Lok Sabha Question No. 4789 (UNSTARRED), answered on 2018-03-23
Subject: Trauma Care Centres on National Highways
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MAULANA BADRUDDIN AJMAL, JOSE K. MANI

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTIO N NO. 4789 TO BE ANSWERED ON 23 rd MARCH, 2018

## TRAUMA CARE CENTRES ON NATIONAL HIGHWAYS

## 4789. SHRI SIRAJUDDIN AJMAL:

## SHRI JOSE K. MANI:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the details of hospitals upgraded as trauma care centres under the Capacity Building for Developing Trauma Care facilities on National Highways scheme, State/UT - wise;
- (b)whether the Government has received any proposals from State Governments for setting up of such trauma care centres and if so, the details thereof, State/UT - wise including Assam;
- (c) the number of proposals for trauma care centres approved/pending and funds released/utilised during the last three years, State/UT - wise;
- (d) whether the Government has launched any pilot project to extend cashless treatment to accident victims on National Highways and if so, the details thereof; and
- (e) the steps taken/be i g taken by the Government to improve the conditions of trauma care centres on National Highways?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a) to (c): The Government initiated a scheme namely'Assistance for capacity building for  developing  trauma  care  facilities  (TCFs)  in  Govt.  Hospitals  on  National  Highways' during  the  11th  Five  Year  Plan  (FYP).  The  scheme  was  extended  to  the  12 th FYP  as 'Capacity building for developing trauma care fa cilities in Government Hospitals on National Highways'.

Under  this  scheme,  a  number  of  proposals  are  received  from  various  Stat Governments. During 11th FYP, a total 7 TCF were approved and funded in the State Assam for establishing Trauma Care Facil ities (TCFs). No proposal from any of the State Governments  for  the  11 th FYP  and  12 th FYP  including  that  of  Assam  is  pending  for consideration for establishing TCF.

During the 11 th & 12 th FYP, 116 and 85 Hospitals/Medical Colleges respectively were appro ved in different States/Union Territories (UTs) in the country for establishing T various levels. The details of the State Government Hospitals/Medical Colleges identif setting up of TCFs, funded, State/UT - wise during 11 th & 12 th FYP are at Ann exure- I & II respectively.  The  detailed  status  of  funds  released  during  the  last  three  years State/UT - wise is placed at Annexure III .

(d): Ministry  of  Road  Transport  &  Highways  had  launched  pilot  projects  of  scheme namely 'Cashless Treatment' on G urgaon - Jaipur stretch of National Highway (NH) No. 8 (Implemented  during  July  2013 - June  2016),  Vadodara - Mumbai  stretch  of  NH  No.  8 (Implemented  during  September  2014  to  31.03.2016)  and  on  Ranchi - Rargaon- Mahulia stretch of NH No. 33 (Implemented during Sep tember 2014 to 09.03.2016).

The project envisages transport of accident victims from the accident scene to ho and, where required, from one hospital to another for treatment at a public or private for the first 48 hours or Rs . 30,000/ - , whichever is earlier so that lives of accident victims providing prompt and appropriate medical care during 'Golden Hour' may be saved.

(e): The  following  steps  are  being  taken  by  the  Programme  Division  for  effecti implementation of the Programme:

- Operational guidelines of Scheme for effective implementation have been circula to the stakeholders.
- Proposals  received  from  the  State  Governments  are  technically  examined  and accordingly  inspection  visits  are  conducted  and  technical  report s  are  submitted  for approval of Screening Committee.
- Regular  review  meetings  with  State  representatives  are  being  held  to  monitor physical & financial progress made in the development of trauma care facilities.
- Regular monitoring visits are being und ertaken by the Programme Division.
- Advanced Trauma Life Support (ATLS) & Basic Life Support (BLS) training is being conducted at DR. RML Hospital for Doctors and Nurses posted in TCFs.
- A certificate course for Pre - Hospital Trauma Technician (PTT) was in itiated during 2007 in 3 Central Government Hospitals in Delhi is continuing till date.
- Under the IEC activities, print material, audio - video spots and documentary film on good  Samaritan  /Fist -Aid  have  been  developed  and  audio - visuals  have  been distribute d to all States/UTs.

