The extra condition here, that every one of the six states must hold at least one institution, is the key that turns a "could be true" question into a "must be true" question. Before this condition, State 1, State 4 and State 5 were free to be empty. After it, none of them can be.
Count what is left to distribute. The 8 institutions are 4 medical, 2 management and 2 technical. State 2 and State 3 already use up the 2 technical institutes. State 6 already uses up 1 management institute and, by the rule that a management institute needs a medical institute in its own state, 1 medical institute too. That leaves 1 management institute and 3 medical institutes still to be placed, and they can only go into State 1, State 4 and State 5, since State 2, State 3 and State 6 are already accounted for.
Since each of State 1, State 4 and State 5 must now get at least one institution, and there are exactly 4 institutions left for exactly 3 states, one state gets 2 institutions, the leftover management institute plus a medical institute, since management needs a medical partner, and the other two states get 1 medical institute each. Every possible way of doing this still gives all three states a medical institute.
So the statement that always holds, no matter how the remaining institutes are shared out, is that State 4 has a medical institute.
Let's summarize:
The correct answer is that there is a medical institute in State 4.
The regular mathematics faculty could not teach because of being sick. As a stop-gap arrangement, different visiting faculty taught different topics on 4 different days in a week. The scheduled time for class was 7:00 am, with a maximum permissible delay of 20 minutes. The monsoon made the city bus schedules erratic, so the classes started at different times on different days.
Mr. Singh did not teach on Thursday. Calculus was taught in the class that started at 7:20 am. Mr. Chatterjee took the class on Wednesday, but he did not teach probability. The class on Monday started at 7:00 am, but Mr. Singh did not teach it. Mr. Dutta did not teach ratio and proportion. Mr. Banerjee, who did not teach set theory, taught a class that started five minutes later than the class in which probability was taught. The teacher in Friday's class taught set theory. Wednesday's class did not start at 7:10 am. No two classes started at the same time.
77. The class on Wednesday started at: