standard operating procedures (1st edition) mukh mantri ...pbhealth.gov.in/mmphcrf.pdf · 1...

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Standard Operating Procedures (1st Edition)

MUKH MANTRI PUNJAB HEPATITIS C RELIEF FUND

(MMPHCRF)

DEPARTMENT OF HEALTH AND FAMILY WELFARE,

PUNJAB

JUNE 2016

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MUKH MANTRI PUNJAB HEPATITIS C RELIEF FUND (MMPHCRF)

1. Background: The epidemiological data on hepatitis C in Punjab is limited. A

recent study conducted in 10 districts suggest that prevalence of hepatitis C is

3.29% (anti-HCV positive) (Sood et al, 2015; Personal communication).

According to Census of India 2011, Population of Punjab was

approximately 28 million. Thus approximately 9.2 lakhs persons may be positive

for hepatitis C antibody, while approximately 6.1 lakh persons could be viremic

requiring treatment for hepatitis C considering two-third of them are HCV RNA

positive. Majority of these patients would develop progressive liver disease and

ultimately develop cirrhosis of liver and its complications including liver failure

requiring liver transplantation, variceal bleeding, severe infections, hepatocellular

carcinoma (HCC) and death. Presently hepatitis C is the leading cause of HCC in

Punjab. Hence treatment of chronic hepatitis is not only mandatory but should be

done early in the course. Successful treatment of hepatitis C was associated with

62-84% reduction in all-cause mortality (deaths), 68-79% reduction in risk of HCC

and 90% reduction in risk of liver transplant (Hill et al 2014). Hence treating

hepatitis at the appropriate time is very cost effective and in addition it saves lives.

With the advent of Direct Acting Antivirals (DAAs), the treatment has not only

become very effective (cure rates >95%) but also cheaper.

Treating all persons with hepatitis C along with preventive measures will

ultimately eliminate HCV infection from Punjab.

With this goal, Mukh Mantri Punjab Hepatitis C Relief Fund (MMFHCRF)

has been created to benefit these patients and save thousands of lives in Punjab.

2. Mukh Mantri Punjab Hepatitis C Relief Fund: MMFHCRF has been created to

provide free medical treatment to patients suffering from chronic hepatitis C in the

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State of Punjab. The funds under this scheme will be provided by Finance

Department, Punjab and will be utilized for procurement of the drugs for the free

treatment of the hepatitis C cases in the State.

3. Beneficiary: The beneficiary of this scheme has to be a resident of the State of

Punjab. Any of the following can be used as a proof of residence:

a. Ration Card

b. Passport

c. Driving License

d. Aadhar Card

e. Voter Card

f. Bank or Post Office current Pass Book

g. Driving License

A copy of the proof of the residence of the State has to be kept by

the pharmacist. The copy of the proof will be signed by the pharmacist and

countersigned by the SMO of the District Hospital or nodal officer of the GMC. The

copy has to be affixed in the master register of MMPHCRF.

4. HCV Testing

HCV is primarily transmitted through percutaneous exposure to blood,

e.g., injections, tattooing, haircuts with infected razors, etc. Other modes of

transmission include blood transfusions, mother-to-infant, sexual transmission, etc

a. Testing

i. HCV antibody testing should be done with ELISA.

ii. Quantitative HCV RNA should be performed at baseline in all persons

who comes positive for anti-HCV by ELISA.

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iii. HCV Genotyping is mandatory in hepatitis C patients who have liver

cirrhosis; otherwise it is optional.

iv. Anti-HCV is an antibody-based test, thus might remain positive

throughout life. Therefore it should not be repeated again for

determining the response to HCV treatment. Determination of response

to HCV treatment must be done only by quantitative HCV RNA testing

during and after the treatment with antivirals. This information may be

shared with patients undergoing treatment against hepatitis C to avoid

any confusion in the minds of patients.

b. Who should be tested?

i. One-time HCV testing is recommended for persons received blood

transfusion or its products before 2002

ii. Risk behaviours

1. Injection-drug use (current or ever, including those who injected once)

iii. Risk exposures

2. Long-term hemodialysis (ever)

3. Getting a tattoo in an unregulated setting

4. Healthcare, emergency medical, and public safety workers after

needlesticks, sharps, or mucosal exposures to HCV-infected blood

5. Children born to HCV-infected women

6. Prior recipients of transfusions or organ transplants

iv. Other

HIV infection

5. Baseline Testing

a. CBC for hemoglobin, WBC and platelets

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b. Liver function tests (Bilirubin, AST, ALT, Albumin/globulin, alkaline

phosphatase)

c. Serum creatinine

d. Ultrasound of abdomen

e. Evaluation for diagnosis of cirrhosis [See below section 6.1]

6. Treatment of Patients with Hepatitis C:

The technical committee of the experts from Department of Hepatology,

PGIMER, Chandigarh has formulated 4 regimens for the treatment of Chronic

Hepatitis C cases. The regimens have been recommended for ease of the treating

physicians in order to classify the cases as per viral load and genotype of Hepatitis

C (Table 1 and 2 and figure 1).

Regimen-1: Tablet Sofosbuvir (400mg/day)+Ledipasvir (90mg/day)

Regimen-2: Tablet Sofosbuvir (400mg/day)+Ledipasvir (90mg/day) and Capsule

Ribavirin (1000 mg/day if body weight <75 kg and 1200 mg/day if body

weight is ≥75 Kg)

Regimen-3: Tablet Sofosbuvir (400mg/day) + Tablet Daclatasvir (60mg/day)

Regimen-4: Tablet Sofosbuvir (400mg/ day) + Tablet Daclatasvir (60mg/day) and

Capsule Ribavirin (1000 mg/day if body weight <75 kg and 1200

mg/day if body weight is ≥75 Kg)

All patients must be treated as per algorithm shown in Figure 1.

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Table 1: Recommended regimens with treatment durations for patients without

cirrhosis

Genotype Regimen 1 [Sofosbuvir/ Ledipasvir]

Regimen 2 [Sofosbuvir/ Ledipasvir/ Ribavirin]

Regimen 3 [Sofosbuvir/ Daclatasvir]

Regimen 4 [Sofosbuvir/ Daclatasvir/

Ribavirin]

Genotype 1 8/12 weeks* No 12 weeks No

Genotype 2 No No 12 weeks No


Genotype 4 12 weeks No 12 weeks No

Genotype 5 12 weeks No No No

Genotype 6 12 weeks No No No

*Treatment may be shortened to 8 weeks in treatment-naive patients without cirrhosis if their baseline HCV RNA level is below 6 million (6.8 log) IU/mL (WHO HCV Guidelines 2016).

Table 2: Recommended regimens with treatment durations for patients

with compensated cirrhosis.

Genotype Regimen 1 [Sofosbuvir/ Ledipasvir]

Regimen 2 [Sofosbuvir/ Ledipasvir/ Ribavirin]

Regimen 3 [Sofosbuvir/ Daclatasvir]

Regimen 4 [Sofosbuvir/ Daclatasvir/

Ribavirin]

Genotype 1 24 weeks 12 weeks 24 weeks 12 weeks


Genotype 3 No No No 24 weeks

Genotype 4 24 weeks 12 weeks 24 weeks 12 weeks

Genotype 5 24 weeks 12 weeks No No

Genotype 6 24 weeks 12 weeks No No

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Figure 1: Algorithm for cost-effective management of chronic hepatitis C in the State of Punjab

*All patients, both naïve and treatment experienced; For diagnosis of cirrhosis –see below “Evaluation of Cirrhosis”, **Treament with Sofosbuvir+Ledipasvir for 8 weeks may be considered in treatment-naive patients only if the viral load is below 6 millions and the genotype is 1 or 4 (WHO Guidelines 2016).

