Government of Chhattisgarh,

Directorate of Health Services,

Old Nurses Hostel, Near D.K.S Bhawan,
Mantralaya Parisar
Raipur-492001
Request for Proposal
for
establishing diagnostic centres
in
public hospitals / health facilities in the State of Chhattisqarh
[As amended after pre-bid meeting held on 19th January, 20131

1 Background

1.1 The Government of Chhattisgarh has adopted a public-private partnership (PPP)

policy for the health sector. The over-riding objective of the policy is to utilize the technical,
financial and managerial resources available in the private sector for strengthening the
quality of services being provided through the public health care network. Outsourcing para-
clinical and non-clinical support services at the public health facilities is one of the priority
areas under the policy.

1.2 The current RfP is being released to invite proposals for establishing network of
diagnostic centres in public hospitals / health facilities across the State, defined as separate
lots as follows:

Lot# Description Lot# Description

1 Surguja Division radiology 2 Surguja Division - laboratory
services (67 locations) services (67 locations)

3 Bastar Division - radiology 4 Bastar Division - laboratory

services (79 locations) services (79 locations)

5 Raipur Division - radiology 6 Raipur Division - laboratory

services (144 locations) services (144 locations)

7 Bilaspur Division - radiology 8 Bilaspur Division - laboratory

services (89 locations) services (89 locations)

2 The scope of work

2.1 The agency [a single legal entity or a consortium thereof] selected through this RfP
shall be required to set up one or more of the following three types of diagnostic centres in
the assigned Lot(s):

• Category-A Diagnostic Centres: These are required to be established in 10

identified 100-bedded district hospitals. These are seen as apex centres providing Yl
comprehensive range of lab and radiology services.

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SHRC, January, 2013
 • Category-B Diagnostic Centres: These are required to be established at the
hospitals / health facilities [50-100 bedded each] situated at the headquarters of the
12 newly created districts, 8 civil hospitals and 46 such Community Health Centres
which are being strengthened as First Referral Units1. These are seen as
intermediate level centres providing intermediate range of lab and radiology
services.
• Category-C Diagnostic Centres: These are required to be established at the 103
non-FRU Community Health Centres and 200 such Primary Health Centres which
are being strengthened as 24 x 7 PHCs2. These centres will provide the primary
range of lab and radiology services.

2.2 The number of facilities in various lots are given in the table below.

Division Number of facilities

Category-A Category-B Category-C Total
Surguja 2 12 53 67
Bastar 1 13 65 79
Raipur 4 24 116 144
Bilaspur 3 17 69 89
Totral 10 66 303 379

The list of hospitals in category A and B, list of non-free CHCs (category-C) and the number
of 24 x 7 PHCs (category-C) are given at Annex-1.

2.3 The minimum lab / radiology services required to be provided at each category of the
diagnostic centres will be as given below.

Category- C - Radiology services : Plain X-ray

Category- C - Laboratory services

Clinical Pathology Haematology- Haemoglobin Estimate, TLC, Differential Leucocyte

count, bleeding time, clotting time, platelet count, E.S.R.,
Malaria/Filaria Parasite, Blood grouping, Rh Typing, , Sickelling test
(solubility and slide test)
Urine Analysis- routine (sugar, albumin, bile salt and bile pigment)
and microscopic
Stool Analysis- routine and microscopic
Microbiology Sputum for AFB

Serology WIDAL test, Pregnancy test, HIV (strip method)

Biochemistry Blood Sugar estimation

1 Availability of Caesarian Section and blood transfusion services are the critical determinants of functionality

ofaFRU.
2 Availability of delivery services, round-the-clock, is critical determinant of a "24x7 PHC.

