Lok Sabha Question No. 5654 (UNSTARRED), answered on 2019-07-26
Subject: Trauma Care Facilities on National Highways
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ramapati Ram Tripathi, Ganesan Selvam, A.K.P. Chinraj

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

## LOK SABHA UNSTARRED QUESTION NO. 5654 TO BE ANSWERED ON 26 TH JULY, 2019

## TRAUMA CARE FACILITI ES ON NATIONAL HIGHW AYS

## 5654. DR. RAMAPATI RAM TRIPATHI: SHRI SELVAM G.: SHRI A.K.P. CHINRAJ:

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

(a)  the  present  status  of  the  implementation  of  the  scheme  for  establishment  of  traum facilities on National Highways (NHs) in the country, State/UT - wise;

(b) whether the Government has made any assessment/evaluation of the said scheme and if the details thereof indicating the shortcomings noticed therein and the corrective measur proposed by the Government to overcome them;

(c) the total number of Trauma Care Centres that are operational on NHs as on date, NH - wise and location - wise along with the total number of specialists, surgeons working in each Tra Care Centre, State/ UT - wise;

(d) whether the Government has taken no te of lack of specialist doctors, surgeons and equipment in  several  Trauma  Care  Centres  across  the  country,  if  so,  the  details  thereof  and  the therefor; and

(e) whether the Government have identified certain hospitals/medical colleges for deve ing trauma care facilities in them during the Twelfth Five Year Plan, if so, the State/UT - wise and area - wise  details  thereof,  the  details  of  the  funds  earmarked  and  allocated  for  this State/ UT wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a) & (e): Health  is  a  State  subject.  However,  Ministry  of  Health  and  Family  Welfare implementing a Scheme of Capacity Building for developing Trauma Care Facilities (TCFs) Government Hospitals on National Highways under which financial assistance is provided to States/UTs for setting up of TCFs. Under this Scheme, during the 11 th and 12 th Five Year Plan (FYP), 116 and 80 TCFs were approved in different States/Union Territories (UTs) and cen assistance released in part or in full. State/UT -wise details of TCFs approved during 11 th FYP are at  Annexure -I.  Details  of  80  TCFs  of  12 th FYP,  alongwith  the  amount  of  central  assistance approved and released are at Annexure -II.

(b): Evaluation  Stud y  in  respect  of  the  Trauma  Programme  was  conducted  in  five  states namely  West  Bengal,  Tamil  Nadu,  Gujarat,  Mizoram  and  Punjab  for  Trauma  which  were randomly selected from each of the 5 Zones of India viz. North, South, East, West and N -East. The Study was conducted by National Institute of Health and Family Welfare, New Delhi in 2017.The following observations were made by the Evaluation Team.

- Construction activity was either completed or was at  the verge of completion in most Trauma Care Fa cilities
- Partial Equipments had been procured in most of the Trauma Care Centres and for res the centres procedure of procurement was ongoing.
- There was a major shortfall of human resources in all the visited trauma care facilit in the recruitment of the Staff in almost all the facilities is because the proces routed through their State Governments.
- All the facilities were using the services of existing ambulances of their hospitals 108 ambulances for shifting critical patient to the high referral trauma care facility
- Trauma Care Facilities were fully utilized by the patients through t he existin  services of Department of Orthopaedics and surgery. Signage for triage was available in the Triag in most of the centres.
- State Mass Media Unit had received a copy of Documentary file on 'Good Samaritan and first  aid  on  trauma  care'.  Al l  the  States  had  distributed  Information,  Education  and Communication materials to the district media office under Chief Medical Officer and were partially displayed in the Trauma Care Facilities.
- Overall concept of trauma care was clearly understood by all the States, and all facilities were aware of, and utilizing the Operational Guidelines issued by the Programme Divisi

The observations/suggestions of the Evaluation Teams have been sent to the respective Governments for taking necessary a ction.

(c) & (d): Out of 116 trauma care facilities approved and funded during the 11th FYP, 1 TCFs have been reported as functional by the States (Annexure -III) and of the 12 th FYP, 2 TCFs have become functional i.e Civil Hospital, Khanvel,  Dadra & Nagar Haveli and Agartala Govt. Medical College, Tripura.

