| 3.16    ProvisionsProvisions are recognised when the Company has apresent obligation (legal or constructive) as a result of
 a past event, it is probable that the Company will be
 required to settle the obligation, and a reliable estimate
 can be made of the amount of the obligation.
 The amount recognised as a provision is the bestestimate of the consideration required to settle the
 present obligation at the end of the reporting period,
 taking into account the risks and uncertainties
 surrounding the obligation. When a provision is
 measured using the cash flows estimated to settle the
 present obligation, its carrying amount is the present
 value of those cash flows (when the effect of the time
 value of money is material).
 When some or all of the economic benefits required tosettle a provision are expected to be recovered from a
 third party, a receivable is recognised as an asset if it
 is virtually certain that reimbursement will be received
 and the amount of the receivable can be measured
 reliably.
 3.17    Contingent liabilitiesContingent liability is a possible obligation arising frompast events and whose existence will be confirmed only
 by the occurrence or non-occurrence of one or more
 uncertain future events not wholly within the control of
 the entity or a present obligation that arises from past
 events but is not recognised because it is not probable
 that an outflow of resources embodying economic
 benefits will be required to settle the obligation or the
 amount of the obligation cannot be measured with
 sufficient reliability.
 Contingent liabilities acquired in a businesscombination are initially measured at fair value at the
 acquisition date. At the end of subsequent reporting
 periods, such contingent liabilities are measured at
 the higher of the amount that would be recognised
 in accordance with Ind AS 37 and the amount initially
 recognised less cumulative amortisation recognised in
 accordance with Ind AS 115 Revenue from contracts
 with customers.
 3.18    Earnings per ShareBasic earnings per share is computed by dividingthe profit/(loss) after tax (including the post tax effect
 of exceptional items, if any) by the weighted average
 number of equity shares outstanding during the year.
 The weighted average number of ordinary shares
 outstanding during the year is number of shares
 outstanding at the beginning of the year, adjusted by
 the number of ordinary shares issued during the year
 multiplied by a time-weighting factor.
 3.19    Financial instrumentsFinancial assets and financial liabilities are recognisedwhen a Company becomes a party to the contractual
 provisions of the instruments.
 Financial assets and financial liabilities are initiallymeasured at fair value. Transaction costs that are
 directly attributable to the acquisition or issue of
 financial assets and financial liabilities (other than
 financial assets and financial liabilities at fair value
 through profit and loss) are added to or deducted from
 the fair value of the financial assets or financial liabilities,
 as appropriate, on initial recognition. Transaction costs
 directly attributable to the acquisition of financial assets
 or financial liabilities at fair value through profit and loss
 are recognised immediately in statement of profit and
 loss.
 3.19.1 Financial assetsExcluded are trade accounts receivables. At initialrecognition trade accounts receivables (in accordance
 with Ind AS 115) are measured at their transaction
 price and subsequently measured at carrying value as
 of initial recognition less impairment allowance (if any)
 Investments in equity instruments are recognised and
 subsequently measured at fair value. The Company's
 equity investments are not held for trading. In general,
 changes in the fair value of equity investments are
 recognised in the income statement. However, at initial
 recognition the Company elected, on an instrument-
 by-instrument basis, to represent subsequent changes
 in the fair value of individual strategic equity investments
 in other comprehensive income (loss) (“OCI”).
 The Company's investment in debt securities withthe objective to achieve both collecting contractual
 cash flows and selling the financial assets, and initially
 measured at fair value. Some of these securities giverise on specified dates to cash flows that are solely
 payments of principle and interest. These securities are
 subsequently measured at FVOCI. Other securities are
 measured at FVPL.
 Cash and Cash EquivalentsThe Company considers all highly liquid financial
 instruments which are readily convertible into known
 amounts of cash that are subject to an insignificant
 risk of change in value and having original maturities
 of three months or less from the date of purchase,
 to be cash equivalents. Cash and Cash Equivalents
 consist of balances with banks which are unrestricted
 for withdrawal and usage. Restricted cash and bank
 balances are classified and disclosed as other bank
 balances.
 Amortised Cost and Effective interest method The effective interest method is a method of calculatingthe amortised cost of a debt instrument and of
 allocating interest income over the relevant period. The
 effective interest rate is the rate that exactly discounts
 estimated future cash receipts (including all fees and
 points paid or received that form an integral part of
 the effective interest rate, transaction costs and other
 premiums or discounts) through the expected life of
 the debt instrument, or, where appropriate, a shorter
 period, to the net carrying amount on initial recognition.
