CBHI Form No.  6A
Annual
(A)  GOVERNMENT* ALLOPATHIC SECONDARY / TERTIARY LEVEL MEDICAL & HEALTH CARE INSTITUTIONS AND BEDS IN RURAL & URBAN AREAS IN THE STATE/UT  AS ON 31ST DECEMBER OF REPORTING YEAR 
Name of the State / UT   YEAR  
Type of Infrastructure RURAL URBAN TOTAL
Sl. No. Belonging To State/UT Govt Number No. of Beds Number No. of Beds Number No. of Beds
1 Community Health Centre            
2 Sub-Divisional/Taluk Hospital            
3  District Hospital            
4 Municipal Corporation Hospital            
5 Other General Hospital also including Prison Hospital, Police Hospital etc  other than at sl.no. 1, 2, 3 and 4 above            
6 Maternity Hospital            
7 ID Hospital            
8 TB Hospital/Sanatorium (if any exists)            
9 Leprosy Hospital ( if any exists)            
10 Cancer Hospital            
11 Mental Hospital            
12 Dental Hospital            
13 Other Speciality & Super speciality Hospital            
TOTAL I            
  Belonging to Central/ Other Organisations            
1 ESI Hospital            
2 CGHS Hospital            
3 Railway Hospital            
4 General Hospital other than at sl no 1,2 and 3 above            
5 Maternity Hospital            
6 ID Hospital            
7 TB Hospital/Sanatorium (if any exists)            
8 Leprosy Hospital ( if any exists)            
9 Cancer Hospital            
10 Mental Hospital            
11 Dental Hospital            
12 Other Speciality & Super speciality Hospital            
TOTAL II            
GRAND TOTAL(I+II)              
* These should  include all Institutions run by different Govt. departments including States/Central/Local Bodies/Autonomous Govt. bodies/PSU of Central/State Governments
NB: Hospital includes Nursing Homes with Bed.
To
The Director
Central Bureau of Health Intelligence (CBHI)
Room No. 401 - A Wing, Nirman Bhavan
New Delhi – 110011
E-Mail: dircbhi@nb.nic.in
Tel/ Fax: 91-011-23063175 / 23062695
Signature  
 Name & Designation  
Address with
Tele/ Fax & E-Mail