Government of Tamil Nadu Tamil Nadu Health Systems Project

108 Emergency Management Services Performance Report

Month: May Year: 2016

&

Financial Year 2016 -2017

Page 1 of 43

Table of Contents Page No

1. Sense - Activities of the Emergency Response Center (ERC) ……...... 3

2. Reach – Ambulance Trip Data…………………………………………………...... 3

3. Life saved Data...... 3

4. Care - Emergencies Handled……………………………………………………...... 3 - 4

5. AN Mother & Neo-natal cases Data ...... 4

6. Financial Performance ...... 5 - 6 Annexure:

Annexure A: Ambulance Details………………………………………………………... 7

Annexure B: District Wise Distribution of Ambulances…………………….... 8

Annexure C: District Wise Trip Details……………………………………………….. 9 - 10

Annexure D: Hospital Case Admission & ECC case Details ...... 11

Annexure E: District Wise Emergency Cases Handled………………………... 12 - 15

Annexure F: District Wise Kilometre Run & Kilometre / Litre Details... 16

Annexure G: Human Resources Details…………………………………………….. 17

Annexure H: District Wise Hospital MoU Details………………………………. 18

Annexure I: Call and Dispatch Average Handle Time...... 19 - 21

Annexure J: Interesting Emergency Cases………………………………………... 22 - 24

Annexure K: Important Events & Photographs…………………………………. 25

Annexure L: AN Cases Monthly report..……………………………………………. 26

Annexure M: Neonatal ambulance cases...... 27 - 41

Annexure N: First Responder Performance...... 42

Annexure O: Issues to be sorted out...... 43

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GOVERNMENT OF TAMIL NADU TAMIL NADU HEALTH SYSTEMS PROJECT 108 - EMERGENCY AMBULANCE SERVICES Monthly performance report (FORM A) Month : May 2016 FY- Year :2016-'17 During the Month - During the Month - Up to the Month - (Apr'16 - SL. Details Apr'16 May'16 May'16) No. Performance % Performance % Performance % 1 Sense - Activities of the Emergency Response Center 1.1 Details of the Calls 1.1.1 Number of Calls Landed 610219 100.00 831515 100.00 1441734 100.00 1.1.2 Number of Unattended Calls (UAC) 6229 1.02 25846 3.11 32075 2.22 1.1.3 Number of calls answered 603990 98.98% 805669 96.89% 1409659 97.78% 1.2 Types of Calls 1.2.1 Emergency Calls 116176 19.23 128337 15.93 244513 17.35 1.2.2 Non Emergency Calls 76681 12.70 86119 10.69 162800 11.55 1.2.3 Ineffective Calls * 411133 68.07 591213 73.38 1002346 71.11 1.2.4 Total Number of Calls (Ref.1.1.3) 603990 100.00% 805669 100.00% 1409659 100.00% 1.3 Classification of Emergency Calls 1.3.1 Number of Medical Emergency Calls 113552 97.74 125427 97.73 238979 97.74 1.3.2 Number Police Emergency Calls 1359 1.17% 1721 1.34% 3080 1.26% 1.3.3 Number fire Emergency Calls 1265 1.09% 1189 0.93% 2454 1.00% 1.3.4 Total Emergency Calls (Ref. 1.2.1) 116176 100.00% 128337 100.00% 244513 100.00% 1.4 Classification of Medical Emergency Calls 1.4.1 Number of Medical Emergency calls 85729 75.50% 93664 74.68% 179393 75.07% 1.4.2 Number of repeated Emergency calls 27823 24.50% 31763 25.32% 59586 24.93% 1.4.3 Total Medical Emergency Calls (Ref. 1.3.1) 113552 100.00% 125427 100.00% 238979 100.00% 1.5 Call Handling Data 1.5.1 Percentage of calls attended within 1st Ring NA 92.03% NA 89.12% NA 90.58% 1.5.2 Percentage of calls attended within 2nd Ring NA 4.10% NA 4.37% NA 4.24% 1.5.3 Percentage of calls attended within or above 3rd Ring NA 3.87% NA 6.51% NA 5.19% 2 Reach - Ambulance Service utilized 2.1 Number of Medical Emergency Dispatch requests (Ref.1.4.1) 85729 NA 93664 NA 179393 NA 2.2 Total Number of Ambulance Trips 85717 NA 93353 NA 179070 NA 2.3 Number of Ambulance Services utilized 82066 95.73% 89207 95.24% 171273 95.47% 2.4 Number of Ambulance Services not utilized 3651 4.26% 4146 4.43% 7797 4.35% 2.5 Number of Ambulance Services busy ** 12 0.01% 311 0.33% 323 0.18% 2.6 Number of Trips per ambulance 111.32 NA 118.32 NA 229.58 NA 2.7 Number of Trips per ambulance/day 3.71 NA 3.82 NA 3.76 NA 3 Care 3.1 Total number of cases transported (Ref. 2.3) 82066 NA 89207 NA 171273 NA 3.2 Total number cases transported per ambulances 106.58 NA 113.06 NA 219.58 NA 3.55 NA 3.65 NA 3.60 NA 3.3 Total number cases transported per ambulances per day Note: Total Lives Saved from 15th Sep 2008 to 31st May 2016 = 3, 29,444

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Month : May 2016 FY- Year :2016-'17 During the Month - During the Month - Up to the Month - (Apr'16 - SL. Details Apr'16 May'16 May'16) No. Performance % Performance % Performance % 4 Types of Emergencies handled 4.1 Accidental Poisoning 4550 5.54% 4341 4.87% 8891 5.19% 4.2 Acute Abdomen 7370 8.98% 8837 9.91% 16207 9.46% 4.3 Allergic Reactions 58 0.07% 80 0.09% 138 0.08% 4.4 Animal Attack 2305 2.81% 2455 2.75% 4760 2.78% 4.5 Assault 4147 5.05% 4021 4.51% 8168 4.77% 4.6 Behavioral 12 0.01% 11 0.01% 23 0.01% 4.7 Cardiac/Cardio Vascular 4699 5.73% 5028 5.64% 9727 5.68% 4.8 Diabetes 948 1.16% 1077 1.21% 2025 1.18% 4.9 Disasters due to Natural elements 5 0.01% 4 0.00% 9 0.01% 4.10 Epilepsy 2156 2.63% 2506 2.81% 4662 2.72% 4.11 Fevers / Infections 1856 2.26% 1947 2.18% 3803 2.22% 4.12 Fire/Burns 745 0.91% 766 0.86% 1511 0.88% 4.13 Hazmat (Hazardous Material) 0 0.00% 2 0.00% 2 0.00% 4.14 Industrial 18 0.02% 18 0.02% 36 0.02% 4.15 Neonatal(upto 1 month) 1910 2.33% 1939 2.17% 3849 2.25% 4.16 Paediatric(1-12years) 197 0.24% 156 0.17% 353 0.21% 4.17 Pregnancy related 18593 22.66% 21070 23.62% 39663 23.16% 4.18 Respiratory 3225 3.93% 3465 3.88% 6690 3.91% 4.19 Road Traffic Accident - Trauma 17944 21.87% 19641 22.02% 37585 21.94% 4.20 Stroke/Cerebro Vascular Accidents 3162 3.85% 3396 3.81% 6558 3.83% 4.21 Suicide attempt 445 0.54% 460 0.52% 905 0.53% 4.22 Trauma 4923 6.00% 5111 5.73% 10034 5.86% 4.23 Unconscious 1997 2.43% 2072 2.32% 4069 2.38% 4.24 Others 801 0.98% 804 0.90% 1605 0.94% Total Medical Emergencies (1.4.1/2.3) 82066 100.00% 89207 100.00% 171273 100.00% 5 AN Mother and Neonatal – Emergencies Care 5.1 Inter Facility Transfer of AN Mothers 5.1.1 Number of cases lifted thro’ ERC to Hospital 7331 39.43% 8535 40.51% 15866 40.00% 5.1.2 Number of cases lifted from Hospital 11262 60.57% 12535 59.49% 23797 60.00% 5.1.3 Number of cases re-referred by Hospital to Higher Level 4 0.02% 4 0.02% 8 0.02% 5.1.4 Number of cases re-referred by referred institutions 0 0.00% 1 0.00% 1 0.00% 5.1.5 Total Number of Re-referred cases (5.1.3+5.1.4) 4 0.02% 5 0.02% 9 0.02% 5.1.6 Total Number of AN Cases 18593 100.00% 21070 100.00% 39663 100.00% 5.2 IFT others 22037 66.18% 22926 64.65% 44963 65.39% 5.2.1 Neonatal (upto 1 month) 1752 5.26% 1781 5.02% 3533 5.14% 5.2.2 Road Traffic Accident - Trauma 4341 13.04% 4543 12.81% 8884 12.92% 5.2.3 Accidental Poisoning 2418 7.26% 2282 6.44% 4700 6.84% 5.2.4 Cardiac/Cardio Vascular 1932 5.80% 2037 5.74% 3969 5.77% 5.2.5 Others 11594 34.82% 12283 34.64% 23877 34.73% 5.2.6 Total number of IFTs (5.1.2+5.2) 33299 100.00% 35461 100.00% 68760 100.00% 5.3 AN Mother/Infant Mother - Follow-Up Data 5.3.1 Number of Maternal Mortality at Hospital 5 0.03% 4 0.02% 9 0.02% 5.3.2 Number of Infant Mortality at Hospital 2 0.01% 1 0.00% 3 0.01% 5.4 Neo-natal transport Data 5.4.1 Neonatal cases transported in Neo-natal ambulances 1688 88.38% 1784 92.01% 3472 90.21% 5.4.2 Total Neonatal cases transported (Ref. 4.15) 1910 100.00% 1939 100.00% 3849 100.00% 6 Availed Tribal case count 6.1 Total number of cases taken from Tribal areas 3044 NA 3231 NA 6275 NA 7 Critical Life Saved 7.1 Total Number of Lives Saved*** 1102 NA 780 NA 1882 NA 8 Death En-route Case Details 8.1 Total number of cases where victims “Vitals were not recordable” 59 NA 43 NA 102 NA *** Based on 48 hr follow up done in that year only

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Financial Performance (May’16) Planned Achieved Difference Savings Excess 10 Financial Performance Savings Excess Upto Remarks During Month Upto Month During Month Upto Month During During Upto Month Month Month Month 10.1 108 Call center Salary Expenditure 31.53 63.07 22.74 45.25 8.80 - 17.82 - 10.2 Ambulance Personnel Cost 592.58 1,185.15 503.26 987.45 89.32 - 197.70 - 10.3 Care Personnel Cost 11.41 22.81 6.72 13.32 4.69 - 9.49 - 10.4 Fuel Cost 200.40 400.80 233.79 435.74 - (33.39) - (34.94) Fuel Price increase. Budgeted Rs. 50/- Actual is Rs. 57 10.5 Repairs and Maintenance 45.27 90.54 48.47 77.14 - (3.20) 13.40 - 10.6 Medical Consumables 31.51 63.03 36.62 53.06 - (5.11) 9.97 - 10.7 Ambulance Mobile Telephone Expenditure 7.58 15.15 4.99 9.53 2.59 - 5.62 - 10.8 Replacement of Tyres 25.44 50.88 1.36 23.20 24.08 - 27.68 - 10.9 Refurbishment of Ambulances 10.34 20.67 2.76 5.86 7.57 - 14.82 - 10.1 Uniform 4.40 8.80 - - 4.40 - 8.80 - 10.1 Vehicle Insurance 8.96 17.92 3.78 4.91 5.18 - 13.01 - 10.1 Training Cost 61.08 122.17 5.23 8.50 55.85 - 113.66 - 10.1 Other Insurance ------10.1 Annual Maintenance 4.93 9.86 2.54 4.40 2.39 - 5.46 - 10.2 Other Salaries- Support Staff 55.12 110.24 10.29 29.23 44.83 - 81.01 - 10.2 Marketing Expenditure 14.25 28.50 0.16 0.52 14.09 - 27.98 - 10.2 Travelling Cost 11.29 22.58 9.35 9.72 1.94 - 12.87 - Administrative Expenditure (Telephone, Electricity, 10.2 43.76 87.51 43.36 65.57 0.39 - 21.94 - house keeping, security, office expenditures)

Sub Total 1,159.85 2,319.69 935.41 1,773.40 266.13 (41.70) 581.23 (34.94) Page 5 of 43

Planned Achieved Difference Financial Performance Savings Excess Savings Excess Upto Remarks During Month Upto Month During Month Upto Month During During Upto Month Month Non Recurrent Cost 10.19 Sense - Call Center Equipment 34.39 68.78 34.39 - 68.78 - 10.20 Training Material 2.07 4.15 2.07 - 4.15 - 10.21 NDME -Medical equipment 54.09 108.19 - 0.33 54.09 - 107.86 - 10.22 Infrastructure - Emergency Response Center 2.93 5.86 2.93 - 5.86 - 10.24 Mobile ------10.25 GPS device 21.33 42.67 21.33 - 42.67 - Sub Total 114.82 229.65 - 0.33 114.82 - 229.32 - - Total 1,274.67 2,549.34 935.41 1,773.73 380.96 (41.70) 810.55 (34.94) 10.26 ECC 18.75 37.50 7.13 14.47 11.62 - 23.03 - 10.27 Bike 10.34 20.68 1.55 2.70 8.78 - 17.97 - Grand Total 1,303.76 2,607.52 944.10 1,790.90 401.36 (41.70) 851.55 (34.94)

Note: Budgeted during month : 1,303.76 No. of line items under utilized during month 24 Budget released during month : 800.00 No. of line items over utilized during month 3 Expenditure during month : 944.10 Savings during month : 359.66

Note: Budgeted upto month : 2,607.52 No. of line items under utilized upto month 26 Budget released upto month : 1,606.00 No. of line items over utilized upto month 1 Expenditure upto month : 1,790.90 Savings upto month : 816.61

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Annexure A – Ambulance Details (May’16)

Phase II Ambulance Phase I Ambulance Count and GH S No Ambulance Distribution Data Count and GH Vehicles Total Vehicles (Swaraj (Force Motors) Mazda & Eicher)

1 Number of Ambulances Supplied after replacements 783 33 816*

2 Number of Ambulances modified 764 25 789

3 Number of Ambulances Launched during the month 18 1 19

Number of ambulances replaced (Condemned 4 0 0 0 vehicles and Vehicles handed over to IRCS)

Number of ambulances removed from the old 5 0 0 0 replacement/ condemnation lot Number of ambulance replaced for converting BLS to 6 0 0 0 NN Total number of vehicle replaced for the month 7 0 0 0 from the New BLS ambulances (4+5+6)

8 Number of Ambulances operational for the month 764 25 789

9 Number of Ambulance on road for the month 735 22 757 2-Chennai 1-Cuddalore Number of Ambulance Off road for the month 1-Madurai (Down due to breakdown/Accident/FC/ Manpower 2-Thiruvallur 2-The Nilgris 11 shortage) 1-Thiruvarur 10 1-Tirunelveli 1-Vellore A)Down due to Refurbishment /Accident/Break 9 9 down/Condemnation

B)Down due to Manpower shortage 2 2

1-Ariyalur 2-Chennai 4-Coimbatore 1-Cuddalore 1-Dharmapuri 1-Erode 4-Kancheepuram 2-Karur 1-Krishnagiri 3-Madurai 2-Nagapattinam 2-Namakkal 1-Perambalur 5-Pudukkotai 1-Cuddalore 1-Ramanathapuram 1-Krishnagiri 11 Spare ambulances used in Districts 72 2-Salem 2-The Nilgris 3-Sivagangai 4-Thiruvanamalai 2-Thanjavur 1-Vellore 4-The Nilgris 2-Theni 5-Thiruvallur 2-Thiruvanamalai 1-Thiruvarur 1-Thoothukudi 1-Tiruchirapalli 2-Tirunelveli 1-Tirupur 1-Vellore 4-Villupuram 1-Virudhunagar * Excluding PTV vehicles - 4 and FR Bike ambulances - 41 Page 7 of 43

