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2101/2013 /17- 348 3(3) l 2082

3 I .

Raipur

thc 20th August2013

NOTIFICAT10N

l.

Short title,extent alld cOmmencement.

(1)Thcse rules may be callcd the Chha

isgarh

Statc UPcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Niyam,2013.

(2)They Shall cxtend tO thc wholc state ofchhattisgarh O)They shali comc into forcc from thc date Of is pubHcaJOn in thc offlcial Gazettc

2.

Derlnitions. (1)In thcsc rulcs,unlcss the contcxt Othcrwisc rcquirc,

o) Act"mcans the Statc of chhattisgarh Upchavagriha Tatha Rogopchar Sambandhi

Sthapanayc Anugyapan Adhiniyam,2010;
(b)``Appellate Authori ''means thc authOr y (c) AYUS "mcans
mcdicine;
deflned in rulc 9 0fthcsc rtlles;

Ayu cda, Yoga, Unant Siddha and HomcOpathy systcms of

(d) "Schedule" means a Schedule appended to these rules; (e) "State Government,' means the Government ofChhattisgarh;

(f)

"unethical Act" means any unethicar act defined in chapter 6 or any misconduct defined in chapter 7 of the Indian Medical councir (professional conduct, Etiquette,
and Ethics) Regulations 2002.

(2) words and expressions used and not defined in these rules, but defined in the Act, shall have the same meaning respectively assigned to them in the Act.

3.

Authority.- (l) The District collector of the concemed dishict shall be ^ the Supervisory Authority under these rules and shall be assisted
discharge

supervisory.

ofthe functions assigned to it under the Act.

by a District committee in

(2) The Supervisory Authority shall consider the recommendations made by the District committee in all matters and sha make decisions relating to registration ani /or grant of licenses to a Clinical Establishment.

738

(s4)

E'iIRTII6 TFiq;I,

I({Ifr

20 3F[RI 2013

4.

Functions of Supervisory Authority.- The Supervisory Authority shall perform all functions
necessary to regulate the functioning of

Clinical Establishments in the State ofChhattisgarh,

which are as follows:-

(a) (b) (c) (d) (e)

To grant/renew, suspend or cancel registration/license of a Clinical Establishment

per the provisions under Section 3, 6, 8 and 9 ofthe Act;

as

To enforce imposition ofpenalties as provided for under Section 4 and l2 ofthe Act; To obtain fees for registration / issue of license as required under Section 5 ofthe Act; To enforce standards as required under Section 7 and l8(2) ofthe Act;

To inspect and investigate as required under Section I I ofthe Act;

(0

To investigate complaints related to shallful negligence with the provisions ofthe Act,
as reouired under Section

l3 and l4 ofthe Act:

Provided that, the above functions of the Supervisory Authority are not
exlraustive in nature.

5.

Oflice of the Supervisory Authority.- The Supervisory Authority shall maintain an office

to be designated as "Office of (....district name) Clinical Establishment Registration and

l.icensing Authority". The office shall work as the Secretariat of the District Committee. The office shall be served by appropriate staff who shall report to the Chairperson of the District Cornmittee.

6.

Income of the office of Supervisory Authority.- The fees

penalties payable by the

Clinical Establishments sy'all become the income of the office of the Supervisory Authority

of the concerned district and shall be used for the purposes of carrying the activities
assigned to it.

'-i

7.

Initial corpus of the Supervisory Authority.- The

State Govrnment may provide grant-

in-aid to the Supervisory Authority to supplement its resources, provided that, the quantum

of such grant-in-aid shall be determined on the basis of an assessment of their income

expend iture.

and

8.

District Committee.- (1) The constitution oithe District Commiftee shall be as follows:I

Chief Medical and Health Officer (CMHO)

Dist rict Collector's norninee

Chairperson

Member

[Not belorv the rank of Deputy Collector]

Page 2 of 57

",

20-2013

738 ( ss)

3.

Commissioner/CMO of the Urban Local

Body

Member

of the Headquarter Town of the District

4.
5.

CEO, Zilla Panchavat

Representative of Chhattisgarh

Environment -

Member

Member

Conservation Board

6.

District Ayurveda Officer

Member
Member-Secretary

7. Civil surgeon,

District

Hospital

(2)

At least 50 % of the members must be present in order to form quorum in any meeting of the District Committee. The representation from the Urban Local
Body/Municipal Corporation shall be compulsory.
The District Comrnittee may form one or more teams for the purpose of inspection

(3)

of of

Clinical Establishments. Such team(s) shall comprise of minimum 4 members, from

various disciplines including a representative from AYUSH and the representative Urban Local Body shall compulsorily be present.

(4)

The reports of Inspection Team(S) shall be placed before the District Committee for

making recommendations to the Supervisory Authority

Establishments, inspected by the team(s).

in

respect

to

Clinical

9.

Appellate Authority-1p) Following authorities are delegated the powers to perform the
functions of the Appellate Authority, to consider appeals against the orders issued by the
Supervisory Authority, as provided under Section l0 ofthe Act:-

a)

Director of Health Services- In respect of all Allopathic Clinical Establishments,

other than hospitals attached to Medical Colleges;

b) Director of Medical Education- In respect of Medical College Hospitals; c) Director, AYUSH- In respect of Clinical Establishments belonging to Ayurveda,
Yoga, Unani, Siddha and Homeopathy systems.
(2) The Appellate Authority shall issue a written receipt for every appeal letter / application

received by it and shall dispose ofthe appeal within 90 calendar days from the date of issue

Page 3 of 57

738

(s6)

gfr.|6 {FTt, ftci6

zo sI'TR

zol:

(3) The Appellate Authority may confirm, modifl or set aside the Supervisory Authority's
order or pass any sueh an order as it may deem justified.

10.

Prescribed standards.the Act must

(l)

Every clinical Establishment liable to obtain a license under

fulfill the

standards prescribed

in Schedule

appended to these rules in this

regard which may be amended from time to time.

(2) No Clinical Establishment shall be allowed to operate without a valid license after the

expiry of9 months from the date ofnotification ofthese rules. The time period includes the

initial 3 months for applicatiof,. followed by 6 months for inspection and rectification of
gaps, found during the inspection by the District commiftee./-any delay in the inspection by

the District committee beyond 9 months irom the date of notification of these rules, shall

entitle the Clinical Establishment to continue its operations until the inspection is done by
the committee.

(3)

The establishments who fail to comply with the prescribed standards after the above

mentioned additional period shall not be issued license under Section 6 ofthe Act'

(4) Notwithstanding, anfhing contained in sub-rule (2) of this rule, the Supervisory
Authority may grant an existing clinical Establishment further time for rectif,ing the gaps
in respect of shortage

of

nursing staffonly, provided that:

(a)

Such relaxation shall be given against a rvritten request from the owner/proprietor

of the Clinical Establishment;

(b) The application for relaxation must be made along with the application for
registration;

(c)

The maxim-rfifi'perrn issible time for rectification of gaps shall not be more than
years from the date ofgrant ofregistration;

(d) During this

period the unskilled and untrained staff working in the establishment

shall have to undergo a course of nursing/midwifery/paramedical of 6 months duration and obtain a certificate under Chhattisgarh State Skill Development
Mission;

(e) After the relaxation period of 3 years all

the standards as described herein the

rules shall be applicable for the establishment and only qualified staff shall be
allowed to work in the Clinical Establishment.

Page 4 of 57

dfrsrrd {Ficr, kqiq

zo :+rre

zor:

738 (s7 )

ll.

Procedure for issue of license.-

(l)

procedure for Registration and licensins

of

existing establishments shall be as follows:_

a) All clinical

Estabrishments arready

in

existence on the date

of notification of

these rules shall apply for registration to the office of the concerned SuperVisory

Authority within 90 days from the date of notification of these rules, as per the format given in Schedule 2;

b) As per Section 5 of the Act, every application

must be accompanied by fees as

prescribed in Schedule 3 and in the form of a bank draft or postal order in the name of the Supervisory Authority. The fees prescribed in Schedule 3 may be revised from time to time;

c)

The Supervisory Authority shalr issue a Registration certificate upon receipt of such application with the prescribed fee. The Registration certificate shall be issued in the format given in Schedure 4. The Registration certificate shall be
valid for a period of6 months from the date ofissuance:

d) The Supervisory Authority shall order the District Committee to inspect the clinical Estabrishment of the applicant within the validiry period of the
Registration certificate to confirm (or otherwise) eligibility for issue ofricense:

e) where the Estabrishment is certified to be operating as per the prescribed

standards, the Supervisory Authority

sha

issue a ricense under Section 3 and 6

of

the Act, which shall be valid for a period

of5

years, as prescribed under Section g

f)
g)

ofthe Act. The license shall be issued in the format given in Schedule 5; where it is found on inspection, that the establishment does not fulfill
prescribei*i#ndards, Supervisory Authority may refuse to issue a license; where the Establishment fairs to obtain a Iicense under these rules,

the

the

establishment shall have to apply afresh for license. The fee for application sha be same as prescribed for a new Clinical Establishment. Establishments applying for the second time under these rures sha not be issued Registration

certificate

and the establishments shall not be deemed to be resistered.