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SHRC, January, 2013
Category- B - Radiology services : USG-Plain

Category -B - Lab services f In addition to lab services available at Category -C lab]

Clinical Pathology Haematology- Complete Haemogram (CBC), Absolute Eosinophil

Count, Reticulocyte count, Total RBC count, E.S.R., Peripheral
Blood count, Packed cell volume, Sickelling test (electrophoresis)
Urine Analysis- Bile Salts, bile Pigment, acetone, specific gravity,
Reaction (pH), Sugar
Stool Analysis-Stool for Ovacyst (Eh), Culture and Sensitivity,
Hanging drop for V. Cholera, Occult blood
Semen Analysis-Morphology Count
Microbiology Gram Stain for throat swab

Serology ELISA for HIV, HBS AG, RA factor, ASO factor

Histopathology Pap smear

Biochemistry Renal function test (RFT), Liver function test (LFT), Lipid profile

Category-A-Radiology services : CT-Scan, USG-Doppler, Echo-cardiography

Category -A - Lab services fin addition to services available at category-B lab]

Clinical Pathology Haematology- LE Cell

Pathology Cytology, Bone Marrow examination, Coagulation Disorders,

Thalassemia

Microbiology Culture and sensitivity of blood, sputum, pus, urine, KOH study for
fungus, Bacteriological analysis of water by rapid H2S test
Serology Coomb's test, Lepto spirosis (Rapid test/ELISA) and HCV

Biochemistry Glucose Tolerance Test, Glycosylated Haemoglobin, Serum

Bilirubin, Blood uric acid, Serum calcium, sodium, potassium, Serum
phosphorous, serum magnesium, CSF for protein, sugar, Blood gas
analysis, Estimation of residual chlorine in water by OT test, Thyroid
T3T4TSH, CPK chloride

Notes:

All equipment must be new

The CT scan machine shall be at least 16 slice with 0.5 second or less rotation time.
The X-ray machine shall be at least of 300 mA specification.
Portable sonography machine is not allowed.
Upto 25% of category-C centres may be allowed to function as collection centres,
provided that the Agency shall submit a list of such centres and obtain prior approval
of the government.

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SHRC, January, 2013
Option to appoint 'concessionaires'

2.4 The Agency may operate the centres directly [i.e. through staff directly contracted by
it] or may engage 'concessionaires' to operate the centres on revenue / profit sharing basis.
However, in so far as the State Government is concerned, the liability for complying with
contractual obligations with regard to the services shall rest with the Agency. The agency will
also have to ensure that each centre - directly managed or placed under a 'concessionaire'
complies with the manpower and other standards specified in the Nursing Home Act Rules.

Pricing of services

2.5 The fee for various tests shall be fixed with reference to the "rates approved for Non-
NABL accredited centre in Delhi under the Central Government Health Services", in the
following manner:
• Every Applicant / Bidder shall quote its 'discount offered" in its financial bid.
Separate discounts can be offered for each Lot.
• After the Agency has been selected, it will submit a 'schedule of rates' for the Lots
assigned to it in the following format:

SI No. Test / procedure Approved rate for Rate after Rate after
non-NABL centre in applying rounding off
Delhi (on date of discount / the rate in
submission) premium column (4)
quoted in to nearest
the bid multiple of 5
(D (2) (3) (4) (5)

• The State Government shall issue a notification, taking into account the above
information, announcing the schedule of rates applicable for each Lot.

2.6 Revision of rates: The schedule of rates fixed in accordance with the above
procedure shall be allowed to be revised as and when the CGHS rates for non-NABL
accredited centres are revised.

2.7 Procedure for revision of rates: As and when the CGHS rates are revised, the
Agency shall submit a 'revised schedule of rates' in the following format:

SI No. Test / procedure Current rate Revised Rate after

CGHS rates rounding off the
for non-NABL rate in column (4)
accredited to nearest
centres in multiple of 5
Delhi
(D (2) (3) (4) (5)

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SHRC, January, 2013
2.8 The State Government shall issue a notification, taking into account the above
information, announcing the revised schedule of rates applicable for diagnostics services
delivered under the PPP project.

2.9 Revised rates shall be notified within 30 working days from the date of submission of
the revised schedule of rates and the new rates will be applicable from the date of their
notification.

