discharge was taken by group/team and not by an individual in isolation. Mentally Retarded children were not admitted in GMHC. All patients after admission were subjected to medical examination and findings of medical examination as well as pace and progress of recovery were meticulously documented. The chronic patients had to undergo certain prescribed investigations once in six months. All medical records had been kept in safe custody and were updated by the Medical Records Librarian. Superintendent and Nursing Superintendent had been had been taking daily round of the wards in rotation. Medical Officers in charge of the wards was taking a detailed round at least twice a week. A sanitary team was taking a round on every Tuesday. The Monitoring Committee had been visiting the hospital once a month and giving instructions, if any. There was no major communication barrier as most of the MOs and staff could speak and understand Tamil in addition to Malayalam. A general Medical Officer had been attending to all cases of physical ailment and complications including appendicitis, cardio vascular complications, infections in the respiratory track, immunological disorders in GMHC and on his recommendations, all such cases were referred to District Headquarters hospital for further investigation, admission and treatment. The hospital staff of GMNC maintained effective liaison with the consultants handling these cases. GMHC, Thrissur a 361 bed hospital had 5 closed wards and 2 open wards. The wards were commodious, well lighted and well ventilated. There was no overcrowding and a gap of 2 to 3 feet was maintained between beds. However, pavilion wards with 40 to 50 young, adolescents, adults and elderly patients bundled together by combining beds due to shortage of space were unmanageable. There was an ideal toilet patient ratio of 1:5 and ceiling fans had been provided in all the wards but fans were not moving with normal speed because of low voltage. Family members/relatives were allowed to stay with the patients in both male and female family wards. The trend of more closed and less open wards in GMHC Thrissur should be reversed to comply with the recommendations made by Prof. Channabasavanna Committee of having more open/family wards and less of closed wards. To comply with Prof. Channabasavanna Committee’s recommendation that every ward should be small, compact and manageable strength which should not exceed twenty inmates, GMHC needs to go in for small, compact and manageable wards by reorganizing the wards regrouping of the inmates. The Superintendent needs to draw the attention of Executive Engineer (Electrical) to the problem of fans not functioning properly in the wards. Patients were provided with a bed, mattresses, adequate number of linen and the dresses. The bedside lockers were provided to the patients in the family wards, if available. All the wards are cleaned in the morning and evening with disinfectants and kept neat and tidy. 64 National Human Rights Commission