UNDER CGHS, DELHI & NCR W.E.F AS PER OFFICE MEMORANDUM

Transcription

1

2

3 LIST OF HEALTH CARE ORGANIZATIONS (HCOs) EMPANELLED UNDER CGHS, DELHI & NCR W.E.F AS PER OFFICE MEMORANDUM No. S.11045/36/2012-CGHS (HEC) DATED THE 1st OCTOBER HOSPITALS: - DELHI Sr. No. Name of the Hospitals 1. Action Cancer Hospital Address & Tel. No. A-4. Paschim Vihar, New Delhi -63. Tel. No , / Facilities Empanelled for Cancer treatment (Chemotherapy Cancer Surgery & Radiotherapy). 2. Adiva Super- Speciality Care C-1/C, Green Park Extension, New Delhi. Tel. No General Medicine, Gynae & Obs., Orthopedics, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Urology & Nephrology including Dialysis and Diagnostics. 3. Batra Hospital and Medical Research Centre 1, Tughlakabad Institutional Area, Mehrauli Badarpur Road, New Delhi. Tel.No , , Interventional Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Vascular & Plastic Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. 4. Bhagwati Hospital (Near Popular Apartment & Mother Dairy Booth) Sector-13, Rohini, Delhi Tel. No Cardiology and cardiothoracic surgery Endoscopic/ Laparoscopic procedures Gynecology & Obstetrics, Orthopedic surgery with Joint replacement, General Medicine, General Surgery, Eye, ENT, Neurology, Neurosurgery, Urology, Nephrology (Including Dialysis), Gastroenterology, Dental, Paediatrics, and Diagnostics.

4 5. Bansal Hospital A-1, New Friends Colony, New Delhi Tel. No , General Medicine, General Surgery, Endoscopic/ Laparoscopic procedures, Gynae & Obst., Pediatrics, ENT,GI surgery, Eye, Neurosurgery, Orthopedics Surgery including Joint Replacement, Nephrology, Dental Urology and Diagnostics. 6. Brahm Shakti Hospital 7. Bhagat Chandra Hospital U-1/78, Budh Vihar, Delhi Tel.No F1/1, Mahavir Enclave, Near Palam, Dwarka Flyover, Delhi. Tel. No General Medicine, General Surgery, OBS & Gynae, Paediatrics, Eye, ENT, Endoscopic/ laparoscopic procedures, Orthopedics, Dental, Cardiology, Urology, Nephrology including Dialysis, Neurology, Neuro Surgery, Gastroenterology and Diagnostics. General Medicine, Gynae & Obs., Orthopedics and joint replacements, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology including Dialysis, Eye, ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 8. B.M. Gupta Hospital Pvt. Ltd. H-11 to 15, Uttam Nagar, New Delhi Tel. No General Medicine, Gynae & Obs., Orthopedics and joint replacements, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Urology & Nephrology including Dialysis, Eye, ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 9. Bensups Hospital Bensups Avenue, Sector-12, Dwarka, New Delhi Tel.No Cardiology, General Medicine, General Surgery, Endoscopic/ Laparoscopic procedures, Gynae & Obst, Eye, ENT, Pediatrics, Orthopedics including joint replacement, Urology, Nephrology Including Dialysis, Neurology, Neuro Surgery, Gastroenterology and GI Surgery, Cancer treatment (Surgery, Chemotherapy), Dental & Diagnostics.

5 10. Cygnus Orthocare Hospital 11. Divya Prastha Hospital 12. Dr. B.L. Kapur Memorial Hospital C-15/29, Opp. IIT Main Gate, Safdarjung Development Area, New Delhi. Tel. No RZ-37, Palam Colony, Main Road, Opp. Bagh Wala School, Near Dwarka Flyover, Raj Nagar-1, New Delhi. Tel. No , Pusa Road, New Delhi Tel.No General Medicine, Gynae & Obs., Orthopedics and joint replacements, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology including Dialysis, Eye, ENT and Diagnostics. General Medicine, Gynae & Obs., Orthopedics, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology including Dialysis, Eye, ENT and Diagnostics. Interventional Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Vascular & Plastic Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. 13. Delhi Heart and Lung Institute (A Unit of Apex Heart Care Pvt. Ltd.). 3 MM II, Panchkuian Road, New Delhi Tel. No Intervention Cardiology & Cardiothoracic Surgery, General Medicine, General Surgery, ENT, Orthopedic surgery with Joint replacement, Urology, Nephrology (including Dialysis) and Diagnostics. 14. Deepak Memorial Hospital 5 & 6, Institutional Area, Vikas Marg, Exten-II, Delhi Tel.No Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics.

6 15. Dharamshila Cancer hospital Dharamshila Marg Vasundhara Enclave, Delhi Tel , Cancer treatment (Chemotherapy Cancer Surgery & Radiotherapy). 16. Garg Hospital ( A Unit of Garg Heart Centre & Nursing Home) 17. Goyal Hospital & Urology Centre 18. Indian Spinal Injuries Centre 19. Jeewan Nursing Home & Hospital 8-9, A.G.C.R. Enclave, (Opp. Karkardooma Court), Delhi Tel. No E-4/8, Near Lajpat Rai Chowk, Krishna Nagar, Delhi Tel.No Sector-C, Vasant Kunj, New Delhi Tel. No B, Pusa Road, Karol Bagh, New Delhi Tel. No General Medicine, General Surgery, Obstetrics and Gynecology, Pediatrics, Eye, ENT, Endoscopic/ Laparoscopic procedures, Orthopedic surgery, Urology, and Diagnostics General Medicine, General Surgery, Endoscopic/ Laparoscopic procedure, Gynae & Obst, Eye, ENT, Pediatrics, Orthopedics, Urology, Neurology, Neurosurgery, GI Surgery, Urology, Nephrology (Including Dialysis) & Diagnostics. Endoscopic/ Laparoscopic procedures, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. Endoscopic/ Laparoscopic procedures, Gynecology& Obstetrics, Orthopedic surgery with Joint replacement, General Medicine, General Surgery, Neurology & Neuro Surgery, Urology, Nephrology and (Including Dialysis), Gastroenterology, Paediatrics and Diagnostics. 20. Jeewan Mala Hospital 67/1, New Rohtak Road, New Delhi Tel. No Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Dental and Diagnostics.

7 21. Jain Hospital , Jagriti Enclave, Vikas Marg Extn. Delhi. Tel. No , General Medicine, Gynae & Obs., Orthopedics, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Urology, Nephrology and Diagnostics. 22. Kukreja Hospital & Heart Centre Pvt. Ltd. C, 1, 3,4,14, Vishal Enclave, Rajouri Garden, New Delhi Tel. No Cardiology, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 23. Kalra Hospital SRCNC Pvt. Ltd. 24. Khandelwal Hospital & Urology Centre 25. Max Super Speciality Hospital (A Unit of Balaji Medical & Diagnostic Research Centre) A-4, 5&6 Tulsi Dass Kalra Marg, Kirti Nagar, New Delhi Ph. No , , B-16, East Krishna Nagar, Main Swaran Cinema Road, Delhi Tel. No A, Indraprastha Extension, Patparganj, Delhi Tel.No Cardiology, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, General Medicine, General Surgery, Neurology, Nephrology, Gastroenterology, Neurosurgery, Urology and Diagnostics. Interventional Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Vascular & Plastic Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics.

8 26. Max Super Specialty Hospital (A Unit of Max Health Care Institute Ltd.) FC-50, C & D, Blcok, Shalimar Bagh, New Delhi. Tel. No , Interventional Cardiology & Cardiothoracic Surgery, Laparoscopic/ Endoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Vascular & Plastic Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. 27. Max Super Speciality Hospital (A unit of Devki Devi Foundation) 2, Press Enclave Road, Saket, New Delhi. Tel. No Cardiology & Cardiothoracic Surgery, Laparoscopic/ Endoscopic procedures, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. 28. Max Hospital, Near T.V. Tower, Pitampura, Wazirpur District Centre, New Delhi. Ph. No , Cardiology & Cardiothoracic Surgery, Laparoscopic/ Endoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 29. Moolchand Hospital Lajpat Nagar, III, New Delhi. Tel.No Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Vascular & Plastic Surgery, Paediatrics,

9 Eye & ENT, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. 30. Metro Hospitals & Heart Institute 31. Metro Hospital & Cancer Institute 14, Ring Road, Lajpat Nagar, New Delhi Tel. No , Community Centre, Preet Vihar, Delhi Tel. No General Medicine, Cardiology & Cardiothoracic Surgery & Diagnostics Interventional Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology Gastroenterology, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. 32. Malik Radix Health Care Pvt. Ltd. (Hospital) 33. Mata Chanan Devi Hospital, C-218, Nirman Vihar, Vikas Marg, Delhi Tel.No , C-1, Janakpuri, New Delhi. Tel. No , General Medicine, General Surgery, Endoscopic/Laparoscopic procedures, Eye, ENT, Obstetrics and Gynaecology, Orthopedic surgery and Diagnostics Interventional Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 34. MGS Super Specialty Hospital 35/37, Rohtak Road, West Punjabi Bagh, New Delhi. Tel.No Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, and Diagnostics

10 35. Maharaja Agrasen Hospital Road No. 35, West Punjabi Bagh, Near Police Station, New Rohtak Road, New Delhi. Ph. No /777. Interventional Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Vascular & Plastic Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. 36. National Heart Institute 49-50, Community Centre, East of Kailash, New Delhi. Tel. No Interventional Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology, Eye, Cancer treatment (Surgery, Chemotherapy) and Diagnostics 37. Orthoplus Hospital 38. Panchsheel Hospitals Pvt. Ltd. RZ-B-28, Gopal Nagar, Nagafgarh, New Delhi. Tel. No , C-3/63-A,64-A,Yamuna Vihar(opposite Gokul Puri Police Station, Delhi , General Medicine, Gynae & Obs., Orthopedics and joint replacements, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology including Dialysis, Eye, ENT and Diagnostics. General Medicine, Gynae & Obs., Orthopedics and joint replacements, General Surgery, Endoscopic /Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology including Dialysis, Eye, ENT and Diagnostics.

11 39. Primus Super Specialty Hospital Chanakyapuri, New Delhi Tel. No , Endoscopic/ Laparoscopic procedures, Gynecology, ENT, Eye, Dental, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 40. Park Hospital Meera Enclave, (Chokhandi) Near Keshopur Bus Depot Outer Ring Road, New Delhi Tel: Interventional Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. 41. RLKC Hospital & Metro Heart Institute 42. Rockland Hospital Pandav Nagar, Naraina Road, New Delhi Tel.No ,, B-33, 34, Qutab Institutional Area, New Delhi Tel.No Intervention Cardiology & Cardiothoracic Surgery, General Medicine, General Surgery, Obstetrics and Gynecology, Pediatrics, ENT, Eye, Endoscopic/ Laparoscopic procedures, Gastrointestinal Surgery, Orthopedic surgery with Joint replacement, Urology, Nephrology (including Dialysis), Neurology and neurosurgery, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. General Medicine, General Surgery, OBS & Gynae, Endoscopic/ Laparoscopic procedures, Paediatrics, Orthopedics Including Joint Replacement, Dental, Cardiology & Cardiothoracic Surgery, Gastroenterology, Urology, Nephrology including Dialysis, Neurology, Neuro Surgery, ENT, Eye, Cancer treatment (Surgery, Chemotherapy)and Diagnostics

12 43. R G Urology & Laparoscopy Hospital 44. Rockland Hospital Ltd. 45. Saket City Hospital, (Earlier-by the name - Gujramal Modi Hospital & Research Centre 46. Saroj Hospital & Heart Institute F-12, East of Kailash, New Delhi Tel. No HAF-B, Sector-12, Phase -1, Dwarka, New Delhi Mob. No Press Enclave Road, Saket, New Delhi Tel. No Sector -14 Extn. Madhuban Chowk, Rohini, New Delhi Tel.No General Medicine, Gynae & Obs., GeneralSurgery, Endoscopic/Laproscopic procedures, Gastroenterology and GI- Surgery, Urology & Nephrology including Dialysis. General Medicine, General Surgery, OBS & Gynae, Endoscopic/ Laparoscopic procedures, Paediatrics, Orthopedics Including Joint Replacement, Dental, Cardiology & Cardiothoracic Surgery, Gastroenterology, Urology, Nephrology including Dialysis, Neurology, Neuro Surgery, ENT, Eye, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. General Medicines & General Surgery, Cardiology & Cardio-thoracic surgery, Orthopedics including Joint Replacement, GI- Surgery, Neurology, Neuro-surgery, Nephrology including Dialysis, Urology, Eye, ENT, Gynae & Obstetrics, Endoscopic/ Laparoscopic procedures, Dental, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 47. Sri Balaji Action Medical Inst. A-4, Paschim Vihar, New Delhi Tel. No General Medicines & General Surgery, Cardiology & Cardio-thoracic surgery, Orthopedics including Joint Replacement, GI- Surgery, Neurology, Neuro-surgery, Nephrology including Dialysis, Urology, Eye, ENT, Gynae & Obstetrics, Endoscopic/ Laparoscopic procedures, Dental and Diagnostics.

13 48. Shakuntla Nursing Home & Hospital RZ-1/81A, Sagarpur (West), Opp. Delhi Vidyut Board Colony, New Delhi Tel. No , , General Medicine, Gynae & Obs., Orthopedics, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Urology & Nephrology including Dialysis, Eye, ENT, and Diagnostics 49. Sunder Lal Jain Charitable Hospital Ashok Vihar, Ph-III, Delhi Tel. No Cardiology & Cardiothoracic Surgery, General Medicine, General Surgery, Obstetrics and Gynecology, ENT, Eye, Endoscopic / Laparoscopic procedures, Gastrointestinal Surgery, Orthopedic surgery with Joint replacement, Urology, Nephrology including Dialysis, Neurology and Neurosurgery, Cancer treatment ( Surgery, Chemotherapy), Dental and Diagnostics. 50. Shri Ram Singh Hospital & Heart Institute B-25-26, 26-A, Swaran Cinema Road, East Krishna Nagar, Delhi Tel.No , General Surgery, General Medicine, Endoscopic/ Laparoscopic procedures, Obstetrics and Gynecology, Orthopedics, Urology, Nephrology including Dialysis, Neurology, Neurosurgery, Eye, ENT and Diagnostics. 51. Sunil Hospital 15/ , Geetanjali Road, Malviya Nagar, New Delhi Mob. No Endoscopy /Laparoscopic procedures, Gynecology & Obstetrics ENT & Urology, General Medicine & Orthopedics. 52. SMH Curie Hospital #2, Institutional Area, Vikas Marg, Extn., Karkardooma, Delhi Cancer treatment (Chemotherapy Cancer Surgery & Radiotherapy). 53. Santom Hospital D-5, 6, Prashant Vihar, Rohini, Sector - 14, Delhi Tel.No Neurology, Endoscopic/ Laparoscopic procedures, Gastroenterology, Nephrology including Dialysis, Urology, Eye, ENT, Orthopedics, General Surgery, General Medicine, Obstetrics and Gynecology and Diagnostics.

14 54. Tirath Ram Shah Charitable Hospital 2A- Ishwar Das Sawhney Lane, Rajpur Road, civil lines Delhi Tel. No , Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT and Diagnostics. EXCLUSIVE EYE CENTRES: - DELHI Sr. No. Name of the Exclusive Eye Centres Address & Tel. No. 1. Amar Eye Centre B-38, Mohan Park, Naveen Shahdara (Near Shiv Mandir Pipal Chowk), Delhi. Tel. No , Ahuja Laser Eye Centre 212 Permanand Colony, (Near Mukherjee Nagar), Delhi Tel.No , Ahuja Eye Centre AG-11, Shalimar Bagh, Main Ring Road, Delhi Tel.No Aggrawal Eye Institute 5. Bajaj Eye Care Centre A-235, Shivalik, Malviya Nagar, (Near Bus Terminal), New Delhi Tel.No , Vikas Surya Plaza, Pt. No. 7, DDA Community Centre, Rd No. 44, Pitampura, New Delhi. Tel. No , , / Non- Empanelled As 6. Bharti Eye Foundation 1/3 East Patel Nagar, New Delhi. Tel.No

15 7. Bharti Eye Hospital E-52, Greater Kailash-I, New Delhi. Tel. No , Care Eye Centre & Diagnostic 9. Chaudhary Eye Centre & Laser Vision 10. CSM Medicentre Eye and Dental Care 11. Centre For Sight CA Unit of New Delhi Centre For Sight Pvt. Ltd. D1A/141A, Janakpuri, New Delhi. Tel. No , Bharat Ram Road, 24, Daryaganj, New Delhi. Tel. No , /5893. D-31, Flat No. 2, Rajouri Garden, New Delhi Tel. No , , J-12/30, Rajouri Garden, New Delhi. Mob. No , / Centre For Sight CA Unit of New Delhi Centre For Sight Pvt. Ltd, 13. Centre For Sight CA Unit of New Delhi Centre For Sight Pvt. Ltd. 14. Centre For Sight CA Unit of New Delhi Centre For Sight Pvt. Ltd , 3rd Floor, Ring Road Mall, Sector-3, Rohini. Tel.No /01/02/ A/20, Opp. Bal Bharti Public School, Dwarka. Tel.No /01/05. F-19, Preet Vihar, Main Vikas Marg, New Delhi. Tel.No , Center for Sight B-5/24, Safdarjung Enclave, New Delhi. Tel: , , Chopra Eye Hospital House No.3, Block-C, Pocket-8, Sector-7, Rohini, New Delhi Tel.No , Drishti Eye Care Centre Shop Plot No 4, First Floor, Anand Complex, Pandav Nagar Patparganj, Rd., Opp. Mother Dairy, Delhi Tel.No ,

16 18. Delhi Eye Centre C-120, Rajinder Nagar, New Delhi. Tel.No Dr. Pattnaik s Laser Eye Institute 20. Dr. Nanda Eye Care Centre C-2, Ground Floor, Lajpat Nagar-3, New Delhi-24. Tel.No A-200, Sector-8, Dwarka, New Delhi Tel.No , Dr. Kapur s The Healing Touch Eye Center D-8, Vikas Puri, New Delhi- 18. Tel. No , Dr. Shroff's Charity Eye Hospital 23. Dr. Aggarwal s Eye Clinic 5027, Kedar Nath Road, Daryaganj, New Delhi Tel.No F-17, Moti Nagar, New Delhi. Tel. No , Dr. Dhawan's Netra Eye Hospital WZ-99, Dayal Sar Road, Uttam Nagar Tel. No Dr. Suresh Garg Eye & Laser Center A-4/35, Main Road, Pashchim Vihar, New Delhi- 63. Tel. No Eye7 Chaudhary Eye Centre 34, Ground floor, Lajpat Nagar-IV, Main Road, Delhi. Tel. No , / Eye Care Centre F-182, Dilshad Colony, Delhi Tel.No , Eye Sight Laser Centre 52A, Pocket 2 DDA Flats, Behind Sec-6, Main Market, Dwarka, New Delhi. Mob. No ,