Annexure B: District Wise Distribution of Ambulances

ALS BLS Neonatal 4WD Total Districts FR Bike ambulances ambulances ambulances ambulances ambulances ARIYALUR 1 11 2 0 14 CHENNAI 2 32 4 1 39 10 COIMBATORE 2 23 2 2 29 CUDDALORE 2 24 2 2 30 DHARMAPURI 1 15 2 1 19 DINDIGUL 2 12 2 1 17 ERODE 1 17 2 5 25 KANCHEEPURAM 3 40 2 2 47 KANYAKUMARI 1 7 1 0 9 KARUR 2 11 1 1 15 KRISHNAGIRI 1 15 1 4 21 MADURAI 4 24 3 0 31 NAGAPATTINAM 1 16 1 1 19 NAMAKKAL 1 14 2 4 21 PERAMBALUR 1 8 1 1 11 PUDUKOTTAI 2 17 2 3 24 RAMANATHAPURAM 2 14 2 1 19 SALEM 3 20 2 5 30 SIVAGANGAI 2 12 2 0 16 THANJAVUR 1 16 1 2 20 THE NILGIRIS 2 13 1 15 31 THENI 0 10 2 5 17 THIRUVALLUR 1 31 2 3 37 THIRUVANAMALAI 2 24 3 5 34 2 THIRUVARUR 1 13 2 1 17 THOOTHUKUDI 2 10 2 1 15 TIRUCHIRAPALLI 2 19 2 3 26 TIRUNELVELI 3 23 2 1 29 TIRUPUR 2 14 2 0 18 VELLORE 1 38 4 4 47 VILLUPURAM 2 36 4 3 45 VIRUDHUNAGAR 2 13 2 0 17

Grand Total 55 566 65 77 789 12 Page 8 of 43

Annexure C: District Wise Trip Details

1st - 31st May 2016

No: of Trips Upto the Average no: of Total Kilometre Kilometre/ Average District Ambulances Month trips/amby/day Run Amby/Day Kilometre/Trip

TIRUPUR 18 2816 5.05 113402 203 40 CHENNAI 39 5619 4.65 95148 79 17 DINDIGUL 17 2428 4.61 104970 199 43 THANJAVUR 20 2847 4.59 114490 185 40 DHARMAPURI 19 2647 4.49 148630 252 56 KANCHEEPURAM 47 6364 4.37 259765 178 41 THENI 17 2285 4.34 101183 192 44 KANYAKUMARI 9 1181 4.23 35958 129 30 THOOTHUKUDI 15 1912 4.11 95050 204 50 COIMBATORE 29 3690 4.10 125098 139 34 SIVAGANGAI 16 2026 4.08 101286 204 50 NAGAPATTINAM 19 2402 4.08 112943 192 47 THIRUVALLUR 37 4659 4.06 199971 174 43 CUDDALORE 30 3765 4.05 167728 180 45 VILLUPURAM 45 5476 3.93 288256 207 53 SALEM 30 3619 3.89 155867 168 43 THIRUVANNAMALAI 34 3979 3.78 234777 223 59 VELLORE 47 5496 3.77 287444 197 52 ARIYALUR 14 1625 3.74 80223 185 49 NAMAKKAL 21 2369 3.64 95952 147 41 TIRUNELVELI 29 3268 3.64 166838 186 51 ERODE 25 2804 3.62 116383 150 42 KRISHNAGIRI 21 2337 3.59 120518 185 52 TIRUCHIRAPPALLI 26 2823 3.50 124019 154 44 RAMANATHAPURAM 19 2050 3.48 125296 213 61 VIRUDHUNAGAR 17 1783 3.38 109322 207 61 MADURAI 31 3233 3.36 136838 142 42 THIRUVARUR 17 1758 3.34 89376 170 51 PUDUKOTTAI 24 2427 3.26 123424 166 51 PERAMBALUR 11 1086 3.18 49341 145 45 KARUR 15 1427 3.07 68174 147 48 THE NILGIRIS 31 1152 1.20 74580 78 65 TOTAL 789 93353 3.82 4222250 173 45 Page 9 of 43

1st Apr - 31st May 2016

No: of Trips Upto the Average no: of Total Kilometre Kilometre/ Average District Ambulances Month trips/amby/day Run Amby/Day Kilometre/Trip

TIRUPUR 18 5449 4.96 225861 206 41 CHENNAI 38.5 10762 4.58 178742 76 17 DHARMAPURI 19 5270 4.55 291711 252 55 THANJAVUR 19.5 5403 4.54 220727 186 41 KANCHEEPURAM 45 12286 4.48 507018 185 41 COIMBATORE 28.5 7115 4.09 240751 138 34 DINDIGUL 18.5 4582 4.06 213414 189 47 THIRUVALLUR 36 8901 4.05 376514 171 42 VILLUPURAM 42.5 10433 4.02 552522 213 53 CUDDALORE 30 7342 4.01 321652 176 44 NAGAPATTINAM 19 4629 3.99 216258 187 47 THOOTHUKUDI 14.5 3531 3.99 176096 199 50 THENI 17.5 4223 3.96 204595 192 48 KANYAKUMARI 9.5 2291 3.95 76417 132 33 SALEM 30 7121 3.89 311333 170 44 SIVAGANGAI 16.5 3872 3.85 199421 198 52 THIRUVANNAMALAI 33 7556 3.75 436508 217 58 TIRUCHIRAPPALLI 25 5531 3.63 239139 157 43 VELLORE 47 10387 3.62 549791 192 53 ERODE 25.5 5605 3.60 233762 150 42 ARIYALUR 14 3043 3.56 155419 182 51 NAMAKKAL 21 4526 3.53 182834 143 40 KRISHNAGIRI 21.5 4610 3.52 243925 186 53 THIRUVARUR 16 3406 3.49 171800 176 50 MADURAI 30 6334 3.46 248852 136 39 TIRUNELVELI 29.5 6067 3.37 313932 174 52 VIRUDHUNAGAR 17 3476 3.35 208048 201 60 PUDUKOTTAI 23 4637 3.31 235831 168 51 RAMANATHAPURAM 19.5 3848 3.23 239844 202 62 PERAMBALUR 11 2147 3.20 99029 148 46 KARUR 15 2631 2.88 127381 139 48 THE NILGIRIS 29 2056 1.16 139936 79 68 TOTAL 780 179070 3.77 8139063 171 45

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Annexure D – Hospital Case Admission Details

During the month Upto the month S No Hospital Case Admission Details May’16 Apr’16 – May’16 Count % Count % 74,264 83.25% 1,41,602 82.05% 1 Number of cases admitted in Government Hospitals 2,227 2.50% 4,295 2.51% 2 Number of cases admitted in Private Hospitals

3 Others (Number of cases provided First aid, Victim is in 12,716 14.25% 25,376 14.82% stable condition, refused treatment, etc.) TOTAL 89,207 100.00 1,71,273 100.00

Emergency Care Centre cases (May’16)

ECC Tambaram Description May ' 16 Since Inception Total Number of cases 204 6478 Medical cases 150 4730 Trauma cases 23 1470 Environmental cases 31 404 Critical cases 174 5248 Live Saved Percentage 91% 91%

ECC Padiyanallur Description May ' 16 Since Inception Total Number of cases 148 3742 Medical cases 75 2068 Trauma cases 73 1587 Environmental cases 0 216 Critical cases 71 1276 95% Live Saved Percentage 87%

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Annexure E: District Wise Emergency Cases Handled (May 2016)

May'16 EMERGENCY TYPE ARIYALUR CHENNAI COIMBATORE CUDDALORE DHARMAPURI DINDIGUL ERODE KANCHEEPURAM KANYAKUMARI KARUR KRISHNAGIRI MADURAI NAGAPATTINAM NAMAKKAL PERAMBALUR PUDUKOTTAI RAMANATHAPURAM SALEM Ambulance count 14 39 29 30 19 17 25 47 9 15 21 31 19 21 11 24 19 30 Accidental Poisoning 122 94 170 244 156 101 95 259 26 59 132 164 125 117 57 145 92 205 Acute Abdomen 203 506 304 483 284 151 224 583 66 166 161 246 253 203 147 213 252 230 Allergic Reactions 1 4 2 6 2 4 2 1 3 4 4 1 1 2 2 Animal Attack 68 15 66 167 82 67 52 150 18 23 79 86 103 53 28 100 55 73 Assault 100 188 125 215 123 113 120 162 104 82 84 133 170 90 50 144 117 179 Behavioral 1 1 1 Cardiac/Cardio Vascular 100 353 237 207 114 89 138 328 62 73 59 155 146 173 75 143 145 186 Diabetes 19 65 39 41 27 19 36 69 19 10 23 39 29 30 7 21 15 40 Disasters due to Natural elements 1 1 Environmentals 2 2 1 1 Epilepsy 27 241 135 75 57 62 75 177 21 48 50 79 75 79 19 55 42 109 Fevers / Infections 39 122 85 79 54 40 52 137 26 46 40 44 49 60 41 38 38 59 Fire/Burns 15 56 24 31 5 12 13 46 6 13 8 24 18 14 10 19 24 16 Hazmat (Hazardous Material) 1 Industrial 2 1 1 1 1 1 2 Neonatal(upto 1 month) 37 244 43 47 91 74 55 82 17 17 46 65 20 43 31 48 25 66 Others 7 95 35 38 24 12 32 46 11 24 8 24 21 16 17 19 18 30 Paediatric(1-12years) 3 15 2 5 4 2 1 11 4 2 5 5 3 5 7 1 9 Pregnancy related 441 555 643 742 778 592 484 1192 230 291 804 764 482 400 200 575 414 840 Respiratory 42 394 167 117 64 48 90 257 42 59 43 115 81 89 48 73 61 145 Stroke/CerebroVascular Accidents 42 318 160 144 90 52 137 232 38 64 50 100 81 105 35 75 76 126 Suicide attempt 11 55 20 26 11 3 18 38 4 3 10 9 12 19 2 8 2 29 Trauma (non Vehicular) 56 527 231 169 98 141 167 384 116 82 85 179 145 147 48 113 139 188 Trauma (Vehicular) 226 1144 815 767 456 675 785 1688 256 252 538 759 495 559 201 500 431 775 Unconscious 26 341 132 52 17 47 74 176 25 31 19 80 35 58 15 38 28 78 Grand Total 1586 5336 3435 3656 2539 2304 2649 6021 1090 1352 2241 3075 2349 2260 1038 2336 1976 3387 Number of cases/ambulance 113 137 118 122 134 136 106 128 121 90 107 99 124 108 94 97 104 113 Number of cases/Ambulance/day 3.7 4.4 3.8 3.9 4.3 4.4 3.4 4.1 3.9 2.9 3.4 3.2 4.0 3.5 3.0 3.1 3.4 3.6

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District Wise Emergency Cases Handled...contd (May 2016) EMERGENCY TYPE SIVAGANGAI THANJAVUR THE NILGIRIS THENI THIRUVALLUR THIRUVANNAMALAI THIRUVARUR THOOTHUKUDI TIRUCHIRAPPALLI TIRUNELVELI TIRUPUR VELLORE VILLUPURAM VIRUDHUNAGAR Grand Total Ambulance count 16 20 31 17 37 34 17 15 26 29 18 47 45 17 789 Accidental Poisoning 104 184 47 122 150 219 92 59 127 156 131 189 328 70 4341 Acute Abdomen 256 288 150 219 480 427 220 145 278 273 241 423 599 163 8837 Allergic Reactions 3 4 2 2 4 3 2 2 3 4 4 3 4 1 80 Animal Attack 57 96 24 65 88 167 50 62 78 111 48 106 159 59 2455 Assault 110 151 44 103 103 149 106 101 144 182 107 171 193 58 4021 Behavioral 1 1 1 1 1 2 1 11 Cardiac/Cardio Vascular 113 144 85 141 272 166 101 122 160 205 178 268 228 62 5028 Diabetes 29 19 19 33 81 47 16 24 31 39 38 86 56 11 1077 Disasters due to Natural elements 1 1 4 Environmentals 1 1 1 3 12 Epilepsy 33 66 44 49 132 101 46 68 72 82 94 131 123 39 2506 Fevers / Infections 24 50 45 43 150 77 28 37 66 60 59 108 111 40 1947 Fire/Burns 16 24 7 24 43 36 24 20 30 24 22 74 42 26 766 Hazmat (Hazardous Material) 1 2 Industrial 1 1 2 3 2 18 Neonatal(upto 1 month) 31 31 19 38 103 103 40 55 56 37 30 192 108 45 1939 Others 15 31 17 17 41 33 9 16 20 19 21 36 27 13 792 Paediatric(1-12years) 7 6 2 6 3 6 4 3 4 3 1 12 7 8 156 Pregnancy related 437 662 279 632 1083 1193 395 390 677 664 540 1742 1474 475 21070 Respiratory 57 107 55 74 204 140 69 63 124 123 104 191 147 72 3465 Stroke/CerebroVascular Accidents 81 82 58 72 181 119 83 54 94 123 104 174 177 69 3396 Suicide attempt 3 8 2 7 30 19 9 3 13 7 14 24 31 10 460 Trauma (non Vehicular) 110 152 92 115 263 178 92 108 135 168 154 207 225 97 5111 Trauma (Vehicular) 440 574 109 442 881 617 277 463 563 774 693 1047 1070 369 19641 Unconscious 41 43 20 23 136 70 31 38 52 65 65 92 92 32 2072 Grand Total 1968 2722 1120 2227 4429 3874 1695 1834 2729 3119 2650 5280 5209 1721 89207 Number of cases/ambulance 123 136 36 131 120 114 100 122 105 108 147 112 116 101 113

Number of cases/Ambulance/day 4.0 4.4 1.2 4.2 3.9 3.7 3.2 3.9 3.4 3.5 4.7 3.6 3.7 3.3 3.6

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Annexure E: District Wise Emergency Cases Handled (Apr - May 2016)

Apr'16 - May'16 EMERGENCY TYPE ARIYALUR CHENNAI COIMBATORE CUDDALORE DHARMAPURI DINDIGUL ERODE KANCHEEPURAM KANYAKUMARI KARUR KRISHNAGIRI MADURAI NAGAPATTINAM NAMAKKAL PERAMBALUR PUDUKOTTAI RAMANATHAPURAM SALEM Ambulance count 14 39 29 30 19 19 26 45 10 15 22 30 19 21 11 23 20 30 Accidental Poisoning 219 203 367 467 329 222 220 525 62 110 233 318 282 229 145 299 205 400 Acute Abdomen 364 899 529 861 536 267 398 1161 146 281 311 449 480 396 294 381 429 445 Allergic Reactions 2 8 3 7 5 5 1 7 2 3 4 6 7 6 1 4 1 3 Animal Attack 140 30 121 321 168 107 123 270 37 55 132 154 166 107 56 176 118 168 Assault 216 361 267 445 231 220 261 308 188 180 141 255 332 200 117 317 242 367 Behavioral 1 1 1 1 0 0 0 2 1 0 0 0 0 1 0 0 2 1 Cardiac/Cardio Vascular 197 662 428 422 224 182 304 622 108 140 128 304 292 331 139 280 274 335 Diabetes 37 126 86 72 53 36 64 128 35 22 42 69 49 57 17 46 39 84 Disasters due to Natural elements 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 Environmentals 0 2 0 0 2 0 0 0 1 0 0 0 0 0 0 1 1 0 Epilepsy 56 465 246 173 104 116 140 343 51 74 83 149 128 140 41 93 87 211 Fevers / Infections 69 215 180 159 115 82 124 244 55 89 100 101 113 106 88 71 66 134 Fire/Burns 33 115 37 61 15 29 40 115 13 21 24 71 44 25 11 39 36 46 Hazmat (Hazardous Material) 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Industrial 0 5 0 1 0 1 2 4 1 1 0 0 0 0 0 0 0 3 Neonatal(upto 1 month) 64 440 107 78 191 162 116 147 43 34 121 142 42 83 54 82 55 142 Others 20 197 74 76 44 19 68 112 23 38 28 40 37 40 24 25 35 66 Paediatric(1-12years) 4 39 7 9 13 4 6 33 0 8 6 10 11 6 10 16 4 16 Pregnancy related 745 1053 1251 1429 1522 1114 1012 2183 440 530 1590 1460 836 771 415 1099 763 1679 Respiratory 87 722 351 225 121 118 196 518 86 110 86 240 152 185 79 134 118 269 Stroke/CerebroVascular Accidents 86 629 292 257 180 104 263 446 72 123 90 206 178 186 61 139 121 268 Suicide attempt 24 98 32 46 27 8 33 67 6 5 21 22 30 30 8 17 11 47 Trauma (non Vehicular) 122 1030 446 346 221 259 334 741 199 157 200 352 292 283 95 250 243 356 Trauma (Vehicular) 443 2239 1553 1535 923 1242 1460 3328 500 462 1019 1496 988 1038 370 922 804 1488 Unconscious 47 674 272 111 42 76 145 327 54 60 46 174 62 108 31 62 67 152 Grand Total 2977 10213 6650 7102 5066 4373 5310 11631 2123 2504 4405 6019 4522 4328 2057 4453 3722 6680 Number of cases/ambulance 213 265 233 237 267 236 208 258 223 167 205 201 238 206 187 194 191 223

