MAPPING OF ULTRASOUND CLINICS AND United Nations Population Fund State Health Society, 55 Lodi Estate, New Delhi 110 003, Pariwar Kalyan Bhawan ASSESSMENT OF STATUS OF IMPLEMENTATION India.unfpa.org . -800 014 www.statehealthsocietybihar.org OF PC & PNDT ACT IN BIHAR Mapping of Ultrasound Clinics and Status of PC & PNDT Act Implementation in Bihar

This report is an outcome of a study commissioned by Government of Bihar in collaboration with United Nations Population Fund (UNFPA), New Delhi to map ultrasound facilities and to assess the status of the PC & PNDT Act implementation in the State.

Period of the study : December 2012

Report published : December 2014

Design credit : Rouge Communications

All rights reserved. The contents, analysis, opinions and recommendations expressed in the report are solely the views of the author and do not necessarily represent the views of the United Nations Population Fund – UNFPA. The document may be quoted, reproduced or translated, either in part or full, with due acknowledgements. UNFPA will not, in any way, be liable for the use, or any consequences arising out of the use of any other information from this report. The report is for informing and educating the public at large and is not to be sold or used for commercial purposes. MAPPING OF ULTRASOUND CLINICS AND ASSESSMENT OF STATUS OF IMPLEMENTATION OF PC & PNDT ACT IN BIHAR

Study Report Study Commissioned by Government of Bihar, supported by United Nations Population Fund (UNFPA)

Study undertaken by Social and Rural Research Institute (SRI), A Specialist Unit of IMRB International, New Delhi

STATE HEALTH SOCIETY, BIHAR jkT; LokLF; lfefr] fcgkj ifjokj dY;k.k Hkou] 'ks[kiqjk] iVuk& 800 014 Pariwar Kalyan Bhawan. Sheikhpura. Patna- 800 014, Tel: 0612-2290340, 2281545, Fax: 2290322, website: www.statehealthsocietybihar.org jk"Vhª ; xkz eh.k LokLF; fe’ku

Foreword

Bihar had a very proportionate sex ratio at the beginning of 20th century but by the third quarter of that century, a gradual declining trend emerged. The overall sex ratio declined from 1061 in 1901 to 918 in 2011, while the child sex ratio also declined from 981 in 1981 to 935 in 2011. The child sex ratio is a crucial indicator of the status of women and girls in the society and a decline in this ratio is indeed a matter of great concern. The recent decline in child sex ratio, while attributable to factors like gender differential in mortality, and the misuse of modern diagnostic technology like ultrasonography which provides easy access to sex determination and sex selection in a socio-cultural milieu that prefers sons over daughters. In the given scenario, the state has been forced to implement the Pre-Conception & Pre-Natal Diagnostic Technique Act to regulate misuse of technology. However, the Census 2011 data on child sex ratio reveals that a lot more needs to be done in the state to strengthen the implementation of this much needed Act. The Government of Bihar is committed to improve this demographic phenomena with the regulatory measure. Apart from this restrictive enforcement, number of proactive measures have been undertaken to address this attitude of gender discrimination. Social welfare schemes such as Kanya Suraksha Yojna, free education to girls, Bicycle Yojna, 50% reservations to women in Panchayat elections and 35% reservation in the appointment of constables have been devised to defeat the social milieu of considering girl child as a compulsory burden as a non-earning member of the family. Concerted efforts have also been made to address the alarming decrease in the number of girls under 6 years, as compared to boys. This study is one of the initiatives which was undertaken to assess the status of implementation of the PCPNDT Act in the state and to map the number and locations of ultrasound machines. This study undertaken in collaboration with UNFPA also assessed the compliance of registered facilities to the Act, as well as the capacities of the state and district appropriate authorities to implement this Act. This study report has highlighted the grey areas in the implementation of the Act and has provided clear insights on ultrasonography centers operational in the state without registration. The findings of the study provide the need for plugging gap in the policy and programmatic directions for all the key stakeholders working on the issue in order to improve the situation in the state. The findings incorporated are really important for the state and would definitely contribute to guide us in preparing a comprehensive road map for addressing many aspects related to the issue of declining sex ratio in the state.

(Sanjay Kumar Singh) Secretary Health-cum-Executive Director State Health Society, Bihar Acknowledgements

As one of the key measure to address gender biased sex selection and to reverse the distorted sex ratio at birth, the Government of Bihar is implementing the Pre-Conception and Pre-Natal Diagnostic Technique (PCPNDT) Act to regulate the proper use of modern medical technology like ultrasonography. Addressing gender biased sex selection has also been one of the areas of priority programming for UNFPA in India. Extensive research and advocacy has been supported to arrest decline in ratios. In view of this, the state government wanted to partner with UNFPA to understand the effectiveness of Act implementation in the state, map the number of ultrasound facilities and assess capacities of state and district authorities to implement the Act. Based on the request from state health society and Department of Health, this study was commissioned by UNFPA to undertake detail mapping of functional ultrasonography centers in the state, assess the compliance by the center with the Act and effectiveness of Act implementation in the state. The study also attempted to test the methodology of mapping of centres given its potential for replication in other states. Alongwith development of detailed tools, through snowballing, efforts were made to tap into the information network on the ground to identify especially those ultrasound facilities that may be operating illegally. Thus, a wider listing of all the ultrasonography centers was enabled, beyond the registered ones already on government records. This study would not have been possible without the support of Department of Health, State Health Society, radiologists and gynaecologists who assisted with critical information. UNFPA is particularly thankful to Shri Deepak Kumar – Principal Secretary Health, Shri Sanjay Kumar Singh – Executive Director, State Health Society and Dr. N. K. Mishra – State Programme Officer for their guidance and valuable suggestions. The support of all the civil surgeons was much needed and valuable to complete the data collection from the private providers. UNFPA also takes this opportunity to thank all the team members from Social and Rural Research Institute for their tireless efforts in facilitating all aspects of this study, particularly, managing data collection on this sensitive issue at the field level. Ms. Ena Singh, Dr. Nilesh Deshpande, Ms. Dhanashri Brahme and Mr. Sanjay Kumar of the UNFPA team have made key contributions in conceptualizing the study, ensuring data quality, strengthening the analysis plan and firming up findings and recommendations emerging from this study. The support provided by Ms. Vidya Krishnamurthy in proof reading and design coordination is also acknowledged.

Ms. Frederika Meijer UNFPA Representative 1

Table of Contents

Executive Summary 5

PART I - INTRODUCTION 17 Background of the study 17 Objectives of the study 17 Research Design 18 Key Information Areas 21 Implementation Protocol and Data Management for the Study 21 Ethical Considerations 25 Limitations of the Study 26 Outline of the Report 26

PART II - MAPPING ULTRASONOGRAPHY FACILITIES 27 State Overview 27 Registered Facilities 28 Unregistered Clinics 36 District-wise Distribution of Ultrasound Facilities 39 PART III - IMPLEMENTATION OF PCPNDT ACT 41 Overview 41 District Appropriate Authority 41 District Advisory Committee 47 District-wise Interviews 50 Information from State level interviews 52

PART IV - SUMMARY OF FINDINGS 55 Understanding the Progress in Act Implementation in the State 55

PART V - RECOMMENDATIONS AND POINTS OF ACTION 57 Annexures 59 Annexure I 59 Directory of Registered Facilities Annexure II 94 Directory of Unregistered Facilities Annexure III 100 Directory of Unverified Facilities 2

List of Tables

Table 1. Sex ratio across world regions 9 Table 2. Sex ratio in India, 1951 to 2011 10 Table 3. Number of villages and Urban Agglomerations by child sex ratio 10 (Census 2001) Table 4. Overall sex ratio by state 11 Table 5. Overall sex ratio trends in Bihar 12 Table 6. Child sex ratio trends in Bihar 12 Table 7. USG facilities identified and listed in the state 27 Table 8. Number of facilities originally listed with the government and their verified registration status 28 Table 9. Registered USG facilities interviewed in the state 28 Table 10. Details of number of radiologists and technicians employed by facility 31 Table 11. Whether owner is key operating person in the facility 31 Table 12. Details of facilities based on number of machines possessed 32 Table 13. Registration details of machines in registered ultrasound facilities 32 Table 14. Number of details mentioned on all verified registration certificates 33 Table 15. Unregistered USG facilities identified and interviewed in the state 36 Table 16. Details of number of radiologists and technicians employed by facility 37 Table 17. Whether owner is key operating person in the facility 37 Table 18. Distribution of ultrasound facilities in the state 39 Table 19. Completed district level interviews with DAA and DAC 41 Table 20. Current status of DAC positions as informed by the DAA 42 Table 21. Number of DAC members who have received trainings as per the DAA 43 Table 22. Information on monitoring visits by the DAA (in absolutes) 44 Table 23. Information on records submitted by the registered clinics to the DAA 45 Table 24. Information regarding the number of DAC meetings in the previous 48 year as reported by members of DACs 3

List of Graphs

Chart 1. Distribution of registered centers by type of facility (in %) 29

Chart 2. Services offered by registered ultrasound providers (Multiple services per facility) 29 Chart 3. Registration of facilities offering MTP services under the MTP Act (in %) 30 Chart 4. Percentage of facilities maintaining each of the following records 33

Chart 5. Provisions of the PCPNDT Act recalled by the respondents 35

Chart 6. Non-adherence to display related norms of the PCPNDT Act 36

Chart 7. Distribution of unregistered facilities by type 37

Chart 8. Services offered by unregistered ultrasound facilities (Multiple 38 response set) Chart 9. Non-adherence to display related norms of the PCPNDT Act 39

Chart 10. Information regarding the duration since establishment of DAC as provided by DAA 42 Chart 11. Aspects inspected during monitoring visits as reported by the DAA 44

Chart 12. Provisions of the PCPNDT Act recalled by the DAA 46

Chart 13. Information regarding whether members of DAC received any training as provided by the DAA 47 Chart 14. Perceptions of the DAC members regarding their role in the implementation of the PCPNDT Act in the district (in %) 49 Chart 15. Provisions of the PCPNDT Act recalled by the DAC 50 4

Acronyms

AA Appropriate Authorities ACNO Assistant Chief Nursing Officer BAMS Bachelor of Ayurveda, Medicine and Surgery BDO Block Development Officer B Pharma Bachelor of Pharmacy B Sc. Bachelor of Science CVB chorion villi biopsy CS Civil Surgeon DAA District Appropriate Authority DAC District Advisory Committee FOGSI Federation of Obstetric and Gynecological Societies of India IEC Information, Education and Communication IMRB Indian Market Research Bureau IMA Indian Medical Association MOIC Medical Officer In-charge MTP Medical Termination of Pregnancy NGO Non-Governmental Organization NHRC National Human Rights Commission PCPNDT Pre-Conception and Pre-Natal Diagnostic Techniques PHFI Public Health Foundation of India PNDT Pre-Natal Diagnostic Techniques RA Radiology Association SPSS Statistical Package for the Social Sciences SRI Social and Rural Research Institute SAC State Advisory Committee UA Urban Agglomeration UNFPA United Nations Population Fund USG Ultrasonography Executive Summary 5

Executive Summary

Background and Objectives

From 1901 till the 1981 Census Bihar’s sex ratio used to be better than that of the country as a whole. However, the state’s 1991 sex ratio of 911 was much below the national sex ratio of 927. The 2001 Census recorded Bihar’s sex ratio as 919; it was still low compared to the national sex ratio of 933. Between the 2001 and 2011 Censuses, though the overall sex ratio improved by 10 points (from 933 to 943) for the country, Bihar’s sex ratio fell by 1 point ‒ from 919 to 918. The decline between the two censuses was far worse for Bihar’s child sex ratio: it fell by 7 points, from 942 to 935 (the child sex ratio of the country too declined by 9 points, from 927 in 2001 to 918 in 2011). Given the alarming decline in both the general and the child sex ratios in Bihar, it is pertinent to focus on the implementation of the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act across the state. The current study envisages mapping all the ultrasonography (USG) clinics in the state since this technology is being misused to determine the sex of a foetus; the gender bias in favour of boys influencing the resultant fall in sex ratios.The study also assesses the status of implementation of the Act in the state as a response to tackling illegal sex determination. The core objectives of the current study can be summarised as follows: ~~To create a database of ultrasound clinics in the state. ~~To assess the degree of preparedness of various stakeholders in the state towards PCPNDT Act implementation. ~~To understand the views and role of medical professional bodies in PCPNDT Act implementation in the state. 6 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Research design and methodology

The following graphic briefly explains the methodology adopted in the research.

Figure 1: Research methodology

At State 1. In-depth interviews with IMA Bihar, FOGSI Bihar, State Health Society Level 2. Secondary database of USG providers

1. In-depth interviews with Civil Surgeon, Members of District Advisory Council At District 2. Secondary database of USG providers Level 3. Information about unregistered USG providers through Snowballing and Key Informant Interviews

1. Structured interviews and observations with all the registered USG At Block service providers Level 2. Information about unregistered USG providers through Snowballing and Key Informant Interviews Executive Summary 7

Key Findings Mapping

Registered Clinics – A total of 1,059 registered and more than 140 unregistered clinics were identified across the state. Almost all the centres said that they provide ultrasound services. More than a fourth of the facilities also offer gynaecological and surgical services. Nine percent of the facilities were found to provide Medical Termination of Pregnancy (MTP) services as well. Only about half the facilities that provided MTP services reported that they were registered under the MTP Act. However, about 12 percent of the facilities were able to produce the registration certificate when the interviewers wanted to see them. While all the respondents said that the USG machine was registered, more than 30 percent of them were either unable, or refused, to produce the certificate for verification. Six percent of the respondents also said that the machine was currently not in working order and an overwhelming 60 percent of these 57 respondents also said that they had not informed their respective Appropriate Authorities regarding these unusable machines. A majority of them (72 percent) could not provide a reason for not informing the authorities, although another 22 percent were not aware that such information needs to be reported. As a part of the study, the registered clinics were requested to show the registration details so that they could be verified and noted down. While 80 percent of the clinics did produce these details, close to a fifth of the respondents refused to share the details with the interviewers. When asked regarding the maintenance of records, a third of the respondents could not provide a response. Less than 60 percent of the respondents reported that they maintained Form F, a critical component of the Act. Only about 21 percent reported that they maintained Form G, another critical component, while 41 percent reported that they maintained patient declaration forms. Similarly, one fourth of the respondents that maintain form F clearly said that they did not submit the form to the appropriate authorities of the district. When asked why, more than half could not provide a reason for withholding the forms. Thus, a majority of the respondents were able to spontaneously identify only two of the requirements of the Act, both of which pertained to the display or restriction of display of materials. Less than 10 percent were able to recall that the Act required them to maintain Form G and submit necessary forms to the district appropriate authorities (DAA). Unregistered Clinics - A total of 77 interviews could be completed with unregistered ultrasound clinics out of the 145 verified unregistered facilities across the state, identified using the snowballing method. In a majority of the cases the facility was a private nursing home and hospital while about 40 percent were found to be stand-alone diagnostic laboratories. The rate of no response for some questions was found to be high in many of these cases. Thus, 57 percent of the respondents did not tell the interviewers the number of people who worked in the facility. It was noted that only in 44 percent of the cases, the owner had an MBBS qualification. In 49 percent of the cases, the key operating person in the lab was also the owner. The most critical point in these cases is that the respondents did not provide any answer when asked whether they had ever applied for registration under the PCPNDT Act. While some of the facilities do display some of the required materials, the proportion of non-compliance is very high and a majority of the respondents do not comply with at least one of the legal requirements. This proportion is also higher as compared to registered facilities. 8 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Implementation of the PCPNDT Act

In order to understand the extent of implementation of the PCPNDT Act in the state, interviews were conducted with the appropriate authorities and advisory committees in all the districts of Bihar. These interviews were semi-structured in nature and covered the structures and management systems of these bodies along with the extent of monitoring and supervision and the awareness levels in the district. Out of a total of 114 targeted interviews, 94 could be completed. The first crucial finding was that the District Advisory Committees (DACs) have not been formed in every district of the state. As many as 48 percent of the respondents were not aware of when the DAC was first established in their district. It was noted that in more than 70 percent of the cases, the DAC was first established more than 5 years ago and in about 29 percent of these cases it was not re-constituted every 3 years as required under the Act. When the District Appropriate Authorities (DAAs) were asked the reasons for not reconstituting the DAC, half of them felt that it was not necessary; 17 percent did not provide a response while another 17 percent said that the current DAC has been performing very well and that was the reason they had not reconstituted the body. All medical expert positions of the DAC were filled in 97 percent of the districts covered as part of this component. In 77 percent of the cases, the position of legal expert and one social worker were filled. The official from the department of information was a member of the DAC in 43 percent of the cases, and the second and third social worker positions (three such positions are mandated for each DAC) were filled in 47 percent and 20 percent of the cases respectively. The DAA in more than 50 percent of the cases also mentioned that the DAC members had not been trained in the PCPNDT Act and their roles and duties. More than 60 percent of the DAC members also corroborated this fact although more than 75 percent of the members had been part of the DAC for longer than a year. Ninety percent of the Appropriate Authorities also mentioned that they undertake monitoring visits on a regular basis. It was also reported in one fourth of the cases that records of all monitoring visits were not maintained. More than 80 percent of the respondents of the DAC mentioned that there were no cases of violation of the PCPNDT Act in their district. However, 50 percent of the civil surgeons interviewed reported that records were not submitted by the clinics in the district and as many as 71 percent reported that they did not receive Form F from all clinics. 75 percent of DAC members were of the view that no legal action was taken against those found violating the law. Further, not a single case was reported in which any sentence was issued by the courts, whether in terms of a fine or imprisonment.A majority of the respondents could spontaneously recall the requirement that display of advertisements regarding sex determination were prohibited. Less than 10 percent could recall the maintenance of form G and client declaration and submission of records to DAA, while one-third could spontaneously recall maintenance of Form F.

In conclusion

The overarching objective of this study was to understand the extent of implementation of the PCPNDT Act in the state of Bihar since 1994 when it was first passed by Parliament and to identify therein. The findings, based on interviews at the facilities and with government officials, indicate that the Act has been only partially implemented in the state. Executive Summary 9

The study points to several lapses in Act implementation as well as serious violation of the law, particularly with reference to the functioning of unregistered ultrasound centres. It is of critical importance that the state initiate legal proceedings against such violations and strengthen Act implementation – one of the many crucial actions that need to be taken to address sex selection and overall gender discrimination. Missing Women and Prenatal Diagnostics in India – The Context

The release of the Census 2011 report brought with it some alarming news. Despite a variety of measures taken by the government and other organisations to improve the child sex ratio1 in India, it had dropped to 918 females against 1,000 males – the lowest since Independence. This reinforced the belief that the problem of son preference in India persists due to numerous socioeconomic causes and with the emergence of modern, scientific pre-natal diagnostic methods; the seriousness of it seems to have increased. Sex Ratios in India – The historical perspective

Son preference and a skewed sex ratio is not a new phenomenon in India and were in fact noted in the earliest censuses conducted in the country. There was then, as there is now, a theory that widespread poverty caused this skew in the sex ratio.2 This theory however does not hold entirely true when considered in light of the fact that far poorer nations have sex ratios in favour of women and even in India, the ratios are more adverse in urban and affluent areas than in rural, remote districts.

Table 1. Sex ratio across world regions

Regions Women per 100 men Europe & North America 105 Latin America 100 Caribbean 103 Sub-Saharan Africa 102 Southeast Asia 100 Central Asia 104 South Asia 95 China 94 India 93

1 In India, the child sex ratio is defined as the number of females per thousand males in the age group 0–6 years in a human population. 2 Where Have All the Young Girls Gone? Identification of Sex Selection in India”, Sonia Bhalotra and Tom Cochrane, IZA, Discussion Paper 5381, December 2010. 10 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

In the beginning of the 20th century, the sex ratio in colonial India was 972 women per 1,000 men; it declined by -8, -11, -5 and -5 points in 1911, 1921, 1931 and 1941 respectively. During the 1951 Census it improved by +1 point. In 1961, 1971, 1981 and 1991 it declined by -5, -11, -4, -7 points respectively.

Table 2. Sex ratio in India, 1951 to 2011

Year Overall Sex Ratio Decadal Variation Child Sex Ratio Decadal Variation 1951 946 983 1961 941 -5 976 -7 1971 930 -11 964 -12 1981 934 -4 962 -2 1991 927 -7 945 -17 2001 933 +6 927 -18 2011 940 +7 919 -8

Even though the overall sex ratio improved by +6 points, decline in the child sex ratio (0-6 age group) was of -18 points, which is alarmingly high.3 Child sex ratio is a more sensitive indicator that displays the status of the girl child. It can be seen from Table 2 that child sex ratio has been declining faster than the overall sex ratio. In recent decades, the child sex ratio has been dropping more precipitously. A child sex ratio of 918, according to the 2011 census, against the overall sex ratio of 940 indicates the severity of the problem. While there have been declining trends in child sex ratio at the national level, the distribution across the country has been uneven with some regions demonstrating greater decline than others. The analysis on the distribution of villages and urban agglomerations (UA) by various categories of the child sex ratio highlights the intensity of the problem.4

Table 3. Number of villages and Urban Agglomerations by child sex ratio (Census 2001)

Child Sex Ratio Number of Districts Number of Villages No of UAs/Towns Less than 800 14 2.4 % 122,520 20.8 % 236 5.4 % 800-849 35 5.9 % 55,021 9.3 % 454 10.4 % 850-899 69 11.6 % 65,175 11.1 % 921 21.0 % 900-949 217 36.6 % 70,468 12.% 1457 33.3 % 950-999 250 42.2 % 53,544 9.1 % 939 21.5 % 1000 and above 8 1.3 % 221,856 37.7 % 370 8.5 % Total 593 588,584 4377

The following table also presents the state-wise numbers for overall sex ratio across the previous two Censuses and highlights the lack of uniformity in this regard.

3 “Sex Selection & Pre-Birth Elimination of Girl Child”, Vibhuti Patel, UN Convention to Review Status of Women at UN Headquarters, 2005 4 “Declining child sex ratios in India: trends, issues and concerns”, Ramaiah, Chandrasekarayya and Murthy, Asia Pacific Journal of social sciences, Jan-June 2011, pp. 183-198. Executive Summary 11

Table 4. Overall sex ratio by state

Name of State Census 2001 Census 2011 Change %

Andhra Pradesh 978 993 1.53%

Arunachal Pradesh 893 938 5.04%

Assam 935 958 2.46%

Bihar 919 918 -0.11%

Chhattisgarh 989 991 0.20%

Goa 961 973 1.25%

Gujarat 920 919 -0.11%

Haryana 861 879 2.09%

Himachal Pradesh 968 972 0.41%

Jammu & Kashmir 892 889 -0.34%

Jharkhand 941 949 0.85%

Karnataka 965 973 0.83%

Kerala 1059 1084 2.36%

Madhya Pradesh 919 931 1.31%

Maharashtra 922 929 0.76%

Manipur 978 992 1.43%

Meghalaya 972 989 1.75%

Mizoram 935 976 4.39%

Nagaland 900 931 3.44%

Odisha 972 979 0.72%

Punjab 876 895 2.17%

Rajasthan 921 928 0.76%

Sikkim 875 890 1.71%

Tamil Nadu 987 996 0.91%

Tripura 948 960 1.27%

Uttar Pradesh 898 912 1.56%

Uttarakhand 962 963 0.10%

West Bengal 934 950 1.71% 12 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Trends in Sex Ratio in Bihar

As can be seen from Table 4, the sex ratio is not uniform across the country. It has been declining faster in some states compared to others. Further, states which demonstrated a healthy sex ratio a few decades back are now showing fast declining trends. The overall sex ratio in Bihar has seen a declining trend as the following table demonstrates.5

Table 5. Overall sex ratio trends in Bihar

Decade Overall Sex Ratio Decadal Variation 1901 1061 1911 1051 -10 1921 1020 -31 1931 995 -25 1941 1002 +7 1951 1000 -2 1961 1005 +5 1971 957 -48 1981 948 -9 1991 907 -41 2001 919 +12 2011 918 -1

Thus while the overall sex ratio at the start of the last century in Bihar was substantially higher than the national average of 972, in 2011 it dropped well below the national average of 943. Placing the concern in focus, the following table presents the trends in child sex ratio across the state in the last few decades.6

Table 6. Child sex ratio trends in Bihar

Decade Child Sex Ratio Decadal Variation 1981 981 1991 953 -28 2001 942 -11 2011 935 -7

It can be seen that the child sex ratio at 935 in Bihar as per the 2011 census is comparatively better than the national child sex ratio. However, there is a visible steady decline over the last few decades which combined with the falling overall child sex ratios is a matter of concern.

Even within the state there are significant differences in the child sex ratio across districts. This lack of uniformity can be understood from the following map and further complicates matters as some areas of the state are seen to have a sex ratio far lower than the state average thus presenting serious problems for policy makers.

5 Ibid. 6 “Declining child sex ratios in India: trends, issues and concerns”, Ramaiah, Chandrasekarayya and Murthy, Asia Pacific Journal of social sciences, Jan-June 2011, pp. 183-198. Executive Summary 13

Figure 2: Bihar’s district map with child sex ratio

Pashchim Champaran 953

Sitamarhi 930 Purba Champaran 933 Sheohar Madhubani Kishanganj Gopalganj 929 936 971 954 Supaul Araria 944 957 Muzaffarpur Darbhanga Siwan 915 931 Madhepura 940 930 Purnia 954 Saran Saharsa Samastipur 926 Vaishali 933 923 904 Katihar 961 926 Patna 919 Bhojpur 909 934 918 Bhagalpur 938 Nalanda 922 931 920 Child sex ratio Sheikhpura 940 Kaimur (Bhabua) 940 922 Below 800 942 Banka 943 Rohtas 800-849 931 945 956 Aurangabad 850-899 944 Gaya 960 900-949 950 and above

Impact of Modern Pre-Natal Diagnostic Methods

Advances in medical science have resulted in sex determination and sex pre-selection techniques such as sonography, foetoscopy, needling, chorion villi biopsy (CVB) and the most popular, amniocentesis and ultrasound, have become increasingly common not only in urban India, but also in the rural parts of the country. Indian metropolises are the major centres for sex determination and sex pre-selection tests with sophisticated laboratories; the techniques of amniocentesis and ultrasound are used even in the clinics of small towns and cities of Gujarat, Maharashtra, Karnataka, , Bihar, , Punjab, , Tamil Nadu and Rajasthan.7 Pre-natal diagnostic techniques include gynaecological and medical tests for pregnant women. Mostly conducted to detect genetic and metabolical diseases as well as congenital and chromosomal abnormalities, these tests are finding themselves misused in order to detect the sex of the foetus in order to facilitate pre-natal sex selection. Pre-conception diagnosis takes it a step further and involves the same tests which are used to conduct different types of analysis before and after conception but are mostly used to predict the sex of the foetus after conception and this can potentially lead to gender biased sex selection.

7 “Sex Selection & Pre-birth Elimination of Girl Child”, Vibhuti Patel, UN Convention to Review Status of Women at UN Headquarters, 2005 14 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

While most of these tests were uncommon due to their high cost a few decades ago, proliferation of ultrasound clinics and lowering of costs has made such techniques accessible to anyone who wishes to determine the sex of the foetus and use it for sex selection. This was recognised as a threat by various non-government organisations towards the end of the 1980s and they began concerted advocacy in order for the government to take cognisance of this concern and to take appropriate measures to tackle the problem. PCPNDT Act - Need and Establishment

The Pre-Natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act (the PNDT Act for short) came into being in 1996. This was as a result of a campaign in 1986 that included women’s groups and health activists. The campaign resulted in the Maharashtra government appointing a committee, which followed formulation of an Act at the state level in 1988. Given the concern of the then Health Secretary of Maharashtra and other organisations this issue was taken up at the Central government level resulting in the formulation of the Pre-Natal Diagnostic Techniques (Regulation and Prevention of Misuse) Act, 1994 (PNDT Act) which was brought into force from Jan 1, 1996. Following a public interest litigation filed owing to the non-implementation of the law and the need to address other legal lacunae, the law was amended in 2003. It is now called Pre-conception and Prenatal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994.

The CEHAT Campaign

1976 Government passed a partial ban on sex determination tests. 1982 Private clinics offering sex determination tests came to the limelight, civil society groups protested against them. 1985 Formation of the forum against sex determination and sex pre-selection. 1988 Passing of the Maharashtra Act. 1994 Passing of the Central Act, Pre-Natal Diagnostic Techniques Act, (Regulation and Prevention of Misuse). 2003 Act amended and renamed as Pre-conception and Pre-natal Diagnostic Techniques (Prohibition of Sex Selection) Act, 1994

The Act states its intent as - “An Act to provide for the regulation of the use of pre-natal diagnostic techniques for the purpose of detecting genetic abnormalities or certain congenital malformations or sex-linked disorders and for the prevention of the misuse of such techniques for the purpose of pre-natal sex-determination leading to female foeticide, and for matters connected therewith or incidental thereto”. Executive Summary 15

It consists of eight chapters with a broad focus on the following information: ~~The establishments that conduct these tests i.e. genetic counselling centres, genetic clinics, genetic laboratories ~~The professionals who could conduct this test i.e. a gynaecologist, medical geneticist and paediatrician ~~The conditions in which this test can be conducted ~~The pre-requisites to be fulfilled before conducting these tests ~~The administrative structures that need to be set up for the effective implementation of this Act i.e. the Central Supervisory board and the State Appropriate Authority and Advisory Committee ~~Procedure for registration of the establishments, grounds for cancellation or suspension of registration ~~Offences and penalties ~~Maintenance of records and power to search and seize records

Thus, the first legal response from the Government of India came in the form of the Pre-natal Diagnostic Techniques (PNDT) Act in 1994, and the same was further amended in 2003 as a powerful legal instrument to foster positive change in this modern sociological trend. But, as shown by several studies, its implementation has been weak. In the more than 15 years of the law being in place, a little over 600 cases were lodged using the law across India; although official, accurate figures are hard to come by, the total number of convictions using the Act is roughly 20, as per the study conducted in 2010.8

8 “IMPLEMENTATION OF THE PCPNDT ACT IN INDIA, Perspectives and Challenges”, PHFI, Supported by NHRC and UNFPA, 2010. 16 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar Executive Summary 17

PART I INTRODUCTION

Background of the Study

From 1901 till the 1981, Census Bihar’s sex ratio used to be better than that of the country as a whole, as seen in the previous section. However, the state’s 1991 sex ratio of 911 was much below the national sex ratio of 927. The 2001 Census recorded Bihar’s sex ratio as 919; it was still low compared to the national sex ratio of 933. Between the 2001 and 2011 Censuses, though the overall sex ratio improved by 10 points (from 933 to 943) for the country, Bihar’s sex ratio fell by 1 point ‒ from 919 to 918. The decline between the two censuses was far worse for Bihar’s child sex ratio: it fell by 7 points, from 942 to 935 (the child sex ratio of the country too declined by 9 points, from 927 in 2001 to 918 in 2011). The government currently possesses a powerful tool for arresting the declining child sex ratio in the form of the Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act and seeks to ensure its complete implementation across the state. Given the decline in both–the general and the child sex ratios, it was pertinent to focus on implementing PCPNDT Act across the state. It was in this context that the Government of Bihar approached UNFPA for assistance in evaluating the current levels of implementation across the state in order to identify gaps and possible shortcomings. To this end, the current study sought to map all the ultrasound clinics in the state as well as to assess the status of implementation of the Act and identify the possible areas for improvement. This report briefly presents the findings of this endeavour. Objectives of the Study

The core objectives of the current study can be summarised as follows: ~~The primary objective of the study was to create an up-to-date database of ultrasound clinics across Bihar. ~~Further, the study sought to assess the status of preparedness of various stakeholders in the implementation of PCPNDT Act in the state. ~~Finally, the study also sought to understand the views on and role of medical professional bodies in implementing PCPNDT Act in the state. 18 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Research Design

The research design for this study has been explained in detail in the following pages. The section will be classified into the following: 1) Geographical Coverage 2) Target Groups 3) Sampling Methodology

Geographical Coverage

The study covered the entire state as the key objective is to develop a comprehensive database of ultrasound clinics in Bihar. The study was, therefore, conducted in all 534 blocks in the 38 districts, including the district headquarters of the state.

Target Groups

The target groups for the present study are as follows: ~~All USG service providers both–registered and unregistered ~~Nodal officer from State Health Society ~~Members of the State Advisory Committee ~~Nodal officer from Directorate of Health ~~Members of FOGSI (Federation of Obstetric and Gynaecological Societies of India) ~~Members of Indian Medical Association both–at the state and district level ~~Members of the Radiology Association in the state ~~Civil Surgeon at district level ~~Members of District Advisory Committee ~~State Supervisory Board members

Methodology Ultrasound facility mapping and interviews The starting point for this exercise was the details provided in the compiled list of USG providers available with the government. The list of all registered ultrasound providers was collected in each district from the office of the civil surgeon. The field teams then visited all the providers in the list and approached them for an interview. The teams anticipated there would be some machines that would not be registered with the government; in order to identify such unregistered machines, the teams adopted the snowballing technique. The teams visited all district headquarters, towns and 534 block headquarters in the state for the mapping exercise. Interviews were conducted for those providers appeared in the list provided by the Government. Introduction 19

In order to identify and locate unregistered clinics with UGG machines, snowballing technique was adopted and followed the procedure detailed below:

Snowballing Methodology The following approach was used in the snowballing technique - Figure 3: The snowballing method

1. Transect 2. Broad walk mapping 3. Listing

4. Snowball Structured sampling Interviews

1. Transect walk and key informant interviews The study used transect walk as the preliminary tool. This information-gathering exercise helps a study describe and show the location and distribution of key features and/or personnel in a given area. The transect walk helped the team identify the key informants for the key informants interviews. 2. Broad mapping exercise The broad mapping exercise was intended to provide a general overview of the entire geographical area; it was the basis for an accurate mapping of the areas with a high probability of finding unregistered USG service providers. The broad mapping for the block headquarters was carried out in the following manner: On reaching the block headquarters, the field team first conducted short interviews with key informants like the Block Development Officer (BDO), Medical Officer in-Charge (MOIC) of the Government facility, medical store owners, paan shop owner etc. to identify areas like hospitals (government and private), nursing homes, gynaecologists etc. in the block where there is a probability of finding the USG providers. The details sought about these locations included details of address, landmarks, working hours etc. In case of bigger cities/towns with more than 300,000 population, the broad mapping exercise was done by creating five equal segments on the basis of the map of the town/city. In each of the segments 5 Key Informant interviews were conducted to identify areas like hospitals (government and private), nursing homes, gynaecologists etc. where there is a probability of finding unregistered USG providers. 20 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

3. Listing Based on the information provided by the key informant interviews, the listing of all the USG service providers of the block was conducted. A comprehensive list of USG service providers was prepared including those mentioned in the list received from the civil surgeon (also the District Appropriate Authority – DAA) as well as the key informant interviews. In order to prepare a final list and ensure that no facility was missed out, a saturation approach was followed. This required the listing of all facilities from the key informant interviews and the continuation of such interviews until such time that the names of facilities began repeating themselves and no new names were found. In essence, the informant interviews continued until such time as the information was saturated, thus ensuring that all facilities in the area were identified. The team members also conducted mystery interviews by randomly identifying important transit points in a block and seeking information about ultrasound facilities in the area without revealing the study details to the informants. After identifying all the facilities in this manner, the teams then visited and after verification prepared a final list of registered and unregistered ultrasound facilities in the district. For the purposes of the study, all the ultrasound facilities which were not mentioned in the records available in the Civil Surgeon’s office were considered to be unregistered facilities. In addition to the steps mentioned as part of the listing, the USG service providers interviewed were also asked about any other similar provider working in the area about whom they know. The details were appended in the existing list of USG providers and interviews were conducted with them as well. These newly identified providers were further questioned regarding more facilities thus creating a snowball effect of identifying newer facilities from the already listed facilities. Additionally, information was sought informally from local residents, residents of nearby villages and other informants regarding the location of any known (possibly unregistered) facilities. Interviews: Structured interviews were conducted with all the USG service providers mentioned in the compiled list (registered or unregistered) prepared during the listing exercise. The facility observations were also recorded. Given the sensitive nature of the study, the interviewers were adequately trained in tactfully gaining information with due consideration to research ethics. In some cases facility owners refused to give an interview when the objective of the research was made clear to them. In certain other cases, the facilities were found to be locked over numerous visits and it was not possible to locate the owner/ manager of the facility; in such situations interviews could not be conducted, but the names and the addresses of the USG centres have been recorded and provided in the list. In such case of unregistered facilities where complete structured interviews were not feasible, the interviewers collected the basic information. Additionally, taking into account the sensitivity of the study subject, a different and shorter interview schedule was used in case of unregistered ultrasound facilities which avoided asking direct questions on the PCPNDT Act in order to avoid conflicts. Thus, the entire listing process took into account disparate sources of information, both–within and outside the administration and sought to obtain information from each of these sources thus constantly adding to the existing information while also cross verifying it in the process. In order to ensure that the process was comprehensive, the field teams visited all the district headquarters and 534 blocks in the state over a period of 6 weeks. An attempt was thus made to implement as robust an identification methodology as possible. Introduction 21

Key Information Areas

The figure below gives a picture of the indicators captured under each research objective of the study.

