Post on 02-Oct-2014
description
SWAMI VIVEKANANDA MEDICAL MISSIONATTAPPADY
PROJECT PROPOSAL
FOR
CONSTRUCTION OF FIRST FLOOROF HOSPITAL BUILDING
BY
SWAMI VIVEKANANDA MEDICAL MISSIONATTAPPADY
REG.NO.55/IV/2004Agali PO, Palakkad District 678581
Ph: 04924 254107Email : svmmagali@gmail.com
ORGANIZATIONAL PROFILE
Name of Organization : Swami Vivekananda Medical Mission
Address : Agali P.O.,Palakkad district,Kerala,678581
Phone : 04924 254107
Email : svmmagali@gmail.com
Registered as : Trust
Registration number : 55/IV/2004
Year of establishment : 2004
Name of Head of Organization : V.P.S.Menon President
No. of trust board members : 18
Exemption under Sec 80G : Yes
Person to contact : Dr.NarayananV Medical officer
Phone : 9495501504
Email : narayanagali@rediff.c om
Geographical area of operation : Attappady block in Mannarkad tehsil of Palakkad district,Kerala
Population served : 66,171 (2001 Census)
Focus of Activities : Health, Tribal welfare, Education
Staff strength : 30
Activities : 1. Tribal Hospital 2. Mobile medical unit 3. Eye camps 4. Village Health Workers 5. Self Help Groups 6. Community Mental Health Program 7. Malleeswara Vidyanikethan School
PROJECT PROFILE
Name of Project : Swami Vivekananda Medical Mission Hospital
Objective : To Function two wards, Labour room &
Operation Theatre in the first floor of hospital
Activities : 1.Construction of first floor
2. Purchase of Furniture &Equipments
3. Appointment of staff
Budget estimate
Construction costs : Rs.4300000
Purchase of Furniture and Equipments : Rs.2144100
Break up of each portion Construction Furniture & Equipments Total
Operation theatre Rs.800000 Rs.921500 Rs.1721500
Labour room &New Born Rs.500000 Rs.469300 Rs.1228800
Women & Children’s Ward Rs.980000 Rs.141500 Rs.1121500
Maternity Ward Rs.950000 Rs.145000 Rs.1095000
Staff Required Number
Consultant Obstetrician (Fulltime) 1 Consultant Surgeon (Visiting) 1 Consultant Anaesthetist (Visiting) 1 Duty Doctor(Full time) 1 Theatre Nurse 1 Staff Nurse 3 Nursing assistant 4 Sanitary worker 1 Theatre assistant 1
SECTION 1
IDENTIFYING THE NEED
ABOUT ATTAPPADY
Attappady is a backward revenue block of Palakkad district of Kerala state. It has an
area of 745 sq.km and encompasses three panchayats. It has a population of
66,171(2001 Census).Tribes form almost half of the population (27,121) and are
represented in three sects called Irula, Muduga and Kurumba. They live in hamlets in
and around the hills of Attappady. There are 188 such tribal hamlets.
The non-tribal population comprises of settlers from Kerala and Tamilnadu. Both
the tribes and non tribes pursue agriculture as their means of living. They cultivate a
wide variety of crops from spices to pulses and vegetables. The earnings from
agriculture are inconsistent, due to the vagaries of nature like drought, flash floods,
heavy winds and devastation by wild animals.
The tribes engage in paid labour because a bulk of their land holdings is not
cultivable. Those living in the remote villages get very less work (about 10 man days per
month) compared to those near the central areas. Government schemes like NREGA a nd
a government project called Attappady Wasteland Comprehensive Environment
Conservation Project implemented by Attappady Hills Area Development Society
(AHADS) have marginally improved their employment opportunities and earnings.
The traditional tribal life is rich with a strong community bonding, family
networks and sense of social responsibility. Dance, music and festivals are inherent
components of tribal culture here. The interaction with the modern world has led to
erosion of many of these virtues which have exposed the tribes to many hazards
including mental illness.