Health is a State subject. Deployment of manpower either on contract or regular ba the  TCFs  is  the  administrative  mandate  of  the  respective  State  Government.  Howeve considering  the shortage  of  medical  and  paramedical  personnel  in  trauma  care  facilities, Central assistance provided under the scheme of Capacity Building for developing Trauma C Facilities (TCFs) in Government Hospitals on National Highways includes financial supp ort to the approved trauma care facilities for manpower component for a period of 3 years.

Further,  for  capacity  building  of  the  existing  manpower  in  the  trauma  care  faci various training courses, like Advanced Trauma Life Support (ATLS) for docto rs and Basic Life Support  (BLS)  for  nurses  are  also  conducted.  In  addition,  a  Pre - Hospital  Trauma  Technician (PTT) course curriculum has also been developed for paramedics in ambulances.

| Trauma Care Facilities approved during 11th Five Year Plan   | Trauma Care Facilities approved during 11th Five Year Plan   | Trauma Care Facilities approved during 11th Five Year Plan   |
|--------------------------------------------------------------|--------------------------------------------------------------|--------------------------------------------------------------|
| S. No.                                                       | State                                                        | Name of Trauma Centre                                        |
| 1                                                            | Andhra Pradesh                                               | Govt. General Hospital & Medical College, Kurnool            |
| 2                                                            | Andhra Pradesh                                               | Govt. General Hospital & Medical College, Anantapur          |
| 3                                                            | Andhra Pradesh                                               | Community Hospital, Penukonda                                |
| 4                                                            | Andhra Pradesh                                               | TalukHospital, Tekkali                                       |
| 5                                                            | Andhra Pradesh                                               | District Hospital, Srikakulam                                |
| 6                                                            | Andhra Pradesh                                               | King George Hospital / Andhra Medical College,               |
| 7                                                            | Andhra Pradesh                                               | Area / Tuni Taluk Hospital, East Godavari                    |
| 8                                                            | Andhra Pradesh                                               | District Hospital, Rajahmundry, East Godavari                |
| 9                                                            | Andhra Pradesh                                               | District Hospital, Eluru, West Godavari                      |
| 10                                                           | Andhra Pradesh                                               | Medical College, Guntur                                      |
| 11                                                           | Andhra Pradesh                                               | District Hospital, Ongole                                    |
| 12                                                           | Andhra Pradesh                                               | Dist. Hospital, Nellore                                      |
| 13                                                           | Andhra Pradesh                                               | Taluk Hospital, Nayadupet                                    |
| 14                                                           | Assam                                                        | Medical College & Hospital, Silchar.                         |
| 15                                                           | Assam                                                        | Civil Hospital, Haflong.                                     |
| 16                                                           | Assam                                                        | Civil Hospital, Diphu.                                       |
| 17                                                           | Assam                                                        | District Hospital, Nagaon                                    |
| 18                                                           | Assam                                                        | Medical College & Hospital, Guwahati.                        |
| 19                                                           | Assam                                                        | District Hospital, Nalbari.                                  |
| 20                                                           | Assam                                                        | Civil Hospital, Bongaigaon.                                  |
| 21                                                           | Bihar                                                        | Civil Hospital, Kishanganj.                                  |
| 22                                                           | Bihar                                                        | District Hospital, Purnia.                                   |
| 23                                                           | Bihar                                                        | Civil Hospital, Madhepura.                                   |
| 24                                                           | Bihar                                                        | DarbhangaMedical College Hospital, Darbhanga.                |
| 25                                                           | Bihar                                                        | S.K. Medical College Hospital, Muzaffarpur.                  |
| 26                                                           | Bihar                                                        | Civil Hospital, Gopalgunj.                                   |
| 27                                                           | Bihar                                                        | Civil Hospital, Jhanjarpur.                                  |
| 28                                                           | Bihar                                                        | Sadar Hospital, Sasaram, Rohtas                              |
| 29                                                           | Bihar                                                        | AN Magadh Medical College Hospital, Gaya                     |
| 30                                                           | Gujarat                                                      | Civil Hospital, Palanpur.                                    |
| 31                                                           | Gujarat                                                      | Civil Hospital, Radhanpur.                                   |
| 32                                                           | Gujarat                                                      | S.A. Hospital, Bachau, Kutch                                 |
| 33                                                           | Gujarat                                                      | General Hospital, Morbi.                                     |
| 34                                                           | Gujarat                                                      | Pt. Deen Dayal Upadhayaya Hospital, Rajkot.                  |
| 35                                                           | Gujarat                                                      | CHC, Jetpur.                                                 |
| 36                                                           | Gujarat                                                      | General Hospital, Porbandar.                                 |
| 37                                                           | Gujarat                                                      | General Hospital, Valsad                                     |
| 38                                                           | Gujarat                                                      | Govt. Medical College, Surat                                 |
| 39                                                           | Gujarat                                                      | District Hospital, Bharuch                                   |

