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16, 30 Nov ’12, Pages 4

THE AMBULANCE TIMES ~Touching everyone associated with Emergency Medical Services~

Non-emergency medical helpline 10 4 l a u n c he d AHMEDABAD: GVK EMRI, the entity behind the 108 emergency medical services available in 14 states and union territories, has started 104 - medical information helpl i ne. T he s er v ice wa s launched at an event in Silvassa on Wednesday. The non-emergency helpline will cover the union territories of Diu, Daman, Dadra and Nagar Haveli. Administrator, union territories, Bhupinder SinghBhalla launched the service in presence of EMRI officials. “The 104 call center w ill have specia lly t ra ined counselors, doctors, paramedics to answer questions from callers. The toll-free number Pg 4

A m b u l a n c e ow ner, d r iver found dead in van GU RGAON: A n a mbula nce owner and his driver were found dead at the HUDA ground in front of Euro International School in Sector 10 early Friday. The two are suspected to have been killed by some sharp weapon. Police have lodged a case of murder against unknown persons on the statement of the dead ambulance owner’s brother.”Our special teams are investigating the case. It seems to be a case of personal rivalry and a sharp ..Pg 3

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Delhi dengue update: 36 new cases India November 17(IM):With 36 new cases on Friday, the number of dengue patients continued to go up in the national capital, official data said. With this, the total number of people s u f fer i ng f rom t he mosquito-borne disease has touched 1,608. Of the 36 new cases, 10 each are in North and East Delhi Municipal Corporations and rest 16 from South Delhi Municipal Corporation (SDMC). Since dengue hit the capital this year, SDMC has

reported the maximum number of cases at 610. There have been four deaths so far. Apart from Delhi, 12 dengue cases originated from neig hbouring states pushing the total to 1,620. In 2011, a total of 891 deng ue c a s e s were reported in Delhi, down from a total of 5,769 cases in 2010.

Officia ls sa id the unusually high figure in 2010 followed massive construction activit y for the

Get free ambulance ser vice from 2013 Mumbai: The new year will see the state launch an Emergency Medical Service (EMS), which had run into trouble due to litigation. The ambulance service was mooted about four years ago, but had run into teething problems. Recently, a Supreme Court ruling cleared the pitch for the state health department to launch the service. A tender was floated last year and a U K-based ambulance service provider along with an Indian firm, Bharat Vikas Group (BVG), was selected for the project. This year, another EMS service provider, whose bid was rejected, approached the Bombay high court and later the Supreme Court, which ruled in favour of the state. The emergency medical service meant to offer assistance to accident victims and other critical patients in the crucial first hour will be launched next

year. “A three-member team of All I nd ia I nst it ute of Med ica l Sciences was appointed to set the technical specification required for the EMS,” said a senior official. If everything goes well, the work order will be issued in a couple of months. The ambulances with advance life support and basic life support will be on roads in phases. The state will spend around Rs900 crore for the project for five years and 937 ambulances will be launched across the state. A total of 247 ambulances will be deployed in corporations like Mumbai, Thane, Pune, Aurangabad and Nagpur. “We will enter into an agreement with the company and also issue a work order soon,” said an official of the health department. Abstracted from: DNA Daily News & Analysis

Mom, newborn die in ambulance BELGAUM: A pregnant woman, who was on her way to a hospital in an ambulance, delivered a baby in the vehicle, but both the mother and the newborn died before reaching the City Civil hospital here on Friday. According to Kanapur Police, Bommu Bai Janu Sindhe,31, of Gowli Wada village of Kanapur Taluk, was taken to the Kanapur government hospital on Friday morning. Doctors in the hospital referred her to the City Civil hospital for further treatment. On the way to the City Civil Hospital, Janu delivered the baby

which was stillborn.

