This post is a follow up of my post on "Reflections" - Doctor Bruno's Blog: 1 (one) year Rural Posting after MBBS
My Comments on various posts are aggregated here
http://wethepeopleindia.blogspot.com/2007/10/blog-post.html
3 வருடங்கள் கிராமப்புற அரசு ஆரம்ப சுகாதார நிலையத்தில் பணிபுரிந்த என் கருத்து
http://bruno.penandscale.com/2007/04/1-one-year-rural-posting-after-mbbs.html
Please note that I support the Rural Service... It will be a lot beneficial to the doctors... I learnt a lot in my 3 years in PHC.. (not medical but administration, human relationship, disaster management, crisis management etc)... Any one who has worked in a PHC SINCERELY for 2 years will have enough Management Skill to manage 200 people !!!
The Doctors are wasting such a golden oppurtunity by not working there
But there are few misconceptions regarding this also
//அதே மருத்துவ படிப்புக்கு தனியார் கல்லூரிகள் 4 முதல் 6 லட்சம் வரை வசூலிக்கப்படுகிறது!//
Yes
//அரசு பெரும் செலவு செய்து (சுமார் 10 லட்சம் ரூபாய் வரை ஒவ்வொரு மாணவருக்கும் செலவு!) //
Lie.... Blatant Lie
See http://bruno.penandscale.com/2007/01/my-two-seconds-of-fame.html for the truth
Government DOES NOT SPEND 10 Lakhs for a doctor.... It is totally rubbish... The money spend is for giving free Treatment and not education of doctors....
If they have spend even Rs 10,000 for a medical student, would a student die in Stanley....
Even after reading the state of hostels in Stanley and Kilpauk do you STILL BELIEVE this rubbish of spending lakhs of rupees for doctors
//நிரந்தர வேலையை கொடுத்தால் கிராமப்புர சேவை செய்வதாக கூறிய இவர்களின் வாதம் ஒரு சப்பை கட்டாகவே எனக்கு தோண்றியது!//
TNPSC called for Application for posts in Primary Health Centres... 5500 applications came for 300 posts... Do you think that doctors are not willing... If That is a regular post with a pay of Rs 18000 per month, I am ready to show you doctors to fill in all the vacancies
----
Few more points....
At the time of admission, the students have given a bond that they are willing to serve in rural areas....
They have NO RIGHT to question that now...
If they were not willing, they should have got admission into private college.
(This does not mean that I endorse the rubbish 10 lakh per doctor argument).
http://bruno.penandscale.com/2007/01/my-two-seconds-of-fame.html
Sivabalan..
I have given VERY VERY CLEARLY...
The costs are inclusive of direct and indirect costs....
The 10 lakh is arrived by calculating the drugs, surgeries etc spend on patient....
WHile I do not oppose that, What I am telling is that government is misleading the people and fooling every one...
Medical Students have died because of poor sanitation conditions in hostel. (Did you read the papers about the Stanley incident)
I have explained in detail the difference between Engineering college and a medical college and that more than 90 % of the budget for medical colleges are for treating.....
Even after reading these news, if you are still believing that government is spending money for medical students, then I don't know how to explain to you
By the way.....
Imagine this
1. I will give you Rs 10,00,000
2. But you give me Rs 4,000 (fees)
How is this... Is it like the Nigerian Spam Scam :) :) :)
Can't the government which is spending 10,00,000 spend another 4,000
Why are they then asking for this 4000. The truth is that they ARE NOT SPENDING THIS 10,00,000... Is it so difficult to understand....
Sivabalan.... I have given some hard figures... If possible argue with proof.....என்ன சொல்லறீங்க.. ரொம்ப உணர்ச்சி வசப்படறீங்க..... Please try to understand the facts and not carried away by emotions....
//அவருக்கு இருக்கும் வசதிக்கு அந்த கிராமத்திலும் சேவை செய்திருக்க தேவை இல்லையே!!!?? சரியா??
ஜாலியா சென்னையில் வந்து கும்மாளம் அடித்திருக்கலாமே!!! ஏன் அங்கு சேவை செய்தார்!! அதற்காக தான் இந்த பாராட்டு :)//
He is an intelligent man... He should have known that he can learn enough administration and man management in a PHC rather than go to some foreign university and "buy" and MBA :) :) :) :)
By the way, many of Anbumani's wonderful scheme (anti smoking, rural service) are being misunderstood by the public
http://bruno.penandscale.com/2006/05/doctor-as-health-minister.html
//ஆகையால் நீங்க சொல்லும் கல்லூரி இல்லை என்றாலும் மருத்துவமனை நடந்து தான் ஆகவேண்டும் என்பது கிடையாது! //
Sorry.... You are mistaken... Hospitals are not built for colleges.... It is here where you are totally mistaken
Hospitals are converted to colleges with additional departments...