Figure 4: Research objectives and their indicators

Objective 1 Objective 2 Objective 3

Knowledge related to Perception of the various Information about all PCPNDT Act among the available ultrasound stakeholders about the Act in various stakeholders current form clinics and machines involved in implementation

Level of compliance related to Action taken against PCPNDT Act among the USG illegal clinics/facilities and Perceived challenges service providers (registered those requiring renewal of faced by stakeholders in and unregistered) registration implementation of the Act

Knowledge among the USG Perception of the stakeholders Initiatives taken to ensure service providers related to about their role in the smooth compliance with the Act PCPNDT Act implementation of the Act

Attitude towards the existing Overall status of Suggestions to improve the law and challenges faced in implementation of the Act in effectiveness and smooth adherence the state implementation of the Act

Implementation Protocol and Data Management for the Study Finalisation of Research Tool

The research team of SRI-IMRB along with UNFPA developed the following tools as part of the study : ~~Structured questionnaire for registered ultrasound providers ~~Structured questionnaire for unregistered ultrasound providers ~~Structured observation tools for ultrasound providers ~~Listing and snowballing tools ~~Semi-structured questionnaire for District Appropriate Authority interviews ~~Semi-structured questionnaire for District Advisory Committee interviews ~~Discussion guides for in-depth interviews with state level authorities, IMA and FOGSI representatives

All the research tools were: ~~Finalised in consultation with the client ~~Translated from English into ~~Translated back from Hindi into English to ensure accuracy of translation and better quality of research tools ~~Pilot tested on the field to check for inconsistencies and other suggestions that will enhance the quality of research tools 22 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

The primary issues to be tested at the time of pilot testing were as follows: ~~Flow of the questions ~~Ease in understanding the questions by respondents ~~Ease in administering the tool ~~Length and time required in administering the tool ~~Comprehensiveness in terms of information coverage ~~Skipping, additional instructions etc. for field investigators ~~Testing of the language used and appropriateness of translations ~~Logistical planning for data collection

Planning and Preparation of Fieldwork This stage included a series of activities that are necessary for launching the fieldwork.These were: 1) Printing of the tools After incorporating the feedback from the pilot test and proof reading both–the Hindi and English versions, the questionnaires were given for printing. Before giving for printing, the analysis team designed the cards (for all the variables were to be entered in the electronic medium) to simplify the process of data entry. 2) Preparation of Field Brief Notes and Investigator Manual Before training of the survey teams for the field work, the researchers prepared detailed manuals covering the following topics: ~~A brief introduction to the survey including the objectives ~~Introduction to the specific component of the study ~~Survey design (Flow chart of activities) ~~Respondent definition ~~Listing methodology (in detail) ~~Ethical considerations and instructions for conducting honest and fair fieldwork ~~Administering the tool and coding related instructions ~~Scrutiny instructions ~~Question-by-question explanation of responses and possible ways of probing information.

Training of Investigators

The training was conducted as follows: Training of Field Survey Staff – Centralised training Given the scope of the study and the sensitive nature of the information to be captured from the mapping component as well as the need to interview senior government stakeholders in the districts and the state, the investigators needed to be sensitive, comfortable and knowledgeable on the issues being discussed with the respondents. For this, a thorough training was conducted to make the investigators fully adept at using the research instruments as well as the listing procedures to be implemented in the field. Training was conducted in a participatory manner and all investigators were briefed in a three-day training session for each component. All the investigators, supervisors and field executives were rigorously trained for data collection in the study with the help of the Investigator Manual that was developed for the purpose. Introduction 23

Separate training sessions were conducted with the teams for the two components of the study, namely the mapping and the district interviews component. The training for the mapping study was conducted between the 25th and 27th October 2012 and was spread across 3 days as follows: Day 1 & 2 - Classroom training on the study Day 3 - Mock calls and debriefing The following topics were covered in the training programme: ~~The orientation to the study ~~Key objectives of the survey ~~Administration of the research tools ~~Listing Methods ~~Interviewing Techniques ~~Quality Control ~~Other ethics and norms for the fieldwork ~~Training on the questionnaire administration along with field visits

The following techniques were used for classroom training: 1) Mock Interviews – one trainee interviews another 2) Demonstration interviews – conducted by the trainer with the class 3) Front-of-class interview – one trainee interviewing another in front of the class 4) Quizzes – conducted at the end of explanation of every schedule

Final Selection of the Surveyor (Investigators and Supervisors) was made based on their understanding and execution of the sampling techniques, questionnaires and exhibition of interviewing skills during the field training exercise. A similar training exercise was conducted for the district level stakeholder interviews in February and a second trained team was employed to complete the necessary interviews.

Data Collection and Scrutiny

Data Collection - The entire fieldwork for the survey was managed and controlled by the Patna field teams with the technical support from SRI-IMRB, Delhi. The following quality control structure was instituted during the fieldwork to ensure utmost quality of data collected. Each team of investigators was led by a supervisor who supervised the fieldwork for his/her team: The supervisor also carried out on-field quality checks, apart from 50 percent spot checks, to ensure data quality. Spot checks, in this context, refer to making sure that the investigators are conducting the interviews in identified locations. Accompaniments: In an accompaniment the supervisor accompanied the investigator to the interview, to see if he or she was comfortable with the flow of the questionnaire, was canvassing the questions and recording the responses correctly. These were mostly carried out in the early phases of the fieldwork. A comprehensive scrutiny of all completed questionnaires was done at two different levels: ~~Field Level and ~~ Analysis Level 24 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Quality Research Key Overall quality of the Data Collection Manager Interviewer data collection with Control at Individual (Central) Resource random scrutiny base centres Activity

Overall quality at 100% Scrutiny, Field Manager Supervisor the state level accompaniments, back (State level) checks and spot checks Field 30% Scrutiny, Executive accompaniments, back checks and spot checks

Field Level: Field editors inspected each and every question of all completed questionnaires for coding and logical checks before passing them on to the data entry division. This process went simultaneously to ensure proper and timely recovery of data in case of any loss or error while the fieldwork was on. Analysis Level: The analysis team inspected the data as per the requirements submitted to identify inconsistencies and flag errors. The intensity scale of these errors was rectified by the analysis team. The detailed explanation of the steps involved at this stage is elaborated in the following section, titled Data Analysis.

Protocol in case of refusals – ~~In case of the ultrasound providers, after a facility had been listed the team visited the facility and verified its address in the respective block. ~~An interview appointment was sought with the owner/manager of the facility after explaining the nature and purpose of the survey. If the permission for the interview was granted, the interview was conducted immediately. If an appointment was granted for a later date, the team revisited on the specified time and conducted the interview. Care was taken to interview the appropriate respondent – either the owner or the key manager of the facility. ~~In case of refusal, the observation exercise was conducted with the facility and in case of registered facilities another attempt was made at a later date to conduct the interview. ~~At least 3 such visits were made to every facility. If the interview was not granted after the 3rd visit, a refusal was noted and no further attempts for an interview were made subsequently. ~~Similarly, for the stakeholder interviews, the teams sought prior appointment for an interview and made multiple visits in case the appointment was not granted the first time. ~~In some districts, where the respective respondents refused an interview, the teams noted a refusal in their case and made no further attempts to interview them.

Data Analysis

Software for analysis The electronic data after final cleaning were analysed using specialised software like SPSS and quantum. This software was used to run the frequencies and percentages, cross-tabulations, correlations, significance tests and other statistical tests on the cleaned data. All data was analysed in accordance with a pre-decided tabulation plan. The plan detailed the manner in which each and every bit of information obtained in the survey was to be analysed and the parameters which required further analysis. Introduction 25

Coding of the open-ended questions was done by the investigators during the data collection exercise under the supervision of the team leaders. All data was coded, punched, cleaned and validated before being subjected to analysis. Data was coded in FoxPro, Quantum Software, developed in-house was used for generating the frequency tables. This package is capable of providing frequency distributions, cross-tabulations, standard deviations and means. For conducting significance tests and other analysis, the SPSS PC+ (Version 17.0) package was used. Quality checks were made on the data at random.

Data management Following care was taken during the analysis of data- ~~All the data was entered into electronic databases in FoxPro format, which can also be converted into Excel or any other format as the need may be. ~~A programme was used for the data-entry of the questionnaires, which provided automatic logical checks while entering the data. A software programme was prepared for checking these logical errors. ~~100% of the data was re-checked prior to starting the analysis. ~~Each centre was given a unique code and the same was entered in the data records. This centre code was used to differentiate the records by centres, as they were sequentially numbered.

Ethical Considerations

Ethical considerations are very important in research studies that require the participation of human participants. To this end, the field team followed all regulations or guidelines governing research ethics. One of the most critical ethical guideline is the respect for persons participating in the survey. Respect for persons recognises the capacity and rights of all individuals to make their own choices and decisions. It refers to the respect of the autonomy and self-determination of all human beings, acknowledging their dignity and freedom. The basic principles governing the ethical conduct of research are informed consent. It was ensured that voluntary informed consent was taken from the respondents. Informed consent was obtained from the respondent if s/he:- ~~Has received the necessary information and has adequately understood this information. It is essential that the information provided is understood by the potential participant and empowers that person to make a voluntary decision about whether or not to participate in the study. To this end, the investigators explained the scope of the study. ~~Has the capacity to consent for their own participation and participation of children or ward below the age of 18 years. ~~Has arrived at a decision without having been subjected to coercion, undue influence or inducement, or intimidation of any kind. ~~Has comprehended the risks and benefits involved if any in participating in the study.

Essential elements of informed consent In order to ensure that a research participant receives the necessary information to make an informed decision, the participant was provided with the following: ~~Description of the research and nature of participation required 26 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

~~Explanation of confidentiality ~~Whom to contact about the research and participant’s rights ~~Explanation that participation is voluntary

The process of obtaining informed consent: The initial 10 minutes of the conversation were focused on conveying to the respondents the nature of the study and develop comfort levels by clarifying the issues the respondents might have with the nature of the data required. Once the respondent gave verbal consent to the interview and the interviewer/moderator signed his/ her name indicating the verbal informed consent has been given, the process of collecting information was initiated. If any respondent refused to participate in the survey or withdrew from the survey, in this situation the interviewers/moderators respected the respondent’s rights and thanked them for their time. Limitations of the Study

This study was designed with the primary objective of mapping the ultrasound providers in the state including the unregistered providers. Further it was conducted in order to identify the lacunae in the system of implementation at present such that those gaps could be addressed once identified.Thus the study had to be completed under certain limitations that are inherent in studies of such nature and that have been briefly mentioned as follows – ~~While the method used to identify ultrasound providers was sought to be made as comprehensive as possible, absolute certainty in stating that the compiled list is complete is difficult. ~~Owing to the nature of the study and its objective, one cannot ensure absolute cooperation from the respondents. Especially in case of unregistered providers, obtaining complete interviews was difficult. However every effort was made to gather as much information as possible without overstepping the ethical protocol that is mandated for research of this nature. ~~Due to the need to contact professionals holding important and challenging positions in the government machinery and medical profession, it was not always possible to obtain as much time from them for interviews as the study demanded. However, every effort was made as per a pre- fixed protocol to complete as many interviews as comprehensively as possible and to ensure the completeness of the data as per the objectives of the research.

Outline of the Report

The report will be further broadly outlined as follows with each chapter comprising numerous sub- sections:

Section Contents 1. Background and Context 2. Introduction 3. Mapping the USG facilities 4. Implementation of the PCPNDT Act 5. Summary and Discussions 6. Recommendations and the Way ahead Annexure List of all registered and unregistered ultrasound clinics Mapping Ultrasonography Facilities 27

PART II MAPPING ULTRASONOGRAPHY FACILITIES

State Overview

The most critical component of the study as mentioned in the previous section was the mapping segment. This exercise was used in order to get a comprehensive picture of not only the number and distribution of the registered ultrasound providers but also get an understanding of the following – ~~Profile and nature of services provided by the facilities ~~Compliance with rules of the PCPNDT Act ~~Awareness of the requirements of the PCPNDT Act.

Additionally, the exercise also sought to identify and locate all the unregistered ultrasound clinics that operate in the state. This exercise comprising listing, observations of facilities and structured interviews was conducted comprehensively across all district headquarters and blocks in the state and a list of all identified ultrasound service providers could be created as a result.This list is provided in the Annexure II to this report. In this chapter, an attempt will be made to get a broader picture of the availability of ultrasound services in the state as well as district level snapshot of the same. Additionally, the level of compliance with the PCPNDT Act, not just in terms of registration but also in terms of submission of records, display of materials and other requirements of the Act that were enquired into during the facility observations and structured interviews with providers will be analysed. The following table gives an overall picture of the distribution of registered and unregistered facilities across the state as identified during the mapping exercise.

Table 7. USG facilities identified and listed in the state

Originally listed Verified Unable to verify Verified registered Total with government unregistered status 1201 1059 145 126 1330

It must also be noted at this stage that not all the facilities that were identified could be interviewed. This is owing to refusals in many cases and the inability to contact the owners or managers of the facilities despite multiple visits to the facilities. While this is a limitation of the methodology adopted, it was in pursuance of the ethical requirements of such studies. It must also be noted that the number of interviewed facilities mentioned in the table refers to the interviews that could be completed entirely. There were also a number of incomplete interviews that were conducted before the respondent terminated them midway. 28 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

The following table further provides the number of facilities originally listed with the DAA and those that were subsequently identified along with their verified or unverified registration status.

Table 8. Number of facilities originally listed with the government and their verified registration status.

Registration Status Unverified Total Yes No Originally listed Yes 1055 55 91 1201 No 4 90 35 129 Total 1059 145 126 1330

Thus among the total 1,201 facilities originally listed with the respective district Appropriate Authority offices, ~~1,055 were verified as registered, ~~55 were found to be unregistered due to a lapse of registration status and ~~The registration status of 91 facilities could not be verified due to a refusal to respond by the owner or manager of these facilities.

Further 129 facilities that were not originally listed with the DAA offices were located during the course of the study. ~~Out of these 129 facilities, 4 had valid registrations, ~~90 were confirmed to be unregistered, ~~The registration status of 35 facilities could not be verified due to lack of response. A complete district-wise breakup is provided at the end of this chapter while a detailed list of all these facilities is provided in the Annexure I.

Registered Facilities Profile and Compliance

The current section will seek to understand and analyse the information collected from registered ultrasound providers in the state that were identified and interviewed as part of the current study.

Table 9. Registered USG facilities interviewed in the state

Originally Listed in Districts Verified Registered Interviewed % interviewed 1201 1059 957 90

Thus of a total of 1,059 verified registered facilities, 957 could be interviewed.The findings from these interviews are presented in this section. Mapping Ultrasonography Facilities 29

Chart 1. Distribution of registered centers by type of facility (in %)

6 2

33

59

Government hospital Private nursing home | hospital Diagnostic Infertility and center | Laboratory ultrasound clinics

Base – All registered ultrasound providers (N = 957)

As can be seen from the chart, more than half of the facilities interviewed were stand-alone diagnostic centres or laboratories. About a third was private nursing homes and laboratories whereas the remainder were either ultrasound facilities attached with government hospitals or infertility and ultrasound clinics. Of all these facilities 59 percent said that they had the ultrasound facilities since inception while 41 percent reported that they added the ultrasound unit at a later date. It was found that mostly the larger private and government hospitals added the ultrasound unit later, possibly since they include other services apart from ultrasound as their portfolio. This may be verified from the following chart.

Chart 2. Services offered by registered ultrasound providers (Multiple services per facility)

99%(950) 100

80

60

40 26%(250) 27%(261) 22%(206) 20 12%(114) 9%(83) 0

care clinic Surgical services services services Maternity Ultrasound services

of pregnancy Gynaecological Infertility related

Medical termination

Base – All registered ultrasound providers (N = 957) 30 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Almost all the centres indicated that they provide stand-alone ultrasound services which are of key concern from the perspective of the study. More than a fourth of the facilities also offered gynaecological and surgical services. A total of 248 facilities reported that they offer gynaecological and ultrasound services while 2 facilities offer stand-alone gynaecological services. The investigators found 113 facilities offer infertility and ultrasound services while 1 facility was a stand-alone infertility clinic. It must be noted that 5 facilities said that they do not offer any of these services including ultrasound. They are, however, registered as ultrasound providers and do possess ultrasound machines. The teams found 9 percent of the facilities provide Medical Termination of Pregnancy (MTP) services as well. It was therefore critical from the perspective of the study to explore this aspect further. While adherence to the MTP Act was not a direct area of information explored by this study it was nevertheless crucial to know whether those who provide MTP services were at least registered under the MTP Act. Ideally, all the facilities which provide these services should be registered under the Act. The following chart, however, suggests that this is not entirely the case.

Chart 3. Registration of facilities offering MTP services under the MTP Act (in %)

12

39

49

Yes, Certificate was shown Yes, But certificate was not shown Not registered

Base – All registered ultrasound providers offering MTP services (N = 83)

As can be seen, only about half (51%) the facilities that provided MTP services reported that they were registered under the MTP Act. Only about 12 percent of the facilities, though, were able to produce the registration certificate when the interviewers requested to see them.And when they enquired into the reasons for not registering under the Act all these facilities chose not to respond to the question. The respondents gave no response to numerous questions during the interviews and while this lack of information is inconclusive, it could be very important in an indicative manner. It is thus important to note that when asked for the number of radiologists and technicians working in the facility, 48% and 68% of the respondents did not answer in respective cases. Mapping Ultrasonography Facilities 31

Table 10. Details of number of radiologists and technicians employed by facility

Number of radiologists Number of technicians Base 957 957 1 46% 26% 2 4% 3% 3 1% 1% 4 and more 1% 1% Unspecified 48% 68%

When the respondent was asked for the qualifications of the owner, it was found that the owner possessed a medical degree, MBBS and above in 49% of the cases while in the rest the highest qualification was a non-medical degree or less.

Table 11. Whether owner is key operating person in the facility

Yes No Medical degree 358 (85%) 108 (20%) Non-medical degree 65 (15%) 426 (80%) Total 423 534

It was further noted using cross-tabulations that among the cases where the owner was identified as the key operating person in the facility, in 15% of the cases, the owner did not possess a medical degree. Non-medical degrees were found to include a range of qualifications such as BAMS, B Pharma and in many cases entirely unrelated degrees such as MA, B Sc. etc. When asked whether the radiologists and technicians that were employed by the facilities provided their services elsewhere, close to 44 percent of the respondents did not answer whether their radiologists also provided their services elsewhere and more than 60 percent refused to answer whether their technicians provided their services in other ultrasound centres. About 30 and 35 percent of the respondents stated that their radiologists and technicians, respectively, did not provide services elsewhere. Thus, more than two-thirds of the respondents are either unaware or unwilling to share the information whether their radiologists and technicians also provide services in other ultrasound centres. This lack of response can therefore be considered as an important finding of the study.

Machine Details

It was important to understand the details regarding the ultrasound machines that are operated by the facilities due to the strict norms of regulation of machinery specified under the PCPNDT Act. As many as 92 percent (876) of the facilities reported that they had only 1 ultrasound machine while the remaining had multiple machines that were operational. All the respondents were able to identify the brands of the machines, which leads to the conclusion that they possessed at least basic knowledge regarding the machine and its use. 32 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Table 12. Details of facilities based on number of machines possessed

Base 957 Facilities with 1 machine 92% (876) Facilities with 2 machines 7% (70) Facilities with 3 machines 1% (10) Facilities with 4 machines 0% (1) Facilities with mobile machines 7% (78)

Further it was noted that more than 98 percent (1,043 out of 1,050) of the machines were purchased after 1994 i.e. after the Act was brought into force. While all the respondents said that the machine was registered, more than 30 percent (323) of them were either unable to or refused to produce the certificate for verification. Six percent of the respondents also said that the machine was currently not functional. However, more than 60 percent of these 57 respondents also said they had not informed their respective Appropriate Authorities regarding these unused machines which is in-violation of the rules, since service providers must inform the Appropriate Authority of any unused or non-functional ultrasound machines. A majority of those who had not informed the AA (72 percent) could not provide a reason for not doing so while another 22 percent were not aware that such information needs to be provided. This can be considered as an example of how lack of awareness can lead to non-compliance.

Table 13. Registration details of machines in registered ultrasound facilities

Base (All facilities approached) N= 1050 Base (All facilities with mobile machines) N=78 Machine registered 1046 Registered as mobile 44 Certificate shown 723 Registered in all districts 5 Mobile machines 78 Vehicle registered 5

Seven percent of the machines or a total of 78 machines were reported as being mobile machines. However, a little more than half of these machines (44) were registered as mobile while the remainder (34) had been registered as static machines. When this inconsistency was further probed, the respondents suggested in 99 percent (77 out of 78) of the cases that they used the machine as a static machine or only within the premises of the facility and therefore they had registered the machines as static machines. This is, however, in-violation of the rules as per the act. At the same time, while responding to the question of on where the machines are used, 92 percent (72) of the respondents reported that they used the machine in more than 1 district or region. Five of these respondents also reported that they had the machine registered in all districts while the others had not. Further, these 5 respondents also reported that they had registered the vehicle along with the machine. When asked for reasons for not registering the vehicle or the machine in multiple districts, none of the respondents ventured an answer, once more suggesting that the lack of a response might be of indicative value for the study of this nature. More than 85 percent of the respondents also did not specify how often they use the vehicle. Thus there are clear contradictions in terms of the responses provided for the use of mobile machines and compliance with the necessary norms in such cases. This provides a clear point of action for the authorities where identification of mobile machines which are registered as static machines is required. Mapping Ultrasonography Facilities 33

As part of the study, the registered clinics were requested to show the registration certificates for the clinics so that the details could be verified and noted down. While 80 percent of the clinics did produce these details, close to a fifth of the respondents refused to share the details with the interviewers. It was noted that the relevant details were mentioned on all the registration certificates that were verified by the investigators. Thus, of the 767 certificates seen, most details were noted on all of them. However, the name of the owner was noted only on 738 of 767 certificates while the name of radiologist was mentioned on only 363 certificates out of 767. It was further noted that 16 registrations had lapsed as on the date of interview.

Table 14. Number of details mentioned on all verified registration certificates

Details Mentioned on certificate Details Mentioned on certificate Base 767 Registration certificate number 767 Registered name 767 Registered address 766 Registration category 767 Number of machines 767 Name of owner 738 Name of radiologist 363 Date of registration 767 Date of expiry 767 Whether valid as on date 751 Date of previous renewal 456 Date of next renewal 757

When further asked regarding the maintenance of records, a third of the respondents (314 respondents) did not provide a response. Among the others, the responses to this multiple choice question regarding which records are maintained by them were provided as shown in the following chart.

Chart 4. Percentage of facilities maintaining each of the following records

100

80

60 58%(555) 41%(388) 40 33%(314) 21%(200) 20 16%(148)

0

Form F Form G

in case of All 3 records No response ultrasound

Patient declaration

Base – All registered ultrasound providers (N = 957) 34 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

As can be seen less than 60 percent of the respondents reported that they maintained Form F, a critical component of the Rules. Only about 21 percent reported that they maintained Form G while 41 percent reported that they maintained patient declarations forms. Close to 16 percent or 148 of the respondents reported that they maintained all of these records. Thus, complete compliance in terms of record maintenance was noted in less than one fifth of all interviewed ultrasound centres. When reasons were enquired into, more than 90 percent of these respondents could not provide a reason for not maintaining these records. 74 percent of the respondents who maintained patient declarations or Form G also said that they shared a copy of neither with the patient. Thus, it can be seen that even in cases of compliance it is only partial compliance. The reasons for this can be understood from the fact that half of these respondents also reported that they did not know that it was at all necessary to share a copy with patients. Thus, the overall awareness of requirements as per the PCPNDT Act is on the lower side which is leading to non-compliance due to lack of adequate, comprehensive knowledge of the requirements of the rules. This can similarly be seen from the fact that one fourth of the respondents that maintain Form F clearly said that they did not submit it to the District Appropriate Authority. When asked for the reason, more than half could not provide a response. A clear need thus emerges for greater awareness generation amongst the providers of ultrasound facilities regarding the expectations from them in terms of the PCPNDT Act and its rules.

Awareness of the Act

As discussed in the previous section, it appears that a significant number of the respondents are not aware of the requirements of the Act and are therefore unable to comply with them. While this in itself does not constitute a defence under the maxim, “Ignorantia juris non excusat”9, it does bring forth the need to explore their awareness and identify any such concerns. In the first place, it was noted that a fifth of the respondents (20 percent) had never heard of the PCPNDT Act. Among those that had heard of the Act, the following chart presents the spontaneous recall of the key provisions of the Act. It may be noted that the question was administered in such a way as to capture both the spontaneous as well as the prompted recall. Using this methodology, the respondents were first asked to mention the provisions of the PCPNDT Act that they recalled on their own. Once their responses had been exhausted, the remaining option choices were read out to them and the provisions they could recall on being prompted were noted separately. Both these sets of responses are presented in Chart 5. It can be seen that a majority of the respondents were able to spontaneously identify only two requirements of the Act, both of which pertained to the display or restriction of display of materials. Less than 10 percent were able to recall the requirement to maintain Form G or regarding the submission of forms to DAA. While the aided responses to these questions were much higher, there was very little spontaneous recall for the same. Further, in order to test comprehensive awareness, the response option of registration under the MTP Act was added as a false choice. While only WW3 percent of the respondents spontaneously suggested that this was mandated by the PCPNDT Act, a further 30 percent identified it on receiving a prompt. Thus it can be seen that the overall awareness and the comprehensive knowledge of the provisions of the Act is currently lacking.

9 Ignorance of the law is not an excuse Mapping Ultrasonography Facilities 35

Chart 5. Provisions of the PCPNDT Act recalled by the respondents

100

Spontaneous recall 80 Aided recall 71 69 65 60 52 54 46 45 40 32 30 27 21 19 20 14 6 5 3 0

Maintaining From G Maintaining From F Registration for MTP of sex determination

Registration of the clinic/lab Restriction on display of any

Submitting the forms to the district AA Registration of the ultrasound machine advertisement about sex determinationDisplay of the signboard stating illegality

Base – All registered ultrasound providers ever heard of PCPNDT Act (N = 762)

At the same time, more than 80 percent of the respondents said that the main objective of the Act is the prevention of sex determination. Such respondents are aware of what the Act is about even if they do not know the specific provisions of the Act. They were further able to identify the key practical points of their use such as the Civil Surgeon of the district being the authority to issue registration even if they were unfamiliar with the term Appropriate Authority. Further, a large number of respondents, though not all, could identify the duration of validity of registration, and the intervals at which Form Fs are to be submitted. More than 75 percent of the respondents also said that there was no problem in renewing registration or that they did not know of any problem. Thus it can be concluded that while a large number of the respondents do not know about the key provisions of the Act or the technical phrases used in the Act, they are aware of the key requirements that they as ultrasound providers are required to fulfil. It must also be noted that 29 percent of the facilities have never been inspected, according to the respondents. Based on this information, the following chart presents the findings on non-compliance with display requirements as identified during the observation component of the study. It must be noted that such observations were made even in unregistered clinics; a comparison of compliance with display regulations between the two categories of clinics are given in the following sections. 36 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Chart 6. Non-adherence to display related norms of the PCPNDT Act

100 78%(751) 80 72%(687)

60 42%(399) 40 22%(213) 20

0

IEC material

of sex selection Medical degree of

doctor or radiologist Board stating illegality Registration certificate

Base – All registered ultrasound providers (N = 957)

Thus, it can be seen that despite it being such an important requirement of the Act there were as many as 213 registered facilities that did not display a board in or around their clinic stating sex determination is illegal. Similarly, 399 facilities did not display their registration certificate and more than 70 percent of the facilities did not display the medical degree certificate of the doctor in charge. Thus, compliance is found to be low even in provisions that do not require a large amount of resources on the part of the facilities. This is an immediate cause for concern and measures need to be taken to remedy the situation with due urgency. Unregistered Clinics

The methodology for identifying and interviewing the unregistered ultrasound providers in the state was detailed in the previous section. Following the same methodology a total of 145 unregistered clinics could be identified across the state.

Table 15. Unregistered USG facilities identified and interviewed in the state

Verified unregistered Interviewed % Interviewed 145 77 53

Of the identified unregistered ultrasound providers, a total of 77 interviews could be completed across the state. As mentioned in the previous section, owing to the nature of the study, many of the unregistered providers were not willing to provide interviews. Following the pre-decided protocol mentioned in the previous section, interviews could be completed in about 53 percent of the cases. Further, the questions interviewers asked unregistered facilities were necessarily less detailed and somewhat different from the questions they asked registered providers owing to the delicate nature of this component. Some of the critical findings that emerged from this component are presented in the following section. It must be noted that in more than 70 percent of the cases the interview was conducted with the owner or manager of the lab and in the remaining cases with the doctor or technician in-charge of the facility. Mapping Ultrasonography Facilities 37

Chart 7. Distribution of unregistered facilities by type

2 1

39

57

Government hospital Private nursing home | hospital Diagnostic Infertility and center | Laboratory ultrasound clinics

Base – All unregistered ultrasound providers (N = 77)

Thus about 44 of the 77 facilities interviewed were diagnostic centres or laboratories while 30 of them were private nursing homes. It may, therefore, be presumed that multiple services are offered at least in the 39 percent where the facility is a nursing home. Therefore, in 30 cases the respondents reported that ultrasound facilities had been added subsequently and were not present at the inception. It was noted in the case of unregistered ultrasound providers, understandably perhaps, that many of the questions that were asked met with no response.

Table 16. Details of number of radiologists and technicians employed by facility

Number of radiologists Number of Technicians Base 77 77 1 40% 32% 2 3% 0% Unspecified 57% 68%

Thus, 57 percent of the respondents did not tell the interviewers the number of people who worked in the facility.

Table 17. Whether owner is key operating person in the facility

Yes No Medical degree 31 (82%) 4 (10%) Non-medical degree 7 (18%) 35 (90%) Total 38 39

Further it was noted that while only in 44 percent of the cases the owner had even an MBBS qualification, the respondents also reported that in 49 percent of the cases the key operating person in the lab was also the owner. It was further noted using cross-tabulations that among the cases where the owner was identified as the key operating person in the facility, in 18% of the cases the owner did not possess a medical degree. Thus, out of the 38 facilities where the owner was reported 38 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

the key operating person in the facility, only 30 of these owners reportedly had an MBBS degree and the others were noted as having no medical qualification at all.This is a critical finding from the perspective of the implementation of the Act. An enquiry was made into the services offered by these facilities. The following chart presents the details of these services as reported by the unregistered clinics.

Chart 8. Services offered by unregistered ultrasound facilities (Multiple response set)

100 97%(75)

80

60

40 18%(14) 20 16%(12) 13%(10) 5%(4) 3%(2) 0

services services services Ultrasound Surgical care Maternity clinic Gynaecological Infertility related

Medical termination

of pregnancy services

Base – All unregistered ultrasound providers (N = 77)

Thus, it can be seen that while 16 percent of the facilities offered gynaecological services and 18 percent even offered surgical services, the ultrasound facilities have not been registered with the appropriate authorities. Two of the providers reported that they do not offer ultrasound services, however in the context of the study, this denial may merit further scrutiny. Three percent of the facilities (2 providers) were also found to provide MTP services. When asked about registration under the MTP Act it was found that 1 of the respondents had not registered under the Act. While the other respondent reported registration, he could not produce the certificate for verification and therefore this can only be considered as a stated response. It must also be noted that the respondent who had not done so, did not provide a reason for not registering under the MTP Act. When an enquiry was made into whether the employees of these facilities also provided services elsewhere, 53 percent of the respondents could not report whether the doctors and technicians from their facility also provided services elsewhere. The most critical point to be noted is that when the respondents were asked whether they had ever applied for registration under the PCPNDT Act, no response was forthcoming. Thus none of the respondents provided a response to even basic queries regarding registration under the PCPNDT Act. It may be noted, therefore, that the interviews with unregistered providers despite the lack of responses, point to several lacunae – some obvious, others indicative and based on observation. Mapping Ultrasonography Facilities 39

As mentioned previously, the observation component was conducted in the unregistered facilities as well. Their findings are presented below:

Chart 9. Non-adherence to display related norms of the PCPNDT Act

100%(77) 100 88%(68) 79%(71) 80 64%(49) 60

40

20

0

IEC material

of sex selection Copy of degree of

doctor or radiologist Board stating illegality Registration certificate

Base – All unregistered ultrasound providers (N = 77)

It can be seen therefore that while some of the facilities do display some of the required material the proportion of non-compliance is very high and that a majority of the respondents do not comply with even one of the requirements. This proportion is also higher than in the case of the registered facilities. District-wise Distribution of Ultrasound Facilities

The following table provides the detailed distribution of the all identified ultrasound facilities in 38 districts of the state during the mapping exercise

Table 18. Distribution of Ultrasound facilities in the state

Originally listed Registered Unregistered Facilities Unverified Districts Yes No Verified Interviewed Verified Interviewed status Araria 14 0 14 14 0 0 0 Arwal 5 0 3 3 0 0 2 Aurangabad 30 3 30 30 2 2 1 Banka 5 0 5 4 0 0 0 Begusarai 46 1 39 30 8 6 0 Bhagalpur 47 0 47 33 0 0 0 Bhojpur 31 2 31 22 2 0 0 Buxar 13 0 13 12 0 0 0 Darbhanga 59 9 47 45 5 4 16 E. Champaran 36 18 37 35 17 0 0 40 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Originally listed Registered Unregistered Facilities Unverified Districts Yes No Verified Interviewed Verified Interviewed status Gaya 39 4 30 24 5 3 8 Gopal Ganj 32 13 29 29 7 7 9 Jamui 17 0 17 14 0 0 0 Jehanabad 8 3 6 6 5 3 0 Kaimur 24 3 22 20 5 3 0 Katihar 31 2 28 27 5 3 0 Khagaria 9 1 6 6 4 4 0 Kishanganj 15 0 14 10 0 0 1 Lakhisarai 6 1 4 3 3 2 0 Madhepura 14 0 12 12 2 0 0 Madhubani 38 1 35 24 1 1 3 Munger 13 1 13 11 1 0 0 Muzaffarpur 67 3 59 58 3 3 8 Nalanda 30 1 28 27 3 2 0 Nawada 12 0 9 7 1 1 2 W. Champaran 18 16 18 18 16 2 0 Patna 257 6 202 186 13 10 48 Purnea 48 0 48 48 0 0 0 Rohtas 29 3 27 22 5 3 0 Saharsa 24 0 23 19 0 0 1 Samsti Pur 19 16 15 20 10 5 10 Saran 40 15 38 36 8 8 9 Sheohar 2 0 2 2 0 0 0 Shiekhpura 8 1 8 8 1 0 0 Sita Marhi 17 0 17 14 0 0 0 Siwan 47 5 36 36 12 4 4 Supaul 13 0 10 9 0 0 3 Vaishali 38 1 37 33 1 1 1 Total 1201 129 1059 957 145 77 126

As can be seen the distribution is uneven and in some districts, predominantly Patna and its neighbours, have a higher concentration of facilities. The first column refers to the record of these facilities in the originally procured lists available with the DAA offices. As can be seen, 1,201 facilities were originally listed with the various district offices across the state while 129 facilities were newly identified during the mapping exercise. A total of 1,059 of the registered facilities were verified for their registration status of which 957 could be interviewed as previously mentioned. Further 145 facilities were noted as being unregistered of which 77 facilities could be interviewed. The registration status of a further 126 facilities could not be verified due to a lack of response from them and have been mentioned as unverified facilities. The details of each of these facilities have been provided in the Annexure III of the report. Implementation of Pcpndt Act 41

PART III IMPLEMENTATION OF THE PCPNDT ACT

Overview

In order to understand the extent of implementation of the PCPNDT Act in the state, interviews were conducted with the appropriate authorities and advisory committees in all the districts of the state. These interviews were semi-structured in nature and covered the structures and management systems of these bodies along with the extent of monitoring and supervision and the awareness levels in the district. Additionally, qualitative in-depth interviews were sought with stakeholders at the state level as mentioned in the Introduction section of this report. Attempts were made to cover the civil surgeon (one member appropriate authority in each district) and at least 2 members of the DAC in each district. Further, an attempt was also made to cover at least one NGO and one non- NGO member of the DAC. The following table presents the final status of the interviews that could be completed.

Table 19. Completed district level interviews with DAA and DAC

Attempted Completed Completed % Civil Surgeon (District Appropriate Authority) 38 30 79% District Advisory Committee 76 65 86% Total 114 95 83%

As can be seen, out of a total of 114 attempted interviews, 95 could be completed. In the other 19 cases the interviews could not be conducted mainly due to refusals on the part of the respondents. In other instances, the DACs itself were not formed such as in Jehanabad. In Kaimur, the interviewers were unable to procure details regarding the DAC from the appropriate authority of the district. This section will therefore present the findings of the interviews that could be completed with both the DAA and the DAC members. District Appropriate Authority

The first crucial piece of information that strikes when considering this component of the research is that the District Advisory Committees have not been created in every district of the state. Similarly, at the state level as well, the State Advisory Committee does not exist at present and although it was formulated in the past, it is non-functional as of date. The civil surgeons, or DAA, were therefore first questioned regarding the establishment of all the mechanisms required by the PCPNDT Act. 42 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Subsequently, a more in-depth questioning was undertaken regarding their duties and activities during their tenure, and their awareness of issues within the district. This section of the report will present the data collected from the DAA interviews and the information received from the DAC will be presented in the subsequent section.

Structures and Management Systems

The DAA, in all the 30 districts that were covered in the interviews were able to inform as to when the DAC was constituted and it was noted that in more than 70 percent of the cases the DAC was first constituted more than 5 years ago and in about 29 percent of these cases the members have not been reappointed since. Thus of the 21 districts where 5 years have lapsed since the constitution of the DAC, reappointment has taken place in 15 districts while it remains to be done in 6 districts.

