PROJECTPROFILEFOR200BEDDEDHOSPITAL

Introduction
A Good Medical facility is the need of the hour at proposed districts of North Eastern States There is
urgentneedformoderatetoexcellenthealthcarefacilitiesintheseplaces.Moderatesizehospitalsof
200bedcapacitycanbesetupatcity/districtheadquarters,wellconnectedwithroadandrail.These
hospitalsequippedwithmodernmedicalequipmentsofferexcellentservicesforthepatientssuffering
fromvariousdiseases.
This PreFeasibility Study is prepared with an objective to provide basic information about hospital
project for prospective entrepreneurs, who may or may not have a medical background. It covers
extensively aspects such as: Services to be offered in the hospital, Details of hospital equipments,
Supportfacilities,Elaboratedlistofmedicalequipments,Variousfixedassetsrequired,No.ofmedical/
paramedical/ nonmedical staff required, Cost of suppliers and consumables, Revenue details,
Estimation of cost of project and means of financing, Estimates of profitability, Estimates of all key
financialindicatorssuchaspaybackperiod&Breakevenpointetc.

DetailsofServicestobeofferedintheHospital

MedicalServices
EmergencyMedicines;ICU/CCU,casualty,2majorOTs
GeneralMedicine;MinorOT,consultingrooms,NursingStations

Paediatrics&Neonatology;Nursery,IntensiveNeonatalCare,Facilitiesfor
Anaesthesia,Ventilation,Incubation
Xrayimaging;Mobilexrayunit100mAforNursinghomeand
500mAxrayMachineinOPD,CTScan
Machine
Pathology;Histopathology,Haematology,Serology,
Microbiology&Biochemistry
Gastroenterology;Endoscopy
Cardiology;ECG,stresstestwithtreadmill,Ultrasound
CardiacInvestigation
Physiotherapy;Infraredtherapy,ultraViolettherapy,Shortwave
Diathermy,highFrequencyphysiotherapy,
Traction,stimulation,Physicalfitness
Ophthalmology;GeneralSurgery
Orthopaedics;GeneralSurgery
OperationTheatre;2majorOTswithfacilitiesforAnaesthesia,
Ventilation,Monitoring,Defibrillationandone
minorOTinthenursinghome
ICU/CCU;Multibed,multiparameterMonitoring
Gynaecology;Colonoscopy,Laparoscopy&Dopplerfoetus
Detection,ultrasoundabdominal/ob/Gynae
Investigations,3labourrooms,2deliveryrooms

ENT;Examination,generalsurgery,respiration
Functionscreening
Casualty/Emergency;Resuscitation

Nephrology;Dialysis
HealthandAlliedServices
FamilyWelfare;Contraception,sterilization,immunizationandnutrition

Nursing,Paramedical&AlliedServices

Xray,Ultrasound,ECG,MedicalStore,ChemistShop,Nursing,Sterilization,Mortuary,BloodBank,
Laboratory,MajorOTsandMinorOT,Dialysis,Anaesthesiology,Physiotherapy
Utilities&AlliedServices
Electricity, Fire protection, Horticulture, LPG Supply, Ambulance, Medical gases supply, Air
Conditioning,Refrigeration,Sewagedisposal,Laundry,CateringCommunicationPABX,intercom,
nursecallsystem,,Watertreatment,Generaladministration,Computersystem
SystemsandProceduresManuals
Thesalientinformationtobeincludedinhospitalofmanual(s)areasfollows:
i)
Systemforregistrationandrecordkeepingforinandoutpatients.
Details:Reception.Communications,appointments,admissionsand
Dischargeactivities.
ii)
InventoryManagementSystemforconsumablesandsupplies:
Details:
a) MedicalStores(twowayoperationofmedicalshopviz.oneforoutpatientandanother
forinhousepatientswithfinaladjustmentsfrompatientsbills)
b) HouseKeeping
c) Laundry(operatingSystem)
d) Generalstores
e) Catering
f) Materialservices(thisincludedailyusemedicalsupportmaterials)
iii)
Preventivesmaintenanceroutinesformedicalandothercriticalequipments.
Details:
a) Engineering maintenance for nonmedical equipments (this will include electrical,
mechanical,waterworksandothers)
b) Maintenance for medical equipment covering electrical, mechanical & electronic
Systems.
iv)
OrganizationStructure,manpower,planningprocedures,salariesandwagescompensation
plan.
Details.
a) Organization:Organizationstructure,flowofresponsibilitiesetc.
b) Personnel:thisincludesrecruitmentpoliciesandsalaries,perks,promotionsetc.
c) Security: Number of hours/persons/day, number of watchman, number of shifts,
uniformandotherutilities.
d) Accountsandadministrationservices
e) OPD working: this includes number of shifts, number of Doctors shifts, fees charged,
averagenumberofpatients/doctors/shifts.
f) DiagnosticCenter:
- Pathology
- Scanningproceduresetc.

g) EmergencyServices&casualty,MinorOT:Thisincludesno.ofdoctors,no.ofbeds,noof
shifts,noofsupportingstaff,ambulanceservicesetc.
h) O.T.:ICUsoperatingsystem,noofbedsinICUs,OTnonmedicalandmedicalactivities
etc.
i) DepartmentalServiceslike:GeneralSurgeryDeptt.,GeneralMedicineDept.Pediatrics&
Neonatology Dept, Gynecology, Maternity & labour Room, Orthopedics, ENT Deptt.,
Physiotherapy,Cardiology,Gastroenterology
j)Publicrelations&marketingservices,includingscheduleofcharges
k)NursingServicesandnursestraining
l)Expansionprogram,estate&horticultureservices
m)Hospitalityforvisitors,hotelforshorttermNRIdoctorsetc.
HospitalCapacity
Theplannedhospitalwillhavetotalnumbersof200beds.Breakupofbedcapacityinthehospitalis
givenasunder:
FacilityNumbers
RegalSuits(4nos.)

DeluxeSinglerooms(10nos.)

10

Singlebeddedrooms(34nos.)

34

Doublebeddedrooms(20nos.)

40

Triplebeddedrooms(10nos.)

30

Sixbeddedgeneralwards(6nos.)

36

ICU(2nos.)

CCU(2nos.)

Neonatal

20

Emergency

10

Total200nos.
-

The general wards can be further divided into two or three bedded cubicles for increased
flexibility,dependingontherequirements;similarly,twobeddedroomswillhavetheflexibility
tobeconvertedtosinglerooms.

Onenursinghomeshouldbelocatedoneachfloorofthehospital.

Itwillbeseenthatmajorityofbedsareinthesinglebedded,doublebeddedandtriplebedded
roomssoastocaterspecializedandpersonalizedcaretothepatients.
- Theregalsuitsandthedeluxesinglebeddedroomswillattractthehighincomegrouppatients.
FutureExpansion
-

Thebuildingshouldbedesignedsoastoaccommodatetheexpansionofthishospitalwithout
disturbingthedaytodayfunctioningofthehospital.Futureexpansionispossibleoneachofthe
blocksupto5floorstocaterforaugmentedfacilitiesasnecessary.
Oncethehospitalisfullyoperational,themanagementwillbeabletoidentifytheareaswhere
expansionisrequiredbothforexistingfacilitiesandservices.Additionalmedicalequipments
commensuratewiththeexpandedfacilitiesandserviceswillneedtobeincorporatedsuitably.These
expansionswillbefinancedthroughinternalgenerationsfromtheprojectitself.Someoftheareas
forexpansionanticipatedareasunder:
DentalServices:Thedepartmentwillneedtobeequippedwithadentalxraymachine&necessary
equipments/facilitiesfordentalexaminationsandsurgery.
Neurology:Oncetheoperationsofthehospitalarefullyestablished,itmaybenecessarytoprovide
EEG&EMGunderthisdepartment:
Imaging:TheexistingfacilitiesmayneedtobeaugmentedwithcolorDopplerandadvancedCAT
scannertoprovidehighlysophisticateddiagnosticservices.Animageintensifiersystemwouldbe
necessaryforusewith500maXraysystemforconductingfluoroscopicstudies.
Capacity:Thenumberofbedsmayneedtobeincreasedintheformofadditionalmoduleina
separatebuildingappropriatelydesigned/expandedinthesamebuildingtocaterforincreased
demand.Thebuildingstructuredesignshouldcaterfor5floorsandatotalof100additionalbeds
shouldbefeasible.
OPD:Potentialshouldexistforconsiderableexpansionofthisfacility.
Ophthalmology:IntheOphthalmologydepartment,therewillbeaneedtoaugmentthefacilities
withA&Bscan,autorefractor,andafieldanalyzerinduecourseoftime.Briefutilityofthese
equipmentsisgivenbelow:
A&Bscanemployspulsedultrasoundtodeterminetheaxiallengthoftheeye(Amode)andto
produceatwodimensionalplanviewoftheeyefordiagnosticevaluation(Bmode)
Autorefractorisusedforprovidingcompleteinformationonpatientsfunctionalacuity.Anauto
aligningrefractorenablesautomaticpositioningoftheinstrumentsatthecorrectvertex
distancefromthepatients.

Fieldanalyzerisusedtorapidlyidentifysubnormalareas.Thiswillhaveacompletetest
library from qualitative screening for accurate, repeatable threshold testing and statistical
analysisforglaucomamanagement.
Nephrology:Theremayalsobearequirementtoinductanadditionalsinglepatientshaemodialysis
machinesubsequentlyintheNephrologydepartments.