 I ncome is recognised on an effective interest basisfor debt instruments other than those financial assets
 classified as at FVTPL. Interest income is recognised in
 the statement of profit and loss and is included in the
 “Other income” line item.
 Instruments at FVTOCIOn initial recognition, the Company can make anirrevocable election (on an instrument-by-instrument
 basis) to present the subsequent changes in fair value in
 other comprehensive income pertaining to investments
 in equity instruments. This election is not permitted if
 the equity investment is held for trading. These elected
 investments are initially measured at fair value plus
 transaction costs. Subsequently, they are measured at
 fair value with gains and losses arising from changes in
 fair value recognised in other comprehensive income
 and accumulated in the ‘Reserve for equity instruments
 through other comprehensive income'. The cumulativegain or loss is not reclassified to statement of profit and
 loss on disposal of the investments.
 A financial asset is held for trading if: -it has been acquired principally for the purpose ofselling it in the near term; or
 -on initial recognition it is part of a portfolio of identifiedfinancial instruments that the Company manages
 together and has a recent actual pattern of short-term
 profit-taking; or
 -it is a derivative that is not designated and effective asa hedging instrument or a financial guarantee.
 Dividends on these investments in equity instruments
 are recognised in statement of profit and loss when the
 Company's right to receive the dividends is established,
 it is probable that the economic benefits associated with
 the dividend will flow to the entity, the dividend does not
 represent a recovery of part of cost of the investment
 and the amount of dividend can be measured reliably.
 Dividends recognised in statement of profit and loss are
 included in the ‘Other income' line item.
 Impairment of financial assetsThe Company applies the expected credit loss model
 for recognising impairment loss on financial assets
 measured at amortised cost, debt instruments at
 FVTOCI, lease receivables, trade receivables, other
 contractual rights to receive cash or other financial asset,
 and financial guarantees not designated as at FVTPL.
 The expected credit loss approach requires that all
 impacted financial assets will carry a loss allowance
 based on their expected credit losses. Expected credit
 losses are a probability-weighted estimate of credit
 losses over the contractual life of the financial assets.
 For trade receivables or any contractual right to
 receive cash or another financial asset that result
 from transactions that are within the scope of Ind AS
 115, the Company measures the loss allowance at an
 amount equal to lifetime expected credit losses.
 The impairment provisions for trade receivables isbased on reasonable and supportable information
 including historic loss rates, present developments
 such as liquidity issues and information about future
 economic conditions, to ensure foreseeable changes inthe customer-specific or macroeconomic environment
 are considered.
 Significant increase in credit risk I n assessing whether the credit risk on a financialinstrument has increased significantly since initial
 recognition, the Company compares the risk of a
 default occurring on the financial instrument at the
 reporting date with the risk of a default occurring on
 the financial instrument at the date of initial recognition.
 In making this assessment, the Company considers
 both quantitative and qualitative information that
 is reasonable and supportable, including historical
 experience and forward-looking information that is
 available without undue cost or effort. Forward-looking
 information considered includes the future prospects
 of the industries in which the Company's debtors
 operate, obtained from economic expert reports,
 financial analysts, governmental bodies, relevant
 think-tanks and other similar organisations, as well
 as consideration of various external sources of actual
 and forecast economic information that relate to the
 Company's core operations.
 Derecognition of financial assetsThe Company derecognises a financial asset when
 the contractual rights to the cash flows from the asset
 expire, or when it transfers the financial asset and
 substantially all the risks and rewards of ownership
 of the asset to another party. If the Company neither
 transfers nor retains substantially all the risks and
 rewards of ownership and continues to control the
 transferred asset, the Company recognises its retained
 interest in the asset and an associated liability for
 amounts it may have to pay. If the Company retains
 substantially all the risks and rewards of ownership of
 a transferred financial asset, the Company continues
 to recognise the financial asset and also recognises a
 collateralised borrowing for the proceeds received.
 Foreign exchange gains and losses The fair value of financial assets denominated in aforeign currency is determined in that foreign currency
 and translated at the spot rate at the end of each
 reporting period.