Chart 10. Information regarding the duration since establishment of DAC as provided by DAA

30

70

More than 5 years

Base – All DAA (N = 30)

When the DAA of the six districts were asked the reasons for not reconstituting the DAC, half of them said that it was not necessary to reconstitute. 1 DAA did not respond while another said that the current DAC has been performing very well and therefore they had not reconstituted the body. Positions in the DAC – Even within the DAC different positions are prescribed for individuals belonging to various disciplines such that each of these positions needs to be occupied separately. The following table presents the different types of positions and their current status in the 30 districts.

Table 20. Current status of DAC positions as informed by the DAA

Position Currently occupied in (out of 30 districts) Medical expert (1) 29 Medical expert (2) 29 Medical expert (3) 29 Legal expert 23 Department of information and publicity 13 Social Worker (1) 23 Social Worker (2) 14 Social Worker (3) 6

Among the member positions prescribed for the DAC, it was found that all medical expert positions were filled in 97 percent of the cases (29 out of 30 districts, except in Jehanabad). However, this Implementation of Pcpndt Act 43

proportion declined when one considered the other positions. Thus, in 7 districts legal experts and the first social worker position were not filled. A member assigned to handle the department of information was available in 13 of the districts, and the other social worker positions were filled in 47 percent and 20 percent of the cases (14 and 6 districts), respectively. This was also noted during the fieldwork when the interviewers had difficulty in locating and contacting the members of the DAC. In 65 percent of the cases the DAA could not respond as to why the positions had not been filled whereas the remaining mentioned that the search for members was currently on. Trainings - The DAA in more than 50 percent of the cases mentioned that the DAC members had not been trained on the PCPNDT Act and their roles and duties. The following table provides details of the trainings conducted with different DAC members as reported by the DAA.

Table 21. Number of DAC members who have received trainings as per the DAA

Position Number of members trained (among positions filled) Medical expert (1) 14 (out of 29) Medical expert (2) 12 (out of 29) Medical expert (3) 14 (out of 29) Legal expert 10 (out of 23) Department of information and publicity 8 (out of 13) Social Worker (1) 9 (out of 23) Social Worker (2) 6 (out of 14) Social Worker (3) 2 (out of 6)

Thus, if one considers the overall situation, less than 50 percent of the total DAC members in the state have been trained in their duties as reported by the DAA. Even 60 percent (18) of the civil surgeons mentioned that they themselves had not had any form of training when they joined the position and 10 of them had not received any training even subsequently.

Application Process

The most critical function of the Appropriate Authority is to receive and process applications from ultrasound facilities for registrations. Based on the reported numbers, it appeared that in 27 percent of the cases (8 districts) no applications were received last year. On an average 4 (Arithmetic mean - 3.87) applications for registration were received in the last year by the DAA. However, there were also districts such as Motihari, where as many as 14 applications were received in one year, many of these (in Supaul 4 out of 10) applications were rejected and the applicants informed regarding the status of their applications. In each case it was reported by the DAA that less than 90 days were taken to process the application. The average time for completing the entire process from receipt of the application to informing the applicant of the final decision was reported to take an average of 49 (Arithmetic mean – 48.67) days.

Monitoring and Supervision

An equally critical responsibility of the DAA is to monitor the functioning of the registered ultrasound providers and to ensure that they adhere to the rules prescribed by the PCPNDT Act. The DAA has additionally been given the authority to penalise and initiate proceedings against those ultrasound providers who are found to be in violation of the laws. A measure of the levels of adherence in a particular district is the number of penalties that are imposed on the ultrasound providers within that 44 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

district. It cannot, however, be said whether the lack of penalty imposition is tantamount to lack of illegal activities. Nevertheless, it was reported that in 23 percent of the districts (7 districts) covered; registrations were suspended whereas at least one registration was cancelled in 17 percent of the districts (5 districts) in which the Appropriate Authority interviews were conducted. In other words, in more than three-fourths of the districts that were covered, no such action was taken. It may be remembered that during the interviews with registered ultrasound providers, as many as a third of them said no inspection visit had ever taken place in their facility. On the other hand, 90 percent of the Appropriate Authorities (27 districts) mentioned that they undertake monitoring visits on a regular basis. This must of course be understood in juxtaposition with the fact that monitoring visits are required in proportion with the number of registered facilities within any particular district.

Table 22. Information on monitoring visits by the DAA (in absolutes)

Visits every month Visits last month Base 27 27 1 11 16 2 10 3 3 3 5 4 1 1 5 and more 2 2 Average visits 2.19 2.26 On an average, the DAA reported that they undertake between 2 and 3 visits a month. 16 of the 27 DAAs who reported that they undertake monitoring visits said that they undertook 1 such visit in the past month. The DAAs of Buxar and Motihari districts undertook 5 or more than 5 visits in the past month. In 15 percent of the cases it was reported that a separate team of inspectors undertook the visits. In 20 of the 27 districts it was reported that members of the DAA’s office undertook the visits and that the DAA was himself involved in them, either alone or along with other members of his/her office. The following chart presents the data regarding which particular aspects are checked for during the monitoring visits as reported by the DAA.

Chart 11. Aspects inspected during monitoring visits as reported by the DAA

100 85%(23) 80 67%(18) 63%(17) 60 52%(14) 41%(11) 40

20

0

certificate of materials of the doctor

Check the display sex detection rules Check the registration Check the past records Check the qualifications Check the adherence to

Base – All DAA who undertake monitoring visits (N = 27) Implementation of Pcpndt Act 45

Thus, it was reported that various aspects are considered when undertaking monitoring visits. The key focus of the DAA, though, based on the reported numbers, is to verify the adherence to rules regarding the detection of the sex of the foetus. It was, however, reported only in 20 districts that records of all monitoring visits were maintained. The remaining district AA offices either do not maintain records of visits at all or maintain it for some of the visits. This raises an important need to clearly document the nature and purpose of the visits undertaken along with other details regarding their outcomes which can be an important recommendation. In 80 percent of the cases (21 out of 27 districts) the DAA reported that a checklist or questionnaire of some sort was used during these monitoring visits. It is important, however, that such practices are inculcated across all districts and more systematic processes developed for these activities for further streamlining the functions of the DAA. Interestingly however, 1 of the 3 DAAs who said that they did not undertake any visits said that he did not do so due to lack of adequate security. It is entirely possible that there is a fear of criminal elements and that this is preventing stricter action against those who break the law. The other 2 DAAs mentioned that they did not have time to undertake such visits and their other duties prevented them from doing so. The need for streamlining their functions and including process-driven systems is thus highlighted.

Cases of Non-compliance and Actions Taken

Given the findings on the monitoring practices of the DAAs, a series of questions regarding the level of compliance with the requirements of the PCPNDT Act within their district was put to them. It was found that 50 percent of the civil surgeons interviewed (15 out of 30) reported that clinics in the district did not submit records. The details of records clinics reportedly submitted in the districts are presented in the following table:

Table 23. Information on records submitted by the registered clinics to the DAA

Number of districts Percentage of districts Records reporting submission reporting submission A complete record of all patients 9 (out of 30) 30 Form D 1 (out of 30) 3 Form F 16 (out of 30) 53 Form G 3 (out of 30) 10 Consent letters of patients 3 (out of 30) 10 None 1 (out of 30) 3 Don’t know/Can’t say 4 (out of 30) 13

It can, thus, be seen that in case of most records less than a third of the districts report that the facilities submit these to the DAA office. Even in terms of the important Form F, only 16 out of 30 DAA spontaneously reported that the clinics in their district submit these records to them. Owing to the importance of Form F, interviewers then asked a direct question to the remaining 14 DAAs regarding whether facilities submitted Form F to their office. This was done in order to verify the information and ensure that the negative response in this case was not simply a function of limited spontaneous recall. Even in response to the direct question, 10 of these 14 DAAs confirmed that Form F was not submitted to them while the remaining chose not to respond to the question. 46 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Further even in case of the submitted records, only about 37 percent of the respondents (11 out of 30) in the DAA category reported that they received records before the 5th of every month. And yet 6 out of 10 respondents did not respond when asked as to what action was taken in such cases. Further not a single case was reported in which any sentence was issued by the courts, whether in terms of a fine or licence cancellation or any other form. When asked regarding the presence of unregistered clinics in their districts, only the DAA of Siwan reported that they were indeed aware of such clinics and noted 4 such cases which had come to light in the district; the authority had already taken action in 2 cases. In contradiction to the previous findings of this section, 26 out of 30 DAAs said that there were no cases regarding the non- submission of records instituted their districts during their tenure. 27 out of 30 DAAs reported that there were no cases instituted regarding violation of advertisement norms for the ultrasound providers in their districts during their tenure. All 30 district officers also reported that there was no case of sex determination in their districts during their tenure. It is perhaps unsurprising therefore that in 23 out of 30 districts, no action against ultrasound providers for violation of any form was reported. Four DAAs were found to have issued summons and sealed clinics indulging in unlawful activities in the past year. Legal action was reported to have been taken in the districts of Nawada, Siwan and Gopalganj. Seven cases are currently pending in courts in Gopalganj and Patna, according to their respective DAAs, but no conviction has yet been made in any such cases.

Awareness regarding the PCPNDT Act

In the previous chapter, the awareness levels of ultrasound providers with respect to the PCPNDT Act were considered. It is also important to analyse the awareness of the authorities that have been appointed to enforce the Act. In this case, however, it must be noted that the awareness should be higher than in the case of the ultrasound providers.

Chart 12. Provisions of the PCPNDT Act recalled by the DAA

100 90%(27 )

80 70%(21) 70%(21) 63%(19) 60%(18) 60 47%(14) 50%(15)

40 37%(11) 33%(10) 30%(9)

20 7%(2) 7%(2)

0

clinic/lab

to the district A Registration of the Maintaining From G Maintaining From F Restriction on display Submitting the forms of any advertisement Display of the signboard

Base – All DAA members (N = 30) Implementation of Pcpndt Act 47

As can be seen a majority of the respondents could only spontaneously recall the requirement that display of advertisements regarding sex determination was prohibited. Less than 10 percent could recall the maintenance of form G and submission of records while a third could spontaneously recall maintenance of Form F. While the recall improved significantly with aided responses, it must be noted that spontaneous recall can be considered an important factor in estimating the overall awareness of the respondents. In terms of most of the specific questions, however, a majority of the DAA members could identify the correct answer. However, there were some reported wrong answers for almost every question in this case. Further, as many as 40 percent of the respondents were unable to identify the cases in which tests which can also be used for sex determination were permitted. Thus while there is some level of awareness it is not yet comprehensive and it once again points to the need for greater awareness generation and training for the authorities. District Advisory Committee

As mentioned at the beginning of the chapter a total of 65 DAC members could be interviewed during the study. The interviews with the DAC members covered a range of topics on their own roles and duties as well as the general implementation and functioning of the PCPNDT Act in their district. The information collected from these interviews is briefly presented in this section of the report.

Constitution of DAC

Among the members of the DAC who are currently appointed in the districts, 48 percent (31 out of 65) were not aware about when the DAC was first established in their districts. Even among the 34 members of the various DACs who were aware that the DAC was first established in their districts, 20 members suggested that it was more than 5 years ago in their districts and 45 percent of them (9) said that a reappointment of members has since not taken place. It is, however, not entirely necessary for new members to know when the DAC was first established and therefore questions were put to them regarding the duration of their own membership. It was found that 16 out of the 65 members have been part of their respective DACs since 2007 or earlier (more than 5 years as on date of interviews). Surprisingly, 9 members could not tell us the duration of their own membership of the DAC. This indicates gaps in the constitution procedure of the DAC in a number of districts and in providing the necessary updates regarding the tenure of the members.

Training of DAC members 3 As noted in the DAA interviews, trainings for DAC members are not commonly held in most districts. 35

Chart 13. Information regarding whether members of DAC received any training as 62 provided by the DAA

Base – All DAC members (N = 65) 48 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

This piece of information was verified during the DAC interviews where more than 60 percent of the DAC members (40 out of 65) also corroborated the fact that they had not received any trainings despite more than 75 percent of the members having been a part of the DAC for longer than a year. Thus, only about a third of all interviewed DAC members reported that they had received any form of training on taking up their duties.

Meetings of the DAC

92 percent of the interviewed members of the DAC stated that meetings were regularly held for the DAC. However, 3 of the 65 interviewed members reported that a meeting of the DAC had never been held in their tenure and 2 members did not provide a reply to the question. The members who reported that meetings had been held during their tenure were asked to report the number of meetings that had been held in the previous year. The following table presents this data:

Table 24. Information regarding the number of DAC meetings in the previous year as reported by members of DACs

Number of meetings in Number of DAC members Percentage of DAC members previous year reporting reporting 1 9 (out of 60) 15 2 19 (out of 60) 32 3 8 (out of 60) 13 4 9 (out of 60) 15 5 6 (out of 60) 10 6 2 (out of 60) 3 7 2 (out of 60) 3 8 2 (out of 60) 3 10 2 (out of 60) 3 12 1 (out of 60) 2

As can be seen, a majority of members reported up to 5 meetings taking place in the previous year (2012). Nine members reported more than 5 meetings in the previous year with 1 member from Arrah district reporting that as many as 12 meetings of the DAC had taken place in the district in the previous year. Further, 51 members reported that they had attended each of the meetings held in the last year. Among the remaining 9 members, 7 had participated in some of the meetings in the previous year while 2 members from Saran did not respond to the question. However, only 29 of the 60 members reported that they had received the minutes of the meetings. When the members who had not attended some of the meetings were asked for the reasons for not attending, none of them chose to reply.

Role of DAC

The DAC members were further asked a series of questions regarding the implementation of the Act in the district and their own role as part of the same. This could be confirmed only by half the members of the DACs who were interviewed, the other choosing not to respond to the question. A majority of the respondents reported that the role of the DAC is purely advisory in the district. Nine members said that the DAC has no role at all in the scheme of things; this is an incorrect perception which needs to be rectified since they are to perform their duties as specifically prescribed under the Act. Implementation of Pcpndt Act 49

Chart 14. Perceptions of the DAC members regarding their role in the implementation of the PCPNDT Act in the district (in %)

9 20

8

49 14

The DAC has the The role is same role as the AA purely advisory The DAC has no role The DAC supports the AA

Base – All DAC members (N = 65)

6 members believed that their role is the same as the DAA while another 5 members suggested that their role is to assist the DAA. This lack of clarity regarding their role in the implementation of the Act in the district is a matter for concern and can only be addressed through adequate trainings regarding the PCPNDT Act and their role as members of the DAC in its implementation in the district. A series of other questions related to registrations and other aspects of implementation in the district were put to DAC members in order to further understand their role and involvement in the activities of PCPNDT Act implementation. In some of the aspects it is the lack of responses that are sometimes more enlightening than actual responses received. Thus, for example, when asked about the time it takes to process applications for registrations, 30 out of 65 members were able to report that it takes less than 90 days, the other 35 members could not provide a response to the question. Further, while it is not required for DAC members to undertake monitoring visits, 35 of the 65 members reported that they do make such visits, on an average between one and two times a month. Of these, 28 members further reported that they used some form of questionnaire and almost all members reported that they also provide feedback to the DAA in some form. Five out of 65 DAC members further reported that cases of non-compliance had been detected in their districts and that action had been taken against the violating parties. These cases were reported to be of clinics operating without proper registration or being operated by non-medical professionals which is in-violation of the norms of the PCPNDT Act.

Awareness of DAC Members Regarding PCPNDT Act

A series of questions intended to gauge the awareness levels of the DAC members regarding the provisions of the PCPNDT Act were included in the DAC interviews as in the case of the other categories. The findings of the same are briefly presented here in this section. 50 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Chart 15. Provisions of the PCPNDT Act recalled by the DAC

100

80 72%(47) 68%(44) 63%(41) 66%(43) 60 49%(32) 51%(33) 46%(30)

40 34%(22) 26%(17)

20 8%(5) 2%(1) 2%(1) 0

clinic/lab

Registration of the to the district AA Maintaining From G Maintaining From F Restriction on display Submitting the forms of any advertisement Display of the signboard

Base – All DAC members (N = 65)

It can be seen that the spontaneous recall of critical factors mentioned in the PCPNDT Act was lower in case of the DAC members than in case of DAAs. A majority of the respondents could not recall any of the provisions. This can be a cause for concern and it further highlights the need for trainings that the members should receive prior to taking up their duties. This need is more pronounced when one considers the other information derived from this section. Thus where 4 members did not know where the application for registrations is to be made, 47 members could not provide a response when asked about the cost of application. While these aspects do not necessarily fall within their scope of work, it forms some of the basic information with regard to the requirements of the PCPNDT Act and should therefore be known to these members. Similarly, 23 members could not respond to the question regarding the duration of validity of a registration. 15 out of 65 members believed that any medical doctor is permitted to provide ultrasound services. Further, 28 members did not report that it is mandatory for clinics to display the registration certificate while 24 members could not recall that clinics need to maintain Form .F Close to half of the respondents did not know the period after which records must be submitted to the AA or the conditions under which sex determination tests could be conducted. Thus it can be seen that the overall awareness of the DAC members is lower than DAA and there is a greater need for trainings in their case. District-wise Interviews

The following table presents the details of the district level interviews. As previously mentioned, interviews could not be completed with 8 of the DAAs due to refusal on their part. Further the DAC members could not be interviewed in some districts for various reasons such as lack of information regarding the DAC members and their contact details. In one particular case, the NGO-DAC members as listed in the DAA office were not aware that they were a member of the DAC and were in fact not involved in any work related to the PCPNDT Act. Implementation of Pcpndt Act 51

District Attempted Completed District Attempted Completed Jehanabad Darbhanga CS 1 1 CS 1 0 DAC 2 0 DAC 2 2 Arwal Madhubani CS 1 1 CS 1 0 DAC 2 2 DAC 2 2 Aurangabad Seohar CS 1 1 CS 1 1 DAC 2 2 DAC 2 0 Gaya Buxar CS 1 1 CS 1 1 DAC 2 2 DAC 2 2 Nawada Kaimur CS 1 1 CS 1 0 DAC 2 1 DAC 2 0 Gopalganj Rohtas CS 1 1 CS 1 0 DAC 2 2 DAC 2 2 Siwan Bhojpur CS 1 1 CS 1 0 DAC 2 2 DAC 2 2 Saran Khagaria CS 1 1 CS 1 1 DAC 2 2 DAC 2 2 Vaishali Begusarai CS 1 1 CS 1 1 DAC 2 2 DAC 2 2 Samastipur Lakhisarai CS 1 0 CS 1 1 DAC 2 1 DAC 2 2 Muzaffarpur Sheikhpura CS 1 1 CS 1 1 DAC 2 2 DAC 2 2 Nalanda Patna CS 1 1 CS 1 1 DAC 2 2 DAC 2 2 Paschim Kishanganj Champaran CS 1 0 CS 1 1 52 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

District Attempted Completed District Attempted Completed DAC 2 1 DAC 2 2 Purbi Purnea Champaran CS 1 1 CS 1 DAC 2 1 DAC 2 2 Sitamarhi Katihar CS 1 1 CS 1 1 DAC 2 2 DAC 2 2 Jamui Supaul CS 1 1 CS 1 1 DAC 2 2 DAC 2 2 Banka Araria CS 1 1 CS 1 1 DAC 2 2 DAC 2 1 Munger Madhepura CS 1 1 CS 1 1 DAC 2 2 DAC 2 1 Saharsa Bhagalpur CS 1 1 CS 1 1 DAC 2 1 DAC 2 2

Information from State level Interviews

As mentioned in the methodology section, in-depth interviews were sought at the state level with the Nodal Officer of the State Health Society, the state heads of IMA, FOGSI and members of the SAC. Currently, the SAC is yet to be reconstituted and there were no meetings held in the previous year. Hence interviews could not be conducted with members of the SAC. However, interviews were conducted with the other respondents. The main aim of these interviews was to obtain the views and suggestions of these senior members of the state and non-state mechanism regarding the implementation of the PCPNDT Act in Bihar. This section will briefly present the key findings and suggestions from these interviews: ~~The key question before the Nodal Officer of the State Health Society was regarding the administrative support and trainings of the district level officials. During the interview, it was indicated that workshops were regularly conducted over the past 3 years inviting all gynaecologists and radiologists, NGOs, legal professionals among others. The Principal Secretary held many meetings at the state level with professors of medical colleges and stakeholders. ~~Taking cognisance of the serious nature of the problems facing the state all civil-surgeons were asked to conduct mobilisation activities and other IC activities, conduct workshops at the district level ― sensitisation etc. ― with the funds that the state has already received. ~~The Nodal Officer recognised that reconstitution of the state advisory Committee is essential and that the process of identifying potential NGO members is going on. Implementation of Pcpndt Act 53

~~It was indicated that constant efforts along with DAAs have been ongoing in terms of workshops and monitoring effort and that while the budgetary and administrative support is considered sufficient so far, there is a need, according to the Nodal Officer, to redouble these efforts and build a more robust structure in the state with better collaboration between the districts and the state level offices. ~~The feedback from IMA and FOGSI was along similar lines and it was stated that while they are trying to generate as much awareness within their own medical fraternity they required greater state support since their role is limited to advocacy efforts. ~~Both–the IMA and FOGSI suggested that the awareness regarding the PCPNDT Act was limited within the medical fraternity and that greater awareness building was the need of the hour and the first step to prevention of non-compliance. There was also a need for greater collaboration between their organisations and the state mechanism in their view, the lack of which they recognised as the greatest impediment to a more robust change. 54 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar Summary of Findings 55

PART IV SUMMARY OF FINDINGS

Understanding the Progress in Act Implementation in the State

The overarching objective of this study was to try and understand the extent of implementation of the PCPNDT Act in the state of Bihar and to identify any gaps. Broadly, it may be stated that the Act has been partially implemented in the state. This section will seek to summarise the findings presented in this report.

Status on the ground –

~~It is our understanding that more than 90 unregistered facilities are functioning in different parts of the state. Some districts like Darbhanga and Patna, the urban centres of the state, have a greater concentration of such clinics or facilities. Often it is noted that the set-up is not that of a clinic, but simply an ultrasound machine set up in a nondescript location that otherwise cannot be noticed. But the fact that these unregistered facilities could be located using snowballing means that they function with impunity and the general population around has knowledge of their existence. Thus, the first and most critical shortcoming in the implementation at present is the continued existence of these illegal facilities, which permit and promote illegal sex determination without being apprehended by the legal machinery. ~~Even among the registered clinics seemingly minor or major violations of the law do take place. In many of the clinics visited, as has been presented in the data above, record maintenance and displays were not entirely in accordance with the norms. Similarly, records submissions and reporting to the DAA in case of changes in machine status too is not followed with diligence. Thus, obtaining a registration can be considered only the first step. ~~7 percent of the machines or a total of 78 machines were reported as being mobile machines. However, a little more than half of these machines (44) were registered as mobile while the remainder (34) had been registered as static machines. At the same time, while responding to the question of where the machines are used, 92 percent (72) of the respondents reported that they used the machine in more than 1 district or region. ~~The awareness of the facility owners and managers regarding the Act is on the lower side. While they are broadly aware of what the Act is and possibly what it entails, a detailed awareness of the rules and regulations as prescribed by the Act is also necessary for them to perform the functions mandated by the Act. 56 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

~~It was understood during the in-depth interviews with the IMA functionaries at the state and district level that control over ultrasound machines in the state is still somewhat tenuous. Second- hand and in some cases brand new machines are sold to people in-violation of norms and such machines, especially the old ones that are discarded, are likely to end up on the black market from where anyone wishing to set up an unregistered ultrasound facility for the express purposes of illegal sex determination might purchase them.

The administrative status –

~~One of the key reasons that the implementation of the Act on the ground has only been partial is because the formation of the administrative structures has been uneven across the state. Thus, while some districts have fully functional DACs, some others have no DAC currently appointed while others still have DACs that are largely non-functional and have not been reconstituted since their inception. Such a situation is also noted at the state level where the SAC is no longer functional even though it was originally formed, but has not been reconstituted since. ~~Most of the DAA and DAC members who were interviewed mentioned the lack of any structured training when they first took up duties. This also reflected on their limited awareness of the key requirements of the Act. ~~Many of them also mentioned the lack of resources or other support that hampers their functioning. One of the AAs suggested lack of security, for example, as a reason for being unable to undertake inspection visits. Given their monitoring responsibilities it was suggested by the DAA that there might be a need for security which at present is not provided to them. ~~There is a need for greater inclusion for all stakeholders, especially civil society and non- governmental organisations in the implementation procedure to improve transparency and bring in greater accountability into the system. ~~It was also understood, based on the interviews, limited action is taken against those individuals who are found to violate the PCPNDT Act. Thus, such things as submission of records are not followed with punctuality and larger violations of the law such as the running of unregistered facilities takes place. Penalising violations is critical in the implementation of the law as such action can Act as a deterrent to future violations. Recommendations and Points of Action 57

PART V RECOMMENDATIONS AND POINTS OF ACTION

Based on the findings of this study discussed in the previous sections, some preliminary recommendations emerge that may be considered in order to better implement the PCPNDT Act in the state.

Recommendations for immediate actions

~~The first and most critical step at this point is the closure of all unregistered ultrasound facilities that have been identified and seizure of unregistered machines. Particular attention must be paid to unregistered facilities attached to larger hospitals including state-run hospitals where registrations have lapsed. ~~It is also recommended that those facilities, whose status could not be verified due to non- response, be visited and their registration status be determined and the necessary action taken in case of non-registration. ~~In order to prevent violations of the law, a more systematic monitoring framework needs to be established in all districts where pre-decided checklists are used to inspect specific aspects across all registered clinics to ensure compliance with the Act. ~~Some critical aspects that need to be regularly monitored are maintenance of records, especially Form F, adherence to display related norms and reporting of unused and unreported machines, all of which were noted during the course of the study. A show-cause notice needs be issued in these cases and charges filed against the violators in accordance with theAct.

Amendment with regard to regulation of portable Ultrasound equipment

G.S.R. 80(E), dated 07-02-2012 The use of portable machines is to be permitted only in the following conditions:

™™Portable machine being used within the premises s registered for providing bedside services to the patients ™™As part of a mobile medical unit, offering a bouquet of other health and medical services ™™The machine under no circumstances will be used for sex determination of the foetus, as mentioned under Section 6 of the said Act 58 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

~~It was found during the study that mobile machines are being used by clinics despite having registered them as static machines. As per a new amendment of the Act, mobile machines are not permitted except in the circumstances mentioned in the following box and therefore it is necessary that mobile machines found in-violation of these norms be confiscated. It is also important to take legal action against violators and ensure their punishment such that it acts as deterrent factor. ~~It is necessary to take stock of the bodies and mechanisms established under the Act, address gaps and ensure their correct and continued functioning in accordance with the Act.

Other Recommendations ~~During the course of the study, it has been noted that the awareness of the PCPNDT Act and its rules is limited not just among the ultrasound providers but also among the district level authorities. There is therefore a need to institute two things: ™™First, a sensitisation programme on the Act is required among the general public and the service providers. While IEC campaigns are supposed to take place, perhaps these can be instituted at the state level rather than at the district level. This campaign must also continue on a sustained basis to have any lasting impact. This course of action was also suggested by the Bihar state IMA and their support can be sought in reaching out to the members of the medical fraternity. ™™Simultaneously, it is necessary to institute regular training sessions for the AAs and the DAC members not just when they take up office but on a regular basis thereafter to ensure that they are not only well aware of the requirements of the law, but are also better equipped to undertake their duties. Currently, it is noted that many of the DAC members lack clarity regarding their role and this needs to be rectified in order to establish a robust implementation structure in the districts. The NGOs working in the domain of the PCPNDT Act should be involved in the process and their inputs and support should be sought in establishing the training processes. ~~It is critical to ensure that inspection and monitoring, especially in the urban centres which are known to have a greater concentration of ultrasound facilities, is increased. As was noted in the data, inspections are limited at present and there is no common structure across all districts that is implemented uniformly. The state authority therefore needs to mandate a structure and requirements for all inspection visits and this structure must be uniformly followed across all districts in the state. This structure should include time-based targets, uniform observation checklists, define the monitoring authority and protocol in reporting that follows the visits. ~~ If the state mandates structural and time-based requirements then it is also the state that must ensure that budgetary and other logistical support is provided to the district authorities for undertaking these visits and enforcing its decisions.

In conclusion, the declining child sex ratio calls for urgent action, one of which is an effective implementation of the PCPNDT Act. The study has pointed to various implementation and monitoring gaps in adhering to the provisions of the Act. Violations of the law in the form of unregistered ultrasound centres that are functioning with impunity signal the need for a swift administrative and policy response to tackle the situation. Annexures 59

Annexures

Annexure I

Directory of Registered Facilities

S. Originally City/Block Village Name Type of Facility Address Registered No Listed District : Araria 1 Forbesganj Forbesganj Subhdra Ultrasound Centre Private Nursing Hospital Road, Yes Registered Araria Araria Mahanand The Clinic Hosp Rd Fo Home / Hospital Forbesganj 2 Araria Araria Maurya Diagnostic Unit Diagnostic Center / Babu Market, Room Yes Registered Laboratory No-55, Araria 3 Araria Araria Sunil Rangeen Ultrasound Centre Diagnostic Center / Ms Karim Complex, Yes Registered Laboratory Hospital Road, Araria 4 Forbesganj Forbesganj Muskan Ultrasound Centre Private Nursing Hospital Road, Yes Registered Araria Araria Home / Hospital Forbesganj 5 Forbesganj Forbesganj Niranjan Ultrasound System Private Nursing Hospital Road, Yes Registered Araria Araria Home / Hospital Forbesganj 6 Forbesganj Forbesganj Thakur Ultrasound Centre Diagnostic Center / Forbesganj Yes Registered Araria Araria Laboratory 7 Araria Araria A.R.Ultrasound Centre Diagnostic Center / Babu Market, Room Yes Registered Laboratory No-40-44. Araria 8 Forbesganj Forbesganj New Ankur Diagnostic Centre Diagnostic Center / Refral Hospital Road, Yes Registered Araria Araria Laboratory Forbesganj 9 Araria Araria Chaudhary Ultrasound Centre Diagnostic Center / Raniganj, Araria Yes Registered Laboratory 10 Araria Araria Puskar Ayush Ultrasound Clinic Diagnostic Center / Islam Market, Yes Registered Laboratory Hospital Road, Araria 11 Araria Araria Raushan Diagnostic Centre Diagnostic Center / Islam Nagar, Araria Yes Registered Laboratory 12 Forbesganj Forbesganj Zeba Scan Centre Diagnostic Center / Refral Hospital Road Yes Registered Araria Araria Laboratory Forbesganj 13 Araria Araria Al-Shams Diagnostic Centre Diagnostic Center / Hospital Road Araria Yes Registered Laboratory 14 Forbesganj Forbesganj Maa Sumitra Rangeen Diagnostic Center / Parvati Complex, Araria Araria Ultrasound Laboratory Hospital Road, Yes Registered Forbesganj District : Arwal 1 Arwal Baidabad Arwal M\S, Sahay Hospital Private Nursing Baidabad, Arwal Yes Registered Home / Hospital 2 Arwal Arwal Jeevara Ultrasound Diagnostic Center / In Front of Police Yes Registered Laboratory Station, Arwal 3 Arwal Arwal Ige Medical System Government Saoar Hospital, Arwal Yes Registered Hospital 60 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed District : Aurangabad 1 Aurangabad Aurangabad Igems Government Sadar Hospital Yes Registered Hospital 2 Aurangabad New Area Modern Diagnostic Center Private Nursing Maharajganj Road, Yes Registered Home / Hospital Aurangabad 3 Aurangabad Maharaj Ganj Ranjan Ultrasound Diagnostic Center / Maharajganj Road, Yes Registered Laboratory Aurangabad 4 Aurangabad M. G Road M\S Jaya Ultrasound Diagnostic Center / M. G Road, Near H. D. I. C Yes Registered Laboratory Bank Aurangabad 5 Aurangabad Shahpur Gupta Ultrasound Private Nursing Shahpur, Aurangabad Yes Registered Home / Hospital 6 Aurangabad M. G Road Ayush Ultrasound Private Nursing S. D Hospital, M. G Road, Yes Registered Home / Hospital Aurangabad 7 Aurangabad Maharaj Ganj Devesh Ultrasound Private Nursing Maharaj Ganj Road, Opp Yes Registered Road Home / Hospital Hotel Amit, Aurangabad 8 Aurangabad Maharaj Ganj Aurangabad Ultrasound Private Nursing Maharajganj Road, Yes Registered Road Home / Hospital Aurangabad 9 Aurangabad M. G Road New Auhal Ultrasound Private Nursing Maharajganj Road New Yes Registered Area Home / Hospital Area Du Bad 10 Aurangabad New Area Brij Kishor Singh Ush Private Nursing New Area Aurangabad Yes Registered Home / Hospital 11 Aurangabad New Area Astha Nusing Home Dr. Private Nursing Ramesh Chowk, New Yes Registered Kumari Nisha Home / Hospital Area, Aurangabad 12 Navinagar Navinagar Refral Hospital Navinagar Government Sonpura, Navinagar Dist. Yes Registered Hospital Aurangabad. 13 Kutumba Amba Ashutosh Surya Clinic Private Nursing Adarsh Nagar, Navinagar Yes Registered Home / Hospital Road 14 Kutumba Amba Rahat Clinic Prakash Private Nursing Navinagar Road, Yes Registered Ultrasound Home / Hospital Auranagar 15 Kutumba Amba Mahila Hospital Private Nursing Navinnagar Road, Amba Yes Registered Home / Hospital 16 Kutumba Kutumba Igems Hospital Government Refral Hospital, Kutumba Yes Registered Hospital 17 Deo Deo Igems Government Primary Health Clinic Yes Registered Hospital 18 Deo Deo Suraj Ultrasound Diagnostic Center / Naya Bazar, Deo Yes Registered Laboratory 19 Kutumba Amba Kumar Ultrasound Diagnostic Center / Hariharganj Road, Amba, Yes Registered Laboratory Aurangbad 20 Daudnagar Vishal Ultrasound Diagnostic Center / Maulabagh, Daudnagar Yes Registered Laboratory 21 Daudnagar Daudnagar Sanjeevni Ultrasound Ultrasound Maulabagh, Duadnagar Yes Registered 22 Daudnagar Daudnagar Igems Silvasa Government Primary Health Clinic, Yes Registered Hospital Daudnagar Aurangabad 23 Goh Goh Igems Phc Government Phc, Goh, Aurangabad Yes Registered Hospital 24 Obra Obra Igems Silvasla Phc Government Phc, Obra Dist, Yes Registered Hospital Aurangabad 25 Haspura Haspura Igems Silvasa Phc Government Phc, Haspura Dist, Yes Registered Hospital Aurangabad 26 Rafiganj Igems Phc Government Phc Rafiganj Aurangabad Yes Registered Hospital 27 Rafiganj Rafiganj Shivam Ultrasound Diagnostic Center / Hospital Road, Rafiganj, Yes Registered Laboratory Aurangabad 28 Rafiganj Rafiganj Aman Ultrasound Private Nursing Kasam Road, Rafiganj Yes Registered Home / Hospital 29 Madan Pur Madanpur Igems Phc Government Madanpur, Aurangabad Yes Registered Hospital 30 Madan Pur Madanpur Gupta Ultrasound Ultrasound Hospital Road, Madanpur, Yes Registered Aurangabad Annexures 61

S. Originally City/Block Village Name Type of Facility Address Registered No Listed District : Banka 1 Banka Aliganj Sinha Ultrasound Ultrasound Aliganj Road, Banka Yes Registered 2 Banka Main Road Salini Ultrasound Ultrasound Thana More Main Road Yes Registered Banka Banka 3 Banka Jogatpur Sadar Hospital Ultrasound Jagat Pur Hospital Chowk, Yes Registered Banka 4 Banka Main Road Suman Ultrasound Ultrasound Main Road Banka Yes Registered