MedicalLasers:Argon,NdYagandCO2laserscanalsobeaddediffounddesirable.
Pathology:Acomputerizedautoanalyzermaybeaddedinthelaboratoryforpathologicaltests.
Gynecology:AfoetalmonitorforFHRmeasurementandmonitoringofuterinecontractionscanbe
addedsubsequently.
Aspartofthemarketingdrive,therewillbeaneedtoapproachthecorporatebodiesforpatronage
intermsofexecutivehealthcareonpreferentialbasis.Themodalitiesforoperationofthisscheme
should be worked out at an appropriate stage which will cover concessional tariff in structure,
priorityinallotmentofroomsetc.Itisalsosuggestedtosetupaclub,whichwillinvitemembership
fromindividuals,familiesandassociationforregularhealthcheckupandtreatment.TheOPDblock

shouldbefunctional3 to4monthsaheadofthecommissioningofthehospital.Thiswillnotonly
helpingeneratingrevenue,butwillalsogoalongwayinthepublicityofthehospital.
SupportiveFacilitiesintheHospital
Communications: The hospital will have all the necessary systems for communication. These will
include: EPABX system, Nurse call system, Paging system/ public address system. In addition the
hospitalmusthaveemailandfax.
Nurse call System: Nurse Call System will have to be provided with one console at each nursing
station. It will be an advanced electronic system, consisting of an indicator console located at the
nursesstation.Itneedstobecablelinkedtoahandheldmoduleateachpatientsbedsideandalso
have a bed panel. A panel outside the patients room and a panel in the toilet should also be
provided.Theconsoleaswellasthebedroomandtoiletpanelscarriesred,yellowandgreendisplay
lamps.Theconsoleatthenursingstationalsohasadigitaldisplaypanel.
In the normal situation the digital display panel on the Nurses console stays blank and all lamp
indicationsonallthepanelsremaingreen.Thisshowsthattheequipmentisfunctioning.Incaseof
emergency,patientspushabuttononthehandheldmodule.Greenlightsinallthepanelschangein
to red and the patients bed number begin flashing on the nurses console, accompanied by a
regularbeep.Thenurseimmediatelyrespondsbypushingasinglebuttononherconsoleandthis
causesanadditionalyellowlamptolightuponthepatientshandheldmodule,aswellasonthe
doors and bed panels, assuring the patient that the call has been heard and will be attended to.
Afterthenursehasattendedtothepatientshepressesthebuttononthebedpanel.Thisresetsthe
unitandrestoresalllampindicationstogreen.
The system is fool proof with no call remaining unattended. Additional facilities include the
connection of intercom with the system and hence allowing the nurse to speak directly with the
patientswithoutleavingherstation.
Computers:Thehospital willhaveacomputersystemforefficientandfast workingofthevarious
departments.
Power Supply System: The total estimated maximum load of the hospital would be 650 KVA. This
requirementhastobemetfromtheStateElectricityBoardssupply.Toprovideuninterruptedpower
supplytothehospital,asetofstandbyDGsetswillhavetobecatered.Thepowersupplysystem
willconsistof:SubstationequipmentandStandbyDGsets(2x3560KVA).TherewillbetwoDGsets
tosupplyallthepowerneededincludingtheACunits.
Substation:
The Substation will consist of transformer, LT panel & HT oil circuit breaker. The transformer will be
Kirloskarmake11KV/344V,3phase50Hz,ONAN,coretypewithvoltageratiobetweenphasesatNO
LOADas11000/433VarrangedforStar/DeltaconnectionaspervectorgroupDYIIwithneutralbrought
outonLVside.ThetransformerwillconformtoIS:2026/1977.

- H.V.termination
- L.H.termination
- DialThermometer
- Buchholtzrelay

LTpanelwillbeusedforthedistributionoftheloadtovariousdepartmentsinthehospital.HTOCBwill
beprovidedforsafetyincaseofanyshortcircuit.CromptonGreavesALA1/XLtypeoilcircuitbreaker

willbeprovidedforthispurpose.ItwillconfirmtoIS2516(PartI,Sec.2)1963,flushfronted,metalclad
with indoor floor mounting, vertical isolation, horizontal drawout having a rupturing capacity of 250
MVAat11KVAandsuitableforuseon11KV,3phase/3wire,50cyclesandwillbeeffectivelyearthed
system.

StandbyDGSets:
To take care of the power failure of the grid, hospital will be provided with two standby diesel
generatingsetswithatotalcapacityof700KVA.Thehospitalwillhavetwo350KVADGSetseach.The
componentsofDGSetscomprisethefollowing:

a) DieselEngine:KirloskarCumminsmakedieselenginemodelNTA743Ganddeveloping500BHP
at1500RPM,ratedforcontinuousduty,withadditional10%overloadcapacityforonehourin
anyperiodoftwelvehoursatcontinuousoperationatstandardoperatingconditions,asperBS:
649/5514. This is naturally aspirated/turbo charged after cooled engine. The diesel engine is
inclusiveofallstandardaccessoriesincludinginstrumentpanel.Fuelconsumptionis90litres/hr.
b) Alternator:Kirloskarmakealternatorratedfor400KVA,100RPMat0.8laggingpowerfactorat
415/440 volts, suitable for 50 HZ, 3phase system. The alternator will have screen protected
dripproofenclosurecomplyingwithBS213orIS4722.
c) AlternatorControlPanel:Floormountingtype,totallyenclosed,steelconstructioncontrolpanel,
suitableforabovegenerator.
d) Accessories:AccessoriesfortheaboveDGSetincludebaseplateformountingdieselengineand
alternator,fueltankfloormountingtype,leadbattery,sparepartsandmaintenancemanuals.
MedicalGasSupplySystem:Acentralgassupplysystemshallhavetobeprovidedforthe
distributionofmedicalgasestovariousdepartmentsofthehospitals.
GasesrequiredareOxygenandnitrousOxidealongwithsuction.Theventilatorswillbeoperatedby
meansofOxygen.Therewillbeacentralstoragetankforthesegasesanddistributionwillbe
throughcopperpipes.Acompressoristobeusedforthedeliveryofgasestovariouspoints.
Separatepipelineswillhavetobeinstalledforthispurpose.
FireFightingSystem:Formeetingtheemergencyincaseoffireinthehospital,properfirefighting
equipments,havetobeprovidedatallthesensitiveareas,duecareaboutthesafetyregulationshas
tobetakenintotheaccount.
Lifts:Thehospitalneedtohavetwohospitalliftsforthemovementofpatients,doctors,stretchers,
andwheelchairs,Visitorsetc.
Ambulance:Thehospitalneedtohavetwoambulance(Tata407modelorothermake)forattending
totheemergencyfromoutsideandbringthecasualties/emergencypatientstothehospitalfor
treatment.Ambulancehastobeavailableforthepatientswhoaredischargedandare
recommendedforcompleterest.Thisfacilitywillbeavailableonpaymentbasiswithafixed
minimumchargeandadditionalchargedependinguponthedistance.Theambulancewillhaveall
modernfirstaidfacilitieswithambubagsandoxygen.
Laundry:Laundryhastobeprovidedwiththenecessaryfacilitiestomeetthebasichospitalneeds.
Thehospitalwillbegeneratingabout100Kg.ofdirtylinenperdayforwashing.Tocaterforthis
adequateprovisionintermsofbasicinfrastructurehastobeprovided.Theoperationofthelaundry
canbeonacontractbasis.Besidesthis,thefollowingcanbeaddedinthelaterstageWashing
machinewithspinnerof50Kg/charge,sluicingmachineof7Kg/charge,andHydroextractorof25
Kg/charge.Thesemachinesareoperatedwithsteam.Henceaboilerof300Kg./hrcapacitywillbe
alsorequired.

Boiler:Oneindustrialhorizontalsmoketubedesignoilfiredboilercapableofgenerating300Kg./hr.
ofsteam(F&A100degreecentigrade)atthemaximumworkingpressureof150psi(10.54kg.Sq.
cm.)alongwithcontrolpanelandmobraycontrol.Accessoriestothisboilertoinclude:Guyrope
typechimneyofdiameter250mm&height15mtrandMSsoftwatertankcapacity1000litre.
Kitchenequipments:
Thehospitalwillhaveitsownkitchenwithbasicfacilitiestomeettherequirementsforthepatients
IPD.Qualitycontrolwillbecarriedbythefulltimedietician.Besidesthehospitalwillalsohavea
canteenfacilityfortheoutpatientsandvisitorswhichwillbeoperatedbyacontractor.
WasteDisposal:
LiquidWastegeneratedbythehospitalwillbedirectlydisposedofinmainsewerlinewhichis
alreadyexistinginthecomplex.
Solidwastelike,cottonbandages,dressingsetc.willbedisposedoffbyincineration.
MedicalEquipments
Themedicalequipmentsrequiredforthehospitalhavebeenidentifiedinaccordancewiththe
followingcriteria:
To ensure that each of the departments/ functional areas are adequately equipped for
diagnosis/treatment.
- Toservethebasicinitialrequirementsforthehospital.Preferencehasbeengiventoequipment
basedonmodulardesigntoupgradethefacilitiesatthelaterdatethuseffectingcostsavings.
- To be cost effective with respect to performance, recommendations are based on least
pricedequipmentwithoutcompromisingondesiredfunctionalcapabilities
- Reliability of the equipment suppliers in terms of lead time, installed base, technical
specificationsandinfrastructureavailableforprovidingservicesupportdrivingand
beyondwarrantyperiod.
GeneralLayoutDescription
-

Land:
Thetotallandareaoflandfortheprojectisabout20,000sq.mts.
ConsiderationforLayoutFacilities:
Thefollowingfactorsareconsideredimportantwhileplanningthelayoutofvariousfacilitiesina
hospitaltoensuresmoothoperations.
Menandmaterialflow
Interdependenceofdepartmentsandservices
DiversionofTraffic
Aesthetics
Naturallightingandventilation
Segregationofnoisyareas
Requirementofasepticenvironment
LandUse

LandScaping:
In land scaping, adequate greenery has to be maintained all around the hospital. This includes
creationoflawns,gardens,etc.Horticulturehastobegivenspecialattention.Treeswillbegrown
alongtheboundarytoprovideshadowandaddtothegreeneryallover.Mostlygreenplantswould
beplannedsothatthereisminimumreplantingactivity.
Waterhosesforgardeningwillbeprovidedatvariouspoints.Flexiblerubberpipeswillbeusedfor
water supply for various trees and plants. Sprinklers will be provided for watering lawns. Garden
lights will also be provided which will add to the aesthetics of the hospital during night. Estate
Departmentwilllookafterthemaintenanceofgarden.
NationalBuildingStandards:
TheBureauofIndianStandards(BIS)hasdevelopedstandardsforbasicrequirementforhospitalsup
to 30 beds (IS: 12433 (part 1)1988) and standard on the classification and matrix for various
categoriesofhospitals(IS12377).Thestandardscoversbasicrequirementforplanninga30bedded
general hospital in respect of functional program, functional and space requirements, manpower
requirements, instruments and equipment and essential requirements for building services and
environment.Theclassificationandmatrixfor5categoriesofhospitals(30,100,250,500,and750
bedded)andaccordingtothefunctions(BIS(a),(b)1988).
AboveStandardspecifications(BIS)willbeadheredtoforalltheaspectsofhospitalbuilding

Building:
The building will have a frame structure both for block I and block II. This will help in providing
flexibilityofroomconfiguration.Partitionwallswillbeofsinglebrick(41/2width)/gypsumboard
partitions,whichcanberemovedasandwhenthereisaneedforchangeinroomconfiguration.The
designofbuildingwillbesuchthattheremovalofanypartitionwouldnothaveanyimpactonthe
stability of the whole building. The building will have exposed brickwork on the outside walls and
plasterintheinsidewalls.Theinsidewallswillbepaintedforeasymaintainability.
Flooringofthehospital willbeofPCC(plaincement concrete)withPVCtilesforminimizing noise
andcost.FlooringforOTswillbeofantistaticVinyltiles.ThestaircasewillalsohaveVinyltiles.
False ceiling will be provided in the OTICU/CCU complex on the second floor, as central/package
unitsofairconditionersareprovidedinthisarea.Falseceilingwillcovertheductingprovidedwithin
thiscomplex.
Wallsinthetoiletswillhaveglazedtilesupto7feetheightforeaseofcleaningandformaintaining
hygienicconditions.
Fittings:
All the fittings of toilets and bathrooms will be chrome plated and ceramic sanitary ware. Fittings
designwillvaryaccordingtothetypeofroomandwouldmatchtheroomconfiguration.Pipesfor
conduit wiring will be of PVC (as this is rust proof). Other pipes for toilets and bathrooms will be
PVC/CIaspertherequirements.
Wiringforelectricalfittingswillbeasperstandards.
DoorsandWindows:

Doors will have steel frame and the panels will be made of timber/glass. As per the room
configuration,thesizeanddesignofdoorpanelswillvary.Windowswillhavesteelframeswithglass
panes. Self cleaning design will be provided where cleaning of the windows will be by rainwater,
wind,etc.
Hygiene:
In the design of building, all the toilets and bathrooms are provided at respective ends to have
natural ventilation. In case of wards, where usage is more, an exhaust fan will be provided for
ventilation.
Safety:
Guardroom,atthemainentrance,willbeprovidedwhichwillbemannedroundtheclock.Vehicles
cominginandoutwillhavetoobtainatokenandreturnthesamewhilegoingout.Guardroomwill
haveanintercomconnectionandalsohavedirectlinetobeusedduringemergency.Thisroomwill
have a partition to accommodate Chief Security Officer and guards on duty. Basic fire fighting
equipmentwillbeprovidedatvariouspointsinthehospitalcomplex.

