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    750 Beds Hospital & Medical College

    750 Beds Hospital & Medical College
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    750 Beds Hospital & Medical College
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      750 BEDS HOSPITAL & MEDICAL COLLEGE

      [EIRI/EDPR/4703] J.C.: 2923XL


      INTRODUCTION

      Healthcare has become one of the largest sectors of the Indian economy, in terms of both revenue and employment. It has been growing at a CAGR of 22% since 2016, employing 4.7 Million people directly. The sector has the potential to generate 2.7 million additional jobs in India between 2018-23, over 500,000 new jobs per year.

      Several factors are driving the growth of the Indian healthcare sector including an aging population, a growing middle class, the rising proportion of lifestyle diseases, an increased emphasis on public-private partnerships as well as accelerated adoption of digital technologies, including telemedicine, besides heightened interest from investors and increased FDI inflows over the last two decades.

      The Indian Government has undertaken deep structural and sustained reforms to strengthen the healthcare sector and has also announced conducive policies for encouraging FDI. The Aatmanirbhar Bharat Abhiyaan packages include several short-term and longer-term measures for the health system, including Production-Linked Incentive (PLI) schemes for boosting domestic manufacturing of pharmaceuticals and medical devices. Additionally, India is working towards becoming a hub for spiritual and wellness tourism, as the country has much to offer in Ayurveda and Yoga.

      The COVID-19 pandemic has not only presented challenges but also several opportunities for India to grow. The crisis has opened the flood gates for Indian start-ups, many of whom have risen to the occasion and accelerated the development of low-cost, scalable, and quick solutions. Further, the pandemic is providing an impetus to the expansion of telemedicine and the home healthcare market in the country.

      All these factors, together, make India’s healthcare industry ripe for investment. In the hospital segment, the expansion of private players to Tier 2 and Tier 3 locations, beyond metropolitan cities, offers an attractive investment opportunity. India also has the opportunity to boost domestic manufacturing of pharmaceuticals, supported by the recent PLI schemes, alongside offering investment avenues in segments like contract manufacturing and research, over-the- counter drugs, and vaccines. India is also a land of opportunities for players in the medical devices industry, with tremendous opportunities for expansion of diagnostic and pathology center’s as well as miniaturized diagnostics.

      In the first section, this Report provides an overview of India’s healthcare sector, including insights about its employment generation potential, the prevailing business and investment climate as well as the overarching policy landscape. The second section highlights the key drivers of growth for the sector and the third section elaborates upon the enabling policies and investment opportunities in 7 key segments, including hospitals and infrastructure, health insurance, pharmaceuticals and biotechnology, medical devices, medical tourism, home healthcare as well as telemedicine and other technology-related health services. Health care is gaining increasing importance in recent years. The concept of health care is emerging from providing treatment to the disease to the improvement of overall health status and also maintenance of good health.

      India, a signatory to the "Alma Alta" declaration of 1978, is committed to the goal of "HEALTH FOR ALL" by the year 2000 A.D. In order to achieve the targets and thereby improving the health status of people in the country, tremendous efforts are required to be made not only by government but also by people. It is in this perspective development of health care assumes significant importance. New Challenges and new opportunities for investing in health care i.e. in hospitals and nursing homes etc. have arisen.


      COST ESTIMATION

      Plant Capacity            750 Nos/Day

      Land & Building (91 Acres)    Rs. 810.97 Cr

      Plant & Machinery                    Rs. 700.00 Cr

      Working Capital for 2 Months    Rs. 15.79 Cr

      Total Capital Investment          Rs. 1602.94 Cr

      Rate of Return                          4%

      Break Even Point                      87%


      CONTENTS

      INTRODUCTION

      INDUSTRY OVERVIEW

      MACROECONOMIC OVERVIEW OF INDIA

      GDP LOGGED 5.5% CAGR BETWEEN FISCAL 2012 AND FISCAL 2022

      REAL GDP GROWTH IN INDIA (NEW GDP SERIES)

      GDP IN FISCAL 2022 GREW AT 9.1% ON-YEAR

      IMPACT OF UNION BUDGET 2023-2024 ON HEALTHCARE AND WELLBEING

      HEALTH AND WELLBEING – EXPENDITURE

      KEY BUDGET PROPOSALS FOR FISCAL 2023 TO FISCAL 2024

      FUNDAMENTAL GROWTH DRIVERS OF GDP

      BY 2030, INDIA’S POPULATION IS PROJECTED TO TOUCH 1.5 BILLION

      INDIA’S POPULATION GROWTH

      URBANIZATION LIKELY TO REACH 40% BY 2030

      INDIA’S URBAN VERSUS RURAL POPULATION

      INDIA’S PER CAPITA INCOME ROSE AT A HEALTHY PACE BETWEEN FISCAL 2012 AND FISCAL 2020

      PER CAPITA NET NATIONAL INCOME AT CONSTANT PRICES

      REVIEW OF PRIVATE FINAL CONSUMPTION EXPENDITURE (PFCE)