See the examples of Dharmapuri, Thoothukudi, Villupuram, Thiruvarur etc
Of course, there are few exceptions like Theni, where are new building was built, but the staff and other equipments of Theni Medical College are the same as that of Theni Head Quarters hospital....
This is the fact
Even if there is NO COLLEGE, the hospital has to function...
Do they have any May or Pongal Holidays for Stanley Hospital of Madras GH....Can't you understand the simple fact....
//அதில் பொது மக்களுக்கு இலவச மருத்துவ சிகிச்சை நிச்சயம் தரவேண்டும் என்ற சட்டம் உள்ளது!//
No rule like that..... Please refer the facts... I am sorry to say... You are totally wrong here also...
//இது தனியார் மருத்துவ கல்லூரிக்கும் பொருந்தும் ஆனால் அதில் இலவச சிகிச்சை முதல் ஐந்து வருடங்களுக்கு இலவசமாக செய்யவேண்டும் என்பது நிபந்தனை என்று நினைக்கிறேன்!//
Imagination !!!
//ஆகையால் நீங்க சொல்லும் கல்லூரி இல்லை என்றாலும் மருத்துவமனை நடந்து தான் ஆகவேண்டும் என்பது கிடையாது!//
Oops.. Same mistake again....
The Hospital without college may not be needed for a medical student... but thousands of people are getting treated there .... THe hospital is run for the patients....
Tamil Nadu has 350 government hospital.... out of this only 50 hospitals are affiliated to Medical colleges.... Can we close the other 300 government hospitals.... How absurd is your argument...
//ஆனால் கல்லூரிக்கு நிச்சயம் மருத்துவ மணை இன்றியமாதாக உள்ளது!//
Yes...
//அதே போல பெரும்பாலும் கல்லூரிக்கு உள்ள பேராசியர்களே மருத்துவமணைக்கு பயன்படுத்தபடுவார் என்றே நினைக்கிறேன்!//
The other way round... Doctors WHO ARE PAID FOR TREATING PATIENTS (that is for health) teach students..... Do you understand this
It is not the teachers who treat patients
It is the doctors who teach. Even when there are NO STUDENTS, they still have work... (This is the difference between an engineering college.. See my post.... The medical college hospital and the labs in an engineering college are NOT THE SAME)
For example, take the case of Villupuram Head Quarters Hospital... It was there for years.... Now they are just going to add 3 departments (Ana, Physio and Pharmac) and it will become a medical college.. The other departments are still needed for the HOSPITAL
//ஆகையால் மருத்துவ கல்லூரி செலவு, மருத்துவ மணை செலவும் சேர்த்தே கணக்கிட வேண்டிவரும் :)//
NO NEVER... Please read the link I have given/...
//எப்படி பார்தாலும் நீங்க சொல்லற மாதிரி இல்லாவிட்டாலும், அரசு சொல்லும் 20 லட்சம் அளவுக்கு இல்லை என்றாலும், குறைந்தபட்சம் 10 லட்சம் செலவாகக்கூடும் என்றே தோண்றுகிறது :)///
NO.... Never... You can calculate the figures yourself.....
Your problem is that you have extrapolated the Engineering College Mechanical Lab into an hospital
//அப்படியும் ஒத்துக்கொள்ளவில்லை என்றால் குறைந்தபட்சம் தனியார் மருத்துவ கல்லூரி வாங்கும் வருடத்து 6 லட்சம் என்றால் 5 1/2 வருடத்துக்கு 33 லட்சம், அப்படியே தனியார் கல்லூரியின் லாபத்தை 2/3 பங்கு என்று நினைத்தாலும் மினிமம் 10 லட்சம் ஒரு மாணவனுக்கு செலவாகும் சரியா?? தவறு இருக்குமேயானால் சுட்டிக்காட்டவும் :)///
Every thing is wrong.....
http://bruno.penandscale.com/2007/01/my-two-seconds-of-fame.html
I am not criticising the rural service or Anbumani.... My contention is that rural service is needed (for reasons which even the minister did not explain.... For example the fact that these guys who are shouting now have already signed a bond.. if they were not willing they should not have studied in a government college... they should have studied in a private college )
But I am only stating that that 10 lakh per student is totally fraud and rubbish
In fact the colleges which spend LEAST FOR STUDENTS in medical colleges.....
