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Annual Report

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Annual Report

 

_______________________________

Rao Tula Ram Memorial Hospital

Govt. of NCT of Delhi

Jaffarpur, New Delhi-110073

Tel: 25318444; email: msrtrmh[at]gmail[dot]com

1. Introduction:

Rao Tula Ram Memorial Hospital, located at Village Jaffarpur in South-west District of Delhi is one of the five peripheral hospitals envisaged in early eighties to reduce overcrowding in larger central hospitals and to provide secondary health care to the citizen nearer to their place of residence.

The Hospital Cell of Directorate of Health Services GNCTD oversaw its plan and construction. It prepared the manpower and equipment plans and got approval of the EFC of Delhi Govt. RTRM Hospital. The hospital was constructed through PWD and started functioning as a Polyclinic in 1989. The Indoor services with 25 beds came up in 1995 and four years, in 1999, all 100 beds were commissioned. Being a rural hospital and due to scarcity of water in the area, hospital faced lots of operational difficulties, shortage of manpower and its services functioned only during day time. Since 2006, this hospital is functioning directly under the Health & FW Dept. and the financial powers of MS enhanced to that of HOD.

2. Some Statistical data about South-West District:

Geographical area 420 sq. Km.
No. of Assembly constituencies 7
Number of villages 88
Number of slums 58
No of resettlement colonies 10
No of unauthorized colonies 80
Total population 22.9 Lakhs (Census 2011)
Population: Sex ratio 836 (Census 2011)
Decadal growth rate 30.62% (Census 2011)
Density per square km 5445 (Census report 2011)
Literacy rate 88.81 % (Census 2011)

3. Organizational Structure:

4. Details of Existing Services at RTRM Hospital:

a. Specialties: Medicine, Surgery, Anesthesia, Radiology, Pediatrics, Orthopedics, Pathology, Obstetrics & Gynecology, Microbiology, Bio-Chemistry, Forensic Medicine & Dermatology, Dental Services.

b. Hospital Services:

  1. OPD with Physiotherapy, Occupational Therapy and a new separate MCH wing for RCH and other family welfare services
  2. Indoor (100 beds)
  3. Operation Theatres (Main, Gynae and Emergency)
  4. Delivery room
  5. Casualty and Emergency
  6. Support Services like MRD, Pharmacy, Laboratory, Radiology, Blood storage, Mortuary, Ambulance, Stores
  7. Outsources Ancillary services: CSSD, Laundry, HKS, Security, Kitchen and Computerized OPD/Emergency Registration

C. Note on Services:

  1. All services except OPD and USG are running round the clock.
  2. Sunday Clinics are held for senior citizen.
  3. NCD clinics are held 5days in a week on Monday to Friday.
  4. AYUSH dispensaries are functioning in RTRMH.
  5. HRD and Training: A state of Art Seminar Room through NRHM Funds is being used for holding training workshops for hospital as well as for IDHS (SWD). Hospital provides technical and infrastructural support.
  6. HICC (Hospital Infection Control Committee), Bio Medical Waste Management system is functioning and Hospital is managing its waste as per rules. STP is installed and functioning.
  7. Water: R.O. plant with installed capacity of 1000 KL per day is functioning in the hospital.
  8. Other Services: Help desk for senior citizen.

5. Hospital Performance data for the year 2021-22 to 2025-26:

Areas of the Hospital Number of cases in Year 2021-22 Number of cases in Year 2022-23 Number of cases in Year 2023-24 Number of cases in Year 2024-25 Number of cases in Year 2025-26
OPD 283087 355861 379781 333259 316632
IPD 9079 10913 11141 6062 9405
Laboratory Tests 481224 673215 670365 607847 552505
Operations 962 3155 10171 8404 9480
Casualty Registrations 98029 137152 140615 127359 119092
Deliveries 2391 2498 2886 2334 2341
Postmortems 359 351 360 388 420
X-Rays 29005 49434 46431 45891 46840
Ultrasound 5 5 0 0 0
ECG 14605 19611 20411 17947 17400
Tubal Ligation 85 62 67 78 67
Non-Scalpel Vasectomies 6 7 5 02 0

6. Staff Strength: As on 18/03/2026

Category Sanctioned filled
Doctors 111 95
Nursing staff 98 93
Pharmacist 8 6
Other paramedical staff 48 22
Ministerial staff including officers 38 30
Ancillary Staff 117 31
Total 420 277

7. Budget for 2026-27:

A:  Revenue – Rs. 90.57 Crores

B:  Capital -- Rs.60 Crores

Total -- Rs.150.57 Crores

This Outlay covers expenditure on Medicine/Consumables, Machinery and Equipment, Office expenditure and Salary of the staff

