Vision & Objectives

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.

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.

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