      • CONSUMPTION EXPENDITURE TO BE DRIVEN BY DISCRETIONARY ITEMS

      • BROAD SPLIT OF PFCE CONSUMPTION INTO BASIC AND DISCRETIONARY SPENDING

      • HEALTH EXPENDITURE GREW STRONG AT 8.1% CAGR FROM FISCAL 2012 TO FISCAL 2021

      • HEALTH SPENDING IN PFCE

      SOCIAL AND HEALTHCARE RELATED PARAMETERS

      INDIA LAGS PEERS IN HEALTHCARE EXPENDITURE

      TOTAL HEALTHCARE EXPENDITURE AS % OF GDP (2020)

      INDIA SPENDS TOO LITTLE ON HEALTHCARE

      CURRENT HEALTHCARE EXPENDITURE (CHE) AS % OF GDP IN INDIA (2010 TO 2020)

      PER CAPITA CURRENT EXPENDITURE ON HEALTH IN USD (2020)

      OUT-OF-POCKET EXPENDITURE (% OF CURRENT HEALTH EXPENDITURE 2020)

      PUBLIC HEALTHCARE EXPENDITURE IS LOW, WITH PRIVATE SECTOR ACCOUNTING FOR A LION’S SHARE

      GENERAL EXPENDITURE ON HEALTH AS % OF CHE (2020)

      HEALTH INFRASTRUCTURE OF INDIA IN DIRE NEED OF IMPROVEMENT

      STATE-WISE MACROECONOMIC INDICATORS

      MAHARASHTRA AND GUJARAT ARE TOP TWO STATES IN THE COUNTRY IN TERMS OF GSDP AS OF FISCAL 2021

      STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTANT PRICES AS OF FISCAL 2021

      STATE-WISE GSDP AND PER CAPITA NSDP AT CONSTANT PRICES AS OF FISCAL 2022

      GUJARAT AND MADHYA PRADESH SAW A LOWER DECLINE COMPARED TO INDIA GDP IN FISCAL 2021

      GSDP GROWTH ACROSS STATES IN FISCAL 2021

      GSDP GROWTH ACROSS STATES IN FISCAL 2022

      MADHYA PRADESH AND GUJARAT AMONG THE FASTEST GROWING STATES IN WEST AND CENTRAL INDIA IN TERMS OF PER CAPITA NET DOMESTIC PRODUCT

      STATE GROSS DOMESTIC PRODUCT FOR SELECT STATES IN RS. BILLION

      GUJARAT AND MADHYA PRADESH HAVE SHOWN THE HIGHEST JUMP IN HEALTHCARE BUDGET FOR FISCAL 2023 COMPARED TO PREVIOUS YEARS AMONG THE KEY WEST AND CENTRAL INDIA STATES

      DISEASE PROFILE IN INDIA

      A REVIEW OF COMMUNICABLE DISEASES IN INDIA

      • MORBIDITY REPORTED ON MAJOR COMMUNICABLE DISEASES

      • MORTALITY REPORTED ON MAJOR COMMUNICABLE DISEASES

      A REVIEW OF NON-COMMUNICABLE DISEASES IN INDIA

      DISEASE EPIDEMIOLOGY SHIFTING TOWARDS LIFESTYLE DISEASES

      WESTERN STATES OF GOA AND MAHARASHTRA HAVE HIGH PROPORTION OF NCDS IN THE RANGE OF 60% TO 75%

      STATE-WISE PROPORTION OF TOTAL DISEASE BURDEN FROM NCDS IN 2016

      NON-COMMUNICABLE DISEASES: A SILENT KILLER

      CAUSES OF DEATH IN INDIA

      MADHYA PRADESH RECORDED ONE OF THE HIGHEST NUMBERS OF NCDS IN 2020

      STATE-WISE NUMBER OF PERSONS DIAGNOSED WITH NCDS IN 2020

      STRUCTURE OF THE HEALTHCARE DELIVERY INDUSTRY IN INDIA

      OVERVIEW

      CLASSIFICATION OF HOSPITALS

      CLASSIFICATION OF HOSPITALS BASED ON SERVICES OFFERED

      • PRIMARY CARE/DISPENSARIES/CLINICS

      • SECONDARY CARE

      O GENERAL SECONDARY CARE HOSPITALS

      O MULTI-SPECIALTY TERTIARY CARE HOSPITALS

      • QUATERNARY CARE HOSPITALS

      CLASSIFICATION OF HOSPITALS BY FACILITIES/SERVICES OFFERED

      CLASSIFICATION BASED ON COMPLEXITY OF AILMENT

      INDICATIVE SPLIT OF AILMENTS & MEDICAL TREATMENTS PROVIDED BASIS VARIOUS CATEGORIES OF HOSPITALS & COMPLEXITIES OF AILMENT