Number of cases/Ambulance/day 3.5 4.3 3.8 3.9 4.4 3.9 3.4 4.2 3.7 2.7 3.4 3.3 3.9 3.4 3.1 3.2 3.1 3.7

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Annexure E: District Wise Emergency Cases Handled (Apr - May 2016)

EMERGENCY TYPE SIVAGANGAI THANJAVUR THE NILGIRIS THENI THIRUVALLUR THIRUVANNAMALAI THIRUVARUR THOOTHUKUDI TIRUCHIRAPPALLI TIRUNELVELI TIRUPUR VELLORE VILLUPURAM VIRUDHUNAGAR Grand Total Ambulance count 17 20 29 18 36 33 16 15 25 30 18 47 43 17 780 Accidental Poisoning 210 371 95 268 341 405 204 136 268 318 269 368 670 133 8891 Acute Abdomen 456 513 250 416 868 771 420 283 503 494 455 797 1025 329 16207 Allergic Reactions 4 4 3 2 7 5 3 5 4 4 6 4 11 1 138 Animal Attack 120 177 40 116 175 336 100 113 166 230 99 194 342 103 4760 Assault 207 331 88 203 211 319 208 172 328 358 237 339 377 142 8168 Behavioral 0 0 0 0 1 2 1 1 1 1 2 2 1 0 23 Cardiac/Cardio Vascular 225 275 153 288 517 335 212 202 326 390 346 558 410 118 9727 Diabetes 48 43 25 54 136 87 28 45 63 75 74 160 91 34 2025 Disasters due to Natural elements 1 0 0 0 0 1 0 1 1 0 0 0 0 0 9 Environmentals 1 0 0 0 0 1 0 0 0 1 1 0 3 0 14 Epilepsy 58 127 56 87 270 167 79 102 139 154 163 253 239 68 4662 Fevers / Infections 54 83 87 84 260 150 58 82 122 123 103 203 211 72 3803 Fire/Burns 36 51 15 35 71 64 40 37 49 42 51 109 95 41 1511 Hazmat (Hazardous Material) 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 Industrial 0 1 0 1 4 1 1 0 1 0 1 2 4 2 36 Neonatal(upto 1 month) 72 73 37 73 171 205 76 93 122 91 76 357 200 100 3849 Others 31 55 33 30 82 50 29 35 38 49 43 61 64 25 1591 Paediatric(1-12years) 9 9 2 10 14 14 9 4 15 4 5 29 17 10 353 Pregnancy related 807 1187 497 1142 2003 2238 693 766 1267 1230 1042 3195 2798 906 39663 Respiratory 99 186 119 132 381 264 141 102 216 252 202 381 294 124 6690 Stroke/CerebroVascular Accidents 162 169 96 131 368 228 145 113 215 254 222 336 313 105 6558 Suicide attempt 4 26 7 11 67 35 16 9 17 14 35 55 59 18 905 Trauma (non Vehicular) 215 267 153 220 508 383 191 201 282 301 306 437 448 196 10034 Trauma (Vehicular) 859 1114 208 765 1755 1167 589 838 1092 1304 1263 1964 2102 755 37585 Unconscious 77 94 34 41 258 136 59 76 120 121 129 193 163 58 4069 Grand Total 3755 5156 1998 4109 8468 7364 3302 3416 5355 5810 5130 9997 9938 3340 171273 Number of cases/ambulance 228 264 69 235 235 223 206 236 214 197 285 213 234 196 220

Number of cases/Ambulance/day 3.7 4.3 1.1 3.8 3.9 3.7 3.4 3.9 3.5 3.2 4.7 3.5 3.8 3.2 3.6

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District wise Unavailed and RTA Unavailed cases

For the month - Apr'16 For the Year - Apr'16 - May'16 District Availed UAD UAD% RTA UAD RTA UAD% Availed UAD UAD% RTA UAD RTA UAD% ARIYALUR 1586 39 2% 10 1% 2977 66 2% 19 1% CHENNAI 5336 283 5% 156 3% 10213 549 5% 321 3% COIMBATORE 3435 255 7% 180 5% 6650 465 7% 334 5% CUDDALORE 3656 109 3% 59 2% 7102 240 3% 142 2% DHARMAPURI 2539 108 4% 72 3% 5066 204 4% 139 3% DINDIGUL 2304 124 5% 89 4% 4373 209 5% 156 4% ERODE 2649 155 6% 116 4% 5310 295 6% 217 4% KANCHEEPURAM 6021 343 6% 246 4% 11631 655 6% 466 4% KANYAKUMARI 1090 91 8% 72 7% 2123 168 8% 132 6% KARUR 1352 75 6% 53 4% 2504 127 5% 82 3% KRISHNAGIRI 2241 96 4% 64 3% 4405 205 5% 151 3% MADURAI 3075 158 5% 108 4% 6019 315 5% 205 3% NAGAPATTINAM 2349 53 2% 28 1% 4522 107 2% 58 1% NAMAKKAL 2260 109 5% 69 3% 4328 198 5% 133 3% PERAMBALUR 1038 48 5% 35 3% 2057 90 4% 64 3% PUDUKOTTAI 2336 91 4% 57 2% 4453 184 4% 120 3% RAMANATHAPURAM 1976 74 4% 43 2% 3722 126 3% 76 2% SALEM 3387 232 7% 167 5% 6680 441 7% 317 5% SIVAGANGAI 1968 58 3% 33 2% 3755 117 3% 68 2% THANJAVUR 2722 125 5% 72 3% 5156 247 5% 152 3% THE NILGIRIS 1120 32 3% 22 2% 1998 58 3% 29 1% THENI 2227 58 3% 37 2% 4109 114 3% 70 2% THIRUVALLUR 4429 230 5% 135 3% 8468 433 5% 267 3% THIRUVANNAMALAI 3874 105 3% 56 1% 7364 192 3% 102 1% THIRUVARUR 1695 63 4% 39 2% 3302 104 3% 61 2% THOOTHUKUDI 1834 78 4% 52 3% 3416 115 3% 78 2% TIRUCHIRAPPALLI 2729 94 3% 64 2% 5355 176 3% 120 2% TIRUNELVELI 3119 149 5% 99 3% 5810 257 4% 174 3% TIRUPUR 2650 166 6% 118 4% 5130 319 6% 236 5% VELLORE 5280 216 4% 132 3% 9997 390 4% 246 2% VILLUPURAM 5209 267 5% 155 3% 9938 495 5% 280 3% VIRUDHUNAGAR 1721 62 4% 48 3% 3340 136 4% 92 3%

State 89207 4146 5% 2686 3% 171273 7797 5% 5107 3%

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Annexure F: District Wise Kilometre Run & Kilometre / Litre Details

During the month Ambulance Ambulance Upto the month Sl.No District May 2016 Count Count KM Kmpl KM Kmpl 1 ARIYALUR 14 80223 10.22 14 155419 10.34 2 CHENNAI 39 95148 8.17 39 178742 8.11 3 COIMBATORE 29 125098 8.77 29 240751 8.75 4 CUDDALORE 30 167728 9.56 30 321652 9.47 5 DHARMAPURI 19 148630 10.43 19 291711 10.60 6 DINDIGUL 17 104970 9.36 19 213414 9.47 7 ERODE 25 116383 9.80 26 233762 9.92 8 KANCHEEPURAM 47 259765 8.60 45 507018 8.65 9 KANYAKUMARI 9 35958 9.86 10 76417 10.03 10 KARUR 15 68174 9.02 15 127381 9.31 11 KRISHNAGIRI 21 120518 10.32 22 243925 10.17 12 MADURAI 31 136838 9.39 30 248852 9.45 13 NAGAPATTINAM 19 112943 10.04 19 216258 10.13 14 NAMAKKAL 21 95952 10.24 21 182834 10.43 15 PERAMBALUR 11 49341 10.08 11 99029 10.02 16 PUDUKOTTAI 24 123424 9.13 23 235831 9.40 17 RAMANATHAPURAM 19 125296 10.53 20 239844 10.54 18 SALEM 30 155867 10.25 30 311333 10.27 19 SIVAGANGAI 16 101286 9.86 17 199421 9.66 20 THANJAVUR 20 114490 9.60 20 220727 9.74 21 THE NILGIRIS 31 74580 6.71 29 139936 6.99 22 THENI 17 101183 10.74 18 204595 10.70 24 THIRUVALLUR 37 199971 9.31 36 376514 9.44 25 THIRUVANNAMALAI 34 234777 10.25 33 436508 10.17 26 THIRUVARUR 17 89376 9.54 16 171800 9.65 27 THOOTHUKUDI 15 95050 9.50 15 176096 9.47 28 TIRUCHIRAPPALLI 26 124019 9.55 25 239139 9.67 29 TIRUNELVELI 29 166838 9.43 30 313932 9.42 23 TIRUPUR 18 113402 9.30 18 225861 9.45 30 VELLORE 47 287444 10.22 47 549791 10.10 31 VILLUPURAM 45 288256 9.46 43 552522 9.48 32 VIRUDHUNAGAR 17 109322 9.30 17 208048 9.34

TOTAL 789 4222250 9.48 780 8139063 9.54

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Annexure G: Human Resources Details- Manpower count and Attrition Count (May‘16)

Head Count During the month S. No Associate Classification Upto the month Current month (New joinees) Male Female Total Male Female Total Male Female Total 1 Emergency Response Officers (EROs) 8 10 18 20 15 35 91 10 198 2 ERO (Under Training) 0 0 0 0 0 0 0 0 0 3 Assigned PDOs 0 0 0 0 0 0 0 0 0 4 EMT (Trained) 0 0 0 16 20 3 1141 643 1784 5 EMT (Under Training) 0 0 0 0 0 0 0 0 0 6 Pilot (Trained) 63 0 3 63 0 3 1836 0 183 7 Pilot (Under Training) 0 0 0 0 0 0 0 0 0 8 Operations Staff 3 0 3 4 0 4 6 0 7 9 Support Staff 1 3 4 5 4 9 5 24 99 Total 75 13 88 108 39 147 3210 774 3984

Sl No. Associate Attrition Attrition Count During the month Upto the month Male Female Total Male Female Total 1 Emergency Response officers (ERO) 4 6 10 12 19 2 EMT 9 5 14 11 10 21 3 Pilot 15 0 15 20 0 20 4 Operations Staff 2 0 2 3 0 3 5 Support Staff 4 1 5 2 9

Total 34 12 46 48 24 72

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Annexure H: District Wise Hospital MoU Details

The number of MoU’s signed with private hospital in May 2016 is zero.

Total MoU’s signed with private hospitals from 15th Sep ’08 to 31st May 2016 =1806.

Annexure I – Call and Dispatch Average Handle Time

During the Greater Up to the Month than S No Call / Dispatch Time Break-Up Month Time Time Average (HH:MM:SS) (HH:MM:SS) in %

1 Average Call to Dispatch Time 00:02:25 35% 00:02:46 2 Average Time taken from Base to Scene/Incident 00:15:11 40% 00:16:42 3 Average Time taken at the Scene / Incident Location 00:14:15 43% 00:13:54 4 Average Time taken from Scene to Hospital 00:37:35 42% 00:37:30 5 Average Time taken from Call to Hospital 01:01:04 41% 01:02:10

May 2016 - Call to scene Split up Call to scene IFT IFT % IFT Rural IFT Urban NON - IFT NON- IFT % Non IFT Rural Non IFT Urban 0- 5 min 9955 28.1 7683 2272 5765 10.7 4162 1603 5- 10 min 6910 19.5 5106 1804 10141 18.9 7030 3111 10 - 15 min 2900 8.2 2054 846 9657 18.0 7030 2627 15 - 20 min 2989 8.4 2357 632 8147 15.2 6504 1643 20 - 25 min 2924 8.2 2457 467 6456 12.0 5488 968 25 - 30 min 2440 6.9 2070 370 4433 8.2 3893 540 30 - 35 min 2024 5.7 1725 299 3168 5.9 2856 312 35 - 40 min 1538 4.3 1337 201 2035 3.8 1852 183 40 - 45 min 1076 3.0 935 141 1425 2.7 1297 128 45 - 50 min 734 2.1 629 105 868 1.6 793 75 50 - 55 min 482 1.4 399 83 527 1.0 479 48 55 - 60 min 325 0.9 277 48 311 0.6 294 17 > 60 min 1164 3.3 927 237 813 1.5 708 105 Total cases 35461 100.0 27956 7505 53746 100.0 42386 11360

May 2016 - Call to hospital Split up Call to hospital IFT IFT % IFT Rural IFT Urban NON IFT NON- IFT % Non IFT Rural Non IFT Urban 0 -10 min 445 1.3 329 116 902 2.2 690 212 10 -20 min 174 0.5 80 94 1963 4.8 1425 538 20 - 30 min 697 2.0 351 346 4025 9.8 2909 1116 30 - 40 min 1694 4.8 1104 590 5811 14.2 4339 1472 40 - 50 min 2712 7.6 2012 700 6627 16.2 5292 1335 50 - 60 min 3569 10.1 2817 752 5971 14.6 4894 1077 >60 min 26170 73.8 21263 4907 15731 38.3 13929 1802 Total cases 35461 100.0 27956 7505 41030 100.0 33478 7552

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IFT and Non-IFT cases (May‘16)

For the month - May'16 For the Year - Apr'16 - May'16 District Availed IFT IFT % Non IFT Non IFT % Availed IFT IFT % Non IFT Non IFT % ARIYALUR 1586 550 35% 1036 65% 2977 1055 35% 1922 65% CHENNAI 5336 1811 34% 3525 66% 10213 3515 34% 6698 66% COIMBATORE 3435 983 29% 2452 71% 6650 1961 29% 4689 71% CUDDALORE 3656 1155 32% 2501 68% 7102 2270 32% 4832 68% DHARMAPURI 2539 1370 54% 1169 46% 5066 2702 53% 2364 47% DINDIGUL 2304 967 42% 1337 58% 4373 1867 43% 2506 57% ERODE 2649 926 35% 1723 65% 5310 1926 36% 3384 64% KANCHEEPURAM 6021 1987 33% 4034 67% 11631 3951 34% 7680 66% KANYAKUMARI 1090 517 47% 573 53% 2123 1068 50% 1055 50% KARUR 1352 428 32% 924 68% 2504 830 33% 1674 67% KRISHNAGIRI 2241 1043 47% 1198 53% 4405 2094 48% 2311 52% MADURAI 3075 1243 40% 1832 60% 6019 2398 40% 3621 60% NAGAPATTINAM 2349 1083 46% 1266 54% 4522 2053 45% 2469 55% NAMAKKAL 2260 970 43% 1290 57% 4328 1789 41% 2539 59% PERAMBALUR 1038 364 35% 674 65% 2057 736 36% 1321 64% PUDUKOTTAI 2336 930 40% 1406 60% 4453 1748 39% 2705 61% RAMANATHAPURAM 1976 809 41% 1167 59% 3722 1553 42% 2169 58% SALEM 3387 1305 39% 2082 61% 6680 2630 39% 4050 61% SIVAGANGAI 1968 853 43% 1115 57% 3755 1678 45% 2077 55% THANJAVUR 2722 827 30% 1895 70% 5156 1609 31% 3547 69% THE NILGIRIS 1120 583 52% 537 48% 1998 1026 51% 972 49% THENI 2227 1027 46% 1200 54% 4109 1968 48% 2141 52% THIRUVALLUR 4429 1757 40% 2672 60% 8468 3315 39% 5153 61% THIRUVANNAMALAI 3874 1509 39% 2365 61% 7364 2863 39% 4501 61% THIRUVARUR 1695 738 44% 957 56% 3302 1429 43% 1873 57% THOOTHUKUDI 1834 849 46% 985 54% 3416 1591 47% 1825 53% TIRUCHIRAPPALLI 2729 975 36% 1754 64% 5355 1954 36% 3401 64% TIRUNELVELI 3119 1408 45% 1711 55% 5810 2698 46% 3112 54% TIRUPUR 2650 990 37% 1660 63% 5130 1893 37% 3237 63% VELLORE 5280 2701 51% 2579 49% 9997 5122 51% 4875 49% VILLUPURAM 5209 2009 39% 3200 61% 9938 3930 40% 6008 60% VIRUDHUNAGAR 1721 794 46% 927 54% 3340 1538 46% 1802 54%

