Vinod: 'GOVERNMENT ORDERS — 2015-6)oj ი Joejiფqთვ?იí പരിചരണ പ്രവർത്തനങ്ങൾ 11:39...' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു

2018-01-06T08:54:13Z

'GOVERNMENT ORDERS — 2015-6)oj ი Joejiფqთვ?იí പരിചരണ പ്രവർത്തനങ്ങൾ 11:39...' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു

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GOVERNMENT ORDERS — 2015-6)oj ი Joejiფqთვ?იí പരിചരണ പ്രവർത്തനങ്ങൾ 11:39
അനുബന്ധം 12
SECONDARY LEVEL PALLIATIVE CARE PROGRAMME
Monthly Report:........................, 20........ (See Para 7.4) Name of Institution...................................................................................................................................... 1. Registration Description Total at This Month Patients under the end Coverage of Last Month New Expired Transfer out (2+3)-(4+5) (1) (2) (3) (4) (5) (6) Registered Patients Patient needed Follow up Home care Patients depend OP for Medicine 2. HomeCare Date Team members Starting Ending No. of time time Patients Seen
No. of NHC/No. of patients seen: No. of DHC/No. of patients seen:
3. Out Patients
No. of volunteers who participated: No. of Health staff who participated:
Date Total patient
attendance
No. of
new patients
No. of patients Remarks
given Morphine
Total:
4. In Patients
Number of patient admitted inwards for additional care
Week 1
Week 2
Week3
Week 4
Week 5
Total:
In institutions with separate IP:
No. of patients admitted total number of patients admitted during the month: ....................
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Panchayat:Repo18/vol2-page1139 - Revision history

Vinod: 'GOVERNMENT ORDERS — 2015-6)oj ი Joejiფqთვ?იí പരിചരണ പ്രവർത്തനങ്ങൾ 11:39...' താൾ സൃഷ്ടിച്ചിരിക്കുന്നു