      CLASSIFICATION BASED ON OWNERSHIP

      HOSPITALS CAN ALSO BE CLASSIFIED BASED ON THEIR OWNERSHIP AND MANAGEMENT AS FOLLOWS:

      EMERGING TECHNOLOGIES IN HEALTHCARE DELIVERY

      ROBOTIC SURGERY

      ELECTRONIC HEALTH RECORDS

      ARTIFICIAL INTELLIGENCE (AI) AND BLOCKCHAIN

      RADIOLOGY INFORMATION SYSTEM

      CLINICAL DECISION SUPPORT SYSTEM (CDSS)

      MOBILE-BASED APPLICATION

      TELEMEDICINE

      WEARABLES AND SENSORS

      PAYMENT MODES IN INDIAN HEALTHCARE

      PAYOR MIX (INDIA) 2020

      REGULATORY FRAMEWORK FOR HOSPITALS AND HEALTHCARE IN INDIA

      GOVERNMENT FRAMEWORK FOR HEALTHCARE DELIVERY

      REVENUE AND COST STRUCTURE REVIEW OF HOSPITALS

      HOSPITALS DERIVE BULK OF THEIR REVENUE FROM IPD

      SURGERIES AND DIAGNOSTICS FETCH BULK OF THE IPD REVENUE

      OTHER MONITORABLES THAT MAY BOOST REVENUE INCLUDE:

      AILMENT-WISE LENGTH OF STAY

      CAPITAL COSTS

      TYPICAL COST STRUCTURE OF HOSPITALS

      PLAYERS WITH AVAILABLE LAND BANK IN TOP METRO CITIES HAVE AN INHERENT ADVANTAGE

      ASSESSMENT OF INDIA’S HOSPITAL MARKET

      REVIEW AND OUTLOOK

      INDIAN HEALTHCARE DELIVERY MARKET POISED FOR ROBUST GROWTH IN THE MEDIUM TERM

      OVERALL HEALTHCARE DELIVERY MARKET IN INDIA

      HEALTHCARE DELIVERY INDUSTRY ESTIMATED TO GROW TO APPROXIMATELY RS.5.6 TRILLION IN FISCAL 2023

      HEALTHCARE DELIVERY INDUSTRY TO GROW 10% TO 12% FROM FISCAL 2022 TO FISCAL 2027

      SHARE OF TREATMENTS IN VALUE TERMS (GOVERNMENT HOSPITALS VERSUS PRIVATE HOSPITALS/CLINICS)

      WESTERN REGION TO WITNESS STRONG GROWTH IN HEALTHCARE SECTOR

      ESTIMATED WESTERN HEALTHCARE DELIVERY MARKET (RS. BILLION)

      KEY GROWTH DRIVERS OF HEALTHCARE DELIVERY INDUSTRY

      GOVERNMENT POLICIES TO IMPROVE HEALTHCARE COVERAGE

      PRADHAN MANTRI JAN AROGYA YOJANA ADDS A DEMAND IMPETUS

      WITH LIFE EXPECTANCY IMPROVING AND CHANGING DEMOGRAPHIC PROFILE, HEALTHCARE SERVICES ARE A MUST

      LIFE EXPECTANCY (AT BIRTH) AND INFANT MORTALITY RATE: INDIA V. OTHERS

      POPULATION IN 60+ AGE GROUP TO GROW FASTER

      RISING INCOME LEVELS TO MAKE QUALITY HEALTHCARE SERVICES MORE AFFORDABLE

      INCOME DEMOGRAPHICS

      INCREASING HEALTH AWARENESS TO BOOST HOSPITALISATION RATE

      URBAN POPULATION IN INDIA (% OF TOTAL POPULATION)

      NON-COMMUNICABLE DISEASES, A SILENT KILLER

      GROWING HEALTH INSURANCE PENETRATION TO PROPEL DEMAND

      PERCENTAGE SPLIT OF NUMBER OF PERSONS COVERED UNDER HEALTH INSURANCE

      MAHARASHTRA AND GUJARAT AMONG LEADING STATES IN TERMS OF HEALTH INSURANCE PENETRATION

      STATE-WISE PENETRATION AND NUMBER OF PERSONS COVERED UNDER HEALTH INSURANCE (SELECT STATES) FISCAL 2022

      MEDICAL TOURISM IN INDIA

      GROWTH IN MEDICAL TOURISTS*

      ABOUT TWO-THIRDS OF MEDICAL TOURISM DEMAND FROM SOUTH ASIA

      BREAK-UP OF MEDICAL TOURISTS* BY MAJOR REGION OF ORIGIN (2019)