In which college (IIT or IIM) do you see a student dying of a disease caused to due sanitation problem...
There is totally no allotment for the "college" The entire allotment is for "hospital"
ANd when these guys come and tell that they spend lakh for you, my blood boils....
Take 2007 Budget...
Total amount spend by DME is 615.20 crores (college + hospital)
Out of which the amount alloted for education (College) (head 12) is 37.88 crores
Fees Collected 36.95 crores (this includes all courses - The Fees for Superspeciality runs in lakhs)
Now you tell how much government has spent for each student
//ஒரு UG கோர்ஸ் ஆறரை வருஷம் இருந்தால் யார் வந்து படிப்பார்கள் என்று கணக்கு இருக்கிறது. சென்ற வருஷம் 150 மாணவர்கள், இடம் கிடைத்தும் சீட் வேண்டாம் என்று சொல்லி விட்டு, வேறு துறைக்குப் போய்விட்டார்கள் என்று ஒரு மாணவர் சொன்னார். //
If any one wants to go... let him go.... Only those who are interested need to study MBBS.....
Another comment
Quote:
i'm currently doing my internship,so i guess my batch will be the first to have its future ruined.
If you say that by Rural Service (that means by working in a PHC), your future is to be ruined, GOD SAVE YOUR PATIENTS :) :) :)
இது வருத்தப்பட வேண்டிய விஷயம் :( :( :( :(
//சுகாதாரங்கள், மருத்துவமனைகள் இருக்கின்றன ஆனால், மருத்துவத்துவர்கள் தான் கிடைக்கவில்லை என்று சொல்கிறாரா ? தெரியவில்லை. ( ப்ரூனோ, தெளிவு படுத்துங்கள் ).//
I have already given clearly... There were 5500 application for 300 posts in Primary health Centres (in Tamil Nadu).....
The guys who are in waiting list are coming every day to DPH Office and asking for appointment orders..... Do you think that doctors are not willing...
So the fact that there are no doctors ready is totally false (as far as Tamil Nadu is concerned)....
If That is a regular post with a pay of Rs 18000 per month, I am ready to show you doctors to fill in all the vacancies.
//இருந்தாலும் இந்த மருத்துவ கல்லூரிக்கு மருத்துவமணை கண்டிப்பா வேண்டுமா என்ற விசயத்தில் கொஞ்சம் குழப்பமாக உள்ளது!//
Why confusion.... Was there no hospital in Villupuram till this year..... Werenot patients admitted in the 238 beds in that hospital... Was not money spent for that so far.....
Isn't is so simple....
Medical College is nothing but a hospital with 3 more departments.....
//அரசுப் பணியில் இருப்பவர்களை நிர்பந்ந்தத்தின் மூலமாக அனுப்பி வைக்க முடியாதா? //
For that you have to first appoint doctors....
Let me explain this very simply....
Every year 1200 doctors come out... If they are made to work in a PHC, in three years, you would have had a doctor in 1200 posts in villages....
On the other hand, if you APPOINT 400 doctors, they will work in a village for three years.....
So essentially, this rural service is CUTTING DOWN APPOINTMENT OF REGULAR DOCTORS....
Of the 1200 doctors coming out of Medical College, at least 400 (1/3rd) are ready to work in villages.... (if not how do you get 5500 VOLUNTARY applications for an exam for 300 posts)
So the actual problem is NOT LACK OF DOCTORS in Tamil Nadu.... (there is lack of doctors in other states)
So for Anbumani's question "Why there is opposition in Tamil Nadu alone" the answer is very simple....
This rural service is going to abolish 400 (or 500) regular vacancies ( a form of outsourcing !!!)
So there is opposition from two fronts
1. Sons / daughters of doctors who have a nursing home and want to sit there the next day - they do not want government job - and they oppose this
2. First generation doctors who want government job - but will not get the job because vacancies will be abolished by the out sourcing
This is why there is opposition in Tamil Nadu
The problem is
//காம்பன்ஸேசன் ஒழுங்காக இருந்தால், யார் வேண்டுமானாலும் எங்க வேண்டுமானாலும் போய் வேலை செய்வார்கள். //
Exactly....
