GOVERNMENT OF KARNATAKA
No, HFW 94 CGE 2008 Karnataka Government Secretariat,
Vikasa Soudha,
Bangalore, dated. 10th November 2009
NOTIFICATION
In exercise of the powers conferred by sub-section (2) of Section 1 of the Karnataka Private Medical Establishments Act. 2007 (Karnataka Act No.21 of 2007), the Government of Karnataka hereby appoints the 10th day of November, 2009 as the date on which all provisions of the said Act shall come into force.
By Order and in the name of the
Governor of Karnataka
(K. S. SAROJAMMA)
Under Secretary to Government,
Department of Health & Family Welfare.
To:
1. Commissioner, Health & Family Welfare Services, Anandarao Circle,
Bangalore-09.
2. Director, Health & Family Welfare Services, Anandarao Circle.,
Bangalore-09.
3. Director Indian System of Medicine and Homeopathy.
4. All District Health & Family Welfare Officers.
5. All Deputy Commissioners.
Copy to:
The Compiler, Karnataka Official Gazette, Bangalore -with a request to publish. in the Official Gazette and send 500 copies of the same.
KA/BG·GPO/2515/WPP-47/2006-2008
C¢üPÀÈvÀªÁV ¥ÀæPÀn¸À¯ÁzÀÄzÀÄ
«±ÉÃμÀ ¥ÀwæPÉ
¨sÁUÀ-IV-A
¨ÉAUÀ¼ÀÆgÀÄ, §ÄzsÀªÁgÀ, d£ÀªÀj 23, 2008 (ªÀiÁWÀ 3, ±ÀPÀ ªÀμÀð 1929
£ÀA.55
Parliamentary Affairs and Legislation Secretariat
NOTIFICATION
No.SAMVYASHAE 60 SHASANA 2005, Bangalore, dated: 23rd January, 2008
Ordered that the translation of the PÀ£ÁðlPÀ SÁ¸ÀV ªÉÊzÀåQÃAiÀÄ ¸ÀA¸ÉÜUÀ¼À C¢ü¤AiÀĪÀÄ, 2007 (2007gÀ PÀ£ÁðlPÀ C¢ü¤AiÀĪÀÄ ¸ÀASÉå: 21) in the English language. be published as authorised by the Governor of Karnataka under clause (3) of Article 348 of the constitution of India in the Karnataka Gazette for general information.
The following translation of the PÀ£ÁðlPÀ SÁ¸ÀV ªÉÊzÀåQÃAiÀÄ ¸ÀA¸ÉÜUÀ¼À C¢ü¤AiÀĪÀÄ, 2007 (2007gÀ PÀ£ÁðlPÀ C¢ü¤AiÀĪÀÄ ¸ÀASÉå: 21) in the English language is published in the Official Gazette under the authority of the Governor of Karnataka under clause (3) of Article 348 of the Constitution of India.
KARNATAKA ACT NO.21 OF 2007
(First Published in the Karnataka Gazette Extra-ordinary on the sixteenth day of August, 2007)
THE KARNATAKA PRIVATE MEDICAL ESTABLISHMENTS ACT, 2007
(Received the assent of the Governor on the thirteenth day of August, 2007)
An Act to provide for the Promotion and Monitoring of Private Medical Establishments in the State of Karnataka and matters connected therewith or incidental thereto.
Whereas, it is expedient in the public interest to promote quality health care and monitor by law the running of Private Medical Establishments in the State by stipulating minimum standards for quality of service in keeping with the principles of medical ethics.
Be it enacted by the Karnataka State Legislature in the Fifty-eighth year of the Republic of India, as follows:-
1. Short title and commencement.- 1) This Act may be called the Karnataka Private Medical Establishments Act, 2007.
(2) It shall come into force on such date as the State Government may. by notification, appoint and different dates may be appointed for different provisions of the Act:
2. Definitions.- In this Act. unless the context otherwise requires,
(a) 'Appellate Authority' means the Appellate Authority referred to in section 16;
(b) 'Appointed day' means the date appointed under sub-section (2) of section l;
(c) 'Clinical Laboratory' means an establishment where.- .
(i) biological (pathological), bacteriological, radiological, microscopic. Chemical or other tests, examinations or analysis; or
(ii) the preparation of cultures, vaccines, serums or other biological or bacteriological products in connection with the diagnosis or treatment of diseases. are or is usually carried out;
(d) "Clinical record'" means any paper, film , printout, slide, solution or medium which can be deciphered or used indicate and diagnose condition of the human body. or a part of it or any material taken out of it and the course of treatment administered to or undergone by the person
(e) "Department`` means the Department of Health and Family Welfare or the Department of Indian Systems of Medicine and Homeopathy, Government of Karnataka, as the case may be;
(f) "Family member" means husband or wife or any son, daughter or any other legal heir or legal guardian irrespective of their age;
(g) "Hygienic" means a condition congenial for good health;
(h) "Local Inspection .Committee" means. Local Inspection Committee constituted under section 8;
(i) "Manager" in relation to a Private Medical Establishment means the person. by whatever name or designation called, who is in charge of, or is entrusted with, the management or running of the Private Medical Establishment;
(j) "Maternity Home" means an Establishment where women are usually received or accommodated or both, for the purpose of confinement and antenatal or post-natal care in connection with child-birth and includes an establishment where women are received. or accommodated for the purpose of sterilization or medical termination of pregnancy;
(k) 'Medical Practitioner' means a medical practitioner registered under the Homeopathic Practitioners Act, 1961 (Karnataka Act 35 of 1961), Ayurvedic, Naturopathy, Sidda, Unani or Yoga Practitioners Registration and Medical Practitioners Miscellaneous Provisions Act, 1961 (Karnataka Act 9 of 1962),Medical Registration Act, 1961 (Karnataka Act 34 of 1961), Indian Medicine Central Council Act, 1970 (Central Act 48 of 1970), Homeopathy Central Council Act, 1978 (Central Act 59 of 1973) and Medical Council Act, 1956 (Central Act 102 of 1956) to practice the system of medicine which he has studied, qualified and registered and includes a Dentist registered under the Dentists Act, 1948 (Central Act 16 of 1948);
(l) "Medical treatment" means systematic diagnosis and treatment for prevention or cure of any disease, or to improve the condition of health of any person through allopathic or any other recognised systems of medicine such as Ayurveda. Unani, Homeopathy, Yoga, Naturopathy and Siddha; and includes Acupuncture and Acupressure treatments;
(m) "Nursing Home” means an establishment where persons suffering from illness, injury or infirmity (whether of body or mind) are usually received or accommodated or both for the purpose of treatment of diseases or infirmity or for improvement of health or for the purposes of relaxation or for any other purpose whatsoever, whether or not analogous to the purposes mentioned in clause (l) of this section;
(n) "Private Medical Establishment" means a hospital or dispensary with beds or without beds. a Nursing Home. Clinical Laboratory, Diagnostic Centre. Maternity Home. Blood Bank, Radiological Centre, Scanning Centre, Physiotherapy Centre. Clinic. Polyclinic, Consultation Centre and such other establishments by whatever name called where investigation, diagnosis and preventive or curative. or rehabilitative medical treatment
facilities are provided to the public and includes Voluntary or Private Establishments but does not include Medical Establishments run or maintained or sponsored by -
(i) the State Government or a Local Authority or other Statutory body;
(ii) the Public Sector undertakings owned or controlled by the State or Central Government;
(iii) autonomous institutions owned or controlled by the State or Central Government;
(iv) a Co-operative Society registered under the Karnataka Co-:operative Societies Act. 1959 in which more than fifty percent of shares are held by the State or Central Government or both:
(v) a Society registered under the Karnataka Societies Registration Act, 1960 and which is owned or controlled by the State or Central Government;
(vi) a trust owned or managed by the State or Central Government or any Local Authority.
