Opd

4
OUT-PATIENT DEPARMENT
HOSPITAL DESIGN: CASE STUDY
REVATHI,PARVATHY
ARCHITECTURAL DESIGN 7TH SEMESTER

FACULTY OF ARCHITECTURE
MANIPAL UNIVERSITY JULY 2013
POOJA,SHRETIKA
SURBHI,ELIZABETH
RIYA,DIPAL
COLUMBIA ASIA
INTRODUCTION
Columbia Asia offers OPD services for the following

departments
ENT surgeon
General surgeon
Obstetrics and gynaecology
Ophthalmologist
Orthopaedic surgeon
Paediatrics
Physician
With working hours of 8AM to 8PM on all
Gastroenterologist
weekdays and Saturdays there are a total of 20
Dermatology
consultation rooms
Allergist and immunology
Neurosurgery
Plastic surgeon
Vascular surgery
OPD
Psychiatrist
Endocrinology
Cardiology
Pulmonologist
OPD
Columbia Asia receives
Urology
800 patients on the weekdays
1200 patients on the weekends
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
4. OUT-PATIENT DEPARTMENT
ARCHITECTURAL DESIGN
7TH SEMESTER
FACULTY OF ACHITECTURE
2013
COLUMBIA ASIA
LOCATION OF
DEPARTMENT
IPD
CAF
ADMIN
EMERGENCY
OPD
Labs
Radiology
and
diagnostics
Pharmacy
Entry
Administration
Waiting
area
Vertical arrangement seen from

the entrance of the hospital
IPD
OPD
OPD
Waiting
area
Emergency
Layout of OPD department
EMERGENCY
Vertical arrangement as seen from
the right side of the hospital
The whole OPD is spread out on the
ground floor
The OPD can also be accessed from
the emergency department
The patients are confined to a
particular area of the hospital and
does not interact with the IPD
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
7TH SEMESTER
2013
COLUMBIA ASIA
PATIENT ACTIVITY
MOVEMENT
Old users
New users
New patients are the
users coming to the
hospital without a
appointment or a
medical record
Waiting area
In the waiting area the

nurses station keeps the
movement of patients into
the consultation rooms
under control
Administration
Taking of appointments, asking for
information and payment occurs
here
LABS
Patients who have a

appointment and
medical records move
directly to the waiting
room
OPD
DIAGNOSTICS
The doctor can ask for further

investigations for which the patient
goes to the lab or the diagnostic
centre
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
7TH SEMESTER
2013
COLUMBIA ASIA
PATIENT MOVEMENT
OPD
Waiting area
Labs
Radiology and
diagnostics
Pharmacy
Entry
Administration
New patients without

appointments go to the
administration department to get
an appointment
Upon getting it they move to the
waiting area
OPD
Waiting area
Emergency
From here they are called by the

nurse to the respective
consultation room
The doctor may advice them to do
further test which leads them to
the labs and diagnostic centres
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
7TH SEMESTER
2013
PLACEMENT OF DEPARTMENTS
OPD
Labs
Waiting area
Radiology and
diagnostics
OPD
Pharmacy
Entry
Administration
Waiting area
Emergency
COLUMBIA ASIA
Administration department
placed on the right side to the
entrance into the hospital
Function-handles the
administration and appointment
making for the OPD
Advantage
easy access for patients coming
through the main entrance
Acts as a help desk as well as a
security (the desk is manned at all
hours)
Disadvantage
Creates a bottle neck situation
for users going the OPD
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
7TH SEMESTER
2013
COLUMBIA ASIA
ADMINISTRATION AREA
Area of admin and billing71.065sq m
Admin area
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
7TH SEMESTER
2013
COLUMBIA ASIA
WAITING AREA
OPD
Labs
Waiting area
Radiology and
diagnostics
Pharmacy
Entry
Administration
Common waiting area for the

consultation rooms
Two separate waiting clusters
connected by a single corridor
Each waiting area was equipped with
its own nurses station which helped in
managing the consultations
OPD
Waiting area
Emergency
Total number of seats-88 seats

Area per seat-0.65msq
Area for the waiting area-57.2msq
Measured area-354.606
Taking 800 patients

Area for seating -0.6 x 800
= 480msq
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
7TH SEMESTER
2013
COLUMBIA ASIA
WAITING AREA
Advantages
Patients consulting several doctors do not
have to travel to different waiting areas
Waiting
area
Common waiting area helps in segregating the different
users such as the IPD visitors, emergency visitors etc
Placement of public facilities such as toilets and
drinking water becomes combines rather than dispersed
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
7TH SEMESTER
2013
COLUMBIA ASIA
PLACEMENT OF AREAWAITING AREA

Disadvantage
Large number of people in a single area can
cause confusion and high amounts on noise
A single nurses station
servers each of the waiting
areas
Seat arrangements
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
10
7TH SEMESTER
2013
COLUMBIA ASIA
WAITING AREA
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
11
7TH SEMESTER
2013
FACILITIES IN THE WAITING

AREA
COLUMBIA ASIA
OPD
Labs
Waiting
area
Waiting
area
Entry
-PLAY PEN
Age group- 3 to 6 years

Security closed of on 3 sides and one side opening
directly into the main circulation passage
Designing for the children-soft flooring with different
colour patterns and also a TV displaying cartoons also
present
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
12
7TH SEMESTER
2013
COLUMBIA ASIA
CONSULTATION ROOM
Furniture and fittings present

Doctors table and workstation
Chairs for the doctor, patient and attending
Examination bed with a step
A sink for the doctor to wash
X-ray viewing box
Cabinets for storage
LAYOUT OF CONSULTATION ROOM

Advantage-circulation space for the
doctor and patient to move to and from
the examination bed
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
13
7TH SEMESTER
2013
COLUMBIA ASIA
CONSULTATION ROOM
Services required
electrical and water supply
data cable for computers
smoke detectors for fire protection
nurse call bell
1.2
1.2
1.2
Area of consultation room- 51.256463msq
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
14
7TH SEMESTER
2013
COLUMBIA ASIA
SIGNAGES
Signs with consultation room

number along with name of doctor
given
Name of doctor on a temporary
removable board thereby allowing
flexibility in the use of the
consultation room.
Signage with names of doctors and theirs

specialisation placed at the entrance of
the OPD section of the floor
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
15
7TH SEMESTER
2013
COLUMBIA ASIA
LIGHTING AND
VENTILATION
Lighting in waiting area use of diffused lighting in the

seating area
Direct lighting in areas of circulation
Lighting in consultation roomlight directly above the

consultation table and the
examination bed
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
16
7TH SEMESTER
2013
COLUMBIA ASIA
MATERIALS
Consultation roomVinyl flooring

Easier to clean in an area
where cleanliness is a must.
Waiting areaSeats places on carpeted area while
circulation space is tiled
Carpeted area becomes difficult to
clean and the tiled areas may
become slippery.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
17
7TH SEMESTER
2013
COLUMBIA ASIA
FIRE EMERGENCY
During an emergency the evacuation route for the OPD
users go through the emergency room.
The path covers the OPD, waiting area, labs and diagnostic
areas
Maximum distance to be covered

for the emergency evacuation is
70.55m
Labs
Waiting area
Radiology and
diagnostics
Pharmacy
Entry
Administration
Waiting area
Emergency
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
18
7TH SEMESTER
2013
COLUMBIA ASIA
WINDOWS AND
DOORS
Opaque blinds used in areas in rooms where
the light can effect the tests conducted on the
patient
Temporary blinds that can be

used when required
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
19
7TH SEMESTER
2013
VIKRAM HOSPITAL
INTRODUCTION
Vikrams Hospital offers OPD services
for the following department
ENT
General Sciences
Obstetrics
gynaecology
Ophthalmology
Orthopaedic
Paediatrics
Physician
Gastroenterology
Dermatology
Allergist and immunology
Neurosurgery
Cardiology
Pulmonologist
Urology
Nephrology
USERS
VIKRAMS HOSPITAL -200 bedded hospital.