Though Kerala has a high literacy and high standards of public health, people of
Attappady, especially the tribal population, remain very backward on both counts. The
literacy rate is less than 50% and school dropout rates are high. Literacy and education
among girls is also very low.
HEALTH SCENARIO IN ATTAPPADY
The health indicators of Attappady remain backward compared to state and national averages. The maternal mortality rate (7/1000 compared to state 1.3/1000) and infant mortality rates (66/1000 compared to state 14.1/1000) are very high. Institutional deliveries have remained low resulting in poor maternal and neonatal outcomes. High incidence of severe maternal anaemia, obstetric complications, deliveries by untrained persons all contribute heavily to this situation.
The poor living conditions, extremes of weather, poverty, lack of sanitation and poor awareness about illnesses, together present a bleak prospect for the health of the people of Attappady. Anaemia, malnutrition, deficiency disorders, infections like tuberculosis, typhoid fever and diarrhoeal diseases are rampant in this area.
Tribal children are especially vulnerable to respiratory infec tions and diarrhoeal diseases because of low birth weight and poor weight gain during infancy. Deficiency disorders like night blindness, rickets, phrynoderma etc. are commonly seen. About 30% of the tribal population is affected by a genetic disorder cal led sickle cell anaemia, which has a devastating effect on their health and quality of life.
Infertility is a very common problem in the native population. Rheumatic heart disease has high incidence because of crowded living, poor prophylaxis and lack of follow up with specialty care.
Mental illnesses are very common among the tribal population. Suicides occur very frequently among the tribes. A Comprehensive Mental Health Survey is now being conducted by the mission to find the actual number of mentally ill persons in the community.
Existing Health Facilities in the area
There are four Primary Health Centres and a Tribal Specialty Hospital run by the government, besides four private hospitals. Shortage of doctors and medicines affect the functioning of govt. hospitals, while the high costs of treatment at the private hospitals are not affordable to the poor tribes and other backward sections.
SWAMI VIVEKANANDA MEDICAL MISSION ATTAPPADY
Swami Vivekananda Medical Mission has been engaged in serving the people of
Attappady, in Palakkad district for the last six years. The effort of the Mission has been to provide succour to the downtrodden tribes and other backward people of this area, protecting them from exploitation by vested interests a t the same time. The work of the mission is aimed at total development of the community on all spheres of life.
This is a registered charitable trust working with a non-profit motive for the betterment of the tribes and other backward people in Attappady. The work of the Mission was started in November 2002.The Trust was formally registered in September 2004 involving prominent citizens from the area who supported the noble cause.
AIMS AND OBJECTIVES
1. To provide basic medical care to the general public wit hout a motive of profit. 2. To conduct dispensaries, medical camps and organize health schemes for the poor. 3. To plan and implement schemes for improving public health. 4. To conduct studies and research on the health problems of the tribes of Attappady,
especially on diseases like sickle cell anaemia, psychosis etc. and find solutions. 5. To help and promote indigenous tribal medicine. 6. To promote awareness about medicinal plants and encourage their cultivation
ACTIVITIES
1. Hospital: This hospital is in Agali, which is the block headquarters of Attappady. The hospital offers the following services.
? OP Department
? Inpatient Ward with 10 beds
? 24 hours Casualty services
? Antenatal Care
? Immunization
? Laboratory
? ECG
? Ultrasound scanning
? Daily Paediatric OP
? Specialty clinics: Monthly visits by specialists in Obstetrics and Gynaecology, Internal Medicine and Dermatology.
The hospital has become a referral centre for other hospitals in the area , especially for childhood illnesses. Medicines are given free to tribes and at a subsidized rate to other backward people. Patients reach the hospital from all over Attappady. An average of 150 patients visits the OP every day and more than half of the patients are tribes. There has been a progressive increase in the number of patients attending the hospital OPD over the years.
Table 1. Patients attending OPD at our hospital
Table 2. Patients admitted to the hospital
Every month medicines amounting to Rs.75,000 are provided free to poor patients. All in-patients are also given free food daily. Total number of staff in the hospital is 20.