|   40 |                | SSG Hospital & Medical, Badodara College, Vadodara                                                                                            |
|------|----------------|-----------------------------------------------------------------------------------------------------------------------------------------------|
|   41 |                | District Hospital, Himmat Nagar                                                                                                               |
|   42 |                | Dist Hospital, Ambala                                                                                                                         |
|   43 | Haryana        | B.S.S. General Hospital, Panipat                                                                                                              |
|   44 |                | District Hospital, Rewari                                                                                                                     |
|   45 |                | MMAM District Hospital, Anantnag                                                                                                              |
|   46 | Jammu &        | Trauma Hospital, Ramban, Doda                                                                                                                 |
|   47 | kashmir        | Govt. District Hospital, Udhampur                                                                                                             |
|   48 | Jharkhand      | Patliputra Medical College, Dhanbad                                                                                                           |
|   49 |                | Tumkur Dist Hospital, Tumkur                                                                                                                  |
|   50 |                | Taluk Hospital, Sira                                                                                                                          |
|   51 |                | Civil Hospital, Chitradurga                                                                                                                   |
|   52 |                | Civil Hospital, Devangere                                                                                                                     |
|   53 | Karnataka      | Karnataka Institute of Medical Sciences, Hubli,                                                                                               |
|   54 |                | District Hospital, Haveri                                                                                                                     |
|   55 |                | District Hospital, Belgaum                                                                                                                    |
|   56 |                | Medical College, Chickballapur                                                                                                                |
|   57 |                | Civil Hospital, Shivpuri.                                                                                                                     |
|   58 |                | G R Medical College Hospital, Gwalior                                                                                                         |
|   59 | Madhya Pradesh | District Hospital, Sagar                                                                                                                      |
|   60 |                | District Hospital, Narasimhapur                                                                                                               |
|   61 |                | Indira Gandhi District Hospital, Seoni                                                                                                        |
|   62 |                | Govt. Medical College Hospital, Kolhapur / Rajashree Shahu Maharaj Government Medical College And Chhatrapati Pramilagraje Hospital, Kolhapur |
|   63 |                | District Hospital, Satara                                                                                                                     |
|   64 | Maharashtra    | BJ Medical College, Pune                                                                                                                      |
|   65 |                | Municipal Hospital, Vashi                                                                                                                     |
|   66 |                | Sub District Hospital Danau, Thane                                                                                                            |
|   67 |                | Sub District Hospital, Hinganghat, Wardha                                                                                                     |
|   68 |                | District Hospital, Balasore                                                                                                                   |
|   69 |                | District Hospital, Bhadrak                                                                                                                    |
|   70 | Odisha         | SCB Medical College, Cuttack                                                                                                                  |
|   71 |                | District Hospital, Khurda                                                                                                                     |
|   72 |                | MKCG Medical College, Behrampur                                                                                                               |
|   73 |                | Sub-District Hospital, Pathankot, Gurdaspur                                                                                                   |
|   74 | Punjab         | DistHospital, Jalandhar                                                                                                                       |
|   75 |                | Dist Hospital, Khanna                                                                                                                         |
|   76 |                | Govt. Hospital, Baran.                                                                                                                        |
|   77 |                | New Medical College Hospital, Kota.                                                                                                           |
|   78 |                | SS Hospital, Chittorgarh.                                                                                                                     |
|   79 | Rajasthan      | Civil Hospital, Dungarpur, Sabarkantha                                                                                                        |
|   80 |                | RNT Medical College, Udaipur                                                                                                                  |
|   81 |                | District Hospital, Bhilwara                                                                                                                   |
|   82 |                | JLN Medical College, Ajmer                                                                                                                    |