5 Katoriya Katoriya Bazar Madhu Seba Sadan Ultrasound Katariya Bazar, Banka Yes Registered

District : Begusarai 1 Begusarai Begusarai Shivam Ultrasound Private Nursing Pokharia Near S. B. I. Yes Registered Home / Hospital 2 Begusarai Begusarai Medi Scan Ultrasound Diagnostic Center / Kali Sthan Road, Yes Registered Centre Laboratory Begusarai 3 Begusarai Begusarai Advanced Ultrasound Diagnostic Center / Tedi Nath Mandir Chowk Yes Registered Csaryug Nursing Home Laboratory 4 Begusarai Begusarai B. P. Ray Memorial Hospital Private Nursing Pokharia Begusarai Yes Registered Home / Hospital 5 Begusarai Begusarai Anni Purna Ultrasound Diagnostic Center / Kachahari Road, Yes Registered Centre Laboratory Begusarai 6 Begusarai Begusarai Eco & Ultrasound Centre Diagnostic Center / Dakbanglaw Road Opp Yes Registered Laboratory Mahila College 7 Begusarai Begusarai Nilam X-Ray & Ultrasound Diagnostic Center / Dinkar Bhawan Market Yes Registered Centre Laboratory 8 Begusarai Begusarai Smt. Shashi Parbha Prasad Private Nursing Ashok Nagar Pokharia Yes Registered Clinic Home / Hospital 9 Begusarai Begusarai Shivam Nursing Home Private Nursing Power House Chowk Yes Registered Home / Hospital Begusarai 10 Begusarai Begusarai Nidan Ultrasound Diagnostic Center / Dr Sanjeev Kr C/ Laboratory Oparmanand Chaudhary I. Yes Registered M. A. Pati 11 Begusarai Begusarai Ma Metarnity Hospital Private Nursing Dr. Manjli Behind Yes Registered Home / Hospital Chaudhary Sadar Hospital 12 Begusarai Begusarai Eco Ultrasound Centre Diagnostic Center / Dr. Ajit Kr Sinha Yes Registered Laboratory 13 Begusarai Begusarai Srijan Chikitsa Ultrasound Private Nursing Dak Bangalaw Road Yes Registered Centre Home / Hospital Mahila Near College 14 Begusarai Begusarai Bishnupur Ultrasound Centre Private Nursing Bishanupur Nursing Home Home / Hospital (B. M. Hospital) Near Usha Yes Registered Ultrasound 15 Begusarai Begusarai Veena Nursing Home (Swari Private Nursing Pokharia Begusarai Yes Registered Ultrasound) Home / Hospital 16 Begusarai Begusarai Aryan Ultrasound Private Nursing Power House Chowk Yes Registered Home / Hospital 17 Begusarai Begusarai Urmila Ultrasound Centre Private Nursing Dak Bangalaw Road, Near Yes Registered Home / Hospital Kali Sthan 18 Begusarai Begusarai Narayan Ultrasound Centre Diagnostic Center / Dak Bangalaw Road, Near Yes Registered Laboratory Dr Rajkumar Singh 19 Begusarai Begusarai Heat Care Ultrasound Diagnostic Center / Kahchahari Road Mungeri Yes Registered Laboratory Ganj Begusarai 20 Begusarai Begusarai Allexia Ultrasound Centre Private Nursing C/O Allexia Health Care Yes Registered Home / Hospital Amarour Begusarai 21 Begusarai Begusarai Super Scan Centre Diagnostic Center / Kachahari Road Begusarai Yes Registered Laboratory 22 Begusarai Begusarai Chaudharu Ultrasound Diagnostic Center / Ashok Nagar Pokharia Yes Registered Centre Laboratory (Near NH-31) 23 Begusarai Begusarai Sadar Hospital Begusarai Diagnostic Center / Hospital Road Begusarai Yes Registered Laboratory 24 Begusarai Begusarai Heart Cure Eco Cardio Diagnostic Center / Dr. Ranja Kr Chaudhary Yes Registered Garaphy Centre Laboratory 62 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 25 Begusarai Begusarai Bhabanam Hospital Private Nursing Dewna, Tilrath Begusarai Yes Registered Home / Hospital 26 Begusarai Begusarai Anjali Ultrasound Centre Diagnostic Center / Dak Bangalow Road, Yes Registered Laboratory Begusarai 27 Begusarai Begusarai Dr. Ajay Jayaswal Ultrasound Diagnostic Center / Pokharia Yes Registered Laboratory 28 Begusarai Begusarai Meera Nursing Home Private Nursing Ashok Nagar, Pokharia Yes Registered Home / Hospital 29 Begusarai Begusarai Sri. Agraxen Matri Sadan Private Nursing I. O. C. Colony, Nh-31, Yes Registered Home / Hospital Begusarai 30 Begusarai Begusarai Dr. Ramashray Singh Clinic Private Nursing S. P. Office, Begusarai Yes Registered Home / Hospital 31 Begusarai Begusarai Upkar Ultrasound Centre Diagnostic Center / I. M. A. Path, Laboratory Sri Krishnapuri, Behind Yes Registered Sadar Hospital 32 Begusarai Begusarai Raj Nandan Clinic Private Nursing Shivpuri, Begusarai West Yes Registered Home / Hospital From Jail 33 Balia Balia Koshi Ultrasound Centre Diagnostic Center / Patel Chowk, Balia Yes Registered Laboratory 34 Balia Balia Hitech Ultrasound Centre Private Nursing Prashant Nagar, Balia Yes Registered Home / Hospital 35 Bakhri Bakhri Janta Ultrasound Centre Diagnostic Center / Bakhri Bazar, Bakhri Yes Registered Laboratory 36 Bakhri Bakhri Dr. Nandan Ultrasound Diagnostic Center / Main Road, Bakhri Yes Registered Centre Laboratory 37 Barauni D. I. G. Medical Comleey Private Nursing N. F. C. Complex, S. S. B. Yes Registered Hospital Home / Hospital Barauni, Urbarak Nagar 38 Barauni Barauni Dr. Nita Pd Clinic Barauni Private Nursing C/O Dr. Umesh Kr, Yes Registered Ultrasound Home / Hospital Rajendra Road, Barauni 39 Barauni Barauni Life Line Research Hospital Private Nursing Dr. Hemant Kumar, Dr. Life Line Ultrasound Home / Hospital Vinay Shankar Gupta, Yes Registered Barauni District : Bhagalpur 1 Bhagalpur Lajapat Park Anand Ultrasound & X-Ray Ultrasound Lajpat Park, Bhagalpur Yes Registered

2 Bhagalpur Radha Rani Scan Centre Ultrasound Radha Rani Singh Road, Yes Registered Singh Bhagalpur 3 Bhagalpur R. P Road Arsad Ahmad X-Ray Ultrasound R. P Road, Bhagalpur Yes Registered 4 Bhagalpur M. G Path Bhagalpur X-Ray & Ultrasound M. G Rath, Bhagalpur Yes Registered Ultrasound 5 Bhagalpur Khawman Chak Murarka Imagine Clinic Ultrasound Kharman Chal, Bhagalpur Yes Registered

6 Bhagalpur Masaschak K. K Nursing Home & Clinic Ultrasound Masaschal Bhagalpur Yes Registered 7 Bhagalpur Lajpat Park Shushil Clinic Ultrasound South Aljpat Park, Yes Registered Bhagalpur 8 Bhagalpur Masaschak Kumar Ultrasound Scan Ultrasound Masaschak, Bhagalpur Yes Registered Centre 9 Bhagalpur Patal Baba Road Ajanta Ultrasound Scan Ultrasound Patel Babu Road, Yes Registered Bhagalpur 10 Bhagalpur Sahay Road R. N Mediscan Centre Ultrasound R. B. B. S Sahay Road, Yes Registered Bhagalpur 11 Bhagalpur Maya Ganj J. C. N. M. C Hospital Private Nursing Mayaganj, Bhagalpur Yes Registered Home / Hospital 12 Bhagalpur Aliganj Lal Clinic Ultrasound Aliganj, Bhagalpur Yes Registered 13 Bhagalpur Tilak Manjhi Hiling Touch Ultrasound Ultrasound Tilakmanjhi, Bhagalpur Yes Registered Centre 14 Bhagalpur Aadam Pur Jeevandeep Hospital Private Nursing Aadampur, Bhagalpur Yes Registered Home / Hospital 15 Bhagalpur Aadam Pur Taparvi Hospital Private Nursing Aadampur, Bhagalpur Yes Registered Home / Hospital Annexures 63

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 16 Bhagalpur Tatarpur Rahman Clinic & Nursing Private Nursing Tatarpur, Bhagalpur Yes Registered Home Home / Hospital 17 Bhagalpur Tilakmanjhi Sai Care Ultrasound Private Nursing Collage Road, Tilakmanjhi, Yes Registered Home / Hospital Bhagalpur 18 Bhagalpur Tilak Manjhi The Apla Clinic Family Private Nursing Vinekanand Path, Yes Registered Health Centre Home / Hospital Bhagalpur 19 Bhagalpur Tilak Manjhi Inda Cardiography Centre Private Nursing Vivekanand Path, Yes Registered Pvt Home / Hospital Bhagalpur 20 Bhagalpur Tilak Manjhi Gayatri Clinic Maternity Private Nursing Lam Collage Road Tilak Yes Registered Centre Home / Hospital Manjhi Bhagalpur 21 Bhagalpur Sukharay Rai Kaberi Medical Centre Private Nursing Sukharaj Rai Road, Yes Registered Road Home / Hospital Bhagalpur 22 Bhagalpur Kathalbari Rajmani X-Ray & Ultrasound Ultrasound Kathalbari, Bhagalpur Yes Registered 23 Bhagalpur Nawab Colony Sahih Clinic Ultrasound Ultrasound Nawab Colony, Tilakmanjhi Yes Registered Tilakmanjhi 24 Bhagalpur Khalitabagh Life Line Dignostics Centre Private Nursing Khalitabagh Chowk, Yes Registered Conac Nursing Home Home / Hospital Bhagalpur 25 Bhagalpur Zeromile Sinha Store & Leprasopic Private Nursing Zeromile Bhagalpur Yes Registered Clinic Home / Hospital 26 Bhagalpur S. N Road K. K Nursing Home & Private Nursing S. N Road, Bhagalpur Yes Registered Research Centre Home / Hospital 27 Bhagalpur Saray Aastha Nursing Home Private Nursing Saray, Bhagalpur Yes Registered Home / Hospital 28 Bhagalpur Tilkamanrijhi Archa Hospital Private Nursing Tilakmanjhi, Jail Road, Yes Registered Home / Hospital Bhagalpur 29 Bhagalpur Sadaraddin Najbana Clinic Private Nursing Sadaraddin Chowk, Yes Registered Chowk Home / Hospital Bhagalpur 30 Bhagalpur Mundichak Sankar Ultrasound & Private Nursing Mundichak, Bhagalpur Yes Registered Dignostics Centre Home / Hospital 31 Bhagalpur Tilkamanjhi Aastha Scan Centre Ultrasound Hatiya Road, Tilakmanjhi Yes Registered 32 Bhagalpur M. G. Road P. V. T. & Rajay Samiti I. G. Private Nursing M. G. Road, Bahgalpur Yes Registered M. S Silbasa Sadar Hospital Home / Hospital 33 Bhagalpur M. G. Road Bhagalpur Scan Centre Ultrasound M. G. Road, Bhagalpur Yes Registered 34 Bhagalpur Khalisa Bagh Life Line City Scan Centre & Private Nursing Khalisabagh Chowk, Yes Registered Life Line Dignostics Centre Home / Hospital Bhagalpur 35 Bhagalpur Tilka Manjhi Happy Home Imagine Private Nursing Nawabbagh Colony, Yes Registered Centre Home / Hospital Tilakmanjhi 36 Nabgachiya Nabgachiya J. R Medical Ultrasound Private Nursing Nabgachiya, Bhagalpur Yes Registered Centre Home / Hospital 37 Nabgachiya Nabgachiya Private Nursing Nabagchiya, Bhagalpur Yes Registered Home / Hospital 38 Nabgachiya Nabgachiya Ray Ultrasound & X-Ray Private Nursing Nabagchiya, Bhagalpur Yes Registered Home / Hospital 39 Kahalgoun Kahalgoun N. T. P. C Hospital Private Nursing Kahalgoun Yes Registered Home / Hospital 40 Kahalgoun Sifar Gadh Tala Bikash Ultrasound Centre Private Nursing Sifargadh Tula, Kahalgoun Yes Registered Bipra & Medical System Home / Hospital 41 Kahalgoun Kahalgoun Sagun A Ultrasound Centre Ultrasound Kahalgoun Bhagalpur Yes Registered 42 Kahalgoun Sigargadh Tala Sanjibri Nursing Home Private Nursing Sigargadh Tulaka, Yes Registered Home / Hospital Malgoun 43 Nath Nagar Nath Nagar La Clinic Private Nursing Nath Nagar, Bhagalpur Yes Registered Home / Hospital 44 Nath Nagar Nath Nagar Jyoti Nursing Home Private Nursing Nath Nagar, Bhagalpur Yes Registered Home / Hospital 45 Sultan Ganj Sultan Ganj Bijay Janch Ghar Ultrasound Sultanganj, Bhagalpur Yes Registered 46 Sanhoula Sanhoula Sadev Clinic Private Nursing Murgiya Chak, Sanhoula, Yes Registered Home / Hospital Bhagalpur 47 Sabour Block Chow Rabindra Memorial Uma Private Nursing Block Chowk, Sabour Yes Registered Scanning Centre Home / Hospital Bhagalpur 64 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed District : Bhojpur 1 Arrah Arrah Nidan Skin Kendra Private Nursing Kg. Road, Arrah Yes Registered Home / Hospital 2 Arrah Arrah Raman Ultrasound Private Nursing Mahavirtala Arrah Yes Registered Home / Hospital 3 Pakari Arrah Pakri Arrah Malti Usound(Hospital) Private Nursing Pakari Block Yes Registered Home / Hospital 4 Arrah Arrah Ultrasound Clinic Diagnostic Center / Blow S. B. I Main Laboratory Branchprrah, Nawada Yes Registered Chowk 5 Arrah Arrah Nidan General Ultrasound Diagnostic Center / Jain Collage, Arrah Yes Registered Laboratory 6 Arrah Arrah Laxmi Diagnostic Diagnostic Center / South Ramna Road, Arrah Yes Registered Laboratory 7 Arrah Arrah Jai Maa Jagdama Private Nursing Mahavir Tala, Arrah Yes Registered Ultrasound Clinic Home / Hospital 8 Arrah Arrah Amba Ultrasound Private Nursing Mahavir Tola Yes Registered Home / Hospital 9 Arrah Arrah Jeevan Sarita Ultrasound Diagnostic Center / Mahavir Tola, Arrah Yes Registered Center Laboratory 10 Arrah Arrah Kumar Ultrasound Private Nursing Dhamar Kothi, Arrah, Yes Registered Home / Hospital Mahavir Tola 11 Arrah Arrah M/S, Krishna Ultrasound Diagnostic Center / Mahavir Tola, Arrah Yes Registered Clinic Laboratory 12 Arrah Arrah Advance Cardiac Centre Diagnostic Center / K. G Road, Arrah Yes Registered Laboratory 13 Arrah Arrah Raj Ultrasound Clinic Private Nursing Mahavir Rola, Arrah Yes Registered Home / Hospital 14 Arrah Arrah Maa Vindhayawasni Diagnostic Center / K. G. Road, Arrah Yes Registered Ultrasound Clinic Laboratory 15 Arrah Arrah Sant Hospital P. V. T Ltd Private Nursing Jawahar Tola, Arrah Yes Registered Home / Hospital 16 Arrah Arrah Janta X-Ray & Scan Center Diagnostic Center / Karmanrola, Arrah Yes Registered Laboratory 17 Arrah Arrah Ultra Centre Diagnostic Center / Club Road, Arrah Yes Registered Laboratory 18 Arrah Arrah Neeru Ultrasound Diagnostic Center / Karman Rola, Arrah Yes Registered Laboratory 19 Arrah Arrah Quality Ultrasound Private Nursing Highway Hospital, Bus Yes Registered Home / Hospital Stand Road, Arrah 20 Arrah Arrah Jay Bajrangbali Ultrasound Private Nursing Mahadeva Road, Arrah Yes Registered Home / Hospital 21 Arrah Arrah Soft Line Media Ltd Redional Private Nursing Sadar Hospital, Arrah Yes Registered Dignostic Centre Home / Hospital 22 Arrah Arrah Arti Dignostic Centre Diagnostic Center / Mahavir Tola, Arrah Yes Registered Laboratory 23 Sahpur Sahpur Maavindhyawasini Private Nursing In Front of Referal Yes Registered Ultrasound Clinic Home / Hospital Hospital, Shahpur 24 Sahpur Sahpur Umba Ultrasound Centre Diagnostic Center / Banahi Road Shahpur Yes Registered Laboratory 25 Arrah Arrah I. G. E. M. S Sadar Hospital Government Sadar Hospital Arrah Yes Registered Arrah Hospital 26 Arrah Arrah Sriram Ultrasound Diagnostic Center / Mahavir tola, Arrah Yes Registered Laboratory 27 Jagdishpur Jagdishpur Block Sanjivini Ultrasound Diagnostic Center / Jadispur Yes Registered Block Laboratory 28 Bihiya Block Bihiya Block I. G. E. M. S Primary Helth Government Bihiya Yes Registered Centre Hospital 29 Pakari Arrah Pakari Arrah Janta Ultrasound Diagnostic Center / Ramna Road Pakari, Arrah Yes Registered Laboratory Annexures 65

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 30 Arrah Arrah Leela Ultrasound Lelabal Private Nursing Leelabati Nursing Home Yes Registered Narsinghhome Hospital Home / Hospital Hospital, Arrah 31 Arrah Arrah A. G. S. Medical System Government Sadar Hospital, Arrah Yes Registered Hospital District : Buxar 1 Buxar Old Bus Stand Arvind Ultrasound Diagnostic Center / Old Bus Stand, Thana Thana Chowk, Laboratory Chowk Yes Registered Buxar 2 Dumrao Purana Bhojpur Mary Ward Center Private Nursing Purana Bhojpur, Dumraw Yes Registered Dumraw Home / Hospital Road 3 Buxar Buxar Appollo Ultrasound Diagnostic Center / Shivam Hotel, Main Road, Yes Registered Laboratory Buxar 4 Buxar Buxar Divyalok Chikisalaya Kendra Private Nursing Nehru Nagar Near Over Yes Registered Home / Hospital Bridge, Buxar 5 Buxar Buxar Buxar Ultrasound Diagnostic Center / Srinath Ghat, Thana Road Yes Registered Laboratory Near Thana 6 Dumraw Dumraw Savita Ultrasound Diagnostic Center / Dumraw Bazar, Phool Yes Registered Laboratory Chand, Kanuki Gali 7 Buxar Buxar Yashodha Ultrasound Diagnostic Center / By Pass Road, Kalisthan, Yes Registered Laboratory Buxar 8 Buxar Buxar Global Ultrasound Government Viswa Mitra Hospital Hospital Golaber, Buxar, Near- Yes Registered Ambesdar Hotel 9 Buxar Buxar S. K. Mishra Sadar Hospital Government Sadar Hospital, Near-Jel Yes Registered Hospital 10 Buxar Buxar Shreya Ultrasound Diagnostic Center / United Bank, Lali Laboratory Complex, Main Road, Yes Registered Buxar 11 Buxar Buxar R. P. Diagnostic Center Diagnostic Center / Purgna Hospital Road Yes Registered Laboratory Sidhnath Ghat, Buxar 12 Brahmpur Brahmpur Ramjay Bharati Ultrasound Diagnostic Center / Brahmpur, Chouratha Yes Registered Laboratory 13 Dumraw Dumraw Dumraw Diagnostic Center Diagnostic Center / New Thana Yes Registered Laboratory District : Darbhanga 1 Darbhanga Darbhanga Sharma Ultrasound Logical Ultrasound Bangali Tola, Lahariya Yes Registered Services Sarai 2 Darbhanga Darbhanga Doctor Ultrasound Ultrasound Bangali Tola, Lahariya Yes Registered Sarai 3 Darbhanga Darbhanga Ultrasound Graphic Services Ultrasound Bangali Tola, Lahariya Yes Registered Sarai 4 Darbhanga Darbhanga Chaudhay Scanning Centre Ultrasound Benta Chowk, Lahariya Yes Registered Sarai 5 Darbhanga Darbhanga Scanning Centre Ultrasound D. B. Market, Benta Road, Yes Registered Laharia Sarai 6 Darbhanga Darbhanga U. S. G & C. T. Scan R. Ultrasound Benta Chowk, Lahariya B. Memorial Hospital & Sarai Yes Registered Research Centre 7 Darbhanga Darbhanga U. C. M. Diagnostic Ultrasound Hospital Road, Benta, Yes Registered Lahariya Sarai 8 Darbhanga Darbhanga Sri Scanning Centre Anand Private Nursing Benta Road, Lahariya Yes Registered Aragya Niketan Home / Hospital Sarai 9 Darbhanga Darbhanga Soni Ultrasound Centre Ultrasound Benta Chowk, Lahariya Yes Registered Sarai 10 Darbhanga Darbhanga Khushi Ultrasound Ultrasound Benta Chowk, Lahariya Yes Registered Sarai 11 Darbhanga Darbhanga Bihar Scanning Centre Ultrasound Benta Chowk, Hospital Yes Registered Road 12 Darbhanga Darbhanga Ultrasound Al-Helal Nursing Private Nursing Benta Chowk Yes Registered Home Home / Hospital 66 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 13 Darbhanga Darbhanga Anand Scanning Centre Ultrasound Benta Chowk Hospital Yes Registered Road 14 Darbhanga Darbhanga Patliputra Scanning Ultrasound Hospital Road Benta Yes Registered 15 Darbhanga Darbhanga Subash Ultrasound Ultrasound Benta Chowk, Lahariya Yes Registered Sarai 16 Darbhanga Darbhanga Hari Om Ultrasound Ultrasound Benta Chowk Yes Registered 17 Darbhanga Darbhanga Jai Maa Kali Ultrasound Ultrasound Benta Chowk Yes Registered 18 Darbhanga Darbhanga Pooja Ultrasound Prem Ultrasound Alalpati Chowk Medical Research & Yes Registered Rehabilitation Centre 19 Darbhanga Darbhanga Sri Durga Scanning Centre Ultrasound Chaudhay Complex, Yes Registered Alalapati Chowk 20 Darbhanga Darbhanga Kumar Scanning Centre Private Nursing Alalpati Chowk Yes Registered Home / Hospital 21 Darbhanga Darbhanga Ultrasound Clinic Matra Private Nursing Matrtia Drisit, Alalapati Yes Registered Drishit Home / Hospital 22 Darbhanga Darbhanga Ankita Ultrasound Ultrasound Alalpati Road Yes Registered 23 Darbhanga Darbhanga Ultrasound Mahamaya Ultrasound Alalpati Road Yes Registered Nursing Centre 24 Darbhanga Darbhanga Nandani Scanning Centre Ultrasound Alalpati Road Yes Registered 25 Darbhanga Darbhanga Pratik Ultrasound Ultrasound Ashianarest House Alalpati Yes Registered Chowk 26 Darbhanga Darbhanga Shyama Ultrasound Ultrasound Alalpati Chowk Yes Registered 27 Darbhanga Darbhanga Darbhanga Ultrasound Ultrasound Beta Chowk Yes Registered 28 Darbhanga Darbhanga Ultrasound Clinic Diagnostic Ultrasound Hospital Road, Lahariya Yes Registered Centre Sarai 29 Darbhanga Darbhanga Sanjeewani Ultrasound Ultrasound Hospital Road, Lahariya Yes Registered Centre Sarai 30 Darbhanga Darbhanga Jai Shyam Mai Scanning Ultrasound Hospital Road, Lahariya Yes Registered Centre Sarai 31 Darbhanga Darbhanga Dev Scanning Centre Ultrasound Hospital Road, Lahariya Yes Registered Sarai 32 Darbhanga Darbhanga Durga Scanning Centre Ultrasound Hospital Road, Lahariya Yes Registered Sarai 33 Darbhanga Darbhanga I. B. Scanning Centre Ultrasound Hospital Road, Lahariya Yes Registered Sarai 34 Darbhanga Darbhanga Dwibedi Ultrasound Ultrasound Hospital Road, Lahariya Yes Registered Sarai 35 Darbhanga Darbhanga Raj Scanning Centre Ultrasound Hospital Road, Lahariya Yes Registered Sarai 36 Darbhanga Darbhanga Darbhjanga Diagnostic Ultrasound Road No-8, G. M Road, Yes Registered Centre Darbhanga 37 Darbhanga Darbhanga Sri Mahavir Scanning Centre Ultrasound Road No-3 G. M Road, Yes Registered Darbhangha 38 Darbhanga Darbhanga Ultrasound Clinic Private Nursing I. B. Smirti Donar Chowk, Yes Registered Home / Hospital Arogya Sadan, Darbhanga 39 Darbhanga Darbhanga Vaishali Diagnostic Centre Ultrasound M. R. M. Road, Darbhanga Yes Registered 40 Darbhanga Darbhanga Shivam Ultrasound Ultrasound Mirzapur Chowk, Yes Registered Darbhanga 41 Darbhanga Darbhanga Jaya Diagnostic Ultrasound Ultrasound In front Dr. V. K. Viswash Yes Registered Clinic Clinic, Raj Kumar Ganj 42 Darbhanga Darbhanga Durani Ultrasound Ultrasound Maharaj Ganj Hospital Yes Registered Road, Lahariya Sarai 43 Darbhanga Darbhanga Agrachal Diagnostic Ultrasound Lal Bagh, Darbhanga Yes Registered Ultrasound Centre 44 Darbhanga Darbhanga Life Line Ultrasound Centre Ultrasound Near Family Nursing Yes Registered Home, Kadirabad 45 Darbhanga Darbhanga Life Care Scanning Centre Ultrasound Hospital Road, Lahariya Yes Registered Sarai Annexures 67

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 46 Kusheshwar Kusheshwar Maa Laxmi Ultrasound Ultrasound Kusheswar Asthan Yes Registered Asthan Asthan 47 Kusheshwar Kusheshwar Om Ultrasound Ultrasound Kusheshwar Asthan Yes Registered Asthan Asthan District : E. Champaran (Motihari) 1 Pakri Dayal Pakri Dayal Dhanraj Ultrasound Diagnostic Center / Pakri Dayal, Madhuban Yes Registered Laboratory Road, Pakri Dayal 2 Kotwa Kotwa Murari Ambika Us Centre Diagnostic Center / Near Y. S Memorial Yes Registered Laboratory School, NH-28 Kotwa 3 Chakia Chakia Saran Ultrasound Diagnostic Center / Near Hospital Road, Yes Registered Laboratory Chakia 4 Chakia Chakia Oshu Hilig Spesh Private Nursing Madhuban Road, Bara Yes Registered Home / Hospital Chakia 5 Areraj Areraj Sriram Ultrasound Diagnostic Center / Main Road Areraj Yes Registered Laboratory 6 Raxaul Raxaul K. K Relance Ultrasound Diagnostic Center / Main Road Raxaul, Near Yes Registered Laboratory Hanuman Mandir 7 Raxaul Raxaul Advance Ultrasound Scan Diagnostic Center / Main Road Raxaul, Near Yes Registered Centre Laboratory Hanuman Mandir 8 Raxaul Raxaul Kavita Ultrasound Diagnostic Center / Korihar Chowk, Raxaul, Yes Registered Laboratory Near-Hanuman Mandir 9 Dhaka Dhaka Jagdamba Ultrasound Scan Private Nursing Azad Chowk, Pakridayal Yes Registered Home / Hospital Road, Dhaka 10 Dhaka Dhaka Unique Ultrasound Graphy Diagnostic Center / Jama Mashid ke Pass Centre Laboratory Ghara Sahan Road, Yes Registered Dhaka 11 Dhaka Dhaka Dr. Sagir Ahmad Private Nursing Pacha Pakari Road Dhaka Yes Registered Home / Hospital 12 Dhaka Dhaka Janta Scan Centre Diagnostic Center / Ghorasahan Road Dhaka Yes Registered Laboratory 13 Sugauli Sugauli Priyadarshi Ultrasound Private Nursing Opp Side P. H. C Sugauli Yes Registered Centre Home / Hospital Main Road 14 Sugauli Sugauli Ananya Ultrasound Private Nursing Sugauli Main Road Yes Registered Home / Hospital 15 Ramgarhwa Ramgarhwa P. S Health Care Diagnostic Center / Main Road Ramgarhwa Yes Registered Laboratory Near 16 Motihari Motihari Sripati Krishna Nero Cardial Diagnostic Center / Near Red Cross Society, Yes Registered Centre Laboratory Motihari 17 Motihari Motihari Apna Clinic & Ultrasound Diagnostic Center / Sadar Hospital Road, Yes Registered Laboratory Motihari 18 Motihari Motihari Sinha Ultrasound Private Nursing Hospital Road, Motihari Yes Registered Home / Hospital 19 Motihari Motihari Major Ultrasound Clinic Diagnostic Center / Diagnostic Centre Yes Registered Laboratory 20 Motihari Motihari Surgi Care Private Nursing Hospital Road, Motihari Yes Registered Home / Hospital 21 Motihari Motihari Ayush Ultrasound Clinic Diagnostic Center / Agarwa, Hospital Road, Yes Registered Laboratory Motihari 22 Motihari Motihari Gautam Diagnostic Centre Private Nursing Gopalpur, Raja Bazar, No Registered Home / Hospital Motihari 23 Motihari Motihari Radio Diagnostic Centre Private Nursing Saran Nursing Home, Yes Registered Home / Hospital Near Town Hall, Motihari 24 Motihari Motihari Madhuri Nursing Home Private Nursing Janpul Banzaria, Pandal Yes Registered Home / Hospital Road, Motihari 25 Motihari Motihari Dirghayu Diagnostic Centre Government Sadar Hospital, Motihari Yes Registered Hospital 26 Motihari Motihari Indra Diagnostic Centre Diagnostic Center / Khoda Nagar, Sriram Laboratory Nagar, In front of S. B. I. Yes Registered Bazar Branch, Motihari 27 Motihari Motihari Radio Diagnostic Point Diagnostic Center / Meena Bazar, Near Pani Yes Registered Laboratory Tanki, Motihari 68 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 28 Motihari Motihari Hi-Tecscn Scan Centre Diagnostic Center / Jaan Pul, Motihari Yes Registered Laboratory 29 Motihari Motihari Bhawani Nursing Home Private Nursing Agarwa, Motihari Yes Registered Home / Hospital 30 Motihari Motihari Satya Diagnostic & Private Nursing Hospital Road, 3rd Yes Registered Ultrasound Centre Home / Hospital Eastern Lane, Motihari 31 Motihari Motihari Ashta Nursing Home Private Nursing Gopalpur Raja Bazar, Yes Registered Home / Hospital Motihari 32 Motihari Motihari Radiology Institute Diagnostic Center / Near Cold Storage Yes Registered Laboratory Bhawanipur Zirat Motihari 33 Motihari Motihari Rahmaniya Medical Centre Private Nursing Bariyarpur, Motihari Yes Registered Home / Hospital 34 Motihari Motihari B. P. Ultrasound Centre Diagnostic Center / Old Income Tax Office Yes Registered Laboratory 35 Motihari Motihari Prasad Diagnostic Imaging Diagnostic Center / Main Road Motihari, Near Yes Registered Centre Laboratory Pani Tanki 36 Motihari Motihari Maharaja Nursing Home Private Nursing Raghunathpur, Mothihari Yes Registered Home / Hospital 37 Motihari Motihari Amar Dabates Care Centre Private Nursing Gaytri Nagar, Motihari Yes Registered Home / Hospital District : Gaya 1 Fatepur Fathepur Saurab Ultrasound Diagnostic Center / Fatepur, Gaya Yes Registered Laboratory 2 Manpur Manpur Narayan Ultrasound Diagnostic Center / Rajmani Market, Manpur Yes Registered Laboratory 3 Belaganj Belaganj Nice Ultrasound Government New Market Belaganj, Yes Registered Hospital Gaya 4 Khizarsarai Khizarsarai Maa Bhawani Ultrasound Diagnostic Center / Khizarsarai, Gaya Yes Registered Laboratory 5 Tekari Mahavir Ultrasound Ultrasound Rikaw Ganj Tekari, Gaya Yes Registered 6 Sherghati Mishra Ultrasound Private Nursing Nai Bazar, Sherghati, Yes Registered Home / Hospital Gaya Sherghati Sherghati Subdivisional Ultrasound Government Sherghati, Gaya 7 Yes Registered Hospital 8 Gaya G. B Road Bigan Ultrasound Government G. B. Road, Gaya Yes Registered Hospital 9 Sherghati Sherghati Twinkle Ultrasound Government Sherghati, Gaya Yes Registered Hospital 10 Wazirganj Wazirganj Narayan Ultrasound Ultrasound Singh Chankayapuri Colony P\S, Rampur, Yes Registered Gaya 11 Bodhgaya Bodhgaya Budha Ultrasound Ultrasound Vill-Panchaati, Near Magaogh, Gramin Bank, Yes Registered Bodhgaya, Gaya 12 Manpur Manpur Vindhawashni Ultrasound Government Main Road Manpur, Opp. Yes Registered Hospital Vishal Petrol Pump 13 Gaya Rang Bahadur Gautam Budha Ultrasound Ultrasound Rang Bahadur Road, Yes Registered Road Gaya 14 Gaya G. B Road Riya Ultrasound Private Nursing G. B Road, Gaya Yes Registered Home / Hospital 15 Gaya R. B Road Richa Ultrasound Ultrasound Rang Bahadur Road, Ward No-13, Yes Registered Home No-351 16 Gaya Murarpur Balaji Ultrasound Ultrasound Kharati Ahmad Road, Yes Registered Murarpur Gaya 17 Gaya R. B Road Pooja Ultrasound Ultrasound Rang Bahadur Road Gaya Yes Registered 18 Gaya Murar Pur Rekha Ultrasound Private Nursing Mir Abushaleh Road Yes Registered Home / Hospital Murarapur Gaya 19 Gaya G. M Road Magadh X-Ray Ultrasound Private Nursing G. B Road Gaya Yes Registered Home / Hospital 20 Gaya G. M Road Satyam X-Ray And Diagnostic Center / Gawal Bigha Road (G. B) Yes Registered Ultrasound Laboratory Gaya Annexures 69