The hospital is built across 8 floors with the first three floors comprising of
the Emergency, OPD and Diagnostic department. The rest of the floors
comprise of the OTs, ICU,IPD and the food court.
Vikrams Hospital is a multispecialty hospital which caters to various
departments
Cardiology, Gastroenterology, Gynecology, Nephrology etc.(about 15
departments)
The OPD foot fall is 230-250 patients per day
--3000 new patients per month
--avg of 7000 patients per month
-Patients & their accompanying

families
-Children
-Adults
Older People
Physically and Mentally Challenged
People
The hospital refers injured patients to the emergency even in the case of
OPD patients.
Staff No. in OPD (100-115 people.. Including doctors, secretaries,
nurses and other employees)
-Doctors & Nurses

-Administration Staff
-Cleaning Staff
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
20
7TH SEMESTER
2013
SITE PLAN AND ENTRANCE

LAYOUT
VIKRAM HOSPITAL
FOOD COURT
----------------
ENTRANCE
ICU AND IPD

RECEPTION
-MAIN RECEPTION ACTIVITYCREATION OF APPOINTMENTS
RECEPTION II
OTS AND IPD
-SECONDARY RECEPTION ACTIVITYMAINTAINING APPOINTMENTS OF

EVERY DEPT.
CARDIOLOGY OTS
OPD
APPOINTMENT
TAKEN
EMERGENCY
DIAGNOSTIC
CRITICAL CONDITION OF
OPD PATIENT
EXAMINATION
ROOM
CONSULTATION
BY DOCTOR
EMERGENCY
CASH
COUNTER
ICU
PAYMENT OF BILL
DOCTOR PERFORMS
PHYSICAL EXAMINATION
PROCEDURE
ROOM
MINOR ACTIVITY
PERFORMED BY
DOCTOR & NURSES
TREATMENT
ADMITTED TO IPD
DIAGNOSIS
TESTS TAKEN BY
PATIENTS/RESULTS SENT
TO DOCTORS
OPD
OPD
LABS
-Pathology lab on first floor a later

development
OPD with diagnostic dept.-easy
access for patients
No OPD on ground floor. Only lift
and stair case access.
Emergency and Day Care
connected to OPD with IPD lifts for
treatment of patients in
pain/trauma
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
21
7TH SEMESTER
2013
VIKRAM HOSPITAL
SITE PLAN AND ENTRANCE

LAYOUT
ROUTE FOR EXTERNAL ACCESS-EXIT FOR
VEHICLES
SERVICE
ENTRY
SERVICES
ENTRANCE
TO OPD
IPD
LIFTS
EMERGENCY
ENTRANCE
VISITORS
ENTRANCE
No entrance from
front provided. A side
access provided for
OPD patients
PARKING FOR
AMBULANCES
FOR EASY AID
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
22
7TH SEMESTER
2013
SITE AND ENTRANCE LAYOUT
VIKRAM HOSPITAL
Hospital
Building
Very less frontage space led to a side entry.
The valet parking people help with parking
services at the entrance.
Cars park their vehicles at the side or at
some other place by hospital authorities
5m
The side entry was narrow, a walkway with
illustration describing the various departments
were put up leading the visitors to the entrance.
Other than that no Feature marks the entry to the
hospital
The side entry is not pedestrian friendly. Patients
tend to move to the sides giving their way to the
vehicles.
The frontal part of the site is given away for two

wheeler parking for staff and a few visitors.
The front entry is sealed off as it is used by the
pathology department which was a later
development
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
23
7TH SEMESTER
2013
VIKRAM HOSPITAL
VERTICAL ZONING
OTHER OPDS &
CONSULTATION
ROOMS
WAITING AREA LOCATED

IN THE CENTER
FACILITATING ALL OPDSEASIER ACCESS
SAMPLE
TESTING
DIAGNOSIS
CONSULTANCY
ROOM AROUND
THE WAITING AREA
SPECIALISING IN
CARDIO.
sketch
LOBBY
SECOND FLOOR
FIRST FLOOR
GROUND FLOOR
GENERAL WAITING
AREA FACING MAIN
ROAD WITH
CURTAIN WALL FOR
MAX. NATURAL
LIGHTING
RESEARCH LABS
LOCATED ON
GROUND FLOOR
OTHER OPDS &

CONSULTATION
ROOMS PLACED ON
THIS FLOOR
RADIOLOGY LOCATED
IN THE END WHICH
FACILITATES ALL OPDS
VERTICAL
TRANSPORTATION AT
CENTER FOR ACCESS
TO EACH DEPT.
MORGUE LOCATED
ON GROUND
FLOORWITH AN
OUTDOOR ACCESS
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
24
7TH SEMESTER
2013
VIKRAM HOSPITAL
ADMINISTRATION
Signage's guiding patients to respective

departments- sign ages important near
main transportation since all people
enter from this point
The entrance lobby

contains the security
desk and the help desk.
The side wall bears the
directory board which
guides the patients to
the other departments
ENTRANCE LOBBY
Help Desk
SECURITY DESK
The lobby
leads the
patient/visit
or to the
WAITING AREA lifts and
staircase.
WAITING AREA,
RECEPTION & ACCESS TO
OPD
Master health
check up counter
which further
leads you to the
opd
Security desk placed near the entrance

to guard & record staff entry
Main reception
counter for OPD
Individual
reception desks
for each
department for
appointments,
system records
Individual receptions works-No token System

Each department with one reception desk
reduces work load on main reception desk and
conveys instructions to patients faster
-Main reception need not have been so hugewastage of space-The executive lounge and a
part of waiting space could have been used to
make common waiting space or minor
consultation rooms
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
25
7TH SEMESTER
2013
VIKRAM HOSPITAL
WAITING AREA
WAITING AREAS FIRST
FLOOR
7.7
m2
Executive
lounge area
The ambience in the

waiting area is
unlike other
hospitals. It is
designed like a
lounge to give a
sense of comfort to
the visitors and
patients
Executive waiting area

The executive area is for
privileged people, VIPs as per
decided by hospital authorities. It
appears first before the main
OPD waiting area.
The No. of patients for the
executive lounge are very less on
a day to day basis-about 5-8
people. Wastage of place
7.2m
The main waiting area has a seating

capacity of about 35-40 seats.
The waiting and processing time for each
patient is about 1-1 1/2 hours.
The first floor receives about 10-12
patients per hour.
Area of the waiting area is about 50 m2
which is sufficient enough to
accommodate the people.
According to
standard the waiting
area is 0.65 m 2 per
person with 15%
circulation.
(0.65*40=26m2)
+(0.15*26=3m2 )
Therefore the waiting
area is more than
enough provided for
the first floor.
The executive waiting area

is about 28-30m2
Glass panels
around the
lounge for
visual
connectivity
The lighting is recessed and the
waiting area is provided with a
speaker for light music to keep the
ambience pleasant
The waiting area is carpeted which is a lot of

maintenance. It could have been separated with
another type of flooring
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
26
7TH SEMESTER
2013
VIKRAM HOSPITAL
CLUSTER CONCEPT
CONSULTATION
ROOMS
The hospital adopted a cluster concept where there would be

clusters for each department and each cluster had 2-3 consultation
rooms with one staff toilet. They also had one room in the cluster (if
required by that department) for any tests or laser surgeries to be
done.
WAITING
AREA
No vision barrier created

between the OPD patients and
DIABETOLOGY the doctors working at the
consultation rooms.
/INTERNAL
MEDICINE
CARDIOLOGY
OPD
OPD
WAITING
AREA
CARDIOLOGY
OPD
CARDI
OLOGY
OPD
Doctors movement is through

the normal visitors' passage-no
privacy for the doctor. Situations
of visitors interrupting the
doctors activity may occur.
Doctors movement across the floor
A TYPICAL CONSULTATION ROOM
The door opens to the view

of the round table which
addresses the doctor giving a
sense of belonging.
-Each cluster has its own reception

A set of 2- 4 doctors work in the cluster at
a time
If the required dept needs a surgery or
treatment room it is included inside the
cluster itself
Each consultation room has one fire alarm

and sprinkler.
Sprinkler diameter-5m
(sufficient for one consultation room)
Doctors
Workstation(space
for storage,
computer
,stethoscope and
other requirements
Examination
Bed
Room height 2.75 m
Round
consultation roomremoves the
psychological
barrier between the
Doctor and Patient.
The layout also
gives provision for
the patients' family
to be a part of the
discussion.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
27
7TH SEMESTER
2013
VIKRAM HOSPITAL
1ST FLOOR PLAN

The consultation rooms are
arranged around the waiting
area with separate reception
for each cluster.
-Easy approach to the
patient and doctor
Fire Escape route
DIAGNOSTIC
DEPARTMENT
DIAGNOSTIC
DEPARTMENT
CARDIO
TEST
CENTER
LIFTS
FIRE ESCAPE
CORRIDOR
EXECUTIVE
WAITING AREA
OPD WAITING
AREA
OPD
CONSULATION
CLUSTERS
Max run from the farthest point to fire

exit is 24 meters
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
28
7TH SEMESTER
2013
TOILETS
Toilet services
provided near
the entrance
of the
diagnostic
department.
Only one toilet

provided near the OPD
department. Common
for all.
It doesnt prove
comfortable for Indian
public and insufficient
according to
VIKRAM HOSPITAL
One set of toilet

facilities provided
near the diagnostic
centre.
The toilet facility at the diagnostic

department suffices the requirement.
But as it is placed away from the main
waiting area. It is not known to a lot of
people unless the visitors pass through
the connecting passage.
The door almost opens on
to the WC which is not
ethical for the physically
challenged .
Toilet
dimensions
(1.5*2)m2
All toilets
are
provided
with a
handle but
not
completely
barrier free.
standards
A screen
is
provided
at the
base of
the door
to help
any
patient in
case of a
situation
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
29
7TH SEMESTER
2013
MATERIAL AND FINISHES
VIKRAM HOSPITAL
A carpet flooring
separates the waiting
areas and corridors.
Too much maintenance
Granite also used to suit the

color and theme of the hospital
interiors
Matt finish walls-cream color walls

used which gives a calm serene
effect to the patients.
Mono color laminates used
throughout the hospital gives an
identity to the ambience
Vinyl flooring used on the sides and

used for skirting as well.
The central part of the corridor was
marked of by a running stretch of
unpolished granite which would be
patient friendly and easy for the
movement of stretchers and
wheelchair holding the patient
Granite flooring used in corridors and other

places except waiting areas.
Polished granite would not be safe for
patients with physical ailments
Grey color granite stone does not show up
dirty spots well.
Crash guard used all along the
corridor as a handle and to
prevent the stretcher from
barging into the wall.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
30
7TH SEMESTER
2013
VIKRAM HOSPITAL
OPD DEPARTMENTS
CARDIOLOGY AND DIABETOLOGY and
GYNAECOLOGY
Cardiology
Diabetology
The dialectology cluster is same as the cardiology.
-No examination bed provided though given in the drawings.
The department receives about 10 patients per day.
The cardiology had altogether three clusters with a total of

12 consultation rooms and three reception desks.
The cardiology consultation room exactly look like the

typical consultation room of the hospital
The doctors have been provided with a blood pressure
equipment to check the health of the patient.
The test rooms for cardiology are located on the same
floor as the clusters are located.
Total area of the diabetology cluster

-45m2
No wash basin provided.
No provision for curtain-also because the
consultation room doesnt open out to the
waiting area.
Gynecology
24m
distance
from the
staircase
One consultation
room
-No of patients per
day-10 on avg.
Total area of one cardiology

cluster is 45.5m2
Rooms-(4*9)=36
Lobby and reception-7.2m2
Toilet-2.5m2
-consulation room same

size as typical room
Curtain provided as the
rooms opens out to the
corridor
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
31
7TH SEMESTER
2013
VIKRAM HOSPITAL
2ND FLOOR
The second floor of the hospital contains the opd and renal dialysis department.
The opd departments consist of the urology-nephrology- neurology- orthopedic- ENT-
UROLOGY
OPD
OTHOPEADIC &
PHYSIOTHERAPY
DIALYSIS
ENT/PULMONOLGY/AU
DIOMETRY
WAITING AREA
WAITING
AREA
ONCOLOGY
&BARIATRIC
OPD
WAITING
AREA
FIRE ESCAPE
ROUTE
NEURO
OPD
DERMATOLOGY
The max. run to the nearest

fire staircase is 24 metres on
the 2nd floor
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
32
7TH SEMESTER
2013
VIKRAM HOSPITAL
WAITING AREA
The waiting area comprises of 70-80 waiting capacity.

The 2nd floor has a footfall of about 180 patients per
day.
The average waiting time for the opd patients varies a
lot in each department.
-The seating capacity although suffices the requirement
and is sufficient enough even for peak hours.
The average waiting space is 0.65m2
The first waiting area is 49m2.
The other waiting area is about 35m2.
Therefore
(0.65*90=58.5m2)+(0.15*58.5+ 0.15*35) =72m2.
(49+35=84m2)-suffices.
The waiting floor above also has no partition

The Doctors move through the normal patient/visitor
corridor.
The ambience is set as per the other floors. The
space gives a psychological comfort to patients
and improves their mood
The ambience is same as the waiting area below

Carpeted floor for waiting area-high maintenance.
Waiting areas.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
33
7TH SEMESTER
2013
The no. Of consultation rooms

are two
The no. Of patients the
department receives are 15-20
per day
VIKRAM HOSPITAL
URO
DYNAMICS
UROLOGY DEPARTMENT
UROLOGY OPD
Age group visiting

20 to 50 years -65%
Above 60 years -35%
UROFLOWMETRY
ROOM
LITHOTRIPS
Y ROOM
WAITING
AREA
CONSULTATIO
N ROOM
Advantage of layout
Combining of similar departments allows
easier management
Uro dynamics and uroflowmetry place in
same cluster for easier access for patient
and doctor
Advantage of location
-The lithotripsy room is located in the
urology cluster thereby allowing easy
access for the patients and doctors
-The patient is made to lie on a bed where
an over head emitter emits radiation to
break kidney stones
Furniture in the consultation roomInformal seating

Doctors work space
Xray viewing box
Hand washing sink
The lithotripter machine is adjusted in a room which is just little more

than the size of the consultation room. There is hardly any space for the
doctor to move around the lithotripter machine bed.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
34
7TH SEMESTER
2013
VIKRAM HOSPITAL
NEURO SCIENCES
The Neuro sciences department receives about 10-12
patients per day.
Special treatment for certain patients was done in the
day care.
The age group comprised more of children
People suffering from Epilepsy and Fits are treated here.
2- consulation rooms
2-treatment rooms
CON SULTATION
ROOMS
The Nerve Conduction and

EEG machine
Most of the patients are
children but no provision
for their comfort has been
done
All the reports are studies

through computer devices
and treatment inferences are
prepared in the Treatment
lab itself
TREATMENT LAB-EEG
AND NERVE
CONDUCTION
TREATMENT
LAB
The dark room for other

type of EEG readings
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
35
7TH SEMESTER
2013
VIKRAM HOSPITAL
ENT & AUDIOMETRY ROOM

The ENT dept receives about 30 patients per day. The dept receives all
age groups ,but specifically infants and babies which comprise 20
patients of the total
The Nephrology room receives about 15patient per day.
It has a typical layout with an addition of a wash basin.
This department is located right in front of the reception desk.
Nephrology
room
ENT
room
Audiometry
room
No examination bed has been

provided.
A patient seat and a ENT workstation
occupies the space.
Instead of the round table a seats for
the patients' family has been
provided
ENT
work
station
Surgical
chair
The Nephrology room and Audiometry room

had a similar layout as of a typical room layout.
No labs concerning these departments were
attached to the respective departments above.
The surgical chair, ent

workstation, working cabinet
and the doctors' chair was
concentrated on one side
crowding up the area
The hospital only gives minor services in the

above departments.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
36
7TH SEMESTER
2013
VERTICAL ZONING
INTRODUCTION
Fortis Healthcare Limited is an established chain of super speciality

hospitals .
They include multi-specialty hospitals and super-specialty centers
Provide tertiary and quaternary healthcare to patients in areas like :
cardiac care,
orthopedics
neurosciences & oncology

