Printing of Hospital forms and Registers

LIST OF PRINTING FORMS

A positive Fresh Frozen Plasma Label (Yellow)

A positive Platelet Concerntrate Label (Yellow)

A positive PRBC Label (Yellow)

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A4 Paper

AB positive Platelet Concerntrate Label (white)

AB positive Fresh Frozen Plasma Label (White)

AB positive PRBC Label (White)

Accident register cum wound register

Ambulance Cleaning check list

Ambulance/ cremation / burial certificate

Anesthesia Consent

Aplication form for dialysis Pad

Arogyakiranam / RBSK requisition for medicine

Attendance Register

Attendance Register

Attendance Register (50 pages)

Audiogram form

B positive Fresh Frozen Plasma Label (Rose)

B positive Platelet Concerntrate Label (Rose)

B positive PRBC Label (Rose)

Biochemistry Report -RDC

Bio-Medical waste seregation check list

Blind register - Ophthalmology

Blood and Urine Report form -RDC

Blood bank Consent form - ward

Blood Bank issue card

Blood cross matching report(warning)

Blood discarding register

Blood donor record Card- English

Blood donor record Card- malayalam

Blood Group Report form - RDC

Blood sugar report form - RDC

Case record+ Medical Record file board

Cash book - Pain & Palliative

Cash book- RSBY

Cash book- Tribe, cathlab, RBSK(200 page)

Casualty Antigen test register - for covid patient

Cathlab indent

Cathlab Register

Cencus Register

Certificate of attendance-telemedicine dept

Certificate of collection of material objects from the body of a person for chemical examination, DNA Profiling @ FSL etc

Certificate of Drunkeness

Certificate of examination by a medical officer Book

Certificate of examination by a specialist medical officer/ Team of specialist medical officers

Check List for PCI/Pacemaker

Check list register - Ophthalmology

Chemotherapy protocol

Chemotherapy Sticker

Components register - Blood Bank

Computerised Op

Consent for Dialysis Pad

Consent For Angioplasty pad

Consent for Angioplasty/ PPI/TPI/CRT/ICD pad

Consent for ARS serum

Consent for CAG

Consent for ICU pad

Consent form for ICU

Consent form for surgery

COVID - Refferal Form

COVID OP TICKET

Crash Chart Check list

Cross matching register-Blood bank

CT Scan Consent form

Daily Report Form - RDC

Death Audit Report

Death forms

Death Intimation Report

Death Register

Death Summery - for covid patient

Dialysis Hand book

Dialysis treatment log Pad

Diet Sheet

Direction to Release the Dead Body kept in Mortury

Discharge Certificate/Treatment Certificate

DLFC - Stock Register

DLFC registration details (Estimate)

DLFC- work register

Doctors ward round chart - for covid patient

Donor Register

Drinking water check list

Drug Administration chart

ECG Register

ECG Report cover

Equipment Cleaning check List

Equipment working status Check list

File for MRI/CT scan report

Final opinion as couse of death

Fire extinguisher check list

Fire extinguisher check list

Follow up register - pain and palliative

Form for examination of Potency Book

Form for Free of cost services

Format for reffering a post-mortem examination to police surgeon through investigating police officer or magistrate

General awearness of after angioplasty

HbA1C Report form - RDC

Histopathology form

Home care follow up case sheet - P & P

Hormone Test Report form - RDC

Hormones/Vitamins test report RDC

House keeping check list

House Keeping check list in procedure room

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ICU VITAL SIGNS CHART

IDRV Register

IDSP Form P

Informed consent for IV contrast study

Instructions for patient undergoing Chemotherapy

IP Register

IP Sticker

Issue Note - Blood Bank

Issue register - Blood Bank

Karunya Benevolent Fund Affidavit

Karunya Benevolent Fund form A

KASP Sticker

KASP/PMJAY Requesition for Medicine

KASP/PMJAY Requesition for Medicine (Refund) form

KBF Requesition for Medicine

Kichen Book

Lab Registration Register (500 Pages) - Dist lab

Lab Request form - District Lab

Label to be affixed on the sealed packet for chemical analysis of Viscera and other mateiral objects sent for chemical examiner

Label to be affixed on the sealed packet of different material object collected from medico leagal examination for despach to the center of analysis

Label to be attached to the material objects preserved during in a medico legal examination