GeneralLayout:
Thehospitalwillconsistofthreeblocksasfollows:
BlockINursinghome&utilities
BlockIIOutpatientdepartment
BlockIIIChemistshop&canteen
BlockIVStaffQuarters

BlockIshouldbesituatedawayfromthemainroadatthesouthwestcorneroftheplot.Thiswill
ensure patient comfort and will also be free from noise and air pollution, which make the
atmosphereofhospitalconduciveforcompleterestwithoutdisturbance.

Block II should be located near the main road and main gate of the hospital. This is so planned
because of flow of the large number of out patients and their relatives throughout the day.
SufficientdistanceistobeprovidedbetweentheBlockIandBlockIItoavoidnoisepollutioninBlock
I. The diagnostic center will also be provided in Block I as this department will be used both by
outpatients, a sample collection room, pathology lab, one Xray unit, one ultrasound equipment,
ECGmachinesandphysiotherapyshouldbeprovidedinBlockII.

Block III should be between Block I & Block II, so that the chemist shop and canteen can cater to
both the Blocks simultaneously as this is at almost equal distance from both the Blocks. Block III
locationshouldbesuchthatthenoisepollutionduetotheBlockisminimumandatthesametime
thedistanceisshortestpossiblebetweenthetwo.

BlockIVshouldbelocatedslightlyawayfromallotherblocksbeingaresidentialoneforessential
staff.
Suitable provision should be made for internal roads, parking areas as also the development of
greenareasintherestofthelandtoprovidethenecessaryenvironmentofgeneralcleanliness.
Building
ArchitecturalPrinciples:
Thebuildingforthehospitalistobedesignedtakingintoconsiderationvariousaspectslikedirection
ofsunlight,wind,seismiccharacteristics,soilstrength,waterlevel,rainfalletc.
Design&Concept:
In the design conceptualization, particularly the inpatient block, the orientation is maintained
towardsEastandWest,inordertogetmaximumsunlight,adequateopenspacesaroundtheBlocks
areleftinordertoprovideaesthetics, ventilationandlightintheroomsandtoavoid congestion.
Further,theinpatientblockshouldbekeptfartherfromthemainroadinordertoreducethenoise
level,dustaswellassmokeemittedbythevehiclesmovingonthemainroad.Allthetoiletshaveto
bepositionedontheoutersidetohavedirectventilationandtosimplyplumbing.

The relationships between and within departments are directed by the rational functional
requirements of the hospital. The in patient wards offer privacy and comfort (being segregated)
andbeingservedbynursingstations,whicharesoplacedastofacilitatethenursingneedofeach
patient.Eachnursingstationisselfcontainedandclosebyserviceelevatortoreduceunduetraffic.
Thebuildingisdesignedtohavecommonandconsolidatedserviceareasoastoservethehospital
moreeffectively.

BlockILayout:
BlockIwillhavethreefloorsexcludingtheutilitiesarea.However,thefoundationsshallbedesigned
tosupportafivestoriedbuildingtocaterforfutureexpansionofcapacity.Thehospitalwillhave100
beds.Thebuildingforutilitieswillbesinglestoried.Thelayoutofvariousdepartments/serviceswill
beasfollows:

a)GroundFloor:Thegroundfloorwillhave:

Reception
Casualty/emergency/daycarewith10beds
Xrayfacility
MinorOTcapableofhandlingemergencycases
Treatment/plasterroomforcasualty/emergency
Neonatalroom
Medicalgassupplysystemneartheroadforeasyloading/unloadingofgascylinders
Centralsterilesupplydepot
Laundrywillbesituatedatthesouthwestend
Kitchen(nexttolaundryinnorthdirection)
Substationslightlyawayfromlaundry
Morgueisalsoprovidedawayfromthehospitalbuilding

Eastern part of the hospital is for the inpatient and consists of 2 six bedded rooms, 3 triple
beddedrooms,4doublebeddedrooms,2deluxeroomsand8singlebedrooms.
Anursingstation,cleanutilityroom,dutyroomandpantryarealsotobeprovidedoneachfloor.
b)FirstFloor:Thefirstfloorwillhave:

DeliveryroomsprovidedabovethecasualtyandminorOT
3Labourrooms
Sterilizationroom
20beddedneonatalcareroomwithisolationfacilityaswellasintensivecare
Dirtyutilityroom
Clean&dirtycorridor
Doctors&nurseschangerooms
Nursinghomewards&roomswhichprovidefor2sixbeddedrooms,3triplebeddedrooms,4
double bedded rooms, 6 deluxe rooms, two regal suits and 20 single rooms. A nurse station,
cleanutilityroom,dutyroom,pantry&storearealsotobeprovided.
c)SecondFloor:Thesecondfloorwillhave:

2majorO.Ts
OToperationarea
Corridors for movement of clean & dirty utilities, separate clean & dirty utility rooms are
provided
Doctors&nurseschangerooms
Recoveryroom
ICU(4beds)xtwonumbers
CCU(4beds)xtwonumbers
Hospitalswards&rooms
Roomfortechnician
Nursinghomewards&roomswhichprovidefor2sixbeddedrooms,4triplebeddedrooms,4regal
suits,2deliveryrooms,2doublebeddedrooms,6singleroomsand2deluxerooms.Furthera
nursingstation;dutyroom,pantry&storearecateredfor
BlockIIwillhave2floors.Thedetailsareasunder:
a)GroundFloor:
ThemainentranceforOPDwillhaveareception/registration/cashcounterinthemainlobby.
3consultationroomstobeusedin4shiftswithadequatewaitingarea.
Physiotherapyroom.
XRayroom&waitingroom.
Ultrasoundroom
Samplecollectionroom
Staircase
b)FirstFloor:

4consultationroomstobeusedin4shiftswithadequatewaitingarea
Laboratory for histopathology, biochemistry, microbiology, haematology & serology and
immunology
Stresstestroom
ECGroom
Endoscopyroom
Corridorsareprovidedforeasyman&materialmovement.

c) Parking:AsmallparkingareaisprovidedinfrontoftheOPDblock.

BlockIII
BlockIIIconsistsofchemistshop,whichwilloperateroundtheclock.Thiswouldhavetwoseparate
entrancesi.e.oneforthepublicandanotherforthehospitalstaff.Thiswouldpermitspeedy
transactionsforthehospitalstaffwherethemedicineswouldbeissuedbasedonintendsandalso
accountedforseparately.

BlockIV
Consistofasinglefloorwith25singleroomscapacitytoaccommodateessentialhospitalstaff.

Acanteenforhospitalandvisitingrelativesofthepatientsetc.shouldbelocatedadjacenttothe
chemistshop.Thiswillbeoperatedbyacontractorwhowillbringhisownequipmentandfurniture.
ToiletsfortheuseofOPDpatients,visitorsetcarealsotobeprovided.
PublicConvenience:
Adequatenumberofpublicconveniencesandtoiletsforthevisitorsandstaffhastobecateredfor
inthedesignofthehospitalbuilding.
LayoutofServices:
Toensureasmoothflowofservicesinthehospital,itisimportantthatthelayoutofservicesshould
beasperthemenandmaterialflow,interdependenceofservicesanddepartments,requirement
ofutilitiesandservicesetc.Thefloorwiselayoutdetailsareasfollows:

a)OPDBlock:
ToensurethattheOPDblockisselfsufficientuptotheextentrequired,variousalliedserviceshave
beencateredintheblock.Theblockhastohaveconsultationroomswithappropriatewaitingarea
forpatients,treatment/injectionroom,samplecollectionroom,pathologylab,physiotherapyroom,
an Xray unit, ECG and Ultrasound facility and a registration desk to monitor, control, guide and
redirectthe patients..ThereceptiondeskwillalsoactasthecashierfortheOPDblock.Adequate
waitingareaforthepatientsistobeprovidedfortheseroomscateringtotakecareofthepeakhour
traffic.Thesamplecollectionroomhastobeclosetothemainentrancetoavoidcongestion.

b)NursingHomeBlock:
Thenursinghomeblockislocatedonthreefloorswithvarioustypesofaccommodationtosuitthe
payingcapacitiesofthepatients.Eachfloorhasanursingstationforprovidingnecessaryassistance
to the patients, which will be manned round the clock. Behind the nursing station there will be
provisionforsupportserviceslikestore,pantry,dirtylinenstore,etc.andtheservicesliftwillopen
inthisareaforeaseoftransportingofmaterial(usedandfreshsupplied).Theregistrationisonthe
ground floor with a separate entrance with the bed/ passenger lift opening in the lobby. The
receptiondeskwillhaveacomputerterminalandwillalsotakeuptheroleofcashier.Thisdeskwill
alsobemannedroundtheclock.


c)Emergency/casualty:
Intheadjoiningblockofthenursinghome(onthegroundfloor)theemergency/casualtyservices
should be provided with a separate entrance and lobby. This should have a minor OT with allied
facilitiessuchasXRaydepartment,daycarebedsetc.tobeselfsufficient.Xraydepartmentshould
besoplacedthatitcanalsobeapproachedfromthenursinghome.

d)MaternityServices:
Thefirstfloorabovetheemergency/minorOTshouldhavethematernityfacilitiesinthearea.This
willbeinproximityofthenursinghomecomplexasthefirstfloorofthenursinghomewillhaveto
housethegyaenicpatients.Thelabourrooms,doctorsrooms,deliveryrooms,neonatalcarerooms,
(ICU)/normal/isolationwards)etc.shouldbeinthesameareaforeaseoffunctioning.

