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Home , Bantva Manavadar, Dharasana, Kachholi, Lajpor, Limbuda, Mahisagar district

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

356 Mahesana Private Swastik Orthopedic Opp. S T Bus Stop, Upasna Kidney 357 Mahesana Private Dairy Road, Hospital Vansh Gynec And A D The Mall Bihand The Sbi 358 Mahesana Private Surgical Hospital Bank Satalsana Vasant Prabha 359 Mahesana Private Opp.Bus Depo Hospital 122, Maniratna Complex, Opp. 360 Mahesana Private Yash Hospital Tb. Hospital, Vijapur, , 382870 Gujarat Hospital A Sanidhya Complex In Front Of 361 Mahisagar Private Division Of Kn High School Srajanhealthcare Llp Kamalaben Shantilal Parikh Kuvavada 362 Mahisagar Private Virpur Road, Balasinor- 388255 Super Specialty Center Kmg General 363 Mahisagar Private Saliyawadi Darwaja, Balasinor Hospital Meena Hospital Sevaliya Road 364 Mahisagar Private Meena Hospital Opp K N High School Sagar Surgical 19 Vaibhav Twenty Duplex 365 Mahisagar Private Hospital Fagva Jakat Naka Virpur Road Shah Orthopedic 366 Mahisagar Private Godhra Road Lunawada Hospital Lunawada Road , Near Bus Stand 367 Mahisagar Private Surekhaba Hospital , Aayush Ayodhyapuri Main Road, Savsar 368 Private Multispeciality Plot-2, Hospital Krishna B/H Mahesh Hotel,Sanala Main , 369 Morbi Private Multispeciality Road, Hospital Peer Masayakh City Station Road Near Dharm 370 Morbi Private Sarvajanik Hosp Chowk Wankaner Parsuram Nagar, Rly.Station 371 Morbi Private Sai Hospital Road Shivam Surgical Ram Chawk ,12 Savsar Plot 372 Morbi Private Hospitalent ,Morbi 2 Savsar Plot, Near Old Bus 373 Morbi Private Vardan Hospital Stand Accident,Fracture Opp Pandya Street Lal Tower 374 Narmada Private Xray Clinic Road Orthopaedic Hospit Vijay Maternity And Opp - Civil Hospital, Collage 375 Narmada Private Surgical Hospital Road Rajpipla Amrutlal Desai 376 Private Amrutlal Desai General Hospital General Hospital Ashirwad Hopsital, N H No 8, 377 Navsari Private Ashirwad Hospital Chikhli Ba Smt Lilaben M G G Civil Hospital Campus 378 Navsari Private Chimanlal Parikh Station Road Navsari Cancer Centre 379 Navsari Private Gram Seva Trust Kharel N H No 8

601 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

K.D.N Gohel Trident 380 Navsari Private Multy Speciality Opp Fire Station Dudhiya Talav Hospital Kejal Life In N.H 48, Opp Swaminarayan 381 Navsari Private Multispeciality Temple, Kabilpore Navsari Hospital Madhuban Orthopaedic Hospital, Madhuban 382 Navsari Private Premji Complex, Shantadevi Orthopaedic Hospital Road, Sandhhkuva Mangusi General 383 Navsari Private Jawahar Road Hospital Manilal Rikhavchand Kothari Lions Orthopaedic & 384 Navsari Private Ashapuri Temple Road Maganlal Parbhubhai Patel General Hospital Narendra Jamnadas 385 Navsari Private Damania Sarc, , Navsari Hospital 386 Navsari Private Orange Hospital Thakorwadi Street Yashfeen Cardiac 387 Navsari Private Viraval , Near Yashfeen Hospital Hospital Yesha 388 Navsari Private Superspecialtiy Near Railway Station(East) Hospital Adarsh Orthopadic 389 Panchmahal Private Panchmahal Hospital Aum Orthopaedic 390 Panchmahal Private Near Church Ghandhi Chawk Hospital At Aniyad Ta Shehera Dis 391 Panchmahal Private J B General Hospital Panchmahal Janvi Orthopadic 392 Panchmahal Private Jahnavi Orthopeadic Hospital Hospital Krupalu Nursing 1st Floor, Dwarkesh Chambers, 393 Panchmahal Private Home Near Bus Stand Gaushala Building , Opp. F. M. 394 Panchmahal Private Nand Hospital Petrol Pump P.M.Parikh General Opp Bus Stand Godhra Road 395 Panchmahal Private Hospital Halol 396 Panchmahal Private Pooja Hospital Panchmahal Saifee Hospital 397 Panchmahal Private Panchmahal Nursing Home Sanjeevani Hospital Station 398 Panchmahal Private Sanjeevani Hospital Road. Kalol Panchmahals Shraddha Maternity 399 Panchmahal Private Panchmahal Nursing Hospital Shree Orthopaedic & Near Panchmahal Tiles Factory 400 Panchmahal Private Maternity Hospital Dahod Road - 389001 Smitaben V. Shah Dialysis Center Vavdi Buzrg,P.T Mirani Eye 401 Panchmahal Private Managed By Hospital Compound Godhra, Sadvichar Parivar 389001 Godhra

602 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Sunrise Hospital Near Jain Derasar, Dahod Road, 402 Panchmahal Private Critical Care And Vavdi, Godhra Trauma Centre Vinayak Orthopedic 403 Panchmahal Private Panchmahal Hospital A, Wing, 2nd Flor Sardar Aadhar Womens 404 Patan Private Complex, Navjivan Hotel Same. Hospital Shidhhpur Char Rasta 405 Patan Private Aastha Hospital Bhabhar Three Way Radhanpur Kilachand Center Station 406 Patan Private Agrawal Hospital Road,Patan Gujarat 384265 Agrawal Surgical Kilachand Center Station 407 Patan Private Hospital Road,Patan Gujarat 384265 11/26/236 Sardar Complex 408 Patan Private Arpan Hospital Second Floor Siddhpur Cross Road Patan Asha Surgical Asha Surgical Hospital Maruti 409 Patan Private Hospital Complex Sidhpur Banas Hospital Banas Hospital, Nr. Cross Road, 410 Patan Private Prakash Eye Hospital Radhanpur Bhanu Orthopaedic Bhanu Orthopaedic Hospital 411 Patan Private Hospital Highway Road Blessings Womens 11, Bhagwatinagar Soc,Near Bus 412 Patan Private Hospital Station,Patan Gayatri Surgical 413 Patan Private Opp Bus Stand Hospital Harsh Orthopaedic 3rd Line 1floor Killachand 414 Patan Private And Accident Shopping Center Patan Hospital Beside Kohinoor Cinema Station 415 Patan Private Krishna Hospital Road 416 Patan Private Modi Hospital Harkornagar College Road Patan 417 Patan Private Patan Janta Hospital Patan Pratha Surgical B Devbhoomi Complex Opp St 418 Patan Private Hospital Bus Stand, 384265 Saikrupa Maternity Saikrupa Hospital Nr Nandanvan 419 Patan Private Surgical Hospital Society Radhanpur Samved Orthopedic 420 Patan Private Joint Replacement Yash Plaza Rail Way Fatak Patan Hospital Shakti Orthopadic 421 Patan Private 12 Subhadranagar Hospital 2nd Floor, Indraprastha Complex, 422 Patan Private Shraddha Hospital Above Hdfc Bank, Highway, Sonam Hospital 423 Patan Private Near Rail Station Siddhpur Urology Centre Ved Womens 2nd Floor, Madhav 424 Patan Private Hospital Twins,College Road First Floor Above Allhabad Bank Yashfeen Maternity 425 Patan Private 12/17- Bhagwatinagar Bus Stand And Gynaec Hospital Road

603 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Manan Maternity 426 Private Uganda Road And Dental Hospital Shree Morarji Kheraj 427 Porbandar Private Opp. Paradise Cinema Thakrar Hospital Virani Chowk, Nr. Commissioner 428 Private Aakar Hospital Bunglow, Rajkot Opp Swami Vivekanand Statue 429 Rajkot Private Anish Hospital Yagnik Road Rajkot 430 Rajkot Private Ayush Hospital Vidhiya Nagar Main Road Rajkot B.T. Savani Kidney 431 Rajkot Private University Road Hospital Christ Hospital, , 432 Rajkot Private Christ Hospital Road, Dalsania Surgical 433 Rajkot Private Hospital Nidan Ta; , Dist. Upleta Kendra Diagnostic Centre 434 Rajkot Private And Surgical Kanakiaplot, Jetpur Hocpital Divyam Hospital, Ganga 435 Rajkot Private Divyam Hospital Complex, Vidyanagar Main Road 436 Rajkot Private Gedia Ent Hospital Kanakia Plot Global Maternity Second Floor Heerapanna 437 Rajkot Private And Nursing Home Complex Gokul Hospital 14, Sadguru Nagar, Kuvadva 438 Rajkot Private Kuvadva Road Road, 360003 Harilal Jechand Malaviya Nagar Gondal Road 439 Rajkot Private Doshi Hospital Trust Rajkot Ayodhya Chowk, Near Astha 440 Rajkot Private Hcg Hospitals Avenue, Off. 150ft Ring Road Jetur Kanakiya Plot, Opp. Taluka Ishwar Surgical 441 Rajkot Private Panchayat, Near Bhadar Colony, Hospital Bus Stand Road Shree Jalaram Raghukul Sarvajanik Hospital Near Jalaram Raghukul 442 Rajkot Private Panchavati Hall,B/H Shreenathaji Sarvjanik Hospital Tower,Panchvati Cross Road,Rajkot-2 Kateshiya Surgical Hospital, Kateshiya Surgical 443 Rajkot Private Road Opposite New Bus Hospital Stand Krishna Swaminarayan Bethak, Opp. 444 Rajkot Private Multispeciality Udhyognagar Gate, Jetpur Road Hospital Krishna Surgical 445 Rajkot Private Bus Stebd Road Upleta, Rajkot Hospital Thakorgi Aarked,Second Floor, 446 Rajkot Private Lotus Hospital Behind Aambedkar Bhavan, Kothariya Road, Rajkot, 360002 N.M Virani 447 Rajkot Private Wockhardt Hospital Kalwad Road Rajkot

604 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Olympus Hospital Vidyanagar Main Road,Rajkot- 448 Rajkot Private Tanna Healthcare 360001 Pvt. Ltd. Mavdi Chokdi, 150 Feet Ring 449 Rajkot Private Panchmukhi Hospital Road, Opp Brts Bus Stop, Rajkot Smt.Anilaben Kantilal Kothari Rajkot Cancer Cacncer Chikitsa 450 Rajkot Private Society And Allied Bhavan,1,Tirupatinagar,Raiya Hospitals Road Ramani Surgical 451 Rajkot Private Jasda, Dit: Rajkot Hospital Sadbhavna Hospital Sadbhavana Hospital, 150 Feet 452 Rajkot Private Medical Research Ring Road Centre Sakar Orthopaedic Sakar Orthopaedic Hospital 453 Rajkot Private Hospital Kanakia Plot Shanti Multi Sadhu Vasvani Road Off Uni 454 Rajkot Private Speciality Hospital Road, Opp Hp Pump Shreyas Manhar Plot-9,Vidhyanagar Main 455 Rajkot Private Multispecialty Road,Rajkot Hospital Shri Ram Sarvjanik K V Road, Near Ramji Mandir, 456 Rajkot Private Hospital Gondal Sojitra Hospital 457 Rajkot Private Dhoraji Road,Jetpur Jetpur Behind Virani Science College, Sri Sathya Sai Heart 458 Rajkot Private Sri Sathya Sai Marg, Off Hospital Kalawad Road, Rajkot Plot No. 251, 150 Ft Ring Road, 459 Rajkot Private Sterling Hospital Nr. Raiya Circle. 460 Rajkot Private Teli Hospital Noorani Plot, Road Shantinagar-1,Plot No- 30,Nr.Nageshwar Jain 461 Rajkot Private Unicare Hospital Tirth,Jamnagar Road,Ghanteshwar,Rajkot Jamnavad Road, Opp.Prashant 462 Rajkot Private Vardaan Hospital Petrol Pump, Dhoraji 463 Rajkot Private Vedant Hospital Moti Tanki Chowk Rajkot A V M Orthopaedic Akash Ganga Complex ,Near 464 Sabar Kantha Private Hospital Bus Stand Agaman Dialysis B/H Mehta Petrol Pump 465 Sabar Kantha Private Center Girdharnagar Himmatnagar 466 Sabar Kantha Private Anjali Hospital Anjali Hospital Arogyam Orthopedic 467 Sabar Kantha Private Arogyanagar Hospital Second Floor Damodar Complex Ashish Gynaec 468 Sabar Kantha Private Appolo Three Road B/H Petrol Hospital Pump Idar Shreenagar Nr Laxmi Cinema 469 Sabar Kantha Private Astha Surgical Idar Avishkar Dialysis Center Near Avishkar Dialysis 470 Sabar Kantha Private Railway Over Bridge Nijanand Center Himatnagar Nagar Motipura Himatnagar

605 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Bhagyoday Bhagyoday General Hospital Opp 471 Sabar Kantha Private Charitable Trust Bustation Orthopaedic Daljitnagar Nagar Near Near 472 Sabar Kantha Private Hospital New Post Idar, 383430 Heli Maternity And Purshotam Park Near 473 Sabar Kantha Private Nursing Home Chok Above State Bank Talod 474 Sabar Kantha Private Jivanjyot Hospital Jivanjyot Hospital Civil Rod Jk Orthopeadic Behind Mehta Petrol Pump, Near 475 Sabar Kantha Private Hospital Bus Stand Jyoti Hospital And 476 Sabar Kantha Private Opp College Valasana Rd Prasutigruh Near Hanumanji Tample Krishna Sarvajanik 477 Sabar Kantha Private ,Himatnagar- Hospital Highway No 8,Piplodi Laxmi Womens Valasana Road , Opp College , 478 Sabar Kantha Private Hospital Idar 2 Nd Floor Akruti Plaza Near 479 Sabar Kantha Private Maa Prasuti Gruh Kacheri.Idar 480 Sabar Kantha Private Madhur Hospital Doctor House Idar Medistar Hospital Pvt Trimurti Avenue Medistar 481 Sabar Kantha Private Ltd Charrasta N H 8 1st Floor Shakuntal 482 Sabar Kantha Private Nilkanth Hospital Chambers,Station Road First Floor, Jalaram Complex, Padmavati Charitable 483 Sabar Kantha Private Besides Railway Flyover, Near Trust S.T. Bus Station Parth Surgical Parth Hospital 484 Sabar Kantha Private Hospital ,Arogyanagar,Himmatnagar Smruti Lab Building,Near Bus 485 Sabar Kantha Private Poojan Hospital Stand,Arogyanagar Himatnagar Pragati Surgical 486 Sabar Kantha Private Akashganga Near Bus Stations Hospital Raj Surgical Hospital 487 Sabar Kantha Private Raj Surgical Hospital Himmatnagar Sannidhya Ent Near S. 488 Sabar Kantha Private Hospital T.Stand,Arogyanagar,Himatnagar Shakti Orthopaedic Behind Taluka 489 Sabar Kantha Private Hospital Panchayat,Javanpura,Idar. 490 Sabar Kantha Private Sheth K.L.Hospital Sheth K. L. Hospital, Laxmipura Shiv Orthopeadic First Floor Damodar Arcade 491 Sabar Kantha Private Hospital Behind Petrol Pump Idar Shriji Maternity Shantinagar Society , 492 Sabar Kantha Private Home And Surgical Road Hospital Old H R Honda Showroom,Near Sparsh Spine Care & 493 Sabar Kantha Private S K Mri Centre,Under Orthopaedic Hospital Overbridge,Girdharnagar Suman Gynec Devishree Complex,Opp Umiya 494 Sabar Kantha Private Hospital Vadali Park,State Highway Vadali 495 Sabar Kantha Private Trimurti Hospital B/H Bus Station Idar

606 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Tulip Maternity 496 Sabar Kantha Private Sonography And Valasana Road, Jawanpura, Idar Dental Hospital 497 Sabar Kantha Private Vasudha Hospital Girdharnagar 498 Private Apple Hospital Darwaja Ring Road Surat 499 Surat Private Ashirwad Hispital Mandir Road,Tarsadi Beside Kshetrapal Temple, Asutosh Multi 500 Surat Private Kailashnagar, Majura Gate, Speciality Hospital 395002 Baba Memorial Maurya Nagar, Navagam 501 Surat Private Hospital - 394210 Baps Pramukh Shri Pramukh Swami Maharraj 502 Surat Private Swami Hospital Marg, Adajan,Surat 1st Floor, Kaysath Shopping 503 Surat Private Hospital Center , Limda Chok, Bardoli, Surat Bharat Cancer Manav Daya Trust Complex 504 Surat Private Hospital & Research Saroli Surat Institute City Life Care 2nd Floor, Ozone Complex, Opp. 505 Surat Private Multispeciality Laxmikant Bungalows, Hospital Bardoli Road Kamrej Dwti Prabhu General Opp Lakeview Garden Bh Hospital And 506 Surat Private Sardayatan School Floral Park Bankers Heart Road Umra Surat Institute Hanuman Sheri, Chamunda 507 Surat Private Female First Hospital Restaurant Lane Fracture Orthopadic Hospital, Fracture Orthopaedic 508 Surat Private Opp. Brts Bus Stop ,Tadwadi , Hospital Road , Surat C-108/109,1st Floor,Citylight 509 Surat Private Gandhis Hosppital Tower,Kakrapar Bypass Road, Health Point 311 Canopus Mall 510 Surat Private Health Point Near Parle Point Ghod Dod Road Surat Jivan Jyot Trust Sanchalit L.M. Desai Near Amroli College Campus. 511 Surat Private General Hospital & Amroli. Dist. Surat. P.M.R. Shah Maternity Home Kamlaba Multi 15-16,Vishram Nagar 512 Surat Private Specialty Hospital Society,Ved Road,Katargam Kiran Multy Super Sumul Dairy Road, Opp. Srk 513 Surat Private Specialty Hospital & Diamond, Research Center Smit Park Beside Yogiraj L & T Health And 514 Surat Private Complex B H Sanghvi Tower Dialysis Centre Adajan Road Surat 395009 403,404-Sunshine Buiding,Motavarachha Main 515 Surat Private Lathiya Hospital Road,Sudama Chowk,Opp-Cng Pump,Surat-394101

607 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Lathiya Women 3rd Floor,Dolphin House,1-Hans 516 Surat Private Hospital Matenity Society,Varachha Main Road Home Lifeline 1st Floor, Shreenathji Complex, 517 Surat Private Multispeciality Ramnagar Char Rasta, Rander Hospital Road, Surat Maheshwari Dialysis 518 Surat Private New Civil Hospital Campus Centre Nr Someshwar Brts Junction Opp Maitreya Multi Super Harley Davidson Showroom 519 Surat Private Speciality Hospital Udhna Magdalla Road Surat - And Research Center 395007 Manav Seva Sangh Sanchalit Jivan Jyot 3rd Floor, Honda Show Room, 520 Surat Private Diagnostic And Opp Satyanahar Brts Health Centre Matrushree Ramuba Tejani And Matrushree Shantaba 20,Swati Society,Chikuwadi, 521 Surat Private Vidiya Hospital (Sda Nana Varachha ,B/H Cng Pump Diamond Hospital And Medical Research Center) Metas Of Seventh 522 Surat Private Day Adventists P O Box No 24 Athwalines Surat Hospital Multi Speciality Opp Railway Station Kim 523 Surat Private Bhadra Hospital Kudsad Road Kudsad Nirmal Hospital Pvt 2/1423-8-6, Sagrampura, Ring 524 Surat Private Ltd Road, Near Centre Point Omshivam Multi Sai Park Society Nr Sachin Post 525 Surat Private Specialty Hospital Office Station Road Sachin Surat P P Maniya Childrens C-1 Ganesh Colony, Near Baroda Super Speciality 526 Surat Private Pristage , Varachha Main Road, Hospital And Surat-395006 Maternity Home P.P.Savani Heart Mansi,Near Siddhkutir Institute And 527 Surat Private Temple,Varachha Main Multispeciality Road,Surat Hospital Param Hospital ,Canal Brts 528 Surat Private Param Hospital Road,Near Polaris Moll,Punagam,Surat-394530 75/76,Saraswat Nagar Society,Nr 529 Surat Private Piplod Hospital Piplod Jakatnaka Dumas Road,Piplod Surat-7 Nr. Akashganga Appt, Kapadia Saachi Children 530 Surat Private Health Club Road, Off. Hospital Majuragate Sadhana Kutir 531 Surat Private Amrutnagar Hospital 301-302 , Deepkamal-2 Complex, Sahjanand 532 Surat Private Near Sarthana Zoo, Sarthana, Orthopaedic Hospital Varacha Road Yogidhara Samarpan General 533 Surat Private Society,Yogichowk,Punasimada Hospital Road

608 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Samarpan Multy Samarpan Multispecality 534 Surat Private Speciality Hospital Hospital Samatva 535 Surat Private Multispeciality 702 Param Docter House Hospital Western Business Park Op Sd Sanjeevani Multi 536 Surat Private Jain School Um Road Vesu Cross Speciality Hospital Road Vesu Surat, 395007 Sanjivani Hospital, 537 Surat Private - 394305 Chalthan Shalby Hospital, Nr. Navyug 538 Surat Private Shalby Limited College, Rander Road, Adajan Sheth P T Surat 539 Surat Private Balaji Road, Surat, 395003 General Hospital Shree Prannath 540 Surat Private Shree Prannath Marg, Ved Road Hospital Shri B D Mehta Shri Mahavir Health Campus, 541 Surat Private Mahavir Heart Athwagate, Ring Road, Surat. Institute Shri Devarajbhai Bavabhai Tejani Cancer Institue. New Civil Hopsital Campus, Po 542 Surat Private Managed By Lions Box No 20, Majura Gate Cancer Detection Centre Trust 2nd Floor, Hiral Building, Opp. J 543 Surat Private Shruti Ent Hospital K Tower, Ring Road, Surat J.M.Doctor House, Behind Jk 544 Surat Private Sita Hospital Tower, Old Sub Jail, Ring Road, Khatodara Gidc Smt. Rasilaben 545 Surat Private Sevantilal Shah Ashaktashram Campus, Rampura Venus Hospital Second Floor, Vasupujya 546 Surat Private Spanee Hospital Commercial Complex, Sunshine Global Beside Big Bazar, Dumas Road, 547 Surat Private Hospital Piplod Nr Sneh Milan Garden, Opp 548 Surat Private Trident Hospitals Swagat Complex, Kailashnagar Opp T And Tv School Nanpura 549 Surat Private Tristar Hospital Athwagate 550 Surat Private Tristar Hospitals Tristar Hospital Unicare Heart Acme Plaza , B - Wing , Near Institute & Reserch Sosyo Cirlce , B/H New Civil 551 Surat Private Center Run By South Hospital , Canal Road , Surat, Gujarat Cardiac Care 395002 Private Limited Nr Kiran Motors, Opp Unique Unique Hospital Run Brts Junction, Civil Char Rasta- 552 Surat Private By Surat Life Care Sosyo Circle Lane , Off Ring Pvt Ltd Road, Green Atria Beside Silver Park United Green Society In Front Of Sneh Sankul 553 Surat Private Hospital Wadi Anand Mahal Road Adajan - 395009

609 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Ground Floor, Plot No. N/4, Unity Trauma Center 554 Surat Private Janki Park Housing Society, Aai And Icu Mata Road, Magob Yogi Multi Speciality 3rd Floor, Laksh Plaza, Pramukh 555 Surat Private Hospital Swami Marg, Amroli Surendranaga Chiranjivi General 556 Private Bus Stand Road Limbdi r Hospital Surendranaga Chiranjivi Multi 557 Private Bus Station Road Sayla r Speciality Hospital Surendranaga Near Shiv International Hotel 558 Private Janseva Hospital r Wadhvan Surendranagar Surendranaga 559 Private Jindgi Hospital Nr Charmaliya Tempal r Medico 3rd Floor, Subhlaxmi Avenue, Surendranaga 560 Private Multispeciality Handloom Road, Near Mai r Hospital Pvt Ltd Mandir Surendranaga Murli Mataernity 561 Private Opp.C.J.Hospital,Surendranagar r Nursing Home Opp - St Stand, Nr - Hotel Shiv, Surendranaga Niramay Orthopedic 562 Private Surendranagar, Dis - r Hospital Surendranagar Patel Hospital Prasuti Surendranaga 563 Private Gruh And Maternity Near Bus Station Surendranagar r Home Near Bosten Guest House At Surendranaga Pramukh M S 564 Private Surendranagar Ta Dist r Hospital Surendranagar Surendranaga Subhas 565 Private Sava Hospital r Road,Joravarnagar,Surendranagar Second Floor Bapa Sitaram Surendranaga Swastik Surgical 566 Private Complex Opposite District r Hospital Library Surendranagar Gayatri Orthopaedic City Mall, 3rd Floor, 567 Tapi Private And Children Vyara394650 Hospital Janak Smarak 568 Tapi Private Kanpura Vyara Hospital Near Vanchetna Kakrapar Bypass 569 Tapi Private Kalidas Hosital Tadkuva Surbhi Tower, Near Vaibhav 570 Tapi Private Love Care Hospital Theater,Vyara-394650 Modi Children K9 Square Shabridham Society 571 Tapi Private Hospital Kakrapar Bypass Road Vyara Modi Children 2nd Floor,Doctor House ,Near 572 Tapi Private Hospital Vaibhav Theatre Old Bus Stand Surat Dhuliya Road, Vyara- 573 Tapi Private Sanjivani Hospital 394650 Shree Mahavir Opp. City Mall, Near Old Bus 574 Tapi Private Hospital Stop, Vyara-394650 Siddhi Vinayak Above Bank Of Baroda, Surti 575 Tapi Private Hospital Bazar Vyara Aastha Nr.Patel Wadi,Karmadi 576 Private Multispeciality Road,Nava Bajar Karjan Hospital

610 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Akshar X-2 Earth Complex, Akshar 577 Vadodara Private Multispeciality Chowk Hospital 578 Vadodara Private Amar Hospital Station Road, Juna Bazar 579 Vadodara Private Amrut Hospital Manisha Chokad Vadodara Nr Aksharchowk Munjmahuda 580 Vadodara Private Ashutosh Hospital Road B.M.Parikh Shamal Bechrs Pole, M G Road, 581 Vadodara Private Charitable Trust Hospital 57, Maikrupa Society, Opp. Baba Advance 582 Vadodara Private Mental Hospital, Krelibaug, Orthopedic Hospital 390018 Bankers Heart & Harni Warasiya Ring Road, 583 Vadodara Private Multispeciality Warasiya, Vadodara Hospital Near Tagore Nagar, Opp. Bankers Heart 584 Vadodara Private Suryakiran Complex, Old Padra Institute Road Shreekunj Landmark Building, Bankers Opp. Mahalaxmi Party Plot, 585 Vadodara Private Superspeciality Tulsidham-Gidc Road, Hospital Manjalpur, 390011 Baroda Heart 44,Haribhakti Colony, Old Padra 586 Vadodara Private Institute & Research Road Centre Bharti Ent Care Kunj Centrum, 21 Tashkand 587 Vadodara Private Hospital Society,Nizampura Main Road 247/248, Dabhasa, Padra - 588 Vadodara Private Crossroads Hospital Jambusar Road Mohan Park Complex Shinor 589 Vadodara Private Eye Hospital Chokdi Devarsh Surgical & 590 Vadodara Private Vihalkrupa Society Maternity Hospital Dhanvantri Ent Nivedanam Complex, Soma 591 Vadodara Private Hospital Talaw Cross Road Dhiraj Hospital At. And Post. 592 Vadodara Private Dhiraj Hospital Pipariya. Ta. Waghodiya Gujarat Kidney And New Mill Compound, Near 593 Vadodara Private Super Specialty Jetalpur Overbridge, Jetalpur Hospital Road 30 Meter Road, Opp Satsang 594 Vadodara Private Hcg Oncology Llp Party Plot, Sunpharma Road Himalaya Cancer 4, Vinod Baugh, Nr. Jetlapur 595 Vadodara Private Hospital And Bridge, Alkapuri, Vadodara Research Centre 596 Vadodara Private Isha Hospital Jadia Orthopedic 597 Vadodara Private Opp Mahadev Temple Maternity Hospital Jupiter Hospital & Sun Pharma Atladara Road, 598 Vadodara Private Research Centre A Atladara Unit Of Ahpl Kailash Cancer 599 Vadodara Private Hospital Research Muni Seva Ashram, Goraj Centre 611 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

600 Vadodara Private Kalavati Hospital Kalavati Hospital L & T Health & 1st Floor Tam House B Near 601 Vadodara Private Dialysis Center Chhani Jakat Naka Mangalam 602 Vadodara Private Nivednam Complex Soma Talav Orthopaedic Hospital Manjusar General Ff, Bhagyalakshmi Complex, 603 Vadodara Private Hospital & Trauma Near Bus-Stop, Manjusar Care Centre Vadsar Flyover, Vadsar Gidc 604 Vadodara Private Medistar Hospitals Main Road Metro Hospital And Research Metro Hospital 605 Vadodara Private Institute, Beside Kendriya Research Institute Vidyalaya, Harni-Savli Road Naik Superspeciality Opp. Ssg Hospital, Salatwada 606 Vadodara Private Hospital Road Naisarg Center Shri 15 Sriniketan Society, Near 607 Vadodara Private Chimanbhai Patel Jetalpur Bridge Vadodara Orthopaedic Hospital Parikh Multispeciality A-4 Bhagvati Park Opp-Tube 608 Vadodara Private Health Care Pvt.Ltd. Company Old Padra Road Hospit Lukulesh Park Society, Near Pranayam Lung & 609 Vadodara Private Sadhu Vaswani School, New Heart Institute Vip Road, Ramkrishna Ramkrishna Paramhansa 610 Vadodara Private Paramhans Hospital Hospital, Kalali, Vadodara Rhythm Heart Nr.Siddarth Bunglows, Sama- 611 Vadodara Private Institute Savali Road,Vadodara-22 Padmashri Dr. V. C. Patel Marg, 612 Vadodara Private Sanjiv Hospital Opp. Railway Station, B/S Central S. T. Depot, Vadodara Savita Parivar Char Rasta , Waghodiya - 613 Vadodara Private Superspeciality Dabhoi Ring Road Hospital Schvijk Hospital 3rd Floor Siddharh Annxe,B/S 614 Vadodara Private Research Centre A Ambe Vidhlay Sama-Savli Raod Division Of ,Vemali Schvijk Hospital 615 Vadodara Private Research Centre A At Po Mota Fofalia Ta Sinor Division Of Shree Vijay Vallabh Marg, Shree Vijay Vallabh 616 Vadodara Private Panigate Road, Chhipwad, Sarvjanik Hospital Mandvi 20,Ghanshyamnagar 617 Vadodara Private Shreeji Hospital Society,Behind Bus Station,Padra,Vadodra Shreeji Hospital Opp Kaka Temple, Chhani 618 Vadodara Private Trauma Care Centre Road, Chhani, Vadodara, 391740 Siddhi 619 Vadodara Private Multispeciality Besides Fire Brigade Hospital And Icu 2nd And 3rd Floor, Fortune Sneh Multispeciality 620 Vadodara Private Complex, Sun Pharma Road, Hospital Icu Atladara

612 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Spandan 621 Vadodara Private Multispeciality Sindhwai Mata Road Hospital Sterling Cancer 622 Vadodara Private Plot No. 49, Tp 3, Block No. 225 Hospital Opp. Inox, Race Course Circle 623 Vadodara Private Sterling Hospital (West), Vadodara Sunshine Global 624 Vadodara Private Sunshine Global Hospital Hospital Vadodara Dr Vikram Sarabhai Road, Near 625 Vadodara Private Tricolour Hospitals Genda Circle, Vadiwadi Uro Care Hospital 626 Vadodara Private Harni Varasiya Road Uronephro Institute V Care Multi Behind Oscar Orchid, N.H. No. 627 Vadodara Private Speciality 8, Vemardi Road, Karjan Valan Social Welfare At Po Valan Ta Karjan Dist 628 Vadodara Private Charitable Trust Vadodara Sanchalit Va 5-B Nivrutti Colony, Aryakanya 629 Vadodara Private Viroc Hospital Vidhyalaya Road, Karelibaug Near Miles Motors,Atladara- 630 Vadodara Private Welcare Hospital Vadsar Ring Road,Atladara,Vadodara-390012 Adarsh Hospital Pvt. 631 Private Dr. House, Road, Ltd Amit Hospitals Pvt 632 Valsad Private Near Avabai School Halar Road Ltd Haria L G Rotary Plot No 363/1, 364, Housing 633 Valsad Private Hospital Sector, Gidc Kasturba Vaidyakiya 634 Valsad Private Lala Lajpatrai Road Rahat Mandal Nadkarni Hospital & 635 Valsad Private Test Tube Baby Char Rasta,N.H.No.8,Killa Pardi Centre Nadkarnis 21st Natraj Complex, N.H.No.8, Opp. 636 Valsad Private Century Hospitals Pvt Mahavir Nagar , Vapi.396195 Ltd Rainbow Next To Nexashowroom And 637 Valsad Private Superspeciality Aakar Motors N H No 8 Vapi Hospital East Near Chandralok Building 638 Valsad Private Shalby Hospital Chanod Shree Janani Bus Stand Road Opp Shinde 639 Valsad Private Maternity Home Petrol Pump Dharampur Bhilad Sanjan 640 Valsad Private Shree Ji Hospital Road,Daheli(Bhilad),Tal Umbergam,Dist-Valsad 396105 206,2nd Floor,Yogi Business Shree Sainath Center, Nr.Tran Darwaja, Raj 641 Valsad Private Charitable Trust Mahal Road, Above Vallari Dharampur Hospital, Dharampur,Di.Valsad - 396050,Gujarat Kachigam Raod Near Shukla 642 Valsad Private Shreyas Medicare Talavo

