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Pediatrics

HASSAN INSTITUTE OF MEDICAL SCIENCES, HASSAN

DEPARTMENT OF PAEDIATRICS

 

  * About the department

  * Teaching Faculty

  * Non Teaching Faculty

  * Units and doctors available for consultation

  * Facilities available

  * Schemes available

  * Academic Activities

  * Research Activities

  * User charges

  * Contact information

  * Gallery

 

 

About the department:

“There is no foot too small that it cannot leave an imprint on this world”

Paediatric Department has been functional as a part of district hospital before it became a part of Medical College (HIMS) in the year 2006. Currently the Department caters to more than 30,000 children aged less than 18 years every year in the Out-Patient Department. Services provided include daily OPD services, Immunization services, 24 hour neonatal and Paediatric emergency services, Early Intervention for disabilities (DEIC) and Nutrition Rehabilitation for children less than five years with malnutrition. With the start of HIMS teaching hospital in 2006, Paediatric and Neonatal intensive care services were upgraded to the level of tertiary care centre.

Department has constantly been developing into a tertiary referral centre over the years, and has expanded from 30 paediatric  beds in 2006 to 120 paediatric beds currently. Neonatal intensive care unit started with 10 beds in 2006, was upgraded to 29 beds in 2012 and to 50 bedded level III referral centre in 2018. Currently the NICU provides services to both inborn as well as out-born neonates being referred from all parts of the district and also the neighbouring districts. Thanks to advancement in neonatal care and facilities available in the modern NICU, even premature babies that are born as early as 28weeks gestation have survived with good neuro-developmental outcome.

Well staffed District Early Intervention Centre (DEIC) and Nutritional Rehabilitation Centre (NRC) have been providing services on daily basis to all the children in need.

Since 2018, a separate dedicated Mother and Child wing has been established for Department of Paediatrics and Obstetrics & Gynaecology catering to more than 1,00,000 mothers and children every year. The Department is supported by well staffed blood bank and laboratory operational 24 hours.

Community Programmes like Breast Feeding week, Newborn Week, Diarrhoea control fortnight, Pulse Polio programmes, Children’s day celebrations etc are actively celebrated. Mothers and children are educated for continued care and betterment of the children.

With the start of Hassan Institute of Medical Sciences in 2006, Department has been actively involved in academic activities for under graduate students. With a good number of patients with various ailments visiting the hospital for care from all parts of the district, there is a good opportunity for the medical students to learn through experience. Department has good infrastructure and well experienced faculty. The faculty who are always ready to teach and learn,  have actively involved themselves in various teaching activities apart from the regular theory classes and clinical postings.

As a Jewel on the Crown Post graduate programme was started in the Department from the year 2020-2021. Even in the tough times Covid-19, the residents are constantly kept involved in the teaching activities. Community based programmes get the residents involve in the patient care building patient communication skills in them. Well equipped neonatal ICUs give an opportunity for the resident doctors to learn by seeing and doing. Various research activities keep the residents involved and orient them to innovation.

This year, with the emergence of covid pandemic, a dedicated paediatric facility has been established to cater to the needs of the children in the district. The facility includes paediatric as well as neonatal ICU setup equipped with modern mechanical ventilators and other facilities.

 

Highlights:

Manages all childhood illnesses

Comprehensive care for sick neonates and children

Long term follow up of chronic childhood ailments like Thalasemias, nephritic syndrome, cerebral palsy etc.

Round the clock monitoring of sick children with well-trained nursing staff and resident doctors.

Well equipped neonatal ICUs.

Speciality clinics and 24 hour emergency services.

Good infrastructure with experienced faculty

Community and social paediatrics through celebration of various community programmes and health education.

Promotion of research activities and orientation to innovation.

Dedicated paediatric covid facility with ICU care.

 

Teaching Faculty: Pediatric Department 

Sl. No.

Faculty

Qualification

Designation

01

Dr. Prasanna Kumar  D. G.

MBBS., MD.

Professor & HOD

02

Dr. Manu Prakash S. K.

MBBS., DNB.

Associate Professor

03

Dr. Srinivasa B.S.

MBBS., DCH., DNB.

Associate Professor

04

Dr. Bharath Kumar G.N.

MBBS., MD.

Assistant Professor

05

Dr. Kumar S. R.

MBBS., DCH., DNB.

