library - central council of indian medicine::...

LOICENTRAL COUNCIL OF INDIAN MEDICINE

NEW DELHI

PROFORMA TO BE FILLED UP BY THE VISITORS FOR INCREASE INTAKE CAPACITY IN UNDER GRADUATE/POST-GRADUATE COURSE IN

AYURVED COLLEGES

(Additional sheet may be enclosed as and where required)

PART –I

Section ‘A’

Date of visitation

Purpose of Visitation

Name of the College

Full Address with pin codeName of the State/UT Telephone No./Fax/E-mail

Name of the Managing BodyWith full addressTelephone No./Fax/E-mail

Whether Government/Grant-in-aid/private/ Statutory college of university

Year of Establishment of Society/Trust

Year of Establishment of College

Date & Year of the permission of the State Govt.

Whether permission of State Government is continuing, If yes please enclose the proof, otherwise college authorities may give a certificate in the form of affidavit regarding continuation of permission of State Government.(Proforma enclosed) Name of affiliating University

1Intake Capacity Proforma

Date & Year of affiliation

Whether affiliation of the University is Continuing, if yes please enclose the proof otherwise college authorities may give a certificate in the form of affidavit regarding continuation of affiliation of the University. (Proforma enclosed)

(Yes/No)

Date of last inspection by the University

Date and year of first permission of CCIM with intake capacity Name of the Principal with Qualifications and Experience Time Table (copy to be enclosed)

Presently the College, Hospital and Hostels are on its own land or lease, details be furnished as mentioned below :

Total Area of Land (in acres)

Total area of land allotted to the college (in acres)

Total area of land allotted to the hospital (in acres)

Total area of land allotted to the hostels (in

acres)

Girl’s

Boy’s

*Constructed Area of the college (in Sq.ft.)

*Constructed Area of the Hospital (in Sq.ft.)

*Constructed Area of the Hostel is (in Sq.ft.)

Financial Information

Year Total income receipt during last three years

Total expenditure receipt of last three years

2008-09

2009-10

2010-11

Attested audited Report to be enclosed


Details of the following to be provided: Previous Year (1st Jan- 31st Dec)

1. Salaries of teaching and non teaching Staff

2. Salaries of the Hospital Staff

3. Expenditure on Drugs

4. Expenditure on raw material for drugs

Administrative Block

Total Area in Sq. ft.

S.No. Name Area of the Space1. Office of the Principal2. Committee Room3. Account Section4. Administrative Section 5. Central Store Room

Status of the College with intake capacity(Courses being conducted)

UG:

PG:


Departments required as per norms of CCIM with area and Available Infrastructure for Teaching and Training

MAULIK SIDDHANT DEPARTMENT

Total Area of Dept. in sq. ft. ____________________________________________________

Details of Teaching staff

Designation Sitting space in Sq.ft.

Name Qualification Experience

Professor

Reader

Lecturer

Details of Non-teaching staff

Designation Name QualificationTypist/ Clerk

Peon

Details of Space in Sq.ft.

S.No. Name Available area in Sq.ft.1. Departmentall Library *(PG)2. Tutorial Room

No of books available in in Departmental Library

1. Ayurved2. Unani3. Siddha4. Modern Medicine5. Other


Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

___________________________________________________________________________________

2. RACHANA SHARIR

Total Area of Dept. in sq. ft.


Designation Sitting space Name Qualification ExperienceProfessor

Reader

Lecturer


Designation Name QualificationMuseum keeper

Typist

Peon

Lifter

Safaiwala


Details of Space in Sq. ft.

S. No. Name Available Area in Sq. ft.

1. Tutorial Room

2. Departmental Libarary (PG)

3. Museum

4. Dissection hall

5. Cadaver tank/ room

No of books available in Departmental Library


Number of specimens of human organs available(List be enclosed)Number of Dissection tablesNumber of Cadavers Available(Enclose Proof)Number of Cadavers dissected previous year


____________________________________________________________________________________

____________________________________________________________________________________

___________________________________________________________________________________


3. KRIYA SHARIR


Details of Teaching staff Designation Sitting space Name Qualification Experience Professor

Reader

Lecturer


Designation Name QualificationLab Assistant

Typist

Peon

Safaiwala



1. Departmentall Library (PG)2. Laboratory





____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________

4. DRAVYAGUNA

Total Area of Dept. in sq. ft. Details of Teaching staff Designation Sitting space Name Qualification ExperienceProfessor

Reader

Lecturer.



