SVMM Hospital Project

SWAMI VIVEKANANDA MEDICAL MISSIONATTAPPADY

PROJECT PROPOSAL

FOR

CONSTRUCTION OF FIRST FLOOROF HOSPITAL BUILDING

BY

SWAMI VIVEKANANDA MEDICAL MISSIONATTAPPADY

REG.NO.55/IV/2004Agali PO, Palakkad District 678581

Ph: 04924 254107Email : [email protected]

ORGANIZATIONAL PROFILE

Name of Organization : Swami Vivekananda Medical Mission

Address : Agali P.O.,Palakkad district,Kerala,678581

Phone : 04924 254107

Email : [email protected]

Registered as : Trust

Registration number : 55/IV/2004

Year of establishment : 2004

Name of Head of Organization : V.P.S.Menon President

No. of trust board members : 18

Exemption under Sec 80G : Yes

Person to contact : Dr.NarayananV Medical officer

Phone : 9495501504

Email : [email protected] om

Geographical area of operation : Attappady block in Mannarkad tehsil of Palakkad district,Kerala

Population served : 66,171 (2001 Census)

Focus of Activities : Health, Tribal welfare, Education

Staff strength : 30

Activities : 1. Tribal Hospital 2. Mobile medical unit 3. Eye camps 4. Village Health Workers 5. Self Help Groups 6. Community Mental Health Program 7. Malleeswara Vidyanikethan School

PROJECT PROFILE

Name of Project : Swami Vivekananda Medical Mission Hospital

Objective : To Function two wards, Labour room &

Operation Theatre in the first floor of hospital

Activities : 1.Construction of first floor

2. Purchase of Furniture &Equipments

3. Appointment of staff

Budget estimate

Construction costs : Rs.4300000

Purchase of Furniture and Equipments : Rs.2144100

Break up of each portion Construction Furniture & Equipments Total

Operation theatre Rs.800000 Rs.921500 Rs.1721500

Labour room &New Born Rs.500000 Rs.469300 Rs.1228800

Women & Children’s Ward Rs.980000 Rs.141500 Rs.1121500

Maternity Ward Rs.950000 Rs.145000 Rs.1095000

Staff Required Number

Consultant Obstetrician (Fulltime) 1 Consultant Surgeon (Visiting) 1 Consultant Anaesthetist (Visiting) 1 Duty Doctor(Full time) 1 Theatre Nurse 1 Staff Nurse 3 Nursing assistant 4 Sanitary worker 1 Theatre assistant 1

SECTION 1

IDENTIFYING THE NEED

ABOUT ATTAPPADY

Attappady is a backward revenue block of Palakkad district of Kerala state. It has an

area of 745 sq.km and encompasses three panchayats. It has a population of

66,171(2001 Census).Tribes form almost half of the population (27,121) and are

represented in three sects called Irula, Muduga and Kurumba. They live in hamlets in

and around the hills of Attappady. There are 188 such tribal hamlets.

The non-tribal population comprises of settlers from Kerala and Tamilnadu. Both

the tribes and non tribes pursue agriculture as their means of living. They cultivate a

wide variety of crops from spices to pulses and vegetables. The earnings from

agriculture are inconsistent, due to the vagaries of nature like drought, flash floods,

heavy winds and devastation by wild animals.

The tribes engage in paid labour because a bulk of their land holdings is not

cultivable. Those living in the remote villages get very less work (about 10 man days per

month) compared to those near the central areas. Government schemes like NREGA a nd

a government project called Attappady Wasteland Comprehensive Environment

Conservation Project implemented by Attappady Hills Area Development Society

(AHADS) have marginally improved their employment opportunities and earnings.

The traditional tribal life is rich with a strong community bonding, family

networks and sense of social responsibility. Dance, music and festivals are inherent

components of tribal culture here. The interaction with the modern world has led to

erosion of many of these virtues which have exposed the tribes to many hazards

including mental illness.

