TRAINING REPORT ON OVERVIW OF

HOSPITAL

AMRI HOSPITAL
MUKUNDAPUR

NAME : SAHELI GHOSH

COURSE : BACHELOR OF HOSPITAL

MANAGEMENT
SEMESTER : 3RD

ROLL NO : 32

REGISTRATION NO.:151541310025

NAME OF INSTITUTE : DINABANDHU

ANDREWS
INSTITUTE OF
TECHNOLOGY &
MANAGEMENT
 DECLARATION

This is to certify that the dissertation entitled

“Training Report On Overview Of Hospital” at
AMRI, MUKUNDAPUR has been prepared
by Saheli Ghosh herself in partial fulfilment of
the requirement of BHM degree in Maulana
Abdul Kalam Azad University of Technology,
West Bengal.

I, Saheli Ghosh, hereby declare that all the

information and facts provided here are based
on my own findings and studies at AMRI,
MUKUNDAPUR. The contents of report are a
true experience of my efforts.

Signature of the student

Place: Kolkata
Date:
 CONTENTS

ACKNOWLADGEMENT :
OBJECTIVES :
LOCATION :
RESEARCH METHODOLOGY :
MISSION :
QUALITY POLICY :
HOSPITAL PROFILE
THE GOALS OF HOSPITAL :
HOSPITAL LAYOUT :
DISCUSSION ON DEPARTMENTS

a.QUALITY MANAGEMENT :
b.HUMAN RESOURCE DEPARTMENT :
c.MEDICAL RECORDS DEPARTMENT :
d.OUT-PATIENTS’ DEPARTMENT :
e.TPA & CASHLESS FACILITIES :

FACILITIES OF THE HOSPITAL :

LIST OF SERVICES PROVIDED :
RECOMMENDATION :
CONCLUSION :
 Acknowledgement
Success is sweet but the secret is ‘sweat of the brow’ – this I
realize while I was in training! Even though it required a lot of
physical and mental effort during the process, it bore a real
sweet fruit. Every moment of my training period was full of
lesson-learning and acquiring experience.

I would like to thank Mrs. Sayani Chatterjee (HOD, DAITM)

for giving me opportunity to complete my internship from
AMRI, MUKUNDAPUR, Kolkata.

This project has been done in the AMRI, MUKUNDAPUR,

Kolkata and the work would not have been possible without the
help and guidance of Dr. Sanchayita Roy (HOD of Quality &
System), Mr. Tapendru Mondal (Manager of Quality &
System) and Ms. Swarnalata Giri (Nurse of Quality &
System), as my project guides. They provided me continuous
support and valuable suggestions during the entire period of my
training. I am really indebted to them !

-------------------
 OBJECTIVES

 Provide continuous and regular training for the

employee to bring out the best in them to achieve
quality improvement.

 Understand the needs of the patients and uphold

standards of professionalism to improve the level of
patient satisfaction.

 Provide quality service that is responsive, efficient,

courteous and helpful.
LOCATION :

AMRI Hospital,
230, Barakhola Lane,
Purba Jadavpur, behind Metro
Cash N Carry, Mukundapur,
Kolkata, WB:700099
RESEARCH METHODOLOGY
For a clear perception of the term research, one
should know the meaning of scientific method. The
two terms, research and scientific method, are
closely related. Research as we have already
stated, can be termed as “an inquiry into the
nature of, the reasons for, and the consequences
of any particular set of circumstances, whether
these circumstances are experimentally controlled
or recorded just as they occur. Further, research
implies the researcher is interested in more than
particular results; he is interested in the
repeatability of the results in their extentions to
more complicated and general situations”.
Scientific method is the pursuit of truth as
determined by logical considerations. The ideal of
science is to achieve a systematic interrelation of
facts. Scientific method attempts to achieve “this
ideal by experimentation , observation , logical
arguments from accepted postulates and a
combination of these three in varying proportions.”
Experimentation is done to test hypotheses and to
discover new relationship if any, among variables.
But the conclusions drawn on the basis of
experimental data are generally criticized for either
faulty assumption, poorly designed experiments,
badly executed experiments or faulty
interpretations. As such the researcher must pay
all possible attention while developing the
experimental design and must state only probable
 inference. The purpose of survey investigations
may also be to provide scientifically gathered
information to work as a basis for the researchers
for their conclusions.

