1

// supervisory committee
// evaluation committee
DIRECTORATE OF HEALTH SERVICES,
GOVERNMENT OF GOA
NOTICE INVITING TENDER

TOWARDS

PROVISION OF MANAGEMENT OF CLINICAL AND DIAGNOSTIC

SERVICES AT SUB DISTRICT HOSPITAL, CHICALIM.
(E-TENDERING MODE ONLY)

SERVICE PROVIDER DIRECTOR

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PREAMBLE

Excellence in healthcare has always been the goal of Directorate of Health Services
(DHS), Goa. With this sole objective in mind, DHS has achieved significant
milestones while rendering quality healthcare to the citizens of the state. May it be
about being the first state to introduce New born baby screening, MMR vaccine or
reducing the IMR to single digit, DHS has always strived to provide the best
healthcare facilities to the citizens of the state.

DHS takes immense pride in its achievements in primary and secondary healthcare
which are comparable to international standards. However, at the same time DHS is
well aware of its limitations in extending tertiary healthcare facilities to the citizens of
the state. The Cottage hospital Chicalim, which is now upgraded to a Sub district
hospital is an example of the fact where primary and secondary healthcare is provided
to the citizens but the hospital is operating at 50% of its capacity due to limitations of
manpower and experts. Complete utilisation of the same demands that tertiary
healthcare facilities be extended to the same.

Limitations of infrastructure, manpower and expertise have often been a barrier to

upgrading a hospital to provide tertiary healthcare facilities. However, in todays era of
public private partnership (PPP) these limitations have become irrelevant. NITI Aayog
through various reports has advocated strongly for PPP in healthcare so as to leverage
capital, expertise and knowhow of private players in the sector.

Keeping in mind the same, DHS proposes to engage a private partner to strengthen
healthcare facilities in the hospital so as to provide comprehensive medical care to the
citizens of the state. Through this Expression of Interest, DHS aims to augment the
gaps in diagnostics, tertiary care and other clinical services so as to guarantee quality
health and wellbeing of the citizens of the state in line with the objectives of
Sustainable Development Goals.

Govt vision
status
Expectations from the agency

// Budget Provision- FAC to be enclosed while submitting the file of tender notice to
govt for administrative approval and concurrence from finance dept

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DEFINITIONS

Unless the context requires otherwise, the following capitalized terms and expressions
shall have the following meanings for the purpose of this Implementation Support
Contract:

ABPM-JAY shall refer to AYUSHMAN BHARAT - PRADHAN MANTRI JAN

AROGYA YOJANA managed and administered by the Ministry of Health and Family
Welfare, Government of India

AB PM-JAY Beneficiary Database refers to all AB PM-JAY Beneficiary Family

Units, as defined in Category under the deprivation criteria of D1, D2, D3, D4, D5 and
D7, Automatically Included category (viz as Households without shelter, Destitute-
living on alms, Manual Scavenger Families, Primitive Tribal Groups and Legally
released Bonded Labour) and 11 defined occupational un-organized workers (in
Urban Sector) of the Socio-Economic Caste Census (SECC) 2011 database of the
State / UT along with the existing RSBY Beneficiary Families not figuring in the
SECC Database of the Socio-Economic Caste Census (SECC) database which are
resident in the State of Goa.

AB PM-JAY Guidelines mean the guidelines issued by MoHFW / NHA from time to
time for the implementation of the AB PM-JAY, to the extent modified by the Tender
Documents pursuant to which the Implementation Support Contract has been entered
into; provided that MoHFW/ NHA or the State Health Agency may, from time to
time, amend or modify the AB PM-JAY Guidelines or issue new AB PM-JAY
Guidelines, which shall then be applicable to the ISA.

Annexure means an annexure to this Implementation Support Contract.

Appellate Authority shall mean the authority designated by the Government of Goa
which has the powers to accept and adjudicate on appeals by the aggrieved party
against the decisions of any Supervisory Committee set up pursuant to the
Implementation Support Contract between the DHS and the Service Provider.

Beneficiary means a member of the AB PM-JAY Beneficiary Family Units who is

eligible to avail benefits under the AYUSHMAN BHARAT - PRADHAN MANTRI
JAN AROGYA YOJANA.

Bid refers to the qualification and the financial bids submitted by an eligible Service
Provider pursuant to the release of this Tender Document as per the provisions laid
down in this Tender Document and all subsequent submissions made by the Bidder as
requested by the DHS for the purposes of evaluating the bid.

Bidder shall mean any eligible Service Provider which has submitted its bid in
response to this Tender released by the DHS.

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Claim means a claim that is received by the DHS from an Empaneled Health
Care Provider, either online or through alternate mechanism in absence of internet
connectivity.

Claim Payment means the payment of eligible Claim received by an Empanelled

Health Care Provider from the SHA in respect of benefits under the Risk Cover made
available to a Beneficiary.

Clause means a clause of this Implementation Support Contract.

Day Care Treatment means any Medical Treatment and/or Surgical Procedure which
is undertaken under general anesthesia or local anesthesia at SDH Chicalim in less
than 24 hours due to technological advancements, which would otherwise have
required Hospitalization.

Days mean and shall be interpreted as calendar days unless otherwise specified.

Fraud shall refer to, mean and include any intentional deception, manipulation of
facts and / or documents or misrepresentation made by a person or organization with
the knowledge that the deception could result in unauthorized financial or other
benefit to herself/himself or some other person or organization. It includes any act that
may constitute fraud under any applicable law in India. In addition to the above, any
act that is recognized by different provisions of the Indian Penal Code as fraud shall
be deemed to be fraud. Such acts may include but not be limited to (a) impersonation;
(b) counterfeiting; (c) misappropriation; (d) criminal breach of trust; (e) cheating; (f)
forgery; (g) falsification; and (h) concealment.

Hospital IT Infrastructure means the hardware and software to be installed at the

premises of SDH Chicalim for the provision of seamless transactions and services.

Hospitalization means any Medical Treatment or Surgical Procedure which requires

the patient to stay at the premises of SDH Chicalim for 24 hours or more including
day care treatment as defined above.

ICU or Intensive Care Unit means an identified section, ward or wing of an SDH
Chicalim which is under the constant supervision of dedicated Medical Practitioners
and which is specially equipped for the continuous monitoring and treatment of
patients who are in critical condition, require life support facilities and where the level
of care and supervision is considerably more sophisticated and intensive than in the
general ward.