Each centre to be an independent business / cost centre

2.10 Regardless of the choice made by the Agency with regard to mode of operating the
centres (that is, directly managed or managed through concessionaires), each centre will
have to be established as a separate 'business centre' and will have to have maintain data
on key details of its operations.

NABL accreditation

2.11 If the Agency obtains NABL / NABMIS certification /accreditation for a centre, the
prices for the concerned lab / radiology centre can be revised with reference to the rates
approved for "NABL accredited centre in Delhi under the Central Government Health
Services". The revised rates shall be notified as per the procedure mentioned above.

3 Branding

3.0 The Centres to be operated under the PPP shall be popularized by assigning them a
unique name. The name for the centres shall be chosen after selection of the Agency /
Agencies.

4 Concessions / commitments by the State

4.1 The State Government shall provide, through the Jeevan Deep Samitis of concerned
hospital / health centre, space for the lab and radiology centre. The space shall be provided
along with a separate electricity meter connection. The payment of electricity charges will
have to be borne by the Agency [or the concessionaire appointed by it].

4.2 The Agency will have the freedom to use diagnostic centres to serve 'external'
customers.

4.3 The State will offer to the Agency the 'right to first refusal' in expanding the network
of diagnostic services beyond those listed in this RfP including the Medical Colleges and
District Hospitals which are not included in this RfP.

4.4 The State will notify the revised schedule of rates within 30 working days of
submission of the proposal by the Agency.

4.5 The State will also allow the Agency to add X-ray services in future at all the facilities
included in this RfP, depending upon the performance of services.

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SHRC, January, 2013
5 Expected volume of business

5.1 Currently, the availability and quality of diagnostic services is very un-even across
the regions and levels of facility. Even so, the past data indicates that the minimum daily
OPD would be 50-60 for category-C facilities, 90-100 for category-B facilities and 130-150
for category-A facilities. Using these OPD figures and making certain assumptions about the
percentage of cases requiring radiology services (CT-Scan, USG, X-ray) and lab tests, the
annual expected number of cases coming from the public facilities themselves will be as
presented below.

Number
of Annual expected numbers
Ave- %age OPD cases expected to
facilities (rounded off numbers)
Cate- rage require (per facility)
Division
gory daily
OPD
CT X- lab CT
USG USG X-ray
Scan ray tests Scan lab tests
A 2 130 1 7 85 950 6,600 80,000
B 12 90 5 75 20,000 2,96,000
Surguja
C 53 50 6 60 58,000 5,80,000
Total 67 950 26,600 58,000 9,56,000
A 1 135 1 7 85 500 3,450 42,000
B 13 90 5 75 21,000 3,20,000
Bastar
C 65 50 6 60 72,000 7,10,000
Total 79 500 24,450 72,000 10,72,000
A 4 150 1 7 85 2,200 15,000 1,85,000
B 24 100 5 75 44,000 6,50,000
Raipur
C 116 60 6 60 1,52,000 15,20,000
Total 144 2,200 59,000 1,52,000 23,55,000
A 3 140 1 7 85 1,500 10,700 1,30,000
B 17 100 5 75 31,000 4,65,000
Bilaspur
C 69 60 6 60 90,000 9,00,000
Total 89 1,500 41,700 90,000 14,95,000

It may be noted that the case load will increase substantially over the medium term as the
regularity of availability of diagnostic services improves.

Since the State has decided to universalize the coverage of RSBY to include non-BPL
families and is designing a plan to incentivize service providers at the public hospitals to
increase their share in the RSBY clients, the captive market is likely to grow several fold over
the duration of project.

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SHRC, January, 2013
6 Project period, phasing and expansion

6.1 The State will sign an agreement with the successful bidder for operating the
diagnostic services for a period of 10 years which shall be subject to extension / reduction,
based on performance, as explained in para 7 below.