17 29. Goyal Eye Institute 1/10, East Patel Nagar, New Delhi. Tel. No / Goyal Eye Centre, (A Unit of Goyal Medicare Centre) 3/51, Ramgali, Vishwas Nagar, Shahdara, Delhi Tel. No , Hi-Tech Eye Centre A-12, 1st Floor, Vikas Puri, New Delhi Tel. No , , I Care Centre C-6/9, Safdarjung, Development Area, New Delhi. Tel.No , Khanna Eye Centre E-368, Nirman Vihar, Vikas Marg, Delhi , Khanna Eye Centre A-2/2, Model Town-1, Delhi Tel.No , , Kiran Eye Care Centre B-50, Derawal Nagar, Delhi Ph. No / Kailash Eye Care (Unit of Kailash Nursing Home) 50-51, South Patel Nagar (Near Metro Pillar No.190), New Delhi. Tel. No Max Multi-Specialty Centre N-110, Panchsheel Park, New Delhi. Ph. No Mohan Eye Institute 11-B Ganga Ram Hospital Marg, New Delhi Medfort Hospitals Pvt., Ltd. 40. M.D. Eye Care and Laser Centre A3/24, 3 rd Floor Janakpuri, New Delhi Tel.No , M-165, Ground Floor, Greater Kailash, Part-II, New Delhi Tel.No

18 41. Mahajan Eye Centre, AD-21A, Pitampura, Delhi Tel.No Manav Hospital & Laser Eye Centre Nursing Home Gate No.1, B- Block, Kavi Nagar, Ghaziabad Tel.No , Narang Eye Institute B-8, Derawal Nagar, Opp. Model Town, Delhi-09.Tel. No , , Nayantara Eye Centre B-106, Subhadra Colony, Near Shastri Nagar, Metro Station, Delhi Tel.No Neera Eye Centre & Laser Vision 91-B, Shyam Lal Road, Opp.Hindi Park, Darya Ganj New Delhi Tel.No , Nayan The Modern Eye Care Centre A-99-B, DDA Flats, Ashok Vihar, Ph-II, Delhi Tel.No Narang Eye Institute A-10, Lok Vihar, Pitampura, New Delhi. Tel. No , , Pragati Eye Centre H-15, Krishna Nagar, Delhi Tel.No Ravi Eye Foundation B-8, First Floor, Ganesh Nagar, New Delhi Tel.No , Shree Jeewan Hospital 67/1, New Rohtak Road, New Delhi Tel. No

19 51. Sharp Sight Centre (East) 81, Defence Enclave, Vikas Marg, Delhi Tel. No /35/36, Shyam Lal Eye Hospital Malka Ganj, Delhi , Tel.No , Spectra Eye (A Unit of RC Health Care Pvt. Ltd.) E-82-A, Greater Kailash, Part-1, New Delhi Tel.No , 455, 585, 485, Shreya Eye Centre D-163, Surajmal Vihar, Near Yamuna Sports Complex, Delhi Tel.No , Save Sight Centre A-14, G.T. Karnal Road, Adarsh Nagar, Opp. Metro Station, Delhi Tel. No , 56. Sardana Eye Institute A2/19, Rajouri Garden, New Delhi. Tel. No , Shroff Eye Centre A-9, Kailash Colony, New Delhi. Tel. No , Sunetra Eye Centre Ltd. KC-120, C-Block, Kavi Nagar, Ghaziabad. Tel. No , Shri Amichand Eye Care Centre 86, Old Roshanpura, Near Mother Dairy, Main Gate Chhawla Stand, Nagafgarh, New Delhi. Tel. No , Sadhu Vaswani Medical Centre 4/27, Shanti Niketan, New Delhi. Tel. No ,

20 61. The Caring Touch R-721, New Rajinder Nagar, New Delhi. Tel. No , Vision Eye Hospital F-24/136, Sector-7, Rohini, New Delhi Tel. No , Visitech Eye Centre A-10, South Extension Part-2, New Delhi Tel. No , Venu Eye Institute & Research Centre 65. Vasan Eye Care Hospital (A unit of Vasan Health Care Pvt. Ltd.) 66. Vasan Eye Care Hospital (A unit of Vasan Health Care Pvt. Ltd.) 67. Vasan Eye Care Hospital (A unit of Vasan Health Care Pvt. Ltd.) 1/31, Sheikh Sarai Institutional Area, Phase-2, New Delhi Phones: / 1156/ 0757/ B, Pusa Road, Karol Bagh, Delhi Tel. No , Plot No. 500, PWD Road, 41, Pitampura, New Delhi Mob. No Opp. Metro Pillar No. 634, Janakpuri, New Delhi Tel.No Vasan Eye Care Hospital (A unit of Vasan Health Care Pvt. Ltd.) F-14, Metro Pillar No.94, Preet Vihar, New Delhi Tel.No Vasan Eye Care Hospital (A unit of Vasan Health Care Pvt. Ltd.) E-16, Greater Kailash, New Delhi Tel.No Yogesh Eye Centre, B-5 15, Sector-4, Rohini, Delhi Tel.No ,

21 71. Vision Eye Centre 19, Siri Fort Road, New Delhi Ph. No Vision Eye Centre 12/27, West Patel Nagar, New Delhi. Tel No DIAGNOSTIC CENTRES:- DELHI Sr. No. Name of the Diagnostic Centres Address & Tel. No. 1. B.R. Diagnostics W-15, Greater Kailash-I, New Delhi-48. Mob.No C 15 MRI Diagnostic and Research Centre C-15, Green Park Extension, New Delhi Tel.No. Phone: , / Non- Facilities Empanelled for Non- X-ray, CT-Scan, Ultrasound, Mammography, Bone Densitometry. MRI, CT Scan, X-rays, Non- Ultrasound, Mammography, Bone Densitometry 3. Capital X-ray & Scan Clinic C-3, New Krishna Park, Main Nagafgarh Road, Vikaspuri, New Delhi-18. Tel. No , NABL Ultrasound, Color Doppler, X-ray, Mammography, Dexa-Bone-Densitometry & Laboratory Investigations. 4. Care Diagnostics D1A/141A, Janakpuri, New Delhi-58. Cont. No , 2000,3000,9800, / Non-NABL X-ray, CT-Scan, Ultra-sound & Laboratory Investigations. 5. Clinical Diagnostic Centre 69, Hargovind Enclave, Opp. Railway Reservation Centre, Karkardooma, Delhi. Tel. No NABL / X-ray, CT-Scan, Ultra-sound & Laboratory Investigations. 6. Delhi Institute of Functional Imaging K-16, South Extension, Part-1, New Delhi. Tel. No / Non-NABL Nuclear Medicine 7. Dr. Gulati Imaging Institute J-16, Hauz Khas Enclave, Main Aurobindo Marg, New Delhi. Tel. No MRI, CT Scan, X-rays, Ultrasound, Mammography, Bone Densitometry

22 8. Dr. Savita Jain s Arun Imaging Centre D-29, Vivek Vihar, Delhi Tel. No X-rays, Ultrasound, Mammography, Bone Densitometry 9. Delhi Institute of Functional Imaging (DIFI) 14 Kaushalya Park, Hauz Khas, New Delhi. Tel. No /44. / Non-NABL Nuclear Medicine 10. Dr. Seth s Path Lab 130, Shankar Road Market, New Rajinder Nagar, New Delhi. Tel. No , NABL Laboratory Investigations 11. Dr. Anand s Imaging Centre & Neurological Research Centre 12. Dr. M.L. Aggarwal X-ray & Ultrasound Clinic 13. Dr. A. Lalchandani Pathology Laboratories 14. Dr. Lal Path Labs Pvt. Ltd. 15. Dr. Khanna s Pathcare Pvt. Ltd. G-14, Preet Vihar, Vikas Marg, Karkarimor, Delhi Tel. No , , A-1/150, Safdarjung Enclave, Delhi Tel. No , J -36, Lajpat Nagar-II, New Delhi. Tel. No , Eskay House, Hanuman Road, New Delhi. Tel. No A-43, Hauz Khas, New Delhi. Mob. No Non- Non- NABL NABL NABL MRI, CT-Scan, X-ray, Ultra Sound, Color Doppler, Mamography, Nuclear Medicine, Bone Densitometry, ECG, ECHO, TMT, OPG, NCV,EMG X-ray, Ultrasound, Colour Doppler and OPG, ECG and Uro-flowmetry Laboratory Services, Ultra Sound, Color Doppler, 2 D ECHO Laboratory Investigations Laboratory Investigations 16. Dr. P. Bhasin Path Lab Pvt. Ltd. 17. Dr. D.K. Gulati s Path Lab S-13, Greater Kailash, Part-I, New Delhi, New Delhi. Tel. No , Community, Ashok Vihar, opp. Satyavati College Ph-II Delhi-52. Tel.No Dr. Lal Path Labs Block-E, Sector-18, Rohini, New Delhi. 19. Dr. S.S. Doda s 23-B, Pusa Road, New Delhi Ultrasound Centre Tel. No NABL NABL NABL Non-NABL/ Laboratory Investigations, Ultrasound, Color Doppler Bone Densitometry, ECHO, TMT, ECG. Laboratory Investigations Laboratory Investigations MRI, CT Scan, X-ray, Ultrasound, Color Doppler and laboratory investigations.

23 20. Focus Imaging & Research Centre Pvt. Ltd. 21. Focus Imaging & Research Centre Pvt. Ltd. 22. Focus Imaging & Research Centre Pvt. Ltd. C-10, Green Park Exten. New Delhi Tel. No H-10, Green Park Extn. New Delhi Tel. No /1-4Yusuf Sarai Aurobindo Marg New Delhi Tel.No NABL/ Non- NABL / Non- NABL / MRI, CT Scan, X-ray, Ultrasound, Color Doppler, ECHO, Holter, TMT, EEG, and all laboratory investigations. MRI, CT Scan, X-ray, Ultrasound, Color Doppler, ECHO, Holter, Mammography, Bone densitometry, ECG,TMT, EEG,NCV,EMG and all laboratory investigations. Laboratory Services, X-ray, Ultrasound, Color Doppler, Uro-flowmetry 23. Ganesh Diagnostic & Imaging Centre Pvt. Ltd. 24. Goyal MRI & Diagnostic Centre 25. Ganesh Diagnostic & Imaging Centre Pvt. Ltd. 109, Pocket, A-1, Sec-8, Near Deepali Chowk, Opp. Bagga Link, Rohini, Delhi. Tel. No , , B-1/12, Safdarjung Enclave, New Delhi. Tel. No , Shop No. 2, LSC Mkt., K-Block, Opp. Sanjay Gandhi Hospital, Mangolpuri, New Delhi. Tel. No NABL / NABL / NABL / Nuclear Medicine, MRI, CT Scan, Ultrasound, Color Doppler, NCV, EMG, ECHO, TMT, X-ray, Mammography, Bone- Densitometry and Laboratory Investigations. MRI Scan, CT Scan, Ultrasound, Color Doppler, ECHO, ECG, X-ray, Bone- Densitometry, Laboratory Investigations. Ultrasound, Color Doppler, X-ray, ECG & Laboratory Investigations. 26. Ganesh Diagnostic & Imaging Centre Pvt. Ltd. B-3, Derawal Nagar, Opp. Model Town, Delhi-9. Tel. No Non-NABL/ X-ray, Ultrasound and Laboratory Investigations 27. Ganesh Diagnostic & Imaging Centre Pvt. Ltd. 28. Ganesh Diagnostic & Imaging Centre Pvt. Ltd. M-14, Lower Ground Floor, Opp. State Bank of Mysore, Kalkaji, New Delhi. Tel. No , C-1, Hari Nagar, Near DDU Hospital, New Delhi. Tel.No , Non-NABL/ Non-NABL/ Ultrasound and Laboratory Investigations X-ray, CT-Scan, Ultrasound and Laboratory Investigations

24 29. Ganesh Diagnostic & Imaging Centre Pvt. Ltd. C-1/8, Yamuna Vihar, Near 'C' Block, Red Light, New Delhi Tel.No Non-NABL/ X-ray, CT-Scan, Ultrasound and Laboratory Investigations 30. Health Quotient Pvt. Ltd. E-117, Kalkaji, Opp. Laxmi Narayan Temple, New Delhi-19. Tel.No , NABL / Ultrasound, Color Doppler, X-ray & Laboratory Investigations. 31. Health Square Wellness Diagnostic, Unit of Spry Health Care Pvt. Ltd. 32. Health Plus Diagnostic & Imaging Centre H-1A, Ground Floor, Main Market, Hauz Khas, New Delhi Tel.No S-63, Greater Kailash, New Delhi Tel.No Non-NABL/ MRI, CT-Scan, Ultrasound, X-ray, Colour Doppler, Mammography, Bone- Densitometry. MRI, CT-Scan, Ultrasound, X-ray, Colour Doppler, Mammography, Bone- Densitometry. 33. JDAR Pathology Lab 2/6, Shanti Niketan, New Delhi. Mob. No. : , (011) NABL Laboratory investigations 34. Krystal MRI & Scan & Diagnostic Centre 35. Mahajan Imaging Pvt. Ltd. 1, Paschimi Enclave, Main Rohtak Road, Opp. Maruti Showroom, Near Peera Garhi Chowk, New Delhi. Tel. No Hauz Khas, Enclave, New Delhi- 16. Tel. No Non- MRI, CT-Scan, Ultrasound, X-ray, Colour Doppler, Mammography MRI, CT Scan, X- Ray, Ultra Sound, Bone Densitometry, Mammography, 36. Mahajan Imaging Centre (A Unit of Mahajan Imaging Pvt. Ltd.) Sir Ganga Ram Hospital, Rajender Nagar, New Delhi Tel.No Nuclear Medicine, PET-CT and Bone Densitometry. 37. Mahajan Imaging Centre (A Unit of Mahajan Imaging Pvt. Ltd.) BL Kapur Sup Specialty, Pusa Road, New Delhi Tel.No /72/97. MRI, CT, X Ray Ultra Sound, Bone Densitometry, Mammography,

25 38. Mahajan Imaging Centre (A Unit of Mahajan Imaging Pvt. Ltd.) Fortis Flt. Lt. Rajan Dhall Hospital B1, Vasant Kunj, New Delhi. Tel. No Nuclear Medicine, CT Scan, X- Ray, Ultra Sound, Bone Densitometry, Mammography. 39. Must & More Health Care Pvt. Ltd. Kings Mall, Rohini West Metro Station, Sector-10, Rohini, New Delhi. Tel.No Non-NABL/ X-ray, MRI, CT-Scan, Ultra Sound, Colour Doppler and Laboratory Investigations. 40. Mahavir International 264-B-1, Hauz Rani Market, Near Saket, New Delhi Tel.No MRI, CT-Scan 41. Metropolis Health Care Ltd. F-2, B-1, Mohan Cooperative Inds. Estate, Mathura Road, New Delhi NABL Laboratory Investigations 42. National MRI CT Scan & Diagnostic Centre (A unit of Shree Hari Diagnostic Pvt. Ltd.) 43. Organ imaging Research Centre Pvt. Ltd. 19/35, Main Rohtak Road, Punjabi Bagh, Near Maharaja Agrasen Hospital, New Delhi Tel.No A-23, Green Park, New Delhi- 16. Tel. No NABL / Non-NABL/ Non- Ultrasound, MRI, X-ray, CT- Scan, Color Doppler Bone- Densitometry, ECG, ECG, TMT, EEG, NCV, EMG and Laboratory Investigations. MRI, CT Scan, X-ray, Ultrasound, BMD, Mammography, Echocardiography, ECG. 44. Onquest Laboratories Ltd. 3-Factory Road, ADJ-Safdarjung Hospital, New Delhi Tel.No NABL Laboratory Investigations 45. Platinum Imaging Centre 9, Dayanand Vihar, New Delhi Tel.No MRI, CT-Scan, Ultrasound, X-ray. 46. Saral Advanced Diagnostics Pvt. Ltd E-1073, Saraswati Vihar, Pitam Vihar, Delhi-34. Mob. No NABL / MRI, Nuclear Medicine, CT Scan, X-ray, Ultrasound, Mammography, Bone Densitometry and Laboratory Investigation.

