Introduction

India is facing a shortfall in emergency medical services (EMS) in urban and rural areas. The ratio of ambulance per person in India is currently 3:1000. The practice of ambulance outsourcing in India is growing. This sector has a bright future as the outsourcing model proves to be beneficial here for any industry. Most of the corporate houses require dedicated ambulances stationed at their work place to provide immediate medical assistance to their employees during an emergency. The industrial areas too are looking for EMS professionals. A hospital’s, core competency is treatment and find it convenient to outsource their patient transfer service to an expert in the field. With the advent of air and speed boat ambulances this sector is poised to grow at a tremendous rate. A decade ago, there was no single ambulance service to be pressed in for a medical emergency. The sector was dominated by fragmented and small time private ambulance operators. However, India is taking steady steps to improve its ambulance services with the aim to save more lives. The government is introducing several schemes like `Integrated Ambulance Service' to help bring about this much required change in patient transfer. Apart from this, better road infrastructure, use of technology and training the right talent has brought in the much needed improvements to the sector. The country has a long way to go to achieve minimum fatality caused due to lack of emergency services but we are surely moving towards a positive future.The projectreport for Ambulance manufacturing describes the things in detail. With the aid of the government and the willingness of private organizations to service the sector, there has been reduction in the number of deaths and increase in the reach of ambulances.
The National Ambulance Code classifies Road Ambulances into four types, viz: 1. Type A Road Ambulance: Medical First Responder Road ambulance designed to provide emergent out-of-hospital medical care to patients when stationary. This vehicle maybe any CMVR-approved Category M or L vehicle suitable for the terrain to be used in, but will not have the capability to transport patients in supine state or provide them medical care inside the vehicle. 2. Type B Road Ambulance: Patient Transport Vehicle Road ambulance designed and equipped for the transport of patients who are not expected to become emergency patients 3. Type C Road Ambulance: Basic Life Support Ambulance A vehicle ergonomically designed, suitably equipped, and appropriately staffed for the transport and treatment of patients requiring noninvasive airway management/basic monitoring.4. Type D Road Ambulance: Advanced Life Support Ambulance A vehicle ergonomically designed, suitably equipped, and appropriately staffed for the transport and treatment of emergency patients requiring invasive airway management/intensive monitoring. The category of First Responder, which also includes two wheeled ambulances, has been specially introduced for the first time in India to cater to the need of providing prompt medical care in congested by-lanes and high traffic areas. Special care has been given to Care Ergonomics, Patient Safety, Oxygen System Design, Infection Control, Crash Rescue, etc., in the Code. The end objective of this code was to ensure uniformity and standardization in ambulance design and ensure the patients a minimum level of care as per the ambulance designation when appropriately staffed and equipped.

Product / Services & process

The firm is headed by the pioneers in the ambulance manufacturing industry. The firm takes care of all type of ambulances including the folloing classes defined by Indian Govt: . Our speciality relies in the following area and on all type of vehicles.

1. Type A Road Ambulance: Medical First Responder Road ambulance designed to provide emergent out-of-hospital medical care to patients when stationary. This vehicle maybe any CMVR-approved Category M or L vehicle suitable for the terrain to be used in, but will not have the capability to transport patients in supine state or provide them medical care inside the vehicle.

2. Type B Road Ambulance: Patient Transport Vehicle Road ambulance designed and equipped for the transport of patients who are not expected to become emergency patients
3. Type C Road Ambulance: Basic Life Support Ambulance A vehicle ergonomically designed, suitably equipped, and appropriately staffed for the transport and treatment of patients requiring noninvasive airway management/basic monitoring.

4. Type D Road Ambulance: Advanced Life Support Ambulance A vehicle ergonomically designed, suitably equipped, and appropriately staffed for the transport and treatment of emergency patients requiring invasive airway management/intensive monitoring. The category of First Responder, which also includes two wheeled ambulances, has been specially introduced for the first time in India to cater to the need of providing prompt medical care in congested by-lanes and high traffic areas. Special care has been given to Care Ergonomics, Patient Safety, Oxygen System Design, Infection Control, Crash Rescue, etc., in the Code. The end objective of this code was to ensure uniformity and standardization in ambulance design and ensure the patients a minimum level of care as per the ambulance designation when appropriately staffed and equipped.