## List of 116 Trauma Care Facilities identified during 11 th FYP under the Trauma Care Programme along with National Highways

| Sl. No.   | Corridor wise   | Name of Trauma Care Facility                                | Level   |
|-----------|-----------------|-------------------------------------------------------------|---------|
|           |                 | TELANGANA                                                   |         |
| 1         | N-S             | Rajeev Gandhi Institute of Medical Sciences, Adilabad       | II      |
| 2         |                 | Distt. Hqr Hospital, Nizamabad                              | II      |
| 3         |                 | Area Hospital, Kamareddy                                    | III     |
| 4         |                 | District Hospital, Mehboobnagar                             | III     |
|           |                 | ANDHRA PRADESH                                              |         |
| 5         |                 | Govt. General Hospital& Medical College, Kurnool            | II      |
| 6         |                 | Govt. General Hospital& Medical College, Anantapur          | II      |
| 7         |                 | Community Hospital, Penukonda                               | III     |
| 8         |                 | Taluka Hospital, Tekkali,                                   | III     |
| 9         |                 | District Hospital, Srikakulam                               | II      |
| 10        |                 | King George Hospital& Andhra Medical College, Visakhapatnam | II      |
| 11        |                 | Taluk Hospital, Tuni, East Godavari                         | III     |
| 12        | G-Q             | District Hospital, Rajahmundry, East Godavari               | II      |
| 13        |                 | District Hospital, Eluru, West Godavari                     | III     |
| 14        |                 | Medical College, Guntur                                     | II      |
| 15        |                 | District Hospital, Ongole,                                  | III     |
| 16        |                 | Dist. Hospital, Nellore                                     | II      |
| 17        |                 | Taluk Hospital, Nayadupet                                   | III     |
|           |                 | ASSAM                                                       |         |
| 18        |                 | Medical College &Hospital, Silchar.                         | II      |
| 19        |                 | Civil Hospital, Haflong.                                    | III     |
| 20        |                 | Civil Hospital, Diphu.                                      | III     |
| 21        | E-W             | District Hospital, Naogaon.                                 | II      |
| 22        |                 | Medical College &Hospital, Guwahati.                        | II      |
| 23        |                 | District Hospital, Nalbari.                                 | III     |
| 24        |                 | Civil Hospital, Bongaigaon.                                 | III     |
|           |                 | BIHAR                                                       |         |
| 25        | E-W             | Civil Hospital, Kishanganj.                                 | III     |
| 26        |                 | District Hospital, Purnia.                                  | II      |
| 27        |                 | Civil Hospital, Madhepura.                                  | III     |
| 28        |                 | Darbhanga Medical College Hospital, Darbhanga.              | II      |

