Vision & Objectives

AIMS & OBJECTIVESHOSPITALSS.T.N.MBIRTH & DEATH CELLISSUE OF LICENCETREATMENT OUTSIDE SIKKIMDOCTORS DIRECTORYHOSPITAL CHARGESEQUIPMENT(STNM)EQUIPMENT(Dist)DISEASES

AIMS & OBJECTIVES

Health Care, Human Services & Family Welfare Department has been making constant and concerted efforts to formulate & implement schemes (State & Central) to ensure adequate health care services to the people of the State in line with policy directives of the State Govt. issued from time to time and also in line with National Health Policy. Under this endeavor attention is also being paid to take special care of the needs of the people of the BPL families & tribal areas.

VISION OF THE DEPARTMENT
To foster a healthy society through provision of quality health care services for all its citizens from womb to tomb and to reach quality health care services up to remotest village of the State.
Under health sector programme main objectives are:
To ensure adequate, qualitative, preventive & curative health care to people of the State.
To provide affordable quality health care to the people of the State, not only through the allopathic systems of medicine but also through the ISM including Amji System of Medicine.
To ensure greater access to primary health care by bringing medical institutions as close to the people as possible or through Mobile Medical health units particularly in the underserved & difficult areas of the State.
To improve hospital services at the primary, secondary & tertiary levels in terms of infrastructure, drugs provision & equitable posting of Medical, Para-Medical & Nursing Personnels.
To impart training to Doctors, Nurses & other Para-Medical staff to upgrade their skills & knowledge by exposing them to workshops, seminars, re-orientation training programmes, and also sponsoring doctors for higher medical education outside the State.
To guarantee to the people of the State free treatment (including free medicines) for major Communicable & Non-Communicable diseases.
To vigorously implement various National programmes & State Plan programmes in the health sector in the State.

HOSPITALS

In the capital of Sikkim, there is one state hospital that is Sir Tashi Namgyal Memorial Hospital with a strength of 300 beds and qualified doctors for all the special fields. In the state of Sikkim, there are all together 147 Primary Health Sub Centers (PHSC), 24 Primary Health Centers ( PHC), 4 Community Health Centers (CHC) and 400 bedded Central Referral Hospital cum Medical College in collaboration with medical group. There is one Leprosy hospital at Sajong, Rumtek.

EAST DISTRICT

HOSPITAL, PHCs AND PHSCs

SLNO NAME & DESIGNATION OFFICE RESIDENCE
1 CHIEF MEDICAL OFFICER (EAST) 233757 / 235379 233645
2 RANGPO PHC 240362 240704
3 DIKCHU PHC 245427
4 SAMDONG PHC 245490
5 SANG PHC 236860 222388
6 PACKING PHC 257855
7 RHENOCK PHC 253896
8 MACHONG PHC —- —-
9 RONGLI PHC 255865 255865

NB: ALL PHCs ARE 10 BEDDED

SLNO PHC PHSC OFFICE RESIDENCE
1 RANGPO PHC 240362 24004
2 BHASMEY PHSC
3 CENTRAL PANDAM
4 DUGA PHSC
5 PACHAK PHSC
6 MAJITAR PHSC
7 WEST PANDAM
8 DIKCHU PHC 245427
9 RALEY KHESI PHSC
10 MIDDLE CAMP
11 TUMLABONG
12 SUMIN
13 MAKHA
14 SAMDONG PHC 245490
15 PENLONG
16 LINDOK
17 LUING
18 TUMIN
19 PANGTHANG
20 SONG PHC 236860 222388
21 SIMIK L1NZEY
22 RUMTEK
23 MARTAM
24 RANKA
25 REY-MINDU
26 KHAMDONG
27 DAMGEYTHANG
28 RANIPOOL
29 PAKYONG 257855
30 ASSAM LINGZEY
31 AHO PHSC
32 PHADAMCHEN
33 BARILAKLHA
34 CHANGEY SENTI
35 PABUIK NAITAM
36 NANDOK
37 SYARI
38 RHENOCK 253896
39 RORATHAN G
40 ARITAR
41 SUDUNGLAKHA
42 MACHONG
43 TAREYTHANG
44 BARAPATHING
45 LINKEY
46 MAMRING TAZA AMBA
47 LOWER BIRING
48 RONGLI 255865 25581
49 GNATHANG
50 LINGTHAM
51 NORTH REGUQ
52 ROLEP
53 SOUTH REGU
54 PHADAMCHEN
55 LAMATEN
56 SUBANEY DARA
WEST DISTRICT