Mission
To provide healthcare services, maintain accountability in
responsible manner which contribute to the physical,
psychological, social and spiritual well-being of the patients and
community, which we serve.

Quality policy:
We at AMRI are committed to provide quality health care to our
beneficiaries. We shall achieve this by:
Identifying and meeting their needs and expectation.
Complying with the benchmark of national and global level
of practices through continual development, improvement
and training. Remaining committed to ensure that a
transparent quality system, as per the requirement of
accreditation authority and appropriate to the purpose of the
organization is understood and implemented at all levels.
 HOSPITAL PROFILE
The AMRI Hospital Ltd., Mukundapur today is a unified Group with 1000
beds, over 500 doctors located in Kolkata, Bengal and Bhubaneswar,
Odissa.

About 10,000 surgeries are performed successfully every year. Its super
speciality tertiary care units are located at Dhakuria, Salt Lake,
Mukundapur and Bhubaneswar along with a state of the art day-care-
facility - AMRI Medical Centre at Southern Avenue, Kolkata.

With a slew of new investments and under a vibrant new

board of Directors, guided by the dynamic Group CEO,
Mr. Rupak Barua, AMRI Group is all set to implement
sweeping changes to head for a super-fast track of growth. Backed by the
finest technologies and a dedicated team of doctors, nurses, technicians and
patient service staff; emphasis is on providing true value for money and
complete patient-satisfaction. The anagement initiative ensures co-
ordination, transparency and a human face in its administration.

The Background:

In early 1990s the Government of West Bengal handed over the charge of
‘Niramoy’ - a Government owned Polyclinic at Dhakuria, to Mr. Shravan
Todi of Shrachi Group. Mr. Todi inducted Emami and another promoter, to
build Advanced Medicare & Research Institute Ltd., a super specialty
hospital with sizeable investment to offer quality healthcare. The name was
finally changed to AMRI Hospitals Limited in 2009. The most visible value
that the Emami Group brought to the institution was a spirit of passionate
entrepreneurship. With growing citizen awareness there emerged a greater
need for superior health care in eastern India. The Emami Group was also
ready to commission new space, enter new speciality segments, attract
global ex-Kolkata doctors and position themselves as the premier health
care service provider in Eastern India. The Emami Group would leverage
its irrepressible entrepreneurial spirit to extend the benefits of affordable
health care to thousands.The growth was not just about doing things a little
better than competition; it was about the introduction of a Transformative
experience through the induction of the best competencies, equipment,
facilities and technology
for the first time to Eastern India. The growth was historically significant as
it corporatized private healthcare for the first time in Eastern India .

Board of Directors:
 Sri Om Prakash Saxena , Director

 Sri Om Prakash Jhunjhunwala , Director

 Sri Rajesh Pareek , Director

 Sri Anil Malawat , Director

 Sri Ashish Goenka , Director

 Goals of “The AMRI Hospital”

 Continuously improve all our service through quality

management.
 Focus on our patient and deliver high quality service.
 Use training, teamwork and open communication to enable all
employees to achieve their full potential.
 Take all reasonable steps to ensure that patients, visitors, staff of
the hospitals are afforded the safest possible environment.
 Measure the effectiveness of our activities and monitor progress
towards achieving our vision.

AMRI is the First-

 Full-fledged geriatric department - The first hospital in
Eastern India with a full-fledged geriatric department for
treatment and rehabilitation of senior citizens.

 CO2 Laser - Introduced treatment with CO2 Laser for the first
time in Eastern India.

 EECP for Cardiac patients - Eastern India’s first hospital to

introduce EECP for Cardiac patients who cannot undergo
bypass.
 Bariatric Surgery - The first Bariatric Surgery performed in
Eastern India.

 CUSA - Introduced CUSA for the first time in Eastern India.

 Advanced Cancer Treatment - The first hospital in Eastern

India to invest in two Linear Accelerators to provide
radiotherapy and provide Intensity Modulated Radio
Therapy(IMRT) for advanced cancer treatment.

