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Report DDUH
Report DDUH
AAO IAO
GOVT. OF NCT OF DELHI
DIRECTORATE OF AUDIT
4TH LEVEL, ‘C’ WING, DELHI SECRETRETRAT
I.P.ESTATE, NEW DELHI-02
PROFORMA ‘D’
Allotment of duties during audit of Deen Dayal Upadhyay Hospital, Hari Nagar, Delhi.
Certified that the duties allotted to me as above have been duly discharged by
me effectively.
Certified that I have not worked in the currently audited unit in the past five years.
Verification note on the inspection on the compliance of old audit report on the accounts
of 1983- 2018
Sub:- Audit report of Deen Dayal Upadhyay Hospital, Hari Nagar, Delhi for the
audit Period 2018-19.
INTRODUCTION:-
The Internal Audit Report on the accounts of Deen Dayal Upadhyay Hospital,
Hari Nagar, Delhi for the audit Period 2018-19 was conducted by field Audit Party No.
XIX, comprising of Sh. Jaspal Singh, IAO, Sh. Suresh Kumar, AAO and Sh. Ramesh
Kumar, Jr. Asstt.. The audit was conducted during 10 working days w.e.f. 02.05.2019 to
17.05.2019.
Deen Dayal Upadhyay Hospital, Hari Nagar is being run under Govt. of NCT of
Delhi. The hospital was started on 12 th April, 1970 with 54 beds which has increased to
640 beds presently. The Hospital provides therapeutic facilities, diagnostic and
preventive medical facilities. It also provides facilities for indoor as well as outdoor
patients in specialties like cardiology, medicine, surgery, eye, ENT, pediatrics,
gynecology, orthopedics, pathology, radiology, dental, physiotherapy, family welfare and
trauma center. The Hospital is also having a nursing school and regional blood
transfusion center.
HOD/H.O.S/D.D.O’s / CASHIERS
Statutory Audit:-
Statutory audit of Deen Dayal Upadhyay Hospital, Hari Nagar, New Delhi for the audit
Period 2017-18 was conducted by AG (Audit) Delhi.
Maintenance of Records:-
The maintenance of records of Deen Dayal Upadhyay Hospital, Hari Nagar, New
Delhi for the period 2018-19, was found satisfactory subject of observations made in
Current audit report and in test audit note.
PART-I
Old Audit Report
(2009-2017)
There were 93 old Audit para’s outstanding of the office of Deen Dayal Upadhyay
Hospital, Hari Nagar, Delhi, the office shown the compliance of 18 para and on the
basis of reply 18 paras (17 fully + 01 partly) settled on the spot. Remaining outstanding
para’s have been incorporated with current audit report as part-I (old audit report).
(A)
S.N. Year Total Para Para no. of Outstanding Para’s
Para’s Settled Settled Para’s with para No.
01 1983-85 01 - - 01
02. 1986-87 01 - - 01
03. 1996-97 13 - - 13
04. 1998-99 02 - - 02
05. 2005-07 09 - - 09
06. 2008-09 06 - - 06
07. 2009-10 12 01 06 11
08. 2010-11 06 - - 06
09. 2011-12 07 02 04 & 15 05
10. 2012-13 09 01 08 08
11. 2013-15 07 02+01(P/s) 01(a) P/s, 05
01(e), 01(f) P/s,
02 & 03
12. 2015-17 10 04 01, 06, 11 & 12 06
13. 2017-18 10 07 01, 02, 05, 07, 03
08, 09 & 19
Total 93 17+01 76
The internal audit report has been prepared on the basis of information furnished and
made available by the Deen Dayal Upadhyay Hospital, Hari Nagar, Delhi. The Dte. Of
Audit, GNCT of Delhi disclaims any responsibility for any misinformation and / of non-
information on the part of auditee.
(JASPAL SINGH)
Inspecting Audit Officer.
Audit Party No. XVIII
PARA-II
CURRENT AUDIT REPORT
2018-19
PARA-1 Recovery of Rs. 187639/- towards License Fee & Electricity Charges.
(Audit Memo No. 17 Dated: 14.05.2019)
Electricity Charges :
Period Total units Electricity Charges per unit Recovery to be
consumed made
12.09.2016 to 28.02.2019 15859 units Rs. 6.50/- per unit 103084
Service Tax @ 18% 18555
Total 121639
Moreover the Hospital has not incorporated any clause for levy of penalty on
delay deposit of license fee & electricity charges by the vendor.
