18

The progressive increase in the receipt is due to the larger
amount of fees realized from paying patients.

(b)  Expenditure.—The total expenditure exclusive of
amounts received from the paying patients and miscellaneous
receipts was Rs. 5,16,898-5-9 during the year under report as
compared with Rs. 5,70,175 in 1930 and Rs. 7,60,978 in 1929.

The progressive decrease in total expenditure is due to
general trade depression which enabled us to purchase all articles
at cheaper rates, less Public Works expenses as compared to
1929 and 1930 and enforcement of strictest economy in all
departments of the hospital.

(c)  Annual average cost per patient.—The following table
shows the annual average cost per head during the year under
report and two previous years :—

The progressive decrease in the cost per head inclusive and
exclusive of Public Works Department charges is due to the
same causes as mentioned above in paragraph 32(b).

34. Staff.—Statement IX shows the sanctioned establish-
ment of the hospital as it stood at the end of the year under
report.

(i) Attendant staff.—The standard of work of the attendant
staff is steadily improving every year and this is due to our
steady efforts at weeding out the incompetents.

Nursing staff.—We experienced considerable difficulties
during the year under report as well as in the previous years in
securing the services of suitable nurses of any nationality to
this hospital in spite of our advertising in almost all the leading
newspapers of India.