¶Systematic Review and Network metaanalysis have demonstrated that both regimen (Ledipasvir and daclatasvir based) are equally effective achieving sustained viral response (SVR, cure) in non-cirrhotic patients, both naïve and treatment experienced, while adverse effects are also similar (WHO Guidelines 2016). Hence HCV Genotyping is not mandatory in HCV patients without cirrhosis; it remains optional because it does not affect the ultimate outcome, i.e., SVR (cure). SVR in these patients ranges between 95% to 100%. However, HCV genotyping and Resistant Associated Variants (RAVs) analysis are recommented in those very small number of patients who do not achieve SVR and should be referred to Department of Hepatology, PGIMER, Chandigarh.

§Patients with decompensated cirrhosis should be referred to Department of Hepatology, PGIMER, Chandigarh. For details see below “Decompensated Cirrhosis”; Section 4.3.

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7 Special Conditions:

7.1 Evaluation of Cirrhosis: The diagnosis of cirrhosis is considered and ribavirin use

is recommended if any of the following situation is present.

o Clinical Diagnosis of Cirrhosis: The clinical diagnosis of cirrhosis is

based on clinical (stigmata of chronic liver disease, splenomegaly,

ascites, history of hepatic encephalopathy or variveal bleed, etc.),

imaging (shrunken liver, irregular surface, altered echotexture,

evidence of portal hypertension (portal vein >13mm and presence of

collaterals) and endoscopic (presence of varices) parameters. All

patients must undergo abdomen ultrasound to look for evidence of

cirrhosis and for the presence of HCC. Please note that patients with

decompensation of cirrhosis or with HCC, must be referred to tertiary

care center (PGIMER, Chandigarh).

o Fibroscan (Transient Elastography):

Cirrhosis (METAVIR F4): LSM ≥12.5 kPa

Safety of Fibroscan in pregnancy has NOT been established. Hence,

it must not be used in a pregnant lady.

If Fibroscan (Transient Elastography) is not available, then the

absolute platelet counts, the AST-to-platelet ratio index (APRI) or FIB-4

index score can help in making diagnosis of cirrhosis.

o Platelets <75,000/cmm

o APRI = [(AST (IU/L)/ AST_ULN (IU/L)) x 100]/ platelet count (109/L)

[http://www.hepatitisc.uw.edu/page/clinical-calculators/apri]

Cirrhosis (METAVIR F4): APRI ≥ 2.0

o FIB-4 = Age (years) x AST (U/L) / Platelet counts (x109/L) x √ (AST

(IU/L) [http://www.hepatitisc.uw.edu/page/clinical-calculators/fib-4]

Cutt-off for FIB-4 = 3.25

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An FIB-4 index higher than 3.25 had a positive predictive value to

confirm the existence of a significant fibrosis (F3-F4) of 82.1% with a

specificity of 98.2%.

7.1.1 Ribavirin Use: The dose of ribavirin should be monitored with

haemoglobin level, because Ribavirin is known to cause Haemolysis. If

significant anaemia occurs (haemoglobin <9 g/dL), the dose of ribavirin

should be decresed by 200 mg at every decrement. If the baseline

haemoglobin is low then a more rapid reduction of dose may be

required. Ribavirin administration should be stopped if the haemoglobin

level falls below 8.0 g/dL and the patient be referred to a higher centre.

Contraindications to therapy with ribavirin

1. Pregnancy or unwillingness to use contraception

2. Breastfeeding women

3. Severe concurrent medical disease, including severe infections

4. Poorly controlled cardiac failure

5. Chronic obstructive pulmonary disease

6. Previous ribavirin hypersensitivity

7. Co-administration of didanosine

8. Renal failure

7.2 Decompensated Cirrosis: The above-mentioned regimens should be

prescribed only to persons with compensated cirrhosis because they can

cause severe complications when prescribed to persons with

decompensated cirrhosis (presence of ascites, jaundice, history of

hepatic encephalopathy and variceal bleed or Child-Pugh score ≥7*Class

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B and C], http://www.hepatitisc.uw.edu/page/clinical-calculators/ctp;

Table 3). Therefore, they should be used only in settings where

specialized care including liver transplantation is available and where the

degree of cirrhosis (compensated vs decompensated) can accurately be

assessed.

Table 3: Child-Turcotte-Pugh Score for severity of liver disease.

[http://www.hepatitisc.uw.edu/page/clinical-calculators/ctp]

Class A Class B Class C

Score 5-6 7-9 10-15

Factor 1 point 1 point 1 point

Total bilirubin (mg/dL) <2.0 2-3 >3.0

Serum albumin (g/dL) >3.5 2.8-3.5 <2.8

INR <1.7 1.71-2.30 >2.30

Ascites None Mild

Moderate

Severe

Hepatic encephalopathy None Grade I-II Grade III-IV

7.3 Therapy with direct-acting antivirals: contraindications/warnings

Ledipasvir/sofosbuvir

1. Amiodarone co-administration

2. P-glycoprotein (gp) inducers (calcium channel blockers, cyclosporin,

dabigatran etexilate, digoxin, erythromycin, loperamide, protease

inhibitors, tacrolimus, etc.)

3. Renal failure (eGFR <30 mL/min/1.73 m2)

Daclatasvir

1. Drugs inducing or inhibiting CYP3A (e.g., carbamazepine, phenytoin,

http://www.hepatitisc.uw.edu/page/clinical-calculators/ctp

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rifampin, etc

2. Safe in all grades of renal failure

Sofosbuvir

1. Amiodarone co-administration (caution also with beta-blockers)

2. P-glycoprotein (gp) inducers (calcium channel blockers, cyclosporin,

dabigatran etexilate, digoxin, erythromycin, loperamide, protease

inhibitors, tacrolimus, etc.)

3. Renal failure (eGFR <30 mL/min/1.73 m2); sofosbuvir in a dose of 200

mg/d is relatively safe

7.4 Pregnancy and lactation

Safety data of new DAAs in pregnancy and lactation has not been

established and ribavirin is also teratogenic. Treatment currently cannot

be recommended during pregnancy, especially with ribavirin-based

regimens. Hence pregnancy should be excluded by appropriate test

before starting treatment for hepatitis C. Use of contraception be

ensured in a woman in a childbearing age for a period of 6 months after

the treatment has concluded.

7.5 Vaccination against hepatitis B is recommended for all susceptible persons

with HCV infection.

7.6 Pb-PGIMER-INASL-ECHO Clinic:

This clinic has been started on 7 June 2016; it will be held every 2 weeks

on Tuesdays between 11.00 am and 1.00 pm. The ECHO clinic is basically

a case-based learning exercise that gives an immense opportunity to all

of us to interact in the benefit of patients. Hence, difficult to treat

patients or any query may be discussed in this Clinic. In addition there is

a didactic lecture covering recent advances.

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8. Drugs for HCV

8.1 Procurement of Drugs: The drugs for four recommended regimens shall be

procured by PHSC (Punjab Health Systems Corporation) after calling tenders

and doing rate contract as per rules.

8.2 Storage of drugs: The drugs for four recommended regimens after

procurement will be stored at 3 drug ware houses of the Department of Health

and Family Welfare (Verka, Bathinda and Kharar). The drugs from these ware

houses will be shifted to the linked districts.

8.3 Availability of the drugs for Hepatitis C:

The drugs for four recommended regimens will be available at the pharmacy

of three Govt Medical Colleges (GMC Amritsar, Faridkot & Patiala) and 22

District Hospitals in the first phase. These 25 health institutions will procure

drugs from the three drug ware houses and sub stock of these drugs will be

maintained by the pharmacist of these health institutions.