2 Mobile medical unit: This comprises of a doctor, nurse and paramedical staff. The unit visits tribal hamlets periodically in a vehicle and conducts medical camps. Medicines are given free of cost to tribes. So far the unit has conducted over 300 camps including specialty camps.
3 Sub-center at Paloor: A monthly sub-center clinic is being held at Paloor hamlet in Pudur panchayath, which is one of the most remote and backward areas of Attappady. It benefits tribes and other people from about 15 hamlets around Paloor. M edicines are given free of cost to all patients.
4 Village Health Workers: Voluntary workers from tribal villages are trained to give first aid, organize medical camps, conduct health education etc. and appointed as village health workers. They are given first aid kits. VHW have been appointed in 40 hamlets now.
5 Community Mental Health Project: This project was started in September 2008 in collaboration with the Department of Psychiatry, Medical College Thrissur. The Project was formally inaugurated on 23 rd November 2009 by renowned poet and social activist P.Sugathakumari. Mentally ill patients are identified and given free treatment from the mission hospital under the project. They are followed up by a network of social workers and motivated to continue tre atment so that they remain symptom free. A Comprehensive Mental Health Survey of Attappady was inaugurated on 15 th January by District Medical Officer of Palakkad Dr.P.R.Karunakaran. About 50 patients are on regular treatment and follow up in this programm e.
6 Community Maternal and Child Health Programme: This programme was started in September 2009. High risk pregnant mothers and under five children needing special care are identified by village health workers and social workers of the mission and brought for treatment at the hospital. They are evaluated by specialists and gi ven expert care. Maternal and Child health Camps are held every month at the Hospital which are attended by an Internal Medicine specialist, a Pediatrician and a Gynaecologist.
7 Self Help Groups: Rural women are motivated and guided to form self help group s (SHG) and helped to generate income and employment in an effort to empower them.
8 Eye Camps: In association with Ahalia Eye Foundation, Palakkad and Sankara Eye Centre, Coimbatore, periodic eye camps are being organized and free eye check - up and treatment are being given. So far more than 300 persons have been restored eye -sight following cataract surgery.
9 Ambulance Service: There are two ambulances in the hospital which are used to take needy patients requiring expert care to District hospital and Medic al College Hospital free of cost.
10 Ayurveda Clinic: An Ayurveda Clinic is conducted every Saturday at the hospital in collaboration with Arya Vaidya Pharmacy Coimbatore. Medicines are given free to tribes and poor patients.
11 Malleeswara Vidyanikethan : This school situated at Nellippathy, 2kms from Agali is
now 19 years old. It was being managed by Navothana Parishad , Palakkad till March
2011.Now the management is supervised by Swami Vivekananda Medical Mission
trust in Agali. It is affiliated to Bharatheeya Vidyanikethan, Palakkad and NIOS, New
Delhi. There are 110 students at present from Arun (LKG) to 4 th standard. The
instruction is in English medium. The school building has 6 classrooms and office
room, kitchen and playground located in a 2.75 acre plot. About 40% students belong
to the Scheduled tribes and are given free education. The school has been aiming to
provide quality education to the tribal and rural students based on Bharatheeya
culture and values.
MEDICAL TEAM
Dr.Narayanan MBBS DCH Chief Medical Officer &Pediatrician
Dr.Sampath Kumar MBBS Resident Medical Officer
Visiting Consultants
Dr.N.Lalitha MBBS MD(O&G) Obstetrician & Gynaecologist
Dr.Suganthi Natarajan MD(O&G) Obstetrician & Gynaecologist
Dr.P.Raj esh MBBS DCH Pediatrician
Dr.P.Raman MBBS MD, DV Dermatologist
Dr.Srikant S BDS Dental Surgeon
Dr.Chithra Venkiteswaran MBBS MD Psychiatrist
Dr.Karthikeyan MBBS MD Radiologist
JUSTIFICATION FOR CONSTRUCTION OF MATERNITY WARD, WOMEN & CHILDREN’S WARD, OPERATION THEATRE AND LABOUR ROOM
A large number of patients coming to the hospital are referred from other hospitals in
the area including Government hospitals. Hence the hospital has been functioning as a
Secondary level care centre dealing with high risk cases of all varieties like sickle cell anemia,
viral hepatitis, renal failure, dengue fever etc., because of the remoteness of the area and long
distance to the district headquarters. This is more so in the case of poor tribal patients who are
reluctant to go to distant places because of poverty and ignorance .