e)OperatingTheatres:
Theoperationtheatres(2nos.)shouldbelocatedonthesecondfloorabovethematernitysection.
Theseshouldbetotallyairconditionedandultrapureairsystemshouldbeinstalled.TheOTarea
should include the patients preparation area, anaesthetics area, doctors, nurses and technicians
change/restrooms,toilets,scrubroometc.Itshouldbeseparatedfromtheoperationtheatrebya
cleancorridor.FromtheOperationTheatres,thepatientswillbetransferredtotherecoveryrooms,
whichisapartofICU/CCUunitlocatedadjoiningtotheOperationTheatre.

f)Utilities:
All the centralized utility services should be provided on the backside of the building which is a
single storied structure. These include areas for kitchen, laundry, stores, CSSD, transformer/
generatorroom,incineratoretc.Themanagementwouldbeeasiersincethesefacilitiesaregrouped
together.Thisserviceareashouldbeconnectedtothehospital/OTareasbyaservicecorridoranda
serviceliftforsmoothoperations.

g) Cashier room should be provided at the reception/ registration desk of OPD and IPD. The
receptionofIPDshouldbeprovidedwithacomputerterminal.
Organization&Management

Organizationandmanagementofthehospitalisproposedunderthefollowingheads:

- Management
- OrganizationStructure
- Manpower
- SystemsandProcedures

Management:

a) BoardofDirectors:TheBoardofDirectorswouldlaydownmajorpoliticsforeffectivehospital
administration.Theseincludepoliciesconcerningcapitaloutlays,expansionandmodernization
programs,microlevelfinancialcontroletc.
b) Medical Superintendent: The medical superintendent. Will be a doctor, with experience of
hospitalmanagementactivityandwillbecompetenttotakedecisionsfortheefficientdayto
day functioning of the hospital. He will be responsible for implementation of the hospital. He
willberesponsibleforimplementationofthevariouspolicyoftheBoardofDirectors/Chairman.
He will be supported by medical superintendent and general administrator. He will look the
generaladministratoractivitiesofthehospitalthroughgeneraladministration.
c) Dy.GeneralSuperintendent:Hewillbeadoctorwithsomeexperienceinoverallmanagementof
medical staff and activities of the Hospital. He would be reporting to the medical
superintendent. All the staff heads would interact with him for daytoday functioning of the
hospital. He will also look after the annual appraisals of hospital medical staff jointly with the
medicalsuperintendent.
d) General Administrator: He will be a person with experience in the general hospital
administration.HewillbereportingtoMedicalSuperintendentandwouldberesponsibleforthe
overall nonmedical activities of the hospital, such as housekeeping, laundry, personnel
department,security,accounts,powersupply,airconditioningetc.

Hewillalsoberesponsibleforthepersonneladministrationofhospitalstaffandwouldreporttothe
medical superintendent daily reporting the attendance, casualty, nonmedical/medical equipment
status,anyuntowardincidentsetc.

e) Heads of Deptts. (Medical): They would be senior specialist and will manage their respective
departments.TheywouldinteracttoDeputyMedicalSuperintendentandwouldberesponsible
forthedaytodayactivityoftheirdepartments.
They will be assisted by physicians, technicians, nurses and ward boys. Registrars of General
Medicine,GeneralSurgery,Ob/GynaecologyandaswellasPathologist,RadiologistandAnaesthetist
will be on the pay roll of the hospital while for Orthopaedics and Nephrology, Paediatrics,
Gastroenterologyandophthalmology,therewillbevisitingspecialists.

f) HeadsofDeptts.(Nonmedical):Theywouldbespecialistsintheirrespectivefieldsandwould
be responsible for daytoday activities of their departments. They will report directly to the
general administrator. These include Personnel Manager, Finance Manager, Systems Analyst,
MaterialsOfficer(MedicalandNonmedical),AccountsOfficersandSecurity Officersetc. They
willbeassistedbyNonmedicalstaffsuitably.

Managementcommittees:
For effective and efficient management of various activities of the hospital, different committees
will be formed. These committees would consist of experts from their respective fields and an
observernomineefromtheBoardofDirectors.Someofthesecommitteeswillbeasfollows.

a) Hospital Committee: This will consist of Medical Superintendent, Deputy Medical

Superintendent and Heads of the Department etc. and will be meeting once in a month to
reviewthemedicalaspects.
b) Technical Committee: It will consist of Medical Superintendent, General Administrator and
SeniorNonmedicalandTechnicalStaffandwillbemeetingonceintwomonthstoreviewthe
Nonmedicalaspects.

c) Hospitals Infection Control Committee: In addition to the above the following committees can
alsobeconstituted:

- ResearchCommittee
- RecordsCommittee
- AcademicCommittee
- FinanceCommittee

There would be considerable interaction between various committees due to their inter
dependence.Forthispurposejointmeetingswouldalsobeheld.Theroleandthemembershipof
theabovecommitteeswouldbeincludedinthesystemsandproceduresmanualstobeprepared.

Financiallimits:
The Board of Directors will set financial limits for various senior functional staff. This will enable
various hospital activities to run smoothly and efficiently with proper delegation of authority and
responsibility.

Manpower:
a) ParamedicalStaff:
- CardiacCenterTechnician
- DialysisTechnician
- Pharmacist&assistantPharmacist
- Steward/Dietician
- ECGTechnician
- UltrasoundTechnician
- XrayTechnician
- ClinicalPathologyTechnician
- HaematologyTechnicians
- Physiotherapist
- EndoscopyTechnician
- Orthopaedician
- OphthalmologyAssistant
- DarkroomTechnician
- Laundry
- CSSD

b) EngineeringStaff:

Thestaffwillincludetechniciansfor:
Electricity
- Mechanical/Plumbing
- Boiler

c) NursingStaff:
- WardmasterreportingtoDeputyMedicalSuperintendent.HewillalsobefunctioningasPROto
the hospital. His responsibilities include insuring smooth functioning of hospital wards and
rooms.
- Matroninchief

DeputyMatron
StaffNurses

d) AdministrationandAncillarystaff:
The administrative and ancillary staff in addition to senior administrative staff given above will
consistofthefollowing:

- HeadClerk
- Cashier
- UDC/LDC/Typists/Stenographers
- RecordOfficers
- Housekeepers
- AdministrativeAssistants
- Telephone/TelexOperators/Receptionist
- Drivers
- NursingOrderly
- SecurityAttendants
- Gardeners
- Cooks
- SystemAnalyst
- ComputerProgrammer/Operator

TimeSchedule
A construction program has been developed to accomplish the desired objectives within a time span
whichisasshortaspossiblewithoutbeingexcessivelycurtailed.Atimespanof16monthsforproject
completion defined by erection and commissioning of the hospital is estimated. Following table gives
thetimescheduleformajorworkstobecarriedoutintheimplementationoftheproject.

Activity

PeriodinMonths

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Preliminary&Promotionalwork
ProcurementofLand&Site
Development

Constructionofbuildings&
structures

.Design&Engineering,

Ordering&Procurementof
equipments

ErectionandCommissioning

StartupofHospital

CapitalOutlayoftheProjectandMeansOfFinances
The estimated project cost is Rs. 1650.00 Lakhs. The debt: equity ratio considered for this project is
approximately 2:1. It is proposed that the project will have equity of Rs.500 Lakhs and rest Rs. 1150
Lakhs can be raised as long term loan from the financial institutions. The project cost and means of
financeispresentedinTablebelow

S.No

Details

Cost(inRsLakhs)

1.

LandandLanddevelopment

74.00

2.
3.
4.
5.
6.
7.
8.

Buildings
Plant&Equipments
MiscellaneousFixedAsset
PreliminaryExpenses
PreoperativeExpenses
Marginmoneyforworkingcapital
Contingencies

825.50
235.70
170.00
26.62

Total

144.88
81.98
91.32
1650.00

MeansofFinance
1
2

Loan
Equity

1150
500
1650

Total

EstimationofProjectCost
In the estimation of the project cost, the requirements and costs of variousfixed assets such as land,
buildings,plantandmachineryandothermiscellaneousassetsisconsidered.Besidesthesecoststhere
arecertainpreliminaryandpreoperativeexpenseswhichareincurredintheproject.Oncetheprojectis
setup,inordertorunitworkingcapitalisrequired.Sincebankprovidesonlypartofrequirementsof
workingcapital,marginalmoneyisrequiredtosuccessfullyoperatetheplant.Sincetherequirementof
themarginalmoneyisoflongtermnature,itisalsoconsideredasapartoftheprojectcost.


LandandSiteDevelopment
Thetotalcoveredareaofthehospitalisestimatedat10,000Sq.meters.Thisincludesthearearequired
forthemainhospital,utilitiessection,laboratory,Administrativeoffice;Godown,publicconveniences
etc.Takingthisintoconsiderationandprovisionsforroads,pavementsandfutureexpansions,theland
requirement for the proposed unit has been estimated at 20,000 sqmeters. The cost of this land is
estimatedatRs.70.0lakhs
CostofLandandSitedevelopment
1.Land20,000squaremeters@Rs.350persquaremetersincludingregistration
charges

Rs.70.00Lakhs.
2.Siteclearing,levellingandotherdevelopmentcostRs4.00Lakhs

Total Rs74.00Lakhs
BuildingandStructures
Estimates for building and structures: Covers the cost of construction of various buildings for the
hospital,utilitiessection,administrativeoffice,Godowns,laboratory,workshop,accommodationfor
hospitalstaffetc.Thetotalcoveredareaofthehospitalisestimatedat12,500sqmts.Thecostof
the building and structures is estimated on the basis of area and volume and also on the type of
foundationtobeadoptedforvariousitemsofequipment.
CostofBuildingandStructures
The hospital will consist of nursing home and utilities buildings, OPD buildings, chemist shop and
canteen.Thebuildingshouldbesodesignedtohaveprovisionoffutureexpansionbyincreasingthe
floorlevel.
HospitalBuilding
A) Block (I) This building is planed to accommodate 200 no. of beds along with the supportive
services and future expansion provisions. The total covered area of the building distributed upon
threefloorsshallbeasfollows:
a)Groundfloor

2000Sqmeters
b)Firstfloor
2000Sqmeters
c)Secondfloor

2400Sqmeters
ThestructureshallbeRCCclassaconstructionwithPVCflooring,excellentsanitationanddrainage
systems, maximum provision for natural air circulation & best utilization of sunlight, good quality
fans,dustproofantidampwall,paintsonallthreefloorsonanareacomprising6400sqmeters.@
Rs.10,000persqmeter:Rs640lakhs
B)Block(II)ThetwoflooredOPD&utilitiesunitwillhouseReception/registration/
cashcounterinthemainlobbyatgroundfloorandfirstfloorwillhaveconsultation
roomsetc.
ThestructureshallbeRCCclassaconstructionwithPVCflooring,excellentsanitationanddrainage
systems, maximum provision for natural air circulation & best utilization of sunlight, good quality
fans,dustproofantidampwall,paintsonallthreefloorsonanarea800sqmeters.@Rs.10,000
persqmeter
Rs80.00Lakhs
C) Block (III) The single floor unit of chemist of shop and canteen will have a total area of 200 Sq
meter@Rs.4000/persquaremeter.