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Shrimad Rajchandra 643 Valsad Private App S T Bus Depot Dharampur Hospital Divine Life Hospital Ward 2 A Post Office Road Nr 644 Kachchh Private Managed By Mediaid Gandhi Healthcare Llp Hari Om Trust Ward 2-B Plot No. 460 , Hari 645 Kachchh Private Hospital Laungani Marg, Adipur 646 Kachchh Private Nanavaty Hospital 98-Vijaynagar, First Floor,Sahjanand Surgical 647 Kachchh Private Comm.Centre,Bhuj Mirzapar Hospital Highway 648 Kachchh Private Rudani Hospital Rudani Hospital 49-B Lotus Colony Opp.Gk General 649 Kachchh Private Shyam Medicare Hospital,Nr.Dr.Maganpatel Hospital B/H.Chandan Medical Bhuj Kutch Private Gcs Medical College Opposite Drm Office, Near 650 Ahmedabad (MC) Hospital Chamunda Bridge, Naroda Road, Private Shree Krishna 651 Anand Gokalnagar, Karamsad (Mc) Hospital Private Gaims Teaching Hospital Road, Opp. Lions 652 Kachchh (MC) Hospital Cosciety, Gkgh Road, Bhuj Dr.Nd.Desai Faculty Private D D University College Campus, 653 Of Medical Science (MC) College Road, & Research Surendranaga Private C U Shah Medical C U Shah Medical College 654 r (MC) College Hospital, Dudhrej Road Private Parul Sevashram 655 Vadodara Limda Village (MC) Hospital Private Near Govt Press Anandpura 656 Vadodara Sumandeep Hospital (MC) Kothi Shreeji Archade, B/H Anand 657 Banaskantha Private(For Profit) Anand Bpl Hospital Hospital,Highway . Ashirvad Complex, B/H-Puja X Ashirvad Orthopedic 658 Banaskantha Private(For Profit) Ray Highway, Opp-Gaytri Hospital Temple Ayush Sargical 659 Banaskantha Private(For Profit) Near Bus Stand Hospital Ayushyaman Kidney 660 Banaskantha Private(For Profit) Third Floor, S7 Complex Hospital Bhansali Trust Bhansali Trust Sanchalit Gandhi 661 Banaskantha Private(For Profit) Sanchalit Gandhi Lincoln Hospital, Deesab.K Lincoln Hospital Chaudhari Hospital . 662 Banaskantha Private(For Profit) Tharad. Desai Hospital Doctor House,Near Reailway 663 Banaskantha Private(For Profit) Palanpur Bridge Dharti Hospital, Ambikanagar-2, 664 Banaskantha Private(For Profit) Dharti Hospital Tharad 665 Banaskantha Private(For Profit) Dharti Hospital Santisadan,Kirtistambh,Palanpur Opp Movie World Cinema Near Duke Orthopeadic 666 Banaskantha Private(For Profit) Kidney Care Hospital College Specialty Hospital Road 614 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Naklang Complex, Highway 667 Banaskantha Private(For Profit) Gadhvi Hospital Road - Tharad Opp.Gaytri Mandir,Highway 668 Banaskantha Private(For Profit) Hiraba Hospital Road,Deesa Ambika Nagar Society 2 669 Banaskantha Private(For Profit) J.J.Hospital Highway Road Tharad Jain Ent Hospital, Adarsh 670 Banaskantha Private(For Profit) Jain Ent Hospital Complex, First Floor, Near Dr C K Patel Hospital, Highway Near Mangalam Ct Scaan 671 Banaskantha Private(For Profit) Janani Hospital Dr.House Jashoda Hospital & Vaibhav Complex, Opp.Refral 672 Banaskantha Private(For Profit) Sonography Clinic Hospital Gathaman Gate, Near Petrol 673 Banaskantha Private(For Profit) Joshi Hospital Pump,Palanpur Joshi Orthopedic 674 Banaskantha Private(For Profit) Opp.Gayatri Mandir Deesa Hospital Jyoti Maternity 675 Banaskantha Private(For Profit) Dhanera Hospital Krishna Surgical First Floor,Devdarshan Shopping 676 Banaskantha Private(For Profit) Hospital And Complex Prasutigruh Lions Club Of Lions Gynec Hospital Bhabhar, 677 Banaskantha Private(For Profit) Bhabar Charitable Vav Road, Bhabhar Trust Opp.Bhagyoday Hotel, Ambaji 678 Banaskantha Private(For Profit) Lokseva Hospital Highway, At- Ratanpur Ta- Danta Maharshi Doctor House, Near Railway 679 Banaskantha Private(For Profit) Orthopaedic Hospital Over Bridge, Palanpur Mangal Multispeciality 680 Banaskantha Private(For Profit) Mangal Hospital Hospital,Deesa Road, Mavjat Mansarovar Lake, Mansarovar 681 Banaskantha Private(For Profit) Multispeciality Road Hospital Mivan Orthopaedic Trauma And Joint 682 Banaskantha Private(For Profit) B/H Hotel Cappale Hotel Replacement Hospital Modi Orthopedic 683 Banaskantha Private(For Profit) Near Hotel Cappal Palanpur Hospital New Maheshwari 684 Banaskantha Private(For Profit) Palanpur Doctor House Palanpur Female Hospital Om Kela Hospital,Opp. Gayatri 685 Banaskantha Private(For Profit) Om Kela Hospital Mandir ,Highway,Deesa 686 Banaskantha Private(For Profit) Pahal Hospital Near Cappel Hotel Parivar Orthopadic Opp Gaytri Mandir High Way 687 Banaskantha Private(For Profit) Hospital Road Deesa Smit Com Mein Road Nr Gram 688 Banaskantha Private(For Profit) Patel Hospital Panchayat Pancharatna Shopping Center 689 Banaskantha Private(For Profit) Pooja Hospital Station Road Dhanera

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Prarthana Fracture And Orthopaedic 690 Banaskantha Private(For Profit) Prarthana Hospitals Hospital And Joint Replacement Centre Radhekrishna Opp Gayatri Mandir, High Way, 691 Banaskantha Private(For Profit) Hospital Deesa Dist - Bk Vivekanand Three Roads, Opp 692 Banaskantha Private(For Profit) Ratan Hospital Petrol Pump, Dhanera P.K. Party Plot, Opp. 693 Banaskantha Private(For Profit) Rudra Ortho Care Vishvakarma Temple Marutinandan Com Nr Essar 694 Banaskantha Private(For Profit) Samarpan Hospital Petrol Pump Sanjivani Cheriteble At And Post Danta Danta-Ambaji 695 Banaskantha Private(For Profit) Hospital Road 696 Banaskantha Private(For Profit) Saraswati Hospital Near Hanuman Mandir, Highway Sarathi Multi Paulomi House Nr Railway 697 Banaskantha Private(For Profit) Specialty Hospital Bridge Pvt.Ltd 698 Banaskantha Private(For Profit) Saravajanik Hospital At Danta Highway Road Danta Shree Shubham Multispeciality Dr House Frunt Of Shahibag 699 Banaskantha Private(For Profit) Hospital And Trauma Palace Palanpur Centrellp Shreeji Gynec Behind Cappal Hotel,Near 700 Banaskantha Private(For Profit) Hospital Aroma Circle,Palanpur Highway 701 Banaskantha Private(For Profit) Shubham Hospital Near Petrol Pump Dhanera Agrawal House, Near Kotak Sparsh Orthopedic 702 Banaskantha Private(For Profit) Mahindra Bank, Near Railway Hospital Bridge Near Railway Bridge Dr. Girdhar Patel Marge 703 Banaskantha Private(For Profit) Suraj Hospital Palanpur 704 Banaskantha Private(For Profit) Taj Charitable Trust At And Post Near Abha Eye Tathya Orthopedic 705 Banaskantha Private(For Profit) Hospital,Kirtistambh,Palanpur,Di Hospital st. Banaskantha Gujarat Vishvas Orthopaedic Opp - Vishvkarma Mandir , 706 Banaskantha Private(For Profit) Hospital Highway Lions Club Of 707 Banaskantha Private(Not For Profit) Palanpur Charitable Gobri Road Trust Shah Ramchand Swarajbhai General Station Road, Opposite Taluka 708 Banaskantha Private(Not For Profit) Hospital By Shri Panchayet Dhanera Arogya Samiti Zaveri Mangalji 709 Banaskantha Private(Not For Profit) Baradpura Vamalshi Dispensary

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List of Empanelled Public Hospitals (All PHCs, CHCs, Sub District Hospitals, District Hospitals and Medical College and Hospitals are empanelled under PMJAY in Gujarat).

Sr. No. District Type Name Address Of Hospital Ambli Brts Bus Stand,B/H Iscon 1 Ahmedabad Public Amcu-Phc Aambli Mandir,Ambli Gam Amraiwadi Urban Primery Health Center, Amraiwadi Swastik Char Rasta 2 Ahmedabad Public Amcu-Phc Amraiwadi ,Metro Train 40na Pillar Pase, Nr Mu Garden Amraiwadi Arbudanagar Phc Opp.Krishna Watter 3 Ahmedabad Public Amcu-Phc Arbudanagar Park Nr.Panchal Vadi ,Viratnagar Road Ahemadabad 4 Ahmedabad Public Amcu-Phc Asarwa Juna Asarwa , Gam,Asarwa Indrapuri Uhc, Sureliya Road, Nr 5 Ahmedabad Public Amcu-Phc Bage Firdosh Swastik Mall, Rabari Colony, Ahmedabad Nr. Khodiyarnagar B.R.T.S. Bus Stand, 6 Ahmedabad Public Amcu-Phc Baherampura Behrampura Bapunagar Urban Health Centre, Marghafarm, Near Bapunagar Subzonal 7 Ahmedabad Public Amcu-Phc Bapunagar Office, Viratnagar Cross Road, Bapunagar, Ahmedabad-380024 New Behrampura Uhc, Opp. Danilimda 8 Ahmedabad Public Amcu-Phc Behrampura 2 Brts, Nr. Danilimda Bhajiya House Char Rast, Danilimda, Ahmedabad-380028 Amtc Work Shop, Opp. Ekta 9 Ahmedabad Public Amcu-Phc Bhaipura Appartment, Ctm Road, Hatkeshwar 380026 Near Andhkanya Prakash School 10 Ahmedabad Public Amcu-Phc Bodakdev ,Memnagar Gam, Chandkheda Uphc Opp, Manikrupa 11 Ahmedabad Public Amcu-Phc Chandkheda School Ioc Road Chandkheda Chandlodiya Urban Heal Th,Center 12 Ahmedabad Public Amcu-Phc Chandlodiya Opp,Baliyadev,Temple Below Chandlodiya Nr. Uttamnagar Soc, Behind Zahra Flat, 13 Ahmedabad Public Amcu-Phc Danilimda Danilimda Gaam Dariyapur Urban Primary Health Center,Parvatibai Hospi, Opp.Dariyapur 14 Ahmedabad Public Amcu-Phc Dariyapur Tower,Jorden Road,Dariyapur,Ahmedabad-380001 Nr, Lala Kaka Hall New Shahpur Met. 15 Ahmedabad Public Amcu-Phc Dudeshwar Home Dudheshwar Urban Health Centre Ambawadi Opp Td 16 Ahmedabad Public Amcu-Phc Gandhigram International, Bhudarpura Road,Ambawadi Ghatlodiya Urban Health Centre ,Ahmedabad Municipal 17 Ahmedabad Public Amcu-Phc Ghatlodiya Corporation,Under Chankyapuri Bridge, Ahmedabad-380061 Balabhav Opp Akashar Restorent Nr 18 Ahmedabad Public Amcu-Phc Girdharnagar Jethabhai Parmar Garden Nr Civil Hospital Girdharnagar At Pani Taki, Nr.Ramwadi Bus Stand, 19 Ahmedabad Public Amcu-Phc Godashar Godasardr Nisha Rana

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Gomtipur Darvaja,Opp.Dena 20 Ahmedabad Public Amcu-Phc Gomtipur Bank,Nr.Gomtipur Shak Market,Gomtipur Chadola Lak ,Aadarsh -Terna Ment Na 21 Ahmedabad Public Amcu-Phc Ishanpur Khachama,Isanpur Ground Floor,Aarogya Bhavan,Nr.Old 22 Ahmedabad Public Amcu-Phc Jamalpur S.T.Bus Stand,Astodia,Jamalpur Jodhpur Urban Health Center ,Nr.Anupam ,Shopping Center, Jodhpur 23 Ahmedabad Public Amcu-Phc Jodhpur Gam,Opp.Vivekanand Soc. Ahmedabd,Gujart - 380015 Khadi Gramudhyog Baord Office 24 Ahmedabad Public Amcu-Phc Juna Wadaj Compound Juna Vadaj Nr Chandrabhaga Bridge Vadaj Circle Near Water Tank I.O.C.Road D-Cabin 25 Ahmedabad Public Amcu-Phc Kali Kali First Floor Samjuba Building Opp Calico 26 Ahmedabad Public Amcu-Phc Kalupur Dom Relief Road Kalupur Ahmedabad Opp. Kanak Society Nr.Vedmandir 27 Ahmedabad Public Amcu-Phc Kankariya Parshi Agiyari Majurgam Road Kankariya Khadia School No 32 Desai Pole Same 28 Ahmedabad Public Amcu-Phc Khadiya Opp.Desai Pole Khadia 29 Ahmedabad Public Amcu-Phc Khokhara Balbhavan,Opp.Post Office Khokara Nr Saijpur Tower,Panchayat 3,Home 30 Ahmedabad Public Amcu-Phc Krishnanagar Krishnanagar 1,B.J.Row House,Limda Bus 31 Ahmedabad Public Amcu-Phc Kubernagar Stand,Ahmedabad Near Lambhagam Bus Stop. Lambha 32 Ahmedabad Public Amcu-Phc Lambha Ahmadabad Nr. Lakhaji Kuvarji Hall, Hajipura 33 Ahmedabad Public Amcu-Phc Madhupura Garden, Shahibaug, Ahmedabad-380004. 34 Ahmedabad Public Amcu-Phc Maninagar Nr. Uttamnagar Garden Under Memko Bridage ,Rameshwar 35 Ahmedabad Public Amcu-Phc Meghaninagar Charrasta Meghaninagar Nr. Naranpura Muster Station , Nr. 36 Ahmedabad Public Amcu-Phc Naranpura Kameshwar Mahadev Amcu-Phc Naroda Galaxy Avenue, Near Galaxy Takies, 37 Ahmedabad Public Muthiya Naroda Chamunda Master Station,Nr Chamunda 38 Ahmedabad Public Amcu-Phc Naroda Road Slum Quaters,End Of Chamunda Bridge,Naroda Road Nava Naroda-Nikol Urbun Health Amcu-Phc Nava Naroda- 39 Ahmedabad Public Center Opp. Beti Bachav Medan Nr. Nikol Zeel Recidency Nikol Navawadaj Urban Health Centre,Nr 40 Ahmedabad Public Amcu-Phc Nava Wadaj Parth Tower,Navawadaj Beside Aids Control Society B/H, Lal 41 Ahmedabad Public Amcu-Phc Navrangpura Banglow, Off C.G.Road,Navrangpura Near Kargil Petrol Pump, Behind Ganesh 42 Ahmedabad Public Amcu-Phc New Gota Meredian, Chankyapuri, Ahmedabad Newranip Uhc, Nr.Om Residency,Opp. 43 Ahmedabad Public Amcu-Phc New Ranip Malay Hills, Newranip. New Vejalpur Urban Health Center B/L. 44 Ahmedabad Public Amcu-Phc New Vejalpur Jivrajpark Under Bridge B/S. Railway Track, Jivrajpark, Ahmedabad.

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B/H Ganpati Mandir, Opp. Naroda 45 Ahmedabad Public Amcu-Phc Nobalnagar Police Station Naroda Odhav Urban Health Center,Near 46 Ahmedabad Public Amcu-Phc Odhav Ranchhodji Tempale,Rabari Vashat,Odhav Oghnaj Urban Health Center 47 Ahmedabad Public Amcu-Phc Ognaj Nr.V.S.S.High School,Oghnaj Gam 48 Ahmedabad Public Amcu-Phc Paldi Paldigam Oppesis Despensary 49 Ahmedabad Public Amcu-Phc Piplaj Piplaj Near Muncipal School,Piplaj Gam India Colony Uhc Near Chandraprasad 50 Ahmedabad Public Amcu-Phc Potaliya Desai Hall,Opp Shreeji School Bapunagar 380024 Medical Officer Uphc-Raikhad Nr Raj, 51 Ahmedabad Public Amcu-Phc Raikhad Hospital Opp, Gaykwad Hospital Raikhad Ahmedabad Gujarat Urban Helth Center,B/H Civic 52 Ahmedabad Public Amcu-Phc Rajpur Center Near Chakudia Mahabev Temple,Rajpur Rakhial Urban Helth Center ,Rakhial 53 Ahmedabad Public Amcu-Phc Rakhiyal Municipal School ,Rakhial Char Rasta Ramol Phc Na Makan Ma Smasangruh 54 Ahmedabad Public Amcu-Phc Ramol Ni Baju Ma Bharwadvad Ramol Ranip Urban Health Center,Opp,Roop 55 Ahmedabad Public Amcu-Phc Ranip Kalmal Soc,Near Gayatri Temopal Road,Ranip Nr. Pukhraj 56 Ahmedabad Public Amcu-Phc Sabarmati Hospital,Ramnagar,Sabarmati,Ahmedab ad Saijpur Uphc Nr. Ioc Petrol Pump 57 Ahmedabad Public Amcu-Phc Saijpur Memco Cross Road Saijpur Urban Health Center Sankalitnagar E 58 Ahmedabad Public Amcu-Phc Sankalitnagar Ward Bh, Karishma Comp, Jivraj Police Chowky Juhapura Ahmedabad 380055 Potaliya Cross Road,Nr Municipal 59 Ahmedabad Public Amcu-Phc Saraspur Sananagar,Saraspur.Ahmedabad-380018 Sardarnagar Master,Station Opp Police 60 Ahmedabad Public Amcu-Phc Sardarnagar ,Station,Ambawadi,Sardarnagar,Ahmeda bad-382475 Urban Health Centre New Sardarnagar, 61 Ahmedabad Public Amcu-Phc Sardarnagar 2 Near Ozone City, Iti Road, Naroda, Ahmedabad Sarkhej Uhc Nr. Iti College, Opp. 62 Ahmedabad Public Amcu-Phc Sarkhej Shakari Talav, Sarkhej Gam, Sarkhej Shahpur Chakla Mat.Home Opp 63 Ahmedabad Public Amcu-Phc Shahpur Mangal Parekh No Khancho Shahpur Nr. Shah Hos., Opp. Rejenta Hotel, 64 Ahmedabad Public Amcu-Phc Stadium Shantinagar, Usmanpura, Ahmedabad. Thakkar Bapa Nagar,Muster 65 Ahmedabad Public Amcu-Phc Thakkarnagar Station,Kevda Jini Chali,Opp Bajarang Asharam Rotla Kendra Opp Patel Estate Malav 66 Ahmedabad Public Amcu-Phc Thaltej Talav Thaltej Gam Thaltej Uhc Opp Pravinngar Bus 67 Ahmedabad Public Amcu-Phc Vasna Stand,Near Vasna Cancer Hospital Vasna Vastral Urbun Health Center Opp 68 Ahmedabad Public Amcu-Phc Vastral Rajdhani Tenament Nr Nirant Cross Road Vastral

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Kashiba Hospital,Besides Rajaram 69 Ahmedabad Public Amcu-Phc Vatva School,Opp Deriya ,Vatva Vejalpur Urban Health Centre, Near, 70 Ahmedabad Public Amcu-Phc Vejalpur Ambe Ma Temple, Opp. Water Tank, Vejalpur Village Viratnagaruphc Opp Lilanagar Smashan 71 Ahmedabad Public Amcu-Phc Viratnagar Gruh,Nikol Gam Road ,Thakkarnagar Char Rasta 72 Ahmedabad Public Chc Bavla Opp Pravinpetrol Pump Bus Stand Road 73 Ahmedabad Public Chc Bopal Ghuma Ghuma Community Health Center, Opposite 74 Ahmedabad Public Chc Chandkheda Mani Krupa School, Ioc Road, Chandkheda 75 Ahmedabad Public Chc Detroj Detroj 76 Ahmedabad Public Chc Dhandhuka Dhandhuka 77 Ahmedabad Public Chc Dholka Dholka 78 Ahmedabad Public Chc Mandal Mandal 79 Ahmedabad Public Chc Sanand Nr Bhavnath Temple,Sanand 80 Ahmedabad Public Chc Sarkhej Sarkhej 81 Ahmedabad Public Chc Singarva Dascroi 82 Ahmedabad Public Chc Viramgam Viramgam Community Health 83 Ahmedabad Public Bagodara Centre, Bagodara Danilimda Urban Health Centre, Near 84 Ahmedabad Public Danilimda Chc Uttamnagar Soc, Behind Zahra Flat, Danilimda Gaam New Shahpur Met. Home Dudheshwar Dudheshwar Urban Health 85 Ahmedabad Public Uhc , O/S Shahpur Gate, Nr, Lala Kaka Centre Hall Opp Dena Bank, Opp Municipal Shak 86 Ahmedabad Public Gomtipur Chc Market, Near Gomtipur Darwaja Government Dental 87 Ahmedabad Public College And Hospital New Civil Hospital Campus, Asarwa Ahmedabad Governmentclsc Spine 88 Ahmedabad Public Civil Campus Asarva Institute Physiotherapy Hospital For Mental Out Side Delhi Gate Near Hb Kapadiya 89 Ahmedabad Public Health Gimh School Shahibag Road 90 Ahmedabad Public Ikdrc Its Ikdrc, Civil Campus M & J Western Regional Manjushree Mill Compound Badiyalimdi 91 Ahmedabad Public Institute Of Cross Road Opposite Ioc Petrol Pump Ophthalmology Asarwa 92 Ahmedabad Public P.H.C. Koth Ahmedabad 1982, Subhashnagar, Near 93 Ahmedabad Public Phc Prajna Health Care Shivshaktinagar Amts Bus Stand, Primary Health Centre 94 Ahmedabad Public Akaru Akaru Primary Health Centre 95 Ahmedabad Public Ambaliyara Ambaliyara Primary Health Centre 96 Ahmedabad Public Aslali Aslali

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Primary Health Centre 97 Ahmedabad Public Bhadiyad Bhadiyad Primary Health Centre 98 Ahmedabad Public Chaloda Chaloda Primary Health Centre 99 Ahmedabad Public Chekhla Chekhla Primary Health Centre 100 Ahmedabad Public Dholera Dholera Primary Health Centre 101 Ahmedabad Public Gangad Gangad Primary Health Centre 102 Ahmedabad Public Ganol Ganol Primary Health Centre 103 Ahmedabad Public Gorraiya Gorraiya Primary Health Centre 104 Ahmedabad Public Hadala Hadala Primary Health Centre 105 Ahmedabad Public Jetalpur Jetalpur Primary Health Centre 106 Ahmedabad Public Kanbha Kanbha Primary Health Centre 107 Ahmedabad Public Karakthal Karakthal Primary Health Centre 108 Ahmedabad Public Kasindra Kasindra Primary Health Centre 109 Ahmedabad Public Road Katosan Road Primary Health Centre 110 Ahmedabad Public Kavitha Kavitha Primary Health Centre 111 Ahmedabad Public Koth Koth Primary Health Centre 112 Ahmedabad Public Kuha Kuha Primary Health Centre 113 Ahmedabad Public Kumarkhan Kumarkhan Primary Health Centre 114 Ahmedabad Public Manipura Manipura Primary Health Centre 115 Ahmedabad Public Modasar Modasar Primary Health Centre 116 Ahmedabad Public Nandej Nandej Primary Health Centre 117 Ahmedabad Public Nanodara Nanodara Primary Health Centre 118 Ahmedabad Public Pipli Pipli Primary Health Centre 119 Ahmedabad Public Rampura Rampura Primary Health Centre 120 Ahmedabad Public Rudatal Rudatal 621 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Primary Health Centre 121 Ahmedabad Public Sanathal Sanathal Primary Health Centre 122 Ahmedabad Public Shiyal Shiyal Primary Health Centre 123 Ahmedabad Public Sitapur Sitapur Primary Health Centre 124 Ahmedabad Public Transad Transad Primary Health Centre 125 Ahmedabad Public Trent Trent Primary Health Centre 126 Ahmedabad Public Upardal Upardal Primary Health Centre 127 Ahmedabad Public Vagad Vagad Primary Health Centre 128 Ahmedabad Public Vahelal Vahelal Primary Health Centre 129 Ahmedabad Public Vasva Vasva Primary Health Centre 130 Ahmedabad Public Vataman Vataman Primary Health Centre 131 Ahmedabad Public Virochanagar Virochannagar Primary Health Centre 132 Ahmedabad Public Vithalapur Vithalapur Primary Health Centre 133 Ahmedabad Public Zolapur Zolapur Rakhial Community Health Centre,Opp. 134 Ahmedabad Public Rakhial Chc Rakhial Myunicipal School,Rakhial Chara Rasta,Rakhial Near Physical Ground Maninagar Rukshmani Government 135 Ahmedabad Public Ramkrishna Parmarth Marg Khokhra Hospital Mehmadabad Ahmedabad 136 Ahmedabad Public Sabarmati Chc Ramnagar, Sabarmati Sardar Vallabhbhai Patel Sardar Vallabhbhai Patel Institute Of 137 Ahmedabad Public Institute Of Medical Medical Sciences And Research Sciences And Research Shree C H Nagri Near Gujarat College, Mithakhali, 138 Ahmedabad Public Municipal Eye Hospital Ellisbridge Smt. Shardaben Chimnlal Sayedna Kutbuddin Saheed Marg, 139 Ahmedabad Public Lalbhai Municipal Saraspur, Ahmedabad General H The Gujarat Cancer D Block Office Of The Medical 140 Ahmedabad Public Research Institute Superintendent Civil Hospital Asarwa U.N.Mehta Institute Of D Block Office Of The Medical 141 Ahmedabad Public Cardiology Research Superintendent Civil Hospital Asarwa Centre G.K.Hopital Compound,Moti Golwad 142 Ahmedabad Public U-Phc Dholka ,Dholka Urban Health Cenre, Darbar Gadh, 143 Ahmedabad Public U-Phc Viramgam Boradi Bazar, Viramgam 144 Amreli Public Anida Vadia Road At Anida Ta Kunkavav 145 Amreli Public Bherai Bherai Rajula Amreli Primary Health Center Chavand Ta 146 Amreli Public Chavand Lathi Dis Amreli 147 Amreli Public Chc Chalala Bus Stop Pase

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148 Amreli Public Chc Babara Rajkot Road 149 Amreli Public Chc Hospital Road Bagasara 150 Amreli Public Chc Chital Near Panchayat 151 Amreli Public Chc Damnagar Gariyadhar Road, Damnagar 152 Amreli Public Chc Dhari Dhari 153 Amreli Public Chc Jafrabad Jafrabad 154 Amreli Public Chc Khambha Khambha Bagasara-Vadiya Road, Near- Post 155 Amreli Public Chc Kunkavav Office 156 Amreli Public Chc Lathi Station Road,Lathi 157 Amreli Public Chc Liliya Liliya 158 Amreli Public Chc Rajula Rajula 159 Amreli Public Chc Vadiya Vadiya Community Health Center Vanda Dist 160 Amreli Public Chc Vanda Amreli 161 Amreli Public Dalkhaniya Dalkhaniya Tal Dhari Dist Amreli 162 Amreli Public Dedan Near Bus Stions Phc Dedan 163 Amreli Public Devgam Devgam 164 Amreli Public Dungar Near Primary School Dungar 165 Amreli Public General Hospital Amreli Near St Depo 166 Amreli Public Gopalgram Phc Gopalgram D Amreli T Dhari At Juni Haliyad Near Bus Stand Ta 167 Amreli Public Haliyad Juni Bagasara 168 Amreli Public Jaliya Near High School Jaliya K.K Meheta General 169 Amreli Public Hospital Road, Savarkundla Hospital Near Bus Station At Khadadhar Tal 170 Amreli Public Khadadhar Khambha 171 Amreli Public Khera Khera 172 Amreli Public Krankach Krankach 173 Amreli Public Matirala S T Depot Matirala Ta Lathi At Mavjinjava Near Bus Stand Ta 174 Amreli Public Mavjinjva Bagasara 175 Amreli Public Nageshri At Nageshri Ta Jafrabad 176 Amreli Public Phc Asodar Asodar Taluka Lathi Dist Amreli 177 Amreli Public Phc Timbi Phc Timbi Ta.Jafrabad Dist Amreli 178 Amreli Public Phc Vankiya Phc Vankiya 179 Amreli Public Samadhiyala Mota At Mota Samadhiyala 180 Amreli Public Shedubhar Primary School Shedubhar 181 Amreli Public Vijapadi Hospital Vijapadi Hospital Virkuva Chokdi, Near Vegetable Market, 182 Anand Public Chc Ankalav Anklav, Ta : - Anand, Dist :- Anand. 183 Anand Public Chc Khambhat Near Railway Crossing Khambhat 184 Anand Public Chc Mehlav Mehlav 185 Anand Public Chc Ode At Po Ode Anand 186 Anand Public Chc Ras Community Health Center Ras 187 Anand Public Chc Sarsa At Po Sarsa Anand 188 Anand Public Chc Sojitra Opp M M Shah School Sojitra Anand 189 Anand Public Chc Tarapur Nr Taluka Panchayat Tarapur Anand

623 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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190 Anand Public Chc Umreth Nr Railway Station Umreth Anand 191 Anand Public Chc Vasad Behind Police Station Vasad 192 Anand Public Phc Vadod Phc Vadod Vadod Anand Primary Health Centre 193 Anand Public Railway Station Road Karmasad Karamsad Primary Health 194 Anand Public Phc Badalpur Ta Borsad Centre,Badalpur Primary Health 195 Anand Public Primary Health Centre,Bhalej Centre,Bhalej Primary Health 196 Anand Public Phc Napa At Napa Ta Borsad Centre,Napa Primary Health 197 Anand Public Phc Nar At.Nar Ta. Petlad Centre,Nar Primary Health 198 Anand Public Phc Sisva Borsad Centre,Sisva Primary Health 199 Anand Public Phc Virsad Ta. Borsad Centre,Virsad Primary Health 200 Anand Public Phc Zarola Ta Borsad Dits Anand Centre,Zarola Near Tower Community Health Centre 201 Anand Public Rh And Chc Dharmaj Dharmaj Ta Petlad Near Railway Station Opp Bus Stand 202 Anand Public S S Hospital Petlad Petlad Near Tarang Petrolpump, Old 203 Anand Public U-Phc Borsad Nagarpalika Hospital, Borsad Uhc Ganesh X, Police Talim Center, 204 Anand Public U-Phc Ganeshx Nddb Road Anand U-Phc Lal Darwaja Dr.Shankarbhai Patel Hall, Vaghrivas , 205 Anand Public Khambhat Lal Darwja Khambhat U-Phc Machipura Machhipura Community Hall , 206 Anand Public Khambhat Machhipura, Khambhat Nehrubag,Nehrubag Community Hall 207 Anand Public U-Phc Nehrubag Near Greed Chokdi Anand P P Unit Behinad Ngarpalika General 208 Anand Public U-Phc P.P.Unit Hospital, Juna Bus-Stand Road Anand 209 Anand Public U-Phc Petlad Vasandakui, Petlad 210 Anand Public U-Phc Uhc-4 Copund Of Phc Bakrol, Bakrol - Anand 211 Arvalli Public Chc Amodara At Post Amodara Ta Bayad Dist S K Referral Hospital Samuhik Aarogya 212 Arvalli Public Chc Bhiloda Kendra Bhiloda Re Ho Chc Dhansura N R Bus Stand 213 Arvalli Public Chc Dhansura Dhansura Ta Dhansura Di Sabarkantha 214 Arvalli Public Chc Malapur At Po Ta Malpur 215 Arvalli Public Chc Malpur At Po Malpur Ta Malpur Community Health Center,Near Ganesh 216 Arvalli Public Chc Medhasan Temple Medhasan 217 Arvalli Public Chc Meghraj Community Health Center Meghraj Community Health Center Chc Jitpur At Po Jitpur Ta Bayad Dist 218 Arvalli Public Jitpur Arvalli 219 Arvalli Public Phc Akrund Arvalli 220 Arvalli Public Phc Dadhaliya Arvalli 221 Arvalli Public Phc Jitpur Arvalli 222 Arvalli Public Phc Sardoi Arvalli

624 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

223 Arvalli Public Phc Sartarda Arvalli 224 Arvalli Public Phc Shinavad Arvalli 225 Arvalli Public Phc Vadagam Arvalli 226 Arvalli Public Phc.Shika Arvalli Referal Hospital And 227 Arvalli Public Community Health Center Near Mamlatadar Office Bayad Bay Rogi Kalyan Samiti Chc 228 Arvalli Public Chc Shamalaji Shamlaji U-Phc Modasa,Near 229 Arvalli Public U-Phc Modasa Nagarpalika,Modasa Ta-Modasa,Dist- Arvalli.Pi.Code 383315 230 Arvalli Public U-Phc Savarkundla Mahuva Road Maninagar Savarkundla 231 Banaskantha Public Chc - Khimana At And Post Khimana 232 Banaskantha Public Chc Amirgadh, Banaskantha, Gujarat 233 Banaskantha Public Chc Bhiladi At And Post 234 Banaskantha Public Chc Chndisar At And Post Chandisar 235 Banaskantha Public Chc Danta At And Post Danta Referral Hospital/Samuhik Aarogya 236 Banaskantha Public Chc Deodar Kendra, Deodar 237 Banaskantha Public Chc Dhanera At And Post Dhanera 238 Banaskantha Public Chc Jadiya At And Post Jadiya 239 Banaskantha Public Chc Khimmat At And Post Khimmat 240 Banaskantha Public Chc Kotarwada At And Post Kotarwada 241 Banaskantha Public Chc Lakhani At And Post Lakhni 242 Banaskantha Public Chc Mankdi At And Post Mankadi 243 Banaskantha Public Chc Memadpur Memadpur, , Banaskantha 244 Banaskantha Public Chc Moriya At And Post Moriya Referral Hospital Community Health 245 Banaskantha Public Chc Panthawada Center Pathawada 246 Banaskantha Public Chc Piluda At And Post Piluda 247 Banaskantha Public Chc Rah At And Post Rah 248 Banaskantha Public Chc Ramsan At And Post Ramsan Referral Hospital/Samuhik Aarogya 249 Banaskantha Public Chc Shihori Kendra, Shihori 250 Banaskantha Public Chc At And Post Suigam 251 Banaskantha Public Chc Tadav At And Post Tadav Referral Hospital/Samuhik Aarogya 252 Banaskantha Public Chc Thara Kendra, Thara 253 Banaskantha Public Chc Tharad Highway Road Tharad 254 Banaskantha Public Chc Vadgam Vadgam, Banaskantha, Gujarat 255 Banaskantha Public Chc Vav Vav, Banaskantha, Gujarat 256 Banaskantha Public Chc At And Post Virampur 257 Banaskantha Public Chc-Dhunsol At And Post Dhunsol 258 Banaskantha Public General Hospital Ambaji At And Post Ambaji At And Post Bhabhar Near Wav Suigam 259 Banaskantha Public General Hospital Bhabhar Road General Hospital Deesa Ta-Deesa 260 Banaskantha Public General Hospital Deesa Pin.385535 261 Banaskantha Public Phc Asharavas At And Post Asaravas 625 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

262 Banaskantha Public Phc At And Post Dhima 263 Banaskantha Public Phc Mavassri At And Post Mavsari 264 Banaskantha Public Phc Morikha At And Post Morikha 265 Banaskantha Public Phc Thirtgam At And Post Tirthgam 266 Banaskantha Public Phc Aagthala At And Post Aagthala 267 Banaskantha Public Phc Aalvada At And Post Aalvada 268 Banaskantha Public Phc Achuva At And Post Achuva 269 Banaskantha Public Phc Aganwada At And Post Aganwada 270 Banaskantha Public Phc Anapurgadh At And Post Anapurgadh 271 Banaskantha Public Phc Arkhi At And Post Arkhi 272 Banaskantha Public Phc Aseda At And Post Aseda 273 Banaskantha Public Phc Asodar At And Post Asodar 274 Banaskantha Public Phc Balodhan At And Post Balodhan 275 Banaskantha Public Phc Bapla At And Post Bapla 276 Banaskantha Public Phc Benap At And Post Benap 277 Banaskantha Public Phc Bhachar At And Post Bhachar 278 Banaskantha Public Phc Bhadath At And Post Bhadath 279 Banaskantha Public Phc Bharadava At And Post Bhardava 280 Banaskantha Public Phc Bhatvarvas At And Post Bhataravas 281 Banaskantha Public Phc Bhordu At And Post Bhordu 282 Banaskantha Public Phc Bhorol At And Post Bhorol 283 Banaskantha Public Phc Bhutedi At And Post Bhutedi 284 Banaskantha Public Phc Chhapi At And Post Chhapi 285 Banaskantha Public Phc Chitrasani At And Post Chitrasani 286 Banaskantha Public Phc Dabhela At And Post Dabhela 287 Banaskantha Public Phc Dama At And Post Dama 288 Banaskantha Public Phc Dantiwada At And Post Dantiwada 289 Banaskantha Public Phc Davas At And Post Davas 290 Banaskantha Public Phc Dhandha At And Post Dhandha 291 Banaskantha Public Phc Dhanpura At And Post Dhanpura 292 Banaskantha Public Phc Dharnodhar At And Post Dharnodhar 293 Banaskantha Public Phc Dhunsol At And Post Dhunsol 294 Banaskantha Public Phc Duchakvada At And Post Duchkawada 295 Banaskantha Public Phc Dudhava At And Post Dudhva 296 Banaskantha Public Phc Duva At And Post Duva 297 Banaskantha Public Phc Forna At And Post Forana 298 Banaskantha Public Phc Ganji At And Post Ganji 299 Banaskantha Public Phc Gola At And Post Gola 300 Banaskantha Public Phc Gorad At And Post Gorad 301 Banaskantha Public Phc Hadad At And Post Hadad 302 Banaskantha Public Phc Iqbalgadh At And Post Iqalgadh 303 Banaskantha Public Phc Jadiyali At And Post Jadiyali 304 Banaskantha Public Phc Jalodha At And Post Jalodha 305 Banaskantha Public Phc Jalotra At And Post Jalotra