      BREAK-UP OF MEDICAL TOURISTS* BY MAJOR COUNTRY OF ORIGIN (2019)

      COUNTRY-WISE COST OF KEY TREATMENT PROCEDURES (IN US$)

      IMPROVED HEALTHCARE SERVICES IN INDIA ADDING TO THE TRUST OF PATIENTS

      KEY CHALLENGES FOR THE HEALTHCARE DELIVERY INDUSTRY

      HEALTH INFRASTRUCTURE IN DIRE NEED OF IMPROVEMENT

      HOSPITAL BED DENSITY: INDIA V. OTHER COUNTRIES

      AVAILABILITY OF GOVERNMENT BEDS (PER 10,000 POPULATION) IN INDIA*

      HEALTHCARE FINANCING HAS BEEN A PAIN POINT

      GOVERNMENT PRICE CAPPING OF MEDICAL EQUIPMENT

      OUTSTANDING RECEIVABLES AFFECTING FISCAL PROFILE OF HOSPITALS

      PAUCITY OF EXPERIENCED SPECIALISED DOCTORS

      HEALTHCARE PERSONNEL: INDIA V. OTHER COUNTRIES (AGGREGATE 2012 TO 2020)

      KEY ACTIONABLE AREAS

      SHORTFALL IN BED CAPACITY: MAJOR OPPORTUNITY FOR HEALTHCARE DELIVERY PLAYERS

      DIVERSIFICATION INTO DIFFERENT FORMAT/AREAS TO INCREASE REACH AND EFFICIENCY

      SINGLE SPECIALITY HEALTHCARE UNITS

      DAY-CARE CENTRES

      END-OF-LIFE/GERIATRIC CARE CENTRES

      HOME HEALTHCARE

      INCREASING PENETRATION OF HOSPITAL CHAINS IN TIER 2 AND 3 LOCATIONS

      ESTABLISHED REGIONAL PRESENCE GIVES PLAYERS AN UPPER HAND

      REGIONAL REVENUE MIX OF KEY PLAYERS AS OF FISCAL 2022

      SOME OF THE KEY ADVANTAGES OF HAVING REGIONAL PRESENCE ARE AS FOLLOWS:

      OPERATING METRICS OF KEY LISTED PLAYERS:

      AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF KEY LISTED PLAYERS CLOCKED APPROXIMATELY 7.0% CAGR OVER FISCAL 2019 TO FISCAL 2022

      AGGREGATE OCCUPANCY RATES AND ALOS OF KEY LISTED PLAYERS

      CARDIAC SCIENCES DOMINATES IN TERMS OF SHARE, BUT ONCOLOGY DRIVES THE HIGHEST GROWTH ACROSS TREATMENT MIX FOR KEY LISTED PLAYERS

      HEALTHCARE INFRASTRUCTURE IN SELECT STATES AND KEY MICRO MARKETS

      WEST INDIA STATES OF GUJARAT AND MADHYA PRADESH HAVE BED DENSITY LOWER THAN THAT OF NATIONAL AVERAGE

      HOSPITALS BED DENSITY (BEDS PER 10,000 POPULATION OF THE STATE) FISCAL 2022

      MAHARASHTRA HAS THE HIGHEST HOSPITAL BEDS AVAILABILITY IN THE WESTERN REGION

      NUMBER OF HOSPITAL BEDS BY STATE (FISCAL 2022)

      SHARE OF PUBLIC HOSPITALS IN INDIA (FISCAL 2022)

      ESTIMATED NUMBER OF ICU BEDS BY REGION (FISCAL 2020)

      ESTIMATED HOSPITALS BED DENSITY (BEDS PER 10,000 POPULATION) AS OF DECEMBER 31, 2022

      MUMBAI METROPOLITAN REGION (MMR) MICRO MARKET HAS 33.0 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022

      KALYAN-DOMBIVLI MICRO MARKET HAS APPROXIMATELY 10 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022

      PUNE METROPOLITAN REGION MICRO MARKET HAS 30.0 BEDS PER 10,000 PEOPLE AS OF DECEMBER 2022

      INDORE MICRO MARKET

      COMPETITIVE MAPPING OF KEY PLAYERS IN THE INDIAN HEALTHCARE DELIVERY MARKET

      COMPARATIVE ANALYSIS OF PLAYERS IN THE HOSPITAL SECTOR

      KEY SPECIALTIES UNDERTAKEN BY MAJOR PLAYERS

      MODE OF OPERATION OF KEY PLAYERS AS OF FISCAL 2022

      ANALYSIS OF HOSPITALS AND BEDS FOR SELECT PLAYERS

      PERCENTAGE OF TOTAL HOSPITALS WITH 300+ BEDS IN TERMS OF TOTAL BED CAPACITY (ESTIMATED)