8. Facilities available:

  1. (A) Multi-specialty OPD: Timings Monday to Friday: 8:00 AM to 2:00 PM  

                                                                                  Saturday: 8:00 AM to 1:00 PM 

Medicine Monday to Saturday Room No. 4, 20
Pediatrics Monday to Saturday 18,19
Gynecology & Obstetrics Monday to Saturday New Porta Cabin Block
Eye Monday to Saturday 01
ENT Monday to Saturday 16
Dental Monday to Saturday 3 B
Surgery Monday to Saturday 08,10
Dermatology (Skin) Monday to Saturday 11
Physiotherapy/Occ. Therapy Monday to Saturday 41
Orthopedics Monday to Saturday 92

(B) Special Clinics:

Clinic Day Room No.
Cancer Clinic Fri 8
Antenatal Clinic Monday to Saturday New Porta Cabin Block
Leprosy Clinic Monday to Saturday 11
STD Clinic Monday to Saturday 11
Chest Clinic Monday to Saturday 6
NCD Clinic Monday to Friday 4, 20
Senior Citizen Clinic Sunday 4
Immunization clinic Monday to Saturday 18, 19

(C) Diagnostic Services and User Charges:

Services Charges Room No.
Laboratory Free 33-35
X-ray Free 30
Ultrasound Free 30
ECG Free 31
Audiometry Free 15
Colour Doppler Free 30

 

(D) Laboratory: Laboratory is divided into three sub-divisions viz. Pathology, Microbiology and Biochemistry. Besides routine investigations it also carries out FNAC and PAP Smears.

Sample collection time: Monday to Friday-8:00 AM to 12:00 Noon; Saturday- 8:00 AM to 11:00 AM

(E) Physiotherapy & Occupational therapy services are also available in the hospital by qualified physiotherapist.

(F) Indoor Services: There are four wards on two floors of Indoor block with 25 beds in each. The following facilities are available in IPD:-

  1. Drinking water facility at each floor.
  2. Patient info display system has been installed to give the proper information required.
  3. Public redressal system to improve the patient care.
  4. Air conditioner facility has been installed in all wards.
  5. Laying of tiles of all wards for better patient care.
  6. Dietary services have improved for indoor patients.

The department wise bed strength is as follows:-

Department Bed Strength*
Medicine 17
Pediatrics 26
Surgery 10
Obs & Gynecology 31
Orthopedics 09
Otorhinolaryngology (ENT) 03
Ophthalmology 04
Total 100

Note: The bed division is not rigid and some flexibility is permitted in need. There is a make shift nursery with 8 cribs/incubators under Pediatrics but is not included in the bed complement.

(G) Casualty Services: - 24-hours casualty services are available in the hospital with specialist backup, X-ray, Lab investigations, ECG. Total of 10 beds are available in Casualty block. There is an Emergency Operation Theater working round the clock in casualty block. Medico-legal services are also available under five police stations of south-west Distt. of Delhi Police.

(H) Ambulance Services: 24 hours ambulance service is available to shift serious patients to higher centers.

(I) Family welfare:-Separate space provided for family welfare services in the port cabin. Contraceptive counseling, distribution of condoms, oral contraceptive pills, emergency pills and copper T insertions are done on all working days. Tubal ligations by Laparoscope & Mini Lap are done in Gynae OT on Monday, Wednesday & Friday. NSV is carried out in a separate OT on all days. The department is participating in all the initiatives under NRHM e.g. JSY, JSSK & IYCF etc.

(J) Operation Theatre Service: There are 3 Operation Theatres available in the hospital. Operation theatre is well equipped for advance surgeries.

i) Main OT: It is equipped to handle all types of cases in the disciplines of General Surgery, Orthopedics, Eye and ENT.

ii) Gynae OT: It is equipped to handle all types of cases of Routine and Emergency Surgeries in Gynae and Obstetrics including abdominal and vaginal hysterectomies, Ovarian cystectomy. Facilities like Tubal ligations, MTP, D&C, and LSCS are being performed routinely.

(iii) Emergency OT Room: It is equipped to handle emergency surgeries in various disciplines.

(K) Labor Room (Delivery Facilities): The delivery room services are operational round the clock in Ward No. 1.

(L) Nursery: A small make-shift Nursery is operational round the clock also in ward no. 1 in the ward block with 8 cribs/incubators providing Level 1 & Level 2 neonatal care.

(M) Mortuary: Hospital provides mortuary services round the clock and post-mortem services between 9 AM to 4PM as and when requested by the police.

9. Hospital Infection Control Committee:

The Hospital Infection Control Committee was formed in the year 2011 for the first time in RTRM Hospital under the chairmanship of MS and HOO as Co-Chairman, Specialist Microbiology as Member Secretary along with in-charges of various Department, ANS and HICC Nurse.