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 21 Gaya Gewal Bigha Shri Mangal Deep Diagnose Ultrasound Gewal Bigha, Near S. P Yes Registered & Research Insitute Khoti, Gaya 22 Gaya Gewal Bigha Alzahir Navjeevan Nursing Private Nursing South Church Road Gewal Yes Registered Home Ultrasound Home / Hospital Bigha 23 Gaya Gaya A. P Asha Singh Nursing Home Private Nursing A. P Colony Gaya Yes Registered Colony Home / Hospital 24 Gaya Gaya Rita Ultrasound Private Nursing Radha Krishna Hospital, Home / Hospital Near Dayal Petrol Pump, Yes Registered Gaiwal Bigha 25 Gaya Gaya Ratnesh Kumar Verma Private Nursing Verma Nursing Home, Jail Yes Registered Ultrasound Home / Hospital Road, Gaya 26 Gaya Gaya Maa Ultrasound Private Nursing Ray Sital Prasad Road, Yes Registered Home / Hospital Gaya 27 Gaya Gaya Dr Shakuntla Nag Maa Private Nursing Poliece Line Near Phar Yes Registered Vashnu Devi Home / Hospital 28 Gaya Gaya Victor Ultrasound Private Nursing Shri Krishna Road Gaya Yes Registered Home / Hospital 29 Gaya Gaya Sudha Ultrasound Private Nursing West Ram Sagar Tause Yes Registered Home / Hospital Gaya 30 Gaya Gaya Magadh Medical College Private Nursing Sikariya More, Magadh Yes Registered Hospital & Ultrasound Home / Hospital Mch District : Gopalganj 1 Gopalganj Gopalganj Arya Ultrasound Private Nursing C\O smt Kaushalya Singh Yes Registered Home / Hospital Thawe Road, Gopalganj 2 Gopalganj Gopalganj Shyvam Ultrasound Diagnostic Center / C\O Smt Irawati Devi Laboratory Thawe Road, Gopalganj, Yes Registered Near Bus Statnd 3 Gopalganj Gopalganj Mahavir Ultrasound Diagnostic Center / Prem Kumar Kediya Laboratory Hospital Chowk, Yes Registered Gopalganj 4 Gopalganj Gopalganj Om Ultrasound Diagnostic Center / Manoj Kumar Ghose Yes Registered Laboratory More, Gopalganj 5 Gopalganj Gopalganj Janta Ultrasound Private Nursing Neyaz Ahamad Jangaliya Yes Registered Home / Hospital Hore, Gopalganj 6 Gopalganj Gopalganj Sri Bishnu Ultrasound Diagnostic Center / Rajesh Ranjan Ghose Yes Registered Laboratory More, Gopalganj 7 Gopalganj Gopalganj Muskan Ultrasound Private Nursing Madhu Srivastaw Art Yes Registered Home / Hospital College Road, Gopalganj 8 Gopalganj Gopalganj Sriram Ultrasound Diagnostic Center / Mirtunjay Singh Jangaliya Yes Registered Laboratory Road, Gopalganj 9 Gopalganj Gopalganj Saikripa Ultrasound Diagnostic Center / Umesh Prasad Gupta, Laboratory Thawe Road Gopalganj, Yes Registered Near Bus Stand 10 Gopalganj Gopalganj City Line Ultrasound Diagnostic Center / Sandeep Kumar Singh, Yes Registered Laboratory Dargh Road, Gopalganj 11 Gopalganj Gopalganj Bharat Ultrasound Diagnostic Center / Murtza Ali, Thawe Road, Yes Registered Laboratory Gopalganj 12 Gopalganj Gopalganj Shivam Ultrasound Diagnostic Center / Amit Kumar Singh, Yes Registered Laboratory Yadavpur Road, Gopalganj 13 Gopalganj Gopalganj Upadhiksha Ksadr Government Upadhikshak Sadar Yes Registered Ultrasound Hospital Hospital Hospital, Gopalgang 14 Gopalganj Gopalganj Narayani Ultrasound Private Nursing Dr Sanjay Kumar Singh Yes Registered Home / Hospital College Road, Gopalganj 15 Uchka Gaon Mirganj Priya Ultrasound Diagnostic Center / Sima Kumari, Kachhari Yes Registered Laboratory Road Mirganj, Gopalganj 16 Uchka Gaon Mirganj Raj Ultrasound Diagnostic Center / Rohit Kumar, Kachhari Yes Registered Laboratory Road Mirganj, Gopalganj 17 Uchka Gaon Mirganj Najma Ultrasound Center Private Nursing Dr. Gauhar Alam Alamnur Home / Hospital Singh Home Dakshinmu Yes Registered Halla Thathua More Gopalganj 18 Uchka Gaon Mirganj S. P Ultrasound Center Diagnostic Center / Sunita Gupta, Thana Road Yes Registered Laboratory Mirganj, Gopalganj 70 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 19 Uchka Gaon Mirganj Renu Ultrasound Diagnostic Center / Subh Narayan Singh Main Yes Registered Laboratory Road Mirganj, Gopalganj 20 Hathua Hathua Igems Ultrasound Government Alimuddin Ahmad Hospital Subdivission Hospital, Yes Registered Hathua, Gopalganj 21 Bijaipur Bijaipur Akash Ultrasound Diagnostic Center / Main Road Bijaypur, Yes Registered Laboratory Madar Ghat, Gopalganj 22 Baikuntpur Baikuntpur Igems Ultrasound Government Aniket Kumar Path Hospital Nisawasth Kendre, Yes Registered Baikuntpur 23 Baikuntpur Baikuntpur Nidan Ultrasound Diagnostic Center / Amit Kumar, Block Road, Yes Registered Laboratory Didhwa Dubuli, Baikuntpur 24 Bhorey Bhorey Om Shivam Ultrasound Diagnostic Center / Ramesh , Main Yes Registered Laboratory Road Bhorey, Gopalganj 25 Bhorey Bhorey Bharat Ultrasound Diagnostic Center / Irshad Ahmad Main Road, Yes Registered Laboratory Bhorey, Gopalganj 26 Kuchaikote Kuchaikote Palak Ultrasound Diagnostic Center / Surendra Kr Choobe Kar Laboratory Main Road Kuchai Koate Yes Registered Gopalganj 27 Kuchaikote Kuchaikote Bharat Diagnostic Center Diagnostic Center / Ashio Ali Karmani Road Yes Registered Laboratory Kuchaikote Gopalganj 28 Kuchaikote Kuchaikote Bharat Ultrasound Diagnostic Center / Nh-28, Sasa Musa Kuchai Yes Registered Laboratory Kote, Gopalganj 29 Phulwariya Bathua Bazar Sahv Ultrasound Diagnostic Center / Minkshi, Bathva Bazar, Yes Registered Laboratory Phulwariya Gopalganj District : Jamui 1 Jamui Hospital Road Maa Kali Ultrasound Private Nursing Hospital Road, Jamui Yes Registered Home / Hospital 2 Jamui Krishna Patti Godabari Nursing Home & Private Nursing Krishna Patti, Jamui Yes Registered Ultrasound Home / Hospital 3 Jamui Masauri Road Mega Ultrasound Image Ultrasound Masouri Road, Jamui Yes Registered 4 Jamui Mircha Market Patna Ultrasound Ultrasound Mircha Market, Masouri Yes Registered Jamui 5 Jamui Masauri Chauhan Ultrasound Private Nursing By Pass Road, Masouri, Yes Registered Home / Hospital Jamui 6 Jamui Panch Mandir Rajdhani Ultrasound Ultrasound Panch Mandir Road, Yes Registered Road Masouri, Jamui 7 Jamui Panch Mandir Sivalyam Ultrasound Private Nursing Panch Mandir Road, Yes Registered Road Home / Hospital Masouri, Jamui 8 Jamui Eklavya Chowk Kisan Ultrasound Ultrasound Eklavya Chowk, Khaira Yes Registered Road, Jamui 9 Jamui Stastion Road Jagdamba Ultrasound Ultrasound Station Road, Jamui Yes Registered 10 Jamui Stastion Road High-Tec Ultrasound Ultrasound Station Road, Jamui Yes Registered 11 Jamui Sadar Hospital I. G. E. Medical System Private Nursing Hospital Sadar, Jamui Yes Registered Home / Hospital 12 Jamui Sikandra Road Devpuspa Ultrasound Ultrasound Sikandra Road, Jamui Yes Registered 13 Jamui Khaira More Gourabh Ultrasound Ultrasound Khaira More, Jamui Yes Registered 14 Khaira Davilgadh Rudra Diagnostic Ultrasound Ultrasound Davilgadh, Khaira, Jamui Yes Registered 15 Aliganj Aliganj Dev Ultrasound Ultrasound Aliganj, Jamui Yes Registered 16 Jhajha Jhajha Scan Centre Ultrasound Jhajha, Jamui Yes Registered 17 Jhajha Pipradih Chikitsa Scan Centre Ultrasound Pipradih, Jhajha, Jamui Yes Registered District : Jehanabad 1 Jehanabad Jehanabad Ige Medical System Government Sadar Hospital, Yes Registered Hospital Jehanabad 2 Jehanabad Jehanabad Ms Shanti Ultrasound Private Nursing Horilganj, Jehanabad Yes Registered Home / Hospital 3 Jehanabad Jehanabad Patliputra Ultrasound Diagnostic Center / Kedar Market, Jehanabad Yes Registered Laboratory 4 Jehanabad Jehanabad Hari Om Ultrasound Diagnostic Center / Panchwati Bhawan, Sadar Yes Registered Laboratory Hospital Road, Jehanabad Annexures 71

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 5 Jehanabad Jehanabad Sahay Ultrasound Private Nursing Bazar Samiti Road, Yes Registered Home / Hospital Jehanabad 6 Jehanabad Jehanabad Patna Ultrasound Diagnostic Center / Natraj Market, Hospital Yes Registered Laboratory Road District : Kaimur 1 Chand Block Chand Chand Phc Government Chand Block Yes Registered Hospital 2 Mohaniya Block Mohaniya Mansi U.S Private Nursing Mohaniya Station Road Yes Registered Home / Hospital 3 Durgawati Durgawati Durgawati Phc Government Durgawati Block Yes Registered Block Hospital 4 Chanpur Chainpur Chainpur Phc Government Chanpur Block Yes Registered Hospital 5 Bhabua Bhabua Aditaypur Diagnostic Centre Diagnostic Center / Bhabua, Kachahari Road Yes Registered Laboratory 6 Mohaniya Mohaniya Aaditay Kiran US Government Mohaniya, Near Thana Yes Registered Hospital 7 Mohaniya Mohaniya Mohaniya Phc Government Mohaniya Yes Registered Hospital 8 Mohaniya Mohaniya Hitech M Centre Diagnostic Private Nursing Mohaniya, Railway Mal Yes Registered Centre Home / Hospital Godam 9 Bhabua Bhabua Sadar Hospital US Government Bhabua Yes Registered Hospital 10 Ramgarh Ramgarh Kamakhya Diagnostic Diagnostic Center / Ramgarh, Near Old Post Yes Registered Centre Laboratory Office, Bus Stand 11 Mohaniya Mohaniya Dr. Parasnath Hospital Private Nursing Railway Station Mohaniya, Yes Registered Home / Hospital Near Pani Tanki 12 Bhabua Bhabua Vishal Diagnostic Centre Diagnostic Center / Bhabua Kachahari, Ekta Yes Registered U. S Laboratory Chowk Road 13 Mohaniya Mohaniya US Imaging Centre Diagnostic Center / Saturganj Mohaniya Yes Registered Laboratory 14 Kudra Kudra Kudra Phc Government Kudra Block Yes Registered Hospital 15 Kudra Kudra Ramdhari Singh Memorial Private Nursing Kudra Block Kudra More Yes Registered Chairitabal Trast Home / Hospital 16 Mohaniya Mohaniya Jagrti U. S Diagnostic Center / Mohaniya Yes Registered Laboratory 17 Kudra Kudra Pooja U. S Centre Private Nursing Kudra Block Yes Registered Home / Hospital 18 Mohaniya Mohaniya Dr. Keshavwani Dk/Cs Railway Mal Godam, Yes Registered U. S Imagine Centre Mohaniya 19 Mohaniya Mohaniya Dr. Bhurbounth Singh Diagnostic Center / Mohaniya Station Road Yes Registered Meo. & Diagnostic Centre Laboratory 20 Bhabua Bhabua Ranjan Us Private Nursing Bhabua Yes Registered Home / Hospital 21 Bhabua Bhabua Us Clinic Diagnostic Center / Kachahri Road, Bhabua Yes Registered Laboratory 22 Mohaniya Mohaniya Aditya Us Diagnostic Center / G. T Road Mohaniya, Opp No Registered Laboratory P. H. C Hospital District : Katihar 1 Katihar R. K. Mission Anand Ultrasound Ultrasound R. K. Mission Road, Yes Registered Road Katihar 2 Katihar Binodpur Ajay Ultrasound Ultrasound Binodpur, Katihar Yes Registered 3 Katihar Kalibari Road Micro Lab Ultrasound Kalibari Road, Katihar Yes Registered 4 Katihar Kalibari Road Life Line scan Center Ultrasound Binodpur, Katihar Yes Registered 5 Katihar Pani Tanki Saroj Agarwal Ultrasound Pani Tanki, Katihar Yes Registered 6 Katihar Binodpur Rajesh Kumar X-Ray & Ultrasound Binodpur, Katihar Yes Registered Ultrasound Clinic 7 Katihar Rampara Chowk Nirogleprosopil Clinic Private Nursing Rapara Chowk, Katihar Yes Registered Home / Hospital 72 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 8 Katihar Power House Sonographic Centre Deep Private Nursing Power House Road Yes Registered Road Nursing Home Home / Hospital Katihar 9 Katihar Binodpur Advance Dignostics & Ultrasound Binodpur Power House Yes Registered Imagine Centre Road Katihar 10 Katihar Binodpur Salma Ultrasound Ultrasound Binodpur, Katihar Yes Registered 11 Katihar Binodpur Sonocare Ultrasound Ultrasound Binodpur, Katihar Yes Registered 12 Katihar G. R. R. Chowk Ultrasound Division Relway Private Nursing G. R. P. Chowk Katihar Yes Registered Home / Hospital 13 Katihar Jamuna Flower Ultrasound Seva Sadan Private Nursing Jamuna Flower Mill Road, Yes Registered Road Home / Hospital Katihar 14 Katihar M. G. Road Ultrasound Private Clinic Ultrasound M. G. Road, Durga Yes Registered Chowk, Katihar 15 Katihar Binodpur Astha Ultrasound And Ultrasound Binodpur, Katihar Yes Registered Diagnostic 16 Katihar Hospital Road Digital Ultrasound imagine Private Nursing Sadar Hospital, Katihar Yes Registered System Home / Hospital 17 Katihar New Market Ashakamal Imagine Centre Ultrasound New Market, R. P Road, Yes Registered Katihar 18 Katihar Durgapur Sanjivini Ultrasound & Ultrasound Durgapur, Katihar Yes Registered Dignostics Centre 19 Katihar Binodpur Indu Ultrasound Ultrasound Binodpur, Katihar Yes Registered 20 Katihar R K Mission Manish Nursing Home Private Nursing R K Mission Road, Katihar Yes Registered Road Home / Hospital 21 Katihar Karim Bagh Kathar Medical Callage Private Nursing Kabimbagh, Katihar Yes Registered Home / Hospital 22 Katihar Binodpur Arsh Ultrasound Clinic Private Nursing Binodpur, Katihar Yes Registered Home / Hospital 23 Ajam Nagar Salmari Dr Mahbobaalm Private Private Nursing Salmari Bazar, Katihar Yes Registered Clinic Home / Hospital 24 Ajam Nagar Salmari Dr Sima Prasad W\O Dr Private Nursing Salmari Bazar, Katihar Yes Registered Manoj Kumar Private Clinic Home / Hospital 25 Barari Sakraili Fandastion Liveetor All Private Nursing Sakraili Bazar, Katihar Yes Registered Advance Diagnostic Home / Hospital 26 Barari Barari Maa Laxmi Ultrasound Ultrasound Barari Block Near Katihar Yes Registered 27 Pranpur Labha Abhay Ultrasound Private Nursing Labha Yes Registered Mahadevpur Home / Hospital 28 Barsol Barsol Digital Ultrasound Private Nursing Barsoi Bazar, Katihar Yes Registered Home / Hospital District : Khagaria 1 Khagaria Khagaria Image Ultrasound Diagnostic Center / Hospital Road, Khagaria Yes Registered Laboratory 2 Khagaria Khagaria Unique Ultrasound Diagnostic Center / Hospital Road, Khagaria Yes Registered Laboratory 3 Khagaria Khagaria Sanjiwani Ultrasound Diagnostic Center / Kachahari Road, Kagaria Yes Registered Laboratory 4 Khagaria Khagaria Prabit Nararan Hospital Private Nursing Nh-31 Parmanandpur, Yes Registered Home / Hospital Khagaria 5 Khagaria Khagaria Sadar Hospital Government Hospital Road, Khagaria Yes Registered Hospital 6 Khagaria Khagaria Amar Ultrasound Diagnostic Center / Gogri Jamalpur, Near Post Yes Registered Laboratory Office District : Kishanganj 1 Kishanganj Kishanganj Mata Gujri Memorial, Private Nursing Punab Palli, Kishanganj Yes Registered Medical College Home / Hospital 2 Kishanganj Kishanganj Sinha Clinic Private Nursing Hospital Road, Kishanganj Yes Registered Home / Hospital 3 Kishanganj Kishanganj Dr. Shushil Kaur Agarwal Government Balmandir Road Yes Registered Hospital 4 Kishanganj Kishanganj Sanjivani Nursing Home Government Subash Pally, Kishanganj Yes Registered Hospital 5 Kishanganj Kishanganj Dr. M. A. Alam Government College Road, Kishanganj Yes Registered Hospital Annexures 73

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 6 Kishanganj Kishanganj 50 No Scan Diagnostic Diagnostic Center / Dharamshala Road, Yes Registered Center Laboratory Kishanganj 7 Kishanganj Kishanganj Jeevan Rekha Diagnostic Government Caltex Chowk, Kishanganj Yes Registered Centre Hospital 8 Kishanganj Kishanganj Bharat Scan Centre Diagnostic Center / Mahabir Marg, Kishanganj Yes Registered Laboratory 9 Kishanganj Kishanganj Dr. Azad,sorography Clinic Diagnostic Center / Chusipatty Road, Yes Registered Laboratory Kishanganj 10 Kishanganj Kishanganj Alam Diagnostic Home Diagnostic Center / Main Road, Bahadur Ganj Yes Registered Laboratory 11 Kishanganj Kishanganj Suraksha Diagnostic Centre Diagnostic Center / Dharamsala Road, Yes Registered Laboratory Kishanganj 12 Kishanganj Kishanganj Jain Maternity And Private Nursing Divaspur Road, Yes Registered Diagnostic Centre Home / Hospital Kishanganj 13 Kishanganj Kishanganj Ansh Diagnostic Centre Diagnostic Center / Dharamshala Road (Nr. Laboratory Luxmi Narayan Mandir), Yes Registered Kishanganj 14 Kishanganj Kishanganj Dr. M. A Alam Memorial N. B. Private Nursing College Road, Kishan Yes Registered Nursing Home Home / Hospital Ganj District : Lakhisarai 1 Lakhisarai Lakhisarai Sinha Ultrasound Center Private Nursing Dr. Vinita Sinha Pachna Yes Registered Home / Hospital Road, Lakhisarai 2 Lakhisarai Lakhisarai Sri Krishna Ultrasound Private Nursing Dr. Amit Kumar Punjabi Yes Registered Center Home / Hospital Mohall, Lakhisarai 3 Lakhisarai Lakhisarai Lakhisarai Ultrasound Diagnostic Center / Chitaranjan Road, Laboratory Lakhisarai, Near K. S. S. Yes Registered College 4 Lakhisarai Lakhisarai Gurunanak Ultrasound Diagnostic Center / Sri T. P. Khurana, Punjabi Yes Registered Center Laboratory Mohall, : Madhepura 1 Madhepura Madhepura Madhepura Ultrasound Diagnostic Center / Pani Tanki Chowk, Centre Laboratory Opp-Sadar Hospital, Yes Registered Madhepura 2 Madhepura Madhepura Sandhya Ultrasound Centre Private Nursing Jaypalpalty Chowk, Yes Registered Home / Hospital Madhepura 3 Madhepura Madhepura Jagdamba Ultrasound Diagnostic Center / B. P Mandal Path, Yes Registered Centre Laboratory Madhepura 4 Madhepura Madhepura Maa Jagdamba X-Ray & Diagnostic Center / Main Road, Near Bharat Yes Registered Ultrasound Laboratory Gass, Madhepura 5 Madhepura Madhepura Imaging Ultrasound Centre Diagnostic Center / Bypass Road, Near Laboratory Telephone Exchange, Yes Registered Madhepura 6 Madhepura Madhepura Inner Vision Ultrasound Diagnostic Center / Jaypal Patti Chowk, Ward- Yes Registered Centre Laboratory 15, Madhepura 7 Madhepura Madhepura R. K. Ultrasound Centre Private Nursing Bypass Road, Near Bus Yes Registered Home / Hospital Stand, Madhepura 8 Bihariganj Bihariganj Binod Ultrasound Centre Private Nursing Bihariganj Yes Registered Home / Hospital 9 Murliganj Murliganj Koshi Ultrasound Centre Diagnostic Center / Murliganj, Madhepura Yes Registered Laboratory 10 Singheshwar Singheshwar Baba Singheshwar Diagnostic Center / Durga Asthan Chowk, Yes Registered Ultrasound Centre Laboratory Singheshwar 11 Kishunganj Kishunganj Dharamraj Ultrasound Private Nursing Fall Out Chowk, Uda Yes Registered Centre Home / Hospital Kishanganj 12 Kishunganj Kishunganj Aashirwad Ultrasound Diagnostic Center / Main Road, Uda- Yes Registered Centre Laboratory Kishanganj District : Madhubani 1 Jainagar Jainagar Akriti Diagnostic Center Ultrasound Near P. H. C, Jainagar Yes Registered 2 Jainagar Jainagar Riya Ultrasound Center Ultrasound Main Road, Jainagar Yes Registered 3 Pandaul Pandaul Bazar Bharti Ultrasound Diagnostic Ultrasound Pandaul Bazar, Pandaul Yes Registered Clinic 4 Benipatti Dawk Bangla Choudhry Scanning Center Ultrasound Dak Banglaw Chowk, Yes Registered Chowk Benipatti 74 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 5 Benipatti Katiya Road Sanjeewani Medicare Center Ultrasound Katiya Road, Benipatti, Yes Registered Near High School 6 Benipatti Vidhyapati Maa Ultrasound Center Ultrasound Vidhyapati Chowk, Yes Registered Chowk Benipatti 7 Benipatti Vidhyapati Khushi Ultrasound Clinic Ultrasound Rupa Market, Vidhyapati Yes Registered Chowk Chowk, Benipatti 8 Khajauli Hospital Road Bajrang Ultrasound Center Ultrasound Hospital Road, Khajauli Yes Registered 9 Rajnagar Rajnagar Veena Diagnostic Center Ultrasound Bhatti Chowk, Rajnagar Yes Registered Main Road 10 Rajnagar Rajnagar Jai Mata di Diagnostic Ultrasound Main Road Rajnagar Yes Registered Center 11 Jhanjharpur Langra Chowk J. N Ultrasound Clinic Ultrasound Langra Chowk, Yes Registered Jhanjharpur 12 Jhanjharpur Navtola I. B Scanning Center Ultrasound Navtola Pokhara, Yes Registered Jhanjharpur 13 Jhanjharpur Jhanjharpur Jai Mata Di Diagnostic Ultrasound Main Road Jhanjharpur Yes Registered Center 14 Jhanjharpur Jhanjharpur Krishna Diagnostic Center Ultrasound Main Road Jhanjharpur Yes Registered 15 Jai Nagar Jai Nagar Tara X-Ray Ultrasound Clinic Ultrasound Main Road Jai Nagar Yes Registered 16 Jai Nagar Jai Nagar Shree Scan Center Ultrasound Main Road Jai Nagar Yes Registered 17 Jai Nagar Jai Nagar Soni Ultrasound Clinic Ultrasound Main Road Jai Nagar Yes Registered 18 Jai Nagar Jai Nagar Om Ultrasound Clinic Ultrasound Main Road Jai Nagar Yes Registered 19 Jai Nagar Patna Gaddi Lakshmi X-Ray Ultrasound Ultrasound Patna, Gaddi Chowk, Jai Yes Registered Chowk Clinic Nagar 20 Basopatti Kamal Market Shiv Ultrasound Clinic Ultrasound Kamal Market, Basopatti Yes Registered Basopatti 21 Khutauna Khutauna Anand Ultrasound Clinic Ultrasound Main Road Khutauna Yes Registered 22 Madhepur Patna Gaddi Adarsh Ultrasound Clinic Ultrasound Patna, Gaddi Chowk, Yes Registered Chowk Madhepur 23 Madhepur Madhepur Sai Ultrasound Center Ultrasound Main Road Madhepur Yes Registered 24 Sakari Sakari City Scan Center Private Nursing City Hospital, Sakari Yes Registered Home / Hospital 25 Sakari Sakari Haidar Hospital & Research Private Nursing Main Road Sakari Yes Registered Center Home / Hospital 26 Sakari Sakari Bazar Jeevan Jyoti Ultrasound Private Nursing Sakari Bazar, Sakari Yes Registered Center Home / Hospital 27 Jay Nagar Jay Nagar Adarsh Ultrasound Clinic Ultrasound Patna, Gaddi Chowk, Jai Yes Registered Nagar 28 Jay Nagar Jay Nagar Jeevan Deep Ultrasound Private Nursing Bela Jay Nagar Yes Registered Home / Hospital 29 Madhubani Madhubani Ultrasound Center Sadar DK/CS Sadar Hospital, Yes Registered Hospital Madhubani 30 Madhubani Madhubani Life Care Diagnostic Clinic DK/CS Main Road Madhubani Yes Registered 31 Madhubani Goshala Road Eco Cadiography Ultrasound DK/CS Goshala Road, Madhubani Yes Registered Clinic 32 Madhubani Hospital Road Janta Ultrasound Center DK/CS Hospital Road, Madhubani Yes Registered 33 Madhubani Thana Chowk Vijay X-Ray Clinic & DK/CS Thana Chowk, Madhubani Yes Registered Ultrasound 34 Madhubani Shankar Chowk Prita Diagnostic Center DK/CS Shankar Chowk, Yes Registered Madhubani 35 Madhubani Hospital Chowk Durga Ultrasound DK/CS Main Road Hospital Yes Registered Chowk, : Munger 1 Munger Nilam Road Sevayan Ultrasound Ultrasound Nilam Road, Munger Yes Registered 2 Munger Bara Bazar Lal Scanning Ultrasound Sirariya House, Munger Yes Registered 3 Munger Sitariya House Prakash Imaging Ultrasound Sitariya House, Munger Yes Registered 4 Munger Hospital Road Ultrasound Centre Private Nursing Sadar Hospital Munger Yes Registered Home / Hospital 5 Munger Madhopur Samarpan Ultrasound Ultrasound Madhopur Yes Registered Annexures 75

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 6 Munger Pipaipati Road Munger Ultrasound Ultrasound Pipal Pari Road, Munger Yes Registered 7 Jamalpur Jamalpur High-Tek Centre Private Nursing Jamalpur, Munger Yes Registered Home / Hospital 8 Jamalpur Jamalpur Ultrasound P. H. C. Centre Private Nursing Jamalpur, Munger Yes Registered Home / Hospital 9 Jamalpur Jamalpur Notrodem Health Care Private Nursing Jamalpur, Munger Yes Registered Home / Hospital 10 Jamalpur Tarapur Tarapur Ultrasound Private Nursing Tarapur, Munger Yes Registered Home / Hospital 11 Sangrampur Sangrampur Tarpur Ultrasound Private Nursing Sangrampur ,Munger Yes Registered Home / Hospital 12 Tarapur Tarapur Maya Ultrasound Private Nursing Tarapur Yes Registered Home / Hospital 13 Jamalpur Jamalpur Relway Hospital Private Nursing Relwary Hospital Jamalpur Yes Registered Home / Hospital : Muzaffarpur 1 Muzaffarpur Muzaffarpur Prerna Ultrasound Private Nursing New Zeromile Chowk, Yes Registered Home / Hospital Ahiapur, Muzaffarpur 2 Muzaffarpur Muzaffarpur Sari Siddi Vinayak Ultrasound Zeromile Ahiyapur, Yes Registered Ultrasound Center Muzaffarpur 3 Muzaffarpur Muzaffarpur Indira Scan Center Private Nursing Ahiyapur, Muzaffarpur Yes Registered Home / Hospital 4 Muzaffarpur Muzaffarpur Chandni Ultrasound Ultrasound Uma Nagar, Ahiyapur, Yes Registered Muzaffarpur 5 Muzaffarpur Muzaffarpur Saraswati Ultrasound Private Nursing Dautpur Kothi, Police Home / Hospital Line Road, Opp Mit Gate, Yes Registered Muzaffarpur 6 Muzaffarpur Muzaffarpur Shiv Ultrasound Ultrasound Rushalpur Saiyad Wazi Sitamathi Road, Yes Registered Muzaffarpur 7 Muzaffarpur Muzaffarpur Dev Ultrasound Ultrasound Jagdishpuri Lane Pani Yes Registered Tanki Road Ramna 8 Muzaffarpur Muzaffarpur Om Shakti X-Ray And Ultrasound Patan Kutir Naya Tla Yes Registered Ultrasound 9 Muzaffarpur Muzaffarpur Shree Om Ultrasound Ultrasound Bank Road Yes Registered 10 Muzaffarpur Muzaffarpur Bhawani Ultrasound Ultrasound Banaras Bank Chowk Yes Registered 11 Muzaffarpur Muzaffarpur Lilawani Scan Center Private Nursing Akhara Ghat, Zeromile Yes Registered Home / Hospital 12 Muzaffarpur Muzaffarpur Shree Krishan Ultrasound Ultrasound Basir Market, Akhara Ghat Yes Registered 13 Muzaffarpur Muzaffarpur Apolo Ultrasound Ultrasound Aam Gola Aghoria Chawk Yes Registered 14 Muzaffarpur Muzaffarpur New Sujeewan Ultrasound Ultrasound Aghoria Bazar Mithanpura Yes Registered 15 Muzaffarpur Muzaffarpur Bathua Nursing Home Private Nursing Bharmapura Yes Registered Home / Hospital 16 Muzaffarpur Muzaffarpur Dhighyala Ultrasound Ultrasound Muzaffarpur Yes Registered 17 Muzaffarpur Muzaffarpur Maa Ultrasound Ultrasound Rewa Road, Bhagwanpur Yes Registered 18 Muzaffarpur Muzaffarpur New Ultrasound X Ray Ultrasound Main Road Bhagwanpur Yes Registered 19 Muzaffarpur Muzaffarpur Jai Mata Di Ultrasound Ultrasound Kalambag Road Yes Registered 20 Muzaffarpur Muzaffarpur New Vikarsh Ultrasound Ultrasound Andi Gola Yes Registered 21 Muzaffarpur Muzaffarpur Unis Ultrasound Ultrasound Imli Chatti Yes Registered 22 Muzaffarpur Muzaffarpur Vaidahi Ultrasound Ultrasound Road No 2, Juran Yes Registered 23 Muzaffarpur Muzaffarpur Gautam Diagnostic Ceter Ultrasound Road No 2, Juran Chhapra Yes Registered 24 Muzaffarpur Muzaffarpur Super Ultrasound Ultrasound Road No 2, Juran Chhapra Yes Registered 25 Muzaffarpur Muzaffarpur Bhardwaz Scan Center Ultrasound Road No 3, Juran Chhapra Yes Registered 26 Muzaffarpur Muzaffarpur Om Shakti X Ray Ultrasound Ultrasound Road No 3, Juran Yes Registered Chhapra, Muzaffarpur 27 Muzaffarpur Muzaffarpur Arya Ultrasound Ultrasound Road No 3, Juran Yes Registered Chhapra, Muzaffarpur 28 Muzaffarpur Muzaffarpur Anamika Ultrasound Ultrasound Road No-3 Juran Chhapra Yes Registered Muzffarpur 76 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 29 Muzaffarpur Muzaffarpur Shri Krishna Diagnostic Ultrasound Roan No 3 ,Jaran Yes Registered Chhapra, Muzaffarpur 30 Muzaffarpur Muzaffarpur Vinayak Ultrasound Center Ultrasound Road No 4, Juran Chhara, Yes Registered Muzaffarpur 31 Muzaffarpur Muzaffarpur Prasant Memorial Cheritable Private Nursing Road No 4, Juran Yes Registered Hospital Home / Hospital Chhapra, Muzaffarpur 32 Muzaffarpur Muzaffarpur Ayusman Imgaging Center Ultrasound Juran Chhapra, Main Yes Registered Road Muzaffarpur 33 Muzaffarpur Muzaffarpur Pratik Ultrasound Ultrasound Juran Chhapra, Main Yes Registered Road 34 Muzaffarpur Muzaffarpur Anatomy Department S K Private Nursing S K Memorial College, Yes Registered M C H Home / Hospital Muzaffarpur 35 Muzaffarpur Muzaffarpur Sinha Ultrasound Ultrasound Imli Chatti Yes Registered 36 Muzaffarpur Muzaffarpur Vikash Ultrasound Ultrasound Juran Chhapra, Main Road Mahes Babu Chowk, Yes Registered Muzaffarpur 37 Muzaffarpur Muzaffarpur Anupam Ultrasound Ultrasound Road No 1, Juran Yes Registered Chhapra, Muzaffarpur 38 Muzaffarpur Muzaffarpur Shivam Ultrasound Ultrasound Juran Chhapra, Main Yes Registered Diagnostic Center Road Muzaffarpur 39 Muzaffarpur Muzaffarpur Morden Ultrasound Ultrasound Juran Chhapra, Main Yes Registered Road Muzaffarpur 40 Muzaffarpur Muzaffarpur Sujeevan Ultrasound Ultrasound Juran Chhapra, Main Yes Registered Road Muzaffarpur 41 Muzaffarpur Muzaffarpur Misra Clinic Private Nursing Juran Chhapra, Main Yes Registered Home / Hospital Road Muzaffarpur 42 Muzaffarpur Muzaffarpur Bhawani Ultrasound Ultrasound Jeela Parishad, Market Juran Chhapra, Yes Registered Muzaffarpur 43 Muzaffarpur Muzaffarpur Om Diagnostic Center Ultrasound C\O Sai Nursing Home, Juran Chhapra, Main Yes Registered Road Muzaffarpur 44 Muzaffarpur Muzaffarpur Vaishalieco & Ultrasound Ultrasound Bhagwanpur Chowk, Yes Registered Muzaffarpur 45 Muzaffarpur Muzaffarpur K. D. K. M Hospital Trust Private Nursing Road No-2, Juran Chapra Yes Registered Home / Hospital 46 Muzaffarpur Muzaffarpur Muzaffarpur Heart Hospital & Private Nursing Bank Road, Muzaffarpur Yes Registered Research Center Home / Hospital 47 Muzaffarpur Muzaffarpur Amrita Ultrasound Ultrasound Zero Mile Main Road Yes Registered Akharaghat 48 Muzaffarpur Muzaffarpur New Shanu Ultrasound Ultrasound Zero mile Main Road Yes Registered Akharaghat 49 Bochaha Bochaha Subhansu Ultrasonnd Ultrasound Hospital Road, Bochaha, Yes Registered Muzaffarpur 50 Sakara Sakara Sakumbari Ultrasound Ultrasound Station Road, Dholi Sakra, Yes Registered X-Ray Center Muzaffarpur 51 Kanti Kanti Hardik Ultrasound Center Ultrasound Main Road Kanti Yes Registered 52 Sahebganj Sahebganj Nisha Ulrtrasound Center Ultrasound Behind Mandal Yapar, Yes Registered Sahebganj 53 Baruraj Baruraj Ganpati Ultrrasound Ultrasound Near Talab Motipur, Yes Registered Baruraj, Muzaffarpur 54 Baruraj Baruraj Super Ultrasound Center Ultrasound Gandhi Chowk, Motipur, Yes Registered Baruraj, Muzaffarpur 55 Baruraj Baruraj Jai mata Di Ultrasound Ultrasound Singhali Road Motipur Yes Registered Baruraj 56 Sairaiya Sairaiya Satyam Ultrrasound Ultrasound Baba Market, Bulari, Yes Registered Nursingome Sairaiya 57 Sairaiya Sairaiya Sairaiya Ultrasound Ultrasound Jetan Sinha Market, Yes Registered Sairaiya 58 Sairaiya Sairaiya Shiv Shakti Ultrasound Ultrasound Sairaiya, Main Road Yes Registered Muzaffarpur 59 Sairaiya Sairaiya Vinod Ultrasound Ultrasound Sairaiya Kothi Muzaffarpur Yes Registered Annexures 77

S. Originally City/Block Village Name Type of Facility Address Registered No Listed District : Nalanda 1 Bihar Sharif Bihar Sharif Radhani Ultrasound Center Diagnostic Center / Dr. Amit Kumar Rachi Yes Registered Laboratory Road Bihar Sharif 2 Bihar Sharif Bihar Sharif Modern X-Ray Ultrasound Diagnostic Center / Kachanari Road Bihar Yes Registered Center Laboratory Sharif 3 Bihar Sharif Bihar Sharif Bala Jee X-Ray & Scan Diagnostic Center / Bhaisasur Chanraha Bihar Yes Registered Center Laboratory Sharif 4 Bihar Sharif Bihar Sharif Bihar X-Ray & Ultrasound Diagnostic Center / Telephone Exchange Yes Registered Laboratory Road Bihar Sharif 5 Bihar Sharif Bihar Sharif Nalanda Metrniry Home Private Nursing Doctor Colony Bihar Sharif Yes Registered Home / Hospital 6 Bihar Sharif Bihar Sharif Vikash Ultrasound & Diagnostic Center / Rachi Road Bishar Sharif Yes Registered Diagnostic Center Laboratory 7 Bihar Sharif Bihar Sharif Advanced Ultrasound Center Diagnostic Center / Kachanari Road, Bihar Yes Registered Laboratory Sharif 8 Bihar Sharif Bihar Sharif Sannu Ultrasound Diagnostic Center / Kanj Mohawa Bihar Sharif Yes Registered Laboratory 9 Bihar Sharif Bihar Sharif Shristi Ultrasound Diagnostic Center / College More Baradari Yes Registered Laboratory Bihar Sharif 10 Bihar Sharif Bihar Sharif Jeevan Jyoti Hospital Private Nursing Tachi Bihar Sharif Yes Registered Home / Hospital 11 Bihar Sharif Bihar Sharif Medibrij Diagnostic Center Diagnostic Center / Mangala Sthan Bidhar Yes Registered Laboratory Sharif 12 Bihar Sharif Bihar Sharif Kamla Ultrasound Diagnostic Center / Rachi Road Bihar Sharif Yes Registered Laboratory 13 Bihar Sharif Bihar Sharif I. G. E. M. S Sadar Hospital Government Sadar Hospital Bihar Yes Registered Hospital Sharif 14 Bihar Sharif Bihar Sharif Mausam Hospital Private Nursing Nalanda More Naland Yes Registered Home / Hospital 15 Bihar Sharif Bihar Sharif Life Line Scanning Center Diagnostic Center / Khandal Par Bihar Sharif Yes Registered Laboratory 16 Bihar Sharif Bihar Sharif New Rai X-Ray Ultrasound Diagnostic Center / Bhaisasur ,Bihar Sharaif Yes Registered Laboratory 17 Bihar Sharif Bihar Sharif Shivam Ultrasound Diagnostic Center / Rachi Road, Bihar Sharif Yes Registered Laboratory 18 Bihar Sharif Bihar Sharif Popular X-Ray & Ultrasound Diagnostic Center / Mangala Station, Bihar Yes Registered Center Laboratory Sharif 19 Bihar Sharif Bihar Sharif Prabhat Ultrasound & Diagnostic Center / Doctor Colony, Bihar Yes Registered Diagnostic Center Laboratory Sharif 20 Silao Siloa Mona Ultrasound Center Diagnostic Center / Silao, Nalanda Yes Registered Laboratory 21 Rajgir Rajgir Rajgir Ultrasound Center Diagnostic Center / Rajgir, Naland Yes Registered Laboratory 22 Rajgir Rajgir Sahara Ultrasound Centre Diagnostic Center / Md. Hasib Akhtar, Rajgir, Yes Registered Laboratory Nalanda 23 Rajgir Rajgir Maa Vaishno Ultrasound Diagnostic Center / Pradum Kumar, Rajgir , Yes Registered Center Laboratory Naland 24 Hilsa Hilsa Shri Ram Ultasound & Diagnostic Center / Hilsa, Nalanda Yes Registered Colour Doplar Laboratory 25 Islampur Islampur Nalanda Ultrasound Diagnostic Center / Gako, Market Islampur Yes Registered Laboratory 26 Islampur Islampur Satyam Ultrasound Center Diagnostic Center / Islampur, Nalanda Yes Registered Laboratory 27 Ekangar Sarai Ekangar Sarai Nalanda Ultrasound Center Diagnostic Center / Ekangar Sarai Nalanda Yes Registered Laboratory 28 Ekangar Sarai Ekangar Sarai Kumar Ultrasound Centre Diagnostic Center / Ekangar Sarai, Nalnda Yes Registered Laboratory District : Nawada 1 Nawada Nawada Manglam Ultrasound Private Nursing Near Post Office, Nawada Yes Registered Home / Hospital 2 Nawada Nawada Pawapuri Ultrasound Diagnostic Center / Infront Of Sadar Hospital, Yes Registered Laboratory Nawada 78 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 3 Nawada Nawada Savitri Seva Sadan Private Nursing Jail Road, Nawada Yes Registered Home / Hospital 4 Nawada Nawada Anamika Diagnostic Private Nursing Purani Jail Road, Nawada Yes Registered Medicare Center, Nawada Home / Hospital 5 Nawada Nawada Sanjeevan Ultrasound Government Post Merium Road, Yes Registered Hospital Nawada 6 Nawada Nawada Benjir Scan Center Private Nursing Vivek Nursing Home Post Yes Registered Home / Hospital Martamroad, Nawada 7 Pacchu Jan Kalyan Seva Sadan Private Nursing Main Road Pachu Hisua Yes Registered Home / Hospital 8 Pakri Barawan Mohan Bigha Mausam Hospital Government Pakri Barawan Mohan Yes Registered Hospital Bigha 9 Warsaliganj Warsali Ganj Buddha Ultrasound Diagnostic Center / Old Bank Road War Sali Yes Registered Laboratory Ganj District : Paschim Champaran 1 Bettiah Bettiah Shahin Ultrasound Centre Diagnostic Center / Hospital Road, Bettiah Yes Registered Laboratory 2 Bettiah Bettiah Weston Ultrasound Private Nursing Hospital Road, Bettiah Yes Registered Home / Hospital 3 Bettiah Bettiah Jyoti Ultrasound Diagnostic Center / Hospital Bettiah Yes Registered Laboratory 4 Bettiah Bettiah Sumitra Ultrasound Diagnostic Center / Mitra Chowk, Bettiah Yes Registered Laboratory 5 Bettiah Bettiah Gayatri Ultrasound Diagnostic Center / Mitra Chowk, Hospital Yes Registered Laboratory Road Bettiah 6 Bettiah Bettiah Navjeevan Ultrasound Diagnostic Center / Mitra Chowk, Hospital Yes Registered Laboratory Road Bettiah 7 Bettiah Bettiah Nimtullahi Ultrasound Diagnostic Center / Mitra Chowk, Hospital Yes Registered Laboratory Road, Bettiah 8 Bettiah Bettiah Bharti Ultrasound Diagnostic Center / Kotwali Chowk, Hospital Yes Registered Laboratory Road Bettiah 9 Bettiah Bettiah Kumar Ultrasound Diagnostic Center / Kotwala Chowk, Hospital Yes Registered Laboratory Road Bettiah 10 Bettiah Bettiah Jmk Hospital Government Hospital Road, Bettiah Yes Registered Hospital 11 Sudhaw Sudhaw Mushkan Ultrasound Diagnostic Center / Bhargwi Complex, Sudhaw Yes Registered Bagaha-2 Bagaha-2 Laboratory Bagaha-2 12 Sudhaw Sudhaw Sharda Ultrasound Diagnostic Center / Roy Market, Sudhaw Yes Registered Bagaha-2 Bagaha-2 Laboratory Bagaha-2 13 Narkatiaganj Narkatiaganj Patna Imagine Centre Private Nursing Purani Bazar, Narkatiaganj Yes Registered Home / Hospital 14 Bagaha-1 Bagaha-1 Subdivisional Hospital Government Main Road Bagaha-1 Yes Registered Hospital 15 Bagaha-1 Bagaha-1 Shalu Ultrasound Diagnostic Center / Main Road Bagaha-1 Yes Registered Laboratory 16 Ram Nagar Ram Nagar Medico Diygonetic Centre Diagnostic Center / Hari Nagar, Ram Nagar Yes Registered Laboratory 17 Chanptia Chanptia Navin Ultrasound Diagnostic Center / Main Road Chanptia Yes Registered Laboratory 18 Gaunaha Gaunaha Refral Hospital Government Gaunaha Yes Registered Hospital District : Patna 1 Bikarm Bikram Hi-Tech Ultrasound Hospital Diagnostic Center / Raj Complex, Block 2, Yes Registered Laboratory Bikram, Patna 2 Naubatpur Naubhtpur Naubat Ultrasound Dk/Cs Naubatpur Bazar, Patna Yes Registered 3 Naubatpur Naubhtpur Kishore X-ray Ultrasound Diagnostic Center / Bihta Road, Naubatpur Yes Registered Laboratory Patan 4 Masaurhi Masaurhi Abadh Hospital Private Nursing Thana Road, Near Yes Registered Home / Hospital Mapaurhi Station 5 Masaurhi Masaurhi Maa Vaishnavi Ultrasound Diagnostic Center / Thana Road, Masaurhi Yes Registered (J. M) Laboratory Patna Annexures 79

