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CHF Registration
Registered Hospital
7 View All
1. General Information
Hospital name
(Required)
Date of Establishment
MM slash DD slash YYYY
Type of Registration
(Required)
Private
Society
Trust
Type of Hospital
(Required)
General
Specialist
Teaching
Address
(Required)
Hospital Address
(Required)
District
State
(Required)
Select State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Contact Details
Phone number
(Required)
Email address
(Required)
Password
(Required)
Website
Accreditation Details
Ayushman Bharat Empanelment
Yes
No
Empanelment details
Date of Information Update
MM slash DD slash YYYY
Total number of populations covering
2. Departments and Services:
• Emergency Services
No of dedicated to emergency care
Triage Facilities
Equipment’s in Emergency care
Max. file size: 2 GB.
List of medicine in Emergency Care
Max. file size: 2 GB.
• Outpatient Department (OPD)
Description of services
Hours of operation
Contact information for appointments
• Inpatient Department (IPD)
Inpatient Department
General surgery
Cancer
Intensive care medicine
Cardiology
Emergency
Obstetrics
Gynaecology
Paediatrics
Physiotherapy
Dentistry
Diagnostics
Dialysis
Neurology
Ophthalmology
• Intensive Care Unit (ICU)
Number of ICU beds
• High Dependency Unit (HDU)
Number of beds (HDU)
• Burn Units
Number of beds (Burn Units)
• Physical Medicine and Rehabilitation (PMR)
Services and therapies offered
• Nutrition Rehabilitation Centre
Services provided and target patient demographics
• Palliative Care
Types of services and support systems available
• Cancer Care
Oncology services, types of cancer treated, and treatment modalities
• Ambulance Series
No of ALS Ambulance
No of BLS Ambulance
3. Surgical Services
Types of Surgeries Offered
General Surgery
Orthopedics
Neurology
• Operating Theatres
Number of operating Theatres
4. Diagnostics Services
Laboratory Services
Imaging Services
Other Diagnostic Services
5. Human Resources
Cardiologist (Medical Staff)
Cardiologist
Enter number of Cardiologist Staff
Neurologist (Medical Staff)
Neurologist
Enter number of Neurologist Staff
Oncologist (Medical Staff)
Oncologist
Enter number of Oncologist Staff
Gynaecologist (Medical Staff)
Gynaecologist
Enter number of Gynaecologist Staff
Pediatrician (Medical Staff)
Pediatrician
Enter number of Pediatriciant Staff
Nephrologist (Medical Staff)
Nephrologist
Enter number of Nephrologist Staff
Ophthalmologist (Medical Staff)
Ophthalmologist
Enter number of Ophthalmologist Staff
Anesthesiologist (Medical Staff)
Anesthesiologist
Enter number of Anesthesiologist Staff
Urologist (Medical Staff)
Urologist
Enter number of Urologist Staff
Radiologist (Medical Staff)
Radiologist
Enter number of Radiologist Staff
Surgeon (Medical Staff)
Surgeon
Enter number of Surgeon Staff
Dentist (Medical Staff)
Dentist
Enter number of Dentist Staff
Others (Medical Staff)
Others
Enter number of Others Staff
• Nursing and Healthcare Professionals
Number of nurses
Number of other healthcare professionals
• Lab technician
No of Lab technicians
• Security Staff
No of security staff
No of security staff in emergency
6. List of Major Equipment
Description of key medical and diagnostic equipment
Upload documents
Max. file size: 2 GB.
Year of acquisition and manufacturer details
Yes
No
Add Details
7. Emergency Services
Availability
Emergency Contact Number
Facilities
8. Additional Facilities
Pharmacy
Cafeteria Services
Transportation Services
9. Outreach and Community Programs
Description of community health initiatives and outreach programs
10. Financial Information (if required for registration)
Funding sources
Financial assistance programs for patients
Upload Hospital Image
(Required)
Max. file size: 2 GB.
About Hospital
(Required)
11. CHF Requirements
Renovation of Building
Description of Work (Renovation of Building)
Total Amount (Renovation of Building)
Construction of new building
Description of Work (Construction of new building)
Total Amount (Construction of new building)
Wall Construction
Description of Work (Wall Construction)
Total Amount (Wall Construction)
Floor
Description of Work (Floor)
Total Amount (Floor)
Others
Description of Work (Others)
Total Amount (Others)
Equipment’s:
Sl No
Particulars
Description of Equipment
Total Amount (Equipments)
Add
Remove
Requirement of Human Resources
Doctors
Types of Capacity Building (Doctors - Human Resources)
Total no of person to be trained (Doctors Human Resources)
Staff Nurse
Types of Capacity Building (Staff Nurse Human Resources)
Total no of person to be trained (Staff Nurse Human Resources)
Male GNM
Types of Capacity Building (Male GNM Human Resources)
Total no of person to be trained (Male GNM Human Resources)
Female GNM
Types of Capacity Building (Female GNM Human Resources)
Total no of person to be trained (Female GNM Human Resources)
Paramedic
Types of Capacity Building (Paramedic Human Resources)
Total no of person to be trained (Paramedic Human Resources)
Lab Technician
Types of Capacity Building (Lab Technician Human Resources)
Total no of person to be trained (Lab Technician Human Resources)
Hospital Administrators
Types of Capacity Building (Hospital Administrators Human Resources)
Total no of person to be trained (Hospital Administrators Human Resources)
Security Staffs
Types of Capacity Building (Security Staffs Human Resources)
Total no of person to be trained (Security Staffs Human Resources)
Others
Types of Capacity Building (Others Human Resources)
Total no of person to be trained (Others Human Resources)
Capacity Building
Doctors
Types of Capacity Building (Doctors)
Total no of person to be trained (Doctors)
Staff Nurse
Types of Capacity Building (Staff Nurse)
Total no of person to be trained (Staff Nurse)
Male GNM
Types of Capacity Building (Male GNM)
Total no of person to be trained (Male GNM)
Female GNM
Types of Capacity Building (Female GNM)
Total no of person to be trained (Female GNM)
Paramedic
Types of Capacity Building (Paramedic)
Total no of person to be trained (Paramedic)
Lab Technician
Types of Capacity Building (Lab Technician)
Total no of person to be trained (Lab Technician)
Hospital Administrators
Types of Capacity Building (Hospital Administrators)
Total no of person to be trained (Hospital Administrators)
Security Staffs
Types of Capacity Building (Security Staffs)
Total no of person to be trained (Security Staffs)
Others
Types of Capacity Building (Others)
Total no of person to be trained (Others)
Others Data
Particulars
Description of Work
Total Amount
Add
Remove
What problem will be addressed through the marketplace to strengthen healthcare delivery at your facility?
Phone
This field is for validation purposes and should be left unchanged.