Notice inviting Expression of Interest for Operation and Management ...

(If the name/address is different than thatof the Organization as stated under 1 above)11. Year of Incorporation of the Hospital /Nursing Home/ Diagnostic Centre:12. Services/Facilities provided in-house ( Please Tick)• Dialysis Facilities : Yes/No• CT Scan facilities: Yes/No• MRI Scan Units : Yes/No• Digital X-Ray ( CR/DR) : Yes/No13. Annual turn over of the Organization for the last two financial years14. Information to be submitted only if the application is for Dialysis services for thehospital as specified above :a. Year of introduction of the Dialysis Servicesb. Number of Dialysis Machines currently in use:c. Make and model of the machine last procuredd.Services 2009Year / month2010Year / month2011Year / monthRemarks, ifanyNumber of patients ondialysis services(inclusive of all types ofDialysis)e. Existing Man Power for Dialysis unitPersonnel Numbers Remarks, if anyMedical Personnela. Nephrologistsb. Other Medical Personnela.b.Para Medical & TechniciansOther Stafff. Is the Organization at present engaged as a referral center for Dialysis by theDepartment of Health & Family Welfare, Government of West Bengal: Yes/NoIf yes, please provide information on number of patients referred fromGovernment Hospitals in last six months:g. Projected utilization of services (number of patients) if the applicant is selected foroperation and management of this hospital for Dialysis services under PPP:16