A diagnostic centre provides a wide scope for detection of ailments and affords facilities for a detailed medical check-up through diagnostic procedures. To accomplish this objective a modern diagnostic centre is well equipped with most modern instruments, which help in following the requisites measures for diagnostic purposes.

Quite a number of tests are carried out including pathological tests viz.: - Hematological test, sputum test, semen test, Urological test, stool test etc. Besides, other tests are also carried out such as: - Radiological Test (X-rays), Ultrasound Test, Electrocardiographic and Electro Encephalographic Tests, IVP Test, Gynecological Test, Endoscopic test, BP Test, Koch syndrome Test (For Tuberculosis), MMR Test, Pregnancy Test, cardiological test etc.

In a diagnostic centre desired facilities are available for attending patients through doctors, nurses, specialized doctors in their respective fields required for a thorough diagnostic check-up of diseases of their fields viz. Cardiologist for heart, Pathologist for pathological test, Radiologist for X-rays, Neurologist for Brain & Nervous system checkups, Endocrinologists for hormone test, ENT specialist for Ear, Nose, Throat ailments, Ophthalmologists/Eye Specialist for eye checkup pertaining to ocular ailments and refractive anomalies, specialist for Orthopedics etc.

MedicalDiagnostic Centre is an establishment that determines the nature and circumstances of a disease condition by scientific examinations. A medical diagnostic centre constitutes an important part of the health care system. Diseases are commonly diagnosed with respect to the causative organisms, if the cause of the disease is invasion by an offending pathogen. Many disease conditions are also diagnosed by tests based on biochemical parameters using the body fluid, commonly blood, or cells and tissues of the individual. The demand of diagnostic centre is increasing day-by- day to cope-up the out growing the health-conscious patients.

Firstly, rising income and health consciousness amongst the Indian population are driving people to seek specialized care. The urban consuming class is expected to grow from 78 million in 2001 to 250 million in 2010. India’s increasingly affluent middle class is demanding access to better healthcare; many Indians are now choosing to purchase health insurance with either full or partial coverage, so a large percentage of the population can afford to receive high technology treatment. Several corporate houses have expanded into the hospital business, while leading healthcare providers such as Harvard Medical International and Cleveland Clinic have entered India through joint ventures.

Although it remains highly fragmented, the market is witnessing the rapid expansion of organized diagnostic centers adopting innovative business models. Moreover, an increasing number of diagnostic centers and tests are proving lucrative for foreign and domestic IVD manufacturers.

Diagnostic market is segmented into diagnostic test services market and diagnostic products/instruments market. An analysis of drivers explains growth factors such as increase in life-style related diseases, changing demographics, medical outsourcing, medical tourism, increasing medical insurance coverage and rising PE/VC investment. The key challenges identified include a biased import duty structure and the lack of accreditation/certification of diagnostics centres.

Looking at the increasing healthcare conscious of people in these new millenniums, new entrepreneurs should venture into this field.

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Table of Contents

 

 

1.       Introduction

1.1.    Services Provided:

1.2.    Laboratory Services

1.3.    Surveillance Centres

2.       Significance of Electronics in Modern Medical Diagnostic Instruments

3.       B.I.S. Specification

3.1.    IS: 4033–1968 General Requirements For Hospital Furniture (Reaffirmed 1977)

3.2.    IS: 4034–1979 Specified Castors For Hospital Equipments

3.3.    IS: 4035–1967 Trolleys, Stretchers (With Amendment No. 1) (Reaffirmed 1977)

3.4.    IS: 4037–1967 Stretchers & Stretcher Carries (With Amendment No. 1)

3.5.    IS: 10264–1982 Trolley For Hot-Food for Hospital

3.6.    IS: 4347–1967 Hospital Lighting Practice

4.       Market Survey

4.1.    The Medical Device Market in India

4.2.    The Medical Device Industry

4.3.    The Indian Market

4.4.    Imported Medical Device

4.5.    Regulation of Medical Devices

4.6.    Healthcare

4.7.    Health insurance

4.8.    Healthcare and IT

4.9.    Medical Tourism

4.10.Beyond Cost Advantage

4.11.Areas of Opportunity

4.12.Trends and Predictions

4.13.Potential Market for Health Care in India

4.14.Agenda for the Future

5.       NCAER Survey of Health Care Expenditure

5.1.    Morbidity Profile

5.2.    Nature of Illness

5.3.    Household Expenditure on Non-hospitalized Illnesses

5.4.    Household Expenditure on Hospitalized Illnesses

5.5.    Vision 2020

5.6.    Prediction by TIFAC

6.       Addresses of Diagnostic Centres

7.       Modern Diagnostic and Therapeutic Technique

7.1.    Medical Ultrasound

7.2.    X-Ray

7.3.    Electro Cardiograph (ECG)

7.4.    B.P. Check-up

7.5.    Blood Test

7.6.    Urological Test

7.7.    Stool Test

7.8.    Sugar Test for Diabetic Patients: -

7.9.    Semen Test: -

7.10.Medical Imaging

7.11.Ultrasound Imaging:

7.12.Computerized Tomography (CT):

7.13.Magnetic Resonance Imaging (MRI):

7.14.Positron Emission Tomography (PET):

7.15.Magnetic Source Imaging (MSI):

7.16.Applications:

7.17.Future Course:

8.       Brief Description of Some Common Hospital Equipments

9.       Modern Medical Instruments

10.   Suppliers of Machinery & Equipments

11.   Raw Materials Suppliers

12.   Diagnostic Equipment Photographs

13.   Plant Layout

 

PROJECT FINANCIALS

·         Project at a Glance

Annexure

·         Assumptions for Profitability workings ….…………………………………………....................... 1

·         Plant Economics…………………………………………………………………………….................... 2

·         Production Schedule……………………………………………………………………….................... 3

·         Land & Building…………………………………………………………………………….................... 4

§  Factory Land & Building

§  Site Development Expenses

·         Plant & Machinery………………………………………………………………………….................... 5

§  Indigenous Machineries

§  Other Machineries (Miscellaneous, Laboratory etc.)

·         Other Fixed Assets………………………………………………………………………….................... 6

§  Furniture & Fixtures

§  Pre-operative and Preliminary Expenses

§  Technical Knowhow

§  Provision of Contingencies

·         Working Capital Requirement Per Month………………………………………………................. 7

§  Raw Material

§  Packing Material

§  Lab & ETP Chemical Cost

§  Consumable Store

·         Overheads Required Per Month and Per Annum ……………………………………................. .8

§  Utilities & Overheads (Power, Water and Fuel Expenses etc.)

§  Royalty and Other Charges

§  Selling and Distribution Expenses

·         Salary and Wages ……………………………………………………………………………................. 9

·         Turnover Per Annum ………………………………………………………………………................ 10

·         Share Capital…………………………………………………………………………………................ 11

§  Equity Capital

§  Preference Share Capital

 

•        Annexure 1            ::        Cost of Project and Means of Finance

•        Annexure 2            ::        Profitability and Net Cash Accruals

§  Revenue/Income/Realisation

§  Expenses/Cost of Products/Services/Items

§  Gross Profit

§  Financial Charges    

§  Total Cost of Sales

§  Net Profit After Taxes

§  Net Cash Accruals

 

•        Annexure 3            ::        Assessment of Working Capital requirements

§  Current Assets

§  Gross Working Capital

§  Current Liabilities

§  Net Working Capital

§  Working Note for Calculation of Work-in-process

 

•        Annexure 4            ::        Sources and Disposition of Funds

•        Annexure 5            ::        Projected Balance Sheets

§  ROI (Average of Fixed Assets)

§  RONW (Average of Share Capital)

§  ROI (Average of Total Assets)

 

•        Annexure 6            ::        Profitability ratios

§  D.S.C.R

§  Earnings Per Share (EPS)

§  Debt Equity Ratio

 

•        Annexure 7            ::        Break-Even Analysis

§  Variable Cost & Expenses

§  Semi-Variable/Semi-Fixed Expenses

§  Profit Volume Ratio (PVR)

§  Fixed Expenses / Cost 

§  B.E.P

 

•        Annexure 8 to 11   ::        Sensitivity Analysis-Price/Volume

§  Resultant N.P.B.T

§  Resultant D.S.C.R

§  Resultant PV Ratio

§  Resultant DER

§  Resultant ROI

§  Resultant BEP

 

•        Annexure 12          ::        Shareholding Pattern and Stake Status

§  Equity Capital

§  Preference Share Capital

 

•        Annexure 13          ::        Quantitative Details-Output/Sales/Stocks

§  Determined Capacity P.A of Products/Services

§  Achievable Efficiency/Yield % of Products/Services/Items 

§  Net Usable Load/Capacity of Products/Services/Items   

§  Expected Sales/ Revenue/ Income of Products/ Services/ Items   

 

•        Annexure 14          ::        Product wise domestic Sales Realisation

•        Annexure 15          ::        Total Raw Material Cost

•        Annexure 16          ::        Raw Material Cost per unit

•        Annexure 17          ::        Total Lab & ETP Chemical Cost

•        Annexure 18          ::        Consumables, Store etc.

•        Annexure 19          ::        Packing Material Cost

•        Annexure 20          ::        Packing Material Cost Per Unit

•        Annexure 21          ::        Employees Expenses

•        Annexure 22          ::        Fuel Expenses

•        Annexure 23          ::        Power/Electricity Expenses

•        Annexure 24          ::        Royalty & Other Charges

•        Annexure 25          ::        Repairs & Maintenance Expenses

•        Annexure 26          ::        Other Manufacturing Expenses

•        Annexure 27          ::        Administration Expenses

•        Annexure 28          ::        Selling Expenses

•        Annexure 29          ::        Depreciation Charges – as per Books (Total)

•        Annexure 30          ::        Depreciation Charges – as per Books (P & M)

•        Annexure 31          ::        Depreciation Charges - as per IT Act WDV (Total)

•        Annexure 32          ::        Depreciation Charges - as per IT Act WDV (P & M)

•        Annexure 33          ::        Interest and Repayment - Term Loans

•        Annexure 34          ::        Tax on Profits

•        Annexure 35          ::        Projected Pay-Back Period And IRR