Fellowship in Neonatology.

Assistant Professor

06

Dr. Harish H. N.

MBBS., DCH., DNB.

Assistant Professor

07

Dr. Madhura  K. L.

MBBS., MD.

Assistant Professor

08

Dr. Syeda Saltanat Ara

MBBS., DCH.

Senior Resident

09

Dr.Vinay. P.

MBBS., MD.

Senior Resident

10

Dr. Bhavika. Y. M.

MBBS., MD.

Senior Resident

11

Dr. Deepti Shetty

MBBS., MD.

Senior Resident

12

Dr. Shashidhar. V. S.

MBBS., MD.

Senior Resident

13

Dr. Akshatha. S. P.

MBBS., DNB.

Senior Resident

14

Dr. Akash B. K.

MBBS., MD.

Senior Resident

 

Post Graduate Students: Paediatric Department

Sl. No.

Doctor’s name

Qualification

01

Dr. K. S. Sriranjini

MBBS.

02

Dr. Rakesh V. A.

MBBS.

03

Dr. Sneha G.

MBBS.

04

Dr. Niveditha Rathod

MBBS.

 

 

Junior Residents: Pediatric Department

Sl. No.

Doctor’s name

Qualification

01

Dr. Sankalpa C. S.

MBBS.

02

Dr. Anuraji

MBBS.

03

Dr. Pavan V.

MBBS.

04

Dr. Rakshitha D. G.

MBBS.

05

Dr. Shanthan N.

MBBS.

06

Dr. Sagarika S.

MBBS.

07

Dr. Chandrika Sandu

MBBS.

08

Dr. Suresh A. R.

MBBS.

 

Non-Teaching Faculty: Paediatric Department

Name

Designation

Ms Nagaratna

Case worker

Krishnappa

Attender

 

Non-Teaching Faculty: NRC

Name

Designation

Dr. G. M. Papanna

NRC Medical Officer

Ms Bhagya. C. S.

Diet counselor, NRC

Ms Neelamma. K.V.

Nursing Officer, NRC

Ms Shilpa

Nursing Officer, NRC

Ms Akshatha

Nursing Officer, NRC

Ms Nakshathra Mary

Nursing Officer, NRC

Ms Radhamma

Cook, NRC

Ms Rathna

Attender

 

Non-Teaching Faculty: DEIC

Name

Designation

Dr.P.B. Konasagar

Pediatrician, DEIC

Dr. Manjunatha

Psychologist

Dr. Syed Nahid

Physiotherapist

MrVinay

Manager

Ms Chaithra

Speech Therapist

Ms Mangala

Staff Nurse

Ms Pavithra

Counsellor

Mr Linge Gowda

Attender

 

Units and Doctors available for consulatation:

UNIT ONE

Dr. Prasanna Kumar.  D. G.

MBBS., MD.

Professor & HOD.

Unit Chief.

Dr. Srinivasa. B.S.

MBBS., DCH.,  DNB.

Associate Professor

Dr. Harish. H. N.

MBBS., DCH., DNB.

Assistant Professor

Dr. Madhura.  K. L.

MBBS., MD.

Assistant Professor

Dr. Bhavika. Y. M.

MBBS., MD.

Senior Resident

Dr. Vinay. P.

MBBS., MD.

Senior Resident

UNIT TWO

Dr. Manu Prakash. S. K.

MBBS., DNB.

Associate Professor.

Unit Chief.

Dr. Bharath Kumar. G.N.

MBBS., MD.

Assistant Professor

Dr. Syeda Saltanat Ara

MBBS., DCH.

Senior Resident

Dr. Shashidhar. V. S

MBBS., MD.

Senior Resident

Dr. Akash. B. K.

MBBS., MD.

Senior Resident

NICU

Dr. Kumar S. R.

MBBS., DCH., DNB., Fellowship in Neonatology.

Assistant Professor, Neonatologist

Dr. Deepti Shetty

MBBS., MD.

Pediatrician, NHM

Dr. Akshatha. S. P.

MBBS., DNB.

Pediatrician, NHM

DEIC

Dr.P.B. Konasagar

MBBS., DCH.

Pediatrician,  DEIC

Dr Manjunatha

MSc., M.phil., PhD

Psychologist

Dr Syed Nahid

BPT., MPT., MIAP.