//மருத்துவம் என்பது ஒரு ப்ரொஃபஷன். வர நோயாளிகளை, ஒழுங்காக மருந்து கொடுத்து, உயிரைப் காப்பாற்ற வேண்டும் என்பதைத் தவிர்த்து, எந்த ஆப்ளிகேஷனையும் அவர்கள் மீது திணிக்க முடியாது.//
Yes... especially when you have guys who are willing to do that job..
This COMPULSARY rural service does two things
1. It denies job for those who are willing to work in Villages for 3 years.
2. It pushes the guy who do not even want to work one day to work for 1 year.
இப்ப புரியுதா ஏன் இந்த எதிர்ப்புன்னு??
But still, my advice (for young graduates) is that, "Rural Service is a golden oppurtunity for learning administration and management and human relations - Don't Miss It"
Suggestion for Government "COnduct TNPSC Regularly and post the doctors in the waiting list as and when the vacancy arises"
(there are at present about 700 doctors in waiting list waiting for posting orders - ready to serve any where in tamil nadu - after having written TNPSC in 2005 October)
//நீங்க கிராமப்புற சேவைக்கு எதிர் அல்ல என்பது எனக்கு நன்கு விளங்குறது :) Except that 10 Lakhs expenses :) I understand that :)//
Thanks for understanding... I hope you will understand this 10 lakh rubbish also :) :)
நீங்க கிராமப்புற சேவைக்கு எதிர் அல்ல - On the other hand, I am a strong Pro-Rural Service person, but for a different reason..
The minister is bringing this to fill vacancies (cheap labour !!!)
I want rural service for the benefit of the doctors :) :) :)
அது சரி.. நாம சொல்ரதெல்லாம் யாரு கேட்பா ??
////நேற்றைக்குப் படித்து இன்றைக்கு டாக்ட்ர் ஆனவர்களையா? அரசுப் பணியில் இருப்பவர்களை நிர்பந்ந்தத்தின் மூலமாக அனுப்பி வைக்க முடியாதா? //
நிர்பந்தம் வேண்டாம்.... காலியிடங்களுக்கு பணியில் சேர தேர்வானையம் மூலம் 2005ல் தேர்ந்தெடுக்கப்பட்டு காத்திருப்பு பட்டியலில் இருக்கும் மருத்துவர்கள் தயாராகவே உள்ளனர்
//Whatever might be the reason, people get some relief with these doctors, instead of screwed up by fraud doctors at the village level.//
Why can't regular doctors be appointed.... There are thousands of guys who are willing to work if they are given appointment orders.... By the way, Please read my post... I have given very clearly that why this "contract" scheme will be totally useless for eradicating quacks...... http://bruno.penandscale.com/2007/04/1-one-year-rural-posting-after-mbbs.html
When a doctor is appointed on a regular basis, he will develop a rapport with the community at least after 6 months... Now when the CRRIs are shunted to PHCs every 3 months, this is going to decrease the confidence of people in the system....
What I am asking (in Tamil Nadu) is posting these doctors in Villages "in addition to a regular in service doctor"
and not IN PLACE of an in service doctor...
Tamil Nadu DO NOT FACE SHORTAGE OF DOCTORS...
So your argument does not hold merit
What I can see is that you have totally wrong concepts about the reality (brain washed by media)
//சார் இந்த டாக்டர் படிப்பு வெறு நாலு ஆண்டுகள் தான் //
4 and half
//கடைசி ஒரு வருடம் ஹவுஸ்சர்ஜென்ஸி என்று சொல்லுவார்கள் அதில் முழுக்க முழுக்க அனுபவமிக்க டாக்டர்களின் துணை நின்று வேலை செய்வார்கள், இதில் தான் அவர்களுக்கு அனுபவம் வருகிறது!//
Yes...
Right now this House surgeoncy is for 12 months, out of which 3 months are for Rural Posting...
What we are asking is to increase the House Surgeoncy to 24 months and have hospital postings for 12 months and rural posting for 12 months (entire period under supervision)
As per the compulsary rural service, the second 12 months is "not under supervision"
// அதனால் அவர்கள் இன்று டாக்டர் படித்து கிராமங்களுக்கு செல்பவர்களா இருக்க மாட்டார்கள் என்று நினைக்கிறேன், என்ன டாக்டர் Bruno கரெக்டா??