(2) Procedure for Licensing ofnew establishments:_

a)

Any new clinical Estabrishment sha only be allowed to operate after obtaining
a valid license, after the Rules have been notified.

Page 5 of 57

738 ( 58

.)

20

2 3

b)

An applicant intending to set up a Clinical Establishment, after the notiiication of

these Rules, shall apply to the concerned Supervisory Authority as per the format

prescribed in Schedule 2 along with the fees prescribed in Schedule 3.

C)

The Application form must indicate the date of commencement of Clinical

Establishment which shall not be less than 30 days from the date ofapplication.

d)

The Supervisory Authority shall indicate a tentative date for inspection in its
acknowledgment letter / receipt.

e)

Where

it is found on inspection

that the Establishment does not fulfill the

prescribed standards, Supervisory Authority may refuse to issue a license.

Where the establishment fails

to

obtain

license under these rules. the

establishment shall have to apply afresh for license. The fee for application shall

be same as prescribed for a new Clinical Establishment.

Establishments

applying for the second time under these Rules shall not be issued registration certificate and the establishments shall not be deemed to be resistered.

(3) General conditions applicable to all Clinical Establishments are as follows:-

a)

The license shall be kept affixed in a conspicuous place in the Clinical

Establishment establishment;

in such a manner so as to be visible to everyone visiting

the

In case the license is lost, destroyed, mutilated or damaged, the Supervisory

Authority may issue a duplicate license against the application of the Clinical
Establish_ment and after the payment

of

fees as prescribed

in

Schedule

3.

certiilcate

iza

bf

resistration

license issued under this rule shall be marked

'Duplicate' in frana lseat;

C)

The license shall be non-transferable. In case of change of ownership or

management, the Clinical Establishment shall inform the Supervisory Authority

ofany such change and shall have to apply again for registration or.issuance ofa
fresh license,
d)
as the case

may be;

In the event ofchange of ownership / change in the category of license / change in location or closure of the establishment, the license shall be surrendered to the
Supervisory Authority;

e)

All

inspection reports

ofthe Supervisory Authority shall be placed in the public

domain and shall be available on demand to the General Public;

rage b o1 5/

,m20

738(59)

License shall be issued/granted in the name of Establishment and the Proplietor

and not in the name ofthe Owner;

Multi-specialty /Super-specialty hospitals having Diagnostic Facilities or Physiotherapy Units separate application should be filed for

In

case

of

licensing

of

such Diagnostic and Physiotherapy Units. Small Clinical

Establishments where routine/small pathological procedures are canied out shall

not require separate license under these rules.

Procedure for Renerval of License.- (1) Every Establishment must apply for renewal of its
license atleast 3 months before the date of expiry of its license.

(2) The procedure for renewal shall be the same as for licensing ofnew Establishments.

13.

Register of Clinical Establishments'-

The Supervisory Authority shall maintain a register indicating category wise list of Clinical Establishments licensed to operate in its
demand to General Public.

(1)

jurisdiction. The information shall be in the public domain and shall be easily available on

(2) The Register shall be prepared and updated in the format prescribed in Schedule
(Table 1) which may be amended from time to time.

14.

Records to be maintained by Clinical Establishments.- Every Clinical Establishment shall

maintain such records ofpatient treated and / or admitted by it for treatment as prescribed in
Schcdulc 7 and may bc a"cnded from time to timc.

15.

Reporting of contagious or communicable

notifiable diseases.-

(l)

Every Clinical

Establishment shall submit the report data and statistics on contagious or communicable

notifiable diseases to the Chief Medical and Health Officer ofthe concerned district:-

a)

Immediate written report through e-mail or Fax (within 24 hours or on next rvorking day

in

case

of

holidays) as per format in Schedule 8 in case a person with any of the

diseases is received

following notifiable

/ admiued / treated by

Clinical Establishment
Scarlet

like: Dengue, Swine Flu, Bird flu, Tuberculosis, Small Pox, Cholera, Plague,

fever, Yellow fever, Diphtheria, Typhus, Relapsing Fever, Cerebrospinal Fever,

Poliomyelitis, Viral Encephalitis, AIDS, Meningococcal Meningitis or any other disease notified by the Government of lndia, from time to time;

b) Monthly report

as per

format in Schedule 9.
Pa?e 7 of 57

Wiz--"' ,t-

738 ( 60)

o-d-g'ra rrqqt,

f-{i+.

20 3FrRI 2013

16'

National /state p'bric l{earth programrnes.- Every crinical Establishment sha participate in a Nationar / state pubric Hearth programmes subject ro Participation

in

to time. Participation under various

such guidelines which the Directorate of Hearth Services may issue in this regard, from time

schemes

of

voluntary' Statisticar repo(s of National or state programmes / schemes like- Derivery,

Nationar/ state Government shall be

caesarean Section operation, Immunization, Sterirization operation under Famiry welfare, cataract, Sickre celr erc. shalr be produced before the chief Medicai and Health officer of the concerned District when demanded.

17.

obligation to secure patient's Convenience.-

(r)

Every clinicar Estabrishment

folowing:-

shalr

ensure that the patient and / or a person authorized by him/ her receives the

a)

The relevant information about the nature, cause, likery outcome of the present
illnesV treatment/ operation;

b) The relevant information about expected costs and complications; c) An access to his / her crinical records, at afi times during admission
and alier
d

and treatment

ischarge

d)

Photocopy

of medical records after discharge or

at thc

death (a{ler paying fees for

photocopy, if necessary);

c)A dischargc summa

time of discharge, which slrould contain date of treatment given, operations, investigations, and

(2)Every Clinical Establishmcnt shall cnsurc fO Owing rights Of thc paticnt and his/hcr
attcndant:

a) RighttO dignity and privacy during cxaminatiOn,proccdurcs and trcatmcnt;

b) Right to get informcd cOnscnt bcforc ancsthcsia, b100d and b100d prOduct
transftlsiOns and invasivc/ high risk prOccdurcs/ treatment, risks, bcncflts,

altcrnativcs if any and as tO whO sha

pcrform thc rcquisitc proccdurc. Infonllcd

conscnt includcs informatiOn in a languagc and in a manncr that patient can

undcrstand; can takc risks and bencflts; has altcmatives availablc and rcquisitc pr9CCdurcs tO bc pcrfOrmcd accOrdingly; =

c) Right Of a fcmalc paicnt tO havc propcr p

cxaminatiOn by a lmalc dOctOr,a fcrnale a

vacy du`ng cxaminatiOn ln case of

cndant 122ust bc prcscnt;

Page 8 of 57

e-d-g'ra rreq;,

foiio

20 3rrrm 20

13

738 (61 )

d) e)

Rights to confidentiality of reports. Such reports and information should not to be

disclosed to anyone other than the patient or person authorized by the patient;

Right of a person suffering from HIV to receive care without any discrimination.
Not having a Voluntary Testing and Counseling Centre cannot be a ground to refuse
care. For management

of patients who are HIV positive, the nursing home should

follow guidelines circulated by NACO (National AIDS Control Organization) from

time to time:

f) g) h)

Right to dignity in case of,death or withholding ofthe body by the hospital;

Right to referral/transfer to any other facility that the palient or hiVher attendant may
wanVwish:

Right to be asked for a prior consent before being examined by studentVinterns for training.

(3) The indoor patients shall be considered to be under the custody of treating physician
who shall be solely responsible lor the safety ofsuch patients.

18.

Procedure of Receipt and Registration of complaints (Grievance Redressal) at the level of Supervisory Authority.- (l) All communications / complaints in writing (by
whatsoever mode they are received) addressed to the supervisory Authority, either by name or designation, shall be received by the office ofthe Supervisory Authority.

(2)

All

complaints shall be duly recorded and serially numbered

in a

register

to

be

maintained by the office ofthe Supervisory Authority indicating sender's name and address

ofthe complainant as presgribed in Table 2 of Schedule 6. ---(J) Complaints receivefby hand shall be immediately registered and an acknowledgement
receipt shall be issued across the counter. Complaints received through other modes shall be
registered

within I working day lrom the date ofthe receipt ofthe complaint.

(4) For complaints received through mail / email /fax, an acknowledgement shall be senr ro
the complainant within 3 working days of the receipt of the complaint.

(5) complaints and other communications requiring urgent attention shall be

expeditiously before Supervisory Authority.

placed

(6) The complaints received in respect to the chhaftisgarh State Upcharyagriha Tatha
Rogopchar Sambandhi Sthapanaye Anugyapan Niyam, 20t3, shall be examined through a Committee formed by the Supervisory Authority of the concerned District. The Chairperson

of such committee shall be of a rank higher or equivalent to a Deputy Collector and shall include a specialist doctor ofthe concerned discipline.
Page 9 of 57

738

\62)

o m20

2043

19,

Miscellaneous.-

(l)

Employees of the Supervisory Authority

to be pubiic

servants- The

staffof the office of the Supervisory Authority shall be deemed to be public servants within
the meaning of Section 21 of Indian Penal Code, 1860.

(2) The Supervisory Authority shall have the power to cancel the license of any Clinical
Establishment found to be in any unethical practices.

(3) Amendments to the rules and /or its schedules- The Government may amend these Rules
and /or the Schedules, there of, from time to time.