State 89207 35461 40% 53746 60% 171273 68760 40% 102513 60%

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Response time – IFT and Non-IFT cases (May‘16)

IFT Non-IFT District Call - Wheel Base - Scene Call to Scene Call - Wheel Base - Scene Call to Scene ARIYALUR 0:02:21 0:17:23 0:19:44 0:02:31 0:22:15 0:24:45 CHENNAI 0:02:25 0:10:06 0:12:31 0:02:32 0:09:34 0:12:06 COIMBATORE 0:02:15 0:14:44 0:16:59 0:02:31 0:12:36 0:15:07 CUDDALORE 0:02:18 0:14:35 0:16:53 0:02:29 0:17:45 0:20:14 DHARMAPURI 0:02:15 0:17:57 0:20:12 0:02:30 0:20:17 0:22:47 DINDIGUL 0:02:15 0:16:15 0:18:30 0:02:27 0:16:34 0:19:01 ERODE 0:02:17 0:13:03 0:15:20 0:02:26 0:13:08 0:15:34 KANCHEEPURAM 0:02:19 0:15:46 0:18:49 0:02:29 0:14:11 0:16:40 KANYAKUMARI 0:02:14 0:16:41 0:18:55 0:02:28 0:13:02 0:15:30 KARUR 0:02:20 0:14:52 0:17:12 0:02:29 0:16:30 0:18:59 KRISHNAGIRI 0:02:13 0:16:16 0:18:29 0:02:31 0:18:30 0:21:01 MADURAI 0:02:15 0:14:51 0:17:06 0:02:30 0:13:53 0:16:22 NAGAPATTINAM 0:02:16 0:14:56 0:17:12 0:02:30 0:19:01 0:21:31 NAMAKKAL 0:02:12 0:11:19 0:13:31 0:02:28 0:12:43 0:15:11 PERAMBALUR 0:02:19 0:21:40 0:23:59 0:02:30 0:17:26 0:22:04 PUDUKOTTAI 0:02:21 0:16:59 0:19:20 0:02:30 0:19:15 0:21:45 RAMANATHAPURAM 0:02:13 0:15:28 0:17:42 0:02:29 0:18:31 0:21:00 SALEM 0:02:15 0:15:45 0:18:00 0:02:28 0:15:34 0:18:02 SIVAGANGAI 0:02:14 0:15:51 0:18:05 0:02:32 0:19:45 0:22:17 THANJAVUR 0:02:18 0:16:54 0:19:11 0:02:31 0:17:40 0:20:11 THE NILGIRIS 0:02:19 0:17:55 0:20:14 0:02:33 0:21:31 0:24:04 THENI 0:02:15 0:15:12 0:17:26 0:02:23 0:16:29 0:18:52 THIRUVALLUR 0:02:18 0:18:19 0:20:37 0:02:32 0:19:05 0:21:37 THIRUVANNAMALAI 0:02:21 0:19:22 0:21:43 0:02:31 0:20:09 0:22:39 THIRUVARUR 0:02:19 0:18:56 0:21:15 0:02:33 0:18:51 0:21:24 THOOTHUKUDI 0:02:18 0:19:10 0:21:28 0:02:28 0:18:20 0:20:47 TIRUCHIRAPPALLI 0:02:17 0:18:21 0:20:37 0:02:29 0:17:36 0:20:05 TIRUNELVELI 0:02:15 0:16:16 0:18:31 0:02:27 0:16:22 0:18:49 TIRUPUR 0:02:16 0:17:26 0:19:43 0:02:29 0:15:01 0:17:30 VELLORE 0:02:15 0:14:52 0:17:06 0:02:26 0:16:34 0:19:00 VILLUPURAM 0:02:21 0:15:06 0:17:26 0:02:31 0:18:12 0:21:10 VIRUDHUNAGAR 0:02:18 0:19:25 0:21:42 0:02:26 0:19:20 0:21:46 STATE 0:02:17 0:15:58 0:18:18 0:02:29 0:16:29 0:19:01

For the month - For the month - Response Time (Call to scene) Apr'16 - May'16 Call to Hospital Apr'16 - May'16 May'16 May'16 C-S Metro (hh:mm:ss) 00:11:01 00:10:54 C-H Metro (hh:mm:ss) 00:32:22 00:31:49 C-S Rural (hh:mm:ss) 00:19:24 00:19:23 C-H Rural (hh:mm:ss) 01:02:03 01:01:51 C-S Tribal (hh:mm:ss) 00:22:47 00:22:49 C-H Tribal (hh:mm:ss) 01:22:02 01:21:54 C-S Urban (hh:mm:ss) 00:16:31 00:16:27 C-H Urban (hh:mm:ss) 01:01:45 01:01:43 C-S Total (hh:mm:ss) 00:18:36 00:18:33 C-H Total (hh:mm:ss) 01:01:04 01:00:51

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Annexure J: Interesting Emergency Case

Emergency case 1

Case Details Format Case ID 2191414 Date 29.4.16 Time 9.25 am Location Varusanadu District Theni

Name of EMT Jeyakumar ID Number 57469 Name of Pilot Senthilkumar ID Number 39587

Patient details Age 14 Gender Female Name Karunya devi Contact Number (Patient / informer) 9755372039 Emergency Type RTA Level of Consciousness Semiconsious 29.4.16 morning 9.15 two buses are hit by opposite direction near by Case Details kandamanur village.So the victim right hand is ambutated.Our EMT handle the case safely and give prehospital care.She is attmited to TMCH

Prehospital Care Provided IV-RL,O2,bleeding control,Ambutation part transport to hospital

Additional Challenges

Life Saved (FU Status) Yes

ERCP Conference Dr.Preethi

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Emergency Case – 2

Case Details Format Case ID 2349749 Date 6.5.16 Assign Time 13:21 Ambulance Location ELANGUNI District THIRUVANNAMALAI

Name of EMT J.EDWIN ID Number 24780 Name of Pilot K.KRISHNAMOORTHY ID Number 39137

Patient details KODEESWARAN Age 17 Gender MALE Name KODEESWARAN Contact Number (Patient / informer) 9444518887 Emergency Type RTA Level of Consciousness SEMICONSCIOUS

WHILE REACH THE SCENE PATIENT HAVE SEMICONSCIOUS AND HAD PARTIAL AMPUTATION PRESENT ON LEFT LEG TIBIAL REGION,BLEEDING CONTROL DONE,SCHENE VITALS 16BPM,112PPM,BP WAS CORRI,HYPOXIC CONDITION, IMMEDIATELY START SPLINTING,SHIFT THE STRUCTURE WITH LEG ELEVATED POSITION,AS PER DISCUSSION WITH ERCP DR.LEKA MADAM,START RL 500ML RUSH AND MAINTAIN VAITALS,NRBM USED,FINALY WHEN REACH Case Details THE HOSPITAL PATIENT DEVERT ON CONSCIOUS.

Prehospital Care Provided

Additional Challenges SCENE TO HOSPITAL REACH KM 44,SO I HAVE PLANNED FOR MONITARING VITALS BLEEDING CONTROL,WELL POSITION MAINTAINED

Life Saved (FU Status) YES

ERCP Conference DR.LEKA

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Emergency Case – 3

Case Details Format Case ID 2631586 Date 16.5.16 Assign Time 05:31 Ambulance Location NASARATH PETTAI District BURNS

Name of EMT HERAMBANATHAN ID Number 37828 Name of Pilot BASKAR ID Number 67752

Patient details MRS.PRIYA Age 20 Gender FEMALE Name MRS.PRIYA Contact Number (Patient / informer) 9840856633 Emergency Type RTA Level of Consciousness CONSCIOUS, ORIENTED

On 16.05.16, 21.23, we received a call near Nasarethpettai, 20 years old Female, case of Burns. Our amby immediately reached the scene at 21.50 and EMT assessed the patient. Patient was conscious, having 25% of burns over the chest, abdomen, neck, back and anterior thigh. It was first degree superficial burns. Vitals stable. ERCP advice taken from Dr. Dhamayanthi. Thorough saline wash given. IVF-NS and RL Case Details given. Vitals monitored at regular intervals and admitted safely at Kilpauk medical college, chennai.

Prehospital Care Provided

Additional Challenges burns 25%, burns over the anterior chest, abdomen, neck,back and posterior thigh. ERCP Conference DR.DHAMAYANTHI

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Annexure K – Important Events & Photographs

Event: Pilot day Celebrated on 26th May across the state.

Event: 6th Annual Blood Donation camp organised at our Premises on 21st May 2016. Camp inaugurated by The Dean, Government Multi Super Speciality Hospital & Director, Government Kasturba Gandhi Hospital for Women and Children. In Total 76 units donated by our associates during the day.

Other Events:

- Demo’s carried out in Hilly terrain for improving utilisation of 4 Wheel drive

- Activities carried out in PHC for improving Neonatal utilisation

- Participated in BMO/CMO/MO Review meeting at the district level

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Annexure L: AN – Cases Monthly Report (May’16)

AN - Cases Monthly Report For the month of May 2016 Number of Number of Number of Number of Number of Number of Number of Number of cases re- cases re- cases lifted cases lifted cases lifted Total Pregnancy Total Cases Re- S No District Name cases referred cases referred cases referred referred by FRU referred by thro’ ERC to thro’ ERC to thro’ ERC to Cases referred by PHC by GH/MC by Others to Higher Level referred PHC GH/MC Others Institutions institutions 1 ARIYALUR 60 146 25 131 79 0 441 - - - 2 CHENNAI 2 73 52 50 61 317 555 - - - 3 COIMBATORE 59 160 29 245 114 36 643 - - - 4 CUDDALORE 98 214 94 208 124 4 742 1 1 2 5 DHARMAPURI 145 81 49 443 56 4 778 - - - 6 DINDIGUL 94 112 24 290 71 1 592 - - - 7 ERODE 83 77 19 223 74 8 484 - - - 8 KANCHEEPURAM 156 284 67 529 133 23 1192 - - - 9 KANYAKUMARI 7 18 21 139 44 1 230 - - - 10 KARUR 64 54 15 118 37 3 291 - - - 11 KRISHNAGIRI 178 115 46 403 55 7 804 - - - 12 MADURAI 79 108 59 394 103 21 764 - - - 13 NAGAPATTINAM 19 115 40 166 136 6 482 - - - 14 NAMAKKAL 75 61 26 177 59 2 400 - - - 15 THE NILGIRIS 45 34 27 71 98 4 279 - - - 16 PERAMBALUR 23 43 13 113 8 0 200 - - - 17 PUDUKOTTAI 100 181 18 195 80 1 575 - - - 18 RAMANATHAPURAM 48 111 17 167 68 3 414 - - - 19 SALEM 138 89 70 407 128 8 840 - - - 20 SIVAGANGAI 54 123 21 195 44 0 437 - - - 21 THANJAVUR 49 285 41 204 82 1 662 1 - 1 22 THENI 75 209 26 209 109 4 632 - - - 23 THIRUVALLUR 114 178 98 488 188 17 1083 - - - 24 THIRUVANNAMALAI 292 204 66 534 95 2 1193 - - - 25 THIRUVARUR 9 144 21 120 101 0 395 1 - 1 26 THOOTHUKUDI 26 76 12 196 79 1 390 - - - 27 TIRUCHIRAPPALLI 117 132 45 285 94 4 677 - - - 28 TIRUNELVELI 25 110 35 371 120 3 664 1 - 1 29 TIRUPUR 59 112 34 253 75 7 540 - - - 30 VELLORE 240 132 170 778 410 12 1742 - - - 31 VILLUPURAM 375 251 121 612 114 1 1474 - - - 32 VIRUDHUNAGAR 70 85 39 193 84 4 475 - - - Total 2978 4117 1440 8907 3123 505 21070 4 1 5

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Annexure M: Neonatal ambulance cases (May‘16)

Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital JAYAMKONDAM GH 1 KILAPALUR PHC 1 KULUMOR PHC 1 ponparappi phc 1 POTTAKOLLAI PHC 1 POYYUR PHC 1 SENDURAI GH 1 1 ARIYALUR ARIYALUR GH NEO VIKRAMANGALAM PHC 1 ARIYALUR GH, ARIYALUR LABBAIKUDIKADU PHC 1 PERAMBALUR GH ARIYALUR GH, ARIYALUR 2 KABISTHALAM PHC 1 THIRUMANUR PHC 1 PERAMBALUR GH 1 THIRUMANOR PHC 1 RAJA MIRASDAR GH, THANJAVUR TOTAL NO OF CASES 15 ANDIMADAM PHC 1 JAYAMKONDAM GH 4 MANAKUDAYAN PHC 2 SUNDAKUDI PHC 1 ARIYALUR GH, ARIYALUR KATTUMANNARKOIL GH 1 VRIDHACHALAM GH 1 CHIDAMBARAM GH KURINJIPADI GH 1 CUDDALORE GH, CUDDALORE ANDIMADAM PHC 1 MEENSURITY PHC 3 SCENE 1 2 ARIYALUR JAYAMKONDAM GH NEONATAL VETIYAR VEDU PHC 1 VANATHIRAYANPATTINAM PHC 1 JAYAMKONDAM GH KOOTHANALLUR GH 1 KUMBAKONAM GH VIRUDHACHALAM GH 1 MUNDIYAMBAKKAM MCH ARIYALUR GH, ARIYALUR 3 JAYAMKONDAM GH 5 KUMBAKONAM GH 1 RAJA MIRASDAR GH, THANJAVUR NEDUNCHERY PHC 1 RMMCH CHIDAMBARAM ARIYALUR GH 1 THANJAVUR GH FATIMA HOSPITAL 1 THANJAVUR MEDICAL COLLEGE HOSPITAL TOTAL NO OF CASES 32 K.K.NAGAR PH 1 SANJEEVARAYANPET CHC(SOLAIYAPPAN STREET) 2 MADHAVARAM CORP HOSP 1 THIRUVOTRIYUR GH 1 MINJUR PHC 1 KONDITHOPPU PHC 1 RK NAGAR CORP.HOSPITAL 1 NARAVARIKUPPAM PHC 1 STANLEY CHILDREN HOSP ICH 3 EYE HOSPITAL, EGMORE ROYS PVT HOSPITAL 1 GOSHA ADYAR CHC 1 CENTRAL GH 1 STANLEY MCH 3 GOSHA 4 RSRM 1 IOG EGMORE 4 KODAMBAKKAM CHC 1 PERAMBUR RAILWAY HOSPITAL 1 SHENOY NAGAR CHC 1 SANJEEVARAYANPET CHC(SOLAIYAPPAN STREET) 2 TONDIARPET PHC 1 DHARMAPURI MEDICAL COLLEGE HOSPITAL 1 K V T PVT HOSPITAL 1 TAMBARAM GH 3 MANGADU PHC 1 MEENAKSHI MCH 1 MIRSAHIB PET CHC 1 VILLUPURAM MDCH 1 SCENE 2 3 CHENNAI ICH-1 EGMORE MENJUR PHC 1 PERUMAL PATTU PHC 6 SAIDAPET CHC 2 SEMMANCHERY PHC 1 AVADI GH 1 PONNERI GH 2 KATHAVOOR PHC 1 MINJUR PHC 1 NARAVARIKUPPAM PHC 1 PORUR PHC 1 PORUR RAMACHANDIRA 1 ADAYAR CH 1 AKN NURSING HOME 1 ICH ICH 3 SCAN WORLD PVT LTD 2 THIRUVOTRIYUR GH 1 IOG EGMORE ADYAR CHC 1 SAIDAPET CHC IOG EGMORE 2 SCAN WORLD PVT LTD TONDIARPET COMMUNICABLE 1 KORRUKUPET CHC 2 SANJEEVARAYANPET CHC(SOLAIYAPPAN STREET) 3 KAVARAPETTAI PHC 1 RK NAGAR CORP.HOSPITAL 1 DEVAMPAT PHC 1 RK NAGAR 1 SANGEEVI RAYAN PETTAI PHC 1 PADIYANALLUR PHC 1 STANLEY MCH ICH 1 VELLORE MCH (ADUKKAMPARAI) TOTAL NO OF CASES 86 Page 27 of 43

Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital IOG EGMORE 1 ADYAR CHC NANDHIVARAM PHC 2 CHENGALPET MCH MANALI PHC 1 CHINNA STANLEY GH ICH 7 MIRSAHIB PET CHC 1 GOSHA ADYAR CHC 4 CHEYYAR GH 2 STANLEY MCH 1 GOSHA 13 RSRM 1 IOG EGMORE 1 KODAMBAKKAM CHC 4 EYE HOSPITAL, EGMORE 1 SHENOY NAGAR CHC 2 SANJEEVARAYANPET CHC(SOLAIYAPPAN STREET) 1 CHENGALPET MCH 1 TAMBARAM GH 4 KPM031 MOOVARASAMPATTU PHC 1 MIRSAHIB PET CHC 1 MUNDIAMBAKKAM MCH, VILLUPURAM 2 NEW LIFE CHILDREN PVT HOSP 1 MUNDIYAMBAKAM GH 1 PERUMAL PATTU PHC 2 SAIDAPET CHC 1 THIRUVALLUR GH 2 PONNERI GH 1 MADARAPAKKAM PHC 1 4 CHENNAI TRIPLICANE NEO 2 MINJUR PHC 1 PORUR PHC 1 STEDFORD HOSPITAL 1 IOG EGMORE 3 RAMACHANDRA 1 AYANAVARAM EOC 1 ICH ADYAR CHC 1 ICH 2 MULTI SUPER SPECIALITY GOVT HOSP OMANDURAR 1 THIRUNINDRAVUR PHC 1 IOG EGMORE GOSHA 1 KODAMBAKKAM CHC 1 KILPAUK MCH IOG EGMORE 1 MULTI SUPER SPECIALITY GOVT HOSP OMANDURAR ICH 1 MUNDIAMBAKKAM MCH, VILLUPURAM KORRUKUPET CHC 1 PULIYANTHOPE CHC IOG EGMORE 2 RADHA TRI PVT HOSPITAL IOG EGMORE 2 SAVITHA PVT HOSP 1 RADHATHREE NETHRALAYA EYE HOSPITAL ADYAR CHC 1 SAIDAPET GH RADHATHREE NETHRALAYA EYE HOSPITAL 1 SAVITHA PVT HOSP KORRUKUPET CHC 3 SANJEEVARAYANPET CHC(SOLAIYAPPAN STREET) 4 RK NAGAR CORP.HOSPITAL 2 PADIANALLUR PHC 1 STANLEY MCH ICH 1 TIRUVANNAMALAI MCH ICH 1 EYE HOSPITAL, EGMORE TOTAL NO OF CASES 97 CHILD TRUST HOS 1 ANNUR GH 1 CHANDRAPURAM.V.PHC 1 ISWARYA WOMEN HOSPITALS FACILITY CENTER 1 KALVEERAMPALAYAM PHC 1 KARADIMADAI PHC 1 MADUKKARAI PHC 1 MEENAKSHI MATERNITY HOME 1 METTUPALAYAM GH 2 NALLATTIPALAYAM PHC 2 SCENE 1 5 COIMBATORE CMCH - NEO PERIYANAYAKKANPALAYAM GH 2 POGALUR PHC 2 POLLACHI GH 4 POTHANUR PHC 1 SATHYAMANGALAM GH 1 SOMANUR PHC 1 SUNDKAMUTHUR GH 1 THUDALUR PHC 1 VALPARAI GH 1 VELLAKINAR PHC 1 COIMBATORE MEDICAL COLLEGE HOSPITAL, COIMBATORE VALPARAI PHC 1 POLLACHI GH TOTAL NO OF CASES 29 NADUVEERAPATTU PHC 1 CHIDAMBARAM GH 1 KARAIKADU PHC 1 MELPATTAMPAKKAM PHC 1 PANRUTI GH 2 PUDUCHATHIRAM PHC _ CUDD 1 VADALUR PHC 1 CUDDALORE GH, CUDDALORE 6 CUDDALORE CUDDALORE GH NEONATAL MUNDIAMBAKKAM MCH, VILLUPURAM 1 KALLAKURICHI GH 1 ICH CUDDALORE GH, CUDDALORE 2 RMMCH CHIDAMBARAM 1 JIPMER, PONDY CHIDAMBARAM GH 1 PUDUCHATHIRAM PHC _ CUDD 1 RMMCH CHIDAMBARAM TOTAL NO OF CASES 15

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Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital SIVAKKAM PHC 1 CHIDAMBARAM GH KUNDIYANALLUR PHC 1 KURINJIPADI GH 1 MELPATTAMPAKKAM PHC 1 CUDDALORE GH, CUDDALORE PALAKOLLAI PHC 1 THIRUVANTHIPURAM PHC 1 VRIDHACHALAM GH 1 CUDDALORE GH 1 ICH CUDDALORE GH, CUDDALORE 2 JIPMER, PONDY 7 CUDDALORE VIRUDHACHALAM GH - NEONATAL RMMCH CHIDAMBARAM 2 VEPPUR PHC 2 MUNDIAMBAKKAM MCH, VILLUPURAM VRIDHACHALAM GH 1 MANGALUR PHC 1 PASUMPALUR PHC 1 PERAMBALUR GH SIRUPAKKAM PHC 1 KATTUMANNAR KOIL GH 2 RMMCH CHIDAMBARAM SIVAKKAM PHC 1 GANAPATHIKURICHI PHC 1 VRIDHACHALAM GH TOTAL NO OF CASES 22 BELRAMPATTY PHC 2 BETHEL HOSPITAL 1 CHINTHALAPADI PHC 1 ERIYUR PHC 3 INDUR PHC 1 KADAMADAI PHC 1 KADATHUR PHC 3 KARIMANGALAM PHC 4 KAVITHA MANIMARAN PVT HOSPITAL 1 MARANDAHALLI PHC 3 MORAPPUR PHC 1 NAGADASAMPATTY PHC 5 NULAHALLI PHC 1 solakottai phc 1 DHARMAPURI MEDICAL COLLEGE HOSPITAL DHARMAPURI MCH 1 PALACODE GH 1 PALAYAMPUDUR PHC 2 PANCHAPALLI PHC 2 8 DHARMAPURI DHARMAPURI MC NEONATAL PENNAGARAM GH 2 PERIYAMPATTI PHC 1 POCHAMPALLI GH 1 PULIKARAI PHC 1 SRI BALAJI PVT. HOSP 1 THOPPUR PHC 1 THURINJIPATTI PHC 3 NAGADASAMPATTSI PHC 1 OMALUR GH 1 DHARMAPURI MC 1 ICH MACHERI PHC 1 MALLUR PHC HOSUR GH 1 NARAYANA HARUDAYALAY ERIYUR PHC 1 PENNAGARAM GH VAZHAPADI GH 1 SALEM GH APPOLO LOGA PVT HOSP 1 DHARMAPURI MEDICAL COLLEGE HOSPITAL 4 SALEM MEDICAL COLLEGE HOSPITAL KAVITHA MANIMARAN PVT HOSPITAL 1 NAGATHASANPATTI PHC 1 THIRUVANNAMALAI GH NEONATAL TOTAL NO OF CASES 58 DHARMAPURI HARUR GH-NEONATAL KARIMANGALAMPHC 1 PENNAGARAM GH 1 BAIRNATHAM PHC 1 BOOTHANATHAM PHC 1 HARUR GH 8 KALIPETTAI PHC 1 DHARMAPURI MEDICAL COLLEGE HOSPITAL KALLAVI PHC 1 KAMBAINALLUR PHC 2 KOTTAPATTI PHC 1 MORAPPUR PHC 3 PALAYAMPUDUR PHC 1 PENNAGARAM GH 1 9 HARUR GH 1 DARMAPURI GH CHINNANKUPPAM PHC 9 KOOTHADIPATTI PHC 3 KOTTAPATTI PHC 5 MORAPPUR PHC 1 HARUR GH SCENE 2 SITHERI PHC 1 THEERTHAMALAI PHC 1 DHARMAPURI MEDICAL COLLEGE HOSPITAL 1 SALEM MEDICAL COLLEGE HOSPITAL MALAMANJANUR PHC 2 TIRUVANNAMALAI MCH THANDRAMPATTU PHC 1 TOTAL NO OF CASES 49 GOPALPATTI PHC 1 AMMAIYANAYAKKANUR PHC 1 ANUMANTHARAYANKOTTAI PHC, DINDIGUL 1 CHINNALAPATTI PHC 1 GOPALAPATTI PHC 6 GUJILIAMPARAI PHC 1 KANAPPADI PHC 2 KANNIVADI PHC _ DINDIGUL 1 KOVILUR PHC 1 NARASINGAPURAM PHC 1 DINDIGUL GH VADA MADURAI PHC 1 PUDUKKOTTAI.K PHC 2 SAKKAINAIKKANUR PHC 2 10 DINDIGUL DINDIGUL GH NEONATAL SENDURAI PHC 1 SILUVATHUR PHC 2 SRIRAMAPURAM PHC 1 THADICOMBU PHC 2 ULLUPAKUDI PHC 2 VADAMADURAI PHC 1 PERIYODU PHC 1 NILAKOTTAI GH 1 DINDIGUL GH 16 MADURAI GRH PALANI GH 1 SIRUGUDI PHC 1 KADAVOOR PHC 1 TRICHY GH, TRICHY TOTAL NO OF CASES 51 Page 29 of 43

Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital PALANI GH 1 CHRISTIAN FELLOWSHIP HOSPITAL,ODDANCHATRAM DHARAPURAM GH 1 COIMBATORE MEDICAL COLLEGE HOSPITAL, COIMBATORE UDUMALAIPET GH 2 SILUVATHUR PHC 1 CHATHRAPATTI PHC 1 EDAYAKOTTAI PHC 1 GOPALAPATTI PHC 3 DINDIGUL GH KANAPPADI PHC 1 KEERANUR K PHC 1 11 DINDIGUL PALANI GH NEONATAL KETHAIRUPPU PHC 1 PALANI GH 2 DINDIGUL GH 2 MADURAI GRH PALANI GH 3 PALANI GH 1 OTTANCHATHIRAM GH KEERANUR K PHC 1 PALANI GH MIDAPADI PHC 1 KANIYUR PHC 1 UDUMALAIPET GH TOTAL NO OF CASES 24 MUTTHUR PHC 1 ANTHIYUR GH 2 ARACHALUR PHC 1 BABY PVT HOSP 1 CHITHODE PHC 1 ELANTHAKUTTAI PHC 1 KAADACHANALLUR PHC 1 MODAKURICHI PHC 1 NASIYANOOR PHC 2 ERODE GH BHAVANI GH 1 KALLAKURICHI 1 PERUNDURAI GH 1 PETHAMPALAYAM PHC 1 SIVAGIRI PHC 1 THINDAL PHC 4 12 ERODE ERODE GH NEONATAL TIRUCHENGODE GH 2 PERUNTHURAI GH 1 KASIPALYAM PHC 1 NAMBIYUR PHC 1 GOBICHETTIPALAYAM GH UKKARAM GH 1 GONGRAMKADU PHC 1 METTUR GH METTUR GH 1 SALEM GH ERODE GH 4 METTUR GH 1 SALEM MEDICAL COLLEGE HOSPITAL SANGAGIRI ESI HOSPITAL 1 TIRUCHENGODE GH 1 ERAYAMANGALAM PHC 1 KOKKARAYANPETTAI PHC 3 TIRUCHENGODE GH VADUGAPATTI PHC 1 TOTAL NO OF CASES 40 GOBICHETTIPALAYAM GH 3 COIMBATORE MEDICAL COLLEGE HOSPITAL, COIMBATORE ANTHIYUR GH 1 ERODE GH AYALUR S.PALAYAM PHC 1 KALLIPATTI PHC 2 13 ERODE GOBICHETTIPALAYAM GH NEONATAL NAMBIYUR PHC 1 GOBICHETTIPALAYAM GH ODATHURAI PHC 1 UKKARAM PHC 1 TOTAL NO OF CASES 10 SALEM MEDICAL COLLEGE HOSPITAL 1 CENTRAL GH MAHAPALIPURAM GH 1 ACHARAVAKKAM 1 MUNDIYAMBAKAM GH 1 CHENGALPET MCH 1 KANCHIPURAM GH 2 CHEYYUR GH 1 TAMBARAM GH 1 UTHIRAMERUR GH 1 KPM017 KARUNKUZHI PHC GNANAGIRISWARANPETAI PHC 1 KELAMBAKKAM PHC 1 CHENGALPET MCH KUNNAVAKKAM PHC 1 NANDHIVARAM PHC 4 NERUMBUR PHC 1 PAVANJUR PHC 2 SADRAS PHC 2 VALLAM PHC 1 WALAJABAD PHC 1 MANAMPATHY PHC 1 MADURANTHAGAM GH 1 HOSUR GH 1 VILLUPURAM MCH 1 CUDDALORE GH, CUDDALORE 14 KANCHEEPURAM CHENGALPET GH-NEONATAL CHENGALPET MCH 1 GOSHA MUNDIAMBAKKAM MCH, VILLUPURAM 1 SRM 1 CHENGALPET MCH 4 KANCHIPURAM GH 3 SRIPERUMBUDUR GH 1 MUNDIAMBAKKAM MCH, VILLUPURAM 6 CUDDALORE GH 1 ICH TIRUVANNAMALAI MCH 2 THIRUVALLUR GH 1 CHENGALPET GH 1 VILLUPURAM MCH 1 THIRUPORUR PHC 1 AMMA PETTAI MEDICAL COLLEGE 1 IOG EGMORE KANCHIPURAM GH 1 THENNERI PHC 1 KANCHIPURAM GH CHENGALPET MCH 1 KILPAUK MCH KANCHIPURAM GH 1 KANCHIPURAM GH 1 SRMC, PORUR CHENGALPET MCH 1 SAVITHA PVT HOSP SOMANGALAM PHC 1 TAMBARAM GH TOTAL NO OF CASES 60 Page 30 of 43

Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital MANAMPATHI PHC 1 CHENGALPET MCH KANCHIPURAM GH 1 TIRUPATTUR GH 1 CHENGALPET MCH 1 ICH VILUPPURAM MCH 1 KANCHIPURAM GH 1 15 KANCHEEPURAM KANCHEEPURAM GH Neo CHINNA EZHACHERI PHC 2 KANCHIPURAM GH 1 SRIPERUMBUDUR GH 1 KANCHIPURAM GH PERUMBAKKAM PHC 1 THIRUPPUKUZHI PHC 2 ARAKONAM GH 2 THIRUVALLUR GH TOTAL NO OF CASES 15 BOOTHAPANDI GH 1 VELLISANTHAI PHC 1 KULITHURAI GH 1 AGASTHEESWARAM PHC 1 ANNAI PRIVATE HOSPITAL 1 BOOTHAPANDY GH 1 KANYAKUMARI MEDICAL COLLEGE HOSPITAL, ASARIPALLAM COLACHEL GH 1 KILLIYUR PHC 1 KULITHURAI GH 3 SANKANAPURAM PHC 1 16 KANYAKUMARI THUCKLAY GH NEONATAL THIRUVITHANCODE PHC 1 THUCKLAY GH 1 THUCKLAY GH 1 KANYAKUMARI MEDICAL MISSION & CSI HOSP KOLLENCODE PHC 2 KUTTAKUZHI PHC 2 KULITHURAI GH THOOTHOOR PHC 1 KANNANOOR PHC 1 KOTHANALLUR PHC 1 THUCKLAY GH THOTHUR PHC K 1 TOTAL NO OF CASES 23 ARAVAKURICHI GH 1 CHINNADHARAPURAM PHC 1 KALLAPALLI PHC 1 MALAIKOVILUR PHC 1 KARUR GH, KARUR MANMANGALAM GH 1 MYLAMPATTI PHC 1 17 KARUR KARUR GH - NEONATAL VELAYUTHAMPALAYAM GH 1 KARUR GH, KARUR 4 MADURAI GRH KARUR GH, KARUR 2 KULITHALAI GH 1 TRICHY GH, TRICHY SENGATTUPATTI PHC 1 TOTAL NO OF CASES 15 DENKANIKOTTAI GH 1 HOSUR GH 1 DHARMAPURI MEDICAL COLLEGE HOSPITAL SHOOLAGIRI PHC 1 18 KRISHNAGIRI HOSUR GH NEO KAKKADESAM PHC 1 HOSUR GH DENKANIKOTTAI GH 1 TOTAL NO OF CASES 5 HOSUR GH 1 DARMAPURI GH DENKANIKOTTAI GH 1 HOSUR GH 3 JEKKASAMUDRAM PHC 1 DHARMAPURI MEDICAL COLLEGE HOSPITAL KRISHNAGIRI GH, KRISHNAGIRI 7 NAGADASANPATY PHC 1 BERIGAI PHC 1 KAKKADESAM PHC 1 HOSUR GH THALI PHC 1 UNCHATTY PHC 1 KRISHNAGIRI GH 1 ALAPATTI PHC 2 19 KRISHNAGIRI KRISHNAGIRI GH -NEO BARGUR PHC 2 BELRAMPALLY PHC 1 MEKALACHINNAMPALLI PHC 4 NACHAIKUPPAM PHC 1 KRISHNAGIRI GH, KRISHNAGIRI NEDUNGAL PHC 1 RAYAKOTTAI PHC 1 SHOOLAGIRI PHC 4 SINTHAGAMPALLI PHC 1 VEPPANAPALLI PHC 1 KRISHNAGIRI GH, KRISHNAGIRI 1 SALEM MEDICAL COLLEGE HOSPITAL SCENE 1 ST.JONES PRIVATE HOSPITAL, BANGLORE PUDUPETTAI PHC _ VELLORE 2 TIRUPATTUR GH TOTAL NO OF CASES 41 ALANGANALLUR PHC 2 DINDIGUL GH 1 KALLANDRI PHC 1 KANJARAMPETTAI PHC 1 KOTTAMPATTI PHC 1 KULAMANGALAM PHC 2 LAKSHMI NURSINGHOME 1 MELUR GH 4 OTHAKADAI PHC 1 PALAYANOOR PHC 1 MADURAI GRH 20 MADURAI MADURAI GH NEONATAL RAJAKOOR PHC 1 SAMAYANALLUR PHC 1 SEKKIMANGALAM PHC 3 SIVAGANGA MCH, SIVAGANGAI 1 THANAKKANKULAM PHC 1 THIRUMANGALAM GH 7 THIRUPUVANAM GH 2 VIRUTHANUR PHC 1 SEKKIMANGALAM PHC 1 TOTAL NO OF CASES 33 Page 31 of 43

Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital KULAMANGALAM PHC 1 MOODUVARPATTI PHC 1 PALAMEDU PHC 3 PUDUPATTI.T PHC 1 THANAKKANKULAM PHC 1 THIRUMANGALAM GH 4 MADURAI GRH THIRUPARANKUNDRAM PHC 1 USILAMPATTI GH 1 21 MADURAI THIRUMANGALAM GH NEONATAL VALAYANKULAM PHC 3 MELUR GH 1 RAJAKUR PHC 1 KALLUPATTI.T PHC 1 THIRUMANGALAM GH ELUMALAI PHC 1 USILAMPATTI GH SAPTUR PHC 1 MUSUTTAIKKURICHCHI PHC 1 VIRUDHUNAGAR GH, VIRUDHUNAGAR TOTAL NO OF CASES 22 CHECKANURANI PHC 1 MELAKKAL PHC 1 THANAKKANKULAM PHC 1 MADURAI GRH THIRUMANGALAM GH 2 22 MADURAI USILAMPATTI GH NEONATAL USILAMPATTI GH 8 NAGAMALAIPUTHUKOT PHC 1 NAGAMALAI PUDUKOTTAI PHC PERIYAKULAM GH 1 THENI MEDICAL COLLEGE HOSPITAL, THENI ELUMALAI PHC 4 USILAMPATTI GH TOTAL NO OF CASES 19 SIRKALI GH 1 CHITHAMBARAM GH SIRKALI GH 1 JIPMER, PONDY KONNULAMPALLAM PHC 1 PATTEESWARAM PHC 2 KUMBAKONAM GH VEPPATHUR PHC 1 KG CLINIC 1 23 NAGAPATTINAM MAYILADUTHURAI GH NEONATAL MAYILADUTHURAI GH SANKARANPANDAL PHC 1 MAYILADUTHURAI GH 7 RAJA MIRASDAR GH, THANJAVUR KUMBAKONAM GH 3 EDMALANALI PHC 1 SIRKALI GH MAYILADUTHURAI GH 2 THANJAVUR MEDICAL COLLEGE HOSPITAL TOTAL NO OF CASES 21 MYLAMPATTI PHC 1 KARUR GH, KARUR ERNAPURAM PHC NAMAKKAL GH 1 MULLUKURICHI PHC 1 VAZHVANTHINADU PHC 1 ERNAPURAM PHC 4 ERUMAIPATTI PHC 1 KATTUPUTHUR PHC 1 ALAVANTHINADIU PHC 1 VALAVANTHINADUPHC 1 NAMAKKAL GH, NAMAKKAL PARAMATHIVELUR GH 5 PAVITHIRAM PHC 2 PILLANALLUR PHC 1 POWERKADU PHC 1 SENDHAMANGALAM GH 3 24 NAMAKKAL NAMAKKAL GH - NEONATAL THATHAIANGARPET PHC 2 THOTTIYAM GH 1 VALAVANTHINADU PHC 1 MANGALAPURAM PHC 1 NAMAKKAL GH, NAMAKKAL 7 SALEM MEDICAL COLLEGE HOSPITAL RASIPURAM GH 2 VAIYAPPAMALAI PHC 1 KOTTATHUR PHC 1 THURAIYUR GH MANICKAMPALAYAM PHC 1 TIRUCHENGODE GH NALLUR PHC _ NMKL 1 INNUNGUR PHC 1 KARUR GH, KARUR 1 TRICHY GH, TRICHY KULITHALAI GH 1 TOTAL NO OF CASES 45 ERAYAMANGALAM PHC 1 TIRUCHENGODE GH 25 NAMAKKAL THIRUCHENGODE GH NEONATAL MANICKAMPALAYAM PHC 1 TOTAL NO OF CASES 2

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Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital AADHIVASI TRUST HOSPITAL 1 CALICUT GH(KOZHIKODU KERALA STATE) COONOOR GH 2 SM PVT HOSPITAL 1 COIMBATORE MEDICAL COLLEGE HOSPITAL, COIMBATORE UDHAGAMANDALAM GH 2 O VALLEY PHC 1 GUDALUR GH UDHAGAMANDALAM GH 1 METTUPALAYAM GH PAIKADA PHC 1 OOTY GH 26 NILGIRIS OOTY GH (NICU) - NEO KOTHAGIRI GH 1 OOTY SAIT HOSPITAL GUDALUR GH 2 KOLLAKOMBAI PHC 1 KOTHAGIRI GH 1 UDHAGAMANDALAM GH MASINAGUDI PHC 1 SHOLUR PHC 1 THANGADU ORANALLY PHC 1 TOTAL NO OF CASES 17 IRUMBULIKURICHI PHC 1 ARIYALUR GH, ARIYALUR MELAMATHUR PHC 2 KOTTATHUR PHC T 1 HURAIYUR GH KALLAKURICHI GH 1 MUNDIAMBAKKAM MCH, VILLUPURAM AMMAPALAYAM PHC 1 ARUMBAVOR PHC 1 KALATHUR.V PHC 3 KALPADI PHC 1 KARAI PHC 1 PERAMBALUR GH MANGALUR PHC 2 27 PERAMBALUR PERAMBALUR GH-NEONATAL MURUKKANGUDI PHC 2 SCENE 1 PASUMPALUR PHC 1 POOLAMBADI PHC 2 ARIYALUR GH, ARIYALUR 2 RAJA MIRASDAR GH, THANJAVUR TRICHY GH, TRICHY 1 PERAMBALUR GH 2 THANJAVUR MEDICAL COLLEGE HOSPITAL UPPILIYAPURAM PHC THURAIYUR 1 THURAIYUR GH KULUMANI PHC 1 TRICHY GH, TRICHY PERUVALAPUR PHC 1 TOTAL NO OF CASES 28 ATHANI PHC _ PUDUKOTTAI 1 PONBETHI PHC 1 ARANTHANGI GH SILATTUR PHC 1 AMMAPATTINAM PHC 1 KARAIKUDI NEW GH 1 MADURAI GRH ARANTHANGI GH 1 PATTUKKOTTAI GH 1 RAJA MIRASDAR GH, THANJAVUR PUDUKOTTAI GH, PUDUKOTTAI 1 28 PUDUKOTTAI ARANTHANGI GH NEONATAL RANIS MATERNITY GH, PUDUKKOTTAI 1 ARAYAPATTY PHC 1 PARAMBUR PHC 1 RANIS MATERNITY GH, PUDUKKOTTAI VALLATHARAKOTTAI PHC 1 ARANTHANGI GH 2 THANJAVUR MEDICAL COLLEGE HOSPITAL ARANTHANGI GH 1 TRICHY GH, TRICHY PUTHUKOTAI RANI GH 1 TOTAL NO OF CASES 16 PONBETHI PHC 1 ARANTHANGI GH SILATTUR PHC 1 RANIS MATERNITY GH, PUDUKKOTTAI 1 KAVERI MEDICAL CENTRE & HOSPITAL KARAIKUDI NEW GH 1 KOPPANAMPATTI PHC 1 MADURAI GRH SCENE 1 thiruvaram kulam phc 1 ALANGUDI GH 1 ANNAVASAL GH 1 PUDUKOTTAI GH, PUDUKOTTAI KOPPANAMPATTI PHC 2 RANIS MATERNITY GH, PUDUKKOTTAI 1 RANIS MATERNITY GH, PUDUKKOTTAI 4 RAJA MIRASDAR GH, THANJAVUR ANDAKULAM PHC 3 29 PUDUKOTTAI RANI'S GH NEONATAL ARIMALAM PHC 1 KAVERINAGAR PHC 2 KOTHAMANGALAM PHC 1 MALAIYUR PHC 1 RANIS MATERNITY GH, PUDUKKOTTAI MELSIVAPURI PHC 2 PARAMBUR PHC 1 S RATHINAVEL PVT HOSPITAL 1 VALLATHARAKOTTAI PHC 1 NERKUPPAI PHC 1 SIVAGANGA MCH, SIVAGANGAI RANIS MATERNITY GH, PUDUKKOTTAI 1 THANJAVUR MEDICAL COLLEGE HOSPITAL RANIS MATERNITY GH, PUDUKKOTTAI 3 TRICHY GH, TRICHY UPPILIAKUDI PHC 1 TOTAL NO OF CASES 35 NARIKUDI PHC 1 PANDALKUDI PHC 1 ARUPUKOTTAI GH PARALACHI PHC 1 RAMNAD GH 1 PANDUKUDI PHC 1 MADURAI GRH PARAMAKUDI GH 1 RAMANATHAPURAM GH, RAMNAD 2 KAMUDHI GH 2 PARAMAKUDI GH 30 RAMANATHAPURAM MUTHUKULATHUR GH NEONATAL ERVADI PHC 1 BOGALUR PHC 1 ERVADI PHC 1 RAMANATHAPURAM GH, RAMNAD MELAKIDARAM PHC 1 SAYALKUDI PHC 4 ANANDHUR PHC 1 SIVAGANGA MCH, SIVAGANGAI ILAYANKUDI GH 1 TOTAL NO OF CASES 20

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Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital RAMANATHAPURAM GH, RAMNAD 3 MADURAI GRH KODIKULAM.P PHC 1 RAMESWARAM GH 1 31 RAMANATHAPURAM RAMNAD GH NEONATAL RAMANATHAPURAM GH, RAMNAD THONDI PHC 1 UTCHIPULI PHC 1 TOTAL NO OF CASES 7 KUTTAPATTI PHC 1 METTUR DAM GH METTUR GH 1 SALEM GH 32 SALEM METTUR GH NEONATAL METTUR DAM GH 2 SALEM MEDICAL COLLEGE HOSPITAL THUMBAL PHC 1 TOTAL NO OF CASES 5 MANJINI PHC 1 ATTHUR GH SELAM GH 1 ICH KARIYALUR PHC 1 KALLAKURICHI GH METTUR DAM GH 1 SALEM GH METTUR GH SALAM GH 1 ATHUR GH 1 VALAVANDHI PHC 1 ACHANGUTTAPATTI PHC 1 ARIYAPALAYAM PHC 1 ARUNUTHUMALAI PHC 1 ATTHUR GH 5 BELUR PHC 4 CHETTIMANKURICHI PHC 1 ELAMPILLAI PHC 1 JALAGANDAPURAM GH 1 33 SALEM SALEM GH NEONATAL K.R.THOPPUR PHC 1 KARUMANTHURAI PHC 1 SALEM MEDICAL COLLEGE HOSPITAL MAGUDANCHAVADI PHC 1 MALLUR PHC 1 METTUR DAM GH 2 OMALUR GH 1 PAGALPATTI PHC 1 POOLAMPATTI PHC 1 SIRUVACHUR PHC 1 THARAMANGALAM PHC 4 THUMBAL PHC 1 VALAVANTHI PHC 2 VELLALAPURAM PHC 2 KEDAYUR PHC 1 TIRUCHENGODE GH TOTAL NO OF CASES 42 KEELANILAI PHC 1 ARANTHANGI GH MARUTHANKUDI PHC 1 KARAIKUDI NEW GH SEVINIPATTI PHC 2 SEVINIPATTI PHC 1 KARAIKUDI OLD GH KEELAPONKODI PHC 1 KEELAPOONGUDI PHC ALLA HOSP 1 KARAIKUDI NEW GH 4 MADURAI GRH POOVANTHI PHC 1 SIVAGANGA MCH, SIVAGANGAI 2 DEVAKOTTAI GH 1 ARASANOOR PHC 1 ERIYUR PHC 1 34 SIVAGANGA SIVAGANGAI MCH -NEONATAL KALAYARKOIL PHC 1 KANNANKUDI PHC 1 KEELAPOONGUDI PHC 2 KULAMANGALAM PHC _ SIVAGANGAI 1 MANAMADURAI GH 1 SIVAGANGA MCH, SIVAGANGAI MARAVAMANGALAM PHC 1 MUTHANENDAL PHC 1 SATHARASANKOTTAI PHC 2 SEMBANUR PHC 1 SOORANAM PHC 1 THIRUKOSHTIYUR PHC 1 TIRUPATTUR GH 1 TOTAL NO OF CASES 31 KOTHANGUDI PHC 1 KUMBAKONAM GH PATTEESWARAM PHC 1 ATHANAKOTTAI PHC 1 KABISTHALAM PHC 1 KUMBAKONAM GH 2 MANNARKUDI GH 2 MADUR PHC 1 PATTUKKOTTAI GH 6 RAJA MIRASDAR GH, THANJAVUR 35 THANJAVUR RMH NEONATAL PUDUNAGAR PHC 1 THANJAVUR MEDICAL COLLEGE HOSPITAL 1 THIRUVALAMPOZHIL PHC 1 VALLAM PHC _ THANJAVUR 1 VALLAM PHC _ THANJAVUR 1 BUDALUR PHC 1 THANJAVUR MEDICAL COLLEGE HOSPITAL KUMBAKONAM GH 1 TOTAL NO OF CASES 22