A few minutes after the delivery, Janu also died before reaching the hospital. ``Both the mother and the new born were brought dead. There are various reasons like bleeding, high blood pressure and fits for the deaths, said City Civil Hospital superintendent Kalsad. After a post-mortem, the bodies were handed over to family members. Kanapur police have registered a case of natural death. Abstracted from: The Times of India

Commonwealth Games, which pulled in workers from neighbouring states and also created stagnant pools of water for mosquitoes to breed. Dengue fever is a communicable disease, and its symptoms include high fever for four to five days, usually accompanied by severe headache, pain in the eyes, muscles and joints and rashes. After the fever goes away, the blood platelet count starts dipping. This is the most dangerous phase of the disease, and can lead to fatal multi-organ failure, say doctors ABSTRACTED FROM: INDIAN MIRROR

Locals damage ambulance, fire brigade after road accident Barasat (WB), Nov 28 (PTI) After a truck ran over a man in North 24 Parganas district, agitated l o c a l s tonight set an ambulance on fire besides damaging o t h e r vehicles including a fire brigade vehicle plying on the road. Police have detained some people from the spot after a team rushed to control the situation in Barasat’’s Taki Road.

Angry locals set afire three vehicles including an ambulance after t he acc ident a nd damaged a number of other vehicles, police said. A fire brigade which went to the spot to cont rol the bla ze from spreading also faced the wrath of locals as the vehicle was also attacked. Police said the situation is now under control. Abstracted from : msn news


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2 accused taken on 2-day police remand GU RGAON: In the double murder case of an ambulance van owner, Bijendra Chauhan alias Kukku, and his driver, Rajendra, police produced the two accused, who were arrested on Wednesday, in a city court on Thursday. Police took them on two days’ police remand and were interrogating them. After taking them on remand police recovered the iron rods which were used by them in the double murder. After killing the van owner and his driver the accused had stolen the oxygen gas cylinder from the ambulance van, which was recovered by police from their rented room, said an investigating officer. Police investigation into the double murder revealed that six people, including a former driver

of the deceased ambulance van operator, had killed the two in Sector 37 and later left the bodies in the abandoned van in Sector 10. Police arrested two of the accused on Wednesday, but the mastermind, Rahul, and three others are still at large. Kukku and his driver, Rajendra, were found dead in the HUDA ground in front of Euro International School in Sector 10 early last Friday (Nov 23. The a rrested persons were identified as Akhilesh, resident of Singhan Khera village in Bharatpur district of Rajasthan, and Jaikaran Yadav, resident of Nangla Dakau village in Etawah in Uttar Pradesh. Both were living in Anjana Colony as tenants and Akhilesh ran a grocery shop in the colony.

On Thursday after taking the accused on police remand, the crime branch team reached the rented room of accused Rajkaran, where Rahul, the mastermind of the double murder was also living with him. Police have recovered an oxygen cylinder, which was stolen by the accused from the ambulance van and they have desire to sell the cylinder after some days. Police also recovered two iron rods, which were used in the double murder. “ We h a ve i d e n t i f i e d a l l t he acc used i nclud i ng t he mastermind, Rahul. Our teams are on the lookout for the ones on the run,” Surendra Pal Singh, DCP (West), told TOI. Abstracted from: The Times of India

Postnoon campaign: Hyderabadi’s… give way for the ambulance Disrespect shown to emergency services marks the City traffic behaviour which often results in loss of life and property. Road users ought to be taught to give way to fire and ambulance services. Ambulance comes wailing for way, sounding the urgency on the need to convey a seriously ill patient to the hospita l at the ea rliest. Fire engines rush a long clanging bells, reminding other road users of misery raging in some pa r t of t he City. But do the motorists ca re? Not a we e b i t . Sights are too common when an ambulance bearing dying patients get caught in traffic, growling and panting all the while for space. When a residential building in Manikonda was gutted by a blaze recently, fire engines and ambulances that were pressed into service could not reach on time which resulted in huge loss of lives and property. Everyday law that we generated is insulted by our callousness. Accord i ng to t ra f f ic laws , “Move Over Law” under the Road Traffic Act demands every commuter and vehicle to make way for an ambulance or a fire engine if they run with a siren on. Obstructing these vehicles is punishable under the law. But neither the people nor the police

bother to respect law. A na nd R aj, a n a mbu la nce driver for a private hospital in Somajiguda, says, “The tension of reaching the hospital is more during day. In the more thickly populated areas like Nampally, Bazaar Guard, Old City, I have been stalled in traffic while trying

to drop seriously ill patients to the hospital. That fact that I bear responsibility for someone’s life and to see the time ticking away is depressing.” There was a proposal to mark lanes exclusively for emergency services and VIP movements but that did not materialise due to the choking traffic population. People at the site of the recent Manikonda fire mishap raised questions as to why VIPs and some rich people get their traffic movements coordinated while ambulances and fire services are never given the same priority. Additional commissioner (traffic) CV A nand, says, “It is not true that VIPs get preferential t re at ment over emergenc y services. We have trained our