626 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

306 Banaskantha Public Phc Jegol At And Post Jegol 307 Banaskantha Public Phc Jetda At And Post Jetda 308 Banaskantha Public Phc Jitpur At And Post Jitpur 309 Banaskantha Public Phc Junadeesa At And Post Junadeesa 310 Banaskantha Public Phc Kakar At And Post Kakar 311 Banaskantha Public Phc Kaleda At And Post Kaleda 312 Banaskantha Public Phc Kamboi At And Post Kamboi 313 Banaskantha Public Phc Kamodi At And Post Kamodi 314 Banaskantha Public Phc Kansa At And Post Kansa 315 Banaskantha Public Phc Khara At And Post Khara 316 Banaskantha Public Phc Khoda At And Post Khoda 317 Banaskantha Public Phc Kodram At And Post Kodram 318 Banaskantha Public Phc Kuchawada At And Post Kuchawada 319 Banaskantha Public Phc Kuvarla At And Post Kuvarla 320 Banaskantha Public Phc Kuwala At And Post Kuwala Bhabhar 321 Banaskantha Public Phc Kuwarsi At And Post Kuwarasi 322 Banaskantha Public Phc Lavana At And Post Lavana 323 Banaskantha Public Phc Limbala At And Post Limbala 324 Banaskantha Public Phc Lorvada At And Post Lorwada 325 Banaskantha Public Phc Luvana K At And Post Luvana K Tharad 326 Banaskantha Public Phc Madal At And Post Madal 327 Banaskantha Public Phc Madana At And Post Madana 328 Banaskantha Public Phc Magvas At And Post Magwas 329 Banaskantha Public Phc Malan At And Post Malan 330 Banaskantha Public Phc At And Post Malgadh 331 Banaskantha Public Phc Mandala At And Post Mandala Kankrej 332 Banaskantha Public Phc Meta At And Post Meta Vadgam 333 Banaskantha Public Phc Mithi Paldi At And Post Mithipaldi 334 Banaskantha Public Phc At And Post Morwada 335 Banaskantha Public Phc Motajampur At And Post Motajampur 336 Banaskantha Public Phc Motakapara At And Post Motakapra 337 Banaskantha Public Phc Motasada At And Post Motasada 338 Banaskantha Public Phc Motipavad At And Post Motipavad 339 Banaskantha Public Phc Nadotra At And Post Nadotra 340 Banaskantha Public Phc Naroli At And Post Naroli 341 Banaskantha Public Phc Navavas At And Post Navavas Danta 342 Banaskantha Public Phc Nenava At And Post Nenava Dhanera 343 Banaskantha Public Phc Panchada At And Post Panchada 344 Banaskantha Public Phc Peplu At And Post Peplu 345 Banaskantha Public Phc Pilucha At And Post Pilucha 346 Banaskantha Public Phc Raiya At And Post Raiya Deodar 347 Banaskantha Public Phc Rajkot At And Post Rajkot Dantiwada 348 Banaskantha Public Phc Rampura At And Post Rampura Tharad At And Post Rampura Mota At Dhanera 349 Banaskantha Public Phc Rampura Mota Block

627 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

350 Banaskantha Public Phc Raner At And Post Raner 351 Banaskantha Public Phc Ratanpur At And Post Ratanpur 352 Banaskantha Public Phc Ravel At And Post Ravel 353 Banaskantha Public Phc Runi At And Post Runi 354 Banaskantha Public Phc Sagrosana At And Post Sagrosana 355 Banaskantha Public Phc Samaumota At And Post Samoumota Deesa 356 Banaskantha Public Phc Samdhi At And Post Samdhi - Palanpur 357 Banaskantha Public Phc Sanval At And Post Sanval Vav Block 358 Banaskantha Public Phc Saviyana At And Post Saviyana 359 Banaskantha Public Phc Sebalpani At And Post Sebalpani 360 Banaskantha Public Phc Surela At And Post Surela 361 Banaskantha Public Phc Terwada At And Post Kankrej Block 362 Banaskantha Public Phc Tetarava At And Post Tetarva Bhabhar Taluko 363 Banaskantha Public Phc Totana At And Post Totana 364 Banaskantha Public Phc Uchosan At And Post Uchosan 365 Banaskantha Public Phc Umbari At And Post Umbari 366 Banaskantha Public Phc Unn At And Post Unn 367 Banaskantha Public Phc Uttampura (Da) At And Post Utaampura Dangiya 368 Banaskantha Public Phc Vadpag At And Post Vadpag Taluko Bhabhar 369 Banaskantha Public Phc Vaghrol At And Post Vaghrol 370 Banaskantha Public Phc Varnoda At And Post Varnoda 371 Banaskantha Public Phc Vedancha At And Post Vedencha 372 Banaskantha Public Phc Zalmor At And Post Zalmor 373 Banaskantha Public Phc Zerda At And Post Zerda Near Municipality Hall, Kantheriya 374 Banaskantha Public U-Phc Haripura Hanuman Road, Wadlivalu Paru Ward-3, Palanpur 2 Floor , Hindu Dharmsala, Sonibazar , 375 Banaskantha Public U-Phc Hindu Dhrmshala Ward-7, Deesa Bachapan School, 3 Hanuman Road, 376 Banaskantha Public U-Phc Indira Nagar Indiranagar , Ward-1,Deesa Police Head Quarter Ground, Nr. 377 Banaskantha Public U-Phc Police H.Q Shopping Mall Jahnara Bag Road, Ward- 14,Palanpur 378 Public Chc Vagra Near Block Health Office Vagra Darbarroad Amod Tal Amod Dist 379 Bharuch Public Chc, Amod Bharuch 380 Bharuch Public Chc, Hansot Samuhik Aarogya Kendra Hansot 381 Bharuch Public Chc, Jambusar Near St Depot Jambusar 382 Bharuch Public Chc, Samuhik Aarogya Kendra Palej Near Boi,Main Bazar Umalla 383 Bharuch Public Chc, Ummalla Ta.Jhagadia Dist.Bharuch 384 Bharuch Public Chc, Valia Road Ta.Valia Bharuch Beside Nagar Seva Sadan,Station 385 Bharuch Public Civil Hospital Road,Bharuch 386 Bharuch Public Phc Chaswad Vill.-Chaswad Ta Valia Dist Bharuch 387 Bharuch Public Phc Dahej Vill Dahej Ta Vagra Dist Bharuch 388 Bharuch Public Phc Vill.-Derol Ta Bharuch Dist Bharuch 389 Bharuch Public Phc Netrang Vill. Netrang Ta Valia Dist Bharuch U-Phc Urban Health Goya Bazar Tower Building Uphc 390 Bharuch Public Center, Ankleshwar-1 Ankleshwar-1 628 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

U-Phc Urban Health Vishafaliyu Opp White House Goya 391 Bharuch Public Center, Ankleshwar-2 Bazar Uphc Ankleshwar-2 U-Phc Urban Health B-2 Falshruti Housing Co Operative 392 Bharuch Public Center, Dholikui Society Behind Punitnagar Bharuch Uphc Lalbazar Dr.Den Prasuti Gruh U-Phc Urban Health 393 Bharuch Public ,Opp. Main Post Office ,Lalbazar, Center, Lalbajar Bharuch U-Phc Urban Health Uphc Vejalpur Near Limdichok 394 Bharuch Public Center, Vejalpur Masjid,Bambakhana Vejalpur Bmcu-Phc Akhlol Akhlol Jakatnaka, Opp Amar Auto, 395 Public Jakatnaka Chitra Maruti Arogydham Near Raksheshvar 396 Bhavnagar Public Bmcu-Phc Bharatnagar Mahadev Tempal, B/H, 12 No. Bus Stop,Bharatnagar ,Bhavnagar Soni Gyatiwadi Valo Khacho,Mahadev 397 Bhavnagar Public Bmcu-Phc Bhilwada Temple,Near Haluriya Chowk,Bhilwada,Bhavnagar Plot No:342-43-D1.Javahar 398 Bhavnagar Public Bmcu-Phc Bordigate Colony,Dr.Jogadiya Valo Khancho,Bordigate Plot No:177/B, Street No-11,Sarita 399 Bhavnagar Public Bmcu-Phc Bortalav Society,Bortalav Cm - 759 Styanarayan Socaity, Old Kpes 400 Bhavnagar Public Bmcu-Phc Kaliyabid Shcool Near,Kaliyabid,Bhavnagar Bambakhana Street, Nr. Thakar Dwara 401 Bhavnagar Public Bmcu-Phc Kanbiwad Mandir, Mama Kotha Road, Bhavnagar Karachaliyapara, Nr,.Valket Gate, 402 Bhavnagar Public Bmcu-Phc Karchaliyapara Vithhaleshwar Road., Bhavnagar Kumbharwada Circle Opp, Police Choki 403 Bhavnagar Public Bmcu-Phc Kumbharwada , Old Silicate Factory, Bhavnagar Uphc New Bmcu-Phc New Kumbharwada,Nr,Shitalamataji Deri, 404 Bhavnagar Public Kumbharwada Khodal Chowk,Chamunda Nivas,Bhavnagar Uphc Prabhudas Talav, Near Mahakali 405 Bhavnagar Public Bmcu-Phc Prabhudastalav Temple,Tekarichowk,Prabhudas Talav, Bhavnagar-364001 1st Floor, Community Hall, Municipal 406 Bhavnagar Public Bmcu-Phc Subhashnagar Shopping Centre,Airport Road,Subhashnagar Bmcu-Phc Vadva Urban Primary Health Center,Vadva 407 Bhavnagar Public Washingghat Washingghat Below Vikas Vartul Trust Chc Datha, At-Datha, Nr. Madrasha 408 Bhavnagar Public Chc Datha Masjid, Ta-Talaja, Dist.-Bhavnagar Communith Health Centre 409 Bhavnagar Public Nr. Bus Stand Chc Gariyadhar Gariyadhar Communith Health Chc Ghogaha, Nagarwada, Near Sbi 410 Bhavnagar Public Centreghogha Bank Ghogha 364110 Communith Health At Post Chc Jesar ,Mahuvaroad Ta.Jesar 411 Bhavnagar Public Centrejesar Dis, Bhavnagar 364510 Communith Health 412 Bhavnagar Public Koliyak Centrekoliyak Communith Health Chc-Mota Khutavada, Opp.Bus Stand, 413 Bhavnagar Public Centremotakhumarvada Near Sbi Bank Communith Health 414 Bhavnagar Public Main Road Sihor Centreshihor 629 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Communith Health 415 Bhavnagar Public Station Road, Chc Talaja Centretalaja Communith Health 416 Bhavnagar Public Chc Umrala Near Police Station Centreumrala Communith Health Chc Vallbhipur. At Vallbhipur 417 Bhavnagar Public Centrevallabhipur Bhavnagar Communith Health Community Health Center, Near Sbi 418 Bhavnagar Public Centrevartej Bank, Vartej Community Health Centre At Post Bagdana Chc Bagdana Ta 419 Bhavnagar Public Datha Mahuva Dist Bhavnagar 364145 Community Health Centre 420 Bhavnagar Public Chc Thaliya At:Thaliya,Dist.: Bhavnagar Thaliya General Hospital Mahuva Garden 421 Bhavnagar Public General Hospital Mahuva Road,Mahuva

422 Bhavnagar Public Mansihji Hospitalpalitana Taleti Road, Palitana

423 Bhavnagar Public Phc Tatam 0 Primary Health Centre 424 Bhavnagar Public Main Road,Adhelai 364313 Adhelai Primary Health Centre 425 Bhavnagar Public Phc Ayavej, Ta Jesar, Dist Bhavngar Ayavej

Primary Health Centre Phc Belampar At Belampar Ta. Mahuva, 426 Bhavnagar Public Belamper Dist Bhavnagar

Primary Health Centre Primary Health Centre Bhadraval At. 427 Bhavnagar Public Bhadraval Bhadraval Tal.Talaja.Dist.Bhavnagar Primary Health Centre Phc Bhadrod,Ta.Mahuva, Dist 428 Bhavnagar Public Bhadrod Bhavnagar Primary Health Centre At Bhandariya Taluko Ghogha District 429 Bhavnagar Public Bhandariya Bhavnagar Primary Health Centre 430 Bhavnagar Public At.Bhumbhali Ta.Dist.Bhavnagar Bhumbhali Primary Health Centre 431 Bhavnagar Public Phc Bila , Ta Jesar , Dist-Bhavnagar Bila Primary Health Centre Phc Boda At Boda, Ta.Mahuva, Dist 432 Bhavnagar Public Boda Bhavnagar Primary Health Centre Phc Borda At-Borda Ta-Talaja Dist- 433 Bhavnagar Public Borda Bhavnagar Primary Health Centre At-Dadva(Randalana),Ta-Umrala,Di- 434 Bhavnagar Public Dadva Bhavanagar Primary Health Centre 435 Bhavnagar Public Phc Gheti Ta.Palitana Dist.Bhavnagar Gheti Primary Health Centre Phc Gundarna At Gundarna Ta Mahuva 436 Bhavnagar Public Gundarna Dist Bhavnagar Primary Health Centre 437 Bhavnagar Public At Panchavati Gardan Hathab 364070 Hathab Primary Health Centre Phc Kalatalav At Vallabhipur Dist 438 Bhavnagar Public Kalatalav Bhavnagar Primary Health Centre Phc Kalsar At-Kalsar Ta-Mahuva Dist- 439 Bhavnagar Public Kalsar Bhavnagar 630 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre Phc Kumbhan At Kumbhan Ta Mahuva 440 Bhavnagar Public Kumbhan Dist Bhavnagar Primary Health Centre Phc - Kundheli At Kundheli, Tal- 441 Bhavnagar Public Kundheli Talaja,Dist-Bhavnagar Primary Health Centre 442 Bhavnagar Public Railway Station Road , Madhada Madhada Primary Health Centre Phc Madhiya At & Post Village Madhiya 443 Bhavnagar Public Madhiya Ta Mahuva Dist Bhavnagar Primary Health Centre Phc Manar, At Manar, Tal-Talaja,Dist- 444 Bhavnagar Public Manar Bhavnagar Primary Health Centre Phc Mangadh, Ta:Gariyadhar 445 Bhavnagar Public Mangadh Dist:Bhavnagar Primary Health Centre Phc Mathavada, At Mathavada 446 Bhavnagar Public Mathavda ,Ta:Talaja , Dist:Bhavnagar-364150 Primary Health Centre Phc Mota Asarana Ta Mahuva Dist- 447 Bhavnagar Public Mo.Asarana Bhavnagar Primary Health Centre At:-Morchand, Tal:-Ghogha,Dist:- 448 Bhavnagar Public Morchand Bhavnagar Phc Primary Health Centre 449 Bhavnagar Public Motivavdi,Ta:Gariyadhar,Dist:Bhavnaga Motivavdi r Primary Health Centre Phc Nanirajsthali Ta. Palitana 450 Bhavnagar Public Nanirajsthali Dist.Bhavnagar Primary Health Centre 451 Bhavnagar Public Nari Primary Health Centre Phc Nonghanvadar Ta.Palitana 452 Bhavnagar Public Nonghnvadar Dist.Bhavnagar Primary Health Centre Phc Patna Ta Vallabhipur Dist 453 Bhavnagar Public Patna Bhavnagar Primary Health Centre Phc Pithalpur, At Pithalpur, Tal- 454 Bhavnagar Public Pithalpur Talaja,Dist-Bhavnagar Primary Health Centre 455 Bhavnagar Public Bhavnagar Rajkot Highway At Ranghola Ranghola Primary Health Centre Phc Ratanpar Ga Ta Vallabhipur Sidt 456 Bhavnagar Public Ratanpur Ga Bhavnagar Primary Health Centre At-Sanosara , Bhavnagar- Rajkot 457 Bhavnagar Public Sanosara Highway , Ta-Sihor, Dist-Bhavnagar Primary Health Centre Phc Sartanpar, At Sartanpar Port, Ta : 458 Bhavnagar Public Sartanpar Talaja, Dist : Bhavnagar-364140 Primary Health Centre Phc Sendarda Ta-Mahuva Dist. 459 Bhavnagar Public Sedarda Bhavnagar 364290 Primary Health Centre At : , Old Palitana Road, Ta : 460 Bhavnagar Public Songadh Sihor, Dist : Bhavnagar Primary Health Centre Phc Talgajarda Ta-Mahuva Di- 461 Bhavnagar Public Talgajarda Bhavnagar 364290 Primary Health Centre At Tana,Main Bajar,Gokul Restorant 462 Bhavnagar Public Tana Same,Ta Sihor,Dist : Bhavnagar Primary Health Centre 463 Bhavnagar Public At Tansa Ta-Ghogha Dist.-Bhavnagar Tansa Primary Health Centre Phc- Trapaj At Trapaj , Tal -Talaja , Dist 464 Bhavnagar Public Trapaj -Bhavnagar Primary Health Centre Prathmik Arogy Kendr Unchadi,Mangela 465 Bhavnagar Public Unchadi Road At-Unchadi,Ta-Talaja

631 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre Bpl Vistar, At.Undavi 466 Bhavnagar Public Undavi Ta.Dist.Bhavnagar Primary Health Centre 467 Bhavnagar Public At:Usarad, Tal:Sihor, Dist:Bhavnagar Usarad Primary Health Centre 468 Bhavnagar Public Phc Valukad Ta.Palitana Dist.Bhavnagar Valukad Primary Health Centre At-Valukad,Taluko-Ghogha,Dist- 469 Bhavnagar Public Valukad G Bhavnagar Primary Health Centre Phc Velavadar Ta:Gariyadhar 470 Bhavnagar Public Velavadar Dist:Bhavnagr Uphc 1 Mahuva Navazapa 471 Bhavnagar Public U-Phc Mahuva-1 Centar,Sanghediya Bazar Mahuva Uphc 2 Mahuva Khodiyar Nagar Milni 472 Bhavnagar Public U-Phc Mahuva-2 Chali Mahuva Uphc 473 Bhavnagar Public U-Phc Palitana Palitana,Lakshmivadi,Baharpara,Palitana 474 Bhavnagar Public U-Phc Sihor Chittaliya Bal Mandir ,Vadla Chok,Sihor Communith Health Centre Sonavala Hospital, Near Railway 475 Public Botad Crossing, Botad-364710 Communith Health Centre 476 Botad Public Sama Kaanthe Adtala Road Gadhada Gadhada Communith Health Centre 477 Botad Public Near St Stand Paliyad Community Health Centre Chclathidad Ta.Di.Botad Salangpur 478 Botad Public Lathidad Road Umiya Mandir Same 479 Botad Public Phc Bhadravadi Bhadravadi, Ta. Botad, Dist. Botad 480 Botad Public Phc Bhimnath School Near Bhimnath Phc 481 Botad Public Phc Dhasa Na 482 Botad Public Phc Behind Govt.School Salangpur 483 Botad Public Phc Jalila At Jalila Ta Ranpur Dist Botad 382255 484 Botad Public Phc Khas Near Busstand, Khas 485 Botad Public Phc Khopala Uphc-2 ,Javernagar 486 Botad Public Phc Motikundal Near Gangaba High School, Motikundal 487 Botad Public Phc Nagnesh Lakheni Ta,Botad Dist,Botad 488 Botad Public Phc Salangpur Umrala 489 Botad Public Phc Sarva Gram Panchant Near. Sarva 490 Botad Public Phc Turkha Nava Navda 491 Botad Public Phc Umrala Devadhari Road Turkha 492 Botad Public Phc-Lakheni Gadhada Road ,Shivpara ,Botad 493 Botad Public Phc-Navada Near Busstand, Khopala 494 Botad Public Phc-Zamrala Gram Panchant Near. Zamrala 495 Botad Public Uphc Gadhada Jin Naka, Near Kanya Vidhalay School 496 Botad Public U-Phc Uphc-1,Shivpara Shivparar,Botad U-Phc Uphc- 497 Botad Public Uphc-2 Javernagar ,Botad. 2,Khodiyarnagar Jobala Road, At-Nagnesh Ta-Ranpur 498 Botad Public Uphc-1 Botad Dist-Botad 499 Botad Public Uphc-2 Botad Sanjanavadar Road Gadhali Ta-Gadhada 500 Chhotaudepur Public Chc Kawant Chc Kawant, Ta Kawant, Chhotaudepur Chc Naswadi, Ta Naswadi, 501 Chhotaudepur Public Chc Naswadi Chhotaudepur 502 Chhotaudepur Public Chc Pavijetpur Pavi Jetpur Chhotaudepur

632 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

503 Chhotaudepur Public Chc Sankheda Sankheda Chhotaudepur 504 Chhotaudepur Public Chc Zoz Zoz Chhotaudepur 505 Chhotaudepur Public Phc Bahadarpur Bahadarpur Phc Gadhboriyad Naswadi 506 Chhotaudepur Public Phc Gadhboriyad Chhotaudepur 507 Chhotaudepur Public Phc Panvad Phc Panvad, Ta Kawant, Chhotaudepur 508 Chhotaudepur Public Phc Tejgadh Tejagadh 509 Chhotaudepur Public R.H. C.H.C,Chhotaudepur Opp Head Post Office Chhotaudeur At Jabugam Ta Bodeli District 510 Chhotaudepur Public R.H. C.H.C,Jabugam Chhotaudepur 511 Dahod Public Chc Devghadbariya Atbariya Nr Taluka Shala B H Big Talav At Tal 512 Dahod Public Chc Dhanpur Dhanpur Dist Dahod 513 Dahod Public Chc Katwara Chc Katwara 514 Dahod Public Chc Limadi Chclimdi 515 Dahod Public Chc Limkheda Rhchc Limkheda 516 Dahod Public Chc Pethapur Atpethapurto Zalod 517 Dahod Public Chc Singvad Chcsingvadtosingvad 518 Dahod Public Chc Zalod Nr Limbdi Darwaja Jhalod 519 Dahod Public Phc Rebari Dahod 520 Dahod Public Phc Aafva Dahod 521 Dahod Public Phc Agaswani Dahod 522 Dahod Public Phc Agavada Dahod 523 Dahod Public Phc Antela Dahod 524 Dahod Public Phc Baliay Dahod 525 Dahod Public Phc Bandibar Dahod 526 Dahod Public Phc Bavaka Dahod 527 Dahod Public Phc Bhathiwada Dahod 528 Dahod Public Phc Bhathvada Dahod 529 Dahod Public Phc Bhuval Dahod 530 Dahod Public Phc Bilwani Dahod 531 Dahod Public Phc Bordi Dahod 532 Dahod Public Phc Borwani Dahod 533 Dahod Public Phc Chakliya Dahod 534 Dahod Public Phc Chhaparvad Dahod 535 Dahod Public Phc Chilakota Dahod 536 Dahod Public Phc Dabhava Dahod 537 Dahod Public Phc Dasa Dahod 538 Dahod Public Phc Degavada Dahod 539 Dahod Public Phc Dhadhela Dahod 540 Dahod Public Phc Dudhamali Dahod 541 Dahod Public Phc Dudhiya Dahod 542 Dahod Public Phc Dudhiyadevbariya Dahod 543 Dahod Public Phc Dungar Dahod 544 Dahod Public Phc Dungari Dahod 545 Dahod Public Phc Gamdi Dahod 633 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

546 Dahod Public Phc Gangardi Dahod 547 Dahod Public Phc Gangardi Dahod 548 Dahod Public Phc Garadu Dahod 549 Dahod Public Phc Ghughash Dahod 550 Dahod Public Phc Gultora Dahod 551 Dahod Public Phc Guna Dahod 552 Dahod Public Phc Hadmat Dahod 553 Dahod Public Phc Jagola Dahod 554 Dahod Public Phc Jekot Dahod 555 Dahod Public Phc Jesawada Dahod 556 Dahod Public Phc Kadval Dahod 557 Dahod Public Phc Kanjeta Dahod 558 Dahod Public Phc Kathla Dahod 559 Dahod Public Phc Khangela Dahod 560 Dahod Public Phc Kharoda Dahod 561 Dahod Public Phc Kuvabaina Dahod 562 Dahod Public Phc Lilva Thakor Dahod 563 Dahod Public Phc Madhva Dahod 564 Dahod Public Phc Mahudi Dahod 565 Dahod Public Phc Mandor Dahod 566 Dahod Public Phc Margala Dahod 567 Dahod Public Phc Moti Dhadheli Dahod 568 Dahod Public Phc Motikharag Dahod 569 Dahod Public Phc Nagrala Dahod 570 Dahod Public Phc Navanagar Dahod 571 Dahod Public Phc Panchwada Dahod 572 Dahod Public Phc Rachhava Dahod 573 Dahod Public Phc Ranipura Dahod 574 Dahod Public Phc Rentiya Dahod 575 Dahod Public Phc Rupakheda Dahod 576 Dahod Public Phc Salara Dahod 577 Dahod Public Phc Sanjeli Dahod 578 Dahod Public Phc Sarmariya Dahod 579 Dahod Public Phc Sevaniya Dahod 580 Dahod Public Phc Therka Dahod 581 Dahod Public Phc Timarda Dahod 582 Dahod Public Phc Tokarva Dahod 583 Dahod Public Phc Ved Dahod 584 Dahod Public Phc Zabu Dahod 585 Dahod Public R.H. Chc Piplod Chcpiplod Refrel Hospital And Near Anaj Market Sukhsar Ta Fatepura 586 Dahod Public Community Health Center Dist Dahod 587 Dahod Public Rh Chc Garbada Navafaliyagarbada 588 Dahod Public Rh Chc Fatepura Atpofatepuratafatepuradistdahod

634 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Near Damor Gas Agency Op:Navdha 589 Dahod Public U-Phc Chakliya Road Hospital Challiyaroad Dahod 389151 102,Vraj Apartment,Vitthlesh 590 Dahod Public U-Phc Desaiwad Nagar,Near Akhada, Desaiwada,Dahod- 389151 Near Jilla Seva Sadan, High School 591 Dang Public General Hospital Ahwa Road 592 Dang Public Phc Kalibel At Kalibel Ta Ahwa Dist Dang 593 Dang Public Phc Sakarpatal At- Sakarpatal Ta Ahwa Dist Dang 594 Dang Public Phc Saputara At Saputara Ta Ahwa Dist Dang 595 Dang Public Phc Shamghan At Shamghan Ta Ahwa Dist Dang 596 Dang Public Phc Subir At- Subir Ta Ahwa Dist Dang 597 Dang Public Waghai CHC Chc Devbhoomi Out Of Verad Gate Bhanvad Tal 598 Public Chc Bhanvad Dwarka Bhanvad Dis Jamnagar Devbhoomi 599 Public Chc Dwarka Community Helth Center Dwarka Dwarka Devbhoomi 600 Public Chc Jamkalyanpur At Jamkalyanpur Dis Jamnagar Dwarka Devbhoomi 601 Public Chc Rawal Jamraval Dwarka Devbhoomi 602 Public Chc Salaya Community Health Center Salaya Dwarka Devbhoomi General Hospital, Highway Char Rasta Near Reliance 603 Public Dwarka Jamkhambhalia Circle Jam-Khambhaliya Devbhoomi Primary Health Centre Bajana,Ta-Jam Khambhaliya,Devbhumi 604 Public Dwarka Bajana Dwarka Devbhoomi Primary Health Centre Bhadthar,Ta-Jam 605 Public Dwarka Bhadthar Khambhaliya,Devbhumi Dwarka Devbhoomi Primary Health Centre Phc Bhatiya Near Bas Stand,Ta- 606 Public Dwarka Bhatiya Kalyanpur Dist-Decbhumi Dwarka Devbhoomi Primary Health Centre Bhinda,Ta-Jam Khambhaliya,Devbhumi 607 Public Dwarka Bhinda Dwarka Devbhoomi Primary Health Centre Phc Bhogat,Ta-Kalyanpur Dist- 608 Public Dwarka Bhogat Decbhumi Dwarka Devbhoomi Primary Health Centre Devliya ,Ta-Kalyanpur,Devbhumi 609 Public Dwarka Devaliya Dwarka Devbhoomi Primary Health Centre Phc Gadhaka,Ta-Kalyanpur Dist- 610 Public Dwarka Gadhaka Decbhumi Dwarka Devbhoomi Primary Health Centre 611 Public Phc Gunda,Ta-Bhanvad Dwarka Gunda Devbhoomi Primary Health Centre Phc Lamba,Ta-Kalyanpur Dist- 612 Public Dwarka Lamba Decbhumi Dwarka Devbhoomi Primary Health Centre 613 Public Modpart,Ta-Bhanvad,Devbhumi Dwarka Dwarka Modpar Devbhoomi Primary Health Centre 614 Public Morzar ,Ta-Bhanvad,Devbhumi Dwarka Dwarka Morzar Devbhoomi Primary Health Centre Mota Asota ,Ta-Kalyanpur,Devbhumi 615 Public Dwarka Mota Ashota Dwarka Devbhoomi Primary Health Centre 616 Public Phc Movan, Dist Devbhumi Dwarka Dwarka Movan Devbhoomi Primary Health Centre Phc Pachhtar,Tal-Bhanvad,Dist- 617 Public Dwarka Pachhtar Devbhumi Dwarka Devbhoomi Primary Health Centre Pindara ,Ta-Kalyanpur,Devbhumi 618 Public Dwarka Pindara Dwarka

635 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Devbhoomi Primary Health Centre Rajpara ,Ta-Kalyanpur,Devbhumi 619 Public Dwarka Rajpara Dwarka Devbhoomi Primary Health Centre Phc Raan,Ta-Kalyanpur Dist-Decbhumi 620 Public Dwarka Rann Dwarka Surajkaradi ,Ta- Devbhoomi Primary Health Centre 621 Public Dwarka(Okhamandal),Devbhumi Dwarka Surajkaradi Dwarka Devbhoomi Primary Health Centre Primary Health Centre Tupani,Near 622 Public Dwarka Tupani Primary School,Tupani

Devbhoomi Primary Health Centre Phc Vachalabara,Khambhaliya,Dist- 623 Public Dwarka V.Bara Devbhumi Dwarka

Devbhoomi Primary Health Centre Phc Vadatra,Ta-Khambhaliya,Dist- 624 Public Dwarka Vadatra Devbhumi Dwarka Devbhoomi Primary Health Centre Phc Varvada,Ta-Dwarka,Dist- 625 Public Dwarka Varvala Devbhiumi Dwarka Devbhoomi Primary Health Centre 626 Public Verad, Ta-Bhanvad, Near Bas Station Dwarka Verad Urban Primary Heath Center, Near Block Devbhoomi 627 Public U-Phc Khambhaliya Office,Old Jouneral Hospitel,Jam Dwarka Khambhaliya Urban Primary Health Cnter Okha, Near Devbhoomi 628 Public U-Phc Okha Cricket Ground, Navinagari,Okha- Dwarka 361350 Cmmunity Health Centre Nr Post Office 629 Gandhinagar Public Chc Adalaj Vav Road Adalaj 630 Gandhinagar Public Chc Charada Chc Charada 631 Gandhinagar Public Chc Chhala Chc Chhala 632 Gandhinagar Public Chc Dehgam Referral Hospital/Samuhik Aarogya 633 Gandhinagar Public Chc Mansa Referral Hospital Samuhik Aarogya 634 Gandhinagar Public Chc Nardipur Referral Hospital Samuhik Aarogya 635 Gandhinagar Public Chc Rakhiyal Chc Rakhiyal 636 Gandhinagar Public Chc Sadra Samuhik Aarogya Kendra Sadra 637 Gandhinagar Public Gmcu-Phc Palaj Uphc Palaj 638 Gandhinagar Public Gmcu-Phc Sec-2 Urban Health Center Sector-02 Urban Health Center Sector-24 Near 639 Gandhinagar Public Gmcu-Phc Sec-24 Vegetabele Market, Sector-24, Gandhinagar Urban Health Center , Near Post Office, 640 Gandhinagar Public Gmcu-Phc Sec-29 Sec-29 641 Gandhinagar Public Phc Bilodara Primary Health Center, Bilodara 642 Gandhinagar Public Phc Dabhoda Dabhoda Ta Di Gandhinagar Primary Health Center 643 Gandhinagar Public Primary Health Center Pundhara Pundhara Primary Health Centre 644 Gandhinagar Public Primary Health Centre Adaraj Adaraj Primary Health Centre 645 Gandhinagar Public Primary Health Centre Ajol Ajol Primary Health Centre 646 Gandhinagar Public Primary Health Centre Bahiyal Bahiyal Primary Health Centre 647 Gandhinagar Public Primary Health Centre Dev-Muvada Dev-Muvada Primary Health Centre 648 Gandhinagar Public Primary Health Centre Dhanaj Dhanaj 636 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre 649 Gandhinagar Public Primary Health Centre Hajipur Hajipur Primary Health Centre 650 Gandhinagar Public Primary Health Centre Itadara Itadara Primary Health Centre 651 Gandhinagar Public Primary Health Centre Kadadara Kadadara Primary Health Centre 652 Gandhinagar Public Primary Health Centre Kadjodara Kadjodara Primary Health Centre 653 Gandhinagar Public Primary Health Centre Mahudi Mahudi Primary Health Centre 654 Gandhinagar Public Primary Health Centre Mokhasan Mokhasan Primary Health Centre 655 Gandhinagar Public Primary Health Centre Palundra Palundra Primary Health Centre 656 Gandhinagar Public Primary Health Centre Patnakuva Patnakuva Primary Health Centre 657 Gandhinagar Public Primary Health Centre Prantiya Prantiya Primary Health Centre 658 Gandhinagar Public Primary Health Centre Rancharada Rancharada Primary Health Centre 659 Gandhinagar Public Primary Health Centre Rupal Rupal Primary Health Centre 660 Gandhinagar Public Primary Health Centre Saij Saij Primary Health Centre 661 Gandhinagar Public Primary Health Centre Sampa Sampa Primary Health Centre 662 Gandhinagar Public Primary Health Centre Sanoda Sanoda Primary Health Centre 663 Gandhinagar Public Primary Health Centre Soja Soja Primary Health Centre 664 Gandhinagar Public Primary Health Centre Sughad Sughad Primary Health Centre 665 Gandhinagar Public Primary Health Centre Unava Unava Primary Health Centre 666 Gandhinagar Public Primary Health Centre Uvarsad Uvarsad Primary Health Centre 667 Gandhinagar Public Primary Health Centre Vadodara Vadodara Primary Health Centre 668 Gandhinagar Public Primary Health Centre Varsoda Primary Health Centre 669 Gandhinagar Public Primary Health Centre Veda Veda Prmary Health Center 670 Gandhinagar Public Prmary Health Center Pansar Pansar Uphc-1 Ambedkarbhavan, Railway Purv, 671 Gandhinagar Public U-Phc Kalol-1 Kalol-382721 672 Gandhinagar Public U-Phc Kalol-2 Uphc-2 Nure Mohmadi Hospital, , Kalol 673 Gir Somnath Public Ankolwadi PHC Phc Aankolvadi 674 Gir Somnath Public Borvav Phc Borvav Phc Community Health Center Chc Girgadhada Near S.T.Bus Stop 675 Gir Somnath Public Gir Gadhada Girgadhada

637 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Community Health Center 676 Gir Somnath Public Kodinar Kodinar Community Health Center 677 Gir Somnath Public Vineshvar Road Chc Prabhaspatan Community Health Center 678 Gir Somnath Public Community Health Center Simar Simar Community Health Center 679 Gir Somnath Public Opp. Nagarpalika High School Talala Government Hospital, 680 Gir Somnath Public Satta Bazaar, Veraval Opp.D.M.Barad High School,At-Ajotha 681 Gir Somnath Public Phc Ajotha Tal-Veraval 682 Gir Somnath Public Phc Dari At Dari Taluka Veraval 683 Gir Somnath Public Phc Dhamlej Dhamlej Kodinar Rod Phc Dhava At Dhava Opp Gaushala 684 Gir Somnath Public Phc Dhava Taluko Talala 685 Gir Somnath Public Phc Fulka To Fulka-Ta-Gir Gadhada

686 Gir Somnath Public Phc Prashnavada At Prashnavada Ta Sutrapada

687 Gir Somnath Public Phc Thareli Sidhee Cement Road Primary Health Center At Sanakhada Oppsite Villege Panchayat 688 Gir Somnath Public Sanakhada Kharakuva Primary Health Center 689 Gir Somnath Public At-Adri, Vadodara Navapara Road. Adri Primary Health Center Delwada Primary Health Center 690 Gir Somnath Public Kanyashala Godhara Choke Behind Delwada Delwada Ta.Una Primary Health Center 691 Gir Somnath Public Dhokadwa Dhokadva Primary Health Center 692 Gir Somnath Public At Harmadiya Harmadiya Primary Health Center 693 Gir Somnath Public Fudadidhar Jamvala Gir Jamvala Primary Health Center 694 Gir Somnath Public At Navabandar Navabandar Primary Health Center 695 Gir Somnath Public At Pandva,Taluka Veraval Pandva Primary Health Center 696 Gir Somnath Public Prasali Kodinar Veraval Highway Prasli Primary Health Center 697 Gir Somnath Public At Samter Una Bhavnagar Highway Samter Primary Health Center 698 Gir Somnath Public Near Primary School Tad Tad Primary Health Center 699 Gir Somnath Public At Vithapur Vithalpur Reffaral Hospital C.H.C. 700 Gir Somnath Public Near S T Stand Sutrapada