Fortis has arranged
renal care, gastroenterology

their OPDs as a
mother and child care.

vertical complex
considering ease of
It is a 250 bed hospital.
patient access in
Commenced in 1999
mind.
FORTIS
CARDIOLOGY OPD
LEVEL 3
PEDIATRIC DENTAL GYNACOLOGY
LEVEL 2
ORTHOPEDIC-NEUROLOGY
OPD PHARMACY
LEVEL 1
UROLOGY-NEPHROLOGY
LEVEL -1
GENERAL OBSERVED FEATURES

Fortis planners have grouped OPDs considering the
physical condition of patients in mind.
Every doctor has a room to himself.
Doctors take shifts on a daily basis.
2-3 departments are clubbed on a level
Every OPD has a common lobby and reception.
Most consultation rooms are centrally air conditioned.
OPDs have their own diagnostic services.
Examination space is combined with the consultation
rooms.
Lack of natural ventilation is observed
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
37
7TH SEMESTER
2013
USERS
Other major activities are :
Patients - (childern /adults/senior citizens)

300/day
Patient escort - mother/friends ..etc
Visitors - (children/students/adults)
The OPD location starts
at ground floor and can
be easily located and
accessed.
Staff : 1. Medical
2.Admin
3.Service
Other services :
laundry
raw food materials - loading unloading
FORTIS
Vertical circulation
Lab test procedures
Physical health checks
Dietary activities
Patient care stretchers, wheelchairs
Waiting areas
Visual surveillance
Food and dining cafeteria
Examination and Recovery spaces
LOCATION OF THE OPD COMPLEX

OPD
ACTIVITIES
OPD
ENTRANC
E FOYER
ENTRANCE LOBBY
To the left is the reception & billing section.
On the right side wall is an information board
with the names of all the departments and their
concerned specialists.
The lobby provides no seating spaces for the
users, which was seen as a necessity. (CON)
An OPD pharmacy is present in the same space.
The lobby then directs patients towards the health
check and Out Patient Department.
LEVEL 1
LEVEL 2
LEVEL 3
Access to OPD can be from main entrance or through

the 2 fire exits, one to the left and other far in-front
of the OPD.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
38
7TH SEMESTER
2013
CONNECTIVITY
FORTIS
The OPD complex is located next to the elevators and one of

the 3 fire exit stairs.
One can get direct access to the BONE & JOINT BRAIN &
SPINE department through the entrance lobby in less than
2 MINS
The hospital has no provision of ramps. (CON)

- They substitute ramps with more number of
elevators.
- Can cause difficulty during emergency / fire
Spaces are vast and grouped commonly for

departments.
Many restricted areas staff/patient only
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
39
7TH SEMESTER
2013
FORTIS
OBSERVATIONS
ORTHOPEDIC-NEUROLOGY
DEPARTMENT
Combined waiting lobby with reception.

35 40 waiting seats
LOCATION : Ground floor.
Isolated consultation chambers doubly loaded on a 1.5m
USER : patients with joint/bone pain or spine/nerve
corridor .
condition.
EEG room & ECG room 3 x 2.5 sq.m.
patient has difficulty in moving from place to 9 orthopedic and 5 neurology consultation rooms
place.
observed.
Narrow corridors According to the staff these rooms may be temporarily
ACTIVITY : Registering
waiting
leading to
used by doctors on daily shifts. nameplate outside also
consulting/examination
changeable.
consultation
rooms. No visual Restrooms : 1 Male & 1 Female
connectivity for
patients
Consultation rooms are

designed flexibly and
not department specific
except dental
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
40
7TH SEMESTER
2013
COMPONENTS OF A ROOM
FORTIS
DOORS AND WINDOWS

Main door is double opening type.
for stretchers need be
The consultation room doors are:

80cm wide
2.1m in height.
Off white in color to compliment the soothing peach walls
Doors open into the room.
DOCTORS DESK + CHAIR

PATIENTS CHAIRS
EXAMINATION BED + STEPS
SIDE SHELF
X RAY VIEWER
TABLE LAMP
COMPUTER SYSTEM
CABINET
BOOK SHELF
Windows are rarely seen in the rooms lack of peripheral spaces

or inner courtyards (open to sky)
2-3 rooms have natural ventilation.
CPWD
PROPORTION OF SPACES
Consultation room = 3.5 x 2.5 = 8.75 A
No ramps present in the hospital.

eats up space
Waiting + reception + circulation = 41.5 sq. m.

4.5A
OPD has level surface.
ECG/EEG = 5.2 sq. m. 0.6A
Corridors not ideally designed for

wheelchairs
( required 1.5m present 1.2 m)
Entire department = 206.91 sq. m. 24A
No special railings seen.
5 x 14 = 70 required waiting area in sq m
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
41
7TH SEMESTER
2013
MATERIAL & FINISHES
FORTIS
SERVICES
Flooring : Vinyl sheets Anti Static & Anti Bacterial
Lighting : due to lack of natural light
for hospital
Walls : peach color, smooth finish
A/C : Lack of natural ventilation
Skirting is COVED with the floor. ease of cleaning corners
Plumbing : For wash basins
Paintings hung on the walls in intervals.
LIGHT & VENTILLATION
Thick glass name plates used for doctors chambers.

Recessed lighting used .
Natural ventilation & light hardly seen.
Centrally Air conditioned throughout.
STRUCTURAL GRID
Columns are 6 m apart
Waiting area seating
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
42
7TH SEMESTER
2013
FORTIS
PEDIATRIC- DENTAL - GYNACOLOGY DEPARTMENT

LOCATION : Level 2
USERS : children & parents, women, dental patients
ACTIVITIES :
waiting
taking care of babies
consulting with the doctors
This department leads

patients first into the
pediatric & gynecology
spaces and then moves
onto dental at the back.
Creates chaos as all 3

departments share same
common waiting space
PEDIATRIC DEPARTMENT
5 Pediatric rooms
Glass for doors and walls used
(waiting area consult. Room)
No play area disadvantage.

Feeding
room
translucent
glass
5 x 5 = 25 pediatrics
3 x 7= 21 dental
6 x 7 = 42 gynecology
Total waiting area reqd = 88 sq m
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
43
7TH SEMESTER
2013
GYNACOLOGY DEPARTMENT
FORTIS
DENTAL DEPARTMENT
Gynecology
department to the
left.
Combined
consultation
examination rooms.
3 consultation rooms + examination rooms

Equipment :
dental chair
x-ray viewer
doctors desk
patients waiting chairs
wash space
storage units
Ped-Gyno-Dental
grouping with no
separate waiting
or recovery for
dental patients
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
44
7TH SEMESTER
2013
FORTIS
CARDIOLOGY DEPARTMENT
LOCATION : 3rd level
USER : heart patients, cardiac staff, visitors
ACTIVITIES:
waiting
consulting
watching tv
This department has its own spaces for:
ECG
TMT (tread mill test)
PFT (pulmonary function test)
ECHO tests
60 waiting spaces observed.
Other Features
Rooms arranged in a peripheral layout
Corridors are not more than 1.8m
Provision of minor test services (x-ray)
LOCATION
PLAN
Department has its

own diagnostic spaces,
sample rooms
treatment rooms
Lighting & Ventilation

No windows Centralised A/C
Artificial lighting recessed
Proportion of spaces
Consultation room = 6.5 sq. m.
A
Waiting Area = 78.3 sq. m.