Though Kerala has a high literacy and high standards of public health, people of

Attappady, especially the tribal population, remain very backward on both counts. The

literacy rate is less than 50% and school dropout rates are high. Literacy and education

among girls is also very low.

HEALTH SCENARIO IN ATTAPPADY

The health indicators of Attappady remain backward compared to state and national averages. The maternal mortality rate (7/1000 compared to state 1.3/1000) and infant mortality rates (66/1000 compared to state 14.1/1000) are very high. Institutional deliveries have remained low resulting in poor maternal and neonatal outcomes. High incidence of severe maternal anaemia, obstetric complications, deliveries by untrained persons all contribute heavily to this situation.

The poor living conditions, extremes of weather, poverty, lack of sanitation and poor awareness about illnesses, together present a bleak prospect for the health of the people of Attappady. Anaemia, malnutrition, deficiency disorders, infections like tuberculosis, typhoid fever and diarrhoeal diseases are rampant in this area.

Tribal children are especially vulnerable to respiratory infec tions and diarrhoeal diseases because of low birth weight and poor weight gain during infancy. Deficiency disorders like night blindness, rickets, phrynoderma etc. are commonly seen. About 30% of the tribal population is affected by a genetic disorder cal led sickle cell anaemia, which has a devastating effect on their health and quality of life.

Infertility is a very common problem in the native population. Rheumatic heart disease has high incidence because of crowded living, poor prophylaxis and lack of follow up with specialty care.

Mental illnesses are very common among the tribal population. Suicides occur very frequently among the tribes. A Comprehensive Mental Health Survey is now being conducted by the mission to find the actual number of mentally ill persons in the community.

Existing Health Facilities in the area

There are four Primary Health Centres and a Tribal Specialty Hospital run by the government, besides four private hospitals. Shortage of doctors and medicines affect the functioning of govt. hospitals, while the high costs of treatment at the private hospitals are not affordable to the poor tribes and other backward sections.

SWAMI VIVEKANANDA MEDICAL MISSION ATTAPPADY

Swami Vivekananda Medical Mission has been engaged in serving the people of

Attappady, in Palakkad district for the last six years. The effort of the Mission has been to provide succour to the downtrodden tribes and other backward people of this area, protecting them from exploitation by vested interests a t the same time. The work of the mission is aimed at total development of the community on all spheres of life.

This is a registered charitable trust working with a non-profit motive for the betterment of the tribes and other backward people in Attappady. The work of the Mission was started in November 2002.The Trust was formally registered in September 2004 involving prominent citizens from the area who supported the noble cause.

AIMS AND OBJECTIVES

1. To provide basic medical care to the general public wit hout a motive of profit. 2. To conduct dispensaries, medical camps and organize health schemes for the poor. 3. To plan and implement schemes for improving public health. 4. To conduct studies and research on the health problems of the tribes of Attappady,

especially on diseases like sickle cell anaemia, psychosis etc. and find solutions. 5. To help and promote indigenous tribal medicine. 6. To promote awareness about medicinal plants and encourage their cultivation

ACTIVITIES

1. Hospital: This hospital is in Agali, which is the block headquarters of Attappady. The hospital offers the following services.

? OP Department

? Inpatient Ward with 10 beds

? 24 hours Casualty services

? Antenatal Care

? Immunization

? Laboratory

? ECG

? Ultrasound scanning

? Daily Paediatric OP

? Specialty clinics: Monthly visits by specialists in Obstetrics and Gynaecology, Internal Medicine and Dermatology.

The hospital has become a referral centre for other hospitals in the area , especially for childhood illnesses. Medicines are given free to tribes and at a subsidized rate to other backward people. Patients reach the hospital from all over Attappady. An average of 150 patients visits the OP every day and more than half of the patients are tribes. There has been a progressive increase in the number of patients attending the hospital OPD over the years.