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 6 Masaurhi Masaurhi Jai Memorial Nursing Home Private Nursing Virarchi Masaurhi, Patna Yes Registered Home / Hospital 7 Masaurhi Masaurhi Ultrasound Clinic Dk/Cs Dharhara Road, Masaurhi Yes Registered Patna 8 Danapur Danapur New Aditya Ultrasound Diagnostic Center / Eimreqon Road, Danapur Yes Registered Laboratory 9 Danapur Danapur Aditya Ultrasoud Dk/Cs Eimraqon Road, Danapur Yes Registered 10 Danapur Danapur Astha Diagnostic Center Dk/Cs Uday Palace, Narishal Yes Registered Bazar, Danapur 11 Danapur Danapur Devlok Nursing Home Private Nursing Danapur, Sannt Patna Yes Registered Meternity Centre Home / Hospital 12 Danapur Danapur Sub Divisional Hospital Dk/Cs Danapur, Patna Yes Registered 13 Danapur Danapur Mahavir Scan Centre Dk/Cs Mahabir Sthan Danapur Yes Registered Patna 14 Danapur Danapur Adarsh Ultrasound Diagnostic Center / Imali Tal Danapur Patna Yes Registered Laboratory 15 Danapur Danapur Anand Bihar Ultrasound Dk/Cs Main Road Danapur Yes Registered 16 Danapur Danapur Diagnostic Center / Bibiganj Road, Danapur Yes Registered Laboratory 17 Danapur Danapur Harivan Ultrasound Dk/Cs Machhua Teli Bibigan,j Yes Registered Danapur 18 Danapur Danapur Shakuntala Ultrasound Dk/Cs Bibijanj Sarai Ki Masltsa Yes Registered Dhahapur 19 Maner Maner Maner Ultrasound Dk/Cs Main Road Maner, Patna Yes Registered 20 Bihta Bihta Mahabir Ultrasound Diagnostic Center / Near Jeep Stand, Main Yes Registered Laboratory Road Bihta 21 Bihta Bihta Ultrasound Centre Dk/Cs Dr Meera Jha Yes Registered 22 Bihta Bihta Vindhwasini Ultrasound Dk/Cs Kumar Compley Main Yes Registered Road Bihta 23 Barh Barh Kamni X-Ray And Dk/Cs Doya Chak Fcu Godam Yes Registered Ultrasound Station, Barh 24 Barh Barh Shivlok Ultrasound Diagnostic Center / Shakti Market Station Yes Registered Laboratory Road, Barh 25 Barh Barh Amba Ultasound Diagnostic Center / Near Sabera Cinema Hall, Yes Registered Laboratory Barh 26 Barh Barh J G M S Barh Government Anumandal Hospital Bank Yes Registered Hospital 27 Barh Barh Shiv Shankar Ultrasound Diagnostic Center / Station Road, Barh Yes Registered Laboratory 28 Bakhitiyarpur Bhakitiyarpur New Mahadev Ultrasound Diagnostic Center / Station Road, Bakhtiyarpur Yes Registered Laboratory 29 Bakhitiyarpur Bhakitiyarpur Sevayan Diagnostioc Center Diagnostic Center / Krishna Market Yes Registered Laboratory Bakhtiyarpur 30 Bakhitiyarpur Bhakitiyarpur Raj Ultrasound Diagnostic Center / Subhash Road, Yes Registered Laboratory Bakhtiyarpur 31 Bakhitiyarpur Bhakitiyarpur Jyoti Ultrasound Dk/Cs Station Road, Bakhtiyarpur Yes Registered 32 Mokama Mokama Sona Ultrasound Diagnostic Center / Goshala Road, Mokama Yes Registered Laboratory 33 Mokama Mokama Referal Hospital Diagnostic Center / Block Road, Mokama Yes Registered Laboratory 34 Fatuha Fatuha Shajl (Sahil) Ultrasound Diagnostic Center / Block Office, Main Road Yes Registered Laboratory Fatuha, Patna 35 Fatuha Fatuha Apolo Jhanchghar Diagnostic Center / Saudhagar Kothi Main Yes Registered Laboratory Road Fatuha 36 Fatuha Fatuha Patna Ultrasound Diagnostic Center / Station Road, Fatuha Yes Registered Laboratory 37 Fulwari Fulwari Imarat Ultrasound Private Nursing Phwlyaksarif Patna Yes Registered Home / Hospital 38 Fulwari Fulwari Mothers Ultrasound Diagnostic Center / Nazpalaza Haroon Nagar Yes Registered Laboratory Phwwai 80 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 39 Fulwari Fulwari Prakashi Ultrasound Private Nursing Near BDO Office, Yes Registered Home / Hospital Phulwarisarif, Patna 40 Fulwarisarif Fulwarisarif K Ultrasound And X-Ray Private Nursing Naya Tola, Fulwarisarif, Yes Registered Home / Hospital Patna 41 Fulwarisarif Fulwarisarif Beby Ultrasound Diagnostic Center / Makdum, Rasti Nagar, Yes Registered Laboratory Fulwarisarif, Patna 42 Paliganj Paliganj Jhaging Centre Shubham Diagnostic Center / Hospital Road, Paliganj Yes Registered Ultrasound Laboratory 43 Paliganj Paliganj Maa sarswati Ultrasound Diagnostic Center / Amla Market, Khanpura Yes Registered Laboratory Road, Paliganj 44 Paliganj Paliganj Sriram Ultrasound Diagnostic Center / Gupta Market, Paliganj, Yes Registered Laboratory Patna 45 Patna Patna Manglam Ultrasound Diagnostic Center / Sharda Complex, East Laboratory Boaring Canal Road, Yes Registered Patna 46 Patna Patna Balaji Heart Centre, Boaring Diagnostic Center / Boaring Road, Patna Yes Registered Road Centre Laboratory 47 Patna Patna Mahabir Arogya Sansthan Private Nursing Kankarbah Patna Near Yes Registered Home / Hospital Chiraiya Tar Pool 48 Patna Patna Shivam Hospital Research Private Nursing Vidyapuri Kanka R.bagh Yes Registered Institute Pvt Ltd Home / Hospital Patna, Near Central Bank 49 Patna Patna Shahi Hospital Private Nursing Rajendra Nagar Road Home / Hospital No 2A, Patna 16, Near Yes Registered Magadah Hospital 50 Patna Patna Shivam X-Ray Ultrasound Diagnostic Center / Nala Road Rajendra Yes Registered Resarch Institute Laboratory Nagar Patna 51 Patna Patna Apollo Diagnostic Centre Diagnostic Center / Road N, Rajendra Nagar, Yes Registered Laboratory Patna 16 52 Patna Patna Magadh Hospital For Private Nursing Road N 2, Rajendra Yes Registered Diaghotic Home / Hospital Nagar, Patna 16 53 Patna Patna Nidan Ultasound Dopler Diagnostic Center / Road No 60, Rajendra Yes Registered Echo-X-Ray Laboratory Nagar, Patna 54 Patna Patna Sinha Imagine Centre Diagnostic Center / Road No 6A, Rajendra Yes Registered Laboratory Nagar, Patna 16 55 Patna Patna Ultasound For Diagnostic Diagnostic Center / Road No 2, Rajendra Yes Registered Purosed Only Laboratory Nagar, Patna 16 56 Patna Patna Ultrasound Centre Diagnostic Center / 5A Arya Kumar Road, Yes Registered Laboratory Near SBI Rajendra Nagar 57 Patna Patna Dev Institute Of Nuclear Private Nursing Road No 2, Rajendra Yes Registered Medicine Pvt Ltd Home / Hospital Nagar, Patna 16 58 Patna Patna Praince Ultrasound Centre Diagnostic Center / B-28, Patarakar Nagar, Yes Registered Laboratory Kankarbagh, Patna 20 59 Patna Patna Ananya Diagnostic Centre Diagnostic Center / C. C-60, P. C Colony, Yes Registered Laboratory Kankar Bagh, Patna 60 Patna Patna Maurya X-Ray And Diagnostic Center / A-10, Sachivalya Colony, Yes Registered Ultrasound Laboratory Kankar Bagh, Patna-20 61 Patna Patna Nalanda Hospital And Scan Private Nursing 0 63 Doctors Colony, Yes Registered Research Centre Pvt Ltd Home / Hospital Kankar Bagh, Patna 20 62 Patna Patna Srivan Private Nursing Vidyapuri, Kankar Bagh, Yes Registered Home / Hospital Patna 20 63 Patna Patna Ranjan Ultrasound Centre Diagnostic Center / C-25, Patrakar Nagar, Yes Registered Laboratory Kankar Bagh, Patna -20 64 Patna Patna Krishna X-Ray & Ultrasound Diagnostic Center / Near Old Arvind Mahila Laboratory College, Kadam Kuana, Yes Registered Patna 65 Patna Patna Patna Scan Centre Diagnostic Center / Deep Raj Complex, Ak Laboratory Road, Machhua Tola, Yes Registered Patna-4 66 Patna Patna Shanti Scan Ultrasound Diagnostic Center / Makhania Kuanda, Yes Registered Clinic Laboratory Patna-4 67 Patna Patna Scan Centre Ultrasound Diagnostic Center / Makhania Kuana, Patna-4 Yes Registered Clinic Laboratory Annexures 81

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 68 Patna Patna Deep Chhaya Ultrasound Private Nursing Kumar Nursing Home, Yes Registered Home / Hospital Makhania Kuana, Patna-4 69 Patna Patna Rajdhani Ultrasound & Diagnostic Center / Govind Mitra Road, Yes Registered Imaagine Centre Laboratory Patna-4 70 Patna Patna Jagdamba Imagine & Diagnostic Center / Parafuil Plaza, Makhania Yes Registered Ultrasound Laboratory Kuana, Patna-4 71 Patna Patna Seema Ultrasound Centre Private Nursing M. G. M Hospital & Home / Hospital Resarch Centre, Jagat Yes Registered Nagar Road 72 Patna Patna S. K Ultrasound Diagnostic Center / Durga Isthan Sheikpura, Yes Registered Laboratory Raza Bazar, Patna-14 73 Patna Patna Advanced Ultrasound Diagnostic Center / Raza bazar Appartment, Yes Registered Imagine Laboratory Near Petrol Pump 74 Patna Patna Shivam X-Ray & Ultrasound Diagnostic Center / Raja bazar, Near igems, Yes Registered Insutute Laboratory Patna 75 Patna Patna Icon Imagine & Fine Centre Diagnostic Center / Sumitra Market, Raja Yes Registered Laboratory Bazar, Patna 76 Patna Patna Poly Kittu Imagine Pvt Ltd Diagnostic Center / Shiekhpura, Mahhar Gali Yes Registered Laboratory Patna-14 77 Patna Patna Rishav imagine & Research Diagnostic Center / Yadav Bhawan, Naya Tola, Yes Registered Centre Laboratory Patna 78 Patna Patna Ultrasound Centre Diagnostic Center / Janpara House, Khalanchi Yes Registered Laboratory Road, Patna -4 79 Patna Patna Avind Hospital Pvt Ltd Private Nursing Khazanchi Yes Registered Home / Hospital 80 Patna Patna S. S Hospital Private Nursing Anishabad, Patna-2 Yes Registered Home / Hospital 81 Patna Patna Pandey X-Ray & Ultrasound Private Nursing Chitragupt Nagar, Yes Registered Home / Hospital Kankarbagh, Patna-20 82 Patna Patna B. P Hospital Private Nursing Arya Kumar Road, Yes Registered Home / Hospital Rajendra Nagar, Patna 83 Patna Patna Chaudhary Digital Imagine Private Nursing Road No.-2, Rajendra Yes Registered Centre Home / Hospital Nagar, Patna 84 Patna Patna Patliputra Unology Centre Private Nursing Arya Kumar Road, Yes Registered Home / Hospital Rajendra Nagar, Patna 85 Patna Patna Patliputra Diagnostic Centre Diagnostic Center / Prafulla Plaza, Kakhanja Yes Registered Laboratory Kuana Patna-4 86 Patna Patna Asha Deep Nursing Home Private Nursing Bhikhna Dahari Patna-4 Yes Registered Home / Hospital 87 Patna Patna Nirav Ultrasound Diagnostic Center / Opp Rmri N. M. C. H Roa Yes Registered Laboratory D Auzam Kuand Patna-7 88 Patna Patna Raj Scan Centre Susruta Private Nursing Bhadra Ghat, Patna-7 Yes Registered Surgicale clinic Home / Hospital 89 Patna Patna Sri Lal Ultrasound Diagnostic Center / Opp P. M. C. H East Gali Yes Registered Laboratory Makhania Patna 90 Patna Patna Dr Ruban Memorial Hospital Private Nursing South Gandhi Maidan, Yes Registered Home / Hospital Patna 91 Patna Patna Royal X-Ray Ultrasound Diagnostic Center / Had Market, Raja Bazar Yes Registered Laboratory 92 Patna Patna Bihar Scan Centre Diagnostic Center / Mangal Market, Yes Registered Laboratory Shiekhpura 93 Patna Patna Magadh Ultrasound Diagnostic Center / Vidya Path Market, Raja Yes Registered Laboratory Bazar 94 Patna Patna Satyam Color Dopelr Diagnostic Center / Opp Hai Hospital, Vidya Yes Registered Laboratory Path Market 95 Patna Patna Ambika Health Centre Private Nursing Ambika Bhawan A-1 Yes Registered Home / Hospital Sector -F Raj Bhhari Patna 96 Patna Patna Shri Krishna Ultrasound Diagnostic Center / Raza Bazar, Near Pump Yes Registered Laboratory Petrol Pump 97 Patna Patna Amrendra Medicer Patna Diagnostic Center / Kacchi Talab Gardnibaoh Yes Registered Laboratory Patna -1 82 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 98 Patna Patna Life Line Imagine Centre Diagnostic Center / Basu Dham Apartment, Yes Registered Laboratory Kadam Kuana, Patna 99 Patna Patna Ganga Scan & Diagnostic Diagnostic Center / Blded Sahay Road, Yes Registered Centre Laboratory Kadam Kuana, Patna 100 Patna Patna Divya Ultrasound Echo & Diagnostic Center / Road N-1, Rajendra Nagar Yes Registered X-Ray Centre Laboratory Patna-16 101 Patna Patna Ace Ultrasound Diagnostic Center / Ramkrishna Avanue Yes Registered Laboratory Rajendra Nagar Patna 102 Patna Patna Palas Ultrasound Private Nursing Nov Sharda Hospital, Yes Registered Home / Hospital Postal Park, Patna-20 103 Patna Patna Medicity Diagnostic Centre Diagnostic Center / Doctor Colony, Kankar Yes Registered Laboratory Bagh Paina -20 104 Patna Patna Ashirwad Diagnostic Centre Diagnostic Center / Road No-3, Rajendra Yes Registered Laboratory Nagar 105 Patna Patna Sriram Jmasine Centre Diagnostic Center / Ds-3 Vrindawan Complex Laboratory PNB B Vilng Doctor Yes Registered Colony, Kankar Basst 106 Patna Patna Jajdis Memorial Hospial Private Nursing Lohiya Nagar, Kankar Yes Registered Home / Hospital Bagh Patna-20 107 Patna Patna Akhilesh Kr Singh Hospital Private Nursing Plot N-Ds/2 Behind Pvt Ltd Home / Hospital Bleologicac Survey Of Yes Registered India, Kankar Bagh 108 Patna Patna Ayush Hospital Private Nursing I. O. C Road, Sipara Patna Yes Registered Home / Hospital 109 Patna Patna Ram Krishna Velfare Private Nursing South Chitra Gupta Nagar Yes Registered Hospital Home / Hospital 110 Patna Patna Subham Ultrasound & Diagnostic Center / Ajay Nmarket Pc Colony Yes Registered Imaging Centre Laboratory Kankar Nbagh 111 Patna Patna Millenium Scans Pvt Ltd Diagnostic Center / B/4 Unverified Opp Laboratory Children Park, Sk. Puri Yes Registered Ranya 112 Patna Patna Maurya Scan Cnetre Diagnostic Center / Boring Road, Patna-1 Yes Registered Laboratory 113 Patna Patna Pawan Ultrasound Private Nursing G-Unverified, Peoples Home / Hospital Co-Opperative Colony, Yes Registered Road N-2 114 Patna Patna Panchlok Diagnostic Diagnostic Center / Opp-Tara Andal Bacley Yes Registered Laboratory Road 115 Patna Patna Saraswati Ultrasound, Diagnostic Center / Vidya Pati Marg, Behind Yes Registered Diagnostic Centre Laboratory Museum, Patna 116 Patna Patna Surbhi Imagine Centre Diagnostic Center / Swaraj Market, Opp Sale Yes Registered Laboratory Tay office, Patna 117 Patna Patna Jai Mata Ct Scan Pvt Ltd Diagnostic Center / Oriental College Lane, Yes Registered Laboratory Gudri Balar, Patna 118 Patna Patna Magadh Nursing Home Private Nursing Biscoman Colony, Qn-1/8, Yes Registered Home / Hospital Kumhar 119 Patna Patna Best Ultrasound Echo Diagnostic Center / Gurahatta, Ashok Raj Yes Registered Centre Laboratory Path, Patna 120 Patna Patna Tripolia Social Service Private Nursing Gulzarbagh, Patna Yes Registered Home / Hospital 121 Patna Patna City Janch Ghar & X-Ray Diagnostic Center / Gurahatta Patna City Yes Registered Ultrasound Laboratory 122 Patna Patna Bihar Institute Of Gastro Private Nursing Buddha Ental Hospital Introor Home / Hospital Road, Yogipur Chauraha, Yes Registered Kankar Bagh 123 Patna Patna B. B Bharate Ultrasound Private Nursing A/183, P. C Colony Kankar Yes Registered Home / Hospital Bagh Patna 124 Patna Patna Kumar Diagnostic Centre Diagnostic Center / Shivall, Opp Gaytri Mandir, Yes Registered Laboratory Kankar Bagh 125 Patna Patna Renu Maternity Centre Private Nursing Boring Road, Beside Yes Registered Home / Hospital Krishna Appartment 126 Patna Patna Aksh Imagine Centre Private Nursing Shishu Aspatal, Sadhna Yes Registered Home / Hospital Sadan, Boaring Road Annexures 83

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 127 Patna Patna Patna Scan Centre Private Nursing Patliputre Colony, Opp Yes Registered Home / Hospital Mall P. N. B 128 Patna Patna Advance Scan Centre Diagnostic Center / Ashiyana Palace, Near Yes Registered Laboratory Alpan Market 129 Patna Patna Radiology Clinic Diagnostic Center / 162/B Patlipotra, Main Yes Registered Laboratory Road Patna 130 Patna Patna Patliputra Ultrasound Centre Diagnostic Center / 170/A-1, Aptliputra Colony Yes Registered Laboratory 131 Patna Patna Advance Ultrasound & Diagnostic Center / 140-Patlipura Colony Yes Registered Imagine Centre Laboratory 132 Patna Patna Ganga Ultrasound Diagnostic Center / Naya Gaon, Agamkuana Yes Registered Laboratory 133 Patna Patna Patliputra Hospital Private Nursing B/26, Patrakar Nagar, Yes Registered Home / Hospital Kankar Bagh, Patna 134 Patna Patna Dr Rubay Diagnostic Diagnostic Center / P. S Vidyapuri, Ramdev Laboratory Prasad Cerma Kankar Yes Registered Bagh 135 Patna Patna Bharati Ultrasound & Diagnostic Center / H. N 3, Unverified East Of Imagine Centre Laboratory Bank Of Baroda, Patrakar Yes Registered Nagar 136 Patna Patna Manav Clinic & Meternity Private Nursing Mahatma Gandhi Nagar, Yes Registered Home Home / Hospital Patna 137 Patna Patna Ishwar Dayal Hospital Private Nursing N. R Tower, Khemni Chak Yes Registered Hanuman Nagar Home / Hospital More, Hanuman Nagar 138 Patna Patna Indra Ultrasound Diagnostic Center / Bhootnath Road, Near Yes Registered Laboratory SBI ATM 139 Patna Patna Advance Green Diagnostic Private Nursing E3, P. C Lohiya Nagar, Yes Registered Home / Hospital Patna 140 Patna Patna Millenium Ultrasound Diagnostic Center / Navratan Lal Building, Laboratory Sita Sran Lane, East Of Yes Registered Goriya M 141 Patna Patna Pioneer Ultrasound Diagnostic Center / H-S-Mila Alam B-2, Ali Yes Registered Laboratory Nagar Colony, Anisabad 142 Patna Patna Subham Ultrasound Diagnostic Center / Khagaul Road, Mithapur, Laboratory Patna, Near Dayanda Yes Registered School 143 Patna Patna Sun Diagnostic Centre Diagnostic Center / Dinkar Golambar Arya Yes Registered Laboratory Kumar Road, Patna 144 Patna Patna Swagtam Ultrasound Diagnostic Center / Road N-1 Rajendra Nagar, Yes Registered Laboratory Patna 145 Patna Patna Jain Scan Centre Diagnostic Center / B/46, Hosing Colony, Yes Registered Laboratory Kankar bagh, Patna -20 146 Patna Patna Abhinac Ultasound Diagnostic Center / Road - Rajendra Nagar, Yes Registered Cabhinan Day Laboratory Patna 147 Patna Patna The Heart Clinic Diagnostic Center / 22, Bsi D C Colony, Laboratory Dr. Rameshwar Dayal Yes Registered Path Boring Road 148 Patna Patna Harsh Advance Diagnostic Diagnostic Center / Basement Kr Tower, Yes Registered Laboratory Boring Canal Road Patna 149 Patna Patna Jan Chikitsa Hospital Private Nursing Mitharpur, Patna-1 Yes Registered Home / Hospital 150 Patna Patna Perfect Ultrasound Centre Private Nursing Tambu Stand, Kankar Yes Registered Home / Hospital Bagh, Patna 151 Patna Patna Patna Scan Centre Private Nursing H. No-B/6, Sec-, Kankar Yes Registered Home / Hospital Bagh 152 Patna Patna Ramanand Health Care Private Nursing H2, Dr. Colony, Kankar Yes Registered Pvt. Ltd Home / Hospital bagh 153 Patna Patna S. S Hospital Private Nursing Dr. Colony, Kankar Bagh, Yes Registered Home / Hospital Patna 154 Patna Patna Max Ultrasound Colour Diagnostic Center / Rajendra Nagar Road, Yes Registered Dopler Laboratory Patna 155 Patna Patna Swatic Women Hospital & Private Nursing V-28A, Vidya Pur Yes Registered Research Centre Home / Hospital 84 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 156 Patna Patna Advance Care Private Nursing Singh Petrol Pump Yes Registered Home / Hospital 157 Patna Patna Sai Ultrasound Diagnostic Center / Purossatam Plaza, Yes Registered Laboratory Makhania Khan, Patna 158 Patna Patna Dr. Amar Imaging Clinic Diagnostic Center / 56/B, Road No-1, Near Yes Registered Laboratory Ranj Taniya 159 Patna Patna New Pratap Ultrasound Diagnostic Center / Makhania Patna-4 Yes Registered Laboratory 160 Patna Patna Nalanda Seva Sadan Private Nursing Kumar Complex, Yes Registered Home / Hospital Makhania Kuana 161 Patna Patna Maa Ultrasound Diagnostic Center / Road No-4, Makhania Yes Registered Laboratory Kuana Patna 162 Patna Patna Sandhya Diagnostic Centre Diagnostic Center / Mata Khudi Lane, Near Dr. Yes Registered Laboratory Vinay Pd. Patna 163 Patna Patna Vimal Digital Ultrasound Diagnostic Center / Shukula Mkt, Gurahatta Yes Registered Clinic Laboratory 164 Patna Patna Escort Diagnostic Centre Diagnostic Center / Ashok Raj Path, Khuda Yes Registered Laboratory 165 Patna Patna Perfect Diagnostic Centre Diagnostic Center / Shastri Nagar Market, Yes Registered Laboratory Patna 166 Patna Patna Metro City Diagnostic & Diagnostic Center / Durga Ashram, Sekhpura, Yes Registered Research Centre Laboratory Patna 167 Patna Patna Poonam Sergical Maternity Private Nursing Brahm & Thani Road N Yes Registered Clinic Home / Hospital sheikhpura 168 Patna Patna Rahul Ultrasound Private Nursing North S. K. Puri Boaring Yes Registered Home / Hospital Road, Patna 169 Patna Patna Chaudhry Digital Imaging Diagnostic Center / D-60, Manupriya Rajesh Yes Registered Pvt Ltd Laboratory Kr Path, S. K. Puri 170 Patna Patna Jyoti Punj Hospital Private Nursing Boring Road, Patna Yes Registered Home / Hospital 171 Patna Patna Spandan Hear Care Diagnostic Center / 25A, S. K. Puri, Patna Yes Registered Laboratory 172 Patna Patna New Palli Putra Scan Center Private Nursing Laxmi Nursing Home, Home / Hospital West Boring Canal Road, Yes Registered Patna 173 Patna Patna Amar Imaging Centre Diagnostic Center / Imam House, Opp Bishnu Yes Registered Laboratory Palace West 174 Patna Patna Poonam Diagnostic Centre Diagnostic Center / Boring Canal Road, Rtamn Yes Registered Laboratory Canal Road 175 Patna Patna Patna Scan Echo Centre Diagnostic Center / Shiekhpura, Patna Yes Registered Laboratory 176 Patna Patna Sumitra Scan Centre Diagnostic Center / H. No-2H/65, Bhootnath Yes Registered Laboratory Road 177 Patna Patna Spectrum Diagnostic Diagnostic Center / G-6 Unverified, P. C. Research Centre Laboratory Colony, Kankar Bagh, Yes Registered Patna 178 Patna Patna Life Care Echo & Scan Diagnostic Center / Patna Yes Registered Centre Laboratory 179 Patna Patna Laxman Care Centre Diagnostic Center / Sheikhpur Patna Road, Yes Registered Laboratory N-1B, Rajendra Nagar 180 Patna Patna Dia Betes Care Research Diagnostic Center / A214 P. C. Colony Kankar Yes Registered Centre Laboratory Bagh, Patna 181 Patna Patna The Diagnostic Centre Private Nursing Dr. Lal Path Pvt Ltd, A214, Yes Registered Home / Hospital Kankar bagh 182 Patna Patna The Apollo Clinic Diagnostic Center / Saligram Pomim, Near Yes Registered Laboratory Yadav Kankar bagh 183 Patna Patna Radiology Solution 7 Diagnostic Center / Rajendra Nagar Road Yes Registered Research Centre Laboratory No-6 Patna 184 Patna Patna Premier X-Ray Imaging & Diagnostic Center / Saiadpur Road, Patna-4 Yes Registered Research Centre Laboratory 185 Patna Patna Dubey Clinic Pvt Ltd Private Nursing G-12, P. C. Colony, Kankar Yes Registered Home / Hospital Bagh, Patna Annexures 85

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 186 Patna Patna G. D. Memorial Homeopathic Private Nursing Medical College Hospital, Home / Hospital East Ramkrishna Nagar, Yes Registered Patna 187 Patna Patna Nish Kalanka Helath Private Nursing Padri Ki Haweli, Patna City Yes Registered Home / Hospital 188 Patna Patna Surya Ansh Imaging Diagnostic Center / 140A, Block No-A, Arya Yes Registered Laboratory Kumar, Patna 189 Patna Patna Gatewel Hospital Private Nursing Raja Bazar, Bailey Road, Yes Registered Home / Hospital Patna-14 190 Patna Patna Atlantis Medicare Hospital Private Nursing Raja Bazar, Sheikhpura, Yes Registered Home / Hospital Patna 191 Patna Patna Advance Imaging Diagnostic Center / Sudha Villa, Kurji More, Yes Registered Laboratory Patna 192 Patna Patna Palem View Imaging Service Private Nursing Patna, View Hospital, Yes Registered Home / Hospital Khajpura, Patna-14 193 Patna Patna Med Image Ultrasound Diagnostic Center / Mangal Market, Yes Registered Laboratory Shiekhpura, Pana 194 Patna Patna New Gardinur Road Hospital Government Income Tax, Folamber, Yes Registered Hospital Patna 195 Patna Patna Mahabir Vatsalya Hospital Private Nursing East Of Dadakat Ashram, Yes Registered Home / Hospital L. C. T. Ghat, Patna 196 Patna Patna Maxi Diagnostic Centre Diagnostic Center / O-Unverified 7, Doctor Laboratory Colony, Kankar bagh, Yes Registered Patna-20 197 Patna Patna Harsh Diagnostic Centre Diagnostic Center / Off Eye Hospital, F. M. Laboratory C. H, Ashokraj Path, Yes Registered Patna-20 198 Patna Patna Medi Zone Hospital Pvt Ltd Diagnostic Center / 43, Migh Kankar bagh Laboratory Colony, Opp Shalimar Yes Registered Sweets 199 Patna Patna Santati Fertility Clinic Infertility Clinic Arbind Hospital, Near Apt Yes Registered Centre, Ashok Raj Path 200 Patna Patna Tara Nursing Home Infertility Infertility Clinic Ani Basent Road, Patna Yes Registered Clinic College, Patna-4 201 Patna Patna Manglam Ultrasound Government Baldev Sahay Path, Near Yes Registered Hospital Budh Murthi 202 Patna Patna Balaji Heart Centre Diagnostic Center / Boaring Road Patna Yes Registered Laboratory District : Purnea 1 Purnea Purnea Parijat Scanning Center Diagnostic Center / Line Bazar Purnea Yes Registered Laboratory Nr Hope Hospital 2 Purnea Purnea Prabha Scan Center Diagnostic Center / NH-31 Purnea, Yes Registered Laboratory Aakashwani Chowk 3 Purnea Purnea Patna X-ray and Imaging Diagnostic Center / Punea Yes Registered Center Laboratory 4 Purnea Purnea Modean Clinic Ultrasound Diagnostic Center / Line Bazar, Purnea Yes Registered Diagnostic Center Laboratory 5 Purnea Purnea Ultrasound Diagnostic Diagnostic Center / Line Bazar, Purnea Yes Registered Center Laboratory 6 Purnea Purnea Advanced Diagnostic Center Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 7 Purnea Purnea A Polo Ultrasound Center Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 8 Purnea Purnea Eshan Ultrasound Center Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 9 Purnea Purnea National Diagnostic Scan Diagnostic Center / NH-31, K. K Jha Complex, Yes Registered Center Laboratory Purnea 10 Purnea Purnea Ambika Ultrasound Center Private Nursing NH-31 K. K Hospital, Line Yes Registered Home / Hospital Bazar, Purnea 11 Purnea Purnea Urmila Ultrasound Center Diagnostic Center / Kejariwal Seva Line Yes Registered Laboratory Sadan, Purnea 12 Purnea Purnea Rahim Ultrasound Center Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 86 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 13 Purnea Purnea Saloni Nursing Home Private Nursing Nh-31, Navaratan Hata, Yes Registered Home / Hospital Purnea 14 Purnea Purnea New Ultrasound Center B. N Private Nursing Bihar Takies Road, Line Yes Registered Nursing Home Home / Hospital Bazar, Purnea 15 Purnea Purnea Purnea Neuro & Scan Diagnostic Center / Post Martam Road, Line Yes Registered Center Laboratory Bazar, Purnea 16 Purnea Purnea Ultrasound Center Government Sadar Hospital, Purnea Yes Registered Hospital 17 Purnea Purnea Dr. Anand Ultrasound Diagnostic Center / Line Bazar, Purnea Yes Registered Imaging Center Laboratory 18 Purnea Purnea Eco Radiologist Unit Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 19 Purnea Purnea Hope Radio Imaging Unit Private Nursing Hope Hospital, Purnea Yes Registered Home / Hospital 20 Purnea Purnea Rajdhani Ultrasound Clinic Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 21 Purnea Purnea Soniya Ultrasound & Diagnostic Center / Line Bazar, Purnea Yes Registered Imaging Center Laboratory 22 Purnea Purnea Anubhav Scan Center Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 23 Purnea Purnea Onkar Cancer Clinic Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 24 Purnea Purnea Perfect Ultrasound & Diagnostic Center / Line Bazar, Purnea Yes Registered Imaging Center Laboratory 25 Purnea Purnea Radhika Ultrasound Center Diagnostic Center / Kejariwal Seva sadan, Yes Registered Laboratory Line Bazar, Purnea 26 Purnea Purnea Jyoti Ultrasound Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 27 Purnea Purnea Max Ultrasound Center Diagnostic Center / Line Bazar, Purnea Yes Registered Jeevan Jyoti Nursing Home Laboratory 28 Purnea Purnea Neelam Ultrasound Center Private Nursing Line Bazar Purnea Yes Registered Home / Hospital 29 Purnea Purnea Sanjeevani Hospital Private Nursing Line Bazar, N. H. 31, Yes Registered Home / Hospital Purnea 30 Purnea Purnea Manish Ultrasound Center Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 31 Purnea Purnea Kamla Diagnostic Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 32 Purnea Purnea Aaviskar Ultrasound Scan Diagnostic Center / Line Bazar Chowk, Purea Yes Registered Centre Laboratory 33 Purnea Purnea Pathak Ultrasound Clinic Diagnostic Center / Bihar Talkies Road, Line Yes Registered Laboratory Bazar, Purnea 34 Purnea Purnea Aryan Ultrasound Clinic Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 35 Purnea Purnea Muskan Diagnostic Diagnostic Center / Raju Complex, Line Bazar, Yes Registered Laboratory Purnea 36 Purnea Purnea Emam Diagnostic Diagnostic Center / Line Bazar, Purnea Yes Registered Laboratory 37 Purnea Purnea A. G. S. Medical System Diagnostic Center / Sadar Hospital, Purnea Yes Registered Regional Diagnostic Center Laboratory 38 Purnea Purnea Mata Anupama Devi Diagnostic Center / Purnea City, Kasba Road, research Hospital & Usg Laboratory Purnea Yes Registered Center 39 Purnea Purnea Subharti Ultrasound Center Diagnostic Center / Bihar Takies Road, Line Yes Registered Laboratory Bazar, Purnea 40 Purnea Purnea Maa Panchadevi Hospital & Private Nursing Line Bazar, Purnea Yes Registered Ultrasound Center Home / Hospital 41 Purnea Purnea Punea Ultrasound Center Diagnostic Center / Line Bazar, Purnea Yes Registered Uphar Nursing Home Laboratory 42 Banmankhi Banmankhi Sri Krishna Scan Diagnostic Diagnostic Center / Banmankhi Yes Registered Center Laboratory Annexures 87