OPD refers to part of the hospital with allotted physical facilities and medical and
other staffs, with regularly scheduled hours, to provide care for patients who are not
registered as inpatients.

Service Provider means the successful bidder which has been selected pursuant to
this bidding process and has agreed to the terms and conditions of the Tender

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Document and has signed the Contract for Management of Clinical and Diagnostic
service at SDH Chicalim with the State Government.

Law means all statutes, enactments, acts of legislature, laws, ordinances, rules, bye
laws, regulations, notifications, guidelines, policies, and orders of any statutory
authority or judgments of any court of India.

Material Misrepresentation shall mean an act of intentional hiding or fabrication of

a material fact which, if known to the other party, could have terminated, or
significantly altered the basis of a contract, deal, or transaction.

Medical Practitioner/Officer means a person who holds a valid registration from the
medical council of any state of India and is thereby entitled to practice medicine
within its jurisdiction, acting within the scope and jurisdiction of his/her license.

Medically Necessary Treatment shall mean any medical treatment, surgical

procedure, day-care treatment or follow-up care, which:
i is required for the medical management of the illness, disease or injury suffered
by the Beneficiary;
ii does not exceed the level of care necessary to provide safe, adequate and
appropriate medical care in scope, duration or intensity;
iii has been prescribed by a Medical Practitioner; and
iv Conforms to the professional standards widely accepted in international medical
practice or by the medical community in India.

Package Rate means the fixed maximum charges for a Medical Treatment or Surgical
Procedure or for any Follow-up Care that will be paid by the state government and
shall be determined by the government in accordance with the guidelines under
various schemes like DDSSY, PM-JAY, MPJAY. This shall be inclusive of Package
rates applicable for private patients referred by the SDH Chicalim to the Service
Provider.

Patient refers to a person receiving medical treatment from a Doctor or a hospital.

Private/Paying Patient refers to those patients who choose to pay for their treatment
directly rather than using any insurance scheme or a referral from any government
hospital in the state of Goa

Revenue to include total receivables by the Service provider from government, semi
government, Insurance companies, Corporations, Private Patients (IPD & OPD),
Radiology, Pathology and other charges being levelled against the activities conducted
in the Sub-District Hospital, Chicalim.

Selected Bidder/ Service Provider shall mean the successful bidder which has been
selected in the bid exercise and has agreed to the terms and conditions of the Tender

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Document and has signed the Contract for management of clinical and diagnostic
services of SDH Chicalim with the State Government.

Successful Bidder shall mean the bidder whose bid document is responsive, which
has been pre-qualified and whose financial bid is the highest among all the shortlisted
and with whom the State Government intends to select and sign the Contract for
management of clinical and diagnostic services of SDH Chicalim

State Government refers to the duly elected Government in the State of Goa .

1.1 Interpretation

a Any grammatical form of a defined term herein shall have the same meaning as
that of such term.
b Any reference to an agreement, contract, instrument or other document herein shall
be to such agreement, instrument or other document as amended, varied,
supplemented, modified or suspended at the time of such reference.
c Any reference to an "agreement" includes any undertaking, deed, agreement and
legally enforceable arrangement, whether in writing and a reference to a document
includes an agreement (so defined) in writing and any certificate, notice,
instrument and document of any kind.
d Any reference to a statutory provision shall include such provision as modified or
re-enacted or consolidated from time to time.
e Terms and expressions denoting the singular shall include the plural and vice
versa.
f Any reference to "persons" denotes natural persons, partnerships, firms,
companies, corporations, joint ventures, trusts, associations, organizations or other
entities (in each case, whether or not incorporated and whether or not having a
separate legal entity).
g The term "including" shall always mean "including, without limitation", for the
purposes of this Contract.
h The terms "herein", "hereof", "hereinafter", "hereto", "hereunder" and words of
similar import refer to this Tender as a whole.
i Headings are used for convenience only and shall not affect the interpretation
of this Contract.
j The Schedules and Annexures to this Contract form an integral part of this
Contract and will be in full force and effect as though they were expressly set out
in the body of this Contract.
k References to Recitals, Clauses, Schedules or Annexures in this Contract shall,
except where the context otherwise requires, be deemed to be references to
Recitals, Clauses, Schedules and Annexures of or to this Contract.
l References to any date or time of day are to Indian Standard Time.

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m Any reference to day shall mean a reference to a calendar day.

n Any reference to a month shall mean a reference to a calendar month.
o Any reference to any period commencing from a specified day or date and till or
until a specified day or date shall include both such days and dates.
p Any agreement, consent, approval, authorization, notice, communication,
information or report required under or pursuant to this Contract from or by any
Party shall be valid and effectual only if it is in writing under the hands of a duly
authorized representative of such Party.
q The provisions of the Clauses, the Schedules and the Annexures of this Contract
shall be interpreted in such a manner that will ensure that there is no inconsistency
in interpretation between the intent expressed in the Clauses, the Schedules and the
Annexures. In the event of any inconsistency between the Clauses, the Schedules
and the Annexures, the Clauses shall prevail over the Schedules and the
Annexures.
r The rule of construction, if any, that an agreement should be interpreted against the
Party responsible for the drafting and preparation thereof shall not apply to this
Contract.

SERVICE PROVIDER DIRECTOR

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INDEX

Name of Work: MANAGEMENT OF CLINICAL AND DIAGNOSTIC

SERVICES AT SUB DISTRICT HOSPITAL, CHICALIM.

Sr. No. Description Page no.

1. Tender Notice
2. Qualifying Technical Bid
3. Bidder to submit information
4. Eligibility conditions of contract
5. Terms & conditions of contract
6. Price Bid
7. Financial Bid

This Tender Document contains 1- XX pages as detailed above

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DIRECTORATE OF HEALTH SERVICES, CAMPAL PANAJI GOA

URL: www.goaenividha.goa.gov.in or www.tenderwizard.com/GOA
Email: [email protected] / Special Cell Section, DHS
[email protected]
Telephone No.2225646/2225668/2225540
_______________________________________________________________

NOTICE INVITING TENDER (N.I.T.) TOWARDS

MANAGEMENT OF CLINICAL AND DIAGNOSTIC SERVICES AT SUB
DISTRICT HOSPITAL, CHICALIM.
(E-TENDERING MODE ONLY)

NIT NO. DHS/SpCell/TENDER/ Dated:

The Director, Directorate of Health Services, Campal Panaji on behalf of the

Governor of Goa, invites tenders through e-tender mode for under taking
Management of Clinical and Diagnostic Services at SUB DISTRICT HOSPITAL,
CHICALIM from well-established and reputed agency or a consortium having
relevant experience in the field of undertaking Management of Clinical and
Diagnostic Services.
No Brief Description E.M.D. Cost of tender Tender period
(Refundable document processing Fee of
to non- (non- (non- Contr
successful refundable) (in refundable) (in act
bidders) (in Rs.) Rs.)
Rs.)
Management of Clinical and
Diagnostic Services.