Manufacturing process

Ambulance manufacturers purchase many components from other suppliers rather than fabricate them themselves. These include the vehicle cab and chassis, warning lights and sirens, radios, most electrical system components, the heating and air conditioning components, the oxygen system components, and various body trim pieces like windows, latches, handles, and hinges.

If the ambulance has a separate body, the body framework is usually made of formed or extruded aluminum. The outer walls are painted aluminum sheet, and the interior walls are usually aluminum sheet covered with a vinyl coating or a laminated plastic. The subfloor may be made of plywood or may use an open-cored plastic honeycomb laminated to aluminum sheet. The interior floor covering is usually a seamless, industrial-grade vinyl that extends partially up each side for easy cleaning.

Interior cabinets in the patient compartment are usually made of aluminum with transparent, shatter-resistant plastic panels in the doors. The counter and wall surfaces in the "action area," the area immediately opposite the patient's head and torso in the left-hand forward portion of the ambulance body, are usually covered with a seamless sheet of stainless steel to resist the effects of blood and other body fluids. Interior seating and other upholstered areas have a flame-retardant foam padding with a vinyl covering. Interior grab handles and grab rails are made of stainless steel. Other interior trim pieces may be made of various rubber or plastic materials.

The structural components of the ambulance body—the supporting struts, braces, and brackets for the floor, sides, and roof—are either bent to shape using standard machine shop tools, or are cut from specially shaped aluminum extrusions that have been purchased from suppliers. The components are held in the proper position with a device called a jig and are welded together to form the body frame-work.
The exterior skin pieces are fabricated using standard sheet metal shop tools and are fastened to the outside of the framework using either mechanical fasteners or adhesive bonding. The external compartments are fabricated and welded in place. Finally, the external body doors are fabricated and are fastened in place on hinges.
The outside of the body shell is then cleaned, sanded, and spray painted with a primer. Next, a sealer is applied. This is followed by a base coat of paint, usually white, and then a clear coat of paint to protect the base color and give the surface a shiny appearance. Between each coat, the body is placed in an oven to dry.
Additional wiring is added to the cab, chassis, and engine electrical system to accommodate the warning lights and sirens and to bring power to the body. Additional switches and controls are added to the dash as required. The heating and air conditioning system may also be modified.
Holes are drilled in the vehicle frame rails and mounting brackets are installed to support the ambulance body. The frame rails may be cut to the proper length for the body.

Process

The painted body shell is lowered onto the chassis mounting brackets and is bolted in place.
The cab is usually ordered with the same background color as the body, and does not require priming or base/clear painting. Most ambulances are specified with one or more colored stripes that extend along the sides and rear of the cab and body. The areas around the stripes are masked off with paper and tape so that the position of the stripes on the cab and the body match. The stripes are then painted and dried, and the masking removed.
The front and rear bumpers, which are not painted, are then installed. If the mirrors have been removed to paint the stripes, they are reinstalled
The electrical wiring in the body walls and ceiling is installed from the inside, and foam panels are bonded in place to provide thermal and noise insulation. With the wiring in place, the exterior lights are mounted and connected, and the exterior latches, grab handles, windows, and other trim pieces are installed.
The oxygen piping and outlets, which are part of the patient life-support system, are installed in the body walls. The vacuum system, which removes blood, saliva, and other body fluids is also installed. If the ambulance body requires an auxiliary heating and air-conditioning system, it is installed at this time.
With all the systems in place, the interior cabinets are installed and the walls, floors, and ceilings are covered. The electrical power distribution board is installed in a forward compartment of the body and the panel is connected to the cab and chassis electrical wiring. If the ambulance is specified with an inverter, which converts 12 volts direct current from the vehicle batteries into 120 volts altemating current for use with certain medical equipment, it is also installed at this time.
The seats and upholstery pieces, which are either purchased or assembled in a separate area, are fastened in place. The interior grab handles, containers, and trim pieces are installed as the final step.