| 29   |     | S.K. Medical College Hospital, Muzaffarpur.             | II   |
|------|-----|---------------------------------------------------------|------|
| 30   |     | Civil Hospital, Gopalgunj.                              | III  |
| 31   |     | Civil Hospital, Jhanjarpur.                             | III  |
| 32   |     | Sadar Hospital, Sasaram, Rohtas                         | III  |
| 33   | GQ  | AN Magadh Medical College Hospital, Gaya                | II   |
|      |     | GUJARAT                                                 |      |
| 34   | E-W | Civil Hospital, Palanpur.                               | II   |
| 35   | E-W | Civil Hospital, Radhanpur.                              | III  |
| 36   | E-W | S.A. Hospital, Bachau, Kutch                            | III  |
| 37   | E-W | General Hospital, Morbi.                                | II   |
| 38   | E-W | Pt. Deen Dayal Upadhayaya Hospital, Rajkot.             | II   |
| 39   | E-W | CHC, Jetpur.                                            | III  |
| 40   | E-W | General Hospital, Porbandar.                            | II   |
| 41   | G-Q | General Hospital, Valsad                                | II   |
| 42   | G-Q | Govt. Medical College, Surat                            | II   |
| 43   | G-Q | District Hospital, Bharuch                              | III  |
| 44   | G-Q | SSG Hospital &Medical College, Vadodara                 | II   |
| 45   | G-Q | District Hospital, Himmat Nagar                         | III  |
|      |     | HARYANA                                                 |      |
| 46   | N-S | Dist Hospital, Ambala                                   | II   |
| 47   | N-S | Civil Hospital, Panipat                                 | III  |
| 48   | G-Q | District Hospital, Rewari                               | III  |
|      |     | JAMMU &KASHMIR                                          |      |
| 49   | N-S | MMAMDistrict Hospital, Anantnag                         | III  |
| 50   | N-S | Trauma Hospital, Ramban, Doda                           | III  |
| 51   | N-S | Govt. District Hospital, Udhampur                       | II   |
|      |     | JHARKHAND                                               |      |
| 52   | GQ  | Patliputra Medical College, Dhanbad                     | II   |
|      |     | KARNATAKA                                               |      |
| 53   | G-Q | Tumkur Dist Hospital, Tumkur                            | III  |
| 54   | G-Q | Taluk Hospital, Sira                                    | III  |
| 55   | G-Q | Civil Hospital, Chitradurga                             | II   |
| 56   |     | Civil Hospital, Devangere                               | III  |
| 57   |     | Karnataka Institute of Medical Sciences, Hubli, Dharwad | II   |
| 58   | G-Q | District Hospital, Haveri                               | III  |
| 59   |     | District Hospital, Belgaum                              | III  |
| 60   | N-S | Medical College, Chickballapur                          | III  |
|      |     | MADHYA PRADESH                                          |      |
| 61   | E-W | Civil Hospital, Shivpuri.                               | II   |
| 62   | N-S | G R Medical College Hospital, Gwalior                   | II   |

| 63   |     | District Hospital, Sagar                                           | II   |
|------|-----|--------------------------------------------------------------------|------|
| 64   |     | District Hospital, Narasimhapur                                    | III  |
| 65   |     | Indira Gandhi District Hospital, Seoni                             | III  |
|      |     | MAHARASHTRA                                                        |      |
| 66   | GQ  | Govt. Medical College Hospital, Kolhapur                           | II   |
| 67   | GQ  | District Hospital, Satara                                          | III  |
| 68   | GQ  | BJ Medical College, Pune                                           | II   |
| 69   | GQ  | Municipal Hospital, Vashi                                          | III  |
| 70   | GQ  | Sub District Hospital Danau, Thane                                 | III  |
| 71   | N-S | Sub District Hospital, Hinganghat, Wardha                          | III  |
|      |     | ORISSA                                                             |      |
| 72   | G-Q | District Hospital, Balasore                                        | II   |
| 73   | G-Q | District Hospital, Bhadrak                                         | III  |
| 74   | G-Q | SCB Medical College, Cuttack                                       | I    |
| 75   | G-Q | District Hospital, Khurda                                          | III  |
| 76   | G-Q | MKCG Medical College, Behrampur                                    | II   |
|      |     | PUNJAB                                                             |      |
| 77   | N-S | Sub-District Hospital, Pathankot, Gurdaspur                        | III  |
| 78   | N-S | Dist Hospital, Jalandhar                                           | II   |
| 79   | N-S | Dist Hospital, Khanna                                              | III  |
|      |     | RAJASTHAN                                                          |      |
| 80   | E-W | Govt. Hospital, Baran.                                             | III  |
| 81   | E-W | New Medical College Hospital, Kota.                                | II   |
| 82   | E-W | SS Hospital, Chittorgarh.                                          | III  |
| 83   |     | Civil Hospital, Dungarpur, Sabarkantha                             | III  |
| 84   |     | RNT Medical College, Udaipur                                       | II   |
| 85   |     | District Hospital, Bhilwara                                        | III  |
| 86   | G-Q | JLN Medical College, Ajmer                                         | II   |
| 87   |     | SMS Medical College, Jaipur                                        | II   |
| 88   |     | Taluk Hospital, Kotputli, Alwar                                    | III  |
| 89   |     | Govt. Hospital, Sirohi                                             | III  |
|      |     | TAMIL NADU                                                         |      |
| 90   | GQ  | Kilpauk Medical College, Chennai                                   | II   |
| 91   | GQ  | Government Medical College and Civil Hospital, Vellore             | II   |
| 92   | GQ  | Taluk Hospital, Krishnagiri, Dharmapuri                            | III  |
| 93   | N-S | Govt. District Hqr. Hospital, Karur                                | III  |
| 94   |     | Dist Hospital, Dindigul                                            | II   |
| 95   |     | Govt. Rajaji Hospital& Medical College, Madurai                    | II   |
| 96   |     | District Hqr. Hospital, Kovilpatti                                 | III  |
| 97   |     | Govt. Medical College Hospital,Tirunelveli                         | II   |
| 98   | N-S | Kannyakumari Govt. Medical College Hospital, Asaripallam,Nagarcoil | II   |