2,00,000.00 15,000.00 1,500.00 33

1
years

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2 Date & Time for i) Last date of online SUBMISSION for tender
document is upto 5.00 p.m.
application and
submission of tender
document.

3 Date of opening of online at 11:00 a.m. in the office of the

Technical Bid Directorate of Health services, Campal-Panaji-Goa.
4 Date of opening of online Will be communicated later.
Financial Bid
5 Availability & Submission of For detailed tender notice, please visit our e-tender
Tender Documents website “www. goaenividha.gov.in,
ww.tenderwizard.com/GOA

The bidders are requested to examine all instructions,

forms, terms, requirements & other information in the
tender documents. Failure to furnish all information
required as mentioned in the tender documents or
submission of a proposal not substantially responsive
to the tender documents in every respect will be at the
Bidders risk & may result in rejection of the proposal &
forfeiture of the bid
6 Registration of Vendors The vendors/interested parties are required to get
registered with www.tenderwizard.com/GOA.
The intending bidder must have a valid digital
signature to submit the bid.

7 Cost of Tender Mode of Payment towards Tender Document Fee,

Document/Processing Fee & Processing Fee & Earnest Money Deposit to be paid online
Earnest Money Deposit through e-payment mode via:
NEFT/RTGS/OTC/debit card/credit card facility /net banking
with pre-printed challans available on e-tendering website
and directly credit the amount to ITG account as generated
by challans for NEFT/RTGS/OTC.
Tender Document, EMD & Tender Processing Fee in the
form of cheque/Demand Draft will not be accepted.
Tenders which are not accompanied (e-payment/deposit
proof) will not be considered unless accompanied by
necessary exemption certificates issued by Govt. of Goa.
Note: Any payments made through NEFT/RTGS/OTC will
take 24 hrs for reconciliation. Hence the payments through
NEFT/RTGS/OTC should be made atleast TWO BANK
WORKING DAYS in advance before any due date and
upload the scanned copy of the challans in the e-tender
website as a token of payment.

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QUALIFYING/ TECHNICAL BID (scan and upload)

1) Due date & Time of online
tender submission. upto pm
2) Submission of hard copy of
technical bid to Directorate of upto am
Health Services, Campal Panaji
3) Details of assignment
(Presentation Copy)
4) Earnest Money Deposit Rs. 2,00,000/- (Rupees two lakhs
only)
By electronic mode only
COMPANY PROFILE
5) Name of the Company
a) Head Office/Registered office
b) Complete Postal Address of
the Head Office
c) Complete Postal Address of
the Local Office
d) Name & Designation of the
Contact Person
e) Tel/Mobile No (S)
f) Fax No. (S) & Email Address
6) Year of commencement of
business .
7) Registration No
8) Trade License No.
9) PAN No.
10) RPFC- Registration No.
11) ESIC Registration No.
12) Service Tax Registration and
GST Registration No.
13) Total Turnover (min Rs.5 cr.)
a) FY 2016-2017
b) FY 2017-2018
c) FY 2018-2019
14) Labour License for staff (one As per Annexure - II

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single license.)
15) Estimated Revenue for the next As per Annexure - I
3 years
16) Equipment specifications As per Annexure- III

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List of hospitals managed and details of services provided in Goa (Please attach
additional sheets, if necessary).

The information provided by you will facilitate evaluation of your Qualifying

/Technical bid

Name of the hospital Phone No (s) & Period From - to Services provided
and address Fax No(s)

1. Enclose performance certificate of at least 2 clients as per point 8 of stage – I.

2. Enclose Audited Balance Sheet/Profit and Loss Account for last 3 years.

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GENERAL INSTRUCTION TO THE BIDDER

The bidder must submit an envelope containing the following documents:

 The fully completed “Form of Bid‟;

 A covering letter along with all related documents;
 A sealed envelope labeled “Technical Proposal” which contain all related documentation;
 A sealed envelope labelled “Financial Proposal” which contains all related documentation.

Failure of submission of any of the above-stated documents will lead to the bid being
declared not responsive.

Documents to be submitted

Bidder to submit/attach following information :

SN PARTICULARS Page No.

1 Name of the agency/company with postal address,
telephone & Fax no of head office
2 Name of the Company with local address, telephone & Fax
No
3 Name & Designation of Contact person with telephone no.

4 Year of commencement

5 Attested copy of Provident fund Certificate Registration

6 Attested copy of ESIC Registration

7 Balance Sheet FY 2016-2017

8 Balance Sheet FY 2017-2018

9 Balance Sheet FY 2018-2019

10 Proof of Sole proprietor/partnership firm or a Company

having existence for minimum five years.
11 Attested copy of ISO 9001:2008 certificate valid as on the
date of submission of Bid is prefer able
12 Attested copy of PAN No.

13 Attested copy of service Tax Registration and GST

Registration

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14 Earnest Money Deposit of Rs. 2,00,000/- to be paid by

electronic mode only. Scan copy to be uploaded to e-tender
web site. Payment of EMD in any other form of bank
draft/DD will not be accepted.
15 The bidder should have minimum Annual turnover of Rs.
500.00 lakhs in each of the last three years i.e. 2016-17, 17-
18 & 18-19.
Audited Balance Sheet along with Certificate from
Chartered Accountant clearly showing the turnover.
16 The bidder should submit a copy of Labour License- one
single license. (Copy of relevant certificate is to be
attached).

17 Proof of incorporation of the company, viz. of MOA and

AOA (in case of Pvt. Ltd. company) Partnership Deed (in
case of partnership firm), or Registration Deed (in case of
Sole proprietor ship) – (copy to be attached)
18 The bidder should have minimum 5 years’ experience of
providing similar services in management of clinical and
diagnostic services.

Evaluation of Tender

(i) The qualifying / technical bid shall be opened in the presence of their
representatives on mentioned date and time at Directorate of Health
services, Campal-Panaji-Goa.

