When a college or university states a total fee for a course, like 2.9 lakhs for M.Sc. Optometry, it generally covers the complete amount a student needs to pay for the entire duration of the course. However, it's crucial to confirm directly with the college or university whether this fee encompasses all expenses for the program, including potential additional costs such as hostel fees, lab fees, or other charges that might be separate. It's advisable to seek clarification from the institution to ensure a clear understanding of what is included in the total fee provided.