DISTRICT HOSPITAL, WEST/COMMUNITY HEALTH CENTRE,

NAME DESIG OFFICE RESIDENCE
Dr. Govind Lama Chief Medical Officer 250726  
SLNO PHC PHSC OFFICE RESIDENCE
1 RINCHENPONG      
2   BERMIOK    
3   DEY THANG    
4   SAMDONG KALUK    
5   ZEEL HATIDUNGA    
6   YANGSOOM CHINGTHAN    
7   BOOM    
8 SENEK      
9   MAGNAM KARJI    
10   KONGRI    
11   GANGYAP    
12   LEGSH1P    
13   SAKYONG    
14   NAKU CHUNGPUNG    
15 SORENG   253273  
16   CHAKUNG    
I 7   DODAK    
18   KHANI SHERBUNG    
19   THARPU    
20   PAKKI GAON BUDANG    
21   ZOOM    
22   SINGLING    
23   BURIAKHOP    
24   CHUMBONG    
25 SOMBARIA   254248  
26   OKHERY    
27   DARAMDIN    
28   RIBDI BHARENG    
29   SIKTAM TIKPUR    
30 MANGALBAREY     252204
31   RESHI    
32   NAYA BAZAR    
33   KAMLING    
34 YOKSUM      
35   GERETHANG    
36   THINGLING    
37   MELLI ACHING    
38   RIMBI    
39   NAMBU    
40   DARAP    
41   PELLING    
42 DENTAM   255311  
43   HEE-YANGTHANG    
44   UTTERY    
45   KARMATAR FAREK    
46   RADHU KHANDU    
47   BONGTEN    
48   LINGCHOM    
NORTH DISTRICT

DISTRICT HOSPITAL, MANGAN

SLNO NAME DESIGNATION OFFICE RESIDENCE
1 DR. I. L. SHARMA CMO 234244 234277
2 DUTY ROOM, DISTRICT ,HOSPITAL 234288    
3 PHODONG PHC 262965    
4 CHUNGTHANG PHC 276947    
5 PASSINGDONG PHC ----- -----
SLNO PHC PHSC OFFICE RESIDENCE
1 PHODONG 262965    
2 PHENSONG      
3 NAMOK      
4 KABI TINGDA      
5 TINCHEM 276947    
6 RAMEYTHANG      
7 CHUNGTHANG      
8 LACHEN      
9 LACHUNG      
10 NAGA      
SOUTH DISTRICT

DISTRICT HOSPITAL SOUTH/COMMUNITY HEALTH CENTRE

NAME DESIG OFFICE RESIDENCE
Dr. Rinzing Bhutia Chief Medical Officer 263830  
SLNO PHC PHSC OFFICE RESIDENCE
1 NAMTHANG      
2   RATEY PANI    
3   PERBING    
4   KATANG BOKRANG    
5   MANI RAM BHANJYAN    
6   PHONG BHANJYANG    
7   KABREY    
8 MELLI   270245  
9   CHIDAM/SADAM    
10   SUMBUK    
11   TURUK PANCHGHAREY    
12   MELLI DARA    
13 RAVANGLA   260612  
14   KEWING    
15   POLOK    
16   TINKITAM    
17   JARRONG    
18   SADA PHAMTAM    
l 9   NA.MLUNG RALONG    
20   THINGLI    
21   RAYONG TINGMO    
22   SANGMO    
23   TINGMO    
24   LINGZO    
25 TEMI TARKU   261840  
26   BERMIOK TOKAL    
27   BEN    
28   DAMTHANG    
29   CHIYA DARA(JOUB-CHE    
30 JORETHANG   257233  
31   WOK    
32   NANDU GAON    
33   DARA GAON SALGHARI    
34   OMCHU    

S.T.N.M


1 Director Cum Medical Superintendent
2 Additional Medical Superintendent
3 Emergency Department
4 Cardiac Department
5 ENT
6 Paediatric Department
7 Gynae. & Chest. Department
8 Psychiatric Department
9 Orthopaedics

 

STNM Hospital

Sir Thodup Namgyal Memorial Hospital(STNM) is the biggest and 300 bedded hospital located at the Centre of the Capital Gangtok. The Hospital has the capability to provide specialized services. Besides we also have Cardiology with a Super specialised Section. As far as the details of the activities in different organization of STNM Hospital are concerned the hospital is engaged in the Tertiary Health Care Services of the patients.Routine activities going on in the hospital are outdoor clinical management of the patient, indoor patient care, operation, investigation like blood examination, tissue examination, X-Ray, Ultrasound etc. The total numbers of patients who have availed of these services during the year 2006-07 under various sections is delineated below. Patient who require specialized services for which the facilities, if not available, in our hospital are referred outside Sikkim like Kolkatta, Delhi and other higher centres for management.

Sl.No. Department Location Consultant Clinic Days
 1. Director Cum Medical Superintendent 1st floor, Administration Block , left flank, old STNM hospital    
 2. Additional Medical Superintendent

do

   
 3. Emergency Department Old STNM hospital, extreme  left flank Medical Officer Incharge 24 hrs. / Full week
 Ph 222944 / 102
 4. O.P.D. 1st floor, Ccasualty Department Room No: 3

do

Full week
Sunday 9am – 10am
 5. Psychiatric Department Below Pead Ward, New Building Dr. I. L. Sharma Full week
 6. E.N.T. Department 3rd floor, Casualty Department Room No: 13 Dr. Orgdon Gyatso
Dr. Semsay Bhutia
Monday / Wed / Friday
 7. Orthopedic Department Below National Highway, old Building Dr. Dewan
Dr. Pempa
Monday / Wed / Friday
 8. Medicine Department 2nd floor, Casualty Department Room No: 10 Dr. Namgyal Sherpa
Dr. P. M. Chettri
Dr. B. N. Sharma
Full week
 9. Surgery Department Top floor, Casualty Department Room No: 15 Dr. Wangohuk
Dr. Passang D. Phampu
Tuesday / Thurs /
Saturday
10. Skin Department 2nd floor, Casualty Department Room No: 11 Dr. R.L. Sharma Monday / Thurs /
Saturday
11. Gynae. Department Below National Highway, 1st floor Dr. Krati    Dr. Chungden
Dr. Neeti    Dr. Deckoti 
Tuesday/Saturday
12. A.N.C.