(ii) The Directorate of Health Services reserve the right to select the tendered
on the basis of best possible bids received.

(iii) The tender will be evaluated on the basis of techno-commercial parameters

as given below.

Eligibility Conditions

Stage I:

The following documents duly attested shall have to be submitted failing which the
tender will be rejected.

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1. The bidder can be sole proprietor, partnership firm or a Company and the
bidder should be registered with EPF Office & ESIC Office and
2. In case a consortium or a partnership firm participating in the bid, the Service
Provider would be required to authorise One firm (Two firms in case the
partners are more than 5) as the bidder who has to fulfil the eligibility
criteria given for the Service provider.

// should have been registered under Goa Medical Practitioners Act, 2004/
Directorate of Health Services for minimum five years. The Medical
Practitioners have to be registered under Goa Medical Council and the staff
nurses have to be registered under INC. Proof of Certificate to be notarized and
furnished.

3. A copy of ISO 9001: 2015 & NABH certificate valid as on the date of
submission of Bid is preferable.
4. A copy of PAN No, Service Tax Registration to be furnished.
5. Earnest Money Deposit of Rs. 2,00,000/- by electronic mode only.
6. The bidder should have average Annual turnover of Rs. 500.00 lakhs in last
three years i.e. 2016-17, 2017-18 & 2018-19. Audited Balance Sheet along
with Certificate from Chartered Accountant clearly showing the turnover,
should be attached as per the attached format.
7. Proof of incorporation of the company, viz, of MOA and AOA ((in case of Pvt.
Ltd. company) Partnership Deed (in case of partner – ship firm), or
Registration Deed (in case of Sole proprietorship) – (copy to be attached).
8. The bidder should have minimum five years’ experience of providing similar
services in clinical and diagnostics services. Experience certificate of such
employers/ clients to be attached giving details of the nature of the various jobs
executed/currently being executed. Non fulfilment of the above criteria will
disqualify the bidder.
9. All the technical bid documents are required to be scanned and uploaded to e-
tender website.
10. “The bidder should submit GST Registration Certificate”
11. The scoring for the Technical bid will be done based on the criteria mentioned
in Annexure IV

Stage – II ----
1. Financial Bid will be opened of those Tenderers who are Successful in Stage –
I.
2. The scoring for the Financial bid will be done based on the criteria mentioned
in Annexure IV

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TERMS & CONDITIONS

1. The prescribed filled-in Tender Documents Consisting of Qualifying /

Technical Bid; may be placed in an envelope super scribed “Qualifying /
Technical Bid”. For “TENDER FOR MANAGEMENT OF CLINICAL
AND DIAGNOSTIC SERVICES AT SUB DISTRICT HOSPITAL
CHICALIM”. All the above mentioned envelopes may be addressed to the
Director, Directorate of Health Services, Campal-Panaji, Goa. On each of the
aforesaid envelopes, the bidder shall also give name & complete postal address
of the firm. This big size envelope may be dropped in a Tender Box at the
above mentioned address. No Tender shall be accepted after prescribed due
date and time.

The Qualifying /Technical bid shall submit EMD by electronic mode only. The
decision of the Directorate of Health Services in this regards shall be final.
Only those bidders, who qualify in Technical bids in all respects, will be
considered for evaluation.

All the documents and Offer will have to be uploaded and submitted as per the
E-tendering requirement. Hard copies of the technical bid in SPIRALLY
BOUND AND DULY NUMBERED PAGES INDICATING THE
CORRESPONDING DOCUMENT IN THE INDEX PROVIDED should reach
this office on or before due date. Non spiral bound hard copies will not be
accepted. Financial bids shall not be submitted as a hard copy and need to
be uploaded online only.

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2. Only those formats as given in the Tender Documents should be used. All
sheets need to be submitted after affixing seal of the agency/ consortium and
signature of the authorized signatory. Additional sheets, duly authenticated,
may be attached to provide specifications or clarify specific issues. Alterations,
if any, in the tender document should be attested properly by the bidder, failing
which the tender will be rejected.

3. Any conditions / terms given in the bid by bidders on their own shall not be
binding on the Directorate of Health Services, Campal. All the terms &
conditions will be as given herein and no change in any terms or conditions by
the bidders will be acceptable.

4. Photocopies of the documents duly attested as mentioned in stage – I which

are required for verification in Qualifying / Technical bid have to be submitted
by the bidding firms along with the Qualifying / Technical Bid failing which
the DHS, Campal will have the right to reject the bid.

5. Bidder is requested to visit the site and get acquainted with the conditions of
the services required to be provided.

6. In case acknowledgement or receipt of tender is desired (applicable only to

Tenders sent through post), it should be sent under Registered Post with an
acknowledgement due card.

7. The Directorate does not take any responsibility for the tender being wrongly
opened before the due date, if those are not sent in the manner prescribed by
the Directorate or misplaced in transit or not received in the Directorate by the
stipulated date and time.

8. Tenders not strictly in accordance with the Terms and conditions as given in
the Tender Documents are liable to be rejected.

9. The bidder should not have been blacklisted by any State/Central Government
Organisation.

10. Canvassing in any form will be viewed seriously and if any bidder is found to
be resorting to such practices, the tender of such firm will be rejected and the
decision of the Directorate in this regard will be final

11. Tender (s) shall be liable to be rejected if the requisite information sought in
the Tender Document is not filled up properly and correctly in the manner
specified above.
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12. The Director reserves the right to accept or reject any or all tenders received by
it without assigning any reason what-so-ever.

13. Selected bidder would be required to enter into agreement with the Directorate.
The Letter of Award of the Contract and Terms & Conditions contained in this
Tender Document shall collectively form part of the agreement.

14. The agency will provide uniforms and Photo I-Cards to all Personnel deployed
at sites. It will be the responsibility of the agency to ensure that all its staff at
the Directorate’s office report for duty in proper uniform and also display their
identity cards.

15. The agency shall be responsible for conduct and behaviour of the staff
deployed by it at the hospital premises. Any loss or damage to the premises
movable or immovable property due to the conduct of the Service Provider’s
staff shall be made good by the Service Provider. The value of the loss will be
decided by the Directorate based on accounting principles/ market value. The
decision by the Directorate in this regard will be final and binding on the
agency.

16. If found that the conduct or efficiency of any person employed by the Service
Provider is unsatisfactory, the Service Provider shall have to remove the
concerned person and provide a substitute within 10 days of intimation by
hospitals. The decision of the Director in this regard shall be final and binding
on the agency.