12A
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
45
7TH SEMESTER
2013
FORTIS
OPTHALMOLOGY DEPARTMENT
LOCATION : Ground floor, in the Health

Check Division
USERS : Eye Patients, doctors,
receptionist, accompanying persons
ACTIVITIES:
Waiting in lobby
consulting with doctor
undergoing visual tests
waiting after medication
KEY PLAN LEVEL 1
OPD PHARMACY
LOCATION : Ground floor, entrance
lobby
USERS : OPD patients, pharmaceutical
staff
ACTIVITIES :
storage of medicines
attending to patient
prescriptions
payment & bill
2.5 x 6 sq. m. Minimum 2.5m

between patient and reader
board
20 waiting spaces
1 Sonography room
Approximate dimension : 4.5 m x 5m
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
46
7TH SEMESTER
2013
FORTIS
SIGNAGES
ROOM INFORMATION
LEVEL/ FLOOR DIRECTORY
BUILDING DIRECTORY
Signages are informative

but may not be legible to
the less literate.
Less number of pictoral
signages.
OVERALL DIRECTORY - LEVELS
DOOR DETAILS
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
47
7TH SEMESTER
2013
MANIPAL HOSPITAL
INTRODUCTION
MANIPAL Hospital is an established chain of super speciality hospitals .
They include multi-specialty hospitals and super-specialty centres
GENERAL OBSERVED FEATURES

Provide tertiary and quaternary healthcare to patients in areas like :
dentistry,
neurology
dermatology
diabetes and endocrinology
paediatrics
It is a 800 bed hospital.
Manipal planners have spread out the OPDs in 4 floors 2

basements and 1st floor and ground floor considering the
physical condition of patients in mind.
Every doctor has a room to himself.
Doctors take shifts on a daily basis.
No departments are clubbed on a level
Every OPD has a common lobby and reception.
Most consultation rooms are centrally air conditioned.
OPDs have their own diagnostic services.
Examination space is combined with the consultation rooms.
USERS
Patients - (children /adults/senior citizens) 300/day
Patient escort - mother/friends ..etc
Visitors - (children/students/adults)
Staff : 1. Medical
2.Admin
3.Service
Other services :
laundry
raw food materials - loading unloading
the floor beneath the wards is for services alone
social work centre
Xerox centre
health check up centre
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
48
7TH SEMESTER
2013
Location :
MANIPAL HOSPITAL
Drop off area

Main road
parking
Secondary road
The hospital is
connected directly
to the main road.
Drop off area
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
49
7TH SEMESTER
2013
ZONING GROUND FLOOR
TOILETS
MAIN
LOBBY
PHAR
MACY
Patients and staff members

enter from the main lobby after
they are dropped at the drop off
lane.
Patients enter into the main
lobby and are directed to the
reception.
Main lobby has directive and
textual signages that aid people
to identify the location of
different departments.
10th floor
9th floor
8th floor
7th floor
6th floor
5th floor
4th floor
3rd floor
2nd floor
1st floor
Ground
floor
Ground floor
Basement -1
Basement -2
DENTISTRY
LIFTS
&S
T
MANIPAL HOSPITAL
D&E
Drop off area
Public spaces (Toilets, Lobby, Lifts and Staircases)
Administration/ Reception(R)
Fire escape staircases
Pharmacy
Diabetes and Endocrinology OPD
DROP OFF LANE
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
50
7TH SEMESTER
2013
FIRST FLOOR LAYOUT
TOILETS
LIFTS
&S
T
T
s
MANIPAL HOSPITAL
The users from the entrance lobby

use lifts or staircase to reach the
first floor.
The departments in the first floor
are accessed through a common
corridor.
PHAR
MACY
First floor
Ground floor
MAIN
LOBBY
LIFTS
&S
Entrance
Ground floor to first

floor circulation layout
Drop off lane

Ophthalmology OPD
Neurology and Neuro sciences OPD
General medicine OPD
Circulation
Drop off area
Public spaces (Toilets, Lobby, Lifts and Staircases)
Administration/ Reception(R)
Fire escape staircases
Pharmacy
Diabetes and Endocrinology OPD
Dermatology OPD
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
51
7TH SEMESTER
2013
DENTAL
MANIPAL HOSPITAL
dentistry
DENTAL
MACHINE
PHARMACY
DENTAL CHAIR
PHARMACY
MAIN
ENTRY
SPACE FOR WHEEL
CHAIR
LOCATION _GROUND FLOOR
ROOM
AREA
STAFF ROOM
EMERGENCY
ROOM
CLEANSING+XRA
Y ROOM
CONSULTATION
SPACE
CONSULTATION
ROOM
E RAY VIEWERS
ROOM
Total
4SQM
5SQM
2.5
M
1.5m
2M
10.5+5SQM
8SQM
WAITING
AREA,18
SEATS
Consultation
space
6.25SQM
MANA
GERS
ROOM
EMERG
ENCY
ROOM
X RAY
VIEWE
R
3SQM
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
LIGHT AND VENTILATION

GLASS WINDOW FOR MORE
LIGHT INTO THE ROOM
52
120sqm
REVATHI, PARVATHY
RAMP
LEADING
INTO THE
DEPT
7TH SEMESTER
2013
MANIPAL HOSPITAL
SPECIAL FEATURES
SPECIAL
ROOM
WHEEL CHAIRS
FOR THE OLDERLY
STORAGE SPACES
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
53
7TH SEMESTER
2013
MANIPAL HOSPITAL
EQUIPMENTS
X ray and
cleansing
room
equipments
CONSULTATION
AREA
EQUIPMENTS
Dental machine of
size 1.5m *1m
X RAY CONE
SUCTION
TUBES in the Kept in the x-ray room
CLEANERS
ROOM
Suction machine Spit on
MAIN ENTRY
ULTRASONIC
CLEANER MACHINE
IN CLEANING AND
X RAY ROOM
A SMALL FRIDGE
INSTALLED NEXT TO
THE CONSULTATION
AREA
Waste
bins
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
54
7TH SEMESTER
2013
MANIPAL HOSPITAL
DIABETES AND ENDOCRINOLOGY
PLAN OF THE
DEPARTMENT
PHARMACY
MAIN LOBBY
1.
2.
3.
MAIN ENTRY
RECEPTION
WAITING
AREAS
D AND
E
RECEPTION
UTILITY
ROOM
LOCATION : Ground floor

PHARMACY : Common pharmacy
located at the ground floor.
TOILETS : Common toilets outside the
OPD for both doctors and patients
EXAMINA
TION
ROOM
CR
CONSULTATION ROOM
NO. OF CONSULTATION ROOMS = 4
No of doctors = 4 consultants and 3
juniors
AREA = 4.5x5sq.m
CHECK UP
AREA
CONSULTATION
ROOM
WAITING
AREA
CONSULTATION ROOM
SHARING/SINGLE = single
8. NO OF PATIENTS / DAY= 70-100 MAX
TV
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
55
7TH SEMESTER
2013
MANIPAL HOSPITAL
ENTERTAINMENT
PRACTICES
EQUIPMENTS
USED IN CHECK
UP AREA
WAITING
AREAS_2
SEPERATE
GLUCOMETER
AMBIENCE
CEILING
CEC
TREATEMENT
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
56
7TH SEMESTER
2013
MANIPAL HOSPITAL
DERMATOLOGY
TV
CONSULTANT
ROOM
CONSULTANT
ROOM
DUTY
DOCTORS
ROOM
PROCED
URE
ROOM
STORE
STORE
ROOM
ROOM
LIBRARY
GENERAL
MEDICINE
dermatology
MICROSC
OPE
MICROSCOPE
ROOMROOM
CONSULTANT ROOM
NEOROLOGY
FIRST FLOOR
Dermatology is the branch

of medicine dealing with
the skin and its diseases, a
unique specialty with both
medical and surgical aspects'
PROCEDURE
ROOM
DERMATOLOGY
LOCATION_FIRST
FLOOR
USERS =100 PER DAY
ACTIVITIES
1.CONSULTATION
2.waiting in the
waiting area which is
next to the reception
2 SETS OF 3.PATIENTS COMING
WAITING IN FOR HAIR REMOVAL
AREAS
GENERAL MEDICINE
RECEPTION
NEOROLOGY
AESTH
ETIC
LASER
ROOM
OPTHAMOLOGY
WAITING AREA
LIFTS
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
3.5 M
MAIN ENTRY
57
REVATHI, PARVATHY
CIRCULATION
7TH SEMESTER
2013
PROPORTION
ROOM S
AREAS
1. PHOTOTHERA _6SQM(6%)
PY ,AESTHETIC
2. STORE ROOM 16SQM(14%)
3. CONSULTANT
9SQM(24%)
4.
5.
6.
7.
8.
ROOM ,3
DUTY DOCTOR
ROOM
PROCEDURE
ROOM ,2
MICROSCOPE
ROOM
LAB
CIRCULATION
AND WAITING
SPACE,REC
1. TOTAL
MANIPAL HOSPITAL
EQUIPMENTS
KEPT IN STORE
ROOM
1.CO2 LASER
2.ALMA LASER
3.ENDIAC
3.DPN
4.SUCTION MACHINE
5.SHR_SUPERFICIAL HAIR
REMOVAL
6.MICRO DURBO OPERATOR
EQUIPMENTS USED IN THE STORE

