PRINTED FORMS AND REGISTERS

Amount

Forms

Treatment sheet

Blood Form

X-ray Form

Urine Form

Temperature Chart

I.P. Certificate

Discharge Card

Transfer Form

OPD Ticket

Admission Form

Memorandum Form

Bill Details List

Permission letter

Check List

Reference Slip(1)

Reference Slip(2)

OT List

File Flap

Office File

Blood Investigation Form

Patient Counseling Form

Blood Demand Form

U.S.G. Gravid Uterus Form

U.S.G.Pelvis

U.S.G. Abdomen

P.N.D.T. Form(Form-F1)

U.S.G. KUB-P

Ovulation Study Form

X-ray Cover 14''X17''

X-ray Cover 12''X15''

X-ray Cover 10''X12''

X-ray Cover8''X10''

ECG Mount Paper

Duty List

Certificate for Payment

Inspection Note

Stool form(Discharge Certificate)

Ward Diet sheet

U.O. Note

Adjustment Bill form

Cheque list

Certificate form

Brown Cover-5''X12'' with address

T.R.-22(Outer)

Registers

Hospital Admission Book(400page)

Ward Admission Book(400page)

HIV Patient Register (200page)

Patient Register(200page)

Routine case Register(200page)

Antental Case visit Reg.(200page)

Attenndance Register(100page)

O.P.D. Register(400page)

Lab Report Register(400page)

Weekly Register(400page)

Daily Report Reg.(400page)

T.B. Register(400page)

Dots Register(CM-162)-200page

Stock Consumption Register (200page)

Indent Book(100X2 page)

Camp Register(200page)

Donor Registration Reg.(200page)BD-2

Donor Deferral Reg.(200page)BD-5

Blood Donor.Counseling Reg.(200page)BD-9

Transfusion Trans. Ins. Reg.(200page)TTI-1

Kit stock Reg.(200page)TTI-2

Bio hazard waste Discard Reg.(200page)

Rapid and other Tesst Reg.(200page)TTI-5

Patient Sample Receiving Reg.(200page)CM-3

Patient Blood Grouping Reg.(200page)CM-4

Donor cell Grouping Reg.(200page)CM-5

Deonor serum Rouping Reg.(200page)CM-6

Blood Compatibiliy & Issue Reg.(200page)CM-7

Anti Human Globulin testing Reg.(200page)CM-8

Daily whole Blood red Blood cell stock Reg.(200page)CM-9

Master Register(200page)CM-10

Daily charge Hand over Reg.(200page)GD-1

Grievance Redressal Reg.(200page)GD-3

Staff proficiency Reg.(200page)GD-8

Teaching and training record(200page)GD-9

Internal Audit non conformance(200page)GD-12

Calibration and preventive Maintenance schedule(200page)GD-13

Equipment break Down Reg.(200page)GD-14

Thermo graph change reg.(200page)Gd-15

Consumable stock Reg.(200page)GD-16

Blood Bank External quality Assessment (200page)GD-17

Inter laboratory Comparison For B.G.(200page) GD-18

Error reporting Register(200page)GD-9

Quality control Reg.(200page)GD-21

Quality control of normal saline and distilled(200page)GD-22

Cell counter control Register(100page)

Patient entry Reg.(400page)

Cell Counter Reg.(200page)

Urine Reg.(200page)

Inventory Reg.(100page)

Stock Reg.(Insturment Store)-300page

Impress cash Book-200page

S-32(200page)

T.R.-29(200page)

T.R.-4(CRI. Br.)-200page

ABC Register (Pay Bill Reg.)-200page

Branch Diary(S-31) -200page

Account No.-1(150page)

Account No.-2(150page)

Assistant Diary(S-229)-200page

Staff Yearly register for Staff Nurse(400Pages)

Staff Yearly Register for NO(200Pages)

Death Certificate Book(50X2 pages)

B.I.-1(50X2pages)

C-8 Form Book

Service Book

Intensive Care Unit (Discharge/Transfer Slip)

Intensive Care Unit (Consent For Valuable)

Intensive Care Unit (Procedure Consent)

Intensive Care Unit (Doctor”s Notes & Prescription)

Intensive Care Unit (Blood Investigation)

Intensive Care Unit (Consent From For Transfusion Blood /Blood Products)

Intensive Care Unit (Dama)

Intensive Care Unit (Other investigation)

Intensive Care Unit (I.C.U. Nursing Care Chart)

Intensive Care Unit (Consent for Critical Condition)

Laboratory Test Report Form Fro HCTC Confirnatory Facility

Suraksha clinic Unique ID Number

Medical Gas Cylinder Demand Details Indent Book (200 Page)

Misce form

GRAPHICA PRINTERS