Table 1. Patients attending OPD at our hospital

Table 2. Patients admitted to the hospital

Every month medicines amounting to Rs.75,000 are provided free to poor patients. All in-patients are also given free food daily. Total number of staff in the hospital is 20.

2 Mobile medical unit: This comprises of a doctor, nurse and paramedical staff. The unit visits tribal hamlets periodically in a vehicle and conducts medical camps. Medicines are given free of cost to tribes. So far the unit has conducted over 300 camps including specialty camps.

3 Sub-center at Paloor: A monthly sub-center clinic is being held at Paloor hamlet in Pudur panchayath, which is one of the most remote and backward areas of Attappady. It benefits tribes and other people from about 15 hamlets around Paloor. M edicines are given free of cost to all patients.

4 Village Health Workers: Voluntary workers from tribal villages are trained to give first aid, organize medical camps, conduct health education etc. and appointed as village health workers. They are given first aid kits. VHW have been appointed in 40 hamlets now.

5 Community Mental Health Project: This project was started in September 2008 in collaboration with the Department of Psychiatry, Medical College Thrissur. The Project was formally inaugurated on 23 rd November 2009 by renowned poet and social activist P.Sugathakumari. Mentally ill patients are identified and given free treatment from the mission hospital under the project. They are followed up by a network of social workers and motivated to continue tre atment so that they remain symptom free. A Comprehensive Mental Health Survey of Attappady was inaugurated on 15 th January by District Medical Officer of Palakkad Dr.P.R.Karunakaran. About 50 patients are on regular treatment and follow up in this programm e.

6 Community Maternal and Child Health Programme: This programme was started in September 2009. High risk pregnant mothers and under five children needing special care are identified by village health workers and social workers of the mission and brought for treatment at the hospital. They are evaluated by specialists and gi ven expert care. Maternal and Child health Camps are held every month at the Hospital which are attended by an Internal Medicine specialist, a Pediatrician and a Gynaecologist.

7 Self Help Groups: Rural women are motivated and guided to form self help group s (SHG) and helped to generate income and employment in an effort to empower them.

8 Eye Camps: In association with Ahalia Eye Foundation, Palakkad and Sankara Eye Centre, Coimbatore, periodic eye camps are being organized and free eye check - up and treatment are being given. So far more than 300 persons have been restored eye -sight following cataract surgery.

9 Ambulance Service: There are two ambulances in the hospital which are used to take needy patients requiring expert care to District hospital and Medic al College Hospital free of cost.

10 Ayurveda Clinic: An Ayurveda Clinic is conducted every Saturday at the hospital in collaboration with Arya Vaidya Pharmacy Coimbatore. Medicines are given free to tribes and poor patients.

11 Malleeswara Vidyanikethan : This school situated at Nellippathy, 2kms from Agali is

now 19 years old. It was being managed by Navothana Parishad , Palakkad till March

2011.Now the management is supervised by Swami Vivekananda Medical Mission

trust in Agali. It is affiliated to Bharatheeya Vidyanikethan, Palakkad and NIOS, New

Delhi. There are 110 students at present from Arun (LKG) to 4 th standard. The

instruction is in English medium. The school building has 6 classrooms and office

room, kitchen and playground located in a 2.75 acre plot. About 40% students belong

to the Scheduled tribes and are given free education. The school has been aiming to

provide quality education to the tribal and rural students based on Bharatheeya

culture and values.

