Central Council of Indian Medicine

Visitation-Proforma for Siddha Colleges for session 2014-15 U/S 13C Page 1 of 43

PART- I CENTRAL COUNCIL OF INDIAN MEDICINE NEW DELHI

VISITATION PROFORMA FOR ASSESSMENT OF AVAILABLE FACILITIES OF TEACHING AND PRACTICAL TRAINING OF SIDDHA COLLEGE & ATTACHED HOSPITAL (For the Session 2014-15 Under Section 13 (C) of IMCC Act 1970) (To be filled up by the Principal and countersigned by Secretary or President of the Society)

Section ‘A’-General Information I. Information of College 1) Date of Visitation 2) Name of the College with Complete Address including pin code (mentioning taluka, distt. and other details)

3) Information of Contact No. of College communication Contact No. of Hospital Fax Email Website 4) Information of Principal Name Office Tel. No. Residence Tel. No. Mobile No. 5) Whether Government / Grant-in-aid / Private / Statutory College of University 6) Year of Establishment of Society / Trust 7) Year of Establishment of College 8) Information of State Govt. Name & Address Health Secretary / AYUSH Office Tel. No. Secretary dealing with the education of Ayurved, Unani Residence Tel. No. and Siddha Mobile No. 9) Information of State Govt. Name & Address Director of Siddha / AYUSH Office Tel. No. Residence Tel. No. Mobile No. 10) Information of President / Name & Address Secretary of Society/Trust of College (For Private / Private Office Tel. No. Aided College) Residence Tel. No. Mobile No.

Signature of Visitors with date Signature of Principal with date Visitation-Proforma for Siddha Colleges for session 2014-15 U/S 13C Page 2 of 43

11) Information 1. Vice Name of University / chancellor Office Tel. No. Statutory University Mobile No. 2. Registrar Name Office Tel. No. Mobile No. 12) Important information of Name of Nearest 1. connectivity Airport & 2. Distance (km) 3. Name of Nearest 1. Railway station & 2. Distance (km) 3. 13) Fee Structure For Management seats For Government seats Name of the fee fixation authority 14) a. Details of Competent Name & Address with authority to conduct entrance Phone Number examination for Govt. Seats 14)b. Details of Competent Name & Address with authority to conduct entrance Phone Number examination for Private Seats 15) Year of 1st permission of State Govt. with Intake Capacity 16) Date & Year of First Permission of CCIM with Intake Capacity 17) 1st affiliation of University. Name of University Year of 1st affiliation 18) Previous year permission of Dept. of AYUSH, New Delhi. with Intake Capacity 19) At Present Intake Capacity Course Intake UG PG (Subject wise) 1. 2. Ph.D 20) Name of nearest Police Name & Address Station Telephone Number

21) Name of other Siddha Colleges within radius of 50 km

II. DETAILS OF LAND

1. Total area of land with Society/Trust (in acres) Ownership of land (Own/Lease/Rented) 2. In the name of the Society/Trust In the name of President/Secretary 5. Whether entire land is in one plot or more than one. If more than one, then size and distance between these plots Whether the land available with the Society/Trust is entirely for Siddha 6. College and attached Hospital or for any other Institute also, if so, details thereof. 7. Information regarding other institutions/colleges run by the same society/trust. Whether they are in same campus or anywhere else. 8. Whether College and Hospital building are in same premises Yes/No If no, distance between College and Hospital in km. 10 . Total area of land allotted to the Siddha college (in acres)

11 . Total area of land allotted to the Siddha hospital (in acres)

12 . Total area of land allotted to the hostels (in acres)

13 . Name of other institutions running in the campus of Siddha College

Whether the College and Hospital building have ever been shifted to some Yes/No 14 other place since 2003. . If yes, then how many times it has changed the place and whether all the necessary formalities/permission had taken place (Please furnish a copy of relevant documents duly certified) Whether the management/society of college Yes/No 16 (in case of private College) has ever changed since 2003. . If yes, whether all the necessary formalities/permission had taken place (Please furnish a copy of relevant documents duly certified)

SECTION B INFORMATION OF THE COLLEGE

I. INFORMATION OF ADMITTED STUDENTS

No. of Students admitted Students admitted by Name and Date of Year of UG Course PG Course order of AYUSH Deptt. last admitted Admission Govt. Management Govt. Management (GOI)/Court order. student quota quota quota quota

2011-12 2012-13 2013-14

II. INFORMATION OF PASSED OUT STUDENTS SINCE LAST THREE YEARS.

UG Course PG Course Final Year Final Year Academic Year No. of students appeared No. of students No. of students No. of students in exam passed out appeared in exam passed out 2011-12 2012-13 2013-14

Note:- 1. List of students in UG Course admitted in the Years 2011-12, 2012-13, 2013-14 be furnished as per ANNEXURE-I 2. List of subject wise total no. of Post Graduate Students Admitted in the Years 2011-12, 2012-13, 2013-14 be furnished as per ANNEXURE –IIA & IIB 3. In case admissions done as per court order mention the W.P.No. and attach the copy of court order. 4. If required additional sheet be attached in prescribed format regarding information of PG Course.

III. AREA OF COLLEGE

Required as Per MSR S.No. Particulars Available (sq. mtr.) 1. (Upto 60) (61 to 100) TOTAL CONSTRUCTED AREA OF COLLEGE 2000 4000 NAME OF DEPARTMENT & SECTION 2. 150 300 Administrative wing 3. Thotrakirama Aaraaichiyum Siddha Maruthuva 50 100 Varalaarum 4. Thamizh/English 50 100

5. Udal koorugal 100 200

6. Udal thathuvam 100 200

7. Medicinal botany 100 200

8. Gunapaadam 75 150

9. Noi naadal 75 150

10 Varmam, Puramaruthuvam & Sirappu 50 100 . Maruthuvam

11 Sattam Saarntha Maruthuvamum Nanju 50 100 . Maruthuvamum

12 Maruthuvam 50 100 .

13 Kuzhandhai Maruthuvam 50 100 .

14 Aruvai, Thol Maruthuvam 75 150 .

15 Noi anuga vidhi 50 100 .

16 Sool, magalir Maruthuvam 50 100 .

17 Uyir Vedhiyiyal (Bio chemistry) 75 150 .

18 Teaching Pharmacy and Quality Testing 100 200 . Laboratory

19 Common Rooms: Separate for boys and girls 50 100 .

20 Canteen 50 100 .

21 100 200 . Library

22 150 300 . Auditorium/Seminar Hall/Exam hall

23. 400 (5x 80 800 (5x 160 Class Rooms sq.mt) sq.mt) 24. Tutorial room for PG 25. Area of Dissection Hall

IV. DETAILS OF COLLEGE DEPARTMENTS

No. of Museum No. of Lectures/Practicals/Clinicals carried out in Deptt. the Academic year 2013-14 S.No. Name of the Department Library No. of No. of UG PG Books Charts Models/ Theory Practical Theory Practical Seminar Specimen / Clinical / Clinical 1. Thotrakirama Aaraaichiyum Siddha Maruthuva varalaarum 2. Udal Koorugal

