SIR SUNDERLAL HOSPITAL – AN INTRODUCTION Prof. R. N. Mishra

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SIR SUNDERLAL HOSPITAL – AN INTRODUCTION

Prof. R. N. Mishra Professor In-charge

Medical Record Section Sir Sunderlal Hospital

The establishment of Sir Sunderlal Hospital was a long cherished dream of the founder of this great university Mahamana Pt. Madan Mohan Malyiyaji, which got fulfilled in the year 1924, when his Highness Late Shri Prabhu Narayan Singh Ji laid down the foundation of the Hospital in the name and commemoration of Sir Sunderlal Ji, the first Vice Chancellor of Bananas Hindu University. Consequently, the Hospital came into existence in the year 1926, Initially started with 96 beds and subsequently to the Institute of Medical Sciences, BHU and imparting training grew to 1243 beds including 182 beds of Ayurveda and 245 beds for the teaching and training of students of super specialty courses (DM/M.Ch.). Sir Sunderlal Hospital is attached and teaching to the Under Graduate and Post Graduate courses of Medicine, Ayurveda and Dental Sciences as well as Nursing Graduation.

Sir Sunderlal Hospital is the only Tertiary Care Hospital in the Eastern Uttar Pradesh (UP) providing medical coverage to more than 150 million populations of its vast catchments area of Eastern UP, Western Bihar and adjoining areas of Madhya Pradesh and adjoining country Nepal as well. It also caters services of medical and health needs of 60,000 University Employees, their families and Nearly 20,000 students of BHU. It is a premier referral hospital for the City Hospitals, DLW, Military Hospitals, NTPC, Coal India, BHEL, Hospitals of catchments’ area. Besides the health care services, Sir Sunder Lal Hospital being primarily a Teaching and Training Hospital cater the training of 668 under graduate, 413 post graduate, 66 DM/ M.Ch, 150 BDS, 280 nursing students and more than 200 research students.

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The hospital is primarily maintained on grant-in-aid from Ministry of Human Resource Development through University Grants Commission. It has been able to maintain and develop partly through its own earning in the form of “Revolving Fund”. A part of this is also shared by the departments of the Institute towards research and equipments.

Modern Medicine Outdoor wing

SS Hospital

Ayurveda Outdoor Wing

SS Hospital Sir Sunderlal Hospital affiliated to the Institute of Medical Sciences, has shown tremendous growth and development in the recent past acquiring specialized modern equipments. The hospital provides round the clock emergency services, diagnostic workup and labor room facilities. More than 700 incidental and 2400 deliveries are conducted every year in the Hospital and mostly are referrals. The Centre of Clinical Investigation (CCI) carries almost all the investigations round the clock; its performance can be judged that during 2013 a total of 1247983 various investigations were performed. Department of Radiology involved in major diagnostic processes is well equipped with a Color Doppler, an Ultrasonography, a whole body 64 Slice CT Scan under Public Private Partnership (PPP) and 1.5 Tesla MRI in addition to conventional radiological investigations. The 1.5 Tesla MRI is installed under PMSSY Scheme. The addition of Trauma Centre under PMSSY and establishment of huge building complex of the Faculty of Dentistry is the new hope to the people of the catchment area of SS Hospital.

550 bedded SS Hospital

High-tech Ambulence

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The Blood Bank of the Hospital is one of the best equipped in the country with a cell separator and facilities for component therapy. A modern 16 bedded Intensive Care Unit for adults and a Modern Cardiac Coronary Unit with pacing facilities and non-invasive cardiac diagnostic test, Cardiac cath lab, a level III Neonatal Intensive Care Unit, a Pediatric Intensive Care Unit and Pediatric Surgery Care Unit are some of the important facilities available to provide better care to the patients. A separate Pediatric Emergency Unit in the Pediatric building is also running and providing 24 hours emergency service to the children. The department of TB & Chest is coordinating with the Revised National Tuberculosis Control Program (RNTCP) through DOTS. The Department of Gastroenterology, Orthopedics and Ophthalmology have been equipped with advanced technologies like video-endoscopes, image-intensifiers, laser facilities. Eye banking and Corneal Transplant and PHAKO Cataract Surgery are a special feature of the Department of Ophthalmology. A new Cobalt machine has been commissioned in the Radiotherapy Department. A DEXA machine has been acquired by the Department of Endocrinology for the study of osteoporosis. A flow cytometer has been commissioned in the Department of Medicine for advanced immunological studies. An Advanced Retroviral Therapy Centre is also functioning under Medicine Department. Department of General Surgery and Pediatric Surgery are equipped with Harmonic Surgical Knife. A new Heart Lung Machine for coronary bypass surgery in the Department of Cardiothoracic Surgery and C-Arm with DSA in Neurosurgery are the recently acquired facilities. Affordable minimal access surgery or laparoscopic surgery facilities are being provided by the Hospital in General Surgery, Urology and Pediatric Surgery. Department of Urology is also having Lithotripsy Technique (ESWL) and renal transplant facilities. Besides these, the Central Supply and Sterilization as well as the Laundry are well equipped for better support.

Besides the diagnostic and therapeutic advances, the hospital has paid attention to the comfort and convenience of the visiting patients and their attendants and a number of such facilities like Dharamshala, Vishram Kuteer, Attendants Shelter Shed, Sulabh Shauchalya, Annapurna Bhojnalaya, Nescafe and Amul Parlors etc. have come in to existence through participative public partnerships.

The hospital is thus leaping ahead with enormous speed to meet out the oncoming challenges of future with respect to diagnosis and treatment of the ailing population of the region.

The hospital is primarily maintained on grant-in-aid from Ministry of Human Resource Development through University Grant Commission only about 12.05 Crore per annum, which a very meager amount. This proves grossly inadequate to sustain the growing needs of the hospital under fast escalating costs and expansion of the hospital services. There is no recurring support from any of the State Governments or Central Ministry of Health. Due to these reasons the hospital had to evolve a secondary source of income in the year 2002, through system of Revolving Fund, by charging patients nominally for its services. This has, albeit meagerly, supplemented to some extent the finance for maintenance of the hospital services. The hospital, inspite of its limited resources, is providing need based health care services to the humanity, but has potentials and could do better provided the resources are met with a par with the other National Institute of repute. These constraints are compromising the very slogan of the country, “QUALITY HEALTH

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FOR ALL”. There is every need to improve the facilities and infrastructure to keep pace with quality care in this tertiary care centre, labeled as “AIIMS of Purvanchal”, It may be noted that the infrastructure and financial resources available to the teaching hospitals of the similar apex medical institutions in the vicinity such as AIIMS, New Delhi and SGPGI, Lucknow are many times more in comparison to SS Hospital. To overcome this situation the administrative efforts are on for enrichment of its resources from the government and some positive results are expected in future.

GROWTH OF SS HOSPITAL From the time immemorial, Kashi (later known as Varanasi) has been considered a great seat of learning. It is significant that the Art and Science of healing was taught and practiced in this ancient city by Dhanvantri. His learned disciple Sushruta, the great Indian Surgeon and Father of Surgery, practiced his profession in this very city more than 2500 years ago. Earlier Physician Charaka also taught and practiced medicine in this great city. The founder of the Banaras Hindu University, Mahamana Pandit Madan Mohan Malaviya, established this great Centre of learning with a view to train young men and women of the backward and rural areas to serve the society. Today, we in the medical profession are attempting to practice the ideals laid down by this great leader of India by utilizing what is best in Ancient Indian Medicine duly supplemented by Advances in Modern Medicine by making Medical Services available to all. In the initial stage, the Department of Ayurveda was all that existed as a branch of Oriental Learning of the University. The foundation of the University Hospital was laid by the Maharaja of Banaras Sir Prabhu Narain Singh in January 1924. It was declared open in 1926 and was named Sir Sunder Lal Hospital in the memory of the first Vice Chancellor of the University. Initially it provided accommodation and facilities for the treatment of 96 indoor patients, about 200 out door patients a day, and an average of two operations a month. In June 1959, the services of Dr. K.N. Udupa were made available to this nuclear set up. By his indefatigable energy and untiring efforts, his humility, flexibility and practical approach to all problems, and his devotion, dedication and determination,

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this infant rudimentary unity has steadily developed to a College and later to an Institute with all the facilities and specialties of a large Medical Center. In the year 1960 it was decided by the Government of India to establish a full fledged Medical College in the Banaras Hindu University to provide instructions in Modern Medicine at the undergraduate level. This was approved by the University Grants Commission. The Medical College started functioning from September 1960 with almost all the departments of a Medical College. Simultaneously the courses of Instruction in Ayurveda at the Undergraduate level were discontinued and the Post-graduate Course in Ayurvedic Medicine (D.Ay.M.) was introduced. Five departments viz, Shalya Shalakya (Surgery), Kaya Chikitsa (Medicine), Prasuti Tantra (Obstetrics & Gynaecology), Dravya Guna (Pharmacology) and Basic Principles were started in 1963. In the year 1971 the President of India in the capacity of the Visitor of this University was pleased to upgrade the Medical College to that of an Institute of Medical Science and in the following years the activities of the Institute with its national recognition were considerably enhanced and diversified in the fields of Medical Education, Research and Medical Relief. The first Principal of the Medical College Dr. K.N. Udupa took charge of the Institute as its Director. The rapid and phenomenal progress made by the Institute and Hospital in a span of 15 years was entirely due to the untiring efforts of its Director Professor K.N. Udupa. In 1967 the College moved into its spacious multi-storied buildings extending in Four Blocks-which now accommodates all the departments of the Institute, different laboratories, lecture rooms, museums and libraries. It is essential for medical education and research to be undertaken in a hospital setting. The wards are the greatest laboratories; the patients provide the best material for practical teaching and need based Clinical Research. Dr. Udupa in all his wisdom ensured that the teaching, research and hospital facilities developed simultaneously to provide the maximum utility.

The actual development of the hospital took place with the starting of the College of Medical Sciences in 1960. Sir Sunder Lal Hospital was recognized in 1964 as the teaching hospital by the Medical Council of India and later by the British Medical Council. The structure of the Hospital was designed to suit the requirement of training for students of both Modern and Indian Medicine. Several new blocks were subsequently added to the hospital and the new inpatient and outpatient department started functioning from 1975 with an additional newly constructed 550 bedded ward block.

Subsequently, space expansion of some of the buildings was made as per requirement. A separate double storied Pediatric Surgery building was inaugurated in 1999; subsequently operation theatre in 2001 and extended for third story in 2006. A model building of the pediatric department was created and inaugurated in 2008 to cater better services to the children. Many technologically advanced equipments were added to the hospital through JICO in 1993-94, own generated funds of the hospital, UGC plan and non-plan budget as well as the Medical Entrance Test (MET). The recently granted finance under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) added many newer dimensions in the patient care. Through, the funds under PMSSY equipments are being added time to time.

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In view of the medical advancement and faculty expertise 11 super specialty departments (five Medicals; Cardiology, Neurology, Nephrology, Endocrinology, Gastroenterology and five Surgical; Neurosurgery, Pediatric Surgery, Plastic Surgery, Cardio Thoracic Surgery, Urology) were created in 1998. With the growing awareness and needs of the society a Faculty of Dental Sciences was also created in 2004. Another department of surgical super specialty in Oncology was created and became functional in 2004. ART centre and the cardiac cath lab has been the recent addition for better care of this region.

The Faculty of Ayurveda has also grown up with 8 new departments (Kaumarbhrittya, Kriya Sharir, Rachana Sharir, Samhita & Sanskrit, Shalya tantra, Sidhant Darshan, Swasthya Vritta & Yoga, Vikriti Vigyan) in 2006 and improved the related service. In 2011 a separate Sangyaharan department in the Faculty of Ayurveda was created bifurcating Shalya Shalakya.

IMPORTANT MILE STONES IN THE DEVELOPMENT OF THE UNIVERSITY HOSPITAL

1924 Foundation Stone of University Hospital laid by Maharaj Prabhu Narain Singh. 1926 Hospital started functioning with 96 beds. 1960 Surgical Research Laboratory was established 1962 Department of Surgery was established Foundation stone of Traumatic Ward 1963 Inauguration of School of Nursing Clinical Block and Medical Record Section were established. 1964 Inauguration of Eye Hospital Building. Visit of British Medical Council and Recognition 1965 Inauguration of Children Hospital. 1966 Extension of Maternity Ward. Laying Foundation Stone of Radiation Therapy

Centre, Artificial Kidney Unit, Hear Lung Machine and Well Body Clinic was established.

Heart Lung Machine

Cobalt Machine

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1967 Inauguration of newly constructed Isolation Ward and Hospital Pharmacy 1968 Inauguration of Radio Therapy Cobalt unit and Radiation Medicine Centre. Inauguration of Premature Baby Unit Starting of Central Sterilization Unit, Central Gas and Oxygen Supply Unit and

Electro Convulsive Therapy Unit 1971 Inauguration of Department of Psychiatry by Professor G.M. Carstrairs,

President, World Federation of Mental Health. Electroenephalograph (EEG) and Electromyography (EMG) services started

functioning. 1971 Establishment of Scanner at the Centre of Radiotherapy and Radiation

Medicine. 1971 Foundation of new O.P.D. Building and of 550 bed hospital. 1975 Inauguration of the new O.P.D. Building. 1976

• Extension of Special Ward. (Air Conditioned Wing).

• Taking over the Leprosy and Tuberculosis Hospital and Rehabilitation Centre at Sarnath.

• Kerala type Panch Karma Ayurvedic Physiotherapeutic treatment

being established.

• Occupation of the 550 bedded Ward Block for in-patients.

• It was only about seven years ago that the University grants Commission decided to finance the development program of this hospital which was hitherto financed by the State Government. The Development plan was divided into four phases.

• Construction of Operation theatre, X-Ray and Laboratory Block.

• Construction of Emergency and Accident Services, Hospital

Kitchen, Laundry, Sterilization, Electric Sub-Station, tube Well etc. 1979 Clinical Investigation (CCI). 1981 Therapeutic Upper GI Endoscopy started 1986 Immuno-pathology unit upgraded to UGC Advanced Immuno-diagnostic

Training and Research Centre.

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1987 Diagnostic Therapeutic ERCP started

Lithotripsy Center

Lithotripter

1993 Many advanced technological equipments were added to the hospital through

JICO. 1995 Inauguration of CT scan

1997 Blood Bank with all the available facilities was licensed by the Government of

India

Blood Bank

Cell Separator

Cryofuze 6000

Centrifuge Machine

1998 10 super specialty departments (five Medicals and five Surgical) were created 2002 MRI facility started

MRI Machine

CT Scan

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2002 “Dexa” Bone Densitometer Unit created

Immunlite Macine

Dexa- Bone Densitometer

2005 Faculty of Dental Sciences and department of Surgical Oncology were created 2005 Radio-imaging facility installed in Gastroenterology

C Arm Fluroscopy Machine

2006 Eight new departments were created in the Faculty of Ayurveda

Labor room was renovated

2010 High-tech Mobile Blood Bank Van procured

Mobile Blood Collection Van High-tech Mobile Blood Collection Van

2011 A new Sangya Haran Departments was created in the Faculty of Ayurveda

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RECENT DEVELOPMENTS

1. A Trauma Centre under Pradhan Mantri Swastha Suraksha Yojana (PMSSY) created that will be functional soon and a separate 5 storied building for the Faculty of Dentistry is proposed under construction and ground flour and first flour are fully furnished and functional.

Trauma Centre Main Building

Trauma Centre (Hospital Complex)

Shustra Hostel

Faculty of Dentistry

2. 64 Slice CT Scan radiological Services. 3. 'Annapurna Sewa Bhojanalaya" providing quality foods at cheapest rate to

patients and their attendants. 4. Medical OPD at Rajiv Gandhi South Campus, Barkachha, Mirzapur. 5. "Vishram Kutir' as expansion of Bhuwalka Dharmshala by the grant 'Sansad

Nidhi' of Sri Kalraj Mishra Ji, Member of Parliament (Rajya Sabha). 6. Laproscopy & Pediatric Urology floor. 7. Neonatology building and its Neonatal Intensive Care Unit with all modern

facilities. 8. Patient’s shelter area created. 9. Renovated AC in Special Ward. 10. Sulabh Toilets for the patients. 11. Construction of LT substation including replacement of main LT Panel

Board. 12. A separate building of Cash Collection and Registration 13. Radiology Registration and CCI specimen collection 14. Auto Analyzer in CCI Lab 15. New 1.5 Tesla MRI under PMSSY scheme was installed.

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16. Installation of Cardiac Cath lab under PMSSY scheme with 200 KVA Generator for power backup

17. Liquid Oxygen Plant 18. Fully equipped critical care ambulance (mobile van) for transportation of

serious ill patients 19. Introduction of Mobile Blood Donation Ambulance 20. Latest equipments in Physiotherapy unit 21. Two numbers horizontal sterilizer for CSSD 22. Replacement and up-gradation of Central Compressed Air System 23. Biphasic defibrillator with monitor screen for casualty 24. Four numbers remote operated motorized fowler beds for deluxe room 25. 10 KVA UPS for ICU 26. Addition of 9 dialysis machine under PPP 27. Construction of Shri Shyamlal Bhuwalka Eye Operation Theatre 28. Repair and renovation of toilet shaft of 550 bedded indoor block 29. Repair and renovation of Toilet (13 Nos) 30. Brick soling work of cycle stand near incinerator 31. Repair and renovation of toilet, distempering, painting of all rooms of

Special ward A 32. Repair and renovation and construction of OT toilet and surrounding area of

eye department 33. Repair and renovation of toilet, FRP sheet, Truss of Neuro Surgery OPD 34. Renovation and furnishing of Doctors’ Lounge 35. Renovation and extension of Dental OPD 36. Roof treatment of Vishram Kuteer 37. Repair and renovation of Physiotherapy and Rehabilitation unit and

providing and fixing FRP sheet, Kota Flooring. 38. Construction of centre of excellence (ART) 39. Special repair of slab and beams in clinical lab, Indian medicine wing 40. Providing and fixing glass partition in Bal Panch Karma room, Kashya

Ward, Indian Medicine wing. 41. Construction of entry gates of the Hospital 42. Creation of Reception and enquiry centre. 43. Installation of new Passenger Lift in Pediatric Surgery 44. Creation of new Mortuary room 45. Renovation of floor in Indian Medicine building, ground floor and first floor. 46. Opening of the Patient Information Centre at the entrance of the Hospital

(MMV side). 47. Up-gradation of the Electric Sub Station (MMV side). 48. Successful measures to correct water logging in the fields and in front of

Special Ward and Ayurvedic Building. 49. Setting up of Kerala Ayurveda Centre for Panchakarma 50. Establishment of 10 bedded Stroke Ward 51. Establishment of Modern Oxygen Plant 52. Shades for car parking in the Administrative Block and Staff car area. 53. Inauguration of a New Mortuary Block with more space. 54. Renovation of the Old Administrative Block which was in shambles. 55. Inauguration of “Aashray” a place for the attendants of the Patients 56. Improvement in greenery and more plantations 57. Inauguration of New Sulabh Shauchalya Units under PPP scheme-one near

the Causality and one near the Paediatric Ward. 58. Laying Stone of New Casualty Block (G + 3 building with about 50 beds).

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59. Setting up of Amul and Nescafe outlets under the PPP model at various places in the hospital

60. Renovation of the Eye Ward and OPD 61. Inauguration of new Dental Building at the Trauma Centre. 62. Completion of the new Radiotherapy Indoor Block 63. Extension of CCU by 8 beds. 64. Completion of the Modern Metabolic Ward 65. Inauguration of Cardiac Cath Lab. 66. Painting the OPD Premises. 67. Completion of new Radiology Block 68. Completion of new CTVs post operative ward 69. Renovation of Old ICU 70. Renovation of 10 bedded Head Injury Ward. 71. Renovation of the Wound Clinic. 72. Inauguration of 10 bedded Day Care Ward for Gastro patients. 73. Inauguration of GLP lab 74. Inauguration of New Haemodialysis Unit under the PPP model. 75. Inaguuration of MDR Tuberculosis ward. 76. Inauguration of renovated Physiotherapy unit in the OPD 77. Inauguration of Paid Clinic. 78. Inauguration of HDU Ward in the Department of TB and Chest. 79. Inauguration of ACU in Medicine Ward. 80. Inauguration of Doctors Recreation Room 81. Inauguration of Kshar Sutra Building.

DEVELOPMENTS IN 2013 The efforts are to add a number of facilities in the hospital with existing resources. Few of the projects undertaken for infrastructure developments have already completed or in the process of completion. Some are still in the pipe line. The important developmental projects are as follows:

A. NEW EQUIPMENTS COMMISSIONED & INSTALLED/ FUNCTIONAL

A fully fledged HMIS is ready to function; a 750 KVA Generator installed, Blood Bank Ambulance, Dental Ambulance, High Tech ICU 2 Ambulances, Mortuary Van are functioning, and Modern Oxygen Plant established. Other additions made in the hospital were:

B. INFRASTRUCTURE DEVELOPMENT

Details of renovations are listed as below:

1. Kshar Sutra Building constructed and inaugurated. 2. Repair and renovation of New Chest Ward. 3. Repair and renovation of Eye Department 4. Repair and renovation of Peadiatric Medicine Ward

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5. Construction of First floor of Vishram Kuteer 6. Construction of Blood Bank Building (G+2) 7. Doctors Recreation Room 8. Food Cart near Emergency 9. Additional Sauchalaya Building 10. Renovation and inauguration of ASHRAY 11. Renovation of old Administrative Block. 12. Construction and inauguration of Radiotherapy Building. 13. Renovation /Extension of CCU 14. Renovation and inauguration of OT Block B as Modular OT. 15. Construction and inauguration of Radiology Building.

C. ADDITION OF NEW FACILITIES

1. Establishment of HDU in the Chest Ward 2. Started DOTS program 3. Establishment of MDR TB Ward. 4. Establishment of Interventional Endoscopy Ward. 5. Establishment of Doctor’s Recreation Room in Old Administrative Block. 6. Creation of 10 bedded Day Care Ward for Gastro patients 7. Establishment of Metabolic Ward. 8. Establishment of Thalassemia Ward. 9. Establishment/Fabrication of Lab Sample Collection Complex in NOPD. 10. Started Medicine Shop (UMANG) under PPP in the hospital premises 11. Installation of medical gas pipelines in Children Hospital and Neonatal

Intensive Care Unit (NICU)

D. PROJECTS UNDER PROCESS 1. OT Renovation 2. HMIS 3. Fire Fighting System 4. Renovation of New Casualty Building 5. Outsourcing of Canteen through IRCTC (PPP Mode) 6. Construction of Pediatric Medicine Building 7. Construction of Shree Hanuman Temple 8. Construction of New Urology and Nephrology wards behind the lift. 9. Construction of new Cardiac Ward 10. ABG facility on PPP Model 11. White Washing, Painting and renovation of floors, doors, windows and shafts

of entire hospital 12. Addition of new block in Vishram Kutir for patient’s attendant. 13. Jan Aushadhi shop in the hospital 14. Linear Accelerator facility in the hospital

E. FACILITIES TO PATIENTS AND THEIR RELATIVES

1. “Ashray” for the patients and their attendants in the basement of 550 bedded hospital, SSH

2. Paid OPD

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3. Cardiothoracic & Vascular Surgery ICU 4. HDU in Chest Ward 5. Shelter shade in Neuro Surgery OPD 6. Swagat Kendra of Radio Diagnosis & Imaging 7. ACU in Medicine Ward 8. Shelter Shade in Administrative Block 9. Centralized sample collection & Investigation Report Distribution started in

OPD.

F. SPECIAL SERVICES AVAILABLE IN THE HOSPITAL TO PATIENTS CARE • SPECIAL CLINICS

1. Well baby Clinic & Immunization Clinic 2. Geriatric Clinic 3. De-addiction Clinic 4. Wound Clinic 5. DOTs Clinic 6. Adolescent and Menopausal Clinic 7. Hematology and Menopausal Clinic 8. Glaucoma Clinic 9. Ksharshutra Clinic 10. ART Clinic 11. Post Partum Clinic 12. Diabetic Complication Clinic 13. Pediatric Hematology –oncology Unit and Thalassemia Day Care Unit 14. Rheumatology Clinic 15. Dietetics Clinic

• SPECIALIZED THERAPEUTIC & DIGNOSTIC FACILITIES

1. Cobalt Therapy 2. Haemodialysis 3. Lithotripsy (ESWL) 4. Renal Transplantation 5. 16 Bedded Modern ICU 6. Cardiac Pace Maker Lab 7. Cardiac Cath Lab 8. Open Heart Surgery 9. Neonatology/Neo Natal Surgery ICU 10. Dental services 11. Physiotherapy and Rehabilitation Service 12. Pediatric ICU 13. Video Endoscopy and Pediatric Urology Unit 14. Laser OT in Surgical Oncology 15. Neuro Endoscopy 16. ART Centre upgraded to Central of Excellence 17. Post Partum Program 18. Eye Bank and Corneal transplant

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19. Urodynamic 1AB 20. Blood Component Therapy 21. Ayurvedic Panchkarma Therapy and Leech Therapy 22. Kshar Sutra Therapy

• PUBLIC PRIVATE PARTNERSHIP (PPP) FACILITIES

1. 24 Hrs Medicine Shop 2. Panchakarma (Kerla Ayurveda) 3. Bio Medical Waste Management 4. 24 Hrs. 64 Slice CT Scan Centre 5. Annapurna Bhojanalaya 6. Nestle Coffee Corners 7. Amul Parlours 8. Public Conveniences (Sauchalaya and Bathrooms) 9. 24 Hrs. Refreshment services in Casualty OPD 10. Extended Dialysis Facility

G. ADDITION OF EQUIPMENTS

1. 2 Single Channel ECG machine 2. 3 Pts. Monitors with 1 CNS 3. A 6 MV linear accelerator (UNIQUE Performance from Varian Medical

System), intensity modulated radiotherapy (IMRT) and Portal Dosimetry is under installation.

4. One treatment planning system (TPS), ECLIPSE from Varian Medical is under installation

5. Radiation Field Analyzer (RFA), BLUE PHANTOM is under procurement. 6. Set of Dosimetry System is under procurement. 7. Set of patient immobilization system is under procurement. 8. 7 Patient care monitors 9. 7 Computers 10. Jaundice meter 11. 1 Pneumatic Tourniquet 12. 1 Urodynamic system 13. 1 0.75 HP Air compressor 14. 1 Ultra sonic scaler 15. 1 Micromotor 16. 4 Hospital semi flower bed 17. 1 Multimedia projector 18. 1 Aqua bright RO plat fitter 19. 1 Electro Surgery unit 20. 4 Moder trimmer 21. 1 Induction costing machine 22. 1 Soft tissue laser elixxion 23. 1 Crash cart with PVC bins 24. 1 X-ray unit wall model 25. 1 Phantom Head unit 26. 21 Electric dental chairs 27. Biochemistry and Haematology Analyzers

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H. ADDITION OF STAFF

Staff Nurse : 14

I. PROMOTION OF STAFF

Officers : 04 Nursing Personnel : 07 Ministerial Staff : 04 Group D : 13

J. SUPEANNUATION OF STAFF

Officers : 01 Nursing Personnel : 06 Technical/Ministerial Staff : 02 Group D : 19

K. DECEASED STAFF Nursing Personnel : 01 Group D : 02

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STAFFING PATTERN

GENERAL ADMINISTRATION & MEDICAL OFFICERS

S. No.

Positions Medicine Ayurveda Sanctioned Vacant Sanctioned Vacant

1 Medical Suprintendant 1 1 - - 2 Dy. Medical Suprintendant 2 1 1 1 3 Dy. Registrar & CAO 1 - - - 4 Asst. Registrar & AO 1 - - - 5 Medical Officer 14 2 5 1

Total 19 4 6 2

NURSING STAFF

S.No. Positions Medicine Ayurveda Sanctioned Vacant Sanctioned Vacant

1 Nursing Superintendant 1 1 - - 2 Dy. Nursing Superintendant 2 - 1 - 3 Asst. Nursing Superintendant 8 - 1 - 4 Sister/Ward master 82 - 5 - 5 Staff Nurse 312 - 24 - 6 Untrained Nurse 1 - - - 7 Asst. Warden 2 - - -

Total 407 1 31 - * - The UGC authorities has not permitted to fill up the above post * AA/VI-RAC/10558 at 15/11/2008 from D.R. (RAC) - BHU. ** Sup. Post

MEDICAL RECORD SECTION


1 Medical Record Officer 1 - - - 2 Medical Record Technician 4 3 - - 3 Medical Record Asst. 2 1 - - 4 Jr. Medical Record Asst. 2 1 2 - 5 Statistical Asst. 1 - - -

Total 10 5 2 -

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TECHNICAL & MAINTENANCE STAFF

S. No.


1 Asst. Engineer 1 1 - - 2 Asst. Store Officer 1 1 - - 3 Senior Tech. Asst. 10 2 3 2 4 Semi Professional Asst. 1 - - - 5 Automation Technician (E)* 1 1 - - 6 Sr. Lab. Asst. 12 - 4 - 7 Electrician 2 2 - - 8 Occupational Therapist 2 - - - 9 Physioo Therapist 2 - - -

10 Dental Mechanic 1 - - - 11 Dental Instrumental Mechanic 1 - - - 12 Radiology Asst.* 2 1 - - 13 Dialysis Tech. 1 - - - 14 T.A.MRI 1 - - - 15 Cath. Lab. Technician 1 1 - - 16 T.A. (OT cum Aneasth.) 1 - - - 17 Sr. Workshop Asst. 2 - - - 18 Sterilization Asst.* 3 2 1 1 19 Refrigeration Mechanic* 2 2 - - 20 Refre. Mech. Cum Electrician 2 2 - - 21 Workshop Asst. 3 - - - 22 Sr. Pharmasist 3 3 1 1 23 Pharmasist 4 - 3 1 24 Photo Artist* 2 2 - - 25 Chief Dietician & Dietician 1 - 1 - 26 Transport Supervisor* 1 1 - - 27 Driver 10 1 1 1 28 Boiler Operator 1 - - - 29 Incinerator Operator 1 - - - 30 Generator Operator* 2 1 - - 31 Laundary Asst. 3 - - - 32 Workshop Attendant 10 4 - - 33 Lift Operator/ Attendant 7 1 - - 34 Lab Attendant 17 11 3 2 35 OT Cum Anesthesia 26 6 3 2 36 Dresser 9 2 2 - 37 Gas Operator 1 1 - - 38 Tailor 4 1 - -

Total 154 49 22 10

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SECRETERIAL & MINISTERAL STAFF


1 Section Officer 4 - 2 - 2 Senior Assistant 15 5 2 - 3 Sr. Clerk 9 6 1 1 4 Jr. Clerk 11 8 1 - 5 Personal Assistant 1 - - - 6 Stenographer 3 1 1 1 7 Transport Supervisor 1 1 - - 8 Care Taker* 5 2 1 - 9 Social Worker 2 1 - -

10 Library Attendant 1 1 - - Total 52 25 8 2

SUPPORTING GROUP D STAFF

S. No.


1 OPD Attendant 26 11 - - 2 AC Helper 2 - - - 3 Helper to Electrician 1 1 - - 4 Stretcher Bearer* 11 1 3 3 5 Store Coolie* 5 1 - - 6 Head Cook* 1 1 - - 7 Cook/ Kahar* 20 8 6 5 8 Domestic Servant* 5 5 2 - 9 Hostel Attendant 1 - - -

10 Dhobi* 10 2 2 2 11 Chawkidar 23 9 3 1 12 Peon 15 3 2 1 13 Telephone Ordely* 1 1 - - 14 Ward Sahayak/Sahayika 187 51 21 4

Total 308 94 39 16

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HOSPITAL STATISTICS AT A GLANCE

The Hospital Medical Record Section maintains the tremendous information of all the services rendered in the hospital. The major records are outdoor patients, emergency outdoor patients, in-door patients, investigations and surgical procedures. These statistics are sent to the Medical Superintendent on weekly, monthly and yearly basis for effective management of the services and framing policies for developmental activities. The outdoor and indoor patients are continuously rising; during the year 2009 the outpatient load including emergency outpatients was 996151 that has increased to 1226363 in the year 2013, similarly inpatients number also gone up to 52152 during the year 2013 compared to 45161 in the year 2009. A total of 30616 major and minor operations were conducted during the year 2013 that is higher by about 6000 compared to the year 2009. During the year the ratio of new to old patients attending OPD was approximately 1.2:1. The number of attendance per OPD was highest (170) in general surgery followed by Medical Super Specialty (138). Per OPD attendance in the Dental Faculty was also high (132); the least around 40 patients per OPD in both Ayurveda medicals and surgical were observed. A total of 2487 deliveries were conducted during 2013 and almost constant over the periods with slight variations. Various investigations carried in different units in 2013 were 1699411 comparatively much higher than the year 2012 (1563987). The bed occupancy rate varied from 30% to even nearly 100% in different wards, the lowest was around 21% in MMJ Kendra and nearly one third in ophthalmology and psychiatry wards. More than or nearly 90% bed occupancy was recorded in the wards of general medicine, general surgery, special and in almost all the wards of super specialty either medicine or surgery. The bed occupancy rates in all the wards of Faculty of Ayurveda were nearly 50% or even less except Shalya ward (63.2).

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(I) DEPARTMENT OF PATHOLOGY Year of establishment: 1969 The Department of Pathology established in 1969 was recognized by the British Medical Council and Medical Council of India. Because of its valuable contribution, some of the Divisions were upgraded to specialized centers e.g. Clinical Investigation (CCI) in 1979 and Immuno-pathology Unit as UGC Advanced Immuno-diagnostic Training and Research Centre in January 1986. Now all the Divisions are providing specialized diagnostic services in addition to teaching and training to under graduates, postgraduates, post doctoral, research scholars and PGDMLT. To support the patient’s care and treatment, investigations carried by various units of the department during the year were continuously rising; in 2008 the total investigations carried were 55880 and in the year 2013 these are 74162 (Table-I). Existing Equipments (A) Division of Histopathology & Cytopatholgy

Grossing Station Automatic Staining Machine Teaching Microscope (Binocular) Automatic Tissue Processor

Freezing Microtome Microscope with digital Camera & computer with image analysis system

Automatic Embedding Centre

Rotatory Mircotome Microscope with CC camera & video attachment

Sledge Microtome Incubator Centrifuge Machine Cytocentrifuge Tissue Flotation Bath Refrigerator Electric Balance Knife Sharpner Chemical Balance

(B) Division of Haematology

Incubator Hot air oven Coagulation Analyzer Refrigerator ELISA analyzer Platelet Aggregometer Water bath Electronic Balance Hot air oven Centrifuge Cold Centrifuge K-24 Calorimeter Water bath Power pack for electrophoresis Distillation unit Centrifuge Deep Freezer

(C) UGC Advanced Immunodiagnostic Training and Research Centre

ELISA Reader Inverted phase contrast microscope Turbidometer & ELISA Reader with washer

Fluorescent microscope, Deep Freezer

Incubator, hot air oven, freeze -200C

Table – I: Various diagnostic investigations done from 2008 to 2013

Year Coagulatory & Hematological

Cytological Histological Immunological Total

2008 11000 9000 15250 20630 55880 2009 3961 8903 8848 30420 52132 2010 6537 9551 9198 34078 59364 2011 9223 9592 9861 37187 65863 2012 8594 9424 10257 49874 78149 2013 9969 9198 10053 44942 74162

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(II) DEPARTMENT OF MICROBIOLOGY Year of establishment: 1966 The Department of Microbiology came into existence in 1966. It is a multidisciplinary unit consisting of Bacteriology, Immunology, Parasitological, Mycology, Anaerobic Bacteriology, Mycobacteriology and Virology sections. The department started Voluntary Counseling and Testing Centre (VCTC) since 1988 which was renamed as Integrated Counseling and Testing Centre (ICTC) in 2007. In addition to teaching and training of undergraduates, postgraduates, and research scholars for various techniques of investigations, the department is contributing a lot to support service of the patients. In the year 2008, various investigations carried were 46350; with continuous rise, during the year 2013 the number of these investigation increased to 73891 (Table-II).