|   83 | SMS Medical College, Jaipur                            |
|------|--------------------------------------------------------|
|   84 | Taluk Hospital, Kotputli, Alwar                        |
|   85 | Govt. Hospital, Sirohi                                 |
|   86 | Kilpauk Medical College, Chennai                       |
|   87 | Government Medical College and Civil Hospital, Vellore |
|   88 | Taluk Hospital, Krishnagiri, Dharmapuri                |
|   89 | Govt. District Hqr. Hospital, Karur                    |
|   90 | Dist Hospital, Dindigul                                |
|   91 | Govt. Rajaji Hospital & Medical College, Madurai       |
|   92 | District Hqr. Hospital, Kovilpatti                     |
|   93 | Govt. Medical College Hospital, Tirunelveli            |
|   94 | Govt. Medical College Hospital, Kannyakumari           |
|   95 | Rajeev Gandhi Institute of Medical Sciences,           |
|   96 | Distt. Hqr Hospital, Nizamabad                         |
|   97 | Area Hospital, Kamareddy                               |
|   98 | District Hospital, Mehboobnagar                        |
|   99 | BRD Medical College, Gorakhpur.                        |
|  100 | Distt. Hospital, Faizabad.                             |
|  101 | KGM College, Lucknow.                                  |
|  102 | LLR Hospital & GSVM Medical College, Kanpur.           |
|  103 | District Hospital, Jaluan, Orai.                       |
|  104 | MLB Medical College, Jhansi.                           |
|  105 | District Hospital, Basti                               |
|  106 | SN Medical College, Agra                               |
|  107 | Shri B.A. District Hospital, Etawah                    |
|  108 | District Hospital, Fatehpur                            |
|  109 | MLN Medical College, Allahabad                         |
|  110 | LLRM Medical College, Meerut                           |
|  111 | District Hospital, Lalitpur                            |
|  112 | North Bengal Medical College & Hospital, Siliguri      |
|  113 | Islampur SD Hospital, Uttar Dinajpur                   |
|  114 | Sub Divisional Hospital, Asansol                       |
|  115 | Burdwan Medical College & Hospital, Burdwan            |
|  116 | Sub-District Hospital, Kharagpur                       |