26 47. Sanghi Medical Centre Pvt. Ltd. S-51, Greater Kailash, New Delhi Tel.No NABL / Ultrasound, X-ray, Mammography, Bone- Densitometry and Laboratory Investigations. 48. Srivastava MRI & Imaging Centre Shop. No. 1,2,3,&6, Purvanchal Plaza, Pkt-B, LSC Market, Mayur Vihar, Phase-2, Delhi. Tel. No , Ultra Sound, MRI & Radiology 49. Sadhu Vaswani Medical Centre 50. Unipath Diagnostics 4/27, Shanti Niketan, New Delhi. Tel. No , G-49, Lajpat Nagar, New Delhi- 24. Mob. No NABL NABL X-Ray, Ultra Sound and Laboratory Investigations. Laboratory Investigations EXCLUSIVE DENTAL CLINICS: - DELHI Sr. No. Name of the Exclusive Dental Centres Address & Tel. No. / Non- Empanelled for 1. Balaji Multi Speciality Dental Centre Shop No. 47, B-2 Market, Paschim Vihar, New Delhi. Tel. No , All Available Dental Care Facilities 2. Bahl Dental Clinic & Implant Centre 3. CSM Medicentre Eye and Dental Care 21/39-B, 1st Floor, Tilak Nagar, New Delhi Tel.No D-31, Flat No. 2, Rajouri Garden, New Delhi Tel. No , , All Available Dental Care Facilities All Available Dental Care Facilities 4. Dabas Dental Clinic & Orthodontic Centre Flat No. 186, GF Pocket A, Sec- 13, Dwarka, New Delhi. Tel. No All Available Dental Care Facilities 5. Delhi Dental & Medical Centre 19/32, Old Rajinder Nagar, New Delhi. Tel. No All Available Dental Care Facilities

27 6. Dental World WZ-172, Street No.1, Sadh Nagar, Palam Colony, New Delhi. Tel. No Delhi Dental Hub 9, State Bank Nagar, Paschim Vihar, New Delhi. Tel. No /03, All Available Dental Care Facilities All Available Dental Care Facilities 8. Dr. Aroras Dental & Laser Centre C-44, Pamposh Enclave, Greater Kailash-I, New Delhi Tel. No All Available Dental Care Facilities 9. Dr. Shweta s Dental Clinic D-42, Kalkaji, New Delhi. Tel. No , All Available Dental Care Facilities 10. Dental Care Clinic 11. Dr. Rajat Ailawadi, Rx Multispeciality PD-1, /1 B, Pitam Pura, New Delhi Tel.No , , Basement, Hudson Line, GTB Nagar, Delhi. Mob. No All Available Dental Care Facilities All Available Dental Care Facilities 12. Dr. Malhotra s Super Speciality Dental Centre 13. Dr. Handa's Complete Family Dental Care 14. Goel's Multispeciality Dental Clinic & Implant Centre 42, Pusa Road, Opp. Metro Pillar, No.125, New Delhi. Tel. No , st Floor, Harsh Vihar, Opp. Bikaner Sweets, Pitampura, New Delhi Tel.No , , A/460, Durgapuri Exten., Durgapuri Chowk, Loni Road, Delhi Tel.No , All Available Dental Care Facilities All Available Dental Care Facilities All Available Dental Care Facilities 15. Leela Dental Clinic B-39, Main Road, Majlis Park, Delhi. Tel. No / All Available Dental Care Facilities

28 16. Navneesh Dental Clinic Unit No. 2, Begum Zaidi, Market, Moti Bagh, Part-1, New Delhi. Tel. No , All Available Dental Care Facilities 17. Navneesh Dental Clinic B-3/1B, Safdarjung Enclave, New Delhi. Tel.No All Available Dental Care Facilities 18. Professional Dentistry Multispecialty Dental Care Centre 3427, D.B. Gupta Road, Paharganj, New Delhi Tel.No , All Available Dental Care Facilities 19. Precision Dental Care C-159, Sarita Vihar, New Delhi. Tel. No , All Available Dental Care Facilities 20. Rajdhani Dental and Orthodontic Centre B-48, Rajan Babu Road, Adarsh Nagar, Delhi Tel.No , All Available Dental Care Facilities 21. Singh s Dental Hospital 22. Smile 4 Sure Dental Clinic Sewak Park, Opp. Metro Pillar No. 771, Dwarka, Main Najafgarh Road, New Delhi-59. Ph.No , , Frist Floor, St No.-9, Sarojani Park, Shastri Nagar, Near Geeta Colony, Delhi Tel.No All Available Dental Care Facilities All Available Dental Care Facilities 23. Sehgal Dental Clinic CA-115/1, Opp. Shopping Centre, Tagore Garden, New Delhi Tel.No , All Available Dental Care Facilities 24. Shivam Dental Clinic C-14, Mahendru Enclave, Model Town, Tel. No All Available Dental Care Facilities 25. Siwach Dental Hospital 132, Auchandi Road, Bawana, Delhi Tel. No , All Available Dental Care Facilities

29 26. Star Dental Centre Pvt. Ltd. C-4/7, Safdarjung Development Area, New Delhi. Tel. No All Available Dental Care Facilities 27. Sai Mobident Dental Centre D-14/231, Metro Pillar No.411, Sec-7, Rohini, New Delhi. Tel. No All Available Dental Care Facilities 28. S.K. Dental 8/8, Moti Nagar, New Delhi Tel. No , All Available Dental Care Facilities 29. Sadhu Vaswani Medical Centre 4/27, Shanti Niketan, New Delhi All Available Dental Care Facilities 30. The Caring Touch R-721, New Rajinder Nagar, New Delhi. Tel. No , All Available Dental Care Facilities Smile Stone Dental Clinic 3 Ring Road, Kilokari, New Delhi. Tel. No , All Available Dental Care Facilities Pearls Multi- Specialty Dental Clinic G-15, Single Story, Vijay Nagar, Delhi Tel. No , All Available Dental Care Facilities

30 HOSPITALS: - FARIDABAD Sr. No. Name of the Hospitals Address & Tel. No. /Non- Facilities Empanelled for 1 Asian Institute of Medical Sciences, Sec-21A, Badkal Flyover Road, Faridabad, Tel.No Cardiology & Cardiothoracic Surgery, Laparoscopic/ Endoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics. 2 Metro Heart Institute Sec.16A, Faridabad. Tel. No Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including joint replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 3 Park Hospital J-Block, Sec-10, Opp. Court, Faridabad Cont. No , , General Medicine, Gynae & Obs., Orthopedics, Cardiology, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Urology & Nephrology including Dialysis, Eye, ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 4 R G Stone Urology Laparoscopy Hospital A-6, Nehru Ground Neelam Bata Road, NIT, Faridabad, Haryana Tel.No General Surgery, Endoscopic/ Laparoscopic procedures, Gynae & Obst, Urology and Nephrology including Dialysis.

31 5 Sarvodaya Hospital (A Unit of Anshu Hospital Ltd.) YMCA Road, Sector-8, Faridabad. Tel.No General Medicine, General Surgery, Endoscopic/ Laparoscopic procedures, Gynae & Obst, Eye, ENT, Pediatrics, Orthopedic surgery with Joint replacement, Urology, Neurology, Neuro Surgery, GI Surgery, Nephrology ( including dialysis), Dental, Cardiology, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. EXCLUSIVE EYE CENTRES:- FARIDABAD Sr. No. Name of the Exclusive Eye Centres 1 Drishti Eye Centre Address & Tel. No , Fruit Garden, Near Green Auto Mobile, NIT Faridabad Tel. No , / Non- Empanelled As DIAGNOSTIC CENTRES:- FARIDABAD Sr. No. Name of the Diagnostic Centres Address & Tel. No. / Non- Facilities Empanelled for 1 Focus Diagnostics G-6, Rama Palace, Ajronda, ( Next to Neelam Flyover ) Faridabad. Non-NABL / Non- MRI, CT-Scan, Ultrasound, X-ray, ECG

32 HOSPITALS:- GURGAON Sr. No. Name of the Hospitals Address & Tel. No. /Non- Facilities Empanelled for 1 Artemis Hospital Sector -51 Gurgaon Haryana Tel No accredited Interventional Cardiology, Endoscopic/ Laparoscopic procedures, Gynecology& Obstetrics, Orthopedic surgery with Joint replacement, General Medicine, General Surgery, Neurology, Neurosurgery, Urology, Nephrology (Including Dialysis), Eye, ENT Gastroenterology,, Paediatrics, Cancer treatment (Surgery, Chemotherapy, radiotherapy) and Diagnostics. 2 Aryan Hospital Old Railway Road, Gurgaon (Haryana), Tel. No General Medicine, Gynae & Obs., Orthopedics, Cardiology, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Urology & Nephrology including Dialysis, Eye, ENT, Dental and Diagnostics. 3 Alchemist Hospital Sector#3, Saraswati Kunj, DLF Golf Course Road, Gurgaon Tel. No General Medicine, Gynae & Obs., Orthopedics and joint replacements, Cardiology, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Urology & Nephrology including Dialysis, Eye, ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics.

33 4 Kalyani Hospital Pvt. Ltd. Mehrauli Road, Gurgaon Tel.No Interventional Cardiology, Endoscopic/ Laparoscopic procedures, Gynecology& Obstetrics, Orthopedic surgery with Joint replacement, General Medicine, General Surgery, Neurology, Neurosurgery, Urology, Nephrology (Including Dialysis), Eye, ENT Gastroenterology,, Paediatrics, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 5 Metro Hospitals & Heart Institute H-Block, Palam Vihar, Gurgaon. Tel.No , , General Medicine, General Surgery, Endoscopic/ Laparoscopic procedures, Gynae & Obst, Eye, ENT, Pediatrics, Orthopedic surgery, Urology, Neurology, Neuro Surgery, GI Surgery, Nephrology (including Dialysis) Cardiology and Diagnostics. 6 Max Hospital (A unit of ALPS Hospital Ltd.) B-Block, Sushant Lok, Phase-I, Gurgaon, Haryana. Tel. No General Medicine, General Surgery, Endoscopic/ Laparoscopic procedures, Gynae & Obst, Eye, ENT, Pediatrics, Orthopedic surgery including joint replacement, Urology, Neurology, Neuro Surgery, GI Surgery, Nephrology including Dialysis, Cardiology and Diagnostics. 7 Medanta Medicity, Sector 38, Gurgaon Ph. No Interventional Cardiology & Cardiothoracic Surgery, Laparoscopic/ Endoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint

34 Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Vascular & Plastic Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment(surgery, Chemotherapy & Radiotherapy) and Diagnostics. 8 Paras Hospital C-1, Sushant Lok, Phase-I, Sector-43, Gurgaon (Haryana) Tel.No Cardiology, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Eye & ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 9 Park Hospital Q-Block, South City -II, Sector- 47, Main Sohna Road, Gurgaon. Tel.No , Cardiology, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy) and Diagnostics.

35 EXCLUSIVE EYE CENTRES: - GURGAON Sr. No. Name of the Exclusive Eye Centres 1 Ahooja Eye & Dental Institute Address & Tel. No. 560/1, Dayanand Colony, New Railway Road, Gurgaon. Tel.No / Non- Empanelled As 2 Centre For Sight CA Unit of New Delhi Centre For Sight Pvt. Ltd, 3 Lall Eye Care Center SCO Complex-317, Sector - 29, Gurgaon. Tel.No /18/ New Railway Road, Gurgaon, Haryana. Tel.No , Shroff Eye Centre 110- Commercial Plaza, Radisson Suites, Behind Ansal s Time Square Building, B- Block Sushant Lok Phase I, Sector-27, Gurgaon, Haryana Tel. No , Vasan Eye Care SCO 379 & 380, Sector-29, Near IFFCO, Chowk Metro Station, Gurgaon. Tel. No DIAGNOSTIC CENTRES:- GURGAON Sr. No. Name of the Diagnostic Centres Address & Tel. No. / Non- Facilities Empanelled for 1 Modern Diagnostic & Research Centre 2 Modern Diagnostic & Research Centre 462/7-463/7, Jawahar Nehru Nagar, New Railway Road, Gurgaon. Tel. No Plot No. 8, Sector-44, Institutional Area, Gurgaon. Tel. No NABL / NON- NABL / NON- MRI, CT-Scan, Ultrasound, X-ray, ECG and Laboratory Investigations, MRI, CT-Scan, Ultrasound, X-ray and Laboratory Investigations

36 3 Apex Diagnostics 12, Jacaranda Marg, DLF City, Phase-II, Gurgaon, Haryana Tel.No , NABL Laboratory Investigations EXCLUSIVE DENTAL CLINICS:- GURGAON Sr. No. Name of the Exclusive Dental Clinics 1 Ahooja Eye & Dental Institute Address & Tel. No. 560/1, Dayanand Colony, New Railway Road, Gurgaon /Non- Empanelled for All Available Dental Care Facilities 2 Dr. Chhabras Dental Clinic 1097, Sector-4, Gurgaon, Haryana. Tel.No All Available Dental Care Facilities 3 Dr. Bhim Sain s Family Dental Clinic & Dental Laboratory , Qutab Plaza, DLF City, Gurgaon Tel.No All Available Dental Care Facilities 4 Dental Trendzz Shop No. 6, Kataria Market, Gurgaon Tel.No , Muskan Dental C-1039, Near Vyapar Kendra, Sushant Lok-1, Gurgaon. Tel. No Smile N Shine Dental Care Centre 44 Madhya Marg, DLF PH -2, Gurgaon. Tel. No , All Available Dental Care Facilities All Available Dental Care Facilities All Available Dental Care Facilities

37 HOSPITALS:- GHAZIABAD Sr. No. Name of the Hospitals Address & Tel. No. / Non- Facilities Empanelled for 1 Aarogya Hospital, (A Unit of Kastura Medicos Ltd.) Plot No. NH-1, Sector-VI, Vaishali, Ghaziabad. Tel.No Brij Medical Centre KK-54, Kavi Nagar, Ghaziabad. Tel. No Chandra Laxmi Hospital 4 Family Health Care Hospital Sec-4, Plot No. 337, Vaishali, Ghaziabad Tel. No , ,71 15 HC-1, Vasundhara Enclave, Ghaziabad. Tel. No , Endoscopic/ Laparoscopic procedures, Neurology, Neurosurgery, Gastroenterology, Nephrology, Urology, Orthopedics, General Surgery, General Medicine, Obstetrics and Gynecology, Dental, Eye, ENT, and Diagnostics. General Medicine, General Surgery, Endoscopic/ Laparoscopic procedures, Gynae & Obst, Dental, Eye, ENT, Pediatrics, Orthopedic Surgery, Nephrology, Cancer treatment (Chemotherapy) and Diagnostics. General Medicine, General surgery, Endoscopic/ Laparoscopic procedures, Gynecology &Obstetrics, Orthopedic surgery, Neurology, Nephrology (Including Dialysis), Gastroenterology, Neurosurgery, Paediatrics, Urology, Dental, Eye, ENT and Diagnostics. General Medicine, Gynae & Obs., Orthopedics, General Surgery, Endoscopic /Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology, Cancer treatment(surgery and chemotherapy) Eye, ENT and Diagnostics.

38 5 Kamal Hospital KA-Block, Kaushambi, Near Telephone Exchange/ Metro Station Kaushambi, Ghaziabad. Mob.No General Medicine, General Surgery, Gynecology and Obst, Orthopedic, Eye, ENT, Endoscopic/Laparoscopic Surgery, Pediatrics, Gastroenterology, Neurology, Urology, nephrology, Dental and Diagnostics. 6 Narinder Mohan Hospital & Heart Center Mohan Nagar, Ghaziabad. Tel.No Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics 7 Pushpanjali Crosslay Hospital W-3, Sector-1, Vaishali, Ghaziabad. Tel.No , Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Vascular & Plastic Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy & Radiotherapy) and Diagnostics.

39 8 Yashoda Hospital III-M, Nehru Nagar, Ghaziabad. Tel.No (30 lines), , Yashoda hospital Kaushambi, Ghaziabad. Tel. No Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery & Chemotherapy) and Diagnostics. Interventional Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology, Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. EXCLUSIVE EYE CENTRES:- GHAZIABAD Sr. No. Name of the Exclusive Eye Centres 1 Param Jyoti Eye Center Address & Tel. No. Plot No. 481, Friends Society, Sec- 12, Vasundhra, Ghaziabad. Tel.No , / Non- Empanelled As 2 Tewari Eye Centre 5/699, Vaishali Ghaziabad Mob:

40 EXCLUSIVE DENTAL CLINICS:- GHAZIABAD Sr. No. Name of the Exclusive Dental Clinics 1 Dr. Saigals Dental Clinic & Implant Centre Address & Tel. No. KD-20, Kavi Nagar, Ghaziabad. Tel. No , / Non- Empanelled for All Available Dental Care Facilities 2 Dental Destination B-1/44, DLF Colony, Bhopura, Sahibabad (Ghaziabad). Tel. No All Available Dental Care Facilities 3 Royal Dental Care II C/128, Nehru Nagar, Ghaziabad. Tel.No , All Available Dental Care Facilities HOSPITALS:- NOIDA Sr. Name of the No. Hospitals 1 Amrapali Hospital Address & Tel. No. Plot No. NH-34, P-2, Omega-1, Greater Noida. Tel. No , / Non- Facilities Empanelled for General Medicine, Gynae & Obs., Orthopedics and joint replacements, Cardiology, General Surgery, Endoscopic/Laproscopic procedures, Neurology & Neuro Surgery, Gastroenterology, Dental, Urology & Nephrology including Dialysis, Eye, ENT, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 2 Bhardwaj Hospital NH-1, Sector-29, Noida Tel. No General Medicine, General Surgery, Endoscopic/ Laparoscopic procedures, Eye, ENT, Obstetrics and Gynaecology, Paediatrics, Orthopedic surgery with Joint replacement, Neurology, Cardiology, Gastroenterology, Dental & Diagnostics.

41 3 Kailash Hospital & Heart Institute 4 Kailash Hospital Ltd. 5 Metro Hospitals & Heart Institute H-33, Sector-27, Noida. Tel. No , KP-I, Greater Noida Tel. No X-1, Sector-11-12, L-94, Noida Tel. No Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, plastic surgery,eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis), Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. 6 Max Hospital A-364, Sector-19, Noida. Tel. No , Cardiology & Cardiothoracic Surgery, Endoscopic/ Laparoscopic procedures, Gynecology & Obstetrics, Orthopedic Surgery including Joint Replacement, General Medicine, General Surgery, Neurology & Neurosurgery, Urology & Nephrology (Including Dialysis),

42 7 Prakash Hospital 8 Satya Medical Centre Hospital 9 Vinayak Hospital D-12, 12-A, 12-B, Sector 33, Noida. Tel.No , A-98A, Sector-34, Noida Tel.No , NH-1, Sector-27, Atta, Noida Tel.No Gastroenterology and GI Surgery, Paediatrics, Eye & ENT, Dental, Cancer treatment (Surgery, Chemotherapy) and Diagnostics. Endoscopic/ Laparoscopic procedures, General Medicine, General Surgery, Obstetrics and Gynecology, Pediatrics, Eye, ENT, Gastroenterology, Orthopedic surgery with Joint replacement, Nephrology & Urology and Diagnostics General Medicine, General Surgery, Endoscopic/ Laparoscopic procedures, Eye, ENT, Pediatrics, Gynae & Obst. Orthopedic surgery with Joint replacement and Diagnostics. General Medicine, Eye, ENT, General Surgery, Endoscopic/ Laparoscopic procedures, Nephrology, Obstetrics and Gynecology, Neurology/ Neurosurgery, Orthopedic surgery, Urology, Pediatrics and Diagnostics. 10 Sumitra Hospital A-119A, Sector-35, Noida Tel. No General Medicine, General Surgery, Endoscopic/ Laparoscopic procedures, Gynae & Obst, Eye, ENT, Orthopedic surgery, Urology, Nephrology, Neurology, Neuro Surgery, GI Surgery, Dental and Diagnostics.

43 EXCLUSIVE EYE CENTRES:- NOIDA Sr. No. Name of the Exclusive Eye Centres 1 Eye Health Clinic Address & Tel. No. E-1, Sector-61, Noida Tel.No /63, /Non- Empanelled As 2 I CARE Eye Hospital & Post Graduate Institute, ICARE Research Centre E-3A, Sec-26, Noida Ph , Tirupati Eye Centre C-8, Sec-19, Noida Tel. No , , EXCLUSIVE DENTAL CLINICS:- NOIDA Sr. No. Name of the Exclusive Dental Clinics Address & Tel. No. / Non- Empanelled for 1 Perfect Teeth Dental Clinic Shop No. 17, City Plaza, B-Block Market, Sec-62, Noida. No All Available Dental Care Facilities 2 S.N Dental Hospital & Implant Centre Shop 5, B-13, Sector-34, Mother Dairy Market, Noida. Mob. No All Available Dental Care Facilities

44 Sr. No. CGHS TREATMENT PROCEDURE/INVESTIGATION LIST Non- /Non- NABL Rates /NABL Rates 1 Consultation OPD Consultation- for Inpatients Dressings of wounds Suturing of wounds with local anesthesia Aspiration Plural Effusion - Diagnostic Aspiration Plural Effusion - Therapeutic Abdominal Aspiration - Diagnostic Abdominal Aspiration - Therapeutic Pericardial Aspiration Joints Aspiration Biopsy Skin Removal of Stitches Venesection Phimosis Under LA Sternal puncture Injection for Haemorrhoids Injection for Varicose Veins Catheterisation Dilatation of Urethra Incision & Drainage Intercostal Drainage Peritoneal Dialysis TREATMENT PROCEDURE SKIN 23 Excision of Moles Excision of Warts Excision of Molluscum contagiosum Excision of Veneral Warts Excision of Corns I/D Injection Keloid Chemical Cautery (s) TREATMENT PROCEDURE OPTHALMOLOGY 30 Subconjunctival/subtenon s injections in one eyes Subconjunctival/subtenon s injections in both eyes Pterygium Surgery Conjunctival Peritomy Conjunctival wound repair or exploration following blunt trauma 35 Removal of corneal foreign body Cauterization of ulcer/subconjunctival injection in one eye Cauterization of ulcer/subconjunctival injection in both eyes Corneal grafting Penetrating keratoplasty Corneal grafting Lamellar keratoplasty Cyanoacrylate /fibrin glue application for corneal perforation Bandage contact lenses for corneal perforation

45 42 Scleral grafting or conjunctival flap for corneal perforation Keratoconus correction with therapeutic contact lenses UV radiation for cross-linking for keratoconus EDTA for band shaped keratopathy Arcuate keratotomy for astigmatism Re-suturing (Primary suturing) of corneal wound Penetrating keratoplasty ---- with glaucoma surgery Penetrating keratoplasty --- with vitrectomy Penetrating keratoplasty ---- with IOL implantation DALK- Deep anterior lamellar keratoplasty Keratoprosthesis stage I and II DSAEK- Descemet s stripping automated endothelial keratoplasty 54 ALTK- Automated lamellar therapeutic keratoplasty Probing and Syringing of lacrimal sac- in one eye Probing and Syringing of lacrimal sac- in both eye Dacryocystorhinostomy Plain Dacryocystorhinostomy Plain with intubation and/or with lacrimal implants 59 Dacryocystorhinostomy conjunctival with implant Caliculoplasty Dacryocystectomy Punctal plugs for dry eyes Refraction Indirect Ophthalmoscopy Orthoptic check-up- with synoptophore Lees charting or Hess charting Orthoptic exercises Pleoptic exercises Perimetry/field test Goldman Perimetry/field test automated Fluorescein angiography for fundus or iris Ultrasound A- Scan Ultrasound B- Scan Fundus Photo Test Indocyanin green angiography Corneal endothelial cell count with specular microscopy Corneal topography Corneal pachymetry Auto-refraction Macular function tests Potential acuity metry Laser interferometry OCT-Optical coherence tomography HRT- Heidelberg s retinal tomogram GDX--- Nerve fibre layer analyzer UBM- Ultrasound bio microscopy Non Contact tonometry IOP measurement with schiotz 30 35

46 89 IOP measurement with applation tonometry Three mirror examination for reti D lens examination Gonioscopy Chalazion incision and curettage in one eye Chalazion incision and curettage in both eyes Ptosis surgery with fasanella servat procedure Ptosis surgery with LPS resection one lid Ptosis surgery with Sling surgery one lid Ectropion surgery- one lid Ectropion surgery- both lids Epicanthus correction Cantholysis and canthotomy Entropion surgery- one lid Entropion surgery- both lids Tarsorraphy Suturing of lid lacerations Lid retraction repair Concretions removal Bucket handle procedure for lid tumors Cheek rotation flap for lid tumors Orbitotomy Enucleation Enucleation with orbital implants and artificial prosthesis Evisceration Evisceration with orbital implants and artificial prosthesis Telecanthus correction Orbital decompression Exenteration Exenteration with skin grafting Fracture orbital repair Retinal laser procedures Retinal detachment surgery Retinal detachment surgery with scleral buckling Buckle removal Silicone oil removal Anterior retinal cryopexy Squint correction for one eye Squint correction for both eyes Trabeculectomy Trabeculotomy Trabeculectomy with Trabeculotomy Trephition Goniotomy Glaucoma surgery with Glaucoma valves 6900+valve valve 134 Cyclocryotherapy YAG laser iridotomy YAG laser capsulotomy ALT-Argon laser trabeculoplasty

47 138 PDT-Photodymic therapy TTT- Transpupillary thermal therapy PTK- Phototherapeutic keratectomy Argon/diode laser for retinal detatchment Intralase application for keratoconus EOG- electro-oculogram ERG- Electro-retinogram VEP- visually evoked potential Vitrectomy- pars plana Intravitreal injections- of antibiotics Intravitreal injections- of lucentis excluding cost of drug X- Ray orbit CT-orbit and brain MRI- Orbit and brain Dacryocystography Orbital angio-graphical studies ECCE with IOL SICS with IOL Phaco with foldable IOL (silicone and acrylic)/pmma IOL Pars plana lensectomy with/without IOL Secondary IOL implantation- AC IOL PC IOL or scleral fixated IOL 159 Cataract extraction with IOL with capsular tension rings (Cionni s ring) 160 Optic nerve sheathotomy Iridodialysis repair or papillary reconstruction Iris cyst removal Lid Abscess incision and Drainage Orbital Abscess incision and Drainage Biopsy Paracentesis Scleral graft for scleral melting or perforation Amniotic membrane grafting Cyclodiathermy Intraocular foreign body removal Electrolysis Perforating injury repair Botulinum injection for blepharospasm or squint TREATMENT PROCEDURE DENTAL PROCEDURES 174 Flap Operation per quadrant Gingivectomy per quadrant Reduction & immobilization of fracture- Maxilla Under LA Reduction & immobilization of fracture-mandible Under LA splints/cirucum mandibular wiring under LA splints/cirucum mandibular wiring under GA Internal wire fixation/plate fixation of Maxilla under LA

48 181 Internal wire fixation/plate fixation of Maxilla under GA Internal wire fixation/plate fixation of Mandible under LA Internal wire fixation/plate fixation of Mandible under GA Extraction per tooth under LA Complicated Ext. per Tooth under LA Extraction of impacted tooth under LA Extraction in mentally retarded/patients with systemic diseases/patient with special needs under short term GA 188 Cyst & tumour of Maxilla /mandible by enucleation/ excision/ marsupalisation upto 4 cms under LA 189 Cyst & tumour of Maxilla/mandible by enucleation/ excision/ marsupalisation size more than 4 cms under LA 190 Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupalisation size more than 4 cms under GA 191 TM joint ankylosis- under GA Biopsy Intraoral-Soft tissue Biopsy Intraoral-Bone Hemi-mandibulectomy with graft Hemi-mandibulectomy without graft Segmental-mandibulectomy with graft Segmental-mandibulectomy without graft Maxillectomy- Total with graft Maxillectomy- Total without graft Maxillectomy- partial with graft Maxillectomy- partial without graft Release of fibrous bands & grafting -in (OSMF) treatment under GA 203 Pre-prosthetic surgery- Alveoloplasty Pre-prosthetic surgery - ridge augmentation Root canal Treatment(RCT) Anterior teeth(per tooth) Root canal Treatment(RCT) Posterior teeth (per tooth) Apicoectomy- Single root Apicoectomy-Multiple roots Metal Crown-per unit Metal Crown with Acrylic facing per unit Complete single denture-metal based Complete denture- acrylic based per arch Removable partial denture-metal based-upto 3 teeth Removable partial denture-metal based-more than 3 teeth Removable partial denture-acrylic based-upto 3 teeth Removable partial denture-acrylic based-more than 3 teeth Amalgum restoration-per tooth Composite Restoration-per tooth-anterior tooth Glas Ionomer-per tooth

49 220 Scaling & polishing Removable Orthodontics appliance- per Arch Fixed Orhtodontics-per Arch Space maintainers-fixed Habit breaking appliances-removable Habit breaking appliances-fixed Expansion plate Feeding appliance for cleft palate Maxillo-facial prosthesis (sal/auricular/orbital/facial lost part) 229 Functional orthodentic appliances Obturator (Maxillo-facial) Occlusal night guard(splint) TREATMENT PROCEDURE ENT 232 Pure Tone Audiogram Impedence with stepedeal reflex SISI Tone Decay Multiple hearing assessment test to Adults Speech Discrimination Score Speech Assessment Speech therapy per session of minutes Cold Calorie Test for Vestibular function Removal of foreign body From Nose Removal of foreign body From Ear Syringing (Ear) Polyp removal under LA Polyp removal under GA Peritonsillar abscess Drainage under LA Myringoplasty Staepedectomy Myringotomy with Grommet insertion Tympanotomy Tympanoplasty Mastoidectomy Otoplasty Labyrinthectomy Skull Base surgery Facial Nerve Decompression Septoplasty Submucous Resection Septo-rhinoplasty Rhinoplasty- Non-cosmetic Fracture Reduction Intra nasal Diathermy Turbinectomy Endoscopic DCR Endoscopic Surgery Septal Perforation Repair Antrum Puncture Lateral Rhinotomy

50 268 Cranio-facial resection Caldwell Luc Surgery Angiofibroma Excision Endoscopic Hypophysectomy Endoscopic Optic Nerve Decompression Decompression of Orbit Punch/Wedge biopsy Tonsillectomy Uvulo-palatoplasty FESS for antrochoal polyp FESS for ethmoidal polyp Polyp removal ear Polyp removal Nose(Septal polyp) Mastoidectomy plus Ossciculoplasty including TORP or PORP 282 Endolymphatic sac decompression Diagnostic endoscopy under GA Yonges operation for Atrophic rhinitis Vidian neurectomy for vasomotor Rhinitis Nasal Packing-anterior Nasal Packing-posterior Ranula Excision Tongue Tie excision Sub Mandibular Duct Lithotomy Adenoidectomy Palatopharyngoplasty Pharyngoplasty Styloidectomy Direct laryngoscopy including Biopsy under GA Oesophagoscopy/foreign body removal from Bronchoscopy with F.B.removal Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE FOR HEAD AND NECK 300 Ear Lobe Repair one side Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only 302 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage 303 Partial Amputation of Pinna Total Amputation of Pinna Total Amputation & Excision of External Auditory Meatus Excision of Cystic Hygroma Excision of Cystic Hygroma Extensive Excision of Branchial Cyst Excision of Branchial Sinus Excision of Pharyngeal Diverticulum Excision of Carotid Body-Tumours

51 312 Operation for Cervical Rib Block Dissection of Cervical Lymph Nodes Pharyngectomy & Reconstruction Operation for Carcinoma Lip - Wedge-Excision Operation for Carcinoma Lip - Vermilionectomy Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy 318 Estlander Operation Abbe Operation Cheek Advancement Excision of the Maxilla Excision of mandible-segmental Mandibulectomy Partial Glossectomy Hemiglossectomy Total Glossectomy Commondo Operation Parotidectomy - Superficial Parotidectomy - Total Parotidectomy - Radical Repair of Parotid Duct Removal of Submandibular Salivary gland Hemithyroidectomy Partial Thyroidectomy (lobectomy) Subtotal Thyroidectomy Total Thyroidectomy Resection Enucleation of thyroid Adenoma Total Thyroidectomy and Block Dissection Excision of Lingual Thyroid Excision of Thyroglossal Cyst/Fistula Excision of Parathyroid Adenoma/Carcinoma Laryngectomy Laryngo Pharyngectomy Hyoid Suspension Genioplasty Direct Laryngoscopy including biopsy under GA Phonosurgery Fibroptic examition of Larynx under LA Microlaryngeal Surgery Laryngofissure Tracheal Stenosis Excision Head and neck cancer 352 Excisional Biopsies Benign Tumour Excisions Temporal Bone subtotal resection Modified Radical Neck Dissection Carotid Body Excision Total Laryngectomy Flap Reconstructive Surgery Parapharyngeal Tumour Excision

52 360 Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE BREAST 362 Drainage of abscess Excision of lumps Local mastectomy-simple Radical mastectomy-formal or modified Excision of mammary fistula Segmental resection of breast Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE GENERAL SURGERY 370 Injury Of Superficial Soft Tissues Suturing of small wounds Secondary suture of wounds Debridement of wounds Removal Of Foreign Bodies Biopsies 375 Excision of Cervical Lymph Node Excision of Axillary Lymph Node Excision of Inguinal Lymph Node Excision Biopsy of Ulcers Excision Biopsy of Superficial Lumps Incision Biopsy of Growths/Ulcers Trucut Needle Biopsy Percutaneous Kidney Biopsy Marrow Biopsy (Open) Muscle Biopsy Scalene Node Biopsy Excision of Sebaceous Cysts Excision of Superficial Lipoma Excision of Superficial Neurofibroma Excision of Dermoid Cysts Haemorrhoidectomy Stappler haemorrhoidectomy keloid excision Vericose vein surgery;tendelenburg operation with suturing or ligation. TREATMENT PROCEDURE OESOPHAGUS 394 Atresia of Oesophagus and Tracheo Oesophageal Fistula Operations for Replacement of Oesophagus by Colon Oesophagectomy for Carcinoma Easophagus Oesophageal Intubation (Mausseau Barbin Tube) Achalasia Cardia Transthoracic Achalasia Cardia Abdominal Oesophago Gastrectomy for mid 1/3 lesion Heller s Operation Colon-Inter position or Replacement of Oesophagus

53 403 Oesophago Gastrectomy Lower Corringers procedure Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE ABDOMEN / GI SURGERY 406 Gastroscopy Gastric & Duodenal Biopsy (Endoscopic) Pyloromyotomy Gastrostomy Simple Closure of Perforated peptic Ulcer Vagotomy Pyleroplasty / Gastro Jejunostomy Duodenojejunostomy Partial/Subtotal Gastrectomy for Carcinoma Partial/Subtotal Gastrectomy for Ulcer Operation for Bleeding Peptic Ulcer Operation for Gastrojejunal Ulcer Total Gastrectomy for Cancer Highly Selective Vagotomy Selective Vagotomy & Drainage Congenital Diaphragmatic Hernia Hiatus Hernia Repair- Abdominal Hiatus Hernia Repair- Transthoracic Exploratory Laparotomy Epigastric Hernia Repair Umbilical Hernia Repair Ventral /incisional Hernia Repair Inguinal Hernia Herniorraphy Inguinal Hernia - Hernioplasty Femoral Hernia Repair Rare Hernias Repair (Spigalion, Obturator, Lumbar, Sciatic) Splenectomy - For Trauma Splenectomy - For Hypersplenism Splenorenal Anastomosis Portocaval Anastomosis Direct Operation on Oesophagus for Portal Hypertension Mesentericocaval Anastomosis Warren Shunt Pancerato Duodenectomy By Pass Procedure for Inoperable Carcinoma of Pancreas Cystojejunostomy or Cystogastrostomy Cholecystectomy Cholecystectomy & Exploration of CBD Repair of CBD Operation for Hydatid Cyst of Liver Cholecystostomy Hepatic Resections (Lobectomy /Hepatectomy) Operation on Adrenal Glands - Bilateral

54 448 Operation on Adrenal Glands - Unilateral Appendicectomy Appendicular Abscess Drainage Mesenteric Cyst- Excision Peritonioscopy/Laparoscopy Jejunostomy Ileostomy Resection & Anastomosis of Small Intestine Duodenal Diverticulum Operation for Intestinal Obstruction Operation for Intestinal perforation Benign Tumours of Small Intestine Excision of Small Intestine Fistula Operations for GI Bleed Operations for Haemorrhage of Small Intestines Operations of the Duplication of the Intestines Operations for Recurrent Intestinal Obstruction (Noble Plication & Other Operations for Adhesions) 465 Ilieosigmoidostomy and related resection Ilieotransverse Colostomy and related resection Caecostomy Loop Colostomy Transverse Sigmoid Terminal Colostomy Closure of Colostomy Right Hemi-Colectomy Left Hemi-Colectomy Total Colectomy Operations for Volvulus of Large Bowel Operations for Sigmoid Diverticulitis Fissure in Ano with Internal sphinctrectomy with fissurectomy. 477 Fissure in Ano - Fissurectomy Rectal Polyp-Excision Fistula in Ano - High Fistulectomy Fistula in Ano - Low Fistulectomy Prolapse Rectum - Theirch Wiring Prolapse Rectum - Rectopexy Prolapse Rectum - Grahams Operation Operations for Hirschsprungs Disease Excision of Pilonidal Sinus (open) Excision of Pilonidal Sinus with closure Abdomino-Perineal Excision of Rectum Anterior Resection of rectum Pull Through Abdominal Resection Retro Peritoneal Tumor Removal Radio ablation of varicose veins Laser ablation of varicose veins Laproscopic Fundoplication Laproscopic Spleenectomy Laproscopic Removal of hydatid cyst

55 496 Laproscopic treatment of Pseudo Pancreatic cyst Laproscopic whipples operation Laproscopic GI bypass operation Laproscopic Total Colectomy Laproscopic Hemi Colectomy Laproscopic Anterior Resection Laproscopic Cholecystetomy Laproscopic Appedicectomy Laproscopic Hernia inguinal repair Laproscopic ventral Hernia Repair Laproscopic Paraumblical Hernia Repair Laproscopic Adrenelectomy Laproscopic Nephrectomy Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE ICU/CCU PROCEDURES (SPECIAL CARE CASES) 511 Coronary Care with Cardiac Monitoring (Room Rent extra) Compressed air / piped oxygen /per hour Ventilator charges (Per day) Paediatric care for New born (Per day) Incubator charges (Per day) Neonatal ICU charges (Per day) Resuscitation Exchange Transfusion Pneupack ventilator in Nursery (Per day) TREATMENT PROCEDURE CARDIOVASCULAR AND CARDIAC SURGERY & INVESTIGATIONS 520 ASD Closure VSD with graft TOF/TAPVC/TCPC/REV/RSOV repair B.D.Glenn/Left atrium myxoma Senning/ASO with graft DSO AV Canal repair Fonten Conduit repair CABG CABG + IABP CABG + Valve CABG without bypass Ascending aorta replacement DVR MVR/AVR MV repair + AV repair Aorta femoral bypass B.T Shunt/Coaractation P.A.Banding septostomy