      KEY OPERATIONAL PARAMETERS OF MAJOR HOSPITAL PLAYERS

      TOTAL NUMBER OF HOSPITALS (DECEMBER 2022)

      TOTAL BED CAPACITY (DECEMBER 2022)

      ESTIMATED NUMBER OF HOSPITALS IN WESTERN REGION (DECEMBER 2022)

      ESTIMATED TOTAL BED CAPACITY IN WESTERN REGION (DECEMBER 2022)

      TOTAL NUMBER OF HOSPITAL BEDS PER HOSPITAL/AVERAGE SIZE OF HOSPITAL (DECEMBER 

      OCCUPANCY RATE (OR) AND ALOS FOR FISCAL 2022

      AVERAGE REVENUE PER OCCUPIED BED (ARPOB) OF MAJOR HOSPITAL PLAYERS FOR FISCAL 2022 (RS. IN ‘000)

      PROPORTION OF BED CAPACITY IN KEY CITIES OF KEY LISTED PLAYERS (FISCAL 2022)

      SELECT OPERATIONAL PARAMETERS OF KEY LISTED PLAYERS (FISCAL 2022)

      ADDITIONAL SELECT FINANCIAL PARAMETERS OF KEY LISTED PLAYERS (FISCAL 2022)

      KEY FINANCIAL PARAMETERS OF MAJOR HOSPITAL PLAYERS

      KEY FINANCIAL PARAMETERS (FISCAL 2022)

      KEY FINANCIAL RATIOS FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)

      COST STRUCTURE OF MAJOR HOSPITAL PLAYERS AS A PERCENTAGE OF OPERATING INCOME (OI)–FISCAL 2022

      GROSS BLOCK PER BED AT THE END OF FISCAL 2022 (RS. MILLION)

      PLANNED EXPANSION OF KEY PLAYERS

      GEARING AND INTEREST COVERAGE FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)

      ROCE AND OPERATING MARGIN FOR MAJOR HOSPITAL PLAYERS (FISCAL 2022)

      SERVICES 

      BRIEF DESCRIPTION OF SOME COMMON HOSPITAL EQUIPMENTS

      1. DRESSING DRUM

      2. SURGICAL TRAY

      3. CATHETHER TRAY

      4. SYRINGE CASE

      5. ANIMA POT

      6. BOWEL

      7. BED POT (LATRINE)

      8. URINAL POT

      9. KIDNEY TRAY

      10. SPIT-ON

      11. ELECTRICAL STERILIZER

      BUILDING CONSTRUCTION & FURNISHING OF HOSPITAL 

      THE OTHER DEPARTMENT IN A HOSPITAL ARE AS FOLLOWS:

      1. CARDIOLOGY

      2. E.N.T.

      3. MATERNITY

      4. EYE SECTION

      5. CHILDREN WARD

      6. LABORATORY

      7. X-RAY ROOM & ECG CLINIC

      8. PHYSICIAN 

      GENERAL HEALTH AMENITIES

      DRUG SITUATIONS

      LISTED BELOW ARE THE DESIRED FEATURES OF AUTOMATED BIOCHEMICAL ANALYZERS

      MODERN MEDICAL EQUIPMENT

      COMPUTER TOPOGRAPHY

      ULTRASOUND

      CATHETERS IN INTERVANTIONAL PROCEDURES ARE MAINLY USED FOR:

      CONSUMABLE STORES

      HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS

      MACHINERY & EQUIPMENT SUPPLIERS  

      X-RAY ACCESSORIES

      AIR CONDITIONING & REFRIGERATION UNITS   

      IMPORTED PLANT & MACHINERY SUPPLIERS

      PROPOSED MINIMUM STANDARDS   

      LIST OF CONSULTANT FOR SETTING UP HOSPTAL 

      LIST OF NABET ACCREDITED HOSPITAL & HEALTHCARE CONSULTANT (NABH STANDARD)

      HOSPITAL/MEDICAL EQUIPMENTS AND SUPPLIERS

      PROPOSED MINIMUM STANDARDS FOR PRIVATE HOSPITAL

      BASIC FUNCTIONS PROVIDED BY A HOSPITAL 

      EMERGENCY FIRST AID: 

      GENERAL MEDICINE: 

      MEDICAL PERSONNEL

      GENERAL SURGERY : 

      MATERNITY FACILITIES: 

      PATHOLOGY: 

      RADIOLOGY: 

      HEALTH EDUCATION: 

      AMBULANCE SERVICES: 

      MEDICAL RECORDS: 

      HUMAN RESOURCE REQUIREMENT

      QUALIFICATIONS

      AVAILABILITY OF PERSONNEL:

      MINIMUM REQUIREMENT OF PERSONNEL:

      DUTY MEDICAL OFFICER

      STAFF:

