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Gap analysis refers to a study where hospital compare the present policy, procedure, SOP's , infrastructure with defined laid down standards of accreditation body,N.A.B.H. Similar study has been done in district hospital, Tonk, Rajasthan, India. For conducting the Gap analysis, the questionnaires were prepared for the ten chapters , and total sample size was 85 . ( doctors:30, nurses:30, and patients:25