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 43 Banmankhi Banmankhi Raj Ultrasound Clinic Diagnostic Center / Ambedkar Chowk, Yes Registered Laboratory Banmankhi, Purnea 44 Baisi Baisi Baisi Ultrasound Center Diagnostic Center / Baisi, Purnea Yes Registered Laboratory 45 Bhawanipur Bhawanipur Asha Imaging Center Diagnostic Center / Bhawanipur, Purnea Yes Registered Laboratory 46 Kasba Kasba U. S. G. Imaging Center (Dr. Diagnostic Center / Super Market, Kasba, Yes Registered Anand) Laboratory Purnea 47 Kasba Kasba Modern Ultrasound Center Diagnostic Center / Main Road Kasba, Purnea Yes Registered Laboratory 48 Banmankhi Banmankhi I. G. E. M. S. Ultrasound Government Sub Divisional Hospital Yes Registered Center Hospital Banmankhi District : Rohtas 1 Sasaram Sasarm Nidan Centre Diagnostic Center / Rauza Road, Sasharam Yes Registered Laboratory 2 Dehri Dehri Prakash Us Diagnostic Center / Dalmia Nagar, Rohtas Yes Registered Laboratory 3 Dehri On Sone Dehri On Sone Boss Diagnostic Diagnostic Center / Canal Road, Dehri On Yes Registered Laboratory Sone 4 Dehri On Sone Dehri On Sone Raj Imaging Centre Diagnostic Center / Kusum Bhawancanal Yes Registered Laboratory Road, Dehri On Sone 5 Bikramganj Bikramganj Ram diagnostic And Diagnostic Center / Centre Tenduni Yes Registered Research Laboratory Bikramganj, Rohtas 6 Bikramganj Bikramganj Rai Imaging Centre Diagnostic Center / Rai Complex, Civil Line G. Yes Registered Laboratory T. Road, Sasaram, Rohtas 7 Dehri On Sone Dehri On Sone Prasad Imaging Centre Private Nursing Prasad Heart Clinic, Pali Prasad Heart Centre Home / Hospital Road, Dehri On Sone, Yes Registered Rohtas 8 Dehri On Sone Dehri On Sone Anand Us Clinic Private Nursing Station Road, Deheri On Yes Registered Home / Hospital Sone, Rohtas 9 Sasaram Sasaram Narayan Medical Colege & Private Nursing Jamuhar, Rohatas Yes Registered Hospital Home / Hospital 10 Dehri On Sone Deheri On Sone Gitanjali Nursing Home Government Dehri on Sone, Rohtas Yes Registered Hospital 11 Sasaram Sasaram Surya Us Centre Diagnostic Center / Ser Shah Rauza Road, Yes Registered Laboratory Sasaram 12 Sasaram Sasaram Anjani Aragya Mandir Private Nursing Rouza Road No-1, Yes Registered Home / Hospital Sasaram 13 Dehri On Sone Dehri On Sone Aditya Us Clinic Centre Private Nursing Pali Road Dehri On Sone Yes Registered Home / Hospital 14 Rohtas Rohtas Akbar Sahara Chikitsa, Kentra Diagnostic Center / Rohtas Akber Pur, Rohtas Yes Registered Pur Laboratory 15 Sasaram Sasaram Navjeevan Health Centre Private Nursing New Area Sasaram, Yes Registered Home / Hospital Rohtas 16 Sasaram Sasaram I. G. E. Medical Systems Government Sadar Hospital, Sasaram Yes Registered Sadar Hospital Hospital 17 Sasaram Sasaram Anand Orthopeadic & Private Nursing Naurang Colony, Fayal Yes Registered Trauma Centre Home / Hospital Ganj, Sasaram 18 Dehri On Sone Dehri On Sone Prakash Us Private Nursing Rohtas Nursing Home, Yes Registered Home / Hospital Dalmiya Nagar, Rohtas 19 Sasaram Sasaram Cresent Health Care Private Nursing Rouia Road No-1, Yes Registered Home / Hospital Sasaram, Rohtas 20 Bikramganj Bikramganj Raidhanius Private Nursing Uma Chanchal Complex, Yes Registered Home / Hospital Bikramganj, Natawar Road 21 Sasaram Sasaram Radiology Clinic Government Rauza Road, Sasaram Yes Registered Hospital 22 Dehri On Sone Dehri On Sone Mata Deorani Chikitshday Private Nursing Mohan Bigha Dehri On Yes Registered Home / Hospital Sone Rohtas 23 Sasaram Sasaram Prakash Us Centre Diagnostic Center / Kalistan Sasaram House Yes Registered Laboratory No-452, Rohtas 88 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 24 Kochas Kochas Shasi Us Diagnostic Center / Dinara Road Shuvam Yes Registered Laboratory Road. Opp. P. N. B. Bank 25 Kochas Kochas Mohit Us Centre Diagnostic Center / Mhania Road Krishna Yes Registered Laboratory Market, C 26 Bikramganj Bikramganj Rita Memorial Hospital Private Nursing Dumrawn Road, No Registered Home / Hospital Bikramganj 27 Sasaram Sasaram Jeewan Jyoti Private Nursing Kali Sthne, G. T Road Yes Registered Home / Hospital District : Saharsa 1 Saharsa Saharsa M\S Ultrasound Center Private Nursing Gandhi Path, Saharsa Yes Registered Home / Hospital 2 Saharsa Saharsa Mahaveer Ultrasound Center Diagnostic Center / Uper Market Thara Chowk, Yes Registered Laboratory Saharsa 3 Saharsa Saharsa Satyam Hospital Private Nursing Naya Bazar, Saharsa Yes Registered Home / Hospital 4 Saharsa Saharsa Shivam Nursing Home Private Nursing Ramesh Jha Road, Yes Registered Home / Hospital Saharasa 5 Saharsa Saharsa Digital Ultrasound Center Diagnostic Center / Gangjala Chowk, Saharsa Yes Registered Laboratory 6 Saharsa Saharsa Advance Ultrasound Center Private Nursing C\O Ayush Nursing Home, Yes Registered Home / Hospital Naya Bazar, Sahasa 7 Saharsa Saharsa Popular Ultrasound Center Diagnostic Center / D. B Road, Avurga Gali, Yes Registered Laboratory Saharsa 8 Saharsa Saharsa M\S Jain Studio Ltd (Mobile Private Nursing Sadar Hospital, Saharasa Yes Registered Medical Unit) Home / Hospital 9 Saharsa Saharsa I. G. E Medical System Private Nursing Sadar Hospital, Saharsa Yes Registered Home / Hospital 10 Saharsa Saharsa Saharsa Ultrasound Diagnostic Center / 71, Super Market, Saharsa Yes Registered Laboratory 11 Saharsa Saharsa Lord Budha Kosi Medical Government Baijnathpur, Saharsa Yes Registered College, Hospital Hospital 12 Saharsa Saharsa Sai Digital Ultrasound Center Private Nursing Heart Case Clinic, New Yes Registered Home / Hospital Colony, Saharsa 13 Saharsa Saharsa Life Line Scanning Center Private Nursing Naya Bazar, Saharsa Yes Registered Home / Hospital 14 Saharsa Saharsa Ashirwad Ultrasound Center Private Nursing Aashiwad Nursing Home Yes Registered Home / Hospital Naya Bazar Saharsa 15 Saharsa Saharsa Dr Vishal Gawrav Clinic Private Nursing D. B Road, Saharsa Yes Registered Home / Hospital 16 Saharsa Saharsa Surya Ultrasound Center Private Nursing Surya Hospital, Gandhi Yes Registered Home / Hospital Path, Sharsa 17 Saharsa Saharsa Koshi Ultrasound Center Diagnostic Center / Refugee Colony, Bangaon Yes Registered Laboratory Road, Saharsa 18 Saharsa Saharsa Inner Vision Ultrasound Diagnostic Center / Gangajala Chowk, Yes Registered Center Laboratory Saharsa 19 Saharsa Saharsa Nalanda Ultrasound Clinic Private Nursing Naya Bazar, Saharsa Yes Registered Home / Hospital 20 Saharsa Saharsa Regional Diagnostic Center Diagnostic Center / Sadar Hospital Campus, Yes Registered Laboratory Saharsa 21 Saharsa Saharsa Ultrasound Unit Amna Private Nursing Bangaon Road, Saharsa Yes Registered Nursing Home Home / Hospital 22 Simri Bakhtiyar Saharsa New Digital Ultrasound Diagnostic Center / Sharsa Chowk Simri Yes Registered Pur Center Laboratory Bakhtiya Pur Saharsa 23 Sonbersa Sonbersa Sonbersa Ultrasound Diagnostic Center / Goushala Road, Sonbera Yes Registered Gawshala Road Laboratory District : Samastipur 1 Samastipur Samastipur Hariom Ultrasound Ultrasound Tajpur Road Yes Registered 2 Samastipur Samastipur Shiv Shakti Ultrasound Ultrasound Near Dr. G. C Karan Yes Registered Kashipur 3 Samastipur Samastipur Maa Ultrasound Ultrasound Kasipur Yes Registered 4 Samastipur Samastipur Mihir Ultrasound Ultrasound Kasipur Yes Registered Annexures 89

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 5 Samastipur Samastipur Nishant Ultrasound Ultrasound Kashipur Yes Registered 6 Samastipur Samastipur Badaijee Ultrasound Ultrasound Mohanpur Road Yes Registered 7 Samastipur Samastipur Krishna Hospital Private Nursing Adarsh Nagar Yes Registered Home / Hospital 8 Patori Patori Krishna Ultrasound Ultrasound Cinema Road, Patori Yes Registered 9 Hasanpur Hasanpur Dr. Hardev Prasad Ultrasound Hasanpur Road Near SBI Yes Registered Ultrasound Clinic ATM 10 Dal Singh Sarai Dal Singh Sarai Shree Raut Ultrasound Ultrasound Ganja Road, Dal Singh Yes Registered Sarai 11 Dal Singh Sarai Dal Singh Sarai Shiv Sakti Ultrasound Ultrasound Ganja Road, Dal Singh Yes Registered Sarai 12 Dal Singh Sarai Dal Singh Sarai Shail Ultrasound Ultrasound Gangj Road, Dal Singh Yes Registered Sarai 13 Rosera Rosera Health Home Ultrasound Ultrasound Block Road, Rosera Yes Registered 14 Rosera Rosera Ganesh Ultrasound Ultrasound Block Road, Rosera Yes Registered 15 Rosera Rosera Vishal Ultrasound Ultrasound Block Road, Roasera Yes Registered District : Saran 1 Chapra Chapra Sharma Ultrasound Private Nursing Thana Road, Bhagwan Yes Registered Home / Hospital Bazar, Chapra Saran 2 Chapra Chapra Girja Ultrasound Diagnostic Center / Thana Road, Bhagawan Yes Registered Laboratory Bazar, Chapra 3 Chapra Chapra S. D Scan Centre Diagnostic Center / Thana Road, Tiwari Hata Yes Registered Laboratory Bhagwan Bazar, Chapra 4 Chapra Chapra Narayan Ultrasound Diagnostic Center / Hardan Basu Lane, Yes Registered Laboratory Bhagwan Bazar, Chapra 5 Chapra Chapra Adarsh Ultrasound Diagnostic Center / Dr. Harendra Basu Lane, Yes Registered Laboratory Bhagwan Bazar, Chapra 6 Chapra Chapra J. P. Scan Centre Diagnostic Center / Bharat Milap Chowk, Yes Registered Laboratory Chapra Saran 7 Chapra Chapra Suraksha Diagnostic Diagnostic Center / Bharat Milap Chowk Yes Registered Laboratory Chapra Saran 8 Chapra Chapra Baba Scan Centre Diagnostic Center / Ramlila Mathiya Chapra Yes Registered Laboratory 9 Chapra Chapra I. G. E Medical System Government Sadar Hospital, Chapra Yes Registered Hospital Saran 10 Chapra Chapra Ambika Scan Centre Diagnostic Center / Chhatra Dhari Bazar, Near Yes Registered Laboratory Hospital 11 Chapra Chapra Om Ultrasound Diagnostic Center / Malkhana Chowk, Main Yes Registered Laboratory Road Chapra 12 Chapra Chapra Bharat Ultrasound Scanning Diagnostic Center / Sri Nandan Road, Chapra Yes Registered Centre Laboratory 13 Chapra Chapra Saran Nursing Home & Private Nursing Sadhnapuri, Chapra Yes Registered Research Centre Home / Hospital 14 Chapra Chapra Ultrasound Centre Narayani Private Nursing Dr. Smt Mina Singh Patho Hospital Home / Hospital Bhagawan Bazar, Thana Yes Registered Road, House 15 Chapra Chapra Kailash Ultrasound Diagnostic Center / Sri Nandan Path, chapra, Yes Registered Laboratory Near JPM College 16 Chapra Chapra Scan Centre Private Nursing Mahmood Chowk, Yes Registered Home / Hospital Dahiyawan, Chapra 17 Chapra Chapra Mahavir X-Ray & Scan Private Nursing Dahiyawan, Chapra, Near Yes Registered Centre Home / Hospital Mahmood Chowk 18 Chapra Chapra Chest Clinic Private Nursing Nagar Palika Chowk, Yes Registered Home / Hospital Chapra, Saran 19 Chapra Chapra Om Ultrasound Diagnostic Center / Station Road, Mashrakh Laboratory Chapra, Saran Nagar Yes Registered Station Chouraha 20 Chapra Chapra Binayak Ultrasound Diagnostic Center / Station Road, Mashrakh Yes Registered Laboratory Chapra, Saran 21 Chapra Chapra I. G. E Medical System Government P. H. C Mashrakh, Near Yes Registered Ultrasound Hospital Thana, Chapra Saran 90 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 22 Chapra Chapra I. G. E. M. S Ultrasound Government Refral Hospital, Baniyapur Yes Registered Hospital Thana Road 23 Chapra Chapra Shivam Ultrasound Diagnostic Center / Baniyapur Mangal Market, Yes Registered Laboratory Saran 24 Chapra Chapra I. G. Em, S Ultrasound Government Refral Hospital Tariya Yes Registered Hospital Chapra Saran 25 Chapra Chapra Binod Ultrasound Diagnostic Center / Hospital Road Parsa Yes Registered Laboratory Chapra Near Mandir 26 Chapra Chapra I. Gems Ultrasound Government I. Gems $Lvasa Phc Yes Registered Hospital Manjhi, Chapra Saran 27 Chapra Chapra Shivam Scan Centre Private Nursing Ekma Railway Station Home / Hospital Road, Chapra Saran, Near Yes Registered S. B. Jatrm 28 Chapra Chapra Durga S-Ray & Ultrasound Diagnostic Center / Shivpuri, Purani Chari, Yes Registered Centre Laboratory Ekma Saran 29 Chapra Chapra Naz Ultrasound Centre Diagnostic Center / Block Road, Amnaur, Yes Registered Laboratory Chapra Sarar 30 Chapra Chapra Patli Potra Sewa Sadan Diagnostic Center / Janta Bazar, Chapra Yes Registered Ultrasound Centre Laboratory Saran 31 Chapra Chapra Dhara Osha Ultrasound Private Nursing Raipur Road, Garkha, Opp Yes Registered Home / Hospital High School 32 Chapra Chapra Roshini Ultrasound Diagnostic Center / Markhapura Khurd, Yes Registered Laboratory Chapra Saran 33 Chapra Chapra I. Gems Ultrasound Government Refral Hospital, Markhaura Yes Registered Hospital Chapra 34 Marhaura Marhaura Roshni Ultrasound Diagnostic Center / Marhaura, Khurdchapra Yes Registered Laboratory Saran 35 Marhaura Marhaura I. Gens Ultrasound Government Refral Hospital, Marhaura Yes Registered Hospital Chapra 36 Marhaura Marhaura Marhaura X-Ray Ultrasound Diagnostic Center / Main Road Marhaura Yes Registered Laboratory Chapra Saran 37 Shitalpur Gupta Ultrasound Diagnostic Center / Station Road, Shitalpur Yes Registered Laboratory Chapra Saran 38 Sonepur Sonepur Igem Ultrasound Government Refral Hospital road, Yes Registered Hospital Sonepur Chapra Saran 39 Sheohar Sheohar Ultrasound Diagnostic Center / Piprahi Road Near Sadar Yes Registered Laboratory Hospital Sheohar 40 Sheohar Prakash Ultrasound Diagnostic Center / Sadar Hospital, Get Yes Registered Laboratory Sheohar District : Shiekhpura 1 Shiekhpura Shiekhpura Nalanda Ultrasound Diagnostic Center / Dallu More, Near Sadar Yes Registered Laboratory Hospital 2 Shiekhpura Shiekhpura Devi Ultrasound Diagnostic Center / Dallu More, Near Sadar Yes Registered Laboratory Hospital 3 Shiekhpura Shiekhpura Maruya Ultrasound Diagnostic Center / Grihinda Chowk, Yes Registered Laboratory Shiekhpura 4 Barbigha Referal Hospital Government Referal Hospital, Barbigha Yes Registered Hospital 5 Barbigha Barbigha Kiran Ultrasound Center Private Nursing Hospital Hat Road, Yes Registered Home / Hospital Barbigha 6 Barbigha Barbigha Apna Ultrasound Diagnostic Center / Taxy Stand, Barbigha Yes Registered Laboratory 7 Barbigha Barbigha Rajdhani Ultrasound Diagnostic Center / Gopal Bad Road, Barbigha Yes Registered Laboratory 8 Barbigha Barbigha Shivam Ultrasound Diagnostic Center / Faizabad Yes Registered Laboratory District : Sita Marhi 1 Dumra Sitamarhi Ultrasound Clinic Private Nursing Thana Road, Sitamarhi Yes Registered Home / Hospital 2 Dumra Sitamarhi Sita Marhi Ultrasound Clinic Diagnostic Center / Hospital Road, Sitamarhi Yes Registered Laboratory Annexures 91

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 3 Dumra Sitamarhi Adarsh Colour Ultrasound Diagnostic Center / Hospital Road, Sitamarhi Yes Registered Laboratory 4 Dumra Sitamarhi Popular Ultrasound Clinic Diagnostic Center / Hospital Road, Sitamarhi Yes Registered Laboratory 5 Dumra Sitamarhi Tirhut Colour Ultrasound Diagnostic Center / Hospital Road, Sitamarhi Yes Registered Laboratory 6 Dumra Sitamarhi Kalyani Ultrasound Center Diagnostic Center / Hospital Road, Sitamarhi Yes Registered Laboratory 7 Dumra Sitamarhi Alka Ultrasound Diagnostic Center / Hospital Road, Sitamarhi Yes Registered Laboratory 8 Dumra Sitamarhi Mohan Jha Ultrasound Private Nursing Raju Pati, Dumara Road, Yes Registered Home / Hospital Sitamarhi 9 Dumra Sitamarhi Janta Colour Ultrasound Diagnostic Center / Hospital Road Sitamarhi Yes Registered Laboratory 10 Dumra Sitamarhi Populat Ultasound Diagnostic Center / Rajo Patti Dumra Road, Yes Registered Laboratory Sitamarhi 11 Dumra Sitamarhi Gandhi Ultrasound Clinc Diagnostic Center / Hospital Road, Sitamarhi Yes Registered Laboratory 12 Dumra Sitamarhi Nutan Ultrasound Clinc Private Nursing Shankar Cinema Road, Yes Registered Home / Hospital Sitamarhi 13 Pupri Sitamarhi Adarsh Scanning Center Diagnostic Center / Janakpur Road, Pupri Yes Registered Laboratory 14 Pupri Sitamarhi Family Diagnostic Centre Diagnostic Center / Laxmi Market, Pupri Yes Registered Laboratory 15 Majorganj Sitamarhi Raghu Ultrasound Center Diagnostic Center / Road, Majorganj Yes Registered Laboratory 16 Parihar Sitamarhi Adarsh Ultrasound Diagnostic Center / Azhari Market, Parihar Yes Registered Laboratory 17 Sitamarhi Modern Ultrasound Private Nursing Hospital Road, Bairgania Yes Registered Home / Hospital District : Siwan 1 Siwan Siwan Dr. Diagnostic Ultrasound Diagnostic Center / Dr. Lakhichandra Hospital Laboratory Road, Siwan, Back Sadar Yes Registered Hospital 2 Siwan Siwan Ram Raj Ultrasound Diagnostic Center / Rajendra Path, Dr. Arvind Yes Registered Laboratory Kumar, Siwan 3 Siwan Siwan Ankur Ultrasound Private Nursing Dr. Saroj Singh, Rajeev Yes Registered Home / Hospital Nagar Chakiya, Siwan 4 Siwan Siwan K. B. Ultrasound Government Babuniya Road, Siwan, Yes Registered Hospital Near Janata Medical 5 Siwan Siwan Rani Ultrasound Private Nursing Rameswar Nursing Home, Home / Hospital Shanti Kutir Dahala Over Yes Registered Bridge 6 Siwan Siwan Prazna Ultrasound Private Nursing Gaushal Road S\W, An{Dr. Yes Registered Home / Hospital R. Kiran} 7 Siwan Siwan Mona Ultrasound Private Nursing Dr. Ashir Hussain, Mona Home / Hospital Nursing Home, Babuniya Yes Registered Road, Siwan 8 Siwan Siwan Baba Ultrasound Diagnostic Center / Rajeevnagar Gaushala Yes Registered Laboratory Road, Siwan 9 Siwan Siwan Sufiya Ultrasound Private Nursing Sufiya Memorial Hospital, Yes Registered Home / Hospital Hospital Road, Siwan 10 Siwan Siwan Fajlai Karim Ultrasound Private Nursing Dr. Avsad Khan Makdum Yes Registered Home / Hospital Sarai Road, Siwan 11 Siwan Siwan Sriram M. R. I. City Scan Private Nursing Fatepur Bypass Road, Yes Registered Centre Home / Hospital Siwan 12 Siwan Siwan Dev Ultrasound Diagnostic Center / Hospital Road, Siwan, Yes Registered Laboratory Near Sadar Hospital Gatye 13 Siwan Siwan Srisai Ultrasound Private Nursing Pakri More, Gaushala Home / Hospital Road, Near Kangres Yes Registered Maidan 14 Siwan Siwan Bhavya Ultrasound Diagnostic Center / Pakrimore, Gaushlla Road, Yes Registered Laboratory Near Kangres Maidan 92 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 15 Siwan Siwan Mahadev Ultrasound Private Nursing Naibasti Siwan Near Yes Registered Home / Hospital Gandhi Maidan 16 Siwan Siwan Lakshmi Ultrasound Private Nursing Dr. Chandrabhanu Singh Home / Hospital Laxmi Nagar Andar Dhala, Yes Registered Siwan 17 Siwan Siwan Biswanath Ultrasound Diagnostic Center / Shyam Complex Hospital Yes Registered Laboratory Road, Siwan 18 Siwan Siwan Anand Ultrasound Diagnostic Center / Pakri More Gaushalla Yes Registered Laboratory Road, Siwan 19 Siwan Siwan Bombay Ultrasound Diagnostic Center / Rahman Market, Hospital Yes Registered Laboratory Road, Siwan 20 Siwan Siwan Durga Ultrasound Diagnostic Center / Rajendra Path Durga Laboratory Sadan, Mithlesh Sharma Yes Registered Campus, Siwan 21 Siwan Siwan Kamla Ultrasound Diagnostic Center / Super Market, Hospital Yes Registered Laboratory Road, Siwan 22 Siwan Siwan Raj Ultrasound Private Nursing Dr. B. K. Ranjan. Home / Hospital Mohadipur Srinagar, Yes Registered Siwan 23 Siwan Siwan Shipra Ultrasound Private Nursing Dr. Sankar Singh Home / Hospital Gaushalla Road, Bijay Yes Registered Hafa, Siwan 24 Siwan Siwan Subh Ultrasound Private Nursing Dr. Sashibhasan Singh Home / Hospital Bijay Hata Barhariyar Yes Registered Road Siwan 25 Mairwa New Shibu Ultrasound Diagnostic Center / Manjuli Chowk, Mairwa, Yes Registered Laboratory Siwan 26 Mairwa Mairwa Baba Ultrasound Diagnostic Center / Manjuli Road, Mairwa, Yes Registered Laboratory Siwan 27 Mairwa Mairwa Kamala Ultrasound Diagnostic Center / Main Road Mairwa Yes Registered Laboratory 28 Maharajganj Maharajganj Om Ultrasound Diagnostic Center / Thana Road, Maharajganj Yes Registered Laboratory 29 Maharajganj Maharajganj R. D. Ultrasound Diagnostic Center / Over Siyar More, Yes Registered Laboratory Maharajganj 30 Maharajganj Maharajganj Radhika Ultrasound Diagnostic Center / Thana Road, Maharajganj, Yes Registered Laboratory Siwan 31 Basantpur Basantpur Shibam Ultrasound Diagnostic Center / Main Road Basantpur, Laboratory Near Shilpa Cinema, Yes Registered Siwan 32 Basantpur Basantpur Om Ultrasound Diagnostic Center / Main Road Basantpur, Yes Registered Laboratory Near Cinema Silphi, Siwan 33 Barhariya Barhariya Maa Ultrasound Diagnostic Center / Hospital Road, Barhariya, Yes Registered Laboratory Siwan 34 Barhariya Barhariya Rabiya Ultrasound Private Nursing Barauli Road, Barhariya, Yes Registered Home / Hospital Siwan 35 Ander Ander Anand Ultrasound Diagnostic Center / Bhawrajpur Road, Ander Yes Registered Laboratory Bazar, Near Central Bank 36 Pachrukhi Tarwara Mahavir Ultrasound Diagnostic Center / Pachrukhi Road, Tarwara Yes Registered Laboratory District : Supaul 1 Raghopur Raghopur Rishav Ultrasound Diagnostic Center / Raghopur Hospital Road, Yes Registered Laboratory Saupaul 2 Basantpur Basantpur Surya Diagnostic Diagnostic Center / Gol Chowk, Beerpur Yes Registered (Birpur) Laboratory (Basantpur) 3 Supaul Supaul Guneswar Memorial Diagnostic Center / Station Road, Supaul Yes Registered Ultrasound Clinic Laboratory 4 Supaul Supaul I. G. M. S. Ultrasound, Sadar Government Sadar Hospital, Supaul Yes Registered Hospital Hospital 5 Supaul Supaul Life Line Imaging Center Private Nursing Naya Nagar, Ward No-14, Yes Registered Home / Hospital Supaul 6 Supaul Supaul Kalyani Ultrasound Clinic Diagnostic Center / Mahaveer Chowk, Supaul Yes Registered Laboratory Annexures 93

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 7 Supaul Supaul Laxmi Ultrasound Clinic Diagnostic Center / Dharamshala Road, Yes Registered Laboratory Supaul 8 Supaul Supaul Shristi Nursing Home Private Nursing Naya Nagar, Ward-13, Yes Registered Home / Hospital Supaul 9 Nirmali Nirmali Chahat Scanning Center Diagnostic Center / Daslakh Chowk Koshi Yes Registered Laboratory Project Road, Nirmali 10 Pipra Pipra Life Vision Ultrasound, Diagnostic Center / Thana Road, Pipra Yes Registered Center Laboratory District : Vaishali 1 Hajipur Hajipur Balaji Ultrasound Diagnostic Center / Singh Complex, Jauhari Yes Registered Laboratory Bazar, Hajipur 2 Hajipur Hajipur Max Diagnostic Center Diagnostic Center / Gandakpul Road, Jauhari Yes Registered Laboratory Bazar, Hajipur 3 Hajipur Hajipur Om Ultrasound Center Diagnostic Center / Jauhari Bazar, Hajipur Yes Registered Laboratory 4 Hajipur Hajipur Vimal Ultrasound & Diagnostic Center / Navin Cinema Road, Yes Registered Research Center Laboratory Hajipur 5 Hajipur Hajipur Computer Ultrasound Center Diagnostic Center / Navin Cinema Road, Yes Registered Laboratory Hajipur 6 Hajipur Hajipur Gems Ultrasound Government Sadar Aspatal, Hajipur Yes Registered Hospital 7 Hajipur Hajipur New Maa Ultrasound Diagnostic Center / Kanauhali Complex, Yes Registered Laboratory Hospital Road, Hajipur 8 Hajipur Hajipur Vaishali Ultrasound Center Diagnostic Center / Hospital Road, Hajipur Yes Registered Laboratory 9 Hajipur Hajipur Sujivan Ultrasound Center Diagnostic Center / Subash Chowk, Hajipur Yes Registered Laboratory 10 Hajipur Hajipur Chandra Nursing Home Diagnostic Center / Subash Chowk, Hajipur Yes Registered Ultrasound Center Laboratory 11 Hajipur Hajipur Upkar Ultrasound Center Diagnostic Center / Subash Chowk, Mandir Yes Registered Laboratory Road, Hajipur 12 Hajipur Hajipur Super Ultrasound Center Diagnostic Center / Subash Chowk, Madhai Yes Registered Laboratory Road, Hajipur 13 Hajipur Hajipur Shreya Imaging & Research Diagnostic Center / Madhai Road, Hajipur Yes Registered Center Laboratory 14 Hajipur Hajipur Sivani Ultrasound Center Diagnostic Center / Pokhara Mohalla, Hajipur Yes Registered Laboratory 15 Hajipur Hajipur Nutan Ultrasound Center Diagnostic Center / Pokhara Mohalla, Hajipur Yes Registered Laboratory 16 Hajipur Hajipur Suman Ultrasound Diagnostic Center / Pokhara Mohalla, Hajipur Yes Registered Laboratory 17 Hajipur Hajipur Shiv Shakti Ultrasound Diagnostic Center / Pokhar Mohalla, Hajipur Yes Registered Laboratory 18 Hajipur Hajipur New Shivam Ultrasound Private Nursing Shivam Nursing Home, Home / Hospital Campus RN College, Yes Registered Hajipur 19 Hajipur Hajipur Mangalmurti Ultrasound Diagnostic Center / R. N. College Road Yes Registered Center Laboratory 20 Hajipur Hajipur New Krishna Ultrasound Diagnostic Center / Rajender Chowk, Hajipur Yes Registered Center Laboratory 21 Hajipur Hajipur Prasad Clinic Ultrasound Private Nursing Anwarpur Chowk, Hajipur Yes Registered Home / Hospital 22 Mahua Mahua Super Ultrasound Diagnostic Center / Samastipur Road, Mahua Yes Registered Laboratory Vaishali 23 Mahua Mahua Shiv Ultrasound Diagnostic Center / Samstipur Road, Mahua, Yes Registered Laboratory Vaishali 24 Mahua Mahua Colour Atoz Ultrasound Diagnostic Center / Suraj Market Pate Pur Yes Registered Laboratory Road, Mahua Vaishali 25 Mahua Mahua Shivam Ultrasound Diagnostic Center / Muzaffarpur Road, Mahua, Yes Registered Laboratory Vaishali 26 Mahua Mahua New Mahua Ultrasound Diagnostic Center / Muzaffarpur Road Mahua Yes Registered Center Laboratory Vaishali 94 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S. Originally City/Block Village Name Type of Facility Address Registered No Listed 27 Mahua Mahua Ultrasound Government Sub-Divisional Hospital, Yes Registered Hospital Mahua, Vaishali 28 Mahua Mahua Alok Ultrasound & Xray Private Nursing Mangarua Chowk, Mahua Yes Registered Center Home / Hospital Vaishali 29 Mahua Mahua Chanchal Suman Ultrasound Private Nursing Majjpur Road, Mahua Yes Registered & Hospital Home / Hospital Vaishali 30 Lalganj Lalganj Private Clinic Ultrasound Private Nursing Private Clinic, Hajipur Yes Registered Center Home / Hospital Road, Hajipur 31 Lalganj Lalganj Shivam Ultrasound Private Nursing Ray Market Mahua Road, Yes Registered Home / Hospital Lalganj 32 Lalganj Lalganj Igem Ultrasound Government Refral Hospital, Lalganj, Yes Registered Hospital Vaishali 33 Jandaha Jandaha Srisankar Ultrasound Diagnostic Center / Jandaha Bazar, Vaishali, Yes Registered Laboratory Near Bharat Gas 34 Jandaha Jandaha Jamuna Ultrasound Private Nursing Block Road, Chokma Ddin Yes Registered Home / Hospital Jandaiha, Vaishali 35 Bidupur Bidupur Das Ultrasound Diagnostic Center / Phc Road, Bidupur, Yes Registered Laboratory Vaishali 36 Bidupur Bidupur Ravi Diagonstic Center Private Nursing Ramduli Bidupur Bazar, Yes Registered Home / Hospital Vaishali 37 Patepur Patepur Gayatri Ultrasound Diagnostic Center / Suraj Market Block Road, No Registered Laboratory Patepur, Vaishali

Annexure II Directory of Unregistered Facilities

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed District : Aurangabad 1 Aurangabad M. G Road Millenium Clinic Ultrasound M. G Road, Aurangabad, Not No Near Hdfc Bank Registered 2 Goh Goh Sanjeevni Ultrasound Ultrasound Gaya Road, Golapur, Goh Not No Registered District : Begusarai 1 Begusarai Begusarai Usha Ultrasound Centre Diagnostic Center / Dakbangalow Road, Not Yes Laboratory Begusarai Registered 2 Begusarai Begusarai Jay Mangala Ultrasound Diagnostic Center / Kachahari Road, Near Old Not Yes Centre Laboratory Petrol Pub Registered 3 Begusarai Begusarai Old Home Guard Office Private Nursing Nh 31, Begusarai Not Yes Home / Hospital Registered 4 Begusarai Begusarai Medi Scan Centre Diagnostic Center / I. M. A. path Sri Krishna Not Yes Laboratory Puri, Begusarai Registered 5 Balia Balia Balia Ultrasound Dr. Jay Diagnostic Center / Station Road, Balia Not Yes Prakash Agarwal Laboratory Registered 6 Barauni Barauni Dr. N. Bose Medical Officer Private Nursing I. O. C. L Barauni, Barauni Not Yes Home / Hospital Refinary Hospital Registered 7 Barauni Barauni Chand Suraj Chikitsalay Private Nursing Pappour Barauni, Dr. Rajiv Not Yes Home / Hospital Ranjan Kr Registered 8 Barauni Barauni Barauni Refinery Hospital Private Nursing Barauni Refinary Not No Home / Hospital Registered District : Bhojpur 1 Agiaon Narayanpur Dr. B. K. Singh U. S Diagnostic Center / Narayanpur Agiaon Not No Laboratory Registered 2 Arrah Arrah Baba Ultrasound Centre Diagnostic Center / Parmar Complex, South Not No Laboratory Ramna Road Registered Annexures 95

