(i) | Total No. of Serving Employees | 17833 | 17575 | 17833 |
(ii) | Total No. of RELHS Card Holders Registered/with Divn./Pus: 15601 | 0 | 1 | 0 |
| (a) with UMID Card | 14037 | 14029 | 14037 |
| (b) without UMID Card | 1564 | 1560 | 1564 |
(iii) | Total No. of RELHS Beneficiaries | 31202 | 31178 | 31202 |
(iv) | No. of Railway Hospitals in divn (Hospital and No. of Beds (Annexure-1) | 1 (119) | 1 (119) | 1 (119) |
(v) | No. of Health Units in divn (Annexure Location wise -2) | 11 | 11 | 11 |
| | | | |
| CURATIVE PERFORMANCE | | | |
(A) | OPD | | | |
(i) | Total OPD attendance in the month in divn. | 19386 | 17153 | 19386 |
(ii) | Total No. of OPD unit functioning (in Both Hospitals & Health Units) | 20 | 20 | 20 |
(iii) | Average Daily OPD Attendance in the divn. during the period /OPD unit | 38.77 | 34.06 | 38.77 |
| | | | |
(B) | INDOOR | | | |
a. (i) | Total indoor beds in the Zone | 119 | 119 | 119 |
(ii) | No. of indoor patients admitted in the month in all the hospitals of divn | 318 | 276 | 318 |
(iii) | No. of indoor cases admitted per bed/month | 2.67 | 2.31 | 2.67 |
(iv) | Bed Occupancy Ratio (BOR) with Hospital wise break-up (Annexure-3) | 34.48% | 30.92% | 34.48% |
(v) | Average Length of Stay (ALS) with Hospital wise break-up (Annexure-4) | 4 days | 5 days | 4 days |
b. | Day care admission in Railway Hospital | | | |
(i) | Haemodialysis | 0 | 0 | 0 |
(ii) | Chemotherapy | 0 | 0 | 0 |
(iii) | Endoscopic Procedures | 0 | 0 | 0 |
(iv) | Arthroscopic Procedures | 0 | 0 | 0 |
(v) | Any other (Please attach details in separate sheet) | 0 | 0 | 0 |
(vi) | Total Death in Hospitals/Health Units | 0 | 0 | 0 |
(vii) | Maternal mortality in last month | 0 | 0 | 0 |
(viii) | Infant mortality in last month | 0 | 0 | 0 |
| | | | |
(C) | PERFORMANCE IN SURGICAL FIELD | | | |
(i) | Total No. of operation Theatres in the divn | 1 | 1 | 1 |
(ii) | Number of Special surgeries [all surgeries in all specialities including General Surgery. Orthopedic, Gynae and Obstetrics, Eye and ENT surgeon etc excluding cataract (except vi & vii) ] done during the month. | 0 | 0 | 0 |
(iii) | No. of Major surgeries (excluding cataract surgery) | 15 | 13 | 15 |
(iv) | No. of Minor surgeries | 37 | 68 | 37 |
(v) | Total No. of Surgeries | 52 | 81 | 52 |
(vi) | Cataract Operations without IOL | 0 | 0 | 0 |
(vii) | Cataract Operations with IOL | 18 | 14 | 18 |
(viii) | No. of Dental procedure | 76 | 28 | 76 |
(ix) | Grand Total (iii+iv+vi+vii+viii) | 146 | 123 | 146 |
(x) | Number of Doctors working in different specialities (e.g. General Surgery, Orthopedic, Gynae and Obsterics, EYE, ENT, CTVS, Neuro Surgeons Anaesthesiologist, etc.) working in the zone. (Annexure-5) | 8 | 8 | 8 |
(xi) | Number of surgeries performed by each Surgeon. (Annexure 5 (a)) | 18.25 | 15.37 | |
| | | | |
(D) | DIAGNOSTIC INVESTIGATION | | | |
(I) | IMAGING | | | |
(i) | No. of Digital Xray machine available in the divn | 1 | 1 | 1 |
(ii) | No. of 500 MA/300MA/100MA machine available with breakup in the divn | 2 (100 MA) portable | 2 (100 MA) portable | 2 (100 MA) portable |
(iii) | No. of Hospitals without digital Radiography | Nil | Nil | Nil |
(iv) | No. of Radiological Investigations done in house | 465 | 402 | 465 |
(v) | No. of Radiological Investigations done outsourced | 32 | 10 | 32 |
