4
TRIENNIAL REPORT ON THE WORKING OF THE
Hospital, Madras, to confirm the diagnosis. No injuries of a serious nature
were sustained by any of the patients. There were only five simple fracture
cases due to accidental falls in all the institutions.
27. Finance.—Excluding receipts from paying patients which were credited to
Government, the total receipts were Rs. 4,06,497-8-4 in 1921, Rs. 4,10,255-13-2
in 1922, and Rs. 3,49,336-3-4 in 1923, i.e., an average of Rs. 3,88,696-8-3 for
the present triennium as against Rs. 2,68,876-3-2 for the previous triennium.
28. The total receipts from paying patients were Rs. 31,726-1-9,
Rs. 34,329-12-9 and Rs. 32,078-13-7 in 1921, 1922 and 1923, respectively. The
figures above work out to an average of Rs. 32,711-9-4 for a year or Rs. 98,134-12-1
for the years under report as against Rs. 24,782-3-5 or Rs. 74,346-10-3 for the
previous triennium.
29. The following statement shows the principal factors that influenced the
expenditure for the periods 1918—1920 and 1921—23 :—
—
Diet
...
...
Establishment pro-
per ... ...
Superintendence ...
Charges on account
of works done by
Public
Works
Department ...
1918.
RS.
79,019
45,148
12,667
19,317
A.
0
8
6
10
P.
7
5
9
5
1919.
RS.
1,11,634
51,249
10,395
20,381
A.
0
10
7
3
P.
5
8
6
3
1920.
RS.
1,44,106
63,797
12,081
49,312
A.
4
10
4
10
P.
11
9
8
8
1921.
RS.
1,55,338
75,525
17,932
63,722
A.
15
2
2
3
P.
0
11
3
11
1922.
RS.
1,51,742
80,282
18,600
61,457
A.
5
12
0
9
P.
6
7
0
5
1923.
RS.
1,10,747
78,219
25,426
56,473
A.
1
6
10
12
P.
10
0
0
0
30. It is observed from the above that the expenditure under " Superintendence"
has been on the increase and that within a period of six years it has increased
by Rs. 12,759-3-3. This is due to the enhanced rate of salary drawn by the Superin-
tendent of the Mental Hospital. Madras. The increase under " Establishment
proper " for the present triennium is due to (1) the higher rate of salary drawn by
the Deputy Superintendents, Civil Assistant Surgeons, Sub-Assistant Surgeons
and nurses, (2) the revision of the scale of pay of miscellaneous appointments,
(3) the entertainment of additional staff to cope with the increased work, (4) the
revision of pay of male and female totis and the inclusion of their pay in
the establishment charges. The charges under "diet" has increased from
Rs. 79,019-0-7 in 1918 to Rs. 1,10,747-1-10 in 1923. The increase can be
attributed to the increased population, abnormal rise in the prices of articles of
food, improvements made in the diet of patients by adding suitable extras and the
special nourishment given to a large number of weak patients.
31. The Public Works Department charges for the triennium have become a
heavy item of expenditure.
32. Under " Bedding and clothing " the expenditure during the triennium was
Rs. 33,350-12-0 against Rs. 33,470-13-1, the decrease being due to the fall in
the prices of yarns purchased locally for the manufacture of cloths.
33. Contingencies proper.—Compared with the total expenditure for the
previous triennium there is an increase of Rs. 12,745-13-9 during the present
triennium. The following are the chief causes for the increased expenditure :—
(1) Increased charges under "Electric lights and fans" owing to the
construction of new wards in the hospital.
(2) Debiting the maintenance charges of the motor bus (including the pay
of the chauffeur) to " Contract contingencies."
(3) Extra charges debited to office expenses and " pay of menials " in
connexion with the dhobis and Brahman cook sanctioned by Government.
(4) Special repairs done to the temporary weaving shed and dining room
at Calicut.