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed District : Darbhanga 1 Darbhanga Darbhanga Ultrasound & City Scan Ultrasound D. M. C. H, Darbhanga Not Yes Clinic Registered 2 Darbhanga Darbhanga Ultrasound Clinic Ultrasound Opp. Oriental Bank Not of Commerce, Benta, No Registered Lahariya Sarai 3 Darbhanga Darbhanga Vishal Scanning Centre Ultrasound In front of R. B. Memorial, Not No Benta, Lahariya Sarai Registered 4 Darbhanga Darbhanga Ultrasound Ultrasound Benta Chowk, Vip Road, Not No Lahariya Sarai Registered 5 Darbhanga Darbhanga Subash Ultrasound Ultrasound Ganga Sagar, Donar Not No Chowk Registered District : E. Champaran (Motihari) 1 Ghora Sahan Ghora Sahan Sikara Hana Ultrasoud Diagnostic Center / Ambika Palace Road, Not No Center Laboratory Ghora Sahan Registered 2 Ghora Sahan Ghora Sahan Life Line Ultrasound Centre Diagnostic Center / Aloo Mandi Bazar Road, Not No Laboratory Gharasahan Registered 3 Kesaria Kesaria O. P Tiwary Nursing Home Private Nursing Khajuria Chowk, Kesaria Not No Home / Hospital Registered 4 Chhauradan Chhauradan Swasthy Kendra Private Nursing Khairawa, Chhauradan Not No Home / Hospital Registered 5 Aareraj Areraj Arya Ultrasound Centre Diagnostic Center / Areraj Chowk, B. Snl Not No Laboratory Office Compound Registered 6 Aareraj Areraj Raj Ultrasound Diagnostic Center / Hospital Road, Areraj Not No Laboratory Registered 7 Harsidih Harsidih Shabanam X-Ray Private Nursing Harisidih Bazar, Near Not No Home / Hospital Durga Mandir Registered 8 Raxaul Raxaul Dunkan Ultrasound Diagnostic Center / Hospital Road, Raxaul Not No Laboratory Registered 9 Raxaul Raxaul Diagnostic Center / Main Road Raxaul, Near Not No Laboratory Hanuman Mandir Registered 10 Dhaka Dhaka New Sikarahand Ultrasound Diagnostic Center / Salim Market, Dhaka Not No Centre Laboratory Registered 11 Dhaka Dhaka Ragini Diagnost & Research Private Nursing Central Bank Road, Main Not No Centre Home / Hospital Road Dhaka Registered 12 Dhaka Dhaka National Imagin Centre Diagnostic Center / Ghora Sahan Road, Dayal Not No Laboratory Road, Dhaka Registered 13 Motihari Motihari M. T. K. Ultrasound Diagnostic Center / Hospital Road, Motihari Not No Laboratory Registered 14 Motihari Motihari Maya Maheswari Nursing Private Nursing Gopalpur Rajabazar, Not No Home Home / Hospital Motihari Registered 15 Motihari Motihari Motihari Medical Centre Diagnostic Center / Raghunathpur, Areraj Not No Laboratory Road, Motihari Registered 16 Motihari Motihari Rahman Nursing Home Private Nursing Chhatauni Road, Motihari Not No Home / Hospital Registered 17 Motihari Motihari Sakuntala Simgh Clinic Private Nursing Station Road Motihari Not No Home / Hospital Registered District : Gaya 1 Raniganj Pragati Ultrasound Ultrasound Vill-Raniganj, Opp. Pragati Not Ultrasound Main Road No Registered Raniganj 2 Imamganj Raniganj Muskan Ultrasound Ultrasound Vill-Raniganj, Opp. Pragati Not No Ultrasound Registered 3 Barachati Sobh Mangalam Ultrasound Lab Diagnostic Center / Surya Clinic, 2nd Floor, Not No Laboratory Sobh barachti Registered 4 Barachati Sobh Muskan X-Ray Diagnostic Center / Sobh Barachti, Gaya Not No Laboratory Registered 5 Gaya Gaya Niliyam Ultrasound Private Nursing Ganga Mahal, Near Not Yes Home / Hospital Durarni Mandir Registered 96 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed District : Gopalganj 1 Uchka Gaon Mirganj Sriram Ultrasound Diagnostic Center / Auugarh Naryan Singh Not No Laboratory Kachari Road Mirganj Registered 2 Nirganj Mirganj Seva Ultrasound Diagnostic Center / Mirganj Markshiya Chowk, Not Laboratory Gopalganj, Near State No Registered Bank 3 Katiya Katiya Bajrang Ultrasound Diagnostic Center / Refral Aspatal Road, Not No Laboratory Katiya, Gopalganj Registered 4 Baravli Baravli Sriram Ultrasound Diagnostic Center / Anugrah Narayan Singh, Not No Laboratory Baravali, Near Bus Stand Registered 5 Bhorey Bhorey Pushpam Ultrasound Diagnostic Center / B. S Gupta, Thana Road, Not No Laboratory Gopalganj, Bhorey Registered 6 Bhorey Bhorey Sriram Ultrasound Diagnostic Center / Ramesh Singh, Main Road Not No Laboratory Bhorey, Gopalganj Registered 7 Panchdewari Panchdevri Maa Ultrasound Diagnostic Center / Akhlesh Gupta Not Laboratory Panchdewari Bazar, Near No Registered Central Bank District : Jehanabad 1 Jehanabad Jehanabad Ms Manju Sharma Private Nursing Vill Makhdumpur, Not Yes Ultrasound Home / Hospital Jehanabad Registered 2 Jehanabad Jehanabad Ms Unique Ultrasound Private Nursing Main P G Road, Not Yes Home / Hospital Jehanabad Registered 3 Jehanabad Jehanabad Mahadev Ultrasound Center Diagnostic Center / Raja Market, Jehanabad Not No Laboratory Registered 4 Jehanabad Jehanabad Bharat Ultrasound Diagnostic Center / Block Road, Makhdumpur Not No Laboratory Registered 5 Jehanabad Jehanabad Rupa Ultrasound Diagnostic Center / Makhdumpur, Main Road Not No Laboratory Opp. Referal Hospital Registered District : Kaimur 1 Bhabua Bhabua Arti Hospital Dk/Cs Bhabua, Patel Chowk Not Yes Registered 2 Bhabua Bhabua Prakash Us Dk/Cs Bhabua, Chakbandi Road Not Yes Registered 3 Bhabua Bhabua Shivam U. S Sivam Palic Private Nursing Bhabua Not Yes Clinic Home / Hospital Registered 4 Bhabua Bhabua Bhakti Vedauta Hospital Private Nursing Patel Chawk, Chainpur, Not No Home / Hospital Lalan Singh Kacaltra Registered 5 Ramgarh Ramgarh Aditya Diagnostic Centre Diagnostic Center / Ramgarh, Near P. N. B Not No Laboratory Bank Registered District : Katihar 1 Ajam Nagar Salmari Rozy Medical and Private Nursing Salmari Bazar Katihar Not Yes Diagnostics, Dr Afar Alam Home / Hospital Registered 2 Korha Korha Durga Nursing Home Private Nursing Korha Bazar, Katihar Not Yes Home / Hospital Registered 3 Korha Simariya Road Life Care Clinic Private Nursing Simariya Road, Kolasi, Not Yes Home / Hospital Katihar Registered 4 Azam Nagar Salmari Saveb Ultrasound Private Nursing Salmari Bazar, Katihar Not No Home / Hospital Registered 5 Azam Nagar Salmari Sayeb Ultrasound Private Nursing Salmari Bazar, Katihar Not No Home / Hospital Registered District : Khagaria 1 Khagaria Khagaria Chandra Ultrasound Diagnostic Center / Kachahari Road, Khagaria Not Yes Diagnostic Laboratory Registered 2 Khagaria Khagaria Koshi Ultrasound Diagnostic Center / Kachahari Road, Khagaria, Not Yes Laboratory Near Laxmi Center Registered 3 Khagaria Khagaria Sn Imagine Center Diagnostic Center / Gogri Jamalpur, Near Not Yes Laboratory Nidan X-Ray Registered 4 Khagaria Khagaria Chandra Ultrasound Center Diagnostic Center / Gogri Resistry More, Near Not No Laboratory Petrol Puma Registered Annexures 97

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed District : Lakhisarai 1 Lakhisarai Lakhisarai Nistha Pain Clinic Private Nursing Dr. Rahul Kumar, Not Home / Hospital Chitaranjan Road, Yes Registered Lakhisarai 2 Lakhisarai Lakhisarai Rajdhani Ultrasound Centre Diagnostic Center / Pro. Kalamuddin Ahmad, Not Yes Laboratory Rajdhani Ultrasound Registered 3 Surajgarha Surajgarha Jagdhamba Seva Sadan Private Nursing Kazitola, Surajgarha Not No Home / Hospital Registered District : Madhepura 1 Madhepura Madhepura Body Care Ultrasound Diagnostic Center / Madhepura Bus Stand, Not Yes Centre Laboratory Madhepura Registered 2 Bihariganj Bihariganj Laxmi Ultrasound Centre Dk/Cs Naya Bazar, Bihariganj Not Yes Registered District : Madhubani 1 Jhanjharpur Hospital Road Jhanjharpur Ultrasound Ultrasound Hospital Road, Not Yes Clinic Jhanjharpur Registered District : Munger 1 Tarapur Tarapur Maa Sharde artho Nigog Private Nursing Tarapur, Munger Not No Physician Clinic Home / Hospital Registered District : Muzaffarpur 1 Muzaffarpur Muzaffarpur Hahaveer Scan Ultrasound Ultrasound Juran Chhapra, Main Not No Road Muzaffarpur Registered 2 Muzaffarpur Muzaffarpur Dirghaya Ultrasound Ultrasound Sadar Hospital Not No Registered 3 Bochaha Bochaha Shri Ultrasound Ultrasound Sarfdinpur, Bochaha Not No Registered District : Nalanda 1 Bihar Sharif Bihar Sharif Nalanda Ultrasound Center Diagnostic Center / Garh Per Bihar Sharif Not Yes Laboratory Registered 2 Bihar Sharif Bihar Sharif Upkar X-Ray & Ultrasound Diagnostic Center / Bus Stand Not Center Laboratory Rameshandrapur, Bihar Yes Registered Sharif 3 Islampur Islampur Shivam Ultrasound Diagnostic Center / Sahara India Complex, Not No Laboratory Islampur Registered District : Nawada 1 Nawada Nawada Jeevan Deep Scan Center Private Nursing Main Road Nawada Not Yes Home / Hospital Registered District : Paschim Champaran 1 Bettiah Bettiah Laxmi Ultrasound Diagnostic Center / Hospital Road Bettiah Not No Laboratory Registered 2 Bettiah Bettiah Janta Ultrasound Diagnostic Center / Hospital Road Bettiah Not No Laboratory Registered 3 Bettiah Bettiah Shivam Ultrasound Diagnostic Center / Hospital Road Bettiah Not No Laboratory Registered 4 Bettiah Bettiah Om Ultrasound Diagnostic Center / E Mitra Chowk, Hospital Not No Laboratory Road, Bettiah Registered 5 Bettiah Bettiah Ram Rahim Ultrasound Diagnostic Center / Mitra Chowk, Bettiah Not No Laboratory Registered 6 Bettiah Bettiah Aditay Ultrasound Diagnostic Center / Kotwali Chowk, Hospital Not No Laboratory Road, Bettiah Registered 7 Bettiah Bettiah Aryan Ultrasound Diagnostic Center / Kotwali Cowk, Hospital Not No Laboratory Road, Bettiah Registered 8 Bettiah Bettiah Raj Ultrasound Diagnostic Center / Kotwala Chowk, Hospital Not No Laboratory Road, Bettiah Registered 9 Bettiah Bettiah Mira Choudhary Centre Private Nursing Hospital Road, Bettiah Not No Home / Hospital Registered 10 Lauriya Lauriya Phc Government Main Road Lauriya Not No Hospital Registered 98 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed 11 Lauriya Lauriya Apna Health Care Centre Private Nursing Main Road Lauriya Not No Home / Hospital Registered 12 Narkatiaganj Narkatiaganj Phc Government Main Road Narkatiaganj Not No Hospital Registered 13 Narkatiaganj Narkatiaganj Janta Ultrasound Diagnostic Center / Kirishi Bazar Road, Not No Laboratory Narkatiaganj Registered 14 Narkatiaganj Narkatiaganj Champaran Ultrasound Diagnostic Center / Kirishi Bazar Road Not No Laboratory Narkatiaganj Registered 15 Narkatiaganj Narkatiaganj Super Ultrasound Diagnostic Center / Kirishi Bazar, Narkatiaganj Not No Laboratory Registered 16 Ram Nagar Ram Nagar Phc Government Main Road Ram Nagar Not No Hospital Registered District : Patna 1 Naubatpur Naubhtpur Balajee Ultrasound DK/CS Navbatpur, Patna Not Yes Registered 2 Danapur Danapur Mahabir Ultrasound DK/CS Mahabir Sthan, Danapur, Not Yes Patna Registered 3 Danapur Danapur Bishal Ultrasound DK/CS Bibi Ganj, Danapur, Patna Not Yes Registered 4 Sampatchak Sampatchak Shakuntala Ultrasound Diagnostic Center / Sampatchak, Patna Not No Laboratory Registered 5 Kitusroopur Kitusroopur Om Ultrasound Diagnostic Center / Station Road, Dr Bijay Kr Not No Laboratory Kh Ushrupur, Patna Registered 6 Patna Patna Smymal Hospital Private Nursing Maurya Path, Khajpur, Not Yes Home / Hospital Patna Registered 7 Patna Patna Ivf Centre Infertility Clinic Exhilition Road, Patna Not No Registered 8 Patna Patna Golghar Chikisa Kendra Private Nursing Near Golghar, Patna Not Yes Home / Hospital Registered 9 Patna Patna Divine Imagine Centre Private Nursing Chitragupt Nagar, Kankar Not Yes Home / Hospital Bagh, Patna Registered 10 Patna Patna Akash Ultrasound Diagnostic Center / Gulzar Bagh, Patna 7 Not Yes Laboratory Registered 11 Patna Patna Jeewan Deep Clinic Private Nursing Road No-11, Rajendra Not Yes Home / Hospital Nagar, Patna Registered 12 Patna Patna Chitka Diagnostic Centre Diagnostic Center / Laxmi Complex, Boring Not Yes Laboratory Road, Patna Registered 13 Patna Patna Smita Imagine & Caredial Private Nursing Yadav Bhawan, Nayo Tola Not Yes Centre Home / Hospital Patna-4 Registered District : Rohtas 1 Dehri On Sone Dehri On Sone Ige Medical Systems Phc, Government Dehri, Rohtas Phc Not Yes Dehri Hospital Registered 2 Dehri On Sone Dehri On Sone Sanjeevani Hospital Private Nursing Pali Road, Dehri On Sone Not Yes Home / Hospital Registered 3 Sasaram Sasram Maa Vaisnav Us Centre Diagnostic Center / 1st Floor Rouza Road, Not Yes Laboratory Sasaram Registered 4 Chenari Chenari Ranjan Clinic Private Nursing Vill-Bandhi Ps, Chenari Not No Home / Hospital Registered 5 Dehri On Sone Dehri On Sone Kopal Clinic Private Nursing Jhakhi Bigha, Kanal Road, Not No Home / Hospital Dehri On Sone Registered District : Samastipur 1 Samastipur Samastipur Medicare Dignostic Center Ultrasound Tajpur Road Not Yes Registered 2 Samastipur Samastipur Hi Tech Ultrasound Ultrasound Kashipur Road Not Yes Registered 3 Samastipur Samastipur Bhartiy Ultrasound Ultrasound Kashipur Not No Registered 4 Samastipur Samastipur Neha Ultrasound Ultrasound Kashipur Not No Registered 5 Samastipur Samastipur Roy Ultrasound Ultrasound Kasipur Not Yes Registered Annexures 99

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed 6 Samastipur Samastipur Amar Ultrasound Ultrasound Mohanpur Road Not Yes Registered 7 Samastipur Samastipur A to Z Anamika Ultrasound Ultrasound Baliram College, Adarsh Not No Nagar Registered 8 Samastipur Samastipur Maa Jagdamba Ultrasound Ultrasound Infront of Grics High Not No Centre School Maingate, Kashipur Registered 9 Tajpur Tajpur Jeevan Sahara Hospital Private Nursing Bus Stand Road, Nh-28, Not No Home / Hospital Tajpur Registered 10 Tajpur Tajpur Anand Ultrasound Private Nursing Thana Chowk, Hospital Not No Home / Hospital Road Registered District : Saran 1 Chapra Chapra Vishal Ultrasound Diagnostic Center / Thana Road, Bhagwan Not No Laboratory Bazar, Chapra Registered 2 Chapra Chapra Uphar Sonu Echo Centre Private Nursing Nagar Palika Chowk, Not No Home / Hospital Chapra Saran Registered 3 Chapra Chapra Ajay Ultrasound Diagnostic Center / Station Road, Mashrakh, Not Yes Laboratory Opp Ashok Cinema Registered 4 Chapra Chapra K. G. N Scan Centre Private Nursing Thana Road, Mashrakh, Not Home / Hospital Near Para Medical & Yes Registered Hospital 5 Chapra Chapra Kuber Ultrasound Diagnostic Center / Thana Road, Baniyapur, Not No Laboratory Near Durga Nandir Registered 6 Chapra Chapra Maa Lakshmi Ultrasound Diagnostic Center / Dewariya Road, Tariya Not No Laboratory Chapra Saran Registered 7 Chapra Chapra Ramdayal Ultrasound Private Nursing Hospital Road, Parsa Not Home / Hospital Bazar, Chapra Gayatri No Registered Mandir 8 Garkha Garkha Durga Ultrasound Diagnostic Center / Chiran Road, Garkha Not No Laboratory Chapra Saran Registered District : Shiekhpura 1 Barbigha Barbigha M. D Ultrasound Singh Clinic Diagnostic Center / Dr Prem Lata Singh Not Laboratory Clinic, Near Petrol Pump, No Registered Bargaria District : Siwan 1 Siwan Siwan Suraj Ultrasound Diagnostic Center / Dr. S. N. Prasad, Dr. Not Yes Laboratory Colony Chowk, Siwan Registered 2 Siwan Siwan Medicare Ultrasound Private Nursing Dr. Binay Kumar Pandey, Not Yes Home / Hospital Fatepur road bypass, Siwan Registered 3 Siwan Siwan Suraj ct Scan Centre Private Nursing Dr. Colony Brahariya Road Not No Home / Hospital Siwan Registered 4 Mairwa Mairwa Aakriti Ultrasound Private Nursing Manjuli Chowk, Mairwa, Not Yes Home / Hospital Siwan Registered 5 Mairwa Mairwa Sriram Ultrasound Private Nursing Mairwa, Near Auto Stand, Not Yes Home / Hospital Siwan Registered 6 Maharajganj Maharajganj Sewa Ultrasound Private Nursing Afrad Road Maharajganj, Not Yes Home / Hospital Siwan Registered 7 Raghunathpur Raghunathpur Sherya Ultrasound Private Nursing Raghunathpur Bazar Not Yes Home / Hospital Registered 8 Navtan Navtan R. Diagnostic Centre Diagnostic Center / Main Road Mairwa, Siwan Not No Laboratory Registered 9 Sishwan Tari Road Chain Narayani Ultrasound Private Nursing Tari Road Chainpur, Siwan Not Yes Pur Home / Hospital Registered 10 Daraundha Daraundha B. K. Singh Clinic Private Nursing Main Road , Siwan Not No Home / Hospital Registered 11 Guthanj Guthanj R. Diagnostic Centre Diagnostic Center / Guthanj Main Road Not No Laboratory Registered 12 Guthanj Guthanj Pathology & Ultrasound Private Nursing Main Road Guthanj Not No Home / Hospital Registered District : Vaishali 1 Jandaha Jandaha Sumitra Ultrasound Private Nursing Sumitra Seva Sadan, Not Home / Hospital Jandaha Vaishali, Near Yes Registered Middle School 100 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

Annexure III Directory of Unverified Facilities

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed District : Arwal 1 Arwal Arwal Poonam Diagnostic Center Government Pipra Bangal Hasanpur, Yes Unverified Hospital Arwal 2 Kurtha Kurtha Ige Medical System Government P. H. C. Kurtha Yes Unverified Hospital District : Aurangabad 1 Navinagar Navinagar Magadh Clinic Government Tandwa Road, Navinagar, No Unverified Hospital Aurangabad District : Darbhanga 1 Darbhanga Darbhanga Sinha Ultrasound & C. T. Ultrasound Sinha House, Alalpati Yes Unverified Scan 2 Darbhanga Darbhanga Shiv Dayamanti Scanning Ultrasound Alalpati Chowk Yes Unverified Centre 3 Darbhanga Darbhanga Sweta Ultrasound Ultrasound Vip Road, Benta Chowk, Yes Unverified Lahariya Sarai 4 Darbhanga Darbhanga Diamond Ultrasound & C. T. Ultrasound Alalpati Chowk Yes Unverified Scan Centre 5 Darbhanga Darbhanga J. N. Ultrasound Ultrasound Donar Chowk, Darbhanga Yes Unverified 6 Darbhanga Darbhanga Ultrasound Centre Private Nursing Godawari Jeewan Home / Hospital Memorial Hospital, Shah Yes Unverified Ganj, L. Sarai 7 Darbhanga Darbhanga Ultrasound Centre Private Nursing City Hospital, Near Naka- Yes Unverified Home / Hospital 5, Kilaghat Road 8 Darbhanga Darbhanga Ultrasound Clinic Ultrasound Balbhadrapur New Market, Yes Unverified Lahariya Sarai 9 Darbhanga Darbhanga Ultrasound Clinic Private Nursing Navjeevan Hospital, Near Home / Hospital Anand Rest House, L. Yes Unverified Sarai 10 Darbhanga Darbhanga Ultrasound & Scanning Private Nursing Metro Hospital, Bakar No Unverified Centre Home / Hospital Ganj, Lahariya Sarai 11 Darbhanga Darbhanga Pooja Ultrasound Ultrasound Benta Chowk No Unverified 12 Baheri Baheri Balajee Scanning Centre Ultrasound Baheri Yes Unverified 13 Baheri Baheri Sahyog Janch Ghar Ultrasound Baheri Yes Unverified 14 Benipur Benipur Shyam Mai Scanning Centre Ultrasound Benipur No Unverified 15 Biraul Biraul Mithila Scanning Centre Ultrasound Supaul Bazar Biraul No Unverified 16 Laharia Sarai Laharia Sarai Sharma Diagnostic Centre Ultrasound Bengala Tala No Unverified District : Gaya 1 Sherghati Sherghati Vaishanav 2 Ultrasound Government Palika Market, Gola Road, Yes Unverified Hospital Sherghati 2 Barachati Gojaragarh Archana Ultrasound Government Gojarigarh, Barachati, Yes Unverified Hospital Gaya 3 Gaya Gaya Rashmi Ultrasound Private Nursing Sidhia Ghat, Gaya Yes Unverified Home / Hospital 4 Gaya Gaya Apollo Hospital Research Private Nursing Paradise Shaheed Road, Yes Unverified Center Home / Hospital Gaya 5 Gaya Murar Pur Rahul Diagnostic Center Private Nursing Murarpur, Gaya Yes Unverified Home / Hospital 6 Gaya Gaya Rashmi Ultrasound Private Nursing Red House Compound, Yes Unverified Home / Hospital Gaya 7 Gaya Gaya Astha Ultrasound Private Nursing Anandi Maa Mandir, Gaya Yes Unverified Home / Hospital 8 Gaya Gaya Kalpana Ultrasound Private Nursing Infront of Janar Hospital Yes Unverified Home / Hospital Gaya Annexures 101

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed District : Gopalganj 1 Gopalganj Gopalganj Amrit Ultrasound Private Nursing Raj Kumar, Ray Collage Yes Unverified Home / Hospital Road, Gopalganj 2 Gopalganj Gopalganj Gopalganj Ultrasound Private Nursing Ajay Kumar, Hari Market, Home / Hospital Chandra Gokol Road, No Unverified Gopalganj 3 Uchka Gaon Mirganj Popular Ultrasound Private Nursing Dr B. N Choudhary, Home / Hospital Hathua Road, Mirganj, No Unverified Gopalganj 4 Baravli Baravli Igems Ultrasound Government Subash Pathak Path, No Unverified Hospital Niswasth Kendra, Barauli 5 Baikunthpur Baikunthpur Mahavir Ultrasound Diagnostic Center / Station Road, Baikunthpur, No Unverified Laboratory Gopalganj 6 Kuchaikote Kuchaikote Igems Ultrasound Diagnostic Center / Brij Kishore Singh Laboratory Prathiuik Sawasth Kendra, Yes Unverified Kuchaikote 7 Kuchaikote Kuchaikote Mahavir Ultrasound Diagnostic Center / Sailesh Gupta, Main Road No Unverified Laboratory Kuchai Kote Gopalganj 8 Phulwariya Bathua Bazar Safa Ultrasound Diagnostic Center / Bathua Bazar, Phulwariya, No Unverified Laboratory Gopalganj 9 Phulwariya Bathua Bazar Najma Ultrasound Diagnostic Center / Bathua Bazar Ultrasound, Yes Unverified Laboratory Gopalganj District : Kishanganj 1 Kishanganj Kishanganj Radhika Ultrasound Centre Government Mahabir Marg, Near Pooja Yes Unverified Hospital Hotel, Kishanganj District : Madhubani 1 Jainagar Jainagar Jainagar Scanning Center Ultrasound Main Road Jainagar No Unverified 2 Jhanjharpur Jhanjharpur Mithila Scanning Center Ultrasound R. S Place, Jhanjharpur Yes Unverified 3 Madhubani Mangrauni J. C. T. M. H Foundation Dk/Cs Nauratan, Mangrauni, Yes Unverified Madhubani District : Muzaffarpur 1 Muzaffarpur Muzaffarpur Ultrasound Clinic Ultrasound Southpura Main Road Yes Unverified Aush Hopital 2 Muzaffarpur Muzaffarpur Maa Janki Hospital Private Nursing Bairia Golmber Yes Unverified Research Center Home / Hospital 3 Muzaffarpur Muzaffarpur Roya Nursing Home Private Nursing Kalambag Road Yes Unverified Maternity Center Home / Hospital 4 Muzaffarpur Muzaffarpur Medicare Diagnostic Center Private Nursing Road N 3, Juran Chhapra, Yes Unverified Home / Hospital Muzaffarpur 5 Muzaffarpur Muzaffarpur X-Ray Services Ultrasound Road No 4, Juran Chhapra Yes Unverified 6 Muzaffarpur Muzaffarpur Rangeela Sinha Nursing Private Nursing Juran Chhapra, Main Yes Unverified Home Home / Hospital Road Muzaffarpur 7 Muzaffarpur Muzaffarpur Echo Scan Center Ultrasound Hamesh Babu Chowk, Yes Unverified Muzaffarpur 8 Muzaffarpur Muzaffarpur Sinha Ultrasound Private Nursing Jeel Praishad Market, Home / Hospital Inside Apolo Hospital, Yes Unverified Juran Chhapra District : Nawada 1 Nawada Nawada B. K Ultrasound Government Hospital Road, Near Bata Yes Unverified Hospital Showroom, Nawada 2 Nawada Nawada Ige Medical System Sadar Government Sadar Hospital, Nawada Yes Unverified Hospital, Nawada Hospital District : Patna 1 Danapur Danapur Contonent X Ray Ultrasound DK/CS Marshal Bazar, Banapur Yes Unverified 2 Danapur Danapur Divisonal Railway Hospital DK/CS Darapur Yes Unverified 3 Bihta Bihta Ultrasound Clinic DK/CS Bihta, Patna Yes Unverified 4 Kitusroopur Kitusroopur Sai Ultrasound Diagnostic Center / Gani Chak, Station Road, No Unverified Laboratory Khushrupur 5 Barh Barh Shiv Shakti Ultrasound DK/CS Barh, Patna Yes Unverified 102 Mapping of Ultrasound Clinics and Assessment of Status of Implementation of PC & Pndt Act in Bihar

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed 6 Mokama Mokama Mahatma Gandhi Hospital DK/CS Main Road Maranchi No Unverified Mokama, Patna 7 Mokama Mokama Nazreth Hospital DK/CS Mokama Patna Yes Unverified 8 Fatuha Fatuha City Jhanch Ghat DK/CS Station Road, Fatuha, No Unverified Near P H C 9 Fatuha Fatuha Abhinav (Prasad Nursing DK/CS Yadaveansh Nagar, Yes Unverified Home) Ultrasound Fatuha 10 Fatuha Fatuha Abhay Hospital Surgery DK/CS Maharani Chowk, Fatuha Yes Unverified 11 Fulwari Fulwari Mahavir Cancer Sansthan DK/CS Phwwark Sarif, Haroon Yes Unverified Nagar 12 Fulwarisarif Fulwarisarif Saeed Memorial Life Care DK/CS Shantikunj, Haroon Nagar, Yes Unverified Hospital Patna 13 Fulwarisarif Fulwarisarif I N S Ultrasound Centre DK/CS Makdum Robti Nagar, Opp Yes Unverified Falwarisarif Patna 14 Fulwarisarif Fulwarisarif Arya Digital Diagonestic DK/CS Shop No A. Unverified Centre B78 Near Sundri Bhawar Yes Unverified Fulwarisarif, Patna 15 Fulwarisarif Fulwarisarif DK/CS Yes Unverified 16 Patna Patna Aasthalok Hospital N/4 Rd Private Nursing Colony, Kankarbagh, Yes Unverified Colony, Kankarbagh Patna Home / Hospital Patna-20 17 Patna Patna Anand Ultrasound Private Nursing Anand Bus Stand, Kavi Home / Hospital Raman Path, Boaring Yes Unverified Road 18 Patna Patna Hitesh Emergency Centre Private Nursing Saguna More, Patna Yes Unverified Hospital Home / Hospital 19 Patna Patna Jeevandeep Nursing Home Private Nursing Road No-11, Rajendra Yes Unverified Home / Hospital Nagar, Patna 20 Patna Patna Pawan Ultrasound Centre DK/CS Unverified pc Colony, Yes Unverified Kankar Bagh, Patna -20 21 Patna Patna Sri Sai Chikitsa Evan Sodh DK/CS Panchi Shiv Mandir Sansthan Complex, Kankarbagh, Yes Unverified Patna 22 Patna Patna Subdha Clinic Ultrasound DK/CS Hanuman Nagar, K-1 Unverified 4, Near Deepak Yes Unverified Hospital 23 Patna Patna Nalanda Medical College Private Nursing Agamkuana, Gulzarbagh, Yes Unverified Hospital Home / Hospital Patna 24 Patna Patna Sound Healty Ultrasound Private Nursing Shahganj Dargah Road, Home / Hospital Near Mahar Anigas Yes Unverified Godam, Patna 25 Patna Patna Guru Govind Singh Hospital Private Nursing Gurahatta Patna City Opp Yes Unverified Home / Hospital Hdfc ATM 26 Patna Patna Patna Ultrasound Private Nursing Bajrangpuri Gai Ghat Yes Unverified Home / Hospital 27 Patna Patna Sri Krishna Diagnostic Private Nursing M. P Sinha Paina Road, Yes Unverified Centre Home / Hospital Kadamkuana Patna 28 Patna Patna Sparsh Heritage Hospital Private Nursing Santa, Patna, New Bengali Yes Unverified Home / Hospital Tola Mithapur Bus Stand 29 Patna Patna Centre Super Speciality Private Nursing E. C Road Way Yes Unverified Hospital Home / Hospital Karbigahiya Pitna 30 Patna Patna Pratap Colony Doplar Private Nursing Nala Road, Rajesh Nagar Yes Unverified Ultrasound Centre Home / Hospital 31 Patna Patna Rajeswar Hospital Private Nursing Bahadurpur Gumit, Patna Yes Unverified Home / Hospital 32 Patna Patna Pratap Colour Doopler Private Nursing Nala Road, Patna Yes Unverified Ultrasound & Echo Centre Home / Hospital 33 Patna Patna Kumar Scan Centre Echo Private Nursing Arya Kumar Road, Patna Yes Unverified Home / Hospital 34 Patna Patna Surya Ultrasound Private Nursing N/3 Tilak Naga, r Yes Unverified Home / Hospital Kankarbagh, Patna-20 35 Patna Patna Sriram Hospital Private Nursing Kankarabagh, Patna-20 Yes Unverified Home / Hospital Annexures 103

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed 36 Patna Patna Mariam Hospital Private Nursing Pathar Ki Maszid, Near Yes Unverified Home / Hospital Petrol Pump 37 Patna Patna Padam Raj Ultrasound And Private Nursing N C 2B Lan Lazhagh X-ray Centre Home / Hospital Main Road Near Shriram Yes Unverified Nursing Home 38 Patna Patna Indian Red Cross Society Private Nursing North Gandhi Maidan, Yes Unverified Home / Hospital Patna 39 Patna Patna Indira gandhi Institute Of Private Nursing Shiekhpura, Patna Yes Unverified Medical Science Home / Hospital 40 Patna Patna Kurji Holi Family Hospital Private Nursing Rana Sadakat Ashram, Yes Unverified Home / Hospital Kurji, Patna 41 Patna Patna Raj Trust Hospital Private Nursing Sweta Smriti Bhawan, Home / Hospital Bus Stand Road, Near Yes Unverified Jakkahpur Patna 42 Patna Patna Jeevak Heart Hospital & Private Nursing 6, Doctor Colony Yes Unverified Research Clinic Institute Home / Hospital Kankarbagh Patna-20 43 Patna Patna Mishra Imagine & Research Private Nursing Annie Basent Road, Yes Unverified Centre Home / Hospital Patna-4 44 Patna Patna Adity Ultrasound & Echo Private Nursing G-Unverified 0, P. C. Centre Home / Hospital Colony, Kankarabagh, Yes Unverified Patna 45 Patna Patna Ankita Diagnostic Centre Private Nursing Ashok Raj Path Patna -4 Yes Unverified Home / Hospital 46 Patna Patna Patliputrra Advance Private Nursing Baldev Sahay Path, Near Diagnostic Cente Home / Hospital Budh Murti, Kadam, Yes Unverified Kurana Patna 47 Patna Patna Hitech Urology Centre Government Saguna More, Patna Yes Unverified Hospital 48 Patna Patna Jeevandeep Nursing Home Government Road No - Il, Rajendra Yes Unverified Hospital Nagar, Patna District : Saharsa 1 Simri Samri Kumar Ultrasound Center Private Nursing Simri Bakhtiyarpur, Yes Unverified Bakhtiyarpur Bakhtiyarpur Home / Hospital Saharsa District : Samastipur 1 Samastipur Samastipur Somya Ultrasound Private Nursing Thakur Wari Road, No Unverified Home / Hospital Kashipur 2 Samastipur Samastipur Soni Ultrasound Ultrasound Court Road, Kashipur No Unverified 3 Samastipur Samastipur Life Care Diagnostic Center Ultrasound Mohanpur Road No Unverified 4 Samastipur Samastipur Dr. Renusah Ultrasound Private Nursing Mohanpur Road No Unverified Clinic Home / Hospital 5 Samastipur Samastipur Mediline Scan Center Ultrasound Sadar Hospital Road, No Unverified Samastipur 6 Hasanpur Hasanpur Ashta Ultrasound Ultrasound Hasanpur Bazar No Unverified 7 Singhia Singhia Bhagwati Scanning Center Ultrasound Singhia Bazar No Unverified 8 Rosera Rosera Dr. Kiran Kr's Ultrasound Ultrasound Near Sub Div Phc Rosera No Unverified 9 Rosera Rosera Gupta Ultrasound Ultrasound Near Gas Agency, Block No Unverified Road, Rosera 10 Rosera Rosera Anand Ultrasound Ultrasound Block Road, Rosera No Unverified District : Saran 1 Chapra Chapra Sagar Ultrasound Diagnostic Center / Saheb Ganj Chowk, Laboratory Chapra, Near Raj Rest No Unverified House 2 Chapra Chapra Tripathi Nursing Home Dk/Cs Chhatradhari Bazar, No Unverified Chapra 3 Chapra Chapra Sriram Ultrasound Diagnostic Center / Dewariya Road, Tariya, No Unverified Laboratory Chapra Saran 4 Chapra Chapra Kumar Ultrasound Diagnostic Center / Parsa Bazar, Chapra, No Unverified Laboratory Saran 5 Chapra Chapra Krishna Ultrasound Diagnostic Center / Main Road Ekma Bazar, No Unverified Laboratory Near SBI Atm 6 Chapra Chapra Adarsh Ultrasound Dk/Cs Station Road, Marhaura, No Unverified Chara 104 Mapping of Ultrasound Clinics and Assessment of Status ofof ImplementationImplementation of of PC PCPND & PndtT Act Act in in Bihar Bihar

S . Originally City/Block Village Name Type Of Facility Address Registered No Listed 7 Marhaura Marhaura Adarsh Ultrasound Government Station Road, Marhaura, No Unverified Hospital Chapra 8 Ishuyapur Ishuyapur Anar Ultrasound Government Main Road Ishuyapur, No Unverified Hospital Chara Saran 9 Sonepur Sonepur Jeevan Deep Ultrasound Government Refral Hospital road, No Unverified Hospital Sonpur, Chapra : Siwan 1 Siwan Siwan J. K. Ultrasound Government Adda No-3, Hospital Road, Yes Unverified Hospital Siwan 2 Siwan Siwan Alina Ultreasound Government Sharif Colony Smile Hospital Shahid Road, Near N. M. Yes Unverified Colony, Siwan 3 Siwan Siwan Ultrasound Government Z. H. Unani Medical Yes Unverified Hospital Collage & Hospital, Siwan 4 Siwan Siwan Ultrasound Government Dayanand Ayurvedic Hospital Chikitsa Mahavidyalaya & Yes Unverified Hospital, : Supaul 1 Triveniganj Triveniganj Mahaveer Ultrasound Government Trveniganj Yes Unverified Hospital 2 Raghopur Raghopur Life Care Ultrasound Private Nursing Hospital Road Simrahi, Yes Unverified Simrahi Home / Hospital Raghopur 3 Raghopur Raghopur Deep Ultrasound Center Government Hospital Road Simrahi, Yes Unverified Simrahi Hospital Raghopur District : Vaishali 1 Lalganj Lalganj Medicane Ultrasound Diagnostic Center / Shukla Market Lalganj, Yes Unverified Laboratory Vaishali

MAPPING OF ULTRASOUND CLINICS AND United Nations Population Fund State Health Society, Bihar 55 Lodi Estate, New Delhi 110 003, India Pariwar Kalyan Bhawan ASSESSMENT OF STATUS OF IMPLEMENTATION India.unfpa.org Sheikhpura. Patna-800 014 www.statehealthsocietybihar.org OF PC & PNDT ACT IN BIHAR