Museum keeper

Peon

Safaiwala



1. Tutorial Room

2. Departmental Library (PG)

3. Museum





____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________

5. RASASHASTRA & BHAISHAJYA KALPANA

Total Area in sq. ft.



Reader

Lecturer.



Museum keeper

Typist

Peon


SafaiwalaDetails of Space in Sq. ft.


1. Tutorial Room


3. Museum

4. Laboratory




____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________

6. ROG NIDAN




Reader

Lecturer




Typist

Peon

Safaiwala



1. Tutorial Room


3.. Laboratory




____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________


7. SWASTHAVRITTA


Details of Teaching staff Designation Sitting space Name Qualification ExperienceProfessor

Reader

Lecturer



Peon



1. Tutorial Room


2. Museum

3. Yoga Hall


1. Ayurved2. Unani3. Siddha4. Modern Medicine


5. Other


____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________

8. AGAD TANTRA & VIDHI AYURVED



Reader

Lecturer.



Peon



1. Tutorial Room



2. Museum




____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________

9. PRASUTI & STRIROGA




Reader

Lecturer


Designation Name QualificationTypist

Peon


Safaiwala



1. Tutorial Room


2. Museum




____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________

10. KAUMARBHRITYA



Reader

Lecturer1.2.


3.



Peon

Safaiwala



1. Tutorial Room




Observation of the visitor about establishment of the department, furniture, chart model, equipments/instrument,

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________


11. KAYACHIKITSA




Reader

Lecturer



Typist

Peon

Safaiwala



1. Tutorial Room



1. Ayurved2. Unani3. Siddha


4. Modern Medicine5. Other


____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________

12. SHALYA




Reader

Lecturer



Peon

Safaiwala



1. Tutorial Room



3. Museum

4. Ksharsutra Laboratory




____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________

13. SHALAKYA




Reader

Lecturer



Peon


Safaiwala



1. Tutorial Room


3. Museum




____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________

14. PANCHKARMA



Reader

Lecturer




Peon

Safaiwala



1. Tutorial Room


2. Museum




____________________________________________________________________________________

____________________________________________________________________________________

__________________________________________________________________________________


Number of existing teaching staff fo|eku f’k{kd oxZ dh l[;k

S.No.dze l[;k

DEPARTMENTfoHkkx

Professorizk/;kid

Readerizokpd

LecturerizoDrk

1. Samhita, Sanskrit & Siddhanta (one should be a Sanskrit Lecturer lafgrk] lLd`r ,oa fl)kar (,d laLd`r dk izoDrk gksuk pkfg,)

2. Rachana Sharira jpuk ’kkjhj

3. Kriya Sharira fdz;k ’kkjhj4. Dravyaguna

nzO; xq.k5. Rasashastra & Bhaishajyakalpana

jl ’kkL= ,oa HkS"kT; dYiuk6. Rognidana

jksxfunku7. Swastha Vritta

LoLFko`Rr8. Agadtantra & Vidhi Ayurved

vxnrU= ,o fod`fr foKku9. Striroga & Prasuti

izlwfr ,oa L=h jksx10. Kaumarbhritya

dkSekj Hk`R;11. Kayachikitsa

dk;fpfdRlk12. Shalya

’kY;13. Shalakya

’kkykD;


14. PanchkarmaiapdeZ

* Information of teaching staff appointed after last visitation be furnished separately as per enclosed profomra. Deletion should also be mentioned separately

Pay Scale of teachersf’k{kdksa ds osru

as per State govt. Yes/No UGC Yes/No

1. Professor izk/;kid

2. Reader izokpd

3. Lecturer izoDrk

Mode of Payment vnk;xh dh fof/kWhether PF/GPF scheme is existing or not D;k Hkfo"; fuf/k@lkekU; Hkfo"; fuf/k gS ;k ugha Promotion policy inksUufr uhfrNumber of teachers possessing Graduate Qualification but working as teachers prior to 1.7.89.Lukrd vgZrk/kkjh f’k{kdks dh la[;k