Market potential & Strategy

India as a developing country, investing heavily in the health of its citizen. As part of the venture, Govt has funded deeply on providing medical assistance and emergency transportation of the citizen through ambulances. The scope of ambulances has been redefined in India since 2000. The Indian Govt: has classified ambulances into four class and with the Union- state funded scheme a PPP (private public partnership) has been formed for managing ambulances state wide by providing 108, 112 and 102 as common helpline numbers. The awareness of saving a human life with in the ‘Golden hour’ after a causality is been popularized and people , social organisations, CSR funds, hospitals and private institutions are coming up with new ambulances. The ambulance manufacturing market in India is around 8500 crore and is growing around 10-15% yearly.

As a professional company, they plan to market there service and expertise in multi pold approach. They are planning for an online presence with there service through there own website and through market place aggregators such as India mart and other B2B websites. More over the online , the company is focusing on trade shows, auto expos, medical expos etc and planning for an offline marketing approach by directly hiting the big names in the market and other prominent hospitals in and around the region, social organisations, NGOs and private entrepreneurs who are into emergency medical response business.

Project at a glance

Name & Address of Unit

Ambulance Manufacturing

Address

Details of unit

Email	:	[email protected]
Phone	:	000000
Constitution	:	Proprietership
Total project cost	:	*******
Fixed Capital	:	*******
Working Capital	:	*******
Total Bank loan	:	*******
Promoter(s) contribution	:	*******
Term loan	:	*******
Working capital loan	:	*******

Name & address of promoter(s)

Name		: Your name
Address		: Address
Phone		: 00000
Designation		: Proprietor
E-mail		: [email protected]

Project Feasibility Ratios

Debt Service Coverage Ratio (Average)

:1.87

Current ratio (Average)

:2.63

	Year 1	Year 2	Year 3	Year 4	Year 5
Current ratio	1.53	2.06	2.62	3.19	3.76
Quick ratio	1.13	1.56	2.10	2.64	3.18
Interest coverage ratio	3.87	5.55	7.00	9.48	14.71
Debt equity ratio	2.863	2.080	1.528	1.020	0.542
TOL/TNW	3.02	1.45	0.79	0.43	0.21
DSCR	1.65	1.86	1.90	1.94	1.97
Gross profit Sales Percentage %	29.23 %	28.54 %	28.18 %	27.86 %	27.50 %
Net profit Sales Percentage %	10.84 %	10.56 %	11.10 %	11.57 %	11.90 %
BEP in % of installed capacity %	49.90 %	27.12 %	27.12 %	27.12 %	27.12 %
BEP in sales of Rs	2,620,800.00	1,840,695.65	1,972,173.91	2,103,652.17	2,235,130.43
Return On Capital Employed	0.26	0.34	0.34	0.33	0.33

Project Feasibility graph

Net profit Sales %

Quick ratio

Revenue v/s Expense

Expense Splitup

Project Cost

Sl. no	Item	Amount Rs
1	Setting up the premises and fencing	*******
2	Purchase of Building	*******
3	Testing devices	*******
4	Hoist chain pulley block crane and material handling trolley	*******
5	Welding machine set (Ars & Gas)	*******
6	Hydraulic machines	*******
7	Mechanical Tools	*******
8	Computer, CCTV, office furnitures	*******
9	Electrification and cabling	*******
10	Preliminary expenses	*******
11	contingencies	*******
12	Working Capital	*******
	Total	*******

Working Capital Computation

Sl. no	Item	Amount Rs
1	Consumables / stock in hand	*******
2	Work in progress	*******
3	Finished goods	*******
4	Working expense.	*******
5	Receivables/Sundry debtors	*******
6	Payables	*******
7	Total working capital	*******
8	Own Contribution	*******
9	Working capital loan	*******

Annual Sales / Revenue

Sl. no	Item	Rate		Quantity	Unit	Total Rs
1	Manufacturing of Ambulance	*******	X	60	Number	*******
	Total					*******