The hospital has been experiencing a steady increase in the number of Outpatients and
Inpatients, especially tribes, ever since its inception. The present inpatient ward with 10 beds is
not able to meet the demand of the large number of patients who are in need of treatment.
There is no separate women and children’s ward to cater to their needs .
Maternal and Child health services form the backbone of the health delivery system in any region. In the case of Attappady, the situation is very bad due to the high maternal and infant mortality rates. There is a large percentage of high risk cases needin g expert care both among the pregnant mothers and the under five children. The maternal mortality rate (7/1000 compared to state 1.3/1000) and infant mortality rates (66/1000 compared to state 14.1/1000) are very high. Institutional deliveries have remained low resulting in poor maternal and neonatal outcomes. High incidence of severe maternal anaemia, obstetric complications, deliveries by untrained persons all contribute heavily to this situation. A lot needs to be done to ensure the good health of women and children of this region.
Swami Vivekananda Medical Mission has been working in the field of Maternal and Child
health for the last several years. We have been conducting a Community Maternal and Child
Health Programme since September 2009. The aim of the project is to reduce maternal
mortality and infant mortality due to maternal diseases like Anemia, Hypertension, Diabetes,
ensure foetal well being, promotion of health of under five children by better feeding practices,
immunization and early treatment of infections. Early cancer detection by screening and
evaluation of positive cases is a very important component of the programme. The key to the
programme is the identification of high risk cases by Village Health Workers and other social
workers at the community level and referral to the base hospital. At the hospital, evaluation of
High risk cases and treatment by a team of experts ensures safe delivery and efficient care of
newborn and infant.
There is an urgent need for a labour room and an operatio n theatre at the hospital as part of
the Maternal and Child care programme, in order to provide facilities for safe delivery and
Caesarean section.
The mission plans to construct a Women’s and Children’s ward, a maternity ward, a labour
room and operation theatre along with the associated amenities on the first floor of the
existing hospital building. A detailed building plan has been prepared and estimated cost of
construction for each part of the construction has been worked out. Approval for building
construction has been obtained from the local authority.
SECTION 2
ESTIMATE OF CONSTRUCTION COSTS AND
PURCHASE OF FURNITURES & EQUIPMENTS
DETAILED ESTIMATE FOR FIRST FLOOR BUILDING OF SWAMI VIVEKANANDA MEDICAL MISSION HOSPITAL AT AGALI
Height/
Specification No Length Breadth Depth Quantity Rate Unit Amount
Reinforced cement concrete 1:11/2:3 , using 20mm nominal size
aggregate including all form works, watering, curing etc.
complete but excluding cost of reinforcement , for column
28 0.40 0.23 3.15 8.11 m3
12 0.23 0.23 3.15 2.00 m3
Total 10.11 m3 115.00 10 dm3 116311.23
Reinforced cement concrete
1:11/2:3 , using 20mm nominal size aggregate including all form
works, watering, curing etc.
complete but excluding cost of reinforcement , for beam
4 23.93 0.23 0.35 7.71 m3
1 6.23 0.23 0.35 0.50 m3
1 6.54 0.23 0.35 0.53 m3
1 11.16 0.23 0.35 0.90 m3
8 3.60 0.23 0.35 2.32 m3
4 1.89 0.70 0.35 1.85 m3
15 3.64 0.23 0.35 4.40 m3
2 1.52 0.23 0.35 0.24 m3
2 3.62 0.23 0.35 0.58 m3
2 5.39 0.23 0.35 0.87 m3 Total 19.89 m3
114.00 10 dm3 226780.83
3 Reinforced cement concrete
1:11/2:3 , using 20mm nominal size aggregate including all form
works, watering, curing etc. complete but excluding cost of
reinforcement , for staircase
2 4.03 1.71 0.10 1.38 m3
1 3.61 1.68 0.10 0.61 m3
24 1.71 1/2x0.30x0.15 0.92 m3
1 3.41 0.61 0.10 0.21 m3
Sub Total 3.11 m3 100.00 10 dm3 31144.40
4 Reinforced cement concrete 1:11/2:3 , using 20mm nominal size
aggregate including all form works, watering, curing etc.