Number of teachers possessing Post-graduate Qualification. LukrdksRrj vgZrk/kkjh f’k{kdks dh la[;k Number of UG teachers appointed after 1.7.89 1-7-89 ds i'pkr~ fu;qDr Lukrdh; f’k{kdksa dh la[;kPayment of Pay and Allowances through bank/cash (please enclose proof)


mailto:fuf/k@lkekU

deZpkfj;ksa dks fn, tkus okys osru ,oa HkRrsa dh fdLe cSad vFkok uxn (izek.k izLrqr djsa)


PROFORMA TO FURNISH THE DETAILS OF TEACHING STAFF

S.No.

Name of teacher

Father’s Name Date of Birth

Designation Qualifications UG & PG level along with details of Awarding body & speciality of Post-graduate Course

Date ofAppointmen

t

Nature of appointment :

Regular/ reemployed

Details of experience inchronological order

iwoZ es izkIr vuqHko dk dzekuqlkj fooj.k

Department in which

teacher has been

appointed

Whether the appointment is in subject concerned

or in Allied subject as per CCIM norms

dz0la0

f’k{kd dk uke

firk@ifr dk uke

tUe frfFk in vgZrk,aiznk; fudk; ,oa

LukrdksRrjikB~;dzze ds fo"k; lfgr LukrdLukrdksRrj dh

vgZrk,a A

fu;qfDr frfFk

Duration

Designation

Name of the

college

foHkkx ftlesa f’k{kd

fVIi.kh dk dzekuqlkj fooj.k dh fu;qfDr

gqbZ gS A

Note: 1. Details of contractual teacher should also be furnished as per Proforma separately with documentary proof.

2. Please attach the verified copy of Under-graduate and Post-graduate degrees.d`i;k Lukrd ,oa LukrdksRrj mikf/k;ksa dh lR;kfir izfr layXu djsa A

3. Full name of the teacher and fathers should be mentioned.


mailto:firk@ifr

PROFORMA TO FURNISH THE SALARY DETAILS OF TEACHING STAFF

1. S.No.

2.Name of teacher

3. Designation

4. Pay Scale

5. Basic Pay

1. DA & Other allowances

2. DeductionGPF /CPF / IT

8. Gross Pay 9. Net pay 10. Contact No.


PROFORMA TO FURNISH THE DETAILS OF OTHER STAFF (Other than teaching staff)

Name of Employee

Father’s Name Qualification Date of appointment Designation Name of Department

1 2 3 4 5 6


PROFORMA TO FURNISH THE SALARIES DETAILS OF OTHER STAFF (Other than teaching staff)

1. S.No. 2. Name of the employee

3. Designation 4. Scale of pay

5. Basic Pay 6. DA & Other allowances

7. Deduction 8. Gross Pay 9. Net pay


LIBRARY iqLrdky;

Area of Library (in Sq.ft.)

1. Number of Rooms/Halls

Number of books available miyC/k iqLrdksa dh la[;k(List of books be enclosed)

a)Ayurved Unani Siddha d½ vk;qosZn

;wukuh fl)[k) Modern vk/kqfudx) Others vU;Total dqy 2. Journals/Magazines being subscribed vfHknRr if=dk@eSxt+huAyurvedic/Unani/Siddha vk;qosZn@;wukuh@fl)Modern Medicine vk/kqfud fpfdRlkOther vU;3. Seating arrangements in reading room iBu d{k esa cSBus dk izcU/k4. Working hours

5. Staff dkfeZd

Librarian iqLrdky;k/;{kAsst. Librarian iqLrdky; ifjpj@vuqlsodLibrary Attendant/Peon iqLrdky;