Total Yearly Expense

Sl. no	Item	Amount Rs
1	Rent	*******
2	Mechanical workers	*******
3	MD and Chairman	*******
4	Accountant / admin	*******
5	Sales staff	*******
6	Repairs & Damage	*******
7	Electricity	*******
8	Office expense & utilities	*******
9	Purchase	*******
10	Telephone charges	*******
11	Marketing/Advertisement	*******
	Total	*******

Application of Fund

Sl. no	Item	Subsidy %	No.	Rate	Amount Rs
1	Setting up the premises and fencing	*******	1	*******	*******
2	Purchase of Building	*******	1	*******	*******
3	Testing devices	*******	1	*******	*******
4	Hoist chain pulley block crane and material handling trolley	*******	1	*******	*******
5	Welding machine set (Ars & Gas)	*******	5	*******	*******
6	Hydraulic machines	*******	1	*******	*******
7	Mechanical Tools	*******	10	*******	*******
8	Computer, CCTV, office furnitures	*******	1	*******	*******
9	Electrification and cabling	*******	1	*******	*******
10	Preliminary expenses	*******	1	*******	*******
11	contingencies	*******	1	*******	*******
	Total Investment				*******
	Total Subsidy				*******
	Net Investment				*******

Means of Finance

Sl. no	Item	Amount
1	Term Loan	*******
2	Working capital Loan	*******
3	Total loan	*******
4	Term Loan contribution	*******
5	Working capital contribution	*******

Profitability Statement

		Year 1(!*)	Year 2	Year 3	Year 4	Year 5
Revenue from operation
Sales	15.93	*****	*****	*****	*****	*****
Add :
Closing stock		*****	*****	*****	*****	*****
Total		*****	*****	*****	*****	*****
Less :
Opening stock		*****	*****	*****	*****	*****
Stock purchase	7.20	*****	*****	*****	*****	*****
Salary	3.60	*****	*****	*****	*****	*****
Repairs and maintenance charges	0.24	*****	*****	*****	*****	*****
gas	0.12	*****	*****	*****	*****	*****
ELECTRICITY bill	0.12	*****	*****	*****	*****	*****
Total		*****	*****	*****	*****	*****
Gross profit		*****	*****	*****	*****	*****
Less :
Rent	0.12	*****	*****	*****	*****	*****
Telephone/Postal &internet charge	0.12	*****	*****	*****	*****	*****
Total		*****	0*****	*****	*****	*****
Depreciation		*****	*****	*****	*****	*****
Interest on TL		*****	*****	*****	*****	*****
Interest on WC		*****	*****	*****	*****	*****
Total		*****	*****	*****	*****	*****
Profit before tax		*****	*****	*****	*****	*****
Income Tax		*****	*****	*****	*****	*****
Profit after tax		*****	*****	*****	*****	*****

Cash flow statement

Cash Inflow	Pre operative period	Year 1	Year 2	Year 3	Year 4	Year 5
Capital	0.63	*****	*****	*****	*****	*****
Subsidy	*****	*****	*****	*****	*****	*****
Termloan	*****	*****	*****	*****	*****	*****
Profit before tax with interest	*****	*****	*****	*****	*****	*****
Increase in WC loan	*****	*****	*****	*****	*****	*****
Depreciation	*****	*****	*****	*****	*****	*****
Increase in Current liability	*****	*****	*****	*****	*****	*****
Total Cash Inflow	*****	*****	*****	*****	*****	*****
Cash Outflow
Fixed Assets	*****	*****	*****	*****	*****	*****
Increase in Current asset		*****	*****	*****	*****	*****
Interest on TL	*****	*****	*****	*****	*****	*****
Interest on WC	*****	*****	*****	*****	*****	*****
Income Tax	*****	*****	*****	*****	*****	*****
Decrease in Term loan		*****	*****	*****	*****	*****
Drawing	*****	*****	*****	*****	*****	*****
Total Cash Outflow	*****	*****	*****	*****	*****	*****
Opening balance	*****	*****	*****	*****	*****	*****
Net Cashflow	*****	*****	*****	*****	*****	*****
Closing balance	*****	*****	*****	*****	*****	*****