| Annexure - II                                                     | Annexure - II                                                     | Annexure - II                                                     | Annexure - II                                                     | Annexure - II                                                     | Annexure - II                                                     |
|-------------------------------------------------------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|
| Central assistance for Trauma Care Facility - 12th Five Year Plan | Central assistance for Trauma Care Facility - 12th Five Year Plan | Central assistance for Trauma Care Facility - 12th Five Year Plan | Central assistance for Trauma Care Facility - 12th Five Year Plan | Central assistance for Trauma Care Facility - 12th Five Year Plan | Central assistance for Trauma Care Facility - 12th Five Year Plan |
| S. No.                                                            | State                                                             | Name of                                                           | Level                                                             | Central share ( Rs in Crore)                                      | Central share ( Rs in Crore)                                      |
|                                                                   |                                                                   | Hospital                                                          |                                                                   | Approved                                                          | Released                                                          |
| 1.                                                                | Andhra Pradesh                                                    | General Hospital Kakinada                                         | L-II                                                              | 6.1632                                                            | 4.500                                                             |
| 2.                                                                | Andaman & Nikobar                                                 | Dr. R P Hospital, Mayabunder                                      | L-III                                                             | 4.942                                                             | 1.666                                                             |
| 3.                                                                | Arunachal Pradesh                                                 | General Hospital, Bomdila                                         | L-III                                                             | 4.4478                                                            | 2.754                                                             |
| 4.                                                                | Arunachal Pradesh                                                 | District Hospital, Roing                                          | L-III                                                             | 4.4478                                                            | 2.754                                                             |
| 5.                                                                | Arunachal Pradesh                                                 | District Hospital, Tezu                                           | L-III                                                             | 4.4478                                                            | 2.754                                                             |
| 6.                                                                | Arunachal Pradesh                                                 | District Hospital, Khonsa                                         | L-III                                                             | 4.4478                                                            | 2.754                                                             |
| 7.                                                                | Chhattisgarh                                                      | BR Ambedkar Memorial Hospital, Raipur                             | L-II                                                              | 6.1632                                                            | 3.675                                                             |
| 8.                                                                | Chhattisgarh                                                      | Chhattisgarh Institute of Medical Sciences,Bilaspur               | L-II                                                              | 6.1632                                                            | 3.675                                                             |
| 9.                                                                | Chhattisgarh                                                      | Govt. Komaldeo District Hospital, Kanker                          | L-III                                                             | 2.9652                                                            | 1.666                                                             |
| 10.                                                               | Chhattisgarh                                                      | District Hospital, Raigarh                                        | L-III                                                             | 2.9652                                                            | 2.04                                                              |
| 11.                                                               | Chhattisgarh                                                      | Baliram Kashyap Memorial Medical College, Jagdalpur               | L-II                                                              | 6.1632                                                            | 4.5                                                               |
| 12.                                                               | Chhattisgarh                                                      | District Hospital, Ambikapur                                      | L-III                                                             | 2.9652                                                            | 2.04                                                              |
| 13.                                                               | Dadar & Nagar Haveli                                              | CHC Khanvel                                                       | L-III                                                             | 4.942                                                             | 0.8536                                                            |
| 14.                                                               | Jharkhand                                                         | District Hospital Koderma                                         | L-III                                                             | 2.9652                                                            | 2.04                                                              |
| 15.                                                               | Jharkhand                                                         | Sadar Hospital Daltanganj                                         | L-III                                                             | 2.9652                                                            | 1.224                                                             |
| 16.                                                               | Jharkhand                                                         | District Hospital, Gumla                                          | L-III                                                             | 2.9652                                                            | -                                                                 |
| 17.                                                               | Jammu & Kashmir                                                   | S.N.M. Hospital, Leh                                              | L-III                                                             | 4.4478                                                            | 3.06                                                              |
| 18.                                                               | Jammu & Kashmir                                                   | District Hospital,Kupwara                                         | L-III                                                             | 4.4478                                                            | 3.06                                                              |
| 19.                                                               | Gujarat                                                           | Guru Govind Singh Hospital Jamnagar                               | L-II                                                              | 6.1632                                                            | 4.5                                                               |
| 20.                                                               | Gujarat                                                           | Sir Takhtsinh General Hospital & Govt. Medical College, Bhavnagar | L-II                                                              | 6.1632                                                            | 4.5                                                               |
| 21                                                                | Gujarat                                                           | District Hospital, Veraval                                        | L-III                                                             | 2.9652                                                            | 2.04                                                              |
| 22                                                                | Goa                                                               | Govt. Medical College, Goa                                        | L-I                                                               | 10.2792                                                           | 8.4                                                               |

