Establishing Diagnostic Services in Block Primary Health Centres ...

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Received the possession of the above mentioned project site on this day of ______________of ______________________ and solemnly declare that I shall abide by all the terms andconditions of the agreement as well as the terms mentioned in this certificate.(Signature of Authorized Representative of the Concessionaire)Date:Dignostics Schemes-Feb 2010 (1 in all).doc 44 / 51
Schedule CPrice Notification(Fixed under Memorandum No. HF/PPP/13/2009/15 dated January 28, 2010)STANDARD DIAGNOSTIC SERVICES(Mandatory Tests/Investigations described in Schedule A-1 and advanced testsdescribed in Schedule A-2)Sl. Name of the Tests/Investigations Approved Rate (inRupees)Biochemistry1 Blood Sugar (fasting/PP/Random) 152 Urea 153 Uric Acid 154 Creatinine 175 Serum Triglycerides 656 Serum Cholesterol 257 Liver Function Test 1008 Urine Albumin/Sugar 109 Sugar, Urea & Creatinine (combined) 4510 Lipid Profile 15011 CSF : Sugar, Micro protein, Chloride (each) 40Haematology12 Hb% ,TC ,DC , ESR 2513 Platelet Count 2014 Reticulocyte Count 2015 Foetal Hb% 3016 Blood Grouping and RH factor: 20Pathology17 PAP Stain 8518 Peritoneal/ Pleural/ Ascitic Fluid/ Other Body50Fluids for Cytology (each)19 FNAC with slide 150Microbiology20 Blood Culture 5021 Urine Culture 5022 Stool Culture 5023 Pus Culture 5024 Sputum Culture other than TB 3025 Sputum/ Other Smears for AFB or Gram Stain 3026 Throat Swab Culture 3027 Conjunctival Culture 30Serology28 Australian Antigen 5029 VDRL 20Dignostics Schemes-Feb 2010 (1 in all).doc 45 / 51
Page 1: SCHEMEEstablishing Diagnostic Servi
Page 6 and 7: g. Furniture, refrigerator and equi
Page 8 and 9: cACMOH will monitor operations of t
Page 10 and 11: VII3. CSF Cell type & Cell Count, G
Page 12 and 13: of the RH/ BMOH should be provided
Page 14 and 15: 13. Selection of Private Partner fo
Page 16 and 17: SCHEDULE - IThe Grounds of Terminat
Page 18 and 19: Requirement of spaceSCHEDULE - IIIP
Page 20 and 21: Agreement to be executed by Distric
Page 22 and 23: effect of security or other such ob
Page 24 and 25: (i) any reference at any time to an
Page 26 and 27: (f)Diagnostic Centre and the Standa
Page 28 and 29: (g)(h)(i)(j)(k)(l)(m)(n)(o)(p)(q)(r
Page 30 and 31: ARTICLE 4DHFWS’S OBLIGATIONSIn ad
Page 32 and 33: ARTICLE 6REPRESENTATIONS AND WARRAN
Page 34 and 35: ARTICLE 7TERMINATION7.1 Causes of T
Page 36 and 37: whatsoever. The Concessionaire shal
Page 38 and 39: ARTICLE 9MISCELLANEOUS9.1 ValidityT
Page 40 and 41: If to DHFWS__________ (name and des
Page 42 and 43: VIClinical Pathology34. Stool / Uri
Page 46 and 47: Sl. Name of the Tests/Investigation
Page 48 and 49: Rates /Prices for Diagnostic Servic
Page 50 and 51: Schedule -VIISELECTION CRITERIA FOR

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