|     |     | UTTAR PRADESH                                     |     |
|-----|-----|---------------------------------------------------|-----|
| 99  | E-W | BRD Medical College, Gorakhpur.                   | II  |
| 100 | E-W | Distt. Hospital, Faizabad.                        | III |
| 101 | E-W | KGM College, Lucknow.                             | II  |
| 102 | E-W | LLR Hospital& GSVM Medical College, Kanpur.       | II  |
| 103 | E-W | District Hospital, Jaluan, Orai.                  | III |
| 104 | E-W | MLB Medical College, Jhansi.                      | II  |
| 105 | E-W | District Hospital, Basti                          | III |
| 106 | G-Q | SN Medical College, Agra                          | II  |
| 107 | G-Q | Shri B.A. District Hospital, Etawah               | III |
| 108 | G-Q | District Hospital, Fatehpur                       | III |
| 109 | G-Q | MLN Medical College, Allahabad                    | II  |
| 110 | N-S | LLRM Medical College, Meerut                      | II  |
| 111 | N-S | District Hospital, Lalitpur                       | II  |
|     |     | WEST BENGAL                                       |     |
| 112 | E-W | North Bengal Medical College & Hospital, Siliguri | II  |
| 113 | E-W | Islampur SD Hospital, Uttar Dinajpur              | III |
| 114 | GQ  | Sub Divisional Hospital, Asansol                  | II  |
| 115 | GQ  | Burdwan Medical College& Hospital, Burdwan        | II  |
| 116 | GQ  | Sub-District Hospital, Kharagpur                  | III |

## Annexure-II List of the Hospitals approved for establishing Trauma Care Facilities under Trauma Care Programme during 12 th FYP