MEDICAL TEAM

Dr.Narayanan MBBS DCH Chief Medical Officer &Pediatrician

Dr.Sampath Kumar MBBS Resident Medical Officer

Visiting Consultants

Dr.N.Lalitha MBBS MD(O&G) Obstetrician & Gynaecologist

Dr.Suganthi Natarajan MD(O&G) Obstetrician & Gynaecologist

Dr.P.Raj esh MBBS DCH Pediatrician

Dr.P.Raman MBBS MD, DV Dermatologist

Dr.Srikant S BDS Dental Surgeon

Dr.Chithra Venkiteswaran MBBS MD Psychiatrist

Dr.Karthikeyan MBBS MD Radiologist

JUSTIFICATION FOR CONSTRUCTION OF MATERNITY WARD, WOMEN & CHILDREN’S WARD, OPERATION THEATRE AND LABOUR ROOM

A large number of patients coming to the hospital are referred from other hospitals in

the area including Government hospitals. Hence the hospital has been functioning as a

Secondary level care centre dealing with high risk cases of all varieties like sickle cell anemia,

viral hepatitis, renal failure, dengue fever etc., because of the remoteness of the area and long

distance to the district headquarters. This is more so in the case of poor tribal patients who are

reluctant to go to distant places because of poverty and ignorance .

The hospital has been experiencing a steady increase in the number of Outpatients and

Inpatients, especially tribes, ever since its inception. The present inpatient ward with 10 beds is

not able to meet the demand of the large number of patients who are in need of treatment.

There is no separate women and children’s ward to cater to their needs .

Maternal and Child health services form the backbone of the health delivery system in any region. In the case of Attappady, the situation is very bad due to the high maternal and infant mortality rates. There is a large percentage of high risk cases needin g expert care both among the pregnant mothers and the under five children. The maternal mortality rate (7/1000 compared to state 1.3/1000) and infant mortality rates (66/1000 compared to state 14.1/1000) are very high. Institutional deliveries have remained low resulting in poor maternal and neonatal outcomes. High incidence of severe maternal anaemia, obstetric complications, deliveries by untrained persons all contribute heavily to this situation. A lot needs to be done to ensure the good health of women and children of this region.

Swami Vivekananda Medical Mission has been working in the field of Maternal and Child

health for the last several years. We have been conducting a Community Maternal and Child

Health Programme since September 2009. The aim of the project is to reduce maternal

mortality and infant mortality due to maternal diseases like Anemia, Hypertension, Diabetes,

ensure foetal well being, promotion of health of under five children by better feeding practices,

immunization and early treatment of infections. Early cancer detection by screening and

evaluation of positive cases is a very important component of the programme. The key to the

programme is the identification of high risk cases by Village Health Workers and other social

workers at the community level and referral to the base hospital. At the hospital, evaluation of

High risk cases and treatment by a team of experts ensures safe delivery and efficient care of

newborn and infant.

There is an urgent need for a labour room and an operatio n theatre at the hospital as part of

the Maternal and Child care programme, in order to provide facilities for safe delivery and

Caesarean section.

The mission plans to construct a Women’s and Children’s ward, a maternity ward, a labour

room and operation theatre along with the associated amenities on the first floor of the

existing hospital building. A detailed building plan has been prepared and estimated cost of

construction for each part of the construction has been worked out. Approval for building

construction has been obtained from the local authority.

SECTION 2

ESTIMATE OF CONSTRUCTION COSTS AND

PURCHASE OF FURNITURES & EQUIPMENTS

DETAILED ESTIMATE FOR FIRST FLOOR BUILDING OF SWAMI VIVEKANANDA MEDICAL MISSION HOSPITAL AT AGALI

Height/

Specification No Length Breadth Depth Quantity Rate Unit Amount

Reinforced cement concrete 1:11/2:3 , using 20mm nominal size

aggregate including all form works, watering, curing etc.

complete but excluding cost of reinforcement , for column

28 0.40 0.23 3.15 8.11 m3

12 0.23 0.23 3.15 2.00 m3

Total 10.11 m3 115.00 10 dm3 116311.23

Reinforced cement concrete

1:11/2:3 , using 20mm nominal size aggregate including all form

works, watering, curing etc.