(o) "Physiotherapy establishment" includes an establishment where massaging, hydro-therapy, remedial gymnastics or Similar work is usually carried on, for the purpose of treatment of diseases or infirmity or for improvement of health or for the purposes of relaxation or for any other purpose whatsoever, whether or not analogous to the purposes mentioned in clause (1) of this section;
(p) "Public Authority" means an Authority established by or under any law.
(q) "Registration" means registration granted under section 7;
(r) "Registration Authority" means the Registration Authority referred to in section 4.
3. Registration of Private Medical Establishments:- On and after the appointed day, no Private Medical Establishment shall be established, run or maintained in the State except under and in accordance with the terms and conditions of registration granted under this Act:
Provided that a Private Medical Establishment in existence immediately prior to the appointed day shall apply for such registration within ninety days from the appointed day and pending orders thereon may continue to run or maintain till the disposal of the application.
4. Registration Authority:- There shall be a Registration Authority in each district consisting of the following members, namely:(
a) The Deputy Commissioner of the district. -- Chairman
(b) District Health and Family Welfare Officer -- Member
(e) President/Secretary, Indian Medical -- Member Association of the concerned district
5. Application for. Registration.- (1) Every person desiring to establish, run, maintain or continue to run and maintain a Private Medical Establishment shall make an application to the concerned Registration Authority in such form, in such manner and along with such fees as may be prescribed and different amount of fees may be prescribed, for different class or classes of Private Medical Establishments.
6. Pre-requisites for Registration of Private Medical Establishments:- The Registration Authority shall before granting the registration consider whether the following prerequisites for registration of a Private Medical Establishments are satisfied, namely :-
(i) that the premises housing the Private Medical Establishment is located in hygienic surroundings and otherwise suitable for the purpose for which it is established or sought to be established;
(ii) that the Private Medical Establishment is adequately staffed with qualified doctors, qualified and trained para medical personnel;
(iii) that the Private Medical Establishment has the necessary buildings with adequate space for performing its various functions, equipments and other infrastructure facilities;
(iv) that the Private Medical Establishment conforms to the standards referred to in section 9;
(v) such other factors as may be prescribed.
7. Disposal of applications: - (1) On receipt of an application under section 5, the Registration Authority may having regard to the provisions of section 6 and after such enquiry as may be necessary, by Local Inspection Committee, either grant registration subject to such conditions as may be prescribed or reject the application:
Provided that the Registration Authority shall not reject the application without giving an opportunity of being heard to the applicant and without recording the reasons for such rejection.
(2) Every order passed under sub-section (1) shall be communicated to the applicant forthwith.
(3) Every registration granted under Sub-section (1) shall be valid for a period of five years and may be renewed once in five years on an application made in such form, in such manner and on payment of such fees, as may be prescribed.
8. Local Inspection Committee:- (1) The Registration Authority of each district may constitute one or more Local Inspection Committee for each district consisting of such persons as it may specify for the purposes specified in sub-sections (l) of section 7 and sub-section (2) of this section.
(2) The Local Inspection Committee, either with prior intimation or on receiving a complaint. may at reasonable time, inspect, a Private Medical Establishment to satisfy itself that the provisions of this Act and the rules made there under and the conditions of registration are being duly observed.
(3) If any defects or deficiencies are noticed during inspection, the Local Inspection Committee shall report to the Registration Authority which may direct the Manager of the Private Medical Establishment to remedy the same within such reasonable time as may be specified in the order. Thereupon the Manager shall comply with every such direction and report the compliance to the Registration Authority within the time so specified.
(4) The Manager of the Private Medical Establishment shall provide all reasonable facilities for such inspection.
9. Standards:- (1) Every Private Medical Establishment shall conform to the standards laid down in this Act or the rules made there under or any other law for the time being in force concerning the staff and their qualifications, operation theatre, buildings, space requirements, equipment, facilities to be provided to the patients and their attendants. maintenance and other matters:
(2) Different standards may be set for different class or classes of Private Medical. Establishments, in respect of different areas, as determined by the State Government. Expert Committees may be constituted by the State Government for suggesting the standards for different class or classes of Private Medical Establishment for different areas from time to time. The composition, powers and responsibilities of the Expert Committees and the terms and conditions of service of members of the Expert Committee shall be as may be prescribed.
10. Schedule of charges to be notified:- (1) Every Private Medical Establishment shall for the information of the patients and general public make available the schedule of charges payable for different medical treatment and other services. in the form of brochures or booklets and shall also display such schedule of charges on the notice board of the private Medical Establishment. A copy of such brochure or booklet shall be sent to the Registration Authority.
(2) No Private Medical Establishment shall collect from the patient or his relatives or attendants any amount in excess of the charges printed in the brochure or booklet, and without issuing proper receipt for the amount charged and collected.
11. Obligations of Private Medical Establishments:- Every Private Medical Establishment shall:(
i) administer necessary first aid and take other life saving or stabilising emergency measures in all medico-legal or potentially medico-legal cases such as victims of road accidents, accidental or induced burns or poisoning or criminal assaults and the like which present themselves or are brought before it at the establishment;
(ii) actively participate in the implementation of all nationa1 and State health programmes in such manner as the State Government may specify from time to time; and furnish periodical reports thereon to the concerned authorities;
(iii) perform statutory duties in respect of communicable diseases to prevent the spread of the disease to other persons and report the same, to the concerned public health authorities immediately; .
(iv) furnish to the Registration Authority such particulars in respect of such noncommunicable
diseases as may be notified by the State Government, from time to time.
