Institute of Psychiatry and Human Behaviour (IPHB), Goa (6th December to 9th December, 2010) The IPHB Goa had been running round the clock casualty/emergency services with one senior and one junior resident under the supervision of consultant. They were assisted by staff nurse, ward attendants and sweepers. The casualty ward was connected to all the wards and doctors hostel with telephone facility. The waiting space of 64 sq. metres provided with 30 chairs and 3 benches could hardly accommodate 50 patients. Keeping in view the daily outturn of 100 to 150 patients in the OPD held from 9AM to 2 PM the OPD space was highly inadequate. There was provision of drinking water and television for the patients in the OPD but there was no newspaper stand with local newspapers. The canteen located adjacent to the OPD had 2 separate rooms for the faculty and staff of the hospital and for the patients and their relatives. The canteen services had been outsourced to a contractor and the rates fixed for tea and snacks were reasonable but not subsidized. The canteen served a variety of vegetarian and non vegetarian snacks/meals. The rooms of the Senior and Junior Residents were small and congested. There was no provision of pre-registration counselling. A small sized registration counter was common for all patients irrespective of their age, sex and physical condition. In the absence of data entry operators, three registration clerks managing registration counter were recording basic information relating to name, age, sex, native address of the patients manually and all other details pertaining to family history, case history, personal history of the patient were entered by the Senior/Junior resident, as the case may be. The doctors spent about 30 to 45 minutes on new patients and 15 to 20 minutes on old cases. The pharmacist was taking 5 to 7 minutes to give medicines free of cost to each patient for 30 days at a time. The 70 sq. metre record room with 36 steel racks was quite small and congested for maintaining 76000 case files. The case files of old and new patients were kept together number-wise and year-wise in the bundles of 100 cases in the racks. The patient was required to present the card issued to him/her when he/she came for follow up and the case file was taken out and sent to the Senior/Junior Resident, as the case may be. There was an observation room to keep violent and aggressive patients and give sedation to make them tranquillized. They were examined by the senior/junior residents in the observation room itself. There was no arrangement for keeping patients and their relatives who arrived IPBH Goa after OPD hours for the night to enable them to attend OPD on the next day as exists in Thrissur Mental Health Hospital in Kerala. There were well furnished and well maintained biochemical and pathological laboratories. All the required chemicals for carrying out biochemical and pathological tests were available. The routine pathological investigations carried 42 National Human Rights Commission