(vi) | No. of CT Scans done in current month | 48 | 45 | 48 |
(vii) | No. of CT Scans done in current month in house | Nil | Nil | Nil |
(viii) | No. of CT Scans done outsourced | 48 | 45 | 48 |
(ix) | No. of MRIs done outsourced | 63 | 41 | 63 |
(x) | (i) No. of USG machines | 1 | Nil | 1 |
(xi) | (i) No. of USG done in house | 178 | Nil | 178 |
(xii) | (ii) No. of USG done through outsourcing | 70 | 166 | 70 |
(II) | PATHOLOGY | | | |
(i) | No. of Pathological Investigations done in house | 8741 | 7540 | 8741 |
(ii) | No. of Pathological Investigations outsourced | 663 | 483 | 663 |
(III) | CARDIOLOGY | | | |
(i) | No. of ECG in the Divn in house | 610 | 547 | 610 |
(ii) | No. of ECHO in house | 0 | 0 | 0 |
(iii) | No. of Holter done in house | 0 | 0 | 0 |
(iv) | No. of Angiography done in house | 0 | 0 | 0 |
(v) | No. of TMT done in house | 1 | 0 | 1 |
(vi) | No. of ECHO done outsourced | 70 | 53 | 70 |
(vii) | No. of TMT done outsourced | 1 | 0 | 1 |
(V) | INVESTIGATION FACILITIES AT HEALTH UNITS | | | |
(i) | No. of Health Units in the zone which have outsourced the Investigation facilities. | 11 | 11 | 11 |
| (a) Cashless ( Through empanelled diagnostic facility) | 11 | 11 | 11 |
| (b) Imprest ( Rs 30,000 /60,000 for single doctor/ two doctors Health Unit ) | | | |
(E) | REFERRALS TO RAILWAY HOSPITALS OF OTHER ZONES, GOVT. HOSPITALS/PRIVATE HOSPITALS | | | |
(a) | Total No. of Railway patients referred for Indoor treatment to Railway Hospitals of other Zones. | 0 | 0 | 0 |
(b) | Total No. of Railway patients referred for Indoor treatment to Govt. Hospitals. | 50 | 47 | 50 |
(c ) | Total No. of Railway patients referred for Indoor treatment to Private recognised Hospitals. | 119 | 88 | 119 |
(i) | (a) For tertiary Health Care | 24 | 18 | 24 |
| (b) For Secondary Health Care | 95 | 70 | 95 |
(ii) | (a) No. of cases sent on advance payment basis for tertiary care | 0 | 0 | 0 |
| (b) No. of cases sent on advance payment basis for secondary care | 0 | 0 | 0 |
(iii) | (a) No. of cases referred for solid organ transplant | 0 | 0 | 0 |
| (b) No. of cases referred for BMT | 0 | 0 | 0 |
(d) | REIMBURSEMENT CASES | | | |
(i) | No. of Reimbursement cases received | 41 | 32 | 41 |
(ii) | (a) No. of Reimbursement cases cleared within 60 days | 24 | 15 | 24 |
| (b) No. of Reimbursement cases cleared in more than 60 days | 18 | 10 | 18 |
(iii) | No. of Reimbursement cased pending for more than 60 days | 26 | 22 | 26 |
(G) | BILLS AND EXPENDITURE | | | |
(i) | Treatment | | | |
| (a) Expenditure for treatment in Private empanelled hospitals (in Rs) | ######## | ######## | ######## |
| (b) Expenditure for treatment in Government Hospitals (in Rs) | 0 | 0 | 0 |
| (c) Expenditure for treatment in referral hospitals for cancer treatment only | 0 | 0 | 0 |
| (d) Expenditure (in Rs) in advance payment | 0 | 0 | 0 |
| (e) Expenditure (in Rs) in advance payment for solid organ transplant | 0 | 0 | 0 |
| (f) Expenditure (in Rs) in advance payment for BMT. | 0 | 0 | 0 |
(ii) | (a) Expenditure for outsourced Investigation at Hospital. | 6,30,101 | 18,95,748 | 6,30,101 |
| (b) (i) Expenditure for outsourced Investigation at Health Units on cashless basis. | 0 | 0 | 0 |
