GURU NANAK DEV UNIVERSITY

DEPARTMENT OF ARCHITECTURE
AMRISTAR

THESIS REPORT
GOVT. MEDICAL COLLEGE AND HOSPITAL , MALERKOTLA

Thesis guides: Thesis co ordinators: Submitted by

DR. KARAMJIT SINGH CHAHAL AR. HARWINDER KAUR TANZEEL AHMED

2016ARA081
DR. RAWAL SINGH AULAKH AR. AMANPREET SINGH
B.ARCH
AR. SHAHEEN SOBTI
GOVT. MEDICAL COLLEGE & HOSPITAL , MALERKOTLA.
CONTENT
• 1.0 Introduction…………………………………………………………………………………3-6
- 1.1 project
- 1.2 promotor
- 1.3 site
- 1.4 area
- 1.5 approach
- 1.6 validity and need of the project
- 1.7 aim and objective of the project
- 1.8 thrust area
- 1.9 methodology
- 1.10 scope of the project
- 1.11 design objectives of the project
- 1.12 case study ( which ,where , why)
• 2.0 Literature……………………………………………………………………………………7-17
• 3.0 case study (sharda hospital, greater Noida)………………………………..18-48
• 4.0 case study (pims, jalandher)……………………………………………………….49-69
• 5.0 virtual case stud( medanta hospital, Gurgaon)……………………………70-78
• 6.0 design criteria……………………………………………………………………………..79-80
• 7.0 bibliography………………………………………………………………………………..81
 INTRODUCTION: GOVT. MEDICAL COLLEGE AND HOSPITAL MALERKOTLA. 3.
1 .0 INTRODUCTION:

1.1 PROJECT : Govt. Medical College And Hospital, Malerkotla.

1.2 PROMOTOR : Centre And Punjab Government

1.3 SITE : raikot road backside dashmesh combine pvt. ltd.. malerkotla

1.4 AREA : 30 ACRES.

This thesis proposes the design of 250 bedded hospital to fill the medical
needs for rapidly growing city. the aim is to obtain an in-depth
understanding of the planning components of the medical college and
hospital design. This is the minorty college for minorty which has various
facilities under one roof. for easy flow the departments are interlinked Fig. no. 1.0
according to the necessity of students , professors , patients and staff.

1.5 APPROACH:
railway station – 3.1km away
bus stand - 3.3km away
airport - 30 km away Fig. no. 2

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 INTRODUCTION: GOVT. MEDICAL COLLEGE AND HOSPITAL MALERKOTLA. 4.
1.6 VALIDITY AND NEED OF PROJECT:
After the announcement of the medical college in MALERKOTLA and students
of malerkotla who wants to pursue their degree in medical field very thankful
to govt. This going to be fifth govt. MEDICAL college in punjab .The first
medical college was built in AMRITSAR SAHIB. Afterthat patiala, faridkot,
mohali also have medical college.This is also good news for citizens of Fig. no. 1.2

malerkotla because they will get hospital in their town as well with college.
But proper site boundary is not yet mentioned in any document neither any
requirement report. Minorty minister will spend money on this project. For
project report of this college all rules and regulations have been given to
deputy commissioner of distt. Sangrur.

1.7 AIM AND OBJECTIVES OF THE PROJECT:

• To design a building which would be energy efficient and minimalist design. The
main aim is “to seek beauty through simplicity “ as said by joseph allen stein”.
• Using built form , materials and finishes , including colours that blend with users
psychology & natural environment and that have long durability.
• To determine the condition that create a healing environment of users.
• To ensure that building design will have safe and secure design against any man
made and natural condition.
Fig. no. 1.3
• Use of passive design thoughout the site.
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 INTRODUCTION : GOVT. MEDICAL COLLEGE AND HOSPITAL, MALERKOTLA. 5.
1.8 THRUST AREA:
Major thrust of the design is to design with principle of sustainability. Use of passive techniques.To seek beauty with simplicity.

1.9 METHODOLOGY: Selection Of Project

Selection Of Site

Data Collection

Literature Study Site Analysis Case Study Sharda Hospital ,

Jalandher

Concept Pims , Jalandher

R/P Of Open And Built Up Spaces

Preliminary Submission Pre - Final Final

Thesis 2021
 INTRODUCTION : GOVT. MEDICAL COLLEGE AND HOSPITAL, MALERKOTLA. 6.
1.10 SCOPE OF THE PROJECT:
• To design 250 bedded hospital in such a way that it acts as cost and energy efficient design with proper functionality, have all
departments.
• Design of intractive spaces in landscape for users.
• Proper handling biomedical waste.

1.11 DESIGN OBJECTIVES OF THE PROJECT:

• Talk in term of planning.
• Designing the cluster so as to make an easier flow of students , staff and patients.
• To ensure that building design will have safe and secure design against any man made and natural condition.
• Using built form, materials and finishes, including colors that blend in with users psychology & natural environment and that
have long durability.
• To study about the deep study of health care buildings
• To determine the condition that create a healing environment of users.

1.12 CASE STUDY (WHICH, WHERE , WHY):

1. Sharda hospital , greater noida
2. Pims , jalandher.
Reason – want to do case study of one private and govt. Hospital because both have different architectural characteristics.

Thesis 2021
 2.0 LITERATURE STUDY - HOSPITAL 7.
2.1 HOSPITAL DESIGN 2.3 CONNECTION BETWEEN AREAS
A hospital COMPRISES of balance COMBINATION OF BUILDING

INSTALLATIONS, ENVIRONMENT, PEOPLE AND A SYSTEM , A MODERN

HOSPITAL IS A SOCIAL UNIVERSE, WITH MULTIPLICITY OF GOALS, A

COMPLEX HIERARCHY AND EXTREMELY FINE DIVISION OF LABOUR.

2.2 TYPES OF HOSPITAL

2.2.1 ACCORDING TO SPECIALITY
• General hospital.
• Speciality hospital
• University hospital
2.2.2 ACCORDING TO HEALTH CARE LEVEL
• Primary
• Secondary
• Tertiary Fig. no. 2.1
2.4 MAIN ELEMENTS OF HOSPITAL
2.2.3 ACCORDING TO SIZE
1. Opd [ out patient department]
• Small 2. Ipd [in patient department]
• Medium 3. Emergency
• Large 4. Icu [intensive care unit]
• Central 5. OT [ OPERATION t H eater]

Thesis 2021 SOURCE: neufert

 2.0 LITERATURE STUDY - HOSPITAL 8.
2.5 SITE LOCATION 2.7 ZONING
Effective arrangement s hould b e as follows-:
• The location of the building should be
-Public zone ,clinical, staff zone
convenient in relation to p e o p l e it serves.
-Ground floor -entrance ,radiology,medical services
• It should be a quiet location with no
entrance for bedridden patient, emergency,
possibility of intrusive development
information,administration, cafe.
and not excluded by regulations on
-First floor- surgical areas,central sterlisation,
adjacent sides.
inatensive care, maternity, children hospital.
• Adequate open spaces for future development .
-2nd and 3rd floor- wards.
• Site should have sufficient space for self
-Basements- underground garage, electrical rooms,
contained residential areas and hospital
physiotherapy,kitchen,plant room.
development.
-Public areas include- entrance, lobby areas waiting
2.6 ORIENTATION areas, cafeterias, shops, receptions

-Hospital building should idealy face east. -Semi public areas- opd, ipd.