By order and in the narne ofthe Governor ofChhattisgarh.

M. M. MINJ, Deputy Secretary.

e-*e.rd {|qTd,

ffiifr

20 3T'TR 2013

738 (63)

SCHEDULE-1
(See Rule 10)

A.

STANDARD FOR CLINICS

1.
1.1

Minimum InfrastructureRequirernent:
Location and Surroundingsclean surroundings

1.1.1 The clinic shall be located in an open place, having

parking space.

with

adequate

1.1.2 The clinic shall not be adjacent to on open sewer, drain or public lavatory or to
factory/establishment emitting smoke or obnoxious odour.

1.2
1.2.1

Building-

The building used for the clinic shall comply with the relevant municipal bye-laws enforced

from time to time.

1.2.2 The access to the clinic building shall be friendly for the persons with disability.

1.2.3 The rooms of the clinig shall be well ventilated, lighted and shall be kept in clean and
"'
?;;Y

hygienic conditions.

1.2.4 The flooring shall be

accumulation of dust.

washable

with disinfectants such as not to permit relention of

measures

1.2.5 Arrangement for taking anti infective/disinfection

be available.

in all clinical procedures shall

1.2.6

Each clinic shall have clean and hvsienic toilet.

Space Requirements:

Individual Allopathic clinics- It shall liave

the follor.r ing miltirttuur standatds -

Consultation/Treatment room and rvaiting area

200 sq.ft

Individual AYUSI{ Clinic- lt sliall have L}re Ibilou'ins

Page ll ofS?

mir.iir.nurn slandards.

 38(64)

t . ,R 20 2013 200 sq ft

Consultatior/Treatment room and waiting area

Emergency First Aid:

3.1.1 Ambu Bag 3.1.2 Oxygen cylinder with flow meter, catheter and mask 3'1.3 IV infusion set and lv fluids like Normal saline, dextrose and ringer lactate
3.1

3.1.5

Every doctor has a professional obligation to extel.rd services to protcct life All thc clinics
must provide immediate medical

aid

in all

cases

of

medical

cinergcncy

All clinics

providing medical care and are registered under these rules must have the fO110 ving functional life saving equipments:-

.4

There should be staff trained in cardio pulmonarv resuscitation

ErnergencyMedicines

In case a patient is brought in a critical condition to a clinic and it is decided to refer tlre
patient to a hospital, the patient shall be treated and stabilized before being referred / slrifteil

to the hospital, provided also that tlie patient shall be transferred to a higher cerltre or
Nursing Home/Hospital, accompanied by a medical attendant along w'ith all rnedical records (including X-rays, investigation reports, clinical notes).

"-J

It is also expected that the doctor who had treated the patient initially shall keep in touch
with the institution to which the patient has been transfened to, so
patient's condition.
as

to rerrain aware ofthe

Entrance zone:
SignageProminent display boards in local language and Pictorial depiction Boards/Charts providing information regarding the services available and the timings of the

1,1
4.1.1
4.1

.2

institute.

4.1.3

Boards or chat'ts meutioning Proplietor's Name. Nar.ne of tl.re doctor- his qualificationStream of rledicine plactised. Address. Telepl.ror.re nurlber. email Id

(if any).

4.2

OutpatienfflepartmentPage 12 of 57

 421 Clinics fOr Valious mcdiCal disCiplincS

m20

38(65)

If thCrc arC morc than onc Clinic in an

valious disciplines available in the Establishment then there shall be separate cabins for

clinicwithsepalateprovisronforexaminationwlriclrerrsuresprivacytotlrepatient.The
cabinsshailbeprovidedwithDoctor,sChairTable,PatientsChair,Attendants,Seat,Wash as may be required for different Basin, X Ray Film View Box and other set of tools
disciplines.

4.2'2SeparatetoiletsformaleandfenraleinthepremisesincaseofPolyclinicsandcomnrot1
toilet in case of
a single

clinic'

4.2.3 If there is a 4.2.4 4.2.5

pharmacy

in the premises it

should be located

in an area conveniently
to the incolning

accessible to the Patients.

an easy access Emergency Room: The emergency room should have

Patients' Treatment Room:

o o 5.

Minor OT
Dressing Room/lnjection Roorn

by a qualified nedical Human Resource: Clinical services shall only be provided

practitioner as described in the Act'
*'-

Support Services:

:,y'
be

porver back up should Electricity- Provision for continuous supply of electricity and
there.

washing arrangements Water Supply- Provision for safe drinking water and hand shall be there.
as

7.

All Clinics have to maintain firefighting equipnlents like extinguishers

municipal authorities.

plescribed

by

Vaste Disposal: The Disposal ofvastcs in the hoSpital shan bc in accordancc

Vith Bio

Mcdical Wastc(Managcment and Handling)Rule,1998 Provislons shall bC nnadc for

scgregation and safc disposal of bionlcdicalVastcS,Sharps and Syringcs cithCr by thcir o
in

ith Comn10n Bionlcdical astC Trcatinncnt Facilitics rcsourccs or through tic tlp

Page 13 of 57

738

(66)

BitsTd {|qrl{,

ffiis

20 srriRT 2oj3

Pathological laboratory:

a. b.

Small Lab: Routine clinical procedures like HB, TLC, DLC, and Urine)

Uri'e

Sugar (Blood

Large Lab : Above Procedures plus Blood - Urea Cholestrol, RFT, LFT, Lipid , Profile, Bio Chemistry, Microbiology, Histopathology, Common Homone Assay : T3, T4, TSH, Prolactin, Urine and Blood Culture, Elisa Test, elc

The minimurn area ofthe laboratory should be: 120 + 40 Sq. ft

11

The clinical laboratory shourd be provided with 600mm wide and 900mm high
bench

of

length about

metres per technician and enough room

for

pathorogist

i.

charge of the laboratory. Each laboratory bench should have a raboratory sink with swan neck fittings, reagent shelving, gas and power point and counter cabinet. Top of
the laboratory bench should be acid alkali proof.

All clinical
All

16 SupewisOw Docto

161

1 6 2 Minimum qualiflcatiOn tO run a largc LaboratOry shall bc MD/DCP in Path01ogy

laboratories should keep records properly with the name of the patients, their address and the name ofthe referral doctor along with the details of investigation results.

Pathology labs have to maintain firefighting equipments like extinguishers as prescribed by municipal authorities.

All labs should have Personal protective Equipmerx (ppE) for the staff
Clean toilet facility for sample collection with due privacv.

4inilnunl qualiflcatiOn tO run a small LaboratOry is an MBBS degrcc

17

Technical Personnel The tcchnical pcrsOn pcrforming tcsts undcr thc supcrvision Ofthc
supervisOry dOctOr shOuld havc thc f0110wing q lalincations:_

1 7 1 Diploma in Mcdical LaboratOry Tccl lo10gy(with a Course of atleast of One ycar

duratiOn)aWardcd by a University, State Govcrnlllcllt, CCntral Tcchnical Board
1 7 2 Any such cOulsc apprOvcd by thc Govclnmcnt of Chhattisgarh,flolll tinlC to tinlc

Page 14 0f57

01 `

,t 20 aT 2013

73S

(67)

1 8

4LT or a traincd nursc ThC C011eCtiOn Centre C011cction Centrc can be run by a D sq ft area, where facilities of collectton collection centre should have a room of atleast 80 ol samples from centre to medical lab and storage of samples and proper transportation done carefully with proper marntenallce should be p'rovided. The transportation should be of cold chain.

Radiotogy And Imaging:

Services and tl.rerefore' it The role of Radiology Centre is to provide Radio Diagnostic in Radiology and Imaging' shall be run by appropriately qualifred specialist Ultrasonography (USG)' Tl-re Radio Diagnosis Units generally deal with Radiography' (CT Scan)' Magnetic Nuclear medicine and Computed Axial Tomography Scaruler
Resonance Imaging (MRI) etc.

24

3. 3.1
i.l

SuchUnitsshallhaveX-RayandnormalUltrasonographyfacilities.ApartfromthisitShall Axial Tomography Scan have facilities like colour Doppler, Echocardiography, computed related tests' (CT scan), Magnetic Resonance Imaging (MRI) and other Nuclear Medicine

All

fulfill the laid down in the SAFETY MANUAL plepared by ATOMIC

Establishments having Radiology and Imaging facilities must

clattses

ENERGY

REGULATORY BOARD. Some of the points include:-

technicians' Availability of lead screen near the control panel and lead aprons for

oAvailabilityofTLDbadgeswitlrroutineevalrtationofteclrniciarrsforexposureto
radioactive'tay#

.Prominentdisplayoflogoandcautionsigrrageespecially|ortheplegnantladiesilr
local language.

rThewallsofroomwlrereprimarybeamfallsshallnotbelesstlran35mmthickand
thick' rvalls on r.vhich the scattered beam falls shall not be less than 23 mrn

Windows shall be lead painted or shielded rvith

i'7

rnm lead' if there'

Body' The Center should have beer-r approved by the Atomic Energy Regulatory

Ultrasonography:

All

the PC-PNDT Establishn-rents performing Ultrasonography should have a license under

Act.
urachine shall In case the Llltrasol'ttc facilit"v maintains a potable machine' the r:se of such be limited to rl.re l.rospiial prerlises as prescribc-d undcr the PND',f guidelines.
Page 15 cf 57

738(68)

e-frere wqa,

Rli*

20 3TrrR 2013

4. 4.1

Qualifications: Supervisory Doctorand Sonography shall be MBBS with Training/Diploma

4.1.1 Minimum qualification for X-Ray

in a relevant discipline, approved by the Government of Chhattisgarh'

4.1.2 Minimum qualification for higher levels of

services

(cT

Scan, MRI etc.) shall be MD

Radiology/ Radio Diagnosis / Diploma in Medical Radiology and Electrology / Diplon-ra in Medical Radio Diagnosis/Diploma in Medical Radiology or any other Qualification/ Degree
or Diploma recognized by MCI.