9. Reporting and Recording of the Hepatitis C cases:

The flow of the patients (suspected/ confirmed) and recording of chronic

Hepatitis C in the Government Hospitals will be as following:

9.1 A patient suspected to be suffering from Chronic Hepatitis C will be

examined by Medical Specialist (03 GMCs and 22 District Hospitals)

9.2 The patient will be sent for anti-HCV antibodies testing in the hospital

laboratory (ELISA test to be used for anti-HCV)

The patient will have to pay for the anti-HCV test.

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9.3 All patients tested positive for Hepatitis C in the hospital (03 GMCs and 22

DHs) will be entered in Master Register of Hepatitis C where a Unique

Identification Digit (UID) will be issued and complete record of the patient will

be entered.

9.4 All patients tested positive for anti-HCV in the hospital (03 GMCs and

22 DHs) will be referred to collection centre of Lal Path Lab for blood collection

for Hepatitis-C viral load.

The samples will be collected daily at the collection centre of Lal Path Lab

(Annexure I)

The prescription slip will be stamped by the pharmacist for the type of the

test to be conducted and cost of the test in the Lal Path Lab.

Collection centre will retain a copy of the treatment card (referral for

testing) for record purposes.

The results of the samples will be conveyed every Monday and Thursday.

(The results of the samples collected by Monday will be conveyed on

Thursday and results of samples collected by Thursday will be conveyed

by next Monday)

The hard copy of the results will be available in the collection centre.

Patient can also obtain the result from the website of the Lal Path Lab.

The rate of viral load is Rs 2200/test

Patient will have to pay for these tests.

9.5 The patient having detectable viral in the viral load test will be examined

by the medical specialist for cirrhosis as per 7.1, 7.2 & 7.3 of this SOPs.

9.6 If the patient is not having cirrhosis, the test for genotype is optional.

Further course of management will be as per algorithm shown in Figure 1

on page 7 of these SOPs. All non-cirrhotic patients, both naïve and

treatment experienced, will receive Sofosbuvir (400 mg) + Daclatasvir (60

mg) daily for 12 weeks with the exception of naïve patients with genotype

1 or 4 with low viral load (<6 millions). These patients may be offered

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treatment with Sofosbuvir (400 mg) and Ledipasvir (90 mg) daily for 8-

weeks.

9.7 If patient is having cirrhosis, the genotype test is mandatory. The patient

will be referred to collection centre of the Lal Path Laboratories for

genotype test.

The rate of genotype test is Rs 3000/test.


9.8 The test results of the Hepatitis-C viral load and genotype will be entered in

the Master Register by the pharmacist of the 03 GMCs and 22 DHs. The

patient will then be referred to the Medical Specialist for starting the

treatment as per reports and as per algorithm in Figure 1 on page 7 of

these SOPs.

In brief, cirrhotic patients with genotype 1 or 4 will receive Sofosbuvir (400

mg)+Ledipasvir (90 mg)+weight based Ribavirin combination for 12 weeks

and those with genotype 3 will receive Sofosbuvir (400 mg)+Daclatasvir (60

mg)+weight based Ribavirin for 24 weeks.

9.9 Treatment Card for Hepatitis C will be issued to the patient after entering

the personal details and treatment regimen.

Treatment card will be filled by the pharmacist as per the record in the

Master Register of the hospital.

9.10 The medical specialist will decide the regimen of the treatment as per the

genotype of the Hepatitis C as shown Table 1 & 2 on page 6 and algorithm

on page 7 of these SOPs. The treatment regimen will be entered by the

Medical Specialist in the treatment card with signatures.

9.11 It is desirable that the Medical Specialists should get the following tests

done before the start of the treatment

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9.11.1 CBC: especially for Haemoglobin, Platelets and Total WBC counts

9.11.2 USG to look for presence of cirrhosis and HCC (Hepatocellular

Carcinoma). Refer to higher centre if HCC is present.


9.12 The drugs as per regimen will be issued by the pharmacist to the patient

after checking the entry of Medical Specialist on the treatment card. The

detail of the drugs issued will be entered in the Master Register by the

pharmacist.

10 Follow up: The patient will be followed up every 4 weeks (28 days) for the

entire duration of the treatment

10.1 First follow up: The first follow up will be around 28 (24-28) days after

starting the treatment. Discontinuity in the treatment is not desirable, hence

patients be advised to come 2-3 days prior to total consumption of medicines. The

medical specialist should examine the following:-

CBC report for haemoglobin, WBC and platelet levels. If initial

haemoglobin level is borderline (i.e., 9 or 10 g/dL), then follow up

after 7-10 days of starting treatment with CBC is desirable.

Number of tablets consumed to ensure compliance of treatment

Drug side effects if any and

Drug interaction if any

The medical specialist will issue the next course of drugs for 4 weeks (28 days) on the treatment card and the same will be issued by the pharmacist after entry into Master Register and empty bottle of first month will be taken back by the pharmacist.

10.2 Second follow up: The second follow up will be done approximately 28 days

after the first follow-up, i.e. 8 weeks after starting the treatment. The Medical

Specialist will examine the patient for any complication and drug compliance.

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The medical specialist will issue the next course of drugs 4 weeks (28 days) on the treatment card and the same will be issued by the pharmacist after entry into Master Register and empty bottle of first month will be taken back by the pharmacist.

10.3 Third follow up: The third follow up will be on completion of drugs for

another 4 weeks or 28 days (one bottle) of therapy. The Medical Specialist will

examine for any complication and drug compliance.

Viral load testing on completion of treatment for end of

treatment response (ETR) is optional (Figure 1). The viral load test after

treatment completion for ETR might be done if patient is willing and can afford.

Patient will have to pay again for the viral load test (2200/-) at

one of the collection centre of Lal Path Lab.

If the Hepatitis-C virus becomes undetectable then ETR is

achieved. This report result will be entered by the medical specialist in the

treatment card of the patient as “ETR (+)” and in the Master Register by the

pharmacist.

10.4 Fourth follow up: It will be done 12 weeks after completion of treatment or

after achieving ETR to check (Sustained Viral Response) SVR or Cure. If the

Hepatitis-C virus remains undetectable, then SVR or Cure for the HCV infection is

achieved. It should be documented and entered by the medical specialist in the

treatment card of the patient as “SVR (+)” and by the pharmacist in the Master

Register.

Patient will have to pay again for the viral load test (2200/-) at one of

the collection centre of Lal Path Lab.

No further treatment is required if the patient has achieved SVR

i.e. SVR (+).

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Cirrhotic patients with genotype 3 (Table 1 and 2 and Figure 1) will receive

treatment for 24 weeks. Hence, 3rd HCV viral load should be done after 24

weeks of treatment instead of 12 weeks.

All cirrhotic patients who have been cured, i.e., SVR(+) must be followed up at

higher centre for the surveillance of Hepatocellular Carcinoma (HCC) and for

monitoring progression of the disease and development of other

complications.

Queries related to complications, side effects during the treatment of chronic

Hepatitis C cases should be discussed in “Pb-INASL-ECHO-Clinic” which is done

every 2 weeks except holidays between 11:00 am to 1:00 pm.

11 District Epidemiologist under IDSP will be overall nodal officer for

implementation of “Mukh Mantri Punjab Hepatitis C Relief Fund” (MMPHCRF)

scheme in the district. The master data of the cases of Hepatitis C will be retrieved

by the district IDSP team from the hospitals and will be analyzed as and when

required.

12 The data entered in the Master Register in each DH and GMC and drug stock

will be cross verified by Civil Surgeon, Medical Superintendent of GMC, Senior

Medical Officer of the DH and District Epidemiologist from time to time for smooth

implementation of the “Mukh Mantri Punjab Hepatitis C Relief Fund”(MMPHCRF)

scheme.