17. The workers employed by the Contracting agency shall be directly under the
supervision, control and employment of the Service Provider and they shall
have no direct connection what-so-ever with the Directorate of Health Services.
The Directorate of Health Services shall have no obligation to control or
supervise such workers or take any action against them, except as permissible
under the law. Such workers shall also not have any claim against The
Directorate of Health Services for employment or regularization of their
services by virtue of being employed by the Contracting Agency against any
temporary / permanent posts in DHS. But DHS will have right to supervise the
services and quality of services given by the agency.

18. The bidder must supply the minimum staff as per the requirement and must be
in a position to execute the job with the highest standards.

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19. (i) The successful bidder/Service Provider, on acceptance of the tender by the
Government shall within the period of 60 days from the stipulated date of start
of the work sign the agreement as required by Directorate of Health Services.
ii) the Service Provider or service provided should sign the agreement on a
stamp paper of Rs. 1000/-. The cost of which is to be borne by the Service
Provider/service provide. iii). start atleast 40% of the mandatory services
within 6 months of signing of the agreement.

20. The Consultants must be residing within a radius of 8km from the hospital and
should be available on call whenever required.

21. The Service Provider must provide 24x7 coverage of the hospital with Doctors
with minimum MBBS qualification

22. The Service Provider must provide 24x7 anaesthesia coverage

23. Staff Nurses should have BSc Nursing/ GNM as minimum qualification.

24. Electricity, water and Rent free space to accommodate 60 beds and space to
house the ancillary services within the premises will be provided by SDH
Chicalim.

25. The Service Provider has to incur all costs, relating to medicines, consumables,
food served for the patients. S/he has to ensure proper sanitation/ hygienic
conditions in food preparation and service.

26. Housekeeping and security of the assigned areas to be done by the Service
Provider/ service provider

27. Separate Registration counter to be provided for the registration of private

paying patients. Registration desk will have the facility to swap the cards under
DDSSY, MPJAY, PMJAY

The Service Provider/ service provider shall:

28. give daily report on DDSSY, MPJAY, PMJAY patients

29. ensure that s/he has a valid trade license and also submit a copy of the same to
DHS and renew it periodically on its own cost
30. Provide list of all its personnel scheduled to work in the premises of the
hospital. Bidder shall be responsible for statutory compliances, payment of
ESI, PF & Bonus as per current state laws.

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31. The Service Provider should agree that it is liable and responsible for and
undertakes to pay wages not less than the minimum wages, allowances, and
other benefits due and payable under the various applicable statutes/
regulations to the personnel employed by the bidder on the said services.
32. Shall abide by all the necessary provisions of various other Labour Laws/ Acts
viz. ESI/Bonus, Workman’s Compensation and any other laws and rules
applicable in this regard.
33. Be responsible for verifying the antecedents of the persons deployed by him by
police verification and will keep attendance and the other relevant records at its
cost and will produce these on demand on any authority.
34. Ensure that he provides the employees prescribed neat and clean uniform
according to season and give badges to its employees with their name and
designation at his own cost and ensure that they wear the same.
35. Accommodation for the worker has to be provided by the Service Provider at
his own cost.
36. Should become NABH accredited within 18 months of signing of MoU.
[Undertaking Annexure]
37. shall observe sound management practices, and employ appropriate advanced
technology and safe and effective equipment, machinery, materials and
methods
38. shall be financially sound
39. Segregation, transport and disposal of biomedical waste shall be the sole
responsibility of the Service Provider. Noncompliance would lead to penalty as
per the provisions of Biomedical Waste Management Rules 2016
40. Records to be made available for inspection on demand to Director, DHS or his
representative.
41. The Service Provider shall not sublet the facility to any third party
42. In the situation of outsourcing of any services, for eg. Housekeeping, security
etc, the Service Provider should ensure that the concerned agency adheres to all
the rules and regulations of the prevailing acts.
43. Shall submit revenue estimate for the next 3 years in the format given in
Annexure I

AWARD OF CONTRACT

Evaluation of bidder for arriving at H1 rates-

1. Technical bid score of 50 marks (out of 70) shall be the qualifying score to be
considered for the bid
2. Proposals will finally be ranked according to their combined technical (Tb) and
financial (Cb) scores as follows:
Bb = Tb + (0.3) x ( Cb / Cmax *100)
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Where,
Bb = overall combined score of bidder under consideration (calculated up to
two decimal points)
Tb = Technical score of the bidder under consideration
Cb = Financial bid value of the bidder under consideration
Cmax = Maximum financial bid value among the financial proposals under
consideration
3. The Selected Applicant shall be the Applicant having the highest combined
score. The second highest Applicant shall be kept in reserve and may be invited
in its discretion for negotiations in case the first-ranked Applicant withdraws,
or fails to comply with the requirements specified.
4. In case of a tie, preference will be given to the person whose Cb value is
higher.

TERMS AND CONDITIONS FOR PAYMENTS

PAYMENT FROM GOVERNMENT TO THE AGENCY: PATIENTS

REGISTERING UNDER GOVERNMENT REGSITRATION DESK

“ The Payment of monthly service charges to the Service Provider shall be made upon
submission of monthly bills after the scrutiny and certification of works by the
Medical Superintendent/ Health Officer of the respective units based on the criteria
and grading of the work” as per the terms and conditions of DDSSY, PM-JAY,
MPJAY

1. For patients enrolled under DDSSY scheme, the agency shall not charge the
patients. The government shall make those payments to the agency as per the
prevailing package rates under the DDSSY scheme for Category A hospital.
2. For patients enrolled under PM-JAY scheme, the agency shall not charge the
patients. The government shall make those payments to the agency as per the
prevailing package rates under the PM-JAY scheme.
3. For patients enrolled under MPJAY scheme, the agency shall not charge the
patients. The government shall make those payments to the agency as per the
prevailing package rates under the MPJAY scheme. The Agency with the

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support of government authority shall be required to ensure that the hospital is

empanelled under MPJAY.
4. For the patients with valid Goan residency proof, for services not covered
under the above three schemes, the patient shall be charged based on the rates
approved as under the Annexure V

PAYMENT TO BE CHARGED BY THE AGENCY: PATIENTS REGISTERING

UNDER GOVERNMENT REGSITRATION DESK

1. For patients enrolled under DDSSY scheme, the agency shall not charge for the
services offered to the patients for the procedures offered under the DDSSY
scheme.
2. For patients enrolled under PM-JAY scheme, the agency shall not charge for the
services offered to the patients for the procedures offered under the PM-JAY
scheme.
3. For patients enrolled under MPJAY scheme, the agency shall not charge for the
services offered to the patients for the procedures offered under the MPJAY
scheme.
4. Other than the above services, if the patient wishes to avail any services from the
private player they can do so by paying the charges as applicable.