4.2

Technical Personnel- The technical person performing the tests under supervision ofthe
supervisory doctor should have one

of

the following qualifications :-

4.2.1 Diplorna in X-ray and Imaging awarded by a University, state Government oI central
Technical Board.

4.2.2

Any such course approved by Goverrunent of Chhattisgarh' from time to time'

Support Services:
Elcctricity Provision for continuous supply of elcctricity and poM

er back up shall bc thcrc

V/atcr Supply Provision for safe drinking vater and hand washing arrangcmcnts shall

bc

there

All Radiology Labs vc to maintain ircighting cquipmcllts like cxtinguishers as

prcscribcd by N4unicipal Authoritics.

Equipment:
Thc Ccntcrs must bc providcd vith all instrumcnts/cquipmcnts rcquircd fOr cmcrgcncy&
basic lifc support

62

Thc

clinic

providing

intcrventiona1

/contrast

studics

nlust

havc

instrtlnlcnts/

equiplllcnts/mcdicines to dcal vith any allcrgic and/or anaphylactic cornplications that rnay
arisc

7.

Waste Disposat: The Disposal of wastes in the hospital shall be in accordatlce u'ith BioN,ledical Waste (iv{anagement and Handling) Rule. 1998. Provisions shall be nrade tor
segfegation and safe disposal of biomedicai rvastes. -sharps and slringes eithcr"bl lhcit orrtl lesources or throu-qli tie-Lrp ivirh (lor.nmon Bromeclical
Page 16 of 57

\\ asre flcalrrrcrit Fecilirics

ir{fe.ra rrqqf,,

iiri6

20 r{rrm 2013

738

(69)

C. 1lAN DARDS F( R
(Definition

IATERNITY

HOMES
t)

as per 2(e) of the Ae

1.

home: Must fulfill the standards prescribed for the clinics in part A of this Schedrile.

Arrart From the above: The basic minimum facilities to be provided bv lhe
Matemity Homes are as follows:

21

Maternity Facilities-

a. All Matemity Homes should

Evacuation, Dilatation

be able to caruy out procedures

like Suction and

And

Curettage, Caesarean Section

and

Caesarean

Hysterectomy on an emergency basis;

b.

Blood transfusion facilities shall be available rvithin the premises or a dedicated

o' the panel of the institution. The names, addresses a'd telephone numbers of such licensed blood banks have to be orominentlv
blood bank facility
clisplayed;

c. d.

Maternity Homes should have Gynecologists, Surgeons, Anesthetists.

Pediatricians on roles.

ar.rJ

Provision for hot waler shall be there.

"- -,-t All Maternity Homes must haye:

oPD Area- The minirnum standards for all individual opDs shall have to be
mentioned in the standards lor Clinics in pafi A of this Schedule.

as

IPD Block-

Floor space pcr bcd in vard

Distance betr,een tn'o beds

Clearance betu,ecr.i bed aricl rvail

Nlinimum Area Required

100 sq. ft. for one bed and additional 60 sq.

ft. for every additional bed

6

ir-r

the roorlr

illc hcs

738 ( 70)

20 3

2013

Width Of dOOrs in thc vall

Bath&toilet
Numbcr ofurinals Number of toilets and baths

36sq i
I per 6 bed
1

per 6 bed
bed

Number ofwash basins

Operation Theatre (sterile zone)

I per l0

300 sq feet 50 sq. ft.

Instrument Sterlization
Scrubbing up hcre ShOuld be prOper zoning iii5
protcctivc,clean zOnc and sterile zOnc

25 sq

Labor Room with Toilets Doctor's Duty Room

Nurses Station Ward StOre

140 sq. ft. + 20 sq.

ft.

100 sq (with tOilct)

100 sq.

ft.(with toiler)

100 sq. ft.

Trolley

Bay

*_rl

30 sq. ft.
120 sq. ft.

( ^onsu ttlng Kootn and Examination Room

2.4

Labour Rooma. Labour. Table

b. New Born Resuscitation Unit

c. Emergency Medicines d. Shadow

Less Lamp

e. Instruments for Assisted Deliveries

1-.

Minor Surgical Instrunents

1.5

lJcrr Born care at.ea-

a, b.

TItis unit sliall be located w,ithiu or in close prorinrit\ to lirbor roonl Radiant Wanner.s must be kcpt in this are a.
Page 18 of57

20

2m3

38(71)

Emergency Medicines Suction Machines

3.

Minimum equirrments required for Maternitv home:

a. b.

Labor Table
Foetal Monitor (Doppler or Cardiotocograph) Neonatal Resuscitation

Kit
&
one standby foot sttction machine
8 beds or part,

One suction machine with power back up

Minimum one oxygen cylinder for

with one standby cylinder

Arnbu bag, Oxygen mask catheter, and nebulizers

g. Minimum one Infant Wanner h. All instruments equipments required

; F-^.--..,, T,"-

for emergency & basic life support

j. k. l.
4.

Dressing Trolley

Instruments

&

equipments required

for

Emergency Obstetric Care (LSCS.

Obstetric Hysterectomy, Forceps)

Defibrillator.
Foetal

Diasnostic Services: Diagnostics Services like Pathological Lab, USG,

Monitor and empanelled blood bank tie up, portable X-ray, ECG machine, if available
shall be as per the standards prescribed in Standards of Diagnostics in Part B of this

Schedule.
5.

".";t

Support Services:

a.

Electricity- Provision for continuous supply of electlicity and porver back up shall
be there.

b. c.

Water Supply- Provision for safe drinking water and hand u'ashing anangemellts
shall be there.
F-ire safety-

All Maternity

Homes have to rnaintain firefighting equipr-nents like

fire extingu ishers.

6.

Waste Disnosal: The Disposal of nastes in the hospital shall be in accordance rvith

Bio-Medical Waste (Managernent and I-landling) Rule. 1998. Ptovisions shall eithel
'i
re

be

made for segregation and sale disposal of biorredical uastes. sharps artd sltinges
b-v

their or.vn rcsources or througli tie-rp i.r,irh Comnron Biornedicai \\'aste

Facilities.
Page 19 of57

atr.ner.it

738

(72)

o ,

20

2 3

It is an establishment

gymnastics or any other similar processes are usualry carried on for the purpose of treatment ofdisease or deformity. Folrowing standards shall be maintained for the physiotherapy Unit:-

where massaging, electrotherapy, hydrotherapy, medical

t'
2.

Same as prescribed for a clinic

in Part A of this Schedule.

H man ResOurce:

21

Such Establishments shall be under direct supervision of Bacheror of physiotherapy from a recognized univerlity or institute.

22

Male or female employees providing such therapy shall be under direct supervision of a qualified Physiotherapist as mentioned above and shall possess a minimum qualificatio' ofhigher secondary and minimum practical experience as prescribed bv the MCI in Physiotherapy department of any hosoital.

3. I. 3. 5. 7. 9.
4.

Equirrments:
Short Wave Diathermy
2

Microwave Diathernty
Laser Therapy

Magnetic Therapy Interferentialtherapy Paraffin wax bath Ultra Sound Therapy ' *SuppOrt serviccs:

4
6
8

Lumbar Traction and Cervical Tractiou

Hot Packs

-'f

Electricity- Provision for continuous supply of electricity a'd power.back,p shall be

there. b

water Supply- Provision ror safe drinking rvater and hand washing
shall be there.

arr.angerrents

Fire saflety- All Physiotherapy units have to n.raintain firefighting equipments rike tire exringuishers.

5.

made

waste Disrrosar: The Disposal of rvastes in the hospital shall be i' accoraance with Bio-N4edical waste (Managemenr and Handling) Rule. 1998. pro'isions sha be

lbr

either

bl

of bio'.redical wastes. sharps a'd s1..r.inces their orvir resources or th'ough tie,up *,ith comrron lrio'redical \\,aste
J-ge

segregation and sale disposal

Treatr.r)en1 Facilities.

2i-)

af

ddR{ttd {"iqd.

k+iq

zo errrs zors

738(73)

E.
1. 1.1 1.2 1.3

HOSPITALS AND NURSING HOMES

The Basic Minimum Facilities Provided trv a Nursing Home/Hospitals includes: Emergency First Aid- As prescribed for
a

clinic in part A ofthis Schedule.

Indoor Admission facilities- The HospitalAJursing Home shall provide indoor

facilities for various disciolines.