701 Gir Somnath Public U-Phc U-Phc-Bandar Rod At-Veraval Rajendra Bhuvan Road

702 Gir Somnath Public U-Phc U-Phc-Bhidiya Veraval 638 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

703 Gir Somnath Public U-Phc U-Phc-Harsiddhi At-Veraval Harsiddhi Socaity

Near Gaytrimandir ,Bhimpara,Delwada 704 Gir Somnath Public U-Phc U-Phc-Una Road,Una 705 Jamnagar Public Chc Dhrol Rajkot Road Dhrol 706 Jamnagar Public Chc Jamjodhpur Nr Railway Station Refaral Hospital Community Health 707 Jamnagar Public Chc Jodiya Centre Jodiya Bus Stop Road Near Gaytri Temple 708 Jamnagar Public Chc Kalavad Kalavad 709 Jamnagar Public Chc Sikka Panchvati Colony Tps Road Sikka In Bedi Gram Panchayat Building, Bedi, 710 Jamnagar Public Jmcu-Phc Bedi-2 Jamangar Bedi Bandar Road, Nr. Railway Fatak, 711 Jamnagar Public Jmcu-Phc Ek De Ek Jamnagar Halai Ghanchi Jamat Khanu, 712 Jamnagar Public Jmcu-Phc Ghanchiwad Ghanchivad, Jamangar 713 Jamnagar Public Jmcu-Phc Gomtipur Nr. Halar House, Indira Marg, Jamnagar 714 Jamnagar Public Jmcu-Phc Gulabnagar Syndikat Society, Gulabnagar, Jamnagar Kamdar Colony Street No.3, B/H. 715 Jamnagar Public Jmcu-Phc Kamdar Reliance Petrolpump Navagam Ghed, Bh. Dental Hospital, 716 Jamnagar Public Jmcu-Phc Navagam Jamnagar Nanakpuri Sindhi School, Ranjitsagar 717 Jamnagar Public Jmcu-Phc Nilkathnagar Road, Jamnagar Panakhan Main Road, Nr. Jakatnaka, 718 Jamnagar Public Jmcu-Phc Panakhan Jamnagar Patanivad Community Holl, Pavada 719 Jamnagar Public Jmcu-Phc Panvada Chowk, Khatkivad, Jamnagar 720 Jamnagar Public Jmcu-Phc Vambe Woolanmill, Nr. 1500 Avas, Jamnagar 54, Digvijay Plot End, Shyamji 721 Jamnagar Public Jmcu-Phc Vishramvadi Krushanavarma Chowk, Jamnagar At&Po: B.Beraja Ta: Kalavad, Dist 722 Jamnagar Public Phc B. Beraja Jamnagar 361013 Bus Stand Road , At- Balambha , Ta : 723 Jamnagar Public Phc Balambha Jodiya 724 Jamnagar Public Phc Bhangor At- Bhangor, Ta-Lalpur, Di-Jamnagar 725 Jamnagar Public Phc Dhrafa Near Sbi Bank, Dhrafa, Jamjodhpur 726 Jamnagar Public Phc Ghunada Near Ashram Ghunada 727 Jamnagar Public Phc Hadiyana Bus Stand , At- Hadiyana , Ta : Jodiya 728 Jamnagar Public Phc Jam Vanthali At Jamvanthali 729 Jamnagar Public Phc Jambuda At, Jambuda Near Bus Stand B/H, Taluka School, Jamvadi, 730 Jamnagar Public Phc Jamvali Jamjodhpur 731 Jamnagar Public Phc Kharedi At-Kharedi 732 Jamnagar Public Phc Laiyara B/H Bus Stand , At- Laiyara , Ta : Dhrol Phc Lakhabaval Vill :- Lakhabaval 733 Jamnagar Public Phc Lakhabavad Tal/Dist. :- Jamnagar 734 Jamnagar Public Phc Modpar Modpar 735 Jamnagar Public Phc Mota Khadba Motakhadba 736 Jamnagar Public Phc mota panch devda At Mota Panchdevda,Near School At Mota Vadala Ta Kalavad Dist 737 Jamnagar Public Phc Mota Vadala Jamnagar

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738 Jamnagar Public Phc Moti Banugar Moti Banugar 739 Jamnagar Public Phc Navagam At Navagam Ta Kalavad Dist Jamnagar At Nikava Ta Kalavad Dist Jamnagar 740 Jamnagar Public Phc Nikava Nandi Ghram Chock Pase Nikava 741 Jamnagar Public Phc Padana At- Modpar, Ta-Lalpur, Di-Jamnagar At-Pipartoda,Ta-Lalpur, 742 Jamnagar Public Phc Pipartoda Dist-Jamnagar Near The Bus Station, Pithad, Ta:Jodiya 743 Jamnagar Public Phc Pithad Dist.Jamnagar 361220 At. Samana Tal. Jamjodhpur Dis. 744 Jamnagar Public Phc Samana Jamnagar Pin. 360520 745 Jamnagar Public Phc Sethvadala Near Bus Stand Shethvadala 746 Jamnagar Public Phc Vansjaliya Near Railway Station,At Vansjalia 747 Jamnagar Public Rh Chc Lalpur Near Parekh Baag Lalpur Jamnagar 748 Junagadh Public Chc Chorwad Choravad Community Health Center 749 Junagadh Public Parab Road Bhesan Bhesan Community Health Center 750 Junagadh Public Near Limda Chowk Bilkha Community Health Center 751 Junagadh Public Nr Sutarvav Keshod Keshod Community Health Center 752 Junagadh Public Station Plot Maliya Hatina Maliya Hatina Community Health Center 753 Junagadh Public Porbandar Highway, Cinema Road Community Health Center 754 Junagadh Public Tower Road Mangrol Community Health Center 755 Junagadh Public Chcvanthali Vanthali Community Health Center 756 Junagadh Public Visavadar Visavadar Jumcu-Phc Bilkha Road, Opp,Cl.Collage. Ranvani 757 Junagadh Public Ambedkarnagar Nr. Shitla Mata Mandir, Dolatpara Nr, 758 Junagadh Public Jumcu-Phc Dolatpara Zonal Office Rajkot Road, Junagadh- 362001 Near Zulelal Temple, Sindhi Society, 759 Junagadh Public Jumcu-Phc Gandhigram Junagadh-362001 Dubadi-2, Nr. Shankar Temple, B/H. 760 Junagadh Public Jumcu-Phc Ganeshnagar Telephpone Ex. " Jay Gurudev" B/H Shanteshwar 761 Junagadh Public Jumcu-Phc Shanteshwar Temple , Shanteshwar Raod, Joshipara, Junagadh, 362002 Nikunj,34-Shreenathji Soc., B/H Uma 762 Junagadh Public Jumcu-Phc Timbavadi Medical Store, Opp. Timbavadi Bus Stand, Timbavadi, Junagadh-362001 763 Junagadh Public Phc Dungarpur Dungarpur 764 Junagadh Public Phc Nakra Nakra Primary Health Center 765 Junagadh Public Agatrai Agatrai Primary Health Center 766 Junagadh Public Ajab Ajab

640 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Primary Health Center 767 Junagadh Public Amarapur Amarapur Primary Health Center 768 Junagadh Public Bagasara Ghed Bagasara Ghed Primary Health Center 769 Junagadh Public Balagam Balagam Primary Health Center 770 Junagadh Public Bantva Primary Health Center 771 Junagadh Public Bhanduri Bhanduri Primary Health Center 772 Junagadh Public Chuda Chuda Primary Health Center 773 Junagadh Public Datrana Datrana Primary Health Center 774 Junagadh Public Gadu Gadu Primary Health Center 775 Junagadh Public Kanza Kanza Primary Health Center 776 Junagadh Public Kevadra Kevadra Primary Health Center 777 Junagadh Public Khadiya Khadiya Primary Health Center 778 Junagadh Public Khorasa Khorasa Primary Health Center 779 Junagadh Public Kukasvada Kukasvada Primary Health Center 780 Junagadh Public Limbuda Limbuda Primary Health Center 781 Junagadh Public Mendpara Mendpara Primary Health Center 782 Junagadh Public Meswan Meswan Primary Health Center 783 Junagadh Public Ranpur Ranpur Primary Health Center 784 Junagadh Public Shapur Shapur Primary Health Center 785 Junagadh Public Shil Shil Primary Health Center 786 Junagadh Public Thanapipli Thanapipli Primary Health Center 787 Junagadh Public Vadal Vadal Referal Hospital And 788 Junagadh Public Sasan Road, C.H.C. Urban Helath Center Keshod, Air Port 789 Junagadh Public U-Phc U-Phc Keshod Road, B/H.Parishram School, Keshod - 362220

641 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Govt. Quarter No.4, Nr. Taluka Health 790 Junagadh Public U-Phc U-Phc Mangrol Office, Secretary Road, Mangrol - 362225 791 Kachchh Public Chc Anjar Vijay Nagar Area Road Anjar 792 Kachchh Public Chc Khavda Samuhik Arogya Kendra Khavda 793 Kachchh Public Chc Mundra Old Port Road Mundra Community Health Center 794 Kachchh Public Chc Nakhatrana Kutch 795 Kachchh Public Chc Rambag Rambag Road Adipur 796 Kachchh Public Chc Rapar Kelari Road Nadasa Road Rapar Community Health Centre 797 Kachchh Public Layja Road, Mandvi Mandvi Primary Health Center Adesar Venusar Primary Health Centre 798 Kachchh Public Road Nation Hive Road Ta.Rapar Adesar Dis.Kutch Shahu Nagar Main Gate Primary Health Centre 799 Kachchh Public Post-Adhoi Ta.Bhachau Adhoi Dist-Kachchh 370135 Primary Health Centre 800 Kachchh Public Phc Amardi, Ta:Bhachau,Dist:Kutch Amaradi Primary Health Centre Gangaji Road,Mafatnagar,Nana 801 Kachchh Public Asambiya Asmbiya,Pin Code-370485 Primary Health Centre Primary Health Center Balasar 802 Kachchh Public Balasar Ta.Rapar Dis.Kutch Primary Health Centre 803 Kachchh Public Baranda , Ta- Lakhpat Baranda Primary Health Center Bella Near Primary Health Centre 804 Kachchh Public Madhyamik School Bella Ta.Rapar Bela Dis.Kutch Primary Health Centre Bhadreshwar , Near Kumar Shara ,Pin 805 Kachchh Public Bhadreshwar Cod 370410 Primary Health Centre Primary Health Center Bhimasar B 806 Kachchh Public Bhimasar Ta.Rapar Dis.Kutch Primary Health Centre 807 Kachchh Public Bhimasar Bhimasar (Ch) Primary Health Centre 808 Kachchh Public Phc Bhirndiyara Near Praimary School Bhirandiyara Primary Health Centre 809 Kachchh Public Bhujpur Bus Stand Mundra Pin 370405 Bhujpur Primary Health Centre 810 Kachchh Public Chandrani, Ta- Anjar, Kutch Chandrani Primary Health Centre Primary Health Center Chitrod New 811 Kachchh Public Chitrod Chitrod Ta.Rapar Dis.Kutch Primary Health Centre 812 Kachchh Public Dahisara Near High School Dahisara

Primary Health Centre Near Bus Stand,Darsadi,Pin Code- 813 Kachchh Public Darsadi 370445

Primary Health Centre 814 Kachchh Public Hajipir Road Deshalpar G Deshalpar-G Primary Health Centre 815 Kachchh Public Phc Deshlpar Road Bhuj Kutch Deshalpar-V

642 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Primary Health Centre Primari Health Center Dhaneti, Ratnal 816 Kachchh Public Dhaneti Road, Dhaneti Primary Health Centre 817 Kachchh Public Phc Dhoravira, Ta:Bhachau,Dist:Kutch Dhoravira Primary Health Centre Phc Dinara,Near Dhnadhi Patiya,At 818 Kachchh Public Dinara Post-Khavda Ta-Bhuj District- Kutch Primary Health Centre 819 Kachchh Public Dumara, Ta - Abdasa, Dist - Kachchh Dumra Primary Health Centre Primary Health Center Hive Road 820 Kachchh Public Fatehgadhh Ta.Rapar Dis.Kutch Primary Health Centre Primary Health Center Gagodar 821 Kachchh Public Gagodar National Road Ta.Rapar Dis.Kutch Primary Health Center Gedi Desalpar Primary Health Centre 822 Kachchh Public Road Primary School Near Gedi Gedi Ta.Rapar Dis.Kutch Primary Health Centre 823 Kachchh Public Gadhuli, Ta- Lakhpat Ghaduli Primary Health Centre Near Bus Stand,Godhra,Pin Code- 824 Kachchh Public Godhara 370450 Primary Health Centre 825 Kachchh Public Phc Gorevali Bhuj Kutch Gorewali Primary Health Centre Gundyali-Pipri Road,Near Rajbai 826 Kachchh Public Gundiyari Vadi,Gundyali,Pin Code-370455 Primary Health Centre 827 Kachchh Public Jakhau, Ta - Abdasa, Dist - Kachchh Jakhau Primary Health Centre 828 Kachchh Public Phc Jangi, Ta:Bhachau,Dist:Kutch Jangi Primary Health Centre Phc Juna Katariya, 829 Kachchh Public Junakataria Ta:Bhachau,Dist:Kutch Primary Health Centre 830 Kachchh Public Phc Kera Bhuj Kutch Kera Primary Health Centre 831 Kachchh Public Khedoi, Ta- Anjar, Kutch Khedoi Primary Health Center Kidana , Primary Health Centre 832 Kachchh Public Bhukamp Nagar Near Gayatri School Kidana (Tal ) Primary Health Centre Indiravas,Behind Primary School,Pin 833 Kachchh Public Koday Code-370460 Primary Health Centre 834 Kachchh Public Phc Kodki Village Kodki Bhuj Kodki Primary Health Centre 835 Kachchh Public Kothara, Ta - Abdasa, Dist - Kachchh Kothara Primary Health Centre Jagruti Soci. Near Bus Satnd Bhuj Anjar 836 Kachchh Public Road Kukma Primary Health Centre Siracha Road, Vill, Mota Kandagara, 837 Kachchh Public M.Kandagara Mundra Kutch Primary Health Centre Phc Madhapar Local Board Near Bus 838 Kachchh Public Madhapar Station Navavas Madhapar Primary Health Centre 839 Kachchh Public Phc Manfara, Ta:Bhachau,Dist:Kutch Manfara

643 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Primary Health Centre 840 Kachchh Public Bhuj -Naliya Road Mangvana Mangvana Primary Health Centre Near Ashapura Tempale , Matana Madh, 841 Kachchh Public Matanamadh Ta- Lakhpat Primary Health Centre 842 Kachchh Public Mathak, Ta- Anjar, Kutch Mathak Primary Health Centre 843 Kachchh Public Meghpar Borichi, Ta- Anjar, Kutch Meghpar Primary Health Center Mithirohar , Primary Health Centre 844 Kachchh Public Sarkari Hospital Mithirohar (Tal Gandhidham) Primary Health Centre Near Bank Of Baroda,Mandvi-Naliya 845 Kachchh Public Mota Layja Highway,Mota Layja Pin Code-370475

Primary Health Centre Near Bus Station, Mothada, Ta - Abdasa, 846 Kachchh Public Mothala Dist - Kachchh

Primary Health Centre Near Primary School,Moti Bhadai,Pin 847 Kachchh Public Moti Bhadai Code-370450 Primary Health Centre 848 Kachchh Public Nani Tumbdi N.Tumbadi Primary Health Centre Primary Health Centre Narayan Sarovar 849 Kachchh Public Narayan Sarovar At Post Narayan Sarovar Taluka Lakhpat Primary Health Centre 850 Kachchh Public Near Post Office Netra Netra Primary Health Centre 851 Kachchh Public Main Road Bhuj -Nirona Nirona Primary Health Centre 852 Kachchh Public Phc Ratadiya, Ta.Mundra Ratadiya Primary Health Centre 853 Kachchh Public Dhaneti Road, Ratnal, Ta- Anjar, Kutch Ratnal Primary Health Centre 854 Kachchh Public Near Hig Way ,Ravapar Ravapar(Nanavas) Primary Health Centre Phc Samakhiyari, 855 Kachchh Public Samkhiyali Ta:Bhachau,Dist:Kutch Primary Health Centre 856 Kachchh Public Sanghad Sangad Primary Health Centre Sodha Vas Rsailway Fatak Pase Sukhpar 857 Kachchh Public Sukhpar Bhuj Kutch Primary Health Centre Primary Health Center Suvai Ta.Rapar 858 Kachchh Public Suvai Dis.Kutch Primary Health Centre Near Primary School,Talvana,Pin Code- 859 Kachchh Public Talvana 370460 Primary Health Centre 860 Kachchh Public Tera, Ta - Abdasa, Dist - Kachchh Tera Primary Health Centre 861 Kachchh Public Phc Vanki, At Vanki Pin Code 370425 Vanki Primary Health Centre 862 Kachchh Public Vayor, Ta - Abdasa, Dist - Kachchh Vayor

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Primary Health Centre 863 Kachchh Public Near Primary School,Vithon Vithon Primary Health Centre Near,Jalaram Hotel, Village-Zarpara(Pin 864 Kachchh Public Zarpara Code-370405) 865 Kachchh Public U-Phc Adipur-1 Room No.-15/16/17, Nagarpalika,Adipur 866 Kachchh Public U-Phc Adipur-2 Near Icici Bank,Adipur Urban Health Office Anjar, At Devadiya 867 Kachchh Public U-Phc Anjar Naka, Opp Garden, Campus Of Maruti Nandan Hospital, Anjar-Kutch Urban Primary Health Center Bhuj 1, 868 Kachchh Public U-Phc Bhuj 1 Vyayam Shala Ground, Bhuj - Kutch, Gujarat - 370001 869 Kachchh Public U-Phc Bhuj 2 Rajendra Nagar ,Bhuj-Kutch 870 Kachchh Public U-Phc Bhuj 3 Ganesh Nagar, Bhuj-Kutch 871 Kachchh Public U-Phc Gandhidham-1 Sunderpuri, Gandhidham 872 Kachchh Public U-Phc Gandhidham-2 Maheshwari Samaj Ganeshnagar Room No.-30, Government 873 Kachchh Public U-Phc Gandhidham-3 Hospital,Rambag Near Haji Hasan Pvt. Hospital,Mota 874 Kachchh Public U-Phc Mandvi (K) Salaya,Mandvi 875 Kheda Public Chc Akhdol Akhdol Referral Hospital Samuhik Aarogya 876 Kheda Public Chc Alindra Kendra Alindra 877 Kheda Public Chc Atarsumba Samuhik Arogya Kendra,Atharsumba 878 Kheda Public Chc Dakor Samuhik Arogya Kendra Dakor 879 Kheda Public Chc Haldarvas Samuhik Arogya Kendra Haldarvas 880 Kheda Public Chc Kapadwanj Referral Hospital Samuhik Aarogya 881 Kheda Public Chc Kathlal Kendra Kathlal 882 Kheda Public Chc Mahemdabad Samuhik Arogya Kendra Mahemdabad Referral Hospital Samuhik Aarogya 883 Kheda Public Chc Mahudha Kendra Mahudha 884 Kheda Public Chc Matar Samuhik Arogya Kendra Matar 885 Kheda Public Chc Navagam Navagam Matar Kheda 886 Kheda Public Chc Thasra Samuhik Arogya Kendra Thasra Community Health Centre Near Primary School At Po Ta Lasundra 887 Kheda Public Lasundra Ta Kathlal Di Kheda Community Health Centre Chc Vaso Taluka Panchayat Bay Pass 888 Kheda Public Vaso Road Mil Ni Same 889 Kheda Public General Hospital Nadiad Behind Kidney Hospital Nadiad General Hospital, Sub 890 Kheda Public Opp Bus Stand Kheda Dist Hospital Kheda 891 Kheda Public Phc Alina Alina, Kheda 892 Kheda Public Phc Alindra Alindra 893 Kheda Public Phc Anara Anara 894 Kheda Public Phc Anghadi Anghadi 895 Kheda Public Phc Antisar Antisar 896 Kheda Public Phc Arera Arera 897 Kheda Public Phc Bhalada Bhalada 898 Kheda Public Phc Bharkunda Bharkunda 899 Kheda Public Phc Chaklasi Chaklasi

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900 Kheda Public Phc Chared Chared 901 Kheda Public Phc Chetarsumba Chetarsumba 902 Kheda Public Phc Chunel Chunel 903 Kheda Public Phc Daloli Daloli 904 Kheda Public Phc Dhunadara Dhunadara 905 Kheda Public Phc Fagvel Fagvel 906 Kheda Public Phc Ghodasar Ghodasar 907 Kheda Public Phc Gogajipura Gogajipura 908 Kheda Public Phc Ja.Muvada Ja.Muvada 909 Kheda Public Phc Kacchai Kacchai 910 Kheda Public Phc Kanij Kanij 911 Kheda Public Phc Kanthrai Kanthrai 912 Kheda Public Phc Khandhli Khandhli 913 Kheda Public Phc Lasundra Lasundra 914 Kheda Public Phc Limbasi Limbasi 915 Kheda Public Phc Menpura Menpura 916 Kheda Public Phc Modaj Modaj 917 Kheda Public Phc Motizer Motizer 918 Kheda Public Phc Nani Khadol Nani Khadol 919 Kheda Public Phc Narsanda Narsanda 920 Kheda Public Phc Nayka Nayka 921 Kheda Public Phc Ness Ness 922 Kheda Public Phc Nirmali Nirmali 923 Kheda Public Phc Pij Pij 924 Kheda Public Phc Pipalwada Pipalwada 925 Kheda Public Phc Radhu Radhu 926 Kheda Public Phc Rudan Rudan 927 Kheda Public Phc Sanali Sanali 928 Kheda Public Phc Sevalia Sevalia 929 Kheda Public Phc Singhali Singhali 930 Kheda Public Phc Sinhuj Sinhuj 931 Kheda Public Phc Sorna Sorna 932 Kheda Public Phc Torna Torna 933 Kheda Public Phc Traj Traj 934 Kheda Public Phc Va.Margiya Va.Margiya 935 Kheda Public Phc Vaghas Vaghas 936 Kheda Public Phc Valetva Valetva 937 Kheda Public Phc Varsola Varsola 938 Kheda Public Phc Wanghroli Wanghroli 939 Kheda Public Phc, Antroli Antroli 940 Kheda Public Phc, Moholel Moholel 941 Kheda Public Phc, Salun Salun 942 Kheda Public Phc, YOGINAGAR YOGINAGAR Primary Health Center 943 Kheda Public Palana Palana

646 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Primary Health Center 944 Kheda Public Sandhana Sandhana R.H.&Community Health 945 Kheda Public Dakor Ghodhara Road.Sevaliya Center Sevaliya Amdavadi Bazar Post Office Haridas 946 Kheda Public U-Phc Haridas Hospital Nadiad Haridas Hospital Urban Halth Center, 947 Kheda Public U-Phc Lady Pillar Near Gpo Ahmedabadi Bazar, Nadiad 948 Kheda Public U-Phc Mission Ramtalavdi Mission Urban Health Center-4, Santram, Vkv 949 Kheda Public U-Phc Santram Road, Nadiad Urban Health Center 950 Kheda Public T.B.Hospital Road Mahemdabad 951 Mahesana Public Chc Bechraji Sankhalpur Road 952 Mahesana Public Chc Jotana Jotana 953 Mahesana Public Chc Kadi Chc Kundal Kadi Mahesana 954 Mahesana Public Chc Kahoda C H C Kahoda Taunjha Distmahesana 955 Mahesana Public Chc Kalyanpura Kalyanpuara Kadi Mehsana 956 Mahesana Public Chc Kolavada Chc Kolavada Ta Vijapur Dist Mehsana 957 Mahesana Public Chc Langhanaj Post Langhanaj Dist Mehsana 958 Mahesana Public Chc Nandasan Kadi Mehsana 959 Mahesana Public Chc Thol At Tholta Kai Dist Mehsana 960 Mahesana Public Chc Udalpur Chc Udalpur Tavisnagar Distmehsana Opp Taluka Panchayat Khatri Kuva 961 Mahesana Public Chc Vijapur Vijapur Cottage Hospital Unjha Opp Balojmata 962 Mahesana Public Cottage Hospital, Unjha Temple Stadium Road Unjha General Hospital, Opp Bus Station Rajmahel Road 963 Mahesana Public Mehasana Mehsana 964 Mahesana Public Phc Akhaj Akhaj 965 Mahesana Public Phc Ambaliyasan At Ambaliyasan 966 Mahesana Public Phc Balol At Balol At-Po Bamosana Ta-Mehsana Dis- 967 Mahesana Public Phc Bamosana Mehsana At : Bhalusana Ta-Satlasana Dis- 968 Mahesana Public Phc Bhaluasana Mehsana 969 Mahesana Public Phc Bhunav Bhunav 970 Mahesana Public Phc Chansol At Chansol 971 Mahesana Public Phc Chhathiyarda At Chhathiyarda 972 Mahesana Public Phc Dabhoda Dabhoda 973 Mahesana Public Phc Denap Denap 974 Mahesana Public Phc Falu At Falu 975 Mahesana Public Phc Gothava At Gothava 976 Mahesana Public Phc Hadol At-Po-Hadol Ta-Satlasana Dis-Mehsana 977 Mahesana Public Phc Jagudan At Jagudan 978 Mahesana Public Phc Jhulasan At Jhulasan 979 Mahesana Public Phc Kamali At-Po-Kamali Ta-Unjha Dis-Mehsana 980 Mahesana Public Phc Kansarakui At Kansara Kui 981 Mahesana Public Phc Kantharavi At Kantharavi 982 Mahesana Public Phc Karbatiya Karbatiya 983 Mahesana Public Phc Kharavada Kharvada 984 Mahesana Public Phc Kharod At Kharod 647 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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985 Mahesana Public Phc Ladol At Ladol 986 Mahesana Public Phc Linch At Linch At - Meda Adaraj, Ta - Kadi, Dist - 987 Mahesana Public Phc Meda Adaraj Mehsana 988 Mahesana Public Phc Medha Medha 989 Mahesana Public Phc Sudasana At Sudasna 990 Mahesana Public Phc Vasai At Vasai Primary Health Centre At-Po-Adivada Ta-Becharaji Dis- 991 Mahesana Public Adivada Mehsana Primary Health Centre 992 Mahesana Public At-Po-Chada Chada Primary Health Centre 993 Mahesana Public At-Po-Dangarava Dangarava Primary Health Centre At Post Gambhu Ta Becharaji Dist 994 Mahesana Public Gambhu Mehsana Primary Health Centre 995 Mahesana Public At Po Kanoda Ta-Bechraji Dis-Mehsana Kanoda Primary Health Centre 996 Mahesana Public At-Po-Kansa Ta-Visnagar Dis-Mehsana Kansa Primary Health Centre Station Road , At-Po Karannagar,Ta- 997 Mahesana Public Karannagar Kadi Primary Health Centre 998 Mahesana Public At-Kahvad Ta-Kadi Dist-Mehsana Khavad Primary Health Centre 999 Mahesana Public At Po Kherva Ta-Di Mahesana Kherva Primary Health Centre Village Mitha Post Mitha District 1000 Mahesana Public Mitha Mahesana Primary Health Centre Nr. Bus Stand Modhera Ta-Becharaji 1001 Mahesana Public Modhera Dis-Mehsana Primary Health Centre 1002 Mahesana Public At-Po-Nadasa Ta-Jotana Dis-Mehsana Nadasa Nr.Chandramaulishvar Temple, Primary Health Centre 1003 Mahesana Public At.Pamol, Ta.Vijapur, Dist.Mehsana, Pamol Pin-382820 Primary Health Centre At - Panchha , Ta - Kheralu, Dist 1004 Mahesana Public Pancha Mahesana Primary Health Centre At: Po: Pilvai, Ta: Vijapur, Dist : 1005 Mahesana Public Pilvai Mehsana Primary Health Centre 1006 Mahesana Public At-Rajpur,Ta-Kadi,Di-Mehsana Rajpur Primary Health Centre 1007 Mahesana Public At-Po-Rantej Ta-Becharaji Rantej Primary Health Centre Near Bus Stand, Santhal At & Post- 1008 Mahesana Public Santhal Santhal,Ta-Jotana,Dist-Mehsana Primary Health Centre At & Post - Sardarpur Ta - Vijapur Dist - 1009 Mahesana Public Sardarpur Mahesana Primary Health Centre At Shahpur(Vad) Ta-Vadnagar Dis- 1010 Mahesana Public Shahpur Mehsana Primary Health Centre 1011 Mahesana Public At-Po-Sipor Ta-Vadnagar Dis-Mehsana Sipor Primary Health Centre 1012 Mahesana Public At-Po-Sokhada Ta-Vijapur Dis-Mehsana Sokhada 648 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Primary Health Centre 1013 Mahesana Public Bas Stand Sundhiya Sundhiya Primary Health Centre 1014 Mahesana Public At-Po-Suraj Ta-Jotana Dis-Mehsana Suraj Primary Health Centre At & Post-Umta, Ta-Visnagar, Dist- 1015 Mahesana Public Umata Mehsana Primary Health Centre 1016 Mahesana Public Primary Health Center Unava Unava Primary Health Centre 1017 Mahesana Public At-Po- Upera Ta-Unjha Dis-Mehsana Upera Primary Health Centre Saradar Chawk , Valam 1018 Mahesana Public Valam At Valam. Ta-Visnagar Primary Health Centre At-Po-Valasana Ta-Vadnagar Dis- 1019 Mahesana Public Valasana Mehsana Referal Hospital 1020 Mahesana Public Community Health Center Nr Dudh Shit Kendra Highway Kheralu Kheralu 1021 Mahesana Public Rh Chc Kukarwada Tintodan Road Near Chhara Nagar Behind Police Station Near Taluka 1022 Mahesana Public Rh Chc Satlasana Panchayat Satlasana Sub District Hospital, Opp Police Station Station Road 1023 Mahesana Public Visnagar Visnagar 1024 Mahesana Public U-Phc Uphc Kadi Bhaupura Gandhichock Kadi U-Phc Uphc 1025 Mahesana Public Bhoyravas,Chokni Limdi,Mehsana Lakhavadibhagol Urban Health Centre-2, Manav Ashram U-Phc Uphc 1026 Mahesana Public ,Police Head Quarter, Nr Somnath Manavashram Chokadi, Mehsana Urban Health Center -3 Mehsana 04 1027 Mahesana Public U-Phc Uphc Nagalpur Gokuldham Vihar Near Valinath Chowk Nagalpur Mahesana 1028 Mahesana Public U-Phc Uphc Unjha Junu Kotkuwa Davakhanu, Unjha Juni Sardar Hospital Near Nootan School 1029 Mahesana Public U-Phc Uphc Visnagar Visnagar 1030 Mahisagar Public Chc Chc Kadana 1031 Mahisagar Public Chc Lunawada Cottage Hosptal Lunawada 1032 Mahisagar Public Chc Santrampur Santrampur Lunawada Road Primary Health Centre 1033 Mahisagar Public Phc Amthani Amthani 1034 Mahisagar Public Primary Health Centre Bar Phc Bar Primary Health Centre 1035 Mahisagar Public Phc Batakvada Batakvada Primary Health Centre 1036 Mahisagar Public Phc Chitva Chitva Primary Health Centre 1037 Mahisagar Public Phc Cuthana Muvada Chuthanamuvada Primary Health Centre 1038 Mahisagar Public Phc Debhari Debhari Primary Health Centre 1039 Mahisagar Public Phc Ditvas Ditvas Primary Health Centre 1040 Mahisagar Public Phc Doli Doli

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Primary Health Centre 1041 Mahisagar Public Phc Gadiya Gadiya Primary Health Centre 1042 Mahisagar Public Phc Gothib Gothib Primary Health Centre 1043 Mahisagar Public Phc Gunthali Gunthali Primary Health Centre 1044 Mahisagar Public Phc Hathivan Hathivan Primary Health Centre 1045 Mahisagar Public Phc Janod Janod Primary Health Centre 1046 Mahisagar Public Phc Khanpur Khanpur Primary Health Centre 1047 Mahisagar Public Phc Kharol Kharol Primary Health Centre 1048 Mahisagar Public Phc Khedapa Khedapa Primary Health Centre 1049 Mahisagar Public Phc Madhvas Madhvas Primary Health Centre 1050 Mahisagar Public Phc Malekpur Malekpur Primary Health Centre 1051 Mahisagar Public Phc Malvan Malvan Primary Health Centre 1052 Mahisagar Public Phc Munpur Munpur Primary Health Centre 1053 Mahisagar Public Balasinor Othwad Primary Health Centre 1054 Mahisagar Public Phc Pandarvada Pandarvada Primary Health Centre 1055 Mahisagar Public Phc Pandva Pandva Primary Health Centre 1056 Mahisagar Public Phc Ukhreli Phc Ukhreli Primary Health Centre 1057 Mahisagar Public Phc Rambhemna Muvada Ram Bhnamuvada Primary Health Centre 1058 Mahisagar Public Phc Salaiya Salaiya Primary Health Centre 1059 Mahisagar Public Phc Sanghari Sanghari Primary Health Centre 1060 Mahisagar Public Phc Saraswabhemna N) Saraswa(N) Primary Health Centre 1061 Mahisagar Public Phc Sarsan Sarsan Primary Health Centre 1062 Mahisagar Public Phc Umber Umber Primary Health Centre 1063 Mahisagar Public Phc Undra Undra Primary Health Centre 1064 Mahisagar Public Phc Vadagam Vadagam Primary Health Centre 1065 Mahisagar Public Phc Vankdi Vankdi Primary Health Centre 1066 Mahisagar Public Phc Varadhari Varadhari Primary Health Centre 1067 Mahisagar Public Phc Viraniya Viraniya

650 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Urban Health Center Lunawada Fuvara 1068 Mahisagar Public U-Phc Choak Pase 1069 Morbi Public Chc Jetpar Machchu At Jetpar Taluka Morbi,Dist Morbi Community Health Centre 1070 Morbi Public 0 Halvad 1071 Morbi Public General Hopital Morbi Gandhi Chowk, Shanala Road 1072 Morbi Public Govt.Eye Hospital,Morbi 0 Primary Health Centre 1073 Morbi Public At.Amran Amran Primary Health Centre 1074 Morbi Public At.Bagathla Bagathala Primary Health Centre 1075 Morbi Public At.Bharatnagar Bharatnagar Primary Health Centre 1076 Morbi Public S.C Daladi At -Daladi Daldi Primary Health Centre 1077 Morbi Public P.H.C. Dhuva Dhuva Primary Health Centre 1078 Morbi Public At.Ghuntu Ghuntu Primary Health Centre 1079 Morbi Public Kabutar Ghar, Juna Devaliya Juna Devaliya Primary Health Centre 1080 Morbi Public At.Khakhrala Khakhrala Primary Health Centre 1081 Morbi Public At.Khakhrechi Khakhrechi Primary Health Centre 1082 Morbi Public At.Khareda Khareda Primary Health Centre 1083 Morbi Public P.H.C. Kothi Kothi Primary Health Centre 1084 Morbi Public At.Lalpar Lalpar Primary Health Centre 1085 Morbi Public P.H.C. Lunsar Lunsar Primary Health Centre 1086 Morbi Public Phc Mathak Mathak Primary Health Centre 1087 Morbi Public Phc Mayurnagar Mayurnagar Primary Health Centre 1088 Morbi Public P.H.C. Mesariya Mesariya Primary Health Centre 1089 Morbi Public P.H.C. Pipaliya Raj Pipaliyaraj Primary Health Centre 1090 Morbi Public At.Rajpar Rajpar Primary Health Centre 1091 Morbi Public At.Rangpar Rangpar Primary Health Centre 1092 Morbi Public Phc Ranmalpur Ranmalpur Primary Health Centre 1093 Morbi Public Phc Sapkada Sapkada Primary Health Centre 1094 Morbi Public At.Sarvad (Sardarnagar) Sarvad Primary Health Centre 1095 Morbi Public P.H.C. Sindhavadar Sindhavadar 651 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Primary Health Centre 1096 Morbi Public Phc Tikar-Ran Tikar-Ran Primary Health Centre 1097 Morbi Public P.H.C. Tithava Tithava Primary Health Centre 1098 Morbi Public At.Vavaniya Vavaniya 1099 Morbi Public R.H C.H.C Wankaner 0 Rh And Chc Maliya 1100 Morbi Public At.Maliya Miyana Miyana Lions Nagar, Bhakti Nagar Baypass, 1101 Morbi Public U-Phc Gokul Nagar Gokulnagar Morbi-1 363641 1102 Morbi Public U-Phc Lilapar Road Kalika Plot Street No.1,Morbi-1 363641 Janaba Bal Mandir, Sama Kanthe, So 1103 Morbi Public U-Phc So-Oradi Ordi, Morbi-2 363642 Full Chhap Colony, V.C.Para, Morbi-1 1104 Morbi Public U-Phc V.C Para 363641 1105 Narmada Public Chc Dadiyapada R H Chc Dediapada District Narmada 1106 Narmada Public Chc Garudeshwar Chc Garudeshwar Near Bus Stop Community Health Center Sagbara Ta 1107 Narmada Public Chc Sabbara Sagbara R H Chc Tilakwada Ta Tilakwada Dist 1108 Narmada Public Chc Tilakvada Narmada Rajvant Palace Road Near Rajendra 1109 Narmada Public Civil Hospital Rajpipla School Rajpipla 1110 Narmada Public Phc Boriya Phc Boriya 1111 Narmada Public Phc Jesalpor Phc Jesalpor 1112 Narmada Public Phc Jetpur Phc Jetpur 1113 Narmada Public Phc Lachhras Phc Lachhras 1114 Narmada Public Phc Sisodara Phc Sisodara 1115 Narmada Public Phc Zariya Phc Zariya 1116 Narmada Public Rajpipla Public Hospital Station Road, Rajpipla Opp. Acb Office, Urban Helath Center, 1117 Narmada Public U-Phc Rajpipla Tekra Falia, At: Rajpipla R.H Chc Chikhli Near Busstand Chikhli 1118 Navsari Public Chc Chikhli Dist Navsari 1119 Navsari Public Chc Limzar Limzar Ta Vansada Dist Navsari Chhinam Road Nr Geb Ta Dist 1120 Navsari Public Chc Navsari Community Health Centre 1121 Navsari Public Ta Gandevi District Navsari Amalsad M.G.General Hospital, Opp Jehangir Cinema Station Road 1122 Navsari Public Civil Navsari Navsari Primary Health Center At Post Achhavani, Ta Dist. 1123 Navsari Public Achhavani Navsari Primary Health Center National Highway 48, Alipore, Tal. 1124 Navsari Public Alipore Chikhli, Gujarat 396409 Primary Health Center At Post Bartad,Anklachh(Khanpur) ,Ta- 1125 Navsari Public Anklachh ,Dist- Navsari Primary Health Center 1126 Navsari Public At Post Bigri Ta-Gandevi Dist- Navsari Bigari Primary Health Center At Post Chovisi - Kabilpore,Dist- 1127 Navsari Public Chovisi Navsari