Existing Equipments

Air purification system Hot air oven Incubator Air petri sampling system Table top centrifuge Laminar flow Anaerobic jar with gaspak system

Laminar flow (vertical) LCD projector

Autoclave (vertical) Inspissator Membrane filter assembly Balance (electronic digital) Refrigerator with stabilizer Mini centrifuge CO2 incubator Double distillation plant Phase contrast

microscope Deep Freeze – 20, - 70 Electrophoresis with power pack Table top centrifuge ELISA plate reader ELISA plate washer Thermocycler Flow cytometer Fluorescent microscope Tissue homogenizer

Table – II: Various diagnostic investigations done from 2008 to 2013

Year Bacte-riology

Ana-erobic

Serl-ogy

Myco-bacteriol

ogy

Mycol-ogy

Ente-ric

Virol-ogy

Para-sitology

Total

2008 13365 75 10227 1570 2425 187 18501 - 46350 2009 14688 66 11976 1567 682 200 21242 2793 53214 2010 15623 - 10425 1475 803 205 26632 2137 57300 2011 17199 74 8969 3290 761 241 26681 2601 59816 2012 19139 147 10796 2316 1044 309 34013 3075 70947* 2013 20035 0 12286 1973 789 354 35183 2873 73891*

* including PCR for TB test also. (III) DEPARTMENT OF RADIO DIAGNOSIS & IMAGING Year of establishment: 1962 This department is a comprehensively patient care and training center to under graduate and post graduate students. Department is having diagnostic facilities of both conventional and special radiology; Ultra-sonography, Color Doppler, CT. Scan and MR Imaging. The 64 Slice CT under PPP is also under this department. Since its inception, the department has consistently installed diagnostic equipments of various modalities, and machines well maintained by self-generated resource. Recently

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installed new empowerment of 64 - Slice CT, 4D-Ultrasound, Digital Radiography and 1.5 Tesla MRI systems are providing high-end diagnostic impetus and up-to-date radio diagnosis of the patients of this region. For clinical management 175205 patients availed these services in the year 2013, this is more than 1.5 times higher than the years 2008 (115567). The number of investigations is rising each year as shown in Table-III. Existing Equipments

X-ray machines Color Doppler Mammograph Mobile X-ray units C.T. (Conventional) 64 slice CT scan Ultrasonograph MRI (0.2 Tesla) MRI (1.5 Tesla)

Table – III: Various diagnostic investigations done from 2008 to 2013

Year Plan X Ray

MRI CT Scan USG Color Doppler

Mammo-graphy

Total

2008 85318 2747 12808 13454 1068 172 115567 2009 90797 2548 23537 14799 1537 197 133415 2010 98943 3779 24295 18711 2128 318 148174 2011 83958 5131 21478 21295 2666 217 158098 2012 104389 5630 29957 20116 3051 156 163299 2013 110613* 5604 32216 23619 3153 Nil 175205

* X-ray,CR & DR (IV) BLOOD BANK Year of Establishment: Licensed in 1997 Transfusion Medicine is an integral part of critical care and ICU management. It aims at 1- Care of blood donor and recipient 2- Provision of abundance of blood and clinically effective blood products 3- Optimal and appropriate clinical use of available blood using component therapy 4- Providing transfusion support to the oncology patients and 5- Providing transfusion support to patients with Thelassemia and hemophilia. The blood bank functions 24 hours on all the 365 days. The facilities that are available are 40% component preparation, cell separator facility, routine plateletpheresis and plasmapheresis, leucoreduction in component production, gel card technology for blood grouping and coomb’s crossmatching. Blood unit’s collection and necessary separations are continuously on increase. During the year 2013, a total of 19777 blood units were collected out of which 16361 were voluntary donation while 3416 were replacement donation (Table-IV). The total number 16032 units were converted to its blood components FFP, Platelets concentrated, RBC concentrate; 360 units were also converted to Cryoprecipitate. The blood collected in the bank was much higher than the year 2012 (18679) Existing Equipments

Automatic Tube Sealer (Terumo)

Xylo- auto mated gel card blood grouping equipment

Freeze Dryer

Blood Collection System Double door Blood Storage Refrigerator

Distillation Still, Automatic

Vertical Laminar Flow Single door Blood Storage Refrigerator

Blood Storage Refrigerator

Hot Air Oven Cell separator Vertical deep Freezer (-700C) Autoclave, Vertical Electronic Balance, 200 gm. Refrigerated Centrifuge

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Water Bath Incubator Refrigerated Water Bath Frost Free Refrigerator Blood Storage Refrigerator 40C -200

Bags Horizontal Laminar Flow

Electronic Balance Vertical Deep Freezer (-700C) pH Meter Deep Freezer ( -40OC) Refrigerated Centrifuge Hand Tube Sealer with Cutter Gel card Reader Platelet Incubator with Shaker ELISA Reader + Auto Wash Remi Centrifuge - 8C, Table Top

Cryobath

Vertical Autoclave Refrigerator 310 Lt. Table – IV: Blood Bank Activities during the year 2013 Year 2011 2012 2013 Total Donation 16069 18679 19777 Whole blood 3821 18679 19217 RBC Concentrate ( Packed Cell) 12248 15239 16032 FFP 12248 15239 16032 Platelet Concentrate (Random Donor) 12248 15239 16032 Cryoprecipitate 321 360 360 Platelet pheresis (SDP) 205 115 296 Plasmapheresis 74 Nil 360 Leucoreduced blood products 1960 14482 2070 Voluntary donation 11689 14482 16361 Replacement Donation 4380 4197 3416

(V) CENTER FOR CLINICAL INVESTIGATIONS Year of Establishment: 1979 In 1979 Clinical Pathology Unit of the department of Pathology was upgraded as Center for Clinical Investigation. To provide diagnostic services to patients attending SS Hospital, the center functions 24 hours on all the 365 days and carries biomedical and hematological investigations and almost all the investigations prescribed in the hospital. Clearly indicated in Table-V that during the years 2013 a total of 1247983 various investigation were carried that are much higher in number compared to the years 2012 (1127971). Existing Equipments

Autoanalyser,Beckman 3 Part hematology analyzer Portable Flow cytometer Autoanalyser Flexor 3 Part hematology analyzer Photocopier Autoanalyser Flexor 5 Part Differential hematology analyzer

Table – V: Various diagnostic investigations done from 2008 to 2013

Year Glucose/Urea LFT & Others*

CSF & Urine Hematology Total

2008 76812 86770 29496 92832 285910 2009 66404 634186 31314 91388 823292 2010 68702 689650 35268 106408 900028 2011 73994 767525 32140 106464 980123 2012 76935 891410** 30387 129239 1127971 2013 77340 1003995 27979 138669 1247983

*- other includes Renal Profile and Lipid Profile ** - Iron Profile also include.

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(VI) DEPARTMENT OF ANAESTHESIOLOGY Year of establishment: 1971 Department of anesthesiology established in 1971 is one of the best in clinical and experimental research. Its 16 bedded Intensive Care Unit (ICU) is only one of its kinds in Eastern UP and Bihar. In the year 2012 a total of 29851 major and minor operations were supported that increased to 30616 during the year 2013. In addition, 65 patients were admitted in the pain clinic ward and every day more than 9 cases for pre-anesthetic checkup and about 22 patients in pain outdoor clinic attend. The bed occupancy rate of ICU is 100% and in pain only 22.05%. Existing Equipments

Anaesthesia Machine with Ventilator

ICU Moduler Monitor Radiofrequency Generator (RF)

Facility to monitor thr patient from home (web server)

Arterial Blood Gas (ABG) Monitor Image Intensifier

Airway Management Non Invasive Cardiac Monitor BIS Monitor ICU Ventilator Ultrasound with color doppler Cardic outpit monitor Dialysis and CRRT machine

Table – VI: Major & minor surgeries carried from 2008 to 2013

Year Major Minor Total 2008 8984 15157 24141 2009 12777 11278 24055 2010 9815 15351 25166 2011 10658 16483 27141 2012 10840 19011 29851 2013 11109 19507 30616

(VII) DEPARTMENT OF GENERAL MEDICINE Year of establishment: 1960 Department has been a dynamic department since its inception with all specialties. Latter on different specialties Tuberculosis and Chest diseases, Skin & VD, Psychiatry, Neurology, Nephrology, Cardiology, Gastroenterology and Endocrinology separated and were created as the departments. The research activities of the department are in the areas of visceral leishmaniasis, leptospirosis, clinical, immunological studies and drug trials on various rheumatologic disorders, mutational analysis in coagulation disorders and chronic haemolytic anemias. The attendance of outdoor patients in the year 2013 increased to 140451 compared to the year 2012 (130657). In the year 2012 a total of 5052 patients were admitted that was 5200 during the year 2013. The bed occupancy rate was about 90% since 2011.The ART centre recording continuous rise in HIV patients load, though number of new cases were almost same in number over the years. Existing Equipments

Deep Freezer (-200C) Flow cytomer Co2 Incubator Pulmonary function test apparatus (spirometer) Transmulliminator UV Electrophoresis Unit Deep Freezer ultra low (– 860C) ECG recorder

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Table – VII: Outdoor & Indoor patients from 2008 to 2013

Year Outdoor patients Indoor Patients Ratio of IPD to OPD (%) 2008 100878 5357 5.31 2009 116019 5703 4.92 2010 119199 6569 5.51 2011 123865 5674 4.58 2012 130657 5052 3.87 2013 140451 5200 3.70

(VIII) DEPARTMENT OF PEDIATRICS Year of establishment: 1965 The present Children Hospital was inaugurated by late Prime Minister Indira Gandhi in 1965. This hospital has now become a nodal and prestigious center for providing Child Health Services in this region. The research activities on the specialized dimension nutrition and its impact on various aspects of child health, Pediatric infections, and studies on low birth weight babies/ peri-natal asphyxia/ sepsis/trace elements and nephritic syndrome is the continuous process. The department has also its own laboratory and carries out routine examinations of blood, stool, urine and CSF and specialized tests for anemia. Recently department was extended to a three storied building with a huge space for outdoor. The 4th story is also added and under construction. The out patient load is continuously on rise (Table-VIII) and has gone 1.6 times (49963) in 2013 compared to the year 2008 (30700). The admission in pediatric medicine ward during 2012 was 2298 that increased to 2517 during 2013. The ratio of admission to OPD attendance was varying “between” 5% to 7% since 2008 to 2013. The bed occupancy rate in the ward was always more than 100% during 2011 and 2012; but there was a sudden fall of 16% in bed occupancy during 2013 (87.68%). Existing Equipments Neonatal Ventilator Patient Care Monitors ECG Machine & Defibrillator Pediatric Ventilator Servo Controlled Radiant

Heat Warmer Compressed air system

Automatic Blood Gas and Electrolyte Analyzer

Phototherapy Unit Electronic baby weighing machine

Oxygen and Suction Gas Plant Pulse Oximeter Portable echocardiogram machine Jaundice meter Patient care monitors Table – VIII: Outdoor & Indoor patients from 2008 to 2013

Year Outdoor patients Indoor Patients Ratio of IPD to OPD (%)

2008 30700 2039 6.64 2009 33021 2273 6.88 2010 35725 2518 7.05 2011 34747 2437 7.01 2012 35839 2298 6.41 2013 49963 2517 5.04

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(IX) DEPARTMENT OF DERMATOLOGY & VENEREOLOGY Year of establishment: 1988 The department had its shape as a section in the Department of Medicine in 1964, and became full-fledged department in 1988. Significant contributions include optimization of topical corticosteroid therapy, Suction blister technique for melanocyte inoculation and wound management. Wound clinic was initiated in collaboration of the departments of surgery and medicine. The attendance in OPD of wound clinic in 2012 was recorded as 13522 that reduced slightly to 11869 during the year 2013. OPD patients in Skin VD were always on the rise and increased from 50650 during 2008 to 71265 in the year 2013 (Table-IX). The admission rate was very less as compared to OPD cases; 394 in 2010, 352 in 2011, 301 in 2012 and 332; indicating around 30% bed occupancy rate. Existing Equipments

Fluorescent Microscope Multi media projector Cryojet Dark ground microscope Radio frequency counting Microdermabrader Q-Switched Nd Yag laser (Akira), 1064 nm

Whole Body Phototherapy Unit-UVec 12+12 ANB

Intense pulsed Light

Radiofrequency Machine

Whole Body Phototherapy Unit, 24 NBUVB (311nm)

Intense pulsed light for hair Removal

Table – IX: Outdoor & Indoor patients from 2008 to 2012

Year Outdoor patients

Indoor Patients

Ratio of IPD to OPD (%)

Wound Clinic OPD patients

2008 50650 286 0.56 2112 2009 54339 254 0.47 9725 2010 55252 394 0.71 10612 2011 55980 352 0.63 12692 2012 61764 301 0.49 13522 2013 71265 332 0.47 11869

(X) DEPARTMENT OF PSYCHIATRY Year of establishment: 1971 The department established in 1971, had a significant contribution in starting of De-addiction Centre (Mahamana Jyoti Kendra). Compared to the year 2009 the out patient load that was 27546 increased to 33958 in 2013. Though, the OPD patients had been increasing over the years since 2008, but observed sudden fall of about 1300 patients during 2013; the patient’s admission also was falling since 2010. A total of 385 patients including MMJ Kendra were admitted during 2013, lesser by 86 patients compared to the year 2012. The bed occupancy rates in Psychiatry and MMJ Kendra was 35.52% and 20.93% that were lesser than the year 2012 (Table-X). Existing Equipments

Computerized EEG Machine 24 Channel Flame Photometer Biofeed Back apparatus Brief Pulse ECT Machine Defibrillator ECG Machine Boye’ls apparatus ECT Machine Video EEG Machine Multipara Monitor (ECG Monitor + Oximter)

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Table – X: Outdoor & Indoor patients from 2008 to 2013

Year Outdoor patients Indoor Patients* Ratio of IPD to OPD (%)

2008 23265 701 3.01 2009 27546 635 2.39 2010 29757 716 2.51 2011 29536 491 1.78 2012 35246 471 1.44 2013 33958 385 1.21

* Including MMJ Kendra

(XI) DEPARTMENT OF RADIOTHERAPY & RADIATION MEDICINE Year of establishment: 1967 The department established in 1967 and is well equipped for the management of cancer patients using ionizing radiation and sophisticated radiotherapy equipment and cancer chemotherapy facility. The department has two latest version rotational tele-cobalt units for external beam radiation therapy and both manual and computer controlled remote after-loading system for brachytherapy. The department also has Radiation Therapy Simulator for treatment planning and field verification, computerized treatment planning system and facility for making thermoplastic immobilization cast. Recently, a new 30 bedded ward in the first floor of the department has been completed and an additional building to house a new linear accelerator and associated facility is under construction. The out patient load in 2012 was 20679 that had decreased to 20315 in 2013, but the number of inpatients had shown increasing trend since 2008 (Table-XI). The bed occupancy rate that was 56.1% in 2011 had reduced to 55.8% in 2012, but increased to 60.90% in 2013. Around 20% of OPD cases during 2013 were admitted. Existing Equipments

Secondary Standard Dosimeter (SSD – 116)

Gamma Zone Monitor (GA720) Gamma Zone Monitor

Radiation Survey meter (SM-140-D)

Treatment Planning Simulator (Shimadzu) Survey Meter (#60)

Contamination Meter Amersham Cs-137 Interstitial brachytherapy kit

Secondary Standard Dosimeter (ND - 11)

Amersham Manual after loading brachytherapy kit

Phoenix Rotational Telecobalt Unit Secondary Standard Dosimeter

Selectron Digital Barometers (Model 02-400) Pocket Dosimeter (730) TSD Radplan TPS DIGIRAD Digital Radiation Survey Meter Theratron 780E Rotational

Telecobalt Unit TLD reader Prone Head Holder Shoulder Refractor ISO Align Device Breast Board Testicle Shield Set Pituitary Board Body Board Secondary Standard

Dosimeter 6 MV linear accelerator Treatment planning system Intensity modulated

radiotherapy (IMRT)

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Table – XI: Outdoor & Indoor patients and other services carried from 2008 to 2013


Indoor Patients Ratio of IPD to

OPD (%)

Ex. RT, ICR

Chemotherapy

2008 15068 2395 15.89 1434 2004 2009 19183 2698 14.06 1377 5223 2010 20550 2894 14.08 1725 2892 2011 22018 3124 14.19 1538 4968 2012 20679 3307 15.99 1493 5481 2013 20315 4177 20.56 1410 5381

(XII) DEPARTMENT OF TUBERCULOSIS & RESPIRATORY DISEASES Year of establishment: 1988 It is a ful fledged Department with a tertiary care centre at one of the apex Institutes of the country for the diagnosis, treatment, teaching, training and research in the field of tuberculosis, asthma, allergy, COPD and allied sciences. In 2013 High Dependency Unit (HDU) and MDR TB ward were established and DOTS program started. In the year 2011 the out patient load was 38799 that increased to 44576 in 2012 and further to 46056 in the year 2013; while inpatients load was 1779 in 2011 that increased slightly to 1832 during 2012 and almost same (1865) in the year 2013. The bed occupancy rate in 2011 recorded was 82.9% and remained the same during the year 2012 (82.9%), but during the year 2013 increased to 93.64%. Over the years since 2008; about 4% OPD cases were admitted (Table-XII). . Existing Equipments

Bronchoscope Non-Invasive Ventilator Nebulizer Pulse Oxymeter PFT USG Machine Polysomnograph AVAPS, CPAP auto, Neblisers PAP Machine

Table – XII: Outdoor & Indoor patients from 2008 to 2013


2008 36373 1633 4.49 2009 36003 1552 4.31 2010 37359 1750 4.68 2011 38799 1779 4.59 2012 44576 1832 4.11 2013 46056 1865 4.05

(XIII) DEPARTMENT OF GENERAL SURGERY Year of establishment: 1962 Since its establishment in 1962, the department glorified with contribution in, service, clinical innovation and research. Today this department stands tall in the country as well as in the international arena for its patient care and academics. It is a tertiary care center in eastern UP and provides excellent patient care services by performing

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various sophisticated surgical procedures. The out patient load showing continuous rise since 2008 and increased from 38664 in 2008 to 55735 in 2013. More than 7% outpatients seek admissions for their surgical intervention. Major and minor operations carried were about 4000 in the ratio of about 2:1 during the year 2013 (Table-XIII). The bed occupancy rate in male surgical (A & B combined) during 2013 was 76.50% that was almost similar to the year 2012 (76.2%), while the bed occupancy rate of female surgical (A) increased slightly from 78.5% in 2012 to 80.97% in the year 2013. Existing Equipments

Ultrasound Scanner Fiberoptic Lower G.I. Colonoscope, Choledochoscope Laparoscopy Instruments Radiofrequency Ablator Diathermy Machine Infra Red Coagulator Videogastroduodenoscope, Videocolonoscope set

Electro Mechanical Operation Table

C-arm System Anal Manometry Magnum Biopsy Gun Electrical Surgical Operating Table Suction Irrigation Pump Luxtec Light Xenon

Table – XIII: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients


Major Operations

Minor Operations

2008 38664 2901 7.50 2148 2390 2009 44824 4303 9.60 2248 1596 2010 43335 4521 10.43 2182 1490 2011 46932 4321 9.21 2264 1492 2012 52631 4033 7.66 2445 1553 2013 55735 4194 7.52 2651 1431

(XIV) DEPARTMENT OF OBSTETRICS & GYNAECOLOGY Year of establishment: 1964 The Department established in 1964 is actively involved in Social Obstetrics, Family Planning, Cancer Prevention, Maternal and Child Health Care, Adolescent and Geriatric Gynaecology, HIV and AIDS prevention and Repnxluctive Medicine. The Department is under the process of planning to develop advanced PG Training Centers in Reproductive Medicine to establish research laboratory for genetic & immunological tests for conducting research in newer methods of Contraceptive Technology. As indicated in Table-XIV, the outpatient load including PP Unit in 2011 was 45034 that increased to 47249 in 2012 but slightly decreased during 2013 (46772); the ratio of inpatients to outpatients was approximately 9:1. During 2012, 2126 deliveries took place under the supervision of the consultants that was much less in comparison to the year 2013 (1991). During the year 2013, major and minor operations carried were 1858 and 921 respectively little higher than the year 2012. The bed occupancy rate in Obstetrics & Gynecology was about 61.76% and 86.31% that are little less than the year 2012 (65.5% in Obstetrics & Gynecology ward and 89.5% in maternity ward).

