Detailed Project Report on 750 BEDS HOSPITAL & MEDICAL COLLEGE

The Indian Government has undertaken deep structural and sustained reforms to strengthen the healthcare sector and has also announced conducive policies for encouraging FDI. The Aatmanirbhar Bharat Abhiyaan packages include several short-term and longer-term measures for the health system, including Production-Linked Incentive (PLI) schemes for boosting domestic manufacturing of pharmaceuticals and medical devices. Additionally, India is working towards becoming a hub for spiritual and wellness tourism, as the country has much to offer in Ayurveda and Yoga.

1. www.eiribooksandprojectreports.com 1

ENGINEERS INDIA RESEARCH INSTITUTE
4/54, Roop Nagar, Delhi-110007 (India)
Phone: [phone]
E-mail: [email protected]
Website: www.eiriindia.org




750 BEDS HOSPITAL & MEDICAL COLLEGE
[EIRI/EDPR/4703] J.C.: 2923XL

The Indian Government has undertaken deep structural and sustained reforms to
strengthen the healthcare sector and has also announced conducive policies for
encouraging FDI. The Aatmanirbhar Bharat Abhiyaan packages include several
short-term and longer-term measures for the health system, including Production-
Linked Incentive (PLI) schemes for boosting domestic manufacturing of
pharmaceuticals and medical devices. Additionally, India is working towards
becoming a hub for spiritual and wellness tourism, as the country has much to
offer in Ayurveda and Yoga.

The COVID-19 pandemic has not only presented challenges but also several
opportunities for India to grow. The crisis has opened the flood gates for Indian
start-ups, many of whom have risen to the occasion and accelerated the
development of low-cost, scalable, and quick solutions. Further, the pandemic is
providing an impetus to the expansion of telemedicine and the home healthcare
market in the country.

All these factors, together, make India’s healthcare industry ripe for investment. In
the hospital segment, the expansion of private players to Tier 2 and Tier 3
locations, beyond metropolitan cities, offers an attractive investment opportunity.
India also has the opportunity to boost domestic manufacturing of
pharmaceuticals, supported by the recent PLI schemes, alongside offering
investment avenues in segments like contract manufacturing and research, over-
the- counter drugs, and vaccines. India is also a land of opportunities for players
in the medical devices industry, with tremendous opportunities for expansion of
diagnostic and pathology center’s as well as miniaturized diagnostics.

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India, a signatory to the "Alma Alta" declaration of 1978, is committed to the goal
of "HEALTH FOR ALL" by the year 2000 A.D. In order to achieve the targets and
thereby improving the health status of people in the country, tremendous efforts
are required to be made not only by government but also by people. It is in this
perspective development of health care assumes significant importance. New
Challenges and new opportunities for investing in health care i.e. in hospitals and
nursing homes etc. have arisen.

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CONTENTS


INTRODUCTION
INDUSTRY OVERVIEW
MACROECONOMIC OVERVI EW OF INDIA
GDP LOGGED 5.5% CAGR BETWEEN FISCAL 2012 AND FISCAL 2022
REAL GDP GROWTH IN I NDIA (NEW GDP SERIES)
GDP IN FISCAL 2022 GREW AT 9.1% ON-YEAR
IMPACT OF UNION BUDGET 2023-2024 ON HEALTHCARE AND WELLBEING
HEALTH AND WELLBEING – EXPENDITURE
KEY BUDGET PROPOSALS FOR FISCAL 2023 TO FISCAL 2024
FUNDAMENTAL GROWTH DRIVERS OF GDP
BY 2030, INDIA’S POPULATION IS PROJECTED TO TOUCH 1.5 BILLION
INDIA’S POPULATION GROWTH
URBANIZATION LIKELY TO REACH 40% BY 2030
INDIA’S URBAN VERSUS RURAL POPULATION
INDIA’S PER CAPITA INCOME ROSE AT A HEALTHY PACE BETWEEN FISCAL
2012 AND FISCAL 2020
PER CAPITA NET NATIONAL INCOME AT CONSTANT PRICES
REVIEW OF PRIVATE FINAL CONSUMPTION EXPENDITURE (PFCE)
• CONSUMPTION EXPENDITURE TO BE DRIVEN BY DISCRETIONARY ITEMS
• BROAD SPLIT OF PFCE CONSUMPTION INTO BASIC AND DISCRETIONARY
SPENDING
• HEALTH EXPENDITURE GREW STRONG AT 8.1% CAGR FROM FISCAL 2012
TO FISCAL 2021
• HEALTH SPENDING IN PFCE
SOCIAL AND HEALTHCARE RELATED PARAMETERS
INDIA LAGS PEERS IN HEALTHCARE EXPENDITURE
TOTAL HEALTHCARE EXPENDITURE AS % OF GDP (2020)
INDIA SPENDS TOO LITTLE ON HEALTHCARE
CURRENT HEALTHCARE EXPENDITURE (CHE) AS % OF GDP IN INDIA (2010 TO
2020)
PER CAPITA CURRENT EXPENDITURE ON HEALTH IN USD (2020)
OUT-OF-POCKET EXPENDITURE (% OF CURRENT HEALTH EXPENDITURE
2020)
PUBLIC HEALTHCARE EXPENDITURE IS LOW, WITH PRIVATE SECTOR
ACCOUNTING FOR A LION’S SHARE