| 23       |           | District Hospital, Chamba                                 | L-III   |   4.4478 |   2.754 |
|----------|-----------|-----------------------------------------------------------|---------|----------|---------|
| 24       |           | Regional Hospital Hamirpur                                | L-III   |   4.4478 |   2.754 |
| 25       |           | RP Medical College, Tanda,                                | L-II    |   9.2448 |   6.075 |
| 26       |           | Zonal Hospital Mandi                                      | L-III   |   4.4478 |   2.754 |
| 27       |           | Regional Hospital Rampur, Shimla                          | L-III   |   4.4478 |   2.754 |
| 28       |           | IGMC Govt. Hospital, Shimla, Himachal Pradesh             | L-I     |  15.4188 |  12.6   |
| 29 31    |           | Govt. Medical College, Alappuzha                          | L-II    |   6.1632 |   3.675 |
| 30       |           | General Hospital, Ernakulam                               | L-III   |   2.9652 |   1.666 |
| 29 31    |           | District Hospital, Kannur                                 | L-III   |   2.9652 |   1.666 |
| 32       |           | District Hospital Palakkad                                | L-II    |   6.1632 |   2.7   |
| 33       |           | Govt. Medical College Hospital, Kozhikode                 | L-I     |  10.2792 |   5.04  |
| 34       |           | Government Medical College & Hospital, Thiruvananthapuram | L-II    |   6.1632 |   4.5   |
| 35 37 38 |           | Regional Institute of Medical Sciences, Imphal            | L-I     |  15.4188 |  11.34  |
| 36       |           | District Hospital, Churachandpur                          | L-III   |   4.4478 |   2.754 |
| 35 37 38 |           | District Hospital Senapati                                | L-III   |   4.4478 |   2.754 |
| 35 37 38 |           | District Hospital Bishunpur                               | L-III   |   4.4478 |   2.754 |
| 39       |           | Thoubal District Hospital                                 | L-III   |   4.4478 |   3.06  |
| 40       |           | Chandel District Hospital                                 | L-III   |   4.4478 |   3.06  |
| 41       | Meghalaya | Civil Hospital, Tura                                      | L-III   |   4.4478 |   2.754 |
| 42       | Meghalaya | Civil Hospital Nongpoh                                    | L-III   |   4.4478 |   3.06  |
| 43       | Meghalaya | Civil Hospital Shillong                                   | L-II    |   9.2448 |   6.75  |
| 44 46    | Mizoram   | Civil Hospital, Aizawl                                    | L-II    |   9.2448 |   6.075 |
| 45       | Mizoram   | District Hospital, Lawngtlai                              | L-III   |   4.4478 |   1.238 |
| 44 46    | Mizoram   | District Hospital, Saiha                                  | L-III   |   4.4478 |   2.754 |
| 47       | Mizoram   | District Hospital, Lunglei                                | L-III   |   4.4478 |   2.754 |
| 48       | Mizoram   | District Hospital Kolasib                                 | L-III   |   4.4478 |   3.06  |

| 49             | District Hospital Champhai                         | L-III   |   4.4478 |   3.06 |
|----------------|----------------------------------------------------|---------|----------|--------|
| 50             | District Hospital Serchhip                         | L-III   |   4.4478 |  3.06  |
| 52             | District Hospital, Tuensang                        | L-III   |   4.4478 |  2.754 |
|                | District Hospital, Kiphiri                         | L-III   |   4.4478 |  2.754 |
| Nagaland 53    | District Hospital, Mon                             | L-III   |   4.4478 |  2.754 |
| 54             | Naga Hospital Kohima                               | L-II    |   9.2448 |  6.075 |
| 55             | District Hospital, Dimapur                         | L-III   |   4.4478 |  2.754 |
| 56 Odisha      | District Hospital, Puri                            | L-III   |   2.9652 |  1.666 |
| 57 Punjab      | District Hospital Fazailka                         | L-III   |   2.9652 |  1.224 |
| 58             | District Hospital Ferozpur                         | L-III   |   2.9652 |  1.224 |
| 59             | District Hospital, Baurari, New Tehri              | L-III   |   4.4478 |  2.754 |
| Uttarakhand 60 | Government Medical College, Haldwani               | L-II    |   9.2448 |  6.075 |
| 61             | Combined Hospital Roorkee                          | L-III   |   4.4478 |  2.754 |
| 62             | Doon Medical College & Hospital                    | L-II    |   9.2448 |  6.75  |
| 63             | Dharma Nagar, Sub-Divisional Hospital              | L-III   |   4.4478 |  2.754 |
| 64             | Santirbazar PHC, Divisional Hospital               | L-III   |   4.4478 |  2.754 |
| 35             | District Hospital, Gomati                          | L-III   |   4.4478 |  2.754 |
| 66             | Agartala Govt. Medical College                     | L-II    |   9.2448 |  6.075 |
| 67             | District Hospital, Dhalai                          | L-III   |   4.4478 |  3.06  |
| 68             | Govt. District Head Quarters Hospital Kallakurichi | L- III  |   2.9652 |  2.04  |
| Tamil 69       | Govt. District Head Quarters Hospital Kumbakonam   | L-III.  |   2.9652 |  2.04  |
| 70             | Chengalpattu Govt. Medical College & Hospital      | L-I.    |  10.2792 |  8.4   |
| 71             | Coimbatore Medical College                         | L-II.   |   6.1632 |  4.5   |
| 72             | District Hospital Namchi                           | L-III   |   4.4478 |  2.754 |
| Sikkim 73      | District Hospital, Singtam                         | L-III   |   4.4478 |  2.754 |
| 74             | District Hospital, Mangan                          | L-III   |   4.4478 |  2.754 |