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Existing Equipments

Endoscopic instruments Advanced endoscopic instruments

Color Doppler machine

Endoscopic Hand instruments Patient monitor with central monitoring station

Colposcope machine

Complete laparoscopic set CO2 incubator Cardiotocograph with central monitoring station

Cognate Electro Hydraulic O.T. Table Surgical Diathermy Table – XIV: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013

Year Outdoor patients*

Indoor Patients*

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 39923 3860 9.67 868 800 2009 42759 3469 8.11 748 588 2010 39927 4325 10.83 1695** 484** 2011 45034 4083 9.07 1628** 359** 2012 47249 3755 7.95 1815** 822** 2013 46772 3648 7.80 1858** 921**

* including PP unit, ** including obstetric emergency

(XV) DEPARTMENT OF ORTHOPAEDICS Year of establishment: 1971 Orthopedic Services in eastern UP were first started in 1959; later on the Division of Orthopedics in 1962 and subsequently in 1971 Division nursed to a fully fledged department. The Department has infrastructure in the form of an Operation Theatre, 64 bedded ward and Rehabilitation services. The advanced surgical procedures like repair and replacement of knee, elbo, hip and shoulder are conducted successfully. As shown in Table-XV, the out patient load in the year 2011 was 64053 which had increased to 69408 during the year 2012 and further to 70607, though the admissions of the patients was decreasing since 2010; from 2140 during 2010 to 1818 in 2011 and subsequently 1677 in 2012 and 1600 in 2013. The ratio of admissions to OPD attendance was nearly 2% to 3% over the years. Major operations carried in 2013 were 724, while minor operations 54. Major operations carried in 2013 were higher in number than the year 2012. The bed occupancy rate recorded in orthopedics was 92.97% and in traumatic ward 91.11% respectively. Existing Equipments

Acsculap drilling system C-Arm Image Intensifier Electronic Tourniquet Cognate O.T. Table Pneumatic Drill Equipment for Joint Replacement Interlocking nails Arthroscope with Shaver C-Arm image intensifier in emergency OT Pneumatic Tourniquet

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Table – XV: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients*

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 51936 1979 3.81 854 134 2009 59944 1868 3.12 452 161 2010 59774 2140 3.58 636 139 2011 64053 1818 2.84 735 129 2012 69408 1677 2.42 657 93 2013 70607 1600 2.27 724 54

* including traumatic ward (XVI) DEPARTMENT OF OPHTHALMOLOGY Year of establishment: 1964

A separate departmental building by the donation from Bhuvalka trust was constructed. In 1981 MCI approved the MS Ophthalmology degree. The major research activities include amniotic membrane and limbal stem cell transplantation in ocular surface disorders in collaboration with Department of Zoology. Techniques in the department include a scan biometry, Nd Yag laser for posterior capsulotomy and iridotomy, automated perimeter for visual field charting. The department is providing free eye-relief camps in Varanasi for combating blindness. Eye bank was opened in 2006. The outpatient attendance seems to increase exponentially; in 2012 the OPD attendance was 58395 that increased to 72149 in 2013; nearly 5% to 7% OPD patients got admitted, while the indoor patient’s number decreased slightly from 4116 in 2012 to 3877 in 2013. During the year 2013, a total of 196 major and 3623 minor operations were conducted that are lesser compared to the year 2012 (Table-XVI). During the year 2013 bed occupancy rate remained almost similar to 2011 and 2012 and was about 35%. The bed occupancy rate has been always around 35% since 2011; in fact lesser bed occupancy rate is because most of the patients stay only for few hours in day time and census is carried during night only when almost all the beds are vacant. Existing Equipments

Surgical Operating Microscope Slit Lamp Co2 Auto-Refracto-Keratometer Phacoemulsification Unit (Oeterli) Digital Fundus Camera Laminar Flow Hood Humphery Visual Field Analyzer Nd Yag Laser CO2 Incubator A Scan-Biometer Posterior Vitrectomy Unit Inverted Phase Contrast

Microscope Table – XVI: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 42882 3237 7.55 187 3448 2009 51235 3546 6.92 213 3474 2010 54677 3386 6.19 233 3070 2011 56729 3707 6.53 175 3441 2012 58395 4116 7.05 246 3876 2013 72149 3877 5.37 196 3623

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(XVII) DEPARTMENT OF OTORHINOLARYNGOLOGY (ENT) Year of establishment: 1964 The Department was created in 1962 in old hospital building; later on shifted to on the first floor of Bhuvalika Hospital. The department is fully equipped with the facilities of separate OPD, OT, wards, pathology lab, audiology laboratory, audio logy clinic. Temporal bone lab provides high quality of medical care to millions of patients. The major facilities are pure tone audiometry, paediatric audiometry, speech audiometry, impedance audiometry and brain stem evoked response audionletry. All routine and advance surgeries including ear-micro surgery, microlaryngeal surgery and endoscopic sinus surgery are performed regularly. The out patient load is continuously increasing and recorded about 1.5 times in 2013 (73000) compared to the year 2008. Every year about 2% to 3% outpatients are getting admissions for treatment. The number of indoor patients had decreased from 2268 in the year 2012 to 2133 during 2013. The major and minor operations conducted during the year 2013 were 194 and 2374 that are slightly lesser than 2012 (Table-XVII). The bed occupancy rate during the year 2013 was 57.86%; showing a continuous decrease since 2011 (71.6% in 2011 and 64.2% in 2012). Existing Equipments

Zeiss Operating Microscope Pure Tone Audiometer Micro motor Drills for Otology Surg ENT Treatment Units Impedance Audiometer Fiber optic Headlights Bipolar Cautery/Surgical Diathermy

Brain Stem Evoked Response Audiome (BERA)

Storz Nasal & Sinus Endoscopy Se with Camera

Impedance Audiometer Flexible Nasopharyngoscope CCD Camera Microdrill Multimedia Projector Microdebrider Unit Pure tone Audiometer

Table – XVII: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 52711 989 1.88 110 1107 2009 58530 1261 2.15 134 1339 2010 57775 1809 3.13 139 1579 2011 63347 2022 3.19 340 1806 2012 62209 2268 3.65 203 2446 2013 73000 2133 2.92 194 2374

(XVIII) DEPARTMENT OF CARDIOLOGY Year of establishment: 1998 This specialty was established as the Division of cardiology in the department of Medicine in the year 1962 and upgraded as a full-fledged department in 1998, though the Super specialty course - DM (Cardiology) was started in 1979. The department is actively engaged in patients care, teaching and research. The out patient load in 2013 (43555) had increased 3.5 fold compared to the year 2008 (12136) and nearly 7000 more patients compared to the year 2012 (Table-XVIII). The patient’s

34

admission including CCU in 2012 was 2092 that increased tremendously to 2593 in 2013. Since, the OPD patients are increasing, the decreasing rate of admission was seen. The bed occupancy rate in CCU was decreasing from 97.1% in 2011 to 95.6% in 2012 and further to 72.45% in 2013; while in cardiology ward it was 47.3% during 2011; 49.9% in 2012 and 54.84% in 2013. In 2013 ECG was carried of 38832 patients. Moreover, 1285 Angiography and 308 Angioplasty were done during the year 2013. Existing Equipments

2D ECHO Colour Doppler System Holter Recorder system C-Arm Image Intensifier TMT Machine Cath Lab Cardiac cath lab BPL 12 channel ECG machine Sonosite M-Turbo colour doppler

system Biphasic Defibrillators

Truscope elite – modular Monitor with central monitor Table – XVIII: Outdoor & Indoor patients and other services from 2008 to 2013


Indoor Patients*

Ratio of IPD to

OPD (%)

TMT, Echo, Color Doppler, Holter

Monitoring ECG

Pace Maker

Implant 2008 12136 1737 14.31 3053 26042 168 2009 14756 1761 11.93 2839 29115 174 2010 15794 1732 10.97 3357 35445 232 2011 22180 1994 8.99 6968

(Angiography – 328) (Angioplasty - 37)

38729 237

2012 35590 2092 5.88 9706 (Angiography –928 ) (Angioplasty -176 )

42055 167

2013 43555 2593 5.95 11252 (Angiography –1285)

(Angioplasty – 308)

38832 192

* Including CCU (XIX) DEPARTMENT OF ENDOCRINOLOGY METABOLISM Year of establishment: 1998 The Division of Endocrinology was established in 1964 in the Department of Medicine and was upgraded to a full fledged Department in year 1998. Currently population data base of Bone Mineral Density & study on peripheral vascular disease in diabetes are the major research activities. The out patient load has shown continuous increase since 2008 (Table-XIX). Compared to the year 2012, the OPD patients load was higher by 550 patients in 2013 (24698); the admission rate (ratio of IPD to OPD) was continuously on decrease since 2008 (3.57% in 2008 and 2.09% in 2013). Indoor patients were almost same during 2012 and 2013. The bed occupancy rate has shown increasing trend; 39.8% in 2011, 46.2% in 2012 and 53.12% in 2013. In the year 2013 more than 43000 (43211) various investigations were carried by the departmental lab that were much more in number (40550) compared to the year 2012.

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Existing Equipments

Auto analyser Dopplex rheo-doppler Elisa reader Dexa bone scan Insulin infusion pump Immulite-1000 Gamma counters Ds-5 a1c Single Well Gamma Counter

Table – XIX: Outdoor & Indoor patients from 2008 to 2013


Indoor Patients


T3, T4, TSH, LH, FSH, PRL & Testestrone, BMD, Insulin, A1C

2008 14231 508 3.57 7911 2009 15755 544 3.45 22256 2010 18131 489 2.70 29911 2011 21375 449 2.10 32144 2012 24134 525 2.18 40550 2013 24698 517 2.09 43211

(XX) DEPARTMENT OF NEPHROLOGY Year of establishment: 1998 The Division of Nephrology was created in 1976 in the Department of Medicine and was upgraded to a fully fledged department in 1998. DM (Nephrology) course was started in 1980. The thrust research area of department is; acute renal failure, diabetic nephropathy, renal diseases in elderly and renal disorder of pregnancy. The department provides regular renal replacement therapy (RRT), renal biopsy and CAPD in addition to care of patients with all kind of renal diseases. The department had been also involved in international project" Screening and early evaluation of kidney disease (SEEK)" a multi- centre study in India. Major projects on use of Herbal Medicine in Kidney diseases are now under trials. Future plan include development of cadaveric renal transplant and to create the regional centre for renal sciences. The outpatient load increased from 10633 in 2008 to 14887 in 2013; slightly less compared to 2012 (15639). The admission rate was seen to be decreasing from about 13.39% in 2008 to 7.07% in 2013 (Table-XX). In the year 2013 about 1052 patients including those put on dialysis were admitted. The bed occupancy rate in Nephrology ward was also recorded decreasing from 97.5% in 2011 to 95.2% in 2012 and further to 92.83% in 2013. The bed occupancy rate in dialysis ward was very less and shown drastic decrease in 2013; it was 42.9% in 2011, 20.6% in 2012 and 11.92% in 2013. Existing Equipments

Haemodialysis Monitor P.D. Cycler Cardiac defibrillator ECG Machine R.O. Plant (Gambro) CRRT Pump Dialyser Reuse System

Table – XX: Outdoor & Indoor patients from 2008 to 2013


2008 10633 1424 13.39 2009 12733 1588 12.47 2010 12882 1692 13.13 2011 13810 1597 11.56 2012 15639 1280 8.18 2013 14887 1052 7.07

* Including Dialysis patients

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(XXI) DEPARTMENT OF GASTROENTEROLOGY Year of establishment: 1998 The Division of Medical Gastroenterology became a full-fledged department in 1998. It is a fast growing specialty resulting magnificent strides made in last two decades that has completely changed the gastroenterology practice of teaching and investigative approach. It has got fairly good endoscopy unit carrying out diagnostic and therapeutic endoscopies. The annual OPD attendance had shown continuous rise of patients. During the year 2008 the OPD attendance was 44093 that increased 70890 in 2013; while number of indoor patients decreased from 1217 in 2010 to 938 in 2013 indicating fall in ratio of indoor patients to outdoor patients (Table-XXI). The bed occupancy rate was showing increasing trend since 2011; it was 91.8% in 2011, 92.1% in 2012 and 96.19% in 2013. In addition, the department has a laboratory carrying out more than 1000 specific investigations each year. Existing Equipments

DU-6 Spectrophotometer Fiberoptic Endoscopy Argon Plasma Coagulation ELISA Reader and Washer Videogastroscope set C-Arm Machine USG machine Capsule Endoscope Opympus Binocular Research

Microscope Hydrogen Breath Analyser Multipara Monitor Sanyo Deep Freezer -860 C

Table – XXI: Outdoor & Indoor patients from 2008 to 2013


2008 44093 1022 2.32 2009 51315 997 1.94 2010 56866 1217 2.14 2011 62113 1034 1.66 2012 67684 1006 1.49 2013 70890 948 1.34

(XXII) DEPARTMENT OF NEUROLOGY Year of establishment: 1998 The specialty of Neurology started in 1966 and was upgraded to a Department in 1998, though the DM course had been started in 1976. The major research activities are in the areas of withdrawal of antiepileptic therapy, profile of Vito B 12 deficiency, clinico-radiological study of paraplegia and quadriplegia, profile of chronic epilepsy. The laboratory services offered by the department for patient care and research are EEG, NCV, EMG, Evoked Potential studies, muscle and nerve biopsy, genetic analysis in collaboration with other centers. The attendance of outdoor patients compared to the year 2008 has gone up about 2.5 fold in 2013; compared to the year 2012, the OPD patients load was higher by 4000 patients (Table-XXII). The admission rate to OPD patients was also increasing; 2.58% in 2011, 3.08% in 2012 and 3.94% in 2013. The bed occupancy rate has shown slightly decreasing trend from 97.8% in the year 2011 to 94.73% in 2013. In addition 2944 investigations were carried in 2013 that are about 2 fold compared to the year 2012 (1449).

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Existing Equipments

GRASS 10 Channel Analog EEG Machine

RMS 4 Channel EMG/NCV Machine

COMET 40 channel Video EEG Machine

DANTEC EMG/EP 4 channel Eectro-physiological machine

EMG/NCV/EP system

Table – XXII: Outdoor & Indoor patients and other services from 2008 to 2013


EEG

2008 16968 868 5.12 2691 2009 23981 628 2.62 1456 2010 25822 815 3.16 1357 2011 32582 839 2.58 1400 2012 35894 1107 3.08 1449 2013 40175 1583 3.94 1120

* Including Stroke ward

(XXIII) DEPARTMENT OF NEUROSURGERY Year of establishment: 1998 The Division of Neurosurgery was established in 1964 in the Department of Surgery which grew to a full-fledged department in 1998. M.Ch (Neurosurgery) had been started in 1976. The major thrust area to develop Brain Tumor Immunology and Brain Trauma Centre. The outdoor attendance had been on the peak (99136) in 2010 that decreased tremendously to 75658 in the year 2011 and further to 36834 during the year 2012 and increased thereafter to 49705 in 2013. The indoor patient’s number also fell down from 1039 during 2010 to 845 in 2011 and further to 644, but increased to 789 in 2013 (Table-XXIII). The admission rate was continuously increased since 2009 and was recorded 1.75% in 2012 with a slight decrease of 0.16% in 2013. A total of 756 patients underwent surgery (456 major and 300 minor) during the year 2013. Bed occupancy rate in 2012 recorded was more than 100% that fall to 94.31% in 2013. Existing Equipments

C-arm with DSA High Speed Drill machine Navigation System Neuroendoscope Operating Microscope

Table – XXIII: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 58863 897 1.52 314 303 2009 79196 864 1.09 288 389 2010 99136 1039 1.05 366 375 2011 75658 845 1.12 410 294 2012 36834 644 1.75 370 384 2013 49705 789 1.59 456 300

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(XXIV) DEPARTMENT OF CARDIOVASCULAR & THORACIC SURGERY Year of establishment: 1998 The super specialty of Cardiovascular and Thoracic Surgery came into existence in 1964 as a Division and became a full fledged department in 1998. The major thrust area of the department is open heart surgery and coronary bypass surgery. In addition to PG students of the General Surgery, Department is providing super specialty training in Cardiothoracic Surgery for a period of 2-8 months. Recently department acquired a new heart lung machine and a hypothermia machine. The out patients load in the year 2013 slightly decreased to 10785 compared to the year 2012 (11125). Similarly indoor patients also decreased; 367 in the year 2012 and 324 in the year 2013 (Table-XXIV). Admission rate was almost similar since 2011. Major and minor operations carried during 2013 were 181 and 831 respectively. The bed occupancy rate in the year 2011 was recorded as 67.7% that remained almost similar to the year 2012 (68.5%), but increased slightly to 72.925 during the year 2013. Existing Equipments

ICU Monitor (BPL)-02 Sternum Cutting Saw ICU Ventilator Adult (Maquet) OT Table Olympus ENF Bronchoscope ICU Ventilator Paediatic (Maquet) Heart Lung Machine (Stockert)

Fujinon Bronchoscope Heater Cooler Machine

Haemotherm Heater Cooler Machine

ICU Monitor -01 (L&T), ACT Machine, Mini II

High speed portable Autoclave, Eschmann

Fujinon Video Bronchoscope Funion Flexible fiberoptic Bronchoscope

Sechritst machnical Gas blender

Table – XXIV: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 10079 559 5.55 190 958 2009 10767 427 3.97 211 962 2010 10667 435 4.08 248 1029 2011 10802 348 3.22 210 835 2012 11125 367 3.30 196 815 2013 10785 324 3.00 181 831