Balance sheet

Liability	Pre operative period	Year 1	Year 2	Year 3	Year 4	Year 5
A. Share holders funds
Capital	*****	*****	*****	*****	*****	*****
Reserve & Surplus	*****	*****	*****	*****	*****	*****
B.Non current Liabilities
Termloan	*****	*****	*****	*****	*****	*****
C.Current Liabilities
Working capital loan	*****	*****	*****	*****	*****	*****
Account payable		*****	*****	*****	*****	*****
Total Liability	*****	*****	*****	*****	*****	*****
Asset
A. Non current Assets
Fixed Assets	*****	*****	*****	*****	*****	*****
B. Current Assets
Inventory	*****	*****	*****	*****	*****	*****
Trade receivables	*****	*****	*****	*****	*****	*****
Cash and cash equivalence	*****	*****	*****	*****	*****	*****
Total Asset	*****	*****	*****	*****	*****	*****

Repayment of Term loan

Year	Installment	Outstanding at the beginning	Principal repayment	Interest	Amount paid	Outstanding at the end
1	1	*****	*****	*****	*****	*****
1	2	*****	*****	*****	*****	*****
1	3	*****	*****	*****	*****	*****
1	4	*****	*****	*****	*****	*****
1	5	*****	*****	*****	*****	*****
\|	\|	\|	\|	\|	\|	\|
\|	\|	\|	\|	\|	\|	\|
5	56	*****	*****	*****	*****	*****
5	57	*****	*****	*****	*****	*****
5	58	*****	*****	*****	*****	*****
5	59	*****	*****	*****	*****	*****
5	60	*****	*****	*****	*****	*****

Debt Service Coverage Ratio

Particulars	Year 1	Year 2	Year 3	Year 4	Year 5
Receipts
a).Net Profit	*****	*****	*****	*****	*****
b).Depreciation	*****	*****	*****	*****	0.30
c).Interest on termloan	*****	*****	*****	*****	*****
Total	*****	*****	*****	*****	*****
Repayments
a).Loan Principal	*****	*****	*****	*****	*****
b).Interest on termloan	*****	*****	*****	*****	*****
Total	*****	*****	*****	*****	*****
DSCR	*****	*****	*****	*****	*****

Depreciation

Particulars	Rate	Year 1	Year 2	Year 3	Year 4	Year 5
Building	*****	*****	*****	*****	*****	*****
Less Depreciation		*****	*****	*****	*****	*****
Written down value		*****	*****	*****	*****	*****
Computers/ Printers /Photocopier/Electronic gadget	00	*****	*****	*****	*****	*****
Less Depreciation		*****	*****	*****	*****	*****
Written down value		*****	*****	*****	*****	*****
Furniture & fixtures	00	*****	*****	*****	*****	*****
Less Depreciation		*****	*****	*****	*****	*****
Written down value		*****	*****	*****	*****	*****
Racks & storage/Interior works	00	*****	*****	*****	*****	*****
Less Depreciation		*****	*****	*****	*****	*****
Written down value		*****	*****	*****	*****	*****
new item	00	*****	*****	*****	*****	*****
Less Depreciation		*****	*****	*****	*****	*****
Written down value		*****	*****	*****	*****	*****
new	00	*****	*****	*****	*****	*****
Less Depreciation		*****	*****	*****	*****	*****
Written down value		*****	*****	*****	*****	*****
Air-conditioning	00	*****	*****	*****	*****	*****
Less Depreciation		*****	*****	*****	*****	*****
Written down value		*****	*****	*****	*****	*****
Other investments	00	*****	*****	*****	*****	*****
Less Depreciation		*****	*****	*****	*****	*****
Written down value		*****	*****	*****	*****	*****
Total less depreciation		*****	*****	*****	*****	*****
Total written down value		*****	*****	*****	*****	*****

Conclusion

The project as a whole describes the scope and viability of the Trading industry and mainly of the financial, technical and its market potential.The project guarantee sufficient fund to repay the loan and also give a good return on capital investment. When analyzing the social- economic impact, this project is able to generate an employment of 5 and above. It will cater the demand of Trading and thus helps the other business entities to increase the production and service which provide service and support to this industry. Thus more cyclic employment and livelihood generation. So in all ways, we can conclude the project is technically and socially viable and commercially sound too.

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