Emergency MedicinE PEARLS

department staff to always help emergency services plying on the roads and make way for them. In fact, we have even prepared them for terrorist attack situations that demands complete coordination over traffic to allow special security forces to take over.” A senior official from Cyberabad Traffic Police too reiterates that a m bu l a n c e a nd fire services are g iven pr ior it y over normal f low of t ra ff ic. “The Manikonda i nc ident wa s a one-off incident where emergency a mbula nces a nd fire engines were allowed to move as swiftly as they could.

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U K Musl i m g roup donates ambulance van to Al-Shifa Hospital in the presence of Jamaat leaders New Delhi: Indian Muslim Relief Com m it tee ( I M RC -U K ) on Saturday donated an ambulance van to Al-Shifa Hospital here in the presence of Ja ma at- eI sl a m i H i nd l e a d e r s . IMRC-UK chairman Mr. Rizwan Ahmed Falahi handed over the key to the hospital management at a simple program arranged at the premises of the hospital. At his visit to the hospital which is run by Human Welfare Trust, Mr. Falahi appreciated the work. While speaking at the program he promised more support to the hospital. The program was presided over by National Secretary of Jamaat Er. Mohammad Salim and conducted

by Mr. Rafeeque Ahmed, Treasure of HWT. Other Secretaries of Jamaat present at the occasion w e r e Maulana Rafeeque Q a s m i , Ejaz Ahmed A s l a m , Ashfaque Ahmed and Mohammad Ahmed. Mr. Rizwan Falahi also visited J I H headqua r ters a nd met Ameer-e-Jamaat Maulana Syed Ja la ludd in Umri, Secreta r y General Nusrat Ali and National Secretary Er. Mohammad Salim. He discussed various issues concerning Muslims in India and UK with the Jamaat leaders. Abstracted from: Jamat-E-Islami hind

All peripheral hospitals to get Critical Care Ambulances T he Ja m mu a nd K a sh m i r government has decided to equip all peripheral hospitals with fully loaded Critical Care Ambulance (CCA) and other lifesaving healthcare facilities in the state. Steps have already been initiated for equipping all peripheral hospitals with fully loaded Critical Care Ambulances, CT Scan and other lifesaving healthcare facilities, Minister for Health Sham Lal Sharma said. He said the government is committed to provide all basic and necessary healthcare faci l it ies to a l l periphera l hospitals of the state. Mr Sharma

urged upon the medical and paramedical staff to maintain the sanctity of their profession by performing their duties with dedication, passion and spirit of humanit y and sympathy, besides utilising efforts so that people can get better healthcare facilities at their door steps. He also hailed the efforts of doctors for rendering best healthcare services in the valley. Mr Sharma impressed upon them to maintain the tempo of their excellent services for the society. Abstracted from : Webindia123

“In the department too, nobody has ever received a complaint about fire engines being delayed and we have cer t a inly not received a ny complaints about preferences towards VIP movements. Now that you have this issue, we will certainly discuss it with the staff during the next meeting,” he said. It must be noted that those who believe that there are no complaints about VIPs getting preferentia l treatment over nor m a l com muter s shou ld check the flood of complaints and suggestions on the traffic police page on social websites. However, like all civic issues in Hyderabad, this too will get a quiet burial. Abstracted from: Postnoon News

Clinical trials shows that, except for plasma concentrations of lidocaine, both 2% and 4% lidocaine administered topically by a spray-asyou-go technique via the fiberoptic bronchoscope are equally safe and efficient for airway topical anesthesia.