 - For foreign currency denominated financial assetsmeasured at amortised cost and FVTPL, the
 exchange differences are recognised in statement
 of profit and loss except for those which aredesignated as hedging instruments in a hedging
 relationship.
 - Changes in the carrying amount of investments inequity instruments at FVTOCI relating to changes
 in foreign currency rates are recognised in other
 comprehensive income.
 Net gain / (loss) on foreign currency transactions andtranslation during the year recognised in the statement
 of Profit and Loss account is presented under Other
 Income.
 3.19.2 Financial liabilities and equity instrumentsClassification as debt or equity
Debt and equity instruments issued by a Companyare classified as either financial liabilities or as equity
 in accordance with the substance of the contractual
 arrangements and the definitions of a financial liability
 and an equity instrument.
 Equity instruments An equity instrument is any contract that evidencesa residual interest in the assets of an entity after
 deducting all of its liabilities. Equity instruments
 issued by a Company are recognised at the proceeds
 received, net of direct issue costs.
 Repurchase of the Company’s own equity instrumentsis recognised and deducted directly in equity. No gain
 or loss is recognised in statement of profit and loss
 on the purchase, sale, issue or cancellation of the
 Company’s own equity instruments.
 Financial liabilitiesAll financial liabilities are subsequently measured atamortised cost using the effective interest method.
 I n general, financial liabilities are classified andsubsequently measured at amortised cost, with the
 exception of contingent considerations resulting from a
 business combination, non controlling interests subject
 to put provisions as well as derivative financial liabilities
 Financial liabilities subsequently measured atamortised cost
The carrying amounts of financial liabilities thatare subsequently measured at amortised cost are
 determined based on the effective interest method.
 Interest expense that is not capitalised as part of costs
 of an asset is included in the ‘Finance costs’ line item.
 The effective interest method is a method of calculatingthe amortised cost of a financial liability and of allocating
 interest expense over the relevant period. The effective
 interest rate is the rate that exactly discounts estimated
 future cash payments (including all fees and points paid
 or received that form an integral part of the effective
 interest rate, transaction costs and other premiums
 or discounts) through the expected life of the financial
 liability, or (where appropriate) a shorter period, to the
 net carrying amount on initial recognition.
 Financial guarantee contractsA financial guarantee contract is a contract that
 requires the issuer to make specified payments to
 reimburse the holder for a loss it incurs because a
 specified debtor fails to make payments when due in
 accordance with the terms of a debt instrument.
 Financial guarantee contracts issued by a Company
 are initially measured at their fair values and, if not
 designated as at FVTPL, are subsequently measured
 at the higher of:
 -    the amount of loss allowance determined inaccordance with impairment requirements of Ind
 AS 109;and
 -    the amount initially recognised less, whenappropriate, the cumulative amount of income
 recognised in accordance with the principles of
 Ind AS 115.
 Derecognition of financial liabilities The Company derecognises financial liabilities when,and only when, the Company’s obligations are
 discharged, cancelled or have expired. An exchange
 with a lender of debt instruments with substantially
 different terms is accounted for as an extinguishment of
 the original financial liability and the recognition of a new
 financial liability. Similarly, a substantial modification of
 the terms of an existing financial liability is accounted for
 as an extinguishment of the original financial liability and
 the recognition of a new financial liability. The difference
 between the carrying amount of the financial liability
 derecognised and the consideration paid and payable
 is recognised in the statement of profit and loss.
 3.19.3 Derivative financial instrumentsThe Company enters into a variety of derivative financialinstruments to manage its exposure to interest rate
 and foreign exchange rate risks, including interest rateswaps and cross currency swaps.
 Derivatives are initially recognised at fair value at thedate the derivative contracts are entered into and are
 subsequently remeasured to their fair value at the end
 of each reporting period. Derivatives are carried as
 financial assets when the fair value is positive and as
 financial liabilities when the fair value is negative.
 The change in fair value of derivatives is recorded in thestatement of profit and loss.
 Derivatives embedded in host contracts areaccounted for as separate derivatives if their economic
 characteristics and risks are not closely related to those
 of the host contracts. These embedded derivatives
 are measured at fair value with changes in fair value
 recognised in the statement of profit and loss.
 3.20    Segment ReportingI n accordance with Ind AS 108, Operating Segments ,the Group’s chief operating decision maker (“CODM”)
 has been identified as the board of directors.