PAYMENT FROM THE AGENCY TO THE GOVERNMENT

1. The agency shall be required to share the quoted percentage of the total
revenue with the government.
2. The payment has to be made by the 10th day of the month following each
quarter. For eg. If the first quarter will be from 1st January 2020 to 31st March
2020 and the payment for the first quarter shall be made on or before 10th April
of the same calendar year.
3. Non payment of the above shall attract an interest of 8% per annum on the due
amount.

COMPLIANCE OF STATUTORY OBLIGATIONS

19. The contracting agency will be required to comply with all statutory
obligations from time to time emanating from this contract, such as (i) payment
of wages as per Minimum Wages in force from time to time; (ii) contributions
towards employees provident fund; (iii) contributions towards ESIC; (iv)
Service Tax/ GST or any other statutory/ mandatory requirement from time to
time.
SERVICE PROVIDER DIRECTOR
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20. In the event of violation of any contractual or statutory obligations by the

Contracting agency, the agency shall be fully and solely responsible for the
same. Further, in the event of any action, claim, damages, suit initiated against
the Directorate by any individual agency or Government authority due to acts
of the contracting agency, the agency shall be liable to make good/ compensate
such claims or damages to the Directorate. As a result of the acts of the Service
Provider, if the Directorate is required to pay any damages to any individual,
agency or Government authority, the agency would be required to reimburse to
the Directorate such amount along with other expenses incurred by the
Directorate or the Directorate reserves the right to recover such amount from
the payment (s) due to the agency while settling its bills OR from the amount
of security deposit of the Service Provider lying with the Directorate.

WAGES TO BE PAID TO STAFF BY THE AGENCY

21. The contracting agency will be required to make payment of wages to the staff
provided by it as per minimum wages force from time to time as per the
prevailing acts.

22. The contracting agency will ensure payment of wages to the staff deployed by
seventh day of every month, irrespective of the fact whether the payment of
its bill submitted to DHS has been released by the Directorate or not by that
date. If seventh day of a particular month happens to be a holiday, the agency
may be required to make payment of wages to its staff on a working day prior
to the seventh day of such month.

PENALTY FOR POOR OR INSUFFICIENT SERVICES

23. The contracting agency would be expected to maintain high standards of

quality in cleanliness services in the entire office as per details given in the
Tender document. It would also be required to maintain adequate stock of
consumables, medicines and other essential items needed for the services to be
provided. The Directorate’s office designated officers or nominated
supervisory committee members may make surprise checks from time to time
to ascertain the quality of service being provided. Any serious lapse noticed by
the said officers/ committee members would attract minimum penalty of Rs.
10,000/- in the first instance. On recurrence of such lapses, the Directorate may
impose a penalty, as may be decided by the competent authority/ authorities or
take appropriate necessary action against the contracting agency, including
termination of the contract. Such decision(s) of the Directorate shall be binding
on the contracting agency.
SERVICE PROVIDER DIRECTOR
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SECURITY DEPOSIT

25. The successful bidder will be required to submit to the Directorate demand
draft Fixed Deposit Receipt (in original) made in favour of DIRECTORATE
OF HEALTH SERVICES for a sum of 5% of the annual expected revenue as
Performance Security. The Fixed Deposit Receipt, renewed from time to time,
will be retained by the Directorate for the entire period of the contract and on
termination of the contract; the Directorate will refund to the Service Provider
the full security amount along with interest accrued thereon during the entire
period of the contract. Alternately a Bank Guarantee may also be submitted as
specified by the Directorate of the specified value.

26. If the contract is terminated by the Service Provider without giving stipulated
period of notice or fails to observe the terms & conditions of the Tender, letter
of Award for the Contract and the agreement signed by the Service Provider
with the Directorate, the Security Deposit will be forfeited out right and
Directorate reserves the right to proceed against the agency for any additional
damages that the Directorate suffers as a result of breach of the aforesaid terms
& condition.

27. If the Service Provider/bidder fails to furnish the security deposit within 21
days of letter of acceptance, the Directorate of Health Services shall without
prejudice to any other right or remedy be at a liberty to forfeit the said EMD
absolutely.

PERIOD OF CONTRACT
28. The period of contract is for thirty three years subject to the satisfactory
performance and services of the Contracting agency which will be evaluated in
the first six months of the operations. In the event that the Directorate finds the
Service Provider not suitable / not satisfactory the Directorate reserves the right
to terminate the contract without giving any notice.
29. the validity of the contract shall be initially for a period of 33 years as per the
terms and conditions of the tender document and subject to production of
satisfactory completion of the services by the service provider duly certified by
the Directorate of Health Services can be renewable for the further period of
33 years.
30. During the period of contract after every 5 years the Service Provider will be
required to hike the share of revenue by 5% of the agreed to percentage share
of revenue at the time of signing of the agreement
SERVICE PROVIDER DIRECTOR
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TERMINATION OF THE CONTRACT

30. During the validity of the Agreement, the DHS will be free to terminate the
Agreement for unsatisfactory performance by providing 6 months advance
notice of termination, in case of violation of any terms and conditions of the
Agreement and non-adherence to service standards, scope etc. Similarly, the
Bidder, if he so desires, will be free to terminate the Agreement by providing
90 days of advance notice and shall not be liable for any compensation.
31. If the Successful Service Provider with-draws or the services provided by the
successful Service Provider are not found satisfactory (say in month or so)
during the probationary period of three months from the date of
commencement of the contract, DHS reserves the right to terminate the
contract without giving any notice and initiate appropriate necessary action in
the matter for making alternate arrangements.
32. In case of termination of the contract, the equipment brought in by the agency
shall be transferred to the government.

TERMS OF PAYMENT

“ The Payment of monthly service charges to the Service Provider shall be made upon
submission of monthly bills along with the certification of works by the Medical
Superintendent/ Health Officer of the respective units based on the criteria and
grading of the work” as per the terms and conditions of DDSSY, PMJAY, MPJAY

JURISDICTION

Any dispute arising out of this tender shall be under the jurisdiction of Estate officer
of the Directorate.