6.2 The Agency will have to adhere to the following time lines for establishing and
expanding the network:

o CT-Scan : Within 4 months from the date of signing of Agreement,

o USG / X-ray : Within 3 month from the date of signing of Agreement.
o Pathology lab: Within 2 month from the date of signing of Agreement.

Note: The State Government shall ensure that the physical possession of the space is made
available to the Agency within 1 month from the signing of Agreement. In cases where this is
not possible (e.g. due to delay in minor repairs or installation of electricity meter), the above
preparatory period shall be suitably extended.

7 Payment mechanism, Performance Bonus and Penalty

7.1 The payment for the tests carried out for the following category of patients shall be
made by the Jeewan Deep Samiti of the hospital where the lab / diagnostic centre is located:

• Patients being treated under RSBY

• Patients being treated under Mukhyamanti Swasthya Bima Yojana (MSBY)
• BPL patients under OPD treatment

7.2 For all other cases - non-BPL cases from the hospital and patients referred by the
private sector hospitals / doctors, payment shall be made by the person concerned.

7.3 The payment by the Jeevan Deep Samiti will be made on monthly basis on the basis
of invoice to be submitted by the lab / diagnostic centre.

7.4 The rates shall be the same for all category of clients.

7.5 Performance standard:

7.5.1 The performance of a lab / diagnostic centre shall be treated as 'satisfactory' if the
turn around time is 24 hours or less for routine tests and 4 hours or less in emergency
cases in at least 90% of cases. It will be the treating physician who will decide whether a test
is to be done on emergency basis.

7.5.3 The performance assessment will be done on an annual basis through a third party
performance auditor, based on an audit of the in-and-out data records maintained by the
labs / diagnostic centres.

Note: Sickle-cell electrophoresis and culture sensitivity tests may need more time than
stipulated above and, therefore, shall not be included while calculating the actual turn around
time.

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SHRC, January, 2013
7.6 Performance bonus and penalty;

7.6.1 If a lab / diagnostic centre exceeds the satisfactory level as defined above, it will be
entitled to a performance bonus calculated @5% of amount payable. The bonus amount
shall be payable on annual basis after the assessment of the performance by the third party.

7.6.2 If the performance of 90% or more of the labs / diagnostic centres operated by an
Agency (selected for a Lot) are rated as 'satisfactory', its contract shall be extended by one
year

7.6.3 If a lab / diagnostic centre fails to achieve the 'satisfactory' level as defined above, its
monthly payments for the second year shall be reduced @5%. In case it achieves the
'satisfactory' level in year-2, the penalty shall be revoked. Otherwise the penalty amount
shall be increase to 10% for the third year.

7.6.4 If more than 25% of labs / diagnostics centres operated by an Agency (selected for a
Lot) are found to be below satisfactory level in a year, the contract period of the Agency
shall be reduced by one year.

8 Eligibility Criteria for applicants

For Radiology Centres

8.1 The applicant can be a 'for-profit1 or 'not-for-profit' legal entity or a consortium thereof
fulfilling the following criteria:

• Having at least 2 years' experience of managing network of radiology centres,

having at least 10 such centres on the day of application; AND

• Having a turn over of not less than the amount indicated in the table below in the last
three financial years- 2009-10 to 2011-12.

Lot Minimum Average turn over in the last three

financial years (Rs lakh)
Lot-1 : Surguja 400
Lot-3: Bastar 400
Lot5: Raipur 600
Lot 7: Bilaspur 500

For laboratory centres

8.2 The applicant can be a 'for-profit' or 'not-for-profit' legal entity or a consortium thereof
fulfilling the following criteria:

• Having at least 2 years' experience of managing network of laboratories conducting

pathology / micro-biology / serology / bio-chemistry tests and having at least 10 such
centres on the day of application; AND

• Having a turn over of not less than the amount indicated in the table below in the last
three financial years- 2009-10 to 2011-12.