do

do Monday / Wed
13. Cardio Department 2nd floor, Casualty Department Room No: 8 Dr. K.Bhandri Tuesday / Friday
14. Dental Department 2nd floor, Casualty Department Room No: 12 Dr. P.Neopani Dr. S. Hamal
Dr. S Kumar   Dr. Pradhan
Full week
15. Eye Department Top floor, Casualty Department Dr. H. Pradhan
Dr. D. Pradhan
Monday / Wed / Friday
16. Pediatric Department Ground floor, Pediatric Ward Dr. Sheeta  Dr. Nepal
Dr. Path
Full week
17. Physiotherapy Orthopedic Department old Building Medical Officer Incharge Full week
18. Amzi  Lhadhaki Building 2nd floor, Dr. T. Y. Nyiden Full week
19. Chest Clinic 3rd floor, Lhadhaki Building Dr. S. T. Sangkhang Thurs / Saturday
20. Urban & Family Welfare 1st floor, Lhadhaki Building Dr. K. F. Lepcha Full week
21. D.D.R.C. (District Disability Rehabilitation Centre ) 2nd floor, Lhadhaki Building Dr. Melizena Lepcha
Dr. Pema Nden
Full week
22. Birth & Death Registration Rom 1st floor, Ccasualty Department Facing Man Door do Full week
23. Dressing Room 1st floor, Casualty Department Room No: 5 Sister Incharge Full week
24. Injection Room 1st floor, Ccasualty Department Room No: 6 do Full week

Pathology Department

Sl.No. Categories Rate in Rs.
 1. Urine Culture & Sensitivity 30
 2. Stool Culture & Sensitivity 30
 3. Pus Culture & Sensitivity 50
 4. Blood Culture & Sensitivity 100
 5. Throat Swab & Septum Culture & Sensitivity 50
 6. Centro Spiral Fluid Culture & Sensitivity 50
 7. Other Body Fluid Culture & Sensitivity 50
 8. Fungal Culture 50
 9. Gram Staining 10
10. Bacteriological Analysis of Water 100
11. Hematology 5
12. Biochemistry 10
13. Clinical Pathology 10
14. Histopathology / Cytology 50
15. Serology 20
16. Hormone Array 100
17. Root Canal Treatment including filling 200
18. Ambulance charge ( STNM Hospital ) 10
19. Ultra Sound 200
20. Endoscopy 200
21. C. T. Scan 500
22. X. Ray 30
23. EGC 40
24. ECO / TMT 300 each
25. I.C.C.U Private Room Charges 100

BIRTH & DEATH CELL

Salient features of the CRS in Sikkim, Administrative set up of Civil Registration functionaries at different levels as per section 4(1) and 7(I) of the Registration of Births and Deaths Act, 1969

SI.No. State Level Distt. Level Peripheral Level Urban Area Rural Area
1.
 
Chief Registrar
of Births& Deaths
Principal Director,
Services
District Registrar of B&D (CMO of the Dist. Hospital)
 
CMO of Distt.Hospital and MO I/c of the PHC
 
MO I/c Panchayat
Members/ICDS
workers of Health
Notifies.
2. Addl. Chief Registrar of B&D (Addl. Director of Health Services)
3. Deputy Chief Registrar of B & D.
4. Asstt. Director of Births & Deaths.

Persons responsible to report the occurrence of Births/Deaths and limit for such reporting to the Registrar of Births and Deaths as per section 8(2), 8(3)and 8(4) of the Sikkim Registration of Births & Deaths Rules1999.

Place of occurrence
Vital events
Type of Information
of Reporters
Time limit for reporting for current registration As per Sikkim Reg. of Births & Deaths Rules 1999.
1. Domiciliary events Head of household and in his absence his nearest relative or oldest male adult person. Within 21 days from the date of occurrence of the event (live birth, still birth & Death )
2. Institutional events ANMs -do-
3. Events in Jail Jailor in charge -do-
4. New born child or formal deserted in a public place Head of Village -do-
5. Events in moving vehicle in land air or water Person In-charge of the vehicle shall give or cause to be given the information 4/5 (1) of Sec.
8 at the first place of halt or first Reg. Centre.
-do-
6. In case of deaths (not Falling under clauses (a) to (e) of Sub-sec. (i)of Sec(8) in which inquest is held. Officer who conducts the inquest. -do-

N.B. In case of Current Registration (1) no fee shall be charged and (II) an extract of the registration entries (Birth/Death Certificates shall be given to the informant free of charge in for No.5 or 6 prescribed under the Sikkim Registration of Births & Deaths Rules 1999.
Procedure for delayed Registration of Births & Deaths as per section of the Registration of Births & Deaths Act, 1969 read with Rule 9(1),9(2) & 9(3) of the Sikkim Registration of Births & Deaths Rules 1999.