 The Company is engaged only in Healthcare businessand therefore the Company’s CODM (Chief Operating
 Decision Maker; which is the Board of Directors of
 the Company) decided to have only one reportable
 segment from previous year in accordance with IND
 AS 108 “Operating Segments”.
 3.21    Non Current Asset Held for SaleThe Company classifies non-current assets held for saleif their carrying amounts will be principally recovered
 through a sale rather than through continuing use of
 assets and action required to complete such sale
 indicate that it is unlikely that significant changes to the
 plan to sell will be made or that the decision to sell will
 be withdrawn. Also, such assets are classified as held
 for sale only if the management expects to complete
 the sale within one year from the date of classification.
 Non-current assets held for sale are measured at the
 lower of carrying amount and the fair value less cost
 to sell. Non-current assets are not depreciated or
 amortised.
 3.21.1 Discontinued operationsA discontinued operation is a ‘component’ of theCompany’s business that represents a separate line
 of business that has been disposed of or is held for
 sale, or is a subsidiary acquired exclusively with a view
 to resale. Classification as a discontinued operation
 occurs upon the earlier of disposal or when the operation
 meets the criteria to be classified as held for sale.
 The Company considers the guidance in Ind AS 105
 Non-Current assets held for sale and discontinued
 operations to assess whether a divestment asset
 would qualify the definition of ‘component' prior to
 classification into discontinued operation.
 3.22    Government GrantsGovernment grants are not recognised untilthere is reasonable assurance that the Company
 will comply with the conditions attaching to
 them and that the grants will be received.
 Government grants are recognised in statement
 of profit and loss on a systematic basis over the
 periods in which the Company recognises as
 expenses the related costs for which the grants are
 intended to compensate. Specifically, government
 grants whose primary condition is that the Company
 should purchase, construct or otherwise acquire non¬
 current assets are recognised as deferred revenue
 in the standalone balance sheet and transferred
 to statement of profit and loss on a systematic and
 rational basis over the useful lives of the related assets.
 Government grants that are receivable as compensation
 for expenses or losses already incurred or for the
 purpose of giving immediate financial support to the
 Company with no future related costs are recognised
 in the statement of profit and loss in the period in which
 they become receivable.
 3.23    DividendA final dividend, including tax thereon, on equityshares is recorded as a liability on the date of approval
 by the shareholders. An interim dividend, including
 tax thereon, is recorded as a liability on the date of
 declaration by the board of directors.
 3.24    Operating CycleBased on the nature of products / activities of theCompany and the normal time between acquisition of
 assets and their realisation in cash or cash equivalents,
 the Company has determined its operating cycle as 12
 months for the purpose of classification of its assets
 and liabilities as current and non-current
 | CRITICAL ACCOUNTING JUDGEMENTS ANDKEY SOURCES OF ESTIMATION UNCERTAINTY
Use of estimatesThe preparation of these standalone financialstatements in conformity with Ind AS requires
 management to make estimates and assumptions that
 affect the reported amounts of assets and liabilities,
 disclosures of contingent assets and liabilities at the
 balance sheet dates and the reported amounts of
 revenues and expenses during the reporting periods.
 Significant estimates and assumptions reflected in the
 Company's financial statements include, but are not
 limited to, expected credit loss, impairment of goodwill,
 useful lives of property, plant and equipment and
 leases, realisation of deferred tax assets, unrecognised
 tax benefits, incremental borrowing rate of right-of-use
 assets and related lease obligation, the valuation of the
 Company's acquired equity investments. Actual results
 could materially differ from those estimates.
 4.1    Key sources of estimation uncertaintyThe following are the key assumptions concerning thefuture, and other key sources of estimation uncertainty
 at the end of the reporting period that may cause a
 material adjustment to the carrying amounts of assets
 and liabilities within the next financial year.
 4.1.1    Impairment of Financial AssetsThe impairment provisions for trade receivables isbased on assumptions about risk of default and
 expected loss rates. The Company uses judgements
 in making certain assumptions and selecting inputs
 to determine impairment of these trade receivables,
 based on the reasonable and supportable information
 including historic loss rates, present developments
 such as liquidity issues and information about future
 economic conditions, to ensure foreseeable changes in
 the customer-specific or macroeconomic environment
 are considered.