 Inclusive Approach - AMRI offers a rare and unique facility to

support the less privileged patients. AMRI Patient Welfare Cell
is exclusively committed to arrange donations and sanction.
 Name of the departments with
their respective floor:
BASEMENT:

o IBMS Room

o Call Centre

o Medical Gas Machine Room

o Server Room

o Toilet

o Chemist & Druggist (Vision Care Hospital)

 Discussion Room

 D.R-1

 Medical Record Department

 EDD Feed Unit Room

 Mortuary
 PUMP Room

 R.O Water Plant

 PTS Control Room

 Housekeeping Department

 Linen Store

 Biomedical Engineering Department

 CSSD

 Issuing Area

 GROUND FLOOR:

 Help Desk

 Admission

 Discharge

 Insurance/ TPA

 Counselling

 CT Scan/ X-ray

 Lift
 1st Floor:

 Women’s OPD

 Children’s OPD

 Dentistry

 Echo/ TMT

 U.S.G

 Registration & Billing

 Toilets

 Play Area

 Refreshment

 Drinking Water

 2nd Floor:

 NICU (1201-1211)

 Isolation (1212-1216)

 SCBU (1217-1226)

 Delivery Room
 Cath Lab

 Operation Theatre

 Cath lab (1227-1229)

 3rd Floor:

 Stroke Unit With Monitor (1305-1308)

 Stroke Unit Without Monitor (1301-1304)

 CTVS ICU (1359-1361)

 Neuro ICU (1329-1338)

 Paediatric ICU (1339-1345)

 ICU (1347-1358)

 BMT Room (1365-1354)

 Isolation (1365-1368)

 4th Floor:

 Paediatric Ward (1408-1430)

 General Ward (1431-1447)

 Dialysis (1401-1407)
 Semi Deluxe Room (1448-1455)

 5th Floor:

 Female Ward (1511-1513)

 Department of Gastroenterology

 Neuro Ward (1514A-1523B)

 Physiotherapy Room

 Semi Deluxe Room (1501-1510)

 Female Surgical Ward (1505-1510)

 Consultation Room

 High Risk Obstetrics Unit

 6th Floor:

 Royal Suite (11601-11602)

 Royal Suite 11603

 Executive Suite 1609

 Deluxe Room (1604-1613)

 VIP Room
 Nursery (1602A-1602T)

FEW DEPATMENTS OF HOSPITAL ARE

BRIEFLY DESCRIBED

QUALITY MANAGEMENT

Location: Basement
Purpose:
 To provide an environment which assures safety for patients/clients,
staff and the public, within a framework of continuously improving
quality of care.
 To promote a quality culture and place quality at the core of service
delivery.
 To encourage attainment of best practice.
 To promote a patient/client-centred organisation and delivery of
service.

Objectives:
 To improve the quality of medical and behavioural health
care and service provided.

 To identify, develop, and/or enhance activities that

promote member safety and encourage a reduction in
medical errors

 To communicate with practitioners/providers of

care/service about quality activities, provide feedback on
results of plan-wide and practice-specific performance
assessments, and collaboratively develop improvement
plans

 To disseminate information on practitioner/provider

performance to promote member empowerment and
informed decision making.

 To document and report the results of monitoring activities,

barrier analyses, recommendations for improvement
activities, and other program activities to the appropriate
committees.

 To comply with all regulatory requirements, and to achieve

and maintain accreditation and necessary certification.
 Continuous Quality Improvement (CQI):
Quality improvement is about ensuring that our focus is on
improving, not just maintaining our services at Hospital.
Quality improvement involves a focus on the safety,
effectiveness, efficiency, acceptability, accessibility and
appropriateness of services for consumers (who might be
patients, relatives/parents, or the hospital and other health
care professionals).

Purpose of continuous quality

improvement is to-

1. Monitor patient and staff satisfaction

2. Monitor quality indicators
3. Monitor adverse drug reactions and medication
errors
4. Monitor patient safety indicators
5. Monitor medical audit results
6. Monitor utilization of facilities
7. Monitor patient satisfaction rate

Goals of continuous quality

improvement are –
1. To employ the staff-members of wards, departments etc.
of the Hospital continuously to document the work-done
properly so that at any point of time in future, the lapse
can be pointed out and properly addressed.

2. To maintain a Quality improvement team to be

responsible for each key function and evaluate the need
for quality improvement activities for the function on an
 ongoing basis by reviewing policies and procedures
relating to that function and make necessary revisions to
initiate Quality improvement measures in a prioritized
manner.

3. To improve patient care guidelines relating to operative

and other procedure, in a collaboration effort.