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SHRC, January, 2013
 Lot applied for Minimum Average turn over in the last three
financial years (Rs lakh)
Lot-2: Surguja 200
Lot-4: Bastar 200
Lot-6: Raipur 450
Lot-8: Bilaspur 300

Notes:
• In case of consortium, the eligibility criteria will apply to the lead partner of the
consortium.
• A certificate will be required from the Auditors of the Applicant certifying the average
turn-over from the relevant diagnostic services in the last three years.
• In case an applicant has applied for 2 or more lots, the financial eligibility shall apply
on cumulative basis.

10 Procedure for submitting the proposals

10.1 Separate applications are required to be submitted for each lot.

10.2 The proposals (for each lot applied for) lot are required to be submitted in three
separate envelopes as follows:

• Part-A: Proof of eligibility: This will contain the documents in support of eligibility
criteria mentioned above. This envelope shall be marked as "Part-A: Proof of
Eligibility".

Note: An applicant managing diagnostic centres at government hospitals / health

facilities has to submit letter(s) of certificate issued by the client(s) in support of the
experience. The template for the certificate is given at attached Form-C. Proposals
not accompanied by the letter(s) of certificate are liable to be treated as "not fulfilling
proof of eligibility" and may be declared as "non-responsive".

• Part-B: Technical proposal: This will contain (a) a write up detailing the profile of the
agency with details of ongoing and completed projects of similar nature with cost,
contact details of the clients for the assignments undertaken, (a) the curriculum vitae
of the key personnel proposed to be assigned for the project and (b) a write up on the
manner in which the agency proposes to carry out the assignment. This envelope
shall be marked as "Part-B: Technical Proposal".

• Part-C : Financial proposal : This will contain the discount offered on CGHS rates for
non-NABL accredited centre in Delhi.

Note: The envelope containing the Financial Proposal must be clearly marked
"Financial Proposal" with a warning "Do Not Open With The Technical
Proposal."

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SHRC, January, 2013
10.3 The three envelopes are to be placed in an outer envelope marked "Application for
establishing diagnostic centres - Lot number....". The SHRC / State Government shall
not be responsible for misplacement, losing or premature opening if the outer envelope is
not sealed and/or marked as stipulated. This circumstance may be the case for rejection of a
proposal. If the Financial Proposal is not submitted in a separate sealed envelope duly
marked as indicated above, this may constitute grounds for declaring the Proposal as non-
responsive.

11 Templates to be used for submitting proposals

11.1 Proposals, prepared and packed in separate envelopes as described above,

should be accompanied by a letter of transmittal as per the format given at the
attached Form-T.

11.2 The Financial proposal is to be prepared in the format given at the attached
Form-F and must be signed by the same person(s) who has/have signed the letter of
transmittal.

11.3 Letter(s) of certificate in relation to experience are to be prepared in the format

given at Form-C-1 and Letter of certificate from the Auditors in relation to annual
average turn-over are to be prepared in Form-C-2.

12 Evaluation Procedure

12.1 Evaluation will be done separately for each lot.

12.2 The proposals shall be evaluated by an Evaluation Team, to be constituted by the

State Government, in the following manner:

• Stage-1: Part-A of all proposals for a lot shall be examined to confirm if all eligibility
criteria are met. The applicants who fail to meet one or more of the stipulated
eligibility criteria shall be declared as 'non-responsive1 and their technical and
financial proposals shall not be opened.

• Stage-2: Part-B of all applicants who have crossed Stage-1 successfully shall be
opened next and evaluated on the parameters as indicated below:

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SHRC, January, 2013
 Parameter Marks Maximum
marks
Experience of the Agency in managing network of
relevant diagnostic services (radiology centres in
respect of lots 1,3,5 and 7 and laboratory services in
respect of lots 2,4,6 and 8)
Experience of 2 years or more but less than 5 years 10
20
Experience of more than 5 years 15

Experience of more than 5 years with at least 2 years' 20

experience of managing integrated diagnostic centres
providing radiology and lab services