56 540 Pericardectomy CMV/PDA Gunshot injury Heart transplant Balloon coronary angioplasty/ptca with VCD Balloon coronary angioplasty/ptca without VCD Rotablation balloon valvotomy/ptmc CATH Arch Replacement Aortic Dissection Thoraco Abdominal Aneurism Repair Embolectomy Vascular Repair Bentall Repair with Prosthetic Valve Bentall Repair with Biologic Valve Coaractation dilatation Coaractation dilatation with Stenting TPI Single Chamber TPI Dual Chamber Permanent pacemaker implantation- Single Chamber Permanent pacemaker implantation- Dual Chamber Permanent pacemaker implantation Biventricular AICD implantation Single Chamber AICD implantation Dual Chamber Combo device implantation Diagnostic Electrophysiological studies conventional Ambulatory BP monitoring External Loop/event recording RF Ablation conventional RF Ablation Atrial Tachycardia/Carto Endomyocardial biopsy IABP Intra vascular coils Septostomy- Balloon Septostomy- Blade AVBD/PVBD Digital subtraction angiography-peripheral artery Digital subtraction angiography- venogram C.T Guided biopsy Sinogram Peripheral Angioplasty with VCD Peripheral Angioplasty without VCD Renal Angioplasty IVUS FFR Holter analysis Aortic stent grafting for aortic aneurysm IVC Filter implantation ASD/VSD/PDA device closure

57 590 ECG HUTT D echocardiography D echocardiography Fetal Echo D TEE D TEE(Transoesophageal echo ) Stress Echo- exercise Stress Echo- pharmacological Stress MPI- exercise Stress MPI - pharmacological Coronary angiography CT coronary angiography Cardiac CT scan Cardiac MRI Stress Cardiac MRI MR angiography Cardiac PET Pericardiocentesis Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE OBSTETRICS AND GYNAECOLOGY 611 Normal delivery with or without Episiotomy & P. repair vacuum delivery Forceps Delivery Cesarean Section Cesarean Hysterectomy Rupture Uterus closure & repair with Tubal Ligation Perforation of Uterus after D/E Laparotomy & Closure Laparotomy for Ectopic pregnancy Laparotomy-peritonitis Lavage and Drainage Salphingo-Oophorectomy/ Oophorectomy Laproscopic Ovarian Cystectomy-laparoscopic Ovarian Cystectomy -laparotomy Salpingo-Oophorectomy-laparotomy Laproscopic Broad Ligament Hematoma Drainage with repair 625 Exploration of perineal Haematoma & Repair Exploration of abdominal Haematoma (after laparotomy LSCS) 627 Manual Removal of Placenta Examination under anesthesia (EUA) Burst-abdomen Repair Gaping Perineal Wound Secondary Suturing Gaping abdominal wound Secondary Suturing Complete perineal tear-repair Exploration of PPH-tear repair Suction evacuation vesicular mole

58 635 Suction evacuation Missed abortion/ incomplete abortion Colpotomy Repair of post-coital tear/ perineal injury Excision of urethral caruncle Shirodhkar/ Mc. Donald s stitch Abdominal Hysterectomy with or without salpingooophorectomy Vaginal Hysterectomy (NDVH) Vaginal Hysterectomy with repairs (UV Prolapse) Myomectomy -laparotomy Myomectomy -laparoscopic Vaginoplasty Vulvectomy -Simple Vulvectomy-Radical RVF Repair Manchester Operation Shirodkar s sling Operation or other sling operations for prolapse uterus 651 Laparoscopic sling operations for prolapse uterus Diagnostic Curettage Cervical Biopsy Polypectomy Other-Minor Operation Endometrial Excision Vaginal Cyst/Bartholin Cyst Excision Vaginal Septum Laparoscopy -Diagnostic with chromopertubation and or adhesiolysis and drilling 659 Laparoscopy Sterilization LAVH Balloon Temponade for PPH Total laparoscopic hysterectomy Laparoscopic treatment of Ectopic pregnancysalpingectomy/salpinostomy conservative 664 Conisation of cervix Trachhelectomy of cervix for early CA cervix Hysteroscopic cannulation Laparotomy recannalization of Fallopian tubes (Tubuloplasty) 668 Laparoscopic recannalization of Fallopian tubes (Tubuloplasty) 669 Colposcopy Inversion of Uterus Vaginal Reposition Inversion of Uterus Abdominal Reposition Laparoscopic VVF Repair Abdominal VVF Repair Vaginal VVF Repair Interventional Ultrasonography (CVS) Amniocentesis Karyotyping

59 678 Thermal balloon ablation Ultrasonographic myolysis Vaginal Myomectomy Intra Uterine Inseminition ICSI Laparotomy abdominal sacro-colpopexy Vaginal Colpopexy Laparoscopic abdominal sacro-colpopexy Laparotomy pelvic Lymphadenectomy Laparoscopic pelvic Lymphadenectomy Endometrial aspiration cytology/biopsy Transvaginal sonography (TVS for Follicular monitioring /aspiration) 690 laparoscopic treatment for stress incontinence Transvaginal tapes for Stress incontinence trans-obturator tapes for Stress incontinence Interventional radiographic arterial embolization Diagnostic cystoscopy Staging laparotomy surgery for CA Ovary Internal Iliac ligation stepwise devascularisation Assisted breech delivery Intra-uterine fetal blood transfusion Hysteroscopy TCRE Hysteroscopy Removal of IUCD Hysteroscopy Removal of Septum Hysteroscopy Diagnostic Radical Hysterectomy for Cancer cervix with pelvic lymphadenectomy 705 Radical Hysterectomy for Cancer endometrium extending to cervix with pelvic and para aortic lymphadenectomy 706 Sterilization Post partum (minilap) Sterilization interval (minilap) Ultrasonography Level II scan/anomaly Scan Fetal nuchal Translucency Fetal Doppler/Umblical Doppler/Uterine Vessel Doppler MTP- 1st Trimester MTP - 2nd Trimester Quadruple test Biophysical score Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE NEPHROLOGY AND UROLOGY 717 Partial Nephrectomy -open Partial Nephrectomy-laproscopic/endoscopic Nephrolithomy -open Nephrolithomy -laproscopic/endoscopic Pyelolithotomy-open

60 722 Pyelolithotomy -laproscopic/endoscopic Operations for Hydronephrosis -pyeloplasty open Operations for Hydronephrosis -pyeloplasty Lap/endoscopic Operations for Hydronephrosis Endoplyelotomy antegrade Operations for Hydronephrosis Endoplyelotomy retrograde Operations for Hydronephrosis -ureterocalicostomy Operations for Hydronephrosis-Ileal ureter Open Drainage of Perinephric Abscess Percutaneous Drainage of Perinephric Abscess -Ultrasound 5750 guided 731 Cavernostomy Operations for Cyst of the Kidney -open Operations for Cyst of the Kidney -Lap/endoscopic Ureterolithotomy -open Ureterolithotomy-Lap/Endoscopic Nephroureterectomy open Nephroureterectomy -Lap/Endoscopic Operations for Ureter for -Double Ureters Operations for Ureter -for Ectopia of Single Ureter Operations for Vesico- ureteric Reflux -Open Operations for Vesico- ureteric Reflux-Lap/Endoscopic Operations for Vesico- ureteric Reflux/ Urinary incontinence with bulking agents 743 Ureterostomy - Cutaneous Uretero-Colic anastomosis Formation of an Ileal Conduit Ureteric Catheterisation Biopsy of Bladder (Cystoscopic) Cysto-Litholapaxy Operations for Injuries of the Bladder Suprapubic Drainage (Cystostomy/vesicostomy) Simple Cystectomy Diverticulectomy -open Diverticulectomy- Lap/Endoscopic Diverticulectomy -Endoscopic incision of neck Augmentation Cystoplasty Operations for Extrophy of the Bladder- Single stage repair Operations for Extrophy of the Bladder- Multistage repair Operations for Extrophy of the Bladder- simple cystectomy with urinary diversion 759 Repair of Ureterocoel -Open Repair of Ureterocoel -Lap/Endoscopic Repair of Ureterocoel -Endoscopic incision Open Suprapubic Prostatectomy Open Retropubic Prostatectomy

61 764 Transurethral Resection of Prostate (TURP) Urethroscopy/ Cystopanendoscopy Internal urethrotomy -optical Internal urethrotomy -Core through urethroplasty Urethral Reconstruction -End to end ansatamosis Urethral Reconstruction - substitution urethroplasty (Transpubic urethroplasty 770 Abdomino Perineal urethroplasty Posterior Urethral Valve fulguration Operations for Incontinence of Urine - Male -Open Operations for Incontinence of Urine - Male -Sling Operations for Incontinence of Urine - Male-Bulking agent Operations for Incontinence of Urine - Female -Open Operations for Incontinence of Urine - Female-Sling Operations for Incontinence of Urine - Female-Bulking agent Reduction of Paraphimosis Circumcision Meatotomy Meatoplasty Operations for Hypospadias + Chordee Correction Operations for Hypospadias - Second Stage Operations for Hypospadias - One Stage Repair Operations for Crippled Hypospadias Operations for Epispadias _primary repair Operations for Epispadias-crippled epispadias Partial Amputation of the Penis Total amputation of the Penis Orchidectomy-Simple Orchidectomy -Radical Post Radical Orchidectomy retroperitoneal lymph node dissection. 793 Epididymectomy Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma- Open 795 Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma -Lap/Endoscopic 796 Operations for Hydrocele - Unilateral Operations for Hydrocele - Bilateral Operation for Torsion of Testis Micro-surgical Vasovasostomy /Vaso epidedymal ansatamosis. 800 Operations for Varicocele Unilateral-Microsurgical Operations for Varicocele Palomo s Unilateral - Lap Operations for Varicocele Bilateral --Microsurgical Operations for Varicocele Bilateral Lap/ Palomo Block Dissection of ilio-inguinal Nodes - One Side (For Ca- Penis)

62 805 Block Dissection of ilio-inguinal Nodes - Both Sides (For Ca Penis) 806 Excision of Filarial Scrotum Kidney Transplantation (related) Kidney Transplantation (Spousal/ unrelated) ABO incompatible Transplantation Swap Transplantation Kidney Transplant Graft Nephrectomy Donor Nephrectomy (open) Donor Nephrectomy (Laproscopic) Cadaver Transplantation Kidney Transplant with Native Kidney Nephrectomy (Related)/ Unilateral 816 Kidney Transplant with Native Kidney Nephrectomy (Related)/ Bilateral 817 Kidney Transplant with Native Kidney Nephrectomy (Spousal/ Unrelated) Unilateral 818 Kidney Transplant with Native Kidney Nephrectomy (Spousal/ Unrelated) Bilateral 819 Post-Transplant Collection drainage for Lymphocele (open) Post-Transplant Collection drainage for Lymphocele (percutaneous) 821 Post-Transplant Collection drainage for Lymphocele (Laproscopic) 822 Arteriovenous Fistula for Haemodialysis Arteriovenous Shunt for Haemodialysis Jugular Catheterization for Haemodialysis Subclavian Catheterization for Haemodialysis One sided (single Lumen) Femoral Catheterization for Haemodialysis 827 Bilateral (single Lumen) Femoral Catheterization for Haemodialysis 828 Double Lumen Femoral Catheterization for Haemodialysis Permcath Insertion Arterio venous Prosthetic Graft Single lumen Jugular Catheterization Single lumen Subclavian Catheterization Plasma Exchange/ Plasma phresis Open method CAPD catheter insertion Schlendinger method CAPD catheter insertion Sustained low efficiency hemodialysis Continuous Veno venous/arteriovenous Hemofilteration Hemodialysis for Sero negative cases Hemodialysis for Sero Positive cases Acute Peritoneal Dialysis Fistologram for Arteriovenous Fistula Ultrasound guided kidney Biopsy Fistula stenosis dilation

63 844 Slow continuous Ultrafilteration PCNL - Unilateral PCNL - Bilateral Endoscopic Bulking agent Inject Testicular Biopsy Radical Nephrectomy -Open Radical Nephrectomy -Lap/Endoscopic Radical Nephrectomy plus IV thrombus Radical Nephrectomy plus IV thrombus plus cardiac bypass Vesico Vaginal Fistula Repair (Open) Vesico Vaginal Fistula Repair (Laproscopic) Radical Cystectomy -Ileal conduit Radical Cystectomy - continent diversion Radical Cystectomy Neo bladder Nephrectomy Simple -Open Nephrectomy Simple-lap/Endoscopic Nephrostomy -Open Nephrostomy -Lap/Endoscopic Ureteric Re- implant for Megaureter/Vesicoureteric reflex/ uterocele (open) 863 Ureteric Re -implant for Megaureter/Vesicoureteric reflex/ uterocele (Laproscopic) 864 Partial Cystectomy TURP & TUR Bladder Tumour TURP with Cystolithotripsy Closure of Urethral Fistula Orchidopexy - Unilateral -Open Orchidopexy - Unilateral- Lap/Endoscopic Orchidopexy - Bilateral -Open Orchidopexy - Bilateral -Lap/Endoscopic Cystolithotomy -Suprapubic Endoscopic Removal of Stone in Bladder Resection Bladder Neck Endoscopic /Bladder neck incision/transurethral incision on prostrate 875 Ureteroscopic Surgery Urethroplasty 1st Stage Scrotal Exploration Perineal Urethrostomy Dilatation of Stricture Urethra under G.A Dilatation of Stricture Urethra under LA Laproscopic Nephrectomy Laproscopic partial Nephrectomy Laproscopic pyelolithotomy Laproscopic Pyeloplasty Laproscopic surgery for Renal cyst Laproscopic ureterolithotomy Laproscopic Nephro ureterotectomy Lithotripsy Extra corporeal shock wave Uroflow Study (Uroflometry)

64 890 Urodynamic Study (Cystometry) Cystoscopy with Retrograde Catheter -Unilateral /RGP Cystoscopy with Retrograde Catheter - Bilateral /RGP Cystoscopy with Bladder Biopsy (Cold Cup Biopsy) Voiding-cysto-urethrogram and retrograde urethrogram (Nephrostogram) 895 Radical prostatectomy-open Radical prostatectomy-laproscopic Radical prostatectomy- Robotic (Robotic Partial Nephrectomy) 898 Hollmium YAG Prostate Surgery Hollmium YAG OIU Hollmium YAG Core Through Hollmium YAG Stone Lithotripsy Green Light laser for prostate RIRS/ Flexible Ureteroscopy Microscopic VEA/ Vaso-Vasostomy (for Infertility) Cystoscopic Botulinum Toxin Injection ( Over active bladder/ Neurogenic bladder) 906 Peyronie s disease Plaque excision with grafting High Intensity Focus Ultrasound (HIFU) (Robotic) for Carcinoma prostrate and renal cell carcinoma 908 Prosthetic surgery for urinary incontinence TRUS guided prostate biopsy Ultra sound guided PCN Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE NEURO-SURGERY 913 Craniotomy and Evacuation of Haematoma -Subdural Craniotomy and Evacuation of Haematoma -Extradural Evacuation /Excision of Brain Abscess by craniotomy Excision of Lobe (Frontal Temporal Cerebellum etc.) Excision of Brain Tumours -Supratentorial Excision of Brain Tumours -Infratentorial Surgery of spinal Cord Tumours Ventriculoatrial /Ventriculoperitoneal Shunt Twist Drill Craniostomy Subdural Tapping Ventricular Tapping Abscess Tapping Placement of ICP Monitor Skull Traction Application Lumber Pressure Monitoring Vascular Malformations Meningo Encephalocoele excision and repair Meningomyelocoel Repair C.S.F. Rhinorrhaea Repair Cranioplasty Anterior Cervical Dissectomy Brachial Plexus Exploration and neurotization

65 935 Median Nerve Decompression Peripheral Nerve Surgery Major Peripheral Nerve Surgery Minor Ventriculo-Atrial Shunt Nerve Biopsy Brain Biopsy Anterior Cervical Spine Surgery with fusion Anterio Lateral Decompression of spine Brain Mapping Cervical or Dorsal or Lumbar Laminectomy Combined Trans-oral Surgery & CV Junction Fusion C.V. Junction Fusion procedures Depressed Fracture Elevation Lumbar Discectomy Endarterectomy (Carotid) R.F. Lesion for Trigeminal Neuralgia Spasticity Surgery Spinal Fusion Procedure Spinal Intra Medullary Tumours Spinal Bifida Surgery Major Spinal Bifida Surgery Minor Stereotaxic Procedures- biopsy/aspiration of cyst Trans Sphenoidal Surgery Trans Oral Surgery Implantation of DBS -One electrode Implantation of DBS -two electrodes Endoscopic aqueductoplasty Facial nerve reconstruction Carotid stenting Cervical disc arthroplasty Lumbar disc arthroplasty Corpus callostomy for Epilepsy Hemishpherotomy for Epilepsy Endoscopic CSF rhinorrhea repair Burr hole evacuation of chronic subdural haematoma Epilepsy surgery RF lesion for facet joint pain syndrome Cervical laminoplasty Lateral mass C1-C2 screw fixation Microsurgical decompression for Trigeminal nerve Microsurgical decompression for hemifacial spasm IC EC bypass procedures Image guided craniotomy Baclofen pump implantation Programmable VP shunt Endoscopic sympathectomy Lumber puncture External ventricular drainage (EVD) Endoscopic 3rd ventriculostomy Endoscopic cranial surgery/biopsy/aspiration

66 985 Endoscopic discectomy (Lumbar, Cervical) Aneurysm coiling (Endovascular) Surgery for skull fractures Carpel Tunnel decompression Clipping of intracranial aneurysm Surgery for intracranial Arteriovenous malformarions(avm) Foramen magnum decompression for Chari Malformation Dorsal column stimulation for backache in failed back syndrome 993 Surgery for recurrent disc prolapse/epidural fibrosis Surgery for brain stem tumours Decompressive craniotomy for hemishpherical acute subdural haematoma/brain swelling/large infarct 996 Intra-arterial thrombolysis with TPA (for ischemic stroke ) Steriotactic aspiration of intracerebral haematoma Endoscopic aspiration of intracerebellar haematoma Steriotactic Radiosurgery for brain pathology(x knife/gamma ) - ONE session 1000 Steriotactic Radiosurgery for brain pathology(x knife / Gamma knife -Two or more sessions 1001 Chemotheraphy wafers for malignant brain tumors Battery Placement for DBS Baclofen pump implantation for spasticity Peripheral Nerve tumor surgery Surgery Intra Cranial Meningioma Surgery for Intracranial Schwannoma Surgery for Gliomas Surgery for Orbital tumors Surgery for Cranial (Skull) tumors Surgery for Scalp AVM s Kyphoplasty Balloon Kyphoplasty Lesioning procedures for Parkinson s disease, Dystonia etc Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE PAEDIATRIC SURGERY 1016 Excision of thyroglossal Duct/Cyst Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) 1018 Tracheo Oesophageal Fistula (Correction Surgery) Colon Replacement of Oesophagus Omphalo Mesenteric Cyst Excision Omphalo Mesenteric Duct- Excision Meckels Diverticulectomy Omphalocele 1st Stage (Hernia Repair)

