referred to the consultant for disposal. The old patients used to come for consultation and follow up including collection of medicines or because of relapse of illness. A patient after his/her examination in the OPD was admitted in the IPD only after a group discussion. The child guidance clinic provided services once a week to autistic and mentally retarded children. There was no pathological and biochemical laboratory in the Institute. There was no facility for doing X-Ray, ECG, EEG, screening for Hepatitis B and HIV. Modified ECT was not administered because there was no anaesthetist. Psychological tests like RIBT, TAT, IG test, BGT, CAT were conducted. Psychotherapy and psychological education was provided to the patients. Cognitive functions and diagnostic psychological tests and routine investigations were done free of cost but special investigations were charged. Suggestions · Adequate facilities should be provided in OPD and patients may not be charged for services including investigations. Steps should be taken to improve record keeping; develop a biochemical/pathological laboratory to undertake all relevant investigations; direct ECT should be replaced by modified ECT; There should be an increase in the number of trained staff for the OPD and a post of an anaesthetist, X-ray technician, EEG and ECG technician and laboratory technician should be sanctioned. · The timings for medical students to attend OPD may be extended upto 3PM as the classes of medical students are held either in the early hours of the morning or in the late afternoon, there is no clash in timings of classes and their attendance in the OPD up to 3PM. 54 National Human Rights Commission