|   Sl. No. | State                | Name of Hospital                                          | Level   |
|-----------|----------------------|-----------------------------------------------------------|---------|
|         1 | Andaman & Nikobar    | Dr. R P Hospital, Mayabunder                              | L-III   |
|         2 | Chhattisgarh         | BR Ambedkar Memorial Hospital, Raipur                     | L-II    |
|         3 | Chhattisgarh         | Chhattisgarh Institute of Medical Sciences, Bilaspur      | L-II    |
|         4 | Chhattisgarh         | Govt. Komaldeo District Hospital, Kanker                  | L-III   |
|         5 | Chhattisgarh         | District Hospital, Raigarh                                | L-III   |
|         6 | Chhattisgarh         | Jagdalpur, Baliram Kashyap Memorial Medical College       | L-II    |
|         7 | Chhattisgarh         | District Hospital Ambikapur                               | L-III   |
|         8 | Dadar & Nagar Haveli | CHC Khanvel                                               | L-III   |
|         9 | Himachal Pradesh     | District Hospital, Chamba                                 | L-III   |
|        10 | Himachal Pradesh     | Regional Hospital Hamirpur                                | L-III   |
|        11 | Himachal Pradesh     | RP Medical College, Tanda,                                | L-II    |
|        12 | Himachal Pradesh     | Zonal Hospital Mandi                                      | L-III   |
|        13 | Himachal Pradesh     | Regional Hospital Rampur, Shimla                          | L-III   |
|        14 | Himachal Pradesh     | IGMC Govt. Hospital, Shimla                               | L-I     |
|        15 | Kerala               | Govt. Medical College, Alappuzha                          | L-II    |
|        16 | Kerala               | General Hospital, Ernakulam                               | L-III   |
|        17 | Kerala               | District Hospital, Kannur                                 | L-III   |
|        18 | Kerala               | District Hospital Palakkad                                | L-II    |
|        19 | Kerala               | Govt. Medical College Kozikode                            | L-I     |
|        20 | Kerala               | Government Medical College & Hospital, Thiruvananthapuram | L-II*   |
|        21 | Manipur              | Regional Institute of Medical Sciences, Imphal            | L-I     |
|        22 | Manipur              | District Hospital, Churachandpur                          | L-III   |
|        23 | Manipur              | District Hospital Senapati                                | L-III   |
|        24 | Manipur              | District Hospital Bishnupur                               | L-III   |
|        25 | Manipur              | Thoubal District Hospital                                 | L-III   |
|        26 | Manipur              | Chandel District Hospital                                 | L-III   |
|        27 | Meghalaya            | Civil Hospital, Tura                                      | L-III   |
|        28 | Meghalaya            | Civil Hospital Nongpoh                                    | L-III   |
|        29 | Meghalaya            | Civil Hosiptal Shillong                                   | L-II    |
|        30 | Mizoram              | Civil Hospital, Aizawal                                   | L-II    |

|   31. | District Hospital, Lawngtlai           | L-III   |
|-------|----------------------------------------|---------|
|    32 | District Hospital, Saiha               | L-III   |
|    33 | District Hospital Lunglei              | L-III   |
|    34 | District Hospital Kolasib              | L-III   |
|    35 | District Hospital Champhai             | L-III   |
|    36 | District Hospital Serchhip             | L-III   |
|    37 | District Hospital, Tuensang            | L-III   |
|    38 | District Hospital, Kiphiri             | L-III   |
|    39 | District Hospital, Mon                 | L-III   |
|    40 | Naga Hospital Kohima                   | L-II    |
|    41 | District Hospital, Dimapur             | L-III   |
|    42 | District Hospital, Puri                | L-III   |
|    43 | District Hospital, Baurari, New Tehri  | L-III   |
|    44 | Government Medical College, Haldwani   | L-II    |
|    45 | Combined Hospital Roorkee              | L-III   |
|    46 | Medical College Doon Hospital Dehradun | L-II    |
|    47 | Dharma Nagar, Sub-Divisional Hospital  | L-III   |
|    48 | Santirbazar PHC, Divisional Hospital   | L-III   |
|    49 | District Hospital, Gomati              | L-III   |
|    50 | Agartala Govt. Medical College         | L-II    |
|    51 | District Hospital Dhalai               | L-III   |
|    52 | District Hospital Namachi              | L-III   |
|    53 | District Hospital, Singtam             | L-III   |
|    54 | District Hospital, Manga               | L-III   |
|    55 | STNM Gangtok                           | L-II    |
|    56 | Govt. General Hospital, Kakinada       | L-II    |
|    57 | General Hospital Bomdila               | L-III   |
|    58 | District Hospital, Roing               | L-III   |
|    59 | District Hospital, Tezu                | L-III   |
|    60 | District Hospital, Khonsa              | L-III   |
|    61 | Alipurduar District Hospital           | L-III   |
|    62 | Murshidabad Medical College & Hospital | L-II    |
|    63 | Diamond Harbour District               | L-III   |
|    64 | Ranaghat Sub Division Hospital, Nadia  | L-III   |