-Ot should be constructed in south- east of hospital -emergency private- wards, rooms, staff facilities .

-Doctors consulting room should be in north- east. - Clinical zone – consultants room, doctors room, radiology,

-Icu/ recovery rooms should be in north- east. diagnosis, mortuary.

-Toilets in west, labor room in south- west.

-Machines and equipments in south- east.

Thesis 2021 SOURCE: neufert

 2.0 LITERATURE STUDY - HOSPITAL 9.
2.8 PARKING 2.9 CIRCULATION
Parking can be provided in three ways- • Corridors must be designed for the
1. Short term parking maximum expected circulation flow.
2. Long term parking • Generally access corridors must be atleast 1.5m
3. Service core parking wide. Corridors in which patients will be tranported
Turning radius for car: on trolleys should have a minimum effective width of
Outer – 5m motorcycle – 1m 2 .2 5 m .
Inner – 3.5m ambulance - 6-9m • Main corridor - 3 m wide
• Medical services corridor- 1.5-2.25m wide
• The width of the access road shall be a minimum of 6 mtrs.
• Surveys corridor, delivery, storage areas-
• A turning Radius of 9 mtrs shall be provided for fire tender
3.5-4m wide ward corridor, intensive care-
movement.
2.3mwide
• Lift lobby- 4.5 m wide

Fig. no. 2.2 Fig. no. 2.3

Thesis 2021 SOURCE: neufert

 2.0 LITERATURE STUDY - HOSPITAL 10.
2.9 CIRCULATION

Fig. no. 2.4 Fig. no. 2.5 Fig. no. 2.6 Fig. no. 2.7

Fig. no. 2.8 Fig. no. 2.9 Fig. no. 2.10 Fig. no. 2.11
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 2.0 LITERATURE STUDY - HOSPITAL 11.
2.9 CIRCULATION
2.9.1 RAMP
Slope of ramp- not greater than 1:12 if ramps change direction at
landings the minimum landing size shall be 16” x 16”. Ramps shall have
non slip surface.

2.9.2 LIFT Fig. no. 2.8

Lift shaft entrance must be designed to

transport people, medicine ,laundary etc
clear dimension of lift car- 0.9m x 1.2 m
Shaft 1.25 x 1.50 m
Types of lifts in hospital:
• General passenger lifts
• Trolley/ stretcher lifts
• Bed lifts
• Goods lifts
• Service lifts
• Housekeeping lifts
GENERAL PASSENGER LIFT BED LIFT
• Doctors lifts Fig. no. 2.9 Fig. no. 2.10 Fig. no. 2.11

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 2.0 LITERATURE STUDY - HOSPITAL 12.
2.10 FIRE FIGHTING 2.11 HOSPITAL WASTE MANAGEMENT

Number of exits and escape routes required depends on

maximum number of people in the area under consideration.
• For 500 people- 2exits,For 1000 people- 3exits

• All exits should be free from obstruction.

• No exit doorway shall be less than 100cm in width and 200cm in
height.
• Adequate passage way & ramp ; clearance for fire fighting vehicles
to enter the hospital premises shall be provided. Fig. no. 2.11
• The set back area shall be minimum 4.5 mtrs.
• The roads shall not be terminated in dead ends.
• Basements shall be used for parking vehicles and shall be protected
with automatic sprinklers system.
• Each vent shall have cross – sectional area not less than 2.5% of
the floor area spread evenly round the perimeter of the basement.
• Clear headroom of minimum 2.4mtrs shall be provided for the
entire basement
• A minimum ceiling height of any basement shall be 0.9 mtrs and
maximum 1.2 mtrs above the average surrounding ground level.
Fig. no. 2.12
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 2.0 LITERATURE STUDY - HOSPITAL 13.

2.12 I.P.D

Ipd is nursing care intensive department. Patients who need

continuous nursing care are admitted to ipd in hospital.
It can be divided into 3 units –
- Normal care units- acute illness, short length of stay. For
general in patient care. Each nurse station should not
supervise more than 16-24 beds.
- Smallest size of bedroom is 10 sqm Fig. no. 2.13 Fig. no. 2.14
- For 2-3 bedrooms a minimum of 8 sqm per bed should be
given.
- Intensive care unit- beds are placed in open , closed or
combined arrangement. All the beds must be in clear view
of a central nurse station. Each station supervises 6-10
beds.
- Special care area – patients with special needs like new
born babies, people with infectious disease etc. with longer
stay wards, must have windows to give natural light.
Fig. no. 2.15

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 2.0 LITERATURE STUDY - HOSPITAL 14.
2.13 O.P.D

Opd has facilities for screening , counseling,

clinical examination, treatment.
Location: should be located adjacent to services
such as registration, medical records, admitting,
emergency and social services.
-Should be easily accessible from the
laboratories, radiology, pharmacy and physical
therapy departments.
2.14 EMERGENCY Fig. no. 2.15

-Primary role of emergency department is to deal with serious casulaities and accidents so Space requirement

it should be located on ground floor. -Reception- 150-250 sq.Ft

-It should be near opd. -Examination-100 sq.Ft
-Seperate emergency exit with minimum vehicle headroom 3.5m -Resuscitation room-400 sq.Ft

Functional spaces- -X-ray- 80 sq.Ft

- Lab-200sq.Ft
-Triage room -Treatment room -plaster room
-Minor ot- 350 sq.Ft
-Examination room - resuscitation room - surgical dressing room Fig. no. 2.16
-Recovery- 70 sq.Ft/bed
-observation room - supporting spaces

Thesis 2021 SOURCE: neufert

 2.0 LITERATURE STUDY - HOSPITAL 15.
COMPENDIUM OF NORMS OF DESIGNING OF HOSPITAL AND MEDICAL INSTITUTIONS
- Floor space for high dependency unit = 20 to 24 sqm per bed
2.15 AREA AND SPACE NORMS OF HOSPITAL
2.15.1 LAND AREA - Beds space = 7 sqm per bed

Minimum land area reqt. Are as follows; - Minimum distance between centres of two beds = 2.5m

Upto 100 beds = 0.25 - .5 hectare - Clearance at foot end of each bed = 1.2 m
2.15.3 ROOF HEIGHT
Upto 101 to 200 beds = .5 - 1 hectare
- The roof height should not be less than approximately 3.6m
500 beds and above = 6.5 hectare
2.16 FLOW CHART FOR EMERGENCY DEPT.
2.15.2 FACILITIES

- Operation theatre

a) one OT for every 50 general in patient beds

b) One OT for every 25 surgical beds.

- Icu beds = 5 to 10% of total beds.

- Floor space for each ICU bed = 25 to 30 sqm

- Floor space for paediatrics icu beds = 10 to 12 sqm per bed. Fig. no. 2.17

- Floor space hospital beds = 15 to 18 sqm per bed.

Thesis 2021 SOURCE: IPHS
 2.0 LITERATURE STUDY - HOSPITAL 16.
COMPENDIUM OF NORMS OF DESIGNING OF HOSPITAL AND MEDICAL INSTITUTIONS

2.17 PATIENT CONVENIENCES

Fig. no. 2.17

Thesis 2021 SOURCE: IPHS
 2.0 LITERATURE STUDY - HOSPITAL 17.
2.18 BED DISTRIBUTION FOR 250 BEDS

i. SURGERY AND ALLIED

- General surgery = 240 beds / 8 units
- Orthopaedics = 120 beds / 4 units
- Ophthalmology = 30 beds / 1 units

- E.N.T = 20 beds / 1 units

ii. GENERAL MEDICINE AND ALLIED
- General medicine = 240 beds / 8 units
- Paediatrics = 120 beds / 4 units
- T.B. = 30 beds / 1 units
- Dermatologist = 20 beds / 1 units

- Psychiatrist = 30 beds / 1 unit

iii. OBSTETRICS AND GAENACOLOGY

- Obstetrics and a.n.c = 90 beds / 3 units

- Gaenacology = 60 beds / 2 units

iv. DEPARTMENT OF EMERGENCY

- Emergency = 30 beds / 1 unit

30 beds = 1 unit Fig. no. 2.17

Thesis 2021 SOURCE: IPHS

 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 18.
3.1 INTRODUCTION:
SHARDA UNIVERSITY is a leading educational institution based out of greater
noida , delhi ncr . SHARDA UNIVERSITY – SCHOOL OF MEDICAL SCIENCES
AND RESEARCH is collocated with sharda university in greater noida
providing comprehensive facilities for teaching, research and patient care
along with co located with 900 bedded super speciality sharda hospital . the
hospital is functioning as an integral part of SMS & R and is , an state of the
art multi superspeciality hospital , offer medical care at par the global
excellence. And is equipped with all modern facilities and sophisticated
equipment. Fig. no. 3.1

3.2 LOCATION OF SHARDA: Medical college Sharda Hospital

Plot no.32 – 34 , knowledge park III,

Gautam budh nagar, Greater Noida,
Uttar Pradesh - 201306

3.3 HISTORY OF NOIDA:

Noida came into administrative existence on 17 April 1976 and celebrates 17
April as "Noida Day". It was set up as part of an urbanisation thrust during
the controversial Emergency period (1975–1977). The city was created
under the UP Industrial Area Development Act, 1976 by the initiatives of
Sanjay Gandhi. Fig. no. 3.2

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 19.
3.4 GEOGRAPHICAL FEATURES:
The soil is loamy and rich. It is located in the Gautam buddh nagar
district of uttar pradesh state india. Noida is about 25 km southeast
of new delhi , 20 km northwest of the district headquarters, greater
Noida and 457 km northwest of the state capitals , lucknow . It is
bound west and southwest by the Yamuna river, on the north and
northwest by the city of delhi , on the northeast by the cities of
delhi and Ghaziabad on the north-east , east and south-east by the
hindon river. Noida falls under the catchment area of the Yamuna
river, is located on the old river bed. The soil is rich and loamy.
Fig. no. 3.3

3.5 CLIMATE:
In summer (March to June), the weather remains hot and the
temperature ranges from a maximum of 48 °C to a minimum of
28 °C. Monsoon season prevails during mid-June to mid- September.
The cold waves from the Himalayas region make the winters in noida
chilly and harsh. Temperature fall to as low as 3 degree to 4 degree
celcius at the peak of winters . Noida also has fog and smog
problems. In January, a dense fog envelops the city , reducing
visibility on the streets. Fig. no. 3.4
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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 20.
3.6 DEMOGRAPHICS FEATURES:
. The literacy rate was 88.58 per cent. Male literacy was 92.90% and
female literacy was 83.28%.
There are people of almost all major religions, but the majority
practice Hinduism. Many famous Hindu temples are located in the
city, some of the more famous ones are the Hanuman temple in
Sector 22, the Kalibari Temple in Sector 26, the ISKCON temple in
Fig. no. 3.5
Sector 33, Shree Jagannath Temple in Sector 34, Sai Baba Temple in
Sector 61, Shiv Mandir in Sector 31, Shri Ram Mandir in Sector 36
and the Kuti Temple at Sec 163 Mohiyapur. A Shia Jama Masjid in
Sector 50 and St. Gregorios Indian Orthodox Church in Sector 51,
Mar Thoma Church in Sector 50 and St. Mary's Catholic Church in
Sector 34 are also well known.
Fig. no. 3.6
3.7 SITE BRIEF :
The building blocks are placed in such a way that it segregate the
users circulation means who want to go to university they never
interference with hospital users. Medical college and hospital are
places closed to each other and also connection with two bridges for Sharda university Sharda hospital
ease of college’s students.
Medical college Future expansion
Sea level – 200m
Parking Canteen
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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 21.
3.8 FORM, FUNCTIONS AND STRUCTURE:

3.8.1 APPROACH :
campus has three gates , one for university, one for medical
college, one for hospital. Hospital gate has separate vehicular
entry and pedestrian entry. Proper security posts are available at
three gates. Steel truss is also used to give optimum strength as
well as aesthetic look.
3.8.2 WIDTH OF ROAD :
The width of road is 12m . Stand for autorickshaw also available
on both sides of road.

3.8.3 WIDTH OF GATE :

The width of gate is also 12m in which two gates are for ENTRANCE GATE
pedestrian and two for vehicular movement. Fig. no. 3.7
3.8.4 WIDTH OF INTERNAL ROAD :
The width of internal main road is 12m . Internal road further
connected with parking . Parking has 6m long bay.

SECTION ELEVATION
Fig. no. 3.8 Fig. no. 3.9

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 22.
3.8 FORM, FUNCTIONS AND STRUCTURE:
3.8.5 PARKING :

Segregate parking in campus reduce chaotic crowd in campus for

smooth movement of vehicles in campus.

3.8.6 CONFIGURATION OF PATH :

Segregated configuration of path minimize obstructions in
circulation .
Fig. no. 3.10
Emergency parking Old I.p.d parking

O.p.d parking Future I.p.d parking

3
5

2 4

1
Fig. no. 3.11
7. Emergency site entry 7. Emergency entrance 1. Main entrance for campus 3. O.P.D entrance
8. Emergency parking 10. I.P.D entrance 2. O.P.D parking entrance 4. Hospital entrance
5. Restricted entrance for emergency Fig. no. 3.12
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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 23.
3.8 FORM, FUNCTIONS AND STRUCTURE:

3.8.7 ENTRANCE TYPOLOGY :

As we know there are three types of entrance are:
- Recessed entry
- Projected entry
- Flushed entry
but here both emergency and main gate entrance is projected
type entry . But emergency is not directly visible from main
gate. Main reception gate has coffered slab for extra strength Fig. no. 3.13 EMERGENCY ENTRANCE GATE
and aesthetic look.

VIP ENTRANCE Fig. no. 3.14 MAIN ENTRANCE GATE Fig. no. 3.15

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 24.
3.8 FORM, FUNCTIONS AND STRUCTURE:

3.8.8 ENTRANCE TYPOLOGY :

As we know there are three types of entrance are:
- Recessed entry
- Projected entry
- Flushed entry

MAIN ENTRANCE Fig. no. 3.16

VIP ENTRANCE Fig. no. 3.17 IPD ENTRANCE Fig. no. 3.18

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 25.
3.8 FORM, FUNCTIONS AND STRUCTURE:

3.8.9 FORMATION OF CIRCULAR SPACE :

- VEHICULAR MOVEMENT
- PEDESTRIAN MOVEMENT

Fig. no. 3.19

Fig. no. 3.20

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 26.
3.8 FORM, FUNCTIONS AND STRUCTURE:

3.8.10 SITE SERVICES :

3.8.10.1 WASTE SUPPLY
Size are:
Inspection chamber – 1200 x 1200
Man hole - 600 x 600
Gully trap - 450 x 450 Fig. no. 3.21 Fig. no. 3.22

3.8.10.2 FIRE SAFETY

Fire hose cabinets are located at certain distance. The diameter
of pipe is 230mm. Fire hose cabinet size is about 600 x 450 on
site.

3.8.10.3 BIO MEDICAL WASTE MANAGEMENT Fig. no. 3.23 Fig. no. 3.24

Yellow category contains human anatomical waste, soiled waste,

soiled linen & beddings, animal anatomical waste, blood
microbiology, clinical & laboratory waste. Red category contains
tublings , bottles , gloves even soiled , urine bags etc. Blue
category contains broken glass , medicine vials, contaminated
glass , metallic body implants etc. Black contains needles, blades
Fig. no. 3.25 Fig. no. 3.26
etc .
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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 27.
3.8 FORM, FUNCTIONS AND STRUCTURE:
3.8.10 SITE SERVICES :
3.8.10.4 ETP( EFFELUENT TREATMENT PLANT)
ETP is located behind emergency block wall far away from public
and near to oxygen tank.

Fig. no. 3.27 Fig. no. 3.28

3.8.10.5 GAS TANKS
These different types of tanks are placed at certain distance. Their
gas lines are reached to IPD, ICU and MAJOR OT’S.

Fig. no. 3.29 Fig. no. 3.30

3.8.10.6 FUTURE EXPANSION

One tower for cancer treatment is building on future expansion
site .

Fig. no. 3.31 Fig. no. 3.32

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 28.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.1 ENTRANCE
The hospital has wide entrance with coffered slab and four
circular column are used to support slab. The title of hospital is
written over slab. Cul de sac has proper turning radius for car.
The entrance reception has good interior and also mandir
there. Floor pattern is designed well and good. Entrance give
sense of grandeur .

Fig. no. 3.33

KEY PLAN

Fig. no. 3.34 Fig. no. 3.35 Fig. no. 3.36 Fig. no. 3.37
RECEPTION ENTRANCE VIEW MAIN ENTRANCE TOP VIEW EMERGENCY ENTRANCE MAIN ENTRANCE

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 29.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :
D
3.9.1.2 GROUND FLOOR
The building plan is divided into A,B,C,D,E
and F blocks.
A block – radiography
2
B block - emergency
C block - ortho and opthal 1 1
D block - obs and gynae
3
E block – reception
F block - Blood bank
3
OPD. Paediatrics 1 3
OPD. Opthalmology 2
OPD. Orthopedics 3 4
OPD. General medicine 4 4
OPD. General surgery 5 Fig. no. 3.38
5
Demo rooms D 4
Fire exits Fig. no. 3.39

Vertical circulation
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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 30.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.2 GROUND FLOOR

The building plan is divided into A,B,C,D

Fig. no. 3.41

Fig. no. 3.40

Fig. no. 3.42

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 31.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.2 GROUND FLOOR

EMERGENCY Fig. no. 3.44

Fig. no. 3.43

MAJOR OT Fig. no. 3.45

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 32.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL : 1

3.9.1.3 FIRST FLOOR 1

The building plan is divided into A,B,C,D,E
2
and F blocks.
A block – central labs.
B block - LDR section
C block - college administration
D block - ENT , Skin , STD ,TB and Chest
F block – Physiotherapy
LDR section 1
P.i.c.u. 2
Demo rooms D D

D
Fig. no. 3.46

D D
PATHOLOGY LAB Fig. no. 3.47 DEMO ROOM Fig. no. 3.48

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 33.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL : 1
1

CENTRAL LABS. Fig. no. 3.50

D
Fig. no. 3.49

D D
WAITING AREA Fig. no. 3.51

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 34.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL : 1
1

CENTRAL LABS.
Fig. no. 3.53

D
Fig. no. 3.52

D D
VERTICAL CIRCULATION Fig. no. 3.54

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 35.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL : 1
1

Fig. no. 3.56 FIRE EXIT STAIRCASE

D
Fig. no. 3.55

D D
Fig. no. 3.57 FIRE EXIT STAIRCASE
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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 36.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL : 1
1

Fig. no. 3.59 FIRE EXIT STAIRCASE

D
Fig. no. 3.58

D D
Fig. no. 3.60 FIRE EXIT STAIRCASE
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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 37.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.4 SECOND FLOOR

The building plan is divided into A,B,C,D,E
and F blocks.
A block – ENT+wards , psychiatry dept.
B block - OT complex
C block - OT complex
D block - ICU complex
F block – C.S.S.D
Fire exits
Vertical circulation

Fig. no. 3.61

Fig. no. 3.62 PSYCHIATRY DEPT.

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 38.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.4 SECOND FLOOR

Fig. no. 3.64 WAITING AREA

Fig. no. 3.63

NURSE STATION AND I.C.U Fig. no. 3.65

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 39.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.4 SECOND FLOOR

Fig. no. 3.67 ICU

Fig. no. 3.66

Fig. no. 3.68 MAJOR OT

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 40.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.4 SECOND FLOOR

Fig. no. 3.70 ICU

Fig. no. 3.69

Fig. no. 3.71 MAJOR OT

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 41.
3.9 BUILDING LEVEL:
1 1
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :
D
3.9.1.5 THIRD FLOOR
The building plan is divided into A,B,C,D,E
and F blocks.
A block – General wards
B block - General wards
C block - General wards 2
D block - General wards
D D
F block – Isolation wards
Fire exits
Vertical circulation
Demo rooms D
Surgery male wards 1
Fig. no. 3.72
Surgery female wards 2
D

Fig. no. 3.73

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 42.
3.9 BUILDING LEVEL:
1 1
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :
D
3.9.1.5 THIRD FLOOR

3M WIDE CORRIDOR Fig. no. 3.75 2

D D

GENERAL WARDS Fig. no. 3.76

Fig. no. 3.74

PROPER MARKING ON FLOORS Fig. no. 3.77

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 43.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.6 (TYPICAL FLOOR(4th , 5th and 6th )

The building plan is divided into A,B,C,D,E
and F blocks.
A block – General male wards
B block - General male wards
C block - Private wards
D block - General male wards
F block – Hall
Fire exits
Vertical circulation

Fig. no. 3.78

PRIVATE WARDS Fig. no. 3.79

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 44.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.7 ARCHITECTURAL EXPRESSION

Exposed brick is used on façade to keep building’s façade minimalistic . Use of tiles
on façade to break monotony in elevation . Fenestration are treat with aluminium
sections. Shafts are hide in elevation through elevation element.
Fig. no. 3.80
Coffered slab is used in slab of reception to give extra strength and give aesthetic
look. Vitrified tiles are used on floor to keep floor unslipry. Ceiling lights are used in
recessed part of coffered slab.