Other Serviceshave ear-marked space for OPD block as per standards as prescribed

1.3.1 The facility shall

for clinics in Part A ofthis Schedule.

1.3.2 Services of one Medical Practitioner on duty shall be available 24hrs for
compulsory

attending

emergency calls of indoor patients. 24hrs duty of Medical Practitioner shall not be

if

Day Care Centres are available. But availability

of

Doctor

is

compulsory till a patient is there in the Hospital.

1.3.3 Diagnostic Services if available shall be as per

Laboratories in part B of this Schedule.

standards prescribed

for Medical

1.3.4 Services of Physiotherapist

if

available shatl be as per standards prescribed for

Physiotherapy Units in Part D of this Schedule.

2.

OPD Block: Minimum Infrastructure requirement: As prescribed for a clinic.

mm
4, 4.1
Wards-

d m

Inpatient Derrartment:

a. The ward Should have Enough space between beds (as prescribed in clause 8 of
Part E ofthis Schedule)

b.

Separate toilets for nrales and lenrales Separate room for infectious patients

c.

d. Fire fighting equipments/evacuation plan/exit plan and firc alarm e. Emelgency Tray

f.
h.

Suction Machine
Anibr-r Bag

g. Oxygen cylinder wirh Mask &

Dressing Trolley

i.

Separate s,ards for males and females

y=

Page 21 of 57

738 \74 )

dfis'rd {srct, R{s Intensive Care Unit (If available)-

20

qrrR

2013

4.2

Intensive Care Unit shall be well supported by medical and paramedical staff

ir.r

order

to provide Resuscitation and Shoit Tenl Cardio Respiratory Support including

Defibrillation. Following standards shall be maintained for Intensive Care Units:-

a. Entrance door- 4 ft wide

b.

Space per ICU bed- 100 sq. ft. between two adjacent beds- 3.5ft
beds

c. Distance

d. Curtain/partition between

e. Bedside Supply- centralised oxygen supply facilities must be available.

f.
g.

Suction Machine beside each bed

Non Invasive Electronic Monitoring- SPO2, HR, R.hythrn, NIBP,

Temperature.

ECG,

h. Ventilator And Defibrillator

i.

Crash Carl Trolley/ Resuscitation Tray

j.
l.
n. p.

In- House Basic Clinical Lab

k. Imaging Facilities- X-Ray, USG, ECG

Qualified R.esident Medical Officer

m. Nurse and support staff

Separate hand washing

facility

o. WheelchairsiStretchers
Separate Mediciiie

a*fl Consumable Storage.

4.3

Operation Theatre Complex/ Zone-

a. Pre-operative room / area b. Changing room for stalf

c. Scrub Area
d. Sterilization Roorl e.
Store

f.

Provision for hot water

g. Operation Table

h. Shadow

Less Larnps

i.

Post- Operative (Recovery) Roorn

Page 22 ot 57

20

2013

738(75)

. '

4.4 4.5 5. 5.1

a. b.

Labour Room - As prescribed for Maternity Homes in Part C of this Schedule.

New Born Care Unit- As prescribed for Maternity Homes in Part C of this Schedule.

Support Services and Necessary Requirements For Staff: Support ServicesDiet- Diet may either be outsourced or adequate separate space for cooking shall be
provided. Hygienic food as advised by the physician shall be available to the patients. CSSD (Central Sterile Supply Deparlment) (Compulsory for hospitals with 100 beds
or more)- Adequate space and standard procedures for sterilization and sterile stolage

shall be available.
developed.

practical protocol for quality asslrrance

of CSSD shall

be

c.
d.

Laundry- There shall be separate storage facility for dirty and clean linen and also for infected/soiled and non-infected /non soiled linen.

Electricity- Provision for continuous supply of electricity and power back up shall be
there.

e.

Water Supply. Provision for safe drinking water and hand washing arrangements shall
be there.

f.

Fire Fighting equipments- AII hospitals to have fire fighting equiprnents like Fire
Extinguishers.

5.2 Necessary requirements for staffa. The stalf employet-sh:Xll be fi'ee from any contagious
b. c.

disease and shall be provided

with clean uniforms suitable to the nature oftheir duties.

The workers shall be medically examined at the time of employment and periodical
checks ofthe staff should be done.

Staff shall be ensured for rnedical hazards and statuary rules of emplovment shall be followed.

6,

Equipment: The Nursing Homes shall provide and maintain the following:a. All instruments/equipments required for emergency and basic life support b. ECG Machine

c.
e-

EnTergency

Tlay
Sr"rction Machrne

d. One Suction Machine & one Standby Foot

N,{ir.rir.nunr

olle ox) gen cylinder for 8 beds u.itli one Standbl, Cylinder

Defibrillator
Page 23 of 57

738

(76)

dn|qrrc rl-rH, fu+iq zo errr*e zors

g. Infusion Pump h. Dressing Trolley

i.

Facility for power back up

Fire Fighting Equipments/ Evacuarion plan

j.
61

Minimum requirements of Operation Theatrea. Operation Table

b. Boyles Machine

Laryngoscope with 5 blades ofdifferent sizes Endo Tracheal Tubes of all sizes with connections Pulse Oxymeter/ Multi - parameter Monitor

Electric Suction Machine with generator connection

g. Foot Suction Machine h. Emergency Tray with Medicines

i.

Autoclave
Shadow Less Lamp

j.
l.
62

k. Electric Cautery
Defibrillator

m. Oxygen cylinders in sufficient number

Minimum Instruments and Equipments required for Nursing Home /HospitalMinimum required instruments & equipments shall vary as per parlicular
specialty/super

spetidi{, however, a list

has been provided as per Indian public

Health Standards (ArLnexure -A).

7.

Hosnitals as per availabilifv: Hospitals / Nursing Homes offering multi-specialty

super-specialty services must l.rave specialists in the relevant discipline either on their

pay roll or as a panelist in their list of consultants. The minimum qualification

required for such specialists shall be as indicated in the table below:Specialty / Discipline
Super Specialist General Surgeor.r
;-;

Desirable Qualifications

DNB/MCH/DM/ Post PG Diploma/ Fello*'ship

MS/DNB, (General Surgery)
,\l D/l )N l J. (Ur.ucral Merlicine)

rn)

- ----srcl ait

Obstehic jan

& Gynaecologist

DCjO (OBG)i\4SiDNB/N{D
Page 24 of 57

20

2013

38(77)

Pacdiatrics

DCH/MD(Paediatrics)/DNB

Orthopaedics

MS/DNB/D ORTH
4S/DLO

ENT Specialist
Anaesthetist Eye surgeon

MD(Anaesthesia)/DNB/DA

MD/MS/DOMS/DNB/(Ophthalm010gy)

Dental Surgeon
Pathologist

Radiologist
Psychiatrist

BDS MD/DNB/DCP MD/DNB/DMRE/DMRD/DMR MD/DP DNB

,4

Dermatologist
General Practitioner lallqpathg

MD/DNB/Diploma

MBBS/
medicine

or any other degree in

allopathic

General practitioner (ayush)

BAMS/BHMS/ BUMS/Siddha/Yosa
Post Graduate in

Specialist ofAYUSH

AYUSH

72

S.No

*This is On 8 bourly basis(per SIift)

Resident Medical Officers

General Duty Medical Officers- Every Hospital /

Nulsing Home must have at least one Resident Medical Officer Medical Officer for every 20 beds.
Nursing staff and other supportive staff
shall be in the ratio indicated below:

General Duty

Minimum nursing and other support stalf

,_{ ?-:/'

Category of Staff rvhich For holv should be available in any Patients

nursing
home/hospital/maternity
home

many

Number to
provided

be

Nursc/Midwifc
General Duty Attendant
Sr.veeper

20 20

beds

ol its part

beds or its part beds or its part

l0

Page 25 of,7

738 (78)

'sfrgrra trqcr,

ifib,

20 3TrtR 2013

8.

Phvsical Standards:

Specification of areas for Clinical Establishment

Item
Minimum floor space per bed in ward

Minimum Area Required

100 sq.

ft. for one bed and additional 60 sq ft

for every additional bed in the room

Minimum distance between two beds Minimum clearance between bed and wall Minimum width of doors in the wall
Brath&Toilct Number of Toilets and Baths Number of Wash Basins

ft.

60 mm

3ft.
36 sq. ft.
1 per 6 bed

I per 10 bed
140 sq. ft.

Minimum area of Operation Theatre (sterile

zone) up to 10 beds >10 and 30 beds >30 bcds Area fol Instrument Sterilization Area for scrubbing up
Ar'ea for pantry (NH more than 20 beds)

*J

200 sq. ft. 300 sq. ft.

50 sq. ft.

80 sq. ft. l4O cn ft + ?O qn fi

100 sq. ft.(with toileo 100 sq. ft.(with toile0

Labor room with Toilets Doctor's dr"rty room

Nurses Station

Arca ior USG

As pel PNDT Gr-ridelines

PaEe 26

.l 5t

20 `I"2013

738

(79)

Area for laboratory Physiotherapy unit wirh equiprnenrs

120 sq. ft. + 40 sq. ft. 160 sq. ft. 100 sq. ft.