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Haryana establishes 7 P r e - p a id 2 4x7 a m b u l a n c e trauma centres along service at Capital Hospital soon n at ion a l h ig hways C H A N D I G A R H : H a r ya n a Chief Minister, Bhupinder Singh Hooda on Friday expressed his concern over a large number of deaths due to road accidents and called for measures to reduce the number of such deaths adding that use of helmets can definitely bring down head injury deaths. The chief minister who was inaugurating 5th International C on ferenc e on I nte g rated Approach to Trauma Care in New Delhi, said that first hour of the injury is golden hour and if medical care is provided to the victim immediately, his life can be saved. He recalled that he had also met with a severe accident long ago and he was saved because he was wearing helmet. Ho o d a c a l le d for t i m ely transportation of road accident victims to the nearest health facility and emergency care. He said that it is shocking to note that about 13 lakh people die every year because of road accidents and this is the major cause of death of young people between the age 15-29 years. Besides timely transportation of the injured, this necessitates quick and comprehensive response by team of specialists. Hooda said that the Government of India is serious on this issue and proposes to set up 250 trauma centres all over the country in the next five years. Government of Haryana has established seven trauma centres in the state along National Highways at Ambala, Karnal, Panipat, Rewari, Yamunanagar, Sirsa and Bahadurgarh. These centres have been provided requisite staff of doctors and paramedical staff, along with necessary equipments. St ate G over n ment i s a l s o

providing free transportation to ro a d a c c id ent v ic t i m s through A mbulance Service 10 2 . A s m a n y a s 3 4 3 Ambulances and 24 Advanced Life Support Ambulances are providing emergency care and transportation to the needy people in the State. Hooda said that to provide quick and quality emergency care to the trauma patients, trained human resource still remains a key challenge. He expressed happiness that the premier institution, the AIIMS is providing a nationwide platform for training of the human resource for trauma centres.

Hooda expressed confidence that this conference would go a long way in further improving our preparedness to deal with trauma cases and thereby help save precious lives. Dr MC Mishra, Dr Shashi Wadhwa and Muzaffar Ahmad also laid stress on the need to improve trauma care services. They also stressed the need to work on safety issue and said that existing resources must be integrated to reduce the trauma cases. On this occasion, Mr Hooda also gave away mementos to the foreig n delegates. T he Con ference wa s orga n i zed by Indian Society of Trauma and Acute Care (ISTAC). Dr M.C.Mishra, Chief of the Trauma Centre at AIIMS and President of ISTAC, Dr Shashi Wadhwa, Dean of AIIMS, Mr Muzaffar Ahmad, Chairman of National Disaster Management Authority, Dr Amit Gupta, Secretary of ISTAC and a number of delegates from India and abroad, including USA,UK, Sri Lanka, Israel attended the conference. Abstracted from: The Times of India

All peripheral hospitals to get Critical Care Ambulances The Jammu and Kashmir government has decided to equip all peripheral hospitals with fully loaded Critical Care Ambulance (CCA) and other lifesaving healthcare facilities in the state. Steps have already been initiated for equipping all peripheral hospitals with fully loaded Critical Care Ambulances, CT Scan and other lifesaving healthcare facilities, Minister for Health Sham Lal Sharma said. He said the government is committed to provide all basic and necessary healthcare facilities to all peripheral hospitals of the state. Mr Sha rma urged upon the

medical and paramedical staff to maintain the sanctity of their profession by performing their duties with dedication, passion and spirit of humanity and sympathy, besides utilising efforts so that people can get better healthcare facilities at their door steps. He also hailed the efforts of doctors for rendering best healthcare services in the valley. Mr Sharma impressed upon them to maintain the tempo of their excellent services for the society. Abstracted Webindia123

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BHUBANESWAR: The Capital Hospital will very soon begin its 24-hour ‘pre-paid ambulance ser v ice’ f rom the hospit a l premises in a bid to tackle the acute shortage of ambulances that the hospital faces on a d a i ly basis. On an average, the hospital gets a round four or five emergency calls for an ambulance ever yd ay. A majority of the calls involve referrals of its patients to other hospitals in the city and Cuttack.