13 Bank Account: To provide financial assistance for the Hepatitis-C patients, a

society “Mukh Mantri Punjab Hepatitis C Relief Fund” (MMPHCRF) has been

constituted. The bank account of society at State headquarter will be operated

jointly by State Programme Officer Hepatitis-C and Director Health & Family

Welfare Punjab. The funds received from FD for MMPHCRF will be deposited in

this account and payment of drugs procured for treatment of Hepatitis C and other

approved activities will be booked in this account. Regular monitoring of this

account will be done by IDSP wing.

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FLOW CHART FOR DIAGNOSIS AND TREATMENT OF HEPATITIS C PATIENT

Suspected Patient of Hepatitis C Medical Specialist

Anti-HCV testing

(by ELISA test)

Anti-HCV is Positive

Anti-HCV is Negative

No further action is required Entry of the patient in the

Master Register of MMPHCRF

by the pharmacist

If Hepatitis C virus is undetectable,

no further action is required

Patient referred to collection centre of Lal Path Lab for Viral

Load of Hepatitis C. Patient has to pay for these tests.

Rs 2200/ for viral load test

If Hepatitis C virus is detectable, then evaluation for

Cirrhosis of Liver will be done by the medical specialist

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1. Report of the viral load 2. Findings of Cirrhosis &

3. Report of Genotype will be entered in the Master Register by the pharmacist

4. Treatment Card (MMPHCRF) to be issued to the patient

5. Patient Referred to the Medical Specialist for treatment

Medical Specialist will get the baseline tests done (CBC, LFT, INR, creatinine

& USG etc.) before starting the treatment.

Patient has to pay for these tests

Medical Specialist will fill the regimen of the treatment as per

genotype (See Table 1 and 2 & Figure 1) and other test reports in

the treatment card and put his/her signatures.

Compliance of drugs should be explained to the patient

Pharmacist will issue the drugs for 4 weeks (28 days) as per the

regimen recommended by the medical specialist and record all the

findings in the Master Register of MMPHCRF and put his/her signatures

No Cirrhosis of Liver Cirrhosis of Liver

Genotype test is optional Genotype test is mandatory

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The drugs for next 4 weeks will be issued by pharmacist after 1. Examination of the patient by the medical specialist for complications, adverse effects or drug interactions 2. Recommendation of drugs for another 4 weeks by the medical specialist on the treatment card 3. All this information will be recorded in the Master Register of MMPHCRF by the pharmacist

After 12 or 24 weeks of treatment (See table 1 and 2 & figure 1), the HCV viral load is optional. Those who are willing for HCV viral Load should be referred to

collection centre of Lal Path Lab

Patient has to pay for this test. Rs 2200/ for viral load testing.

Hepatitis C virus - not detectable Hepatitis C virus - detectable

End of the Treatment Response is

achieved. ETR (+) to be entered in

the treatment card and Master

Register

End of the Treatment Response is

not achieved. ETR (-) to be entered

in the treatment card and Master

Register

Patient with ETR + will be

instructed to report 12 weeks for

viral load testing for determining

the SVR

Patient not having ETR should be

discussed in ECHO Clinic OR refer

to the Dett of Hepatology, PGIMER

for further evaluation and

management

Or

If HCV Viral Load test done after end of

treatment

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After 12 weeks of end of treatment, the patient will again be referred to the collection centre of Lal Path Lab for HCV Viral Load

(Mandatory)

Patient has to pay for this test.Rs 2200/ for viral load testing at one of the collection centres of Lal Path Lab

Hepatitis C virus - undetectable Hepatitis C virus - detectable

Sustained Virus Response (SVR) is

achieved.

SVR (+) to be entered in the

treatment card and Master Register.

Patient is cured and no further action

is required

Patient not achieving SVR should

be discussed in ECHO Clinic OR

refer to the Dett of Hepatology,

PGIMER for further evaluation and

management

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Annexure I: District wise list of Collection centres of Lal Path Lab