6. Purchase of books in last academic year Number and cost of the books (List to be enclosed)7. Facilities available in the library

a. E-library – number of computerswith printer and internet facility

b. Photocopying machine and printer

c. Drinking (Filtered) water facility


mailto:ifjpj@vuqlsod

mailto:if%3Ddk@eSxt+hu

d. Separate toilet for boys & girls

e. Separate reading room for Faculty members

8. Any other Remarks vU; dksbZ fVIi.kh

Students Hostel Nk=kokli) Building Hkou Own/Rented/lease

futh@fdjk, dk Constructed area of boys hostel

Constructed area of girls hostel

No. of rooms available for Boys

No. of rooms available for Girls

ii) Number of seats available in Boys hostel

Nk=kasaa ds Nk=kokl esa miyC/k LFkkuiii) Number of seats available in Girls

hostel Nk=kvksasaa ds Nk=kokl esa miyC/k LFkku

iv) Mess facility available Yes/NojlksbZ vkfn dh lqfo/kk gS@ugh

v) Reading room

vi) Any other remarks vU; dksbZ fVIi.kh

PHARMACY

Building Area in Sq.ft. Own/Lease

Staff Name of the post Name QualificationSuperintendent (HOD


mailto:futh@fdjk

Rasashastra)Deputy Superintendent (M.D. Rasashastra /Bhaisajya kalpana/ Dravya guna)Machine Operator

Labour (Number)

Attach the list of equipments

List of Prepared Medicines with quantity during last year

Brief description of Pharmacy of the college about its functioning including various preparations, raw materials, turnover and annual budget etc. ikB~;fooj.k ds vuqlkj fofHkUu feJ.k rS;kj djus dh O;oLFkk ds lEcU/k es egkfo|ky; dh vkS"k/k fuekZ.k iz;ksx’kkyk dk laf{kIr fooj.k

HERBAL GARDENoukS"kf/k m|ku

i) Area {ks=Qy (in acre)ii) Number of Plants with name and

number of species (List to be enclosed)

iii) Plant Nursery details

iv) Available Irrigation facility

v) Staff dkfeZd (List to be enclosed)

(i) _________________________(ii) _________________________(iii) _________________________(iv) __________________________

vi) vi) Remarks fVIi.kh

CLASS ROOMS


Class Room Area in Sq.ft. Seating capacity Available facilities

AuditoriumArea in Sq. ft.

Seating capacity

Available facilities

Staff Room

Area in Sq. ft.


Girls Common Room

Area in Sq. ft.


Boys Common Room

Area in Sq. ft.


Sports and Games Facility

1. Indoor Games Facilities

2. Outdoor Games Facility


3. Play ground (Area in Sq. ft.)

4. Store Room (Area in Sq. ft.)

Canteen

Area in Sq. ft. Seating capacity

Transport Facility :

1. Students own/hired

2. Staff own/hired

Section ‘C’

HOSPITAL vLirky

1. Reception and Enquiry

2. Registration counter

3. Office of Medical Superintendent/ Medical Deputy Superintendent

4. RMO Room

OPD Section

2.. Name of OPD Sections

S. no.

Name of Department

Area (Sq. ft.)

Facility Available (Equipment, Instrument, Furniture etc)

Number

1. Kayachikitsa View Box BP Instrument Stethoscope Sitting arrangement for

internees/students


Examination Table Thermometer Tongue depressor Cotton balls Torch

Measuring tape Weight and height

measuring stand Hammer

2. Shalya Hand washing facility Drainage facility Minor OT Instruments for anorectal

examination Examination Table BP instrument Surgical Blades Cotton balls Gauze pieces View Box Stethoscope Sitting arrangement for

internees/students Cheetle’s forceps Torch

3. Shalakaya Tuning fork Ophthalmoscope/

fundoscope Auroscope Examination Table View Box BP Instrument Stethoscope Sitting arrangement for

internees/students ENT kit Torch Bull`s lamp

4. Prasuti & Sri Roga

Weighing machine Sim’s speculum Cusco’s speculum Examination Table Lamp stand Torch View Box BP Instrument Stethoscope Sitting arrangement for

internees/students


Measuring tape5. Bal Roga Scale

Weighing machine Torch View Box BP Instrument Stethoscope

Sitting arrangement for internees/students

6. Panchkarma As per kayachikitsa

NUMBER OF PATIENTS ATTENDED OPD (Jan. 2011 onward)(Note:- Patients of Medical Camp OPD should not be included)

S.No. Month Information to be filled up by college Verification of information by Visitors as correct / Not