SCOPE OF WORK

SPACE TO BE GIVEN BY THE GOVERNMENT TO THE PARTY

1. Total number of beds allotted to the private partner would be 60. Additional
beds, if required, will be made available depending on the occupancy.
2. Space will be provided for the ancillary services in the annex building.

SERVICES TO BE PROVIDED BY THE PARTY

1. Mandatory Services
SERVICE PROVIDER DIRECTOR
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a. ICCU
b. Fully Equipped Operation Theatre
c. Anaesthesia Coverage 24x7
d. Radiology
e. Orthopaedics with joint replacement surgeries, Arthroscopy
f. Paediatrics
g. Ophthalmology with surgery
h. ENT
i. Dermatology
j. Urology with Surgical Intervention
k. Laparoscopic Gynaecology and Obstetrics Surgeries
l. Pathological Laboratory
m. 24x7 Pharmacy

2. Additional Services
a. Neurology and Neurological Surgery
b. Endoscopy with related procedures
c. IVF
d. Laparoscopic and general surgeries
e. Burns unit
f. Plastic Surgeries
3. Registration Services
The Service Provider must provide for separate registration facilities for their OPD
and in-patients.

4. OPD
OPDs for the mandatory services have to be provided by the Service Provider will
be conducted in the assigned OPD block. Additional services, if any, may be also
be provided by the Service Provider in the assigned OPD blocks.
The service provider will Annex the schedule***

5. OT Services

The number of available OTs are two and services will be shared by the clinicians
from the government and the private provider.

Likewise the Labor rooms and casualties will be shared

OT services will be used for emergency in consultation with the Medical

Superintendent, Sub District Hospital Chicalim

Schedule for the planned surgeries will be Annexed*** [shared 7 days in advance
with SDH Chicalim authorities]

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6. HMIS

The Hospital Management Information System should include collecting,

collationg and reporting data on real-time basis. The application will generate
reports, in predefined format, at periodic intervals, as decided between government
and agency.
Also agency should ensure that details of all transactions, real time, financial,
clinical and administrative data analytics access be made available on monitoring
portal and access should be made available to government for monitoring at
department level.

7. Referrals

Referral to other institutions shall be audited at regular intervals. (monthly)

8. Cross Referrals

No cross referrals are allowed to any of the hospitals in the city if services are
available at Sub District Hospital Chicalim

9. Ambulance

The private provider is required to provide ambulance services.

10. National Health Program

The Service Provider will be required to implement the National Health Programs

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Annexure I

Projected Fixed Cost Estimate

S. Type of Expenditure No. of People Cost per month Cost per

No. annum
1. Manpower
2. Administrative
3. Marketing
4. Equipment
5. Outsourced Services
6. Waste management
7. Other services
Total Fixed Cost

Projected Variable Cost Estimate

S. Type of Cost per Bed days Cost per Cost per

No. Expenditure bed per day per month month annum
1. Linen
2. Food & Beverage
3. Napkins & Towels
4. Consumables
Total variable cost

Projected Total Cost Summary

S. No Type of Expenditure Cost per month Cost per annum

1. Fixed Cost
2. Variable Cost
3. Total cost per month
4. Total cost per annum
5. No. of bed days per month
6. Total cost per bed day per
month

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Projected revenue summary

S. No. Type of revenue No. of No. of Monthly Annual

beds Days cost cost
A. Revenue from beds
General ward
Semi private room
Private room
Deluxe room
ICU
Sub-total

B. Revenue from
other sources

Sub-total
C. Total Revenue per
month
D. Total Revenue per
annum

S. No. Particulars Number Cost

1. Total no. of available beds 60
2. Average Occupancy per day
(Expected)
3. Actual no. of occupied beds per day
4. Total no. of bed days per month
Breakup of No. of beds
General ward
Semi private room
Private room
Deluxe room
ICU
Bed charges per day
General ward
Semi private room
Private room
Deluxe room

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Annexure II

LABOUR/OTHER COMPONENT
SN Category of Staff No. of Qualifications Type of
Staff services
Manpower:

Staff Nurse:

Reception:

Registration & billing:

Accounts:

RMO:

Administrative Staff:

Ayas:

Housekeeping:

Security:

Technician:

Electrician:

Electrical Engineer:

Biomedical Engineer:

Physiotherapist:

Cafeteria:

Laundry:

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Annexure III

EQUIPMENT
SN Unit Equipment
details
ICCU:

Operation Theatre:

Laparoscopic Instruments:

Radiology:

Dentistry:

Digital x ray:

Ultrasonography:

Ophthalmology:

Pathological Laboratory:

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ANNEXURE IV

SCORING

1. Technical bid will carry 70 marks

2. Financial bid to carry 30 marks

Evaluation Technical Bid

S. Type of Marks Service wise breakup Marks breakup

No. Service Allotted
(70)
1. Clinical 30 ICCU 4
Services
Fully Equipped 6
Operation
Theatre
Anaesthesia Coverage 24x7 4

Orthopaedics with joint 3

replacement surgeries,
Arthroscopy

Paediatrics 2
Ophthalmology with 2
surgery

ENT 1
Dermatology 1
Urology with 2
Surgical
Intervention

Laparoscopic Gynec and 2

Obst Surgeries
Neurology and 0.5
Neurological
Surgery

Endoscopy with 0.5

related
procedures
IVF 0.5

Laparoscopic and 0.5

general surgeries
Burns unit 0.5

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Plastic Surgeries 0.5

2. Administration 1 NABH 1
3. Diagnostic 25 Pathology 3
Services Radiology 8
Equipment 14
4. Pharmacy 2
5. Ambulance 2
6. Presentation 10

1. The bidder is must score at least 50 marks (out of 70 ) in the technical score to
qualify for the opening of financial bid

Financial Bid

1. The bidder shall submit the quote of the percentage of the revenue that he will
be sharing with the Directorate of Health Services.
2. The above quote shall not be below 5%***
3. The highest financial bid value will score 100% marks
4. The remaining quotes shall be considered in the percentile of the highest quote.

Combined and Final Evaluation

Proposals will finally be ranked according to their combined technical (Tb) and
financial (Cb) scores as follows:

Bb = Tb + (0.3) x ( Cb / Cmax *100)

Where,

Bb = overall combined score of bidder under consideration (calculated up to two

decimal points)

Tb = Technical score of the bidder under consideration

Cb = Financial bid value of the bidder under consideration

Cmax = Maximum financial bid value among the financial proposals under
consideration

The final evaluation shall be done by the Committee constituted for the purpose.