3. Udal Thathuvam

4. Gunapadam-Mooligai, Thaathu-Jeeva Vaguppu 5. Noi Naadal and Noi Mudhal Naadal

6. Sattam Saarntha Maruthuvamum Nanju Maruthuvamum 7. Sool and Magalir Maruthuvam 8. Maruthuvam

9. Aruvai, Thol Maruthuvam

10 Kuzhanthai Maruthuvam .

11 Varmam, Puramaruthuvam . and Sirappumaruthuvam

12 Maruthuva Thaavara Iyal .

13 Uyir Vedhiyiyal .

14 Noi AnugaaVidhi .

15 Thamizh / English .

16 Number of educational . tours conducted for teaching & practical purpose in 2013-14

V. DETAILS OF VARIOUS SECTIONS A. DISSECTION HALL S.No. Details Available 1. Number of cadavers available at the time of visitation 2. Number of cadavers dissected in the year 2013-14 3. Proper Ventilation Yes / No 4. Embalming Room with Storage tank / Freezer Yes / No

B. CENTRAL LIBRARY S.No. Details available 1. Total Number of books (i) Siddha (ii) Modern (iii) Medical Journals (iv) Others (Ayurveda/Unani etc.) (v) Total number of books 2. Number of seats available in reading room 3. Number of computers with internet facility

VI. INFORMATION OF TEACHING STAFF FOR UNDER GRADUATE COURSE

S. Department Intake Capacity Number of Teachers as per Number of Existing Teachers Total No. for UG / PG CCIM Norms

Prof. Asso. Asstt. Prof. Asso. Asstt. Prof. / Prof./ Prof. / Prof./ Reader lecturer Reader lecturer 1. Thotrakirama Aaraaichiyum Siddha Up to 60 1 or 1 1 Maruthuva Varalaarum (History 61 to 100 1 1 1 and Fundamental Principles of Siddha Medicine) 2. Up to 60 1 or 1 1 Udal Koorugal (Anatomy) 61 to 100 1 1 1

3. Up to 60 1 or 1 1 Udal Thathuvam (Physiology) 61 to 100 1 1 1 4. Up to 60 1 1 1 Gunapadam-Mooligai, Thaathu- Jeeva Vaguppu (Materia Medica) 61 to 100 1 1 2 5. Up to 60 1 or 1 1 Noi Naadal and Noi Mudhal Naadal (Pathology) 61 to 100 1 1 1 6. Sattam Saarntha Maruthuvamum Up to 60 1 or 1 1 Nanju Maruthuvamum (Forensic 61 to 100 1 1 1 medicine and Toxicology) 7. Up to 60 1 or 1 1 Sool and Magalir Maruthuvam (Obstetrics and Gynaecology) 61 to 100 1 1 1 8. Up to 60 1 or 1 1 Maruthuvam (Medicine) 61 to 100 1 1 1

9. Up to 60 1 or 1 1 Aruvai, Thol Maruthuvam (Surgery) 61 to 100 1 1 1 10. Up to 60 1 or 1 1 Kuzhanthai Maruthuvam (Peadiatrics) 61 to 100 1 1 1 11. Varmam, Puramaruthuvam and Up to 60 1 1 2 Sirappumaruthuvam (Varmam 61 to 100 1 1 2 Therapy External Therapy and Special Medicine) 12. Maruthuva Thaavara Iyal Up to 60 1 or 1 1 (Medicinal Botany and 61 to 100 1 1 1 Pharmacognosy) 13. Up to 60 - - 1 Uyir Vedhiyiyal (Bio-Chemistry) 61 to 100 - - 2 14. Noi AnugaaVidhi (Hygiene) Up to 60 1 or 1 1 Including Research Methodology 61 to 100 1 1 1 and Medical Statistics 15. Thamizh /English Up to 60 1 or 1 - 61 to 100 1 1 - TOTAL Up to 60 15 (P+R) 15 61 to 100 14 14 17 For PG

Note: The details of the teachers be annexed as per Annexure III-A, III-B, III-C as per prescribed format.

VI. INFORMATION OF TEACHING STAFF FOR POST GRADUATE COURSE

Number of Existing Teachers Total Intake Capacity S. No. Department Asso. Prof. / Asstt. Prof./ for PG Prof. Reader lecturer 1. Maruthuvam 2. Gunapadam 3. Sirappumaruthuvam 4. Kuzhanthai Maruthuvam Noi Naadal and Noi Mudhal 5. Naadal Nanju Noolum Maruthuva 6. Neethi Noolum TOTAL Note: The details of the teachers be annexed as per Annexure III-A, III-B, III-C as per prescribed format.

VII. DETAILS OF TECHNICAL AND OTHER STAFF IN THE COLLEGE S.No. Department Post Requirement Available (1) (2) (3) (4) (5) 1. Library Librarian 1 Assistant Librarian 1 Library Attendant or Peon 1 2. College Office Personal Assistant to Principal 1 Clerical staff for administrative 7 accounts services 3. Thotrakirama Aarachiyum Attendant 1 Siddha Maruthuva Varalarum 4. Maruthuva Thavara Iyal Laboratory Technician 1 Attendant cum Museum Keeper 1 5. UyirVedhiyiyal Laboratory Technician 1 Attendant cum Museum Keeper 1 6. Udal Koorugal Laboratory Technician 1 Laboratory Assistant 1 Attendant cum Museum Keeper 1 7. Udalthathuvam Laboratory Technician 1 Attendant cum Museum Keeper 1 8. Gunapadam Laboratory Technician 1 Laboratory Assistant Attendant cum Museum Keeper 1 9. Noi anuga vidhi Attendant cum Museum Keeper 1 10. Noi Naadal and Noi Mudhal Laboratory Technician 1 Nadal Attendant 1 11. Sattam Sarntha Maruthuvam Attendant cum Museum Keeper 1 and Nanju Maruthuvam 12. Maruthuvam Attendant cum Museum Keeper 2 13. Varmam, Puramaruthuvam and Sirappumaruthuvam 14. Sool, Magalir Maruthuvam 15. Kuzhanthai Maruthuvam 16. Aruvai, Thol Maruthuvam 17. Herbal Garden Gardener 1 Multipurpose worker 2 Total 32 Note:- Detailed Information of Non -Teaching staff be furnished as per ANNEXURE-IV.