652 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Center At Post Ta Gandevi Dist 1128 Navsari Public Dhanori Navsari 396360 Primary Health Center At Po Fadvel ,Ta Chikhli Dist Navsari 1129 Navsari Public Fadvel Gujarat 396540 Primary Health Center 1130 Navsari Public At Post Gadat Ta Gandevi Dist. Navsari Gadat Primary Health Center 1131 Navsari Public At Post -Ghej , Ta.Chikhli Dist. Navsari Ghej Primary Health Center At Post-Ghodmal Ta. Vansda Dist. 1132 Navsari Public Ghodmal Navsari Primary Health Center 1133 Navsari Public At Post. Hond Ta. Chikhli Dist.Navsari Hond Primary Health Center At Post- Ta.Gandevi. Dist. 1134 Navsari Public Kachholi Navsari Primary Health Center At Po -Kandolpada. Ta.Vandsa, Dist- 1135 Navsari Public Kandolpada Navsari Primary Health Center At Post-Mahuvas. Ta Vansda Dist. 1136 Navsari Public Mahuvas Navsari Primary Health Center At Post-Mankunia. Ta.Vansda Dist. 1137 Navsari Public Mankunia Navsari Primary Health Center At Post Munsad. Ta.Navsari Dist. 1138 Navsari Public Munsad Navsari Primary Health Center At Post Nagdhara. Ta.Navsari Dist. 1139 Navsari Public Nagdhara Navsari Primary Health Center At Post-Ranverikall,Ta.Chikhli. Dist. 1140 Navsari Public Ranverikall Navsari Primary Health Center At Post-Sadakpore,Ta.Chikhli. Dist. 1141 Navsari Public Sadakpore Navsari Primary Health Center At Post-Sagara,Ta.Jalalpore. Dist. 1142 Navsari Public Sagara Navsari Primary Health Center At Post-Vesma,Ta.Jalalpore. Dist. 1143 Navsari Public Vesma Navsari Primary Health Centre 1144 Navsari Public At Post-Tankal,Ta.Chikhli. Dist. Navsari Tankal 1145 Navsari Public R.H Chc Ambada R H Chc Ambada Ta Dist Navsari 1146 Navsari Public R.H Chc Khadsupa Refrat Hospital Khadsupa 1147 Navsari Public R.H Chc Khadsupa At Post-Khadsupa Ta- Dist, Navsari 1148 Navsari Public R.H Chc Gandevi Opp Sbi Bank Gandevi 1149 Navsari Public R.H Chc Khergam Balej Road Khergam 1150 Navsari Public R.H Chc Mandir Mandir Ta Jalalpore 1151 Navsari Public R.H Chc Rumla Chc Rumla Ta Chikhli Dist Navsari Uphc Near Desra Road, 1152 Navsari Public U-Phc Bilimora Oriyamora, Bilimora, Ta-Gandevi Dist- Navsari U-Phc Navsari- Uphc Navsari-1(Dasera Tekri),Pushpak 1153 Navsari Public 1(Dasheratekari) Society,Opp.Lunsikui Ground,Navsari U-Phc Navsari- Uphc Navsari-2(Rustamvadi) Opp 1154 Navsari Public 2(Rustamvadi) Ramaben Hospital,Navsari U-Phc Navsari- Uphc Navsari-3 (Ghelakhdi),Bhimaji 1155 Navsari Public 3(Ghelakhadi) Complex,Near Parth Complex,Navsari Uphc Vijalpore Suryanagar Near Vitthal 1156 Navsari Public U-Phc Mandir Vijalpore Navsari 1157 Panchmahal Public Chc Bakor Bakor 1158 Panchmahal Public Chc Ghoghmba Atghoghamba Distpanchmahal

653 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

At 1159 Panchmahal Public Chc Jambughoda Jambughoda,Tajambughoda,Distpanchm ahal 1160 Panchmahal Public Chc Kakanpur Tagodhra Distpanchmahal Atkothamba Talunawada 1161 Panchmahal Public Chc Kothmba Distpanchmahal Community Health Centre Mora Taluko 1162 Panchmahal Public Chc Mora Morva Hadaf 1163 Panchmahal Public Chc Gothada Gothada 1164 Panchmahal Public Chc Halol Chchalol Ta Halol Dst Panchmahal Referral Hospitalsamuhik Aarogya 1165 Panchmahal Public Chc Kalol Kendra Kalol 1166 Panchmahal Public Chc Malav Chc Malav Ta Kalol Pms Community Health Centre 1167 Panchmahal Public Community Health Centre Morva Hadaf Morva Hadaf Vadodara Highway Opp Sardar Nagar 1168 Panchmahal Public General Hospital Godhra Khand Civil Line Road 1169 Panchmahal Public Phc Derol Gam Derolgam 1170 Panchmahal Public Phc Jantral Jantral 1171 Panchmahal Public Phc Kanpur Kanpur 1172 Panchmahal Public Phc Mahelol Mahelol 1173 Panchmahal Public Phc Morva Rena Morvarena 1174 Panchmahal Public Phc Nadisar Nadisar At-Post-Ranjitnagar, Near Gram 1175 Panchmahal Public Phc Ranjitnagar Panchayat 1176 Panchmahal Public Phc Rinchwani Rinchhwani 1177 Panchmahal Public Phc Sampa Sampa 1178 Panchmahal Public Phc Sansoli Sansoli 1179 Panchmahal Public Phc Shivrajpur Shivrajpur 1180 Panchmahal Public Phc Timbagam Tmbagam 1181 Panchmahal Public Phc Vejalpur Vejalpur 1182 Panchmahal Public Phc Virniya Panchmahal Referral Hospital & 1183 Panchmahal Public Community Health Center Station Road, At-Shahera, Ta-Shahera Shahera Urban Health Center 2 Khadi Faliya 1184 Panchmahal Public U-Phc Khadi Faliya ,Bhuravav ,Godhra 1185 Panchmahal Public U-Phc Patelvada Patelwada 1186 Panchmahal Public U-Phc Satpul Vejal Pur Road Satpul Godhra 1187 Panchmahal Public U-Phc Uphc Halol Jambudi,Pavagad Road,Halol 1188 Patan Public C.H.C Biliya Biliya 1189 Patan Public C.H.C,Sander C H C Sander 1190 Patan Public C.H.C. Chanasma Police Station Chc Chanasma 1191 Patan Public Chc Harij Chc Harij 1192 Patan Public Chc Jangral B O I Near Jangral 1193 Patan Public Chc Kakoshi Chc Kakoshi 1194 Patan Public Chc Kuvara Chc Kuvara 1195 Patan Public Chc Sami Chc Sami 1196 Patan Public Chc Chc Santalpur

654 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

1197 Patan Public Chc Sariyad Sariyad 1198 Patan Public Chc Shankheshwar At Shankheshwar Ta Sami 1199 Patan Public Chc Varahi Varahi Santalpur General Hospital Near Affin Gate 1200 Patan Public General Hospital Siddhpur Siddhpur 1201 Patan Public General Hospital, Patan Near Bagwada Darwaza 1202 Patan Public Phc Adiya Adiya 1203 Patan Public Phc Aghar At & Po Aghar In Front Of Bhavani Mata Mandir At 1204 Patan Public Phc Balisana Post Balisana 1205 Patan Public Phc Balisana Patan 1206 Patan Public Phc Bhatsan Near Bus Stop 1207 Patan Public Phc Dunavada Dunavada 1208 Patan Public Phc Kansa Near Gra Panchayat 1209 Patan Public Phc Kodana Near Prayamari School 1210 Patan Public Phc Kungher Near Chudalma Tempel Phc Manund Nr Bus Stop Post Manund 1211 Patan Public Phc Manund Ta Dist Patan 1212 Patan Public Phc Nana Nana 1213 Patan Public Phc Ranuj Near Pachu Hospital 1214 Patan Public Phc Sampra Near Prayamari School 1215 Patan Public R .H C.H.C. Radhanpur Opp St Stand At Radhanpur 1216 Patan Public R.H. C.H.C.Lanva R H C H C Lanva Ta Chanasma Regional Cancer Care Civil Hospitals Campus Siddhpur- 1217 Patan Public Centre And Cancer 384151 Hospital 1218 Patan Public Rh Chc Vagdod At & Po Vagdod 1219 Patan Public U-Phc U-Phc Patan-1 Near Mamlatdar Office, Bhadra, Patan 1220 Patan Public U-Phc U-Phc Patan-2 Near Mamlatdar Office, Bhadra, Patan Anupam Prathmik School ,Near 1221 Patan Public U-Phc U-Phc Sidhhapur Rajpur,Uphc Sidhpur 1222 Porbandar Public Adityana Phc At Adityana Ta Ranavav Dist Porbandar Bhavsinhji & M.R 1223 Porbandar Public General Hospital St Road Near St Bus Stand Porbandar Porbandar Community Health Center 1224 Porbandar Public Gadavav Zapa Madhavpur Ghed Madhavpur Ghed At&Po.Bakharla, On Bhanvad Primary Health Centre 1225 Porbandar Public Road.Oposite Sanskar Prathmik School, Bakharla Ta.Porbandar Gujarat At&Po.Bileshwar, Near Bilnath Gate, Primary Health Centre 1226 Porbandar Public Bilnath Temple Road, Ta.Ranavav, Bileshwar Gujarat Primary Health Centre At&Po. Garej, Near Bus-Stop, 1227 Porbandar Public Garej Ta.Porbandar, Gujarat Primary Health Centre At&Po.Kadachh, Near Kandhali Mataji 1228 Porbandar Public Kadachh Temple, Ta.Porbandar, Gujarat Primary Health Centre At&Po.Modhvada, Bagavadar -Vadara 1229 Porbandar Public Modhwada Road, Ta.Porbandar, Gujarat Primary Health Centre At & Post Devda, Nr. Post Office, 1230 Porbandar Public Phc Devda Ta.Kutiyana Gujarat Primary Health Centre At&Po Khageshri, Govt School 1231 Porbandar Public Phc Khageshri Compound, Ta.Kutiyana, Gujarat

655 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre At&Po.Mahiyari, Near Bsnl 1232 Porbandar Public Phc Mahiyari Office,Mahiyari, Ta.Kutiyana, Gujarat Primary Health Centre 1233 Porbandar Public Primary Health Centre Ranakandorana Ranakandorana Primary Health Centre At&Po.Simar, Near High School, Ta. 1234 Porbandar Public Simar Porbandar, Gujarat Primary Health Centre At&Po.Visavada, Porbandar-Dwarka 1235 Porbandar Public Visavada Highway, Ta.Porbandar, Gujarat Referal Hospital 1236 Porbandar Public Rh Chc Advana Community Health Centre Referal Hospital 1237 Porbandar Public Community Health Centre Near Govt High School Ranavav . Ranava Referal Hospital 1238 Porbandar Public Community Health Centre R H Chc Kutiyana .Kutiyan Urban Health Center - Kadiyaploat , 1239 Porbandar Public U-Phc Kadiya Plot Old Ambedkar Building Juna Vankar Vas - Kadiyaploat Porbandar Urban Health Center - Shitla Chowk - 1240 Porbandar Public U-Phc Shitlachowk Nr. Nagarpalika Parking - Shitla Chowk - Porbadnar Bokhira Sub Center Nr Bokhira Cross 1241 Porbandar Public U-Phc Subhasnagar Road Nr Satima Temple Urban Health Officer - Subhasnagar Porbandar 1242 Rajkot Public Chc Bhayavadar Bhayavadar, Ta: Upleta Ji: Rajkot 1243 Rajkot Public Chc Jamkandorana Jamkandorna, Ji: Rajkot 1244 Rajkot Public Chc Ta: Jasdan, Dist: Rajkot 1245 Rajkot Public Chc Kotdasangani Ta: Kotdasangani, Dist: Rajkot 1246 Rajkot Public Chc Lodhika Ta: Lodhika, Dist: Rajkot 1247 Rajkot Public Chc Motimarad Motimarad, Ta: Dhoraji, Rajkot 1248 Rajkot Public Chc Virpur Virpur, Ta: Jetpur, Dit: Rajkot 1249 Rajkot Public Cottage Hospital,Upleta. Ta; Upleta, Dist. Upleta Government Hospital 1250 Rajkot Public Ta: Dhoraji, Dist: Rajkot Dhoraji Government Hospital 1251 Rajkot Public Ta: Jetpur, Dist: Rajkot Jetpur Govt.HOSPITAL 1252 Rajkot Public Ta: Gondal, Dist: Rajkot GONDAL 1253 Rajkot Public Kuvadva Chc Kuvadva, Ta: Rajkot, Rajkot 1254 Rajkot Public Padmakunvarba Hospital Gundavadi Rajkot Primary Health Centre 1255 Rajkot Public Amarnagar Jetpur, Rajkot Amarnagar Primary Health Centre 1256 Rajkot Public Amrapur Jasdan, Rajkot Amrapur Primary Health Centre 1257 Rajkot Public Atkot Jasdan, Rajkot Atkot Primary Health Centre 1258 Rajkot Public Bedla Rajkot, Rajkot Bedla Primary Health Centre 1259 Rajkot Public Jasdan, Rajkot Bhadla Primary Health Centre 1260 Rajkot Public Vichhiya, Rajkot Bhadli Primary Health Centre 1261 Rajkot Public Upleta, Rajkot Bhimora

656 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre 1262 Rajkot Public Bordi Samdhiyada Jetpur, Rajkot Bordi Samdhiyala Primary Health Centre 1263 Rajkot Public Chasiya Vichhiya, Rajkot Chasiya Primary Health Centre 1264 Rajkot Public Chitravad Jam Kandorana, Rajkot Chitravad Primary Health Centre 1265 Rajkot Public Derdi Ku-Gondal, Rajkot Derdi(Ku) Primary Health Centre 1266 Rajkot Public Devdhari Vichhiya, Rajkot Devdhari Primary Health Centre 1267 Rajkot Public Dhank Upleta, Rajkot Dhank Primary Health Centre 1268 Rajkot Public Dholidhar Jam Kandorana, Rajkot Dholidhar Primary Health Centre 1269 Rajkot Public Gadhaka Rajkot, Rajkot Gadhaka Primary Health Centre 1270 Rajkot Public Gomta Gondal, Rajkot Gomta Primary Health Centre 1271 Rajkot Public Jetalsar Jetpur, Rajkot Jetalsar Primary Health Centre 1272 Rajkot Public Kalana Dhoraji, Rajkot Kalana Primary Health Centre 1273 Rajkot Public Kamlapur Jasdan, Rajkot Kamlapur Primary Health Centre 1274 Rajkot Public Kanesara Jasdan, Rajkot Kanesara Primary Health Centre 1275 Rajkot Public Kanpar Jasdan, Rajkot Kanpar Primary Health Centre Kb 1276 Rajkot Public Kb Dham Rajkot, Rajkot Dham Primary Health Centre 1277 Rajkot Public Khairasara Lodhika, Rajko Khirasara Primary Health Centre 1278 Rajkot Public Khirasra Jetpur, Rajkot Khirasra Primary Health Centre 1279 Rajkot Public Khodapipar Padadhhari,Rajkot Khodapipar Primary Health Centre 1280 Rajkot Public Khokhaladal Rajkot, Rajkot Khokhaldal Primary Health Centre 1281 Rajkot Public Kolki Upleta, Rajkot Kolki Primary Health Centre 1282 Rajkot Public Lilapur Jasdan, Rajkot Lilapur Primary Health Centre 1283 Rajkot Public Jetpur, Rajkot Mevasa Primary Health Centre 1284 Rajkot Public Modhuka Vichhiya, Rajkot Modhuka Primary Health Centre 1285 Rajkot Public Motadadva Gondal, Rajkot Motadadva Primary Health Centre 1286 Rajkot Public Gondal, Rajkot Moviya Primary Health Centre 1287 Rajkot Public Nagarpiplaiya, Ta: Lodhika, Dist: Rajkot Nagarpipliya Primary Health Centre 1288 Rajkot Public Narnka, Ta: Kotdasangani, Dist: Rajkot Naranka 657 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre 1289 Rajkot Public Navi Mengani Kotda, Rajkot Navi Mengani Primary Health Centre 1290 Rajkot Public Upleta, Rajkot Paneli Moti Primary Health Centre 1291 Rajkot Public Pardi Lodhika, Rajkot Pardi Primary Health Centre 1292 Rajkot Public Patanvav Dhoraji, Rajkot Patanvav Primary Health Centre 1293 Rajkot Public Piparadi Vichhiya, Rajkot Piparadi Primary Health Centre 1294 Rajkot Public Ramod Kotda, Rajkot Ramod Primary Health Centre 1295 Rajkot Public Raydi Jamkandorana, Rajkot Raydi Primary Health Centre 1296 Rajkot Public Salpipaliya , Rajkot Salpipaliya Primary Health Centre 1297 Rajkot Public Sansara Rajkot, Rajkot Sanosara Primary Health Centre 1298 Rajkot Public Santhali Jasdan, Rajkot Santhali Primary Health Centre 1299 Rajkot Public Rajkot, Rajkot Sardhar Primary Health Centre 1300 Rajkot Public Sarpadad Paddhari, Rajkot Sarpadad Primary Health Centre 1301 Rajkot Public Satodad Jam Kandorana, Rajkot Satodad Primary Health Centre 1302 Rajkot Public Shivajgadh Gondal, Rajkot Shivrajgadh Primary Health Centre 1303 Rajkot Public Sultanpur Gondal, Rajkot Sultanpur Primary Health Centre 1304 Rajkot Public Dhoraji, Rajkot Supedi Primary Health Centre 1305 Rajkot Public Toraniya Dhoraji, Rajkot Toraniya Primary Health Centre 1306 Rajkot Public Trakuda Gondal, Rajkot Trakuda Primary Health Centre 1307 Rajkot Public Vadod Jasdan, Rajkot Vadod Primary Health Centre 1308 Rajkot Public Gondal, Rajkot Vasavad Zanana Hospital, Civil Hospital Chowk, 1309 Rajkot Public R.Z. Hospital Rajkot Referal Hospital 1310 Rajkot Public Community Health Center Kolithad, Gondal, Rajkot Kolitha Referral Hospital Chc 1311 Rajkot Public Padahdari, Dist: Rajkot Paddhari Referral Hospital 1312 Rajkot Public Community Health Vinchhiya, Dist: Rajkot Center, Vinch

658 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Rmcu-Phc Ambedkarnagar, Gokuldham Main 1313 Rajkot Public Aambedkarnagar Road, Samrat Industries Area, Rajkot. Laxmiwadi Main Road, Gatral Chowk, 1314 Rajkot Public Rmcu-Phc Ahmp Rajkot. Bhagvatipara Street No. 5, Bhagvatipara, 1315 Rajkot Public Rmcu-Phc Bhagvatipara Rajkot. Rmcu-Phc Champakbhai 80 Feet Ring Road, Nr. Fieldmarshal, 1316 Rajkot Public Vora Near Bhavnagar Road, Rajkot. Kothariya Main Road, Haridhava Road, 1317 Rajkot Public Rmcu-Phc Hudko Nr. Police Chowky, Rajkot. Nr. Saint Gyaneshwar School, Pedak 1318 Rajkot Public Rmcu-Phc Ima Road, Rajkot. Opp. Rajkot Railway Junction, Nr. Ward 1319 Rajkot Public Rmcu-Phc Junction Plot Office, Rajkot. Kabirvan Society Street No. 1, Saint 1320 Rajkot Public Rmcu-Phc Kabirvan Kabir Road, Rajkot. 1321 Rajkot Public Rmcu-Phc Kothariya Pardi Road, Kotharia Village, Rajkot. Mavdi Village, Dada Mekran Chowk, 1322 Rajkot Public Rmcu-Phc Mavdi Mavdi Road, Rajkot. Morbiroad Octroi Naka, Morbiroad, 1323 Rajkot Public Rmcu-Phc Morbi Road Rajkot. 1324 Rajkot Public Rmcu-Phc Nana Mauva Nr. Nanamauva Chowkadi, Rajkot. Nandanvan Society, Opp. Gandhigram 1325 Rajkot Public Rmcu-Phc Nandanvan Police Chowky, Rajkot. Narayannagar Main Road, Opp. Dhebar 1326 Rajkot Public Rmcu-Phc Narayannagar Road Railway Crossing, Rajkot. Raghuvir Society, Babariya Main Road, 1327 Rajkot Public Rmcu-Phc New Raghuvir Rajkot. Rmcu-Phc Pranami Pranami Chowk, Siyaninagar Main 1328 Rajkot Public Chowk Road, Rajkot-2. 1329 Rajkot Public Rmcu-Phc Ramnathpara Ramnathpara Street No. 24, Rajkot. 1330 Rajkot Public Rmcu-Phc Rampark Rampark Plot, Bhavnagar Road, Rajkot. Nr. Kundaliya College, Opp. Shastri 1331 Rajkot Public Rmcu-Phc Sadar Ground, Rajkot. Nr. Bileshwar Temple, Shyamnagar 4/5 1332 Rajkot Public Rmcu-Phc Shyamnagar Corner, Gandhigram, Rajkot. Vijay Plot Main Road, Opp. R.P. 1333 Rajkot Public Rmcu-Phc Vijayplot Bhalodiya College, Rajkot. 1334 Rajkot Public U-Phc Bhagvatipara Bhagvatpara Nr. Patelvadi Gondal Urban Helth Centar 1335 Rajkot Public U-Phc Darbargadh Darabargadh,Vishashree Mali Ni Vadi Pase Saheri Arogy Kendra-Fareniroad ,Near 1336 Rajkot Public U-Phc Fareni Road Nachiketa School Fulwadi, Street No.L-4, Opp Fuliya 1337 Rajkot Public U-Phc Fulwadi Hanuman Temple Sbi Road,Swami Vivekanadn 1338 Rajkot Public U-Phc Navagadh Society,Navagadh-360375 Opp Tower School, Near Satya Vijay 1339 Rajkot Public U-Phc Upleta Transport, Upleta 1340 Rajkot Public U-Phc Vijayanagar Vijay Nagar Vora Kotda Road Gondal Referral Hospital Samuhik Aarogya 1341 Sabar Kantha Public Chc Gambhoi Kendra Gambhoi Referral Hospital Samuhik Aarogya 1342 Sabar Kantha Public Chc Idar Kendra Idar General Hospital Khedbrahma Ta 1343 Sabar Kantha Public Chc Khedbrahma Khedbrahma Dist S K

659 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Ref Hospitalchc Prantij Ta Prantij Dist 1344 Sabar Kantha Public Chc Prantij Sabarkantha State Gujarat Community Health Center Rupal At Post 1345 Sabar Kantha Public Chc Rupal Rupal Ta Himatnagar 1346 Sabar Kantha Public Chc Takhatgadh At Po Takhatgadh Ta Prantij Dis S K 1347 Sabar Kantha Public Chc Talod To Talod Dist S K Highway Road No 8 Behind Nagar 1348 Sabar Kantha Public Chc Vadali Palika 1349 Sabar Kantha Public Phc Aniyod At Post Aniyod 1350 Sabar Kantha Public Phc Antroli At Post Antroli 1351 Sabar Kantha Public Phc Aroda At Post Aroda 1352 Sabar Kantha Public Phc Delwada At Post Delwada 1353 Sabar Kantha Public Phc Derol At Post Derol 1354 Sabar Kantha Public Phc Dobhada At Post Dobhada 1355 Sabar Kantha Public Phc Fatepur At Post Fatepur 1356 Sabar Kantha Public Phc Finchod At Post Finchod 1357 Sabar Kantha Public Phc Hadiyol At Post Hadiyol 1358 Sabar Kantha Public Phc Jamla At Post Jamla 1359 Sabar Kantha Public Phc Jashvantgadh At Post Jashvantgadh 1360 Sabar Kantha Public Phc Kadiyadara At Post Kadiyadra 1361 Sabar Kantha Public Phc Kherol At Post Kherol 1362 Sabar Kantha Public Phc Moyad At Post Moyad 1363 Sabar Kantha Public Phc Mudeti At Post Mudeti 1364 Sabar Kantha Public Phc Navarevas At Post Navarevas 1365 Sabar Kantha Public Phc Poglu At Post Poglu 1366 Sabar Kantha Public Phc Punsari At Post Punsari 1367 Sabar Kantha Public Phc Sarsav At Post Sarsav 1368 Sabar Kantha Public Phc Therasana At Post Therasana 1369 Sabar Kantha Public Phc Unchi Dhanal At Post Khedbrahma 1370 Sabar Kantha Public Phc Verabar At Post Idar 1371 Sabar Kantha Public Phc Viravada At Post Viravada 1372 Sabar Kantha Public Phc Virpur At Post Virpur Primary Health Center 1373 Sabar Kantha Public At Post Chithoda Chithoda Primary Health Centre 1374 Sabar Kantha Public At Post Balisana Balisana Primary Health Centre 1375 Sabar Kantha Public At Post Majra Majara Primary Health Centre 1376 Sabar Kantha Public At Post Ajavas Ajavas Primary Health Centre 1377 Sabar Kantha Public At Post Antarsumba Antarsumba Primary Health Centre 1378 Sabar Kantha Public At Post Bamna Bamna Primary Health Centre 1379 Sabar Kantha Public At Post Chandarni Chandarni

660 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre 1380 Sabar Kantha Public At Post Chandrana Chandrana Primary Health Centre 1381 Sabar Kantha Public At Post Chitroda Chitroda Primary Health Centre 1382 Sabar Kantha Public At Post Dantral Dantral Primary Health Centre 1383 Sabar Kantha Public At Post Demti Demti Primary Health Centre 1384 Sabar Kantha Public At Post Derol (Va) Derol (Va) Primary Health Centre 1385 Sabar Kantha Public Desasasn Desasan

1386 Sabar Kantha Public Primary Health Centre Ilol At Post Ilol

Primary Health Centre 1387 Sabar Kantha Public At Post Kalol Kalol Primary Health Centre 1388 Sabar Kantha Public At Post Kanadar Kanadar Primary Health Centre 1389 Sabar Kantha Public At Post Khedva Khedva Primary Health Centre 1390 Sabar Kantha Public At Post Kheroj Kheroj Primary Health Centre 1391 Sabar Kantha Public At Post Kodiyavada Kodiyavada Primary Health Centre 1392 Sabar Kantha Public At Post Kotda Kotda Primary Health Centre 1393 Sabar Kantha Public At Post Lambadiya Lambadiya Primary Health Centre 1394 Sabar Kantha Public At Post Mithibili Mithibili Primary Health Centre 1395 Sabar Kantha Public At Post Rozad Rozad Primary Health Centre 1396 Sabar Kantha Public At Post Sembaliya Sembaliya Community Health Center Davad , Ta. 1397 Sabar Kantha Public R.H C.H.C.Davad Idar, Sabarkantha R H C H C Poshina Ta Khedbrahma 1398 Sabar Kantha Public R.H. C.H.C. Poshina Dist Sabarkantha 1399 Sabar Kantha Public R.H. Chc Chorivad At Post Chorivad R H Chc Vijaynagar Taluka Vijaynagar 1400 Sabar Kantha Public R.H. Chc Vijaynagar Dist Sabarkantha Uphc Himatnagar , Old Civile Hospital 1401 Sabar Kantha Public U-Phc Himmatnagar Compound Himatanagar 1402 Surat Public C.H.C. Areth Village - Areth, Ta- Mandvi Dist- Surat 1403 Surat Public C.H.C. Bardoli Limda Chowk Bardoli Village - Anaval, Ta- Mahuwa Dist- 1404 Surat Public C.H.C.Anaval Surat 1405 Surat Public C.H.C.Kharvasa At Kharvasa Ta Choryasi Dist Surat 661 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

1406 Surat Public C.H.C.Mahuva Mahuva Ta Mahuva Dist Surat 1407 Surat Public C.H.C.Mandvi At Mandvi Ta Mandvi Dist Surat 1408 Surat Public C.H.C. Ta-Olpad Dist- Surat 1409 Surat Public C.H.C.Palsana Ta- Olpad, Dist- Surat 1410 Surat Public C.H.C.Sayan At Sayan Ta Olpad Dist Surat At Post Ta Umarpada Dist 1411 Surat Public C.H.C.Umarpada Surat 1412 Surat Public C.H.C. At Zankhvav Ta Mangrol Dist Surat 1413 Surat Public Chc Kamrej R H Chc Kamrej Ta Kamrej Dist Surat Referral Hospital And Chc Kathor Ta 1414 Surat Public Chc Kathor Kamrej Dist Surat 1415 Surat Public Chc Mangrol Chc Mangrol Taluka Mangrol Dist Surat 1416 Surat Public P.H.C. Village -Kadodra 1417 Surat Public P.H.C. Sachin Village - Sachin 1418 Surat Public Phc Kevdi Village - Kevadi 1419 Surat Public Phc Kosamba Village - Kosamba 1420 Surat Public Phc Vankal Village - Vankal Primary Health Center 1421 Surat Public Village - Boudhan Boudhan Primary Health Center 1422 Surat Public Village- Dadhvada Dandhvada Primary Health Center 1423 Surat Public Village - Dihen Dihen Primary Health Center 1424 Surat Public Village - Erthan Erthan Primary Health Center 1425 Surat Public Village - Godsamba Godsamba Primary Health Center 1426 Surat Public Village - Gunasvel Gunasvel Primary Health Center 1427 Surat Public Village - Ichhapor Ichhapore Primary Health Center 1428 Surat Public Village - Kamlapor Kamlapore Primary Health Center 1429 Surat Public Village - Kanav Kanav Primary Health Center 1430 Surat Public Village - Karanj Karanj Primary Health Center 1431 Surat Public Village-Karcheliya Karcheliya Primary Health Center 1432 Surat Public Village - Kharvan Kharvan Primary Health Center 1433 Surat Public Village - Kim Kim Primary Health Center 1434 Surat Public Village - Kudiyana Kudiyana Primary Health Center 1435 Surat Public Village - Naldhara Naldhara Primary Health Center 1436 Surat Public Village - Patal Patal Primary Health Center 1437 Surat Public Village - Suvali Suvali

662 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Center 1438 Surat Public Village - Vaheval Vaheval Primary Health Center 1439 Surat Public Village - Valvada Valvada Primary Health Center 1440 Surat Public Village - Vanesa Vanesha Primary Health Centre 1441 Surat Public Village - Amlidem Amlidem Primary Health Centre 1442 Surat Public Village - Dongaripada Dongripada Primary Health Centre 1443 Surat Public Village - Gangadhara Gangadhara Primary Health Centre 1444 Surat Public Village - Kadod Primary Health Centre 1445 Surat Public Village - Lajpor Primary Health Centre 1446 Surat Public Village - Lavet Lavet Primary Health Centre 1447 Surat Public Village- Mohini Mohini Primary Health Centre 1448 Surat Public Village -Mor Mor Primary Health Centre 1449 Surat Public Village - Nani Naroli Primary Health Centre 1450 Surat Public Village- Navipardi Navipardi Primary Health Centre 1451 Surat Public Village- Orna Orna Primary Health Centre 1452 Surat Public Village - Palod Palod Primary Health Centre 1453 Surat Public Village - Rataniya Ratniya Primary Health Centre 1454 Surat Public Village - Sandhiyer Sandhiyer Primary Health Centre 1455 Surat Public Village- Sarbhon Primary Health Centre 1456 Surat Public Village - Sathvav Sathvav Primary Health Centre 1457 Surat Public Village- Sevani Primary Health Centre 1458 Surat Public Village - Simodra Simodra Primary Health Centre 1459 Surat Public Village - Tadkeshwar

663 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre 1460 Surat Public Village - Umrakh Umrakh Primary Health Centre 1461 Surat Public Village- Uva Uva Primary Health Centre 1462 Surat Public Village- Vadi Vadi Primary Health Centre 1463 Surat Public Village - Vadpada Vadpada Primary Health Centre 1464 Surat Public Village- Valan Valan Primary Health Centre 1465 Surat Public Village-Vankaner Vankner Primary Health Centre 1466 Surat Public Village-Vanskui Vanskui Primary Health Centre 1467 Surat Public Village- Varad Varad Primary Health Centre 1468 Surat Public Village- Vav Vav Primary Health Centre 1469 Surat Public Village - Velachha Velachha Primary Health Centre 1470 Surat Public Village - Verakui Verakui Smcu-Phc Adajan U.H.C. Adajan Urban Health Center, Nr Anvik 1471 Surat Public & Mat. Home Petrol Pump,Adajan Smcu-Phc Althan U.H.C. Nr Althan Tenament, Ravidarshan 1472 Surat Public & Mat. Home Society, Althan, Surat-395007 Smcu-Phc Asarawala Asarawala Uhc,Saiyadpura,Main 1473 Surat Public U.H.C. & Mat. Home Road,Saiyedpura. Panas Urban Health Center, Nr Raj Smcu-Phc Athwa (Panas) 1474 Surat Public Laxmi Bunglow, Panas Gam, Surat- U.H.C. 39007 1475 Surat Public Smcu-Phc B.P. U.H.C. B P Uhc,Vanki Boradi,Surat,Saiyadpura. Urban Health Center ,Fa-Tp- 1476 Surat Public Smcu-Phc Bhestan Uhc 54,Nr., Bhestan Urban Health Smcu-Phc Chhaprabhatha 1477 Surat Public Center,House No. 13, Abhaynagar, Opp. U.H.C. Umabhavan, Chhaprabhatha, Surat Smcu-Phc D.K.M. U.H.C. Dkm Urban Health Center,Wadi 1478 Surat Public & Mat. Home Faliya,Kot Safilroad,Surat. Dumas Urban Health Center, Opp 1479 Surat Public Smcu-Phc Dumas U.H.. Dumas Police Station, Sultanabad, Dumas , Surat-394550 Fulpada Urban Health Center, Arogya 1480 Surat Public Smcu-Phc Fulpada U.H.C. Kendra, Ak Road, Surat 395004 Nilgiri Road Near Baijnathbaba Temple 1481 Surat Public Smcu-Phc Opp.Priyanka City Plus, Godadara Hirabaug Urban Health Center, Turava Smcu-Phc Hira Buag 1482 Surat Public Compound, Varachha Road, Surat U.H.C. 395006 M/S Kadiwala & Bunki Urban Health Smcu-Phc Kadiwala Center & Maternity Home,Opp 1483 Surat Public U.H.C. & Mat. Home Rustampura Community Hall,Rustampura,Main Road,Surat Smcu-Phc Karanj U.H.C. Karanj Urban Health Center , Near 1484 Surat Public & Mat. Home Rachna Circle , L.H.Road,Surat 395006

664 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Katargam Urban Health Center, Opp. Smcu-Phc Katargam 1485 Surat Public Makanji Park, Nr. Aananth Aashram, U.H.C. Katargam Surat-395004 Kshetrapal Urban Health Center & Smcu-Phc Khetrapal 1486 Surat Public Maternity Home,Near Kshetrapal U.H.C. & Mat. Home Mandir,Sagrampura. Urban Health Center, Near 1487 Surat Public Smcu-Phc Kosad U.H.C. Kosad, Fire Station, Sayan Road, Amroli, Surat Smcu-Phc Lakhpati Lakhpati Uhc & Maternity 1488 Surat Public U.H.C. Home,Nanavat,Main Road,Surat. Smcu-Phc 1489 Surat Public Maruti Nagar Limbayat U.H.C. & Mat. Home Mahidharpura Urban Health Center,Smc Smcu-Phc Mahidharpura 1490 Surat Public Nagarprathmik School,Maniyara U.H.C. & Mat. Home Sheri,Mahidharpura. 1491 Surat Public Smcu-Phc Maskati U.H.C. Na Anjana Urban Health Center Smcu-Phc Mithikhadi 1492 Surat Public Opp.Ambedekarnagar Near Suwez U.H.C. Ternament Paln Anjana Limbayat Mota Varachha Urban Health Center, Smcu-Phc Motavarachha Opp, Krishna Township, Sudama Chowk 1493 Surat Public Uhc , B/S Shreenidhi Apt. , Mota Varachha. Surat 394101 Smcu-Phc Nava Nagar 1494 Surat Public Nilgiri Road Prathimik Shala Navanagar U.H.C. Smcu-Phc Navagam 1495 Surat Public Ishwarpura Navagam Dindoli U.H.C. Smcu-Phc New Navagam Railway Fatak Near Sai Nagar Dinoli 1496 Surat Public Dindoli U.H.C. Road. Palanpore Health Center,Nutan Row Smcu-Phc Palanpore 1497 Surat Public House,Opp. Sant Tukaram,Palanpore U.H.C. Jakatnaka,Palanpore. Urban Health Center And Smcu-Phc Pandesara 1498 Surat Public Maternity Home,Gujarat Housing Board U.H.C. & Mat. Home ,Nr.Veg.Market,Pandesara Gam Near, Krishnanagar Society 1499 Surat Public Smcu-Phc Parvat U.H.C. Parvat Punagam Urban Health Center ,Opp. 1500 Surat Public Smcu-Phc Puna U.H.C. Leuva Patidar Samaj Wadi Baroda Farm, Surat 395010 Rander Urban Health Center & Smcu-Phc Rander U.H.C. 1501 Surat Public Mt.Home,Opp Police Line,Nr Rander & Mat. Home Bus Stop,Rander. Sarthana Urban Health Center B/H 1502 Surat Public Smcu-Phc Simada U.H.C. Subhash Nagar Nr. Abhnadan Residency .Sarthana Surat 395006 Singanpore Urban Health Center, Opp. Smcu-Phc Singanpore / 1503 Surat Public Vegetable Market, Singanpore Char Dabholi U.H.C. Rasta, Surat-395004 Soni Faliya Urban Health Center,10- Smcu-Phc Soni Falia 1504 Surat Public 1760 Floor-1,Congress Bhawanline,Near U.H.C. & Mat. Home Silk Market,Soni Faliya,Surat. Udhna Urban Health Center ,Hanuman 1505 Surat Public Smcu-Phc Udhana U.H.C. Estate ,Raktadan Kendra,Surat Smcu-Phc Umarvada 1506 Surat Public Bethi Coloni Chimani Tekara Umarwada U.H.C.

665 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Umra Urban Health Center, Nr Ram 1507 Surat Public Smcu-Phc Umra U.H.C. Nath Ghela Temple , Umra Gam , Surat- 395007 Unn Urban Health Center ,Opp.Brts 1508 Surat Public Smcu-Phc Unn Uhc Workshop ,Vakahariya Road,Unn, Surat Utran Urban Health Center, Nr. Utran 1509 Surat Public Smcu-Phc Utran U.H.C. Power House, Utran, Surat Vadod Urban Health Center ,Plot 1510 Surat Public Smcu-Phc Vadod U.H.C. No.187,B/H Satya Sai Nagar,Vadod Gam,Surat Punagam Urban Health Center ,Opp. Smcu-Phc Varachha 1511 Surat Public Leuva Patidar Samaj Wadi Baroda Farm, U.H.C. & Mat. Home Surat 395010 Variavibazar Urban Heath Smcu-Phc Variavi Bazar 1512 Surat Public Center,Muglisara Main U.H.C. Road,Chokhawala Marg ,Chowk Bazar Ved Road Urban Health Center, Beside Smcu-Phc Ved Rod 1513 Surat Public Akhand Anand College, Ved Road, U.H.C. Surat-395004 Vijyanagar Urban Health Center ,Beside Smcu-Phc Vijayanagar 1514 Surat Public Vegetable Market ,Main Road,Udhna, U.H.C. Surat Gandhi Smruti Nagar Palika Hall, 1515 Surat Public U-Phc Bardoli Rangupavan, Bardoli, Surat Opp-Fatehsinh Jeen,Bus Stand Road, 1516 Surendranagar Public Chc Ranagadh Near Petrol Pump, Limbdi, Surendranagar Community Health Center 1517 Surendranagar Public Near National Highway 8 A Sayla Community Health Centre 1518 Surendranagar Public Near Bus Station Paliyad Sudamada Sudamada Community Health Centre Referal Hospital & Community Health 1519 Surendranagar Public Chotila Center Chuda Community Health Centre 1520 Surendranagar Public Joravar Para Chuda Chuda Community Health Centre 1521 Surendranagar Public Station Road, Lakhtar. Dhangdhra Community Health Centre 1522 Surendranagar Public Railway Station Road Chc Lakhtar Lakhtar Community Health Centre 1523 Surendranagar Public At-,Dis -Surendranagar Muli Community Health Centre Opps Surajmalji Highschool Kharagodha 1524 Surendranagar Public Patdi Road Patdi Community Health Centre Chc Rajsitapur On Hampar Road 1525 Surendranagar Public Rajsitapur Rajsitapur Community Health Centre 1526 Surendranagar Public Opp. S.T. Bus-Station, Thangadh Thangadh At Kharaghoda Ta Patdi Dist 1527 Surendranagar Public Phc Dasada Surendranagar At Ta Patdi Dist 1528 Surendranagar Public Phc Vagdiya Surendranagar

666 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Center At Bamabore Ta Chotila Dist 1529 Surendranagar Public Methan Surendranagar Primary Health Centre At Anandpur Ta Chotila Dist 1530 Surendranagar Public Adriyana Surendranagar Primary Health Centre 1531 Surendranagar Public Primary Health Centre Anandpur(Bha) Anandpur Primary Health Centre At Ta Chotila Dist 1532 Surendranagar Public Bajana Surendranagar Primary Health Centre At Borana Ta Limbadi Dist 1533 Surendranagar Public Bamanbor Surendranagar Primary Health Centre At. Chokadi, Ta. Chuda, Di 1534 Surendranagar Public Borana Surendranagar Primary Health Centre At. Danavada , Ta. Muli, Di 1535 Surendranagar Public Chokdi Surendranagar Primary Health Centre 1536 Surendranagar Public At. Dasada , Ta. Patadi Di Surendranagar Danavada Primary Health Centre At. Dedadara, Ta. Wadhvan, Di 1537 Surendranagar Public Dasada Surendranagar Primary Health Centre 1538 Surendranagar Public At. Dhajala, Ta. Sayla Di Surendranagar Dedadara Primary Health Centre At. Dhandhalpur , Ta. Sayla, Di 1539 Surendranagar Public Dhajala Surendranagar Primary Health Centre At. Dhanki , Ta. Lakhtar Di 1540 Surendranagar Public Dhandhalpur Surendranagar Primary Health Centre At Doliya Ta Sayala, Near National 1541 Surendranagar Public Dhanki Highway Dist Surendranagar Primary Health Centre At Kankavati Ta Dhrangadhra Dist 1542 Surendranagar Public Doliya Surendranagar Primary Health Centre At Kanthariya Ta Chuda Dist 1543 Surendranagar Public Kankavati Surendranagar Primary Health Centre At Kharaghoda Ta Patdi Dist 1544 Surendranagar Public Kanthariya Surendranagar Primary Health Centre 1545 Surendranagar Public At. Kherva, Ta. Patdi, Di Surendranagar Kharaghoda Primary Health Centre At. Khodu , Ta. Wadhvan , Di 1546 Surendranagar Public Kherva Surendranagar Primary Health Centre At. Kondh, Ta. Dhrangadhra , Di 1547 Surendranagar Public Khodu Surendranagar Primary Health Centre At. Kuda Ta. Dhrangadhra , Di 1548 Surendranagar Public Kondh Surendranagar Primary Health Centre At. Memka, Ta. Wadhvan , Di 1549 Surendranagar Public Kuda Surendranagar Primary Health Centre At Methan Ta Dhrangadhra Dist 1550 Surendranagar Public Memka Surendranagar Primary Health Centre At Mojidad Ta Chuda, Dist 1551 Surendranagar Public Methan Surendranagar Primary Health Centre At Morthala Ta Thangadh Dist 1552 Surendranagar Public Mojidad Surendranagar Primary Health Centre At Mota Ankevaliya Ta Dhrangadhra 1553 Surendranagar Public Morthala Dist Surendranagar 667 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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Primary Health Centre At Moti Malvan Ta Dhragadhra Dist 1554 Surendranagar Public Mota Ankevaliya Surendranagar Primary Health Centre At Nagadaka Ta Sayla Dist 1555 Surendranagar Public Moti Malvan Surendranagar Primary Health Centre At Nani Katechi Ta Limbadi Dist 1556 Surendranagar Public Nagadka Surendranagar Primary Health Centre At Navagam Ta Thangadh Dist 1557 Surendranagar Public Nani Kathechi Surendranagar Primary Health Centre 1558 Surendranagar Public At Noli Ta Sayla Dist Surendranagar Navagam(Than) Primary Health Centre At Panshina Ta Limbdi Dist 1559 Surendranagar Public Noli Surendranagar Primary Health Centre At Parnala Ta Limbdi Dist 1560 Surendranagar Public Panshina Surendranagar Primary Health Centre At Piprali Ta Chotila Dist 1561 Surendranagar Public Parnala Surendranagar Primary Health Centre At Ralol Ta Limbdi Dist 1562 Surendranagar Public Piprali Surendranagar Primary Health Centre At Rampara Ta Wadhvan Dist 1563 Surendranagar Public Ralol Surendranagar Primary Health Centre At Raysangpur Ta Muli Dist 1564 Surendranagar Public Rampara Surendranagar Primary Health Centre At Sanosara Ta Chotila Dist 1565 Surendranagar Public Raysangpar Surendranagar Primary Health Centre 1566 Surendranagar Public At Sapar , Ta Sayla Dist Surendranagar Sanosara Primary Health Centre 1567 Surendranagar Public At Sara, Ta Muli Dist Surendranagar Sapar Primary Health Centre At Shiyani, Ta Limbdi Dist 1568 Surendranagar Public Sara Surendranagar Primary Health Centre At Ta Lakhtar Dist 1569 Surendranagar Public Shiyani Surendranagar Primary Health Centre At. Tikar (Par), Ta. Muli Di 1570 Surendranagar Public Talsana Surendranagar Primary Health Centre At Upariyala, Ta Patdi, Dist 1571 Surendranagar Public Tikar Surendranagar Primary Health Centre At. Vagadiya , Ta. Muli Di 1572 Surendranagar Public Upariyala Surendranagar Primary Health Centre At. Vana , Ta. Lakhtar Di 1573 Surendranagar Public Vagdiya Surendranagar Primary Health Centre 1574 Surendranagar Public At. , Ta. Patdi Di Surendranagar Vana Primary Health Centre At. Vastadi , Ta. Wadhvan Di 1575 Surendranagar Public Vanod Surendranagar Primary Health Centre At. Vitthalagadh , Ta. Lakhtar Di 1576 Surendranagar Public Vastadi Surendranagar Primary Health Centre At Zinzuwada Ta Patdi Dist 1577 Surendranagar Public Vitthalgadh Surendranagar Primary Health Centre 1578 Surendranagar Public At Zobala Ta Chuda Dist Surendranagar Zinzuwada

668 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre Shri Ram Rajendrasinhji General 1579 Surendranagar Public Zobala Hospital Limbdi Dist Surendranagar R R General Hospital 1580 Surendranagar Public Iqbalgadh Limbdi Shree 1581 Surendranagar Public Near Bus Stand Surendranagar Smarak General Hospital Kashivisvnathnagar,Near Mela 1582 Surendranagar Public U-Phc Uhc - Dhrangadhra Medan,Oppo.Somnath Mahadev Mandir,Dhrangadhra 1583 Surendranagar Public U-Phc Uhc - Joravernagar Near Joravarnagar Liabrary,Joravarnagar Oppo.Collector Office, Nagarpalika 1584 Surendranagar Public U-Phc Uhc - Krishnanagar Building,Ajramar Tower Roadsurendranagar Laxmipara Street No 8,Aditya Petrol 1585 Surendranagar Public U-Phc Uhc - Laxmi Para Pump Road,Laxmipara Surendranagar Meghani Baugh Road,Opp.Mahavirsinh U-Phc Uhc - Vepari 1586 Surendranagar Public Hospital,Uphc Mandal Veparimandal,Surendranagar Wadwhan Ganpati Fatsar Road,Gharsala 1587 Surendranagar Public U-Phc Uhc - Wadhwan Building,Wadhwan Referral Hospital Samuhik Aarogya 1588 Tapi Public Chc Gadat Kendra Gadat Referral Hospital Samuhik Aarogya 1589 Tapi Public Chc Nizar Kendra Nizar Referral Hospital Samuhik Aarogya 1590 Tapi Public Chc Songadh Kendra Songadh Referral Hospital Samuhik Aarogya 1591 Tapi Public Chc Uchhal Kendra Uchhal Referral Hospital Samuhik Aarogya 1592 Tapi Public Chc Valod Kendra Valod First Floor, City Mall - 2, Opp. Sbi Bank 1593 Tapi Public Chc Valod , Navjivan Mill Compound General Hospital Vyara, Surat Dhulia 1594 Tapi Public General Hospital Vyara Road Op Daxinapath Vidhlaya, At Po Jamkhadi Ta Songadh Dist Tapi- 1595 Tapi Public Phc Jamkhadi 394365 At Po Ta Songadh Dist Tapi- 1596 Tapi Public Phc Ukai 394670 Primary Health Centre At.Po Agasvan Ta Songadh Dist Tapi- 1597 Tapi Public Agasvan 394651 Primary Health Centre 1598 Tapi Public At.Po. Algat Ta Valod Dist Tapi-394246 Algat Primary Health Centre 1599 Tapi Public At Po Babarghat Ta Uchchhal Dist Tapi Babarghat Primary Health Centre 1600 Tapi Public At Po Balpur Ta Vyara Dist Tapi-394655 Balpur Primary Health Centre At Po Bandharpada Ta Songadh Dist 1601 Tapi Public Bandharpada Tapi-394365 Primary Health Centre At Po Bhadbhunja Ta Uchchhal Dist 1602 Tapi Public Bhadbhunja Tapi-394375 Primary Health Centre At Po Borda Ta Songadh Dist Tapi- 1603 Tapi Public Borda 393050 Primary Health Centre 1604 Tapi Public At Po Buhari Ta Valod Dist Tapi-394630 Buhari Primary Health Centre At.Po Chapavadi Ta Vyara Dist Tapi- 1605 Tapi Public Chapawadi 394651

669 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre At Po Chitpur Ta Uchchhal Tapi - 1606 Tapi Public Chitpur 394375 Primary Health Centre At Po Degama Ta Valod Dist Tapi- 1607 Tapi Public Degama 394655 Primary Health Centre At Po Dolvan Ta Dolvan Dist Tapi- 1608 Tapi Public Dolvan 394635 Primary Health Centre At Po Gangtha Ta Dist 1609 Tapi Public Gangtha Tapi-394380 Primary Health Centre At Po Gunkhadi Ta Songadh Dist Tapi- 1610 Tapi Public Gunkhadi 394365 Primary Health Centre At Po Jeshingpur Ta Songadh Dist Tapi- 1611 Tapi Public Jesingpur 394650 Primary Health Centre 1612 Tapi Public At Kalamkui Ta Valod Dist Tapi-394340 Kalamkui Primary Health Centre At Po Kalavyara Ta Vyara Dist Tapi - 1613 Tapi Public Kalavyara 394360 Primary Health Centre At Po Kanjod Ta Valod Dist Tapi- 1614 Tapi Public Kanjod 394640 Primary Health Centre At Po Karanjkhed Ta Dolvan Dist 1615 Tapi Public Karanjkhed Tapi394650 Primary Health Centre At Po Karod Ta Uchchhal Dist 1616 Tapi Public Karod Tapi394675 Primary Health Centre At Po Khanpur Ta Vyara Dist 1617 Tapi Public Khanpur Tapi394650 Primary Health Centre At Po Khervada Ta Songadh Dist 1618 Tapi Public Kherwada Tapi394670 Primary Health Centre At Po Kukarmunda Ta Kukarmunda Dist 1619 Tapi Public Kukarmunda Tapi394350 Primary Health Centre 1620 Tapi Public At Po Ukai Ta Songadh Dist Tapi394650 Lakhali Primary Health Centre At Po Maypur Ta Vyara Dist Tapi- 1621 Tapi Public Maypur 394650 Primary Health Centre At Padamdungri Ta Dolvan Dist 1622 Tapi Public Padamdungri Tapi394650 Primary Health Centre At Po Panchol Ta Dolvan Dist 1623 Tapi Public Panchol Tapi394650 Primary Health Centre At Pipalvada Ta Dolvan Dist 1624 Tapi Public Pipalwadi Tapi394650 Primary Health Centre At Po Raygadh Ta Nizar Dist 1625 Tapi Public Raygadh Tapi394350 Primary Health Centre At Po Sadgavan Ta Nizar Dist Tapi- 1626 Tapi Public Sadagavan 394350 Primary Health Centre At Po Shingpur Ta Songadh Dist Tapi- 1627 Tapi Public Singpur 394670 Primary Health Centre At Poukhalda Ta Songadh Dist Tapi- 1628 Tapi Public Ukhalda 394670 Primary Health Centre 1629 Tapi Public At Po Vanka Ta Nizar Dist Tapi394350 Vanka Primary Health Centre 1630 Tapi Public At Po Veldha Ta Nizar Dist Tapi394350 Veldha

670 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre At Po Virthava Ta Songadh Dist 1631 Tapi Public Virathva Tapi394375 Dr Ambedkar Hall ,Near Compound 1632 Tapi Public U-Phc Vyara Ofsingi Prathmik Shada 1633 Vadodara Public Chc Bajwa Chc Bajwa Near Railway Station 1634 Vadodara Public Chc Jarod Chc Jarod 1635 Vadodara Public Chc Karjan Karjan 1636 Vadodara Public Chc Padra Chc Padra 1637 Vadodara Public Chc Por Por 1638 Vadodara Public Chc Savli Chc Savli 1639 Vadodara Public Civil I. D. Hospital Karelibag, Vadodara Hospital For Mental 1640 Vadodara Public Karelibag, Vadodara Health Vadodara Jamnabai General 1641 Vadodara Public Mandvi, Vadodara Hospital 1642 Vadodara Public Phc Pandu Pandu Primary Health Center 1643 Vadodara Public Primary Health Center Ranoli Ranoli Primary Health Centre 1644 Vadodara Public Angadh Angadh Primary Health Centre 1645 Vadodara Public Ashoj Ashoj Primary Health Centre 1646 Vadodara Public Bhadarva Bhadarva Primary Health Centre 1647 Vadodara Public Bhaili Bhaili Primary Health Centre 1648 Vadodara Public Village Bhilodia Bhilodia Primary Health Centre 1649 Vadodara Public Village Chandod Chandod Primary Health Centre 1650 Vadodara Public Chansad Chansad Primary Health Centre 1651 Vadodara Public Choranda Choranda Primary Health Centre 1652 Vadodara Public Villaje Goraj Goraj Primary Health Centre 1653 Vadodara Public Handod Handod Primary Health Centre 1654 Vadodara Public Kanzat Kanzat Primary Health Centre 1655 Vadodara Public Karkhadi Karkhadi Primary Health Centre 1656 Vadodara Public Village Karvan Karvan Primary Health Centre 1657 Vadodara Public Kelanpur Kelanpur Primary Health Centre 1658 Vadodara Public Koyali Koyali Primary Health Centre 1659 Vadodara Public Methi Methi 671 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre 1660 Vadodara Public Mobha Mobha Primary Health Centre 1661 Vadodara Public Mujpur Mujpur Primary Health Centre 1662 Vadodara Public Navashihora Navashihora Primary Health Centre 1663 Vadodara Public Poicha Poicha Primary Health Centre 1664 Vadodara Public Rarod Rarod Primary Health Centre 1665 Vadodara Public Village Rustampura Rustampura Primary Health Centre 1666 Vadodara Public Village Sadhli Sadhali Primary Health Centre 1667 Vadodara Public Sadhi Sadhi Primary Health Centre 1668 Vadodara Public Sakarda Sakarda Primary Health Centre 1669 Vadodara Public Samlaya Samlaya Primary Health Centre 1670 Vadodara Public Sandhasal Sandhasal Primary Health Centre 1671 Vadodara Public Village Sathod Sathod Primary Health Centre 1672 Vadodara Public Shokhada Shokhada Primary Health Centre 1673 Vadodara Public Village Simali Simali Primary Health Centre 1674 Vadodara Public Village Sinor Sinor Primary Health Centre 1675 Vadodara Public Village Thuvavi Thuvavi Primary Health Centre 1676 Vadodara Public Tundav Tundav Primary Health Centre 1677 Vadodara Public Vadiya Vadiya Primary Health Centre 1678 Vadodara Public Vadu Vadu Primary Health Centre 1679 Vadodara Public Valan Valan Primary Health Centre 1680 Vadodara Public Varnama Varnama Primary Health Centre 1681 Vadodara Public Vejpur Vejpur Primary Health Centre 1682 Vadodara Public Village Waghodia Waghodia 1683 Vadodara Public Rh Chc Dabhoi Rh Chc Dabhoi 1684 Vadodara Public U-Phc Urban Dabhoi Opp. Dabhoi Railway Station, Dabhoi. Shiwaji Pura, Opp. Sub-Registrar Office, 1685 Vadodara Public Vmcu-Phc Akota Akota, Vadodara Vasava Mahollo, B/H Swami Narayan 1686 Vadodara Public Vmcu-Phc Atladara Temple, Atladara, Vadodara Aman Society, Near Varsha Society, 1687 Vadodara Public Vmcu-Phc Bapod Opp. Rubi Complex, Ajwa Road,Vadodara 672 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Opp. Chhani Vilaage, Near Bus Stand, 1688 Vadodara Public Vmcu-Phc Chhani Near Chhani Toll Tax, Vadodara Police Line Qurters, Near Rpi Office, 1689 Vadodara Public Vmcu-Phc Danteshvar Near Pratapnagar Bridge, Pratapnagar, Vadodara Opp. Ward-11 Office, Makarand Desai 1690 Vadodara Public Vmcu-Phc Diwalipura Road, Near Swaminarayan Temple, Diwalipura, Vadodara Near Water Tank, Tp-13, Chhani 1691 Vadodara Public Vmcu-Phc Ektanagar Jakatnaka,Vadodara Near Mahakaali Temple, Mangleswar 1692 Vadodara Public Vmcu-Phc Fatepura Zapa, Fatepura, Vadodara Near Prakruri Tenament, Opp Skymark, 1693 Vadodara Public Vmcu-Phc Gajarawadi Behind Ram Vatika- Gajrawadi, Vadodara Old Corporation School, Gaytrinagar, 1694 Vadodara Public Vmcu-Phc Gokulnagar Gotri, Vadodara Opp. Patel Wadi, Gorwa Village, 1695 Vadodara Public Vmcu-Phc Gorwa Vadodara Near Ranchhodray Temple, Opp. Gotri 1696 Vadodara Public Vmcu-Phc Gotri Lake, Gotri Village, Vadodara Shiwaji Pura, Opp. Sub-Registrar Office, 1697 Vadodara Public Vmcu-Phc Jetalpur Akota, Vadodara Near Mahatma Gandhi Nagar Gruh, 1698 Vadodara Public Vmcu-Phc Jubeelibaug Jubeelibaug. Old Jakatnaka, B/H Soma Talav, Near 1699 Vadodara Public Vmcu-Phc Kapurai Dabhoi Bypass, Dabhoi Road, Vadodara Baroda Rotary Club Service Centre, 1700 Vadodara Public Vmcu-Phc Karelibaug Vidyanandjee Chock, Rana Vaas, Navi Dharti, Vadodara Community Hall, Near Gujarat Housing 1701 Vadodara Public Vmcu-Phc Kishanwadi Board, Ajwa Road, Vadodara Opp. Makarpura Garden, Makarpura 1702 Vadodara Public Vmcu-Phc Makarpura Village, Vadodara Opp. Siemens Company, Maneja Main 1703 Vadodara Public Vmcu-Phc Maneja Road, Maneja, Vadodara Gajanand Society, Near Shakuntal Flat, 1704 Vadodara Public Vmcu-Phc Manjalpur Manjalpur Village Main Road, Vadodara Nr. Patthar Gate Police Chowki, Deepak 1705 Vadodara Public Vmcu-Phc Navapura Open Theatre, Vadodara Gareeb Navaz Park, Ren Basera, B/H 1706 Vadodara Public Vmcu-Phc Navayard Deep Multiplex,Chhani Jakatnaka, Vadodara New Ward Office-8, Near Lok Satta 1707 Vadodara Public Vmcu-Phc Navidharati Press, Navidharti, Vadodara A-10, Narayan Kunj Society, Opp. Sahaj 1708 Vadodara Public Vmcu-Phc Ramdevnagar School, B/H Pancham Parti Plot, Ajwa Road, Vadodara Near Ayappa Temple Ground, Sama, 1709 Vadodara Public Vmcu-Phc Sama Vadodara Dhawal Hospital Cross Road, Harni 1710 Vadodara Public Vmcu-Phc Sawad Warasiya Ring Road, Vadodara Ward No 5, B/H Market, Siyabaug Char 1711 Vadodara Public Vmcu-Phc Shiyabaug Rasta, Navapura, Vadodara Opp. Ward-10 Office, Near Subhanpura 1712 Vadodara Public Vmcu-Phc Subhanapura Garden, Hari Om Nagar, Vadodara Old Ward Office-9, Opp. Harish Petrol 1713 Vadodara Public Vmcu-Phc Sudamapuri Pump, Near Paani Gate, Vadodara 673 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

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50, Patrakaar Colony, Tandalja, 1714 Vadodara Public Vmcu-Phc Tandalaja Vadodara Sharad Nagar Shopping Centre, B/H Post 1715 Vadodara Public Vmcu-Phc Tarsali Office, Tarshali, Vadodara Ward-12 Office, Gidc Vadsar Road, 1716 Vadodara Public Vmcu-Phc Vadsar Vadsar, Vadodara Dhawal Hospital Cross Road, Harni 1717 Vadodara Public Vmcu-Phc Warasiya Warasiya Ring Road, Vadodara Old Ward No-3 Office, Harankhana 1718 Vadodara Public Vmcu-Phc Yamunamil Road, Opp-Water Tank, Wadi, Vadodara 1719 Valsad Public Chc Atgam Chc Atgam Valsad 1720 Valsad Public Chc Dungri Chc Dungri Taluka District Valsad Chc Pindval Tluko Dharampur Dist 1721 Valsad Public Chc Pindval Valsad 1722 Valsad Public Chc Rohina Rh Chc Rohina Taluka Pardi Valsad Primary Health Centre Phc Anklachh Dadripada Pin Code:- 1723 Valsad Public Anklas 396105 Primary Health Centre At Aslona Post Vadoli Tal Kaprada Dist 1724 Valsad Public Aslona Valsad 396065 Primary Health Centre Balda Desai Faliya Near Gram 1725 Valsad Public Balda Panchayat Primary Health Centre Phc Chhiri Opp. Chhiri Grampanchayat 1726 Valsad Public Bhadeli Mahadev Nagar Chhiri Vapi Primary Health Centre 1727 Valsad Public Phcbhesdara Nishal Falia Bhensdara Primary Health Centre 1728 Valsad Public At & Pos.Chanvai Chanvai Primary Health Centre Phc Chhiri Opp. Chhiri Grampanchayat 1729 Valsad Public Chhiri Mahadev Nagar Chhiri Vapi Primary Health Centre At.Post.Dabkhal Ta. Kaprada,Dist. 1730 Valsad Public Dabkhal Valsad.396065 Primary Health Centre At Post Dahikhed Ta. Kaprada,Dist. 1731 Valsad Public Dahikhed Valsad.396065 Primary Health Centre M.O.P.H.C Daheri Ta.Umbergaon' 1732 Valsad Public Dehari Daherikamarvad Primary Health Centre Phc Dhamni At & Po Dhamni,Ta- 1733 Valsad Public Dhamni Dharamapur Di Valsad Primary Health Centre 1734 Valsad Public At & Post Tal & Dist Valsad Dharasana Primary Health Centre Phc Fansa-Kalgam Medhi Faliya Fansa 1735 Valsad Public Fansa Pin Code:- 396 140 Primary Health Centre 1736 Valsad Public Phc Goima Ta-Pardi Dist.-Valsad Goima Primary Health Centre 1737 Valsad Public Gorgam, Vad Falia Gorgam Primary Health Centre Phc Hanmatmal At & Po Hanmatmal,Ta- 1738 Valsad Public Hanmatmal Dharamapur Di Valsad Primary Health Centre 1739 Valsad Public Dungarwadi Char Rasta Haria Primary Health Centre Phc Jamliya At- Post Jamliya, Ta 1740 Valsad Public Jamliya Dharamapur, Dist Valsad Primary Health Centre Phc Kakadkuva At-Post Kakadkuva 1741 Valsad Public Kakadkuva Dadarifaliya Primary Health Centre 1742 Valsad Public Vanki Katha Kanjan Ranchhod

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Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre 1743 Valsad Public Karvad, Vapi, Gujarat 396191 Karvad Primary Health Centre Near J.G Sarvajnik Highschool 1744 Valsad Public Khattalvada Khattalwada Primary Health Centre Phc Koparli Behind Koparli Mukhya 1745 Valsad Public Koparli Shala Primary Health Centre At.Post Varavat .Lavkar 1746 Valsad Public Lavkar ,Ta.Kaprada,Dist.Valsad.396065 Primary Health Centre 1747 Valsad Public Vad Faliya Magod Primary Health Centre At.Post.Manala Ta. Kaprada,Dist. 1748 Valsad Public Manala Valsad.396065 Primary Health Centre At. Post. , Mishal Faliya, Ta. 1749 Valsad Public Mandva Kaprada, Dist. Valsad-396065 Primary Health Centre 1750 Valsad Public Maroli Maroli Phc Mohnakavchali At & Po Primary Health Centre 1751 Valsad Public Mohnakavchali,Ta-Dharamapur Di Mohnakavchali Valsad Primary Health Centre 1752 Valsad Public Phc Motavaghchipa Near Nishal Falia Mota Waghchhipa Primary Health Centre Gamtal Faliya,Opp.Gram 1753 Valsad Public Motapondha Panchayat,Motapondha Primary Health Centre Kevda Faliya Nani Tambadi Near 1754 Valsad Public Nani Tambadi Jalaram Highschool Primary Health Centre At. Nanidholdungari ,Dadari Faliya Ta 1755 Valsad Public Nanidholdungari Dharampur Dist Valsad Primary Health Centre At Narvad Po Chavshala 1756 Valsad Public Narvad Ta.Kaprada,Dist Valsad-396065 Primary Health Centre At. Po. Orwad Udwada (R.S.) Taluka 1757 Valsad Public Orwad Pardi, Dist. Valsad Primary Health Centre 1758 Valsad Public Paria Haran Faliya Ta- Pardi Dist-Valsad Paria Primary Health Centre At.Post.Rohiyal Jungle Ta. Kaprada,Dist. 1759 Valsad Public Rohiyal Jungal Valsad.396065 Primary Health Centre Phc Sanjan,Near S.G.Dakle High 1760 Valsad Public Sanjan School,Ta-Umargam,Dist-Valsad Primary Health Centre 1761 Valsad Public Sarai Fatak . Manekpur .Ta Umargam Sarai Primary Health Centre 1762 Valsad Public Segva Atul Faliya Segva Primary Health Centre Phc Sidumbar ,Near Primary School 1763 Valsad Public Sidumber Sidumbar Nishal Faliyu Ta Dharamapur Primary Health Centre At.Post.Sildha Ta. Kaprada,Dist. 1764 Valsad Public Sildha Valsad.396065 Primary Health Centre 1765 Valsad Public M.O.P.H.C Solsumba Ta.Umbergaon Solsumba Primary Health Centre Sukhala Phc, Nishal Faliya, Taluka 1766 Valsad Public Sukhala Kaprada Primary Health Centre At Post Tukwada Ta. Kaprada,Dist. 1767 Valsad Public Tukwada Valsad.396065 Primary Health Centre 1768 Valsad Public Tutarkhed Navinagari Fliya Tutarkhed

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Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Primary Health Centre Phc Udwada ,Near. Gram Panchayat 1769 Valsad Public Udwada Gam Udwada Pin Code 396180 Primary Health Centre 1770 Valsad Public Phc Umarsadi.Taluka.Pardi.Dist-Valsad Umarsadi Primary Health Centre Valwada Near Sai Baba Tempalta- 1771 Valsad Public Valvada Umargam Dist.-Valsad Primary Health Centre 1772 Valsad Public At Navapada Vankal Near Nandigram Vankal Primary Health Centre Vatar Vapi Pablic School Ni Bajuma Ta- 1773 Valsad Public Vatar Vapi Dist-Valsad Rh Chc Bhilad Ta Umargam Dist 1774 Valsad Public Rh Chc Bhilad Valsad Referral Hospital And Community 1775 Valsad Public Rh Chc Nanapondha Health Center Nanapondha 1776 Valsad Public Rh Chc Pardi Damni Zapa Kila Pardi 1777 Valsad Public Rh Chc Umargam Umargam Town Opp Bus Depo Near Swaminarayan Gurukul School 1778 Valsad Public Rh Chc Vapi Chala 1779 Valsad Public Rhchc Kaprada Rh Chc Kaprada 1780 Valsad Public State Hospital Dharampur Garden Road Dharampur Dist Valsad 1781 Valsad Public U-Phc Vashi Faliya,Abrama Valsad 1782 Valsad Public U-Phc Dungara Navinagari Yusuf Nagar Dungra Urban Health Centre ,Geetanagar 1783 Valsad Public U-Phc Geetanagar Suryadip Residency 1st Floor Vapi Uphc Sahidchock Sugarfaliya 1784 Valsad Public U-Phc Sahidchok Andhiyawad Sahidchock Valsad Bhadakmora Near Hanuman Mandir 1785 Valsad Public U-Phc Sulpad Uphc Sulpad Vapi Urban Health Centre ,Valmikiavas,Near 1786 Valsad Public U-Phc Valmikiavas Nagarpalika Vapi Amrut Sheri Chhipwad,Wadvdi Faliya 1787 Valsad Public U-Phc Valsadpardi ,Valsad-396001 Public D Block Office Of The Medical 1788 Ahmedabad Civil Hospital Ahmedabad (MC) Superintendent Civil Hospital Asarwa Public 1789 Ahmedabad General Hospital Sola Near Gujarat High Court Sg Highway (MC) Sheth Lalubhai Public Mani Nagar Estate Road Balvatika 1790 Ahmedabad Gordhandas General (MC) Maninagar Ahmedabad Hospital Public Vadilal Sarabhai General 1791 Ahmedabad Ellisbridge (MC) Maternity Hospital Public 1792 Banaskantha General Hospital,Palanpur Simla Gate Station Road Palanpur (MC) Public 1793 Bhavnagar Sir T. Civil Hospital H.L.Vaidhya Road,Bhavnagar. (MC) Public Zydus Medical Collage Opp Naheru Baug Behind Bhagini Samaj 1794 Dahod (MC) And Hospital Dahod Public Civil Hospital 1795 Gandhinagar Civil Hospital Gaandhinagar (MC) Ganghinagar Public Guru Gobindsingh Civil 1796 Jamnagar Pn Marg Jamnagar (MC) Hospital Public 1797 Junagadh Civil Hospital Junagadh Gmers Medical College And Hospital (MC) Public Gmers General Hospital 1798 Mahesana Kharvad Medain Sipor Road Vadnagar (MC) Vadnagar Public Gmers Medical College Gmers Medical College And Hospital 1799 Patan (MC) Hospital Dharpur Patan 676 Tender Document Volume III: Insurance Contract Department of Health & Family Welfare, Government of …..