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GENERAL EXPENDITURE ON HEALTH AS % OF CHE (2020)
HEALTH INFRASTRUCTURE OF INDIA IN DIRE NEED OF IMPROVEMENT
STATE-WISE MACROECONOMIC I NDICATORS
MAHARASHTRA AND GUJARAT ARE TOP TWO STAT ES IN THE COUNTRY IN
TERMS OF GSDP AS OF FISCAL 2021
STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTAN T PRICES AS OF
FISCAL 2021
STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTAN T PRICES AS OF
FISCAL 2022
GUJARAT AND MADHYA PRADESH SAW A LOWER DECLINE COMPARED TO
INDIA GDP IN FISCAL 2021
GSDP GROWTH ACROSS STATES IN FISCAL 2021
GSDP GROWTH ACROSS STATES IN FISCAL 2022
MADHYA PRADESH AND GUJARAT AMONG THE FAS TEST GROWING STATES IN
WEST AND CENTRAL IND IA IN TERMS OF PER CAPITA NET DOMESTIC
PRODUCT
STATE GROSS DOMEST IC PRODUCT FOR SELECT STATES IN RS. BILL ION
GUJARAT AND MADHYA PRADESH HAVE SHOWN THE HIGHEST JUMP IN
HEALTHCARE BUDGET FOR FISCAL 2023 COMPARED TO PREVIOUS YEARS
AMONG THE KEY WEST AND CENTRAL INDIA STATES
DISEASE PROFILE IN INDIA
A REVIEW OF COMMUNICABLE DISEASES IN INDIA
• MORBIDITY REPORTED ON MAJOR COMMUNICABLE DISEASES
• MORTALITY REPORTED ON MAJOR COMMUNICABLE DISEASES
A REVIEW OF NON- COMMUNICABLE DISEASES IN INDIA
DISEASE EPIDEMIOLOGY SHIFTING TOWARDS LIFESTYLE DISEASES
WESTERN STATES OF GOA AND MAHARASHTRA HAVE HIGH PROPORTION OF
NCDS IN THE RANGE OF 60% TO 75%
STATE-WISE PROPORTION OF T OTAL DISEASE BURDEN FROM NCDS IN 2016
NON-COMMUNICABLE DISEASES: A SILENT KILLER
CAUSES OF DEATH IN I NDIA
MADHYA PRADESH RECORDED ONE OF THE HIGHEST NUMBERS OF NCDS IN
2020
STATE-WISE NUMBER OF PERSONS DIAGNOSED WITH NCDS IN 2020
STRUCTURE OF THE HEALTHCARE DELIVERY INDUSTRY IN INDIA
OVERVIEW
CLASSIFICATION OF HOSPITALS
CLASSIFICATION OF HOSPITALS BASED ON SERVICES OFFERED