VIII. ADDITIONAL REQUIREMENTS :-

1. College Council Available / Not Available i. No. of Members ii. Name of Members (Attach List) ii. Yearly No. of Meetings 2. College Website as per MSR. Maintained/ Not Maintained

IX. OTHER RELEVANT INFORMATION OF TEACHER (Mention name of department)

S.No. INFORMATION OF TEACHERS Professor Reader Lecturer Total

Total number of teachers retired from the college (Jan. to 1. Dec. 2013) Total number of teachers transferred/left from the college 2. (Jan. to Dec. 2013) Total number of teachers newly appointed in the college 3. (Jan. to Dec. 2013) Total number of teachers re-employed after retirement from 4. Govt. or Grant In Aid colleges (Jan. to Dec. 2013)

X. SALARY INFORMATION

Tick whichever applicable S.No. Pay Scale + Grade pay of teachers Remarks (If no please mention reason thereof) 1. Mode of payment through Bank Yes/No 2. GPF & CPF is deducted from the salary Yes/No 3. Teachers promotion policy as per norms of CCIM Yes/No 4. Existing pay scale of teaching staff State Govt./UGC/others Pay Scale + Grade pay of Professor Pay Scale + Grade pay of 5. Pay Scale + Grade pay Reader/Associate Professor Pay Scale + Grade pay of Lecturer /Assistant Professor Note:- Detail Information of Teaching staff be furnished as per ANNEXURE-III

XI. FINANCIAL INFORMATION

MONTH WISE EXPENDITURE FROM JAN. to DEC. 2013 Total Total Total Total Total Building Total Total salary salary of expenditu expenditure Total purchase Total constructi salary of expendit S. of paramedic re on on purchase of purchase of on and Month non ure on No teachi al & other purchase equipments of raw prepared Lab other teaching furniture ng hospital of new & drugs medicine chemicals expenditu staff & fixtures staff staff books instruments s re 1 January Februar 2 y 3 March 4 April 5 May 6 June 7 July 8 August Septemb 9 er 1 October 0 1 Novembe 1 r 1 Decembe 2 r 1 Total 3 GRAND TOTAL OF 1 EXPENDITURE 4 FOR THE YEAR 2013 TOTAL INCOME 1 OF THE YEAR 5 2013 SECTION C DETAILS OF THE HOSPITAL I. REQUIREMENT OF AN ATTACHED HOSPITAL OF SIDDHA COLLEGE S.No. Requirements As per CCIM norms (Sq.mtr.) Available Upto 61 to 100 Upto 60 Seats I) TOTAL CONSTRUCTED AREA OF HOSPITAL seats 2000 sq.mtr. 3500 sq.mtr. VARIOUS SECTIONS IN THE HOSPITAL II) HOSPITAL ADMINISTRATION BLOCK 100 sq.mtr. 150 sq.mtr. 1. Superintendent Room 2. Deputy Superintendent Room 3. Medical Officers Room (For 2 Resident Medical / Surgical Officer) 4. Matron Room

5. Assistant Matron Room (For 2) 6. Reception & Registration Room III) Out – Patient Departments (OPD) 300 sq.mtr. 500 sq.mtr. 1. Maruthuvam OPD with toilet and wash basin 2. Varmam, Puramaruthuvam and Sirappumaruthuvam OPD with Yoga demonstration area, toilet and wash basin 3. Sool, MagalirMaruhuvam OPD toilet and Examination Room 4. Aruvai, TholMaruthuvam OPD with toilet and wash room 5. KuzhandhaiMaruhuvam OPD with toilet and wash room 6. Avasaramaruthuvam (Casualty) section with toilet and wash basin 7. Dressing and First Aid Room, Kaaranool therapy room 8. Dispensary 9. Waiting Space for patients 10. Store 11. Male and Female Toilet for patients IV) In – Patient Departments (IPD) 1000 sq.mtr. 1850 sq.mtr. 1. Maruthuvam Male Ward with attached toilet and bath room 2. Maruthuvam Female Ward with attached toilet and bath room 3. Varmam, Puramaruthuvam and Sirappumaruthuvam Male Ward with attached toilet and bath room 4. Varmam, Puramaruthuvam and Sirappumaruthuvam Female Ward with attached toilet and bath room 5. Sool, MagalirMaruthuvam Ward with attached toilet and bath room 6. Aruvai, TholMaruthuvam Male Ward with attached toilet and bath room 7. Aruvai, TholMaruthuvam Female Ward with attached toilet and bath room 8. Kuzhandhai Maruthuvam Ward with attached toilet and bath room 9. Doctors’ duty room one for each department with attached toilet and bath 10. Nursing staff duty rooms, one in each ward with attached toilet-bath 11. Store room for linen, etc. V. Operation Theaters Block 150 sq.mtr. 250 sq.mtr. 1. Minor Operation Theatre

2. Labour Room with attached toilet and bath room 3. Neonatal care room

4. Central Sterilization or Autoclave Unit

5. Scrub room

6. Two Recovery room

7. Doctors’ duty room with attached toilet and bath room 8. Interns’/house officers’/resident doctors’ room with attached toilet and bath room. 9. Nursing staff room with attached toilet and bath room VI. Varmam, Puramaruthuvam Block 175 sq.mtr. 300 sq.mtr. 1. 1.Varmam Arai (Male) 2.Varmam Arai (Female) 3.Thokkanam Arai (Male) 4.Thokkanam Arai (Female) 5.Neeravi Kuliyal Arai (Male) 6.Neeravi Kuliyal Arai (Female) 7.Peechu Arai(Male) 8.Peechu Arai(Female) 9.Attai Viduthal, Chuttigai etc. 10.Kaara nool therapy room 2. Varmam, Puramaruthuvam therapist or Physician’s room 3. store room

4. Four attached toilet-baths for males and four for females with wash basin and geyser facility in each, which will be in addition to the toilets of wards. VII. Central Laboratory 100sq.mtr. 150 sq.mtr. Well equipped and spacious area of 100 square meters with separate sections for Pathology, Biochemistry and Microbiology and the attached toilet shall be there for collection of urine samples and other latest diagnostic facilities such as ECG also shall be provided. VIII. Radiology/Sonography section 50 sq.mtr. 100 sq.mtr. Radiology chamber withX-ray room, Dark room, film drying room, store room, Ultra Sonography room, patients waiting and dressing room, reception /registration/ report room IX. Hospital Kitchen and Canteen: 100 150 X. Store room 25 50

II. STAFF REQUIRED FOR HOSPITAL

Sl.No. Post Required as per M.S.R. Available (1) (2) (3) (4) 1. Hospital Superintendent 01 2. Deputy Medical Superintendent 02 Consultants Teachers of 3. clinical departments

4. Emergency Medical Officers 2 Resident Medical Officer/Resident Surgical Officer 4 (1 each in Maruthuvam, Sool, (RMO/RSO) Magalirmaruthuvam, 5. Kuzhandhaimaruthuvam and Aruvaimaruthuvam) 6. Matron/Nursing Superintendent 1 7. Staff nurses for In Patient Deptt. 1 for every 10 beds 8. Ward Boy or Ayah 1 for every 20 beds. 9. Pharmacists 2 10. Dresser 2 11. Store Keeper 1 Office Staff (for registration, record maintenance, data 2 12. entry etc.) 13. Dark-room Attendant 1 14. Operation Theater Attendant 1 Modern Medical Staff 15. Medical Specialist 1 part time/on contract 16. Surgical Specialist 1 part time/on contract 17. Obstetrician and Gynecologist 1 part time/on contract 18. Pathologist 1 part time/on contract 19. Anesthesiologist 1 part time/on contract 20. Ophthalmologist 1 part time/on contract 21. Pediatrician 1 part time/on contract 22. Radiologist 1 (Post-graduate in Allopathic Radiology on contract) 23. Dentist 1 part time/on contract 24. X-Ray Technician/ Radiographer 1 Staff for Varmam, Puramaruthuvam and Sirappumaruthuvam & Therapy Section for In-Patient Department (IPD) & Out-Patient Department (OPD) 25. Varmam, Puramaruthuvam and Sirappumaruthuvam Teachers of Varmam, Specialists Puramaruthuvam and Sirappumaruthuvam teaching department. 26. House Officer or Clinical Registrar or Senior Resident 1 (Siddha) 27. Nurses for Varmam, Puramaruthuvam and 2 (1 male and 1 female); in Sirappumaruthuvam addition to the nurses indicated at S.No.7. 28. Varmam, Puramaruthuvam Assistant 2 male and 2 female 29. Yoga teacher/Varmam expert/Bone setter 1 (from Varmam, Puramaruthuvam and Sirappumaruthuvam Department) Staff of Operation Theatre and Karanool Therapy Section 30. Aruvaimaruthuvam and karanool Therapy Specialists Teachers of Aruvai, Tholmaruthuvam department 31. Operation Theatre Attendant 1 32. Dresser 1 33. Nurse 1; in addition to the nurses indicated at S.No.7. Labour Room 34. Sool, Magalirmaruthuvam Specialists Teachers of Sool, Magalir

Maruthuvam department 35. Midwife 01 Clinical Laboratory 36. Laboratory Technicians 02 37. Peon or Attendant 01 Teaching Pharmacy and Quality Testing Laboratory Pharmacy Manager or 1 (Teacher of Gunapaadam 38. Superintendent department.) 39. Peon or Attendant 1 40. Workers 2 1 (Lab Technician provided 41. Analytical Chemist (Part time) under non-teaching staff in the Deptt.) 1 (Lab Technician provided 42. Pharmacognosist (Part time) under non-teaching staff in the Deptt.) Note:- Detailed information of hospital staff be furnished as per ANNEXURE-V

III. NUMBER OF PATIENTS ATTENDED OPD (Jan. to Dec. 2013)

Pothu Varmam, Aruvai, Thol Sool, Mahalir Kulanthai Avasara Maruthuvam Puramaruthuvam Maruthuvam Maruthuvam Maruthuvam Maruthuvam S.No. Month and Sirappumaruthuvam 1. Jan. 2. Feb. 3. March 4. April 5. May 6. June 7. July 8. Aug. 9. Sept. 10. Oct. 11. Nov. 12. Dec Total Grand total Note:- 1. Patients of Medical Camp OPD should not be included 2. If there is separate OPD for Ophthalmology/dentistry mention separately.

IV. DETAILS OF IPD PATIENT S (Jan. to Dec. 2013)

Total Number of Patients Admitted in the Year 2013 Department wise S. Pothu Varmam, Puramaruthuvam and Aruvai, Thol Sool, Mahalir Kulanthai Month No. Maruthuvam Sirappumaruthuvam Maruthuvam Maruthuvam Maruthuvam 1. Jan. 2. Feb. 3. March 4. April 5. May 6. June 7. July 8. Aug. 9. Sept. 10. Oct. 11. Nov. 12. Dec Total Grand total

V. DETAILS OF TOTAL BED DAYS OCCUPIED (Jan. to Dec. 2013) S. Pothu Varmam, Puramaruthuvam and Aruvai, Thol Sool, Mahalir Kulanthai Month No. Maruthuvam Sirappumaruthuvam Maruthuvam Maruthuvam Maruthuvam 13. Jan. 14. Feb. 15. March 16. April 17. May 18. June 19. July 20. Aug. 21. Sept. 22. Oct. 23. Nov. 24. Dec Total Grand total Note:- To calculate total number of bed days occupied of the months please calculate the date wise total number of patients, remained on bed at midnight.

VI. DETAILS OF BED DISTRIBUTION Number of Required Additional Bed for Required Bed Total Number Beds for UG Intake PG as per students S.No. Name of the Department Distribution of available - bed ratio 1:4 for for UG 60 100 Beds Clinical Subjects 1. Maruthuvam 30% beds 18 30 2. Varmam, Puramaruthuvam and 25% beds 15 25 Sirappumaruthuvam 3. Sool, MagalirMaruthuvam 15% beds 9 15 4. Aruvai, TholMaruthuvam 20% beds 12 20 5. KuzhanthaiMaruthuvam 10% beds 6 10

6. Others Total Number of Existing Beds on the date of visitation Total Number of Beds existed from Jan to Dec 2013

VIII. DETAILS OF OTHER FACILITIES OF HOSPITAL (INFORMATION ABOUT VARIOUS SECTIONS IN THE HOSPITAL)

Name of Section Remarks LABOUR ROOM- Functional/Non Functional Antenatal Room with attached Toilet- Functional/Non Functional Facilities for Neonatal care Available/Not Available Other Available Facilities, Equipments, Instruments (Details be furnished as per ANNEXURE-X) Number of Deliveries performed during the year 2013 MINOR OPERATION THEATRE Functional/Non Functional Air conditioning Exist/Not Pre Operative Room with attached toilet Exist/Not Sterilization room Exist/Not Changing and wash room with attached toilet Exist/Not Total Number of operations done during the year 2013 Details of Available equipments, Instruments and other facilities in Operation theatre (ANNEXURE-XI) Fumigation facility Available/Not Available AMBULANCE Available/Not Available X-Ray Total number of X-rays done in the year 2013 ECG Total number of ECG done in the year 2013 USG Total number of USG done in the year 2013

IX. INFORMATION OF VARMAM, PURAMARUTHUVAM AND SIRAPPUMARUTHUVAM DEPARTMENT Total Number of patients treated by Kara nool application in the year 2013 Total Number of patients treated by Suttigai application in the year 2013 Total Number of patients treated by Attai vidal application in the year 2013 Total Number of patients treated by any other specialized treatment procedures in the year 2013

X. CENTRAL LABORATORY S.No. Total number of investigation done in the year 2013 1. Total Number of Hematological Tests. 2. Total Number of Bio-Chemical Tests. 3. Total Number of Serological Test. 4. Total Number of Microbiological Tests.

XI. DETAILS OF MEDICAL CAMPS CONDUCTED BY COLLEGE IN THE YEAR 2013 S.No. Nature of the camp Date Place General/Specific Disease

Note:- * If required additional sheet be attached in the prescribed format.

SECTION D

OTHER ALLIED INFRASTRUCTURE REQUIREMENTS OF A SIDDHA COLLEGE i. DETAILS OF HOSTEL Hostel Area (sq.mtr.) Own / No. of Capacity Mess facility Warden Rented Rooms (available/not (available/not available) available) Boys Girls Total Built up area of hostel(s)

ii. HERBAL GARDEN upto 60 61 to 100 S.No. Particulars Available intake intake 1. Area 2500 4000 sq.mtr. sq.mtr. 2. Total number of Medicinal plants - - 3. Total number of species 250 250 4. Irrigation facility – available/not available - - 5. Demonstration Room Area 25 sq.mtr. 50 sq.mtr.

iii. SPORTS AND GAMES FACILITY Sports and Games Facility – Available/ Not

iv. TRANSPORT FACILITY Transport Facility – Available/ Not If yes, Number of vehicles

v. DETAILS OF TEACHING PHARMACY

1. Quality Testing Laboratory Available/ not available

2. Total number of medicines prepared in 2013-14

vi. DETAILS OF MEDICINES PREPARED IN THE YEAR 2013

S. No. Name of Prepared Medicine Quantity of Prepared Medicine

Note- If required additional sheet be attached in the prescribed format.

vii. PROGRESS MADE BY THE INSTITUTION IN LAST TWO YEARS ON SALIENT POINTS

S.No. Important Information of College Progress made by college

1. Construction of college and hospital building 2. Appointment of Teaching staff 3. Appointment of Non-Teaching staff 4. Appointment of Paramedical and other Hospital staff 5. Expansion of Various Departments of College 6. Expansion of Herbal Garden, Plantation of New Plants

7. Development of Pharmacy 8. Hospital OPD 9. Hospital IPD 10. Any national/international/state level seminars, ROTP, CME etc. 11. Publication by college and teaching staff 12. Research activities if any 13. Awards won by teaching staff and students

viii. Declaration of Principal of Govt. & Private College

I, ______s/o Shri ______Principal, ______(name of the College) solemnly writing that if any information provided by me in proforma and Annexures found false, I shall be held responsible in the matter. I shall have no objection if any legal action is taken by the CCIM against me.

Signature of Principal Dated______Place:______Name with Stamp

ix. Declaration of Secretary/President of the Trust / Society of the Private College

I, ______s/o Shri ______Secretary/President, ______(name of the Society) solemnly state that, looking after the management of the college & hospital. The information provided by the Principal in the proforma and Annexures are true. If any information provided by the Principal found false the undersigned has no objection for any legal action initiated by the CCIM against the Principal and me.

Signature of Secretary/President Dated______Place:______Name with Stamp

LIST OF ANNEXURES TO BE SUBMITTED BY COLLEGE

Signature of Visitors with date Signature of Principal with date S.No. Visitation-ProformaANNEXURE for Siddha Colleges for session 2014-15 U/SDETAILS 13C Page 22 of 43 1. ANNEXURE-I Details of students admitted in Under Graduate course for the year, 2011-12, 2012-13 & 2013-14. 2. ANNEXURE-IIA Details of students admitted in Post Graduate course for the year 2011-12, 2012-13 & 2013-14. 3. Annexure-IIB Details of Post Graduate students allotted to individual guide for the year 2011-12, 2012-13 & 2013-14. 4. ANNEXURE-III-A Proforma to furnish the details of Teaching Staff

5. ANNEXURE-III-B Department wise details of teachers of UG

6. ANNEXURE-III-C Department wise details of teachers of PG

7. ANNEXURE-IV Proforma to furnish the details of Non Teaching Staff

8. ANNEXURE-V Proforma to furnish the details of Hospital Staff

9. ANNEXURE-VI Details of Drug distribution in OPD & IPD (Jan. to Dec. 2013)

10. ANNEXURE-VII Notarised Affidavit to be filled up by teacher in the given format 11. ANNEXURE-VIII Details of the OPD patients of the hospital

12. ANNEXURE-IX Details of the IPD Patients of the Hospital

13. ANNEXURE-X Details of Equipments and Instruments for College

14. A Medicinal Botany Laboratory

15. B Dissection Hall

16. C Physiology (udal thathuvam) laboratory

17. D Gunapaadam (teaching pharmacy ) laboratory

18. E Noi naadal (pathology) laboratory

19. ANNEXURE-XI Details of Equipments and Instruments for Hospital

20. A Out Patient Departments

21. B Labour room

22. C Minor operation theatre

23. ANNEXURE-XII Soft copy (in CD/DVD) and hard copy group photographs with Teaching staff and non-teaching staff of College and Medical, Paramedical and other staff of Hospital with the visitors separately. The name of each staff member should be mentioned on the bottom of the photograph. 24. ANNEXURE-XIIISignature of VisitorsSoft with datecopy (in CD/DVD)Signature of Annexure-III of Principal with (Details date of Teaching Staff) in MS Excel (.xls or .xlsx) format Visitation-Proforma for Siddha Colleges for session 2014-15 U/S 13C Page 23 of 43

ANNEXURE-I

DETAILS OF UNDER GRADUATE STUDENTS ADMITTED IN THE YEAR 2011-12, 2012-13 & 2013-14.

S. Name of Father’s Date Fee Receipt Residential Govt./ % of Category (Gen./SC No Student Name of Number Address Management PCB* in /ST/ OBC/others ) Birth and Date Quota 10+2

*Physics + Chemistry + Biology Marks

ANNEXURE-IIA

DETAILS OF POST GRADUATE STUDENTS ADMITTED IN THE YEAR 2011-12, 2012-13 & 2013-14.

Students admitted by order S. Number of Admitted Name of PG Subject of AYUSH Deptt. (GOI)/Court No. Students order number……dated…… 1. Maruthuvam 2. Gunapadam 3. Sirappu Maruthuvam 4. Kuzhanthai Maruthuvam 5. Noi Nadal 6. Nanju Noolum Maruthuva Neethi Noolum GRAND TOTAL Note:-*If required additional sheet be attached in the prescribed format.

ANNEXURE-IIB

DETAILS OF POST GRADUATE STUDENTS ALLOTTED TO INDIVIDUAL GUIDE FOR THE YEAR 2011-12, 2012-13 & 2013-14.

S. No. Name of guide with Department Number of Students allotted Total Number designation 2011-12 2012-13 2013-14 of Students

Note:-*If required additional sheet be attached in the prescribed format.