Physiotherapist

NRC

Dr. G. M. Papanna

MBBS.

NRC Medical Officer

 

FACILITIES AVAILABLE

Out-patient Department:  Room number 01 & 02 (Ground floor of Mother and Child wing)

Timings: Monday to Saturday- 9am to 4 pm

               Sundays, Second Saturdays and Government holidays- 9am to 1pm

Unit one: Mondays, Wednesdays, Fridays and alternate Sundays

Unit two: Tuesdays, Thursdays, Saturdays and alternate Sundays

Esanjeevini OPD:

Every day one of the doctors from the department provide online consultation though esanjeevini portal by the government. Currently more than 5000 children avail the facilities every month.

Speciality clinics: Monday to Friday 9am to 1pm

Days

Specialty

Doctor in-charge

Monday

Cardiology

Dr Harish H. N.

Tuesday

Nephrology

Dr. Manu Prakash S. K.

Wednesday

Endocrine

Neurology

Dr. Madhura  K. L.

Dr. Syeda Saltanat Ara

Thursday

Hematology

Dr. Bharath Kumar G.N.

Friday

Asthma

Dr. Srinivasa B.S.

Daily

Neonatology

Well baby clinic

Lactation clinic

Dr. Kumar S. R.

Dr. Vinay. P.

Smt. Sheela Y. N.

 

Emergency department/Triage area: Room number 43 (Ground floor of Mother and Child wing)

Timings: 24 hours

Unit one: Mondays, Wednesdays, Fridays and alternate Sundays

Unit two: Tuesdays, Thursdays, Saturdays and alternate Sundays

DEIC: Room number 40 (Ground floor of Mother and Child wing)

Highlights:

  * The DEIC team is headed by a senior Paediatrician, with a Speech therapist, Physiotherapist, Psychologist and a Counsellor available for patient consultation.

  * The centre caters to more than 2500 children with the listed 38 diseases, deficiencies, defects and developmental problems every year.

  * Children are referred from all over the district through School Health and Anganawadi Programmes for early identification and intervention.

  * Multidisciplinary therapy is provided under a single roof.

  * The team also is involved in daily newborn screening in NICU and postnatal wards with an aim to identify birth defects and anomalies and also to identify high risk babies like preterm, low birth weight and babies with birth asphyxia.

  * These babies are followed up regularly to provide proper therapy with concerned specialities and counselling.

  * Many children with cleft lip, cleft palate, Down syndrome, Retinopathy of Prematurity, Vitamin Deficiencies, Developmental and Behavioural disorders have benefitted from the centre.

Inpatient department:

Paediatric wards: Room number 42, 43, 44, 45 and 46, (Ground floor of Mother and Child wing)

PICU: Room number 50 (Ground floor of Mother and Child wing)

Highlights:

  * 10 bedded air conditioned ICU with multichannel monitors, infusion pumps, nebulisation, defibrillator, fowler beds and ventilator services available

  * Round the clock availability of nurses trained in ICU care and Resident Doctors.

 

NICU: Room number 58 (Ground floor of Mother and Child wing)

A neonatal intensive care unit (NICU) is an intensive care unit specializing in the care of ill or premature newborn. It offers a wide range of services for complex medical and surgical neonatal problems, overseen by team of doctors, neonatal nurses and allied health specialists. We follow a multidisciplinary approach to offer comprehensive care to the babies with extensive co operation from many other teams and departments within the hospital.

Highlights:

  * Headed by a neonatologist and staffed by a dedicated paediatrician, resident doctors and medical officers.

  * 50 bedded air conditioned NICU with inborn, out born, preterm, phototherapy and HDU sections.

  * Providing care to more than 4000 neonates a year with round the clock trained nursing services and resident doctors

  * Preterm care, phototherapy, warmer and incubator care, multichannel monitors, oxygen therapy, CPAP, ventilator care with High Frequency Oscillator and in-house X-ray, ABG apparatus are available.

  * Retinopathy of prematurity screening was started in the hospital for premature babies from the year 2014. ROP screening is done regularly every week by a specialised team from Narayana Nethralaya, Bangalore. The babies requiring treatment are referred to higher centre appropriate therapy through proper channel. On an average more than 1000 babies avail the services every year.

  * Hearing assessment for all high risk and premature newborns are done regulary through OAE testing.