//
I am not able to comprehend this .... can you please rephrase this
//Whatever might be the reason, people get some relief with these doctors, instead of screwed up by fraud doctors at the village level.//
This can be true as far as Jharkand is concerned, but the scenario in tamil nadu is different...
Because of the (currently proposed) compulsary rural service, the more experienced doctor (appointed through regular service) is going to be replace by an inexperienced house surgeon (appointed on contract for 3 months)
Do you think that this is good or bad.. Can you see the difference.. Can you see why there is opposition from all quarters..
A beautiful scheme (12 months of rural internship) has been torn to pieces and is being misunderstood.
My worry is
1. that medical students are not understanding the benefits of working in rural setup
2. Administration is not treating them as students, but as cheap labour.
The same scheme would have been well received if presented in a proper way (without idiotic arguments like "10 lakh per student").. It is only such rubbish arguments that has angered the medical field and made them blind to other benefits of this scheme and (without any justification) oppose this totally.
A little PR Approach would have resulted in implementation of a beautiful scheme without all these controversy ...
//இதைத் தவிர மற்ற காரணங்களான நிரந்தர வேலை வாய்ப்பு என்பதை எல்லாம் என்னால் ஏற்றுக் கொள்ள முடிய வில்லை. அதிலேயே சொல்லி இருந்தது போல டாக்டர்களுக்கு ஒரு பேசிக் சர்வைவலிற்கான வழி இருக்கிறது. ஆகையால் நிரந்தரப் பணி தேவை என்பதெல்லம் சும்மா.
//
As you said, there are two groups of doctors
1. Sons / daughters of Doctors (Family of doctors)
2. Doctors who are from Middle Class / Lower Class....
As far as the second group is concerned, they definitely need permanent job...
Please see my comment above where I have told why the first class opposes this compulsary rural service and why the second class opposes this compulsary rural service...
//அதற்கேற்றவாறு மருத்துவத் துறையில் பார்த்தீர்களேயானால், ஒட்டு மொத்த குடும்பமே மருத்துவர்களாக இருப்பார்கள். அதாவது நடுத்தர மற்றும் அதற்கும் கீழ் நிலையினருக்கு மருத்துவப் படிப்பு என்பது கொஞ்சம் எட்டாக் கனியாகவே இருக்கிறது.//
Definitely not.... I can very confidently say that More than 50 % of students who get admission in government medical colleges are first generation doctors and if given a permanent job they are ready to work in villages for three years....
What you are saying was the situation before 30 years...
//நான் கேள்விப்பட்டது ஒன்று.//
Some one has given you a totally wrong information
//இதன் மூலம் அவர்களுக்கு இரட்டைச் சம்பளம் கிடைக்கும் என்பதால்தான் என்று எனக்குத் தெரிந்தவர்கள் சொன்னார்கள்.//
There are "two sources" of "half-income", but that is not "double income"... There is a lot of difference between these two
// அதாவது தனியா க்ளீனிக்கும் வெச்சுக்கலாம், கவர்மெண்டு சம்பளமும் கிடைக்கும் என்பதுதான்.
//
Let me explain in detail
Medical Education : 5 and half years
The next entrance comes after 6 months
PG - 3 years
So totally 9 years...
The TOTAL GROSS Pay (without deductions) after that 9 years in Tamil Nadu is about 18,000 rupees with an yearly increase of 550 rupees....
After 10 years (at the age of 40), the doctor will be getting a "gross" pay of Rs 24,000 (Without deductions).
Every one reading this can compare the pay in other professions your selves.
Doctors in Central Government and few other states are not permitted to practise and they get an higher pay
For example a doctor in Central Government After 10 years will be getting around 45,000 rupees.
Doctors in Tamil Nadu government service work at HALF THE PAY of other states like Kerala (where private practise is not allowed) and Central Government... because they are allowed private practise....
THe long pending demand of doctors here is to give time bound pay with no private practise
So this இரட்டைச் சம்பளம் கிடைக்கும் is totally FALSE and ridiculous ....
Now this permanent pay of 18000 (with private practise) may get reduced to a contract pay of 8000 (with private practise)
//என்னுடைய சந்தேகம் அன்புமணி அவ்ர்கள் சொல்லி இருப்பது போல் நடந்தால் அப்போதும் மத்திய தர வர்க்கத்து மக்கள் மருத்துவப் படிப்பில் அதே அளவு ஆர்வம் காட்டுவாகளா என்பதுதான்?//
There cannot be generalisation....