ANNEXURE-III-A PROFORMA TO FURNISH THE DETAILS OF TEACHING STAFF

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Note: Please download a copy of Annexure III in MS Excel Format (.xls) from the Website of CCIM i.e. www.ccimindia.org and fill up the details and annex the same as softcopy in the form of CD/DVD as Annexure XIII. Enclose a Printed / hard copy of the same as ANNEXURE III and attach the certified copies of UG, PG & Registration Certificates experience certificates, Form No. 16 and original affidavit of newly appointed teachers after the last visitation (Annexure- III). Visitors will verify the teachers based on declaration forms submitted to the council. If in case of any newly appointed additional teachers before visitation, notarized affidavit (Annexure IV) can be submitted to visitors for verification. If any teaching staff is promoted after submitting notarized affidavit he/she may submit a new affidavit along with necessary documents and get duly verified by the visitors. ANNEXURE-III-C DEPARTMENT WISE DETAILS OF TEACHERS OF PG S.No. Name of the Teacher(s) Total Name of PG Department Professor Asso. Professor / Reader Asstt. Professor/ lecturer 1. Maruthuvam 2. Gunapadam 3. Sirappu Maruthuvam

4. Kuzhanthai Maruthuvam 5. Noi Nadal 6. Nanju Noolum Maruthuva Neethi Noolum GRAND TOTAL ANNEXURE-III-B DEPARTMENT WISE DETAILS OF TEACHERS OF UG

S.No. Name of the Teacher(s) Total Name of UG Department Professor Asso. Professor / Reader Asstt. Professor/ lecturer

1. Thotrakirama Aaraaichiyum Siddha Maruthuva varalaarum 2. Udal Koorugal 3. Udal Thathuvam 4. Gunapadam-Mooligai, Thaathu-Jeeva Vaguppu 5. Noi Naadal and Noi Mudhal Naadal 6. Sattam Saarntha Maruthuvamum Nanju Maruthuvamum 7. Sool and Magalir Maruthuvam 8. Maruthuvam 9. Aruvai, Thol Maruthuvam 10. Kuzhanthai Maruthuvam 11. Varmam, Puramaruthuvam and Sirappumaruthuvam 12. Maruthuva Thaavara Iyal 13. Uyir Vedhiyiyal 14. Noi AnugaaVidhi 15. Thamizh / English

GRAND TOTAL Note:-* Same teacher’s name shall not be given in more than one department. Same teacher’s name shall not be given in both UG and PG departments.

ANNEXURE-IV

PROFORMA TO FURNISH THE DETAILS OF NON TEACHING STAFF S.No. Name of Father’s Qualification Date of Nature of Appointment (regular/ Designation Name of working Pay Employee Name Appointment contractual/ department Scale Part time)

ANNEXURE-V PROFORMA TO FURNISH THE DETAILS OF HOSPITAL STAFF

S.No. Name of Father’s Qualification Date of Nature of appointment (regular/ Designation Name of working Pay Employee Name Appointment contractual/ department Scale Part time)

ANNEXURE-VI

DETAILS OF DRUG DISTRIBUTION IN OPD & IPD (JAN. to DEC. 2013)

S.No. Name and Quantity of Drugs Name and Quantity of Drugs purchased Name and Quantity of utilised Drugs along with balance obtained from own from market Pharmacy Siddha Drugs Modern Drugs Siddha Drugs Modern Drugs Utilised Balance Utilised Balance 1. 2. 3. 4. Note:-*If required additional sheet be attached in the prescribed format.

ANNEXURE VII Pass Port Size Photograph (To NOTARISED AFFIDAVIT TO BE FILLED UP BY TEACHER be attested by IN THE GIVEN FORMAT Principal) S.No Information of Teacher To be filled up by Teacher 1. Name of the Teacher (Sur Name- First Name- Middle Name) 2. Change of Name (if Applicable after marriage)

3. Date of Birth (dd / mm / yyyy)

4. UG Qualification (University & year) Year Name of the University 6. PG Qualification with subject (University & year) Subject of completion Year Name of the University 9. Ph.D (if applicable) Subject

Year Name of the University 12. Post wise details of Experience in chronological Duration Department Designation Name of the order (* Date, Month and Year wise experience (dd/mm/yyyy to (Subject) college should be mentioned) dd/mm/yyyy)

16. Present working Department (Subject)

17. Present Designation

18. Nature of present appointment (regular/contractual/deputation) 19. Name of present working college

20. Permanent Residential Address

21. Local Residential Address

22. State Board/ Council Registration detail Registration Number Name of State Board 24. Bank details Salary Account Number Name and Branch of Bank 26. Contact Mobile Number Details Residence Number Permanent Residence Number Email ID

I hereby solemnly affirm that the above information is correct as per my record and knowledge. I further affirm that if any information given in this affidavit is found to be incorrect/ false, I shall be liable to be blacklisted or debarred from service and to face any disciplinary action.

Date: Signature of Deponent/ Teacher

I hereby solemnly affirm that the above information is correct as per my record and knowledge. I further affirm that if any information given in this affidavit is found to be incorrect/ false, I have no objection for any disciplinary action against the concerned teacher and myself.

Date: Signature of Principal with Stamp ANNEXURE-VIII

DETAILS OF OPD PATIENTS OF THE HOSPITAL

S. TOTAL NUMBER OF PATIENTS ATTENDED OPD NO. PRIOR TO 15 OPD SECTIONS PREVIOUS DAY OF DAYS OF DAY OF VISITATION VISITATION VISITATION 1 Maruthuvam . 2 Varmam, Puramaruthuvam and . Sirappumaruthuvam 3 Aruvai, Thol Maruthuvam . 4 Sool, Magalir Maruthuvam . 5 Kuzhanthai Maruthuvam . 6 Avasara Maruthuvam .

ANNEXURE -IX DETAILS OF IPD PATIENTS OF THE HOSPITAL A. TOTAL NUMBER OF BEDS AVAILABLE ON THE DAY OF VISITATION

B. TOTAL NUMBER OF IPD PATIENTS AVAILABLE ON THE DAY OF VISITATION

C. DEPARTMENT WISE DETAILS OF IPD PATIENTS AVAILABLE ON THE DAY OF VISITATION* S.No. OPD IPD Name of Patients Age Sex Bed Diagnosis Date of Name of treating Registration Registration M/F Number Admission Doctor Number Number 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Note:-*Details of IPD patients of each department shall be annexed separately. If required additional sheets be attached in the prescribed format.

ANNEXURE- X

DETAILS OF EQUIPMENT AND INSTRUMENTS FOR VARIOUS SECTIONS OF COLLEGE A. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR MEDICINAL BOTANY LABORATORY S.No. Essential Equipment and Instruments Number of Instruments and Equipments available 1. Field magnifier 2. Compound microscope 3. Dissecting Microscope 4. Microscope 5. Slides box with cover slips, 6. Blotting/filter papers 7. Electronic balance 8. Dissection Box 9. Enamel Trays

B. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR DISSECTION HALL

S. No. Essential Instruments and Equipments Number of Instruments and Equipments available 1. (i) Tank with a capacity to preserve 2-4 bodies. (ii) Preservative Chemicals 2. Dissection Tables Sets 10 Sets 3. Dissecting Table (i) Full size with steel top or 04 marble top stainless (ii) Half size with steel top or 08 marble top stainless 4. Miscellaneous (i) Bone cutter of the numbers ¾, ½, ¼, ⅛ – fine pointed Chisel bone dissector (ii) Bucket and Mug (iii) Gloves powder (iv) Surgical gloves (v) Surgical blade (vi) Soap (vii) Disposable syringe – 20cc, 10cc, 5cc (viii) Towels (ix) Dustbin 5. Furniture and Other Equipments (i) Stools preferably of metal 50 (ii) Wash basin 02 (iii) Machines for bones and brain 1 sectioning (iv) OHP 1 (v) X-ray viewing box or panels 3 (vi) Glass jars of different sizes 300

C. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR PHYSIOLOGY (UDAL THATHUVAM) LABORATORY S. Essential Instruments and Equipments Number of Instruments and

No. Equipments available 1. Microscopes with oil immersion 2. Westergren’s pipette for ESR 3. Haematocrit Tube 4. Sahli’sHaemoglobinometer 5. Haemocytometer 6. Stethoscope 7. Clinical Thermometer 8. Knee Hammer 9. Tuning forks 10. Electrocardiograph 11. Stop watches 12. Water Distillation still 13. Thermometers, balances, Microslides 14. Cover slips, glassware 15. Centrifuge with speed control 16. Colorimeter (Photoelectric) 17. pH Meter (Electric) 18. pH Comparator with disc 19. Refrigerator 20. Newton’s colour wheel in a batch 21. Spirometer 22. Tonometer 23. Hydrometer 24. Viscometer 25. Osmometer 26. Sterilizer 27. BP Apparatus 28. Torch 29. Measuring Tape 30. Weighing machine 31. Peakflowmeter 32. Reagents

D. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR GUNAPAADAM (TEACHING PHARMACY ) LABORATORY

Number of Instruments and S.No. Essential Instruments and Equipments Equipments available 1. Kalvam (i) Small (ii) Medium (iii) Porcelain (iv) Thapthakalvam 2. Heating Device- (i) Gas Stove (ii) Electric stove (iii) Hot plate (iv) Aduppu (Charcoal) 3. Vessels- (i) Frying Pan (ii) Steel Vessel (iii) Spatula (iv) Ladles & Spoons (v) Knife (vi) Plates 4. Measuring Equipments Different Size (Glass) 5. Big Vessels & Containers (i) Brass (ii) Copper (iii) Steel etc. 6. Balance (Different Capacities) (i) Physical (ii) Chemical 7. Pounding Apparatus 8. Sieves (Assorted Numbers & Size) 9. Wet Grinder 10. Mixi 11. Juice Extractor 12. Pudam (Different kinds) 13. Pyrometer 14. Thermometer 15. Pressure Cooker 16. Moosai (Crucibles) 17. Thuruthi with Blower 18. Refrigerator 19. Jars(Porcelain) Fermentation Purpose 20. Yandiram (i) ThulaYandiram (ii) ValukaYandiram 21. Distillation Apparatus 22. Enamel Trays 23. Spirit Lamp 24. Microscope 25. Earthen Vessels 26. Almiras& Racks for storage

E.DETAILS OF EQUIPMENTS AND INSTRUMENTS REQUIRED FOR NOI NAADAL (PATHOLOGY) LABORATORY S.No. Essential Equipment and Instruments Number of Instruments and Equipments available 1. Binocular microscope

2. X-ray view box

3. Sterile disposable lancer/needle

4. Sahli’s Square tube

5. Hb pipette

6. Dropper

7. Glass rod

8. WBC Pipette

9. Improved Neubauer chamber

10. Cover slip

11. Red cell pipette

12. Cleaned slides

13. Incubator

14. Wintrobe’s tube

15. Pasteur’s pipette

16. Centrifuge Graduate machine

17. Westregren’s pipette

18. Rubber teat

19. Westergrens’s stand

20. Litmus paper

21. pH indicator paper strips

22. Urinometer

23. Multi stix

24. Bunsen burner

25. Test tube

26. Test tube holder

27. Filter paper

28. Steel almirah

29. Steel rack

30. Glass Jars with lid of different sizes

31. Glass view rack

32. Magnifying lens

33. Autoclave

34. Water bath

35. Separating funnels of various sizes

36. Stop watch

37. Ultraviolet lamp

38. Monocular microscope with oil emersion lens20(e)

39. Capillary Tubes

40. Hot air oven

41. Microscope with oil immersion

42. Refrigerators

43. Sterile vessels/bottle to collect samples

44. BP Apparatus

45. Stethoscope

46. Thermometer

47. Tongue depressor

48. Torch

49. Knee hammer

50. Measuring Tape

51. ENT examination set

52. Reflectors(Mirrors)

53. Weighing machine

54. Tuning Forks

55. Nasal speculum

56. Laryngoscope

57. Catheters

58. Probes

59. Disposable Gloves

60. Physical balance

61. Syringe needle destroyer

62. HBs Ag kit

63. HIV kit - Tridot (method by T Mitra)

64. CT and BT kit

65. Cell counter (haemoautoanalyser)

66. Renal profile, LET kit, Lipid profile, Blood Sugar kit

ANNEXURE – XI DETAILS OF EQUIPMENT AND INSTRUMENTS FOR VARIOUS SECTIONS OF HOSPITAL A. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR OUT PATIENT DEPARTMENTS S. Name of Department Equipment, Instrument, Furniture etc Number of Instruments and No. required as per norms of CCIM Equipments available

1 Maruthuvam – Hand Washing facility (Medicine) X-ray viewing Box BP Apparatus Stethoscope Sitting arrangement for internees/students Examination Table Thermometer Tongue depressor Cotton balls Torch Measuring tape Weight and height measuring stand Knee Hammer Washbasin 2 Varmam, X-ray viewing Box Puramaruthuvam and BP Apparatus Sirappumaruthuvam Stethoscope

Sitting arrangement for internees/students Examination Table Thermometer Tongue depressor Cotton balls (Varmam therapy, Torch External therapy and Measuring tape Special Medicine) Weight and height measuring stand Knee Hammer Washbasin 3 Aruvai, Thol Hand washing facility Maruthuvam Drainage facility (Surgery, Minor OT Dermatology) Instruments for ano-rectal examination Examination Table BP Apparatus Surgical Blades Cotton balls Gauze pieces X-ray viewing Box Stethoscope Sitting arrangement for internees/students Cheetle’s forceps Torch 4 Sool, Magalir Weighing machine Maruthuvam Sim’s speculum (Obstetrics and Cusco’s speculum Gynecology) Examination Table Lamp stand Torch X-ray viewing Box BP Apparatus Stethoscope Sitting arrangement for internees/students Examination Table Weighing Machine Measuring tape Washbasin 5 Kuzhanthai Scale (Baby Weighing) Maruthuvam Torch (Paediatrics) X-Ray Viewing Box Thermometer BP Apparatus Stethoscope Examination Table Sitting arrangement for internees/students Scale for height measurement