ROOM
9SQM(8.27%)
6.25SQM(11.46
%)
ALMA LASER USED

FOR HAIR
REMOVAL
9SQM(8.27%)
5SQM(5%)
30SQM(22.9%)
ENDIAC USED FOR
TATTOO REMOVAL
109SQM
CO2 LASER
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
58
7TH SEMESTER
2013
MANIPAL HOSPITAL
OPHTHALMOLOGY
Reception
First floor
Entry
Lifts
ophthalmology
s
1.
2.
3.
4.
LOCATION : 1st floor

NO. OF ENTRANCES : One
PHARMACY : Common OPD
pharmacy located at the ground floor
and a has an eye care shop at the
entrance.
TOILETS : Common toilets outside
the OPD for both doctors and
patients
5. RECEPTION : COMMON/SEPARATE = separate

NO. OF COUNTERS = one counter and one nurse station
TOKEN SYSTEM (YES/NO)= No
6. WAITING SPACES = capacity of 33 seats
7. NO. OF CONSULTATION ROOMS = 6
No of doctors = 9
AREA = 3x3 sq.m
SHARING/SINGLE = single
The consultants worked in shifts and the rooms were
occupied by the doctor according to the shift timings.
8. NO OF PATIENTS/DAY = 90-100max
9. WAITING HOURS = 15-30 mins
PATIENTS WITH APPOINTMENT = No waiting time
WALKING PATIENTS = 15-20 mins maximum
Optic shop
Lifts and staircase
Common corridor
Consultation and examination room
Fire escape staircase
Waiting area and circulation zone
Equipments
used
Drs desk
Desk
Chair
3*2.5 sq.m
Examination
chair
2.25s
q.m
Entry
Drs circulation
Patients
circulation
Examination chair
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
59
7TH SEMESTER
2013
Ophthalmology
Consultation room=
Corridor space=
Examination rooms=
LIGHTING
MOSTLY ARTIFICIAL LIGHTING
APPROX. 1 LIGHT FIXTURE ABOVE EACH
BED/CHAIR (1.5M- 2M APART)
WINDOWS PROVIDED IN ROOMS HAVING AN
EXTERIOR FACE SLIDING/FIXED
Diagnostic
room
Field room
cr
MANIPAL HOSPITAL
cr
VENTILATION
CENTRAL A/C SYSTEM
FEW ROOMS HAVE BEEN PROVIDED
WITH AN ADDITIONAL SPLIT A/C
sr
cr
3.0m
cr
R L
cr
cr
cea cr
3.0m
Consultation room
layout
Cr- Consultation room

Sr- staff room
Cea- collie eye anomaly
R- refraction room
L- Laser room
Lifts and staircase

Common corridor
Consultation & staff room
Main entrance double door 1.5m

wide
Consultation room door- 1.0-1.2m
wide
Rooms were lit by artificial lights
and had AC outlets.
The floors were covered with vinyl
sheets that are easy to maintain.
Walls were painted with calm
peach or white colours to avoid
any kind of anxiety.
1. Drs desk
2. Chairs
3. Computer
4. X ray machine
5. Storage desks
Fire escape staircase

Waiting area and
circulation zone
33 seats
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
60
7TH SEMESTER
2013
MANIPAL HOSPITAL
Pros and cons

PROS
THE OPD DEPARTMENTS WERE IN THE GROUNDFLOOR ,FIRST FLOOR AND THE 2 BASEMENTS WHICH WAS
HIGHLY CONVENIENT FOR THE PATIENTS.
THE OPD PHARMACY WAS PLACED IN THE GROUND FLOOR WHICH WAS EASILY ACCESSIBLE TO THE PATIENTS
USING THE OPD DEPARTMENTS.
THERE WERE CANTEENS AND BOOKSTORES INSIDE THE HOSPITAL PREMISES FOR ALL KIND OF USERS.
PROPER USAGE OF DIRECTIONAL SIGNAGES MADE THE USER FLOW CONVENIENT AND NON CONJUSTED.
EVERY DEPARMENT HAD ITS OWN SPACE AND PRIVACY ,NONE OF THE 2 OPD DEPARTMENTS WERE TOGETHER.
THERE WERE SEPARATE WAITING AREAS FOR EACH DEPARTMENT AND HENCE REDUCED ANY KIND OF
CONFUSION OR CONGESTION.
THEY EMPLOYED THE USE OF TOKEN SYSTEM TO AVOID CONFUSION DURING HEAVY CROWDING.G
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
61
7TH SEMESTER
2013
MANIPAL HOSPITAL
Pros and cons

CONS
THE TOILETS PROVIDED WERE USED COMMONLY BY STAFF AS WELL AS THE PATIENTS .
THERE IS NO IMMEDIATE CONNECTION BETWEEN THE INPATIENT DEPARTMENT AND THE
OUTPATIENT DEPARTMENT.
THE OPD DEPARTMENTS WERE ARRANGED NOT IN A ORDERLY MANNER .IT WAS SPREAD OUT
THROUGHOUT THE BASEMENT ,GROUND FLOOR AND FIRST FLOOR .THE PAEDIATRIC
DEPARTMENT WAS MIXED UP WITH A ADMINISTRATIVE SECTION.
THE ROOMS WERE GETTING CLUSTERED AS A RESULT OF EXPANSION OF SERVICES PROVIDED BY
THE HOSPITAL
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
62
7TH SEMESTER
2013
INTRODUCTION
The main block of narayana hospital is specialized in cardiology
opds.
The multispecialty hospital of narayana has other opds like
NARAYANA
HRUDAYALAYA
dermatology,opthamology,orthopaedic etc.
Narayana hrudayalaya initially started as a multispecialty clinic.
Later ,as the number o cardio patients started increasing they
decided to expand the department and make it the foundation .
The main wing of the hospital contains only out-patient departments

related to cardiology.
USERS
ACTIVITY
PHARMACY
PATIENT
VISITORS
WAITING
STAFF
CHECK OUT
CONSULTATION
CHILD
ADULT
ADMIN
DOCTORS
MAINTENANCE
ELDERLY
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
63
7TH SEMESTER
2013
LOCATION
Doctors enter from the main
Entry.
They have been allotted specific
parking spacethis will include
at the side and at the rear.
Way to multi
specialty
hospital
parking
The cardiology opd is accessed from the

main drop off area .
ENTRY
DROP OFF
MAIN
ENTRY
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
64
7TH SEMESTER
2013
LOCATION
The cardiology OPD department is in two floors.
the general opd is accessed from the main entry ie at the
drop off point.
There are 3 double door entrys.
The executive cardiology OPD is accessed from the waiting
area of the general opd.
The executive opd is accessible from 2 lifts and a staircase
around it
OPD
Ground floorGENERAL
First floorEXCECUTIVE
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
65
7TH SEMESTER
2013
ENTRANCE
Pharmacy-General
-Opd patients
-A part of future
development
The pharmacy being
outside is difficult as
visitors and patient have to
comeback to the doctor
sometimes
RAMP-2
RAMPS OF
1m WIDTH
KEY PLAN
DROP OFF
SECURITY
KIOSK
MAIN
ENTRY
6m
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
66
7TH SEMESTER
2013
GROUND FLOOR
OPD
The ground floor contains opd for

cradiology,pediatric and dental.
It is approached by 3 double door entries
CARDIOLOGY
MAIN RECEPTION
AND WAITING
DENTAL
PEDIATRIC
Verandah seating
Reception
Travel desk provided for
patient convenience
Reception
cash
cash
Toilets at 1 level
down
5 w/c
3 wash
basin
1 storage Common waiting 21x3(2
IDOL IN THE
FRONT
-AESTHETICALLY
PLEASING
Key plan
Pre-operative cell
ENTRY
sets)- 126 seats