Sadly the hospital has just one ambulance at its disposal for public use and two more for VIP use (Chief Minister and Governor). The hospital authorities have faced a lot of flak in the past for shortage of ambulances and no action being taken by the authorities to improve the situation. “ We have st rea m lined the numerous private ambulances that are usually present on the hospital campus and they have agreed to be a part of this pre-

paid ambulance service. Once the service is operational, the patients and their families will benefit as the drivers have to stick to a rate chart prepared by the us,” said Capital Hospital

Chief Medical Officer Sudarshan Dash. According to Dash, the private ambulance drivers used to extract more money from the patient’s family during emergencies taking advantage of situation. A separate stand for the pre-paid ambulance has been constructed near the diarrhoea ward. Around 15 private ambulances will be a part of the new service. Anyone who needs the service will have to pay for its use at the pre-paid ambulance counter. Two receipts will be issued, one will be given to the customer and another

will be signed after the patient reaches destination safely. “The payment to the driver will be done only after the second receipt is produced before us,” added Dash. He is hopeful that the service will be launched either this month or the beginning of December. The ambulance service will be used mostly for accident cases or the patient referral cases to other hospitals that come up on a daily basis. The hospital still lacks the facilities to carry patients from their homes to the hospitals in times of emergencies in spite of being a major government hospital in the Capital. Along with this facility, the authorities are also slated to inaugurate the ‘Utility Complex’ whose construction has been completed. The Utility Complex will house the numerous small vendors like eateries and many more that are scattered on the hospital premises. The complex has 17 shops and have been constructed to keep the hospital campus clean. The shopkeepers will have to just pay the rent at government rate. Abstracted from: Express News Service

Ambulance owner, driver found dead in van weapon or an iron rod might have been the murder weapon. The mobile phones of the deceased are missing. Their call details can help us get some clue about the case,” said Narendra Kadiyan, ACP (City).

Vijay Pal, transport supervisor of Euro International School, informed the police about the abandoned bodies around 6am on Friday. He said the bodies were lying in an ambulance van near their school building.”Our two security guards, Sandeep and Praveen, were on night duty and spotted the ambulance van around 4am on Friday. They saw the van coming and someone

later leaving after parking the vehicle. Around 5:45am, the guards noticed blood spilled all inside the van. They informed me about the incident and I informed the police”, said Pal.After getting information, a police team led by Sajjan Singh, SHO, Sector 10 A police station, reached the spot. ACP (City) Narendra Kadiyan also arrived later. “The number of the van is HR 55 H 7394. The victims are identified Bijendra Chauhan alias Kukku (35), a resident of Firoz Gandhi colony and his driver Rajendra (29), a native of Jhanjhrola village, and lived as tenants in Gurgaon village.

We have ha nded over the bodies to their families after the postmortem,” said the SHO.The victim Bijendra Chauhan alias Kukku’s wife told police that his husband had reached home around 11:30pm on Thursday. Someone called on his husband’s mobile around 1:30am. The caller wanted a body to be dropped in Darbhanga, Bihar. After some time their ambulance driver Rajendra reached to pick up her husband. Two-three persons were also in the van and her husband went with them, victim’s wife told the police. Abstracted from: The Times of India


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Merimbula left with no ambulance cover again A m b u l a n c e The News Weekly has been told that Merimbula ambulance station was again shut for about two hours yesterday morning, Tuesday, November 27 when a rostered pa ra medic was unavailable after work ing until about 5am. M ick Grayson, secretar y of the South Eastern A mbulance HSU sub branch, said it was the second time within 10 days that the Merimbula ambulance station had closed a nd followed the start of a new rostering system from Saturday, November 17 which was supposed to better manage fatigue in ambulance crews and save money. However, NSW A mbula nce Service regional director of operations, Mark Beesley, said that the claim by the Health Services Union that an ambulance station was unstaffed in the South East over the weekend of November 17/18 was incorrect. He said that all stations were staffed. Mr Grayson said: “The new Ambulance Service NSW rosters have been in place in Moruya, Narooma, Bermagui, Bega and Merimbula for a little over a week now and station closures and delayed responses have plagued the introduction of the new rosters.” The News Weekly contacted NSW Ambulance Service over the latest issue with coverage and a spokesman said: “Ambulance has introduced new rosters at rural, non-24 hour stations to improve ser vices to the

community and reduce fatigue for our paramedics.”

developed using local workload data.”

safety net to paramedics and the community,” Mr Grayson said.

