The medical consultation was conducted in a very organized and systematic manner and all patients were treated with civility and courtesy. The treating physician was examining 30 to 40 OPD patients every day and spending about 30 to 35 minutes on new patients and 15-20 minutes on old cases. The drug dispensing unit having five cabins and manned by required number of pharmacists functioned with optimal efficiency. Pharmacist took about 3 to 5 minutes for dispensing free medicines to one patient and free medicines were given for 60 days. The Medical Record Department (MRD) had 7 rooms, 160 file racks and 190 file cabinets and was manned by 2 regular and 10 contractual employees. Medical records of patients were maintained in the record rooms serially, alphabetically and year-wise for quick retrieval, entry in the movement register and dispatch of the file to the MOs in the least possible time. All files were kept in file cabinet while medico legal cases pertaining to Court and jail were kept separately under lock and key. Pest control measures had been taken to keep medical record rooms free of pests. However, there was extensive seepage in these rooms. IHBAS had a common canteen with separate seating arrangements for the hospital staff, patients and their relatives and the items served in the canteen included tea, coffee, cold drinks, different varieties of snacks, biscuits and chips and full meal. These items served at subsidized rates. The food/snacks served at subsidized rates were nutritionally very weak and were mainly catering to the taste and preference of North Indians. IHBAS had well equipped laboratories to provide investigation facilities including X-ray; ultrasound; Colour Doppler, Carotid Doppler, Vascular Doppler; Echo cardiology; direct microscopy; serological/immunological tests; culture for urine/ pus, stool/sputum, CSF/blood/body fluid/AFB; elisa for HIV 1 and 2 antibodies, Hepatitis B surface antigen, HCV antibodies, Measles antibodies etc.; Neuropsychopharmacological tests; pathological investigations. MRI facility had been outsourced to M/s Focus Imaging Centre Pvt. Ltd. And these facilities were provided free of cost to patients with income less than Rs. 3000 per month and at nominal rates to people having income above Rs. 3000. The investigation rates had been displayed at various points. There was a separate laboratory for psychological tests. All major psychological tests including objective, projective, rating scales, intelligence and personality tests, neuro psychological tests etc. were available in IHBAS. Specialized OPD services provided on specific days of the week in the hospital were mental retardation clinic, child guidance clinic, tobacco cessation clinic, (Friday); drug addiction treatment and rehabilitation clinic (Wednesday and Friday); marital and psycho sexual clinic (Friday); epilepsy clinic (Tuesday); movement disorder clinic (Wednesday); neuro-behaviour clinic (Friday). IHBAS had been successfully running Community Satellite OPD clinics services at Chattarpur (South); Jahangirpuri (North West); Dwarka; (South West); Timarpur; Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 39