Sterile Gauze *

Ear speculum *

Jobson – Horne probe *

Eustachian catheter *

Tuning fork – 512 hz *

Tongue depressor *

Nasal Speculum *

Illuminated Vision chart (near & distance) *

Mouth mirror *

Spoon excavator *

TORCH (with white light for oral visual examination) *

Tweezer *

Wooden spatula *

Cold Pack/Pressure pack *

Availability of furniture: Table, Chairs, Almirah/Rack, Examination table *

Space for laboratory/ diagnostics services *

Space for pharmacy/ medicine dispensation *

Space/ room identified for Wellness activities including Yoga sessions *

Waiting area with sitting arrangements for patients/ attendants *

Separate functional toilets for males and females *

Facilities for people with disabilities (ramps at entry, wheel chairs etc.) *

Electricity *

Power back up *

Safe drinking Water for staff and patients *

Functional Handwashing corner (designated) with availability of running water and soap /cleaning hand hygiene agents *

Proper system for drainage (No water stagnation in open areas) *

Provision of BMW management *

Colour coded waste bins (used for segregation of biomedical waste) *

IEC/Poster on BMW displayed at the facility. *

Bio-medical waste disposal mechanism in place (Sharps pit and Deep burial pits for sharp and anatomical wastes, secure landfills for other waste, or biomedical waste collection mechanism for disposal at higher facility) *

External branding as per guidelines *

Is buffer stock for drugs maintained? *

Is there is any stock out of drugs? *

DVDMS or any other software is being used for stock management *

Arrangements for teleconsultation made – linked with hub site- PHC/CHCs/DH or Medical College *

Whether teleconsultation schedule has been prepared and displayed *

Whether teleconsultation is being provided? *