AREA=0.5X0.8X126=50.4sqm
Column size-300x600mm
Grid-8.5x4.6
PLAN
LEGEND
PATIENT
CIRCULATION
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
67
7TH SEMESTER
2013
CONNECTIVITY
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
68
7TH SEMESTER
2013
GROUND FLOOR
THE OPD ACTIVITY IS RESTRICTED TO THE

FRONT
THE IPD AND OTHER DPARTMENTS START
AFTER THE BRIDGE
OPEN PLAN AND GOOD

CONNECTION TO OUTSIDE
PROPER BUFFER
SPACES
BETWEEN MAIN
ENTRY WAITING
AND
SUBWAITING
EACH
CONSULTATION
ROOM HAS A
WINDOW-NATURAL
LIGHT
USE OF
COURTYARDS
BARRIER FREE
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
69
7TH SEMESTER
2013
CARDIOLOGY OPD
CARDIOLOGY DEPARTMENT(HOSPITAL)--11 cardiologists
7 critical care
10 anesthesiologists
ONLY THE CARDIOLOGISTS AND CARDIAC SURGEONS
HAVE CONSULTATION ROOMS IN THE OPD DEPARTMENT
Working hours 9am-5pm
Each doctor has a private secretary
seated outside
NO OF PATIENTS PER DAY=50-60
9 : 18 =CONSULTATION ROOM :SEATING
Consultation
rooms3mx3.9m
Key plan
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
Grid -4.4X4.5
approx.
70
PLAN
Waiting
2 sets of 9 chairs each on
both sides
Total-162seats
ARA=0.5X0.8X162=64.8sqm
7TH SEMESTER
2013
CARDIOLOGY OPD
Number of consultation room=18
OPEN PLAN
USE OF COURTYARD
NATURAL LIGHT AND
VENTILATION
main
entry
Key plan
EACH CONSULTATION
ROOM HAS A
WINDOW
PROPER BUFFER SPACES

BETWEEN MAIN ENTRY
WAITING AND SUBWAITING
CONCEPTUAL PLAN
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
71
7TH SEMESTER
2013
CARDIOLOGY
TYPICAL CONSULTATION ROOM
Services-sink-plumbing, A/C , switches.

Luminaire over consultation bed and
doctors desk
Typical consultation room consists of

Consultation desk
Consultation bed
3 chairs
1 sofa
X-ray viewer
Computer
Each doctor had a private secretary seated outside that
controls the flow of patients
Window dimensions-2x1.5m
Venetion blinds
sink
Windows facing outside with
venetian curtains for controlled
lighting in consultation rooms.
X ray viewer
Centralized
A/C for the
entire OPD
through
ventilation
ducts
through false
ceiling.
Curtain rails
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
72
7TH SEMESTER
2013
PEDIATRIC OPD
Total of 7 doctors
The pediatric department has a small play area for the
children
The pediatric department is specialized in cardiology
It has a total of 25 seats-0.8x0.5x25=10sqm
Roomsconsultation rooms-7
Feeding room
Number of patients per day 50-70
RECEPTION
Key plan
Play area
Aesthetically pleasing
Consultation rooms
Consultation room
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
73
7TH SEMESTER
2013
PEDIATRIC OPD
WAITING-XRAY
Ductfor the
toilets in the
wards above
Key plan
TYPICAL
CONSULTATI
ON ROOMPEDIATRIC
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
74
7TH SEMESTER
2013
SIGNAGES
GROUND FLOOR
FIRST FLOOR
Fire exit
Info desk at the entry
Directional signage
Consultation
room(cardiology)Doctors name
Room no
Consultation
room(cardiology)Doctors name
Room no
List of departments and labs in

the main entry waiting
Registration and
cash
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
75
7TH SEMESTER
2013
FIRST FLOOR
The first floor consists of executive opds
It is accessed by 2 lifts and a stair around them
The executive opd is for the private patients
It is approached by a glass partition.
Lift lobby-coffee kiosk
Chairs-12
Round tables of 1.5m diameter
RESTROOMS
2 w/c,1 handicapped toilet,3 wash basin,1 dustbin
EXCECUTIVE
OPD
(CARDIOLOGY)
Key plan
TMT ROOM
ECG ROOM
SPECIMEN COLLECTION
XRAY ROOM,ELECTRO ROOM
12 DOCTORS
10 CONSULTATION
ROOMS
REGISTERATION AND CASH

FOR GENERAL AND
CORPORATE
INTERNATION DIVISION
STAFF TOILETS
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
76
7TH SEMESTER
2013
FIRST FLOOR
The executive opd is visited by
scheme patients .
It is for fast consultation
each consultation
room has a window
TO IPD
-ACCESIBLE TO
DOCTORS AND
STAFF
18:10=GENERAL OPD :EXECUTIVE OPD

NO OF PATIENTS=60-70
TOTAL NO OF
SEATS=79+35+4+13=131
13 seats
SPECIMEN
COLLECTION
35 GENERAL WAITING
Area =35X0.5X0.8=14sqm
Coffee kiosk
THE CHAIRS FOR COFFEEE

KIOSK OUTSIDE IS LESS
COMPARED TO THE NO OF
WAITING SPACES INSIDE
LIFT LOBBY IS SMALL
COMPARE TO THE DENSITY
OF PEOPLE
PLAN
12x3 seats +9x3 +9+7=79 seats

Area =0.8X0.5X79=31.6
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
77
7TH SEMESTER
2013
ENTRY TO IPD FOR DOCTORS AND STAFF
RAMPED APPROACH
DOUBLE DOORS
ALSO FIRE EXIT.
GRANITE FLOORING
WOODEN
PANELLEND CEILING
SIGNANGES
AHU
GROUND FLOOR-2
FIRST FLOOR -1
COVE LIGHTING
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
78
7TH SEMESTER
2013
BASEMENT
Converted to
office
Medical
records
room
The restrooms for the main entrance and

for opd patients is 1 level down
This is accessed by stairs near the lift for
the executive opd
The stairs are almost 0.9m which is narrow
for the amount of people.
The basement also has a store room and a
cloakroom converted office which also use
the same stairs for access.
The buffer space at the end of the stairs is
really crowded
Women toilet
5 w/c,3washbasin,1 storage
Gents toilet
6 toilets
the restroom area is crowded as it is near the office and medical

records of ipd and the stairs are very narrow due to the addition of
the stairs leading to the executive opd
Key plan
not sufficient restroom compared to waiting ratio

Stair width-0.9 m
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
79
7TH SEMESTER
2013
FIRE ESCAPE PLAN
RAMP
21.2 m approx
45 m approx
STAIR
23 m approx
STAIR
51 m approx
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
80
7TH SEMESTER
2013
NARAYANA
HRUDAYALAYA-MULTI
SPECIALITY
INTRODUCTION
Narayana Hrudayalaya, headquartered in the city of
Bengaluru, India, is one of India's largest multi-specialty
hospital chains. The Bangalore cardiac unit of Narayana
Hrudayalaya is one of the world's largest pediatric heart
hospitals. Narayana Hrudayalaya also receives patients
from outside India, and it has created a record of
performing nearly 15,000 surgeries on patients from 25
foreign countries. It has 5,000 beds (as of 2012) and it is
building large hospitals across India totaling 30,000 beds,
to enable it to gain large economies of scale and bargain
down the cost of supplies to the hospitals.
Apart from cardiology, the hospital also offers treatments
in the area of Neurosurgery, Pediatrics, Neurology,
Gastroenterology, General Surgery, Dental, Nephrology,
Urology, Transplants, Nuclear Medicine, Medical Imaging
and Radiology. It also houses a Blood bank and
Laboratory. With the help of ISRO, Narayana Hrudayalaya
has pioneered some of the aspects of Telemedicine.
Emergency Entry
Patients Entry
Service Entry
Hospital Entry
from Main Road
Hospital Entry from Main Road