Fig. no. 3.81 Fig. no. 3.82

Good interior on reception entrance. Material used on special wall is gypsum.
Double height reception to give grandeur feeling.

Fig. no. 3.83 Fig. no. 3.84

Central Atrium is also architectural expression . Octagonal atrium is surrounded
by eight circular column. Fenestrations are provided above the atrium for
ventilation and light. And atrium is covered with fibre sheet.
Fig. no. 3.85 Fig. no. 3.86
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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 45.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.7 ARCHITECTURAL EXPRESSION

Granite is used on floor and staircase with two different colors . Railing has simple
design expression made mild steel and wooden hand rail. Nosing is also provide on
risers. Space under stringer used as storage purpose. Width of staircase is 2m. Two
landings are provided in staircase. Fig. no. 3.87

Partition wall design is match with floor pattern to keep symmetry in design. Floor
pattern is octagonal under registeration desk as followed octagonal atrium. The
partition wall made of mild steel and 19mm plywood.

Fig. no. 3.88

Six storeyed ramp build near f – block. This ramp can also be used as fire exit while
fire incident. Castellated bridge is connect hospital with medical college from third
and sixth floor.

Fig. no. 3.89 Fig. no. 3.90

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 46.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FORM AT BUILDING LEVEL :

3.9.1.8 VIEWS

Fig. no. 3.94 Fig. no. 3.97

Fig. no. 3.95 Fig. no. 3.96

Fig. no. 3.91 Fig. no. 3.92 Fig. no. 3.93

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 47.
3.9 BUILDING LEVEL:
3.9.1 UNDERSTANDING FUNCTION AT BUILDING LEVEL :

Fig. no. 3.98 Fig. no. 3.99 Fig. no. 3.100

Solar panels on roof AHU chiller on terrace floor Proper marking on floor for stretcher

Fig. no. 3.101 Fig. no. 3.102 Fig. no. 3.103

Expansion joint treatment on terrace Pipes for fire safety Gas plant

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 3.0 CASE STUDY : SHARDA HOSPITAL, GREATER NOIDA. 48.
3.10 INFERENCES: 3.10.2 NEGATIVE POINTS

3.10.1 POSITIVE POINTS • Attempt to create zone wise blocking but failed to proper
connection.
• signages provided.
• Special consideration for fire egress.
• Floor markings and proper space allocations for
trolley/stretcher/wheel chair parking.
• Central atrium easily accessible from all sides of building.
• Cores directly visible from the lobby • Excess entry/exit creates confusion and results in deployment
of increased manpower for the security of the patients as well
• waste handling is good
as creating confusion.
• Segregation and proper planning of areas such as
• If separate entry is provided for i.p.d. The should have been a
psychiatry ward, major ot’s,icu , emergency wards etc.
provision for separate admission and discharge unit.
• Good use of color scheme on floor, walls and counters.
• It would have been more useful if the separate entry for I.P.D
could be used for emergency LDR section and then that could
be vertically to the main LDR section.
• Emergency department though separate entry is provided but
Fig. no. 3.104 Fig. no. 3.105
eventually gets linked with the rest of hospital traffic.
• Resuscitation and triage should be located immediately after
emergency entrance but its not which also is a draw back.
• waiting arrangements for visitors is not good.
Fig. no. 3.106 Fig. no. 3.107
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 49.
FOURTH FLOOR INTER-RELATIONSHIP
4.1 INTRODUCTION GYNEAC
WARDS HOSPITAL ELEMENTS
• Multi speciality hospital and
Medical institute.
• Designed by ar. Gautum shah. THIRD FLOOR

Ahemdabad and nandi & associates, NEO-NATAL WARDS

MINOR O.T
Jalandhar.
• Construction company larsen and
Toubro. SECOND FLOOR
• Construction initiated on oct 2001.
LABOUR
• Elements : ROOMS O.T COMPLEX
Medical college
Hospital
Office building
Residential buildings FIRST FLOOR
Hostel
Auditorium MINOR O.T
OPD
Club house EMERGENCY WARDS
Animal house
DIAGNOSTICS
GROUND FLOOR AND
RADIOLOGY
EMERGENCY
Fig. no. 4.1
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 50.
4.2 LOCATION Pims has three
entrances:
• To emergency.

Fig. no. 4.5

• TO OPD.
Fig. no. 4.2 Fig. no. 4.3 Fig. no. 4.4
• It is located in the center of punjab ( ie. Jalandhar).
• It is in the close proximity with major cities like ludhiana, amritsar
Connected with national highway-1.
• Located in the heart of jalandhar city on garha road at walking
Distance
Fig. no. 4.6
From bus stand. • TO INSTITUTION AND HOSPITAL.
• Main approach road is 100 m wide.

4.3 SITE LAYOUT

4.3.1 External circulation
Fig. no. 4.8
• Main approach road is 30 m wide and internal roads are 12 m wide.
• 2.5 to 3 m wide pedestrian paths are provided along the approach
Road and internal roads. Fig. no. 4.7
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 51.
4.3 SITE LAYOUT

Hospital entrance
Emergency block/
o.T block

Parking OPD entrance

Emergency
entrance

Main road 100 ft wide

Pedestrian
entrance
Fig. no. 4.9
4.3.2 Service related to site
• Service roads and ramps are strategically placed Main entrance

Which do not hinders the main roads.

• Service ramps are made to approach the basement to
Service yard for the trucks to work properly in the
Space keeping in mind the turning radius and clear
Height. Fig. no. 4.10

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 52.
4.4 SITE LAYOUT

Separate doctor’s parking

for 40 cars.

Main parking lot next to

emergency/o.T block.

Parking for opd visitors. Fig. no. 4.13

Fig. no. 4.11

4.3.3 Parking
Fig. no. 4.12 Fig. no. 4.14
• The total car space for 460 cars for the visitors have been provided in the site.
Different parking space for emergency and staff is also provided.
• The parking and entrance porches are strategically placed and there is proper
Flow of the traffic. This makes the space user friendly and resulted in the worked
Out and efficient decisions.
• Separate parking for the embulance has been provided along the emergency
Entrance.
Fig. no. 4.15
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 53.
4.5 ZONING

• The complex spreaded over 56

Acres.
• The overall complex is divided
Into
two phases.

