Early diagnosis of diabetes, CVDs, Stroke and Cancer is done at District Hospital, not at CHC. Packages of services to be made available at different levels under NPCDCS Health Facility Packages of services Sub centre Health promotion for behavior change 'Oppounistic' Screening using B.P. measurement and blood glucose by strip method Referral of suspected cases to CHC CHC Prevention and health promotion including counselingdeg Early diagnosisdeg through clinical and laboratory investigations Common lab investigations: Blood Sugar, lipid profile, ECG, Ultrasound, X- ray etc.) Management of common CVD, diabetes and stroke cases (outpatient and in patients.)deg Home based care for bed ridden chronic cases Referral of difficult cases to District Hospital/higher health care facility District Hospital Early diagnosis of diabetes, CVDs, Stroke and CancerdegInvestigations: Blood Sugar, lipid profile, Kidney Function Test (KFT), Liver Function Test (LFT), ECG, Ultrasound, X-ray, colposcopy , mammography etc. (if not available, will be outsourced) Medical management of cases (Outpatient, inpatient and intensive Care )4. Follow up and care of bed ridden cases 5. Day care facility6. Referral of difficult cases to higher health care facility7. Health promotion for behavior change Teiary CancerCentre Comprehensive cancer care including prevention, early detection, diagnosis, treatment, minimalaccess surgery after care, palliative care and rehabilitation">