  * Exclusive Breast feeding is practised and mothers are trained to take care of the baby and regarding importance of immunization and breast feeding before discharge.

  * Kangaroo Mother Care practised regularly for all preterm babies and mothers are trained to continue the same after discharge.

 

NRC: Room number 41 (Kitchen- Ground floor, Mother and Child wing)

Highlights:

  * A well established nutrition rehabilitation centre has been providing wholesome services to all children with severe acute malnutrition.

  * Headed by a dedicated medical officer, the department is well staffed with a diet counsellor, nursing officers for assessment of physical, mental, economical and nutritional status of all the admitted children.

  * The centre has a dedicated cook, nursing officers and counsellor to provide excellent nutritious diet, play therapy, growth monitoring and monitory benefits to more than 500 children a year.

  * The department has a dedicated 20 bedded ward with good ventilation and ambience and various tools for play therapy and stimulation.

  * A clean and well maintained kitchen has a trained cook to provide nutritious, hygienic and monitored diet for all the admitted children and their mothers.

  * Free medicines and vitamin/mineral supplements are provided to the children along with the diet. Daily wage is also provided to the parents as a token of encouragement and as remuneration of loss of wage during hospitalisation.

  * Mothers are educated and advised regarding preparation of nutritious, hygienic and balanced diet for their children from locally available food items, and also educated regarding importance of timely immunization.

Paediatric Covid Facility: (3rd floor, New Hospital building)

A dedicated covid centre was started in the hospital with the help of district administration and LAM & United Ways in July 2021.

Highlights:

  * Plan to establish 200 bedded paediatric facility including 50 bedded covid PICU, 25 bedded covid NICU and 125 bedded Paediatric covid ward.

  * Facilities like modern multi channel monitors, neonatal and paediatric ventilators, Blood gas analyser and other modern equipments are to be made available for management of children affected with covid.

 

Schemes available:

AB-ArK (Ayushman Bharath- Arogya Karnataka):

Documents required:

  * For children less than 5 years:

Thaayi card

Birth certificate

Mother’s Aadhaar card

Mother’s BPL card

  * For children more than 5 years:

Child’s Aadhaar card

BPL card with child’s name

SC / ST Scheme:

Documents required:

Caste certificate

Aadhaar card

NHM: For all children below one year of age.

 

ACADEMIC ACTIVITIES 

Teaching Programme:

Under Graduate Teaching Programme:

  * Theory classes for students 6th term onwards.

  * Clinical postings and bed-side teaching for students 4th term onwards.

  * Subject seminars for interns during clinical postings.

 

Post Graduate Teaching Programme:

  * Daily bedside teaching and rounds.

  * Case presentations and Difficult case discussions every week.

  * Subject seminars and Journal Club presentations every week.

  * Departmental Mortality meets and discussions every month.

  * Guest Lectures and CMEs from esteemed faculty from other institutes every month.

 

Paediatric Covid management Training Programme:

  * Training programme was conducted on Pediatric covid manangement in a step wise manner for all the Interns, Junior Residents and Faculty from all the departments by Pediatric department.

  * Training programme for Nursing staff has been planned in the coming days.

 

CME/ Conferences Conducted:

  * South zone PEDICON with Pre-conference workshops conducted in 2010-11 in association with IAP Hassan

  * National Satellite conference on Infectious Disease conducted in 2013 at MCF in association with IAP Hassan

  * Asthma Training Module was conducted in 2015

  * CME on Paediatric Haematology in association with Department of Pathology conducted in 2019

  * CME on Neonatal Aseptic Practices conducted in 2019

  * IAP Undergraduate Quiz Divisional round (South Zone) conducted in 2018-19 and 2019-2020

  * CME on Neonatal Ventilation workshop conducted for nurses, Residents and practising Paediatricians in 2021

 

Published Research Activities by the Faculty:

  1.  * Girija B.S., Sahana G.N., Prasanna Kumar D.G. Evaluation of Objective Structured Clincal Examination (OSCE) versus Conventional Examination as a Formative Assessment Toll in Obstetrics and Gynaecology. Journal of Research in Medical Education & Ethics 2018;8(2): 136-140.

      * B.S, Prasannakumar. A study of prevalence, risk factors and clinical profile of neonatal hypoglycemia. Indian journal of public health research and development 2012; 3(3): 210-213.