      NURSING AIDS:

      PARAMEDICAL STAFF:

      ENGINEERING STAFF

      ADMINISTRATIVE AND ANCILLARY STAFF

      OPERATION THEATRE

      INSTRUMENTS FOR GENERAL SURGERY & (MATERNITY) OBSTETRICS/GYNAECOLOGY

      OPERATION THEATRE

      EQUIPMENT FOR SURGERY AND OBSTETRICS/GYN

      EQUIPMENT FOR SERVICE ZONE

      LAUNDRY

      GENERATOR

      MINIMAL FUNCTIONAL AND SPACE REQUIREMENTS

      SPACE REQUIREMENTS HAVE BEEN DIVIDED INTO FOLLOWING CATEGORIES: 

      ENTRANCE ZONE

      AMBULATORY ZONE

      DIAGNOSTIC ZONE 

      CRITICAL ZONE

      OPERATING SUITE

      MINIMUM SPACE REQUIREMENTS

      A. PROTECTIVE ZONE

      B. CLEAN ZONE

      C. ASEPTIC ZONE

      INTERMEDIATE ZONE

      INPATIENTS NURSING UNITS

      SERVICE ZONE

      BUILDING ENGINEERING ENVIRONMENTAL STANDARDS

      CATION

      CEILINGS

      FLOOR HEIGHT

      FLOORS AND WALLS

      DOORS:

      WINDOWS

      CORRIDOR

      WATER SUPPLY, PLUMBING AND OTHER PIPING SYSTEMS

      FOR MORE THAN 750 BEDS

      FOR LESS THAN 100 BEDS

      OXYGEN CYLINDERS

      ELECTRICAL STANDARDS

      PANEL BOARDS

      ACCESS ROUTES TO VARIOUS FACILITIES OF THE NURSING HOME:

      COMMUNICATION SYSTEM

      FIRE-FIGHTING SYSTEM

      VENTILATION REQUIREMENTS FOR AREAS AFFECTING PATIENT CARE IN NURSING HOMES

      REQUIREMENTS FOR SANITARY FITMENTS IN NURSING HOMES FOR PATIENTS

      INPATIENT WARDS AND NURSING UNITS

      OUTPATIENT BLOCK

      THE RADIOLOGY DEPARTMENT MUST HAVE FOLLOWING SPECIAL TOILET FACILITIES IN CASE IT CARRIES OUT PROCEDURES LIKE IVP.

      PROJECT PLANT LOCATION FACTORS

      PRIMARY FACTORS

      1. RAW-MATERIAL SUPPLY:

      2. MARKETS:

      3. POWER AND FUEL SUPPLY:

      4. WATER SUPPLY:

      5. CLIMATE:

      SPECIFIC FACTORS

      6. TRANSPORTATION:

      7. WASTE DISPOSAL:

      8. LABOR:

      9. REGULATORY LAWS:

      10. TAXES:

      11. SITE CHARACTERISTICS:

      12. COMMUNITY FACTORS:

      13. VULNERABILITY TO WARTIME ATTACK:

      14. FLOOD AND FIRE CONTROL:

      EXPLANATION OF TERMS USED IN THE PROJECT REPORT

      1. DEPRECIATION:

      2. FIXED ASSETS:

      3. WORKING CAPITAL:

      4. BREAK-EVEN POINT:

      5. OTHER FIXED EXPENSES:

      6. MARGIN MONEY:

      7. TERM LOANS:

      8. TOTAL LOAD:

      9. LAND AREA/MAN POWER RATIO:

      PLANNING OF EACH FLOORS  ARE AS FOLLOWS

      CONSTRUCTION DETAILS:

      THE TYPICAL FLOOR PLAN IS MENTIONED BELOW:

      I. MEDICAL COLLEGE HOSPITAL FACILITY:

      DETAILS OF PLANNED CONSTRUCTION:

      FLOOR PLAN IMAGES:

      PHOTO GALLERY

      MACHINERY & EQUIPMENT’S:

      LABORATORY & EXPERIMENT:

      EMERGENCY UNIT:

      MATERNAL & CHILD HEALTH:

      GROUND FLOOR

      FIRST FLOOR

      SECOND FLOOR

      THIRD FLOOR

      FOURTH FLOOR

      FIFTH FLOOR

      SIXTH FLOOR

      SEVENTH FLOOR

      ENVIRONMENTAL MANAGEMENT PLAN 

      AIR ENVIRONMENT

      NOISE ENVIORNMENT

      SOLID WASTE MANAGEMENT

      OPERATION PHASE

      WATER MANAGEMENT (SOURCE & SUPPLY OF WATER)

      SEWERAGE

      SCHEME OF SEWAGE TREATMENT PLANT:

      TREATMENT PROCESS:

      THE PROCESS FOR SEWAGE TREATMENT PLANT BASED ON MBBR TECHNOLOGY

      SCHEMATIC REPRESENTATION OF STP BASED ON MBBR TECHNOLOGY

      BENEFITS OF USING MBBR TECHNOLOGY

      PROCESS FLOW DIAGRAM FOR ETP

      ETP DESIGN

      TREATED EFFLUENT CHARACTERISTICS

      WATER CONSERVATION & AUGMENTATION

      RAINWATER HARVESTING 

      TABLE: RAINWATER HARVESTING CALCULATIONS

      BLOCK DIAGRAM FOR PROPOSED RAIN WATER HARVESTING / AQUIFER RECHARGING SYSTEM

      SCHEMATIC REPRESENTATION OF THE RAINWATER HARVESTING SYSTEM

      COMPOST FORMATION POTENTIAL OF THE PROJECT

      COMPOST GENERATION POTENTIAL OF THE PROJECT (CHEN, 2016)

      TENTATIVE DETAILS OF ORGANIC WASTE CONVERTOR:

      STANDARD OPERATING PROCEDURE OF ORGANIC WASTE CONVERTER:

      SEGREGATION OF BIOMEDICAL WASTE AND ITS STORAGE:-

      BIOMEDICAL WASTE CATEGORIZATION

      BMW WILL BE SEGREGATED AND COLLECTED AND THEN WILL BE HANDED OVER TO A UPPCB APPROVED BMW VENDOR

      AIR POLLUTION CONTROL: 

      STACK HEIGHT CALCULATIONS

      LANDSCAPING & HORTICULTURE

      SHRUBS/ HERBS TO BE PLANTED

      PROJECT LOCATION

      HISTORY

      LIST OF HEALTH INSTITUTIONS

      DEMOGRAPHY

      ESTIMATED POPULATION IN 2024

      POPULATION AS PER 2011 CENSUS

      BARPETA POPULATION

      IMPLEMENTATION SCHEDULE

      LIST PLANT & MACHINERY

      MAJOR LIST OF EQUIPMENTS

      DEPARTMENT OF NEPHROLOGY

      MAJOR EQUIPMENTS

      DIALYSIS MACHINE

      MICROSCOPE

      DEPARTMENT OF CARDIOLOGY

      MAJOR EQUIPMENTS/INSTRUMENTS

      ECHO CARDIOGRAPHY MACHINES 

      TMT WIPRO GE MACHINE  

      TWO FLAT PANEL CATH LABS 

      ST. JUDE EP SYSTEM

      HOLTER MONITOR – ECG  

      AMBULATORY BP   

      CX 50   

      TILT TABLE   

      DEPARTMENT OF UROLOGY

      MAJOR EQUIPMENTS

      DA VINCI ROBOT 

      MODULAR OPERATION THEATRES

      60 W QUANTA HOLMIUM LASER   

      ALLENGERS C ARM   

      DORNIER COMPACT SIGMA LITHOTRIPSY MACHINE   

      MEDISON ULTRASOUND MACHINE

      RIGISCAN PLUS

      MMS URODYANAMICS MACHINE

      ENDO UROLOGY INSTRUMENTS  

      100 WATT HOLMIUM LASER   

      A MOBILE C-ARM IS A MEDICAL IMAGING DEVICE   

      DEPARTMENT OF ORTHOPEDICS

      MAJOR EQUIPMENTS

      ARTHROPLASTY   

      ARTHROSCOPY SET   

      INTERLOCK NAIL   

      ARTHROSCOPY TROLLEY  

      DEPARTMENT OF NEUROSURGERY

      MAJOR EQUIPMENTS

      MEDTRONIC 58 NAVIGATION SYSTEM (FULLY LOADED CRENIAL AND SANAL OPTICAL AND ELECTROMAGNETIC SYSTEM)  

      DEDICATED CUSA (CAUITRON ULTRASONIC SURGICAL ASPIRATDR)   

      MEDTRONICS HIGH SPEED DRILL SYSTEM   

      WELL EQUIPPED OPERATION THEATER WITH INTEGRATED WORKSTATION (MICROSCOPE, ENDOSCOPE AND NAVIGATION SYSTEM)

      DEDICATION WELL EQUIPPED NEUROSURGICAL ICU   

      MICROSCOPE:- FIRST FULLY LOADED ROBOTIC 3D MICROSCOPE WITH 30 EXOSCOPE AND ENDOSCOPE   

      FULLY EQUIPPED OPERATION THEATER

      SPECIFICATIONS OF STANDARD LIST OF MEDICAL EQUIPMENT 

      WHAT LICENSE REQUIRED TO OPEN A HOSPITAL AND THEIR PROCEDURE

      NECESSARY LICENSES REQUIRED OPENING A HOSPITAL IN INDIA

      REGISTRATION OF HOSPITAL

      • LAND AND CONSTRUCTION

      • ELECTRICITY AND WATER

      • SEWAGE

      • BIOMEDICAL WASTE

      • FIRE AND HEALTH LICENSE

      • REGULATIONS RELATING TO EMPLOYMENT OF STAFF

      • SIGN BOARDS

      • INFORMATION THAT REQUIRES IS DISPLAYED AT THE HOSPITAL ARE; 