S.No. DISTT. CITY ADDRESS CONTACT PERSON CONTACT NO

1 AMRITSAR AJNALA SHOP NO-2, OPP. CIVIL HOSPITAL, AAJNALA, AMRITSAR, PUNJAB

MR GURWINDER 01858-500524,

08427044886,9814132442

2 AMRITSAR AMRITSAR

SHOP NO-56, A-BLOCK MARKET,RANJEET AVENUE, NEAR PARWATI DEVI HOSP. , AMRITSAR- 143001

MR ARUN BHALLA 0183-5063907

3 AMRITSAR AMRITSAR SHOP NO-1, NINI MARKET, INSIDE HATHI GATE, AMRITSAR- 143001

MR. HARISH 0183-

2549090,9216909095

4 AMRITSAR AMRITSAR 110,HIDE MARKET,OPP POST OFFICE,GT ROAD,AMRITSAR

MR SUKHWINDER 9872634972

5 AMRITSAR AMRITSAR

DEV HI-TECH CLINICAL LABORATORY, OPP. BIJLI GHAR, ISLAMABAD, AMRITSAR- 143001

MR GAUTAM 9888469898

6 AMRITSAR AMRITSAR 24 D, RANI KA BAGH, AMRITSAR-143001

MR. ARUN BHALLA 9872833907

7 AMRITSAR AMRITSAR

SHOP NO-1,GURU RAM DAS AVNUE, OPP. DAILY SHOP COMPLEX, AIRPORT ROAD, AMRITSAR, PUNJAB-143001

MR BALJEET SINGH 0183-5051755

8 AMRITSAR AMRITSAR

HCF NO 2374, KOT KANAYHA LAL SULTAN WIND ROAD, NEAR AJIT NAGAR CHOWK, AMRITSAR - 143006

MR KARAN 1835019501

9 AMRITSAR AMRITSAR

HCF GROUND FLOOR NO 31, C BLOCK MARKET, RANJEET AVENUE, SEC 3, AMRITSAR- 143001

MR RAJDEP, AMIT 0183-3228558- 0183-5016501

10 AMRITSAR AMRITSAR

S.S. TOWERS,SHOP NO. 4,PLOT NO. 59,OPP ENT HOSP.,MAJITHA ROAD,AMRITSAR 143001

MR SANJAY 0183-

3988505,3067790

11 AMRITSAR JANDIALA

H. NO- 248, OPP RAGHUNATH GIRLS COLLAGE , NEAR JHAND MARBLE STORE WALI GALI, JANDIALA , DISTT- AMRITSAR, PUNJAB.

MR JATINDR 9646873648

12 BARNALA BARNALA

PUBLIC COMPUTERIZED LAB, HANDIAYA BAZAR, JAIN MARKET,BARNALA,PUNJAB- 151205

MR KULBUSHAN 01679-

230259,987220903

13 BARNALA BARNALA OPP. RAM BAGH GATE NO.2,RAMBAGH

MR KARAN 9872118216

23

ROAD,BARNALA- PUNJAB-151205

14 BATHINDA BATHINDA

SHOP NO-13461, G. T. ROAD, OPP. GANESHA BASTI BUS STOP, BATHINDA-151301, PUNJAB

MR NAND KISHOR 0164-5010127

15 BATHINDA BHATINDA SHOP NO-11,SSG MARKET, OPP. GOLE MARKET,MALL RAOD BHATINDA- 151001

MR NAGPAL 0164-

2237607,9216228229

16 BATHINDA BHATINDA 80 FT. ROAD, NEAR CHHABRA HOSPITAL, BHATINDA - 151001

MR DEEPAK 0164-

5012085,9417427744

17 BATHINDA BHATINDA

NEAR ELECTRISITY OFFICE , POWER HOUSE ROAD, OPP, DR. B.B. JINDAL, BATHINDA-151001

MR RAMAN KUMAR

0164-5011857/ 8054565163

18 BATHINDA BHATINDA SHOP NO- 6A, KAMLA NEHRU MARKET , BATHINDA-151001

MR BHARAT 9888509595


SHOP NO-1, IN SHOPPING COMPLEX, BOILT BY DISTT. RED CROSS, WORKING WOMEN HOSTEL, BATHINDA, PUNJAB-151001

MR NIRMAL 0164-5001955 /

9417320935


1139/A/2, LALI'S COMPLEX, AMRIK SINGH ROAD,NEAR GOLE DIGGI, BATHINDA - 151001

MR. RAJKUMAR 011-30403210

21 BATHINDA BHUCHO MANDI

GTB MARKET, BHUCHO-MANDI, DISTT. BHATINDA 151101

MR KARAMJEET SINGH

0164-2741828, 9872790409

22 BATHINDA GONIANA

MANDI

MALL ROAD, OPP. CIVIL HOSPITAL, GONIANA MANDI, DISTT- BATHINDA, PUNJAB

MR VINOD 9914223046 / 9041100000

23 BATHINDA RAMPURA G.S. MEMORIAL HOSPITAL, RAMPURA PHUL, PIN - 151103, STATE - PUNJAB

MR NARESH GARG 01651-

501003,9814463803

24 BATHINDA RAMPURA NEAR CIVIL HOSPITAL, DHOBI GHAT ROAD, RAMPURA-151103

MR HONEY 9814802486

25 BATHINDA TALWANDI OPP. CIVIL HOSPITAL, COLLEGE ROAD, TALWANDI (SABO), PUNJAB-151302

MR DIMPLE KUMAR

9872830686

26 CHANDIGARH CHANDIGAR

H SCO NO 38 , SEC 19 D CHANDIGARH

MR MUNNA 1725019886


H

SCO NO 361 GROUND FLOOR , SEC 44D CHANDIGARH 160047

MR KAMAL 1725019885


H SCO NO 81, SEC 38C, CHANDIGARH- 160036

MR SATINDER 1725019887


H

SHOP NO.-5, MODERN HOUSING BOARD COMPLEX, MANI MAJRA, CHANDIGARH

MR RANDHAVA 0172-4674467

24


H BOOTH NO 343, SECTOR- 32 D, CHADIGARH

MR RINKU 0172-3263535,

3988505


H

DR LALPATHLABS LTD, SCO - 16, SECTOR-16 D, CHANDIGARH

MR. ROHIT KUMAR 0172-

3988505/3017495 / 3017496

32 FARIDKOT FARIDKOT SH NO-3, OPP.GGS MEDICAL COLLAGE, NEAR RAM BAGH, FARIDKOT, PUNJAB- 151203

MR SOURAV 9914900640, 9464994095

33 FARIDKOT FARIDKOT SHOP NO- 38, NEHRU SHOPING CENTRE, GAU SALA ROAD, FARIDKOT, PUNJAB-

MR KULVINDER 9463343023

34 FARIDKOT JAITU

MRS. JASVIR KAUR D/O SH. NACHATTER SINGH R/O WARD NO-7, STREET NO-3, R. V. SHANTI NAGAR, JAITO, FARIDKOT-151202, PUNJAB

MR SUKHWINDER 9646412007

35 FARIDKOT JAITU MAIN BAZAR, OLD SARASWATI COLLEGE ROAD, JAITU - 151202, PUNJAB

MR FAQIR SINGLA 01635-

230918,9872909990/9815788199

36 FARIDKOT KOTKAPURA SACHDEVA CLINICAL LAB, FOZI ROAD, KOTKAPURA, PUNJAB- 151204

MR JOLLY SACHDEVA

01635-222827,981506282

7

37 FARIDKOT KOTKAPURA

KOCHHAR HI-TECH LAB, OPP CIVIL HOSPITAL, FARIDKOT ROAD , KOTKAPURA, PUNJAB- 151204

MR KOCHAR 01635-

227265,9855127565

38 FATEHGARH SAHIB

BASSI

SIRHIND MORINDA ROAD, BASSI PATHANA, TEHSIL- PATHANA, DISTT-FATEHGARH SAHIB-140412, PUNJAB

MR GURDEEP 9463617620

39 FATEHGARH SAHIB

SIRHIND NEAR CHUNGI NO.4, LOK SEWAK MARKET, BASSI ROAD, SIRHIND [ F.G.S.]

MR GURTAK 94174 80422 / 01763 502405

40 FAZILKA FAIZALKA DELLIGHT LAB, RAILWAY ROAD, FAZZILKA - 152123

MR HAPPY 01638-

265407,9815358922

41 FAZILKA FAZILKA

NATIONAL COMPUTERISED LAB., NEAR DR CHUGH HOSPITAL,LAL BHADHUR SHASHTRI CHOCK , FAZILKA-152123

MR DEEPAK 01638-

262326,9814140050

42 FAZILKA FAZILKA BIKANERI ROAD, FAZILKA, PUNJAB-152123

MR DEEPAK 9780701300

43 FEROZEPUR ABOHAR

ABOHAR CC, STREET NO 15-16, SUNDER NAGRI, HANUMANGARH ROAD, INSIDE SHAKTI NSG HOME, ABOHAR -152116

MR DEEPAK 01634-

500080,9815705225, 9779554111

44 FEROZEPUR ABOHAR

OPP. SINGH SABHA GURDWARA , CERCULAR ROAD, ABOHAR- 152116 , PUNJAB

MR SAGAR 9780087654

25

45 FEROZEPUR FEROZEPUR

OUT SIDE BAGDADI GATE, OPP. ORIENTAL BANK OF COMMERCE, FEROZPUR CITY, PUNJAB

MR GURPREET 08556820051, 08556820052

46 FEROZEPUR FEROZPUR

ADDHA LAL KURTI, OPPOSITE ICE FACTORY, NEAR CANTONMENT BOARD HOSPITAL, FEROZPUR CANTT.-152002

MR HARDEEP 8427203471

47 FEROZEPUR JALALABAD

OLD S.B.I. ROAD, OPP. GOVT. GIRLS SENIOR SECONDARY SCHOOL, GURU HARSAHAI, -152022, PUNJAB

DR MAQUL 0168 5500654

48 FEROZEPUR JALALABAD OPPOSITE CIVIL HOSPITAL, JALALABAD -152024, DISTT. FEROZPUR

MR AMANDEEP 9814866172

49 FEROZEPUR ZIRA

SHAHEED BHAGAT SINGH COMPLEX, NEAR CIVIL HOSPITAL, ZIRA, DISTT- FEROZPUR-142047, PUNJAB

DR. PARAMPREET SINGH

01682-252328, 9815908200

50 FEROZEPUR ZIRA

SARBHA NAGAR, NEAR VISHKARMA BHAWAN, MAKHU ROAD, ZIRA, DISTRICT- FEROZEPUR, PUNJAB

MR. VISHAL CHOPRA

076968-30001,9803873133

51 GURDASPUR BATALA

SCF -16, DHARAMPURA COLONY, OPP. CIVIL HOSPITAL, BATALA, GURDASPUR, PUNJAB-143505

MR MANPREET 9876563245

52 GURDASPUR GURDASPUR JANTA CLINICAL LAB, NEAR CIVIL HOSPITAL, G.T. ROAD,GURDASPUR- 143521

MR DINESH 01874-

244614,9888004718

53 GURDASPUR PATHANKOT

Ground Floor, Mk2 Complex, Near Kaalu Ka Petrol Pump,Dalhousie Road, Pathankot-145001-Punjab

MR RAVIKANT 0186 3988505

54 GURDASPUR PATHANKOT

Sanjeevani Satelite Lab,Shop No.6, Ashirwad Complex, ,Sundar Nagar Dhangu Road,Pathankot- 145001