Time limit for reporting Of delayed registration. Formalities needed To be observed for Delayed registration. Amount of delay fine to be paid after meeting up the formalities.
A. Information is given to The Registration of B&D after Expiry of the stipulated time i.e. 21 days from the date of occurrence of the event but within 30 days of the occurrence. No formalities
 
late fee of Rs. 2/-
 
B. Information is given to the Registration of B&D after 30 days but within the year of its occurrence. Written permission of the Registrar (B&D)
 
late fee of Rs. 5/-
 
C. Information is given to the Registrar of B&D after one year of its occurrence Written permission of the Executive Magistrate. SDM
 
late fee of Rs. 10/-

I. Procedure for obtaining drugs license.

Retail: Retail licenses are given in two categories i.e., (i) C & C I, (ii) other than C & U 1 is for biological Product like hormonal preparations, vaccines, etc and all the other remaining products comes under other than C & C 1.

Wholesale: Same as retail.

II. Criteria for license.

Applicant applying for retail license shall preferably be registered Pharmacist or he should have in employment a registered Pharmacist who acts as the sale supervisor of the retail trade. However, for wholesale license, one need not be a registered pharmacist. An experienced certificate of at least our years of experience in dealing with drugs shall suffice.

The premises where the retail or wholesale trade is to be done should be registered with the Land Revenue Department done through the respective District Collectors.

The premises should be at least 10 sq meter in dimension and shall he provided with racks for storage & other arrangements whatever applicable.

III. How to apply

An application in form 19 of the Drugs and Cosmetics Rules 1945 should be made f or both retail and wholesale license. The form is available in the Drugs and cosmetics Cell of the Health Department

IV. Whom to apply.

Application requesting for grant of drugs license should be made to the Drugs Controller / Licensing Authority, Drugs and Cosmetics Cell, Health and Family Welfare Department.

V. Documents required.

  • Firm registration
  • Certificate of registered pharmacist
  • NOC of House Owner, if rented or House Deed, if owned
  • Layout plan of the location of the premises.

VI. License Fees.

License fee for each license in form 20, 20-B 21, 21-B is Rs.1500/- (Rupees one thousand five hundred) only. The license once issued or renewed is valid for a period of five years.

The revenue head of account is 0210-01-020-800-other receipt.

ISSUE OF TRADE LICENSE UNDER FOOD ADULTERATION

Under the Prevention of Food Adulteration (PFA) Act, 1954 and Rules 1955 enforced in Sikkim w.e.f 1979, it is mandatory for all retailers and wholesalers of Food, Vegetables, petal, beverages, meat, fish, poultry and owners Hotels and Restaurants to have a License from the Health & Family
Welfare Department duly issued by a competent authority.

How to apply for the License? Application must be submitted in the prescribed form which can be obtained from the PFA Cell of the Department at a cost of Rs.5 to be deposited in the Head of A/C 0210-104-01.

Along with the application form duly filled in,the following documents are required.

  • Sikkim Subject Certificate or Certificate of Identification duly attached by DC/ADC of the concerned District.
  • Two recent passport size photo.
  • No objection from House owner where the shop is proposed to be set up
  • Recommendation from the concerned Area M.L.A.
  • Sanitation Inspection Report.South/West/North/East (Health Dept)

Incase of meat shop, no objection from the Animal Husbandry Department,Government of Sikkim.

Patient suffering from diseases for which existing medical facilities are not available in the State. Sikkim Government employees and their dependents and the General Public possessing Certificate of Identification are entitled medical advance for treatment outside the State Government Medical Institutions where such facilities are available. In order to avail the facility, the State Medical Board consisting of specialists of the STNM Hospital, Gangtok has to certify and refer the case to premier Medical Institute/Colleges in the country.

For Government Servants and their dependents.

On production of Referral Certificate issued by the Sikkim Medical Board. Advance for common diseases.

  • Rs. 5,000(To be sanctioned by Director of Health)
  • The maximum amount of reimbursement for common diseases in Rs. 10,000/- only
  • Rs. 10,000/-(To be sanctioned by Secretary Health) in case of selected diseases such as

=>Cancer
=>Organ Transplant
=>Bye Pass Surgery
=>Selected Neuro Surgery

For the General Public possessing Certificate of Identification

On production of Referral Certificate issued by the Sikkim Medical Board. One time advance is granted/sanctioned.