Average annual turnover in the last three financial

years (assessment will be based on certificate issued
by the Auditors
Upto 2 times the threshold defined for the concerned 10
lot 20
More than 2 times but less than 3 times the threshold 15
defined for the concerned lot
More than 3 times the threshold defined for the 20
concerned lot
Number of centres being managed at the time of
application (own or managed under PPP mechanism)
[ a collection centre is NOT a centre] 20
11-25 centres 10
26-50 centres 15
More than 50 centres 20
Geographical coverage of network of diagnostic
centres being managed (own network or network
managed under PPP mechanism) 20

At least 2 States 10

3-5 States 15

3 or more States with presence in the State of 20

Chhattisgarh.
Quality of the technical proposal as assessed by the
Evaluation team 20

Total 100

12.3 Technical proposals scoring less than 50 marks shall be declared as 'non-
responsive' and their financial proposals shall not be opened.

12.4 The final scores for an applicant would be weighted average of technical and
financial bids, where the technical and financial proposals will be assigned a weight of 70

11 I Pag
SHRC, January, 2013
and 30 percent respectively. The scoring system of this 'Quality-and-Cost-Based-
Selection(QCBS)1 procedure to be used for obtaining final scores is illustrated below.

Technical proposal Financial proposal Combined score

Score Weighted Bid Weighted Technical Financial Total

score amount score =
=(score/max (Discount (discount
score)*100 Rate) rate /
maximum
discount)
*100

(1) (2) (3) W (5)=(2) * (6)=(4) (7)= (5) +

0.70 0.30 (6)

50 62.50 40 100 43.75 30 73.75

60 75 30 75 52.50 22.50 75.00

70 87 20 50 60.90 15 75.90

80 100 10 25 70 7.50 77.90

13 Other terms and conditions

13.1 Last date; The deadline for submission of the bids is 1700 hours, 10th February,
2013 at the address indicated in the format for transmittal letter.

13.2 Bid Opening schedule: The bid opening dates shall be announced after the last date
and will be communicated to all Applicants for the lot. In general, following schedule will be
adopted for evaluation:

• Opening of proof of eligibility envelopes: 11:00 AM

• Announcement of bidders fulfilling eligibility criteria: 11:30 AM
• Opening of technical bids: 12:00 noon
• Announcement of results of technical bid evaluation: 4:00 PM
• Opening of financial bids: 4:30 PM
• Consolidation of results of technical and financial bids and announcement of final
scores of evaluation: 5:30 PM

13.3 Single Proposal: A firm / legal entity should submit only one proposal. If a firm /
legal entity submits or participates in more than one proposal, all such proposals shall be
disqualified.

13.4 A Bid Security of Rs. 1,00,000 (Rupees one lakh only) in the form of Demand Draft
from any commercial bank issued in favour of "State Health Resource Centre, Chhattisgarh"

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SHRC, January, 2013
should accompany the Proposal. Bid Securities of unsuccessful bidders will be returned to
them within 30 days of the award of contract.

13.5 A Bid Fee of Rs 25,000 (Rupees Twenty Five Thousand only) ) in the form of
Demand Draft from any commercial bank issued in favour of "State Health Resource
Centre, Chhattisgarh" should also accompany the Proposal. Bid fee is not refundable.

13.6 In case of deficiency in service delivery or required human resources, penalty will be
imposed, which will be decided on a mutual agreement basis at the time of agreement.

13.7 Each page, Form, Annexure and Appendices of the Technical and Financial Proposal
must be signed by the Authorised signatory of the firm /legal entity. All blank spaces in the
financial proposal must be filled in completely where indicated, either typed or written in ink.

13.8 State Government / SHRC reserve the right to accept or reject one or all application
without giving any explanation.