Reasons of the above may be elucidated to Audit and further recovery of Rs. 187639/-
may be made from the vendor after due verification of facts and figures under intimation
to Audit.
During the course of audit and scrutiny of records for the period 2018-19, it has
been observed that license fee rates are not being recovered at the revised rates in
respect of below mentioned official.
The hospital authority may recover Rs. 1040/- on account of short recovery of
License fee from the above officers / officials after due verification of facts and figures
under intimation to Audit. Similar types of other cases may also be got reviewed.
As per Rule 169 of GFR, “depending on the cost and nature of the goods to be
purchased, it may also be necessary to enter into maintenance contract(s) of suitable
period either with the supplier of the goods or with any other competent firm, not
necessarily the supplier of the subject goods. Such maintenance contracts are
especially needed for sophisticated and costly equipment and machinery. It may
however be kept in mind that the equipment or machinery is maintained free of charge
by the supplier during its warranty period or such other extended periods as the contract
terms may provide and the paid maintenance should commence only thereafter.”
B. It has been further observed that below mentioned equipments/ machines were
also found non-functional. The details of such equipment are as under:
It has been noticed that the above equipments amounting to Rs. 20,54,960/-
were under warranty period at the time of their non-functioning. As per terms and
condition, during warranty period, the equipment would have been repaired / maintained
free of cost by the supplier firm, however, it seems that the Hospital took no action to
get the defective equipments repaired by the supplier firm.
C. Non-functioning of Equipment / machines and not working of Nursery
Department. (Audit Memo No. 11 Dated: 09.05.2019)
Nursery units cater to infant / baby patients with severe and life threatening
illnesses which require constant close monitoring and support from specialist equipment
and medications in order to ensure normal bodily functions. The patients are treated by
doctors and nurses who specialize in caring for critically ill patients. It means the
patients were deprived from the basic amenities of Nursery.
Hospital Authority may look into the matter and take an appropriate action to get
the equipment functional in the interest of patients under intimation to the Audit.
Hospital authority may take appropriate action to settle the above outstanding
advances at the earliest after due verification of facts and figures under intimation to
Audit.
Hospital authority may take necessary step to allot the above vacant quarters to
the govt. official / officers under intimation to Audit.
B. Unauthorized occupancy of quarter in DDU Hospital. (Audit Memo No. 18
Dated: 14.05.2019)
During the scrutiny of record of Estate Section of DDU Hospital, it has been
observed that families of deceased Govt. Servant are residing in the govt. quarters
since the death of the government servants. Detail of such cases is as under:
2000-01
Bill Date Nature of Advances Amount
No.
210 31-03-2001 No record provided by PAO/DDO. 11771
6
210 31-03-2001 Control Ventilator with compressor through EPC for 601758
8 Anesthesia
210 31-03-2001 No record provided by PAO/DDO. 8561
9
TOTAL 622090
2001-02
103 11-02-2001 Vital Function monitor for six bed ICU through EPC for 181920
3 Anesthesia
103 11-06-2001 No record provided by PAO/DDO. 43705
4
126 12-06-2001 No record provided by PAO/DDO. 4569
0
199 31/03/2002 No record provided by PAO/DDO. 117656
7
199 31-03-2002 L/c a/c with Johnson and Johnson Medical Singapore 1052078
8 for ultrasonic for hormond scalpel for surgery
199 31-03-2002 L/c ac for karl storz germany for arthoscopy camera 950729
9 and monitoring system for ortho
TOTAL 2350657
2002-03
123 13/11/2002 No record provided by PAO/DDO. 47733
7
142 23-12-2002 Opening for Lc for Ct scan 9109984
0
142 23-12-2002 Trunkey Project for CT scan 1332000
1
165 16/01/2003 No record provided by PAO/DDO. 101800
6
182 03-07-2003 Phococmalsification for eye department 434057
3
TOTAL 11025574
2004-05
104 01-10-2004 Arthroscopy camera & monitoring system for 203989
1 orhtopaedics deptt.