Rs.20,000/-

Sanctioning

Hon’ble Minister

(Health)

Rs.15,000/-

Authority

Hon’ble Chief

Minister

DOCTORS DIRECTORY

SLNO     NAME & DESIGNATION CLINIC RESIDENCE
1 AMBULANCE & HOSPITAL       222994  
2   222059 222555
3 DR. V.SINGHI, ADDL. MEDICAL
SUPERINTENDENT
226227 234277
4 DR. K. BHANDARI, CHIEF CONSULTANT 223516  222241
5 DR. J. N. SHARMA, CONSULTANT 223062  
6 DR. S. PRADHAN, CONSULTANT, PEDIATRIC   222118
7 DR. M. R. KOTWAL, CONSULTANT SPECIALIST 223121 222997
8 DR. I. L. SHARMA, CONSULTANT PSYCHIATRIC   281154
9 DR. S. K. DEWAN, CONSULTANT ORTHO
 SURGEON
  223492
10 DR. S. D. SHARMA, MEDICO LEGAL
CONSULTANT
  281325
11 DR. R. L. SHARMA, CONSULTANT PD AIDS
SOC1ETY
  231893
12 DR D. S. HAIMAL, CONSULTANT   223430
13 DR. K. NEUPANEY, CONSULTANT, DS   231493
14 DR. WANGYAL CHANKAPA, CONSULTANT
SPECIALIST
  2236 83
15 DR. P. K. PRADHAN, CONSULTANT PATHOLOGY   222546
16 DR. SARDA TENZING, ANESTHETIST   222712
17 DR. N. T. SHERPA, CONSULTANT SPECIALIST       224550
18 DR. W. VERMA, CONSULTANT PATHOLOGY   224555
19 DR. B. P. DHAKAL, CONSULTANT EYE
SPECIALIST
  231894
20 DR. UTTAM PRADHAN, CICRO BIOLOGIST      231926
21 DR. PEMBA, CONSULTANT ORTHO SURGEON   284412
22 DR. K. B. GURUNG, MEDICO LEGAL SPECIALIST   284012
23 DR. P. M. CHETTRI, MEDICAL SPECIALIST    225477
24 DR. K. GIRI, CONSULTANT RADIOLOGIST   280182
25 DR. O. GYATSO, ENT SPECIALIST   225282
26 DR. S. DENZONGPA , ENT SPECIALIST   224756
27 DR. PASS AN G, CONSULT AND SURGEON   222783
28 DR. RUTH, PAEDIATRICAN    225186
29 DR. WANGCHUK, CONSULTANT SURGEON   223650
30 DR.S.K.RA1,CONSULTANT ,DS   280618
31 DR. ANNE, RADIOLOGIST    225330,222043
32 DR. P. K. RAI, CONSULTANT ANESTHETIST   226294
33 DR B. N. SHARMA, MEDICAL SPECIALIST   222231
34 DR. NEPAL, PEDIATRICIAN   2270617/231058
35 DR. KANTI SHARMA, CONSULTANT
GYNECOLOGIST
  281154
36 DR. NITI NEPAL, GYNECOLOGIST   2706l7,231058
37 DR. JAGAT, MICROBIOLOGIST   225207
38 DR R. N. DEOKOTA, GYNECOLOGIST   229165
39 DR. ANNIE, MO   224542
40 DR. CHODEN, MO   228315,225342
41  DR. SANGITA, MO   225336
42 DR. KIPA, MO       224760
43 DR. KABITA, MO        223734
44 DR. PEMA CHOKI, MO     223032
45 DR. G.BHUTIA   281674
46 DR. I. CHETTRI,MO    223766
47 DR. DAWA DOMA   223912
48 DR. P. KOTHARI, MO    225117
49 DR. S. BHANDARI, MO        222123
50 DR. NILIMA  PRADHAN, MO    228763
51 DR. CHIMI, MO   222921,224761
52 DR. NEDUP,MO           280502
53 DR.MAMTA & DR. O. T. LEPCHA       226556
54 DR. TASHI, MO   281277
55 DR. C. S. RAI, MO   225433,222928
56 DR. MANI, MO   231524
57 DR. MELOZINA, MO   224841
58 DR. PHUMZAY, MO   220316
59 DR. T. PEGGY, MO        251392
60 DR. WBARFUNG. PA, MO   221695
61 DR. P. UDEN, MICROBIOLOGIST   223929,228323
62 DR. SANGITA, MO   281363
63 DR. KAUSHILYA, MO     228762
64 DR. S. TAMANG ,MO   281722
65 DR. CHUNGDEN, MO   229739
66 DR. S. DEEP, ANESTHETIST   224685
67 DR. K. N. PRADHAN, DENTAL SURGEON   224557

HOSPITAL CHARGES

DEPARTMENT OF HEALTH CARE, HUMAN SERVICES & FAMILY WELFARE

GOVERNMENT OF SIKKIM

TASHILING, GANGTOK

Memo No. 58/HC,HS & FW

Dated:05/10/2010
NOTIFICATION
The Governor of Sikkim is pleased to revise and fix the user charges for tests/investigations/medical & surgical procedures and to prescribe the criteria for admissibility of free supply of drugs and medicines in the government hospital and health centres in Sikkim, as follows, with immediate effect. This Notification supercedes all previous Notifications/orders on the subject.
1 Revised rate of user charges for various investigation/test procedure in government hospitals and health centres in Sikkim are as under:-

Sl.no. Name of investigation/test/medical & surgical procedure Rate (in rupees) Remarks
I Haematology
1 Total Leukocyte Count 10.00
2 Differental Count 10.00
3 ESR 5.00
4 Haemoglobin 10.00
5 HB %, TLC,DLC,ESR 25.00
6 Malarial Parasite 10.00
8 Peripheral Blood Picture (GBP) 20.00
9 Platelet Count 10.00
10 PCV (Packed Cell Volume) Free
11 Test for Sickling Free
12 Bleeding Time 10.00
13 Clotting Time 10.00
14 Prothrombin Time 25.00
15 Reticulocyte Count 20.00
16 ABO & RH Grouping 20.00
17 Coombs Test (Direct) 20.00
18 Coombs Test (indirect) 20.00
19 Activated Partial Thromboplastin Time (APTT) 25.00
20 Glycosylated Haemoglobin 50.00
21 CPK(CK-MB) 15.00
II Infertility Tests
1 Semen Analysis 50.00 Free in case of NSV Cases
III Immunological
1 Widal Test 30.00
2 Antisreptolysin O Titres 50.00
3 Rheumatoid Factor 50.00
4 Mantoux Test Free
5 VDRL Free
6 C-Reactive Protein 30.00
7 Urine for HCG 30.00
8 HBsAG 50.00
9 Anti HCV 50.00
Sl.no. Name of investigation/test/medical & surgical procedure Rate (in rupees) Remarks
10 Rapid Test for Typhoid 50.00
11 TPHA 50.00
IV Cardiology
1 ECHO 400.00
2 TMT 400.00
3 Holter Monitor 400.00
4 Cardiac Markers 1500.00
V Metabolic Function
1 Serum Glucose (F/PP/Random) 15.00 Each
2 Serum Uric Acid 15.00
3 Serum Calcium 15.00
4 Inorganic Phosporus 15.00
VI Psychiatry
1 Electroencephalogram (EEG) 300.00
VII Renal & Prostrate Functions
1 Serum Urea 15.00
2 Serum Creatinine 15.00
3 Serum Acid Phosphatase 15.00
4 Bence Jones Protein 15.00
5 24 Hours Proteinuria 50.00
6 Serum Sodium 15.00
7 Serum Potassium 15.00
8 Serum Chloride 15.00
VIII Liver Function Tests
1 Serum Bilirubin (Total & Direct) 15.00
2 Serum Protein (Albumin + Globulin) 15.00
3 SGPT 15.00
4 SGOT 15.00
5 Serum Gamma Glutamyl Transferase 15.00
6 Serum Alkaline Phosphatase 15.00
7 Complete Liver Function Test 100.00
IX Lipid Profile
1 Serum Cholosterol 15.00
2 HDL 15.00
3 Triglcerides 15.00
4 Complete Lipid Profile (inluding VLDL/LDL) 100.00 Each
X Serum Enzymology
1 Serum Amylase 15.00
XI Bacteriology
1 All Cultures (sputum,Urine,Stool,Pus,Throat SW AB) 30-100
2 Zeihl Nelson Stain 10.00
3 Grams Stain 10.00
4 Leprosy Test Free
5 KOH Preparation (Microscope) 15.00
6 Fungal Culture 50.00
7 Blood Culture 100.00
Sl.no. Name of investigation/test/medical & surgical procedure Rate (in rupees) Remarks
XII Urine Examination
1 Routine ALB/Sugar/Microscopy 20.00
2 Bile Salt 10.00
3 Bile Pigment 10.00
4 Ketone Bodies 10.00
5 Porpoblinogen 10.00
6 Urobilinogen 20.00
7 Urinary Uric Acid 20.00
8 Creatinine Clearance 50.00
XIII Stool Examination
1 Routine (OVA/CYST) 10.00
2 Occult Blood 10.00
3 Reducing Substance
XIV Special Investigation
Thyroid Profile
1 T3 T4 TSH 100.00
2 Free T3, Free T4, TSH 150.00
3 TSH only 50.00
4 ALPH Feto Protein 100.00
5 Anti Nuclear Antibodies 100.00
6 Biopsy (Small) 100.00
7 ADA 100.00
8 Biopsy (Large) 100.00
XV Cytology
1 FNAC 50.00
2 PAP Smear 50.00
3 Cytology or Sputum/Fluids 50.00
4 Ascitic Fluid, Pleural Fluid, Synovial Fluid 50.00 each
XVI Radiology
1 X-Ray (per plate) 30.00
2 Dental X-Ray 30.00
3 Ultrasound 200.00
4 CT Scan 600.00
5 MRI 2000.00
XVII Dental Procedures
1 RCT 200.00
2 Complete Denture – Upper& Lower 1000.00
3 Orthodontic Treatment – Braces 2000.00
4 Implant Denture – Single 5000.00
5 Ceramic Crown -Single 600.00
6 Crown & Bridge (FPD)= 3 Unit 1800.00
7 RPD -Single 100.00
8 Light Cure Resin Filling – Single 100.00
9 Enucleation/Marsupialisation 1000.00
10 Reduction & Stabilization of fracture of mandible/maxilla 1000.00
11 Surgical Extration of tooth 1000.00
12 Apisectomy of teeth 1000.00
13 Extration & Scaling of teeth 100.00
14 GI/Silver Amalgam Filling 100.00
Sl.no. Name of investigation/test/medical & surgical procedure Rate (in rupees) Remarks
XVIII Medical & Surgical Procedures
1 Medicines, Drugs and Consummable items As per approved Schedule of Rates of Central Health Stores Organisation (CHSO).The rates shall be applicable for dental procedures also.
2 Minor Operations/Procedures such as, Incision & drainage(minor), Lumber Puncture, Plural Effusion,Aspiration(Therapeutic), Abdominal Aspiration (Therapeutic), Bone Marrow Aspiration, Inter Costal Drainage, Liver Biopsy, Foreign Body Removal & any other type of minor operation/procedures certified by the treating/operating Specialist/Medical Officer as minor operation/procedure. 300.00
2 Major Operations/Procedures such as, Laparscopic Cholecystectomy , Appendicectomy, Ceasarean Section, Hysterectomy, Major Orthopaedic Operations or any other Operation/Procedure certified by the Operating Specialist as Major operation/procedure. 5000.00
XIX REGISTRATION FEE 10.00
XX ROOM/BED CHARGES
1 Private Ward (per room) 400.00
2 ICCU (per room) 200.00
3 General (per bed) 150.00 For health insurance claims & medical reimbursement clams only.

XXI Ambulances Charges

1 STNM Hospital and District Hospital : Rs.10.00 per Kilometer without fuel within a radius of 5 (five) Kilometers from Hospital and Rs.2.00 per Kilometer with fuel beyond 5 (five) kilimeters.

2 Free supply of drugs and medicines shall be provided in the government hospitals and health centres in sikkim subject to following:

(i) Indoor patient

Free tests/investigations and medical/surgical procedures including supply of drugs/medicines/consumables as per norms shall be provided to any indoor patient subject to submission of the following certificates duly attested by authorised person:-

(1) Sikkim Subject Certificate, or

(2) Certificate of Idendification, or

(3) Voter Identify Card of Sikkim

(ii) Outdoor patients:

Free supply of drugs/medicines as per norms shall be provided to any outdoor patient on the basis of prescription issued by Medical Officer of the hospital/health centre concerned in prescribed OPD Card bearing valid registration number subject to submission of the following certificates duly attested by authorised person:-

(1) Sikkim Subject Certificate, or

(2) Certificate of Idendification, or

(3) Voter Identify Card of Sikkim.

NB: The quantum of free supply of drugs and medicines to outdoor patient shall not exceed a period of 7 (seven) days only for any acute ailment/disease and a maximum period of 30 (thirty) days only in case of chronic ailment/disease.

(iii) Diagnostic test/investigations (Pathology, Microbiology, Radiology etc., and Medical procedures: Except in case of (i) above all tests/investigations shall be provided on cost as per para 1 above.

Exceptions: The above will not apply to following category outpatient:

(a) Senior Citizens (65 (sixty five years of age and above having proof of residence in Sikkim).

(b) BPL patients (as per list notified by DESME)

© Differently abled patient with more than 40% Disability on submission of requisite certificate issued by the competent authority.

(iv) Emergency Cases: All treatment on emergency shall be provided free of cost as per norms as long as the patient is in the emergency ward and once the patient is stabilized and is shifted to any other ward he/she shall be liable to pay user charges as applicable or in vogue forthwith.

(v) Government servants and their dependents: Government servant and their dependents, eligible for reimbursement of expenses under Sikkim Services (Medical Facilities) Rules shall not be provided free drugs/medicnies or tests and investigations in any government health institutions in the state. However in case of emergency, above (iv) shall apply.

(iv) Consultancy Fees: No charge for services such as consultancy fees shall be levied in the hospitals and health centres.

(v) Registration Fee: Registration fee shall be compulsory to all and no exception shall be allowed.

BY ORDER AND IN THE NAME OF GOVERNOR.

Sd/

(Vijay Bhushan Pathak) IAS

Commissioner-cum-Secretary to the Government of Sikkim

File No.GOS/H/Acctts/06/10-11

Memo No:68-76

Dated:5:10:2010

Copy to:

1 All Secretaries/ Heads of Departments

2 Principal Secretary to Governor

3 Principal Secretary to Chief Minister

4 PS to all Ministers

5 PS to Chief Secretary

6 Accountant General, Sikkim

7 Principal Director, Treasury, Pay & Accounts Office

8 Director-Cum-Medical Superintendent, STNM Hospital, Gangtok

9 Joint Secretary, Home Department for publication in the official Gazette

10 Chief Medical Officer, East, West, North & South District

11 File &

12 Guard file

(S.RAI)SCS

Additional Secretary to the Government of Sikkim

EQUIPMENT(STNM)