12. Maintenance of clinical records.- (I) Every Private Medical Establishment shall maintain clinical records of its activities relating to the patients under its care in the prescribed manner.
(2) Every clinical record shall be open to inspection, in due discharge of his duties, by the District Surgeon or any other officer specifically empowered in this behalf by the State Government.
(3) Every person or his family member shall be entitled to obtain a copy of the clinical record pertaining to himself on payment of appropriate charges.
13. Procedure for obtaining information:- (1) Every Private Medical Establishment shall, as soon as possible, after the purpose for which the person had visited or had been admitted is over, make available to the person or his family member a copy of the gist of observation, treatment, test, investigation, advice and diagnostic opinion pertaining to the person.
(2) A public authority, in due discharge of its duties or the person himself or any other person specifically authorised by the person to this effect, or any family member of the person in case there is no authorization because the person concerned is a minor or is deceased or incapacitated (permanently or temporarily) may request for copy of clinical records on payment of necessary charges to the private medical establishment and on such charges being paid, the private medical establishment shall, within a period of seven days, make available such copy.
(3) Every Private Medical Establishment shall display, at a prominent place, the charges for obtaining such information.
14. Restrictions on furnishing of information:- The, Manager of the Private Medical Establishment may, for reasons to be recorded in writing, refuse to furnish the information. pertaining to the clinical records if he is satisfied that,(
a) the treatment or test or assessment has been conducted on the direction of a public authority and it has the first right to receive the information.
(b) the report if made available to the person, is likely to cause injury to the person or his family members.
15. Suspension or cancellation of registration:- (l) The Registration Authority, on the basis of a complaint or otherwise if a prima facie case exists about the contravention of any provisions
of this Act or the rules made there under or conditions of registration may, by order in writing and for the reason to be recorded in writing suspend or cancel the registration of a Private Medical Establishment:
Provided that no such order shall be made except after giving reasonable opportunity of being heard, to the Private Medical Establishment.
(2) Every order made under sub-section (1) shall contain a direction that the inpatients of the Private Medical Establishment shall be transferred to such other Private Medical Establishment as may be specified in that order and it shall also contain such provisions as to the care and custody of such inpatients pending such transfer.
(3) Every order made under sub-section (1) shall take effect,(
a) where no appeal has been preferred against such order under section 17, immediately on the expiry of the period specified for such appeal; and
(b) where such appeal has been preferred and the same has been dismissed, from the date of order of such dismissal.
16. Appellate Authority :- There shall be an Appellate Authority consisting of the following members. namely:(
a) the Commissioner for Health and Family Welfare, Karnataka-Chairman
(b) the Director of Health Services, Karnataka - Member
(c) the Director, Indian System of Medicine and Homeopathy - Member
Note: The Director of Health Services. Karnataka shall be a member in respect of appeals preferred by a Private Medical Establishment treating patients through allopathic system of medicine and the Director Indian System of Medicine and Homeopathy shall be a member in respect of appeals preferred by other Private Medical Establishments treating patients through Ayurveda, Unani, Homeopathy, Yoga, Naturopathy or Siddha system of medicine.
17. Appeal: (1) A Private Medical Establishments whose application for registration is rejected under section 7. or whose registration has been suspended or cancelled under section 15.or is otherwise aggrieved by any original order made under this Act except an order made under section 24 may prefer an appeal to the Appellate Authority in such manner and on payment of such fees as may be prescribed..
(2) Every such appeal shall be preferred within thirty days from the date of receipt of the order appealed against:
(3) The Appellate Authority may. after holding an enquiry pass such order as it deems fit as far as possible within a period of sixty days from the date of filling of the appeal
18. Private Medical Establishments to report the names of government doctors on their establishments,- Every Private Medical Establishment shall report to the State Government and the Registration Authority, the names of government doctors and para medical staff, whose services are utilized in the Private Medical Establishments for consultations or any other basic whether on payment basic or not.
19. Penalties :- (1) Where any person establishes, runs or maintains a Private Medical Establishment without registration granted under section 7 he shall, on conviction, be punished with imprisonment for a term which may extend to three years and with fine which may extend upto ten thousand rupees.
(2) When a person is convicted under sub-section (1), the Registration Authority shall direct immediate closure of the un-registered Private Medical Establishment, except where a registration is cancelled or suspended and an appeal filled against such cancellation or suspension is pending.
(3) Every order made under sub-section (1) shall contain a direction that the inpatients of such unregistered Private Medical Establishment shall be transferred to such other Private Medical Establishment as may be specified in that order and it shall also contain such other provisions as to the care and custody of such inpatients pending such transfer.
(4) Where any person runs or maintains a Private Medical Establishment in contravention of the conditions of registration or contravenes the provision of section 12 or 13, or fails to comply with the direction issued under sub-section (2). he shall, on conviction, be punished with imprisonment for term which may extend to six months and with a fine which may extend to two thousand rupees and in the case of a second or subsequent offence with imprisonment for a term which may extend to one year and with a fine which may extend to five thousand rupees.
(5) Where a person contravenes any other provision of this Act or the rules made thereunder he shall, on conviction, be punishable with a fine which may extent to five thousand rupees.
20. Offence by a Company: – (1) Where an offence against any of the provision of this Act or any rule made thereunder has been committed by a company , every person who, at the time the offence was committed, was incharge of and was responsible to, the Company, for the conduct of business of the company. as well as the Company, shall be deemed to be guilty of the offence and shall be liable to be proceeded against and punished accordingly:
Provided that nothing contained an this sub-section shall render any such person liable to any punishment, provided in this Act if he proves that the offence was committed without his knowledge or that he had exercised all due diligence to prevent the commission of such offence.
(2) Notwithstanding anything contained in sub–section (1) where an offence under this Act has been committed by company, and it is proved that the offence was committed with the consent or connivance of or is attributable to, any neglect on the part of the director , manager, secretary or other officer of the company, such director, secretary or other officer of the company, shall also be deemed to guilty of that offence and shall be liable to be proceeded against and punished accordingly .
Explanation:- For the purposes of this section,-
(a) “a company” means any body corporate and includes a trust firm, a society or other association of individuals; and
(b) “the director” in relation to :-
(i) a firm means a partner in the firm:
(ii) a society, a trust or other association of individuals means the person who is entrusted under the rules of the society, trust or other association, with management of the affairs of the society, trust or other association, as the case may be.
21. Power of entry, inspection etc :- (1) Subject to such rules as may be prescribed, the State Government may, specially authorise any officer of the State Government (herinafter in this section and section 22 referred to as authorised officer) to,-
(a) enter, at all reasonable times, and with such assistants if any, being persons in the service of the State Government as he thinks fit, any place which is, or which he has reason to believe is being used as a Private Medical Establishment.