402 06-07-2004 No record provided by PAO/DDO. 240
946 17/06/2004 No record provided by PAO/DDO. 73729
165 24/11/2004 No record provided by PAO/DDO. 1145
6
178 17/12/2004 No record provided by PAO/DDO. 106000
3
248 31/03/2005 Purchase of Desktop Computer, NIC 186100
1
248 31/03/2005 No record provided by PAO/DDO. 52431
0
249 31/03/2005 Purchse of Max Reg system 8360611
2
249 31/03/2005 Purchase of Horodialis machine 365768
3
249 31/03/2005 No record provided by PAO/DDO. 540883
0
TOTAL 9890896
2005-06
785 08-09-2005 Syndicate Bank Tilak Nagar L/C ACCOUNT 913482
784 08-09-2005 No record provided by PAO/DDO. 93557
783 08-09-2005 Syndicate Bank Tilak Nagar L/C ACCOUNT 434940
936 08-12-2005 Procurement of A X-Ray System for Radiology- 361542
Shimadzu
930 08-12-2005 No record provided by PAO/DDO. 24757
937 08-12-2005 No record provided by PAO/DDO. 5250
932 08-12-2005 X-Ray, Airport HandlingSystem 42000
931 08-12-2005 No record provided by PAO/DDO. 1200
102 09-02-2005 Purchase of 700 VA UPS, NICSI 174928
4
116 09-12-2005 No record provided by PAO/DDO. 22000
1
163 16/11/2005 No record provided by PAO/DDO. 8343
2
193 27/12/2005 No record provided by PAO/DDO. 32386
8
203 13/01/2006 No record provided by PAO/DDO. 15165
3
203 13/01/2006 No record provided by PAO/DDO. 10000
5
207 18/01/2006 No record provided by PAO/DDO. 10300
3
248 24/03/2006 No record provided by PAO/DDO. 206223
4
TOTAL 2356073
2006-07
235 05-10-2006 No record provided by PAO/DDO. 1240
751 27/07/2006 No record provided by PAO/DDO. 4609
970 22/08/2006 No record provided by PAO/DDO. 14856
873 25/08/2006 No record provided by PAO/DDO. 313
986 25/08/2006 No record provided by PAO/DDO. 13440
127 10-10-2006 No record provided by PAO/DDO. 426684
5
127 10-10-2006 No record provided by PAO/DDO. 5335
6
126 10-10-2006 No record provided by PAO/DDO. 4515
9
126 10-10-2006 No record provided by PAO/DDO. 418987
8
135 10-10-2006 No record provided by PAO/DDO. 5000
1
179 28/11/2006 Pur. of vaccum pump for aneasthesia 651729
5
185 12-04-2006 No record provided by PAO/DDO. 20403
9
231 24/01/2007 No record provided by PAO/DDO. 4740
3
272 02-01-2008 Opening at L/c for plastic surgery 64846
6
267 02-01-2008 Purchase of vaccum pump for aneathesia deptt. 13024
8
277 30/03/2007 Supply at computer/printer/ups to super speciality 394129
6 hospital
275 30/03/2007 No record provided by PAO/DDO. 2260
4
TOTAL 2046110
2007-08
632 06-05-2007 Release of consignment of Cov. AC Vaccum Pump for 67564
Oxygen concentrate
816 07-12-2007 Purchase of computer from NICSI. 243800
968 19/07/2007 National Board of Examination 160000
110 08-08-2007 Procurement of surgical operating microscope for ENT. 272036
8
118 14/08/2007 Advance for celebration of Independence Day 10000
2
119 16/08/2007 Operating table for Ortho Deptt. 137655
8
135 09-10-2007 No record provided by PAO/DDO. 12600
2
150 26/09/2007 Laser for Eye Deptt. 260551
1
156 27/09/2007 Memography unit for Radiology Deptt. 362837
6
179 16/10/2007 GIT video endography for Medicine Deptt. 226794
7
172 16/10/2007 No record provided by PAO/DDO. 19966
7
219 12-12-2007 Renewal for accreditation 40000
5
253 28/01/2008 No record provided by PAO/DDO. 33014
4
271 26/02/2008 No record provided by PAO/DDO. 12480
7
308 31/03/2008 Advert. For opening of L/C for patho 1482780
3
309 31/03/2008 Advance drawl for procurement of TMT machine. For 847516
3 medicine deptt.
311 31/03/2008 Opening of L/c for procurement of fully automated for 1884580
7 patho.