Phase – 1
Medical college and institute.
Total floor area = 90,000 sq. Mt.
Fig. no. 4.16
Phase – 2 Hospital
Residential flats, auditorium and
O.P.D
Hostel.
Service
Total floor area = 45.000 sq.Mt.
Office building
Parking
Playground
Fig. no. 4.15

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 54.
4.6 GROUND FLOOR
• Ground floor area : 22122.33 sq.M.
• Circulation : 3500 sq.M.
• Opd pavillion : 1100 sq.M.
• Blood bank : 230 sq.M. Fig. no. 4.17 Fig. no. 4.18 Fig. no. 4.19
Kitchen dinning Medical college Animal house
• 4 opd’s : 2300 sq.M.
• Each opd : 575 sq.M.
Com. Med
Ortho Auditorium
Dg set
Ramp

Fig. no. 4.20

X-ray
Psychiatric
Mri/ct scan
Lecture halls
Gen med
Pharmacy store
( 7.2 x 21 m )
Emergency
Family planning Opd entrance
Entrance Opd pavillion
Opd ( 35 x 28 m)
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 55.
4.6 GROUND FLOOR
• The ground floor is broadly divided into 4 parts :
1. Opd
2. Emergency block
3. Diagnostics block
4. Medical college
View of opd and reception
Area providing a grand look
Which creates an open
Environment without any sort of
suffocation in presence of large
no. Of people. Opd entrance
(35 x 28 m ).
Fig. no. 4.22 View of the cafeteria.
( 7m wide )

Fig. no. 4.21 Interior view of gallery.

Atrium 7.2 m wide.

Pharmacy store Fig. no. 4.23 Fig. no. 4.24 Fig. no. 4.25
( 7.2 x 21 m ) opposite View of hospital entrance.
To cafeteria. Expansion joints 14 m wide main entrance.
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 56.
4.7 FIRST FLOOR
•First floor area : 16009.66 sq.M.
• Circulation : 2800 sq.M.
• Icu : 495 sq.M.
• Emergency ward : 490 sq.M.
• 6 opd’s : 4000 sq.M. Fig. no. 4.26 Toilets Staircase Medical Psychology Fig. no. 4.28
College Fig. no. 4.27
• Minor ot : 600 sq.M.
Dental Auditorium
Surgical General
Wards Wards

Ramp

Opd

Fig. no. 4.29

Skin
Chest Opd
Emergency Opd Lecture halls
Wards
Ent Pedic

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 57.
4.7 FIRST FLOOR
First floor comprises of :
• Emergency icu’s ( 10 icu beds + support rooms ).
• Each icu bed is provided with space of 3 x 2.5 m area.
• Ot complex is isolated from icu and visitors.
• Ot contains 4 bed in number.
• The 2 ot’s are placed in 2.5 GRID i.E. Each ot of 7.2 x 7.2 m shares the Fig. no. 4.28
preparation, scrub and soil areas.
• The ward area is divided into 5 sections where each section is 5 bedded
in no.
With total intake of 25 persons at a time.
• The ot and icu are restricted areas where visitors are not allowed so.
Waiting

• 6 opd’s are placed at this floor :

1. Skin opd.
2. Surgical and eye.
Fig. no. 4.30
3. Ent opd.
4. Chest opd.
5. Dental opd.
6. Pediatric opd. EMERGENCY BLOCK PLAN
Fig. no. 4.29
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 58.
4.7 FIRST FLOOR

Fig. no. 4.32

Fig. no. 4.33

Reception aera
Fig. no. 4.31 (3x7.2 m).
Ward (6x6 m)

Fig. no. 4.35

Fig. no. 4.34

Corridor width 3.5 m TYPICAL SURGERY BLOCK PLAN Staircase Fig. no. 4.36
Width 2 m

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 59.
4.8 SECOND FLOOR
• Ground floor area : 16298.13 sq.M.
• Circulation : 2400 sq.M.
• Ot complex : 2100 sq.M.
• Minor ot : 500 sq.M. Toilets Staircase Library
• Recovery : 625 sq.M.
• Labour room : 350 sq.M.
Fig. no. 4.37
Recovery
Surgery
Ward

Ramp
Ot complex

Bio med
Lab medical Fig. no. 4.39
College
Lecture halls

Labour rooms Microbiology

Med lab college
Fig. no. 4.38

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 60.
4.8.1 INTERNAL CIRCULATION
4.8.1.1 Operation theatre circulation
• A main corridor runs through the whole complex connecting the various sections
Of the hospitals.
• Further main corridor divided into 3 parts :
1. Clean corridor
2. Sterile corridor
3. Dirty corridor
Fig. no. 4.40

DIRTY CORRIDOR Fig. no. 4.41

EMERGENCY BLOCK CORRIDOR
Fig. no. 4.45

OPD CORRIDOR
STERILE
CORRIDOR

CLEAN
CORRIDOR

BASEMENT
MAIN CORRIDOR CORRIDOR
Fig. no. 4.42 Fig. no. 4.43
Fig. no. 4.44
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 61.
4.9 THIRD FLOOR Fig. no. 4.47

• Ground floor area : 11411.21 sq.M.

• Circulation : 2400 sq.M.
• Paediatrics wards : 400 sq.M. Toilets Staircase Terrace
Library
•Neo-natal : 350 sq.M.
Recovery
Surgery
Terrace Ward

Ramp

Forensic med Fig. no. 4.48

Lab
Lecture halls

Neo-natal
Pharmacology
Med college
FIRE EXIT Fig. no. 4.46

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 62.
4.9 THIRD FLOOR
Fig. no. 4.49

VIEW OF PEDIATRIC
WARD. Fig. no. 4.51
View of skylights,placed
Above the atrium area,
From the corridor.

Waiting area and

Reception provided near
The circulation core.

Fig. no. 4.52

STAIRCASE.
Fig. no. 4.50 PAEDIATRIC SECTION
Fig. no. 4.53
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 63.
4.10 FOURTH FLOOR
• Ground floor area : 9896.21 sq.M. Terrace
Toilets Staircase
• Circulation : 2400 sq.M.
• Gynae wards : 400 sq.M.
• Dermatology : 350 sq.M.

Orthopedic
Ward

Ramp

Pathology Common med

Lab Lab Terrace
Gynec
Wards
Fig. no. 4.54
Dermatology

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 64.
4.11 BASEMENT FLOOR Gas supply

• All the major service areas were

In the basement :
Service ramp
• Receive store
• C.s.s.d
• Laundry
• Medical gases Incinerator
• Electric room Room

• Incinerator
• Boiler
• Water tanks
• AC plant. Parking area Fig. no. 4.55
• There was a separate entrance
Ramp for large trucks to enter
Service yard
• There were total 9 stairs leading BASEMENT PLAN
To different parts of building.
• The basement is interconnected to
All the STAIRS through the
Connecting corridors. Fig. no. 4.56 Fig. no. 4.57
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 65.
4.12 SERVICES 4.12.2 WATER SUPPLY SYSTEM
4.12.1 FIRE FIGHTING SYSTEM
• A r.o. Plant was there filteration of water and
• Over head tank for sprinkler system . Then supply it to special areas.
• diesel engine pump and electric • Fully automatic steam boilers are there for
• Fire sprinklers. Hot water supply.
• Underground static water tank for fire fighting
4.12.3 MEDICAL GAS SUPPLY SYSTEM
• wet riser hydrant system .
• Medical gases like oxygen and
Fig. no. 4.58 WATER TANK
• Type of false ceiling (metal false ceiling).
Fig. no. 4.61 Fig. no. 4.62 Nitrous oxide etc. Were supplied
Throughout the building
Through centralised supply
System..
• All equipment for gas supply
Fig. no. 4.59 GAS VALVE
Were present in each ward, ot,icu
SPRINKLERS FALSE CEILING
Etc.