Rs8.00Lakhs
D)Block(IV)Thesingleunitaccommodationofessentialhospitalstaffwithtotalareaof2500Sq
Meter@3500/perSqMeter.for25nosessentialstaff. Rs.87.5Lakhs
E)OtherFacilities

1.Flushingcisterns,sewers,septictanketc
2.Boundarywall,parkingsite,watchmanscabin

3.Architectsfees

Total(A+B+C+D+E):
CostofEquipments
SI.No. Description
I
A
1
2
3
4
5
6
7
8
9
10
11
12
13

B
1
2
3
4
5
6
7
8
9
10
11
12

C
1
2

ClinicalPathology
Histopathology
BinocularMicroscope
AutomaticTissueProcessor
PrecisionRotaryMicrotome
FreezingMicrotome
Tissuefloatationbath
Microtomeknives
BlockHolders
TissueEmbeddingMoulds
BloodCellCounter
Microslidecabinet
VerticalLaminarA/Flowcabinet
BloodBankRefrigerator
Miscellaneous
SubTotalA
Haematology&Serology
WaterBath
WaterBathSerological
HotairOvens
Bacteriologicalincubators
Shakingmachine
ElectrophoresisEquipment
Refrigerators
Centrifuges
MonocularMicroscope
PrecisionBalance
Colorimeter
Miscellaneous
SubTotalB
Microbiology
BinocularMicroscope
Miscellaneous
SubTotalC

BioChemistry
1 AutoAnalyzer
2 Spectrophotometer

Rs10.00Lakhs
Rs.825.50Lakhs

Qty.nos

UnitPrice
(inRs)

TotalCost(inRs.)

2
1
1
1
1
6
75
75
1
1
1
2
lot

8500
21000
14000
5300
2400
1000
30
30
900
7500
40000
36500
20000

17000
21000
14000
5300
2400
6000
2250
2250
900
7500
40000
73000
20000
211600

2
2
2
2
2
1
2
4
2
1
1
1

3200
5500
9500
9500
7600
12000
8000
2000
4000
7000
7000
15000

6400
11000
19000
19000
15200
12000
16000
8000
8000
7000
7000
15000
143600

2
lot

8000
15000

16000
15000
31000

1
1

90000
20000

90000
20000

3
4
5
6
7

II
1
2
3
4

III

FlamePhotometer
compressorforflamephotometer
Glucometer
HotAirOven
Miscellaneous
SubTotalD
Paediatrics&Neonatology
InfantIncubators
PhototherapyUnit
CardioRespiratoryTempMonitor
Miscellaneous
SubTotalII

Nephrology
1 HaemodialysisM/cwithDeionizer
2 Miscellaneous
SubTotalIII

IV
1
2
3
4
5
6

OPD
RespiratoryfunctionInspectionAnalyzer
BPApparatus
Stethoscopes
RectalThermometers
Spirometer
Miscellaneous
SubTotalIV

V
1

2
3

VI
1
2
3

Gastroenterology
GastroIntestinalFibroscopewith
opticaldevice,Adaptor
&ColdLightSource
Colonoscopy
Miscellaneous
SubTotalV
Causality/Emergency
AmbuSystem(Infant)
AmbuSystem(Adult)
Miscellaneous
SubTotalVI

VII

Monitoring

1
1
1
2
1

14000
4000
4500
10000
15000

4
2
2
lot

110000
15000
30000
15000

1
1

350000
25000

1
12
30
20
1
lot

90000
500
200
50
4500
30000

1
1
1

600000
450000
35000

600000
450000
35000
1085000

4
4
1

6000
6000
10000

24000
24000
10000
58000

14000
4000
4500
20000
15000
167500

440000
30000
60000
15000
545000

350000
25000
375000

90000
6000
6000
1000
4500
30000
137500

1
2
3
4
5
6
7
8

ECGMachine
CardiacMonitor
MultiParameterMonitor
CentralnursingStation
DefibrillatorMonitorRecorder
CardiacPacemaker
StressTestSystem,TreadMill
Miscellaneous
SubTotalVII

VIII
1
2
3
4
5
6
7
8
9
10
11

Ophthalmology
Ophthalmoscope
Lensometer
OperatingMicroscope
CataractExtractor
Trialcase
RetinoscopySet
Tonometer
LeesScreen
Opthalometer
Slitlamp
OpthalmicInstruments
SubTotalVIII

IX
1
2
3
4
5
6
7
8
9

Physiotherapy
Nerve&muscleStimulator
ShortwaveDiathermy(Indian)
MicrowaveTherapyUnit
UltrasonicTherapy(Indian)
LaserTherapy
TranscutaneousNerveStimulator
StaticCycleExerciser
Jogger
Miscellaneous(Infraredlamps,pulliesetc.)
SubTotalIX

X
1
2
3
4
5
6

Orthopaedics
InvalidWalker(Adult)
InfantWalker(Adult)
ParaffinWaxBath(Arm,hand&foot)
OrthopaedicsInstruments&Implants
ElectricBoneDrill
ElectricBoneSaw

6
15
8
2
2
2
2
lot

30000
45000
220000
330000
90000
30000
650000
30000

2
1
1
1
1
2
1
1
1
1
1

25000
7000
70000
3500
5100
1600
1400
8000
15500
200000
30000

1
1
1
1
1
1
1
1
1

5000
40000
125000
60000
140000
1300
4000
7000
10000

4
8
1
2
2
2

1200
800
8000
50000
3500
7500

180000
675000
1760000
660000
180000
60000
1300000
30000
4845000

50000
7000
70000
3500
5100
3200
1400
8000
15500
200000
30000
393700

5000
40000
125000
60000
140000
1300
4000
7000
10000
392300

4800
6400
8000
100000
7000
15000

XI

7 ElectricPlasterSaw
8 FractureTable
9 Miscellaneous
SubTotalX

Gynaecology
1 DopplerFoetusDetector
2 Laparoscopewithmonitor&Camera
3 Miscellaneous
SubTotalXI

XII
1
2
3
4
4
5
6
7

Diagnosticimaging
UltrasoundscannerWithhighResolution
Monitor
MobileXrayUnit100MA
XrayMachine500MA
C.T.ScanMachine
FilmProcessor
DarkRoomEquipment
SemiAutomaticVideoImager
Miscellaneous
SubTotalXII

XIII
1
2
3
4
5

CentralSterileSupplyDepot
PortableAutoclave
HighPressureCylindricalSteamSterilizer
HighspeedcylindricalelectricalSterilizer
Disinfector
Miscellaneous
SubTotalXII

XIV
1
2
3
4
5
6
7
8
9
10
11

OT(ICCU)
ElectroSurgicalunit
BloodGasAnalyzer
TwinBottleElectricSuctionApparatus
MajorOTLights
MediumShadowlessOTLights
MobileShadowlessOTLights
Ventilator(adult&Paediatric)
Ventilator
AnaesthesiaMachine
Respirometer
MiscellaneousInstruments

3
2
lot

3000
8000
25000

1
1
1

55000
600000
3000

800000

800000

1
1
1
1
1
1
1

225000
850000
3500000
160000
20000
90480
20000

225000
850000
3500000
160000
20000
90480
20000
56,65480

3
1
1
10
1

6000
100000
90000
9000
10000

.
4
2
2
4
2
6
2
4
4
6
lot

120000
950000
12000
65000
25000
12000
700000
90000
110000
25000
30000

9000
16000
25000
191200

55000
600000
3000
685000

18000
100000
90000
90000
10000
308000

480000
1900000
24000
260000
50000
72000
1400000
360000
440000
150000
30000

SubTotalXIV

XV

ENT
1 AudioMeter
2 MiscellaneousInstruments
(auroscope,Tracheotomysetsetc.)
SubTotalXV

XVI

Mortuary
1 MortuaryChambers
SubTotalXVI

XVII

Wards
1 RespirableAirPump
2 WallUnitforAnaesthesia
SubTotalXVII

XVIII
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

HospitalFurniture
Hospital'sCots
Attender'sCots
FowlerPositionCots
CardiacCots
MaternityCots
BedsideLockers
GynecExaminationtablets
MayoInstrumentTrolleys
LaborTables
DressingTrolleys
OxygenCylinderTrolleys
WheelChairs
RevolvingStoolsforPatients
VisitorStools
BedSideScreens
BackRests
Writingtables
ChairWithArms
WastePaperBins
CentralTablesforDoctorsDutyRooms
NoticeBoards
KidneyTrays
Cardiactables
SpecimenContainers
SteelCupboards

5166000

70000

140000

lot

120000

120000

2
2

40000
20000

250
40
20
4
10
240
5
25
4
20
10
10
50
250
80
25
70
200
100
6
8
40
4
100
50

1300
650
3300
1800
1800
500
1200
800
1400
1700
200
1700
200
200
500
200
600
300
25
4000
1000
60
1200
75
3500

120000
260000

360000
360000

80000
40000
120000

325000
26000
66000
7200
18000
120000
6000
20000
5600
34000
2000
17000
10000
50000
40000
5000
42000
60000
2500
24000
8000
2400
4800
7500
175000

26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61

StorageRacks
PigeonHoleRacks
SofaSetsforDoctorsDuty
CotwithMattressforDutyRooms
StepStools
BenchesforPatientWaitingRoom
Bedpanswithcover
SpittingMugs
orthopedictables
Surgicaltrays
CatheterTrays
WashBasins
Jugs
Buckets
SalineStands
WashBasinStands
XraysviewBoxes
IceCaps
InstrumentTrolleys
WeighingMachines(Adult)
WeighingMachines(Infant)
Thermometers
HotWaterBottles
KidneyTrays
ExaminationTables
Urinals/Pans
StretchersonTrolleys
PaediatricBeds
OverbedTables
BabyCradles
EmergencyTrolleys
Operationtables(Major)
SurgicalTable(Minor)
ICU/CCUBeds
Aircurtains
Miscellaneous
SubTotalXVIII
GrandTotal(SubtotalItoXVIII)

40
8
6
10
40
40
80
80
4
40
40
50
40
40
40
50
15
30
30
4
4
100
100
30
10
70
16
15
150
15
4
4
2
16
10
lot

1200
350
4500
1200
300
500
300
60
7000
350
150
70
100
120
300
320
220
100
950
500
1800
30
120
60
4500
150
2500
1200
600
400
1500
90000
55000
11000
14000
50000

48000
2800
27000
12000
12000
20000
24000
4800
28000
14000
6000
3500
4000
4800
12000
16000
3300
3000
28500
2000
7200
3000
12000
1800
45000
10500
40000
18000
90000
6000
6000
360000
110000
176000
140000
50000
2429200
Rs.235.70Lakhs

OtherMiscellaneousFixedAssets
Cost of miscellaneous fixed assets includes telephone and fax, office equipment, site office furniture,
vehicles etc. A total of Rs. 170 Lakhs is earmarked for the purpose. The cost involved under various
itemsisgiveninTablebelow.