The Committee looks after issues regarding hospital infection control, patient safety and other related issues. Daily rounds are carried out to ensure sanitation & hygiene to prevent infections. Regular training and teaching programs of Medical, Paramedical and other staff e.g. waste handlers and Nursing Orderlies are carried out on regular basis. SOP has been prepared for better functioning of HICC, which also includes Antibiotic policy.

10. Bio- Medical Waste Management at RTRMH:

Hospital waste is extremely hazardous and if it is not managed properly, it can lead to serious health and environment problem. Hospital waste is different from our domestic waste and must be segregated, collected stored, transported and disposed-off properly.

Biomedical waste management policy at the hospital has been implemented in accordance with the biomedical waste management rules 2016, published in the gazette of India, extraordinary, part II, Section-3, Sub-section (i), Government of India Ministry of environment, forest and climate change. Notification; New Delhi, 28th March 2016, BMWM(Amendment) rules, 2018, MOEF & CC, Gazette notification, 16.03.18 and BMWM (Amendment) rules, 2019, guidelines for handling, treatment and disposal of waste generated during treatment/diagnosis/quarantine of COVID-19 patients, CPCB, version 5, dated 17 July 2020.

The environment Management group has been constituted and is looking after matters pertaining to Bio-Medical Waste Management and other issues related to environment, in addition to the HICC.

RTRM Hospital has an autoclave to pre-treat the biomedical waste as specified in BMW Rules 2016 with amendment 2018, 2019.

The hospital has a STP cum ETP with capacity of 150 KLD (STP) and 20 KLD to treat sewage, organic waste and liquid waste.

Record of the Biomedical Waste generation for the year 2025 is as under:-

Yellow category: 16,032.17 Kg
Red category: 10,640.68 Kg
White category: 417.238 Kg
Blue category: 1,764.63 Kg

Data pertaining to BMW is well maintained and monthly, quarterly and annual report is sent to DPCC and DHS. Regular rounds are taken to ensure proper segregation/ management of bio-medical wastes by its handlers.

Hospital has applied for authorization for consent to Operate/Establish under Air and Water Act to DPCC. Standard operating procedures (SOPs) have been laid down for BMW Management

11. Disaster Management:

The Rao Tula Ram Memorial Hospital has prepared its own Disaster Management Plan which includes a team of officers and staff and every officer has been entrusted with a special task in the light of preparedness of Disaster Plan.

This hospital is situated in the outskirts of Delhi in South West District is a 100 bedded multi-specialty district hospital. It receives about 1500-2000 patients in its OPD daily half coming from across the border from neighboring district of Haryana. South West District is identified as disaster prone district due to its location in seismic zone 4 and presence of huge quantities of fuel stored by Indian Oil and other Oil companies. It’s also caters Indra Gandhi Domestic and International airport. Its nearest hospital are DDU Hospital about 25 KM and Safdarjung Hospital, AIIMS Trauma centre about 35 KM Delhi is very much vulnerable for both natural as well as manmade disaster. Delhi is prone to all type of Disaster

A. Natural Disaster Earth quack, flood, etc.

B. Man-made Disaster: Terrorism, fire, explosion, accident and civil disturbance etc.

Types of disasters/hazards expected in south west district of Delhi are as under:

1. Vehicular accidents and aircraft emergencies

2 Bullet and Blast Injuries

3. Collapse of building

4. Fire in adjoining area and in Indian Oil Depot

5. Food poisoning---Gastroenteritis

6. Drowning

7. Natural Disaster.

Peculiarities/Problems of Disaster Plan Coordination.

  1. Sudden occurrence
  2. Mass casualties
  3. Problems of rescue/evacuation
  4. Heavy requirements of blood/blood products and medicines.

Mock Drill for disaster preparedness: In the recent past a mock drill was conducted on 10-05-2025 in the hospital premises and the targets were achieved successfully that had been planned to check preparedness according to disaster situation.

Handling of disaster occurred in nearby village: A major incident was reported here on 16-02-2012 it was as equal as disaster in which people at least 200- to 250 of a village were in a great trouble due to food poisoning. The Hospital’s officers and staff successfully managed the situation independently. The Disaster Management Team is, therefore, fully prepared to combat any disaster at any time.

12. Coordination and Control:

The Medical Superintendent is the overall in-charge and head of the Department of this hospital. He exercises complete control over the staff posted here. He is ably assisted by DMS, CMO, Specialists, SMO, MO, SR, JR, ANS, OS, SO, AAO.

Medical officers and Specialists are assigned various administrative duties beside the clinical work.

The Medical Superintendent personally evaluates and supervises the work of each unit in regular meetings with the DMS, CMO, Specialists and respective medical officer in-charge of the units; he discusses the problems and tries to find the solutions for each one of them thereby improving the quality of hospital services and patient care constantly.

DUAC and fire clearance for setting up of a separate ward of 100 beds has already been obtained and Environmental clearance is awaited. Ms is taking up the matter with consultants and EE for speedy approval etc.

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