Front elevation of the MultiSpeciality hospital
The Main Lobby of the Hospital with

the Main Reception and the seating
areas.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
81
7TH SEMESTER
2013
NARAYANA HRUDAYALAYA
USERS/ACTIVITIES
Activity Movement for Doctors
Activity Movement for Nurses
Number of doctors 130
Number of nurse 1,200
Number of patients each day

1500+
Activity Movement for Patients
Activity Movement for Admin.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
82
7TH SEMESTER
2013
NARAYANA HRUDAYALAYAMULTI SPECIALITY
LOCATION
LEGEND
WAITING LOBBY
VERTICAL TRANSPORT
1. OPD for General Medicine,
etc.
2. OPD for dental, urology,
prosthetics, etc.
3. OPD for Neurology,
Gastrology.
4. OPD for Oncology,
Pediatrics, Chemotherapy.
I.C.U.
EMERGENCY
A.H.U. Room
ADMINISTRATION
CASH COUNTER
PHARMACY
TOILET
CHEMOTHERAPY
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
83
7TH SEMESTER
2013
NARAYANA
HRUDAYALAYAMULTI SPECIALITY
LAYOUT OF DEPT.
Connectivity with other

Every department has 3-4 consultation rooms
Dept.
depending on the number of doctors and patients.
Some departments have a Minor OT attached to it.
A number of 6-7 nurses are appointed for each
department.
Oncology 3consultation rooms
1 minor OT
Endoscopy room
Pediatric 4 consultation rooms
1 triage (emergency)
4 main hospital buildings

connected to 1 lab
building.
Each floor of the OPD is

connected through a
series of Ramps and
staircases.
Central Registration
Out-Patient Registration
Consultation
Investigation
Radiology
Laboratory
Flow of patients from

within an OPD from
central registration to
consultation.
Consultation
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
84
7TH SEMESTER
2013
NARAYANA
HRUDAYALAYA-MULTI
SPECIALITY
CIRCULATION
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
85
7TH SEMESTER
2013
COMPONENT OF A ROOM
Doors And Windows

Each Room Contains :
Most of the consultation rooms
contain 1 main door for both
doctor and patients entry.
Some consultation rooms have
two separate entry doors.
Most consultation rooms contain
one large window with either
venetian curtain with transparent
glass or normal curtains with
trasclucent glass.
A diagram of a general consultation room
with dimensions.
Each Room Contains :

A desk with computers, doctors
accessories, etc.
One chair for doctors, 2 more for
patients and associates.
A bed with curtains hanging from
ceiling.
A washbasin.
Cupboards on wall for storage.
Desk&Chair
19.0%
Bed
41.22%
15.11%
12%
12.67%
Distance between to
columns =
1. 10m
2. 8m
3. 5m
Various Sizes of columns

=
Equipments 1. 1.2mX1.2m
Open Space 2. 0.8mX0.3m
3. 0.6mX0.3m
Store
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
86
7TH SEMESTER
2013
MATERIAL AND FINISH
BARRIER FREE ARCHITECTURE
Corridor
1. Walls White washed, Dadoeing, Crash

Guard with hand rails.
2. Ceiling White washed with false ceiling,

lighting and ventilation ducts.
Ramps going through the vertical height

of the entire building.
Separate Toilets for physically disabled.
Handrails on the walls along corridors
and ramps.
3. Floor White Marble.
Consultation Rooms
1. Doors & Window Wooden doors and

aluminum cased windows with translucent glass
panels, for viewing.
Provision of
hand rails in
corridor
2. Walls Painted with light colours.
Provision of
wheel chairs
3. Desks and chairs wooden.

Dado work on
walls
Aluminum cased
Windows
White Marble
Floor
Provision of
hand rails
along ramp
Provision of
ramps
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
87
7TH SEMESTER
2013
NARAYANA HRUDAYALAYA-MULTI
SPECIALITY
LIGHT/VENTILATION
Glass curtain wall through the entire height of

the building in the lobby.
Lobby lighting through artificial ceiling lighting.
Natural lighting some waiting spaces and

consultation rooms.
Consultation rooms ceiling lights, translucent

panels on doors and walls in some.
Central A/C for all consultation rooms,

examination rooms, waiting spaces, etc.
Centralized A/C for

the entire OPD
through ventilation
ducts through false
ceiling.
1 AHU room in
each floor.
Ceiling Lights Along
corridors and in
Consultation Rooms
Glass curtain
wall for
natural
lighting in
waiting spaces
with a
dynamic view
of the outside
Seating Area
Windows facing outside

with venetian curtains
for controlled lighting in
consultation rooms.
Large windows for

maximum lighting
in staircases.
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
88
7TH SEMESTER
2013
NARAYANA HRUDAYALAYAMULTI SPECIALITY
FIRE ESCAPE ROUTES
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
89
7TH SEMESTER
2013
COMPARATIVE
ANALYSIS
10. OPD.xlsx
REVATHI, PARVATHY
POOJA, SHRETIKA
SURBHI, ELIZABETH
RIYA, DIPAL
90
7TH SEMESTER
2013

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4

HOSPITAL DESIGN: CASE STUDY

ARCHITECTURAL DESIGN 7TH SEMESTER

Columbia Asia offers OPD services for the following

HOSPITAL DESIGN: CASE STUDY

Vertical arrangement seen from

Layout of OPD department

HOSPITAL DESIGN: CASE STUDY

In the waiting area the

Patients who have a

The doctor can ask for further

HOSPITAL DESIGN: CASE STUDY

New patients without

From here they are called by the

HOSPITAL DESIGN: CASE STUDY

HOSPITAL DESIGN: CASE STUDY

Area of admin and billing71.065sq m

HOSPITAL DESIGN: CASE STUDY

Common waiting area for the

Total number of seats-88 seats

Taking 800 patients

HOSPITAL DESIGN: CASE STUDY

HOSPITAL DESIGN: CASE STUDY

PLACEMENT OF AREAWAITING AREA

HOSPITAL DESIGN: CASE STUDY

HOSPITAL DESIGN: CASE STUDY

FACILITIES IN THE WAITING

Age group- 3 to 6 years

HOSPITAL DESIGN: CASE STUDY

Furniture and fittings present

LAYOUT OF CONSULTATION ROOM

HOSPITAL DESIGN: CASE STUDY

HOSPITAL DESIGN: CASE STUDY

Signs with consultation room

Signage with names of doctors and theirs

HOSPITAL DESIGN: CASE STUDY

Lighting in waiting area use of diffused lighting in the

Lighting in consultation roomlight directly above the

HOSPITAL DESIGN: CASE STUDY

Consultation roomVinyl flooring

HOSPITAL DESIGN: CASE STUDY

Maximum distance to be covered

HOSPITAL DESIGN: CASE STUDY

Temporary blinds that can be

HOSPITAL DESIGN: CASE STUDY

VIKRAMS HOSPITAL -200 bedded hospital.

-Patients & their accompanying

-Doctors & Nurses

HOSPITAL DESIGN: CASE STUDY

SITE PLAN AND ENTRANCE

ICU AND IPD

OTS AND IPD

-SECONDARY RECEPTION ACTIVITYMAINTAINING APPOINTMENTS OF

-Pathology lab on first floor a later

HOSPITAL DESIGN: CASE STUDY

SITE PLAN AND ENTRANCE

HOSPITAL DESIGN: CASE STUDY

SITE AND ENTRANCE LAYOUT

The frontal part of the site is given away for two

HOSPITAL DESIGN: CASE STUDY

WAITING AREA LOCATED

OTHER OPDS &