|   65. |                 | Raiganj District Hospital, Uttar Dinajpur                         | L-III   |
|-------|-----------------|-------------------------------------------------------------------|---------|
|    66 | Jharkhand       | District Hospital Kodarma                                         | L-III   |
|    67 | Jharkhand       | Sadar Hospital Daltanganj                                         | L-III   |
|    68 | Jharkhand       | District Hospital, Ghumla                                         | L-III*  |
|    69 | Puducherry      | IGI PGIMER                                                        | L-II    |
|    70 | Punjab          | District Hospital Fazilka                                         | L-III   |
|    71 | Punjab          | District Hospital Ferozpur                                        | L-III   |
|    72 | Tamil Nadu      | Govt. District Head Quarters Hospital Kallakurichi                | L-III   |
|    73 | Tamil Nadu      | Govt. District Head Quarters Hospital Kumbakonam                  | L-III   |
|    74 | Tamil Nadu      | Chengalpattu Govt. Medical College & Hospital                     | L-I     |
|    75 | Tamil Nadu      | Coimbatore Medical College                                        | L-II    |
|    76 | Jammu & Kashmir | S.N.M. Hospital Leh                                               | L-III   |
|    77 | Jammu & Kashmir | District Hospital Kupwara                                         | L-III*  |
|    78 | Gujarat         | Guru Govind Singh Hospital Jamnagar                               | L-II    |
|    79 | Gujarat         | General District Hospital Dahod                                   | L-III   |
|    80 | Gujarat         | Sir Takhtsinh General Hospital & Govt. Medical College, Bhavnagar | L-II    |
|    81 | Gujarat         | District Hospital Veraval                                         | L-III   |
|    82 | Haryana         | General Hospital Kaithal                                          | L-III   |
|    83 | Haryana         | General Hospital Palwal                                           | L-III   |
|    84 | Haryana         | General Hospital Narnaul                                          | L-III   |
|    85 | Goa             | Govt. Medical College, Goa                                        | L-I     |

Annexure - III Fund released in last three years under Trauma Care Programme (Rs in Crore)

| Sl. No.                  | State                                                      | Name of Hospital   | Amount Released during the last the three years (2014 - 15 to 2016 - 17)   | Total   |
|--------------------------|------------------------------------------------------------|--------------------|----------------------------------------------------------------------------|---------|
| 1. Andhra 2.             | District Hospital, Dist Hospital, Nellore                  | Ongole 0.80        | 3.5259                                                                     |         |
| Pradesh                  |                                                            | 0.76               | 3.5259                                                                     |         |
| 3.                       | Taluk Hos. Nayadupet                                       | 1.9659             | 3.5259                                                                     |         |
| 4. Arunachal Pradesh     | General Hospital, District Hospital, Roing                 | Bomdila 2.754      |                                                                            | 11.016  |
| 5.                       |                                                            | 2.754              |                                                                            | 11.016  |
| 6.                       | District Hospital, Tezu                                    | 2.754              |                                                                            | 11.016  |
| 7.                       | District Hospital, Khonsa                                  | 2.754              |                                                                            | 11.016  |
| 8. Chhattisgarh 9.       | BR Ambedkar Memorial Raipur Govt. Komaldeo District Kanker | Hospital, 3.675    |                                                                            | 17.59   |
| 8. Chhattisgarh 9.       | Chhattisgarh Institute of Medical Sciences, Bilaspur       | 3.675              |                                                                            | 17.59   |
| 10.                      | Hospital,                                                  | 1.66               |                                                                            | 17.59   |
| 11.                      | District Hospital, Raigarh                                 | 2.040              |                                                                            | 17.59   |
| 12.                      | Baliram Kashyap Memorial Medical College, Jagdalpur        | 4.50               |                                                                            | 17.59   |
| 13.                      | District Hospital, Ambikapur                               | 2.04               |                                                                            | 17.59   |
| 14. Dadar & Nagar Haveli | CHC Khanvel                                                | 0.8536             |                                                                            | 0.8536  |
| 15. Jharkhand            | District Hospital Koderma                                  | 2.040              |                                                                            | 3.264   |
| 16.                      | Sadar Hospital Daltanganj                                  | 1.224              |                                                                            | 3.264   |
| 17. 18.                  | General Hospital, Hospital, Rajkot CHC, Jetpur             | Morbi 0.5050       |                                                                            | 2.4535  |
| 17. 18.                  | Pt. Deen dayal Upadhayaya                                  | 0.82               |                                                                            | 2.4535  |
| 19.                      |                                                            | 0.1785             |                                                                            | 2.4535  |
| Gujarat 20.              | District Hospital, Bharuch                                 | 0.70               |                                                                            | 2.4535  |
| 21.                      | District Hospital , Himmat                                 | Nagar 0.25         |                                                                            | 2.4535  |

