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The case describes the use of linen at the Apollo hospitals. Apollo Hospital in Bannerghatta Road Bangalore is a tertiary care hospital with a capacity of 250 beds. In 2013, Apollo Hospital spent INR5.1 million on managing bed lines (consisting of bed sheets and pillow cover). Dr Ananth N Rao, head of quality at the Apollo hospitals thought that the cost of linen management can be optimized using mathematical programming techniques which can have a significant impact on the bottom-line of the hospital. Each bed in the hospital is given two bed sheets and a pillow cover; however, there was 2% additional usage of linen owing to various reasons such as linen becoming dirty, wet, etc. Apollo hospital keeps a safety stock of linen for two days and any linen sent for washing is returned on day d 2. The objective is to develop a mathematical programming model to minimize the total cost of linen management.