| (b) (ii) Expenditure for outsourced Investigation at Health Unit on imperst basis | 13,713 | 11,751 | 13,713 |
| (c ) (i) The No. of Bills pending for more than one month. | 0 | 1,224 | 0 |
| (c ) (ii) Amount in Rs pending for above (i) | 0 | 9,99,727 | 0 |
| | | | |
| FAMILY WELFARE ACTIVITIS | | | |
(a) | (i) Sterilisation (Only Railway cases) - Male | 0 | 0 | 0 |
| (ii) Sterilisation (Only Railway cases) - Female | 1 | 0 | 1 |
| (iii) Total No. of Sterilisation | 1 | 0 | 1 |
(b) | Immunisation | | | |
(i) | TT (Preg. Women) (2nd dose+ Booster) | 9 | 3 | 9 |
(ii) | BCG, b-OPV (0dose), Hep B(0dose) Birth | 4 | 7 | 4 |
(iii) | b-OPV 1, Pentavac -1, f-IPV-1, RVV, PCV-1 6 Weeks | 15 | 13 | 15 |
(iv) | B-OPV2, Pentavac-2, RVV-2 10 Weeks | 10 | 17 | 10 |
(v) | b-OPV 3, Pentavac-3, f-IPV-2, RVV-3, PCV-2 14 Weeks | 16 | 19 | 16 |
(vi) | MR-1, f-IPV-3, PCV 3 9-12 Months | 13 | 24 | 13 |
(vii) | MR-2, JE-2, DPT Booster -1, OPV booster 16-24 Months | 9 | 20 | 9 |
(viii) | Typhoid Vaccine 2-5 year | 0 | 0 | 0 |
(ix) | DPT booster -2 5-6 years | 17 | 24 | 17 |
(x) | Td 10 years | 14 | 22 | 14 |
(xi) | Td 16 years | 16 | 22 | 16 |
(xii) | Vit.A (total-1st dose for below and upto 1 year) | 8 | 22 | 8 |
(xiii) | Vit A ( total- 2nd to 5th dose) | 12 | 12 | 12 |
(c) | Maternal Health | | | |
(i) | Ante Natal Cases (ANC) Registered | 7 | 10 | 7 |
(ii) | No. of ANC 3rd checkup completed | 7 | 10 | 7 |
(iii) | No. of Institutional Delivery in last month:- | 1 | 4 | 1 |
(iv) | Total Deliveries Reported | 1 | 4 | 1 |
(v) | Total No. of low birth weight babies (less than 2.5 Kgs.) | 0 | 0 | 0 |
(vi) | No. of deliveries with low birth weight babies (less than 2.5 Kgs.) among booked cases. | 0 | 0 | 0 |
(vii) | Total number of deliveries/abortion conducted in Railway Hospitals during the month | 1 | 4 | 1 |
(viii) | Total number of MTP done in Railway Hospitals during the month | 0 | 0 | 1 |
(ix) | Maternal mortality within 6 weeks of delivery / abortion | 0 | 0 | 0 |
| | | | |
| | | | |
| WATER QUALITY | | | |
(i) | Total no. of water samples tested for Residual Chlorine | 1326 | 1518 | 1326 |
(ii) | Total no. of samples found to have inadequate Residual Chlorine | 140 | 253 | 140 |
(iii) | Total no. of water samples tested for bacteriological safety | 54 | 22 | 54 |
(iv) | Total no. of samples found bacteriologically unsatisfactory | 4 | 0 | 4 |
(v) | Total no. of chemical analysis | 0 | 0 | 0 |
| | | | |
| FOOD SAFETY | | | |
(i) | Total No. of Food Safety Officers (FSOs) working in the divn | 1 | 1 | 1 |
(ii) | No. of FBO population in zone with division wise breakup (Annexure- 7). | | | |
(iii) | No. of samples sent to state food laboratory. | | | |
(iv) | No. of Food Business Units licensed/registered till date | | | |
(v) | Training done for DO/FSO in the month | | | |
(vi) | Training done for FBO in the month | | | |
(vii) | Total Number of food samples collected under FSSA. | | | |
(viii) | No. of Food sample analysed | 9 | 3 | 9 |
(ix) | No of Food Samples found adultrated, unsafe, Substandard, misbranded (Annexure-8) | Nil | Nil | Nil |
(x) | No. of cases filed before State Adjucating Officer -Decided -Current Pendency Status (Annexure 9) | | | |
(xi) | No. of Convictions and penalties against FBOs during the time period (Annexure- 10) | | | |