TOTAL 6074173
2008-09
235 06-02-2008 No record provided by PAO/DDO. 15505
900 28/07/2008 Opening L/c , Eye deptt. 1513244
879 28/07/2008 Exp. For procuring of OT table for Plastic deptt. 327806
107 22/08/2008 Journals for Library through Prime 1226237
8
125 15/09/2008 No record provided by PAO/DDO. 30675
4
140 26/09/2008 For procuring of Operation Table for Ortho Surgery, 755604
3 Custom Duty
175 11-10-2008 No record provided by PAO/DDO. 81642
7
188 21/11/2008 Pur. Of Anaesthesia work station and blood cell 566057
3 counter
189 25/11/2008 Exp. For procuring of defibrillator monitor recorder for 272972
8 aneasthesia deptt., Custom duty
196 12-05-2008 No record provided by PAO/DDO. 18970
6
189 12-08-2008 No record provided by PAO/DDO. 672
4
260 03-09-2009 No record provided by PAO/DDO. 1870211
5
TOTAL 6679595
2009-10
289 21/01/2010 No record provided by PAO/DDO. 10000
5
288 02-10-2010 Pur. Of rapid infusion system 175215
6
301 24/02/2010 Exp. For thromboelastometer for anaesthesia deptt. 123861
2 Custom Duty
301 24/02/2010 No record provided by PAO/DDO. 8750
3
301 03-08-2010 Renewal of the Accreditation 204000
5
332 31/03/2010 Payment of TLD badges. 14800
3
TOTAL 536626
2010-11
301 26/04/2010 No record provided by PAO/DDO. 24000
266 27/04/2010 No record provided by PAO/DDO. 15000
527 05-11-2010 No record provided by PAO/DDO. 10000
152 09-03-2010 No record provided by PAO/DDO. 161843
3
157 09-03-2010 Adv. Payment to Arbitrator 75000
0
296 18/01/2011 No record provided by PAO/DDO. 15000
4
273 20/01/2011 Advance to meet the exp. On CME 15000
7
304 03-08-2011 For the payment of Temporary Staff 15000
4
309 03-08-2011 No record provided by PAO/DDO. 9200
3
318 03-08-2011 CMC Charges for Photo copy for HCL Infosystems ltd. 185000
4
336 31/03/2011 L/c procurement of LTD endoscopic for surgery deppt.. 1638026
1
336 31/03/2011 L/c CR system single cassette for Radiology deptt. 2577250
6
TOTAL 4740319
2011-12
944 06-09-2011 Payment to National Board of Examination 234000
158 08-11-2011 Advance for Independence day 10000
1
202 28/09/2011 Exp. For LTD endoscopic camera 185964
2
TOTAL 429964
2012-13
179 14/09/2012 No record provided by PAO/DDO. 15500
3
179 09-03-2012 Dr. M.C. Aggarwal Registration Fees 39500
2
279 23/11/2012 Exp. For LTD endoscopic camera 18000
3
TOTAL 73000
2013-19
405 15/5/2013 No record provided by PAO/DDO. 84700
111 08-07-2013 No record provided by PAO/DDO. 7600
4
160 10-03-2013 No record provided by PAO/DDO. 19500
7
220 20/11/2015 Purchase of MRF Tyre 28200
8
250 23/12/2015 No record provided by PAO/DDO. 22500
6
130 31/12/2015 L/c Account 1188396
8
130 31/12/2015 L/c Account 1300754
9
259 01-05-2016 Dr. Sanjay Roy Registration fees 16000
7
267 20/01/2016 Dr. Shefali Jain Registration Fees 21000
1
307 03-07-2016 M.S. Bisht for Registration Fees 3500
9
993 21/07/2016 Prem Gas Service 26875
992 21/07/2016 Shresth Gas Service 26875
128 08-07-2016 Advance for DTC 23115
7
136 30/08/2016 Prem Gas Service 24350
6
136 30/08/2016 Shresth Gas Service 24350
7
78 16/04/2018 Celebrating International Nurses Day 20000
790 07-02-2018 Anuual Practical Exam for GNM 33750
112 08-09-2018 Function Organization of EYE Bank 150000
8
112 08-09-2018 Advance for Independence Day 15000
6
123 28/08/2018 Nursing Colleger Exam GNM 72350
7
157 16/10/2018 Remuneration for Student PDSON 65200
0
156 16/10/2018 PDSON for DTC 1600000
8
176 14/11/2018 Prem Gas Service 18780
6
206 01-03-2019 Prem Gas Service 80950
7
223 24/01/2019 Celebration of Republic Day 15000
9
227 30/01/2019 Prem Gas Service 68900
2
227 31/01/2019 Vodafone Mobile bill 135000
9
259 28/03/2019 F.12(350)/90/DDUH/PUR/3349-51 DT.01/02/2019 M/S 26904
9 ULTRA TECH LABORATORIES PVT. LTD. Cloth
Market Bhilai
260 28/03/2019 Advance Sanction no. F.12 3818937
0 (3NC)/2540/2017-18/DDUH/PUR/ET/PF-2/6971-72)
DT. 28/03/2019
Intromedix India pvt. Ltd. LC A/c Bank of India Chandi
Chowk
260 28/03/2019 Adv for LC Accounts Rohanika Electronics & Medical 7216097
1 Systems Payment for Bank of India Chandi Chowk
( Sanction no.