Kayachikitsa Shalya Shalakya Prasuti & Stri Roga

Bal Roga

Panchkarma Swasthya Rakshan

1. Jan. 2. Feb.3. March.4. April5. May6. June7. July8. August9. Sept.10. Oct.11. Nov.12. DecTotal Grand total

DETAILS OF IPD PATIENTS (Jan. 2011 onward)

1. Total Number of Patients Admitted January 2011 onwardS .No. Month Information to be filled up by college Verification of information by

Visitors as correct / NotKayachikitsa Shalya Shalakya Prasuti & Stri Roga

Bal Roga

Panchkarma

1. Jan. 2. Feb.3. March.4. April5. May6. June7. July8. August9. Sept.10. Oct.11. Nov.12. Dec


Total Grand total

2. Total Number of Bed Days OccupiedS.No. Month Information to be filled up by college Verification of information

by Visitors as correct / NotKayachikitsa Shalya Shalakya Prasuti & Stri Roga Bal Roga Panchkarma

1. Jan. 2. Feb.3. March.4. April5. May6. June7. July8. August9. Sept.10. Oct.11. Nov.12. DecTotal Grand total

Note:- To calculate total number of bed days occupied of the months please calculate the date wise total number of patients, remained on bed at midnight.

IPD SECTIONS WITH BED STRENGTHName of the Department % of Bed Distribution

as per CCIM normsNumber of Existing Bed strength (To be filled up by college)

Verification of information by Visitors as correct / Not

(i) Kayachikitsa & Panchkarma 40%

(ii) Shalya 10%

(iii) Shalakya 10%

(iv) Prasuti & Striroga 10%

(v) Bal Roga 10%

(vi) Others 20%

Total Number of Beds

Note: Visitors while verifying the information of fully functional hospital along with the genuineness of the working of the hospital should verify following documents and should provide following certification.

*** A. For IPD Status:

IPD & OPD registers Case Sheet of IPD patients Discharge cards of IPD patients Cash receipts of each collected for Lab and other investigations of IPD patients.


Bank document of depositing the daily cash collected from IPD and lab investigation etc. are not available at the time of hearing.

Lab register Nursing register IPD medicine, Indent register is not maintained because all the medicines prescribed

are to be bought from outside. Duty roster of nursing staff Duty roster of Doctors Diet register Any other relevant document/record

S.No Records/documents to be examined

Available / NA Correlation with IPD register

Remarks(Separate sheet may attached for recording the observations)

1. Number and name of the IPD wards alongwith the number of beds

2. Original IPD Case sheets

3. Discharge Cards

4. IP Medicine indent register

5. Nursing staff duty roster

6. Doctors duty roster

7. IP diet register

8. Cash receipts for IPD charges/lab charges

B. For OPD Status:

OPD Register Dispensing Register Investigations register-Lab/X-ray Cash Receipts Doctors attendance

The OPD & IPD register should be examined alongwith other registers to find a co-relation in the entries in all the registers and relation with the original case papers.

S.No Records/documents to be examined

Available / NA Correlation with OPD register

Remarks(Separate sheet may attached for recording the observations)

1. Number and name of the OPD departments

2. Original OPD Case Register3. OPD Medicine Dispensing

Register4. Nursing staff duty roster


5. Doctors duty roster6. OPD Investigation Register7. Cash receipts for OPD

charges/lab charges

Certification by Visitation team:

The IPD registers are/not properly printed with hospital name, are maintained/not maintained properly. IPD registers have entry of – patients name/OPD registration number/IPD registration number /DOA/DOD/diagnosis/name of treating doctor/brief of treatment given/signature of attending doctor. The IPD register are certified, signed and authenticated by superintendant/Dy. superintendant/ Principal. Above listed registers/ documents examined in relation with entries in IPD register and found/not found correlating and are/ not satisfactory. In view of the above observations I am of the opinion that the college hospital is/not genuinely functional hospital and figures of IPD bed occupancy of ______% during last one year as reported by the college hospital appears to be acceptable/not acceptable.

Signature of CCIM visitation team

1. Casualty

Area (Sq. ft.)

No. of Beds Facility Available (Equipment, Instrument, Furniture etc)

2. Yoga Section (Swasth Rakhshan)

Area (Sq. ft.) Facility Available (Equipment, Instrument, Furniture etc)

3. Minor OT


DISPENSARY

Area of Store room of Drugs in sq. ft Area of dispensary Details of quantity with name of drugs dispensed during last year1.