Tender for Selecting an Insurance Company under the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana in the State / Union Territory of ……..

Pandit Deendayal Public 1800 Rajkot Upadhyay Hospital, Civil Hospital Chock Rajkot (MC) Rajkot Public Civil Sir Pratap General Gmers Genral Hospital, Gadhoda Road, 1801 Sabar Kantha (MC) Hospital Near Polytechnic, Office Of Medical Public 1802 Surat New Civil Hospital Superintendent,Majura Gate,Ring (MC) Road,Surat Surat Municipal Institute Public Smimer Hospital, Sahara Darwaja, 1803 Surat Of Medical Education (MC) Umerwada And Public Gujarat Medical Edu. 1804 Vadodara Gotri, Vadodara (MC) Research Society Hospital Jail Road, Opp. Bharat Petrol Pump, Public Sir Sayajirao General 1805 Vadodara Indira Avenue, Vadodara, Gujarat (MC) Hospital 390001 Public Gmers Medical College 1806 Valsad Halar Road Nanakwada Valsad (MC) Hospital

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Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Schedule 8: Premium Payment Guidelines

A. Release of Grant-in-Aid/Premium Payment

i) A flat premium per family, irrespective of the number of members under AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA in that family, will be determined through open tendering process.

ii) The State Government/Union Territories shall upfront release the grant-in-aid / premium for the implementation of AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA into a designated escrow account. SHA will release payments to the Insurance companies on a per family basis from this account.

iii) The premium will be based on the targeted beneficiary families as per the eligibility criteria of AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA or the number of beneficiary families mapped with the SECC Database (in case a different database, other than SECC Database is used by the State), as the case may be.

B. Stages of Release of Premium: State Health Agency (SHA) will, on behalf of the Beneficiary Family Units that are targeted/identified by the SHA and covered by the Insurer, pay the Premium for the Cover to the Insurer in accordance with the following schedule:

i) First instalment of Premium for all States and UTs-

The Insurer, upon the issue of policy, shall raise an invoice for the first instalment of the Premium payable for the Beneficiary Family Units that are targeted or identified by the SHA. Thereupon, the State / UT shall upfront release 45% of their respective share viz. (out of 10% / 40%), depending upon category of State/UT based on the number of eligible families that have been targeted / identified by the SHA and the data for whom has been shared with Insurance Company along with their share of administrative expense into the designated escrow account opened by the States / UTs for the implementation of AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA.

Thereafter, within 15 days from the release of their respective share, the State/UT shall raise the proposal for release of proportionate share of Central Government’s Share of Premium along with the proposal and requisite documentary evidences and compliance of applicable financial provisions. The Central Government will release 45% of its respective share depending upon category of State/UT based on the number of eligible families that have been targeted / identified by the SHA within 21 days from the receipt of proposal from the State / UT.

In case of Union Territories without Legislatures, the Central Government shall pay 45% of its respective share of premium (viz. out of 100%) through its designated escrow account into the designated Escrow Account of the UT within 21 days from the receipt of duly completed proposal.

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Upon the receipt of Central Government’s Share of Premium, the State /UT shall release the first instalment of premium within 7 days through the designated Escrow Account to the Insurance Company under intimation to the Central Government.

ii) Second instalment for all States and UTs:

The Insurer upon the completion of 2nd quarter shall raise an invoice for the second instalment of the Premium payable for the Beneficiary Family Units that are targeted or identified by the SHA. The State /UT (with Legislature), within 15 days upon the receipt of invoice from the insurance company, shall release their 2nd instalment of premium i.e. 45% of their respective share viz. (out of 10% / 40%) into the designated escrow account. Thereafter, within 15 days from the release of their respective share, the State / UT shall raise the proposal for release of proportionate share of Central Government’s Share of Premium along with the proposal and requisite documentary evidences and compliance of applicable financial provisions. The Central Government will release 45% of its respective share depending upon category of State/UT based on the number of eligible families that have been targeted / identified by the SHA within 21 days from the receipt of proposal from the State / UT.

Thereupon, the receipt of Central Government’s Share of Premium, the State / UT shall release the second instalment of premium within 7 days through the designated Escrow Account to the Insurance Company under intimation to the Central Government.

iii) Third Instalment for all States and UTs:

Upon completion of 10 Months of Policy, the Insurer shall submit the Claim Settlement Report along with the invoice for the last instalment of the Premium payable for the Beneficiary Family Units that are targeted or identified by the SHA, if applicable. The State / UT (with Legislative) Government shall, upon receipt of the Claim Settlement report from the Insurance Company / Real Time Data available with States / UTs and upon due satisfaction of permissible claim settlement ratio, release the remaining due premium of 10% or the proportionate premium based upon the claim settlement scenario, as the case may be into the escrow account. Thereupon, within 15 days of their release of premium, shall raise the proposal to the Central Government for the release of 10% of Premium or the proportionate premium based upon the claim settlement scenario, as the case may be into the escrow account as last tranche of premium to the Insurance Company.

Thereafter, upon the receipt of Central Government’s Share of Premium, the State / UT shall release the second instalment of premium within 7 days through the designated Escrow Account to the Insurance Company under intimation to the Central Government.

A. Penalty Provision on Delay of Premium

If in case, the State / UT has not deposited its due share of premium into the escrow account, then a penal interest would be levied @ 1% per week for the number of week delay and part thereof on the State / UT.

Similarly, penal interest provision shall also be applicable on the Central Government. The concerned Government viz. State or Central / UT shall have the right to own such penal interest amount for adjusting in their future payable respective share of premium.

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B. Interest Earned in Escrow Account

Any interest earned by SHA on Central Government’s Share of Premium released into the Escrow account, the Central Government shall have the first right of claim on such interest earned amount and shall have to be transferred back to the Central Government Alternatively, it will be adjusted in future payment of the Central Government. Similarly, interest provision shall also be applicable for the State Government too.

The State Health Agency shall send the proposal to the Central Government for the release of Central Government’s Share of Premium within 15 (Fifteen) days of receipt of the Insurer’s invoice along & release of their share of premium, along with requisite documents (viz. Details of Eligible Identified Beneficiary Families, Documentary Proof for release of State Government’s Share, etc] and compliance of Applicable Financial Rules.

In case the insurance company is not paid the premium from the State’s escrow account within the stipulated time of 7 (seven) Business Days, then, for such unwarranted delay, the States / UTs shall be solely liable to pay a penal interest of 1% per month to the Insurance Company starting from after one month beyond the mutually agreed date as decided between the SHA and Insurance Company.

C. Submission and Approval of Proposal

Before the start of implementation of AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA, the States / UTS will have to send their proposal to the Central Government and execute the Memorandum of Understanding with the Central Government indicating their modus operandi for the implementation of AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA The approval of National Health Authority will precede and be necessary for signing the contract with the selected Insurance Company.

D. No Separate Fees, Charges or Premium

The Insurer shall not charge any Beneficiary Family Unit or any of the Beneficiaries any separate fees, charges, commission or premium, by whatever name called, for providing the benefits. However, the aforesaid provision shall not be applicable, if the beneficiary is required to take treatment above the amount of benefit cover of Rs.5,00,000.

680 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Schedule 9: Portability Guidlines

An Empanelled Health Care Provider (EHCP) under AB-PMJAY in any state should provide services as per AB-PMJAY guidelines to beneficiaries from any other state also participating in AB-PMJAY. This means that a beneficiary will be able to get treatment outside the EHCP network of his/her Home State.

Any empanelled hospital under AB-PMJAY will not be allowed to deny services to any AB-PMJAY beneficiary. All interoperability cases shall be mandatorily under pre-authorisation mode and pre- authorisation guidelines of the treatment delivery state in case of AB-PMJAY implementing States / UTs or indicative pre-authorisation guidelines as issued by NHA, shall be applicable.

Enabling Portability

To enable portability under the scheme, the stakeholders need to be prepared with the following: A. States: Each of the States participating in AB-PMJAY will sign MoU with Central Government which will allow all any the hospital empanelled hospitals by that state under AB-PMJAY to provide services to eligible beneficiaries of other States from across the country. Moreover, the state shall also be assured that its AB-PMJAY beneficiaries will be able to access services at all AB-PMJAY empanelled hospitals seamlessly in other states across India. B. Empanelled hospitals: The Empanelled Hospital shall have to sign contract with its insurance company/ Implementation Support Agency (ISA) (as per the model selected by the SHA) or with the Trust which explicitly agrees to provide AB-PMJAY, MA and MAV services to AB-PMJAY, MA and MAV beneficiaries from both inside and outside the state (applicable only to PMJAY beneficiary) and the Insurance Company/ISA/ Trust agrees to pay to the EHCP through the inter- agency claim settlement process, the claims raised for AB-PMJAY beneficiaries that access care outside the state in AB-PMJAY empanelled healthcare provider network. C. Insurance companies/Trusts: The Insurance Company (IC) signs a contract with all other IC’s and Trusts in the States / UTs under AB-PMJAY to settle down the interoperability related claims within 30 days settlement so that the final payment is made for a beneficiary by the Insurance Company or Trust of his/her home state. D. IT systems: The IT System will provide a central clearinghouse module where all inter- insurance, inter trust and trust-insurance claims shall be settled on a monthly/bi-monthly basis. The IT System will also maintain a Balance Check Module that will have data pushed on it in real time from all participating entities. The central database shall also be able to raise alerts/triggers based on suspicious activity with respect to the beneficiary medical claim history based on which the treatment state shall take necessary action without delay.

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E. Grievance Redressal: The Grievance Redressal Mechanism will operate as in normal cases except for disputes between Beneficiary of Home State and EHCP or IC of Treatment State and between Insurance Companies/Trusts of the Home State and Treatment State. In case of dispute between Beneficiary and EHCP or IC, the matter shall be placed before the SHA of the treatment state. In cases of disputes between IC/Trust of the two states, the matter should be taken up by bilateral discussions between the SHAs and in case of non-resolution, brought to the NHA for mediation. The IC/Trusts of Home State should be able to raise real time flags for suspect activities with the Beneficiary State and the Beneficiary State shall be obligated to conduct a basic set of checks as requested by the Home State IC/Trust. These clauses have to be built in into the agreement between the ICs and the Trusts. The NHA shall hold monthly mediation meetings for sorting out intra-agency issues as well as sharing portability related data analytics. F. Fraud Detection: Portability related cases will be scrutinized separately by the NHA for suspicious transactions, fraud and misuse. Data for the same shall be shared with the respective agencies for necessary action. The SHAs, on their part, must have a dedicated team for conducting real time checks and audits on such flagged cases with due diligence. The IC working in the State where benefits are delivered shall also be responsible for fraud prevention and investigation.

Implementation Arrangements of Portability

A. Packages and Package Rates: The Package list for portability will be the list of mandatory AB- PMJAY packages released by the NHA and package rates as applicable and modified by the Treatment State will be applicable. The Clause for honouring these rates by all ICs and Trusts shall have to be built into the agreement.

- Clauses for preauthorization requirements and transaction management system shall be as per the treatment state guidelines.

- The beneficiary balance, reservation of procedures for public hospitals as well as segmentation (into secondary/tertiary care or low cost/high cost procedures) shall be as per the home state guidelines.

- Therefore, for a patient from Rajasthan, taking treatment in Tamil Nadu for CTVS in an EHCP – balance check and reservation of procedure check will be as per Rajasthan rules, but TMS and preauthorization requirements shall be as per TN rules. The hospital claim shall be made as per TN rates for CTVS by the TN SHA (through IC or trust) and the same rate shall be settled at the end of every month by the Rajasthan SHA (through IC or trust).

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B. Empanelment of Hospitals: The SHA of every state in alliance with AB-PMJAY shall be responsible for empanelling hospitals in their territories. This responsibility shall include physical verification of facilities, specialty related empanelment, medical audits, post procedure audits etc.

- For empanelment of medical facilities that are in a non AB-PMJAY state, any AB- PMJAY state can separately empanel such facilities. Such EHCP shall become a member of provider network for all AB-PMJAY implementing States. NHA can also empanel a CGHS empanelled provider for AB-PMJAY in non AB-PMJAY state.

- Each SHA which empanels such a hospital shall be separately and individually responsible for ensuring adherence of all scheme requirements at such a hospital.

C. Beneficiary Identification: In case of beneficiaries that have been verified by the home state, the treatment state EHCP shall only conduct an identity verification and admit the patient as per the case. - In case of beneficiaries that have not been so verified, the treatment EHCP shall conduct the Beneficiary Identification Search Process and the documentation for family verification (ration card/family card of home state) to the Home State Agency for validation. - The Home State Agency shall validate and send back a response in priority with a service turnaround time of 30 minutes. In case the home agency does not send a final response (IC/Trust check), deemed verification of the beneficiary shall be undertaken and the record shall be included in the registry. The home state software will create a balance for such a family entry. - The empanelled hospital will determine beneficiary eligibility and send the linked beneficiary records for approval to the Insurance company/trust of Treatment State which in turn will send the records to the Insurance company/trust in the home State of beneficiary. The beneficiary approval team of the Insurance company/trust in the home State of beneficiary will accept/reject the case and convey the same to the Insurance company/trust in the State of hospital which will then inform the same to the hospital. In case the beneficiary has an E-Card (that is, he/she has already undergone identification earlier), after a KYC check, the beneficiary shall be accepted by the EHCP. - If the NHA and the SHA agree to provide interoperability benefits to the entire Home State Beneficiary List, the identification module shall also include the Home State Beneficiary Database for validation and identification of eligible beneficiaries.

D. Balance Check: After identification and validation of the beneficiary, the balance check for the beneficiary will be done from the home state. The balance in the home state shall be blocked 683 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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through the necessary API and updated once the claim is processed. The NHA may provide a centralised balance check facility. E. Claim Settlement: A claim raised by the empanelled hospital will first be received by the Trust/Insurer of the Treatment State which shall decide based on its own internal processes. The approval of the claim shall be shared with the Home State Insurance Company/Trust which can raise an objection on any ground within 3 days. In case the Home State raises no objection, the Treatment State IC/Trust shall settle the claim with the hospital. In case the Home State raises an objection, the Treatment State shall settle the claim as it deems fit. However, the objection of the Home State shall only be recommendatory in nature and the Home State shall have to honour the decision of the Treatment State during the time of interagency settlement. F. Fraud Management: In case the Trust/Insurer of the home State of beneficiary has identified fraudulent practices by the empanelled hospital, the Trust/Insurer should inform the SHA of the Treatment State of EHCP along with the supporting documents/information. The SHA of the Treatment State shall undertake the necessary action on such issues and resolution of such issues shall be mediated by the NHA during the monthly meetings.

G. Expansion of Beneficiary Set: In case, there is an alliance between AB-PMJAY and any State Scheme or AB-PMJAY has been expanded in the Home State, the above process for portability may be followed for all beneficiaries of the Home State. H. IT Platform: The states using their own platform shall have to provide interoperability with the central transaction and beneficiary identification system to operationalize guidelines for portability for AB-PMJAY. I. Modifications: The above guidelines may be modified from time to time by the National Health Agency and shall apply on all the states participating in the Pradhan Mantri Jan Arogya Yojana.

684 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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Schedule 10: Template for Medical Audit Template for Medical Audit Ayushman Bharat - Pradhan Hospital ID Mantri Jan Arogya Yojana ID Patient Name Hospital Name Case No. Hospital Contact No. Date of Admission Date of Discharge Date of Audit Time of Audit Name of the Auditor Contact No. (Auditor) Audit Observations No. Criteria Yes No Comments 1. Does each medical record file contain: a. Is discharge summary included? b. Are significant findings recorded? c. Are details of procedures performed recorded? d. Is treatment given mentioned? e. Is patient’s condition on discharge mentioned? f. Is final diagnosis recorded with main and other conditions? g. Are instructions for follow up provided? 2. Patient history and evidence of physical examination is evident. a. Is the chief complaint recorded? b. Are details of present illness mentioned? c. Are relevant medical history of family members present? d. Body system review? e. Is a report on physical examination available? f. Are details of provisional diagnosis mentioned? 3. Is an operation report available? (only if surgical procedure done) a. Does the report include pre-operative diagnosis? b. Does the report include post-operative diagnosis? c. Are the findings of the diagnosis specified? d. Is the surgeon’s signature available on records? e. Is the date of procedure mentioned? 4. Progress notes from admission to discharge a. Are progress reports recorded daily? b. Are progress reports signed and dated? c. Are progress reports reflective of patient’s admission status? d. Are reports of patient’s progress filed chronologically? e. Is a final discharge note available? 5 Are pathology, laboratory, radiology reports available (if ordered)? 6 Do all entries in medical records contain signatures? a. Are all entries dated? b. Are times of treatment noted? c. Are signed consents for treatment available? 7 Is patient identification recorded on all pages? 8 Are all nursing notes signed and dated? Overall observations of the Auditor:

Significant findings:

Recommendations: ______Signature of the Auditor Date: 685 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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Schedule 11: Template for Hospital Audit

Template for Hospital Audit

Hospital Name Hospital ID Hospital Address Hospital Contact No. Date of Audit Time of Audit Name of the Auditor Contact No. (Auditor)

Audit Observations

No. Criteria Yes No Comments 1. Was there power cut during the audit? 2. If yes, what was the time taken for the power back to resume electric supply? 3. Was a Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana kiosk present in the reception area with proper IEC material? 4. Was any Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana trained staff present at the kiosk? 5. Did you see the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana Empanelled Hospital Board with scope of services displayed near the kiosk in the reception and other prominent areas? 6. Was the kiosk prominently visible? 7. Was the kiosk operational in local language? 8. Were Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana brochures available at the kiosk? 9. Were the toilets in the OPD and IPD areas clean? 10. Was drinking water available in the OPD and IPD areas for patients? 11 Were sanctioned beds/functional beds available as per the claimed beds by hospital during empanelment? 12 Was qualified manpower (full time/part time) as per the scope of services? 13 Was the basic physical infrastructure of hospital clean and intact? 14 Were diagnostic facilities (inhouse/outsourced*) as per the scope of services? 15 Was functional ambulance (inhouse/outsourced*) available during visit? * For outsources services – check signed MoU

Overall observations of the Auditor:

Significant findings:

Recommendations:

______Signature of the Auditor Date:

686 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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Schedule 12: Key Performance Indicators

SN Summary of Key Performance Indicators A. Initial Setting up - KPIs

B. Performance - KPIs

C. Audit Related - KPIs

D. Payment - KPIs

E. Productivity - KPIs

687 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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A. Initial Setting up KPIs SN KPIs Timeline Measure and Penalty Explanation 1. Setting up of a Up to 30 days Within 30 days of Rs. 25,000 per week of State Project after signing of signing of the contract, delay beyond and part Office (SPO) and Insurance IC shall establish SPO thereof in setting-up* Appointment of Contract. with required staff and SPO as required Project Head and submit the sworn other Staff (As undertaking of the per Schedule F) same to CEO-SHA at SPO for co-  Establishment of the ordination and State Project Office Scheme  Appointment of State implementation Project Head  Appointment of other required staff 2. Appointment of 30 days after Latest by 30th Day of Rs. 5,000 per week, per District signing of signing of the contract, district beyond and part Coordinator Insurance IC shall appoint the thereof (DC) for each Contract. District Coordinator for district each district/cluster. District Nodal Office shall acknowledge the appointment of DC

*Setting-up of SPO: Setting up of State Project Office (SPO) includes establishment of the SPO and also putting in place all the staff as per Schedule 18: ( will be detailed out in Model Tender Document )

688 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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B. Performance KPIs SN KPIs Timeline Baseline Penalty KPI Measure  Penalty of Rs 100 of each card delayed beyond given TAT 95%  Penalty of Rs 500 each  30 Mins: Action Compliance E-card incorrect on Verification 1. verification verification/approval of e- Request from and approval card by IC hospitals In case any claim is adjudicated out 100% of wrongly approved BIS card by IC compliance then penalty of three times over and above the claim amount  Compliance from compliance below 95% up to 90% then penalty of 5% of the monthly total delayed preauthorization amount  Compliance below 90% up to 85% then penalty of 10% of the monthly total delayed preauthorization amount  Compliance below 85% then penalty of 20% of the monthly total delayed preauthorization amount with one instance of Action within 6 * triggering of SPD** hours: of raising 95% (for calculation, monthly delayed preauthorization Compliance preauthorization amount shall be the Pre- request 2. amount for delayed pre- authorisation (all auto approvals authorizations for the admissions in beyond 6 hours will that month. Penalty shall be be considered non- calculated on this amount and Insurer compliance) shall pay the penalty as per Penalty Notice per quarter, please see Clause 23.5)

Example: if the IC handled 100 preauthorization in the month and failed to meet TAT for 16 cases, 20% preauthorization amount of only these 16 cases will be charged as penalty. Even if the preauthorization is rejected, not meeting the TAT will invite the penalty In case of wrongful pre-authorization 100% approval, penalty of three times over compliance & above the preauthorization amount

689 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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If the Insurer fails to make the Claim Payment within Turn Around Time (TAT)***, then the Insurer shall be liable to pay a penal interest to the Action within 15 EHCP at the rate of 0.1% for each days of claim claim amount for every day of delay submission for or the part thereof on every delayed claims within state claim. and 30 days & for  If the compliance in the claims from outside month falls below 85% of state (Portability 100% Scrutiny, number claims, it will be cases). Compliance Claim treated as one instance of

3. processing and SPD trigger (This is applicable if payment of the the Insurer fails to claims Example: if the IC processed 100 make the Claims claims in the month and failed to Payment within a meet TAT for 16 claims, it will be Turn-around Time of liable to pay penalty of 0.1% for each 15 days/30 days for a claim per day of these 16 claims to reason other than EHCPs. It will also be treated as one delay on the part of instance of triggering of SPD SHA, if any) In case any claim is adjudicated 100% wrongly then penalty of three times Compliance over and above the claim amount

Delays in compliance to orders of the Beyond 30 days of 100% 4. Grievance the date of the order Rs. 25,000 per week or part thereof Compliance Redressal of the GRC Committee (GRC)  *6 hours: As per threshold set in TMS  ** Service Provider Default (SPD) is special termination clause in the agreement and triggering of which is a failure to meet baseline KPIs and will be considered as Default by IC. Default herein shall occur if SPD trigger o Occurs 8 (eight) times during any one year of the agreement In this event, agreement with IC is liable for termination and IRDAI shall be informed to take stringent actions against IC under relevant rules. However, SPD triggers shall only be applicable from 3rd month of signing of the contract  Penalty amount for Performance KPIs shall be calculated each month and Insurers shall pay all penalties imposed by the SHA within 7 working days of receipt Penalty Notice from SHA (Clause 23.5).  At any point during term of contract, if penalty amount is 10% of the total contract value, contract shall be liable to be terminated  *** in case of claims processing, TAT will be determined as days during which claim is with IC (Excluding the days claim is pending at EHCPs end) Example: 1 The day EHCP raises claim will be treated as Day 1 If IC raises query on Day 4, and EHCP complies with query on Day 10, IC takes action (accepting or rejection of claim) on Day 12 Payment on Day 15

690 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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in this case (4-1=3) days + (15-10=5) days, hence TAT determined is 3+5=8 days

Example 2: The day EHCP raises claim will be treated as Day 1 If IC raises query on Day 4, and EHCP complies with query on Day 10, IC raises another query on Day 11 EHCP complies with second query on Day 14 EHCP accepts approves the claim on Day 16 Payment on Day 17 in this case (4-1=3) days + (11-10=1) days+ (17-14=3) days, hence TAT determined is 3+1+3=7 days

C. Audit Related KPIs SN KPIs Sample Baseline KPI Penalty Measure 1. Preauthorization 5% of total 100% Rs. 50,000 per missing audit Audits preauthorization’s compliance report per quarter across disease specialities per If IC fails to submit audit quarter report in reporting quarter, then it will be considered as one instances of SPD triggers 2. Claims Audit 5% of total claims 100% Rs. 50,000 per missing audit (Approved Claims) of the quarter compliance report per quarter

If IC fails to submit audit report in reporting quarter, then it will be considered as one instances of SPD triggers 3. Medical Audits 5% of total 100% Rs. 50,000 per missing audit hospitalization compliance report per quarter cases per quarter If IC fails to submit audit report in reporting quarter, then it will be considered as one instances of SPD triggers 4. Death Audits 100% 100% Rs. 50,000 Per missing death compliance audit report per quarter

If IC fails to submit audit report in reporting quarter, then it will be considered as one instances of SPD triggers 5 Beneficiary audit 2% of total 100% Rs. 50,000 per missing (during hospitalized compliance beneficiary (on phone) audit hospitalization) beneficiaries in report that quarter If IC fails to submit audit report in reporting quarter, then it will be considered as one instances of SPD triggers

691 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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6. Beneficiary Audit- 5% of total 100% Rs. 50,000 per missing On Phone hospitalized compliance beneficiary (on phone) audit beneficiaries in report that quarter If IC fails to submit audit report in reporting quarter, then it will be considered as one instances of SPD triggers 7. Beneficiary Audit- 1% of total 100% Per 50,000 per missing Home Visit hospitalized compliance beneficiary (on phone) audit beneficiaries in report that quarter If IC fails to submit audit report in reporting quarter, then it will be considered as one instances of SPD triggers  While conducting the audit, IC shall ensure not more than 20% of sample size of overlapping of beneficiaries across audits except SN. 4.  Sample size shall be equally distributed across all the districts in the state and also ensuring coverage of all suspect entities  For the purpose of computing above audit percentages, cases from public hospitals shall be excluded. SHA may give directions regarding inclusion of cases from public hospitals for the audits.  If submitted audit report dues not mention required sample size or details, it will be treated as non-submission of audit report  Audit reports shall contain details as required in Anti-Fraud Guidelines published by NHA  Insurer shall ensure audits to be conducted as prescribed by Anti-Fraud Guidelines, however penalty is only applicable on above audit reports

692 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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D. Payment KPIs SN Availability Timeline Penalty KPIs 1. Premium Premium payment Interest @ 1% on due premium Payment by as per schedule amount for every 30 days’ SHA delay or part thereof shall be paid by the SHA to the Insurer# 2. Premium 30 days from the 1.5% penal interest for every Refund by IC date of notice month of delay or part thereof if not received within 30 days 3 Payment of  15 days from date Interest @ 1.5% on due Penalties by IC or receiving the penalty amount for every 30 quarterly days delay or part thereof shall payment notice in be paid as penal intrest by the case non Insurer to SHA contested payment  30 days in case IC contests the levied penalty #: State government will bear cost of the penalty caused due to delay in premium payment and not to be booked under NHA’s share

693 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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E. Productivity* KPIs for Key Staff by IC SN Designation Benchmark Location Brief Roles and Responsibilities 1 PPD 100-120 Pre- SPO/Central Office  Approve/assign/reject pre-auth authorization of IC request request per person (Instructions to the  Raise query/send for per day state: state shall clarification to hosp. decide about  Trigger investigation location of the processor) 2 CEX 100-120 claims SPO/Central Office  Verification on non technical processing per of IC documents, reports, dates person per day (Instructions to the verification state: state shall  Forward case to CPD for decide about processing with inputs location of the processor) 3 CPD 70-100 claims per SPO/Central Office  Verification of technical person per day of IC information eg. Diagnosis, (Instructions to the clinical treatment, notes, state: state shall evidences, etc. decide about  Approve/assign/reject a claim location of the  Raise query/as for clarification processor)  Trigger investigation  * IC shall make the staff available as detailed in Schedule: 16, however productivity KPIs will be applicable on above staff on given parameters.  IC shall ensure that preauthorization and claim approval and rejection shall be approved by anh MBBS doctor

694 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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Schedule 13: Indicative Fraud Triggers

Claim History Triggers 1. Impersonation. 2. Mismatch of in house document with submitted documents. 3. Claims without signature of the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana Beneficiary on pre-authorisation form. 4. Second claim in the same year for an acute medical illness/surgical. 5. Claims from multiple hospitals with same owner. 6. Claims from a hospital located far away from Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana Beneficiary’s residence, pharmacy bills away from hospital/residence. 7. Claims for hospitalization at a hospital already identified on a "watch" list or black listed hospital. 8. Claims from members with no claim free years, i.e. regular claim history. 9. Same Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana Beneficiary claimed in multiple places at the same time. 10. Excessive utilization by a specific member belonging to the AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA Beneficiary Family Unit. 11. Deliberate blocking of higher-priced Package Rates to claim higher amounts. 12. Claims with incomplete/ poor medical history: complaints/ presenting symptoms not mentioned, only line of treatment given, supporting documentation vague or insufficient. 13. Claims with missing information like post-operative histopathology reports, surgical / anaesthetist notes missing in surgical cases. 14. Multiple claims with repeated hospitalization (under a specific policy at different hospitals or at one hospital of one member of the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana Beneficiary Family Unit and different hospitals for other members of the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana Beneficiary Family Unit), multiple claims towards the end of Policy Cover Period, close proximity of claims.

Admissions Specific Triggers 15. Members of the same AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA Beneficiary Family Unit getting admitted and discharged together. 16. High number of admissions. 17. Repeated admissions. 18. Repeated admissions of members of the AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA Beneficiary Family Unit. 19. High number of admission in odd hours. 20. High number of admission in weekends/ holidays. 21. Admission beyond capacity of hospital. 22. Average admission is beyond bed capacity of the EHCP in a month. 23. Excessive ICU admission. 24. High number of admission at the end of the Policy Cover Period. 25. Claims for medical management admission for exactly 24 hours to cover OPD treatment, expensive investigations. 26. Claims with Length of Stay (LoS) which is in significant variance with the average LoS for a particular ailment.

Diagnosis Specific Triggers 27. Diagnosis and treatment contradict each other. 28. Diagnostic and treatment in different geographic locations. 29. Claims for acute medical Illness which are uncommon e.g. encephalitis, cerebral malaria, monkey bite, snake bite etc. 695 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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30. Ailment and gender mismatch. 31. Ailment and age mismatch. 32. Multiple procedures for same AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA Beneficiary – blocking of multiple packages even though not required. 33. One-time procedure reported many times. 34. Treatment of diseases, illnesses or accidents for which an Empanelled Health Care Provider is not equipped or empanelled for. 35. Substitution of packages, for example, Hernia as Appendicitis, Conservative treatment as Surgical. 36. Part of the expenses collected from AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA Beneficiary for medicines and screening in addition to amounts received by the Insurer. 37. ICU/ Medical Treatment blocking done for more than 5 days of stay, other than in the case of Critical Illness. 38. Overall medical management exceeds more than 5 days, other than in the case of Critical Illness. 39. High number of cases treated on an OOP basis at a given provider, post consumption of financial limit.

Billing and Tariff based Triggers 40. Claims without supporting pre/ post hospitalisation papers/ bills. 41. Multiple specialty consultations in a single bill. 42. Claims where the cost of treatment is much higher than expected for underlying etiology. 43. High value claim from a small hospital/nursing home, particularly in class B or C cities not consistent with ailment and/or provider profile. 44. Irregular or inordinately delayed synchronization of transactions to avoid concurrent investigations. 45. Claims submitted that cause suspicion due to format or content that looks "too perfect" in order. Pharmacy bills in chronological/running serial number or claim documents with colour photocopies. Perfect claim file with all criteria fulfilled with no deficiencies. 46. Claims with visible tempering of documents, overwriting in diagnosis/ treatment papers, discharge summary, bills etc. Same handwriting and flow in all documents from first prescription to admission to discharge. X-ray plates without date and side printed. Bills generated on a "Word" document or documents without proper signature, name and stamp.

General 47. Qualification of practitioner doesn't match treatment. 48. Specialty not available in hospital. 49. Delayed information of claim details to the Insurer. 50. Conversion of OP to IP cases (compare with historical data). 51. Non-payment of transportation allowance. 52. Not dispensing post-hospitalization medication to AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA Beneficiaries.

696 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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Schedule 14: Indicators to Measure Effectiveness of Anti-Fraud Measures

1. Monitoring the number of grievances per 1,00,000 AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA Beneficiaries. 2. Proportion of Emergency pre-authorisation requests. 3. Percent of conviction of detected fraud. 4. Share of pre-authorisation and claims audited. 5. Claim repudiation/ denial/ disallowance ratio. 6. Number of dis-empanelment/ number of investigations. 7. Share of AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA Beneficiary Family Units physically visited by Scheme functionaries. 8. Share of pre-authorisation rejected. 9. Reduction in utilization of high-end procedures. 10. AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA Beneficiary satisfaction. 11. Share of combined/ multiple-procedures investigated. 12. Share of combined/ multiple-procedures per 1,00,000 procedures. 13. Pre-authorisation pendency rate and Claim pendency rate per 100 cases decided OR percent of pre- authorisation decided after additional observation being attended + correlated with frauds detected as a consequence of this effort. 14. Instances of single disease dominating a geographical area/Service area are reduced. 15. Disease utilization rates correlate more with the community incidence. 16. Number of FIRs filed. 17. Number of enquiry reports against hospitals. 18. Number of enquiry reports against Insurer or SHA staff. 19. Number of charge sheets filed. 20. Number of judgments received. 21. Number of cases discussed in Empanelment and Disciplinary Committee. 22. Reduction in number of enhancements requested per 100 claims. 23. Impact on utilization. 24. Percent of pre-audit done for pre-authorisation and claims. 25. Percent of post-audit done for pre-authorisation and claims. 26. Number of staff removed or replaced due to confirmed fraud. 27. Number of actions taken against hospitals in a given time period. 28. Number of adverse press reports in a given time period. 29. Frequency of hospital inspection in a given time period in a defined geographical area. 30. Reduction in share of red flag cases per 100 claims.

697 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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Schedule 15: Format of Actuarial Certificate for Determining Refund of Premium

[On the letterhead of the Insurer/Insurer’s Appointed Actuary]

From: [Name of Appointed Actuary] [Designation of Appointed Actuary] [Address of Insurer/Appointed Actuary]

Date: [●]

To: Mr. [●] CEO, State Health Agency Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA) [Insert Address]

Dear Sir,

Sub: Actuarial Certificate in respect of Pure Claim Ratio of [insert name of Insurer] for Policy Cover Period [] to []

I/We, [insert name of actuary], are/am a/an registered actuary under the laws of India and are/is licensed to provide actuarial services.

[Insert name of Insurer] (the Insurer) is an insurance company engaged in the business of providing general insurance (including health insurance) services in India for the last [●] years. I/We have been appointed by the Insurer as its Appointed Actuary in accordance with the IRDA (Appointed Actuary) Regulations, 2000.

The Insurer has executed a contract dated [] with the State Health Agency for the implementation of the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AYUSHMAN BHARAT - PRADHAN MANTRI JAN AROGYA YOJANA) (the Insurance Contract). The Premium payable by the State Health Agency under the Insurance Contract for the Policy Cover Period from [] to [] (Previous Policy Cover Period) is [] (Rupees [insert sum in words] only).

In accordance with the Insurance Contract, we are required to certify the Pure Claim Ratio for the full 12 months of the Previous Policy Cover Period for all the districts within the Service Area.

I, [insert name] designated as [insert title] at [insert location] of [insert name of actuary] do hereby certify that:

(a) We have read the Insurance Contract and the terms and conditions contained therein.

(b) In our fair and reasonable view and based on the information available to us, the Pure Claim Ratio for the full 12 months of the Previous Policy Cover Period has been determined by us in accordance with the formula below:

Pure Claim Ratio = C x 100 PT

= [insert calculation] = [insert result]% 698 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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For the purposes of the formula above:

PT is the total Premium collected by the Insurer in the Previous Policy Cover Period for all the Beneficiary Family Units covered by it. It is calculated as the product of the Premium per Beneficiary Family Unit in the Current Policy Cover Period and the total number of Beneficiary Family Units covered by the Insurer in the Current Policy Cover Period, i.e., Rs. [●] (Rupees [insert sum in words] only).

C is the total Claims paid by the Insurer to the Empanelled Health Care Providers in the full 12 months of the Previous Policy Cover Period, i.e., Rs. [●] (Rupees [insert sum in words] only);

(c) In our fair and reasonable view and based on the information available to us, the Pure Claim Ratio of the Insurer in respect of all the districts within the Service Area in the full 12 months of the Previous Policy Cover Period is []% ([insert sum in words] percentage).