6 Avasara Maruthuvam Facilities available as per requirement (Casualty) (Equipment, Instrument, Furniture etc) 7 Others Facilities available as per requirement (Equipment, Instrument, Furniture etc)

B. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR LABOUR ROOM

S.No. Essential Equipment and Instruments Number of Instruments and Equipments available 1. Shadowless Lamp 2. Suction Machine (Neonatal) 3. Oxygen Cylinder and Mask 4. FoetalToco Cardiograph 5. Radiant Warmer 6. Photo therapy Unit 7. Weighing Machine (Paediatric) 8. Patient trolley 9. Anaesthesia trolley 10. Infantometer 11. Vacuum extractor 12. Foetal Doppler 13. Low cavity forceps 14. Sterilizer 15. Mackintosh rubber sheet 16. Catguts and Thread 17. Speculum – Sim’s -Cuscos 18. Instruments for labour and Episiotomy (Scissors, forceps, needle holders etc.) 19. Baby tray 20. Draw Sheets 21. Plastic Aprons 22. HIV kit for emergency patients 23. Plain and Hole towels 24. Gloves 25. Nebuliser 26. Foetoscope 27. Auto Clave 28. Drums 29. Instrumental Trolley 30. OT tables and head -Up and head -Low facility 31. Double dome Shadow less lamp 32. Pulse Oxymeter 33. Oxygen Cylinder 34. Resuscitation kit 35. Boyle’s apparatus 36. Electro Cautery 37. MTP Suction Machine 38. Anaesthesia Kit 39. Blunt and Sharp Curettes 40. Dilators set (Hegar’s, Hawkins) 41. Anterior Vaginal Wall retractor Signature of Visitors with date Signature of Principal with date Visitation-Proforma for Siddha Colleges for session 2014-15 U/S 13C Page 40 of 43

S.No. Essential Equipment and Instruments Number of Instruments and Equipments available 42. Uterine sound 43. Volsellum 44. MTP Suction Curette 45. Needles 46. Needle holders 47. Sponge holding forceps 48. Towel Clips 49. Retractors abdominal (Doyne’s etc.) 50. Green armytage forceps 51. Uterus holding forceps 52. Kocher’s forceps 53. Artery forceps (Long, short, Mosquito) 54. Scissors- different sizes 55. Forceps obstetrics 56. Tongue depressor 57. Endotrachial tubes 58. B.P. apparatus 59. HSG Cannula 60. Cord Cutting appliances 61. I.U.C.D. removing hook 62. Bladder Sound

C. DETAILS OF EQUIPMENT AND INSTRUMENTS REQUIRED FOR MINOR OPERATION THEATRE

Signature of Visitors with date Signature of Principal with date Number of Instruments and Equipments S.No. Essential Equipment and Instruments available 1. Spot light Visitation-Proforma for Siddha Colleges for session 2014-15 U/S 13C Page 41 of 43 2. Needle Holding Forceps

3. Dressing Drums of assorted size

4. I.V. Stand

5. X-ray view box

6. Masks and caps

7. Gauze, cotton and Bandage

8. Gloves of different sizes

9. Artery forceps (small, medium, big)

10. Dissection forceps

11. Sinus forceps

12. Scissors – straight

13. Scissors curved of different sizes

14. Stitch removal scissors

15. Pointed scissors

16. Probes assorted sizes

17. Needle holders

18. Suturing needle

19. Surgical thread

20. B.P. Handle of different size

21. Surgical blades of different sizes

22. Rubber catheters

23. Generator

24. Emergency light

25. Refrigerator

26. Autoclave

27. Proctoscopes – various sizes

28. Nasal speculum

29. Ear speculum

30. Eye wash glasses Signature of Visitors with date Signature of Principal with date 31. Aural syringe Visitation-Proforma for Siddha Colleges for session 2014-15 U/S 13C Page 42 of 43

CENTRAL COUNCIL OF INDIAN MEDICINE, NEW DELHI

GUIDELINES/INSTRUCTIONS FOR COLLEGES REGARDING VISITATION

1. College may download the updated visitation proforma (Part I) from website of CCIM (www.ccimindia.org) and may use it to expand the tables wherever necessary. ANNEXURE-III (MS- excel format) should be separately downloaded from CCIM’s website and duly filled & sent along with the visitation proforma. Hard copy of visitation proforma (Part I) is enclosed for ready reference. 2. Any change in the prescribed format will not be accepted by CCIM. 3. Read the proforma carefully before filling up. 4. College should keep ready three sets of Visitation proforma duly signed on each page by the Principal/ Dean/ Director along with all ANNEXURES for visitors. 5. A soft copy of the details of teaching staff as per ANNEXURE-III should be submitted along with the visitation report as ANNEXURE XIII. 6. New teacher appointed after visitation of the college will not be considered /counted in the faculty list of the concerned college. 7. Any data / documents submitted by the college after visitation will not be accepted by the central council. 8. College shall bear the whole responsibility of typographical errors in the OPD/IPD data and experience of teachers. In previous years, due to incomplete information and typographical errors in the visitation proforma, colleges have to face the Hearing. Therefore, college is advised to submit all the relevant information and fill the proforma in proper manner as per the given guidelines. (Note:- While furnishing details of various section please crosscheck various requirement from notified Indian Medicine Central Council (Minimum Standard Requirements of Siddha Colleges and attached Hospitals) Regulations, 2013). 9. Page-wise Index of all ANNEXURES should be provided. 10. Attested copy of UG & PG Certificates, Experience Certificates, Joining report, Relieving letter and Affidavit (as per ANNEXURE-VII) of teachers should be attached. 11. Teachers of Govt. colleges/ constituent colleges of University should also submit the affidavit of newly appointed teachers after the last visitation. 12. If false affidavit/ false experience is submitted by any teacher or if teacher is found in duplicity, then legal action will be initiated by the central council against the concerned teacher and Principal of the college. 13. Copy of Form No. 16 issued for purpose of income tax should be submitted in respect of all the teaching staff. 14. Financial information should be filled as per enclosed proforma. 15. College should make arrangement of videographer and photographer during visitation of CCIM team for preparing CD and group photographs with Teaching staff and non-teaching staff of College and Medical and Paramedical staff of Hospital with the visitors separately. The name of each staff member should be mentioned on the bottom of the photograph. The Video/photo shall be submitted to the visitors on or before the completion of visitation. It is to be noted that without CD & Photograph, the visitation report will not be accepted by CCIM. 16. If college has any queries/ doubt/ other information required regarding the visitation proforma, you are requested to contact telephonically or send an email to the central council on the given mail-ID, i.e. [email protected]. 17. The filled up visitation proforma shall be typed and submitted in a separate CD to the visitors.

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Signature of Visitors with date Signature of Principal with date