Ward Store

Trolly Bay
Consulting Room and Examination Room

30 sq. ft.
120 sq. ft.

9.
91

Emergencv Med al

Sewices:

All Nursing Homes wherevcr registercd mcdical practitionc s arc cngagcd,must

primarily attcnd the emcrgcncy patients and provide basic life support without
considering thc flnancial ability of thc paticnt, and thcn rcfcr, if ncccssary tO thc ncarest privatc ubliC hOspital With Suitablc mcdical rcport about thC ailmcnts,as carly as possiblc Goldcn HOur Trcatmcnt Protocols shall bc f01lo vcd

92

Evcry Nursing Homc shall havc al1 logistics for cmcrgcncy basic lifc support with
traincd medical and paramedical personnel

93

Evcry nursing hOmc shall cnsurc that they must prescribc rational drugs to thcir
patients and follow the provisions Ofthe Dnlgs and Cosmctics Act,1940

9.4

Every Nursing HOme has a prOfessiona1 0bligation tO cxtend its scrviccs vith duc
expertisc for protcctin fc in cmcrgcncy or in disastcr

10.

Waste Dis,osal: The Disposa1 0f astcs in tllc hOspital shall bc in accordancc with
Bio Mcdical

Wastc(Managcmcnt and Halldling)Rule,1998 Provisions shall bc madc

for scgrcgation and safc disposal of biOmcdical vastcs,sharps and syringcs cithcr by thcir own rcsources or through tic
Facilitics

vith Conlmon Blomcdical Wastc Trcatnlcnt up

Page 27 of 5?

 38(80)

Ernfgrrd {trqqt,

l({is

20 3Trrkt 2013

SCHEDULE 2
(See Rule ll)

FORII CE l:APPLICATION FOR RECISTRAT10N/1SSUANCE OF LICENSE/

RENEWAL OF LICENSE
ICLINIC(ALLOPATHIc/AYUSH)AND PHYSIOTHERAPY UNIT

Application for Registration / Renewal ofregistration u'der The chhattisgarh State

Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Adhiniy am,20l0
I

Name of the establishment:

Address: Village/ Town:..................

Taluka

District:

.... ...

State

....pincode

Email id

lobic No
/

Year of starting: Location:

l-l

Municipal Corporation

l-l

Others

Orvnership:

I I lndividual Proprierorship[-l fl f-l

Registered Company

Regisrered Pafrr]ership

l-l

Co-operative Society

Trust / Charitable

Irsu

f--l

Corpolation

Name of orvner of clinic:.

7.

Name of perscn incharge of clinic:

Page 28 of57

dfrs?rd

{.rcr. ktio

zo eTrf

zot:

738(81)

Designation
Address: Village/

Education eualification

Town:
State

.......Taluka

District

........................Pin

code

Email id . Mobile No _

8.

System of Medicine offers (please tick whichever is applicable):

I
9.

Allopathy
l

Ayurveda f-l
Yoga and Naturoparhy

Unani

tr
I

Siddha

lomeopathy L__j

Physiotherapy

InfrastructureDetails:
Area of Establishment (in sq.

ft).............

Total
l

Area

Whdher

Om / waste

.....,,Constructed Area............
disposal license obtained frolll Panchayat/

Municipality/ Municipal Corporation?

[-l
II

Ye'

No

whether clearance obtained from cG Environment conservation Board?

I J Yes

No

Page 29 of57

738 (s2 )

Ertrsq TFrFt, fccis zo srrrm zot:

12.

Human resource:
Total no. ofstaffas on date ofapplication
Please furnish the following table:_

S.

Category of staff

Name

No

Qualification

Registration
No.

Nature
serwice

of

temporery/
(where applicable )

permanent /

visiting I
consultation

(Scparatc sheet tO be attac

13.

Payment option for registration fees:

l.

Online payment

2.

Demand

draft

3. postal order

Amount (in words),............

[)ctails

Page 30 of 57

Bfrstrd {rqqd,

ffiis

20

:{qkl

2013

738 (83)

I,

...................'..

.on my behalf and on behalf of

my company/ society/ association/ body, hereby, declare that the statements made above ae
correct and true to the best of my knowledge and I shall abide by all the rules and regulations

under the chhattisgarh State upcharyagriha Tatha Rogopchar Sarnbandhi Sthapanaye

Anugyapan Niyam, 2013.

I,

further underlake to intimate to the appropriate Registering Authority any

change in particulars given above.

Place:

Name of Signatory AuthoritY with

01Lcial Seal

Date:

"J

 38(84)

,,m20 (

2Cl1 3

FORpvI_cE 2:APPLICAT10N FOR REGISTRAT10N/1SSUANCE OF LICENSE/ RENE VAL OF LICENSE

[

lEDICAL LABORATORY AND DIAGNOSTIC SERVICES]

Application for Registration / Renerval ofregistration under The Chhattisgarh State

Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan Adhiniyam' 2010

1.

Name of the establishment:

................

.:

..............

Address: Villase/

Town: .......State

..... Taluka ....Pin code

District:

Tel No( Vith STD codc) . Fax No.

Email

id.........

MobileNo.......

3.
4

Year of starting:

Location:
Ownership:

fl *_; NJunicipal Corpolation f-l

lndividual Proprietorship

l-l fl fl

Oth"rt

Regislered Partnership

l---l Registered

Company

Co-operatii,e Society

fl
6.
7.

Trust / Charitable

f]

PSU

fl

Corporation

Name of olvner of Medical Laboratorv:

Name of person incharge of Medical Laboratorv:

Designation
Address
V

Educatior.r

Qualification

illage, Tour:

aluka

Page 32 of 57

Br*grf6 {lrlq:{.

k{is

20 3T.fR 2013

/J6 l d),

District:

......'State

....Pin code

Email id.

Mobilc No.

8.

Providing testing and Diagnosis:

Laboratory:

fl

Pathology Lab

[-l

Collection Center

Diagnostic and imaging centre:

fl
fl 9.

x-Ray

I
(MRI)

Sonography

t] cr
f-l

Scan

Magnetic Resonance Imaging

Isotope Scans

Any other

InfrastructureDetails:
Area of Establistunea{n sq. ft)......

.......
.

'Total

Area

...... .Constructed Area... ........

10.

Whether biomedical waste disposal license obtained from

Municipality/ Municipal Corporation?

Panchayat/

I
I

Yes

No.

l.

Whether clearance obtained from CG Environment Conscrvation Board?

No.

12.

Vheth

13.

Whether registered under PC-PNDT Act?

[_l v.'

738(86)

o ,m20

2013

14.

Human resource:
Total no. of staff as on the date of application
Please furnish the following table:-

Category of
staff

Name

Qualification

Registration

No.

Nature of
service

(where applicable )

(Separate sheet to be attached for various categories of staff)

15.

Payment option for registration fees:

Online Payment 2. Demand

draft

3. Postal order

Amount (in words)

Receipt No. ......

:::.*{

Page 34 of 57

dfr{rrg Tr-rrr, Ftiq

zo errrw

zor:

738 ( 87)

r,

......................

.on my behalf and on behalf of my

company/ society/ association/ body, hereby, declare that the statements made above are correct and true to the best ofmy knowledge and I shalr abide by all the rures and regulations

under the chhattisgarh state upcharyagriha Tatha Rogopchar Sambandhi Sthaparraye Anugyapan Niyam,2013.

I. further undertake to intimate to the appropriate Registering Authority any change

in particulars given above.

Place:

Name of Signatory Authorify with

Offlcial Seal

Date:

1r"

PaBe 35

of 57

738

(88)

d*grrd {Ftttt, kqt+

zo

sllw zot:

FORM

CE-3: APPLICATION FOR REGISTRATION / ISSUANCE OF LICENSE /

RENEWAL OF LICENSE [HOSPITALIMATERNITY HOMES/NURSING HOMES]

Application for Registration

Renewal of HospitaUMaternity Homes/Nursing

Home registration under The Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambardhi
Sthapanaye Anugyapan Adhiniyam, 201 0

l.
2.

Nameof the Establishment: ... ... ......

Address:

Village/ Town:. ..

Taluka

Email id MObilc No

3.

Year of starting:

..

..::.:.j.;j

4.

Location

lMunicipal Corporation

f-l I !

Others

5.

Orvnership: !lndividual Proprietorship

Registered Partnership

I
n
6.

Registered Company

Co-Operative Society

Trust / Charitable

f] Psu I

Corporation

Name of orvner of Hospital/Maternify Homes/Nursing Homes):

Page 7E or

d*grrc {FTt, fu-*

zo ,:r.rg

zot:

738

(89)

1,

Name of person in-charge:......

Designation
Address: Villase/

Education Qualification

Town:

.......Taluka ......... ....Pin code.

District:

.......State

Tel. No. (With STD code).............

Emallid

......FaxNo.
Mobile No

8.

System of Medicines offered (please tick rvhichever is applicable):

Ll

Atlopathy

I Ayurveda tr Unani
!
Yoga and Naturopathy

f]

siaana

L-l Homeopathy

9.

Providing inpatient care:

f] I 10.

Hospital

Nursing Home

f]

Maternity Home

Atry otlier (please spesify)...................

