There is no nefrologist in the main state referral hospital, GB hospital. Naturally kidney patients are suffering a lot. Moreover patients are paying a big amount of money for dialysis in GB hospita. Due to lack of dialyzer patient parties are suffering. Heparin injections for dialysis are not available in GB hospital. Price of all these things are high in the open market. Lower income and poor patient parties are among the most sufferers. Fistula patients are also under suffer in GB hospital as there is no infrastructure for fistula operation in this hospital.