(xii) | Amount realised through Convictions and Penalties against FBOs during the time period | | | |
(xiii) | No. of prosecutions launched | | | |
(xiv) | Numbers awarded punishment | | | |
(xv) | No. of Eat Right Stations in divn | | | |
(xvi) | No. of Eat Right Campus in divn | | | |
| | | | |
| MEDICAL AUDIT MEETING HELD IN DEATH CASE | | | |
(i) | Total No. of Deaths | 0 | 0 | 0 |
(ii) | No. of Death cases audited and analysed in mortality meetings. | 0 | 0 | 0 |
| | | | |
| COMMUNITY BASED HEALTH ACTIVTIES | | | |
(i) | Number of Wellness assurance camps conducted in the Health Units / Hospitals in the month | 1 | 6 | 1 |
(ii) | Number of Wellness assurance camps conducted at the work place in the month. | 1 | 1 | 1 |
(iii) | Number of Wellness assurance camps conducted at the places other than Health Units / Hospitals and work place in the month. | 0 | 0 | 0 |
(iv) | Total Number of Wellness assurance camps (i + ii + iii) | 2 | 7 | 2 |
(v) | Total Number of persons examined in the Wellness assurance camps above. | 210 | 109 | 210 |
(vi) | Total no. of new HTN cases detected in Wellness assurance camps. | 5 | 2 | 5 |
(vii) | Total no. of new Diabetic cases detected in Wellness assurance camps. | 4 | 2 | 4 |
(viii) | Total No. of Cancer cases detected in wellness assurance camps. | 0 | 0 | 0 |
(ix) | Total No. of Anemia cases detected in wellness assurance camps. | 0 | 0 | 0 |
(x) | No. of Health Awareness lectures done in Railway/ other premises for employees/RELHS. | 0 | 0 | 0 |
| | | | |
| SCHOOL HEALTH | | | |
(i) | Number of Railway Schools in the Zone | 2 | 2 | 2 |
(ii) | Total number of students in these schools | 644 | 645 | 644 |
(iii) | Number of students whose medical examination has been done in the month | 122 | 105 | 122 |
| | | | |
| IMPLEMENTATION OF NATIONAL TUBERCULOSIS ELIMINATION PROGRAMME (NTEP) | | | |
(i) | Number of New Pulmonary TB (PTB) Cases detected | 0 | 0 | 0 |
(ii) | Number of New Extra Pulmonary TB (EPTB) Cases detected. | 0 | 0 | 0 |
(iii) | Number of active TB cases taking AKT. | 6 | 0 | 6 |
(iv) | Total number of Pulmonary TB cases under NTEP programme. | 6 | 0 | 6 |
(v) | Total number of MDR Pulmonary TB cases. | 0 | 0 | 0 |
| | | | |
| PREVENTATION OF HIV TRANSMISSION AND MANAGEMENT OF AIDS CASES | | | |
(i) | No of Persons tested for HIV | 226 | 149 | 226 |
(ii) | No of Persons with HIV per 10,000 beneficiaries | 0 | 0 | 0 |
(iii) | No. of persons found HIV +ve | 0 | 0 | 3 |
(iv) | Total no. of HIV +ve (PLHIV) in the zone (Total Pool) | 0 | 0 | 0 |
(v) | No. of persons HIV +ve tested referred to ART centre | 0 | 0 | 3 |
(vi) | No. of PLHIV found to be eligible to receive ART | 0 | 0 | 0 |
(vii) | No. of persons receiving regular ART | 0 | 0 | 0 |
(viii) | No.of HIV+ve mothers delivered (In Railway Hospitals and outside). | 0 | 0 | 0 |
(ix) | No.of HIV+ve mothers who delivered HIV -ve babies | 0 | 0 | 0 |
(x) | No. of needle stick injuries | 0 | 0 | 0 |
(xi) | No. of persons receiving / received ART after needle stick injury | 0 | 0 | 0 |
| | | | |
| INDUSTRIAL PERFORMANCE | | | |
(A) | MAN DAYS LOST | | | |
(i) | Total no. of Man days lost on RMC in last month | 13491 | 11414 | 13491 |
(ii) | Percentage of man days lost in RMC in last month | 2.44 | 2.24 | 2.44 |
(iii) | Total no. of Man days lost in HOD / IOD in last month on duty) | 399 | 513 | 399 |