|   22. | District Hospital,   | Chamba                                                  |   2.754 | 29.691   |
|-------|----------------------|---------------------------------------------------------|---------|----------|
|    23 | District Hospital,   | Regional Hospital Hamirpur                              |  2.754  | 29.691   |
|    24 | District Hospital,   | RP Medical College, Tanda,                              |  6.075  | 29.691   |
|    25 | District Hospital,   | Zonal Hospital Mandi                                    |  2.754  | 29.691   |
|    26 | District Hospital,   | Regional Hospital Rampur, Shimla                        |  2.754  | 29.691   |
|    27 | District Hospital,   | IGMC Govt. Hospital, Shimla, Himachal Pradesh           | 12.6    | 29.691   |
|    28 | Karnataka            | Tumkur District Hospital                                |  0.7    | 5.5745   |
|    29 | Karnataka            | Civil Hospital, Chitradurga                             |  0.76   |          |
|    30 | Karnataka            | Civil Hospital, Devangiri                               |  0.7    |          |
|    31 | Karnataka            | Karnataka Institute of Medical Science, Hubli, Dharward |  0.76   |          |
|    32 | Karnataka            | District Hospital, Haveri                               |  0.7    |          |
|    33 | Karnataka            | District Hospital, Chickbalapur                         |  1.9545 |          |
|    34 | Kerala               | Govt. Medical College, Alappuzha                        |  3.675  | 14.735   |
|    35 | Kerala               | General Hospital, Ernakulam                             |  1.66   | 14.735   |
|    36 | Kerala               | District Hospital, Kannur                               |  1.66   | 14.735   |
|    37 | Kerala               | District Hospital Palakkad                              |  2.7    | 14.735   |
|    38 | Kerala               | Govt. Medical College Hospital, Kozhikode               |  5.04   | 14.735   |
|    39 | Manipur              | Regional Institute of Medical Sciences, Imphal          | 11.34   | 25.722   |
|    40 | Manipur              | District Hospital, Churachandpur                        |  2.754  |          |
|    41 | Manipur              | District Hospital Senapati                              |  2.754  |          |
|    42 | Manipur              | District Hospital Bishunpur                             |  2.754  |          |
|    43 | Manipur              | ThoubalDistrict Hospital                                |  3.06   |          |
|    44 | Manipur              | Chandel District Hospital                               |  3.06   |          |
|    45 | Meghalaya            | Civil Hospital, Tura                                    |  2.754  | 12.564   |
|    46 | Meghalaya            | Civil Hospital Nongpoh                                  |  3.06   | 12.564   |
|    47 | Meghalaya            | Civil Hospital Shillong                                 |  6.75   | 12.564   |
|    48 | Mizoram              | Civil Hospital, Aizawl                                  |  6.075  | 14.337   |
|    49 | Mizoram              | District Hospital, Lawngtlai                            |  2.754  | 14.337   |
|    50 | Mizoram              | District Hospital, Saiha                                |  2.754  | 14.337   |
|    51 | Mizoram              | District Hospital, Lunglei                              |  2.754  | 14.337   |
|    52 | Madhya               | G R Medical College Hospital,                           |  0.2526 | 9.0575   |

