1. INSTRUCTIONS RELATING TO USER CHARGES, JAN AUSHADHI AND ROGI KALYAN SAMITI

2. OBJECTIVES OF RETENTION AND UTILIZATION OF USER CHARGES TO BRING MORE OWNERSHIP IN CONNECTION OF USER CHARGES. TO BRING MORE OWNERSHIP IN CONNECTION OF USER CHARGES. MAKE HOSPITALS SELF RELIENT ON PETTY REQUIREMENTS RELATING TO DRUGS AND CONSUMABLES. MAKE HOSPITALS SELF RELIENT ON PETTY REQUIREMENTS RELATING TO DRUGS AND CONSUMABLES. TO CREATE MORE LOCALLY REQUIRED PATIENTS FACILITIES. TO CREATE MORE LOCALLY REQUIRED PATIENTS FACILITIES. TO EFFECTIVELY MAINTAIN DAY TO DAY BUILDING MAINTENANCE REQUIREMENTS. TO EFFECTIVELY MAINTAIN DAY TO DAY BUILDING MAINTENANCE REQUIREMENTS. TO EFFECTIVELY MAINTAIN DAY TO DAY EQUIPMENT MAINTENANCE REQUIREMENTS. TO EFFECTIVELY MAINTAIN DAY TO DAY EQUIPMENT MAINTENANCE REQUIREMENTS.

3. SIZE OF COLLECTION AND UTILIZATION TRENDS { R In Lacs } { R In Lacs } PARTICULARS Period (FY) Audited Period (FY) AuditedProvisional 95-9607-0808-0909-1010-11 Collections40.802149.082346.812547.602745.04 Utilization10.111717.452011.142092.022196.30 Drugs3.98 755.09872.85889.07938.88 Imp. Facilities to Patients 4.02 4.02604.02689.59743.60782.69 Maintenance of building 0.75190.92223.46235.50247.33 Maintenance of equipment 1.36167.42225.25223.85227.40

4. COLLECTION OF USER CHARGES CENTRAL COLLECTION CENTRAL COLLECTION RECEIPT BOOK FROM HEADQUARTER RECEIPT BOOK FROM HEADQUARTER DUPLICATE COPY TO PATIENT DUPLICATE COPY TO PATIENT DAILY COLLECTION TO BE DEPOSITED IN SB ACCOUNT OVER R 3000/-. DAILY COLLECTION TO BE DEPOSITED IN SB ACCOUNT OVER R 3000/-. NO EXPENDITURE FROM COLLECTION DIRECTLY NO EXPENDITURE FROM COLLECTION DIRECTLY NO ADVANCE TO ANY EMPLOYEE NO ADVANCE TO ANY EMPLOYEE PARAMEDICS / DRIVERS COLLECTING CHARGES SHOULD DEPOSIT NEXT DAY. PARAMEDICS / DRIVERS COLLECTING CHARGES SHOULD DEPOSIT NEXT DAY. A SEPARTE CASH BOOK A SEPARTE CASH BOOK

5. UTILIZATION OF USER CHARGES DRUGS CONSUMABLES AND LAB. REAGENTS (45%) VITAL AND ESSENTIAL MEDICINES. VITAL AND ESSENTIAL MEDICINES. CONSUMABLES. CONSUMABLES. LAB. REAGENTS LAB. REAGENTS AS PER THE LIST COMMUNICATED BY THE PHSC. AS PER THE LIST COMMUNICATED BY THE PHSC.