4. To utilize a standard format for documenting and reporting

all Quality measures hospital-wide

5. To collect data on staff views regarding Quality

improvement activities

6. To develop a formal tool for prioritizing Quality

improvement activities

7. To strive to raise the benchmark in all aspects of service

delivery and meet the quality standard expected for the
same.

HUMAN RESOURCE DEPARTMENT

Location: Basement

Objectives:
 Human resource management(HRM) is a means to
achieve efficiency and effectiveness. It serves other
functional areas to help them to attain efficiency in their
operations and attainment. Acquiring right man for the
right job at right time in right quantity, developing
 through right kind of training, utilizing the selected
workforce, and maintaining the workforce are the
organizational objectives of HRM.

 HRM performs so many functions for other

departments. However, it must see that the
facilitation should not cost more than the benefit
rendered.

 HRM must see that the legal, ethical, and social

environmental issues are properly attended to.
Equal opportunity and equal pay for equal work are
the legal issues not to be violated.

FUNCTIONS:
 The success of recruiters and employment
specialists generally is measured by the number of
positions they fill and the time it takes to fill those
positions.
 One of the main functions of HR is to support
workplace safety training and maintain federally
mandated logs for workplace injury and fatality
reporting.

 Employee relations is the HR discipline concerned with

strengthening the employer-employee relationship
through measuring job satisfaction, employee
engagement and resolving workplace conflict.
 MEDICAL RECORDS DEPARTMENT

Location: Basement

Work flow of MRD:

 First level of file auditing done in wards or floors

 Deficiencies are found

 Intimated to concerned Personnel

 Corrected & completed by concerned personnel

 Files sent to MRD within 48hours of discharge by the Floor

Manager

 Files are received in MRD by MRD executive

 Files are assembled according to discharge date

 Medical records are sorted according to normal discharge, MLC

& death

 File indexing are done

 Second level of deficiency check is done and again intimated to

concerned personnel

 Medical record not having ICD coding is done

 Normal discharge medical records are stored in the storage area,

death & MLC are stored separately under LOCK & KEY.

 Medical records are scanned by the concerned personnels (of

process infotech- an out sourced agency) & stored in DVD/CD/Hard
Disk

 Hard copy of the medical records are sent to

 crown – an out sourced agency.

 OUT PATIENT DEPARTMENT

Location: 1st floor

PATIENT AND VISITORS

Visitor Information
It is regarded as an important part of the patient’s day.
Unless otherwise indicated, it is assumed that patients are
 agreeable to visits from family and friends at the scheduled
visiting times. This guidance document reflects a balance
between the needs of patients, their visitors, hospital staff
and hospital procedures.
Purpose
 To manage the visiting arrangements so that a balance
between the needs of patients and visitors, and the needs of
hospital staff delivering treatment and care is achieved.
 To maintain a safe, secure and comfortable environment for
patients and staff.
 To enhance patient confidentiality.

Procedures and Guidelines:

Visiting in General Wards / Semi Deluxe/ Deluxe / Super
Deluxe / Suite
 Visiting hours are open

 The Visitor will carry the visiting card during each visit

 Recommended visiting time is 20 minutes.

 No more than two persons should visit a patient at one point

of time .

 Children under 12 years of age will be allowed only on

Wednesdays and Sundays.

 Children must be under the supervision of an adult at all

times while in the hospital.

 The Floor Manager can request that visitors leave, if the

number of visitors present or the length of the visit is
deemed excessive
 Additional restrictions will apply from time to time , for
example , during outbreaks of infectious diseases.

 Certain areas may implement stricter and more controlled

visiting policies to suit the needs of patients in that
particular ward or unit .
 Visiting hours may also be restricted for emergency medical
situations . All exceptions and restrictions are at the
discretion of the management.
 Relatives and friends are requested not to visit if they have
sore throats , flu , vomiting and /or diarrhea or other
infections , because of the risk of introducing infection to the
ward .

Visiting in the Critical Care Units such as

WICU /PICU / NICU / SCBU/Isolation
Visiting time is as follows:
In the morning: 9:00 AM – 9:30 A
In the evening: 4:00 PM - 5:00 PM

 As many patients are ill, visiting is restricted to immediate

family members for short periods of time only, with only one
person at a time.
 Visitors may be requested to leave the ward/unit during
procedures and thus be sensitive to the needs of the patients,
medical and nursing staff.