SPRINKLER F.H.C GAS PIPES Fig. no. 4.60 GAS STORAGE ALARM
Fig. no. 4.63 Fig. no. 4.64 Fig. no. 4.65
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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 66.

4.12 SERVICES

4.12.4 PLUMPING SYSTEM

• Leak proof plumbing system to match the high quality standard system of the SEWAGE TREATMENT PLANT Fig. no. 4.66
Hospital building.
• Piping systems are planned to prevent the contamination hazards and are
located in the accessible pipe ducts to ensure easy access for repair and
Maintenance.
• Assured 24 hrs safe water is stored for uninterrupted water supply.

4.12.5 DRAINAGE SYSTEM Fig. no. 4.67 SEWAGE PIPES IN BASEMENT

• Sanitary drainage system are of cast iron pipes.

• The entire system is provided with traps and fully ventilated.
• Drainage lines from the kitchen, laundry, laboratory and special areas using
radioactive wastes have separate stream for pre –treatment / neutralization
before disposal in city sewage system.
• Separate rain water disposal system has been proved.
Fig. no. 4.68 FLOOR TRAPS IN BASEMENT

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 67.
4.13 LANDSCAPING

• Emphasis has been laid on the mix use of hard and soft areas for landscaping.
• Soft areas are in the form of small square boxes which has been formed in
Between hard areas having provision of a tree in the center along with
Uplighting. On one side of this box sitting is also provided which allow people to
Sit in open with a tree shading above them.
• Floor has been given a material difference ( washed concrete finish and stone ) Fig. no. 4.69
which sets the movement pattern of the space.
• All the electrical wires have been laid underground which prevents the state of
Chaos.
• In front of hospital entrance a water pool has been constructed which creates a
Soothing effect in summers.
• Provision of landscape courtyards has been provided along the wards which
Brings a lot of light inside the building and creates an effect of green space Fig. no. 4.70
Inside the building.

Fig. no. 4.73 Fig. no. 4.72 Fig. no. 4.71

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 68.
4.14 ARCHITECTURAL CHARACTERISTICS
Fig. no. 4.76
• The architectural form directly follows
The function with a very simple and
Straight line building façade.
• The façade is simple according to the
Fig. no. 4.74
planning of spaces, and no special efforts
have been incorporated to highlight the Fig. no. 4.77
Fig. no. 4.75
Form of the building.
• The front façade comprises of five floors
One above the other catering to the major
Functional areas of the hospital and
Medical college while the sixth floor has Fig. no. 4.78
Been recessed from the building line
Which comprises of the administrative
Office.
• Entrance lobby to the opd has a quarter-
Cylinderical form towards western side
Which is fully glazed which breaks the
Monotony but at the same time leads to
Sharp western glare in the evenings.

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 7.0 COMPARATIVE ANALYSIS. 69.

SHARDA HOSPITAL PIMS

Planning type radial type planning. Linear type planning

Emergency is not visible from main gate . Emergency easily visible from main gate.

Ramp can be used as fire exit. Ramp cannot be used as fire exit.

Fire exit staircases are placed very well at certain distance. Fire exit staircases are placed well but not at certain
distance.

Etp is placed near building block Etp is in basement.

Not good green spaces. Good green spaces are provided for patient.

Central lobby easily accessible from all side. Central lobby too far away from dead ends.

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 4.0 CASE STUDY : PUNJAB INSTITUTE OF MEDICAL AND SURGERY, JALANDHER. 69.
4.15 INFERENCES

POSITIVE

• Separate roads have been provided for opd block and emergency or o.T block which provide complete segregation of
traffic as per use.
• The total parking space for 450 cars for the visitors have been provided in the site. Different parking space for the
emergency and the staff are also provided.
• Service yard has been placed strategically with a direct access through a service lane which doesn’t hinder the flow of
traffic in the campus.
• There are total 9 stairs leading to different parts of the building and the basement is interconnected to all the stairs
through the connected corridors, so that the basement should approached from each and every part of the building easily.
• Excessive circulation space has been provided for the entrance lobby (1100sq.M) inspite of separate large waiting area for
individual opd’s.
NEGATIVE
• The cafeteria opening into the entrance lobby gives a look of a recreational area in a mall rather than that should be of a
hospital.
• Floor to ceiling height is 3 m with excessively low false ceiling for services.
• Labs on the second floor which are a part of medical college opening towards the atrium may cause rush as large no. Of
students leave the labs at the same time.

Thesis 2021
 5.0 VIRTUAL CASE STUDY : MEDANTA HOSPITAL,GURGAON . 70.
5.1 INTRODUCTION 5.1.1 MEDANTA HOSPITAL :
The Institute of Integrated Medical Sciences & Holistic
Therapies, Gurgaon is a landmark tertiary care health
MEDICITY-THE MEDANTA Hospital
destination promoted by a team of professionals. Other site
CLIENT: Global Healthcare Pvt. Ltd.
components include:-
DESIGN TEAM: PCJA Montreal, CANADA, Arcop
• Research institute - 7acres area,
Associates pvt.ltd.
• A guest house - 6 acres area,
CONSULTANTS: Spectral Services Consultants Pvt. Ltd.
• And support area office- 5acres area.
TOTAL SITE AREA 43 acres
• Provides clinical research, education and teaching—along
HOSPITAL PLOT 25acres
AREA: with medical care.
TOTAL BUILT –UP 133212.50sq.m 5.2 DESIGN CONCEPT:
AREA • The hospital has one rectangular plan block and two l-shaped
YEAR OF May 2009 block all the three blocks are connected to each other with
COMPLETION: some additional mass in the front side which breaks the
FAR: 2.5 monotones of the building.
HEIGHT 67m • The planning is based on making the zone like public, semi
GROUND 18911.00sq.m public for the clean circulation and hierarchy of zones is
COVERAGE:
maintained
TOTAL BED 1400 BEDS- INCLUDING 350 CRITICAL
CAPACITY BEDS, 20 O.T. • vertical planning concept due to confinement of land area.
PARKING 1406 CARS & 935 TWO WHEELERS • The main facade of the hospital is kept along the larger side
CAPACITY for the view of the building from the main road.
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 5.0 VIRTUAL CASE STUDY : MEDANTA HOSPITAL,GURGAON . 71.
5.3 SITE ANALYSIS 5.6 PARKING:
• Ground coverage –40% On Ground as well as in the Basement
• In case of the Medicity Hospital, the building SW side – SE side -
block is placed in the centre of the site after 117 Doctors car Parking and (P-1) Emergency area –
leaving setbacks as it is the core of the Medicity. 219 Public car Parking, (P-2) 70 car parking (P-4)
• The main building block has three entry points, 135 Two wheeler parking (P-3) 6 ambulance , 380 two wheeler(P-5)
one for outpatients, second for emergency and The basement parking
the third one is from OPD block to Emergency Basement -3 360 car parking , 420 two wheeler
block for clear circulation patterns. Basement-2 360 car parking , 420 two wheeler
5.4 ORIENTATION: Basement-1 280 car
• The building is placed along the NE orientation
to avoid SW and W glare for IPD block with gain
maximum south light for recovery. emergency PARKING 1
block - SE and SW direction. PARKING 5