6. PROCEDURE TO BE FOLLOWED {DRUGS CONSUMABLES AND LAB. REAGENTS } ASSESSMENT BY DESIGNATED COMMITTEE ASSESSMENT BY DESIGNATED COMMITTEE MS/SMO/Hospital Incharge MS/SMO/Hospital Incharge Two senior most doctors Two senior most doctors One member from RKS One member from RKS CPSU / HLL THROUGH JAS, IF NOT AVAILABLE CPSU / HLL THROUGH JAS, IF NOT AVAILABLE APPROVED CHEMIST APPROVED CHEMIST PURCHASES SHOULD BE WITHIN 45% PURCHASES SHOULD BE WITHIN 45% PAYMENTS THROUGH CHEQUES PAYMENTS THROUGH CHEQUES ALL PURCHASES TO BE PLACED BEFORE RKS FOR RATIFICATION ALL PURCHASES TO BE PLACED BEFORE RKS FOR RATIFICATION NO LIABILITY SHOULD BE CREATED NO LIABILITY SHOULD BE CREATED NO DIVERSION FROM ANY OTHER HEAD NO DIVERSION FROM ANY OTHER HEAD

7. PROCEDURE TO BE FOLLOWED {DRUGS CONSUMABLES AND LAB. REAGENTS } FINANCIAL POWERS R 2000/- WITHOUT CALLING QUOTATION IN EMERGENT CASES. R 2000/- WITHOUT CALLING QUOTATION IN EMERGENT CASES. FULL POWERS TO DESIGNATED COMMITTEE. FULL POWERS TO DESIGNATED COMMITTEE.

8. UTILIZATION OF USER CHARGES IMPROVING FACILITY OF THE PATIENTS (25%) Washing or replacing of Bed sheets. Washing or replacing of Bed sheets. Purchase of Mattresses etc. Purchase of Mattresses etc. Repair/Painting of Hospital Furniture. Repair/Painting of Hospital Furniture. Repair of Laboratory equipment Repair of Laboratory equipment Cleaning of wards, laboratory, toilets etc. Cleaning of wards, laboratory, toilets etc. Purchase of water coolers, Desert coolers, water filters, fans, waiting chairs, public address systems, minor hospital furniture, laboratory equipment, other equipment like AC (for hospital use) Purchase of water coolers, Desert coolers, water filters, fans, waiting chairs, public address systems, minor hospital furniture, laboratory equipment, other equipment like AC (for hospital use) POL and minor repair to Ambulances for patients. POL and minor repair to Ambulances for patients.

9. PROCEDURE TO BE FOLLOWED {IMPROVING FACILITY OF THE PATIENTS } EQUIPMENT AND SERVICES ON DGS&D RATES EQUIPMENT AND SERVICES ON DGS&D RATES PHSC APPROVED RATES PHSC APPROVED RATES WITHOUT QUOTATION UP R 2000/-. WITHOUT QUOTATION UP R 2000/-. MORE THAN R 2000/-, QUOTATION THROUGH LETTER AND FAX UP TO R 25000/-. MORE THAN R 2000/-, QUOTATION THROUGH LETTER AND FAX UP TO R 25000/-. MORE THAN R 25000/-, QUOTATION THROUGH PUBLICATION OF AD IN LOCAL PAPERS. MORE THAN R 25000/-, QUOTATION THROUGH PUBLICATION OF AD IN LOCAL PAPERS. FINANCIAL POWERS SMO / HOSPITAL INCHARGE UP TO R 2000/- SMO / HOSPITAL INCHARGE UP TO R 2000/- FULL POWERS TO DESIGNATED COMMITTEE FULL POWERS TO DESIGNATED COMMITTEE NO SPLITTING NO SPLITTING EXPENDITURE SHOULD BE GOT RACTIFIED FROM RKS EXPENDITURE SHOULD BE GOT RACTIFIED FROM RKS

10. UTILIZATION OF USER CHARGES MAINTENANCE OF BUILDING (15%) Emergency repairs of Building, electrical items, Public Health Fittings, Maintenance of lawns etc. Emergency repairs of Building, electrical items, Public Health Fittings, Maintenance of lawns etc. Purchase of CCTV cameras, Fire fighting equipment, internal signage, etc. Purchase of CCTV cameras, Fire fighting equipment, internal signage, etc.