MR SANJEEV 0186

5082693, 9888363912, 9646426373

55 HOSHIARPUR ADAMPUR

DOABA LABORATORY, X-RAY & ECG, NEAR JITENDRA PALACE, LINK ROAD, ADAMPUR ( DOABA) JALLANDHAR - 144007

MR GURPREET 0181-

2753534,9815448636

56 HOSHIARPUR ADAMPUR ADDA KOT FATIHI, DISTT. HOSHIAPUR, PUNJAB

MR PARMINDER 9855206684

57 HOSHIARPUR DASUYA

JAGJIT X-RAY & CLINICAL LAB, OPP. CIVIL HOSPITAL, DASUYA, DISTT- HOSHIARPUR (PUNJAB) -144205

MR JAGDEEP 01883-287159,

9417390049

58 HOSHIARPUR GARSHANKA

R SHRI ANAND PUR SAHIB ROAD, NEAR CIVIL HOSPITAL,

MR AMANDEEP 9803183230

26

GARSHAHAR, PUNJAB-144527

59 HOSHIARPUR HAJIPUR OPP. CIVIL HOSPITAL, VPO- HAJI PUR, DISTT- HOSIARPUR-144216, PUNJAB

MR PAWAN 1883-273747, 9417672347

60 HOSHIARPUR HOSHIARPU

R

SHOP, NO-6 GROUND FLOOR, MAHILPUR ADDA, CHANDIGARH ROAD, HOSHIARPUR-146001

MR SANJEEV 9876440341

61 HOSHIARPUR HOSHIARPU

R

DR. LAL PATH LABS LTD, RAM COMPLEX, MOHALLA KAMALPUR, NEAR CIVIL HOSPITAL ,JALANDHAR ROAD, HOSHIARPUR-146001 (PUNJAB)

MR RANVEER 01882-252050,

253050

62 HOSHIARPUR MAHILPUR LANGERI ROAD, OPP. CIVIL HOSPITAL, MAHILPUR, PUNJAB - 146105

MR MAKHAN 01884-

245157,9815945157

63 HOSHIARPUR MUKERIAN BALBIR CLINICAL LAB, OPP. CIVIL HOSPITAL G.T.ROAD, MUKERIAN, PUNJAB- 144211

MR BALBIR 01883-

244940,9876744940

64 HOSHIARPUR TALWARA 45, KHOKHA MARKET, SECTOR 1, TALWARA, PUNJAB - 144216

MR SANJEEV 01883-

236003,9815879379

65 HOSHIARPUR TANDA GURU NANAK EYE HOSPITAL, AHIYAPUR, TANDA-URMAR, HOSHIARPUR, PUNJAB

MR KULWINDER 01886-226055/

9779961661

66 HOSHIARPUR TANDA AAKASH DIAGNOSTIC LABORATORY, R.P.G.N.C. TANDA, KANGRA, H.P.176056

MR. ASHOK CHAUHAN

9459301871

67 HOSHIARPUR TANDA

UNIVERSAL LAB SERVICE, DEEP COMPLEX, OPP. BUS STAND, NEAR CIVIL HOSPITAL, TANDA- 175008

MR JOGINDER PAL 01883-500628,

9463644097

68 HOSHIARPUR TANDA NASEEB DIAG. LAB , NEAR DR. R.P.G. M.C. & HOSP. SADARPUR, TANDA - 176001

MR NARESH GULERIA

01892-287167,941808604

3

69 JALANDHAR JALANDHAR

ECP HEALTH CARE,535,NEW JAWAHAR NAGR,OPP APEX HOSPITAL, NEAR GURU NANAK MISSION CHOWK,JALANDHAR, PUNJAB-

PARDEEP 0181-

2234535,9592243154

70 JALANDHAR JALANDHAR 54, GURU RAM DAS MARKET, KAPURTHALA CHOWK, JALANDHAR,PUNJAB-

MR ARVIND 0181-4698422-

9815578922

71 JALANDHAR JALANDHAR BOOTH NO-31, CRYSTAL PLAZA, CHOTI BARADARI-I, JALANDHAR, PUNJAB-144001

MR ARUN 0181-2660178/

9915332733

72 JALANDHAR JALANDHAR 177-L MODEL TOWN,OPP KFC AND HDFC BANK STREET, JALANDHAR, PUNJAB

MR CGURRA 0181-

2270213,9357902450

27


18, LINK ROAD, OPP. RAM SHARNAN, NEAR PUNJAB GRAMIN BANK, JALANDHAR, PUNJAB

MR JUGRAJ 0181-5051005

74 JALANDHAR JALANDHAR B-1/256, MAQSUDAN CHOWK, GT ROAD , LANANDHAR, PUNJAB-

MR SONU 9041244786


24 CARET GOLD, APARTMENT COMMERCIAL COMPLEX, MITHAPUR ROAD, JALANDHAR-144003

MR DAVID MASSI 9815243173

76 JALANDHAR JALANDHAR MODEL TOWN JALLANDHAR NAVDEEP 1814646101

77 JALANDHAR JALANDHAR SHOP NO. :-6,MOHALLA NO. :-20,SADAR BAZAR,JALANDHAR CANTT,JALANDHAR

MY YASHPAL 0181-2265047

78 JALANDHAR JALANDHAR SHOP NO-25, DOABA CHOWK, JALLANDHAR, PUNJAB

MR RAVINDER 0181-

5095333,9888553531


1200-1201,AJIT NAGAR, OPP. CITY GARDEN,NEAR AJIT NAGAR GURDWARA,NAKODAR CHOWK, JALANDHAR-144001(PUNJAB)