complete but excluding cost of reinforcement , for roofslab
1 24.13 12.06 0.12 34.92 m3
1 6.43 3.88 0.12 2.99 m3
1 6.74 3.880 0.12 3.14 m3
Total 41.05 m3 100.00 10 dm3 410528.88
5 Reinforced cement concrete
1:11/2:3 , using 20mm nominal size aggregate including all form
works, watering, curing etc. complete but excluding cost of
reinforcement , for sunshade
2 24.53 1.00 0.10 4.91 m3
2 16.34 1.00 0.10 3.27 m3
2 3.88 1.00 0.10 0.78 m3
Total 8.95 m3 100.00 10 dm3 89500.00
6 Reinforced cement concrete
1:11/2:3 , using 20mm nominal size aggregate
including all form works, watering, curing etc.
complete but excluding cost of reinforcement , for lintel
4 23.93 0.23 0.15 3.30 m3
4 15.28 0.23 0.15 2.11 m3
3 2.84 0.23 0.15 0.29 m3
2 5.40 0.23 0.15 0.37 m3
1 5.70 0.23 0.15 0.20 m3
1 6.00 0.23 0.15 0.21 m3
1 3.18 0.12 0.15 0.05 m3
1 3.89 0.12 0.15 0.07 m3
2 1.80 0.12 0.15 0.06 m3
1 3.60 0.12 0.15 0.06 m3
9 2.30 0.12 0.15 0.37 m3
4 2.20 0.12 0.15 0.16 m3
Total 7.27 m3 101.00 10 dm3 73393.11
7 Reinforced cement concrete
1:2:4 , using 20mm nominal size aggregate including all
form works, watering, curing etc. complete but excluding
cost of reinforcement , for slab
2 3.60 0.83 0.05 0.30 m3
4 2.00 0.83 0.05 0.33 m3
1 2.86 0.83 0.05 0.12 m3
1 1.23 0.63 0.05 0.04 m3
Total 0.79 m3 150.00 10 dm3 11823.53
8 Reinforcement for RCC work
bent, tied and placed in position (plain grill requiring
bending cold) using Tore Steel including cost and
conveyance of all materials labour charges etc. complete.
1 ##### kg 5400.00 1 Qtl 189000.00
9 Brick work in CM 1:6 with
country burnt briks (nominal size 22.9cmX11.2cmX7.0cm)
for foundation and basement
Partition Wall 4 23.93 0.23 3.25 71.55 m3
4 15.28 0.23 3.25 45.69 m3
3 2.84 0.23 3.25 6.37 m3
2 5.40 0.23 3.25 8.07 m3
1 5.70 0.23 3.25 4.26 m3
1 6.00 0.23 3.25 4.49 m3
1 3.18 0.12 2.20 0.80 m3
1 3.89 0.12 2.20 1.03 m3
2 1.80 0.12 2.20 0.95 m3
1 3.60 0.12 2.20 0.95 m3
9 2.30 0.12 2.20 5.46 m3
4 2.20 0.12 2.20 2.32 m3
Parapet 2 24.00 0.12 0.80 4.42 m3
2 15.84 0.12 0.80 2.91 m3
2 3.88 0.12 0.80 0.71 m3
Total 159.99 m3
Deduction
Door D1 10 1.00 0.23 2.10 4.83 m3
Door D2 16 0.75 0.23 2.10 5.80 m3
Window W4 7 2.00 0.23 1.50 4.83 m3
Window W2 9
1.00
0.23
1.50
3.11
m3
Ventilator V
13
0.60
0.23
0.45
0.81
m3
Opening O1
2
1.50
0.23
2.10
1.45
m3
Opening O2
2
1.20
0.23
2.10
1.16
m3
Opening Staircase
1
3.37
0.23
2.10
1.63
m3
grill
1
1.89
0.23
2.10
0.91
m3
coloums
24
0.23
0.40
3.15
6.96
m3
coloums
8
0.23
0.23
3.15
1.33
m3
Total
32.81
m3
Net quantity
127.18
m3 3500.00
1
m3
445146.70
10 Anjili wood planed framed& shutter work for door, windows
and ventillators including cost and
conveyance of all materials, labour charges etc. complete.