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• PRIMARY CARE/DISPENSARIES/CLINICS
• SECONDARY CARE
O GENERAL SECONDARY CARE HOSPITALS
O MULTI-SPECIALTY TERTIARY CARE HOSPITALS
• QUATERNARY CARE HOSPITALS
CLASSIFICATION OF HOSPITALS BY FACILITIES/SERVICES OFFERED
CLASSIFICATION BASED ON COMPLEXITY OF AILMENT
INDICATIVE SPLIT OF AILMENTS & MEDICAL TREATMENTS PROVIDED BASIS
VARIOUS CATEGORIES OF HOSPITALS & COMPLEXITIES OF AILMENT
CLASSIFICATION BASED ON OWNERSHIP
HOSPITALS CAN ALSO BE CLASSIFIED BASED ON THEIR OWNERSHIP AND
MANAGEMENT AS FOLLOWS:
EMERGING TECHNOLOGIES IN HEALTHCARE DELI VERY
ROBOTIC SURGERY
ELECTRONIC HEALTH RECORDS
ARTIFICIAL INTELLIGENCE (AI) AND BLOCKCHAIN
RADIOLOGY INFORMATION SYSTEM
CLINICAL DECISION SUPPORT SYSTEM (CDSS)
MOBILE-BASED APPLICATION
TELEMEDICINE
WEARABLES AND SENSORS
PAYMENT MODES IN IND IAN HEALTHCARE
PAYOR MIX (INDIA) 2020
REGULATORY FRAMEWORK FOR HOSPITALS AND HEALTHCARE IN INDIA
GOVERNMENT FRAMEWORK FOR HEALTHCARE DELIVERY
REVENUE AND COST STRUCTURE REVIEW OF HOSPITALS
HOSPITALS DERIVE BULK OF THEIR REVENUE FROM IPD
SURGERIES AND DIAGNOSTICS FETCH BULK OF THE IPD REVENUE
OTHER MONITORABLES T HAT MAY BOOST REVENUE INCLUDE:
AILMENT-WISE LENGTH OF STAY
CAPITAL COSTS
TYPICAL COST STRUCTURE OF HOSPITALS
PLAYERS WITH AVAILABLE LAND BANK IN TOP METRO CITIES HAVE AN
INHERENT ADVANTAGE
ASSESSMENT OF INDIA’S HOSPITAL MARKET
REVIEW AND OUTLOOK
INDIAN HEALTHCARE DELIVERY MARKET POISED FOR ROBUST GROWTH IN
THE MEDIUM TERM

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OVERALL HEALTHCARE DELIVERY MARKET IN INDIA
HEALTHCARE DELIVERY INDUSTRY ESTIMATED T O GROW TO
APPROXIMATELY RS.5.6 TRILLION IN FISCAL 2023
HEALTHCARE DELIVERY INDUSTRY TO GROW 10% TO 12% FROM FISCAL 2022
TO FISCAL 2027
SHARE OF TREATMENTS IN VALUE TERMS (GOVERNMENT HOSPITALS
VERSUS PRIVATE HOSPI TALS/CLINICS)
WESTERN REGION TO WI TNESS STRONG GROWTH IN HEALTHCARE SECTOR
ESTIMATED WESTERN HEALTHCARE DELIVERY MARKET (RS. BILLION)
KEY GROWTH DRIVERS OF HEALTHCARE DELIVERY INDUSTRY
GOVERNMENT POLICIES TO IMPROVE HEALTHCARE COVERAGE
PRADHAN MANTRI JAN AROGYA YOJANA ADDS A DEMAND IMPETUS
WITH LIFE EXPECTANCY IMPROVING AND CHANGI NG DEMOGRAPHIC
PROFILE, HEALTHCARE SERVICES ARE A MUST
LIFE EXPECTANCY (AT BIRTH) AND INFANT MORTALITY RATE: INDIA V.
OTHERS
POPULATION IN 60+ AGE GROUP TO GROW FAST ER
RISING INCOME LEVELS TO MAKE QUALITY HEALTHCARE SERVICES MORE
AFFORDABLE
INCOME DEMOGRAPHICS
INCREASING HEALTH AWARENESS TO BOOST HOSPITALISATION RATE
URBAN POPULATION IN INDIA (% OF TOTAL POPULATION)
NON-COMMUNICABLE DISEASES, A SILENT KILLER
GROWING HEALTH INSURANCE PENETRATION TO PROPEL DEMAND
PERCENTAGE SPLIT OF NUMBER OF PERSONS COVERED UNDER HEALTH
INSURANCE
MAHARASHTRA AND GUJARAT AMONG LEADING ST ATES IN TERMS OF
HEALTH INSURANCE PENETRATION
STATE-WISE PENETRATION AND NUMBER OF PERSONS COVERED UNDER
HEALTH INSURANCE (SELECT STATES) FISCAL 2022
MEDICAL TOURISM IN I NDIA
GROWTH IN MEDICAL TOURISTS*
ABOUT TWO- THIRDS OF MEDICAL TOURI SM DEMAND FROM SOUTH ASIA
BREAK-UP OF MEDICAL TOURISTS* BY MAJOR REGION OF ORIGIN (2019)
BREAK-UP OF MEDICAL TOURISTS* BY MAJOR COUNTRY OF ORIGIN (2019)
COUNTRY-WISE COST OF KEY TREATMENT PROCEDURES (I N US$)
IMPROVED HEALTHCARE SERVICES IN INDIA ADDING TO THE TRUST OF
PATIENTS