11. PROCEDURE TO BE FOLLOWED {MAINTENANCE OF BUILDING } WITHOUT QUOTATION UP TO R 2000/- IN EMERGENT CASE WITHOUT QUOTATION UP TO R 2000/- IN EMERGENT CASE MORE THAN R 2000/-, QUOTATION THROUGH LETTER AND FAX UP TO R 25000/-. MORE THAN R 2000/-, QUOTATION THROUGH LETTER AND FAX UP TO R 25000/-. MORE THAN R 25000/-, QUOTATION THROUGH PUBLICATION OF AD IN LOCAL PAPERS. MORE THAN R 25000/-, QUOTATION THROUGH PUBLICATION OF AD IN LOCAL PAPERS. FINANCIAL POWERS SMO / HOSPITAL INCHARGE UP TO R 2000/- SMO / HOSPITAL INCHARGE UP TO R 2000/- FULL POWERS TO DESIGNATED COMMITTEE FULL POWERS TO DESIGNATED COMMITTEE NO SPLITTING NO SPLITTING EXPENDITURE SHOULD BE GOT RACTIFIED FROM RKS EXPENDITURE SHOULD BE GOT RACTIFIED FROM RKS

12. UTILIZATION OF USER CHARGES MAINTENANCE OF EQUIPMENT (15%) Minor maintenance of medical or non- medical equipments. Minor maintenance of medical or non- medical equipments. Purchase of minor equipment like Stabilizer, minor equipment for laboratory, O.T., etc. Purchase of minor equipment like Stabilizer, minor equipment for laboratory, O.T., etc.

13. PROCEDURE TO BE FOLLOWED { MAINTENANCE OF EQUIPMENT } WITHOUT QUOTATION UP TO R 2000/- IN EMERGENT CASE. WITHOUT QUOTATION UP TO R 2000/- IN EMERGENT CASE. IF EQUIPMENT UNDER AMC, AND REPAIR IS TO BE DONE FROM AUTHORIZED DEALER THEN FOLLOWING FINANCIAL POWERS IF EQUIPMENT UNDER AMC, AND REPAIR IS TO BE DONE FROM AUTHORIZED DEALER THEN FOLLOWING FINANCIAL POWERS MD PHSC ……………………….Full powers MD PHSC ……………………….Full powers Civil Surgeon / MS…………… R 50000/- Civil Surgeon / MS…………… R 50000/- DMC ……………………………. R 25000/- DMC ……………………………. R 25000/- SMO Incharge. ……………….. R 10000/- SMO Incharge. ……………….. R 10000/- IF EQUIPMENT NOT UNDER AMC IF EQUIPMENT NOT UNDER AMC From authorized dealer/original manufacturer From authorized dealer/original manufacturer By calling quotations from experienced repair agency By calling quotations from experienced repair agency Financial powers are same. Financial powers are same.

14. GENERAL INSTRUCTIONS SMO, ACCOUNTANT AND OTHER ACCOUNT FUNCTIONARY FULLY RESPONSIBLE FOR ANY VIOLATIONS. SMO, ACCOUNTANT AND OTHER ACCOUNT FUNCTIONARY FULLY RESPONSIBLE FOR ANY VIOLATIONS. AMOUNT SPENT ON NATIONAL CLAMITIES CAN BE RECOUPED FROM THE STATE HEADQUARTERS FROM ERF. AMOUNT SPENT ON NATIONAL CLAMITIES CAN BE RECOUPED FROM THE STATE HEADQUARTERS FROM ERF. DIVERSION FROM ONE HEAD TO ANOTHER HEAD, ONLY MD PHSC IS COMPETENT. DIVERSION FROM ONE HEAD TO ANOTHER HEAD, ONLY MD PHSC IS COMPETENT.

15. ROGI KALYAN SAMITIS / UNTIED FUNDS / MAINTENANCE GRANTS AMOUNT BEING REMITTED EVERY YEAR DISTRICT HOSPITALS RKS Grant …………….. R 5.00 lacs per annum RKS Grant …………….. R 5.00 lacs per annum SUB DIVISIONAL HOSPITALS RKS Grant……………….R 1.00 lac per annum RKS Grant……………….R 1.00 lac per annum COMMUNITY HEALTH CENTRES RKS Grant………………..R 1.00 lac per annum RKS Grant………………..R 1.00 lac per annum Untied Funds…………….R 0.50 lac per annum Untied Funds…………….R 0.50 lac per annum Maintenance Grant………R 1.00 lac per annum Maintenance Grant………R 1.00 lac per annum