Door D1 10 10 Nos 6000 1 No 60000.00
Door D2
16
16 Nos
5000
1
No
80000.00
Window W4
7
7
Nos
3000
1
No
21000.00
Window W2
9
9
Nos
2000
1
No
18000.00
Ventilator V
13
13
Nos
1000
1
No
13000.00
11 Roof plastering with CM 1:3, 12 mm thick including cost and
conveyance of all materials labour charges etc. for roof slab (inside &
out side)
690.00
m2
1600.00
10
m2
110400.00
12 Plastering with CM 1:4, 12 mm thick one coat including cost and
conveyance of all materials labour charges etc. (inside & out side)
##### m2 1550.00 10 m2 170500.00
13 Flooring with Ceramic floor tiles ISO Ist Quality 30cmsx30cms size over cment mortar 1:3 12mm thick and pointing with coloured cement, cleaning the surface, curing, etc., complete.
Ward
1
5.70
6.79
38.70
m2
Ward
1
6.00
6.79
40.74
m2
Changing room& operation theatre
2
3.60
5.33
38.38
m2
Stair room
24
1.68
0.45
18.14
m2
Landing
1
3.37
1.5
5.06
m2
Passage &Toilets
1
5.70
2.22
12.65
m2
Passage &Toilets
1
6.00
2.22
13.32
m2
Nurses duty room 1 2.80 3.64 10.19 m2
Doctors room 1 2.78 3.64 10.12 m2
Rooms 4 3.64 3.64 53.00 m2 Nurses station 1 1.96 3.64 7.13 m2 Passage 1 1.89 23.47 44.36 m2 Total
291.79
m2
Deduction
Inner walls Toilet walls
9
2.30
0.12
2.48
m2
4
2.20
0.12
1.06
m2
1
3.89
0.12
0.47
m2
2
1.80
0.12
0.43
m2
1
3.60
0.12
0.43
m2
Total 4.87 m2
Net quantity 286.92 m2 750.00 1 m2 215192.63
14 Dadoing walls with best glazed white or coloured tiles (200mmx200mm ISO first quality) 7.5mm thick or nearest in 12mm cement mortar 1:3 and pointing with coloured cement
Toilet walls 9 3.75 2.10 70.88 m2
4 3.65 2.10 30.66 m2
Nurses duty room 1 10.05 2.10 21.11 m2
Doctors room 1 10.03 2.10 21.06 m2
Rooms 4 11.81 2.10 99.20 m2
Nurses station 1 9.80 2.10 20.58 m2
Passage 1 35.42 2.10 74.38 m2
Ward 1 22.28 2.10 46.79 m2
Ward 1 22.88 2.10 48.05 m2
Operation theatre 1 13.70 2.10 28.77 m2
changing rooms 2 6.45 2.10 27.09 m2
changing rooms (out side) 1 4.33 2.10 9.09 m2
sterilisation room 1 9.20 2.10 19.32 m2
Total 516.98 m2
Deduction
Window W4 7 2.00 0.90 12.60 m2
Window W2 9 1.00 0.90 8.10 m2
Total 20.70 m2
Net quantity
496.28 m2
995.00 1 m2 493796.61
15 Providing M. S grills for windows or compound gates including all labour and hire charges for fabricating and cost of materials and applying a coat of iron Primer Materials.