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KEY CHALLENGES FOR T HE HEALTHCARE DELIVERY INDUSTRY
HEALTH INFRASTRUCTURE IN DIRE NEED OF IMPROVEMENT
HOSPITAL BED DENSITY: INDIA V. OTHER COUNTRIES
AVAILABILITY OF GOVERNMENT BEDS (PER 10,000 POPULATION) IN I NDIA*
HEALTHCARE FINANCING HAS BEEN A PAIN PO INT
GOVERNMENT PRICE CAPPING OF MEDICAL EQUI PMENT
OUTSTANDING RECEIVABLES AFFECTING FISCAL PROFILE OF HOSPITALS
PAUCITY OF EXPERIENCED SPECIALISED DOCTORS
HEALTHCARE PERSONNEL: INDIA V. OTHER COUNTRIES (AGGREGATE 2012
TO 2020)
KEY ACTIONABLE AREAS
SHORTFALL IN BED CAPACITY: MAJOR OPPORTUNITY FOR HEALTHCARE
DELIVERY PLAYERS
DIVERSIFICATION INTO DIFFERENT FORMAT/AREAS TO INCREASE REACH
AND EFFICIENCY
SINGLE SPECIALITY HEALTHCARE UNITS
DAY-CARE CENTRES
END-OF-LIFE/GERIATRIC CARE CENTRES
HOME HEALTHCARE
INCREASING PENETRATI ON OF HOSPITAL CHAINS IN TIER 2 AND 3 LOCATIONS
ESTABLISHED REGIONAL PRESENCE GIVES PLAYERS AN UPPER HAND
REGIONAL REVENUE MIX OF KEY PLAYERS AS OF FISCAL 2022
SOME OF THE KEY ADVANTAGES OF HAVING REG IONAL PRESENCE ARE AS
FOLLOWS:
OPERATING METRICS OF KEY LISTED PLAYERS:
AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF KEY LISTED PLAYERS
CLOCKED APPROXIMATELY 7.0% CAGR OVER FISCAL 2019 TO FISCAL 2022
AGGREGATE OCCUPANCY RATES AND ALOS OF KEY LISTED PLAYERS
CARDIAC SCIENCES DOMINATES IN TERMS OF SHARE, BUT ONCOLOGY
DRIVES THE HIGHEST GROWTH ACROSS TREATMENT MIX FOR KEY LISTED
PLAYERS
HEALTHCARE INFRASTRUCTURE IN SELECT STAT ES AND KEY MICRO
MARKETS
WEST INDIA STATES OF GUJARAT AND MADHYA PRADESH HAVE BED
DENSITY LOWER THAN T HAT OF NATIONAL AVERAGE
HOSPITALS BED DENSIT Y (BEDS PER 10,000 POPULATION OF THE STA TE)
FISCAL 2022