complete but excluding cost of reinforcement , for beam

4 23.93 0.23 0.35 7.71 m3

1 6.23 0.23 0.35 0.50 m3

1 6.54 0.23 0.35 0.53 m3

1 11.16 0.23 0.35 0.90 m3

8 3.60 0.23 0.35 2.32 m3

4 1.89 0.70 0.35 1.85 m3

15 3.64 0.23 0.35 4.40 m3

2 1.52 0.23 0.35 0.24 m3

2 3.62 0.23 0.35 0.58 m3

2 5.39 0.23 0.35 0.87 m3 Total 19.89 m3

114.00 10 dm3 226780.83

3 Reinforced cement concrete


works, watering, curing etc. complete but excluding cost of

reinforcement , for staircase

2 4.03 1.71 0.10 1.38 m3

1 3.61 1.68 0.10 0.61 m3

24 1.71 1/2x0.30x0.15 0.92 m3

1 3.41 0.61 0.10 0.21 m3

Sub Total 3.11 m3 100.00 10 dm3 31144.40

4 Reinforced cement concrete 1:11/2:3 , using 20mm nominal size


complete but excluding cost of reinforcement , for roofslab

1 24.13 12.06 0.12 34.92 m3

1 6.43 3.88 0.12 2.99 m3

1 6.74 3.880 0.12 3.14 m3

Total 41.05 m3 100.00 10 dm3 410528.88




reinforcement , for sunshade

2 24.53 1.00 0.10 4.91 m3

2 16.34 1.00 0.10 3.27 m3

2 3.88 1.00 0.10 0.78 m3

Total 8.95 m3 100.00 10 dm3 89500.00


1:11/2:3 , using 20mm nominal size aggregate

including all form works, watering, curing etc.

complete but excluding cost of reinforcement , for lintel

4 23.93 0.23 0.15 3.30 m3

4 15.28 0.23 0.15 2.11 m3

3 2.84 0.23 0.15 0.29 m3

2 5.40 0.23 0.15 0.37 m3

1 5.70 0.23 0.15 0.20 m3

1 6.00 0.23 0.15 0.21 m3

1 3.18 0.12 0.15 0.05 m3

1 3.89 0.12 0.15 0.07 m3

2 1.80 0.12 0.15 0.06 m3

1 3.60 0.12 0.15 0.06 m3

9 2.30 0.12 0.15 0.37 m3

4 2.20 0.12 0.15 0.16 m3

Total 7.27 m3 101.00 10 dm3 73393.11


1:2:4 , using 20mm nominal size aggregate including all

form works, watering, curing etc. complete but excluding

cost of reinforcement , for slab

2 3.60 0.83 0.05 0.30 m3

4 2.00 0.83 0.05 0.33 m3

1 2.86 0.83 0.05 0.12 m3

1 1.23 0.63 0.05 0.04 m3

Total 0.79 m3 150.00 10 dm3 11823.53

8 Reinforcement for RCC work

bent, tied and placed in position (plain grill requiring

bending cold) using Tore Steel including cost and

conveyance of all materials labour charges etc. complete.

1 ##### kg 5400.00 1 Qtl 189000.00

9 Brick work in CM 1:6 with

country burnt briks (nominal size 22.9cmX11.2cmX7.0cm)