(b) Make such examination of the premises of a Private Medical Establishment and of any register, record, equipment, article or document found therein and seize any document or record as he may deem necessary for the purpose of examination, analysis or investigation and retain them as long as he thinks it necessary to do so far such purpose, provide the authorised officer after seizing documents and records shall intimate the reason for such seizure to the Manager of the Private Medical Establishment as early as is practicable.
(c) Make such enquiry and take on the spot or otherwise the statement of any person as he deems necessary:
(d) Exercise such other powers as may be necessary, for carrying out the purpose of this Act.
Provided that no persons shall be required under the sub-section to answer any question or give any evidence tending to incriminate himself
Provided further that, no residential accommodation (not being a Private Medical Establishment-cum-residence) shall be entered into and searched by the authorised officer except on the authority of a search warrant issued by a Magistrate having jurisdiction over the area and all searches and seizures under this section shall so far as may be, made in accordance with the provisions of the Code of Criminal Procedure , 1973 (Central Act 2 of 1974).
(2) The authorised officer shall make a report to the Registration Authority regarding the result of the inspiration, searches and seizure made by him under sub-section (1), and the Registration Authority shall take necessary action on the said report this Act.
22. Sealing premises of un-registered Private Medical Establishments:- (1) Without prejudice to the provisions of section 19, if on a report made by the authorised officer under sub-section (1) of section 21 or otherwise the Registration Authority has reason to believe that any Private Medical Establishment is run maintained without registration under section 7, it may order immediate closure of such Private Medical Establishment and also seal the premises:
Provided that no order this sub-section shall be made without giving an opportunity of being heard to the person likely to be affected thereby.
(2) Every order made under sub-section (1) shall contain a direction that the inpatients of such un-registered Private Medical Establishment shall be transferred to such other Private Medical Establishment as may be specified in that order and it shall also contain such provisions as to the care and custody of such inpatients pending such transfer.
23. Power of State Government to give directions to the Registration Authority:- The State Government may give such directions to the Registration Authority as are in its opinion necessary or expedient for carrying out the purposes of this Act. The State Government shall record the reasons necessitating issuance of the said directions and it shall be the duty of the Registration Authority to comply with such directions.
24. Protection of action taken in good faith:- No suit, prosecution or other legal proceeding shall against the State Government or any officer, authority person in respect of anything which is in good-faith done or intended to be done in pursuance of the provisions of this Act, or any rule or order made thereunder.
25. Removel of difficulties:- If any difficulty arises in giving effect to the provisions of this Act the State Government may, by order published in the Official Gazette, make such provisions not inconsistent with the provisions of this Act as appear to it to be necessary or expedient for removing the difficulty:
Provided that no such order shall be made after expiry of a period of two years from the appointed day.
26. Power to make rules:- (1) The State Government may, by notification and after previous publication, make rules for carrying out purposes of this Act.
(2) In particular and without prejudice to the generality of the foregoing provisions such rules may provide for all or any of the following namely:-
(a) the manner in which an application for registration shall be made and the fee whish shall be accompanied under section 5;
(b) Such other factors for registration under section 6;
(c) manner and payment of fees to be accompanied for renewal of registration;
(d) Standards to be maintained by every Private Medical Establishment under section 9;
(e) manner of maintaining clinical records under section 12;
(f) the manner in which an appeal may be preferred and fees for such appeal under section 17;
(g) the manner of taking custody of the premises under section 22;
(h) All matters expressly required or allowed by Act to be prescribed or in respect of which this Act makes no provision or makes insufficient provision and a provision is, in the opinion of the State Government, necessary for the proper implementation of the Act.
27. Rules and orders to be placed before the State legislature:- Every order made under section 26 and every rule made under section 27 shall be laid as may be after it is made, before each House of the State Legislature while it is in session for a period of thirty days which may be comprised in one session or in two or more sessions. and if, before the expiry of the session immediately following the session or the successive sessions aforesaid both Houses agree in making any modification in the rule or order both Houses agree that the rule or order should not be made the rule or order shall thereafter have effect only in such modified form or be no effect, as the case may be; so however, that any such modification or annulment shall be without prejudice to the validity of anything previously done under that rules or order.
28. Repeal and Savings :- (1) The Karnataka Private Nursing Homes (Regulation) Act, 1976 (Karnataka Act 75 of 1976) is hereby repealed.
(2) Notwithstanding such repeal:-
(a) anything done or any action taken under the repealed Act shall be deemed to have been done or taken under the corresponding provisions of this Act;
(b) all applications made under the repealed Act for registration or renewal prior to the commencement of this Act and pending consideration on the date of commencement of this Act shall abate and fee paid, if any, in respect of such application shall refunded to the applicant and such applicants may apply afresh for Registration under the provisions of this Act.
The above translation of the ‘йÑþ©‘Ð ”ÑÊЗ ÀÙÚ·Ðô’Ó•¦ÐÔ ÊЕÊÙë–ÐÎÐ ƒ¸°º¦ÐÔÀÐÔ 2007 (2007 ¤Ð ‘йÑþ©‘Ð ƒ¸°º¦ÐÔÀÐÔ 21) be published in the official Gazette under clause (3) of Article 348 of the constitution of India.
RAMESHWAR THAKUR
Governor of Karnataka
By order and in the name of the President of India,
G. K. BOREGOWDA
Secretary to Government,
Department of Parliamentary Affairs and Legislation.
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
713
HEALTH AND FAMILY WELFARE SECRETARIAT
NOTIFIATION
No. HFW 94 CGE 2008 Bangalore, Dated 15th September, 2009
Whereas, the draft of the Karnataka Private Medical Establishments Rules, 2009 was published as required by sub-section (1) of section 26 of the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007) in Notification No. HFW 94 CGE 2008 Bangalore, Dated 28th February 2009 inviting objections and suggestions from persons likely to be affected thereby within thirty days from the date of publication in the official Gazette.
Whereas the said Gazette was made available to the public on 28th February 2009, in part IV-A of the Karnataka Gazette Extraordinary.
And whereas the objections and suggestion received in this behalf have been examined and considered by the State Government.
Now, therefore in exercise of the powers conferred by section 26 of the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007), the Government of Karnataka hereby makes the following rules namely:-
RULES
CHAPTER-1
PRELIMINARY
1. Title and Commencement,- (1) These rules may be called the Karnataka Private Medical Establishments Rules, 2009.
(2) They shall come into force from the date of their publication in the Official Gazette.