(XXV) DEPARTMENT OF PEDIATRIC SURGERY Year of establishment: 1998 The division of Pediatric Surgery was established in 1965, M.Ch course was started in 1976 and the Division became a full-fledged department in 1998. Research activities in the field of nutritional aspects of congenital malformations: Hirschsprung's disease, ARM and pediatric malignancies are underway but major thrust is on Neonatal surgery, Pediatric Urology, Endoscopy and laparoscopy. The out patients load during the year 2012 was 14406 that slightly decreased to 13606 in the year 2013. In patients load during the year 2013 also increased to 1462 compared to the year 2012 (1405). The admission rate throughout since 2008 was around 10% Table-

39

XXV). Major and minor operations carried during the year 2013 were 1606 and 557 respectively that were slightly lesser than the year 2012 (1267 major and 798 minor)r 2011. The bed occupancy rate during 2011 and 2012 in pediatric surgery ward was 70.3 and 71.2% that has risen to 89.56% in 2013; while in NICU, bed occupancy rate fell down to 59.96% in 2013 compared to 92.7% in 2012. Existing Equipments

Harmonic Knife, Istate Blood Gas Analyser

Span Diagnositc, Ped. Video Colonoscope

Ultrasound Machine, Mobile X-ray Machine,

OT lights,and OT Table, Usha Dragge Ventilators

Broncoscope, esophagoscope Karl Storz, & Gastrodudonoscope, Olympurs

ECG Machine, Max Ventilator, Syringe Pumps

Aneasthesia Machine + 2 Multichannel Monitor +1 Pulse Oximeter,

ABG Blood Gas Analyzer, Modern Anesthesia Machine, Digital Diathermy

Truscope Monitors, Radiant Warmers, Slow Suction machine

Baby Log -1 & Savina -1 Ventilator ,Multipara Monitors, Pulse Oximeters, Difibrillaor Table – XXV: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients*

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 11157 1232 11.04 636 878 2009 13087 1279 9.77 674 994 2010 14007 1660 11.85 1107 632 2011 13982 1233 8.82 1181 649 2012 14406 1405 9.75 1267 798 2013 13606 1462 10.75 1606 557

(XXVI) DEPARTMENT OF PLASTIC SURGERY Year of establishment: 1998 The division of Plastic Surgery was started in 1964 with the objective of developing super specialty of Plastic Surgery, training of post graduates and rendering specialty services to the patients. The M.Ch (Plastic Surgery) course was started in 1976. The division was upgraded to a full fledge Department in 1998. Thrust areas for research include micro-circulation in fascia, evaluation of surgical outcome in cleft lip and palate. The pioneering work performed are in Fascio cutaneous, Adipofascial and Perforator based flaps and their vascularity, bacteriological study in Lymphedema, study of tendon healing, Distraction osteogenesis in short bones of hands and feet. Future plans include Naso endoscopy, LASER surgery and various endoscopic procedures and Aesthetic Surgery. A continuous rise of OPD patients including burn unit was recorded since 2008 (6063 patients in 2008 and 9580 patients in 2013); while decreasing trend was seen in inpatients since 2010 (Table-XXVI). The admission rate was also decreasing since 2010; 9.90% in 2010, 7.44% in 2011, 6.57% in 2012 and 6.09% in 2013. The major and minor operations carried in the year 2013 were 346 and 593 respectively. The bed occupancy rate in plastic surgery was 88.85% during 2013; slightly lesser (91.3%) compared to the year 2012; while 86.58% in burn unit during the year 2013 and 86.7% during 2012.

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Existing Equipments

Arjo Burn bath Plastic surgery instruments (JICA)

Nasoendoscope etc. as mentioned above

Pneumatic compression pump for lymphedema

Table – XXVI: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients*


Major Operations

Minor Operations

2008 6063 765 12.62 421 503 2009 7658 637 8.32 318 540 2010 7990 791 9.90 308 545 2011 8791 654 7.44 342 687 2012 9230 606 6.57 336 590 2013 9580 583 6.09 346 593

* Including burn unit

(XXVII) DEPARTMENT OF SURGICAL ONCOLOGY Year of establishment: 2005 This specialty started as the division of Surgical Oncology and became a full fledged department in 2004 with an upgraded Operation Theater. Recently, the department has started M.Ch course and the status of the faculty is well reflected being the member as Editor- in -chief of World Journal of Surgical Oncology. The out patient’s attendance is on continuous rise; in 2008 it was 12249 and in 2013 it went up to 20071; but indoor patients were reducing continuously from 891 in 2008 to 658 in 2013. The admission rate was continuously decreasing since 2008 (7.27% in 2008 and 3.28% in 2013). Major and minor operations carried during the year 2013 were 569 and 664. The bed occupancy rate was recorded nearly 90.0% since 2011. Existing Equipments

Laser, Laparoscope, Radio frequency generator Ultrasonics, Videoscopes and

Table – XXVII: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients


Major Operations

Minor Operations

2008 12249 891 7.27 627 592 2009 14167 735 5.19 567 444 2010 15211 828 5.44 524 467 2011 16753 784 4.68 544 561 2012 19072 777 4.07 530 613 2013 20071 658 3.28 569 664

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(XXVIII) DEPARTMENT OF UROLOGY

Year of establishment: 1998 The Division of Urology was established in 1970, became department in 1998. M.Ch. Urology course was started in 1978. The department is an established Uro-oncological centre performing all major onco-logical procedures and laparoscopy in addition to all common urological procedures. The department offers a comprehensive treatment for urological stone disease. The department is actively involved in research on chyluria, Ileal neobladder, cancer prostate and drug trials. The laboratory services of the department include Blood Biochemistry, Semen Analysis, Stone Analysis, Urine Examination and Uroflowmetry. The out patients load is continuously increasing over the years since 2008 (Table-XXVIII); during the year 2013 it increased to 32983 compared to the year 2012 (29598). The indoor patients load showed continuous decline since 2008 with slight increase in 2013; in 2012 it was 515 that increased to 564 in the year 2013. The ratio of POD patients to IOPD patients was continuously declining. The major and minor operations conducted during the year 2013 were 654 and 5191 respectively that were higher in comparison to the year 2012. The bed occupancy rate was nearly 100% since 2011; 97.7% in 2011, 98.0& in 2012 and 98.21% in 2013. Existing Equipments

Lithoclast PCNL Operating sets Laparoscope with accessories

Mobile Image Intensifier system with Dicom

C-Arm and Compatible O.T Table Operating Table Urodynamic measuring system Compact Operating Fibre Uretero Renoscope

EMS Swiss Lithoclast Master

High Definition Endo-Vision Camera

Electro Surgical Diathermy Diathermy Lithotrip C-Arm Compatible O.T. Table Resectroscope Uretero-Renoscope Nephroscope Laperoscopic Three Chip Endo Vision Camera Green Light Laser (LBO) 120 Watt

Table – XXVIII: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients


Major Operations

Minor Operations

2008 18182 669 3.68 625 2469 2009 22196 642 2.89 507 2991 2010 23931 817 3.41 621 3180 2011 25659 588 2.29 669 3462 2012 29598 515 1.74 648 4212 2013 32983 564 1.71 654 5191

(XXIX) DEPARTMENT OF DRAVYAGUNA Year of establishment: 1927 Department of Dravyaguna, one of the oldest Departments of Faculty of Ayurveda is contributing teaching and Research as its essential component. Department deals with Medicinal plants of Ayurvedic Classics, their identification, properties, action and therapeutic uses in accordance with fundamental Principles of Ayurveda. In Ayurveda more than 600 medicinal plants are included as drugs and they are used

42

either alone or in combination with each other to alleviate the disorders. In fact, they are grown in various agro-climatic zones (Jangala, Anupa and Sadharana Desa) of our country. Use of herbs as medicine has drawn the attention of Health planners of developed and developing countries around the World and also of World Health Organization (WHO) to address issues related to "safe, standard and quality" products based on medicinal plants. In the year 2012 a total of 3170 patients attended the outdoor that increased to 3933 during the year 2013 (Table-XXIX). Table – XXIX: Outdoor patients from 2008 to 2013 (No admissions are done through this department)

Year Outdoor patients 2008 4456 2009 3218 2010 2965 2011 3217 2012 3170 2013 3933

(XXX) DEPARTMENT OF KAUMARBHRIT (BALROGA) Year of establishment: 2006 The Kaumarbhritya/Balroga department was upgraded from the Kaumarbhritya Section of Prasuti Tantra in November 2006. PGDNCC is a uniquely designed course for medical talents who are interested in learning management of neonates and pediatric disorders with medical sciences specially. A continuous rise of OPD attendance was recorded; a total of 9747 children including Ayurvedic Nursery were seen in OPD during 2012 that increased to 11299 during the year 2013. Simultaneously indoor children patients also increased from 265 during the year 2012 to 354 in 2013. The bed occupancy rate in 2013 was much less; 54.73% in Ayurvedic Nursery and 33.45% in Kaumar Bhitt respectively (Table-XXX). Existing Equipments

Pulse Oximeter Neonatal Open Care System with (CPAP)

Phototherapy Unit

Neonatal Ventilator Neonatal Incubator Schiller Pulse Oximeter Multi Channel , Etoz Computer system Panchkarma Accessories Microprocessor PH meter Double surface photo therapy Traceable Dual Display metre Traceable sound metre Ultrasonic automatic measuring meter 500 GB waster digital hard

disk

Table – XXX: Outdoor & Indoor patients from 2008 to 2013


Indoor Patients* Ratio of IPD to OPD (%)

2008 6545 243 3.71 2009 7884 226 2.87 2010 7781 223 2.87 2011 8666 298 3.44 2012 9747 265 2.72 2013 11299 354 3.13

* Including Ayurvedic Nursery

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(XXXI) DEPARTMENT OF KAYACHIKITSA Year of establishment: 1963 The department of Kayachikitsa is established in 1963 and is the major clinical department of the Ayurveda Faculty. The thrust area of the department is Kayachikitsa-Chikitsa (General Medicine), Manas Roga (Ayurvedic Psychiatry) and Panchakarma (Biopurification and Physical Medicine). P.G. Diploma course in Panchakarma therapy was started in the year 2000. The various research activities in the evaluation of efficacy of Ayurvedic drugs in hriday roga (cardio-respiratory disorders), udar roga (gastrointestinal disorders), yakrit roga (hepatology), twak roga (skin & VD), Manas roga (Psychiatry), rasayana and vajikarana (Geriatrics and aphrodisiacs) and vata vyadhi (Rheumatology and Neurology) are going on. Manas Roga section is an important section of Department of Kayachikitsa established since 1988. It has its own specialty clinic and Satvavajya laboratory. The Satvavajaya laboratory is equipped with electronic reaction timer, memory drum etc. Since inception this section has been actively engaged in research activities as well as patient care. The focused service area of it is residual schizophrenia, mental retardation, depression anxiety neurosis, chronic daily headache, tension headache, IBS and other psychosomatic disorders. The outdoor attendance in the year 2012 was 27564 that increased to 31657 during the year 2013; simultaneously the indoor patients also increased from 1899 during 2012 to 2004 in 2013. “Between” 6% to 7% patients of OPD were admitted since 2009 (Table-XXXI). Bed occupancy rate for both male and female ward “between” 50% to 55% during 2013 and was almost similar to the year 2012. Table – XXXI: Outdoor & Indoor patients from 2008 to 2013


2008 35572 1677 4.71 2009 28088 1852 6.59 2010 26648 1626 6.10 2011 27410 1828 6.67 2012 27564 1899 6.89 2013 31657 2004 6.39

(XXXII) DEPARTMENT OF RASA SHASTRA Year of establishment: 1978 The department of Rasa-Shastra came in to existence in the year 1978. From its inception it is engaged in the teaching and evaluation of the Ayurvedic drugs to improve their quality, in addition to patient care too. Department has developed many equipments to facilitate the pharmaceutical work and has established criteria for the proper standardization of drugs. Since 2010 the OPD attendance has been on the rise though increase was slight. In total 651 patients attended the outdoor in 2013 higher by more than 150 patients compared to 474 patients in the year 2012 (Table-XXXII).

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Table – XXXII: Outdoor patients from 2008 to 2013 (No admissions are done through this department)

Year Outdoor patients 2008 569 2009 625 2010 485 2011 464 2012 474 2013 651

(XXXIII) DEPARTMENT OF PRASUTI TANTRA Year of establishment: 1963 The department was created in the year 1963 for caring patients and conducting research and imparting specialized and extensive training to the M.D. (Ay.) students. Department is now acclaimed as the best Ayurvedic Department in the country providing extensive academic, practical, experimental and clinical training in the field of Prasuti (Obstetrics) and Stree Roga (Gynecology). The OPD attendance is on the rise since 2010 (Table-XXXIII). During 2013 OPD attendance increased to 14172 compared to 13019 during the year 2012. About 500 deliveries were conducted in the year 2013; and 173 major and 53 major and minor operations were also carried. The bed occupancy rate of PTK-Stri Rog ward increased from 62.5% in 2011 to 76.3% in 2012 but decreased much to 57.41% in 2013; while of Prasuti ward from 67.5% in 2011 to 77.4% in 2012 and remained almost same 75.27% in 2013. Existing Equipments

Suction Machine Boyler Apparatus Oxygen Regulator Ultrasonic Foetus Machine Absorber Boyler Aerosol Disinfector Ambu Bag Mark C Ventur Appreder Sterlizer Endotrcchel Tube -c connection 2.5 Foetol Heart Monitor CTG Oxygen Cylinder Slide Projector Automatic Foetus Scope Baby weighting machine

Table – XXXIII: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients*

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 11249 1022 9.09 75 46 2009 11710 999 8.53 98 37 2010 11078 1088 9.82 110 52 2011 11989 1230 10.26 152 8 2012 13019 993 7.63 186 10 2013 14172 906 6.39 173 35

*Including Stri-rogl

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(XXXIV) DEPARTMENT OF SHALYA TANTRA Year of establishment: 1963 The department of Shalya Tantra was started as department of Shalya Shalakya in 1963 with a view to impart postgraduate training and conduct research activities. In the year 2006 the department was bifurcated into two separate departments, the department of Shalya Tantra and Department of Shalakya Tantra. As shown in Table-XXXIV, the outdoor attendance has increased 1.5 fold in 2013 (36323) compared to 2008 (23639). Around 3% to 5% OPT patients are being admitted every year. During the year 2013 major and minor surgeries carried were 232 and 1521 respectively. The bed occupancy rate during 2013 in Shalakya was only 37.92% and Shalya 63.17%. Table – XXXIV: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013

Year Outdoor patients*

Indoor Patients

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 23639 1193 5.05 215 452 2009 27315 1078 3.95 240 582 2010 28611 1099 3.84 172 851 2011 35376 1165 3.29 588 785 2012 36723 1214 3.31 315 1262 2013 36323 1470 4.05 232 1521

*Including ano-rectal (XXXV) DEPARTMENT OF SHALAKYA TANTRA (Ophthalmology, ENT & Oral Cavity) Year of establishment: 2006 This department was previously running as a section in the department of Shalaya Shalakya and in 2006 was upgraded as an independent department. The department is actively pursuing the integration of wisdom of Ayurveda and recent medical research in order to address the present and future medical needs in the fields of Ophthalmology, ENT & Head, and Oral Cavity & Dentistry. The hospital services, including clinical training to Ayurveda students are provided. Many activities of the department are carried out with active collaboration of various other departments and units like Departments of Ophthalmology, ENT and Pathology. The outdoor patient load was continuously increasing as shown in Table-XXXV. Compared to the year 2012 having out patient load 13222, increase of more than 3000 patients was during the year 2013. Indoor patients during 2013 were found to decrease (442) compared to the year 2012 (604). Major and minor operations carried during 2013 were 149 and 58 respectively. Existing Equipments

Hot plate electric Applanation tonometre Heating mental universal Bio Water bath rectangular 6 &12 whole with Thermostat makes universal Bio

Centrifuge machine door 50 ml 10000 RPM

Sussman four mirror gonio lens of ocular

46

Table – XXXV: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013


Indoor Patients

Ratio of IPD to OPD

(%)

Major Operations

Minor Operations

2008 13686 144 1.05 117 27 2009 9578 90 0.94 91 27 2010 7938 399 5.03 80 25 2011 9485 386 4.07 106 41 2012 13222 604 4.57 149 58 2013 16248 442 2.72 149 58

(XXXVI) DEPARTMENT OF SANGYA HARAN Year of establishment: 2011 The department of Sangya Haran was the section of Shalya Shalakya since 1963 and upgraded to a fully fledged department in 2011. The basic aim was to promote surgical disciplines of Ayurved. It is not only providing up-to-date teaching resources but also taking lead in introducing newer disciplines to the teaching curricula. The major activity of the discipline is Ayurvedic Pain Management and Ayuvedic Palliative Care. The scientific merit of the faculty has been recognized from time to time through honors and awards, such as Ashwinau Award and the Best Ph.D. Thesis Award. The faculty members have been serving on editorial boards of various journals in their domains of expertise and as members of national and international decision making bodies. In addition to teaching, training and service, department is actively involved in Ph. D. programs also. During the year 2013, a total of 4214 patients attended outdoor and 554 major and 1614 minor operations were supported (Table-XXXVI). Table – XXXVI: Outdoor & Indoor patients and major & minor surgeries conducted from 2008 to 2013

Year Outdoor patients Major Operations Minor Operations 2008 -- 407 525 2009 2155 429 646 2010 1865 362 928 2011 2289 846 834 2012 2731 650 1330 2013 4214 554 1614

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(XXXVII) FACULTY OF DENTAL SCIENCES This is a single department faculty; the department came into existence in the Institute of Medical Sciences in 1972 and upgraded to the Faculty of Dental Sciences in 2004. At the moment the faculty offers both under graduate as well as post graduate courses, training in Prosthodontics and in Operative Dentistry. BDS course as well as MDS course in the specialty of Orthodontics, Periodontia, and Dental Auxilliary is well running. The outdoor attendance of patients in the year 2011 was 30538 which increased to 36771 in the year 2012 and further to 41197 in 2013. No admission of patients since 2009 (Table-XXXVII). Existing Equipments:

RVG, Dental X-ray Unit Intra Oral Camera

OPG with cephalomatric X-ray Intra Oral Camera

OPMI surgical Microscope Porcelain Furnace, Centrifugal casting Machine

Dental Compact clinics

Table – XXXVII: Outdoor & Indoor patients from 2008 to 2013

Year Outdoor patients Indoor Patients 2008 21493 5 2009 33683 Nil 2010 29128 Nil 2011 30538 Nil 2012 36771 Nil 2013 41197 Nil

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(XXXVIII) MEDICAL RECORD SECTION Year of establishment: 1963

Medical Record Section is the most important part of the Hospital for the management and systematic maintenance of Medical Records to facilitate service management, training to the medical student and researchers as well to provide legitimate information to the needy. .