for foundation and basement

Partition Wall 4 23.93 0.23 3.25 71.55 m3

4 15.28 0.23 3.25 45.69 m3

3 2.84 0.23 3.25 6.37 m3

2 5.40 0.23 3.25 8.07 m3

1 5.70 0.23 3.25 4.26 m3

1 6.00 0.23 3.25 4.49 m3

1 3.18 0.12 2.20 0.80 m3

1 3.89 0.12 2.20 1.03 m3

2 1.80 0.12 2.20 0.95 m3

1 3.60 0.12 2.20 0.95 m3

9 2.30 0.12 2.20 5.46 m3

4 2.20 0.12 2.20 2.32 m3

Parapet 2 24.00 0.12 0.80 4.42 m3

2 15.84 0.12 0.80 2.91 m3

2 3.88 0.12 0.80 0.71 m3

Total 159.99 m3

Deduction

Door D1 10 1.00 0.23 2.10 4.83 m3

Door D2 16 0.75 0.23 2.10 5.80 m3

Window W4 7 2.00 0.23 1.50 4.83 m3

Window W2 9

1.00

0.23

1.50

3.11

m3

Ventilator V

13

0.60

0.23

0.45

0.81

m3

Opening O1

2

1.50

0.23

2.10

1.45

m3

Opening O2

2

1.20

0.23

2.10

1.16

m3

Opening Staircase

1

3.37

0.23

2.10

1.63

m3

grill

1

1.89

0.23

2.10

0.91

m3

coloums

24

0.23

0.40

3.15

6.96

m3

coloums

8

0.23

0.23

3.15

1.33

m3

Total

32.81

m3

Net quantity

127.18

m3 3500.00

1

m3

445146.70

10 Anjili wood planed framed& shutter work for door, windows

and ventillators including cost and

conveyance of all materials, labour charges etc. complete.

Door D1 10 10 Nos 6000 1 No 60000.00

Door D2

16

16 Nos

5000

1

No

80000.00

Window W4

7

7

Nos

3000

1

No

21000.00

Window W2

9

9

Nos

2000

1

No

18000.00

Ventilator V

13

13

Nos

1000

1

No

13000.00

11 Roof plastering with CM 1:3, 12 mm thick including cost and

conveyance of all materials labour charges etc. for roof slab (inside &

out side)

690.00

m2

1600.00

10

m2

110400.00

12 Plastering with CM 1:4, 12 mm thick one coat including cost and

conveyance of all materials labour charges etc. (inside & out side)

##### m2 1550.00 10 m2 170500.00

13 Flooring with Ceramic floor tiles ISO Ist Quality 30cmsx30cms size over cment mortar 1:3 12mm thick and pointing with coloured cement, cleaning the surface, curing, etc., complete.

Ward

1

5.70

6.79

38.70

m2

Ward

1

6.00

6.79

40.74

m2

Changing room& operation theatre

2

3.60

5.33

38.38

m2

Stair room

24

1.68

0.45

18.14

m2

Landing

1

3.37

1.5

5.06

m2

Passage &Toilets

1

5.70

2.22

12.65

m2

Passage &Toilets

1

6.00

2.22

13.32

m2

Nurses duty room 1 2.80 3.64 10.19 m2

Doctors room 1 2.78 3.64 10.12 m2

Rooms 4 3.64 3.64 53.00 m2 Nurses station 1 1.96 3.64 7.13 m2 Passage 1 1.89 23.47 44.36 m2 Total

291.79

m2

Deduction

Inner walls Toilet walls

9

2.30

0.12

2.48

m2

4

2.20

0.12

1.06

m2

1

3.89

0.12

0.47

m2

2

1.80

0.12

0.43

m2

1

3.60

0.12

0.43

m2

Total 4.87 m2

Net quantity 286.92 m2 750.00 1 m2 215192.63

14 Dadoing walls with best glazed white or coloured tiles (200mmx200mm ISO first quality) 7.5mm thick or nearest in 12mm cement mortar 1:3 and pointing with coloured cement

Toilet walls 9 3.75 2.10 70.88 m2

4 3.65 2.10 30.66 m2

Nurses duty room 1 10.05 2.10 21.11 m2

Doctors room 1 10.03 2.10 21.06 m2

Rooms 4 11.81 2.10 99.20 m2

Nurses station 1 9.80 2.10 20.58 m2

Passage 1 35.42 2.10 74.38 m2

Ward 1 22.28 2.10 46.79 m2

Ward 1 22.88 2.10 48.05 m2

Operation theatre 1 13.70 2.10 28.77 m2

changing rooms 2 6.45 2.10 27.09 m2

changing rooms (out side) 1 4.33 2.10 9.09 m2

sterilisation room 1 9.20 2.10 19.32 m2

Total 516.98 m2

Deduction

Window W4 7 2.00 0.90 12.60 m2

Window W2 9 1.00 0.90 8.10 m2

Total 20.70 m2

Net quantity

496.28 m2

995.00 1 m2 493796.61

15 Providing M. S grills for windows or compound gates including all labour and hire charges for fabricating and cost of materials and applying a coat of iron Primer Materials.