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MAHARASHTRA HAS THE HIGHEST HOSPITAL BEDS AVAILABILITY IN THE
WESTERN REGION
NUMBER OF HOSPITAL BEDS BY STATE (FISCAL 2022)
SHARE OF PUBLIC HOSPITALS IN INDIA (FISCAL 2022)
ESTIMATED NUMBER OF ICU BEDS BY REGION (FISCAL 2020)
ESTIMATED HOSPITALS BED DENSITY (BEDS PER 10,000 POPULATION) AS OF
DECEMBER 31, 2022
MUMBAI METROPOLITAN REGION (MMR) MICRO MARKET HAS 33.0 BEDS PER
10,000 PEOPLE AS OF DECEMBER 2022
KALYAN-DOMBIVLI MICRO MARKET HAS APPROXIMATELY 10 BEDS PER
10,000 PEOPLE AS OF DECEMBER 2022
PUNE METROPOLITAN REGION MICRO MARKET HAS 30.0 BEDS PER 10,000
PEOPLE AS OF DECEMBER 2022
INDORE MICRO MARKET
COMPETITIVE MAPPING OF KEY PLAYERS IN THE INDIAN HEALTHCARE
DELIVERY MARKET
COMPARATIVE ANALYSIS OF PLAYERS IN THE HOSPITAL SECTOR
KEY SPECIALTIES UNDERTAKEN BY MAJOR PLAYERS
MODE OF OPERATION OF KEY PLAYERS AS OF FI SCAL 2022
ANALYSIS OF HOSPITALS AND BEDS FOR SELECT PLAYERS
PERCENTAGE OF TOTAL HOSPITALS WITH 300+ BEDS IN TERMS OF TOTAL
BED CAPACITY (ESTIMATED)
KEY OPERATIONAL PARAMETERS OF MAJOR HOSPITAL PLAYERS
TOTAL NUMBER OF HOSPITALS (DECEMBER 2022)
TOTAL BED CAPACITY (DECEMBER 2022)
ESTIMATED NUMBER OF HOSPITALS IN WESTERN REGION (DECEMBER 2022)
ESTIMATED TOTAL BED CAPACITY IN WESTERN REGION (DECEMBER 2022)
TOTAL NUMBER OF HOSPITAL BEDS PER HOSPIT AL/AVERAGE SIZE OF
HOSPITAL (DECEMBER
OCCUPANCY RATE (OR) AND ALOS FOR FISCAL 2022
AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF MAJOR HOSPITAL
PLAYERS FOR FISCAL 2022 (RS. IN ‘000)
PROPORTION OF BED CAPACITY IN KEY CITIES OF KEY LISTED PLAYERS
(FISCAL 2022)
SELECT OPERATIONAL PARAMETERS OF KEY LISTED PLAYERS (FISCAL 2022)
ADDITIONAL SELECT FI NANCIAL PARAMETERS OF KEY LISTED PLAYERS
(FISCAL 2022)
KEY FINANCIAL PARAMETERS OF MAJOR HOSPITAL PLAYERS

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KEY FINANCIAL PARAMETERS (FISCAL 2022)
KEY FINANCIAL RATIOS FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)
COST STRUCTURE OF MAJOR HOSPITAL PLAYERS AS A PERCENTAGE OF
OPERATING INCOME (OI )–FISCAL 2022
GROSS BLOCK PER BED AT THE END OF FISCAL 2022 (RS. MILLION)
PLANNED EXPANSION OF KEY PLAYERS
GEARING AND INTEREST COVERAGE FOR MAJOR HOSPITAL PLAYERS (FISCAL
2022)
ROCE AND OPERATING MARGIN FOR MAJOR HOSPITAL PLAYERS (FISCAL
2022)
SERVICES
BRIEF DESCRIPTION OF SOME COMMON HOSPITAL EQUIPMENTS
1. DRESSING DRUM
2. SURGICAL TRAY
3. CATHETHER TRAY
4. SYRINGE CASE
5. ANIMA POT
6. BOWEL
7. BED POT (LATRINE)
8. URINAL POT
9. KIDNEY TRAY
10. SPIT-ON
11. ELECTRICAL STERILIZER
BUILDING CONSTRUCTION & FURNISHING OF HOSPITAL
THE OTHER DEPARTMENT IN A HOSPITAL ARE AS FOLLOWS:
1. CARDIOLOGY
2. E.N.T.
3. MATERNITY
4. EYE SECTION
5. CHILDREN WARD
6. LABORATORY
7. X-RAY ROOM & ECG CLINI C
8. PHYSICIAN
GENERAL HEALTH AMENI TIES
DRUG SITUATIONS
LISTED BELOW ARE THE DESIRED FEATURES OF AUTOMATED BIOCHEMICA L
ANALYZERS
MODERN MEDICAL EQUIPMENT

