/M

Page 244: ECHS March Update

244

POWAI

NERUL

JUHU NAVI MUMBAI

INDEX

EXISTING PCs RED

ADDL PCs BLUE

Page 245: ECHS March Update

245

CH

INDEX

EXISTING PCs RED

ADDL PCs BLUE

Page 246: ECHS March Update

246

AFMC

KHADKI

AUNDH

GHORPADI

KHADAKVASLA

INDEX

EXISTING PCs RED

ADDL PCs BLUE

Page 247: ECHS March Update

247

VETERAN PENSIONERS OF MAHARASHTRA(AS PER KSB)

1MUMBAI- NAVI MUMBAI

10231

2PUNE- KHADKI- SOUTH PUNE

26083

3RATANAGIRI-CHIPLUN

7130

4 SANGLI 17220

5 AHMEDNAGAR 7394

6 KOLHAPUR 14458

7 NAGPUR 5931

8SATARA- KARAD

23585

9 SHOLAPUR 7501

10 THANE 9364

11 NASIK / DEVLALI 6163

12 OSMANABAD 3739

13 SINDU DURG 5041

14 AKOLA 2368

15 AMRAWATI 4473

16 AURANGABAD 4129

17 BEED 2862

18 BHANDARA 727

19 BULDHANA 4749

20 CHANDRAPUR 1251

21 DHULE 1500

22 GADCHIROLI 105

23 JALGAON 2916

24 JALNA 1182

25 LATUR 3330

26 NANDED 1148

27 PARBHANI 812

28RAIGAD- MAHAD

4854

29 WARDHA 2012

30 YAVATMAL 1740

31 WASHIM 889

32 NANDURBAR 242

33 MUMBAI UPNAGAR 10296

34 HINGOLI 396

35 GONDIA 544

TOTAL 196365

Page 248: ECHS March Update

248

DAILY AVERAGE SICK REPORT : MAHARASHTRA

S/No POLYCLINIC SICK REPORT

1 NAGPUR 31

2 SHOLAPUR 35

3 AHMEDNAGAR 65

4 OSMANABAD 33

5 LATUR 48

6 AURANGABAD 56

7 BULDANA 43

8 JALGAON 11

9 DEVLALI 89

10 MUMBAI (UPNAGAR) POWAI 47

11 SATARA 110

Page 249: ECHS March Update

249

DAILY AVERAGE SICK REPORT : MAHARASHTRA

S/No POLYCLINIC SICK REPORT

12 KOLHAPUR 92

13 MIRAJ (SANGLI) 33

14 CHIPLUN 27

15 SINDHUDURG 17

16 THANE 18

17 MAHAD 13

18 AKOLA 22

19 AMRAVATI 31

20 PUNE 227

21. MUMBAI (NAVY) 83

Page 250: ECHS March Update

250

POLYCLINICS IN GOA

POLYCLINICS MIL NON MIL TOTAL

EXISTING 01 - 01

PROPOSED 01 - 01

TOTAL VETERANS – 2,115

Page 251: ECHS March Update

251

PANAJI

VASCO-DA-GAMA

INDEX

EXISTING PCs RED (01)

ADDL PCs BLUE (01)

Page 252: ECHS March Update

252

PROPOSED POLYCLINICS : GOA

S.

No

Polyclinic Veterans Pensioners

Type Proposed

Remarks

1. Vasco-Da-Gama 2115 D/M

Page 253: ECHS March Update

253

VETERAN PENSIONERS OF GOA(AS PER KSB)

NORTH GOA 1184

SOUTH GOA 931

TOTAL 2115

Page 254: ECHS March Update

254

DAILY AVERAGE SICK REPORT : GOA

S/No POLYCLINIC SICK REPORT

1 PANAJI 25

Page 255: ECHS March Update

255

POLYCLINICS IN GUJARAT

POLYCLINICS MIL NON MIL TOTAL

EXISTING 03 - 03

PROPOSED - 03 03

TOTAL VETERANS - 27,510

Page 256: ECHS March Update

256

INDEX

EXISTING PCs RED (03)

ADDL PCs BLUE (03)

GANDHI DHAM

182

Page 257: ECHS March Update

257

PROPOSAL FOR NEW

REGIONAL CENTRES

Page 258: ECHS March Update

258

REGIONAL CENTRES

• EXISTING 13 REGIONAL CENTRES.

• PRESENTLY REGIONAL CENTRES HAVING ONLY TECH

CONTROL ON POLYCLINICS.

• BILL PROCESSING, MEDICINE DEMAND, FUND

ALLOTMENT ETC BEING DONE BY STN HQ/SEMO (WHICH

ARE OVERLOADED).

• UNEVEN DISTRIBUTION OF POLYCLINICS BETWEEN

REGIONAL CENTRES.

• ADDL POLYCLINICS BEING ESTABLISHED.

• PROPOSED TO HAVE 14 MORE REGIONAL CENTRES.