2.3.4.

Medical Record Room (Area in Sq.ft.)

IPD Sections with bed strength

Name of the Department Bed strength(i)

(ii)

(iii)

(iv)

(v)

(vi)

(vii)

Total

No. of wards/ Hall/ rooms in IPD

Total number of patients admitted in IPD during previous year**Average bed occupancy during previous year

(1st Jan, 2011 to till date)Other Available facilities in IPD Section (Enclose List) **(Bed occupancy should be calculated on formula i.e.Number of bed days occupied x 100Total Number of Beds x 365

Hospital Staff (OPD and IPD)

STAFF

S.No. Name of the Post Name Qualification1 Superintendent (Principal or Dean

of the college may also be ex-officio) v/kh{kd ()

2 Deputy Superintendentmi v/kh{kd


1 Physician All Professors, Readers & Lecturers of Clinical Subjects

2 Vaidya (for OPD) (6)3 Casualty Medical Officer (3)

4 Pharmacist(for OPD) (2)5 Nurse (for OPD) (2) + (1for Gynae OPD)6 Dressers(for OPD) (2)7 Ward Boy/Attendents (for OPD) (2)8 Clerk (for OPD) (2)9 Safaiwala (for OPD) (2) or on contact basis

IPD Number available in the Hospital

Medical Specialist (cardiologist)

1 Part time

1 Surgeon 1 Part time2 Gynaecologist 1 Part time3 Radiologist 1 Part time4 Pathologist 1 Part time5 Anesthetist 1 Part time/on

call6 X-ray technician 1 7 Clinical Registrar 1 for each clinical

deptt.8 RMO 19 House Officer/PG

student 1 for 20 beds

10 Matron/Nursing Superintendent

1

11 Asstt. Matron 1 for 100 beds12 Staff Nurse 1 for 10 beds13 Ward boy/Ayah/ANM 1 for 10 beds

14 Pharmacist 215 Store Keeper 116 Head Clerk 117 Cook 1 for 50 beds18 Kitchen Attendant/

Cook 1 for 25 beds


19 Plumber On contract basis 20 Watch Men 4 or on contract

basis21 Lift men for

multistoried building

4 or on contract basis

22 Electrician 1 (part time)23 Dark Room Attendant 124 Operation Theatre

Attendant2

25 Labour Room Attendant

2

26 Safaiwala 1 for 25 beds or on contract basis

27 Statistician part time28 Photographer part time

NOTE:- DETAIL INFORMATION OF HOSPITAL STAFF BE FURNISHED AS PER ANNEXURE –VII

***Note: To ascertain the availability of actual numbers of Hospital Staff/other staff in the College, visitors after verification of the following records should filled up correct information and should provide the certification:-

1. Documents to be examined: Acquaintance Roll Attendance register Personal file Duty Roster Attendance of Hospital staff through Biometric Machine Identity Card

2. Observation of the visitors:

S.No. Document to be examined Available for number of teachers Remarks

1. Attendance Register2. Acquaintance Roll3. Personal file4. Duty Roster5. Attendance of hospital staff through

Biometric Machine6. Identity Card

Certification by visitation team:

Above listed documents and registers are examined thoroughly in relation to list of available number of hospital staff submitted by the college. On examining all the above documents, the visitor certifies that the names of teachers mentioned in the list are/not correlating with other documents listed above. On the basis of all the above documents the visitor certifies that college is having _______ number of hospital staff.


Signature of CCIM visitation team

Clinical Pathology & Bio Chemistry Lab


Details of investigations performed

Other facilities available in the Hospital

X-Ray please mention the M.A.ECGUSG

Number of X-Rays, ECG and USG done during previous year (Ist Jan. to 31st Dec.)(Enclose the supporting Document)

Panchkarma Department

S.No. Staff Name Qualification

1. Panchkarma Specialist Teachers of the subject

2. Panchkarma Vaidya 1 Male

1 Female

3. Panchkarma Nurse 2

4. Panchkarma Technician 2

5. Panchkarma Assistant 2 Male

2 Female

6. Physiotherapist 1

7. Safaiwala 2

Poorv Karma


Snehan

Swedan

Main Karma`s being carried out

Total no. carried out during previous year (Ist Jan. to 31st

Dec.)