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COMPUTER TOPOGRAPHY
ULTRASOUND
CATHETERS IN INTERVANTIONAL PROCEDURES ARE MAINLY USED FOR:
CONSUMABLE STORES
HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
MACHINERY & EQUIPMENT SUPPLIERS
X-RAY ACCESSORIES
AIR CONDITIONING & REFRIGERATION UNITS
IMPORTED PLANT & MACHINERY SUPPLIERS
PROPOSED MINIMUM STANDARDS
LIST OF CONSULTANT FOR SETTING UP HOSPTAL
LIST OF NABET ACCREDITED HOSPITAL & HEALTHCARE CONSULTANT (NABH
STANDARD)
HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS
PROPOSED MINIMUM STANDARDS FOR PRIVATE HOSPITAL
BASIC FUNCTIONS PROVIDED BY A HOSPITAL
EMERGENCY FIRST AID:
GENERAL MEDICINE:
MEDICAL PERSONNEL
GENERAL SURGERY :
MATERNITY FACILITIES:
PATHOLOGY:
RADIOLOGY:
HEALTH EDUCATION:
AMBULANCE SERVICES:
MEDICAL RECORDS:
HUMAN RESOURCE REQUI REMENT
QUALIFICATIONS
AVAILABILITY OF PERSONNEL:
MINIMUM REQUIREMENT OF PERSONNEL:
DUTY MEDICAL OFFICER
STAFF:
NURSING AIDS:
PARAMEDICAL STAFF :
ENGINEERING STAFF
ADMINISTRATIVE AND ANCILLARY STAFF
OPERATION THEATRE

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INSTRUMENTS FOR GENERAL SURGERY & (MAT ERNITY)
OBSTETRICS/GYNAECOLOGY
OPERATION THEATRE
EQUIPMENT FOR SURGERY AND OBSTETRICS/GYN
EQUIPMENT FOR SERVICE ZONE
LAUNDRY
GENERATOR
MINIMAL FUNCTIONAL AND SPACE REQUIREMENT S
SPACE REQUIREMENTS HAVE BEEN DIVIDED INT O FOLLOWING CATEGORIES:
-ENTRANCE ZONE
AMBULATORY ZONE
DIAGNOSTIC ZONE
CRITICAL ZONE
OPERATING SUITE
MINIMUM SPACE REQUIREMENTS
A. PROTECTIVE ZONE
B. CLEAN ZONE
C. ASEPTIC ZONE
INTERMEDIATE ZONE
INPATIENTS NURSING UNITS
SERVICE ZONE
BUILDING ENGINEERING ENVIRONMENTAL STANDARDS
CATION
CEILINGS
FLOOR HEIGHT
FLOORS AND WALLS
DOORS:
WINDOWS
CORRIDOR
WATER SUPPLY, PLUMBI NG AND OTHER PIPING SYSTEMS
FOR MORE THAN 750 BEDS
FOR LESS THAN 100 BEDS
OXYGEN CYLINDERS
ELECTRICAL STANDARDS
PANEL BOARDS
ACCESS ROUTES TO VARIOUS FACILITIES OF THE NURSING HOME:
COMMUNICATION SYSTEM
FIRE-FIGHTING SYSTEM

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VENTILATION REQUIREMENTS FOR AREAS AFFECTING PATIENT CARE IN
NURSING HOMES
REQUIREMENTS FOR SANITARY FITMENTS IN NURSING HOMES FOR PATI ENTS
INPATIENT WARDS AND NURSING UNITS
OUTPATIENT BLOCK
THE RADIOLOGY DEPARTMENT MUST HAVE FOLLOWING SPECIAL TOILET
FACILITIES IN CASE IT CARRIES OUT PROCEDURES LIKE IVP.
PROJECT PLANT LOCATI ON FACTORS
PRIMARY FACTORS
1. RAW-MATERIAL SUPPLY:
2. MARKETS:
3. POWER AND FUEL SUPPLY:
4. WATER SUPPLY:
5. CLIMATE:
SPECIFIC FACTORS
6. TRANSPORTATION:
7. WASTE DISPOSAL:
8. LABOR:
9. REGULATORY LAWS:
10. TAXES:
11. SITE CHARACTERISTICS:
12. COMMUNITY FACTORS:
13. VULNERABILITY TO WARTIME ATTACK:
14. FLOOD AND FIRE CONTROL:
EXPLANATION OF TERMS USED IN THE PROJECT REPORT
1. DEPRECIATION:
2. FIXED ASSETS:
3. WORKING CAPITAL:
4. BREAK-EVEN POINT:
5. OTHER FIXED EXPENSES:
6. MARGIN MONEY:
7. TERM LOANS:
8. TOTAL LOAD:
9. LAND AREA/MAN POWER RATIO:
PLANNING OF EACH FLOORS ARE AS FOLLOWS
CONSTRUCTION DETAILS:
THE TYPICAL FLOOR PLAN IS MENTIONED BELOW:
I. MEDICAL COLLEGE HOSPITAL FACILITY:

