Supply of Printed Forms, Registers and Others To KHPIMS, Gadag

Discharge card (Sky Blue Color card sheet)

Treatment chart

IPD case Sheet OBG( L3 Multi color Printing)

Medical Health check up Record form

Biomedical waste Segregation Audit form

Adverse Drug Reaction Reporting form

Room Cleaning Check List(House keeping Service)

Room Cleaning Check List

Lenin Indent Book (100 pages Binding Book)

Inventory/Lenin Indent(100 Pages Binding book)

Medicine Indent Book (100 pages Binding Book)

Observation charts

MLC Discharge CMO Information form

Census forms (Night Supervisor)

Census forms (N S Office)

Duty List of Staff Nurses

Discharge summary (Sky and Blue Color Paper)

USG forms (Yellow Color Paper)

TPR Chart (Red Color printing on White Sheet)

Patient Referral card (Pink Color Paper)

OPD prescriptions (500 pages in each pad)

Stay Pass (White card sheet)

Grave risk consent form

Operation Notes (Pink and Gray color paper)

Night census & Instruction Registers 300 Pages)NS Office

Night census & Instruction Registers (300 pages) Ward

Anesthesia Register(300 Pages)

OT Register(300 Pages)

Stock Register(300 pages)

Staff Attendance Register (300 Pages)

Patient Admission Register (300 Pages) MLC

Patient Admission Register (300 Pages) Non MLC

BMW Waste Storage Room Register (200 pg)

Injury Register(200 pg)

Bio-medical waste Generation Register (200 pg)

Pharmacy Register (200 pg)

Autoclave Register (200 pg)

Stock Register (200 pg)

PEP Register (300 pg)

Vaccination Register (200 pg)

Adverse Drug Reaction Register (200 pg)

Parturition Register OBG (600 Pg)

Anasthesia Consent form

Surgery Consent form

Investigation and follow up Schedule for injuries

Hand Hygiene Audit

Infection Control Checklist

Needle Stick Injury Reporting format

Culture Surveillance Requisition form

Animal Bight Registar 300 Pages

Daily Chick List For Monitoring Registar 300 Pages

Rabies Immunoglobulin Registar 300 pag

Labour Room Referred out Registar 300 pag

Discharge Sending Registar 300 Pages

Expenditure Registar 300 Pages

Drugs Chick List Registar 300 Pages

Rounds Registar 300 Pages

Patient Handover Registar 300 Pages

Lilan Registar 200 Pages

OPD Registar 300 Pages

Daiet Register (200 page)

Daily clearing Report (300 pages)

Consolidated Final Bill

Declaration .form

Beneficiaries .Declaration

Daily Patient Visit. Chart

Profrom for Surgical & other Procedure Cases

Preauthorisation .Request. Form

Histo-patological

Post Mortem report form

Urine Examination Register 300 .Pages

PT /APTT Register 300 .Pages

Blood Grouping Register 300 Pages

Histopathology Specimen .Received Register 300 Pages

Histopathology Register .300 Pages

Histopathology .Requisition form

Thalassemia Requisition .Forms

Thalassemia Register Books .300 Pages

Hematology Register 300 Pages

Cytopathology Requisition .Forms

PAP Report Forms

FLUID ANALYSIS Report .Forms

Cytopathology Register .300 Pages

FNAC Report .Forms

ESR Register 300 .Pages

Admission Sheet Case record. (Multicolour).

NEOnatal Case. Sheet.

Discharge Card (Multicolour).

Referal Summary (Multicolour).

Dicharge Notes (Multicolour).

X Ray Envolop Cover (Size 16x18 .48 kg krft brown papers)

CT Envolop Cover (Size 16x18 .48 kg krft brown papers)

Antenatal care OPD IPD Registor (300 Pages)

Abdomen and pelvis OPD IPD (300 Pages)

X ray OPD/IPD registor (300 Pages)

CT Registers (300 pg)

MLC X-Ray Registers (.300 pg)

Antenatal scan Report

OPD Pharmacy Register (.200 pg)

Main Stock Register (.200 pg)

OPD Pharmacy Register (.200 pg)

Main Stock Register (200 pg)

Drug Distrubution Indent Book 100 Pages (.100 Pages Binding Book)

Sub Store Stock Book (.400 Pg)

Issued Book (.400 Pg)

Day Book (.300 Pg)

Stock Register (600 Pg)

Stock Register (.400 Pg)

Stock Registar 300 Pages

Reagent Stock Registar 300 Pages

Clinical Lab Investigation Form 100 Pages 1 Pades

Practical Teaching Dairy 300 Pages

Theory Teaching Dairy 300 Pages

Clinical LabTechnicion Handover Register 300 Pages

Clinical Lab ABG Stock Register 300 Pages

Clinical Lab Handover Register 300 Pages

Clinical Lab Monthly Statisics Register 300 Pages

Clinical Laboratory Stock Register 300 Pages

Biochemistry Lab Registers 300 Pages

Microbilogy Stock Book (500 pg)

Bacteriology Ledger (300 pg)

Serology Ledger (300 pg)

Still Birth Registar 300 Pages.

Brought dead Registar 300 Pages.

Death Registar 300 Pages.

Birth Registar 300 Pages.

Accession Registar 300 Pages

Wound Certificates Duplicates(300 pg) One Original Copy and Two Corban Copy.

Master Register (300 pg)

Donor Blood Group / TTD Screening register

Blood Donors Record

Blood Bank Issue Register 300 Pages

Blood Bank Consumables Stock Register 300 Pages

Blood Component Preparation Register 300 Pages

Daily Stock Position of Test Kits & Consumable Everyday 300 Pages

Blood & Component Stock Register 300 Pages

ELISA for HIV / HBsAg/HCV Testing forms

Requisition form Blood Bank

Transfusion Reaction Form

Donors Requisition Form in English

Donors Requisition Form in Kannad

Compatibility forms A,B,O,AB

Donors Certificate & Appreciation Certificate (Both are Kannada Format) Multicolor,art board sheet

Students Entry Register (200 pg)

Students Issue Registe r(200 pg)

Students Reference Register (200 pg)