Window W4 7 2.00 0.90 12.60 m2
Window W2 9 1.00 0.90 8.10 m2
Gate 1 1.89 2.10 3.97 m2
Hand rail for ramp 2 20.80 1.00 41.60 m2
66.27 m2
66.27@30kg/m2
1988.1
kg
8500.00
1
Qtl
168988.50
16 Whitewashing twocoats over plastered surfaces with white
cement including cost and
conveyance of all materials and labour charges, curing charges etc.
complete
#####
m2
150.00
10
m2
26850.00
17 water proof paint on under side of slab including cleaning and
scaffolding etc. complete
##### m2 500.00 10 m2 89500.00
18 Painting with synthetic enamel
paint on door and windows (frame and shutters) including priming
coat. Door D1 10x2.25 1.00 2.10 47.25 m2
DoorD2
16x2.25
0.75
2.10
56.70
m2
Window W4
7x1
2.00
1.50
21.00
m2
Window W2
9x1
1.00
1.50
13.50
m2
Ventilator
13x1
0.60
0.45
3.51
m2
Total
141.96
m2
700.00
10
m2
9937.20
RAMP
19 Earthwork excavation in hard soil
and depositng on bank with initial lead up to 50m and lift up to 1.5m including neat banking For column 8 1.00 1.00 1.00 8.00 m3 1800.00 10 m3 1440.00
20 Cement concrete 1:4:8, using 40mm (nominal size)hand broken stone including cost and conveyance of all materials, labour charges, curing charges, etc complete
For column
8
1.00
1.00
1.00
8.00
m3
3800.00
1
m3
30400.00
21 Reinforced cement concrete 1:11/2:3 , using 20mm nominal
size aggregate including all form works, watering, curing etc.
complete but excluding cost of reinforcement , for column
8 1.00 1.00 0.20 1.60 m3
8 (1.002+(0.43*0.33))/2 0.30 1.36 m3
Total 2.96 m3 115.00 10 dm3 34021.60
22 Reinforced cement concrete 1:11/2:3 , using 20mm nominal
size aggregate including all form works, watering, curing etc.
complete but excluding cost of reinforcement , for column
4
0.3
0.23
4.00
1.10 m3
4
0.3
0.23
6.00
1.66
m3
Total
2.76
m3
115.00
10
dm3
31740.00
23 Reinforced cement concrete 1:2:4 , using 20mm nominal size
aggregate including all form works, watering, curing etc.
complete but excluding cost of reinforcement ,
for beam 1 20.75 0.23 0.3 1.43 m3 114.00 10 dm3 16321.95
24 Reinforced cement concrete
1:11/2:3 , using 20mm nominal size aggregate including all form
works, watering, curing etc. complete but excluding cost of
reinforcement ,
for slab
1
20.75
2.02
0.12
5.03 m3
100.00
10
dm3
50298.00
25 Reinforcement for RCC work bent,
tied and placed in position (plain grill requiring bending cold) using
Tore Steel including cost and conveyance of all materials labour
charges etc. complete. ##### kg 5400.00 1 Qtl 81000.00
Total 3316015.16
26 Fabrication work and other expenses LS 150000.00
27 WaterSupply & Electrifications
LS
232121.06
28 Sanitation
LS
165800.76
29 Landscaping & Road work etc
LS
300000.00
Unforseen items of work
136063.02
GrandTotal
4300000.00
Rupees Forty Three lakhs only
EQUIPMENTS AND FURNITURE NEEDED FOR OPERATION THEATRE
ITEM NUMBER RATE TOTAL COST
Operation theatre table 1 60000 60000
theatre LIGHTS 2 240000
Oxygen Cylinder 1 7000 7000
Cautery/Diathermy 1 17500 17500
Saline stand 2 1000 2000
Step stool 2 750 1500
Instrument trolley 4 6500 26000