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DETAILS OF PLANNED CONSTRUCTION:
FLOOR PLAN IMAGES:
PHOTO GALLERY
MACHINERY & EQUIPMENT’S:
LABORATORY & EXPERIMENT:
EMERGENCY UNIT:
MATERNAL & CHILD HEALTH:
GROUND FLOOR
FIRST FLOOR
SECOND FLOOR
THIRD FLOOR
FOURTH FLOOR
FIFTH FLOOR
SIXTH FLOOR
SEVENTH FLOOR
ENVIRONMENTAL MANAGEMENT PLAN
AIR ENVIRONMENT
NOISE ENVIORNMENT
SOLID WASTE MANAGEMENT
OPERATION PHASE
WATER MANAGEMENT (SOURCE & SUPPLY OF WAT ER)
SEWERAGE
SCHEME OF SEWAGE TREATMENT PLANT:
TREATMENT PROCESS:
THE PROCESS FOR SEWAGE TREATMENT PLANT BASED ON MBBR
TECHNOLOGY
SCHEMATIC REPRESENTA TION OF STP BASED ON MBBR TECHNOLOGY
BENEFITS OF USING MBBR TECHNOLOGY
PROCESS FLOW DIAGRAM FOR ETP
ETP DESIGN
TREATED EFFLUENT CHARACTERISTICS
WATER CONSERVATION & AUGMENTATION
RAINWATER HARVESTING
TABLE: RAINWATER HARVESTING CALCULATIONS
BLOCK DIAGRAM FOR PROPOSED RAIN WATER HARVESTING / AQUIFER
RECHARGING SYSTEM
SCHEMATIC REPRESENTA TION OF THE RAINWATER HARVESTING SYSTEM
COMPOST FORMATION POTENTIAL OF THE PROJECT

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COMPOST GENERATION POTENTIAL OF THE PROJECT (CHEN, 2016)
TENTATIVE DETAILS OF ORGANIC WASTE CONVER TOR:
STANDARD OPERATING PROCEDURE OF ORGANIC WASTE CONVERTER:
SEGREGATION OF BIOMEDICAL WASTE AND ITS STORAGE:-
BIOMEDICAL WASTE CAT EGORIZATION
BMW WILL BE SEGREGATED AND COLLECTED AND THEN WILL BE HANDED
OVER TO A UPPCB APPROVED BMW VENDOR
AIR POLLUTION CONTROL:
STACK HEIGHT CALCULATIONS
LANDSCAPING & HORTICULTURE
SHRUBS/ HERBS TO BE PLANTED
PROJECT LOCATION
HISTORY
LIST OF HEALTH INSTITUTIONS
DEMOGRAPHY
ESTIMATED POPULATION IN 2024
POPULATION AS PER 2011 CENSUS
BARPETA POPULATION
IMPLEMENTATION SCHEDULE
LIST PLANT & MACHINERY
MAJOR LIST OF EQUIPMENTS
DEPARTMENT OF NEPHROLOGY
MAJOR EQUIPMENTS
DIALYSIS MACHINE
MICROSCOPE
DEPARTMENT OF CARDIOLOGY
MAJOR EQUIPMENTS/INSTRUMEN TS
ECHO CARDIOGRAPHY MACHINES
TMT WIPRO GE MACHINE
TWO FLAT PANEL CATH LABS
ST. JUDE EP SYSTEM
HOLTER MONITOR – ECG
AMBULATORY BP
CX 50
TILT TABLE
DEPARTMENT OF UROLOGY
MAJOR EQUIPMENTS
DA VINCI ROBOT