Window W4 7 2.00 0.90 12.60 m2

Window W2 9 1.00 0.90 8.10 m2

Gate 1 1.89 2.10 3.97 m2

Hand rail for ramp 2 20.80 1.00 41.60 m2

66.27 m2

66.27@30kg/m2

1988.1

kg

8500.00

1

Qtl

168988.50

16 Whitewashing twocoats over plastered surfaces with white

cement including cost and

conveyance of all materials and labour charges, curing charges etc.

complete

#####

m2

150.00

10

m2

26850.00

17 water proof paint on under side of slab including cleaning and

scaffolding etc. complete

##### m2 500.00 10 m2 89500.00

18 Painting with synthetic enamel

paint on door and windows (frame and shutters) including priming

coat. Door D1 10x2.25 1.00 2.10 47.25 m2

DoorD2

16x2.25

0.75

2.10

56.70

m2

Window W4

7x1

2.00

1.50

21.00

m2

Window W2

9x1

1.00

1.50

13.50

m2

Ventilator

13x1

0.60

0.45

3.51

m2

Total

141.96

m2

700.00

10

m2

9937.20

RAMP

19 Earthwork excavation in hard soil

and depositng on bank with initial lead up to 50m and lift up to 1.5m including neat banking For column 8 1.00 1.00 1.00 8.00 m3 1800.00 10 m3 1440.00

20 Cement concrete 1:4:8, using 40mm (nominal size)hand broken stone including cost and conveyance of all materials, labour charges, curing charges, etc complete

For column

8

1.00

1.00

1.00

8.00

m3

3800.00

1

m3

30400.00

21 Reinforced cement concrete 1:11/2:3 , using 20mm nominal

size aggregate including all form works, watering, curing etc.


8 1.00 1.00 0.20 1.60 m3

8 (1.002+(0.43*0.33))/2 0.30 1.36 m3

Total 2.96 m3 115.00 10 dm3 34021.60

22 Reinforced cement concrete 1:11/2:3 , using 20mm nominal

size aggregate including all form works, watering, curing etc.