      * Srinivasa BS, Manuprakash SK, Syed saltana Ara, Kumar SR, Prassanna Kumar DG. Socio demographic profile of poisoning in children admitted to a tertiary hospital. Indian J Child health 2016; 3(3): 238-240.

      * GN Bharat Kumar, BS Srinivasa , SK Manuprakash, Syeda saltanat Ara, DG prasanna Kumar, HR Suma. A study on prevalence and association of anemia and hyponatremia in simple febrile seizures in children. Indian Journal of Neonatal Medicine and Research 2019; 7(2): 7-11.

      * H. N., Bharat kumar. G. N. , Prasannakumar. D. G. Prevalence if Sinusitis in children aged 3 yrs to 15 yrs by clinical  and radiological (X-ray PNS) methods in children with persistent acute or recurrent respiratory tract symptoms  Indian Journal of public health research and development. July- September 2015 Vol.6,  No.3

      * Bharat kumar. G. N, B. S. Srinivasa, S.K. Manuprakash, Ara Syeda saltanat, D. G. Prasanna kumar, H.R. Suma. Astudy on prevalence and association of anaemia and hyponatremia in simple febrile seizures in children. Indian journal of neonatal medicine and research,2019 april vol-7(2):P007-P011

      * Bhavika YM, Prasanna Kumar DG, Manuprakash SK. Anthropometric Profile of Children with Celiac Disease before and after treatment with Gluten Free Diet. MedicaInnovatica. 2020;9(2):33-36.

      * YM Bhavika, DG Prasanna Kumar, HN Harish. Celiac Disease in Children with Chronic Diarrhoea: A Cross-sectional Study. Journal of Clinical and Diagnostic Research. 2021;15(1):SC07-SC09.

      * Manuprakash S. K., K. Varadaraj shenoy, Comparision of pain response to heel prick and vene puncture in term babies.  Indian Journal of public health research and development. 2012: Vol 3, No 3.

      * Manuprakash S. K., K. Varadaraj shenoy, Synthetic Drinks and ill health in children. Indian Journal of public health research and development. 2012: Vol 3, No 2.

      * N. K., Manuprakash S. K. A study of the effectiveness of ultrasound in diagnosing infantile pyloric stenosis. Indian Journal of public health research and development. 2012: Vol 3, No 3.

      * N.K, Srinivasa.B.S. A study of transvaginal ultrasound in asherman syndrome. Indian journal of public health research and development 2012; 3(3):217-219.

      * Srinivasa BS, Harish HN, Manuprakash SK. Evaluation for sinusitis in children ages between 3 and 14 years with recurrent respiratory tract infection by clinical and radiological methods in a tertiary care hospital. International journal of medical science and public health 2016; 5(1): 44-46.

      * Praveen G, Srinivasa BS. Profile and clinical features of HIV positive patients. International Journal of Medical science and Public Health 2013; 2(2): 297-299.

      * Bhavika YM, Dewan V, Sachdev N, Yadav TP, Mittal H, Yadav AK et al. Carotid intimal medial thickness in children with celiac disease. Indian J Child Health. 2019; 6(8):409-412.

      * Bhavika YM, Dewan V, Nath RK, Yadav TP, Mittal H, Yadav AK, et al. Echocardiographic and biochemical profile in children with celiac disease. Indian J Child Health. 2020; 7(3):130-133.

      * Bhavika YM. Dyslipidemia and Liver Function Profile in Children with Celiac Disease. International Journal of Health and Clinical Research. 2020;3(12S):34-38.

      * Yadav A.K., Meena R., Bhavika Y.M., Guruyayappa R., Dewan V. Extra-Hepatic portal venous obstruction with portal biliopathy in infant presenting as neonatal cholestasis: a rare case report and review of literature. J PediatrRes.2016;3(12):889-892.

      * Yadav AK, Dewan V, Meena R, Bhavika YM. Neonatal chikungunya with facial pigmentation and encephalitis. Int J ContempPediatr 2017;4:661-2.

      * Hemlata Singh, Bhavika Y M, RamkeshMeena, VivekDewan. An extrahepatic biliary atresia (EHBA) mimic: a case report. J PediatrRes.2017;4(06):361-362.

      * Shetty Deepti, et al, Iron overload and hypocalcemia in patients with Thalassemia, Medica innovatica.2018,dec;7(2):21-22.