2. Definitions:- (1) In these rules, unless the context otherwise requires:-
(a) 'Act' means the Karnataka Private Medical Establishment Act, 2007 (Karnataka Act No. 21 of 2007);
(b) 'Form' means, form appended to those rules;
(c) 'Schedule' means, unless specifically referred to a Schedule of Act means a Schedule appended to these rules;
(d) 'Section' means section of the Act;
(e) All other words and phrases used in these rules but not defined shall have the same meaning assigned to them in the Act.
CHAPTER-2
CATEGORIES OF PRIVATE MEDICAL ESTABLSHEMENTS
3. Categories of Private Medical Establishments :-(1) For the purpose of determination of Standards and the amount of Registration Fees, private medical establishments based on the system of medicine practiced, shall categorized as under:-
(a) establishments practicing Allopathic System of Medicine;
(b) establishments practicing Indian System of Medicine;
(c) establishments practicing Homoeopathic System of Medicine; and
(d) Diagnostic Centers and Therapy Establishments not attached to Hospitals.
IVA-F2-(0)
714
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
¨sÁUÀ-4J
(2) Establishments practising Allopathic System of Medicine shall be further classified into the following categories, namely:-
(a) medical Clinics
(b) consultation Centre (Uni-speciality)
(c) polyclinics (Multi-speciality)
(d) dental clinics
(e) nursing Homes
(f) non- Teaching Hospitals and
(g) teaching Hospitals
(3) Establishments practicing Ayurveda, Unani, Nature Cure Systems of Medicine shall be further classified into the following categories, namely:-
(a) dispensary,
(b) dispensary with Therapy Unit,
(c) dispensary with Day Care Unit with/without Therapy Unit,
(d) polyclinic and
(e) medical/Health Care Units with Inpatient Facility
(4) Establishments practicing Homoeopathic system of medicine shall be further classified into the following categories, namely:-
(a) out patient department Dispensary/Clinic/Centre without Beds,
(b) polyclinic,
(c) in patient department Day Care Centre/Dispensary/Clinic/Centre providing up to 4 beds.
(d) IPD Hospital/Nursing Home providing more than 4 but less then 15 Beds,
(e) IPD Hospital/ Nursing Home providing 15 Beds and above and
(f) multi-system Hospital with Beds.
(5) Diagnostic centres and therapy establishments not attached to Hospitals shall be further classified into the following categories, namely:-
(a) massage centres,
(b) acupuncture centres, Acupressure centres,
(c) alternative Medicine centres.
(d) Electro therapy centres, Magneto Therapy centres,
(e) Yoga and Naturopathy centres
(f) pain therapy centres, Ozone centres and Chelation therapy centres.
4. Fee for registration and renewal:- (1) The fee payable by the different categories of private medical establishments for Registration and renewal of registration shall be, as specified as hereunder.
(2) In the case of Allopathic private medical establishment, the fee chargeable for registration shall be, as follows:-
(a) medical clinics Rs. 1,000
(b) Consultation centres (Uni-specality) Rs. 1,500
(c) Poly clinic/day care centre (Multi-specality) Rs. 5,000
IVA-F2-
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
715
(d) Nursing homes with bed strength of
(i) 11 to 30 beds Rs. 10,000
(ii) 30 to 50 beds Rs. 15,000
(iii) 51 to 100 beds Rs. 25,000
(iv) 101 to 500 beds Rs. 50,000
(v) 501 to 1000 beds Rs. 1,00,000
(vi) Above 1000 beds Rs. 2,00,000
Provided that
(i) hospitals run by charitable trusts which are not charging any fee from the patients shall be charged registration fee at ten percent of the fees specified above.
(ii) other hospitals working on no profit basis shall be charged at fifty percent of the above fees.
(iii) the amount of fee for renewal of registration shall be one half of the amount specified above for registration.
(3) In the case of Private medical establishments, practicing Indian system of medicine:-
(a) The fee chargeable for registration shall be, as follows:-
(i) Clinic and dispensary only Rs. 500/-
(ii) Clinical centre, Maternity Home, Nursing
Home and Hospitals with:-
(i) Up to 15 beds Rs. 1,000/-
(ii) 15 to 20 beds Rs. 1,500/-
(iii) 20 beds and above Rs. 2,000/-
(b) The fee chargeable for renewal of registration shall be one-half of the registration fee specified above
(4) In the case of Diagnostic centres and Therapy establishments, the fee chargeable for registration shall be as follows, namely:-
(i) For Diagnostic centres with advanced facilities like
CT, MRI, Angio etc., Rs. 10,000/-
(ii) For such centre with basic facilities only Rs. 1,000/-
(iii) For Therapy Establishments with basic
Laboratory facilities Rs. 1,000/-
(iv) For Therapy Establishments with imaging
And/or other advanced Laboratory facilities Rs. 5,000/-
5. Conditions of registration:- (1) The registration granted under these rules to every Private medical establishment shall be subject to the following conditions, namely:-
(i) Premises shall be located in clean surroundings in a hygienic area.
(ii) Adequate lighting and ventilation shall be ensured within the building and in the premises
(iii) Adequate number of Toilet Rooms, shall be provided, separately for male and female patients.
(iv) Record Room adequate enough for Maintenance of Medical records as per code of Medical Ethics shall be provided.
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
716
(v) Standard Bio-Medical Waste Disposal System shall be provided appropriate to the volume and nature of Waste generated
(vi) Accessibility to attending Doctors by Telephone, fax and e-mail through the Establishment shall be ensured to each patient/their attendants.
(vii) CME-compliance mechanism as per the Karnataka Medical Council Act as amended from time to time shall be kept up.
(viii) Qualified and experienced staff appropriate to each field such as medical, diagnostic, therapeutic, observational and other care peculiar to each specialty and in appropriate numbers shall be appointed proportional to the number of patients ordinarily treated in a day.
(ix) Display conspicuously and in a prominent place a places.
(a) The name of the Establishment with names of the owners/managers
(b) Registration certificate issued by the respective State Medical Council
(c) Form of License issued from Karnataka Private Medical Establishments Board.
(d) System of Medicine practiced and services available
(e) Working hours/timings of each Unit of the Establishment
(f) Charges/consultation/diagnosis/treatment/reports/services/other procedures and room rent/bed charges etc. in the form of Chart exhibited at a convenient place or places for.
(g) Printed brochures of the rates and tariff shall be supplied to the patients or their attendants on request.
(h) Names and qualifications of visiting consultants and Doctors employed for diagnosing/advising/treating the patients.
(x) Generate, maintain and document Medical Records of each patient as per rules in force and supply to the patient or his parent/Guardian/ Legal Representatives/attendants on request.
(xi) Give proper Discharge Summary to each patient along with the Bill of charges.
