Hereinafter Referred to As COO/MS

..\ 4t M EM O RANI D L.{ NM C F Li hJDEMSTANd D I NG FCIR 5 ERVICE } r.U-ST$'[UTdff NS Between Yenepoya Medical eollege Hospital Un iversity Road,Deralakatte-Mangalore {Hereinafter referred to as yMCH) Duly represented by Dr.Mohammad Amin Wani Ch ief Operating Officer/Medical Superi ntend ent (Hereinafter referred to as COO/MS) And Karuvanchal Haritha Charitable Trust (Hereinafter referred to as NGO) Duly represented by Mr" N"U Abdulla (Hereinaften referred to as Chief Functionarv! For EXTENSIOT\,I OF HEALTH CARE SERVICES Under the terms of reference laid down hereunrjer TERMS OF REFEREIVCE COi!TEXT: Karuvanchal Haritha charitable society Reg frto KNR/cAl72 3/2a:2 Karuvanchal p,o Kannur Kerala, is a registered social service organization involved in education, health care and welfare activities in Kannur District. For the benefit of socially and economically backward families it seeks collaboration with Yenepoya Medical college Hospital {YMCH) for extension of health eare and educational facility. Hence this Mou has been executed. ROIE and RESFOSISTB![-tTIES OF VNtC[.{ 1" Referral cases will be offered free treatment in the hospital. such treatment cost will not eover the cost of medicines, implants or any such other items as detailed in Annexure. Ylv]cH shall provide medicines or any otherservices which are chargeable on eredit basis upon request from the institution and the maximum duration of such credit wiil be for tlvo weeks. z' YMCH shall issue entry pass to the persons authorized by the institution to visit their patients as per the rules of the hospital" 3" YIVIcH shall undertake this extension service through ftrlsw Department and hereby authorize the HOD of MSW to liaison with the partner institution for effective implementation, supervision and monitoring of collaborative efforts" .-;, / "''. I tt -'_--:-,\ Chief Functionary \ -------: Chief Operating Officer/MS For NGO For YMCH Page-1 ROI-E and RESpCIiVSiEtLTtES OF THE It:O 1" rhe NGCI shaii send patients to YMCH with referral cards duly signed by the chief Functionary with office seal for treatment on outpatient or inpatient basis depending on the need' whenever admitted cases are received in the hospital the institution shaltr take the responsibility of providing/ensuring attender service near the patients at all times" 2. The NGo shall provide all required arrangementslfacilities whenever check up camps/programmes organised at its request in a designated area. 3" The NGo shall be responsible for clearing the credit bills if any within two weeks after diseharge of patients. +.A The NGo shall submit written request to chief operating officer every time for any services or assistance required frorn yMCl-1" grievances if any the NGo 5. For shall submit a written complaint to the chief operating Officer for verification and redressal. AIV{ EIV DM ENT AIVD ARBITRATIOI\ Amendment, if any, to this vloU, can be made by mutual consent of the two parties in writing only. Any dispute arising out of or in connection with this agreement or in the event of any conflict of interpretation of this agreement, the same shall be resolved by mutual negotiations between senior management of both parties. This Memorandum of understanding will come into fsrce upon affixing of the signatures by both the parties and will remain in force for a period of twgagq15 from the day of signing this document" ln witness where of, the parties hereto have signed this MoU and executed on this day, a7.a5.20L6 as mentioned above in the presence of the following witnesses. ...,_ i: ,'/'^'l 1r t:-_=ir_--i- ' - Chief Functionaryr,(- \,, Chief Operating Officer/MS For NGO l--' - For YMCH Page-2 ffi Y.{r!&ess_ Nlame Address W!tsless Signature Name ANNVEXURE LIST OF SERVCES AVAIIABLE AT YIVICI{ TO PATIEIUTS REFERRED BY T!-I E PARTN ER II{STITUT! ONS 1OO% FREE a Registration and admission fee a Consultation by doetors. a Bed and food in general ward" ,. lnvestigations-X-Ray,Ultra sound ,ECG, routine basic Blood and urine tests" a eertain medicines listed as free drugs by yMCH. a OT charges free except consumables and impiants. Surbsidized facilities a ECHO a Endoscopy o MRI a CT 50% of the charges fixed by yMCH from time to time a Doppler study a Ventilator charges a ICU charges Charges borne by the NGO r Ortho implants" r Surgical implants like mesh etc, e Antibiotics not listed as free drug by yMCH. r Blood testing charges before transfusion in the Blood Bank" r Prostheticlorthotic items rike crutches, bert etc" . Any tests done outside YMCH" t -) chief Functionary /-] ndent For NGo5' ,_,!:Yf "..

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