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SHRC, January, 2013
 Annex-1

List/ number of hospitals / health facilities where diagnostic services are required to
be established

Category A: 10 already functioning District Hospital (100 Beded)

Division District Hospital (100 Beded)

Raipur Raipur
Dhamatari
Mahasamund
Kawardha
Bilaspur Bilaspur
Korba
Janjgir
Bastar Kanker
Surguja Jashpur
Koriya

Category B:

8-1: 12 New District Hospital (50-100 Beded):

Division District Hospital (50-100 Beded)

Raipur Baled
Bemetra
Baloda Bajar
Gariyabandh
Bilaspur Mungeli
Bastar Bijapur
Narayanpur
Dantewada
Kondagaon
Sukuma
Surguja Balrampur
Surajpur

B-2: 8 Civil Hospitals:

Division District Name Of Civil Hospital

Raipur Rajnandgaon Kharagarh
Durg Supela
Bilaspur Raigarh Kharsia (FRU)
Janjgir Champa

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 —i
Division District Name Of Civil Hospital
Bastar Kanker Pakhanjur (FRU)
Surguja Balarampur Wadrafnagar (FRU)
Ambikapur Mainpat
Jashpur Pathalgaon

B-3: 46 FRU-CHC:

Division District Name Of FRU CHCs

Raipur Rajnandgaon Dongargarh
Churiya
Mohala
Chhuikhadan
Durg Gundrdehi
Dondilohara
Dhamdha
Raipur Tilda
Abhanpur
Baloda Bajar Bhatapara
Kawardha S. Lohara
Pandariya
Mahasamund Bagbahra
Pithora
Saraypali
Dhamatari Kurud
Nagari
Magarload
Bilaspur Bilaspur Bilha
Gourella
Kota
Masturi
Mungeli Lormi
Raigarh Sarangarh
Gharghoda
Lailunga
Janjgir Akaltara
Sakti
Jaijepur
Korba Katghora
Kartala

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 Division District Name Of FRU CHCs
Pali
Bastar Bastar Bakawand
Darbha
Kondagaon Keshkal
Dantewada Geedam
Katekalyan
Kanker Charama
Bhanupratappur
Sarguja Sarguja Udaypur
Sitapur
Balrampur Rajpur
Jashpur Pharsabahar
Pathalgaon
Koriya Bharatpur
Manendragarh

Category C:

C-1: 103 Non-FRU CHCs

Division District Non FRU CMC

Raipur Rajnandgaon Ghumka
Ambagarh Chowki
Manpur
Gandai
Dongargaon
Durg Utai
Nikum
Patan
Navagarh
Jheet
Balod Dondi
DondiLohara
Devri Bangalaw
Gunderdehi
Arjunda
Bemetra Thankhamriya
Berla
Gurur
Bierla

SHRC, January, 2013

 Division District Non FRU CHC
Ahirwara
Nawagarh
Raipur Dharsiwa
Gariyaband
Bhatapara
Kashdol
Nawapara
Arang
Baloda Bazar Lawan
Palari
- Simga
Bhilaigarh

Gariyaband Fingeshwar
Rajim
Mainpur
Dewbhog
Chhura
Kawardha Jhalmala
Pipariya
Bodla
Mahasamund Basna
Dhamtari Gujra
Bilaspur Bilaspur Marwahi
Pendra
Takhatpur
Mungeli Pathariya
Raigarh Baramkela
Pussore
Chaple
Tamnar
Dharamjaygarh
Kapu
Janjgir Baloda
Dabhra
Bamhnidih
Baloda
Kharod
Malkharoda
Korba Kathghora
Pondiuprora

SHRC, January, 2013

 Division District Non FRU CHC
Bastar Bastar Tokapal
Nangoor
Bade Kilepal
Jagdalpur
Bastanar
Keshkal
LohandiGuda
Kondagaon Pharasgaon
Makdi
Vishrampuri
Dhanora
Dantewada Kuakonda
Sukama Chhindgarh
Konta
Narayanpur Orchha
Kanker Dhaneli Kanhar
Narharpur
Amoda
Durg Kondal
Koilibeda
Antagarh
Koilibeda
Bijapur Gangluru
Bhairamgarh
Usoor
Sarguja Sarguja Pratappur
Mainpat
Lakhanpur
Pratappur
Batauli
Lundra(Dhourpur)
Balrampur Ramanujganj
Kusmi
Shankargarh
Surajpur Odgi
Vishrampur
Jashpur Lodam
Bagicha
Kansabel
Kunkuri
Duldula (~