Functions of Medical Record Section

1. To maintains & retrieve records for patient care and research purpose 2. To carry daily census 3. Receiving daily case sheets of discharge, death cases from various wards and

emergency then their checking and assembling and assigning Medical Record Number (MRD) in addition to the name of consultant.

4. Maintaining the Medico Legal Case (MLC) record in a sealed envelope duly signed by the Consultant

5. Attending court of Medico Legal cases. 6. Ensure the printing of Hospital related forms from BHU Press 7. Disposal of reimbursement and insurance claims, Police reporting’s and RTI

related matter etc. 8. Photocopying in bulk of different forms required in the Hospital 9. Issuing rail concession certificate to TB/Cancer/Heart/Kidney patients. 10. Preparing and providing Medical, birth and death certificates 11. Generating monthly report of outdoor, indoor patients records and investigation

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DETAILS OF HOSPITAL STATISTICS

SECTION-1

Patients Service Load During 2013

Table-1.1: Total, new and old and male, female and children patients attending OPD of various Units of Medicine, Ayurveda and Dental Sciences during the year 2013

Units

Total New Old Male Female Children

General (Medicals) 373874 174536 199338 172672 140487 60715 General (Surgical) 318263 207608 110655 137640 155439 25184 Super speciality (Medical) 194205 103887 90318 108169 77576 8460 Super speciality (Surgical) 136730 71417 65313 67191 43331 26208 Dental 41197 23320 17877 21261 16524 3412 Ayurveda (Medicals) 47786 29540 18246 19928 14561 13297 Ayurveda (Surgical) 70957 32193 38764 38217 29022 3718 Total 1183012 642501 540511 565078 476940 140994

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Table-1.2: Total and per OPD attendance of patients of various Units of Medicine, Ayurveda and Dental Sciences during the year 2013

Units Total

Patients Total OPDs

per week Total OPDs

per year Number of patients

per OPD General (Medicals) 373874 55 2860 131 General (Surgical) 318263 36 1872 170 Super speciality (Medical) 194205 27 1404 138 Super speciality (Surgical) 136730 22 1144 120 Dental 41197 6 312 132 Ayurveda (Medical) 47786 22 1144 42 Ayurveda (Surgical) 70957 30 1560 45 Total 1183012 198 10296 115

51

Table-1.3: Total, new and old and male, female and children patients attending OPD of various Units of General (Medicals) of Faculty of Medicine during the year 2013

General (Medicals)


Medicine 69402 47951 21451 36994 32192 216 Rheumatology 7904 2576 5328 2918 4790 196 Haematology 1601 664 937 996 573 32 Onco-medicine 4985 1710 3275 2519 2395 71 ART Clinic 54409 2560 51849 29445 21199 3765 Geriatric Medicine 2150 847 1303 1261 889 0 Paediatric Medicine 49963 23516 26447 0 0 49963 Radiotherapy 20315 2862 17453 7770 12160 385 TB & Chest 46053 23155 22898 27965 17512 576 Skin & VD 71265 50672 20593 36920 29421 4924 Wound Clinic 11869 7464 4405 6289 5580 0 Psychiatry 31860 9596 22264 18675 13149 36 Child Guidance Clinic 1292 640 652 361 380 551 Drug Addiction Clinic 414 138 276 285 129 0 Geriatric Psychiatry 392 185 207 274 118 0 Total 373874 174536 199338 172672 140487 60715

52

Table-1.4: Total and per OPD attendance of patients of various Units of General

(Medicals) of Faculty of Medicine during the year 2013 General (Medicals) Total

Patients Total OPDs

per week Total OPDs

per year Number of patients

per OPD Medicine 69402 6 312 222 Rheumatology 7904 2 104 76 Hematology 1601 2 104 15 Oncomedicine 4985 2 104 48 ART Clinic 54409 6 312 174 Geriatric Medicine 2150 1 52 41 Paediatric Medicine 49963 6 312 160 Radiotherapy 20315 4 208 98 TB & Chest 46053 6 312 148 Skin & VD 71265 6 312 228 Wound Clinic 11869 3 156 76 Psychiatry 31860 6 312 102 Child Guidance Clinic 1292 2 104 12 Drug Addiction Clinic 414 1 52 8 Geriatric Psychiatry 392 2 104 4 Total 373874 55 2860 131

54

Table-1.5: Total, new and old and male, female and children patients attending

OPD of various Units of General (Surgical) of Faculty of Medicine during the year 2013

General (Surgical)


General Surgery 55735 33382 22353 29186 25029 1520 Orthopaedics 70607 42314 28293 35569 29323 5715 ENT 73000 45005 27995 34405 27986 10609 Ophthalmology 72149 60833 11316 38480 26329 7340 Obs.& Gynaecology 43021 23971 19050 0 43021 0 Post Partum 3751 2103 1648 0 3751 0 Total 318263 207608 110655 137640 155439 25184

55

Table-1.6: Total and per OPD attendance of patients in various Units of General

(Surgical) of Faculty of Medicine during the year 2013 General (Surgical)

Total Patients

Total OPDs per week

Total OPDs per year

Number of patients per OPD

General Surgery 55735 6 312 179 Orthopaedics 70607 6 312 226 ENT 73000 6 312 234 Ophthalmology (Eye) 72149 6 312 231 Obs.& Gynaecology 43021 6 312 138 Post Partum 3751 6 312 12 Total 318263 36 1872 170

56

Table-1.7: Total, new and old and male, female and children patients attending OPD of various Units of Super Specialty (Medicals) of Faculty of Medicine during the year 2013

Super speciality (Medical)


Neurology 40175 26019 14156 19404 17090 3681 Cardiology 43555 24584 18971 24876 18272 407 Endocrinology 24698 11452 13246 11497 11542 1659 Gastroenterology 70890 38056 32834 42334 25843 2713 Nephrology 14887 3776 11111 10058 4829 0 Total 194205 103887 90318 108169 77576 8460

57

Table-1.8: Total and per OPD attendance of patients of various Units of Super Specialty (Medicals) of Faculty of Medicine during the year 2013

Super speciality (Medical) Total Patients

Total OPDs per week

Total OPDs per year


Neurology 40175 3 156 258

Cardiology 43555 6 312 140

Endocrinology 24698 6 312 79

Gastroenterology 70890 6 312 227

Nephrology 14887 6 312 48

Total 194205 27 1404 138

Table-1.9: Total, new and old and male, female and children patients attending OPD of various Units of Super Specialty (Surgical) of Faculty of Medicine during the year 2013

Super speciality (Surgical)


Neurosurgery 49705 32425 17280 22933 19980 6792 Paediatric Surgery 13606 7195 6411 0 0 13606 Plastic Surgery 9580 5853 3727 4130 3027 2423 Oncology Surgery 20071 7284 12787 9615 10419 37 Cardio Thoracic 10785 4813 5972 5075 3507 2203 Urology 32983 13847 19136 25438 6398 1147 Total 136730 71417 65313 67191 43331 26208

58

Table-1.10: Total and per OPD attendance of patients of various Units of Super Specialty (Surgical) of Faculty of Medicine during the year 2013

Super speciality (Surgical) Total Patients

Total OPDs per week

Total OPDs per year


Neurosurgery 49705 2 104 478

Paediatric Surgery 13606 6 312 44

Plastic Surgery 9580 4 208 46

Oncology Surgery 20071 4 208 96

Cardio Thoracic Surgery 10785 3 156 69

Urology 32983 3 156 211

Total 136730 22 1144 120

59

Table-1.11: Total, new and old and male, female and children patients attending OPD of various Units of Ayurveda (Medicals) during the year 2013

Ayurveda (Medicals)


Kaya Chikitsa (KC) 31657 21763 9894 16817 12668 2172 Kaumaryavritta (KB) 11299 5022 6277 123 116 11060 Rasa Shashtra 651 403 248 423 211 17 Dravyagun 3933 2140 1793 2440 1455 38 Swasthvritta 246 212 34 125 111 10 Total 47786 29540 18246 19928 14561 13297

60

Table-1.12: Total and per OPD attendance of patients of various Units of Ayurveda (Medicals) during the year 2013

Ayurveda (Medical) Total Patients

Total OPDs per week

Total OPDs per year


Kaya Chikitsa (KC) 31657 6 312 101 Kaumaryavritta (KB) 11299 6 312 36 Rasa Shashtra 651 2 104 6 Dravyagun 3933 4 208 19 Swasthvritta 246 4 208 1 Total 47786 22 1144 42

61

Table-1.13: Total, new and old and male, female and children patients attending OPD of various Units of Ayurveda (Surgical) during the year 2013

Ayurveda (Surgical)


Ano-Rectal 31408 11083 20325 24859 5182 1367 Shalya 4915 3133 1782 3049 1618 248 Shalakya 16248 9724 6524 8155 6483 1610 Prasuti Tantra 14172 6085 8087 0 13732 440 Sangya Haran/Pain 4214 2168 2046 2154 2007 53 Total 70957 32193 38764 38217 29022 3718

62

Table-1.14: Total and per OPD attendance of patients of various Units of Ayurveda (Surgical) during the year 2013

Ayurveda (Surgical) Total Patients

Total OPDs per week

Total OPDs per year


Ano-Rectal 31408 6 312 101 Shalya 4915 6 312 16 Shalakya 16248 6 312 52 Prasuti Tantra 14172 6 312 45 Sangya Haran/Pain 4214 6 312 14 Total 70957 30 1560 45

Table-1.15: Month-wise patients seen of various Units of Faculties of Medicine during the year 2013

Month General (Medical)

Super Specialty (Medical)

General (Surgical)

Super Specialty (Surgical)

Emer-gency

Wound Clinic

Total

January 22249 12484 21356 8453 3488 802 68832 February 24225 14195 23801 8866 3547 617 75251 March 28222 15407 27163 10541 3832 1408 86573 April 29967 17660 27486 12347 3442 1102 92004 May 27954 15893 25653 11319 3416 863 85098 June 29848 17459 29441 11557 3076 689 92070 July 35264 19680 30807 13034 3618 1402 103805 August 31501 17819 27465 12544 3851 1191 94371 September 33945 18892 29782 12219 4733 1347 100918 October 35328 15403 26646 11859 3883 1280 94399 November 31000 13974 23691 11623 3260 522 84070 December 32502 15339 24972 12368 3205 646 89032 Total 362005 194205 318263 136730 43,351 11869 1066423

63

Table-1.16: Month-wise patients seen in various Units of Ayurveda and Dental Sciences during the year 2013

Month Ayurveda Total Dental

Medical Surgical January 2939 4499 7438 3346

February 3542 4811 8353 3449

March 3767 5489 9256 3088

April 4179 6182 10361 3973

May 3547 5524 9071 3465

June 3954 5963 9917 3517

July 4479 6805 11284 4104

August 4062 6531 10593 3297

September 4978 7041 12019 3627

October 4706 6496 11202 3497

November 3822 5609 9431 2755

December 3811 6007 9818 3079

Total 47786 70957 118743 41197

Table-1.17: Month-wise patients seen in various Units of general (Medicals) of

Faculty of Medicine during the year 2013 Month Medicine Rheum-

atology Hematology Oncology

Medicine ART

Clinic Geriatric Medicine

Pediatric

January 3967 523 118 256 3670 77 1820

February 4728 555 138 354 3296 175 2451

March 6113 496 102 361 4484 228 2855

April 6245 734 128 433 3298 175 3399

May 5588 617 127 453 4439 150 3105

June 5854 708 148 337 4136 292 3500

July 6858 859 156 549 5556 193 4285

August 6836 692 159 522 5171 217 3354

September 7238 748 166 492 4420 181 4867

October 5938 801 145 462 6567 168 5813

November 5245 568 96 379 4425 167 6832

December 4792 603 118 387 4947 127 7682

Total 69402 7904 1601 4985 54409 2150 49963

64

Table-1.18: Month-wise patients seen in various Units of general (Medicals) of Faculty of Medicine during the year 2013

Month Radio-

therapy TB & Chest

Dermato & Venereology

Psychiatry Child Guidance

Clinic

D-Addiction

Clinic

Geriatric Psychiatry

January 1544 3178 4633 2301 114 29 19

February 1624 3568 4606 2566 111 25 28

March 1662 3810 5407 2485 113 63 43

April 1803 4164 6102 3239 115 83 49

May 1751 3569 5959 2041 130 11 14

June 1701 4499 6072 2452 124 1 24

July 1778 4535 7044 3163 163 81 44

August 1684 3632 6452 2536 142 56 48

September 1915 4001 6698 3035 117 34 33

October 1723 3726 6963 2897 82 15 28

November 1568 3619 5630 2374 48 11 38

December 1562 3752 5699 2771 33 5 24

Total 20315 46053 71265 31860 1292 414 392

Table-1.19: Month-wise patients seen in various Units of general (Surgical) of

Faculty of Medicine during the year 2013

Month General Surgery

Orthopedics ENT Ophthalmology Obs. & Ganae

Post Partum

January 3968 4654 4282 5025 3127 300

February 4005 5233 5289 5538 3420 316

March 4458 6047 5874 6751 3714 319

April 4950 6637 5741 6267 3557 334

May 4635 5879 5702 5560 3547 330

June 4990 6481 6659 7020 3944 347

July 5673 7100 7094 6326 4255 359

August 4881 6156 6822 5755 3569 282

September 5101 6515 7320 6510 4028 308

October 4797 5579 6715 5793 3483 279

November 4005 5044 5833 5531 3030 248

December 4272 5282 5669 6073 3347 329

Total 55735 70607 73000 72149 43021 3751

65

Table-1.20: Month-wise operations carried in various units of General (Surgical) of Faculty of Medicine during the year 2013

Month General

Surgery Orthopaedic

Surgery ENT EYE Obstetrics &

Gynaecology

January 350 63 200 342 137

February 306 57 183 476 137

March 367 72 209 475 165

April 352 64 216 358 159

May 300 59 193 184 136

June 374 68 217 221 113

July 383 70 254 257 172

August 389 69 226 272 153

September 372 59 248 254 160

October 255 72 208 290 119

November 314 53 201 340 113

December 320 72 213 350 110

Total 4082 778 2568 3819 1674

Table-1.21: Month-wise patients seen in various Units of Super Specialty

(Medicals) of Faculty of Medicine during the year 2013 Month

Neurology Cardiology Endocrinology Gastroenterology Nephrology

January 2355 3005 1432 4393 1299

February 3005 3506 954 4935 1795

March 3293 3517 2188 5582 827

April 3653 3959 2438 6252 1358

May 3222 3590 2412 6093 576

June 3685 3682 2517 6292 1283

July 4083 4136 2687 7246 1528

August 3722 3671 2339 6598 1489

September 4142 3822 2521 6982 1425

October 2354 3692 2145 6156 1056

November 2924 3421 1641 4971 1017

December 3737 3554 1424 5390 1234

Total 40175 43555 24698 70890 14887

66

Table-1.22: Month-wise patients seen in various Units of Super Specialty (Surgical) of Faculty of Medicine during the year 2013

Month Neuro-

surgery Pediatric Surgery

Plastic Surgery

Oncology Cardio Thoracic Surgery

Urology

January 2866 945 604 1385 694 1959

February 2710 960 830 1306 839 2221

March 3834 1046 768 1553 770 2570

April 4295 1022 824 1748 990 3468

May 4398 1034 771 1574 996 2546

June 3966 1154 833 1644 896 3064

July 4737 1172 786 2140 1060 3139

August 4663 1233 866 1779 956 3047

September 4149 1121 849 1869 1066 3165

October 4462 1362 818 1652 774 2791

November 4809 1152 650 1698 877 2437

December 4816 1405 981 1723 867 2576

Total 49705 13606 9580 20071 10785 32983

Table-1.23: Month-wise operations carried in various Units of Super Specialty

(Surgical) of Faculty of Medicine during the year 2013 Month Cardio

Thoracic Paediatric Surgery

Plastic Surgery

Neurosurgery Urology Oncology

January 76 196 82 53 330 92

February 82 152 74 77 447 84

March 102 177 74 72 508 111

April 100 201 73 61 520 102

May 79 111 59 63 375 91

June 73 123 63 72 378 107

July 97 135 90 80 468 126

August 78 155 77 66 568 116

September 95 138 83 55 542 110

October 70 168 87 47 556 123

November 71 109 90 47 568 93

December 89 136 87 63 585 78

Total 1012 1801 939 756 5845 1233

67

Table-1.24: Month-wise patients seen in various Units of Ayurveda (Medical) during the year 2013

Month Kaychikitsa Kaumar

Bhitt Rashshastra Dravyagun Swasth Bhrit

January 1922 722 50 229 16

February 2364 874 40 246 18

March 2392 995 40 328 12

April 2793 955 62 363 6

May 2218 922 43 356 8

June 2614 962 33 331 14

July 2895 1119 116 339 10

August 2765 875 43 345 34

September 3414 1012 60 453 39

October 3308 961 74 335 28

November 2481 963 50 292 36

December 2491 939 40 316 25

Total 31657 11299 651 3933 246

Table-1.25: Month-wise patients seen in various Units of Ayurveda (Surgical)

during the year 2013 Month

Ano-rectal Shalya Shalakya Prasuti Tantra Sangya Haran

January 2279 312 842 912 154

February 2116 391 1027 1074 203

March 2302 388 1361 1155 283

April 2535 513 1456 1238 440

May 2369 341 1294 1102 418

June 2651 373 1328 1183 428

July 2783 510 1664 1384 464

August 2740 466 1565 1325 435

September 3114 535 1645 1339 408

October 3035 387 1507 1224 343

November 2694 347 1261 1014 293

December 2790 352 1298 1222 345

Total 31408 4915 16248 14172 4214

68

Table-1.26: Month-wise operations carried in various Units of Ayurveda (Surgical) during the year 2013