OtherMiscellaneousFixedAssets
Electrical&workshopequipments
Siteofficefurnitureandfixtures
Vehicles
Otherassets
Total

PreliminaryandPreoperativeExpenses

CostinRs.Lakhs
80.00
30.00
20.00
40.00
170.00

Apartfromthecostofthetangibleassetsdescribedinearliersectionsofthisreportprovisionhasalso
been made towards other categories of expenditure necessary for the establishment of the project.
These expenses are known as preliminary and pre operative expenses. The preliminary expenses
basicallycovertheexpensesinvolvedincompanyformationandprojectidentification.Theyalsoinclude
capitalissuesexpensesifthecompanyistobeformedasapubliclimitedcompany.Thepreoperative
expenses cover all other category of expenses that are incurred in the implementation of the project
startingfromprojectidentificationtocommissioningoftheproject.Thepreliminaryandpreoperative
expensesforthisprojectareestimatedasfollows.

Sl
no
1
1
2
3

5
(i)
(ii)
(iii)
(iv)
(v)

1
2
3
4
5
6
7

Description

Expenses(Rs.In
lakhs)

PreliminaryExpenses

DraftingchargespayabletoCAfordraftingthememorandumandarticles
ofassociationofthecompany
0.15
Printingchargesformemorandumandarticlesofassociationofthe
company
0.15
ApplicationfeepayabletotheRegistrarofCompaniesforRegistrationof

thecompanyassumingthatthe
AuthorizedcapitalofthecompanywillbeRs.452Lakhs

0.72
FeesPaidtoConsultantsforprojectidentificationandevaluation,
preparationofprojectprofiles,conducting

marketsurveyandpreparingprojectfeasibilitystudies
0.94
CapitalIssueExpenses

AdvertisementandPublicity

4.11
PrintingandPostage

4.11
Underwriterscommissionandbrokerage(4%)

8.22
FeespaidtoManagersandregistrarstotheissue

4.11
Listingfeesandotherexpenses

4.11

Total
26.62

Description

SalariesandWages
3.20
StaffWelfareExpenses
1.00
PrintingandStationeryExpenses

1.05
Rent,ratesandTaxes

3.15
vehicleExpenses

0.00
RepairandMaintenanceExpenses

TravellingandConveyanceExpenses

2.10

8
9
10
11
12
13
14

Auditor'sRemuneration
InsurancePremium
InterestandCommitmentCharges
BankChargesandcommission
RecruitmentofPersonnel
LegalandProfessionalFees
OtherMiscellaneousExpenses
Total

0.35
2.93
104.55
1.50
0.40
0.50
24.15
Rs.144.88
Lakhs

WorkingCapitalandMarginalMoney
Estimates of Working Capital requirements have been worked out on the basis of following cycles of
expenditureinvolvingcashliabilitiesandotherrecurringrequirements.

StockofRawMaterialsinStores

(i)Imported

0.0 Months
(ii)Indigenous

0.5 Months
PackingMaterials

0.5 Months
WorkinProgress

0.05 Months
StockofFinishedGoodsinStores
0.5 Months
AccountsReceivable

0.1 Months
OtherRecurringExpenses
1 Months
ElectricityDeposits

Rs.35 Lakhs

Work in progress covers the cost of Raw Materials, Utilities, Lob our and Staff Wages. The value of
finishedgoodsforsaleisarrivedatbytakingintoconsideration,thecostofrawmaterials,utilities,labor
and staff wages, administrative overheads, maintenance and repairs and insurance. Other recurring
expenses cover utilities, labor and staff wages, maintenance and repairs, insurance, administrative
overheadsandsalesexpenses.
Therequirementsofmarginmoneyforworkingcapitalrequirementsaremadeonthebasisoffollowing
normsadoptedbyallnationalizedbanksinourcountry.

MarginonRawMaterialinstores
20.00%
MarginonPackingMaterial
20.00%
MarginonWorkinProgress
30.00%
MarginonFinishedGoodsin
stores
30.00%
MarginonAccountsReceivable
20.00%
MarginonOtherRecurring
Expenses
100.00%
MarginonElectricityDeposit
100.00%

Therequirementoftotalworkingcapital,bankborrowingsandmarginmoneyduringthefirst,second,
thirdandsubsequentyearsofplantoperationareestimatedinthefollowingtable.

AssessmentofWorkingCapital&MarginMoneyRequirements

FirstYear

Description
StockofRaw
MaterialsinStores
(i)Imported
(ii)Indigenous
PackingMaterials
Total1+2
WorkinProgress
StockofFinished
GoodsinStores
Accounts
Receivable
OtherRecurring
Expenses
Electricity
Deposits

CapacityUtilization
=
No.of
Mont
Margin
hs
Money%

0.00
0.50
0.50

70%

Working
Capital

Margin
Money

Bank
Finance

0.00
1.25
0.00
1.25
0.64

0.00
5.02
0.00
5.02
1.50

0.05

30.00%

0.00
6.27
0.00
6.27
2.14

0.50

30.00%

23.46

7.04

16.42

0.10

20.00%

7.33

1.47

5.87

1.00

100.00%

36.58

36.58

0.00

100.00%
FirstYear

35.00
110.78

35.00
81.98

0.00
28.80

20.00%
20.00%
20.00%

Total

CapacityUtilization
SecondYear
75%

=
No.of
Margin
Working
Margin
Bank
Mont
Money%
Capital
Money
Finance
hs
Description
StockofRaw
MaterialsinStores

(i)Imported
0.00
20.00%
0.00
0.00
0.00
(ii)Indigenous
0.50
20.00%
6.72
1.34
5.38
PackingMaterials
0.50
20.00%
0.00
0.00
0.00
Total1+2

6.72
1.34
5.38
WorkinProgress
0.05
30.00%
2.22
0.66
1.55
StockofFinished
GoodsinStores
0.50
30.00%
24.23
7.27
16.96
Accounts
Receivable
0.10
20.00%
7.86
1.57
6.29
OtherRecurring
Expenses
1.00
100.00%
37.38
37.38
0.00
Electricity

100.00%
35.00
35.00
0.00
Deposits

Total Second
113.40
83.23
30.17

Year

CapacityUtilization
ThirdYear
75%

=
No.of
Margin
Working
Margin
Bank
Mont
Money%
Capital
Money
Finance
hs
Description
StockofRaw
MaterialsinStores

(i)Imported
0.00
0.20
0.00
0.00
0.00
(ii)Indigenous
0.50
0.20
6.72
1.34
5.38
PackingMaterials
0.50
0.20
0.00
0.00
0.00
Total1+2

6.72
1.34
5.38
WorkinProgress
0.05
0.30
2.22
0.66
1.55
StockofFinished
GoodsinStores
0.50
0.30
24.23
7.27
16.96
Accounts
Receivable
0.10
0.20
7.86
1.57
6.29
OtherRecurring
1.00
1.00
37.38
37.38
0.00
Expenses
Electricity
0.00
1.00
35.00
35.00
0.00
Deposits

Total ThirdYear
113.40
83.23
30.17

ManufacturingInputsandCost
CostofSuppliesandConsumables
Foroperatinga200bedhospitalat100%capacityutilization,thefollowingconsumablesmaybe
required.
Item
Numbers RateRs.
TotalAmt.(Rs.
Lakhs)
(I)Medical

A.OperationTheatre

MajorOperation(preparationAnaesthesia
&
Disposables)
0
MinorOperation(dressingMaterialsetc.)
B.DeliveryCharges
DeliveryCases(DressingMaterialsetc.)
C.Diagnostics
iImaging
Xray(xrayfilms+DevelopingMaterials)
BariumXray(xray+BariumMetal
UltraSound(Ultrasound+jelly)
C.TScan(Dyes)

1500

1800.00

27.00

2000

2000

30,000
1500
12000
6000

600.00

600.00

60.00
75.00
60.00
1000

12.00

12.00

18.00
1.13
7.20
40.00

iiPathology
Misc.Reagents&Chemicals
iiiCardiacTests
ECG(ECGpaper&Jelly)
StressTesting(stressTestPaper&Jelly)
CardiacEvaluation(AsforECG,stresstest
&
ultrasound)
ivResp.Screening(RecordingPaper)

2,50,000

12000
900
1800

12.00

12.00
30.00
85.00

30.00

1.44
0.27
1.53

1500

10.00

0.15

D.Dialysis
Dialtser(reusable),fluidsetc.
E.Endoscopy
F.Physiotherapy(waxetc.)
G.GeneralHealthEvaluation(Xray,U
sound.ECG,Pathologicaltests,Resp.
Screening&stresstest)
IINonMedical

150
3000
6000
2400

900.00
50.00
30.00
300.00

1.33
1.50
1.80
7.20

A.Laundry
B.Kitchen(ForIPDpatients)
C.Housekeepingsupplies(ForOPD,IPD&
Admen.Block
Miscellaneous(OxygenCylindersetc.)
Total(inRs.Lakhs)

150
150
700

3.00
80.00
275.00

1.64
43.80
1.93

5.07
215.00

Utilities
Themainutilitiesrequiredfortheplantarewater,fueloilandelectricity.
Water
Theannualrequirementofwaterat100%utilizationcapacityisestimatedat30,000KL.Consideringa
unitrateofRs3perKLofwater,theannualcostofwaterisestimatedatRs.9Lakhs.
Diesel
DieselisrequiredforDGset.TheannualrequirementofDieselat100%capacityutilizationisestimated
at50.00KL.ConsideringunitrateofRs.16,000perKLofdiesel,theannualcostofDieselisestimatedat
Rs.8.00lakhs.
Fueloil
Fueloilisrequiredforsteamgeneration.Theannualrequirementoffueloilat100%capacityutilization
isestimatedat50.00KL.ConsideringaunitrateofRs10000perKLoffueloil,theannualcostoffueloil
at100%capacityisestimatedtobeRs5.00Lakhs.
Electricity
Theunitwillneedatotalconnectedpowerloadof600KW.Theannualconsumptionofelectricityat100
% capacity utilization is estimated at 40 lakh units. Considering a unit rate of Rs 3.50 per KWh of
electricity,theannualcostofelectricityat100%utilizationcapacityisestimatedatRs.140.00Lakhs.