Vaman oeuVirechana fojspuVasti ofLrNasya uL;Rakta Mokshana jDr eks{k.kAgni Karma vfXudeZ

Details of Instruments:;a=ksa dk C;kSjk

Number of Instruments;a=ksa dh la[;k

Droni nzks.kh (2)

Vastiyantra ofLr;a= (6)

Hot Plates gkWV IysV (2)

Gyser xhtj (2)

Avgahan Yantra voxkgu ;a=(2)

Swedan Yantra Losnu ;a= (2)

Shirodhara Yantra f’kjks/kkjk ;a=(2)

b- Brief description laf{kIr fooj.k ____________________________

Labour Room

Area (600 Sq.ft.)


Waiting Room with attached Toilet

Labour Room

Facilities for Neonatal care

Other Available Facilities, Equipments, InstrumentsNumber of Deliveries performed during previous year (1st Jan, 2011 to till date) (Enclose list)

Operation Theatre

Area (in Sq. ft.)

Air conditioning

Pre operative Room with attached toilet

Sterilization room – ASV

Changing and wash room with attached toilet

Exit/Not

Operation theater (Area in Sq.ft.)

Recovery Room (Area in Sq.ft.)

Number of operations done during the previous year (1st Jan, 2011 to till date)(Enclose list)Number of patients treated by Kshar Sutra

application (Enclose list)

Details of Available equipments, Instruments and other facilities in Operation theatreFumigation Details

Ambulance

Shortcomings informed by Govt. of India

Compliance submitted by the college

Observations of the visitors


Overall observations of the visitors1. About Teaching staff

2. About Non-Teaching staff

3. About Departments

4. About Dissection Hall

5. About Physiology Lab


6. About Pathology Lab

7. About Rasashastra

Bhaishajya Kalpana Lab

8. About Pharmacy

9. Hospital OPD

10. About IPD

11. About OT

12 About Panchkarma


13 About Khsharsutra

14. About Labour room

15 Hospital in General

16 College in General

17. Condition of building

(a) College

(b) Hospital

18. Financial capability to

meet out the additional expenditure for increase intake capacity of UG/PG Course in Ayurved Collegesa) Cash in hand (in

figure)


b) Funds available with the Society for establishment of Ayurved College particularly ( figure)

c) Details other Assets of any form for the purpose

a. whether the Ayurved college for increasing intake capacity be in a position to offer the minimum standards of medical education as prescribed by the Central Council

(d)

D;k izLrkfor fpfdRlk egkfo|ky;] tks izos’k {kerk c<+kus dk bPNqd gS] dsUnzh; ifj"kn }kjk ;Fkkfofgr fpfdRlk f’k{kk ds U;wure ekudksa dks izLFkkfir djus dh fLFkfr esa gksxk rdZ lfgr%

b. whether necessary facilities in respect of staff, equipment, accommodation, training, hospital or other facilities to ensure proper functioning of the medical college for proposed increasing intake capacity have been provided or would be provided within the time-limit specified in the scheme with justification;

([k)

D;k deZpkfjo`Un] miLdj] okl&lqfo/kk] izf’k{k.k] vLirky dh ckcr vko’;d lqfo/kk,a ;k fpfdRlk egkfo|ky; ds mfpr dk;Zdj.k ;k of?kZr izos’k {kerk ds mfpr izca/k dks lqfuf’pr djus ds fy, vU; lqfo/kk,a miyc/k djkbZ xbZ gSa ;k Ldhe esa fofufnZ"V le;&lhek ds Hkhrj miyC/k djk nh tk,axh rdZ lfgr %

c. whether adequate hospital facilities, having regard to the number of students likely to attend such medical college or course of study or training have been provided or would be provided within the time-limit


specified in the scheme with justification;