F.12(3NC/2540/2017-18/DDUH/PUR/et/pf-1 /6979-80)
dt. 28/03/2019
TOTAL 16154583
Hospital authority may take appropriate action to settle the above outstanding advances
at the earliest after due verification of facts and figures under intimation to Audit.
(JASPAL SINGH)
Inspecting Audit Officer
Audit Party No. XIX
PART-III
(TEST AUDIT NOTE)
Medicines are those which satisfy the priority health care needs of the people.
During the scrutiny of ‘Surgical Store Consumable Register’ it has been noticed that
following items were not available in the stock. Some of the instances are given below:
Sr. Name of the Medicine Period of NIL Stock Page Number of the
No. stock register
1. Appron Plastic Disp. 10.08.2018 to 08.11.2018 08
2. Alcoholic Hand rub 09.10.2018 to 29.11.2018 23
3. Bandage 6” 22.01.2019 to 05.02.2019 065
4. Gauze Than 11.10.2018 to 09.01.2019 082
5. ECG electrode 09.09.2018 to 29.10.2018 102
6. ECG Paper Roll 23.11.2018 to 04.02.2019 105
7. Disp. Facemark 11.09.2018 to 04.11.2018 126
8. Foly’s Catheter Ass. 12.10.2018 to 03.11.2018 133
9. Hypoallergic tape 06.11.2018 to 14.02.2019 161
10. HIV Kit 06.11.2018 to 14.12.2018 165
11. Measured Volume Set 08.10.2018 to 19.11.2018 181
12. Syringe 2ml 21.01.2019 to 26.03.2019 214
13. B.B. Silk 3.0 CCN 13.07.2018 to 21.09.2018 312
14. Water proof sheet 24.07.2018 to 01.08.2018 274
It has been noticed that following medicines were also not available in the Medicine
stock during the audit period. Some of the instances are given below:
Hospital authority may take necessary steps to maintain the stock of medicine in
accordance with the average consumption of medicines in the previous quarter under
intimation to Audit.
SR-202 stipulates that Service Book is required to be shown to the official every
year and his signature obtained in token of his perusal. The Government servant will
ensure that his services have duly been verified and certified as such, before affixing his
signature. However, it has been observed that the Service Book was shown to none of
the official as there was no signature of the official obtained in the Service Book.
(2) Re-attestation of Bio-data:
The particulars of each Govt. servant at the first page of Service Book should be
re-attested after every five years and fresh photograph should be appended and
attested after every ten years. But this has not been followed in most of the cases.
(3) Home Town
As per SR 199, GIO (9), the declaration of home town submitted by the official
under LTC Scheme is to be kept in Service Book. And this entry should be attested by
Head of office. But this has not been followed in most of the cases.
(4) Verification and communication of qualifying service before 5 years of
retirement:
Hospital authority may take necessary step to remove the above discrepancies
under intimation to Audit.
During the test checking of records it is noticed that there has been a delay in
installation of Machinery &Equipments procured by the Hospital authorities, as detailed
below:
From the above list it seems that there is undue long delay in installation of costly
equipments resulting delay in Public Service. From the documents it is not clear that
whether the delay was at the part of Hospital or dealer. In any case the hospital
authorities have to take necessary steps to avoid such type of delay in the benefit of
patients.
TAN-05 Improper-maintenance of Log book of the equipment installed in the
hospital. (Audit Memo No. 16 Dated: 14.05.2019)
It has been observed that log books for repair and maintenance of the
equipments have not been maintained properly in the hospital. Wherever, the log book
are being maintained for the important information like date of breakdown, date of
complaint to the firm , date of repair etc. are not maintained properly. The hospital
should maintain the log books of equipments containing the above vital information. As
breakdown/out of order of machine/equipments affect the patient care, the log books
should be periodically checked by the in charge to ensure timely action taken for
keeping the out of order equipments in serviceable condition.
During the Test Audit some of the instances where above observation have not
been fulfilled given below:-
Hospital may take appropriate action to remove the above discrepancies under
intimation to the Audit.
(JASPAL SINGH)
Inspecting Audit Officer
Audit Party No. XIX