67 1024 Omphalocele 2nd Stge (Hernia Repair) Gastrochisis Repair Inguinal Herniotomy Congenital Hydrocele Hydrocele of Cord Torsion Testis Operation Congenital Pyloric Stenosis- operation Duodenal- Atresia Operation Pancreatic Ring Operation Meconium Ileus Operation Malrotation of Intestines Operation Rectal Biopsy (Megacolon) Colostomy Transverse Colostomy Left Iliac Abdominal Perineal Pull Through (Hirschaprugis Disease) Imperforate Anus Low Anomaly -Cut Back Operation Imperforate Anus Low Anomaly - Perineal Anoplasty Imperforate Anus High Anomaly -Sacroabdomino Perineal Pull Through 1042 Imperforate Anus High Anomaly - Closure of Colostomy Intususception Operation Choledochoduodenostomy for Atresia of Extra Hepatic Billiary Duct 1045 Operation of Choledochal Cyst Nephrectomy for -Pyonephrosis Nephrectomy for - Hydronephrosis Nephrectomy for -Wilms Tumour Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour 1050 Sacro-Coccygeal Teratoma Excision Neuroblastoma Debulking Neuroblastoma Total Excision Rhabdomyosarcoma wide Excision Congenital Atresia & Stenosis of Small Intestine Muconium ileus Mal-rotation & Volvulus of the Midgut Excision of Meckle s Deverticulum Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE BURNS AND PLASTIC SURGERY 1060 Primary Suturing of Wound Injection of Keloids - Ganglion Injection of Keloids - Haemangioma Free Grafts - Wolfe Grafts Free Grafts - Theirech- Small Area 5% Free Grafts - Large Area 10% Free Grafts - Very Large Area 20% and above

68 1067 Skin Flaps - Rotation Flaps Skin Flaps - Advancement Flaps Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap Skin Flaps - Cross Finger Skin Flaps - Abdominal Skin Flaps - Thoracic Skin Flaps - Arm Etc Subcutaneous Pedicle Flaps Raising Subcutaneous Pedicle Flaps Delay Subcutaneous Pedicle Flaps Transfer Cartilage Grafting Reduction of Facial Fractures of Nose Reduction of Facial Fractures of Maxilla Reduction of Fractures of Mandible & Maxilla - Eye Let Splinting 1081 Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints 1082 Reduction of Fractures of Mandible & Maxilla - Gumming Splints 1083 Internal Wire Fixation of Mandible & Maxilla Cleft Lip - repair Cleft Palate Repair Primary Bone Grafting for alveolar cleft in Cleft Lip Secondary Surgery for Cleft Lip Deformity Secondary Surgery for Cleft Palate Reconstruction of Eyelid Defects - Minor Reconstruction of Eyelid Defects - Major Plastic Surgery of Different Regions of the Ear - Minor Plastic Surgery of Different Regions of the Ear - Major Plastic Surgery of the Nose - Minor Plastic Surgery of the Nose - Major Plastic Surgery for Facial Paralysis (Support with Reanimation) 1096 Pendulous Breast - Mammoplasty Underdeveloped Breast Mammoplasty After Mastectomy (Reconstruction)Mammoplasty Syndactyly Repair Dermabrasion Face upto 30% Burns 1st Dressing upto 30% Burns Subsequent Dressing % to 50% Burns 1st Dressing % to 50% Burns Subsequent Dressing Extensive Burn -above 50% Frist Dressing Extensive Burn -above 50% Subsequent dressing TREATMENT PROCEDURE ORTHOPEDICS 1107 Plaster Work Fingers (post slab) Fingers full plaster Colles Fracture - Below elbow Colles Fracture - Full plaster

69 1112 Colles fracture Ant. Or post. slab Above elbow full plaster Above Knee post-slab Below Knee full plaster Below Knee post-slab Tube Plaster (or plaster cylinder) Above knee full plaster Above knee full slab Minerva Jacket Plaster Jacket Shoulder spica Single Hip spica Double Hip spica Strapping of Finger Strapping of Toes Strapping of Wrist Strapping of Elbow Strapping of Knee Strapping of Ankle Strapping of Chest Strapping of Shoulder Figure of 8 bandage Collar and cuff sling Ball bandage Application of P.O.P Casts for Upper & Lower Limbs Application of Functiol Cast Brace Application of Skin Traction Application of Skeletal Tractions Bandage & Strappings for Fractures Aspiration & Intra Articular Injections Application of P.O.P Spices & Jackets Close Reduction of Fractures of Limb & P.O.P Reduction of Compound Fractures Open Reduction & Internal Fixation of Fingurs & Toes Open Reduction offracture of Long Bones of Upper / Lower Limb -iling & Exterl Fixation 1147 Open Reduction of fracture of Long Bones of Upper / Lower Limb -AO Procedures 1148 Tension Band Wirings Bone Grafting Excision of Bone Tumours Excision or other Operations for Scaphoid Fractures Sequestrectomy & Saucerisation Sequestrectomy & Saucerizations -Arthrotomy Multiple Pinning Fracture Neck Femur Plate Fixations for Fracture Neck Femur A.O.Compression Procedures for Fracture Neck Femur Open Reduction of Fracture Neck Femur Muscle Pedicle Graft and Internal Fixations 1158 Close Reduction of Dislocations

70 1159 Open Reduction of Dislocations Open Reduction of Fracture Dislocation & Internal Fixation Neurolysis/Nerve repair Nerve Repair with Grafting Tendon with Transplant or Graft Tendon Lengthening/Tendon repair Tendon Transfer Laminectomy Excision Disc and Tumours Spil Ostectomy and Internal Fixations Anterolateral decompression for tuberculosis/ Costo Transversectomy 1169 Antereolateral Decompression and Spil Fusion Corrective Ostectomy & Internal Fixation - short bones Corrective Ostectomy & Internal Fixation - long bones Arthrodesis of - Minor Joints Arthrodesis of - Major Joints Soft Tissue Operations for C.T.E.V Soft Tissue Operations for Polio Hemiarthroplasty- Hip Hemiarthroplasty- Shoulder Operations for Brachial Plexus & Cervical Rib Amputations - Below Knee Amputations - Below Elbow Amputations - Above Knee Amputations - Above Elbow Amputations - Forequarter Amputations -Hind Quarter and Hemipelvectomy Disarticulations - Major joint Disarticulations - Minor joint Arthrography Arthroscopy - Diagnostic Arthroscopy-therapeutic: without implant Arthroscopy-therapeutic: with implant Soft Tissue Operation on JOINTS -SMALL Soft Tissue Operation on JOINTS -LARGE Myocutaneous and Fasciocutaneous Flap Procedures for Limbs 1194 Removal of Wires & Screw Removal of Plates Total Hip Replacement Total Ankle Joint Replacement Total Knee Joint Replacement Total Shoulder Joint Replacement Total Elbow Joint Replacement Total Wrist Joint Replacement Total finger joint replacement Tubular external fixator Ilizarov's external fixator Pelvi-acetebular fracture -Internal fixation

71 1206 Meniscectomy Meniscus Repair ACL Reconstruction PCL Reconstruction Knee Collateral Ligament Reconstruction Bencarf Repair Shoulder RC Repair Biceps tenodesis Distal biceps tendon repair Arthrolysis of knee Capsulotomy of Shoulder Conservative Pop Application for CTEV per sitting Total Hip Replacement Revision Stage-I Total Hip Replacement Revision Stage-II Total Knee Replacement Revision Stage-I Total Knee Replacement Revision Stage-II Illizarov/ external fixation for limb lengthening/ deformity correction 1224 Discectomy/ Micro Discectomy Laminectomy Spinal Fixation Cervical/dorsolumbar/ lumbosacral Fusion Surgery Cervical/ Lumbar Spine upto 2 Level More than 2 Level Scoliosis Surgery/ Deformity Correction of Spine Vertebroplasty Spinal Injections DHS for Fracture Neck Femur Proximal Femoral Nail (PFN for IT Fracture) Spinal Osteotomy Illizarov s / External Fixation for Trauma Soft Tissue Operations for Polio/ Cerebral Palsy Mini Fixator for Hand/Foot Other Major Surgery Other Minor Surgery TREATMENT PROCEDURE PHYSIOTHERAPY 1240 Ultrasonic therapy S.W. Diathermy Electrical stimulation (therapeutic) Muscle testing and diagnostic Infra red U.V. Therapeutic dose Intermittent Lumbar Traction Intermittent Cervical traction Wax bath Hot pack Breathing Exercises & Postural Drainage Cerebral Palsy exercise Post polio exercise 50 58

72 NUCLEAR MEDICINE / RADIOTHERAPY AND CHEMOTHERAPY 1253 Cobalt 60 therapy Radical therapy Palliative therapy Linear accelerator Radical therapy Palliative therapy D Planning D Planing IMRT(Intensity Modulated radiotherapy) SRT (Stereotactic radiotherapy) SRS(Stereotactic radio surgery) IGRT(Image guided radiotherapy) Respiratory Gating-alongwith Linear accelerator planning Electron beam with Linear accelerator Tomotherapy NUCLEAR MEDICINE / BRACHYTHERAPY- HIGH DOSE RADIATION 1268 Intracavitory Interstitial Intraluminal Surface mould GLIADAL WAFER NUCLEAR MEDICINE / CHEMOTHARAPY 1273 Neoadjuvant Adjuvant Concurrent-chemoadiation Single drug Multiple drugs Targeted therapy Chemoport facility PICC line (peripherally inserted Central canulisation) LIST OF PROCEDURES/ TESTS IN GASTROENTEROLOGY / ENDOSCOPIC PROCEDURES 1281 Upper G.I. Endoscopy + Lower G.I. Endoscopy Diagnostic endoscopy Endoscopic biopsy Endoscopic mucosal resection Oesophageal stricture dilatation Balloon dilatation of achalasia cardia Foreign body removal Oesophageal stenting Band ligation of oesophageal varices Sclerotherapy of oesophageal varices Glue injection of varices Argon plasma coagulation Pyloric balloon dilatation

73 1294 Enteranal stenting Duodenal stricture dilation Single balloon enterocopy Double balloon enteroscopy Capsule endoscopy Piles banding Colonic stricture dilatation Hot biopsy forceps procedures Colonic stenting Junction biopsy Conjugal microscopy Endoscopic sphincterotomy CBD stone extraction CBD stricture dilatation Biliary stenting (plastic and metallic) Mechanical lithotripsy of CBD stones Pancreatic sphincterotomy Pancreatic stricture dilatation Pancreatic stone extraction Mechanical lithotripsy of pancreatic stones Endoscopic cysto gastrostomy Balloon dilatation of papilla Ultrasound guided FNAC Ultrasound guided abscess Drainage PTBD Diagnostic angiography Vascular embolization TIPS IVC graphy + hepatic veinography Muscular stenting BRTO Portal haemodymic studies Manometry and PH metry Oesophageal PH metry Oesophageal manometry Small bowel manometry Anorectal manometry Colonic manometry Biliary manometry Sengstaken blackenesse tube tempode Lintas machles tube tempode Fecal fat test/ fecal chymotrypsin/ fecal elastase Breath tests Extra corporeal shortwave lithotripsy Liver biopsy NAME OF INVESTIGATION / DENTAL 1339 Dental IOPA X-ray Occlusal X-ray OPG X-ray NAME OF INVESTIGATION / PULMONARY

74 1342 Lung Ventilation & Perfusion Scan (V/Q Scan) Lung Perfusion Scan NAME OF INVESTIGATION / OSTEOLOGY 1344 Whole Body Bone Scan with SPECT Three phase whole body Bone Scan NAME OF INVESTIGATION / NEUROSCIENCES 1346 Brain Perfusion SPECT Scan with Technetium 99m radiopharmaceuticals Radionuclide Cisternography for CSF leak NAME OF INVESTIGATION / GASTRO AND HEPATOBILIARY 1348 Gastro esophageal Reflux Study (G.E.R. Study) Gastro intestinal Bleed (GloB.) Study with Technetium 99m labeled RBCs Hepatobiliary Scintigraphy Meckel's Scan Hepatosplenic scintigraphy with Technetium-99m radiopharmaceuticals 1353 Gastric emptying NAME OF INVESTIGATION / GENITOURINARY 1354 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A Dynamic Renography Dynamic Renography with Diuretic Dynamic Renography with Captopril Testicular Scan NAME OF INVESTIGATION / ENDOCRINOLOGY 1359 Thyroid Uptake measurements with 131-Iodine Thyroid Scan with Technetium 99m Pertechnetate Lodine-131 Whole Body Scan Whole Body Scan with M.I.B.G Parathyroid Scan NAME OF INVESTIGATION / RADIO-ISOTOPE THERAPY lodine Therapy lodine Therapy <15mCi lodine Therapy 15-50mCi lodine Therapy mCi lodine Therapy >100mCi Phosphorus-32 therapy for metastatic bone pain palliation Samarium-153 therapy for metastatic bone pain palliation Radiosynovectomy with Yttrium NAME OF INVESTIGATION / CARDIOLOGY 1372 Stress thallium / Myocardial Perfusion Scintigraphy Rest thallium / Myocardial Perfusion Scintigraphy Venography TMT TEE

75 1377 Lymph angiography NAME OF INVESTIGATION / TUMOUR IMAGING 1378 Scintimammography Indium lableled octeriotide Scan NAME OF INVESTIGATION / PET SCAN 1380 FDG Whole body PET / CT Scan Brain I Heart FDG PET / CTScan, Gallium-68 Peptide PET / CT imaging for Neuroendocrine Tumor LABORATORY MEDICINE / CLINICAL PATHOLOGY 1383 Urine routine- ph, Specific gravity, sugar, protein and microscopy 1384 Urine-Microalbumin Stool routine Stool occult blood Post coital smear examination Semen analysis LABORATORY MEDICINE / HAEMATOLOGY 1389 Haemoglobin (Hb) Total Leucocytic Count (TLC) Differential Leucocytic Count (DLC) E.S.R Total Red Cell count with MCV,MCH,MCHC,DRW Complete Haemogram/CBC, Hb,RBC count and indices, TLC, DLC, Platelet, ESR, Peripheral smear examination 1395 Platelet count Reticulocyte count Absolute Eosinophil count Packed Cell Volume (PCV) Peripheral Smear Examination Smear for Malaria parasite Bleeding Time Osmotic fragility Test Bone Marrow Smear Examination Bone Marrow Smear Examination with iron stain Bone Marrow Smear Examination and cytochemistry Activated partial ThromboplastinTime (APTT) Rapid test for malaria(card test) WBC cytochemistry for leukemia -Complete panel Bleeding Disorder panel- PT, APTT, Thrombin Time Fibrinogen, D-Dimer/ FDP 1410 Factor Assays-Factor VIII Factor Assays-Factor IX Platelet Function test Tests for hypercoagulable states- Protein C, Protein S, Antithrombin 1414 Tests for lupus anticoagulant

76 1415 Tests for Antiphospholipid antibody IgG, IgM ( for cardiolipin and B2 Glycoprotein 1) 1416 Thalassemia studies (Red Cell indices and Hb HPLC) Tests for Sickling / Hb HPLC) LABORATORY MEDICINE / BLOOD BANK 1418 Blood Group & RH Type Cross match Coomb s Test Direct Coomb s Test Indirect cell panel- antibody screening for pregnant female cells panel for antibody identification HBs Ag HCV HIV I and II VDRL RH Antibody titer Platelet Concentrate Random Donor Platelet(RDP) Single Donor Platelet (SDP- Aphresis) LABORATORY MEDICINE / HISTOPATHOLOGY 1432 Routine-H & E special stain Immunohistochemistry(IHC) Frozen section Paraffin section LABORATORY MEDICINE / CYTOLOGY 1437 Pap Smear Body fluid for Malignant cells FNAC NAME OF INVESTIGATION / FLOW CYTOMETRY 1440 Leukemia panel /Lymphoma panel PNH Panel-CD55,CD LABORATORY MEDICINE / CYTOGENETIC STUDIES 1442 Karyotyping FISH LABORATORY MEDICINE / BIO-CHEMISTRY 1444 Blood Glucose Random hrs urine for Proteins,Sodium, creatinine Blood Urea Nitrogen Serum Creatinine Urine Bile Pigment and Salt Urine Urobilinogen Urine Ketones Urine Occult Blood Urine total proteins Rheumatoid Factor test Bence Jones protein Serum Uric Acid 55 63

77 1456 Serum Bilirubin total & direct Serum Iron C.R.P C.R.P Quantitative Body fluid (CSF/Ascitic Fluid etc.)sugar, Protein etc Albumin Creatinine clearance Serum Cholesterol Total Iron Binding Capacity Glucose (Fasting & PP) Serum Calcium Total Serum Calcium Ionic Serum Phosphorus Total Protein Alb/Glo Ratio IgG IgM IgA ANA Ds DNA S.G.P.T S.G.O.T Serum amylase Serum Lipase Serum Lactate Serum Magnesium Serum Sodium Serum Potassium Serum Ammonia Anemia Profile Serum Testosterone Imprint Smear From Endoscopy Triglyceride Glucose Tolerance Test (GTT) Triple Marker C.P.K Foetal Haemoglobin (HbF) Prothrombin Time (P.T.) L.D.H Alkaline Phosphatase Acid Phosphatase CK MB CK MB Mass Troponin I Troponin T Glucose Phosphate Dehydrogenase (G, 6PD) Lithium Dilantin (phenytoin) Carbamazepine Valproic acid Feritin

78 1506 Blood gas analysis Blood gas analysis with electrolytes Urine pregnancy test Tests for Antiphospholipid antibodies syndrome Hb A1 C Hb Electrophoresis/ Hb HPLC Kidney Function Test Liver Function Test Lipid Profile.( Total cholesterol,ldl,hdl,treigylcerides) Nutritional Markers 1515 Serum Iron Total Iron Binding Capacity Serum Ferritin Vitamin B12 assay Folic Acid assay Extended Lipid Profile.( Total cholesterol,ldl,hdl,treigylcerides,apo A1,Apo B,Lp(a) ) 1521 Apo A Apo B Lp (a) CD 3,4 and 8 counts CD 3,4 and 8 percentage LDL Homocysteine HB Electrophoresis Serum Electrophoresis Fibrinogen Chloride Magnesium GGTP Lipase Fructosamine β2 microglobulin Catecholamines Creatinine clearance NAME OF INVESTIGATION / TUMOUR MARKERS 1539 PSA- Total PSA- Free AFP HCG CA CA 19, CA Vinyl Mandelic Acid Calcitonin Carcioembryonic antigen(cea) OTHERS