|    | Pradesh       | Gwalior                                |        |        |
|----|---------------|----------------------------------------|--------|--------|
| 53 | Pradesh       | DH Narsimhapur                         | 2.025  |        |
| 54 | Pradesh       | DH Sagar                               | 4.7563 |        |
| 55 | Pradesh       | DH Seoni                               | 2.0236 |        |
| 56 | Nagaland      | District Hospital, Tuensang            | 2.754  | 17.091 |
| 57 | Nagaland      | District Hospital, Kiphiri             | 2.754  | 17.091 |
| 58 | Nagaland      | District Hospital, Mon                 | 2.754  | 17.091 |
| 59 | Nagaland      | Naga Hospital Kohima                   | 6.075  | 17.091 |
| 60 | Nagaland      | District Hospital, Dimapur             | 2.754  | 17.091 |
| 61 | Odisha        | District Hospital, Balasore            | 5      | 5.0    |
| 62 | Punjab        | District Hospital Fazailka             | 1.224  | 4.114  |
| 63 | Punjab        | District Hospital Ferozpur             | 1.224  | 4.114  |
| 64 | Punjab        | Sub- District Hospital, Pathankot      | 0.906  | 4.114  |
| 65 | Punjab        | District Hospital, Jalandhar           | 0.76   | 4.114  |
| 66 | Uttrakhand    | District Hospital, Baurari, New Tehri  | 2.754  | 18.333 |
| 67 | Uttrakhand    | Government Medical College , Haldwani  | 6.075  | 18.333 |
| 68 | Uttrakhand    | Combined Hospital Roorkee              | 2.754  | 18.333 |
| 69 | Uttrakhand    | Doon Medical College & Hospital        | 6.75   | 18.333 |
| 70 | Tripura       | Dharma Nagar, Sub -Divisional Hospital | 2.754  | 14.337 |
| 71 | Tripura       | Santirbazar PHC, Divisional Hospital   | 2.754  | 14.337 |
| 72 | Tripura       | District Hospital, Gomati              | 2.754  | 14.337 |
| 73 | Tripura       | Agartala Govt. Medical College         | 6.075  | 14.337 |
| 74 | Sikkim        | District Hospital Namachi              | 2.754  | 13.122 |
| 75 | Sikkim        | District Hospital, Singtam             | 2.754  | 13.122 |
| 76 | Sikkim        | District Hospital, Mangan              | 2.754  | 13.122 |
| 77 | Sikkim        | STNM Hospital Gangtok                  | 4.86   | 13.122 |
| 78 | Uttar Pradesh | BRD Medical College, Gorakhpur         | 0.76   | 6.5052 |
| 79 | Uttar Pradesh | SN Medical College, Agra               | 0.76   | 6.5052 |
| 80 | Uttar Pradesh | MLN Medical College, Allahabad         | 0.76   | 6.5052 |
| 81 | Uttar Pradesh | LLRM Medical College, Meerut           | 4.2252 | 6.5052 |
| 82 | West Bengal   | District Hospital, Alipurduar          | 1.224  | 18.437 |
| 83 | West Bengal   | Murshidabad Medical College            | 2.7    | 18.437 |

|   84. | Ranaghat Sub Divisional Hospital, Nadia           |   1.224 |
|-------|---------------------------------------------------|---------|
|    85 | Diamod Harbour District Hospital                  |   1.224 |
|    86 | North Bengal Medical College & hospital, Siliguri |   5.03  |
|    87 | Islampur SD Hospital, Uttar Dinajpur              |   2.005 |
|    88 | Sub Divisional, Asansol                           |   5.03  |