MR VIJAY PREM 0181-3988505

80 JALANDHAR JALANDHAR SHOP NO-3, IG-45, PREET NAGAR, LADOWALI ROAD, JALANDHAR, PUNJAB-144001

MR PUNEET 9501031163

81 JALANDHAR PHILLOR

H S LAB, CIVIL LINES, OUTSIDE GRAIN MARKET, PHILLOR,DISTT. JALLANDHAR, PUNJAB- 144410

MR HARDEV 9501734775

82 JALANDHAR SHAHKOT

Saidpur Road, Near Chopra Hospital, Shahkot, Distt.Jalandhar (Punjab) - 144702

MR SANDEEP SONI 01821 509761,

9815624342

83 KAPURTHALA KAPURTHAL

A

WARD NO-11, BEGOWAL, DISTT- KAPURTHALA, PUNJAB-144601

MR DEVINDER 9875714838

84 KAPURTHALA PHAGWARA

NATIONAL CLINICAL LAB, IST FLOOR, BANSI LAL MKT, BANGA ROAD, PHAGWARA- 144401

MR MP SINGH

01824-222254, 01824-

260254,9815600254

85 KAPURTHALA PHAGWARA SHOP NO-. 3 , SINGLA MARKET , NEAR BUS STAND, PHAGWARA-144401

MR RAVI PAL 9888002645

86 KAPURTHALA SULTANPUR

LODHI

OPP. GURUDWARA ANTERYATMA SAHIB, NEAR BUS STAND,SULTANPUR LODHI, KAPURTHALA, PUNJAB-144626

MR PARDEEP 9814724215

87 LUDHIANA DORAHA SHOP NO-15, CD MALL, G.T.ROAD, NEAR RAJWANT

MR KARAMJEET 9914223046,01628

-501146

28

HOSPITAL, DORAHA, TEHSIL- PAYAL, DISTT- LUDHIANA, PUNJAB-141421

88 LUDHIANA JAGRAON KACHA MALAK ROAD. NEAR BANSAL HOSPITAL, JAGRAON. 142026

MR CHEEMA 9914903900

89 LUDHIANA JAGRAON JAIN LAB & X-RAY CLINIC;TAHSIL ROAD, JAGRAON-142026, PUNJAB

DR MUNISH JAIN 01624-

222141,9814340991

90 LUDHIANA KHANNA

MR.RAVINDER PAL SINGH, PEERKHANA ROAD, NEAR JAWANDA HOSPITAL, KHANNA, PUNJAB -141401

MR MANDEEP 01628-

505086,9780030086,

91 LUDHIANA LUDHIANA

OM EYE AND MATERNITY HOSP. , 993 , URBAN ESTATE , PHASE 2 JAMALPUR, LUDHIANA- 141001

DR PANKAJ SINGLE 0161-

4636188,9815366188


SHOP NO-9, VISHAL NAGAR CHOWK, GILL MARKET, VISHAL NAGAR, PAKHOWAL ROAD, LUDHIANA, PUNJAB-141002

MR KULWINDER 9888910346, 0161-

3920346

93 LUDHIANA LUDHIANA S32 R, MODEL TOWN, NEAR SUMAN HOSPITAL, LUDHIANA-141002

MR. HARPREET SINGH

1615042086


B-30, BALMIKI GHATTI MOHALLA CHOWNK, NEAR RAM DARBAR MANDIR, MADHOPURI, LUDHIANA. 141008

MR. ROHIT KUMAR 8146559129

95 LUDHIANA LUDHIANA FEROZPUR ROAD, NEAR GLOBAL HOSPITAL , LUDHIANA-141001

MR. HARDEEP SINGH

1615090365

96 LUDHIANA LUDHIANA HO.NO.3456, SECTOR- 32A, CHANDIGARH ROAD, LUDHIANA-141001

MR. SINTU KUMAR 8146559129

97 LUDHIANA LUDHIANA 435, COLLEGE ROAD, CIVIL LINES , LUDHIANA- 141001

MR DAVID DAULAT 9256700909


SHOP NO-1, SAGGAR MARKET, RAJPURA ROAD, OPP. OBC BABNK, NEAR NEW DMC, LUDHIANA-141001

MR. VIPAN & MR. MANPREET

0161-4605588

99 LUDHIANA LUDHIANA 12-C, SARABHA NAGAR, LUDHIANA-141001, PUNJAB

MR. AMANDEEP SINGH

0161-2455337-38


GROUND FLOOR, UNIT NO- B-XI-964, BABA THAN SINGH CHOWK , SAMRALA CHANDIGARH ROAD, LUDHIANA-141008 , PUNJAB

MR. KRISHAN SINGH

9316350003


B, 19, 1121/A, GROUND FLOOR/ NC COMPLEX,NEAR NEW DMC, TAGORE NAGAR, RAJPURA ROAD, CIVIL LINES ,

MR. JAGJIT SINGH 0161-4644

29

LUDHIANA-141001


SABHARWAL LAB, NEAR DEAF & DUMB SCHOOL , TAGORE NAGAR, LUDHIANA- 141001 , PUNJAB

MR HARINDER SINGH

0161-2301707

103 LUDHIANA MACHHIWA

RA

SHOP NO. 14, DASHMESH MARKET, NEAR BUS STAND MACHHIWARA – 141115 TEHSIL SAMRALA, DISTT. LUDHIANA, PUNJAB- 141115

MR SUKHWINDER 9888318823,

01628-250389

104 LUDHIANA RAIKOT CITY LAB, POLICE STATION ROAD, RAIKOT. 141109

MR. SUKHWINDER SINGH

0161-2866126, 9815447773

105 LUDHIANA SAMRALA

NEAR RAJ MEDICAL, OPP. CIVIL HOSPITAL, MACHHIWARA ROAD, SAMRALA, LUDHIANA-141114, PUNJAB

MR PARGAT SINGH 9814241299

106 MANSA BUDHALADA

CHANDIGARH LABORATORY, RAILWAY ROAD, NEAR GIRL'S SCHOOL, BUDHLADA, MANSA- 151502, PUNJAB

MR DEEPAK SINGLA 01652-

254733,9915690116

107 MANSA MANSA BARETA COMPUTERISED LABORATORY, OPP. CIVIL HOSPITAL, MANSA -151501

MR ROHTAS

01652-502693, 01652-

225693,9815653693

108 MANSA MANSA

PAUL COMPUTERISED LAB, OPP.CIVIL HOSPITAL, WATER WORKS ROAD, MANSA - 151505 (PUNJAB)

DR AMRIT 01652-

501796,9779360196

109 MANSA SARDULGAR

H

PRAMOD COMPUTERISED LAB, CHAURA BAZAR, NEAR ANAJ MANDI, SARDULGARH, DISTT. MANSA-151507

MR NARESH 01659-

250296,9815141092, 9915021365

110 moga BAGHA SHOP NO. 14, MOGA ROAD, BAGHA PURANA, PUNJAB - 142038

MR IQBAL SINGH 9815426449

111 moga MOGA ADVANCED ENDOSCOPY AND DAIGNOSTIC CENTRE, MALHI HOSPITAL, MOGA. 142001

MR CAPT AMARJEET

016136-221869, 68,9872598117

112 moga MOGA

SHOP NO-3, SANTOKH SINGH MARKET, AKALSAR ROAD, MOGA, TEHSIL & DISTT-MOGA, PUNJAB-142001

MR. BALJINDER SINGH

01636-225319

113 moga MOGA SHOP NO- 1, AGGARSAIN MARKET, GEETA BHAWAN CHOWK, MOGA-142001

MR. NITISH DHAMIJA

9855459550

114 MOHALI DAKOLI SCO-3, OPP. DS ESTATE, DAKOLI, DISTT- MOHALI(SAS NAGAR) -160104

MR. AMIT KUMAR 9417277738

115 MOHALI DERRA BASSI TEHSIL ROAD ,NEAR TELEPHONE EXCHANGE,ADJOINING

MR AVTAR SINGH 9915495346, 9815200000

30

PUNJAB &SINDH BANK, MADGAV SADAN, DERABASSI, DISTT- SAS NAGAR, PUNJAB-140507

116 MOHALI KHARAR SCO-75, SECTOR-127, GILLCO VOLLEY, GREATER MOHALI, DISTT- SAS NAGAR , PUNJAB.

MR KAPIL SHARMA 9876854005

117 MOHALI KHARAR

SHOP NO-3, NEAR SUNNY ENCLAVE GATE NO-2DESU MAJRA, TEHSIL KHARAR, DISTT. SAS NAGAR, MOHALI-140301(PUNJAB)

MR PARDEEP 9417196767

118 MOHALI KURALI

OPP. BUS STAND KURALI,SISWAN ROAD, KURALI,DISTT:- SAS NAGAR MOHALI ,PUNJAB, 140103

MR. GAGANDEEP 9855110080

119 MOHALI MOHALI BOTH NO- 52, PHASE- 7, MOHALI, PUNJAB

MR. GURUSEWAK SINGH

0172-5098852

120 MOHALI MOHALI SCF-37, PHASE -11 , MOHALI-160062

MR SACHIN 9530941000

121 MOHALI MOHALI HM-64, PHASE-3B1, SAS NAGAR, MOHALI-160059

MR NITIN 0172-

2666056,9780923739

122 MOHALI MORINDA NEAR GRAIN MARKET , SAMRALA ROAD, MORINDA,140101- PUNJAB

MR HS KANG 9417031199

123 MOHALI ZIRAKPUR

SHOP NO- 12A, ADJOINING TELEPHONE EXCHANGE GOVIND VIHAR, BALTANA, MC - ZIRAKPUR, DISTT. SAS NAGAR-140603

PRATIBHA 9023489977

124 MOHALI ZIRAKPUR SCO-31, TRICITY PLAZA PEER MUCHHALLA , NAC ZIRAKPUR-140603( PUNJAB)

MR HARISH 8968140504

125 MOHALI ZIRAKPUR BOTH NO- 249, DEVA JIT, VIP ROAD, ZIRAKPUR, DISTT. SAS NAGAR, PUNJAB- 140603

MR PANKAJ MEHRA

9501232402

126 MOHALI ZIRAKPUR

SHOP NO-2, GREEN PARK COLONY, LOHGARH ROAD,OPP. KOHINOOR DHABA, ZIRAKPUR-140603(PUNJAB)