Patients Right to decline Visitors

 On receiving a request for restricted / no visitors from a
patient , next of kin , or nominated family member , the
nursing staff will document the request in the nursing notes
with the date and duration of such request .

 The nurse will inform the Floor Manager who will maintain a
record of such requests for the duration of the patient stay,
unless the request is subsequently amended.

 The Floor Manager will keep the Reception and Admission

informed of such request and advises the visitor that it is not
appropriate to visit and visitors are politely asked to comply
with this request.

TPA & CASHLESS FACILITIES

Location: Ground floor

Working process:
In case of emergency admission, patient /patient
relatives are supposed to produce a valid TPA ID
card or insurance policy copy.
The photocopy of the TPA ID Card or insurance
policy is retained by the admission desk while the
patient starts receiving necessary medical
treatment.
During admission the relative fulfills the required
formalities like filling up the necessary consent
forms.
The co-coordinator/doctors who is at the hospital
TPA desk fills up the pre authorization form and
forwards it to the concerned TPA by fax/ mail 24 to
48 hours of hospitalization of the patient.
The coordinator at the TPA desk does regular
follows-up with the concerned TPA and waits for
the initial approval letter.
The coordinator at the TPA desk answers to any
query/ additional information asked by the
concerned TPA.
After receiving the authorization/ denial letter or
any information from the concerned TPA, Co-
ordinator at the TPA desk informs the patients
relatives.
If the concerned TPA sends a denial letter before
the discharge of the patient, the patient/patient
relatives will have to settle the entire bill amount
by cash payment.
If the authorization letter is sent by the concerned
TPA the patient/ patient relatives have to pay the
charges of only the unapproved items.
At the time of discharge patient relatives will get
the photocopy of all reports. Original reports and
bill are sent to the concerned TPA.
In case of any Query the patient relatives may
contact the PRO at the front office.

Facilities of AMRI, Mukundapur

 Full Range Paediatric & Gynaecology speciality clinic

 24X7 Qualified Specialist Doctor

 Premium Quality House Staff

 Advanced Paediatric Unit; Adult Dialysis Unit

 Critical Care Services for Adults

 Round the clock support of qualified doctors for High risk

pregnancies

 Advanced Laparoscopic services

 Complete ENT Set Up (including neonatal Hearing, screening to

stroboscopy)

 Easy Transit – Geographical Location

 Boutique Ambiance

 Super Deluxe Category Rooms with Lawn Terrace

 Special rates for under-privileged patients

 Basement Parking

 Landscaped green area with Fountains

 Attractive kids play area

LIST OF SERVICES PROVIDED

Institute of Gynaecology & Obstetrics

AMRI Hospital, Mukundapur is a state of the art hospital in

Eastern India which provides holistic care to all
 the patients. Through our Obstetrics Department, we care
for women from pre-conception to the post-natal period
with up-to-date clinics providing.

Salient Features:
 Renowned consultants specialized in dealing with High
risk pregnancies & Medical disorders in pregnancy.
 Combined clinic to deal with Endocrine ( Diabetes, Thyroid
etc), Neurology & Hematology problems in pregnancy
 Electronic Fetal Monitoring in Labour for safety of the baby
 Customized LDRP (Labor, Delivery, Recovery &
Postpartum) Suites
 Regular antenatal classes for pregnant lady to care the
unborn baby
 Dietary advises for all pregnant & lactating mother
 Painless labor facility for normal delivery
 Gynaecology Subspecialties
 Infertility & IVF with Folliculometry Screening
 Urogynaecology with Urodynamics
 Onco-Gynaecology with Colposcopy Clinic
 Laparoscopy Surgery for Cyst, Lap Hysterectomy etc
 24 hrs USG facility for Emergency patients
 24 hrs facility for antenatal CTG (Cardiotocography) to
monitor High risk pregnancies
 24 hrs CT Scan, X Ray & pathology.
 State of the art NICU to provide support to babies from 26
wks of gestational and also all underweight & preterm
babies
 Multispecialty support for babies with congenital problems
through our Paediatric Surgery, Orthopaedics,
Pulmonologist, Nephrologist etc.
 Stem Cell collection
Institute of Paediatrics & Neonatology

AMRI Mukundapur has a special focus on Paediatrics &

Neonatology. We have built a multi-disciplinary team available
round the clock to take care of sick infants & children that
ensures best possible care in addition to highly experienced &
renowned team of Neonatologists, Paeditricians & nurses.
We also have experienced physiotherapists, nutritionist, speech
& language therapists along with play therapists. Care is
provided in dedicated & fully equipped Neonatal ICU,
PAediatric ICU & Paediatric ward. Our 23 bed capacity
PAediatric ward is totally separated from adult area as per
internationally accepted healthcare guidelines. AMRI
Mukundapur is also offering highly specialized Emergency
Retrieval service for sick neonates & children.