'-J "

ProvidingDiagnosticServices:

Laboratory:

Pathology Lab

LJ Lolleclron

L enter

Diagnostic and imaging centre:

-, rav I t.\
tr--i

Sonography Isotope Scans

CT Scan

I
11.

Magrretic Resonance Imaging (MRI)

Any other

Infrastructure details

Alea of Establislmrent (in square meters).

fotal

Area

.. . .. .. ..

....Ccnstructed Area.....
Page 37 of 57

738

(90)

e-fr$rd {"rct. fuliq zo errg zo'1:

a.

OutpatientDepartment:
Specialty wise distribution of OPD clinic:
S. No

Specialty

No. of rooms

Remarks

b.

In Patient Department:
Total No. ol beds

..................

Specialty wise distribution ofbeds (in case the hospital is more than 100 beds):S. No

Specialfy

No. of rooms

Remarks

t/-

Whether Biomedical Waste Disposal License obtained from Panchayat/ Municipality/ Municipal Corporation?

LJ

Yes

l--l

No.

d.

Whether clearance obtained from Chhattisgarh Environment Conversation

Board?

fl
e.

Y"'

n
I

No.

Whether clearance obtained from BARC/AERB?

n Y"t
f.
l- I
YCS

No.

Whether registered under PC-PNDT Act?

[]xo
Page 38 cf 57

,m20

38(91)

12.

uman

resource:

Total no of staffas on date of appliCation Plcase furnish thc fo10wing t

l

Registration

Category of staff

Qualification

Nature of
tempera/

service

No.

(where

Permanent

applicable )

/visitirrg / consultation

Other please specify

(S"p*"t" ttt""t to b"

"tt^"hed

for various categories of staffl

n es: 13.Payment op6on folle tra 1 0nlinc paymcnt 2 Dcmand draft

3- Postal order

Amount (in words)... .. . .

Dctails
D o^6;nr f\ccglpt

l\I^ I \u.

738

(92)

sdl{r|d

T|qTd,

ftrifr

20 3TrfK 2013

DECLARAT10N
I,

......................

.on my behalf and on behalf of rny

company/ society/ association/ body, hereby, declare that the statements made above are
correct and true to the best of my knowledge and I shall abide by all the rules and regulations

under the Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye

Anugyapan Niyam,2013.

I, further undertake to intimate to the appropriate Registering Authority any change

ir, particulars given above.

Place:

Name of Signatory Authority rvith

Official Seal

Date:

"J

Page 40

of 57

Edr {rsq-t. ffii6

20 errf 2013

38(93)

SCHEDULE 3
(See Rule ll)

Municipal
Corporation
Registration Fee

Other Areas

Registration Fee

(in Rs.)

(in Rs.)

Individual Clinic ( All Pathies)

(a)
(b)

Graduates Post- Graduate diploma and degree holder

700
1500
700/doctor

350 750
350/doctor

(c) Poly clinics & other Clinic

Nursing Home and/or Maternity Homes or Hospitals

(a) Up to
(b) I l-20

10 beds beds

2000 3000 4000 5000

1000 1500

(c) 21-30 beds

2000 2500

(d) more than 30 beds

Pathological Laboratory

(a) Pathological Laboratory

(b)Collection Centre for Pathological Labs

1000
1000

500 500

IMAGING,X RAY&OTHERS
(a)USG/ECHO/Color Dopplcr/X Ray/
1000

800

ECT,EEG,EMG,Endoscopy

(b) MRI/

CT Scan/ Angiography

3000
800 500

1500

Amendment fees (In addition to original fee) Duplicate Copy of License

500 250

Page 41 of 57

738 \94 )

saRFrd {EFDI. Id;Itrf 20 3lrfRt 2013

SCHEDULE 4
(See Rule ll)

FO IAT FOR RECEIPT FOR REGISTRAT10N UNDER

Registration No

It

is, hereby, certified that the Establishment

Address..........
the ownership of Mr./Mrs

...... under

has paid a total sum of

Rupees
(in words) and is

.(in figure)
registered under the

Chhattisgarh State Upcharyagriha Tatha Rogopchar Sambandhi Sthapanaye Anugyapan

Niyarn,2013.
This registration, however, does not guarantee the above mentioned establishment,

the license under the Act. The registration Certificate will be valid till

"- -_/

Nanie ofthe Snpervisory Authority..... . ..

Signature

Page 42 of 57

adeqs {rqq{, f<ris

20 3TrrRI 2013

738(95)

SCHEDULE 5
(See Rule ll)

FORRIAT OF LICENSE
FORMAT FOR THE LICENSE UNDER SECT10N 4 0F THE CHHATTISGARH STATE UPCHARYAGRIHA TATHA ROGOPCHAR SA lBANDHISTHAPANAYE ANI GYAPAN ADHINIYAM,2010

License No........ Subiect to terms and conditions specified in Schedule 1 of the these rules, license is' hereby,
granted to Clinical Establishment (Name)..

Address.............
Plonriet nr's , , uy, r! ru,

Name

Address... . ..... ...

Registration No....................

... under the State Upcharyagriha Tatha

Anugyapan Adhiniyam, 2010

Rogopchar Sambandhi StS

to

establish /rrur

tl.re

Clinical Establishment......... ...

(lndividual CliniciPolyclinic/ Physiotherapy Clinic/Pathology Labl Radiology and Imaging

centre/ Maternity Home/ Hospital/ Nursing

Home under the system of Medicine

viz:

Allopathy/Ayurvedic/Homoeopathy/ Unanii Siddha/ Naturopathy) for a period of 5 years r.e.

From.............

...

...To..............

Scal
Snpervisory Aulhorit)

Date: Place:

Fage 43 ct 57

 38(96)

20a 2013

SCHEDULE 6
(See Rule 13,Clause 8.2)

ESTABLISHMENTS
District.
Sl.

Status as on

Remarks (*)

No.

Name address
Clinical
Establishment

and

Category

Date
on

of

of of Clinical registrati
Establish
ment

Date issue
license

of I

Validi

of

registration

renewal of

/1icense

(*)lndicate entry / page number ofthe applications folder

LE 2:FOmIAT FOR IIIAINTAIN

Name of Name of the

Investigat ion done

Action
Taken

Remarks

Complainant

Clinical
Establishment
against whom the complaint is made

(*)

complainant

(")Enter cases registered u'ith .{ppeliate Authority

_

: '

Page 44 of 57

dd-'r|d 1rqrr.

Rli*

zo

erts zor:

738 (97 )

SCHEDULE 7
(Rule 14)

Every Nursing Home/ Clinical Establishment shall maintain and preserve medical records

for a period of five

years from the date

of the patient attending the

hospital.

Following records shall be maintained:-

OPD Records: The "OPD paper" ofa patient attending the OPD should contain the Doctor's name and detailed clinical notes including patient's name, age, occupation,

chief complaints, onset/duration/progress of illness, past history, personal history, family history, detailed examination findings, provisional diagnosis and treatment
advised.

2.

IPD Records: The Nursing Home shall keep the following details of the patients
admitted in the Nursing Home as an in-door patient, narnely:-

(i) (iD
(iii) (iv)

Records of admission
Discharge / DOR/LAMA/ Absconding/Dearh of the patient; Records of Treatment These registers..lf to be duly maintained and updated chronologically , copies

of which have to be kept in the record room of the nursing hone for at least 5 years. The information

in this regard shall be supplied to the

Supervisory

Authority, as and when required.

3.

Other Registers to be maintained: Other Registers to be maintained are:-

i.

Labor Room Register

Operation Theater Register

ii. iii.
iv.

MTP register (if registered under the Medical Ten.nination of Pregnancy Act.
1971) It4edico Legal Register

v. t'i.
vii.

Laboratorl Rcgister
Radiolog),andInterging Register liltr-asorrograplil Register.
Page 4.c of 57

11_

738 (e8)

s#grrd {nrq:r, kli* PC-PNDT Register

zo

:r're zor:

Medical Certificate Register with certificates in duplicate Complaint Register

X
Xl
Xll

Birth Register fNotified to such medical officer as authorized)

Death Register (in such format as prescribed by GovemmenVstate Level Authority)

Information in terms of Govemment programmes / areas of work (e.g. materr.ral health, child health, immuni zation, family planning, vector borne disease,

Xlll.

National Leprosy Eradication Programme, Revised National

Suraksha Yojana)

TB

Control

Programme, Integrated Disease Surveillance project, NRHM initiatives, Janani

Page 46 of57

B-algrrd tl;IrFt.

l(lFF

20 sTrt 2013

738

(99)

INTIDIIAT10N OF BIRTH OF A CHILD OCCURRING IN NURSING HO IE AS PER BIRTH AND DEATH REGISTRAT10N
FORDI A
BIRT REGISTER
Follolving entries are to be made in the birth register:-

Date o'f birth:

2. 3.

Gender:

Name of the child, if any:

4.
5. 6. 7.