AnnualCostofUtilitiesisthusestimatedasfollows
Annualcostofcoal

Rs8.00Lakhs

Annualcostofwater

Rs.90.0Lakhs

Annualcostofelectricity

Rs.140.00Lakhs

AnnualcostofFueloil
Total

Rs.5.00Lakhs
Rs.153.90Lakhs

Manpowerrequirement
Therequirementsofpersonnelhasbeenworkedoutbytakingintoconsiderationtheanticipatedwork
load,degreeofskillrequiredandtheproductivityoftheworkersonsimilarJobs.Theplantisproposed
tobeoperatedonsingleshiftbasiscomprisingofeighthourseachona300daysworkingscheduleina
year.
Based upon the plant capacity and the number of machines, the total requirements of personnel are
estimatedat35Nos.underdifferentcategories.AnnualwagebillofthestaffworksouttobeRs.18.00
Lakhs.
Thedetailsofmanpowerrequiredareasunder.
Designation

No.s

MonthlySalary
(inRs)

TotalCosts
(inRslakhs)

(I)Medical
Staff
Registrars

GeneralMedicine
GeneralSurgery
Obstetrics&
Gynaecology
Cardiology
Pathologist
Radiologist

3
3
3

12000
12000
12000

4.32
4.32
4.32

2
2
2

12000
12000
12000

2.88
2.88

GeneralDuty
Medical
Officers

SeniorHousePhysician
JuniorHousePhysician
Anaesthetist

8
8
8

9000
6000
6000

(II)Nursing
Staff

Wardmaster
Matroninchief
DeputyMatron

4
1
2

8000
6000
5000

Type

2.88

8.64
5.76
5.76

3.84
.72
1.20

OperationTheatreNurse
LabourRoomNurse
Sisters
StaffNurses
NurseMidwife

16
10
20
70
40

4000
4000
4000
4000
3000

(III)
Paramedical
Staff

CardiacCentre
Technician
Dialysistechnician
Pharmacist/Astt.
Pharmacist
Steward/Dietician

Technologist/
technician

5000

2
2

5000
5000

5000

ECG
Imaging
Clinicalpathology
BloodBank
Laundry
CSSD
Ophthalmology
StressTest
DarkRoom
Physiotherapist
EndoscopeTechnician

4
6
7
4
4
4
1
1
3
1
1

5000
5000
5000
5000
5000
5000
5000
5000
5000
5000
5000
5000

Orthopaedics
(IV)Non
Medicalstaff
Engineering
Staff

7.68
4.80
9.60
33.60
14.40

Electrician
MechanicalPlumbing

4
4

(V)
Administrative
&AlliedStaff

MedicalSupdt.
GeneralAdministrator
PersonnelOfficer
FinanceOfficer

3500
3500

1.20
1.20
1.20
1.20

2.40
3.60
4.20
2.40
2.40
2.40
.60
.60
1.80
.60
.60
1.20

1.68
1.68

1
1
1
1

20000
10000
8000
8000

2.40
1.20
.96
.96

(VI)Computer
Division

Accountsofficer
Cashier
LDC/Typist/
stenographer
RecordClerk
HouseKeepers
MaterialsOfficer
TelephoneOperators
Driver
Attendant/Nursing/
Orderly
Guards/Security
Attendants
SecurityOfficer
JuniorHousekeeping
staff

1
1
10
2
6
4
4
4
10
16
1
20

8000
5000
2500
2500
2000
3000
3000
2500
2000
2000
6000
2000

.96
.60
3.00
.60
1.44
1.44
1.44
1.20
2.40
3.84
.72
4.80

Computeroperators

6000

4.32

Total
OtherBenefits
Totalsalariesperannum
i

345

Rs180.84Lakhs

74.16

Rs255.00Lakhs

AdministrativeOverheads
Administrative overheads include administrative and office expenses such as staff travelling, office
stationeryandpostage,telephonebills,auditfee,legalfee,bankchargesandothersundryexpenses.

Details
AmountinRs.Lakhs
Rent,rates&taxes
3.50
TravellingandConveyance
2.25
Vehicleexpenses
4.00
Bankcharges,Guarantee,commissionsetc
1.23
Post,TelephoneandFaxcharges
1.50
Advertisement&Publicity
8.50
Officesupply&stationary
0.80
Auditorsfeeandexpenses
0.12
Legal&Professionalexpenses
0.60
Directorssittingfeesandexpenses
0.12
Misc.Expenses
3.39
Total
26.01

MaintenanceandRepairs

Onthebasisofnormsavailablefromsimilarhospitalsinactualoperation,provisionhasbeenmadefor
annualcostofmaintenanceandrepairs.Themaintenanceandrepairexpensesareestimatedat1%of
the cost of building and structure and 2% of the erected cost of machinery and other miscellaneous
fixedassets.ThecostofMaintenanceandrepairsisestimatedasunder:

RepairandMaintenanceCostinRs.Lakhs
Type

Maintenanceofbuildingandstructures@1%onRs
825.50Lakhs
Maintenanceofmachinery@2%onRs.235.70
lakhs
Maintenanceofothermiscellaneousfixedassets@
2%onRs.170.00Lakhs
Total

8.255
4.71
3.40

Rs.16.37Lakhs

Insurance
Thebuildingandstructures,plantandmachineryandothermiscellaneousfixesassetsoftheunitwillbe
insuredagainstalltypesofrisks.Itisestimatedat0.6%onRs.1231.20LakhswhichworksouttobeRs.
7.39lakhs.
SalesExpenses
Thesalesexpensesgenerallycovercommission,brokerage,discountetc.theannualsalesexpensesat
100 % capacity utilization are estimated at 3% of the annual sales revenue of 1257.00 Lakhs, which
comesouttobeasRs.37.71LakhsAnnually.

FinancialExpenses(interestonshorttermloanandlongtermloan)

A.InterestonShortTermLoan

To partially meet the working capital requirements of the project, the company will have to make
arrangements for cash facilities credit facilities with a nationalised bank. The present rate of interest
takenhereis16%forshorttermloans.
Thefollowingtablegivestherequirementsofshorttermloansandanticipatedinterestspayabletothe
bankduringthefirst10yearsofitsoperations.

InterestonShortTermLoans

UnitRs.Lakhs
SerialNo
YearOfOperation
BankBorrowings
InterestPayable
1

First

2
3

Second

28.80
30.17

4.61
4.83

Third&subsequentyears

30.17

4.83

BInterestonLongTermLoans
ItisproposedtoraisethesumofRs.1150Lakhsaslongtermloansfromfinancialinstitutionstomeet
thecapitalcostoftheproject.Forcalculatingtheinterestonlongtermloans,aninterestrateof13%is
takenintoconsiderationinthisreport.

Theprincipalwillberepaidin17halfyearlyinstalments.ThefirstinstalmentofRs.50.00lakhswillbe
paid at the end of completion of second year of the working of the unit and balance 16 half yearly
instalmentsofRs.50.00lakhseachwillbepayableathalfyearlyintervalsfromthedateofpaymentof
firstinstalment.Thefollowingtablegivesdetailofinterestpayableonlongtermloansduringthefirst
10yearsofoperationofplant.
Interestonlongtermloans(Rs.Lakhs)
S.N.
Year
Interest
1
First
149.50
2
Second
149.50
3
Third
139.75
4
Fourth
126.75
5
Fifth
113.75
6
Sixth
100.75
7
Seventh
87.75
8
Eighth
74.75
9
Ninth
61.75
10
Tenth
0.00

CapitalizationofPreoperativeExpensesandContingencies
For the purpose of claiming extra depreciation and amortisation the preoperative expenses and
contingencieswillbecapitalizedwiththecostoffixedassets.Thedistributionofpreoperativeexpenses
andcontingencieshasbeendoneinproportiontothecostofallthefixedassets(exceptlandandsite
development)inthefollowingtable.
CapitalizationofPreOperativeExpenses&ContingenciesinRsLakhs.

%ofTotal
Amount
NameoftheAsset
ActualCost
Cost
Allocated
Capitalcost
CostofLandandSiteDevelopment
74.00
0.00%
0.00
74.00
A.FactoryBuilding
825.50
67.05%
158.37
983.87
B.NonfactoryBuilding
0.00
0.00%
0.00
0.00
CostofPlantandmachinery
235.70
19.14%
45.22
280.92
ElectricalandWorkshopEquipments
80.00
6.50%
15.35
95.35
OfficeEquipmentsandFurniture
30.00
2.44%
5.76
35.76
Vehicles
20.00
1.62%
3.84
23.84
OtherAssets
40.00
3.25%
7.67
47.67
Total

1305.20

100.00%

CapitalisationofPreOperativeExpenses&ContingenciesinRs.Lakhs

236.20
1541.40

1541.40

DeprecationbyWDVMethod:
For income tax purpose, the depreciation of depreciable assets (all fixed assets except land and site
development) is carried out by written down value method at applicable rate permitted under the
incometaxActandrules.Asperthepresentrulesthefollowingratesareapplicablefordepreciationof
differenttypesofassets.


TaxApplicableonDifferentAssets
SerialNo
Assets
Tax

1
CostofLandandSiteDevelopment
0.00%
2
A.FactoryBuilding

10.00%
3
B.NonfactoryBuilding

5.00%
4
CostofPlantandmachinery

25.00%
5
ElectricalandWorkshopEquipments

25.00%
6
OfficeEquipmentsandFurniture

10.00%
7
Vehicles

10.00%
8
OtherAssets

15.00%

DepreciationByWDVMethod
DepreciationByWDVMethod

Unit
Rs.Lakhs

Descriptionon
Rate
Year1
Year2
Year3 Year4
Year5
CostofLandandSiteDevelopment
0.00%
0.00
0.00
0.00
0.00
0.00
A.FactoryBuilding
10.00%
98.39
88.55
79.69
71.72
64.55
B.NonfactoryBuilding
5.00%
0.00
0.00
0.00
0.00
0.00
CostofPlantandmachinery
25.00%
70.23
52.67
39.50
29.63
22.22
ElectricalandWorkshopEquipments
25.00%
23.84
17.88
13.41
10.06
7.54
OfficeEquipmentsandFurniture
10.00%
3.58
3.22
2.90
2.61
2.35
Vehicles
25.00%
5.96
4.47
3.35
2.51
1.89
OtherAssets
15.00%
7.15
6.08
5.17
4.39
3.73

209.14 172.86 144.02 120.92 102.28

209.14

DeprecationbyStraightLineMethod(Rs.Lakhs)

In the estimation of cost of sales and in books of accounts of the company the normally adopted
practiceistodepreciatethevariousassetsbystraightlinemethod.Atpresentthefollowingratesare
applicablefordepreciationbystraightlinemethodofvariousassets.

DepreciationBySLM
DepreciationBySLM

Descriptionon
CostofLandandSite
Development
A.FactoryBuilding
B.NonfactoryBuilding
CostofPlantandmachinery
ElectricalandWorkshop
Equipments

Unit

ActualCost

%Total
cost

Rs.Lakhs
Amt
Allocate
d

74.00
825.50
0.00
235.70

5.67%
63.25%
0.00%
18.06%

14.90
166.23
0.00
47.46

74.00
983.87
0.00
280.92

0.00%
3.39%
1.64%
9.50%

0.00
33.35
0.00
26.69

80.00

6.13%

16.11

95.35

9.50%

9.06

Captal
Cost

Rate

Depr.