Sl.No. Department Name of the Equipment procured & supplied to hospitals(Name of the Hospital with nos) Date of purchase & average/predicted life of equipment as per manufacturing company Amount spent Recommended frequency for maintenance( yearly,half yearly,monthly & quaterly) Status of equipment
1 General Surgery Steris Easy Max operating Table(STNM Hospital) 1 No. 19th January 2009/3to6yrs 2790000
2 General Surgery Fogging Machine( Fumigation)(STNM Hospital)6 Nos. 5th March 2009/3to6yrs 648000
3 General Surgery 3 chip camera 20223011-1 TRICAM SL II-3 chip camera control Unit(CCU) with integrated KARL STORZ Communication Bus SCB and integrated Image Processing Modul,Colour system PAL /NTSC,Power Supply – 100-240 VAC,50/60 Hz consisting of 20223020-1 Tricam SL II camera control unit(STNM Hospital) 1 Set. 18th March 2009/3to6yrs 1389837
4 General Surgery 20221030 TRICAM 3- Chip camera head with 2 freely programmable camera head buttons,color system PAL, with integrated Parfocal -Zoom focal length f= 25.50 mm (2x)(STNM Hospital)1 Set. 18th March 2009/3to6yrs 1115676
5 General Surgery Cryocautery Machine STNM Hospital(1 .No) 20/3/2010 /3 to 5 yrs 295000
6 Surgery Hopkins II Telescope Odig.10 mm.STNM.(1 No). 23/2/2010 /3 to 5 yrs 452870
7 Surgery Clip Applicator for LT 400(Karl Storz- Germany).STNM .(1 No) 2/7/2010 /3 to 5 yrs 141750
8 General Surgery Clip Applicator for LT 300 with metal outer tube,metal handle and insert.(Karl Storz- Germany).STNM .(1 No) 19/7/2010 /3 to 5 yrs 141750
9 General Surgery Gear Type Major Head-End Control Hydraulic Surgical Operating Table(STNM Hospital)1 No. 23rd January 2009/3to6 yrs 195000
10 General Surgery Choledocho-Fiberscope,steerable Instrument Channel 7 Fr Direction of view: 0o Angle of view 110 o working length:35 cm OD 15.5Fr Following accessories are included : 27677 RR case 11002 SS Grasping Forceps 5 Fr. Length 50 cam 11001 SI Biopsy Forceps 5 Fr length 60 cm, 207023 VK stone Basket,5 Fr length 60 cm 11025 E Pressure Compensation Cap 13242 XL Leakage tester 27651 B Clearing Brush 11272 X Applicator and guiding device for use with trocar 7 mm 28172 GE Applicator for use with 11272 X and Trocar 11 mm.(STNM Hospital)1 Set 18th March 2009/6yrs 1605000
11 General Surgery KARL STORZ cold light Fountain Halogen 150 with one 150 watt halogen lamp, one KARL STORZ light outlet power supply :100/120/230/240 VAC , 50/60 Hz.Consisting of 20112320 Halogen 150 400 A Mains cord.(STNM Hospital) 1 Set. 18th March 2009/3to6yrs 214000
12 General Surgery TRICAM SL II 3 Chip Control Unit(CCU)with integrated KARL STORZ Communication Bus SCB and integrated Image Processing Modul,Color System:PAL/NTSC Power supply : 100-240 VAC 50/60 Hz consisting of 20223020-I Tricam SL II Camera Control Unit 4(STNM Hospital)1 Set. 18th March 2009/3to6yrs 1389837
13 General Surgery TRICAM 3 Chip camera head with 2 freely programmable camera head buttons color system PAL with integrated parfocal-zoom focal length f= 25-50 mm(2x)(STNM Hospital)1 Set. 18th March 2009/3to6yrs 1115676
14 General Surgery Microprocessor Based Electro Surgical Unit 80-04-01 ME 411 (1 No) 19/3/2010 /3 to 5 yrs 1070000

EQUIPMENT(Dist)

LIST OF MEDICAL EQUIPMENTS UNDER DISTRICT HOSPITAL NORTH DISTRICT.

Sl.No Department Name of the Equipment procured & supplied to hospitals (Name of the Hospital with Nos.) Date of purchase & average/predicted life of equipment as per manufacturing company Amount spent Recommended frequency for maintenance (yearly, half yearly, monthly and quarterly.
1 Dental Compact Dental chair & unit chungthant PHC (1 No.) 21/03/2007 3 to 6 years Rs.398000.00 Available
 
2 Radiology ME 1010 100 mA 100 KVP full wave rectified cable type. X ray machine Mangan District Hospital (1 No) 22/03/2007 3 to 6 years Rs. 350000.00 Equipment not available.
 
3. Ophthalmology UNICOS Auto refract meter Model – URK- 700 Mangan District Hospital (1 No) 13/03/2009 3 to 5 years Rs. 305000.00 Available
4. Ophthalmology Moeller wedel stereo operating Microscope. Model: Micro flex F complete with floor stand & Floor switch Mangan district hospital
(1 No)
18/03/2009 3 to 5 years Rs. 580000.00 Available.

DISEASES

HIV/AIDS
TUBERCULOSIS
LEPROSY
MALERIA