(iv) | Percentage of man days lost in HOD/ IOD in last month on duty | 0.06 | 0.08 | 0.06 |
(v) | No. of employees on sick list for more than one year (Annexure-11) | 3 | 8 | 3 |
(vi) | No. of Medical Boards finalised in last month. | 4 | 0 | 4 |
(vii) | No.of Pending Medical Boards (More than 60 days) | 1 | 6 | 1 |
(viii) | No.of AEMG done (Details as per Annexure-12) | 4 | 0 | 4 |
(ix) | No. of Invalidation | 0 | 0 | 0 |
| | | | |
(B) | MEDICAL EXAMINATION | | | |
(i) | No. of candidates of A1 Category examined | 0 | 0 | 0 |
(ii) | No. A1 cases of candidates finalized within 2 days | N.A. | N.A. | N.A. |
(iii) | No. of candidates of A2 Category and below examined | 8 | 13 | 8 |
(iv) | No. of A2 & below cases finalized on the same day | 6 | 5 | 6 |
(v) | Total number of medical examination of candidates of all categories examined | 8 | 13 | 8 |
(vi) | Total number of appeals against medical examination preferred by candidates. | 0 | 0 | 0 |
(vii) | No. of cases, out of (vi) in which the original decision was changed on appeal | N.A. | N.A. | N.A. |
(viii) | No. of PME done for A1 Category. | 33 | 18 | 33 |
(ix) | No. A1 cases finalized within 2 days. | 32 | 15 | 32 |
(x) | No. of PME done for A2 Category & below. | 105 | 119 | 105 |
(xi) | No. of PME done for A2 Category & below within 1 day. | 99 | 108 | 99 |
(xii) | No. of IRHS doctors | 17 | 14 | 17 |
(xiii) | No. of IRHS doctors authorised for ME - (Details in Annexure 13- HU/Hospitals/Name of IRHS/ Designation/Authorised on /for A1/A2/A3 & Below B1. | 10 | 10 | 10 |
| | | | |
(C) | INDUSTRIAL BASED INJURIES | | | |
(i) | Total No. of employees in Open Line | 17833 | 17575 | 17833 |
(ii) | No. of Employees sustaining fatal injury during last month in Open Line | 0 | 0 | 0 |
(iii) | Total no. of grievous injuries in Open Line staff in last month | 2 | 6 | 2 |
(iv) | Total No. of simple injuries in Open Line employees in the last month | 4 | 6 | 4 |
(v) | Total No. of employees in workshops/PUs | Nil | Nil | Nil |
(vi) | No. of Employees sustaining fatal injury during last month in workshops | Nil | Nil | Nil |
(vii) | Total no. of grievous injuries in workshop staff in the month | Nil | Nil | Nil |
(viii) | Total No. of simple injuries in workshop employees in the last month | Nil | Nil | Nil |
| | | | |
| MEDICAL SERVICES PROVIDED AT TRAINS (Annexure for i to x) | | | |
(i) | (a) No. of trains in which medical boxes as per AIIMS committee guidelines have been provided | 8 | 4 | 8 |
| (b) No. of stations where Medical boxes as per AIIMS guildelines have been provided | 4 | 4 | 4 |
(ii) | No. of Staff completed First- Aid training during the month | 7 | 4 | 7 |
(iii) | No of Passengers provided Medical Aid during journey / stations/Yards | 385 | 299 | 385 |
(vi) | No. of Railway accident calls attended (Annexure-14) | 0 | 0 | 0 |
(v) | No. of deaths | 0 | 0 | 0 |
(vi) | No. of Stations with | | | |
| (a) SPART with ARMV | 3 | 3 | 3 |
| (b) ARME-Scale-I | 0 | 0 | 0 |
| (c ) ARME Scale-II | 8 | 8 | 8 |
(viii) | No. of inspections of above by medical officers as per IRMM (Details in Annexure-15 ( a&b) with location , Date, Name of Doctor, Inspection details (Revise) | 12 | 12 | 12 |
| | | | |
| MEDICINE PROCUREMENT | | | |