 4.1.2    Impairment of investments in subsidiaries,associates and joint ventures:
The Company conducts impairment reviews ofinvestments in subsidiaries / associates / joint
 arrangements whenever events or changes in
 circumstances indicate that their carrying amountsmay not be recoverable or tests for impairment
 annually. Determining whether an asset is impaired
 requires an estimation of the recoverable amount,
 which requires the Company to estimate the value
 in use determined using a discounted cash flow
 approach based upon the cash flow expected to be
 generated by the investment. In case that the value in
 use of the investment is less than its carrying amount,
 the difference is at first recorded as an impairment of
 the carrying amount of the goodwill.
 4.1.3    Employee Benefits - Defined benefit plansThe cost of the defined benefit plans are based onactuarial valuation using the projected unit credit
 method. An actuarial valuation involves making various
 assumptions that may differ from actual developments
 in the future. These include the determination of the
 discount rate, future salary increases, attrition and
 mortality rates. Due to the complexities involved in the
 valuation and its long-term nature, a defined benefit
 obligation is highly sensitive to changes in these
 assumptions. All assumptions are reviewed at each
 reporting date.
 4.1.4    LitigationsThe amount recognised as a provision is themanagement's best estimate of the expenditure
 required to settle the present obligation arising at the
 reporting period.
 4.1.5    Revenue RecognitionThe Company's contracts with customers could includepromises to render multiple services to a customer.
 The Company assesses the services promised in a
 contract and identifies distinct performance obligations
 in the contract. Identification of distinct performance
 obligation involves judgement to determine the
 deliverables and the ability of the customer to
 benefit independently from such deliverables.
 Judgement is applied in the assessment of principal
 versus agent considerations with respect to contracts
 with customers and doctors which is determined
 based on the substance of the arrangement.
 Judgement is also applied to determine the transaction
 price of the contract. The transaction price shall
 include a fixed amount of customer consideration
 and components of variable consideration which
 constitutes amounts payable to customer, discounts,
 commissions , disallowances and redemption patterns
 of loyalty point by the customers. The estimated
 amount of variable consideration is adjusted in the
 transaction price only to the extent that it is highly
 probable that a significant reversal in the amount of
 cumulative revenue recognised will not occur and is
 reassessed at the end of each reporting period.
 4.1.6    Useful lives of property plant and equipmentThe Company depreciates property, plant andequipment on a straight-line basis over estimated
 useful lives of the assets. The charge in respect of
 periodic depreciation is derived based on an estimate
 of an asset's expected useful life and the expected
 residual value at the end of its life. The lives are based
 on historical experience with similar assets as well as
 anticipation of future events, which may impact their
 life, such as changes in technology. The estimated
 useful life is reviewed at least annually.
 4.1.7    Point of CapitalisationManagement has set in parameters in respect of itsmedical equipment specific to the stability and reaching
 the contractual availability goals. The property, plant &
 equipment shall be capitalised upon reaching these
 parameters at which stage the asset is brought to the
 location and condition necessary for it to be capable
 of operating in the manner intended by management.
 In respect of internally generated intangible assets,
 management has defined the criteria for capitalisation
 based on the version released for each feature to be
 deployed on the digital platform. The point in time
 at which the version release contain all the essential
 features as defined by the management and qualifies
 to be a Minimum Viable Product (MVP), the feature is
 considered eligible for capitalisation.
 4.1.8    Impairment of Non - Financial AssetsDetermining whether the asset is impaired requires toassess the recoverable amount of the asset or Cash
 Generating Unit (CGU) which is compared to the
 carrying amount of the asset or CGU, as applicable.Recoverable amount is the higher of fair value less
 costs of disposal and value in use. Where the carrying
 amount of an asset or CGU exceeds the recoverable
 amount, the asset is considered impaired and is written
 down to its recoverable amount.
 4.1.9 LeasesInd AS 116 defines a lease term as the non-cancellableperiod for which the lessee has the Right-to- use an
 underlying asset including optional periods, when an
 entity is reasonably certain to exercise an option toextend (or not to terminate) a lease. The Company
 considers all relevant facts and circumstances that
 create an economic incentive for the lessee to exercise
 the option when determining the lease term. The option
 to extend the lease term is included in the lease term,
 if it is reasonably certain that the lessee would exercise
 the option. The Company reassesses the option when
 significant events or changes in circumstances occur
 that are within the control of the lessee.
  
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