Month

Shalya Prasuti Tantra Shalakya

January 151 20 15

February 128 18 21

March 162 15 16

April 154 13 23

May 183 13 11

June 166 12 9

July 85 15 15

August 145 24 15

September 160 20 21

October 160 16 13

November 131 27 22

December 128 15 26

Total 1753 208 207

Table-1.27: Month-wise emergency operations carried by various Units of SS

Hospital during the year 2013 Month Emergency Obstetric

Emergency Pain OT Padiatrics OT in IV

Sadation

January 195 86 30 16

February 163 92 28 25

March 174 96 51 32

April 148 93 47 18

May 147 81 48 22

June 141 86 13 21

July 154 97 26 21

August 177 100 33 43

September 201 106 37 46

October 198 91 26 36

November 184 90 23 42

December 212 87 18 40 Total 2094 1105 380 362

69

SECTION-2

Trend of Patients Load Since 2009 to 2013

Table-2.1: Trend of major hospital statistics Major Hospital Statistics Year

2009 2010 2011 2012 2013 Total number of OPD patients 943231 984914 1027134 1075035 1183012 Total number of EOPD patients 52920 58023 44965# 44087# 43351

Total 996151 1042937 1072099 1119122 1226363 Total number of admissions 45161 45897 47610 50868 52152 Total number of operations 24055 25166 27141 29851 30616 Total number of births 2339 2324 2344 2592 2487

Total Patients Load 1067706 1116324 1149194 1202433 1311618 Total number of deaths* 2546 2897 2850 2950 3393 Total Number of investigations 1138300 1257100 1369463 1563987 1699411 *Based on census that does not include ICU and emergency deaths # the numbering given in EOPD was wrong, Fig. corrected

71

Table-2.2: Trend of death of admitted patients Major Hospital Statistics Year

2009 2010 2011 2012 2013 Total number of admissions 45161 45897 47610 50868 52152 Total number of deaths 2546 2897 2850 2950 3393 Percent of deaths to total admissions*

5.64 6.31 5.99 5.80 6.51

*Based on census that does not include ICU and emergency deaths

72

Deaths of ICU and emergency not included; need a separate report in future Table-2.3: Trend of Medico Legal Cases (MLC) MLC Year

2009 2010 2011 2012 2013 Number 697 807 719 702 776* * up to 23.1.2014

73

Table-2.4: Trend of various investigations by different Units of SS Hospital Units Investigations Year

2009

2010

2011

2012

2013

Radiological* Plan X Ray 90797 98943 107311 104389 110613 M.R.I. 2548 3779 5131 5630 5604 CT Scan 23537 24295 21478 29957 32216 USG 14799 18711 21295 20116 23619 Color Doppler 1537 2128 2666 3051 3153 Mammography 197 318 217 156 -

Sub-Total 133415 148174 158098 163299 175205 Cardiological ECG 29115 35445 38729 42055 38832

TMT, Echo, Color Doppler, Holter Monitoring

2839 3357 6968 9706 11252

Sub-Total 31954 38802 45697 51761 50084 Microbiological All tests

including HIV 53214 57300 59816 70947 73891

Sub-Total 53214 57300 59816 70947 73891 Pathological Coagulatory * * * * *

Hematological 3961 6537 9223 8594 9969 Cytological 8903 9551 9592 9424 9198 Histological 8848 9198 9861 10257 10053 Immunological 30420 34078 37187 49874 44942

Sub-Total 52132 59364 65863 78149 74162 General (CCI) Glucose/Urea 66404 68702 73994 76935 77340

LFT & Others 634186 689650 767525 891410 1003995 CSF 31314 35268 32140 30387 27979 Urine Hematology 91388 106408 106464 129239 138669

Sub-Total 823292 900028 980123 1127971 1247983 Endocrino- logical

T3, T4, TSH, LH, FSH, PRL & Testestrone

21892 28906 31080 38900 40953

BMD/DEXA - 458 531 953 945 Insulin/TPO Cortisol,PTH

28 - - - 948

A1C 336 547 533 697 365 Sub-Total 22256 29911 32144 40550 43211

Neurology EEG,NCV & EMG

2558 1357 1400 1449 2944

Sub-Total 2558 1357 1400 1449 2944 Radiations Ex. RT, ICR 1377 1725 1538 1493 1410

Chemotherapy 5223 2892 4968 5481 5381 Sub-Total 6600 4617 6506 6974 6791

Gastroenterology**

Endoscopic procedure 9050 10688 12115 11892 13968 Laboratory tests 3829 6859 7701 10995 11172

Sub-Total 12879 17547 19816 22887 25140

TOTAL 1138300 1257100 1369463 1563987 1699411 * Coagulatory & Hematological combined ** add after release the annual report (5.7.2014)

74

**Data levels in the graph are provided only of CCI

Table-2.5: Trend of major & minor operations conducted by Faculty of Medicine and Ayurveda

Faculty Type of

Operation Year

2009 2010 2011 2012 2013 Medicine (A) Surgical

(General) Major 3795 4885 5165 5366 5623 Minor 7158 6762 7227 8790 8403

Sub-Total 10953 11647 12392 14156 14026 (B) Surgical (Super Specialty)

Major 2565 3174 3356 3347 3812 Minor 6320 6228 6488 7412 8136

Sub-Total 8885 9402 9844 10759 11948 (C) Emergency Major 1966 1394 1291 1477 1120

Minor 1467 1433 1396 1479 974 Sub-Total 3433 2827 2687 2956* 2094

Ayurveda Major 429 362 846 650 554 Minor 646 928 834 1330 1614

Sub-Total 1075 1290 1680 1980 2168 Total Major 8755 9815 10658 10840 11109

Minor 15591 15351 15945 19011 19127 Total 24346 25166 26603 29851 30236**

* Including minor emergency OPD, ** Pain OT data not included

76

Table-2.6: Trend of major & minor operations conducted by various Units of General (Surgical) of Faculty of Medicine

Surgical Units (General)

Type of Operation

Year 2009 2010 2011 2012 2013

General Surgery Major 2248 2182 2264 2445 2651 Minor 1596 1490 1492 1553 1431

Total 3844 3672 3756 3998 4082 Ophthalmology Surgery

Major 213 233 175 246 196 Minor 3474 3070 3441 3876 3623

Total 3687 3303 3616 4122 3819 ENT Surgery Major 134 139 340 203 194

Minor 1339 1579 1806 2446 2374 Total 1473 1718 2146 2649 2568

Orthopedic Surgery

Major 452 636 735 657 724 Minor 161 139 129 93 54

Total 613 775 864 750 778 Obstetric & Gynecology Surgery

Major 748 1695* 1651* 1815* 1858* Minor 588 484* 359* 822* 921*

Total 1336 2179* 2010* 2637* 2779* * including Obstetric Emergency

78

Table-2.7: Trend of major & minor operations conducted by various Units of Super Specialty (Surgical) of faculty of Medicine

Surgical Units (Super Specialty)

Type of Operation

Year 2009 2010 2011 2012 2013

Cardio Thoracic Major 211 248 210 196 181 Minor 962 1029 835 815 831

Total 1173 1277 1045 1011 1012 Pediatric Surgery Major 674 1107 1181 1267 1606

Minor 994 632 649 798 557 Total 1668 1739 1830 2065 2163

Plastic Surgery Major 318 308 342 336 346 Minor 540 545 687 590 593

Total 858 853 1029 926 939 Neurosurgery Major 288 366 410 370* 456

Minor 389 375 294 384* 300 Total 677 741 704 754* 756

Urology Surgery Major 507 621 669 648 654 Minor 2991 3180 3462 4212 5191

Total 3498 3801 4131 4860 5845 Oncology Surgery Major 567 524 544 530 569

Minor 444 467 561 613 664 Total 1011 991 1105 1143 1233

* Including neurosurgery -evening and night

81

Table-2.8: Trend of major & minor operations conducted by various Units of Ayurveda (Surgical)

Surgical Units Type of

Operation Year

2009 2010 2011 2012 2013 Shalya Major 240 172 588 315 232

Minor 582 851 785 1262 1521 Total 822 1023 1373 1577 1753

Shalakya Major 91 80 106 149 149 Minor 27 25 41 58 58

Total 118 105 147 207 207 Prasuti Tantra Major 98 110 152 186 173

Minor 37 52 8 10 35 Total 135 162 160 196 208

Combined All Units*

Major 429 362 846 650 554 Minor 646 928 834 1330 1614

Total 1075 1290 1680 1980 2168 * Shalya, Shalakya and Prasuti combined

83

Table-2.9: Trend of new & old patients seen by Faculties of Medicine, Dental Sciences and Ayurveda

Faculty Units Case Year

2009 2010 2011 2012 2013 Medicine General

(Medical) New 141385 141743 141553 155894 167072 Old 144726 156099 163392 172817 194933

Total 286111 297842 304945 328761 362005 Super Specialty (Medical)

New 60399 64119 77507 94143 103888 Old 58141 65376 74553 84798 90318

Total 118540 129495 152060 178941 194205 General (Surgical)

New 175694 176027 180855 194109 207608 Old 81598 83101 95240 95783 110655

Total 257292 259128 276095 289892 318263 Super Specialty (Surgical)

New 69827 81266 70667 59812 71417 Old 77246 89676 80978 60453 65313

Total 147073 170942 151645 120265 136730 Wound clinic

Wound clinic

New 6042 6690 7441 8191 7464 Old 3683 3922 5251 5331 4405

Total 9725 10612 12692 13522 11869

Emergency

Emergency Total 52920 58023 44965 44087 43351

Ayurveda Medical New 27338 23658 25337 26724 29540 Old 12711 14617 14683 14464 18246

Total 40049 38275 40020 41188 47786 Surgical New 26430 22661 25731 28788 32193

Old 24328 26831 33408 36907 38764 Total 50758 49492 59139 65695 70957

Dental Dental New 22178 19931 19572 21224 23320 Old 11505 9197 10966 15547 17877

Total 33683 29128 30538 36771 41197

87

Table-2.10: Trend of new & old patients seen by various Units of General (Medicals) of Faculty of Medicine

Units Cases Year

2009 2010 2011 2012 2013 Medicine New 41124 38647 39109 44673 47951

Old 15350 15326 18128 20900 21451 Total 56474 53973 57237 65573 69402

Rheumatology New 2608 2482 2016 2225 2576 Old 2296 2621 3318 3931 5328 Total 4904 5103 5334 6156 7904

Hematology New 229 379 492 682 664 Old 650 781 815 879 937 Total 879 1160 1307 1561 1601

Oncology Medicine New 2356 2312 2326 2266 1710 Old 3165 3203 3400 3520 3275 Total 5521 5515 5726 5786 4985

ART Clinic New 4224 4338 4099 3141 2560 Old 43026 47946 48540 46458 51849 Total 47250 52284 52639 49599 54409

Geriatric Medicine New 530 511 696 832 847 Old 461 653 926 1150 1303 Total 991 1164 1622 1982 2150

Pediatric New 21834 23487 21811 22269 23516 Old 11187 12238 12936 13570 26447 Total 33021 35725 34747 35839 49963

Radiotherapy New 2681 2742 2921 2920 2862 Old 16502 17808 19097 17759 17453 Total 19183 20550 22018 20679 20315

TB & Chest New 17472 17154 17951 20841 23155 Old 18531 20205 20848 23735 22898 Total 36003 37359 38799 44576 46053

Skin & VD New 39735 40841 40661 44709 50672 Old 14604 14411 15319 17005 20593 Total 54339 55252 55980 61764 71265

Psychiatry New 8062 8343 8580 10187 9596 Old 18491 20160 18966 22622 22264 Total 26553 28503 27546 32809 31860

Child Guidance Clinic New 246 279 539 776 640 Old 165 248 497 700 652 Total 411 527 1036 1476 1292

D-Addiction Clinic New 131 128 187 209 138 Old 127 284 349 395 276 Total 258 412 536 604 414

Geriatric Psychiatry New 153 100 165 164 185 Old 171 215 253 193 207 Total 324 315 418 357 392

90

Table-2.11: Trend of new & old patients seen by various Units of General

(Surgical) of Faculty of Medicine Units Cases Year

2009 2010 2011 2012 2013 General Surgery New 27935 26763 28376 31983 33382

Old 16889 16572 18556 20648 22353 Total 44824 43335 46932 52631 55735

Orthopedics New 36570 36090 36524 40268 42314 Old 23374 23684 27529 29140 28293 Total 59944 59774 64053 69408 70607

ENT New 38473 36948 39932 40844 45005 Old 20057 20827 23415 21365 27995 Total 58530 57775 63347 62209 73000

Ophthalmology New 48801 52801 51457 54933 60833 Old 2434 1876 5272 3462 11316 Total 51235 54677 56729 58395 72149

Obs. & Gynecology New 21990 21522 22383 23785 23971 Old 17344 18405 18808 19581 19050 Total 39334 39927 41191 43366 43021

Post Partum New 1925 1903 2183 2296 2103 Old 1500 1737 1660 1587 1648 Total 3425 3640 3843 3883 3751

93

Table-2.12: Trend of new & old patients seen by various Units of Super Specialty (Medical) of Faculty of Medicine

Units Cases Year

2009 2010 2011 2012 2013 Neurology New 12281 13527 19336 23466 26019

Old 11700 12295 13246 12428 14156 Total 23981 25822 32582 35894 40175

Cardiology New 8084 8392 12843 19135 24585 Old 6672 7402 9337 16455 18971 Total 14756 15794 22180 35590 43555

Endocrinology New 7782 8457 9474 10936 11452 Old 7973 9674 11901 13198 13246 Total 15755 18131 21375 24134 24698

Gastroenterology New 28702 30213 32507 36691 38056 Old 22613 26653 29606 30993 32834 Total 51315 56866 62113 67684 70890

Nephrology New 3550 3530 3347 3915 3776 Old 9183 9352 10463 11724 11111 Total 12733 12882 13810 15639 14887

*Breakup of old and new cases not reported

95

Table-2.13: Trend of new & old patients seen by various Units of Super Specialty

(Surgical) of Faculty of Medicine Units Cases Year

2009 2010 2011 2012 2013 Neurosurgery New 38170 49751 39473 23260 32425

Old 41026 49385 36185 13574 17280 Total 79196 99136 75658 36834 49705

Pediatric Surgery New 7771 7909 7382 6924 7195 Old 5316 6098 6600 7482 6411 Total 13087 14007 13982 14406 13606

Plastic Surgery New 3887 3815 4439 4824 5853 Old 3771 4175 4352 4406 3727 Total 7658 7990 8791 9230 9580

Oncology New 7361 7394 5670 7059 7284 Old 6808 7817 11083 12013 12787 Total 14169 15211 16753 19072 20071

Cardio Thoracic Surgery New 2133 2129 2482 4634 4813 Old 8634 8538 8320 6491 5972 Total 10767 10667 10802 11125 10785

Urology New 10505 10268 11221 13111 13847 Old 11691 13663 14438 16487 19136 Total 22196 23931 25659 29598 32983

98

Table-2.14: Trend of new & old patients seen by various Units of Ayurveda

(Medical) Units Cases Year

2009 2010 2011 2012 2013 Kaychikitsa New 21173 18307 19419 20279 21763

Old 6915 8341 7991 7285 9894 Total 28088 26648 27410 27564 31657

Kaumar Bhitt New 3705 3363 3813 4145 5022 Old 4179 4418 4853 5602 6277 Total 7884 7781 8666 9747 11299

Rashshastra New 440 298 265 307 403 Old 185 187 199 167 248 Total 625 485 464 474 651

Dravyagun New 1865 1488 1689 1826 2140 Old 1353 1477 1528 1344 1793 Total 3218 2965 3217 3170 3933

Swasth Vritta New 155 202 151 167 212 Old 79 194 112 66 34 Total 234 396 263 233 246

100

Table-2.15: Trend of new & old patients seen by various Units of Ayurveda (Surgical)

Units Cases Year

2009 2010 2011 2012 2013 Ano-rectal New 7652 7468 7809 10084 11083

Old 12798 15587 20639 20580 20325 Total 20450 23055 28448 30664 31408

Shalya New 4492 3444 4022 3550 3133 Old 2373 2112 2906 2509 1782 Total 6865 5556 6928 6059 4915

Shalakya New 7687 6037 7212 7832 9724 Old 1891 1901 2273 5390 6524 Total 9578 7938 9485 13222 16248

Prasuti Tantra New 5086 4564 5069 5559 6085 Old 6624 6514 6920 7460 8087 Total 11710 11078 11989 13019 14172

Sangya Haran New 1513 1148 1619 1763 2168 Old 642 717 670 968 2046 Total 2155 1865 2289 2731 4214

102

Table-2.16: Trend of Male, Female and Children patients seen by various Units of Faculties of Medicine, Ayurveda and Dental Sciences

Faculty Units Cases Year

2009 2010 2011 2012 2013 Medicine General

(Medical) Male 140434 144335 140576 150101 166383 Female 101236 106720 113484 122616 134907 Children 44441 46787 50885 56044 60715 Total 286111 297842 304945 328761 362005

Super Specialty (Medical)

Male 62488 72007 84778 99573 108169 Female 45513 47896 55646 69514 77576 Children 10539 9592 11636 9854 8460 Total 118540 129495 152060 178941 194205

General (Surgical)


Super Specialty (Surgical)


Emergency Emergency

Total

52920 58023 44965 44087 43351

Wound Clinic

Wound Clinic


Ayurveda Medical Male 20640 17701 17922 18327 19929 Female 12834 12037 12617 12211 14561 Children 8964 8537 9481 10650 13297 Total 42438 38275 40020 41188 47786

Surgical Male 27769 28235 35021 37276 38217 Female 20760 19903 22544 25128 29022 Children 2229 1354 1574 3291 3718 Total 50758 49492 59139 65695 70957

Dental Dental Male 15206 16047 16759 19151 21261 Female 13986 10720 10971 13959 16524 Children 4491 2361 2808 3661 3412 Total 33683 29128 30538 36771 41197

103

Note: Patients of Emergency excluded, not reported in the format

Note: Patients of Emergency excluded, not reported in the format

107

Table-2.17: Trend of Male, Female and Children patients seen by various Units of General (Medicals) of Faculty of Medicine

Units Cases Year 2009 2010 2011 2012 2013

Medicine Male 32183 30647 29893 33701 36994 Female 24291 23326 27344 31872 32192 Children 0 0 0 0 216 Total 56474 53973 57237 65573 69402

Rheumatology Male 2834 2743 2262 2455 2918 Female 2061 2356 3072 3675 4790 Children 9 4 0 26 196 Total 4904 5103 5334 6156 7904

Hematology Male 551 750 809 933 996 Female 299 383 474 602 573 Children 29 27 24 26 32 Total 879 1160 1307 1561 1601

Oncology Medicine Male 2798 2773 2920 2936 2519 Female 2527 2607 2725 2738 2395 Children 196 135 81 112 71 Total 5521 5515 5726 5786 4985