Father's Name:

Permanent address:

Mother's Name:

"--/
Place of
1.

birth: Delivery -- then -- Address:

If institutional -- then -- Hospital/lnstitution Name:

Home

2. if

Page 47 of57

738 ( 100 )

20

2 3

BIRTH REPORT
STATISTICAL INFORIVIIAT10N
(ThiS part to bc dctachcd and scnt for statistical processing)

l 2

Address ofthe l other: Religion of the family:

a. Hindu

b Musliln

c Sikh

d Cl isuala

3. 4. 5. 6. . 8. 9.
7

Father's education: Mother's education: Father's/Mother'soccupation:

Age of the mother at the time of marriage:
Age of the

mother at the time of this birth

Total number ofthe children born alive:

Type of attention at delivery: (Tick the appropriate entry below)
Institutional

Private /Government

Delivery at Home 10. Method of delivery: (Tick the appropriate entry below)
1.

Normal

2. F orceps/Varu{m

3.
I

Caesarean

Birth rveight (in Kgs.) (lf available):

Page 48 of 57

o'fr{trr6 TEq1.

R{iq

20 srtrkt 2oi3

738 ( 101)

DEATH REGISTER
LEGAL INFORMATION
Following entries are to be made in the Death register:-

1.

Date of Death:
Name of the deceased:
Sex of the deceased:

2.
3.

4.
5.

Age of the deceased: Place of Death:

a. b.

If institutional -If Death

at

then

Hospital/lnstitution Name:

home -- then -- Address:

c.

Other (Specify)................

y/---

'-"'':f

Page 49 of 57

738 ( 102 )

,,

20 2013

DEATH REPORT
STATISTICAL INFORMATION
(This part to be detached and sent for statistical processing)

1.

Address of the deceased:

2.

Religion of the deceased:

a.

Hindu

b. Muslim

c Sikll

d Christian

3.
4.

Occupation of the deceased: Type of medical attention received before death:

a. Institutional b. Medical attention other than institutional c. No medical attention

5. 6.
7

Was the cause of death medically

certified?

Yes

No

Name of Disease or Actual Cause of Death:

.J

In

case of death of a female, whether the death occurred

6 rveeks

during pregnancy or at the

No

time of delivery or within

of the Delivery

Yes

Page 50 of 57

R-frsAA

rrqt. Rfq

20 3Trtfn 20.13

738 (103)

SCHEDULE 9
(See Rule 15)

NOTIFIABLE DISEASES

S No
Month
Name of the disease Category of disease

Total no. of patients admitted

Date of first patient admitted

Total no. of deaths 1lich maxin nO Arca flom

patients arc adlllittcd

/
PaBe 52

ci

57

 38(104)

BRftsr|d {rqtn.

F{is

20 3TrrRI 2013

ANNEXURE A
LIST OF EOUIPMENTS STANDARD SURCICAL SET I(INSTRUMENTS)
S.No.

Instrument
Tray, instrumenVdressing with cover, mm-ss
3 10

Minimum
requirement x 200 x 600
1

4
5

9
10
11

13

14 15 16 17

19

20
21

Glovcs surgcon,latcx stcrilizttlc,SiZC 6

Gloves surgeon, latex sterilizable, 6-112 Gloves surgeon, latex sterilizable, size 7 Gloves surgeon, latex sterilizable, 7-l i2 Gloves surgeon, latex sterilizable, 8
Forceps, backhaus towel, 130 mm

12

7
8

4
6

Forceps, sponge holding, 228 ntnt Forceps, afiery, pean straight, 160 mm, stainless steel
Forceps hysterectomy, curved, 22.5 mm
m :

4
4
6

ttM

Sm_ Q d , 5

Forceps, tissue, all/is 6x7 teeth, straiglrt, 200 mm-ss Forceps, uterine, tenaculum, 280 mrn, stainless steel Needle holder, mayo, straight, nanow jarv, 175 mm, ss

Krife-handle surgical for minor surgery # 3

Knife-haudle surgical for rnajor surger; # 4

Klife-blade surgical, size 11, for minor surgery, pkt of5

Knife-blade surgical, size 15 for minor surgery, pkt of 5

4
D

Klrife blade surgical. size 22. for major surgery. pkt of

Needles. sutrrre lrianuular point. 7.i crrr. pkr of
tr

Needles, suture. rourd bodied. 3/8 circle No. l2 nkt

of6

Page 53 of 57

,m20

2013

738 ( 10s )

S.No.
22
23

Instrument
Rctractor,abdOminal,Deavers,sizc 3,2 5 cnlx 22 5 cm Retactor, double-ended abdominal. Beltouis. set

Minimum requirement
1

of2

24

Scissors, operating curved mayo-blunt pointed l7Omm

26

IUD INSERT10N I T

9 10

14
15 16 17 18

Retractor abdominal, Balfour 3 blade self-retaininp

Scissors, operating, straight, blunt point, i 70 mm

2
3

Gloves Surgeon, latex, size 6-112Ref.4148 Gloves surgeon latex, size 7-1/2Ref.4148

6 6
1

4
5

Bowl, metal sponge, 600 ml, Ref. IS: 5782

Speculum vaginal bi-valve cusco's graves srnall ss
Forccps spongc h01ding,straigh1 228 4MH
mm

Scmkcn 200

Sound uterine simpson, 300 mm graduated UB 20 mm Forceps tltcrinatclla"lum duplay DBL Forceps tissue

CVD,280 mm

160 mm

Anterior vaginal wall retractor stainless

Torch without batleries
Gloves surgeon, latex. size 7, Ref:4148 Gloves surgeon, latex size 6 Ref. IS: 4148 Battery dry cell 1.5 V 'D' Type for Itern 7G Speculum vaginal bi-valve cusco's/Grea Ves Medium ss
Forceps artery. straight, Pean, 160 mm Scissors operating. straight. I45 rnm, Blunt/Blur.tt

6
1 1 l
1

l-orceps ulel ine r ulscllurn cur.r cd. Museur, 2J0 rrrrrr

Page 54 of 57

738 ( 106 )

vdl{rrrd {Frqr, K{rd; 20 3TrrRr

2013

NORIAL DELIVERY KIT

S. No.

Instrument
Trolley, dressing caniage size 76C, long x 46 cm wide and 84 cm high. Ref. lS 476911968
Towel, trolley 84 cm x 54 cm Gown, operation, cotton
Cap. operation, surgeon's 36 x 46 cm

Minimum requirement
1

4
5.

9.

EQUIPMENT/CONSUMABLES FOR ANAESTHESIA

S. No.

2.
J.
Jt

5. 6. 7. 8.

9
10

1
1

Gauze absorbent non-sterile 200 mm 171/1985

x 6 m as oer

IS:

Tray instrument with cover 450 mm (L) x 300 mm (W) x 80 mm (H)

Macintosh,opcration,plastic

7.

2
2

Mask, face, surgeon's cap of rear ties: B) Beret type with elastic hem Towel, glove

Instrument
Facemask, plastic w/rubber cushion and headstrap, set

Minimum requirement

of4

4
2

Airway Cuedel or Berman, autoclave rubber

Laryngoscope. set with infant, child Catheter, endotracheal w/cuff, rubber set Forceps, catheter, Magill, adult and child sizes Connectors, catheter, staright/curved

J
J
1

Cuffs for endotracheal catheters Breathing tubes, hoses, corurectors Vaporiser, halothane
Needle. spir.ral

4 4

l l
Page 55 of 57

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m 20

2"3

738 \107 )

EQUIPMENT FOR OPERAT10N THEATRE

S.No.

Instrument
Diathermy machine
Dressing drum all sizes Lamps shadowless:Ceiling larnp Lamps shadowless: Portable type

Minimum requirement
1

2.

4
5

Steriliser Suction Apparatus

6 7
8

Trolley for patients Trolley for instruments Boyle's Apparatus with accessories

ESSENTIAL EQUIPMENTS FOR LABORATORIES&BL00D STORAGE AND TRANSFUS10N CENTRES

S,No.

Instrument
Rod, flint-glass, 1000 x 10 mm dia, set of two g Cylinder, measuring, graduated Wpouring lip, glass, 50ml

Minimum requirement
2
,
1

2
0

Bottle, wash, polyethylene Wangled delivery tube, 250 ml Timer, clock, interval, spring wound, 60 mimrtes x minute Rack, slide drying nickel/silver, 30 slide capacity Tray. staining. stainless steel 450 x 350 x 25 nm
Chamber, counting, glass. double neubauer ruling Pipette, serological glass,0.05 ml x 0.0125 ml Pipette, serological glass, 1.0 ml x 0.10 ml Counter. differential, blood cells. 6 unit
Ccntlifllgc,lnicro
1

4
5

6 7
8

6 6
1

9 10
ll

hcmatocrit,6 tubcs,240v

12

f--ovel glass lor counting chamber (item 7), Bor of I2

Paee 56 of 57

738 ( 108 )

20

2013

Tube, capillary, heparinized, 75 mm x 1.5 mm, vial of 100

10
1

14

Lancet, blood (Hadgedorn needle) 75 mm pack of 10 ss Benedict's reagent qualitative dry components for soln Pipette measuring glass, set of two sizes 10 mI,20 ml Test tube, w/o rim, heat resistant glass, 100 x 13 mm Clamp, test{ube, nickel plated spring wire, standard type Beaker, HRG glass, low form, set of two sizes,50 ml, 150

10
1

16 17

24
3

19

20

ml
Rack, test-tube wooden with 12x22 mm dia holes
1

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