• The hospital has a centralized air conditioning

system due to which the dependence on the PARKING 4 PARKING 2
natural ventilation become almost zero.
5.5 LANDSCAPING:

PARKING 3

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 5.0 VIRTUAL CASE STUDY : MEDANTA HOSPITAL,GURGAON . 72.
5.7 SITE PLAN

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 5.0 VIRTUAL CASE STUDY : MEDANTA HOSPITAL,GURGAON . 73.
5.8 FLOOR PLANS

5.8.1 LOWER GROUND FLOOR 5.8.2 UPPER GROUND FLOOR

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 5.0 VIRTUAL CASE STUDY : MEDANTA HOSPITAL,GURGAON . 74.
5.8 FLOOR PLANS

5.8.3 FIRST FLOOR 5.8.4 SECOND FLOOR

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 5.0 VIRTUAL CASE STUDY : MEDANTA HOSPITAL,GURGAON . 75.
5.8 FLOOR PLANS

5.8.5 THIRD FLOOR 5.8.6 FOURTH FLOOR

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 5.0 VIRTUAL CASE STUDY : MEDANTA HOSPITAL,GURGAON . 76.
5.8 FLOOR PLANS 5.9 SERVICES

• On site various services like bio dispose, sewer

treatment plant, gas store and the generators are
placed on the site on both sides i.E. On south-east
and south-west direction.
• The services in the hospital like gas pipe line. Fire
hydrant pipe lines, AHU pipe line and electric
supply are connected to all the rooms of the
hospital from the plant room lying in the
basement .
5.10 FIRE FIGHTING
• 3 Fire tanks of capacity = 1.67.000l are
provided.
• 6 Fire exits provided 2000mm wide along the
peripheral walls on every floor.
• For OPD, I fire exit is provided.
• The farthest distance of 28mts from any of the
IPD room.
• No confusion of staircase at mechanical floor
5.8.7 TYPICAL FLOOR PLAN TIL 14TH FLOOR as it opens in the lobby.

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 5.0 VIRTUAL CASE STUDY : MEDANTA HOSPITAL,GURGAON . 77.
5.11 VERTICAL CIRCULATION SECTIONS

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 5.0 VIRTUAL CASE STUDY : MEDANTA HOSPITAL,GURGAON . 78.
5.12 INFERENCE
Merits:
• Intricate planning in a single block with ample space for circulation.
• Orientation of the building is ne to avoid west glare for ipd blocks and allow ample south light.
• Separate entry for o.P.D., Staff & emergency building with space for ambulance.
• Separate waiting spaces have been provided for each consultation room.
• Ot - icu and opd- blood bank – emergency are located on same floor for the best usage .
• Emergency and ot are well connected to cssd through dirty utility and clean utility.
Demerits:
Provided Required
Common lift lobby for patients and visitors which create a chaos. Separate lift lobby should be provided for patients and
visitors.
6 number of lifts is not sufficient for OPD which is spread from 8-10 lifts are required with separate lift lobby.
2nd to 14th floor.
No ramp is provided in the building. Should be provided at a slope of 1:15 for patients.
Vitrified flooring is provided in OT complex which is not The flooring should be small floor tiles separated from
adequate. each other by copper strips or by joints of conductive
cement to improve conductivity.

No maternity wing is provided. Should be provided as it is in prime location serving huge

population.
No natural ventilation is provided. Should be provided in order to reduce the chances of
infection in hospitals.
Width of the corridors provided is 2.25m which is not adequate. Required width is 3m for easy circulation.

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 6.0 SITE ANALYSIS. 79.
6.1 INTRODUCTION

Govt. Medical college and hospital is going to develop

on land area measuring 30 acres. This development will be
done is in accordance with building byelaws of punjab and
will be developed as per the master plan of punjab.

6.2 SITE LOCATION

Raikot road backside dashmesh combine pvt. Ltd.,
Malerkotla, punjab.
Site Malerkotla
6.3 CLIMATIC CONDITIONS
- Warm and humid
- Minimum temperature – 2 degree
- Maximum temperature – 47 degree
- Average temperature - 25 degree
- Annual precipitation - 590 mm
- Prevailing wind direction - 8km/hr, north - west
6.4 SITE CONNECTIVITY
Proposed site is 3 km away from railway station, 3.3 km
from bus stand , 30 km from air port.
Air port Site

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 6.0 SITE ANALYSIS. 80.
6.5 DEMOGRAPHIC
As per provisional data of 2011 census malerkotla urban
agglomeration had a population of 135,330, out of which
males were 71,401 and females were 63,923. The literacy
rate was 70.25 per cent.

SITE APPROACH EXISTING OLD TREE EXISTING STRUCTURE

SITE VEGETATION SITE VEGETATION SITE

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 7.0 DESIGN CRITERIA 81.
7.1 FEATURES 7.2 BED DISTRIBUTION FOR 250 BEDS
Architecture style – minimalistic style i. SURGERY AND ALLIED
Material used on façade - exposed brick and concrete - General surgery = 240 beds / 8 units

Planning type - linear planning - Orthopaedics = 120 beds / 4 units

Building skin - use of vertical and horizontal louvers - Ophthalmology = 30 beds / 1 units

- E.N.T = 20 beds / 1 units

Use of plants on façade to control sunlight heat . Use of low voc ii. GENERAL MEDICINE AND ALLIED
colours. Use of rain water harvesting pits on site. - General medicine = 240 beds / 8 units
- Paediatrics = 120 beds / 4 units
- T.B. = 30 beds / 1 units
- Dermatologist = 20 beds / 1 units

- Psychiatrist = 30 beds / 1 unit

iii. OBSTETRICS AND GAENACOLOGY
- Obstetrics and a.n.c = 90 beds / 3 units

- Gaenacology = 60 beds / 2 units

iv. DEPARTMENT OF EMERGENCY

- Emergency = 30 beds / 1 unit

30 beds = 1 unit

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 8.0 BIBLIOGRAPHY 81.
BIBLIOGRAPHY

• BOOKS
NBC
NEUFERT
TIME SAVE STANDARD
IPHS ( INDIAN PUBLIC HEALTH STANDARD )
OTHERS HEALTHCARE MAGAZINES AND NEWSPAPER ARTICLES
NEW HEALTH FACILITIES, ARCHITECTURAL DESIGN, BY ARIAN MUSTAIDI, CARLES BROTOND JOSEPH

• WEBSITE

http:/ examrace.com
http//:www.google earth.co.in
http:// google2021

http://gbnagar.nic.in
http://workspacedrive.google.com

• DRAWINGS
m.s .satsangi & associates

Thesis 2021