counter was managed by a ministerial staff trained in date entry. There was only one counter for male, female and elderly patients. The hospital had not adopted the Dharwar model of record room. A team was scheduled to be sent to Dharwar to study Dharwar model of the Record Room. There was an imbalance between the number of patients and that of medical staff in the OPD due to large number of vacancies of psychiatrists, clinical psychologists and psychiatric social workers. Since there were few MOs to attend to large number of patients, the waiting period went up to 4 hours. The pharmacist was taking about 2 minutes to dispense the medicines according to the prescription. The family members were asked to closely monitor drug compliance by the patients and to come for review at least 3 to 4 days before the medicine get exhausted. The drugs were issued for 2 months keeping in view the distance, cost involved in travel and condition of the patient. The modified ECT was administered in the presence of anaesthetist, one medical officer, staff nurse and attendants. The patient had to undergo all essential investigations related to blood and BP etc., a thorough check up in the ward and countercheck by the MO before administering ECT. Consent of the patient was obtained prior to administering ECT. It took on an average 15 to 20 minutes for recovery of the patient. The care, attention and professional handling of patients was excellent. There had not been a single casualty while administering 60,000 ECTs during the last 10 years. The old X-ray unit was in full operation at the infirmary. A provision had been made for a new X-ray unit in the new OPD building for the benefit of OPD patients. The X-ray machine was to be procured from funds provided under the Centre of Excellence. The air conditioned modern biochemical/ pathological laboratory equipped with State-of-the-art technology had started functioning. This was capable of undertaking and completing all important biochemical tests and submitting timely reports. The number of investigations had increased from 71 in 1996 to 44160 in 2010. Patients were coming from far off places by rail/buses. Majority of them being from BPL families had to take loan to meet travel expenses. The Director IMHH recommended the cases of BPL patients and their family members for free/ concessional travel permit to the railways and the recommendation issued by IMHH were entertained by the railways. The Director was, however, handicapped in issuing such recommendation for travel by buses. The U.P. Road Transport Corporation Authorities might not entertain such recommendations in the absence of a state Policy. A proposal submitted by the hospital authorities for a separate canteen building, a waiting hall with a toilet complex for the relatives of the patients and a vehicle stand involving an estimated cost of Rs. 406.52 lakhs in June, 2010 had been approved by Government of U.P. but the grant was to be released. A big hall near the OPD building had been used as canteen till the construction of a full fledged canteen building. 52 National Human Rights Commission