The Selected Applicant shall be the Applicant having the highest combined score. The
second highest Applicant shall be kept in reserve and may be invited in its discretion
SERVICE PROVIDER DIRECTOR
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for negotiations in case the first-ranked Applicant withdraws, or fails to comply with
the requirements specified.

In case of a tie, preference will be given to the person whose Cb value is higher.

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ANNEXURE V

Proposed Rate Chart

Consultant Fee Rates

General Ward 300
Semi Private 400
Private Room 500
ICU 700
OPD 400

Emergency visit will be charged at rate of Rs.1000/-

WARDS RATE PER DAY

General Ward 950
Semi Private Room 1350
Private Room 1950
ICU 3750

WARDS MINOR MAJOR SUPRA-MAJOR

General Ward 5000 8000 12000
Semi Private Room 8000 11000 17000
Private Room 10000 15000 20000
ICU 12000 17000 25000
OPD 6000 NA NA

OT charges : 30% of Surgeon fees.

Anesthetist Fees: 30% of Surgeon fees.

Above rates will NOT BE APPLICABLE for the Patients with DDSSY / PMJY
Card and for those referred from SDH, Chicalim.

Rates for Xray/USG

XRAY CHEST 500

XRAY AP/LAT 600
USG ABDOMEN 800
USG PELVIS 800
USG BREAST 750
USG TESTES 800
DOPPLER 1400
RENAL 1500

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Rates for CT

CT SCAN BRAIN 2300

CT AORTOGRAM 7500
+ THORACIC/ABDOMEN
CT SCAN UPPER ABDOMEN PLAIN 4000
HRCT CHEST 4000
CT PELVIS WITH BOTH HIPS 4000
CT RENAL ANGIO 6000
CT KNEE JOINT 4000
CT LONG BONES 6000

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Bidder’s Undertaking

[On letterhead of the Bidder]

From
[Name of Bidder]
[Address of Bidder]

Date: [insert date], 202X

To
________________
________________
________________

Dear Madam/Sir,

Subject: Undertaking Regarding Compliance with Terms of Management of

clinical and diagnostic services, Sub District Hospital, Chicalim

I, [insert name] designated as [insert title] at [insert location] of [insert name of

Bidder] and being the authorized signatory for and on behalf of the Bidder, do hereby
declare and undertake that we have read the Tender Documents for award of
Management of clinical and diagnostic services at Sub District Hospital, Chicalim.

We hereby undertake and explicitly agree that if we are selected as the Successful
Bidder, we shall adhere to and unconditionally comply with the terms as set out in the
Tender Notice and the final agreement.

Dated this day of , 202X

(Signature)
…………………….(insert name of the authorized signatory)
In the capacity of [position]
Duly authorized to sign this Bid for and on behalf of [name of Bidder]

SERVICE PROVIDER DIRECTOR

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Financial Bid

[On letterhead of the Bidder]

From
[insert name of Bidder]
[insert address of Bidder]

Date: [insert date], 202X

To
________________
________________
________________

Dear Madam / Sir,

Subject: Financial Bid for the Management of clinical and diagnostic services at
Sub District Hospital, Chicalim.

With reference to your Tender Documents dated (Insert Date) we, [insert name of
Bidder], wish to submit our Financial Bid for the award of the Contract(s) for the
Management of clinical and diagnostic services at Sub District Hospital, Chicalim in
the State/UT of ………………/ UT [insert name of the State/UT]. Our details have
been set out in our Qualification Bid.

1. We hereby submit our Financial Bid, which is unconditional and unqualified. We

have examined the Tender Documents, including all the Addenda.

2. We acknowledge that the Directorate of Health Services will be relying on the

information provided by us in the Financial Bid for evaluation and comparison of
Financial Bids received from the Eligible Bidders and for the selection of the
Successful Bidder for the award of the Management of clinical and diagnostic
services at Sub District Hospital, Chicalim in the State/UT of ……... [insert name
of the State/UT]. We certify that all information provided in the Financial Bid is
true and correct. Nothing has been omitted which renders such information
misleading and all documents accompanying our Financial Bid are true copies of
their respective originals.

SERVICE PROVIDER DIRECTOR

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3. We shall make available to the Directorate of Health Services any clarification it

may find necessary or require to supplement or authenticate the Financial Bid.

4. We acknowledge the right of the Directorate of Health Services to reject our

Financial Bid or not to select us as the Successful Bidder, without assigning any
reason or otherwise and we hereby waive, to the fullest extent permitted by
applicable laws, our right to challenge the same on any account whatsoever.

5. We hereby acknowledge and confirm that all the undertakings and declarations
made by us in our Qualification Bid are true, correct and accurate as on the date of
opening of our Financial Bid

6. We acknowledge and declare that the Directorate of Health Services is not obliged
to return the Financial Bid or any part thereof or any information provided along
with the Financial Bid, other than in accordance with the provisions set out in the
Tender Document.

7. We undertake that if there is any change in facts or circumstances during the

Bidding Process which may render us liable to disqualification in accordance with
the terms of the Tender Documents, we shall advise the Directorate of Health
Services of the same immediately.

SERVICE PROVIDER DIRECTOR

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DIRECTORATE OF HEALTH SERVICES

Campal – Panaji, Goa
URL: www.etender.goa.gov.in or www.tenderwizard.com/GOA
Email: [email protected]
Telephone Phone: 2225646/2225668/2225540
Project: Providing Clinical & Diagnostic Services
Sub District Hospital Chicalim,
(E-Tender Mode only)

E-Tender Notification No: DHS/Sp.Cell/TENDER/ Dated:

SUMMARY FINANCIAL BID FOR Revenue Sharing (Quarterly)

Name of the bidder:

S. No LOCATION % Revenue Share

1. Sub District Hospital Chicalim

Evaluation of Technical Bid

Sr. No Type of services Marks
1. ICCU
2. Fully Equipped Operation
Theatre

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3. Anesthesia Coverage 24x 7

4. Radiology
5. Orthopaedics with Joint
replacement surgeries,
Arthroscopy
6. Paediatrics
7. Ophthalmology with surgery
8. ENT
9. Dermatology
10. Urology with Surgical
Intervention
11. Laparoscopic Gynec and Obst
Surgeries
12. Pathological Laboratory
13. 24x7 Pharmacy
Total Marks

SERVICE PROVIDER DIRECTOR