(xii) Ensure that every Doctor employed by it would provide First Aid, would attend Medico-Legal Cases promptly and otherwise follow the Code of Medical Ethics, rigidly
(xiii) Inform the Doctors/consultants on roll and see to it that professional responsibility rests with the Doctor/consultant in charge of the patient, and
(xiv) Comply with such other directives issued by the Government or the District Registering Authority.
6. Registration of existing establishments:- (1) Every private medical establishment in existence on the date of commencement of these rules, shall apply for registration in Form-A within 90 days as per the proviso to section 3, from the date of coming into force of the Act, to the Registering Authority alongwith the fees prescribed under rule 4, under acknowledgement and undertake in writing before the Registering Authority ensuring strict compliance by it, of the terms aforesaid, before the registration is granted or within such time being not more than ninety days, as the Registering Authority may after verifying the application with the pre-requisites for registration.
(2) No non-medical persons or organizations may set up a private medical establishment or manage a private medical establishment, unless qualified doctors appropriate to the speciality are appointed, for consultation, diagnosis and treatment of patients at such establishment. Such establishments seeking registration shall furnish the names, addresses and professional attainments and also attach photographs of the doctors along with application for registration. The registration certificates of these establishments shall bear the photograph(s) of the Manager and/or owner.
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
717
(3) The Registration Certificate shall as far as possible contain a Unique Registration Number and other relevant particulars, in each case.
(4) Where application for registration under these rules is rejected, the provisions of sub-sections (2) and (3) of section 15 shall mutates mutandis apply to such private medial establishments.
7. Registration of new establishments:- (1) Every private medical establishments coming into existence on or after the date of commencement of these rules, shall apply for Registration in Form B, at once and obtain acknowledgement thereto and undertake in writing before the Registering Authority ensuring strict compliance by it, of the terms aforesaid, before the registration is granted.
(2) The Registering Authority shall process the application and grant or reject the registration based on whether or not the conditions of registration specified in the Act and these rules are satisfied and where they are not fulfilled, the Registering Authority may reject the application.
8. Minimum standards of accommodation, equipment and facilities:- (1) Every medical establishments shall conform to the minimum standards of accommodation, equipment and facilities as set out in,-
(a) Schedule A for establishments administering Allopathic System;
(b) Schedule B for establishments administering the Indian System of Medicine;
(c) Schedule C for establishments administering Homeopathic System of Medicine: and
(d) Schedule D for Diagnostic Centres and Therapy Establishments.
9. Staff requirements: Minimum staff requirements in each category of medical establishments shall be as set out in Schedule E. Notwithstanding anything said in Schedule E. it shall be obligatory for private medical establishments in each category to employ Medical, Diagnostic, Therapeutic, Technical and Office Staff that are specific to its needs, namely,
(a) Duty Doctors, Nurses, Nursing Aids and Ayahs in right proportion to the number of patients.
(b) Dieticians, Physiotherapists, Radiologists and Pathologists
(c) Receptionists and other Patient Service staff.
(d) Supporting staff like Electrician, Plumber Security, Ambulance Staff, Housekeeping, Public Relation Officer, Kitchen and Canteen Staff.
10. Maintenance of Records:
Every medical establishment shall maintain the clinical records in respect of each patient and establishment and follow the UICC.
11. Appeals:
An appeal may be preferred against the orders of the registration authority, with Appellate authority as prescribed under the act within 30 days as stipulated in the act along with a fee equal to 10% of fee prescribed for the category.
By order and in the name of the Governor of Karnataka
K.S.SAROJAMMA
Under Secretary to Government,
Health and Family Welfare Department.
718
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
¨sÁUÀ-4J
SCHEDULE – A
(See rule 8)
ALLOPATHIC SYSTEM OF MEDICINE
PART 1
General Standards
As far as may be appropriate to each category, the following General Standards of Health Care shall be maintained by every Private Medical Establishment:-
(a) Receptionist Counter with adequate and comfortable seating arrangements for the patients shall be provided.
(b) Examination Rooms shall have of a minimum area 125 square feet each, with proper partition to secure privacy during examination. Each Examination Room shall be equipped with a torch, tongue depressor, stethoscope, Blood Pressure, Apparatus, Thermometer, Gloves, First Aid equipments ,emergency Drugs and Hand wash.
(c) Examination Tables shall be provided with safe foot steps, mattress and pillow. Bed shall be covered with hygienically cleaned bed sheets and other bed-linen.
(d) Record Room adequate enough for Maintenance of Medical records as per code of Medical Ethics.
(e) Standard Bio-Medical Waste Disposal System shall be provided appropriate to the volume and nature of Waste generated.
PART II
Specific Standards
1. Consultation Centre (Uni-speciality):-In addition to the requirements of Part 1 above, each uni-speciality Polyclinic shall ensure that,-
(1) Every Consultation Chamber is set up in an area of at least one hundred and fifty square feet.
(2) Each Chamber is provided with the whole set of at testing and diagnostic tools and equipment pertaining to the specialty
2. Polyclinic (Multi-speciality):- In addition to the requirements of (1) above, every Multi-specialty Polyclinic, shall ensure that,-
(1) Each Consultation Chamber is set up in an area of at least one hundred and fifty square feet.
(2) Basic investigation facilities and equipment pertaining to each specialty is provided in each Chamber..
3. Dental Clinics:-(1) In addition to the requirements of (2) above, every Dental Care Unit shall provide and maintain,-
(a) one hundred square feet of floor area for each single Chair
(b) Additional Fifty square feet for Receptionist Counter and waiting place for patients.
(c) Dental X-ray Unit.
(d) Emergency Drugs. .
(e) Basic instruments required for dental examination ,diagnosis and surgery ,post exposure Prophylactic kit sterilizer – Autoclave (mini) ,B.P. Apparatus and Stethoscope, Disposable Syringes, Gloves and Masks in adequate numbers.
(f) Provide proper Bio- Medical Waste Management system.
(2) The establishment shall also ensure that fabrication of Dentures and other Prosthetics are obtained from a qualified Dental Mechanic from a Certified Laboratory.
4. Day Care Centres:- Each day care centres shall provide and maintain the standards laid down for a ten bedded nursing home.
5. Nursing Home (1 to 30 beds) and Multi-speciality Polyclinics:- In addition to the requirements of part 1 above, every Nursing Home with up to 30 bed strength and every multi-speciality ,shall provide and maintain,-
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
719
(a) One consultation room for one specialist consultant, at least at a time.