Label to be attached to the material objects sent for chemical analysis(Preserved during post-mortem examination

Laboratory report form (Haematology and Bio-chemistry+Urine)

Laboratory report Serology form - Dist lab

Large Report Form 1 - RDC

Large Report form- II

Letter Headed Multicolor printed

Letter Pad - RDC

LFT Report form - RDC

Lift cleaning check list

LinenQuality check list

Lipid profile report - RDC

Low vision register - Ophthalmology

Master Case record radio therapy and Oncology Department

Master Register

Medical Board registration form

Medico Legal Register

Microbiology report Form(I) Pad - RDC

Microbiology report Form(II) Pad - RDC

Microbiology surveillance report form - RDC

Morphin register - P & P

Mortury Register

MOT Register

MRI Scan Request Form

MRI Scan Screening and consent form

MRI/CT Report Cover (37 cmx 27 cm)

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Nominal register - pain and palliative

Nominal Register for MRI/CT/ X-ray/USG/Mammogram

Non reactive to HIV, HBsAg, HCV, SYPHILIS and MALARIA - sticker

Nurses records and reports

O positive Fresh Frozen Plasma Label (Blue)

O positive Platelet Concerntrate Label (Blue)

O positive PRBC Label (Blue)

Office Memo Book

Op Register

Op Ticket - Rose

Op Ticket (Nayanapadham) - Ophthalmology

OP ticket Mobile unit ophthalmology

Ophthalmic OP register

ORS check list

Paid body/ for P.M / unknown/ unclaimed card

Palliative registration card

Palliative care home care- investigation records

Palliative care Home care report

Palliative Care Home Care Unit (

Palliative care home care unit(Date and particular)

Palliative care op diagonostic register

Patient details- Peritoneal dialysis Pad

Patient Registration Module (Hepatitis A,B,C,E)

Performa for recording dying declaration by a Medical Officer

Peripheral Smear report form- dist lab

Physiatrists case sheet

Physiatrists case sheet - Diagnosis and Exercises

Police intimation Book

Postmortem Detailed Notes

Postmortum Register

PRE OPERATIVE CHECKLIST

Prescription form for prosthetic and orthotic section- PMR Unit

Progress Notes and Doctors Orders

PT-INR Report Form - RDC

Receipt Book with Carbon

Receipt- DLFC

Refferal book

Refigeration Check List

Register for Biochemistry report (500 pages) -Dist lab

Register for Haemotology report (500 pages) - Dist lab

Register for Serology report (500 pages) - Dist lab

Register for Urine report (500 Pages) - Dist lab

Report cover - RDC (Envelope)

Report form I RDC

Report form II RDC

Report of examination for estimation of age

Report of examination of a Victim allieged to have been drugged

Report of recommendation for the supply/ free supply of artificial limb and other appliances from artifical limb centre

Report to be forwarded with the material objects send for chemical examination

Report to be forwarded with the material objects sent for chemical analysis (Preserved during post-mortem examination)

Reporting format for Medio legal examination of Surviour of sexual offences

Request for Blood Transfusion - Blood Bank

Request for CT Scan

Request for investigations of scan X- ray/ lab- under CHIS- KASP

Request for investigations of scan X- ray/ lab- under RBSK/ Arogyakiranam (Blue)

Request Form - RDC

Request Form Microbiology Pad- RDC

Request form RDC

Requisition for Local purchase of reagents/ consumables/ equipments

Ruled Register

Ruled Register

Ruled Register

Ruled Register

Screening register- blood bank

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Serology blood report - RDC

Serum grouping register

Spectacles Prescription pad - District Mobile Unit Ophthalmology

Spectacles Prescription Pad- District Hospital (Ophthalmology)

Stay Pass

Stock register for Blood components (PRBC & Platelet concentrate)

Suction Apparatus check list

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Temporature recording register - Deep freezer

TFT Report form - RDC

Thermal Roll papper

Thermal Roll papper

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Toilet Cleaning check list

Transfusion reaction form - Blood Bank

Treatment Card - PMR unit

Treatment Records - P and P

Trop-T Qualitative blood report - RDC

Trop-T Quantitative blood report - RDC

Tumour Marker test report - RDC

Ultrasonogram Request form

Vital Signs Chart

Whole blood stock register

X-ray / ECG request form

X-ray Cover (23 cm x 27 cm)

Yellow Prescription