sanctioned. The hospital authorities had sent a proposal for creation of the post of an anaesthetist, pathologist, lab technician, X-ray technician, EEG and ECG technicians to DGHS and Deptt. of Medical Education. The sanctions were awaited. There was no provision of modified ECT in the hospital. The Hospital was not running any community services. The construction of the new OPD was under progress. The new OPD Block included Registration room; 7 MO’s rooms with attached toilet; Waiting Hall with a capacity to accommodate 50 patients/ relatives with 6 attached toilets and 4 Verandas with length of 14 metre and width of 3.5 metre with a capacity to accommodate 50 patients; Drug dispensing unit with attached store room ; Pathological laboratory with platform and provision for wash basin; ECT room with recovery room; X-ray room including a dark room and a technician room and the courtyard of 13.45 metre x 15.15 metre was to be developed into a garden. Suggestions · Since the X-ray, ECG, EEG and modified ECT facilities are being created, the space as well as equipment installed will be infructuous without having the requisite manpower in position. It is, therefore, urgent and imperative that the posts of technicians are sanctioned and recruitment process completed at the earliest to put the space and equipment into optimum use. · It is desirable to set up a canteen to serve tea and snacks for the patients/ relatives as well as staff. A list of available items along with their respective prices needs to be displayed. · The ECT room to become a self contained unit must have a fully airconditioned recovery room with at least 10 beds. Institute of Mental Health and Hospital (IMHH), Agra (28th to 30th March, 2011) The ICU was functioning in the post ECT room in the infirmary building and a separate ICU building was under construction. The daily average outturn of patients in OPD had gone up from 77 in 2005 to 178 in 2010. A double storeyed new OPD block had become functional in 2010. The block was commodious, well lighted and ventilated. The waiting halls were commodious and airy with all required facilities and amenities. However, the very large outturn of patients sometimes going beyond 200 used to overtake the space and result in congestion. Most of the rooms in the first floor (except the research wing) were vacant due to delay in commissioning of Child Guidance Clinic, Geriatric Ward etc. The registration was done from 8 AM to 12 Noon. The registration slip contained Patient code number; Date; Name of the patient; Age/Sex; Son/wife/daughter of x; Name of the village, district and State patient hails from; Voucher number; OPD registration number; Validity of the drug prescribed for 1 to 3 months. The post of data entry operator was to be created soon. Meanwhile, the registration Care and Treatment in Mental Health Institutions– Some Glimpses in the Recent Period 51