(b) Operation theatre with 150 –200 square feet of OT area including scrub area, changing room Autoclave room ,etc, run universal precautions equipped with OT table, shadow-less Lamp, Suction Apparatus, Pulse Oximeter, ECG Monitor, Boyle's Apparatus, Oxygen and Nitrous oxide Cylinders, Operation Theatre., Fumigator etc.
(c) Minor Operation theatre., Labour Room with Autoclave etc., wherever applicable
(d) Oxygen Therapy Unit, Suction Apparatus.
(e) Seventy-five square feet of floor area for each bed with toilet facilities, cot, bed-side locker, mattresses, beds-sheets, cupboard ,bed-pan, urinals, back rest, sputum cup, kindney tray, drip stand etc.,
(f) Reception Area to be put under a trained receptionist
(g) Ratio of Nurses to patients 1:10
(h) Investigation facilities like X-ray, Laboratory, ECG facilities are desirable.
6. Nursing Homes with 31-50 beds: In addition to the standards set for (5) above every nursing home with 31-50 beds shall provide and maintain,
(1) One extra operation theatre and minor operation theatre with equipments.
(2) Investigation facilities like X-Ray , Laboratory, ECG facilities shall be provided.
7. Nursing Homes with 51-100 Beds :- In addition to the standards set for (6) above, each such Nursing Home of this class shall provide and maintain,
(a) Enhanced floor area for each bed at one hundred square feet to provide for attached bath and attendant amenities.
(b) Adequate store room facility
(c) Full fledged diagnostic facilities
(d) Three major operation theatres and two minor operation theatres with full equipment.
(e) Labour room with total equipment
(f) Intensive care unit with at least 5 beds
(g) Rooms for duty doctors, and nurses
(h) Pharmacy, Canteen & Ambulance are desirable
8. Non Teaching Hospitals with 101-500 Beds:- Every non – teaching Hospital shall conform to the following standards as appropriate to the specialties extended, namely,-
(a) Administrative Office with minimum accommodation of 600 square feet.
(b) Reception room with minimum area of 500 square feet, including Public Telephone, enquiry Office, Visitors waiting place and Toilet facilities.
(c) Central Medical Records Sections with minimum area of 200 square feet.
(d) Store room.
(e) Linen room and lumbar room
(f) Seminar hall with library with minimum area of 150square feet.
(g) Consultation Rooms with minimum area of 100 square feet per consultant
(h) Floor area per bed with minimum area of 100 square feet
(i) Intensive Care Unit
(j) Intensive Cardiac Care Unit (I.C.C.U)
(k) Full Fledged Diagnostic facilities
(l) Physiotherapy Unit
(m) Operation theatres at least one major operation theatre for 50 beds and at least and at least one minor operation theatre for 50 beds.
(n) Labour room with total equipment, wherever applicable.
(o) 24 hours Pharmacy
(p) Canteen and Ambulance
(q) Mortuary
(r) Casualty and Emergency Services
(s) Central Sterilization Facilities (CSSD)
(t) Strict compliance with code of Medical Ethics.
9. Teaching Hospitals:- All Teaching Hospitals shall comply with the Standards specified under the Medical Council of India regulations.
720
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
¨sÁUÀ-4J
SCHEDULE-B
(See rule 8)
STANDARDS FOR AYURVEDA, UNANI AND NATURE CURE HOSPITALS AND CLINICS
1. Dispensary
Area:- Clinic / Dispensary measuring 150 square feet.
Facility and Equipment :- Table, Chairs, Weighing Machine, Examination table, Washbasin, Dispensing table and place, B.P. Apparatus, Tongue Depressor, Torch light, Knee hammer, Measuring Tape Thermometer and etc.,
2. Dispensary with Therapy Unit
Area:- 300 square feet
Facility and Equipment :- As per (1) and the following Therapy table, Bathroom, Toilet, Premises may be made according to the Specially like Panchakarma, ENT, Shalya, Shalakya, Bala Roga, Streeroga, prasutltantra and etc.,
3. Dispensary with Day Care Unit but without Therapy
Area:- 300 square feet
Facility and Equipment :- As per (2) and the following - Cot, Bedside table, facility bath and toilet.
4. Dispensary with Day Care Unit not with Therapy Unit
Area:- 300 square feet .
Facility and Equipment :- As per(3) and the following ,- Therapy table, Swedana Yantra, Basti Yantra and etc., as the per therapy requirements.
5. Poly Clinic
Area.- 300 square feet. With 60 square feet for each speciality consultation.
Facility and Equipment.- As per (2) above and with space for Dispensing and Reception. Add 60 square feet for each additional bed.
6. Medical Center /Health Center with Inpatient Facility up to 15 beds
Area:- 1000 square feet.
Facility and Equipment :- (a) Inpatient ward-60 square feet bed space for each bed
(b) OPD Examination Room
(c) Therapy Unit
(d) Nurses Room
(e) Doctors Room
(f) Store Room
(g) Bathroom and Toilet
7. Multi System Hospital with beds (Non-Teaching Hospitals)
Facility and Equipment :- As per respective Act prescribed as applicable.
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
721
SCHEDULE-C
(See rule 8)
STANDARDS FOR HOMEOPATHIC HOSPIITALS CLINICS ETC.
1. OPD Dispensary /Clinic Center Without beds
Area: 80 square feet
Facility and Equipment - Doctors Table, Doctors chair, 2 chairs for patients Examination table (optional) Dispensing place, waiting place, Wash basin, Access to toilet, with basic equipments and books required for a homeopathic OPD.
2. Polyclinic
Area:- 64 square feet each OPD in addition
Facility and Equipment - Along with other systems as per the Act as applicable with Common waiting place
3. IPD-Day Care Center Dispensary/Clinic /Center /with up to 4 beds
Area:- 300 square feet- No permission for over night stay
Facility and Equipment – In addition to 9(a) attach Toilet
4. IPD –Hospital /Nursing Home with up to 15 beds
Area:- 2400 square feet
Facility and Equipment – OPD as per section (B) with basic equipment and books required for a hospital IPD each bed with spacing of 60 sq ft Attach Toilet for Male and Female patients Reception Area with waiting place for patients Medical Record section.
Pharmacy
Stores
Dressing rooms
Duty Doctors room with attached toilet
Duty Nurse’s room with attached toilet
Optional Facilities
Laboratory
Kitchen/Canteen
Medical Diagnostic Equipments with Ambulance
5. IPD Hospital/Nursing Home above 15 beds
Facility and equipment- Nursing Home additional space as per (d) above with 1 night duty doctor, and with above 15 beds basics equipments and books required for a hospital.
6. Multi System Hospital with beds
Facility and Equipment ;- as per respective Act prescribed as applicable.
7. Teaching hospitals;- All Teaching Hospitals shall comply with the Standards specified under the Medical Council of India regulations.