      * Akshatha SP. The predictors of acute bacterial meningitis among children presenting as first complex febrile seizure. Int J Pediatrics Geriatrics 2020;3(1):36-39.

      * Akshatha SP. Prevalence of acute bacterial meningitis among children who present as first complex febrile seizure. Int J Pediatrics Geriatrics 2020;3(1):32-35.

      * Sambreeta debbarman, Akshatha SP. Risk factors of overweight and obesity among children attending tertiary care hospital. Indian Journal of applied research 2020;10(9):10-12.

      * Akshatha SP, Sambreeta debbarman. Prevalence of overweight and obesity in children ages between 2-12 years. Indian Journal of applied research 2020; 10(9): 13-15.

On Going Research activities:

  * A retrospective study of demographics clinical spectrum and outcome in children admitted with Covid 19 infection at HIMS, Hassan. Dr Manuprakash S K., Dr Kumar S R., Dr Prasanna Kumar D G.

  * Perinatal outcome in babies born to mothers with gestational Diabetic mellitus. Dr Harish. H. N., Dr Bharat kumar. G. N., Dr Prasanna Kumar D G.

 

Ongoing Post graduate thesis work:

  * Blood GHS analysis serum electrolytes iron profile in children with female seizures cross-sectional study by Dr. K. S. Sri Ranjini under the guidance of Dr. Prasannakumar.

  * A Comparative Randomised Controlled Study between efficacy of Nasal Continuous Positive Airway Pressure and Nasal Intermittent Positive Pressure Ventilation on Neonates with Meconium Aspiration Syndrome by Dr. Sneha. G. under the guidance of Dr. Manuprakash S. K.

  * Study of correlation of APGAR score and umbilical blood PH with severity of perinatal asphyxia and immediate neonatal outcome  by Dr. Rakesh. V. A. under the guidance of Dr. Srinivasa. B. S.

  * Incidence and risk factors of retinopathy of prematurity in preterm neonates at neonatal intensive care unit by Dr. Niveditha Rathod under the guidance of Dr. Bharath Kumar. G. N.

 

User charges:

SL. NO

PARTICULARS

RATE

1.

PICU charges per day

500

2.

NICU charges per day (High dependency)

Free (NHM)

3.

NICU charges per day (Low Dependency)

Free (NHM)

4.

Ventilator care per day

2000

5.

Ventilator, CPAP, Bi-PAP per day

1000

6.

Phototherapy per day

Free (NHM)

7.

Exchange transfusion

Free (NHM)

8.

Peritoneal dialysis

300

9.

Biopsy: Liver, Renal, Bone marrow

300

10.

ICD insertion

200

11.

Arterial line/CVP line insertion

200

12.

Venesection

100

13.

Ascitic/Pleural/Ventricular tap

100

14.

Nebulisation per day (inpatients)

50

15.

Oxygen therapy per day

100

16.

Thalassemia cases

Free

 

Ward/bed charges, Laboratory charges, BPL user charges applicable as mentioned in the Hospital List.

NICU charges for all neonates and user charges for all children less than one year are free under National Health Mission.

Provision for Waiving/concession in paying on recommendation/request by the Unit Heads for the following categories of patients:

  * Teaching/Academic/Admitted for Exam purpose

  * Poor patients.

  * Humanitarian grounds.

Thalassemia and Haemophilia cases are exempted from paying user charges for lab investigation and other Hospital charges.

Contact information:

NICU (room number 58):                  08172-267777

Information regarding AB-ARK:          8549016057, 9964547733   

For suggestions and complaints:        9448621010, 08172-250330

Ambulance related complaints:          9663344065

Free Ambulance for Newborn babies: 8123757807

Ambulance for all patients:                 9448621010

 

Pediatric OPD and Ward :

   

 

PICU:

 

NICU:

   

 

DEIC and NRC

   

 

Pediatric quiz for undergraduates: Mysore division

   

 

Pulse polio programme:

 

    

 

KMC workshop:

 

World Breast Feeding Week Celebration:

   

 

Inauguration of Pediatric COVID Facility:

   

 

Paediatric COVID Management Training Programme:

   

 

ABG Analyser Donated by Ashraya Hastha NGO Bangalore

   

 

 

Last Updated: 14-08-2021 12:18 PM Updated By: Admin


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