ಟಿತುಂಗ್, keep北 of a rural hospital refer to him like secondary hospital or tertiary hospital secondary hospital doctor or tertiary hospital doctor will see that document whether the child got immunized whether the child got any infection in the last 6 months or 1 year then accordingly that that secondary doctor or specialist doctor will treat again that doctor will write a feedback to that ground level doctor so that there will be feedback clue between the town doctor and village doctor and referral will be less in that scenario even if some adverse reaction occurs they immediately refer to the either to the buvineswar or katak you know in covid most of the patients they prefer to come to the buvineswar or katak because everybody has has faith that no we will go to the buvineswar and katak because that believe we have to change and the training of the quality of the doctors in the rural that we have to equip and telemedicine definitely will help telemedicine means you have to consult a doctor in the tertiary hospital and like secondary hospital over the telemedicine like we do in rheumatology like tertiary the arthritis patient most of the time we do not not not required to see that patient physically so you just send the reports just see over the video call and you can treat so by that time you are saving lot of money of the transportation of the patients in that way we can referral can be easier and as you are mentioned like in NHS UK so because of the like you mentioned about the replacement they taking so much of delay but in India this now the doctors medical colleges are increasing 7 years back we have only 3 medical government medical college now we are increasing up to 14 government medical college and lot of private medical colleges too so many doctors are increasing also number of doctors also increasing number of staff nurse they are also including recruiting so my point is scope of development I will suggest is that you develop a unit health ID system for a patient whenever the bond child bonds then there should be referral system from the ground level doctor to the secondary tertiary level wherever that patient goes even it goes to out of the state that document will go so that all the record we do not know what the patient has gone treated in the village hospitals so what is the drug allergy whether the child got any vaccination we do not know anything about that but if you see the NHS UK they have strong ground level recording they have all they have more of paper working we have main power if you start now onwards because all the family members now the initially in BS square they have included only ration card holders now they are including all the rural rural health so they are now also increasing that we incorporate lot of public to includes more of later on they might include like middle income persons also we do not know but NHS UK system is a very good very standard they have fallacy in because of time of delay of surgery or referral if you want to refer to a any specialist doctor you have to wait wait a long so I think this system health system needs to be more upgraded more referral and preventive health also we should focus how to prevent this non-communicable diseases on communicable diseases how to like yoga as you mentioned about the integrative health system so this is all my input thank you