      • FSSAI LICENSE FOR OPERATING A KITCHEN

      • PERMIT TO STORE LPG CYLINDER 

      • PHARMACY REGISTRATION FOR MEDICAL SHOP 

      • TRADEMARK REGISTRATION

      • VEHICLE REGISTRATION FOR AMBULANCES 

      • ARMS LICENSES UNDER ARMS ACT 1959 

      • WASTE DISPOSAL

      PLANNING THE HOSPITAL INFRASTRUCTURE

      ONE MUST TAKE CARE OF THESE THINGS;

      THE OTHER IMPORTANT LICENSE REQUIRED IS:

      B.I.S SPECIFICATION

      LICENSES REQUIRED FOR HOSPITAL


      APPENDIX – A:

      01. PLANT ECONOMICS

      02. LAND & BUILDING

      03. PLANT AND MACHINERY

      04. OTHER FIXED ASSESTS

      05. FIXED CAPITAL

      06. RAW MATERIAL

      07. SALARY AND WAGES

      08. UTILITIES AND OVERHEADS

      09. TOTAL WORKING CAPITAL

      10. TOTAL CAPITAL INVESTMENT

      11. COST OF PRODUCTION

      12. TURN OVER/ANNUM

      13. BREAK EVEN POINT

      14. RESOURCES FOR FINANCE

      15. INSTALMENT PAYABLE IN 5 YEARS

      16. DEPRECIATION CHART FOR 5 YEARS

      17. PROFIT ANALYSIS FOR 5 YEARS

      18. PROJECTED BALANCE SHEET FOR (5 YEARS)

      How to Make Project Report?

      Detailed Project Report (DPR) includes Present Market Position and Expected Future Demand, Technology, Manufacturing Process, Investment Opportunity, Plant Economics and Project Financials. comprehensive analysis from industry covering detailed reporting and evaluates the position of the industry by providing insights to the SWOT analysis of the industry.

      Each report include Plant Capacity, requirement of Land & Building, Plant & Machinery, Flow Sheet Diagram, Raw Materials detail with suppliers list, Total Capital Investment along with detailed calculation on Rate of Return, Break-Even Analysis and Profitability Analysis. The report also provides a birds eye view of the global industry with details on projected market size and then progresses to evaluate the industry in detail.

      We can prepare detailed project report on any industry as per your requirement. 

      We can also modify the project capacity and project cost as per your requirement. If you are planning to start a business, contact us today.

      Detailed Project Report (DPR) gives you access to decisive data such as:

      • Market growth drivers
      • Factors limiting market growth
      • Current market trends
      • Market structure
      • Key highlights

      Overview of key market forces propelling and restraining market growth:

      • Up-to-date analyses of market trends and technological improvements
      • Pin-point analyses of market competition dynamics to offer you a competitive edge major competitors
      • An array of graphics, BEP analysis of major industry segments
      • Detailed analyses of industry trends
      • A well-defined technological growth with an impact-analysis
      • A clear understanding of the competitive landscape and key product segments

      Need Customized Project Report?

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      About Engineers India Research Institute:

      EIRI Board is a single destination for all the industry, company and country reports. We feature large repository of latest industry reports, leading and niche company profiles, and market statistics prepared by highly qualified consultants and verified by a panel of experts.

      Note: We can also prepare project report on any subject based on your requirement and country. If you need, we can modify the project capacity and project cost based on your requirement.

      Our reports provide an expansive market analysis of the sector by covering areas like growth drivers, trends prevailing in the industry as well as comprehensive SWOT analysis of the sector.

      Our Approach

      • Our research reports comprehensively cover Indian markets (can be modified as per your country), present investigation, standpoint and gauge for a time of five years*.
      • The market conjectures are produced on the premise of optional research and are cross-accepted through associations with the business players
      • We use dependable wellsprings of data and databases. What's more, data from such sources is handled by us and incorporated into the report

      Why buy EIRI reports?

      1. Our project reports include detailed analysis that help to get industry Present Market Position and Expected Future Demand.
      2. Offer real analysis driving variables for the business and most recent business sector patterns in the business
      3. This report comprehends the present status of the business by clarifying a complete SWOT examination and investigation of the interest supply circumstance
      4. Report gives investigation and top to bottom money related correlation of real players/competitors
      5. The report gives gauges of key parameters which foresees the business execution