In short: For NCISM assessment, an Ayurveda college's teaching hospital has to show enough patients for the students it admits: an average daily OPD of at least twice the annual intake, and one IPD bed per student. Those figures come from the hospital's records — registration, department OPD, IPD admissions, the midnight bed census and case sheets — and they must agree with each other.
Most colleges do not fail an inspection because they lack patients. They lose marks because the records cannot prove the patients they had: department registers that don't add up to the central register, bed census figures with no case sheets behind them, or a year's OPD totalled in a hurry the week before the visit.
This guide covers what the regulations count, which records produce those counts, and the gaps assessors notice most.
The hospital requirements for undergraduate colleges are set by the NCISM Minimum Essential Standards, Assessment and Rating Regulations, 2024 for Ayurveda colleges and attached teaching hospitals. They replaced the CCIM minimum standard regulations of 2016. Postgraduate departments are covered by separate standards with their own, usually higher, requirements.
Two ratios drive most of the hospital requirements:
| Annual UG intake (students) | Minimum average daily OPD (patients) |
|---|---|
| 60 | 120 |
| 100 | 200 |
| 150 | 300 |
| 200 | 400 |
Knowing the rules for counting matters as much as the patients themselves, because an assessor will recalculate from your records.
Average daily OPD. The total OPD attendance for twelve months divided by 300 days. A hospital with 60,000 OPD visits in the year has an average daily OPD of 200 — enough for an intake of 100.
Bed-days. A bed occupied at midnight is one bed-day. A patient discharged before midnight, or admitted for day care, counts as half a bed-day. That makes the admission and discharge time important, not just the date.
Bed occupancy. Bed-days occupied, divided by (beds × days in the period), multiplied by 100. A 100-bed hospital with 1,800 bed-days in a 30-day month has 60% occupancy.
Calculate these monthly, by department, not once a year. A department running short in the third month can still recover; one discovered in the eleventh cannot.
| Record | What it holds | What it proves |
|---|---|---|
| Central registration register | Registration number, date, name, age, sex, address, department sent to | Total and new OPD; one number per patient |
| Department OPD register | Date, registration number, new or old, diagnosis, treatment, doctor | Department-wise OPD attendance |
| IPD admission & discharge register | IPD number, admission and discharge date and time, ward, bed, department | Admissions, length of stay, bed-days |
| Daily bed census | Beds occupied in each ward at midnight | Bed occupancy by ward and department |
| IPD case sheet | History, examination, daily progress notes, treatment, discharge summary | That admissions are genuine and treated |
| Panchakarma / procedure register | Patient, procedure, date, therapist, OPD or IPD | Procedure counts per department |
| Pharmacy dispensing record | Prescription, medicine, quantity, date | That patients actually received treatment |
| Lab and radiology register | Investigation, patient, date, result | Investigations matching the patient load |
| Students' clinical case records | Cases taken by each student, department, supervising teacher | Clinical exposure of students |
The central registration number is the thread that ties these together. If a patient has one number for life and every department register, admission and dispensing entry uses it, any figure can be traced back to real patients. If departments issue their own numbers, they can't.
Ayumanager PRO records every registration, visit, admission and discharge once, and gives department-wise OPD, IPD and bed occupancy reports for any month or academic year.
See the full picture on our software for Ayush colleges page. If your hospital is also working towards accreditation, our NABH documentation checklist covers the records NABH asks for.
Which regulations set the hospital requirements for an undergraduate Ayurveda college?
The NCISM (Minimum Essential Standards, Assessment and Rating for Undergraduate Ayurveda Colleges and Attached Teaching Hospitals) Regulations, 2024. They replaced the CCIM minimum standard regulations of 2016. Postgraduate departments have separate minimum standards. Always check the current notification on ncismindia.org, because NCISM amends these from time to time.
How is average daily OPD attendance calculated?
Under the 2024 undergraduate regulations, the year's total OPD attendance is divided by 300 working days. A hospital that recorded 60,000 OPD visits in twelve months has an average daily OPD of 200.
How is a bed-day counted?
A bed occupied by a patient at midnight counts as one bed-day. A patient discharged before midnight, or admitted only for day care, counts as half a bed-day. Bed occupancy is the bed-days occupied divided by the beds available multiplied by the days in the period.
What records do assessors usually check?
The central registration register, department-wise OPD registers, the IPD admission and discharge register, the daily bed census, IPD case sheets, Panchakarma and procedure registers, pharmacy dispensing records, laboratory and radiology registers, and students' clinical case records. The figures in these records must agree with each other.
Can a college keep these records in software instead of paper registers?
Yes, and it makes the figures far easier to defend, because each visit, admission and discharge is entered once and the counts are calculated from those entries. Keep the ability to print any register for a given date range, since assessors may ask to see it on paper.
Book a demo and we'll show you how OPD, EMR, Panchakarma, and documentation actually work in the product.