|   75 |             | STNM Hospital Gangtok                     | L-II   | 9.2448       | 4.86   |
|------|-------------|-------------------------------------------|--------|--------------|--------|
|   76 | West Bengal | District Hospital, Alipurduar             | L-III  | 2.9652 1.224 |        |
|   77 | West Bengal | Murshidabad Medical College               | L-II   | 6.1632       | 2.7    |
|   78 | West Bengal | Ranaghat Sub Divisional Hospital, Nadia   | L-III  | 2.9652       | 1.224  |
|   79 | West Bengal | Diamod Harbour District Hospital          | L-III  | 2.9652       | 1.224  |
|   80 | West Bengal | Raiganj District Hospital, Uttar Dinajpur | L-III  | 2.9652       | 2.04   |

## Annexure-III

## List of 105 Trauma Care Facilities operational, as reported by State Government

| S. No .   | Name of Trauma Care Facility                                 |
|-----------|--------------------------------------------------------------|
|           | TELANGANA                                                    |
| 1         | Rajeev Gandhi Institute of Medical Sciences, Adilabad        |
| 2         | Distt. Hqr Hospital, Nizamabad                               |
| 3         | Area Hospital, Kamareddy                                     |
| 4         | District Hospital, Mehboobnagar                              |
|           | ANDHRA PRADESH                                               |
| 5         | Govt. General Hospital & Medical College, Kurnool            |
| 6         | Govt. General Hospital & Medical College, Anantapur          |
| 7         | Community Hospital, Penukonda                                |
| 8         | Taluka Hospital, Tekkali,                                    |
| 9         | District Hospital, Srikakulam                                |
| 10        | King George Hospital & Andhra Medical College, Visakhapatnam |
| 11        | Taluk Hospital, Tuni, East Godavari                          |
| 12        | District Hospital, Rajahmundry, East Godavari                |
| 13        | District Hospital, Eluru, West Godavari                      |
| 14        | Medical College, Guntur                                      |
| 15        | District Hospital, Ongole,                                   |
| 16        | Dist. Hospital, Nellore                                      |
| 17        | Taluk Hospital, Nayadupet                                    |
|           | ASSAM                                                        |
| 18        | Medical College & Hospital, Silchar.                         |
| 19        | Civil Hospital, Haflong.                                     |
| 20        | Civil Hospital, Diphu.                                       |
| 21        | District Hospital, Naogaon.                                  |
| 22        | Medical College & Hospital, Guwahati.                        |
| 23        | District Hospital, Nalbari.                                  |
| 24        | Civil Hospital, Bongaigaon.                                  |
|           | GUJARAT                                                      |
| 25        | Civil Hospital, Palanpur.                                    |
| 26        | Civil Hospital, Radhanpur.                                   |
| 27        | S.A. Hospital, Bachau, Kutch                                 |
| 28        | General Hospital, Morbi.                                     |
| 29        | Pt. DeenDayalUpadhayaya Hospital, Rajkot.                    |