Institute of ENT & Head Neck Surgery

AMRI Mukundapur offers a comprehensive care of ENT for

Adult & Paediatric including Cochlear Implantation. State of the
art technology & expertise has enhanced this department to
establish as a unique name in the country.

Institute of Haemato Oncology & bone Marrow

transplant

AMRI Hospital provides the best international standard holistic

care for all haematological disorders and provide tertiary care
to patients with complex needs including high risk bone marrow
transplant. It is capable of treating all complex haematological
conditions including blood cancers like Lymphoma, Myeloma,
Leukaemia etc.
This department also helps the Neurologists in plasma
exchanging many of their complex cases of Gillian-Barre
syndromes and transverse myelitis. We can also help many
patients with sickle cell disease by doing an automated red cell
exchange before surgery or at other times.
We also provide our expertise and support to the blood
transfusion services and are in the process of setting up a state
of art transfusion lab at Mukundapur which will cater to the
growing need of the institution.

Treatments Offered Include

 Blood Cancers
 Thalassemia
 Anaemia including complex causes of aplastic anaemia
& thalasemia
 Bleeding and clotting disorders
 Auto-immune disorders
 Inherited disorders

Institute of Gastro Sciences

The Gastroenterology department at AMRI Hospitals offers a

comprehensive approach to the diagnosis and treatment of
gastrointestinal diseases through the expertise of our team of
specialists and nurses.AMRI Mukundapur offers complete
Gastroenterology service for Paediatric & Adult Facilities.

 Ultrasonography.
 Computerised Tomography (Hi-speed CT scan).
 Gl Endoscopy.
 Gastroscopy.
 Double Baloon Enteroscopy
 ERCP (Endoscopic Retrograde Cholangiopancreatography).
 Complete Imaging Services including Ultrasound, Upper Gl

Institute of General & Laparoscopy Surgery

The General surgery department at AMRI Hospitals is

committed to providing the best patient care through the use of
latest techniques and technology. Highly qualified general
surgeons and nurses service the General surgery department.

Institute of Orthopaedics & Joint Replacement :

The days of long disability and suffering are over now. We have
internationally reputed and dedicated team of advanced
trauma care and joint replacement specialists who have
solution for all Orthopaedic complications due to trauma,
degeneration, sports injury or any disorder. Backed by state of
the art technology including high end diagnostic facilities,
Laminar airflow supported dedicated OTs for Joint replacement
& orthopaedic surgery, advanced rehab techniques and
personalized care we minimize your days of disability.

Institute of Neuro Sciences

AMRI Mukundapur offers the most advanced facility for

diagnosis, treatment and rehabilitation of a wide range of neuro
disorders that affect any portion of the nervous system
including brain, spinal cord & peripheral nerves.
A dedicated neuro team - combining the strength of a group of
trained neurologists,neurosurgeons, neuro anaesthetist,
supported by latest generation equipments, highly skilled
technicians & round the clock critical neuro care facility for
neuro trauma management provides comprehensive treatment
options. Our department of Neuro Sciences also offers
complete neuro care for neonates and adult patients.

Institute of Imaging & Interventional Radiology

Interventional Radiology, a subspecialty developed from

Diagnostic Radiology, made relentless progress in last few
decades. Today its impact can be felt in every field when
patients need to be treated minimally or less invasively. Even
Interventional Radiology having subspecialties or
superspecialities under its belt like neuro, GI, vascular etc.

Other Department

 Ophthalmology
 Dentistry
 Respiratory
 Emergency & Critical Care etc.

RECOMMENDATION
 If the cost of operation and other expenses became little
cheaper, then hopefully more patients will come for
treatment.

 If reports are prepared in lesser time, then perhaps the

patient and patient party will be more satisfied.
 Co-operation of the staff of the hospital towards patient
and patient party is not up to the mark.

 Security services should be improved.

 Manpower should be increased.

 Waiting area should be increased.

 Floor and toilet should be cleaned properly.