MRS PRITI 9988880829

127 MUKTSAR GIDDARBAH

A

WARD NO-3, CIRCULAR ROAD, NEAR CORPORATION BANK, GIDDERBAHA, SRI MUKTSAR SAHIB -152101, PUNJAB

MR MUKESH 9316860015

128 MUKTSAR GIDDERBAH

A

“GIDDERBAHA LAB” OPP. DR. JAGDISH GOYAL GANDHI CHOWK, GIDDERBAHA-152101, PUNJAB

MR SANDEEP 01637-231201,

9876921300

129 MUKTSAR MALAUT OPP. SEKHON HOSPITAL, NEAR SBI, KAIRON ROAD, MALOUT- 152107

MR RUPESH 01637-261185 ,9888128626

31

130 MUKTSAR MALOUT NEAR CIVIL HOSPITAL, RAILWAY ROAD, MALOUT, MUKTSAR, PUNJAB-152107

MR AMAN 9872973074

131 MUKTSAR MUKTSAR

BAJAJ COMPUTERISED LAB,NEAR DR. P.D. BAJAJ , ABOHAR ROAD, MUKTSAR- 152026

MR BAJAJ 01633-

260683,9855360683

132 NAWANSHAHAR

NAWANSHAHAR

NEAR KHALSA SCHOOL, OPP. REHAL FURNITURE HOUSE , CHANDIGARH ROAD, NAWANSHAHR-144514

MR RAM BHIR 9815069087

133 PATIALA NABHA

MODERN COMPUTERISED LAB, MOHALLA KARTARPURA, WAZIR SAHIB ROAD,NEAR CIVIL HOPSITAL , NABHA, PUNJAB- 147201

MR PARDEEP 9815606985, 9855551332

134 PATIALA NABHA

BANSAL DIAGNOSTICS CENTRE, BASANTPURA MOHALLA , NABHA, PUNJAB - 147201

DR BANSAL 01765-

227503,9814867984

135 PATIALA PATIALA

19 PM, JAGAT COTTAGE, BHUPINDRA ROAD, NEAR 22 NO.PHATAK, OPP PUNJLAND PARIWAR, PATIALA, PUNJAB-147001

MR GHUMAN SINGH

0175-5001307,98144-

05898

136 PATIALA PATIALA TRICONE MARKET, SIRHIND RAJPURA BYE PASS ROAD, PATIALA, PUNJAB-147002

MR JASVINDER 9814994568

137 PATIALA PATIALA OPP. CIVIL DISPENSARY, MODEL TOWN, PATIALA, PUNJAB- 147001

MR ISHWINDER 0175-5006195

138 PATIALA PATIALA 185/3, SHERAN WALA GATE, PATIALA-147001, PUNJAB

SUNIL KANDA 0175-2050205

139 PATIALA PATIALA

DR.LAL PATHLABS, SHOP NO.5,GROUND FLOOR, JAGDISH MARG BACKSIDE RAJINDRA HOSPITAL PATIALA. 147001

MR MANPREET 0175-3240531

140 PATIALA RAJPURA J-12/6, Gobind Colony, Rajpura Town, Tehsil-Rajpura, Distt. Patiala, Punjab- 140401

MR MANDEEP 9988730074

141 PATIALA SAMANA KB CLINICAL LAB, TEHSIL ROAD, SAMANA, PATIALA , PUNJAB-147101

MR DEEPAK 9417556643

142 ROPAR NANGAL SHOP NO-31,MAHAVEER MARKET,NANGAL,PIN -140124

DR ARUN BATRA 9417023081

143 ROPAR ROPAR NEAR CIVIL HOSP, ROPAR MR JATINDER 9814303217

144 SANGRUR AHMEDGAR

H

SUNIT DIAGNOSTICS PVT LTD;HIND HOSPITAL;BHAI BIR SINGH GURUDWARA ROAD, AHMEDGARH- 148021

DR SUMIT 01675-

244591,92,9814098004

32

145 SANGRUR AHMEDGAR

H

RAILWAY ROAD, CYCLE MARKET, OPP. PAVITAR MEDICOS, AHMEDGARH-148021(PUNJAB)

MR PAVITTAR 9855924505

146 SANGRUR MALERKOTL

A

C/O MR.JAGDEEP GOYAL, CHANDIGARH COMPUTERISED LAB, OPP. PUNJAB & SIND BANK, MALERKOTLA, PUNJAB - 151206

MR JAGDEEP GOYAL

01675-255225,981427299

9

147 SANGRUR SANGRUR DR.POONAM'S LAB. , S.C.O. 10, KAULA PARK, SANGRUR, PUNJAB-

DR POONAM 01672-

232601,9417354045

148 SANGRUR SUNAM

SATISH CLINICAL LABORATORY, GEETA BHAWAN ROAD , SUNAM, PUNJAB- 148028

MR JAGDEEP 01676-

222801,9814820736

149 TARNTARAN TARN TARAN PUNJAB CLINICAL LABORATORY, OPP CIVIL HOPSPITAL

MR MANJEET 9815506611

33

Annexure II Contact list of District Epidemiologist IDSP

S.N District Name of Epidemiologist

Contact No e-mail IDs

1 Amritsar Dr.Reetu 9781873900 [email protected]

2 Barnala Dr. Munish Kumar 9815954645 [email protected]

3 Bathinda Dr. Ravinder Singh 9463912215 [email protected]

4 Ferozepur Dr. Yuvraj Narang 9417545802 [email protected]

5 Faridkot Dr. Kamaldeep Kaur 9464912404 [email protected]

6 F.G.Sahib Ms. Oinam Shyambeda Devi

8054326796 [email protected]

7 Fazilka Dr. Ashwinder Kaur 8437325104 [email protected]

8 Gurdaspur Dr. Vandana 9646245383 [email protected]

9 Hoshiarpur Dr. Shailesh Kumar 9041802180 [email protected]

10 Jalandhar Dr. Satish Kumar 9872005064 [email protected]

11 Kapurthala Dr. Shobhna Bansal 9779264952 [email protected]

12 Ludhiana Dr. Muneer Mohd. 9988681090 [email protected]

13 Mansa Mr. Santosh Bharti 9888861178 [email protected]

14 Moga Dr. Divjot Singh 9041274030 [email protected]

15 Muktsar Dr. Vikram Assija 9872084088 [email protected]

16 SBS Nagar Dr. Amrinderpal Singh 9872613444 [email protected]

17 Pathankot Dr Sunita Sharma 9888294799 [email protected]

18 Patiala Dr. Gurmeet Singh Girn 9501688775 [email protected]

19 Ropar Dr. Sumeet Sharma 9417340321 [email protected]

20 S.A.S Nagar Dr. Deepti Sharma 8196925111 [email protected]

21 Sangrur Dr. Upasna Bindra 9779238211 [email protected]

22 Tarn Taran Dr. Abha Sharma 9779714956 [email protected]

Medical specialists should contact the experts at Deptt of Hepatology, PGIMER, Chandigarh for any queries in the management of a case of Hepatitis C.

mailto:[email protected]


















34

The document has been prepared under the technical guidance of

Dr R K Dhiman, MD, DM, FAMS, FACG, FRCP Edin, FRCP London, FAASLD

Professor, Department of Hepatology, PGIMER, Chandigarh Email: [email protected]

Compiled by: Dr Gagandeep Singh Grover State Programme Officer HCV

Room No. 506, Pariwar Kalyan Bhawan Department of Health & family Welfare, Punjab Sector 34-A, Chandigarh Email: [email protected]


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