Autoclave 1 150000 150000
Anaesthetic Equipment 100000 100000
Stool 2 2000 4000
Newborn radiant Warmer 1 33000 33000
Medicine trolley 1 14000 14000
Mounted BP Apparatus 1 2500 2500
New born resusctation kit 1 1500 1500
Baby Weighing machine 1 5000 5000
Oxygen Cylinder for baby 1 7000 7000
Suction Apparatus 2 7500 15000
Stretcher 2 6000 12000
recovery cots 2 3000 3000
Pulse oximeter with Cardiac monitor NIBP 1 125000 125000
LINEN 15000
Slipper rack 1 500 500
Rubber sheets 4 250 1000
Pillow 4 300 1200
Sand bag 1 500 500
Wardrobes 2 4000 8000
Chairs 4 500 2000
office table 1 2500 2500
reception chairs (4 seater) 1 4800 4800
INSTRUMENTS 60000
921500
EQUIPMENTS AND FURNITURE NEEDED FOR LABOUR ROOM
ITEM NUMBER RATE TOTAL COST
Labour Cot 1 30000 60000
Focus Lamp 1 30000 30000
stool 2 2500 5000
Saline stand 2 1000 2000
CTG Machine 1 150000 150000
Hand held Doppler 1 9000 9000
Observation cot 2 3000 3000
Newborn radiant warmer 1 33000 33000
Newborn rescitation kit 1 1500 1500
Oxygen cylinder 1 7000 7000
Patient dress 10
Nursing trolley 2 5000 10000
Bins 3 1000 3000
Suction Apparatus 2 7500 15000 Pulse Oximeter with Cardiac monitor NIBP 1 125000 125000
Mounted BP apparatus 1 2500 2500
Office table 1 2500 2500
chairs 2 500 1000
reception chairs(4 seater) 1 4800 4800
Vaccum apparatus 1
Forceps
Instruments 5000
469300
EQUIPMENTS AND FURNITURE NEEDED FOR WOMEN AND CHILDREN'S WARD
ITEM NUMBER RATE TOTAL COST
COTS 12 4000 48000
Mattresses 12 1000 12000
pillows 12 300 3600
Bed sheets 50 200 10000
by stander stools 12 200 2400
bedside locker 12 2000 24000
cupboard 1 6000 6000
Medicine Shelf 1 3000 3000
Nursing trolley 1 5000 5000
Saline stand 5 1000 5000
Bed pan 1 1000 1000
Nebuliser 1 3000 3000
Hotwater bag 1 300 300
Oxygen Cylinder 1 7000 7000
Trays 5 500 2500
Dressing bins 4 500 2000
Bedside screen 1 3000 3000
Office table 1 2500 2500
Chair 2 500 1000
Instruments 2450 2500
143800
EQUIPMENTS AND FURNITURE NEEDED FOR MATERNITY WARD
ITEM NUMBER RATE TOTAL COST
COTS 12 4000 48000
Mattresses 12 1000 12000
pillows 12 300 3600
Bed sheets 50 200 10000
by stander stools 12 200 2400
bedside locker 12 2000 24000
cupboard 1 6000 6000
Medicine Shelf 1 3000 3000
Nursing trolley 1 5000 5000
Saline stand 5 1000 5000
Bed pan 1 500 500
Urinal 1 500 500
Oxygen Cylinder 1 7000 7000
Bedside screen 1 3000 3000
office table 1 2500 2500
chair 2 500 1000
Instruments 15000
149500
EQUIPMENTS AND FURNITURE NEEDED FOR NEW BORN ROOM
ITEMS NUMBER RATE TOTAL COST
Radiant Warmer 2 33000 66000
Phototherapy unit 2 20000 40000
nursing trolley 1 5000 5000
cupboard 1 6000 6000
medicine trolley 1 14000 14000
office table 1 2500 2500
multi para monitor 1 125000 125000
chair 2 500 1000
259500
EQUIPMENTS AND FURNITURE NEEDED FOR POST OPERATIVE ROOM
ITEM NUMBER RATE TOTAL COST
Patient Cot 2 24000 48000
Pulse oximeter +Cardiac Monitor+NIBP 1 125000 125000
Saline Stand 4 1000 4000
stool 2 2000 4000
medicine trolley 1 14000 14000
nursing trolley 1 5000 5000
bedside table 1 2500 2500
reception chair (4 seater) 1 4800 4800
207300