16. SUGGESTED AREAS ON WHICH FUNDS CAN BE USED FURNISHING OF THE HOSPITALS FURNISHING OF THE HOSPITALS LIGHTING LIGHTING CIVIL WORK REPAIRS CIVIL WORK REPAIRS AMENTIES TO THE PATIENTS AND ATTENDANTS AMENTIES TO THE PATIENTS AND ATTENDANTS CONTRACTING OF SPECIALISTS CONTRACTING OF SPECIALISTS QUALITY STANDARD MAINTENANCE QUALITY STANDARD MAINTENANCE WATER SUPPLY AUGMENTATION WATER SUPPLY AUGMENTATION WATER COOLERS AND PURIFIERS WATER COOLERS AND PURIFIERS TRANSPORT OF EMERGENCY FOR REFERRALS TRANSPORT OF EMERGENCY FOR REFERRALS TRANSPORT OF SAMPLES DURING EPIDEMICS TRANSPORT OF SAMPLES DURING EPIDEMICS

17. SUGGESTED AREAS ON WHICH FUNDS CAN BE USED EQUIPMENT AS PER IPHS NORMS EQUIPMENT AS PER IPHS NORMS PURCHASE OF CONSUMABLES PURCHASE OF CONSUMABLES WASHING AND CLOTHES WASHING AND CLOTHES IEC ACTIVITIES IEC ACTIVITIES REWARD TO ASHA REWARD TO ASHA SIGNAGES SIGNAGES SARAI MAINTENANCE SARAI MAINTENANCE SECURITY ARRANGEMENTS SECURITY ARRANGEMENTS SPECIAL ARRANGEMENT TO IMPROVE THE SURROUNDINGS OF THE HOSPITALS SPECIAL ARRANGEMENT TO IMPROVE THE SURROUNDINGS OF THE HOSPITALS

18. AREAS ON WHICH FUNDS SHOULD NOT BE USED PURCHASE OF VEHICLES PURCHASE OF VEHICLES PAYMENT TO ADVERTISEMENT PAYMENT TO ADVERTISEMENT GIVING STALL IN ANY MELA GIVING STALL IN ANY MELA SALARIES OF FULL TIME OR PART TIME STAFF SALARIES OF FULL TIME OR PART TIME STAFF FINANCIAL POWERS AND PROCEDURES Expenditure should be made with the approval of RKS only. Expenditure should be made with the approval of RKS only. Procedures as mentioned in User Charges guidelines should be followed. Procedures as mentioned in User Charges guidelines should be followed.

19. GUIDELINE FOR PURCHASES TO BE MADE BY JAN AUSHADHI STORES MAXIMUM SUPPLY OF GENERIC MEDICINES BEING MANUFACTURED BY CPSUs. MAXIMUM SUPPLY OF GENERIC MEDICINES BEING MANUFACTURED BY CPSUs. SUTURES AND CONSUMABLES FROM HLL AS PER THE RATES COMMUNICATED BY PHSC SUTURES AND CONSUMABLES FROM HLL AS PER THE RATES COMMUNICATED BY PHSC NON AVAILABLE MEDICINES AND CONSUMABLES FROM CPSUs FROM APPROVED CHEMISTS. NON AVAILABLE MEDICINES AND CONSUMABLES FROM CPSUs FROM APPROVED CHEMISTS. JAS SHOULD CHARGE 5% FROM HOSPITALS FOR CPSUs SALES JAS SHOULD CHARGE 5% FROM HOSPITALS FOR CPSUs SALES JAS SHOULD CHARGE 5% FROM GENERAL PUBLIC ON MEDICINES FROM APPROVED CHEMISTS JAS SHOULD CHARGE 5% FROM GENERAL PUBLIC ON MEDICINES FROM APPROVED CHEMISTS

20. ALL GUIDELINES AVAILABLE ON www.punjabhealth.co.in THANK YOU