18
SHRC, January, 2013
 Division District Non FRU CHC
Manora
Koriya Sonhat
Chirmiri

C-2: 200, 24x7 PHCs

Division District 24x7 PHC Sr. No District 24x7 PHC

Raipur Bemetara 1 Bastar Bastar 10
Raipur 5 Kanker 11
Kawardha 9 Narayanpur 2
Mahasamund 12 Kondagaon 6
Dhamtari 10 Bijapur 5
Baloda Bazar 6 Sukma 2
Rajnandgaon 20 Dantewada 4
Gariyaband 5 Sarguja Sarguja 2
Baload 4 Surajpur 11
Durg 3 Koriya 5
Bilaspur Bilaspur 16 Balarampur 4
Mungeli 4 Jashpur 12
Raigarh 16 Total 200
Janjgir Champa 3
Korba 12

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SHRC, January, 2013
 Form T

Letter of Transmittal

To,
Executive Director,
State Health Resource Centre,
1st Floor, Health Training Centre Building,
Kalibari, RAIPUR-492 001

Sir,

We, the undersigned, offer to organize the diagnostic services in accordance with your
Request for Proposal dated

We are hereby submitting our Proposal in respect of (fill in the lot

number and description). The proposal is placed in the attached envelope which three
envelopes as follows:
• Envelope-1 containing Proof of Eligibility
• Envelope-2 containing Technical Proposal
• Envelope-3 containing Financial Proposal

We hereby declare that all the information and statements made in this Proposal are true and
we accept that any misrepresentation of facts may lead to our disqualification and /or black-
listing.

The offer made by us in the Financial Proposal (Form F) are valid till six months from the date
of submission of the proposal. We confirm that this proposal will remain binding upon us and
may be accepted by you at any time before the expiry date.

We agree to bear all costs incurred by us in connection with the preparation and submission
of the proposal and to bear any further pre-contract costs.

We understand that the State is not bound to accept the lowest financial bid or any proposal
or to give any reason for award, or for the rejection of any proposal.

We confirm that we have the authority of [Insert Name of the Agency/Firm] to submit the
proposal and to negotiate on its behalf.

Yours faithfully,

[ Signature of authorised person(s)]

20 | P a g e
SHRC, January, 2013
 Form F

FORMAT FOR FINANCIAL BID

Item %age discount offered

Lot number applied for

Both in Numeric and in Words.

Discount Offered on CGHS rates for non- percent
NABL accredited centres in Delhi percent

Signature :

[ These must be the signed by the same person(s) who have signed the letter of transmittal].

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SHRC, January, 2013
 Form C-1

Letter of Certificate

To whomsoever it may concern

This is to certify that (name of bidder) is/are currently operating the following number and
type of diagnostic centres at government health facilities in the State:

Type of diagnostic Number of centres Main diagnostic Being managed

services being being managed services /facilities since (month / year)
provided
Radiology services at
medical college
hospital
Laboratory services
at medical college
hospital
Radiology services at
district hospital
Laboratory services
at district hospital
Radiology services at
sub-district hospital /
Community Health
Centre / Primary
Health Centre
Radiology services at
sub-district hospital /
Community Health
Centre / Primary
Health Centre

Signed

(name of authorized signatory)

Telephone / Mobile number

Email address..,

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SHRC, January, 2013
 Form C-2

Letter of Certificate

To whomsoever it may concern

This is to certify that (name of bidder) had the following turn over from their diagnostic
services business:

SI. No. Financial year Turnover from diagnostic

services business (Rupees)
1 2009-10
2 2010-11
3 2011-12
Average turnover

Signed

(name of authorized signatory of the Auditors

Telephone / Mobile number

Email address..,

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SHRC, January, 2013