(x) D;k ,sls fpfdRlk egkfo|ky; ;k ikB~;dze ;k izf’k{k.k esa izos’k ysus okys laHkkfor Nk=ksa dh la[;k dks /;ku esa j[krs gq, vLirky dh Ik;kZIr lqfo/kk,a miyC/k djkbZ xbZ gSa ;k Ldhe esa fofufnZ"V le; &lhek ds Hkhrj miyC/k djkbZ tk,xh rdZ lfgr% %

d. whether any arrangement has been made or programme drawn to impart proper training to students likely to attend medical college or the course of study or training by persons having recognized medical qualifications with justification;

(?k)

D;k fpfdRlk egkfo|ky; ikB~;dze ;k izf’k{k.k esa ekU;rkizkIr fpfdRlk vgZrkizkIr O;fDr;ksa }kjk izf’k{k.k esa Hkkx ysus okys laHkkfor fo|kfFkZ;ksa dks leqfpr izf’k{k.k nsus ds fy, dksbZ bartke fd;k x;k gS ;k dksbZ dk;Zdze rS;kj fd;k x;k gS rdZ lfgr% %

e. whether the applicant fulfils the eligibility and qualifying criteria;

(M+)

D;k vkosnd ik=rk vkSj vgZd ekun.Mksa dks iwjk djrk gS A

f. whether the applicant has a feasible and time bound expansion programme to provide additional beds and infrastructure facilities as specified by the Central Council, by way of up-gradation of the existing Hospital or by way of establishment of new Hospital in the same College campus or both so as to collectively provide the specified bed complement within a stipulated period

(p) fd vkosnd fo|eku vLirky ds mUu;u vFkok egkfo|ky; ds izkax.k esa gh u;k vLirky LFkkfir djus vFkok nksuksa ds ek/;e ls dsUnzh; ifj"kn~


}kjk fofufnZ"V vfrfjDr ’k;~;kvksa rFkk volajpfud lqfo/kkvksa dks vuqekfur le; esa iwjk djus ’kD; rFkk le;c) dk;Zdze j[krk gS A

g. whether the applicant has necessary managerial and financial capabilities to proposed increasing intake capacity and to maintain the same with ancillary facilities including a teaching Hospital;

(N)

fd vkosnd ds ikl izLrkfor egkfo|ky; dks LFkkfir djus ,oa cuk, j[kus ds fy, vko’;d izcU/kh; ,oa foRrh; {kerk rFkk f’k{k.k vLirky lfgr lgk;d lg;ksxh lqfo/kk,a gSa A

h. whether the applicant has a feasible and time bound programme for recruitment of faculty and staff as per prescribed norms of the Central Council and that the necessary posts stand created to additional requirement for proposed increasing intake capacity

(t) fd vkosnd ds ikl izLrkfor izos’k {kerk dh vfrfjDr vko’;drkuqlkj dsUnzh; ifj"kn }kjk fofgr ekun.Mksa ds vuq:i ladk; vkSj LVkQ dh HkrhZ ds fy, mfpr vkSj le;c) dk;Zdze gS A

i. whether the applicant has not admitted any students against the proposed increasing intake capacity prior to permission. If so, details thereof;

(>)

fd vkosnd us izLrkofr izos’k {kerk dh o`f) gsrq fdlh Nk= dks izos’k fn;k gS ;k ugh A ;fn fn;k gS rks mldk fooj.k A

j. deficiencies, if any, in the infrastructure or faculty. (be pointed out indicating whether these are remediable or not)

(¥) volajpuk vFkok ladk; esa D;k dksbZ dfe;ka gSa (vkSj ;g Hkh bafxr djsa fd os


nwj gksus ;ksX; gSa ;k ugha )

(1) For issue of Letter of Intent to increase intake capacity, following are pre-requisites for the applicant/college:-

(a) Action has been initiated to increase the bed strength to maintain student bed ratio i.e. 1:2 of hospital with all requisite instruments, equipment etc.

(b) Action has been initiated to appoint the additional teaching and other staff for additional seats as per requirement of CCIM.

(c) Construction of hospital and college building to provide additional accommodation for hospital teaching and other staff, class room, laboratories, dissection hall, library and requirements of equipment, instrument etc. to meet the additional requirements.

(d) Action has been initiated for rational increase of hostel accommodation.

(e) Action has been initiated to increase the number of books in the Library.

Name of Visitors Signature1.

2.

4.

Place LFkku …………………………….

Date frfFk ……………………………..***********