The lack of cover at Merimbula

Mick Grayson, secretary of the

he NSW Ambulance spokesman said: “The new roster means, on a daily basis, more paramedics on duty are available to respond to medical emergencies. The new roster means there is on duty paramedic coverage from 8am till midnight seven days per week covering the Merimbula community. The old roster only had on duty paramedics from 8am till 5.30pm.”

station meant that again the district operations manager from Batemans Bay had to drive to Merimbula to stand in while waiting for a double crew from the Monaro team to arrive. This would have incurred overtime payments for those involved and takes officers away from their own areas. On Monday evening there were several transfers from Pambula hospital to Bega and then an additional transfer to Canberra via Cooma. Local paramedics drive to Cooma and then the patient is transferred to either a C o om a or Q ue a nb eya n ambulance for transport to Canberra. The round trip takes 5.5 hours and meant that the officer returning at about 5am yesterday morning had to be taken off duty due to fatigue. A sked whether the rosters are better suited to the city environment rather than rural situations where far greater distances have to be travelled, the NSW Ambulance spokesman said: “The new rosters are not metro centric and have been

Non-emergency medical helpl i ne 10 4 lau nched will work round the clock and throughout the year. People can call up and talk to pa ra med ics that ca n suggest the primary action to be taken in all cases. Also, they would be able to suggest generic and overthe-counter drugs,” said a senior EMRI official. Officials added that the a d v i s o r s wo u ld a s s e s s the caller’s condition as critical, serious or stable and prescribe medicines if required. The helpline would a lso provide counseling

ser vices for H I V-A I DS, family planning, depression, distress and suicide prevention. The callers can also get information on medical centers, hospitals, diagnostic services. Chief executive officer of EMR I Subodh Satyawadi said that the service will ensure well-being of the citizens with the help of a trained team and latest technology. Abstracted from: The Times of India

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South Eastern Ambulance HSU sub branch, said: “This is the same situation as last week when we also needed additional staff from the Monaro. Basically we are robbing Peter to pay Paul but when Monaro starts the new rostering system those officers will not be available.” He added: “The new rosters were introduced by the service with claims of increasing service delivery, decreasing paramedic fatigue and eradicating single officer responses. That certainly isn’t the case in what local paramedics are seeing. Local paramedics are seeing delayed responses with staff forced to run from other stations to cater for the lack of resources.

The spokesman added: “While the full benefits provided by the new rosters will be examined next month by the Industrial Relations Commission, NSW Ambulance remains committed to the implementation of the new rosters across regional NSW.” Abstracted from: Merimbula News

SAN DIEGO (CNS) - A private ambulance crashed off Interstate 15 in Mission Valley Friday afternoon, but no one was injured. The northbound emergencytransport vehicle spun out of control for unknown reasons and veered off the freeway near Interstate 8 about 3:40 p.m., according to the California Highway Patrol. The van, operated by CARE Ambulance San Diego, wound up roughly 65 feet down an embankment, said Maurice Luque, a spokesman for the city Fire-Rescue Department. No one required medical care due to the accident, Luque said. It was unclear how many people were in the ambulance at the time of the crash, or if a patient was aboard. Abstracted from: San Diego 6 News Desk

“The only group that can stop these rosters now is the NSW A mbu l a nc e Ser v ic e. L o c a l pa ra med ic s a re c a l l i ng on regional director of operations, M a rk Beesley to stop the lunacy of the new rosters for the sake of the community and paramedics. We want the service to reintroduce immediately the previous rosters to provide a

h e a lt h c a r e i n yo u r n e i g h b o u r h o o d Dr P.P. Bose

However there are no more staff to cover what is obviously an extended on duty roster and it is that aspect that places extra stress on the on call crew, paramedics say.

Crashed, Went off Embankment

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RNI No. DELENG/2012/41958. PRINTED AND PUBLISHED BY : Satish Kumar Bhardwaj, EDITOR: Satish Kumar Bhardwaj, PUBLISHED AT: M-2, Greater Kailash-1, New Delhi - 110048, PRINTED AT: Intergraphic reproductions Pvt. Ltd. A11 DDA Sheds, Okhla Industrial area, Phase-1, New Delhi - 110020


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