79 1549 Immunofluorescence Direct(Skin and kidney Disease) Indirect (antids DNA Anti Smith ANCA) VitD3 assay Serum Protein electrophoresis with immunofixationelectrophoresis (IFE) 1554 BETA-2 Microglobulin assay Anti cycliocitrullinated peptide (Anti CCP) Anti tissuetransglutaminase antibody Serum Erythropoetin ACTH HARMONES 1559 T3, T4, TSH T T TSH LH FSH Prolactin Cortisol PTH(Paratharmone) C-Peptide Insulin Progesterone DH Progesterone DHEAS Androstendione Growth Hormone TPO Throglobulin Hydatic Serology Anti Sperm Antibodies Qualitative Quantitative Qualitative HPV serology Rota Virus serology PCR for TB PCR for HIV Chlamydae antigen chlamydae antibody Brucella serology Influenza A serology USG, X-RAY, CT, MRI, BONE DENSITOMETRY 1590 USG for Obstetrics - Anomalies scan Abdomen USG Pelvic USG ( prostate, gynae, infertility etc) Small parts USG ( scrotum, thyroid, parathyroid etc) Neonatal head (Tranfontanellar) Neonatal spine

80 1596 Contrast enhanced USG USG Breast USG Hystero-Salpaingography (HSG) Carotid Doppler Arterial Colour Doppler Venous Colour Doppler Colour Doppler, renal arteries/any other organ USG guided intervention- FNAC USG guided intervention - biopsy USG guided intervention - nephrostomy X-Ray 1606 Abdomen AP Supine or Erect (One film) Abdomen Lateral view (one film) Chest PA view (one film) Chest Lateral (one film) Mastoids: Towne view, oblique views (3 films) Extremities, bones & Joints AP & Lateral views (Two films) Pelvis A.P (one film) T. M. Joints (one film) Abdomen & Pelvis for K. U. B Skull A. P. & Lateral (2 films) Spine A. P. & Lateral (2 films) PNS view (1 film) X RAY CONTRAST STUDIES 1618 Barium Swallow Barium Upper GI study Barium Upper GI study (Double contrast) Barium Meal follow through Barium Enema (Single contrast/double contrast) Small bowel enteroclysis ERCP (Endoscopic Retrograde Cholangio Pancreatography) 1625 General :Fistulography /Sinography/Sialography/Dacrocystography/ T-Tube cholangiogram/nephrostogram 1626 Percutaneous transhepatic cholangiography (PTC) Intravenous Pyelography (IVP) Micturating Cystourethrography (MCU) Retrograde Urethrography (RGU) Contrast Hystero-Salpingography (HSG) X ray - Arthrography Cephalography Myelography Diagnostic Digital Subtraction Angiography (DSA) MAMMOGRAPHY 1635 X-ray Mammography MRI Mammography CT 1637 CT Head-Without Contrast

81 1638 CT Head- with Contrast (+/- CT angiography) C. T. Chest - without contrast (for lungs) C. T. Scan Lower Abdomen(incl. Pelvis) With Contrast C. T. Scan Lower Abdomen( Incl. Pelvis) Without Contrast C. T. Scan Whole Abdomen Without Contrast C. T. Scan Whole Abdomen With Contrast Triple Phase CT abdomen CT angiography abdomen/ Chest CT Enteroclysis C. T. Scan Neck Without Contrast C. T. Scan Neck With Contrast C. T. Scan Orbits - Without Contrast C. T. Scan Orbits - With Contrast C. T. Scan of Para Nasal Sinuses- Without Contrast C. T. Scan of Para Nasal Sinuses - With Contrast C. T. Spine (Cervical, Dorsal, Lumbar, Sacral) without contrast 1654 CT Temporal bone without contrast CT - Dental C. T. Scan Limbs -Without Contrast C. T. Scan Limbs -With Contrast including CT angiography C.T. Guided intervention FNAC C.T. Guided Trucut Biopsy C. T. Guided intervention -percutaneous catheter drainage / tube placement MRI 1661 MRI Head Without Contrast MRI Head With Contrast MRI Orbits Without Contrast MRI Orbits With Contrast MRI Nasopharynx and PNS Without Contrast MRI Nasopharynx and PNS With Contrast MR for Salivary Glands with Sialography MRI Neck - Without Contrast MRI Neck- with contrast MRI Shoulder Without contrast MRI Shoulder With conntrast MRI shoulder both Joints - Without contrast MRI Shoulder both joints With contrast MRI Wrist Single joint - Without contrast MRI Wrist Single joint - With contrast MRI Wrist both joints - Without contrast MRI Wrist Both joints - With contrast MRI knee Single joint - Without contrast MRI knee Single joint - With contrast MRI knee both joints - Without contrast MRI knee both joints - With contrast MRI Ankle Single joint - Without contrast

82 1683 MRI Ankle single joint - With contrast MRI Ankle both joints - With contrast MRI Ankle both joints - Without contrast MRI Hip - With contrast MRI Hip without contrast MRI Pelvis Without Contrast MRI Pelvis with contrast MRI Extremities - With contrast MRI Extremities - Without contrast MRI Temporomandibular B/L - With contrast MRI Temporomandibular B/L - Without contrast MR Temporal Bone/ Inner ear with contrast MR Temporal Bone/ Inner ear without contrast MRI Abdomen Without Contrast MRI Abdomen With Contrast MRI Breast - With Contrast MRI Breast - Without Contrast MRI Spine Screening - Without Contrast MRI Chest Without Contrast MRI Chest With Contrast MRI Cervical/Cervico Dorsal Spine Without Contrast MRI Cervical/ Cervico Dorsal Spine With Contrast MRI Dorsal/ Dorso Lumbar Spine - Without Contrast MRI Dorsal/ Dorso Lumbar Spine With Contrast MRI Lumbar/ Lumbo-Sacral Spine Without Contrast MRI Lumbar/ Lumbo-Sacral Spine With Contrast Whole body MRI (For oncological workup) MR cholecysto-pancreatography MRI Angiography - with contrast MR Enteroclysis BONE DENSITOMETRY (DEXA SCAN) 1713 Dexa Scan Bone Densitometry - Two sites Dexa Scan Bone Densitometry - Three sites (Spine, Hip & extremity) 1715 Dexa Scan Bone Densitometry Whole body NEUROLOGICAL INVESTIGATIONS AND PROCEDURES 1716 EEG/Video EEG EMG (Electro myography) Nerve condition velocity (at least 2 limbs) Decremental response (before and after neo stigmine) Incremental response SSEP (Somato sensory evoked potentials) Poly somnography Brachial plexus study Muscle biopsy ACHR anti body titre Anti MUSK body titre Serum COPPER Serum ceruloplasmin

83 1729 Urinary copper Serum homocystine Serum valproate level Serum phenol barbitone level Coagulation profile Protein C, S anti thrombine III Serum lactate level CSF 1736 Basic studies including cell count, protein, sugar, gram stain, India Ink preparation and smear for AFP 1737 Special studies PCR for tuberculosis/ Herpes simplex Bacterial culture and sensitivity Mycobacterial culture and sensitivity Fungal culture Malignant cells Anti measles antibody titre (with serum antibody titre) Viral culture Antibody titre (Herpes simplex, cytomegalo virus, flavivirus, zoster varicella virus) 1746 Oligoclonal band Myelin Basic protein Lactate Crypto coccal antigen TESTS IN GASTRO-ENTEROLOGY 1750 D-xylase test Fecal fat test/ fecal chymotrypsin/ fecal elastase Breath tests H pylori serology for ciliac disease HBV genotyping HCV genotyping TESTS IN ENDOCRINOLOGY ( IN ADDITION TO THOSE INCLUDED UNDER HARMONES) 1756 Urinary VMA Urinary metanephrine/normetanephrine Urinary free catecholamine Serum catecholamine Serum aldosterone Hr urinary aldosterone Plasma renin activity Serum aldosterone/renin ratio Osmolality urine Osmolality serum Urinary sodium Urinary Chloride Urinary potassium Urinary calcium Thyroid binding globulin hr. urinary free cotisole Islet cell antebody

84 1773 GAD antibody Insulin associated antibody IGF IGF-BP Sex hormone binding globulin USG guided FNAC thyroid gland E Thyro globulin antibody

85 AGREEMENT BETWEEN ADDITIONAL DIRECTOR, CGHS AND Name of the City (except Mumbai) This Agreement is made on the day of, 2014 between the President of India acting through ADDITIONAL DIRECTOR, Central Government Health Scheme, Ministry of Health & F.W., Government of India having its office at Nirman Bhawan, New Delhi (hereinafter called CGHS, which expression shall, unless repugnant to the context or meaning thereof, be deemed to mean and include its successors and assigns) of the First Part AND.. (Name of the Hospital with Address) of the Second Part. WHEREAS, the Central Government Health Scheme is providing comprehensive medical care facilities to the Central Government Employees / Pensioners and such other categories of beneficiaries as are decided from time to time. AND WHEREAS, CGHS proposes to provide treatment facilities and diagnostic facilities to the Beneficiaries in the Private empanelled Hospitals, exclusive eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres in (Name of City) AND WHEREAS, (Name of the Hospitals, Exclusive Eye Hospitals/ Centres, Exclusive Dental Clinics and Diagnostic Laboratories/ Imaging Centers) has agreed to give the following treatment / diagnostic facilities to the CGHS Beneficiaries in the Health Care Organization at the rates offered by CGHS: NOW, THEREFORE, IT IS HEREBY AGREED between the Parties as follows: 1. DEFINITIONS & INTERPRETATIONS 1.1 The following terms and expressions shall have the following meanings for purposes of this Agreement: Agreement shall mean this Agreement and all Schedules, supplements, appendices, appendages and modifications thereof made in accordance with the terms of this Agreement Benefit shall mean the extent or degree of service the beneficiaries are entitled to receive as per the rules on the subject Bill Clearing Agency (BCA) means the agency appointed by CGHS for processing of Data/ Bills of all CGHS beneficiaries (both serving and pensioner) attending the empanelled Private Hospitals and for making payment Card shall mean the CGHS Card, issued by any competent authority, of any CGHS city Card Holder shall mean a person having a CGHS Card.

86 1.1.6 CGHS Beneficiary shall mean a person who is eligible for coverage of CGHS and hold a valid CGHS card for the benefit Coverage shall mean the types of persons to be eligible as the beneficiaries of the Scheme to health services provided under the Scheme, subject to the terms, conditions and limitations Diagnostic Center shall mean the (Name of the Diagnostic Center) performing tests / investigations Imaging Centre shall mean the (Name of the Imaging Centre) performing X-ray, CT Scan, MRI, USG, etc., Emergency shall mean any condition or symptom resulting from any cause, arising suddenly and if not treated at the early convenience, be detrimental to the health of the patient or will jeopardize the life of the patient Empanelment shall mean the hospitals, exclusive eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres authorized by the CGHS for treatment/ investigation purposes for a particular period Hospital shall mean the (Name of the Hospital) while performing under this Agreement providing medical investigation, treatment and the healthcare of human beings De-recognition of Hospital shall mean debarring the hospital on account of adopting unethical practices or fraudulent means in providing medical treatment to or not following the good industry practices of the health care for the CGHS beneficiaries after following certain procedure of inquiry Party shall mean either the CGHS or the Hospital and Parties shall mean both the CGHS and the Hospital CGHS Package Rate shall mean all inclusive including lump sum cost of inpatient treatment / day care / diagnostic procedure for which a CGHS beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) (i) Registration charges, (ii) Admission charges, (iii) Accommodation charges including patients diet, (iv) Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor / consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring charges, (x) Transfusion charges and Blood processing charges (xi)pre Anesthetic checkup and Anesthesia charges, (xii) Operation theatre charges, (xiii) Procedural charges / surgeon s fee, (xiv) Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines and consumables (xvi) Related routine and essential investigations (xvii) Physiotherapy charges etc. (xviii) Nursing care charges etc. Package rates also include two pre-operative consultations and two postoperative consultations. Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates or as per actual, whichever is lower. In case a beneficiary demands a specific Brand of Stent / Implant and give his consent in writing, the difference in cost over and above the

87 ceiling rate may be charged from the beneficiary, which is nonreimbursable. During In-patient treatment of the CGHS beneficiary, the hospital will not ask the beneficiary or his / her attendant to purchase separately the medicines / sundries / equipment or accessories from outside and will provide the treatment within the package rate, fixed by the CGHS which includes the cost of all the items. However, the following items are not admissible for reimbursement: Toiletries Sanitary napkins Talcum powder Mouth fresheners In cases of conservative treatment / where there is no CGHS package rate, calculation of admissible amount would be done item wise as per CGHS rates or as per AIIMS rates, if there is no CGHS rate for a particular item. Package rates envisage up to a maximum duration of indoor treatment as follows: Upto 12 days for Specialized (Super Specialties) treatment Upto 7 days for other Major Surgeries Upto 3 days for / Laparoscopic surgeries / elective Angioplasty / normal deliveries and 1 day for day care / Minor (OPD) surgeries. However, if the beneficiary has to stay in the hospital for his / her recovery for a period more than the period covered in package rate, in exceptional cases, supported by relevant medical records and certified as such by hospital, the additional reimbursement may be allowed, which shall be limited to accommodation charges as per entitlement, investigations charges at approved rates, doctors visit charges (not more than 2 visits per day per visit by specialists / consultants) and cost of medicines for additional stay). No additional charge on account of extended period of stay shall be allowed if that extension is due to infection on the consequences of surgical procedure/ faulty investigation procedure etc. The empanelled health Care Organization cannot charge more than CGHS approved rates when a patient is admitted with valid CGHS Card with prior permission or under emergency. In case of any instance of overcharging the overcharged amount over and above CGHS rate (except inadmissible items and difference paid due to implant/stent of a specific brand chosen by CGHS beneficiary) shall be paid to the beneficiary and shall be recovered from the pending bills of the hospital.

88 If any empanelled health care Organization charges from CGHS beneficiary for any expenses incurred over and above the package rates vis-à-vis medicine, consumables, sundry equipment and accessories etc., which are purchased from external sources, based on specific authorization of treating doctor / staff of the concerned hospital and if they are not falling under the list of non-admissible items, reimbursement shall be made to the beneficiary and the amount shall be recovered from the pending bills of hospitals BCA shall mean a Third Party Administrator authorized by CGHS to process the medical reimbursement claims or to carry out medical audit. Annexures-I shall be deemed to be an integral part of this Agreement. The terms and conditions stipulated in the tender document shall be read as part of this agreement. 2. DURATION OF AGREEMENT The Agreement shall remain in force for a period of 2 years or till it is modified or revoked, whichever is earlier. The Agreement may be extended for another year subject to fulfillment of all the terms and conditions of this Agreement and with mutual consent of both parties. 3. CONDITIONS FOR PROVIDING TREATMENT/SERVICES A. GENERAL CONDITIONS The hospitals, Exclusive Eye hospitals/centres, Exclusive Dental Clinics and Diagnostic centres shall be empanelled for all facilities/services available in the health care organization as approved by /NABL/QCI and shall not be empanelled for selected specialties/ facilities. The Hospitals, Exclusive Eye Hospitals/centres, Exclusive Dental clinics, Diagnostic Laboratories/ Imaging Centres shall investigate / treat the CGHS beneficiaries only for the condition for which they are referred with due authorization letter. In case of unforeseen emergencies of these patients during admission for approved procedure, provisions of emergency treatment shall be applicable. It is agreed that CGHS beneficiaries shall be attended to on priority. CGHS has the right to monitor the treatment provided in the Private Hospitals, exclusive eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres. A. AUTHORISATION LETTER FOR TREATMENT The treatment/procedure shall be performed on the basis of the authorization letter issued by the Chief Medical Officer of the concerned CGHS dispensary in case of pensioners and by the administrative department / Ministry in case of serving employees and on the production of a valid CGHS card by the beneficiary.

89 B. INVESTIGATIONS PRIOR TO ADMISSION All investigations regarding fitness for the surgery will be done prior to the admission for any elective procedure and are part of package. C. ADDITIONAL PROCEDURES/INVESTIGATIONS For any material / additional procedure / investigation other than the condition for which the patient was initially permitted, would require the permission of the competent authority except under emergency. D. PROCEDURE WHERE REFERRED CASE NEEDS TREATMENT IN A SPECIALITY(s) WHICH ARE NOT AVAILABLE IN THE HOSPITAL The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging shall not undertake treatment of referred cases in specialties which are not available in the hospital. But it will provide necessary treatment to stabilize the patient and transport the patient safely to nearest recognized hospital under intimation to CGHS authorities. However in such cases the Hospital will charge as per the CGHS rates only for the treatment provided. E. CHANGES IN INFRASTRUCTURE/STAFF TO BE NOTIFIED TO CGHS The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall immediately communicate to Additional Director / Joint Director of CGHS of concerned city about any change in the infrastructure /Shifting of premises. The empanelment will be temporarily withheld in case of shifting of the facility to any other location without prior permission of CGHS. The new establishment of the same Hospital shall attract a fresh inspection, at the prescribed fee, for consideration of continuation of empanelment. F. ANNUAL REPORT The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging will submit an annual report regarding number of referrals received, admitted CGHS beneficiaries, bills submitted to the CGHS and payment received, details of monthly report submitted to the Additional Directors / Joint Additional Directors of CGHS of concerned City. Annual audit report of the hospitals will also be submitted along with the statement. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging shall submit all the medical records in digital format. G. EMR / EHR The empanelled health Care Organizations (except eye hospital/centre, dental clinics, Diagnostic Labs/Imaging Centres) shall have to implement Electronic Medical Records and EHR as per the standards and guidelines approved by Ministry of Health & Family Welfare within one year of its empanelment.

