Following are the recommendation for the effective service delivery - I.Patient care services Paying & Non-paying system Patients are schedule with an appointment by the reception staff for out-patient evaluation. While the initial work up is done by an Optometrist, final evaluation & treatment recommendations are given by the Ophthalmologist. At least 50 per cent of the patients should be provided all the services free of cost to economically privileged section of the population. The other 50 percent of the patients should be provided the services depending upon their paying capacity with a three tier package system as following: Low income group - Economy package Middle income group - Semi-private package High income group - Delux package Timings The Outpatient and Inpatient services should be available six days a week by rotating all the three full time doctors. The timings for the eye centre should be as following: Operation theatre should start 8.30 am to till the last patient Out patient should start 8.30 AM - 5.30 PM Examination of the patient All the new patients should have complete eye examination like History taking, Refraction, Slitlamp examination, Applanation tonometry, Gonioscopy & fundus examination.