OfficeEquipmentsand
Furniture
30.00
2.30%
6.04
35.76 3.39%
1.21
Vehicles

20.00
1.53%
4.03
23.84 9.50%
2.26
OtherAssets

40.00
3.06%
8.05
47.67 5.28%
2.52

Total
1,305.20
1.00
262.82
1,541.40
75.09

WorkingResultsandProfitability
TheannualcostofsalesisdevelopedfromallcostandexpensesincurredintherunningofHospital(200
Bed), maintenance of the plant and sales of the finished product. The annual cost of sales during the
first10yearsofplantoperationisestimatedinthefollowingtable.
Cost
Year1
Year2
Year3
Year4
Year5 Year6
Description
HospitalOccupancy

70%
75%
75%
75%
75%
75%
VariableCosts

RawMaterial
215.00
150.50
161.25 161.25
161.25 161.25 161.25
Utilities
153.90
107.73
115.43 115.43
115.43 115.43 115.43
PackingMaterials
0.00
0.00
0.00
0.00
0.00
0.00
0.00
SalesExpenses
37.71
26.40
28.28
28.28
28.28
28.28
28.28
InterestonBank
AsPer
Limit
4.61
4.83
4.83
4.83
4.83
4.83
Borrowing

Total
289.24
309.78 309.78
309.78 309.78 309.78
FixedCosts

Labour&StaffWages
255.05
255.05
255.05 255.05
255.05 255.05 255.05
Repair&Maintenance
16.37
16.37
16.37
16.37
16.37
16.37
16.37
Insurance
7.39
7.39
7.39
7.39
7.39
7.39
7.39
Admin.Overheads
26.01
26.01
26.01
26.01
26.01
26.01
26.01
AsPer
InterestonLongTerm
Limit
149.50
149.50 139.75
126.75 113.75 100.75
Depreciation
75.09
75.09
75.09
75.09
75.09
75.09
75.09

Total
529.41
529.41 519.66
506.66 493.66 480.66

Annual
Cost

818.65
839.20 829.45
816.45 803.45 790.45

SalesRevenues
TheAnnualsalesrevenueat100%occupancy

Sl
Facility
Nos
Rate(inRs)
Total Revenue (Rs. In
lakh)(365days)
1
Registration(IPD+OPD)
60000
30
18.00
2
Consultation
80000
80
64.00
3
Nursing home ( room

charge)
Regalsuit
4
1700
24.82

Single(deluxe)
10
1200
43.80

Single
34
1000
124.10

Double

40
680
99.28

5
6
7
8
9

10
11
12

Triple
Ward(6bedded)
ICU/CCU
NeoNatalcare
Emergencybeds
Operationtheatre
Major Operation( 3 per
day)
Minor operation ( 6 per
day)
Diagnostics
a.Imaging
Xray(80platesperday)
BariumXray(7platesper
day)
Ultra Sound ( 20
patients/day)
CTScan(10patients/day)
b.
Pathology
(500
routines/day)
c.CardiacTests
ECG(20patients/day)
Stress testing ( 6
patients/day)
Cardiac Evaluation (6
test/day)
d. Resp. screening 10
screen/day
Dialysis(2patients/day)
Endoscopy
9
3
patients/day)
Physiotherapy
(
50
patients/day)
Gen.
Evaluation
(10
patients/day)
Chamber Ch ( monthly
charges from out side
doctors)
Kitchen(IPD)
Ambulance(10trips/day)
Revenue from chemist
shop ( including of lease
rental and commission on
sale)

30
36
16
20
10

450
225
1100
900
225

49.28
29.59
64.24
65.70
8.21

1095

2500

27.38

2190

1100

24.09

2400
2100

150
250

36.00
5.25

6000

450

27.00

3000
150000

5000
150

150.00
225.00

6000
1800

150
1300

9.00
23.40

1800

1900

34.20

3000

150

4.50

300
900

3000
650

9.00
5.85

15000

150

22.50

3000

1600

48.00

30

300

1.08

150
3700
Lot

150
110
60000

82.10
4.07
7.20

SalesRevenue(rs.Inlakhs)

: Rs. 1380.00

Less@10%of1230lakhs
RevenuefromCTscan
TotalsalesReveneu

: Rs
: Rs
: Rs

1107.00
150.00
1257.00

EstimationofWorkingResults(RsLakhs)

Description
Year1
Year2
Year3
PlantEfficiency
70%
75%
75%
SalesRevenue
879.90
942.75
942.75
CostofProduction
818.65
839.20
829.45
Profitafterdepreciation
61.25
103.55
113.30
FinancialExpenses

InterestontermLoan
149.50
149.50
139.75
InterestonworkingCapital
4.61
4.83
4.83
SubTotal
154.11
154.33
144.58
WritingoffofPreExpenses
2.66
2.66
2.66
Depreciation
75.09
75.09
75.09
NetProfitBeforeTax
58.59
100.89
110.64
IncomeTax
22.71
0.94
12.56
RetainedEarnings/profitaftertax
81.30
99.95
98.09
DepreciationWrittenback
75.09
75.09
75.09
NetCashAccruals
156.40
175.04
173.18
CashProfit
159.06
177.71
175.84
Reserves&Surplus
81.30
181.26
279.34

CashFlowStatement(Rsinlakhs)

CashFlowStatement

Description
Const.
Year1
Year2
Period
SourcesofFunds

BalanceBankFinance

55.36
77.08
Promoters/EquityCapital
500.00
0.00
0.00
CashSubsidy
0.00
0.00
0.00
LongTermLoans
1,150.00
0.00
0.00
ShortTermLoans

28.80
1.37
CashProfit

61.25
103.55
Depreciation

75.09
75.09
TotalA
1,650.00
165.15
180.02
ApplicationofFunds

IncreaseinFixedAssets
1,568.02
0.00
0.00
IncreaseinCurr.Assets
0.00
110.78
2.62
DecreaseinL.T.Loans
0.00
0.00
50.00
PreliminaryExpenses
26.62
0.00
0.00
Taxation
0.00
22.71
0.94

Year5
75%
942.75
803.45
139.30

Year4
75%
942.75
816.45
126.30

Year6
75%
942.75
790.45
152.30

126.75
4.83
131.58
2.66
75.09
123.64
23.42
100.22
75.09
175.31
177.97
379.56

113.75
4.83
118.58
2.66
75.09
136.64
32.95
103.70
75.09
178.79
181.45
483.26

Year3

Year4

126.46
0.00
0.00
0.00
0.00
113.30
75.09
188.40

75.84
0.00
0.00
0.00
0.00
126.30
75.09
201.40

0.00
0.00
100.00
0.00
12.56

0.00
0.00
100.00
0.00
23.42

100.75
4.83
105.58
2.66
75.09
149.64
41.42
108.22
75.09
183.31
185.97
524.68

Year5

77.97
0.00
0.00
0.00
0.00
139.30
75.09
214.40

0.00
0.00
100.00
0.00
32.95

DepositswithIDBI
TotalB
OpeningBalance
Surplus(Deficit)
ClosingBalance

0.00
1,594.64
0.00
55.36
55.36

0.00
88.07
55.36
77.08
132.44

0.00
53.55
132.44
126.46
258.90

0.00
112.56
258.90
75.84
334.74

0.00
123.42
334.74
77.97
412.71

0.00
132.95
412.71
81.45
494.16

ProjectedBalanceSheet

Description
Year1
Year2
Year3
A)Liabilities

Promoters/EquityCapital
500.00
500.00
500.00
Reserve&Surplus
81.30
181.26
279.34
LongTermLoans
1,150.00
1,100.00
1,000.00
ShortTermLoans
28.80
30.17
30.17
TotalA
1,760.11
1,811.43
1,809.51
B)Assets

GrossFixedAssets
1,568.02
1,568.02
1,568.02
Depreciation
75.09
150.18
225.28
NettFixedAssets
1,492.93
1,417.84
1,342.74
CurrentAssets
110.78
113.40
113.40
DepositswithIDBI
0.00
0.00
0.00
CashandBankBalance
132.44
258.90
334.74
PreliminaryExpensestothe
23.96
21.30
18.63
extentnotwrittenoff
TotalB
1,760.10
1,811.43
1,809.51

DebtServiceCoverageRatio
TheDSCRfortheproposedprojectiscalculatedinthefollowingtable

DebtServiceCoverageRatio

Description
Year1
Year2
Year3
DebtServiceFunds

NetCashAccruals
156.40
175.04
173.18
InterestonL.T.Loans
149.50
149.50
146.25
TotalA
305.90
324.54
319.43
Debts

RepaymentofL.T.Loans
0.00
0.00
0.00
InterestonL.T.Loans
149.50
149.50
146.25
TotalB
149.50
149.50
146.25
DebtServiceCoverageRatio
2.05
2.17
2.18
Total(A)/(B)

PayBackPeriod

Year5

500.00
483.26
800.00
30.17
1,813.43

1,568.02
375.46
1,192.56
113.40
0.00
494.16
13.31

Year4

500.00
379.56
900.00
30.17
1,809.73

1,568.02
300.37
1,267.65
113.40
0.00
412.71
15.97

1,809.73 1,813.43

Year4

Year5

175.31
133.25
308.56

178.79
120.25
299.04

100.00
133.25
233.25
1.32

100.00
120.25
220.25
1.36

Paybackperiodisdefinedastheno.ofmonthsoryearrequiredfortheunittogeneratecumulativegross
operatingsurplusequaltothefixedcapitalinvestmentintheproject.

PayBackPeriodoftheunitisestimatedinthefollowingtable

PayBackPeriod

Description
Year1
Year2
Year3
Year4
Year5
NettProfitBeforeTaxes
58.59
100.89
110.64
123.64
136.64
Depreciation
75.09
75.09
75.09
75.09
75.09
InterestonLET.Loans
149.50
149.50
146.25
133.25
120.25
GrossOperatingSurplus
283.18
325.48
331.98
331.98
331.98
Cum.GrossOperatingSurplus
283.18
608.67
940.65
1,272.64
1,604.62
ReturnofEquity
11.72%
20.18%
22.13%
24.73%
27.33%
ReturnofInvestment
17.16%
19.73%
20.12%
20.12%
20.12%

0.368889
0.570091
0.771294
0.9724958

BreakEvenPointEfficiency
Thebreakevenpointanalysisoftheplantisdevelopedfromtheassumedplantefficiency,fixedcostof
sales,variablecostofsales,andsalesrevenues
BreakEvenPointEfficiencyfortheproposedprojectisgivenbelow:
BreakEvenPointEfficiency

Description
Year1 Year2 Year3 Year4
PlantEfficiency
70.00
75.00
75.00
75.00
FixedCostofsales
529.41 529.41 519.66 506.66
FixedCostofsalesDepreciation 454.32 454.32 444.57 431.57
SalesRevenue
879.90 942.75 942.75 942.75
Variablecostofsales
289.24 309.78 309.78 309.78
CashBreakEvenPoint
76.92% 71.78% 70.24% 68.18%
Breakevenefficiency
62.74
62.73
61.57
60.03

AverageBreakEvenPointEfficiencyover5Years=61.11%

Year5
75.00
493.66
418.57
942.75
309.78
66.13%
58.49