Few guys and girls will have a passion for studying certain topics... They will still continue to study MBBS...
Few others will have a clear cut agenda in life. To study the course that gives most money... They will certainly go to IT and other fields...
There is one group who directly want to start their practise in chennai or coimbatore because their father (or father in law !!!) has to 50 bedded hospital. They will be earning 50,000 per month as they have a well established hospital for them to start.
There is another group who want to have a permanent job so that they need not depend on their father for petrol and coffee at the age of 25. They are agitated over this service because permanent posts (for which they are ready to work and get Rs 18000) are going to be abolised because of this.
The easiest solution will be to give permanent posts for those who are willing and ignore those who are not willing.
Please don't believe the false propaganda that doctors are not willing to work in villages .... The Waiting List of TNPSC 2005 is yet to be exhausted .. The doctors in the waiting list are ready to join any time if they are given a permanent posting.
One Request....
If what you believe or assume is against what I have written, you can always ask and I am ready to prove everything...
Please don't get cheated and fooled by false propagandas about the medical field
The main aim of my writing (what appears to be the same thing) again and again is to prove that the following facts are false
1. Government Spends 10 Lakhs of rupees for a doctor's education
2. Doctors are not willing to work in Villages....
The above two facts, (which many of you believe even without slightest of doubts) are blatant lies and totally baseless allegations
The proof is the
1. Expenditure statement
2. Waiting List of TNPSC.
These are for every one to see.....
It is becuase of all these false propaganda that even the educated do not have the correct knowledge about the realities of medical field and there are a whole lot of wrong information being propagated
(example இரட்டைச் சம்பளம்)
Do any one of you know the leave rules for government doctors
The government doctors are eligible for only 52 days leave in a year INCLUDING Casual Leave. (There are permitted a weekly off. But to avail a week off, they need to work continously for 6 days. So if a doctor takes a holiday for independence day, he has to work on the subsequent sunday)....
When the situation is like this,
it is very unfortunate that learned people just believe what they hear and have misconceptions about the pay of doctors.
//கிராமங்களுக்கு சேவை செய்யனுமா வேண்டாமா? என்று கேட்டால்
ஆம் என்று சொல்லவே விரும்புகிறோம்.
ஆனால், அதை படறிவு மிக்க மருத்துவர் செய்வது நல்லதா? அல்லது கற்றுக்குட்டிகள் செய்வது நல்லதா?//
This exactly is our concern...
//அதே வேளையில் அந்த மருத்துவர்களுக்கு
நிறைய சம்பளமும் கொடுக்க வேண்டும்.//
Exactly
//ஒரு மருத்துவக்கல்லூரி துவக்க அதாவது மாணவர்கள் சேர்க்க மினிமம் 300 படுக்கைகள் கொண்ட மருத்துவ மணை அவசியம் என்ற சட்டம் உள்ளது, //
Yes.... I did not tell about this...
//இதனால் மருத்துவமணை செலவும் இந்த கல்லூரிக்காவே என்பது திண்ணம் :)//
No... Not at all.... I have clearly given you the facts
There are about 350 government hospitals and 1417 Primary Health Centres and about 8800 HSC in Tamil Nadu
Now, about 50 government Hospitals and around 50 primary Health Centres ALONE are affiliated with Medical Colleges
So
Please answer these questions
1. In what head (Education or Health) do you account for the expenses associated with 300 Government Hospitals and 1350 Primary Health Centres
ஆனா எனக்கு ஒரு சந்தோகம் பாண்டிச்சேரில் உள்ள சில வருடங்களுக்கு முன் துவக்கிய புதிய மருத்துவ கல்லூரியான மகாத்மா காந்தி மெடிகல் காலேஜ் ஏன் இலவச சேவை செய்யறாங்க?? அதே போல வினாயகா மெடிகல் காலேஜும் இலவச சேவை செய்யறாங்க, எனக்கு தெரிந்து ராமச்சந்திராவும் துவக்கத்தில் இலவச சேவை செய்தது ?? இதற்கு என்ன காரணம்?? உங்களுக்கு எதாவது தெரியுமா??
There is a difference between PIMS and Villupuram Medical College
Even Before Villupuram Medical College started, there was an hospital functioning there. DO you agree or Disagree
Even before Villupuram Medical College started, patients were getting free treatment.. Do you agree or disagree
Even before Villpuram Medical College started, there was an hospital with 238 beds.. DO you agree or disagree
Even before Villupuram Medical College was starte