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MODULAR OPERATION T HEATRES
60 W QUANTA HOLMIUM LASER
ALLENGERS C ARM
DORNIER COMPACT SIGMA LITHOTRIPSY MACHINE
MEDISON ULTRASOUND MACHINE
RIGISCAN PLUS
MMS URODYANAMICS MACHINE
ENDO UROLOGY INSTRUMENTS
100 WATT HOLMIUM LASER
A MOBILE C-ARM IS A MEDICAL IMAGING DEVICE
DEPARTMENT OF ORTHOPEDICS
MAJOR EQUIPMENTS
ARTHROPLASTY
ARTHROSCOPY SET
INTERLOCK NAIL
ARTHROSCOPY TROLLEY
DEPARTMENT OF NEUROSURGERY
MAJOR EQUIPMENTS
MEDTRONIC 58 NAVIGAT ION SYSTEM (FULLY LOADED CRENIAL AND SANAL
OPTICAL AND ELECTROMAGNETIC SYSTEM)
DEDICATED CUSA (CAUI TRON ULTRASONIC SURG ICAL ASPIRATDR)
MEDTRONICS HIGH SPEED DRILL SYSTEM
WELL EQUIPPED OPERAT ION THEATER WITH INT EGRATED WORKSTATION
(MICROSCOPE,ENDOSCOPE AND NAVIGATION SYSTEM)
DEDICATION WELL EQUI PPED NEUROSURGICAL ICU
MICROSCOPE:- FIRST FULLY LOADED ROBOTIC 3D MICROSCOPE WITH 30
EXOSCOPE AND ENDOSCOPE
FULLY EQUIPPED OPERATION THEATER
SPECIFICATIONS OF STANDARD LIST OF MEDICAL EQUIPMENT
WHAT LICENSE REQUIRED TO OPEN A HOSPITAL AND THEIR PROCEDURE
NECESSARY LICENSES REQUIRED OPENING A HOSPITAL IN I NDIA
REGISTRATION OF HOSPITAL
• LAND AND CONSTRUCT ION
• ELECTRICITY AND WATER
• SEWAGE
• BIOMEDICAL WASTE
• FIRE AND HEALTH LICENSE
• REGULATIONS RELATI NG TO EMPLOYMENT OF STAFF

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• SIGN BOARDS
• INFORMATION THAT REQUI RES IS DISPLAYED AT THE HOSPITAL ARE;
• FSSAI LICENSE FOR OPERATING A KITCHEN
• PERMIT TO STORE LPG CYLINDER
• PHARMACY REGISTRAT ION FOR MEDICAL SHOP
• TRADEMARK REGISTRATION
• VEHICLE REGISTRATION FOR AMBULANCES
• ARMS LICENSES UNDER ARMS ACT 1959
• WASTE DISPOSAL
PLANNING THE HOSPITAL INFRASTRUCTURE
ONE MUST TAKE CARE OF THESE THINGS;
THE OTHER IMPORTANT LICENSE REQUIRED IS:
B.I.S SPECIFICATION
LICENSES REQUIRED FOR HOSPITAL

APPENDIX – A:

01. PLANT ECONOMICS
02. LAND & BUILDING
03. PLANT AND MACHINERY
04. OTHER FIXED ASSESTS
05. FIXED CAPITAL
06. RAW MATERIAL
07. SALARY AND WAGES
08. UTILITIES AND OVERHEADS
09. TOTAL WORKING CAPITAL
10. TOTAL CAPITAL INVESTMENT
11. COST OF PRODUCTION
12. TURN OVER/ANNUM
13. BREAK EVEN POINT
14. RESOURCES FOR FINANCE
15. INSTALMENT PAYABLE IN 5 YEARS
16. DEPRECIATION CHART FOR 5 YEARS
17. PROFIT ANALYSIS FOR 5 YEARS
18. PROJECTED BALANCE SHEET FOR (5 YEARS)


COST ESTIMATION

17. www.eiribooksandprojectreports.com 17

Plant Capacity 750 Nos/Day

Land & Building (91 Acres) Rs. 810.97 Cr

Plant & Machinery Rs. 700.00 Cr

Working Capital for 2 Months Rs. 15.79 Cr

Total Capital Investment Rs. 1602.94 Cr

Rate of Return 4%

Break Even Point 87%