Page 259: ECHS March Update

259

RE-ORG OF CENTRAL ORG ECHS

Page 260: ECHS March Update

260

MD (MAJ GEN)

DIR (P &FC)DIR (Complaints &

Legal)

DIR (Statistics

& Automation)

JT DIR

(Procurem

ent &

Billing)

JT DIR

(Legal)

JT DIR

(Policy)

PROPOSED STRUCTURE OF

CENTRAL ORG

DY MD (BRIG)

JT DIR (AMC)

(Statistics)JT DIR

(Fin Plg & Policy)

DIR (Med)

JT DIR

(Billing/

Empanel-

ment)

DIR (OPS &

COORD)

JT DIR (PERS)JT DIR (OPS) JT DIR (EST)

Page 261: ECHS March Update

261

MANPOWER IMPLICATIONS

Page 262: ECHS March Update

262

ADDITIONAL MANPOWER : NEW

POLYCLINICS

OIC POLYCLINIC 181

MED OFFR 371

MED SPL 181

DENTAL OFFR 187

GYNAECOLOGIST 06

PARAMEDICS 585

NON PARAMEDICS 757

TOTAL 2268

Page 263: ECHS March Update

263

ADDL MANPOWER : NEW 14

REGIONAL CENTRES

OFFRS - 56(14 X SELECTION GRADE FULL COL / EQUIVALENT,

14 X MOs AS JD (MED) &

28 X LT COL/EQUIVALENT JDs)

PBOR - 238

TOTAL - 294

Page 264: ECHS March Update

264

ADDL MANPOWER : CENTRAL

ORG ECHS

OFFRS PBOR TOTAL

EXISTING 09 38 47

PROPOSED 07 15 22

TOTAL 16 53 69

Page 265: ECHS March Update

265

ADDL MANPOWER FOR AFMSDs/ SERVICE HOSP

TOTAL

NO OF

HOSP

MO PHARMACIST/

SKT

AMB

ASST

CLK PEON/

MAZDOOR

SERVICE HOSP

HAVING LARGE DEPENDENCY OF

ECHS MEMBERS

18 - 18 - 18 -

DGLP FUND OF RS 2-

4 CRORE

06 06 06 - 06 06

DGLP FUND OF RS 4

CRORE AND ABOVE

5 5 10 - 10 10

TOTAL 29 11 34 - 34 16

AFMSD 3 03 09 03 03 -

GRAND TOTAL 32 14 43 03 37 16

Page 266: ECHS March Update

266

SUMMARY OF ADDITIONAL

MANPOWER REQUIREDOFFRS PBOR CONTRACTUAL TOTAL

ADDL PCs - - 2268 2268

UPGRADATION - - 87 87

CONVERSION - - 33 33

NEW RCs 56 238 - 294

ADDL

CENTRAL ORG

07 15 - 22

ADDL AFMSDs/

SERVICE HOSP

14 83 16 113

TOTAL 77 336 2404 2817

Page 267: ECHS March Update

267

SUMMARY OF ADDITIONAL COMBATANT MANPOWER REQUIRED(INCL EXISTING)

OFFRS PBOR TOTAL

NEW RCs 56 238 294

ADDL CENTRAL ORG 07 15 22

AFMSDs/SERVICE

HOSP

14 83 97

EXISTING

RCs/CENTRAL ORG

61 249 310

TOTAL 138 585 723

Page 268: ECHS March Update

268

EXISTING COMBATANT MANPOWER

S/NO APPT

REGIONAL CENTRE ARMY NAVY AIR

FORCE

TOTAL

1. DIR 11 01 01 13

2. JT DIR 34 01 04 39

TOTAL OFFR 45 02 05 52

3. PBOR 157 24 40 221

TOTAL 202 26 45 273

CENTRAL ORG

1. OFFR 06 01 02 09

2. PBOR 21 03 04 28

TOTAL 27 04 06 37

Page 269: ECHS March Update

269

FINANCIAL IMPLICATIONS

Page 270: ECHS March Update

270

SUMMARY OF COST

(In Cr)

INFRASTRUCTURE COST

ANNUAL RUNNING COST

1. NEW POLYCLINICS 120.82 30.03

2. UPGRADATION OF POLYCLINICS

3.52 1.36

3. CONVERSION OF POLYCLINICS

3.11 0.85

4. NEW REGIONAL CENTRES 04.20 06.97

5. ADDL CENTRAL ORG - 00.56

6. ADDL AFMSDs / SERVICE HOSP

- 2.07

TOTAL 131.65 41.84

Page 271: ECHS March Update

271

SUMMARY OF COST (INCL MANPOWER OF EXISTING RCs/CENTRAL ORG)

INFRASTRUCTURE COST

ANNUAL RUNNING COST

1. NEW POLYCLINICS 120.82 30.03

2. UPGRADATION OF POLYCLINICS

3.52 1.36

3. CONVERSION OF POLYCLINICS

3.11 0.85

4. NEW REGIONAL CENTRES 04.20 06.97

5. ADDL CENTRAL ORG - 00.56

6. ADDL AFMSDs/SERVICE HOSP

- 2.07

7. EXISTING REGIONAL CENTRES AND CENTRAL ORGANISATION

- 07.51

TOTAL 131.65 49.35

In Cr

Page 272: ECHS March Update

272

COST OF PROPOSED POLYCLINICS(In Lakhs)

S.

NO

TYPE OF

PC

NO OF PCs

INFRASTRUCTURE COST

ANNUAL RUNNING COST

1. A N/MIL 01 166.79 30.93

2. B N/MIL 05 643.85 92.79

3. C N/MIL 08 567.04 158.94

4. D MIL 06 272.88 56.30

5. D N/MIL 161 10139.78 2878.58

6. E MIL 15 292.50 65.85

TOTAL 196 12082.84 3283.39