| 30   | CHC, Jetpur.                                            |
|------|---------------------------------------------------------|
| 31   | General Hospital, Porbandar.                            |
| 32   | General Hospital, Valsad                                |
| 33   | Govt. Medical College, Surat                            |
| 34   | District Hospital, Bharuch                              |
| 35   | SSG Hospital & Medical College, Vadodara                |
| 36   | District Hospital, Himmat Nagar                         |
|      | HARYANA                                                 |
| 37   | Dist Hospital, Ambala                                   |
| 38   | Civil Hospital, Panipat                                 |
| 39   | District Hospital, Rewari                               |
|      | JAMMU & KASHMIR                                         |
| 40   | MMAM District Hospital, Anantnag                        |
| 41   | Trauma Hospital, Batote, Doda                           |
| 42   | Govt. District Hospital, Udhampur                       |
|      | KARNATAKA                                               |
| 43   | TumkurDist Hospital, Tumkur                             |
| 44   | Taluk Hospital, Sira                                    |
| 45   | Civil Hospital, Chitradurga                             |
| 46   | Civil Hospital, Devangere                               |
| 47   | Karnataka Institute of Medical Sciences, Hubli, Dharwad |
| 48   | District Hospital, Haveri                               |
| 59   | District Hospital, Belgaum                              |
| 50   | Medical College, Chickballapur                          |
|      | MADHYA PRADESH                                          |
| 51   | Civil Hospital, Shivpuri.                               |
| 52   | G R Medical College Hospital, Gwalior                   |
| 53   | District Hospital, Sagar                                |
| 54   | District Hospital, Narasimhapur                         |
| 55   | Indira Gandhi District Hospital, Seoni                  |
|      | MAHARASHTRA                                             |
| 56   | Govt. Medical College Hospital, Kolhapur                |
| 57   | District Hospital, Satara                               |
| 58   | BJ Medical College, Pune                                |
| 59   | Municipal Hospital, Vashi                               |
| 60   | Sub District Hospital, Hinganghat, Wardha               |
|      | ORISSA                                                  |
| 61   | District Hospital, Balasore                             |

| 62   | District Hospital, Bhadrak                                         |
|------|--------------------------------------------------------------------|
| 63   | SCB Medical College, Cuttack                                       |
| 64   | District Hospital, Khurda                                          |
| 65   | MKCG Medical College, Behrampur                                    |
|      | PUNJAB                                                             |
| 66   | Sub-District Hospital, Pathankot, Gurdaspur                        |
| 67   | Dist Hospital, Jalandhar                                           |
| 68   | Dist Hospital, Khanna                                              |
|      | RAJASTHAN                                                          |
| 69   | Govt. Hospital, Baran.                                             |
| 70   | New Medical College Hospital, Kota.                                |
| 71   | SS Hospital, Chittorgarh.                                          |
| 72   | Civil Hospital, Dungarpur, Sabarkantha                             |
| 73   | RNT Medical College, Udaipur                                       |
| 74   | District Hospital, Bhilwara                                        |
| 75   | JLN Medical College, Ajmer                                         |
| 76   | SMS Medical College, Jaipur                                        |
| 77   | Taluk Hospital, Kotputli, Alwar                                    |
| 78   | Govt. Hospital, Sirohi                                             |
|      | TAMIL NADU                                                         |
| 79   | Kilpauk Medical College, Chennai                                   |
| 80   | Government Medical College and Civil Hospital, Vellore             |
| 81   | Taluk Hospital, Krishnagiri, Dharmapuri                            |
| 82   | Govt. District Hqr. Hospital, Karur                                |
| 83   | Dist Hospital, Dindigul                                            |
| 84   | Govt. Rajaji Hospital & Medical College, Madurai                   |
| 85   | District Hqr. Hospital, Kovilpatti                                 |
| 86   | Govt. Medical College Hospital,Tirunelveli                         |
| 87   | Kannyakumari Govt. Medical College Hospital, Asaripallam,Nagarcoil |
|      | UTTAR PRADESH                                                      |
| 88   | BRD Medical College, Gorakhpur.                                    |
| 89   | Distt. Hospital, Faizabad.                                         |
| 90   | KGM College, Lucknow.                                              |
| 91   | LLR Hospital & GSVM Medical College, Kanpur.                       |
| 92   | District Hospital, Jaluan, Orai.                                   |
| 93   | MLB Medical College, Jhansi.                                       |
| 94   | District Hospital, Basti                                           |
| 95   | SN Medical College, Agra                                           |
| 96   | Shri B.A. District Hospital, Etawah                                |

| 97   | District Hospital, Fatehpur                       |
|------|---------------------------------------------------|
| 98   | MLN Medical College, Allahabad                    |
| 99   | LLRM Medical College, Meerut                      |
| 100  | District Hospital, Lalitpur                       |
|      | WEST BENGAL                                       |
| 101  | North Bengal Medical College & Hospital, Siliguri |
| 102  | Islampur SD Hospital, Uttar Dinajpur              |
| 103  | Sub Divisional Hospital, Asansol                  |
| 104  | Burdwan Medical College & Hospital, Burdwan       |
| 105  | Sub-District Hospital, Kharagpur                  |