At [insert place] Date: [insert date]

______On behalf of [insert name of Appointed Actuary] [Name] [title]

Name and Counter Signature of Principal Officer of Appointed Actuary, along with Appointed Actuary's name and seal

______On behalf of [insert name of Appointed Actuary] [Name] [title]

[Note. This counter signature is only required if the Appointed Actuary is an external actuarial firm.]

699 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

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Schedule 16: Minimum Manpower Requirements (instructions to the state: please make chages in this schedule as per specific requirement)

The Insurer shall ensure that it shall at all times during the Tenure of the Contract, maintain at a minimum, the following number of Personnel having, at a minimum, the prescribed qualifications and experience:

SN Designation Number Location Minimum Brief Roles and Qualification Responsibilities and experience (instrucions to the state to specify) 1 State Project Manager 1 SPO of IC   Overall coordinator of ICs operations in the state  Single contact point for SHA for any coordination purpose 2 State Medical Manager 1 SPO of IC   Overall supervision and guidance to be provided to CPDs and PPDs 3 State Operations Coordinator 1 SPO of IC   coordinate 4 District Coordinator 1 each Office of  Role of District district District Nodal Coordinator Officer PM  To coordinate and JAY ensure smooth implementation of the Scheme in the district.  To follow up with the EHCP to ensure that the IT infrastructure installed is fully functional at all times.  Liaise with the district officials of the SHA to addressing operational issues as and when they arise. Liaise with the District Grievance Redressal Cell for resolving all complaints. 5 PPD 100-120 Pre- SPO of   Approve/assign/reject authorization IC/Centrally pre-auth request request per located  Raise query/send for day per clarification to hosp. person  Trigger investigation

700 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

6 CEX 100-120 per SPO of   Verification on non claims IC/Centrally technical documents, processing located reports, dates per person verification  Forward case to CPD for processing with inputs 7 CPD 70-100 SPO of   Verification of claims per IC/Centrally technical information person per located eg. Diagnosis, day clinical treatment, notes, evidences, etc.  Approve/assign/reject a claim  Raise query/as for clarification  Trigger investigation 8 Fulltime medical Auditors 1 per cluster 1 each   Coordinate and district/cluster conduct required as per need periodical audit  Finalize and submit audit report for the district/cluster to the state headquarter for finalization of state wise periodical audit 9 Empaneled medical auditors As per NA   Support conducting requirement medical audits (Instruction to state: No need to be on payroll but can be ad hoc staff) 10 Empaneled Hospital Auditors As per NA   Support conducting requirement hospital audits (Instruction to state: No need to be on payroll but can be ad hoc staff)

701 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Schedule 17: Non-Disclosure Agreement

NON-DISCLOSURE AGREEMENT

This Non- Disclosure Agreement (“Agreement”) is entered into on this … day of ______, 2020(“Effective Date”) by and between:

State Health Agency, ______represented by the ______, having its office located at ______which expression shall, unless repugnant to the context, include its successors and assigns (hereinafter referred to as “SHA”)

And

M/s. ______a company registered under the Companies Act 1956 and having its registered office at ______represented by Mr. ______which expression shall, unless repugnant to the context include its successors (hereinafter referred as "the Insurer")

SHA and Insurer shall hereinafter be referred individually as Party/ as specified hereinabove and jointly as “Parties”.

Whereas: A. SHA is constituted with an objective of ______. B. Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) in alliance with state governments. AB PM-JAY is targeting over 10 crore poor and vulnerable beneficiary families. Thus, SHA is playing a critical role in fostering linkages as well as convergence of ABPM- JAY with health and related programs of the Central and State Governments. C. The Insurer is carrying on business of______. D. SHA is [contemplating engaging the services of the Insurer) for [specify Purpose] (the “Purpose”) and for this Purpose, the Insurer shall come into contact with certain confidential information; E. SHA desires to ensure that strict confidentiality is maintained by the Insurer regarding its relationship with SHA and also regarding the confidential information which comes to the knowledge of Insurer in connection with the Purpose; F. The Parties desire to set forth their rights and obligations with respect to the use, dissemination and protection of the confidential information accessed by the Insurer.

NOW THEREFORE, in consideration of the mutual covenants and agreements set forth below, and for other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, it is understood and agreed as follows:

1. Definitions

In this Agreement, the following terms shall have the following meanings:

“Confidential Information” shall include all information or data, whether electronic, written or oral, relating to AB- PMJAY Scheme , SHA ’s business, operations, financials, services, facilities, processes, methodologies, technologies, intellectual property, trade secrets, research and development, trade names, Personal Data, Sensitive Personal Data, methods and procedures of operation, business or marketing plans, licensed document know-how, ideas, concepts, designs, drawings, flow charts, diagrams, quality manuals, checklists, guidelines, processes, formulae, source code materials, specifications, programs, software packages/ codes, clients and suppliers, partners, principals, employees, consultants and authorized agents and any information which is of a manifestly confidential nature, that is supplied by SHA to the Insurer or otherwise acquired/ accessed by the Insurer during the

702 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat. course of dealings between the Parties or otherwise in connection with the Purpose. Confidential Information may also include the Confidential Information related to AB PMJAY Scheme, SHA’s/ other SHA’s clients, licensors, alliances, contractors and advisors.

“Personal Data” and “Sensitive Personal Data” shall have the meanings as assigned to them under applicable law of India.

2. Supply and Use of Confidential Information

(a) The Insurer shall use Confidential Information only for the Purpose or in relation to the definitive written agreement between the Parties (if any or is subsequently entered into) in connection with the Purpose, pursuant to which a given item of Confidential Information was disclosed. Upon the completion of the business objective relating to the Purpose or the termination/ expiry of such definitive written agreement in connection with the Purpose, and upon the written request of SHA, an authorized officer of the Insurer shall promptly, at the option of SHA, either return to SHA or destroy all Confidential Information in the Insurer’s possession or control, and shall certify to SHA as to such return or destruction.

(b) The Insurer shall not disclose the Confidential Information to any third party without SHA ’s prior written consent. The Insurer may disclose the Confidential Information to its employees, on a strict need to know basis in connection with the Purpose provided such employees are bound under confidentiality agreements which are at least as restrictive as this Agreement.

(c) The Insurer shall exercise the same degree of care with respect to SHA ’s Confidential Information as the Insurer takes to safeguard and preserve its own confidential and/or proprietary information provided that in no event shall the degree of care be less than a reasonable degree of care. Upon discovery of any prohibited use or disclosure of the Confidential Information, the Insurer shall immediately notify SHA in writing and shall make its best efforts to prevent any further prohibited use or disclosure; however, such remedial actions shall in no manner relieve the Insurer’s obligations or liabilities for breach hereunder.

(d) The Insurer shall ensure that all appropriate confidentiality obligations and technical and organizational security measures are in place, within the Insurer’s organization, to prevent any unauthorized or unlawful disclosure or processing of Confidential Information and the accidental loss or destruction of or damage to such Confidential Information. The Insurer will comply with applicable data protection and privacy legislation in this regard.

(e) To the extent it is a transferee of Personal Data from SHA, the Insurer shall be under and shall assume identical and/or similar obligations that of SHA under the applicable data protection and privacy legislation in this regard relating to such Personal Data.

(f) The Insurer shall notify SHA forthwith from the time it comes to the attention of the Insurer that Confidential Information (including Personal Data) transferred by SHA to it has been the subject of accidental or unlawful destruction or accidental loss, alteration, unauthorized disclosure or access, or any other unlawful forms of processing. The obligation contained above shall survive any termination/expiration of the Agreement.

3. Limitations:

This Agreement shall not restrict disclosure of information that, the Insurer can evidence through sufficient documentation:

703 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

(a) was, at the time of receipt, otherwise known to the Insurer without restrictions as to use or disclosure; or

(b) was in the public domain at the time of disclosure or thereafter enters into the public domain through no breach of this Agreement by the Insurer;

4. Exclusion:

The Insurer may disclose Confidential Information, strictly to the extent such disclosure is compulsorily required under applicable law (including court order), to a regulatory authority or a court of law with competent jurisdiction over the Insurer, provided that the Insurer will first have provided SHA with immediate written notice of such required disclosure and will take reasonable steps to allow SHA to seek a protective order with respect to the Confidential Information required to be disclosed. The Insurer will promptly cooperate with and assist SHA in connection with obtaining such protective order.

5. No Warranty:

SHA HEREBY DISCLAIMS ALL WARRANTIES, WHETHER EXPRESS OR IMPLIED, WITH RESPECT TO THE CONFIDENTIAL INFORMATION.

6. No License:

No license or conveyance of any rights held by SHA under any discoveries, inventions, patents, trade secrets, copyrights, or other form of intellectual property is granted or implied by this Agreement or by the disclosure of any Confidential Information pursuant to this Agreement.

7. No Formal Business Obligations:

This Agreement shall not constitute, create, give effect to or otherwise imply (i) a joint venture, pooling arrangement, partnership or formal business organization of any kind, or (ii) any obligation or commitment on SHA to submit a proposal or to enter into a further contract or business relationship with the Insurer, or (iii) any obligation on SHA to disclose, supply or otherwise communicate any information, general or specific, to the Insurer. Nothing herein shall be construed as providing for the sharing of profits or losses arising out of efforts of either or both Parties.

8. Confidentiality and Intellectual Property Notices:

The Insurer shall not (nor shall it permit or assist others to) alter or remove any confidentiality label, proprietary label, patent marking, copyright notice or other legend (singularly or collectively, “Notices”) placed on the Confidential Information, and shall maintain and place any such Notices on applicable Confidential Information or copies thereof.

9. Governing Law and Jurisdiction:

This Agreement shall be governed by and construed in accordance with the laws of India. Any dispute arising out of the Agreement shall be referred to the nominated senior representatives of both the Parties for resolution through negotiations. In case, any such difference or dispute is not amicably resolved within forty five (45) days of such referral, it shall be resolved through Arbitration, in India, in accordance with the provisions of Arbitration and Conciliation Act 1996 and ______shall be considered as sole Arbitrator to adjudicate the dispute between the Parties as per the Arbitration and Conciliation Act as amended from time to time. Arbitration shall be held in English and the venue of

704 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat. the Arbitration same shall be in Delhi. The award of the Arbitrator shall be final and binding on the Parties. The proceedings of arbitration, including arbitral award, shall be kept confidential. Subject always to the foregoing provisions of this paragraph, the competent courts of ______shall have jurisdiction in relation to any dispute between the Parties under this Agreement.

10. Injunctive Relief and Damages:

The Insurer acknowledges that use or disclosure of any confidential and proprietary information in a manner inconsistent with this Agreement will give rise to irreparable injury for which damages would not be an adequate remedy. Accordingly, in addition to any other legal remedies which may be available at law or in equity, the SHA shall be entitled to equitable or injunctive relief against the unauthorized use or disclosure of confidential and proprietary information. The SHA shall be entitled to pursue any other legally permissible remedy available as a result of such breach, including but not limited to damages, both direct and consequential. Additionally, the Insurer agrees to keep SHA indemnified against any losses or damages (including reasonable attorneys’ fees) arising due to the breach of this Agreement by the Insurer.

11. Miscellaneous:

. Amendment: This Agreement may be amended or modified only by a written agreement signed by both of the Parties. . Relationship: The Parties to this Agreement are independent contractors. Neither Party is an agent, representative, or partner of the other Party. Neither Party shall have any right, power, or authority to enter into any agreement for, or on behalf of, or incur any obligation or liability of, or to otherwise bind, the other Party. No joint venture, partnership or agency relationship exists between the Insurer, the SHA or any third-party as a result of this Agreement. . Assignment: Neither Party may assign its rights or delegate its duties under this Agreement without the other Party’s prior written consent. . Severability: In the event that any provision of this Agreement is held to be invalid, illegal or unenforceable in whole or in part, the remaining provisions shall not be affected and shall continue to be valid, legal and enforceable as though the invalid, illegal or unenforceable parts had not been included in this Agreement. . Waiver: Neither Party will be charged with any waiver of any provision of this Agreement, unless such waiver is evidenced by a writing signed by the Party and any such waiver will be limited to the terms of such writing.

12. Termination and Survival:

This Agreement shall commence as of the date written above and shall remain in effect for a period ______unless terminated earlier by SHA by (i) giving fourteen (14) days’ written notice of termination to the Insurer at any time, or (ii) giving notice effective immediately following a breach by the Insurer. Notwithstanding the foregoing, any obligations imposed on the Insurer under this Agreement, including confidentiality obligations, that by their very nature survive the termination or expiry of this Agreement shall so survive the termination or expiry of this Agreement.

13. No Publicity:

No press release, advertisement, marketing materials or other releases for public consumption concerning or otherwise referring to the terms, conditions or existence of this Agreement shall be published by the Insurer. The Insurer shall not promote or otherwise disclose the existence of the relationship between the Parties evidenced by this Agreement or any other agreement between the Parties for purposes of soliciting or procuring sales, clients, investors or other business engagements.

705 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

14. Non-Solicitation:

Except as may be otherwise agreed in writing between the Parties, during the term of this Agreement and for twelve (12) months thereafter, neither the Insurer nor any of its affiliates, shall offer employment to or employ any person employed (then or within the preceding twelve (12) months) by SHA if such person had interacted with the Insurer or its affiliates, directly or indirectly, in relation to the Purpose or was involved in performing responsibilities in relation to the Purpose.

15. No Conflict:

The Insurer represents and warrants that the performance of its obligations hereunder does not, and shall not, conflict with any of its other agreement or obligation to which it is bound.

16. Entire Agreement; Counterparts:

This Agreement together with any other definitive written agreement executed or to be executed between the Parties relating to the Purpose constitutes the entire agreement between the Parties with respect to the subject matter hereof. This Agreement may be executed in one or more counterparts, each of which shall be deemed an original, but all of which, when taken together, shall constitute one and the same instrument.

IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed by their duly authorized representatives and made effective from the Effective Date first written above.

SIGNED for and on behalf of SIGNED for and on behalf of

SHA Insurer

By ______By ______

Title ______(authorized signatory) Title______(authorized signatory)

Date ______Date ______

706 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Schedule 18: Individual Confidentiality Undertaking

UNDERTAKING

I, [Insert Name], the undersigned, acknowledge that as an employee/ staff of ______(“Insurer”), I will be working as a team member of the company project team which is providing, or shall provide, certain services to State Health Agency (SHA) as per the terms and conditions of the Agreement dated ______.

In this regard, I confirm that I have fully read and understood all the terms and conditions of the Agreement executed between SHA and Insurer, in particular to the contents below. With effect from ______], I undertake to strictly abide by this undertaking and the Agreement.

To the extent not defined in this undertaking itself, the capitalised terms contained in this letter shall have the meaning attributed to them under the Agreement.

Without prejudice to the generality of the foregoing paragraphs, I agree to the following:

1. I shall not discuss/ disclose, at any time during my work on the Services or at any time thereafter, any Confidential Information with/ to any third party or any employee or partner of Insurer or other Insurer Firms, other than those working or advising on the Services or those who need to access such information on a strict need to know basis.

2. If approached by any third party or Insurer employee/staff (where such employee/ staff do not require access to the Confidential Information on a need to know basis) to provide any Confidential Information relating to the Services, I shall immediately inform the Insurer and/or SHA and shall not disclose any such information unless approved.

3. I shall not remove or destroy any documents, data, files or working papers in whatsoever form (including but not restricted to any in electronic form) in respect of the Services, without the written consent of Insurer.

4. In the event that I leave the employment of Insurer or my association with Insurer gets terminated, I shall not discuss/ disclose thereafter any Confidential Information with/ to any other party.

5. I voluntarily waive all my rights and disclaim my ownership on any work and/or deliverables to be performed while deployed at Insurer/ SHA for the purposes of Agreement.

I understand that strict compliance with this undertaking and the Agreement is a condition of my involvement with the Services and a breach hereof may be regarded as an infringement of my terms of employment/ association with Insurer. I acknowledge that I will be personally liable for any breach of this undertaking and/or the Agreement and that the confidentiality obligations hereinunder shall survive the tenure of my employment/ association with Insurer.

Signature: ______

Name (in block letters):______

Telephone #: ______

Date:______

707 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Schedule 19: Template for Claims Adjudication Audit

Case ID Hospital Package Packag Date of Date of Types of Comments Name name e Cost Admission Discharg findings e

708 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Claims adjudication audit reporting format

Name of the IC/ISA/TPA

Month and year of Audit

Total number of claims audited

Total number of errors found during Financial Non financial audit

No of Hospitals found suspected during audit

Action plan against suspected hospitals

Major type of errors found during audit

Executive summary of audit

709 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Claims adjudication audit manual checklist

Case number Hospital name and District Package booked (Diagnosis) Package amount Date of admission Date of Discharge Type of package medical/Surgical

Particulars Yes No Remarks Past history checked Are all mandatory documents required at the time of Pre-Auth uploaded Validate Length of stay - DOA/DOD Are symptoms matching with the diagnosis Is the package booked matching with the diagnosis Are Investigation reports supporting diagnosis available Are Post op photos showing scar available in surgical cases Investigation reports signed by doctor with registration no Are pre op and post op x-rays available in ortho cases Discharge summary in proper format Complete ICP available from the day of admission till discharge ICP in same handwriting Is referral letter from government hospital available(State specific) Death Summary in case of death

710 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Schedule 20: Detailed Empanelment Criteria

Basic hospital services:

 Allocation of beds in Network Hospitals for Scheme Patients: The Network Hospitals shall allocate at least 25% of their total bed capacity for admitting scheme patients.

 Outpatient services: Provider shall ensure free OP facilities for scheme patients.

 Set up of Kiosk: A hospital Kiosk (help desk) needs to be established at every hospital along with “Pradhan Mantri Arogya Mitra/ Arogya Mitra”. a. Group-A Hospitals – Arogya Mitra will appointed by the ISA. b. Group-B Hospitals – Pradhanmantri Jan Arogya Mitra will be appointed by Hospital itself.

 Hospital Arogya Mitra (HAM): HAM will be a medical person Minimum MBBS who will look after the technical aspect of the Scheme at empanelled hospital.

 Conduct of Inpatient services: Provider should not refuse to admit any scheme patients for any services available at the hospital which is provided to paid patients.

 Follow-up services: Provider shall provide cashless facility during every follow-up as defined under the scheme. The follow-up benefit includes the cost of medicines, diagnostic tests, doctors’ consultations, etc.

Categorization of hospitals: -  Group-A Hospitals; hospitals who are empanelled under Cluster-1 to 15.  Group-B Hospitals; hospitals who are empanelled under Cluster-16 to 26.

Processes for empanelment of hospitals: -

 Group-A Hospitals. (Hospitals who want to empanel under Cluster-1 to 15).

 Hospitals have to get register first on online AB- PMJAY portal- www.pmjay.gov.in (“Application for hospital empanelment”). After registration, hospital ID and password are generated which the hospital gets through E-mail on their registered E-mail ID.

 All required details along with the supporting attachments are to be uploaded online by the hospital.

 The District Empanelment Committee will then assess the hospital against the scheme criteria and if the hospital fulfil the criteria then State Empanelment Committee (SEC) consisting representatives of SHA, ISA & District health Authority will once again visits the hospital for the final verification.

 The State Empanelment Committee (SEC) may approve / reject the application or seek further clarifications from the hospital.

 Group-B Hospitals. (Hospitals who want to empanel under Cluster-16 to 26).

 Hospitals have to first get register on the online AB-PMJAY portal- www.pmjay.gov.in (“Application for hospital empanelment”). After registration, hospital ID and password are generated which the hospital gets through an E-mail on their registered E-mail ID.

711 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

 All required details along with the supporting attachments are to be uploaded online by the hospital.

 This application is then scrutinized by the District Empanelment Committee (DEC) and is processed within 15 days of its receipt from the final submission of the online application by hospital.

 The District Empanelment Committee (DEC) will inspect the hospital physically and verifies the hospital details against the application details.

 District Empanelment Committee may approve / reject the hospital application as per the criteria laid down under the scheme.

 If hospital fulfills the scheme criteria then the committee approves the hospital & submits its final report to the state online.

 These hospital details along with the District Empanelment Committee remarks are once again verified by the State Empanelment Committee (SEC) online and decide whether to approved / rejected / seek further clarifications from the DEC (District Empanelment Committee).

 After the approval of the State Hospital Empanelment Committee, Hospital gets the ID & Password to book claims under the scheme.

 Note: - Hospitals empaneled under AB-PMJAY shall be considered empaneled under Sate scheme namely; Mukhyamantri Amrutam (MA) Yojana. Hospitals will not have any choice in this regard.

 Bank Guarantee for hospitals other than Government hospitals: -

1. Group-A Hospital: - Hospital is required to submit a bank guarantee of Rs. 2.5 lakh per cluster and a maximum of Rs. 10.00 lakh. (Reducing it gradually to 8%, 6%, 4% in subsequent renewal. A bank guarantee of minimum 4% will be ensured always)

2. Group-B Hospital: - Hospital is required to submit a bank guarantee of Rs.25,000 irrespective of the number of clusters empanelled throughout the empanelment period.

3. If a Hospital is empanelled under Group-A & B category then Bank Guarantee shall be as per point-1.

ELIGIBILITY CRITERIA FOR HOSPITAL EMPANELMENT Common Criteria Common criteria + Additional Common criteria + Additional criteria criteria for Group – A Hospitals for Group – B Hospitals Total Bed Capacity: - (Note - All the Beds should be in a single hospital premises)  Minimum 3 Beds Day care specialties (ENT, Ophthalmology - & Oral & Maxillo Facial Surgery)  Minimum 10 Beds - Single Secondary Specialty  Minimum 15 Beds - Multiple Secondary Specialties.  Minimum 25 Beds Single Super Specialty & Multiple Multiple Secondary Specialties. Secondary Specialties.  Minimum 50 Beds All tertiary Specialties. All Secondary Specialties.  Standalone  Minimum 5 dialysis machines (4 dialysis machines + 1 dialysis machines for Dialysis Center Positive patients) Dialysis Machine.  Single use dialyzer and tubing to be used in every session.

712 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Requirement of Technical HR as per Bed Capacity: -  ≤ 15 Beds - 1 Doctor & 3 Nurses.  > 15 to 25 Beds 2 Doctors & 4 Nurses. 2 Doctors & 4 Nurses.  > 25 to 50 Beds 4 Doctors & 7 Nurses 4 Doctors & 7 Nurses  > 50 Beds Per 10 Beds 1 Doctor & 3 Nurses Per 10 Beds 1 Doctor & 3 Nurses will be will be added. added. General Ward  The provider should have  The provider should have separate separate male and female wards. male and female wards.  Appropriate signage & separate  Appropriate signage & separate toilet toilet for male for male & female. & female. ICU Beds  The ICU ward should be  The ICU ward should be equipped equipped with ventilators, with ventilators, defibrillators, defibrillators, monitors, central monitors, central oxygen line, suction oxygen line, suction apparatus, apparatus, Crash Cart and pulse Crash Cart and pulse oxymeter. oxymeter.  The hospital should have at least 2 ICU  The hospital should have at least beds. (if applicable) 2 ICU beds. The post-operative  The post-operative ward should  The post-operative ward should be ward be equipped with ventilators, equipped with ventilators, defibrillators, monitors, central defibrillators, monitors, central oxygen line, suction apparatus, oxygen line, suction apparatus, Crash Crash Cart and pulse oxymeter. Cart and pulse oxymeter.  The hospital should have at least  The hospital should have at least 1 bed. 2 beds. (if applicable) Legal Requirements  Building use permit by  Building use permit by appropriate appropriate authority. authority.  Fire NOC from appropriate  Fire NOC from appropriate authority. authority.  License for lift and elevator (if  License for lift and elevator (if applicable) applicable)  Hospital registration under local body  Hospital registration under local (C Form) - (if applicable) body (C Form) - (if applicable)  Registration under Pollution Control  Registration under Pollution Act. (GPCB Certificate) Control Act. (GPCB Certificate)  Certificate for Biomedical waste  Certificate for Biomedical waste  AERB Approvals &BARC Radiation  AERB Approvals &BARC Protection certificate for each Radiation Protection certificate Radiological/imaging equipment (if for each Radiological/imaging applicable) equipment (if applicable)  PNDT license (if applicable)  PNDT license  Drugs & Cosmetics License  Drugs & Cosmetics License  Narcotic & Psychotic Substance  Narcotic & Psychotic Substance License License  Ambulance fitness certificate from  Ambulance fitness certificate RTO (In house or Tie up). from RTO (In house or Tie up). Diagnostic & In-house / Out-sourced as per In-house / Out-sourced as per speciality Laboratory Services speciality  For Out-sourced – Tie-up letter should  For Out-sourced –Tie-up letter be as per Annexure no. 1 & 2. should be as per Annexure no. 1 & 2.

713 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

 Laboratory Services:- o Pathology, o Microbiology, o Bio-chemistry, o Blood bank, o Histopathology, o Cytopathology, o Genetics As applicable...  Radiology / Diagnostic Services: - o X-Ray- digital / conventional, o Ultrasound, o CT Scan, o MRI Scan, o PET Scan, o Gamma Camera, o Mammography, o DSA lab, o DTPA scan for renal, o ECHO, o Audiometry As applicable… Non clinical and In-house / Out-sourced as per In-house / Out-sourced as per specialty Administrative specialty  For Out-sourced – Tie-up letter should Facilities  For Out-sourced – Tie-up letter be as per Annexure no. 1 & 2.  Catering. should be as per Annexure no. 1  Laundry. & 2.  Pharmacy Services.  Physiotherapy (if applicable).  Ambulance Services. General  Patient registration counter /  Patient registration counter / Reception Infrastructure Reception area area  Patient waiting area.  Patient waiting area.  OPD.  OPD.  IPD  IPD  Emergency room  Emergency room  General Ward (Separate Male /  General Ward (Separate Male / Female Female ward) with Toilet ward) with Toilet Facility Facility  Well-equipped Operation theatre (if  Well-equipped Operation applicable), theatre,  ICU (if applicable),  ICU,  Post-Operative Ward (If applicable).  Post-Operative Ward.

714 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Hospital State Empanelment Committee District Empanelment Committee Empanelment (SEC) (DEC) Committee  Two officers from SHA.  One Representative (CDHO / QAMO /  One officer from ISA state THO) of CDHO office from concerned project office. district.  One Representative (CDMO /  One Representative (CDMO / Medical Superintendent / Specialist/ RMO / MO) of CDMO Specialist / Professor / RMO) of office or Medical College from CDMO office or One concerned district. Representative from Medical  DPC – MA & PMJAY College of the concerned  DC from ISA. district.  DC from Insurance Company.  One Representative (CDHO / QAMO) of CDHO office from concerned district.  DPC – MA & PMJAY  RC & DC from ISA.  DC from Insurance Company. MoU signing  Implementation Support  Insurance Company / Implementation Authority Agency (ISA)/ Insurance Support Agency (ISA) Company Period of  Yearly  Yearly empanelment  Hospital will be renewed  Hospital will be renewed annually annually after visit of district after visit of district hospital hospital empanelment empanelment committee’s report. committee’s report.

Specialty wise requirements Burns & Plastic Instrument & Infrastructure: - Surgery  Separate Burns Ward with AC.  Physiotherapy center (In-house / Out-sourced) Specific HR: -  Plastic & cosmetic Surgeon Cardiology, Instrument & Infrastructure: - Cardio-thoracic  Cath Lab, Surgery &  ECHO machine, TMT, Holter, CT Angio. Cardio-vascular  ICCU Surgery  Fully equipped Cardiothoracic Operation theatre facility with heart Lung machine, etc… Specific HR: -  Cardiologist  Cardiothoracic Surgeon  Cardiovascular Surgeon  Cath lab Technician  Perfusionist  Cardiac Physiotherapist Urology/ Genito- Instrument & Infrastructure: - urinary Surgery  Dialysis Unit,  Lithotripsy (In house or Out Sourced),  RIRS Kit/ PCNL Kit/ Holmium Laser,  Well-equipped O.T. with C-ARM,  Uroflowmatry & Urodynamic Study 715 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

 DTPA Scan Tie-up Specific HR: -  Genito-urinary Surgeon & Nephrologist  Qualified Dialysis Technician Neurosurgery Instrument & Infrastructure: -  Neuro ICU  Well-equipped Neuro OT with Cath facility, C-Arm, Microscope, Neuro- surgery compatible OT table with head holding frame (Horse shoe, Mayfield / sugita or equivalent frame) Specific HR: -  Neuro Surgeon  Neuro-physician  Physiotherapist in house or tie-up Pediatric Surgery Instrument & Infrastructure: -  Well-equipped OT  NICU / PICU Specific HR: -  Pediatric Surgeon Poly Trauma Instrument & Infrastructure: -  Designated 24x7 trauma care facility room  Well-equipped O.T. with C-ARM,  Tie Up for NCS (Nerve Conduction Study) & EMG.  SICU Specific HR: -  Team of; Orthopedic (Full time), General surgeon (Full time), Neurosurgeon (Part time), Plastic Surgeon (Part time), Uro-surgeon (Part time) & Dental Surgeon.  Physiotherapist in house or tie-up Medical Oncology, Instrument & Infrastructure: - Radiation Oncology,  Hospital should have Tumor Board. Surgical Oncology  Member of National Cancer Grid (NCG)  SICU for surgical Oncology  Palliative care activities carried out by the institution. Specially for Radiation Cluster: -  Facilities for Cobalt, Brachy.  Linear with Multi leaf Collimator  Facilities for SRS &SRT  Treatment Planning System Specific HR: -  Medical Oncologist  Radiation Oncologist  Surgical Oncologist  Radiation Safety officer  Radiotherapy Technician Joint Replacement Instrument & Infrastructure: -  Modular O.T. Specific HR: -  Orthopedic Surgeon  Physiotherapist in house or tie-up Organ  NOTTO registration. Transplantation  Minimum 10 number of organ transplant performed in last 1 year.

716 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

 Dialysis unit Instrument & Infrastructure: -  Well-equipped Transplant OT.  Transplant Robot for Robotic procedure.  Post-transplant Isolation ward. Specific HR: -  Qualified & experienced team of transplant physician, surgeon, anesthetist. ENT/ Instrument & Infrastructure: - Otorhinolaryngology  Well-equipped O.T. with microscope.  Audiometry facility (In-house / Out-sourced) Specific HR: -  ENT Surgeon. Obstetrics & Instrument & Infrastructure: - Gynecology  Labor Room  Separate Well-equipped OT with laparoscopic facility Specific HR: -  Obstetrician& Gynecologist  Support Services of pediatrician. Ophthalmology Instrument & Infrastructure: -  Well-equipped O.T. with microscope& pheco emulsification.  Optometry Specific HR: -  Ophthalmologist General Surgery Instrument & Infrastructure: -  Well-equipped OT with laparoscopic facility.  Separate Septic O.T.  SICU Specific HR: -  General Surgeon Oral & Maxillo Facial Instrument & Infrastructure: - Surgery  Dental Chair  Portable dental X-ray  OPG X-ray tie-up facility Specific HR: -  Oral & Maxillofacial Surgeons General Medicine Instrument & Infrastructure: -  Well-equipped ICU Specific HR: -  General Physician Mental Disorder Instrument & Infrastructure: - Packages  Patient Assistant  Geropsychiatric units, alcohol and drug addiction treatment facilities  Mental health clinics Specific HR: -  Psychiatrist Pediatric Medical Instrument & Infrastructure: - Management  PICU Specific HR: -  Pediatrician. Neo-Natal Care Instrument & Infrastructure: -  NICU

717 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

 Thermo controlled overhead radiant warmer with inbuilt light &suction  Separate room for septic babies.  Each coat equipped with oxygen point, compressed air point, vacuum point, 4-6 Electric points, monitors, infusion pump, suction machine.  Resuscitation trolley.  Heating Mattresses.  Multipara Monitors. Specific HR: -  Neonatologist Orthopedics Instrument & Infrastructure: -  24x7 trauma care facility  Separate Well-equipped O.T. with C-ARM,  Dedicated Modular OT for Joint Replacement.  Tie Up for NCS (Nerve Conduction Study) & EMG.  SICU  Physiotherapy tie-up Specific HR: -  Orthopedic Surgeon

*** HR CRITERIA (MANDATORY):-

 Super-specialists (M.ch., DNB, DM, Senior specialist pass out before 1994 having experience in concerned super-specialty & / degree from foreign University registered by GMC/MCI)

o Preferable full time super specialist at the hospital not associated with any other empaneled hospital/ at least two-part time super specialists.

o No super specialist will be allowed having tie up with more than three hospitals in the scheme.

 Specialists (MD, MS, DNB, Diploma PG, MDS, & / degree from foreign University registered by GMC/MCI)

o Preferable full time specialist at the hospital not associated with any other empaneled hospital/ at least two-part time specialists.

o No specialist will be allowed having tie up with more than three hospitals in the scheme.

 Duty Doctor & Medical Officer (M.B.B.S.).

 Above all doctors having registration under MCI / GMC Act, Appointment letter of doctor & Acceptance letter from doctors are required.

 Nursing Staff – M. Sc. / B.Sc. Nursing / GNM / ANM (GNC registration must for all)

Note: -  All existing empaneled hospitals have to fulfill the above criteria’s. In case any hospital is not fulfilling the aforementioned criteria’s within 3 months then the hospital is to be de-empanelled from the scheme.

 All the Legal Licenses are to be renewed throughout the empanelment period.

 The hospitals have to take following clusters combined under the scheme.

o Joint Replacement, Poly-trauma and Orthopedic. 718 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

o Cardiology, Cardio-thoracic Surgery & Cardio-vascular Surgery (if facilities available in hospitals).

o Medical Oncology, Radiation Oncology & Surgical Oncology.

 The aforementioned conditions may change as and when required by the SHA after the necessary approvals.

 All other Terms and conditions will be remained as per existing guideline.

719 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Annexure-1

Format-1: AGREEMENT BY THE HOSPITAL FOR TIED UP DIAGNOSTIC FACILITIES/ PHARMACY/ CATERING/ LAUNDRY/ LITHOTRIPSY UNIT

Format of Affidavit (to be furnished on Rs. 100 stamp paper / Franking with notarized from the hospital about tied up diagnostic facilities/ Pharmacy/ Catering/ Laundry/ Lithotripsy Unit – separately if the parties are different)

I______S/o.______, age_____, Occ:______, R/o.______do hereby solemnly affirm and state on oath as follows:

That I am the MD/CEO/Superintendent of ______Hospital and signed MOU with ______Insurance Company, TPA & Implementing Support Agency (ISA) to implement Ayushman Bharat- PMJAY. That as per the terms of MOU it is agreed by our hospital to provide services to the scheme patients on cashless basis. Further it is also agreed to facilitate and provide services which are not available in our hospital through tie-up center for diagnostic facilities/Pharmacy/ catering/ Laundry/ Lithotripsy Unit on cashless basis.

We have tied up with M/s.______to provide services to scheme patients on cashless basis for the services which are not available in our hospital. The details of tied up services are as follows: 1. ______, 2. ______, 3. ______

The above mentioned services will be provided to the scheme Patients on a cashless basis through above mentioned tied up center.

We are herewith submitting the tie-up letter issued by the center that all the contents stated above are true and correct.

Date: Place: DEPONENT: Attestation:

The contents of the affidavit are read over and explained and who after understanding the same signed before me on this ____ day of ______20___. Hence attested.

Date: Place: ATTESTOR

720 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.

Tender for Selecting Insurance Company under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) in Gujarat.

Format-2: AGREEMENT BY THE TIED-UP FACILITY FOR TIED UP DIAGNOSTIC FACILITIES/ PHARMACY/ CATERING/ LAUNDRY/ LITHOTRIPSY UNIT

Letter Format (to be furnished on Rs. 100 stamp paper / Franking with notarized from the tied up Center for diagnostic facilities/Pharmacy/ Catering/ Laundry/ Lithotripsy Unit – separately if the parties are different)

I______S/o.______, age_____, Occ: ______, R/o.______do hereby solemnly affirm and state on oath as follows:

I have entered in to MOU with the ______hospital to provide the following services to Scheme beneficiaries on cashless basis. 1. ______2. ______3. ______

It is agreed that the Scheme patients referred to us by ______hospital will not be charged any money for the above any services.

The bills for the above services will be submitted to the ______hospital for payment as per the agreed terms and conditions.

Date: Signature:

Place: Stamp:

721 Tender Document Volume III: Insurance Contract, Department of Health & Family Welfare, Government of Gujarat.