(i) | Total number of items demanded in annual medical indent | 1551 | 1629 | 1551 |
(ii) | Total number of items finalised by issue of Purchase Order (PO) till month. (H.Q. 7 + Divn. 6) | 119 | 129 | 119 |
(iii) | Total no. of items received for which PO issued till this month | 55 | 178 | 55 |
(iv) | (a) Total funds allotted for AMI (in Rs. Lakhs) | ######### | ######### | ######### |
| (b) Expenditure in Rs on local purchase during the period (in Rs Lakhs) | ######## | ######## | 8,48,777..8 |
(v) | Value of bills passed on PO issued from Zonal Headquarter stores office (in Rs. Lakhs) | ######## | ######## | ######## |
(vi) | No. of bills pending more than 30 days with medical department | 6 | 5 | 6 |
| | | | |
| M&P ITEMS | | | |
(i) | Total number of M&P items (costing more than Rs. 10 lakh). | 9 | 8 | 9 |
(ii) | Total number of M&P items (costing more than Rs. 10 lakh) under AMC/CMC. | 1 | 1 | 1 |
(iii) | Total number of M&P items not kept under regular AMC/CMC | 8 | 7 | 8 |
(iv) | No of preventive maintenance/ repair work done in the last month. | Nil | Nil | Nil |
(v) | M&P Equipment more than 5 lakh out of order for last 3 months | Nil | Nil | Nil |
| | | | |
| ORGANISATION STATISTICS | | | |
(i) | (a) No. of Medical Officers posts sanctioned in the divn (Pre- Restructuring) | 33 | 33 | 33 |
| (b) No. of Medical Officers posts sanctioned in the divn (Post- Restructuring) | 30 | 29 | 30 |
(ii) | No. of IRHS Doctors working in the divn | 17 | 14 | 17 |
| Total No. of IRHS doctors working as GDMO/Specialists | | | |
(iii) | GDMO | 7 | 6 | 7 |
(iv) | Specialists | 10 | 8 | 10 |
(v) | No. of vacancies in the divn ( Exclude study leave, EOL, unauthorised absent ) | 7 | 2 | 7 |
(vi) | No. of CMPs working in the divn | 5 | 7 | 5 |
(vii) | Number of IRHS doctors allotted to the divn | Nil | Nil | Nil |
(viii) | Number of IRHS doctors who reported to the divn for joining | Nil | Nil | Nil |
(ix) | Number of IRHS doctors on unauthorised absence (Annexure-16) with details name/designation/date of absence/action taken | 2 | 4 | 2 |
(x) | Percentage of IRHS doctors retained | 56.66% | 46.66% | 56.66% |
(xi) | No. of HVS working in the division | 3 | 3 | 3 |
(xii) | No. of case to case consultants empanelled | 6 | 2 | 6 |
(xiii) | No. of cases dealt by case to case Consultants last month | 19 | 17 | 19 |
| No. of Health care facilities where HMIS implemented. | | | |
(i) | Total no. of Health care facilities in divn | 12 | 12 | 12 |
(ii) | No. of HMIS modules implementation | 8 | 8 | 8 |
(a) | In Hospital (Annexure-18) | | | |
| (i) Registration | Yes | Yes | Yes |
| (ii) OPD | Yes | Yes | Yes |
| (iii) Pharmacy | Yes | Yes | Yes |
| (iv) Laboratory | No | No | No |
| (v) Referral | No | No | No |
| (vi) Que System | Yes | No | Yes |
| (vii) In-Patient Module | Yes | Yes | Yes |
| (viii) Sick and Fit Module | Yes | No | Yes |
| (ix) Service Area | Yes | Yes | Yes |
| (x) Operation theatre Moudle + Anaesthesia | No | No | No |
| (xi) Local Purchase | Yes | No | Yes |
(b) | In Health Units (Annexure-19) | | | |
| (i) Registration | Yes | Yes | Yes |
| (ii) OPD | Yes | Yes | Yes |
| (iii) Pharmacy | Yes | Yes | Yes |
| (iv) Sick and Fit Module | Yes | Yes | Yes |
(iii) | No. of Health care facilities where HMIS not implemented. | 0 | 0 | 0 |