ART Clinic Male 27620 29470 27826 26345 29445 Female 17006 19726 21285 19797 21199 Children 2624 3088 3528 3457 3765 Total 47250 52284 52639 49599 54409

Geriatric Medicine Male 536 679 958 1183 1261 Female 455 485 664 799 889 Children 0 0 0 0 0 Total 991 1164 1622 1982 2150

Pediatric Male 0 0 0 0 0 Female 0 0 0 0 0 Children 33021 35725 34747 35839 49963 Total 33021 35725 34747 35839 49963

Radiotherapy Male 6243 7210 8150 7755 7770 Female 12345 12815 13279 12472 12160 Children 595 525 589 452 385 Total 19183 20550 22018 20679 20315

TB & Chest Male 21319 22306 21906 21522 27965 Female 13530 14003 13066 13679 17512 Children 1154 1050 3827 9375 576 Total 36003 37359 38799 44576 46053

Skin & VD Male 30355 30710 29244 33389 36920 Female 17767 18678 19199 22253 29421 Children 6217 5864 7537 6122 4924 Total 54339 55252 55980 61764 71265

Psychiatry Male 15539 16512 15703 18820 18675 Female 10766 11984 11797 13989 13149 Children 248 7 46 0 36 Total 26553 28503 27546 32809 31860

Child Guidance Clinic Male 48 95 296 449 361 Female 31 93 243 395 380 Children 332 339 497 632 551 Total 411 527 1036 1476 1292

D-Addiction Clinic Male 165 238 331 371 285 Female 77 151 196 230 129

108

Children 16 23 9 3 0 Total 258 412 536 604 414

Geriatric Psychiatry Male 243 202 278 242 274 Female 81 113 140 115 118 Children 0 0 0 0 0 Total 324 315 418 357 392

111

Table-2.18: Trend of Male, Female and Children patients seen by various Units of General (Surgical) of Faculty of Medicine

Unit Cases Year

2009 2010 2011 2012 2013 General Surgery Male 22076 21814 23912 26890 29186

Female 19104 19619 21636 24293 25029 Children 3644 1902 1384 1448 1520 Total 44824 43335 46932 52631 55735

Orthopedics Male 29921 29256 31574 35032 35569 Female 21426 22992 27497 27930 29323 Children 8597 7526 4982 6446 5715 Total 59944 59774 64053 69408 70607

ENT Male 23986 26679 30881 30274 34405 Female 20865 22448 24533 23867 27986 Children 13679 8648 7933 8068 10609 Total 58530 57775 63347 62209 73000

Ophthalmology Male 28187 25586 28451 29027 38480 Female 14064 20608 22734 26627 26329 Children 8984 8483 5544 2751 7340 Total 51235 54677 56729 58395 72149

Obs. & Ganae Male 0 0 0 0 0 Female 37841 39611 40862 43167 43021 Children 1493 316 329 199 0 Total 39334 39927 41191 43366 43021

Post Partum Male 0 0 0 0 0 Female 3425 3640 3843 3883 3751 Children 0 0 0 0 0 Total 3425 3640 3843 3883 3751

113

Table-2.19: Trend of Male, Female and Children patients seen by various Units

of Super Specialty (Medical) of Faculty of Medicine Unit Cases Year

2009 2010 2011 2012 2013 Neurology Male 9898 10913 13528 17364 19404


Cardiology Male 8854 10114 14346 21028 24876 Female 5754 5676 7834 14062 18272 Children 148 4 0 500 407 Total 14756 15794 22180 35590 43555

Endocrinology Male 7732 10167 12582 12335 11497 Female 7324 6229 6871 10076 11542 Children 699 1735 1922 1723 1659 Total 15755 18131 21375 24134 24698

Gastroenterology Male 28948 32811 34778 38298 42334 Female 18706 21832 25229 26958 25843 Children 3661 2223 2106 2428 2713 Total 51315 56866 62113 67684 70890

Nephrology Male 7056 8002 9544 10548 10058 Female 4547 4541 4258 5091 4829 Children 1130 339 8 0 0 Total 12733 12882 13810 15639 14887

116

Table-2.20: Trend of Male, Female and Children patients seen by various Units of Super Specialty (Surgical) of Faculty of Medicine

Unit Cases Year

2009 2010 2011 2012 2013 Neurosurgery Male 31934 45851 33116 17186 22933


Pediatric Surgery Male 0 0 0 0 0 Female 0 0 0 0 0 Children 13087 14007 13982 14406 13606 Total 13087 14007 13982 14406 13606

Plastic Surgery Male 3357 3643 4045 3965 4130 Female 2288 2256 2660 2926 3027 Children 2013 2091 2086 2339 2423 Total 7658 7990 8791 9230 9580

Oncology Male 7957 8237 8528 9344 9615 Female 6205 6968 8225 9728 10419 Children 7 6 0 0 37 Total 14169 15211 16753 19072 20071

Cardio Thoracic Surgery


Urology Male 17771 18644 20750 23449 25438 Female 3377 4171 4113 5176 6398 Children 1048 1116 796 973 1147 Total 22196 23931 25659 29598 32983

118

Table-2.21: Trend of Male, Female and Children patients seen by various Units

of Ayurveda (Medical) Unit Cases Year

2009 2010 2011 2012 2013 Kaychikitsa Male 16647 15213 15390 16046 16817


Kaumar Bhitt Male 0 0 0 4 123 Female 0 0 0 1 116 Children 7884 7781 8666 9742 11060 Total 7884 7781 8666 9747 11299

Rashshastra Male 448 317 306 301 423 Female 157 159 154 168 211 Children 20 9 4 5 17 Total 625 485 464 474 651

Dravyagun Male 2041 1990 2106 1845 2440 Female 1089 934 1045 1208 1455 Children 88 41 66 117 38 Total 3218 2965 3217 3170 3933

Swasth Bhrit Male 139 181 120 131 125 Female 78 204 132 97 111 Children 17 11 11 5 10 Total 234 396 263 233 246

121

Table-2.22: Trend of Male, Female and Children patients seen by various Units of Ayurveda (Surgical)

Unit Cases Year

2009 2010 2011 2012 2013 Ano-rectal Male 17463 19635 24499 25544 24859


Shalya Male 4107 3405 4481 3766 3049 Female 2357 1828 2098 1931 1618 Children 401 323 349 362 248 Total 6865 5556 6928 6059 4915

Shalakya Male 4973 4169 4804 6526 8155 Female 3490 3062 3880 4903 6483 Children 1115 707 801 1793 1610 Total 9578 7938 9485 13222 16248

Prasuti Tantra Male 0 0 0 0 0 Female 11609 11078 11970 12691 13732 Children 101 0 19 328 440 Total 11710 11078 11989 13019 14172

Sangya Haran Male 1226 1026 1237 1440 2154 Female 758 812 983 1155 2007 Children 171 27 69 136 53 Total 2155 1865 2289 2731 4214

123

Table-2.23: Year wise percent distribution of deliveries of different states conducted in faculty of Medicine and Ayurveda

State 2011 2012 2013

Med. Ay. Total Med. Ay. Total Med. Ay. Total

N = 1918 N = 426 N = 2344 N = 2126 N = 466 N = 2592 N = 1991 N = 496 N

=2487 UP 77.84 96.95 81.31 78.46 94.42 81.33 78.25 94.76 81.54 Bihar 21.01 3.05 17.75 20.56 5.36 17.82 20.64 4.84 17.49 Other States 1.15 0.00 0.94 0.99 0.21 0.85 1.10 0.40 0.97 NR 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total 77.84 96.95 81.31 100.00 100.00 100.00 100.00 100.00 100.00

124

Table-2.24: Year wise percent distribution of deliveries in different age groups of mothers conducted in Faculty of Medicine & Ayurveda

Age group

2011 2012 2013 Med. Ay. Total Med. Ay. Total Med. Ay. Total

N = 1918 N = 426 N = 2344 N = 2126 N = 466 N = 2592 N = 1991 N = 496 N = 2487 15-19 1.72 3.05 1.96 1.93 2.36 2.01 1.96 0.81 1.73 20-24 35.35 42.72 36.69 34.85 39.91 35.76 36.97 44.35 38.44 25-29 42.18 38.50 41.51 42.24 42.70 42.32 40.13 40.93 40.29 30-34 15.69 11.74 14.97 15.33 12.02 14.74 16.07 12.50 15.36 35-39 4.48 3.52 4.31 4.28 2.79 4.01 4.27 1.41 3.70 40-44 0.42 0.47 0.43 0.47 0.00 0.39 0.60 0.00 0.48 45 + 0.16 0.00 0.13 0.05 0.00 0.04 0.00 0.00 0.00 NR 0.00 0.00 0.00 0.85 0.21 0.73 0.00 0.00 0.00 Total 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00

Table-2.25: Year wise percent distribution of mode of deliveries conducted in

Faculty of Medicine and Ayurveda

Mode of delivery


N =1918 N =426 N =2344 N =2126 N =466 N =2592 N = 1991 N = 496 N = 2487 LSCS 52.35 43.19 50.68 51.79 58.80 53.05 51.68 64.31 54.20 SVD 47.65 56.81 49.32 48.21 41.20 46.95 48.17 35.69 45.68 NR 0.00 0.00 0.00 0.00 0.00 0.00 0.15 0.00 0.12 Total 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00

125

Table-2.26: Year wise percent distribution of mode of deliveries conducted in different age groups of mothers in Faculty of Medicine and Ayurveda combined

Age group

SVD LSCS NR 2011 2012 2013 2011 2012 2013 2011 2012 2013

N = 1156 N = 1217 N = 1136 N = 1188 N = 1375 N=1348 N = 0 N = 0 N= 3 < 20 2.51 3.29 2.46 1.43 2.25 1.11 0.00 0.00 0.00 20-24 38.75 40.35 39.00 34.68 31.71 38.06 0.00 0.00 0.00 25-29 42.39 38.70 39.35 40.66 45.53 41.17 0.00 0.00 0.00 30-34 12.37 13.89 15.14 17.51 15.49 15.36 0.00 0.00 100.00 35-39 3.63 3.45 3.43 4.97 4.51 3.93 0.00 0.00 0.00 40-44 0.17 0.33 0.62 0.67 0.44 0.37 0.00 0.00 0.00 45-49 0.17 0.00 0.00 0.08 0.07 0.00 0.00 0.00 0.00

126

Table-2.27: Year wise percent sex distribution of new born in Faculty of

Medicine and Ayurveda

Sex of born*


Male 54.43 53.29 54.22 50.80 51.93 51.00 53.59 51.41 53.16 Female 45.57 46.71 45.78 48.26 48.07 48.23 46.26 48.59 46.72 NR 0.00 0.00 0.00 0.94 0.00 0.77 0.15 0.00 0.12

* Many twins and triplets born

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Table-2.28: Distribution of total deliveries by area of different states

State Districts Deliveries 2011 2012 2013

Uttar Pradesh

1906 (81.31)

2108 (81.33)

2026 (81.46)

From within the district

Varanasi 1288 (67.58)

1382 (65.56)

1340 (66.14)

From neighboring district within

100 km

Chandauli, Azamgarh, Bhodohi, Gazipur, Jaunpur, Sonbhadra, Mirzapur.

493 (25.87)

528 (25.05)

560 (27.64)

From district beyond 100km

Allahabad, Ballia, Sultanpur, Deoria, Gonda, Gorakhpur, Basti, Chitrkut, Pratapgarh, Ambedakar Nagar, Kaushambi, Mau, Lucknow, Kanpur, Faizabad.

125 (6.56)

198 (9.39)

126 (6.22)

Bihar

416 (17.75)

462 (17.82)

434 (17.45)

From districts nearer to UP

Kaimur (Bhabhua), Buxar, Siwan, Gopalganj. 212 (50.96)

227 (49.13)

206 (47.47)

From the districts farther to UP

border

Rohtas, Aurangabad, Barbal, Bhojpur, Sonpur Champaran, Chhapara, Motihari, Newada, Patna,Sasram, Vaishli, Veerpur, Nalanda, Ara

204 (49.04)

235 (50.87)

228 (52.53)

Madhya Pradesh

8 (0.34)

10 (0.39)

10 (0.40)

Rewa, Singrauli, Sidhi, Chhatarpur 8 (0.34)

10 (0.39)

10 (0.40)

West Bengal, Jharkhand, Delhi, Karnataka, Chattisgarh

14 (0.60)

12 (0.46)

13 (0.52)

Murshidabad, Khagro, Raipur, Palamu, Garhwa, Bankura

14 (0.60)

12 (0.46)

13 (0.52)

Not recorded for State or District

- - 4 (0.16)

Table-2.29: Year wise bed occupancy rate in various wards of General

(Medicals) of Faculty of Medicine Wards Bed Occupancy Rate

2011 2012 2013 Pediatric Medicine 100.9 103.2 87.68 General Medicine 92.4 92.1 90.69 TB & Chest 82.9 82.9 93.64 Radiotherapy 56.1 55.8 60.90 Female Med. Ward 51.3 62.6 69.74 Psychiatry 45.3 43.9 35.52 MMJ Kendra 27.5 24.6 20.93 Skin & VD 37.4 31.0 48.67 Pain 12.3 15.0 22.05 Total 73.2 73.43 74.25

128

Table-2.30: Year wise bed occupancy rate in various wards of General (Surgical)

of Faculty of medicine Wards Bed Occupancy Rate

2011 2012 2013 Male Surgical 71.8 76.2 76.50 Orthopedics 93.9 94.2 92.97 Maternity 87.4 89.5 86.31 Traumatic 89.9 92.0 91.11 Female Surgical 79.1 78.5 80.97 Obs. & Gynecology 60.8 65.5 61.76 ENT 71.6 64.2 57.86 Ophthalmology 36.5 35.5 35.42 Total 72.2 75.40 74.24

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Table-2.31: Year wise bed occupancy rate in various wards of Super Specialty (Medicals) of Faculty of Medicine

Wards Bed Occupancy Rate

2011 2012 2013 Nephrology 97.5 95.2 92.83 Gastroenterology 91.8 92.1 96.19 Neurology 97.8 95.1 94.73 CCU 97.1 95.6 72.45 Dialysis 42.9 20.6 11.92 Endocrinology 39.8 46.2 53.12 Cardiology 47.3 49.9 54.84 Total 72.3 70.44 66.71

Table-2.32: Year wise bed occupancy rate in various wards of Super Specialty (Surgical) of Faculty of Medicine


2011 2012 2013 Neurosurgery 99.7 100.7 94.31 Urology 97.7 98.0 98.21 Oncology 90.3 90.0 89.47 Pediatric Surgery 70.3 71.2 89.56 Burn unit 24.1 86.7 86.58 Plastic Surgery 92.7 91.3 88.85 Cardio Thoracic Surgery 67.7 68.5 72.92 Pediatric Surgery (NICU) 81.9 92.7 59.96 Total 84.2 84.98 86.56

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Table-2.34: Year wise bed occupancy rate in the Special Wards of SS Hospital Wards Bed Occupancy Rate

2011 2012 2013 Special Ward 74.3 84.5 87.41

131

Table-2.35: Bed occupancy rate in some newly created specific wards of Super Specialty (Medical & Surgical) of Faculty of Medicine

Wards Bed Occupancy Rate during 2013 Head Injury ward 88.85 Stroke Ward 91.84 Gastro-Inventional Endoscopy* 0.00 Metabolic Ward 17.58 * In Gastro-Inventional Endoscopy ward patients are admitted only for few hours after endoscopy

Table-2.36: Year wise bed occupancy rate in various wards of Medical Units of

Faculty of Ayurveda Wards Bed Occupancy Rate

2011 2012 2013 Kaychikitsa (Female) 63.4 53.4 53.41 Kaychikitsa (Male) 47.3 51.7 54.78 Kaumar Bhitt 25.4 23.4 33.45 Nursery Ayurveda 16.3 26.0 54.73 Total 46.2 46.3 51.73

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Table-2.37: Year wise bed occupancy rate in various wards of Surgical Units of Faculty of Ayurveda


2011 2012 2013 Shalakya 33.6 17.2 37.92 Shalya 36.7 43.1 63.17 Prasuti 67.5 77.4 75.27 PTK-Stri Rog 62.5 76.3 57.41 Total 51.2 61.85 57.48

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SUMMARY

The major development in the progress of SS Hospital is the construction of Trauma Centre, Dental Faculty, Radiotherapy Building, Radiology Building, Blood Bank Building, First floor of Vishram Kuteer and Kshar Sutra Building. Additionally several equipments were added in the hospital and constructions were inaugurated. Several major and minor renovations of buildings and wards e.g. New Chest, Eye, Pediatric Medicine, ASHRAY, Administrative Block, Extension of CCU and OT Block B as Modular OT were completed in order to improve the facilities for the patients. To provide the better facilities and services many wards e.g. HDU in the Chest, Interventional Endoscopy, MDR TB, 10 bedded Day Care for Gastro patients, Metabolic, Thalassemia were established. Medicine Shop (UMANG) under PPP was inaugurated and medical gas pipelines in Children Hospital and Neonatal Intensive Care Unit (NICU) was installed. To optimize the manpower management, many appointments were made and HMIS work was accelerated.

Tremendous increase of patient’s in OPD, EOPD, IPD and various investigations over the years has been recorded. Compared to the year 2009, the OPD patients load increased by 1.25 times in 2013 (996151 in 2009 and 1226363 in 2013). The indoor patients also increased from 45161 in 2009 to 52152 in 2013. The investigations carried in the CCI during 2013 increased tremendously by about 1 .33 lacs when compared to the year 2012 (1699411 in 2013 and 1563987 in 2012). The trend in hospital mortality and MLC cases were almost similar over the years. During the year 2013, hospital carried 30616 operative procedures out of which almost half were major.

The patients load in the faculty of Ayurveda and Dental Sciences had also shown continuous rise of patients during the last five years. The ratio of new to old patients was variable, obviously higher was the number of old cases for chronic diseases. The proportion of children attending OPD varied “between” 5% to 25% in various OPDs of the hospital. The bed occupancy had shown increase during 2013 compared to 2012.

The current status reveals an increased load in the hospital in terms of OPD patients, indoor admissions, and emergency admission. The tremendous rise in the number of investigations carried during 2013 compared to the year 2012 signifies the competency of the various laboratories of SS Hospital. The fewer and almost static mortality status of the patients signifies the amount of patients’ services being rendered by the hospital. Even operative procedures had been significantly increased. The increase was not only in the Modern Medicine side but equally in Ayurveda and Dental Sciences. The hospital continues to grow with its limited resources with an objective to serve the humanity.

SIR SUNDERLAL HOSPITAL – AN INTRODUCTION Prof. R. N. Mishra

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