90 H. EMPANELMENT WITH AUTONOMOUS BODIES All empanelled hospitals/ diagnostic centres/ exclusive eye centres/ exclusive dental clinics shall also agree for empanelment with any autonomous body/ public sector undertaking on same terms & conditions as with CGHS, on recommendation of Ministry of Health & Family Welfare. I. MEETINGS Authorized signatory / representative of the empanelled health care organizations shall attend the periodic meetings held by Additional Director / A.D. / J.D. / Department / Establishment of CGHS required in connection with improvement of working conditions and for redressal of grievances. J. INSPECTIONS During the visit by Additional Director / Joint Director/ CMO In-charge of the dispensary or any other authorized representative of the Ministry of Health / Additional Directorate General of Health Services / concerned Department, including BCA, the empanelled health care organization s authorities will cooperate in carrying out the inspection. K. AID TO PUBLIC HEALTH AUTHORITIES In case of any natural disaster / epidemic, the empanelled health care organizations shall fully cooperate with the Ministry of Health / Additional Directorate General of Health Services, Additional Director / Joint Director of CGHS of concerned city and will convey / reveal all the required information, apart from providing treatment. L. NO COMMERCIAL PUBLICITY The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre will not make any commercial publicity projecting the name of CGHS / Ministry of Health & F.W. or Government of India. However, the fact of empanelment under CGHS shall be displayed at the premises of the empanelled health Care Organization indicating that the charges will be as per CGHS approved rates. M. AGREE FOR CONDUCTING ANNUAL HEALTH CHECK-UP FOR GROUP A CENTRAL GOVERNMENT OFFICERS AGED 40 AND ABOVE AND FOR OTHER CATEGORIES OF CGHS BENEFICIARIES AS SPECIFIED BY GOVERNMENT. The Hospital shall agree for conducting all investigations / diagnostic tests / consultations etc of the Central Civil Services Group A officers of above 40 years of age and other categories of CGHS beneficiaries as specified by government from time to time as per the prescribed protocol, subject to the condition that the hospital shall not charge more than Rs.2000/- for conducting the prescribed medical examination of the male officers and Rs.2200/- for female officers of Central Government who come to the hospital/ institution with the requisite permission letter from their Department/ Ministry / competent authority. 4. TREATMENT IN EMERGENCY The following ailments may be treated as emergency which is illustrative only and not exhaustive, depending on the condition of the patient:

91 Acute Coronary Syndromes (Coronary Artery Bye-pass Graft / Percutaneous, Transluminal Coronary Angioplasty) including Myocardial Infarction, Unstable Angina, Ventricular Arrhythmias, Paroxysmal Supra Ventricular Tachycardia, Cardiac Temponade, Acute Left Ventricular Failure / Severe Congestive Cardiac Failure, Accelerated Hypertension, Complete Heart Block and Stoke Adam attack, Acute Aortic Dissection. Acute Limb Ischemia, Rupture of Aneurysm, Medical and Surgical shock and peripheral circulatory failure. Cerebro-Vascular attack-stokes, Sudden unconsciousness, Head injury, Respiratory failure, decompensated lung disease, Cerebro-Meningeal Infections, Convulsions, Acute Paralysis, Acute Visual loss. Acute Abdomen pain. Road Traffic Accidents / with injuries including fall. Severe Hemorrhage due to any cause. Acute poisoning. Acute Renal Failure. Acute abdomen pain in female including acute Obstetrical and Gynecological emergencies. Electric shock. Any other life threatening condition. In emergency the hospital will not refuse admission or demand an advance payment from the beneficiary or his family member and will provide credit facilities to the patient whether the patient is a serving employee or a pensioner availing CGHS facilities, on production of a valid CGHS card and the hospital shall submit the bill for reimbursement to the concerned Deptt. / Ministry / CGHS. The refusal to provide the treatment to bonafide CGHS Beneficiaries in emergency cases and other eligible categories of beneficiaries on credit basis, without valid ground, would attract disqualification for continuation of empanelment. The nature and appropriateness of the emergency is subject to verification, which may be verified, inspected or medically audited by the nominated authority on random basis at its own discretion. The Hospital will intimate all instances of patients admitted as emergencies without prior permission to the CGHS authorities / BCA appointed by CGHS within the prescribed time. 5. ENTITLEMENTS FOR VARIOUS TYPES OF WARDS CGHS beneficiaries are entitled to facilities of private, semi-private or general ward depending on their pay drawn in pay band/ pension. These entitlements are amended from time to time and the latest order in this regards needs to be followed. The entitlement is as follows:- S. No. Pay drawn in pay band/basic Pension Entitlement 1. Upto Rs. 13,950/- General Ward 2. Rs. 13,960/- to 19,530/- Semi-Private

92 Ward 3. Rs. 19,540/- and above Private Ward a. Private ward is defined as a hospital room where single patient is accommodated and which has an attached toilet (lavatory and bath). The room should have furnishings like wardrobe, dressing table, bed-side table, sofa set, carpet, etc. as well as a bed for attendant. The room has to be airconditioned. b. Semi Private Ward is defined as a hospital room where two to three patients are accommodated and which has attached toilet facilities and necessary furnishings. c. General ward is defined as a hall that accommodates four to ten patients. Treatment in higher Category of accommodation than the entitled category is not permissible. 6. APPROVED RATES TO BE CHARGED The empanelled health care organization shall charge from the CGHS beneficiary as per the rates for a particular procedure / package deal as prescribed by the CGHS and attached as Annexure (rate list), which shall be an integral part of this Agreement. The rates notified by CGHS shall also be available on web site of Ministry of Health & F.W. at The package rate will be calculated as per the duration specified in the tender document. No additional charge on account of extended period of stay shall be allowed if, that extension is due to infection on the consequences of surgical procedure or due to any improper procedure and is not justified. The rate being charged will not be more than what is being charged for same procedure from other (non-cghs) patients or Organizations. An authenticated list of rates being charged from other non-cghs Organizations will also be supplied to CGHS within 30 days of this Agreement. The procedure and package rates for any diagnostic investigation, surgical procedure and other medical treatment for CGHS beneficiary under this Agreement shall not be increased during the validity period of this Agreement. The empanelled health care organization agrees that during the In-patient treatment of the CGHS beneficiary, the Hospital will not ask the beneficiary or his attendant to purchase separately the medicines / sundries / equipment or accessories from outside and will provide the treatment within the package deal rate, fixed by the CGHS which includes the cost of all the items. Appropriate action, including removal from CGHS empanelment and / or termination of this Agreement, may be initiated on the basis of a complaint, medical audit or inspections carried out by CGHS teams / appointed BCA.

93 The hospital/ diagnostic centres shall agree to charge CGHS rates to Central Government Employees / Pensioners on production of valid I-Card / Documentary proof, even though treatment is not sought as CGHS beneficiary. 7. MODE OF PAYMENT FOR TREATMENT OF BENEFICIARIES For serving employees (other than CGHS/ DGHS /Ministry of H&FW), the payment will be made by the patient and he/she will claim reimbursement from his/her office subject to the approved ceiling rates. In respect of the following categories of beneficiaries, treatment / procedures/services shall be undertaken/provided on credit: No payment shall be sought from them and the bills should be submitted to the BCA / Office of the Additional / Joint Additional Director, CGHS of the concerned city. o o o o o o Pensioners, Ex-Members of Parliament, Sitting Members of Parliament Freedom Fighters, Serving CGHS/DGHS / Ministry of H&FW employees, Such other categories of CGHS cardholders as notified by the Government. 8. BILL CLEARING AGENCY (BCA) Bill clearing Agency (BCA) would charge a processing 2% of claimed amount and service tax thereon with a minimum of Rs.12.50/- and maximum of Rs. 750/- per bill. CGHS reserves the right to revise these charges from time to time 9. NOTIFICATION OF NODAL OFFICERS Empanelled health care Organizations shall notify two Nodal officers for CGHS beneficiaries, one of them being of the rank of Deputy MS/Addl. MS, who can be contacted by CGHS beneficiaries in case of any eventuality. 10. INFORMATION TO BE PROVIDED TO THE BCA BY HOSPITALS EMERGENCY ADMISSIONS The Hospital will intimate to the BCA and to CGHS within two(2) hours of such admission and the BCA will respond with due authorization in four (4) hours. Treatment in no case would be delayed or denied because authorization by the BCA is only confirmation of the e-workflow in respect of such patient. Post discharge, the hospital would upload bills and other documents as per requirement of CGHS within seventy two (72) hours. REFERRED ADMISSIONS

94 Where the CGHS beneficiary visits the hospital with a proper referral and authorization letter, the hospital will verify and submit information of admission to the BCA and to CGHS online. The BCA would respond with an authorization within four (4) hours. Post discharge, the hospital would upload bills and other documents as per requirement of CGHS within seventy two(72) hours. 11. SUBMISSION OF BILLS TO BILL CLEARING AGENCY In case of Pensioners, etc., where credit bills are sent to CGHS, the Private Empanelled health care Organizations shall submit the physical bill as well as electronic bill to the Bill Clearing Agency for processing of bills. In case of serving employees the electronic bill and details shall be submitted to Bill Clearing Agency where as physical Bill shall be submitted to concerned department/ serving employee for payment. The Data and electronic bills in respect of Serving employees shall be utilized for medical audit and statistical purposes. 12. PROCESSING OF CLAIMS/BILLS BY THE BCA Bill Clearing Agency (BCA) shall make provisional payment of 70% of the claimed amount on submission of physical bills within a maximum period of 5 working days and balance admissible amount after due scrutiny within a maximum period of 30 days. Recoveries, if any, will be affected from future bills of hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer Hospitals/units and diagnostic centres as the case may be. The BCA during the course of the auditing will restrict the claims as per CGHS rules and regulations. BCA will also examine in terms of (a) (b) (c) (d) (e) (f) Appropriateness of treatment including screening of patients records to identify unnecessary admissions and unwarranted treatments Whether the planned treatment is shown as emergency treatment Whether the diagnostic medical or surgical procedures that were not required were conducted by hospital including unnecessary investigations Maintaining database of such information of CGHS beneficiaries for future use. Whether the treatment procedures have been provided as per the approved rates and the packages. Whether procedures performed were only those for which permission has been granted The BCA shall record their findings and intimate the same to the Private Hospital concerned with a copy endorsed to CGHS authority of the city. The payment of the bill/claim to the Private Hospital concerned will be made directly by the BCA after receipt of the physical bills in respect of CGHS pensioner beneficiaries, etc. 13. MEDICAL AUDIT OF BILLS

95 There shall be a continuous Medical Audit of the services provided by the empanelled Private Hospital. 14. DUTIES AND RESPONSIBILITIES OF EMPANELLED HEALTH CARE ORGANIZATIONS It shall be the duty and responsibility of the empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Laboratory/ Imaging Centre at all times, to obtain, maintain and sustain the valid registration, recognition and high quality and standard of its services and healthcare and to have all statutory / mandatory licenses, permits or approvals of the concerned authorities under or as per the existing laws. 15. NON ASSIGNMENT The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall not assign, in whole or in part, its obligations to perform under the agreement, except with the CGHS s prior written consent at its sole discretions and on such terms and conditions as deemed fit by the CGHS. Any such assignment shall not relieve the Hospital/ Eye centre/dental clinic/ Diagnostic Centre from any liability or obligation under this agreement 16. EMPANELLED HEALTH CARE ORGANIZATION S INTEGRITY AND OBLIGAITONS DURING AGREEMENT PERIOD The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre is responsible for and obliged to conduct all contracted activities in accordance with the Agreement using state-of-the-art methods and economic principles and exercising all means available to achieve the performance specified in the Agreement. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre is obliged to act within its own authority and abide by the directives issued by the CGHS. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre is responsible for managing the activities of its personnel and will hold itself responsible for their misdemeanors, negligence, misconduct or deficiency in services, if any. 17. PERFORMANCE BANK GUARANTEE (PBG) Health Care Organizations that are recommended for empanelment after the initial assessment shall also have to furnish a performance Bank Guarantee valid for a period of 30 months i.e. six month beyond empanelment period to ensure efficient service and to safeguard against any default: Hospitals/Cancer Units Eye Centres Dental Clinics Diagnostic Centres Rs lac Rs.2.00 lac Rs.2.00 lac Rs lac (PBG for charitable Organizations would be 50% of above amount)

96 In case of health Care Organizations already empanelled under CGHS they shall submit a new Performance Bank Guarantee after the validity of the existing performance guarantee is over. 18. FORFEITURE OF PERFORMANCE BANK GUARANTEE AND REMOVAL FROM LIST OF EMPANELLED ORGANIZATIONS In case of any violation of the provisions of the MOA by the health care Organizations empanelled under CGHS such as: 1. refusal of service, 2. undertaking unnecessary procedures, 3. prescribing unnecessary drugs/tests 4. over billing, 5. reduction in staff/ infrastructure/ equipment etc. after the hospital/ has been empanelled. 6. Non submission of the report, habitual late submission or submission incorrect data in the report 7. refusal of credit to eligible beneficiaries and direct charging from them. 8. if not recommended by /NABL/QCI at any stage 9. Discrimination against CGHS beneficiaries vis-à-vis general patients The amount of Performance Bank Guarantee will be forfeited and the CGHS shall have the right to de-recognize the health Care Organization as the case may be. Such action could be initiated on the basis of a complaint, medical audit or inspections carried out by CGHS teams at random. The decision of the CGHS will be final. 19. LIQUIDATED DAMAGES a. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall provide the services as per the requirements specified by the CGHS in terms of the provisions of this Agreement. In case of initial violation of the provisions of the Agreement by the Hospital such as refusal of service or direct charging from the CGHS Beneficiaries or defective service and negligence, the amount equivalent to 15% of the amount of Performance Bank Guarantee will be charged as agreed Liquidated Damages by the CGHS, however, the total amount of the Performance Bank Guarantee will be maintained intact being a revolving Guarantee. b. In case of repeated defaults by the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre, the total amount of Performance Bank Guarantee will be forfeited and action will be taken for removing the Health Care Organization from the empanelment of CGHS as well as termination of this Agreement

97 c. For over-billing and unnecessary procedures, the extra amount so charged will be deducted from the pending / future bills of the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre and the CGHS shall have the right to issue a written warning to the health Care Organization not to do so in future. The recurrence, if any, will lead to the stoppage of referral to that particular Health care Organization or De-recognition from CGHS. 20. TERMINATION FOR DEFAULT The CGHS may, without prejudice to any other remedy for breach of Agreement, by written notice of default sent to the Hospital terminate the Agreement in whole or part: If the empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre fails to provide any or all of the services for which it has been empanelled within the period(s) specified in the Agreement, or within any extension thereof if granted by the CGHS pursuant to Condition of Agreement or If the Health Care Organization fails to perform any other obligation(s) under the Agreement. If the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre in the judgment of the CGHS has engaged in corrupt or fraudulent practices in competing for or in executing the Agreement. In case of any wrong doings as specified in Memorandum of Agreement by one hospital / centre / clinic / lab of a particular group, CGHS reserves the right to remove all empanelled hospitals / centres/ clinics/labs of that particular groups from its empanelled list of hospitals. 21. INDEMNITY The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall at all times, indemnify and keep indemnified CGHS / the Government against all actions, suits, claims and demands brought or made against it in respect of anything done or purported to be done by the Health Care Organization in execution of or in connection with the services under this Agreement and against any loss or damage to CGHS / the Government in consequence to any action or suit being brought against the CGHS / the Government, along with (or otherwise), Health Care Organization as a Party for anything done or purported to be done in the course of the execution of this Agreement. The Health Care Organization will at all times abide by the job safety measures and other statutory requirements prevalent in India and will keep free and indemnify the CGHS from all demands or responsibilities arising from accidents or loss of life, the cause or result of which is the Hospital negligence or misconduct. The Health care Organization will pay all indemnities arising from such incidents without any extra cost to CGHS and will not hold the CGHS responsible or obligated. CGHS / the Government may at its discretion and shall always be entirely at the cost of the Health Care Organization defend such suit, either jointly with the Health Care Organization enter or singly in case the latter chooses not to defend the case 22. ARBITRATION

98 If any dispute or difference of any kind whatsoever (the decision whereof is not herein otherwise provided for) shall arise between the CGHS and the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre upon or in relation to or in connection with or arising out of the Agreement, shall be referred to for arbitration by the Additional Secretary & Director General, CGHS,Ministry of Health & FW, Government of India, who will give written award of his decision to the Parties. The decision of the Additional Secretary & Director General, CGHS will be final and binding. The provisions of the Arbitration and Conciliation Act, 1996 shall apply to the arbitration proceedings. The venue of the arbitration proceedings shall be at Delhi / New Delhi. 23. MISCELLANEOUS Nothing under this Agreement shall be construed as establishing or creating between the Parties any relationship of Master and Servant or Principal and Agent between the CGHS and the Health Care Organization. The Health care Organization shall work or perform their duties under this Agreement or otherwise. The Health care Organization agrees that any liability arising due to any default or negligence in not represent or hold itself out as agent of the CGHS. The CGHS will not be responsible in any way for any negligence or misconduct of the Health Care Organization and its employees for any accident, injury or damage sustained or suffered by any CGHS beneficiary or any third party resulting from or by any operation conducted by and on behalf of the Hospital or in the course of doing its performance of the medical services shall be borne exclusively by the hospital who shall alone be responsible for the defect and / or deficiencies in rendering such services. The Hospital/ Exclusive Eye centre/exclusive Dental clinic/ Diagnostic Laboratory/ Imaging Centre shall notify the Government of any material change in their status and their shareholdings or that of any Guarantor of the in particular where such change would have an impact on the performance of obligation under this Agreement. This Agreement can be modified or altered only on written agreement signed by both the parties. Should the Hospital/ Exclusive Eye centre/exclusive Dental clinic/ Diagnostic Laboratory/ Imaging Centre get wound up or partnership is dissolved, the CGHS shall have the right to terminate the Agreement. The termination of Agreement shall not relieve the hospital or their heirs and legal representatives from the liability in respect of the services provided by the Health care Organization during the period when the Agreement was in force. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall bear all expenses incidental to the preparation and stamping of this agreement. 24. OTHER SERVICES TO BE PROVIDED The empanelled Private Health Care Organization will, on the request of CGHS, agree to provide training to CGHS medical, Para-medical and nursing staff. 25. EXIT FROM THE PANEL

99 The Rates fixed by the CGHS shall continue to hold good unless revised by CGHS. In case the notified rates are not acceptable to the empanelled health care Organizations, or for any other reason, the health care Organization no longer wishes to continue on the list under CGHS, it can apply for exclusion from the panel by giving one month notice. Patients already admitted shall continue to be treated. 26. NOTICES 26.1 Any notice given by one party to the other pursuant to this Agreement shall be sent to other party in writing by registered post or by facsimile and confirmed by original copy by post to the other Party s address as below. CGHS: Additional Director CGHS, Ministry of Health & FW, Government of India, Nirman Bhawan, New Delhi. Hospital with address: ( ) 26.2 A notice shall be effective when served or on the notice s effective date, whichever is later. Registered communication shall be deemed to have been served even if it returned with remarks like refused, left, premises locked, etc.

100 IN WITNESSES WHEREOF, the parties have caused this Agreement to be signed and executed on the day, month and the year first above mentioned. Signed by Additional Director, Central Government Health Scheme Ministry of Health & Family Welfare, Government of India For and on behalf of The President of India In the Presence of (Witnesses) Signed by In the presence of (Witnesses) For and on behalf of (Hospital ) Duly authorized vide Resolution No. dated. of (name of Hospital ) 1. 2.

101

102

103

104

105

106

107

108