722
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
¨sÁUÀ-4J
SCHEDULE-D
(See rule 8)
STANDARDS FOR DIAGNOSTIC CENTERS /THERAPY ESTABLISHMENTS
1. Units:-
Casualty and Emergency unit
Oxygen therapy
Dental Unit
Operation theater unit/Minor OT
IC Unit
Incentive Cardiac Care Unit (ICCU)
Labour Room
Pharmacy
Dressing Room
Stores
Radiology
Physiotherapy
Diagnostic Lab
Mortuary
Seminar Hall with Library
Linen Room and Lumbar Room
Medical Records Sections
Kitchen/ Canteen
2. Area :-
Surrounding
Consultation Room
Waiting space
OT Area
Privacy space
Reception
Bath Rooms/Toilet
Rest Rooms for Doctors
Rest Rooms for Nurses
3. Requirements/Equipments ;-
Lighting and ventilation
Accessibility on Phone
Tables/Chairs/Examination Tables/Mattresses
OT Tables /therapy table
Ambulance
Bio Medical Waste Management cell
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
723
SCHEDULE-E
(See rule 9)
STAFF REQUIREMENT
1. Allopathic Hospitals:-
a) Duty Doctors one at least for every 100 beds.
b) Nurses Ward Boys and Ayahs
c) Pharmacists
d) Dieticians
e) Supporting staff like Electricians, Plumbers, Security
Store Keepers, Housekeeping and Public Relations
Staff and etc.,
2. STANDARDS FOR AYURVEDA, UNANI and etc., HOSPITALS:-
a) Qualified Doctors – 2 Duty Doctors 1 Day and 1 Night
b) 1 Dispenser
c) 2 Nursing assistant
d) 2 Ward boy/lady
e) 1 Sweeper
f) 1 Ayah
g) 1 Watchman
h) 1 Cook and
i) 1 Laundryman
3. STANDARDS FOR HOMEOPATHIC HOSPITALS, CLINICS:-
(1) OPD Dispensary / Clinic / Center without beds:-
a) Qualified Doctors
b) Attender
c) Polyclinic
d) 1 Qualified and Doctor
e) 1 Doctor
f) 1 Attender
g) 1 Receptionist (Optional)
(2) OPD Day Care Center Dispensary/Clinic/Center with up to 4 beds:-
a) 1 Qualified Doctor
b) 1 Attender (Optional)
c) 1 Receptionist (Common)
724
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
¨sÁUÀ-4J
(3) For Medical Centre/Health Centre with Inpatient Facility:-
a) 1 Qualified Doctor
b) 1 Pharmacist
c) 1+1 Therapists (Male and Female)
d) 1 Sweeper
(4) For non-teaching Hospitals:-
a) 1+1 Qualified Doctors
b) 1 Pharmacist
c) 1+1 Therapists (Male and Female)
d) 1+1 Attendees (Male and Female)
e) 1 Sweeper
(5) For Medical Centre/health with Inpatient Facility for more than 15 beds:- As for (2), above and 1 Night Duty Doctor for every 15 additional Beds.
(6) Teaching Hospitals:- All Teaching Hospitals Shall comply with the Standards specified under the Medical Council of India regulations.
4. DIAGNOSTIC CENTERS AND THERAPY ESTABLISHMENTS:-
(a) Visiting Consultants
(b) Qualified Doctors
(c) Nurses, Ayahs and Ward Boys (male and female)
(d) Nursing Assistants
(e) Dispensers
(f) Therapists
(g) Supporting staff
(h) PRO and House Keeping
(i) Cook/Laundry Men
(j) Sweepers/Scavengers
(k) Security
Form A
(See rule 6 (1) )
APPLICIATION FOR REGISTRATION OF EXISTING MEDICAL ESTABLISHMENT
1. Name of establishment
2. Address of establishment
3. Category of establishment:
(Sec 5 & 8)
4. Date of starting the establishment:
5. Type of establishment: Proprietory/partnership/Pvt Ltd/Public Ltd/charitable/Other
6. INFRASTRUCTURE:
a) Manpower: 1) Doctors : Consultants/Part time/qualifications
2) Other staff : with details
3) Facilities : i) Radiology
ii) Laboratory
iii) Blood bank
iv) Operation theatre
v) Pharmacy.
7. MANDATORY LICENCES: PC & PNDT etc
8. DEFICIENCIES: & TIME FRAME TO OVERCOME THE SAME
9. CONTACT/LIASION PERSON
10. DETAILS OF FEE PAID: DD no on Bank for Rs.:
Place & Date SIGNATURE & DESIGNATION
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
725
Form B
APPLICATION FOR REGISTRATION OF NEW MEDICAL ESTABLISHMENT
1. Name of establishment:
2. Address of establishment
3. Category of establishment
(Sec 5 & 8)
4. Proposed Date of starting the establishment
5. Type of establishment: Proprietory/Partnership/Pvt Ltd/Charitable/Other
6. INFRASTRUCTURE:
(a) Manpower: 1) Doctors : Consultants/Part time/Qualifications
2) Other staff : with details
3) Facilities : i) Radiology
ii) Laboratory
iii) Blood Bank
iv) Operation theatre
v) Pharmacy.
7. MANDATORY LICENCES: PC & PNDT etc
8. DEFICIENCIES: & TIME FRAME TO OVERCOME THE SAME
9. CONTACT/LIASION PERSON
10. DETAILS OF FEE PAID: DD no on Bank for Rs.:
Place & date SIGNATURE & DESIGNATION
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
726

Form C
APPLICATION FOR RENEWAL OF REGISTRATION OF MEDICAL ESTABLISHMENT
1. Name of establishment:
2. Address of establishment
3. Category of establishment
(Sec 5 & 8)
4. Registration Number
5. Type of establishment: Proprietory/Partnership/Pvt Ltd/Public Ltd/Charitable/
Other
6. INFRASTRUCTURE:
a) Manpower: 1) Doctors : Consultants/Part time/qualifications
2) Other staff : with details
3) Facilities : i) Radiology
ii) Laboratory
iii) Blood bank
iv) Operation theatre
v) Pharmacy.
7. MANDATORY/LICENCES: PC & PNDT etc
8. DEFICIENCIES : & TIME FRAME TO OVERCOME THE SAME
9. CONTACT/LIASION PERSON
10. DETAILS OF FEE PAID : DD.no. on Bank for Rs:
Place & date SIGNATURE & DESIGNATION
P.R.556
¨sÁUÀ-4J
PÀ£ÁðlPÀ gÁdå¥ÀvÀæ, UÀÄgÀĪÁgÀ, CPÉÆÖçgï 8, 2009
727