4

0.3

0.23

4.00

1.10 m3

4

0.3

0.23

6.00

1.66

m3

Total

2.76

m3

115.00

10

dm3

31740.00

23 Reinforced cement concrete 1:2:4 , using 20mm nominal size


complete but excluding cost of reinforcement ,

for beam 1 20.75 0.23 0.3 1.43 m3 114.00 10 dm3 16321.95




reinforcement ,

for slab

1

20.75

2.02

0.12

5.03 m3

100.00

10

dm3

50298.00

25 Reinforcement for RCC work bent,

tied and placed in position (plain grill requiring bending cold) using

Tore Steel including cost and conveyance of all materials labour

charges etc. complete. ##### kg 5400.00 1 Qtl 81000.00

Total 3316015.16

26 Fabrication work and other expenses LS 150000.00

27 WaterSupply & Electrifications

LS

232121.06

28 Sanitation

LS

165800.76

29 Landscaping & Road work etc

LS

300000.00

Unforseen items of work

136063.02

GrandTotal

4300000.00

Rupees Forty Three lakhs only

EQUIPMENTS AND FURNITURE NEEDED FOR OPERATION THEATRE

ITEM NUMBER RATE TOTAL COST

Operation theatre table 1 60000 60000

theatre LIGHTS 2 240000

Oxygen Cylinder 1 7000 7000

Cautery/Diathermy 1 17500 17500

Saline stand 2 1000 2000

Step stool 2 750 1500

Instrument trolley 4 6500 26000

Autoclave 1 150000 150000

Anaesthetic Equipment 100000 100000

Stool 2 2000 4000

Newborn radiant Warmer 1 33000 33000

Medicine trolley 1 14000 14000

Mounted BP Apparatus 1 2500 2500

New born resusctation kit 1 1500 1500

Baby Weighing machine 1 5000 5000

Oxygen Cylinder for baby 1 7000 7000

Suction Apparatus 2 7500 15000

Stretcher 2 6000 12000

recovery cots 2 3000 3000

Pulse oximeter with Cardiac monitor NIBP 1 125000 125000

LINEN 15000

Slipper rack 1 500 500

Rubber sheets 4 250 1000

Pillow 4 300 1200

Sand bag 1 500 500

Wardrobes 2 4000 8000

Chairs 4 500 2000

office table 1 2500 2500

reception chairs (4 seater) 1 4800 4800

INSTRUMENTS 60000

921500

EQUIPMENTS AND FURNITURE NEEDED FOR LABOUR ROOM


Labour Cot 1 30000 60000

Focus Lamp 1 30000 30000

stool 2 2500 5000


CTG Machine 1 150000 150000

Hand held Doppler 1 9000 9000

Observation cot 2 3000 3000

Newborn radiant warmer 1 33000 33000

Newborn rescitation kit 1 1500 1500

Oxygen cylinder 1 7000 7000

Patient dress 10

Nursing trolley 2 5000 10000

Bins 3 1000 3000

Suction Apparatus 2 7500 15000 Pulse Oximeter with Cardiac monitor NIBP 1 125000 125000

Mounted BP apparatus 1 2500 2500

Office table 1 2500 2500

chairs 2 500 1000

reception chairs(4 seater) 1 4800 4800

Vaccum apparatus 1

Forceps

Instruments 5000

469300

EQUIPMENTS AND FURNITURE NEEDED FOR WOMEN AND CHILDREN'S WARD


COTS 12 4000 48000

Mattresses 12 1000 12000

pillows 12 300 3600

Bed sheets 50 200 10000

by stander stools 12 200 2400

bedside locker 12 2000 24000

cupboard 1 6000 6000

Medicine Shelf 1 3000 3000



Bed pan 1 1000 1000

Nebuliser 1 3000 3000

Hotwater bag 1 300 300


Trays 5 500 2500

Dressing bins 4 500 2000

Bedside screen 1 3000 3000

Office table 1 2500 2500

Chair 2 500 1000

Instruments 2450 2500

143800

EQUIPMENTS AND FURNITURE NEEDED FOR MATERNITY WARD


COTS 12 4000 48000

Mattresses 12 1000 12000

pillows 12 300 3600

Bed sheets 50 200 10000

by stander stools 12 200 2400

bedside locker 12 2000 24000


Medicine Shelf 1 3000 3000



Bed pan 1 500 500

Urinal 1 500 500


Bedside screen 1 3000 3000


chair 2 500 1000

Instruments 15000

149500

EQUIPMENTS AND FURNITURE NEEDED FOR NEW BORN ROOM

ITEMS NUMBER RATE TOTAL COST

Radiant Warmer 2 33000 66000

Phototherapy unit 2 20000 40000

nursing trolley 1 5000 5000


medicine trolley 1 14000 14000


multi para monitor 1 125000 125000

chair 2 500 1000

259500

EQUIPMENTS AND FURNITURE NEEDED FOR POST OPERATIVE ROOM


Patient Cot 2 24000 48000

Pulse oximeter +Cardiac Monitor+NIBP 1 125000 125000

Saline Stand 4 1000 4000

stool 2 2000 4000

medicine trolley 1 14000 14000

nursing trolley 1 5000 5000

bedside table 1 2500 2500

reception chair (4 seater) 1 4800 4800

207300

Documents

SVMM Hospital Project