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Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital GUDALUR PHC 1 CUMBUM GH THENI MEDICAL COLLEGE HOSPITAL, THENI 1 MADURAI GRH DEVADANAPATTI PHC 1 PERIYAKULAM GH E PUTHUPATTI PHC 1 RAJADANI PHC 1 SUBLAPURAM PHC 1 ANDIPATTI GH 1 BODITHASANPATTI HSC 1 CUMBUM GH 3 GUDALUR PHC 1 HOLY REDEEMER HOSPITAL, THENI 1 KADAMALAI GUNDU PHC 1 KUPPANASARIPATTI PHC 1 36 THENI THENI MEDICAL COLLEGE - NEONATAL M.SUBBULAPURAM PHC, SUBBALAPURAM 1 THENI MEDICAL COLLEGE HOSPITAL, THENI NR HOSPITAL, THENI 1 ODAIPATTI PHC 1 PANNAIKADU GH 1 PERIYAKULAM GH 10 RAJATHANI PHC 1 SUBBALAPURAM M PHC 1 UTHAMAPALAYAM GH 1 VADAPUDUPATTI PHC 1 VADAPUDUPATTI PHC 1 VEERAPANDI PHC _ THENI 1 DOMBUCHERY PHC 1 VEERAPANDI PHC _ THENI TOTAL NO OF CASES 36 MINNAL PHC 1 ARAKONAM GH THAKKOLAM PHC 1 KACHIYUR PHC 1 EGMORE IOG ARAKONAM GH 1 THIRUVALLUR GH 5 ICH TIRUTTANI GH 2 ARAKONAM GH 5 MUDUR PHC 2 TIRUTTANI GH 4 NEMAM PHC 1 THIRUVALLUR GH PERIYAPALAYAM PHC 1 POONIMANGADU PHC 1 THIRUVELANGADU PHC 2 37 THIRUVALLUR THIRUTHANI GH-NEONATAL ARAKONAM GH 1 MUDUR PHC 1 TIRUTANI URBAN PHC 1 PALLIPATTU GH 1 PODHATTURPET GH 1 AMMAYARKUPPAM PHC 1 TIRUTTANI GH ATHIMANJERIPETTAI PHC 1 POONIMANGADU PHC 1 R.K.PET PHC 3 VENGANUR PHC 1 SURAKKAPETTAI PHC 1 BANAVARAM PHC 1 VELLORE MCH (ADUKKAMPARAI) PUNNAI PHC 1 TOTAL NO OF CASES 42 PADIANALLUR PHC 1 CHINNA STANLEY GH SRIPERUMBUDUR GH 1 THIRUVALLUR GH 2 PONNAMALLEE GH 2 PONNERI GH 2 NEMAM PHC 1 ICH STEDFORD HOSPITAL 1 THIRUVALLUR GH 1 38 THIRUVALLUR THIRUVALLUR NEONATAL KANCHIPURAM GH 1 THIRUVALLUR GH 1 MEENJUR PHC 1 KAVARAPETTAI PHC 1 STANLEY MCH SAVITHA PVT HOSP 1 RADHA TRI PVT HOSPITAL ULUNDAI PHC 1 THIRUVALLUR GH VALLIYUR PHC 3 TOTAL NO OF CASES 20 CHEYYAR GH 1 DESUR PHC 1 KILKODUNGALLUR PHC 1 MANAMPATHI PHC 3 CHENGALPET MCH PAVANJUR PHC 1 RAMAPURAM PHC 1 MANAMPATHY PHC 1 VANDAVASI GH 1 ANAIPOGI PHC 1 PERUNGATTUR PHC 1 THOZHUPEDU PHC 1 CHEYYAR GH VEERAMPAKKAM PHC 1 AKKUR PHC 1 KANCHIPURAM GH 2 VANDAVASI GH 1 ICH CHEYYAR GH 2 39 THIRUVANNAMALAI CHEYYAR GH NEONATAL TV MALAI MCH 1 MAMANDUR PHC 1 KANCHIPURAM GH VANDAVASI GH 1 THATCHAMPADI PHC 1 TIRUVANNAMALAI MCH polur gh 1 PANAPAKKAM PHC 1 AGARAMPALAYAM PHC 1 CHEYYAR GH 1 KOLAPALUR PHC 2 ONNUPURAM PHC 1 VELLORE MCH (ADUKKAMPARAI) OTHERS 1 PERANAMALLUR PHC 1 PERANAMALLUR PHC 1 S.V.NAGARAM PHC 1 S.V.NAGARAM PHC 1 TOTAL NO OF CASES 36 Page 35 of 43

Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital TV MALAI MCH 3 ICH KARIYALUR PHC 1 MOTTAMPATTI PHC 1 KALLAKURICHI GH VADAPONPARAPPI PHC 1 MELCHITHAMUR PHC 1 MELMALAYANUR PHC GINGEE GH 1 MUGAIYUR PHC 1 MUNDIAMBAKKAM MCH, VILLUPURAM THIRUKOILUR GH 1 SATHYAMANGALM PHC 1 SCENE 2 ARATTAVADI PHC 1 AVALURPETTAI PHC 2 CHENGAM GH 1 KEEZHPENNATHUR PHC 2 KELUR PHC 1 KONALUR PHC 2 MALAMANJANUR PHC 1 MANGALAM PHC 3 MEKKALUR PHC 1 MELMALAYANUR PHC 1 40 THIRUVANNAMALAI THIRUVANNAMALAI GH NEONATAL MELPALLIPATTU PHC 1 MELPENNATHUR PHC 2 MELVILVARAYANALLUR PHC 1 TIRUVANNAMALAI MCH NORTHAMPOONDI PHC 1 CHENGAM GH 1 PADAGAM PHC 1 PARAMANANDAL PHC 2 PAVITHRAM PHC 1 PERIYAKULAM PHC 1 PERUNGULATHUR PHC 3 SATHANUR DAM PHC 1 SOMASIPADI PHC 1 THANDRAMPATTU PHC 3 THIRUKOILUR GH 1 THURINJAPURAM PHC 1 VALATHI PHC 3 VANAPURAM PHC 1 ATTAMPOONDI PHC 1 THURINJAPURAM PHC 1 VELLORE MCH (ADUKKAMPARAI) TOTAL NO OF CASES 55 KASAVALANADHUPUDHUR PHC 1 ADHIRAMPATTINAM GH 1 RAJA MIRASDAR GH, THANJAVUR MANNARKUDI GH 4 PATTUKKOTTAI GH 6 41 THIRUVARUR NEONATAL MANNARKUDI-GH NAGAPATTINAM GH, NAGAPATTINAM 1 THIRUTURAIPOONDI GH 4 THIRUVARUR MEDICAL COLLEGE HOSPITAL VILAKUDI PHC 1 TOTAL NO OF CASES 18 THIRUPOODNI GH 1 NAGAPATTINAM GH MANNARKUDI GH 2 THIRUVARUR MEDICAL COLLEGE HOSPITAL 2 RAJA MIRASDAR GH, THANJAVUR VENKATESWARA PVT HOSP 1 NAGAPATTINAM GH, NAGAPATTINAM 1 VIJAYAPURAM GH 1 42 THIRUVARUR THIRUVARUR MCH-NEONATAL NAGAPATTINAM GH, NAGAPATTINAM 4 PALAKURICHI PHC 1 THIRUVARUR MEDICAL COLLEGE HOSPITAL THIRUTURAIPOONDI GH 4 THIRUVIZHIMAZHALAI PHC 1 VENKATESWARA PVT HOSP 1 VIJAYAPURAM GH 1 TOTAL NO OF CASES 20 NAGALAPURAM PHC 1 ARUPUKOTTAI GH ARUPUKOTTAI GH 1 MADURAI GRH ELAIYIRAMPANNAI PHC 1 ILAYARAJANENDHAL PHC 2 KALUGUMALAI PHC 2 NAGALAPURAM PHC 2 KOVILPATTI GH SCENE 1 PASUVANTHANAI PHC 1 43 THOOTHUKUDI KOVILPATTI GH NEONATAL PUDUR PHC 3 SAYAMALAI PHC 1 ETTAYAPURAM GH 2 KOVILPATTI GH 1 THOOTHUKUDI MEDICAL COLLEGE HOSPITAL VELLALANKOTTAI PHC 1 KOVILPATTY GH 1 KAYATHAR PHC 2 TIRUNELVELI MEDICAL COLLEGE HOSPITAL KOVILPATTI GH 5 TOTAL NO OF CASES 27 VEMBAR PHC 1 THOOTHUKUDI GH ERAL PHC 3 ETTAYAPURAM GH 1 KOVILPATTI GH 1 MAPPILLIAIURANI PHC 1 MUDIVAITHANANDAL PHC 2 NALLA THAMBI KIDNEY CARE CENTRE 1 SCENE 1 THOOTHUKUDI MEDICAL COLLEGE HOSPITAL OTTAPIDARAM GH 2 PUDHIAMPUTHUR PHC 1 44 THOOTHUKUDI THOOTHUKUDI GH NEONATAL PUDUKOTTAI PHC 2 TIRUCHENDUR GH 4 VEMBAR PHC 1 VEPPALODAI PHC 1 VILATHIKULAM GH 2 ANANDHAPURAM PHC 1 ARUMUGANERI PHC 1 SALAIPUDUR PHC 1 TIRUNELVELI MEDICAL COLLEGE HOSPITAL THOOTHUKUDI MEDICAL COLLEGE HOSPITAL 2 TIRUCHENDUR GH 2 TOTAL NO OF CASES 31 Page 36 of 43

Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital MYLAMPATTI PHC 2 KARUR GH, KARUR KOTTATHUR PHC 1 THURAIYUR GH KAVALKARAPATTI PHC 1 45 TIRUCHIRAPPALLI MANAPARAI GH NEONATAL MANAPPARAI GH 1 TRICHY GH, TRICHY THACHANKURICHI PHC 1 TOTAL NO OF CASES 6 KEERANUR PHC _ TIRUCHI 1 DINDIGUL GH MYLAMPATTI PHC 2 KARUR GH, KARUR KARUR GH, KARUR 1 MADURAI GRH TRICHY GH, TRICHY 1 PERAMBALUR GH 1 THANJAVUR MEDICAL COLLEGE HOSPITAL UPPILIYAPURAM PHC 1 THURAIYUR GH UPPILIYAPURAM PHC 1 VEPPANKUDI PHC 1 ANBIL PHC 2 ANDANALLUR PHC 1 ARASANKUDI PHC 1 AZHUNTHALAIPUR PHC 1 KALLAMEDU PHC 1 KATTUR PHC 1 KAVALKARAPATTI PHC 1 KULITHALAI GH 2 LALGUDI GH 1 MANAPPARAI GH 1 46 TIRUCHIRAPPALLI MANNARPURAM NEONATAL MYLAMPATTI PHC 1 NAGAMANGALAM PHC _ TIRUCHI 2 NAVALPATTU PHC 2 TRICHY GH, TRICHY HURBAN PHC 1 ORAIYUR HSC 2 PERUGAMANI PHC 1 PERUVALAPUR PHC 1 PETTAVAYTALAI PHC 1 PULLAMBADI PHC 3 PUTHANATHAM PHC 1 SAMAYAPURAM PHC 1 SOMARASANPETTAI PHC 1 SRIRANGAM GH 4 SUBRAMANIYAPURAM CORP HOSP 1 UPPILIAPURAM PHC 1 VALANADU PHC 1 VIRALIMALAI PHC 1 TOTAL NO OF CASES 46 ZAMIN KOLLANKONDAN PHC 1 RAJAPALAYAM MATERNITY GH VASUDEVANALLUR PHC 1 ELATHUR PHC 1 KADAYAM PHC 2 TENKASI GH MADATHUPATTI PHC 1 PAVOORCHATHRAM PHC 2 PULIYANKUDI GH 2 47 TIRUNELVELI TENKASI GH NEONATAL AMBASAMUDRAM GH 2 CHERAMANDEVI GH 2 MARUTHAMPUTHUR PHC 1 TIRUNELVELI MEDICAL COLLEGE HOSPITAL TENKASI GH 1 SANKARANKOIL GH 2 SRIRAM PVT HOSPITAL 1 TOTAL NO OF CASES 19 KULITHURAI GH 1 KANYAKUMARI MCH MUKKUPERI PHC 1 THOOTHUKUDI MEDICAL COLLEGE HOSPITAL ALANGULAM PHC 2 ALWARTHIRUNAGARI PHC 1 AMBASAMUDRAM GH 2 CHERAMANDEVI GH 1 KALLUR PHC 1 KAYATHAR PHC 1 KOVILPATTI GH 1 SCENE 1 48 TIRUNELVELI TIRUNELVELI MCH NEONATAL PARKITMA NAGAR PHC 1 TIRUNELVELI MEDICAL COLLEGE HOSPITAL PULIYANGUDI URBAN PHC 1 REDDIARPATTI PHC 1 SACRED HEART HOSPITAL, TUTICORIN 1 SRIVAIKUNDAM GH 1 TENKASI GH 1 THATCHANALLUR PHC 1 VALLANADU PHC 3 VIRAVANALLUR PHC 2 TOTAL NO OF CASES 24 TIRUPUR NEW GH (PERICHIPALAYAM GH) 1 DHARAPURAM GH 1 COIMBATORE MEDICAL COLLEGE HOSPITAL, COIMBATORE TIRUPUR NEW GH (PERICHIPALAYAM GH) 2 UDUMALAIPET GH 2 VALAVADI PHC 1 KRISHNAGIRI GH -NEO PALANI GH 1 MADURAI GRH AMARAVATHI PHC 1 OOTY GH (NICU) - NEO 49 TIRUPUR DHARAPURAM GH NEO NATAL VELAMPALAYAM PHC 1 KANGEYAM GH 1 NAMBIYAMPALAYAM PHC 1 TIRUPUR NEW GH (PERICHIPALAYAM GH) PALLADAM GH 1 PERUMANALLUR PHC 1 PETHAMPATTI PHC 1 UDUMALAIPET GH TOTAL NO OF CASES 15 DHARAPURAM GH 1 METTUPALAYAM GH 1 COIMBATORE MEDICAL COLLEGE HOSPITAL, COIMBATORE TIRUPUR NEW GH (PERICHIPALAYAM GH) 6 PERUNDURAI GH 1 ERODE GH VELAMPALAYAM PHC 1 50 TIRUPUR TIRUPUR GH NEONATAL MANGALAM PHC _ TIRUPUR 1 PALLADAM GH 1 TIRUPUR NEW GH (PERICHIPALAYAM GH) PERUMANALLUR PHC 5 UTHUKULI GH 1 TOTAL NO OF CASES 18 Page 37 of 43

Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital KODAIKAL PHC 2 AMBUR GH 1 ANAICUT PHC 3 GUDIYATTAM GH 17 KANIYAMBADI PHC 1 KANKUPPAM PHC 2 MARATHIPALAYAM PHC 2 NARIAMPATTU PHC 2 VELLORE MCH (ADUKKAMPARAI) ODUGATHUR PHC 1 PALLIKONDA PHC 3 PERNAMPET GH 1 POYGAI PHC 4 THIRUVALAM PHC 1 USSOOR PHC 1 51 VELLORE GUDIYATHAM GH-NEONATAL VADUGANTHANGAL PHC 1 K.V.KUPPAM PHC 1 KALLAPADI PHC 1 MAILPATTI PHC 4 MELPATTI PHC 1 GUDIYATTAM GH MODIKUPPAM PHC 5 NARIAMPATTU PHC 2 PALLIKONDA PHC 1 PARATHARAMI PHC 1 VELLORE GH (PENTLAND) 1 ICH VELLORE MCH (ADUKKAMPARAI) 2 VELLORE MCH (ADUKKAMPARAI) 2 IOG EGMORE JAMNAMARUTHUR PHC 1 TIRUPATTUR GH TOTAL NO OF CASES 64 TIRUPATTUR GH 1 DHARMAPURI MEDICAL COLLEGE HOSPITAL MELPATTI PHC 1 GUDIYATTAM GH TIRUPATHUR GH 2 ICH TIRUPATTUR GH 1 IOG EGMORE JAMNAPUDUR PHC 1 THIRUPATHUR URBAN PHC GAJALNAYAKANPATTI PHC 1 ALANGAYAM PHC 2 AMBUR GH 1 ANDIAPPANUR PHC 1 ARANGALDURGAM PHC 2 JAMNAMARUTHUR PHC 1 JOLARPETTAI PHC 3 KADIRAMPATTU PHC 3 KAJALNAICKENPATTI PHC 1 KAKANAMPALAYAM PHC 1 KARAPATTU PHC 1 KAVALUR CHATRAM PHC 2 52 VELLORE NEO NATAL CIFT- TIRUPATHUR GH KORATTI PHC 2 TIRUPATHUR GH KUNICHI PHC 2 NARIAMPATTU PHC 2 NATRAMPALLI GH 2 NIMMIAMPETTI PHC 5 GAJALNAYAKANPATTI PHC 1 PERAMPATTU PHC 2 PITCHANUR PHC 1 PUDUPETTAI PHC _ VELLORE 10 RAMANAICKENPETTAI PHC 2 VANIYAMBADI URBAN PHC 1 VANIYAMPADI GH 5 VELLAKALNATHAM PHC 1 GUDIYATTAM GH 2 NAMMIAMBATTU PHC 6 VELLORE MCH (ADUKKAMPARAI) TIRUPATTUR GH 1 TOTAL NO OF CASES 70 TIRUPATTUR GH 2 ICH VELLORE MCH (ADUKKAMPARAI) 1 VEMBAKKAM PHC 1 KANCHIPURAM GH POIGAI PHC 1 madhanur phc 1 ANAICUT PHC 1 ARANI GH 1 ARUNKUNDRAM PHC 1 BANAVARAM PHC 4 BRAMMAPURAM PHC 1 GUDIYATTAM GH 2 KANIYAMBADI PHC 1 KODAIKAL PHC 1 LADAVARAM PHC 1 53 VELLORE WALLAJAH GH NEONATAL LALAPET PHC 1 VELLORE MCH (ADUKKAMPARAI) MELVISHARAM PHC 3 PERANAMALLUR PHC 1 PONNAMBALAM PVT HOSPITAL 1 PUNNAI PHC 1 S.V.NAGARAM PHC 1 SANDHYA HOSPITAL 1 SENUR PHC 1 SHOLINGUR GH 1 THIRUVALAM PHC 1 VELLORE GH (PENTLAND) 2 WALLAJAPET GH 9 LADAVARAM PHC 1 WALLAJAPET GH LALAPET PHC 1 TOTAL NO OF CASES 44

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Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital SLEM MCH 1 ICH ILAVANASURKOTTAI PHC 3 KARIYALUR PHC 2 NAINARPALAYAM PHC 3 KILAKADU PHC 1 ALAMBALAM 1 KALLAKURICHI GH RISHIVANDHIYAM PHC 1 SANKARAPURAM GH 1 SEERAPATTU PHC 1 VADAPONPARAPPI PHC 1 54 VILLUPURAM KALLAKURUCHI GH NEONATAL VANAPURAM PHC 1 ARIYUR PHC _ VILLUPURAM 2 EDAIYAR.T PHC 1 MUNDIAMBAKKAM MCH, VILLUPURAM KALLAKURICHI GH 1 KEERANUR.E PHC 1 MANGALUR PHC 1 PERAMBALUR GH SIRUPAKKAM PHC 1 KALLAKURICHI GH 2 SALEM MEDICAL COLLEGE HOSPITAL MANGALUR PHC 1 VIRUTHACHALAM GH TOTAL NO OF CASES 26 MUNDIAMBAKKAM MCH, VILLUPURAM 1 CHENGALPET MCH RAMPAKKAM PHC 1 CUDDALORE GH, CUDDALORE MUNDIYAPAKKAM MCH 5 KALLAKURICHI GH 1 ICH VILLUPURAM GH 1 VPM MCH 1 E KOTTAI PHC 1 ILAVANASURKOTTAI PHC 1 KALAKURICHI GH MOTTAMPATTI PHC 1 EDAYAR PHC 1 KALAKURCHI GH 1 ANNIYUR PHC 1 BRAHMADESAM PHC 1 GINGEE GH 3 ILAVANASURKOTTAI PHC 1 IRUVELPATTU PHC 1 KALLAKURICHI GH 1 KANDAMANADI PHC _ VILLUPURAM 1 55 VILLUPURAM VILLUPURAM MCH NEONATAL KARUVATCHI PHC 3 KEDAR PHC 1 MUNDIAMBAKKAM MCH, VILLUPURAM MUGAIYUR PHC 3 SCENE 1 SARAM PHC 1 SIRUMADURAI PHC 3 THIRUKOILUR GH 1 THIRUVENNAINALLUR PHC 1 TINDIVANAM GH 2 ULUNDURPET GH 2 VALATHI PHC 1 VEERAPERUMANALLUR PHC 1 VILANTHAI PHC 1 KUNNAM PHC _ VILLUPURAM 1 RAJIV GANDHI GH FOR W&C KALLAKURICHI GH 1 SALEM MEDICAL COLLEGE HOSPITAL MELSELVAMPATTI PHC 1 TIRUVANNAMALAI MCH TINDIVANAM GH 1 VILLUPURAM OLD GH TOTAL NO OF CASES 49 RAJAPALAYAM GH 1 RAJAPALAYAM MATERNITY GH 4 MADHURAI GH SRIVILLIPUTUR GH 2 VIRUDHUNAGAR GH, VIRUDHUNAGAR 1 KALLAMANAIKENPATTI PHC 1 REDDIAPATTI.R PHC 2 RAJAPALAYAM GH 56 VIRUDHUNAGAR RAJAPALAYAM NEONATAL ZAMIN KOLLANKONDAN PHC 1 KALLAMANAICKENPATTI PHC 1 SIVAKASI GH RAJAPALAYAM GH 1 TIRUNELVELI MEDICAL COLLEGE HOSPITAL KALKURICHI PHC 1 VIRUDHUNAGAR GH, VIRUDHUNAGAR SIVAKASI GH 1 TOTAL NO OF CASES 16 GOPALAPURAM PHC 1 NARIKUDI PHC 1 PANDALKUDI PHC 1 ARUPUKOTTAI GH PARALACHI PHC 2 VEERACHOLAM PHC 1 UPPATHUR PHC 1 KOVILPATTI GH ARUPUKOTTAI GH 4 KARIYAPATTI GH 1 MUKKULAM.A PHC 1 SIVAKASI GH 1 MADURAI GRH 57 VIRUDHUNAGAR VIRUDHUNAGAR GH NEONATAL SRIVILLIPUTUR GH 1 THIRUMANGALAM GH 1 VIRUDHUNAGAR GH, VIRUDHUNAGAR 11 RAJAPALAYAM GH 1 THAYILPATTI PHC 1 SIVAKASI GH THIRUTHANGAL GH 1 AMATHUR PHC 1 KALKURICHI PHC 1 VIRUDHUNAGAR GH, VIRUDHUNAGAR KANNISERIPUDUR PHC 1 SCENE 1 TOTAL NO OF CASES 34

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Admission Case details - May'16 S.NO VEHICLE DISTRICT VEHICLE LOCATION Referral Hospital No. Cases Admitted Hospital ICH 1 CENTRAL GH PULIYANTHOPE CHC 2 SAIDAPET CHC 1 RSRM 1 ICH KILPAUK MCH 1 SHENOY NAGAR CHC 1 PONNERI GH 1 IOG EGMORE 58 CHENNAI CHETPET NEONATAL TAMBARAM GH 1 KUNDRATHUR PHC 1 KILPAUK MCH THIRUVALLUR GH 1 SORANCHERY PHC 1 SANJEEVARAYANPET CHC(SOLAIYAPPAN STREET) 2 STANLEY MCH DEVANAMPATTU PHC 1 PULIYUR PHC 1 THIRUVALLUR GH TOTAL NO OF CASES 16 TOTAL NO OF CASES 1784 59 CHENNAI RSRM NEONATAL Amby not yet launched Manpower shortage 60 SPARE CHENNAI 61 SPARE COIMBATORE 62 SPARE MADURAI 63 SPARE CHENNAI 64 SPARE COIMBATORE 65 SPARE MADURAI

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Neonatal Ambulance Performance (Apr’16 – May‘16)

Launch S NO LOCATION Apr-16 May-16 till date 1 ICH 97 86 4373 2 TRIPLICANE NEONATAL 68 97 2910 3 KANCHEEPURAM NEONATAL 10 15 2292 4 CUDDALORE NEONATAL 9 15 964 5 DHARMAPURI NEONATAL 48 58 2576 6 MADURAI NEONATAL 47 33 1928 7 CHENGALPET NEONATAL 48 60 1862 8 TIRUPATTUR NEONATAL 38 70 2147 9 KRISHNAGIRI GH -NEONATAL 51 41 1195 10 RANI'S GH NEONATAL 22 35 802 11 VIRUDHUNAGAR GH NEONATAL 27 34 924 12 TUTICORIN NEONATAL 16 31 746 13 THIRUVANNAMALAI GH NEONATAL 51 55 1266 14 WALLAJAH GH NEONATAL 47 44 1537 15 TIRUNELVELI MEDICAL COLLEGE HOSPITAL N 30 24 755 16 RMH (TANJORE) NEONATAL 40 22 1251 17 PARAMAGUDI GH NEONATAL 16 7 643 18 SALEM GH NEONATAL 39 42 1241 19 THUCKLAY GH NEONATAL 24 23 593 20 TRICHY MCH NEONATAL 41 46 789 21 VILLUPURAM MCH NEONATAL 41 49 996 22 THIRUVARUR MCH-NEONATAL 30 20 676 23 PERAMBALUR GH NEONATAL 27 28 579 24 DINDIGUL GH- NEONATAL 63 51 948 25 THENI MCH NEONATAL 29 36 776 26 THIRUVALLUR GH NEONATAL 30 20 949 27 NAMAKKAL GH NEONATAL 30 45 614 28 KARUR GH NEONATAL 14 15 358 29 VIRUDHACHALAM GH NEONATAL 14 22 475 30 COIMBATORE MCH NEONATAL 61 29 827 31 KALLAKURICHI GH NEONATAL 33 26 649 32 OOTY GH NEONATAL 19 17 358 33 SIVAGANGAI MCH NEONATAL 28 31 496 34 TIRUPUR GH NEONATAL 42 18 870 35 ERODE GH NEONATAL 39 40 625 36 ARIYALUR GH NEONATAL 14 15 352 37 NAGAPATTINAM GH NEONATAL 33 21 434 38 THIRUTHANI GH-NEONATAL 28 42 296 39 TENKASI GH NEONATAL 24 19 255 40 MANNARKUDI-GH 6 18 148 41 METTUR GH NEONATAL 6 5 62 42 MUTHUKULATHUR GH NEONATAL 14 20 283 43 GUDIYATHAM GH-NEONATAL 60 64 608 44 HARUR GH-NEONATAL 42 49 577 45 ARANTHANGI GH NEONATAL 7 16 111 46 GOBICHETTIPALAYAM GH NEONATAL 15 10 151 47 USILAMPATTI GH NEONATAL 31 19 260 48 HOSUR GH NEO 9 5 136 49 Palani Gh neo 22 24 243 50 CHEYYAR GH NEONATAL 29 36 369 51 JAYAMKONDAM GH NEONATAL 14 32 295 52 KOVILPATTI GH NEONATAL 24 27 331 53 RAJAPALAYAM MATERNITY GH NEONATAL 22 16 157 54 THIRUCHENGODE GH NEONATAL 2 65 55 THIRUMANGALAM GH NEONATAL 7 22 110 56 CHETPET NEONATAL CHENNAI 8 16 85 57 DHARAPURAM GH NEO NATAL 4 15 19 58 MANAPARAI GH NEONATAL 6 6 TOTAL 1688 1784 46343

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Annexure N: First Responder Performance (May‘16)

District FR - Bike ambulance Performances Feb'16 Mar'16 Apr'16 May'16 Till date CHENNAI FR - PERAMBUR RAILWAY STATION 60 64 56 50 230 CHENNAI FR - VEPPERY POLICE STATION 29 4 29 24 86 CHENNAI FR - HOTEL PARK - GEMINI FLY OVER 106 117 84 56 363 CHENNAI FR - EGMORE EAST RAILWAY HEALTH UNIT 41 31 27 22 121 CHENNAI FR - FLOWER BAZAAR POLICE STATION 50 43 46 41 180 CHENNAI FR - VHS HOSPITAL 38 32 39 29 138 CHENNAI FR - MINT POLICE SATION 88 80 41 75 284 CHENNAI FR - NUNGAMPAKKAM POLICE STATION 47 2 7 47 103 CHENNAI FR - THIRUMANGALAM POLICE STATION 11 11 CHENNAI FR - WALLAJAH ROAD POLICE STATION 10 4 0 14 CHENNAI FR - T.NAGAR FIRE STATION 20 55 41 49 165 Grand Total CHENNAI 500 432 370 393 1695 THIRUVANNAMALAI FR - ADI ANNAMALAI 29 29 THIRUVANNAMALAI FR - PAY GOPURAM 18 5 23 THIRUVANNAMALAI FR - MAIN BUS STAND 16 16 THIRUVANNAMALAI FR - RAJAGOPURAM 24 11 35 Grand Total THIRUVANAMALAI 0 0 87 16 103 THANJAVUR FR - AAYIKULAM ROAD 19 19 THANJAVUR FR - KUMBESHWARAR KOIL 32 32 THANJAVUR FR - RAILWAY STATION 19 19 THANJAVUR FR - SAKKARAPANI PADITHURAI 29 29 THANJAVUR FR - SARANGAPANI KOIL THERADI 33 33 THANJAVUR FR-Abimugeswarar temple-Tank east 46 46 THANJAVUR FR-Anna silai opp to Kasi vishwanatha temple 36 36 THANJAVUR FR-Aranmnai chathiram- tank west 33 33 THANJAVUR FR-Bankoor darmasala-Tank north 27 27 THANJAVUR FR-Harithamahal-Tank south 55 55 Grand Total THANJAVUR 329 0 0 0 329 Grand Total 829 432 457 409 2127

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Annexure O: Issues to be sorted out

• Speedy admission for all cases at Govt. hospitals

• Suggested police out-post at Govt. Hospitals for admitting unaccompanied patients.

• Support/Co-ordination from VHN’s to improve Home to PHC/GH utilization. Same has been highlighted during the review meeting with DDHS/JDHS/MO’s at the district level.

Legend:

NA – Not Applicable

*- Ineffective Calls – Calls falling under the category of No Response call , Wrong call , Nuisance, Disconnected call , Missed call , General Enquiry call, and Silent Call are classified as Ineffective calls. These calls land in the call center and when attended by the Communication Officer it would either be a nuisance call or disconnected call or any one of the category as mentioned above.

** - Ambulance Busy – Whenever all the ambulances closer to the area have been assigned for an emergency case, and a new emergency case comes in the same area, the Dispatch Officer will enquire with the caller, if he/she can assign a ambulance from the nearby location. The Dispatch Officer will also tell them about the distance the ambulance has to travel and the approximate time it will take to reach the incident location. If the caller is not willing to wait till the specified time, then the Dispatch officer will close this case as “Ambulance Busy” after confirming with the caller.

*** - Life Saved count is an update that is received on a daily basis after verification of PCR and confirmation after 48 hour follow-up, there will be a change in the numbers reported as they keep on adding to the earlier reported life save count, based on the date the case was handled by the team.

Place: Chennai – Tamil Nadu Ravindra. N State Head - Operations

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